Loneliness Among Older People: Results from the Swedish National Study on Aging and Care - Blekinge

Objectives: Considering the rapid growth of Iran’s elderly population with consequent increase in the costs of health services, it is necessary to be aware of the pattern of outpatient health service utilization, in the elderly for resource allocation and health planning. This study aims to determine the pattern of outpatient service utilization for the elderly in Iran and explore determinant factors. Methods & Materials: This is a cross-sectional study using secondary analysis method and the data from 2015 National Study of Health Service Utilization. Study population consists of older people aged ≥60 years. Of these, 8205 were selected as study samples. The data were collected using personal and household questionnaires collecting information on subjects’ need for, referral to, utilization from, and satisfaction with outpatient services. Logistic regression analysis was used to identify factors related to the need, referral, benefit, and satisfaction with the received outpatient services. Results: Out of 8205 participants, 3172 (39%) reported the need for outpatient services, of which 66% referred for services; of these, 98% (N=2060) benefited outpatient services. Females, older subjects, villagers, unmarried and illiterate subjects were more in need of outpatient services, but their referrals to receive the services were not more than those of other groups. Lack of basic insurance, supplementary insurance, and a personal care had a significant impact on reducing the number of subjects referred to receive outpatient services. Inability to pay treatment costs (30%), self-treatment (28%) and lack of proper insurance coverage (13%) were the most important reasons for not referring to receive outpatient services. The highest satisfaction was related to the behavior of physicians and medical staff and the lowest satisfaction was related to the cost of outpatient services. Conclusion: Although the use of outpatient health services should be based on the need for these services, the present study showed that the older people with higher socio-economic status had higher utilization from the services in Iran. Therefore, there is an inequality in access to outpatient services in the elderly. The reasons for not using outpatient services and dissatisfaction with these services should be seriously considered by health policy makers.

Download Full-text

Formal and informal care of community-living older people: A population-based study from the Swedish National study on Aging and Care

The journal of nutrition health & aging ◽

10.1007/s12603-016-0747-5 ◽

2016 ◽

Vol 21 (1) ◽

pp. 17-24 ◽

Cited By ~ 15

Author(s):

Anders Wimo ◽

S. Elmståhl ◽

L. Fratiglioni ◽

B. -M. Sjölund ◽

A. Sköldunger ◽

...

Keyword(s):

Older People ◽

Informal Care ◽

Population Based ◽

Community Living ◽

National Study ◽

Population Based Study

Download Full-text

Leg ulcers in older people: a national study addressing variation in diagnosis, pain and sleep disturbance

BMC Geriatrics ◽

10.1186/s12877-016-0198-1 ◽

2016 ◽

Vol 16 (1) ◽

Cited By ~ 22

Author(s):

Amanda Hellström ◽

Camilla Nilsson ◽

Annina Nilsson ◽

Cecilia Fagerström

Keyword(s):

Older People ◽

Sleep Disturbance ◽

National Study ◽

Leg Ulcers

Download Full-text

Care management arrangements for older people in England: key areas of variation in a national study

Ageing and Society ◽

10.1017/s0144686x02008711 ◽

2002 ◽

Vol 22 (04) ◽

pp. 419-439 ◽

Cited By ~ 30

Author(s):

KATE WEINER ◽

KAREN STEWART ◽

JANE HUGHES ◽

DAVID CHALLIS ◽

ROBIN DARTON

Keyword(s):

Older People ◽

Care Management ◽

National Study

Download Full-text

Abstract #615: Insights and Perceptions of Obesity Management in Older People with Obesity: Results of National Study

Endocrine Practice ◽

10.1016/s1530-891x(20)44492-1 ◽

2017 ◽

Vol 23 ◽

pp. 129

Author(s):

Michelle Look ◽

Angela Golden ◽

Ted Kyle ◽

Nikhil Dhurandhar ◽

Boris Stevenin ◽

...

Keyword(s):

Older People ◽

National Study ◽

Obesity Management

Download Full-text

The UK national study of abuse and neglect among older people

Nursing Older People ◽

10.7748/nop2007.10.19.8.24.c6268 ◽

2007 ◽

Vol 19 (8) ◽

pp. 24-26 ◽

Cited By ~ 18

Author(s):

Jill Manthorpe ◽

Simon Biggs ◽

Claudine McCreadie ◽

Anthea Tinker ◽

Amy Hills ◽

...

Keyword(s):

Older People ◽

National Study ◽

Abuse And Neglect ◽

The Uk

Download Full-text

PSYCHOMETRIC PROPERTIES OF THE SUBJECTIVE-OBJECTIVE MALNUTRITION RISK ASSESSMENT (SOMRA) IN A STUDY OF SWEDISH PEOPLE AGED ? 60 YEARS

Journal of Aging Research and Lifestyle ◽

10.14283/jarcp.2016.125 ◽

2016 ◽

pp. 1-8

Author(s):

M. Naseer ◽

C. Fagerström

Keyword(s):

Risk Assessment ◽

Older People ◽

Psychometric Properties ◽

Concurrent Validity ◽

Mini Nutritional Assessment ◽

Test Reliability ◽

National Study ◽

Baseline Survey ◽

Operating Characteristics ◽

At Home

Objective: This study aimed to investigate the risk of malnutrition and to evaluate the psychometric properties of the Subjective-Objective Malnutrition Risk Assessment (SOMRA), SOMRA cut-offs and Swedish-Guidelines on Malnutrition Risk Assessment (SGMRA) for Swedish people aged ≥ 60 years. Setting: This study included both older people living at home and those in special housing. Participants: 1222 of the 1402 subjects aged ≥ 60 years who had participated in the baseline survey (2001–2003) as part of the ongoing National Study on Aging and Care-Blekinge (SNAC-B) were included because they had provided complete information on Mini-Nutritional Assessment (MNA). Measurements: The risk of malnutrition was estimated by the SOMRA, MNA, and SGMRA. To measure concurrent validity, the Receiver Operating Characteristics (ROC) curve, Cohen’s kappa (κ) and Spearman’s rank correlation coefficient rho (rs) were used. Youden’s index (J) was computed to assess the optimal cut-off on SOMRA. Cronbach’s alpha (α) was used to test reliability. Results: The risks of malnutrition measured by SOMRA, MNA and SGMRA were 6.5%, 8.6% and 20.9%, respectively. The risk was higher among older people living in special housing compared to those at home (p < 0.05). Different optimal cut-offs on SOMRA were observed for residents living at home (≥ 1) and those in special housing (≥ 3). Compared to SGMRA, the SOMRA and SOMRA cut-off ≥ 3 gave higher values for J (0.68, 0.81, and 0.84, respectively), κ (0.59, 0.77, and 0.84, respectively) and rs (0.64, 0.78, and 0.84, respectively) for the older people in special housing. The reliability for SOMRA was α = 0.71. Conclusion: The risk of malnutrition was higher among older people in special housing than among those living at home. For the people in special housing, the SOMRA and SOMRA cut-off ≥ 3 showed higher concurrent validity with MNA compared to the SGMRA, but not for older people living at home. SOMRA includes six items, takes less time to implement and is composed of both subjective and anthropometric measurements; therefore, it is suitable for use in special housing and/or clinical settings to identify the risk of malnutrition or the need for nutritional support.

Download Full-text

Disease or function? What matters most for self-rated health in older people depends on age

Aging Clinical and Experimental Research ◽

10.1007/s40520-020-01507-1 ◽

2020 ◽

Vol 32 (8) ◽

pp. 1591-1594

Author(s):

Viviane S. Straatmann ◽

Davide L. Vetrano ◽

Laura Fratiglioni ◽

Amaia Calderón-Larrañaga

Keyword(s):

Older People ◽

Walking Speed ◽

Oldest Old ◽

Health Indicators ◽

National Study ◽

Objective Health ◽

Self Rated Health ◽

The Individual ◽

Discriminatory Capacity ◽

What Matters

Abstract Background Self-rated health (SRH) holistically captures older adults’ health status from the perspective of the individual. Aims To explore the accuracy of five objective health indicators related to diseases, physical function, cognition and disability in discriminating SRH among the youngest and oldest old. Methods We used baseline data from 2196 participants of the Swedish National Study on Aging and Care in Kungsholmen (SNAC-K), Sweden (years 2001–2004). Area under the receiver operating characteristic curves (AUROC) were obtained from logistic regressions adjusted by sex, age and education. Results Among the youngest old, having ≥ 4 chronic diseases showed the highest discriminatory capacity of poor versus good SRH (AUROC: 0.714). Among the oldest old, a walking speed < 1.0 m/s showed the highest discriminatory capacity of poor versus good SRH (AUROC: 0.683), followed by ≥ 1 limitations in IADL (AUROC: 0.664). Conclusion What matters most for SRH in older people depends on age, with walking speed playing a major role among the oldest old.

Download Full-text

144 Polypharmacy and Anticholinergic Burden in Older People in Brunei Darussalam

Age and Ageing ◽

10.1093/ageing/afz164.144 ◽

2019 ◽

Vol 48 (Supplement_4) ◽

pp. iv34-iv39

Author(s):

Su Ying Yeo ◽

Sanny Zi Lung Choo ◽

Nadzirah Rosli ◽

Eng Chong Koh ◽

Shyh Poh Teo

Keyword(s):

Older People ◽

High Rate ◽

Electronic Prescribing ◽

Healthcare Sector ◽

National Study ◽

Public Healthcare ◽

Anticholinergic Medication ◽

Brunei Darussalam ◽

Recurrent Falls ◽

Anticholinergic Burden

Abstract Introduction Polypharmacy and anticholinergic burden are associated with falls in older people. A longitudinal study found patients with five or more drugs had 21% increased falls over 2 years. [Dhalwani, Fahami, Sathanapally et al, BMJ Open, 2017,7(10), e016358]. A cohort study identified a 1.51 odds of recurrent falls with anticholinergic medication, while taking multiple anticholinergics resulted in 100% likelihood of recurrent falls. [Marcum, Wirtz, Pettinger, et al, BMC Geriatrics, 2016,16,76]. Methods Retrospective study of polypharmacy in older people in Brunei based on data from Bru-HIMS, the Brunei public healthcare sector electronic prescribing and pharmacy management system. In this national study, stratified sampling was done by district, with patients randomly selected within each district. Active medications were identified from Bru-HIMS. The Anticholinergic Cognitive Burden (ACB) Scale was used to calculate anticholinergic burden. Findings for two districts (Tutong and Temburong) are described. Results For the 327 patients, 142 (43%) were male and 185 (57%) female. Median age was 72 years (Range 65 to 103 years). 234 (72%) had 5 drugs or more prescribed. Of the 2332 prescriptions, 268 (11.5%) had anticholinergic activity on the ACB scale. Median ACB score was 1. The most commonly prescribed were Orphenadrine, Chlorpheniramine, Diphenhydramine, Cinnarizine and Amitriptyline. There was a positive correlation between polypharmacy and anticholinergic burden (r = 0.4593). Conclusion There was a high rate of polypharmacy in older people, with anticholinergic drug burden identified. It may be useful to educate clinicians and patients regarding risks of polypharmacy and anticholinergic burden, including falls.

Download Full-text