Urinary Incontinence, Functional Status, and Health-Related Quality of Life Among Medicare Beneficiaries Enrolled in the Program for All-Inclusive Care for the Elderly and Dual Eligible Demonstration Special Needs Plans

2013 ◽  
Vol 36 (1) ◽  
pp. 35-49 ◽  
Author(s):  
Galina Khatutsky ◽  
Edith G. Walsh ◽  
David W. Brown
Author(s):  
Jiyoung Song ◽  
Eunwon Lee

This study aimed to describe the health-related quality of life of elderly women with experience in fall treatment as well as to prepare basic data for the development of interventions to improve the quality of life for this group. The study was based on raw data from the 2019 Korea Community Health Survey. Using the SPSS program, the characteristics of the subjects were tested by frequency, percentage, and chi-square test. To establish the impact of fall experience on the health-related quality of life of elderly women, the OR and 95% CI were calculated using multiple logistic regression analysis. Of the 4260 people surveyed, 44.7% of the elderly women said they had a high quality of life, whereas 55.3% of the elderly women said they had a low quality of life. A younger age was associated with a better-rated health-related quality of life. Those who lived in a city and had a high level of education tended to describe a high quality of life. The quality of life was considered high by those who exercised, but low by those who were obese or diabetic. The results of this study can lead to a better understanding of the experiences of elderly women who have experienced falls, and they can be used as basic data for the development of related health programs.


Author(s):  
Raditya Wratsangka ◽  
Rully Ayu Nirmalasari Haryadi Putri

Anemia is a global health problem with an extremely high prevalence and occurring in nearly 25% of the world population, particularly in the elderly group. Currently Indonesia is facing a rapid growth of the elderly population, with around 21 million elderly (8.2% of the total population), that is projected to increase to 33.7 million (11.8%) in the year 2025. Anemia in the elderly is frequently neglected, although the facts show that low hemoglobin concentration is an important marker of physiological decline and functional limitations. Although the factor of intrinsic aging may cause low hemoglobin concentration, anemia in the elderly is known to have a wide range w88ith regard to etiology, underlying disorders, and  possible mechanisms, such that it should be clinically followed up. Whatever its causes or underlying pathophysiological, anemia in the elderly has been proven to play a role in their morbidity and mortality, and may decrease their quality of life, that comprises all aspects of physical, mental, and social health, known as health-related quality of life (HRQoL). The impact of anemia on HRQoL has been studied in various populations, and most studies report the presence of an association between HRQoL and anemia in elderly individuals, which on the subscale level is particularly associated with physical health. Early diagnosis of anemia is important to prevent aggravation of the condition, to retard the progress of the disease, and to improve the health-related quality of life (HRQoL) of the patient. Prior to determining the treatment plan, the primary diagnosis and the comorbidities, especially treatable disorders, had better be identified first. The available data show that the overall prognosis will improve for anemia in patients with well-managed and corrected chronic disorders.


2021 ◽  
Vol 141 (5) ◽  
pp. 81-89
Author(s):  
Tran Quynh Anh ◽  
Pham Thi Thu Trang ◽  
Do Vu Minh Ha

Caring for an aging population is an emerging public health problem, and the quality of life (QoL) among the elderly is a significant concern. Our study aimed to describe the health - related quality of life (HRQoL) and factors associated with good HRQoL among the elderly in three communes of Hanam province in Vietnam. A cross - sectional design was used with a sample size of 479 participants aged 60 and above. HRQoL was measured using the SF - 36. Comparison of characteristics between those with high HRQoL and those with low HRQoL was done using Pearson chi - square tests. Results were reported using descriptive statistics and odds ratios with 95% CI (Confidence Interval). Many of the elderly had moderate HRQoL (41.3%), and elderly men were more likely to have higher QoL in terms of physical health and psychological health than elderly women. Our findings also indicated that some factors including older age, low educational level, those not living with their spouse, poor financial condition, having more than two health problems and possessing unhealthy drinking behaviors were significantly positive associated with HRQoL. Findings suggest interventions are needed to improve the quality of life among the elderly in rural areas of Vietnam.


Author(s):  
Saber Azami-Aghdash ◽  
Fatemeh Pournaghi-Azar ◽  
Ahmad Moosavi ◽  
Mohammad Mohseni ◽  
Naser Derakhshani ◽  
...  

Background: Of the most important implications and complaints in the elderly group of the population, is oral and dental health problems. This study aimed to assess oral health- related quality of life in older people. Methods: To data collection, databases were searched including PubMed, EMBASE, Scopus, SID, MagIran, Cochrane Central Register of Controlled Trials and scholar google The keywords were “older adults", “Geriatric” Elderly", "Older", “Aged”, "Ageing", "Oral health", "Oral hygiene" and "Quality of life", "QOL. For manual searching, several specialized journals of related scope as well as the finalized articles' reference list were searched. Studies from 1st Jan 2000 to 30th Jan 2017 were included. Studies were subjected to meta-analysis to calculate indexes, using CMA:2 (Comprehensive Meta-Analysis) software. Results: Totally, 3707 articles were searched that 48 of them were subjected to the oral and dental health-related quality of life in 59 groups of the elderly population with the mean age of 73.57+6.62 in the 26 countries. The obtained percentage values of dental and oral health were 80.2% (0-60), 14.8% (0-12), 16.4% (0-70), 22% (0-14 or 0-59) and 19.2% (0-196) for GOHAI with the additive method, GOHAI with Simple Count Method, OHIP14 with the additive method, OHIP-14 with Simple Count method and OHIP-49 with additive method indexes, respectively. Conclusion: The elderly group of the population had no proper oral health-related quality of life. Regarding the importance and necessity of oral and dental health and its effect on general health care in the target group, it is recommended to improve dental hygiene in the mentioned group of population.


Author(s):  
Jeehee Pyo ◽  
Ji-Hyun Lee ◽  
Mina Lee ◽  
Minsu Ock

Abstract Background: Disease burden created by periodontal disease has been recognized as a global challenge. The burden of medical expenses is expected to increase continuously, parallel to the growth of the elderly population. Periodontal disease causes tooth loss if not treated early, and advanced periodontitis can cause a decline in chewing ability and word pronunciation as well as aesthetic function. These results diminish the health-related quality of life (QOL) for various populations, particularly the elderly, adults, pregnant women, and workers. Thus, not only is early detection and management of the disease necessary, but also a systematic strategy for the prevention of periodontal diseaseMethods: Adults 19 years of age or older diagnosed with chronic gingivitis (K05.1) or chronic periodontitis (K05.3) under the ICD-10 codes were selected to participate in the study. Among the patients visiting the dental outpatient department, the study participants were chosen for our sample. A total of 20 participants were informed of the purpose of the study and gave consent to participate in in-depth interviews.Results: The analysis results were summarized into the four upper categories of ‘Interfering Element for Dental Care,’ ‘Declined Quality of Life caused by Dental Disease,’ ‘Satisfaction Elements after Treatment of Dental Disease,’ ‘Improvements for Voluntary Dental Care.’ The treatment of periodontal disease has improved the health-related quality of life and enabled the participants to have positive health behaviors for dental care. Furthermore, they recognized the severity of periodontal disease and the importance of dental examinations. It enabled them to be aware of the need of societal effort for dental care awareness.Conclusions: This study was an in-depth examination of the health-related QOL of periodontal patients through qualitative research methodology. The experiences of periodontal disease identified by this study can not only help to assess the adequacy of the current dental health-related QOL assessment tools but also recognize unmet needs regarding periodontal disease and, ultimately, to raise the awareness of periodontal disease among the general public. Based on this research, we expect that research on health-related QOL on periodontal disease would expand and revitalize the dental health system and practices.


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