To assess how well community-dwelling older adults in Singapore were coping with their diabetes, and the sociodemographic characteristics that were associated with their level of coping. This was a cross-sectional study involving 257... more
To assess how well community-dwelling older adults in Singapore were coping with their diabetes, and the sociodemographic characteristics that were associated with their level of coping. This was a cross-sectional study involving 257 older adults. Multiple regression was used to assess the associations between various sociodemographic characteristics and coping measures of present quality of life and level of self-care. Older adults mainly sought care in the primary care setting. They were not coping well given their mean scores for diabetes-dependent quality of life and the self-care index were -3.57 and 3.55 respectively. Compared to those with post-secondary education, individuals who had no formal (adjusted B -0.92, p 0.003), primary level (adjusted B -0.76, p < 0.001) and secondary level (adjusted B -0.50, p < 0.02) education reported lower present quality of life. Those with prior lowest skill level occupations were less likely to consume a healthy diet per week than those with prior highest skill level occupations (adjusted B -1.48, p 0.004). There should be provision of diabetes self-care interventions targeting older adults in Singapore especially for those with lower education and work skill levels. As the first line of contacts, primary care providers should advocate for diabetes self-care and develop community-based interventions for these priority groups.
Research Interests:
Purpose The purpose of the study was to explore the perspective and impact of diabetes, diabetes self-management, and quality of life (QoL) among older adults with Type 2 diabetes (T2DM) before and during the COVID-19 pandemic to better... more
Purpose The purpose of the study was to explore the perspective and impact of diabetes, diabetes self-management, and quality of life (QoL) among older adults with Type 2 diabetes (T2DM) before and during the COVID-19 pandemic to better inform T2DM self-management interventions. Methods A qualitative descriptive approach with focus group discussions (n = 5 sessions with 5-6 older adults per session) and in-depth interviews (n = 15) was conducted with community-dwelling older adults with T2DM. Results Five themes emerged. The definition of diabetes carries negative connotations, QoL is defined in terms of biopsychosocial health, diabetes self-management refers to the ability to adhere to medical advice and lifestyle changes, the QoL of older adults is differentially affected by COVID-19 measures, and important aspects of diabetes self-management activities are impacted by COVID-19 measures. Conclusions Understanding older adults’ perspectives on diabetes, diabetes self-management, an...
Research Interests:
Research Interests:
There has been significant debate in the sustainability literature on the impact of sustainability practices on a firm’s market value. Little consensus exists, however, on which specific practices impact a firm’s market value and the... more
There has been significant debate in the sustainability literature on the impact of sustainability practices on a firm’s market value. Little consensus exists, however, on which specific practices impact a firm’s market value and the direction of their impact. In this paper, using independent assessment data on 42 mainland Chinese and Hong Kong firms listed on the Hong Kong Hang Seng Stock Exchange, we empirically evaluate the impact of six sustainability practices of these firms, derived from some of the popular sustainability indices, on their adjusted stock market value over a three year time period. Our analysis of the data through linear mixed modeling method found two out of the six practices, namely, community investment, and to a lesser extent, workplace quality, as the only significant predictors of firm’s market value. Furthermore, their impact on firm value displayed an inverted U-shaped temporal relationship in that it took a few years for their impact to gain significance and it faded away in...
Research Interests:
Research Interests:
Research Interests:
Background: Cancer health campaigns provide information to drive early detection. Objective: To examine the effect of cancer fear on cancer screening focusing on the mediating role of loss aversion, a concept derived from prospect theory.... more
Background: Cancer health campaigns provide information to drive early detection. Objective: To examine the effect of cancer fear on cancer screening focusing on the mediating role of loss aversion, a concept derived from prospect theory. We hypothesize that fear initiates negative beliefs that cancer can cause the loss of way of life leading to information avoidance, and indirectly influences cancer screening intentions. This theoretical model is conditional, in that one's degree of self-efficacy moderates cancer screening intentions. Methods: A cross-sectional sample (N = 371), aged 35 to 70, recruited via an online panel. Participants completed a questionnaire containing demographic and examined variables. Using conditional process, we tested the proposed theoretical framework. Results: Cancer fear was positively associated with cancer screening, and an indirect path was found where loss aversion and information avoidance negatively mediated the relationship. Self-efficacy was found to significantly moderate information avoidance and cancer screening intentions. Among those who reported high information avoidance, less self-efficacious individuals had lower cancer screening intentions compared to those more self-efficacious. Conclusion: We confirm extant literature that negative views of cancer lead to loss aversion and information avoidance. Using prospect theory can help make messaging for cancer screening more effective.