scholarly journals Difficulties faced by older Rohingya (forcibly displaced Myanmar nationals) adults in accessing medical services amid the COVID-19 pandemic in Bangladesh

2021 ◽  
Vol 6 (12) ◽  
pp. e007051
Author(s):  
Sabuj Kanti Mistry ◽  
ARM Mehrab Ali ◽  
Uday Narayan Yadav ◽  
Md. Nazmul Huda ◽  
Saruna Ghimire ◽  
...  
Keyword(s):  
Older Adults ◽  
Medical Care ◽  
Emergency Preparedness ◽  
Health Centre ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Walking Distance ◽  
Cross Sectional ◽  
Factors Associated ◽  
Routine Medical Care

BackgroundCOVID-19 has seriously disrupted health services in many countries including Bangladesh. This research aimed to explore whether Rohingya (forcefully displaced Myanmar nationals) older adults in Bangladesh faced difficulties accessing medicines and routine medical care services amid this pandemic.MethodsThis cross-sectional study was conducted among 416 Rohingya older adults aged 60 years and above residing in Rohingya refugee camps situated in the Cox’s Bazar district of Bangladesh and was conducted in October 2020. A purposive sampling technique was followed, and participants’ perceived difficulties in accessing medicines and routine medical care were noted through face-to-face interviews. Binary logistic regression models determined the association between outcome and explanatory variables.ResultsOverall, one-third of the participants reported difficulties in accessing medicines and routine medical care. Significant factors associated with facing difficulties accessing medicine included feelings of loneliness (adjusted OR (AOR) 3.54, 95% CI 1.93 to 6.48), perceptions that older adults were at the highest risk of COVID-19 (AOR 3.35, 95% CI 1.61 to 6.97) and required additional care during COVID-19 (AOR 6.89, 95% CI 3.62 to 13.13). Also, the notable factors associated with difficulties in receiving routine medical care included living more than 30 min walking distance from the health centre (AOR 3.57, 95% CI 1.95 to 6.56), feelings of loneliness (AOR 2.20, 95% CI 1.25 to 3.87), perception that older adults were at the highest risk of COVID-19 (AOR 2.85, 95% CI 1.36 to 5.99) and perception that they required additional care during the pandemic (AOR 4.55, 95% CI 2.48 to 8.35).ConclusionMany Rohingya older adults faced difficulties in accessing medicines and routine medical care during this pandemic. This call for policy-makers and relevant stakeholders to re-assess emergency preparedness plans including strategies to provide continuing care.

scholarly journals Nepali Older Adults With Pre-existing Conditions and Their Healthcare Access Amid COVID-19 Pandemic

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 953-954
Author(s):  
Aman Shrestha ◽  
Saruna Ghimire ◽  
Uday Narayan Yadav ◽  
Bunsi Chapadia ◽  
Om Prakash Yadav ◽  
...  
Keyword(s):  
Older Adults ◽  
Emergency Preparedness ◽  
Health Workers ◽  
Healthcare Access ◽  
Healthcare Services ◽  
Routine Care ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Routine Medical Care

Abstract COVID-19 has greatly impacted older adults with pre-existing non-communicable conditions (hereafter called pre-existing conditions) in terms of their access to essential healthcare services. Based on the theory of vertical health equity, this study investigated access to healthcare by Nepali older adults with pre-existing conditions during the COVID-19 pandemic. A cross-sectional study surveyed 847 randomly selected older adults (≥60 years) in three districts of eastern Nepal. Survey questionnaire, administered by trained community health workers, collected information on participants reported difficulty obtaining routine care and medications during the pandemic, in addition to questions on demographics, socioeconomic factors, and pre-existing conditions. Cumulative scores for pre-existing conditions were recoded as no pre-existing condition, single condition, and multimorbidity for the analyses. Chi-square tests and binary logistic regressions determined inferences. Nearly two-thirds of the participants had a pre-existing condition (43.8% single condition and 22.8% multimorbid) and reported experiencing difficulty obtaining routine care (52.8%) and medications (13.5%). Participants with single (OR: 3.06, 95%CI: 2.17-4.32) and multimorbid (OR: 5.62, 95%CI: 3.63-8.71) conditions had three and five-fold increased odds of experiencing difficulty accessing routine care. Findings were similar for difficulty obtaining medication (OR single: 3.12, 95%CI: 1.71-5.69; OR multimorbid: 3.98, 95%CI: 2.01-7.87) where odds were greater than three-folds. Older adults with pre-existing conditions in Nepal, who require routine medical care and medication, faced significant difficulties obtaining them during the pandemic, which may lead to deterioration in their pre-existing conditions. Public health emergency preparedness should incorporate plans for both managing the emergency and providing continuing care.

scholarly journals Reference values and factors associated with hand grip strength among older adults living in southeastern Poland

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Agnieszka Wiśniowska-Szurlej ◽  
Agnieszka Ćwirlej-Sozańska ◽  
Justyna Kilian ◽  
Natalia Wołoszyn ◽  
Bernard Sozański ◽  
...  
Keyword(s):  
Older Adults ◽  
Older People ◽  
Reference Values ◽  
Handgrip Strength ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Normative Values ◽  
Dominant Hand ◽  
Cross Sectional ◽  
Factors Associated

AbstractHandgrip strength (HGS) is used as a biomarker for the state of health of older people, but the number of research publications containing the normative values of HGS in older adult populations is limited. The aim of the study was to define reference values and factors associated with HGS in older adults living in southeastern Poland. A cross-sectional study including 405 participants aged 65 and older was conducted. Handgrip strength for the dominant hand was assessed by the average of three trials using a JAMAR dynamometer. The sample was categorized into the following age groups: 65–69 years, 70–74 years, 75–79 years, 80–84 years, 85 and over. The average HGS was 19.98 kg (16.91 kg for women and 26.19 kg for men). There was a decrease in handgrip strength across the age range in both sexes. The average handgrip strength of the older people was 17.97 kg (14.47 kg for women and 25.66 kg for men) for those aged 80–85 and 16.68 kg (13.51 kg for women and 21.77 kg for men) in the group over 85 years old. In both sexes, marital status was an independent factor associated with reduced handgrip strength. In conclusion, this study described, for the first time, handgrip strength values for the southeastern Polish population aged ≥ 65 years according to age and gender.

scholarly journals Factors associated with using the internet for medical information based on the doctor-patient trust model: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yang Fu ◽  
Tianwei Tang ◽  
Junhao Long ◽  
Bohuai Lin ◽  
Jiayue Li ◽  
...  
Keyword(s):  
Medical Treatment ◽  
Medical Care ◽  
Medical Information ◽  
Cross Sectional Study ◽  
Behavioural Intention ◽  
Total Effect ◽  
Patient Trust ◽  
Cross Sectional ◽  
Factors Associated ◽  
Personal Trust

Abstract Background Internet medical care has been advancing steadily, especially during the coronavirus disease 2019 pandemic, the development momentum of Internet medical care in China is more vigorous. This study aimed to explore the factors associated with using the Internet for medical information, to examine the popularisation and implementation of Internet medical treatment and feasible strategies, and promote the further development of Internet medical treatment. Methods A cross-sectional study was conducted on 408 medical patients who had used online medical services. The one-way analysis of variance or independent samples t-test was used to compare the differences in the influence of demographic characteristics on behavioural intentions of different people seeking medical care. Pearson’s correlation was used to evaluate the correlation between different measurement variables. A mediation regression analysis was used to explore the mediating role of trust in Internet medical care. Results The difference in the influence of Internet medical use frequency on the behavioural intention of different participants was statistically significant (F = 3.311, P = 0.038). Among the influencing factors, personal trust propensity (r = 0.387, P < 0.01), website credibility (r = 0.662, P < 0.01), hospital credibility (r = 0.629, P < 0.01), doctor’s credibility (r = 0.746, P < 0.01), and online patient trust (r = 0.874, P < 0.01) were positively correlated with patients’ behavioural intentions. In the analysis of intermediary factors, the total effect of the credibility of the diagnosis and treatment website on the behavioural intention of patients was 0.344. The total effect of the credibility of the diagnosis and treatment hospital on the behavioural intention of patients was 0.312; the total effect of the service doctor’s credibility on the patient’s behavioural intention was 0.385; the total effect of the personal trust tendency on the patient’s behavioural intention was 0.296. Conclusions This study found defects in various factors that produce distrust in Internet medical treatment. It also reveals the positive effect of trust factors on the development and implementation of Internet medical treatment and provides some ideas for improving the use of Internet medical treatment by the masses.

scholarly journals Hubungan Perilaku Orang Tua Dengan Status Gizi Balita Di Desa Bulalo Kabupaten Gorontalo Utara

2018 ◽  
Vol 1 (1) ◽  
pp. 039
Author(s):  
Maesarah Maesarah ◽  
Lisa Djafar ◽  
Fremly Pakaya
Keyword(s):  
Nutritional Status ◽  
Parental Attitudes ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Factors Associated ◽  
Study Approach ◽  
Food Consumed ◽  
Program Version

Nutrition is a major factor that has an important role in the growth anddevelopment in the toddlers. In the nutritional fulfillment of the toddler,the mother plays very important role. This study aimed to determinethe factors associated with the behavior of parents with the nutritionalstatus of toddlers. The research design was used analytical surveywith cross sectional study approach. The population in this researchwas 213 Balita, the sample in this research was 136 children in BulaloVillage Kwandang District, North Gorontalo District, the samplingmethod was used purposive sampling technique. Data collection ofrespondents in general using questionnaires, data analysis usingSPSS program version 21.0. Bivariate analysis to know the existenceof relation between dependent variable and independet by using chisquared test α = 0,05. The results showed that there was a correlationbetween parents' knowledge on the Nutritional Status of Toddlers (p =0,000), there was a correlation between parental attitudes with thenutritional status in the toddler (p = 0,000), there was a correlationbetween parental action with the nutritional status in the toddler (p =0,000 ). This study recommends to parents to always pay attention tothe type of food consumed and the mothers should often follow thecounseling done by midwives and nutrition officials so that thenutritional status of toddlers has increased.

Factors associated with workability in Spanish health centre workers

2020 ◽  
Author(s):  
I Mateo-Rodríguez ◽  
E Knox ◽  
A Daponte-Codina ◽  
Keyword(s):  
Multinomial Logistic Regression ◽  
Health Centre ◽  
Cross Sectional Study ◽  
Work And Family ◽  
Physical And Mental Health ◽  
Related Factors ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Factors Associated ◽  
Spanish Health

Abstract Background The concept of workability provides a conceptual framework and proposes measures for the evaluation of relevant actions focused on a healthy workforce. In Spain, one of the countries with the highest life expectancy, there are practically no scientific studies on workability and its associated factors. Aims The objective of this study is to examine the associations between workability and variables related to health and work in a sample of workers from Spanish health centres. Methods Cross-sectional study including 1184 health centre workers who completed a questionnaire at baseline, comprising measures of workability, health and other work-related factors. Workability has been analysed as a one-factor construct, and as a two-factor construct. Multinomial logistic regression models were used to analyse factors associated with workability. Results As a one-dimensional construct, workability is associated with physical and mental health, number of hours of worked, insomnia, work and family life balance, adequate training, never having had an accident and type of contract. When the two-factor measure was used, sensitivity of findings increased, and it was identified that those participants who were older, lived alone and have more years of service in their profession also show worse workability. Conclusions The present study identified factors associated with the workability of health centre workers. The two-factor workability index (WAI) has better psychometric properties and used in combination with the global measure of WAI, identifies important additional aspects, specifically, age and years of professional experience as additional considerations for the intervention.

scholarly journals FACTORS ASSOCIATED TO SUBJECTIVE WELLBEING IN OLDER ADULTS

2017 ◽  
Vol 26 (2) ◽  
Author(s):  
Ximena Alvarado San Román ◽  
Maria Cecilia Toffoletto ◽  
Juan Carlos Oyanedel Sepúlveda ◽  
Salvador Vargas Salfate ◽  
Katiuska Lidice Reynaldos Grandón
Keyword(s):  
Older Adults ◽  
Life Satisfaction ◽  
Subjective Wellbeing ◽  
Social Indicators ◽  
Perceived Health ◽  
Cross Sectional Study ◽  
Perceived Health Status ◽  
Cross Sectional ◽  
Factors Associated ◽  
The Social

ABSTRACT Objective: identify the factors associated with subjective wellbeing in older adults. Method: analytical, cross-sectional study developed in Chile. The sample consisted of 20,351 seniors, who answered a question on overall life satisfaction in the National Socio-Economic Survey, 2011. Subjective wellbeing was correlated with health, demographic and social indicators. Comparisons of averages, correlations and regressions were applied using the software Statistical Package for the Social Sciences 20. Results: life satisfaction was associated with increased age; being male; participation in social organizations; being married or living as a couple; having higher education level; higher income; good perceived health status and better health care. Conclusion: according to the age and income predictors, it can be concluded that, over the years, life satisfaction is reinforced, but in combination with adequate perceived health and income, which permit an excellent quality of life.

scholarly journals HUBUNGAN KEPATUHAN MINUM OBAT DENGAN TEKANAN DARAH PADA PENDERITA HIPERTENSI

2021 ◽  
Vol 12 (2) ◽  
pp. 327
Author(s):  
Ikit Netra Wirakhmi ◽  
Iwan Purnawan
Keyword(s):  
Blood Pressure ◽  
Medication Adherence ◽  
Health Centre ◽  
Sampling Technique ◽  
Well Being ◽  
Cross Sectional Study ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hypertension Therapy

AbstrakLatar belakang: Sampai saat ini, hipertensi masih merupakan tantangan besar di Indonesia. Kepatuhan pasien dalam menggunakan obat berpengaruh terhadap keberhasilan terapi pengobatan. Adanya ketidakpatuhan pasien hipertensi dalam minum obat dapat memberikan efek negative yang sangat besar, seperti munculnya komplikasi. Tujuan: Mengetahui hubungan kepatuhan minum obat dengan tekanan darah pada penderita hipertensi di Puskesmas Karangjambu Kabupaten Purbalingga. Metode: Desain penelitian ini adalah cross sectional study. Responden dalam penelitian ini adalah pasien hipertensi di Puskesmas Karangjambu Kbupaten Purbalingga. Sampel diambil menggunakan teknik accidental sampling dengan jumlah 86 responden. Data dikumpulkan pada bulan Mei 2021 menggunakan kuesioner 8 – Item Morisky Medication Aderence Scale (MMAS – 8) dan pengukuran tekanan darah secara langsung. Hasil: Penelitian ini menunjukkan bahwa Sebagian besar responden adlaah perempuan (86%), sebgain besar berada pada kategori tingkat kepatuhan sedang (47%) dan pada kategori hipertensi tahap 2 (63%). Uji stastistik didapatkan nilai p value 0.901 menunjukkan bahwa tidak ada hubungan kepatuhan minum obat dengan tekanan darah pada penderita hipertensi. Kesimpulan: Tidak ada hubungan kepatuhan minum obat dengan tekanan darah pada penderita hipertensi AbstractBackground: In Indonesia, hypertension is still a major problem. Adherence to treatment is critical for hypertension patients' long-term health and well-being. Adherence are required for hypertension therapy to be effective, and altering these patients' behavior has the greatest potential for improving hypertensive control. Objectives: To explore the relationship between medication adherence and blood pressure in hypertension patients. Methods: We used the cross-sectional study. This research sample was hypertension patients at Karangjambu Health Centre Purbalingga Regency. We included 89 respondents by accidental sampling technique. We collected the data by questionnaire. The Gamma & Sommers’d test was performed to analyze the data. Results: This research showed that that the majority of respondents were women (86%), the moderate category had the highest level of adherence (47%) and the most respondents suffer from hypertension stage 2 (63%). The statistical test result of 0.910 suggested that there was no relationship between medication adherence and blood pressure in hypertensive patients. Conclusions: There was also no significant between medication adherence and blood pressure. 

scholarly journals Gender Differences are Noted in Factors Associated with Insomnia in Older Adult Outpatients: A Cross-Sectional Study

2021 ◽  
Author(s):  
Yu-Ting Peng ◽  
Ying-Hsin Hsu ◽  
Ming-Yueh Chou ◽  
Che-sheng Chu ◽  
Chen-San Su ◽  
...  
Keyword(s):  
Older Adults ◽  
Gender Differences ◽  
Older Adult ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Short Sleep Duration ◽  
Cross Sectional ◽  
Factors Associated ◽  
Sleeping Pills ◽  
Obstructive Sleep

Abstract Background: Insomnia is a common sleep disturbance in older adults and is associated with many poor health outcomes. This study aimed to investigate the relevance of insomnia in older adult outpatients and to analyze differences between genders in factors associated with insomnia.Methods: This cross-sectional study was conducted in the outpatient clinics of a tertiary hospital in Southern Taiwan from July to September 2018. A total of 400 consecutive subjects aged 60 years or older were recruited. Insomnia was defined as a score of > 6 points on the Athens Insomnia Scale (AIS). Socio-demographics, health behaviors and clinical data were collected by face-to-face interview. Multivariable logistic regression was adopted for statistical analysis of the entire sample and stratified by gender.Results: Participants’ mean age was 74.74 ± 8.54 years, and the majority (93%) had more than one chronic disease. The prevalence of insomnia accounted for 30% (120/400) of all subjects, with males 22.9% (46/201) and females 37.2% (74/199). Gender, appetite, exercise, depressive symptoms, and sleep-related conditions such as short sleep duration, sleeping pills usage, medium-high risk of obstructive sleep apnea(OSA) and restless leg syndrome(RLS) were factors associated with insomnia in older adults. Exercise, sleeping pills usage, and RLS had an independent association with insomnia only in men, while appetite was associated with insomnia in women only.Conclusions: Insomnia is highly prevalent among older adults, predominantly females. Significant differences are found between genders in factors associated with insomnia. Understanding gender differences may help clinicians to modify associated factors when managing older adults with insomnia.

scholarly journals Prevalence and factors associated with poor self-rated health among community dwelling older adults in Lomé (Togo) in 2019

2020 ◽  
Vol 11 (1) ◽  
Author(s):  
Fifonsi Adjidossi Gbeasor-Komlanvi ◽  
Martin Kouame Tchankoni ◽  
Ama Boilassi Adjonko ◽  
Wendpouire Ida Carine Zida-Compaore ◽  
Nicolas Konan Kouakou ◽  
...  
Keyword(s):  
Older Adults ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Sub Saharan Africa ◽  
Cross Sectional ◽  
Herbal Products ◽  
Factors Associated ◽  
Self Rated Health ◽  
Sub Saharan ◽  
Community Dwelling Older Adults

The number of older adults is increasing worldwide, including in sub-Saharan Africa (SSA). However, there is a paucity of data on the overall health status of older adults living in SSA. To assess the prevalence and factors associated with poor Self-Rated Health (SRH) among community-dwelling older adults in Lomé, Togo, we conducted a cross-sectional study from January to June 2019 in Lomé among community-dwelling older adults aged 50 years and older. A 30- minute questionnaire was used to collect socio-demographic characteristics, medical history, patterns of medication use and use of herbal products and dietary supplements during a face-to-face interview. SRH was assessed using a single item: Overall, you would say that your health is… (1) excellent, (2) very good, (3) good, (4) fair and (5) poor with response fair or poor defining poor SRH. A total of 344 respondents with median age 63 years, (IQR: 55-72) were enrolled in the study. Women represented 57.6% of the sample. Overall prevalence of poor SRH was 56.4% (95%CI: 51.0-61.9) and was the highest among females (62.6% vs 47.9%; P=0.007) and participants >60 years (61.5% vs 51.1%; P=0.021). Female sex, aged ≥60 years, osteoarthritis, hospitalization within the 12 months preceding the survey, polypharmacy, and the use of herbal products were factors associated with poor SRH (P<0.05). More than half of community- dwelling older adults had poor SRH in Lomé. Further studies are needed to guide policymakers in their efforts to design and implement meaningful policies to improve older adults health conditions.

scholarly journals Biosocial and disease conditions are associated with good quality of life among older adults in rural eastern Nepal: Findings from a cross-sectional study

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0242942
Author(s):  
Uday Narayan Yadav ◽  
Tarka Bahadur Thapa ◽  
Sabuj Kanti Mistry ◽  
Saruna Ghimire ◽  
Krishna Kumar Yadav ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Older Adults ◽  
Cross Sectional Study ◽  
Rural Setting ◽  
Ageing Population ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated

Background The ageing population in most low-and middle-income countries is accompanied by an increased risk of non-communicable diseases culminating in a poor quality of life (QOL). However, the factors accelerating this poor QOL have not been fully examined in Nepal. Therefore, this study examined the factors associated with the QOL of older adults residing in the rural setting of Nepal. Methods Data from a previous cross-sectional study conducted among older adults between January and April 2018 in in rural Nepal was used in this study. The analytical sample included 794 older adults aged ≥60 years, selected by a multi-stage cluster sampling approach. QOL was measured using the Older People’s Quality of Life tool; dichotomized as poor and good QOL. Other measures used included age, gender, ethnicity, religion, marital status, physical activity, and chronic diseases such as osteoarthritis, cardiovascular disease, diabetes, chronic obstructive pulmonary disease (COPD), and depression. The factors associated with QOL were examined using mixed-effects logistic regression. Results Seven in ten respondents (70.4%) reported a poor QOL. At the bivariate level, increasing age, unemployment, intake of alcohol, lack of physical activity as well as osteoarthritis, COPD and depression were significantly associated with a lower likelihood of a good QOL. The adjusted model showed that older age (AOR = 0.50, 95% CI: 0.28–0.90), the Christian religion (AOR = 0.38, 95% CI: 0.20–0.70), and of an Indigenous (AOR: 0.25; 95% CI: 0.14–0.47), Dalit (AOR: 0.23; 95% CI: 0.10–0.56), and Madheshi (AOR: 0.29; 95% CI: 0.14–0.60) ethnic background were associated with lower odds of good QOL. However, higher income of >NRs 10,000 (AOR = 3.34, 95% CI: 1.43–3.99), daily physical activity (AOR: 3.33; 95% CI: 2.55–4.34), and the absence of osteoarthritis (AOR: 1.9; 95% CI: 1.09–3.49) and depression (AOR: 3.34; 95% CI: 2.14–5.22) were associated with higher odds of good QOL. Conclusion The findings of this study reinforce the need of improving QOL of older adults through implementing programs aimed at addressing the identified biosocial and disease conditions that catalyse poor QOL in this older population residing in rural parts of Nepal.

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