Social Support and Living Situation of Older Adults With Hip-Fracture: A Retrospective Cohort Study

Abstract Sustaining a hip-fracture is a life-changing event negatively affecting older adults. Although, social support is a known determinant of health outcomes, the relationship between social support and living situation of older adults with hip fracture remains under researched. For this study social support is conceptualized using the Finfgeld-Connett framework, where social support is seen as being composed of emotional and instrumental support. The objectives were to examine the relationship between two domains of social support and living situation: 1) after discharge; 2) 3-months after discharge; and 3) 6-months after discharge from an inpatient rehabilitation facility in a sample of older adults with hip fracture. Emotional support was measured as frequency of interaction with someone one week prior to hip fracture, whereas instrumental support was measured as help received in instrumental activities of daily living. Logistic regression was performed to examine the association between social support and living situation. Majority of study participants (N=139) were older (mean age 81.31), female (77.70%), had no cognitive impairment (68.35%), were not married (58.99%), and lived with someone (51.80%) in their own house (71.95%). Older adults with more emotional support were more likely to be discharged home, however little can be said about the effect of the association (OR 6.80, 95% CI 1.08, 22.31, P<.001). Persons receiving more instrumental support had less odds of living at home 3-months (OR 0.41, 95% CI 0.21, 0.78; P=.007) and 6-months after discharge (OR 0.59, 95% CI 0.38, 0.91, P=0.017). Social support is important for older adults during recovery.

2.2-5.0) to have 2 or more comorbid conditions and frailty was 6.4 times more likely (95% CI 4.4-9.5)compared to nonsarcopenic obese older adults.Sarcopenic obese older adults were also more likely to have 1+ ADL disabilities (OR 3.7;).Further, they were more likely to be socially isolated (OR 2.1; 95% CI 1.3-3.2) and report food insecurity (OR 1.5; 95% CI 0.8-2.9).These findings suggest older adults with obesity and sarcopenia have higher rates of geriatric vulnerabilities, which might indicate a need for caution when recommending weight loss alone as an intervention.A more comprehensive intervention may be necessary to address social and physiological risks.Future studies should examine whether early intervention in sarcopenic obese older adults can reduce chronic health risk and preserve independence.

SOCIAL SUPPORT AND LIVING SITUATION OF OLDER ADULTS WITH HIP-FRACTURE:
A RETROSPECTIVE COHORT STUDY Alexandra Krassikova, 1 Steven Stewart, 2 Jennifer Bethell, 3 Aileen Davis, 4 and Katherine McGilton, 5 , 1. University of Toronto, Univerity of Toronto,Ontario,Canada,2. Toronto Rehabilitation Institute,Toronto Rehabilitation Institute,Ontario,Canada,3. Toronto Rehabiliitation Institute,Toronto Rehabilitation Institute,Ontario,Canada,4. University of Toronto,University of Toronto,Ontario,Canada,University Health Network,Toronto,Ontario,Canada Sustaining a hip-fracture is a life-changing event negatively affecting older adults.Although, social support is a known determinant of health outcomes, the relationship between social support and living situation of older adults with hip fracture remains under researched.For this study social support is conceptualized using the Finfgeld-Connett framework, where social support is seen as being composed of emotional and instrumental support.The objectives were to examine the relationship between two domains of social support and living situation: 1) after discharge; 2) 3-months after discharge; and 3) 6-months after discharge from an inpatient rehabilitation facility in a sample of older adults with hip fracture.Emotional support was measured as frequency of interaction with someone one week prior to hip fracture, whereas instrumental support was measured as help received in instrumental activities of daily living.Logistic regression was performed to examine the association between social support and living situation.Majority of study participants (N=139) were older (mean age 81.31), female (77.70%), had no cognitive impairment (68.35%), were not married (58.99%), and lived with someone (51.80%) in their own house (71.95%).Older adults with more emotional support were more likely to be discharged home, however little can be said about the effect of the association (OR 6.80, 95% CI 1.08, 22.31, P<.001).Persons receiving more instrumental support had less odds of living at home 3-months (OR 0.41, 95% CI 0.21, 0.78; P=.007) and 6-months after discharge (OR 0.59, 95% CI 0.38, 0.91, P=0.017).Social support is important for older adults during recovery.
g the Finfgeld-Connett framework, where social support is seen as being composed of emotional and instrumental support.The objectives were to examine the relationship between two domains of social support and living situation: 1) after discharge; 2) 3-months after discharge; and 3) 6-months after discharge from an inpatient rehabilitation facility in a sample of older adults with hip fracture.Emotional support was measured as frequency of interaction with someone one week prior to hip fracture, whereas instrumental support was measured as help received in instrumental activities of daily living.Logistic regression was performed to examine the association between social support and living situation.Majority of study participants (N=139) were older (mean age 81.31), female (77.70%), had no cognitive impairment (68.35%), were not married (58.99%), and lived with someone (51.80%) in their own house (71.95%).Older adults with more emotional support were more likely to be discharged home, however little can be said about the effect of the association (OR 6.80, 95% CI 1.08, 22.31, P<.001).Persons receiving more instrumental support had less odds of living at home 3-months (OR 0.41, 95% CI 0.21, 0.78; P=.007) and 6-months after discharge (OR 0.59, 95% CI 0.38, 0.91, P=0.017).Social support is important for older adults during recovery.


THE ASSOCIATION BETWEEN MEDICARE ANNUAL WELLNESS VISITS AND DETECTION AND MANAGEMENT OF DIABETES AMONG OLDER ADULTS

Abdulrahman Alsulami, 1 Kara Dassel, 2 Yao He, 3 and Nancy Allen, 3 , 1. University of Utah, Jeddah, Makkah, Saudi Arabia, 2. University of Utah, Salt Lake City

THE ASSOCIATION BETWEEN MEDICARE ANNUAL WELLNESS VISITS AND DETECTION AND MANAGEMENT OF DIABETES AMONG OLDER ADULTS
Abdulrahman Alsulami, 1 Kara Dassel, 2 Yao He, 3 and Nancy Allen, 3 , 1. University of Utah, Jeddah, Makkah, Saudi Arabia, 2. University of Utah, Salt Lake City, Utah, United States, 3. University of Utah, Salt lake, Utah, United States

Utah, United States, 3. University of Utah, Salt lake, Utah, United States

The rising prevalence of diabetes mellit
The rising prevalence of diabetes mellitus (DM) among older adults is an increasing concern in the U.S. and is expected to nearly triple within the next 40 years.The purpose of this study is to investigate the effectiveness of Medicare Annual Wellness Visits (AWV) utilization on the management of DM among Medicare beneficiaries using data from 26,703 Medicare beneficiaries seen at 13 primary care community clinics (clinic visits between 2017 and 2019).A total of 34% of Medicare beneficiaries participated in an AWV.The total sample was, on average, 72.6 years old (SD=7.0),57% female, 84% White, and 91% non-Hispanic and had between zero and three co-morbid conditions.The AWV group was significantly younger (mean difference 2.0 years; p<.001) and had fewer comorbid conditions (mean difference 0.1; p<.001) than the non-AWV group at their initial visits.Comparing AWV and non-AWV groups at the first patient visit and last patient visit, there were significantly fewer patients with DM in the AWV group compared to the non-AWV groups (19.2% vs. 24.7%;p<.001 and 53.5% vs. 59.2%;p<.001).DM management was better in the AWV group compared to the non-AWV group at both the first and last patient visits, as exhibited by lower A1C levels (M= 5.9(SD=0.8)vs. M=6.2(SD=1.1);p<.001 and M= 6.6(SD=0.8) vs. M=6.9(SD=1.4);p=.013), lower glucose levels (M=114.0(SD=34.0)vs. M=123.0(SD=51.0);p<.001), and fewer DM medications (M=0.1(SD=.4) vs. M=0.2(SD=0.5);p<.001 and M=0.2(SD=0.6) vs. M=0.3(SD=0.6);p<.001).These results suggest that AWV are effective managing diabetes in older adults Medicare beneficiaries.Adequate housing and safe environments are among older adults' foundational needs.Prior research suggests minority older adults face significant barriers to accessing affordable and appropriate housing.However, the effects of this environmental press on their psychological well-being are rarely addressed.This project examined racial disparities between minority and white older adults' housing and environment conditions and the differential 618 Innovation in Aging, 2021, Vol. 5, No. S1 GSA 2021 Annual Scientific Meeting s (DM) among older adults is an increasing concern in the U.S. and is expected to nearly triple within the next 40 years.The purpose of this study is to investigate the effectiveness of Medicare Annual Wellness Visits (AWV) utilization o the management of DM among Medicare beneficiaries using data from 26,703 Medicare beneficiaries seen at 13 primary care community clinics (clinic visits between 2017 and 2019).A total of 34% of Medicare beneficiaries participated in an AWV.The total sample was, on average, 72.6 years old (SD=7.0),57% female, 84% White, and 91% non-Hispanic and had between zero and three co-morbid conditions.The AWV group was significantly younger (mean difference 2.0 years; p<.001) and had fewer comorbid conditions (mean difference 0.1; p<.001) than the non-AWV group at their initial visits.Comparing AWV and non-AWV groups at the first patient visit and last patient visit, there were significantly fewer patients with DM in the AWV group compared to the non-AWV groups (19.2% vs. 24.7%;p<.001 and 53.5% vs. 59.2%;p<.001).DM management was better in the AWV group compared to the non-AWV group at both the first and last patient visits, as exhibited by lower A1C levels (M= 5.9(SD=0.8)vs. M=6.2(SD=1.1);p<.001 and M= 6.6(SD=0.8) vs. M=6.9(SD=1.4);p=.013), lower glucose levels (M=114.0(SD=34.0)vs. M=123.0(SD=51.0);p<.001), and fewer DM medications (M=0.1(SD=.4) vs. M=0.2(SD=0.5);p<.001 and M=0.2(SD=0.6) vs. M=0.3(SD=0.6);p<.001).These results suggest that AWV are effective managing diabetes in older adults Medicare beneficiaries.Adequate housing and safe environments are among older adults' foundational needs.Prior research suggests minority older adults face significant barriers to accessing affordable and appropriate housing.However, the effects of this environmental press on their psychological well-being are rarely addressed.This project examined racial disparities between minority and white older adults' housing and environment conditions and the differential 618 Innovation in Aging, 2021, Vol. 5, No. S1 GSA 2021 Annual Scient