2025
Sex-selective abortion bans and the birth outcomes of Asian immigrants
Zang E, Okura K, Tian M. Sex-selective abortion bans and the birth outcomes of Asian immigrants. Social Science & Medicine 2025, 383: 118442. PMID: 40752241, PMCID: PMC12362279, DOI: 10.1016/j.socscimed.2025.118442.Peer-Reviewed Original ResearchConceptsSex-selective abortionAsian immigrantsSex‐selective abortions of female fetusesAbortion of female fetusesImmigrants’ well-beingTriple-difference approachAbortion accessConsequences of policiesPro-life movementAnti-Asian hateNational Vital Statistics SystemUnited StatesVital Statistics SystemAsian immigrant mothersLikelihood of low birth weightHealth consequencesLegislative victoriesImmigrant mothersXenophobic stereotypesAbortion banPolicy discussionsScholarly attentionTriple-differenceBirth outcomesCultural preferencesRegional disparities in cognitive life expectancy: The role of birth and current residence in the United States
Wong J, Zang E. Regional disparities in cognitive life expectancy: The role of birth and current residence in the United States. Health & Place 2025, 94: 103475. PMID: 40311376, PMCID: PMC12258385, DOI: 10.1016/j.healthplace.2025.103475.Peer-Reviewed Original ResearchConceptsCognitive impairment riskCurrent residenceLife expectancyCognitive impairmentMultistate life table approachHealth and Retirement StudyRegional disparitiesHealthy life expectancyImpairment riskImpact of birthLong-term healthLife table approachPercentage of lifeRetirement StudyImpaired life expectancyEstimate yearsBirth regionDementiaPolicy implicationsCombination of birthCognitive declineResidentsHealthDisparitiesBirthIncidence of Frailty, Dementia, and Disability Among Community‐Living Older Americans According to County‐Level Disadvantage
Wang Y, Zang E, Davis‐Plourde K, Vander Wyk B, Gill T, Becher R. Incidence of Frailty, Dementia, and Disability Among Community‐Living Older Americans According to County‐Level Disadvantage. Journal Of The American Geriatrics Society 2025, 73: 1847-1856. PMID: 40196885, PMCID: PMC12213133, DOI: 10.1111/jgs.19465.Peer-Reviewed Original ResearchConceptsNational Health and Aging Trends StudyActivities of daily living disabilityActivities of daily livingIncidence of frailtySocial determinants of healthOlder personsOlder AmericansContextual disadvantageAge- and sex-adjusted HRDisadvantaged countiesDeterminants of healthSex-adjusted HRNationally representative longitudinal studyRepresentative longitudinal studyCommunity-livingDaily livingClinically Meaningful OutcomesTrends StudyGeriatric conditionsNo prior studiesNational incidenceIncidence rateDementiaFrailtyCounty-levelNovel indices of state- and county-level social disadvantage in older Americans and disparities in mortality
Wang Y, Zang E, Davis-Plourde K, Gill T, Becher R. Novel indices of state- and county-level social disadvantage in older Americans and disparities in mortality. Health & Place 2025, 92: 103438. PMID: 40058245, PMCID: PMC12142587, DOI: 10.1016/j.healthplace.2025.103438.Peer-Reviewed Original ResearchConceptsIncreased mortality riskContextual disadvantageOlder personsOlder AmericansCommunity-living older personsSocial disadvantageMortality riskIndices of social disadvantageReduce health disparitiesPopulation of older AmericansCounty-levelPublic health policiesNon-disadvantaged groupsMortality disparitiesHealth disparitiesHealth policyMortality existUnited StatesDisadvantaged countiesNegative binomial modelGeriatric populationComposite indexDisparitiesDisadvantaged statesMultidimensional factorsCare Recipients’ Cognitive Trajectories and Caregivers’ Depressive Symptoms: The Mediating Role of Caregiving Burden
Lou Y, Gong J, Zang E. Care Recipients’ Cognitive Trajectories and Caregivers’ Depressive Symptoms: The Mediating Role of Caregiving Burden. The Gerontologist 2025, 65: gnaf024. PMID: 39873410, PMCID: PMC11934274, DOI: 10.1093/geront/gnaf024.Peer-Reviewed Original ResearchConceptsCaregiver depressive symptomsCare recipientsCaregiver burdenDepressive symptomsCognitive trajectoriesCaregiving burdenNational Health and Aging Trends StudyNational Study of CaregivingFinancial caregiving burdensCaregiver mental healthStudy of CaregivingStress process modelLongitudinal cognitive courseGroup-based trajectoryCaregiving difficultiesCaregiving experienceTrajectory group membershipEmotional burdenTrends StudyMental healthCaregiversCareTrajectory groupsNational studyCognitive function
2024
A Novel Time Use Approach on Daily Active Engagement With Life: The Intersectionality of Race and Gender
Wong J, Lu S, Lou Y, Zang E, Carr D. A Novel Time Use Approach on Daily Active Engagement With Life: The Intersectionality of Race and Gender. The Gerontologist 2024, 65: gnae150. PMID: 39435851, PMCID: PMC11761692, DOI: 10.1093/geront/gnae150.Peer-Reviewed Original ResearchConceptsAmerican Time Use SurveySelf-rated healthUnpaid workPaid workSocial participationActive engagement with lifeAssociated with better self-rated healthTime diary dataBetter self-rated healthTime Use SurveyBlack womenIntersection of raceEngagement with lifePersistent structural barriersWhite womenUse SurveyHealth varyU.S. older adultsStructural barriersBlack menProductive engagementOlder adultsRacial differencesDiary dataGenderLong-term exposure to wildland fire smoke PM2.5 and mortality in the contiguous United States
Ma Y, Zang E, Liu Y, Wei J, Lu Y, Krumholz H, Bell M, Chen K. Long-term exposure to wildland fire smoke PM2.5 and mortality in the contiguous United States. Proceedings Of The National Academy Of Sciences Of The United States Of America 2024, 121: e2403960121. PMID: 39316057, PMCID: PMC11459178, DOI: 10.1073/pnas.2403960121.Peer-Reviewed Original ResearchConceptsWildland firesContiguous United StatesNonaccidental mortalityExposure to ambient fine particlesSmoke PMWildland fire smokeMoving average concentrationsAmbient fine particlesLong-term exposureAverage concentrationSmoke PMHealth risksFine particlesFire smokeTemporal confoundingHealth effectsKidney disease mortalityChronic kidney disease mortalityPublic health actionFireMortality rateUnited StatesDisease mortalityHealth actionsMortality outcomesSocial Determinants of Health and Delivery of Rehabilitation to Older Adults During ICU Hospitalization
Jain S, Murphy T, Falvey J, Leo-Summers L, O’Leary J, Zang E, Gill T, Krumholz H, Ferrante L. Social Determinants of Health and Delivery of Rehabilitation to Older Adults During ICU Hospitalization. JAMA Network Open 2024, 7: e2410713. PMID: 38728030, PMCID: PMC11087837, DOI: 10.1001/jamanetworkopen.2024.10713.Peer-Reviewed Original ResearchConceptsSocial determinants of healthDeterminants of healthOccupational therapyPhysical therapyOlder adultsRural residentsIntensive care unit hospitalizationRehabilitation deliveryIntensive care unitSocial determinantsSocioeconomic disadvantageNational Health and Aging Trends StudyDelivery of physical therapyIllness hospitalizationFactors associated with lower oddsDelivery of rehabilitationIn-hospital rehabilitationMitigate functional declineMedicaid eligibilityBurden of disabilityHigh school educationDual MedicareTrends StudyMedicare claimsLength of stay
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