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Maniragaba F, Nzabona A, Asiimwe JB, Bizimungu E, Mushomi J, Ntozi J, Kwagala B. Factors associated with older persons' physical health in rural Uganda. PLoS One 2019; 14:e0209262. [PMID: 30650092 PMCID: PMC6334921 DOI: 10.1371/journal.pone.0209262] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2018] [Accepted: 12/03/2018] [Indexed: 12/22/2022] Open
Abstract
Introduction The proportion of older persons in developing countries is increasing with no clear evidence of improvement in physical health. The aim of this paper was to examine the factors associated with older persons’ physical health in rural Uganda. Methods This paper is based on a cross-sectional study of 912 older persons age 60 years and older across four major regions of Uganda. The study was conceptualized basing on World Health Organization quality of life BREF (WHOQOL-BREF). Analysis was done at three levels, that is, frequency distributions were generated to describe background characteristics of respondents and cross-tabulations were done to determine associations between dependent and each of the independent variables. Ordinal logistic regression was used to determine the predictors of physical health. Results The likelihood of good physical health is high among older persons (Ops) who controlled their household assets (OR = 3.64; CI = 1.81–7.30) or the household assets controlled by their spouses (OR = 4.44; CI = 1.91–10.32) relative to those whose household assets were controlled by their children. There is high likelihood of good physical health among those who engage in physical activities (OR = 2.28; CI = 1.52–3.43) compared to those who do not. Conclusion The findings have various policy implications, including creating an enabling environment and building capacities of older persons to remain in control of their household assets. Interventions focusing on deepening sensitization of older persons about importance of physical exercises could be a viable strategy for improving physical health of older persons.
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Affiliation(s)
- Fred Maniragaba
- Department of Population Studies, Makerere University, Kampala, Uganda
- * E-mail:
| | - Abel Nzabona
- Department of Population Studies, Makerere University, Kampala, Uganda
| | - John Bosco Asiimwe
- Department of Planning and Applied Statistics, Makerere University, Kampala, Uganda
| | | | - John Mushomi
- Department of Population Studies, Makerere University, Kampala, Uganda
| | - James Ntozi
- Department of Population Studies, Makerere University, Kampala, Uganda
| | - Betty Kwagala
- Department of Population Studies, Makerere University, Kampala, Uganda
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Tourani S, Behzadifar M, Martini M, Aryankhesal A, Taheri Mirghaed M, Salemi M, Behzadifar M, Bragazzi NL. Health-related quality of life among healthy elderly Iranians: a systematic review and meta-analysis of the literature. Health Qual Life Outcomes 2018; 16:18. [PMID: 29347951 PMCID: PMC5774099 DOI: 10.1186/s12955-018-0845-7] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2017] [Accepted: 01/09/2018] [Indexed: 08/26/2023] Open
Abstract
Background Health-related quality of life (HRQoL) measurement in elderly people can provide appropriate information for an optimal management of physical/mental conditions. The main objective of the present study was to quantitatively assess the HRQoL among healthy elder Iranian individuals as measured by the Short-Form 36 (SF-36) questionnaire, both overall and at the level of each its single component/domain. Methods This study was designed as a systematic review and meta-analysis, following the "Preferred Reporting Results of Systematic Reviews and Meta-Analyses" (PRISMA) guidelines. Embase, PubMed/MEDLINE, ISI/Web of Science (WOS), Scopus, and Iranian databases such as MagIran, SID and Irandoc were mined from inception up to 1st September 2017. Also the grey literature (via Google Scholar) was mined. Two reviewers independently screened titles/abstracts, assessed full-text articles, extracted data, and appraised their quality using the "Strengthening the Reporting of Observational Studies in Epidemiology" (STROBE) checklist. Results Twenty five studies were included. Mean overall HRQoL was 54.92 [95%CI 51.50–58.33], lower than the value found by studies done in other countries, especially in those economically developed. The sensitivity analysis indicated stability and reliability of results. Pooled scores of each HRQoL domain/sub-scale of the SF-36 questionnaire ranged from 49.77 (physical role functioning) to 63.02 (social role functioning). Conclusions HRQoL among healthy elder Iranian individuals is generally low. Health policy-makers should put HRQoL among the elderly as a priority of their agenda, implementing ad hoc programs and providing social, economic and psychological support, as well as increasing the participation of old people in the community life and use their experiences. Electronic supplementary material The online version of this article (10.1186/s12955-018-0845-7) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Sogand Tourani
- School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Masoud Behzadifar
- Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran.
| | - Mariano Martini
- Section of History of Medicine and Ethics, Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy
| | - Aidin Aryankhesal
- School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Masood Taheri Mirghaed
- School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Morteza Salemi
- School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Meysam Behzadifar
- Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran.,Department of Epidemiology, Faculty of Health & Nutrition, Lorestan University of Medical Sciences, Khorramabad, Iran
| | - Nicola Luigi Bragazzi
- Section of History of Medicine and Ethics, Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy.,School of Public Health, Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy
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Same A, Lee EAL, McNamara B, Rosenwax L. The Value of a Gardening Service for the Frail Elderly and People With a Disability Living in the Community. HOME HEALTH CARE MANAGEMENT AND PRACTICE 2016; 28:256-261. [PMID: 27746669 PMCID: PMC5052698 DOI: 10.1177/1084822316652575] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Little is known about the significance of gardening services for frail elderly people. This study explored the value of a gardening service for frail older people and people with a disability living in the community. Using qualitative and quantitative data collected from pre-gardening (n = 38) and post-gardening service delivery interviews (n = 35) and the Housing Enabler, the value of a gardening service was examined. Findings suggest that the service had a positive impact on the independence and emotional well-being of frail aged people and younger people with a functional disability, with little impact on physical health. Results indicate that gardening services should be fundamental to planning for these populations to remain or return to living in the community.
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Affiliation(s)
- Anne Same
- School of Occupational Therapy and Social Work, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia
| | - Elinda Ai Lim Lee
- School of Occupational Therapy and Social Work, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia
| | - Beverley McNamara
- School of Occupational Therapy and Social Work, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia
| | - Lorna Rosenwax
- School of Occupational Therapy and Social Work, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia
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Lima KC, Caldas CP, Veras RP, Correa RDF, Bonfada D, de Souza DB, Jerez-Roig J. Health Promotion and Education: A Study of the Effectiveness of Programs Focusing on the Aging Process. INTERNATIONAL JOURNAL OF HEALTH SERVICES 2016; 47:550-570. [PMID: 27487836 DOI: 10.1177/0020731416660965] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Considering the population aging and the failure of biologistic and hospital-based treatment model, health promotion programs based on scientific evidence are necessary. A comprehensive review of literature was performed, aiming to identify and analyze health promotion and education experiments focused on the aging process. Papers published in eight databases, together with the database of the Pan-American Health Organization, were selected based on review of titles and abstracts, followed by a full text review conducted by two independent reviewers. A total of 22 studies were included, the majority of which adopted a quantitative approach, with a sample larger than 100 elderly or pre-retirement individuals. The majority of studies reported positive results in terms of health promotion and education. One study obtained minimum improvement and one reported that no statistically significant improvement had occurred. The positive effects most indicated by authors were: general or self-perceived improvement in physical health, improvement in psychosocial aspects and in relation to the aging process, improvement in adherence to preventative actions and in healthy conduct and lifestyle, increase in level of physical activity, improvement in quality of life and/or physical well-being, and improvement in activities of daily living or reduction of the risk of developing disabilities.
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Affiliation(s)
- Kenio Costa Lima
- 1 Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | | | | | | | - Diego Bonfada
- 2 Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil
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Roig JJ, Souza DLBD, Lima KC. Urinary incontinence in institutionalized elderly: prevalence and impact on quality of life. FISIOTERAPIA EM MOVIMENTO 2015. [DOI: 10.1590/0103-5150.028.003.ao17] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
AbstractIntroduction Urinary incontinence is a geriatric syndrome that generates strong economic and social impacts as well as emotional changes and negative consequences for the health of the elderly.Objective The objective of this work was to identify the prevalence of urinary incontinence and its associated factors, as well as its impact on quality of life of institutionalized elderly.Materials and methods A cross-sectional study was conducted herein, with 10 long-term institutions for the elderly of the municipality of Natal (Northeast Brazil). The Minimum Data Set was completed by caregivers to determine the presence of incontinence, and the Short Form of the International Consultation on Incontinence Questionnaire was answered by the elderly, to assess the frequency and amount of urinary leakage, the impact on quality of life, and the type of incontinence. The chi-square test and Fisher’s exact test were applied in the bivariate analysis, and logistic regression was utilized for multivariate analysis.Results The prevalence of urinary incontinence was 42.7% (95% CI: 34.8–50.8). The impact of this condition on daily life was mild in 46.5% of cases, moderate for 29.3% of cases, and severe in 24.1% of cases. The condition was associated with functional impairment (p < 0.001; RP: 4.13).Final considerations The prevalence of urinary incontinence in this sample, which presented cognitive ability to answer questionnaires, was over 40% with a high degree of severity. Approximately half of the incontinents referred a moderate-severe impact of incontinence. Control measures for this geriatric syndrome within the institutions are important to delay the decline of health and improve the quality of life of the residents.
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Affiliation(s)
- Javier Jerez Roig
- Universidade Federal do Rio Grande do Norte, Brazil; Hospital Can Misses, Spain
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Jerez-Roig J, Souza DLB, Amaral FLJS, Lima KC. Prevalence of fecal incontinence (FI) and associated factors in institutionalized older adults. Arch Gerontol Geriatr 2015; 60:425-30. [PMID: 25721982 DOI: 10.1016/j.archger.2015.02.003] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2014] [Revised: 02/04/2015] [Accepted: 02/06/2015] [Indexed: 12/18/2022]
Abstract
The objective of this work is to determine the prevalence of FI and associated factors in institutionalized elderly. A cross-sectional study is presented herein, conducted between October and December 2013, in 10 nursing homes (NHs) of the city of Natal (Northeast Brazil). Individuals over the age of 60 were included in the study, while those hospitalized or in terminal phase were excluded. Data collection included sociodemographic information, FI characterization, as well as variables related to the institution itself and to health conditions (comorbidities, medication, pelvic floor surgery, Barthel Index for functional capacity and Pfeiffer test for cognitive status). FI was verified through the Minimum Data Set (MDS) 3.0, which was also used to assess toileting programs. The Chi-square test and the linear Chi-square test were performed for bivariate analysis, as well as logistic regression for multivariate analysis. The final sample consisted of 321 elderly, mostly females, with mean age of 81.5 years. The prevalence of FI was 42.68% (CI 95%, 37.39-48.15). Most residents presenting FI were always incontinent (83.9%) and the most frequent incontinence type was total FI (solid and liquid stools). Incontinence control measures were applied only to 9.7% of the residents. The final model revealed a statistically significant association between FI and functional and cognitive impairments. It is concluded that FI is a health issue that affects almost half of the institutionalized elderly, and is associated with functional and cognitive disability.
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Affiliation(s)
- Javier Jerez-Roig
- Graduate Program in Collective Health, Federal University of Rio Grande do Norte, Avenida Senador Salgado Filho 1787, CEP: 59010-000 Lagoa Nova, Natal-RN, Brazil; Servicio de Rehabilitación, Hospital Can Misses, Calle Corona s/n, 07800 Ibiza, Illes Baleares, Spain.
| | - Dyego L B Souza
- Department of Collective Health, Federal University of Rio Grande do Norte, Campus Universitário s/n, CEP: 59078-970, Lagoa Nova, Natal-RN, Brazil
| | - Fabienne L J S Amaral
- Graduate Program in Collective Health, Federal University of Rio Grande do Norte, Avenida Senador Salgado Filho 1787, CEP: 59010-000 Lagoa Nova, Natal-RN, Brazil
| | - Kenio C Lima
- Graduate Program in Collective Health, Federal University of Rio Grande do Norte, Avenida Senador Salgado Filho 1787, CEP: 59010-000 Lagoa Nova, Natal-RN, Brazil
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Jerez-Roig J, Santos MM, Souza DLB, Amaral FLJS, Lima KC. Prevalence of urinary incontinence and associated factors in nursing home residents. Neurourol Urodyn 2014; 35:102-7. [PMID: 25307780 DOI: 10.1002/nau.22675] [Citation(s) in RCA: 41] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2014] [Accepted: 08/26/2014] [Indexed: 11/11/2022]
Abstract
AIMS To determine the prevalence of urinary incontinence (UI) and associated factors in the institutionalized elderly. METHODS A cross-sectional study is presented herein, conducted between October and December 2013, in 10 nursing homes in the city of Natal (Northeast Brazil). Individuals over the age of 60, who reside in institutions, were included. Hospitalized individuals and those at end of life were excluded. Data collection included sociodemographic information, UI characterization, as well as variables related to the institution itself and to health conditions (comorbidities, medication, pelvic floor surgery, Barthel Index for functional capacity, and Pfeiffer test for cognitive status). UI was verified through the Minimum Data Set (MDS) version 3.0, which was also used to assess urinary devices and UI toileting programs. The Chi-square test (or Fisher's exact test), the linear Chi-square test, and logistic regression were utilized to model associations. RESULTS The final sample consisted of 321 elderly, mostly females, with a mean age of 81.5 years. The prevalence of UI was 58.88% (CI 95%: 53.42-64.13) and the final model revealed a statistically significant association between UI and white race, physical inactivity, stroke, mobility impairment, and cognitive decline. The most frequent UI type was functional UI and toileting programs (prompted voiding) were only applied to approximately 8% of residents. CONCLUSIONS It is concluded that UI is a health issue that affects more than half of the institutionalized elderly, and is associated with white race, physical inactivity, stroke, and other geriatric syndromes such as immobility and cognitive disability.
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Affiliation(s)
- Javier Jerez-Roig
- Graduate Program in Collective Health, Federal University of Rio Grande do Norte, Lagoa Nova, Natal-RN, Brazil.,Rehabilitation Service, Hospital Can Misses, Ibiza, Balearic Islands, Spain
| | - Marquiony M Santos
- Graduate Program in Collective Health, Federal University of Rio Grande do Norte, Lagoa Nova, Natal-RN, Brazil
| | - Dyego L B Souza
- Graduate Program in Collective Health, Federal University of Rio Grande do Norte, Lagoa Nova, Natal-RN, Brazil
| | - Fabienne Louise J S Amaral
- Graduate Program in Collective Health, Federal University of Rio Grande do Norte, Lagoa Nova, Natal-RN, Brazil
| | - Kenio C Lima
- Graduate Program in Collective Health, Federal University of Rio Grande do Norte, Lagoa Nova, Natal-RN, Brazil
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