Upload
derek-ferguson
View
215
Download
0
Tags:
Embed Size (px)
Citation preview
EASY Care study among elderly in Kosovo
Naim Jerliu, MD, MPH
National Institute of Public Health of Kosovo National Institute of Public Health of Kosovo
A transitional country in Western Balkans Declaration of Independence 2008
Kosovo in context
• Population in total, 1.733.872 (2011 census, preliminary)• Life expectancy: 75 years(2003 est.) • Age distribution, total • 0-14 years 28 %• 15-64 years 65 %• 65 and older 7 %
Kosovo in context
Median age (2011 est.) -total: 26.7 years -male: 26.3 years -female: 27.2 years• Unemployment, around 45%• Kosovo's citizens are the poorest in Europe with 30% of population below poverty line
(2010 est.)• Most of Kosovo's population lives in rural
settlements
Legislation and policies on elderly• No policy on elderly• No institutional care • Law on Basic Pensions guarantees
financial benefits for virtually every Kosovo citizen reaching the age of 65 years
• Amount of monthly pension =45 Euro• Law on Health• Full coverage of health care in publicly
owned health institutions for people 65 years +
Aim of the EASY-Care study
• To assess the health status of elderly people in Kosovo undergoing a difficult period of political and socioeconomic changes.
Department of International Health 8
Methods:
• A nationwide population-based survey• Kosovo in January-March 2011 • Age-sex and-residence stratified
random sample of 1,890 individuals aged 65 years and over.
• 83.5% response rate
Department of International Health 9
Methods:
• EASY Care Instrument was used to assess the self-perceived health status.
• Furthermore, a comprehensive questionnaire, tapping socio-demographic and socioeconomic aspects of elderly people, was employed.
Department of International Health 10
Translation and adaptation of the EASY-Care instrument
• Translation and preliminary adaptation in Albanian-speaking settings namely Albania and Kosovo (country/culture).
• Translation/ Back-translation • Discrepancies between the original and
back-translated versions were reconciled• Alterations/amendments were incorporated
accordingly in the final version of the questionnaire (in Albanian).
Department of International Health 11
Pre-testing and cognitive interviewing
• The EASY-Care instrument was initially pre-tested using a community-based (convenient) sample of elderly people (60+ years):– Kosovo: N=20– Albania: N=18
Department of International Health 12
Incorporating additional (socioeconomic) aspects to the EASY-Care assessment
Department of International Health 13
Department of International Health 14
Department of International Health 15
Results
Department of International Health 16
General characteristics of the sampleGender
Department of International Health 17
Age
Department of International Health 18
Place of residence
Department of International Health 19
Marital status
Department of International Health 20
Living arrangements
Department of International Health 21
Education
Department of International Health 22
Adequacy of monthly pension to meet monthly needs
Department of International Health 23
Adequacy of family finances to meet monthly needs
Department of International Health 24
Health status Chronic conditions
Department of International Health 25
Can you see?
Can not see at all1.1%
With difficulty
50.2%
Yes48.7%
Seeing, hearing and communicating
Department of International Health 26
53.3%45.9%
0.8%
44.8%53.8%
1.4%0.0%
10.0%20.0%30.0%40.0%50.0%60.0%70.0%80.0%
Male Female
Can you see? - by sex
Yes
With difficulty
Can not see at all
P=0.001
Seeing, hearing and communicating
Department of International Health 27
Based on “need for care and support” summary scores and on the present cut-off points, it can be concluded that 18% and 8% of participants are in moderate and high need for care and support, respectively
Can you use the telephone?
Unable to use telephone
20.7%
With some help
38.3%
Without help40.9%
Seeing, hearing and communicating
Department of International Health 28
49.6%
34.1%
16.3%28.6%
46.9%
24.6%
0.0%10.0%20.0%30.0%40.0%50.0%60.0%70.0%80.0%
Male Female
Can you use the telephone? - by sexWithout help
With some help
Unable to use thetelephone
P<0.001
Seeing, hearing and communicating
Department of International Health 29
Based on “risk of hospital admission” summary scores and on the present cut-off points, it can be concluded that 24% and 8% of participants are in moderate and high risk of hospital admission, respectively
Can you prepare your own meals?
Unable to prepare meals39.1%
With some help
34.1%
Without help26.8%
Looking after yourself
Department of International Health 30
25.9%32.5%
41.6%
27.6%35.6%36.8%
0.0%10.0%20.0%30.0%40.0%50.0%60.0%70.0%80.0%
Male Female
Can you prepare your own meals? - by sexWithout help
With some help
Unable to prepareown meals
P=0.100
Looking after yourself
Department of International Health 31
Can you take your own medicine?
Unable to take
medicine6.1%
With some help
41.4%
Without help52.5%
Looking after yourself
Department of International Health 32
62.9%
31.6%
5.4%
43.4%49.7%
6.8%
0.0%10.0%20.0%30.0%40.0%50.0%60.0%70.0%80.0%
Male Female
Can you take your own medicine? - by sexWithout help
With some help
Unable to takemedicine
P<0.001
Looking after yourself
Department of International Health 33
Can you do your housework?
Unable to do any
housework36.8%
With some help
36.2%
Without help27.0%
Looking after yourself
Department of International Health 34
30.7%37.4%
31.9%
23.9%
35.1%41.0%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
Male Female
Can you do your housework? - by sex
Without help
With some help
Unable to do anyhousework
P<0.001
Looking after yourself
Department of International Health 35
Any falls in the last 12 months?
>=28.6%
One14.8%
None76.6%
Getting around
Department of International Health 36
82.5%
11.5%6.0%
71.4%
17.7%10.9%
0.0%
20.0%
40.0%
60.0%
80.0%
100.0%
Male Female
Any falls in the last 12 months? - by sex
NoneOne>=2
P=0.002
Getting around
Department of International Health 37
Conclusions
• These preliminary results from Kosovo indicate that EASY Care Instrument could be an appropriate tool for discriminating among elderly with high and/or special needs also in transitional countries of Southeast Europe.
THANK YOU!
FALEMINDERIT! (Albanian version)