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Assessment of metabolic syndrome risk factors among rural-dwelling older adults requires innovation: partnerships and a mobile unit can help

Martha R. Crowther (Department of Community Medicine and Population Health, University of Alabama, Tuscaloosa, Alabama, USA)
Cassandra D. Ford (Department of Nursing, University of Alabama, Tuscaloosa, Alabama, USA)
Latrice D. Vinson (Department of VISN 5 MIRECC, United States Department of Veterans Affairs, Washington, District of Columbia, USA)
Chao-Hui Huang (Center for Palliative and Supportive Care, University of Alabama at Birmingham, Birmingham, Alabama, USA)
Ernest Wayde (National Center for Organizational Development, United States Department of Veterans Affairs, Washington, District of Columbia, USA)
Susan Guin (Department of Family, Internal and Rural Medicine, University of Alabama, Tuscaloosa, Alabama, USA)

Quality in Ageing and Older Adults

ISSN: 1471-7794

Publication date: 10 December 2018

Abstract

Purpose

Older adults are at risk for developing metabolic syndrome (MSX). Given the growing rural older adult population and the unknown prevalence rate of MSX in rural communities, the purpose of this paper is to assess the risk factors for MSX among rural elders.

Design/methodology/approach

Individuals aged 55+ from four West Alabama rural communities were assessed by an interdisciplinary healthcare team via a mobile unit (n=216). Descriptive analyses and analysis of variances (ANOVA) were conducted to assess the effect of gender, race and community on the number of risk factors of MSX among rural elders.

Findings

Results of a three-way ANOVA revealed a significant interaction between gender, age and community on the number of MSX risk factors [F (16,193)= 2.41, p <0.01]. Rural communities with lower social economic status (SES) and predominantly African American residents were at higher risk for developing MSX compared to communities with higher SES [F(3, 68) = 7.42, p<0.05].

Practical implications

Findings suggest low SES rural communities are at risk of developing MSX. Innovative approaches such as mobile healthcare delivery are crucial to providing quality healthcare and preventive health screens to underserved rural older adult communities.

Originality/value

Limited research is available on assessing rural midlife and older adults at risk for metabolic syndrome largely due to lack of communication or transportation infrastructure and their history of negative experiences with public institutions. This research demonstrates that these barriers can be addressed.

Keywords

Citation

Crowther, M., Ford, C., Vinson, L., Huang, C., Wayde, E. and Guin, S. (2018), "Assessment of metabolic syndrome risk factors among rural-dwelling older adults requires innovation: partnerships and a mobile unit can help", Quality in Ageing and Older Adults, Vol. 19 No. 4, pp. 251-260. https://doi.org/10.1108/QAOA-12-2017-0052

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Publisher

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Emerald Publishing Limited

Copyright © 2018, Emerald Publishing Limited

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