Accidental falls and associated factors among the elderly in Thailand: a national cross-sectional study in 2007, 2011, 2014 and 2017

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Pattaraporn Khongboon ◽  
Jiraporn Kespichayawatt
Keyword(s):  
Accidental Falls ◽  
Adult Population ◽  
Significant Risk ◽  
Good Health ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Cross Sectional ◽  
Content Type ◽  
Local Agencies

PurposeThis study assesses the prevalence of accidental falls in Thailand's older adult population and the contingent influences surrounding this prevalence.Design/methodology/approachData were drawn from the Cross-Sectional National Surveys of Older Persons in Thailand, pooling of four survey datasets which took place in 2007, 2011, 2014 and 2017. Stratified two-stage sampling was employed. Interviews were conducted with sample sizes of 11,370, 11,061, 13,775 and 12,457 senior citizens, aged 60 and above, in the respective survey years. Further investigation was conducted on subjects who reported to be of good health and without any disability, yet experienced accidental falls. The prevalence of accidental falls was examined, and variable aspects concerning fall risk were assessed with probability-weighted multiple logistic regression.FindingsThe average prevalence of accidental falls from the four surveys was 4.7%. Significant risk factors identified were advanced age, being female, living in a rural residence, having worked in the previous 7 days, lack of/excessive exercise, alcohol consumption, smoking and having an outdoor lavatory.Originality/valueAccidental falls tend to increase among community-dwelling seniors aged 60 and above. Falls increase with age and are more common among the women in that demographic. Findings suggest the need for government and local agencies to consider tailoring some public health approaches to the prevention of accidental falls. This study also highlights the necessity of proper work environment maintenance to prevent these falls.

scholarly journals Association of Health Literacy with the Implementation of Exercise during the Declaration of COVID-19 State of Emergency among Japanese Community-Dwelling Old-Old Adults

2021 ◽  
Vol 18 (4) ◽  
pp. 2100
Author(s):  
Daijo Shiratsuchi ◽  
Hyuma Makizako ◽  
Yuki Nakai ◽  
Yoshiaki Taniguchi ◽  
Tomomi Akanuma ◽  
...  
Keyword(s):  
Health Literacy ◽  
Mail Survey ◽  
Good Health ◽  
Cross Sectional Study ◽  
Exercise Group ◽  
Community Dwelling ◽  
Multivariate Logistic Regression Model ◽  
Cross Sectional ◽  
State Of Emergency ◽  
Old Adults

Health literacy is important for promoting and maintaining good health in old-old adults. It may influence the implementation of exercise in the coronavirus disease epidemic. The present cross-sectional study investigated the association of each dimension of health literacy with the implementation of exercise during the declaration of a state of emergency due to coronavirus disease in community-dwelling old-old adults. We collected data from 483 community-dwelling old-old adults (52.8% women) aged between 77 and 99 years who participated in a mail survey. Participants were divided into exercise or nonexercise groups based on the implementation of exercise during the declaration of a state of emergency. Health literacy was assessed using a 14-item health literacy scale. There were 327 (67.7%) participants in the exercise group and 156 (32.3%) in the nonexercise group. A significantly higher score of health literacy was observed in the exercise group than in the nonexercise group (communicative health literacy score = 14.0 ± 3.6 vs. 12.7 ± 3.8, p = 0.001). In a multivariate logistic regression model adjusted for potential confounders, high communicative health literacy scores were significantly associated with the implementation of exercise during the declaration of a state of emergency (odds ratio = 1.88, 95% confidence interval = 1.20–2.93). Approximately two-thirds of community-dwelling old-old adults implement exercise during the declaration of a state of emergency. High communicative health literacy was associated with the implementation of exercise during this period.

scholarly journals Factors Associated with the Caregivers’ Desire to Institutionalize Persons with Dementia: A Cross-Sectional Study

2018 ◽  
Vol 46 (5-6) ◽  
pp. 298-309 ◽  
Author(s):  
Sophie Vandepitte ◽  
Koen Putman ◽  
Nele Van Den Noortgate ◽  
Sofie Verhaeghe ◽  
Eric Mormont ◽  
...  
Keyword(s):  
Behavioral Problems ◽  
The Elderly ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
Respite Care ◽  
Community Dwelling ◽  
Cross Sectional ◽  
Factors Associated ◽  
Care Services ◽  
Modifiable Factors

Background/Aims: Dementia is one of the main reasons for institutionalization among the elderly. Few studies have explored factors associated with the caregivers’ (CG) desire to institutionalize (DTI) a person with dementia (PWD). The objective of this study is to identify modifiable and non-modifiable psychosocial and sociodemographic factors associated with a caregiver’s DTI. Methods: Cross-sectional data of 355 informal CG of community-dwelling PWD were analyzed. Several characteristics were identified in CG and PWD to be included in a multivariable regression model based on the purposeful selection method. Results: Positively modifiable associated factors were: higher CG burden, being affected by behavioral problems, and respite care use. Positively associated non-modifiable factors were: CG older age, being professionally active, and CG higher educational level. Cohabitation and change of professional situation were negatively associated. Conclusion: Although no causality can be assumed, several practical recommendations can be suggested. First of all, these results reconfirm the importance of multicomponent strategies, especially support aimed at decreasing burden and in learning coping strategies. Also, CG might benefit from information about support options, such as respite care services. Finally, special attention should be given to older and working CG. In the latter, flexible and adaptive working conditions might alleviate burden and therefore reduce the DTI of the PWD.

scholarly journals Factors associated with risk of malnutrition in the elderly in south-eastern Brazil

2017 ◽  
Vol 20 (4) ◽  
pp. 598-610 ◽  
Author(s):  
Renata Damião ◽  
Álvaro da Silva Santos ◽  
Alicia Matijasevich ◽  
Paulo Rossi Menezes
Keyword(s):  
At Risk ◽  
Formal Education ◽  
Family Income ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Hierarchical Regression ◽  
Cross Sectional

ABSTRACT: Objective: The aim of this study was to evaluate the prevalence of malnutrition risk and its association with socioeconomic, behavioral, and health characteristics in the community-dwelling elderly. Methods: A cross-sectional study with individuals aged ≥ 60 years. Nutritional status was evaluated using the Mini Nutritional Assessment. Socioeconomic, behavioral, and health information was also collected from all participants. The association between each variable and the risk of malnutrition was calculated and adjusted using Poisson hierarchical regression. Results: The initial sample consisted of 3,101 elderly people, of whom 28.3% (95%CI 25.3 - 31.4%) were at risk of malnutrition. The multivariate analysis showed that the risk of malnutrition was significantly higher in women without formal education, who did not live with a partner, and identified as black-skinned. The risk of malnutrition was twice as high in individuals with no family income as compared to those who earned at least three minimum wages. Smokers were also more likely to be at risk of malnutrition than individuals who had never smoked. Participants suffering from kidney, respiratory or heart disease were at higher risk of malnutrition than those with no history of such illnesses. Conclusion: These findings could be used to help in the development of health policies and in the establishment of adequate programs aimed at reducing the risk of malnutrition in this population.

Association of uric acid with metabolic parameters and obesity

2020 ◽  
Vol 50 (6) ◽  
pp. 1241-1254
Author(s):  
Marjan Mahdavi-Roshan ◽  
Mina Movahedian ◽  
Hamed Kord Varkaneh ◽  
Arsalan Salari ◽  
Melahat Sedanur Macit ◽  
...  
Keyword(s):  
Uric Acid ◽  
Serum Uric Acid ◽  
Communicable Disease ◽  
Adult Population ◽  
Elevated Serum ◽  
Cross Sectional Study ◽  
Metabolic Parameters ◽  
Cross Sectional ◽  
Content Type ◽  
Non Communicable Disease

Purpose Recent studies have shown that hyperuricemia is a predictor of non-communicable disease and an increment of mortality rate. Also, elevated serum uric acid may be associated with obesity in the adult population. This study aims to evaluate the association between serum uric acid levels with metabolic parameters and risk of obesity in the Iranian population. Design/methodology/approach The cross-sectional study was done on 550 participants, who were referred to a hospital for elective angiography in Rasht, Iran; anthropometric indices (waist circumference (WC) and body mass index (BMI)) and hematological factors were measured using the standard approaches. Based to the angiography results, the severity of atherosclerosis was defined. Findings The mean (SD) concentration of serum uric acid for all participants was 5.15 (1.37) mg/dl. Individuals who were at the highest tertile had higher mean (SD) of weight (p = 0.004), creatinine and blood urea nitrogen (p < 0.001) lower fasting blood sugar (FBS) (p = 0.000) and HbA1c (p = 0.016), and they were mostly men compared with those in the lowest tertile. After adjusting for confounders, FBS (ß = –0.145, p = 0.001) and HbA1c (%) (ß = –0.130, p = 0.019) had inverse and weight (ß = 0.156, p = 0.001) had direct association with serum uric acid. After adjustment for additionally potential confounders subjects in the highest tertile of serum uric acid had 92 per cent higher chance of obesity compared with subjects in the lowest tertile (OR 1.92; 95 per cent CI 1.13, 3.23). Originality/value The present study has concluded that increase serum uric acid related to high risk of obesity and low mean of FBS and HbA1c.

scholarly journals Malnutrition in free-living elderly in rural south India: prevalence and risk factors

2009 ◽  
Vol 13 (9) ◽  
pp. 1328-1332 ◽  
Author(s):  
Aditya Vedantam ◽  
Vijay Subramanian ◽  
Nicholas Vijay Rao ◽  
KR John
Keyword(s):  
Tamil Nadu ◽  
South India ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Free Living ◽  
Cross Sectional ◽  
Significant Difference

AbstractObjectiveTo estimate the prevalence of malnutrition among free-living elderly in a rural population of south India.DesignCross-sectional study. Nutritional status was assessed using the Mini Nutritional Assessment (MNA) questionnaire, which is an eighteen-item nutritional screening instrument used in the elderly.SettingKaniyambadi block, a rural development block in the state of Tamil Nadu, south India.SubjectsCommunity-dwelling elderly (aged 60 years and above).ResultsAs evaluated by the MNA, 14 % of the 227 subjects were malnourished and 49 % were at risk of malnourishment. No significant difference was found between men and women. The majority of the elderly were living with their children, had no income and consumed three meals per day. Older age (P < 0·001), decreased food intake (P < 0·001) and consuming fewer meals (P < 0·001) were independently associated with lower MNA scores.ConclusionsMore than 60 % of the subjects had low MNA scores (<23·5) indicating that deficient protein–energy intake is common among rural elderly of south India and requires more attention.

Measurement equivalence across gender and education in the WHOQOL-BREF for community-dwelling elderly Taiwanese

2016 ◽  
Vol 28 (8) ◽  
pp. 1375-1382 ◽  
Author(s):  
Chung-Ying Lin ◽  
Yueh-Ping Li ◽  
Sang-I Lin ◽  
Ching-Huey Chen
Keyword(s):  
Root Mean Square ◽  
Educational Level ◽  
Measurement Equivalence ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Mean Square ◽  
Cross Sectional ◽  
Root Mean Square Residual ◽  
Multiple Group

ABSTRACTBackground:The WHOQOL-BREF, a generic quality of life (QoL) instrument, has been widely used clinically and for research on older populations. However, its measurement equivalence/invariance (ME/I) has not been well examined for the elderly (≥ 65 years) across some different demographics.Methods:The data were derived from a cross-sectional study with a convenience sampling design in Taiwan. We enrolled 244 elderly participants: men = 143 (58.6%); educational level ≤ primary school = 121 (49.6%). The ME/I was examined using multiple group confirmatory factor analysis (MGCFA) across gender and educational level.Results:The fit indices were satisfactory for the configural models of gender and educational level (standardized root mean square residual [SRMR] = 0.0742 and 0.0770; root mean square error of approximation [RMSEA] = 0.0655 and 0.0686; comparative fit index [CFI] = 0.953). In addition, MGCFAs showed that ME/I was supported across gender (ΔSRMR = 0.001 to 0.019; ΔRMSEA = −0.003 to 0.001; ΔCFI = −0.003 to 0.000) and educational level (ΔSRMR = 0.002 to 0.006; ΔRMSEA = −0.002 to 0.004; ΔCFI = −0.007 to 0.000).Conclusion:The WHOQOL-BREF Taiwan version is appropriate for combined use and for comparisons in older people across gender and different educational levels.

scholarly journals Hypertension Associated with Poor Sleep Quality in The Elderly Population in Batu City

2021 ◽  
Vol 5 (2) ◽  
pp. 65-72
Author(s):  
Siti Roziah Ria Famuji ◽  
Abdul Malik Setiawan ◽  
Achdiat Agoes
Keyword(s):  
Blood Pressure ◽  
Sleep Quality ◽  
Adult Population ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Chi Square ◽  
Geriatric Population ◽  
Cross Sectional

Hypertension affects approximately 26% of the adult population and it is a leading cause of death in up to 13.5% worldwide. Hypertension is a disease with the highest prevalence in Indonesia, so good treatment and prevention are needed. Several studies suggest that there is a correlation between hypertension risk factors and the disturbance of sleep quality. Therefore, it is necessary to develop preventive and promotive efforts to obtain optimum blood pressure in patients with hypertension to avoid complications or even death. This study aims to find out the correlation between sleep quality and the value of blood pressure in the elderly ?60 years old in Batu City. A cross-sectional study was conducted in Batu City in 2020. Stratified random sampling was performed to select the respondents. A validated PSQI questionnaire and sphygmomanometer were used to assess sleep quality and blood pressure, respectively. A Chi-Square test was used to test the hypothesis. There were 391 respondents involved in this study. Most of the respondents have poor sleep quality, 205 respondents (52,43%) of which 41 respondents (20%) have normal blood pressure, and 164 respondents (80%) have high blood pressure. The statistical analysis shows a significant correlation (p=0,000) between sleep quality and blood pressure. In conclusion, hypertension is associated with poor sleep quality in the geriatric population in Batu City.

scholarly journals Caracterização sociodemográfica e a autopercepção das condições de saúde de idosos

2018 ◽  
Vol 12 (3) ◽  
pp. 692
Author(s):  
Aires Garcia Dos Santos Junior ◽  
Jasmine De Oliveira Pedro ◽  
Mayara Chaves De Oliveira ◽  
Mara Cristina Ribeiro Furlan ◽  
Francielle Garcia Nascimento ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Good Health ◽  
The Elderly ◽  
Cross Sectional Study ◽  
The Self ◽  
Self Perception ◽  
Cross Sectional ◽  
De Se ◽  
Sociodemographic Profile ◽  
Quantitative Descriptive

RESUMOObjetivo: descrever as características sociodemográficas e a autopercepção das condições de saúde de idosos. Método: estudo quantitativo, descritivo, de corte transversal, realizado com idosos de um Centro de Convivência. Para a análise dos dados, optou-se pela realização de dupla digitação em banco de dados para a codificação, permitindo a elaboração de um dicionário de códigos em planilha do Excel. Resultados: dos 106 (100%) entrevistados, a sua maioria é do sexo feminino, 67 (63,20%). Sobre a autopercepção de saúde, os idosos relataram em sua maioria ser “BOA” com 63 (59,42%). Em relação aos problemas de saúde, 78 (73,58%) idosos confirmaram ter algum tipo de doença: Hipertensão Arterial, 29 (27,35%); doenças osteomusculares, 17 (16,03%); e Diabetes Mellitus, 13 (12,26%). Conclusão: a maioria foi do sexo feminino, com faixa etária em maior índice entre os 60 e 69 anos. Entre os idosos entrevistados, a maioria referiu possuir uma boa percepção de saúde, 63 (59,42%). A importância para a enfermagem de se criar um perfil sociodemográfico e conhecer a autopercepção de saúde dos idosos colabora com o desenvolvimento assertivo de ações a essa população. Descritores: Idoso; Saúde do Idoso; Longevidade; Perfil de Saúde; Autoimagem.ABSTRACT Objective: to describe the sociodemographic characteristics and the self-perception of the health conditions of the elderly population. Method: this is a quantitative, descriptive, cross-sectional study carried out with elderly people from a Living Center. For the analysis of the data, it was chosen to perform double digitalization in the database for coding, allowing the elaboration of a code dictionary in Excel spreadsheet. Results: of the 106 (100%) interviewed, most of them were female, 67 (63.20%). Regarding self-perception of health, the elderly reported mostly being “GOOD” with 63 (59.42%). Regarding health problems, 78 (73.58%) elderly confirmed having some type of disease: Hypertension, 29 (27.35%); osteomuscular diseases, 17 (16.03%); and Diabetes Mellitus, 13 (12.26%). Conclusion: most were female, with the highest age group between 60 and 69 years old. Among the elderly interviewed, most of them reported having a good health perception, 63 (59.42%). The importance of the nursing of creating a sociodemographic profile and knowing the self-perception of the health of the elderly collaborates with the assertive development of actions to this population. Descriptors: Aged; Health of the Elderly; Longevity; Health Profile; Self Concept.RESUMEN Objetivo: describir las caracteríticas sociodemográficas y la autopercepción de las condiciones de salud de ancianos. Método: estudio cuantitativo, descriptivo, de cohorte transversal, realizado con ancianos de un Centro de Convivencia. Para el análisis de los datos, se optó por la realización de doble digitación en banco de datos para la codificación, permitiendo la elaboración de un diccionario de códigos en planilla de Excel. Resultados: de los 106 (100%) entrevistados, su mayoría es del sexo femenino, 67 (63,20%). Sobre la autopercepción de salud, los ancianos relataron en su mayoría ser “BUENA” con 63 (59,42%). En relación a los problemas de salud, 78 (73,58%) ancianos confirmaron tener algún tipo de enfermedad: Hipertensión Arterial, 29 (27,35%); enfermedades osteomusculares, 17 (16,03%); y Diabetes Mellitus, 13 (12,26%). Conclusión: la mayoría fue del sexo femenino, com edad en mayor índice entre los 60 y 69 años. Entre los ancianos entrevistados, la mayoría dijo poseer una buena percepción de salud, 63 (59,42%). La importancia para la enfermería de criarse un perfíl sociodemográfico y conocer la autopercepción de salud de los ancianos colabora con el desarrollo asertivo de acciones a esa población. Descriptores: Anciano; Salud del Anciano; Longevidad; Perfil de Salud; Autoimagen.

South African adult metropolitan consumers' opinions and use of health information on food labels

2013 ◽  
Vol 116 (1) ◽  
pp. 30-43 ◽  
Author(s):  
Magdalena J.C. Bosman ◽  
Daleen Van der Merwe ◽  
Susanna M. Ellis ◽  
Johann C. Jerling ◽  
Jane Badham
Keyword(s):  
Health Information ◽  
South African ◽  
Adult Population ◽  
Food Choices ◽  
Cross Sectional Study ◽  
Food Labels ◽  
Cross Sectional ◽  
Content Type ◽  
Important Health ◽  
Health Information Sources

Purpose – The globally recognised link between diet and health needs to be communicated to consumers to facilitate healthy food choices. Thus, this paper aims to determine South African (SA) metropolitan consumers' opinions and beliefs about the food-health link, as well as their opinions and use of health information on food labels. Design/methodology/approach – A cross-sectional study using fieldworker-administered questionnaires was conducted. Using stratified randomised sampling, 1,997 respondents were recruited. The data were weighted to represent the metropolitan SA adult population (n=10,695,000). Findings – Practically significantly more respondents agreed than disagreed there is a food-health link and that health messages on food labels are supported by scientific research. Respondents' opinions on health information on food labels were mostly positive, as confirmed by the average opinions for the different ethnic groups. The results identified a lack of interest, time and price concerns, and habitual purchasing as reasons for not reading food labels. Health-concerned respondents also considered labels as important health information sources. Practical implications – Consumer education on the food-health link and the use of health information on food labels should address the deficiencies identified through the opinions and use of food labels by these respondents. Originality/value – Representative results of SA metropolitan consumers in this study are significant since third world countries are burdened by various diseases and former studies only used limited-sized non-probability samples which could not be generalised.

Association between Skin Conditions and Depressive Disorders in Community-Dwelling Older Adults

2014 ◽  
Vol 18 (4) ◽  
pp. 256-264 ◽  
Author(s):  
Samantha Gontijo Guerra ◽  
Michel Préville ◽  
Helen-Maria Vasiliadis ◽  
Djamal Berbiche
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Depressive Disorders ◽  
Adult Population ◽  
Community Sample ◽  
The Elderly ◽  
Population Based ◽  
Community Dwelling ◽  
Cross Sectional ◽  
Skin Conditions

Background: Depression is frequently observed in dermatologic patients. However, the association between depressive disorders and skin conditions has rarely been explored through population-based studies, especially within older-adult populations. Objective: To test this association in a representative sample of an older-adult population. Methods: Data came from the Survey on the Health of the Elderly (Enquête sur la Santé des Aînés [ESA]), a longitudinal survey conducted in Quebec among 2,811 older adults. Cross-lagged panel models were used to simultaneously examine cross-sectional and longitudinal relationships between the presence of skin conditions and depressive disorders. Results: The prevalence of skin conditions was 13%, and the prevalence of depressive disorders among participants presenting with skin conditions was 11%. Our results indicated significant cross-sectional correlation ( ζ = 0.20) between skin conditions and depressive disorders, but no longitudinal association was observed. Conclusion: Our results reinforce the hypothesis that skin conditions and depressive disorders are concurrently associated in older adults. However, no evidence of the predictive effect of skin problems on depression (and vice versa) was found in our community sample. Despite the deleterious effect of the coexistence of these problems in older adults, studies are lacking. This article highlights the importance of this issue and emphasizes the need for further research on this topic.

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