scholarly journals Individual and social determinants of self-rated health and well-being in the elderly population of Portugal

2014 ◽  
Vol 30 (11) ◽  
pp. 2387-2400 ◽  
Author(s):  
Pedro Alcântara da Silva

This article aims to identify the main determinants of self-rated health and well-being in the elderly Portuguese population, using a set of dimensions including demographic and socioeconomic indicators, characteristics of interpersonal networks and social activities, health, sexual activity, representations of aging, and feeling of happiness. Taking socioeconomic, behavioral, and attitudinal predictors into account to analyze the explanatory value of the interrelated dimensions and weights for each factor, the author argues that social capital, activities associated with active aging, and greater optimism towards aging can contribute greatly to better self-rated health and wellbeing among the elderly, partially offsetting the effect of socioeconomic factors and illness associated with age.

Sensors ◽  
2021 ◽  
Vol 21 (2) ◽  
pp. 517
Author(s):  
Ilia Adami ◽  
Michalis Foukarakis ◽  
Stavroula Ntoa ◽  
Nikolaos Partarakis ◽  
Nikolaos Stefanakis ◽  
...  

Improving the well-being and quality of life of the elderly population is closely related to assisting them to effectively manage age-related conditions such as chronic illnesses and anxiety, and to maintain their independence and self-sufficiency as much as possible. This paper presents the design, architecture and implementation structure of an adaptive system for monitoring the health and well-being of the elderly. The system was designed following best practices of the Human-Centred Design approach involving representative end-users from the early stages.


Author(s):  
Tzuyuan Stessa Chao ◽  
Xiaoqin Jiang ◽  
Yi Sun ◽  
Jheng-Ze Yu

With the aggravation of rural aging, the well-being and self-rated health level of older people in rural communities are significantly lower than those in urban communities. Past studies hold that mobility is essential to the quality of life of the elderly, and well-being depends on their own adaptation strategies in the built environment. Therefore, this study combines three key factors related to active aging: environment, health and mobility, and assumes that the elderly with good health status will have environmental proactivity and a wider range of daily mobility in a poor rural built environment. This study attempts to track daily mobility by using a space–time path method in time geography and then to explore the relationship between outdoor mobility and older people’s self-rated health. A 1-week mobility path survey for 20 senior citizens of Xishi Village, a typical rural village in Taiwan, was conducted by wearing a GPS sports watch. A questionnaire survey and in-depth interviews were done to provide more information about the seniors’ personal backgrounds and lifestyles. The results show that when the built environment is unfit to the needs of daily activities, half of the participants can make adjustment strategies to go beyond the neighborhoods defined by administrative units. Correlation analysis demonstrated that mental health is associated with daily moving time and distance. In addition, men have higher self-rated health scores than women, and there are significant statistical differences between married and widowed seniors in daily outing time and distance. This exploratory study suggests that in future research on rural health and active aging in rural areas, understanding the daily outdoor mobility of the elderly can help to assess their health status and living demands and quickly find out whether there is a lack of rural living services or environmental planning.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Liinamo ◽  
K Matinheikki-Kokko ◽  
I Gobina ◽  
A Villeruša

Abstract In the future, health promotion would require developed strategies that lead to stronger cross-sectoral cooperation. Cross-sectoral cooperation enables the integration of fragmented resources and competencies, which benefit service solutions for urban health. Healthy Boost “Urban Labs for Better Health for All in the Baltic Sea Region”, funded by the EU Interreg Baltic Sea Region -program, aims to develop the Model for cross-sectoral cooperation, which will be tested in the cities of the Baltic Sea Region during 2020-21. The self-assessment tool for cross-sectoral cooperation was developed, and the self-assessment among the nine cities in seven countries from the Baltic Sea Region was conducted in 2019. The results indicated to what extent the staff (n = 329) in the cities have recognized the cross-sectoral cooperation for health and wellbeing as strategically crucial in their policies, communication, and in the design of their organizational functions. The daily practices were evaluated in terms of how systematically cities have implemented cross-sector actions for health and wellbeing. The biggest challenges for cooperating across sectors for the cities were coordination and systematic identification of the community needs for health promotion. The cooperative actions were less systematic than expected in the strategic approach. The variation among respondents' assessments was high within the cities that lead to a conclusion about existing gaps in coordination, communication, and leadership of cross-sectoral work within the cities. The Likert type self-assessment measurement was statistically reliable in both strategic and operational dimensions of cooperation. Key messages Evaluation and measurements are needed to identify cross-sectoral actions to health and well-being. The evidence-based Model developed in the Healthy Boost project will guide partners towards systematic cross-sectoral cooperation processes.


2015 ◽  
Vol 25 (61) ◽  
pp. 191-199 ◽  
Author(s):  
Cristiane Pimentel Nalin ◽  
Lucia Helena de Freitas Pinho França

The increase in the elderly population has prompted research on retirement. This study investigated the importance of resilience, economic satisfaction, the length of retirement, and planning to well-being during retirement of 270 participants. The majority of this sample were men (64%), and the mean age was 65 years (SD = 5.7). The participants were retired members of 10 public and private organizations in Rio de Janeiro. Factor analysis and hierarchical regression were performed. The results showed that determined resilience (mastery, adaptability, confidence and perseverance) and socioeconomic satisfaction were the main predictors of well-being in retirement and explained 28% of this model. The findings suggest that well-being in retirement is closely related to socioeconomic satisfaction and determined resilience. Additional research should address the importance of resilience for the well-being of retirees who are or not members of retirement associations. Resilience attitudes should be promoted in Retirement Education Programs.


2020 ◽  
Author(s):  
Riz Firestone ◽  
Tevita Funaki ◽  
Sally Dalhousie ◽  
Akarere Henry ◽  
Mereaumate Vano ◽  
...  

Understanding the key determinants of health from a community perspective is essential to address and improve the health and wellbeing of its members.  This qualitative study aimed to explore and better understand New Zealand-based Pasifika communities’ sociocultural experiences and knowledge of health and wellbeing. Fifty-seven participants were involved in six separate focus groups. Community coordinators co-facilitated and transcribed the discussions and conducted thematic analysis. The findings suggested two overarching themes: (1) ‘Pasifika experiences on poor health and well-being’: were based on sub-themes: (i) ‘recognisable issues’ (e.g., poor diet and lifestyle behaviours); (ii) ‘systemic issues’ that support the perpetual health issues (e.g., lack of knowledge and education) and; (iii) ‘profound issues’ that are often unspoken of and create long-term barriers (e.g., cultural lifestyle and responsibilities).  (2) ‘Hopes and dreams’ to improve health and well-being requires: (i) a family-centric approach to health; (ii) tackling systemic barriers; and (iii) addressing community social justice issues.  This study provides deepened insights on Pasifika communities’ understanding healthier living in the context of their cultural environment and family responsibilities. If we are to develop effective, sustainable programmes that prioritises health and well-being based on the needs of Pasifika communities, the findings from this study highlight their needs as step forward in overcoming barriers to healthier lives.


2016 ◽  
Vol 19 (4) ◽  
pp. 567-575 ◽  
Author(s):  
Eliana Carvalho ◽  
Rodrigo Caetano Arantes ◽  
Angélica Sartori Rossi Cintra

abstract Introduction: The evolution of information technologies has become part of our daily life and directly or indirectly affects the elderly population. The presence of these technologies, such as mobile phones, smartphones, computers, and tablets, at home where elderly persons live with their families demonstrates the necessity of including the elderly population in the technological universe. Objective: The aim of the present study was to describe the benefits obtained by the elderly from using such Information and Communication Technologies (ICTs), the effect of such use on their Activities of Daily Living (ADLs) and which physio-gerontological contributions resulted in the best use of the ICTs. Method: A convenience sample (n=30) was performed of individuals aged over 60 years who were students at the Instituto Henrique da Silva Semente (IHESS). Demographic and social data, the Geriatric Depression Scale (GDS) and the Mini Mental State Examination (MMSE) were considered. The data was collected between April and May 2014. Results: The average age was 67.9 years with a predominance of women (76.7%). Among the respondents 83.3% used a computer at home; 66.6% had some kind of difficulty in using computers; and 86.6% used ICTs in their daily lives. Despite the difficulties in using the devices resulting from the limitations imposed by age, it was observed that the equality of the age range encouraged interaction with friends and family, and as a result 100% of respondents displayed excellent interpersonal relationships with the class group. It was also observed that the elderly persons had a great desire to learn and interact through the use of technological devices, and that females were involved in recreational and educational activities, with wives encouraging their husbands to attend the computer class. However, there were exemplary risks of the misuse of these devices, such as poor posture when handling electronic devices or spending long spells in unsuitable positions, demonstrating the need for physical therapy and geriatric guidelines to ensure the well-being of the elderly. Conclusion: The inclusion of elderly persons in the IHESS or in any other educational activity should consider the familiar environment in which they live as well as providing professional support in physiotherapeutic and gerontologic areas in order to assure well-being and quality of life, especially at this stage of life, senescence.


Author(s):  
Letícia Decimo Flesch ◽  
Samila Sathler Tavares Batistoni ◽  
Anita Liberalesso Neri ◽  
Meire Cachioni

Abstract Objective : To evaluate the association between the double vulnerability of being elderly and a caregiver and quality of life assessed by Control, Autonomy, Self-realization and Pleasure factors (CASP-19). Method : 148 elderly caregivers participated in the present study. They were selected for convenience from Brazilian public and private health services - a sample from the study “The Psychological Well-Being of Elderly Persons Caring for Other Elderly Persons in a Family Context”. The variables: caregiver’s state of health, care demands, perception of burden, self-rated health, and quality of life were selected. Descriptive analyses, chi-squared tests, Fisher’s exact test, the Kruskal-Wallis test and analysis of multivariate hierarchical logistics were carried out, with theStepwisecriteria applied for selection of variables. Results : The hierarchical multivariate analyses found that number of symptoms and total burden were significantly associated with a poorer quality of life. Elderly persons with three or more symptoms and those with a high burden level were at a higher risk of poor quality of life. The variables number of diseases, burden, and self-rated health compared with the past, were significantly associated with a poorer quality of life. Conclusion : It can be concluded that for the elderly caregiver, physical aspects (signs and symptoms, chronic diseases and a perception of health deterioration) combined with burden are the aspects that most influence quality of life.


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