Prevalence and risk factors for attempted suicide in the elderly: a cross-sectional study in Shanghai, China

ABSTRACTBackground:Previous studies have thoroughly investigated the prevalence and risk factors for completed suicide. In marked contrast is the lack of a better understanding of attempted suicide in the elderly. The aim of this study was to estimate the prevalence of attempted suicide in the elderly and examine the associated factors.Methods:Using a multi-stage cluster sampling approach, a cross-sectional survey of 8,399 elderly house-dwelling residents was conducted in Shanghai, China.Results:The two-week prevalence of attempted suicide in the elderly was 0.75%. In the bivariate analysis, having no caregivers, depressive, anxiety, sad, fear, obsessive-compulsive and anger symptom, and lower scores on the Barthel Index of Activities of Daily Living and the Lawton Instrumental Activities of Daily Living Scale were significantly associated with an increased risk of attempted suicide in the elderly. In the multivariate analysis, sad and fear symptoms were significantly and independently associated with a higher risk of attempted suicide in the elderly.Conclusion:The two-week prevalence of attempted suicide in the elderly is relatively high when compared with the annualized or lifetime prevalence reported in China and foreign settings. Elderly individuals with certain mental symptoms should be targeted for suicide prevention and provided with timely mental health support.

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Faktor yang Berhubungan dengan Beban Keluarga dalam Merawat Aktifitas Sehari-hari pada Lansia

Jurnal Ners dan Kebidanan Indonesia ◽

10.21927/jnki.2016.4(3).117-122 ◽

2017 ◽

Vol 4 (3) ◽

pp. 117

Author(s):

Rizky Erwanto

Keyword(s):

Activities Of Daily Living ◽

Daily Living ◽

Sampling Technique ◽

The Elderly ◽

Daily Activities ◽

Bivariate Analysis ◽

Cluster Sampling ◽

Cross Sectional ◽

The Family ◽

Burden Of Caring

Treatment of elderly needs to be considered properly, the elderly who have difficulty in performing daily activities at home, such as toileting, eating, dressing, bathing and transferring. Issues relating to the elderly lead to dependence on others. Elderly dependency ratio can be classified in decreasing independence. Elderly needs family to perform their activities of daily living independently. Caring for the Elderly may have an impact on family in the form of expenses incurred for the elderly require continuous assistance. This research aim was to identify several factors related to the family burden of caring for the elderly in the treatment daily activities. The study design used cross sectional method. The sampling method used cluster sampling technique. Respondents that family members caring for the elderly totaling 98 respondents. The study was conducted in July 2015. Bivariate test used chi-square test. Based on bivariate analysis between knowledge and family expenses 0.002. Socioeconomic relations that includes education, employment, and income with the burden of the family, education was obtained p-value 0.039, 0.017 jobs, and income 0.0. The relationship between long care for the elderly load was obtained p-value 0.024. There were a significant relationship between the knowledge of the family, economic sosial of the family and long of care for the elderly with the burden of caring for elderly relatives. Families should aim to increase knowledge about the care activities of daily living in the elderly with a lot of reading and find out about the care activities of daily living in the elderly through mass media. Cadres should increase the knowledge about the knowledge of the care activities of daily living by means of training and counseling held in the clinic so in practice cadres received extensive insight maintenance activities of daily living in the elderly and families teach the elderly.

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Relationship Between Activities of Daily Living and Depression in Older Adults

Salmand ◽

10.32598/sija.13.10.180 ◽

2020 ◽

Vol 15 (2) ◽

pp. 200-211 ◽

Cited By ~ 2

Author(s):

Marzieh Mohamadzadeh ◽

◽

Vahid Rashedi ◽

Mitra Hashemi ◽

Vahidreza Borhaninejad ◽

...

Keyword(s):

Older Adults ◽

Activities Of Daily Living ◽

Elderly People ◽

Daily Living ◽

Pearson Correlation ◽

Depression Scale ◽

The Elderly ◽

Cluster Sampling ◽

Early Assessment ◽

Cross Sectional

Objectives: Physical disability to perform daily living activities is one of the major causes of depression in the elderly people. On the other hand, depression is associated with loss of interest in daily activities and lack of independence. The present study aimed to assess the relationship of depression with the ability to perform Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) in older adults in Iran. Methods & Materials: This cross-sectional study was performed on 148 elderly people aged ≥60 years who were selected by multi-stage cluster sampling method. Data were collected by using ADL, IADL, and 15-item Geriatric Depression Scale (GDS-15) questionnaires and were then presented by using descriptive statistics and analyzed by Chi-square test, Pearson correlation coefficient, and regression analysis. Results: Participants were 86 female (58.1%) and 62 male (41.9%); 109 (73.6%) aged 60-75 years, and the rest were older than 75 years; 71 (48%) had moderate or severe depression; 4(2.7%) and 61(41.2%) were dependent or in need of help performing ADL and IADL, respectively. Statistical analysis showed that depression has a significant negative correlation with ADL (r= -0.304, P<0.001) and IADL (r=-0.193, P>0.01); i.e. by increasing one of them, the depression decreases. Conclusion: The ability of the elderly people to perform ADL and IADL can be a good predictor of depression in them. With early assessment of their health and ability by health teams and family members, it is possible to prevent the development of their disability and depression.

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Incapacidade funcional e fatores associados em idosos de área urbana: um estudo de base populacional

Brazilian Journal of Kinanthropometry and Human Performance ◽

10.5007/1980-0037.2016v18n5p499 ◽

2016 ◽

Vol 18 (5) ◽

pp. 499 ◽

Cited By ~ 2

Author(s):

Darlene Mara dos Santos Tavares ◽

Paula Berteli Pelizaro ◽

Maycon Sousa Pegorari ◽

Mariana Mapelli de Paiva ◽

Gianna Fiori Marchiori

Keyword(s):

Activities Of Daily Living ◽

Daily Living ◽

Functional Disability ◽

Depression Scale ◽

Action Planning ◽

The Elderly ◽

Bivariate Analysis ◽

Urban Elderly ◽

Cross Sectional ◽

Instrumental Activities

DOI: http://dx.doi.org/10.5007/1980-0037.2016v18n5p499 Population aging may cause impaired functional abilities in the elderly population, with increased rates of functional disability. Early detection of functional disability makes it possible to postpone possible complications and helps with health action planning. The objective of this study was to investigate the factors associated with functional disability in urban elderly. We conducted an analytical and cross-sectional household survey with 1,691 urban elderly individuals in Uberaba (MG), Brazil, in 2012. The questionnaire included socioeconomic and clinical information. We used the following instruments to assessed the participants: Abbreviated Geriatric Depression Scale, Katz Index, and Lawton and Brody Scale. We performed a descriptive bivariate analysis and used a logistic regression model (p<0.05). The prevalence of functional disability in basic activities of daily living was 21.2%; whereas the prevalence of functional disability in instrumental activities of daily living was 65.9%. The following factors were associated with functional disability in basic and instrumental activities of daily living, respectively: age of 80 years old and older [(OR= 2.18; p<0.001), (OR=3.30, p<0.001)]; larger number of self-reported diseases [(OR=1.24, p<0.001), (OR=1.12; p<0.001)]; and symptoms of depression [(OR=1.49; p<0.003), (OR = 1.75, p<0.001)]; whereas no schooling (OR=1.88; p<0.001) was related to functional disability in instrumental activities of daily living. We found significant impairment of functional status, especially in instrumental activities of daily living and in association with socioeconomic and health variables; those aspects support the implementation of actions aimed at monitoring and controlling the factors that interfere with the functional ability of the elderly.

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Assessment of functional capacity of the elderly associated with the risk for pressure ulcer

Acta Paulista de Enfermagem ◽

10.1590/s0103-21002012000800015 ◽

2012 ◽

Vol 25 (spe1) ◽

pp. 94-100 ◽

Cited By ~ 2

Author(s):

Elizabeth Souza Silva de Aguiar ◽

Maria Júlia Guimarães Oliveira Soares ◽

Maria Helena Larcher Caliri ◽

Marta Mirian Lopes Costa ◽

Simone Helena dos Santos Oliveira

Keyword(s):

Activities Of Daily Living ◽

Functional Capacity ◽

Daily Living ◽

Pressure Ulcers ◽

The Elderly ◽

Functional Independence ◽

Cognitive Status ◽

Cluster Sampling ◽

Cross Sectional ◽

Physical Limitations

OBJECTIVE: To characterize the elderly with physical limitations; to assess functional capacity as it relates to physical mobility, cognitive status and level of functional independence in activities of daily living, and to relate functional capacity to the risk for pressure ulcers. METHODS: A quantitative cross-sectional approach, conducted in households in the city of João Pessoa (PB) with seniors who presented physical limitation. Fifty-one elderly were investigated in a two-stage cluster sampling design. RESULTS: There was evidence of impairments in functional capacity of the elderly aged 80 years or more, with more severe physical limitations, cognitive impairment and a higher level of dependency for activities. Significant differences were observed between the level of functional independence in performing activities of daily living and the risk of pressure ulcers. CONCLUSION: This study allowed for the identification of the elderly in functional decline and at risk for developing pressure ulcers, supporting the implementation of preventive actions at the household level.

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Physical and Psychological Factors Contributing to Incidental Falls in Older Adults Who Perceive Themselves as Unhealthy: A Cross-Sectional Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18073738 ◽

2021 ◽

Vol 18 (7) ◽

pp. 3738

Author(s):

Mikyong Byun ◽

Jiyeon Kim ◽

Ji Eun Kim

Keyword(s):

Older Adults ◽

Activities Of Daily Living ◽

Psychological Factors ◽

Daily Living ◽

Strong Predictor ◽

The Elderly ◽

Individual Characteristics ◽

Cross Sectional ◽

Increased Risk ◽

Public Data

Falls have become one of the common causes of morbidity and mortality in the elderly. Advanced age is a strong predictor of falls. Additionally, those who perceive themselves as unhealthy are more likely to suffer from incidental falls in accordance with aging. We aimed to compare individual, physical, and psychological factors between older adults with and without a fall history. Then, we tried to identify physical and psychological variables associated with falls by controlling for individual characteristics. We analyzed public data from the 2017 National Survey of Older Persons in South Korea. Seniors aged 65 years and over who considered themselves in poor health status were eligible. A total of 2765 women and 1280 men (n = 4045) were enrolled, and 940 adults suffered a fall within a year (the average number of falls was 2.5). We applied individual variable-adjusted models and discovered that hearing discomfort (odds ratio (OR) 1.30, 95% confidence interval (CI) 1.09–1.55), limited activities of daily living (ADL) (OR 1.40, 95% CI 1.13–1.74), limited instrumental activities of daily living (IADL) (OR 1.34, 95% CI 1.13–1.61), and depression (OR 1.44, 95% CI 1.23–1.69) significantly increased risk for falls on multivariate logistic regression. Our findings suggest that hearing discomfort, limited ADL/IADL, and depression need to be addressed observantly to prevent falls in the elderly who consider themselves unhealthy.

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Association of self-perceived income sufficiency with cognitive impairment among older adults: a population-based study in India

BMC Psychiatry ◽

10.1186/s12888-021-03257-4 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

T. Muhammad ◽

Shobhit Srivastava ◽

T. V. Sekher

Keyword(s):

Risk Factors ◽

Older Adults ◽

Cognitive Impairment ◽

Activities Of Daily Living ◽

Psychological Health ◽

Daily Living ◽

Basic Needs ◽

Well Being ◽

Asset Ownership ◽

Increased Risk

Abstract Background Greater cognitive performance has been shown to be associated with better mental and physical health and lower mortality. The present study contributes to the existing literature on the linkages of self-perceived income sufficiency and cognitive impairment. Study also provides additional insights on other socioeconomic and health-related variables that are associated with cognitive impairment in older ages. Methods Data for this study is derived from the 'Building Knowledge Base on Population Ageing in India'. The final sample size for the analysis after removing missing cases was 9176 older adults. Descriptive along with bivariate analyses were presented to show the plausible associations of cognitive impairment with potential risk factors using the chi-square test. Also, binary logistic regression analysis was performed to provide the relationship between cognitive impairment and risk factors. The software used was STATA 14. Results About 43% of older adults reported that they had no source of income and 7.2% had income but not sufficient to fulfil their basic needs. Older adults with income but partially sufficient to fulfil their basic needs had 39% significantly higher likelihood to suffer from cognitive impairment than older adults who had sufficient income [OR: 1.39; OR: 1.21–1.59]. Likelihood of cognitive impairment was low among older adults with asset ownership than older adults with no asset ownership [OR: 0.83; CI: 0.72–0.95]. Again, older adults who work by compulsion (73.3%) or felt mental or physical stress due to work (57.6%) had highest percentage of cognitive impairment. Moreover, older adults with poor self-rated health, low instrumental activities of daily living, low activities of daily living, low subjective well-being and low psychological health were at increased risk for cognitive impairment. Conclusion The study highlights the pressing need for care and support and especially financial incentives in the old age to preserve cognitive health. Further, while planning geriatric health care for older adults in India, priority must be given to financially backward, with no asset ownership, with poor health status, older-older, widowed, and illiterate older individuals, as they are more vulnerable to cognitive impairment.

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Functional capability and violence situations against the elderly

Acta Paulista de Enfermagem ◽

10.1590/1982-0194201400066 ◽

2014 ◽

Vol 27 (5) ◽

pp. 392-398 ◽

Cited By ~ 8

Author(s):

Andréa Mathes Faustino ◽

Lenora Gandolfi ◽

Leides Barroso de Azevedo Moura

Keyword(s):

Activities Of Daily Living ◽

Daily Living ◽

Physical Violence ◽

The Elderly ◽

Population Based ◽

Cross Sectional Study ◽

Functional Capability ◽

Cross Sectional ◽

Daily Lives ◽

Partial Dependence

Objective To verify whether there is a connection between the functional capacity of the elderly and the presence of violent situations in their daily lives. Methods A population-based cross-sectional study developed with 237 elderly individuals. Standard and validated research instruments were used. Results Mean age of 70.25 years (standard deviation of 6.94), 69% were female, 76% were independent in basic activities of daily living and 54% had a partial dependence on at least one instrumental activity. The most prevalent violence was psychological and the relation between being dependent on basic activities of daily living and suffering physical violence was statistically significant. Conclusion When the elderly needs assistance to perform self-care activities, there is a greater chance of exposure to a situation of abuse, such as physical violence.

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Prevalence and Associated Factors of Hypertension Among Adults living in the City of Bandundu, Republic Democratic Republic of the Congo. A Population-Based Cross-Sectional Study.

10.21203/rs.3.rs-144209/v1 ◽

2021 ◽

Author(s):

Ferdinand Mukoso ◽

Aliocha Nkodila ◽

François Lepira ◽

Pascal Bayauli ◽

Yves Lubenga ◽

...

Keyword(s):

Risk Factors ◽

Cardiovascular Risk ◽

Sleep Duration ◽

Subclinical Atherosclerosis ◽

Statistical Significance ◽

Epidemiological Data ◽

Cluster Sampling ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Factors Associated

Abstract Background and aim: In limited resource settings, reliable epidemiological data generated from hypertension high risk geographical areas or people is a prerequisite for the planning of proven and effective interventions. The aim of the present survey was to assess the prevalence, awareness, control and factors associated with hypertension in adults living in the port City of Bandundu, located in the southwestern part of DRC.Methods: a cross-sectional survey using a modified WHO STEPwise questionnaire for data collection during face-to face interviews was conducted from 1st May to 30th October 2018. A multistage cluster sampling method was used and inclusion criteria were age ≥18 years and informed consent. Information on demographic parameters, behavioral lifestyles, anthropometric and blood pressure (BP) measurements was obtained. Hypertension was defined as an average of two BP ≥ 140/90 mmHg or self-reported history of antihypertensive medication use. Independent factors associated with hypertension were identified using logistic regression analysis. P<0.05 defined the level of statistical significance. Results: The prevalence of hypertension was 34,5% (Women 36,6 %). Older age (p<0.001), subclinical atherosclerosis (p= 0.021), sleep duration <8 hours (p<0.002), diabetes mellitus (p<0.001), and obesity (p= 0.009) emerged as main cardiovascular risk factors associated with hypertension.Conclusion: Hypertension was characterized by a high prevalence, low rate of awareness and suboptimal BP control, high cardiovascular risk and associated sleep duration and obesity as modifiable risk factors.

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Faktor Determinan yang Berhubungan dengan Upaya Pengendalian Hipertensi di PSTW Budi Luhur Kota Jambi

Jurnal Akademika Baiturrahim Jambi ◽

10.36565/jab.v9i2.222 ◽

2020 ◽

Vol 9 (2) ◽

pp. 234

Author(s):

Fithriyani Fithriyani ◽

Miko Eka Putri

Keyword(s):

Blood Pressure ◽

Elderly People ◽

The Elderly ◽

Smoking History ◽

Bivariate Analysis ◽

Projection Data ◽

Moderate Activity ◽

Cross Sectional ◽

Major Health Problem ◽

Increased Risk

Aging is a natural process that can not be avoided, running continuously, and continuously. Based on population projection data the number of elderly people will increase where the most number is found at the age of 60-64 years 94,012 people. Increasing age decreases bodily functions, decreased organ function and changes in blood pressure, therefore the elderly are advised to check their blood pressure regularly. As they age, blood pressure in the elderly will increase so that there is a higher risk of developing hypertension. Hypertension is a major health problem throughout the world, causing a high prevalence and is associated with an increased risk of cardiovascular disease. Some things that need to be considered in an effort to control hypertension include regular exercise, adequate rest, medical, traditional, regulate diet and reduce salt consumption one teaspoon per day. The purpose of this study was to determine the determinants and factors associated with efforts to control hypertension in the elderly at PSTW Budi Luhur, Jambi City. The research method uses descriptive analysis design with cross sectional approach. Samples were conducted for the elderly with hypertension. The research instrument was in the form of questionnaire sheets by interview. The results obtained 40% of elderly people have a history of smoking, 45% are quite good in consuming food, 60% elderly with moderate activity and 60% elderly are good in controlling hypertension. The results of bivariate analysis showed that there was no correlation between determinant factors (smoking history, food consumption, physical activity) and hypertension control efforts in the elderly in PSTW Budi Luhur, Jambi City

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The relationship between activities of daily living,falls and fear of falling in older adults : A crosssectional study

Bangladesh Journal of Medical Science ◽

10.3329/bjms.v20i2.51559 ◽

2021 ◽

Vol 20 (2) ◽

pp. 420-425

Author(s):

Hamed Mortazavi ◽

Mahbubeh Tabatabaeichehr ◽

Masoumeh Taherpour ◽

Mohadece Masoumi

Keyword(s):

Older Adults ◽

Activities Of Daily Living ◽

Social Life ◽

Daily Living ◽

Fear Of Falling ◽

Medical Science ◽

The Elderly ◽

Cluster Sampling ◽

Elderly Persons ◽

The Relationship

Objective : Doingactivities of daily living can bring independence for the elderly. It can also maintain their health and social participation. However, experience of falls and fear of falling can affect the health and personal social life of the elderly. The aim of this study was to evaluate the relationship between falls and fear of falling with activities of daily living in older adults. Materials and methods : Four hundred and fifty elderly persons were enrolled in this cross-sectional study using cluster sampling. Demographic variables, Fall Efficacy Scale- International (FES-I) and questionnaires related to the study of activities of daily living were employed. To investigate advanced activities of daily living, open-ended questions were used. The history of falls within the last 12 months was investigated. Results : Mean score of basic activities of daily living in the elderly being studied was 15.49±1.74, and 95.4% of them were independent in doing these activities.Mean score of instrumental activities of daily living was 11.30±3.36, and 71.5% of them were independent in doing these activities. Participation of elderly persons in social activities was reported to be 77.9%. There was a significant relationship between activities of daily living (basic, instrumental, and advanced) and falls and fear of falling (p<0.05). Conclusion : Falls and fear of falling reduce the independence of elderly persons in doing activities of daily living. Bangladesh Journal of Medical Science Vol.20(2) 2021 p.420-425

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