Mohammad Abufaraj, Lana Alhalaseh, Mohammed Q Al-Sabbagh, Zaid Eyadat, Walid Al Khatib, Osama A Samara, Immanuel Azaad Moonesar, Lee Smith, Raeda Al Qutob
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引用次数: 0
Abstract
Background: Health services should anticipate the changing pattern of illnesses associated with population aging to promote healthy aging.
Aim: We aimed to evaluate health indices and chronic illnesses and their relationship with functional independence in community Syrian refugees & Jordanian elderly.
Methods: A stratified sample of 1,718 community older adults aged ≥ 60-year-old from four major Jordanian governorates was interviewed in this cross-sectional study. Katz Index of Independence in Activities of Daily Living was utilized to assess functional status. Data were analyzed using STATA 15.
Results: Despite the similarities in baseline function, Syrian refugees had more multimorbidities but less active health insurance, accessibility to healthcare services and availability of medications and medical devices than Jordanians. Two-thirds had multimorbidities; with heart diseases, musculoskeletal conditions, hypertension, and diabetes being the most commonly reported chronic illnesses. Females had significantly more multimorbidities, and functional dependence, yet less education, income and accessibility to healthcare services. The mean Katz Index score was 4.99 ± 1.61. Significant predictors of functional dependence included increasing age, lower level of education, and some chronic illnesses.
Conclusion: National inclusive plans to support vulnerable older adults especially refugees and older women, provide health insurance, enhance access to health care facilities, and manage chronic medical illnesses comprehensively are urgently needed to improve independence of community-living older adults and to promote healthy aging.
背景目的：我们旨在评估叙利亚难民和约旦社区老年人的健康指数和慢性疾病及其与功能独立性的关系：在这项横断面研究中，我们对约旦四个主要省份的1718名年龄≥60岁的社区老年人进行了分层抽样。采用卡茨日常生活活动独立性指数（Katz Index of Independence in Activities of Daily Living）评估功能状况。数据使用 STATA 15 进行分析：尽管基线功能相似，但与约旦人相比，叙利亚难民有更多的多病症，但在主动医疗保险、医疗服务可及性以及药物和医疗设备的可得性方面却不如约旦人。三分之二的叙利亚难民患有多种疾病，其中心脏病、肌肉骨骼疾病、高血压和糖尿病是最常见的慢性病。女性的多病症和功能依赖程度明显更高，但教育程度、收入和医疗服务的可及性却更低。卡茨指数平均得分为 4.99 ± 1.61。预测功能依赖的重要因素包括年龄增长、教育水平较低和一些慢性疾病：结论：为了提高在社区生活的老年人的独立性，促进健康老龄化，迫切需要制定国家包容性计划，为弱势老年人（尤其是难民和老年妇女）提供支持，提供医疗保险，提高医疗设施的可及性，并对慢性病进行综合管理。
期刊介绍：
Aging clinical and experimental research offers a multidisciplinary forum on the progressing field of gerontology and geriatrics. The areas covered by the journal include: biogerontology, neurosciences, epidemiology, clinical gerontology and geriatric assessment, social, economical and behavioral gerontology. “Aging clinical and experimental research” appears bimonthly and publishes review articles, original papers and case reports.
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