Factors associated with the perception of discrimination: ageism and quality of life of the geriatric population from a bioethical approach
DOI:
https://doi.org/10.31053/1853.0605.v80.n3.38107Keywords:
aged, social discrimination, bioethics, quality of life, ageismAbstract
Introduction: There are a set of conditions that directly affect the quality of life of older adults, causing marginalization and discrimination of this age group.
Objective: Determining the factors that affect the perception of discrimination and quality of life of older adults in the province of El Oro, Ecuador.
Methods: Observational, descriptive, qualitative-phenomenological, cross-sectional, cross-sectional study in older adults aged 65 years, between September 2019 and November 2020. The sample consisted of 399 older adults. The questionnaire "Biopsychosocial assessment of older adults from a bioethical approach" was used. The following variables were measured: discrimination and self-perception of quality of life. Multiple correspondence analysis was used to examine the association between discrimination, quality of life and the variables under study.
Results: 61.7% of the respondents considered that discrimination exists, with ageism predominating. The variable most related to the perception of discrimination of the MAs was the treatment in health care, and the family environment. The quality of life in a significant percentage was unsatisfactory due to: their family environment, poor social integration and dissatisfaction with their health.
Conclusions: The quality of life of older adults was unsatisfactory in almost half of the respondents, influenced by the relationship with the family, social integration, and health status. The older adults reported that there is discrimination and ageism in the treatment perceived in the health services and the family environment, in violation of the principles of bioethics.
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Sygit K, Siedlecka-Pasierbiak K, Sygit M, Cipora E. The Quality of Life of Seniors Hospitalized Due to Cardiovascular Diseases in Poland. Int J Environ Res Public Health. 2020 May 25;17(10):3721. doi: 10.3390/ijerph17103721
Pawlaczyk M, Gąsior T, Michalak M, Jóźwiak A, Zasadzka E, Matecka M, Pawlaczyk M. Quality of life of the elderly residents of nursing homes and patients of the Psychogeriatric Day Ward. JMS. 2017 Mar 27;86(1):36-41. doi: 10.20883/jms.2017.206.
Chabowski M, Polański J, Jankowska-Polanska B, Lomper K, Janczak D, Rosinczuk J. The acceptance of illness, the intensity of pain and the quality of life in patients with lung cancer. J Thorac Dis. 2017 Sep;9(9):2952-2958. doi: 10.21037/jtd.2017.08.70
Toselli S, Campa F, Spiga F, Grigoletto A, Simonelli I, Gualdi-Russo E. The association between body composition and quality of life among elderly Italians. Endocrine. 2020 May;68(2):279-286. doi: 10.1007/s12020-019-02174-7.
Organización Mundial de la Salud. Acción multisectorial para un envejecimiento saludable basado en el ciclo de vida: proyecto de estrategia y plan de acción mundiales sobre el envejecimiento y la salud. 2016; [citado 26 jun 2021]. Disponible en: https://apps.who.int/iris/handle/10665/253025.
Benavente Cuesta MH, Quevedo Aguado MP. Autopercepción de Salud, Calidad de vida y Bienestar Psicológico en una muestra de mayores. Rev Esp Comun Salud 2019 Jun. 10(1):21-9. doi:10.20318/recs.2019.3993.
Cuéllar L, Serra S, Collado AM, Reyes R. La bioética desde la perspectiva de la salud ambiental: su expresión en Cuba. Rev Cubana Hig Epidemiol. 2010;48(3):321-334. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-30032010000300011&lng=es.
Millás-Mur J. Ética y Bioética en el pregrado de Medicina: una propuesta. Rev Peru Med Exp Salud Publica. 2019; 36(1):93-9. doi: 10.17843/rpmesp.2019.361.4260.
Organización Mundial de la Salud. Informe mundial sobre discriminación por edad. 2021; [citado 26 jun 2021]. Disponible en: https://www.who.int/teams/social-determinants-of-health/demographic-change-and-healthy-ageing/combatting-ageism/global-report-on-ageism/.
Officer A, de la Fuente-Núñez V. A global campaign to combat ageism. Bull World Health Organ. 2018 Apr 1;96(4):295-296. doi: 10.2471/BLT.17.202424.
Instituto Nacional de Estadísticas y Censos. Proyección por edades provincias 2010-2020 y nacional 2010-2020;2013 [citado 26 nov 2021]. Disponible en: https://www.ecuadorencifras.gob.ec//wp-content/descargas/Boletines/Proyecciones_poblacionales_cantonales/PROYECCION+POR+EDADES+PROVINCIAS+2010-2020++Y+NACIONAL+2010-2020.xlsx.
Brito Sosa G, Iraizoz Barrios AM. Valoración biopsicosocial del adulto mayor desde un enfoque bioético en una población cubana. Rev Cubana Med Gen Integr. 2012; 28(4): 630-648. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21252012000400007&lng=es.
Gómez-Angulo C, Campo-Arias A. Escala de Yesavage para Depresión Geriátrica (GDS-15 y GDS-5): estudio de la consistencia interna y estructura factorial. Universitas Psychologica. 2011; 10(3):735-743. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S1657-92672011000300008&lng=en&tlng=es.
García JL, Chagolla H, Noriega S. Modelos: efectos de la colinealidad en el modelado de regresión y su solución. Cultura Científica y Tecnológica. 2015; 17(3): 16-17. Disponible en: http://erevistas.uacj.mx/ojs/index.php/culcyt/article/view/495.
Vervaecke D, Meisner BA. Caremongering and Assumptions of Need: The Spread of Compassionate Ageism During COVID-19. Gerontologist. 2021 Feb 23;61(2):159-165. doi: 10.1093/geront/gnaa131.
Cesari M, Proietti M. COVID-19 in Italy: Ageism and Decision Making in a Pandemic. J Am Med Dir Assoc. 2020 May;21(5):576-577. doi: 10.1016/j.jamda.2020.03.025.
Jackson SE, Hackett RA, Steptoe A. Associations between age discrimination and health and wellbeing: cross-sectional and prospective analysis of the English Longitudinal Study of Ageing. Lancet Public Health. 2019 Apr;4(4):e200-e208. doi: 10.1016/S2468-2667(19)30035-0.
Ayalon L. Perceived Age Discrimination: A Precipitator or a Consequence of Depressive Symptoms? J Gerontol B Psychol Sci Soc Sci. 2018 Jun 14;73(5):860-869. doi: 10.1093/geronb/gbw101.
Browning SD, Penning MJ, Wu, Z. Perceived Age Discrimination: Implications for Mental Health and Life Satisfaction in Middle and Later Life-a Research Note. Can. Stud. Popul. 2020; 47(4):245-262. doi: 10.1007/s42650-020-00035-7.
Chang ES, Kannoth S, Levy S, Wang SY, Lee JE, Levy BR. Global reach of ageism on older persons' health: A systematic review. PLoS One. 2020 Jan 15;15(1):e0220857. doi: 10.1371/journal.pone.0220857.
Donizzetti AR. Ageism in an Aging Society: The Role of Knowledge, Anxiety about Aging, and Stereotypes in Young People and Adults. Int J Environ Res Public Health. 2019 Apr 13;16(8):1329. doi: 10.3390/ijerph16081329.
Organización Mundial de la Salud. Informe mundial sobre el envejecimiento y la salud; 2015 [citado 24 may 2021]. Disponible en: https://apps.who.int/iris/bitstream/handle/10665/186466/9789240694873_spa.pdf;jsessionid=14890CFBD18D97563D83B8A84ECD96B5?sequence=1.
Barreto Cardoso R, Teixeira de Araújo Pacheco S, Pereira Caldas C, Alfradique de Souza P, Pereira Peres PL, Rodrigues Nunes MD. Práctica confortadora para el anciano hospitalizado a la luz de la bioética. Revista Bioética. 2019; 27(4):595-599. doi: 10.1590/1983-80422019274342.
Casas-Vasquez P, Apaza-Pino R, del Canto y Dorador J, Chávez-Jimeno H. Atención sociosanitaria de los adultos mayores en el Perú. Rev Peru Med Exp Salud Publica. 2016; 33(2)351-6. doi: 10.17843/rpmesp.2016.332.2212.
Enamorado GV, Pérez Rodríguez J, Domínguez Cancino A, Rodríguez Enamorado JE. Violencia intrafamiliar contra el adulto mayor en una comunidad de Guinea Bissau. MediSan. 2013;17(07): 1053-1059. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192013000700004.
Vera López JI. Situación actual de los derechos humanos en la normativa del adulto mayor en América Latina y México. Nómadas. 2016; 47(1): 271-291. doi: 10.5209/rev_NOMA.2016.v47.n1.52407 Flores-Herrera BI, Castillo-Muraira Y, Ponce-Martínez D, Miranda-Posadas C, Peralta-Cerda EG, Durán Badillo T. Percepción de los adultos mayores acerca de su calidad de vida. Una perspectiva desde el contexto familiar. Rev Enferm Inst Mex Seguro Soc. 2018;26(2):83-8. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=80647.
Varela Pinedo LF. Salud y calidad de vida en el adulto mayor. Revista Peruana de Medicina Experimental y Salud Pública. 2016; 33(2): 199-201. Doi: 10.17843/rpmesp.2016.332.2196.
Siurana Aparisi JC. Los principios de la bioética y el surgimiento de una bioética intercultural. Veritas. 2010; (22):121-157. doi: 10.4067/S0718-92732010000100006
Perušić L. Fritz Jahr as Methodological Paradigm in Bioethical Education. Jahr. 2019; 10(2): 287-310. doi: 10.21860/j.10.2.1.
Perušić L. Fritz Jahr as Methodological Paradigm in Bioethical Education. Jahr. 2019;10(2):287-310. doi.org/10.21860/j.10.2.1.
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