Influencing Factors of Undermet Care Needs of the Chinese Disabled Oldest Old People When Their Children Are Both Caregivers and Older People: A Cross-Sectional Study

We examined the influencing factors of the undermet care needs of the Chinese disabled oldest old people when their children are both caregivers and are themselves older people. Data were obtained from a cross-sectional survey: the Chinese Longitudinal Healthy Longevity Survey (CLHLS) in 2018. The study participants included 1617 disabled oldest old people whose primary caregiver were their children or children-in-law and were aged 60 years and over. The results showed that the prevalence of undermet needs remained high, with 49.6% disabled oldest old people reporting undermet care needs. Binary logistic regression analysis revealed that living in a rural area (OR = 1.309, 95% CI = 1.133–1.513) and a higher frailty index (OR = 1.103, 95% CI = 1.075–1.131) were significantly positively associated with higher odds for undermet care needs, while a higher annual household income (OR = 0.856, 95% CI = 0.795–0.923), more financial support from children (OR = 0.969, 95% CI = 0.941–0.997), higher care expenditures (OR = 1.044, 95% CI = 1.002–1.088), better caregiver’s performance (OR = 0.282, 95% CI = 0.196–0.407) and sufficient income to pay for daily expenses (OR = 0.710, 95% CI = 0.519–0.973) were significantly inversely associated with higher odds for undermet care needs. This evidence suggests the importance of policies to establish a community-based socialized long-term care system and supporting family caregivers of the disabled oldest old people.

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Instructors’ Perceptions of Mostly Seated Exercise Classes: Exploring the Concept of Chair Based Exercise

BioMed Research International ◽

10.1155/2016/3241873 ◽

2016 ◽

Vol 2016 ◽

pp. 1-8 ◽

Cited By ~ 3

Author(s):

Katie R. Robinson ◽

Tahir Masud ◽

Helen Hawley-Hague

Keyword(s):

Older Adults ◽

Older People ◽

Qualitative Data ◽

Framework Analysis ◽

Delphi Consensus ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Term Care ◽

Exercise Programmes ◽

Exercise Classes

Chair based exercise (CBE) can be used to engage older adults unable to take part in standing exercise programmes. Defining and understanding the context of CBE have been acknowledged as a challenge. We explore instructor experiences of delivering mostly seated exercise classes for older people and how this helps us to further understand the concept of CBE. We extracted qualitative data from a cross-sectional survey with 731 exercise instructors. 378 delivered mostly seated classes and 223 of those instructors provided qualitative data. There were 155 instructors who did not provide any qualitative comments. Framework analysis was used and informed by a Delphi consensus study on CBE. Instructors perceived mostly seated classes as predominantly CBE; they defined it as an introductory class that should be offered as part of a continuum of exercise. It was considered suitable for those with limitations and older adults in long-term care and with dementia. Instructors reported CBE used inappropriately for more active older people. Instructors reported observing improvements in mood and cognition and broader social benefits. Instructors’ perspectives largely support expert consensus that CBE has an important role in a continuum of exercise. Providers of CBE need to ensure that more challenging exercises are introduced where appropriate. Further research is needed to explore older adults’ perceptions of CBE.

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‘Has she seen me?’: a multiple methods study of the pharmaceutical care needs of older people with sensory impairment in Scotland

BMJ Open ◽

10.1136/bmjopen-2018-023198 ◽

2018 ◽

Vol 8 (8) ◽

pp. e023198 ◽

Cited By ~ 5

Author(s):

Nour Alhusein ◽

Leah Macaden ◽

Annetta Smith ◽

Kathleen M Stoddart ◽

Andrea J Taylor ◽

...

Keyword(s):

Older People ◽

Community Pharmacy ◽

Pharmaceutical Care ◽

Healthcare Providers ◽

Community Pharmacists ◽

Sensory Impairment ◽

Care Needs ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Survey Responses

ObjectivesTo explore the pharmaceutical care needs of, and service provision to, older people with sensory impairment (visual, hearing and dual impairment) on prescribed polypharmacy (≥4 medicines) in Scotland.DesignInterviews were conducted with older people with sensory impairment and community pharmacy personnel, which informed the content of a subsequent national cross-sectional survey of community pharmacists.SettingScotland, 2015–2016.ParticipantsOlder people with sensory impairment and community pharmacy personnel.ResultsInterviews were completed with 23 older people with sensory impairment (dual impairment n=13, visual or hearing impairment n=5 of each) and 30 community pharmacy personnel from eight of 14 Scottish Health Boards. A total of 171 survey responses were received.Older people reported that they did not always disclose their sensory impairment to pharmacy personnel. They also reported that medicines were difficult to identify particularly when their name, shape or colour changed. Pharmacy personnel relied on visible cues such as white canes or guide dogs to identify visual impairment and suggested that hearing loss was less visible and more difficult to identify. Many assistive aids in support of medicine management, such as dosette boxes, seemed inadequate for complex medication regimens. Few community pharmacy personnel reported receiving training in the care of people with sensory impairment.ConclusionsThis is the first comprehensive, multistakeholder, in-depth exploration of the pharmaceutical care needs of older people with sensory impairment. Strategies are needed to enable people with sensory impairment to disclose their impairment to pharmacy personnel (and other healthcare providers). Community pharmacy personnel require training to deliver person-centred pharmaceutical care for older people with sensory impairment particularly regarding communication with individuals in this vulnerable population.

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Unmet health care needs of older people: prevalence and predictors in a French cross-sectional survey

European Journal of Public Health ◽

10.1093/eurpub/ckt179 ◽

2013 ◽

Vol 24 (5) ◽

pp. 808-813 ◽

Cited By ~ 25

Author(s):

M. Herr ◽

J.-J. Arvieu ◽

P. Aegerter ◽

J.-M. Robine ◽

J. Ankri

Keyword(s):

Health Care ◽

Older People ◽

Health Care Needs ◽

Care Needs ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Unmet Health Care Needs

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Prevalence and risk factors of worry among teachers during the COVID-19 epidemic in Henan, China: a cross-sectional survey

BMJ Open ◽

10.1136/bmjopen-2020-045386 ◽

2021 ◽

Vol 11 (7) ◽

pp. e045386

Author(s):

Yanqing Wang ◽

Quanman Li ◽

Clifford Silver Tarimo ◽

Cuiping Wu ◽

Yudong Miao ◽

...

Keyword(s):

Influencing Factors ◽

Age Groups ◽

Educational Status ◽

Henan Province ◽

Anxiety Level ◽

Cross Sectional Survey ◽

Cross Sectional ◽

School Location ◽

Fear Level ◽

Attention Level

ObjectiveTo evaluate the level of worry and its influencing factors during the COVID-19 epidemic among teachers in Henan Province in China.Study designA cross-sectional study was conducted.MethodsWe designed a cross-sectional survey that included 88 611 teachers from three cities in Henan Province, China between 4 February 2020 and 12 February 2020. Level of worry was measured using a five-item Likert scale, with 1 being ‘not worried’ and 5 being ‘very worried’. The OR and 95% CI of potential influencing factors for level of worry among study participants were estimated using ordinal logistic regression models.ResultsAbout 59% of teachers reported being ‘very worried’ about the COVID-19 epidemic. The proportion of female teachers was higher than of male teachers (60.33% vs 52.89%). In all age groups considered in this study, a ‘very worried’ condition accounted for the highest proportion. The age group 40–49 years had the lowest proportion of participants who were very worried, 52.34% of whom were men and 58.62% were women. After controlling for potential confounding factors, age, education level, type of teacher, school location, attention level, fear level, anxiety level and behaviour status were all related to level of worry (all p<0.05).ConclusionDuring the COVID-19 epidemic, there was a high proportion of teachers who were ‘very worried’ about the situation in Henan Province, China. Our study may remind policymakers to consider factors including age, educational status, type of teacher, school location, source of information on COVID-19, attention level, anxiety level, fear level and behaviour status to alleviate worry.

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Support received by family members before, at and after an ill person’s death

BMC Palliative Care ◽

10.1186/s12904-021-00800-8 ◽

2021 ◽

Vol 20 (1) ◽

Author(s):

Anna O’Sullivan ◽

Anette Alvariza ◽

Joakim Öhlén ◽

Cecilia Larsdotter

Keyword(s):

Survey Design ◽

Family Members ◽

Time Of Death ◽

Healthcare Staff ◽

Care Needs ◽

Advanced Illness ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Bereaved Family

Abstract Background It is widely recognised, that family members are central to care of people with advanced illness, and that support should be provided to all family members in need thereof. The aim of this study was to investigate family members’ experiences of support received during the last three months of life, at the time of death and after the death of a person with advanced illness. Methods A retrospective cross-sectional survey design was employed, using the VOICES(SF) questionnaire and multiple methods for data analyses. The sample consisted of 485 bereaved family members (aged: 20–90 years old, 70% women) of people who died in hospital between August 2016-April 2017. Results Of the family members, 58,8% reported they had received enough help and support during the illness, whereas 30,2% had not. Family members’ comments about support during the illness were mainly related to care the ill person had or had not received, rather than about support they themselves received. Of all family members, 52,8% reported having had enough support at the time of the ill person’s death. Related to support at death, 14,6% reported that the imminence of death was not clear, which was described as having affected their opportunity to be with the dying person at the time of death. Of all, 25,2% had a follow-up conversation after the death, 48% did not and did not want to, and 21% had no follow-up conversation, but would have liked one. A follow-up conversation was described as helpful for the bereavement process, and disappointment was expressed when not receiving support after the death. Conclusions Family members’ experiences of support were partly related to whether the ill person’s care needs were fulfilled. Healthcare staff expressing empathy and respect in the care of dying people and their family members were important for family members’ experiences of support. Family members’ difficulty recognising that death was imminent and the importance of healthcare staff providing them with clear information were expressed in connection with support at death. Follow-up conversations were valued by family members, especially if with a healthcare professional who was present at the time of death.

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Correlates of perceived caring behaviour of formal caregivers in long‐term care facilities: A cross‐sectional survey

Scandinavian Journal of Caring Sciences ◽

10.1111/scs.12981 ◽

2021 ◽

Author(s):

Huei‐Lih Hwang ◽

Chin‐Tang Tu ◽

Tian‐Yuan Kuo

Keyword(s):

Long Term Care ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Term Care ◽

Formal Caregivers ◽

Care Facilities

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Being useful among persons aged over 65: social representations from a cross-sectional European study

Aging Clinical and Experimental Research ◽

10.1007/s40520-020-01767-x ◽

2021 ◽

Author(s):

Paul de Boissieu ◽

Serge Guerin ◽

Véronique Suissa ◽

Fiona Ecarnot ◽

Aude Letty ◽

...

Keyword(s):

Social Representations ◽

Oldest Old ◽

Educational Status ◽

Well Being ◽

European Countries ◽

City Size ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Socially Isolated ◽

Quota Sampling

Abstract Background There is a compelling need to prepare our societies and healthcare systems to deal with the oncoming wave of population ageing. The majority of older persons maintain a desire to be valued and useful members of society and of their social networks. Aims We sought to investigate the perception of usefulness among persons aged 65 years and over in four European countries. Methods We performed a cross-sectional survey with a representative sample of individuals aged 65 years or older from the population of retired persons (including recently retired persons and oldest-old individuals) from 4 European countries selected using quota sampling. In February 2016, an internet questionnaire was sent to all selected individuals. The characteristics used for the quota sampling method were sex, age, socio-professional category, region, city size, number of persons in household, autonomy, marital status, place of residence, income and educational status. The questionnaire contained 57 questions. Sociodemographic characteristics were recorded. Responses were analysed with principal components analysis (PCA). Results A total of 4025 persons participated; 51% were males, and 70% were aged 65–75 years. PCA identified six classes of individuals, of which two classes (Classes 2 and 3) were characterized by more socially isolated individuals with little or no sense of usefulness, low self-esteem and a poor sense of well-being. These two classes accounted for almost 20% of the population. Younger and more autonomous classes reported a more salient sense of usefulness. Conclusions The loss of the sense of usefulness is associated with dissatisfaction with life and a loss of pleasure, and persons with profiles corresponding to Classes 2 and 3 should, therefore, be targeted for interventions aimed at restoring social links.

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Determinants of housing demand in the Erzurum province, Turkey

International Journal of Housing Markets and Analysis ◽

10.1108/ijhma-11-2013-0056 ◽

2014 ◽

Vol 7 (4) ◽

pp. 586-602 ◽

Cited By ~ 4

Author(s):

Erkan Oktay ◽

Abdulkerim Karaaslan ◽

Ömer Alkan ◽

Ali Kemal Çelik

Keyword(s):

Housing Prices ◽

Binary Logistic Regression ◽

Housing Demand ◽

Outcome Variable ◽

Binary Logistic Regression Analysis ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Content Type ◽

Comprehensive Survey ◽

Income Expectations

Purpose – The main aim of this study is to determine the factors that influence the housing demand of households in Erzurum, northeastern Turkey. Housing demand is generally affected by several factors including housing prices, individuals’ income, expectations and choices and so on, as a means of its demographic and socio-psychological contexts. Design/methodology/approach – A questionnaire-based cross-sectional survey was carried out, in which the outcome variable had binary responses such as whether to invest in housing or not. A binary logistic regression analysis was performed to estimate the underlying data. Findings – The questionnaire was conducted in 2,927 households living in Erzurum city center, and 47 per cent of the respondents claimed that they would consider investing in housing in the future. The estimation results reveal that demographic or socio-economic factors that may possibly influence housing demand of the respondents are as follows: household head’s and spouse’s occupation, monthly income, the number of individuals in the family and car ownership. Originality/value – This paper involves the most comprehensive survey addressing the housing demand in the East Anatolian Region, Turkey. Additionally, this paper aims to contribute to the existing housing literature through establishing the statistical analysis of housing demand in an unstudied territory of the world.

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Redeveloping Secure Psychiatric Services for Women

Medicine Science and the Law ◽

10.1258/rsmmsl.45.4.331 ◽

2005 ◽

Vol 45 (4) ◽

pp. 331-339 ◽

Cited By ~ 10

Author(s):

Stuart D M Thomas ◽

Mairead Dolan ◽

Jenny Shaw ◽

Samantha Thomas ◽

Graham Thornicroft ◽

...

Keyword(s):

Clinical Presentation ◽

Psychiatric Hospitals ◽

Antisocial Behaviour ◽

Care Needs ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Suitable Alternative ◽

High Security ◽

Risk Treatment ◽

The Individual

Historically, a substantial proportion of women have been unduly detained in conditions of high security in England due to the lack of suitable alternative facilities. There have been no studies that have comprehensively examined the individual needs of these women in relation to their placement needs. A cross sectional survey was undertaken of the individual and placement needs of all females detained in the three high security psychiatric hospitals (HSPHs) in England on 18th October 1999. Whilst there are clearly differences in accommodation needs among the women, those requiring lower secure services are significantly less likely to have needs in relation to violence (OR 0.29, 95% CI 0.14-0.62) and drugs (OR 0.29, 95% CI 0.12-0.67) when length of stay is taken into account. They also have lower security, treatment and dependency needs than women still requiring HSPH treatment. A significant reorganisation of services is required. There is a need to gain further understanding of the relationships between traumatic histories, clinical presentation and antisocial behaviour and how these impact on assessed risk, treatment and care needs and outcome. The special needs of these women should be considered a priority when developing treatment and care packages.

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