@2024 Afarand., IRAN
ISSN: 2008-2630 Iranian Journal of War & Public Health 2019;11(4):207-214
ISSN: 2008-2630 Iranian Journal of War & Public Health 2019;11(4):207-214
Physical and Mental Health Status and Its Related Demographic Factors in Martyr's Elderly Parents: A Case Study of Tehran City
ARTICLE INFO
Article Type
Descriptive & Survey StudyAuthors
Hosseini R.S. (1)Abolfathi Momtaz Y. (*1)
Mohammadi Shabalaghi F. (1)
Soroush M.R. (2)
Delbari A. (1)
(1) Iranian Research Center on Aging, University of Social Welfare & Rehabilitation Sciences, Tehran, Iran
(2) Janbazan Medical and Engineering Research Center (JMERC), Tehran, Iran
Correspondence
Address: Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Koodakyar Street, Daneshjoo Boulevard, Velenjak Square, Tehran, Iran. Postal Code: 1985713834Phone: +98 (21) 22180154
Fax: -
yabolfathi@gmail.com
Article History
Received: April 28, 2019Accepted: July 10, 2019
ePublished: December 21, 2019
BRIEF TEXT
… [1]. In most societies, the elderly face the greatest risk of impaired physical, psychological, and cognitive abilities and are more likely to rely on formal and informal support to maintain health, performance, and self-sufficiency [2].
... [3-12]. On the other hand, according to life cycle theory, some events that occur during one's life lead to different experiences in people and changes in health. For example, war affects human health [13]. Numerous studies have shown that war can have devastating physical and psychological effects on individuals. Studies have shown that the conflict that results from warfare can lead to more deaths than any physical illness or disability. War will have devastating effects on communities and families, especially the survivors [14, 15]. ... [16, 17].
The aim of this study was to investigate the physical and mental health status and related demographic factors in elderly parents of martyrs.
This research was a cross-sectional descriptive study.
This study was carried out in 2018 on elderly parents of martyrs in Tehran.
600 people were included in the study through proportional random sampling.
Using the available information, based on the addresses and telephone numbers in the Center's documentation, the number of elderly parents living in each district of Tehran was determined and six districts (9, 1, 15, 4, 5 and 19) were randomly selected. According to the frequency of elderly parents of martyrs in each selected district, the sample size was selected according to the frequency of the study population. Due to the high number of parents of martyrs in Tehran, their telephone numbers were randomly selected. Two questioners were trained simultaneously by the researchers on how to collect information and ask questions. Data were collected using Demographic questionnaire, Activities of Daily Living (ADL) Questionnaire [18-20], and WHO-5 Well-Being Index. Data were analyzed using SPSS 23 software, independent T-test, one-way ANOVA and Tukey post hoc test.
The mean age of the elderly was 76.82 ± 7.45 years and the majority of them was Fars and married (Table 1).The mean score of ADL was 10.07 ± 3.17 and the mean score of the WHO-5 Well-Being Index was 11.60 ± 5.87. Also, most of the elderly were depenThe ability to perform ADL, as an indicator of physical health, was significantly correlated with demographic variables of age, marital status, ability to read and write, and the number of sources of income. Those younger than 85 years, married, able to read and write, and having more than two sources of income obtained the higher mean scores (Table 3).dent in terms of ADL and had low level of well-being (Table 2).According to the WHO-5 Well-Being Index, there was a statistically significant relationship between mental well-being of the elderly and gender, marital status, ability to read and write, and number of sources of income; mental health was higher in men, married, literate cases who had more than two sources of income (Table 4).
The results showed that only about 18% of the elderly were independent to perform daily activities and about 72% of the subjects were dependent for their motor activities. This finding was consistent with a Jaghtae & Nejati study that reported 81.7% of the elderly independent, 13.2% in need of help, and 5% fully dependent [23] and is not consistent with the studies by Nourbakhsh et al. and Alizadeh et al. [24, 25]. ... [26-30]. Also, only about 46% of the elderly reported good psychological well-being, which is consistent with the study by Afzali et al. [31] ... [32-34]. In this study, mental health was higher in men, married elderly, people with reading and writing ability, and more than two sources of income. The results of this study are in line with those of Najafi et al. [35]. ... [36, 37].
None.
Given the cross-sectional design of the study, causal relationships in the study should be avoided.
The physical and mental health status of the elderly parents of martyrs in Tehran is low and is related to demographic factors, such as age, gender, marital status, source of income and ability to read and write.
The authors would like to express their gratitude to all the families of martyrs and their parents for participating in this study and also the Office of Studies and Research of the Foundation of Martyrs and Veterans Affairs, University of Social Welfare and Rehabilitation Sciences, and those who who assisted us in this study.
None.
This study was approved by the University of Social Welfare and Rehabilitation Sciences (1690).
This research was extracted from a research approved by the University of Social Welfare and Rehabilitation Sciences (1690).
TABLES and CHARTS
Show attach fileCITIATION LINKS
[1]Zarei F, Mohammadi M, Aboozadeh Gatabi K, Ghanbari Moghaddam A. General health and its related factors among elderly in Sabzevar 2016. J Gerontol. 2017;2(2):26-33. [Persian]
[2]Borhaninejad V, Momenabadi V, Hossseini SH, Mansoori T, Sadeghi A, Toroski M. Health physical and mental status in the elderly of Kerman. J North Khorasan Univ Med Sci. 2015;6(4):715-25. [Persian]
[3]Ahmadi A, Sahaf R, Rashedi V, Akbari Kamrani AA, Shati M, Delbari A. Relationship between oral health and demographic characteristics in retired elderly people in Iran. Salmand: Iran J Aging. 2019;13(4):452-63. [Persian]
[4]Sadegh Moghaddam L, Delshad Nobaghi A, Farhadi A, Nazari S, Eshghizadeh M, Choopan Vafa F, et al. Life satisfaction in older adults: role of perceived social support. J Sabzevar Univ Med Sci. 2016;22(6):1043-51. [Persian]
[5]Farokhnezhad Afshar P, Asgari P, Shiri M, Bahramnezhad F. A review of the Iran's elderly status according to the census records. Galen Med J. 2016;5(1):1-6.
[6]Atadokht A, Zare R, Karamati Topraghloo N. The relationship between social interest and general health among elderly non-resident and resident at geriatric centers of Ardabil city. Iran J Health Educ Health Promot. 2015;3(2):141-9. [Persian]
[7]Dziechciaz M, Filip R. Biological psychological and social determinants of old age: bio-psycho-social aspects of human aging. Ann Agric Environ Med. 2014;21(4):835-8.
[8]Darvishpoor Kakhki A, Abed saeedi J. Factors related to health-related quality of life (HRQoL) of elderly people in Tehran. Adv Nurs Midwifery. 2013;23(82):8-16. [Persian]
[9]Gilhooly M, Hanlon P, Mowat H, Cullen B, Macdonald S, Whyte B. Successful ageing in an area of deprivation: part 1--a qualitative exploration of the role of life experiences in good health in old age. Public health. 2007;121(11):807-13.
[10]Aseyedali M, Sadeghi Mahalli N, Noroozi K. A review on adult daycare Centers in the worlds. Salmand: Iran J Aging. 2019;13(4):518-29. [Persian]
[11]Eftekhari Z, Nosratinejad F, Sahhaf R, Zanjari N. A Content analysis of the concepts and images of the physical aging primary school textbooks in Iran. Salmand: Iran J Aging. 2018;13(2):154-67. [Persian]
[12]Rondón García LM, Ramírez Navarrro JM. The impact of quality of life on the health of older people from a multidimensional perspective. J Aging Res. 2018;2018.
[13]Moradpiri H, Heshmati M, Hassanzadeh (Mohammadi) M. An investigation Iraq's strategies against Islamic Republic Iran during the imposed war. Q Compr Holy Defense'. 2017;2(2);83-103. [Persian]
[14]Srinivasa Murthy R, Lakshminarayana R. Mental health consequences of war: a brief review of research findings. World Psychiatry. 2006;5(1):25-30.
[15]Aghayousefi A, Sharif N. Personal well-being and stress symptoms in wives of Iranian martyrs, prisoners of wars and disabled veterans. Iran J Psychiatry. 2010;5(1):28-34.
[16]Firouzkouhi MR, Zargham Boroujeni A, Nouraei M, Rahnama M, Babaiepour M. The effect of imposed war on Iran's nursing: a historical research. J Milit Med. 2015;17(3):127-36. [Persian]
[17]Roshan R, Shakeri R. A study on depression among war martyrs’ widows in Tehran using a special depression scale for war martyr's widows. Horizon Med Sci. 2010;16(1):50-9. [Persian]
[18]Alizadeh M, Rahimi A, Arshinji M, Sharifi F, Arzaghi M, Fakhrzadeh H. Physical health status and socio-economic outcomes on elderly in Tehran metropolitan area. Iran J Diabetes Metab. 2013;13(1):29-37. [Persian]
[19]Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW. Studies of illness in the aged. The index of ADL: a standardized measure of biological and psychosocial functions. JAMA. 1963;185(12):914-9.
[20]Taheri Tanjani P, Azadbakht M. Psychometric properties of the Persian version of the activities of daily living scale and instrumental activities of daily living scale in elderly. J Mazandaran Univ Med Sci. 2016;25(132):103-12. [Persian]
[21]Topp CW, Østergaard SD, Søndergaard S, Bech P. The WHO-5 well-being index: a systematic review of the literature. Psychother Psychosom. 2015;84(3):167-76.
[22]Dehshiri Gh, Mousavi SF. An investigation into psychometric properties of Persian version of world health organization Five Well-being Index. J Clin Psychol. 2016;8(2):67-75. [Persian]
[23]Joghataei MT, Nejati V. Assessment of health status of elderly people in the city of Kashan. Salmand: Iran J Aging. 2006;1(1):3-10. [Persian]
[24]Nourbakhsh SF, Fadayevatan R, Alizadeh Khoei M, Sharifi F. Determining the status of activity of daily living (ADL) and instrumental activity of daily living (IADL) in healthy and cognitive impaired elderlies. Jorjani Biomed J. 2018;5(2):63-77. [Persian]
[25]Alizadeh M, Fakhrzadeh H, Sharifi F, Zanjari N, Ghasemi S. Comparative study of physical and mental health status of old people in aged groups of 60-64 and 65-69 years old in Tehran metropolitan area. Iran J Diabetes Metab. 2013;13(1):50-61. [Persian]
[26]Bakhtiyari F, Foroughan M, Fakhrzadeh H, Nazari N, Najafi B, Alizadeh M, et al. Validation of the Persian of abbreviated mental test (AMT) in elderly residents of Kahrizak charity foundation. Iran J Diabetes Metab. 2014;13(6):487-94. [Persian]
[27]Habibi A, Nikpour S, Seiedoshohadaei M, Haghani H. Quality of life and status of physical functioning among elderly people in west region of Tehran: a cross-sectional survey. Iran J Nurs. 2008;21(53):29-39. [Persian]
[28]Mazloomi Mahmoudabad SS, Soltani T, Morovati MA, Fallahzadeh H. Activities of daily living and prevalence of chronic diseases among elderly people in Yazd. J Toloo-e Behdasht. 2014;13(3):42-53. [Persian]
[29]Ahmadi F, Salar A, Faghihzadeh S. Quality of life in Zahedan elderly population. J Hayat. 2004;10(3):61-7. [Persian]
[30]Storeng SH, Sund ER, Krokstad S2. Factors associated with basic and instrumental activities of daily living in elderly participants of a population-based survey: the Nord-Trøndelag Health Study, Norway. BMJ Open. 2018;8(3):e018942.
[31]Afzali SM, Etemadifar S, Aslani Y, Hasanpour A, Keivani Z. Assessment of psychosomatic health status in elderly population that coverage by Shahrekord Behzisty Center. Avicenna J Nurs Midwifery care. 2008;15(1):38-48. [Persian]
[32]Beaumont J, Lofts H. Measuring national well-being- health, 2013 [Internet]. London: Office for National Statistics; 2013 [cited 2018 June 19]. Available from: https://bit.ly/2XHjZFI.
[33]Hoeymans N, Garssen AA, Westert GP, Verhaak PFM. Measuring mental health of the Dutch population: a comparison of the GHQ-12 and the MHI-5. Health Qual Life Outcomes. 2004;2(1):23.
[34]Mortazavi SS, Shati M, Eftekhar Ardebili H, Mohammad K, Dorali Beni R, Keshteli AH. Comparing the effects of group and home-based physical activity on mental health in the elderly. Int J Prev Med. 2013;4(11):1282-9.
[35]Najafi B, Arzaghi M, Fakhrzadeh H, Sharifi F, Shoaei S, Alizadeh M, et al . Mental health status and related factors in aged population: Urban health equity assessment and response tool (Urban- Heart) study in Tehran. Iran J Diabetes Metab. 2013;13(1):62-73. [Persian]
[36]Alavi M, Jorjoran Shushtari Z, Noroozi M, Mohammadi Shahboulaghi F. Mental health and related factors in old population in Tehran 2014-2015. J Mazandaran Univ Med Sci. 2018;27(158):112-22. [Persian]
[37]Noorbala AA, Bagheri Yazdi SA, Yasamy MT, Mohammad K. Mental health survey of the adult population in Iran. Br J Psychiatry. 2004;184(1):70-3.
[2]Borhaninejad V, Momenabadi V, Hossseini SH, Mansoori T, Sadeghi A, Toroski M. Health physical and mental status in the elderly of Kerman. J North Khorasan Univ Med Sci. 2015;6(4):715-25. [Persian]
[3]Ahmadi A, Sahaf R, Rashedi V, Akbari Kamrani AA, Shati M, Delbari A. Relationship between oral health and demographic characteristics in retired elderly people in Iran. Salmand: Iran J Aging. 2019;13(4):452-63. [Persian]
[4]Sadegh Moghaddam L, Delshad Nobaghi A, Farhadi A, Nazari S, Eshghizadeh M, Choopan Vafa F, et al. Life satisfaction in older adults: role of perceived social support. J Sabzevar Univ Med Sci. 2016;22(6):1043-51. [Persian]
[5]Farokhnezhad Afshar P, Asgari P, Shiri M, Bahramnezhad F. A review of the Iran's elderly status according to the census records. Galen Med J. 2016;5(1):1-6.
[6]Atadokht A, Zare R, Karamati Topraghloo N. The relationship between social interest and general health among elderly non-resident and resident at geriatric centers of Ardabil city. Iran J Health Educ Health Promot. 2015;3(2):141-9. [Persian]
[7]Dziechciaz M, Filip R. Biological psychological and social determinants of old age: bio-psycho-social aspects of human aging. Ann Agric Environ Med. 2014;21(4):835-8.
[8]Darvishpoor Kakhki A, Abed saeedi J. Factors related to health-related quality of life (HRQoL) of elderly people in Tehran. Adv Nurs Midwifery. 2013;23(82):8-16. [Persian]
[9]Gilhooly M, Hanlon P, Mowat H, Cullen B, Macdonald S, Whyte B. Successful ageing in an area of deprivation: part 1--a qualitative exploration of the role of life experiences in good health in old age. Public health. 2007;121(11):807-13.
[10]Aseyedali M, Sadeghi Mahalli N, Noroozi K. A review on adult daycare Centers in the worlds. Salmand: Iran J Aging. 2019;13(4):518-29. [Persian]
[11]Eftekhari Z, Nosratinejad F, Sahhaf R, Zanjari N. A Content analysis of the concepts and images of the physical aging primary school textbooks in Iran. Salmand: Iran J Aging. 2018;13(2):154-67. [Persian]
[12]Rondón García LM, Ramírez Navarrro JM. The impact of quality of life on the health of older people from a multidimensional perspective. J Aging Res. 2018;2018.
[13]Moradpiri H, Heshmati M, Hassanzadeh (Mohammadi) M. An investigation Iraq's strategies against Islamic Republic Iran during the imposed war. Q Compr Holy Defense'. 2017;2(2);83-103. [Persian]
[14]Srinivasa Murthy R, Lakshminarayana R. Mental health consequences of war: a brief review of research findings. World Psychiatry. 2006;5(1):25-30.
[15]Aghayousefi A, Sharif N. Personal well-being and stress symptoms in wives of Iranian martyrs, prisoners of wars and disabled veterans. Iran J Psychiatry. 2010;5(1):28-34.
[16]Firouzkouhi MR, Zargham Boroujeni A, Nouraei M, Rahnama M, Babaiepour M. The effect of imposed war on Iran's nursing: a historical research. J Milit Med. 2015;17(3):127-36. [Persian]
[17]Roshan R, Shakeri R. A study on depression among war martyrs’ widows in Tehran using a special depression scale for war martyr's widows. Horizon Med Sci. 2010;16(1):50-9. [Persian]
[18]Alizadeh M, Rahimi A, Arshinji M, Sharifi F, Arzaghi M, Fakhrzadeh H. Physical health status and socio-economic outcomes on elderly in Tehran metropolitan area. Iran J Diabetes Metab. 2013;13(1):29-37. [Persian]
[19]Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW. Studies of illness in the aged. The index of ADL: a standardized measure of biological and psychosocial functions. JAMA. 1963;185(12):914-9.
[20]Taheri Tanjani P, Azadbakht M. Psychometric properties of the Persian version of the activities of daily living scale and instrumental activities of daily living scale in elderly. J Mazandaran Univ Med Sci. 2016;25(132):103-12. [Persian]
[21]Topp CW, Østergaard SD, Søndergaard S, Bech P. The WHO-5 well-being index: a systematic review of the literature. Psychother Psychosom. 2015;84(3):167-76.
[22]Dehshiri Gh, Mousavi SF. An investigation into psychometric properties of Persian version of world health organization Five Well-being Index. J Clin Psychol. 2016;8(2):67-75. [Persian]
[23]Joghataei MT, Nejati V. Assessment of health status of elderly people in the city of Kashan. Salmand: Iran J Aging. 2006;1(1):3-10. [Persian]
[24]Nourbakhsh SF, Fadayevatan R, Alizadeh Khoei M, Sharifi F. Determining the status of activity of daily living (ADL) and instrumental activity of daily living (IADL) in healthy and cognitive impaired elderlies. Jorjani Biomed J. 2018;5(2):63-77. [Persian]
[25]Alizadeh M, Fakhrzadeh H, Sharifi F, Zanjari N, Ghasemi S. Comparative study of physical and mental health status of old people in aged groups of 60-64 and 65-69 years old in Tehran metropolitan area. Iran J Diabetes Metab. 2013;13(1):50-61. [Persian]
[26]Bakhtiyari F, Foroughan M, Fakhrzadeh H, Nazari N, Najafi B, Alizadeh M, et al. Validation of the Persian of abbreviated mental test (AMT) in elderly residents of Kahrizak charity foundation. Iran J Diabetes Metab. 2014;13(6):487-94. [Persian]
[27]Habibi A, Nikpour S, Seiedoshohadaei M, Haghani H. Quality of life and status of physical functioning among elderly people in west region of Tehran: a cross-sectional survey. Iran J Nurs. 2008;21(53):29-39. [Persian]
[28]Mazloomi Mahmoudabad SS, Soltani T, Morovati MA, Fallahzadeh H. Activities of daily living and prevalence of chronic diseases among elderly people in Yazd. J Toloo-e Behdasht. 2014;13(3):42-53. [Persian]
[29]Ahmadi F, Salar A, Faghihzadeh S. Quality of life in Zahedan elderly population. J Hayat. 2004;10(3):61-7. [Persian]
[30]Storeng SH, Sund ER, Krokstad S2. Factors associated with basic and instrumental activities of daily living in elderly participants of a population-based survey: the Nord-Trøndelag Health Study, Norway. BMJ Open. 2018;8(3):e018942.
[31]Afzali SM, Etemadifar S, Aslani Y, Hasanpour A, Keivani Z. Assessment of psychosomatic health status in elderly population that coverage by Shahrekord Behzisty Center. Avicenna J Nurs Midwifery care. 2008;15(1):38-48. [Persian]
[32]Beaumont J, Lofts H. Measuring national well-being- health, 2013 [Internet]. London: Office for National Statistics; 2013 [cited 2018 June 19]. Available from: https://bit.ly/2XHjZFI.
[33]Hoeymans N, Garssen AA, Westert GP, Verhaak PFM. Measuring mental health of the Dutch population: a comparison of the GHQ-12 and the MHI-5. Health Qual Life Outcomes. 2004;2(1):23.
[34]Mortazavi SS, Shati M, Eftekhar Ardebili H, Mohammad K, Dorali Beni R, Keshteli AH. Comparing the effects of group and home-based physical activity on mental health in the elderly. Int J Prev Med. 2013;4(11):1282-9.
[35]Najafi B, Arzaghi M, Fakhrzadeh H, Sharifi F, Shoaei S, Alizadeh M, et al . Mental health status and related factors in aged population: Urban health equity assessment and response tool (Urban- Heart) study in Tehran. Iran J Diabetes Metab. 2013;13(1):62-73. [Persian]
[36]Alavi M, Jorjoran Shushtari Z, Noroozi M, Mohammadi Shahboulaghi F. Mental health and related factors in old population in Tehran 2014-2015. J Mazandaran Univ Med Sci. 2018;27(158):112-22. [Persian]
[37]Noorbala AA, Bagheri Yazdi SA, Yasamy MT, Mohammad K. Mental health survey of the adult population in Iran. Br J Psychiatry. 2004;184(1):70-3.