scholarly journals Assessing the General Health Indicators Predicting Marital Satisfaction in Older Couples

2020 ◽  
Vol 24 (5) ◽  
pp. 410-421
Author(s):  
Zahra Mahdikhani ◽  
◽  
Mitra Habibollah Pour ◽  
Seyedeh Ameneh Motalebi ◽  
Ali Reza Salmani ◽  
...  

Background: Due to the increasing life expectancy and aging population, attention to general health and marital satisfaction of older people can provide an opportunity to improve their living conditions. Objective: This study aims to assess the general health indicators of older couples to predict their marital satisfaction. Methods: This descriptive cross-sectional study was conducted on 110 older couples (men and women) living in Qazvin, Iran who were selected using two-stage cluster sampling technique. A demographic form, General Health Questionnaire (GHQ) and The ENRICH Marital Satisfaction Scale (EMSS) were used to collect data. Descriptive statistics and multivariate regression analysis were used for data analysis. Findings: The Mean±SD age of older women and men±SD was 64.15±5.46 years and 67.68±6.93 years, respectively. Their Mean±SD EMSS score was reported 109.72±12.58. Multivariate analysis showed that gender (β=0.169, P=0.050), age (β=0.097, P=0.567), age of marriage (β=0.214, P=0.002), somatic symptoms (β=0.233, P=0.013), anxiety/insomnia (β=0.227, P=0.008), social dysfunction (β=0.326, P<0.001), and depression (β=0.356, P<0.001) could significantly predict marital satisfaction. Conclusion: Different dimensions of general health can affect marital satisfaction of older couples. Therefore, interventions in these domains and the promotion of general health level can lead to increased marital satisfaction and, consequently, quality of life in the elderly.

Author(s):  
Fatemeh Sadat Izadi-Avanji ◽  
Ali Hajibagheri ◽  
Esmaeel Azizi Fini

Introduction: Marital satisfaction is one of the indicators of health and well-being in all age groups, although determinants of satisfaction among older couples are unclear. The aim of this study was to predict marital satisfaction based on resilience and mental health in the elderly population in Kashan. Methods: This descriptive-correlational study was carried out on 400 elderly covered by Kashan health centers in 2015. Sampling was done by multistage cluster sampling. The data were collected using marital satisfaction Enrique's Persian Questionnaire, Connor Davidson Resilience Questionnaire, and General Health Questionnaire. Data were analyzed using descriptive statistic and linear regression with stepwise method in SPSS Inc, Chicago, IL, and version 16. Results: The results showed that the resilience (β = 0.80, p <0.001) and mental health (β = -0.14, p <0.001) were predictors of marital satisfaction. These variables explained 78% of variance in marital satisfaction in the elderly (P<0.001). Conclusion: The study showed that resilience and mental health have closed relationship with marital satisfaction in the elderly. Therefore, it should help to improve the marital satisfaction and having a successful aging in the elderly by conducting educational interventions to increase resilience and promote mental health.


Author(s):  
Ehsan Janati ◽  
Mohammad Ali Morowati Sharifabad ◽  
Reza Jafari Noudushan ◽  
Mohamad Javad Zare Sakhvidi ◽  
Sara Jambarsang

Introduction: The body's response to noise pollution is very similar to the way the body responds to stress, which can lead to poor health over time. In this regard, this study was conducted to determine the general health of the elderly and its relationship with traffic noise pollution in Ardakan. Methods: This descriptive cross-sectional study was conducted in 1399. Participants were 200 elderly people in Ardakan and were included in the study by random sampling. Data were collected through sound measurement with SVANTEK device, General Health Questionnaire 28 (GHQ-28). After completing the questionnaires and measurements, the collected data were entered into SPSS-19 software and descriptive statistics as well as analytical statistics including: Chi-square, regression and analysis of variance were used to analyze it. Results: The overall average sound level equivalent in decibels at all measuring stations was within the standard range. There was a significant relationship between noise annoyance and the dimensions of "anxiety symptoms and sleep disorders" and "depressive symptoms" of general health (p <0.001). Conclusion: People with more voice annoyance have more anxiety, sleep disorders and depression. Existence of noise pollution levels in the allowable or standard level can lead to the observation of no significant relationship between traffic noise pollution levels and general health. Reducing anxiety, depression and sleep disorders in the elderly is possible with interventions to reduce voice irritation in them.  


2021 ◽  
Vol 1 (2) ◽  
pp. 31-37
Author(s):  
Dewi Puspa Cipta Utami

Introduction: The role of the family is the specific behavior expected by someone in the family member. Anxiety is a fear that is not clear and is not supported by the situation. Objective:  To Know the Relationship of Family Role to the Level of Anxiety in the Elderly in Hamlet 01 Kukusan Beji-Depok Method: The research method uses analytics with a cross-sectional approach. The study population was 288 people with a sample of 81 respondents using the Slovin formula. In the sampling technique using cluster sampling. Results: The results showed that the respondents with a bad family role as many as 41 (50.6%) anxiety levels of the middle aged were 59 (72.8%). The results of statistical tests using the chi-square test indicate that there is a significant or significant relationship between the role of the family and the level of anxiety of the elderly with a value of p-value 0.01. Conclusion: It was concluded that there was a relationship between the role of the family and the level of anxiety of the elderly in the Hamlet 01 Kukusan Beji District Depok City.


2017 ◽  
Vol 4 (3) ◽  
pp. 117
Author(s):  
Rizky Erwanto

<p><em>Treatment of elderly needs to be considered properly, the elderly who have difficulty in performing daily activities at home, such as toileting, eating, dressing, </em><em>bathing</em><em> and </em><em>transferring</em><em>. Issues relating to the elderly lead to dependence on others. Elderly dependency ratio can be classified in decreasing independence</em><em>. Elderly needs family to </em><em>perform</em><em> their</em><em> activities of daily living independently</em><em>. Caring for the E</em><em>lderly</em><em> </em><em>may have an impact on family in the form of expenses incurred for the elderly require continuous assistance</em><em>. This research aim was to identify </em><em>several factors related to the family burden of caring for the elderly in the treatment daily activities.</em><em> </em><em>The study </em><em>design used</em><em> cross sectional method. The sampling method </em><em>used</em><em> cluster sampling technique. Respondents that family members caring for the elderly totaling 98 respondents. The study was conducted in July 2015. </em><em> B</em><em>ivariate test used chi-square test.</em><em> </em><em>Based on bivariate analysis between knowledge </em><em>and</em><em> family expenses 0</em><em>.</em><em>002</em><em>. </em><em>Socioeconomic relations that includes education, employment, and income with the burden of the family, education was obtained p</em><em>-</em><em>value 0.039, 0.017 jobs, and income 0.0</em><em>. </em><em>The relationship between long care for the elderly load was obtained p-</em><em>v</em><em>alue </em><em>0.</em><em>024. There </em><em>were</em><em> a significant relationship between the knowledge of the family, economic s</em><em>o</em><em>sial</em><em> of the family and</em><em> </em><em>long of care</em><em> for the elderly with the burden of caring for elderly relatives. Families should aim to increase knowledge about the care activities of daily living in the elderly with a lot of reading and find out about the care activities of daily living in the elderly through mass media. </em><em>Cadres</em><em> should increase the knowledge about the knowledge of the care activities of daily living by means of training and counseling held in the clinic so in practice cadres received extensive insight maintenance activities of daily living in the elderly and families teach the elderly</em><em>.</em></p>


2019 ◽  
Vol 15 (2) ◽  
pp. 110
Author(s):  
Herlin Silvana ◽  
Defriman Djafri ◽  
Reni Dayati

Anxiety often occurs in the elderly and it can affect the life quality of the elderly. The older a person is, the occurence of anxiety increases. As the number of elderly increases, it is very important to maintain the health of the elderly. If not, it will result in the decreased physical condition, limited mobility, decreased independence, loss of self-confidence and decreased social activity. Knowing and controlling the causative factors of anxiety can be a solution to overcome anxiety in the elderly. This study aimed the factors associated with the anxiety level of the elderly with chronic deseases in Kab. Sijunjung. The design of this research was cross sectional approach and logistic multivariable regressions method. The samples were chosen by a cluster sampling technique with a total of 207 elderly with chronic diseases. The results revealed that factors of income, social support, social activities, and history of trauma had a significant relationship with the anxiety level of the elderly with chronic deseases and social support is the most dominant factor that related to. Thus, it was suggeste to increase the nursing interventions with an approach to the family support and it was focused on improving regular health screening so that the occurence of chronic deseases and anxiety in the elderly could be identified earlier


Author(s):  
Arip Ambulan Panjaitan

Introduction: Adolescent are at high risk of unwanted pragnency, including abortion, STIs, HIV/AIDS. Risky sexual behavior is one of the entrance transmissions of unwanted pregnancy. Such behavior can be influenced by various factors, beyond and within the individual factors. Teens need the support and motivation in deciding not to do risky sexual behavior. The purpose of this study was to investigate the determinants of adolescent behavior in the prevention of unwanted pregnancy.Methods: This research used cross-sectional design. The populations were students of senior high school in District Sintang. The were 123 respondents chosen by cluster sampling technique for this study. All data were collected using questionnaires and then analysed using bivariate (chi square) and multivariate analysis (logistic regression).Results: The results showed that the majority of respondents did not have good knowledge about the prevention of unwanted pregnancy. Related variable is the level of parental education (p=0.001), the support of parents/guardians (p=0.009), support teachers (p=0.005), peer support (p=0.039), residency (p=0.009), a pastime activity (p=0.000), knowledge of adolescents about reproductive health (p=0.016), perception ability of adolescents (p=0.006) and attitude of adolescents (p=0.049). Adolescent self-perception abilities are variables that most influence on the behavior of adolescents in the prevention of unwanted pregnancy.Conclusions: Efforts to improve reproductive health programs should be early and adolescent have responsibilities as well as healthy behaviors.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
S Aydoğan ◽  
A Ünsal ◽  
D Arslantaş

Abstract Background Malnutrition is an important cause of morbidity and mortality. Malnutrition increases the number of hospitalizations and prolongs the length of hospitalization by disrupting organ functions, increasing the number and severity of infections and delaying wound healing. The aim of this study was to determine the frequency of suspected malnutrition in the elderly, to examine some related variables and to evaluate the depression. Methods The study is a cross-sectional study conducted between March-April 2019 in individuals aged 60 years and older living in Sivrihisar. Sample size was calculated as 579. Cluster sampling method used. Data was collected by door to door in 4 neighborhoods determined by randomly. Mini Nutritional Assessment Test-Short Form (for malnutrition), Katz Daily Living Activities Scale (for dependency) and Geriatric Depression Scale-Short Form (for depression) were used. Chi-square test, Mann Whitney U test and logistic regression analysis were used for the analyzes. Results The study group consisted of 220 (38%) women and 359 (62%) men. The mean age was 68.9±6.4 (ranged 60-93). Frequency of suspected malnutrition was 25% (n = 145). Being 80 years of age or older (OR:3.24, CI:1.53-6.85), having a primary and lower education level (OR:2.54, CI:1.32-4.90), history of chronic illness (OR:2.34, CI:1.33-4.03), using dentures (OR:1.62, CI:1.03-2.55) and suspected depression (OR:4.97, CI:3.17-7.78) are important risk factors for malnutrition. Those with suspicion of malnutrition had lower scores on DLA (z = 8.982;p=0.001). Conclusions Malnutrition was found to be an important health problem for the elderly. The frequency of suspected malnutrition is higher in individuals with depression. Those with suspected malnutrition have higher level of dependency. In order to reduce the frequency of malnutrition, it may be beneficial to increase the awareness of the elderly and caregivers and to give importance to the elderly nutrition of primary health care providers. Key messages Depression is an important risk factor for malnutrition. Malnutrition increases the dependence of the individual on daily activities.


2014 ◽  
Vol 17 (3) ◽  
pp. 705-718 ◽  
Author(s):  
Iara Guimarães Rodrigues ◽  
Gustavo Pereira Fraga ◽  
Marilisa Berti de Azevedo Barros

Purpose: The aim of the present study was to identify factors associated with the occurrence of falls among elderly adults in a population-based study (ISACamp 2008). Methods: A population-based cross-sectional study was carried out with two-stage cluster sampling. The sample was composed of 1,520 elderly adults living in the urban area of the city of Campinas, São Paulo, Brazil. The occurrence of falls was analyzed based on reports of the main accident occurred in the previous 12 months. Data on socioeconomic/demographic factors and adverse health conditions were tested for possible associations with the outcome. Prevalence ratios (PR) were estimated and adjusted for gender and age using the Poisson multiple regression analysis. Results: Falls were more frequent, after adjustment for gender and age, among female elderly participants (PR = 2.39; 95% confidence interval (95%CI) 1.47 - 3.87), elderly adults (80 years old and older) (PR = 2.50; 95%CI 1.61 - 3.88), widowed (PR = 1.74; 95%CI 1.04 - 2.89) and among elderly adults who had rheumatism/arthritis/arthrosis (PR = 1.58; 95%CI 1.00 - 2.48), osteoporosis (PR = 1.71; 95%CI 1.18 - 2.49), asthma/bronchitis/emphysema (PR = 1,73; 95%CI 1.09 - 2.74), headache (PR = 1.59; 95%CI 1.07 - 2.38), mental common disorder (PR = 1.72; 95%CI 1.12 - 2.64), dizziness (PR = 2.82; 95%CI 1.98 - 4.02), insomnia (PR = 1.75; 95%CI 1.16 - 2.65), use of multiple medications (five or more) (PR = 2.50; 95%CI 1.12 - 5.56) and use of cane/walker (PR = 2.16; 95%CI 1.19 - 3,93). Conclusion: The present study shows segments of the elderly population who are more prone to falls through the identification of factors associated with this outcome. The findings can contribute to the planning of public health policies and programs addressed to the prevention of falls.


2021 ◽  
Vol 30 (1) ◽  
pp. 14-27
Author(s):  
Elahe Abdollahi ◽  
◽  
Somayyeh Shokrgozar ◽  
Mahboobe Sheerojan ◽  
Mahboobe Golshahi ◽  
...  

Background: The aging population is increasing rapidly; therefore, paying attention to the needs of older people is necessary. Sexual satisfaction, which is needed to feel happy, is often neglected in older women. Objective: This study aims to evaluate the relationship between sexual satisfaction and mental health in older women. Materials and Methods: In this analytical study with a cross-sectional design, 195 married women aged ≥60 years covered by urban and rural health centers of Guilan, Iran were recruited using a cluster sampling method. A demographic form, the 28-item General Health Questionnaire (GHQ-28) and a Sexual Satisfaction Questionnaire were completed by participants and collected data were analyzed in SPSS v. 22 software using descriptive statistics (frequency, mean, standard deviation, median), and Mann-Whitney U, Kruskal-Wallis and Spearman correlation tests. Results: There was a significant relationship between sexual satisfaction and mental health in older women (P<0.0001). 51.2%, 27.7% and 21.08% of participants had low, moderate and high sexual satisfaction, respectively. Sexual satisfaction was directly related to monthly income (P<0.0001) and women’s and their husbands’ education (P<0.0001 and 0.006) while it was inversely related to physical illness (P=0.030), medication use (P=0.009), age (P<0.0001), number of children (P=0.022), and duration of marriage (P<0.0001). The median score of mental health in participants was 38 (ranging 24-53) and the percentage of participants with mental problems (79.4%) was higher than those without mental problems (20.6%). Conclusion: Mental health and sexual satisfaction in older women are directly related to each other; therefore, providing effective and appropriate sexual care programs is recommended for them.


2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Nihaya A. Al-sheyab ◽  
Tamer Gharaibeh ◽  
Khalid Kheirallah

Background. The prevalence of disordered eating behaviors (DEBs) have increased worldwide. It is estimated that about 31.6% of Jordanian adolescents developed DEB. Engaging in peer groups is a prominent event in which adolescents try to belong to peers as part of exploring their social identity. Purpose. To assess the relationship between risk of eating disorders and peer pressure among adolescents. Methods. A descriptive, correlational, cross-sectional design utilized multistage cluster sampling technique was used to recruit students from 8th to 10th grades from both sexes from schools in northern Jordan. Data were collected from a self-administered, online questionnaire which was given to 738 participants. Results. The difference in overall mean of the Inventory of Peer Influence on Eating Concerns (I-PIEC) between adolescents with disordered eating behaviors and normal eating behaviors states was statistically significant. Scores for interaction peer pressure means were statistically higher for girls than for boys; conversely, likeability mean scores were statistically higher for boys than girls. Conclusions. The current findings suggest that healthcare professionals are encouraged to conduct appropriate school-based primary prevention for disordered eating behaviors.


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