Objectives Mexican Americans live longer on average than other ethnic groups, but often with protracted cognitive and physical disability. Little is known, however, about the role of cognitive decline for transitions in instrumental activities of daily living (IADL) disability and tertiary outcomes of the IADL disablement for the oldest old (after 80 years old). Methods We employ the Hispanic Established Populations for the Epidemiologic Study of the Elderly (2010–2011, 2012–2013, and 2016, N = 1,078) to investigate the longitudinal patterns of IADL decline using latent transition analysis. Results Three IADL groups were identified: independent (developing mobility limitations), emerging dependence (limited mobility and community activities), and dependent (limited mobility and household and community activities). Declines in cognitive function were a consistent predictor of greater IADL disablement, and loneliness was a particularly salient distal outcome for emerging dependence. Discussion These results highlight the social consequences of cognitive decline and dependency as well as underscore important areas of intervention at each stage of the disablement process.
The purpose of this study is to investigate whether journalists in South Korea use Twitter as a public sphere and what factors may be associated with journalists’ Twitter use. Combining a content analysis and an additional survey of Korean journalists, this study examines to what extent journalists talk about public affairs on Twitter and interact with others, and what factors influence their Twitter use. A content analysis of journalists’ tweets shows that more than half of the tweets (62%) were topics related to public affairs and more than half (56%) were related to journalists’ interaction with the public. However, journalists’ Twitter use differed depending on the political ideology of the news outlets where the journalists worked: journalists from liberal newspapers were more likely to interact with the general public on Twitter, talking about public affairs. An additional analysis of survey of Korean journalists reconfirmed that journalists’ political ideology is one factor associated with journalists’ Twitter use. This study demonstrates the possibility that Twitter can be used as an online public sphere but also that possibility can be limited by political ideology.
Objective: The study estimates the number of years after age 65 that Mexican Americans live with likely dementia and the impact of dementia on community-based services (CBS) use by nativity. Methods: Using the Hispanic Established Populations for the Epidemiologic Studies of the Elderly Sullivan methods are employed to predict duration of dementia and logistic regressions identify the predictors of service utilization. Results: Foreign-born women spend more years than other groups with dementia. The foreign-born are more likely to use out-of-home services, whereas U.S.-born are more likely to use in-home services. The foreign-born with dementia of relatively recent onset had the highest probability of service use. Discussion: Given the high cost of institutional care and availability of family caregivers, community-based services are a potentially useful alternative for the growing Mexican-American population living with dementia. Expanded Medicaid and CBS programs could be an equitable and cost-effective alternative that should be investigated.