Lifestyle of the Elderly in Rural and Urban Malaysia

Selvaratnam, Doris Padmini; Tin, Poo Bee

doi:10.1196/annals.1396.025

Cited by 20 publications

(9 citation statements)

References 9 publications

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“…It could be inferred that inability to execute habitual tasks may cripple one’s sense of purpose, resulting in a loss of personal identity [40]. Social life plays an important role among rural non-institutionalised older adults and ‘social exclusion’ can be hazardous to the community [41, 42]. Maintaining strong ties within the community such as frequent social calls among friends and relatives are integral components of daily living in the rural setting and is less valued within urban populations [43].…”

Section: Discussionmentioning

confidence: 99%

Urinary incontinence among urban and rural community dwelling older women: prevalence, risk factors and quality of life

2019

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Background Urinary incontinence (UI) is known to be more prevalent among women and is associated with decline in quality of life. The aim of our study was to investigate the prevalence, risk factors of urinary incontinence and its impact on quality of life among community dwelling older women living in urban and rural populations. Methods This study was conducted based on secondary data analysed from the third phase of the longitudinal study “Neuroprotective Model for Health Longevity among Malaysian Elderly” (LRGS TUA). Stratification of urban and rural study areas were in accordance to that determined by the Department of Statistics. A total of 814 community dwelling older women (53% urban, 47% rural), aged 60 years and above, across four states within Peninsular Malaysia were included in this analysis. Interview-based questionnaires were used to obtain respondents’ sociodemographic details and clinical characteristics. The Timed Up and Go test and Handgrip Strength tests were used to assess physical function. Urinary incontinence was self-reported, and quality of life of those with incontinence was assessed using the King’s Health Questionnaire (KHQ). Results Prevalence of urinary incontinence was 16% and 23% among older women living in urban and rural areas, respectively. Ethnicity was significantly associated with incontinence among older women in both urban and rural population ( p < 0.05). Chronic constipation, functional mobility and muscle strength were associated with UI in participants from rural setting ( p < 0.05). Binary logistic regression analysis showed that risk of incontinence is lower among Chinese [OR 0.430, 95% C.I: 0.224–0.825, p = 0.011] compared to Malay older women living in urban population. Within the rural population, respondents with chronic constipation [OR: 3.384, 95% C.I: 1.556–7.360, p = 0.002] were found to be at a higher risk of UI. In terms of quality of life, respondents in rural areas experienced more role, physical, social, emotional limitations and sleep disturbance as compared to their urban counterparts ( p < 0.05). Conclusion UI is more prevalent and had a more profound impact on quality of health among older women in the rural setting. The risk factors of UI were ethnicity and chronic constipation among urban and rural older women respectively. It is important to provide holistic strategies in the prevention and management of UI among older women especially within the rural population.

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Section: Discussionmentioning

confidence: 99%

Urinary incontinence among urban and rural community dwelling older women: prevalence, risk factors and quality of life

2019

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“…Demographic characteristics of the elderly varied in rural and urban settings in terms of loneliness, lack of financial stability, and emotional strain [18]. Single elderly with poor general health status living in the rural areas were at higher risk of depression [19].…”

Section: Discussionmentioning

confidence: 99%

Factors associated with motoric cognitive risk syndrome among low-income older adults in Malaysia

Lau¹,

Ludin²,

Shahar³

et al. 2019

BMC Public Health

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Background Motoric cognitive risk (MCR) syndrome is characterized by slow gait and memory complaints that could be used to predict an increased risk of dementia. This study aims to determine the MCR syndrome and its risk factors among low-income (B40) older adults in Malaysia. Methods Data from TUA cohort study involving 1366 older adults (aged 60 years and above) categorized as low-income were analysed, for risk of MCR syndrome based on defined criteria. Chi-square analysis and independent t test were employed to examine differences in socioeconomic, demographic, chronic diseases and lifestyle factors between MCR and non-MCR groups. Risk factors of MCR syndrome were determined using hierarchical logistic regression. Results A total of 3.4% of participants fulfilled the criteria of MCR syndrome. Majority of them were female (74.5%, p = 0.001), single/widow/widower/divorced (55.3%, p = 0.002), living in rural area (72.3%, p = 0.011), older age (72.74 ± 7.08 year old, p < 0.001) and had lower years of education (3.26 ± 2.91 years, p = 0.001) than non-MCR group. After adjustment for age, gender and years of education, participants living in rural area (Adjusted OR = 2.19, 95% CI = 1.10–4.35, p = 0.026), with obesity (Adjusted OR = 3.82, 95% CI = 1.70–8.57, p = 0.001), diabetes (Adjusted OR = 2.04, 95% CI = 1.01–4.11, p = 0.046), heart disease (Adjusted OR = 2.50, 95% CI = 1.00–6.20, p = 0.049) and cancer (Adjusted OR = 6.57, 95% CI = 1.18–36.65, p = 0.032) were associated with increased risk of MCR syndrome. Conclusion Only 3.4% of older adults from low-income group were identified as having MCR syndrome. Women, those living in rural areas, had obesity, diabetes, heart disease and cancer were more likely to have MCR syndrome. Further investigation on MCR as a predementia syndrome will help in development of preventive strategies and interventions to reduce the growing burden of dementia, especially among individuals with low socioeconomic status.

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“…the elderly in rural locations) may experience high levels of loneliness (e.g. Selvaratnam & Tin, 2007). This is all the more important given that loneliness has been found to be a significant correlate of depression among both students and geriatric patients in Malaysia (Mohd.…”

Section: Swamimentioning

confidence: 98%

Psychometric analysis of the Malay version of the UCLA Loneliness Scale (ULS-8) and a comparison of loneliness among sojourning and non-sojourning Malaysian students

Swami

2009

International Journal of Culture and Mental Health

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To cite this article: Viren Swami (2009) Psychometric analysis of the Malay version of the UCLA Loneliness Scale (ULS-8) and a comparison of loneliness among sojourning and non-sojourning Malaysian students,The UCLA Loneliness Scale (ULS) is the most widely used scale for the measurement of loneliness, but no version currently exists for use among Malay-speaking populations. The present study reports on the translation and validation of a Malay version of the 8-item ULS (ULS-8) and conducts an initial comparison of loneliness among students. In Study 1, 532 individuals from community samples in Malaysia completed a Malay version of the ULS-8, which showed a unidimensional structure, good internal consistency, excellent test-retest reliability after 60 days and good convergent validity with measures of subjective happiness and shyness. In addition, there were no sex or ethnic differences in loneliness. Study 2 used the ULS-8 to measure the degree of loneliness among sojourning Malaysian students in Britain, who were compared with an age-matched sample of students in Kuala Lumpur. Results showed that the sojourning students were significantly more lonely than their counterparts in Malaysia. The limitations of these studies are also discussed.

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Lifestyle of the Elderly in Rural and Urban Malaysia

Cited by 20 publications

References 9 publications

Urinary incontinence among urban and rural community dwelling older women: prevalence, risk factors and quality of life

Urinary incontinence among urban and rural community dwelling older women: prevalence, risk factors and quality of life

Factors associated with motoric cognitive risk syndrome among low-income older adults in Malaysia

Psychometric analysis of the Malay version of the UCLA Loneliness Scale (ULS-8) and a comparison of loneliness among sojourning and non-sojourning Malaysian students

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