scholarly journals Profile of violence against older individuals registered at the Dial 100 in the period 2011-2015 in Brazil

2020 ◽  
Vol 14 (2) ◽  
pp. 120-127
Author(s):  
Lúcia de Medeiros Taveira ◽  
Maria Liz Cunha de Oliveira
Keyword(s):  
Older Adults ◽  
Retrospective Study ◽  
Data Collection ◽  
Older People ◽  
Rio Grande ◽  
Federal District ◽  
Older Individuals ◽  
Frequent Type ◽  
The North ◽  
Type Of Abuse

OBJECTIVE: To analyze the profile of the reports of violence and abuse against older people registered in the Dial 100 helpline from 2011 to 2015. METHODS: This was a descriptive, retrospective study, based on a sample of 130 164 denunciation reports of the Dial 100. The data collection considered the following variables: city, sex, age, race, place of abuse, type of abuse, and the victim’s relationship with the suspect. RESULTS: The greatest number of reports was registered in the Southeast (42.27%), and the lowest in the North (6.79%). When we analyze the complaints per 100 000 inhabitants, we found as leading states in the ranking of complaints of violence against older people: Amazonas, Federal District, and Rio Grande do Norte. The main profile of possible victims was age from 76 to 80 years, predominantly women, and white. The main abusers were the victim’s children and grandchildren. The most frequent type of abuse was negligence (36.72%), followed by psychological abuse (28.46%), and financial abuse (20.45%). CONCLUSION: The Dial 100 helpline is one of the most effective tools for breaking the silence and invisibility of abuse and violence against older adults, offering a panorama of abuse denunciation in our country.

scholarly journals Factors associated with frailty in older adults

2018 ◽  
Vol 52 ◽  
pp. 74 ◽  
Author(s):  
Jack Roberto Silva Fhon ◽  
Rosalina Aparecida Partezani Rodrigues ◽  
Jair Lício Ferreira Santos ◽  
Marina Aleixo Diniz ◽  
Emanuella Barros dos Santos ◽  
...  
Keyword(s):  
Older Adults ◽  
Data Collection ◽  
Functional Capacity ◽  
Generalized Estimating Equations ◽  
Estimating Equations ◽  
Functional Independence ◽  
Wilcoxon Test ◽  
Frailty Syndrome ◽  
Older Individuals ◽  
Generalized Estimating

OBJECTIVE: To determine the demographic and health factors related to the frailty syndrome in older adults. METHODS: This is a longitudinal quantitative study carried out with 262 older adults aged 65 years and older, of both sexes, living at home. Data collection was carried out in Period 1 between October 2007 and February 2008, and in Period 2 between July and December 2013. For data collection, we used the sociodemographic profile instrument, the Edmonton Frail Scale, the Mini-Mental State Examination, the number of falls in the last 12 months, the number of self-reported diseases and used drugs, the Functional Independence Measure, and the Lawton and Brody Scale. We used descriptive statistics for data analysis, in the comparison of the means between periods, the nonparametric Wilcoxon test, and the method of Generalized Estimating Equations, which is considered an extension of the Generalized Linear Models with p ≤ 0.05. RESULTS: Of the 515 participants, 262 completed the follow-up, with a predominance of females, older individuals, and those who had no partner; there was an increase in frail older adults. In the Generalized Estimating Equations analysis, frailty score was related to sociodemographic (increase in age, no partner, and low education level) and health variables (more diseases, drugs, falls, and decrease in functional capacity). There was an association between the variables of age (older), marital status (no partner), and loss of functional capacity. CONCLUSIONS: Frailty syndrome was associated with increasing age, having no partner, and decreased functional capacity over time, and investments are required to prevent this syndrome and promote quality in aging.

Primary diagnoses and outcomes of emergency department visits in older people with dementia: a hospital-based retrospective study in Taiwan

2019 ◽  
Vol 32 (1) ◽  
pp. 97-104
Author(s):  
Pei-Chao Lin ◽  
Li-Chan Lin ◽  
Hsiu-Fen Hsieh ◽  
Yao-Mei Chen ◽  
Pi-Ling Chou ◽  
...  
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
Retrospective Study ◽  
Older People ◽  
Hospital Admission ◽  
Emergency Department Visits ◽  
Urban Setting ◽  
Research Database ◽  
Patient Records ◽  
People With Dementia

ABSTRACTObjectives:The objectives of this study were to investigate the primary diagnoses and outcomes of emergency department visits in older people with dementia and to compare these parameters with those in older adults without dementia.Design and Setting:This hospital-based retrospective study retrieved patient records from a hospital research database, which included the outpatient and inpatient claims of two hospitals.Participants:The patient records were retrieved from the two hospitals in an urban setting. The inclusion criteria were all patients aged 65 and older who had attended the two hospitals as an outpatient or inpatient between January 1, 2009, and December 31, 2016. Patients with dementia were identified to have at least three reports of diagnostic codes, either during outpatient visits, during emergency department visits, or in hospitalized database records. The other patients were categorized as patients without dementia.Measurements:The primary diagnosis during the emergency department visit, cost of emergency department treatment, cost of hospital admission, length of hospital stay, and diagnosis of death were collected.Results:A total of 149,203 outpatients and inpatients aged 65 and older who were admitted to the two hospitals were retrieved. The rate of emergency department visits in patients with dementia (23.2%) was lower than that in those without dementia (48.6%). The most frequent primary reason for emergency department visits and the main cause of patient death was pneumonia. Patients with dementia in the emergency department had higher hospital admission rates and longer hospital stays; however, the cost of treatment did not show a significant difference between the two groups.Conclusions:Future large and prospective studies should explore the severity of disease in older people with dementia and compare results with older adults without dementia in the emergency department.

scholarly journals Espacios atravesados, lugares vividos y tiempos materializados: dinámicas locales en una pequeña ciudad minera-pirquinera

ILUMINURAS ◽  
2017 ◽  
Vol 18 (45) ◽  
Author(s):  
Pamela Jorquera
Keyword(s):  
Older Adults ◽  
Older People ◽  
Contemporary Society ◽  
Small Cities ◽  
Local Dynamics ◽  
Mining Town ◽  
The North ◽  
Dimensions Of Space ◽  
Economic Criteria

El estudio de pequeñas ciudades comúnmente se hace desde criterios demográficos, administrativos y económicos. Desde esos enfoques, muchas veces, sus dinámicas quedan invisibilizadas, considerándose traspasadas o propias de un mundo tradicional condenado a la extinción en el contexto de la sociedad contemporánea. En esa línea, este articulo tiene como objetivo reflexionar sobre las dinámicas de las pequeñas ciudades, a través de las dimensiones de espacio, lugar y tiempo, con el fin de problematizarlas como parte de la modernidad y no como antónimas. Para eso tomará el caso de Inca de Oro, localidad minera ubicada en el norte de Chile. Por medio del análisis de un lugar especifico- la esquina de los aburridos- se muestra como un grupo de adultos mayores, usuarios o habitués del lugar, comparten el espacio, vivencian el lugar y materializan el tiempo por medio de la activación de su memoria. Constatando  la necesidad de reconocer la heterogeneidad presente en la sociedad contemporánea.Palabras claves: Pequeñas ciudades. Localidad. Tiempo. Minería. Adultos mayores.Advanced spaces, living places and materialized times: local dynamics in a small minera-pirquinera cityAbstractThe study of small cities, is usually done base don demographic, administrative and economic criteria. From these approaches, many times, their dynamics are invisible, being considered outdated or own of a traditional world condemned to the extinction in the context of the contemporary society. In this context, this article aims to reflect on the dynamics of small cities, through the dimensions of space, place and time, in order to problematize them as part of modernity and not as antonymous. For that it will take the case of Inca de Oro, a mining town located in the north of Chile. Through the analysis of a specific place - the corner of the boring - is shown a group of older adults, users of the place, who share the space, experience the place and materialize time by means of the activation of their memory. Noting the need to recognize the heterogeneity existing in contemporary society.Keywords: Small cities. Locality. Time. Mining. Older people.

scholarly journals Measuring Discrimination against Older People Applying the Fraboni Scale of Ageism

Information ◽  
2021 ◽  
Vol 12 (11) ◽  
pp. 458
Author(s):  
Ágnes Hofmeister-Tóth ◽  
Ágnes Neulinger ◽  
János Debreceni
Keyword(s):  
Older Adults ◽  
Data Collection ◽  
Older People ◽  
Psychometric Properties ◽  
International Studies ◽  
Hungarian Population ◽  
The Subject ◽  
Hungarian Language ◽  
Hungarian Version ◽  
Beliefs And Attitudes

The progressive aging of developed societies, caused by profound demographic changes, brings with it the necessity of confronting the subject of discrimination against older people. In the last 50 years, many scales of ageism have been developed to measure beliefs and attitudes towards older adults. The purpose of our study was to adapt the full Fraboni Scale of Ageism (FSA) to Hungarian language and assess its reliability, validity, and psychometric properties. The sample of the study was representative of the Hungarian population, and the data collection took place online. In our study, we compare the dimensions of the scale with other international studies and present the attitudes and biases of the Hungarian population against the older people. The results of the study indicate that attitudes toward older people are more positive among women, older people, and people living in villages. In this study, we concluded that the Hungarian version of the Fraboni Scale of Ageism is a suitable instrument for both measuring the extent of ageism in the Hungarian population and contributing to further testing the international reliability, validity, and psychometric properties of the Fraboni Scale of Ageism.

scholarly journals High Anemia Prevalence in Korean Older Adults, an Advent Healthcare Problem: 2007-2016 KNHANES

2020 ◽  
Author(s):  
Hee won Chueh ◽  
Hye Lim Jung ◽  
Ye Jee Shim ◽  
Hyoung Soo Choi ◽  
Jin Yeong Han
Keyword(s):  
Rheumatoid Arthritis ◽  
Older Adults ◽  
Older People ◽  
Multivariate Analyses ◽  
Categorical Variables ◽  
High Morbidity ◽  
Older Individuals ◽  
Female Sex ◽  
Increased Risk ◽  
Participant Characteristics

Abstract BACKGROUND: Anemia is associated with high morbidity and mortality in older people. However, anemia in older individuals is not fully understood, and national data on the prevalence and characteristics of anemia in Korean older people are lacking. This study aimed to evaluate the prevalence and characteristics of anemia in older adults using data from the Korea National Health and Nutrition Examination Survey (KNHANES), which is the nation-wide cross-sectional epidemiological study conducted by Korean Ministry of Health and Welfare.Methods: Data from the total of 62,825 participants of the 2007-2016 KNHANES were merged and analyzed to investigate differences in participant characteristics and potential risk factors for anemia. Differences in participant characteristics were compared across subgroups using the chi-squared test for categorical variables and independent t-test for continuous variables. Univariate and multivariate analyses using logistic regression were performed to identify related clinical factors.RESULTS: The prevalence of anemia was higher in the population aged ≥65 years than in the younger population. Anemia was also more prevalent among females than among males, but the difference was not statistically significant in people aged >85 years. Being underweight, receiving a social allowance, living alone, and having comorbidities such as hypertension, rheumatoid arthritis, diabetes mellitus (DM), cancer, and chronic renal failure (CRF) were more prevalent in older adults with anemia than in the group without anemia. In the univariate and multivariate analyses, older age, female sex, underweight, and comorbidities including rheumatoid arthritis, DM, cancer, and CRF were associated with an increased risk of anemia. CONCLUSIONS: This study revealed that age, female sex, underweight, and the presence of comorbidities such as rheumatoid arthritis, DM, cancer, and CRF were associated with an increased risk of anemia in Korean older adults. Further study on causal relationships between anemia and other variables in the older population is necessary.

Income and education are associated with transitions in health status among community-dwelling older people in Japan: the JAGES cohort study

2019 ◽  
Vol 36 (6) ◽  
pp. 713-722 ◽  
Author(s):  
Takaaki Ikeda ◽  
Toru Tsuboya ◽  
Jun Aida ◽  
Yusuke Matsuyama ◽  
Shihoko Koyama ◽  
...  
Keyword(s):  
Older Adults ◽  
Cohort Study ◽  
Health Status ◽  
Older People ◽  
Multinomial Logistic Regression ◽  
Community Dwelling ◽  
Baseline Survey ◽  
Older Individuals ◽  
Community Dwelling Older Adults

Abstract Background Health inequalities are an emerging issue in ageing societies, but inequalities in pre-frailty, which is suffered by almost half of older people, are mostly unknown. Objective This study aimed to determine the association between the socio-economic status (SES) and changes across pre-frailty, frailty, disability and all-cause mortality. Methods We conducted a prospective cohort study across 23 Japanese municipalities between 2010 and 2013. Functionally independent community-dwelling older adults aged ≥65 years (n = 65 952) in 2010 were eligible for the study. The baseline survey was conducted from 2010 to 2012, and the self-reporting questionnaires were mailed to 126 438 community-dwelling older adults [64.8% (81 980/126 438) response rate]. The follow-up survey was conducted in 2013. Overall, 65 952 individuals were followed up [80.4% (65 952/81 980) follow-up rate]. The health status was classified into five groups: robust; pre-frailty; frailty; disability and death. We conducted three multinomial logistic regression models stratified by the initial disability status. Educational attainment and equivalized household income were separately added to the models as exposures after adjusting for covariates. Results Participants with the lowest educational level were less likely to recover from pre-frailty to robust compared with those with the highest level [odds ratio (OR) (95% confidence interval (CI)) = 0.84 (0.76–0.93)]. The participants with the lowest income level were also less likely to recover from pre-frailty to robust compared with those with the highest level [OR (95% CI) = 0.80 (0.69–0.91)]. Conclusions Older individuals with a lower SES were less likely to recover from a pre-frailty status.

scholarly journals Social engagement and physical frailty in later life: does marital status matter?

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yi Wang ◽  
Zhuo Chen ◽  
Chengchao Zhou
Keyword(s):  
Public Health ◽  
Older Adults ◽  
Older People ◽  
Marital Status ◽  
Social Engagement ◽  
Fixed Effects ◽  
Public Health Issue ◽  
Older Individuals ◽  
Physical Frailty ◽  
Longitudinal Association

Abstract Background Physical frailty is a common characteristic of older people with the ageing process and has been viewed as a major public health issue. The longitudinal association between different social engagement and physical frailty among older people has not been explored adequately in China. Marital status forms a critical context for the link between social engagement and frailty among older people, which might constitute a moderating process. The purpose of the present study is to investigate the longitudinal association between social engagement and the changes in physical frailty among Chinese older adults, and to examine whether the association between social engagement and frailty differs by marital status. Methods The data use in this study were from the data from the China Health and Retirement Longitudinal Study aged 60+ years from 2011 to 2015. A total of 6575 respondents who participated in at least one follow-up wave were included in the analysis. The relationship between social engagement and changes in frailty over time, and the moderating role of marital status were estimated using individual fixed-effects models. Sensitive analyses were conducted to test the robustness of the results. Results After adjusting the confounders, participants who interact with friends (Coef: -1.309, P < 0.001), engaging in hobby groups (Coef: -1.189, P < 0.001), engaging in sports groups (Coef: -0.945, P = 0.001), and volunteering (Coef: -1.957, P = 0.001) with a frequency of almost daily had a significantly lower frailty risk than participants who never engaging in those activities. The association between frequent engaging in hobby groups and physical frailty was strongest for unmarried than married older adults (Coef: -1.325, P = 0.031). Conclusions Frequent social engagement might help to decrease the risk of frailty in the Chinese older population. This finding has important implications for public health policy and encourages the incorporation of a broad range of social engagement into the daily lives of older individuals. Specially, encouraging unmarried older adults to engage in intellectual activities, such as playing chess or Mahjong with others, may be an effective way to reduce physical frailty.

scholarly journals Influenza Vaccination Coverage among Older Adults with Hypertension in Shenzhen, China: A Cross-Sectional Survey during the COVID-19 Pandemic

Vaccines ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. 1105
Author(s):  
Qiushuang Li ◽  
Minyi Zhang ◽  
Hongbiao Chen ◽  
Fei Wu ◽  
Juxian Xian ◽  
...  
Keyword(s):  
Older Adults ◽  
Older People ◽  
Influenza Vaccination ◽  
Vaccination Coverage ◽  
Family Doctor ◽  
Vaccination Status ◽  
Older Individuals ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Influenza Vaccinations

Background: Older individuals with hypertension are at a high risk of being infected with influenza. However, there have been few studies investigating the influenza vaccination status among older people with hypertension. The present work aimed to estimate the vaccination coverage and determine the predictors of seasonal influenza vaccinations among hypertensive patients aged over 60 years in Shenzhen, China. Method: The study used data from an online cross-sectional survey that was conducted in Shenzhen City, China, in October 2020. Frequencies and proportions of all the variables including sociodemographic characteristics and health-related information were described and tabulated based on the influenza vaccination status. Bivariate and multivariable logistic regression analyses were used to identify independent predictors associated with the influenza vaccination. Results: A total of 5216 older people with hypertension aged above 60 years were recruited. Overall, only 4.7% had received an influenza vaccine in the latest influenza season. Using the action toward being vaccinated as the primary outcome, the multivariable regression analysis showed that participants aged over 80 years (aOR 2.957, 95% CI: 1.784–4.900), obtaining higher education levels (aOR 1.424, 95% CI: 1.060–1.914 for high school, aOR 1.681, 95% CI: 1.066–2.650 for college or above), living with a partner (aOR 1.432, 95% CI: 1.068–1.920), using a family doctor (aOR 2.275, 95% CI: 1.744–2.968), and taking a physical examination 1–2 and ≥3 times each year (aOR 2.107, 95% CI: 1.601–2.772 and aOR 2.118, 95% CI: 1.083–4.143, respectively) were more likely to be vaccinated. In contrast, smokers had less likelihood of having the influenza vaccination than non-smokers (aOR 1.829, 95% CI: 1.208–2.767). Conclusions: The coverage rate of influenza vaccinations is far away from optimistic among older adults with hypertension. Additional works should be undertaken immediately to improve the influenza vaccination status.

scholarly journals Geospatial panorama of long-term care facilities in Brazil: a portrait of territorial inequalities

2021 ◽  
Vol 15 ◽  
Author(s):  
Tatiana Teixeira Barral de Lacerda ◽  
Ana Paula Miranda Neves ◽  
Giselle Layse Andrade Buarque ◽  
Denise Cuoghi de Carvalho Veríssimo Freitas ◽  
Mariana Medeiros Mota Tessarolo ◽  
...  
Keyword(s):  
Older Adults ◽  
Older People ◽  
Long Term Care ◽  
Secondary Data ◽  
Term Care ◽  
The North ◽  
Care Facilities ◽  
The Relationship ◽  
Different Sources

OBJECTIVES: To map the number and geospatial distribution of Brazilian long-term care facilities (LTCFs) for older adults. Additionally, we sought to highlight the relationship between these findings and the number of older people in the country’s 27 Federation Units, demonstrating the growth of these facilities in the last decade. METHODS: This is a descriptive observational study, using secondary data, which was performed in 3 stages: 1) searching and consolidating national and subnational data from different sources and mapping LTCFs; 2) preparing a geospatial map using Brazilian postal codes; and 3) triangulating the number of facilities and of older people in each state and all 5 Brazilian regions. RESULTS: We found 7029 LTCFs in the country, mostly in the Southeast and South regions: São Paulo, Minas Gerais and Rio Grande do Sul had the highest numbers of facilities while states in the North region represented only 1.12% of Brazilian LTCFs. Geospatial mapping highlighted that 64% of the 5 570 Brazilian municipalities did not have any LTCFs for older adults. CONCLUSIONS: We observed a large difference between Brazilian regions regarding the provision of long-term care.

scholarly journals High Anemia Prevalence in Korean Older Adults, an Urgent Healthcare Problem: 2007-2016 KNHANES

2020 ◽  
Author(s):  
Hee won Chueh ◽  
Hye Lim Jung ◽  
Ye Jee Shim ◽  
Hyoung Soo Choi ◽  
Jin Yeong Han
Keyword(s):  
Older Adults ◽  
Older People ◽  
Healthy Aging ◽  
High Morbidity ◽  
Older Individuals ◽  
Cross Sectional ◽  
Female Sex ◽  
Increased Risk ◽  
Potential Risk Factors ◽  
The Difference

Abstract BACKGROUND: Anemia is associated with high morbidity and mortality in older people. However, anemia in older individuals is not fully understood, and national data on the prevalence and characteristics of anemia in Korean older people are lacking. This study aimed to evaluate the prevalence and characteristics of anemia in older adults using data from the Korea National Health and Nutrition Examination Survey (KNHANES) , which is the nation-wide cross-sectional epidemiological study conducted by Korean Ministry of Health and Welfare. METHODS: Data from the total of 62,825 participants of the 2007-2016 KNHANES were merged and analyzed to investigate differences in participant characteristics and potential risk factors for anemia. RESULTS: The prevalence of anemia was higher in the population aged ≥65 years (older adults) than in the younger population. Anemia was also more prevalent among females than among males, but the difference was not statistically significant in people aged >85 years. Being underweight, receiving a social allowance, living alone, and having comorbidities such as hypertension, arthritis, diabetes mellitus (DM), cardiovascular disease (CVD), stroke, cancer, and chronic renal failure (CRF) were more prevalent in older adults with anemia than in the group without anemia. In the univariate and multivariate analyses, older age, female sex, underweight, and comorbidities including arthritis, DM, CVD, stroke, cancer, and CRF were associated with an increased risk of anemia. Furthermore, the prevalence data were significantly higher in this study than in previous studies. CONCLUSIONS: This study revealed that age, female sex, underweight, and the presence of comorbidities such as arthritis, DM, CVD, stroke, cancer, and CRF were associated with an increased risk of anemia in Korean older adults. Our findings may be useful in developing interventions and programs aimed at healthy aging. Further study on causal relationships between anemia and other variables in the older population is necessary.

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