Objectives The world’s population is aging rapidly and a huge amount of services are being provided to meet the needs of the older people. Identifying the factors affecting the non-attendance of the older people to health care centres is of particular importance. We focused on the reasons why older people do not use the services of the integrated aging program in Iran from the perspective of the older people, general practitioners, and primary health providers. Methods A qualitative study in Ghaemshahr (IRAN) carried out during 2021. Data were collected through semi-structured interviews in two groups with the participation of 29 older adults and 18 employees of the health centres Purposeful sampling and sample size were determined based on data saturation. Data were analyzed manually using conventional content analysis. Results Potential barriers to and challenges of older adults were generally categorized into four main themes including individual, systemic-structural, environmental, and social factors. Conclusions Both groups agreed on many aspects, including lack of education of the patients and lack of proper medical services. Existing problems in health care relate to both medical and non-medical factors. Improvement in health care delivery requires a deliberate focus on the patients’ specific needs.

Introduction: Elder abuse is a major public health concern worldwide. Considering the high prevalence of misbehavior towards the elderly, this study investigated the prevalence of elder abuse and its related factors among the elderly people in Yasouj, Iran in 2021.   Methods: Using a convenience sampling method, this cross-sectional study included 299 older adults aged over 60 years referring to the Social Security Outpatient Clinic in Yasouj. To collect data, we used the Domestic Elder Abuse Questionnaire. To analyze the data, chi-square and multiple logistic regression statistical tests were used.   Results: Of the participants, 55.2 % reported at least one type of misbehavior. While psychological misbehavior had the highest prevalence (41.8 %), rejection had the lowest prevalence (10.7 %). Multiple regression analysis showed that elder abuse was statistically associated with higher educational status (p = 0.002), lower economic status (p = 0.002), and single people reported a higher rate of elder abuse (p = 0.001).   Conclusion: According to our results, more than half of the participants reported at least one type of elder abuse, and psychological abuse was the most common type of abuse experienced by the elderly. Since elder abuse can have serious effects on the health and well-being of the elderly, it is critical to identify the related risk factors. Furthermore, it is essential to implement screening programs to increase the awareness of the elderly and caregivers.

Background and Purpose: Oral health is a critical factor in the quality of life (QoL) of older adults in relation to their nutrition, mental health, and healthy social relationships. This study aimed to investigate oral problems and psychological status of older adults referred to a hospital and its relationship with cognition status, stress, anxiety, and depression. Materials and Methods: This cross-sectional study was conducted among 300 older adults referred to Shahid Beheshti Hospital in Shiraz City, Iran. The “Depression, Anxiety, Stress Scale”, the “Abbreviated Mental Test score”, and the “General Oral Health Assessment Index” were used to collect the required data. The Pearson correlation and multiple linear regression statistical tests were used to analyze the data in SPSS v. 26. P less than 0.05 were considered significant. Results: The Mean±SD age of the participants was 70.1±4.6 years. Their mean±SD score of oral health was 44.83±3.91, and the mean±SD cognitive status was 9.28±0.9. The results of correlation analysis revealed a significant relationship between the dimensions of mental health (cognitive status, stress, anxiety, depression) and oral health (P<0.05). According to the multiple linear regression model, there was a significant relationship between oral health and cognitive status (P=0.002) and between oral health and stress (P=0.015). Conclusion: The study’s results showed a correlation between mental health and oral health. Thus, one of the ways to improve the mental health of the elderly is to provide appropriate and timely dental intervention.