Background: Self-rated health is an important predictor of adverse health outcomes (e.g. mortality) and health service use. While intergenerational family capital has been considered as one of the most important social determinants of self-rated health, the role of grandparent-grandchild dyads in self-rated health has not been fully investigated. Further, little is known about the patterns of change in trajectories of the self-rated health of older rural Chinese adults, who constitute the largest ageing population in the world. Objectives: This study investigated the association between grandparent-grandchild family capital and the self-rated health of older adults in rural China, as well as the mediation role of the grandparent-parent relationship in the association between grandparent-grandchild family capital and self-rated health. The present study also examined the development trajectories of the self-rated health of older rural Chinese adults from the point of view of intergenerational relationship and socio-economic status. Methods: Data for this study are derived from the Well-Being of the Elderly in Anhui Province survey. A random sample of 1,715 adults aged 60 and older were interviewed in the rural Chaohu region in 2001. A total of 1391 and 1067 respondents participated in the 2003 wave and 2006 wave respectively. New respondents were recruited for the 2009 wave and 1224 respondents were interviewed in 2009. Based on the 2009 wave of the Chaohu survey, structural equation modeling was used to examine the direct effect of grandparent-grandchild family capital on the self-rated health of older adults and the mediation role of the grandparent-parent relationship. Based on the 2001, 2003 and 2006 waves of the Chaohu survey, general growth mixture modeling was used to examine the multiple underlying trajectory patterns of self-rated health as well as the antecedents of the latent class memberships. Results: The results showed that grandparent-grandchild family capital had a direct effect on the self-rated health of older adults in rural China. The results also showed that the grandparent-parent relationship played a partial mediation role in the association between grandparent-grandchild family capital and self-rated health. Further, a two-class model was chosen to interpret the underlying trajectory classes. The two trajectories were labeled “good but declining SRH class” and “poor and declining SRH class”. Discussion: The findings enriched our theoretical understanding of intergenerational family capital and its effects in a cultural context that emphasizes collectivism and intergenerational exchanges. The mediator role of the grandparent-parent relationship was also highlighted in the findings, which confirmed “grandchild-as-linkage” theory. Further, there are underlying multiple trajectory patterns of the self-rated health of rural older adults. Intergenerational relationship was an important antecedent of the latent classes of self-rated health trajectories in rural China. / published_or_final_version / Social Work and Social Administration / Doctoral / Doctor of Philosophy

published_or_final_version / Social Work and Social Administration / Doctoral / Doctor of Philosophy

Made available in DSpace on 2016-04-28T20:38:40Z (GMT). No. of bitstreams: 1 Maria Arlene de Almeida Moreira.pdf: 2581465 bytes, checksum: cbfd86e7eacf1943a53c7f646eae0b54 (MD5) Previous issue date: 2013-05-09 / The longevity became a reality reached by an increasing number of people in worldwide. In a qualitative approach, this study intends to focus on the race, while the sport accessible and inclusive currently practiced by a growing number of people. The rationale of the study is to identify and understand the participation of the seniors in marathon. According to the World Health Organization (WHO), physical activity is a factor that contributes to the quality of life in elderly. Without disregarding others co-factors that influence the quality of life, the study aims to identify the motivational aspects, the feelings and the changes present in different personal, familiar and social contexts of seniors' participation in marathons / A longevidade tornou-se uma realidade alcançada por um número crescente de pessoas no mundo inteiro. Numa abordagem qualitativa, o presente estudo pretende focalizar a corrida, enquanto modalidade esportiva acessível e inclusiva, atualmente praticada por um número crescente de pessoas. A justificativa do estudo é identificar e compreender a participação desse idoso em maratonas. Segundo a Organização Mundial de Saúde (OMS-WHO), a atividade física é um dos fatores que contribui para a qualidade de vida de idosos. Nesse sentido, sem desconsiderar outros cofatores influentes na qualidade de vida, o estudo pretende identificar os aspectos motivacionais, os sentimentos e as mudanças presentes nos contextos pessoal, familiar e social desses idosos com a participação em maratonas.

Esta tese versa sobre a osteoartrose (OA) de joelho no idoso, a sobrecarga do cuidador, a qualidade de vida (QV) de ambos e a relação entre a díade idoso-cuidador familiar. Dessa forma, seu objetivo foi de estudar o perfil populacional e a QV de idosos com OA e de seus cuidadores familiares. O estudo foi realizado em duas fases; na primeira foram elaborados dois artigos de revisão de literatura. E, na segunda, foram elaborados três artigos empíricos, que foram do tipo quantitativo, observacional, descritivo e de corte transversal. A amostra foi constituída por 15 idosas diagnosticadas com OA de joelho e seus cuidadores familiares. Para as idosas foram aplicados o questionário sociodemográfico e clínico, a Escala Visual Analógica (EVA), o questionário Algofuncional de Lequesne, o World Health Organization Questionnaire for Quality of Life Bref Form (WHOQOL-Bref) e o questionário da relação idoso-cuidador. Para os cuidadores foram aplicados o questionário sociodemográfico e clínico, a escala Zarit Burden Interview, o WHOQOL-Bref e o questionário da relação cuidador-idoso. As idosas apresentaram média de idade de 746,4 anos, com Índice de Massa Corporal (IMC) médio de 26,91 8,85 Kg/m2, das quais 53,33% (n=8) eram casadas e moravam com os maridos, 66,6% (n=10) eram aposentadas, 60% (n=8) não praticavam atividade física e 93,3% (n=14) utilizava algum tipo de medicação. Em relação aos cuidadores, 53,3% eram homens (n=8), com média de idade de 58,5317,54 anos, com IMC médio de 25,164,80 Kg/m2, dos quais 73,33% (n=11) eram casados, 60% (n=8) não praticavam atividade física e 93,3% (n=14) eram fumantes. De forma geral, observou-se que as idosas portadoras de OA de joelho, apontaram a dor como sintoma mais identificável e que a QV está diminuída, sendo o físico o pior domínio. Em relação aos cuidadores familiares, percebeu-se presença de sobrecarga e a que a QV está diminuída. Ao comparar a QV da díade idoso-cuidador, os resultados mostraram que as idosas têm a QV mais comprometida que o cuidador, exceto no domínio relações sociais. E a relação entre o par, demonstra indícios de ser harmoniosa. Com esta tese, gerou o projeto de um programa de apoio a saúde, para indivíduos com OA e seus cuidadores buscando minimizar as repercussões da OA na vida dos idosos e minimizar a sobrecarga sofrida pelos cuidadores. / This thesis deals with the osteoarthritis (OA) of the knee in the elderly, the burden of the caregiver, the quality of life (QOL) and the relationship between the old-family caregiver dyad. That way, your goal was to study the population profile and the QOL of elderly people with OA and their family caregivers. The study was conducted in two phases, on the first were elaborated two articles of literature review. And on the second, three practical articles were developed, which were quantitative type, observational, descriptive and cross-sectional. The sample consisted of 15 older diagnosed with knee OA and their family caregivers. For the elderly have been applied the demographic questionnaire and clinical, the Visual analogue scale (EVA), Algofuncional survey of Lequesne, the World Health Organization Questionnaire for Quality of Life-Form Bref (WHOQOL-Bref) and the old relationship quiz-caregiver. For caregivers have been applied the demographic questionnaire and clinical, Zarit Burden Interview, scale the WHOQOL-Bref questionnaire and the relative caregiver-aged. The elderly showed an average age of 74 6.4 years, with body mass index (BMI) 26.91 average 8.85 Kg/m2, out of which 53.33% (n = 8) were married and lived with their husbands, 66.6% (n = 10) were retired, 60% (n = 8) did not practice physical activity and 93.3% (n = 14) used some type of medication. In relation to caregivers, 53.3% were men (n = 8), with an average age of 58.53 17.54 years, with average BMI 25.16 4.80 Kg/m2, of which 73.33% (n = 11) were married, 60% (n = 8) did not practice physical activity and 93.3% (n = 14) were smokers. In general, it is observed that the elderly patients with OA of knee, point out the pain as a symptom more identifiable and the QOL is decreased, being the worst physical domain. In relation to family caregivers, realized an increase of burden and the QOL is diminished. When comparing the QOL of the elderly carer dyad, the results show that the elderly are the most committed to the caregiver QV, except in the field social relations. And, the relationship between the pair, shows signs of being harmonious. With this thesis, the design of a health support program, for individuals with OA and their caregivers seeking to minimize the impact of OA in the lives of the elderly and minimize overhead suffered by caregivers.

Made available in DSpace on 2017-06-01T18:08:20Z (GMT). No. of bitstreams: 1 erica_patricia_borba_lira_uchoa.pdf: 4523264 bytes, checksum: d4dd5f77d0353ad601698587c24fda01 (MD5) Previous issue date: 2016-11-10 / This thesis deals with the osteoarthritis (OA) of the knee in the elderly, the burden of the caregiver, the quality of life (QOL) and the relationship between the old-family caregiver dyad. That way, your goal was to study the population profile and the QOL of elderly people with OA and their family caregivers. The study was conducted in two phases, on the first were elaborated two articles of literature review. And on the second, three practical articles were developed, which were quantitative type, observational, descriptive and cross-sectional. The sample consisted of 15 older diagnosed with knee OA and their family caregivers. For the elderly have been applied the demographic questionnaire and clinical, the Visual analogue scale (EVA), Algofuncional survey of Lequesne, the World Health Organization Questionnaire for Quality of Life-Form Bref (WHOQOL-Bref) and the old relationship quiz-caregiver. For caregivers have been applied the demographic questionnaire and clinical, Zarit Burden Interview, scale the WHOQOL-Bref questionnaire and the relative caregiver-aged. The elderly showed an average age of 74 ± 6.4 years, with body mass index (BMI) 26.91 average ± 8.85 Kg/m2, out of which 53.33% (n = 8) were married and lived with their husbands, 66.6% (n = 10) were retired, 60% (n = 8) did not practice physical activity and 93.3% (n = 14) used some type of medication. In relation to caregivers, 53.3% were men (n = 8), with an average age of 58.53 ± 17.54 years, with average BMI 25.16 ± 4.80 Kg/m2, of which 73.33% (n = 11) were married, 60% (n = 8) did not practice physical activity and 93.3% (n = 14) were smokers. In general, it is observed that the elderly patients with OA of knee, point out the pain as a symptom more identifiable and the QOL is decreased, being the worst physical domain. In relation to family caregivers, realized an increase of burden and the QOL is diminished. When comparing the QOL of the elderly carer dyad, the results show that the elderly are the most committed to the caregiver QV, except in the field social relations. And, the relationship between the pair, shows signs of being harmonious. With this thesis, the design of a health support program, for individuals with OA and their caregivers seeking to minimize the impact of OA in the lives of the elderly and minimize overhead suffered by caregivers. / Esta tese versa sobre a osteoartrose (OA) de joelho no idoso, a sobrecarga do cuidador, a qualidade de vida (QV) de ambos e a relação entre a díade idoso-cuidador familiar. Dessa forma, seu objetivo foi de estudar o perfil populacional e a QV de idosos com OA e de seus cuidadores familiares. O estudo foi realizado em duas fases; na primeira foram elaborados dois artigos de revisão de literatura. E, na segunda, foram elaborados três artigos empíricos, que foram do tipo quantitativo, observacional, descritivo e de corte transversal. A amostra foi constituída por 15 idosas diagnosticadas com OA de joelho e seus cuidadores familiares. Para as idosas foram aplicados o questionário sociodemográfico e clínico, a Escala Visual Analógica (EVA), o questionário Algofuncional de Lequesne, o World Health Organization Questionnaire for Quality of Life Bref Form (WHOQOL-Bref) e o questionário da relação idoso-cuidador. Para os cuidadores foram aplicados o questionário sociodemográfico e clínico, a escala Zarit Burden Interview, o WHOQOL-Bref e o questionário da relação cuidador-idoso. As idosas apresentaram média de idade de 74±6,4 anos, com Índice de Massa Corporal (IMC) médio de 26,91 ± 8,85 Kg/m2, das quais 53,33% (n=8) eram casadas e moravam com os maridos, 66,6% (n=10) eram aposentadas, 60% (n=8) não praticavam atividade física e 93,3% (n=14) utilizava algum tipo de medicação. Em relação aos cuidadores, 53,3% eram homens (n=8), com média de idade de 58,53±17,54 anos, com IMC médio de 25,16±4,80 Kg/m2, dos quais 73,33% (n=11) eram casados, 60% (n=8) não praticavam atividade física e 93,3% (n=14) eram fumantes. De forma geral, observou-se que as idosas portadoras de OA de joelho, apontaram a dor como sintoma mais identificável e que a QV está diminuída, sendo o físico o pior domínio. Em relação aos cuidadores familiares, percebeu-se presença de sobrecarga e a que a QV está diminuída. Ao comparar a QV da díade idoso-cuidador, os resultados mostraram que as idosas têm a QV mais comprometida que o cuidador, exceto no domínio relações sociais. E a relação entre o par, demonstra indícios de ser harmoniosa. Com esta tese, gerou o projeto de um programa de apoio a saúde, para indivíduos com OA e seus cuidadores buscando minimizar as repercussões da OA na vida dos idosos e minimizar a sobrecarga sofrida pelos cuidadores.

Made available in DSpace on 2017-06-01T18:29:31Z (GMT). No. of bitstreams: 1 erica_patricia_borba_lira_uchoa.pdf: 4523264 bytes, checksum: d4dd5f77d0353ad601698587c24fda01 (MD5) Previous issue date: 2016-11-10 / This thesis deals with the osteoarthritis (OA) of the knee in the elderly, the burden of the caregiver, the quality of life (QOL) and the relationship between the old-family caregiver dyad. That way, your goal was to study the population profile and the QOL of elderly people with OA and their family caregivers. The study was conducted in two phases, on the first were elaborated two articles of literature review. And on the second, three practical articles were developed, which were quantitative type, observational, descriptive and cross-sectional. The sample consisted of 15 older diagnosed with knee OA and their family caregivers. For the elderly have been applied the demographic questionnaire and clinical, the Visual analogue scale (EVA), Algofuncional survey of Lequesne, the World Health Organization Questionnaire for Quality of Life-Form Bref (WHOQOL-Bref) and the old relationship quiz-caregiver. For caregivers have been applied the demographic questionnaire and clinical, Zarit Burden Interview, scale the WHOQOL-Bref questionnaire and the relative caregiver-aged. The elderly showed an average age of 74 ± 6.4 years, with body mass index (BMI) 26.91 average ± 8.85 Kg/m2, out of which 53.33% (n = 8) were married and lived with their husbands, 66.6% (n = 10) were retired, 60% (n = 8) did not practice physical activity and 93.3% (n = 14) used some type of medication. In relation to caregivers, 53.3% were men (n = 8), with an average age of 58.53 ± 17.54 years, with average BMI 25.16 ± 4.80 Kg/m2, of which 73.33% (n = 11) were married, 60% (n = 8) did not practice physical activity and 93.3% (n = 14) were smokers. In general, it is observed that the elderly patients with OA of knee, point out the pain as a symptom more identifiable and the QOL is decreased, being the worst physical domain. In relation to family caregivers, realized an increase of burden and the QOL is diminished. When comparing the QOL of the elderly carer dyad, the results show that the elderly are the most committed to the caregiver QV, except in the field social relations. And, the relationship between the pair, shows signs of being harmonious. With this thesis, the design of a health support program, for individuals with OA and their caregivers seeking to minimize the impact of OA in the lives of the elderly and minimize overhead suffered by caregivers. / Esta tese versa sobre a osteoartrose (OA) de joelho no idoso, a sobrecarga do cuidador, a qualidade de vida (QV) de ambos e a relação entre a díade idoso-cuidador familiar. Dessa forma, seu objetivo foi de estudar o perfil populacional e a QV de idosos com OA e de seus cuidadores familiares. O estudo foi realizado em duas fases; na primeira foram elaborados dois artigos de revisão de literatura. E, na segunda, foram elaborados três artigos empíricos, que foram do tipo quantitativo, observacional, descritivo e de corte transversal. A amostra foi constituída por 15 idosas diagnosticadas com OA de joelho e seus cuidadores familiares. Para as idosas foram aplicados o questionário sociodemográfico e clínico, a Escala Visual Analógica (EVA), o questionário Algofuncional de Lequesne, o World Health Organization Questionnaire for Quality of Life Bref Form (WHOQOL-Bref) e o questionário da relação idoso-cuidador. Para os cuidadores foram aplicados o questionário sociodemográfico e clínico, a escala Zarit Burden Interview, o WHOQOL-Bref e o questionário da relação cuidador-idoso. As idosas apresentaram média de idade de 74±6,4 anos, com Índice de Massa Corporal (IMC) médio de 26,91 ± 8,85 Kg/m2, das quais 53,33% (n=8) eram casadas e moravam com os maridos, 66,6% (n=10) eram aposentadas, 60% (n=8) não praticavam atividade física e 93,3% (n=14) utilizava algum tipo de medicação. Em relação aos cuidadores, 53,3% eram homens (n=8), com média de idade de 58,53±17,54 anos, com IMC médio de 25,16±4,80 Kg/m2, dos quais 73,33% (n=11) eram casados, 60% (n=8) não praticavam atividade física e 93,3% (n=14) eram fumantes. De forma geral, observou-se que as idosas portadoras de OA de joelho, apontaram a dor como sintoma mais identificável e que a QV está diminuída, sendo o físico o pior domínio. Em relação aos cuidadores familiares, percebeu-se presença de sobrecarga e a que a QV está diminuída. Ao comparar a QV da díade idoso-cuidador, os resultados mostraram que as idosas têm a QV mais comprometida que o cuidador, exceto no domínio relações sociais. E a relação entre o par, demonstra indícios de ser harmoniosa. Com esta tese, gerou o projeto de um programa de apoio a saúde, para indivíduos com OA e seus cuidadores buscando minimizar as repercussões da OA na vida dos idosos e minimizar a sobrecarga sofrida pelos cuidadores.