Background: Opioid-related deaths remain a significant public health problem in the United States. Opioids cause approximately 75% of all drug-related deaths. Since 1999, nearly half a million Americans have died from opioid overdoses. In 2018, 9,290 people > 55 years old died from opioid overdoses in the United States. In Florida, more than 1,000 older adults died from opioids (as a cause of death) from 2014-2018. However, there is a dearth of research about the manner of deaths of older adults who used, misused, or abused opioids. Methods: This secondary analysis utilized data from the Florida Drug and Law Enforcement (FDLE) agency between 2014 - 2018. A generalized linear model with a normal probability distribution was used to examine which social determinants or factors such as race, income, education level, percentage of people in poverty, and population density predicted opioid death rate in Florida. Chi-square statistics were used to determine the association between gender, race, and opioid-related deaths (ORD), and the relationship of the manner of death to the opioid drugs involved. The trend of opioid death rate was also analyzed by Florida county and through the data years 2014 to 2018. / Includes bibliography. / Dissertation (PhD)--Florida Atlantic University, 2021. / FAU Electronic Theses and Dissertations Collection

Background: Frailty has an impact on outcomes in the acute care and in the community setting but there is minimal research that examines frailty in the geriatric rehabilitation setting. Purpose: The purpose of this thesis was to answer the question “What is the association between frailty status and rehabilitation outcomes among older adults?” Methods: A systematic review using the Cochrane Handbook’s guidelines and adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) reporting guideline was completed. Four databases were searched as well as grey literature. Screening, extraction, and quality assessments were completed by two reviewers. Data synthesis was completed through vote counting. Results: Twelve studies met the inclusion criteria from which data were extracted. There is a negative association between frailty and discharge functional status, functional change, discharge to home, and a positive association between frailty and length of stay. Conclusion: Further research is needed on this topic to replicate these findings through meta-analyses. Frailty needs to be addressed in the geriatric rehabilitation setting to improve the functional status of frail patients and reduce extended stays in rehabilitation and decrease discharges to a new place of residence.

HIV/AIDS can affect individuals of any age. Efforts to educate those considered to be most at-risk, based on the age at which the most individuals are infected, are ongoing and public. Less work and mainstream education outreach, however, is being directed at an older population, who can be more likely to contract HIV, is more susceptible to the effects of HIV, and more likely to develop AIDS, than younger persons. Guided by the Health Belief Model theory, research was conducted to determine what, if any, relationship existed between age of an individual and the possibility that an HIV test will be sought. Factors of gender, education, ethnicity and marital status were included in analyses. the research indicated that as age increased, likelihood for getting an HIV test decreased. Overall, most individuals had not been tested for HIV. the implications of an aged and aging population with HIV include a need for coordinated service delivery, increased education and outreach.

The focus of this research study was to gain needed information on the older adult population in the United States who have diabetes. The research method was quantitative retrospective study of American diabetes obtained from the National Health Interview Survey database from 2001 through 2010. The study results confirmed more than one-third of the U.S. diabetics are aged 65 and older. More than 75% of the older diabetic population report clinical limitations or comorbidities. Based on surrogate markers of education, it appears the older diabetic cohort did receive more preventative care visits than did the older nondiabetic population; however, the difference was not robust. I found a slight negative trend between age and emergency room visits in the older diabetic population; in addition, there was a negative association between age and smoking in this population. There continues to be a need for scientific research in this population. Greater numbers need education and more clinical trials specific to the older diabetic should be encouraged.

The purpose of this study was to explore the demographic variables, typical vocational services, and competitive employment rates of older workers, ages 40 - 69 years of age, with disabilities using the RSA-911 database. The results describe the types of services received and the competitive employment outcomes for state and federal vocational rehabilitation consumers receiving services in 2009. Furthermore the sample of older workers (N = 1,152) was equally stratified into three age groups. Older workers, aged 60 to 69, had higher levels of education, received more types of vocational services, and were competitively employed at a much higher rate than those in the other age groups. The methods, discussion, study limitations, and recommendations for future research are presented.

Background: In Canada over the past three decades first-time mothers > 35 years have been, and continue to be, the fastest growing demographic of new mothers. The quality of a mother’s breastfeeding experience has the potential to affect breastfeeding duration and other mothering behaviours that promote healthy maternal-infant attachment, optimal infant growth and development, and maternal mental health. Previous studies on breastfeeding have not examined the breastfeeding experiences of older first-time mothers. Older mothers are a group that is potentially unique due to their experience of coming to motherhood in the context of the growing phenomenon of delayed childbearing in the 21st century. Older women often come to motherhood with both well-established life and professional experiences, and as such may have different needs from those of their younger or multiparous counterparts. Research Question: What factors affect how first-time mothers >35 years of age make decisions about breastfeeding, and how do these factors affect the decisions they make related to breastfeeding in the first six months postpartum? Design: A constructivist grounded theory study Findings: The theory of From Ideology to Independence: Older First-time Mothers, Breastfeeding, and Becoming a Mother provides an explanation of both the factors affecting the decisions the mothers made related to breastfeeding, and how these factors affected the decisions they ultimately made. The mothers worked through the processes of learning breastfeeding, redefining self, and defining motherhood. This occurred under the belief that breastfeeding is pivotal to motherhood. Over the first six months postpartum, the influence of the belief in breastfeeding defining mothering waned as the mothers became increasingly active agents in decision making around infant feeding and their overall mothering practices.

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