Journal article

Long-term Declines in ADLs, IADLs, and Mobility Among Older Medicare Beneficiaries

Functional decline
older adults
Medicare beneficiaries

Background: Most prior studies have focused on short-term (≤ 2 years) functional declines. But those studies cannot address aging effects inasmuch as all participants have aged the same amount. Therefore, the authors studied the extent of long-term functional decline in older Medicare beneficiaries who were followed for varying time lengths, and the authors also identified the risk factors associated with those declines. Results: The average amount of time between the first and final interviews was 8.0 years. Declines were observed for 36.6% on ADL abilities, 32.3% on IADL abilities, and 30.9% on mobility abilities. Functional decline was more likely to occur when proxy-reports were used, and the effects of baseline function on decline were reduced when proxy-reports were used. Engaging in vigorous physical activity consistently and substantially protected against functional decline, whereas obesity, cigarette smoking, and alcohol consumption were only associated with mobility declines. Post-baseline hospitalizations were the most robust predictors of functional decline, exhibiting a dose-response effect such that the greater the average annual number of hospital episodes, the greater the likelihood of functional status decline. Participants whose final interview preceded their death by one year or less had substantially greater odds of functional status decline.

Related by autor

26 publications found

2024
Analytical article

Health in Ukraine: Prioritise Health Care Reform Across the Ukraine Health System for Recovery and Stable Peace

Publisher: Imperial Institute of Global Health Innovation

Authors: O'Brien Niki, Khanyk Nataliia, Pavlenko Dmytro, Obrizan Maksym, Abbara Aula, Sullivan Richard

2024
Analytical article

Reframing the Relationship Between the Economy and Health

Publisher: Bulletin of the World Health Organization

Authors: Obrizan Maksym, Ritu Sadana, Serife Genc Illeri, Alberto Huitron, Devika Dutt, Roberto Duran-Fernandez

2023
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Gender Gap in Urban Job Market During the Pandemic: The Case of Ukraine

Publisher: Comparative Economic Studies

Authors: Obrizan Maksym, Brik Tymofii

2023
Journal article

Health Consequences of the War in Eastern Ukraine: Comparing 2015-16 to 2012-13

Publisher: Journal of Comparative Economics

Authors: Obrizan Maksym, Partyshev Pavlo

2019
Working paper

Violent Conflict and Unhappiness: Evidence From the 2016 ‘Life in Transition’ III Survey

Publisher: Economics Bulletin

Authors: Obrizan Maksym

2024
Analytical article

Violence and Socio-Economic Outcomes of Ukrainians in Poland and Ukraine

Publisher: VOX Ukraine

Authors: Obrizan Maksym, Jan Fidrmuc, Piotr Stanek

2024
Analytical article

A Taxonomy for the Financing of Health for All

Publisher: Bulletin of the World Health Organization

Authors: Obrizan Maksym, Vanessa Huang, Juan Jardon-Pina

2009
Journal article

A 12-Year Prospective Study of Stroke Risk in Older Medicare Beneficiaries

Publisher: BMC Geriatrics

Authors: Fredric D Wolinsky, Suzanne Bentler, Elizabeth A Cook, Elizabeth A Chrischilles, Li Liu, Kara B Wright, John F Geweke, Obrizan Maksym, Claire E Pavlik, Robert L Ohsfeldt, Michael P Jones, Robert B Wallace , Gary E Rosenthal

2016
Working paper

Evidence from Sloviansk and Kramatorsk

Publisher: Kyiv School of Economics

Authors: Obrizan Maksym, Tom Coupe

2010
Journal article

Prior Hospitalization and the Risk of Heart Attack in Older Adults: A 12-Year Prospective Study of Medicare Beneficiaries

Publisher: The Journals of Gerontology

Authors: Fredric D Wolinsky, Suzanne Bentler, Li Liu, Michael P Jones, Brian Kaskie, Jason Hockenberry, Elizabeth A Chrischilles, Kara B Wright, John F Geweke, Obrizan Maksym, Robert L Ohsfeldt, Gary E Rosenthal, Robert B Wallace