TY - JOUR T1 - Edentulism and trajectories of cognitive functioning among older adults: The role of dental care service utilization. JF - Journal of Aging and Health Y1 - 2020 A1 - Sae Hwang Han A1 - Bei Wu A1 - Jeffrey A Burr KW - Cognitive Ability KW - Dental Care KW - Health Services Utilization AB -

OBJECTIVE: This study examined the associations between edentulism, dental care service utilization, and cognitive functioning trajectories among older adults.

METHOD: Longitudinal data from the Health and Retirement Study (2006-2014) were employed to examine individuals aged 51 and older who were identified as having normal cognition at baseline ( N = 12,405). Cognitive functioning was measured with a modified version of the Telephone Interview for Cognition Status. Edentulism was self-reported as total tooth loss at baseline. Dental care service utilization was measured by self-report of having visited a dentist at least once during the previous 2 years.

RESULTS: The results indicated that edentulism and dental care service utilization were independently associated with cognitive decline during the observation period. Findings also showed that dental care service utilization moderated the association between edentulism and cognitive decline.

DISCUSSION: The findings suggested that providing access to dental services may promote cognitive health and potentially reduce health care expenditures.

VL - 32 IS - 7-8 ER - TY - JOUR T1 - Older Couples Coping With Adverse Life Events: The Importance of Dyadic Personality Profiles JF - Innovation in Aging Y1 - 2020 A1 - Wang, Shuangshuang A1 - Kim, Kyungmin A1 - Jeffrey A Burr KW - dyadic personality profiles KW - Older couples AB - Personality can be an important resource as older couples cope with adverse life events. Analyzing 4,893 older couples from the Health and Retirement Study, this study examined how one’s own and spouse’s adverse life events (health decline, job exit, loss of wealth, family member’s death) occurring in the past two years are associated with changes in depressive symptoms. We further examined the moderating effects for this association of six dyadic personality profiles (combinations of spouses’ positive and negative personality characteristics). We found significant actor and partner effects of health decline for increases in both spouses’ depressive symptoms, and significant actor effects of a family death for husbands’ increased depressive symptoms. For wives, having positive personality profiles buffered negative effects of one’s own health decline and spouses’ family death, whereas having negative profiles intensified negative effects of husbands’ job exit and loss of wealth on the depressive symptoms for both spouses. VL - 4 SN - 2399-5300 IS - Suppl 1 ER - TY - THES T1 - Gender, race, and ethnic differences in the effects of education on depression in later life: The mediating roles of mastery and stress Y1 - 2014 A1 - Wong, Cathy M. KW - Demographics KW - Health Conditions and Status AB - The central objective of this study was to examine gender, race, and ethnic differences in the effects of education on late-life depression. This study differentiated education from other measures of SES due to the psychosocial resources developed through schooling. Education provides intrinsic resources, such as perceived mastery, that are beyond monetary value. Higher levels of education is hypothesized to increase perceived mastery throughout the life course and result in lower levels of stress, influencing psychological well-being in later life. The Stress Process Paradigm was the conceptual framework used for this study. The Stress Process Paradigm includes elements of Ross and Mirowsky's (2006) Resource Substitution and Resource Multiplication hypotheses. Ross and Mirowsky's hypotheses were used to examine whether education improves psychological well-being more for disadvantaged or advantaged groups. The Health and Retirement Study (HRS) was the data source used for this study. The analyses included an evaluation of both the prevalence of depression (cross-sectional models with the 2006 wave of the HRS) and the incidence of depression onset and recovery (longitudinal models with the 2006 and 2008 waves of the HRS). The analyses included examining the moderating effects of gender, race, and ethnic group status on the relationship between SES and late-life depression. Also, this study examined the mediating effects of perceived mastery and stress in the SES-depression relationship. The results suggested the benefits of education may have a more significant effect on psychological well-being than other indicators of SES. There was no evidence of gender moderating the relationship between education and depression. The results showed there appears to be a protective effect of education on depression for Whites. The results did not show mediating effects of perceived mastery and stress in the relationship between education and depression. Rather, the results implied a suppressor effect. Last, this study examined depression among specific gender-race-ethnic groups. It was found that White men have significantly lower odds of having depression than all other groups. This study concludes that it is important to understand that socioeconomic inequalities throughout the life course have an effect on mental health disparities in later life. PB - University of Massachusetts Boston CY - Boston VL - 3622216 UR - http://search.proquest.com.proxy.lib.umich.edu/docview/1547725299?accountid=14667http://mgetit.lib.umich.edu/?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&rfr_id=info:sid/ProQuest+Dissertations+%26+Theses+A%26I&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertat N1 - Copyright - Copyright ProQuest, UMI Dissertations Publishing 2014 Last updated - 2014-07-27 First page - n/a U4 - mental Health JO - Gender, race, and ethnic differences in the effects of education on depression in later life: The mediating roles of mastery and stress ER -