Dissertations / Theses: 'Elderly population'

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Tavos, Farid. "How elderly population effects economic growth." Thesis, Mälardalens högskola, Akademin för ekonomi, samhälle och teknik, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-40834.

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SAKAMOTO, JUNICHI, YOSHITOKU YOSHIDA, MD HARUN-OR-RASHID, and GOOLBAHOR PULATOVA. "ELDERLY HEALTH AND ITS CORRELATIONS AMONG UZBEK POPULATION." Nagoya University School of Medicine, 2012. http://hdl.handle.net/2237/16024.

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Crooks, Donneth. "Development and Testing of the Elderly Social Vulnerability Index (ESVI): A Composite Indicator to Measure Social Vulnerability in the Jamaican Elderly Population." FIU Digital Commons, 2009. http://digitalcommons.fiu.edu/etd/186.

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Over the last two decades social vulnerability has emerged as a major area of study, with increasing attention to the study of vulnerable populations. Generally, the elderly are among the most vulnerable members of any society, and widespread population aging has led to greater focus on elderly vulnerability. However, the absence of a valid and practical measure constrains the ability of policy-makers to address this issue in a comprehensive way. This study developed a composite indicator, The Elderly Social Vulnerability Index (ESVI), and used it to undertake a comparative analysis of the availability of support for elderly Jamaicans based on their access to human, material and social resources. The results of the ESVI indicated that while the elderly are more vulnerable overall, certain segments of the population appear to be at greater risk. Females had consistently lower scores than males, and the oldest-old had the highest scores of all groups of older persons. Vulnerability scores also varied according to place of residence, with more rural parishes having higher scores than their urban counterparts. These findings support the political economy framework which locates disadvantage in old age within political and ideological structures. The findings also point to the pervasiveness and persistence of gender inequality as argued by feminist theories of aging. Based on the results of the study it is clear that there is a need for policies that target specific population segments, in addition to universal policies that could make the experience of old age less challenging for the majority of older persons. Overall, the ESVI has displayed usefulness as a tool for theoretical analysis and demonstrated its potential as a policy instrument to assist decision-makers in determining where to target their efforts as they seek to address the issue of social vulnerability in old age. Data for this study came from the 2001 population and housing census of Jamaica, with multiple imputation for missing data. The index was derived from the linear aggregation of three equally weighted domains, comprised of eleven unweighted indicators which were normalized using z-scores. Indicators were selected based on theoretical relevance and data availability.

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Pomeroy, Sherry Lynn Hobgood. "Increasing physical activity in rural elderly." Free to MU Campus, others may purchase, 2003. http://wwwlib.umi.com/cr/mo/fullcit?p3115579.

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Lipka, Robert G. "Retrofitting older suburbs to better accommodate our growing elderly population." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape15/PQDD_0009/MQ31613.pdf.

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Chidester, June C. "Adequacy of fluid intake of an elderly nursing home population." Virtual Press, 1993. http://liblink.bsu.edu/uhtbin/catkey/845937.

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The actual fluid intake of forty (40) residents of a nursing home was determined by an analysis of detailed three-day food and fluid intake records obtained by direct observation. Intake was compared to an established standard to determine the adequacy of fluid intake for this population. Subjects were grouped in two groups according to age (<85 years and >85 years) to determine whether age influenced fluid intake. In addition, data such as number and frequency of medications and dependency factors, such as ability to feed self, ability to communicate, ability to move and ability to make decisions, were collected and correlated.There was no significant difference between actual fluid intake and required fluid intake for the population a whole and for the two age groups. However, there were individuals who had very low fluid intakes suggesting other factors which influence fluid intake. There were positive correlations between fluid obtained from non meal feedings and frequency of medication delivery and number of medications delivered during a 24 hour period. In addition, there were positive correlations among the dependency factors. There was no correlation among any of the dependency factors and fluid intake for the group as a whole or for the two age groups.It was concluded from this study that this population of elderly nursing home residents obtained adequate fluid. Medication frequency and number appeared to influence the amount of fluid that a resident might obtain during non meal feedings. However, as a subject became more dependent, this factor did not affect the fluid intake of this population.
Department of Home Economics

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Pate, Amber. "Does Delivery of Medications Increase Adherence in an Elderly Population?" The University of Arizona, 2005. http://hdl.handle.net/10150/624768.

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Class of 2005 Abstract
Objectives: To determine if delivery of medications to an independent living facility increases patient adherence. Methods: Retrospective review of patient pharmacy refill records was completed using a data extraction form in order to calculate a number of days deviation from a projected refill date based on days supply. Data on the use of express pay, auto fill, and delivery service and payment type was collected as well as age and gender. Residents of The Fountains independent living facility were eligible to be included in this study if they had complete data in the pharmacy refill records for at least one scheduled maintenance medication taken for a continuous, three-month period. Results: There were 21 subjects in the delivery group and 18 in the pick-up group. Both groups were primarily women (76.2 percent and 61.1 percent respectively). Age was also similar (85.8 and 83.8, p=0.285). The delivery group had significantly more maintenance medications than the pick-up group (mean=2.8, SD=1.1 and mean=1.7, SD=1.1 respectively). Seven of the nine time deviations were greater for the pick-up group than for the delivery group (p= 0.09 for sign test). Implications: It appears that a delivery service can increase adherence, particularly in a population of advanced age.

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Frantz, Allison E. "The impact of the growing elderly population on health care." Instructions for remote access. Click here to access this electronic resource. Access available to Kutztown University faculty, staff, and students only, 1992. http://www.kutztown.edu/library/services/remote_access.asp.

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Thesis (M.P.A.)--Kutztown University of Pennsylvania, 1992.
Source: Masters Abstracts International, Volume: 45-06, page: 2940. Abstract precedes thesis as [1] preliminary leaf. Typescript. Includes bibliographical references (leaves 147-158).

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Siegrest, Emily C., Todd Gentry, and Andew Sterling. "An Assessment of the Use of Expired Prescription Medication in the Elderly Population." The University of Arizona, 2008. http://hdl.handle.net/10150/624318.

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Class of 2008 Abstract
Objectives: Use of expired and unused prescription medication in the elderly population is not clearly defined. Improper use of medication can lead to serious adverse drug events and poor health outcomes. More information on the actual use of expired and unused medications in the elderly population may help in determining the need for future education of this population on this subject. Methods: A total of 72 people 65 years or older completed an anonymous survey about use of expired and unused medication. The completed survey was returned by mail. The data was extracted into a database and analyzed using chi-squared, averages, and percentages. Results: The data showed that there was no significant difference between the age groups with respect to willingness to share medications with family or friends. The population was predominantly white, and most respondents had completed some level of college education. The results showed 69.4% of respondents would share at least one category of medication with a friend or family member. 56.9% of respondents would share at least one category of medication with a friend, and 66.7% would share at least one with a family member (p=0.23). Respondents indicated they would take 23.4% of the medications listed as being in their possession if they were expired and would only share only 6.9% of the listed medications with a friend or family member. Conclusions: This data demonstrated that this population was reluctant to share medications they actually possessed, but were theoretically willing to share some categories of medications. More research needs to be done to assess use of expired medications and medication sharing in all populations, and especially in the elderly population.

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Horwath, Caroline Christine. "A random population study of the dietary habits of elderly people." Title page, contents and synopsis only, 1987. http://web4.library.adelaide.edu.au/theses/09PH/09phh824.pdf.

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Oudin, Åström Daniel. "On temperature-related mortality in an elderly population and susceptible groups." Doctoral thesis, Umeå universitet, Yrkes- och miljömedicin, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-89019.

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Background: Climate change has increased the frequency, intensity, duration, and spatial extent of some extreme weather events, for instance heat waves. Societies today are experiencing an ongoing change in the population structure yielding an increasing proportion elderly due to increased longevity, resulting in higher prevalence of chronic and degenerative diseases. Literature suggests that the elderly and certain susceptible subgroups with chronic disease are among the most vulnerable to heat waves and elevated temperatures. Aim: The main aims of this thesis were to expand the scientific knowledge on the short-term effects of extreme heat on mortality for the general population and certain susceptible groups in society, to investigate the development of this relationship over time and to attribute mortality to observed climate change. Methods: Daily numbers of deaths and daily meteorological observations during three different periods were collected for present day Stockholm County, Sweden. The analyses of the relationship between mortality and temperature extremes were analysed using a time series approach. The regression models assumed the daily counts of mortality to follow an overdispersed Poisson distribution and adjustments were made for time-trends as well as confounding factors. Results: The literature review of recent studies identified a strong relationship between heat and heat waves and increasing death rates among the elderly, particularly for respiratory and cardiovascular mortality. A statistically significant increase in total daily mortality during heat extremes in all decades investigated, as well as over the entire period, during the period 1901-2009 with a declining trend over time for the relative risk associated with heat extremes, was reported in paper II. For the period 1901-2009 cold extremes significantly increased mortality, with a more disperse pattern over individual decades and no declining trend over time. Paper III attributed increased mortality due to climate change between 1900-1929 and 1980-2009. This increase was mainly due to a large number of excess heat extremes in the latter time period. Furthermore certain subgroups of the population above 50, were in paper IV found to have significantly increased mortality during heat waves as compared to non-heat wave days. Conclusions: Although the relative risk of dying during extreme temperature events appears to have fallen in Stockholm, Sweden, such events still pose a threat to public health. The elderly population and certain susceptible subgroups of the population experience higher relative risks of dying on heat waves days as compared to normal summer days. Some of the groups most susceptible during heat waves were identified. In order to minimize future impacts of heat waves on public health, identifying susceptible subgroups in an ageing society as well as develop strategies to reduce the impact of future temperature extremes on public health will be important.

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Greig, Katherine Marie. "Stressors, psychological distress and health services utilization among an elderly population." Case Western Reserve University School of Graduate Studies / OhioLINK, 1994. http://rave.ohiolink.edu/etdc/view?acc_num=case1057688968.

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Roller, Margaret L. "The effect of balance training on a non-disabled elderly population." Scholarly Commons, 1998. https://scholarlycommons.pacific.edu/uop_etds/2338.

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Impairments in balance with related decline in functional abilities, an increased incidence of falls, and fear of falling are problems that concern elderly populations as well as health care providers. There does not appear to be consensus on which method of balance testing or balance training best addresses the components of balance to effectively test and train balance as it relates to the specific task and environment in which it is occurring. It is also unclear what effect balance training may have on confidence in balance or reducing the fear of falling in elderly populations. The purpose of this study was to determine the effect of balance training on q nondisabled elderly population. A six group pre-test - post-test experimental design was used with 59 elderly males and females living in a retirement community. All subjects completed low-tech and high-tech balance testing and filled out 2 balance confidence questionnaires. Experimental groups participated in low-tech or high-tech balance training protocols that were established expressly for this study, and completed follow-up testing which was not required of the control groups.

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Stringer, Lee H., Richard N. Herrier, and David A. Apgar. "Design and Evaluation of a Dosing Schedule Pictogram for an Elderly Population." The University of Arizona, 2011. http://hdl.handle.net/10150/614584.

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Class of 2011 Abstract
OBJECTIVES: To design and evaluate a dosing schedule pictogram in an elderly population. To identify possible reasons for misunderstanding of a dosing schedule pictogram and, if appropriate, redesign the pictogram to reflect reasons for misunderstanding. METHODS: Through a modified focus group analysis involving residents of a retirement community in Tucson, Arizona, the understandability of a morning-noon-night color pictogram was assessed. Residents’ interpretation of the pictogram as correct or incorrect was assessed using a decision-tree analysis. The percentage of correct responses was calculated and compared to established pictogram criteria for acceptability. Lastly, potential reasons for misunderstanding were assessed. RESULTS: Thirteen residents, six males and seven females, participated in the study. The rate of correct interpretation was 84.6%, which nearly satisfies the ANSI criterion of 85% correct and far exceeds the ISO criterion of 67% correct. Two participants incorrectly interpreted the pictogram, but their comments, however, indicated good comprehension of time of day. CONCLUSION: The dosing schedule pictogram was correctly interpreted by a majority of study participants satisfying industry standards. Further analysis of this design is warranted.

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Wilson, Leigh Ann. "Heatwaves and the older Australia population: A mixed methods study." Thesis, The University of Sydney, 2016. http://hdl.handle.net/2123/16015.

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Introduction In Australia heatwaves are increasing in duration, frequency and intensity. This phenomenon parallels an ageing population. The aged are at risk of increased mortality and morbidity in very hot weather, however risk perception studies suggest older people deny they at risk. This research investigated the relationship between heat-related mortality and morbidity in NSW, Australia and the factors that place older people at risk of heat-related illness. Method This research consists of two literature reviews and three discrete studies using both qualitative and quantitative methods in a rural population in NSW Australia. Results Review of the Australian literature highlighted the differences in methods used, heatwave definitions and populations studied in Australian heat-related research. There was a relationship between heat-related mortality and morbidity on days classified as either severe (> 95th percentile of expected temperature) or extreme (> 99th percentile). Direct and indirect effects of heatwaves contributed to deaths and increased hospitalisations on both severe and extreme days. Less than half of the aged care facilities(ACFs) included in our sample had a heatwave response plan. Only one third of ACFs in NSW were fully air-conditioned, 65% had partial or no air-conditioning. Few ACF staff had participated in staff in-service training on caring for older people in extreme conditions. Older rural residents with a self-perceived sense of ‘wellness’ do not consider themselves at risk in hot weather, even if they have multiple co-morbidities, or are aged; factors that independently place them at increased risk of heat-related morbidity and mortality. Conclusions This research found that high daily temperatures have both direct and indirect effects on the health of the adult population. Those aged >75 years are most affected however people with chronic conditions and/or circulatory disorders are vulnerable to heat-related morbidity and mortality at any age. There was a general complacency about, and low perception of, heat-related health risk in the Australian population and a low level of preparedness for extreme heat events in the aged care sector, both in the knowledge of how to care for the vulnerable aged in very hot weather and in organisational planning for periods of extreme heat.

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Hagerty, Marylyn A. "Fall Reduction Among the Geriatric Population in Assisted Living Facilities." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5626.

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Incidents of falls among the elderly increase with age. About $31 million is spent annually in the United States on medical costs related to fall injuries in the elderly. This project evaluated the outcomes of a fall reduction program implemented in an assisted living facility (ALF). The Stop Elderly Accidents, Death & Injury program developed by the Centers for Disease Control and Prevention was implemented by the ALF for 60 days prior to the outcome evaluation project. The program included a convenience sample of 62 residents and involved medication evaluation, exercises, assistive devices, environmental risk reduction, and evaluation of blood pressure. Bandura's theory on self-efficacy was applied in guiding the implementation process. The practice-focused question compared the fall rate among the ALF's elderly residents during the 30-day period following implementation of the program, and the previous 12months. The fall rates were analyzed with descriptive statistics. Results showed the preintervention fall rate was 6.6 falls per month, while at the end of the 30-day postimplementation period, that rate was reduced by 39.4% to 4 falls per month. The conclusion of this outcome-evaluation project is that falls among the elderly in the ALF can be reduced with evidence-based programs. The recommendation is that ALFs should have fall reduction programs, thereby avoiding unnecessary complications of falls among elderly residents. Implications for nursing practice include improved understanding of falls as a safety issue for ALF residents and the need for nurse practitioners to take a more active role as advocates for fall prevention programs in ALFs. The positive societal change produced is improved safety and reduction in fall injuries among the elderly in assisted living facilities.

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Graham, Kay S. "The mobility of elderly Italians in the Paris region : a biographical approach." Thesis, University of Sheffield, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.268278.

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Omoyeni, Eunice Nkechi. "Assessing the palliative care needs of elderly patients seen at the University College Hospital, Ibadan, Nigeria." Master's thesis, Faculty of Health Sciences, 2020. http://hdl.handle.net/11427/32905.

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Background Nigeria, with a population growth rate (2000-2005) of 2.5% and with 5% of the total population aged 60 years and above, has the potential for a rapid growth rate of the older population in coming years.1 The implication of this in a country with large population as reported by the National Population Census 2006, limited number of health care professionals and care homes, is difficulty in meeting the various needs of the elderly, hence, the importance of identifying the palliative care needs of the elderly. Aim The study was set out to assess the palliative care needs of and provision of care to elderly patients seen in the selected clinics of the University College Hospital, Ibadan, Oyo state, Nigeria. Objectives 1. To describe characteristics of elderly patients seen in the selected clinics. 2. To explore the current use of the hospital palliative care team in the care of geriatric patient. 3. To explore the current use of the hospital palliative care team in the care of geriatric patient. Methods A descriptive cross-sectional study was conducted over a 3-month period using an interviewer administered questionnaire after full consent was given by participants. The questionnaire was a combination of the Africa Palliative Care Outcome Scale (APCA-POS), the Edmonton Symptom Assessment Scale (ESAS) and Hope Spiritual Assessment Tool. Demographic information regarding gender, age, nationality, abode and referral to the Care Centre was obtained. Scaled questions from selected tools were ticked with respect to physical, psychosocial and spiritual needs and expectations of palliative care. The validated data collection tools (APCA-POS, ESAS, HOPE) were used in the questionnaire. Ethical approval was obtained from the relevant organizations. Data was analysed using IBM SPSS statistics 21. Results 424 participants completed the questionnaire and most patients (330; 77.8%) were recruited from the geriatric wards with a 2:1 female to male ratio. Most participants fell in the 60 -69 year-old age group. The most common symptom was pain in 240 patients with moderate pain in single or multiple areas. A high percentage (45.8%) were moderately worried about their disease condition and only 66 out of 422 freely discussed this feeling with their family members. Other symptoms observed were nausea, vomiting, constipation and loss of appetite. Conclusion The study showed the palliative care needs of the elderly and calls for collaboration between the palliative care team and the physicians in the geriatric unit for better management of the needs of the elderly.

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Ferguson, Peter J. S. "A novel method for remote care." Thesis, University of Kent, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.342163.

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Breier, Susanne. "Preferred residential neighbourhoods of the elderly population in the city of Norrköping." Thesis, Linköping University, Department of Computer and Information Science, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-15884.

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The population of Sweden is ageing as in almost every European country. Improved medical progresses and treatment options lead to a decreasing mortality at older ages, increasing life expectance and an advanced health of the elderly. Due to these improvements and the so called ‘baby- boomers’, a great number of persons born in the 1940s that will reach retirement age the coming years, their total number will increase strongly in the near future all over Sweden. To enable these elderly to live a normal, active and independent life as long as possible activities, services and special housing with improved accessibility and meeting places for elderly has to be provided. Thus, for local authorities it is essential to know the actual and favoured living conditions as well as environments of elderly. This study aims therefore to investigate the characteristic of preferred residential neighbourhoods of the elderly in the city of Norrköping. The demographic, social and crime situation was examined for the districts of the city using several methods from both Statistics and GIS. Statistical methods included classifications, indexes or indicators and bivariate correlations. A model was developed to combine demographic and social data to characterise districts. GIS was to a major extent used as a visualisation tool. Choropleth mapping and Kernel density estimations were used to illustrate distribution of elderly and crime. Preliminary global statistical tests were used to verify clustering in the crime data set. An accessibility analysis was conducted with the help of the network analyst tool. Results indicate that districts experiencing the highest total numbers and proportion of elderly are very distributed throughout the city of Norrköping. They are, with some exceptions, characterised by lower social status. Four districts of the city show considerable evidences of demographic ageing, experiencing a population pyramid formed like an urn. Beside districts where elderly constitute a bigger proportion of the population, they tend to live in districts characterised by a relatively high proportion of young adults aged between 20 and 29. Crime analyses have shown crime clusters in different parts of the city. A high proportion of elderly faces a high crime level in the districts Gamla staden, Nordantill and Hageby. However, it has been proved that only some hot spots of crime within these areas contribute to the high crime level. Districts such as Skarphagen, Såpkullen, Smedby and Linö, all (except Såpkullen) situated on the outskirts of the city, hold high or middle elderly and a low crime level. Accessibility analyses have shown that elderly aged over 80 do not live significant closer to health centres and the public transport stops compared to the age groups 20 – 65 and inhabitants aged between 65 and 79.

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Donaldson, Simon Paul. "The impact of repeated earthquakes on the cognition of Canterbury’s elderly population." Thesis, University of Canterbury. Psychology, 2015. http://hdl.handle.net/10092/10753.

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Objective: The nature of disaster research makes it difficult to adequately measure the impact that significant events have on a population. Large, representative samples are required, ideally with comparable data collected before the event. When Christchurch, New Zealand, was struck by multiple, devastating earthquakes, there presented an opportunity to investigate the effects of dose-related quakes (none, one, two or three over a 9-month period) on the cognition of Canterbury’s elderly population through the New Zealand Brain Research Institute’s (NZBRI’s) cognitive screening study. The related effects of having a concomitant medical condition, sex, age and estimated- full scale IQ (Est-FSIQ) on cognition were also investigated. Method: 609 participants were tested on various neuropsychological tests and a self-rated dementia scale in a one hour interview at the NZBRI. Four groups were established, based on the number of major earthquakes experienced at the time of testing: “EQ-dose: None” (N = 51) had experienced no quakes; “EQ-dose: One” (N = 193) had experienced the initial quake in September 2010; “EQ-dose: Two” (N = 82) also experienced the most devastating February 2011 quake; and “EQ-dose: Three” (N = 265) also the June 2011 quake at testing. Results: Two neuropsychological variables of Trail A and the AD8 were impacted by an EQ-dose effect, while having a medical condition was associated with poorer function on the MoCA, Rey Copy and Recall, Trail A, and AD8. Having a major medical condition led to worse performance on the Rey Copy and Recall following the major February earthquake. Males performed significantly better on Trail A and Rey Planning, while females better on the MoCA. Older participants (>73) had significantly lower scores on the MoCA than younger participants (<74), while those with a higher Est-FSIQ (>111) had better scores on the MoCA and Rey Recall than participants with a lower Est-FSIQ. Finally, predicted variable analysis (based on calculated, sample-specific Z-scores) failed to find a significant earthquake effect when variables of age, sex and Est-FSIQ were controlled for, while there was a significant effect of medical condition on each measure. Conclusion: The current thesis provides evidence suggesting resilience amongst Canterbury’s elderly population in the face of the sequence of significant quakes that struck the region over a year from September 2010. By contrast, having a major medical condition was a ‘more significant life event’ in terms of impact on cognition in this group.

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Fortes, Cristina Deppermann. "Zinc, vitamin A, cell-mediated immunity and infection in an elderly population." Thesis, University of London, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.265006.

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LaScola, Phillip V. Jr. "Physiological Responses to Counter Weighted Single-leg Cycling in an Elderly Population." Kent State University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=kent1436976834.

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Vatsana, Chanthamalinh Duangjai Lexomboon. "The oral health of elderly population in vientiane capital, Lao P.D.R. 2008 /." Abstract, 2008. http://mulinet3.li.mahidol.ac.th/thesis/2551/cd420/4836013.pdf.

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Farid, Tavos. "How Elderly Population Affects Economic Growth. An empirical approach on Nordic countries." Thesis, Mälardalens högskola, Industriell ekonomi och organisation, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-44999.

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Korpelainen, R. (Raija). "Exercise and risk factors of osteoporotic fractures in elderly women." Doctoral thesis, University of Oulu, 2005. http://urn.fi/urn:isbn:9514278054.

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Abstract The aim of this study was to examine lifestyle risk factors for low bone mass, falls and fractures, and to determine the effect of 30-month exercise trial on bone mass, balance, muscle strength and gait in elderly women. Reliability of an inclinometric method for assessing postural sway was evaluated. Data on risk factors, falls and fractures were collected by questionnaires, and calcaneus and radius bone mass were measured from 1,222 women. Lifetime physical activity, low occupational physical activity, type 2 diabetes, hypertension, hormone replacement, thyroid hormone and thiazide use were associated with increased bone mass, while low current physical activity, high coffee intake and late menarche were associated with low bone mass in lean women. Factors associated with fractures were: low lifetime habitual physical activity, diabetes, living alone and calcaneum bone mass. One hundred and sixty women with low femoral neck bone mass were randomly assigned to the exercise group (n = 84) or to the control group (n = 76). The outcomes included radius, proximal femur and calcaneus bone mass, postural sway, muscle strength, gait speed and endurance. Bone mineral density (BMD) at proximal femur decreased in the control group, while no change occurred in the exercise group. Mean trochanter bone mineral content (BMC) decreased more in the control group. The women in the exercise group improved their performance in walking speed and endurance, body sway and leg strength compared to the control group. There were six falls that resulted in fractures in the exercise group and 16 in the control group. The inclinometric method proved to be reliable. In conclusion, lifestyle factors are determinants of bone mass in lean elderly women. Long-term exercise has a site-specific effect on BMC but not on BMD in elderly women. Weight-bearing exercise can modify risk factors for fractures, and may even prevent fall-related fractures in elderly women.

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Kabir, Zarina Nahar. "The emerging elderly population in Bangladesh : aspects of their health and social situation /." Stockholm, 2001. http://diss.kib.ki.se/2001/91-628-4756-2/.

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Saub, Roslan. "Oral health status and treatment needs of the institutionalised elderly population in Melbourne /." Connect to thesis, 1996. http://eprints.unimelb.edu.au/archive/00000831.

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So, Hau-chi, and 蘇孝慈. "A multi-strategic approach in promoting influenza vaccination rate in community elderly population." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hub.hku.hk/bib/B46582861.

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Morse, Elisabeth Anne. "A collaborative approach to determine the oral health needs of an elderly population." Thesis, University of Bristol, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.414187.

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Govindan, Indira. "Variations in surgical rates among the elderly population of southwest and central Virginia." Thesis, Virginia Tech, 1987. http://hdl.handle.net/10919/44676.

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The purpose of this study was to examine variations in the surgical rates among the elderly population of hospital service areas of southwest and central Virginia in order to assess whether these variations were influenced by physicians and hospitals. Procedures analyzed were specific to the elderly. Considerable variations in the rates of the selected surgical procedures were found. Some areas were found to be surgically more active than others. The variables that proved to be determinants of surgical rates were availability of general physicians and specialists and hospital occupancy rate. The impact of availability of hospital beds, per capita expenditure and ownership status of facilities were found to be mixed and inconsistent.
Master of Urban Affairs

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Price, Stephanie Anne. "A qualitative study of the impact of hip fracture in the elderly population." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2000. https://ro.ecu.edu.au/theses/1367.

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The social, emotional and economic impact of falling in the elderly population is significant. Falls are the leading cause of injury related deaths and hospitalisation amongst people aged 65 years and older, a major factor in their morbidity and mortality rates. Post fall sequelae can have major ramifications that include reduction or avoidance of activities, attributable to an enduring fear of future falls. Twenty-three older people who had fallen in the community were located via hospital records and invited to participate in the study. Subjective accounts of the impact of falling and sustaining a hip fracture were obtained by means of open response interviews of ten older people (mean age 82). Qualitative analysis identified themes relating to self-concept, social support and self-efficacy. There is strong empirical evidence that self- efficacy predicts behavior and functioning following hip-fracture whereby low confidence generally leads to avoidance of activity. This was supported in the present study. Reduced mobility can have serious consequences for the health status of the elderly and actually increases the likelihood of falling.

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Hwang, T. K. Phillip. "Enhancing the mobility of the ageing population through human-powered mobility design." Thesis, Birmingham City University, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.298899.

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Blount, Vanessa Helena. "Cognitive impairment and physical disability as predictors of stroke in a Canadian elderly population." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/MQ58661.pdf.

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Woodress, Frederick A. "The impact of the media on the elderly (over 60) population in America's middletown." Virtual Press, 1989. http://liblink.bsu.edu/uhtbin/catkey/720407.

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Researcher Frederick Woodress has added another study, one on media as it has impacted the elderly, to the large 65-year-old data bank for Muncie Indiana's "Middletown." The basic data was established in 1924 when Robert and Helen Lynd, pioneer sociologists, arrived in the Midwestern town to research and write their Middletown books. This new study covers 553 males and females ages 19 to 92--400 over 60 selected at random by computer, 75 in the 30 to 50 group, also selected at random by computer, and 78 journalism students. The elderly and 30 to 50 year-olds were interviewed by telephone while the students completed questionnaires face-to-face.As part of this investigation, Woodress surveyed prominent newspaper columnists, TV news people and editors about their perceptions of the media's coverage of the elderly. With 53 percent return, the author summarized the results of this mail survey.The 14 mediums examined included television, radio, newspapers, tabloids, magazines, books, comics, computers, VCR's and motion pictures. Complaints and compliments were expressed about various media with television rating as the medium the respondents of all ages would miss the most with newspapers a distant second. Elderly respondents displayed a strong interest in television, newspapers, magazines and books, spent considerable time listening to police/fire radio scanners and showed some interest in using computers. The elderly were very critical of the movie industry and two-thirds said they had not attended a movie for at least a year. Almost one-third of the 30-50 age group also admitted they had not attended a movie theater showing for a year, but all groups were watching movies on television, cable and VCR's.All three groups commented on the media coverage of the 1988 presidential election campaign and told what activities they would rather be doing than reading newspapers, listening to radio or watching television. This study is an overview of the growing elderly population, a group given scant attention in previous Middletown studies. It provides important insights for the media concerning this growing segment of the population.

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Tsui, Hoi-ching Natalie, and 徐凱晴. "Quality of life and psychosocial health of Hong Kong elderly: a population-based survey." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hub.hku.hk/bib/B46942506.

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Werling, Hannah. "Comparing the Quality of Life of the Elderly Rural and Urban Population of Sweden." Thesis, Stockholms universitet, Sociologiska institutionen, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-137316.

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Morales, Juliana Pinto, Kirla Barbosa Detoni, Jeanne Kim Lee, and Marion Slack. "Comparing Population Characteristics, Healthcare Systems and Pharmacists’ Intervention for Elderly between Brazil and United States." The University of Arizona, 2013. http://hdl.handle.net/10150/614429.

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Class of 2013 Abstract
Specific Aims: The purpose of this study is to compare population characteristics and health care systems between Brazil and United States, learn with each country’s strengths and weaknesses what could be done to improve health delivery and quality of service, as well as to compare the role of the pharmacist in the health organization and the power of the intervention for elderly. Furthermore, there are no published studies that compare these two countries in these related topics, what reinforces the significance of the study. Methods: To compare the Brazilian and American healthcare systems and population characteristics we used specific databases to find the data, such as WHO, CDC, OECD, DataSUS and others. To compare pharmacists’ intervention we analyzed published studies conducted in elderly, for Brazil we did a bibliographic search in Medline/PubMed, Scielo and LILACS, and for U.S. we used a systematic review and meta-analyses by Lee et al. The data was summarized in three tables, one comparing population characteristics, a second comparing the healthcare systems and the third, comparing pharmacists’ roles. Main Results: The population of the United States is about 1.6 times larger than the Brazilian population and with a median age of 36 years against 32.1 years, American population is older. Also, there are more adults aged 65 years or older in U.S. (13.1%) than in Brazil (6.8%). Life expectancy is longer in the U.S. (78.7 against 73.2 years) but there are higher levels of chronic disease among elderly. Much less is spent on health care in Brazil, $990 per capita versus $8362 per capita in U.S. The percent of total health expenditures by each government is about the same, 47% for Brazil and 48% for U.S. According to published data, pharmacists’ activities, practice settings and outcomes measured are more robust in the U.S. Conclusion: Brazil spends much less than the U.S. on health care with small differences in life expectancy and with lower levels of chronic disease. Although United States spends more with healthcare, it does not mean that it has the best system. In the same way, only because Brazil has a public health national coverage, it does not mean that all population needs are met. There is more published data available on American pharmacists and it seems that activities are broader in caring for older adults than in Brazil.

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Martinek, Melissa Ann. "Knowledge, Causes, and Risk Factors Associated with Fractures in the Elderly Population at Hospital Zacamil in El Salvador." Diss., Virginia Tech, 2011. http://hdl.handle.net/10919/77205.

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As the Salvadoran population's life expectancy increases, fractures among the elderly are also increasing. There is a dearth of data available on the incidence and cause of fractures in the elderly within developing countries including El Salvador. Inadequate knowledge about bone health and osteoporosis among the elderly is contributing to health issues in the aging population. The purpose of this study was to investigate incidence, knowledge, causes, and risk factors affecting elderly patients admitted for fractures at Hospital Zacamil in order to develop programs targeted to prevention. Study objectives included: 1) determine incidence, causes, and treatment of elderly fractures including hip fractures, vertebral fractures, and forearm fractures and related post-morbidity and/or mortality; 2) compare patient knowledge, cause, treatment of fractures and related post-morbidity and/or mortality among those aged 45 to 65 years with those over 65 years; 3) determine the level of knowledge and presence of risk factors for fractures and osteoporosis among patients including diet, exercise, and environmental risk factors and compare by gender. The research was approved by IRB prior to data collection. The methodology included a researcher-designed and validated survey administered to an accepting sample of 155 patients presenting with fractures to Hospital Zacamil between January 2008 and May 2008. The data were analyzed with SPSS software. Findings indicate that the incidence of fractures in the study sample and those in developed countries are similar. Knowledge and presence of risk factors are similar by age and gender within the study sample. The primary conclusion was that education is needed to prevent falls and osteoporosis. Recommendations for further research include recognition of culturally-specific factors in prevention education and further study of the methods of addressing prevention in the specified population and the outcomes of the educational intervention.
Ph. D.

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Pedemont, Karen. "Predicting falls risk in a non-English speaking older population." Thesis, The University of Sydney, 2014. http://hdl.handle.net/2123/12681.

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Background To determine if the QuickScreen© clinical falls risk assessment tool, can accurately predict the risk of falling in non-English speaking, community-dwelling older people. To date, the QuickScreen© has not been validated for use with this population. Method A letter/matching board was designed for use with the QuickScreen’s© low contrast acuity chart, to assist the non-English speaking participants in providing a vision response. A pilot study was conducted (n=30) to assess the validity and feasibility of this board, to be used to obtain accurate acuity regardless of language skill. The QuickScreen© tool was conducted with a sample of 34 non-English speaking participants (mean age 77 years ± 6.61) and their falls were monitored for a 12 month period. Finally, these participants were investigated more thoroughly in individual case studies and their activity determined during the study period. Results The designed letter/matching board did not impact on performance by adding complexity, or enabling guessing (one-way ANOVA P = 0.66). This board was found to be easy to use and not time exhaustive. The correlation between the number of falls and the QuickScreen© falls risk score was not statistically significant (spearman correlation rs = 0.062, P = 0.73). The qualitative study provided additional information about two of the participants, suggesting the possibility of culture influencing falls risk and the need to re-consider high contrast visual acuity as a predictor of falls in older people. Conclusion The researcher successfully adapted the QuickScreen© for use in a non-English speaking population in a clinical setting. The evidence suggests that the QuickScreen© is not suitable for use with non-English speaking older people and needs revisiting in a larger community based sample; that the relative importance of falls risk factors may vary between cultural groups, suggesting that falls risk screening tools may need to be tailored to particular cultural groups.

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Nordberg, Gunilla. "Formal and informal care in an urban and a rural elderly population : who? when? what? /." Stockholm : Karolinska institutet, 2007. http://diss.kib.ki.se/2007/978-91-7357-253-8/.

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Björkegren, Karin. "Studies on Vitamin B12 and Folate Deficiency Markers in the Elderly : A Population-based Study." Doctoral thesis, Uppsala University, Department of Public Health and Caring Sciences, 2003. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-3364.

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The aims of this study were to document the levels of cobalamin, folate, methylmalonic acid (MMA) and total homocysteine (tHcy) in serum and their relations to symptoms, clinical findings, and other factors in order to improve the possibilities of detecting early deficiency of vitamin B12 or folate, and to study the effects of cobalamin and folic acid treatment over a three-year period.

The study population consisted of a 20% random sample of persons 70 years or older living in Älvkarleby in mid-Sweden. They were invited to a survey and 224 (88.4%) persons responded. Data were obtained by questionnaire, laboratory investigations and physical examination for the period 1993 – 1999.

In a multivariate analysis performed at baseline, serum MMA and tHcy were significantly and independently correlated to age, serum cobalamin, and creatinine levels, and tHcy also to sex and serum folate. Neither serum cobalamin, folate, MMA nor tHcy had any significant correlation to haemoglobin or mean red cell volume. Almost half of the study population had signs of low tissue levels of vitamin B12 or folate. Among those who took multivitamin preparations, the proportion was much lower, 25%.

Among traditional symptoms and clinical findings that have been linked to vitamin B12 or folate tissue deficiency, only changes in the tongue mucosa and mouth angle stomatitis were significantly associated with abnormal serum folate and tHcy levels. Traditional symptoms of vitamin deficiency may appear later in the course.

69 persons who had laboratory indications of early or overt tissue deficiency of vitamin B12 or folate and who had no ongoing vitamin treatment were given cobalamin for six months. Those whose MMA or tHcy levels did not normalise were given folic acid in addition to cobalamin. After further treatment for three months, all persons but one had normal levels. The laboratory effect still remained after three years of treatment. There was a tendency towards improvement of vibration sense, especially in the long nerve paths, and improvement of neurological symptoms and oral mucosa findings.

Conclusion: A substantial proportion of elderly persons have laboratory signs of incipient tissue deficiency of vitamin B12 and folate. Treatment normalises lab parameters and some symptoms.

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43

Hayward, Lynda Mary. "Mid-life patterns and the residential mobility of the elderly, planning for an aging population." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape17/PQDD_0013/NQ32830.pdf.

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McCartney, Sherry Gates. "The lived experience of quality of life in an elderly population : a Heideggerian hermeneutical study." Virtual Press, 1993. http://liblink.bsu.edu/uhtbin/catkey/879846.

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The purpose of this Heideggerian hermeneutical study was to explore and uncover the hidden meaning of quality of life as experienced by a population of individuals 65 years of age and beyond. Five participants were interviewed and asked to describe quality of life as these individuals experienced it. Consistent with the method, purposive sampling was used in order to gain an understanding from subjects who have experienced the phenomenon and could articulate experiences. A group of retirees who meet monthly at a church were asked to participate. Interviews were audiotaped and the data was transcribed by this researcher. Audio tapes were destroyed when the study was completed. Transcribed data was shared with other researchers who are familiar with Heideggerian hermeneutics for the purpose of gaining insight into interpretation. When data was shared, names of participants and other identifying information was removed. Sharing of data for the purpose of interpretation is inherent in the Heideggerian method as described by Diekelmann, Allen and Tanner (1989). Participants were guaranteed confidentiality and were free to withdraw from the study without prejudice at any time. Data was analyzed in seven stages as described by Diekelmann, Allen and Tanner (1989). Findings included a constitutive pattern of quality of life and integrity as one experience. These two ways of being allowed the elderly to experience a sense of unity and completeness as well as a sense of fulfilling one's own destiny. The main theme supporting the constitutive patter was a strong belief and connectedness to a higher power. This faith allowed the elderly to connect to family, friends, church groups and memories. Anticipation of loss and change was a daily experience of being elderly, yet it allowed them to appreciate each day as it was lived without fear or loss of hope. Health promotion was significant because the elderly knew maintaining health was a way to maintain connectedness to that which was valued. The study was significant in contributing an understanding to the experience of quality of life in the elderly population.
School of Nursing

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Silverton, Francesca. "Estimating health expectancy in the elderly population living in the community in England and Wales." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.428032.

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Fuess, Billings S. "The post institutional adjustment of elderly mentally retarded and developmentally disabled persons : a population study /." The Ohio State University, 1987. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487327695620283.

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Buckley, Trevor. "Measuring Unawareness of Cognitive Decline in a Population of Elderly Individuals: The Cache County Study." DigitalCommons@USU, 2008. https://digitalcommons.usu.edu/etd/67.

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The metacognitive skills of elderly individuals were examined using a brief, seven-item questionnaire. The construct validity of the questionnaire was examined using two forms of external criteria, the Modified Mini-Mental State Exam (3MS), and informant reports of functional ability. Analysis of Cronbach’s alpha coefficients suggested moderate levels of internal consistency for the questionnaire (alpha = .75). Factor analysis (principal components) revealed two factors, one functional and one cognitive. Multiple regression analyses demonstrated that the metacognition questionnaire did not significantly predict 3MS change over a 3-year interval. Logistic regression analyses demonstrated that the metacognition questionnaire significantly predicted informant ratings. The metacognition questionnaire differentially predicted both outcome scores within dementia and no-dementia subgroups. These results provide support for the construct validity of the questionnaire. Future studies will examine the efficacy of brief questionnaires to measure unawareness in the elderly and continue to examine the differences in unawareness between demented and nondemented individuals.

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HIRATA, HITOSHI, TAKANOBU NISHIZUKA, KATSUYUKI IWATSUKI, MICHIRO YAMAMOTO, MASAHIRO TATEBE, and SHUICHI KATO. "The Results of Volar Locking Plate Fixation for the Fragility Fracture Population with Distal Radius Fracture in Japanese Women." Nagoya University School of Medicine, 2014. http://hdl.handle.net/2237/19488.

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Pan, Fan. "Influencing Factors on the Health of Chinese Elderly - An Analysis using Structural Equation Models." Thesis, Uppsala universitet, Statistiska institutionen, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-175909.

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Population aging has been an increasing in many societies during the last century, andespecially in China this issue has become one of the most urgent social phenomenonin the recent twenty years. Meanwhile, being healthy matters to the senior populationthe most. The main purpose of this paper is to investigate how to measure Chineseelderly health condition, and what the main factors are influencing their health. Thedata of this paper is from the China Health and Retirement Longitudinal Study(CHARLS). A structural equation model(SEM) was established to verify therelationship between different influencing factors and the elderly health. The latentvariables in this model were pre-studied by both exploratory factor analysis andconfirmatory factor analysis. The conclusion based on this data is elderly health canbe measured in four aspects physical condition, emotional condition, body functionand pain. The significant influencing effects of each aspects of health are time sharing,exercise, family environment and lifestyle.

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Ishihara, Junichi. "Exploring Factors Affecting the Aging Prison Population in Japan." Available to subscribers only, 2009. http://proquest.umi.com/pqdweb?did=1968005121&sid=2&Fmt=2&clientId=1509&RQT=309&VName=PQD.

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Dissertations / Theses on the topic 'Elderly population'

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