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Anwar A, Yadav UN, Huda MN, Rifat MA, Ali AM, Mondal PK, Rizwan AAM, Shuvo SD, Mistry SK. Prevalence and determinants of self-reported functional status among older adults residing in the largest refugee camp of the world. BMC Geriatr 2023; 23:345. [PMID: 37264327 DOI: 10.1186/s12877-023-04067-x] [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] [Received: 10/26/2022] [Accepted: 05/25/2023] [Indexed: 06/03/2023] Open
Abstract
BACKGROUND The older adults of refugee camps might be vulnerable to exhibiting limited functional abilities because of the limited resources available to create a supportive environment for older population in the camps. This study aims to explore the prevalence and determinants of self-reported functional status among the older adults residing in the Rohingya refugee camp in Bangladesh. METHODS This cross-sectional study was conducted on 864 older adults aged 60 years and above living in five selected sub-camps of Rohingya refugee camp in Cox's Bazar, Bangladesh. Data were collected through face-to-face interviews of the participants between November-December 2021. Functional status was measured using the Barthel Index. Information on participants' sociodemographic characteristics, self-reported chronic diseases and lifestyle characteristics were also collected. A multiple logistic regression model was used to assess the factors associated with self-reported functional abilities among the participants. RESULTS The overall percentage of people having limited self-reported functional ability was 26.5% (male: 22.6% and female: 31.5%) with inability most found in grooming (33.2%), bathing (31.8%), stair using (13.2%) and mobility (10.7%). In the final adjusted model, having age of 80 years or more (aOR = 2.01,95% CI: 1.08,3.75), being female (aOR = 1.44, 95% CI: 1.04,2.0), having low memory or concentration (aOR = 1.83, 95% CI: 1.30,2.56), loneliness (aOR = 2.89, 95% CI:1.74,4.80) and living with aid alone (aOR = 2.89, 95% CI: 1.74,4.80) were found to be associated with self-reported limited functional ability. CONCLUSION The findings of this study highlight the need for attention from policymakers and public health practitioners on addressing functional limitations among older adults residing in the Rohingya refugee camp. Our findings emphasize the need for the development of comprehensive interventions that can address the wider unmet needs (e.g., ensuring family/caregiver support, engaging in social and physical activities, providing nutritional support packages, etc.) to improve the health and well-being of older Rohingya adults.
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Affiliation(s)
- Afsana Anwar
- Social Assistance and Rehabilitation for the Physically Vulnerable (SARPV), SARPV Complex, Link Road, Cox's Bazar, 4700, Bangladesh
| | - Uday Narayan Yadav
- National Centre for Epidemiology and Population Health, The Australian National University, Canberra, ACT, 2601, Australia
- Centre for Primary Health Care and Equity, University of New Sotuh Wales, Kensington, New South Wales, 2052, Australia
| | - Md Nazmul Huda
- Translational Health Research Institute, School of Health Science, Western Sydney University, Campbelltown, New South Wales, 2560, Australia
| | - M A Rifat
- Department of Global Public Health, Karolinska Institutet, Solna, Sweden
| | - Arm Mehrab Ali
- ARCED Foundation, 13/1, Pallabi, Mirpur-12, Dhaka, 1216, Bangladesh
| | - Probal Kumar Mondal
- Social Assistance and Rehabilitation for the Physically Vulnerable (SARPV), SARPV Complex, Link Road, Cox's Bazar, 4700, Bangladesh
| | - Abu Ansar Md Rizwan
- Social Assistance and Rehabilitation for the Physically Vulnerable (SARPV), SARPV Complex, Link Road, Cox's Bazar, 4700, Bangladesh
| | - Suvasish Das Shuvo
- Department of Nutrition and Food Technology, Jashore University of Science and Technology, Jashore, 7408, Bangladesh
| | - Sabuj Kanti Mistry
- Centre for Primary Health Care and Equity, University of New Sotuh Wales, Kensington, New South Wales, 2052, Australia.
- ARCED Foundation, 13/1, Pallabi, Mirpur-12, Dhaka, 1216, Bangladesh.
- Department of Public Health, Daffodil International University, Dhaka, 1207, Bangladesh.
- Brain and Mind Centre, The University of Sydney, 94 Mallet St, Camperdown, New South Wales, 2050, Australia.
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Yen C. Exploring member’s knowledge sharing intention in online health communities: The effects of social support and overload. PLoS One 2022; 17:e0265628. [PMID: 35324932 PMCID: PMC8947075 DOI: 10.1371/journal.pone.0265628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2021] [Accepted: 03/04/2022] [Indexed: 11/19/2022] Open
Abstract
This study explores the determinants of members’ participation intention in online health communities (OHC) from both the facilitators and barriers points of view. From the facilitators perspective, each member’s subjective well-being plays a crucial role in sharing intention. On the other hand, from the barriers point of view, social network site exhaustion would negatively affect. The survey was conducted on two online support groups, including parents of children with autism spectrum disorder and caregivers of dementia disease. This study collected 330 questionnaires from social network sites to examine the research model. The results showed that social support positively affects members’ self-efficacy; in turn, self-efficacy has a positive effect on subjective well-being. Overload has an impact on psychological distress. Moreover, members’ subjective well-being determined their knowledge sharing intention.
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Mahmud NA, Shahein NA, Yoep N, Mahmud MAF, Maw Pin T, Paiwai F, Yusof M, Muhamad NA. Influence of social support on limitation in daily living among older persons in Malaysia. Geriatr Gerontol Int 2020; 20 Suppl 2:26-32. [PMID: 33370856 DOI: 10.1111/ggi.14029] [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] [Received: 03/05/2020] [Revised: 08/06/2020] [Accepted: 08/12/2020] [Indexed: 11/30/2022]
Abstract
AIM Studies on the influence of social support on activity limitation among older persons remain limited. A better understanding of this relationship will help with resource planning and policy making aimed to reduce burden of care. The objective of this study was to assess the influence of social support on limitation in daily living among older persons in Malaysia. METHODS Data from the National Health and Morbidity Survey 2018, a nation-wide, cross-sectional survey using a two-stage stratified sampling design, were analyzed. A representative sample of individuals aged ≥60 years identified through national sampling frames throughout Malaysia was included. Face-to-face interviews were conducted using validated questionnaires on activities of daily living (ADL) and instrumental ADL (IADL). Social support was measured using the Duke Social Support Index. RESULTS The overall prevalence of the presence of any limitations in ADL and IADL was 17.0% and 42.9% respectively. Overall prevalence of the older persons with low to fair social support was 30.8% and high to very high social support was 69.2%. Logistic regression analysis identified the following factors as being associated with limitations in ADL and IADL: being female, of older age, having a monthly income <RM 1000 and reporting low to fair social support. CONCLUSION Low social support was associated with limitation in daily living among older persons in Malaysia. Future studies should consider evaluating the potential benefits of increasing social support on the activity limitation of our older population. Geriatr Gerontol Int 2020; 20: 26-32.
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Affiliation(s)
- Nur A Mahmud
- Institute for Public Health, National Institutes of Health, Ministry of Health, Selangor, Malaysia
| | - Nik A Shahein
- Institute for Public Health, National Institutes of Health, Ministry of Health, Selangor, Malaysia
| | - Norzawati Yoep
- Institute for Public Health, National Institutes of Health, Ministry of Health, Selangor, Malaysia
| | - Mohd Amierul F Mahmud
- Institute for Public Health, National Institutes of Health, Ministry of Health, Selangor, Malaysia
| | - Tan Maw Pin
- Aging and Age-Associated Disorders Research Group, Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.,Department of Medical Sciences, Faculty of Healthcare and Medical Sciences, Sunway University, Bandar Sunway, Malaysia
| | | | - Muslimah Yusof
- Hospital Kuala Lumpur, Ministry of Health, Kuala Lumpur, Malaysia
| | - Nor A Muhamad
- Research Policy and Planning Division, National Institutes of Health, Ministry of Health, Selangor, Malaysia
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Koh Y, Oh Y, Park H, Kim W, Park EC. The Relationship between Physical Exercise and Cognitive Function in Korean Middle Aged and Elderly Adults without Dementia. Int J Environ Res Public Health 2020; 17:E8821. [PMID: 33260999 DOI: 10.3390/ijerph17238821] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/11/2020] [Revised: 11/26/2020] [Accepted: 11/26/2020] [Indexed: 11/21/2022]
Abstract
This study investigated the association between physical exercise and cognitive function in Koreans aged 45 years or above without dementia. Data from the 2006 to 2018 Korean Longitudinal Study of Aging (KLoSA) were used. The general characteristics of the study population were investigated using analysis of variance (ANOVA). The association between total exercise time per week and cognitive function, measured based on the Mini-Mental State Examination (MMSE) scores, was investigated using the generalized estimating equation (GEE) model. Subgroup analysis was conducted based on age, educational level, and marital status. A total of 8888 participants were investigated, of which 5173 (58.2%) individuals did not exercise regularly. Among participants who did exercise, 676 (7.6%) individuals were categorized into the Q1, 1157 (13.0%) into the Q2, 908 (10.2%) into the Q3, and 974 (11.0%) into the Q4 group. The mean MMSE score was 26.81 ± 3.17. Compared to the ‘no’ exercise group, better MMSE scores were found in the Q1 (β: 0.3523, p ≤ 0.0001), the Q2 (β: 0.2011, p ≤ 0.0001), the Q3 (β: 0.4075, p ≤ 0.0001), and the Q4 groups (β: 0.3144, p ≤ 0.0001) after adjustment. The magnitude of this association was stronger in participants aged 65 years or above and in single or separated individuals. The findings of this study confirm a positive association between physical exercise and MMSE scores in the middle aged and elderly.
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Abstract
BACKGROUND We aimed to identify incidence rates of disability and its associated factors among Korean community-dwelling older adults. METHODS The sample included 1,739 Koreans aged over 65 yr from the Korean Longitudinal Study of Aging (2006-2016) who reported no limitations in activities of daily living (ADL) or instrumental activities of daily living (IADL) at baseline (2006) and had complete data for other covariates. ADL, IADL, socio-demographic, lifestyle, and health-condition data were collected and analyzed using multiple logistic regression models. RESULTS The 10-yr incidence rates of ADL and IADL disability in subjects with no disability at baseline were 11.6% and 21.6%, respectively. After adjusting for socio-demographic, lifestyle, and health-condition factors, the incidence of ADL disability was higher in women (odds ratio [OR] =1.418, 95% confidence interval [CI]=1.102-2.613) and increased with age (OR=1.170, 95% CI=1.133-1.208), multi-morbidity (OR=1.194, 95% CI=1.015-1.406), and obesity (OR=1.563, 95% CI=1.057-2.311). It decreased in subjects living alone (OR=0.531, 95% CI=0.328-0.856). The incidence of IADL disability increased with age (OR=1.131, 95% CI=1.102-1.161), multi-morbidity (OR=1.199, 95% CI=1.054-1.365), and cognitive disability (OR=1.422, 95% CI=1.083-1.866) and decreased for subjects living alone (OR=0.484, 95% CI=0.328-0.715) and with overweight (OR=0.725, 95% CI=0.532-0.988). CONCLUSION Incidence rates of disability differed considerably based on socio-demographic, lifestyle, and health-condition factors. These results suggest the importance of identifying factors that can decrease the risk of disability in this group and of prevention efforts in populations with a higher disability risk.
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Affiliation(s)
- Seonho Kim
- Department of Nursing Science, College of Medicine, Chungbuk National University, Cheongju-Si, Republic of Korea
| | - Myoungsuk Kim
- College of Nursing, Kangwon National University, Chuncheon-Si, Republic of Korea
| | - Dallong Han
- Department of Nursing, College of Health & Medical Sciences, Cheongju University, Cheongju-Si, Republic of Korea
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Miyawaki CE, Bouldin ED, Taylor CA, McGuire LC. Baby Boomers as Caregivers: Results From the Behavioral Risk Factor Surveillance System in 44 States, the District of Columbia, and Puerto Rico, 2015-2017. Prev Chronic Dis 2020; 17:E80. [PMID: 32790608 PMCID: PMC7458106 DOI: 10.5888/pcd17.200010] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023] Open
Abstract
INTRODUCTION Baby boomers, people born from 1946 through 1964, represent a substantial portion of the US population. Generally, baby boomers have more chronic disease and disability than those in the previous generation. Frequently, they also provide informal care to others. The objective of our study was to estimate the prevalence of informal caregiving among baby boomers and compare the health of baby boomer caregivers and noncaregivers. METHODS Using data from the Behavioral Risk Factor Surveillance System (2015-2017) for 44 states, the District of Columbia, and Puerto Rico, we classified 109,268 baby boomers as caregivers or noncaregivers and compared their general health (poor or fair vs good, very good, or excellent), chronic health conditions, and frequent mental distress (FMD). FMD was defined as 14 days or more of poor mental health in the past month. We used log-binomial regression to calculate prevalence ratios, adjusted for age and sex (aPRs), and to separately estimate aPRs for fair or poor health and FMD or at least one chronic health condition. RESULTS One in 4 baby boomers (24.2%) were caregivers. In adjusted models, male caregivers had a higher prevalence of fair to poor health than noncaregivers (aPR = 1.17; 95% confidence interval [CI], 1.06-1.29; P = .001). More caregivers than noncaregivers had at least 1 chronic health condition (aPR = 1.10, 95% CI, 1.07-1.13; P < .001) and more often had FMD (aPR = 1.39; 95% CI, 1.26-1.53; P < .001). CONCLUSION Our study showed these caregivers had more chronic health conditions and more often had FMD than noncaregivers. The health of baby boomer caregivers is a public health priority, as these caregivers might need support to maintain their own physical and mental health.
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Affiliation(s)
- Christina E Miyawaki
- Graduate College of Social Work, University of Houston, 3511 Cullen Blvd, Room 110HA, Houston, TX 77204.
| | - Erin D Bouldin
- Alzheimer's Disease and Healthy Aging Program, Centers for Disease Control and Prevention, Atlanta, Georgia.,Department of Health and Exercise Science, Appalachian State University, Boone, North Carolina
| | - Christopher A Taylor
- Alzheimer's Disease and Healthy Aging Program, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Lisa C McGuire
- Alzheimer's Disease and Healthy Aging Program, Centers for Disease Control and Prevention, Atlanta, Georgia
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Abstract
OBJECTIVES This study investigated the estate planning and advance care planning (ACP) of older adults diagnosed with Alzheimer's disease (AD) for the presence of (1) a valid will, (2) a durable power of attorney for health care, and (3) a living will. METHOD We analyzed 10,273 adults aged 65 and older from the 2012 Health and Retirement Study (HRS) using multilevel logistic regression. RESULTS We found that a diagnosis of AD was significantly associated with the ACP variables. Older adults with AD were more likely to assign a durable power of attorney for health care and have a written living will than older adults without an AD diagnosis. However, we found no significant association between a diagnosis of AD and having a valid will. These findings were robust when adjusting for demographic and socioeconomic variables. Other factors decreased engagement in estate planning and ACP, including lower socioeconomic status, being male, and being a minority. CONCLUSION Our findings suggest that a diagnosis of AD is associated with more engagement in ACP for individuals and their families, but important barriers exist for people with fewer resources.
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Affiliation(s)
- Shinae Choi
- Assistant Professor, Department of Consumer Sciences, The University of Alabama, 304 Adams Hall, Box 870158, Tuscaloosa, AL 35487, USA, Phone: 205-348-9173, Fax: 205-348-8721,Associate, Alabama Research Institute on Aging, The University of Alabama, Tuscaloosa, AL 35487,Correspondence concerning this article should be addressed to Shinae Choi.,
| | - Minjung Kim
- Assistant Professor, Department of Educational Studies, The Ohio State University, Ramseyer Hall, 29 W Woodruff Ave, Columbus, OH 43210, USA, Phone: 614-247-1858,
| | - Ian M. McDonough
- Associate, Alabama Research Institute on Aging, The University of Alabama, Tuscaloosa, AL 35487,Assistant Professor, Department of Psychology, The University of Alabama, 410A Gordon Palmer Hall, Box 870348, Tuscaloosa, AL 35487, USA, Phone: 205-348-1168, Fax: 205-348-8648,
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Abstract
OBJECTIVES The current study aims to investigate the association between subjective social status (SSS) and prospective cognitive functioning of older adults and their spouses, and to explore the potential mediating roles of health habits and physical activities in this association. METHOD Using the longitudinal data of 512 pairs of community-dwelling older couples aged 65-91 years (M = 72.2 ± 4.6), we tested the effects of SSS in cognitive functioning using an Actor-Partner Interdependence Model. SSS was measured by a self-anchoring social ladder, and cognitive functioning was measured by the Mini-Mental State Examination at baseline and 4-year follow-up. Socioeconomic status (i.e. education) was tested as a moderator, and physical activity (measured by the Physical Activity Scale for the Elderly) as well as health habits (i.e. tobacco and alcohol consumption) were included as potential mediators. RESULTS A partner effect of SSS was found only in the low-education group, in which the wife's higher level of SSS in the community was associated with the husband's better cognitive functioning in the follow-up. A small proportion of this effect was found to be partially mediated by participation in housework, such that the wife's higher SSS was associated with the husband's increased housework activity, which was related to higher prospective cognitive functioning. CONCLUSION By examining the dyadic effects of SSS with a longitudinal design, our findings extended the understanding on how subjective social status influenced older couples' cognitive health, and provided evidence-based insights for future studies on cognitive health in later life.
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Affiliation(s)
- Fan Zhang
- a The Nethersole School of Nursing , The Chinese University of Hong Kong , Shatin , Hong Kong
| | - Helene Fung
- b Department of Psychology , The Chinese University of Hong Kong , Shatin , Hong Kong
| | - Timothy Kwok
- c Department of Medicine & Therapeutics , The Chinese University of Hong Kong , Shatin , Hong Kong
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Saito T, Murata C, Aida J, Kondo K. Cohort study on living arrangements of older men and women and risk for basic activities of daily living disability: findings from the AGES project. BMC Geriatr 2017; 17:183. [PMID: 28814289 PMCID: PMC5559833 DOI: 10.1186/s12877-017-0580-7] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2016] [Accepted: 08/07/2017] [Indexed: 11/24/2022] Open
Abstract
Background Living arrangements of older adults have changed worldwide with increasing solitary and non-spouse households, which could affect social care systems. However, the relationship between these households and disability onset has remained unclear. We examined the relationship between living arrangements and the onset of basic activities of daily living disability in older adults, with a focus on gender differences and cohabitation status of those without a spouse. Methods Data from 6600 men and 6868 women aged 65 years or older without disability were obtained from the Aichi Gerontological Evaluation Study Project in Japan. Onset of disability was followed for 9.4 years. Disability was assessed based on Long-term Care Insurance System registration. A hierarchical Cox proportional hazards model was conducted to examine the risk of living alone and living only with non-spousal cohabitants compared to those living with spouses. Results Men living only with non-spousal cohabitants and those living alone were significantly more likely to develop disability after controlling for health and other covariates (hazard ratio = 1.38 and 1.45, respectively), while a significant difference was found only for women living alone (hazard ratio = 1.19). The risk of living with non-spousal cohabitants was marginally stronger in men, indicated by the interaction effect model (p = .08). A series of hierarchical analyses showed that social support exchange explained 24.4% and 15.8% of the excess risk of disability onset in men living alone and those living only with non-spousal cohabitants, respectively. A subsequent analysis also showed that support provision by older adults more greatly explained such excess risk than receiving support from others. Conclusions Older men without spouses were more likely to develop disability onset regardless of cohabitants. Health professionals should consider programs that enhance social support exchange, particularly support provision by older adults who are at risk of disability. Electronic supplementary material The online version of this article (doi:10.1186/s12877-017-0580-7) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Tami Saito
- Department of Social Science, National Center for Geriatrics and Gerontology, 7-430 Morioka-cho, Obu, Aichi, 474-8511, Japan.
| | - Chiyoe Murata
- Department of Social Science, National Center for Geriatrics and Gerontology, 7-430 Morioka-cho, Obu, Aichi, 474-8511, Japan
| | - Jun Aida
- Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Seiryo-machi, Aoba-ku, Sendai, Miyagi, 980-8575, Japan
| | - Katsunori Kondo
- Center for Preventive Medical Science, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8670, Japan.,Department of Gerontological Evaluation, National Center for Geriatrics and Gerontology, 7-430 Morioka-cho, Obu,, Aichi, 474-8511, Japan
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Abstract
Increased prevalence of lifestyle risk factors or shared etiology may underlie the association between schizophrenia and the subsequent risk of dementia. We explored the association between having a spouse with schizophrenia and the risk of dementia. We found a positive relationship between having a spouse with schizophrenia and vascular dementia in individuals without a mental disorder themselves but no association between having a spouse with schizophrenia and Alzheimer's dementia. As spouses share environmental risk factors and lifestyle, this might suggest that the excess risk of dementia in probands with schizophrenia could be ascribed to the unhealthy living environment among individuals with schizophrenia.
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