Self-reported hearing difficulty, subjective well-being and social relationships among older adults in Ghana

2020 ◽  
pp. 16-23
Author(s):  
Alfred E Yawson ◽  
John Tetteh ◽  
Isaac Adomako ◽  
Phaedra Yamson ◽  
Kafui Searyoh ◽  
...  
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Older Adult ◽  
Social Relationships ◽  
Social Relationship ◽  
Well Being ◽  
World Health ◽  
Subjective Well Being ◽  
Unhealthy Lifestyle ◽  
Hearing Difficulty

Background: Hearing difficulty negatively impacts individual relationships with family and friends and other social relationships. Objective:This research was conducted to determine the factors significantly influencing self-reported hearing difficulty (SHD) and further to assess the influence of SHD on social relationship among older adults in Ghana. Methods: World Health Organization’s Studyon Global AGEing and Adult Health Ghana dataset for older adults 50 yr. and above was used for this study. Social relationship and hearing difficulty were the primary and secondary outcomes respectively. A modified Poisson with Mahalanobis distance matching within propensity caliper was employed to determine the different influences on social relationships by SHD. All analysis was performed using the statistical software Stata Version 15 and with a confidence interval (CI) of 95%. Results: The prevalence of SHD among older adults in Ghana was 19.5% (95%CI=16.9-22.3). Rao-Scott test of association showed that all covariates (demographic characteristics, self-rated health, quality of life, life satisfaction and unhealthy lifestyle) were significantly associated with SHD (p<0.05). Sensitivity analysis showed that, SHD predicted a significantly decreased probability count of social relationship among older adults with SHD [adjusted prevalence ratio(95%CI)=-0.08(-0.15-0.02)]. Binary and ordinal outcomes showed that among the older adults with SHD, only 35% and 70% respectively were likely to have a good social relationship [adjusted odds ratio (aOR) (95%CI)=0.65(0.46-0.90) and aOR (95%CI)=0.70(0.51-0.96)respectively]. Conclusion: Overall, the prevalence of hearing loss in older adults in Ghana was 19.5%, and was higher among older adult females. This high prevalence of SHD had significant negative effect on social relationships among the older adults. In line with global efforts to reduce effect of hearing loss, it is imperative that, clinical assessment of hearing loss should always consider the social characteristics of the older adult.

Self-reported hearing difficulty, subjective well-being and social relationships among older adults in Ghana

2020 ◽  
pp. 16-23
Author(s):  
Alfred E Yawson ◽  
John Tetteh ◽  
Isaac Adomako ◽  
Phaedra Yamson ◽  
Kafui Searyoh ◽  
...  
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Older Adult ◽  
Social Relationships ◽  
Social Relationship ◽  
Well Being ◽  
World Health ◽  
Subjective Well Being ◽  
Unhealthy Lifestyle ◽  
Hearing Difficulty

Background: Hearing difficulty negatively impacts individual relationships with family and friends and other social relationships. Objective:This research was conducted to determine the factors significantly influencing self-reported hearing difficulty (SHD) and further to assess the influence of SHD on social relationship among older adults in Ghana. Methods: World Health Organization’s Studyon Global AGEing and Adult Health Ghana dataset for older adults 50 yr. and above was used for this study. Social relationship and hearing difficulty were the primary and secondary outcomes respectively. A modified Poisson with Mahalanobis distance matching within propensity caliper was employed to determine the different influences on social relationships by SHD. All analysis was performed using the statistical software Stata Version 15 and with a confidence interval (CI) of 95%. Results: The prevalence of SHD among older adults in Ghana was 19.5% (95%CI=16.9-22.3). Rao-Scott test of association showed that all covariates (demographic characteristics, self-rated health, quality of life, life satisfaction and unhealthy lifestyle) were significantly associated with SHD (p<0.05). Sensitivity analysis showed that, SHD predicted a significantly decreased probability count of social relationship among older adults with SHD [adjusted prevalence ratio(95%CI)=-0.08(-0.15-0.02)]. Binary and ordinal outcomes showed that among the older adults with SHD, only 35% and 70% respectively were likely to have a good social relationship [adjusted odds ratio (aOR) (95%CI)=0.65(0.46-0.90) and aOR (95%CI)=0.70(0.51-0.96)respectively]. Conclusion: Overall, the prevalence of hearing loss in older adults in Ghana was 19.5%, and was higher among older adult females. This high prevalence of SHD had significant negative effect on social relationships among the older adults. In line with global efforts to reduce effect of hearing loss, it is imperative that, clinical assessment of hearing loss should always consider the social characteristics of the older adult.

Experiences with Technology Amongst an International Sample of Older Adults: Results from a Qualitative Interpretive Meta-Synthesis

2021 ◽  
Author(s):  
Vivian J Miller ◽  
Erin M Roark ◽  
Noelle L Fields ◽  
Courtney Cronley
Keyword(s):  
Older Adults ◽  
Social Work ◽  
Social Isolation ◽  
Technology Use ◽  
Well Being ◽  
Information And Communications Technology ◽  
World Health ◽  
Subjective Well Being ◽  
Negative Impacts ◽  
Nuanced Understanding

Abstract Identifying and implementing effective strategies to combat social exclusion and isolation is critical, given that eradicating social isolation has been identified as one of the social work profession’s main goals. Training older adults to use information and communications technology (ICT) effectively may be an appropriate intervention to combat and mitigate the negative impacts of social isolation within the aging population. ICT has demonstrated promise with older adults, with research demonstrating that older adults with higher technology use report better self-reported physical health and subjective well-being. Given this promise, the authors of this study seek to create more nuanced understanding of the experience of ICT usage, as told by an international sample of older adults using a qualitative interpretive meta-synthesis (QIMS). Using the QIMS methodology paired with phenomenological reduction, the authors synthesised nine (N = 9) qualitative studies through the lens of the World Health Organization’s age-friendly domains. This process resulted in three overarching themes that describe older adults’ experiences engaging with technology: ‘desire for empowerment’, ‘connection’ and ‘aging well’. Findings from this study highlight overall benefits of technology use among older adults aging in the community. This study concludes with implications for social work research and practice.

scholarly journals Multidimensionality in Developmental Conceptions Across Adulthood

GeroPsych ◽  
2012 ◽  
Vol 25 (2) ◽  
pp. 57-72 ◽  
Author(s):  
Maida Mustafić ◽  
Alexandra M. Freund
Keyword(s):  
Older Adults ◽  
Social Relationships ◽  
Well Being ◽  
Assessment Method ◽  
Subjective Well Being ◽  
Middle Aged ◽  
Direct Assessment ◽  
Age Related ◽  
Middle Aged Adults ◽  
Gains And Losses

Two studies demonstrate the usefulness of a newly developed, direct assessment method of subjective conceptualizations of development across adulthood. Results of Study 1 (N = 234, 18–83 years) suggest that older adults anticipate stronger decline in four domains of functioning (subjective well-being, social relationships, cognition, physical functioning) than younger and middle-aged adults. Study 2 (N = 166, 20–85 years) showed that older adults’ conceptualizations show less differentiation across domains than those of younger and middle-aged adults’. Results of both studies confirm lifespan notions of multidirectionality (expectations of gains and losses) but also show age-related differences in multidimensionality of developmental conceptions (i.e., differences in expected trajectories between domains). Moreover, results provide evidence that favorable conceptions impact perceived controllability and actual subjective well-being.

scholarly journals Assessing and decomposing gender differences in evaluative and emotional well-being among older adults in the developing world

2020 ◽  
Author(s):  
Clémence Kieny ◽  
Gabriela Flores ◽  
Jürgen Maurer
Keyword(s):  
Older Adults ◽  
Gender Differences ◽  
Older Women ◽  
Gender Gap ◽  
Well Being ◽  
Individual Characteristics ◽  
World Health ◽  
Adult Health ◽  
Subjective Well Being ◽  
Life Circumstances

Abstract Using data from the World Health Organization’s Study on Global AGEing and Adult Health (SAGE), we evaluate the relationship between gender and several measures of subjective well-being among older adults in developing countries. Furthermore, we contrast the partial associations of gender with these well-being measures when controlling only for age (age-adjusted analyses) with the corresponding partial associations when including individual characteristics and life circumstances as controls (multivariable-adjusted analyses). While age-adjusted analyses reveal that older women have lower levels of evaluative well-being than older men, multivariable-adjusted analyses show that - given similar life circumstances - they have equal or slightly higher evaluative well-being. This suggests that the gender gap in evaluative well-being may be explained by less favorable life circumstances of older women. Age-adjusted results also show that older women tend to have lower levels of emotional well-being. However, we find no reversal, but merely an attenuation of these gender differences in emotional well-being when controlling for additional individual characteristics and life circumstances. Finally, we perform Oaxaca-Blinder decompositions to disaggregate the gender gaps in well-being into explained parts - attributable to gender differences in individual characteristics and life circumstances - and unexplained parts - related to gender differences in the association between life circumstances and subjective well-being. These results further corroborate our findings that women tend to be disadvantaged in terms of both evaluative and emotional well-being, and that this disadvantage is mostly driven by observable factors related to the explained part of the decomposition, such as gender differences in socio-economic status and health.

scholarly journals Development of the SWB-HL: A Scale of the Subjective Well-Being of Older Adults With Hearing Loss

2021 ◽  
Vol 12 ◽  
Author(s):  
Larry E. Humes
Keyword(s):  
Older Adults ◽  
Factor Analysis ◽  
Hearing Loss ◽  
Reliability And Validity ◽  
Well Being ◽  
Self Report ◽  
Subjective Well Being ◽  
Good Reliability ◽  
Response Characteristics ◽  
Report Measure

The objective of this research was to develop and evaluate a self-report measure of subjective well-being (SWB) for use with older adults with hearing loss (HL). A convenience sample of 173 local volunteers between the ages of 60 and 88 years (M = 74.4; SD = 7.2 years) participated in this study. The initial 18-item version of the scale was constructed, response characteristics examined, and then subjected to factor analysis, as well as evaluation of the scales' reliability and validity. The analysis of response characteristics and subsequent factor analysis resulted in the elimination of eight of the 18 test items. The SWB-HL Total score was derived from the 10 remaining items. It was shown that the SWB-HL tapped three underlying domains interpreted as: Life Satisfaction (three items); Acceptance of Hearing Loss (Accept HL; four items); and Social Support (three items). Psychometric analysis showed very good reliability and good criterion validity was established for the 10-item SWB-HL Total score. In addition, significant differences were observed between aided and unaided SWB-HL Total scores following 4–6 weeks of hearing aid use. The SWB-HL is a 10-item self-report measure of SWB that shows good reliability and validity when used by older adults with hearing loss and reveals improved SWB following the use of hearing aids.

scholarly journals Exploring the beliefs and experiences of older Irish adults and family carers during the novel coronavirus (COVID-19) pandemic: A qualitative study protocol

2020 ◽  
Vol 3 ◽  
pp. 16 ◽  
Author(s):  
Katie Robinson ◽  
Aoife O'Neill ◽  
Mairead Conneely ◽  
AnnMarie Morrissey ◽  
Siobhan Leahy ◽  
...  
Keyword(s):  
Older Adults ◽  
Qualitative Study ◽  
Older Adult ◽  
Well Being ◽  
World Health Organisation ◽  
Open Access Journal ◽  
World Health ◽  
Research Centre ◽  
Services Research ◽  
Increased Risk

Background: In December 2019 a novel human coronavirus (COVID-19) was identified in Wuhan, China (Wu et al, 2020). The virus subsequently spread to most countries worldwide and the World Health Organisation characterised the outbreak a pandemic on March 11th 2020 (WHO, 2020a). Older age is associated with an increased risk of mortality in patients with COVID-19 (Chen et al., 2020). In March 2020, the Irish Government introduced 'cocooning' as a measure for those over 70 years of age to minimise interactions with others by not leaving their homes (Dept. of Health, 2020). The COVID-19 pandemic presents unique threats to the health and well-being of older adults. This study aims to explore the longitudinal experiences and beliefs of older adults during the COVID-19 pandemic. Findings will be important for tailoring supports, interventions and public health information for this population. Methods: A longitudinal exploratory qualitative study will be conducted using repeated semi-structured telephone interviews with a convenient sample of older adults recruited from participants of an older adult and family carer stakeholder panel for health services research established by the Ageing Research Centre (ARC) at the University of Limerick and through known older adult contacts of ARC academic members. Interviews will be audio recorded, transcribed and analysed using a reflexive approach to thematic analysis. Participants will have the opportunity to review and discuss preliminary analysis of the interview data and to co-write / design dissemination materials. Ethics and Dissemination: Ethical approval has been granted by the Faculty of Education and Health Sciences University of Limerick, Research Ethics Committee (2020_03_51_EHS (ER)). Findings will be disseminated through open access journal publications and distribution of lay summaries, a press release and an infographic to organisations of and for older people in Ireland, broadcast and print media.

Talk or Walk? Gait Speed over Self-Report in Association with Cognitive Speed in Healthy Older Adults

GeroPsych ◽  
2019 ◽  
Vol 32 (1) ◽  
pp. 41-52
Author(s):  
Matthew C. Costello ◽  
Shane J. Sizemore ◽  
Kimberly E. O’Brien ◽  
Lydia K. Manning
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Gait Speed ◽  
Well Being ◽  
Self Report ◽  
Subjective Report ◽  
Healthy Older Adults ◽  
Relative Value ◽  
Cognitive Speed ◽  
Age Range

Abstract. This study explores the relative value of both subjectively reported cognitive speed and gait speed in association with objectively derived cognitive speed. It also explores how these factors are affected by psychological and physical well-being. A group of 90 cognitively healthy older adults ( M = 73.38, SD = 8.06 years, range = 60–89 years) were tested in a three-task cognitive battery to determine objective cognitive speed as well as measures of gait speed, well-being, and subjective cognitive speed. Analyses indicated that gait speed was associated with objective cognitive speed to a greater degree than was subjective report, the latter being more closely related to well-being than to objective cognitive speed. These results were largely invariant across the 30-year age range of our older adult sample.

Leisure Activities and the Subjective Well-Being of Older Adults in Croatia

GeroPsych ◽  
2018 ◽  
Vol 31 (1) ◽  
pp. 31-39 ◽  
Author(s):  
Ljiljana Kaliterna Lipovčan ◽  
Tihana Brkljačić ◽  
Zvjezdana Prizmić Larsen ◽  
Andreja Brajša-Žganec ◽  
Renata Franc
Keyword(s):  
Older Adults ◽  
Leisure Activities ◽  
Leisure Activity ◽  
Later Life ◽  
Perceived Health ◽  
Well Being ◽  
Hierarchical Regression ◽  
Subjective Well Being ◽  
Convenience Sample ◽  
Financial Status

Abstract. Research shows that engagement in leisure activities promotes well-being among older adults. The objective of the current study was to examine the relationship between subjective well-being (flourishing) and leisure activities (total number of different activities in the previous year) in a sample of older adults in Croatia, thereby considering the variables of sex, marital status, financial status, and self-perceived health. The differences in the examined variables between the groups of older adults who reported to be engaged in new activities with those who did not were also examined. The sample of N = 169 older adults aged 60 years and above was drawn from a convenience sample of adult internet users in Croatia. Participants reported their self-perceived health and the number of leisure activities they engaged in over the previous year as well as completing the Flourishing Scale. Hierarchical regression analyses indicated that older adults who were engaged in more various leisure activities, who perceived better financial status, and who were married reported higher levels of flourishing. A comparison of the two groups of older adults with and without engagement in leisure activities showed that those engaged in at least one leisure activity were more likely to be women, reported higher levels of flourishing, and perceived their own financial status as better. This study indicated that engaging in leisure activities in later life might provide beneficial effects for the well-being of older adults.

scholarly journals Sex Difference in Self-Reported Sexual Functioning Among Frail Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 313-313
Author(s):  
Brianne Olivieri-Mui ◽  
Sandra Shi ◽  
Ellen McCarthy ◽  
Dae Kim
Keyword(s):  
Older Adults ◽  
Logistic Regression ◽  
Sex Differences ◽  
Sexual Function ◽  
Older Adult ◽  
Sexual Functioning ◽  
Social Life ◽  
Well Being ◽  
Adult Males ◽  
Males And Females

Abstract Frailty may differentially impact how older adult males and females perceive sexual functioning, an important part of well-being. We assessed the level of frailty (robust, pre-frail, frail) for anyone with data on 11 sexual functioning questions asked in wave 2 of the National Social Life, Health, and Aging Project, 2010-2011 (n=2060). Questions covered five domains: overall sexual function (OSF), sexual function anxiety (SFA), changes in sexual function (CSF), erectile/vaginal dysfunction (EVD), and masturbation. Logistic regression identified sex differences in frailty and reporting worse sexual functioning. Linear regression predicted the number of domains reported as worse. Among males (n=1057), pre-frailty meant higher odds of reporting SFA (OR 1.8 95%CI 1.2-6.6), CSF (OR 1.7 95%CI 1.1-2.7), and EVD (OR 1.5 95%CI 1.0-2.2). Among females (n=1003), there was no difference in reporting by frailty. Females were more likely to report worse OSF (Robust: OR 7.4, 95%CI 4.8-11.4; Pre-frail: OR 6.2, 95%CI 3.9-9.9; Frail: OR 3.4 95%CI 1.7-6.6), but less likely to report SFA (Robust OR .3, 95%CI .2-.5; Pre-frail OR .2, 95%CI .1-.3; Frail OR .2 95%CI .1-.3). Pre-frail and frail females reported fewer domains as worse (Pre-frail coefficient -0.21 SE 0.09, Frail -0.43 SE 0.14). As frailty worsened, males reported more domains as worse (Pre-frail 0.24 SE 0.07, Frail 0.29 SE 0.08). Self-reported sexual functioning differs by sex at all levels of frailty, and reporting by males, but not females, changes with frailty. Providers should be aware that sexual functioning is of importance to both sexes despite varying degrees of frailty.

scholarly journals Self-reported morbidities, nutritional characteristics, and associated factors in institutionalized and non-institutionalized older adults

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Abdelhafid Benksim ◽  
Rachid Ait Addi ◽  
Elhassania Khalloufi ◽  
Aziz Habibi ◽  
Mohamed Cherkaoui
Keyword(s):  
Older Adults ◽  
Health Insurance ◽  
Nutritional Status ◽  
Statistical Significance ◽  
Well Being ◽  
Public Institution ◽  
Subjective Well Being ◽  
Number Of Children ◽  
Significant Difference ◽  
Nutritional Characteristics

Abstract Background As the world’s population ages and people live longer, it seems important to ensure that older people have a good quality of life and positive subjective well-being. The objective of this study is to determine socio-economic, health and nutritional characteristics of institutionalized and non-institutionalized elders in the province of Marrakech. Methods This study was conducted among 368 older adults in the province of Marrakech between March 2017 and June 2019. Of all participants, 180 older adults reside in a public institution and 188 of them live in their own homes. Data on health conditions, nutritional status, functional and socio-economic characteristics were collected. Data was analyzed using SPSS Statistics for Windows, Version 16.0. Statistical significance was set at p < 0.05. Results Institutionalized elders were illiterate (80.0%), had low incomes (95.5%), and unmarried (73.3%), they reported also no children (56.1%) and no health insurance (98.9%). Institutional residents suffered from malnutrition (22.2%), hearing impairments (35.6%) and severe edentulism (43.3%). There was no significant difference between both groups on daily activities and depression. A multivariate analysis identified a model with three significant variables associated with non-institutionalized elders: health insurance (P = 0.001; OR = 107.49), number of children (P = 0.001; OR = 1.74) and nutritional status (p = 0.001; OR = 3.853). Conclusions This study shows that the institutionalization of older adults is considerably induced by various factors such as nutritional problems, lack of health insurance and family structure. To mitigate the effects of this phenomenon, home care strategies and preventive actions should be implemented to delay the institutionalization of older adults and therefore keep them socially active in their own homes.

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