<p> Baby boomers are a large population rapidly transitioning into older adulthood. As the proportion of older adults will be higher in the coming decade than at any previous point in history, the aging of the population has placed successful aging at the forefront of public health and health care efforts. Baby boomers have disproportionately low rates of successful aging and physical activity, even though physical activity is known to contribute to successful aging. Existing exercise programs are ineffective as evidenced by the widespread access to but poor participation in exercise programs. Archery exercise is a relatively unexplored, yet promising, physical activity intervention for baby boomers. This exploratory and qualitative case study was the first to explore the role of archery exercise in promoting successful aging through physical activity among baby boomers. A purposeful sample of 12 non-institutionalized baby boomers living in a Midwest community were enrolled in a six-week archery exercise program. A total of 8 females and 3 males with varying physical activity levels completed the program. Information from post-program, semi-structured interviews were triangulated with findings from a literature review. Key themes emerging from the interpretive analysis included physical benefits, mental benefits, positive social experience, appropriateness and benefit for older adults, and motivation to continue. Physical benefits included upper body strength, balance, and improvement to individual limitations. Mental benefits included concentration, movement control, confidence, and relief from individual mental challenges. Participants believed archery exercise is appropriate and beneficial for older adults because of the enjoyment, low intensity, rewarding, shareable, individualized, and multiple component aspects. The study demonstrates archery exercise is a promising physical activity intervention for baby boomers in this community. Future research is needed to explore the impact of archery exercise in other communities and among other older adult populations. Awareness about what constitutes physical activity is needed to encourage participation in exercise programs. Collaboration between public health, sporting, and community stakeholders is needed to deliver additional community-based, multiple component exercise programs to baby boomers. Archery exercise may be an effective physical activity intervention to address population aging concerns, although more research is needed to justify this claim.</p>

<p> Alzheimer&rsquo;s disease (AD) is associated with substantial healthcare utilization costs, resulting in a public health priority. In this study, the relationship between the demographic characteristics of age, gender, and type of health insurance; the presence of comorbidities of older Puerto Rican residents diagnosed with AD; and their healthcare utilization patterns (i.e., medical office and emergency room visits and hospital admissions) was examined using Andersen&rsquo;s behavioral model. Data from the 2013 Puerto Rico Health Study was used in this retrospective cohort design study. All AD cases aged &ge; 60 years were extracted using systematic random sampling. One-way ANOVA-WELCH, Mann-Whitney U test, and negative binomial regressions determined if there was a relationship between independent and dependent variables. Results indicated a statistically significant relationship between age, gender, health insurance type, and presence of comorbidities factors and healthcare utilization patterns among older Puerto Ricans with AD. From the results, opportunities were identified for further research and changes in professional practices in order to initiate discussions and action plans to improve services coordination for older Puerto Ricans with AD. Findings might impact social change by inspiring modifications to the public health infrastructure. These modifications may lead to enhanced disease management support, promoted social justice, and increased resources to improve healthcare access and quality of care, and overall enhancement of health outcomes, for Puerto Ricans living with AD.</p><p>