scholarly journals Biopsychosocial factors associated to self-percepted sleep function in Brazilian elderly people: analysis of a national survey

2020 ◽  
Vol 23 ◽  
Author(s):  
Johnnatas Mikael Lopes ◽  
Angelo Giuseppe Roncalli

ABSTRACT: Background: Sleep is a dimension of well-being and health. Non-restful sleep is related to health dysfunctions, especially in vulnerable populations, considering that related factors change contextually. Thus, the objective of the present study was to measure the magnitude of the reduction in sleep restorative function (SRF) and related biopsychosocial factors in Brazilian elderly. Method: Secondary data from the 2013 National Health Survey of cross-sectional design were analyzed. The sample consisted of individuals as from 60 years old. The outcome considered was the prevalence of reduced self-perceived sleep restorative function (SRF). Health and sleep characteristics, emotional behavior, lifestyle, social support, and urbanization were all investigated. The association with outcome was measured with the prevalence ratio (PR) and estimated with Cox regression, assuming α ≤ 0.05. Results: SRF was reduced by 29.2% (95%CI 27.2 - 30.6%). It is related to depression (PR = 3.37; 95%CI 2.87 - 3.97), insomnia/sleepiness (PR = 2.45; 95%CI 2.14 - 2.79); behavioral oscillation (PR = 1.75; 95%CI 1.53 - 1.99), negative health perception (PR = 1.50; 95%CI 1.23 - 1.82), computer and internet (PR = 1.44; 95%CI 1.01 - 2.07) and functional difficulty (PR = 1.13; 95%CI 1.01 - 1.27). Living in urban areas (PR = 1.32; 95%CI 1.14 - 1.52) and having a chronic condition (PR = 1.58; 95%CI 1.11 - 2.40) were only associated to the worst situation of reduced SRF. Conclusion: The reduction in SRF affects one third of the elderly in Brazil and is closely related to biopsychosocial factors, requiring intersectoral public health promotion approaches.

Author(s):  
Vidya V. Patil ◽  
Rekha Udgiri

Background: Aging is a universal process. In India, the elderly account for 7.7% of the total population and the United Nations defines a country as “ageing” where the proportion of people over 60 years reaches 7.7%. Morbidity among elderly has an important influence on their physical functioning and psychological well-being. The objectives of the study were to assess the psychosocial problems associated with the elderly and to describe the chronic illness and utilization of welfare services among elderly.Methods: A cross sectional study was conducted in the urban field practice area of Shri B M Patil Medical College, Vijayapur. House to house survey was conducted for a period of 3 months from September to November 2014.Results: Total of 372 elders were interviewed, 54.5% were males, 45.4% were females. Majority were Hindus 78.8%. 46% were illiterate. Majority 79% were financially dependent. 53% were working. Around 32% were feeling lonely Most common chronic illness is joint pain (66.66%), visual problem (50%), dental and chewing problem (48%).Conclusions: Financial dependence was high among the participants and majorities were suffering from one or the other chronic illness which needs attention and knowledge about geriatric welfare services should be given. 


2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Roohollah Farhadloo ◽  
Sarallah Shojaei ◽  
Hamid Torabian ◽  
Mostafa Vahedian ◽  
Masoumeh Zakerimoghadam ◽  
...  

Background: Improving lifestyle, increasing lifespan and life expectancy have led to the phenomenon of aging in societies. The increasing population of older adults is one of the most important economic, social, and health challenges in the current century. Objectives: This study was conducted to measure the mental health of older adults in Qom City and its relationship with socioeconomic factors. Methods: This is a cross-sectional descriptive-analytical study on 400 older adults over 60 years in the urban areas of Qom in 2018. A multi-stage sampling method was used for this study. The research tools were a demographic questionnaire, the Kessler Psychological Distress scale (K6), and a standard psychological well-being scale. Data were analyzed by Stata 12 software using the t-test. The significance level was considered less than 0.05. Results: Considering the mental health status, based on the K6, 55% of the elderly showed signs of low depression anxiety, 34% moderate, and 11% showed severe anxiety symptoms. Regarding the status of well-being, 49.50% were in good condition (11.3 ± 3.3), 27.75% were in moderate condition (13.8 ± 2.9), and 22.75% were in poor condition (7.3 ± 2.6). Anxiety and depression had significant relationships with gender, having an illness, marital status, having a caregiver, and income. Conclusions: The results showed that about half of the elderly in Qom had moderate anxiety and depression disorders, as well as moderate mental well-being, which indicates the moderate level of anxiety and mental disorders in the elderly in Qom.


2019 ◽  
Vol 10 (1) ◽  
pp. 1-10 ◽  
Author(s):  
Azam David Saifullah ◽  
Nur Latifah ◽  
Eria Riski Artanti ◽  
Kadek Dewi Cahyani ◽  
Umi Rahayu ◽  
...  

Background: There is a higher prevalence of mental distress in rural areas compared to urban areas in Indonesia. The rural areas of Indonesia have various socio-demographic and sophisticated cultural characteristics, but less exposed to foreign cultures. Thus, the study about the prevalence, associated factors, and predictors of mental distress in rural areas is necessary.Purpose: This study aimed to identify the population's status and related factors of mental distress in rural areas in Indonesia.Methods: A descriptive cross-sectional study was conducted to achieve the aims of the study. An Indonesian version of the Self-Rated Questionnaire, consisting of 20 items, was used to measure mental distress status of population in rural areas in Yogyakarta, Indonesia. A number of 872 records were included and analyzed using both univariate and bivariate analyses in this study.Results: The prevalence of mental distress in this population was 6%. The correlated factors of mental distress were age (χ2=6.93, p=0.01), gender (χ2=0.07, p=0.03), occupation (χ2=0.26, p=0.02), housing dimension (χ2=5.45, p=0.02), and illness status (χ2=0.01, p<0.01).Conclusion: The prevalence of mental distress in rural areas of Indonesia is relatively lower than that of the national level. Future mental health programs may be focused on improving mental health on the elderly, male, vulnerable workers, overcrowded housing, and people who got a chronic illness.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Marcello Barbosa Otoni Gonçalves Guedes ◽  
Rodolpho Nunes Araújo ◽  
Lídia Reniê Fernandes da Silva ◽  
Diego Neves Araujo ◽  
Sanderson José Costa de Assis ◽  
...  

AbstractThis study estimated the biopsychosocial factors related to active physical behavior in the Brazilian population with and without chronic non-transmissible disease (NCD). Cross-sectional study of the National Health Survey (NHS) in Brazil, with 60,202 individuals in 2013. Participants were randomly selected by complex sampling. The outcome was physically active behavior measured by performing a minimum of 150 min of physical exercise per week. The independent variables were social and psychological characteristics, lifestyle and health. Cox regression was applied to estimate the prevalence ratio (PR). There are 29,666 (48.3%; 95% CI 47.0–50.0) participants reported having NCD. Not being a smoker or alcoholic, living in an urban area (PR = 1.44; CI95% 1.23–1.68/PR = 1.38; CI95% 1.08–1.75), having informal social support (PR = 1.26; CI95% 1.10–1.44/PR = 1.19; CI95% 1.05–1.34), A social class (PR = 0.43; CI95% 0.25–0.73/PR = 0.46; CI95% 0.26–0.80), high schooling (PR = 0.34; CI95% 0.23–0.51/PR = 0.33; CI95% 0.24–0.46) as well as paid work (PR = 0.87; CI95% 0.78–0.96/PR = 0.89; CI95% 0.79–0.99) are more associated with active lifestyle in both groups. However, only in the group without NCD, the male sex (PR = 1.42; CI95% 1.28–1.57), no having some disability (PR = 1.31; CI95% 1.03–1.66) and having private health insurance (PR = 1.26; CI95% 1.13–1.41) were more associated with active behavior, while in the group with NCD, being elderly (PR = 1.22; CI95% 1.05–1.42), not be white (PR = 0.85; CI95% 0.77–0.95) and not having restful sleep (PR = 1.23; CI95% 1.08–1.40) are associated with active lifestyle. People with and without NCD in Brazil have very close active behavior, however, some biopsychosocial factors such as: sex, age, lifestyle, socioeconomic level are unevenly associated with the active lifestyle in the groups. Thus, therapeutic or preventive proposals as well as public policies for health promotion must observe these distinctions when elaborating their actions.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S310-S310
Author(s):  
Hayato Uchida ◽  
Shinro Matsuura

Abstract The aim of this study was to clarify the mental health well-being and its related factors of participants in senior citizen’s college. The participants were 364 persons (age 69.4+/-6.1) aged sixty years or over living in Hyogo Prefecture, Japan. We conducted a cross- sectional study that included age, family structure, employed status, self-related health, presence of chronic disorders, Instrumental ADL (TMIG index of competence score), dietary variety score (1-10), cognitive social capital, structural social capital, the scales of grandchild-grandparent relationships, Japanese version of the abbreviated Lubben Social Network Scale (LSNS-6), the frequency of going outdoors, and Mental health well-being was assessed using the Japanese version of the World Health Organization Mental Health Well-being Index-five items, WHO-5. We carried out the surveys in October in 2018. The total score of WHO-5 was 19. 6+/-4.7 among all participants. From the results of multivariate logistic regression analysis, “social isolation” (OR=4.001, 95%CI=1.584-10.043) was independently associated with low mental health well-being (WHO-5). These results suggest that, to advance the well-being of the elderly, it is necessary to develop and implement the projects which promote social functions including close relationship with others, neighbors or family members.


2021 ◽  
Vol 9 (2) ◽  
pp. 184
Author(s):  
Armya Zakiah Safitri ◽  
Risna Nur Fajariyah ◽  
Erni Astutik

Background: Over the last decades, the number of new diabetic cases and the prevalence of diabetes have tended to increase. The diabetes prevalence rate in Indonesia in 2020 reached 6.20%. Purpose: The aim of this study is to examine the relationship between the variables of age, level of education, smoking status, and Body Mass Index (BMI) and the prevalence of diabetes in the urban areas. Methods: This was a cross-sectional study and used secondary data from the Indonesia Family Life Survey (IFLS 5) in 2015. The data was analyzed using descriptive analysis and simple logistic regression. The dependent variable in this study was Diabetes Mellitus (DM); the independent variables were age, education level, smoking status, and BMI. Results: In terms of the respondents’ characteristics, individuals were mainly over 35 years of age (130 respondents, 83.87%). The highest level of education was attained by 93 respondents (60.00%). There was a correlation between respondents who were over 35 years of age, with p=0.01; prevalence ratio (PR)=5.60; 95%Cl=3.64–8.62) and the level of education (p=0.01; PR=1.69; 95%Cl=1.22–2.34) with the incidence of diabetes in urban areas in Indonesia. There was no correlation between the smoking status (p=0.55; PR=0.67; 95%Cl=0.01–2.73) and the BMI of respondents with the prevalence of diabetes in urban areas in Indonesia. Conclusion: The age and the level of education were linked to the incidence of diabetes in urban areas in Indonesia.


2020 ◽  
Vol 8 (1) ◽  
pp. 81
Author(s):  
Munyati Sulam

Background : Hypertension is the main risk factors of cardiovascular diseases that cause mortality. One of the risk factors of hypertension is obesity. Purpose: This study aimed to determine the relationship between nutritional status and waist circumference with the incidence of hypertension in the elderly. Methods: This study was observational analytic with cross-sectional design. The sample in this study was a partial of the elderly who participated in the elderly posyandu as many as 271 respondents. The sampling techniques is simple random sampling. Secondary data in the form of the results of the elderly health checkup at the elderly posyandu in the Puskesmas Sidotopo Wetan in 2018. Results: This study showed that of 271 respondents, there were 107 respondents found with hypertension (39.50%). The majority of hypertension was suffered by respondents with overweight nutritional status (46.70%), and waist circumference with the central obesity category (74.80%). Correlation found between nutritional status and the incidence of hypertension in the elderly (p=0.02<α=0.05). Prevalence Ratio of 1.32 means that elderly people with overweight nutritional status have the risk of 1.32 times greater to experience hypertension than elderly with underweight and normal nutritional status (p=0.02; PR=1.32). No correlation found between waist circumference and the incidence of hypertension (p=0.21). Conclusion: Nutritional status significantly associated with the incidence of hypertension in the elderly. However, waist circumference is not significantly associated with the incidence of hypertension.


Author(s):  
Manuela Alcañiz ◽  
Maria-Carme Riera-Prunera ◽  
Aïda Solé-Auró

This study examines the influence of risk factors on mental well-being at older ages focusing on the level of rurality of the living environment. We used cross-sectional, nationally representative survey data for Catalonia (Spain) from 2015 to 2017 to explain the mental well-being of the population aged 65 years and over. Based on a sample of 2621 individuals, we created a score of current mental well-being using the Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS). Using logistic regression and non-parametric tests, we identified the sociodemographic, health and lifestyle variables which, in combination with the features of the rural and urban settings of the living space, were associated with poor SWEMWBS scores. Our results reveal that adequate social support is linked to expectations of good mental well-being in later life. Poor self-perceived health and ageing limitations are associated with less deterioration of the well-being for the elderly living in rural areas, whereas living in urban areas is linked to a higher risk of suffering from emotional distress attributable to economic difficulties or low educational attainment. Incentivizing older people to live in rural environments could result in greater well-being in the last stages of life; appropriate prospective studies are needed to test this positive outcome.


2021 ◽  
Author(s):  
Marcello Guedes ◽  
Johnnatas Lopes ◽  
Lídia da Silva ◽  
Diego de Araújo ◽  
Sanderson de Assis ◽  
...  

Abstract Background:A study estimated the biopsychosocial factors related to active physical behavior in the Brazilian population with and without chronic non-transmissible disease (CNCD).Methodology: Cross-sectional study of the National Health Survey (NHS) in Brazil, with 60,202 individuals. The outcome was physically active behavior. The independent variables were social characteristics, lifestyle and health. Cox regression was applied to estimate the prevalence ratio (PR).Results: 29,666 (48.3%; 95% CI: 47.0–50.0) reported having CNCD. Not being a smoker or alcoholic, living in an urban area, having informal social support, you are in class A, high schooling as well as paid work are more associated with active lifestyle in both groups. However, in the group without CNCD, the female sex, having some disability and not having private health insurance were more associated with sedentary behavior, while in the group with CNCD, being elderly, white and not having restful sleep are associated with sedentary lifestyle.Conclusion: People with and without CNCD in Brazil have very close active behavior, however, some biopsychosocial factors such as: sex, age, lifestyle, socioeconomic level are unevenly associated with the active lifestyle in the groups. Thus, therapeutic or preventive proposals as well as public policies for health promotion must observe these distinctions when elaborating their actions.


2019 ◽  
Vol 29 (1) ◽  
pp. 25-30
Author(s):  
Amir Suudi ◽  
A Muchtar Nasir ◽  
Nida Rohmawati ◽  
Sudarto Ronoatmodjo

Abstract Many factors are associated with illness of infant 0-6 months. The objective of this study is to know the association between exclusive breastfeeding and illness of infants 0-6 months in Indonesia. This study uses secondary data from cross sectional survey of Basic Health Research (Riskesdas) in 2013, with a sample of 5,017 infant 0-6 months. Results showed the prevalence of infants who are exclusively breastfed was 30,24%, the prevalence of was 18.24%, the prevalence of illness among non-exclusive breastfeeding infants was 19.57%, the prevalence of illness among exclusive breastfeeding infants was 15,16%. Analyze of Cox regression show that crude prevalence ratio (PR) of illness among non-exclusive breastfeeding compared with PR of illness among exclusive breastfeeding infants was 1.29 (95% CI 1.13-1.48), and PR of illness among non-exclusive breastfeeding compared with PR of illness among exclusive breastfeeding infants adjusted by mother’s education level was 1,29 (95% CI 1.05-1.41). Conclusions, infants 0-6 months who are not exclusively breastfed have 1.29 times higher risk of getting illness compared with who receive exclusive breastfeeding, adjusted by mother’s education level. It is recommended to increassing efforts to give exclusive breastfeeding infants as early as possible until six months, with increassing knowledge of mother and commitment of stakeholder to completed equipment of early breastfeeding initiation. Abstrak Banyak faktor yang berhubungan dengan kejadian sakit bayi, salah satunya pemberian air susu ibu (ASI). Untuk mengetahui hubungan antara pemberian ASI terhadap riwayat sakit pada bayi 0-6 bulan di Indonesia, maka dilakukan penelitian menggunakan data sekunder hasil survei cross sectional Riset Kesehatan Dasar (Riskesdas) 2013, dengan sampel sebanyak 5.017 bayi 0-6 bulan. Hasil penelitian menunjukkan prevalensi bayi 0-6 bulan yang mendapat ASI esklusif sebesar 30,24% dengan prevalensi sakit sebesar 18,24%. Prevalensi sakit pada bayi yang tidak diberikan ASI ekslusif sebesar 19,57%, sedangkan prevalensi sakit pada bayi yang diberikan ASI eksklusif sebesar 15,16%. Analisis regresi Cox menunjukkan bahwa rasio prevalensi kasar antara bayi sakit yang tidak mendapat ASI eksklusif dengan yang mendapat ASI eksklusif sebesar 1,29 (95% CI 1,13-1,48). Rasio prevalensi antara bayi sakit yang tidak mendapat ASI eksklusif dengan yang mendapat ASI eksklusif setelah dikontrol variabel pendidikan ibu sebesar 1,29 (95%CI 1,05-1,41). Kesimpulannya, bayi 0-6 bulan yang tidak mendapat ASI eksklusif memiliki risiko sakit sebesar 1,29 kali dibandingkan yang mendapat ASI eksklusif, setelah dikontrol oleh variabel pendidikan ibu. Disarankan adanya peningkatan upaya pemberian ASI eksklusif pada bayi baru lahir sedini mungkin hingga enam bulan, dengan meningkatkan pengetahuan ibu dan komitmen stakeholder melengkapi perlengkapan praktek inisiasi menyusui dini (IMD).


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