Prevalence of dementia and depression among elderly people in Black and ethnic minorities

1997 ◽  
Vol 171 (3) ◽  
pp. 269-273 ◽  
Author(s):  
C. F. M. McCracken ◽  
M. A. Boneham ◽  
J. R. M. Copeland ◽  
K. E. Williams ◽  
K. Wilson ◽  
...  
Keyword(s):  
Elderly People ◽  
Ethnic Minorities ◽  
Minority Groups ◽  
Psychiatric Morbidity ◽  
Geographical Area ◽  
Family Health ◽  
The Elderly ◽  
Sampling Frame ◽  
English Speaking ◽  
Prevalence Of Dementia

BackgroundThis study was designed to identify all elderly people of ethnic minorities living in a defined geographical area in inner-city Liverpool and to identify psychiatric morbidity and barriers to use of services. This paper reports the prevalence of dementia and depression.MethodA survey of the community was carried out using the Geriatric Mental State Examination, AGECAT and ethnically matched interviewers. The sampling frame consisted of Family Health Services Authority lists as a basis, with additional information from community lists, ‘snow-balling’ and a door-to-door survey.Results418 people were interviewed, with a high percentage (55%) of young elderly (65–74) men. The prevalence of dementia ranged from 2 to 9% and of depression from 5 to 19%, and there were no significant differences in levels between English-speaking ethnic groups and the indigenous population. Higher levels of dementia were found among non-English-speaking groups.ConclusionsA complete enumeration of the elderly in ethnic minority groups is best achieved by using several different methods. Diagnosis of dementia may be misleading among those who do not speak the dominant language.

scholarly journals Diagnosis of mental illness in elderly people from ethnic minorities

1998 ◽  
Vol 4 (4) ◽  
pp. 219-226 ◽  
Author(s):  
James Lindesay
Keyword(s):  
Ethnic Minority ◽  
Elderly People ◽  
Ethnic Minorities ◽  
Mental Health Professionals ◽  
Indian Subcontinent ◽  
The Elderly ◽  
Minority Population ◽  
Eastern European ◽  
Ethnic Minority Population ◽  
The Uk

From the 1991 census (Office of Population Censuses and Surveys, 1993) it is estimated that 5.9% of the total population of England and Wales belong to an ethnic minority, and that 3% of this ethnic minority population are aged 65 years and older. This compares with 17% aged 65 years and older in the indigenous population. Although the numbers of elderly people from ethnic minorities are small in absolute terms, these groups are growing rapidly, and mental health professionals working with elderly patients will increasingly need to be equipped with the necessary services and skills to meet their specific needs. The elderly ethnic minority population of the UK is extremely diverse; the largest groups originate from the Indian subcontinent and the Caribbean, but there are also significant communities of Chinese, Somali, Vietnamese, Eastern European, Mediterranean and Irish origin, all of which require consideration when planning and providing services, whatever their numbers. This diversity is also important when considering the various factors that influence the presentation and diagnosis of mental disorders in these groups.

scholarly journals Repercussões do adoecimento crônico na saúde mental de pessoas idosas

2018 ◽  
Vol 12 (11) ◽  
pp. 2923 ◽  
Author(s):  
Geisiane Oliveira Silva ◽  
Luma Costa Pereira Peixoto ◽  
Dieslley Amorim de Souza ◽  
Alana Libânia de Souza Santos ◽  
Aline Cristianede Souza Azevedo Aguiar
Keyword(s):  
Mental Health ◽  
Chronic Disease ◽  
Chronic Diseases ◽  
Elderly People ◽  
Family Health ◽  
The Elderly ◽  
Structured Interview ◽  
Analysis Technique ◽  
Salud Mental ◽  
The Moment

RESUMOObjetivo: compreender as concepções de pessoas idosas acerca das repercussões do adoecimento crônico na sua saúde mental. Método: trata-se de estudo qualitativo, descritivo, realizado com 13 pessoas idosas com diagnóstico de doenças crônicas cadastradas em uma Unidade de Saúde da Família. Coletaram-se as informações a partir da aplicação de um formulário de um roteiro de entrevista semiestruturada. Analisaram-se as entrevistas conforme a técnica de análise de conteúdo. Resultados: a partir da análise do conteúdo das descrições originárias das entrevistas, emergiram quatro categorias temáticas: << Sentimentos relacionados à doença crônica >>; << Mudanças nos hábitos de vida após a descoberta da doença crônica >>; << Dificuldade para aceitação da doença crônica >>; e << A busca pela espiritualidade para aceitação da doença crônica >>. Conclusão: percebeu-se, com o alcance do objetivo do estudo, a necessidade de qualificação dos profissionais atuantes da Atenção Básica para assistir o ser idoso, não apenas para a resolutividade de suas demandas no momento, mas também para saber ouvir e identificar as possíveis repercussões que esse adoecimento traz para a vida desses indivíduos e sua saúde mental. Descritores: Saúde Mental; Doença Crônica; Idoso; Envelhecimento; Sentimentos; Impacto Psicossocial.ABSTRACT Objective: to understand the conceptions of elderly people about the repercussions of chronic diseases on their mental health. Method: qualitative, descriptive study with 13 elderly people diagnosed with chronic diseases registered in a Family Health Unit. The information was collected through the application of a form of a semi-structured interview script. The interviews were analyzed according to the content analysis technique. Results: the analysis of the content of the descriptions collected in the interviews resulted in four thematic categories: << Feelings related to the chronic disease >>; << Changes in life habits after the discovery of the chronic disease >>; << Difficulty to accept the chronic disease >> and << Search for spirituality for acceptance of the chronic disease >>. Conclusion: in order to reach the objective of the study, it was noticed the need to qualify professionals working in Primary Care to assist the elderly people, not only for the resolution of their demands at the moment, but also to know how to listen and identify possible repercussions that this disease brings to the lives of these individuals and to their mental health. Descriptors: Mental Health; Chronic disease; Elderly; Aging; Feelings; Psychosocial Impact.RESUMEN Objetivo: comprender las concepciones de personas ancianas acerca de las repercusiones de enfermedades crónicas en su salud mental. Método: estudio cualitativo, descriptivo, realizado con 13 personas ancianas con diagnóstico de enfermedades crónicas registradas en una Unidad de Salud de la Familia. Las informaciones fueron recogidas a partir de la aplicación de un formulario de una guía de entrevista semi-estructurada. Se analizaron entrevistas conforme a la técnica de análisis de contenido. Resultados: a partir del análisis de contenido de las descripciones originarias de las entrevistas, surrgieron cuatro categorías temáticas: << Sentimientos relacionados a la enfermedad crónica >>; << Cambios en los hábitos de vida después de descubrir la enfermedad crónica >>; << Dificultad para aceptación de la enfermedad crónica >> y << La búsqueda por la espiritualidad para aceptación de la enfermedad crónica >>. Conclusión: con el alcance del objetivo del estudio, se percibió la necesidad de calificación de los profesionales actuantes de la Atención Básica para asistir el ser anciano, no apenas para la resolutividad de sus demandas en el momento, pero también para saber oir e identificar las posibles repercusiones que esa enfermedad trae para la vida de estos individuos y su salud mental. Descriptores: Salud mental; Enfermedad crónica; Ancianos; Envejecimiento; Sentimientos; Impacto Psicosocial.

scholarly journals ASSOCIAÇÃO ENTRE INSEGURANÇA ALIMENTAR E CONSUMO ALIMENTAR DE IDOSOS ASSISTIDOS POR UMA ESTRATÉGIA DE SAÚDE DA FAMÍLIA DO INTERIOR PAULISTA

2022 ◽  
Vol 13 (2) ◽  
pp. 1-11
Author(s):  
Juliana Santos Bóia ◽  
Vitoria Eduarda Fernandes de Morais ◽  
Aparecido Ignacio Junior ◽  
Sabrina Alves Lenquiste ◽  
Rayana Loch Gomes
Keyword(s):  
Food Insecurity ◽  
Elderly People ◽  
Food Consumption ◽  
Family Health ◽  
The Elderly ◽  
Whole Grains ◽  
Food Frequency ◽  
Health Strategy ◽  
Family Health Strategy ◽  
Skimmed Milk

The aim was to verify the association between food insecurity (FI) and food consumption of elderly people assisted by a Family Health Strategy (FHE). Sixteen elderly people, of both sexes, with a mean age of 69.13 years and BMI of 29.23 kg/m2 were evaluated. The Brazilian Food Insecurity Scale, food frequency questionnaire and 24-hour food recall were used. Weight and height were taken from the patients' records. It was observed that 37.5% of the elderly were in mild AI, 31.25% in moderate AI, 18.75% in severe AI and only 12.5% in food security. Individuals do not consume skimmed milk and have frequent intake of eggs, sausages, margarine, refined cereals, industrialized beverages, sweets and candies. And little or no use of olive oil and whole grains. No significant association between AI and food consumption. It is concluded that there was no association between food insecurity and food consumption in elderly people assisted by an ESF.

scholarly journals Communication between the elderly person and the Family Health Team: is there integrality?

2013 ◽  
Vol 21 (4) ◽  
pp. 884-890 ◽  
Author(s):  
Rita Tereza de Almeida ◽  
Suely Itsuko Ciosak
Keyword(s):  
Elderly People ◽  
Healthcare Professionals ◽  
Elderly Person ◽  
Family Health ◽  
The Elderly ◽  
Communication Process ◽  
Innovative Technology ◽  
Family Health Program ◽  
The Family ◽  
And Control

OBJECTIVE: to verify the forms of communication used in four Primary Health Units with Family Health Program teams in Porto Feliz, São Paulo, and how they impact in the care and control of the health of elderly people. METHOD: this qualitative study sought to capture the communication between elderly people and healthcare professionals. Interviews were conducted with 20 elderly people of both sexes. RESULTS: from the discourses and observations, assertive communication and blocked communication emerged as the central analysis themes, the verbal and nonverbal elements of which, unveiled subjectivity of the communication process, of the local culture and of the psychosocial factors positively and negatively contributing to the healthcare for elderly people. The nursing teams of the Family Health Strategy showed forms of communication that favored the adherence of the elderly people to the care and control of their health. Negatives aspects did not have completely prejudicial consequences, however, should be avoided, in order to facilitate integral care to elderly people. CONCLUSION: it is worth reinforcing the need for improvement of the nursing team and other healthcare professionals regarding health communication as an innovative technology, bringing credibility to the health promotion and prevention programs with elderly users.

scholarly journals Nostalgia and Sentimentality Among Minority Elderly People (Bulgarian Roma People and Hungarians Living in Romania)

2015 ◽  
Vol 8 (1) ◽  
pp. 82-93 ◽  
Author(s):  
Stanislava Stoyanova ◽  
Natali Doseva ◽  
Teodor Gergov ◽  
Emese Virginás-Tar
Keyword(s):  
Elderly People ◽  
Minority Groups ◽  
Oldest Old ◽  
The Elderly ◽  
Term Care ◽  
The Past ◽  
Roma People ◽  
Different Cultures ◽  
Minority People

Nostalgia and sentimentality are very typical for the old age. There are some characteristics that are perceived as typical for the elderly people in the different cultures, such as being dependent, and needing long-term care. There are also some similarities between the population tendencies in Bulgaria and Romania. The simultaneously acceptance in European Union of both countries also suggests the existence of some similar attitudes towards the past among elderly minority people in both countries. The hypothesis of the study was that together with some similarities, the elderly people from both ethnic minorities in the two countries would differ cross-culturally in their sentimentality and nostalgia related to the past. Sentimentality and nostalgia in elderly minority people (26 Roma people in Bulgaria and 21 Hungarians in Romania) were measured by means of a questionnaire created by Gergov & Stoyanova (2013). The results indicated that the Hungarian minority in Romania was more sentimental and nostalgic than the Roma minority in Bulgaria. More thoughts about the past reported the minority young elders than the minority oldest old. The females from the minority groups were more sentimental than the males from the minority groups. Higher sentimentality and nostalgia among elderly Hungarians could be explained by their higher conservatism and more satisfaction with the hystorical past than Roma people. Roma people living in institutions felt a sense of stability in their present and they shared some positive expectations for the future.

scholarly journals Qualidade de vida de idosos com doenças crônicas acompanhados pela Estratégia Saúde da Família

2021 ◽  
Vol 11 (4) ◽  
Author(s):  
Ana Patrícia Firmino ◽  
Andréa Carvalho Araújo Moreira ◽  
Francisco Wellington Dourado Júnior ◽  
Francisca Alanny Rocha Aguiar ◽  
Danielle Rocha Do Val
Keyword(s):  
Quality Of Life ◽  
Chronic Diseases ◽  
Elderly People ◽  
Social Relations ◽  
Family Health ◽  
The Elderly ◽  
Cross Sectional ◽  
Calidad De Vida ◽  
The Family

Objetivo: Descrever a qualidade de vida de idosos com doenças crônicas, acompanhados pela Estratégia Saúde da Família. Método: Estudo descritivo e transversal, realizado com 90 idosos acompanhados pelas equipes de saúde da família de um município do Ceará, Brasil, entre outubro e novembro de 2017. Os dados foram coletados nos domicílios dos idosos utilizando um questionário do perfil social e saúde e instrumentos validados sobre qualidade de vida de idosos, WHOQOL-BREF e WHOQOL-OLD. Para análise dos dados empregou-se estatística descritiva. Resultados: A autoavaliação da qualidade de vida obteve média de 48,75. Verificou-se maior escore para a qualidade de vida de idosos nos domínios das relações sociais (57,98) e intimidade (53,04). Houve menor escore para o domínio “atividades passadas”, presentes e futuras (37,23) e para o domínio meio ambiente (45,45), onde as facetas de maiores prejuízos foram recursos financeiros (35,00) e recreação e lazer (26,07). Conclusão: Idosos com doenças crônicas alcançam níveis medianos de qualidade de vida, sendo as relações sociais e intimidade os domínios que se apresentam com níveis mais satisfatórios, necessitando melhorar aspectos relacionados à assistência social e de saúde mental e física dos idosos.Descritores: Qualidade de Vida; Idosos; Doenças Crônicas.QUALITY OF LIFE OF ELDERLY PEOPLE WITH CHRONIC DISEASES MONITORED BY THE FAMILY HEALTH STRATEGYObjective: To describe the quality of life of elderly people with chronic diseases monitored by the Family Health Strategy. Methods: A descriptive and cross-sectional study, carried out with 90 elderly people monitored by health teams in the city of Ceará, Brazil, between October and November 2017. Data were collected in the homes of the elderly using a questionnaire of social and health profile and validated instruments on quality of life of the elderly, WHOQOL-BREF and WHOQOL-OLD. For data analysis, descriptive statistics is used. Results: An average self-assessment of quality of life of 48.75. There was a higher score in the domain of social relations (57.98) and a lower score in the domain of the environment (45.45) where the facets that point the most damage to the quality of life of the elderly were financial resources (35.00) and recreation and leisure (26.07). The intimacy domain used the highest score (53.04) and the past, present and future activities lowest score (37.23) domain by WHOQOL-OLD. Conclusion: Elderly people with chronic diseases reached average levels of quality of life, with social relationships and domains of intimacy presenting more satisfactory levels, needing to improve aspects related to health care and usage practices Descriptors: Quality of Life; Elderly; Chronic Disease.CALIDAD DE VIDA DE LAS PERSONAS MAYORES CON ENFERMEDADES CRÓNICAS MONITOREADAS POR LA ESTRATEGIA DE SALUD FAMILIARObjetivo: Describir la calidad de vida de las personas mayores con enfermedades crónicas monitoreadas por la Estrategia de Salud Familiar. Método: Estudio descriptivo y transversal, realizado con 90 personas mayores monitoreadas por equipos de salud en la ciudad de Ceará, Brasil, entre octubre y noviembre de 2017. Los datos fueron recolectados en los hogares de ancianos utilizando un cuestionario de perfil social y de salud e instrumentos validados en calidad de vida de los ancianos, WHOQOL-BREF y WHOQOL-OLD. Para el análisis de datos, se utiliza estadística descriptiva. Resultados: Una autoevaluación promedio de calidad de vida de 48.75. Hubo un puntaje más alto en el dominio de las relaciones sociales (57.98) y un puntaje más bajo en el dominio del medio ambiente (45.45) donde las facetas que señalaron el mayor daño a la calidad de vida de los ancianos fueron los recursos financieros (35.00) y recreación y ocio (26.07). El dominio de la intimidad utilizó el puntaje más alto (53.04) y el dominio del puntaje más bajo de las actividades pasadas, presentes y futuras (37.23) por WHOQOL-OLD. Conclusión: Las personas mayores con enfermedades crónicas alcanzaron niveles promedio de calidad de vida, con relaciones sociales y dominios de intimidad que presentan niveles más satisfactorios, que necesitan mejorar aspectos relacionados con la atención médica y las prácticas de uso. Descriptores: Calidad de Vida; Anciano; Enfermedad Crónica.  

Epidemiology of psychiatric disorders in elderly compared with younger adults with learning disabilities

1997 ◽  
Vol 170 (4) ◽  
pp. 375-380 ◽  
Author(s):  
Sally-Ann Cooper
Keyword(s):  
Learning Disabilities ◽  
Elderly People ◽  
Rating Scale ◽  
Psychiatric Morbidity ◽  
Geographical Area ◽  
Psychiatric Epidemiology ◽  
Control Group ◽  
Depression And Anxiety ◽  
Younger Adults ◽  
Adults With Learning Disabilities

BackgroundThe literature regarding psychiatric illness among elderly people with learning disabilities is limited and conflicting because of methodological differences. There have been no recent studies comparing psychiatric epidemiology between younger and older adults with learning disabilities, using the same methodology and definitions.MethodComprehensive psychiatric examination using a semi-structured rating scale was undertaken on everyone with learning disabilities, aged 65 years or over (n= 134), living in a defined geographical area. Comparison was made with a randomly selected control group of adults with learning disabilities aged 20–65 years (n=73) drawn from the same geographical area.ResultsElderly people with learning disabilities have a greater prevalence of psychiatric morbidity than younger controls (68.7v. 47.9%). Rates for depression and anxiety disorders are high, and dementia is common: there are equal rates for schizophrenia/delusional disorders, autism and behaviour disorders in the two groups.ConclusionsThe higher psychiatric morbidity among elderly (compared with younger) people with learning disabilities has not previously received adequate recognition. This warrants further investigation by service planners and clinicians.

scholarly journals Living and health conditions of elderly people over 80

2015 ◽  
Vol 36 (3) ◽  
pp. 42-48 ◽  
Author(s):  
Sabrina Piccinelli Zanchettin Silva ◽  
Maria José Sanches Marin ◽  
Márcia Renata Rodrigues
Keyword(s):  
Elderly People ◽  
Family Income ◽  
Fear Of Falling ◽  
Demographic Data ◽  
Family Health ◽  
The Elderly ◽  
Health Conditions ◽  
Body Regions ◽  
Sharing Responsibility ◽  
Quantitative Descriptive

Objective: This article proposes to describe demographic data and health conditions of elderly people at age 80 or more.Method: Quantitative-descriptive study of 95 elderlies from five units of the Family Health Strategy in the period from September to December 2013, using script with general data of the living conditions and health, including validated scales in geriatrics and gerontology.Results: The average age was 85.4 years. There was a predominance of women. Most were widowers with family income, more frequently between 2 or 3 minimum wages and economic participation is for means of sharing responsibility. They present dependency for many of Daily Living Instrumental Activities and, on average, reported 2.2 diseases. Fear of falling, decreased vision and hearing as well as pain in different body regions are reported.Conclusion: It appears that they have more intense needs than the elderly in general, requiring new ways of organizing their health care.

scholarly journals Hypertensive elderly people: assessing the quality of life

2019 ◽  
Vol 41 ◽  
pp. e44652
Author(s):  
Larissa Cristina Rodrigues Alencar ◽  
Ana Hélia de Lima Sardinha
Keyword(s):  
Quality Of Life ◽  
Elderly People ◽  
Elderly Women ◽  
Family Health ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Catholic Religion ◽  
Family Health Strategy

The objective of the present study was to evaluate the quality of life in hypertensive elderly people assisted in the Family Health Strategy. This is a descriptive, exploratory, cross-sectional study, with quantitative approach. The participants were 544 hypertensive elderly patients. The instruments used for data collection were the sociodemographic form and the WHOQOL-BREF. Regarding the socioeconomic and demographic characteristics of the elderly participants of this study, there was prevalence of elderly women, aged 60-69 years, self-reported white, catholic religion, illiterates, coming from municipalities in the countryside of the state, married/stable union, retired, income of one minimum wage, with children, non-smokers, non-alcohol consumers. Regarding the quality of life, the highest score was obtained in the Social Relationships Domain, followed by the Psychological Domain, Physical Domain and lower score in the Environmental Domain. The results show that the elderly participants presented a good quality of life and, although they have high blood pressure levels, they seek to live as best as possible.

scholarly journals Factors associated with polypharmacy among elderly people receiving care under the family health strategy

2017 ◽  
Vol 20 (4) ◽  
pp. 525-533 ◽  
Author(s):  
Geraldo Marques da Costa ◽  
Maria Liz Cunha de Oliveira ◽  
Maria Rita Carvalho Garbi Novaes
Keyword(s):  
Elderly People ◽  
Antihypertensive Drugs ◽  
Family Health ◽  
The Elderly ◽  
Bivariate Analysis ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Associated ◽  
Health Strategy ◽  
Family Health Strategy

Abstract Objective: to identify the medication profile, the prevalence of polypharmacy and associated factors among elderly people receiving care from Family Health Strategy teams. Method: an analytical, document-based, cross-sectional survey with a quantitative approach was conducted in Brazlândia in the Distrito Federal, Brazil, with a sample of 211 elderly people enrolled in and receiving care from one of the local Family Health Strategy teams. Data were submitted to bivariate analysis and multiple analysis through logistic regression. Results: a considerable number of the elderly (62, 29.4%) were undergoing polypharmacy. The majority (56, 26.5%) used three different classes of drug, with antihypertensive drugs the most used. Diabetes mellitus, cardiovascular complications and the use of antihypertensive drugs were factors associated with polypharmacy. Conclusion: polypharmacy is a worrying reality and demands a new approach on the part of professionals, as this important aspect of geriatrics should be carefully evaluated to avoid harm and iatrogeny among the elderly.

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