Search Results (44)

Background: Influenza poses a significant threat to the health of Malaysians, particularly among the elderly population. It results in high levels of illness and mortality, becoming a financial burden on the government. Vaccination is widely recognised as the most effective measure for controlling the spread and impact of influenza. Objectives: This study sought to assess the knowledge, attitudes, and practices (KAP) regarding influenza and influenza vaccination among older adults attending primary healthcare centres in different states of Malaysia. Additionally, the study assessed the level of acceptance for a proposed free annual influenza vaccination program. Methods: A nationwide survey was conducted involving 672 older people aged 60 and above who visited nine primary healthcare centres in Malaysia. These centres were selected using proportionate to population size (PPS) sampling to ensure representation from each zone. Participants completed a validated self-reported questionnaire. Descriptive statistics were used to determine the levels of KAP, and a binomial logistic regression model was used to determine the predictors of acceptance for the proposed free annual vaccination program. Results: Most participants displayed a strong understanding of influenza illness (74.0%) and the vaccine (65.9%). Moreover, 76.4% of respondents exhibited a positive attitude towards influenza vaccination. However, the prevalence of good vaccination practices was relatively low, with only 29.2% of participants having a history of previous vaccination, and just 55.2% of these consistently practicing annual vaccination. The group acceptance rate for the proposed free annual influenza vaccination was 62.3%. Significant predictors of acceptance included a history of previous vaccination (good practice) (OR = 6.438, 95% CI = 1.16–35.71, p < 0.001), a positive attitude towards vaccines (OR = 21.98, 95% CI = 5.44–88.87, p = 0.033), and a good level of knowledge about the influenza vaccine (OR = 0.149, 95% CI = 0.03–0.79, p = 0.026). Conclusions: Increasing the uptake of influenza vaccination among the older population in Malaysia remains a significant challenge. It is recommended that a targeted, free annual influenza vaccination program be implemented for high-risk populations, particularly those with comorbidities and those who have shown greater receptiveness. In addition, health education strategies aimed at raising awareness and understanding of influenza should be prioritised. Strengthening epidemiological data collection and establishing systematic monitoring mechanisms are also essential to support these efforts. Full article

Background: New strategies for respiratory syncytial virus (RSV) prevention are available and are in development, but their acceptance is crucial to their effectiveness. Objectives: This systematic review aims to summarize current quantitative and qualitative evidence regarding knowledge and attitudes relating to RSV prevention. Methods: Six databases (PubMed, Scopus, APA PsycArticles; APA PsycInfo; CINAHL Complete; Psychology and Behavioral Sciences Collection) and two preprint repositories (medRxiv and Preprints) were searched up until 23 December 2024 (PROSPERO: CRD42024602351). Results: Sixty-one articles were included, focusing on vaccination for the elderly and adults at risk (n = 10) or pregnant people (n = 24, of which 8 also examined preferences for maternal vs. infant immunization) and infant immunization (n = 27, of which 16 focused on palivizumab, with 6 focusing on adherence to its monthly administration). Eighteen articles assessed attitudes in healthcare professionals. Overall, findings showed limited knowledge and awareness of RSV but generally positive attitudes towards prevention strategies and moderate to high intentions and uptake rates. Protection against the disease and perceived severity promoted acceptance, whereas concerns about side effects hindered it. Maternal vaccination was more acceptable than infant immunization. Conclusions: Attitudes towards RSV prevention options were generally favorable. Should more options become available, preferences may depend on which options are available, their characteristics, and how they are framed and presented. These insights highlight the importance of education on RSV grounded in decision-making literature, while recognizing the likely favorable reception of preventive measures across target age-populations. Full article

This study investigates the impact of the attitudes of the elderly on the acceptance of Thailand’s high-speed rail technology according to the technology readiness index (TRI) and technology acceptance model (TAM) theories as guidelines for policies or strategies to enhance passengers’ intentions to use high-speed rail. A self-administered questionnaire was used to collect data from 3200 elderly people aged over 60 years in the surveyed areas along high-speed rail routes in Thailand, before the use of statistical analysis and multigroup structural equation modeling (SEM) to analyze variations in the participants’ attitudes toward urban and rural areas. The results that were thus obtained from both groups showed their differing attitudes toward the acceptance of technology. The TAM theory considers the attitude toward high-speed rail use in urban areas to be important, while, in rural areas, attitudes and perceived usefulness are important. With respect to the ease of use of high-speed rail, the most important factors were attitudes toward use and perceived usefulness. For the TRI theory, innovativeness features as the most positive influence on the perceived ease of high-speed rail use in both groups. Optimism and innovativeness were positive influences, but discomfort and insecurity carried a negative influence with respect to the perceived ease of use and usefulness. Full article

Preserving and passing on folk traditions and gastronomic culture to the next generation has always been an important task of elderly people in every single historic period. The main goal of this study is to provide a clear picture of travelers’ attitudes toward gastronomy and cultural values in a western Hungarian county. The presence of the Szigetköz Nature Park and some World Heritage sites (like Fertő-Hanság National Park and Abbey of Pannonhalma) requires responsible tourism planning that is environmentally, socially, and economically sustainable. When conducting quantitative research (survey based on questionnaires), special attention was paid to tourists’ knowledge of gastronomy values and architectural, cultural, and natural attractions. Four hypotheses were formulated in this study. The data collection took place between 1 September 2023 and 30, October 2023 (N = 666). The sample is not representative since the respondents were randomly selected. As opposed to previous studies, the most important novelty of this research is that tourists’ visits to different destinations were assessed while previous studies mainly focused on the interests of tourists. Full article

The support of local stakeholders is crucial for the sustainable tourism management of nature-based destinations (NBDs). Local people near NBDs may have more interaction with wildlife; however, research on local people’s attitudes towards wildlife is surprisingly limited. To explore their liking and willingness to coexist with different wild animals, and the associated influencing factors, we conducted a survey of residents living near Tanjung Piai National Park (TPNP), Johor, Malaysia. Most of the residents had experienced numerous direct encounters with bats and snakes inside TPNP, as well as with wild boar and macaque monkeys outside of the park. The local people showed a high level of liking for animals but a relatively low level of willingness to coexist with them. The results of the statistical models suggest that the liking of animals is significantly influenced by childhood nature experiences and sociodemographic characteristics including sex, education, and the presence of children. Education was an effective factor shaping the preferences of favorable, fairly favorable, and unfavorable animal groups. On the other hand, willingness to coexist with animals was significantly influenced by childhood nature experiences, age, and sex. Age was an effective factor shaping willingness to coexist with favorable, fairly favorable, and unfavorable animal groups; specifically, elderly people showed a low level of willingness to coexist with animals compared to young people. Therefore, we conclude that in addition to providing educational programs for shaping preferences regarding wildlife, careful support and considerable efforts aimed at elderly people are essential to increasing residents’ willingness to coexist with animals to obtain wider support for NBD management. Full article

Background: As a result of demographic change, chronic and oncological diseases are gaining importance in the context of public health. Palliative care plays a crucial role in maintaining the quality of life of those affected. International guidelines demand access to palliative care not only for the elderly but also for younger people who face severe illnesses. It can be assumed that palliative care will become increasingly important for them. In order to develop public health strategies which are able to promote palliative care, it is important to assess the knowledge of, and attitude towards, palliative care as found among members of the general public and its specific target groups. In particular, little is known about young adults’ knowledge and perceptions of palliative care. Objectives and design: This work aimed to assess the understanding and viewpoints regarding palliative care among the general population and among young adults aged 18 to 24. We therefore conducted a systematic review, which, for this target population, could be seen as a novel approach. Methods: Exclusion and inclusion criteria were developed using the PICOS process. Literature was researched within MEDLINE (via PubMed), Google Scholar and Web of Science. A search string was developed and refined for all three databases. Grey literature was included. Duplicates were excluded using Mendeley. The literature was independently screened by two researchers. Narrative synthesis was used to answer the main research question. Results: For the general public, palliative care is still associated with death and dying and comforting sick people towards the end of their lives. Multiple social determinants are linked to better knowledge of palliative care: higher education, higher income, female gender, having relatives that received palliative care, and permanent employment. The population’s knowledge of palliative care structures increases, the longer such structures have been established within a country. Young adults are familiar with the term palliative care, yet their understanding lacks nuance. They associate palliative care with death and dying and perceive palliative care to be a medical discipline primarily for the elderly. Nevertheless, young adults demand participation within the planning of interventions to destigmatize palliative care. Conclusions: The general public still lacks a detailed understanding of palliative care. Palliative care faces stigma at multiple levels, which creates barriers for those who set out to implement it. However, addressing young adults as a crucial peer group can help break down barriers and promote access to palliative care. Full article

This study aimed to investigate the effects of a beauty program on the self-perception of aging and depression among the community-dwelling older adults in an agricultural area in Taiwan. Twenty-nine older adults aged 65 and above in one agricultural community care center completed the program. Based on cosmetic therapy, the beauty program consisted of 13 sessions focused on facial skin care, make-up application, and massage with essential oils. Each 90 min session of the program was conducted in groups once a week for 13 weeks. This study applied the mixed methods approach, and data were gathered through questionnaire surveys, interviews, and observation. Before and after the beauty program, the elderly individuals’ self-perceptions of aging and depression were assessed using the Attitudes towards Old People Scale (ATOPS) and Taiwanese Depression Questionnaire (TDQ), respectively. The participants’ ATOPS scores after the program were significantly higher than those examined before the program (p < 0.001), and their TDQ scores were significantly lower than those before the program (p < 0.001). Additionally, the participants’ body images were improved, the participants disrupted their stereotypes about makeup, and they were willing to gradually maintain their appearance. Overall, the beauty program was effective for enhancing the self-perceptions of aging and reducing depression in older adults in rural Taiwan. Further research with a larger population of older individuals, male older adults, or frail older adults is needed to examine the specific effects of the beauty program. Full article

Background: Air pollution has adverse effects on human health, while people experience regular contact with air pollutants in a high concentration via inhalation and ingestion. Nowadays, the average person spends more than 90% of their lifetime inside both private and public buildings, and this figure can reach close to 100% for the sick or elderly who cannot take care of themselves. Attention should be paid to indoor air quality (IAQ), especially for certain groups in specific places. Purpose: This study intends to investigate indoor air quality in a large general hospital in Northern China, where people desire clean air for good nursing, and then propose solutions to any air pollution present. Methods: Some influential factors related to air pollution, including PM_2.5 and PM₁₀, were measured in winter. Observations were applied to indicate that the smoking behaviors of medical staff were an important contributor to air pollution. Experimental measurements were designed to test the concentration of airborne nicotine. Questionnaire surveys and follow-up interviews were conducted to understand attitudes towards smoking behaviors and offer design strategies. Results: The scopes of 24 h mean concentrations of PM_2.5 (10.2~57.8 µg/m³, 17.5~45.5 µg/m³, and 20.5~91.1 µg/m³) and PM₁₀ (17.7~81.8 µg/m³, 13.0~83.8 µg/m³, and 31.7~188.1 µg/m³) exceeded relevant guideline values, and the airborne nicotine concentrations (1.29 µg/m³ and 1.62 µg/m³) confirmed that smoking behaviors occurred in the consulting room. Conclusions: To control tobacco to ensure good indoor air quality, smoking behaviors should be managed instead of forbidden. This will also provide greater satisfaction to medical staff. Smoking behavior management requires a comprehensive consideration based on ambient conditions and psychological demands. As there is a lack of specific requirements in relevant design regulations that are tailored to ensure the environmental satisfaction of medical staff, the findings from this study can be used as evidence to inform the design of healthcare environments for public health in future. Full article

The use of digital health and wrist-worn wearable technologies have been increasingly utilized, especially during COVID-19 surge, to help monitor patients and vulnerable groups such as elderly people. As one of the countries with highest aging population, South Korean older adults are expected to be familiarized with these healthcare technologies. However, there have been a few studies on the investigation of Korean older adults’ attitude towards the acceptance of wearable technologies, such as a smart health watch after the COVID-19 curve flattened in South Korea. Thus, the purpose of this study is to investigate the acceptability of digital health wearable technology in healthcare by the Korean older adults and their attitude towards the use of smart health watches by using an extended Technology Acceptance Model while considering the context of the COVID-19 pandemic. We performed a cross-sectional survey of Korean adults aged 56 years and older who are living in Busan, and a total of 170 respondents were received. Results reveal that perceived usefulness, perceived ease of use, and facilitating conditions have a significant impact on older Korean’s attitudes towards the use of a smart health watch, while the relationship between social influence and attitude towards its use was found to not be statistically significant. The attitude towards the use of smart health watches had an effect on their intention to use the smartwatch. By using the findings from the study, the digital wearables providers, manufacturers, and promotors can enhance their strategy to elevate the use of digital healthcare wearables among Korean elderly people while ensuring these products are of good quality and affordable, as well as ensuring necessary assistance is provided to the elderly people when utilizing and adopting these wearables in their everyday lives. Moreover, the results of this study can be utilized to accommodate the needs of Korean elderly people regarding their use of smart health watches and help promote the benefits of healthcare wearable technologies after the pandemic subsides. Full article

Eldercare is a major public health concern in many East Asian countries, including Japan, because of the ever-growing elderly population, and significant changes in family caregiving norms. The changes are due to global diffusion and the influence of socioeconomic and demographic shifts. Consequently, perceptions of the norm of family caregiving need investigation. We examined how demographic and socioeconomic factors influence the perception of family caregiving norms in Japan, using data from Osaka University’s preference parameter study. According to the results of the probit regression, age, education, full-time employment, marital status, the number of sons and daughters, interactions between females and age and females and full-time employment, and parents’ education are negatively related to the participants’ perceptions of family caregiving norms. Our results suggest that people traditionally perceived as caregivers are less likely to have a positive attitude towards family caregiving, despite the government’s efforts through Universal Long-Term Care Insurance, implemented in 2000. Therefore, authorities must reassess the role of families, explore alternative forms of community-based care, and provide more assistance to caregivers. Full article

This study aims to examine the capacity of the Theory of Planned Behaviour (TPB) to explain the intention to use social networking sites by older people in two time periods, before and after confinement due to the COVID-19 epidemic, as well as the evolution of effects (paths) over time of TPB’s determinants. Based on interviews from samples of 384 and 383 elderly Chilean adults collected before and after confinement, the evolution of the effects (paths) was analysed using the TPB model applying the PLS-SEM technique. The intention to use social networks and its association with three factors were evaluated: attitude toward the behaviour, subjective norms, and perceived control over the behaviour. The model explains the intention to use social networks by 27% before confinement, increasing its magnitude to 50% after confinement. After the period of confinement, their attitudes become more significant, their perceptions of control become less important, and social pressures remain permanent in predicting the behaviour. In conclusion, better access and greater use of social networks by older people during the lockdown period increased the predictive strength of the attitude towards these technologies. Full article

Background and Objectives: There is a growing interest in the measurement of attitudes towards older people in healthcare professionals, as there is a need to implement interventions to improve ageist attitudes. A one group pretest–posttest study was carried out to explore the change in nursing student attitudes towards the elderly during their university careers. Materials and Method: A total of 97 nursing students were enrolled. Attitudes were analyzed using Kogan’s Attitudes Toward Old People Scale. Results: The attitude was positive from the beginning of the study, with a score of 110.06 (12.92). No differences were observed after completing the subject “Care of the elderly” (106.21 (10.77)), though a significant increase was recorded after the completion of clinical placement (142.88 (12.64)), with a large effect size (η2p = 0.754). The score of the positive items was significantly increased, but not that of the negative items, as ageist attitude was not reduced. Conclusion: The current curricular design, that includes taking the theoretical course before clinical placement in the geriatric area, increases positive attitudes in nursing students but does not reduce ageist attitudes. Full article

The situation caused by the COVID-19 pandemic brought negative consequences such as social isolation, limited access to routine health and social care services, and lack of self-esteem, especially for older people. In this context, technology took on an important role as the main means of communication and service delivery. The main objective of this study is to analyze the situation of the elderly and their access to technological resources in the time of COVID-19. Based on a qualitative methodology, 58 semi-structured interviews were conducted with people between 65 and 90 years old in Portugal. The results reveal specific difficulties in the use of this type of digital devices and a change in the digital use profile of this age group, characterized by more frequent use of digital devices such as smartphones, the incorporation of certain services such as video calls, and uses associated with communication and entertainment. This study shows that attitudes toward technology among the elderly should be studied further, and these results should be considered to develop and implement training programs specially designed for this age group in order to contribute to their well-being and quality of life. Full article

The rapid and breakthrough development of digital technology in the digital era creates excellent opportunities for Vietnam’s socioeconomic development, profoundly changing all activities and people’s lifestyles. However, due to old age characteristics, older adults become a vulnerable population group and face many difficulties when digital transformation occurs widely in all aspects of life. Research issues raised by the research team, such as sociodemographic characteristics, active aging, the activeness and attitudes of the elderly in Vietnam toward the digital environment, the importance of relevant government policies, and necessary attention from telecommunications and online service providers, are considered the novelties of this study. Among these, sociodemographics were found to be the most important factor influencing the digital adaptation of older people, as they dominate the age-related problems faced by older people. These suggestions were confirmed by evaluating the results of a sociological survey conducted by the research group At Hanoi University of Science and Technology on the influence of the technological environment on older adults’ lives using qualitative research methods. The purpose of the study was to determine the factors influencing the digital adaptability of Vietnamese elderly people in order to propose policy implications to encourage the elderly to adapt to the digital environment in the emerging digital society in Vietnam. Full article

In Italy, the paper package leaflet (PPL) is the official document that is approved by the Italian Medicines Agency (AIFA) for each medicine. PPLs of all medicines, including vaccines, are freely available online by accessing the AIFA website. To investigate people’s attitudes toward possible access to the PPLs of vaccines and the acceptability of switching to an electronic package leaflet (e-leaflet) in the future, we surveyed three target groups (pregnant women, young parents, and older people) in Italy, via an online survey. We collected 321 questionnaires from the cohorts, which comprised 104 pregnant women, 105 young parents, and 112 older people. The results indicate in all target groups that health care professionals (HCPs) do not usually offer the vaccine PPL during the vaccination session: only about 10.7% of respondents receive the PPL without asking for it, with pregnant women receiving it the most frequently. The acceptance rate for switching from a PPL to an e-leaflet is fairly high in all target groups (76.9% in pregnant women, 81.9% in young parents, and 66.1% in the elderly), especially if the option exists to request a paper print, to make sure that people with a low level of digital skills can access the PPL information as well. HCPs have an important role in ensuring access to the PPLs of vaccines. HCPs should be trained to inform their patients about the different options for accessing the PPLs (as well as online access) to increase their patients’ knowledge and satisfaction. Full article