TAILIEUCHUNG - Self-Perception of Health among Elderly Community Dwellers in Singapore

Data were included from individuals participating in a prospective study of 2,126 Medicare recipients, 65 years and older, residing in a single community in Northern Man- hattan. Each person received the same medical, neurological and neuropsychological evaluations at regular intervals. The cohort was followed over a 7-year period beginning in 1992. Three follow-up examinations took place at 20-month in- tervals after the baseline interview. Over the study period, the annual mortality rate has been , the overall refusal rate has been 10% and the annual incidence rate of AD has been 3% [63]. In order to address the study hypothesis, we included data only from 563 individuals without dementia (AD or other forms),. | ORIGINAL ARTICLES Self-Perception of Health among Elderly Community Dwellers in Singapore K M Chan FAMS MBBS MMed IntMed W S Pang FAMS M Med Int Med MRCP UK C H Ee FAMS MBBS MMed IntMed Y Y Ding FAMS MBBS MRCP UK P ChOO FAMS MRCP UK DGM Lond Abstract Majority of the elderly living in the community in Singapore had a positive satisfactory to good perception of their health. This study foundthat age 70 years or older recent hospitalisation regular medicalfollow-up hearing impairment presence of chronic medical conditions like musculo-skeletal problems hypertension ischaemic heart disease and chronic obstructive lung disease impairment in activities of daily living history offalls those on regular medications and those withfinancial difficulties all adversely influenced perception of health. Those able to participate in regular outdoor leisure activities have apositive influence. Factors that did not significantly influence perception of health were gender health-promoting activities work poor eyesight cognitive impairment urinary incontinence diabetes history of stroke and the ability to use public transport. Ann Acad Med Singapore 1998 27 461-7 Key words Factors influencing Financial needs Functional state Health services utilisation Illness symptoms Introduction The single most important determinant of the quality of an elderly person s life is health. In the elderly health matters affect all other areas of life including his willingness to seek and accept Studies also support the fact that though health declines with age many older people still rate their health A number of studies have also found that self-ratings of health among elderly adults are valid measures of the respondent s objective health status and match up as well to physician Most of these studies were confined to Western population. The purpose of the current study was to look at how the elderly community dwellers in Singapore perceive their own health and .

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