Epidemiology Division, Department of Public Health, Medical Faculty, Pamukkale University, Denizli, Türkiye.
Department of Public Health, Medical Faculty, Pamukkale University, Denizli, Türkiye.
Psychogeriatrics. 2024 Nov;24(6):1305-1312. doi: 10.1111/psyg.13192. Epub 2024 Sep 11.
The global increase in life expectancy has significantly raised the elderly population. In Türkiye, the proportion of individuals aged 65 and over rose from 8.8% in 2018 to 10.2% in 2023. This demographic shift necessitates the planning of social and health services for the elderly. Ageism affects elderly health negatively and is prevalent in healthcare settings. This study aimed to determine the prevalence of ageism among resident physicians at Pamukkale University Hospital and identify factors influencing their preferences for providing healthcare to elderly patients.
This cross-sectional study was conducted at Pamukkale University Hospital between 6 June and 16 June, 2024. A total of 448 resident physicians were selected through simple random sampling. Data were collected using a self-administered questionnaire, which included sociodemographic information, factors affecting ageism, and the Fraboni Scale of Ageism (FSA). Descriptive statistics, Chi-square tests, and logistic regression were used to evaluate factors influencing healthcare preferences.
The FSA score averaged 71.89 ± 7.87, indicating a 20.1% (95% CI:16.48-24.10) prevalence of age discrimination among resident physicians. Logistic regression analysis revealed that male participants (odds ratio (OR) = 1.519, P = 0.042), those with moderate to very poor perceived knowledge of elderly health (OR = 2.418, P < 0.001), and higher FSA scores (OR = 1.046, P < 0.001) were more likely to prefer not providing healthcare services to elderly patients.
Ageism among resident physicians is prevalent, impacting their willingness to provide care to elderly patients. Gender, perceived knowledge, and ageist attitudes influence their preferences for providing healthcare to elderly patients. Addressing these factors is crucial for improving healthcare services for the elderly.
全球预期寿命的延长显著增加了老年人口。在土耳其，65 岁及以上人口的比例从 2018 年的 8.8%上升到 2023 年的 10.2%。这种人口结构的变化需要为老年人规划社会和卫生服务。年龄歧视对老年人的健康产生负面影响，在医疗保健环境中普遍存在。本研究旨在确定帕穆卡莱大学医院住院医师中年龄歧视的流行程度，并确定影响他们为老年患者提供医疗保健偏好的因素。
这是一项横断面研究，于 2024 年 6 月 6 日至 6 月 16 日在帕穆卡莱大学医院进行。通过简单随机抽样选择了 448 名住院医师。使用自我管理问卷收集数据，其中包括社会人口统计学信息、影响年龄歧视的因素以及 Fraboni 年龄歧视量表（FSA）。使用描述性统计、卡方检验和逻辑回归评估影响医疗保健偏好的因素。
FSA 平均得分为 71.89±7.87，表明住院医师中年龄歧视的患病率为 20.1%（95%可信区间：16.48-24.10）。逻辑回归分析显示，男性参与者（比值比（OR）=1.519，P=0.042）、对老年健康知识中等至极差的参与者（OR=2.418，P<0.001）和 FSA 评分较高的参与者（OR=1.046，P<0.001）更倾向于不向老年患者提供医疗服务。
住院医师中存在年龄歧视，这影响了他们为老年患者提供护理的意愿。性别、感知知识和年龄歧视态度影响他们为老年患者提供医疗保健的偏好。解决这些因素对于改善老年人的医疗保健服务至关重要。
