HEALTH PROMOTION AND HEALTHY AGING  A SLOW START: USE OF PREVENTIVE SERVICES AMONG SENIORS FOLLOWING THE ACA’S ENHANCEMENTS TO MEDICARE

Abstract Reaching men is one of the challenges related to targeted health promotion. Societal factors, concepts of masculinities, and gender norms have a strong influence on preventive and health behavior of men. Targeted health promotion and prevention has to consider gender-specific differences in language and information sources to spread preventive messages but often fail to be effective. In Kyrgyzstan, non-communicable diseases account for 80% of mortality, including cardiovascular diseases, and raised blood pressure is the second most common disease for men. The NCD prevention and control project in Kyrgyzstan, funded by the Swiss Agency for Development and Cooperation (SDC), aims to facilitate behavioral change towards healthier lifestyles by taking a gender-responsive approach to support the utilization of NCD related primary health care services for men. The gender-responsive intervention considers gender roles, norms, and inequalities, understands men's health needs, and pattern of preventive behavior to develop interventions. Data from project studies yielded that for men family members were the primary source of information about NCDs, risk factors and prevention. An assets-based approach is taken, building on the male role in a life-course perspective and a positive approach to the role of men as fathers. In 2019, an intervention, combining a school competition for children with a voucher system for preventive services for fathers and male relatives was conducted. In total, 80,416 males were reached and visited primary health facilities for preventive services (which averaged 20% of the male population over 18 years old); 18,364 (23%) men were newly detected with high blood pressure. Medical workers were made available during special hours to provide men with a consultation. During their visits, all men were screened for risk factors and received a consultation based on PEN protocol 1 and 2. Lessons on gender sensitivity have been learned from this experience.

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Health Promotion and Wellness in Aging

Handbook of Research on Health Systems and Organizations for an Aging Society - Advances in Human Services and Public Health ◽

10.4018/978-1-5225-9818-3.ch002 ◽

2020 ◽

pp. 12-28

Author(s):

Maria Cristina Campos de Sousa Faria

Keyword(s):

Health Promotion ◽

Healthy Aging ◽

Social Representations ◽

Aging In Place ◽

Age Group ◽

Health And Wellbeing ◽

Aging And Health ◽

Social Environmental ◽

Psychological View ◽

Five Axes

The older population is growing and living longer than ever. That is why we must create more and more services suitable for this age group, so that it can grow old with quality of life. In order to better understand their needs and the type of intervention which can be implemented in the community to protect the health and wellbeing in this age group, from the age of 65, the authors have sought to identify and understand the synergies they can establish between health promotion and wellness in aging. To take this task forward, they focused their attention on five axes: principles of health promotion, social representations of aging, the focus on gender in the analysis of aging and health, empowering and wellbeing of older adults, and healthy aging in place. In this work they start from a bio-psycho-social-environmental view of aging and present the contributions of the psychological view for promoting health in aging. At the end, a reflexive synthesis will be carried out on the topics covered and suggestions will be presented to improve the health and wellbeing of aging in place.

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A slow start: Use of preventive services among seniors following the Affordable Care Act's enhancement of Medicare benefits in the U.S.

Preventive Medicine ◽

10.1016/j.ypmed.2015.03.023 ◽

2015 ◽

Vol 76 ◽

pp. 37-42 ◽

Cited By ~ 29

Author(s):

Gail A. Jensen ◽

Ramzi G. Salloum ◽

Jianhui Hu ◽

Nasim Baghban Ferdows ◽

Wassim Tarraf

Keyword(s):

Preventive Services ◽

Slow Start ◽

The U.S

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Healthy aging: health promotion and disease prevention

Nursing Clinics of North America ◽

10.1016/j.cnur.2004.01.007 ◽

2004 ◽

Vol 39 (2) ◽

pp. 411-422 ◽

Cited By ~ 19

Author(s):

Robert Topp ◽

Mariane Fahlman ◽

Debra Boardley

Keyword(s):

Health Promotion ◽

Disease Prevention ◽

Healthy Aging ◽

Aging Health

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Healthy aging promotion model referenced in Nola Pender’s theory

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2020-0373 ◽

2022 ◽

Vol 75 (1) ◽

Author(s):

Rosane Barreto Cardoso ◽

Célia Pereira Caldas ◽

Marcos Antônio Gomes Brandão ◽

Priscilla Alfradique de Souza ◽

Rosimere Ferreira Santana

Keyword(s):

Health Promotion ◽

Clinical Practice ◽

Conceptual Analysis ◽

Healthy Aging ◽

Theoretical Study ◽

Qualitative Approach ◽

Nursing Process ◽

Health Promotion Model ◽

Pender's Health Promotion Model ◽

Promotion Process

ABSTRACT Objectives: to model the process of promoting healthy aging from the conceptual analysis proposed by Walker and Avant and Nola Pender’s Health Promotion Model. Methods: this is a descriptive and theoretical study, with a qualitative approach. Elements resulting from conceptual analysis were used to model a healthy aging promotion process based on Nola Pender’s Health Promotion Model. Results: in conceptual analysis, seven antecedents, seven attributes and three consequences of the concept of healthy aging were identified. Final Considerations: the proposed Health Promotion Model represents a structure that in an instrumental way can guide the nursing process application in gerontological clinical practice. This can guide nurses in identifying diagnoses, establishing outcomes and implementing interventions aimed at promoting the elderly’s health.

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United Kingdom Health Promotion Initiatives for Healthy Aging

Sustainable Health and Long-Term Care Solutions for an Aging Population - Advances in Medical Diagnosis, Treatment, and Care ◽

10.4018/978-1-5225-2633-9.ch005 ◽

2018 ◽

pp. 91-102

Author(s):

Susan Dawkes ◽

Simon T. Cheung

Keyword(s):

Health Promotion ◽

United Kingdom ◽

Chronic Disease ◽

Role Models ◽

Healthy Aging ◽

Healthcare Professionals ◽

Communicable Diseases ◽

Self Management ◽

Healthy Living ◽

The United Kingdom

People are living longer but not, unfortunately, living longer healthy lives as there is an increasing number of years spent in ill-health from the age of 65 years onwards. Rates of chronic non-communicable diseases are increasing. This purpose of this chapter is to describe how modern healthcare aims to involve patients more in their care (so called self-management) to reduce the incidence of complications linked to chronic disease while attempting to promote healthy ageing. Support for patients' self-management is multifaceted but patients require support from healthcare professionals and this will be discussed as well as the educational requirements of the healthcare professionals who support those patients. How well nurses are prepared for giving patients health promotion advice will be described using an example of research from the United Kingdom. The chapter will conclude with an outline of how healthcare professionals are considered as role models for healthy living.

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Efficacy of Healthy Aging Interventions for Adults With Intellectual and Developmental Disabilities: A Systematic Review

The Gerontologist ◽

10.1093/geront/gnaa192 ◽

2020 ◽

Cited By ~ 1

Author(s):

Flavia H Santos ◽

Johanna Zurek ◽

Matthew P Janicki

Keyword(s):

Systematic Review ◽

Older Adults ◽

Health Promotion ◽

Developmental Disabilities ◽

Social Inclusion ◽

Healthy Aging ◽

Small Sample ◽

Intellectual And Developmental Disabilities ◽

Intrinsic Factors ◽

The Impact

Abstract Background and Objectives There is a lack of information on intervention strategies employed for health promotion and disease prevention for older adults with intellectual and developmental disabilities (IDD), who usually experience poorer health compared to their peers without IDD. We carried out the first systematic review to scrutinize the impact of intrinsic factors (e.g., cognitive, mental, and physical health, etc.), on health status of older adults with IDD. Research Design and Methods To assess the efficacy of such interventions, we examined 23 articles including prospective ‘healthy aging’ interventions designed for adults with IDD. Searches were carried out in the databases Web of Science; Scielo; PsycINFO in April 2020. Articles were organized in thematic areas: (1) Physical activity and health nutrition (n=10); (2) Health education and health screening (n=6); (3) Social inclusion and community participation (n=3); and (4) Multi-components (n=4). Except for five RCT studies, the designs were mainly non-randomized, involving small sample sizes (Nrange = 8 to 379 participants), and lacking follow up. Results The studies included 2,398 men and women with IDD (ranging in age from 18 to 86 years [mean age: 44.3 yrs.]). Overall, intervention outcomes were mostly positive, however some negative outcomes were reported. Discussion and Implications In brief, healthy aging interventions for people with IDD remain scarce, incipient, and sporadic. We recommend that more attention needs to be given to active health promotion with people with IDD as a program practice among organizations and as a focal public policy among governments.

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