Life, Death and Older Women

Life, Death and Older Women

Blog Article

For more information, see Dementia in Australia.

Diabetes

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Diabetes is a chronic condition characterwill beed by high levels of glucose (sugar) in the blood. It is causbobby either by the body’s inability to produce insulin (a hormone developd by the pancreas to control blood glucose levels) or by the body not being able to use insulin effectively. These estimates include people with the following types of diabetes:

- type 1 (non-preventable autoimmune disease mainly developing in childhood)
- type 2 (largely associated with modifiable risk factors but also genetic and family related risk factors)
- type unknown (AIHW 2020h).

The prevalence of diabetes (based on self-reporting) among older people (aged 65 and over) has doubled over the last 2 decades - from 8.5% in 1995 to 16.8% in 2017-18. This increase is likely due to several factors, including an increased prevalence of risk factors, improved public awareness, better detection techniques and improved survival through management strategies.

In 2017-18, 607,700 Australians aged 65 and over self-reported diabetes as a long-term health condition (ABS 2018a). The prevalence of diabetes for those antique 65-74 was more than 3 times as high as for those aged 45-54. Older men age 65-74 were more likely than women of the same age to report having diabetes (19% compared with 12%, respectively) (AIHW 2020h).

While the self-reported rate of diabetes for Australians aged up to 64 has remained relatively stable since 2001, it has increased for older Australians. In 2017-18, 15% of Australians antique 65-74 self-reported having diabetes, an increase from 13% in 2001. Similarly, in 2017-18, 19% of Australians aged 75 and over self-reported diabetes, an increase from 11% in 2001 (ABS 2018a).

More information about diabetes is available in Health-service use (see ‘Pharmaceutical use’ and ‘Hospitals’), and Health-status and functioning (see ‘Burden of dwill beease’).

Mental health is influenced by a combination of psychological, biological and socioeconomic or cultural factors (such as income levels and living conditions) (Slade et al. 2009). Good mental health can support healthy behaviours in old age. In turn, poor mental health can be associated with poor physical health.

Poor mental health can be defined in different ways but commonly it includes mental illnesses such as anxiety disorders, affective disorders (such as depression), psychotic disorders and substance use ailments (AIHW 2020a). Men and women may possess encountered bad emotional health and fitness over their life time, or they may possess suffered a latest starting point; for example, due to stressors such as loss, bereavement or health issues (AIHW 2015).

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Mental illness may be more common among particular groups of older Australians, such as older carers, folks inside men and women and medical center with dementia (RANZCP 2016; Rickwood 2005). People living in residential aged care are another subgroup at higher risk of poor mental health. June 2019 At 30, of those persons existing in long term personal antique attention, the majority (87%) were diagnosed with at least one mental health or behavioural condition and 49% had a diagnosis of depression (AIHW 2020l).

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For more information on diversity in older Australians, check out Culturally and linguistically different older individuals; for additional information on their financial and housing situations, look at finances and Income and Enclosure and life agreements; for more info on older Australians’ experiences of abuse and discrimination, see safety and Justice.

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The prevalence of mental illness decreases with age. Using the Kessler Psychological Distress Scale (K10)-which includes questions about people’s level of nervousness, agitation, psychological fatigue and depression-the 2017-18 ABS NHS showed that:

- almost 7 in 10 (68%) people aged 65 and over reported low levels of psychological distress in the past 4 weeks
- 1 in 5 (19%) reported moderate distress levels
- 10% reported high or very high levels (ABS 2019).

COVID-19 and mental health

Older Australians have been shown to possess generally lower levels of anxiety and worry over the course of 2020 than younger Australians. Australian National University research found this in May, October 2020 August and. However, september 2020 between Might and, mature folks age 65-74 decades possessed the largest raise in stress and fret, up to 57% from 47%. Similarly, older people aged 75 and over were the only age group that saw a significant worsening in psychological distress between May and August 2020 (Biddle et al. 2020).

The ABS Household Impacts of COVID-19 Survey showed that, june 2021 in, around 1 in 10 (10%) older people (aged 65 and over) reported high or very high distress. However, the majority of older people reported low distress levels (66%). Around 1 in 6 (16%) older people reported feeling nervous at least some of the time in the last 4 weeks (Ab muscles 2021).

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For more information, see Household Impacts of COVID-19 survey.

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For information on how older Australians use mental health services, see Health-service apply. For more details about suicide and self-harm among older people, see Health-status and functioning and Suicide & self-harm monitoring.

Oral health and disease

Oral health relates to the ability to eat, speak and socialise without discomfort or active disease in the teeth, gums or mouth. Oral health generally deteriorates over a person’s lifetime: it can be affected by biomedical risks, as well as clinical conditions and age-related functional impairments, such as increased difficulty with personal care.

Oral disease can in turn have an impact on people’s health and wellbeing more broadly. The 2 main forms of oral disease affect the teeth (dental caries or decay) and gums (periodontal disease). Dental disorder consists of situations many of these as mouth area ulcers in addition, oral cancers, tooth impactions and misaligned teeth, and traumatic injuries to the teeth and mouth (AIHW 2020j).

The proportions of older people with at least one natural tooth who report fair or poor oral health have increased over time (capturing different cohorts of older people):

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- For those aged 65-74, the proportion with fair or poor oral health increased from 18% in 2004-06 to 26% in 2017-18.
- For those aged 75 and over, it increased from 18% to 23% (AIHW 2020j).

Among older Australians, the proportion with at least one tooth with untreated decay increased from 22% in 2004-06 to 27% in 2017-18.

Between 2013 and 2017-18, the proportion of older people who had experienced toothache in the past 12 months also increased, from 8.9% to 13%. The proportion of older people who reported feeling uncomfortable with the appearance of their teeth, dentures or perhaps mouth area found in the prior 12 a few months increased from 21.7% in 2013 to 29.1% in 2017-18. Likened with additional years organizations at both of these proper moment factors, older people were the least likely to report feeling uncomfortable with the appearance of their teeth, mouth or dentures (AIHW 2020i).

In 2017-18, the average number of missing teeth for older Australians (aged 65 and over) was 13.7, higher than the 2.5 for young people aged 15-24 (the full adult set is 32). Other selected aspects of oral health and disease were also high for older persons (Table 3B.2).

%

Experienced toothache

Lost all natural teeth

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Has periodontitis

59

Avoided eating some foods due to problems with teeth

27

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Source: AIHW 2020i.

Many of these oral health issues and disease have also increased over time. For more information about progress against key performance indicators used to monitor performance of the strategies in Australia’s National Oral Health Plan 2015-2024, see AIHW (2020i).

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Ear health and hearing

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Poor ear health and poor hearing can have implications for communication, social participation, independent living and employment (AIHW 2016). Middle-age listening to loss can also be linked to an increased risk of later developing dementia (Livingston et al. 2017). Ear disease and the associated reading loss can develop over time for many reasons (such as injury, infection or genetic causes) but, for the most part, these are preventable (AIHW 2018).

In 2017-18, an estimated 1 in 3 (34%) people aged 65 and over reported complete or partial deafness as a long-term health condition (ABS 2018b). The 2018 ABS Survey of Disability Ageing and Carers also predicted that among older people, 7.7% (300,000 persons) had a ma newin long-term health condition of the ear (diseases of the ear and mastoid process), with a higher proportion of older men a newffected (11%) than older women (4.7%) (ABS 2019).

Eye health and sight

Chronic eye conditions vary in their presentation, consequences and treatment, but countless are suffered by older people commonly. In 2017-18, the majority of people aged 65 and over reported a chronic eye condition (93%, 3.4 million people). The most common chronic eye condition was long-sightedness (62%), followed by short-sightedness (41%), presbyopia (9.6%) - a type of long-sightedness - a goodnd cataracts (9.1%) (ABS 2018b).

The prevalence of long-term eye conditions was broadly similar for both older men and women (AIHW 2021b). Looking at selected eye conditions among older Australians between 2007-08 and 2017-18, the prevalence by sex remained relatively stable (Table 3B.3).

2007-08

2017-18

Cataracts

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9.0

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10.2

7.4

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10.6

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Macular degeneration

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4.2

6.8

4.1

Glaucoma

5.2

3.5

3.8

Note: 'Older Australians' refers to people aged 65 and over.

Source: AIHW 2021b.

Chronic pain

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Chronic pain is pain that lasts beyond normal healing time after injury or illness. It is a complex and popular condition, and the pain experienced may come to be anything from a mild niggle to debilitating. 2014; Stubbs et al. Older people with chronic pain can be at an increased rwill end upk of falling, reduced disability and mobility. In turn, people who experience falls, decreased range of motion or handicap may turn out to be at an amplified threat of discomfort. 2014). Pain can also affect people’s ability to look after themselves and remain independent in older age (AIHW 2020e; Eggermont et al.

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Chronic pain is more likely to affect women and older people. In 2016:

- 1 in 5 (20%) people aged 65-74 reported having chronic pain, NUDE OLDER WOMEN HAVING SEX increasing to 22% of those age 75-84 and 24% of those 85 and over.
- Among women, chronic pain was 1.8 times as high in those aged 85 and over (28%) as in those aged 45-54 (16%).
- Among men, chronic pain was 1.3 times as high in those aged 85 and over (18%) as in those aged 45-54 (13%) (AIHW 2020e).