scholarly journals Caries experience and use of dental services in rural and urban adults and older adults from central Chile

2014 ◽  
Vol 64 (5) ◽  
pp. 260-268 ◽  
Author(s):  
Maria E. Quinteros ◽  
Dante D. Cáceres ◽  
Alex Soto ◽  
Rodrigo J. Mariño ◽  
Rodrigo A. Giacaman
Keyword(s):  
Older Adults ◽  
Caries Experience ◽  
Dental Services ◽  
Central Chile ◽  
Rural And Urban ◽  
Urban Adults

Social Isolation and Loneliness: Differences between Older Rural and Urban Manitobans

2004 ◽  
Vol 23 (2) ◽  
pp. 129-140 ◽  
Author(s):  
Betty Havens ◽  
Madelyn Hall ◽  
Gina Sylvestre ◽  
Tyler Jivan
Keyword(s):  
Older Adults ◽  
Social Isolation ◽  
Social Factors ◽  
Regression Models ◽  
Chronic Illnesses ◽  
Living Alone ◽  
Rural And Urban ◽  
Multiple Regression Models ◽  
Urban Adults ◽  
Age Range

ABSTRACTThe purpose of this paper was to identify predictors of social isolation and loneliness for very old rural and urban adults. With data from the 1996 Aging in Manitoba Study (N = 1,868; age range 72–104), separate multiple regression models were constructed for rural and urban sub-samples, using the life space index (LSI) to measure social isolation as one outcome, and a loneliness index created by the authors from a combination of items to measure loneliness as a second outcome. Different factors were found to predict the outcomes for the two sub-samples. The models with isolation as the outcome produced five predictors for the rural sub-sample and three for the urban sub-sample. Only living alone was the same for both groups. The models with loneliness as the outcome produced five predictors for the rural sub-sample and two for the urban sub-sample, again with only one factor in common – four or more chronic illnesses. We conclude that health and social factors are important predictors of social isolation and loneliness, and sensitivity to these factors may improve the experience of older adults.

scholarly journals ‘Too old to test?’: A life course approach to HIV-related risk and self-testing among midlife-older adults in Malawi

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Cheryl Johnson ◽  
Moses Kumwenda ◽  
Jamilah Meghji ◽  
Augustine T. Choko ◽  
Mackwellings Phiri ◽  
...  
Keyword(s):  
Older Adults ◽  
Life Course ◽  
Hiv Testing ◽  
Sexual Risk ◽  
Age Groups ◽  
Sub Saharan Africa ◽  
Treatment As Prevention ◽  
Sexual Risk Taking ◽  
Rural And Urban ◽  
Self Testing

Abstract Background Despite the aging HIV epidemic, increasing age can be associated with hesitancy to test. Addressing this gap is a critical policy concern and highlights the urgent need to identify the underlying factors, to improve knowledge of HIV-related risks as well as uptake of HIV testing and prevention services, in midlife-older adults. Methods We conducted five focus group discussions and 12 in-depth interviews between April 2013 and November 2016 among rural and urban Malawian midlife-older (≥30 years) men and women. Using a life-course theoretical framework we explored how age is enacted socially and its implications on HIV testing and sexual risk behaviours. We also explore the potential for HIV self-testing (HIVST) to be part of a broader strategy for engaging midlife-older adults in HIV testing, prevention and care. Thematic analysis was used to identify recurrent themes and variations. Results Midlife-older adults (30–74 years of age) associated their age with respectability and identified HIV as “a disease of youth” that would not affect them, with age protecting them against infidelity and sexual risk-taking. HIV testing was felt to be stigmatizing, challenging age norms, threatening social status, and implying “lack of wisdom”. These norms drove self-testing preferences at home or other locations deemed age and gender appropriate. Awareness of the potential for long-standing undiagnosed HIV to be carried forward from past relationships was minimal, as was understanding of treatment-as-prevention. These norms led to HIV testing being perceived as a threat to status by older adults, contributing to low levels of recent HIV testing compared to younger adults. Conclusions Characteristics associated with age-gender norms and social position encourage self-testing but drive poor HIV-risk perception and unacceptability of conventional HIV testing in midlife-older adults. There is an urgent need to provide targeted messages and services more appropriate to midlife-older adults in sub-Saharan Africa. HIVST which has often been highlighted as a tool for reaching young people, may be a valuable tool for engaging midlife-older age groups who may not otherwise test.

scholarly journals Resistance Training Reduces Age- and Geography-Related Physical Function Discrepancies in Older Adults

2021 ◽  
Vol 7 ◽  
pp. 233372142199225
Author(s):  
Breanne S. Baker ◽  
Kristin Miller ◽  
Kelsey J. Weitzel ◽  
Dana L. Duren ◽  
Robin Gammon ◽  
...  
Keyword(s):  
Older Adults ◽  
Resistance Training ◽  
Physical Function ◽  
Repeated Measures ◽  
Test Group ◽  
Advanced Age ◽  
Rural Residents ◽  
Rural Living ◽  
Rural And Urban ◽  
Improved Performance

Comorbidities affecting physical function increase with advanced-age and rural living. This study investigated the degree of benefit from resistance training (RT) in older adults based on age (50–89 years), location (urban vs. rural), and program duration (10 vs. 8-weeks). 260 participants completed pre- and post-program dynamic and static tasks and flexibility testing. Paired and independent t-tests and one-way and repeated measures ANOVAs were used to test group improvements. All ages improved performance (all p ≤ .002) but those in their 50’s improved flexibility the most and those in their 60’s improved 30STS more and tandem balance less than those in their 80’s. Both rural and urban participants improved in all areas (all p ≤ .002), but rural participants reported greater improvements in tandem balance. Both 10- and 8-week classes improved performance (all p ≤ .001), but 8-week participants improved dynamic tasks and tandem balance more. RT can reduce functional discrepancies in older adults and rural residents.

scholarly journals Association between plasma CCL11 (eotaxin-1) and cognitive status in older adults: Differences between rural and urban dwellers

2018 ◽  
Vol 113 ◽  
pp. 173-179 ◽  
Author(s):  
Lee Butcher ◽  
Karine Pérès ◽  
Perrine André ◽  
Roger H. Morris ◽  
Stefan Walter ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Status ◽  
Rural And Urban

Edentulism and Trajectories of Cognitive Functioning Among Older Adults: The Role of Dental Care Service Utilization

2019 ◽  
Vol 32 (7-8) ◽  
pp. 744-752 ◽  
Author(s):  
Sae Hwang Han ◽  
Bei Wu ◽  
Jeffrey A. Burr
Keyword(s):  
Older Adults ◽  
Cognitive Decline ◽  
Cognitive Functioning ◽  
Service Utilization ◽  
Dental Care ◽  
Care Service ◽  
Health Care Expenditures ◽  
Self Report ◽  
Dental Services

Objective: This study examined the associations between edentulism, dental care service utilization, and cognitive functioning trajectories among older adults. Method: Longitudinal data from the Health and Retirement Study (2006-2014) were employed to examine individuals aged 51 and older who were identified as having normal cognition at baseline ( N = 12,405). Cognitive functioning was measured with a modified version of the Telephone Interview for Cognition Status. Edentulism was self-reported as total tooth loss at baseline. Dental care service utilization was measured by self-report of having visited a dentist at least once during the previous 2 years. Results: The results indicated that edentulism and dental care service utilization were independently associated with cognitive decline during the observation period. Findings also showed that dental care service utilization moderated the association between edentulism and cognitive decline. Discussion: The findings suggested that providing access to dental services may promote cognitive health and potentially reduce health care expenditures.

Factors Affecting the Mental Health of older Adults in Rural and Urban Communities: An Exploration

2004 ◽  
Vol 23 (2) ◽  
pp. 117-126 ◽  
Author(s):  
Phyllis McGee ◽  
Holly Tuokko ◽  
Penny Maccourt ◽  
Martha Donnelly
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Urban Communities ◽  
Factors Affecting ◽  
Rural And Urban

scholarly journals DOMICILIARY SERVICES IMPROVE ACCESS TO DENTAL CARE FOR FUNCTIONALLY DEPENDENT OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S492-S492
Author(s):  
Mathew A Lim ◽  
Gelsomina L Borromeo
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Oral Health ◽  
Aged Care ◽  
Residential Aged Care ◽  
Care Needs ◽  
Dental Services ◽  
Unique Challenge ◽  
Care Facilities ◽  
Aged Care Facilities

Abstract There is growing evidence demonstrating links between oral diseases and general health. The increased retention of teeth among functionally-dependent older adults presents a unique challenge in maintaining the oral health of these individuals from basic oral hygiene to accessing dental services. The results of our cross-sectional study demonstrate the important role domiciliary dental services play in reducing the barriers to accessing oral health care in this cohort. In our study, most individuals treated by domiciliary services lived in residential aged care facilities and were significantly older than those treated by hospital and community-based dental services dedicated to the specialized care of individuals with additional health care needs. A significantly higher number of those receiving domiciliary care were unable to self-consent for treatment compared to those managed in other settings. 27.4% of these patients had a diagnosis of dementia. More than half (56.9%) of patients treated by domiciliary services received some form of treatment with almost half (48.1%) of these requiring a dental extraction. Only two of these patients were not diagnosed with a chronic condition known to affect oral health (dementia, Parkinson’s disease, diabetes mellitus, arthritis, stroke, osteoporosis). 23.7% of domiciliary appointments were used for denture fabrication. The results depict the worrying level of unmet treatment need in residents of aged care facilities. However, they also demonstrate the potential for domiciliary dental services to play a role in developing partnerships between carers and oral health professionals to improve the oral health of functionally-dependent older adults.

Intergenerational Coresidence and Depressive Symptoms of Rural and Urban Older Adults in China

2019 ◽  
Vol 41 (8) ◽  
pp. 1282-1306
Author(s):  
Jinyu Liu ◽  
Lydia Li ◽  
Zhenmei Zhang ◽  
Hongwei Xu
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Marital Status ◽  
Linear Regression Analysis ◽  
Later Life ◽  
Well Being ◽  
Chinese Older Adults ◽  
Rural And Urban ◽  
Intergenerational Coresidence

Objectives: This study aimed to examine whether gender and marital status of coresiding adult children are associated with depressive symptoms of Chinese older adults. Methods: Using data from the China Health and Retirement Longitudinal Study, linear regression analysis was conducted to identify longitudinal associations of intergenerational coresidence with depressive symptoms in rural and urban older Chinese. Results: Both rural and urban older adults living with unmarried sons had significantly higher depressive symptoms at four-year follow-up than those who did not live with children. Living with married sons was significantly associated with higher levels of depressive symptoms at four-year follow-up among rural elders only. Discussion: This study sheds light on the heterogeneity in the relationship between intergenerational coresidence and Chinese older adults’ psychological well-being by the gender and marital status of coresiding children. Further research is needed to understand the complex and dynamic household structures and health outcomes in later life.

Sign in / Sign up

Export Citation Format

Share Document