000 03334cam a2200349 4500
001 9289011653
020 _a9289011653
035 _a(Sirsi) 9289011653
060 _aWT 30
245 0 0 _aHealth, lifestyles and services for the elderly /
_cedited by W. E. Waters, E. Heikkinen, A. S. Dontas.
260 _aCopenhagen :
_bWHO Regional Office for Europe,
_c1989.
300 _a222 p.
440 0 _aPublic health in Europe ;
_v29
520 3 _aA detailed comparative analysis of data generated by an international study designed to assess the health, functional ability, and quality of life of the elderly and to evaluate their use of health and social services. Data from the study, which was carried out in 15 centres in 10 European countries and in Kuwait, are submitted to sophisticated statistical and epidemiological analysis in order to yield conclusions useful in the improvement of services and in the design of further research on the aging process. The book has five main chapters. The first explains the design of the study, including methods used to produce standardized and comparable data from representative samples of the elderly. The second chapter, devoted to health and functional ability, assesses data on the ability to perform selected activities of daily living and on the prevalence of reported chronic diseases, accidents, and injuries. The main diseases and conditions affecting daily function were identified as disorders of the musculoskeletal system, ischaemic heart disease, hypertension, and diseases of the digestive system. A chapter devoted to lifestyles and life satisfaction considers interrelations between social activity and life satisfaction and the impact that health status and functional ability can have on social participation and satisfaction with life. Findings lend support to the assumption that socially active people are more satisfied with their lives than those whose personal contacts are more limited. Other chapters point out differences in the utilization of services, identify factors that may explain these differences, and consider the determinants of physical dependence. Risks factors for physical dependence are identified as poor housing conditions, low education, low social activity, and low physical activity. To facilitate interpretation of the study and its findings, the book devotes more than 100 pages to details on study design and methodology, including reproduction of the standardized codebook, a description of the indices used in the study, an explanation of correlation coefficients of the sixteen selected variables, and a reproduction of the questionnaire used to evaluate local services for the elderly. Operational definitions used in the questionnaire are also annexed to the report.
546 _aeng.
550 _aWHODOC
561 _aWHO monograph
562 _aICP/HEE 211
596 _a4
650 0 2 _aHealth services for the aged.
650 0 2 _aLife style.
650 0 2 _aQuality of life.
650 0 2 _aHealth surveys.
651 2 _aEurope.
690 _aHealth of the Elderly.
700 1 _aWaters, W. E.
700 1 _aHeikkinen, Eino.
700 1 _aDontas, A. S.
710 2 _aWorld Health Organization.
_bRegional Office for Europe.
008 900629s1989 0 eng
942 _2NLM
_cMONOGRAPH
999 _c11861
_d11861