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, 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

  • A prospective study of the consulting behaviour of older people with knee pain. Jordan, Kelvin; Jinks, Clare; Croft, Peter // British Journal of General Practice;Apr2006, Vol. 56 Issue 525, p269 

    Background Knee pain is common among older adults but only a minority consult their doctor about it. Aim To determine predictors of new episodes of consultation in primary care among older people with knee pain. Design of study Population-based prospective cohort study linking baseline survey to...

  • Predictors of onset and progression of knee pain in adults living in the community. A prospective study. Jinks, C.; Jordan, K. P.; Blagojevic, M.; Croft, P. // Rheumatology;Mar2008, Vol. 47 Issue 3, p368 

    Objective. To investigate determinants of the onset and progression of knee pain in a population-based sample of people aged ≥50 yrs.

  • Health behaviour changes and onset of chronic health problems in later life. Veenstra, Marijke; Syse, Astri // Norsk Epidemiologi;2012, Vol. 22 Issue 2, p135 

    Objectives: To assess five-year changes in health behaviours in later life and associations with onset of chronic health problems. The results may inform policy and interventions to promote healthy life years in ageing populations. Methods: Data are derived from the Norwegian study on...

  • Overview of The Fetal Origins of Adult Disease and The Role of The Obstetrician-Gynecologist in Predictive Health. Berga, Sarah // OB/GYN Clinical Alert;Aug2008, Vol. 25 Issue 4, p31 

    The article presents an overview of the fetal origins of adult disease and the role of the obstetrician-gynecologist in predictive health. It discusses the main modifiers of pathogenesis and examines the imprinting disorders that are differentially expressed in male and female offspring. It...

  • 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.

  • Influence of Worldview on Health Care Choices Among Persons with Chronic Pain. Buck, Tina; Baldwin, Carol M.; Schwartz, Gary E. // Journal of Alternative & Complementary Medicine;Jun2005, Vol. 11 Issue 3, p561 

    Objective: The aim of this research was to examine relationships between the Pepperian worldviews of people with chronic pain and the health care choices that they make. Design: A convenience sample survey was done. Setting: University Medical Center Pain Clinic, Tucson, Arizona. Subjects: Men...

  • Managing chronic pain in the elderly. Johnson, Martin // GP: General Practitioner;3/3/2003, p59 

    Discusses how to manage chronic pain in elderly. Effective treatment of chronic pain in older patients; Use of paracetamol in the treatment of chronic pain; Effect of pain on persons; Side effects of COX-2 inhibitors on patients during the treatment of pain.

  • Demographics, Assessment and Management of Pain in the Elderly. Davis, M.P.; Srivastava, M. // Drugs & Aging;2003, Vol. 20 Issue 1, p23 

    The prevalence of pain increases with each decade of life. Pain in the elderly is distinctly different from pain experienced by younger individuals. Cancer is a leading cause of pain; however, other conditions that cause pain such as facet joint arthritis (causing low back pain), polymyalgia...

  • Shoulder pain in the elderly. O'Reilly, David // BMJ: British Medical Journal (International Edition);9/15/90, Vol. 301 Issue 6751, p503 

    Focuses on the occurrence of shoulder pain in the elderly. Cause of the pain; Enhancement of the knowledge on the anatomy of the shoulder; Use of local injection with a depot preparation of steroids.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

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

Try another library?
Sign out of this library

Other Topics