scholarly journals Do older people with cardiovascular-metabolic multimorbidity prefer to sign contracts for family doctor services? Evidence from a cross-sectional study in rural Shandong, China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shijun Yang ◽  
Jie Li ◽  
Peipei Fu ◽  
Yan Chen ◽  
Yi Wang ◽  
...  
Keyword(s):  
Older Adults ◽  
Older People ◽  
Family Doctor ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Logistic Analysis ◽  
The Status ◽  
The Government ◽  
Rural Older Adults

Abstract Background Family doctor policy is an important part of deepening healthcare reform in China. The study aimed to explore the association between cardiovascular-metabolic multimorbidity and the status of signing a contract for family doctor services among the older people in rural Shandong, China. Methods A cross-sectional study was conducted in 3 cities of Shandong province, China. A total of 1395 rural residents over 60 years of age were included in this study using a multistage stratified random sampling method. Covariates included demographic and socioeconomic characteristics, health-related characteristics, health service utilization, and awareness of family doctor contract services. The univariate and multivariate regression logistic analysis was used to analyze the data. Results There were 28.2% of the rural older people contracted for the family doctor contract services. The contract rate of seniors with cardiovascular-metabolic multimorbidity was statistically higher than those without cardiovascular-metabolic multimorbidity (OR = 1.67, 95%CI, 1.21-2.32) after controlling for confounding factors. In addition, occupation, physical activities, self-rated health status, distance from the village clinic, the awareness of family doctor contract services were found to be associated with the signing behavior among the rural older adults. Conclusion This study demonstrated that the rural older people with cardiovascular-metabolic multimorbidity had a higher family doctor contract rate than those without cardiovascular-metabolic multimorbidity, and there was a gap between the current signing rate and the policy goal. To increase the rate of signing for family doctor contract services, the government should take joint efforts to expand the publicity and coverage, and give priority to meeting the healthcare demands of rural older adults with cardiovascular-metabolic multimorbidity.

scholarly journals Cultural adaptation and validation of the Polish version of the physical activity scale for older people living in a community: a cross-sectional study

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Agnieszka Wiśniowska-Szurlej ◽  
Agnieszka Ćwirlej-Sozańska ◽  
Natalia Wołoszyn ◽  
Bernard Sozański ◽  
Anna Wilmowska-Pietruszyńska ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Older People ◽  
Cultural Adaptation ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Polish Version ◽  
Activity Scale ◽  
Physical Activity Scale

Abstract Background Polish clinicians and researchers face challenges in selecting physical activity tools appropriate and validated for older people. The aim of this study is to provide cultural adaptation and validation of the Polish version of the Physical Activity Scale for Elderly (PASE-P). Methods This cross-sectional study was carried out among 115 older adults living in south-eastern Poland. The original version of the scale has been translated into the Polish language following standardized translation procedures. Validation was evaluated by Pearson’s rank correlation coefficients between PASE-P, the normal Timed Up and Go test and that with a cognitive task (TUG and TUG cog, respectively), grip strength, basic and instrumental activities of daily living (ADL and IADL, respectively), Five Times Sit to Stand (5x STS), 10-m Walk Test (10MWT), the Berg Balance Scale (BBS) and the International Physical Activity Questionnaire (IPAQ). Results The mean PASE-P was 91.54 (SD 71.15). Sufficient reliability of the test-retest of the PASE-P questionnaire components was found between the trials. The ICC test was strong and ranged from 0.988 to 0.778 for both major domains and the total scale score. A significant correlation was found between the total PASE-P score and the shorter TUG, TUG cog (r = − 0.514, p < 0.001; r = − 0.481, p < 0.001) and 10MWT (r = 0.472, p < 0.001). The total PASE-P score was also positively correlated with ADL and IADL (r = 0.337, p < 0.001; r = 0.415 p < 0.001), BBS (r = 0.537, p < 0.001) and 5xSTS (r = 0.558, p < 0.001). Conclusions The results obtained in the study confirm that the Polish version of the PASE scale is a valid and reliable tool for assessing the level of physical activity in older adults living in a community.

scholarly journals Adherence to Mediterranean diet and risk of depression later in life. A cross sectional study in East Attica, Greece

2019 ◽  
Vol 2 (2) ◽  
pp. 201-210 ◽  
Author(s):  
Konstantinos Argyropoulos ◽  
Evangelia Machini
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Older People ◽  
Mediterranean Diet ◽  
Sleep Disturbances ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Mediterranean

AbstractObjectivesThe purpose of the present study was to estimate the prevalence of depression later in life in an urban area and to investigate the associations between possible risk and protective factors including adherence to a Mediterranean diet.MethodsA cross-sectional study was conducted among the active members of the open day-care centres for older people, in East-Attica, Greece. An anonymous questionnaire was developed to collect basic demographic and medical data, the Geriatric Depression Scale (GDS-15) was applied to screen the elderly for depressive symptoms, the Athens Insomnia Scale (AIS) was used to quantify sleep disturbances and adherence to the Mediterranean diet was evaluated using the Mediterranean Diet Score (MDS). Statistics was processed with SPSS 24.0.Results154 older adults took part in the study. According to GDS-15, 24.7% (21.4% moderate and 3.2% severe type) screened positive for depressive symptoms. 29.9% of the participants reported inadequate sleep, based on AIS. Depression and insomnia in older participants were more frequent in women than in men, in lower educated, in participants with lower monthly income and in older people with comorbidity (p < 0.05).MDS revealed that adherence to a Mediterranean diet was moderate for 64.3% of the participants, and it was high for 34.4%. Depression diagnosed by a physician, was strongly associated with MDS (p = 0.035) and AIS (p = 0.001). Logistic regression analysis results revealed a diet higher in vegetables and lower in poultry and alcohol was associated with decreased likelihood of developing symptoms of depression later in life.ConclusionsOur results support that depression in older adults is common and strongly associated with several risk factors. Adherence to a Mediterranean diet may protect against the development of depressive symptoms in older age. Moreover, not only diet but also sleep-deficiency might contribute to the depression later in life.

scholarly journals Association between a hilly neighborhood environment and falls among rural older adults: a cross-sectional study

2021 ◽  
Vol 16 (4) ◽  
pp. 214-221
Author(s):  
Jun Kitayuguchi ◽  
Takafumi Abe ◽  
Kenta Okuyama ◽  
Tatsunosuke Gomi ◽  
Shinpei Okada ◽  
...  
Keyword(s):  
Older Adults ◽  
Cross Sectional Study ◽  
Neighborhood Environment ◽  
Sectional Study ◽  
Cross Sectional ◽  
Rural Older Adults

scholarly journals Prevalence and Risk Factors for Pterygium in Rural Older Adults in Shandong Province of China: A Cross-Sectional Study

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Wanzhen Jiao ◽  
Chengchao Zhou ◽  
Ting Wang ◽  
Shaoyuan Yang ◽  
Hongsheng Bi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Educational Level ◽  
Eastern China ◽  
Multivariate Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
Shandong Province ◽  
Sectional Study ◽  
Cross Sectional ◽  
Rural Older Adults

To investigate the prevalence and risk factors for pterygium in rural older adults in Shandong Province, eastern China, a population-based, cross-sectional study was performed from April to July 2008. By means of cluster random sampling methods, a total of 19,583 people aged 50 years or above were randomly selected from four rural counties. Out of 19,583 people, 1,767 residents were excluded mainly because they were migrant workers when this study was performed. Finally, 17,816 (90.98%) people were included as eligible subjects. They received a comprehensive eye examination and a structured questionnaire voluntarily. Patients with pterygium were defined as having pterygium at the time of survey or pterygium surgery had been performed. 1,876 people were diagnosed as pterygium, either unilateral (1,083) or bilateral (793), which is equivalent to a prevalence of 10.53% (95% CI, 10.08–10.98). The multivariate logistic regression analysis showed that pterygium was independently associated with older age, areas, outdoor time, educational level, and use of hat and/or sunglasses. The prevalence of pterygium increased with age and hours spent under sunshine per day. Meanwhile, the higher the educational level and the more use of hat and/or sunglasses, the lower the pterygium prevalence.

Association between multimorbidity and fear of falling: a cross-sectional study with hospitalized older adults / Associação entre multimorbidade e medo de cair: um estudo transversal com idosos hospitalizados

2021 ◽  
Vol 7 (8) ◽  
pp. 80272-80284
Author(s):  
Letícia Vieira Crispim ◽  
Rodrigo Lázaro Rocha Veloso ◽  
Tábatta Renata Pereira De Brito ◽  
Daniella Pires Nunes ◽  
Bruna Luísa Melo de Aquino Lemos Corrêa ◽  
...  
Keyword(s):  
Older Adults ◽  
Regression Analysis ◽  
Older People ◽  
Emergency Treatment ◽  
Fear Of Falling ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Preventable Hospitalizations ◽  
Hospitalized Older Adults

The aim of this study was to analyze the association between multimorbidity and fear of falling among hospitalized older adults. This is a quantitative study with an analytical sectional design, conducted with 83 individuals aged 60 years or older, hospitalized for falls in a referral hospital for emergency treatment in Brazil. Data collection took place through the application of a questionnaire containing socioeconomic and health information as well as characteristics of the fall. The logistic regression analysis revealed that older people who reported multimorbidity are 3.16 times more likely to be afraid of falling than older people who did not report multimorbidity, regardless of sex, age, frailty, and the number of falls in the last year. These results could aid in improving hospital approaches in relation to multimorbidity and fear of falling, decreasing preventable hospitalizations due to falls.

scholarly journals The Association between Sleep Quality and Loneliness in Rural Elderly Individuals: A Cross-Sectional Study in Shandong Province, China

2020 ◽  
Author(s):  
Gaizhen Jia ◽  
Ping Yuan
Keyword(s):  
Older Adults ◽  
Sleep Quality ◽  
Cross Sectional Study ◽  
Rural Elderly ◽  
Shandong Province ◽  
Poor Sleep ◽  
Sectional Study ◽  
Poor Sleep Quality ◽  
Cross Sectional ◽  
Rural Older Adults

Abstract Background: There is evidence of negative associations between loneliness and sleep quality in older adults. However, little is known regarding the relationship between loneliness and sleep quality among Chinese rural elderly. This study examined the associations of loneliness and sleep quality in a cross-sectional study of older adults. Methods: A face-to-face questionnaire survey was conducted among 1,568 rural elderly people in Shandong Province, China. Loneliness was assessed using the University of California at Los Angeles Loneliness Scale. Sleep quality was assessed using the Pittsburgh Sleep Quality Index. Ordinal logistic regression was conducted to examine the association of loneliness and sleep quality after adjusting for multiple confounding variables. Results: After controlling for variables such as age, marriage, education, occupation, economic income, family relationships, living arrangement, smoking, drinking, chronic diseases, quality of life in a multivariable analysis, poor sleep quality still indicates loneliness in the rural elderly population. Conclusion: This finding implied an adverse effect of sleep quality on the loneliness of older adults. Poor sleep quality was associated with the increased odds of loneliness in Chinese rural older adults. Sleep-based interventions should be developed to prevent loneliness in rural older adults in China.

scholarly journals The Association between Sleep Quality and Loneliness in Rural Elderly Individuals: A Cross-Sectional Study in Shandong Province, China

2020 ◽  
Author(s):  
Gaizhen Jia ◽  
Ping Yuan
Keyword(s):  
Older Adults ◽  
Sleep Quality ◽  
Cross Sectional Study ◽  
Rural Elderly ◽  
Shandong Province ◽  
Poor Sleep ◽  
Sectional Study ◽  
Poor Sleep Quality ◽  
Cross Sectional ◽  
Rural Older Adults

Abstract Background: There is evidence of negative associations between loneliness and sleep quality in older adults. However, little is known regarding the relationship between loneliness and sleep quality among Chinese rural elderly. This study examined the associations of loneliness and sleep quality in a cross-sectional study of older adults. Methods: A face-to-face questionnaire survey was conducted among 1,568 rural elderly people in Shandong Province, China. Loneliness was assessed using the University of California at Los Angeles Loneliness Scale. Sleep quality was assessed using the Pittsburgh Sleep Quality Index. Ordinal logistic regression was conducted to examine the association of loneliness and sleep quality after adjusting for multiple confounding variables. Results: After controlling for variables such as age, marriage, education, occupation, economic income, family relationships, living arrangement, smoking, drinking, chronic diseases, quality of life in a multivariable analysis, poor sleep quality still indicates loneliness in the rural elderly population. Conclusion: This finding implied an adverse effect of sleep quality on the loneliness of older adults. Poor sleep quality was associated with the increased odds of loneliness in Chinese rural older adults. Sleep-based interventions should be developed to prevent loneliness in rural older adults in China.

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