scholarly journals Prevalence of hypertension and its association with psychosocial factors among old age home inmates in an urban area of Kancheepuram district, Tamil Nadu

Author(s):  
Anantha Eashwar V. M. ◽  
Gopalakrishnan S. ◽  
Umadevi R.

Background: Among the non-communicable diseases prevalent among old age home inmates, hypertension is one of the diseases which if not diagnosed and treated adequately, could lead to high mortality and morbidity due to limited resources. The objective of this study is to find out the prevalence of hypertension among the old age home inmates and also its association with psychosocial morbidity among them. Methods: This community based cross sectional descriptive study was done among 250 inmates of selected old age homes in Kancheepuram district. A total of 8 old age homes were randomly chosen and universal sampling was done in each old age home to obtain the required sample size. Structured questionnaire was used to collect data and psychosocial morbidity among the inmates was assessed by Depression, Anxiety and Stress scale (DASS 21). Data analysis was done by SPSS software version 21. Results: The prevalence of hypertension and prehypertension was found to be 72.8% and 10% respectively and the prevalence of psychosocial morbidity was found to be high among the study participants (depression– 68.4, anxiety–46.8, stress– 50.4). Statistically significant association was found between uncontrolled hypertension and psychosocial factors (anxiety and stress). About 27% of the hypertensive was unaware of free medication offered for hypertension at Government health centres. Conclusions: This study highlights the need for setting up of specialized geriatric clinics at Government Health Centres to provide speedy medical services and supply of medication for the elderly. Health education has to be given to both the inmates and care takers about chronic diseases like hypertension. 

Author(s):  
Pooja Panwar ◽  
Rajesh Kumar ◽  
Xavier Belsiyal

Background: Increasing elderly population became a big concern to health professionals. Loneliness, lack of socialization and depression is quite frequently reported in elderly population. Lack of evidence on impact of socialization and loneliness on depression necessitate this survey. The current work focused on level of socialization, loneliness and depression among elderly residing in old age homes.Methods: The cross-sectional survey includes 100 purposively selected elderly from selected old age homes, Uttarakhand. Elderly were interviewed by using University of California, Los Angeles (UCLA) Loneliness scale, Geriatric depression scale (GDS) and Eysenck personality inventory (EPI) sociability subscale of extroversion. Appropriate statistics was applied to generate results.Results: Findings revealed a significant relationship of loneliness with depression (r=-0.740, p<0.01) and sociability (r=0.195, p<0.01). Similarly, sociability and depression were found dependent on each other (r=-0.354, p<0.01) in elderly.Conclusions: Elderly residing in old age homes need due attention and care to get rid of these silent psychological problems. Timely medical care and measures to improve socialization may help to anticipate mortality and morbidity and protect the vulnerable population.


Author(s):  
Sahaya Sona Thresa ◽  
Indumathi S.

Background: Quality of life in elderly is more relevant towards an ageing society. In India, the awareness is very little about the special needs of the elderly and their care takers (physical and mental health, psychological and social support).  Furthermore, among elderly there is a variation between those living in old age homes (OAHs) and those living in general population. Hence the present study was undertaken to assess and compare the quality of life of elderly living in OAHs and community.Methods: A cross-sectional descriptive study was conducted among elderly in old age homes and family set up of Kanchipuram district, Tamil Nadu. QOL of elderly was assessed using WHO QOL - brief questionnaire after taking informed consent from the participants. Data was analyzed using SPSS 23.Results: A total of 106 elders from each group old age home and family setup were the study participants. Quality of life was good 72.5% in family and in OAHs it was only 56.2%. The main reason for residing in OAHs was no family, lack of care takers. All the four domains were found to be highly statistically significant.Conclusions: From this study we are able to find out that quality of life in family setup is better than OAHs, psychologically many people were depressed as they live separately from their family and relatives, friends and the community they lived.


2018 ◽  
Vol 8 (2) ◽  
pp. 107-111 ◽  
Author(s):  
Waris Qidwai ◽  
Imdad Ali Khushk ◽  
Fizzah Farooq ◽  
Muhammad Yusuf Hafiz ◽  
Kashmira Nanji

Background: Worldwide, some one million people pass the sixty year old threshold every month (Ageing, WHO). Between 2010 and 2050, the number of older people in less developed countries is projected to increase. Methods: Cross-sectional study conducted in Outpatient clinics (OPD) of two hospitals in Karachi from April to May 2013. Elderly (> 60 years of age) visiting the clinics were consecutively recruited. 477 elderly were approached and a pretested, structured questionnaire was used to obtain information. Data was analyzed using SPSS version 19 and Pearson chi-square test was used to identify the factors related to choosing of "Old Age Homes". Results: A total of 400 participants were selected. Fifty-five percent of the elderly were in between 60 to 65 years of age and majority was males 54.8 percent. Elderly were aware of the presence of "Old Age Homes" in Pakistan, however only 7 percent choose to live in there. The main reason was found to be that the elderly did not want to go away from their families and loved ones. Conclusion: In conclusion, majority of the participants felt insecure to live in a home with strangers. However, "Old Age Homes" were preferred choice for those with chronic diseases or those living alone. Media should initiate public education programs to reduce social stigmas in seeking alternate long-term care services outside of the family.


2019 ◽  
Vol 17 (2) ◽  
pp. 58-61
Author(s):  
Merina Shrestha ◽  
Ram Chandra Chaudhary

Background: Various aspects of socio-demographic conditions effect individual’s life at the time of an old age which ultimately make their life vulnerable and dependent on other people. Old age home is one of the important place for those elderly people whose spouse are not alive, have nuclear family background and no one at home to take care of them.  Aims and objectives: To study socio-demographic profile, disease morbidity and factors effecting elderly people to live in an old age homes. Material and method: A community based cross sectional qualitative study was conducted among geriatric age group 65 and above, without any physical and mental severity, and living in old age homes in community field area of department of community medicine of Nepalganj medical college from 14th April2019 to 16th September 2019.The total sample size was 84. Results: Majority of female occupants (63.1%) belonged to age group 65 to 75 years old. Half of them were illiterate and their spouses were not alive (71.4%). Family member’s migration (63.1%) and nuclear family (67.9%) were the contributory factors for living in old age homes. Conclusion: The result of the study showed that there is need of geriatric social services and health facilities for making elderly people financially and emotionally strong.


2020 ◽  
Vol 11 (4) ◽  
pp. 7078-7082
Author(s):  
Krishna Prasanth B ◽  
Mahalakshmi K ◽  
Kalpana S ◽  
Anantha Eashwar V M

People suffering from immunosuppressive conditions like Human Immunodeficiency Virus (HIV) are more prone to suffer from non-communicable diseases like hypertension, which is not identified and treated at an earlier stage, can lead to significant mortality and morbidity in them. The study design was a cross-sectional study done in select Anti-Retroviral Therapy (ART) centers in Government hospitals in Tamil Nadu during a period from 2017-2018. Data regarding their HIV status, treatment history and Body Mass Index (BMI) were recorded and Blood Pressure (BP) was recorded by using mercury sphygmomanometer using standard guidelines. Data was entered in Microsoft excel and analyzed by using SPSS version 22 software. The study population comprised of 75% males and 25% females. Mean age of study participants was 45+8.2 years and the mean BMI was 22+3.4. The prevalence of hypertension among HIV affected individuals was found to be 14.63%. According to JNC criteria, 34% were having Stage 1 hypertension and 33% had Stage 2 hypertension and only 23% were on treatment. Significant association was found between increasing age, gender, BMI and hypertension. Health education and awareness creation has to be created among HIV patients on maintaining a healthy diet and lifestyle so that, obesity can be prevented or reduced which could play an important role in NCD’s like hypertension and also hypertensive patients have to be identified and treated at early stage to reduce the morbidity and mortality.


PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0251016
Author(s):  
Richa Shah ◽  
Rogie Royce Carandang ◽  
Akira Shibanuma ◽  
Ken Ing Cherng Ong ◽  
Junko Kiriya ◽  
...  

Introduction Frailty is a state of being vulnerable to adverse health outcomes such as falls, delirium, and disability in older people. Identifying frailty is important in a low-income setting to prevent it from progressing, reducing healthcare costs, increasing the chances of reversibility, and implementing effective interventions. The factors affecting frailty in older people living in old age homes could differ from those living in the community. This study was conducted to identify the factors associated with frailty in older people residing in old age homes and communities in Kathmandu Valley, Nepal. Methods This is a cross-sectional study conducted from April to June 2019 in three districts of Kathmandu Valley, Nepal. Data were collected from 193 older people residing in old age homes and 501 residing in communities aged 60 and above using convenience sampling. Frailty was measured using the Groningen Frailty Indicator. Data were collected via face-to-face interviews. Multiple linear regression analyses were used to examine the association between independent variables and frailty. Results Frailty was more prevalent among older people in old age homes (71.5%) compared to those in the community (56.3%). Older people who were satisfied with their living environment had lower frailty scores in both old age homes (β = -0.20, p<0.01) and the community (β = -0.15, p<0.001). Those who had self-rated unhealthy lifestyle had higher frailty scores in both old age homes (β = 0.45, p<0.001) and the community (β = 0.25, p<0.001). In the community, those over 80 years of age had higher frailty scores (β = 0.15, p<0.01) and those with higher education had lower scores (β = -0.13, p<0.05). Conclusion The living environment and lifestyle are key modifiable risk factors of frailty, both in old age homes and the community. The findings suggest a need for lifestyle modification and reforms in building standards, especially in old age homes, to promote age-friendly communities.


Author(s):  
Khathutshelo P. Mashige ◽  
Serela S. Ramklass

Background: Visual impairment (VI) increases with age and has been reported to be more prevalent among older adults living in old age homes than in the general population.Aim: To determine the prevalence and causes of VI among older adults living in low-income old age homes in Durban, South Africa.Setting: This study was conducted at low-income old age homes in Durban.Methods: This cross-sectional study of 118 residents aged 60 years and older, collected socio-demographic data, presenting visual acuities (VAs) for each eye, and binocularly. Anterior segment eye examinations were conducted with a penlight torch and a portable slit-lamp, while posterior segment evaluation was conducted with direct and indirect ophthalmoscopy. Objective and subjective refractions were performed, and the best-corrected distance and near VAs were measured in each eye. VI was defined as presenting VA 6/18 and included moderate VI ( 6/18−6/60), severe VI ( 6/60 –3/60) and blindness ( 6/120).Results: The mean age of the participants was 73.3 years and included 80.5% females and 19.5% males. The prevalence of VI and blindness was 63.6%. Optical correction significantly reduced the prevalence of VI and blindness by 19.5% (p 0.05). The main causes of non-refractive VI and blindness were cataract (54.5%), posterior segment disorders (25.5%) and corneal opacities (20%).Conclusion: The prevalence of VI and blindness is high among residents in low-income old age homes living in Durban. Refractive correction and surgical cataract intervention can significantly reduce the burden of VI and blindness among the elderly residents.


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