Publications by authors named "G A Spiers"

Background And Aim: Unmet need for social care is linked to numerous adverse health outcomes. Understanding which unmet needs have the biggest impact on healthy ageing could help resource-stretched services prioritise care. To address this evidence gap, our analysis aimed to explore the association between selected individual unmet care needs and an indicator of healthy ageing.

View Article and Find Full Text PDF

The manual addition of lime to soil, in addition to tree planting and fertilization have been the dominant strategy described in restoration protocols for ecosystems damaged by acid rain and metal contamination. Investigations on aerial-limed soils in inaccessible lands are limited. The objective of this study was to assess the effects of aerial liming on soil pH, organic matter, microbial biomass, and enzymatic activities, and aboveground plant population quality in metal-contaminated lands in northern Ontario, Canada.

View Article and Find Full Text PDF

Background: Material disadvantage is associated with poor health, but commonly available area-based metrics provide a poor proxy for it. We investigate if a measure of material disadvantage could be constructed from UK primary care electronic health records.

Methods: Using data from Clinical Practice Research Datalink Aurum (May 2022) linked to the 2019 English Index of Multiple Deprivation (IMD), we sought to (1) identify codes that signified material disadvantage, (2) aggregate these codes into a binary measure of material disadvantage and (3) compare the proportion of people with this binary measure against IMD quintiles for validation purposes.

View Article and Find Full Text PDF

Objectives: Hospital admissions can be hazardous for older adults, particularly those living in long-term care facilities. Preventing nonessential admissions can be beneficial for this population, as well as reducing demand on health services. This review summarizes the economic evidence surrounding effective interventions to reduce hospital attendances and admissions for people living in long-term care facilities.

View Article and Find Full Text PDF

Background: Cold homes are associated with an increased risk of adverse health outcomes for older people. To mitigate this risk, homes need to be heated to an appropriate temperature. This review aims to identify interventions designed to improve heating and temperatures within homes and summarize its impact on health, health service utilization and cost effectiveness.

View Article and Find Full Text PDF