scholarly journals Salud bucal y género en relación a la población adulta mayor atendida en la red hospitalaria pública de Medellín: Los puntos de vista del personal de salud

2016 ◽  
Vol 18 (1) ◽  
pp. 58
Author(s):  
Andrés A. Agudelo Suárez ◽  
Felipe López Vergel ◽  
Santiago Alzate Urrea ◽  
Carolina López Orozco ◽  
Erica Espinosa Herrera ◽  
...  

ResumenObjetivo: Explorar las percepciones sobre salud bucal y género con relación a la población adulta mayor que consulta la red hospitalaria pública de Medellín desde la perspectiva de los prestadores de servicios de salud. Materiales y métodos: Estudio cualitativo con perspectiva etnográfica mediante 34 entrevistas semi-estructuradas en personal que presta servicios de salud en la Empresa Social del Estado -E.S.E- Metrosalud. Las entrevistas se transcribieron textualmente y se realizó análisis de contenido según categorías propias de los discursos de los participantes. Resultados: Se encontraron tres categorías principales: 1) Necesidades y problemas de salud general y bucal y sus determinantes; 2) Símbolos y significados de la población adulta mayor; 3) Perspectiva y roles de género y su relación con las prácticas sociales en salud bucal. En general, los prestadores perciben alta carga de enfermedad y barreras de acceso a los servicios de salud. Se percibieron diferencias de género relacionadas con los roles que asumen las personas, las prácticas de autocuidado, y los perfiles de utilización de los servicios de salud. Conclusiones: Los prestadores entrevistados perciben como la población adulta mayor que consulta a la red prestadora de servicios pública de Medellín se encuentra en situación de vulnerabilidad social que impacta en las condiciones de salud bucal. De igual manera, se perciben diferencias de género relacionadas. Se requieren políticas sociales que garanticen equidad para este grupo poblacional.AbstractObjective: To explore the perceptions about oral health and gender in relation to the elderly population assisted by the public hospital network of Medellin from the health personnel perspective. Materials and methods: A qualitative and ethnographic study was conducted through 34 semi-structured interviews in health personnel in the State Social Enterprise E.S.E Metrosalud. Interviews were transcribed and a content analysis was carried out according to categories from the participants’ discourses. Results: Three main categories were found: 1) Needs and problems of general and oral health and their determinants; 2) Symbols and significances of the elderly; 3) Perspectives and gender roles and its relationship with social practices on oral health. In general terms, participants perceived high disease burden and barriers of access to health services. In addition, gender differences were perceived related to the roles that people assume, self-care practices and health services utilization profiles. Conclusions: Interviewed providers perceived that the elderly population assisted by the public hospital network of Medellin is exposed to social vulnerability that affects oral health conditions. In addition, gender related differences were found. Social policies that ensure equity in this population group are required.

Gerodontology ◽  
2011 ◽  
Vol 29 (2) ◽  
pp. e761-e767 ◽  
Author(s):  
Haviye Erverdi Nazliel ◽  
Nur Hersek ◽  
Murat Ozbek ◽  
Ergun Karaagaoglu

1997 ◽  
Vol 352 (1363) ◽  
pp. 1887-1893 ◽  
Author(s):  
John Grimley Evans

Health services for older people in the NHS have developed pragmatically, and reflect the nature of disease in later life and the need to agree objectives of care with patients. Although services are likely to be able to cope with the immediate future, the growth of the elderly population anticipated from 2030 calls for long–term planning and research. The issue of funding requires immediate political thought and action. Scientifically the focus needs to be on maximizing the efficiency of services by health services research and reducing the incidence of disability in later life through research on its biological and social determinants. Senescence is a progressive loss of adaptability due to an interaction between intrinsic (genetic) processes with extrinsic factors in environment and lifestyle. There are grounds for postulating that a policy of postponement of the onset of disability, by modifications of lifestyle and environment, could reduce the average duration of disability before death. The new political structures of Europe offer underexploited–unexploited opportunities for the necessary research.


1995 ◽  
Vol 7 (2) ◽  
pp. 239-251 ◽  
Author(s):  
Yoshitomo Takahashi ◽  
Hideto Hirasawa ◽  
Keiko Koyama ◽  
Osamu Asakawa ◽  
Matazo Kido ◽  
...  

Although individuals aged 65 and over accounted for 12% of the total population of Japan in 1990, suicides in this age group consisted of 29% of all suicides. The elderly population of Japan is expected to grow rapidly to 24% of the total population by the year 2020, and suicide prevention for the elderly is an urgent mental health problem. Among a total of 1,216 elderly patients who were admitted to the Department of Psychiatry at Tokyo Metropolitan Geriatric Hospital between April 1980 and March 1990, 50 were hospitalized immediately after suicide attempts in order to study their psychosociomedical problems. Because early diagnosis of depression and initiation of proper treatment are indispensable—even if patients do not show obvious depressive symptoms—those who develop persistent somatization and/or delirium should be considered highly suicidal and given special attention. With the cooperation of mental health professionals, it is necessary to educate general practitioners, the public, and the elderly themselves about characteristics of psychiatric disorders and various problems associated with aging. Further research on other elderly Japanese populations, as well as research that examines suicide completion, is needed to confirm the findings of the present study.


2019 ◽  
Vol 22 ◽  
pp. S794
Author(s):  
M. Kolotourou ◽  
O. Konstantakopoulou ◽  
G. Charalambous ◽  
P. Galanis ◽  
O. Siskou ◽  
...  

2020 ◽  
Vol 3 (1) ◽  
pp. 47
Author(s):  
Abdul Gani Soulissa

The world’s elderly population is growing faster than other age groups. The World Health Organization states that in 2020, Indonesia’s elderly population will reach 11.34% of the total population, or around 28.8 million people. The increasing number of elderly people can be a challenge for clinicians due to the degenerative changes caused by chronic diseases, treatment of chronic diseases, systemic conditions, and oral health care accessibility. The purpose of this study was to analyze the factors that increase the risk of periodontal disease in the elderly. Over the last few years, a lot of research has focused on identifying the relationship between periodontal disease and systemic disease as well as the link between periodontal disease and aging. Increased age relates directly and proportionally with increased prevalence and severity of periodontal disease. Furthermore, an increase in age causes a decrease in motoric function and an increase in comorbidities and their treatments in the elderly. The aging process causes cementum surface irregularities, inhibition of osteoblast activity, and reduction in the number of fibroblasts. Loss of attachment and alveolar bone resorption was affected by frequent exposure to other risk factors. The risk factors that influence the development of periodontal disease in the elderly include systemic diseases, such as diabetes mellitus and osteoporosis, systemic conditions, such as obesity, metabolic syndrome, and stress, treatment of systemic diseases, and limited access to oral health care. Although the potential link between periodontal disease and systemic disease has been established, the extent of this relationship has not yet been clearly explained. Understanding the factors that influence periodontal disease in the elderly is important because it may provide a better understanding of the treatment. The multiple risk factors that cause periodontal disease in elderly patients require special attention involving multidisciplinary teams.


Author(s):  
Eber Paraguassu

Introduction: The Brazilian population has undergone demographic changes over the years. This increase in life expectancy has resulted in the growth of the country's elderly population, necessitating giving people a aging with quality of life. Objective: to report the oral health conditions of the Brazilian elderly, emphasizing the quality of life of the elderly, as well as the knowledge of the caregivers regarding the hygiene and maintenance of the oral health of this population. Material and method: This is a bibliographic study, covering the search for articles published in the last two years in the Scientific Electronic Library Online (SciELO) about "Oral Health Conditions of the Elderly in Brazil". The following descriptors were used: "dentistry", "elderly" and "oral health". In the screening of articles, using the inclusion criteria, nineteen articles were studied, of which six articles published in 2014, nine articles published in 2015 and four articles published in 2019. Conclusion: One can conclude with this work that there is a need for dental treatment aimed at this population, due to the pathologies from aging itself. Key Words: Geriatric Dentistry; Oral Health; Oral hygiene


Author(s):  
Thang Pham ◽  
Nguyen Nguyen ◽  
Sophie ChieuTo ◽  
Tuan Pham ◽  
Thanh Nguyen ◽  
...  

In Vietnam, as in much of the world, the elderly population is growing rapidly. Two-thirds of Vietnam’s elderly live in rural areas, where there may be unique health profiles and needs. Furthermore, the sex ratio in the elderly population is highly skewed. The relationship between sex, health-seeking behavior, and health outcomes in elderly individuals residing in rural areas has not been well-characterized, and needs to be elucidated in order to better serve this population. This study sought to explore the associations of sex with health and health-seeking behavior among the elderly in Soc Son, a rural district of Hanoi. A cross-sectional design was employed; elderly women and men were surveyed across the domains of socioeconomic information, health status, and healthcare service utilization. We found differences between women and men in sociodemographic characteristics, quality of life, health outcomes, and patterns of health services utilization. Overall, women had poorer health and quality of life, but no difference was found between sexes regarding level of health services utilization. Future research should expand upon these findings and, moreover, characterize their underlying systemic, sociocultural, and psychological mechanisms, in order to help bring solutions to improve the health of elderly persons in rural parts of Vietnam.


2018 ◽  
Vol 24 (3) ◽  
pp. 254-269
Author(s):  
Ivana Figueiredo de Oliveira Aquino

Abstract The elderly population is increasing worldwide, leading to a growing concern about the quality of life of this segment of the population, including housing issues. Aging brings several perceptual, cognitive and motor limitations that make it difficult to understand spatial information. These limitations have an impact on the elderly’s understanding of graphic representations of dwelling projects, as effectiveness in the communication between architects and elderly users may be jeopardized. With this in mind, a study on elderly users’ understanding of project representations was conducted in Brazil. The study investigated the understanding of three project representations: 2D technical drawings; electronic model with 3D static perspectives of the space; and digital simulation of virtual tour through a house project. 15 people took part in the study. In general, the results showed poor comprehension of all representations, the virtual tour representation yielding the most positive outcomes. The possible influence of age and gender on the performance of the participants is discussed. It is concluded that ageing and realism in depiction affect elderly users’ assimilation of information presented in architectural projects, corroborating the literature.


2018 ◽  
Vol 21 (3) ◽  
pp. 283-292 ◽  
Author(s):  
Camila Zanesco ◽  
Danielle Bordin ◽  
Celso Bilynkievycz dos Santos ◽  
Erildo Vicente Müller ◽  
Cristina Berger Fadel

Abstract Objective: To identify factors that determine the negative perception of the health of the Brazilian elderly, considering sociodemographic conditions, functional limitations and illness, patterns of utilization of health services and oral health condition. Method: A cross-sectional study with data from the National Health Survey (2013), involving 23,815 elderly persons was carried out. Once the database was treated, dimensionality reduction was performed using the Waikato Environment for Knowledge Analysis. The variables related to health perception were evaluated through logistic regression to measure the magnitude of the associations. Health perception and 36 independent variables were considered as outcome variables. Results: The variables most strongly related to the negative perception of the health of the elderly were illiteracy (OR=1.48), low educational level, total difficulty in performing instrumental activities of daily living (OR=2.04), impossibility of performing any activity (OR=3.20), presence of a diagnosis of physical or mental illness (OR=2.44), negative self-perception of oral health (OR=1.92), an increased need for health services in recent weeks (OR=1.16), medical visits and hospitalization in the last 12 months (OR=1.40). Conclusion: The use of multidimensional methodologies can identify the influence of determinants of a negative perception of health among Brazilian elderly persons, and can support the formulation of public health policies aimed at the elderly population.


2012 ◽  
Vol 10 (1) ◽  
pp. 24-29 ◽  
Author(s):  
S Sanjel ◽  
N Mudbhari ◽  
A Risal ◽  
K Khanal

Background Population ageing is a common problem faced in many countries world-wide. Due to physiological and biochemical changes in the elderly, increased incidence of diseases is observed. There is often low use of health services by the elderly for a variety of reasons. Objective To examine the status of health care utilization and to determine the factors associated with utilization of health care among the elderly population of Dhulikhel Municipality. Methods A quantitative descriptive-cross sectional study, with a total number of 200 elderly people residing in Dhulikhel Municipality, was selected for the study. Data were collected across the months of June - July 2011 applying two-staged cluster and systematic random sampling method. Both descriptive and inferential statistics were measured. Results Sixty eight percent of the elderly visited medical personnel in the past year. Eight percent of them visited the emergency department where most of them reported with symptoms attributed to heart disease. Among 200 elderly, 12.5% of them were admitted to the hospital and 53.0% utilized diagnostic services. Age, marital status, activities of daily living, and regular medication showed significant association with health services utilization at 95% level of confidence (p >0.05). Conclusion Marital status, daily living habits, existence of chronic disease, and regular medication demonstrated significant association with the utilization of health care. Social support services, informal education, and awareness programs targeting the senior citizens and studies covering a diverse population are recommended. KATHMANDU UNIVERSITY MEDICAL JOURNAL  VOL.10 | NO. 1 | ISSUE 37 | JAN - MAR 2012 | 34-39 DOI: http://dx.doi.org/10.3126/kumj.v10i1.6911


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