Browsing by Author "Yilmaz, Fikriye"

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Associations between Life-Time Physical Activity Levels, Sedentary Time and Health Outcomes among Older Adults
(2020) Yilmaz, Fikriye; Yilmaz, Atakan; 0000-0002-4520-0220; AAZ-4775-2020; AAM-8875-2021
Study Objectives: The aim of the study was to evaluate the associations between the participation levels of the elderly in physical activities through their lives, their sedentary time, and health outcomes. Methods: The data of the study were collected in 2017 with a questionnaire, in which 300 older adults were selected by convenience sampling method in Ankara, Turkey. The questionnaire consists of questions for determining the socio-demographic characteristics and health status of older adults, life-time physical activity indicators, and sedentary time. The research was evaluated with descriptive statistics, Chi-square analysis, Independent Samples t-test, and Pearson correlation coefficient. Results: 53.7% of the 300 older adults participating in the study were female and the average age was 67.74 +/- 3.67 years. 58.3% of the participants were categorized as physically "active" currently or in two periods of their lives. The average sedentary time of participants was 5.7 hours for one day. According to Chi-square analysis, those who were younger, those with lower household income, those who evaluated their health status as good and who had no chronic diseases were physically more active (p < 0.05). Independent samples t-test results demonstrated that the quality of life scores of those who were physically active was higher in comparison to those who were inactive (p < 0.05). According to independent samples t-test, the average sedentary time of those who evaluated their health status as good and those with a chronic disease was found to be shorter. It was found that there was a negative moderately significant relationship between sedentary time and quality of life scores among older adults. Conclusion: In this study, it was concluded that life-time physical activity levels and sedentary time of older adults were an important indicator for their health outcomes.
The Effect of Poverty on Depression Among Turkish Children
(2020) Yilmaz, Fikriye; Gungor Ozcan, Deniz; Gokoglu, Asena Gokce; Turkyilmaz, Dilara; 0000-0002-4884-3803; AAZ-4775-2020
This study was conducted to determine the effect of poverty on depression among Turkish children. The data of the study were collected in 2019 by using a questionnaire. A total of 4276 children were selected by multi-stage cluster sampling in Ankara, Turkey. The questionnaire consisted of questions for determining the socio-demographic characteristics and health status of the children. It also included multidimensional poverty indicators (socioeconomic status of the family, Family Welfare Scale [FWS] and UNICEF Child Deprivation Index [U-CDI]) and Child Depression Inventory (CDI). The data were analyzed using descriptive statistics, Chi-Square Test and Binary Logistic Regression Analysis. Of the participants, 50.2% were girls, the average age was 12.94 +/- 1.17 years, and 86.1% lived in a family with a medium level of socio-economic status. FWS scores showed that 37.7% of them had poor economic status. According to U-CDI, 48.1% of the children were deprived. CDI scores indicated that 34.5% of the children were depressed. In this study, living in a single-parent family (OR = 1.470), having a poor or moderate perception of health (OR = 2.095), having any disease (OR = 1.485), deprivation according to CDI (OR = 1.382), going to bed or school hungry from time to time (OR = 1.930) and working to earn money (OR = 2.450) were identified as important risk factors for high depression (p < 0.05). The multiple deprivation status of children is a major determinant of their depression levels.
Effects of Early Life Factors on the Health and Quality of Life of Older Adults
(2018) Yilmaz, Fikriye; Tekin, Rukiye N.; 0000-0002-4884-3803; 28745423; AAF-7789-2020; AAZ-4775-2020
Background: Few studies on the effects of early life factors on the health and quality of life of adults have been conducted in Turkey. We aimed to investigate the effects of early life factors on the health and quality of life of older adults. Methods: We administered a questionnaire to 350 adults, aged 50-89years, living in Cankaya, Ankara. The questionnaire covered sociodemographic characteristics, early life characteristics, health status, and the World Health Organization Quality of Life-Ageing scale. Data were analyzed using chi(2) tests, independent samples t-tests, one-way anova, and binary logistic regression analysis. Results: The analyses showed that the most important risk factors for chronic disease were being >= 65years (odds ratio (OR)=2.34), having a chronic health problem before 18years of age (OR=2.48), experiencing prolonged hospitalization or bed rest before 18years of age (OR=2.65), and experiencing parental unconcern during early life (OR=2.13) (P<0.05). In addition, having a high school education or less includes people who have primary or secondary or high school diploma (OR=1.65), having lived in a village (OR=1.65), having a low family economic status (OR=2.40), and having experienced one negative event (OR=1.41) or two or more negative events (OR=1.39) during their early lives were identified as important risk factors for low quality of life (P<0.05). Conclusion: Early life factors are among the important determinants of the health and quality of life of older adults in Turkey.
Evaluation of Inappropriate Medication Use and Compliance in Elderly People
(2018) Yilmaz, Fikriye; Colak, Meric Yavuz; 0000-0002-4884-3803; 0000-0002-0294-6874; 29564987; AAZ-4775-2020; AAA-4360-2021
Objective: The aim of this study is to evaluate the potentially inappropriate medication use and medication compliance in elderly patients who buy prescribed drugs from a pharmacy in Ankara. Methods: In this cross-sectional field study, 200 older people who bought prescribed drugs from a pharmacy which is close to several hospitals in Ankara in April 2016 were chosen as random sample. A questionnaire consisting of questions related to socio-demographic characteristics, health status, drug use of elderly and Morisky Green Levine Medication Adherence Scale (MGLS) was used to collect data. The appropriateness of the drugs prescribed for elderly was determined by the pharmacist according to Beers criteria. The data were evaluated by descriptive statistics and Chi-Square test. Results: 57.4% of the 200 elderly patients in the study are women and the mean age is 72.55 +/- 6.34 years; 72.6% of them are below high school. When the medication compliance was examined, 36.3% of them did not comply with the drug treatment according to MGLS. It was determined that having sufficient information about the drug, education level, occupation and polymorbidity affect medication adherence (p < 0.05). When the appropriateness evaluated according to Beers Criteria, 41.7% of the subjects were prescribed potentially inappropriate medications (PIM). According to the analysis, the number of drugs prescribed and the type of the chronic disease have effects on the inappropriate prescription (p < 0.05). Conclusion: According to the study, the prevalence of inappropriate medication use in the elderly is higher than the medication non-adherence.
Investigating The Effects of Poverty on Health and Quality of Life in Poor People Aged 65 and Over in Etimesgut District, Ankara
(2014) Yilmaz, Fikriye; Celik, Cansu; Numanoglu Tekin, Rukiye; https://orcid.org/0000-0002-4884-3803; AAZ-4775-2020
Introduction: The purpose of this research was to examine the effects of poverty on health and quality of life of poor people aged 65 and over in Etimesgut District, Ankara. Materials and Method: A questionnaire was administered to 116 people over the age of 65 who were deemed a priority group for assistance by the Etimesgut Social Assistance and Solidarity Foundation in Ankara. The questionnaire comprised questions related to socio-demographic characteristics, health status and health care utilization of elderly people, along with the World Health Organization Quality of Life Instrument-Older Adults Module. Research data were evaluated using the Chi-Square Test, Independent Samples T Test, One-Way Analysis of Variance, Mann-Whitney U Test and Kruskal-Wallis Test. Results: The average monthly income of the elderly participants was 168.94 +/- 54.67 Turkish liras and they lived completely under the poverty line determined for Turkey. However, it was found that women, illiterate participants and those receiving the old age pension were poorer, and of those whose income was below average, more delayed/did not seek help when they were ill. Statistical analysis revealed that total quality of life scores of participants aged 65-74 and literate participants were higher; the "social participation" scores of participants whose income was below average and those received an old-age pension were lower. Conclusion: Poverty has negative effects on the health status, health care utilization and quality of life of elderly people.
Relationship between Multidimensional Poverty Indicators and Health Behaviors among Turkish Children
(2023) Ozcan, Emre; Yilmaz, Fikriye; https://orcid.org/0000-0002-4884-3803; AAZ-4775-2020
The aim of the study is to investigate the relationship between multidimensional poverty indicators and health behaviors among Turkish children. The sample of the study was determined to include at least one school from each socioeconomic status group in the districts of Ankara, which are classified into four socioeconomic groups, and the data were collected by applying face-to-face questionnaires to a total of 4,276 children, 2145 boys and 2136 girls, between the ages of 10 and 14. The data were analyzed using descriptive statistics, chi-squared test and binary logistic regression in the PASW Statistics program. The most striking results of the analysis showed that the female children, 5th, 6th, and 7th grade students, those who rated their health as good, those with a high or medium family affluence levels, those who were not deprived according to the Child Deprivation Index, those who rated their family income level as high or medium, and those who never suffered from hunger were more likely to be in the group with healthy behaviors (p<0.05). Accordingly, some school-based interventions and policies to be implemented in the family medicine system are recommended to promote the healthy behaviors of children, especially those living in poverty.
The Validity and Reliability of A Turkish Version of The Poverty-Related Quality of Life (Pqol) Questionnaire
(2016) Yilmaz, Fikriye; 0000-0002-4884-3803; AAF-7789-2020
Measuring poverty in health care settings may help to identify patients living in poverty and also support development of appropriate policies to reduce health inequalities. The objective of this study was to translate the Poverty-Related Quality of Life Questionnaire into Turkish and then test its validity and reliability for a Turkish patient population. The psychometric properties of the scale were examined by collecting data from 300 patients in emergency departments in three randomly selected hospitals in Ankara, Turkey. The results of the study suggest that the Turkish version of the Poverty-Related Quality of Life Questionnaire has satisfactory validity and reliability.