Aim: This study aimed to investigate the association between dental anxiety (DA) and oral-health-related quality of life (OHRQoL) among rural community-dwelling older adults. Methods: A cross-sectional descriptive study was conducted among 390 rural community-dwelling older adults attending outpatient clinics of the Damanhur National Medical Institute during the year 2021. Three instruments were used: a demographic and clinical data structured interview schedule, Modified Dental Anxiety Scale (MDAS), and the Oral Health Impact Profile (OHIP-5) questionnaire. All statistical analyses were considered significant at a p-value of ≤0.001. Results: The main results showed that the prevalence of DA among participants was 90.5%, and 66.9% of the studied elderly population were either extremely (phobic) or very anxious. Moreover, a significant association was found between older adults’ DA and their OHRQoL (p ˂ 0.001). Conclusions: It was concluded that DA represents a common problem among rural community-dwelling older adults and is a predictor for poor OHRQoL. Raising community awareness about the importance of oral health and implementing measures to avoid DA through specialized community campaigns is recommended, particularly in rural areas.

Background: T2DM is a public health problem that is widespread, serious, and growing among elderly people with a major impact on their health and well-being. Sense of coherence (SOC) and resourcefulness are important resources that may empower the person and give a greater capacity to manage different life challenges including the burden of such chronic disease in a health-promoting manner. Aim: Determine the relationship between sense of coherence, resourcefulness and functional health status of geriatric patients with diabetes mellitus. Setting: Five outpatient clinics at The Main University Hospital in Alexandria, namely geriatric medicine clinic, general medical clinic, diabetes clinic, cardiovascular clinic and nephrology clinic. Alexandria, Egypt. Subjects: 120 geriatric patients who are 60 years old and above, diagnosed with T2DM and have no or mild cognitive impairment. Tools: Five tools were used to collect data, short portable mental status questionnaire, socio-demographic and clinical data of geriatric patients with diabetes mellitus structured interview schedule, sense of coherence scale, resourcefulness scale and the Dartmouth Primary Care Cooperative Information Project/World Organization of National Colleges, Academies, and Academic Associations of General Practice/Family Physicians (COOP/WONCA) charts. Results: The result revealed that there is a statistically significant relationship between SOC, overall resourcefulness and all the functional health status scores of the study older adults as higher levels of SOC and resourcefulness were associated with better functional health status among the study participants. Conclusion: a statistically significant relationship between SOC, overall resourcefulness and all the functional health status scores of the study older adults as higher levels of SOC and resourcefulness were associated with better functional health status among the study participants. Recommendations: Develop in-service training programs for nurses and health care providers (HCPs) at different health care settings on how to assess SOC and resourcefulness skills and orienting them with the role of such concepts on health and well being of older adults and different ways for promoting them.

This international cross-sectional survey examined the potential role of organizational psychological support in mitigating the association between experiencing social discrimination against long-term care (LTC) facilities' healthcare professionals (HCPs) and their intention to stay in the current workplace during the COVID-19 pandemic. Participants included a convenience sample of 2,143 HCPs (nurses [21.5 %], nurse aids or residential care workers [40.1 %], social workers [12.1 %], and others [26.4 %]) working at 223 LTC facilities in 13 countries/regions. About 37.5 % of the participants reported experiencing social discrimination, and the percentage ranged from 15.3 % to 77.9 % across countries/regions. Controlling for socio-demographic and work-related variables, experiencing social discrimination was significantly associated with a lower intention to stay, whereas receiving psychological support showed a statistically significant positive association (p-value=0.015 and <0.001, respectively). The interaction term between social discrimination and psychological support showed a statistically significant positive association with the intention to stay, indicating a moderating role of the psychological support.