Abdelhafid Benksim1,2, Rachid Ait Addi3, Elhassania Khalloufi3,4, Aziz Habibi3, Mohamed Cherkaoui3. 1. Nursing Care Department, Higher Institute of Nursing Professions and Health Techniques (ISPITS-M), Health department of Marrakech-Safi region, 40000, Marrakech, Morocco. benksimispits@gmail.com. 2. Laboratory of Human Ecology, Faculty of sciences Semlalia, Cadi Ayyad University, 40000, Marrakesh, Morocco. benksimispits@gmail.com. 3. Nursing Care Department, Higher Institute of Nursing Professions and Health Techniques (ISPITS-M), Health department of Marrakech-Safi region, 40000, Marrakech, Morocco. 4. Laboratory of Human Ecology, Faculty of sciences Semlalia, Cadi Ayyad University, 40000, Marrakesh, Morocco.
Abstract
BACKGROUND: As the world's population ages and people live longer, it seems important to ensure that older people have a good quality of life and positive subjective well-being. The objective of this study is to determine socio-economic, health and nutritional characteristics of institutionalized and non-institutionalized elders in the province of Marrakech. METHODS: This study was conducted among 368 older adults in the province of Marrakech between March 2017 and June 2019. Of all participants, 180 older adults reside in a public institution and 188 of them live in their own homes. Data on health conditions, nutritional status, functional and socio-economic characteristics were collected. Data was analyzed using SPSS Statistics for Windows, Version 16.0. Statistical significance was set at p < 0.05. RESULTS: Institutionalized elders were illiterate (80.0%), had low incomes (95.5%), and unmarried (73.3%), they reported also no children (56.1%) and no health insurance (98.9%). Institutional residents suffered from malnutrition (22.2%), hearing impairments (35.6%) and severe edentulism (43.3%). There was no significant difference between both groups on daily activities and depression. A multivariate analysis identified a model with three significant variables associated with non-institutionalized elders: health insurance (P = 0.001; OR = 107.49), number of children (P = 0.001; OR = 1.74) and nutritional status (p = 0.001; OR = 3.853). CONCLUSIONS: This study shows that the institutionalization of older adults is considerably induced by various factors such as nutritional problems, lack of health insurance and family structure. To mitigate the effects of this phenomenon, home care strategies and preventive actions should be implemented to delay the institutionalization of older adults and therefore keep them socially active in their own homes.
BACKGROUND: As the world's population ages and people live longer, it seems important to ensure that older people have a good quality of life and positive subjective well-being. The objective of this study is to determine socio-economic, health and nutritional characteristics of institutionalized and non-institutionalized elders in the province of Marrakech. METHODS: This study was conducted among 368 older adults in the province of Marrakech between March 2017 and June 2019. Of all participants, 180 older adults reside in a public institution and 188 of them live in their own homes. Data on health conditions, nutritional status, functional and socio-economic characteristics were collected. Data was analyzed using SPSS Statistics for Windows, Version 16.0. Statistical significance was set at p < 0.05. RESULTS: Institutionalized elders were illiterate (80.0%), had low incomes (95.5%), and unmarried (73.3%), they reported also no children (56.1%) and no health insurance (98.9%). Institutional residents suffered from malnutrition (22.2%), hearing impairments (35.6%) and severe edentulism (43.3%). There was no significant difference between both groups on daily activities and depression. A multivariate analysis identified a model with three significant variables associated with non-institutionalized elders: health insurance (P = 0.001; OR = 107.49), number of children (P = 0.001; OR = 1.74) and nutritional status (p = 0.001; OR = 3.853). CONCLUSIONS: This study shows that the institutionalization of older adults is considerably induced by various factors such as nutritional problems, lack of health insurance and family structure. To mitigate the effects of this phenomenon, home care strategies and preventive actions should be implemented to delay the institutionalization of older adults and therefore keep them socially active in their own homes.
Authors: A Rodríguez-Tadeo; A Wall-Medrano; M E Gaytan-Vidaña; A Campos; M Ornelas-Contreras; H I Novelo-Huerta Journal: J Nutr Health Aging Date: 2012-05 Impact factor: 4.075
Authors: Zhe He; Jiang Bian; Henry J Carretta; Jiwon Lee; William R Hogan; Elizabeth Shenkman; Neil Charness Journal: J Med Internet Res Date: 2018-04-12 Impact factor: 5.428