scholarly journals The effects of health literacy in influenza vaccination competencies among community-dwelling older adults in Hong Kong

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Fan Zhang ◽  
Peggy Pui-Lai Or ◽  
Joanne Wai-Yee Chung
Keyword(s):  
Older Adults ◽  
Hong Kong ◽  
Health Literacy ◽  
Influenza Vaccination ◽  
Community Dwelling ◽  
Community Dwelling Older Adults

scholarly journals Understanding of Resilience of Older Adults in Hong Kong: A Qualitative Investigation

2020 ◽  
Vol 6 ◽  
pp. 233372142096690
Author(s):  
Chun Hu ◽  
Pak-Kwong Chung ◽  
Chun-Qing Zhang ◽  
Yiqun Gan ◽  
Rui Hu
Keyword(s):  
Older Adults ◽  
Hong Kong ◽  
Qualitative Content Analysis ◽  
Community Dwelling ◽  
Chinese Older Adults ◽  
Environmental Support ◽  
Positive Attitudes ◽  
Important Trait ◽  
Positive Experiences ◽  
Community Dwelling Older Adults

Purpose: Resilience is an important trait for older adults facing adversity. This qualitative study aimed to identify the characteristics that contribute to resilience in a group of community-dwelling older adults in Hong Kong. Methods: Twenty-five Chinese older adults were invited. Interviews were conducted to collect information about the adverse events in their lives, their attitudes towards adversity and the beliefs underlying their approaches to overcoming adversity. The transcripts were analyzed using qualitative content analysis. Results: Seven themes emerged from the interviews: equanimity, positive attitudes towards life; meaningfulness, self-reliance, social support, environmental support, and spirituality and faith. Conclusion: Our qualitative analysis found that resilience among older adults in Hong Kong is characterized by internal, external and existential factors. The results may be useful for the development of proactive interventions aimed at assisting older adults to enhance the positive experiences in their lives.

Improving health literacy and medication compliance through comic books: a quasi-experimental study of Chinese community-dwelling older adults

2018 ◽  
Vol 25 (4) ◽  
pp. 67-78 ◽  
Author(s):  
Angela Y. M. Leung ◽  
Isaac S. H. Leung ◽  
Justina Y. W. Liu ◽  
Sylvia Ting ◽  
Selina Lo
Keyword(s):  
Older Adults ◽  
Experimental Study ◽  
Health Literacy ◽  
Comic Books ◽  
Medication Compliance ◽  
Comic Book ◽  
Community Dwelling ◽  
Quasi Experimental ◽  
Community Dwelling Older Adults ◽  
Post Assessment

Background: This study aims to investigate the effect of two interventions (verbal advice and comic books) on health literacy and medication compliance among older adults living in 15 public estates in Hong Kong. Methods: This is a two-phase multi-site quasi-experimental study with a pre-and-post design with four measurement points (T1–T4). In both phases, the two interventions were conducted by trained medical/nursing/pharmacy students. Two home visits were carried out in each phase. After the baseline measurement at Time 1 (T1), students verbally advised the older adult participants on how to read, understand, and interpret information on drug labels and how to store drugs properly. A post-assessment was conducted at T2. One year later, another pre-assessment was conducted at T3, and then students used a comic book to educate the older adults. A post-assessment was carried out at T4 after the use of the comic book. Health literacy was measured using the 24-item Chinese Health Literacy Scale for Chronic Care and medication compliance was measured using the Medication Compliance, Knowledge and Storage scale. Generalised Linear Mixed Models were used. Results: A total of 165 subjects were included. The majority (60.6%) were female, aged from 67 to 96. About half (47.3%) had received no formal education. Controlling for age and cognition, there was a significant increase in health literacy after the use of the comic book (coefficient = 2.742, p = 0.001). There was also a significant improvement in medication compliance (total score) (coefficient = −1.018, p < 0.001), reduced knowledge deficiency (coefficient = −0.236, p < 0.05), and reduced storage problems (coefficient = −0.293, p = 0.001) after using comic books. Conclusion: Comic books are a good strategy to improve the health literacy level and medication compliance of community-dwelling older adults.

scholarly journals The Relationship between Subjective Cognitive Decline and Health Literacy in Healthy Community-Dwelling Older Adults

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 567
Author(s):  
Akio Goda ◽  
Shin Murata ◽  
Hideki Nakano ◽  
Koji Nonaka ◽  
Hiroaki Iwase ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Literacy ◽  
Cognitive Function ◽  
Cognitive Decline ◽  
Depression Scale ◽  
Community Dwelling ◽  
Subjective Cognitive Decline ◽  
Healthy Community ◽  
Community Dwelling Older Adults ◽  
The Relationship

Few studies have examined the effects of health literacy on people at risk of developing dementia; its effects on the pathogenesis of subjective cognitive decline (SCD) are particularly unclear. This study aimed to clarify the relationship between health literacy and SCD in a population of healthy community-dwelling older adults. SCD status was assessed using the Cognitive Function domain of the Kihon Checklist (KCL-CF). Health literacy, in turn, was evaluated using the Communicative and Critical Health Literacy (CCHL) scale. Global cognitive function and depressive symptoms were evaluated using the Mini-Mental State Examination (MMSE) and a five-item version of the Geriatric Depression Scale (GDS-5), respectively. Participants who were suspected of having SCD were significantly older than their non-SCD peers, and scored significantly worse on the CCHL, MMSE, and GDS-5. In addition, SCD status was found to be associated with CCHL and GDS-5 scores, as well as age, according to a logistic regression analysis. These findings suggest that low health literacy is linked to SCD morbidity in healthy community-dwelling older adults and should prove useful in the planning of dementia prevention and intervention programs for this population.

An Occupational Therapy Fall Reduction Home Visit Program for Community-Dwelling Older Adults in Hong Kong After an Emergency Department Visit for a Fall

2016 ◽  
Vol 65 (2) ◽  
pp. 364-372 ◽  
Author(s):  
Mary Man-Lai Chu ◽  
Kenneth Nai-Kuen Fong ◽  
Albert Chau-Hung Lit ◽  
Timothy Hudson Rainer ◽  
Stella Wai-Chee Cheng ◽  
...  
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
Hong Kong ◽  
Occupational Therapy ◽  
Emergency Department Visit ◽  
Home Visit ◽  
Community Dwelling ◽  
Community Dwelling Older Adults

scholarly journals Simple scoring algorithm to identify community-dwelling older adults with limited health literacy: a cross-sectional study in Taiwan

BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e045411
Author(s):  
Wen-Hsuan Hou ◽  
Ken N Kuo ◽  
Mu-Jean Chen ◽  
Yao-Mao Chang ◽  
Han-Wei Tsai ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Literacy ◽  
High Risk ◽  
Health Information ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Sectional Study ◽  
Cross Sectional ◽  
Scoring Algorithm ◽  
Community Dwelling Older Adults

ObjectiveHealth literacy (HL) is the degree of individuals’ capacity to access, understand, appraise and apply health information and services required to make appropriate health decisions. This study aimed to establish a predictive algorithm for identifying community-dwelling older adults with a high risk of limited HL.DesignA cross-sectional study.SettingFour communities in northern, central and southern Taiwan.ParticipantsA total of 648 older adults were included. Moreover, 85% of the core data set was used to generate the prediction model for the scoring algorithm, and 15% was used to test the fitness of the model.Primary and secondary outcome measuresPearson’s χ2 test and multiple logistic regression were used to identify the significant factors associated with the HL level. An optimal cut-off point for the scoring algorithm was identified on the basis of the maximum sensitivity and specificity.ResultsA total of 350 (54.6%) patients were classified as having limited HL. We identified 24 variables that could significantly differentiate between sufficient and limited HL. Eight factors that could significantly predict limited HL were identified as follows: a socioenvironmental determinant (ie, dominant spoken dialect), a health service use factor (ie, having family doctors), a health cost factor (ie, self-paid vaccination), a heath behaviour factor (ie, searching online health information), two health outcomes (ie, difficulty in performing activities of daily living and requiring assistance while visiting doctors), a participation factor (ie, attending health classes) and an empowerment factor (ie, self-management during illness). The scoring algorithm yielded an area under the curve of 0.71, and an optimal cut-off value of 5 represented moderate sensitivity (62.0%) and satisfactory specificity (76.2%).ConclusionThis simple scoring algorithm can efficiently and effectively identify community-dwelling older adults with a high risk of limited HL.

scholarly journals Prevalence of anxiety disorders in community dwelling older adults in Hong Kong

2016 ◽  
Vol 29 (2) ◽  
pp. 259-267 ◽  
Author(s):  
Ada Wai Tung Fung ◽  
Wai-Chi Chan ◽  
Corine Sau-Man Wong ◽  
Eric Yu-Hai Chen ◽  
Roger Man-Kin Ng ◽  
...  
Keyword(s):  
Older Adults ◽  
Hong Kong ◽  
Anxiety Disorders ◽  
Common Mental Disorders ◽  
Female Gender ◽  
Community Dwelling ◽  
Delayed Recall ◽  
Physical Burden ◽  
Community Dwelling Older Adults ◽  
Physical Functioning Score

ABSTRACTBackground:Anxiety disorders are prevalent yet under-recognized in late life. We examined the prevalence of anxiety disorders in a representative sample of community dwelling older adults in Hong Kong.Method:Data on 1,158 non-demented respondents aged 60–75 years were extracted from the Hong Kong Mental Morbidity survey (HKMMS). Anxiety was assessed with the revised Clinical Interview Schedule (CIS-R).Result:One hundred and thirty-seven respondents (11.9%, 95% CI = 10–13.7%) had common mental disorders with a CIS-R score of 12 or above. 8% (95% CI = 6.5–9.6%) had anxiety, 2.2% (95% CI = 1.3–3%) had an anxiety disorder comorbid with depressive disorder, and 1.7% (95% CI = 1–2.5%) had depression. Anxious individuals were more likely to be females (χ2 = 25.3, p < 0.001), had higher chronic physical burden (t = −9.3, p < 0.001), lower SF-12 physical functioning score (t = 9.2, p < 0.001), and poorer delayed recall (t = 2.3, p = 0.022). The risk of anxiety was higher for females (OR 2.8, 95% C.I. 1.7–4.6, p < 0.001) and those with physical illnesses (OR 1.4, 95% C.I. 1.3–1.6, p < 0.001). The risk of anxiety disorders increased in those with disorders of cardiovascular (OR 1.9, 95% C.I. 1.2–2.9, p = 0.003), musculoskeletal (OR 2.0, 95% C.I. 1.5–2.7, p < 0.001), and genitourinary system (OR 2.0, 95% C.I. 1.3–3.2, p = 0.002).Conclusions:The prevalence of anxiety disorders in Hong Kong older population was 8%. Female gender and those with poor physical health were at a greater risk of developing anxiety disorders. Our findings also suggested potential risk for early sign of memory impairment in cognitively healthy individuals with anxiety disorders.

scholarly journals Seasonal pattern of single falls and recurrent falls amongst community-dwelling older adults first applying for long-term care services in Hong Kong

2019 ◽  
Vol 49 (1) ◽  
pp. 125-129
Author(s):  
Xing Xing Qian ◽  
Pui Hing Chau ◽  
Chi Wai Kwan ◽  
Vivian Wq Lou ◽  
Angela Y M Leung ◽  
...  
Keyword(s):  
Older Adults ◽  
Hong Kong ◽  
Long Term Care ◽  
Seasonal Pattern ◽  
Community Dwelling ◽  
Term Care ◽  
Logistic Regression Models ◽  
Recurrent Falls ◽  
Community Dwelling Older Adults

Abstract Background few studies had investigated seasonal pattern of recurrent falls. Objective to examine seasonal pattern of both single and recurrent falls amongst community-dwelling older adults first applying for long-term care (LTC) services. Methods a cohort of 89,100 community-dwelling Hong Kong older adults aged 65 and over first applying for LTC services from 2005 to 2014 was obtained. Logistic regression models were used to examine seasonal pattern in single and recurrent falls, whilst controlling for gender, age and year. Results amongst 89,100 older adults, about 32% fell in past 90 days. Amongst the fallers, 34% fell recurrently. In 2014, the incidences of all fall, single fall and recurrent fall were 1.95, 0.80 and 1.15 per person-years, respectively. For single falls, the 90-day fall risk was highest during November to February with an odds ratio (OR) of 1.29 (95% confidence interval [CI] 1.19–1.41), compared with the lowest one during July to October. For recurrent falls, the highest OR for 90-day risk was highest during November to February (1.46, 95% CI 1.31–1.64) as well. Conclusions single and recurrent falls both peaked during winter months. Interventions, such as implementing educational publicity and sending reminder to older adults in fall season, may be considered.

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