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Appreciating the Predicament of Housebound Older Adults with Arthritis: Portrait of a Population*

Published online by Cambridge University Press:  31 March 2010

Kareen Nour ,
Sophie Laforest ,
Monique Gignac  and
Lise Gauvin
Kareen Nour*
Affiliation:
Groupe de recherche interdisciplinaire en santé (GRIS), University of Montreal CLSC René-Cassin/Institute of Social Gerontology of Quebec
Sophie Laforest
Affiliation:
Groupe de recherche interdisciplinaire en santé (GRIS), University of Montreal Department of Kinesiology, University of Montreal CLSC René-Cassin/Institute of Social Gerontology of Quebec
Monique Gignac
Affiliation:
Division of Outcomes & Population Health, The University Health Network Department of Public Health Services, University of Toronto
Lise Gauvin
Affiliation:
Groupe de recherche interdisciplinaire en santé (GRIS), University of Montreal Department of Social & Preventive Medicine, University of Montreal
*
Requests for offprints should be sent to: / Les demandes de tirés-à-part doivent être addressées à : Kareen Nour, M.A., Ph.D. candidate, CLSC René-Cassin, 5800 blvd Cavendish, Côte St-Luc, QC H4W 2T5. (knour@ssss.gouv.qc.ca)
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Abstract

This paper draws a socio-demographic, physical, psychosocial, and behavioural profile of housebound older adults with arthritis and compares older adults with rheumatoid arthritis to those with osteoarthritis. Data from 125 housebound older adults with osteoarthritis (65%) or rheumatoid arthritis (35%) were compared to published samples and to population data using appropriate weighting. Respondents were mainly women, living alone, mean age 77 years (SD = 10.50). Symptoms of stiffness, fatigue, and pain intensity were moderate to severe, and a substantial proportion (51.4%) reported depression. Participants reported low levels of health behaviours such as exercise. Overall, older adults with rheumatoid arthritis were significantly younger, reported less pain and limitations, were more optimistic and satisfied with their social life, and had a higher self-efficacy than older adults with osteoarthritis. Home-based pain self-management programs should be constructed considering the unique profiles and needs of this population.

Résumé

Cette recherche dresse un portrait socio-démographique, physique, psychosocial et comportemental des personnes âgées arthritiques confinées à la maison et compare les personnes âgées vivant avec l'arthrite rhumatoïde à celles vivant avec l'ostéoarthrite. Les données furent obtenues auprès de 125 personnes confinées à la maison et ayant un diagnostique d'osteoarthrite (65 %) ou d'arthrite rhumatoïde (35 %). Une pondération a été utilisée. En majorité, cette population se compose de femmes, vivant seules et âgées en moyenne de 77 ans (SD=10,50). Les symptômes d'engourdissements, de fatigue et de douleurs se chiffrent de modérés à graves et plusieurs personnes (51,4%) ont des symptômes de dépression. Les personnes ont signalé de faibles taux de comportement de santé telque l'exercice. Globalement, les personnes atteintes d'osteoarthrite démontrent une santé physique moins bonne (rapportent plus de douleurs et de limitations) et psychologique (moins d'optimiste, insatisfait par leur vie sociale, plus faible efficacité personnelle) que les personnes vivant avec l'arthrite rhumatoïde. Des programmes à domicile d'autogestion de la douleur devraient être mis sur pied en fonction de ces caractéristiques.

Keywords

arthritisolder adultshouseboundhealth behavioursbiopsychosocial profileagingarthritepersonnes âgées confinéescomportement d'autogestion et portraitvieillissment
Type
Other Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 24 , Issue 1 , Spring/Printemps 2005 , pp. 57 - 69
Copyright
Copyright © Canadian Association on Gerontology 2005

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Footnotes

*

This research was funded by the Canadian Institutes of Health Research (#MOP-42547). Kareen Nour is the recipient of a doctoral fellowship from the facility size, provision of specialized care (e.g., Alzheimer's disease), and an on-site Fonds Québecois de recherche en santé, Government of Quebec.We would like to thank the study participants, Silvia Straka, Richard Goudreault at the Direction de la santé publique de Montréal, collaborating CLSCs, and members of the Advisory Committee for their contributions to this research.

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