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Among older adults social relationships influence mortality, but it is less clear how. We examined associations between relationship quality with spouse, child, and best friend and mortality; and whether the associations varied in the presence of chronic illnesses. Survival analyses (N = 514; 59 percent women aged ≥ 60) revealed sometimes counterintuitive main and buffering effects. Individuals who reported greater negative relationship quality with their children and friends lived longer. Buffering models suggest that relationships may exacerbate the effects of chronic illness on mortality and emphasize the importance of using a more nuanced approach when examining the effects of social relations on mortality. [ABSTRACT FROM AUTHOR]

Most studies of decisions to curtail alcohol consumption reflect experiences of abusing drinkers. An exploratory sequential research design is used to explore the applicability of this research to the experience of nonabusing drinkers advised to curtail alcohol consumption after a hepatitis C diagnosis. A qualitative component identified 17 new decision factors not reflected in an inventory of factors based on synthesis of existing scales. Qualitative data were triangulated by supplementing semistructured interviews with Internet postings. A quantitative component estimated prevalence and association with current drinking of these new decision factors. Patients who quit drinking tended to attribute postdiagnosis drinking to occasional triggers, whereas patients who were still drinking were more likely to endorse rationales not tied to specific triggers. [ABSTRACT FROM PUBLISHER]

To compare rural–urban health care costs among Latinx adults ages 51+ and examine variations by dementia status.Data are from the Health and Retirement Study (2006–2018 waves; n = 15,567). We inflation-adjusted all health care costs using the 2021 consumer price index. Geographic context and dementia status were the main exposure variables. We applied multivariate two-part generalized linear models and adjusted for sociodemographic and health characteristics.Rural residents had higher total health care costs, regardless of dementia status. Total health care costs were $850 higher in rural ($2,640) compared to urban ($1,789) areas (p < .001). Out-of-pocket costs were $870 higher in rural ($2,677) compared to urban ($1,806) areas (p < .001). Dementia status was not an effect modifier.Health care costs are disproportionately higher among Latinx rural, relative to urban, residents. Addressing health care costs among Latinx rural residents is a public health priority. [ABSTRACT FROM AUTHOR]