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Kandapan B, Pradhan J, Pradhan I. Living arrangement of Indian elderly: a predominant predictor of their level of life satisfaction. BMC Geriatr 2023; 23:88. [PMID: 36765271 PMCID: PMC9921119 DOI: 10.1186/s12877-023-03791-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2022] [Accepted: 02/01/2023] [Indexed: 02/12/2023] Open
Abstract
OBJECTIVE This article aims to examine the level of life satisfaction (LS) among Indian older adults and to determine whether their living arrangement is one of the potential determinants of their level of LS. METHODS Data was drawn from the first and most recent wave of Longitudinal Ageing Study in India conducted in 2017-18. Using the Satisfaction with Life Scale, the level of LS was assessed for 30,370 elderly aged 60 + . Bivariate analysis was carried out to see the variation in the level of LS across elderlies with different socio-demographic characteristics. To investigate the association between LS and living arrangements and the selected socio-demographic factors multinomial logistic regression model was fitted. RESULT The findings reveal that 25.4% and 45.5% of the elderlies have reported having a low and high level of LS, respectively. Living alone was associated with low level of LS. Co-residing with a spouse was associated with a higher likelihood of reporting high level of LS. The study also found that having both spouse and children as coresident increases the likelihood of reporting high level of LS (RRR = 3.15, 95%CI = 2.3-4.28). Elderly with self-reported poor health, limitation in more than two activities of daily living and presence of depressive symptoms were significantly associated with reporting low level of LS. However, being diagnosed with more than three chronic illnesses was associated with high level of LS (RRR = 1.41, 95%CI = 1.25-1.59). Older adults with the following characteristics were more likely to report a lower level of LS: male, 60-64 years old, no or few years of schooling, unmarried, working, rural resident, living in a poor household, Scheduled Caste and Tribe. CONCLUSION The level of life satisfaction in Indian older adults is significantly associated with their living arrangements, thus suggesting that the LS of older adults could be facilitated through interventions that consider their living arrangements. Older adults with various personal and household characteristics were identified as vulnerable groups, who should be the prime targets of the existing welfare policies.
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Affiliation(s)
- Binayak Kandapan
- grid.444703.00000 0001 0744 7946Department of Humanities and Social Sciences, National Institute of Technology, Rourkela, Odisha 769008 India
| | - Jalandhar Pradhan
- grid.444703.00000 0001 0744 7946Department of Humanities and Social Sciences, National Institute of Technology, Rourkela, Odisha 769008 India
| | - Itishree Pradhan
- Department of Humanities and Social Sciences, National Institute of Technology, Rourkela, Odisha, 769008, India.
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Muhammad T, Paul R, Meher T, Rashmi R, Srivastava S. Decomposition of caste differential in life satisfaction among older adults in India. BMC Geriatr 2022; 22:832. [PMID: 36319969 PMCID: PMC9628079 DOI: 10.1186/s12877-022-03526-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2022] [Accepted: 10/12/2022] [Indexed: 11/07/2022] Open
Abstract
BACKGROUND Being a multi-cultured country, India has varied social groups which largely shape the lives of individuals. Literature has shown that life satisfaction is highly associated with the social status of individuals. However, changing age dynamics (growing older) and definition of life among people presses the need to understand whether the additional years of life in older adults are manifested with the disparity in life satisfaction among the Scheduled Caste (SC)/ Scheduled Tribes (ST) and non-SC/ST social groups in recent years. The present study explored the factors contributing to such differences in life satisfaction across social groups. METHODS This study used data from the Longitudinal Aging Study in India conducted during 2017-18. The analytical sample of the study was 30,370 older adults. Life satisfaction was the outcome variable with a score ranging from 5 to 35. Descriptive statistics and bivariate analysis were conducted. Simple linear regression analysis was used to establish the association between the outcome and explanatory variables. Further, the Blinder-Oaxaca decomposition model was used to analyse the role of explanatory factors in the caste difference in life satisfaction among older people. RESULTS Overall, the life satisfaction score among older adults in the study was 23.9 (SD- 7.3). Older adults from non-SC/ST group had significantly higher likelihood of having life satisfaction in comparison to older adults from SC/ST group [Coef: 0.31; CI: 0.14, 0.49]. The decomposition results showed that the model explained 74.3% of the caste gap (between SC/ST and non-SC/ST) in life satisfaction among older adults in India. Subjective social status (39.0%) was widening the gap for life satisfaction among older adults from SC/ST and non-SC/ST group. Similarly, level of education (15.2%) followed by satisfaction with living arrangement (13.2%) and place of residence (5.3%) contributed for widening the gap for life satisfaction among older adults from SC/ST and non-SC/ST group. Region of country (- 11.5%) followed by self-rated health (- 3.0%) and major depression (- 2.7%) contributed for narrowing down the gap for life satisfaction among older adults from SC/ST and non-SC/ST group. CONCLUSION Older adults belonging to non-SC/ST groups were more likely to have a higher level of life satisfaction than those from the SC/ST group. Factors like subjective social status, educational level, living arrangement satisfaction, and place of residence explained the caste differential in life satisfaction among older adults. In addition, factors such as psychological health and perceived health status should be the area of concern and special focus for policy makers and researchers in terms of reducing social inequalities in wellbeing among older population.
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Affiliation(s)
- T. Muhammad
- grid.419349.20000 0001 0613 2600International Institute for Population Sciences, Mumbai, -400088 India
| | - Ronak Paul
- grid.419349.20000 0001 0613 2600International Institute for Population Sciences, Mumbai, -400088 India
| | - Trupti Meher
- grid.419349.20000 0001 0613 2600International Institute for Population Sciences, Mumbai, -400088 India
| | - Rashmi Rashmi
- grid.419349.20000 0001 0613 2600International Institute for Population Sciences, Mumbai, -400088 India
| | - Shobhit Srivastava
- grid.419349.20000 0001 0613 2600International Institute for Population Sciences, Mumbai, -400088 India
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Komatsu A, Nakagawa T, Noguchi T, Saito T. Factors associated with decision‐making involvement in community‐dwelling older care recipients. Geriatr Gerontol Int 2022; 22:876-882. [DOI: 10.1111/ggi.14471] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Revised: 07/07/2022] [Accepted: 08/09/2022] [Indexed: 11/27/2022]
Affiliation(s)
- Ayane Komatsu
- National Center for Geriatrics and Gerontology Obu Japan
| | | | - Taiji Noguchi
- National Center for Geriatrics and Gerontology Obu Japan
| | - Tami Saito
- National Center for Geriatrics and Gerontology Obu Japan
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Srivastava S, Muhammad T, Sulaiman KM, Kumar M, Singh SK. Types of household headship and associated life satisfaction among older adults in India: findings from LASI survey, 2017-18. BMC Geriatr 2022; 22:78. [PMID: 35078422 PMCID: PMC8790881 DOI: 10.1186/s12877-022-02772-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Accepted: 12/21/2021] [Indexed: 02/03/2023] Open
Abstract
BACKGROUND Household headship with decision-making power may have a positive influence on life satisfaction in older adults. This study examines the associations of several types of household headship with life satisfaction among older adults in India. METHOD The study utilized the data from the Longitudinal Ageing Study in India (2017-18). The effective sample size for the study was 31,464 adults aged 60 years or older. Ordered logistic regression model was employed to find the association of life satisfaction with household headship status after adjusting for selected socioeconomic and demographic factors. RESULTS It was found that about 1.3% of older male and 1.5% of older females had nominal headship status in their household. Higher percentage of older males (42%) and females (48.3%) who had nominal headship status had low life satisfaction. In multivariable analysis, older adults who practiced nominal headship had significantly higher odds of low life satisfaction in reference to older adults who practiced functional headship [Adjusted odds ratio (AOR): 1.87; confidence interval (CI): 1.45,2.42]. Interaction model reveals that older men who practised nominal headship had significantly higher odds of low life satisfaction in reference to older men who practised functional headship [AOR: 2.34; CI: 1.59,3.45]. Similarly, older women who practised nominal headship had 55% significantly higher likelihood to have low life satisfaction in reference to older men who practised functional headship [AOR: 1.55; CI: 1.09, 2.18]. CONCLUSION The recognition of older individuals as active agents of the households they belong to, and giving them the value they deserve may help boosting their mental well-being. As a direct driver of subjective well-being, headship status and decision making power deserve a more prominent role and future studies are required on the mechanisms of functional and nominal headship statuses that have impact on successful aging.
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Affiliation(s)
- Shobhit Srivastava
- Department of Survey Research & Data Analytics, International Institute for Population Sciences, Mumbai, Maharashtra 400088 India
| | - T. Muhammad
- International Institute for Population Sciences, Mumbai, 400088 India
| | - K. M. Sulaiman
- International Institute for Population Sciences, Mumbai, 400088 India
| | - Manish Kumar
- International Institute for Population Sciences, Mumbai, 400088 India
| | - S. K. Singh
- Department of Survey Research & Data Analytics, International Institute for Population Sciences, Mumbai, Maharashtra 400088 India
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Tago M, Katsuki NE, Yaita S, Nakatani E, Yamashita S, Oda Y, Yamashita SI. High inter-rater reliability of Japanese bedriddenness ranks and cognitive function scores: a hospital-based prospective observational study. BMC Geriatr 2021; 21:168. [PMID: 33750305 PMCID: PMC7941919 DOI: 10.1186/s12877-021-02108-x] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2020] [Accepted: 02/18/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The statistical validities of the official Japanese classifications of activities of daily living (ADLs), including bedriddenness ranks (BR) and cognitive function scores (CFS), have yet to be assessed. To this aim, we evaluated the ability of BR and CFS to assess ADLs using inter-rater reliability and criterion-related validity. METHODS New inpatients aged ≥75 years were enrolled in this hospital-based prospective observational study. BR and CFS were assessed once by an attending nurse, and then by a social worker/medical clerk. We evaluated inter-rater reliability between different professions by calculating the concordance rate, kappa coefficient, Cronbach's α, and intraclass correlation coefficient. We also estimated the relationship of the Barthel Index and Katz Index with the BR and CFS using Spearman's correlation coefficients. RESULTS For the 271 patients enrolled, BR at the first assessment revealed 66 normal, 10 of J1, 15 of J2, 18 of A1, 31 of A2, 37 of B1, 35 of B2, 22 of C1, and 32 of C2. The concordance rate between the two BR assessments was 68.6%, with a kappa coefficient of 0.61, Cronbach's α of 0.91, and an intraclass correlation coefficient of 0.83, thus showing good inter-rater reliability. BR was negatively correlated with the Barthel Index (r = - 0.848, p < 0.001) and Katz Index (r = - 0.820, p < 0.001), showing justifiable criterion-related validity. Meanwhile, CFS at the first assessment revealed 92 normal, 47 of 1, 19 of 2a, 30 of 2b, 60 of 3a, 8 of 3b, 8 of 4, and 0 of M. The concordance rate between the two CFS assessments was 70.1%, with a kappa coefficient of 0.62, Cronbach's α of 0.87, and an intraclass correlation coefficient 0.78, thus also showing good inter-rater reliability. CFS was negatively correlated with the Barthel Index (r = - 0.667, p < 0.001) and Katz Index (r = - 0.661, p < 0.001), showing justifiable criterion-related validity. CONCLUSIONS BR and CFS could be reliable and easy-to-use grading scales of ADLs in acute clinical practice or large-scale screening, with high inter-rater reliabilities among different professions and significant correlations with well-established, though complicated to use, instruments to assess ADLs. TRIAL REGISTRATION UMIN000041051 (2020/7/10).
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Affiliation(s)
- Masaki Tago
- Department of General Medicine, Saga University Hospital, 5-1-1 Nabeshima, Saga, 849-8501, Japan.
| | - Naoko E Katsuki
- Department of General Medicine, Saga University Hospital, 5-1-1 Nabeshima, Saga, 849-8501, Japan
| | - Shizuka Yaita
- Department of General Medicine, Saga University Hospital, 5-1-1 Nabeshima, Saga, 849-8501, Japan
| | - Eiji Nakatani
- Division of Statistical Analysis, Research Support Center, Shizuoka General Hospital, Shizuoka, Japan.,Translational Research Center for Medical Innovation, Foundation for Biomedical Research and Innovation at Kobe, Kobe, Japan
| | - Shun Yamashita
- Department of General Medicine, Saga University Hospital, 5-1-1 Nabeshima, Saga, 849-8501, Japan
| | - Yoshimasa Oda
- Department of General Medicine, Yuai-Kai Foundation and Oda Hospital, Kashima, Japan
| | - Shu-Ichi Yamashita
- Department of General Medicine, Saga University Hospital, 5-1-1 Nabeshima, Saga, 849-8501, Japan
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Kim J, Lee M, Dan H. Gender Differences in Factors Affecting Life Satisfaction of the Elderly with Multimorbidity in Korea. NURSING REPORTS 2021; 11:54-63. [PMID: 34968312 PMCID: PMC8608087 DOI: 10.3390/nursrep11010006] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2020] [Revised: 01/24/2021] [Accepted: 01/28/2021] [Indexed: 12/21/2022] Open
Abstract
To enhance the life satisfaction of the elderly with multimorbidity, it is necessary to investigate the relevant factors and to examine the differences in factors according to gender. The aim of this study was to identify factors affecting life satisfaction of the elderly with multimorbidity in the community by gender in Korea. We analyzed data from 2140 participants with multimorbidity who were aged 65 or older and participated in the Korean Longitudinal Study of Ageing (KLoSA) in 2016. A multivariate linear regression analysis was conducted to examine the factors affecting life satisfaction among male and female older participants with multimorbidity. The most common pattern of multimorbidity of women was hypertension and arthritis/rheumatism, while that of men was hypertension and diabetes mellitus. Some factors, such as depression, exercise, and number of chronic diseases, affected both male and female participants, but others related to life satisfaction varied by gender. Therefore, it is necessary to consider the characteristics of multiple chronic diseases, and policy support should be provided in consideration of gender differences to improve the life satisfaction of the elderly.
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Affiliation(s)
- Jeonghyun Kim
- College of Nursing, Ewha Womans University, Seoul 03760, Korea;
| | - Minkyung Lee
- Infectious Disease Department, Weill Cornell Medicine, New York, NY 10065, USA;
| | - Hyunju Dan
- College of Nursing, Ewha Womans University, Seoul 03760, Korea;
- Correspondence:
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Miyanaga R, Poudyal H. Participation of nurses and care workers in the decision-making process for people with dementia in Japan: Discussion paper. Int J Nurs Stud 2019; 96:91-98. [PMID: 30929744 DOI: 10.1016/j.ijnurstu.2019.02.011] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2018] [Revised: 02/12/2019] [Accepted: 02/17/2019] [Indexed: 11/26/2022]
Abstract
Numerous socio-legal factors make the process of surrogate decision-making for people living in dementia very complicated in Japan. In this discussion paper, we argue that the lack of early consultation between patients, surrogate decision-makers and healthcare providers and the overreliance of patients and their families on doctors to assume the decision-making role lead to healthcare practices that may not align with the patient's wishes. Further, we argue that lack of laws on surrogate decision-making, changing family structure and the liabilities associated with the care of people living with dementia contribute to the complexity of the decision-making process in Japan. Finally, given the rapidly changing social and healthcare norms in Japan, we call for greater involvement of nurses and care workers in the decision-making process to ensure patient-centric treatment and care are adopted.
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Affiliation(s)
- Rio Miyanaga
- Department of Nursing, Faculty of Medicine, Kyoto University, Kyoto, Japan
| | - Hemant Poudyal
- Medical Education Center, Department of Diabetes, Endocrinology and Nutrition & Department of Cardiovascular Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
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8
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Shin SH, Park JS. A Structural Equation Model of Quality of Life in Nursing Home Residents. ACTA ACUST UNITED AC 2018. [DOI: 10.17079/jkgn.2018.20.3.193] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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9
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Chen C, Goldman DP, Zissimopoulos J, Rowe JW. Multidimensional comparison of countries' adaptation to societal aging. Proc Natl Acad Sci U S A 2018; 115:9169-9174. [PMID: 30154160 PMCID: PMC6140517 DOI: 10.1073/pnas.1806260115] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
As long-term changes in life expectancy and fertility drive the emergence of aging societies across the globe, individual countries vary widely in the development of age-relevant policies and programs. While failure to adapt to the demographic transformation carries not only important financial risks but also social risks, most efforts to gauge countries' preparedness focus on economic indicators. Using data from the Organization for Economic Cooperation and Development (OECD) and other sources, we developed a multidimensional Aging Society Index that assesses the status of older populations across five specific domains, including productivity and engagement, well-being, equity, economic and physical security, and intergenerational cohesion. For 18 OECD countries, the results demonstrate substantial diversity in countries' progress in adapting to aging. For any given domain, there are wide differences across countries, and within most countries, there is substantial variation across domains. Overall, Norway and Sweden rank first in adaptation to aging, followed by the United States, The Netherlands, and Japan. Central and eastern European countries rank at the bottom, with huge untapped potential for successful aging. The United States ranks best in productivity and engagement, in the top half for cohesion, and in the middle in well-being, but it ranks third from the bottom in equity. Only well-being and security showed significant between-domain correlation (r = 0.59, P = 0.011), strengthening the case for a multidimensional index. Examination of heterogeneity within and across domains of the index can be used to assess the need for, and effectiveness of, various programs and policies and facilitate successful adaptation to the demographic transition.
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Affiliation(s)
- Cynthia Chen
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore 117549
| | - Dana P Goldman
- Schaffer Center for Health Policy, University of Southern California, Los Angeles, CA 90089
| | - Julie Zissimopoulos
- Schaffer Center for Health Policy, Sol Price School of Public Policy, University of Southern California, Los Angeles, CA 90089
| | - John W Rowe
- Department of Health Policy and Management, Mailman School of Public Health, Columbia University, New York, NY 10032
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10
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Yoo JS, Chang SJ, Kim HS. Prevalence and Predictive Factors of Depression in Community-Dwelling Older Adults in South Korea. Res Theory Nurs Pract 2018; 30:200-211. [PMID: 28304266 DOI: 10.1891/1541-6577.30.3.200] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
The aims of the study were to investigate the levels of depression and to identify the predictors of depression among older adults in 3 different environments based on their primary place of leisure time activity, including their homes, small community halls, and senior welfare centers. A convenience sample of 833 older adults participated in the study. Instruments for measuring functional independence, social support, life satisfaction, and depression were used. The data were analyzed using a one-way analysis of variance (ANOVA) and multiple hierarchical regressions. The level of depression in older adults at home was significantly greater than the level of depression in those in both small community halls and senior welfare centers. Life satisfaction was the strongest negative predictor of depression in older adults both at home and in senior welfare centers, whereas employment status was the one in those in small community halls. Across the 3 groups, poor subjective health was the strongest positive predictor of depression. The levels of depression and predictors differed among the settings. Nurses should have a thorough understanding of these differences when planning effective strategies for managing depression in older adults.
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Affiliation(s)
- Jae Soon Yoo
- Department of Nursing Science, Chungbuk National University, Cheongju, South Korea
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11
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Improved Health Status and Life Satisfaction among Older People following Self-Help Group Intervention in Jakarta. Curr Gerontol Geriatr Res 2017; 2017:3879067. [PMID: 29225621 PMCID: PMC5684573 DOI: 10.1155/2017/3879067] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2017] [Revised: 08/23/2017] [Accepted: 09/06/2017] [Indexed: 11/17/2022] Open
Abstract
Although self-help group for older people gains the effectiveness, the effect of a nursing intervention using a self-help group model as a guideline for self-monitoring and intervention on the health status and life satisfaction among older people still remains. To determine the effectiveness of this nursing intervention, an experimental design using multistage sampling method was used for this study. The self-help intervention included a single 50-70-minute session once a week for 12 weeks done, using the Life Satisfaction Inventory-A (LSI-A) questionnaire, and SF-36 shows a significant difference. Self-help intervention could be implemented by nurses for older people in the community to improve health and well-being.
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12
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Celik SS, Celik Y, Hikmet N, Khan MM. Factors Affecting Life Satisfaction of Older Adults in Turkey. Int J Aging Hum Dev 2017; 87:392-414. [PMID: 29124946 DOI: 10.1177/0091415017740677] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This study aimed to examine the determinants of life satisfaction of older adults in Turkey. The sample consisted of 2,959 older adults over 65 years. The effects of psychological, daily life and instrumental activity, physical health and health status, and other important variables on life satisfaction were analyzed. The variables lessening life satisfaction for older adults included poverty, a lower self-reported health status, a decline in physical health, ability to chew, ability to do household activities, and an increase in feelings of depression and feeling social withdrawn. In contrast, being married, having a higher education level, and having an income-generating work increased life satisfaction among older adults. This study suggests the necessity of developing local and national policies that enable older adults to become more active in their communities. These policies should be coordinated under the framework of national aging policies that bridge health, social, and economic issues.
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Affiliation(s)
| | - Yusuf Celik
- 2 Faculty of Economics and Administrative Sciences, Department of Health Care Management, Hacettepe University, Ankara, Turkey
| | - Neset Hikmet
- 3 Department of Integrated Information Technology, University of South Carolina, Columbia, SC, USA
| | - Mahmud M Khan
- 4 Department of Health Services Policy and Management, School of Public Health, University of South Carolina, Columbia, SC, USA
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13
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Yang CY, Chiou AF. Comparison of the Prevalence and Predictors of Depression in Taiwanese and American Older Patients With Arthritis. Perspect Psychiatr Care 2016; 52:283-291. [PMID: 26194027 DOI: 10.1111/ppc.12130] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2014] [Revised: 04/16/2015] [Accepted: 06/07/2015] [Indexed: 11/28/2022] Open
Abstract
PURPOSE To compare the prevalence and predictors of depression in Taiwanese and American older patients with arthritis. DESIGN AND METHODS A secondary analysis was conducted to assess 151 Taiwanese and 70 American arthritic patients in Taipei, Taiwan and Chicago, USA. FINDINGS The prevalence of depression of Taiwanese and American older arthritic patients was 34% and 40%, respectively. Depression was explained by life satisfaction and functional ability in Taiwanese patients, and by life satisfaction and level of pain in American patients. PRACTICE IMPLICATIONS Nurses should assess patients' level of pain and functional ability, as well as their life satisfaction and depression.
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Affiliation(s)
- Chiu-Yueh Yang
- School of Nursing, National Yang-Ming University, Taipei, Taiwan
| | - Ai-Fu Chiou
- School of Nursing, National Yang-Ming University, Taipei, Taiwan.
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14
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Kim MK, Kim TH, Kim SG. Correlation between the Mini Mental State Examination-Korean version and the Measurement of Quality of the Environment in the institutionalized elderly. J Phys Ther Sci 2015; 27:3583-4. [PMID: 26696742 PMCID: PMC4681949 DOI: 10.1589/jpts.27.3583] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2015] [Accepted: 08/24/2015] [Indexed: 11/24/2022] Open
Abstract
[Purpose] This study aimed to investigate the correlation between the cognitive level of
the elderly and their attitude towards the living environment. [Subjects and Methods] A
total of 80 elderly people hospitalized in a nursing home in K city, South Korea,
participated in this study. Pearson correlation analysis was used to test the
relationships between scores on the Mini Mental State Examination-Korean Version and
Measurement of Quality of the Environment (facilitators and obstacles). [Results] A
positive and moderately strong correlation (r = 0.462) was found between scores on the
Mini Mental State Examination and the Measurement of Quality of the Environment
(obstacle). [Conclusion] In a nursing home, patients with relatively higher cognitive
levels can perceive more obstacles in the surrounding environment.
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Affiliation(s)
- Myoung-Kwon Kim
- Department of Physical Therapy, College of Rehabilitation Science, Daegu University, Republic of Korea
| | - Tae Hoon Kim
- Department of Food Science and Biotechnology, Daegu University, Republic of Korea
| | - Seong-Gil Kim
- Department of Physical Therapy, Uiduk University, Republic of Korea
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15
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Qidwai W, Rauf MUA, Sakina S, Hamid A, Ishaque S, Ashfaq T. Frequency and associated factors for care giving among elderly patients visiting a teaching hospital in Karachi, Pakistan. PLoS One 2011; 6:e25873. [PMID: 22073142 PMCID: PMC3208547 DOI: 10.1371/journal.pone.0025873] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2011] [Accepted: 09/13/2011] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVE To study frequency and associated factors for care giving among elderly patients visiting a teaching hospital in Karachi, Pakistan. METHODOLOGY A cross sectional questionnaire-based study was conducted at the Community Health Centre (CHC), Aga Khan University Hospital (AKUH) Karachi, Pakistan from September to November 2009. All individuals, visiting the CHC and aged 65 years or above were interviewed after taking written informed consent. RESULTS A total of 400 elderly completed the interview. Majority were females, 65-69 years age, More than half of the individuals ie: 227 (85%) had received Care Giver experience for assistance and among these 195(72%) had care provided by an immediate family member. A large proportion of them stated that their Care Givers managed to provide less than four hours in a day for care giving. Around 37% showed substantial improvement in their relationship with the care givers. About 70% of the respondents stated that the care provided by the Care Giver improved their quality of life. CONCLUSION Elderly care is provided by majority of the family members resulting in increased satisfaction level, however small number still not satisfied due to unfulfilled need of these older people. This demands that efforts should be made to strengthen the family support by increasing awareness regarding elderly care and arranging support system by the government.
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Affiliation(s)
- Waris Qidwai
- Department of Family Medicine, Aga Khan University, Karachi, Pakistan
| | | | - Seema Sakina
- Department of Family Medicine, Aga Khan University, Karachi, Pakistan
| | | | - Sidra Ishaque
- Department of Family Medicine, Aga Khan University, Karachi, Pakistan
| | - Tabinda Ashfaq
- Department of Family Medicine, Aga Khan University, Karachi, Pakistan
- * E-mail:
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