TITLE

"Well, it's nobody's responsibility but my own." A qualitative study to explore views about the determinants of health and prevention of knee pain in older adults

AUTHOR(S)
Jinks, Clare; Ong, Bie Nio; O'Neill, Tracey
PUB. DATE
January 2010
SOURCE
BMC Public Health;2010, Vol. 10 Issue 1, p148
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Dahlgren and Whitehead's 'rainbow' outlines key determinants of health and has been widely adopted within public health policy and research. Public understanding regarding the determinants of health is, however, relatively unknown, particularly in relation to common chronic joint problems like knee pain. We aimed to explore individual attitudes to the prevention of knee pain, and assess how people make sense of their lives by using the rainbow model to explore social determinants of health. Methods: Twenty-eight semi-structured interviews were undertaken with older adults living in the community. The format of the interview enabled individuals to first tell their story, then the rainbow picture was used to further prompt discussion. Interviews were digitally recorded and transcripts were fully transcribed. Qualitative computer software package NVivo 2 was used to manage the data. Thematic analysis was undertaken. Results: Individual responsibility for health was a dominant theme although the role of health and statutory services was also recognised. Barriers to uptake of prevention activities included cultural perceptions, attitudes towards work and perceived costs of prevention activities. Participants used the rainbow for locating their personal life within a wider social, economic and policy context. Conclusions: People view individual responsibility as key to maintaining health and draw upon the past, present and future expectations when considering social determinants of their health. The rainbow picture does have relevance at the individual level and can help to formulate more dynamic and contextualised approaches to the prevention of health conditions in community living adults.
ACCESSION #
50258055

 

Related Articles

  • Letters to the Editor. Jonas, Steve; Clark, Bob; Donovan, Grant; Fischer, Betty // Electronic Ardell Wellness Report (E-AWR);2/2/2007, Issue 368, p5 

    Several letters to the editor are presented in response to articles in previous issues including an article about tips concerning medical procedures, another article about osteochrondral defect of knee and an article about the U.S. medical policy.

  • Clinical Imaging Assessments of Knee Osteoarthritis in the Elderly: A Mini-Review. Wick, Marius C.; Kastlunger, Martin; Weiss, Rüdiger J. // Gerontology;Aug2014, Vol. 60 Issue 5, p386 

    Knee osteoarthritis (OA) in the elderly is one of the most common degenerative age-related joint diseases leading to typical degradation of articular cartilage with severe pain and limitation of joint motion. Its increasing prevalence due to the demographic development of the society has major...

  • Poster 140 Sex Differences in Associations of Physical Function, Gait Parameters and Fear Avoidance in Older Adults with Low Back Pain. Vincent, Heather K.; Conrad, Bryan; Lomonaco, Clarissa; Martenson, Matthew; Montero, Cindy; Seay, Amanda; Wasser, Joseph G. // PM & R: Journal of Injury, Function & Rehabilitation;Oct2012 Supplement 10S, Vol. 4, pS238 

    No abstract available.

  • Cullen and Grey Turner signs in idiopathic perirenal hemorrhage. Kun-Ming Chung; Shih-Sung Chuang // CMAJ: Canadian Medical Association Journal;11/8/2011, Vol. 183 Issue 16, pE1221 

    The article presents a case study of a 47-year-old man with sudden-onset left-flank pain. The patient reported no history of trauma, bleeding diathesis and hematologic disease and that he was not taking anticoagulants. The article discusses Cullen and Grey Turner signs which is a result of acute...

  • Changing Trends in the Number of Deaths from Nonmelanoma Skin Cancer in Japan, 1955–2000. Ohtsuka, Hisashi; Nagamatsu, Shogo // Dermatology (10188665);2005, Vol. 210 Issue 3, p206 

    Background: The incidence and number of deaths from nonmelanoma skin cancer (NMSC) have been reported to increase in many countries. However, those in Japan over a long time span have not been analyzed yet. Objective: To analyze the changing trends in the numbers of deaths from NMSC in Japan....

  • Clinical epidemiology of Alzheimer's disease: assessing sex and gender differences. Mielke, Michelle M.; Vemuri, Prashanthi; Rocca, Walter A. // Clinical Epidemiology;2014, Vol. 6, p37 

    With the aging of the population, the burden of Alzheimer's disease (AD) is rapidly expanding. More than 5 million people in the US alone are affected with AD and this number is expected to triple by 2050. While men may have a higher risk of mild cognitive impairment (MCI), an intermediate stage...

  • Knee Pain and Driving Duration: A Secondary Analysis of the Taxi Drivers' Health Study. Chen, Jiu-Chiaun; Dennerlein, Jack T.; Shih, Tung-Sheng; Chen, Chiou-Jong; Cheng, Yawen; Chang, Wushou P.; Ryan, Louise M.; Christiani, David C. // American Journal of Public Health;Apr2004, Vol. 94 Issue 4, p575 

    Objectives. We explored a postulated association between daily driving time and knee pain. Methods. We used data from the Taxi Drivers' Health Study to estimate 1-year prevalence of knee pain as assessed by the Nordic musculoskeletal questionnaire. Results. Among 1242 drivers, the prevalence of...

  • Obesity and Knee Osteoarthritis Are Not Associated With Impaired Quadriceps Specific Strength in Adults Segal, Neil A.; Zimmerman, M. Bridget; Brubaker, Morgan; Torner, James C. // PM & R: Journal of Injury, Function & Rehabilitation;Apr2011, Vol. 3 Issue 4, p314 

    Objective: To assess whether adults, aged 50-59 years, who are obese or moderately to severely obese have impaired quadriceps strength and muscle quality in comparison with adults who are not obese, both groups with and without knee osteoarthritis (OA). Design: Cross-sectional observational...

  • Acute Abdominal Pain among Elderly Patients. Laurell, H.; Hansson, L.-E.; Gunnarsson, U. // Gerontology;Nov2006, Vol. 52 Issue 6, p339 

    Background: Diagnosis of acute abdominal pain in older persons is a challenge, with the age-related increase in concurrent diseases. In most western countries the number of elderly people is constantly rising, which means that an increasing proportion of patients admitted for abdominal pain at...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics