Browsing by Author "Norliana Ismail"
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- PublicationElder Abuse and Chronic Pain: Cross‐Sectional and Longitudinal Results from the Preventing Elder Abuse and Neglect Initiative(2018)
;Raudah M Yunus ;Noran N Hairi ;Wan Y Choo ;Maw P Tan ;Farizah Hairi ;Rajini Sooryanarayana ;Norliana Ismail ;Shatanapriya Kandiben ;Devi Peramalah ;Zainudin M Ali ;Sharifah N Ahmad ;Inayah A Razak ;Sajaratulnisah Othman ;Fadzilah HM Mydin ;Karuthan ChinnaAwang BulgibaOBJECTIVES: To examine the cross-sectional and longitudinal relationships between elder abuse and neglect (EAN) and chronic pain in rural older Malaysians. DESIGN: Two-year prospective cohort study. SETTING: Kuala Pilah, a district in Negeri Sembilan approximately 100 km from the capital city, Kuala Lumpur. PARTICIPANTS: Community-dwelling older adults aged 60 and older. Using a multistage cluster sampling strategy, 1,927 respondents were recruited and assessed at baseline, of whom 1,189 were re-assessed 2 years later. MEASURES: EAN was determined using the modified Conflict Tactic Scale, and chronic pain was assessed through self-report using validated questions. RESULTS: The prevalence of chronic pain was 20.4%. Cross-sectional results revealed 8 variables significantly associated with chronic pain—age, education, income, comorbidities, self-rated health, depression, gait speed, and EAN. Abused elderly adults were 1.52 times as likely to have chronic pain (odds ratio51.52, 95% confidence interval (CI)51.03–2.27), although longitudinal analyses showed no relationship between EAN and risk of chronic pain (risk ratio51.14, 95% CI50.81– 1.60). This lack of causal link was consistent when comparing analysis with complete cases with that of imputed data. CONCLUSION: Our findings indicate no temporal relationship between EAN and chronic pain but indicated cross-sectional associations between the two. This might indicate that, although EAN does not lead to chronic pain, individuals with greater physical limitations are more vulnerable to abuse. Our study also shows the importance of cohort design in determining causal relationships between EAN and potentially linked health out comes. J Am Geriatr Soc 2018. - PublicationElder mistreatment in a community dwelling population: the Malaysian Elder Mistreatment Project (MAESTRO) cohort study protocol(2016)
;Wan Yuen Choo ;Noran Naqiah Hairi ;Rajini Sooryanarayana ;Raudah Mohd Yunus ;Farizah Mohd Hairi ;Norliana Ismail ;Shathanapriya Kandiben ;Zainudin Mohd Ali ;Sharifah Nor Ahmad ;Inayah Abdul Razak ;Sajaratulnisah Othman ;Maw Pin Tan ;Fadzilah Hanum Mohd Mydin ;Devi Peramalah ;Patricia BrownellAwang BulgibaDespite being now recognised as a global health concern, there is still an inadequate amount of research into elder mistreatment, especially in low and middle-income regions. The purpose of this paper is to report on the design and methodology of a population-based cohort study on elder mistreatment among the older Malaysian population. The study aims at gathering data and evidence to estimate the prevalence and incidence of elder mistreatment, identify its individual, familial and social determinants, and quantify its health consequences. - PublicationExposure to tobacco secondhand smoke and its associated factors among non-smoking adults in smoking-restricted and non-restricted areas: findings from a nationwide study in Malaysia(2018)
;Kuang Hock Lim ;Chien Huey Teh ;Mohamad Haniki Nik Mohamed ;Sayan Pan ;Miaw Yn Ling ;Muhammad Fadhli Mohd Yusoff ;Noraryana Hassan ;Nizam Baharom ;Netty Darwina Dawam ;Norliana Ismail ;Sumarni Mohd Ghazali ;Kee Chee Cheong ;Kar Hon ChongHui Li LimObjectives: Secondhand smoke (SHS) has been associated with increased morbidity and mortality. Therefore, the aims of the paper are to assess SHS exposure among non-smoking adults in Malaysia attending various smoking-restricted and non-restricted public areas according to the Control of Tobacco Product Regulations (CTPR) as well as its relationship with various sociodemographic variables. Design: Data were extracted from a cross-sectional study, the Global Adults Tobacco Survey (GATS) 2011 which involved 3269 non-smokers in Malaysia. Data was obtained through face-to-face interviews using a validated pre-tested questionnaire. Factors associated with exposure to SHS were identified via multivariable analysis. Results: The study revealed that almost two-thirds of respondents were exposed to SHS in at least one public area in the past 1 month, with a significantly higher exposure among males (70.6%), those with higher educational attainment (81.4%) and higher income (quintile 1%–73.9%). Besides, the exposure to SHS was almost four times higher in non-restricted areas compared with restricted areas under the CTPR (81.9% vs 22.9). Multivariable analysis revealed that males and younger adults at non-restricted areas were more likely to be exposed to SHS while no significant associated factors of SHS exposure was observed in restricted areas. Conclusions: The study revealed the prevalence of SHS exposure was higher among Malaysian adults. Although smoke-free laws offer protection to non-smokers from exposure to SHS, enforcement activities in restricted areas should be enhanced to ensure strict public abidance. In addition, legislation of restricted areas should also be extended to greatly reduce the SHS exposure among non-smokers in Malaysia.