American journal of preventive medicine
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Older adults experiencing loneliness or social isolation may experience poor patient-provider communication, potentially contributing to suboptimal health care utilization, particularly in mental health care. However, empirical evidence is limited. Thus, this study examined whether there were differences in patient-provider communication and health care utilization between Medicare beneficiaries with and without loneliness and social isolation. ⋯ These findings highlight significant disparities in patient-provider communication among Medicare beneficiaries experiencing loneliness and social isolation. These disparities may partly result from limited engagement with mental health services, which could help address their specific health care needs.
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The American population diagnosed with opioid use disorder (OUD) is growing, particularly those aged ≥65 years. Less than 30% of OUD patients receive medication for opioid use disorder (MOUD), and even fewer older adults. ⋯ The rate of MOUD use was low in older adults. The disparity in MOUD use underscores the need for improved access to comprehensive opioid treatment programs and increased MOUD coverage. Additional studies of treatment patterns are also warranted.
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The relationship between physical activity behaviour and subsequent falls in adults from mid-life to older age is unclear. Falls and fall-related injuries could lessen physical activity participation. This study examined patterns and bidirectional associations between physical activity and falls from mid-life to older age. ⋯ The prospective bidirectional association between physical activity and falls supports addressing falls by promoting activity and highlighting the impact of injurious falls on reduced physical activity participation.