TY - JOUR
T1 - Patterns of chronic conditions in older adults
T2 - Exploratory spatial findings from the Eldersmile program
AU - Widener, Michael J.
AU - Northridge, Mary E.
AU - Chakraborty, Bibhas
AU - Marshall, Stephen E.
AU - Lamster, Ira
AU - Kum, Susan
AU - Metcalf, Sara S.
N1 - Funding Information:
The authors were supported in the research, analysis, and writing of this article by the National Institute for Dental and Craniofacial Research and the Office of Behavioral and Social Sciences Research of the NIH (Grant R21DE021187, titled “Leveraging Opportunities to Improve Oral Health in Older Adults,” and Grant R01DE023072, titled “Integrating Social and Systems Science Approaches to Promote Oral Health Equity”). We thank Ariel R. Port for her constructive comments on an earlier draft of this brief. The Fan Fox and Leslie R. Samuels Foundation and The Legacy Foundation provided major funding for the diabetes and hypertension educational and screening components of the ElderSmile program.
PY - 2014/6
Y1 - 2014/6
N2 - Background The increasing prevalence of primary care-sensitive conditions, notably diabetes and hypertension, among older adults presents a challenge to the public health community. Systems science conceptualizations of health, along with considerations of the social and environmental context in which older adults live, are needed before effective interventions can be designed and implemented. Purpose To examine whether spatial patterns exist in hemoglobin A1c and blood pressure measurements among participants in ElderSmile, a community-based oral health and primary care screening program. Methods Two spatial statistical methods, global Moran's I and Cuzick-Edwards tests, were used to determine if there were significant spatial patterns among ElderSmile participants residing in northern Manhattan during 2010-2012. The analyses were conducted in 2013. Results Significant spatial patterns of hemoglobin A1c values and potential diabetes cases, and possibly blood pressure measurements, were found among ElderSmile participants residing in northern Manhattan. Conclusions The presence of spatial patterns allows for the identification of subpopulations in need of additional resources, and can assist in informing advanced spatial and statistical analyses. Screening data collected from an ongoing community-based program can be used to understand broader patterns of urban health.
AB - Background The increasing prevalence of primary care-sensitive conditions, notably diabetes and hypertension, among older adults presents a challenge to the public health community. Systems science conceptualizations of health, along with considerations of the social and environmental context in which older adults live, are needed before effective interventions can be designed and implemented. Purpose To examine whether spatial patterns exist in hemoglobin A1c and blood pressure measurements among participants in ElderSmile, a community-based oral health and primary care screening program. Methods Two spatial statistical methods, global Moran's I and Cuzick-Edwards tests, were used to determine if there were significant spatial patterns among ElderSmile participants residing in northern Manhattan during 2010-2012. The analyses were conducted in 2013. Results Significant spatial patterns of hemoglobin A1c values and potential diabetes cases, and possibly blood pressure measurements, were found among ElderSmile participants residing in northern Manhattan. Conclusions The presence of spatial patterns allows for the identification of subpopulations in need of additional resources, and can assist in informing advanced spatial and statistical analyses. Screening data collected from an ongoing community-based program can be used to understand broader patterns of urban health.
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U2 - 10.1016/j.amepre.2014.01.013
DO - 10.1016/j.amepre.2014.01.013
M3 - Article
C2 - 24842741
AN - SCOPUS:84901036610
SN - 0749-3797
VL - 46
SP - 643
EP - 648
JO - American Journal of Preventive Medicine
JF - American Journal of Preventive Medicine
IS - 6
ER -
