Disability Groups Research Articles

Nationwide trends in the suicide mortality among the disabled in Korea from 2006 to 2017

Abstract Aims The disabled are one of the priority populations at risk of suicide, but there has been no study of the factors influencing suicide mortality among the disabled in South Korea. Methods To analyze age-standardized suicide mortality (ICD-10 Codes, X60-84) for each year according to the presence, severity and type of disability, we linked three population datasets (National Health Insurance Claims Database, Disability Registry, and Deaths by Cause). Our dataset covers the entire population of South Korea, extended over a 12-year period from 2006 to 2017. The analyses were stratified by sex, and hazard ratios for suicide were determined by multivariate logistic regression after adjustment for socio-demographic and clinical variables. Results The suicide rate among the disabled was 2.24 times higher than among the non-disabled in 2017. The highest suicide rates were observed among intellectual or mental disabled, and severe disabled. In the disabled group, suicide rates were higher among those with medical benefits, older age (over 70 years), and depressive disorders in both male and female. Conclusions Although the disabled people’s suicide is often seen as an individual problem, it actually affects their families, communities and society. Therefore, government must strive to emphasize the broad view of the disabled population - not just the health of individuals, and track suicide trends and identifying risk and protective factors for suicidal behavior. From this information, suicide prevention strategies for the disabled people should be evaluated to identify the most effective interventions. Financial support: This research was supported by the Basic Science Research Program through the National Research Foundation of Korea funded by the Ministry of Education (No. 2022R1I1A3070074, and 2022R1I1A1A01068449), and a grant of Patient-Centered Clinical Research Coordinating Center funded by the Ministry of Health & Welfare, Republic of Korea (No. HC23C016500). Key messages • The suicide rate among the disabled was 2.24 times higher than among the non-disabled in 2017. • In the disabled group, suicide rates were higher among those with medical benefits, older age (over 70 years), and depressive disorders in both male and female.

Adapting a human sexuality curriculum for students with disabilities

Background: The US Individuals with Disabilities Education Act requires that children with disabilities receive a free appropriate public education. However, it does not specifically include the subject of health education. Currently, 30 US states require public schools to teach sexuality education as a part of the health education curriculum, but 36 do not include youth with disabilities in their sexuality education requirements. Objective: The current situation is particularly concerning due to the higher rates of unplanned pregnancy, sexual abuse, and sexually transmitted infections experienced by teenagers with disabilities. Students from across several disability groups report societal barriers, physical barriers, and poor educational outcomes with respect to sexuality education. Results: This review article sought to investigate the current state of sexuality education for students with disabilities, as well as best practices to support the learning of sexuality education content. Conclusion: Focusing sexuality education classes on practical ways so as to develop relationships, promote self-advocacy and self-determination, and incorporate privacy messages, can support students with disabilities to make healthy choices.

Enhancing Workplace Safety for Disabled Farmers in Thailand: A Quasi-Experimental Study of Ergonomic Interventions in Vermicompost Production

The aim of this study was to improve the working environment for disabled farmers in vermicompost production using participatory action-oriented training (PAOT). Potential hazards were identified through Job Safety Analysis (JSA), and improvements were implemented based on the analysis. The winnowing step was found to have the highest risk, as farmers had to manually separate vermicompost and earthworms by shaking the mixture through a filter. To address this, a vermicompost winnowing machine was developed specifically for disabled farmers, reducing their working time and the risk of muscle injuries. Ergonomic assessments were conducted using Rapid Entire Body Assessment (REBA). The assessments compared the risks associated with the manual process to those when using the newly developed winnowing machine. The results indicated a reduction in musculoskeletal disorder (MSD) risk for all disabled groups. The findings of this study emphasize the importance of considering occupational health and safety for disabled individuals in agriculture. By implementing ergonomic improvements such as redesigned tools and adjusted workstations, the safety and well-being of disabled farmers can be enhanced. This contributes to creating inclusive and productive work environments. In conclusion, through the application of PAOT and ergonomic assessments, this study successfully identified potential hazards and implemented improvements in vermicompost production for disabled farmers. The development of a specialized winnowing machine reduced the risk of musculoskeletal disorders. Promoting occupational health and safety measures is crucial for supporting the participation and well-being of disabled individuals in agricultural work.

Disability trajectories individuals with spinal cord injury in mainland China: do psychosocial resources and diseases factors predict trajectories?

Observational cohort study. To identify classes of disability trajectories from 1 month post-injury (acute hospital) to 6 months post-injury (individuals with SCI individuals who stay in rehabilitation setting or back in the community), and to investigate whether psychosocial resources and disease factors can predict disability trajectory. Spinal surgery in three Class III hospitals. Hospitals in China are divided into three classes (Class I, II and III). All the participants were submitted to WHO Disability Assessment Schedule (WHO-DAS 2.0) at three times; and personal data anamnesis, level of hope, level of PTSD, level of social support were recorded at first time. All the data collected by the master's students who participated in this study. Two disability trajectories were identified using the latent class growth model: the continuous high disability group (N = 196, 93.3%) and the low starting point stabilization group (N = 14, 6.7%). Complete injury(ASIA-A) with SCI and more depression in the stable condition after SCI surgery were more likely to be classified as having higher disability than those with a lower disability trajectory. Occupation, annual family income, hope, social support, and Post-traumatic Stress Disorder (PTSD) cannot predict individuals belonging to trajectory classes. These findings emphasize the importance of ASIA and depression in the early recovery stage after SCI and support the opinion that strengthening psychological nursing and rehabilitation management at an early stage after SCI will benefit individuals with a lower disability trajectory.

Continuity of care and hospitalization frequency for ambulatory care-sensitive conditions after hearing-disability onset: a retrospective cohort study

We assessed the effect of continuity of care (COC) on the frequency of hospitalization for Ambulatory care-sensitive conditions (ACSCs) to estimate the impact of COC and hearing disability relative to the controls. This retrospective cohort study used claim data of Korean National Health Insurance Service – National Sample Cohort 2.0 DB. We used propensity score matching to determine a control group for the hearing disability group by age, sex, and the Charlson Comorbidity Index. The hearing-impaired group included 720 participants, and the non-disabled control group, consisting of individuals without any form of disability, had 1,423 individuals. We used the frequency of hospitalization for ACSCs during one-year follow-up as the dependent variable for Poisson regression. We measured COC with the Bice–Boxerman Continuity of Care Index (COCI); higher COCI values represent better continuity of care, with COCI values ranging from 0 to 1. Poisson regression showed that disability status modifies the effect of COCI on the incidence of hospitalization. COCI = 1 reduced hospitalizations in people with hearing disabilities (adjusted Incidence Rate Ratio [aIRR]: 0.30, 95% CI: 0.20–0.44) but was not statistically significant for controls. In the COCI = 1 group, the effect of disability was not significant(aIRR: 1.10, 95% CI: 0.83–1.44). Compared to people without disabilities, enhanced COC for people with hearing disabilities was more effective in preventing hospitalizations for ACSCs.

Empowerment Model for Persons with Disabilites: Application Village Inclusion for Incumbent Disability in the Village Mangliawan Pakis District, Malang Regency

Disability is a condition that restricts an individual’s ability to fully participate in social, economic, and political activities, whether physically, mentally, or sensorily. Disability groups, especially people with disabilities, are vulnerable to discrimination and marginalization due to a lack of support, facilities, and adequate opportunities. The empowerment model of people with disabilities is an approach aimed at enhancing their independence, social participation, and quality of life. This article discusses the empowerment model of people with disabilities, including the benefits and challenges in its implementation. Disability empowerment is focused on enabling them to reach their full potential and participate equally in society by overcoming everyday barriers. Mangliawan Village, a rural area in the Pakis District, Malang Regency, Indonesia, faces similar challenges. Despite the lack of resources and adequate support for people with disabilities, Mangliawan Village has taken significant steps by implementing the principles and goals of Inclusive Village. The implementation of the Inclusive Village in Mangliawan Village begins with an assessment of the needs and challenges of people with disabilities involving local stakeholders, including people with disabilities, families, community leaders, and government officials. The results of this assessment form the basis for developing a comprehensive plan to enhance accessibility and inclusion in Mangliawan Village. This article highlights Mangliawan Village’s efforts to create a more inclusive environment and inspires the development of similar programs in other rural areas. Keywords: empowerment, persons disabilities, social inclusion, participation, training skills

Trajectories of work disability and unemployment before and after a common mental disorder diagnosis among young private sector employees in Sweden-a register-based longitudinal study.

To identify trajectory groups of work disability (WD), including sick leave and disability pension, and unemployment three years before and sixyears (from Y-3 to Y + 6) after a common mental disorder (CMD) diagnosis and to investigate associations of socio-demographic, work-related and clinical factors with trajectory membership. A longitudinal nationwide register-based study was conducted including individuals aged 22-29 years, gainfully employed in the private sector, with a CMD diagnosis in specialised healthcare or prescribed antidepressant (N = 12,121) in 2014 (Year 0/Y0), with follow-up from Y-3 to Y + 6. Group-based trajectory analyses identified groups of individuals who followed similar trajectories of months of WD and unemployment, respectively. Multinomial logistic regression determined associations between socio-demographic, work-related and clinical factors and trajectory membership. In the CMD group, we identified three trajectory groups, each for WD and unemployment. Only 7% individuals belonged to a 'Fluctuant high' trajectory group with four months of WD in Y0, which peaked at 7months in Y + 3 and reduced to 5months in Y + 6. For unemployment, 15% belonged to an 'Increasing medium' trajectory group that steadily increased from 1.3months in Y0 to 2.6months in Y + 6. Sex, educational level and musculoskeletal disorders for WD, and educational level, living area and occupational class for unemployment, influentially determined the variance across the CMD trajectory groups. Specific vulnerable groups regarding unfavourable WD (women, low education and musculoskeletal disorders) and unemployment (manual work, low education and rural residence) trajectories require special attention regarding their return-to-work process following a CMD diagnosis.

Cut-off point of the risk assessment scale for the 9-year risk of functional disability

Objectives This study aimed to examine the cut-off point of the Risk Assessment Scale (RAS) for predicting the 9-year risk of functional disability among older Japanese adults.Methods This prospective, 9-year follow-up study used data from the Sasaguri Genkimon Study in Fukuoka. Of the 2,629 older adults who did not have functional disabilities and participated in the baseline survey in 2011, 2,254 with complete data were included in the analysis. The RAS was assessed using a questionnaire that showed good predictive and external validity for the 3-year risk of functional disability. The outcome was the incidence of functional disability during follow-up, which was defined as a new certification for the need for support or care. The cut-off point of the RAS was estimated as the point indicating the maximum χ2 value of the log-rank test. The predictive validity of the RAS for functional disability was examined using C-statistics for the total score, and sensitivity and specificity for the cut-off point, respectively. Participants were then categorized into two groups according to the cut-off point (high-score and low-score groups). Hazard ratio (HR) and 95% confidence interval (95% CI) of the 9-year risk of functional disability for the high-score group compared with the low-score group were calculated using the Cox proportional hazard model. In the multivariate model, HR was adjusted for living alone, education, economic status, drinking, smoking, and multimorbidity.Results New functional disability was certified in 647 participants (28.7%) during a median follow-up period of 8.75 years. The cut-off point for functional disability was 13/14. The C-statistic was 0.774, and the sensitivity and specificity were 0.726 and 0.712, respectively. Compared to the low-score group (0-13 points), the HR (95% CI) of the high-score group (≥ 14 points) for incident functional disability in 9 years was 5.50 (4.62-6.54) in the crude model, and 4.81 (4.00-5.78) in the multivariate model (P<.001).Conclusion This study, with its long follow-up period of 9 years, demonstrated that the 13/14 cut-off point of the RAS is suitable for the long-term assessment of functional disability risk. Our results suggest the possibility of using the 13/14 cut-off point of the RAS as a promising tool to grasp the risk of functional disability over a longer time frame, highlighting the potential for early prevention and intervention.

Workplace Accommodations and the Labor Force Status of Persons with Disabilities.

The aim of the study is to examine the role of unmet needs for workplace accommodations (WPA) in the labor force status of persons with disabilities (PWD) aged 25-64years. The study used data from the 2017 Canadian Survey on Disability and multinomial logistic regressions to estimate the predicted probabilities of employment, unemployment, detachment from the labor force, and retirement. Product terms were used to examine if the association between unmet needs for WPA and these employment outcomes depended on severity of disability and age group. The findings show that the probability of employment was far lower for PWD with unmet needs for WPA than it was for their counterparts without unmet needs, after controlling for disability-related and sociodemographic characteristics. While having more severe disabilities associated with a lower employment rate, this occurred in the context of unmet needs for WPA, as there was no difference between persons with milder and more severe disabilities without unmet needs. Unmet needs for WPA had age-specific consequences and were associated with a higher probability of unemployment and detachment from the labor force among PWDs aged 25-34years and a higher probability of retirement among PWD aged 55-64years. Unmet needs for WPA are a barrier to the employment chances of many PWD and eliminating these unmet needs could increase their inclusion in the labor force.

Penerapan Permen PANRB 29/2022 dalam Penilaian Kinerja Pelayanan Publik di Kecamatan Rungkut Kota Surabaya

Rungkut District is one of the public service units with the lowest community satisfaction index in Surabaya City District in 2023. So monitoring and evaluation needs to be carried out in order to get recommendations and improvements. The aim of this research is to assess the performance of public services based on the regulations of the Minister for Administrative Reform and Bureaucratic Reform (PermenPAN RB) Number 29 of 2022. The research method used is descriptive qualitative research with a content analysis approach. Data collection techniques through observation, documentation and assessment follow the format of PermenPAN RB 29/2022 with form-02 calculations as the evaluator. The results of the research show that the performance of public services in Rungkut District is good but with caveats. Because it can be seen from the service policy aspect that the availability of standard information and service announcements is an obligation of service providers; aspects of HR professionalism, namely service implementers who are responsive and implement a culture of service implementers; aspects of facilities and infrastructure, namely the availability of facilities and infrastructure supporting services; aspects of public service information systems to inform and support service operations so that they become known to the public; the complaint consultation aspect, namely the availability of a special place for consultation and complaints to provide information and complaints to the public; The existence of public service innovation makes it easier to provide online licensing services. Suggestions from researchers need to increase the media for publishing service information and providing infrastructure for disability groups.

Comprehensive Survey On Generative AI, Plethora Of Applications And Impacts

The primary objective for the AI subfield of "generative artificial intelligence" is to develop systems that may produce new, novel and creative content including text, photos, audio, music, and movies. These models are able to generate fresh content that nearly mimics realistic content created by humans by utilizing deep learning techniques. These models of Gen AI have gained significant importance in research and have plethora of applications in wide varieties of fields. The impact of GenAI is not just on abled but also on disabled communities who are sometimes unnoticed. This survey provides a thorough overview of general artificial intelligence (GenAI), its applications, the cutting edge models at the moment, its effects on the disabled groups, and its challenges going forward with the future aspects

Towards an Inclusive Village: Literacy and Education for People with Disabilities Through the Development of Grape Planting Techniques (Vitis Vinifera L) Taman Ayu Village

People with disabilities are identical to people who are disabled, weak, stupid and backward. People with disabilities are no longer seen as problematic people, by providing equal access and being inclusive for everyone in their society (168 169). Equal roles for people with disabilities are an important issue for the government. Recognition of equal rights for groups with disabilities, both in terms of education, employment opportunities and others. Community service activities carried out by Herdiana, et al. in Taman Ayu village, in 2023 became the main basis for empowering people with disabilities and knowledge for people with disabilities, especially in the equality garden by involving groups with disabilities. Taman Ayu Village, Gerung District, West Lombok Regency, West Nusa Tenggara (NTB) in the "Equality Garden" group consisting of 15 people consisting of people with hearing and speech impairments which was carried out in June-December 2024 with the community service implementation team being a collaboration of 3 fields of science, namely agribusiness, accounting and agroecotechnology and involving 3 students from different study programs (fields of science). The purpose of this activity is to provide literacy and education about grape cultivation techniques, improve grape cultivation technique skills, financial management in business through ongoing training and mentoring. The forms of activities include literacy counseling and education for people with disabilities in grape cultivation techniques (Vitis Vinifera L), business management training and financial recording management, mentoring and coaching in marketing using digital marketing (marketplace: Facebook, Shopie, Tokopedia) and mentoring in submitting business legality. The hope of this activity is that groups with disabilities have skills in the field of grape cultivation, skills in management and financial recording of businesses so that from this activity a new business can be formed so that the goal of this activity is the independence of the disabled group's business. Collaboration between the service team (academics) and the village in the form of ongoing mentoring and coaching will be carried out until they have an independent business

Young Children's Participation and Environment Measure (YC-PEM): Cross-Cultural Adaptation, Reliability, and Validity of Turkish Version.

We investigated the psychometric properties of a Turkish version of the Young Children's Participation and Environment Measure (YC-PEM-T). Our participants were 367 children (212 children with disabilities and 155 children without disabilities; M age = 40.76 months, SD = 20.33; range 0-71 months) and their parents, who were selected by a convenience sampling method. We translated and cross-culturally adapted the original YC-PEM from English to Turkish (YC-PEM-T). We found the internal consistency and test-retest reliability of the YC-PEM-T to be good with a Croanbach's alpha ranging from .68 to .94, and intraclass correlation coefficients ranging from .69 to .89 after the YC-PEM-T was administered twice to 100 parents within a three week period. In a two-way analysis of variance (ANOVA) we compared YC-PEM-T scores between children with and without the presence of a disability and found significant differences (p < .05). While we found significant differences between three different age groups, they did not follow consistently. To evaluate discriminant validity, we followed up these ANOVAs with post-hoc analyses when results were statistically significant. Regarding concurrent validity, there were strong to very strong relationships between scores on the participation part of the YC-PEM-T and both the Pediatric Evaluation of Disability Inventory (PEDI; .701 < r < .854, p < .001), and the European Child Environment Questionnaire (ECEQ; - .632 < r < - .690, p < .001). We concluded that the YC-PEM-T is a valid, reliable, and culturally adapted tool for evaluating daily life participation and adaptation to environmental factors in young Turkish children. We can recommend the YC-PEM-T for use in clinical settings and for epidemiological research to assess young children's participation in activities in the home, preschool and community. We also recommend that future investigators examine other psychometric properties of this scale, including its interpretation and capacity to differentiate varied diagnostic and disability groups.

From rationality to identity: the impact of using community health services for the aged on the well-being of older adults in China.

To better understand the outcome benefits of community health services for the aged (CHSA) and provide bottom-up identity for development, this study examined the impact of using CHSA on well-being of older adults from both objective and subjective dimensions. Data from 1,411 people aged 60+ in Shaanxi, China was used in this study. The OLS estimate was used to analyze the impact of using CHSA on well-being of older adults. Then, the instrumental variable estimate was further hired to examine associations among variables to address the potential endogeneity concerns. The heterogeneity among disabled and non-disabled group was also estimated. For objective well-being, the mental health (β = 0.44) and financial well-being (β = 0.59) of older people using CHSA were significantly higher than those not using any service. The impact on objective well-being were more significant in non-disabled group. For subjective well-being, life meaning (β = 0.54) and security (β = 0.72) were positively associated with CHSA utilization, while independence index (β = -0.33) was negatively related with CHSA utilization. The subjective well-being of disabled group using services increased more than non-disabled group. Findings underscore the positive, albeit group-selective, role of CHSA in improving well-being of older people in China and imply the necessity of high-quality development of CHSA and the targeted differentiation strategy.

Maternal Disability and Early Child Preventive Care.

Preventive health care for children comprises routine well-child visits and immunizations. Women with physical, sensory, or intellectual or developmental disabilities tend to experience more barriers to preventive health care; yet it is unknown whether such barriers are observed among their young children. This population-based study in Ontario, Canada included children born between 2012 and 2019 whose mothers had a physical (n = 74 084), sensory (n = 26 532), or intellectual or developmental (n = 1391) disability, multiple disabilities (n = 5774), or no disability (n = 723 442). Primary outcomes were receipt of the recommended number of well-child visits and routine immunizations in the first 2 years. Secondary outcomes included receipt of the enhanced 18-month developmental assessment and any developmental screen. Relative risks (aRR) were generated using modified Poisson regression and adjusted for maternal sociodemographics and mental health and child sex. Compared with children of mothers without disabilities, those whose mothers had intellectual or developmental disabilities were less likely to receive the recommended number of well-child visits (56.3% vs 63.2%; aRR 0.92, 95% confidence interval [CI] 0.88-0.97), routine immunizations (43.8% vs 53.7%; aRR 0.88, 95% CI 0.83-0.94), enhanced 18-month developmental assessment (52.3% vs 60.8%; aRR 0.92, 95% CI 0.88-0.97), or any developmental screen (54.9% vs 62.5%; aRR 0.94, 95% CI 0.90-0.99). Other disability groups did not experience such disparities. There is a need to develop resources to improve access to preventive health care for young children of women with intellectual or developmental disabilities.

Exploring Journey Experiences of Disabled Passengers in Using Public Transport

This study aims to enhance the understanding of disabled passengers' experiences with public transport by addressing the challenges in measuring their satisfaction and service quality. The central problem is the difficulty in accurately assessing and improving the service quality for disabled passengers, given the diverse needs and barriers they face. Utilizing the SERVQUAL model, which focuses on Tangibility, Reliability, Responsiveness, Assurance, and Empathy, the study identifies and evaluates these key dimensions in the context of public transport services. Findings reveal both unique needs and commonalities among different disability groups: hearing-impaired passengers require visual signals and nonverbal communication, visually impaired passengers need clear auditory announcements and staff assistance, and physically disabled passengers require accessible infrastructure and supportive services. Commonalities include the appreciation for reliable train schedules, cleanliness, and the need for empathetic and responsive staff. Based on these insights, recommendations are provided to enhance service quality by improving physical accessibility features, enhancing communication methods, and providing targeted staff training. Implementing these recommendations will address specific needs and improve the overall satisfaction of disabled passengers, contributing to a more inclusive and effective public transport system. Future work should focus on integrating additional models and exploring other key variables to uncover further insights into service quality and passenger satisfaction. This approach will offer a more comprehensive understanding of how various factors interact and contribute to a more inclusive and effective public transport system.

A collaborative approach to support people with a disability living in Australian group homes during the COVID-19 pandemic: a case study.

In this case study we describe how Sydney Local Health District (SLHD) Disability Inclusion and Advice Service (DIAS) provided support to disability group homes during the COVID-19 Delta and Omicron waves. The study provides insights into group home providers' experience of supports implemented by SLHD and other stakeholders. A mixed method approach was undertaken that included analysing data from a database and electronic medical records and a survey of disability group home managers. DIAS developed a range of processes to support prevention, outbreak preparedness and response. This included developing a Disability Shared Living COVID-19 Pathway, engaging with group home providers through a fortnightly Community of Practice, assisting with improving vaccination status and procuring personal protective equipment. During an outbreak DIAS provided a 24h, 7days per week on call support, coordinated outbreak management team meetings and collaborated with several internal and external stakeholders. SLHD infection prevention and control nurses were recruited to undertake a process of reviewing outbreak management plans and providing support during an outbreak. Most disability providers (86%) reported that they felt very prepared to manage outbreaks at the time of the survey (August 2022) compared with the pre-Delta wave, for which 36% reported feeling 'not prepared'. The proportion who rated the support from the stakeholders as very supportive/supportive was as follows: SLHD (100%), NSW Health (64%), National Disability Insurance Agency (50%) and National Disability Insurance Scheme Quality & Safeguards Commission (37%). Our case study provides insights into the support that LHDs can provide to disability homes in response to future outbreaks.

Bullying Involvement and Subtypes of Disabilities: Who is Likely to be Affected by What?

The current study uses latent class analysis (LCA) and binary logistic regression analysis to explore profiles of bullying and how they might be associated with the types of disabilities. LCA was used to determine a categorization of involvement in bullying among youth with various types of disabilities. Binary logistic regression analysis was conducted to explore how profiles of bullying involvement might be associated with types of disabilities. The study uses the 2016 National Survey of Children's Health, a large-scale survey completed on children's health, ages 0-17, in the United States. A total of 139,923 households were screened for eligibility. The study participants consisted of 50,212 caregivers of a child who completed the survey. Findings revealed that among caregivers of children without disabilities, 79.5% reported that their child was uninvolved, and 20.5% reported that their child was a victim of bullying. Children in the developmental disabilities, speech and/or language disorders, and learning disabilities groups, showed significant odds of being in the bullying victim group compared to those without any disabilities. The study did not find that children in any disability groups were likely to be in the perpetrator group.

Association between Mild Overweight and Survival: A Study of an Exceptionally Long-Lived Population in the Sardinian Blue Zone.

Background/Objectives: Overweight and obesity are generally considered risk factors for premature mortality. However, scientific evidence suggests that among older populations, mild conditions of overweight might be associated with reduced comorbidity and longer survival. This study investigates the potential association between anthropometric parameters and survival among a cohort of nonagenarians in Sardinia, Italy. Methods: This study included 200 subjects (50% females) aged 89 and older, enrolled in 2018 in the Sardinian Blue Zone-a population known for longevity-and followed for up to six years. Anthropometric variables such as body height, weight, age, sex, comorbidity, disability, and food group intake were collected using validated questionnaires and analyzed through multivariable analysis. Results: Out of 200 participants at baseline, 28 (14%) were still alive after six years of follow-up (females 10%, males 18%). Mean survival was 3.36 years (range 0.1-6.9 years) for males and 3.03 years (range 0.2-6.6 years) for females. Participants with a Body Mass Index (BMI) in the range of 25.0-27.0 kg/m2 among males and 25.0-27.2 kg/m2 among females had longer survival compared to those who were underweight (p = 0.002) or obese (p < 0.0001). The Cox proportional hazards regression model, adjusted for age, sex, and comorbidity, revealed a statistically significant association between the BMI and survival, demonstrating an inverted-U relationship. This indicates that mild overweight was associated with a survival advantage compared to both normal weight and obesity. Conclusions: Our study indicates that mild, but not severe, overweight in nonagenarians is associated with extended lifespan. Therefore, primary care physicians and geriatricians should exercise caution before recommending calorie-restricted diets for mildly overweight elderly patients.

Latent profiles of disability in retired, community‐dwelling older adults

AbstractLater life disability poses a significant public health challenge, and while research often concentrates on physical limitations, understanding the full spectrum of disability requires a comprehensive approach. This study employs latent profile analysis (LPA), a statistical technique that identifies underlying subgroups or profiles within a larger population based on patterns of responses to multiple indicators, to classify disability. We examined one wave of existing panel data from 414 participants aged 72–106 living in retirement communities. We focus on the following disability indicators: basic and instrumental activities of daily living; physical, cognitive, and sensory impairments; and participation restrictions. Three distinct profiles emerged. The largest group (58%), “Low Disability,” exhibited minimal disability across all domains and superior psychological well‐being. The second group (38%) experienced “High Physical and Functional Disability,” with a higher prevalence among older, unmarried women. The smallest group (4%) displayed “High Cognitive‐Sensory‐Functional Disability,” marked by extensive cognitive impairment and the highest functional and sensory limitations, prevalent in advanced age with poorer psychological outcomes of all profiles. Notably, participation restrictions showed minimal variation across disability profiles. The findings emphasize the need for a data‐driven policy framework addressing disability profiles. Efficient resource allocation and targeted support are crucial, and prevention strategies should proactively address individuals at risk of transitioning into higher‐multidomain disability profile membership. Given the connection between disability and mental health, addressing these concerns can enhance overall health and well‐being. Future research should explore changes in disability group membership over time in diversified samples.