scholarly journals Factors associated with mobility of the oldest old

2017 ◽  
Vol 30 (1) ◽  
pp. 69-76 ◽  
Author(s):  
Vanessa Ribeiro dos Santos ◽  
Diego Giulliano Destro Christofaro ◽  
Igor Conterato Gomes ◽  
Ismael Forte Freitas Júnior ◽  
Luís Alberto Gobbo

Abstract Introduction: Several factors can be associated to the reduction of mobility among the elderly. Early identification of these factors is crucial, since it may lead to prevention of functional dependencies. Objective: To analyze the association between mobility, sociodemographic factors and the prevalence of noncommunicable chronic diseases (NCDs) in oldest old. Methods: The sample consisted of 120 elderly persons aged (80 and 95 years), with 76 of them being women (83 ± 3 years) and 44 of them men (83 ± 3 years). Sociodemographic factors and NCDs which we studied were: age, gender, marital status, education, nutritional status, ethnicity, hypertension, diabetes and osteoarticular diseases. Mobility was analyzed using a battery of Physical Performance Tests. For statistical analysis we used the chi-square test and binary logistic regression to examine the relationship between sociodemographic factors, NCDs and mobility. SPSS (17.0) software was used for this and the significance level was set at 5%. Results: Level of education (p ≤ 0.001) and age (p = 0.034) are the two factors related to low mobility. However, the model built by multiple logistic regression analysis revealed that age is independently related to limited mobility in oldest old people (OR 3.29; 95% CI 1.09 to 9.87). Conclusion: Thus, oldest old >85 years are at a greater risk of decreased mobility independent of their education, marital and nutritional statuses and gender. We encourage further studies in this area. Studies which will not only address those facts considered in this study but that also examine family-related aspects, especially using longitudinal studies.

2017 ◽  
Vol 10 (1) ◽  
pp. 73-85
Author(s):  
Tuomo Laihiala ◽  
Johanna Kallio ◽  
Maria Ohisalo

In this article, we focus on shame among the recipients of charity food aid in Finland. We are interested in whether shame is explained by sociodemographic factors, frequent use of food aid or the persons for whom the charity food is obtained. Our analysis is based on survey data collected in 2012–2013 (N = 3474). Shame is measured using two indicators that are related to social and personal shame. Descriptive statistics and binary logistic regression are utilised. Nearly three of four respondents do not perceive receiving food aid as humiliating or socially harmful. Feelings of social shame are more common when charity food aid is needed to support an entire family rather than an individual recipient, and feelings of personal shame are more common when there are two or more children in the family. The highly educated, the elderly and those with the most insufficient perceived incomes are more socially and personally ashamed than others are. Women receiving charity food aid consider it more socially shameful than men do.


Author(s):  
Md. Sahidur Rahman ◽  
Md. Omar Faruk ◽  
Sumiya Tanjila ◽  
Nur Mohammad Sabbir ◽  
Najmul Haider ◽  
...  

Abstract Background Studying the characteristics of Aedes mosquito habitats is essential to control the mosquito population. The objective of this study was to identify the breeding sites of Aedes larvae and their distribution in Chattogram, Bangladesh. We conducted an entomological survey in 12 different sub-districts (Thana) under Chattogram City, during the late monsoon (August to November) 2019. The presence of different wet containers along with their characteristics and immature mosquitoes was recorded in field survey data form. Larvae and/or pupae were collected and brought to the laboratory for identification. Results Different indices like house index, container index, and the Breteau index were estimated. The multiple logistic regression analysis was applied to identify habitats that were more likely to be positive for Aedes larvae/pupae. A total of 704 wet containers of 37 different types from 216 properties were examined, where 52 (7.39%) were positive for Aedes larvae or pupae. Tire, plastic buckets, plastic drums, and coconut shells were the most prevalent container types. The plastic group possessed the highest container productivity (50%) whereas the vehicle and machinery group was found as most efficient (1.83) in terms of immature Aedes production. Among the total positive properties, 8% were infested with Aedes aegypti, 2% with Aedes albopictus, and 1% contained both species Ae. aegypti and A. albopictus. The overall house index was 17.35%, the container index was 7%, and the Breteau index was 24.49. Containers in multistoried houses had significantly lower positivity compared to independent houses. Binary logistic regression represented that containers having shade were 6.7 times more likely to be positive than the containers without shade (p< 0.01). Conclusions These findings might assist the authorities to identify the properties, containers, and geographical areas with different degrees of risk for mosquito control interventions to prevent dengue and other Aedes-borne disease transmissions.


2017 ◽  
Vol 20 (1) ◽  
pp. 138-148 ◽  
Author(s):  
Natália Araujo de Almeida ◽  
Annelita Almeida Oliveira Reiners ◽  
Rosemeiry Capriata de Souza Azevedo ◽  
Ageo Mário Cândido da Silva ◽  
Joana Darc Chaves Cardoso ◽  
...  

Abstract Objective: to verify the prevalence of and factors associated with polypharmacy among elderly residents of the city of Cuiabá, in the state of Mato Grosso. Method: a cross-sectional study of 573 people aged 60 and over was performed. Polypharmacy was defined as the use of five or more medications. To investigate the association between polypharmacy and sociodemographic variables, health and access to medication, the Mantel Haenszel chi square test was used in bivariate analysis and Poisson regression was used in multivariate analysis. The significance level adopted was 5%. Result: the prevalence of polypharmacy was 10.30%. Statistically significant associations were found between polypharmacy and living with others, describing suffering from circulatory, endocrine, nutritional and digestive tract diseases, and referring to financial difficulties for the purchase of medicines. Conclusion: some social and health condition factors play an important role in the use of multiple medications among the elderly.


2015 ◽  
Vol 28 (3) ◽  
pp. 319-326 ◽  
Author(s):  
Vanessa Ribeiro dos Santos ◽  
Diego Giulliano Destro Christofaro ◽  
Igor Conterato Gomes ◽  
Ricardo Ribeiro Agostinete ◽  
Ismael Forte Freitas Júnior ◽  
...  

OBJECTIVE: To analyze whether sarcopenia is associated with sociodemographic factors and chronic noncommunicable diseases in adults aged 80 years and older. METHODS: The sample consisted of 120 adults aged 80 to 95 years (83.4±2.9 years) from the city of Presidente Prudente (São Paulo, Brazil), of which 76 were females (83.4±3.0 years) and 44 were males (83.4±2.6 years). The study sociodemographic and epidemiological factors were: age stratum, gender, marital status, education level, chronic noncommunicable diseases, ethnicity, and nutritional status. Body composition was determined by Dual-Energy X-Ray Absorptiometry and sarcopenia was identified by the appendicular lean mass ratio (upper limb lean mass + lower limb lean mass [kg]/height [m]2). The Chi-square test analyzed whether sarcopenia was associated with sociodemographic and epidemiological factors and binary logistic regression expressed the magnitude of the associations. The data were treated by the software Statistical Package for the Social Sciences (17.0) at a significance level of 5%. RESULTS: The factors associated with sarcopenia were gender, age, nutritional status, and osteopenia/osteoporosis. CONCLUSION: The factors gender, age, nutritional status, and osteopenia/osteoporosis are independently associated with sarcopenia in adults aged 80 years and older.


Author(s):  
M. Abdul Wassey ◽  
Ashish Giri ◽  
Aakash Raikwar ◽  
Vishal Dogra

Background: Diabetes mellitus and hypertension are chronic conditions that, on one hand demand early detection, screening, and treatment and on the other, require longitudinal follow-up for their successful management. Piramal Swasthya’s Arogyaseva program uses two contrasting methods (MMU and static clinic) to deliver diabetes and hypertension-related care. The MMU provides doorstep delivery of care, while the static clinic is located by the highway, is equipped with a telemedicine center, and has slightly higher diagnostic and therapeutic capabilities. The study aims to find the prevalence of diabetes and hypertension, and determine the association between the sociodemographic factors and the type of facility utilized for these conditions.Methods: This cross-sectional study is a secondary data analysis of the aggregated data of patients who availed health services at the Mobile Medical Unit and the static clinic. The data was analyzed to find out the prevalence of diabetes and hypertension, and Binary logistic regression was used to determine socio-demographic predictors of the type of health facility used for diabetes and hypertension-related care.Results: Overall hypertension and diabetes prevalence was 24% and 7%, respectively. Women (aOR 1.3; 95% CI 1.122–1.510), illiterate (aOR 2.61; 95% CI 2.021-3.392), hypertensives (aOR 3.28; 95% CI 2.807-3.846) and the elderly (aOR 1.43; 95% CI 1.204-1.721) were significantly more likely to utilize MMU based outreach facility compared to their respective baseline counterparts.Conclusions: The mobile medical unit can play a significant role in delivering hypertension and diabetes-related care, especially to women and the elderly.


2021 ◽  
Vol 1 (3) ◽  
pp. 129-138
Author(s):  
Sofia Rhosma Dewi

Background: Elderly is one of the vulnerable groups against COVID 19 infection. The mortality rate from COVID 19 is the highest in the elderly. The chronic disease is worsening the outcome. Objective: This study aimed to find the determinant of the implementation of health protocols among the elderly with chronic disease. Methods: This study was a correlational study conducted with a cross-sectional approach. A total of 437 elderly were selected through consecutive sampling techniques. The respondents were asked to fill the KAP questionnaire through a google form. The data were analysed using binary logistic regression and multivariate logistic regression techniques using SPSS. Result: The results showed that educational level (p-value 0,088); living arrangement (p-value 0,035); knowledge (p-value 0,026); occupation (p-value 0, 042) and the implementation of self-care management (p-value 0,047) were correlated with the implementation of health protocols among the elderly with chronic disease. Knowledge became the main determinant of the health protocol implementation among the elderly with OR 8,456 95%CI (3,495 – 20,455). Conclusion: It can be concluded that the elderly with adequate knowledge has the potential to be 8,4 times more likely to implement the health protocols properly. Health education about the appropriate implementation of health protocol needs to be carried out using a plain language that is easily accepted by the elderly


2019 ◽  
Vol 1 (2) ◽  
pp. 795-813
Author(s):  
Waninda Waninda ◽  
Fefri Indra Arza

This study aims to predict the financial distress status of district and city governments in Indonesia. Research examines the relevance of financial statement information consisting of profitability ratio, liquidity ratio, performance ratio and capital stress ratio in predicting district and city government financial distress in Indonesia in 2015-2017. This study uses agency theory. The sampling method in this study used purposive sampling. This study consisted of 134 samples of districts / cities in Indonesia, the financial data used in the study were audited regional government financial reports, namely reports on audit results for 2015-2017. The type of data used is secondary data. The analysis used is binary logistic regression analysis. Based on the results of binary logistic regression analysis with a significance level of 5%, that of the four types of ratios measured using fourteen measurements obtained results (1) Profitability ratio as measured by profit margin ratio affects financial distress with an β coefficient of 51,548 and a significance value of 0,000 < 0.05, (2) The performance ratio measured by operating revenue to total revenue has an effect on financial distress with an β coefficient of -41.180 and a significance value of 0.015> 0.05, and a depreciation ratio influences financial distress with an β coefficient of 40.004 and a value significance of 0.004 <0.05


2020 ◽  
Vol 4 (1) ◽  
pp. 116-135
Author(s):  
Muhammad Rizqi Fachrian Nur ◽  
Siskarossa Ika Oktora

Binary logistic regression is used for probability modeling or to predict binary response variables (Success / Failure) from one or more explanatory variables that are continuous or categorical. In carrying out this analysis, there are several ways to test the suitability of the resulting model, and one of them is the area under the ROC curve. The application of the analysis method in this study is the determinant of the elderly population to work. The population of the elderly in Indonesia is increasing every year. Many views that the elderly depend on other residents, especially in terms of the economy. However, if seen from the percentage of elderly working in Indonesia, it is increasing, including the elderly in KTI. The purpose of this study is to determine the characteristics of the elderly in KTI, know the factors that influence the decision of the elderly population to work in KTI and find out the tendency of variables that affect the decision of the elderly to work in KTI. The data used are raw data from Badan Pusat Statistik (BPS) was Survei Sosial Ekonomi Nasional (Susenas) Kor March 2018. This study using descriptive analysis methods and binary logistic regression. The results are that the variables that significantly influence the decisions of the elderly to work are residence, gender, age, education, family status, marital status, health complaints, and health insurance. Elderly who has characteristics residing in rural, male sex, classified as young elderly (60-69 years old), has the highest level of elementary school education, has the status of KRT in his family, is married, has no complaints health, and not having health insurance will have a greater tendency to decide to work.  


2020 ◽  
Vol 18 (4) ◽  
pp. 351-363
Author(s):  
Irena Szewczyk

The key assumption of public transport is the overall accessibility for all its users. Lack of adjustments or only partial adjustments of the touristic transport infrastructure to the needs of elderly and disabled persons constitutes a barrier for their free mobility. The study aims to formalize measures to improve public transport activities by identifying the problems of the disabled and the elderly while traveling. The article presents an assessment of the current state and recognizing the most important problems of the physically disabled and elderly persons in the mobility in the city using public transport. The research part of the article attempts to assess the availability of solutions in public transport for the physically disabled and elderly persons. For practical simplification, the article focuses on the mass transport implemented by the only possible means of this type of transport for the research is a bus.In line with the predefined criterion, one city from the region of Bielsko-Biała was included into the research – city Szczyrk. In the article, the diagnostic survey was used as the best research method. The basic technique for collecting the empirical data was the open participating observation using the observation sheet. The basic research was complemented by the direct survey of disabled persons with various levels of disabilities to achieve intended results.The research concluded that the mobility of disabled persons in the transport processes was assessed positively despite multiple difficulties and obstacles caused by their limited mobility and the lack of transport infrastructure adjustments (bus stops or information systems).


2017 ◽  
Vol 20 (5) ◽  
pp. 691-701 ◽  
Author(s):  
Suzana Albuquerque de Moraes ◽  
Wuber Jefferson Sousa Soares ◽  
Lygia Paccini Lustosa ◽  
Tereza Loffredo Bilton ◽  
Eduardo Ferrioli ◽  
...  

Abstract Object: to examine the characteristics to the last fall of Brazilian elderly persons who experienced falls in 2008 and 2009, and to identify if there is a relationship with sociodemographic characteristics, physical health, comorbidities, clinical conditions and the circumstances of the falls. Methods: a cross-sectional, population based study was carried out with participants aged 65 and older from Barueri in the state of São Paulo and Cuiabá in the state of Mato Grosso, Brazil. Households were enrolled within each census region according to population density and the number of elderly persons living in each region. A multidimensional questionnaire composed of sociodemographic factors and data regarding falls was used. Associations were analyzed using contingency tables, and Fisher's Exact or Pearson's Chi-square test was used. Results: 774 elderly people were included in the study, 299 of whom reported falling in the previous year. Of these, 176 (58.9%) had fallen once and 123 (41.1%) reported having fallen twice or more. Among fallers the mean age was 72.53 (±6.12) years and 214 (71.6%) were female. About 107 (35.8%) of the elderly reported having fallen forwards, 79 (26.4%) fell to the side and 42(14%) fell backwards. Regarding the circumstances of the falls, 107 (35.8%) reported having lost their balance, 79 (26.4%) said they had stumbled and 42 (14%) said they had slipped. There was an association between the mechanism and circumstances of the falls and having fallen once or twice or more. There was an association between the circumstances of falls and the number of medications taken. Conclusion: The characteristics of falls were different among elderly persons who had fallen once or twice or more, which may guide health professionals, the elderly and their families in relation to specific fall prevention strategies.


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