Correlates of Loneliness and Social Isolation Among Korean Adults

Healthcare, Год журнала: 2025, Номер 13(7), С. 806 - 806

Опубликована: Апрель 3, 2025

Background: Loneliness is a public health concern. Despite the increasing attention paid to loneliness globally, knowledge regarding condition in Korea scarce. This study aims examine correlates of and social isolation among Korean adults. Methods: cross-sectional used nationally representative sample adults aged 30 years older from 2021 National Mental Health Survey (N = 4696). The survey six-item scale (LSIS-6) assess between June August, 2021. Two ordinary least squares regression models were conducted. Model 1 included socio-demographic variables as isolation. 2 added range mental conditions, such depressive disorder, anxiety alcohol-use nicotine-use disorders, physical inactivity. was measured relation whether participant had experienced each disorder his/her lifetime. Results: A total 34.4% participants reported that they felt lonely at occasionally. After all adjustments, experience conditions associated with an increase LSIS-6 score (B 2.32 for B 0.59 0.36 both disorder; p < 0.01). In addition, greater male gender, age, lower educational level, non-married status, household income, having smaller number children, chronic taking less frequent walks per week. Conclusions: conclusion, prevalent correlated significantly characteristics conditions.

Язык: Английский

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Aging, longevity, and healthy aging: the public health approach

Aging Clinical and Experimental Research, Год журнала: 2025, Номер 37(1)

Опубликована: Апрель 17, 2025

Abstract Background Population aging is one of the most significant global demographic changes 21st century, driven by increased life expectancy and declining fertility rates. This phenomenon presents both achievements challenges for public health systems worldwide. Aims On hand, advances in healthcare socio-economic conditions have contributed to longer lives improved quality older adults. other populations are increasingly affected chronic diseases, greriatric syndromes, multimorbidity, leading greater demands higher associated costs. Methods manuscript explores evidence on regards impact economic systems, emphasizing need a paradigm shift toward healthy aging. Results Healthy aging, as defined World Health Organization, focuses maintenance intrinsic capacity, physical, mental, social well-being throughout life. It highlights importance preventive healthcare, proper nutrition, regular physical activity delaying onset maintaining functional independence. Furthermore, addresses faced infrastructures pension they adapt populations, with particular attention strain caused workforce shortages rising long-term care. Discussion A coordinated approach essential promote mitigate societal impacts population Conclusions paper underscores integrated policies multidisciplinary care models ensure that accompanied better individuals.

Язык: Английский

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Transformation of chronic disease management: Before and after the COVID-19 outbreak

Frontiers in Public Health, Год журнала: 2023, Номер 11

Опубликована: Март 29, 2023

Adults with chronic diseases often experience a decline in their quality of life along frequent exacerbations. These can cause anxiety and impose significant economic burden. Self-management is crucial aspect treatment outside the hospital improve reduce financial burden resulting from unexpected hospitalizations. With COVID-19 pandemic, telehealth has become vital tool for both medical professionals patients; many in-person appointments have been canceled due to leading increased reliance on online resources. This article aimed discuss various methods disease management, traditional self-management modern strategies, comparing before after outbreak highlighting challenges that emerged.

Язык: Английский

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Decomposing income-related inequality in health-related quality of life in mainland China: a national cross-sectional study

BMJ Global Health, Год журнала: 2023, Номер 8(11), С. e013350 - e013350

Опубликована: Ноя. 1, 2023

Health equity is an important indicator measuring social development and solidarity. However, there a paucity in nationwide studies into the inequity health-related quality of life (HRQoL) mainland China, particular using most recent data HRQoL EuroQol 5-Dimension-5 Level (EQ-5D-5L). This study aimed to address gap literature by estimating decomposing income-related inequality utility index (UI) EQ-5D-5L China.

Язык: Английский

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Clinical Practice Guidelines for mental health and well-being in patients with chronic medical illnesses

Indian Journal of Psychiatry, Год журнала: 2024, Номер 66(Suppl 2), С. S338 - S352

Опубликована: Янв. 1, 2024

CONCEPT OF CHRONIC MEDICAL ILLNESSES There is no specific or formal definition of chronic medical illnesses. Some the authors have attempted to give an operational description conditions as needing ongoing management over extended period and include a broad range such cardiac diseases, malignancies, endocrine/metabolic stroke, hepatic renal respiratory certain infectious genetic disorders, other health issues resulting in disability/impairment.[1] Chronic are highly prevalent, especially among older adults, with many having more than one ones. This has led development concept multimorbidity, defined multiple single person.[2] Regarding several states, some define multimorbidity two more, whereas others specify it presence three diseases.[3,4] attempts also been made word context multimorbidity. It understood permanent condition that associated irreversible pathological changes body organs systems, requires long-term supervision, observation, care, disability/impairment, special training for patient's rehabilitation.[3] "chronic" persistent conditions, which duration (often lifelong), higher probability recurrence, there marked difficulty ameliorating curing them.[5] prefer use term instead these cannot be cured but can controlled medications measures.[6] In terms prevalence, data from United States suggest about one-fourth people suffer prevalence figures increase 50% those aged 45–65 years go up high 81% 65 years.[7] An available review literature community-based studies reports pooled 33.1%, significantly high-income countries (37.9%), low- middle-income (29.7%).[4] Data India adults 30.7%.[8] evaluate incidence study assessed 3-year (defined ≥2 diseases) who had start reported rate 33.6%. The disease at baseline was 66.4%, amounting 12.6 32.9/100 person-years without any illness baseline, respectively.[9] Irrespective etiology underlying most persons suffering through similar experiences challenges.[5] Nearly half illnesses report functional limitations poor self-reported health.[10] Additionally, physical diseases experience mental disorders (such depression anxiety), stress, loneliness, social isolation, etc., stigma, poverty, financial distress, unemployment, etc. Because cure not possible recent times, emphasis on improving patients' well-being quality life (QoL). this regard, understanding concepts, including health, essential. HEALTH AND PROMOTION Health should merely absence disease. World Organization (WHO) defines "a state complete physical, well-being, disease".[11] viewed tool enables individuals achieve their goals, meet requirements, adapt surroundings order long, fulfilling lives. person further social, economic, personal domains essential well-being. influenced by personal, environmental, resources. Individual resources activity, healthy dietary habits, good connections ties, resilience, positive emotions, autonomy. environmental influencing peace, economic security, stable ecosystem, safe housing. context, promotion process improve control health. activities aim strengthen individual, finally enhance CONCEPTUAL UNDERSTANDING WELL-BEING different perspectives, broadly hedonic (HWB) eudaimonic (EWB). HWB, subjective emotional cognitive self-evaluation life, consists frequent pleasant feelings, infrequent unpleasant overall judgment whether satisfying. contrast, EWB considers particular needs qualities paramount importance one's psychological growth development, attain full potential.[12] rooted pursuing goals consistent values identity.[12] Ryff[13] listed six key features indicate functioning well. These maturity guided internal standards (autonomy), capability trust love (positive relations), ability manage external stressors leverage opportunities (environmental mastery), attitude toward self (self-acceptance), aims (purpose life), accepting new challenges growth.[13] Besides conceptualization HBW EWB, included concepts optimism flourishing (one model known PERMA: emotion, engagement (flow), (positive) relationships, meaning, achievement).[12] Among various HWB received significant research attention. comprise affective component. A considered when feelings exceeds feelings. assessment accordingly focuses assessing happiness, joy, sadness, contentment, anger, worry, However, crucial understand frequency rather intensity because intense emotions negative On hand, lower resultantly possibly satisfaction. Cognitive own compared ideal life. People usually desires, primarily met current situation. Evaluating satisfaction part areas work, family, health.[12] Generally, correlation between both mutually exclusive. risk coronary artery immune long run. behavior, better functioning, faster recovery after event.[12] reflects person's evaluation based comparing desirable affairs. Accordingly, present circumstances exceed desired state, could global domain relationships. determined distal proximal factors. described top-down bottom-up According model, evaluating health) cultural As per personality traits determine satisfaction, domain-specific satisfaction.[12] Research involving patients suggests affect effect, detrimental impact outcome conditions.[12] Relationship illness, well-being: WHO states "well-being exists dimensions, objective. individual's well comparison norms values".[14] Health, education, employment, interpersonal connections, built natural surroundings, civic involvement governance, housing, work-life balance all aspects daily living might Subjective states. influence vice versa. independent dimensions. level low well-being.[15] suggested satisfaction.[16] support association self-perceived longevity, behaviors, illnesses, connectedness, productivity, factors environment.[17,18] Recently, describe core components (i.e. sense pleasure derived fulfillment comfort derives bodily feeling enough energy needs), (this includes happiness (reflects harmony integration into society). additional form spiritual (that serenity joy gratification existential needs) general (which four well-being).[19] Overall, connects (mind) (body) provides holistic preventing promoting [Table 1].Table 1: Basic facts its relation healthCONCEPT QUALITY LIFE QoL emerged early 1970s, measure wellness, disability. Over years, increased, idea used performance country aspects, healthcare, politics, employment. perspective now gross domestic production regarded only parameter does provide information country's progress. vital QoL. European statistical system country, material (income, consumption, conditions), production, leisure, interactions, security safety, governance fundamental rights, environment, specifically related HRQoL, is, person. monitor services, interventions unmet needs.[20] indicators QoL, wealth, recreation leisure time, belongingness, religious beliefs, freedom. dimensions according Quality Life (WHOQOL) group, psychological, independence, relations, spiritual. categorized facets (25 WHOQOL group) reliable valid across globe.[21] HRQoL. HRQoL emotional, treatment.[22] Others lead life.[23] another definition, directly indirectly disease, disability, impairment. Further, clarify expectations.[24] clarified previous influences our expectations during illness. reduced helping them adjust change clinical status.[24] Hence, focus changing people's Other refer mental, Functioning self-care, role work- irrespective payment status), (interaction family friends). consider less well-being.[25] authors' descriptions element successful aging expectancy, concentrate impacted treatment.[26] Centre Disease Control Prevention, HRQOL individual community Perceptions factors, risks status, support, socioeconomic position, individual-level determinants HRQOL. resources, environments, situations, policies, practices population's views status community-level HRQOL.[27] MENTAL ISSUES IN PATIENTS WITH PHYSICAL Mental widespread commonly studied depression, anxiety, sleep disturbances, psychosocial identified out-of-pocket treatment costs, pain/discomfort, hopelessness, pain.[28] varies 7 86%, depending instruments, time assessment, type illnesses.[29] relationship other. well-recognized contribute diseases. undiagnosed untreated contributes medication adherence participation rehabilitation. For example, heart (CHD) increases CHD 30–80%.[30] dose–response CAD. conferred depressive symptoms comparable traditional hypertension, smoking, diabetes mellitus, dyslipidemia.[31] Depression shown all-cause mortality, cardiovascular events.[30] comorbidity linked biological behavioral factors.[32] ample evidence conditions.[33] evidence, convincing mortality (i.e., schizophrenia) disorder).[33] Further decompensated liver cirrhosis alcohol disorder), mellitus disorders), cancer schizophrenia), major events failure disorders). bipolar disorder anxiety disorders.[33] Although weak, tuberculosis, hepatitis-C, Parkinson's human immunodeficiency virus, cancers (breast, lung), hip fracture.[33] terminal distress express needs. TREATMENT MODELS FOCUSING ON QOL Various models proposed care consultation liaison psychiatry, integrated palliative models. CL Psychiatry Model: consultation-liaison psychiatry (CLP) subspecialty clinical, teaching, psychiatrists allied professionals non-psychiatric divisions hospital.".[34] providing expert opinion specialist regarding diagnosis advice managing disturbance. refers connection groups effective collaboration.[34,35] evolved, CLP proposed.[36] models, professional's carry out thorough patient pharmacological nonpharmacological Care Model (CCM): CCM differs reactive acute (especially hospital setting); proactive approach empowers community. implemented primary setting. components, i.e. (1) utilizing using volunteer groups, self-help etc.), address needs, (2) healthcare organizations organization culture mechanisms promote high-quality care); (3) self-care (enabling self-management strategies action plans, coping strategies, problem-solving, follow-up, (4) professional team (a multidisciplinary focusing planned illnesses), (5) decision preferences patients), (6) computerized systems record keeping, alert teams adhere guidelines feedback physicians, system). Available implementing contributed improved outcomes, disparities (e.g. ethnicity, status) too.[37] Collaborative/Integrated Models: Collaborative often interchangeably. At times CLP. Integrated "the results practice clinicians, working together families, systematic cost-effective patient-centered populationt".[38] collaborative create close treating members, secondary level, outcomes.[39] literature, types discussed. One approaches places strong "integrating" issue detection routine care. second paradigm, "reverse integration," comorbid seen sector, goal outcomes. third involves total regardless unified network clinicians.[40] Regardless typically offers may case coordination, provider application algorithms, interventions, patient-shared decision-making.[39] propose multicomponent behavior lifestyle exercise, diet, sleep, reduction, smoking cessation interventions) adjunctive nutraceutical treatments omega-3 fatty acids, select amino acids vitamin compounds, along potential plant medicines), mind–body therapies yoga, mindfulness-based interventions). American Psychiatric Association, five (providing services familiar location), population-based (proper tracking load-focused consultations), measurement-based (evaluating outcomes evidence-based tools), accountable providers reimbursed just volume provided).[41] Palliative "an improves families facing problems life-threatening prevention relief means identification impeccable pain problems, psychosocial, spiritual".[42] promotes confronted illness".[43] elaborated "affirms accepts death trying delay constitutes point view; seeks patient, centered death, restricted terminally ill agonized addressed team". critical remember focused likelihood recovery. Furthermore, given conjunction curative appropriate age stage serious (regardless prognosis), relieving stress illness.[44] clinicians believe similarities psychiatric treatments, severe frequently curative. competencies comprehensive careful communication diagnosis, prognosis, symptom management, carer need referral extra services. professions require important behaviors caring attitude, empathy, optimism. open discussion discomfort best way handle it.[44] WELLNESS INTERVENTIONS wellness day-to-day reducing cost illnesses.[45] Wellness referred self-management. distinguish interventions. emphasize motivated. motivated desire avoid consequences.[46] nutrition, education. carried basis group basis. Different effectiveness out.[47] self-management, incorporates Self-care, self-regulation, counselling interchangeably phrase "self-management." goes beyond educating giving it.[48] Self-management symptoms, changes, illness's cultural, consequences. component responsibility themselves while "self-management support" provided help make informed decisions, indulge behaviors.[49] tasks processes involved involve management. decision-making, resource utilization, partnerships providers, taking action.[48] expanded activating illness.[48] enforced countries, diffe

Язык: Английский

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Headache impact and socioeconomic status: findings from a study of the German Migraine and Headache Society (DMKG)

The Journal of Headache and Pain, Год журнала: 2023, Номер 24(1)

Опубликована: Апрель 4, 2023

Headache disorders are not only among the most prevalent, they also disabling worldwide. This paper investigates association between headache impact on daily life and socioeconomic status (SES) of sufferers.

Язык: Английский

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Effectiveness of dignity therapy on well-being among patients under palliative care: A systematic review and meta-analysis

International Journal of Nursing Studies, Год журнала: 2023, Номер 149, С. 104624 - 104624

Опубликована: Окт. 21, 2023

Язык: Английский

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The Experience of Living with a Chronic Illness: A Qualitative Study among End-Stage Renal Disease Patients

Journal of Social Work in End-of-Life & Palliative Care, Год журнала: 2023, Номер 19(3), С. 190 - 208

Опубликована: Июль 3, 2023

The prevalence of End-Stage Renal Disease (ESRD) has been rising over time and substantially affects morbidity mortality. ESRD requires lifelong treatment, as a result, patients experience multiple physical psychosocial stressors. struggle to retain their jobs, social lives, financial flexibility, diet restrictions liquids solid foods. present study aims understand the experiences undergoing hemodialysis. was conducted at Eldho Mor Baselious Dialysis Center in Perumbavoor, Kerala, hemodialysis outpatient unit. Biopsychosocial model used theoretical framework study. As goal investigate inner patients, qualitative research approach employed. Twelve respondents were selected for using purposive sampling, data organized analyzed Colaizzi's descriptive phenomenological method. Four theme categories emerged from analysis: decline function, distress, economic hardships, impact on support system. shows that significant health-related issues. role clinical worker is vital there need work interventions resolve issues with ESRD.

Язык: Английский

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Humor and Quality of Life in Adults With Chronic Diseases: A Systematic Review

Cureus, Год журнала: 2024, Номер unknown

Опубликована: Фев. 29, 2024

Individuals grappling with chronic ailments often undergo a deterioration in their overall quality of life (QoL), encompassing psychological, social, and physical dimensions well-being. Acknowledging that humor has demonstrated the potential to engender favorable effects on QoL, this systematic review endeavors investigate correlation between QoL among adults contending health conditions. A comprehensive quantitative data was conducted accordance Preferred Reporting Items for Systematic Reviews Meta-Analyses (PRISMA) 2020 guidelines. PubMed/MEDLINE, PsycINFO, Cumulative Index Nursing & Allied Health (CINAHL) were comprehensively searched from establishment each database up June 22, 2023. Furthermore, reference lists included datasets pertinent articles scrutinized exhaustively. The Newcastle-Ottawa Scale (NOS) employed assess eligible studies. total 18 studies satisfied inclusion criteria. These encompassed diverse spectrum disease categories (including cardiovascular diseases, various types cancer, etc.) collectively involved participant cohort comprising 4,325 individuals. Remarkable findings surfaced, indicating noteworthy association distinct facets humor-such as one's sense humor, coping styles, laughter-and psychological QoL. Nonetheless, relationship exhibited more intricate pattern, characterized by mixed outcomes. Despite limited inconsistent evidence across studies, appears exhibit positive

Язык: Английский

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Dietary determinants of overnutrition among hypertensive patients in southwest Ethiopia: an ordinal regression model

Scientific Reports, Год журнала: 2024, Номер 14(1)

Опубликована: Апрель 2, 2024

Abstract Overnutrition is a recognized risk factor for hypertension, but evidence lacking among hypertensive patients tailored dietary interventions. This study assessed factors in 331 southwest Ethiopia. The data was collected through questionnaire and analyzed using analysis. Body mass index (BMI) calculated, BMI above 25 kg m −2 considered overnutrition. An ordinal logistic regression model used to the control confounders. Adjusted odds ratio p -values were reported. Among respondents, consumption of cereals grains (57.0%); roots tubers (58.5); legumes (50.0%), while 28.6% drink alcohol, common. About 29.0% (24.1–34.2) had overnutrition (22%, 17.6–26.6%, overweight 7.0%, 4.5–10.3%, obesity). While predicted higher males (AOR = 2.85; 1.35–6.02), married 1.47; 0.69–3.12), illiterates 2.09; 1.18–3.72), advanced age 1.65; 0.61–4.61), government employees 6.83; 1.19–39.2), urban dwellers 4.06; 1.76–9.36), infrequent vegetable 0.72–2.96) lower terciles animal-source food 1.56; 0.72–3.34). significantly high associated with unhealthy consumption, educational status, residence, occupation, emphasizing need targeted counseling.

Язык: Английский

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