Effects of Chronic Comorbidity on Psychological Well-being Among Older Persons in Northern Peninsular Malaysia

Momtaz, Yadollah Abolfathi; Hamid, Tengku Aizan; Yahaya, Nurizan; Ibrahim, Rahimah

doi:10.1007/s11482-010-9098-2

Cited by 20 publications

(13 citation statements)

References 25 publications

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“… 11 , 17 , 40 Multiple studies have found that people in low socioeconomic status and poor living conditions are more susceptible to acquiring chronic medical conditions and poorer health status. 18 , 41 In parallel with previous studies, 23 , 27 older women reported higher rates of past history of hypertension, diabetes mellitus, and depression, which might be associated with increased incidence of stroke. 42 – 44 Older women are more vulnerable to social risk factors for depression than men.…”

Section: Discussionsupporting

confidence: 75%

Sex differences in stroke: a socioeconomic perspective

Delbari

Keyghobadi

Momtaz

et al. 2016

CIA

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BackgroundA number of studies have explored the issue of sex differences in stroke from biomedical perspective; however, there are still large gaps in the existing knowledge. The purpose of this study was to assess whether the differences in socioeconomic status and living conditions between men and women may explain the part of the sex differences in incidence and outcomes of stroke.MethodsAll stroke participants aged ≥60 years admitted in Vaseie Hospital in Sabzevar, Iran, from March 21, 2013, until March 20, 2014, were included in this study. Computerized tomography and magnetic resonance imaging were used to confirm stroke. A series of χ2 tests were performed and Statistical Program for Social Sciences, Version 21.0, was used to investigate the potential differences between older men and women in stroke incidence and outcomes.ResultsA total of 159 incident stroke cases were documented during 1 year. The annual rate of stroke was statistically significantly higher in elderly women than in elderly men (401 vs 357 per 100,000; P<0.001). Female elderly participants had significantly lower socioeconomic status, poorer living conditions, and higher lifetime history of depression, hypertension, and diabetes mellitus than their male counterparts.ConclusionThe findings from this study showed that elderly women are more adversely affected by stroke in terms of incidence and outcomes of stroke than elderly men. The most noticeable result is that sex differences in socioeconomic status and living conditions may result in increased incidence of stroke and poorer outcomes in elderly women. Therefore, it is imperative to identify vulnerable elderly women and provide them appropriate treatment and services.

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Section: Discussionsupporting

confidence: 75%

Sex differences in stroke: a socioeconomic perspective

Delbari

Keyghobadi

Momtaz

et al. 2016

CIA

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“…A higher score indicates a higher level of psychological well‐being 49 . This scale has already been found to be a valid measure of psychological well‐being in older Malaysians 51 . Cronbach's α, the most common measure of reliability, for this scale was 0.84.…”

Section: Methodsmentioning

confidence: 80%

Moderating effect of Islamic religiosity on the relationship between chronic medical conditions and psychological well‐being among elderly Malays

Momtaz¹,

Hamid²,

Ibrahim³

et al. 2011

Psychogeriatrics

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Background: Research has found that physical health decline in later life is associated with poor psychological well-being. This study aimed to examine the possible moderating effect of Islamic religiosity on the relationship between chronic medical conditions and psychological well-being. Methods: The sample for this study consisted of 1415 elderly Malay Muslims. It was obtained from a cross-sectional survey entitled 'Patterns of Social Relationship and Psychological Well-Being among Older Persons in Peninsular Malaysia', which conducted from 2007 to 2009, using a multistage stratified sampling procedure. Data collection was performed through face-to-face interviews. A four-step moderated hierarchical regression analysis using SPSS software for Windows and the 'ModGraph-2' software program was used to test the hypothesis. Results: Results of bivariate analysis showed, at certain levels of chronic medical conditions, older persons with a high level of religiosity reported significantly higher levels of psychological well-being compared to their counterparts with a low level of religiosity. Four-step moderated hierarchical regression analysis revealed that the negative effect of chronic medical conditions on psychological well-being is reduced by both personal and social religiosity (b = 0.07, P Յ 0.01), after controlling for selected sociodemographic factors. Conclusion: Taken together, these findings indicate that the depressogenic effect of physical illness is decreased by religiosity in chronically ill elderly people. The implications and limitations of the current study are discussed and recommendations for future research are proposed.

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“…Across the public health, social epidemiology, psychology, quality of life and health economics literature, there has been a steady growth of interest in studying chronic illnesses and their negative effect on individual well-being in different countries (Fortin et al 2004;Garin et al 2016;Kaneva et al 2018;Mavaddat et al 2014;McDaid et al 2013;Momtaz et al 2010). Besides a strand within this literature which confirms the intuitive idea that experiencing multiple illnesses is worse for individual well-being than having a single illness (Arokiasamy et al 2015;Kaneva et al 2018;McDaid et al 2013;Mavaddat et al 2014;Momtaz et al 2010), there is a separate body of literature emerging which investigates whether and how internal mechanisms of adaptation and adjustment may complicate the relationship between objective and subjective quality of life measures at the level of the individual (Salas and Vigorito 2019). Studies of individuals living with chronic NCDs (Cubí-Mollá et al 2017;Mathew et al 2012;McTaggard-Cowan et al 2011), experiencing persistent pain (McNamee and Mendolia 2014) or coping with disability (Antonak and Livneh 1995;Brickman and Coates 1978;Oswald and Powdthavee 2008) suggest that individuals are able to adapt to their circumstances in ways which attenuate the potential cumulative effect of multiple chronic illnesses.…”

Section: Introductionmentioning

confidence: 99%

Adapting to the Challenges of Chronic Non-communicable Diseases: Evidence from Russia

Gerry

Kaneva

2020

Applied Research Quality Life

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As life expectancies increase and healthcare improves, increasing numbers of the population can expect to live with combinations of two or more chronic noncommunicable diseases (NCDs). Population studies suggest that more than half of older-aged adults report having multiple chronic NCDs (multimorbidities) and twothirds of total health spending in high-income countries is accounted for by patients with multimorbidities. Beyond the need to obviate the growing burden on healthcare systems, the increasing incidence and prevalence of multimorbidity and its effects requires further investigation. Using nationally representative data from a Russian population survey, we examine the impact of chronic NCDs on self-assessed health, explore the prevalence of multimorbidity and, applying an iterative partial proportional odds estimator, examine how different combinations of chronic NCDs interact to influence self-assessed health. Confirming that there are high levels of chronic NCDs and associated multimorbidities, we find that the impact of these on self-assessed health is greater than previous estimates suggested but that, where there are dual morbidities, the effect of the additional disease is weaker than it would have been if experienced as a single condition. We conclude that individuals possess critical adaptive psychological mechanisms which attenuate the incremental health impact of additional chronic NCDs. These are important for understanding the relationship between illness and the quality of life.

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Effects of Chronic Comorbidity on Psychological Well-being Among Older Persons in Northern Peninsular Malaysia

Cited by 20 publications

References 25 publications

Sex differences in stroke: a socioeconomic perspective

Sex differences in stroke: a socioeconomic perspective

Moderating effect of Islamic religiosity on the relationship between chronic medical conditions and psychological well‐being among elderly Malays

Adapting to the Challenges of Chronic Non-communicable Diseases: Evidence from Russia

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