Browsing by Author "da Costa Teixeira, Laetitia"
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- Centenarians in EuropePublication . da Costa Teixeira, Laetitia; Araújo, Lia; Ribeiro, Oscar; Jopp, Daniela; Paul, ConstançaIn the last decade, the number of centenarians world- wide has increased. Following this tendency, the number of centenarian studies has also exponentially augmented. Given the complexity to conduct research with centenarians, elementary information on this specific age group remains unknown at a European level. This paper compares basic characteristics of centenarians from 32 European coun- tries based on Census 2011. Results revealed that France is the country with higher ratio of centenarians, followed by Italy and Greece; on the other hand Croatia, Romania and Bulgaria present the lower ratio. The distribution accord- ing to gender is similar for all countries, with higher ratio of women reaching 100 years old. Different patterns of education level were found on countries where this infor- mation was reliable: Portugal and Greece are the countries with lower levels of education, with more than half without formal education; Finland, UK and Iceland are the countries with higher levels of education, with all centenarians having at least lower secondary education. Analysing the residence situation (living in the community or living in the institu- tion), Romania, Bulgaria, Lithuania, Greece and Latvia are the countries that present higher percentages of centenarians living in the community; Iceland is the country with lower percentage of centenarians living in the community. A posi- tive correlation between the number of centenarians and the percentage of Total Health Expenditure of GDP is observed. This study provides important information about the current profile of European centenarians, which is compared to gen- eral information on the centenarian population from EUA and Asia.
- Centenários bem sucedidosPublication . Araújo, Lia; da Costa Teixeira, Laetitia; Afonso, Rosa Marina; Paul, Constança; Ribeiro, OscarChegar aos 100 anos de idade pode significar ter uma saúde debilitada, dificuldades físicas e sensoriais que interferem na realização das principais atividades do quotidiano, e ter assistido à perda de familiares e amigos. Porém, diversos estudos reportam a capacidade de adaptação deste grupo etário a esses desafios, considerando-a relevadora de um envelhecimento bem sucedido (EBS). Este estudo objetiva explorar diferentes abordagens de EBS numa amostra de pessoas com 100+ anos. 70 centenários (Midade 100.91, DP 1.37; 87.1% mulheres) com capacidade cognitiva para responder a questões de auto-percepção foram selecionados no âmbito do PT100 (Porto e Beira Interior). Indicadores de EBS (ex.: saúde, capacidade funcional, funcionamento social e percepções pessoais de aspetos da vida atual) foram recolhidos em entrevista aos participantes. A distribuição dos centenários por diferentes perfis de EBS foi explorada através de análises estatísticas. Apenas 2 centenários reúnem os critérios de EBS do modelo de Rowe e Kahn. Ao se considerarem critérios alternativos, como a percepção da situação económica e de saúde, e a felicidade, a percentagem de centenários com EBS aumenta para 62.9%, 44.3% e 32.3% respetivamente. Abordagens holísticas que considerem as percepções individuais revelam-se como fundamentais numa vivência bem sucedida da fase muito avançada de vida.
- Intrapartum care policies in high-income countries with a universal health system: A scoping reviewPublication . Maria Ferreira, Isabel; Soares Gonçalves, Andreia; Pestana-Santos, Márcia; Margarida Leitão Filipe, Maria; da Costa Teixeira, Laetitia; Coutinho, EmíliaEvidence-based and sustainable intrapartum care policies are essential for safer, effective, and positive birth experiences. This scoping review aimed to map intrapartum care policies for pregnant women at low-risk of complications, in high-income countries with a universal health system. The study followed Joanna Briggs Institute methodology for scoping reviews and PRISMA-ScR. Search was conducted on CINAHL-EBSCO, Scopus, MEDLINE-Pubmed, Cochrane Central Register of Controlled Trials-EBSCO, and, Academic Search CompleteEBSCO. Grey literature was searched, references screened and experts contacted for additional studies/policies. Data were extracted/analysed by two independent reviewers and results were presented in tabular and narrative format. The concept was governmental intrapartum care policies, the context were OECD high-income countries with a health-financing system founded on the Beveridge Model and the participants were low-risk pregnant women From the 561 records screened, 22 were selected, concerning intrapartum care policies from Australia, Denmark, Spain, Finland, Portugal, and the United Kingdom. All the included records were retrieved in the grey literature. No intrapartum care governmental policies were found for Greece, Iceland, Italy, New Zealand, Norway, and Sweden. Some countries do not refer to all the analysed care aspects and there are differences in detail, depth, range, and scientific. The policies show general similarities but differ in the timing and the content of the recommended intrapartum care. Not all of the analysed countries have intrapartum care policies and those who have shown differences between recommendations. These results can be used to create/ revise intrapartum care policies.
- Looking at objective and subjective health in centenarians: always in agreement?Publication . Araújo, Lia; da Costa Teixeira, Laetitia; Ribeiro, Oscar; Paul, ConstançaCentenarians ́ objective health is often characterized by functional and health problems associated with their long- life and age-related problems. Nevertheless, their self-rated health (SRH) may not be necessarily negative. There is a large body of literature concerning SRH in later life but lack of evidence about one’s perception of health and its associated factors in very advanced ages. This study aims to analyse the relationship between subjective and objective health status in a sample of centenarians (n=127; Mage = 101.1 years, SD 1.5). Subjective health was assessed by a SRH single-item, and objective health by considering the number of reported diseases and a functional capacity scale. Main health char- acteristics are described as well as examined the associa- tion between objective and subjective health indicators and other relevant variables (e.g., individual resources). Results revealed that almost half of the sample has a positive (good, very good or excellent) health appraisal. Many of these indi- viduals have 3 or more diseases and are dependent in their ADL. Objective and subjective measures of health are dis- cordant is some cases. Results revealed that centenarians ́ SRH could be determined by other factors than the objective health ones. Having diseases and functional dependence at 100 years old may not mean to have a bad SRH. The high variability in SRH and the discordance between objective and subjective measures are a proof of centenarians ́capacity of adaptation and the existence of psychosocial resources that may be decisive for the perception and handling of health status at such an advanced age.
- New horizons in gerotranscendence interventions. Targeting nursing home staff members and other caregivers: a scoping reviewPublication . Abreu, Taiane; Araújo, Lia; da Costa Teixeira, Laetitia; Ribeiro, OscarPurpose – The aim of this scoping review is to describe the published gerotranscendence interventions targeting older adults’ caregivers and their outcomes. Design/methodology/approach – Six databases were searched, and three studies were selected for analysis: one short-term quasi-experimental study and two observational studies. Findings – The interventions consisted in an instructional moment about the gerotranscendence theory and a moment for sharing personal perceptions. Originality/value – Gerotranscendence interventions can be essential for the caregivers to have a better relationship with the older adults, as they could improve their perception on their needs. Even though the interventions presented promising results benefiting caregivers and older adults, none of the studies confirmed that these changes persisted in the long term and additional studies are needed to robustly investigate this subject.
- Predictors of anxiety in centenarians: health, economic factors, and lonelinessPublication . Ribeiro, Oscar; da Costa Teixeira, Laetitia; Araújo, Lia; Afonso, Rosa Marina; Pachana, NancyCentenarians' psychological well-being is presently of great interest in psychogeriatric research but little is known about factors that specifically account for the presence of clinically relevant anxiety symptoms in this age group. This study examined the presence of anxiety and its predictors in a sample of centenarians and aims to contribute to a better understanding of anxiety determinants in extreme old age.
- Successful ageing in centenarians: the relevance of social engagement for psychological wellbeingPublication . Araújo, Lia; Ribeiro, Oscar; da Costa Teixeira, Laetitia; Duarte, Natália; Brandão, Daniela; Azevedo, Maria João; Paul, ConstançaRowe and Kahn’s (1997) version of successful aging defines avoid- ance of disease and disability, maintenance of high physical and cogni- tive function, and sustained engagement in social and productive activ- ities as essential components of aging successfully. The applicability of this model in very advanced age has been questioned and the relative importance of these aspects to well-being is not properly established. In order to analyze the effect of Rowe and Kahn’ criteria on both subjective (hedonic) and psychological (eudaimonic) well-being, 140 individu- als with 100 and more years old from the Oporto Centenarian Study (PT100) were interviewed. The mean age of the sample was 101.18 (SD 1.59); 89.3% women, 76.4% widowed and 57.9% living in the com- munity. The Positive Valuation of Life Scale (Lawton et al., 2001), the Satisfaction with Life Scale (Diener et al., 1985) and a questionnaire of health and social information were used for data collection. Descriptive and inferential analyses were conducted. Mean scores of well-being were 27.81 (SD=5.21) for VOL and 6.51 (SD=1.97) for SWLS. Of the successful aging criteria only social engagement, i.e. participation in social activities, had a significant association with psychological well-being (p<0.01). These results stress out the influence of activity and social engagement participation in the adaptation to the challenges of very old age. The characteristics, sort and distribution of activities practiced at this age should be further investigated in order to promote and/or adjust available social engagement opportunities.
- Survival after 100 years of age in Portuguese centenariansPublication . da Costa Teixeira, Laetitia; Araújo, Lia; Paul, Constança; Ribeiro, OscarThe group of individuals aged 80 and over is growing faster than other segment of the population, and within this group the number of centenarians has risen exponentially worldwide. This phenomena lead to an increasing number of centenarian studies, improving the knowledge about this population, validating the idea of heterogeneity that char- acterizes this group. However, the factors influencing their aging survival remains understudied. The present study aims to identify factors associated with survival after 100 years old in a sample of Portuguese centenarians. After being included in a population-based study on centenarians (PT100–Oporto Centenarian Study), each participant was assessed by a tel- ephone interview every 6 months in order to assess his/her health condition. Follow-up was considered as the time (in months) between 100th birthday and death or the last tel- ephone contact. Survival analysis was performed to iden- tify factors associated with survival after 100 years old. Sociological and medical factors were considered. 140 cen- tenarians were assessed and 115 (82.1%) died. The median survival time after 100 years old was 38 months. Survival after age 100 was associated with acute disease (last month), self-perception of physical condition and drinking status. This study intends do identify factors that predict longevity in long-lived individuals. Findings recognize the importance of factors related with health status, self-perception of physi- cal condition and life style (no alcohol consume) for survival. Further studies should explore the predictive value of these factors, as well as psychosocial aspects, considering living longer but also the quality of time beyond one hundred.