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Institution

University of Massachusetts Boston

EducationBoston, Massachusetts, United States
About: University of Massachusetts Boston is a education organization based out in Boston, Massachusetts, United States. It is known for research contribution in the topics: Population & Health care. The organization has 6541 authors who have published 12918 publications receiving 411731 citations. The organization is also known as: UMass Boston.


Papers
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Journal ArticleDOI
TL;DR: To determine the effects of chronic pain on the development of disability and decline in physical performance over time in older adults, a large number of older adults were surveyed.
Abstract: OBJECTIVES: To determine the effects of chronic pain on the development of disability and decline in physical performance over time in older adults. DESIGN: Longitudinal cohort study with 18 months of follow-up. SETTING: Urban and suburban communities. PARTICIPANTS: Community-dwelling older adults aged 65 and older (N = 634). MEASUREMENTS: Chronic pain assessment consisted of musculoskeletal pain locations and pain severity and pain interference according to the subscales of the Brief Pain Inventory. Disability was self-reported as any difficulty in mobility and basic and instrumental activities of daily living (ADLs, IADLs). Mobility performance was measured using the Short Physical Performance Battery (SPPB). Relationships between baseline pain and incident disability in 18 months were determined using risk ratios (RRs) from multivariable Poisson regression models. RESULTS: Almost 65% of participants reported chronic musculoskeletal pain at baseline. New onset of mobility difficulty at 18 months was strongly associated with baseline pain distribution: 7% (no sites), 18% (1 site), 24% (multisite), and 39% (widespread pain, P-value for trend < .001). Similar graded effects were found for other disability measures. Elderly adults with multisite or widespread pain had at a risk of onset of mobility difficulty at least three times as great as that of their peers without pain after adjusting for disability risk factors (multisite pain: risk ratio (RR) = 2.95, 95% confidence interval (CI) 1.58–5.50; widespread pain: RR = 3.57, 95% CI = 1.71–7.48). Widespread pain contributed to decline in mobility performance (1-point decline in SPPB, RR = 1.47, 95% CI = 1.08– 2.01). Similar associations were found for baseline pain interference predicting subsequent mobility decline and ADL and IADL disability. Weaker and less-consistent associations were observed with pain severity. CONCLUSION: Older community-dwelling adults living with chronic pain in multiple musculoskeletal locations have a substantially greater risk for developing disability over time and for clinically meaningful decline in mobility performance than those without pain. J Am Geriatr Soc 62:1007– 1016, 2014.

156 citations

Journal ArticleDOI
TL;DR: Siblings who were most involved in future planning were older, more involved in disability activities, and provided more support to their sibling with disabilities.
Abstract: This study examined factors influencing involvement of siblings of individuals with developmental disabilities in future planning and their expectation of future caregiving. The sample con...

156 citations

Journal ArticleDOI
TL;DR: The increasing development and utilization of genetic tests will likely result in increased genetic discrimination in the absence of contravening measures.
Abstract: Background. As the development and use of genetic tests have increased, so have concerns regarding the uses of genetic information. Genetic discrimination, the differential treatment of individuals based on real or perceived differences in their genomes, is a recently described form of discrimination. The range and significance of experiences associated with this form of discrimination are not yet well known and are investigated in this study. Methods. Individuals at-risk to develop a genetic condition and parents of children with specific genetic conditions were surveyed by questionnaire for reports of genetic discrimination. A total of 27,790 questionnaires were sent out by mail. Of 917 responses received, 206 were followed up with telephone interviews. The responses were analyzed regarding circumstances of the alleged discrimination, the institutions involved, issues relating to the redress of grievances, and strategies to avoid discrimination. Results. A number of institutions were reported to have engaged in genetic discrimination including health and life insurance companies, health care providers, blood banks, adoption agencies, the military, and schools. The alleged instances of discrimination were against individuals who were asymptomatic and sometimes impacted on other asymptomatic relatives. Few surveyed respondents knew of the existence of institutions such as state insurance commissions or the Medical Information Bureau, Inc., which may play roles in redress of grievances or correction of misinformation. Conclusions. Genetic discrimination is variable in form and cause and can have marked consequences for individuals experiencing discrimination and their relatives. The presence of abnormal genes in all individuals makes each person a potential victim of this type of discrimination. The increasing development and utilization of genetic tests will likely result in increased genetic discrimination in the absence of contravening measures.

155 citations

Journal ArticleDOI
TL;DR: Although father support was not associated with adolescent mothers' psychological adjustment, father absence and father strain had negative associations with psychological adjustment and maternal grandmother support buffered the negative effects of strain in the adolescents' relationships with biological fathers.
Abstract: Two-hundred and eighteen low-income, minority, adolescent mothers were interviewed during the perinatal period and 3 years later about their social networks, including their relationships with their children's fathers. Few adolescents were involved with fathers at both time points. Relationships with fathers were, in general, less supportive and less problematic over time. Moreover, although father support was not associated with adolescent mothers' psychological adjustment, father absence and father strain had negative associations with psychological adjustment. Maternal grandmother support buffered the negative effects of strain in the adolescents' relationships with biological fathers. Perceptions of less social support from maternal grandmothers and more social support from fathers during the perinatal period as well as less social support from a new male partner at 3 years postpartum predicted relationship continuity between adolescent mothers and fathers at 3 years postpartum. Implications for intervention and policy are discussed.

155 citations


Authors

Showing all 6667 results

NameH-indexPapersCitations
Derek R. Lovley16858295315
Wei Li1581855124748
Susan E. Hankinson15178988297
Roger J. Davis147498103478
Thomas P. Russell141101280055
George Alverson1401653105074
Robert H. Brown136117479247
C. Dallapiccola1361717101947
Paul T. Costa13340688454
Robert R. McCrae13231390960
David Julian McClements131113771123
Mauro Giavalisco12841269967
Benjamin Brau12897172704
Douglas T. Golenbock12331761267
Zhifeng Ren12269571212
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Performance
Metrics
No. of papers from the Institution in previous years
YearPapers
202367
2022131
2021833
2020851
2019823
2018776