Factors Associated With Informational Support in Transitional Care for Older Adults With Chronic Diseases: A Cross-Sectional Study

2021 ◽  
pp. 105477382110518
Author(s):  
Gui-Ling Geng ◽  
Wen-Wen Yang ◽  
Xiao-Liu Shi ◽  
Jia-Ning Hua ◽  
Min Cui ◽  
...  
Keyword(s):  
Older Adults ◽  
Chronic Diseases ◽  
Transitional Care ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Informational Support ◽  
Cross Sectional ◽  
Care Survey ◽  
Strobe Statement ◽  
Care Study

To evaluate the current situation and associated factors of informational support for older adults with chronic diseases in transitional care. Study was conducted in five hospitals of five different cities in Jiangsu Province, China. A random cluster sample of 800 older adults with chronic diseases responded to the informational support questionnaire of transitional care survey. Descriptive analysis, t-tests, variance analysis, and stepwise multiple linear regression were used to analyze data. The STROBE statement for observational studies was applied. Total score of ISQTC for older adults with chronic diseases was (44.05 ± 17.21). Marital status, educational level, past occupation, close friends, medical insurance, complications, and exercise habits were significantly correlated with informational support. The level of informational support in transitional care for older adults with chronic diseases was low. Clinical staff should periodically and primarily assess their informational support, help find information resources for those who have low initial informational support, and identify which information they preferred to carry out accurate transitional care.

scholarly journals Association between chronic diseases, multimorbidity and insufficient physical activity among older adults in southern Brazil: a cross-sectional study

2020 ◽  
Vol 138 (6) ◽  
pp. 545-553
Author(s):  
Roselaine da Silva Gomes ◽  
Aline Rodrigues Barbosa ◽  
Vandrize Meneghini ◽  
Susana Cararo Confortin ◽  
Eleonora d’Orsi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Chronic Diseases ◽  
Cross Sectional Study ◽  
Southern Brazil ◽  
Sectional Study ◽  
Cross Sectional ◽  
Insufficient Physical Activity

scholarly journals Chronic diseases, multimorbidity, and handgrip strength among older adults from Southern Brazil

2016 ◽  
Vol 29 (1) ◽  
pp. 43-52 ◽  
Author(s):  
Júlia PESSINI ◽  
Aline Rodrigues BARBOSA ◽  
Erasmo Benício Santos de Moraes TRINDADE
Keyword(s):  
Older Adults ◽  
Chronic Diseases ◽  
Handgrip Strength ◽  
Living Arrangement ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Self Report ◽  
Southern Brazil ◽  
Cross Sectional ◽  
Comorbid Chronic Diseases

ABSTRACT Objective: To investigate the association between various chronic diseases, multimorbidity, and handgrip strength in community dwelling older adults in Southern Brazil. Methods: A cross-sectional study carried out with 477 older adults (60 years and older) who resided in Antônio Carlos, Santa Catarina state. Subjects aged 60-79 years were selected by probability sampling (n=343) and all subjects aged 80 years or older (n=134) were evaluated. Chronic diseases were identified by self-report. A mechanical dynamometer verified handgrip strength (i.e., the outcome). Adjustments variables were age, literacy, living arrangement, smoking, body mass index, cognitive function, and comorbid chronic diseases. Sex-stratified analyses were conducted with simple and multiple linear regression. Results: A total of 270 women (73.2±8.8 years) and 207 men (73.3±9.0 years) were assessed. In the adjustment analysis, cancer (β=-3.69; 95%CI=-6.97 to -0.41) and depression (β=-1.65; 95%CI=-3.20 to -0.10) were associated with lower handgrip strength in women. For men, diabetes (β=-5.30; 95%CI=-9.64 to -0.95), chronic lung disease (β=-4.74; 95%CI=-7.98 to -1.50), and coronary heart disease (β=-3.07; 95%CI=-5.98 to -0.16) were associated with lower handgrip strength values. There was an inverse trend between number of diseases and handgrip strength for men only. Conclusion: The results showed an independent association between chronic diseases and handgrip strength. As such, handgrip strength is a valid measure to use for prevention or intervention in chronic disease and multimorbidity.

scholarly journals Association of eHealth Use, Literacy, Informational Social Support, and Health-Promoting Behaviors: Mediation of Health Self-Efficacy

2020 ◽  
Vol 17 (21) ◽  
pp. 7890
Author(s):  
MoonKi Choi
Keyword(s):  
Older Adults ◽  
Self Efficacy ◽  
Health Management ◽  
Cross Sectional Study ◽  
Direct Effects ◽  
Informational Support ◽  
Cross Sectional ◽  
Health Promoting Behaviors ◽  
Health Promoting ◽  
The Republic

This descriptive, cross-sectional study identified the association of eHealth use, literacy, informational support, and health-promoting behaviors among older adults, as mediated by health self-efficacy. Convenience sampling was conducted at senior welfare centers in Chuncheon, in the Republic of Korea. Data analysis was performed using Pearson’s correlation and via path analyses. The findings showed that eHealth use had an indirect effect on health-promoting behaviors, as mediated by self-efficacy. Informational support was indirectly mediated by self-efficacy and had direct effects upon health-promoting behaviors. eHealth can facilitate self-efficacy and health management, despite not having direct effects upon health-promoting behaviors themselves. Thus, older adults need to be prepared for the increased use of eHealth. In addition, healthcare professionals should support older people in their use of eHealth and encourage informational support through comprehensive interventions so as to facilitate self-efficacy and health behaviors.

scholarly journals Falls among older adults in the South of Brazil: prevalence and determinants

2018 ◽  
Vol 52 ◽  
pp. 22 ◽  
Author(s):  
Luna S Vieira ◽  
Ana Paula Gomes ◽  
Isabel O Bierhals ◽  
Simone Farías-Antúnez ◽  
Camila G Ribeiro ◽  
...  
Keyword(s):  
Older Adults ◽  
Adult Population ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Lower Limbs ◽  
Cross Sectional ◽  
Factors Associated ◽  
Robust Variance ◽  
South Of Brazil ◽  
Older Adult Population

OBJECTIVE: Evaluate the prevalence and the factors associated with the occurrence of falls among older adults. METHODS: A cross-sectional study with a representative sample of 1,451 elderly residents in the urban area of Pelotas, RS, in 2014. A descriptive analysis of the data was performed and the prevalence of falls in the last year was presented. The analysis of demographic, socioeconomic, behavioral and health factors associated with the outcome was performed using Poisson regression with adjustment for robust variance according to the hierarchical model. The variables were adjusted to each other within each level and for the higher level. Those with p ≤ 0.20 were maintained in the model for confounding control and those with p < 0.05 were considered to be associated with the outcome. RESULTS: The prevalence of falls among older adults in the last year was 28.1% (95%CI 25.9–30.5), and most occurred in the person’s own residence. Among the older adults who fell, 51.5% (95%CI 46.6–56.4) had a single fall and 12.1% (95%CI 8.9–15.3) had a fracture as a consequence, usually in the lower limbs. The prevalence of falls was higher in women, adults of advanced age, with lower income and schooling level, with functional incapacity for instrumental activities, and patients with diseases such as diabetes, heart disease, and arthritis. CONCLUSIONS: The occurrence of falls reached almost a third of the older adults, and the prevalence was higher in specific segments of the population in question. About 12% of the older adults who fell fractured some bone. The factors associated with the occurrence of falls identified in this study may guide measures aimed at prevention in the older adult population.

scholarly journals Cross-sectional study examining the status of intrinsic capacity decline in community-dwelling older adults in China: prevalence, associated factors and implications for clinical care

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e043062
Author(s):  
Lina Ma ◽  
Jagadish K Chhetri ◽  
Li Zhang ◽  
Fei Sun ◽  
Yun Li ◽  
...  
Keyword(s):  
Older Adults ◽  
Chronic Diseases ◽  
Cross Sectional Study ◽  
Adverse Outcomes ◽  
Community Dwelling ◽  
Geriatric Syndromes ◽  
Sectional Study ◽  
Cross Sectional ◽  
Intrinsic Capacity ◽  
Community Dwelling Older Adults

ObjectivesIntrinsic capacity (IC) was proposed by the WHO as a new concept for capturing an individual’s functional capacities across their lifetime. We aimed to investigate the prevalence and factors associated with IC decline and examine associations between IC and adverse outcomes among community-dwelling older adults in China.DesignA cross-sectional study.SettingCommunity, China.ParticipantsData were derived from the China Comprehensive Geriatric Assessment Study, a population-based nationally representative sample. IC comprises of five domains: locomotion, cognition, vitality, sensory and psychology. Participants were deemed to have IC decline if they showed a decline in any of the five domains. Sociodemographic characteristics, chronic diseases, geriatric syndromes and adverse outcomes were also examined.ResultsOf the 5823 community-dwelling participants aged 60–98 years, 2506 had IC decline (weighted 39.9%): 57.7% in western, 38.3% in northern, 33.7% in northwest, 36.1% in middle, 16.9% in eastern and 19.8% in northeast China. The number of participants with decline in the locomotion, cognition, vitality, sensory and psychological domains were 1039 (17.8%), 646 (11.1%), 735 (12.6%), 824 (14.2%) and 713 (12.2%), respectively. Age, northern residence, low education, being unmarried, low income, less exercise, less meat intake, insomnia, memory loss, urinary incontinence, constipation, slowness, chronic obstructive pulmonary disease and osteoarthritis were related to IC decline. After adjusting for age, sex, area, district, marriage, education, waist–hip ratio, smoking, alcohol consumption, exercise, income and chronic diseases, IC decline was independently associated with risk of frailty, disability, falls, fractures and immobility.ConclusionThe prevalence of IC decline in China is high. IC decline was significantly associated with adverse outcomes, after adjustment for related variables. Efforts promoting IC to delay functional dependence should focus on modifiable factors, including negative social factors, poor lifestyle, chronic diseases and geriatric syndromes.

scholarly journals Polypharmacy in community-based older adults: results of the Fibra study

2019 ◽  
Vol 22 (5) ◽  
Author(s):  
Priscila de Paula Marques ◽  
Daniela de Assumpção ◽  
Roseli Rezende ◽  
Anita Liberalesso Neri ◽  
Priscila Maria Stolses Bergamo Francisco
Keyword(s):  
Older Adults ◽  
Chronic Diseases ◽  
Care Pathway ◽  
Cross Sectional Study ◽  
Family Resources ◽  
Community Based ◽  
Cross Sectional ◽  
Significance Level ◽  
Chi Squared ◽  
Basic Health Units

Abstract Objectives : To estimate the prevalence of polypharmacy among older adults (≥65 years); to verify its association with sociodemographic variables, nutritional status and health conditions; to describe the prevalence of polypharmacy according to the presence of specific chronic diseases, and to report the method of acquiring drugs. Method : A cross-sectional study was performed with older adults (n=2,217) from seven Brazilian municipal regions. The prevalence of polypharmacy and its 95% confidence intervals were estimated. Associations were verified using Pearson’s Chi-squared test with a significance level of 5%, and the independent associations between the selected variables and polypharmacy were verified by multiple hierarchical Poisson regression. Results : The prevalence of polypharmacy was 18.4% (CI95%:16.8-20.0), and was significantly lower among non-white individuals, those who did not have a health plan, and those who assessed their health as very good/good (p<0.05). Obesity: (PR=1.36; CI95%:1.06-1.75), increased waist circumference (PR=1.54; CI95%:1.08-2.20) and presence of two (PR=2.24; CI95%:1.52-3.31) or three or more (PR=4.22; CI95%:2.96-6.02) chronic diseases were positively associated with polypharmacy. Polypharmacy was observed in about 30.0% of older adults with heart disease, diabetes mellitus and/or strokes/CVA/ischemia. The frequency of older adults who acquired drugs in Basic Health Units was 20.3% and those who obtained them via their own/family resources was 13.5%. Conclusion : Among older adults, the identification of segments with a higher prevalence of polypharmacy enables a better structuring of the provision of treatment during their care pathway, allowing special attention to be paid to problems related to the use of drugs.

scholarly journals Physical activity level among older adultsover 70 years old and very old adults

2020 ◽  
Vol 33 ◽  
Author(s):  
Fátima Ferretti ◽  
Daiara Macagnan ◽  
Fernanda Cristieli Canei ◽  
Márcia Regina da Silva ◽  
Maria Paula Maia dos Santos
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Chronic Diseases ◽  
Physical Activity Level ◽  
Good Health ◽  
Cross Sectional Study ◽  
Activity Level ◽  
Cross Sectional ◽  
Very Old ◽  
Old Adults

Abstract Introduction: Physical activity (PA) is an effective strategy to ensure good health in older adults and mitigate the harmful effects of aging. Objective: To compare PA levels in people aged between 70 and 79 years and very old adults. Method: Quantitative, observational, descriptive cross-sectional study, with 343 individuals aged 70 years or older from a medium-sized municipality in western Santa Catarina state (SC). Data were collected using the MMSE, the Morais’ Questionnaire, and the IPAQ-SF. Data were analyzed using the Mann-Whitney U test, X² and Spearman’s correlation. Significance was set at p < 0.05. Results: The average physical activity level among 70 to 79-year-olds was 168.55 (± 146.81) minutes a week and 93.91 (± 122.66) in very old adults. IPAQ classification indicated that a higher percentage of very old adults were sedentary (79.5%), while 67.8% of 70 to 79-year-olds were categorized as active/very active. There was a statistically significant correlation between physical activity level, number of self-reported chronic diseases and number of medications. Conclusion: Older adults between 70 and 79 years old are more active than very old adults; older women are more active than their male counterparts; the increase in the number of chronic diseases and medications taken lowers physical activity level.

scholarly journals Childhood hunger experiences and chronic health conditions later in life among Brazilian older adults

2021 ◽  
Vol 45 ◽  
pp. 1
Author(s):  
Lucía Félix-Beltrán ◽  
Brayan V. Seixas
Keyword(s):  
Older Adults ◽  
Chronic Diseases ◽  
Cost Effective ◽  
Later Life ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
The North ◽  
Representative Study ◽  
Childhood Conditions ◽  
Nationally Representative

Objectives. To assess the association between childhood hunger experiences and the prevalence of chronic diseases later in life. Methods. A cross-sectional study was conducted using baseline data from the Brazilian Longitudinal Study of Aging (ELSI-Brazil), a nationally representative study of persons aged 50 years and older (n = 9 412). Univariate and bivariate analyses were used to describe the sample, and multivariate logistic regressions to examine the association between childhood hunger and hypertension, diabetes, arthritis and osteoporosis. Adjusted odds ratios and predicted probabilities were calculated. Results. 24.7% of Brazilians aged 50 and over experienced hunger during childhood. This harmful exposure was significantly more common among non-white people, individuals with lower educational attainment, lower household income and heavy manual laborers. Regional variation was also observed, as the prevalence of individuals reporting childhood hunger was higher in the North and Northeast regions. The multivariate analysis revealed that older adults who reported having experienced hunger during childhood had 20% higher odds of developing diabetes in adulthood (aOR = 1.20, 95% CI: 1.02 – 1.41) and 38% higher odds of developing osteoporosis (aOR = 1.38, 95% CI: 1.15 – 1.64) than adults who did not experience hunger during childhood, after controlling for covariates. Conclusions. The study showed an association between childhood hunger and two chronic diseases in later life: diabetes and osteoporosis. This work restates that investing in childhood conditions is a cost-effective way to have a healthy society and provides evidence on relationships that deserve further investigation to elucidate underlying mechanisms.

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