Verena Menec's research while affiliated with University of Manitoba and other places

Publications (141)

Article
Full-text available
Background People with obesity are at increased risk of chronic stress, and this may have been exacerbated during the COVID-19 pandemic. Adverse childhood experiences (ACE) are also associated with both obesity and stress, and may modify risk of stress among people with obesity. The objectives of this study were to evaluate the associations between...
Article
Full-text available
Social connections are important to maintain health across adulthood. Loneliness and social isolation are global issues and are linked to negative mental health outcomes worldwide, especially among older adults. Past research focuses primarily on loneliness and isolation separately, though many older people experience them simultaneously. Also, the...
Article
Background frailty imparts a higher risk for hospitalisation, mortality and morbidity due to COVID-19 infection, but the broader impacts of the pandemic and associated public health measures on community-living people with frailty are less known. Methods we used cross-sectional data from 23,974 Canadian Longitudinal Study on Aging participants who...
Article
Full-text available
Background: The COVID-19 pandemic disrupted access to healthcare services in Canada. Research prior to the pandemic has found that depression and anxiety symptoms were associated with increased unmet healthcare needs. The primary objective of this study was to examine if mental health was associated with perceived access to healthcare during the p...
Article
Full-text available
Background The Coronavirus Disease-2019 (COVID-19) pandemic has created a spectrum of adversities that have affected older adults disproportionately. This paper examines older adults with multimorbidity using longitudinal data to ascertain why some of these vulnerable individuals coped with pandemic-induced risk and stressors better than others – t...
Article
Full-text available
People living with young onset dementia and their families have significant support needs, but experience difficulties accessing services. This study explored the process of accessing community-based services drawing on semi-structured interviews with people living with dementia, family members and providers in Winnipeg, Canada. Data analysis invol...
Article
Full-text available
Background The rising prevalence of multimorbidity poses challenges to health systems globally. The objectives of this study were to investigate: 1) the association between multimorbidity and depressive symptoms; and 2) whether social support plays a protective role in this association. Methods A prospective population-based cohort study was condu...
Article
Introduction: Obesity is an important public health concern, and large studies of rural-urban differences in prevalence of obesity are lacking. Our purpose is to compare body mass index (BMI) and obesity in Canada using an expanded definition of rurality. Methods: A cross-sectional analysis of self-reported BMI across diverse communities of Cana...
Article
Introduction: Prior studies examining the relationship between work- related injuries and healthcare use among middle-aged and older workers were mainly cross-sectional and reported inconsistent results. Objective: The objective of this study was to examine the associations between work-related injuries and 10 types of healthcare service use for...
Article
Full-text available
Importance The association of COVID-19 not requiring hospitalization with functional mobility in community-dwelling adults above and beyond the impact of the pandemic control measures implemented in 2020 remains to be elucidated. Objective To evaluate the association between a COVID-19 diagnosis and change in mobility and physical function of adul...
Article
Full-text available
Background and Objectives Older adult social inclusion involves meaningful participation that is increasingly mediated by information communication technology (ICT) and in rural areas requires understanding of older adults’ experiences in the context of the digital divide. This paper examines how the multi-modal streaming (live, pre-recorded, blend...
Article
Full-text available
Objectives Previous studies on depression in rural areas have yielded conflicting results. Features of rural areas may be conducive or detrimental to mental health. Our objective for this study was to determine if there are rural–urban disparities in depressive symptoms between those living in rural and urban areas of Canada. Design We conducted a...
Article
Full-text available
The coronavirus disease 2019 (COVID-19) pandemic presents an unprecedented challenge to public health, with over 233 million confirmed cases and over 4.6 million deaths globally as of September 20211. Although many studies have reported worse mental health outcomes during the early weeks of the pandemic, some sources suggest a gradual decrease in a...
Article
Background and Objectives Based on the WHO Age-friendly Cities and Communities (AFCC) framework, the government of Manitoba, Canada, launched a province-wide age-friendly initiative in 2008. The objective of this study was to explore the sustainability of the AFCC initiative more than a decade later. The study was guided by conceptualizations of su...
Article
Full-text available
Background: Integrated care is a promising approach to improve transitions from hospital for older adults. Measures of integrated care tend to be survey-based or outcomes focused. This study determined the feasibility of using hospital chart data to measure integrated processes of care. Methods: This paper reports on two objectives: 1) the devel...
Article
Full-text available
Purpose: To document the prevalence of functional impairment in middle-aged and older adults from rural regions and to determine urban-rural differences. Methods: We have conducted a secondary analysis using data from an ongoing population-based cohort study, the Canadian Longitudinal Study on Aging (CLSA). We used a cross-sectional sample from...
Article
Objective: The objective is to determine the use of health-care services (physician visits, emergency department use and hospitalisations) in rural areas and examine differences in four geographic areas on a rural to urban spectrum. Methods: We conducted a secondary analysis of cross-sectional data from a population-based prospective cohort stud...
Article
Objective: To determine the mean number of chronic diseases in Canadians aged 45 to 85 years who are living in the community, and to characterize the association of multimorbidity with age, sex, and social position. Design: An analysis of data from the Canadian Longitudinal Study on Aging. The number of self-reported chronic diseases was summed,...
Article
Full-text available
Background Training balance through exercise is an effective strategy to reduce falls in community-dwelling older adults. Evidence-based fall prevention exercise recommendations have been proposed, specifying that exercise programs should: (1) provide a high challenge to balance, (2) be offered for a least three hours per week, (3) be provided on a...
Article
Full-text available
Social isolation is deleterious for both mental and physical health (Coyle & Dugan, 2012; Hawkley et al., 2006). Conversely, social participation has mental and physical health benefits (Novek et al., 2013). In light of the current Covid-19 pandemic requiring social distancing, the present study examined whether living situation and ability to acce...
Article
People living with young onset dementia face significant barriers to diagnosis, resulting in delays, misdiagnoses, and treatment gaps. We examined the process of accessing and delivering a diagnosis of young onset dementia using the candidacy framework as a conceptual lens. Semi-structured interviews were conducted with six people living with demen...
Article
Full-text available
Background and objectives: Dance is increasingly being implemented in residential long-term care to improve health and function. However, little research has explored the potential of dance programs to support social inclusion by supporting embodied self-expression, creativity, and social engagement of persons living with dementia and their famili...
Article
Full-text available
RÉSUMÉ La pandémie de la COVID-19 et l’état d’urgence publique qui en a découlé ont eu des répercussions significatives sur les personnes âgées au Canada et à travers le monde. Il est impératif que le domaine de la gérontologie réponde efficacement à cette situation. Dans la présente déclaration, les membres du conseil d’administration de l’Associa...
Article
Older people, especially those living with dementia, experience significant barriers to meaningful participation in their communities. Focusing on the expansion of an arts-based program to address social inclusion for older people via information communication technology (ICT), this paper identifies the challenges and opportunities of the digital d...
Article
Background: The Health and well-being of older Canadian adults have been extensively studied; however, less is known about the health and well-being of older Canadian adults with a disability. Objective: This study was done to determine if participation in leisure and social activities has a significant independent effect on the overall health and...
Article
Full-text available
The COVID-19 pandemic and subsequent state of public emergency have significantly affected older adults in Canada and worldwide. It is imperative that the gerontological response be efficient and effective. In this statement, the board members of the Canadian Association on Gerontology/L'Association canadienne de gérontologie (CAG/ACG) and the Cana...
Article
Full-text available
Background and objectives: Since the launch of Dublin City University's Age-Friendly University (AFU) Initiative in 2012, relatively little empirical research has been published on its feasibility or implementation by institutions of higher learning. This article describes how collaborative citizen science-a research method where professional rese...
Article
Full-text available
Background Although a large body of research has focused on social isolation and loneliness, few studies have examined social isolation and loneliness together. The objectives of this study were to examine: 1) the relationship between four groups derived from combining social isolation and loneliness (socially isolated and lonely; only socially iso...
Article
An understanding of how older adults conceptualize healthy aging is important for the development of policies, programs, and services designed to promote health; this understanding must reflect the ethno-cultural diversity of the population. This pilot study aimed to examine Canadians' definitions of healthy aging and ethno-cultural variations in t...
Article
We reviewed the literature on older workers and work-related injuries published between 2010 and 2019. A review of empirical research during this period yielded 63 original research articles meeting the inclusion criteria. Across these studies, we found differences in work-related injuries among older workers by occupation, and differences in atten...
Chapter
A growing body of research suggests that the arts (e.g. music, dance, painting) can improve the lives of people living with dementia. Much of this research has focused on measuring the impact of arts-based programs on “behaviour”, cognition, and emotional states. Given the positive health outcomes that have been demonstrated, the instrumental use o...
Article
Full-text available
Purpose The life expectancy for persons with intellectual disabilities (ID) has increased significantly, resulting in an increasing number of aging persons with ID. To promote healthy and active aging of persons with ID, discussions on new initiatives to design age-friendly communities have begun at local and international levels. The purpose of th...
Article
Culturally Responsive Supports for Metis Elders and Metis Family Caregivers—ERRATUM - Elizabeth J. Cooper, Julianne Sanguins, Verena Menec, Audrey Frances Chartrand, Sheila Carter, S. Michelle Driedger
Article
RÉSUMÉ Malgré une attention académique considérable au rôle de la famille des soignants avec la population générale, peu de recherches ont été menées avec les familles autochtones. Cette étude qualitative vise à combler cette lacune en se concentrant sur l’expérience des soignants Metis, fournir des soins aux adultes Metis plus âges. Des groupes de...
Article
There are many definitions of social isolation which draw on structural indicators ( e.g. living alone), functional indicators ( e.g. social support) or both. This makes comparing prevalence rates across studies difficult and provides little guidance for practitioners and service providers to identify and target socially isolated clients. The purpo...
Article
Full-text available
Background Multimorbidity can be defined as the presence of more than one chronic condition in an individual. Research on multimorbidity has predominantly focused on older adults and few studies have examined multimorbidity in middle-aged people. The objectives of this study were to: 1) examine the prevalence of multimorbidity among middle-aged Can...
Article
Objective: To determine if multimorbidity is associated with functional status, and to assess if multimorbidity predicts declining functional status over a 5-year time frame, after accounting for baseline functional status and other potential confounding factors. Design: Analysis of an existing population-based cohort study. Setting: Manitoba....
Article
Full-text available
Background: A large body of research shows that social isolation and loneliness have detrimental health consequences. Identifying individuals at risk of social isolation or loneliness is, therefore, important. The objective of this study was to examine personal (e.g., sex, income) and geographic (rural/urban and sociodemographic) factors and their...
Article
RÉSUMÉ L’isolement social a retenu l’attention des chercheurs, en particulier dans la recherche concernant les personnes âgées, étant donné les corrélations établies avec la mortalité et le risque de mauvaise santé physique ou mentale. Toutefois, les mesures utilisées jusqu’à maintenant pour l’isolement social ont grandement varié et manquent souve...
Article
Objectives: The objectives of this study were to examine: 1) whether the relationship between social network types, depressive symptoms and life satisfaction is mediated by different types of perceived social support; and, 2) whether social support plays a mediational role for married versus unmarried older adults. Methods: The study was based on n...
Article
Full-text available
Introduction This study examines the potential of dance to improve social inclusion for people living with dementia and carers. Research suggests that arts-based programmes can improve the health of people living with dementia and carers; however, little is known about how these programmes might address barriers to social inclusion. Addressing barr...
Article
This interpretive review examined the empirical evidence of the factors that facilitate or hinder the implementation of age-friendly community and city (AFCC) initiatives. Thirteen studies were included in the review. Findings show three themes: enablers (consisting of the subthemes of multilevel leadership and a common vision, effective governance...
Article
RÉSUMÉ Les soins intégrés constituent une approche prometteuse pour améliorer les transitions entre les soins pour les personnes âgées, mais il n’existe pas de consensus concernant ce concept ou ses applications. Cet examen de la portée décrit l’ampleur et le contenu des publications sur les initiatives de soins intégrés visant les transitions entr...
Article
Full-text available
The objective of this study was to examine the relationship between social capital and health among Chinese immigrants. The sample included 101 older Chinese immigrants aged 60 to 96 who were recruited in 2013 in a city on the Canadian prairies. Participant completed a questionnaire assessing their structural and cognitive social capital (views on...
Article
Objective: To identify older adults who could benefit from integrated care, we examined (a) health, social, and functional characteristics of older, hospitalized adults who required continuing care on discharge and (b) associations between these characteristics and potentially unnecessary health care use. Method: Personal characteristics were ex...
Article
Research shows that social isolation and loneliness are important health issues for older adults. This message is increasingly being recognized by policy makers and service providers. Although the concepts of loneliness and social isolation are often discussed and compared with one another, they are largely examined separately, even if they are bot...
Poster
Full-text available
Related publication: Brown, C.L & Menec, V. (2019). Health, social, and functional characteristics of older adults with continuing care needs: Implications for integrated care. Journal of Aging and Health, 3(7), 1085-1105. https://doi.org/10.1177/0898264318759856
Article
Full-text available
It is well-documented that social isolation is detrimental to health and well-being. What is less clear is what types of social networks allow older adults to get the social support they need to promote health and well-being. In this study, we identified social network types in a national sample of older Canadians and explored whether they are asso...
Article
Full-text available
Purpose Information on the risk of dementia in aging persons with intellectual and/or developmental disability (IDD) in Manitoba, Canada is lacking. This study aimed to estimate dementia prevalence in adults with IDD. Design/methodology/approach Anonymized population-level health and non-health administrative data (1979-2012) contained in the Po...
Article
Full-text available
Background To address the challenges of the global aging population, the World Health Organization promoted age-friendly communities as a way to foster the development of active aging community initiatives. Accordingly, key components (i.e., policies, services and structures related to the communities’ physical and social environments) should be de...
Article
In 2011, colleagues and I (Menec, Means, Keating, Parkhurst, & Eales, 2011 Menec, V. H., Means, R., Keating, N., Parkhurst, G., & Eales, J. (2011). Conceptualizing age-friendly communities. Canadian Journal on Aging, 30(3), 479–493.[CrossRef], [PubMed], [Web of Science ®] [Google Scholar]) conceptualized age-friendly communities from an ecological...
Article
Objective: The aim of this study was to examine the effect of motivation-consistent mental health information on memory for and evaluations of this information, as well as help-seeking attitudes and intentions to seek mental health services. Method: We randomly assigned an Internet-based sample of 160 younger (18-25) and 175 older (60-89) adults...
Article
Full-text available
Objectives: Objectives were to (a) describe transitions between care settings in older homecare recipients at the end of life, and (b) examine what personal (e.g., age, sex) and health system factors (e.g., hospital bed supply) predict care transitions. Methods: The study involved analysis of administrative health care data and was based on a compl...
Article
Background Both physical frailty and cognitive impairment predict death, but the joint effect of these two factors is uncertain. The objectives are to determine if the Mini-mental state examination (MMSE) and the Frailty Index (FI) predict death over a five-year interval after accounting for the effect of the other; and if there is an interaction i...
Poster
Full-text available
Related paper: Brown, Cara L, and Menec, Verena. “Integrated Care Approaches Used for Transitions from Hospital to Community Care: A Scoping Review.” 37.2 (2018): 145–170. DOI: https://doi.org/10.1017/S0714980818000065n
Article
Introduction: We sought to determine whether residence in a rural region is associated with a higher risk of dementia and a higher risk of developing dementia over a 5-year period than residence in an urban region. Methods: This was a secondary analysis of a prospective cohort study. In 1991 and 1992, 1751 adults aged 65 years and older and resi...
Article
Background: Low life satisfaction predicts adverse outcomes, and may predict dementia. The objectives were: (1) to determine if life satisfaction predicts dementia over a five year period in those with normal cognition at baseline; and (2) to determine if different aspects of life satisfaction differentially predict dementia. Methods: Secondary an...
Article
Full-text available
Objective: Dementia is increasingly recognized as a public health priority, but little is known about persons with early-onset dementia (EOD). The objectives of this article are (a) to compare the socio-demographic and health characteristics of people with EOD and late-onset dementia (LOD) and (b) to examine the relationships between EOD and overa...
Article
Full-text available
Mining a Unique Canadian Resource: The Canadian Longitudinal Study on Aging - Volume 34 Issue 3 - Susan A. Kirkland, Lauren E. Griffith, Verena Menec, Andrew Wister, Hélène Payette, Christina Wolfson, Parminder S. Raina
Article
Exploitation d'une ressource canadienne unique : l’Étude longitudinale canadienne sur le vieillissement - Volume 34 Issue 3 - Susan A. Kirkland, Lauren E. Griffith, Verena Menec, Andrew Wister, Hélène Payette, Christina Wolfson, Parminder S. Raina
Article
This study examined how important walking to amenities (e.g., food store, park) is to middle-aged and older adults and whether this relates to walking. The relationship between walking to amenities and overall activity level was also explored. The study was based on interviews conducted with 778 individuals aged 45 to 94 years. Overall activity lev...
Article
Age-friendly initiatives are increasingly promoted as a policy solution to healthy aging, The primary objective of this article was to examine older adults' and key stakeholders' perceptions of the factors that either help or hinder a community from becoming age-friendly in the context of rural Manitoba, a Canadian prairie province. Twenty-four old...
Article
Full-text available
With the growing interest world-wide in making communities more age-friendly, it is becoming increasingly important to understand the factors that help or hinder communities in attaining this goal. In this article, we focus on rural and remote communities and present perspectives of 42 experts in the areas of aging, rural and remote issues, and pol...
Article
Since the World Health Organization introduced the concept of ‘age-friendly’ communities in 2006, there has been rapidly growing interest in making communities more age-friendly on the part of policy makers world-wide. There is a paucity of research to date, however, that has examined age-friendliness in diverse communities, particularly in rural c...
Article
Since 2011, we’ve worked to create a dialogue between Canada’s journalists and academic health policy experts to enrich the quality and quantity of health policy stories in the Canadian media. We work with a Media Advisory Board made up of journalists and professors of journalism from across the country who let us know what their needs, constraints...
Article
Objective: This study examined whether social participation and loneliness predicted health care service use (physician visits, hospitalizations, length of stay in hospital). Method: Participants' (N = 954; 54% female; aged 45+ years) health data were tracked over 2.5 years following in-person interviews. Results: Being lonely was associated w...
Article
The notion of age-friendliness is gaining increasing attention from policy makers and researchers. In this study, we examine the congruence between two types of age-friendly surveys: subjective assessments by community residents versus objective assessments by municipal officials. The study was based on data from 39 mostly rural communities in Mani...
Article
Full-text available
Objectives: Depression and depressive symptoms predict death, but it is less clear if more general measures of life satisfaction (LS) predict death. Our objectives were to determine: (1) if LS predicts mortality over a five-year period in community-living older adults; and (2) which aspects of LS predict death. Method: 1751 adults over the age o...
Article
To describe factors associated with multimorbidity in community-dwelling older adults; to determine if a simple measure of multimorbidity predicts death over 5 years; and to assess if any effect of multimorbidity on mortality is independent of key covariates. Analysis of an existing population-based cohort study. Cox proportional hazards models wer...
Article
The aim of this study was to determine whether bilingualism is associated with dementia in cross-sectional or prospective analyses of older adults. In 1991, 1616 community-living older adults were assessed and were followed 5 years later. Measures included age, sex, education, subjective memory loss (SML), and the modified Mini-mental State Examina...
Article
Population aging is a worldwide phenomenon. As a response, the World Health Organization (WHO) introduced the concept of 'age-friendliness' in 2006. Age-friendliness is defined in terms of a range of domains, such as housing, opportunities for participation, and transportation. Communities that accommodate the needs of older adults in these domains...
Article
Walking is the main type of physical activity among community-dwelling older adults and it is associated with various health benefits. However, there is limited evidence about the relationship between functional fitness and walking performed under independent living conditions among older adults. This study examined the relationship between functio...
Article
The Seniors Centre Without Walls (SCWOW) program provides free social and educational programming for older adults via telephone. The target population for SCWOW is socially isolated older adults, a hard to reach population. The aim of this process evaluation was to examine whether SCWOW was reaching its target population and to gather participant...
Article
The Age-Friendly Manitoba Initiative was launched in 2008. A formative evaluation we conducted in 2011 with 44 participating rural and urban communities demonstrates considerable progress, with virtually all communities having formed an Age-Friendly Committee and conducting a community assessment to identify priorities for action. The majority of c...
Article
The concept of age-friendly communities has garnered international attention among researchers, policy makers and community organisations since the World Health Organization launched its Global Age-friendly Cities Project in 2006. Despite the growth of the age-friendly communities movement, few studies have examined age-friendly characteristics wit...
Article
Independence is highly valued in Western society. The emphasis on independence and consequent fear of dependence may, however, have a downside, potentially leading to social exclusion. Through photovoice methodology, we explored what older adults say about the importance of independence in their lives and how independence may relate to social exclu...
Article
Full-text available
With increasing numbers of older adults identifying a nursing home (NH) as their final place of care, it is important to assess the quality of dying in this setting and understand factors that impact family members' dissatisfaction with end-of-life care. A retrospective bereaved family member survey (N = 208) was conducted in 21 NHs located in urba...
Article
Photovoice is a qualitative research technique in which participants record and reflect on their community through photography. The technique is gaining popularity as a participatory research methodology. Few studies, however, have described the use of photovoice with older adults. This paper examines the application of photovoice in a qualitative,...
Article
Even though a large segment of the population lives in rural areas, relatively little attention has been paid in the literature to date to hospital use at the end of life among rural residents. The objective of this study was to examine factors associated with in- or out-of-region hospitalizations at the end of life among older rural residents. The...
Article
Full-text available
RÉSUMÉ Sur le front politique et des lignes de conduite, l’intérêt a augmenté pour rendre les communautés plus « amies des ainés », cette tendance est restée constante depuis que l’Organisation mondiale de la Santé a lancé son projet « Réseau mondial des Villes-amies des aînés. » Nous conceptualisons les communautés amies des aînés en nous appuyons...
Article
To identify and compare perceptions of the geriatric care environment among nurses in three different urban hospital types in one health authority in a Midwestern Canadian province. The Geriatric Institutional Assessment Profile developed by the Nurses Improving Healthsystem Elders (NICHE) program was administered to staff in eight urban hospitals...
Article
This study examined the associations between walking behavior and the perceived environment and personal factors among older adults. Sixty participants age 65 yr or older (mean 77 +/- 7.27, range 65-92) wore pedometers for 3 consecutive days. Perceived environment was assessed using the Neighborhood Environment Walkability Scale (abbreviated versio...