Abstract
Despite an increase in average life expectancy among the population due to rapid economic development, there is an epidemic increase in the cases of non-communicable diseases (NCDs) including diabetes, hypertension and stroke, which has caused over 1000 deaths over the years. This study aims to add research contribution by investigating the impact of factors of HPB on elderly health diseases. The target population is Malaysian elderly aged 60 years and above. As an ethnic diversity is an important feature of Malaysia, this study includes all the major ethnicity (such as Malay, Chinese and Indian). The sampling frame chosen includes Perak, Penang, Malacca and Kuala Lumpur, as they have been recorded as some of the states with older populations. This study employed the Logistic Regression Model for analysing the data. 400 questionnaires have been administered. The result indicated that elderly health diseases is significantly affected by the factors of HPB. Hence, Health promotion in health care services for elderly needs active support. Findings suggest that more elderly Health Promotion programs and healthcare policies can be the tools to the empowerment of elderly health condition.
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Notes
NCDs are non-transmissible illnesses that last for long periods of time. These diseases can be caused by genetic, physiological, environmental and behavioral factors.
“Behaviourally modifiable” risk factors are those risk factors that individuals are able to change, e.g. dietary behavior
Health-promoting behaviors represent those actions taken by individuals with the aim of achieving favourable health outcomes (Chiou et al. 2016).
References
Abdullah, H., Azam, M., & Zakariya, S. K. (2016). The impact of environmental quality on public health expenditure in Malaysia. Asia Pacific Journal of Advanced Business and Social Studies, 2(2), 365–379.
Adejoh, S. O. (2012). Family unit in the context of diabetes management among the Igala, north-central, Nigeria. Med Soc Online, 6(3), 24–35.
Aguiar, B., & Macário, R. (2017). The need for an elderly centred mobility policy. Transportation Research Procedia, 25, 4355–4369.
Ahmed, A., Bwisa, H., Otieno, R., & Karanja, K. (2014). Strategic decision making: Process, models, and theories. Business Management and Strategy, 5(1), 78.
Aziz, Z. A., Lee, Y. Y., Ngah, B. A., Sidek, N. N., Looi, I., Hanip, M. R., & Basri, H. B. (2015). Acute stroke registry Malaysia, 2010-2014: Results from the National Neurology Registry. Journal of Stroke and Cerebrovascular Diseases, 24(12), 2701–2709.
Baba, V. V., & HakemZadeh, F. (2012). Toward a theory of evidence based decision making. Management Decision, 50(5), 832–867.
Bahall, M. (2019). Prevalence and associations of depression among patients with cardiac diseases in a public health institute in Trinidad and Tobago. BMC Psychiatry, 19(1), 4.
Basheti, I. A., Ayasrah, S. M., & Ahmad, M. (2019). Identifying treatment related problems and associated factors among hospitalized post-stroke patients through medication management review: A multi-center study. Saudi Pharmaceutical Journal, 27(2), 208–219.
Bekker, H., Thornton, J. G., Airey, C. M., Connelly, J. B., Hewison, J., Robinson, M. B., et al. (1999). Informed decision making: An annotated bibliography and systematic review. Health Technology Assessment, 3(1), 1–156.
Bongaarts, J. (2004). Population aging and the rising cost of public pensions. Population and Development Review, 30(1), 1–23.
Bunton, R., Murphy, S., & Bennett, P. (1991). Theories of behavioural change and their use in health promotion: Some neglected areas. Health Education Research, 6(2), 153–162.
Center, E.W. (2008). Asia’s aging population. East Asia, 114(244,082), 393–802.
Centers for Disease Control and Prevention. (2005). Promoting healthy eating and physical activity for a healthier nation.
Centers for Disease Control and Prevention. (2011). National diabetes fact sheet: national estimates and general information on diabetes and prediabetes in the United States, 2011. Atlanta, GA: US department of health and human services, centers for disease control and prevention, 201(1).
Cherng, Y. G., Lin, C. S., Shih, C. C., Hsu, Y. H., Yeh, C. C., Hu, C. J., et al. (2018). Stroke risk and outcomes in patients with chronic kidney disease or end-stage renal disease: Two nationwide studies. PLoS One, 13(1), e0191155.
Chiesa, A., & Serretti, A. (2009). Mindfulness-based stress reduction for stress management in healthy people: A review and meta-analysis. The Journal of Alternative and Complementary Medicine, 15(5), 593–600.
Chiou, A. F., Hsu, S. P., & Hung, H. F. (2016). Predictors of health-promoting behaviors in Taiwanese patients with coronary artery disease. Applied Nursing Research, 30, 1–6.
Clarke, A. L., Yates, T., Smith, A. C., & Chilcot, J. (2016). Patient's perceptions of chronic kidney disease and their association with psychosocial and clinical outcomes: A narrative review. Clinical Kidney Journal, 9(3), 494–502.
Cochran, W. G. (1963). Sampling techniques, New York, 1953. Grebenik and CA Moser: Statistical Surveys E.
Cohen, J. E. (2003). Human population: The next half century. Science, 302(5648), 1172–1175.
Colberg, S. R., Sigal, R. J., Fernhall, B., Regensteiner, J. G., Blissmer, B. J., Rubin, R. R., et al. (2010). Exercise and type 2 diabetes: The American College of Sports Medicine and the American Diabetes Association: Joint position statement executive summary. Diabetes Care, 33(12), 2692–2696.
Corcoran, N. (2013). Communicating health: Strategies for health promotion. Sage.
Dans, A., Ng, N., Varghese, C., Tai, E. S., Firestone, R., & Bonita, R. (2011). The rise of chronic non-communicable diseases in Southeast Asia: Time for action. The Lancet, 377(9766), 680–689.
Davis, R., Campbell, R., Hildon, Z., Hobbs, L., & Michie, S. (2015). Theories of behaviour and behaviour change across the social and behavioural sciences: a scoping
De Leeuw, E. D. (2015). To mix or not to mix data collection modes in surveys. Journal of Official Statistics, 21(5), 233–255.
Department of Statistic Malaysia (2017). https://www.statista.com/statistics/713529/malaysia-aging-population/
Economic Intelligence Unit. (2017). Tackling obesity in ASEAN. Retrieved from https://www.eiu.com/public/topical_report.aspx?campaignid=ObesityInASEAN
Edmondson, D.R., (2005). April. Likert scales: A history. In Conference on Historical Analysis y Research in Marketing Proceedings (Vol. 12, pp. 127-133).
Eisinga, R., Te Grotenhuis, M., & Pelzer, B. (2013). The reliability of a two-item scale: Pearson, Cronbach, or spearman-Brown? International Journal of Public Health, 58(4), 637–642.
Faronbi, J. O., Faronbi, G. O., Ayamolowo, S. J., & Olaogun, A. A. (2019). Caring for the seniors with chronic illness: The lived experience of caregivers of older adults. Archives of Gerontology and Geriatrics, 82, 8–14.
Freeman, A. M., Morris, P. B., Barnard, N., Esselstyn, C. B., Ros, E., Agatston, A., Devries, S., O’Keefe, J., Miller, M., Ornish, D., & Williams, K. (2017). Trending cardiovascular nutrition controversies. Journal of the American College of Cardiology, 69(9), 1172–1187.
Glanz, K., Lewis, F.M. and Rimer, B.K., (1990). Health education and health behavior. Theory, research and practice.
Gujarati, D. (2003). Basic Econometrics (4th ed.). Singapura: McGraw-Hill.
Hajek, A., Bock, J. O., & König, H. H. (2017). The role of general psychosocial factors for the use of cancer screening—Findings of a population-based observational study among older adults in Germany. Cancer Medicine, 6(12), 3025–3039.
Hallal, P. C., Andersen, L. B., Bull, F. C., Guthold, R., Haskell, W., Ekelund, U., & Lancet Physical Activity Series Working Group. (2012). Global physical activity levels: Surveillance progress, pitfalls, and prospects. The Lancet, 380(9838), 247–257.
Hamid, A.R.A., Muhamad, N., Zakaria, R., Aminuddin, E., Alwee, A.A. and Tok, A., (2018). The challenges of the ageing population on the Malaysian construction industry. In Journal of Physics: Conference Series (Vol. 1049, no. 1, p. 012034). IOP publishing.
Heidarzadeh, M., & Aghamohammadi, M. (2017). Spiritual growth in patients with type ii diabetes mellitus: a qualitative study.
Henry, G. T. (1990). Practical sampling (Vol. 21). Sage.
Hill, P. C., and Pargament, K. I. (2008). Advances in the conceptualization and measurement of religion and spirituality: Implications for physical and mental health research.
Höppener-Ogawa, S., Leveau, J. H., Hundscheid, M. P., Van Veen, J. A., & De Boer, W. (2009). Impact of Collimonas bacteria on community composition of soil fungi. Environmental Microbiology, 11(6), 1444–1452.
Population and Demographics Ageing Malaysia. (2017). https://www.dosm.gov.my/v1/uploads/files/6_Newsletter/Ageing.pdf
Jenkins, C., Ovbiagele, B., Arulogun, O., Singh, A., Calys-Tagoe, B., Akinyemi, R., et al. (2018). Knowledge, attitudes and practices related to stroke in Ghana and Nigeria: A SIREN call to action. PLoS One, 13(11), e0206548.
Joshi, A., Kale, S., Chandel, S., & Pal, D. K. (2015). Likert scale: Explored and explained. British Journal of Applied Science & Technology, 7(4), 396.
Kadilar, C., & Cingi, H. (2004). Ratio estimators in simple random sampling. Applied Mathematics and Computation, 151(3), 893–902.
Kauppi, S. (2015). Behaviour change and communication:-a descriptive literature review of behavior change and communication in sub-Saharan countries review. Health Psychology Review, 9(3), 323–344.
Khan, U., Rafiq, A. and Bella, J.N., (2017). Global trends in cardiovascular disease.
Koris, R., Nor, N. M., Haron, S. A., Hamid, T. A., Aljunid, S. M., Nur, A. M., Ismail, N. W., Shafie, A. A., Yusuff, S., & Maimaiti, N. (2019). The cost of healthcare among Malaysian community-dwelling elderly. Jurnal Ekonomi Malaysia, 53(1), 89–103.
Kornhaber, R., Walsh, K., Duff, J., & Walker, K. (2016). Enhancing adult therapeutic interpersonal relationships in the acute health care setting: An integrative review. Journal of Multidisciplinary Healthcare, 9, 537.
Krejcie, R. V., & Morgan, D. W. (1970). Determining sample size for research activities. Educational and Psychological Measurement, 30(3), 607–610.
Labuschagne, R. (2016). Physical activity and selected coronary heart disease risk factors among south African employees at a financial institution: An analysis over time. North-West University (South Africa), Potchefstroom Campus: Doctoral dissertation.
Larrimore, J. (2011). Does a higher income have positive health effects? Using the earned income tax credit to explore the income-health gradient. The Milbank Quarterly, 89(4), 694–727.
Lastra, G., Syed, S., Kurukulasuriya, L. R., Manrique, C., & Sowers, J. R. (2014). Type 2 diabetes mellitus and hypertension: An update. Endocrinology and Metabolism Clinics, 43(1), 103–122.
Lennox, N., Prasher, V., & Janicki, M. (2002). Health promotion and disease prevention. Physical health of adults with intellectual disabilities, 230–251.
Letchuman, G. R., Wan Nazaimoon, W. M., Wan Mohamad, W. B., Chandran, L. R., Tee, G. H., Jamaiyah, H., Isa, M. R., Zanariah, H., Fatanah, I., & Ahmad Faudzi, Y. (2010). Prevalence of diabetes in the Malaysian national health morbidity survey III 2006. The Medical Journal of Malaysia, 65(3), 180–186.
Lonn, E. M., Bosch, J., López-Jaramillo, P., Zhu, J., Liu, L., Pais, P., et al. (2016). Blood-pressure lowering in intermediate-risk persons without cardiovascular disease. New England Journal of Medicine, 374(21), 2009–2020.
Lu, H. T., Nordin, R., Ahmad, W. A. W., Lee, C. Y., Zambahari, R., Ismail, O., Liew, H. B., Sim, K. H., & Investigators, N. C. V. D. (2014). Sex differences in acute coronary syndrome in a multiethnic Asian population: Results of the Malaysian National Cardiovascular Disease Database—Acute Coronary Syndrome (NCVD-ACS) registry. Global Heart, 9(4), 381–390.
Lum (2018). The plague of NCDs afflicting Malaysia. Retrieved from http://www.cdc.gov/healthyyouth/publications/pdf/pp-ch7.pdf https://www.star2.com/health/2018/10/10/non-communicable-diseases-malaysia/
Macera, C.A. (2003). Promoting healthy eating and physical activity for a healthier nation. Center for Disease Control and Preventiion. Viewed at http://www.cdc.gov/healthyyouth/publications/pdf/pp-ch7.pdf.
MacLeod, S., Musich, S., Hawkins, K., Alsgaard, K., & Wicker, E. R. (2016). The impact of resilience among older adults. Geriatric Nursing, 37(4), 266–272.
Marks, B. A., & Heller, T. (2003). Bridging the equity gap: Health promotion for adults with intellectual and developmental disabilities. Nursing Clinics, 38(2), 205–228.
Menard, S. (2004). Six approaches to calculating standardized logistic regression coefficients. The American Statistician, 58(3), 218–223.
Menard, S. (2011). Standards for standardized logistic regression coefficients. Social Forces, 89(4), 1409–1428.
Menon, V., Katz, R., Mukamal, K., Kestenbaum, B., De Boer, I. H., Siscovick, D. S., et al. (2010). Alcohol consumption and kidney function decline in the elderly: Alcohol and kidney disease. Nephrology, Dialysis, Transplantation, 25(10), 3301–3307.
Michie, S., Van Stralen, M. M., & West, R. (2011). The behaviour change wheel: A new method for characterising and designing behaviour change interventions. Implementation Science, 6(1), 42.
Ministry of Health, Malaysia. (2016). National strategic plan for non-communicable disease. Retrieved from https://www.iccp portal.org/system/files/plans/MYS_B3_NSP%20NCD%202016-2025%2C%20FINAL.pdf
Moonmuang, N. (2005). Stress management and health promotion behaviours in young men in tertiary education settings. Victoria University: Doctoral dissertation.
Nemeroff, C. B., & Goldschmidt-Clermont, P. J. (2012). Heartache and heartbreak—The link between depression and cardiovascular disease. Nature Reviews Cardiology, 9(9), 526–539.
Newby, G., Bennett, A., Larson, E., Cotter, C., Shretta, R., Phillips, A. A., & Feachem, R. G. (2016). The path to eradication: A progress report on the malaria-eliminating countries. The Lancet, 387(10029), 1775–1784.
Nielsen, J., Bahendeka, S. K., Whyte, S. R., Meyrowitsch, D. W., Bygbjerg, I. C., & Witte, D. R. (2017). Household and familial resemblance in risk factors for type 2 diabetes and related cardiometabolic diseases in rural Uganda: A cross-sectional community sample. BMJ Open, 7(9), e015214.
Oluyombo, R., Ayodele, O. E., Akinwusi, P. O., Okunola, O. O., Gbadegesin, B. A., Soje, M. O., & Akinsola, A. (2016). Awareness, knowledge and perception of chronic kidney disease in a rural community of south-West Nigeria. Nigerian Journal of Clinical Practice, 19(2), 161–169.
Population and Demographics Ageing Malaysia. (2017). https://www.dosm.gov.my/v1/uploads/files/6_Newsletter/Ageing.pdf
Punch, T. M. (1998). Genealogical research in Nova Scotia. Nimbus Pub Ltd.
Rampal, S., Rampal, L., Rahmat, R., Zain, A. M., Yap, Y. G., Mohamed, M., & Taha, M. (2010). Variation in the prevalence, awareness, and control of diabetes in a multiethnic population: A nationwide population study in Malaysia. Asia-Pacific Journal of Public Health, 22(2), 194–202.
Ravikumar, P., Wainwright, M. J., & Lafferty, J. D. (2010). High-dimensional Ising model selection using ℓ1-regularized logistic regression. The Annals of Statistics, 38(3), 1287–1319.
Resnik, D. B. (2007). Responsibility for health: Personal, social, and environmental. Journal of Medical Ethics, 33(8), 444–445.
Rodgers, A., Lawes, C. M., Gaziano, T., & Vos, T. (2006). The growing burden of risk from high blood pressure, cholesterol, and bodyweight. Disease Control Priorities in Developing Countries, 851–868.
Román, G. C., Jackson, R. E., Gadhia, R., Román, A. N., & Reis, J. (2019). Mediterranean diet: The role of long-chain ω-3 fatty acids in fish; polyphenols in fruits, vegetables, cereals, coffee, tea, cacao and wine; probiotics and vitamins in prevention of stroke, age-related cognitive decline, and Alzheimer disease. Revue Neurologique.
Roopa, K., & Rama Devi, G. (2014). Quality of life of elderly diabetic and hypertensive people–impact of intervention programme. IOSR J Humanit Soc Sci, 19, 67–73.
Rutherford, E., & Mark, P. B. (2017). What happens to the heart in chronic kidney disease? The Journal of the Royal College of Physicians of Edinburgh, 47(1), 76–82.
Quek, D. (2009). The Malaysian healthcare system: A review. In In Intensive workshop on health systems in transition: 29–30 April 2009 Kuala Lumpur.
Salleh, M. R. (2008). Life event, stress and illness. The Malaysian journal of medical sciences: MJMS, 15(4), 9–18.
Samad, S. A., & Mansor, N. (2017). Population ageing and social protection in Malaysia. Malaysian Journal of Economic Studies, 50(2), 139–156.
Seangpraw, K., Auttama, N., Kumar, R., Somrongthong, R., Tonchoy, P. and Panta, P., (2019). Stress and associated risk factors among the elderly: A cross-sectional study from rural Thailand. F1000Research, 8.
Shaheen, A. M., Nassar, O. S., Amre, H. M., & Hamdan-Mansour, A. M. (2015). Factors affecting health-promoting behaviors of university students in Jordan. Health, 7(01), 1.
Siti, H. N., Kamisah, Y., & Kamsiah, J. (2015). The role of oxidative stress, antioxidants and vascular inflammation in cardiovascular disease (a review). Vascular Pharmacology, 71, 40–56.
Song, Y., Jiao, J. G., & Chen, Z. J. (2017). Exploring on the elderly health management model in tropic area. Asian Pacific Journal of Tropical Medicine, 10(6), 614–618.
Stone, J. A., Houlden, R. L., Lin, P., Udell, J. A., & Verma, S. (2018). Cardiovascular protection in people with diabetes. Canadian Journal of Diabetes, 42(suppl 1), S162–S169.
Story, M., & Neumark-Sztainer, D. (1999). Promoting healthy eating and physical activity in adolescents. Adolescent medicine (Philadelphia, Pa.), 10(1), 109–123.
Tan, A. K., Dunn, R. A., & Yen, S. T. (2011). Ethnic disparities in metabolic syndrome in Malaysia: An analysis by risk factors. Metabolic Syndrome and Related Disorders, 9(6), 441–451.
Thompson, D. R., Obarzanek, E., Franko, D. L., Barton, B. A., Morrison, J., Biro, F. M., Daniels, S. R., & Striegel-Moore, R. H. (2007). Childhood overweight and cardiovascular disease risk factors: The National Heart, Lung, and Blood Institute growth and health study. The Journal of Pediatrics, 150(1), 18–25.
Tkatch, R., Musich, S., MacLeod, S., Kraemer, S., Hawkins, K., Wicker, E. R., & Armstrong, D. G. (2017). A qualitative study to examine older adults' perceptions of health: Keys to aging successfully. Geriatric Nursing, 38(6), 485–490.
Tobi, S.M., Fathi, M.S. and Amaratunga, D., (2017). Ageing in place, an overview for the elderly in Malaysia. In AIP conference proceedings (Vol. 1891, no. 1, p. 020101). AIP publishing.
Tones, K. and Green, J., (2004). Health promotion: Planning and strategies. Sage.
Venkatason, P., Salleh, N. M., Zubairi, Y., Hafidz, I., Ahmad, W. A. W., Han, S. K., & Zuhdi, A. S. M. (2016). The bizzare phenomenon of smokers’ paradox in the immediate outcome post acute myocardial infarction: An insight into the Malaysian National Cardiovascular Database-Acute Coronary Syndrome (NCVD-ACS) registry year 2006–2013. SpringerPlus, 5(1), 534.
Venketasubramanian, N., Yoon, B. W., Pandian, J., & Navarro, J. C. (2017). Stroke epidemiology in south, east, and south-East Asia: A review. Journal of stroke, 19(3), 286.
Walker, S., Sechrist, K., & Pender, N. (1995). Health-promoting lifestyle profile II. Omaha, NE: Authors.
Watanabe, S., Kodama, S., & Hanabusa, H. (2018). Longevity and elderly care: Lessons from Japan. Global Health Journal, 2(4), 5–10.
Watt, R. G. (2005). Strategies and approaches in oral disease prevention and health promotion. Bulletin of the World Health Organization, 83, 711–718.
Webb, T. L., Sniehotta, F. F., & Michie, S. (2010). Using theories of behaviour change to inform interventions for addictive behaviours. Addiction, 105(11), 1879–1892.
Weinstein, N. D. (1993). Testing four competing theories of health-protective behavior. Health Psychology, 12(4), 324.
World Health Organization. (2003). Diet, nutrition and the prevention of chronic diseases. http://whqlibdoc.who.int/trs/WHO_TRS_916.pdf.
World Health Organization. (2005). Avoiding heart attacks and strokes: don't be a victim-protect yourself. World Health Organization.
World Health Organization. (2016). World health statistics 2016. Retrieved from file:///C:/Users/Win7/Downloads/9789241565264_eng.pdf
World Health Organization. (2018). Noncommunicable diseases- country profiles. Retrieved from https://www.who.int/nmh/countries/mys_en.pdf
Yiallouris, A., Agapidaki, E., Ntourakis, D., Tsioutis, C., Zafeiri, M., & Johnson, E. O. (2019). Adrenal aging and its implications on stress responsiveness in humans. Frontiers in Endocrinology, 10, 54.
Yu, B., Xu, H., Chen, X., & Liu, L. (2016). Analysis of coping styles of elderly women patients with stress urinary incontinence. International journal of nursing sciences, 3(2), 153–157.
Zikmund, W. G., Babin, B. J., Carr, J. C., & Griffin, M. (2013). Business research methods. Cengage Learning.
Zulman, D. M., Kerr, E. A., Hofer, T. P., Heisler, M., & Zikmund-Fisher, B. J. (2010). Patient-provider concordance in the prioritization of health conditions among hypertensive diabetes patients. Journal of General Internal Medicine, 25(5), 408–414.
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This research is funded by UTAR grant: IPRS/RMC/UTARRF/2017-C2/AO1 and USM grant: RU Top Down Research Grant 1001/PSOSIAL/807001.
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Iddrisu, M.A., Senadjki, A., Mohd, S. et al. The Impact of HPB on Elderly Diseases (Diabetes Mellitus, Hypertension, Hypercholesterolemia, Minor Stroke, Kidney Failure and Heart Problem): a Logistic Analysis. Ageing Int 45, 149–180 (2020). https://doi.org/10.1007/s12126-020-09368-9
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DOI: https://doi.org/10.1007/s12126-020-09368-9