Self-reported Seasonal Symptoms and Diseases and Primary Healthcare Utilization Among Rural Elderly Women in Sylhet District, Bangladesh

Hamiduzzaman, Mohammad

doi:10.7888/juoeh.42.175

Cited by 10 publications

(5 citation statements)

References 19 publications

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“…Many young and young adults in Bangladesh have a smoking habit that contributes to frailty as they grow older leading to a chronic condition, which is consistent with the ndings in other low-and lower-middle-income countries [18,35]. Health conditions becomes severe for the older adults who are in poor living circumstances including limited healthcare services and home care [36,37,38].…”

Section: Discussionsupporting

confidence: 61%

Frailty Indexed Classification of Bangladeshi Older Adults' Physio-psychosocial Health and Associated Risk Factors: A Cross-sectional Survey Study

Rahman¹,

Hamiduzzaman

Akter

et al. 2020

Preprint

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Background: Frailty is associated with healthy ageing, and it has been identified as a means of measuring older adults’ physio-psychosocial health. This is true that we know about the ageing trends and common diseases of older adults living in low- and lower-middle-income countries, but literature to date does not widely feature their health status based on frailty. This study aims to understand the prevalence of frailty in Bangladeshi older adults; classify their health status; and investigate associated risk factors.Methods: A cross-sectional study was conducted in north-eastern region [i.e. Sylhet City Corporation] of Bangladesh. Four hundred participants aged 55 years and over were randomly selected who are ageing-in-place in the community. These participants attended in a person-centered health assessment session and completed a multi-indicator survey questionnaire. We used a 30-indicators Frailty Index to categorize their health status into: good health [no-frail]; slightly poor health [least frail]; poor health [moderately frail]; and very poor health [frailest]. A chi-square test and binary logistic regression analysis were conducted.Results: The participants’ mean age was 63.6 years, and 74% of them were assessed in poor to very poor health [(moderately frail/65% - frailest/9%). The age, marital status, occupation and religion of the participants were significantly associated with frailty. The oldest aged, female, illiterate and Muslim participants were found frailer than their counterparts. Participants aged 70 years and above were 3.18 times more likely to experience frailty [medical conditions] than the pre-elderly age group (55-59 years) and female participants were 1.8 times more vulnerable to medical conditions than male. Also, the older adults living alone and staying at home without regular job were at higher risk of frailty [poor health] than others.Conclusions: Our study results confirm the prevalence of frailty-related disorders in Bangladeshi older adults and highlight the importance of targeted clinical and community-led preventive care programs.

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Section: Discussionsupporting

confidence: 61%

Frailty Indexed Classification of Bangladeshi Older Adults' Physio-psychosocial Health and Associated Risk Factors: A Cross-sectional Survey Study

Rahman¹,

Hamiduzzaman

Akter

et al. 2020

Preprint

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“…These programs can strengthen support structures for older women with multimorbidity to navigate and access hospital care. These women may also experience competing pressures from health staff because of their negative approach and marginalisation in health decision making [42]. Increasing professional responsibility and empathy among staff for patients can improve the quality of clinical consultancy, ensuring older women with multimorbidity receive the full benefit of more positive aspects of service provider-client relationships.…”

Section: Discussionmentioning

confidence: 99%

Aging, care and dependency in multimorbidity: how do relationships affect older Bangladeshi women’s use of homecare and health services?

Hamiduzzaman

Torres

Fletcher

et al. 2021

Journal of Women & Aging

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“…The capacity and performance of clinics and hospitals in the management of care for rural senior women can be explained within the dimension of institutionalized care (Hamiduzzaman et al, 2020a , 2020b ; Princeton, 2015 ). The determinants, according to the women, of inadequate access to medical care; a lack of geriatric services, staff, equipment and medications; and lengthy waiting periods when seeking care are critical issues.…”

Section: Discussionmentioning

confidence: 99%

“…According to Stewart ( 2011 ) and Strasser et al ( 2016 ), clinicians require sound medical knowledge about physiology, pathology, treatment options and professional ethics prior to the provision of geriatric care. Literature indicates that clinicians, especially in rural villages of low-income countries, have a lack of professional competency in providing care to senior patients (Ahmed et al, 2011 ; Hamiduzzaman et al, 2020 , 2020 ; Scott et al, 2016 ). This inadequate knowledge among healthcare staff and a lack of opportunity for geriatric education and training is indicated in other studies (Princeton, 2015 ; Terraneo, 2015 ).…”

Section: Discussionmentioning

confidence: 99%

“…legal framework) (Habermas, 1984(Habermas, , 1989Honneth, 2001Honneth, , 2007. The healthcare sphere consists of two dimensions namely: (a) the institutionalization of care; and (ii) the rights of rural senior women and the responsibilities of healthcare staff (Hamiduzzaman, 2018(Hamiduzzaman, , 2020(Hamiduzzaman, , 2020. The first dimension of institutionalized care consists of various components such as legal factors, the availability of healthcare services and the management of care in hospital settings.…”

Section: Methodsmentioning

confidence: 99%

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Exploring the System Determinants Associated with Senior Women’s Access to Medical Care in Rural Bangladesh

2021

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Senior women’s access to medical care in rural Bangladesh is a major public health concern. This study aims to explore the system determinants that impact on rural senior women’s utilization of healthcare. Following a qualitative critical social research design, healthcare staff and senior women living in three rural villages of Bangladesh were approached to participate in face-to-face audio-recorded interviews. A total of 11 staff and 25 senior women were interviewed with questions about health policy, healthcare services and management of aged care. Data was analyzed using a blend of critical discourse and thematic analysis methods. Several healthcare system determinants were identified that were complex and cross-sectional. Three major themes emerged from the system determinants: legal framework of aged care; inadequate healthcare support; and professional knowledge and skills of healthcare staff that led the rural senior women to avoid or delay access to hospitals and clinics. The findings revealed that a lack of health focus and professional skills among healthcare staff can be considered as critical. This study recommends that policy and organizational changes are made to improve the women’s access to rural hospitals and clinics in Bangladesh.

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Self-reported Seasonal Symptoms and Diseases and Primary Healthcare Utilization Among Rural Elderly Women in Sylhet District, Bangladesh

Cited by 10 publications

References 19 publications

Frailty Indexed Classification of Bangladeshi Older Adults' Physio-psychosocial Health and Associated Risk Factors: A Cross-sectional Survey Study

Frailty Indexed Classification of Bangladeshi Older Adults' Physio-psychosocial Health and Associated Risk Factors: A Cross-sectional Survey Study

Aging, care and dependency in multimorbidity: how do relationships affect older Bangladeshi women’s use of homecare and health services?

Exploring the System Determinants Associated with Senior Women’s Access to Medical Care in Rural Bangladesh

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