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Kuroiwa S, Kita K, Kuroiwa M, Minami S, Yamashiro S. Home and social role as factors leading to health maintenance among the elderly living in rural Japan: A longitudinal study. Heliyon 2023; 9:e21763. [PMID: 37954324 PMCID: PMC10638028 DOI: 10.1016/j.heliyon.2023.e21763] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2022] [Revised: 10/26/2023] [Accepted: 10/27/2023] [Indexed: 11/14/2023] Open
Abstract
Purpose Our study aimed to clarify home and social factors by gender that lead to maintenance of health in the elderly, such as taking care of others and having social activities. Methods A total of 14,712 and 14,799 respondents to the "Survey of Needs in the Spheres of Daily Life" conducted in Nanto City, Toyama Prefecture in 2017 and 2020, respectively, who were aged 65 years or older (recovery rate was 78.5 %) were enrolled. Of these, 4,322 people who answered that they did not receive long-term care in 2017 survey and who also responded to the 2020 survey or were confirmed dead by the time of the survey were included in the analysis. The status of health maintenance was the outcome and those who answered the 2020 survey saying they did not receive long-term care were defined as health maintained. Those who answered that they did receive long-term and those who died were defined as health lost. Results After adjusting for variables such as basic attributes, health status, and functional capacity, the elderly who had persons whom to they provided care (excluding long-term care) had health maintenance rate higher at 3 years than those who did not provide care or long-term care. In addition, the results showed that men who had job with income and women who participated in neighborhood associations had higher rates of health maintenance. Conclusion This study showed that older adults who take on roles at home and in society are more likely to maintain their health.
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Affiliation(s)
- Shota Kuroiwa
- Department of General Medicine, Toyama University Hospital, Japan
| | - Keiichiro Kita
- Department of General Medicine, Toyama University Hospital, Japan
| | - Maiko Kuroiwa
- Department of General Medicine, Toyama University Hospital, Japan
| | | | - Seiji Yamashiro
- Department of General Medicine, Toyama University Hospital, Japan
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Sun J, Kong X, Li H, Chen J, Yao Q, Li H, Zhou F, Hu H. Does social participation decrease the risk of frailty? Impacts of diversity in frequency and types of social participation on frailty in middle-aged and older populations. BMC Geriatr 2022; 22:553. [PMID: 35778684 PMCID: PMC9250233 DOI: 10.1186/s12877-022-03219-9] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2021] [Accepted: 06/15/2022] [Indexed: 12/20/2022] Open
Abstract
BACKGROUND Social participation (SP) may be an effective measure for decreasing frailty risks. This study investigated whether frequency and type of SP is associated with decreased frailty risk among Chinese middle-aged and older populations. METHODS Data were derived from the China Health and Retirement Longitudinal Study (CHARLS). Frailty was assessed using the Rockwood's Cumulative Deficit Frailty Index. SP was measured according to frequency (none, occasional, weekly and daily) and type (interacting with friends [IWF]; playing mah-jong, chess, and cards or visiting community clubs [MCCC], going to community-organized dancing, fitness, qigong and so on [DFQ]; participating in community-related organizations [CRO]; voluntary or charitable work [VOC]; using the Internet [INT]). Smooth curves were used to describe the trend for frailty scores across survey waves. The fixed-effect model (N = 9,422) was applied to explore the association between the frequency/type of SP and frailty level. For baseline non-frail respondents (N = 6,073), the time-varying Cox regression model was used to calculate relative risk of frailty in different SP groups. RESULTS Weekly (β = - 0.006; 95%CI: [- 0.009, - 0.003]) and daily (β = - 0.009; 95% CI: [- 0.012, - 0.007]) SP is associated with lower frailty scores using the fixed-effect models. Time-varying Cox regressions present lower risks of frailty in daily SP group (HR = 0.76; 95% CI: [0.69, 0.84]). SP types that can significantly decrease frailty risk include IWF, MCCC and DFQ. Daily IWF and daily DFQ decreases frailty risk in those aged < 65 years, female and urban respondents, but not in those aged ≥ 65 years, male and rural respondents. The impact of daily MCCC is significant in all subgroups, whereas that of lower-frequent MCCC is not significant in those aged ≥ 65 years, male and rural respondents. CONCLUSION This study demonstrated that enhancing participation in social activities could decrease frailty risk among middle-aged and older populations, especially communicative activities, intellectually demanding/engaging activities and community-organized physical activities. The results suggested very accurate, operable, and valuable intervening measures for promoting healthy ageing.
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Affiliation(s)
- Ju Sun
- School of Political Science and Public Administration, Wuhan University, Wuhan, China
| | - Xuying Kong
- School of Political Science and Public Administration, Wuhan University, Wuhan, China
| | - Haomiao Li
- School of Political Science and Public Administration, Wuhan University, Wuhan, China.
| | - Jiangyun Chen
- School of Health Management, Southern Medical University, Guangzhou, China
| | - Qiang Yao
- School of Political Science and Public Administration, Wuhan University, Wuhan, China
| | - Hanxuan Li
- School of Political Science and Public Administration, Wuhan University, Wuhan, China
| | - Feng Zhou
- School of Public Health, Wuhan University of Science and Technology, Wuhan, China
| | - Hua Hu
- College of Medicine and Health Science, Wuhan Polytechnic University, Wuhan, China
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Zilbershlag Y, Ravitz-Ron K, Engel-Yeger B. The Role of Altered Sensory Processing and Its Association with Participation in Daily Activities and Quality of Life among Older Adults in the Community. Occup Ther Health Care 2022; 37:230-247. [PMID: 35034550 DOI: 10.1080/07380577.2022.2025552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
To identify variables that contribute to fall risk in older adults, this study examined the relationship between fall risk, sensory processing, participation in daily activities, and quality of life (QoL). Of the 123 participants, those at high-risk were significantly less able to register sensory input and had increased sensory sensitivity, restricted participation and overall lower QoL. Altered sensory processing was related with risk of falling. Additionally, both sensory process and fall risk were subsequently related with lower daily participation and, together, were related with lower QoL. Thus, sensory processing, participation and QoL assessments need to be included in occupational therapy evaluations and interventions for fall risk among older adults.
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Affiliation(s)
- Yael Zilbershlag
- Department of Occupational Therapy, Faculty of Health Allied Professions, Ono Academic College, Kiryat Ono, Israel
| | - Keren Ravitz-Ron
- Department of Occupational Therapy, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
| | - Batya Engel-Yeger
- Department of Occupational Therapy, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
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Lahti AM, Mikkola TM, Salonen M, Wasenius N, Sarvimäki A, Eriksson JG, von Bonsdorff MB. Mental, Physical and Social Functioning in Independently Living Senior House Residents and Community-Dwelling Older Adults. Int J Environ Res Public Health 2021; 18:ijerph182312299. [PMID: 34886019 PMCID: PMC8657393 DOI: 10.3390/ijerph182312299] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/21/2021] [Revised: 11/16/2021] [Accepted: 11/19/2021] [Indexed: 11/16/2022]
Abstract
Senior houses provide social interaction and support, potentially supporting older people's physical and mental functioning. Few studies have investigated functioning of senior house residents. The aim was to compare functioning between senior house residents and community-dwelling older adults in Finland. We compared senior house residents (n = 336, 69% women, mean age 83 years) to community-dwelling older adults (n = 1139, 56% women, mean age 74 years). Physical and mental functioning were assessed using the SF 36-Item Health Survey. Loneliness and frequency of social contacts were self-reported. The analyses were adjusted for age, socioeconomic factors and diseases. Physical functioning was lower among men in senior houses compared to community-dwelling men (mean 41.1 vs. 46.4, p = 0.003). Mental functioning or the frequency of social contacts did not differ between type of residence in either sex. Loneliness was higher among women in senior houses compared to community-dwelling women (OR = 1.67, p = 0.027). This was not observed in men. Results suggest that women in senior houses had similar physical and mental functioning compared to community-dwelling women. Male senior house residents had poorer physical functioning compared to community-dwelling men. Women living in senior houses were lonelier than community-dwelling women despite the social environment.
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Affiliation(s)
- Anna-Maria Lahti
- Gerontology Research Center and Faculty of Sport and Health Sciences, University of Jyväskylä, 40014 Jyväskylä, Finland;
- Folkhälsan Research Center, 00250 Helsinki, Finland; (T.M.M.); (M.S.); (N.W.); (J.G.E.)
- Correspondence:
| | - Tuija M. Mikkola
- Folkhälsan Research Center, 00250 Helsinki, Finland; (T.M.M.); (M.S.); (N.W.); (J.G.E.)
- Clinicum, Faculty of Medicine, University of Helsinki, 00014 Helsinki, Finland
| | - Minna Salonen
- Folkhälsan Research Center, 00250 Helsinki, Finland; (T.M.M.); (M.S.); (N.W.); (J.G.E.)
- Public Health Promotion Unit, National Institute for Health and Welfare, 00271 Helsinki, Finland
| | - Niko Wasenius
- Folkhälsan Research Center, 00250 Helsinki, Finland; (T.M.M.); (M.S.); (N.W.); (J.G.E.)
- Department of General Practice and Primary Health Care, University of Helsinki and Helsinki University Hospital, 00014 Helsinki, Finland
| | | | - Johan G. Eriksson
- Folkhälsan Research Center, 00250 Helsinki, Finland; (T.M.M.); (M.S.); (N.W.); (J.G.E.)
- Singapore Institute for Clinical Sciences, Agency for Science, Technology, and Research, Singapore 117609, Singapore
- Department of Obstetrics & Gynaecology and Human Potential Translational Research Programme, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119077, Singapore
| | - Mikaela B. von Bonsdorff
- Gerontology Research Center and Faculty of Sport and Health Sciences, University of Jyväskylä, 40014 Jyväskylä, Finland;
- Folkhälsan Research Center, 00250 Helsinki, Finland; (T.M.M.); (M.S.); (N.W.); (J.G.E.)
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Costenoble A, Rossi G, Knoop V, Debain A, Smeys C, Bautmans I, Verté D, De Vriendt P, Gorus E. Does psychological resilience mediate the relation between daily functioning and prefrailty status? Int Psychogeriatr 2021; 34:1-10. [PMID: 34629136 DOI: 10.1017/s1041610221001058] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVES Understanding of prefrailty's relationship with limitations in activities of daily living (ADLs) moderated by psychological resilience is needed, as resilience might support ADLs' maintenance and thus protect against frailty. Therefore, this study aims to analyze the influence of psychological resilience (using the Connor-Davidson Resilience Scale; CD-RISC) on the relation between ADLs and frailty status of older individuals (i.e. prefrail versus robust). DESIGN Cross-sectional design. SETTING UZ Brussels, Belgium. PARTICIPANTS Robust (Fried 0/4;n = 214; Age = 82.3 ± 2.1yrs) and prefrail (Fried 1-2/4; n = 191; Age = 83.8 ±3.2yrs) community-dwelling older individuals were included. MEASUREMENTS Frailty scores were obtained from weight loss, exhaustion, gait speed, and grip strength. A total Disability Index (DI) expressed dependency for basic (b-), instrumental (i-), and advanced (a-)ADLs. Mediation was investigated by estimating direct and indirect effects of all levels of ADLs and CD-RISC total score on prefrailty/robustness using a stepwise multiple regression approach. RESULTS Prefrailty/robustness significantly correlated with a-ADL-DI (point-biserial correlation (rpb) = 0.098; p<0.05). Adjusted for age and gender, the a-ADL-DI (p<0.05) had a significant protective direct effect against prefrailty. No effects were found with the CD-RISC total score. CONCLUSIONS Less limitation in a-ADLs is a directly correlated factor of prefrailty and might represent a higher likelihood of robustness.
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Affiliation(s)
- Axelle Costenoble
- Frailty in Ageing (FRIA) Research Department, Vrije Universiteit Brussel (VUB), Laarbeeklaan 103, B-1090Brussels, Belgium
- Gerontology Department, VUB, Laarbeeklaan 103, B-1090Brussels, Belgium
| | - Gina Rossi
- Personality and Psychopathology Research Group, Faculty of Psychology and Educational Sciences, VUB, Brussels, Belgium
| | - Veerle Knoop
- Frailty in Ageing (FRIA) Research Department, Vrije Universiteit Brussel (VUB), Laarbeeklaan 103, B-1090Brussels, Belgium
- Gerontology Department, VUB, Laarbeeklaan 103, B-1090Brussels, Belgium
| | - Aziz Debain
- Frailty in Ageing (FRIA) Research Department, Vrije Universiteit Brussel (VUB), Laarbeeklaan 103, B-1090Brussels, Belgium
- Gerontology Department, VUB, Laarbeeklaan 103, B-1090Brussels, Belgium
- Geriatrics Department, Universitair Ziekenhuis Brussel (UZ Brussel), Laarbeeklaan 101, B-1090Brussels, Belgium
| | - Celeste Smeys
- Geriatrics Department, Universitair Ziekenhuis Brussel (UZ Brussel), Laarbeeklaan 101, B-1090Brussels, Belgium
| | - Ivan Bautmans
- Frailty in Ageing (FRIA) Research Department, Vrije Universiteit Brussel (VUB), Laarbeeklaan 103, B-1090Brussels, Belgium
- Gerontology Department, VUB, Laarbeeklaan 103, B-1090Brussels, Belgium
- Geriatrics Department, Universitair Ziekenhuis Brussel (UZ Brussel), Laarbeeklaan 101, B-1090Brussels, Belgium
| | - Dominique Verté
- Frailty in Ageing (FRIA) Research Department, Vrije Universiteit Brussel (VUB), Laarbeeklaan 103, B-1090Brussels, Belgium
- Belgian Ageing Studies Research Group, VUB, Brussels, Belgium
| | - Patricia De Vriendt
- Frailty in Ageing (FRIA) Research Department, Vrije Universiteit Brussel (VUB), Laarbeeklaan 103, B-1090Brussels, Belgium
- Gerontology Department, VUB, Laarbeeklaan 103, B-1090Brussels, Belgium
- Arteveldehogeschool, Ghent, Belgium
| | - Ellen Gorus
- Frailty in Ageing (FRIA) Research Department, Vrije Universiteit Brussel (VUB), Laarbeeklaan 103, B-1090Brussels, Belgium
- Gerontology Department, VUB, Laarbeeklaan 103, B-1090Brussels, Belgium
- Geriatrics Department, Universitair Ziekenhuis Brussel (UZ Brussel), Laarbeeklaan 101, B-1090Brussels, Belgium
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Costenoble A, Knoop V, Debain A, Vermeiren S, Vella Azzopardi R, Rossi G, Smeys C, Baltazar KD, Bautmans I, Verté D, Gorus E, De Vriendt P. Prefrailty: The Relationship Between Daily Activities and Social Participation in Older Persons. J Appl Gerontol 2021; 41:430-440. [PMID: 33554735 DOI: 10.1177/0733464821991007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVES To analyze prefrailty's relationship with limitations in activities of daily living (ADLs) and restrictions in social participation. METHOD Robust (Fried 0/4; n = 214; Mage = 82.3 years [SD ±2.1]) and prefrail (Fried 1-2/4; n = 191; Mage = 83.8 years [SD ±3.2]) community-dwelling older individuals were included. Frailty scores were obtained from weight loss, exhaustion, gait speed, and grip strength. A total disability index (DI) expressed dependency for basic (b-), instrumental (i-), and advanced (a-)ADLs. Total participation score, being a member, total number of memberships, being a board member, level of participation, membership over time, volunteering, and formal participation represented social participation. RESULTS Logistic regression retained age (OR = 1.224; 95% CI = [1.122, 1.335]), sex (OR = 3.818; 95% CI = [2.437, 5.982]), and a-ADL-DI (OR = 1.230; 95% CI = [1.018, 1.486]) as variables significantly related to prefrailty (68.3%; χ2 = 68.25; df = 3; p < .001). DISCUSSION Subtle limitations in a-ADLs, higher age, and being a man were associated with prefrailty, revealing the possible role of personal and culturally related a-ADLs as red flags for (pre)frailty.
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Affiliation(s)
- Axelle Costenoble
- Frailty in Ageing (FRIA) Research Department, Vrije Universiteit Brussel, Belgium.,Gerontology Department, Vrije Universiteit Brussel, Belgium
| | - Veerle Knoop
- Frailty in Ageing (FRIA) Research Department, Vrije Universiteit Brussel, Belgium.,Gerontology Department, Vrije Universiteit Brussel, Belgium
| | - Aziz Debain
- Frailty in Ageing (FRIA) Research Department, Vrije Universiteit Brussel, Belgium.,Gerontology Department, Vrije Universiteit Brussel, Belgium.,Geriatrics Department, Universitair Ziekenhuis Brussel, Belgium
| | - Sofie Vermeiren
- Frailty in Ageing (FRIA) Research Department, Vrije Universiteit Brussel, Belgium.,Gerontology Department, Vrije Universiteit Brussel, Belgium
| | - Roberta Vella Azzopardi
- Frailty in Ageing (FRIA) Research Department, Vrije Universiteit Brussel, Belgium.,Gerontology Department, Vrije Universiteit Brussel, Belgium
| | - Gina Rossi
- Personality and Psychopathology Research Group, Vrije Universiteit Brussel, Belgium
| | - Celeste Smeys
- Frailty in Ageing (FRIA) Research Department, Vrije Universiteit Brussel, Belgium.,Geriatrics Department, Universitair Ziekenhuis Brussel, Belgium
| | - Kéren Duarte Baltazar
- Frailty in Ageing (FRIA) Research Department, Vrije Universiteit Brussel, Belgium.,Geriatrics Department, Universitair Ziekenhuis Brussel, Belgium
| | - Ivan Bautmans
- Frailty in Ageing (FRIA) Research Department, Vrije Universiteit Brussel, Belgium.,Gerontology Department, Vrije Universiteit Brussel, Belgium.,Geriatrics Department, Universitair Ziekenhuis Brussel, Belgium
| | - Dominique Verté
- Frailty in Ageing (FRIA) Research Department, Vrije Universiteit Brussel, Belgium.,Belgian Ageing Studies Research Group, Vrije Universiteit Brussel, Belgium
| | - Ellen Gorus
- Frailty in Ageing (FRIA) Research Department, Vrije Universiteit Brussel, Belgium.,Gerontology Department, Vrije Universiteit Brussel, Belgium.,Geriatrics Department, Universitair Ziekenhuis Brussel, Belgium
| | - Patricia De Vriendt
- Frailty in Ageing (FRIA) Research Department, Vrije Universiteit Brussel, Belgium.,Gerontology Department, Vrije Universiteit Brussel, Belgium.,Arteveldehogeschool, Ghent, Belgium
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Moyano-Díaz E, Mendoza-Llanos R. Membership, Neighborhood Social Identification, Well-Being, and Health for the Elderly in Chile. Front Psychol 2021; 11:608482. [PMID: 33536977 PMCID: PMC7848022 DOI: 10.3389/fpsyg.2020.608482] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2020] [Accepted: 12/18/2020] [Indexed: 12/01/2022] Open
Abstract
The world’s elderly population is growing, and in Chile they represent 16.2% of the total population. In Chile, old age is marked by retirement, with a dramatic decrease in income that brings precariousness. Older adults are economically, socially, and psychologically vulnerable populations. This condition increases their likelihood of disengaging from their usual social environment, facilitating their isolation, sadness, and discomfort. From the perspective of social identity, well-being (WB) can be explained by two principles: social groups’ importance for health and people’s psychological identification with those groups. This study analyzes the relationships between belonging to the neighborhood and extra-neighborhood groups and neighborhood social identification with WB. Urban or rural location and gender are measured, and the sample is 1,475 older Chilean adults of both sexes. The results show that the majority are not members of social groups (52%), and the remaining 48% are members of one or two groups or organizations (42.65%). Only 4.47% belong to three groups or organizations. Those who belong to groups obtain higher scores, emotional–mental WB, and positive emotions than older adults who do not belong to any organization. Urban and rural older adults have the same level of WB. Membership in close social organizations (neighborhood councils) or distant ones (clubs for the elderly and religious groups) causes different WB associations. Membership in neighborhood councils reduces gender differences in self-assessment of health. This result supports the idea that participation in heterogeneous groups with a shared sense of belonging to the neighborhood is associated with higher WB and lower perceived loneliness. Social identification with the neighborhood, rather than belonging to the group, had the most widespread impact on WB and health indicators. The variable social identification with the neighborhood was consistently associated with indicators of hedonic WB.
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Affiliation(s)
| | - Rodolfo Mendoza-Llanos
- Department of Social Science, School of Psychology, University of Bío-Bío, Chillán, Chile
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Nivestam A, Westergren A, Petersson P, Haak M. Promote social participation among older persons by identifying physical challenges - An important aspect of preventive home visits. Arch Gerontol Geriatr 2020; 93:104316. [PMID: 33321387 DOI: 10.1016/j.archger.2020.104316] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2020] [Revised: 11/20/2020] [Accepted: 11/28/2020] [Indexed: 11/30/2022]
Abstract
INTRODUCTION Social participation can have a positive impact on health; however, physical challenges can be hindrances. During a preventive home visit a health professional (visitor) assesses different aspects of physical, mental and social health. However, there might be a challenge for the visitor to discover the interrelationship between physical factors that hinder social participation. Therefore, the aim of this study was, in the context of preventive home visits, to identify physical factors which can hinder older persons from taking part in social contexts. METHODS Cross-sectional register data from preventive home visits to older persons (n = 1245, ≥77 years old, without home care) was used. Data was collected during a period of 17 months, in seven Swedish municipalities. Logistic regression was used to analyze the association between physical factors and the item physical problems hindering social participation. RESULTS The mean age was 78.8 (standard deviation 1.8 years), and 55% were women. The physical factors significantly associated with physical problems hindering taking part in social contexts were: having urinary incontinence (women only), having pain, impaired endurance and using a mobility device. CONCLUSIONS This study provides insights into how to make the best use of the questions asked during preventive home visits, in order to enable older persons to take part in social contexts. The results recognize the importance of taking into account physical challenges to be able to support social participation. Furthermore, considering physical challenges for social participation on both an individual and a societal level might reduce inequalities among older persons.
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Affiliation(s)
- Anna Nivestam
- Department of Nursing and Health Sciences, Kristianstad University, SE-291 88 Kristianstad, Sweden; Department of Health Sciences, Lund University, Box 157, 221 00, Lund, Sweden.
| | - Albert Westergren
- Department of Nursing and Health Sciences, Kristianstad University, SE-291 88 Kristianstad, Sweden; Department of Health Sciences, Lund University, Box 157, 221 00, Lund, Sweden.
| | - Pia Petersson
- Department of Nursing and Health Sciences, Kristianstad University, SE-291 88 Kristianstad, Sweden.
| | - Maria Haak
- Department of Nursing and Health Sciences, Kristianstad University, SE-291 88 Kristianstad, Sweden; Department of Health Sciences, Lund University, Box 157, 221 00, Lund, Sweden.
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Buckinx F, Charles A, Rygaert X, Reginster JY, Adam S, Bruyère O. Own attitude toward aging among nursing home residents: results of the SENIOR cohort. Aging Clin Exp Res 2018; 30:1151-1159. [PMID: 30051416 DOI: 10.1007/s40520-018-1013-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2018] [Accepted: 07/20/2018] [Indexed: 01/02/2023]
Abstract
BACKGROUND Stereotypes associated with aging are of great concern as extensive literature emphasizes its deleterious effects on physical and mental health of the elderly. AIM To assess the relationship between the attitude toward aging and the frailty status of nursing homes residents. METHODS A cross-sectional analysis of the data collected at baseline in the SENIOR cohort was conducted. All subjects received a diagnosis of frailty based on the Fried's criteria. They also responded to the Attitude to Aging Questionnaire (AAQ) and other questions assessing their subjective age, the age at which someone stops being considered young or is considered old and the open-ended Image-of-Aging question to evaluate the relationship between their perception of aging and their frailty status. RESULTS 272 nursing home residents (83.9 ± 8.19 years; 75% women) participated in this study. Out of them, 54 (19.9%) were frail, 182 (66.9%) were pre-frail, and 36 (13.2%) were robust. According to the AAQ questionnaire, frail subjects have a more negative perception of aging (score of 80.3 ± 10.2 points) than pre-frail subjects (83.6 ± 10.8) and robust subjects (86.5 ± 10.5) (p = 0.02). However, the three groups did not differ in the age that would mark, to their opinion, the end of youth (p = 0.93) or the beginning of old age (p = 0.98). The subjective age, rapported by nursing home residents, was not significantly different according to their frailty status. At least, based on the Open-Ended Image of Aging question, the residents' vision of aging was not different according to the frailty status (p = 0.52). CONCLUSION Based on the AAQ, frail subjects have more negative attitude to ageing compared to non-frail ones.
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