Staying healthy: the salience and meaning of health maintenance behaviors among rural older adults in North Carolina

2001 ◽  
Vol 53 (11) ◽  
pp. 1541-1556 ◽  
Author(s):  
Thomas A Arcury ◽  
Sara A Quandt ◽  
Ronny A Bell
Keyword(s):  
Older Adults ◽  
North Carolina ◽  
Health Maintenance ◽  
Maintenance Behaviors ◽  
Rural Older Adults

scholarly journals Dental care utilization among North Carolina rural older adults

2012 ◽  
Vol 72 (3) ◽  
pp. 190-197 ◽  
Author(s):  
Thomas A. Arcury ◽  
Margaret R. Savoca ◽  
Andrea M. Anderson ◽  
Haiying Chen ◽  
Gregg H. Gilbert ◽  
...  
Keyword(s):  
Older Adults ◽  
North Carolina ◽  
Dental Care ◽  
Care Utilization ◽  
Dental Care Utilization ◽  
Rural Older Adults

scholarly journals Complementary and Alternative Medicine Use and Diabetes Self-Management Among Rural Older Adults

2006 ◽  
Vol 11 (2) ◽  
pp. 95-106 ◽  
Author(s):  
Ronny A. Bell ◽  
Jeanette M. Stafford ◽  
Thomas A. Arcury ◽  
Beverly M. Snively ◽  
Shannon L. Smith ◽  
...  
Keyword(s):  
Older Adults ◽  
Native American ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Self Management ◽  
Health Maintenance ◽  
Healthy Behaviors ◽  
Cam Use ◽  
Complementary And Alternative ◽  
Rural Older Adults

Complementary and alternative medicine (CAM) is a growing form of self-care and is related to other healthy behaviors. This study examines the relationship between CAM use and diabetes self-management. A survey of rural older African American, Native American, and White adults with diabetes was conducted. Data were collected on diabetes self-management domains and general and diabetes-specific CAM use. Some associations were observed, particularly for CAM use and following a healthy eating plan. CAM is part of the health maintenance strategy of rural older adults with diabetes. Further research should examine the health trajectory associated with CAM use in this population.

Perceptions and definitions of health among rural older adults

2011 ◽  
Author(s):  
R. T. Goins ◽  
M. Spencer ◽  
K. Williams
Keyword(s):  
Older Adults ◽  
Rural Older Adults

scholarly journals Body mass index and mild cognitive impairment among rural older adults in China: the moderating roles of gender and age

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yemin Yuan ◽  
Jie Li ◽  
Nan Zhang ◽  
Peipei Fu ◽  
Zhengyue Jing ◽  
...  
Keyword(s):  
Older Adults ◽  
Body Mass Index ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Older People ◽  
Older Women ◽  
Older Men ◽  
Gender And Age ◽  
Low Bmi ◽  
Rural Older Adults

Abstract Background Evidence concerning the association between body mass index (BMI) and cognitive function among older people is inconsistent. This study aimed to investigate gender and age as moderators in association between BMI and mild cognitive impairment (MCI) among rural older adults. Methods Data were derived from the 2019 Health Service for Rural Elderly Families Survey in Shandong, China. In total, 3242 people aged 60 years and above were included in the analysis. Multilevel mixed-effects logistic regression was used to examine the moderating roles of gender and age, then further to explore the relationship between BMI and MCI. Results There were 601 (18.5%) participants with MCI. Compared with normal BMI group, low BMI group had a higher risk of MCI among older people [adjusted odds ratio (aOR) = 2.08, 95% confidence interval (CI): 1.26–3.44], women (aOR = 2.06, 95% CI: 1.35–3.12), or the older elderly aged ≥75 years old (aOR = 3.20, 95% CI: 1.34–7.45). This effect remained statistically significant among older women (aOR = 3.38, 95% CI: 1.69–6.73). Among older men, elevated BMI group had a higher risk of MCI (aOR = 2.32, 95% CI: 1.17–4.61) than normal BMI group. Conclusions Gender and age moderated the association between BMI and MCI among Chinese rural older adults. Older women with low BMI were more likely to have MCI, but older men with elevated BMI were more likely to have MCI. These findings suggest rural community managers strengthen the health management by grouping the weight of older people to prevent the risk of dementia.

scholarly journals Rapid Transition to Telehealth Group Exercise and Functional Assessments in Response to COVID-19

2020 ◽  
Vol 6 ◽  
pp. 233372142098031
Author(s):  
Stephen C. Jennings ◽  
Kenneth M. Manning ◽  
Janet Prvu Bettger ◽  
Katherine M. Hall ◽  
Megan Pearson ◽  
...  
Keyword(s):  
Older Adults ◽  
Physical Performance ◽  
Exercise Program ◽  
Performance Testing ◽  
Group Exercise ◽  
Health Maintenance ◽  
Functional Assessments ◽  
Wide Scale ◽  
Rapid Transition ◽  
Exercise Classes

Exercise is critical for health maintenance in late life. The COVID-19 shelter in place and social distancing orders resulted in wide-scale interruptions of exercise therapies, placing older adults at risk for the consequences of decreased mobilization. The purpose of this paper is to describe rapid transition of the Gerofit facility-based group exercise program to telehealth delivery. This Gerofit-to-Home (GTH) program continued with group-based synchronous exercise classes that ranged from 1 to 24 Veterans per class and 1 to 9 classes offered per week in the different locations. Three hundred and eight of 1149 (27%) Veterans active in the Gerofit facility-based programs made the transition to the telehealth delivered classes. Participants’ physical performance testing continued remotely as scheduled with comparisons between most recent facility-based and remote testing suggesting that participants retained physical function. Detailed protocols for remote physical performance testing and sample exercise routines are described. Translation to remote delivery of exercise programs for older adults could mitigate negative health effects.

scholarly journals How Area Agencies on Aging Contribute to Social Connection for Older Adults in Rural America

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 616-616
Author(s):  
Claire Pendergrast
Keyword(s):  
Older Adults ◽  
New York ◽  
Social Networks ◽  
Service Organizations ◽  
Physical And Mental Health ◽  
Structured Interviews ◽  
Social Service Organizations ◽  
Upstate New York ◽  
Rural Aging ◽  
Rural Older Adults

Abstract Social ecological models of health identify intrapersonal, interpersonal, institutional, community, and policy-level contexts as social factors influencing individual and population health outcomes. However how institutions such as Area Agencies on Aging (AAA) shape rural older adults’ social networks and influence health is little explored. This research examines institutional influences of social networks for rural older adults, particularly the social connections resulting from their AAA services and programs. AAAs are local social service organizations that coordinate home- and community-based supports. Our 2020 case study of a rural AAA in upstate New York involved in-depth semi-structured interviews with AAA staff, volunteers and participants included key themes related to older adults’ social networks, social wellbeing, and physical and mental health. Our findings have both theoretical implications for rural community social structure as experienced by older adults, and practical implications to build AAA’s capacity to address social isolation for rural older adults. Part of a symposium sponsored by the Rural Aging Interest Group.

scholarly journals Examining Rural and Racial Disparities in the Relationship Between Loneliness and Social Technology Use Among Older Adults

2021 ◽  
Vol 9 ◽  
Author(s):  
Kaileigh A. Byrne ◽  
Reza Ghaiumy Anaraky ◽  
Cheryl Dye ◽  
Lesley A. Ross ◽  
Kapil Chalil Madathil ◽  
...  
Keyword(s):  
Older Adults ◽  
Racial Disparities ◽  
Technology Use ◽  
Social Engagement ◽  
Social Contact ◽  
Primary Study ◽  
Social Technology ◽  
Study Results ◽  
The Relationship ◽  
Rural Older Adults

Loneliness, the subjective negative experience derived from a lack of meaningful companionship, is associated with heightened vulnerability to adverse health outcomes among older adults. Social technology affords an opportunity to cultivate social connectedness and mitigate loneliness. However, research examining potential inequalities in loneliness is limited. This study investigates racial and rural-urban differences in the relationship between social technology use and loneliness in adults aged 50 and older using data from the 2016 wave of the Health and Retirement Study (N = 4,315). Social technology use was operationalized as the self-reported frequency of communication through Skype, Facebook, or other social media with family and friends. Loneliness was assessed using the UCLA Loneliness scale, and rural-urban differences were based on Beale rural-urban continuum codes. Examinations of race focused on differences between Black/African-American and White/Caucasian groups. A path model analysis was performed to assess whether race and rurality moderated the relationship between social technology use and loneliness, adjusting for living arrangements, age, general computer usage. Social engagement and frequency of social contact with family and friends were included as mediators. The primary study results demonstrated that the association between social technology use and loneliness differed by rurality, but not race. Rural older adults who use social technology less frequently experience greater loneliness than urban older adults. This relationship between social technology and loneliness was mediated by social engagement and frequency of social contact. Furthermore, racial and rural-urban differences in social technology use demonstrated that social technology use is less prevalent among rural older adults than urban and suburban-dwelling older adults; no such racial differences were observed. However, Black older adults report greater levels of perceived social negativity in their relationships compared to White older adults. Interventions seeking to address loneliness using social technology should consider rural and racial disparities.

scholarly journals HUBUNGAN HARGA DIRI DENGAN PERILAKU PEMELIHARAAN KESEHATAN REPRODUKSI REMAJA SANTRI PUTRI DI PONDOK PESANTREN KABUPATEN JEMBER

2019 ◽  
Vol 10 (1) ◽  
pp. 79-88
Author(s):  
Nahdah Khoirotul Ummah ◽  
Tantut Susanto ◽  
Latifa Aini Susumaningrum
Keyword(s):  
Reproductive Health ◽  
Boarding Schools ◽  
Self Esteem ◽  
P Value ◽  
Cross Sectional ◽  
Health Maintenance ◽  
Reproductive Health Care ◽  
Maintenance Behaviors ◽  
Adolescent Reproductive Health ◽  
Convenience Sampling

Abstract Background: Girl’s adolescent who live in Islamic boarding schools need behavioral maintenance facilities regarding reproductive health.  Girl’s adolescent development during reproductive growth will be associated with the acceptance of self-esteem. Objective: The study purpose was to understand about the relationship of self-esteem and adolescent reproductive health maintenance behaviors of students in Darussholah Boarding Schools Jember. Method: This study used cross-sectional with 281 adolescent aged 12-18 with convenience sampling. Rosenberg Self-esteem Scale (RSES) was used to measure self-esteem, and reproductive health care questionnaire was to measure reproductive health maintenance behaviors. Chi-square was performed to analyze the objective of study. Results: The results showed that among 281 adolescents were identify have a low self esteem (85%) and (74%) of less maintenance reproductive health behaviors. There is a significant relationship between the self-esteem and adolescent reproductive health maintenance behaviors among girl’s adolescent in Darussholah Boarding Schools Jember (χ2 = 96.34; p-value = 0.001). Girl’s adolescent with low self-esteem are more likely 35.414 time to have less reproductive health care (OR = 35.414; 95% CI = 90,145-13,913). Conclusion: Acceptance of proportional self-esteem should be improved to maintenance. Therefore, facilities in Islamic boarding schools need to be provided to realize a clean and healthy should the maintenance of reproductive. Keywords: Self esteem, maintainance of reproductive behavior, female adolscent, boarding schools Abstrak Latar belakang: Remaja putri yang tinggal di pondok pesantren selama proses hygiene perseorangan memerlukan fasilitas pemeliharaan perilaku kesehatan reproduksinya. Perkembangan remaja selama tumbuh kembang kesehatan reproduksi akan berkaitan dengan penerimaan harga dirinya. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara harga diri dengan perilaku pemeliharaan kesehatan reproduksi remaja santri putri di Pondok Pesantren Darussholah Jember. Metode: Desain penelitian cross-sectional dilakukan pada 281 remaja berusia 12-18 tahun dengan convenience sampling. Kuesioner digunakan untuk mengukur karakteristik remaja. Kuisioner Rosenberg Self-esteem Scale (RSES) digunakan untuk mengukur harga diri, dan kuesioner pemeliharaan kesehatan reproduksi digunakan untuk mengukur perilaku pemeliharaan kesehatan reproduksi.  Hasil: Hasil menunjukkan bahwa remaja memiliki harga diri rendah (85%) dan perilaku pemeliharaan kesehatan reproduksi yang kurang (74%). Ada hubungan yang signifikan antara harga diri dengan perilaku pemeliharaan kesehatan reproduksi remaja santri putri di Pondok Pesantren Darussholah Jember (χ2= 96,34; p-value= 0,001). Remaja santri putri dengan harga diri rendah berpeluang 35,414 kali memiliki pemeliharaan kesehatan reproduksi kurang (OR= 35,414; 95% CI= 13,913-90,145). Kesimpulan: Terdapat hubungan antara peran keluarga dengan pengetahuan dan SADARI pada remaja putri di Kecamatan Jelbuk. Oleh karena itu, diperlukan peningkatan pendidikan dan promosi kesehatan pada keluarga supaya dapat menjalankan peran keluarga dengan lebih baik dan menjadi sumber informasi tentang SADARI bagi remaja putri.   Kata kunci: harga diri, pemeliharaan kesehatan reproduksi, remaja putri, pondok pesantren

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