scholarly journals Factors associated with gerotranscendence in community- dwelling older-adults focusing on age, physical conditions and social relationships: Using SONIC data

2012 ◽  
Vol 76 (0) ◽  
pp. 1EVB33-1EVB33
Author(s):  
Yukie MASUI ◽  
Takeshi NAKAGAWA ◽  
Yasuyuki GONDO ◽  
Madoka OGAWA ◽  
Yoshiko ISHIOKA ◽  
...  
Keyword(s):  
Older Adults ◽  
Social Relationships ◽  
Community Dwelling ◽  
Factors Associated ◽  
Physical Conditions ◽  
Community Dwelling Older Adults

scholarly journals 452 - Physical and Psychiatric Multimorbidity Associated with Prescription Opioid Use in Community-Dwelling Older Adults

2020 ◽  
Vol 32 (S1) ◽  
pp. 172-172
Author(s):  
Carina D’Aiuto ◽  
Helen-Maria Vasiliadis
Keyword(s):  
Older Adults ◽  
Psychological Distress ◽  
Community Dwelling ◽  
Prescription Opioid ◽  
Opioid Use ◽  
Factors Associated ◽  
Physical Conditions ◽  
Chronic Physical Conditions ◽  
Prescription Opioid Use ◽  
Community Dwelling Older Adults

Background:Opioid use is particularly concerning among older adults. In Canada, those aged 65 years and older have the highest hospitalization rates due to opioid poisonings. Despite the current opioid crisis and the aging population, few studies have evaluated the factors associated with opioid use among seniors.Objective:To examine the factors associated with prescription opioid use among community-dwelling older adults.Methods:The sample includes 1657 people aged 65 and over recruited in primary care clinics from 2011 to 2013 in a large health administrative region of Quebec (Canada) and participating in the ESA-Services study, a longitudinal study on aging and health service use. The presence of chronic diseases was identified through self-reported health survey data and physician diagnostic codes (ICD-9/-10) from health administrative data. Psychological distress was measured using the Kessler Psychological Distress (K10) scale and dichotomised into low (scores 10 - 15) versus moderate, high, and very high distress (scores 16 - 50). Opioid prescriptions were identified using the provincial pharmaceutical drug registry for those covered under the public drug insurance plan. Sociodemographic variables were collected from the ESA-Services survey. Logistic regression analyses were carried out to examine the factors associated with opioid use up to a 4-year period following the baseline interview.Results:31.9% of participants used opioids in this sample. Factors associated with opioid use included: female sex (OR=1.24, 95%CI: 1.01-1.53), annual household income of <$25,000 (OR=1.25, 95%CI: 1.01-1.55), level of social support (OR=0.85, 95%CI: 0.73-0.99), and presence of pain/discomfort (OR=1.66, 95%CI: 1.34-2.04). Furthermore, participants with ?3 chronic physical conditions also reporting anxiety and/or depression were 3.63 (95%CI: 1.83-7.18) times more likely to use an opioid than those with 0-2 chronic physical conditions and no anxio-depressive disorder. Moreover, those with moderate, high, and very high psychological distress were more likely to use an opioid than those with low psychological distress.Conclusion:Our findings suggest that, among other factors, physical and psychiatric multimorbidity is strongly associated with prescription opioid use among community-dwelling older adults.

scholarly journals Physical Restraint of Older Adults at Home: Preliminary Analysis of a Prospective Cohort Study

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 683-683
Author(s):  
Asa Inagaki ◽  
Ayumi Igarashi ◽  
Maiko Noguchi-Watanabe ◽  
Mariko Sakka ◽  
Chie Fukui ◽  
...  
Keyword(s):  
Older Adults ◽  
Online Survey ◽  
Physical Restraint ◽  
Community Dwelling ◽  
Physical Restraints ◽  
Care Nurse ◽  
Factors Associated ◽  
Home Care Nurse ◽  
Community Dwelling Older Adults ◽  
At Home

Abstract Our study aimed to explore the prevalence and factors of physical restraints among frail to dependent older adults living at home. We conducted an online survey to ask about the physical/mental conditions, demographics, service utilization, and physical restraints of community-dwelling older adults. Either home care nurse or care managers who were responsible for the older adult answered the survey that were conducted at baseline and one month later. We obtained data from 1,278 individuals. Physical restraint was reported for 53 (4.1%) participants. Multiple logistic regression revealed the factors associated with physical restraints at home: having been restrained at baseline, having pneumonia or heart failure, receiving home bathing, or using rental assistive devices were associated with physical restraints at one month. The findings could be used to promote discussion about which services prevent physical restraints and what we should do to support clients and their family to stay at home safely.

Factors associated with potentially inappropriate drug utilization in a sample of rural community-dwelling older adults

2005 ◽  
Vol 3 (3) ◽  
pp. 168-179 ◽  
Author(s):  
Susan J. Blalock ◽  
John E. Byrd ◽  
Richard A. Hansen ◽  
Thespina J. Yamanis ◽  
Katherine McMullin ◽  
...  
Keyword(s):  
Older Adults ◽  
Drug Utilization ◽  
Rural Community ◽  
Community Dwelling ◽  
Inappropriate Drug ◽  
Factors Associated ◽  
Community Dwelling Older Adults

Factors Associated with the Severity and Progression of Self-Reported Hand Pain and Functional Difficulty in Community-Dwelling Older Adults: A Systematic Review

2012 ◽  
Vol 10 (1) ◽  
pp. 51-62 ◽  
Author(s):  
Elaine E. Nicholls ◽  
Danielle A. W. M. Windt ◽  
Joanne L. Jordan ◽  
Krysia S. Dziedzic ◽  
Elaine Thomas
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Community Dwelling ◽  
Factors Associated ◽  
Hand Pain ◽  
Community Dwelling Older Adults

scholarly journals (164) Pain among community-dwelling older adults with dementia: factors associated with undertreatment

2016 ◽  
Vol 17 (4) ◽  
pp. S16-S17
Author(s):  
E. Thakur ◽  
A. Amspoker ◽  
S. Sansgiry ◽  
A. Snow ◽  
M. Stanley ◽  
...  
Keyword(s):  
Older Adults ◽  
Community Dwelling ◽  
Factors Associated ◽  
Community Dwelling Older Adults

Factors associated with fear of falling in community-dwelling older adults with and without diabetes mellitus: Findings from the Frailty in Brazilian Older People Study (FIBRA-BR)

2017 ◽  
Vol 89 ◽  
pp. 103-111 ◽  
Author(s):  
Bruno de Souza Moreira ◽  
Rosana Ferreira Sampaio ◽  
Juliano Bergamaschine Mata Diz ◽  
Alessandra de Carvalho Bastone ◽  
Eduardo Ferriolli ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Older Adults ◽  
Older People ◽  
Fear Of Falling ◽  
Community Dwelling ◽  
Factors Associated ◽  
Community Dwelling Older Adults

scholarly journals Associations between socio-demographics, nutrition knowledge, nutrition competencies and attitudes in community-dwelling healthy older adults in Singapore: Findings from the SHIELD study

2020 ◽  
Author(s):  
Rebecca Hui Shan Ong ◽  
Wai Leng Chow ◽  
Magdalin Cheong ◽  
Gladys Huiyun Lim ◽  
Weiyi Xie ◽  
...  
Keyword(s):  
Older Adults ◽  
Stepwise Regression ◽  
Nutrition Knowledge ◽  
Community Dwelling ◽  
The Self ◽  
Nutrition Information ◽  
Factors Associated ◽  
Food Decisions ◽  
Knowledge Competencies ◽  
Community Dwelling Older Adults

Abstract BackgroundNutrition literacy refers to an individual’s knowledge, motivation and competencies to access, process, and understand nutrition information to make nutrition-related decisions. It is known to influence dietary habits of individuals including older adults. This cross-sectional study was designed to: (1) understand the nutrition knowledge, competencies and attitudes of community-dwelling older adults in Singapore (2) examine the differences between their nutrition knowledge, and socio-demographic factors, competencies and attitudes, and (3) identify factors associated with better nutrition knowledge in older healthy adults in Singapore.Methods400 (183 males and 217 females) nourished community-dwelling older adults aged 65 years and above took part in this study. Malnutrition Universal Screening Tool (MUST) was used to determine individuals who were at low risk of undernutrition. Nutrition knowledge, competencies, attitudes and sources of nutrition information were measured using a locally developed scale. Nutrition knowledge scores were summed to form the Nutrition Knowledge Index (NKI). Associations between NKI, competencies, attitudes and socio-demographic variables were examined using Chi-square and Fisher’s Exact tests. Factors associated with NKI were determined using a stepwise regression model with resampling based methods for model averaging.ResultsBivariate analyses found significant differences in NKI scores for gender, monthly household earnings, type of housing, the self-reported ability to seek and understand nutrition information and having access to help from family/friends. Females had higher NKI scores compared to males (p < 0.001). Compared to females, more males left food decisions to others (p < 0.001), and fewer males reported consuming home cooked food (p = 0.016). Differences in educational level were found for competencies like the self-reported ability to seek (p < 0.001) and verify nutrition information (p < 0.001). Stepwise regression analysis showed that being female, Chinese, self-reported ability to understand nutrition information and having access to help from family/friends were associated with higher NKI scores. ConclusionsOur study revealed that nutrition knowledge of older males in Singapore was lower than females and more left food decisions to others. Nutrition education programs could be targeted at both the older male, their caregivers, and minority ethnic groups.Trial RegistrationThis study was registered on 7 August 2017 at clinicaltrials.gov (ref. NCT03240952).

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