The role of health care toward healthy longevity: life style and social relationship among community-dwelling elderly people in Japan

Abstract Based on the data from National Social Life, Health and Aging Project, Wave 3, this study examined two research questions: what is the role of race in predicting cognitive status? and what are predictors of cognitive status between white and black older adults? Cognitive status was assessed using the 18-item survey-adapted Montreal Cognitive Assessment. Using the ecological framework, correlates of cognitive status were conceptualized in three levels of environments: micro- (personal health), meso- (social relationship), and macro-environments (community characteristics). Hierarchical regressions analyses were employed. Findings indicated that 83% of the sample (n= 2,829) were whites and the mean age was 72.95. Bivariate analyses suggested significant racial differences in cognitive status, marital status, income, education, health, social relationship, and community characteristics. Additive and interactive models showed that race had an independent effect as well as joint effects with the three levels of environments in explaining cognitive status. Parallel regression analyses for each racial group were undertaken and models were significant (P < .0001). In two separate models, common predictors for better cognition included being younger, more educated, fewer IADL impairments, and less depression. For older whites, unique correlates for better cognition were being female, higher income, sense of control in life, safer community, and neighbor relations. The only unique correlate for older blacks to have better cognition was community cohesion. Results provided insights on racial differences in cognition experienced among community-dwelling older Americans, and emphasized the need for social programs that promote race-sensitive, age-friendly communities to protect against cognitive decline.

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Cultural Domination in New Normal Implementation on Behalf of Pandemic Covid 19

Al-Ulum ◽

10.30603/au.v21i2.2386 ◽

2021 ◽

Vol 21 (2) ◽

Author(s):

Pratisto Tinarso

Keyword(s):

Health Care ◽

Cultural Values ◽

Life Style ◽

Group Discussion ◽

Community Health Care ◽

New Normal ◽

New Era ◽

Normal Life ◽

Cultural Domination

This study focuses on cultural domination effect in society on New Normal era. This study is a field study. The data was collected through data inventory, then it analyzed and interpreted. The result of this research showed three aspect of new normal culture in society, firstly, ideally the New normal life style should be socialized in society cultural forum, such as forum group discussion, colloquy, seminar, etc. Secondly, the society will be more familiar with the New Era life style, when its implementation accommodates cultural values of society and respect the ritual ceremony of custom and culture. Thirdly, the New Normal life style implementation will be more convenient to be accepted in society, when it improved the role of custom and society leaders. Fourthly, the definition and the meaning of New Normal life style, nowdays, should be enrich by the meaning of health care in line with cultural society which tends to community health care more than to personality health care.

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Foot care: who cares?

Reviews in Clinical Gerontology ◽

10.1017/s0959259898008326 ◽

1998 ◽

Vol 8 (3) ◽

pp. 197-202

Author(s):

N Gilbert ◽

T Galloway ◽

R Green

Keyword(s):

Health Care ◽

Elderly Patients ◽

Elderly People ◽

Lower Limb ◽

Systemic Disease ◽

Limb Amputation ◽

Care Provision ◽

Foot Care ◽

Foot Problems

Foot disorders are common in elderly people and lead to significant difficulties in the form of immobility, pain and gait imbalance. Neuropathic changes associated with systemic disease, such as diabetes, carries the potential for ulcer development leading to possible foot or lower limb amputation. The role of the podiatric surgeon and the podiatrist/chiropodist in the prevention of foot problems in elderly patients is an important and often neglected element of health care for this group. Foot care is at present provided by podiatrists/chiropodists, nurses, orthotists, general practitioners, rheumatologists, geriatricians, casualty specialists, orthopaedic surgeons and podiatric surgeons. Sadly, foot care provision by these professionals is poorly co-ordinated. In most cases this is the result of the general lack of knowledge most professions have about the role of others; however, in at least one instance (orthopaedics), the issue is one of professional rivalry.

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Role of permanent atrial fibrillation (AF) on long-term mortality in community-dwelling elderly people with and without chronic heart failure (CHF)

Archives of Gerontology and Geriatrics ◽

10.1016/j.archger.2011.06.003 ◽

2012 ◽

Vol 55 (1) ◽

pp. 91-95 ◽

Cited By ~ 10

Author(s):

Gianluca Testa ◽

Francesco Cacciatore ◽

David Della-Morte ◽

Gianluigi Galizia ◽

Francesca Mazzella ◽

...

Keyword(s):

Heart Failure ◽

Atrial Fibrillation ◽

Chronic Heart Failure ◽

Elderly People ◽

Community Dwelling ◽

Permanent Atrial Fibrillation ◽

Long Term Mortality

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Psychiatric Illness in Relation to Frailty in Community-Dwelling Elderly People without Dementia: A Report from the Canadian Study of Health and Aging

Canadian Journal on Aging / La Revue canadienne du vieillissement ◽

10.3138/8774-758w-702q-2531 ◽

2007 ◽

Vol 26 (1) ◽

pp. 33-38 ◽

Cited By ~ 31

Author(s):

Melissa K. Andrew ◽

Kenneth Rockwood

Keyword(s):

Older Adults ◽

Health Care ◽

Elderly People ◽

Health Care Professionals ◽

Psychiatric Illness ◽

Frailty Index ◽

Community Dwelling ◽

Mental Illnesses ◽

Canadian Study ◽

Index Value

ABSTRACTWe investigated whether frailty, defined as the accumulation of multiple, interacting illnesses, impairments and disabilities, is associated with psychiatric illness in older adults. Five-thousand-six-hundred-and-seventy-six community dwellers without dementia were identified within the Canadian Study of Health and Aging, and self-reported psychiatric illness was compared by levels of frailty (defined by an index of deficits that excluded mental illnesses). People with psychiatric illness (12.6% of those surveyed, who chiefly reported depression) had a higher mean frailty index value than those who did not. Older age was not associated with higher odds of psychiatric illness. Taking sex, frailty, and education into account, the odds of psychiatric illness decreased with each increasing year of age (OR 0.95; 95% CI, 0.94–0.97). Frailty was associated with psychiatric illness; for each additional deficit-defining frailty, odds of psychiatric illness increased (OR 1.23; 95% CI, 1.19–1.26). Similarly, psychiatric illness was associated with much higher odds of being among the most frail. These findings lend support to a multidimensional conceptualization of frailty. Our data also suggest that health care professionals who work with older adults with psychiatric illness should expect frailty to be common, and that those working with frail seniors should consider the possible co-existence of depression and psychiatric illness.

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