Personal and social determinants of health services utilization by Mexican older people

Córdova, María Isabel Peñarrieta de; Mier, Nelda; Curi, Ethel Jannet Mercado; Gómez, Tranquilina Gutiérrez; Quirarte, Nora Hilda Gonzales; Barrios, Florabel Flores

doi:10.1111/j.1748-3743.2009.00193.x

Cited by 7 publications

(8 citation statements)

References 13 publications

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“…21,22 However, with advancing age, gender differences in the demand for health services decrease due to the emergence of chronic diseases in both genders, thereby increasing vulnerability. 23 Corroborating the results of this study, some studies has shown that, regarding physical activities, one of the more important fall prevention practices, the proportion of older adult men who perform this is greater than that of older adult women. 24,25 During the aging process women tend to reduce the practice of physical activities that promote muscle growth.…”

Section: Discussionsupporting

confidence: 68%

Factors associated with fall prevention practices in older adults

Gaspar¹,

Azevedo²,

Reiners³

et al. 2017

Escola Anna Nery - Revista De Enfermagem

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Objective: To analyze the prevalence of fall prevention practices in older adults and the associated factors. Methods: A cross-sectional, analytical study with 557 older adults that were attending family health units. Data were collected using structured interviews. The dependent variable was the fall prevention practice. The associations were estimated through Poisson regression with robust variation. Results: The prevalence of fall prevention practices was 35.7%. After adjustments, the variables associated with the outcome were: gender (p = 0.003), very good/good self-assessment of health (p = 0.035), regular self-assessment of health (p = 0.012) and education (p = 0.039). Conclusion: The prevalence of fall prevention practices found was higher among older adult men with self-reported very good/good and regular health and with 5 or more years of study. This study contributes to assist the nurse in the planning of interventions to prevent falls in older adults. resumen Objetivo: Analizar la prevalencia de prácticas preventivas de caídas en ancianos, y los factores asociados. Métodos: Estudio transversal con 557 ancianos atendidos en las Unidades de Salud de la Familia. El muestreo fue probabilística estratificada proporcional. Los datos fueron colectados por medio de entrevista. La variable dependiente es la práctica preventiva de caída.Las asociaciones fueron estimadas por medio de la regresión de Poisson con variancia robusta. Resultados: La prevalencia de prácticas preventivas de caídas fue del 35,7%. Después de los ajustes, las variables que se asociaron al término fueron: género (p = 0,003); autoevaluación de salud excelente/buena (p = 0,035), regular (p = 0,012); y escolaridad (p = 0,039). Conclusión: La prevalencia de prácticas preventivas encontradas fue mayor entre los ancianos del sexo masculino, con autoevaluación de salud excelente/buena y regular, y con cinco años de estudio o más. Esta investigación contribuye en la planificación de intervenciones del enfermero para la prevención de caídas en los ancianos.Palabras clave: Accidentes por caídas; Prevención de Accidentes; Prevención de enfermedades; Acceptación de la atención de salud. EEAN.edu.br 2

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Section: Discussionsupporting

confidence: 68%

Factors associated with fall prevention practices in older adults

Gaspar¹,

Azevedo²,

Reiners³

et al. 2017

Escola Anna Nery - Revista De Enfermagem

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“…Subsequently, all countries need to be prepared to address the consequences of the demographic trends associated with aging populations. Worldwide, the increasing health care demand of older persons requires a better understanding of factors influencing health care service utilization patterns [3]. In several parts of the developing world, primary health care (PHC) use is inadequately understood [4].…”

Section: Introductionmentioning

confidence: 99%

A Cross-Sectional Study to Examine Factors Associated with Primary Health Care Service Utilization among Older Adults in the Irbid Governorate of Jordan

Alkhawaldeh

Holm

Qaddumi

et al. 2014

Current Gerontology and Geriatrics Research

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Background. Recently, the percentage of older adults in developing countries has increased significantly. Objective. This study examined patterns and factors associated with primary health care services utilization in the past 1, 6, and 12 months. Method. A cross-sectional study design was used to collect data from 190 older adults in the Irbid governorate of Jordan. Results. Primary health care services were used by less than half of the participants in the past 1 month, by 68.4% in the past 6 months, and by 73.8% in the past 12 months. Primary health care (PHC) services use was associated with age, education level, tobacco use, chronic illnesses, perceived general health status today, a physical component summary score, employment, and perceived general health status in the past 6 and 12 months. The primary predictor of PHC services use at 1, 6, and 12 months was chronic illnesses (OR = 13.32), (OR = 19.63), and (OR = 17.91), respectively. Conclusion. Although many factors were associated with PHC service utilization, the strongest predictor of PHC service utilization was chronic illnesses.

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“…Other authors found a negative association between health and healthcare utilization [72,73,74,75,76,77]. These discrepancies may be related to health-status measurements and disability-related conditions among samples.…”

Section: Discussionmentioning

confidence: 89%

Relative Association of Multi-Level Supportive Environments on Poor Health among Older Adults

Mier

Ory

Towne

et al. 2017

IJERPH

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Background: The aging of the United States population poses significant challenges to American healthcare and informal caregiving systems. Additional research is needed to understand how health promotion programs and policies based on a socio-ecological perspective impact the health and well-being of older persons. The purpose of this study was to investigate personal characteristics and supportive environments associated with poor health among older individuals aged 65 and over. Methods: This study used a cross-sectional design and was guided by a conceptual framework developed by the authors to depict the relationship between personal characteristics and environments associated with poor health status. Environment types included in this study were family, home, financial, neighborhood, and healthcare. The sample was comprised of 1319 adults aged 65 years and older residing in Central Texas. From a random selection of households, participants were administered a mail-based survey created by a community collaborative effort. Descriptive statistics and three binary logistic regression models were fitted to examine associations with poor health status (i.e., physical, mental, and combined physical/mental). Results: Two personal characteristics (number of chronic conditions and educational level) were consistently related (p < 0.05) to health outcomes. Supportive family, home, financial, neighborhood, and health care environmental factors were shown to be related (p < 0.05) to various aspects of physical or mental health outcomes. Conclusions: Multidimensional factors including personal characteristics and protective environments are related to health status among older individuals. The unique roles of each environment can help inform public health interventions to create and enhance support for older adults to engage in healthful activities and improve their physical and mental health.

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Personal and social determinants of health services utilization by Mexican older people

Abstract: Predisposing, enabling and need factors are strong predictors of health services utilization among Mexican older persons. In addition, gender differences exist among this population in relation to health status, but not to health services demands.

Cited by 7 publications

References 13 publications

Factors associated with fall prevention practices in older adults

Factors associated with fall prevention practices in older adults

A Cross-Sectional Study to Examine Factors Associated with Primary Health Care Service Utilization among Older Adults in the Irbid Governorate of Jordan

Relative Association of Multi-Level Supportive Environments on Poor Health among Older Adults

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