Publications by authors named "Thomas Cudjoe"

Background: Neighborhood physical disorder has been linked to adverse health outcomes, yet longitudinal assessments of its relationship with metabolic and inflammatory biomarkers in older adults remain limited. This study examined the association between patterns of neighborhood physical disorder exposure and biomarkers among older adults.

Methods: We included community-dwelling Medicare beneficiaries with 2017 biomarker data from the National Health and Aging Trends Study (n = 4,558).

View Article and Find Full Text PDF

Objective: To systematically assess current evidence on the extent to which social relationships are associated with tooth loss in adults aged 60 years and older.

Methods: A systematic literature search was conducted on PubMed, Embase, Web of Science, CINAHL and The Cochrane Library databases to identify relevant studies published from 1966 up to March 2024. Cross-sectional or cohort studies investigating the association between structural, functional and/or combined (structural and functional) components of social relationships and the number of remaining teeth or edentulism among community-dwelling or institutionalised older adults were included.

View Article and Find Full Text PDF

Background: It is unclear whether social isolation and loneliness may precede frailty status or whether frailty may precipitate social isolation and loneliness. We investigated the reciprocal and temporal sequence of social isolation, loneliness, and frailty among older adults across 21 years.

Methods: We used seven waves of the Longitudinal Aging Study Amsterdam from 2302 Dutch older adults (M = 72.

View Article and Find Full Text PDF
Article Synopsis
  • - Social isolation is linked to poorer health outcomes, including higher hospitalization rates, especially among older adults with dementia, who experience higher rates of social isolation (35.4%) compared to those without dementia (19.0%).
  • - In a study involving over 5,500 Medicare beneficiaries, socially isolated individuals with dementia had 1.68 times higher odds of being hospitalized in the following year, resulting in a 9% increased probability compared to non-isolated peers.
  • - The findings suggest that improving social connections for those with dementia could lead to better health outcomes and reduced hospital visits, highlighting the need for healthcare strategies that address social isolation.
View Article and Find Full Text PDF
Article Synopsis
  • Loneliness is a significant public health issue, particularly concerning its impact on older adults, with this study focusing on how racial/ethnic differences in loneliness may be influenced by socioeconomic factors like income and education.
  • Using data from the Health and Retirement Study, the research demonstrated that income and education fully mediated the differences in loneliness between White and Black older adults, while showing partial mediation for comparisons involving Hispanic/Latino individuals.
  • The study highlights that income plays a more crucial role than education in explaining loneliness disparities across racial and ethnic groups, suggesting that addressing income inequality could help combat loneliness in older populations.
View Article and Find Full Text PDF

Social cohesion can reduce stress, increase social interaction, and improve cognitive reserve. These social mechanisms may modify the effects of air pollution on dementia risk. This cohort study examines the potential moderating effect of social cohesion on associations between joint air pollution exposure and incident dementia leveraging data from 5112 community-dwelling adults ≥65 years of age enrolled in the National Health and Aging Trends Study (NHATS).

View Article and Find Full Text PDF
Article Synopsis
  • Social isolation and loneliness are serious issues for older adults in the U.S., especially for low-income individuals living in subsidized housing, who often lack resources and social networks.* -
  • Semi-structured interviews with 24 older adults revealed that while they felt connected to their housing community, the pandemic led to a loss of communal activities, increasing feelings of loneliness.* -
  • Participants demonstrated resilience by using technology to maintain emotional support and highlighted the importance of community engagement for their well-being during challenging times.*
View Article and Find Full Text PDF

Background: Nearly 2.9 million older Americans with lower incomes live in subsidized housing. While regional and single-site studies show that this group has higher rates of healthcare utilization compared to older adults in the general community, little is known about healthcare utilization nationally nor associated risk factors.

View Article and Find Full Text PDF

Background: Little is known about the long-term impact of hearing and vision impairment on social isolation. This study quantifies the association between hearing, vision, and concurrent hearing and vision impairment (dual sensory impairment) and social isolation over 8 years among older adults.

Methods: Data were from the National Health and Aging Trends Study (NHATS), a cohort study (2011 - 2019) of U.

View Article and Find Full Text PDF

This perspective outlines the Artificial Intelligence and Technology Collaboratories (AITC) at Johns Hopkins University, University of Pennsylvania, and University of Massachusetts, highlighting their roles in developing AI-based technologies for older adult care, particularly targeting Alzheimer's disease (AD). These National Institute on Aging (NIA) centers foster collaboration among clinicians, gerontologists, ethicists, business professionals, and engineers to create AI solutions. Key activities include identifying technology needs, stakeholder engagement, training, mentoring, data integration, and navigating ethical challenges.

View Article and Find Full Text PDF

Importance: Social isolation is associated with adverse health outcomes, yet its implications for hospitalization and nursing home entry are not well understood.

Objective: To evaluate whether higher levels of social isolation are associated with overnight hospitalization, skilled nursing facility stays, and nursing home placement among a nationally representative sample of community-dwelling older adults after adjusting for key health and social characteristics, including loneliness and depressive symptoms.

Design, Setting, And Participants: This observational cohort study included 7 waves of longitudinal panel data from the Health and Retirement Study, with community-dwelling adults aged 65 years or older interviewed between March 1, 2006, and June 30, 2018 (11 517 respondents; 21 294 person-years).

View Article and Find Full Text PDF

Tobacco use remains a leading cause of preventable death among older adults, but few studies have examined social isolation as a risk factor for smoking in US. older adults. Using National Health and Aging Trends Study (NHATS) data, we conducted multivariate analyses of smoking in a sample of 8136 adults ages 65 and older.

View Article and Find Full Text PDF

In this editorial, we consider the current state of loneliness and social isolation research around the world, including knowledge gaps in the empirical literature.

View Article and Find Full Text PDF

Background: Social isolation can influence whether older adults develop dementia. We examine the association between social isolation and incident dementia among older adults in a nationally representative sample of community dwelling older adults in the United States (U.S.

View Article and Find Full Text PDF

Background: Social isolation is a key public health concern and has been associated with numerous negative health consequences. Technology is increasingly thought of as a solution to address social isolation. This study examines the longitudinal association between the access and use of technology and social isolation in older adults 65 and older, living in the United States.

View Article and Find Full Text PDF

Introduction: with regards to tobacco dependence management, there are certain barriers to successful smoking cessation for patients, such as untreated anxiety and depression. Complicating the impact of mental health morbidities on tobacco dependence may be the significant portion of patients whose mental health issues and limited social connections are undiagnosed and unaddressed. We hypothesize that patients with no prior mental health diagnoses who are treated for tobacco dependence have high rates of undiagnosed mental health morbidities.

View Article and Find Full Text PDF

Background: Multiple factors may influence the risk of being homebound, including social isolation and race. This study examines the relationship between social isolation and homebound status by race over 9 years in a sample of adults.

Methods: Utilizing a representative sample of 7788 Medicare beneficiaries aged 65+ from 2011-2019, we assessed the odds of becoming homebound by social isolation.

View Article and Find Full Text PDF

Background: Despite profound financial challenges during the COVID-19 pandemic, there is a gap in estimating their effects on mental health and well-being among older adults.

Methods: The National Health and Aging Trends Study is an ongoing nationally representative cohort study of US older adults. Outcomes included mental health related to COVID-19 (scores averaged across eight items ranging from one to four), sleep quality during COVID-19, loneliness during COVID-19, having time to yourself during COVID-19, and hopefulness during COVID-19.

View Article and Find Full Text PDF

In response to a rapid rise in mortality within assisted living, facility-wide resident testing found 42% of 182 residents had SARS-CoV-2 infection; 68% of which were asymptomatic for 14 days before and after testing. Resident testing was a critical infection control measure needed to control transmission of SARS-CoV-2 infection.

View Article and Find Full Text PDF