Characteristics of the institutionalized and community-residing oldest-old in China

Gu, Danan; Dupre, Matthew E.; Liu, Guangya

doi:10.1016/j.socscimed.2006.10.026

Cited by 115 publications

(113 citation statements)

References 39 publications

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“…17,18 The existence of significant differences in some sociodemographic characteristics and sensorial, functional and cognitive status reinforces the heterogeneity of the older population, even in the oldest subgroup (centenarians). Gender differences on life expectancy (higher for women) are commonly cited in the literature [19][20][21] and corroborated by the preponderance of females in our study.…”

Section: Discussionsupporting

confidence: 90%

Functional, Sensorial, Mobility and Communication Difficulties in the Portuguese Oldest Old (80+)

2017

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RESUMOIntrodução: O envelhecimento da população é evidente na maioria dos países desenvolvidos, e o grupo dos muito idosos é um dos segmentos da população com mais rápido crescimento. O objetivo deste estudo é analisar as características sociodemográficas e de saúde dos muito idosos portugueses, usando uma abordagem baseada nos dados dos censos populacionais. Material e Métodos: Foi conduzido um estudo descritivo considerando todos os residentes com 80 ou mais anos à data dos Censos 2011 (n = 532 219). Os dados dos questionários dos Censos acerca das características sociodemográficas, funções sensoriais (visão, audição), estado funcional (andar/subir degraus, tomar banho/vestir-se sozinho), cognição (memória/concentração) e comunicação (compreender os outros/fazer-se entender) foram analisados. Resultados: Os resultados revelaram que a maioria dos muito idosos são mulheres (64,5%), viúvos (53,9%), analfabetos (46,1%) e vivem em contexto domiciliar (88,8%). Andar/subir degraus (57,1%), visão (39,1%) e audição (35,1%) foram as dimensões onde os muito idosos apresentavam maiores constrangimentos. Em paralelo, compreender os outros/fazer-se entender (25,9%) e memória/ concentração (34,4%) foram as dimensões com percentagens mais baixas de dificuldade. Foram encontradas diferenças significativas entre a população octogenária/nonagenária e a população centenária para a visão, andar/subir escadas, e tomar banho/vestir-se sozinho, com os centenários a apresentarem uma maior percentagem de dificuldade. Discussão: Os muito idosos portugueses apresentam dificuldades significativas nas atividades de vida diária, contudo, as capacidades cognitivas e de comunicação parecem ser comummente mantidas. Em conjunto, estes resultados sugerem a necessidade de assistência funcional, mas que pode ser, em última instância, gerida pelo próprio idoso. Conclusão: Considerando as diferenças observadas entre os centenários e os idosos mais jovens, devem ser equacionadas intervenções capazes de responder às necessidades potencialmente específicas de cada grupo. Palavras-chave: Actividades da Vida Diária; Avaliação da Deficiência; Censo; Demografia; Idoso, 80 anos e mais; Idoso Fragilizado; Portugal ABSTRACT Introduction:The ageing of populations is evident in most developed countries, and the oldest old group is one of the segments with the fastest growing. The aim of this paper is to examine sociodemographic and health related characteristics of the portuguese oldest old, using a census-based approach. Material and Methods:A descriptive study considering all residents aged 80 years and older at the time of the 2011 Census (n = 532 219) was conducted. Information on sociodemographic characteristics, sensory functions (seeing, hearing), functional status (walking/climbing stairs, bathing/dressing alone), cognition (memory/concentration), and communication (understanding others/being understood) as assessed by the Portuguese census official questionnaires were analyzed. Results: Findings revealed that most of the oldest old are women (64.5%), w...

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Section: Discussionsupporting

confidence: 90%

Functional, Sensorial, Mobility and Communication Difficulties in the Portuguese Oldest Old (80+)

2017

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“…Institutionalization is normally viewed as a failure to achieve the Confucian ideal of filial piety. Consequently, only those Three-No elders (no children/relatives, no income, and no physical ability to work) are likely to enter institutions, although a shift in institutionalization to non-Three-No elders has been reported since the 1990s (Chen 1996;Gu et al 2007;Zhan et al 2006a). Thus culture, and not just resources, play a critical role in determining living arrangements at older ages in countries with Confucian cultures (Gu and Vlosky 2008;Ogawa and Retherford 1997).…”

Section: Living Arrangements Of Older Adults In Chinamentioning

confidence: 99%

Living Arrangement Concordance and its Association with Self-Rated Health Among Institutionalized and Community-Residing Older Adults in China

Sereny

2011

J Cross Cult Gerontol

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Although many studies look at the relationship between living arrangement and health among older adults, very little research takes seniors' preferred living arrangements into account. This paper uses data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS) to examine what factors are associated with concordance between actual and preferred living arrangements for both institutionalized and community-residing Chinese seniors, and to investigate associations between living arrangement concordance and self-rated health. Our analyses show that economic independence is negatively associated with living arrangement concordance among institutionalized older adults (net of other factors), while being older, female, minority ethnicity, having higher SES, and being unmarried are positively associated with living arrangement concordance among community-residing seniors. For both institutionalized and community-residing older adults, living arrangement concordance increases the likelihood of rating self-rated health as good, with concordance having a greater impact on health for institutionalized elders (odds-ratios of 1.67-1.93) than for community-residing elders (odds-ratios of 1.12).

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“…Studies from Asia with institutionalised as well as community-dwelling participants in the study sample were included in this systematic review. Social factors, such as proximity to children, marital status, financial dependence and access to residential care facilities (particularly in rural areas), were key determinants of institutionalisation in China and Hong Kong around the time that population surveys were conducted (i.e., the early 1990s to 2000s) (Gu et al, 2007;Wan et al, 2008;Woo et al, 1994;Woo et al, 2000). This is in contrast to Western countries, where poor health and functional dependence were likely to be more important factors.…”

mentioning

confidence: 99%

Sex differences in frailty: A systematic review and meta-analysis

Gordon

Peel

Samanta

et al. 2017

Experimental Gerontology

491

269

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Characteristics of the institutionalized and community-residing oldest-old in China

Cited by 115 publications

References 39 publications

Functional, Sensorial, Mobility and Communication Difficulties in the Portuguese Oldest Old (80+)

Functional, Sensorial, Mobility and Communication Difficulties in the Portuguese Oldest Old (80+)

Living Arrangement Concordance and its Association with Self-Rated Health Among Institutionalized and Community-Residing Older Adults in China

Sex differences in frailty: A systematic review and meta-analysis

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