Profile of the Older Population Living in Miami-Dade County, Florida: An Observational Study
Florida has the greatest proportion (19%) of older population (65 years or older) in the United States. The age distribution of its residents, in conjunction with a major shift in the leading cause of death within all age groups from acute illnesses to chronic disease, creates unprecedented health c...
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Published in | Medicine (Baltimore) Vol. 95; no. 20; p. e3630 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
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United States
Wolters Kluwer Health, Inc. All rights reserved
01.05.2016
Wolters Kluwer Health |
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Abstract | Florida has the greatest proportion (19%) of older population (65 years or older) in the United States. The age distribution of its residents, in conjunction with a major shift in the leading cause of death within all age groups from acute illnesses to chronic disease, creates unprecedented health care challenges for the state. The objective of this study is to profile the older population living in Miami-Dade County (MDC) using 3 population-based, household-based surveys conducted over the past 5 years.This study examined cross-sectional data (demographics, health outcomes, risk factors, health assess, and utilization) collected from probability-sampled, household-based surveys conducted in 3 areas of MDC: north Miami-Dade, Little Haiti, and South Miami. The questionnaire was administered face-to-face by trained interviewers in English, Spanish, French, or Creole. Analyses were restricted to households containing at least 1 member aged 65 years or older (n = 935). One consenting adult answered the questionnaire on behalf of household members.The mean age of the respondent (60% females) was 60 years. Overall, respondents were predominantly African-Americans, Hispanics, and blacks of Haitian origin. One-third of all households fell below the US poverty thresholds. One-quarter of all households had at least 1 member who was uninsured within the year before the survey. Twenty percent of households had at least 1 member with an acute myocardial infarction or stroke during the year before the survey. Bone density tests and blood stool tests were strikingly underutilized. The health outcomes most prevalent within household members were cardiovascular diseases followed by cancer, anxiety/depression, obesity, asthma, and bone fractures. Twenty percent of households reported having at least 1 current smoker. Overall, emergency rooms were the most commonly used places of care after doctor's offices.Findings of 3 household-based surveys show a predominantly elderly, female, uninsured, and poor minority populations living in MDC, FL. The reported use of preventive services was constrained, and emergency room use was often reported as a main resource for health care. Cardiovascular disease, cancer, bone fractures, and related risk factors were the most prevalent health outcomes. |
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AbstractList | Florida has the greatest proportion (19%) of older population (65 years or older) in the United States. The age distribution of its residents, in conjunction with a major shift in the leading cause of death within all age groups from acute illnesses to chronic disease, creates unprecedented health care challenges for the state. The objective of this study is to profile the older population living in Miami-Dade County (MDC) using 3 population-based, household-based surveys conducted over the past 5 years.This study examined cross-sectional data (demographics, health outcomes, risk factors, health assess, and utilization) collected from probability-sampled, household-based surveys conducted in 3 areas of MDC: north Miami-Dade, Little Haiti, and South Miami. The questionnaire was administered face-to-face by trained interviewers in English, Spanish, French, or Creole. Analyses were restricted to households containing at least 1 member aged 65 years or older (n = 935). One consenting adult answered the questionnaire on behalf of household members.The mean age of the respondent (60% females) was 60 years. Overall, respondents were predominantly African-Americans, Hispanics, and blacks of Haitian origin. One-third of all households fell below the US poverty thresholds. One-quarter of all households had at least 1 member who was uninsured within the year before the survey. Twenty percent of households had at least 1 member with an acute myocardial infarction or stroke during the year before the survey. Bone density tests and blood stool tests were strikingly underutilized. The health outcomes most prevalent within household members were cardiovascular diseases followed by cancer, anxiety/depression, obesity, asthma, and bone fractures. Twenty percent of households reported having at least 1 current smoker. Overall, emergency rooms were the most commonly used places of care after doctor's offices.Findings of 3 household-based surveys show a predominantly elderly, female, uninsured, and poor minority populations living in MDC, FL. The reported use of preventive services was constrained, and emergency room use was often reported as a main resource for health care. Cardiovascular disease, cancer, bone fractures, and related risk factors were the most prevalent health outcomes. Florida has the greatest proportion (19%) of older population (65 years or older) in the United States. The age distribution of its residents, in conjunction with a major shift in the leading cause of death within all age groups from acute illnesses to chronic disease, creates unprecedented health care challenges for the state. The objective of this study is to profile the older population living in Miami-Dade County (MDC) using 3 population-based, household-based surveys conducted over the past 5 years. This study examined cross-sectional data (demographics, health outcomes, risk factors, health assess, and utilization) collected from probability-sampled, household-based surveys conducted in 3 areas of MDC: north Miami-Dade, Little Haiti, and South Miami. The questionnaire was administered face-to-face by trained interviewers in English, Spanish, French, or Creole. Analyses were restricted to households containing at least 1 member aged 65 years or older (n = 935). One consenting adult answered the questionnaire on behalf of household members. The mean age of the respondent (60% females) was 60 years. Overall, respondents were predominantly African-Americans, Hispanics, and blacks of Haitian origin. One-third of all households fell below the US poverty thresholds. One-quarter of all households had at least 1 member who was uninsured within the year before the survey. Twenty percent of households had at least 1 member with an acute myocardial infarction or stroke during the year before the survey. Bone density tests and blood stool tests were strikingly underutilized. The health outcomes most prevalent within household members were cardiovascular diseases followed by cancer, anxiety/depression, obesity, asthma, and bone fractures. Twenty percent of households reported having at least 1 current smoker. Overall, emergency rooms were the most commonly used places of care after doctor's offices. Findings of 3 household-based surveys show a predominantly elderly, female, uninsured, and poor minority populations living in MDC, FL. The reported use of preventive services was constrained, and emergency room use was often reported as a main resource for health care. Cardiovascular disease, cancer, bone fractures, and related risk factors were the most prevalent health outcomes. |
Author | Acuña, Juan M. Jean, Naomie Zevallos, Juan C. Wilcox, Meredith L. |
AuthorAffiliation | From the Department of Medical and Population Health Sciences Research (JCZ, MLW, NJ, JMA), Herbert Wertheim College of Medicine; Department of Epidemiology (MLW), Robert Stempel College of Public Health & Social Work; and Department of Human and Molecular Genetics (JMA), Florida International University, Miami, FL |
AuthorAffiliation_xml | – name: From the Department of Medical and Population Health Sciences Research (JCZ, MLW, NJ, JMA), Herbert Wertheim College of Medicine; Department of Epidemiology (MLW), Robert Stempel College of Public Health & Social Work; and Department of Human and Molecular Genetics (JMA), Florida International University, Miami, FL |
Author_xml | – sequence: 1 givenname: Juan surname: Zevallos middlename: C. fullname: Zevallos, Juan C. organization: From the Department of Medical and Population Health Sciences Research (JCZ, MLW, NJ, JMA), Herbert Wertheim College of Medicine; Department of Epidemiology (MLW), Robert Stempel College of Public Health & Social Work; and Department of Human and Molecular Genetics (JMA), Florida International University, Miami, FL – sequence: 2 givenname: Meredith surname: Wilcox middlename: L. fullname: Wilcox, Meredith L. – sequence: 3 givenname: Naomie surname: Jean fullname: Jean, Naomie – sequence: 4 givenname: Juan surname: Acuña middlename: M. fullname: Acuña, Juan M. |
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References | Smith (R28-27-20210226) 2014; 64 Rock (R14-27-20210226) 2014; 107 Go (R11-27-20210226) 2014; 129 (R21-27-20210226) 2008; 149 Miller (R27-27-20210226) 2012; 61 (R16-27-20210226) 2003; 42 Sabatino (R25-27-20210226) 2015; 64 Gorber (R34-27-20210226) 2009; 11 (R17-27-20210226) 2007; 147 (R26-27-20210226) 2013; 62 Rauscher (R33-27-20210226) 2008; 17 |
References_xml | – volume: 42 start-page: 1206 year: 2003 ident: R16-27-20210226 article-title: Heart, Lung, and Blood Institute. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. publication-title: Hypertension doi: 10.1161/01.HYP.0000107251.49515.c2 – volume: 147 start-page: 783 year: 2007 ident: R17-27-20210226 article-title: S. Preventive Services Task Force. Screening for high blood pressure: U. S. Preventive Services Task Force reaffirmation recommendation statement. publication-title: Ann Intern Med doi: 10.7326/0003-4819-147-11-200712040-00009 – volume: 129 start-page: e28 year: 2014 ident: R11-27-20210226 article-title: American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics—2014 update: a report from the American Heart Association publication-title: Circulation contributor: fullname: Go – volume: 62 start-page: 881 year: 2013 ident: R26-27-20210226 article-title: Vital signs: colorectal cancer screening test use- United States, 2012. publication-title: MMWR Morb Mortal Wkly Rep – volume: 64 start-page: 30 year: 2014 ident: R28-27-20210226 article-title: Cancer screening in the United States, 2014: a review of current American Cancer Society guidelines and current issues in cancer screening publication-title: CA Cancer J Clin doi: 10.3322/caac.21212 contributor: fullname: Smith – volume: 17 start-page: 748 year: 2008 ident: R33-27-20210226 article-title: Accuracy of self-reported cancer screening histories: a meta-analysis publication-title: Cancer Epidemiol Biomarkers Prev doi: 10.1158/1055-9965.EPI-07-2629 contributor: fullname: Rauscher – volume: 64 start-page: 464 year: 2015 ident: R25-27-20210226 article-title: Cancer screening test use- United States, 2013 publication-title: MMWR Morb Mortal Wkly Rep contributor: fullname: Sabatino – volume: 61 start-page: 46 year: 2012 ident: R27-27-20210226 article-title: Breast cancer screening among adult women- Behavioral Risk Factor Surveillance System, United States, 2010 publication-title: MMWR Morb Mortal Wkly Rep contributor: fullname: Miller – volume: 107 start-page: 203 year: 2014 ident: R14-27-20210226 article-title: Health impact of an academic-community partnership for medical education: evaluation of a novel student-based home visitation program publication-title: South Med J doi: 10.1097/SMJ.0000000000000080 contributor: fullname: Rock – volume: 149 start-page: 185 year: 2008 ident: R21-27-20210226 article-title: S. Preventive Services Task Force (USPSTF). Screening for prostate cancer: U. S. Preventive Services Task Force recommendation statement. publication-title: Ann Intern Med doi: 10.7326/0003-4819-149-3-200808050-00008 – volume: 11 start-page: 12 year: 2009 ident: R34-27-20210226 article-title: The accuracy of self-reported smoking: a systematic review of the relationship between self-reported and cotinine-assessed smoking status publication-title: Nicotine Tob Res doi: 10.1093/ntr/ntn010 contributor: fullname: Gorber |
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Snippet | Florida has the greatest proportion (19%) of older population (65 years or older) in the United States. The age distribution of its residents, in conjunction... |
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SubjectTerms | Absorptiometry, Photon - statistics & numerical data Adolescent Adult Age Distribution Aged Aged, 80 and over Black or African American - statistics & numerical data Chronic Disease - epidemiology Cross-Sectional Studies Female Florida - epidemiology Haiti - ethnology Health Services Accessibility - statistics & numerical data Health Status Hispanic or Latino - statistics & numerical data Humans Insurance Coverage - statistics & numerical data Insurance, Health - statistics & numerical data Male Middle Aged Minority Groups - statistics & numerical data Observational Study Poverty - statistics & numerical data Prevalence Surveys and Questionnaires Young Adult |
Title | Profile of the Older Population Living in Miami-Dade County, Florida: An Observational Study |
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