2025
Novel indices of state- and county-level social disadvantage in older Americans and disparities in mortality
Wang Y, Zang E, Davis-Plourde K, Gill T, Becher R. Novel indices of state- and county-level social disadvantage in older Americans and disparities in mortality. Health & Place 2025, 92: 103438. PMID: 40058245, DOI: 10.1016/j.healthplace.2025.103438.Peer-Reviewed Original ResearchConceptsIncreased mortality riskContextual disadvantageOlder personsOlder AmericansCommunity-living older personsSocial disadvantageMortality riskIndices of social disadvantageReduce health disparitiesPopulation of older AmericansCounty-levelPublic health policiesNon-disadvantaged groupsMortality disparitiesHealth disparitiesHealth policyMortality existUnited StatesDisadvantaged countiesNegative binomial modelGeriatric populationComposite indexDisparitiesDisadvantaged statesMultidimensional factors
2024
Neighborhood Disadvantage in a Nationally Representative Sample of Community-Living Older US Adults
Gill T, Leo-Summers L, Vander Wyk B, Becher R, Liang J. Neighborhood Disadvantage in a Nationally Representative Sample of Community-Living Older US Adults. JAMA Network Open 2024, 7: e2450332. PMID: 39666339, PMCID: PMC11638794, DOI: 10.1001/jamanetworkopen.2024.50332.Peer-Reviewed Original ResearchConceptsNational Health and Aging Trends StudyCommunity-living older adultsNationally representative sampleNon-Hispanic blacksNeighborhood disadvantageSocioeconomic deprivationOlder adultsIndividual-level socioeconomic characteristicsLong-term mortalityIndicators of socioeconomic deprivationNon-Hispanic White individualsNon-Hispanic white participantsRepresentative sampleCohort studySocioeconomic characteristicsCommunity-living personsNeighborhood socioeconomic disadvantageArea Deprivation IndexOlder US adultsGeriatric characteristicsPopulation-based estimatesAscertainment of mortalityHigher education levelCensus block levelHigh school diplomaPopulation‐based estimates of major forms of housing insecurity among community‐living older Americans
Paredes L, Wang Y, Keene D, Gill T, Becher R. Population‐based estimates of major forms of housing insecurity among community‐living older Americans. Journal Of The American Geriatrics Society 2024, 72: 3773-3783. PMID: 39229863, PMCID: PMC11637970, DOI: 10.1111/jgs.19167.Peer-Reviewed Original ResearchPoor housing affordabilityPoor housing qualityPoor neighborhood qualityNational Health and Aging Trends StudyPopulation-based estimatesHousing insecurityOlder AmericansOlder adultsImprove social determinants of healthSocial determinants of healthHigh-risk older adultsStudy of Medicare beneficiariesCalculated population-based estimatesImprove social determinantsDeterminants of healthMultidimensional approachPersons of colorHousing affordabilityNeighborhood qualityAdequate housingHousing qualityDementia statusProspective longitudinal studyTrends StudyMedicare beneficiariesChanges in neighborhood disadvantage over the course of 22 years among community‐living older persons
Gill T, Becher R, Leo‐Summers L, Gahbauer E. Changes in neighborhood disadvantage over the course of 22 years among community‐living older persons. Journal Of The American Geriatrics Society 2024, 73: 199-205. PMID: 39206716, PMCID: PMC11735297, DOI: 10.1111/jgs.19172.Peer-Reviewed Original ResearchArea Deprivation IndexArea deprivation index scoreNeighborhood disadvantageDisadvantaged neighborhoodsOlder personsLongitudinal studies of older personsCommunity-living older personsSocial determinants of healthStudy of older personsCommunity-living personsDeterminants of healthFunctional well-beingCensus block levelSouth central ConnecticutDeprivation indexSocial determinantsFollow-upProspective longitudinal studyWell-beingLongitudinal studyDecile changeCentral ConnecticutNeighborhoodParticipantsPersonsAssociation Between Cognitive Trajectories and Subsequent Health Status, Depressive Symptoms, and Mortality Among Older Adults in the United States: Findings From a Nationally Representative Study
Zang E, Zhang Y, Wang Y, Wu B, Fried T, Becher R, Gill T. Association Between Cognitive Trajectories and Subsequent Health Status, Depressive Symptoms, and Mortality Among Older Adults in the United States: Findings From a Nationally Representative Study. The Journals Of Gerontology Series A 2024, 79: glae143. PMID: 38845419, PMCID: PMC11212484, DOI: 10.1093/gerona/glae143.Peer-Reviewed Original ResearchPoor health statusHealth statusDepressive symptomsOlder adultsHealth outcomesCognitive trajectoriesNational Health and Aging Trends StudyScreening of cognitive functionTrajectory groupsCognitive functionHigher depressive symptomsPopulation-based dataAdverse health outcomesNationally representative cohortGroup-based trajectory modelingHigher mortality riskAssociated with higher riskNationally-representative studyLogistic regression modelsTrends StudyRepresentative cohortGlobal cognitionLiving respondentsRegular screeningMortality riskNational Estimates of Short- and Longer-Term Hospital Readmissions After Major Surgery Among Community-Living Older Adults
Wang Y, Leo-Summers L, Vander Wyk B, Davis-Plourde K, Gill T, Becher R. National Estimates of Short- and Longer-Term Hospital Readmissions After Major Surgery Among Community-Living Older Adults. JAMA Network Open 2024, 7: e240028. PMID: 38416499, PMCID: PMC10902728, DOI: 10.1001/jamanetworkopen.2024.0028.Peer-Reviewed Original ResearchConceptsCenters for Medicare & Medicaid ServicesFee-for-serviceMedicare Advantage beneficiariesHospital readmissionUS residentsNational Health and Aging Trends Study dataCommunity-living older adultsProspective longitudinal cohort studyCommunity-living participantsRate of hospital readmissionLikelihood of hospital readmissionPopulation-based estimatesNationally representative estimatesSex-adjusted modelsCommunity-livingData linkageGeriatric conditionsMedicaid ServicesOlder personsOlder adultsMain OutcomesNational estimatesRepresentative estimatesData analysisCohort study
2023
Relationship Between Distressing Symptoms and Changes in Disability After Major Surgery Among Community-living Older Persons
Gill T, Han L, Feder S, Gahbauer E, Leo-Summers L, Becher R. Relationship Between Distressing Symptoms and Changes in Disability After Major Surgery Among Community-living Older Persons. Annals Of Surgery 2023, 279: 65-70. PMID: 37389893, PMCID: PMC10761592, DOI: 10.1097/sla.0000000000005984.Peer-Reviewed Original ResearchConceptsMajor surgeryDistressing symptomsElective surgeryFunctional outcomeOlder personsCommunity-living older personsMultiple distressing symptomsSocioeconomic disadvantageCommunity-living personsTiming of surgerySerious health eventsNumber of disabilitiesSurgerySignificant associationSymptomsHealth eventsRate ratioPotential targetDisabilityUnit increaseDeleterious effectsOutcomesPersonsMultimorbidityAdmission
2022
Factors Associated With Days Away From Home in the Year After Major Surgery Among Community-living Older Persons
Gill TM, Becher RD, Murphy TE, Gahbauer EA, Leo-Summers L, Han L. Factors Associated With Days Away From Home in the Year After Major Surgery Among Community-living Older Persons. Annals Of Surgery 2022, 278: e13-e19. PMID: 35837967, PMCID: PMC9840715, DOI: 10.1097/sla.0000000000005528.Peer-Reviewed Original ResearchConceptsHealth care facilitiesMajor surgeryAge 85 yearsCare facilitiesOlder personsRisk factorsNumber of daysLower peak expiratory flowCommunity-living older personsShort Physical Performance BatteryIndependent risk factorCommunity-living personsPhysical Performance BatteryPeak expiratory flowCandidate risk factorsQuality of lifeHospital dischargeMultivariable analysisExpiratory flowMedian numberPerformance BatteryMusculoskeletal surgerySurgeryMean differenceHospital
2021
The Incidence and Cumulative Risk of Major Surgery in Older Persons in the United States
Becher RD, Vander Wyk B, Leo-Summers L, Desai MM, Gill TM. The Incidence and Cumulative Risk of Major Surgery in Older Persons in the United States. Annals Of Surgery 2021, 277: 87-92. PMID: 34261884, PMCID: PMC8758792, DOI: 10.1097/sla.0000000000005077.Peer-Reviewed Original ResearchConceptsMajor surgeryOlder personsCumulative riskNational HealthCommunity-living older personsHigh-quality surgical careNon-frail groupPopulation-based incidenceService Medicare beneficiariesMedicaid Services dataCumulative risk estimatesProspective longitudinal studyUnited States agesAging Trends StudyGeriatric characteristicsRepresentative incidenceFrail groupAdjusted incidenceGeriatric populationProbable dementiaSurgical carePersons 85Medicare beneficiariesSurgeryVulnerable subgroups
2020
Functional Effects of Intervening Illnesses and Injuries After Hospitalization for Major Surgery in Community-living Older Persons
Gill TM, Han L, Gahbauer EA, Leo-Summers L, Murphy TE, Becher RD. Functional Effects of Intervening Illnesses and Injuries After Hospitalization for Major Surgery in Community-living Older Persons. Annals Of Surgery 2020, 273: 834-841. PMID: 33074902, PMCID: PMC8370041, DOI: 10.1097/sla.0000000000004438.Peer-Reviewed Original ResearchConceptsMajor surgeryED visitsRestricted activityFunctional statusFunctional declineOlder personsCommunity-living older personsAdjusted hazard ratioAdverse functional outcomesCommunity-living personsEmergency department visitsTraditional risk factorsCorresponding odds ratiosFunctional effectsIllness/injuryHazard ratioDepartment visitsFunctional recoveryFunctional outcomeRisk factorsOdds ratioHospitalizationSurgeryInjuryVisits
2018
Functional Trajectories Before and After Major Surgery in Older Adults
Stabenau HF, Becher RD, Gahbauer EA, Leo-Summers L, Allore HG, Gill TM. Functional Trajectories Before and After Major Surgery in Older Adults. Annals Of Surgery 2018, 268: 911-917. PMID: 29356710, PMCID: PMC6521949, DOI: 10.1097/sla.0000000000002659.Peer-Reviewed Original ResearchConceptsMajor surgeryNonelective surgeryFunctional trajectoriesSevere disabilityOlder adultsCourse of disabilityFirst major surgeryPersons 70 yearsProspective cohort studyCohort studyFunctional prognosisModerate disabilityPartial improvementSurgeryPremorbid functionOlder personsStudy periodAnalytic sampleLittle improvementRapid improvementTrajectory groupsMild disabilityMost participantsDisabilityGradual improvement
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