Attitudes Toward Ageism Among Home Health Workers: A Cross-Sectional Study

Year 2025, Volume: 2 Issue: 3, 92 - 98, 25.12.2025

Firdevs Kuzu

https://doi.org/10.62425/jmefm.1768231

Abstract

Objective: This study was conducted to determine the attitudes of home health workers serving in home health services units of a province in the Central Anatolia Region toward ageism against elderly people.
Methods: The population of the study included 64 home health workers serving in Home Health Services units affiliated with the Provincial Health Directorate, in line with the records of the Home Health Service Coordination Center in the province in August 2019. Totally 64 home health workers who agreed to participate in the study were included. Descriptive characteristics were collected and the Ageism Attitude Scale (AAS) was used to evaluate toward ageism against elderly people. Analyses were performed with the IBM SPSS Statistics 23 program.
Results: The mean age of the home health workers were 32.64+7.75 years; 59.4% of them were female, and 40.6% had a master's degree. In the present study, 40.6% (n=26) of the healthcare professionals were nurses, 35.9% (n=23) were doctors, 14.1% (n=9) were health technicians, and 9.4% (n=6) were midwives. A significant difference was found between the total score for ageism attitudes and marital status, educational status, occupation, years of work in home health care, and willingness to take courses related to the elderly people (P<0.05). Significant positive correlations were found among the subscales of the AAS.
Conclusions: The total score for home health workers' attitudes toward ageism in home healthcare services was found to be at a medium--high level. In this context, the importance of training healthcare workers involved in home healthcare services for elderly care and ageism has become apparent, and it is recommended that courses and seminars related to the elderly be planned for healthcare workers.

Keywords

Home health services , elderly discrimination , elderly.

References

• Kalaycı I, Özkul M. I wish I could protect my traditional position, be modern: elderly experiences in modernizatıon process. SDU J Visionary, 2017;8(18):90-110. https://doi.org/10.21076/vizyoner.308309
• UN Decade of Healthy Aging: Plan of Action 2021–2030, Available at: https://www.who.int/publications/m/item/decade-of-healthy-ageing-plan-of-action (Accessed on Jun 29. 2025).
• Turkish Statistical Institute (TurkStat) Available at: https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Yaslilar-2023-53710 (Accessed on Jun 29. 2025).
• Saif‐Ur‐Rahman KM, Mamun R, Eriksson E, He Y, Hirakawa Y. Ageism against the elderly in health‐care services: A systematic review. Psychogeriatrics, 2021;21(3):418-429. https://doi.org/10.1111/psyg.12670
• Kalınkara V, Kalaycı I. Life satisfaction, care burden and burnout of the individuals who have a caregiver service to the elderly at home. EIRJ, 2017;10(2):19-39.
• Kalaycı I, Özkul M, Özbek Yazıcı S, Küpeli A. The unseen side of neglect and abuse: The importance of assistant personnel education in health services as a precaution against elder abuse and neglect. SOBİDER, 2017;4(11):576-593. https://doi.org/10.16990/SOBIDER.3474
• Koç A, Öztaş D, Uysal N, Demircan Z, Erdem Ö, Sarı E. Thoughts and Attitudes of Clinical Nurses on Elderly People, Ankara Med J, 2018;(4):500‐507. https://doi.org/10.17098/amj.498024
• Toygar I, Kardakovan A. Factors affecting the attitudes of nursing students toward ageism. NPT. 2020;7:38-44. https://doi.org/10.18502/npt.v7i1.2298
• Rippon I, Kneale D, de Oliveira C, Demakakos P, Steptoe A. Perceived age ageism in older adults. Age Aging. 2014;43:379-386. https://doi.org/10.1093/aging/aft146
• Vefikuluçay D. Attitudes of university students toward Ageism [doctoral thesis/dissertation]. Ankara, Hacettepe University; 2008.
• Daş Geçim GY, Akyol Güner T. The Relationship Between Nursing Students’ Attitudes Toward Ageism and Their Willingness to Care for The Elderly. J Higher EdU Sci. 2023;13(2), 180-187. https://doi.org/10.5961/higheredusci.1241052
• Karabekiroğlu B, Kuş C, Gümüştakım RŞ. Determination of Attitudes of Kahramanmaras Sutcu Imam University Faculty of Medicine Students on Aged Ageism. Medical Journal of MKU, 2021;12(44):177-185. https://doi.org/10.17944/mkutfd.929207
• Yelden Ş. Assessment of Discriminatory Attitudes Concerning Old Age On Elderly Care and Healthcare Field in Turkey. Aydın J Health, 2020;6(1):1-12.
• Solmaz T, Altay B. Home care services for elder people. Health Care Acad J. 2019;6(2):150-157.
• Eryılmaz İ, Tuncer Ö. Evaluation of Home Healthcare Services: The Case of University of Health Sciences Izmir Bozyaka Training and Research Hospital. TJFMPC. 2025;19(2):195-202. https://doi.org/10.21763/tjfmpc.1581094
• Karaman D, Kara D, Yalçın Atar N. Care needs and disease states of individuals, who home health care services are provided evaluating: example of Zonguldak province, Gümüşhane Univ J Health Sci. 2015;4(3):347-359.
• Kurt ME, Çemberlitaş İ, Şen MA. Investigation of the services provided by the home helathcare services unit in terms of social state, Dicle Univ J Econ Adminis Sci. 2019;9(18):306-318.
• Arun Ö, Pamuk D. Ageism in Institutional Care: Causes of the Discriminatory Attitudes of Older Care Staffs toward Aging and Old Age and Intervention Strategies. MJH. 2014;4(2):19-33. https://doi.org/10.13114/MJH.201428426
• Ceylan H, Öksüz M. Analyzıng attıtudes of undergraduate socıal work students toward ageısm. J Int Soc Res. 2015;8(39):459-466. https://doi.org/10.17719/jisr.20153913766
• Danış MZ, Kara HZ, Çolak F, Kırpık S, Ayyıldız A. Departments of Social Work And Nursing Students’ Attitudes Toward Elderlies. JOHS. 2015;8(XXIV):539-559. https://doi.org/10.14225/Joh820
• Köse G, Ayhan H, Taştan S, İyigün E, Hatipoğlu S, Açıkel CH. Determination of the Attitudes of Students From Different Department in the Field of Health on the Ageism Against the Elders. Gulhane Med J. 2015;57:145-151. https://doi.org/10.5455/gulhane.152591
• Sülüker K, Türkoğlu N. Comparison of Attitudes of Nurses Working in Primary and Secondary Care toward Ageism. TJSH. 2021;2(1):166-175.
• Uslu E, Akın B. Attitude of Elderly Ageism of Lecturer Working in Health Sciences. J Nursology. 2022;25(4):254-259. https://doi.org/10.5152/JANHS.2022.671200