Cognition and Political Ideology in Aging.

Abstract:

OBJECTIVE:The impact of cognitive function and decline on political ideology is unknown. We studied the relationship between cognition and both political orientation and political policy choices in a population of older persons. DESIGN:Longitudinal investigation. SETTING:A retirement community and its surroundings in Southern California. PARTICIPANTS:151 members of a longitudinal investigation of aging and dementia in the oldest-old (the 90+ Study), mean age 95 years. MEASUREMENTS:Participants self-reported their political ideology (7-point scale from extremely liberal to extremely conservative) and policy preferences for federal spending on public schooling, aid to the poor, and protecting the environment, as well as on preferences on immigration rates, death penalty, and university admission. The same political survey was mailed to participants twice: at time one and 6-months later. Cognitive function based on neurological examination and cognitive testing was classified as normal (55%), cognitive impairment/not dementia (CIND) (33%), or dementia (12%). We calculated rank correlations between ideology and policy choices, stratified by cognitive status, and agreement between Surveys 1 and 2. RESULTS:Political ideology/orientation was highly consistent over a six-month period (84% agreement) among the 122 who returned the second survey, with no significant relationship to cognitive status. Among cognitively impaired (CIND and dementia), however, there was significant loss of consistency between an individual's political orientation and their policy choices. Level of political engagement was high for participants, with more than 90% voting in the 2016 presidential election. CONCLUSION:In this population of older persons, political identification on the liberal-conservative spectrum was resilient despite cognitive decline, but its meaning and function were changed. For the cognitively impaired it remained a self-defining label, but no longer operated as a higher order framework for orienting specific policy preferences. There appeared to be loss of coherence between the political orientation and political policy choices of cognitively impaired individuals. Given the high level of political engagement of these individuals, these results have substantial public policy implications.

journal_name

J Am Geriatr Soc

authors

Fisher M,Phoenix D,Powell S,Mousa M,Rosenberg S,Greenia D,Corrada MM,Kawas C,Paganini-Hill A

doi

10.1111/jgs.16935

subject

Has Abstract

pub_date

2020-10-31 00:00:00

eissn

0002-8614

issn

1532-5415

pub_type

杂志文章
  • The effect of do-not-resuscitate orders on physician decision-making.

    abstract::The effect of do-not-resuscitate (DNR) orders on physicians' decisions to provide life-prolonging treatments other than cardiopulmonary resuscitation (CPR) for patients near the end of life was explored using a cross-sectional mailed survey. Each survey presented three patient scenarios followed by 10 treatment decisi...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1532-5415.2002.50620.x

    authors: Beach MC,Morrison RS

    更新日期:2002-12-01 00:00:00

  • Association Between Physical Therapy in the Emergency Department and Emergency Department Revisits for Older Adult Fallers: A Nationally Representative Analysis.

    abstract:OBJECTIVES:To determine whether providing physical therapy (PT) services in the emergency department (ED) improves outcomes for older adults who fall. DESIGN:We used Medicare claims data to examine differences in recurrent fall-related ED revisit rates of older adults who presented to the ED for a ground-level fall an...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.15469

    authors: Lesser A,Israni J,Kent T,Ko KJ

    更新日期:2018-11-01 00:00:00

  • Gender differences in the behavioral manifestations of Alzheimer's disease.

    abstract:OBJECTIVE:To examine the relationship between gender and specific types of behavior problems that occur in patients with Alzheimer's disease. DESIGN:This was an observational study using the Dementia Behavior Disturbance Scale to quantify and define behavioral problems encountered by caregivers. Multiple regressions w...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1996.tb01447.x

    authors: Ott BR,Tate CA,Gordon NM,Heindel WC

    更新日期:1996-05-01 00:00:00

  • Feasibility and accuracy of a postcard diary system for tracking healthcare utilization of community-dwelling older persons.

    abstract:OBJECTIVE:To test the feasibility of and to validate a self-report weekly postcard diary of health care utilization. DESIGN:Case-series and validation study. SETTING:Community-based sample of fee-for-service and health maintenance organization (HMO) patients. PARTICIPANTS:A convenience sample of 24 community-dwellin...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1995.tb06105.x

    authors: Reuben DB,Wong RC,Walsh KE,Hays RD

    更新日期:1995-05-01 00:00:00

  • Geriatric content in medical school curricula: results of a national survey.

    abstract::Despite recent gains in establishing academic sections, divisions, and departments of geriatrics in medical schools, much remains to be done to meet the medical needs of an aging population. To better understand how medical schools are educating students in geriatric-related topics, all U.S. allopathic and osteopathic...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2005.53023.x

    authors: Eleazer GP,Doshi R,Wieland D,Boland R,Hirth VA

    更新日期:2005-01-01 00:00:00

  • Osteoporosis Treatment Efficacy for Men: A Systematic Review and Meta-Analysis.

    abstract:OBJECTIVES:To evaluate the efficacy of treatment options to reduce osteoporotic fracture risk in men. DESIGN:Systematic review and meta-analysis. SETTING:Randomized clinical trials that evaluated the efficacy of a treatment for osteoporosis or low bone mineral density for adult men and reported fracture outcomes. PA...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,meta分析,评审

    doi:10.1111/jgs.14668

    authors: Nayak S,Greenspan SL

    更新日期:2017-03-01 00:00:00

  • The effects of 6 months of increased water intake on blood sodium, glomerular filtration rate, blood pressure, and quality of life in elderly (aged 55-75) men.

    abstract:OBJECTIVES:To study whether there are any negative or positive effects of 6 months of increased fluid intake in reasonably healthy elderly men. DESIGN:Randomized trial. SETTING:Community-based. PARTICIPANTS:One hundred forty-one healthy participants aged 55 to 75. INTERVENTION:One group was given the advice to incr...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1111/j.1532-5415.2005.00606.x

    authors: Spigt MG,Knottnerus JA,Westerterp KR,Olde Rikkert MG,Schayck CP

    更新日期:2006-03-01 00:00:00

  • Aging, the Medical Subspecialties, and Career Development: Where We Were, Where We Are Going.

    abstract::Historically, the medical subspecialties have not focused on the needs of older adults. This has changed with the implementation of initiatives to integrate geriatrics and aging research into the medical and surgical subspecialties and with the establishment of a home for internal medicine specialists within the annua...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.14708

    authors: Hurria A,High KP,Mody L,McFarland Horne F,Escobedo M,Halter J,Hazzard W,Schmader K,Klepin H,Lee S,Makris UE,Rich MW,Rogers S,Wiggins J,Watman R,Choi J,Lundebjerg N,Zieman S

    更新日期:2017-04-01 00:00:00

  • Evolution of Basic Activities of Daily Living Function in Older Patients One Year After Transcatheter Aortic Valve Implantation.

    abstract:BACKGROUND/OBJECTIVES:To assess the course and prediction of basic activities of daily living (ADL) function in patients after transcatheter aortic valve implantation (TAVI). DESIGN:This was a prospective cohort study. SETTING:The setting was a single academic center in Switzerland. PARTICIPANTS:Participants include...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.16927

    authors: Bertschi D,Moser A,Stortecky S,Zwahlen M,Windecker S,Carrel T,Stuck AE,Schoenenberger AW

    更新日期:2020-11-06 00:00:00

  • Effects of home-based primary care on Medicare costs in high-risk elders.

    abstract:OBJECTIVES:To determine the effect of home-based primary care (HBPC) on Medicare costs and mortality in frail elders. DESIGN:Case-control concurrent study using Medicare administrative data. SETTING:HBPC practice in Washington, District of Columbia. PARTICIPANTS:HBPC cases (n = 722) and controls (n = 2,161) matched ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.12974

    authors: De Jonge KE,Jamshed N,Gilden D,Kubisiak J,Bruce SR,Taler G

    更新日期:2014-10-01 00:00:00

  • Treatment approaches with the psychiatric elderly.

    abstract::In reviewing the literature on treatment approaches with the psychiatric elderly, a large number of studies were found which espouse comprehensive rehabilitation programs that usually require supplementation of existing personnel and expansion of facilities. Although some agencies and institutions are fortunate in sec...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1977.tb00648.x

    authors: Goga JA,Hambacher WO

    更新日期:1977-07-01 00:00:00

  • Provider characteristics related to antidepressant use in older people.

    abstract:OBJECTIVES:To determine whether the characteristics of the usual medical care providers of older antidepressant users changed between 1986 and 1997 with the introduction of selective serotonin reuptake inhibitors. DESIGN:Longitudinal study. SETTING:Five-county Piedmont area of North Carolina. PARTICIPANTS:Stratified...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1532-5415.2006.00737.x

    authors: Fillenbaum GG,Hybels CF,Pieper CF,Konrad TR,Burchett BM,Blazer DG

    更新日期:2006-06-01 00:00:00

  • Sleep problems as a risk factor for falls in a sample of community-dwelling adults aged 64-99 years.

    abstract:OBJECTIVES:The purpose of this study was to determine if reported nighttime sleep problems and daytime sleepiness were associated with reported falling during the previous 12 months in a representatively sampled older adult population. DESIGN:Random-digit dial telephone survey. SETTING:Representatively sampled older ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2000.tb02596.x

    authors: Brassington GS,King AC,Bliwise DL

    更新日期:2000-10-01 00:00:00

  • Delirium in hospitalized older persons: outcomes and predictors.

    abstract:OBJECTIVE:The purpose of this study was fourfold; to determine the rate of delirium among hospitalized older persons, to contrast the clinical outcomes of patients with and without delirium, to identify clinical predictors of delirium, and to validate the predictive model in an independent sample of patients. DESIGN:T...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1994.tb06551.x

    authors: Pompei P,Foreman M,Rudberg MA,Inouye SK,Braund V,Cassel CK

    更新日期:1994-08-01 00:00:00

  • Dementia undiagnosed in poor older adults with functional impairment.

    abstract:OBJECTIVES:To identify variables associated with diagnosing dementia in poor older adults by comparing older people with dementia who were diagnosed by their primary care physicians (PCPs) with those not diagnosed by their PCP. DESIGN:Observational study. SETTING:Community-based, in-home cognitive assessment program....

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2007.01417.x

    authors: Wilkins CH,Wilkins KL,Meisel M,Depke M,Williams J,Edwards DF

    更新日期:2007-11-01 00:00:00

  • Physical Activity and Amyloid-β Brain Levels in Elderly Adults with Intact Cognition and Mild Cognitive Impairment.

    abstract:OBJECTIVES:To examine the associations between amyloid-β brain deposition and physical activity (PA) in elderly adults without dementia and to investigate whether the association has a dose-response relationship. DESIGN:Cross-sectional study. SETTING:French community-dwelling people. PARTICIPANTS:Elderly adults with...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1111/jgs.13530

    authors: de Souto Barreto P,Andrieu S,Payoux P,Demougeot L,Rolland Y,Vellas B,Multidomain Alzheimer Preventive Trial\/Data Sharing Alzheimer Study Group.

    更新日期:2015-08-01 00:00:00

  • Poor outcome of on-site CPR in a multi-level geriatric facility: three and a half years experience at the Baycrest Centre for Geriatric Care.

    abstract::Our objective was to determine the outcome of onsite CPR in elderly patients receiving institutional care who had access to 24-hour on-site full ACLS capability. We used a retrospective chart and CPR protocol review of all patients who received CPR during the study period; these were patients or residents in a multi-l...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1993.tb02052.x

    authors: Gordon M,Cheung M

    更新日期:1993-02-01 00:00:00

  • A prospective study of the effect of hypertension and baseline blood pressure on cognitive decline and dementia in postmenopausal women: the Women's Health Initiative Memory Study.

    abstract:OBJECTIVES:To examine the relationship between baseline hypertension, blood pressure, and the development of cognitive decline in participants in the Women's Health Initiative Memory Study (WHIMS). DESIGN:Prospective analyses. SETTING:Thirty-nine centers. PARTICIPANTS:Seven thousand one hundred forty-nine women aged...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1111/j.1532-5415.2008.01806.x

    authors: Johnson KC,Margolis KL,Espeland MA,Colenda CC,Fillit H,Manson JE,Masaki KH,Mouton CP,Prineas R,Robinson JG,Wassertheil-Smoller S,Women's Health Initiative Memory Study and Women's Health Initiative Investigators.

    更新日期:2008-08-01 00:00:00

  • Severe elder obesity and 1-year diminished lower extremity physical performance in homebound older adults.

    abstract:OBJECTIVES:To determine whether severe obesity in older people is independently associated with diminished lower extremity physical performance (LEP) in a random sample of homebound older adults that were considered ambulatory. DESIGN:Prospective cohort with 1 year of follow-up (2000-02). SETTING:In-home assessments ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2006.00842.x

    authors: Sharkey JR,Ory MG,Branch LG

    更新日期:2006-09-01 00:00:00

  • Cost-Effectiveness of Pneumococcal Vaccination Policies and Uptake Programs in US Older Populations.

    abstract:BACKGROUND/OBJECTIVES:Recently revised vaccination recommendations for US adults, aged 65 years and older, include both 23-valent pneumococcal polysaccharide vaccine (PPSV23) and 13-valent pneumococcal conjugate vaccine (PCV13), with PCV13 now recommended for immunocompetent older people based on shared decision making...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.16373

    authors: Wateska AR,Nowalk MP,Lin CJ,Harrison LH,Schaffner W,Zimmerman RK,Smith KJ

    更新日期:2020-06-01 00:00:00

  • The ethics committee in the nursing home. Results of a national survey.

    abstract::As the complexity, prevalence and visibility of ethical dilemmas in medical care of the elderly have grown, hospitals and nursing homes have attempted to develop mechanisms for responding to these difficult ethical issues. While it is known that many hospitals rely on education and advice provided by an ethics committ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1988.tb01786.x

    authors: Glasser G,Zweibel NR,Cassel CK

    更新日期:1988-02-01 00:00:00

  • Validity of the Patient Health Questionnaire 2 (PHQ-2) in identifying major depression in older people.

    abstract:OBJECTIVES:To determine the performance of the Patient Health Questionnaire 2 (PHQ-2) against the criterion standard for diagnosing major depression, the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), and to examine its performance across age, sex, and racial/ethnic groups. DESIGN:Cros...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2007.01103.x

    authors: Li C,Friedman B,Conwell Y,Fiscella K

    更新日期:2007-04-01 00:00:00

  • Long-term variability of inflammatory markers and associated factors in a population-based cohort.

    abstract:OBJECTIVES:To investigate long-term variability in serum high-sensitivity C-reactive protein (CRP) and interleukin-6 (IL-6) and to determine associated risk factors for high-risk inflammatory profiles. DESIGN:Prospective population-based cohort study. PARTICIPANTS:Participants (N = 1,443) of the Epidemiology of Heari...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.12382

    authors: Nash SD,Cruickshanks KJ,Klein R,Klein BE,Nieto FJ,Chappell R,Schubert CR,Tsai MY

    更新日期:2013-08-01 00:00:00

  • Treatment of vasculogenic sexual dysfunction with pentoxifylline.

    abstract:OBJECTIVE:To evaluate the use of pentoxifylline to treat impotence in men with mild to moderate penile vascular insufficiency. DESIGN:Double-blind randomized clinical trial. SETTING:Sexual Dysfunction Clinic at VA Medical Center, Sepulveda, CA. PARTICIPANTS:Convenience sample of couples. INTERVENTION:Twelve weeks o...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1532-5415.1993.tb06941.x

    authors: Korenman SG,Viosca SP

    更新日期:1993-04-01 00:00:00

  • Effect of chronic disease-related symptoms and impairments on universal health outcomes in older adults.

    abstract:OBJECTIVES:To determine the extent to which disease-related symptoms and impairments, which constitute measures of disease severity or targets of therapy, account for the associations between chronic diseases and universal health outcomes. DESIGN:Cross-sectional. SETTING:The Cardiovascular Health Study (CHS) and the ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2011.03576.x

    authors: Tinetti ME,McAvay G,Chang SS,Ning Y,Newman AB,Fitzpatrick A,Fried TR,Harris TB,Nevitt MC,Satterfield S,Yaffe K,Peduzzi P

    更新日期:2011-09-01 00:00:00

  • Longitudinal Analysis of Mortality for Older Adults Receiving or Waiting for Aging Network Services.

    abstract:OBJECTIVES:For older adults screened by an Area Agency on Aging (AAA) in the National Aging Network, we aimed to examine the 12-month mortality rate for wait-listed callers compared with those who received services within 12 months, and to assess whether the mortality rate differed according to how quickly they receive...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.16232

    authors: Gum AM,Green O,Schonfeld L,Conner K,Rigg KK,Wagoner F,Melling KA,Parkinson K

    更新日期:2020-03-01 00:00:00

  • Dehydroepiandrosterone combined with exercise improves muscle strength and physical function in frail older women.

    abstract:OBJECTIVES:To investigate the effects of dehydroepiandrosterone (DHEA) combined with exercise on bone mass, strength, and physical function in older, frail women. DESIGN:Double-blind, randomized, placebo-controlled trial. SETTING:A major medical institution. PARTICIPANTS:Ninety-nine women (mean age 76.6 ± 6.0) with ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1532-5415.2010.03019.x

    authors: Kenny AM,Boxer RS,Kleppinger A,Brindisi J,Feinn R,Burleson JA

    更新日期:2010-09-01 00:00:00

  • Effect of age on glucose tolerance, insulin secretion, and in vivo insulin action.

    abstract::The effect of age on glucose tolerance, insulin secretion, and in vivo insulin action (insulin clamp) was studied in 48 nonobese subjects, all of whom were fully ambulatory and in good general health. The observed age-related increase in fasting plasma glucose (r = 0.35, P less than 0.01) was not due to an increase in...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1982.tb05662.x

    authors: Rosenthal M,Doberne L,Greenfield M,Widstrom A,Reaven GM

    更新日期:1982-09-01 00:00:00

  • Implementing Health Care Quality Measures in Electronic Health Records: A Conceptual Model.

    abstract:BACKGROUND/OBJECTIVES:There is significant literature on the development and validation of quality measures, but comparably less on their implementation into learning health systems. Electronic Health Records (EHRs) have made vast amounts of data available for quality improvement purposes. In this paper we describe a c...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.17033

    authors: Campbell CM,Murphy DR,Taffet GE,Major AB,Ritchie CS,Leff B,Naik AD

    更新日期:2021-01-19 00:00:00

  • Drug therapy for cardiovascular disease in the aged.

    abstract::Cardiovascular diseases and their treatment in the aged are discussed under the headings of ischemic heart disease, hypertension, cardiac failure (with special reference to the use of diuretics and digoxin), infective carditis and thyroid disorders. Advanced age modifies the approach to treatment; the choice of drugs ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,评审

    doi:10.1111/j.1532-5415.1975.tb00970.x

    authors: Kennedy RD

    更新日期:1975-03-01 00:00:00