scholarly journals A FALLS AND ITS ASSOCIATED FACTOR AMONG THE ELDERLY: RESULTS FROM AN ELDERLY SCREENING PROGRAMME IN KELANTAN

2021 ◽  
Vol 21 (2) ◽  
pp. 141-148
Author(s):  
Wafaak Esa ◽  
Noran Hashim ◽  
Noor Aman Hamid

Falls in the elderly is one of the health issues. The aims of this study were to determine the prevalence of fall among the elderly and its associated factor. This was a cross-sectional retrospective record review study. Data from the elderly health screening programme of government health clinics in Kota Bharu, Kelantan were obtained. All elderly who participated in the programme for the year 2014 was eligible. Multiple logistic regression was used to assess for associated factors of falls with self-reported fall events. Data for n=434 participants were retrieved. The prevalence of falls among the elderly who participated in the health screening programme was 23.3% (95% CI: 0.19, 0.27). This study demonstrated that falls was associated with age more than 80 years old (OR adj 32.20, 95% CI: 8.54, 121.39; p<0.001), being female (OR adj 0.46, 95% CI: 0.24, 0.87; p= 0.017), being employed (OR adj 0.04, 95% CI: 0.01, 0.26; p=0.001), obesity (OR adj 2.65, 95% CI: 1.20, 5.86; p= 0.016), symptoms of dizziness (OR adj 6.77, 95% CI: 1.39, 32.98; p= 0.018), imbalance and instability (OR adj 9.92, 95% CI: 1.39, 32.98; p<0.001), polypharmacy (OR adj 4.72, 95% CI: 1.20, 5.86; p=0.001) and increased waist circumference (OR adj 2.54, 95% CI: 1.29, 5.01; p=0.007). This study demonstrated that the prevalence of falls among the elderly is still an issue and its associated factors should be intervened.

2014 ◽  
Vol 35 (4) ◽  
pp. 35-41 ◽  
Author(s):  
Joana Darc Chaves Cardoso ◽  
Rosemeiry Capriata de Souza Azevedo ◽  
Annelita Almeida Oliveira Reiners ◽  
Cecília Victorazzo Louzada ◽  
Mariano Martinez Espinosa

The purpose of this study was to examine the prevalence of bad self-rated health in the elderly and associated demographic and socioeconomic factors. This was an epidemiological, cross-sectional study. Data were collected through interviews using the BOAS (Brazil Old Age Schedule) questionnaire. The study included 573 elderly residents in the urban area of Cuiabá-MT, Brazil. The adopted measure of association was the prevalence ratio. For multivariate analysis, multiple Poisson regression was used. The prevalence of poor/very poor self-rated health was 30.9% and the associated factors were income, number of morbidities and urinary incontinence. The association of demographic and socioeconomic factors with poor/very poor self-rated health among the elderly in this study shows the need for assistance and policies that minimize the impact of these factors on the lives and health of the elderly.


BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e017966 ◽  
Author(s):  
Maria Elizete A Araujo ◽  
Marcus T Silva ◽  
Tais F Galvao ◽  
Mauricio G Pereira

ObjectivesTo estimate the prevalence of healthcare use and associated factors in the Manaus metropolitan region and to describe the reasons for lack of access.DesignCross-sectional population-based study.SettingA survey conducted between May and August of 2015 in eight cities from Manaus metropolitan region, Amazonas, Brazil.Participants4001 adults ≥18 years of age.Primary outcomes measuresPhysician visits, dentist visits and hospitalisations in the last 12 months were the primary outcomes. Associated factors were investigated through the calculation of prevalence ratio (PR) obtained by hierarchical Poisson regression modelling.Results4001 adults were included in the study, 53% of whom were women. The self-reported prevalence of medical visits was 77% (95% CI 75% to 77%); dentist visits, 36% (95% CI 34% to 37%) and hospital admission, 7% (95% CI 6% to 7%). Physician visits were higher in women PR=1.18 (95% CI 1.14 to 1.23), the elderly PR=1.18 (95% CI 1.10 to 1.26) and people with health insurance PR=1.14 (95% CI 1.10 to 1.19). Dentist visits declined with older age PR=0.38 (95% CI 0.30 to 0.49), lower education level PR=0.62 (95% CI 0.51 to 0.74) and lower economic class PR=0.65 (95% CI 0.57 to 0.75). Hospitalisations were found to be twice as frequent for women than for men and three times as frequent among those who reported very poor health status. Among the individuals who did not receive medical attention in the previous 2 weeks, 58% reported lack of facilities or appointment unavailable and 14% reported lack of doctors.ConclusionWhile more than half visited the doctor in the last year, a lower proportion of people with socioeconomic inequities visited the dentist. Organisational and service policies are needed to increase equity in health services in the region.


2015 ◽  
Vol 28 (3) ◽  
pp. 231-240 ◽  
Author(s):  
Ana Luísa Moreira dos Santos ◽  
Teresa Maria de Serpa Pinto Freitas do Amaral ◽  
Nuno Pedro Garcia Fernandes Bento Borges

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.


2020 ◽  
Vol 3 (1) ◽  
pp. 49-58
Author(s):  
Ngozi Adefala ◽  
Kolawole Sodeinde ◽  
Abiodun Osinaike ◽  
Fikayo Bamidele ◽  
Adebola Omotosho

Objective: This study aimed to assess the knowledge, attitude and practice towards condom utilization and other associated factors among people living with HIV/AIDS enrolled in the Virology clinic in Babcock University Teaching Hospital (BUTH) Ilishan, Ogun state, Nigeria. Methods: This cross-sectional study was conducted among 285 ART users selected using a systematic random sampling method. The minimum sample size was estimated using the formula z2pq/d2 and a 24% prevalence extracted from a previous similar study. Data were elicited using a structured interviewer-administered questionnaire, analyzed using SPSS version 20, and presented as tables. The Chi-square test was used to assess associations between categorical variables. The level of significance was set at the 95% confidence interval with a p-value of 0.05. Results: From the total respondents, 180(63.2%) were females, 93.7% had good knowledge, 141(49.5%) believed ARV prevents transmission of HIV and 144 (50.5%) strongly agreed that condom reduces sexual pleasure. Majority 254 (89.1%) were currently using condoms, 131 (46.0%) used a condom consistently, while 108 (37.9%) frequently use a condom during sexual intercourse. The Use of condoms had statistically significant associations with occupation (p<0.001), married at pre-diagnosis of HIV (p<0.001), married at post-diagnosis of HIV (p<0.001) and education (p= 0.015). Conclusion: The majority of the respondents had good knowledge and were using condoms. Discussions on safe sex and improved positive attitudes towards condom-use should, however, be encouraged further.


2018 ◽  
Vol 21 (4) ◽  
pp. 419-427
Author(s):  
Adriana Nancy Medeiros dos Santos ◽  
Dulcinéia Rebecca Cappelletti Nogueira ◽  
Caroline Ribeiro de Borja-Oliveira

Abstract Objective: to identify the prevalence of self-medication, the therapeutic classes used without medical prescription, the symptoms treated with such medication and associated factors among participants of an Open University of the Third Age (OU3A). Method: a cross-sectional, descriptive and analytical study was carried out, the sample of which was composed of 138 OU3A attendees. To estimate the association between the variables, prevalence ratios (PR), confidence intervals (95% CI), the chi-squared test and Fisher's exact test were used. Results: the majority were aged 60-69 years (61.6%), were female (75.4%), had a health plan (63%) and claimed to self-medicate (59.4%, 95% CI, 0-64.8). The most frequently mentioned therapeutic classes were analgesics (31.9%), muscle relaxants (13.8%), anti-inflammatories (13.0%) and first-generation antihistamines (7.2%). The most commonly reported self-medication symptoms were muscle and joint pain (21.0%), headaches (10.1%) and colds and flu (8.7%). There was a significant association (p = 0.049) among those who self-medicated more frequently and anti-inflammatory use (PR = 1.46, 95% CI = 1.10-1.99). The complaint of muscular and articular pain exhibited a significant association with the diagnosis of arthrosis (p = 0.003, RP = 3.75, 95% CI = 2.07-6.76) and hypothyroidism (p = 0.002, RP = 2.77 ; 95% CI = 1.50-5.10). Conclusion: the most frequently mentioned reasons for self-medicating were previous experience using the drug and the certainty that it is safe. Most of the above medications are potentially inappropriate for the elderly. However, the elderly consider them safe and are unaware of the risks to which they expose them. They may also be unaware that pain treated by self-medication may be related to pre-existing diseases, which require the appropriate professional and treatment.


2012 ◽  
Vol 20 (5) ◽  
pp. 927-934 ◽  
Author(s):  
Jack Roberto Silva Fhon ◽  
Suzele Cristina Coelho Fabrício-Wehbe ◽  
Thais Ramos Pereira Vendruscolo ◽  
Renata Stackfleth ◽  
Sueli Marques ◽  
...  

AIM: This study aimed to determinate the prevalence of falls in the elderly and its relationship with the functional capacity. METHOD: This is an epidemiological and cross-sectional study; a two-stage cluster sample of 240 male and female subjects aged over 60 years was used. Data were collected from November 2010 to February 2011. The following questionnaires were used: socio-demographic profile, assessment of falls, Functional Independence Measure, Lawton and Brody Scale. Significance was set at 0.05. To identify the occurrence of falls and their relation with functional capacity, the prevalence ratio and prevalence odds ratios were used, as well as multiple logistic regression. RESULTS: Average age was 73.5 years (±8.4); 25% 80 years or more, with preponderance of female gender; 48.8% attended school between 1-4 years. The average was 1.33 falls (±0.472), with prevalence in women and elderly between 60 and 79 years old; the most frequently sites were the backyard and bathroom. Strong correlation between the level of functional independence and instrumental activities and age was found, but no relation between elderly victims of falls and the gender and age variables. CONCLUSION: Women who suffered falls related to functional independence were predominant, which can be prevented through elderly health promotion strategies, a policy that serves to offer living conditions to people in the aging process.


2021 ◽  
Vol 37 ◽  
pp. e37037
Author(s):  
Gabriela Garcia Soares ◽  
Ana Luisa Zanardo Buso ◽  
Bruna Stephanie Sousa Malaquias ◽  
Rodrigo Rodrigues Silva ◽  
Juliana Maria Soares ◽  
...  

Due to the consequences of changes in fertility and mortality rates, there is an increase in population aging. In this context, the use of potentially inappropriate medications in this population makes nurses important agents in the identification of adverse reactions, requiring their knowledge about these drugs and their effects. The study aimed to verify nurses knowledge about the 2015 AGS BeersCriteria, regarding the potentially inappropriate medications for the elderly, and their adverse effects. It is a cross-sectional, descriptive, and analytical study with a quantitative and qualitative approach performed in a teaching hospital in the Triângulo Mineiro, Minas Gerais. Of the 80 professionals, 74.1% reported attending the elderly frequently, and only 3.8% had a specialization course in elderly health. Only 13.8% reported knowing the Beers Criteria. And 69% believe that adverse drug reactions can be confused as a new symptom and because of this, new drugs can be inserted into the therapeutic plan. Three categories emerged: The importance of assertive knowledge about PIMs, The nurse as a fundamental character in ADR, and Knowledge as a reinforcer of care. There is evidence of the need to train nurses to better identify adverse drug reactions so that they can act on these events avoiding the worsening of the individual.


Author(s):  
Nagapraveen Veerapu ◽  
Philip Ravi Kumar Baer ◽  
Meghana Kudumula

Background: Increased globalization, urbanization, improvements in science and technology, information technology made life style changes; prone to increased risk of non communicable diseases. Beliefs about hypertension determine behaviour of the hypertensive people towards hypertension and its complications. Health beliefs about hypertension can be studied by health belief model. The objectives were to know the socio-demographic characteristics and to quantify the health beliefs among elderly hypertensive people in the light of Health belief model.Methods: A cross sectional study was done for a period of 6 months from January 2018 to June 2018 among people aged 50 years and above who were hypertensives in Khammam urban locality. Randomly 160 people were selected for the study. Data was collected by using a semi-structured questionnaire. Analysis will be done using proportions.Results: The average number of years the individuals known to have hypertension was 6.38 years. The current systolic blood pressure in most of the elderly was in between 140-149 mm of Hg. The current diastolic BP in most of the elderly was 81-90 mm of Hg was followed by less than 80 mm of Hg. In the study, health beliefs were quantified. More than half of elderly had perceived threat of hypertension (54.6%). The health beliefs of perceived benefits were 44%. Perceived threats of barriers were 62.7%.Conclusions: The information obtained will be useful for planning the health education or health promotion programs based on the needs and deficiencies of the people.


2018 ◽  
Vol 8 (2) ◽  
pp. 173-176
Author(s):  
Ayu Anggraeni

The role of family at affective, socialization, health care affects the elderly inincreasing active in efforts improved health in physical, mental, social and efforts to increase lifeexpectancy that is free from distractions.Risert purpose to determine the role of the FamilyRelationships Following Gymnastics Against Elderly Motivation In Work Area Health CenterBuild Jaya in 2014.This study used a cross sectional design, engineering to get samples usingcluster random sampling the samples of 54 elderly health centers in the Work Area Jaya Build2014. Processed data using univariate and bivariate using Chi Square test.Most of respondents(75.9%) female, the majority of respondents (53.7%) had a poor family role and most of therespondents (61.1%) active follow gymnastics elderly. There is a relationship between the role ofthe family with the liveliness of the elderly with a p=0.001 CI: 95%. The role of family it will bevery influential to give a support on the increased activity of the elderly so that physicalfunctioning, mental, social get a good care anyway.


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