Purpose: Of all Canadian and American men who live to age 75 years, about half can expect to live to age 85. Our objective is to examine how clinical diagnoses made before age 75 relate to a man's survival to age 85 years. Design and Methods: Since 1948, a cohort of 3,983 young men (mean age of 31 years at entry) has been followed with routine…

Purpose: The purpose of the study was to understand better the clinical collaboration process among primary care physicians (PCPs), case managers (CMs), and geriatricians in integrated models of care. Methods: We conducted a qualitative study with semistructured interviews. A purposive sample of 35 PCPs, 7 CMs, and 4 geriatricians was selected in…

Purpose: To assess the prevalence of suicide ideation among community-dwelling older adults and the relationship between suicide ideation, major psychiatric disorder, and mental health service use. Design and Methods: We use data from the Canadian Community Health Survey 1.2: Mental Health and Well-being (CCHS 1.2). We estimate the prevalence of…

Purpose: Faced with an aging driving population, interest is increasing in the use of restricted licenses or "graduated delicensing" for older drivers to allow them to safely retain a driver's license. The primary purpose of this study was to determine whether restricted licenses are successful at mitigating number of crashes per year…

Purpose: The Gentle Persuasive Approaches (GPA) curriculum was developed as an adjunct to other educational initiatives that were part of Ontario, Canada's Alzheimer Strategy. GPA emphasizes that an individual's unique personal history has a direct application to the interpretation of and response to their behavior. It incorporates strategies into…

Purpose: This article reports on the findings of a study whose purpose was to explore the experiences of caregivers of gay and lesbian seniors living in the community and to identify issues that emerged from an exploration of access to and equity in health care services for these populations. Design and Methods: The study used a qualitative…

Investigated predictive value of three aspects of memory potentially related to success or failure in self-medication program. Results showed that combination of memory measures successfully discriminated between those subjects who advanced in program and those who did not. Results provide information that will aid in improving selection process…

Used multiple regression models, developed in the analyses of one prospective study, to identify the probability of institutionalization in the short- and long-term for elderly persons (N=3,883) with various constellations of high risk characteristics. Illustrates the distinct advantages of using combinations of traits instead of individual…

Assesses variables associated with increased severity of depressive symptoms among 321 informal caregivers of demented subjects living in the community identified by a Canadian national population-based survey. Measures included patient and caregiver demographics variables, patient behavioral disturbance, activities of daily living and cognitive…

Assesses applied relevance of research on home care, reviewing literature on predictors of use of home care services, experience of receiving home care, and efficacy studies. Notes that efficacy studies have not concluded that home care is less costly or better for quality of life of older adults when compared with institutional care. (Author/NB)

Analyzed health care use in four years prior to death for 4,256 elderly decedents. Found hospital bed use by nursing home residents declined with age and was much lower than for decedents in community. Institutionalized elders were much less likely to die in hospitals than were community elders, particularly very old and longer-term patients.…

Examined health service utilization by 4,800 Canadian elderly. Findings suggested that most elderly are healthy and are infrequent users of services. Identifies a minority of very high users of health care and discusses the potential influence of physicians on health care use by the elderly. (JAC)

Described rural-urban differences in health care utilization between 1971 and 1977 in 3,628 Manitoba elderly. Despite disparities in reported income and in the distribution of physician resources, ambulatory care use did not differ greatly. Hospital usage was consistently greater among rural than urban elderly. (JAC)

Purpose: The study of patterns of residential mobility among individuals around the age of retirement has led to the recognition that for many reasons--climate and cost of living being the most frequently cited--settlement patterns of comparatively affluent retirees will often differ from those of the working-age population. Increasingly,…

Purpose: We examined whether written emotional disclosure reduces stress and improves health outcomes for family caregivers of physically frail and cognitively impaired older adults, as it has been shown to do for certain student and clinical populations. Design and Methods: Primary caregivers of older adults attending a day program were randomly…