scholarly journals Health, wealth, and medical expenditures among the elderly in rural Tanzania: Experiences from Nzega and Igunga districts

2021 ◽  
Author(s):  
Malale Tungu ◽  
Phares G. Mujinja ◽  
Paul J. Amani ◽  
Mughwira A. Mwangu ◽  
Angwara D. Kiwara ◽  
...  
Keyword(s):  
Quality Of Life ◽  
The Elderly ◽  
Medical Expenditures ◽  
Medical Expenditure ◽  
World Health ◽  
Adult Health ◽  
Rural Residents ◽  
Capita Health Expenditure ◽  
Elderly Healthcare

Abstract BackgroundThe per capita health expenditure (HE) and share of gross domestic product (GDP) spending on elderly healthcare are expected to increase. In many developing countries like Tanzania, there is an increasing gap between health needs and the available resources for elderly healthcare, which leaves the elderly with poor health conditions, especially chronic diseases. These conditions lead to catastrophic HEs for the elderly. ObjectiveThis study aimed to analyse the association among health, wealth, and medical expenditure in rural residents aged 60 years and above in Tanzania. MethodsData were collected through a cross-sectional household survey to rural residents aged 60 years and above living in Nzega and Igunga districts. Standardised World Health Organization (WHO) Study on Global Ageing and Adult Health (SAGE) and European Quality of Life Five Dimension (EQ-5D) questionnaires were used. The quality of life (QoL) was estimated using EQ-5D weights. The wealth index was generated from principal component analysis (PCA). Two linear regression analyses (outpatient/inpatient) were performed to analyse the association among health, wealth, medical expenditure, and socio-demographic variables.ResultsThis study found a negative and statistically significant association between QoL and HE, whereby HE increases with the decrease of QoL. We could not find any significant relationship between HE and social gradients. In addition, age influences HE such that as age increases, the HE for both outpatient and inpatient care also increases.ConclusionThe health system in these districts allocate resources mainly according to needs, and social position is not important. We thus conclude that the system is fair. Health, not wealth, determines the use of medical expenditures.

scholarly journals Implicações do uso do Aparelho de Amplificação Sonora Individual na qualidade de vida de idosos

CoDAS ◽  
2017 ◽  
Vol 29 (5) ◽  
Author(s):  
Camila Zorzetto Carniel ◽  
Juliana Cristina Ferreira de Sousa ◽  
Carla Dias da Silva ◽  
Carla Aparecida de Urzedo Fortunato-Queiroz ◽  
Miguel Ângelo Hyppolito ◽  
...  
Keyword(s):  
Quality Of Life ◽  
World Health Organization ◽  
The Elderly ◽  
World Health ◽  
World Health Organization Quality ◽  
Hearing Handicap ◽  
Organization Quality ◽  
Health Organization ◽  
Post Hoc

RESUMO Objetivo Avaliar, por meio de questionários padronizados, a qualidade de vida de idosos com deficiência auditiva diagnosticada que utilizam ou não a prótese auditiva (AASI) e de idosos sem queixa auditiva. Método Trata-se de um estudo transversal, com amostra não probabilística, distribuída em três grupos divididos da seguinte forma: 30 idosos com perda auditiva diagnosticada e com indicação para uso do aparelho de amplificação sonora individual (AASI), mas que ainda não faziam uso da prótese; 30 idosos com deficiência auditiva que usavam o AASI; e 30 idosos sem queixa auditiva. Os participantes completaram um questionário que investigava dados sociodemográficos e familiares, o Hearing Handicap Inventory for the Elderly Screening Version (HHIE-S) e o World Health Organization Quality of Life - versão breve (WHOQOL-Breve). Além das análises descritivas dos dados, foram realizados testes para comparação dos três grupos, aplicando-se a análise de variância (ANOVA) e o teste post hoc de Bonferroni. Resultados Os três grupos se diferenciaram significativamente em todos os domínios de qualidade de vida. O grupo de idosos com perda auditiva diagnosticada e com indicação para uso do AASI apresentou menores escores que o grupo de idosos com deficiência auditiva que usavam o AASI e que o grupo de referência. O grupo com AASI apresentou os melhores resultados de qualidade de vida. Conclusão A perda auditiva afeta a qualidade de vida do idoso. O uso efetivo da prótese auditiva é benéfico a esta população, melhorando suas condições de vida e saúde.

DO SELF-REPORTED HEALTH INDICATORS PREDICT MORTALITY? EVIDENCE FROM MATLAB, BANGLADESH

2013 ◽  
Vol 46 (5) ◽  
pp. 621-634 ◽  
Author(s):  
ABDUR RAZZAQUE ◽  
A. H. M. G. MUSTAFA ◽  
PETER KIM STREATFIELD
Keyword(s):  
Quality Of Life ◽  
Health Indicators ◽  
Good Health ◽  
Diarrhoeal Disease ◽  
World Health ◽  
Health State ◽  
Adult Health ◽  
Health Organization ◽  
State Quality

SummaryIn order to understand current and changing patterns of population health, there is a clear need for high-quality health indicators. The World Health Organization Study on Global AGEing and Adult Health (SAGE) survey platform and the International Network for the Demographic Evaluation of Populations and Their Health in developing countries (INDEPTH) generated data for this study. A total of 4300 people aged 50 years or older were selected randomly from the Matlab Health and Demographic Surveillance System of the International Centre for Diarrhoeal Disease Research, Bangladesh. The health indicators derived from these survey data are self-rated general health, overall health state, quality of life and disability levels. The outcome of the study is mortality over a 2-year follow-up since the survey. Among the four health indicators, only self-rated health was significantly associated with subsequent mortality irrespective of sex: those who reported bad health had higher mortality than those who reported good health, even after controlling for socio-demographic factors. For all other three health indicators, such associations exist but are significant only for males, while for females it is significant only for ‘quality of life’.

scholarly journals THE INTEGRATION OF DENTAL DETERMINANTS IN THE ACTIVE LONGEVITY PROGRAM

2019 ◽  
Vol 25 (3) ◽  
pp. 185-190
Author(s):  
R. Sh Gvetadze ◽  
V. D Wagner ◽  
G. E Amanaliti ◽  
Lyudmila E. Smirnova
Keyword(s):  
Quality Of Life ◽  
Dental Health ◽  
Social Activity ◽  
Well Being ◽  
The Elderly ◽  
World Health ◽  
Quality Health Care ◽  
The World ◽  
The Government

According to the World Health Organization, the elderly are the fastest-growing age group in the world. Scientists addressing the aging issue have put forward a theory of active longevity, based on improving the quality of life of the elderly. Most authors believe that the basis of a long life is an active and mobile lifestyle, a healthy diet, abstinence from bad habits, constant communication and affordable quality health care. Recently, in our country, government officials began to pay attention to the problems of longevity and improving the quality of life of senior and elderly people. The Government of Moscow adopted a decision of December 18, 2018 No. 1578-GO “On the implementation of the Moscow Longevity Project in the city of Moscow”, which provides for a permanent basis to create a system of organizing active leisure activities for senior citizens, expanding forms of social communications, further enhancing their life and longevity. Recent studies show that the quality of life of people in the elderly and senile age is closely related to their health and cannot be limited to biomedical parameters. It depends on an assessment of one’s life course, internal standards, and on effective social activity. Also, quality of life is correlated with factors such as the diet and nutrition quality, the ability to perform physical activities that help reduce the risk of developing chronic diseases and mortality. At the same time, the importance of dental health remains underestimated, despite the fact that healthy mouth organs and tissues are the main factors contributing to quality nutrition, performing an aesthetic role and serving as a symbol of a person’s well-being.

scholarly journals Impact of a program to promote health and quality of life of elderly

2011 ◽  
Vol 9 (1) ◽  
pp. 8-13 ◽  
Author(s):  
Silvia Affini Borsoi Tamai ◽  
Sergio Márcio Pacheco Paschoal ◽  
Julio Litvoc ◽  
Adriana Nunes Machado ◽  
Pedro Kallas Curiati ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Social Relationships ◽  
Psychological Health ◽  
The Elderly ◽  
World Health ◽  
Elderly Subjects ◽  
Physical Domain ◽  
World Health Organization Quality ◽  
Quality Of Life Scale

ABSTRACT Objective: To evaluate the effect on quality of life of elderly people enrolled in GAMIA – Multidisciplinary Care Group to Outpatient Elderly Subjects (Grupo de Assistência Multidisciplinar ao Idoso Ambulatorial) of the Geriatric Department, Hospital das Clinicas, Faculdade de Medicina, Universidade de Sao Paulo. Methods: Between 2000 and 2002, 83 elderly participants of GAMIA were assessed by the World Health Organization Quality of Life scale (WHOQOL-bref) at the beginning and the end of the program. Functionality was assessed by Katz and Lawton scales and sociodemographic data were obtained from medical charts. Results: Females predominated (79.5%) and overall mean age was 69.30 years. Data analysis showed a reduction in the physical domain of WHOQOL-bref (p = 0.014) and increased psychological health and environment domains (p = 0.029 and p = 0.007, respectively), detecting a trend of increase in social relationships and in general domains (p = 0.062 and p = 0.052, respectively). Conclusions: The clinical evaluation of the elderly detected previously unknown diseases and determination of the use of new drugs, which might have been the predominant factor for the deterioration of their perception in the physical domain. Improvement in psychological health and the environment can be related to psychological and social support that the elderly received from peers and professionals and the benefits of group activities, as well as the upward trend observed in social relationships and general domains. Participation in a program to promote healthy aging was effective in improving the quality of life of the elderly.

Decreased anxiety after Dawood fasting in the pre-elderly and elderly

2018 ◽  
Vol 16 (1) ◽  
Author(s):  
Ika Fidianingsih ◽  
Nur Aisyah Jamil ◽  
Russy Novita Andriani ◽  
Wira Muhammad Rindra
Keyword(s):  
Quality Of Life ◽  
Rating Scale ◽  
Ketone Bodies ◽  
The Elderly ◽  
World Health Organisation ◽  
World Health ◽  
Control Group ◽  
Control Group Design ◽  
Significant Difference

Abstract Background A high prevalence of anxiety in the elderly often leads to decreased quality of life (QOL). A restrictive diet can increase the production of ketone bodies that encourage mood enhancement, neural protection and pain reduction. This study aimed to identify whether Dawood fasting could increase the QOL of the elderly by reducing anxiety. Methods This research was a quasi-experimental study involving a pretest–post-test control group design. The subjects were pre-elderly and elderly or healthy people aged more than 50, and a consecutive sampling method was employed. The fasting group observed the fast of Dawood, in which they abstained from eating, drinking, or having sexual intercourse from the break of dawn to dusk with the expressed intent to fast every other day. The fast was observed for 22 days (11 fasting days). Anxiety was examined using the Hamilton Rating Scale for Anxiety (HRS-A), while QOL was identified using the Indonesian version of the World Health Organisation Quality of Life (WHOQOL). Results A total of 48 respondents participated in this study with 24 respondents observing the fast of Dawood and 24 others not fasting. Results showed that the 22 days of Dawood fast reduced respondents’ complaints about anxiety by 4.37% and was significantly different from the non-fasting group (p=0.001). There was an increase in the QOL of the fasting group (p=0.019), although no significant difference was found when compared to the non-fasting group. Conclusions The fast of Dawood reduced anxiety in the pre-elderly and elderly.

Perceived quality of life and living arrangements among older rural South Africans: do all households fare the same?

2018 ◽  
Vol 39 (12) ◽  
pp. 2735-2755
Author(s):  
Margaret Ralston ◽  
Enid Schatz ◽  
Sangeetha Madhavan ◽  
F. Xavier Gómez-Olivé ◽  
Mark A. Collinson
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Living Arrangements ◽  
Perceived Quality ◽  
World Health ◽  
Adult Health ◽  
Rural South ◽  
Multigenerational Households ◽  
Perceived Quality Of Life

AbstractThis study explores how living arrangements influence perceived quality of life in an elderly population in rural South Africa. We use data from the longitudinal World Health Organization Study of Global Ageing and Adult Health Survey (WHO-SAGE) and from the Agincourt Health and Socio-Demographic Surveillance System (HDSS). On average, older men and women who reside in single-generation and complex-linked multigenerational households report worse quality of life than those in two-generation and linear-linked multigenerational households. However, after controlling for prior wellbeing status, we find living arrangements to have a significant impact on women's perceived quality of life only, and that it is moderated by age. We conclude that not all multigenerational arrangements are protective of older adults’ wellbeing and highlight the gendered impact of living arrangements on quality of life. These results suggest the necessity to understand how living arrangements influence the social roles of older adults and change with age.

scholarly journals Estudo de prevalência de Desordens Temporomandibulares (tmd) e qualidade de vida em uma população de idosos institucionalizados

2017 ◽  
Vol 5 (1) ◽  
pp. 16
Author(s):  
Daniela Disconzi Seitenfus Rehm ◽  
Patricia Saram Progiante ◽  
Denise Munaretto Ficht ◽  
Betina Carapeto ◽  
Marcio Lima Grossi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Dental Treatment ◽  
Negative Impact ◽  
Dental Health ◽  
Temporomandibular Disorder ◽  
Signs And Symptoms ◽  
The Elderly ◽  
World Health ◽  
The North

Purpose: This multidisciplinary prevalence study had the objective of identifying the prevalenceof TMD, chronic pain and quality of life in institutionalized elderly patients in Southern Brazil,including depression and somatization levels. Methods: Forty subjects (55% women, meanage=75 years±S.D., 80% Caucasian) in need of dental treatment were selected from twolong-term elderly institutions in the city of Porto Alegre. The World Health Organization Qualityof Life (WHOQOL) questionnaire was used for assessing quality of life, the Research DiagnosticCriteria for Temporomandibular Disorders (RDC/TMD) for TMD signs and symptoms as well asdepression and somatization levels, and the North York Dental Health Survey (NYDHS ) for theoral health status. Result s: Approximately 60% completed elementary school. It was also a lowincome population (85%, $75 to $500 American dollars per month). Most (56.4%) were bornin the countryside. Ten percent had high intensity pain, with 2.5% accompanied by moderatelimitation. These severe signs and symptoms of TMD were associated with significant disabilityin daily functions and had a negative impact in the level of psychological stress and qualityof life in institutionalized patients. In addition, almost 97.5% of the elderly has shown somedegree of depression, and 57.5% had moderate to strong somatization levels. Conclusions:The proportion of elderly with severe TMD signs and symptoms was low; however, the greatfrequency of depression and somatization, with a good number of them in actual treatmentneed, highlights the importance of evaluating the elderly in all aspects.Keywords: temporomandibular disorder; orofacial pain; depression; somatization; quality of life; elderly.

scholarly journals Impacts of age and marital status on the elderly’s quality of life in an elderly social institution

2021 ◽  
Author(s):  
Susisusanti Daely ◽  
Tuti Nuraini ◽  
Dewi Gayatri ◽  
Hening Pujasari
Keyword(s):  
Quality Of Life ◽  
Marital Status ◽  
The Elderly ◽  
Social Institution ◽  
World Health ◽  
Cross Sectional ◽  
World Health Organization Quality ◽  
Significant Difference ◽  
The Mean

Background: Living a life of good quality is important for everyone. This research aimed to get an overview of the quality of life (QOL) of the elderly in an elderly social institution in Jakarta, Indonesia.Design and Methods: This descriptive study with a cross-sectional design included 107 participants using simple random sampling technique. Data were collected using an abbreviated World Health Organization Quality of Life (WHOQOL-BREF) and analyzed using statistical software, Mann Whitney and Kruskal Wallis test.Results: The mean quality of life of the elderly’s was 66.09 (scale: 0–100), with a mean QOL of 67.58 in the physical domain, 66.26 in the psychological domain, 64.64 in the social relationships domain, and 65.88 in the environment domain. Regarding age and marital status, there was a significant difference in the mean QOL of the elderly living in the elderly social institution (p = .017 and .001). In contrast, there was no significant difference in their mean QOL in terms of gender, level of education, and length of stay (p = .323, .164, and .697).Conclusion: The low quality of life of the elderly is our concern. The staff in the elderly social institution could develop some activities for the elderly to increase the elderly’s QOL, such as making daily activities plans and the evaluation of those activities.  

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