[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
:: Volume 9, Issue 4 (12-2021) ::
Iran J Health Educ Health Promot 2021, 9(4): 372-382 Back to browse issues page
Social determinants of health and lifestyle in the elderly
Fataneh Bakhshi * , Seyedeh Roghayeh Safavi , Parisa Kasmaei , Saeed Omidi
Abstract:   (598 Views)
Background and Objective: A healthy lifestyle is one of the major determinants of health. The phenomenon of aging is one of the major demographics, social, economic and medical issues. Awareness of the factors related to the lifestyle of the elderly can be effective in planning their health promotion. The aim was to determine the role of social factors affecting the health in lifestyle of the elderly.

Materials and Methods: In the present cross-sectional descriptive study, 455 elderly people referred to comprehensive health service centers in Rasht of 1399 were studied. Samples were selected by multi-stage random sampling from 38 health centers and bases. Social determinants of health and lifestyle information related to the elderly were collected by a valid and reliable questionnaire and after entering the SPSS software version 22 were analyzed using descriptive and inferential statistics.

Results: The mean score of lifestyles in the elderly was 105.66± 15.69. The highest mean score was related to the field of prevention 34.69±4.96 and the lowest score was in the field of physical activity 3.15 ±1.36. Among the social determinants of health examined, marital status, occupation, income and education were the most important factors affecting a healthy lifestyle. There was a correlation between the mean score of lifestyle and education (r = 0.223), income (r = 0.196) and job (r = -0.101).

Conclusion: To promote physical activity and stress management in the elderly, which will lead to a healthy lifestyle, paying attention to the social factors that determine health affecting the lifestyle obtained from this study can be a useful and effective solution.
Article number: 4
Keywords: Social determinants of health, Life style, Elderly
Full-Text [PDF 676 kb]   (205 Downloads)    
Type of Study: Research | Subject: Health Education & Health Promotion
Received: 2021/07/14 | Accepted: 2021/10/29
1. Mirzaei M. Some observations on the dimensions of aging with a look at Japan experience. Hum Sci. 2007;8(53):195-216.
2. Hashemi Z, Afshari A, Einy S. The effectiveness of acceptance and commitment education on improving the mental health and quality of life of elderly people with cancer. Iranian Journal of Health Education and Health Promotion. 2020;8(2):160-71 [DOI:10.29252/ijhehp.8.2.160]
3. Baqer Maddah Sadat S, Ghasemi S, Rahgozar M. The effect of educational program on health promotion behaviors on elderly life style. Iranian Journal of Rehabilitation Research. 2019;5(2):47-54.
4. Hosseini Nesar M, Zanjani H, Seyyed Miirzaei SM, Kaldii A. Comparative analysis of the quality of life of the elderly living in home and nursing home of Gilan province and the factors affecting it. Journal of Socio - Cultural Changes. 2020;17(2):43-61.
5. Abusalehi A, Vahedian-Shahroodi M, Esmaily H, Jafari A, Tehrani H. Mental health promotion of the elderly in nursing homes: a social-cognitive intervention. International Journal of Gerontology. 2021;15(3):221-7.
6. Mirfallah Nassiri N. Demographic Determinants of Population Ageing and Related Indicators in Iran. Iranian Journal of Official Statistics Studies. 2008;18(2):1-14.
7. Wang J, Chen C-Y, Lai L-J, Chen M-L, Chen M-Y. The effectiveness of a community-based health promotion program for rural elders: A quasi-experimental design. Applied Nursing Research. 2014;27(3):181-5. [DOI:10.1016/j.apnr.2013.11.014] [PMID]
8. Hashemi Z, Afshari A, Einy S. The effectiveness of acceptance and commitment education on improving the mental health and quality of life of elderly people with cancer. Iranian Journal of Health Education and Health Promotion. 2020;8(2):160-71. [DOI:10.29252/ijhehp.8.2.160]
9. Habibi A, Nikpour S, Seyedoshohadaei M, Haghani H. Health promoting behaviors and its related factors in elderly. Iran journal of nursing. 2006;19(47):35-48.
10. Ahmadzadeh K, Farshidi H, Nikparvar M, Ezati-Rad R, Mahmoodi M. The Relationship Between Health Literacy Level and Quality of Life in Heart Failure Patients. Journal of Health Literacy. 2021;6(2):61-8.
11. Tavakoly Sany SB, Aman N, Jangi F, Lael-Monfared E, Tehrani H, Jafari A. Quality of life and life satisfaction among university students: Exploring, subjective norms, general health, optimism, and attitude as potential mediators. Journal of American College Health. 2021:1-8 [DOI:10.1080/07448481.2021.1920597] [PMID]
12. ihan L, Chung-Ngok W. Validation of the psychometric properties of the health-promoting lifestyle profile in a sample of Taiwanese women. Quality of Life Research. 2011;20(4):523-8. [DOI:10.1007/s11136-010-9790-6] [PMID] [PMCID]
13. Scott A, Wilson R. Social Determinants of Health Among African Americans in a Rural Community in the Deep South: An Ecological Exploration. Rural and remote health. 2011;11(1):1634. [DOI:10.22605/RRH1634] [PMID]
14. Mogford E, Gould L, Devoght A. Teaching critical health literacy in the US as a means to action on the social determinants of health. Health promotion international. 2011;26(1):4-13. [DOI:10.1093/heapro/daq049] [PMID] [PMCID]
15. Davies N. Promoting healthy ageing: the importance of lifestyle. Nursing standard (Royal College of Nursing (Great Britain): 1987). 2011;25(19):43-50. https://doi.org/10.7748/ns2011. [DOI:10.7748/ns.25.19.43.s51] [PMID]
16. Babak A, Davari S, Aghdak P, Pirhaji O. Assessment of healthy lifestyle among elderly in Isfahan, Iran. Journal of Isfahan medical school. 2011;29(149).
17. Mahmoodi G, Azari N, Sanati. Lifestyle assessment in the elderly. Health Breeze Quarterly. 2013;1(3):45-50.
18. Shamsadini Lori A, PourMohammadi K. Keshtkaran Vida, Ahmadi Kashkoli Sadegh, PourAhmadi MohammadReza, [A survey on the level of the elderly lifestyle in Shiraz]. J Health-Based Res. 2015;1(1):75-84.
19. Niknami M, Namjoo A, Baghaee M, Sedghei Sabet M, Atrkar Roshan Z. Survey healthbehavior of elderly referring to retirement centers in Rasht city in 20. Journal of Holistic Nursing and Midwifery. 2010;20(1):40-8.
20. Eshaghi, reza S, Ziba Fz, Anahita B. Designing a questionnaire to assess lifestyle in the elderly:Validation. 1389;9:1.
21. Heshmati H, Asnaashari, Khajavi, CHarkazi, Babak A, Hosseini A. Lifestyle of the elderly in Kashmar in 2012. Journal of Research Development in Nursing and Midwifery. 2014;11(1):39-50.
22. Ershadi S, CHorsi G, Moslemizadeh M. Assessing the educational needs of the elderly in Sirjan city about a healthy lifestyle, 1397-1397. Journal of Gerontology. 2020;4(4):68-78.
23. Seo HM, Hah YS. A study of factors influencing on health promoting lifestyle in the elderly: Application of Pender's health promotion model. Journal of Korean Academy of Nursing. 2004;34(7):1288-97 [DOI:10.4040/jkan.2004.34.7.1288] [PMID]
24. Ebrahimi Z, Esmaeilzadeh Ghandehari MR, Veisi K. The Effect of Physical Activity Based on Intergenerational Programs on the Quality of Life of Older Adults. Salmand: Iranian Journal of Ageing. 2020;14(4):406-21.
25. valuation of Life Style in the Elderly. Quarterly Journal of Health Breeze. 2013;1(3):45-50.
26. Jafari R, Alaee N, Heravi-Karmooi M, Arsang S. Study of lifestyle and related factors in the elderly in Qom, Qom University of Medical Sciences Journal. 2018;12(8):69-77. [DOI:10.29252/qums.12.8.69]
27. Beh-Pajooh A, Soleymani S. The relationship between sleep quality and depression in older people living in 3 districts of Tehran, Iran. Iranian Journal of Ageing. 2016;11(4):72-9. [DOI:10.21859/sija-110172]
28. Morowatisharifabad MA, Ghofranipour F, Heidarnia A, Ruchi GB, Ehrampoush MH. Self-efficacy and health promotion behaviors of older adults in Iran. Social Behavior and Personality: an international journal. 2006;34(7):759-68. [DOI:10.2224/sbp.2006.34.7.759]
29. Abbas SL, Kimia P. Keshtkaran Vida, Ahmadi Kashkoli Sadegh, PourAhmadi MohammadReza, [A survey on the level of the elderly lifestyle in Shiraz]. J Health-Based Res. 2015;1(1):75-84
30. 30 Tsugane S, Inoue M, Ohara S, U M, K Y. Association between education level and dentition status in Japanese adults center health public japan 2012;40:481-7. [DOI:10.1111/j.1600-0528.2012.00697.x] [PMID]
31. Zanjari N, Sadeghi R, Delbari A. Analysis of Gender Differences in Time Use Among Iranian Older Adults. Salmand: Iranian Journal of Ageing. 2019;13(5):588-603. [DOI:10.32598/SIJA.13.Special-Issue.588]
32. Shahnazi H, Sobhani A. Survey and comparison of different areas of style Healthy living of the elderly ا Resident Home Nursing Isfahan. Elderly Scientific Research Journal. 2016;10(4):192-201.
33. Anvari M. Assessment of lifestyle among elderly living in the Sari city in the year 2018: medical School; 2019.
34. Alaee N, Jafari R, heravi-Karmooi M, Arsang S. Investigation of Lifestyle and Its Related Factors in the Elderly Population in Qom City, 2017 (Iran). Qom Univ Med Sci J. 2018;12(8):69-77. [DOI:10.29252/qums.12.8.69]
35. Najimi A, Godarzi A. Healthy lifestyle of the elderly: A cross-sectional study. Journal of health system research. 2012;8(4):581-7.
36. Ataie Z, Allahverdi A, Dehnoalian A, Orooji A. The relationship between lifestyle and general health among elderly people in Neyshabur. Iran Journal of Nursing. 2018;31(111):10-9. [DOI:10.29252/ijn.31.111.10]
37. Azadbakht G, Tanjani t, Shojaeizadeh D, Gheysvandi. Health-promoting self-care behaviors and related factors in the elderly: Application of health belief model. Journal of Education and Community Health. 2014;1(2):20-9. [DOI:10.20286/jech-010220]
38. De Cocker K, Artero EG, De Henauw S, Dietrich S, Gottrand F, Béghin L, et al. Can differences in physical activity by socio-economic status in European adolescents be explained by differences in psychosocial correlates? A mediation analysis within the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study. Public health nutrition. 2012;15(11):2100-9. [DOI:10.1017/S1368980012001036] [PMID]
39. Movahedi M, Khamseh F, Ebadi A, Haji Amin Z, Navidian A. Assessment of the lifestyle of the elderly in Tehran. Journal of Health Promotion Management. 2016;5(3):51-9.
40. Sung MH, Lim YM. The study on health promoting lifestyle of the elderly women. Journal of Korean Academy of Nursing. 2003;33(6):762-71. [DOI:10.4040/jkan.2003.33.6.762] [PMID]
41. Sohng KY, Sohng S, Yeom HA. Health‐promoting behaviors of elderly Korean immigrants in the United States. Public Health Nursing. 2002;19(4):294-300. [DOI:10.1046/j.1525-1446.2002.19409.x] [PMID]
42. Habibi S, Nikpori S, Seyed shohadaiee M, haghani H. Evaluation of health and quality of life promoting behaviors in the elderly. 1387.
43. Heidari S, Nouri Tajer M, Hosseini F, Inanlou M, Golgiri F, Shirazi F. Geriatric family support and diabetic type-2 glycemic control. Iranian Journal of Ageing. 2008;3(2):573-80.
44. Zahmatkeshan N, bagherzadeh r, Akaberian S, yazdankhah MR, Mirzaei k, Yazdanpanah S, et al. Assessing Quality Of Life and related factors in Bushehr,s elders – 1387-8. Journal of Advanced Biomedical Sciences. 2012;2(1):53-8.
Send email to the article author

Add your comments about this article
Your username or Email:


Ethics code: IR.GUMS.REC.1399.434

XML   Persian Abstract   Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Bakhshi F, Safavi S R, kasmaei P, Omidi S. Social determinants of health and lifestyle in the elderly. Iran J Health Educ Health Promot. 2021; 9 (4) :372-382
URL: http://journal.ihepsa.ir/article-1-1786-en.html

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 9, Issue 4 (12-2021) Back to browse issues page
فصلنامه آموزش بهداشت و ارتقاء سلامت ایران Iranian Journal of Health Education and Health Promotion
Persian site map - English site map - Created in 0.05 seconds with 30 queries by YEKTAWEB 4374