scholarly journals A cross sectional study on the prevalence and risk factors of fall among the elderly in an urban slum in Chennai

Author(s):  
R. Senthil Kumar ◽  
Kamali Ravindran

Background: Falls are an important cause of morbidity and mortality in elderly people. Falls lead to multiple medical and psychological problems in the elderly. Aim was to study the prevalence of falls among the elderly and to find the associated risk factors for falls among the elderly living in an urban slum in Chennai.Methods: A cross sectional study was conducted among elderly population over 60 years and above, in an urban slum area. About 150 elderly were selected using simple random sampling method, using the voters list as the sampling frame. A pretested questionnaire was administered to collect information about falls. In statistical analysis univariate and multivariate logistic regression was employed using SPSS version 22.Results: Of the 150 elderly persons studied, prevalence of falls rate is 35.3% (95% CI 28.13 to 43.26). Of them 64.1% had one episode of fall and 35.8% had recurrent falls. The prevalence of fall among persons with comorbidities like hypertension or diabetes was 39.3% and 36.1% respectively .The rate of fall among those using a walking stick was 58.3%, having tremors was 15% and having abnormal gait was 40%. The risk factors found to be significantly associated in univariate analysis were gender and presence of tremors (p<0.05). In multivariate analysis none of the factors showed statistical significance.Conclusions: Falls are very common among elderly. It is utmost important to prevent the falls by making necessary environmental modifications and following healthy lifestyle. 

F1000Research ◽  
2020 ◽  
Vol 8 ◽  
pp. 655
Author(s):  
Katekaew Seangpraw ◽  
Nisarat Auttama ◽  
Ramesh Kumar ◽  
Ratana Somrongthong ◽  
Prakasit Tonchoy ◽  
...  

Background. Stress is a common mental health problem of the elderly population that affects their quality of life. The objective of this study was to determine the level of stress and associated factors among the elderly living in rural areas of Thailand.  Methods. This was a cross-sectional study conducted in two sub-districts of rural Thailand and interviewed 403 elderly persons.  We used simple random sampling technique from a list of registered elderly individuals and conducted face-to-face interviews using a questionnaire. The questionnaire were piloted, validated and pretested beforehand. Multiple linear regression was applied for data analysis. This study was approved by the Ethical Review Committee of the University of Phayao, Thailand. Results. The mean age of the participants was 68 and two thirds (67%) were female. Less than 43% of the participants had moderate, and one third (34%) had high levels of stress. More than half of participants had low level stress management. Stress was significantly associated with alcohol and illness with a predictive power of 3.0% [(R = 0.173, R Square = 0.030) (p<0.05)]. Conclusion. We conclude that risk factors such as alcohol and illness affect elderly population living in rural areas of Thailand to a major extent in terms of stress.


F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 655 ◽  
Author(s):  
Katekaew Seangpraw ◽  
Nisarat Auttama ◽  
Ramesh Kumar ◽  
Ratana Somrongthong ◽  
Prakasit Tonchoy ◽  
...  

Background. Stress is a common mental health problem of the elderly population that affects their quality of life. The objective of this study was to determine the level of stress and associated factors among the elderly living in rural areas of Thailand.  Methods. This was a cross-sectional study conducted in two sub-districts of rural Thailand and interviewed 403 elderly persons.  We used simple random sampling technique from a list of registered elderly individuals and conducted face-to-face interviews using a questionnaire. The questionnaire were piloted, validated and pretested beforehand. Multiple linear regression was applied for data analysis. This study was approved by the Ethical Review Committee of the University of Phayao, Thailand. Results. The mean age of the participants was 68 and two thirds (67%) were female. Less than 43% of the participants had moderate, and one third (34%) had high levels of stress. More than half of participants had low level stress management. Stress was significantly associated with alcohol and illness with a predictive power of 3.0% [(R = 0.173, R Square = 0.030) (p<0.05)]. Conclusion. We conclude that risk factors such as alcohol and illness affect elderly population living in rural areas of Thailand to a major extent in terms of stress.


Author(s):  
Meiyanti Meiyanti ◽  
Joice Viladelvia Kalumpiu ◽  
Julius I Mulia

Anemia is a very common disorder both in clinical practice and in the community. The recent rise in the population of the elderly has become the focus of attention in developing countries, because of the increasing longevity of the elderly, whilst the prevalence of anemia increases with age. The objective of this study was to determine the prevalence of anemia and its association with the quality of life in the elderly. A cross-sectional study was conducted from April to June 2008, located in the Mampang Prapatan district, South Jakarta. A total of 298 elderly persons participated in this study, comprising 109 (36.6%) males and 189 (63.4%) females. Anemia was measured by the parameters of hemoglobin and quality of life was assessed by the WHOQOL-BREF instrument, a short version of the WHOQOL-100 instrument. The results of the study showed the prevalence of anemia to be 26.2%, with a higher prevalence rate in females compared with males. The quality of life in the physical, psychological, social and environmental domains differed significantly with decreasing hemoglobin levels, whereas the physical and mental quality of life declined significantly with age. Anemia is thus indicative of a reduction in the quality of life of the elderly.


2016 ◽  
Vol 19 (6) ◽  
pp. 939-949 ◽  
Author(s):  
Yasmim da Silva Uchôa ◽  
◽  
Dayara Carla Amaral da Costa ◽  
Ivan Arnaldo Pamplona da Silva Junior ◽  
Saulo de Tarso Saldanha Eremita de Silva ◽  
...  

Abstract Objective: to identify the perception of elderly persons about sexuality. Methods: a quantitative, observational and analytical cross-sectional study was performed in an institution specializing in elderly care in Belém, in the state of Pará. A questionnaire, produced by the authors, was applied to 200 elderly persons, aiming to identify issues related to sexuality both in their youth and today, as well as stimulant strategies and sexuality inhibiting factors among the elderly, among other issues. Data was statistically analyzed through the G-Test for adherence. Results: The researched elderly had an average age of 72 (±5.92) years. The majority said they were not prepared for the beginning of sexual activity when young (62.5%), and had little knowledge about sexually transmitted diseases or methods of preventing them (42.3%). Today, the majority (84%) did not understand the distinction between sexuality and sex, even though most (69.5%) believed that they can stimulate their own sexuality. They also identified family (16.5%) and religion (15.5%) as inhibitory factors for their sexuality. A total of 28.5% of those interviewed reported having a sexual dysfunction and more than half (52.5%) did not seek medical support. They believed that health professionals are prepared to deal with the issue, although such professionals are almost the last information source consulted (17.5%) in relation to sexuality. Conclusion: many factors support the myth that older people are asexual: limited access to information from their youth to the present day, the physiological changes connected to aging itself, religious precepts and family oppression. However, further studies and actions directed at this population are important to promote the health of the elderly.


2011 ◽  
Vol 48 (2) ◽  
pp. 124-130 ◽  
Author(s):  
Jéfferson Luis de Almeida Silva ◽  
Veridiana Sales Barbosa de Souza ◽  
Tatiana Aguiar Santos Vilella ◽  
Ana Lúcia C. Domingues ◽  
Maria Rosângela Cunha Duarte Coêlho

CONTEXT: Blood transfusion is one of the major risk factors for the transmission of the hepatitis B (HBV) and C (HCV) viruses. However, there are no reports describing the endoscopic transmission of these viruses in patients with the hepatosplenic form of schistosomiasis. OBJECTIVE: To estimate the prevalence of serological markers of HBV and HCV in patients with the hepatosplenic form of schistosomiasis and evaluate the possible risk factors associated with these infections. METHODS: A cross-sectional study was conducted on 230 patients with hepatosplenic form of schistosomiasis who attended a university hospital in Recife, Northeastern Brazil, from February to August 2008. The patients answered a standardized questionnaire about risk factors. Serum samples were analyzed for anti-HBc total, anti-HBs, HBsAg, and anti-HCV using enzyme-linked immunosorbent assays. Univariate analysis and multiple logistic regression were performed. RESULTS: The prevalence was 30% for anti-HBc total and/or HBsAg and 7.4% for anti-HCV. There was a higher frequency of the serological markers in females and in patients aged .50 years. A significant association was detected between the presence of anti-HCV and the receipt of six or more blood transfusions. There was no association of history and number of digestive endoscopies with the serological markers analyzed. CONCLUSIONS: We observed a higher prevalence of serological markers for HBV and a lower prevalence of anti-HCV. Our results indicate that females and patients of an advanced age are the most affected categories and that patients that received multiple transfusions are at a higher probability of HCV infection.


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