Denis A Evans
Dados Biográficos
| ID | 3596712 |
|---|---|
| NOME | Denis A Evans |
| PRENOMES | Denis A |
| SOBRENOME | Evans |
| ASSINATURA | EVANS D A |
| AFILIAÇÕES | Rush University Medical Center |
| ORCID | 0000-0003-4755-5401 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 33 |
| TOTAL DE CITAÇÕES | 503 |
| TOTAL COMO AUTOR | 33 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1988 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2024 |
| ÍNDICE H | 9 |
Perceived Stress, Blood Biomarkers, and Cognitive Functioning in Older Adults
INTRODUCTION: There is a substantial gap in knowledge regarding how perceived stress may influence the relationship between serum-measured biomarkers for Alzheimer's disease and cognitive decline. METHODS: This study consists of 1118 older adult participants from the Chicago Health and Aging Project (CHAP) (60% Black participants and 63% female participants). Linear mixed effects regression models were conducted to examine the role of perceived s…
Race and Apolipoprotein E-e4 Allele Status Differences in the Association Between Loneliness and Cognitive Decline
OBJECTIVE: This study aimed to examine race and apolipoprotein E-e4 allele (APOE-e4) status differences in the longitudinal associations between loneliness and cognitive decline. METHODS: The study sample is composed of participants ( N = 7696, 64% Black participants and 36% White participants) from the Chicago Health and Aging Project, a population-based cohort study. Mixed-effects regression models were conducted to examine the longitudinal ass…
Population estimate of people with clinical Alzheimer's disease and mild cognitive impairment in the United States (2020–2060)
Secular Trends in Cognitive Performance in Older Black and White U.S. Adults, 1993–2012
Between 1993 and 2012, secular trends in cognitive performance in this established cohort did not follow a clear pattern of improvement, contrasting with previous research. But patterns differed by cognitive domain, performance level, and race
Aging Audiences
Our findings suggest that live performances form a valuable component of arts engagement and should be encouraged for potential cognitive benefits
Cognitive decline and the neighborhood environment
Gene-Behavior Interaction of Depressive Symptoms and the Apolipoprotein E [Latin Small Letter Open E]4 Allele on Cognitive Decline
OBJECTIVE: Depressive symptoms and the apolipoprotein E (APOE) ε4 allele are independent risk factors for cognitive decline. However, it is not clear whether the presence of both depressive symptoms and the APOE ε4 allele increases cognitive decline. METHODS: A prospective study of a population-based sample of 4150 (70% African American and 63% women) participants 65 years and older who were interviewed at 3-year intervals was conducted. Depressi…
Perceived Stress and Change in Cognitive Function Among Adults 65 Years and Older
OBJECTIVE: Exposure to acute and chronic stress can affect learning and memory, but most evidence comes from animal studies or clinical observations. Almost no population-based studies have investigated the relation of stress to cognition or changes in cognition over time. We examined whether higher levels of perceived stress were associated with accelerated decline in cognitive function in older blacks and whites from a community-based populatio…
Alzheimer disease in the United States (2010–2050) estimated using the 2010 census
OBJECTIVES: To provide updated estimates of Alzheimer disease (AD) dementia prevalence in the United States from 2010 through 2050. METHODS: Probabilities of AD dementia incidence were calculated from a longitudinal, population-based study including substantial numbers of both black and white participants. Incidence probabilities for single year of age, race, and level of education were calculated using weighted logistic regression and AD dementi…
Accounting for Bias Due to Selective Attrition
BACKGROUND: Selective attrition may introduce bias into analyses of the determinants of cognitive decline. This is a concern especially for risk factors, such as smoking, that strongly influence mortality and dropout. Using inverse-probability-of-attrition weights, we examined the influence of selective attrition on the estimated association of current smoking (vs. never smoking) with cognitive decline. METHODS: Chicago Health and Aging Project p…
Elder Self-Neglect Is Associated With Increased Risk for Elder Abuse in a Community-Dwelling Population
Elder self-neglect report is associated with increased risk for subsequent elder abuse report to social services agency
Social disorder, Apoe-E4 genotype, and change in cognitive function among older adults living in Chicago
The Prevalence of Elder Self-Neglect in a Community-Dwelling Population
Self-neglect was clearly prevalent among older adults, especially among those with lower health status and physical and cognitive function
Neighborhood socioeconomic conditions are associated with psychosocial functioning in older black and white adults
Hostility and Change in Cognitive Function Over Time in Older Blacks and Whites
OBJECTIVE: To test whether the level of hostility predicted the rate of cognitive decline in a community of older blacks and whites and whether the association varied as a function of race. METHODS: Over 4800 persons from a defined community in Chicago completed up to three structured interviews at approximately 3 year intervals over a period of up to 8.8 years (mean = 4.4 years). At the baseline interview, hostility was assessed with 8-items fro…
Neighborhood Social Cohesion and Disorder in Relation to Walking in Community-Dwelling Older Adults
Objectives. To examine the role of neighborhood social conditions and walking in community-dwelling older adults. Methods. A multi-level analysis of data from 4,317 older adults (mean age = 74.5; 73% black) from a geographically-defined urban community. Participants completed structured interviews including 14 questions on neighborhood conditions and self-reported walking. The neighborhood questions were summarized into individual-level measures …
Is Greater Self-Neglect Severity Associated With Lower Levels of Physical Function
Higher self-neglect severity is associated with lower levels of physical function among older adults
Perceived Discrimination and Mortality in a Population-Based Study of Older Adults
Perceived discrimination was associated with increased mortality risk in a general population of older adults. The results suggest that subjective experience of interpersonal mistreatment is toxic in old age. This study adds to a growing literature documenting discrimination as an important social determinant of health
Black–white differences in health-related quality of life among older adults
Do Depressive Symptoms Predict Declines in Physical Performance in an Elderly, Biracial Population
OBJECTIVE: We investigated whether depressive symptoms, assessed by the 10-item Center for Epidemiological Studies Depression Scale (CES-D), predicted change in physical function in elderly adults. METHODS: Participants were from a biracial, population-based sample of adults aged 65 and older (N: 4069; 61% black; 61% female). Physical function was assessed as a summary performance measure of tandem stand, measured walk, and repeated chair stand (…
Neuroticism, Extraversion, and Mortality in a Defined Population of Older Persons
OBJECTIVE: The objective of this study was to test the association of the personality traits of neuroticism and extraversion with risk of death in old age. METHODS: A census was taken of a geographically defined urban community in Chicago, and those aged 65 years or older were invited to participate in an in-home interview; 6158 (79% of those eligible) did so. The interview included brief measures of neuroticism and extraversion, medical history,…
Caregiver Psychological Adjustment and Institutionalization of Persons With Alzheimer’s Disease
The findings highlight the importance of caregiver appraisals in decisions to institutionalize persons with a dementia syndrome, but the limited impact of caregiver emotion was unexpected and requires further study
Geriatric Interdisciplinary Team Training Program
Geriatric interdisciplinary team training has long been a goal in health education with little progress. In 1997, the John A. Hartford Foundation funded eight programs nationally to create Geriatric Interdisciplinary Team Training (GITT) programs. Faculty trained 1,341 health professions students. The results of the evaluation, including presentation of new measures developed to assess interdisciplinary knowledge, are presented, and the implicati…
Racial Disparities in Disability
Racial disparities in disability have not been eliminated, are greater among women, and have their origins earlier in adulthood
Social resources and cognitive decline in a population of older African Americans and whites
OBJECTIVE: To examine the relation of social resources and cognitive decline in older adults. METHODS: Data are from the Chicago Health and Aging Project, an epidemiologic study of risk factors for Alzheimer disease (AD) and other common conditions in a geographically defined population of older persons. The sample consisted of 6,102 non-Hispanic African Americans (61.2%) and whites, aged > or = 65, who underwent up to three interviews during an …
Two Shorter Forms of the CES-D Depression Symptoms Index
Brief measurement devices can alleviate respondent burden and lower refusal rates in surveys. This article reports on a field test of two shorter forms of the Center for Epidemiological Studies Depression (CES-D) symptoms index in a multisite survey of persons 65 and older. Factor analyses demonstrate that the briefer forms tap the same symptoms dimensions as does the original CES-D, and reliability statistics indicate that they sacrifice little …
Perceived Discrimination and Mortality in a Population-Based Study of Older Adults
Perceived discrimination was associated with increased mortality risk in a general population of older adults. The results suggest that subjective experience of interpersonal mistreatment is toxic in old age. This study adds to a growing literature documenting discrimination as an important social determinant of health
Racial Differences in Perceived Discrimination in a Community Population of Older Blacks and Whites
These findings suggest that older Blacks perceive more discrimination than do older Whites. This may have important implications for health differences between older Blacks and Whites
Neighborhood Social Cohesion and Disorder in Relation to Walking in Community-Dwelling Older Adults
Objectives. To examine the role of neighborhood social conditions and walking in community-dwelling older adults. Methods. A multi-level analysis of data from 4,317 older adults (mean age = 74.5; 73% black) from a geographically-defined urban community. Participants completed structured interviews including 14 questions on neighborhood conditions and self-reported walking. The neighborhood questions were summarized into individual-level measures …
Racial Disparities in Disability
Racial disparities in disability have not been eliminated, are greater among women, and have their origins earlier in adulthood
A Longitudinal Study of Black–White Differences in Social Resources
The findings provide evidence for lower levels of social resources among older Blacks. There was little evidence that racial differences were the result of greater decline during old age itself
Social disorder, Apoe-E4 genotype, and change in cognitive function among older adults living in Chicago
A prospective study of incident comprehensive medical home care use among the elderly
This prospective study directly examines, in a defined community population, the extent to which a wide array of characteristics predict utilization of an important long-term care (LTC) service--medical home care--over a two-year interval among the cohort of 3,706 people aged 65 or older. The overall age-sex adjusted rate of two-year incident home care use was 3.2 per cent. For both men and women, the rates among the aged 85 or older group were a…
Neighborhood socioeconomic conditions are associated with psychosocial functioning in older black and white adults
Personality and Mortality in Old Age
We examined the relation of personality to mortality in 883 older Catholic clergy members (69% women). At baseline, they completed the NEO Five-Factor Inventory, which assesses the five principal dimensions of personality. They were followed for a mean of 5.1 years, during which 182 deaths occurred. Risk of death was nearly doubled in those with a high neuroticism score (90th percentile) compared with a low score (10th percentile) and was approxi…
Predictors of Beginning and Ending Caregiving During a 3-Year Period in a Biracial Community Population of Older Adults
Objectives. We sought to identify predictors of beginning and ending caregiving. Methods. At baseline and 3-year follow-up, we interviewed 4245 community residents (61.4% Black, 38.4% White, 0.20% other) aged 65 years or older. We used logistic regression to test predictors of beginning caregiving among baseline noncaregivers and of continuing caregiving among baseline caregivers. Results. After control for demographic variables, physically healt…
Secular Trends in Cognitive Performance in Older Black and White U.S. Adults, 1993–2012
Between 1993 and 2012, secular trends in cognitive performance in this established cohort did not follow a clear pattern of improvement, contrasting with previous research. But patterns differed by cognitive domain, performance level, and race
The Prevalence of Elder Self-Neglect in a Community-Dwelling Population
Self-neglect was clearly prevalent among older adults, especially among those with lower health status and physical and cognitive function
Is Greater Self-Neglect Severity Associated With Lower Levels of Physical Function
Higher self-neglect severity is associated with lower levels of physical function among older adults
Geriatric Interdisciplinary Team Training Program
Geriatric interdisciplinary team training has long been a goal in health education with little progress. In 1997, the John A. Hartford Foundation funded eight programs nationally to create Geriatric Interdisciplinary Team Training (GITT) programs. Faculty trained 1,341 health professions students. The results of the evaluation, including presentation of new measures developed to assess interdisciplinary knowledge, are presented, and the implicati…
Elder Self-Neglect Is Associated With Increased Risk for Elder Abuse in a Community-Dwelling Population
Elder self-neglect report is associated with increased risk for subsequent elder abuse report to social services agency
A prospective study of incident comprehensive medical home care use among the elderly
This prospective study directly examines, in a defined community population, the extent to which a wide array of characteristics predict utilization of an important long-term care (LTC) service--medical home care--over a two-year interval among the cohort of 3,706 people aged 65 or older. The overall age-sex adjusted rate of two-year incident home care use was 3.2 per cent. For both men and women, the rates among the aged 85 or older group were a…
Maintaining Mobility in Late Life. I. Demographic Characteristics and Chronic Conditions
To assess the role of demographic factors and chronic conditions in maintaining mobility in older persons, this study utilized longitudinal data collected as part of the Established Populations for Epidemiologic Studies of the Elderly between 1981 and 1987 on 6,981 men and women aged 65 years and older in East Boston, Massachusetts; Iowa and Washington counties, Iowa; and New Haven, Connecticut. Results are presented for those who at baseline rep…
Two Shorter Forms of the CES-D Depression Symptoms Index
Brief measurement devices can alleviate respondent burden and lower refusal rates in surveys. This article reports on a field test of two shorter forms of the Center for Epidemiological Studies Depression (CES-D) symptoms index in a multisite survey of persons 65 and older. Factor analyses demonstrate that the briefer forms tap the same symptoms dimensions as does the original CES-D, and reliability statistics indicate that they sacrifice little …
Decline of Language Among Women and Men With Alzheimer's Disease
Previous research raises the possibility that gender differences occur in language function in Alzheimer's disease, but this hypothesis has not been evaluated systematically in longitudinal studies. The authors examined the association of gender with rate of decline in language and other cognitive functions among 410 persons with Alzheimer's disease. Participants were recruited from a dementia clinic and followed for up to 5 annual evaluations. F…
Social resources and cognitive decline in a population of older African Americans and whites
OBJECTIVE: To examine the relation of social resources and cognitive decline in older adults. METHODS: Data are from the Chicago Health and Aging Project, an epidemiologic study of risk factors for Alzheimer disease (AD) and other common conditions in a geographically defined population of older persons. The sample consisted of 6,102 non-Hispanic African Americans (61.2%) and whites, aged > or = 65, who underwent up to three interviews during an …
Personality and Mortality in Old Age
We examined the relation of personality to mortality in 883 older Catholic clergy members (69% women). At baseline, they completed the NEO Five-Factor Inventory, which assesses the five principal dimensions of personality. They were followed for a mean of 5.1 years, during which 182 deaths occurred. Risk of death was nearly doubled in those with a high neuroticism score (90th percentile) compared with a low score (10th percentile) and was approxi…
A Longitudinal Study of Black–White Differences in Social Resources
The findings provide evidence for lower levels of social resources among older Blacks. There was little evidence that racial differences were the result of greater decline during old age itself
Predictors of Beginning and Ending Caregiving During a 3-Year Period in a Biracial Community Population of Older Adults
Objectives. We sought to identify predictors of beginning and ending caregiving. Methods. At baseline and 3-year follow-up, we interviewed 4245 community residents (61.4% Black, 38.4% White, 0.20% other) aged 65 years or older. We used logistic regression to test predictors of beginning caregiving among baseline noncaregivers and of continuing caregiving among baseline caregivers. Results. After control for demographic variables, physically healt…
Racial Differences in Perceived Discrimination in a Community Population of Older Blacks and Whites
These findings suggest that older Blacks perceive more discrimination than do older Whites. This may have important implications for health differences between older Blacks and Whites
Do Depressive Symptoms Predict Declines in Physical Performance in an Elderly, Biracial Population
OBJECTIVE: We investigated whether depressive symptoms, assessed by the 10-item Center for Epidemiological Studies Depression Scale (CES-D), predicted change in physical function in elderly adults. METHODS: Participants were from a biracial, population-based sample of adults aged 65 and older (N: 4069; 61% black; 61% female). Physical function was assessed as a summary performance measure of tandem stand, measured walk, and repeated chair stand (…
Neuroticism, Extraversion, and Mortality in a Defined Population of Older Persons
OBJECTIVE: The objective of this study was to test the association of the personality traits of neuroticism and extraversion with risk of death in old age. METHODS: A census was taken of a geographically defined urban community in Chicago, and those aged 65 years or older were invited to participate in an in-home interview; 6158 (79% of those eligible) did so. The interview included brief measures of neuroticism and extraversion, medical history,…
Caregiver Psychological Adjustment and Institutionalization of Persons With Alzheimer’s Disease
The findings highlight the importance of caregiver appraisals in decisions to institutionalize persons with a dementia syndrome, but the limited impact of caregiver emotion was unexpected and requires further study
Geriatric Interdisciplinary Team Training Program
Geriatric interdisciplinary team training has long been a goal in health education with little progress. In 1997, the John A. Hartford Foundation funded eight programs nationally to create Geriatric Interdisciplinary Team Training (GITT) programs. Faculty trained 1,341 health professions students. The results of the evaluation, including presentation of new measures developed to assess interdisciplinary knowledge, are presented, and the implicati…
Racial Disparities in Disability
Racial disparities in disability have not been eliminated, are greater among women, and have their origins earlier in adulthood
Black–white differences in health-related quality of life among older adults
Perceived Discrimination and Mortality in a Population-Based Study of Older Adults
Perceived discrimination was associated with increased mortality risk in a general population of older adults. The results suggest that subjective experience of interpersonal mistreatment is toxic in old age. This study adds to a growing literature documenting discrimination as an important social determinant of health
Hostility and Change in Cognitive Function Over Time in Older Blacks and Whites
OBJECTIVE: To test whether the level of hostility predicted the rate of cognitive decline in a community of older blacks and whites and whether the association varied as a function of race. METHODS: Over 4800 persons from a defined community in Chicago completed up to three structured interviews at approximately 3 year intervals over a period of up to 8.8 years (mean = 4.4 years). At the baseline interview, hostility was assessed with 8-items fro…
Neighborhood Social Cohesion and Disorder in Relation to Walking in Community-Dwelling Older Adults
Objectives. To examine the role of neighborhood social conditions and walking in community-dwelling older adults. Methods. A multi-level analysis of data from 4,317 older adults (mean age = 74.5; 73% black) from a geographically-defined urban community. Participants completed structured interviews including 14 questions on neighborhood conditions and self-reported walking. The neighborhood questions were summarized into individual-level measures …
Is Greater Self-Neglect Severity Associated With Lower Levels of Physical Function
Higher self-neglect severity is associated with lower levels of physical function among older adults
The Prevalence of Elder Self-Neglect in a Community-Dwelling Population
Self-neglect was clearly prevalent among older adults, especially among those with lower health status and physical and cognitive function
Neighborhood socioeconomic conditions are associated with psychosocial functioning in older black and white adults
Accounting for Bias Due to Selective Attrition
BACKGROUND: Selective attrition may introduce bias into analyses of the determinants of cognitive decline. This is a concern especially for risk factors, such as smoking, that strongly influence mortality and dropout. Using inverse-probability-of-attrition weights, we examined the influence of selective attrition on the estimated association of current smoking (vs. never smoking) with cognitive decline. METHODS: Chicago Health and Aging Project p…
Elder Self-Neglect Is Associated With Increased Risk for Elder Abuse in a Community-Dwelling Population
Elder self-neglect report is associated with increased risk for subsequent elder abuse report to social services agency
Social disorder, Apoe-E4 genotype, and change in cognitive function among older adults living in Chicago
Alzheimer disease in the United States (2010–2050) estimated using the 2010 census
OBJECTIVES: To provide updated estimates of Alzheimer disease (AD) dementia prevalence in the United States from 2010 through 2050. METHODS: Probabilities of AD dementia incidence were calculated from a longitudinal, population-based study including substantial numbers of both black and white participants. Incidence probabilities for single year of age, race, and level of education were calculated using weighted logistic regression and AD dementi…
Medicine (30 obras) · Psychology (26 obras) · Gerontology (22 obras) · Psychiatry (21 obras) · Demography (18 obras) · Health disparities and outcomes (17 obras) · Population (17 obras) · Cognition (13 obras) · Gerontology (13 obras) · Dementia and Cognitive Impairment Research (12 obras)