“RAISE CHILDREN TO FIGHT AGAINST AGING”: THE DETERMINANTS OF ELDERLY WELLBEING IN TODAY’S CHINA

2018 ◽  
pp. 1842003
Author(s):  
CONGMIN PENG ◽  
PO-WEN SHE
Keyword(s):  
Elderly People ◽  
Rural Areas ◽  
Filial Piety ◽  
The Elderly ◽  
Modern China ◽  
Traditional Values ◽  
Material Transfer ◽  
Chinese Elderly ◽  
Core Idea ◽  
Changing Economy

As the old Chinese saying goes, “raise children against aging” is used to describe the most desirable life arrangement for Chinese elderly people, as it reflects the core idea of filial piety that lies near the heart of the Confucian doctrine regulating society. In a fast-changing economy, are these traditional values still hold for Chinese elderly? Applying the China Health and Retirement Longitudinal Study (CHARLS), we explore the determinants of elderly’s wellbeing in modern China. We have a particular interest in whether living with their children, receiving pecuniary/material transfer or support from children or having more children significantly affects the wellbeing of the elderly. We find that these factors have no significance in affecting the wellbeing of the elderly in China. Furthermore, among the factors significantly determining the wellbeing of Chinese elderly people, pensions and health care are very important, particularly to the elderly in rural areas. Notably, gross domestic product (GDP) level of the province or municipality, where the elderly habitats have a significant impact on elderly’s wellbeing and this echoes with some contemporary research.

scholarly journals Institutional and Cultural Perspectives in Elder Care in Rural Vietnam

2019 ◽  
pp. 11-30
Author(s):  
Trần Thị Minh Thi
Keyword(s):  
Cultural Values ◽  
Elderly People ◽  
Social Services ◽  
Family Relationships ◽  
Rural Areas ◽  
Filial Piety ◽  
Elderly Care ◽  
Institutional Care ◽  
The Elderly ◽  
Elderly Parents

Traditional norms of filial piety in Asian societies, including Vietnam, emphasise care roles of children for their elderly parents. In particular, caregiving is often the responsibility of women, who are increasingly migrating and participating in the labour market, leading to an increasing withdrawal of family caregivers from caring for their parents. In collaboration with local mass organisations and stakeholders, Vietnam is enhancing institutional care and changing the balance of care towards home, community-based services and marketisation to provide alternative care options for its elderly population. The community is playing a key role in emotional support for the elderly. Taking into account the traditional Confucian-influenced family structure, the responsibility for elderly care is still a family matter. Using a dataset from a collaboration survey of 307 elderly people in 2017, the paper aims to examine and analyse roles, challenges and difficulties of family, community, private and public social services and policy in care provision to the elderly and the gaps in it, to understand the processes of the reconstruction of those formal and informal sectors in order to bear the increasing care responsibilities, and the ways they provide care to the elderly and the linkages with policies and institutional in Vietnam, using the care diamond model. The paper also raises issues of increasing left-behind elderly people in the rural areas and identifies various initiations to sustain Asian cultural values, family relationships, and continuous development of care policies and potential implications in developing a better care mode for the elderly.

scholarly journals Knowledge Provision Model Through Distance Learning Method for Promoting Quality of Life of the Elderly in Rural Areas of Thailand

2021 ◽  
Vol 10 (2) ◽  
pp. 129
Author(s):  
Sumalee Sungsri
Keyword(s):  
Quality Of Life ◽  
Elderly People ◽  
Rural Areas ◽  
Social Relationship ◽  
Elderly Care ◽  
The Elderly ◽  
Community Leaders ◽  
The World ◽  
Quantitative And Qualitative Methods

Thailand is becoming an elderly society like many countries in the world. The number of elderly people is increasing continuously every year. In order to enable the elderly to live with good quality of life in the rapidly changing society, knowledge and information related to their health and living factors are considered to be necessary for them. Therefore, this study was carried out in order to develop a model of knowledge provision for promoting quality of life of the elderly in rural areas of the country. The samples were drawn from every region of the country which included 480 elderly people, 480 elderly caretakers, and 160 people representing the community leaders, community committee members and staff of local government agencies. Both quantitative and qualitative methods were employed for data collection. The study found that there were five areas of knowledge for promoting quality of life of the elderly: physical health, mental health, social relationship, economic, and learning. The model of knowledge provision to the elderly synthesized from the study could enable the elderly to gain necessary knowledge deemed useful for promoting their quality of life. The elderly, the elderly care caretakers and related people were found to be satisfied with the model.

Death Preparation among the Ethnic Chinese Well-Elderly in Singapore: An Exploratory Study

2010 ◽  
Vol 60 (3) ◽  
pp. 225-239 ◽  
Author(s):  
Carol K. L. Chan ◽  
Matthew K. Yau
Keyword(s):  
Filial Piety ◽  
Death And Dying ◽  
The Elderly ◽  
Structured Interview ◽  
Current Generation ◽  
Chinese Elderly ◽  
Chinese Older Adults ◽  
Mature Adults ◽  
Ethnic Chinese ◽  
Well Elderly

Death preparation is an important process as it can help the elderly to achieve ego integrity at the last stage of their lives. This study aims to explore how the ethnic Chinese elderly in Singapore approach issues related to death and dying, and to identify factors that influence death preparation. Descriptive surveys with semi-structured interview questions were used. Eight ethnic Chinese older adults, recruited through purposive sampling, were interviewed. Additionally, 4 adults with a deceased parent were also interviewed to validate and complement the earlier identified themes. Results show that the current generation of Chinese elderly in Singapore do not seem to be averse to talking about issues related to death, and those who find it unnecessary to prepare for death seem to be associated with, among other factors, lesser financial assets and a strong belief in filial piety. With increasing affluence and dissolving traditions, it will be beneficial to draw the attention of the current generation of mature adults on early preparation at the final stage of the lifespan.

scholarly journals Zinc Nutritional Status and Risk Factors of Elderly in the China Adult Chronic Disease and Nutrition Surveillance 2015

Nutrients ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 3086
Author(s):  
Jiaxi Lu ◽  
Yichun Hu ◽  
Min Li ◽  
Xiaobing Liu ◽  
Rui Wang ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Zinc Deficiency ◽  
Rural Areas ◽  
Age Groups ◽  
Serum Zinc ◽  
The Elderly ◽  
Nutrition Status ◽  
Related Factors ◽  
Chinese Elderly ◽  
Zinc Nutrition

Objectives: To analyze the serum zinc nutrition status of the Chinese elderly, and to assess the risk factor for zinc deficiency. Methods: 3727 elderly people over 60 years old were randomly selected from 302 monitoring points in 31 provinces of China Adult Chronic Disease and Nutrition Surveillance (CACDNS) 2015. Blood samples were selected from the biological sample bank of CACDNS 2015 and the basic information were collected by questionnaires. The criteria of serum zinc deficiency recommended by the International Zinc Nutrition Consulting Group (IZiNCG) were adopted, and the related factors were also analyzed. Results: The median serum zinc concentration of Chinese elderly was 99.2 (84.3~118.7) μg/dL. The overall adjusted prevalence of zinc deficiency was 8.68%, with a 95% confidence interval (CI) of 7.74% and 9.61%. Significant differences were found in different sex, age groups, Body Mass Index (BMI), residence region, race and education level in terms of serum zinc status in the elderly (p < 0.05). Participants who are males, aged above 70y, with BMIs of less than 18.5 kg/m2, living in rural areas, minority, and with the lowest income had a higher prevalence of zinc deficiency in the subgroups under different classifications. The risk of zinc deficiency in the elderly over 70y was 1.44 higher than those aged 60–69y (OR = 1.44, 95%CI 1.14–1.82), and the minority elderly has a 1.39 higher risk than Han nationality (OR = 1.39, 95%CI 1.01–1.91), while overweight/obesity and female elderly were at lower risk (OR < 1, p < 0.05). Conclusions: The overall prevalence of zinc deficiency in the elderly was highest in all adults in the CACDNS. It is recommended that the male elderly, over 70 years, and the minority elderly should pay more attention to the zinc nutrition status of their own.

scholarly journals Hambatan Akses ke Puskesmas pada Lansia di Indonesia

2019 ◽  
Vol 21 (4) ◽  
Author(s):  
Agung Dwi Laksono ◽  
Zainul Khaqiqi Nantabah ◽  
Ratna Dwi Wulandari
Keyword(s):  
Elderly People ◽  
Rural Areas ◽  
Universal Coverage ◽  
The Elderly ◽  
Health Care Facilities ◽  
Vulnerable Groups ◽  
High Dependency ◽  
Access Barrier ◽  
Care Facilities ◽  
The Government

The elderly are one of the most vulnerable groups with very high dependency rates. This condition has the potential to cause other problems for the caregiver or his family. The elderly also has the potential to suffer from catastrophic diseases that have costly consequences. This research is a further analysis of Riskesdas 2013 data, that presented in descriptive quantitative. The results showed that elderly people living in urban as well as rural areas have a tendency of moderate access barrier to Puskesmas. There are still 15% of very poor elderly people who have major access barrier to Puskesmas. This study concludes that although elderly access to Puskesmas is quite good, but the access of very poor elderly is still need more attention. The government needs to provide basic health care facilities in more rural areas. The government also needs to realize a National Health Insurance with tax-based funding, to ensure universal coverage regardless of the ability to pay the community. Abstrak Lansia adalah salah satu kelompok rentan yang memiliki angka ketergantungan sangat tinggi. Kondisi ini berpotensi menimbulkan masalah lain bagi yang merawat atau keluarganya. Lansia juga berpotensi menderita penyakit katastropik yang menimbulkan konsekuensi biaya yang mahal. Penelitian ini merupakan analisis lanjut data Riskesdas 2013, yang disajikan secara deskriptif kuantitatif. Hasil penelitian menunjukkan bahwa lansia yang tinggal di perkotaan maupun perdesaan mempunyai kecenderungan hambatan akses sedang untuk ke Puskesmas. Masih ada 15% lansia sangat miskin yang memiliki hambatan besar ke Puskesmas. Penelitian ini menyimpulkan bahwa meski akses lansia ke Puskesmas sudah cukup baik, tetapi akses lansia yang sangat miskin masih perlu mendapat perhatian lebih. Pemerintah perlu menyediakan fasilitas pelayanan kesehatan dasar di wilayah perdesaan yang lebih banyak. Pemerintah juga perlu mewujudkan sebuah Jaminan Kesehatan Nasional dengan pendanaan berbasis pajak, untuk memastikan cakupan secara universal dengan tanpa menghiraukan kemampuan membayar masyarakat.  

scholarly journals Smart Nursing Homes: Self-Management Architecture Based on IoT and Machine Learning for Rural Areas

2021 ◽  
Vol 2021 ◽  
pp. 1-15
Author(s):  
Daniel Flores-Martin ◽  
Javier Rojo ◽  
Enrique Moguel ◽  
Javier Berrocal ◽  
Juan M. Murillo
Keyword(s):  
Quality Of Life ◽  
Nursing Homes ◽  
Elderly People ◽  
Rural Areas ◽  
Population Aging ◽  
The Elderly ◽  
Smart Devices ◽  
World Population ◽  
Use Of Technology

The rate of world population aging is increasing. This situation directly affects all countries socially and economically, increasing their compromise and effort to improve the living conditions of this sector of society. In environments with large influxes of elderly people, such as nursing homes, the use of technology has shown promise in improving their quality of life. The use of smart devices allows people to automate everyday tasks and learn from them to predict future actions. Additionally, smartphones capture a wealth of information that allows to adapt to nearby actuators according to people’s preferences and even detects anomalies in their behaviour. Current works are proposing new frameworks to detect these behaviours and act accordingly. However, these works are not focused on managing multidevice environments where sensor and smartphone data are considered to automate environments with elderly people or to learn from them. Also, most of these works require a permanent Internet connection, so the full benefit of smart devices is not completely achieved. In this work, we present an architecture that takes the data from sensors and smartphones in order to adapt the behaviour of the actuators of the environment. In addition, it uses this data to learn from the environment to predict actions or to extrapolate the actions that should be executed according to similar behaviours. The architecture is implemented through a use case based on a nursing home located in a rural area. Thanks to this work, the quality of life of the elderly is improved in a simple, affordable, and transparent way for them.

scholarly journals The Evolutionary Trends of Health Behaviors in Chinese Elderly and the Influencing Factors of These Trends: 2005–2014

2019 ◽  
Vol 16 (10) ◽  
pp. 1687 ◽  
Author(s):  
Yan Feng ◽  
Erpeng Liu ◽  
Zhang Yue ◽  
Qilin Zhang ◽  
Tiankuo Han
Keyword(s):  
Health Behaviors ◽  
Elderly People ◽  
Influencing Factors ◽  
Latent Class ◽  
Family Income ◽  
The Elderly ◽  
Evolutionary Trends ◽  
Chinese Elderly ◽  
Positive Tendency ◽  
Growth Mixture Modelling

As China is now facing the severe challenge of rapid population ageing, the health behaviors in Chinese elderly people are of great significance for realizing the goal of “Healthy Ageing” and the construction of a “Healthy China”. Little is known about the evolutionary trends of health behaviors in the Chinese elderly and about the factors influencing these trends; thus, the purposes of this paper are: (1) To describe the classes and evolutionary trends of health behaviors in the Chinese elderly; and (2) to explore the factors that influence the changes in the health behaviors in the elderly in China. Latent class analysis (LCA) is applied in this study to analyze the classes of health behaviors in the Chinese elderly. Growth mixture modelling (GMM) is employed to describe the evolutionary trends of the health behaviors in elderly people in China. In addition, the Bivariate analysis model is adopted to identify the influencing factors of the evolution of health behaviors. The data were derived from the Chinese Longitudinal Healthy Longevity Survey (CLHLS) from 2005 to 2014. The results reveal that the health behaviors in the Chinese elderly can be grouped into five classes: Negative, relatively negative, fair, relatively positive, and positive. Approximately 77.2% of the health behaviors in the Chinese elderly have the characteristics of “modified”, with a positive tendency. Moreover, approximately 22.8% of the health behaviors in Chinese elderly people have the characteristics of “non-modified”, with a negative tendency or remaining unchanged. The evolution of the health behaviors in the elderly in China is more affected by economic factors such as timely medical treatment during childhood, pension, occupations before the age of 60 and family income, as well as by self-rated health (SRH) and demographic characteristics such as household registration, age, and education level. Hence, various possible interventions should be made to improve the health behaviors in elderly people.

scholarly journals Oral health of elderly people living in a rural community of slave descendants in Brazil

2018 ◽  
Vol 26 (4) ◽  
pp. 425-431
Author(s):  
Luiza Fernandes Fonseca Sandes ◽  
Daniel Antunes Freitas ◽  
Maria Fernanda Neves Silveira de Souza
Keyword(s):  
Oral Health ◽  
Health Services ◽  
Elderly People ◽  
Rural Areas ◽  
The Elderly ◽  
Minas Gerais ◽  
Health Conditions ◽  
Public Health Services ◽  
The North ◽  
The Impact

Abstract Background Oral health has an important impact on quality of life and should be an integral part of the overall health of the individual. Quilombolas, afro-descendants communities, live in difficult-access rural areas and with several obstacles on the use of health services. Objective This study is aimed to analyse the oral health conditions of the older Quilombola population in the North of Minas Gerais, Brazil, and the main limitations faced by these communities regarding public health services' access. Method This study evaluated the oral health of elderly Quilombola population in the North of Minas Gerais, Brazil. The study's population consisted in 669 Quilombolas, aged 65 to 74 years old, residing in 33 Quilombola rural communities that are located in 20 different counties of Brazil. Examinations and interviews were conducted in the houses of the elderly people surveyed for the assessment of oral health condition, analysing the use of dental health services, objective conditions (clinical) and subjective conditions (reported). Results Most of the interviewees were self-declared black, female, illiterate and living below the minimum wage. More than 50% of the elderly Quilombola- population interviewed were edentulous and only 17% used total prosthesis. The smiling was the main impact of oral condition reported by them in everyday life. Conclusion The analysis provided by this study exposes the impact of overlooked oral health conditions in minority populations as Quilombolas and reinforces the need of public investments in those vulnerable communities.

scholarly journals The Association between Frailty and Disability among the Elderly in Rural Areas of Korea

2019 ◽  
Vol 16 (14) ◽  
pp. 2481 ◽  
Author(s):  
Choi ◽  
Kim ◽  
Seo ◽  
Kim ◽  
Yoo ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Elderly People ◽  
Rural Areas ◽  
Assessment Tool ◽  
The Elderly ◽  
Demographic Characteristics ◽  
Disability Assessment ◽  
Significant Difference ◽  
Social Demographic ◽  
Blood Profiles

Background: The rapid increase in the elderly population in Korea is associated with an expanded burden of health problems. The purpose of this study was to investigate the association between frailty and physical disability among Koreans using the frailty index, which was developed to assess health conditions in elderly people. Methods: We included 503 elderly people from the Namgaram-II cohort. We used the Korean version of the Kaigo-Yobo checklist as our frailty assessment tool. For the disability assessment tool, we used the Korean version of the 12-item World Health Organization Disability Assessment Schedule (WHODAS-12). We fit multiple linear regression models for men and women for each section. Our models also included variables for musculoskeletal diseases that are known to be associated with frailty, such as sarcopenia, osteoporosis, and radiologic knee osteoarthritis. Results: After correcting for social demographic characteristics, blood profiles, high blood pressure, and diabetes, the Kaigo-Yobo results showed a significant difference in frailty between men (1.53 ± 0.74) and women (2.60 ± 0.77), and WHODAS-12 also showed a significant difference between men (6.59 ± 5.08) and women (15.99 ± 5.70). After correcting for social demographic characteristics, blood profiles, high blood pressure, and diabetes, Kaigo-Yobo and WHODAS-12 were significantly associated with each other among both men (β = 2.667) and women (β = 3.200) (p < 0.001). Conclusions: The study results show an association between frailty and disability among elderly people in rural areas. Therefore, prevention should occur at the pre-frailty stage of a person’s life to prevent further disability. Also, disability welfare programs should be provided to elderly people who present with frailty.

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