World experts in aging for the first time are recommending that everyone age 70 and older have routine brain health screenings.
At a recent conference of the International Association of Gerontology and Geriatrics, in St. Louis, a consensus panel examined the importance of early recognition of impaired cognitive health. They concluded that annual memory and reasoning ability evaluation by a physician or health provider is an important step toward enhancing brain health for aging populations throughout the world.
Dental care and medical care have long been provided separately in America. New research and evolving models of care are challenging that traditional gap.
Chronic diseases are responsible for billions of dollars in health care costs and millions of deaths each year. Dental office screenings for diabetes, as well as other common conditions such as high cholesterol and hypertension could save the nation’s health care system as much as $102.6 million annually, researchers from the American Dental Association’s Health Policy Resources Center concluded in a study published in the American Journal of Public Health.
In this new tip sheet, Mary Otto explains some of the screenings and interventions that may be coming to a dentist’s chair near you, as well as some of the question around providing such care.
All family caregivers face struggle to provide appropriate care to their loved ones, while balancing work, other family obligations and managing stress. Latino caregivers must also overcome other barriers, including language, cultural expectations within the Hispanic community, to jobs that may not provide necessary flexibility.
According to the National Hispanic Council on Aging, one-third of Hispanic households report having at least one family caregiver (36 percent). They estimate there are at least 8.1 million Hispanic family caregivers in the U.S. Almost three-quarters (74 percent) of these caregivers are female, with an average age of 42. They provide more intensive, higher-burden caregiving, help with more activities of daily living, and more frequently live with their loved one than do their non-Hispanic, White counterparts. Yet, half (50 percent) of the caregivers rate their experiences as less stressful than do white caregivers.
Chronic diseases like diabetes affect twice as many Hispanics as non-Hispanics, especially Hispanic elders. However studies show minority caregivers tend to use substantially fewer formal support services than their non-Hispanic white counterparts. Focus groups conducted with racially and ethnically diverse caregivers found that “familism, a primary value of Latino cultures, is often cited as a motivating factor for providing care, including the expectation that extended family will assist with the care of older relatives.” Continue reading
Sometimes it’s difficult to get a handle on major health determinants in your community, and it’s even harder to make them come alive in a story. Straightforward statistics can be dry or intimidating, while percentages and frequencies might fail to resonate.
So how can you give your readers, viewers or listeners a little extra background information without boring them to sleep? Interactive atlases are an effective way to do this – they can provide stories with both images and some enriched perspective. November is National Diabetes Awareness Month, and mapping tools like the CDC Diabetes Atlas provide a visual representation of diabetes in the U.S. The Diabetes Atlas helps to illustrate both diabetes and its many determinants using four indicators:
- Diagnosed diabetes
- Diagnosed diabetes incidence
- Leisure-time physical inactivity
People with diabetes in the lowest income neighborhoods of California were 10 times more likely to lose lower extremities to amputation than people with diabetes in the highest income neighborhoods, according to a new paper published in Health Affairs.
Many news outlets covered the story, but none that I read provided much context beyond repeating what the Health Affairs paper had to say, which is a shame because there’s a lot to report. Most ignored the disturbing racial disparity in amputation rates. (HealthDay News did note the study’s finding that less than 6 percent of diabetics in California are black, but they account for about 13 percent of amputations.)
The study authors mapped hot spots of diabetic amputation in Los Angeles and across California, where rates varied from less than one to more than 10 amputations per 1,000 people age 45 and older with diabetes in 2009. Continue reading
The U.S. Preventive Services Task Force just released a recommendation that pregnant women be screened for gestational diabetes, even if they have not been previously diagnosed with type 1 or 2 diabetes.
The task force often finds itself in the news when determining what works and doesn’t work in screenings and preventive care.
Previously, it told healthy women not to bother with calcium and vitamin D pills, said many women could wait on mammograms until age 50 and recently clarified who might benefit from regular lung cancer screening tests. The task force’s work lies in translating medical evidence into clinical practice, which can be a difficult and contentious task. Its recommendations are often nuanced and misunderstood.
How does the group come to these determinations and how can you report on the science and not just the heat a recommendation generates? What is evidence-based medicine and how does the USPSTF use it to make recommendations on health care services?
In a Jan. 28 webcast, USPSTF chair Dr. Virginia Moyer and co-vice chair Dr. Michael LeFevre will explain how the task force works in an effort to deepen our reporting of upcoming task force recommendations. A Q&A with the doctors, moderated by AHCJ medical studies topic leader Brenda Goodman, will follow. Continue reading