Access to Health Services and Its Influence on Daily Health Care Practices among Older Adults

Citra Fadiah Musri; Nur Diana

doi:10.37899/mjdh.v3i1.330

Authors

Citra Fadiah Musri Faculty of Health, Ngudi Waluyo University
Nur Diana Faculty of Health, Ngudi Waluyo University

DOI:

https://doi.org/10.37899/mjdh.v3i1.330

Keywords:

Elderly Health Care, Daily Life Practices, Social Support, Healthy Ageing

Abstract

Population ageing poses significant challenges for health systems, particularly in ensuring effective health care for older adults within daily life contexts. This study aimed to analyze factors related to elderly health care in daily life among community-dwelling older adults by integrating individual, social, and environmental dimensions. A quantitative cross-sectional design was employed involving 240 elderly participants aged 60 years and above. Data were collected using structured questionnaires measuring socio-demographic characteristics, health status, daily health care practices, social support, and environmental conditions. Descriptive statistics and multivariate regression analyses were used to examine associations between variables. The results indicated that overall engagement in daily health care practices was moderate, with higher adherence observed in medication use and personal hygiene, and lower engagement in physical activity and routine health monitoring. Multivariate analysis revealed that family social support, self-rated health, accessibility of health services, educational level, and age were significantly associated with daily health care practices. Family social support emerged as the strongest predictor. These findings highlight that elderly health care in daily life is influenced by the interaction of personal capacity, social relationships, and environmental accessibility. Strengthening family-based support, improving health literacy, and enhancing access to community and health services are essential to promote healthy ageing and sustain daily health care practices among older adults.

References

Antoniadou, E. (2025). 7 Physical Function-Based. Frailty Syndrome: Basic and Clinical Aspects, 102.

Ashimwe, A., & Davoody, N. (2024). Exploring Health Care Professionals’ Perspectives on the Use of a Medication and Care Support System and Recommendations for Designing a Similar Tool for Family Caregivers: Interview Study Among Health Care Professionals. JMIR Medical Informatics, 12, e63456. https://doi.org/10.2196/63456

Barks, L., McKinley, C. E., Ka’apu, K., & Figley, C. R. (2023). Is self-care a stand-in for feminized social privilege? A systematic review of self-care facilitators and barriers to self-care practices in social work. Journal of Evidence-Based Social Work, 20(6), 914-933. https://doi.org/10.1080/26408066.2023.2231446

Bastos, A., Monteiro, J., Barbosa, R., Pimentel, H., Silva, S., & Faria, C. (2023). Engagement with life and psychological well-being in late adulthood: Findings from community-based programs in Portugal. Plos one, 18(5), e0286115. https://doi.org/10.1371/journal.pone.0286115

Beard, J. R., Officer, A., de Carvalho, I. A., Sadana, R., Pot, A. M., Michel, J. P., Lloyd-Sherlock, P., Epping-Jordan, J. E., Peeters, G., Mahanani, W. R., Thiyagarajan, J. A., & Chatterji, S. (2016). The World Health Organization’s public health framework for healthy ageing: A global strategy for action. The Lancet, 387(10033), 2145–2154. https://doi.org/10.1016/S0140-6736(15)00516-4

Bloom, D. E., Chatterji, S., Kowal, P., Lloyd-Sherlock, P., McKee, M., Rechel, B., Rosenberg, L., & Smith, J. P. (2018). Macroeconomic implications of population ageing and selected policy responses. The Lancet, 385(9968), 649–657. https://doi.org/10.1016/S0140-6736(14)61464-1

Chen, Y., & Powell, J. L. (2012). Ageing in China: Implications to social policy of a changing economic state. International Journal of Sociology and Social Policy, 32(11–12), 637–648. https://doi.org/10.1108/01443331211280700

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Lawrence Erlbaum Associates.

Cole, R., Fantus, S., Hawkins, L., & Chakraborty, P. (2025). Professional self-care in social work practice: a new conceptual framework. Social work, 70(1), 31-38. https://doi.org/10.1093/sw/swae049

Covarrubias, S., Molina, S., Javadi, E. K., & Lebares, C. C. (2024). Understanding the Importance of Self-Care and Mental Health. A How To Guide For Medical Students, 263-279. https://doi.org/10.1007/978-3-031-66011-5_25

Czaja, S. J., Boot, W. R., Charness, N., Rogers, W. A., & Sharit, J. (2019). Improving social support for older adults through technology: Findings from the PRISM randomized controlled trial. The Gerontologist, 58(3), 467–477. https://doi.org/10.1093/geront/gnw249

Dixon, E., Anderson, J., & Lazar, A. (2022). Understanding how sensory changes experienced by individuals with a range of age-related cognitive changes can affect technology use. ACM Transactions on Accessible Computing (TACCESS), 15(2), 1-33. https://doi.org/10.1145/3511906

El-Tallawy, S. N., Nalamasu, R., Salem, G. I., LeQuang, J. A. K., Pergolizzi, J. V., & Christo, P. J. (2021). Management of musculoskeletal pain: an update with emphasis on chronic musculoskeletal pain. Pain and therapy, 10(1), 181-209. https://doi.org/10.1007/s40122-021-00235-2

Fried, L. P., Ferrucci, L., Darer, J., Williamson, J. D., & Anderson, G. (2020). Untangling the concepts of disability, frailty, and comorbidity: Implications for improved targeting and care. The Journals of Gerontology: Series A, 59(3), M255–M263. https://doi.org/10.1093/gerona/59.3.M255

Holt-Lunstad, J., Smith, T. B., Baker, M., Harris, T., & Stephenson, D. (2015). Loneliness and social isolation as risk factors for mortality: A meta-analytic review. Perspectives on Psychological Science, 10(2), 227–237. https://doi.org/10.1177/1745691614568352

Kodali, P. B. (2023). Achieving universal health coverage in low-and middle-income countries: challenges for policy post-pandemic and beyond. Risk management and healthcare policy, 607-621. https://doi.org/10.2147/rmhp.s366759

Lim, W. M. (2025). What is qualitative research? An overview and guidelines. Australasian Marketing Journal, 33(2), 199-229. https://doi.org/10.1177/14413582241264619

Mehta, A., & Jayanna, K. (2025). The impact of chronic diseases on cognitive impairment in rural population of India: A focus on diabetes, hypertension, cardiovascular disease, and stroke. Brain Behavior and Immunity Integrative, 9, 100107. https://doi.org/10.1016/j.bbii.2025.100107

Morley, J. E. (2012). Undernutrition in older adults. Family Practice, 29(1), i89–i93. https://doi.org/10.1093/fampra/cmr054

Ocloo, J., Garfield, S., Franklin, B. D., & Dawson, S. (2021). Exploring the theory, barriers and enablers for patient and public involvement across health, social care and patient safety: a systematic review of reviews. Health research policy and systems, 19(1), 8. https://doi.org/10.1186/s12961-020-00644-3

Orru, K., Hansson, S., Gabel, F., Tammpuu, P., Krüger, M., Savadori, L., ... & Rhinard, M. (2022). Approaches to ‘vulnerability’in eight European disaster management systems. Disasters, 46(3), 742-767. https://doi.org/10.1111/disa.12481

Paterson, D. H., & Warburton, D. E. R. (2010). Physical activity and functional limitations in older adults: A systematic review related to Canada’s Physical Activity Guidelines. International Journal of Behavioral Nutrition and Physical Activity, 7(38), 1–22. https://doi.org/10.1186/1479-5868-7-38

Peek, S. T. M., Wouters, E. J. M., van Hoof, J., Luijkx, K. G., Boeije, H. R., & Vrijhoef, H. J. M. (2014). Factors influencing acceptance of technology for aging in place: A systematic review. International Journal of Medical Informatics, 83(4), 235–248. https://doi.org/10.1016/j.ijmedinf.2014.01.004

Prince, M. J., Wu, F., Guo, Y., Robledo, L. M. G., O’Donnell, M., Sullivan, R., & Yusuf, S. (2015). The burden of disease in older people and implications for health policy and practice. The Lancet, 385(9967), 549–562. https://doi.org/10.1016/S0140-6736(14)61347-7

Raj, M., Zhou, S., Yi, S. S., & Kwon, S. (2021). Caregiving across cultures: priority areas for research, policy, and practice to support family caregivers of older Asian immigrants. American journal of public health, 111(11), 1920-1922. https://doi.org/10.2105/AJPH.2021.306494

Rowe, J. W., & Kahn, R. L. (2015). Successful aging 2.0: Conceptual expansions for the 21st century. The Journals of Gerontology: Series B, 70(4), 593–596. https://doi.org/10.1093/geronb/gbv025

Schulz, R., & Eden, J. (Eds.). (2016). Families caring for an aging America. National Academies Press. https://doi.org/10.17226/23606

Setia, M. S. (2016). Methodology series module 3: Cross-sectional studies. Indian Journal of Dermatology, 61(3), 261–264. https://doi.org/10.4103/0019-5154.182410

Sharma, M. G., & Popli, H. (2023). Challenges for lower-middle-income countries in achieving universal healthcare: an Indian perspective. Cureus, 15(1). https://doi.org/10.7759/cureus.33751

Tavakol, M., & Dennick, R. (2011). Making sense of Cronbach’s alpha. International Journal of Medical Education, 2, 53–55. https://doi.org/10.5116/ijme.4dfb.8dfd

United Nations. (2023). World population ageing 2023. United Nations Department of Economic and Social Affairs.

Uzzaman, A., Kudapa, S. P., & Nijhum, A. M. (2021). Predictive Analytics For Improving Financial Forecasting And Risk Management In US Capital Markets. American Journal of Interdisciplinary Studies, 2(04), 69-100. https://doi.org/10.63125/tbw49w69

World Health Organization. (2022). Global report on ageism. World Health Organization.

World Medical Association. (2013). World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. JAMA, 310(20), 2191–2194. https://doi.org/10.1001/jama.2013.281053