Fredric D Wolinsky
Datos Biográficos
| ID | 186171 |
|---|---|
| NOMBRE | Fredric D Wolinsky |
| NOMBRES | Fredric D |
| APELLIDO | Wolinsky |
| FIRMA | WOLINSKY F D |
| AFILIACIONES | University of Iowa |
| ORCID | 0000-0002-0916-4955 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 94 |
| TOTAL DE CITAS | 320 |
| TOTAL COMO AUTOR | 94 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1976 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2023 |
| ÍNDICE H | 10 |
Racial and Ethnic Disparities in Hospital-Based Care Among Dual Eligibles Who Use Health Centers
Introduction: Health center use may reduce hospital-based care among Medicare-Medicaid dual eligibles, but racial and ethnic disparities in this population have not been widely studied. We examined the extent of racial and ethnic disparities in hospital-based care among duals using health centers and the degree to which disparities occur within or between health centers. Methods: We used 2012-2018 Medicare claims and health center data to model e…
Home-Based, Adaptive Cognitive Training for Cognitively Normal Older adults
Our results show that a limited dose of home-based CT can drive cognitive improvements as measured with neuropsychological test battery, suggesting potential cognitive health maintenance implications for cognitively normal older adults
Racial Differences and Disparities in Osteoporosis-related Bone Health
BACKGROUND: Determining whether observed differences in health care can be called disparities requires persistence of differences after adjustment for relevant patient, provider, and health system factors. We examined whether providing dual-energy x-ray absorptiometry (DXA) test results directly to patients might reduce or eliminate racial differences in osteoporosis-related health care. DESIGN, SUBJECTS, AND MEASURES: We analyzed data from 3484 …
Cognitive Function and the Concordance Between Survey Reports and Medicare Claims in a Nationally Representative Cohort of Older Adults
BACKGROUND: While age-related cognitive decline may affect all stages in the response process--comprehension, retrieval, judgment, response selection, and response reporting--the associations between objective cognitive tests and the agreement between self-reports and Medicare claims has not been assessed. We evaluate those associations using the Survey on Assets and Health Dynamics among the Oldest Old (AHEAD). METHODS: Eight waves of reintervie…
The Effect of Cognitive Speed of Processing Training on the Development of Additional Iadl Difficulties and the Reduction of Depressive Symptoms
These findings provide evidence that SOPT transfers beyond the cognitive skills trained to meaningful downstream improvements in the lives of middle-aged and older adults
The Concordance of Survey Reports and Medicare Claims in a Nationally Representative Longitudinal Cohort of Older Adults
BACKGROUND: Concordance between survey reports and claims data is not well established. We compared them for disease histories, preventative, and other health services use in a large, nationally representative sample of older Medicare beneficiaries with special attention given to evaluating age, aging, memory, and respondent status effects. METHODS: Baseline (1993) and biennial follow-up data (through 2010) from the Survey on Assets and Health Dy…
Observer ratings of neighborhoods
Enhanced field protocols and rater training did not improve measurement quality. Specifically, retest reliability and interviewer variability remained problematic. Measurement error partially reduced, but did not eliminate concurrent validity, suggesting there are robust associations between neighborhood characteristics and health outcomes. We conclude that the 5-item AAH NAS has sufficient reliability and validity for further use. Additional res…
Evaluation of a patient-reported continuity of care model for older adults
Association Between Childhood School Segregation and Changes in Adult Sense of Control in the African American Health Cohort
AAH participants receiving the majority of their primary and secondary educations in segregated schools appeared to have been protected, in part, from age-related declines in the sense of control
Childhood school segregation and later life sense of control and physical performance in the African American Health cohort
Childhood school desegregation was adversely associated with the sense of control of African Americans in later life, and this reduced sense of control appears, in part, to account for their poorer physical performance. The etiologic mechanism through which childhood school segregation at the time that this cohort experienced it improved the sense of control in later life, which subsequently led to better physical performance, has not been identi…
A prospective cohort study of long-term cognitive changes in older Medicare beneficiaries
In addition to aging, age, minority status, and low education, substantial and differential risks for cognitive change were associated with sooner vs. later subsequent death that help to clarify the terminal drop hypothesis. No readily modifiable protective factors were identified
Neighborhood conditions, diabetes, and risk of lower-body functional limitations among middle-aged African Americans
Adverse neighborhood conditions appear to exacerbate the detrimental effects on lower-body functioning associated with diabetes
Predictors of Change in Grip Strength Over 3 Years in the African American Health Project
Results can be used to design interventions to improve strength outcomes
Adverse Housing and Neighborhood Conditions and Inflammatory Markers among Middle-Aged African Americans
Three-Year Measured Weight Change in the African American Health Study
Objective: This study examines 3-year weight change in African Americans. Method: Nine hundred and ninety-eight participants 49 to 65 years old were assessed at baseline and 3 years later. Weight was measured, and weight change was defined as clinically meaningful increases or decreases (± 5 kg). Potential risk factors were investigated using multinomial logistic regression. Results: In-home measured weights were available for 752 participants (7…
The Active Cognitive Training Interventions and the Onset of and Recovery from Suspected Clinical Depression
We evaluated the effects of the 3 cognitive interventions fielded in the Advanced Cognitive Training for Independent and Vital Elderly study on 2 subsets of participants-1,606 without and 424 with suspected clinical depression at baseline. In the former group, only the speed of processing (vs. no-contact control) intervention had a significant effect, with its participants being 38% less likely to develop suspected clinical depression at 1 year (…
Does Cognitive Training Improve Internal Locus of Control Among Older Adults
Cognitive training that targets reasoning and speed of processing can improve the cognitive-specific sense of personal control over one's life in older adults
Antecedents of Global Decline in Health-Related Quality of Life Among Middle-Aged African Americans
Although these risk factors are for the most part nonmalleable, they can serve as markers of impending global HRQoL declines among late-middle-aged African Americans
Rating neighborhoods for older adult health
Observer ratings show promise in understanding the effect of neighborhood on health outcomes. The AAH Neighborhood Assessment Scale and other rating systems should be tested further in diverse settings
Impact of Functional Limitations and Medical Comorbidity on Subsequent Weight Changes and Increased Depressive Symptoms in Older Adults
The elevated risk of weight gain subsequent to functional decline or onset of medical comorbidities may require the receipt of preventive measures to reduce further weight-related complications
Retirement and Weight Changes Among Men and Women in the Health and Retirement Study
Public health interventions may be indicated for women, particularly those working in blue-collar occupations, in order to prevent weight gain upon retirement
Validity of patient-reported health-related quality of life global ratings of change using structural equation modeling
Self-Rated Health
The decline in SRH levels among 49- to 65-year-old African Americans is comparable to that of Whites
Does More Health Care Improve Health Among Older Adults? A Longitudinal Analysis
The findings have implications for the quality of care delivered by the American health care system
An Interpersonal Continuity of Care Measure for Medicare Part B Claims Analyses
Researchers can measure interpersonal continuity of care using Medicare Part B claims. Replication of these findings and further construct validation, however, are needed prior to widespread adoption of this method
The Structure of Health Status Among Older Adults
This article builds on earlier conceptualizations of the structure of health status to propose a more complex, multiequation model that examines the interrelationships among its various dimensions. As such, the focus is not merely on the identification of the direct effects of a variety of factors on perceived health status, but on how the constructs of disease, functional limitation, and self-rated health interrelate. In so doing, we expose the …
The Structure of Health Status Among Hispanic, African American, and White Older Adults
Activities of daily living (ADLs), instrumental ADLs, and disability markers have traditionally been the most common indicators of functional status. The study on Asset and Health Dynamics Among the Oldest Old (AHEAD) is used to replicate a five-dimensional measurement model composed of these observable indicators among the older adult self-respondents. The items available to measure upper body disability were found wanting, but the lower body di…
Predictors of Mobility and Basic ADL Difficulty among Adults Aged 70 Years and Older
We use data from the 1993-1995 Assets and Health Dynamics of the Oldest-Old survey to estimate predictors of onset of mobility difficulty, onset of basic activity of daily living (ADL) difficulty, and improvement to no mobility difficulty. Onset of mobility difficulty occurred among 20% of those with no difficulty at baseline (n = 2,857) and was most likely among those 85 years of age or over, women, those with a body-mass index of 30 or over, an…
Self-Rated Health Trajectories and Mortality Among Older Adults
Although measures of prior SRH trajectories did not have significant direct associations with mortality, they did have important indirect effects via their influence on current SRH
Age, Aging, and the Sense of Control Among Older Adults
Longitudinal studies with repeated assessments over prolonged observation periods are now needed to elucidate age-related trajectories in the sense of control
The effect of hip fracture on mortality, hospitalization, and functional status
OBJECTIVES: The purpose of this study was to prospectively assess the independent effect of hip fracture on mortalìty, hospitalization, and functional status. METHODS: Among 7527 members of the Longitudinal Study of Aging who were over age 70 at baseline, 368 persons with hip fracture occurring between 1984 and 1991 were identified. Median length of follow-up was 831 days. RESULTS: Hip fracture was significantly related to mortality (adjusted haz…
Changes in Physician Utilization Over Time among Older Adults
Although much is known from cross-sectional studies about the use of physician services among older adults, little is known about the consistency of or changes in that utilization over time. Hierarchical multivariable regression analysis of data on the 2,430 older adults who were enrolled in the LSOA and successfully reinterviewed in 1986, 1988, and 1990 is used to model changes in the number of physician visits between 1984 and 1990 based on the…
Expecting Sick-Role Legitimation and Getting It
Consistency and Change in Functional Status among Older Adults Over lime
Consistency and change between 1984 and the last reinterview (either two, four, or six years later) on 22 individual functional status markers and the five summary scales that they form are examined among the 5,986 members of the Longitudinal Study on Aging who were reinterviewed at least once. At baseline, at least three-fifths of the respondents are without limitations on any individual marker. At the last reinterview, at least 43.4% of the res…
Age and the Sense of Control among Older Adults
Older adults are expected and frequently found to report less control than younger adults. In this study, we decompose this negative relationship between age and sense of control using nested multivariable linear regression models that serially introduce sociodemographic characteristics, socioeconomic factors, health status, and subjective religiosity and religious beliefs in a sample of 1,051 older adults attending the general medicine clinics o…
Does Cognitive Training Improve Internal Locus of Control Among Older Adults
Cognitive training that targets reasoning and speed of processing can improve the cognitive-specific sense of personal control over one's life in older adults
Health-Related Quality of Life in Middle-Aged African Americans
The SF-36 is a reliable and valid measure of HRQoL for use with African Americans. In this sample, the HRQoL was below national averages. Future social epidemiologic studies should include grip strength, vision, and hearing assessments, which had substantial and consistent associations with the SF-36 scale scores
Hospital Utilization Profiles among Older Adults Over Time
Medicare claims data are used to model hospital utilization patterns for the 4,660 survivors and 2,867 decedents of the Longitudinal Study on Aging (LSOA). When the volume of hospital utilization was collapsed into four categories based on the mean annual number of hospital episodes and consistency was defined as a maximum absolute deviation from that mean of 1.5 or less, 42.6 percent of the LSOA respondents were found not to have any hospital ad…
A Cohort Analysis of the Use of Health Services by Elderly Americans
Fredric D. Wolinsky, Ray R. Mosely II, Rodney M. Coe, A Cohort Analysis of the Use of Health Services by Elderly Americans, Journal of Health and Social Behavior, Vol. 27, No. 3 (Sep., 1986), pp. 209-219
Self-Rated Health
The decline in SRH levels among 49- to 65-year-old African Americans is comparable to that of Whites
Self-Rated Health and Adverse Health Outcomes
The relationship between poor self-rated health and adverse outcomes is not a simple reflection of unmeasured self-assessments of impending decline or doom. Rather, the effects of poor self-rated health and declining health trajectory appear to be independent and complementary
The Active Cognitive Training Interventions and the Onset of and Recovery from Suspected Clinical Depression
We evaluated the effects of the 3 cognitive interventions fielded in the Advanced Cognitive Training for Independent and Vital Elderly study on 2 subsets of participants-1,606 without and 424 with suspected clinical depression at baseline. In the former group, only the speed of processing (vs. no-contact control) intervention had a significant effect, with its participants being 38% less likely to develop suspected clinical depression at 1 year (…
Retirement and Weight Changes Among Men and Women in the Health and Retirement Study
Public health interventions may be indicated for women, particularly those working in blue-collar occupations, in order to prevent weight gain upon retirement
A Race- and Gender-Specific Replication of Five Dimensions of Functional Limitation and Disability
Activity of daily living (ADL) and instrumental ADL (IADL) data from the 1989 National Long-Term Care Survey (NLTCS) are used to replicate two domains of functional status with a total of five dimensions among them. LISREL analysis of the 14,415 Black and White older adults obtained from the 1989 NLTCS screen replicates three ADL disability dimensions (basic, household, and advanced) with few modifications, except among Black males. Similarly, an…
Salient issues in choosing a new doctor
Weight and Depressive Symptoms in Older Adults
Weight gain did not lead to increased depressive symptoms, and weight loss preceded increased depressive symptoms only in unadjusted models among men (odds ratio [OR] = 1.26, 95% confidence interval [CI] = 1.04-1.53). Increased depressive symptoms were not predictive of subsequent weight loss, but they were predictive of subsequent weight gain in unadjusted models only (men: OR = 1.24, 95% CI = 1.00-1.54; women: OR = 1.12, 95% CI = 1.00-1.26). In…
The Effects of the Active Cognitive Training Trial on Clinically Relevant Declines in Health-Related Quality of Life
Although all three intervention arms improved cognitive ability, only the speed-of-processing arm protected against extensive clinically relevant decline in HRQoL
Use of Community-Based Long-Term Care Services by Older Adults
This study uses a previously validated model of disease, disability, functional limitations, and perceived health to predict the use of long-term care (LTC) services in and out of the home. The focus is on (a) the direct effects of the structure of health status on the use of LTC services, (b) how the use of LTC services differs by race and sex, and (c) how the use of LTC services varies by in-home and out-of-home location. The findings indicate …
Personal Stress, Mental Health, and Sense of Control Among Older Adults
Older adults more closely resembling those who died during 9-11 and those with greater levels of religiosity were most likely to have their sense of control affected by this catastrophic event
An Interpersonal Continuity of Care Measure for Medicare Part B Claims Analyses
Researchers can measure interpersonal continuity of care using Medicare Part B claims. Replication of these findings and further construct validation, however, are needed prior to widespread adoption of this method
Health Service Utilization and Attitudes Toward Health Maintenance Organization
Fredric D. Wolinsky, Health Service Utilization and Attitudes Toward Health Maintenance Organization: A Theoretical and Methodological Discussion, Journal of Health and Social Behavior, Vol. 17, No. 3 (Sep., 1976), pp. 221-236
Social Class Origin and Academic Success Revisited
Toward Comprehensive Health Status Measures
While health, itself, is the central concept in the sociology of health, little agreement exists on what constitutes an appropriate definition of health. This paper develops two composite health status measures (one continuous summary measure, and one set of eight discrete health state measures) based on the World Health Organization's conceptualization of the physical, social, and psychological dimensions of health. Data from a 1978 regional sur…
Expecting Sick-Role Legitimation and Getting It
The Problems for Academic and Entrepreneurial Research in the Use of Health Services
Multiple regression analysis was used to determine the longitudinal stability of the structural relationships between the predisposing, enabling, and illness-morbidity characteristics of the population-at-risk and measures of health services utilization. The structural coefficients estimated from the 1971, 1972, and 1973 Health Interview Surveys were examined using the Relative Instability Ratio (RIR) presented in this paper. The RIR values indic…
Spending Time With Patients
This article assesses whether the amount of time that physicians spend overall, in the office, and in the hospital per patient visit depends upon the organizational structure of the physician's practice (i.e., does the physician practice in the fee-for-service system or in an HMO, and if in an HMO, in what type of an HMO). Data pooled from two national studies (N = 2.521) reveal several interesting patterns, including: 1) on all measures, solo ph…
Salient issues in choosing a new doctor
Assessing the Effects of the Physical, Psychological, and Social Dimensions of Health on the Use of Health Services
In this paper we examine two major assumptions inherent in the literature relating health status to the use of health services: (1) that each of the three dimensions of health (i.e., the physical, the psychological, and the social) has an equal impact on the use of health services; and (2) that the effects of these three dimensions of health are manifest in an additive rather than in an interactive fashion. To test these assumptions, multiple reg…
Waiting to See the Doctor The Impact of Organizational Structure on Medical Practice
In this article it is assessed whether or not the scheduling and office visit queues a patient faces depend upon the organizational structure of the physician's practice (i.e., does the physician practice in the fee-for-service system or in a health maintenance organization [HMO], and if in an HMO, in what type of an HMO). Data pooled from two national studies (N = 2448) reveal two major findings. First, although scheduling queues may be predicte…
Veterans?? and Nonveterans?? Use of Health Services
This study compares the use of health services by veterans with that by nonveterans; compares the use of health services by veterans from different service cohorts with each other; and examines the correlates of veterans' use of the VA health care delivery system. After adjusting for differences in the predisposing, enabling, and need characteristics, there were virtually no meaningful differences in the use of health services between veterans an…
Symptoms, Illness Behavior, and Help-seeking
The Use of Proxies in Health Surveys
It has traditionally been assumed that obtaining health and illness behavior data by proxy on household members who are not present during the actual interview presents no significant threats to the internal validity of subsequent analyses. Using data on the 78,439 adults interviewed in person or by proxy (about 37% of the total adult sample) as part of the 1978 Health Interview Survey, the authors examine whether the use of proxy respondents alt…
A Cohort Analysis of the Use of Health Services by Elderly Americans
Fredric D. Wolinsky, Ray R. Mosely II, Rodney M. Coe, A Cohort Analysis of the Use of Health Services by Elderly Americans, Journal of Health and Social Behavior, Vol. 27, No. 3 (Sep., 1986), pp. 209-219
The Organization of Medical Practice and the Practice of Medicine
Length of Stay in the VA
From the Department of Sociology, Texas A&M University, College Station, Texas †From the Department of Community Medicine, St. Louis University School of Medicine; Geriatric Research, Education, and Clinical Center, Veterans Administration Medical Center, St. Louis, Missouri ‡From the Department of Sociology, Southern Illinois University at Carbondale, Carbondale, Illinois
Some Clarification About Health Planning in the VA
Wolinsky, Fredric D. PhD; Coe, Rodney M. PhD; Mosely, Ray R. II MA; Homan, Sharon M. PhD Author Information
The Organization of Medical Practice and the Practice of Medicine
Explaining the Declining Rate of Physician Utilization Among the Oldest-Old
This article reports the results of a regression-based cohort analysis of physician utilization rates among eight 4-year cohorts of elderly Americans over an 8-year period. Data on 99,445 noninstitutionalized individuals aged 56-95 were taken from the pooled 1972-73, 1976-77, and 1980-81 Health Interview Surveys. The parameters of the behavioral model of health services utilization were then estimated separately for each cohort within each pooled…
Organizational Structure and Hospital Work
A birth cohort analysis of dental contact among elderly Americans
We applied standard cohort and multiple regression techniques to data on the dental utilization rates of 129,191 elderly individuals taken from the 1972, 1973, 1976, 1977, 1980, and 1981 Health Interview Surveys. The results indicate that the marked variation in dental contact rates is a reflection of cohort succession, and not a function of aging per se. Older cohorts having lower dental contact rates are being replaced by younger cohorts having…
Occupational Prestige in the Health Care Delivery System
Benigno E. Aguirre, Fredric D. Wolinsky, John Niederauer, Verna Keith, Lih-Jiuan Fann, Occupational Prestige in the Health Care Delivery System, Journal of Health and Social Behavior, Vol. 30, No. 3 (Sep., 1989), pp. 315-329
Insights, Clarification, and Missing the Mark
Fredric D. Wolinsky, Robert J. Johnson, Insights, Clarification, and Missing the Mark: A Response to Mechanic, Mortimer, and Hafferty, Journal of Health and Social Behavior, Vol. 31, No. 4 (Dec., 1990), pp. 307-312
The Legacy of Stress Research The Course and the Impact of This Journal
The Journal of Health and Social Behavior (JHSB) is examined to determine its relative stature and impact in the social science community. We conducted both empirical comparisons of average impact (based on the Social Science Citation Index) and content analysis. Over an 11-year period beginning in 1977, JHSB has maintained an enviable position among sociology journals, ranking significantly higher than the American Journal of Sociology and Socia…
The Use of Health Services by Older Adults
Using baseline data on the 5,151 respondents surveyed as part of the panel design of the Longitudinal Study on Aging (LSOA), this article estimates, cross-sectionally, the relationships hypothesized in the behavioral model of health services utilization. In addition to the traditional indicators of the predisposing, enabling, and need characteristics, the richness of the LSOA permits the inclusion of measures of multigenerational living arrangeme…
Perceived Health Status and Mortality Among Older Men and Women
This article separately examines the relationship of perceived health status and mortality for the 1,599 men and 2,904 women self-respondents in the Longitudinal Study on Aging. Using hierarchical logistic regression, the zero-order relationships are decomposed by the serial introduction of demographic, socioeconomic, health status, and psychosocial factors. For men, only those in poor health are significantly more likely to die than those in exc…
Medicine (83 obras) · Psychology (53 obras) · Gerontology (52 obras) · Health disparities and outcomes (38 obras) · Internal Medicine (28 obras) · Demography (24 obras) · Healthcare Policy and Management (24 obras) · Demography (22 obras) · Environmental health (22 obras) · Population (21 obras)