Factors Associated with Independence for Elderly People in Their Activities of Daily Living
Background: Health in the elderly does not merely refer to a condition free from disease but should also have elements regarding functionality and independence. Purpose: This study aimed to measure Activities of Daily Living (ADLs) and to identify the factors affecting ADLs among the elderly populat...
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Universitas Airlangga
2021
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oai:doaj.org-article:cd16d613a0824fb5bc4a656820dbe0772021-12-02T13:23:16ZFactors Associated with Independence for Elderly People in Their Activities of Daily Living2301-71712541-092X10.20473/jbe.V9I12021.44-53https://doaj.org/article/cd16d613a0824fb5bc4a656820dbe0772021-01-01T00:00:00Zhttps://e-journal.unair.ac.id/JBE/article/view/16989https://doaj.org/toc/2301-7171https://doaj.org/toc/2541-092XBackground: Health in the elderly does not merely refer to a condition free from disease but should also have elements regarding functionality and independence. Purpose: This study aimed to measure Activities of Daily Living (ADLs) and to identify the factors affecting ADLs among the elderly population in Sleman District. Methods: A cross-sectional study was carried out using secondary data from the Multidimensional Elderly Care project, nested on the Health Demographic and Surveillance System in Sleman, involving 549 elderly participants. The independence of these elderly people was measured using an Activities of Daily Living Scale questionnaire. Factors measured were cognitive (using the Mini-Mental State Examination questionnaire), psychological (using the Geriatric Depression Scale or Cornell Scale for Depression in Dementia questionnaires), economic (using the Financial Management Behavior Scale questionnaire), and nutritional status (using the Mini Nutritional Assessment questionnaire). The data were analyzed using the chi-square test, Fisher test, and Poisson test for bivariate analysis, while multivariate analysis using a logistic regression test. Results: The prevalence of elderly dependence was 14.03%. Elderly dependence was significantly related to age, job, residence, financial management, dementia, depression, malnutrition, and stroke disease in the bivariate analysis. However, after multivariate analysis, only age (>86 years) (PR = 4.31; 95% CI = 1.91–9.72), malnutrition (PR = 6.62; 95% CI = 3.79–11.57), and stroke (PR = 3.06; 95% CI = 2.03–4.61) were still shown to be related to elderly dependence. Conclusion: Increasing age, malnutrition, and stroke in elderly people lead to higher dependency in their ADLs.Sri WahyuniChristantie EffendyFitrina Mahardani KusumaningrumFatwa Sari Tetra DewiUniversitas Airlanggaarticleactivities of daily livingage factorsmalnutritionstrokePublic aspects of medicineRA1-1270Infectious and parasitic diseasesRC109-216ENIDJurnal Berkala Epidemiologi, Vol 9, Iss 1, Pp 44-53 (2021) |
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activities of daily living age factors malnutrition stroke Public aspects of medicine RA1-1270 Infectious and parasitic diseases RC109-216 |
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activities of daily living age factors malnutrition stroke Public aspects of medicine RA1-1270 Infectious and parasitic diseases RC109-216 Sri Wahyuni Christantie Effendy Fitrina Mahardani Kusumaningrum Fatwa Sari Tetra Dewi Factors Associated with Independence for Elderly People in Their Activities of Daily Living |
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Background: Health in the elderly does not merely refer to a condition free from disease but should also have elements regarding functionality and independence. Purpose: This study aimed to measure Activities of Daily Living (ADLs) and to identify the factors affecting ADLs among the elderly population in Sleman District. Methods: A cross-sectional study was carried out using secondary data from the Multidimensional Elderly Care project, nested on the Health Demographic and Surveillance System in Sleman, involving 549 elderly participants. The independence of these elderly people was measured using an Activities of Daily Living Scale questionnaire. Factors measured were cognitive (using the Mini-Mental State Examination questionnaire), psychological (using the Geriatric Depression Scale or Cornell Scale for Depression in Dementia questionnaires), economic (using the Financial Management Behavior Scale questionnaire), and nutritional status (using the Mini Nutritional Assessment questionnaire). The data were analyzed using the chi-square test, Fisher test, and Poisson test for bivariate analysis, while multivariate analysis using a logistic regression test. Results: The prevalence of elderly dependence was 14.03%. Elderly dependence was significantly related to age, job, residence, financial management, dementia, depression, malnutrition, and stroke disease in the bivariate analysis. However, after multivariate analysis, only age (>86 years) (PR = 4.31; 95% CI = 1.91–9.72), malnutrition (PR = 6.62; 95% CI = 3.79–11.57), and stroke (PR = 3.06; 95% CI = 2.03–4.61) were still shown to be related to elderly dependence. Conclusion: Increasing age, malnutrition, and stroke in elderly people lead to higher dependency in their ADLs. |
format |
article |
author |
Sri Wahyuni Christantie Effendy Fitrina Mahardani Kusumaningrum Fatwa Sari Tetra Dewi |
author_facet |
Sri Wahyuni Christantie Effendy Fitrina Mahardani Kusumaningrum Fatwa Sari Tetra Dewi |
author_sort |
Sri Wahyuni |
title |
Factors Associated with Independence for Elderly People in Their Activities of Daily Living |
title_short |
Factors Associated with Independence for Elderly People in Their Activities of Daily Living |
title_full |
Factors Associated with Independence for Elderly People in Their Activities of Daily Living |
title_fullStr |
Factors Associated with Independence for Elderly People in Their Activities of Daily Living |
title_full_unstemmed |
Factors Associated with Independence for Elderly People in Their Activities of Daily Living |
title_sort |
factors associated with independence for elderly people in their activities of daily living |
publisher |
Universitas Airlangga |
publishDate |
2021 |
url |
https://doaj.org/article/cd16d613a0824fb5bc4a656820dbe077 |
work_keys_str_mv |
AT sriwahyuni factorsassociatedwithindependenceforelderlypeopleintheiractivitiesofdailyliving AT christantieeffendy factorsassociatedwithindependenceforelderlypeopleintheiractivitiesofdailyliving AT fitrinamahardanikusumaningrum factorsassociatedwithindependenceforelderlypeopleintheiractivitiesofdailyliving AT fatwasaritetradewi factorsassociatedwithindependenceforelderlypeopleintheiractivitiesofdailyliving |
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