1. |
- Berner, Jessica, et al.
(author)
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Factors associated with change in Internet usage of the swedish older adults between 2004 and 2010
- 2012
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In: Health Informatics Journal. - : SAGE Publications. - 1460-4582 .- 1741-2811. ; 19:2, s. 152-162
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Journal article (peer-reviewed)abstract
- Abstract: The increased reliance on Internet use in social functions has presumably left out a part of the population: the oldest-older adults. These are people who have not kept themselves up to date with the technological developments for various reasons. There are, however, exceptions from whom we have something to learn. This study investigates the older people in Sweden who started to use the Internet over a period of 6 years. Cognition, extraversion, openness, functional disability, household economy, sex, age and education were investigated in relation to starting to use the Internet. A chi-square test, Spearman correlation and a logistic regression analysis were conducted. It was found that higher cognition, being male and being between the ages of 60 and 80 years were determining factors in starting to use the Internet for the Swedish older adult. Our results indicate that the oldest-older adults are slow to adapt to using the Internet and more attention should be paid on how to support this group.
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2. |
- Berner, Jessica, et al.
(author)
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Factors influencing Internet usage in older adults (65 years and above) living in rural and urban Sweden
- 2015
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In: Health Informatics Journal. - : Sage Publications. - 1460-4582 .- 1741-2811. ; 21:3, s. 237-249
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Journal article (peer-reviewed)abstract
- Older adults living in rural and urban areas have shown to distinguish themselves in technology adoption; a clearer profile of their Internet use is important in order to provide better technological and health-care solutions. Older adults' Internet use was investigated across large to midsize cities and rural Sweden. The sample consisted of 7181 older adults ranging from 59 to 100 years old. Internet use was investigated with age, education, gender, household economy, cognition, living alone/or with someone and rural/urban living. Logistic regression was used. Those living in rural areas used the Internet less than their urban counterparts. Being younger and higher educated influenced Internet use; for older urban adults, these factors as well as living with someone and having good cognitive functioning were influential. Solutions are needed to avoid the exclusion of some older adults by a society that is today being shaped by the Internet.
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3. |
- Moraes, Ana Luiza Dallora, et al.
(author)
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Multifactorial 10-year prior diagnosis prediction model of dementia
- 2020
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In: International Journal of Environmental Research and Public Health. - : MDPI. - 1661-7827 .- 1660-4601. ; 17:18, s. 1-18
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Journal article (peer-reviewed)abstract
- Dementia is a neurodegenerative disorder that affects the older adult population. To date, no cure or treatment to change its course is available. Since changes in the brains of affected individuals could be evidenced as early as 10 years before the onset of symptoms, prognosis research should consider this time frame. This study investigates a broad decision tree multifactorial approach for the prediction of dementia, considering 75 variables regarding demographic, social, lifestyle, medical history, biochemical tests, physical examination, psychological assessment and health instruments. Previous work on dementia prognoses with machine learning did not consider a broad range of factors in a large time frame. The proposed approach investigated predictive factors for dementia and possible prognostic subgroups. This study used data from the ongoing multipurpose Swedish National Study on Aging and Care, consisting of 726 subjects (91 presented dementia diagnosis in 10 years). The proposed approach achieved an AUC of 0.745 and Recall of 0.722 for the 10-year prognosis of dementia. Most of the variables selected by the tree are related to modifiable risk factors; physical strength was important across all ages. Also, there was a lack of variables related to health instruments routinely used for the dementia diagnosis.
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5. |
- Rennemark, Mikael, 1951-, et al.
(author)
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Factors related to frequent usage of the primary healthcare services in old age: findings from the Swedish National study on Aging and Care
- 2009
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In: Health & Social Care in the Community. - United Kingdom : Blackwell Publishing Ltd. - 0966-0410 .- 1365-2524. ; 17:3, s. 304-311
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Journal article (peer-reviewed)abstract
- People aged 60 or more are the most frequent users of healthcare services.In this age range, however, both frequent and infrequent users can be found.Frequent users have high rates of illnesses. Previous research has found thatthe frequency may be influenced also by psychological and social factors.The aim of this study was to investigate to what degree such factors add tothe explanation of differences in number of visits to a physician. A crosssectionalstudy was conducted with a random sample consisting of 1017individuals, aged 60 to 78 years, from the Blekinge part of the SwedishNational Study on Aging and Care database. The data were collected during2001 to 2003. Hierarchical logistic regression analyses were used withfrequent (three visits or more during a year) and infrequent use as adichotomous dependent variable. The final statistical analyses included643 individuals (63% of the sample). Independent variables were sense ofcoherence (SOC), internal locus of control, education level and socialanchorage. Control variables were age, gender, functional ability andcomorbidity. The results showed that comorbidity was most strongly relatedto frequent use [adjusted odds ratio (OR) = 8.17, 95% confidence interval (CI)5.54–12.04]. In addition, SOC and internal locus of control had small, butsignificant effects on the odds of being a frequent user (adjusted OR = 1.03,95% CI 1.00–1.06 and adjusted OR = 1.14, 95% CI 1.02–1.27, respectively).The lower the SOC and the internal locus of control were, the higher were theodds of frequent use. Education level and social anchorage were unrelatedto frequency of use. The results indicate that frequent healthcare servicesusers are more ill than infrequent users. Psychological factors influence theuse only marginally, and social factors as well as age and gender are not bythemselves reason for frequent healthcare services use.
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6. |
- Rennemark, Mikael, 1951-
(author)
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Predictors of survival in the Swedish 60 to 96 years old population
- 2016
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In: European Journal of Public Health. - : Oxford University Press. - 1101-1262 .- 1464-360X. ; 26:Suppl 1
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Journal article (peer-reviewed)abstract
- BackgroundLongevity is multi-determined. In this study, biological, social and psychological factors were included in a multivariate model in order to investigate their predictive ability of survival in a nine year follow up period.MethodsThe sample was drawn from the Swedish National study on Aging and Care (SNAC), including a representative database of Swedish inhabitants aged 60 to 96 years. The participants (N = 6986) were followed during the years 2002 to 2011. Data was collected including age, physical activity, body mass index (BMI), muscle strength, living alone or not, household economy, functional status, smoking habits and education. These variables were used as predictors in multiple logistic regression analyses in order to estimate the odds ratios of survival during the follow up period.ResultsDuring the nine year period, 4447 participants (64%) survived. Education was the strongest predictor of survival with 57% higher odds to survive for higher educated participants (P<.001. 95%CI = 1.38 – 1.78), followed by not living alone, which increased the odds of survival with 37% (P<.001. 95%CI = .65 - .83). Light physical activity increased the odds of survival with 18% (P<.001. 95%CI = 1.12 – 1.24) and not smoking was significant related to survival but the odds ratio was as low as 10% (P<.01. 95%CI = 1.03 – 1.71).ConclusionsSocial aspects such as education and not living alone are strong predictors of survival in older populations and must be considered in the understanding of differences in longevity. In addition, life habits such as physical activity and smoking behaviors should be taken into account.Key message:Both social and behavioral factors contribute to the understanding of differences in longevity in the Swedish population of 60 to 96 years old people in Sweden.
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7. |
- Rennemark, Mikael, 1951-, et al.
(author)
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Psykologiska perspektiv på åldrande och hälsa
- 2020. - 1
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Book (other academic/artistic)abstract
- Förändras personligheten när vi åldras? Är äldre en särskilt utsatt och ensam grupp i samhället? Vad betyder ålderism och hur yttrar den sig? I Psykologiska perspektiv på åldrande och hälsa avhandlas dessa frågor. Teoribildning och forskning om åldrandets psykologi, såväl historisk som samtida, beskrivs utifrån aktuella forskningsstudier.Med hjälp av konkreta exempel får läsaren ta del av forskningsresultat om vad som gör att vi åldras olika. Här visas hur livsstil, utsatthet, förmåga att möta stress, personlighet och attityder i samhället kan förklara dessa olikheter. Kunskaper om området kan undanröja missförstånd och fördomar om åldrandets villkor och möjligheter, samt öka förståelsen för äldre såväl inom vård och omsorg som i samhället i stort.
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8. |
- Rennemark, Mikael, 1951-, et al.
(author)
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Relationships between frequency of moderate physical activity and longevity : an 11-year follow-up study
- 2018
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In: Gerontology and geriatric medicine. - : Sage Publications. - 2333-7214. ; 4, s. 1-8
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Journal article (peer-reviewed)abstract
- Objectives: Moderate physical activity gains survival. There are, however, several variables that may affect this relationship. In this study, the relationship between moderate physical activity and longevity was investigated, taking into account age, gender, smoking habits, cohabitation status, body mass index, leg strength and balance, education level and cognitive function. Method: A sample of 8,456 individuals aged 60 to 96 years, representative of the Swedish population, was included. Participants were followed from 2004 to 2015. Cox regression analyses were used to investigate the predictive value of physical activity on longevity. Results: Participants still alive in the follow-up measure were more physically active on a moderate level. Being active 2 to 3 times a week or more was related to a 28% lower risk of not being alive at the follow-up measure. Discussion: The low frequency of physical activity, necessary for survival benefits should be considered in public health programs.
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9. |
- Rennemark, Mikael, 1951-, et al.
(author)
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Relationships between work-status and leisure lifestyle at the age of 60 years old
- 2006
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In: European Journal of Ageing. - Heidelberg : Springer Berlin/Heidelberg. - 1613-9372 .- 1613-9380. ; 3:2, s. 82-88
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Journal article (peer-reviewed)abstract
- The tendency to leave work before the formal pension age is reached has increased in most OECD-countries. The societal economical consequences of these circumstances are worrying and knowledge about the mechanisms behind this trend is urgent. Previous research has focused on the role of pension rules, work environments, health and education. In this study, it was investigated if there are differences in personality and in leisure lifestyle between individuals who have retired at the age of 60 and individuals who still work at the same age. The effects of health, work satisfaction, education level and household economy were taken into account. The sample was drawn from the SNAC-Blekinge database and the participants were 184 randomly selected individuals aged 60 years. The variables were measured using standardised questionnaire data. The results show that early retirement due to health problems was negatively related to visiting museums and art expositions and positively related to number of symptoms of disease. Retirement due to other reasons than disability was negatively related to reading books and to number of symptoms. The study suggests there is a possible stress-reducing effect of participation in cultural/intellectual activities. This effect may strengthen the ability and motivation to continue working at the age of 60 years old.
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10. |
- Rennemark, Mikael, 1951-, et al.
(author)
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The study of personality traits in the Blekinge part of the Swedish National stydy on Aging and Care (SNACB)
- 2019. - 1
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In: Personality and Brain Disorders. - Switzerland : Springer. - 9783319900643 - 9783319900650 ; , s. 85-99
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Book chapter (peer-reviewed)abstract
- Background: Personality has been shown to be related to numerous health-related factors. In the SNAC-B study, relationships between health variables and the personality traits of neuroticism (N), conscientiousness (C), agreeableness (A), openness (O), and extraversion (E) have been investigated. Aim: In this chapter, stability and change of personality during the ages of 60 to 90 years are explored. In addition, relationships between personality traits and health-related variables are presented. Methods: The results are based on data from the SNAC-B studies of 1402 men and women aged 60 to 90. The participants have been followed up during 12 years, while data on health, well-being, and autonomy have been continuously collected. In addition, variables assumed to influence health have been collected, such as lifestyles, demographic factors, social environment, and personality. Results: The results show personality to be stable over time according to rank order, but all personality traits except neuroticism were shown to have small but significant mean level changes. In addition, connections between a number of health-related variables and personality traits, such as mortality, self-care, work ability, and perception of pain, were indicated. Conclusions: The results indicate that the role of personality should be taken into account in research on health and aging. Personality traits have a lifelong influence on health behaviors and have been shown to affect both subjective and objective aspects of health and the way we cope with health-related experiences.
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