Loneliness and Health Service Utilization among the Rural Elderly in Shandong, China: A Cross-Sectional Study

Zhang, Jiao; Xu, Lingzhong; Li, Jiajia; Sun, Long; Ding, Gan; Qin, Wenzhe; Wang, Qian; Zhu, Jing; Yu, Zhongqi; Xie, Su

doi:10.3390/ijerph15071468

Cited by 61 publications

(69 citation statements)

References 27 publications

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“…This area creates traveling difficulties for elderly people and encourages isolation from friends, relatives (who are the most important figures within elderly social networks) and the community. As a result, negative consequences such as loneliness emerge 25 . Another interesting aspect was to the low mean values for the items "Eating" and "Drinking" and the corresponding high fsw values.…”

Section: Discussionmentioning

confidence: 99%

A Nursing Care Intervention Model for Elderly People to Ascertain General Profiles of Functionality and Self Care Needs

Oliveira

Lopes

Fonseca

et al. 2020

Sci Rep

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A core set of International Classification of Functioning, Disability and Health codes was used to ascertain general profiles of functionality as a function of biological and sociodemographic characteristics and to develop structured nursing interventions in accordance with self care deficits identified by studying self care behavior for elderly people living in both extensively and sparsely populated rural areas. Data were collected by health professionals in the participants' houses. An exploratory factor analysis enabled reduced data dimensions, and factorial validity was assessed by a confirmatory factor analysis. An ordinal regression model was built to identify general profiles of functionality as a function of age. A bar graph was used as a measurement tool for nursing care needs as a function of self care behavior and functional profile level. No functional problems were expected among people under the age of 74 years, while mild functionality problems were expected among people older than 74 years. Regarding nursing care needs, the results of the constructed model suggested that the functional concept "Support and Relationships" is associated with higher levels of functional problems and thus a greater need for self care interventions and that people aged 85 years and older always show therapeutic self care deficits.

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Section: Discussionmentioning

confidence: 99%

A Nursing Care Intervention Model for Elderly People to Ascertain General Profiles of Functionality and Self Care Needs

Oliveira

Lopes

Fonseca

et al. 2020

Sci Rep

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“…The multi-stage random sampling was used to choose research subjects. The sampling process and the quality control measures of this survey were described in detail in a previously published paper [45]. Firstly, six counties were selected from 137 counties as the primary sampling units (PSUs) according to per capita gross domestic product (GDP) level and the geographic location of Shandong Province (which was divided into three districts and three counties that represented urban and rural areas, respectively).…”

Section: Study Design and Data Collectionmentioning

confidence: 99%

The Willingness for Downward Referral and Its Influencing Factors: A Cross-Sectional Study among Older Adults in Shandong, China

Jing

Qin

et al. 2020

IJERPH

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Objectives: The aim of this study was to understand the willingness for downward referral among older adults who were hospitalized in the year before the survey and to explore its influencing factors. Methods: The sample was randomly selected by the multi-stage sampling method. A structural questionnaire was used to collect data from participants age 60 and above in Shandong, China, during August 2017. Data were analyzed by using descriptive statistics, one-way ANOVA, chi-square test, and multinomial logistic regression. Results: Of 1198 participants who were hospitalized in the year before the survey, 28.7% self-initiated downward referral, and 33.9% were willing to accept downward referral after a doctor’s advice. Multinomial logistic regression results showed that self-rated health, treatment effect in primary medical institutions, preference for outpatient service, choice of inpatient service, general understanding of essential medicines, the cost of essential medicines after zero-markup policy, and satisfaction with essential medicines’ reimbursement policy significantly correlated with older adults’ willingness for downward referral. Conclusions: The proportion of older adults who self-initiated downward referral was less than one-third. Doctors’ advice plays an important role in willingness for downward referral. More attention should be paid to improving the treatment effect of primary medical institutions, increasing the benefits of zero-markup policy, and ensuring a high reimbursement for the downward referral to work alongside doctors’ advice.

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“…Data were collected from the 2017 Survey of the Shandong Elderly Family Health Service, which was conducted by Shandong University [35,36]. The survey samples were extracted by multi-stage random sampling method.…”

Section: Data and Samplingmentioning

confidence: 99%

Gender Difference in General Self-Efficacy among Young-Old Elderly Aged 60–74 in Rural Shandong China: A Cross-Sectional Survey

Wang

Qin

et al. 2019

IJERPH

Self Cite

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Objective: This study aims to explore the determinants of general self-efficacy (GSE) among young-old elderly, with focus on examining the gender difference of general self-efficacy. Methods: Data were collected from the 2017 Survey of the Shandong Elderly Family Health Service, which was conducted by Shandong University. T-test was used to examine the gender difference in GSE. Univariate models and adjusted multiple linear regression model were used to explore the determinants of GSE by gender. Results: The females’ GSE score was lower than that of male participants (26.1 ± 8.1 vs. 28.7 ± 7.7), and there was a significant gender difference (t = 10.877, p < 0.001). Multiple linear regression model showed that some factors are common significant determinants of GSE such as age, education level, activity of daily living (ADL), self-rated health, mental health, personality, and whether participants have intimate friends and interpersonal relationships. Hypertension and frequent communication with children were specific determinants of GSE among male young-old. Personal income was a specific determinant of female participants. Conclusion: Some influencing factors of GSE in both genders are identical, the others are different. More attention should be paid for the poor young-old females, young-old males with hypertension, and disabled young-old people.

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Loneliness and Health Service Utilization among the Rural Elderly in Shandong, China: A Cross-Sectional Study

Cited by 61 publications

References 27 publications

A Nursing Care Intervention Model for Elderly People to Ascertain General Profiles of Functionality and Self Care Needs

A Nursing Care Intervention Model for Elderly People to Ascertain General Profiles of Functionality and Self Care Needs

The Willingness for Downward Referral and Its Influencing Factors: A Cross-Sectional Study among Older Adults in Shandong, China

Gender Difference in General Self-Efficacy among Young-Old Elderly Aged 60–74 in Rural Shandong China: A Cross-Sectional Survey

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