Mariana López-Ortega

Mariana López-Ortega
Instituto Nacional De Geriatría · Investigación

PhD in Public Health and Policy

About

69
Publications
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Introduction
Investigadora en Ciencias Médicas D en el Instituto Nacional de Geriatría, Institutos Nacionales de Salud, México. Sistema Nacional de Investigadores, SNI I Mariana López-Ortega currently works as Researcher at the National Institute of Geriatrics, National Institutes of Health in Mexico City. National Researcher System (SNI) I

Publications

Publications (69)
Article
Objectives: We explore the effects of non-contributory pensions on functional limitations and receipt of unpaid family care by gender and frequency of pension payment. Methods: We employ a difference-in-differences estimator to identify the causal effects of non-contributory pension programs disbursed monthly or every two months for adults 70 years...
Article
Background and Objectives The growing population of adults surviving past age 85 in the U.S. and Mexico raises questions about the living arrangements of the oldest old and those living with dementia. This study compares Mexican and Mexican American individuals aged 85 and older to identify associations with cognitive status and living arrangements...
Article
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This study compares the living arrangements of adults 85 and older in Mexican-origin adults in Mexico and the United States. The study uses 475 Mexican-Americans in five southwestern states (Hispanic Established Population for the Epidemiologic Studies of the Elderly, H-EPESE) and 1,710 Mexicans from 32 states in Mexico (Mexican Health and Aging St...
Article
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Growth in older populations, and hence in the number of persons living with dementia, is particularly rapid for individuals of Mexican origin living in the U.S. and Mexico. In order to identify influences on cognitive health in this diverse population, the University Texas at Austin and Mexican National Institute of Geriatrics (INGER) organized the...
Article
Objectives To evaluate the feasibility outcomes of implementing a multicomponent staff training intervention (PROCUIDA-Demencia) to promote psychosocial interventions and reduce antipsychotic prescription in Mexican care homes and study its effect on staff's care experience and residents' quality of life. Design A mixed-methods 2-arm cluster rando...
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Involving people living with dementia in service design and planning has become more common in high-income countries. It remains rare in low- and middle-income countries where two-thirds of the world’s people with dementia live. In this commentary article, we explore the barriers to inclusion of people living with dementia in planning in low- and m...
Chapter
As older populations around the world continue to increase, so does the number of individuals living with dementia (Prince et al., 2008; Prince, Ali, et al., 2016). Growth in older populations, and hence in likely numbers of persons living with dementia, is particularly rapid for persons of Mexican origin on both sides of the U.S.–Mexico border. In...
Chapter
By 2025, at least one-fifth of the population of 15 countries in the Americas will be 60 or older (Pan American Health Organization, 2017). The populations of older adults in Mexico and older Latinos in the United States continue to grow dramatically (Central Intelligence Agency, 2015). Population aging is the most important, inevitable feature of...
Chapter
Rapid aging and longer lives pose many health and social care policy challenges to countries in Latin America, such as Mexico. By 2050, 21.5% of the Mexican population will be 60 years or older, up from 10% in 2015 (González, 2015). Data from the SAGE study conducted between 2007 and 2010 found that life expectancy at age 50 was 32 years for women...
Chapter
The world’s population is aging rapidly, with the proportion of persons age 60 and older in the total population expected to increase from 12% in 2015 to 22% by 2050 (World Health Organization, 2017). Similarly, in Mexico, the proportion of persons age 60 and older is expected to increase from 11.0% in 2019 to 22.6% by the year 2050 (The World Bank...
Article
Evidence from middle-income countries indicates high and increasing prevalence of dementia and need for services. However, there has been little investment in care, treatment or support for people living with dementia and their carers. The Strengthening Responses to Dementia in Developing Countries (STRiDE) project aims to build both research capac...
Article
In this article, we report on the recommendations of a bi-national conference that examined the institutional capacities and future ability of Mexico and the United States to address the need for affordable and sustainable dementia care that results from growing older adult populations. These recommendations reflect the large difference in resource...
Article
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Since the emergence of the COVID-19 pandemic, the most affected population group has been that of older people living in long-term care facilities (LTCFs), which has accumulated between 30 and 60 % of total number of deaths in the world. In Mexico, outbreaks have been reported in LTCFs of at least eight states. Various factors make this population...
Article
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We aimed to determine the association between the duration of widowhood and cognition decline. We compared the decline observed in widowed people compared with married, single, or separated persons using the scores obtained in the cognitive assessment of memory, learning, and visual exploration by adults and older adults in Mexico. The Mexican Heal...
Article
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This study examines sources of vulnerabilities to dementia in low resource populations in two specific contexts—Mexico and the United States. Data are drawn from comparable waves of the Mexican Health and Aging Study (MHAS) and the Hispanic Established Populations for the Epidemiologic Study of the Elderly (H-EPESE) in 2012, which include represent...
Article
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Introduction: Substantial gaps in research remain across oldest-old ethnic populations while the burden of dementia increases exponentially with age among Mexican and Mexican American older adults. Methods: Prevalence and correlates of dementia among individuals ≥82 years of age were examined using two population-based cohort studies: The Mexica...
Article
Objective To evaluate associations between spousal caregiving and mental and physical health among older adults in Mexico. Methods Data come from the Mexican Health & Aging Study, a national population‐based study of adults ≥50 years and their spouses (2001–2015). We compared outcomes for spousal caregivers to outcomes for those whose spouses had...
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Purpose: Aging research in Mexico has significantly increased in the past decades, however, little is known on health related quality of life (HRQoL) of older adults. The aim of this study was to expand this field by examining HRQL in a representative sample of Jewish older adults in Mexico, and to investigate its association with different factor...
Chapter
The increase of the elder population in Mexico has led to a growth in individuals with chronic diseases among which the dementias stand out. Approximately 800,000 people in Mexico have some form of dementia, a figure that will triple in the next 30 years. The accelerated process of aging of the population that has occurred in the past years has led...
Article
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In countries such as Mexico without formal public long-term care policies, informal care becomes the main source of support for older adults. Alternative social programs, such as supplemental income programs, for older adults could alleviate caregiver burden, especially if supplemental income were to be used for paid care or to compensate non-paid...
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The demographic transition, population aging, and the epidemiological transition in Mexico have modified the burden of the disease profile, and impose important economic, social, and health care challenges, particularly old-age and disability-related care dependency. We describe old age health and dependency conditions, and analyze the supply of se...
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Population ageing and increasing prevalence of chronic diseases and their consequences, changes in family structure and a decrease in the potential pool of family care, increase the need for formal long-term care for older adults in Mexico, and the need to understand the experiences of informal care-givers and how this impacts their social, family...
Article
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Introduction There are more people living with dementia in low- and middle-income countries (LMICs) than in high-income countries. Evidence-based interventions to improve the lives of people living with dementia and their carers are needed, but a systematic mapping of methodologically robust studies in LMICs and synthesis of the effectiveness of de...
Article
Objectives: To assess the burden of disease and disability in older persons in Mexico from the Global Burden of Disease (GBD) 2016 study data. Methods: Analysis of the Mexican data from the GBD 2016 study is presented by state, sex, and stratified into four age groups: 60 to 69, 70 to 79, 80 to 89, and 90+ years. Results: The majority of disab...
Chapter
This chapter assesses the magnitude of wealth-related inequalities on five health outcomes (obesity, abdominal obesity, diabetes, hypertension, and heart disease) among older adults in Brazil and Mexico. Analyses were based on cross-sectional data from the 2013 Brazilian National Health Survey and the 2012 Mexican National Health and Nutrition Surv...
Chapter
In this study, we analyze factors that determine the likelihood of an individual undertaking caregiving responsibilities as well as the time spent providing assistance. We utilize a large sample of older adults (N = 2821) from a survey with rich information at the child and household member level (N = 16,014) in the State of Yucatan, Mexico. We def...
Article
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Non-contributory pension programs in the developing world seek to provide older adults with an income that may improve their health and wellbeing in old age by enabling access to health care and better nutrition. There is no previous evidence of the effects of non-contributory pensions on frailty, a comprehensive measure of health and well-being of...
Data
Characteristics of Valladolid and Motul, Yucatan 2005. (DOCX)
Data
Inequality and development indexes of the state and federal pension programs municipalities and other municipalities. (DOCX)
Data
Comparison of baseline descriptive characteristics for all baseline, panel, and deceased respondents. (DOCX)
Data
Program participation rates of government programs. (DOCX)
Data
Comparison of baseline descriptive characteristics for all baseline, panel, and deceased respondents. (DOCX)
Data
Density curves propensity score before matching. (DOCX)
Data
OLS regressions to test for common trends in households with individuals 70 or older in the state and federal pension programs municipalities, 1990, 1995, 2000, 2005, and 2010. (DOCX)
Data
Completed interviews and not completed interviews at baseline. (DOCX)
Article
Purpose: This study examines living arrangements of older adults with cognitive impairment in the Hispanic-EPESE and the Mexican Health and Aging Study (MHAS). Methods: Our sample includes 1,072 adults 85 and older from the HEPSE and 1,521 adults of the same age from the MHAS. We create a typology of living arrangements based on marital status and...
Preprint
Full-text available
Background: In a context of rapid population ageing and increase in chronic illnesses including dementia in Mexico, there is a need to develop long-term care strategies in order to improve the quality of life, people affected by dementia and the people that care for them. In 2015, the prevalence of dementia in Mexico was 6.1% and it is estimated to...
Article
Objective: This study examines educational differences in health conditions among middle-aged and older adults in Brazil and Mexico. Method: Cross-sectional data from the 2013 Brazilian National Health Survey and the 2012 Mexican National Health and Nutrition Survey were used in the analyses. We used multivariate Poisson regressions to examine t...
Article
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Background The Satisfaction with Life Scale (SWLS) has been widely used and has proven to be a valid and reliable instrument for assessing satisfaction with life in diverse population groups, however, research on satisfaction with life and validation of different measuring instruments in Mexican adults is still lacking. The objective was to evaluat...
Article
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Although all nations in the America’s face a common demographic reality of longevity, declining fertility rates and changes in family roles a growing body of research points to a dramatic demographic transformation in Mexico. Although Mexico’s population is relatively young, with a median age of 27.9 in 2015, it will age rapidly in coming years, in...
Article
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Inflammation is a key event that is closely associated with the pathophysiology of frailty. The relationship of genetic polymorphisms into inflammatory cytokines with frailty remains poorly understood. The aim of this study was to investigate the association between VNTR polymorphisms of the IL-4 and IL-1RN genes with the risk of frailty. We includ...
Article
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Anthropometric reference data for older adults, particularly for the oldest old, are still limited, especially in developing countries. The aim of the present study was to describe sex- and age-specific distributions of anthropometric measurements and body composition in Mexican older adults. The methods included in the present study were assessmen...
Article
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Objective. To describe the third wave of the Mexican Health and Aging Study (MHAS), completed in 2012, and present preliminary results. Materials and methods. Descriptive analyses by gender and age group of demographic and socioeconomic characteristics, health conditions and health behaviors, as well as social support and life satisfaction measures...
Chapter
Drawing from the 2012 Mexican National Health and Nutrition Survey, the chapter addresses frequency and correlates of falls in a representative sample of 8861 adults 60 years and older. Twelve-month prevalence estimates indicate that one out of three, or 34.1% of the sample reported falling. Our data indicate that a combination of biological and cl...
Article
The impact of the Social Determinants of Health (SDH) needs to be analyzed. Upon evaluating SDH in developed countries, we observed broad differences. Mexico, compared with countries belonging to the Organization for Cooperation and Economic Development (OCED), shows low ratings in many of the indicators for childhood well-being. On the positive si...
Chapter
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El objetivo de este trabajo es dar a conocer algunas de las principales líneas de investigación que se desarrollan en el área de investigación demográfica y social, entre ellas Geografía del Envejecimiento, maltrato y discriminación, redes sociales y relaciones intrafamiliares, autonomía funcional y discapacidad y migración nacional e internacional...
Article
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Background: The burden of out of pocket spending for the Mexican population is high compared to other countries. Even patients insured by social security institutions have to face the cost of health goods, services or nonmedical expenses related to their illness. Primary caregivers, in addition, experience losses in productivity by taking up respo...
Article
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Nine percent (10.05 million) of the Mexican population is over 60 years old, with an annual growth during the last decade of close to 4 %, and a female aging pattern. Members of this group live predominantly in urban areas (74 %), are married or have a partner (60 %), and generally have very low levels of education. The principal causes of morbidit...
Book
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Resumen Ejecutivo El objetivo de esta propuesta de un Sistema Nacional de Servicios de Salud es alcanzar la universalización de la atención a la salud con acceso efectivo, eficiencia y calidad, y hacer realidad el derecho a la salud para todos los mexicanos eliminando las diferencias innecesarias, evitables e injustas, en el contexto de la seg...
Chapter
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Hoy en día es claro que, desde finales del siglo XIX cuando se desarrollaron las primeras teorías de salud poblacional y mortalidad, ha existido un creciente interés en la investigación social y científica para tratar de identificar los procesos mediante los cuales la población transita de una etapa a otra a través del ciclo de vida. Uno de los ava...
Thesis
Mexico is still a "young" country with pressing burdens on education, especially at secondary and high school levels, and high percentages of the population entering the work force each year. Yet, it will complete its "demographic transition" in the next 20-25 years with a rapid increase in the percentage of population 65 years and older. As w...
Article
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Objetivo. Identificar el patrón de dedicación de tiempo y analizar los mecanismos de atención que utilizan los miembros de familias con enfermos y discapacitados en el hogar. Material y métodos. Para cumplir con el primer objetivo se analizó la base de datos de la Encuesta Nacional de Uso de Tiempo 2002. Para cumplir con el segundo objetivo se leva...
Article
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To identify the pattern of time devoted by members of Mexican households to providing care to ill and disabled family members. To analyze the mechanisms used by families to provide care to an ill or disabled member. The database of the 2002 National Survey of Time Use was explored to accomplish the first objective. The second objective was accompli...
Article
Background Informal care is a common form of long-term care for older adults and can act as a substitute for or complement to formal care. It has been described as a means of preventing or decreasing medical expenditures and further illnesses, but also it may increase participation and use of services. In Mexico, the absence of policies supporting...
Article
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En México la participación del sector privado es evidente tanto en el financiamiento de los servicios como en su provisión. La mitad del gasto en salud que hace el país proviene directamente de los bolsillos de las familias y es principalmente utilizada para la compra de servicios privados. Adicionalmente, se observa una amplia participación de dis...