Unmet needs among disabled elderly Malaysians

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

doi:10.1016/j.socscimed.2012.03.047

Cited by 60 publications

(60 citation statements)

References 24 publications

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“…Older men (compared to women) are more likely to benefit from tangible support, whereas older women gain advantage through emotional support from their social environment. This premise is supported by studies which found that older men were at risk of experiencing unmet needs when there is a lack of tangible support for their physical care 41. However, among older women, greater levels of emotional support are found to be important in reducing depression and boosting psychological well-being 17,39.…”

Section: Discussionmentioning

confidence: 90%

Social embeddedness as a mechanism for linking social cohesion to well-being among older adults: moderating effect of gender

Momtaz¹,

Haron²,

Ibrahim³

et al. 2014

CIA

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BackgroundThe positive effect of social cohesion on well-being in older adults has been well documented. However, relatively few studies have attempted to understand the mechanisms by which social cohesion influences well-being. The main aim of the current study is to identify social pathways in which social cohesion may contribute to well-being.MethodsThe data for this study (taken from 1,880 older adults, aged 60 years and older) were drawn from a national survey conducted during 2008–2009. The survey employed a two-stage stratified sampling process for data collection. Structural equation modeling was used to test mediating and moderating analyses.ResultsThe proposed model documented a good fit to the data (GFI =98; CFI =0.99; RMSEA =0.04). The findings from bootstrap analysis and the Sobel test revealed that the impact of social cohesion on well-being is significantly mediated by social embeddedness (Z=5.62; P<0.001). Finally, the results of a multigroup analysis test showed that social cohesion influences well-being through the social embeddedness mechanism somewhat differently for older men than women.ConclusionThe findings of this study, in addition to supporting the importance of neighborhood social cohesion for the well-being of older adults, also provide evidence that the impact of social cohesion towards well-being is mediated through the mechanism of social embeddedness.

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Section: Discussionmentioning

confidence: 90%

Social embeddedness as a mechanism for linking social cohesion to well-being among older adults: moderating effect of gender

Momtaz¹,

Haron²,

Ibrahim³

et al. 2014

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“…In addition to the mass media, several gerontological studies reinforce, rather than challenge, such ageist stereotypes 2. For example, the studies focusing on changes in physical and cognitive functioning of elderly people have extremely portrayed old age as a period of losses, loneliness, and declining physical and cognitive functioning 9–11…”

Section: Introductionmentioning

confidence: 99%

Cohort comparisons: emotional well-being among adolescents and older adults

Momtaz¹,

Hamid²,

Ibrahim³

2014

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BackgroundThere are several negative stereotypes about older adults that have negatively influenced people’s attitude about aging. The present study compared emotional well-being between older adults and adolescents.MethodsData for this study came from 1,403 community-dwelling elderly persons and 1,190 secondary school students and were obtained from two national cross-sectional surveys. Emotional well-being was measured using the World Health Organization-Five Well-Being Index. Data analysis was conducted using a multivariate analysis of covariance with SPSS software version 20 (IBM Corporation, Armonk, NY, USA).ResultsElderly people significantly scored higher levels of emotional well-being (mean, 62.3; standard deviation, 22.55) than younger people (mean, 57.9; standard deviation, 18.46; t, 5.32; P≤0.001). The findings from the multivariate analysis of covariance revealed a significant difference between older adults and younger people in emotional well-being [F(3, 2587)=120.21; P≤0.001; η2=0.122] after controlling for sex.ConclusionContrary to negative stereotypes about aging, our findings show a higher level of emotional well-being among older adults compared with younger people.

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“…Many studies have indicated that low educational attainment, low income, not being currently married, living alone, severe ADL disability, cognitive impairment, and unavailability and unaffordability of services were significantly associated with unmet LTC needs [8,13,[16][17][18]. Other studies have found differences between urban and rural residents.…”

Section: Introductionmentioning

confidence: 99%

Rural-urban disparities in unmet long-term care needs and the demand for community care services among elderly people in China

Zeng

Wang

Zhang

et al. 2019

Preprint

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Background: Estimates of unmet needs, as an indicator of future needs for long-term care (LTC) services, have become increasingly crucial policy concerns. This study aimed to examine the urban-rural differences in unmet needs and the demand for community care service among community-dwelling elderly people in China. Methods: The data come from the 2014 Chinese Longitudinal Health Longevity Survey (CLHLS). A total of 1587 community residents aged 65+ with disabilities in the activities of daily living (ADLs) were included in this study. Based on the Andersen theoretical model, binary logistic regression was used to estimate the correlates of unmet needs in LTC. A chi-square test was used to examine the differences in expected needs for community-based LTC services between urban and rural areas. Results: Over half (55.07%) of the participants reported their needs were unmet. Poor economic status and reluctant caregivers seriously affected elderly unmet needs. Among urban older adults, those who were male and lonely reported more unmet needs. Among rural ones, those with severe ADL disability and poor self-rated health reported more unmet needs. In addition, access to medication and home visit services were negatively associated with unmet needs. Living with children (69.12%) was viewed as the most desirable living arrangement among older adults, while living in a LTC facility seemed to be more accepted for rural residents with unmet needs than for other elderly respondents. Residents showed a high demand for community LTC care services, with 82.55% of them expecting to need home visits and 74.29% to healthcare education. Specifically, rural residents had greater expected needs for every community care service than their urban counterparts. However, only 4.66% to 36.42% of the respondents reported that all eight types of services were available, which was far below the demand for these services. Conclusion: The risk of having unmet LTC needs is largely determined by elderly people’s economic status and caregivers’ willingness to provide care for both rural and urban elderly residents. More attention should be paid to psychological consulting services in urban areas, as well as personal care, home visits, psychological consulting and healthcare education services in rural areas.

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Unmet needs among disabled elderly Malaysians

Cited by 60 publications

References 24 publications

Social embeddedness as a mechanism for linking social cohesion to well-being among older adults: moderating effect of gender

Social embeddedness as a mechanism for linking social cohesion to well-being among older adults: moderating effect of gender

Cohort comparisons: emotional well-being among adolescents and older adults

Rural-urban disparities in unmet long-term care needs and the demand for community care services among elderly people in China

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