Correlates of the Attitude Toward Life-Sustaining Treatment

2017 ◽  
Vol 86 (4) ◽  
pp. 415-425
Author(s):  
Yuri Jang ◽  
Soo Young Kim ◽  
Sujie Chang

The goal of the present study was to examine factors associated with the attitude toward life-sustaining treatment among older adults in South Korea. Focus was given to sociodemographic characteristics (age, gender, education, financial status, and religious affiliation), family-related variables (presence of a spouse, children, and a living parent [or in-law]), and health-related variables (chronic conditions, functional disability, and self-rated health). Using data from 6,895 participants (aged 65−97) in the 2014 Korean National Elderly Survey, logistic regression model was tested. The proportion of the sample that endorsed a strong disagreement with the provision of life-sustaining treatment was 53.2%. The increased odds of having a strong disagreement was found in those with younger age (<75), higher education, a living parent (or in-law), and more favorable ratings of health. Findings shed light on programs and services on end-of-life care planning for older adults in South Korea.

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S14-S14
Author(s):  
Elena Hees ◽  
Clemens Tesch-Römer ◽  
Oliver Huxhold

Abstract The internet provides an indispensable platform for social interaction, entertainment and everyday tasks. Especially older adults might benefit from staying engaged online to counteract loneliness. Yet, current research on how internet use effects loneliness still paints a contradictory picture. The current study investigates the longitudinal influence of social internet use forms as opposed to general internet use on loneliness across three years (2014-2017) separately in two age groups (pre-retirement: 40-64 years and post-retirement: 65-85 years), using data from the German Ageing Survey (DEAS). Structural equation modelling shows, that general web use predicts an increase in loneliness in both age-groups. However, contacting friends and family online seems to protect against loneliness over and above the effect of overall internet use, at least for the younger age-group. Therefore, the current study underlines the importance of investigating what exactly people do online instead of seeing the internet as a homogenous tool.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ronak Paul ◽  
Shobhit Srivastava ◽  
T. Muhammad ◽  
Rashmi Rashmi

Abstract Background There is a higher burden of functional disability for Indian older adults with substantial variations across different geographic regions and socioeconomic groups as compared to other ageing Asian countries. Thus, using a national sample of older adults aged 60+ years, we aim to explore how common is acquiring of disability and recovery from disability among the older population of a developing country like India, and how do the various socioeconomic and health-related conditions impact this transition in disability status. Method The current study uses two waves of the India Human Development Survey (IHDS) and is based on panel data of 10,527 older adults. Both bivariate and multiple variable regression analysis were performed using two binary outcome variables in this study – whether older adults acquired disability and recovered from disability between round-I and round-II, respectively. Results Nearly 31.5% and 4.4 % of older adults have acquired and recovered disability across the two rounds respectively. About 38.5%  and 45.8 % of female older adults’ disability status changes to disable and recovered in round-II respectively. A lesser proportion of older adults have recovered from a disability who have a chronic disease in round-I. Cataract chronic conditions among older adults in round-I had shown 1.45 times (CI: 1.07–1.97) a significantly higher likelihood of acquiring disability in round-I. Older adults who were unmarried and were not working in round-I have 1.12 times (CI: 1.01–1.25) and 1.21 times (CI: 1.06–1.39) higher likelihood of acquiring disability in round-II respectively. Recovering from disability was mostly seen among older adults who belong to the richest (OR: 2.38, CI: 1.31–4.33) and medium (OR: 2.16, CI: 1.27–3.69) wealth quintile households. Older adults residing in the central region of India have 2.72 times (CI: 2.31–3.19) significantly higher chance of acquiring disability than those who were residing in northern regions. Conclusion Appropriate measures are required to highlight the importance of chronic physical diseases and several socio-demographic factors that may negatively affect the trajectory of disability in older ages.


1995 ◽  
Vol 2 (2) ◽  
pp. 97-103
Author(s):  
Tee L Guidotti

Trends in mortality from chronic obstructive pulmonary disease (COPD) in Alberta over 60 years, from 1927 to 1987, for ages 15 and above or both sexes, were examined. There was a striking decline in mortality among older adults in the 1930s and 1940s. a nadir that lasted almost 10 years in the 1950s, and a striking increase thereafter. By 1970, most age groups had returned to levels of the 1930s. This overall trend was observed in both the younger age groups (aged 15 to 50) and older adults, although mortality from COPD in the former disproportionately reflected asthma-related deaths. Subsequently, mortality climbed still higher in older age groups, but not in the younger age groups. The sustained rise in mortality in older age groups after the Second World War is presumably related to smoking habits. Historical trends in Alberta were then compared with Canada as a whole for both sexes over 50 years of age. Although Alberta had a much lower mortality from COPD than Canada as a whole, this difference disappeared by 1980. There is no obvious explanation that would explain all of the observed trends, but they appear more likely to be a consequence of social and environmental conditions, including changes in health-related behaviour, than of major changes in medical management at the time.


Nutrients ◽  
2019 ◽  
Vol 11 (8) ◽  
pp. 1789 ◽  
Author(s):  
Laura Sares-Jäske ◽  
Paul Knekt ◽  
Satu Männistö ◽  
Olavi Lindfors ◽  
Markku Heliövaara

Dieting attempts have become popular worldwide. Dieting, however, seems to have both positive and negative health-related consequences. So far, only a few studies have focused on the determinants of dieting in detail. This study explores the association between self-report dieting attempts and intentional weight loss (IWL) during the previous year and several demographic, lifestyle, health, and psychological factors in a cross-sectional study design using data from the representative Finnish Health 2000 Survey. The sample comprised 2147 men and 2378 women, aged 30–69. Information for potential determinants was assembled via health examinations, interviews, and questionnaires. Approximately 24% of the men and 39% of the women reported dieting attempts and 10% of the men and 15% of the women reported IWL. Dieting attempts were associated with younger age, education, BMI, formerly smoking, more favourable values in lifestyle variables, and unfavorable values in serum HDL and triglycerides, a worse sense of coherence, concerns about one’s appearance, and concerns about one’s health. Among men, diabetics and those sleeping ≤6 h a night more frequently reported dieting attempts and those with osteoarthritis reported IWL. Moreover, the gradient between BMI and dieting attempts was significantly stronger in men than in women. Men seem to attempt dieting when they have actual health-related reasons, while such reasons are not so strongly associated with dieting in women. These findings can be used for determining subpopulations with obesity and real weight-loss needs and, alternatively, subpopulations with normal weight unnecessarily attempting dieting.


2010 ◽  
Vol 18 (3) ◽  
pp. 313-334 ◽  
Author(s):  
Calvin H. Hirsch ◽  
Paula Diehr ◽  
Anne B. Newman ◽  
Shirley A. Gerrior ◽  
Charlotte Pratt ◽  
...  

Little is known about how many years of life and disability-free years seniors can gain through exercise. Using data from the Cardiovascular Health Study, the authors estimated the extra years of life and self-reported healthy life (over 11 years) and years without impairment in activities of daily living (over 6 years) associated with quintiles of physical activity (PA) in older adults from different age groups. They estimated PA from the Minnesota Leisure Time Activities Questionnaire. Multivariable linear regression adjusted for health-related covariates. The relative gains in survival and years of healthy life (YHL) generally were proportionate to the amount of PA, greater among those 75+, and higher in men. Compared with being sedentary, the most active men 75+ had 1.49 more YHL (95% CI: 0.79, 2.19), and the most active women 75+ had 1.06 more YHL (95% CI: 0.44, 1.68). Seniors over age 74 experience the largest relative gains in survival and healthy life from physical activity.


2021 ◽  
Vol 4 ◽  
pp. 1-8
Author(s):  
Tian Tian ◽  
Eun-Kyeong Kim

Abstract. The mental health of older adults has become a critical issue with the rising suicide rate in older adults in South Korea. Various factors related to depression can make heterogeneous impacts in different regions. Yet, such spatial perspectives have been rarely integrated with the mental health studies in South Korea. This study aims to explore 1) how differently each factor of sociodemographic characteristics, social interactions, and health-related behaviors is associated with depression of older adults throughout different regions in South Korea, and 2) how those relationships change across five survey years (2008–2016) for a long term. Spatially local regression and small-multiple map visualization were applied to analyze a longitudinal panel survey dataset named KLoSA, collected in South Korea. It is found that age, marital status, in-person social contact frequency, and perceived physical health are significantly correlated with depression in more regions than other variables. The local regression coefficients and significance vary by region and year.


GeroPsych ◽  
2018 ◽  
Vol 31 (1) ◽  
pp. 31-39 ◽  
Author(s):  
Ljiljana Kaliterna Lipovčan ◽  
Tihana Brkljačić ◽  
Zvjezdana Prizmić Larsen ◽  
Andreja Brajša-Žganec ◽  
Renata Franc

Abstract. Research shows that engagement in leisure activities promotes well-being among older adults. The objective of the current study was to examine the relationship between subjective well-being (flourishing) and leisure activities (total number of different activities in the previous year) in a sample of older adults in Croatia, thereby considering the variables of sex, marital status, financial status, and self-perceived health. The differences in the examined variables between the groups of older adults who reported to be engaged in new activities with those who did not were also examined. The sample of N = 169 older adults aged 60 years and above was drawn from a convenience sample of adult internet users in Croatia. Participants reported their self-perceived health and the number of leisure activities they engaged in over the previous year as well as completing the Flourishing Scale. Hierarchical regression analyses indicated that older adults who were engaged in more various leisure activities, who perceived better financial status, and who were married reported higher levels of flourishing. A comparison of the two groups of older adults with and without engagement in leisure activities showed that those engaged in at least one leisure activity were more likely to be women, reported higher levels of flourishing, and perceived their own financial status as better. This study indicated that engaging in leisure activities in later life might provide beneficial effects for the well-being of older adults.


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