%0 Journal Article %J American Journal of Epidemiology %D 2018 %T The Mental Health Benefits of Acquiring a Home in Older Age: A Fixed-Effects Analysis of Older Americans %A Courtin, Emilie %A Jennifer B Dowd %A Mauricio Avendano %K Consumption and Savings %K Housing %K Mental Health %K Retirement Planning and Satisfaction %X Homeownership is consistently associated with better mental health, but whether becoming a homeowner in later in life has positive psychological benefits has not been examined. We assessed whether acquiring a home after 50 is associated with depression in a representative sample of older Americans. We used individual fixed-effects models based on data from 20,524 respondents aged ≥50 from the Health and Retirement Study and interviewed biannually between 1993 and 2010. Depressive symptoms were measured using the 8-item Centre for Epidemiologic Studies Depression scale. Controlling for confounders, becoming a homeowner in later life predicted a decline in depressive symptoms in the same year (β = -0.0768, 95% CI [confidence interval]: -0.152, -0.007). The association remained significant after two years (β = -0.0556, 95% CI: -0.134 to -0.001) but weakened afterwards. Buying a home for reasons associated with positive characteristics of the new house or neighborhood drove this association (β = -0.426, 95% CI: -0.786, -0.066), while acquiring a home for reasons associated with characteristics of the previous home or neighbourhood, the desire to be closer to relatives, downsizing or upsizing did not predict mental health improvements. Findings suggest that there are small but significant benefits for mental health associated with acquiring a home in older age. %B American Journal of Epidemiology %V 187 %P 465–473 %G eng %U http://academic.oup.com/aje/article/doi/10.1093/aje/kwx278/4080981/The-Mental-Health-Benefits-of-Acquiring-a-Home-inhttp://academic.oup.com/aje/article-pdf/doi/10.1093/aje/kwx278/19501585/kwx278.pdf %N 3 %R 10.1093/aje/kwx278 %0 Journal Article %J BMJ %D 2018 %T Socioeconomic status, non-communicable disease risk factors, and walking speed in older adults: multi-cohort population based study %A Stringhini, Silvia %A Carmeli, Cristian %A Markus Jokela %A Mauricio Avendano %A McCrory, Cathal %A d’Errico, Angelo %A Bochud, Murielle %A Barros, Henrique %A Costa, Giuseppe %A Chadeau-Hyam, Marc %A Delpierre, Cyrille %A Gandini, Martina %A Fraga, Silvia %A Goldberg, Marcel %A Giles, Graham G %A Lassale, Camille %A Kenny, Rose Anne %A Kelly-Irving, Michelle %A Paccaud, Fred %A Layte, Richard %A Muennig, Peter %A Michael Marmot %A Ribeiro, Ana Isabel %A Severi, Gianluca %A Andrew Steptoe %A Shipley, Martin J %A Zins, Marie %A Johan P Mackenbach %A Vineis, Paolo %A Mika Kivimäki %K Cross-National %K Gait speed %K Risk Factors %K Socioeconomic factors %X Objective To assess the association of low socioeconomic status and risk factors for non-communicable diseases (diabetes, high alcohol intake, high blood pressure, obesity, physical inactivity, smoking) with loss of physical functioning at older ages. Design Multi-cohort population based study. Setting 37 cohort studies from 24 countries in Europe, the United States, Latin America, Africa, and Asia, 1990-2017. Participants 109 107 men and women aged 45-90 years. Main outcome measure Physical functioning assessed using the walking speed test, a valid index of overall functional capacity. Years of functioning lost was computed as a metric to quantify the difference in walking speed between those exposed and unexposed to low socioeconomic status and risk factors. Results According to mixed model estimations, men aged 60 and of low socioeconomic status had the same walking speed as men aged 66.6 of high socioeconomic status (years of functioning lost 6.6 years, 95% confidence interval 5.0 to 9.4). The years of functioning lost for women were 4.6 (3.6 to 6.2). In men and women, respectively, 5.7 (4.4 to 8.1) and 5.4 (4.3 to 7.3) years of functioning were lost by age 60 due to insufficient physical activity, 5.1 (3.9 to 7.0) and 7.5 (6.1 to 9.5) due to obesity, 2.3 (1.6 to 3.4) and 3.0 (2.3 to 4.0) due to hypertension, 5.6 (4.2 to 8.0) and 6.3 (4.9 to 8.4) due to diabetes, and 3.0 (2.2 to 4.3) and 0.7 (0.1 to 1.5) due to tobacco use. In analyses restricted to high income countries, the number of years of functioning lost attributable to low socioeconomic status by age 60 was 8.0 (5.7 to 13.1) for men and 5.4 (4.0 to 8.0) for women, whereas in low and middle income countries it was 2.6 (0.2 to 6.8) for men and 2.7 (1.0 to 5.5) for women. Within high income countries, the number of years of functioning lost attributable to low socioeconomic status by age 60 was greater in the United States than in Europe. Physical functioning continued to decline as a function of unfavourable risk factors between ages 60 and 85. Years of functioning lost were greater than years of life lost due to low socioeconomic status and non-communicable disease risk factors. Conclusions The independent association between socioeconomic status and physical functioning in old age is comparable in strength and consistency with those for established non-communicable disease risk factors. The results of this study suggest that tackling all these risk factors might substantially increase life years spent in good physical functioning. %B BMJ %V 360 %P k1046 %G eng %U http://www.bmj.com/lookup/doi/10.1136/bmj.k1046https://syndication.highwire.org/content/doi/10.1136/bmj.k1046http://data.bmj.org/tdm/10.1136/bmj.k1046 %! BMJ %R 10.1136/bmj.k1046 %0 Journal Article %J J Immigr Minor Health %D 2012 %T Self-reported and measured hypertension among older US- and foreign-born adults. %A White, Kellee %A Mauricio Avendano %A Benjamin D Capistrant %A J Robin Moon %A Sze Y Liu %A M. Maria Glymour %K Aged %K Black or African American %K Blood Pressure Determination %K Emigrants and Immigrants %K Female %K Hispanic or Latino %K Humans %K Hypertension %K Male %K Middle Aged %K Nutrition Surveys %K Reproducibility of Results %K Self Report %K United States %K White People %X

Self-reported hypertension is frequently used for health surveillance. However, little is known about the validity of self-reported hypertension among older Americans by nativity status. This study compared self-reported and measured hypertension among older black, white, and Hispanic Americans by nativity using the 2006 and 2008 Health and Retirement Study (n = 13,451). Sensitivity and specificity of self-reported hypertension were calculated using the Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure definition. Sensitivity was high among older blacks (88.9%), whites (82.8%), and Hispanics (84.0%), and both foreign-born (83.2%) and US-born (84.0%). Specificity was above 90% for both US-born and foreign-born, but higher for whites (92.8%) than blacks (86.0%). Despite the potential vulnerability of older foreign-born Americans, self-reported hypertension may be considered a reasonable estimate of hypertension status. Future research should confirm these findings in samples with a larger and more ethnically diverse foreign-born population.

%B J Immigr Minor Health %I 14 %V 14 %P 721-6 %8 2012 Aug %G eng %U http://search.proquest.com.proxy.lib.umich.edu/docview/1022672464?accountid=14667http://mgetit.lib.umich.edu/?ctx_ver=Z39.88-2004andctx_enc=info:ofi/enc:UTF-8andrfr_id=info:sid/ProQ 3Aabiglobalandrft_val_fmt=info:ofi/fmt:kev:mtx:journalandrft.genre=articl %N 4 %1 http://www.ncbi.nlm.nih.gov/pubmed/22109587?dopt=Abstract %3 22109587 %4 Social policy/self assessed health/Hypertension/African-americans/Hispanics/Ethnic Interests %$ 69514 %R 10.1007/s10903-011-9549-3 %0 Journal Article %J Stroke %D 2012 %T Stroke incidence in older US Hispanics: is foreign birth protective? %A J Robin Moon %A Benjamin D Capistrant %A Ichiro Kawachi %A Mauricio Avendano %A Subramanian, S V %A Lisa M. Bates %A M. Maria Glymour %K Age Factors %K Aged %K Cohort Studies %K Emigration and Immigration %K Female %K Hispanic or Latino %K Humans %K Incidence %K Longitudinal Studies %K Male %K Middle Aged %K Retrospective Studies %K Risk Factors %K Socioeconomic factors %K Stroke %K United States %K White People %X

BACKGROUND AND PURPOSE: Although Hispanics are the fastest growing ethnic group in the United States, relatively little is known about stroke risk in US Hispanics. We compare stroke incidence and socioeconomic predictors in US- and foreign-born Hispanics with patterns among non-Hispanic whites.

METHODS: Health and Retirement Study participants aged 50+ years free of stroke in 1998 (mean baseline age, 66.3 years) were followed through 2008 for self- or proxy-reported first stroke (n=15 784; 1388 events). We used discrete-time survival analysis to compare stroke incidence among US-born (including those who immigrated before age 7 years) and foreign-born Hispanics with incidence in non-Hispanic whites. We also examined childhood and adult socioeconomic characteristics as predictors of stroke among Hispanics, comparing effect estimates with those for non-Hispanic whites.

RESULTS: In age- and sex-adjusted models, US-born Hispanics had higher odds of stroke onset than non-Hispanic whites (OR, 1.44; 95% CI, 1.08-1.90), but these differences were attenuated and nonsignificant in models that controlled for childhood and adulthood socioeconomic factors (OR, 1.07; 95% CI, 0.80-1.42). In contrast, in models adjusted for all demographic and socioeconomic factors, foreign-born Hispanics had significantly lower stroke risk than non-Hispanic whites (OR, 0.58; 95% CI, 0.41-0.81). The impact of socioeconomic predictors on stroke did not differ between Hispanics and whites.

CONCLUSIONS: In this longitudinal national cohort, foreign-born Hispanics had lower incidence of stroke incidence than non-Hispanic whites and US-born Hispanics. Findings suggest that foreign-born Hispanics may have a risk factor profile that protects them from stroke as compared with other Americans.

%B Stroke %I 43 %V 43 %P 1224-9 %8 2012 May %G eng %N 5 %1 http://www.ncbi.nlm.nih.gov/pubmed/22357712?dopt=Abstract %3 22357712 %4 Hispanic/stroke/Socioeconomic Factors/survival Analysis %$ 69592 %R 10.1161/STROKEAHA.111.643700