EPIDEMIOLOGY OF SELF-DEPENDENCE AMONG KUWAITI ELDERLY POPULATION OF ABDULLAH AL-SALEM AREA

Author:

Abeer Khaled Al-Baho

Abdullah Al-Salem Clinic for Family Medicine, Abdullah Al-Salem area, Kuwait

Correspondence:
Dr. Abeer Khaled Al-Baho,
Abdullah Al-Salem Clinic for Family Medicine,
Abdullah Al-Salem area, Kuwait.
Tel: (Office) + 965 2562372;
T el/fax:+ 965 2533134
E-mail: abeerkhaled@hotmail.com

Key words:
elderly, independence, quality of social support, self-dependence for activities of daily living, socio-demographic characteristics

Abstract

Objectives: To study the socio-demographic and health characteristics of Kuwaiti elderly patients 65 years of age and above and the factors influencing their self-dependence for the performance of activities of daily living (ADL).
Design: An observational study of a random sample of Kuwaiti elderly patients 65-year-old and above; 113 patients included.

Setting: Abdullah Al- Salem area / Kuwait 1998-2000. Main outcome measures: A description of the major socio-demographic and health characteristics; and determination of the major factors influencing self-dependence for the performance of ADL.
Results: The majority were below 85 years of age (74.3%), married (65%), having hearing defects (80%) and visual defects (91%), 17.8% were demented and 25% showed evidence of depression. These patients were mainly self-dependent for ADL (64%) and there was no significant correlation of self-dependence to the adequacy of social support, to sex or to the medical diseases the patient had. Out of 113 patients, 87 were seen in the clinic and 26 were seen at home. Mann-Whitney comparison test showed high statistical significance (P = 0.00) when comparing those seen in the clinic to those seen at home in relation to their age, marital status, mobility, general mental state, self-dependence, general appearance and nutritional state.
Conclusions: Age, psycho-mental status and physical
status have tremendous effects on self-dependence for
ADL. Although nothing can stop aging, a lot can be done to encourage preventive initiatives to help maintain physical independence.