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The elderly health profile and health services access during 2020-2021: results from Passi d’Argento
BACKGROUND: The COVID-19 pandemic has affected the community in multiple health, economic, social and cultural aspects and the impact was stronger among the over-65s. PASSI d'Argento (PdA) surveillance system monitors the effects on physical activity, partecipation in social life and healthcare...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10595620/ http://dx.doi.org/10.1093/eurpub/ckad160.983 |
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author | Contoli, B Casigliani, V Pettinicchio, V Minardi, V Asta, F Possenti, V Gallo, R Masocco, M |
author_facet | Contoli, B Casigliani, V Pettinicchio, V Minardi, V Asta, F Possenti, V Gallo, R Masocco, M |
author_sort | Contoli, B |
collection | PubMed |
description | BACKGROUND: The COVID-19 pandemic has affected the community in multiple health, economic, social and cultural aspects and the impact was stronger among the over-65s. PASSI d'Argento (PdA) surveillance system monitors the effects on physical activity, partecipation in social life and healthcare renunciation due to fear of Covid contagion or services interruption. METHODS: Since 2016, PdA has been continuously collecting information on health, behavioural risk factors, quality of life and the care and assistance needs of eldely people. Data is collected through an anonymous and standardised questionnaire. Physical activity is assessed with the Physical Activity Scale for Elderly, an internationally validated instrument that considers all types of activities commonly performed by elderly. High PASE values correspond to high levels of physical activity. RESULTS: The percentage of physically active elderly decreased significantly during the pandemic, from 39% (CI95% 38.3-39.8) in 2016-2019 to 35% (CI95% 33.7-36.4) in 2020-2021. The decline is greater among people with economic difficulties (44.4% to 37.5), women (from 36.7% to 33.5%), among those with chronic deseases (from 37% to 31%) or sensory impairment (from 31.3% to 27.5%). Participation in social life declines significantly from 23.1% (95% CI 22.5.1-23.8) in the pre-covid period to 142 (95% CI 13.2-15.1) in 2020-2021. The pandemic develops in a context where inequalities in prevention and care already exist; 32% of elderly declared difficulties in accessing health services in 2016-2019. During pandemic period 28% of the over-65s gave up at least one medical or diagnostic examination with a risk of delayed in diagnosis and treatment. CONCLUSIONS: PdA shows the importance of monitoring the strong impact of emergency on several aspects of elderly population to riorganize the local health system organization, implement targeted interventions and improve the health services’ offers to reduce inequalities. KEY MESSAGES: • Riorganize the local health system is crucial to improve targeted interventions and reduce inequalities in care and prevention for elderly population. • Early diagnosis and adequate therapy are crucial in old age. |
format | Online Article Text |
id | pubmed-10595620 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-105956202023-10-25 The elderly health profile and health services access during 2020-2021: results from Passi d’Argento Contoli, B Casigliani, V Pettinicchio, V Minardi, V Asta, F Possenti, V Gallo, R Masocco, M Eur J Public Health Poster Walks BACKGROUND: The COVID-19 pandemic has affected the community in multiple health, economic, social and cultural aspects and the impact was stronger among the over-65s. PASSI d'Argento (PdA) surveillance system monitors the effects on physical activity, partecipation in social life and healthcare renunciation due to fear of Covid contagion or services interruption. METHODS: Since 2016, PdA has been continuously collecting information on health, behavioural risk factors, quality of life and the care and assistance needs of eldely people. Data is collected through an anonymous and standardised questionnaire. Physical activity is assessed with the Physical Activity Scale for Elderly, an internationally validated instrument that considers all types of activities commonly performed by elderly. High PASE values correspond to high levels of physical activity. RESULTS: The percentage of physically active elderly decreased significantly during the pandemic, from 39% (CI95% 38.3-39.8) in 2016-2019 to 35% (CI95% 33.7-36.4) in 2020-2021. The decline is greater among people with economic difficulties (44.4% to 37.5), women (from 36.7% to 33.5%), among those with chronic deseases (from 37% to 31%) or sensory impairment (from 31.3% to 27.5%). Participation in social life declines significantly from 23.1% (95% CI 22.5.1-23.8) in the pre-covid period to 142 (95% CI 13.2-15.1) in 2020-2021. The pandemic develops in a context where inequalities in prevention and care already exist; 32% of elderly declared difficulties in accessing health services in 2016-2019. During pandemic period 28% of the over-65s gave up at least one medical or diagnostic examination with a risk of delayed in diagnosis and treatment. CONCLUSIONS: PdA shows the importance of monitoring the strong impact of emergency on several aspects of elderly population to riorganize the local health system organization, implement targeted interventions and improve the health services’ offers to reduce inequalities. KEY MESSAGES: • Riorganize the local health system is crucial to improve targeted interventions and reduce inequalities in care and prevention for elderly population. • Early diagnosis and adequate therapy are crucial in old age. Oxford University Press 2023-10-24 /pmc/articles/PMC10595620/ http://dx.doi.org/10.1093/eurpub/ckad160.983 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of the European Public Health Association. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Poster Walks Contoli, B Casigliani, V Pettinicchio, V Minardi, V Asta, F Possenti, V Gallo, R Masocco, M The elderly health profile and health services access during 2020-2021: results from Passi d’Argento |
title | The elderly health profile and health services access during 2020-2021: results from Passi d’Argento |
title_full | The elderly health profile and health services access during 2020-2021: results from Passi d’Argento |
title_fullStr | The elderly health profile and health services access during 2020-2021: results from Passi d’Argento |
title_full_unstemmed | The elderly health profile and health services access during 2020-2021: results from Passi d’Argento |
title_short | The elderly health profile and health services access during 2020-2021: results from Passi d’Argento |
title_sort | elderly health profile and health services access during 2020-2021: results from passi d’argento |
topic | Poster Walks |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10595620/ http://dx.doi.org/10.1093/eurpub/ckad160.983 |
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