Prevalence and Factors Related to Functional Status of Older Adult Patients in Primary Health Care

Functional status isthe ability to perform self-care, self-maintenance, and daily activity. Older adults are at risk of experiencing a decline in functional status regarding their condition and other factors. The study literature found no clear evidence of the factors related to it, especially those who have comorbid and regularly come to primary health care facilities.This study aimed to identify the prevalence and factors related to the functional status of older people who visit geriatric out-patient in the primary health care center.A cross-sectional design was used to assess 100 elderly patients at one of the health centers in Indonesia using the respondent characteristic instrument, The 12-Item Short Form Health Survey (SF-12), Berg Balance Scale (BBS), Mini Nutritional Assessment (MNA), and Instrumental Activity Daily Living of Lawton.The functional status of the respondent was good where the mean score was 7.45 (SD = 1.07). The mean age was 66 years old, primarily women (59%), the education level was only elementaryschool (45%), and they consume prescribed medication(71%) and more than a half of respondent have multimorbidity (60%). The model fit of multivariate analysis resulted in 44% of all the variables giving effect to the functional status where the most influential factor was balance and health status of the older adults.Therefore, the accessibility of health services for the older adult in the community can be improved by providing more elderly-friendly health facilities.