Do Older Adults with Parent(s) Alive Experience Higher Psychological Pain and Suicidal Ideation? A Cross-Sectional Study in China

Elderly mental health promotion is an important task in the current “Healthy China Action”. This study aims to (a) clarify the psychological pain and suicidal ideation of the Chinese elderly with different parental states, (b) examine the associated factors of psychological pain and suicidal ideation, and (c) examine the relationship between psychological pain and suicidal ideation. A sample of 4622 adults aged 60 years and older were included in this study, from the China’s Health-related Quality of Life Survey for Older Adults 2018. Participants with both parents alive demonstrated the heaviest psychological pain, and those with one parent alive observed significantly lowest psychological pain and suicidal ideation. Participants who were single, divorced, or widowed, live in rural areas, had higher education level, had lower family income, suffered from two or more chronic diseases, and had no self-care ability were more likely to experience psychological pain and suicidal ideation. In addition, higher psychological pain significantly associated with the occurrence of suicidal ideation. In China, much more attention should be paid to the mental health condition of the elderly, especially for those with both parents alive. Moreover, the associated factors above should be considered to develop targeted health interventions.

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Undernutrition and associated factors in a Portuguese older adult community

Revista de Nutrição ◽

10.1590/1415-52732015000300001 ◽

2015 ◽

Vol 28 (3) ◽

pp. 231-240 ◽

Cited By ~ 7

Author(s):

Ana Luísa Moreira dos Santos ◽

Teresa Maria de Serpa Pinto Freitas do Amaral ◽

Nuno Pedro Garcia Fernandes Bento Borges

Keyword(s):

Older Adults ◽

Associated Factors ◽

Nutritional Assessment ◽

Mini Nutritional Assessment ◽

The Elderly ◽

Cross Sectional Study ◽

Self Perception ◽

Cross Sectional ◽

Major Factors ◽

Perception Of Health

OBJECTIVE: To evaluate the prevalence of undernutrition in older adults aged >75 years living in communities and to identify the main factors independently associated with undernutrition. METHODS: A cross-sectional study was conducted using a random sample of family physicians' medical records of 86 older adults aged >75 years living in the community studied. Their nutritional status was evaluated using the Mini Nutritional Assessment. RESULTS: A total of 10.5% of the elderly were undernourished and 41.9% were at undernutrition risk. According to the logistic regression multivariable model, the following characteristics: being widowed (OR=6.7; 95%CI=1.8-24.6); being institutionalized (OR=12.6; 95%CI=1.7-90.5); or having a negative self-perception of health (OR=15.0; 95%CI=3.3-69.1) were independently associated with a significant increase of undernutrition risk. CONCLUSION: The current study shows that undernutrition is highly prevalent in Portuguese older adults aged >75 years living in communities. The major factors independently associated with their undernutrition are being widowed and institutionalized and having negative self-perception of health. The results obtained show that undernutrition and its associated factors are very serious problems for older adults and a challenge in their health care.

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Mental Health of Community-Dwelling Older Adults and Related Factors: A Cross-Sectional Study

Medical - Surgical Nursing Journal ◽

10.5812/msnj.99059 ◽

2020 ◽

Vol 9 (1) ◽

Author(s):

Roohollah Farhadloo ◽

Sarallah Shojaei ◽

Hamid Torabian ◽

Mostafa Vahedian ◽

Masoumeh Zakerimoghadam ◽

...

Keyword(s):

Mental Health ◽

Older Adults ◽

Urban Areas ◽

Good Condition ◽

Well Being ◽

The Elderly ◽

Community Dwelling ◽

Anxiety And Depression ◽

Cross Sectional ◽

Distress Scale

Background: Improving lifestyle, increasing lifespan and life expectancy have led to the phenomenon of aging in societies. The increasing population of older adults is one of the most important economic, social, and health challenges in the current century. Objectives: This study was conducted to measure the mental health of older adults in Qom City and its relationship with socioeconomic factors. Methods: This is a cross-sectional descriptive-analytical study on 400 older adults over 60 years in the urban areas of Qom in 2018. A multi-stage sampling method was used for this study. The research tools were a demographic questionnaire, the Kessler Psychological Distress scale (K6), and a standard psychological well-being scale. Data were analyzed by Stata 12 software using the t-test. The significance level was considered less than 0.05. Results: Considering the mental health status, based on the K6, 55% of the elderly showed signs of low depression anxiety, 34% moderate, and 11% showed severe anxiety symptoms. Regarding the status of well-being, 49.50% were in good condition (11.3 ± 3.3), 27.75% were in moderate condition (13.8 ± 2.9), and 22.75% were in poor condition (7.3 ± 2.6). Anxiety and depression had significant relationships with gender, having an illness, marital status, having a caregiver, and income. Conclusions: The results showed that about half of the elderly in Qom had moderate anxiety and depression disorders, as well as moderate mental well-being, which indicates the moderate level of anxiety and mental disorders in the elderly in Qom.

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The Assessment of Fear of COVID-19 among the Elderly Population: A Cross-Sectional Study

Journal of Clinical Medicine ◽

10.3390/jcm10235537 ◽

2021 ◽

Vol 10 (23) ◽

pp. 5537

Author(s):

Siddarth Agrawal ◽

Mateusz Dróżdż ◽

Sebastian Makuch ◽

Alicja Pietraszek ◽

Małgorzata Sobieszczańska ◽

...

Keyword(s):

Mental Health ◽

Older Adults ◽

Well Being ◽

The Elderly ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Policy Makers ◽

Related Information ◽

Fear And Anxiety

The prevailing COVID-19 pandemic has dramatically affected the mental health and well-being of individuals. This cross-sectional study aimed to assess the perceived fear of COVID-19 among older adults in Poland and identify subpopulations with the highest risk of potential mental health disorders. The study was conducted in November–December 2020 on 500 people aged ≥60 years (mean M = 67.9, standard deviation SD = 4.2). In order to collect information on participants’ characteristics and COVID-19-related information, they were asked to complete a questionnaire based on recorded telephone calls. Perceived fear of COVID-19 was measured using our generated and validated seven-item tool: “Scale of fear of COVID-19 infection”, which ranged from 7 to 35. Multiple linear regression was performed to identify factors associated with the perceived fear of COVID-19. Our results showed that the highest level of fear of COVID-19 infection was observed among women (p = 0.025) and patients taking anticoagulants (p = 0.004). Moreover, older adults with higher anxiety levels were more likely to be fearful of COVID-19 (according to the GAS-10 scale; p < 0.001). These findings may help policy makers and healthcare workers to adapt and implement better mental health strategies to help the elderly fight fear and anxiety during the prevailing pandemic.

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Prevalence of unintended pregnancy and associated factors among pregnant women attending antenatal clinics

Clinical Nursing Studies ◽

10.5430/cns.v9n1p29 ◽

2021 ◽

Vol 9 (1) ◽

pp. 29

Author(s):

Eman H. Elshrqawy ◽

Amina M. Elnemr

Keyword(s):

Pregnant Women ◽

Unintended Pregnancy ◽

Rural Areas ◽

Associated Factors ◽

Family Income ◽

Public Health Problem ◽

University Hospitals ◽

Cross Sectional ◽

Number Of Children ◽

Antenatal Clinics

Objective: Unintended pregnancy is an important worldwide public health problem and one of the important factors contributing to high level of maternal and child morbidity and mortality. The study was aimed to assess the prevalence and associated factors of unintended pregnancy among pregnant women attending antenatal clinics.Methods: The study followed a descriptive cross-sectional design on 1,254 pregnant women who were chosen by convenient sample technique. The study was done at governmental hospitals in EL-Mansoura City, Egypt including: The antenatal clinics of Obstetric and Gynecological specialty Center at EL-Mansoura University Hospitals, Old General Hospital and Mansoura International Hospital. Two tools were utilized for data collection (The Urdu version of pregnancy intention scale (LMUP) and structured Interviewing Questionnaire.Results: The prevalence of unintended pregnancy among studied women was (29.1%), of which 229 (18.3%) were mistimed and 136 (10.8%) were unwanted. Age, higher family size, lower family income, gravidity, parity, increased number of children and birth spacing were significantly associated with unintended pregnancy.Conclusions: The study concluded that the prevalence of unintended pregnancy was high in El-Mansoura city. It is recommended to develop educational programs and campaigns especially for rural areas to improve awareness regarding family planning and other co-factors associated with unintended pregnancy.

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How Does Public Knowledge, Attitudes, and Behaviors Correlate in Relation to COVID-19? A Community-Based Cross-Sectional Study in Nepal

Frontiers in Public Health ◽

10.3389/fpubh.2020.589372 ◽

2021 ◽

Vol 8 ◽

Author(s):

Hridaya Raj Devkota ◽

Tula Ram Sijali ◽

Ramji Bogati ◽

Andrew Clarke ◽

Pratik Adhikary ◽

...

Keyword(s):

Rural Areas ◽

Associated Factors ◽

The Elderly ◽

Public Knowledge ◽

Cross Sectional Survey ◽

Public Health Response ◽

Cross Sectional ◽

Attitude And Practice ◽

And Behaviors ◽

Knowledge Attitude And Practice

Background: The COVID-19 pandemic has created a global health emergency requiring an effective public health response including citizen's roles in preventing spread and controlling the pandemic. Little is known about public knowledge, beliefs and behaviors in-relation to the pandemic in Nepal. This study aims to assess knowledge, attitude and practices (KAP) toward COVID-19 among the general public and to identify associated factors.Methods: A cross-sectional survey was conducted between May–June 2020 with a sample of 645, recruited from 26 hospitals across Nepal. We conducted telephone interviews using a semi-structured questionnaire related to KAP regarding COVID-19. T-test and one-way ANOVA was conducted to determine group differences for socio-demographic variables. Linear regression and correlational analysis were performed to identify associated factors and measure strength and direction of relationships.Results: Overall mean scores for knowledge, attitude and practice were 11.6 (SD 4.5), 2.7 (SD 1.8), and 9.9 (SD 1.93) respectively, but differed by socio-demographic characteristics. Positive but weak linear correlations were observed between knowledge-practice (r = 0.19, p < 0.01) and attitude-practice (r = 0.08, p < 0.05). The relationship between knowledge and education was fairly strong (r = 0.34, p < 0.01). Province, place of residence, ecological area, age, gender and caste/ethnicity were also significantly associated with KAP score of participants.Conclusion: The study found varying degrees of correlation between Knowledge, Attitude and Practice that may increase as the pandemic evolves in Nepal. Knowledge and level of education had positive associations with attitude and adherence to precautionary measures. The findings suggest a need for targeted community awareness interventions for the most vulnerable populations, men, those with no school education, the elderly and people living in rural areas.

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Mental Distress in Rural Areas of Indonesia

Nurse Media Journal of Nursing ◽

10.14710/nmjn.v10i1.23244 ◽

2019 ◽

Vol 10 (1) ◽

pp. 1-10 ◽

Cited By ~ 1

Author(s):

Azam David Saifullah ◽

Nur Latifah ◽

Eria Riski Artanti ◽

Kadek Dewi Cahyani ◽

Umi Rahayu ◽

...

Keyword(s):

Mental Health ◽

Rural Areas ◽

Urban Areas ◽

Mental Distress ◽

National Level ◽

The Elderly ◽

Cross Sectional Study ◽

Elderly Male ◽

Related Factors ◽

Cross Sectional

Background: There is a higher prevalence of mental distress in rural areas compared to urban areas in Indonesia. The rural areas of Indonesia have various socio-demographic and sophisticated cultural characteristics, but less exposed to foreign cultures. Thus, the study about the prevalence, associated factors, and predictors of mental distress in rural areas is necessary.Purpose: This study aimed to identify the population's status and related factors of mental distress in rural areas in Indonesia.Methods: A descriptive cross-sectional study was conducted to achieve the aims of the study. An Indonesian version of the Self-Rated Questionnaire, consisting of 20 items, was used to measure mental distress status of population in rural areas in Yogyakarta, Indonesia. A number of 872 records were included and analyzed using both univariate and bivariate analyses in this study.Results: The prevalence of mental distress in this population was 6%. The correlated factors of mental distress were age (χ2=6.93, p=0.01), gender (χ2=0.07, p=0.03), occupation (χ2=0.26, p=0.02), housing dimension (χ2=5.45, p=0.02), and illness status (χ2=0.01, p<0.01).Conclusion: The prevalence of mental distress in rural areas of Indonesia is relatively lower than that of the national level. Future mental health programs may be focused on improving mental health on the elderly, male, vulnerable workers, overcrowded housing, and people who got a chronic illness.

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How does public knowledge, attitudes, and behaviors correlate in relation to COVID-19? A community-based cross-sectional study in Nepal

10.1101/2020.07.30.20165266 ◽

2020 ◽

Author(s):

Hridaya Raj Devkota ◽

Tula Ram Sijali ◽

Ramji Bogati ◽

Andrew Clarke ◽

Pratik Adhikary ◽

...

Keyword(s):

Rural Areas ◽

Associated Factors ◽

The Elderly ◽

Public Knowledge ◽

Cross Sectional Survey ◽

Public Health Response ◽

Cross Sectional ◽

Attitude And Practice ◽

And Behaviors ◽

Knowledge Attitude And Practice

Background: The COVID 19 pandemic has created a global health emergency requiring an effective public health response including citizens' roles in preventing the spread and controlling the pandemic. Little is known about public knowledge, beliefs, and behaviors in relation to the pandemic in Nepal. This study aims to assess knowledge, attitude, and practices (KAP) towards COVID 19 among the general public and to identify associated factors. Methods: A cross-sectional survey was conducted between May to June 2020 with a sample of 645, recruited from 26 hospitals across Nepal. We conducted telephone interviews using a semi-structured questionnaire related to KAP regarding COVID 19. T-test and one-way ANOVA was conducted to determine group differences for socio-demographic variables. Linear regression and correlational analysis were performed to identify associated factors and measure the strength and direction of relationships. Results: Overall mean scores for knowledge, attitude and practice were 11.6 (SD 4.5), 2.7 (SD 1.8), and 9.9 (SD 1.93) respectively but differed by socio-demographic characteristics. Positive but weak linear correlations were observed between knowledge-practice (r=0.19, p<0.01) and attitude-practice (r=0.08, p<0.05). The relationship between knowledge and education was fairly strong (r = 0.34, p< 0.01). Province, place of residence, ecological area, age, gender, and caste/ethnicity were also significantly associated with the KAP score of participants. Conclusion: The study found varying degrees of correlation between Knowledge, Attitude, and Practice that may increase as the pandemic evolves in Nepal. Knowledge and level of education had positive associations with attitude and adherence to precautionary measures. The findings suggest a need for targeted community awareness interventions for the most vulnerable populations, men, those with no school education, the elderly, and people living in rural areas. Keywords: COVID-19, Knowledge, Attitude, Practice, Correlates, Nepal

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Sleep problems and associated factors in a rural population of a Southern Brazilian city

Revista de Saúde Pública ◽

10.11606/s1518-8787.2018052000260 ◽

2018 ◽

Vol 52 ◽

pp. 5s ◽

Cited By ~ 2

Author(s):

Adriana Kramer Fiala Machado ◽

Andrea Wendt ◽

Fernando César Wehrmeister

Keyword(s):

Rural Areas ◽

Rural Population ◽

Associated Factors ◽

Sleep Problems ◽

Risk Groups ◽

The Elderly ◽

Pesticide Poisoning ◽

Cross Sectional ◽

Sleep Questionnaire ◽

The City

OBJECTIVE: To estimate the average of a sleep problems score and their associated factors in adults living in rural areas. METHODS: A population-based cross-sectional study with individuals from the rural area of the city of Pelotas, Southern Brazil. Twenty-four of the 50 census tracts that make up the eight rural districts of the city were randomly selected. Individuals of 18 years of age or older residing in the households chosen were considered eligible. Sleep problems were measured using the Mini Sleep Questionnaire, which ranged from 10 to 70 points and the higher the score, the greater the sleep problems. The independent variables evaluated included socioeconomic, demographic, behavioral and health characteristics. In the analysis, linear regression was used, obeying a previous hierarchical model. RESULTS: The sample consisted of 1,421 individuals. The average obtained for sleep problems was 29.4 points (95%CI 28.7–30.1). After adjusted analysis, the following variables were associated factors for greater sleep problems: female sex, age greater than or equal to 40 years, lower schooling level, depressive symptoms, pesticide poisoning, and poorer quality of life. CONCLUSIONS: The Mini Sleep Questionnaire average in this study was 4.4 points above the cut-off point that established sleep problems. The total points found in the score was high for the rural population. Strategies to improve sleep for these individuals should be focused on higher-risk groups such as women and the elderly and those with pesticide poisoning.

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Falls and associated factors among elderly users of Primary Healthcare Services

Revista Brasileira de Atividade Física & Saúde ◽

10.12820/rbafs.23e0052 ◽

2019 ◽

Vol 23 ◽

pp. 1-9

Author(s):

Scarlet Feitosa Santos ◽

Miriane Lucindo Zucoloto ◽

Natalia Akemi Yamada Terada ◽

Edson Zangiacomi Martinez

Keyword(s):

Physical Activity ◽

Primary Healthcare ◽

Associated Factors ◽

The Elderly ◽

Healthcare Services ◽

Cross Sectional Study ◽

Health Condition ◽

Cross Sectional ◽

The Past ◽

Elderly Users

The objective of this cross-sectional study was to estimate the self-reported prevalence of falls among elderly users (older than 60 years) of the Ribeirão Preto, São Paulo, Brazil, primary healthcare services in the past six months and to identify associated factors. Data were collected from five healthcare districts by means of personal interviews with the users while they waited for the appointment. Log-binomial regression models adjusted for confounding variables and prevalence ratios were used to measure the association between independent and dependent variables. The International Physical Activity Questionnaire (IPAQ), adapted to elderly, was used to assess their physical activity. A total of 357 adults were interviewed, with 62.7% being women and mean age of 69.9 years old. The prevalence rates of falls in the past six months were 19.6% (95%CI: 13.2–27.3) and 32.6% (95%CI: 26.4–39.2), respectively, for men and women. e prevalence of falls among users with lower level of physical activity was 2.3 times higher than that among those with higher level of physical activity (RP = 2.3; 95%CI: 1.4–3.8) after adjustment for gender, age group and socio-economical class. In conclusion, falls are frequent among the elderly and the practice of physical activities can improve their health condition, thus preventing the occurrence of falls.

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Chronic kidney disease biomarkers and mortality among older adults: A comparison study of survey samples in China and the United States

PLoS ONE ◽

10.1371/journal.pone.0260074 ◽

2022 ◽

Vol 17 (1) ◽

pp. e0260074

Author(s):

Hui Miao ◽

Linxin Liu ◽

Yeli Wang ◽

Yucheng Wang ◽

Qile He ◽

...

Keyword(s):

Older Adults ◽

Uric Acid ◽

Kidney Diseases ◽

The Elderly ◽

The United States ◽

Nitrogen Plasma ◽

Health Condition ◽

Urinary Albumin ◽

Cross Sectional ◽

The Us

Objectives Among older adults in China and the US, we aimed to compare the biomarkers of chronic-kidney-diseases (CKD), factors associated with CKD, and the correlation between CKD and mortality. Setting China and the US. Study design Cross-sectional and prospective cohorts. Participants We included 2019 participants aged 65 and above from the Chinese Longitudinal Healthy Longevity Study (CLHLS) in 2012, and 2177 from US National Health and Nutrition Examination Survey (NHANES) in 2011–2014. Outcomes Urinary albumin, urinary creatinine, albumin creatinine ratio (ACR), serum creatinine, blood urea nitrogen, plasma albumin, uric acid, and estimated glomerular filtration rate (eGFR). CKD (ACR ≥ 30 mg/g or eGFR< 60 ml/min/1.73m2) and mortality. Analytical approach Logistic regression and Cox proportional hazard models. Covariates included age, sex, race, education, income, marital status, health condition, smoking and drinking status, physical activity and body mass index. Results Chinese participants had lower levels of urinary albumin, ACR, and uric acid than the US (mean: 25.0 vs 76.4 mg/L, 41.7 vs 85.0 mg/g, 292.9 vs 341.3 μmol/L). In the fully-adjusted model, CKD was associated with the risk of mortality only in the US group (hazard ratio [HR], 95% CI: 2.179, 1.561–3.041 in NHANES, 1.091, 0.940–1.266 in CLHLS). Compared to eGFR≥90, eGFR ranged 30–44 ml/min/1.73m2 was only associated with mortality in the US population (HR, 95% CI: 2.249, 1.141–4.430), but not in the Chinese population (HR, 95% CI: 1.408, 0.884–2.241). Conclusions The elderly participants in the US sample had worse CKD-related biomarker levels than in China sample, and the association between CKD and mortality was also stronger among the US older adults. This may be due to the biological differences, or co-morbid conditions.

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