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Factors influencing health service utilization among the elderly in Insein Township, Yangon Region

Wed, 01 Jan 2020 00:00:00 GMT

Title: Factors influencing health service utilization among the elderly in Insein Township, Yangon Region Authors: Min Min Hlaing, Sandar; Clara, Naw; Nanda Han, Aye Abstract: Factors influencing health service utilization among the elderly in Insein Township, Yangon Region Sandar Min Min Hlaing * , Naw Clara, Aye Nanda Han Department of Community Health Nursing, University of Nursing, Yangon 11131, Myanmar * E-mail: herostar200@gmail.com Abstract Background: With the increasing needs of the aging population and the increasing prevalence of non-communicable diseases, assessment of the equity and accessibility of health care among the elderly has become important. Methods: A cross-sectional descriptive study was conducted from December 2018 to December 2019 among 225 elderly to describe the factors influencing health service utilization. Multistage sampling was applied, and structured questionnaire was used to interview the elderly. Chi-squared test and multiple logistic regression were performed in data analysis. Results: The average age of the respondents was 71.7 ± 8.17 years old, and 68.4% of the respondents utilized health services within a year. Although sex, health habit, and diagnosed chronic disease were associated with health service utilization in bivariate analysis, multiple logistic regression results reported that physical exercise [adjusted odd ratios (AOR) = 3.02, 95%CI: 1.07–8.53], financial support of family [AOR = 2.77, 95%CI: 1.00–7.69], perceived transportation cost [AOR = 0.08, 95%CI: 0.01–0.54], accessibility to health care personnel [AOR = 0.14, 95%CI: 0.04–0.50], and perceived health status [AOR = 0.03, 95%CI: 0.01–0.09] were predictors of health service utilization. Conclusion: This study highlighted the significant influence of perceived health status, financial support of family, perceived transportation cost, and accessibility to health care personnel referred to the possible indicators of health care inequality issues. Keywords: accessibility, elderly, health services

Filial piety expectations and loneliness among older people in Kuantan, Pahang

Wed, 01 Jan 2020 00:00:00 GMT

Title: Filial piety expectations and loneliness among older people in Kuantan, Pahang Authors: Makhtar, Aniawanis; Hafizah Samsudin, Nor Abstract: Filial piety expectations and loneliness among older people in Kuantan, Pahang Aniawanis 1* Makhtar , Nor Hafizah Samsudin 2 1 Department of Special Care Nursing, Kulliyyah of Nursing, International Islamic University Malaysia, Pahang 25200, Malaysia 2 National Heart Institute, Kuala Lumpur 50400, Malaysia * E-mail: aniawanis@iium.edu.my Abstract Background: Filial piety plays a vital role in combating loneliness among older people. Older adults have a high tendency to feel lonely when affection toward and from their children decreases. This study aimed to determine the association between filial piety expectations and loneliness among older people in Kuantan, Pahang. Methods: A cross-sectional study was conducted on 198 older people in Kuantan, Pahang. Filial piety expectation and loneliness were measured by the Filial Piety Expectation Scale and UCLA (University of California, Los Angeles) Loneliness Scale questionnaire. The data were analyzed by using SPSS version 22.0. Results: The results of this study indicate that the majority of respondents believe that adult children should care for their parents. A high level of filial piety expectations was associated with a low level of loneliness. Age and race were significantly associated with filial piety expectations among older people in Kuantan. Conclusion: The study showed an association between filial piety expectations and loneliness among older people. Thus, the influence of filial piety expectations on the level of loneliness among older people must be acknowledged to ensure the improvement of the health and well-being of older people. Keywords: filial piety, loneliness, older people

Attitudes and work preferences toward older people among Malay undergraduate nursing students

Wed, 01 Jan 2020 00:00:00 GMT

Title: Attitudes and work preferences toward older people among Malay undergraduate nursing students Authors: Munirah Syed Elias, Sharifah; Faeziah Jaafar, Nor; Siew Pien, Lee Abstract: Attitudes and work preferences toward older people among Malay undergraduate nursing students Sharifah Munirah Syed Elias, Nor Faeziah Jaafar, Lee Siew Pien * Department of Special Care Nursing, Kulliyyah of Nursing, International Islamic University Malaysia, Kuantan 25200, Malaysia * E-mail: siewpien@iium.edu.my Abstract Background: The aging population is increasing globally and requires a high demand for healthcare services in several countries. As a way of preparing future nurses in aged care, substantial incorporation of gerontology courses in the nursingprogram to meet future needs is required. The present study aimed to investigate the association between attitudes andwork preferences toward older people among undergraduate nursing students. Methods: A cross-sectional study was conducted involving 291 nursing students at a Malaysian public university. A set of questionnaires was used that comprised the following three parts: (1) Part A: Sociodemographic background, (2) Part B: Attitudes toward older people,and (3) Part C: Nursing students’ work preferences. Results: Most of the participants (80.4%) demonstrated slightlypositive attitudes on older people. Only 2.4% selected older people group as their work preference. There were nosignificant associations between attitudes with sex (p = 0.84), year of study (p = 0.30), living status (p = 0.77), and workpreferences (p = 0.81). Conclusion: Overall, the majority of participants had slightly positive attitudes on older people.Although they had positive attitudes on older people, working in aged care setting is not their first preference after theirgraduation. Keywords: aged care, attitude, nursing student, work preference, older people

Self-assessment tool for evaluating periodontal conditions

Wed, 01 Jan 2020 00:00:00 GMT

Title: Self-assessment tool for evaluating periodontal conditions Authors: Rani, Haslina; Ningseh Mohd-Dom, Tuti; Mohd Said, Shahida; Azwani Johari, Nur Abstract: Self-assessment tool for evaluating periodontal conditions Haslina Rani 1 , Tuti Ningseh Mohd-Dom 1* , Shahida Mohd Said 2 , Nur Azwani Johari 3 1 Department of Family Oral Health, Faculty of Dentistry, The National University of Malaysia, Bangi 43600, Malaysia 2 Department of Restorative Dentistry, Faculty of Dentistry, The National University of Malaysia, Bangi 43600, Malaysia 3 Oral Health Programme, Putrajaya, Ministry of Health Malaysia, Putrajaya 62590, Malaysia * E-mail: tutinin@ukm.edu.my Abstract Background: The global prevalence of periodontal disease is steadily rising. Early detection through the active screening of potential patients is important because periodontal disease leads to high disease, clinical, and economic burdens. The aim of this study is to develop a simple periodontal assessment tool for the Malay-speaking population; this tool is referred to in this work as MyGusi. Methods: Translation and back-translation of a self-assessment tool containing 10 items related to periodontal health conditions and risk behaviors were conducted by three bilingual translators. Nine periodontists were selected to determine the content validity of the tool. After pre-testing for face validity, MyGusi was distributed to patients attending dental clinics in a public university in Kuala Lumpur. The Basic Periodontal Examination (BPE) of each patient was obtained from their dental records. Results: The scale-content validity index of MyGusi was 0.92, which indicates good validity. Cronbach's alpha was calculated to assess the internal consistency of the tool, and the value obtained (0.72) indicated acceptable reliability. The mean total MyGusi and BPE scores were positively correlated at 0.488 (p < 0.001). Conclusion: MyGusi has good content validity and is positively correlated with BPE, an established periodontal screening tool. Keywords: periodontal diseases, periodontitis, screening, self-assessment