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Meeting the challenges of retirement and integrating the disabled into the community
- Authors:
- VASOO S., TIONG Tan Ngoh
- Journal article citation:
- Asia Pacific Journal of Social Work, 6(1), March 1996, pp.1-5.
- Publisher:
- Times Academic
In view of future shortages of manpower and slower growth of populations in countries like Korea, Japan, Malaysia, Singapore, Australia and New Zealand, it is expected that the question of retirement from work will receive more attention. Discusses the issue of the ageing workforce and introduces special issue on social security and family concerns.
Does abuse in late life worsen sleep quality? A two‐year prospective cohort study among rural older adults
- Authors:
- YUNUS Raudah M., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 34(1), 2019, pp.60-66.
- Publisher:
- Wiley
Background: Elder abuse and neglect (EAN) is a growing public health problem, and numerous adverse health effects of abuse in late life have been documented. Little is known, however, about the impact of elder abuse on sleep quality. This study examines the longitudinal relationship between EAN and sleep quality. Methods: This was a 2‐year prospective cohort study involving 1927 older adults in a rural Malaysian district, Kuala Pilah. A multi‐stage cluster sampling strategy was employed. After 2 years, 1189 respondents were re‐assessed. EAN was determined using the modified Conflict Tactic Scale, while sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). Results: The prevalence of elder abuse was 8.1% (95% CI:6.9,9.3). Longitudinal analysis using generalized estimating equations showed that elder abuse contributed to higher PSQI scores (B:0.49, 95% CI:0.17,0.58). Sub‐analyses demonstrated that psychological abuse and neglect had significant longitudinal relationships with increase of PSQI scores, while other subtypes did not. Conclusion: Abuse in late life, particularly psychological abuse and neglect, result in greater PSQI scores. Even though this may imply decline in sleep quality, our findings were not considered clinically significant as they did not exceed the clinical cut‐off score of five. Nevertheless, sleep quality is an important determinant of health and a predictor of mortality among older adults; thus, understanding its relationship with abuse is useful to health care providers and policy‐makers in improving health services and upgrading preventive measures. (Edited publisher abstract)
Financial security protections in Malaysia, Singapore and Philippines: a perspective of two generations
- Authors:
- MOHD Saidatulakmal, et al
- Journal article citation:
- Hong Kong Journal of Social Work, 44(2), Winter 2010, pp.89-104.
- Publisher:
- World Scientific Publishing Company
- Place of publication:
- Singapore
Southeast Asian countries are experiencing a rapid aging of the population. This study investigated the formal and informal financial security protections of the elderly and how that compares with financial security preparedness of the younger generations in Malaysia, Singapore and the Philippines. The role of family support as important source of old-age protection in Asian countries was also investigated. Data were collected by means of interviews of working people aged 18 to 59 years and elderly people aged over 60 years in all 3 countries. The participants were: 250 working and 250 elderly people in Kuala Lumpur, Malaysia; 250 working and 250 elderly people in Manila, Philippines; and 206 working and 161 elderly people throughout Singapore. Venn diagrams were constructed to analyse the overlapping of availability of the various financial security protections for the 2 generations and their relative sizes among the 3 regions. The findings showed similar financial protection in all 3 countries. There was general agreement on the inadequacy of the formal old-age benefits, and many participants reverted to informal protections such as insurance, savings and family support. With the exception of Manila, reliance on the family support as perceived by the younger generations has lost its importance.
Application of the European quality indicators for psychosocial dementia care in long-term care facilities in the Asia-Pacific region: a pilot study
- Authors:
- JEON Yun-Hee, et al
- Journal article citation:
- Aging and Mental Health, 22(10), 2018, pp.1279-1286.
- Publisher:
- Taylor and Francis
Objectives: An Asia-Pacific regional collaboration group conducted its first multi-country research project to determine whether or not European quality indicators (QIs) for psychosocial care in dementia could be implemented as a valid tool in residential aged care across seven Asia-Pacific sites (Australia, Hong Kong Special Administrative Region, Mainland China, Malaysia, Singapore, South Korea, and Thailand). Method: Following the European QI protocol, auditing and data extraction of medical records of consenting residents with dementia were conducted by trained auditors with relevant health care backgrounds. Detailed field notes by the auditors were also obtained to describe the characteristics of the participating care facilities, as well as key issues and challenges encountered, for each of the 12 QIs. Results: Sixteen residential care facilities in the seven Asia-Pacific sites participated in this study. Data from 275 residents’ records revealed each of the 12 Qis’ endorsement varied widely within and between the study sites (0%–100%). Quality of the medical records, family and cultural differences, definitions and scoring of certain indicators, and time-consuming nature of the QI administration were main concerns for implementation. Conclusion: Several items in the European QIs in the current format were deemed problematic when used to measure the quality of psychosocial care in the residential aged care settings in participating Asia-Pacific countries. The authors propose refinements of the European QIs for the Asian-Pacific context, taking into account multiple factors identified in this study. The findings provide crucial insights for future research and implementation of psychosocial dementia care QIs in this region. (Edited publisher abstract)
Recent trends in elderly suicide rates in a multi-ethnic Asian city
- Authors:
- KUA Eee-Heok, KO Soo-Meng, NG Tze-Pin
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(6), June 2003, pp.533-536.
- Publisher:
- Wiley
There are a few reports on the trends of elderly suicide rates in western countries but none from Asian countries. This article describe the trends of elderly suicide rates of Chinese, Malays and Indians in Singapore from 1991 to 2000. Overall, the suicide rates for the elderly showed a decline from 40.1 per 100,000 in 1990 to 17.8 per 100,000 in 2000, with the most pronounced decline occurring from 1995 to 2000. The suicide rate for elderly Chinese was at a peak of 52 per 100,000 in 1995 and declined to 20 per 100,000 in 2000. The rates for elderly Malays were consistently low at 2.2 per 100,000 for the 10 years; for elderly Indians the rates were between the other two ethnic groups. In the 10-year period, the elderly suicide rates in Singapore declined markedly, especially for elderly Chinese.