Scholars@Duke
Hanzhang Xu

Hanzhang Xu

Associate Professor in the School of Nursing
School of Nursing
hanzhang.xu@duke.edu
311 Trent Drive, Ipe 4261, Durham, NC 27710

Selected Publications

Racial and ethnic disparities in longitudinal trajectories of hospitalizations in patients diagnosed with heart failure.

Journal Article Am Heart J · September 2025 BACKGROUND: Racial and ethnic disparities in hospitalizations among heart failure (HF) patients have been well documented. However, little is known about racial and ethnic differences in the long-term trajectories of hospital admissions that follow the dia ... Full text Link to item Cite

The association between adverse childhood experiences and frailty among middle-aged and older adults in Rural South Africa

Journal Article Aging and Health Research · September 1, 2025 Background: Adverse childhood experiences (ACEs) negatively impact later physical and mental health. However, evidence is lacking in low- and middle-income countries. We examined the association between ACEs and frailty among middle-aged and older adults i ... Full text Cite

Development and Validation of a Social Frailty Index Among Older Adults in the Philippines.

Journal Article Journal of aging and health · June 2025 BackgroundSocial frailty has not been studied in the Philippines, a Southeast Asian country with distinct sociocultural characteristics.ObjectiveTo (i) develop and validate the Social Frailty Index-Philippines (SFI-Phil), using all-cause mortality (up to 4 ... Full text Cite

Reducing Readmission for Sepsis by Improving Risk Prediction Algorithms.

Journal Article American journal of critical care : an official publication, American Association of Critical-Care Nurses · May 2025 Unplanned readmissions after sepsis, rates of which range from 17.5% to 32%, pose substantial challenges for health care systems. Associated costs for sepsis surpass those for other critical conditions. Existing readmission risk models rely primarily on cl ... Full text Cite

Longitudinal Associations Between Psychological Resilience and Cognitive Function: Evidence From the U.S. Health and Retirement Study.

Journal Article The journals of gerontology. Series B, Psychological sciences and social sciences · January 2025 ObjectivesReductions in psychological resilience and declining cognition are common among older adults. Understanding the longitudinal association between them could be beneficial for interventions that focus on age-related cognitive and psycholog ... Full text Cite

Racial and ethnic disparities in longitudinal trajectories of cardiovascular risk factors in U.S. middle-aged and older adults.

Journal Article PLoS One · 2025 BACKGROUND: Racial and ethnic disparities in cardiovascular disease (CVD) risk factors are well-documented. However, racial and ethnic differences in the longitudinal changes among multiple CVD risk factors are unknown. METHODS: We used prospective cohort ... Full text Link to item Cite

The Impact of Later-Life Learning on Trajectories of Cognitive Function Among U.S. Older Adults.

Journal Article Innovation in aging · January 2025 Background and objectivesLow education in early life is a major risk factor for dementia. However, little is known about how education in later life is related to cognitive function in older adults. We assessed whether later-life learning was asso ... Full text Cite

Physical activity initiated from midlife on risk of dementia and cognitive impairment: The Health and Retirement Study.

Journal Article Journal of the American Geriatrics Society · December 2024 BackgroundPhysical activity is associated with lower risk of dementia and cognitive impairment, but existing randomized controlled trials have shown conflicting results. As cognitive decline occurs decades before the onset of dementia, physical ac ... Full text Cite

Association Between Socioeconomic Disadvantage and Risks of Early and Recurrent Admissions Among Patients With Newly Diagnosed Heart Failure.

Journal Article Circ Cardiovasc Qual Outcomes · December 2024 BACKGROUND: Socioeconomic disadvantage is associated with greater risks of hospital readmission and mortality among patients with heart failure (HF). However, it is less clear whether socioeconomic disadvantage has an immediate and lasting impact on the ri ... Full text Link to item Cite

Extracting Critical Information from Unstructured Clinicians' Notes Data to Identify Dementia Severity Using a Rule-Based Approach: Feasibility Study.

Journal Article JMIR Aging · September 24, 2024 BACKGROUND: The severity of Alzheimer disease and related dementias (ADRD) is rarely documented in structured data fields in electronic health records (EHRs). Although this information is important for clinical monitoring and decision-making, it is often u ... Full text Link to item Cite

Association of Patient-Reported Social Needs with Emergency Department Visits and Hospitalizations Among Federally Qualified Health Center Patients.

Journal Article J Gen Intern Med · August 2024 BACKGROUND: Health care systems are increasingly screening for unmet social needs. The association between patient-reported social needs and health care utilization is not well understood. OBJECTIVE: To investigate the association between patient-reported ... Full text Link to item Cite

Socioeconomic disadvantage and long-term survival duration in out-of-hospital cardiac arrest patients: A population-based cohort study.

Journal Article Resuscitation plus · June 2024 BackgroundSocioeconomic status (SES) is a well-established determinant of cardiovascular health. However, the relationship between SES and clinical outcomes in long-term out-of-hospital cardiac arrest (OHCA) is less well-understood. The Singapore ... Full text Cite

Care sequences leading to the diagnosis of Alzheimer's disease and related dementias: An analysis of electronic health records.

Journal Article Alzheimers Dement · March 2024 BACKGROUND: We examined the sequences of clinical care leading to diagnoses of Alzheimer's disease and related dementias (ADRD) using electronic health records from a large academic medical center. METHODS: We included patients aged 65+ with their first AD ... Full text Link to item Cite

A Polysocial Approach in Exploring Racial and Ethnic Differences in Dementia and Cognitive Decline Among U.S. Older Adults: Health and Retirement Study.

Journal Article Innovation in aging · January 2024 Background and objectivesThe racial or ethnic disparity in the burden of dementia exists among older adults in the United States, whereas gaps remain in understanding the synergic effect of multiple social determinants of health on diminishing thi ... Full text Cite

Association between perceived risk of Alzheimer's disease and related dementias and cognitive function among U.S. older adults.

Journal Article Arch Gerontol Geriatr · December 2023 INTRODUCTION: The aim of the study was to assess factors associated with the perceived risk of developing Alzheimer's disease and related dementias (ADRD) and how the perceived risk of ADRD was related to cognitive function. METHODS: We conducted a retrosp ... Full text Open Access Link to item Cite

Existing Datasets to Study the Impact of Internal Migration on Caregiving Arrangements among Older Adults in China.

Journal Article J Aging Soc Policy · September 3, 2023 Massive rural-to-urban migration in China has a significant impact on informal caregiving arrangements among Chinese older adults. To stimulate research on the intersection of migration and caregiving, we conducted an inventory of longitudinal aging survey ... Full text Link to item Cite

Ten-Year Cardiovascular Disease Risk Score and Cognitive Function Among Older Adults: The National Health and Nutrition Examination Survey 2011 to 2014.

Journal Article Journal of the American Heart Association · June 2023 Background The Framingham 10-year cardiovascular disease risk score, which is based on age, sex, smoking, total cholesterol, high-density lipoprotein-cholesterol, blood pressure, and diabetes, has been found to be associated with cognitive health, but thes ... Full text Cite

Cognitive behavioural therapy and medication for treatment of adolescent depression: a network meta-analysis.

Journal Article Behav Cogn Psychother · May 2023 BACKGROUND: Cognitive behavioural therapy (CBT) and medication are widely accepted and useful interventions for individuals with depression. However, a gap remains in our current understanding of how CBT directly benefits adolescents with depression. AIMS: ... Full text Link to item Cite

Cardiovascular Disease-Related Emergency Department Visits and Hospitalization among Women with Hypertensive Disorders of Pregnancy.

Journal Article American journal of preventive medicine · May 2023 IntroductionThe risk of developing cardiovascular disease is higher for women who had hypertensive disorders of pregnancy than for women without a history of hypertensive disorders of pregnancy. However, it is unknown whether the emergency departm ... Full text Cite

Meta-Analysis of Variations in Association between APOE ɛ4 and Alzheimer's Disease and Related Dementias Across Hispanic Regions of Origin.

Journal Article J Alzheimers Dis · 2023 BACKGROUND: Emerging research has shown racial and ethnic variations in the magnitude of association between the apolipoprotein ɛ4 (APOE ɛ4) allele and the risk of developing Alzheimer's disease and related dementias (ADRD). Studies researching this associ ... Full text Link to item Cite

Initiation of Antihypertensive Medication from Midlife on Incident Dementia: The Health and Retirement Study.

Journal Article Journal of Alzheimer's disease : JAD · January 2023 BackgroundHypertension has been identified as a risk factor of dementia, but most randomized trials did not show efficacy in reducing the risk of dementia. Midlife hypertension may be a target for intervention, but it is infeasible to conduct a tr ... Full text Cite

Factors associated with racial differences in all-cause 30-day readmission in adults with cardiovascular disease: an observational study of a large healthcare system.

Journal Article BMJ Open · November 24, 2022 OBJECTIVE: To examine factors contributing to racial differences in 30-day readmission in patients with cardiovascular disease (CVD). DESIGN: Patients were enrolled from 1 January 2015 to 31 August 2017 and data were collected from electronic health record ... Full text Link to item Cite

Estimated Global Proportions of Individuals With Persistent Fatigue, Cognitive, and Respiratory Symptom Clusters Following Symptomatic COVID-19 in 2020 and 2021.

Journal Article JAMA · October 25, 2022 IMPORTANCE: Some individuals experience persistent symptoms after initial symptomatic SARS-CoV-2 infection (often referred to as Long COVID). OBJECTIVE: To estimate the proportion of males and females with COVID-19, younger or older than 20 years of age, w ... Full text Link to item Cite

Which wound cuts deeper: loss of an only child or loss of a spouse? An examination of bereavement in older adults within a Chinese cultural context.

Journal Article Aging & mental health · June 2022 ObjectivesThis study aimed to examine whether the loss of spouse had similar impacts on psychological well-being as the loss of the only child, and whether the presence of one mitigated the absence of the other.MethodsWe used data from a ... Full text Cite

Is Living in an Ethnic Enclave Associated With Cognitive Function? Results From the Population Study of Chinese Elderly (PINE) in Chicago.

Journal Article The Gerontologist · May 2022 Background and objectivesEthnic enclaves provide pivotal coping resources for immigrants, having important implications for cognitive health. This study examined the association between living in an ethnic enclave (i.e., Chinatown) and cognition, ... Full text Cite

Caregiver burden and its associated factors among family caregivers of persons with dementia in Shanghai, China: a cross-sectional study.

Journal Article BMJ open · May 2022 ObjectiveTo assess the level of caregiver burden and factors associated with it among family caregivers of persons with dementia (PWD) living in communities of Shanghai, China.DesignCross-sectional study.SettingCommunities in Hon ... Full text Cite

Effectiveness of Telemedicine Visits in Reducing 30-Day Readmissions Among Patients With Heart Failure During the COVID-19 Pandemic.

Journal Article J Am Heart Assoc · April 5, 2022 Background The COVID-19 pandemic resulted in a rapid implementation of telemedicine into clinical practice. This study examined whether early outpatient follow-up via telemedicine is as effective as in-person visits for reducing 30-day readmissions in pati ... Full text Link to item Cite

The associations of late-life depression with all-cause and cardiovascular mortality: The NHANES 2005-2014.

Journal Article Journal of affective disorders · March 2022 IntroductionLate-life depression has been linked to all-cause and cardiovascular mortality; however, results from previous studies showed heterogeneity. We aimed to examine the associations of late-life depression with all-cause and cardiovascular ... Full text Cite

Adherence to Life's Simple 7 and Cognitive Function Among Older Adults: The National Health and Nutrition Examination Survey 2011 to 2014.

Journal Article Journal of the American Heart Association · March 2022 Background The American Heart Association proposed the Life's Simple 7 (LS7; including diet, physical activity, smoking, body mass index, blood pressure, plasma fasting glucose, total cholesterol) to promote cardiovascular health. Adherence to LS7 has been ... Full text Cite

Interventions to promote dementia knowledge among racial/ethnic minority groups: A systematic review.

Journal Article J Am Geriatr Soc · February 2022 BACKGROUND: Certain racial/ethnic minority groups have a higher risk of developing dementia, yet studies have demonstrated that they often have limited knowledge and understanding of this disease. An increasing number of educational and advocacy programs h ... Full text Link to item Cite

The moderating effect of cognitive reserve on cognitive function in patients with Acute Ischemic Stroke.

Journal Article Frontiers in aging neuroscience · January 2022 BackgroundRecovery of cognitive function after stroke has inter-individual variability. The theory of cognitive reserve offers a potential explanation of the variability in cognitive function after stroke.ObjectiveThis study aimed to inve ... Full text Cite

Abdominal aortic calcification and cognitive function among older adults: Cross-sectional analysis of National Health and Nutrition Examination Survey, 2013-2014.

Journal Article International journal of geriatric psychiatry · November 2021 ObjectivesSubclinical atherosclerotic disease is an emerging risk factor for cognitive function among older adults, though less is known about the association between abdominal aortic calcification (AAC) and cognitive function. This study aimed to ... Full text Cite

The Cumulative Impact of Chronic Stressors on Risks of Myocardial Infarction in US Older Adults.

Journal Article Psychosom Med · November 2021 OBJECTIVE: This study aimed to investigate the association between cumulative exposure to chronic stressors and the incidence of myocardial infarction (MI) in US older adults. METHODS: Nationally representative prospective cohort data of adults 45 years an ... Full text Link to item Cite

Age at Migration and Cognitive Health Among Chinese Older Immigrants in the United States.

Journal Article Journal of aging and health · October 2021 Objectives: This study addressed two questions: (1) Is age at migration associated with cognitive function among Chinese older immigrants? and (2) what personal and environmental factors confound the above relationship? Methods: Data were der ... Full text Cite

Care partner-assisted intervention to improve oral health for older adults with cognitive impairment: A feasibility study.

Journal Article Gerodontology · September 2021 BACKGROUND AND OBJECTIVES: Older adults with cognitive impairment often experience poor oral health outcomes due to inadequate oral hygiene practices. This pilot study aimed to evaluate the feasibility of a care partner-assisted intervention to improve the ... Full text Link to item Cite

Association between early life circumstances and depressive symptoms among Chinese older adults: Results from China health and retirement longitudinal study: Early life circumstances and depression.

Journal Article Journal of affective disorders · September 2021 BackgroundA growing body of literature suggests that early life circumstances can influence mental health throughout the lifespan. However, how these early life circumstances cumulatively contribute to depression in old age is not completely under ... Full text Cite

Living With Cognitive Impairment in China: Exploring Dyadic Experiences Through a Person-Centered Care Lens.

Journal Article Research on aging · March 2021 China has experienced a substantial increase in the number of older adults with dementia and milder forms of cognitive impairment. Being spouses of Persons with cognitive impairment (PWCI) and living with them for several decades does not necessarily mean ... Full text Cite

Changes in Informed Consent Policy and Treatment Delays in Stroke Thrombolysis.

Journal Article J Stroke Cerebrovasc Dis · March 2021 OBJECTIVES: The efficacy of thrombolytic therapy with tissue plasminogen activator (tPA) is highly time dependent. Although clinical guidelines do not recommend written informed consent as it may cause treatment delays, local policy can supersede and requi ... Full text Open Access Link to item Cite

Sleep, sedentary activity, physical activity, and cognitive function among older adults: The National Health and Nutrition Examination Survey, 2011-2014.

Journal Article Journal of science and medicine in sport · February 2021 ObjectivesWe aimed to estimate the association of sleep, sedentary activity and physical activity with cognitive function among older adults, with consideration of the competing nature between variables of activity status.DesignCross-sect ... Full text Cite

Acceptance of Love and Remarriage Among Older Adults in the Philippines.

Journal Article J Aging Health · 2021 Objectives: Later-life re-partnership has been linked to healthy aging, but little is known about Philippine older adults' perception of love and remarriage in older age. Methods: Using two nationally representative surveys on aging in the Philippines, we ... Full text Link to item Cite

Perceived Versus Actual Risks of 30-Day Readmission in Patients With Cardiovascular Disease.

Journal Article Circ Cardiovasc Qual Outcomes · January 2021 BACKGROUND: Cardiovascular disease (CVD) is the leading cause of hospitalization in the United States, and patients with CVD are at a high risk of readmission after discharge. We examined whether patients' perceived risk of readmission at discharge was ass ... Full text Link to item Cite

The Implementation of a Primary Care-Based Integrated Mobile Health Intervention for Stroke Management in Rural China: Mixed-Methods Process Evaluation.

Journal Article Front Public Health · 2021 Background: There is a lack of evidence concerning the effective implementation of strategies for stroke prevention and management, particularly in resource-limited settings. A primary-care-based integrated mobile health intervention (SINEMA intervention) ... Full text Link to item Cite

Subjective Cognitive Decline

Chapter · January 1, 2021 Full text Cite

Hypertension Care Coordination and Feasibility of Involving Female Community Health Volunteers in Hypertension Management in Kavre District, Nepal: A Qualitative Study.

Journal Article Glob Heart · October 23, 2020 BACKGROUND: Hypertension and related complications are major contributors to morbidity and mortality in Nepal. Community health workers have been proposed as promising health cadres to meet the growing healthcare demand for non-communicable disease managem ... Full text Link to item Cite

Emergency medical services use and its association with acute ischaemic stroke evaluation and treatment in Singapore.

Journal Article Stroke Vasc Neurol · June 2020 BACKGROUND: Emergency medical services (EMS) is a critical link in the chain of stroke survival. We aimed to assess EMS use for stroke in Singapore, identify characteristics associated with EMS use and the association of EMS use with stroke evaluation and ... Full text Open Access Link to item Cite

Racial Differences in Elevated C-Reactive Protein Among US Older Adults.

Journal Article J Am Geriatr Soc · February 2020 OBJECTIVES: To investigate racial differences in elevated C-reactive protein (CRP) and the potential factors contributing to these differences in US older men and women. DESIGN: Nationally representative cohort study. SETTING: Health and Retirement Study, ... Full text Link to item Cite

Gender differences in quality of life among community-dwelling older adults in low- and middle-income countries: results from the Study on global AGEing and adult health (SAGE)

Journal Article BMC Public Health · January 28, 2020 Quality of life (QoL) is an important component of individuals’ general well-being, particularly in older adults. However, factors influencing QoL among older adults in low- and middle-income countries (LMICs) have not been fully examined. Furthermore, the ... Full text Link to item Cite

Association Between Early Cognitive Impairment and Midterm Functional Outcomes Among Chinese Acute Ischemic Stroke Patients: A Longitudinal Study.

Journal Article Frontiers in neurology · January 2020 Background: Cognitive decline is common after stroke. The influence of early cognitive impairment on midterm functional outcomes among Chinese acute ischemic stroke (AIS) patients has not been fully studied. The aim of the study was to assess the as ... Full text Cite

Self Efficacy

Chapter · 2020 Full text Cite

Measuring the social impact of nursing research: An insight into altmetrics.

Journal Article J Adv Nurs · July 2019 AIMS: The objectives of this study were to (a) identify nursing journal articles that provoked the most online activity and discussion and (b) assess the association between these articles' altmetric scores and publication characteristics, citation counts; ... Full text Link to item Cite

Comparison of the performance of the Beck Depression Inventory-II and the Center for Epidemiologic Studies-Depression Scale in Arab adolescents.

Journal Article Public health nursing (Boston, Mass.) · July 2019 Background and purposeFew instruments have been established as valid and reliable to screen for depression among Arab adolescents. The purpose of this study was to examine and compare the performance of two of the most widely used depression scree ... Full text Cite

Psychometric Properties and Factor Structure of the Center for Epidemiologic Studies Depression Scale in a National Sample of Arab Adolescents.

Journal Article Issues Ment Health Nurs · May 2019 Having valid, reliable, and culturally adapted tools to screen for adolescent depression is a crucial concern for mental health care professionals who promote preventive care. To this aim, this study tested the psychometric properties and factor structure ... Full text Link to item Cite

Neurocognitive and psychiatric comorbidities of posttraumatic stress disorder among older veterans: A systematic review.

Journal Article International journal of geriatric psychiatry · April 2019 ObjectivesPosttraumatic stress disorder (PTSD) is associated with neurocognitive and psychiatric comorbidities, and older adults experience comorbid illnesses disproportionately. Little is known about the comorbidities of PTSD among older veterans ... Full text Cite

Dementia caregiver interventions in Chinese people: A systematic review.

Journal Article Journal of advanced nursing · March 2019 AimsThe aim of this systematic review was to examine the characteristics and the efficacy of dementia caregiving interventions among the Chinese population.BackgroundIn recent years, an increasing number of dementia caregiving interventio ... Full text Cite

Residential Mobility and Cognitive Function Among Middle-Aged and Older Adults in China.

Journal Article Res Aging · January 2019 OBJECTIVES: To assess the association between rural and urban residential mobility and cognitive function among middle-aged and older adults in China. METHOD: We used data from the World Health Organization Study on global AGEing and adult health that incl ... Full text Link to item Cite

Working together to learn new oral hygiene techniques: Pilot of a carepartner-assisted intervention for persons with cognitive impairment.

Journal Article Geriatr Nurs · 2019 We pilot tested a carepartner-assisted intervention to improve oral hygiene in persons with cognitive impairment (participants) and help carepartners become leaders who can adapt approaches that foster participants' ability to develop new skills for oral h ... Full text Link to item Cite

Gender differences in the association between migration and cognitive function among older adults in China and India.

Journal Article Arch Gerontol Geriatr · 2019 OBJECTIVE: This study aims to examine gender differences in the association between migration and cognitive function among adults in China and India. METHODS: Data from the World Health Organization Study on global AGEing and adult health (SAGE) study were ... Full text Link to item Cite

Understanding Contextual Differences in Residential LTC Provision for Cross-National Research: Identifying Internationally Relevant CDEs.

Journal Article Gerontology & geriatric medicine · January 2019 Long-term care (LTC) reflects a growing emphasis on person-centered care (PCC), with services oriented around individuals' needs and preferences. Addressing contextual and cultural differences across countries offers important insight into factors that fac ... Full text Cite

End-of-Life Care Preference: Examination of Chinese Adults with Children and Those Who Lost Their Only Child.

Journal Article Journal of palliative medicine · November 2018 BackgroundLittle is known about the end-of-life (EOL) care preference and its associated factors among community-dwelling adults in Mainland China. This study investigated the EOL care preference and its associated factors among community-dwelling ... Full text Cite

Access to routine care and risks for 30-day readmission in patients with cardiovascular disease.

Journal Article Am Heart J · February 2018 BACKGROUND: Studies have shown that access to routine medical care is associated with the prevention, diagnosis, and treatment of chronic diseases. However, studies have not examined whether patient-reported difficulties in access to care are associated wi ... Full text Link to item Cite

Place of Residence and Cognitive Function among the Adult Population in India.

Journal Article Neuroepidemiology · 2018 BACKGROUND: The place of residence has been linked to cognitive function among adults in developed countries. This study examined how urban and rural residence was associated with cognitive function among adults in India. METHODS: The World Health Organiza ... Full text Link to item Cite

Migration and cognitive function: a conceptual framework for Global Health Research.

Journal Article Glob Health Res Policy · 2018 BACKGROUND: Migration is a fundamental demographic process that has been observed globally. It is suggested that migration is an issue of global health importance that can have an immediate and lasting impact on an individual's health and well-being. There ... Full text Link to item Cite

Socioeconomic, Psychosocial and Behavioral Characteristics of Patients Hospitalized With Cardiovascular Disease.

Journal Article Am J Med Sci · December 2017 BACKGROUND: Recent studies have drawn attention to nonclinical factors to better understand disparities in the development, treatment and prognosis of patients with cardiovascular disease. However, there has been limited research describing the nonclinical ... Full text Link to item Cite

Racial and Ethnic Differences in Trajectories of Hospitalization in US Men and Women With Heart Failure.

Journal Article J Am Heart Assoc · November 16, 2017 BACKGROUND: Prior studies have documented racial and ethnic disparities in hospitalization among patients with heart failure (HF). However, racial/ethnic differences in trajectories of hospitalization following the diagnosis of HF have not been well charac ... Full text Link to item Cite

Validating a Scale of Health Beliefs in Preventive Health Screenings Among Chinese Older Adults.

Journal Article Journal of transcultural nursing : official journal of the Transcultural Nursing Society · September 2017 We aimed to examine the psychometric properties of a modified 16-item Attitudinal Index (AI), a measure of Chinese older adults' beliefs about preventive health screenings. We used the 2013 Shanghai Elderly Life and Opinion data including 3,418 respondents ... Full text Cite

Association between migration and cognitive status among middle-aged and older adults: a systematic review.

Journal Article BMC geriatrics · August 2017 BackgroundThis study aimed to synthesize the current literature examining the association between migration and cognitive function among middle-aged and older adults.MethodsWe used the PRISMA as a guideline for this systematic review and ... Full text Cite

The Relationship between Self-Treatment and Outpatient Visits: Findings from a National Survey in China

Journal Article Journal of Geriatric Medicine and Gerontology · June 30, 2017 Full text Cite

Identifying Nonclinical Factors Associated With 30-Day Readmission in Patients with Cardiovascular Disease: Protocol for an Observational Study.

Journal Article JMIR Res Protoc · June 15, 2017 BACKGROUND: Cardiovascular disease (CVD) is the leading cause of hospitalization in older adults and high readmission rates have attracted considerable attention as actionable targets to promote efficiency in care and to reduce costs. Despite a plethora of ... Full text Link to item Cite

An Initial Evaluation of the Impact of Pokémon GO on Physical Activity.

Journal Article J Am Heart Assoc · May 16, 2017 BACKGROUND: Pokémon GO is a location-based augmented reality game. Using GPS and the camera on a smartphone, the game requires players to travel in real world to capture animated creatures, called Pokémon. We examined the impact of Pokémon GO on physical a ... Full text Open Access Link to item Cite

The impact of residential status on cognitive decline among older adults in China: Results from a longitudinal study.

Journal Article BMC Geriatr · May 15, 2017 BACKGROUND: Residential status has been linked to numerous determinants of health and well-being. However, the influence of residential status on cognitive decline remains unclear. The purpose of this research was to assess the changes of cognitive functio ... Full text Open Access Link to item Cite

Association between tooth loss and cognitive decline: A 13-year longitudinal study of Chinese older adults.

Journal Article PloS one · January 2017 ObjectivesTo examine the association between the number of teeth remaining and cognitive decline among Chinese older adults over a 13-year period.DesignA large national longitudinal survey of Chinese older adults.SettingThe Chine ... Full text Cite

Self-reported diabetes education among Chinese middle-aged and older adults with diabetes.

Journal Article Journal of global health · December 2016 BackgroundTo compare self-reported diabetes education among Chinese middle-aged and older adults with diabetes in three population groups: urban residents, migrants in urban settings, and rural residents.MethodsWe used data from the 2011 ... Full text Cite

Self-reported diabetes treatment among Chinese middle-aged and older adults with diabetes: Comparison of urban residents, migrants in urban settings, and rural residents

Journal Article International Journal of Nursing Sciences · March 1, 2015 Purpose To compare self-reported diabetes treatments among Chinese urban residents, rural migrants in urban settings, and rural residents. Methods Data from 993 diabetics at least 45 years of age were collected from the China Health and Retirement Longitud ... Full text Cite