Tesi: "Older people Health and hygiene"

1

Wythe, Helena Fleur. "Meeting food hygiene challenges in older people : mobilising health assets for health promotion". Thesis, University of the West of England, Bristol, 2016. http://eprints.uwe.ac.uk/25538/.

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Background: Listeriosis is a serious foodborne infection with significant rates of morbidity and mortality in the older population. The majority of food safety research has focused on food behaviour, practices and perceptions of 'risk'; isolating actions from their social and health context and historical significance. The alternative, positive and novel approach presented in this dissertation is to identify the accumulated resources, or health 'assets', that older people draw upon in daily life at home to protect themselves against foodborne illness informing future health promotion interventions. This research will also further the theoretical development of the 'asset model' and its contribution to health promotion theory and practice. Methods: There were three chronological phases to the study. Phase I: Sought to gather contextual information about the older people recruited in Phase II through the collection of socio-demographic, health and summary current food hygiene asset related data collected through a researcher completed questionnaire at i) five AgeUK lunch clubs ii) one County Council-run lunch club and iii) via a 'University of the Third Age' webpage advert across Buckinghamshire and Hertfordshire. Fifty respondents were recruited via self-selection (20 men, 30 women, mean age of 78.98 years (SD 8.82) mean Visual Analogue Scale of subjective health, 6.89 cm/10cm). Quantitative data were analyzed using SPSS. Phase II: Fifteen semi-structured interviews with older people selected via purposive sampling from the questionnaire cohort to seek their accounts of how food is acquired, stored and cooked and the historical events and influences that shaped these practices (7 men and 8 women, mean age 77.87 (SD 8.06) years, mean Visual Analogue Scale of subjective health, 6.62cm/10cm). Phase III: Three semi-structured interviews with sheltered housing staff in Buckinghamshire recruited via snow-ball sampling. Qualitative data were analyzed using a Grounded Theory approach with NVivo software. Results and Discussion: All of the data indicated that older people have a multiplicity of external food hygiene assets through which to acquire 'safe' and 'fresh' food. Differences in the frequency and type of external asset utilisation were identified between men and women and those reporting severe restrictions in activities of daily living recorded by the EQ5D Quality of Life tool from the questionnaire employed in Phase I. The qualitative data from Phases II and III indicated that food hygiene assets were contextdependent, many being accumulated through the life course and fulfilling non-food related purposes. A number of historically formed internal assets were also identified which served to either facilitate or hinder access to the external food hygiene assets. Members of the social network, specifically the family, were identified as being the principal food hygiene asset throughout the life course from all data sources, fulfilling the newly conceptualised role of 'foodcarers' in the lives of (older) people in a context-dependent manner. Conclusions: The cause of foodborne infections in the older population may be influenced by complex historical factors beyond specific food hygiene knowledge and practice. Current competing or allied concerns in daily life may also serve to motivate or demotivate the employment of 'safe' food hygiene practice. Strategies aimed to reduce the incidence of foodborne illness in the older population could be addressed by placing health promotion within the home setting through the mobilisation of the social network. The contextdependent nature of asset mobilisation has called in to question the validity of some sections of the asset model for use in negotiated small-scale health promotion initiatives and whether the model can serve as a coherent whole.

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2

Wong, Wing-tung Tony, e 黃永通. "A study on the health status of the single elderly persons in Kwai Chung District". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1997. http://hub.hku.hk/bib/B31978381.

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3

Ing, Amy. "Food consumption patterns and nutrient intake of homebound elderly". Thesis, McGill University, 1994. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=55503.

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Food consumption patterns and their association with nutrient intake in 290 homebound elderly living in Sherbrooke, Quebec were: investigated. Dietary data were collected using three repeated non-consecutive 24-hour recalls and sociodemographic, physical, physiological and psychosocial characteristics were measured. Factor and cluster analyses were used to define food patterns. Due to the homogeneous dietary patterns of this population, neither the five factors nor six clusters formed were distinct. There were few dietary predictors of nutrient intake as mean intakes of energy, folacin, calcium, vitamin D and zinc by subjects in all clusters were inadequate. Protein intakes were also marginal. Eating beef predicted higher intakes of protein, niacin and zinc for women. Smoking predicted both poorer food choices and nutrient intake. A diagnosis of emphysema predicted higher food intakes. Recommended dietary changes for this population include increased consumption of dairy products and other protein sources as well as energy-dense foods in order to increase micronutrient intake and prevent weight loss in some individuals.

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4

Roth, Ruth A. "Differences in nutrition knowledge of the elderly according to nutrition risk levels, levels of education, age and gender". Virtual Press, 1995. http://liblink.bsu.edu/uhtbin/catkey/941354.

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The purpose of the study was to examine nutrition knowledge of elderly congregate meal site participants with particular interest directed towards nutrition risk levels and the demographic characteristics of education, age, and gender. The population utilized in this study were 120 elderly, both male and female, over the age of 60 years who attended ten congregate meal sites in Allen County, Indiana and who volunteered to participate. The researcher administered a 25 question nutrition knowledge survey and the 10 question Determine Your Nutritional Health Checklist at the meal sites. The study was designed to determine if there was a significant difference in nutrition knowledge among elderly at congregate meal sites who exhibit varying nutrition risk, education, and age levels and between elderly men and women. The conclusion was that there was a significant difference between nutrition knowledge of men and women with women scoring more correct answers on the survey. Although not shown statistically other preliminary findings suggest the need for further research; a greater proportion of females than males were in the lowest nutrition risk level; the 60-74 years olds had a higher nutrition knowledge average score than did the two older groups. Further, those with 9-11 years of education and in the lowest nutrition risk level (all females) had the highest nutrition knowledge score; and males with less than eight years of education had the lowest nutrition knowledge score and a preponderance of those were in the moderate or high risk level. The researcher also concluded that more nutrition education is needed for these participants, but it must be geared to their learning level to be effective.
Department of Family and Consumer Sciences

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5

Hoogenboom, Mary Sue. "Factors related to on-site and off-site nutrient intake of participants in the elderly nutrition program : demographics and functional status". Virtual Press, 1994. http://liblink.bsu.edu/uhtbin/catkey/897496.

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Energy and nutrient intake from congregate meals (CM), noncongregate meals (NCM) and total daily intake (TDI) was studied for differences associated with age, income, education, marital status, gender, race, vitamin-mineral supplementation, Body Mass Index, Health Assessment, Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL).TDI was less than 100 percent of Recommended Dietary Allowances for energy, vitamin B6, calcium, magnesium and zinc. Men, single and divorced subjects, and those most educated had significantly greatest intake for various nutrients from CM and TDI; widows had the least. Racial effect was mixed. Young-old had greatest intakes from NCM and TDI. High intake from CM plus NCM did not make TDI adequate.CM was significantly associated with transportation (IADL) and walking (ADL). Those with some problems had lowest nutrient intakes; those with none, the greatest. For toileting (ADL), NCM and TDI intakes were greatest for those with considerable difficulty; lowest for those with some.
Department of Home Economics

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6

Lam, Sui-bik Brenda. "Affective responses to a single bout of exercise among healthy older adults". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2000. http://hub.hku.hk/bib/B2972711X.

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7

Lam, Huen Sum. "The effects of rouliqiu training on physical functional health and health related quality of life of elderly in Hong Kong". HKBU Institutional Repository, 2010. http://repository.hkbu.edu.hk/etd_ra/1157.

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8

Zhou, Jiangxiu, e 周江秀. "Self-rated health and mortality in a prospective Chinese elderly cohort". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hub.hku.hk/bib/B47044809.

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9

Lipman, Valerie. "The (in)visibility of older people in the international development discourse". Thesis, University of Southampton, 2011. https://eprints.soton.ac.uk/346635/.

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Older people are the world’s fastest growing population group. By 2050 eighty per cent of older persons will live in what are now developing countries. There is established and growing evidence of the difficulties families in developing countries are experiencing in providing adequate support for their older members. This thesis explores how international development is responding to the interests of older people. The research examines how older people are represented in international development discourse and illustrates the impact of this on practice. This is informed by a comparative analysis with the progress of women in development. A critical discourse analysis of a corpus of texts from intergovernmental agencies illustrates the degree of visibility of older people in the development discourse. A case study of the work of inter-government organisations in West Bengal, India, shows how this can impact on grassroots activity. An original conceptual framework is introduced which aligns the dominant development paradigms with the dominant perspectives on older people emerging from this research. To the best of my knowledge this is the first research study to consider the (in)visibility of older people in international development discourse and to look at its implications on policy and practice. It highlights that a concentration of development resources at one end of the age spectrum to increase life expectancy is being met with an absence of planned support to meet the consequences when people successfully reach old age. The research further shows that when visible, older people are generally viewed as a homogeneous group in need of support and care, and not as citizens able to contribute and participate in development. The research illustrates a connection between global discourse and local practice in relation to older people and indicates a need for further studies to assess the extent of the links and to examine how local practice could inform the international development discourse.

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10

Omagari, Lynda Lee. "Depression among the elderly". CSUSB ScholarWorks, 2008. https://scholarworks.lib.csusb.edu/etd-project/3336.

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This study will examine depression among the elderly in an assisted living facility. The main problem in depression in the elderly is the lack of diagnosis and treatment. Left untreated it affects the elderly person's overall well-being and may eventually lead to their mortality.

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11

Boden, Christopher. "Older people and 'person-centred' podiatry : a critical evaluation of two models of care". Thesis, University of Gloucestershire, 2007. http://eprints.glos.ac.uk/1989/.

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Older people are often portrayed as a disadvantaged and silent group in society, whose views have been largely ignored. Demographic studies suggest the number of people over 75 years of age, as a percentageo f the population in coming years is likely to substantially increase, which will place greater demands on healthcare services. In the last two decades, health policy has focused on delivering high quality services based on individuals' needs, with a greater emphasis placed on individuals being involved in decisions about their care. This policy direction has facilitated a change in power relationships between patients and professionals and will require providers of healthcare to focus on delivering 'patient-centred' care at times and places that meet individual's needs and expectations. The aim of this researchw as to evaluatet he current medical model provision of NHS podiatry with the biopsychosocial model which claims to provide 'holistic', patient-centredc are. An important aim of this research was to provide a greater and more informed understandingo f what older people communicate about their 'lived' experiences, the significance of those experiences on care-seeking and their expectations of appropriate podiatry care. The research was undertaken with older people living in east Gloucestershire, who were 75 years old or over, and had requested NHS podiatry. The study was underpinned by a qualitative methodology, strengthened by a desire to change current clinical practice and inform health policy. The research methodology included involvement of participants in an innovative reminiscence technique, and as a consequence the 'podiatry patient career' was constructed. The texts generated from the participants were examined using an interpretative phenomenological analysis to ensure a 'person-centred' focus because it was imperative to hear the voices of the 'Participants' and not just the medical model 'patients' narrative. A portrait was revealed of older people who were conscious of their position in the life course and their own mortality, together with the effect this had on how they conducted their lives. The participants' raised consciousness of their 'self' affected their expectations, feelings, and interaction with others. For many of the participants there appeared a vicious circle of impending frailty that led to a diminishing circle of contacts which had an effect on their wider social activities and relationships. At this stage, participants perceived a resolution of their foot-care needs to be of great value and importance in maintaining their well-being which, assisted by the podiatrist, resulted in a handing over of the responsibility for their care. The conclusion is that neither model delivers 'person-centred' care to meet participants' expectations and foot-care needs. A new model is presented where differing and changing priorities, at different times of the participant's lived world will be relevant to meet their expectations and needs. The research concluded that the requirement for podiatry care can be taken as an early indicator of failing independence. The importance of the participant podiatrist relationship was also identified as cental to the delivery of 'person-centred' podiatry. The research findings depict older people who want to be involved in their care rather thm being 'a burden to the state. Recognition is also given to the changing nature of caring relationships in the next decade, and how NHS podiatry services will have to profoundly transform if they are to deliver a holistic, person-centred service in the future.

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12

Loh, Poh Kooi. "Innovations in health for older people in Western Australia". University of Western Australia. School of Medicine and Pharmacology, 2009. http://theses.library.uwa.edu.au/adt-WU2010.0051.

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Australia and many other developed communities are ageing rapidly, placing a strain on the delivery of health services. This thesis examines the use of innovative health services management coupled with information and communication technology (ICT) to more efficiently deliver services to disabled older people in the hospital, community and residential care. The hypothesis explored is that ICT can provide clinical services to older people in poorly serviced communities and groups, thus extending the influence and capabilities of specialist health care professionals. The relevance of these studies is predominantly for those people who live outside the metropolitan regions, particularly in remote and rural communities, and also for those frail older people, who because of disability, are unable to travel to specialist health services. There are a series of studies presented in this thesis which have all been published. They have demonstrated that in a community and rural setting, ICT use in the assessment and management of geriatric syndromes such as dementia is valid and practical. This included the validation of commonly used assessment tools via Telehealth. A Telehealth protocol for assessment of Alzheimer's Dementia (AD) was developed and published. The use of ICT to link health services clinical and administrative data for determining stroke outcomes and disability has been evaluated and a resource utilization prediction model developed. Finally, in residential care a survey and a qualitative study of poor uptake of ICT services in hostels and nursing homes revealed insights into ICT perception by the older people in care facilities and their professional staff. The implications and future development of these studies have been discussed, especially barriers to increased uptake of ICT, cost comparisons and the potential of future technologies such as video conferencing mobile phones.

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13

Kirchner, Sandra J. "Health promoting lifestyles and medication compliance among older adults". Virtual Press, 1999. http://liblink.bsu.edu/uhtbin/catkey/1125066.

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The point of concentration for this study was to estimate the extent to which health-promoting habits might predict medication-compliant practices among older adults. The purpose was to recognize potentially non-adhering persons, identify attitudes leading to healthy habits, and signal any practices contributing to non-compliant behaviors. Selected were patients who ranged in age from minimum 62, lived independently, self-administered medication regimes, had a chronic ailment that had persisted for at least 12 months, and regularly attended a geriatric clinic sited in the midwestern United States. A non-probability convenience sample (n = 100) was analyzed by a descriptive correlational approach to test self-proclaimed relations between health habits and compliant practices. The instrument used to measure health habits that would enrich life was the Health-Promoting Lifestyle Profile II created and promoted by Walker, Sechrist, and Pender (1995). The tool used to decide levels of medication adherence was a compliance profile created specifically for this study. Demographic information was collected for age, race, marital status, gender, and education. Descriptive statistics were calculated for each variable and Pearson product-moment correlation coefficient was utilized to decide what, if any, real and measurable interrelationships exist between the health-promoting habits and medication-compliant practices among an older population. The t-test was utilized in determining differences in both healthpromoting lifestyle habits and medication-compliant practices between older males and females. The significance level used to evaluate every theory was p < .05. Discovery gave no statistically critical relationship between overall health-promoting lifestyle habits and medication-compliant practices among the constituents of an older populace. Findings gave no significant variance between men and women in either lifestyle habits or compliance practices as a whole, but the HPLP II categories of Interpersonal Relations and Nutrition did mirror a significant difference between genders.
Department of Physiology and Health Science

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14

Kramer, Marci D. "Relationship between frequency of musical activity participation, sense of coherence, and subjective reports of health in non- institutionalized older adults". Virtual Press, 1996. http://liblink.bsu.edu/uhtbin/catkey/1027116.

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This study investigated the relationship between frequency of musical activity participation, Sense of Coherence (SOC), and subjective report of health in older adults. From a sample of 197 older adults from Muncie and Anderson, Indiana, 129 (65.5%) individuals participated in this study. The participants completed an information sheet, the Musical Activity Participation Report, SOC, and Perceived Health questionnaires. Pearson r correlation coefficients found frequency of musical activity participation was not correlated with SOC but was correlated with subjective reports of health. A frequency table and chi-square analysis revealed that cohort and education were related to musical style preferences. A one-way analysis of variance (ANOVA) revealed that musical activities enhanced perceived quality of life to a lesser degree than other activities. However, many participants commented on the positive impact of music on well-being. A one-way ANOVA and t-tests found gender and musical upbringing were related to frequency of musical activity participation.
Fisher Institute for Wellness

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15

So, Hau-chi, e 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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16

Zhang, Zheng, e 张峥. "A review of factors influencing the uptake of annual influenza vaccination by older people and recommendation for policy". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B4842738X.

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Backgrounds: Receive seasonal influenza vaccination is the most safe and effective way to prevent seasonal influenza and its complications. According to the WHO, the number of hospitalizations among older people due to influenza could be reduced by a ranged from 25% to 39% as a result of vaccination. It has also been revealed to reduce overall mortality rate of the influenza seasons by a range from 39% to 75%. Moreover, influenza vaccination protects almost 90% healthy adults against clinical disease in industrialized countries, under the precondition that the vaccine antigens and circulating viruses are well matched with each other. However, the prevalence of elderly Chinese people undertaking influenza vaccination is still sub optional, the percentage of which is 62.4%. Previous researches reveal that there are a number of reasons for non-compliance to influenza immunization, including the unfavorable side-effects, doubt to the effectiveness of the vaccine, the fear of needles, as well as unawareness of the seriousness of flu. These are all factors associated with personal willingness. Aims and objectives: The aims of this paper are to explore factors that influence vaccination rate in older people and to examine other countries’ experience to identify useful policies. The specific objectives are: 1. To identify from the published literature factors which contribute either positive or negative impacts on vaccination rates in older people. 2. To group these factors into appropriate categories. 3. To make suggestions on policies to improve vaccination rates based on the identified factors and other countries’ experience. Methods: Relevant publications were achieved through PUBMED. Search strategies as well as criteria for inclusion and exclusion had been predetermined and applied. Analysis includes both community perception factors and interpersonal factors. Results: 17 English literatures were reviewed, revealing predictors of seasonal influenza vaccination for and against, which could be grouped into four categories: Factors relate to demographic, factors relate to Health Belief Model, factors relate to social support, factors relate to advice and information being provided. Conclusion: According to this literature review, demographic factors, factors relate to Health Belief Model, social support and information being provided are revealed to be associated with the elders’ inclination to get influenza vaccination.
published_or_final_version
Public Health
Master
Master of Public Health

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17

Tiisanoja, A. (Antti). "Sedative load and oral health among community-dwelling older people". Doctoral thesis, Oulun yliopisto, 2018. http://urn.fi/urn:isbn:9789526217789.

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Abstract With the growing proportion of older people and increasing use of drugs in this population, it is important to study how drugs affect oral health among older people. The aim of this thesis was to study whether sedative load, which represents cumulative exposure to drugs with sedative properties, is associated with oral health among community-dwelling older people. The focus was on a dry mouth, oral health behavior, dental caries, and infection in the periodontium. In addition, sedative load and anticholinergic burden were compared. The present study population was a subpopulation from an intervention study “Geriatric Multidisciplinary Strategy for Good Care of the Elderly”. The study population consisted of 159 community-dwelling, dentate, and non-smoking people aged 75 or older from the city of Kuopio, Finland. Data were collected with interviews, geriatric assessments, and clinical oral examinations. Sedative load was determined by using a previously published method. The study showed that participants with a sedative load were more likely to have dental caries, but not periodontitis, when compared with participants without a sedative load. Sedative load was associated with decreased stimulated salivary secretion and less strongly with unstimulated salivary secretion but not with xerostomia. The results also showed that sedative load was associated with poor or insufficient oral health behavior. Anticholinergic burden was associated with low unstimulated salivary secretion and xerostomia, but not with low stimulated salivary secretion. In conclusion, cumulative exposure to drugs with sedative properties was associated with insufficient oral self-care and poor oral health. The results from this study emphasize the fact that older people using drugs with sedative properties require thorough prophylaxis measures and regular dental check-ups because of their high risk of having poor oral health
Tiivistelmä Väestön iäkkäiden henkilöiden osuuden kasvaessa ja heidän lääkkeiden käytön lisääntyessä on tärkeää tutkia, miten lääkkeet vaikuttavat ikääntyneiden suun terveyteen. Tutkimuksen tarkoituksena oli selvittää lääkityksestä aiheutuvan sedatiivikuorman (sedative load) vaikutuksia suun terveyteen kotona asuvilla iäkkäillä henkilöillä. Eritoten tutkimuskohteena oli sedatiivikuorman yhteys kuivaan suuhun, suun terveyskäyttäytymiseen, kariekseen sekä hampaiden tukikudosten sairauteen. Lisäksi tutkittiin antikolinergisen kuorman yhteyttä kuivaan suuhun ja tuloksia verrattiin sedatiivikuormaan. Tutkimuspopulaatio oli osa geriatrista Hyvän Hoidon Strategia -interventiotutkimusta (HHS). Populaatio koostui 159 kotona asuvasta 75-vuotiaasta tai sitä vanhemmasta hampaallisesta, ei-tupakoivasta kuopiolaisesta. Tutkimusmateriaali kerättiin haastattelulla, geriatrisella tutkimuksella sekä kliinisellä suun tutkimuksella. Sedatiivikuorma laskettiin käyttäen aiemmin kehitettyä mallia, jossa määritetään kokonaislääkityksestä aiheutuva sedatiivikuorma. Tutkimus osoitti, että osallistujilla, joilla oli sedatiivikuormaa, oli keskimäärin enemmän kariesta muttei hampaiden tukikudoksen sairautta verrattuna henkilöihin, joilla ei ollut sedatiivikuormaa. Tulokset osoittivat myös, että sedatiivikuorma oli yhteydessä alentuneeseen stimuloidun syljeneritykseen ja vähemmässä määrin alentuneeseen leposyljeneritykseen, mutta ei kuivan suun tunteeseen. Antikolinerginen kuorma oli yhteydessä alentuneeseen leposyljeneritykseen ja kuivan suun tunteeseen, mutta ei alentuneeseen stimuloidun syljeneritykseen. Sedatiivikuorma oli yhteydessä puutteelliseen suun terveyskäyttäytymiseen, kuten vähäiseen hammastahnan käyttöön ja suureen plakkimäärään. Johtopäätöksenä voidaan todeta, että altistuminen väsyttäville lääkkeille on yhteydessä puutteelliseen omahoitoon ja huonoon suun terveyteen. Tämän tutkimuksen tulokset korostavat väsyttäviä lääkkeitä käyttävien ikääntyneiden tarvitsevan perusteellisia ennaltaehkäiseviä toimia sekä säännöllisiä suun tutkimuksia, koska heillä on suurentunut riski huonoon suun terveyteen

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18

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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Noller, Marcia. "Health promotion and quality of life in noninstitutionalized older adults". Virtual Press, 1994. http://liblink.bsu.edu/uhtbin/catkey/897498.

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The purpose of this study was to examine the relationship between health promotion and quality of life in noninstitutionalized older adults. The study was conducted within the framework of Nola Pender's Health Promotion Model.Approval for this study was obtained from the Institutional Review Board of Ball State University for human protection of the participants. Permission from the five churches' boards was obtained. Written assurance of anonymity of subjects was given.This study was descriptive and correlational. Quality oflife was the dependent variable and the independent variables were health promoting behaviors, importance of health, perceived health status, the number of chronic health conditions and any consequent disruption to life, prior involvement in a senior citizens' wellness group or with a health advisor, and demographic variables including age, gender, marital status, living alone or with a companion or family, and education. Volunteer subjects aged 65 and older from five church groups were asked to complete the following questionnaires: Health Promoting Lifestyle Profile, Quality of Life Index, Value Survey, and a demographic sheet. The demographic questionnaire included an item regarding self-perceived health status, whether or not the participant had been involved in a wellness group or with a health advisor for older adults, and a checklist of chronic health conditions and whether or not these had had debilitating consequences for the participant.Hypotheses included the following: (1) There is no correlation between health promoting behavior and quality of life among older adults. (2) There is no correlation between importance of health and quality of life among older adults. (3) There is no correlation between perceived health status and quality of life among older adults. (4) There is no correlation between the number of chronic health conditions and quality of life among older adults. (5) There is no correlation between disruption brought about by chronic health conditions and quality of life among older adults. (6) There is no significant difference between those older adults who had participated in a senior citizens' wellness group or with a health advisor and those who had not. (7) There are no significant differences in older adult males and females and those who live alone or with family or a companion regarding quality of life. (8) There is no correlation between age and quality of life among older adults. (9) There is no correlation between number of years of education and quality of life among older adults.Statistical significance was found between Quality of Life Index and Health Promoting Lifestyle Profile scores (r=0.24, p<0.05) and Quality of Life Index and self-perceived health status scores (r=0.33, p<0.01). Other correlations, t-test, and analyis of variance did not achieve statistical significance.
School of Nursing

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20

Baird, Jennifer. "Poverty and wellbeing among older people in Nairobi slum settlements". Thesis, University of Southampton, 2013. https://eprints.soton.ac.uk/368190/.

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Levels of poverty and wellbeing among older people in poor, urban settings in Africa have been under-researched, yet absolute numbers of older people are set to increase in this continent in the coming decades. The urban experience of wellbeing for older people is relatively unknown as research tends to focus on older people residing in rural places. This study addresses this research gap and investigates patterns of poverty and wellbeing among older people in two slum settlements in Nairobi. The study uses data collected by the African Population and Health Research Centre. Livelihood information for households in a demographic surveillance system operating in two Nairobi slums is combined with data from a survey on the social, health and overall wellbeing of older people. Absolute expenditure poverty and expenditure quintiles are calculated to build a money-metric poverty profile of the older people. Sensitivity analyses of the poverty estimates are also calculated to explore different assumptions of equivalence scales. A multidimensional conceptual framework then measures how older people’s wellbeing varies across a range of different dimensions. Two-thirds (66%) of older people in the two slum settlements are living in absolute material poverty. Within the slums there are also significant differences in absolute poverty among older people. Wellbeing is found to vary greatly within dimensions and across them; overall, there are disadvantages for women and the oldest old in terms of poverty and wellbeing. Formal support mechanisms are limited with few older people receiving a pension. Conversely, informal reciprocal familial support patterns are strong with many older people giving support to other members of their family. Levels of absolute poverty are high, suggesting that policies should be targeted here to reduce poverty. The different dimensions of wellbeing also indicate that non-monetary policy interventions should be considered.

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21

Holder, Sharon M. "Health inequalities amongst older people from ethnic minority groups in Britain : 'sensitivity' of different SES measures". Thesis, University of Southampton, 2011. https://eprints.soton.ac.uk/208223/.

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The United Kingdom (UK) ethnic population is ageing. However, there has been a dearth of research focussing on the ethnic diversity of the older population and the implications for health and health care needs. In fact ‘ageing’ and ‘ethnicity’ are rarely integrated within health research. According to the United Kingdom (UK) 2001 Census, there are over 4.6 million individuals belonging to minority ethnic groups, with a quarter million aged 50 years or over. The ageing of these communities over the next two decades places greater emphasis on the importance of empirical evidence on their health status and the policy implications for health and health care needs. This thesis contributes to our understanding of health, socio-economic status (SES), ethnicity and ageing. The research explores the ‘sensitivity’ of different measures and their appropriateness and validity in assessing health inequalities amongst ethnic minority groups in order to better understand health inequalities in later life. This is a critical issue with widespread policy implications. Using cross-sectional data from Health Survey for England (HSE), with a sample size of 5,086 men and women 50 years and older, different logistic regression models are run for the outcome variables general health and limiting long-standing illness in order to ascertain the ‘sensitivity’ of SES of the different measures of health amongst the different ethnic minority groups. The results suggest that older people from ethnic minority groups are more likely to report bad/very bad’ health compared with the White population. For example, amongst Black Africans the odds of reporting ‘bad/very bad’ health are 1.45 times the odds amongst Whites, amongst Pakistanis the equivalent odds are 1.69 times the odds amongst Whites, amongst Bangladeshi the odds are 2.34 times the odds of Whites, and amongst Chinese people the odds are 2.53 times the odds of Whites. There are distinct patterns in reporting ‘bad/very bad’ health and a LLSI amongst and between ethnic minority men and women aged 50 and over based on SES measures employed in the study. Additionally, behavioural risk factors, that is, smoking and alcohol consumption were significant predictors of reporting ‘bad/very bad’ health and LLSI. Health inequalities have important implications for policy, particularly for health and health care. The research findings would be useful in informing national policies (e.g. health promotion campaigns, housing, occupationally based services, culturally competent health care services) and locally based interventions (e.g. health campaigns for older men and women; health education) would be better targeted at ethnic minority groups of older men and women

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McEwen, Marylyn. "Family adaptability, family cohesion, spirituality and caregiver strain in women as caregivers of elder kin". Thesis, The University of Arizona, 1987. http://hdl.handle.net/10150/558069.

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23

Klinger, Joan. "Predictability of everyday task performance by perceived health, self-efficacy and cognitive ability". Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1998. https://ro.ecu.edu.au/theses/1002.

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This exploratory research investigated the relationship between a brief neuropsychological measure and everyday functional ability in older community dwelling adults. The association between these two areas is complex, as a specific functional domain often involves several of the cognitive skills typically assessed by a neuropsychological instrument. Whilst there is an extensive literature linking neuropyschological tests to everyday functioning in cognitively impaired older adults, little research has been directed at investigating the relationship between cognitive test performance and everyday competence in non-dementing older people who reside independently in the community. A brief cognitive instrument able to predict coping deficits in instrumental activities of daily living would facilitate identification of health care and service needs, contributing to the functional independence of this population. A sample of 134 independently-living males and females aged 60-93 years completed the Neurobehavioural Cognitive Status Examination (Cognistat) and the Direct Assessment of Functional Status (DAFS). As beliefs about performance have been shown to correlate with actual ability, study participants also completed a 72-question self-efficacy inventory, the Personality in Intellectual-Aging Contexts (PIC). Finally, in order to investigate the relationship of health and functional performance, participants responded to a four-item subjective health measure. Simple correlations revealed modestly significant relationships between subjective health and two of the functional domains. Although there were exceptions, the general pattern was for significant correlations between self-efficacy sub-scales and measures of everyday competence. This pattern was also evident in the correlations between the cognitive variables and the functional domains. Hierarchical regression analyses examined the relative ability of self-reported health, self-efficacy scales from the PIC and the cognitive variables from Cognistat to predict the functional domains of DAFS, in that order. Self-reported health accounted for comparatively little variance in all domains of DAFS. The PIC inventory contributed significantly to the variance of four of the five functional domains, exceeding the contribution of the cognitive variables in two areas. Cognistat scales explained a significant amount of the variance in all DAFS domains, retaining the highest predicted amount in three instances. In summary, when self-reported health and self-efficacy were statistically controlled, cognitive variables remained strong predictors of everyday competence. Memory was identified as the most consistent predictor of everyday task performance. It was argued that components of memory functioning may also be strongly associated with deficits in other cognitive variables. A brief cognitive measure predicting the functional ability of an older independently-living adult may be more practical and cost-effective than a functional assessment. It was therefore concluded that interventions aimed at improving cognitive functioning, in particular memory, may have positive implications for performance in several functional domains.

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24

Hanusaik, Nancy Anna. "Association of measures of functional status with fat-free mass in frail elderly women". Thesis, McGill University, 1996. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=27333.

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The association of functional status with fat-free mass (FFM) was examined cross-sectionally in a sample of 30 frail elderly women $(81.5 pm 7$ years) to evaluate potential outcome indicators for nutritional interventions. FFM, determined using multi-frequency bioelectrical impedance analysis, was lower in this frail group than in previous reports for "younger" elderly females. All measures of muscle strength (handgrip, biceps, quadriceps) were significantly correlated with FFM $ rm (r ge 0.45, p le 0.02),$ while the measures of global function (Timed "Up & Go" Test and walking speed) as well as self-perceived health were not. The measures of muscle strength and global function were found to have good reliability based on measurements taken on two occasions separated by one week $ rm (ICC ge 0.80).$

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25

張瀚尹 e Hon-wan Doris Cheung. "Validity of the Chinese version of EQ-5D and SF-6D as health related quality of life measure in Chinese older adults in Hong Kong". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B41005843.

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26

Lao, Xiangqian, e 勞向前. "Inflammation, metabolic syndrome and vascular diseases in older Chinese: the Guangzhou biobank cohortstudy". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B40687685.

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27

Miao, Yongqing, e 苗永青. "Association between urinary incontinence and self-rated health in HongKong Chinese elderly people". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2007. http://hub.hku.hk/bib/B39724529.

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28

Welch, Mary Ann 1950. "A correlational study of health beliefs and compliance with a sodium-restricted diet". Thesis, The University of Arizona, 1989. http://hdl.handle.net/10150/277104.

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The relationship between health beliefs, based on the Health Beliefs Model, and compliance with a sodium-restricted diet was investigated. Significant predictors of compliance and the relationships among compliance measures were also investigated. The Health Beliefs Questionnaire was administered to a convenience sample of 30 hypertensive elderly subjects. Overnight urine chloride, questionnaire (added salt and salty foods), blood pressure, and dietary recall operationalized compliance. No significant relationship was found between a total health beliefs score, perceived resusceptibility to hypertension, and perceived severity of hypertension and compliance. Perceived benefits of antihypertension treatment had significant relationships with urine chloride (r = 0.41) and blood pressure (r = 0.35). Age, a significant predictor, accounted for 12% of compliance. Urine chloride significantly correlated with added salt (r = 0.44), salty foods (r = 0.44), and blood pressure (r = 0.45). Barriers to a sodium-restricted diet were categorized as no control of salt in prepared foods, desire for salt, addictive behavior, and beliefs about salt.

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29

Malathum, Porntip. "A model of factors contributing to perceived abilities for health-promoting self-care of community-dwelling Thai older adults". Access restricted to users with UT Austin EID Full text (PDF) from UMI/Dissertation Abstracts International, 2001. http://wwwlib.umi.com/cr/utexas/fullcit?p3034979.

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30

Cheung, Kwun-ting, e 張冠庭. "A study on health literacy and its relationship with vitamin D supplement among Chinese older adults". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B4961809X.

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Background: Vitamin D deficiency is prevalent among Chinese adults in Hong Kong and ignorance and confusion about vitamin D is common throughout the Hong Kong population. Health literacy is a crucial factor that influences the health actions and outcomes of individuals; however, little is known about the relationship between health literacy and behavior of supplementing vitamin D through sunlight exposure. Objective: The aim of the current study was to identify the factors associated with the health literacy of Chinese older adults and to investigate the relationship between health literacy and the behavior of supplementing vitamin D through sunlight exposure. Method: From May 2011 to January 2012, a cross-sectional survey was conducted among cognitively intact Chinese adults aged 60 or above. Recruitment of participants was through 23 residential care homes and 7 elderly community centers. A questionnaire elicited demographic and health literacy information and explored their knowledge about vitamin D, their attitude towards sunlight exposure, and their behavior related to sunlight exposure. Linear regression identified the factors associated with the health literacy among Chinese older adults. Path analysis investigated the relationship between health literacy and the behavior of participants regarding sunlight exposure. Results: Participants and analysis included 648 Chinese adults. Among the population, respondents identified as having inadequate health literacy numbered 52.5%. Five factors, including age, marital status, educational attainment, residential status, and duration of living in residential care homes, had significant association with health literacy. In addition, health literacy had a direct relationship to respondents’ exposure to sunlight (direct effect = .075) and an indirect relationship through their knowledge about vitamin D and their attitude towards sunlight exposure (indirect effect = .015). However, knowledge about vitamin D and attitude towards sunlight exposure did not mediate the association between health literacy and behaviors concerning sunlight exposure. Discussion and Conclusion: The results of this study showed that not only age, marital status, and educational attainment affected health literacy but also residential status and duration of living in residential care homes offered an effect. The study revealed that health literacy had both a direct and indirect relationship to health behavior (e.g., supplementing vitamin D through sunlight exposure). Health care professionals should note the relationship between health literacy and health behavior. Health education intervention about vitamin D supplement should focus training on individuals’ health literacy rather than their knowledge about vitamin D or attitude towards sunlight exposure.
published_or_final_version
Nursing Studies
Master
Master of Philosophy

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31

Herrin, Judith Mitchell. "Correlates of a sense of control of aging". Thesis, This resource online, 1989. http://scholar.lib.vt.edu/theses/available/etd-08252008-162014/.

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32

Hargett, Thompson Candace L. "Social Support, Depression, and Cardiovascular Disease in Married, Middle-Aged/Older Adults". Thesis, University of North Texas, 2004. https://digital.library.unt.edu/ark:/67531/metadc4611/.

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This study examined the relationship between physical health, social support, and depression in a married, middle-aged/older adult sample in which at least one partner has heart disease. The data was obtained from a national longitudinal study the Health and Retirement Survey (HRS) and is composed of selected respondents and their spouses. The HRS Wave 1 data that was used for these analyses was collected in 1992 and 1993. This study tested a stress buffer model predicting the relationship between physical health, social support, and depression. For study inclusion, participants must have been diagnosed with cardiovascular disease and received treatment in the last year. A heart disease construct was developed by calculating the level of disease by the number of conditions and medical treatments received within the last year. A second health category for other chronic health conditions included diabetes, arthritis, cancer, and chronic pain. These constructs were combined into a total disease construct, which provided a broad measure of health problems typical of an older adult population. Social support was determined by respondents' satisfaction with friends, neighbors, family, their marriage, and enjoyable time spent with their spouse. Social support was subdivided into two constructs separating spousal support from social support sources outside the marriage. The Center for Epidemiological Studies Depression short-form (CES-D) calculated depression scores. Findings support a stress-buffering model among older married adults with chronic diseases. Hierarchical multiple regressions found the following main effects predicted Depression: Total Disease (Beta=. 03, p<. 000), Exercise (Beta=-.11, p<. 000), Smoking (Beta=. 04, p<. 001), General Support (Beta=-.21, p<. 000), Spousal Support (Beta=-.19, p<. 000). The Total Diseases by Spousal Support interaction was a significant predictor of Depression for men and women (Beta= -.04, p<. 000) and Total Disease by Spousal Support was also a significant predictor for men and women (Beta=-.03, plt;. 000). For men with Heart Disease, Total Disease by Spousal Support was a stronger predictor (Beta=-.03) than it was for women with Heart Disease (Beta=-.10). These results may partially explain gender differences in heart disease patients and suggests several psychological interventions that could be beneficial.

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Wanamaker, Scot E. "The effects of vitamin E supplementation and resistance training on muscle function in elderly subjects". Virtual Press, 2002. http://liblink.bsu.edu/uhtbin/catkey/1231404.

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Findings were that caregivers considered all items on the Information Needs and Patient Care Needs subscales to be important but most of the unmet needs were from the Patient Care subscale. The needs less satisfied in relation to importance were (a) ways to improve patient appearance, (b) activities that will make patient feel purposeful, (c) information on how to give medications, (d) ways to reassure patient, (e) ways of coping with patient's diagnosis, (f) ways to dress patient comfortably, (g) ways to deal with patient's decreased energy, and (h) importance of not leaving patient alone.The implications for nursing are to assess and anticipate the needs of the caregiver of the stroke survivor so that his or her needs can be met. Preparing caregivers for their new role by meeting their needs will help the nurse met the primary goal of helping the patient.
School of Physical Education

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34

St, Onge Anna Marie Antoinette. "An experimental study of factors related to participation in health awareness with seniors between ages of 60 to 75". Thesis, University of British Columbia, 1990. http://hdl.handle.net/2429/28721.

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Society's dramatically mounting population of Seniors is creating a demand to increase our knowledge of senior health program participation and of what promotes 'Healthy Aging'. This thesis is concerned with factors that affect seniors' participation in health promoting programs. There are two distinct aspects to this study, one is an experiment and the other is a survey. The experiment component of the thesis predicts that potential program participants' giving advice on a projected program topic, more than giving information will increase self-esteem, internal locus of control and thus program participation. The survey aspect of the thesis is designed to discover other factors which affect participation and health concerns. The project deals with psychological constructs such as locus of control, self-esteem and life satisfaction put to the use of social work concerns such as increasing program participation, health awareness and resource use. One hundred and twenty persons aged 60-75 were randomly selected from the files of Matsqui-Abbotsford Community Services and randomly assigned to 3 groups of 40 persons each. Group 1 & 2 were administered Wallston & Wallston & DeVallis' Multidimensional Health Locus of Control Scales and Rosenbergs’Self-Esteem Scale before and after the two experimental interventions of giving advice or information on the same health topics. Both groups also responded to Diener & Emmons & Larsen & Griffin's Life Satisfaction Scale, Chapin's Organizational Participation Scale and some questions about family, friends, smoking, health and demographics. Group 3, the control group, was not interviewed. After regular intervals all groups were invited to participate in three progressively involving 'Healthy Aging' pursuits. Statistical analysis does not support the hypothesis that giving advice increases self-esteem, life satisfaction, participation or 'internality' of health locus of control. Participation in formal organizations correlates with other forms of sociability and knowledge about prevention, while smoking co-relates positively with social isolation. Health internality is associated with greater self-reported health, life satisfaction, more contact with family and not associated with sociability outside of the home.
Arts, Faculty of
Social Work, School of
Graduate

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35

Xu, Wansu, e 徐万苏. "Effects of apparent temperature on mortality in a cohort of older population in Hong Kong". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hub.hku.hk/bib/B47052077.

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Pileski, Ellen M. "The Lived Experience of Exercise for Elders Living in Nursing Home Settings". Fogler Library, University of Maine, 2004. http://www.library.umaine.edu/theses/pdf/PileskiEM2004.pdf.

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37

Cheung, Man-chin Martin, e 張文展. "Association between leisure participation and health outcomes of elderly health center clients". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2007. http://hub.hku.hk/bib/B39724384.

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38

Toon, Michelle Anne. "A study of on-line use and perceived effectiveness of compliance-gaining in health-related banner advertisements for senior citizens". Thesis, University of North Texas, 2002. https://digital.library.unt.edu/ark:/67531/metadc5800/.

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This research investigated banner ads on the World Wide Web, specifically the types of messages used in those ads and the effectiveness of the ads as seen by their intended audience. The focus was on health-related banner advertisements targeting senior citizens. The study first sought to determine the frequency of appearance of those ads when classified into categories of compliance-gaining tactics provided by research scholars. Second, the study explored the relative perceived effectiveness among those categories. Two graduate students from a Central Texas university sorted text messages into predetermined compliance-gaining categories. Chi square tests looked for significant differences in the frequencies of banner ads in each category. Forty-five senior citizens from the Central Texas area completed surveys regarding the perceived effectiveness of a randomly ordered, randomly selected set of categorized banner ads. A repeated measures test attempted to determine whether some compliance-gaining strategies used in health-related banner ads were perceived as more effective than others. The hypothesis stated that there would be differences in frequencies of compliance-gaining strategies used among the compliance-gaining categories in health-related banner ads for senior citizens. The hypothesis was supported. The research question asked if some categories of compliance-gaining strategies used in health-related banner ads were perceived as more effective than others by senior citizens. There was no evidence that senior citizens perceived any compliance-gaining category as being more effective than any other. However, post hoc analyses revealed trends in the types of compliance-gaining messages senior citizens perceived as more effective. These trends provide a basis for directional predictions in future studies.

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Koo, Fung Kuen. "Disharmony between Chinese and Western views about preventative health : a qualitative investigation of the health beliefs and behaviour of older Hong Kong Chinese people in Australia". Thesis, The University of Sydney, 2005. http://hdl.handle.net/2123/1610.

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This study explores the health beliefs and preventive health behaviours of older Hong Kong Chinese people resident in Australia. Participation in physical activity was used as the case study. There were two frameworks used to shape the research. Because of their perceived influence on the health beliefs and practices of Hong Kong Chinese people, the traditional Chinese philosophies of Confucianism, Taoism, and Buddhism provided the philosophical framework. The Theory of Planned Behaviour provided a theoretical framework for understanding the target group's preventive health behaviour. Data was collected by means of in-depth interviews, participant observation and case study. Twenty-two informants were interviewed, their transcripts analysed, summarised and typologised, identifying six states of physical activity participation. Findings demonstrated that this target group possessed a holistic view of health, with food taking a special role in preventive care and self-treatment at times of illness. The Cantonese terms used to denote “physical activity” caused confusion among the target group. Most interpreted it as meaning deliberate planned body movement, strength-enhancing activities or exercise, although some did see it as including mundane daily activities and chores. Lack of time, no interest and laziness were reported as the main reasons for low participation in deliberate planned physical activity. Cultural, social and environmental determinants were the intrinsic and extrinsic factors influencing attitudes toward physical activity, as well as perceived social supports and perceived control over physical activity participation barriers. To a large extent, these interactive determinants of health were rooted in the three traditional Chinese philosophies mentioned above. The thesis concludes by arguing that rather than simply advocating activities designed for other populations, health promotion strategies and education need to create links to the traditions of this target group and also clarify their conception of physical activity.

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Koo, Fung Kuen. "Disharmony between Chinese and Western views about preventative health : a qualitative investigation of the health beliefs and behaviour of older Hong Kong Chinese people in Australia". University of Sydney, 2005. http://hdl.handle.net/2123/1610.

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Doctor of Philosophy
This study explores the health beliefs and preventive health behaviours of older Hong Kong Chinese people resident in Australia. Participation in physical activity was used as the case study. There were two frameworks used to shape the research. Because of their perceived influence on the health beliefs and practices of Hong Kong Chinese people, the traditional Chinese philosophies of Confucianism, Taoism, and Buddhism provided the philosophical framework. The Theory of Planned Behaviour provided a theoretical framework for understanding the target group's preventive health behaviour. Data was collected by means of in-depth interviews, participant observation and case study. Twenty-two informants were interviewed, their transcripts analysed, summarised and typologised, identifying six states of physical activity participation. Findings demonstrated that this target group possessed a holistic view of health, with food taking a special role in preventive care and self-treatment at times of illness. The Cantonese terms used to denote “physical activity” caused confusion among the target group. Most interpreted it as meaning deliberate planned body movement, strength-enhancing activities or exercise, although some did see it as including mundane daily activities and chores. Lack of time, no interest and laziness were reported as the main reasons for low participation in deliberate planned physical activity. Cultural, social and environmental determinants were the intrinsic and extrinsic factors influencing attitudes toward physical activity, as well as perceived social supports and perceived control over physical activity participation barriers. To a large extent, these interactive determinants of health were rooted in the three traditional Chinese philosophies mentioned above. The thesis concludes by arguing that rather than simply advocating activities designed for other populations, health promotion strategies and education need to create links to the traditions of this target group and also clarify their conception of physical activity.

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Montgomery, Alan A. "Physical activity and perceived benefits and barriers in adults aged 55-74". Thesis, University of St Andrews, 1997. http://hdl.handle.net/10023/2663.

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In order to increase the number of older adults physically active enough to obtain the health benefits of exercise, inactive individuals must firstly be identified, and attention must then be focused on determinants of exercise amenable to change. This study set out to develop self-complete questionnaires for assessing activity status, and perceived benefits of, and barriers to, physical activity. Of 1456 questionnaires sent out to a random sample of adults aged 55-74 a usable return rate of 37.6% (n=548) was achieved. A principal components analysis of the benefits of physical activity revealed five factors (physical performance, social, weight control, enjoyment, and psychological), and of the barriers to physical activity, also five factors (opportunities, physical exertion, time, limiting health, and support). Alpha internal consistency coefficients for the 10 factors ranged from 0.64 to 0.92, and test-retest reliability coefficients from 0.56 to 0.87. A series of one-way ANOVAs revealed that, with the exception of the benefit weight control, there was a significant gradation in factor scores between active and inactive subjects as classified by 4-, 9-, and 5- point activity classification methods. Validity of the activity classifications was assessed in a subsample of 86 subjects against measures of strength, flexibility, aerobic fitness and objectively measured physical activity. Active and inactive subjects classified using the 4- and 9-point questionnaires differed significantly in 1-mile walk time and energy expenditure estimated by a Caltrac accelerometer. The 5-point questionnaire did not appear able to differentiate active and inactive subjects. Test-retest reliability of the questionnaires ranged from 0.62 to 0.73. The questionnaire developed from this work for measuring perceived benefits and barriers of older adults can be used in either practical or research settings. Further work is required to determine the accuracy of the physical activity questionnaires in identifying low-active individuals in the population.

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Ma, Xiaoguang, e 馬曉光. "The association between socioeconomic status and health-related quality of life among older people in Hong Kong". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B39634589.

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43

Johansson, Isabelle. "Dental- and nursing care collaborations in Sweden – A way to support nursing staff in oral hygiene care for older people". Licentiate thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ. ARN-J (Aging Research Network - Jönköping), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-43631.

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Background: Oral health is an integral part of the general health and quality of life. Yet oral health among older people requiring nursing care is often poor. Despite this group’s frequent contact with health care services, they tend to lose contact with dental care. In nursing care, nursing staff are tasked to assist with oral hygiene care, but this has become more demanding as many older people retain more teeth or have advanced prosthetic constructions. Previous research in the field emphasised the need of collaboration between dental- and nursing care to support the nursing staff in this task. However, there is a lack of evidence regarding the effects of these collaborations. Aim: The overall aim of the thesis is to examine two oral health programmes used within nursing care with different design regarding support from and collaboration with dental care. Methods: Quantitative research methods was used. The data in Study I comes from an oral health assessments guide (ROAG-J) performed by nursing staff in a national health register. Oral health, assessed at two occasions from older people with nursing care, were used. Study II was a controlled intervention study performed at a nursing home. The intervention involved individual coaching of nursing staff in oral hygiene care by dental hygienist for four hours per week at the ward for a period of three months. Oral assessments of older people were performed by dental hygienists and questionnaires to nursing home staff were used. Result: In Study I, 667 individuals aged 65 years or older, receiving nursing care services and assessed using ROAG-J between November 2011 and March 2014 were included. No statistically significant difference in any of the oral health variables was found between the first and subsequent assessments. At the first assessments, less than one third of participants had oral health problems. At the first assessment, status of the tongue differed in men and women (p < .01); at the subsequent assessment, gender differences were found in voice (p < .05), mucous membranes (p < .003), tongue (p < .01), and saliva (p < .006). In Study II, 33 nursing staff and 48 residents participated at the baseline measurement and 22 and 32 respectively at the 9-month follow-up. The nursing staff changed in knowledge and attitudes related to gum disease, approximal cleaning, usage of fluoride and the likelihood that older persons would express the need for oral health support. The most frequently reported oral health problems among the residents pertained to teeth and gums. The residents relatively high level of oral health was stable during the study period. Conclusions: The participants in the oral health programmes were able to maintain an acceptable level of oral health during the study periods although health was likely to decline. The nursing staff maintained a high level of knowledge and attitudes about oral health. However, there seems to be a discrepancy regarding the prevalence of oral health problems among older people. A collaboration between dental- and nursing care providers indicates a positive influence on providing oral hygiene care.

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Mitzel, Gina Marie. "The Impact of Genetics, Socioeconomic Status, and Lifestyle Factors on Visual Health in an Adult Population". Thesis, University of North Texas, 2010. https://digital.library.unt.edu/ark:/67531/metadc33187/.

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The purpose of this dissertation was to understand how genetics, socioeconomic status (SES), and lifestyle factors influence the development of age-related macular degeneration (AMD), glaucoma, and diabetic retinopathy in an adult population in Dallas County. Two hundred fifty-three older adults participated in this study as the sample. Crosstabulation and binary logistic regression were utilized to analyze the data. Results indicated a disparity among participants' test scores, visual health status, and perceptions of their visual impairment and highlighted the fact that many seniors are not educated about age-related retinal disorders. Furthermore, variables reaching statistical significance were consistent with the literature included race/ethnicity, age, having a family history of both AMD and diabetes, frequency of eye exams, and level of education. The results not consistent with the literature as affecting visual health included health insurance, access to health care, body weight, and smoking status. Recommendations for future study included applied research focusing on determining risk factors, raising awareness, educating, and providing early detection of these diseases among low to middle income Caucasian, African American, and Hispanic older adults.

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Nyirenda, Makandwe. "Ageing with HIV : an investigation of the health and well-being of older people in a rural South African population with a severe HIV epidemic". Thesis, University of Southampton, 2014. https://eprints.soton.ac.uk/366476/.

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This study aims to describe the living and informal care circumstances of older people in an area of rural South Africa severely affected by HIV, and examine how those circumstances may influence the physical health, emotional well-being and survival of older people. Using longitudinal surveillance and cross-sectional survey data this thesis is built around four separate but related papers. Specific study objectives were to: 1) investigate household living arrangements and informal care (financial, physical or emotional assistance) by or towards older people in rural South Africa; 2) describe the self-reported health and emotional well-being status of older people by HIV status; and 3) examine the association between self-reported health, emotional well-being and informal care and mortality in older people. Surveillance data for 2005-2010 showed living arrangements remained stable, with over 85% of older people aged 60 years and above living in multi-generational households; over this period employment rates in both older and young people declined, but government grants receipt increased. Being co-resident with own children, household structure and size were important determinants of whether financial support flowed downward (from older to younger) or upward (from young to older person); while peer support (from one older person to another) was rare. Adjusting for age, marital status, education, place of residency and household socio-economic status, exchanges of financial resources in the study population are most likely to be downward or at best reciprocal (bidirectional with young people). Of the cross-sectional study participants (n=422) aged 50+, over 60% were care-givers (provided help with activities of daily living) to at least one adult (18-49 years) or child (below 18 years); around 84% (n=356) of older people were care-receivers; of whom over 92% (n=329) were receiving assistance with fetching water. Spouse, adult child, and grandchildren were the main sources of physical or emotional care for care-recipients. As expected health deteriorated with advancing age and women were less likely to be in good health. Further, care-giving was associated with improved functional ability but decreased emotional well-being. HIV-infected older participants reported better functional ability, quality of life and overall health state than HIV-affected (had an HIV-infected or HIV-related death of adult child) study participants. These differentials in health and well-being were also evident in mortality patterns over three years of follow-up. Mortality was higher among non-care-givers than in care-givers, in older people with poor self-rated health and in participants who had experienced a major depressive episode. Findings suggest there is an intricate relationship between living arrangements, informal care and health, emotional well-being and survival of older people in severely HIV-affected settings. More crucially, with the considerable resources devoted to HIV Care and Treatment programmes, uninfected older persons may be highly vulnerable to poor health. A multifaceted intervention to improving older people’s health and well-being is urgently required.

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46

Dionigi, Rylee Ann. "Competing for Life: Older People and Competitive Sport". Thesis, Connect to this title online, 2004. http://hdl.handle.net/1959.13/24895.

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Abstract (sommario):

In Western society competing in physically demanding sport is not considered the domain of older people. For the majority of the twentieth century older people were stereotyped as frail, socially withdrawn and dependent on health and social welfare systems. Competitive athletes on the other hand are commonly viewed as being young, strong, aggressive, physically competent and independent. Although today’s older generation are encouraged to be physically active, society does not recognise serious competition or physically intense sports as age-appropriate activities for them. If older people choose to participate in sport they are expected to be doing it to have fun, make friends and keep fit. The growing leisure phenomenon of older athletes who compete to win, achieve a personal best, break world records or push their bodies to the limit presents a challenge to these orthodoxies. The purpose of this thesis is to explain why competing in physically demanding sport is significant to some older people given the accepted view that it is not their domain. In particular, the thesis explores the multiple ways in which a group of older people negotiate conflicting discourses of both sport and ageing, as well as the contradiction between their identity as an athlete and their ageing bodies, as they talk about and experience competing in physically strenuous individual and team sports. The key themes through which this negotiation process is played out relate to friendship and fun, competition, youthfulness, and the ageing body. It is revealed that the process of competing in sport can be simultaneously empowering and problematic at both the individual and social levels. The thesis draws on insights from post-structural theories of resistance and empowerment, traditional and postmodern understandings of identity management in later life, and life-stage theories to interpret the phenomenon of older people competing in physically demanding sport. To achieve the above aims, a qualitative study exploring the experiences of a group of Masters athletes aged over 55 years who regularly compete in physically strenuous individual or team sports was undertaken. It was found that despite age-appropriate norms, competition is significant to many of the participants. Study participants embrace the ideologies and practices of competitive sport and use them to define ageing in terms of youthfulness, physical ability and personal empowerment. Simultaneously however, a denial of, or desperate resistance to, the physical ageing process accompanies this feeling of empowerment. The participants in this study were not only competing in sport, but also "competing for life". It is argued that a multi-faceted and conflicting interplay of resistance and conformity, empowerment and denial, identity and the ageing body is embedded in the phenomenon of older people competing in physically demanding sport. These contradictory findings expose alternative ways of understanding sport, competition, ageing and older people in the West and raise many questions requiring further investigation. The study also points to potential applications of these findings to policy-making and provision of leisure services for older people.
PhD Doctorate

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47

Dionigi, Rylee Ann. "Competing for Life: Older People and Competitive Sport". Diss., Connect to this title online, 2004. http://www.newcastle.edu.au/services/library/adt/public/adt-NNCU20041203.213850/index.html.

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48

Houtz, Andrew W. (Andrew William). "Health Locus of Control and Available Coping Resources: Do Elderly "Internals" Have an Advantage?" Thesis, University of North Texas, 1989. https://digital.library.unt.edu/ark:/67531/metadc500673/.

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Abstract (sommario):

The purpose of this study was to investigate the relationship between health attribution and the availability of organized internal resources and response style as measured by the Four Square of the Rorschach Inkblot Test. Forty-two subjects participated in this study. Six major hypotheses were explored in the study. None of the hypotheses was statistically significant. Several factors may have contributed to these results. The small sample size and the homogeneity of the sample limited the investigator's ability to interpret the results of the study. Statistically, health attribution may not be conceptually related to organized internal resources and response style since physical and emotional distress may require different coping mechanisms.

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49

Newhouse, Janette K. "Patterns of in-home care service use among older adults: a rural-urban comparison". Diss., Virginia Polytechnic Institute and State University, 1985. http://hdl.handle.net/10919/76463.

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Abstract (sommario):

This study investigated how patterns of in-home care utilization and predictors of service use differ for older adults based on whether they live in a rural or an urban environment and whether the service is provided from an informal, a formal, or a combination informal/formal source. The specific in-home services under consideration were: checking, continuous supervision, homemaker-household, meal preparation, nursing care, and personal care. Although the study was comparative in nature, the investigator was particularly interested in identifying patterns of service utilization that might be translated into effective and cost-efficient service delivery strategies for rural communities. The rural elderly population was the focus of this research because older people tend to live disproportionately in rural areas. Further, older rural residents seem to have more objective needs than their urban counterparts while they have access to fewer services. This study was based on data from the Statewide Survey of Older Virginians, a probability sample of 2,146 noninstitutionalized persons 60 years of age and older. The 87% response rate included 8% of the respondents who participated via an informant. A multiple regression analysis was performed for each of the eight subsamples into which the total sample was divided. The 20 independent variables were categorized according to Andersen's paradigm for conceptualizing service utilization as either predisposing, enabling, or need variables. The need variables were significant (p < .05) predictors of service use more often than the other categories, with ADL performance emerging as a significant predictor of service use across all subsamples. Evidence from existing service utilization literature formed the basis for five hypotheses included to focus the study. Results of the hypothesized relationships confirmed the generalization that this body of literature lacks the necessary precision to accurately profile rural and urban service users. Further investigation of utilization patterns of in-home care services was indicated by this research.
Ph. D.

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50

Smith, Elaine S. "Quality of life and nutritional risk in elderly home-delivered meal recipients and non-recipients". Virtual Press, 1999. http://liblink.bsu.edu/uhtbin/catkey/1154781.

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Abstract (sommario):

This study evaluated the impact of receiving a home-delivered meal on the quality of life and nutritional risk of elders who were unable to attend congregate meal sites and who were unable to safely prepare a hot meal. Forty-three subjects on a waiting list were matched with a group currently receiving home-delivered meals. Matching criteria were functional needs measure, age, gender, and living arrangement.Home visits were conducted to collect the data and verify demographic information. Nutritional risk was assessed by the Nutrition Screening Initiative's Determine Checklist. Quality of life was measured across various domains including a global quality of life self-rating, mental health appraisal, functional ability, and food enjoyment. Two tailed t-tests failed to show differences in quality of life and nutritional risk between the groups at the 0.05 level of significance.In addition, the study reviewed the resources for meal preparation and grocery shopping possessed by the meal non-recipients that allowed them to remain at home without a meal provided. A significant difference was seen in the number of resources reported for meal preparation assistance with the meal non-recipient group reporting more informal resources.
Department of Family and Consumer Sciences

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Tesi sul tema "Older people Health and hygiene"

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