Clinical Preventive Services for Older Adults: The Interface Between Personal Health Care and Public Health Services
ABSTRACT Healthy aging must become a priority objective for both population and personal health services, and will require innovative prevention programming to span those systems. Uptake of essential clinical preventive services is currently suboptimal among adults, owing to a number of system- and office-based care barriers. To achieve maximum health results, prevention must be integrated across community and clinical settings. Many preventive services are portable, deliverable in either clinical or community settings. Capitalizing on that flexibility can improve uptake and health outcomes. Significant reductions in health disparities, mortality, and morbidity, along with decreases in health spending, are achievable through improved collaboration and synergy between population health and personal health systems.
- SourceAvailable from: Marcia G Ory[Show abstract] [Hide abstract]
ABSTRACT: Increasing obesity levels portend a challenging societal healthcare issue, while the current economic crisis may foster food insecurity, characterized by limited or uncertain access to adequate food. This study examines associations among food insecurity, meeting recommendations for dietary and physical activity patterns, and body mass index (BMI) among baby boomers and older adults completing the 2010 Brazos Valley Health Survey. Subjects included 2,985 respondents (1,589 baby boomers and 1,396 older adults). Thirty-six percent of participants were obese while 15 % of participants were food insecure. Approximately 8 % of baby boomers and older adults were both food insecure and obese. Among all study participants, an increased BMI was more common among those who were ethnic minorities and had depression. An increased BMI was less common among those who met fruit/vegetable intake and physical activity recommendations. There was a positive association between food insecurity and BMI only among baby boomer and older adult females. A combined emphasis on availability of healthy foods and increased opportunities for meeting physical activity guidelines can help to counter the food insecurity-obesity connection among both baby boomer and older adult females.Food Security 06/2014; 6(3):423-433. DOI:10.1007/s12571-014-0344-6 · 1.64 Impact Factor
- [Show abstract] [Hide abstract]
ABSTRACT: Lead poisoning in children is preventable. However, in 2010, a total of 34 U.S. states and the District of Columbia (DC) identified approximately 24,000 children aged <6 years with blood lead levels (BLLs) ≥10 µg/dL and approximately 243,000 children aged <6 years with BLLs ≥5 µg/dL, the upper reference range value established in 2012 for follow-up blood lead testing in children aged 0-6 years. Permanent neurologic damage and behavior disorders have been associated with lead exposure even at detectable BLLs <5 µg/dL.
- [Show abstract] [Hide abstract]
ABSTRACT: Tooth decay is one of the most common chronic conditions among children. Approximately 23% of children aged 2-11 years have at least one primary tooth with untreated decay and 20% of adolescents aged 12-19 years have at least one permanent tooth with untreated decay. Tooth decay, if left untreated, can cause pain and infection, and can lead to problems with eating, speaking, and learning. Risk factors for tooth decay include recent history of cavities, low fluoride exposure, and living in a low-income household. Prevalence of untreated decay in primary or permanent teeth among children from lower-income households is more than twice that among children from higher-income households. Prevalence of untreated tooth decay is also higher among Mexican-American children and non-Hispanic black children than among white non-Hispanic children. By age 15, approximately 60% of all adolescents will have experienced tooth decay. An estimated 51.7 million school hours are missed annually by school-aged children because of a dental problem or visit.