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1. Health and Mental Health Impact of Tornadoes: Are Older Adults More Resilient?

   Cong, Z.; Liang, D. (September 2022, International journal of mass emergencies and disasters)

   Guided by influential theories of disaster research and gerontology, this study examines health resilience associated with tornadoes, particularly focusing on how individuals’ tornado-associated stress, financial losses, and family members’ well-being affected posttraumatic distress (PTD), posttraumatic growth (PTG), and self-reported changes in health among adults. To reach this goal, this study collected data from residents affected by two violent tornadoes in 2013, with the assistance of a professional survey lab which implemented a random-digit-dialling telephone survey. The working sample included 517 respondents with oversampled older adults. Multinomial logistic regression, Poisson regression, and Ordinary Least Square Regression were conducted separately for younger and older adults. The results indicated a significant effect of stress levels on PTG among older adults only. Nonetheless, the differences in effect sizes between the two groups were not significant. Meanwhile, respondents’ financial losses and their family members’ declined health were significant predictors of improved health among older adults. Similarly, family members’ declined mental health was a significant predictor of PTD among older adults, but not younger adults. Compared to young adults, older adults were more vulnerable to their family members’ declined mental health, but also more resilient to stressful situations, financial losses, and family members’ declined physical health. Lastly, although risk and resilience factors could be constructed with the same set of items, they function differently among different groups of people. Hence, more studies on heterogeneity are needed to further refine resilience frameworks. 

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2. Health and Mental Health Impact of Tornadoes: Are Older Adults More Resilient?

   Cong, Z.; Liang, D. (September 2022, International journal of mass emergencies and disasters)

   Guided by influential theories of disaster research and gerontology, this study examines health resilience associated with tornadoes, particularly focusing on how individuals' tornado-associated stress, financial losses, and family members' well-being affected posttraumatic distress (PTD), posttraumatic growth (PTG), and self-reported changes in health among adults. To reach this goal, this study collected data from residents affected by two violent tornadoes in 2013, with the assistance of a professional survey lab which implemented a random-digit-dialling telephone survey. The working sample included 517 respondents with oversampled older adults. Multinomial logistic regression, Poisson regression, and Ordinary Least Square Regression were conducted separately for younger and older adults. The results indicated a significant effect of stress levels on PTG among older adults only. Nonetheless, the differences in effect sizes between the two groups were not significant. Meanwhile, respondents' financial losses and their family members' declined health were significant predictors of improved health among older adults. Similarly, family members' declined mental health was a significant predictor of PTD among older adults, but not younger adults. Compared to young adults, older adults were more vulnerable to their family members' declined mental health, but also more resilient to stressful situations, financial losses, and family members' declined physical health. Lastly, although risk and resilience factors could be constructed with the same set of items, they function differently among different groups of people. Hence, more studies on heterogeneity are needed to further refine resilience frameworks. 

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3. Health Literacy, Health Numeracy, and Trust in Doctor: Effects on Key Patient Health Outcomes

   https://doi.org/10.1111/joca.12267  

   Netemeyer, Richard G.; Dobolyi, David G.; Abbasi, Ahmed; Clifford, Gari; Taylor, Herman (July 2019, Journal of Consumer Affairs)

   This research examines the roles of health literacy, health numeracy, and trust in doctor on: (1) patient anxiety when consulting a doctor; (2) frequency of physician consultations; and (3) patient subjective well‐being (SWB). Our sample consisted of 4,040 adults representative of the United States in terms of age, income, and education, but equally split among White/Caucasian (50%) and Black/African American (50%) respondents. We found that functional and communicative health literacy and trust in doctor have linear and curvilinear relationships with anxiety when consulting a doctor. Health numeracy had no effect. Anxiety when consulting a doctor was associated with a lower number of physician consultations and lower SWB. We observed direct linear effects of health literacy, health numeracy, and trust in doctor on frequency of physician consultations and SWB, as well as some curvilinear effects. We found a negative relationship between health numeracy and SWB. We discuss implications of these findings for health and public policy. 

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4. Public Health Roles in Addressing Commercial Determinants of Health

   https://doi.org/10.1146/annurev-publhealth-052220-020447  

   Lee, Kelley; Freudenberg, Nicholas (April 2022, Annual Review of Public Health)

   The shared challenges posed by the production and distribution of health-harming products have led to growing recognition of the need for policy learning and transfer across problems, populations, and social contexts. The commercial determinants of health (CDoH) can serve as a unifying concept to describe the population health consequences arising from for-profit actors and activities, along with the social structures that sustain them. Strategies to mitigate harms from CDoH have focused on behavioral change, regulation, fiscal policies, consumer and citizen activism, and litigation. While there is evidence of effective measures for each strategy, approaches that combine strategies are generally more impactful. Filling gaps in evidence can inform ways of adapting these strategies to specific populations and social contexts. Overall, CDoH are addressed most effectively not through siloed efforts to reduce consumption of health-harming products, but instead as a set of integrated strategies to reduce exposures to health-harming commercial actors and activities. 

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5. Comprehensive Personal Health Knowledge Graph for Effective Management and Utilization of Personal Health Data

   https://doi.org/10.1109/AIMHC59811.2024.00026  

   Hendawi, Rasha; Li, Juan (February 2024, IEEE)