Iranian Journal of Ageing

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Providing a Structural Model for Social Health based on Life Experiences and Intimacy Attitudes with the Mediating Role of Positive Feelings towards Spouse

Dr Maleehe Zamanpour, Dr Zabih Pirani, Dr Moslem Abbasi, Dr Davood Taqvai,
Volume 0, Issue 0 (Articles In Press 2024)

Abstract

Objective: Social health is an important element of health in aging, and it seems necessary planning for improve elderly social health. The present study aimed to providing a structural model for social health based on life experiences and intimacy attitudes with mediating role of positive feelings towards spouse.
Materials and Methods: The present study was descriptive- correlation. The statistical population included all elderly who referred to daily and round-the-clock of Welfare centers in Tehran in 2020. 298 people from 27 centers (Ebnesina, Orthodox Elders, Omid, Aria, Anusha, Panah, Toheed, Jannat, Chiloyan, Hazrat Maryam, Sepidar, Dareshkan Stars, Saraye Yahud, Sousse Mayrik, Salehin Farzaneh, Sadra, Forohar Zartoshti, Kamal, Nora, Golbarg, Georg Moghadas , Muj No, Mehraban, Mehrpooya, Mehrgol Haft Tir, Negar, Yas and Arman Shayan) were selected by available sampling method and, they answered the questionnaires of Intimacy Attitude Scale (Amidon, Kumar & Treadwell, 1983), Social Well-Being Questionnaire (Keyes, 2004), Life Experience Survey (Sarason, Johnson & Siegel, 1978), and Positive Feelings Questionnaire (O'Leary, Fincham & Turkewitz, 1975). Data were analyzed using path analysis of structural equation and by Amos software.
Findings: The findings showed that direct effect social health on life experiences (-0.23) and intimacy attitudes (0.54) is significant (P< 0.05). Also, the results of the mediating role of positive feelings towards spouse showed that positive feelings with a coefficient of 0.25 have a significant mediating role between life experiences and intimacy attitudes with social health (P< 0.05).
Conclusion: The results of this study confirm the relationship between social health, life experiences, and intimacy attitudes, with the mediating role of the positive feelings towards spouse. Therefore, the present research findings can be used as an effective model in planning to improve social health in older people.

The Prevalence and Correlates of Falling Down in the Older Adults Over 55 Years in Shiraz

Ali Ghanbary, Nasrin Salehi Dehno, Farzaneh Moslemi Haghighi, Maede Torabi,
Volume 8, Issue 1 (4-2013)

Abstract

Objectives: Falling down is one of the most common problems that involve old people. It may affect the physical, emotional and social aspects of individual’s health and may cause economical and social problems for individuals and society.

Methods & Materials: In a cross sectional study, 750 old people with ages of 55 or more, living in the city of Shiraz (409 female, 341 male, mean ages 67.32 year) with a convenience sampling method took part in this study. A questionnaire was designed to gather the information about the history of falling down on past year, its complications and the possible associated factors. Chi square and Mann_ Witeny test and logistic regression method was used to analyze the study data.

Results: the prevalence of falling down was 33.6%. 20.4% of people had single falling down and 13.2% of them had recurrent falling down. There were significant correlations between falling down and age (P=0.016), sex (P<0.001), diabetes (P=0.008), vertigo (P<0.0001). However no significant correlation was found between falling down with arthritis, heart disease, nervous system disease, rheumatologic disease, hypertension and use of cane and glass. There were significant correlation between recurrent falling down and sex (P=0.021), vertigo (P<0.0001) and osteoporosis (P=0.024). Also, use of cane (P=0.023) and arthritis (P=0.048) were associated with falling down with injury.

Conclusion: According to results of this study, one third of old people over 55 year living in the community experienced falling down within one year. Diabetes and vertigo increased the risk of falling down in elderly population. Planning for controlling these risk factors can reduce the rate of falling down and its associated problems and complications.

Psychometric Properties of Persian Version of the Multidimensional Body-Self Relations Questionnaire (MBSRQ) Among Iranian Elderly

Hashem Shemshadi, Amir Shams, Robab Sahaf, Parvaneh Shamsipour Dehkordi, Hossain Zareian, Ali Reza Moslem,
Volume 15, Issue 3 (Autumn 2020)

Abstract

Objectives: This research aimed to investigate the psychometric properties of the Persian version of the Multidimensional Body-Self Relations Questionnaire (MBSRQ) among older Iranian people.
Methods & Materials: The research method was non-experimental research that its necessary information was collected with the cross-sectional method. The statistical population comprised all older people over 60 years of age in Tehran City, Iran. The statistical sample included 1035 people who have completed the Multidimensional Body-Self Relations Questionnaire (MBSRQ). This questionnaire consists of 69 questions and 9 components. The obtained data were analyzed with confirmatory factorial analysis based on structural equations, Cronbach alpha coefficient, and intra-class correlation coefficient tests.
Results: The content, face, and concurrent validity were acceptable (P<0.05). Also, result showed that the MBSRQ has acceptable fit indexes (such as RMSEA=0.042, CFI=0.903, TLI=0.978, PNFI=0.075, and PGFI=0.886). Further, the internal consistency and temporal reliability were acceptable (P<0.05).
Conclusion: The Persian version of MBSRQ has acceptable reliability and validity in the Iranian elderly, and researchers, older adults, and elderly specialists can use this questionnaire for its evaluations and research.

The Status of Potentially Inappropriate Medication Prescription by General Physicians for The Elderly in Tabriz (Iran) According to Beers Criteria

Tahereh Eteraf Oskouei, Elaheh Vatankhah, Moslem Najafi,
Volume 16, Issue 2 (Summer 2021)

Abstract

Objectives: Prescribing medication for the elderly is an important health issue. This study aimed to investigate the status of Potentially Inappropriate Medications (PIMs) prescription for the elderly by general physicians in Tabriz, Iran.
Methods & Materials: This descriptive cross-sectional study was conducted in 2019 on the prescriptions of general physicians for the elderly in Tabriz, Iran. After initial screening of 16842 prescriptions belonged to two insurance systems (social security insurance and health insurance), 1500 prescriptions were selected. The Beers criteria 2019 was used to assess PIM prescription status and their alternatives were suggested if needed. Data were expressed as Mean±Standard Deviation (SD) and No. (%), and analyzed in SPSS v. 21 software. The Mann-Whitney U test was used to examine the differences in the study factors between the prescriptions related to two insurance systems. The relationship between patients’ age and PIM prescription was examined using Spearman correlation test.
Results: The Mean±SD number of drugs in each prescription was 3.93±1.5 and the Mean±SD number of prescribed PIMs was 0.74±0.8. Polypharmacy was observed in 32.6% of the prescriptions, and 53.9% had at least one PIM. Non-steroidal anti-inflammatory drugs, antihistamines and benzodiazepines were the most PIM groups (45.6, 10.9 and 10.6%, respectively). The most common prescribed PIMs were Adult cold, Diclofenac, Glibenclamide, Ketorolac and Diphenhydramine. Number of PIMs in each prescription did were not statistically different between the prescriptions related to two insurance systems (P=0.343). Moreover, patients’ age and gender had no significant relationship with PIM prescription (P=0.312 and P=0.660, respectively).
Conclusion: About 54% of the prescriptions issued by general physicians for the elderly in Tabriz contain PIMs, and polypharmacy is present in about one third of the prescriptions. In order to improve this condition, it is necessary to hold appropriate training and continuous retraining courses in geriatric medicine for general physicians. Supervisions by the Iranian Ministry of Health and Iranian Medical Council can also play an important role in improving the current situation.

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