%0 Journal Article %J J Psychol %D 2010 %T Activities of daily living, social support, and future health of older Americans. %A Bozo, Ozlem %A Charles A Guarnaccia %K Activities of Daily Living %K Adaptation, Psychological %K Aged %K Aging %K Caregivers %K Chronic disease %K Female %K Friends %K Humans %K Longitudinal Studies %K Male %K Middle Aged %K Personal Satisfaction %K Retirement %K Risk Factors %K Sick Role %K Social Support %K Spouses %X

The authors investigated the relation of activities of daily living (ADL) and social support satisfaction to illness status 10 years later among 4,870 married older adults in the Health and Retirement Study (F. Juster & R. Suzman, 1995). The authors tested the direct and indirect effects of 1992 ADL, as well as family and friends support satisfaction and spousal social support satisfaction on 2002 illness status. The hierarchical multiple regressions found, controlling for 1992 illness status, ADL protected against future illness, and family and friends and spousal support satisfaction had small, surprisingly positive, effects on greater 2002 illness. The ADL x Family and Friends Support Satisfaction and the ADL x Spousal Support Satisfaction crossproduct interactions were also small positive predictors of later illness. The authors discuss several possible mechanisms that explained this unexpected result. The authors concluded that, depending on whether the recipient is in need of support and depending on the source of the support, the older adults do or do not benefit from the support.

%B J Psychol %I 144 %V 144 %P 1-14 %8 2010 Jan-Feb %G eng %N 1 %1 http://www.ncbi.nlm.nih.gov/pubmed/20092067?dopt=Abstract %3 20092067 %4 Activities of Daily Living/social Support/health care/families/Transfers %$ 22220 %R 10.1080/00223980903356032 %0 Journal Article %J J Am Geriatr Soc %D 2009 %T The co-occurrence of chronic diseases and geriatric syndromes: the health and retirement study. %A Pearl G. Lee %A Christine T Cigolle %A Caroline S Blaum %K Accidental Falls %K Activities of Daily Living %K Aged %K Aged, 80 and over %K Angina Pectoris %K Comorbidity %K Cross-Sectional Studies %K Diabetes Mellitus, Type 2 %K Female %K Geriatric Assessment %K Health Surveys %K Heart Failure %K Humans %K Male %K Myocardial Infarction %K Sick Role %K Syndrome %K United States %K Urinary incontinence %X

OBJECTIVES: To analyze the co-occurrence, in adults aged 65 and older, of five conditions that are highly prevalent, lead to substantial morbidity, and have evidence-based guidelines for management and well-developed measures of medical care quality.

DESIGN: Secondary data analysis of the 2004 wave of the Health and Retirement Study (HRS).

SETTING: Nationally representative health interview survey.

PARTICIPANTS: Respondents in the 2004 wave of the HRS aged 65 and older.

MEASUREMENTS: Self-reported presence of five index conditions (three chronic diseases (coronary artery disease, congestive heart failure, and diabetes mellitus) and two geriatric syndromes (urinary incontinence and injurious falls)) and demographic information (age, sex, race, living situation, net worth, and education).

RESULTS: Eleven thousand one hundred thirteen adults, representing 37.1 million Americans aged 65 and older, were interviewed. Forty-five percent were aged 76 and older, 58% were female, 8% were African American, and 4% resided in a nursing home. Respondents with more conditions were older and more likely to be female, single, and residing in a nursing home (all P<.001). Fifty-six percent had at least one of the five index conditions, and 23% had two or more. Of respondents with one condition, 20% to 55% (depending on the index condition) had two or more additional conditions.

CONCLUSION: Five common conditions (3 chronic diseases, 2 geriatric syndromes) often co-occur in older adults, suggesting that coordinated management of comorbid conditions, both diseases and geriatric syndromes, is important. Care guidelines and quality indicators, rather than considering one condition at a time, should be developed to address comprehensive and coordinated management of co-occurring diseases and geriatric syndromes.

%B J Am Geriatr Soc %I 57 %V 57 %P 511-6 %8 2009 Mar %G eng %N 3 %L newpubs20090908/LeeJAG.pdf %1 http://www.ncbi.nlm.nih.gov/pubmed/19187416?dopt=Abstract %3 19187416 %4 COMORBIDITY/Chronic Disease/Diabetes Mellitus/Heart Diseases %$ 20340 %R 10.1111/j.1532-5415.2008.02150.x