Browsing by Author "Raudah Mohd Yunus"
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- PublicationAssociation between elder abuse and poor sleep: A cross-sectional study among rural older Malaysians(2017)
;Raudah Mohd Yunus ;Syeda Wasfeea Wazid ;Noran N. Hairi ;Wan Yuen Choo ;Farizah M. Hairi ;Rajini Sooryanarayana ;Sharifah N. Ahmad ;Inayah A. Razak ;Devi Peramalah ;Suriyati A. Aziz ;Zaiton L. Mohamad ;Rosmala Mohamad ;Zainudin M. Ali ;Awang B. Awang MahmudJerson LaksObjectives: To examine the association between elder abuse and poor sleep using a Malay validated version of Pittsburgh Sleep Quality Index (PSQI). Design: This study was divided into two phases. Phase I tested the construct validity and reliability of the Malay version of PSQI. Phase II was a population-based, cross-sectional study with a multi-stage cluster sampling method. Home-based interviews were conducted by trained personnel using a structured questionnaire, to determine exposure and outcome. Setting: Kuala Pilah, a district in Negeri Sembilan which is one of the fourteen states in Malaysia. Participants: 1648 community-dwelling older Malaysians. Results: The Malay version of PSQI had significant test re-test reliability with intra-class correlation coefficients of 0.62. Confirmatory factor analyses revealed that one factor PSQI scale with three components (subjective sleep quality, sleep latency, and sleep disturbances) was most suitable. Cronbach’s Alpha was 0.60 and composite reliability was 0.63. PSQI scores were highest among neglect (4.11), followed by physical (4.10), psychological (3.96) and financial abuse (3.60). There was a dose-response relationship between clustering of abuse and PSQI scores; 3.41, 3.50 and 3.84 for “no abuse”, “1 type of abuse” and “2 types or more”. Generalized linear models revealed six variables as significant determinants of sleep quality–abuse, co-morbidities, self-rated health, income, social support and gait speed. Among abuse subtypes, only neglect was significantly associated with poor sleep. Conclusion: The Malay PSQI was valid and reliable. Abuse was significantly associated with poor sleep. As sleep is essential for health and is a good predictor for mortality among older adults, management of abuse victims should entail sleep assessment. Interventions or treatment modalities which focus on improving sleep quality among abuse victims should be designed. - 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. - PublicationMortality among elder abuse victims in rural Malaysia: A two-year population-based descriptive study(2016)
;Raudah Mohd Yunus ;Noran Naqiah Hairi ;Wan Yuen Choo ;Farizah Mohd Hairi ;Rajini Sooryanarayana ;Sharifah Nor Ahmad ;Inayah Abdul Razak ;Devi Peramalah ;Suriyati Abdul Aziz ;Zaiton Lal Mohammad ;Rosmala Mohamad ;Zainudin Mohd AliAwang BulgibaOur study aims at describing mortality among reported elder abuse experiences in rural Malaysia. This is a population-based cohort study with a multistage cluster sampling method. Older adults in Kuala Pilah (n = 1,927) were interviewed from November 2013 to May 2014. Mortality was traced after 2 years using the National Registration Department database. Overall, 139 (7.2%) respondents died. Fifteen (9.6%) abuse victims died compared to 124 (7.0%) not abused. Mortality was highest with financial abuse (13%), followed by psychological abuse (10.8%). There was a dose-response relationship between mortality and clustering of abuse: 7%, 7.7%, and 14.0% for no abuse, one type, and two types or more, respectively. Among abuse victims, 40% of deaths had ill-defined causes, 33% were respiratory-related, and 27% had cardiovascular and metabolic origin. Results suggest a link between abuse and mortality. Death proportions varied according to abuse subtypes and gender. Keywords: Abuse outcome; Malaysia; descriptive study; effects of elder abuse; elder mistreatment; exploratory; family violence; mortality.