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Sociodemographic and health profile of institutionalized people aged 65 and over

Galina Haralanova, Lora Georgieva

Abstract

Introduction: Accommodation for people aged 65 and over in social institutions is often the only opportunity for their physical survival. Revealing the specific characteristics of elderly people living in institutions will help the understanding and satisfaction of their different needs, and hopefully will increase their quality of life.

Aim: The aim of this study is to reveal the sociodemographic and health profile of institutionalized people aged 65 and over.

Materials and Methods: Sociodemographic and health information for age, gender, education, marital status, diagnosed diseases and mobility for all 175 people aged 65 and over, living in four residential homes in Varna and Provadia was extracted from their records.

Results: The most prevalent group among the studied participants is women, and those in the age group 81–85 years. Most of the residents are widowers with upper secondary education. The leading diagnosis among the institutionalized elderly are those from ICD class IX: Diseases of the Circulatory System. Most of the people have limited mobility and use assistive technology (AT). People with normal and limited mobility have an almost equal share, as the first group is 44% and the second—46.3%. The remaining nearly 10% are severely disabled (unable to leave the bed).

Conclusion: The sociodemographic and health profile of institutionalised elderly people provides necessary information to health professionals for the health needs of that specific group of the population.


Keywords

people aged 65 and over, social institution, socio-demographic characteristics, health status

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References

Siegler EL, Lama SD, Knight MG, Laureano E, Reid MC. Community-based supports and services for older adults: A primer for clinicians. J Geriatr. 2015;2015:678625. doi: 10.1155/2015/678625.

Registered Nurses’ Association of Ontario (RNAO). Rehabilitation, Complex and long-Term Care; 2019 [updated 26 Feb 2019 Feb 26; cited 2020 Nov 30] Available from: https://rnao.ca/sites/rnao-ca/files/vision-docs/RNAO-Vision-Rehab-Complex-and-Long-TermCare.pdf

Georgieva L. Health and role functioning in old age. Varna Med Forum. 2017;6(2):15-20 (in Bulgarian).

Ruggles S. The decline of intergenerational coresidence in the United States, 1850 to 2000. Am Sociol Rev. 2007;72(6):964-89. doi: 10.1177/000312240707200606.

Yasuoka M. Subsidies for elderly care with a pay-as-you-go pension. J Econ Ageing. 2020;17:100185. doi: 10.1016/j.jeoa.2018.12.004 .

Bettio F, Verashchagina A. Long-term care for the elderly. Provisions and providers in 33 European countries. 2012. Available from: https://www.researchgate.net/publication/303566393_Long term_care_for_the_elderly_Provisions_and_providers_in_33_European_countries.

Wioletta K. Stimulators and inhibitors of the development of social care and support for the elderly in Poland. J Rural Stud. 2020;76:12-24. doi:10.1016/j.jrurstud.2020.03.003.

Altintas E, De Benedetto G, Gallouj K. Adaptation to nursing home: The role of leisure activities in light of motivation and relatedness. Arch Gerontol Geriatr. 2017;70:8-13. doi: 10.1016/j.archger.2016.12.004.

Dudeva D, Georgieva L. Sources of stress in persons accommodated in social institutions. Varna Med Forum. 2014;3(4):126-9. (in Bulgarian).

Alves H, Paço A, Roberto C. Influence of internal marketing on organizational commitment - evidence from care institutions for the elderly. 2015, 27(2):237-50. Available from: http://yadda.icm.edu.pl/yadda/element/bwmeta1.element.desklight-62545780-f306-4b19-adab-ae5b25e42c2b).

Crimmins EM, Shim H, Zhang YS, Kim JK. Differences between men and women in mortality and the health dimensions of the morbidity process. Clin Chem. 2019;65(1):135-145. doi: 10.1373/clinchem.2018.288332.

Kerekovska A, Mircheva I, Georgieva L, Popova S. Social medicine. 2nd ed. Varna: Steno; 2014. (in Bulgarian).

Luppa M, Luck T, Weyerer S, König HH, Brähler E, Riedel-Heller SG. Prediction of institutionalization in the elderly. A systematic review. Age Ageing. 2010;39(1):31-8. doi: 10.1093/ageing/afp202.

Lee SB, Oh JH, Park JH, Choi SP, Wee JH. Differences in youngest-old, middle-old, and oldest-old patients who visit the emergency department. Clin Exp Emerg Med. 2018;5(4):249-55. doi: 10.15441/ceem.17.261.

Noël-Miller C. Spousal loss, children, and the risk of nursing home admission. J Gerontol B Psychol Sci Soc Sci. 2010;65B(3):370-80. doi: 10.1093/geronb/gbq020.

Cohen AK, Syme SL. Education: a missed opportunity for public health intervention. Am J Public Health. 2013;103(6):997-1001. doi: 10.2105/AJPH.2012.300993

Unwin BK, Porvaznik M, Spoelhof GD. Nursing home care: part II. Clinical aspects. Am Fam Physician. 2010;81(10):1229-37.

Boscart V, Crutchlow LE, Sheiban Taucar L, Johnson K, Heyer M, Davey M, et al. Chronic disease management models in nursing homes: a scoping review. BMJ Open. 2020;10(2):e032316. doi: 10.1136/bmjopen-2019-032316.

Yarnall AJ, Sayer AA, Clegg A, Rockwood K, Parker S, Hindle JV. New horizons in multimorbidity in older adults. Age Ageing. 2017;46(6):882-8. doi: 10.1093/ageing/afx150.

Ministry of Health [Internet]. Cardiovascular Diseases; 2015 [updated 2015, cited 2020]. Available from: https://www.mh.government.bg/bg/informaciya-za-grazhdani/zdravosloven-nachin-na-zhivot/zabolyavaniya/sardechno-sadovi/ateroskleroza/ (in Bulgarian).

Brownie S, Horstmanshof L, Garbutt R. Factors that impact residents' transition and psychological adjustment to long-term aged care: a systematic literature review. Int J Nurs Stud. 2014;51(12):1654-66. doi: 10.1016/j.ijnurstu.2014.04.011.

Carmen SM. Importance of Counselling for Elderly Before Institutionalization. Procedia Soc Behav Sci. 2013;84(1-3):1630-3. doi: 10.1016/j.sbspro.2013.07.004.

Georgieva L. Changes in the needs for medical and social care with advancing age. Varna Med Forum. 2017;6(2):455-60. (in Bulgarian).




DOI: http://dx.doi.org/10.14748/sssp.v0i0.7342

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About The Authors

Galina Haralanova
Medical University of Varna
Bulgaria

Department of Social Medicine and Health Care Organisation, Faculty of Public Health

Lora Georgieva
Medical University of Varna

Department of Social Medicine and Health Care Organisation, Faculty of Public Health

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