scholarly journals A multidimensional model of healthy ageing: proposal and evaluation of determinants based on a population survey in Ecuador

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
María Fernanda Rivadeneira ◽  
María José Mendieta ◽  
Jessica Villavicencio ◽  
José Caicedo-Gallardo ◽  
Patricio Buendía
Keyword(s):  
Older Adults ◽  
Gender Equity ◽  
Well Being ◽  
Healthy Ageing ◽  
World Health ◽  
Multidimensional Model ◽  
Cross Sectional ◽  
Intrinsic Capacity ◽  
And Gender ◽  
The Individual

Abstract Background Healthy ageing is a complex construct which involves multiple dimensions. Previous studies of healthy ageing have focused only on measuring the intrinsic capacity of the older person. The objectives of this study were to design a multidimensional model of healthy ageing and to identify its determinants from national data in Ecuador. Methods A cross-sectional analytical study was carried out from the National Survey of Health and Well-being of the Older Adult, 2010. Sample was 1797 adults aged 65 years or more. A multidimensional model was designed based on the World Health Organization’s concept of healthy ageing. For the analysis, two groups were created: a healthy ageing and a less healthy ageing group. Bivariate and multivariate logistic regressions were performed to analyze the probability of belonging to the healthy group according to sex, age, area of ​​residence, level of education, perceived health status, perceived life satisfaction, and poverty by income level. Results The 53.15% of the sample was classified in the healthy ageing group. Women and the poorest older adults were less likely to be in the healthy ageing group (OR 0.58; 95% CI 0.464–0.737; OR 0.44; 95% CI 0.343–0.564). Older adults with secondary education or higher, who considered their health as excellent and who were satisfied with their life, had a greater probability of being in healthy ageing group (OR 2.61; 95% CI 1.586–4.309; OR 28.49; 95% CI 3.623–224.02; OR 0.23; 95% CI 0.165–0.341). Conclusions This study contributes with a multidimensional approach to healthy ageing. It proposes to evaluate the intrinsic capacity of the individual, the social and political environment and the interaction with it, through indicators that discriminate who are ageing in a healthy way and who are not. By using this model, it was identified that gender and economic situation seem to play an important role on heathy ageing of the Ecuadorian population. Public policies are necessary to promote healthy ageing, especially focused on improving socioeconomic conditions and gender equity.

scholarly journals A Multidimensional Model of Healthy Ageing: Proposal and Evaluation of Determinants Based on a Population Survey in Ecuador.

2021 ◽  
Author(s):  
María Fernanda Rivadeneira ◽  
María José Mendieta ◽  
Jessica Villavicencio ◽  
José Caicedo ◽  
Patricio Buendía
Keyword(s):  
Older Adults ◽  
Gender Equity ◽  
Healthy Aging ◽  
Well Being ◽  
The Elderly ◽  
Healthy Ageing ◽  
Multidimensional Model ◽  
Physical And Mental Health ◽  
Cross Sectional ◽  
World Organization

Abstract Background: Healthy ageing is a complex construct, which involves multiple dimensions. The objective of this study was to design a multidimensional model of healthy ageing and to identify its determinants from national data in Ecuador. Methods: A cross-sectional analytical study was carried out from the National Survey of Health and Well-being of the Older Adult, 2010. Sample was 1797 adults aged 65 years or more (sample expanded to 898,152). A multidimensional model was designed based on the domains involved in the concept of healthy ageing from the World Organization Health´s approach, and the environment dimension. For the analysis, two groups were created per bi-stage cluster: healthy ageing and less healthy ageing. The probability of belonging to the healthiest group was analyzed with bivariate and multivariate logit for complex samples.Results: The 53.15% of the sample was classified in the healthy ageing group. Women and the poorest older adults are less likely to be in the healthy ageing group (OR 0.58; CI 95% 0.464 - 0.737; OR 0.44; CI 95% 0.343 - 0.564). Older adults with secondary education or higher, who consider their health as excellent and who are satisfied with their life have a greater probability of being in healthy ageing (OR 2.61; 95% CI 1.586 - 4.309; OR 28.49; 95% CI 3.623 - 224.02; OR 0.23; 95% CI 0.165 - 0.341). Conclusions: The model of healthy ageing addresses multidimensional variables which are summarized in three components: the intrinsic capacity, referring to the physical and mental health, the social and political environment, and the interaction of the elderly with the environment. It was found that the poorest older adults and women are less likely to belong to the healthiest group. Healthy aging plans must focus on socioeconomic conditions and gender equity.

scholarly journals THE BURDEN OF ENGAGING IN VOLUNTEER ATTENUATE THE RELATIONSHIP BETWEEN VOLUNTEER ENGAGEMENT AND HEALTH OUTCOMES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S145-S146
Author(s):  
Yuta Nemoto ◽  
Ryota Sakurai ◽  
Masami Hasebe ◽  
Kumiko Nonaka ◽  
Hiroko Mtsunaga ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Outcomes ◽  
Economic Status ◽  
Living Arrangement ◽  
Well Being ◽  
Cross Sectional Study ◽  
World Health ◽  
Cross Sectional ◽  
Volunteer Activity ◽  
Volunteer Engagement

Abstract This study examined the interaction of participating in volunteer activity and its burden on health outcomes. A community-based cross-sectional study was conducted in 2018. Of 8426 older adults aged 65 and over, 5232 individuals were included in the analyses (response rate: 62.1%). Health outcomes included self-rated health (SRH), mental health (The World Health Organization Five Well-Being Index: WHO-5), and Instrumental Activities of Daily Living (Tokyo Metropolitan Institute of Gerontology Index of Competence: TMIG-IC) as dependent variables. Independent variables included engagement in volunteer activity and its burden. These variables were combined and classified into three groups: non-participants; participants with burden; and participants without burden. Covariates included age, gender, educational attainments, economic status, and living arrangement. Logistic regression analysis and analysis of covariates were conducted to examine the interaction of volunteer activity and its burden on health outcomes. Of 5232 older adults, 76.3% of subjects were non-participants, 3.4% were participants with burden, and 20.3% were participants without burden. Multivariate analysis showed that non-participants were more likely to have poor health outcomes compared with participants with burden. Moreover, participants without burden were more likely to have better health outcomes (SRH: Odds Ratio [OR] = 1.92, 95% Confidence Interval [CI] = 1.70 to 2.17, WHO-5: OR = 1.69, 95% CI = 1.51 to 1.88, TMIG-IC: Coefficient = 0.36, 95% CI = 0.10 to 0.62). Our findings suggest that volunteer activity is related to better health regardless of their burden. However, burden of volunteer engagement might attenuate the relationships between volunteer activity and health outcomes.

Prevalence and correlates of traumatic brain injury (TBI) in older adults: results from the Well-being of the Singapore Elderly (WiSE) study

2017 ◽  
Vol 29 (11) ◽  
pp. 1899-1907 ◽  
Author(s):  
Laxman Cetty ◽  
Edimansyah Abdin ◽  
Janhavi Ajit Vaingankar ◽  
Anitha Jeyagurunathan ◽  
Boon Yiang Chua ◽  
...  
Keyword(s):  
Older Adults ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Tertiary Education ◽  
Adult Population ◽  
Well Being ◽  
Self Report ◽  
World Health ◽  
Cross Sectional ◽  
Health Organization

ABSTRACTBackground:Older adults are among the most susceptible to sustain traumatic brain injury (TBI). The study aimed to determine the (1) prevalence of TBI among older adults in Singapore, and (2) socio-demographic, lifestyle, and clinical correlates of TBI.Methods:Data were extracted from the cross-sectional, Well-being of the Singapore Elderly (WiSE) study. The study included 2,565 participants aged 60 years and above (Mean = 72.75, SD = 9.54). Information on TBI, socio-demographic, and lifestyle factors were collected using participant self-report and verified with the informant report where necessary. Disability was measured using the World Health Organization – Disability Assessment Schedule 2.0 (WHO-DAS 2.0). Data were analyzed using logistic regression analysis.Results:The prevalence of TBI was 3.6%. Being female (vs. male) was found to be associated with decreased odds of having TBI. Having completed secondary education or lower (vs. tertiary education) was found to be associated with increased odds of having TBI. A history of fainting and diabetes were associated with the presence of TBI. Those with TBI were associated with higher disability scores on the WHO-DAS 2.0 than those without TBI.Conclusions:The current study provides information on the prevalence and associated factors of TBI in the older adult population in Singapore. Since TBI was associated with older adults with diabetes, they must be cautioned about fall risk. Also, given the association with disability, older adults with TBI are likely to require support and rehabilitative care to ensure good quality of life.

scholarly journals Ethnic and Gender Disparities in Healthy Ageing among People 50 Years and Older in South Africa

Geriatrics ◽  
2021 ◽  
Vol 6 (3) ◽  
pp. 79
Author(s):  
Supa Pengpid ◽  
Karl Peltzer
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Older Adults ◽  
Population Group ◽  
Well Being ◽  
Healthy Ageing ◽  
Cross Sectional ◽  
Good Mental Health ◽  
Male Sex ◽  
The Cross

Objective: this study aimed to determine the prevalence and correlates of healthy ageing in older adults living in the community in South Africa. Methods: the cross-sectional sample consisted of 3734 individuals (≥50 years) from the cross-sectional South African National Health and Nutrition Survey (SANHANES-1) in 2011–2012. Healthy ageing was assessed using a multidimensional concept, which includes five components: (1) absence of major illness, (2) absence of disability, (3) good mental health, (4) social engagement and (5) well-being or good health. Results: in general, 36.6% had a healthy ageing, including 73.3% had no major diseases, 87.1% were free of disability, 62.3% had good mental health, 73.0% were socially engaged and 64.0% had a high well-being. In the adjusted logistic regression analysis, male sex (Adjusted Odds Ratio-AOR: 1.33, 95% confidence interval-CI: 1.03–1.72), white population group (AOR: 3.46, 95% CI: 2.29–5.22) and coloured population group (AOR: 1.82, 95% CI: 1.34–2.47), were positively associated with healthy ageing, while increasing age (AOR: 0.96, 95% CI: 0.94–0.97), daily tobacco use (AOR: 0.56, 95% CI: 0.42–0.74), perceived underweight (AOR: 0.48, 95% CI: 0.34–0.66) and perceived overweight (AOR: 0.53, 95% CI: 0.34–0.81) were negatively associated with associated with healthy ageing. Conclusion: almost two in five older adults in South Africa were successfully ageing. Factors associated with healthy ageing included, younger age, male sex, population group (Whites, Coloureds), not daily tobacco users, not having underweight and overweight.

scholarly journals Mental Health among Internet Addicts and Non Addict Peoples Behaviour

2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Dr. S. M. Makvana ◽  
Pratika C. Sankhesara
Keyword(s):  
Mental Health ◽  
Well Being ◽  
Behavioral Disorder ◽  
World Health ◽  
It Use ◽  
Individual Values ◽  
And Gender ◽  
Medical Dictionary ◽  
Health Organization ◽  
The Individual

The present study aimed to examine the relationship between Mental Health among Internet Addicts and Non Addicts with reference to types of Internet effect and Gender. While almost everyone has experienced mental health at some point in their lives, most do not develop long-term problems with mental health. Mental health it is the Latin world “anger” it means “strangle” it use to present period changing from individual values -morale, idea, alienation, competition and achievement. WHO (World Health Organization),defined mental health is “A state of well-being in which the individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community”. WHO stresses that mental health “is not just the absence of mental disorder”. According to Medilexicon’s medical dictionary, defined mental health is “emotional, behavioral, and social maturity or normality; the absence of a mental or behavioral disorder; a state of psychological well-being in which one has achieved a satisfactory integration of one’s instinctual drives acceptable to both 4 oneself and one’s social milieu; an appropriate balance of love, work, and leisure pursuits”. The present studies used to variables namely (A) Types of Addicts (B) types of Gender examine the effect of mental health. The scales used Mental Health Inventory (1992) Constructed & standardized by Dr D. J. Bhatt. The scale consisted in five factors. A research Data/sample size 480 was collected from Internet Addicts and Non Addicts people of Ahmadabad district of Gujarat State. Hence, this gives rise to a 2 x 2 factorial research design for the analysis of the data. The ANOVAs, was re-sorted in order to get the results. There is no significant effect of Internet Addicts and Non Addicts people with regard to mental health. There is significant effect of gender (male and female) on mental health.

scholarly journals INtrinsic Capacity and its RElAtionship With Life-SpacE Mobility (INCREASE): a cross-sectional study of community-dwelling older adults in Singapore

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e054705
Author(s):  
Jia Qi Lee ◽  
Yew Yoong Ding ◽  
Aisyah Latib ◽  
Laura Tay ◽  
Yee Sien Ng
Keyword(s):  
Older Adults ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Sectional Study ◽  
Life Space ◽  
Cross Sectional ◽  
Age And Gender ◽  
Intrinsic Capacity ◽  
And Gender ◽  
Community Dwelling Older Adults

ObjectivesTo examine the association of intrinsic capacity (IC) with life-space mobility (LSM) among community-dwelling older adults and to determine whether age and gender modify this relationship.DesignCross-sectional study.SettingPublic housing blocks, senior activity centres and community centres in the Northeastern region of Singapore.Participants751 community-dwelling older adults aged ≥55 years old and able to ambulate independently with or without walking aid.Primary and secondary outcome measuresIC and LSM. Standardised IC factor scores were calculated through confirmatory factor analysis using variables representing the five IC domains cognition, locomotion, sensory, vitality and psychological. LSM was measured using the University of Alabama at Birmingham Study of Aging Life-Space Assessment instrument. Association of IC with LSM and its effect modification by age and gender were examined with regression analyses.ResultsThe participants had a mean age of 67.6 and mean LSM score of 88.6. IC showed a positive and significant association with LSM (β=6.33; 95% CI=4.94 to 7.72) and the effect remained significant even after controlling for potential confounders (β=4.76; 95% CI=3.22 to 6.29), with p<0.001 for both. Age and gender did not demonstrate significant modification on this relationship.ConclusionsOur findings support the empirical rigour of the International Classification of Functioning, Disability and Health framework, which suggests that IC influences the extent to which a person participates in the community. Our findings also provide guidance for healthcare providers who aim to enhance LSM and promote healthy ageing in older adults.

scholarly journals Intrinsic Capacity and Its Relationship With Life Space Area (INCREASE) in Community-Dwelling Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 364-364
Author(s):  
Jia Qi Lee ◽  
Yew Yoong Ding ◽  
Laura Tay ◽  
Aisyah Latib ◽  
Yee Sien Ng
Keyword(s):  
Older Adults ◽  
Healthy Aging ◽  
Community Dwelling ◽  
International Classification Of Functioning ◽  
Life Space ◽  
Cross Sectional ◽  
Age And Gender ◽  
Intrinsic Capacity ◽  
And Gender ◽  
Community Dwelling Older Adults

Abstract Intrinsic capacity (IC), defined as ‘the composite of all physical and mental capacities of an individual’, is of increasing interest in geriatrics as a potential multidimensional measure of health in older adults. According to the International Classification of Functioning, Disability and Health (ICF) framework, IC, through its interactions with environmental factors, determines a person’s participation in the community. However, there is lack of empirical evidence demonstrating this association. The primary aim of this study was to examine the association of IC with Life Space Area (LSA; a measure of participation) among community-dwelling older adults. The secondary aim was to determine whether age and gender modify this relationship. Cross sectional analysis was performed on data from the Individual Physical Proficiency Test for Seniors (IPPT-S) study conducted in the Northeastern region of Singapore. Standardized IC factor scores were calculated through confirmatory factor analysis using variables that represented the 5 IC domains. Association of IC with LSA and its effect modification by age and gender were examined with regression analyses. The study included 751 participants with mean age of 67.6 and mean LSA score of 88.6. IC showed a positive and significant association with LSA (B=6.33, P&lt;0.001) and the effect remained significant even after controlling for potential confounders (B=4.76, P&lt;0.001). Age and gender did not show significant modification on this relationship. Our findings support the empirical rigour of the ICF framework and provide guidance for healthcare providers who aim to enhance life space mobility and promote healthy aging in older adults.

Personality's Correlates of Adult Development and Aging

2003 ◽  
Vol 8 (3) ◽  
pp. 131-147 ◽  
Author(s):  
Gian Vittorio Caprara ◽  
Mariagiovanna Caprara ◽  
Patrizia Steca
Keyword(s):  
Personality Traits ◽  
Adult Development ◽  
Self Efficacy ◽  
Age Groups ◽  
Well Being ◽  
Efficacy Beliefs ◽  
Cross Sectional ◽  
Education And Health ◽  
Development And Aging ◽  
And Gender

Three cross-sectional studies examined stability and change in personality over the course of life by measuring the relations linking age to personality traits, self-efficacy beliefs, values, and well-being in large samples of Italian male and female participants. In each study, relations between personality and age were examined across several age groups ranging from young adulthood to old age. In each study, personality constructs were first examined in terms of mean group differences accrued by age and gender and then in terms of their correlations with age across gender and age groups. Furthermore, personality-age correlations were also calculated, controlling for the demographic effects accrued by marital status, education, and health. Findings strongly indicated that personality functioning does not necessarily decline in the later years of life, and that decline is more pronounced in males than it is in females across several personality dimensions ranging from personality traits, such as emotional stability, to self-efficacy beliefs, such as efficacy in dealing with negative affect. Findings are discussed in terms of their implications for personality theory and social policy.

scholarly journals Designing Age-Friendly Communities: Exploring Qualitative Perspectives on Urban Green Spaces and Ageing in Two Indian Megacities

2021 ◽  
Vol 18 (4) ◽  
pp. 1491
Author(s):  
Deepti Adlakha ◽  
Mina Chandra ◽  
Murali Krishna ◽  
Lee Smith ◽  
Mark A. Tully
Keyword(s):  
Older Adults ◽  
Low Income ◽  
Later Life ◽  
Healthy Ageing ◽  
World Health ◽  
Social Resilience ◽  
Snowball Sampling ◽  
Structured Interviews ◽  
Urban Green ◽  
Activity Promotion

The World Health Organization and the United Nations have increasingly acknowledged the importance of urban green space (UGS) for healthy ageing. However, low- and middle-income countries (LMICs) like India with exponential ageing populations have inadequate UGS. This qualitative study examined the relationships between UGS and healthy ageing in two megacities in India. Participants were recruited using snowball sampling in New Delhi and Chennai and semi-structured interviews were conducted with consenting participants (N = 60, female = 51%; age > 60 years; fluent in English, Hindi, or Tamil). Interviews were recorded, transcribed, translated, and analysed using inductive and thematic analysis. Benefits of UGS included community building and social capital, improved health and social resilience, physical activity promotion, reduced exposure to noise, air pollution, and heat. Poorly maintained UGS and lack of safe, age-friendly pedestrian infrastructure were identified as barriers to health promotion in later life. Neighbourhood disorder and crime constrained older adults’ use of UGS in low-income neighbourhoods. This study underscores the role of UGS in the design of age-friendly communities in India. The findings highlight the benefits of UGS for older adults, particularly those living in socially disadvantaged or underserved communities, which often have least access to high-quality parks and green areas.

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