Living Arrangement of Older People: A Study of Community Living Elderly from Nepal

ABSTRACTIt is noteworthy that while modernisation, together with population ageing, has happened in Western countries for a rather long period of time, China must confront the challenges of an ageing population before it really becomes an advanced industrial society. Facing rapid societal changes, citizens may react differently to this process. By conducting questionnaire surveys with 445 elders in Wuhan, China, this study examines Chinese older adults' individual modernity modes and reveals its socio-demographic correlates. The results show that facing rapid changes in societal modernisation, participants have reacted differently to this process, with 23.8 per cent of Chinese older participants using an accommodation mode, 27.0 per cent using a resistance mode, 13.3 per cent using a withdrawal mode and 36.2 per cent using a coping mode. In addition, socio-demographic factors such as urban–rural residence, age, gender, socio-economic status, living arrangement and daily activities have been identified as significant correlates of Chinese older participants' individual modernity modes. It is further suggested that governments at all levels should allow for options and opportunities for older people to align themselves in the modernisation process by removing the barriers that may hinder their integration and empowerment efforts. While it is important to respect older adults' different responses in the face of modernisation, their participation in societies should be encouraged and respected by the wider society in the context of modernisation.

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Dental health of community-living older people attending secondary healthcare: a cross-sectional comparison between those with and without diagnosed mental illness

International Psychogeriatrics ◽

10.1017/s1041610209991438 ◽

2009 ◽

Vol 22 (3) ◽

pp. 417-425 ◽

Cited By ~ 15

Author(s):

Nitin Purandare ◽

Eva Woods ◽

Sue Butler ◽

Julie Morris ◽

Martin Vernon ◽

...

Keyword(s):

Mental Health ◽

Mental Illness ◽

Older People ◽

Dental Treatment ◽

Dental Health ◽

Oral Pathology ◽

Community Living ◽

Health Examination ◽

Medical Group ◽

Cross Sectional

ABSTRACTBackground: Mental illness and cognitive impairment are risk factors for poor dental health.Methods: We conducted a cross-sectional study to compare the dental health of older patients attending out-patient clinics and day hospitals of old age psychiatry services (the psychiatry group, n = 103) with those attending general/geriatric medical services (the medical group; n = 99). Those living in care homes, and those with diagnosed mental illness (in the medical group) were excluded. A registered mental health nurse assessed mental and general health using validated and previously published instruments. A registered dentist made an independent assessment of dental health (examination to assess oral pathology, status of remaining teeth, and dentures) and made an overall judgment about whether the patient needed any dental treatment (a “normative” need).Results: The normative need for dental treatment was significantly higher among the psychiatry group compared to the medical group (85% vs 52%; p<0.001); even after taking account of the effect of age, gender, teeth status, physical comorbidity, cognition, depressive symptoms, and overall mental and social health [adjusted odds ratio, OR (95% confidence interval): 4.32 (2.09, 8.91)]. The presence of any natural remaining teeth [OR: 4.44 (2.10, 9.42)] and Barthel Index [OR: 0.96 (0.93, 0.99)] were the two other independent predictors of the need for treatment.Conclusion: Dental problems are common in community-living older people, especially those with some natural remaining teeth and those with mental illness. There is a need to develop integrated mental health and dental care services for older people with emphasis on prevention of dental problems.

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End-of-Life Care and Dying: Issues Raised by Staff Supporting Older People with Intellectual Disability in Community Living Services

Journal of Applied Research in Intellectual Disabilities ◽

10.1111/jar.12000 ◽

2012 ◽

Vol 25 (6) ◽

pp. 571-583 ◽

Cited By ~ 37

Author(s):

Michele Wiese ◽

Roger J. Stancliffe ◽

Susan Balandin ◽

Glennys Howarth ◽

Angela Dew

Keyword(s):

Intellectual Disability ◽

Older People ◽

End Of Life ◽

End Of Life Care ◽

Community Living ◽

Life Care

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Village senior centres and the living arrangements of older people in rural China: considerations of health, land, migration and intergenerational support

Ageing and Society ◽

10.1017/s0144686x16000714 ◽

2016 ◽

Vol 37 (10) ◽

pp. 2044-2073 ◽

Cited By ~ 1

Author(s):

HUIJUN LIU ◽

KAREN N. EGGLESTON ◽

YAN MIN

Keyword(s):

Older People ◽

Rural Areas ◽

Living Arrangements ◽

Urban Areas ◽

Independent Living ◽

Rural China ◽

Living Arrangement ◽

Population Ageing ◽

Intergenerational Support ◽

North East

ABSTRACTChina is experiencing rapid urbanisation and population ageing, alongside sometimes contentious rural land consolidation. These on-going social, economic, political and demographic changes are especially problematic for older people in rural areas. In these regions, social and institutional support arrangements are less developed than in urban areas; older people have few options for re-settlement but are resistant to or incapable of adjusting to high-rise apartment living. In 2012–13, we gathered rich qualitative and quantitative data on over 600 older residents in 12 villages under the jurisdiction of City L in north-east coastal China to analyse residents’ living arrangement choices during the village renovation process. We compared villages with and without senior centres to shed light on the correlates of co-residence and independent living. Senior centres play a role in balancing the burden on rural Chinese families resulting from population ageing, smaller families, widespread migration for work, and the rapid urbanisation that is restructuring land rights and social support arrangements.

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Future Living Arrangement for Aging Parents and Its Associated Factors

Jurnal Keperawatan Soedirman ◽

10.20884/1.jks.2019.14.3.1196 ◽

2019 ◽

Vol 14 (3) ◽

Author(s):

Rahmi Setiyani ◽

Made Sumarwati ◽

Dian Ramawati

Keyword(s):

Older People ◽

Marital Status ◽

Associated Factors ◽

Living Arrangement ◽

Well Being ◽

Cross Sectional Study ◽

Family Type ◽

Fisher Exact Test ◽

Cross Sectional ◽

Exact Test

Background: Shift in demographic structure in Indonesia has raised concern over number of issues, including change in living arrangement of older people. Objectives: The purpose of this study is to examine adult children’s choice of future living arrangement for elderly parent and its associated factors. Methods: A cross sectional study was conducted among 300 young adults in Central Java, Indonesia. Descriptive statistics, Chi-Square and Fisher exact test were used to analyze the data. Results: Majority of respondents (97.3%) preferred parents to live at home, in multi-generational household with children and/or grandchildren (84.5%) in their old age. The choice was significantly influenced by children gender, marital status of parent, and family type (p=0.00; p=0.05, and p=0.05 respectively). Conclusions: In certain circumstances, living in multigenerational household still became a favorable option of living arrangement for elderly parents. Children gender, parent’s marital status and family type were likely to influence the choice. Further researches are needed to investigate which best living arrangement that support older people well-being.

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Views, experiences and attitudes of community-living older people towards the FIT-at-Home fall prevention programme: A qualitative interview study

International Journal of Health Professions ◽

10.2478/ijhp-2021-0004 ◽

2021 ◽

Vol 8 (1) ◽

pp. 37-47

Author(s):

Christian Müller ◽

Sindy Lautenschläger ◽

Christine Dörge

Keyword(s):

Older People ◽

Fall Prevention ◽

Mode Of Delivery ◽

Prevention Programme ◽

Community Living ◽

Home Modification ◽

Qualitative Interview Study ◽

Home Intervention ◽

People’S Perceptions ◽

At Home

Abstract Background For older people, poor balance and strength as well as environmental hazards are a major risk factor for falls. A lifestyle-integrated home-based physical exercise training and home modification intervention were developed for older people at risk of falling. Aim This study aimed to examine older people's perceptions of the FIT-at-Home fall prevention intervention in order to further develop the intervention's content, procedures and mode of delivery. Methods We conducted semi-structured interviews with individuals who participated in the falls prevention programme using the problem-centred interview method. The interviews were analysed in a deductive-inductive approach following Mayring's qualitative content analysis. Results Seven themes emerging from the data described different facets of older people's perceptions towards the intervention. Findings suggested that the participants accepted the FIT-at-Home intervention. Overall, the individuals regard the intervention as feasible and practicable. From the older people's view, it was an advantage that the exercises could be implemented at any time without additional aids or equipment in-house and it was not necessary to visit the occupational therapy practice. Older people's experiences showed that feelings of success have a positive effect on the willingness to exercise. A perceived barrier influencing the implementation of exercises among older people was their own laziness, their general state of health and illnesses, their daily mood or meteor sensitivity. Conclusion The FIT-at-Home intervention comprising balance and strength exercises and home modification is feasible and acceptable for community-living older people. Older people's feedback will help us to further refine the intervention.

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