scholarly journals Self-Reported Dental Visits Among Older Adults Receiving Home- and Community-Based Services

2020 ◽  
pp. 073346482092532
Author(s):  
Steffany Chamut ◽  
Shahdokht Boroumand ◽  
Timothy J. Iafolla ◽  
Margo Adesanya ◽  
Elena M. Fazio ◽  
...  

Objective: To investigate factors associated with infrequent dental use among older adults receiving home- and community-based services. Method: This cross-sectional study analyzed responses from the 2014 National Survey of Older Americans Act participants who received home- and community-based services. Descriptive and multivariable analyses were conducted to examine the association between infrequent dental use and key sociodemographic and health indicators. Results: Infrequent dental use was highest among adults participating in case management and home-delivered meals (63%); the lowest among those participating in congregate meals (41%). Participants who did not complete high school were 2 to 5 times more likely to be infrequent dental users compared to those with educational attainment beyond high school. Discussion: Among older adults receiving home- and community-based services, improving oral health knowledge and health literacy may reduce infrequent dental use.

2021 ◽  
Vol 9 ◽  
pp. 205031212110400
Author(s):  
Kemal Jemal ◽  
Tinsae Abeya Geleta ◽  
Berhanu Senbeta Deriba ◽  
Mukemil Awol

Objectives: The coronavirus disease 2019 pandemic has caused high morbidity and mortality in older adults over the world. Because the coronavirus disease 2019 pandemic greatly affects older adults who have a preexisting health condition, they are generally susceptible to a high incidence of severe symptoms of anxiety and depression. Therefore, we aimed to assess the prevalence of anxiety and depression symptoms in older adults during the coronavirus disease 2019 pandemic. Methods: Community-based cross-sectional study was completed in August 2020. Standardized and pretested General Anxiety Disorder–7 and Geriatric Depression Scale were used to screen the symptoms of anxiety and depression, respectively. Data were entered into EpiData (version 4.3.2) and transferred to SPSS (version 24) for further analysis. Bivariate and multivariate logistic regression analyses were carried out to determine the significantly associated variables with a 95% confidence interval at p < 0.05. Results: Of the total older adults interviewed, 68.7% had developed symptoms of anxiety and 59.9% had symptoms of depression during the coronavirus disease 2019 pandemic. Female participants, having a chronic disease and poor knowledge of the coronavirus disease 2019 pandemic, were significantly associated with anxiety symptoms. Age category of 81 to 90 and above 90, lack of social support, and having a chronic disease were significantly associated with symptoms of depression. Conclusion: The symptoms of anxiety and depression among older adults in the North Shoa Zone during coronavirus disease 2019 were higher than before the coronavirus disease 2019 happened. The results were evidence points for developing a psychological intervention to tackle the older adults’ mental health needs in the community during and after the coronavirus disease 2019 pandemic.


BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e027895 ◽  
Author(s):  
Dongjuan Xu ◽  
Greg Arling ◽  
Kefang Wang

ObjectivesWe used nationally representative samples of China and the US older population to investigate (1) whether factors influencing self-rated health among older Chinese were similar to those among older Americans; and (2) whether there was a significant cross-national difference in self-rated health between China and the USA after controlling those available influencing factors.DesignA cross-sectional study. Data came from the 2014 Health and Retirement Study and China Health and Retirement Longitudinal Study conducted from 2014 to 2015.ParticipantsOur final sample size totaled 8905 older adults in the USA and 4442 older adults in China.OutcomeThe response variable was self-rated health. Ordered logistic regression models were conducted to investigate factors influencing self-rated health among older adults.ResultsMore than three-fourths (78%) of older adults in China reported fair or poor health status, while almost 74% of older adults in the USA reported excellent, very good or good health status. In the overall ordered logistic regression model, when controlling statistically for sociodemographics, family structure, functional limitations, cognition, chronic conditions, mental health and health-related behaviours, the Chinese survey respondents were much more likely to rate their health as being poorer than the US respondents. The odds of having better versus poorer health was almost five times greater in American older adults than those in China (OR=4.88, 95% CI 4.06 to 5.86). Older adults in China living alone rated their health better than those living with spouse/partner; however, no significant difference was found between these two living arrangements in older Americans. In contrast, older adults in the USA living with others rated their health worse compared with those living with spouse/partner. In addition, older adults who had more activities of daily living limitations, poorer self-reported memory, worse mental health and chronic health conditions had lower self-rated health in both countries.ConclusionsWe found a striking difference in self-rated health between China and the USA even after controlling for measures of disease, functional status and other influencing factors. Relative to their American counterparts, Chinese elders were much more likely to report worse health.


Author(s):  
Prakash B. ◽  
Pradeep T. S. ◽  
Praveen Kulkarni ◽  
M. R. Narayana Murthy

Background: One of the features of modern life is ever increasing stress. Stress is an epidemic in the 21st century that commonly affects all of us on a daily basis. Adolescence can be a stressful time as this age group people are dealing with the challenges of puberty, changing expectations and coping with new feelings. Coping is the process of managing demands (external or internal) that are appraised as taxing or exceeding the resources of the person. Coping consists of efforts, both action-oriented and intrapsychic. The relationship between coping and a stressful event represents a dynamic process. With this background study was conducted to assess the coping ability of tribal, rural and urban school children of Mysuru District. Methods: A community based cross-sectional study conducted in Tribal, rural and urban Mysuru.A Pre tested semi-structured proforma which included general profile and socio-demographic profile of student was used. Information about coping skills was collected through Tobin Coping Strategies Inventory 32 item scale. Statistical analysis: Descriptive statistics like mean and standard deviation were applied. Anova test for comparison of means between three groups. Independent t test was applied for comparison between two groups. The association was expressed statistically significant at p-value less than 0.05. Results: In regards to problem solving, cognitive restructuring, expressing emotions, social contact, wishful thinking, social withdrawal, self-criticism there was a significant difference among 3 groups with p-value <0.05, with regards to problem focused engagement and emotion focused engagement there was a significant difference among 3 groups with p-value< 0.05 with tribal high school participants having higher scores and with regards to engagement there was a significant difference among 3 groups with p-value <0.05 with tribal high school participants having higher scores.Conclusions: The present study was a community based cross sectional study conducted among tribal, rural and urban high school students of Mysuru district aged 14-16 years which revealed tribal school participants had better coping strategy next to urban. Males differed from females with respect to their coping strategies especially in rural and urban participants.


2021 ◽  
Vol 23 (23) ◽  
Author(s):  
Aparna Ravichandran ◽  
Dr. Nisha B ◽  
Dr. Gomathy Parasuram ◽  
Ruma Dutta ◽  
Dr. Timsi Jain

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Edgar R. Vieira ◽  
Joan A. Vaccaro ◽  
Gustavo G. Zarini ◽  
Fatma G. Huffman

Background. The Older Americans Act (OAA) requires that nutrition programs provide meals and related nutrition services that promote health and help manage chronic diseases. The purpose of this study was to compare health status, food security, functional limitations, and chronic diseases of older adults who received or did not receive OAA meals using data from a representative sample of US adults.Methods. Data were from the National Health and Nutrition Surveys 2011–2014 for 2,392 older adults ≥ 65 years of age, including 187 Mexican Americans, 212 other Hispanics, 521 non-Hispanic Blacks, 219 non-Hispanic Asians, and 1253 non-Hispanic Whites.Results. Those receiving OAA meals had higher percent of food insecurity and functional disabilities. Adjusting for potential confounders, adults who received OAA meals had higher odds of emphysema (OR = 2.02; 1.05, 3.89) and lower odds of good-to-excellent health (OR = 0.52; 0.36, 0.77). Women and minorities had poorer health status compared to non-Hispanic Whites.Conclusion. A higher proportion of older adults who received nutritional services reported poorer health as compared to older adults who do not participate in these services. Future studies should assess nutritional adequacy for older adults who participate in nutritional programs comparing sex and race/ethnicity.


Author(s):  
Venetia Notara ◽  
Charalampos Gnardellis ◽  
Evanthia Sakellari ◽  
Pelagia Soultatou ◽  
Eleni Petratou ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document