Factors Influencing Instrumental Activities of Daily Living (Iadl) Disability Among Elderly Attending Health Clinics in Kelantan

Ismail, Nur Raihan; Hamid, Anees Abdul; Razak, Asrenee Ab; Hamid, Noor Aman

doi:10.55230/mabjournal.v50i2.2015

Cited by 4 publications

(4 citation statements)

References 35 publications

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“…Compared to previous studies, in Poland, the elderly aged 65 years and above reported 42.4% of disability in IADL (Ćwirlej-Sozańska et al, 2019). In Malaysia, the elderly aged 70 and above are 3.52 more likely to experience functional disability in IADL (Ismail et al, 2021). The finding of this current study is also in line with previous studies that age is a determinant factor for disability in IADL (Yau et al, 2022).…”

Section: Discussionsupporting

confidence: 86%

“…Although prevalence rates are different between studies, our current study and previous studies in Ireland, Poland, and Germany indicated similarity in terms of advancing age and its association with disability in IADL (Beltz et al, 2022;Ćwirlej-Sozańska et al, 2019;Ismail et al, 2021;Tornero-Quiñones et al, 2020). Our logistic regression indicated that the elderly aged 75 years and above were 4.602 times more likely to experience disability in IADL than those aged below 75.…”

Section: Discussionsupporting

confidence: 58%

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Determinant of functional disability in instrumental activities of daily living among elderly living in a rural area in Bali: a crosssectional study

Suyasa¹,

Sutini²,

Kamaryati³

et al. 2023

J. Ners

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Introduction: Little do we understand about factors associated with functional disability in instrumental activities of daily living among the elderly living at home. This study aimed to explore the prevalence and determinant factors of functional disability in instrumental activities of daily living (IADL) among the elderly living in a rural area in Bali. Method: Using a cross-sectional design, 1,053 elderly aged 60 years and above living in a rural area in Bali were recruited. A structured interview by trained data collectors was conducted. Questionnaires used were the Lawton IADL Scale, the 5-item of Geriatric Depression Scale, and the adoption of questionnaires for vision, hearing, and communication problems from the Washington Group Short Set of Questions on Disability. A logistic regression model was applied to explore determinant factors. Results: Findings indicated that 26.1% of participants aged 75+ and 52.3% were female. Eight percent (8%) experienced functional disability in IADL, 1.9% lived alone, 11.8% indicated depression, 5.1%, 4.7%, and 1.6% of them had vision loss, hearing impairment, and communication problems, respectively. The strongest determinant factor for functional disability in IADL was depression (OR 7.869; 95% CI 4.657-13.296), followed by age (OR 4.602; 95% CI 2.764-7.663), and hearing impairment (OR 2.903; 95% CI 1.190-7.083). Conclusions: Depression is the strongest determinant factor for functional disability in IADL. Health professionals in rural areas should actively screen for depression to increase the ability of the elderly to fulfill their IADLs. Keywords: aged, depression, epidemiology, Indonesia

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Section: Discussionsupporting

confidence: 86%

Section: Discussionsupporting

confidence: 58%

Determinant of functional disability in instrumental activities of daily living among elderly living in a rural area in Bali: a crosssectional study

Suyasa¹,

Sutini²,

Kamaryati³

et al. 2023

J. Ners

View full text Add to dashboard Cite

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“…The Duke Social Support Index (M-DSSI), a validated Malay language interviewer-administered questionnaire of 11 items, was used for assessing social support among the elderly [ 22 ]. The M-DSSI was chosen for this study because it was a short-scale tool used for the elderly and was supported as an instrument in health promotion strategies, as well as aged care research [ 13 ].…”

Section: Methodsmentioning

confidence: 99%

Social Support among Older Persons and Its Association with Smoking: Findings from the National Health and Morbidity Survey 2018

et al. 2023

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Background: Globally, the average age of the world’s population of older people continues to rise and having a good social support network becomes increasingly relevant with the aging populace. Overall, in Malaysia, social support prevalence was low among older persons. This study was conducted to determine the association between social support and smoking status among the older Malaysian population. Methods: Data were obtained from the National Health and Morbidity (NHMS) 2018 survey on the health of older Malaysian adults and analyzed. This cross-sectional population-based study used a two-stage stratified random sampling design. Sociodemographic characteristics, smoking status, and social support data were collected from respondents aged 60 years and more. A validated Malay language interviewer-administered questionnaire of 11-items, the Duke Social Support Index, was utilized to assess the social support status. A multivariable logistic regression analysis was used to assess the association of social support and smoking status among the respondents. Results: The prevalence of good social support was significantly higher among the 60–69 years old (73.1%) compared to the ≥80 years old respondents (50%). Multivariate logistic regression analysis showed that respondents aged ≥80 years old were 1.7 times more likely to have poor social support compared to those aged 60–69 years. Respondents with no formal education were 1.93 times more likely to have poor social support compared to respondents who had tertiary education. Respondents with an income of <MYR 1000 were 1.94 times more likely to have poor social support compared to respondents with an income of >MYR 3000. Former smokers had good social support compared to current smokers (73.6% vs. 78.7%). For current smokers, they had poor social support, which is almost 1.42 times higher than that for non-smokers. Conclusion: There was poor social support among older people who were current smokers, had an increased age, had no formal education and had a low income. The findings obtained from this study could assist policymakers to develop relevant strategies at the national level to enhance the social support status among older smokers and aid in their smoking cessation efforts.

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“…We classified smoking status as current smokers (currently using any smoked tobacco products daily or less than daily), former smoker (a person who used tobacco products in the past) and non-smokers (those never smoked in the past). A validated Malay language, interviewer-administered questionnaire of 11-item Duke Social Support Index (M-DSSI) was applied for assessing social support among the elderly (18,19). The 11-item DSSI consisted of 4 questions which measure the size and structure of social network (social interaction) and 7 questions which assess respondent's perceived satisfaction with the behavioral or emotional support obtained from their social network (subjective support).…”

Section: Data Extractionmentioning

confidence: 99%

Social Support Among Older Persons and Its Association With Smoking and Associated Factors: Findings From the National Health and Morbidity Survey 2018

Krishnapillai¹,

Kee²,

Ariaratnam³

et al. 2023

Preprint

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Background Globally the average age of the worlds’ population of older persons continues to upsurge and social support becomes increasingly relevant. Overall, in Malaysia, social support and networking prevalence was found to be lower among older persons at 30.76%. In view of the scarce data on social support and its association with smoking status and its associated factors among the older Malaysian population this study was conducted. Methods Data from the National Health and Morbidity (NHMS) 2018 survey on health of older Malaysian adults was analyzed. This was a cross sectional population-based study using a two-stage stratified random sampling design. Elderly population aged 60 years and above was selected. Data were collected were sociodemographic characteristics, smoking status, and social support. A validated Malay language, interviewer-administered questionnaire of 11-item Duke Social Support Index was applied for assessing social support among the elderly. A complex sampling design analysis was used for the descriptive statistics. The associated risk factors for social support were identified using Multiple Logistic Regression analysis. Results A total of 3923 elderly respondents participated in the study. The prevalence of good social support was significantly higher among the 60-69 years old respondents compared to the > 80 years old (73.1%, 95% CI :69.3% -76.5% vs 50.1 %, 95% CI:41.7 %- 58.6%).Multivariate logistic regression analysis showed that the odds of poor social support were 1.7 times (aOR: 1.72 % ,95%CI: 1.19 -2.48) higher for the respondents aged > 80 years old, than those aged 60-69 years. Respondents with no formal education were 1.93 higher odds of poor social support than the respondents with tertiary education (aOR: 1.93%, 95%CI: 1.13,3.30). Respondents with income < RM 1000 were 1.94 times more likely to have poor social support compared to respondents with income > RM 3000 (aOR: 1.94, 95% CI : 1.21 -3.13). Former smokers have good social support compared to current smokers (73.6% ,95% CI: 67.7-78.7 vs 65.1 %, 95%CI:58.4 -71.2). For current smokers, the odds of poor social support were 42.0% higher than for non-smokers (aOR: 1.42, 95% CI: 1.05 -1.91. Conclusion There is poor social support among the older persons who are current smokers, advancing age, no formal education and low income However, further longitudinal studies are needed to determine the exact effects of the studied variables. These findings could assist the policymakers to develop strategies at the national level to enhance social support among the older smokers to ensure cessation of smoking.

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Factors Influencing Instrumental Activities of Daily Living (Iadl) Disability Among Elderly Attending Health Clinics in Kelantan

Cited by 4 publications

References 35 publications

Determinant of functional disability in instrumental activities of daily living among elderly living in a rural area in Bali: a crosssectional study

Determinant of functional disability in instrumental activities of daily living among elderly living in a rural area in Bali: a crosssectional study

Social Support among Older Persons and Its Association with Smoking: Findings from the National Health and Morbidity Survey 2018

Social Support Among Older Persons and Its Association With Smoking and Associated Factors: Findings From the National Health and Morbidity Survey 2018

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