Publications by authors named "R H DuRant"
The Cumulative Burden of Social Risk Factors and 10-Year Change in Quality of Life.
J Gerontol A Biol Sci Med Sci
December 2024
Background: Social risk factors are linked to adverse health outcomes, but their total impact on long-term quality of life is obscure. We hypothesized that a higher burden of social risk factors is associated with greater decline in quality of life over 10 years.
Methods: We examined associations between social risk factors count and decline >5 points in (i) physical component summary, and (ii) mental component summary scores from the Short Form-12 among Black and White participants in the Reasons for Geographic and Racial Differences in Stroke study (n = 14 401).
Background: Acknowledging patients' spiritual concerns can enhance well-being and is essential to patient-centered chronic illness care. However, unmet spiritual care needs remain a major area of suffering, particularly among under-resourced populations. Limited research exists on how spiritual concerns are acknowledged and integrated into the care of chronically ill older Black patients in these settings.
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- This study examines racial differences in comorbidities among individuals with heart failure (HF), specifically focusing on the role of social determinants of health (SDOH) in these disparities.
- Researchers analyzed data from Black and White participants aged 45 and older who were hospitalized for heart failure between 2003 and 2017 to identify variations in health conditions like diabetes and hypertension.
- The findings indicate that socioeconomic status partially explains higher rates of diabetes, anemia, and chronic kidney disease in Black adults with preserved ejection fraction (HFpEF), but other SDOH did not significantly account for differences in other health issues.
Article Synopsis
- - Cognitive impairment is prevalent in adults with heart failure (HF) and can lead to worse health outcomes, but the specific pattern of cognitive decline following a first HF hospitalization had not been thoroughly studied.
- - In a study involving nearly 24,000 participants aged 45 and older, those who experienced HF hospitalization showed a more rapid decline in overall cognitive function (measured by the Six-Item Screener) over five years compared to those without HF hospitalization, even after accounting for other factors.
- - However, this faster cognitive decline was not observed in specific memory tasks (Word List Learning and Delayed Recall), suggesting that while general cognitive health is affected by HF hospitalization, certain cognitive domains may remain relatively stable.