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A Study of Rural Elderly’s Health Information Needs and Seeking Behavior
Wei-Chun Liao,Li-An Chiu,Hsiu-Ping Yueh
Journal of Library and Information Studies , 2012,
Abstract: Survey method was used and 92 valid questionnaires were collected for the analyses. The results showed that the majority of the rural elder people expressed the need for and attention to health information. ‘‘health service information’’ and ‘‘prevention health care information’’ were the most needed and important. Family, friends and television were the main channels for accessing health information. However, fewer respondents actively sought health information. When health problems occurred, they tended to seek direct medical treatment. This study also found that men were more attentive and active in seeking health information. Respondents over 75 years old rarely concerned about their health information need. People with more education were also more aware of their health information needs and more attentive to information disseminated via mass media. [Article content in Chinese]
Edentulousness, Denture Wear and Denture Needs of the Elderly in Rural South India
P Ariga,A Bridgitte,V Rangarajan,J M Philip
Iranian Journal of Public Health , 2012,
Abstract: Background: The objectives of this study were to evaluate the prevalence of edentulousness, patients perception on dietary changes resulting from tooth loss and to identify the disparity between actual and patient perceived need to replace missing teeth in an elderly rural population in south India.Methods: A cross sectional study using the systematic cluster sampling method was used to select the study sample of 150 elderly men and women. Data were collected using questionnaires and oral examination. The data were statistically analyzed using chi square test and pearson correlation.Results: 15.6% of the rural elderly were completely edentulous and 54.7% were partially edentulous. Observed differences in distribution between the sampled elderly age groups were found to be statistically significant. Although 70.3% of the evaluated elderly actually required prosthodontic treatment, only 14.4% perceived the need to replace missing teeth. A small percentage of the elderly (18%) perceived a severe change in their diets due to tooth loss. Thirty three percent of them perceived a moderate change and 28% felt that there were no dietary changes because of tooth loss.Conclusions: It is essential to identify feasible strategies to provide primary dental health education and treatment to all rural elderly in the future. We suggest community dental health services as a general health need of the elderly rather than a special health need of the community.
Dynamics of Healthcare Seeking. Behaviour of Elderly People in Rural Bangladesh
Biswas, Priti,Nahar Kabir, Zarina,Nilsson, Jan,Zaman, Shahaduz
International Journal of Ageing and Later Life , 2006,
Abstract: Bangladesh is projected to experience a doubling of its elderly population from the current level of 7 million to 14 million by the end of the next decade. Drawing upon qualitative evidence from rural Bangladesh, this article focuses on coping strategies in cases of illness of elderly people and the contributing factors in determin-ing the health-seeking behaviour of elderly persons. The sample for this study consisted of elderly men and women aged 60 years or older and their caregivers. Nine focus group discussions and 30 in-depth interviews were conducted. Findings indicate that old age and ill-health are perceived to be inseparable entities. Seeking health care from a formally qualified doctor is avoided due to high costs. Familiarity and accessibility of health care providers play important roles in health-seeking behaviour of elderly persons. Flexibility of health care providers in receiving payment is a crucial deciding factor of whether or not to seek treatment, and even the type of treatment sought.
Physical Disabilities among the Rural Elderly: Identifying Surrogate Markers of Unmet Disability Care Needs
T. Ashokkumar,Thomas V. Chacko,Suresh Munuswamy
International Journal of Tropical Medicine , 2012, DOI: 10.3923/ijtmed.2012.38.41
Abstract: In the era of population ageing, accurate assessments of need for disability assistance are essential for effective planning of support services for the elderly: to assess the physical disabilities in Activities of Daily Living (ADL) among the elderly; to identify the unmet needs in physical disabilities among them and to identify the predictors of unmet needs in physical disabilities of elderly so that they can act as surrogate markers to identify those in need of the services. A cross sectional study and 305 elderly aged 60 years and above were selected from seven villages that were planned to be covered by PSG Geriatric Day Care Centre. Of the 305 elderly studied, 53.1% were disabled and 32.8% elders have unmet needs for their disability. The predictors of unmet needs are living alone elderly, aged >70 years, single (other than married), financially fully dependent elderly, those elderly had more number (level) of disability and elderly having more morbidity.
Construction of social support system based on psychological needs of left-behind elderly in rural areas

- , 2018, DOI: 10.11835/j.issn.1008-5831.2018.01.014
Abstract: 农村留守老人是一个需要给予特别关注的养老群体,有效把握农村留守老人的心理需求是提升农村留守老人养老质量的重要保障。文章对915名农村留守老人的老有所依、老有所乐、老有所尊、老有所为四个心理需求进行了问卷调查,在揭示其心理需求特点的基础上,系统探讨了满足农村留守老人心理需求的社会支持系统构建。
The rural left-behind elderly are special groups which need special attention. It is an important guarantee to effectively grasp the psychological needs of the left-behind elderly in rural areas to improve the quality of old-age care for them. In this paper, 915 rural left-behind elderly completed a questionnaire about their psychological needs for living, happiness, respect and achievement. Based on the revealing of their psychological needs characteristics, the psychological support system construciton to meet their needs was discussed.
Healthcare Needs of the Elderly People over 85 Years Living Alone on the Island Area in Japan: A Descriptive Study  [PDF]
Osamu Hiramitsu, Michiko Moriyama, Kanae Osaki, Ritsuko Sakamoto, Megumi Sakamoto, Shoko Maeno, Hidemi Sasaki, Katm Ehsanul Huq, Md Moshiur Rahman
Health (Health) , 2018, DOI: 10.4236/health.2018.104041
Abstract: Background: Japan has the highest aging people accounting 33.8 million with the rate of 26.7% in 2015. Although, public long-term care insurance services support people age 40 years and above, most of the users are 85 years and over due to their more vulnerability for getting sick. This study describes the physical, mental and social status of the elderly people aged 85 years and over, who were living alone at home. Method: A cross-sectional study was conducted between November 2016 and March 2017 in the island of Kure city, Hiroshima, Japan. A structured questionnaire and scales were used for data collection and documentation of physical measurements. Descriptive analysis was used. Result: A total of 190 subjects were participated, and the data were analyzed. The age range of the subjects was 85 to 98 years, and 68.4% of them were 85 to 89 years old. Male and female ratio was 21.6% vs 78.4%. Subjects of 17.4% continued their occupation at the time of the study period and most of them involved in agricultural work (93.9%). A certain percentage of the subjects had abnormal physical, mental and social difficulties and need additional support from family, friends, relatives, and community. Conclusion: Early detection and intervention such as disease management, nutritional support, and human support are required. The findings suggested policy makers to predict the burden and provide necessary care for these elderly people. It is necessary to aware family, friends, relatives, community and government supporting staff to provide information on correct recognition and usages of long-term care insurance services for these elder people.
Smoking, Habitual Tea Drinking and Metabolic Syndrome in Elderly Men Living in Rural Community: The Tianliao Old People (TOP) Study 02  [PDF]
Chin-Sung Chang, Yin-Fan Chang, Ping-Yen Liu, Chuan-Yu Chen, Yau-Sheng Tsai, Chih-Hsing Wu
PLOS ONE , 2012, DOI: 10.1371/journal.pone.0038874
Abstract: The literature shows an inconsistent relationship between lifestyle behaviors and metabolic syndrome (MetS), especially in the elderly. We designed this study to investigate the interrelationships among cigarette smoking, tea drinking and MetS, and to verify the factors associated with MetS in elderly males dwelling in rural community. In July 2010, with a whole community sampling method, 414 male subjects aged over 65 dwelling in Tianliao township were randomly sampled. The response rate was 60.8%. Each subject completed the structured questionnaires including sociodemographic characteristics, habitual behaviors (including cigarette smoking and tea drinking habits) and medical history. After an overnight fast, the laboratory and anthropometric data were obtained. MetS was confirmed according to the criteria defined by the modified NCEP ATP III for the male Chinese population. Subjects were split into either non-MetS or MetS groups for further analysis. Of the 361 subjects with complete data, 132 (36.6%) elderly men were classified as having MetS. Using binary logistic regression, body mass index, serum uric acid, high sensitivity C-reactive protein, HOMA index, current smokers (OR = 2.72, 95%CI: 1.03 ~ 7.19), total smoking amount > = 30 (OR = 2.78, 95%CI: 1.31 ~ 5.90) and more than 20 cigarettes daily (OR = 2.54, 95%CI: 1.24 ~ 5.18) were positively associated with MetS. Current un- or partial fermented tea drinker (OR = 0.42, 95%CI: 0.22 ~ 0.84), tea drinking habit for 1–9 years (OR = 0.36, 95%CI: 0.15 ~ 0.90) and more than 240cc daily (OR = 0.35, 95%CI: 0.17 ~ 0.72) were negatively associated with MetS. In conclusion, this study suggests that smoking habit was positively associated with MetS, but tea drinking habit was negatively associated with MetS in elderly men dwelling in rural community.
Use of dietary diversity score as a proxy indicator of nutrient adequacy of rural elderly people in Sri Lanka
Kumari Rathnayake, PAE Madushani, KDRR Silva
BMC Research Notes , 2012, DOI: 10.1186/1756-0500-5-469
Abstract: A sample of 200 apparently healthy elderly people >60y of age were studied. A single 24?h recall was performed to compute dietary diversity indicators. Pearson’s correlation was used to assess the utility of FVS, DDS and DSS as indicators of nutrient adequacy. Sensitivity (Se) and specificity (Spe) analysis were done to determine the most appropriate cut-off points for using FVS and DDS to categorize elderly people with adequate nutrient intake. The average (standard deviation) of the food variety score, dietary diversity score and dietary serving score was 8.4 (2), 4.4 (0.9) and 11.4 (2.5), respectively. Mean adequacy ratio (MAR) of 12 nutrients was 0.39 (39%). Pearson’s correlation coefficients between MAR and FVS was 0.45 (P?<?0.01), for DDS it was 0.48 ( P?<?0.01) and for DSS it was 0.58 ( P?<?0.01). When maximizing sensitivity and specificity, the best cut-off point for achieving 50% of MAR was about 9 and 4.5 for FVS and DDS, respectively.In conclusion, FVS, DDS and DSS were useful proxy indicators of nutrient adequacy of rural elderly people in Sri Lanka. Indeed, the performance of the indicators is improved when considering the quantities of food consumed.Dietary diversity (DD) has been universally identified as a key element of high quality diets. As dietary factors are associated with increased risk of chronic diseases and undernutrition, local and international dietary guidelines recommend to improve the diversity of the diet. Macro and micro nutrient deficiencies are public health concerns in most developing counties including Sri Lanka, due to monotonous, cereal-based diet that lacks diversity [1]. Furthermore, diverse diet reflects the nutrient adequacy of the diet [2]. Several studies have also shown that the overall nutritional quality of the diet is improved with diverse diet [3-5]. Therefore, diversity in the diet is important to meet the requirements for energy and other essential nutrients especially for those who are in the risk of nutrition def
How the professionals can identify needs for improvement and improve Food Distribution service for the home-living elderly people in Sweden - an action research project  [cached]
Zada Pajalic,Kirsti Skovdahl,Albert Westergren,Lena Persson
Journal of Nursing Education and Practice , 2013, DOI: 10.5430/jnep.v3n8p29
Abstract: Background: Making changes to municipal social care and service has been found to be challenging to realise and highly multifaceted. The aim of this study was to describe how the professionals can identify needs for improvement and improve Food Distribution (FD) service for the home-living elderly people in Sweden. Methods: This study is part of a larger project with an action research approach focusing on to municipal FD to older people living in their own home in Sweden. The professionals involved in FD invited the first author to assist them in this process. The study participants were comprised of the following groups: “The Identification focus group” that identified need for improvement of FD (n= 5); “The Action focus group” that planned and choose suitable ‘action’ for improvement (n=5); “The First Evaluation group” (n=4) that evaluated the content of planned improvement and finally “The Second Evaluation group” (n=29) that evaluated the changes following improvement. The data was gathered and analysed by Story Dialogue Method. Results: The need to update and increase the FD recipient’s knowledge in nutrition by sending them informative letters was found to be an important area to focus on. The information letters (n=1700) were distributed to the all FD recipients in six municipalities in southern Sweden during April 2011. The results were evaluated during May 2011. The overall general estimation was that the content of the letters indicated that this was a suitable method for gaining information to make a nutrition competence update. Following this, “The Action focus group” decided: firstly, to continue preparing and distributing information letters to all FD recipients to be sent out twice a year, and secondly: to make the information letters accessible on the websites of the six municipalities and county councils involved. Conclusions: This study showed that systematic work inspired by an action research approach with motivated and involved participants can be beneficial and a starting point for the process of change in municipal service and care practice. The major conclusion of the study was that systematic reflection over everyday practice can be the vehicle for the future change of practice. The research process and the findings have implications for nursing, care of the elderly and gerontology.
Daily Walking and Life Expectancy of Elderly People in the Iowa 65+ Rural Health Study  [PDF]
Hani M. Samawi
Frontiers in Public Health , 2013, DOI: 10.3389/fpubh.2013.00011
Abstract: The purpose of this paper is to investigate the hypothesis that outdoor daily walking, as an exercise, has an effect on the rate of mortality among those elderly people in the Iowa 65+ Rural Health Study (RHS). RHS is a prospective longitudinal cohort study of 8 years follow-up from 1981 to 1989. It consists of a random sample of 3,673 individuals (1,420 men and 2,253 women) aged 65 or older living in Washington and Iowa counties of the State of Iowa. Our analysis was conducted only on those non-institutional individuals who could without any help walk across a small room; this reduced the total number of individuals in the study to 2,717. Moreover, a total of 923 individuals died during the period of the study. The life histories of those individuals were obtained and divided into two cohorts; one containing 1,134 who exercise daily by walking and the other containing 1,583 who do not exercise daily by walking. The interviewers asked participants about 17 medical conditions, from which 13 are included in our study. We found that daily walking exercise is related inversely to total mortality before and after adjusting for the other factors in particular for age group and health conditions. We observed that hazard ratio (HR) of death was the highest among those individuals having a history of cancer (HR = 2.971) and history of stroke (HR = 2.127). However, individuals with a history of stroke in the “daily walking group” have HR = 0.856 and their risk of death were reduced by 81% compared to those in no “daily walking group.”
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