Prevalence of symptomatic axial osteoarthritis phenotypes in Spain and associated socio-demographic, anthropometric, and lifestyle variables

Abstract Objective Axial osteoarthritis (OA) is a common cause of back and neck pain, however, few studies have examined its prevalence. The aim was to estimate the prevalence and the characteristics of symptomatic axial OA in Spain. Methods EPISER2016 is a cross-sectional multicenter population-based study of people aged 40 years or older. Subjects were randomly selected using multistage stratified cluster sampling. Participants were contacted by telephone to complete rheumatic disease screening questionnaires. Two phenotypes were analyzed, patients with Non-exclusive axial OA (NEA-OA) and Exclusive axial OA (EA-OA). To calculate the prevalence and its 95% confidence interval (CI), the sample design was considered and weighting was calculated according to age, sex and geographic origin. Results Prevalence of NEA-OA by clinical or clinical-radiographic criteria was 19.17% (95% CI: 17.82–20.59). The frequency of NEA-OA increased with age (being 3.6 times more likely in patients aged 80 s or more than in those between 40 and 49 years) and body mass index. It was significantly more frequent in women, as well as in the center of Spain. It was less frequent in those with a higher level of education. Lumbar OA was more frequent than cervical OA. This difference grew with increasing age and was not associated with gender. It was also greater in overweight and obese subjects. Conclusions This is the first study on the prevalence of axial OA phenotypes in Europe describing the associated socio-demographic, anthropometric, and lifestyle variables.

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Falls among the elderly: risk factors in a population-based study

Revista Brasileira de Epidemiologia ◽

10.1590/1809-4503201400030011 ◽

2014 ◽

Vol 17 (3) ◽

pp. 705-718 ◽

Cited By ~ 9

Author(s):

Iara Guimarães Rodrigues ◽

Gustavo Pereira Fraga ◽

Marilisa Berti de Azevedo Barros

Keyword(s):

The Elderly ◽

Population Based ◽

Cross Sectional Study ◽

Cluster Sampling ◽

Elderly Adults ◽

Cross Sectional ◽

Population Based Study ◽

Factors Associated ◽

Gender And Age ◽

Policies And Programs

Purpose: The aim of the present study was to identify factors associated with the occurrence of falls among elderly adults in a population-based study (ISACamp 2008). Methods: A population-based cross-sectional study was carried out with two-stage cluster sampling. The sample was composed of 1,520 elderly adults living in the urban area of the city of Campinas, São Paulo, Brazil. The occurrence of falls was analyzed based on reports of the main accident occurred in the previous 12 months. Data on socioeconomic/demographic factors and adverse health conditions were tested for possible associations with the outcome. Prevalence ratios (PR) were estimated and adjusted for gender and age using the Poisson multiple regression analysis. Results: Falls were more frequent, after adjustment for gender and age, among female elderly participants (PR = 2.39; 95% confidence interval (95%CI) 1.47 - 3.87), elderly adults (80 years old and older) (PR = 2.50; 95%CI 1.61 - 3.88), widowed (PR = 1.74; 95%CI 1.04 - 2.89) and among elderly adults who had rheumatism/arthritis/arthrosis (PR = 1.58; 95%CI 1.00 - 2.48), osteoporosis (PR = 1.71; 95%CI 1.18 - 2.49), asthma/bronchitis/emphysema (PR = 1,73; 95%CI 1.09 - 2.74), headache (PR = 1.59; 95%CI 1.07 - 2.38), mental common disorder (PR = 1.72; 95%CI 1.12 - 2.64), dizziness (PR = 2.82; 95%CI 1.98 - 4.02), insomnia (PR = 1.75; 95%CI 1.16 - 2.65), use of multiple medications (five or more) (PR = 2.50; 95%CI 1.12 - 5.56) and use of cane/walker (PR = 2.16; 95%CI 1.19 - 3,93). Conclusion: The present study shows segments of the elderly population who are more prone to falls through the identification of factors associated with this outcome. The findings can contribute to the planning of public health policies and programs addressed to the prevention of falls.

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Periodontal condition of adolescents and associated factors

RGO - Revista Gaúcha de Odontologia ◽

10.1590/1981-86372019000043489 ◽

2019 ◽

Vol 67 ◽

Author(s):

Marise Fagundes SILVEIRA ◽

Rafael Silveira FREIRE ◽

Maria Fernanda Santos Figueiredo BRITO ◽

Andrea Maria Eleutério de Barros Lima MARTINS ◽

Luiz Francisco MARCOPITO

Keyword(s):

Public Schools ◽

Oral Health ◽

Sampling Method ◽

Population Based ◽

Dental Service ◽

Cluster Sampling ◽

Cross Sectional ◽

Population Based Study ◽

Periodontal Condition ◽

Type Of School

ABSTRACT Objective: This study aimed to describe the periodontal condition of adolescents and identify its potential determinants. Methods: This is a cross-sectional population-based study (n=763) conducted in a city in Northern Minas Gerais. Multistage probability cluster sampling method was used. Trained and calibrated professionals carried out the intraoral examinations and the interviews at the participants’ homes. Logistic regression model was used to identify the factors associated with the periodontal condition. Results: It was found that around 30% of the adolescents presented periodontal changes, being gingival bleeding (14.1%) and dental calculus (14.0%) the most prevalent impairments. Periodontal changes were associated in adolescents who did not attend school (OR=1,9; p=0.031), attended public schools (OR=2,0; p=0.005), never went to the dentist (OR=1,7; p=0,047), used public/philanthropic services (OR=1,7; p=0,002), smoked (OR=1,6; p=0,003), consumed alcohol (OR=1,6; p=0,016) and self-perceived their oral health as too bad/bad (OR=2,4; p=0,032) and regular (OR=1,5; p=0,023). Conclusion: About one-third of adolescents have periodontal changes, which were associated with the type of school and type of dental service they attend, smoking, alcohol consumption and self-perception of oral health.

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Meat intake among adults: a population-based study in the city of Campinas, Brazil. A cross-sectional study

Sao Paulo Medical Journal ◽

10.1590/1516-3180.2015.01691609 ◽

2016 ◽

Vol 134 (2) ◽

pp. 138-145 ◽

Cited By ~ 5

Author(s):

Jaqueline Contrera Avila ◽

Verônica Gronau Luz ◽

Daniela de Assumpção ◽

Regina Mara Fisberg ◽

Marilisa Berti de Azevedo Barros

Keyword(s):

Family Income ◽

Population Based ◽

Cross Sectional Study ◽

Cluster Sampling ◽

Cross Sectional ◽

Population Based Study ◽

Meat Intake ◽

Dietary Recall ◽

Health Situation ◽

The City

ABSTRACT CONTEXT AND OBJECTIVE: Meat is a food with high nutritional density that has significant participation in the Brazilian diet. However, in excess it can cause harm to health. The aim of this study was to analyze the meat intake (g/day) among adults according to sociodemographic, behavioral and health situation characteristics, and to assess the types of meat most consumed. DESIGN AND SETTING: Cross-sectional population-based study conducted in the city of Campinas, São Paulo, Brazil, in 2008 and 2009. METHODS: Two-stage cluster sampling was used. The analysis included 948 adults between 20 and 59 years, who were participants in the Campinas Health Survey. Meat intake was assessed using 24-hour dietary recall. RESULTS: The mean meat intake adjusted for sex and age was 182.3 g (95% CI: 170.6-193.9 g), with significantly lower intake among women, individuals aged 50 years or over, those with the presence of two or more self-reported chronic diseases and those with three or more health complaints. Higher meat intake was found in segments with intermediate monthly family income (between 1 and 3 minimum wages), those with 16 or more appliances per household and those who consumed soft drinks seven days a week. Beef was consumed most frequently (44%) among the meats in the diet, followed by poultry, fish and pork. CONCLUSION: The data from this study reveal high meat intake in the population of Campinas and identify the segments that need to be prioritized for strategies directed towards appropriate meat intake.

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Prevalence of smoking and reasons for continuing to smoke: a population-based study

Jornal Brasileiro de Pneumologia ◽

10.1590/1806-3713/e20170080 ◽

2019 ◽

Vol 45 (4) ◽

Author(s):

Simone Aparecida Vieira Rocha ◽

Andréa Thives de Carvalho Hoepers ◽

Tânia Silvia Fröde ◽

Leila John Marques Steidle ◽

Emilio Pizzichini ◽

...

Keyword(s):

Depressive Symptoms ◽

Physical Dependence ◽

Close Association ◽

Depression Scale ◽

Population Based ◽

Smoking History ◽

Cross Sectional ◽

Population Based Study ◽

Level Of Education ◽

The Mean

ABSTRACT Objective: To investigate the prevalence of smoking and the reasons for continuing to smoke among adults in Brazil. Methods: This was a cross-sectional, population-based study including 1,054 individuals ≥ 40 years of age, residents of the city of Florianopolis, Brazil, of whom 183 were smokers. All of the smokers completed the University of São Paulo Reasons for Smoking Scale (USP-RSS). Depressive symptoms were evaluated with the Hospital Anxiety and Depression Scale, and spirometry was performed to screen for COPD. Results: Of the 183 smokers, 105 (57.4%) were female, 138 (75.4%) were White, and 125 (63.8%) were in a low economic class. The mean level of education among the smokers was 9.6 ± 6.1 years. The mean smoking history was 29 ± 15 pack-years, 59% of the men having a ≥ 30 pack-year smoking history. Approximately 20% of the smokers had COPD, and 29% had depressive symptoms, which were more common in the women. The USP-RSS scores were highest for the pleasure of smoking (PS), tension reduction (TR), and physical dependence (PD) domains (3.9 ± 1.1, 3.6 ± 1.2, and 3.5 ± 1.3, respectively). Scores for the PS, TR, and weight control (WC) domains were significantly higher in women. Smokers with a > 20 pack-year smoking history scored significantly higher on the PD, PS, automatism, and close association (CA) domains. Smoking history was associated with the PD, PS, TR, and CA domains. Depressive symptoms were associated with the PD, social smoking, and CA domains (p = 0.001; p = 0.01; p = 0.09, respectively). Female gender and a low level of education were associated with the PS domain (p = 0.04) and TR domain (p < 0.001). Conclusions: The prevalence of smoking in our sample was relatively high (17.4%). The USP-RSS domains PS, TR, and WC explain why individuals continue smoking, as do depressive symptoms.

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Dietary Phytochemical Index and Psychological Disorders in a large sample of Iranian adults: a population-based study

10.21203/rs.3.rs-102000/v1 ◽

2020 ◽

Author(s):

zahra darabi ◽

azam Ahmadi Vasmehjani ◽

amin Salehi-Abargouei ◽

masoud mirzaei ◽

Mahdieh Hosseinzadeh

Keyword(s):

Population Based ◽

Cross Sectional Study ◽

Normal Weight ◽

Health Study ◽

Cross Sectional ◽

Population Based Study ◽

Large Sample ◽

Symptoms Of Depression ◽

Obese Subjects ◽

Apparent Association

Abstract Background: Intake of plant foods including of Phytochemicals may be decrease risk of mental health.Aim: This study aim to investigate association of Dietary Phytochemical Index)DPI( with symptoms of depression, anxiety and stress in a large sample of Iranian adults.Methods: In this cross-sectional study, a total of 7385 adult aged 20-50 years old were provided from the recruitment phase of Yazd Health Study, a population-based cohort research on Iranian adults. Food intakes were assessed via validated and reliable food frequency questionnaire. Symptoms of depression, anxiety and stress were assessed using a validated Depression, Anxiety and Stress Scales questionnaires with 21-items. DPI was calculated by percent of daily energy intake taken from phytochemical-rich foods.Results: After adjusting for potential confounders, normal weight subjects in the highest tertile of DPI had a lower risk of depression (OR: 0.65; 95% CI: 0.44–0.97) and anxiety symptoms (OR: 0.65; 95% CI: 0.45–0.93) compared with those in the lowest tertile. However, no apparent association was found between depression, anxiety and stress in overweight and obese subjects. Conclusion: We found significant association between DPI and mental health in normal weight adults. Prospective studies are required to approve these conclusions.

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Seroprevalence of SARS CoV 2 specific Ig G antibodies in District Srinagar, Kashmir: a population based study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20211236 ◽

2021 ◽

Vol 8 (4) ◽

pp. 1792

Author(s):

Taha Ayub ◽

Malik Waseem Raja ◽

S. M. Salim Khan ◽

Inaamul Haq ◽

Mariya Amin Qureshi ◽

...

Keyword(s):

Venous Blood ◽

Absolute Error ◽

Relevant Information ◽

Population Based ◽

Cluster Sampling ◽

Cell Mediated Immunity ◽

Antibody Testing ◽

Cross Sectional ◽

Population Based Study ◽

Ig G

Background: The seroprevalence studies are conducted with the aim of estimating the extent of SARS CoV2 infection in any community. A cross sectional population based study was conducted in Srinagar district of Kashmir, India so as to provide relevant information on the proportion of people who have experienced a recent or past infection.Methods: An estimated sample size of 2400 was calculated based on anticipated seroprevalence of 20% and an absolute error of 2.5%. 20 clusters were selected using 2 stage cluster sampling. A set of questions on a mobile based application i.e Epicollect 5 was used to collect information on various variables and 3-5 ml of venous blood was taken for Ig G antibody testing. Chemiluminiscent Microparticle Immunoassay (CMIA) procedure using fully automated analyser by Abbott with sensitivity of 100% and specificity of 99.6% was used to detect IgG antibodies against SARS COVID-2.Results: 2480 eligible individuals participated in the study. The overall seroprevalence of Ig G antibodies against SARS-CoV 2 in the current study was 40.6% (95% CI 38.7-42.6), with seroprevalence being significantly higher among females (44.7% as compared to 37.5%). Age standardized seroprevalence revealed that seroprevalence increased with the increasing age.Conclusions: The findings of Seroprevalence study may fail to reveal the true picture of covid-19 infection as there were certain participants who were positive for COVID on RTPCR but were IgG negative. Thus, the individual variation of immune response to the virus, role of mucosal Ig A antibodies and T cell mediated immunity cannot be ruled out.

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Population based need assessment of palliative care in rural Nepal

Journal of Patan Academy of Health Sciences ◽

10.3126/jpahs.v4i2.24580 ◽

2017 ◽

Vol 4 (2) ◽

pp. 21-26 ◽

Cited By ~ 1

Author(s):

Paras Kumar Acharya ◽

Kedar Baral ◽

Dan Munday ◽

Rajesh N Gongal

Keyword(s):

Palliative Care ◽

National Health System ◽

Symptom Burden ◽

Population Based ◽

Cluster Sampling ◽

Cross Sectional ◽

Population Based Study ◽

Need Assessment ◽

High Level ◽

Rural Nepal

Introductions: Developing palliative care in rural Nepal is essential to integrate the service into the national health system. This study was done with the aim of assessing the need of patients requiring palliative care in rural Nepal. Methods: This was a cross-sectional population based study in Thaha Municipality using a 30-cluster sampling method and employing the Supportive and Palliative Care Indicators Tool (SPICT) to identify patients with palliative care need. Assessment of symptom burden was done for patients identified to have palliative care need. Results: Out of 330 households with a population of 2168, we found 139 (6.4%) suffering from chronic non-communicable diseases and 66 (3.04%) met the SPICT criteria for palliative care need and 60% were elderly above the age of 60. The disease of respiratory system followed by frailty and dementia were common condition requiring palliative care. Conclusions: This study showed a high level of need for palliative care in a rural population in Nepal. This needs to be considered in further planning of health services in the country.

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Prevalence, vulnerability and epidemiological characteristics of snakebite in agricultural settings in rural Sri Lanka: A population-based study from South Asia

PLoS ONE ◽

10.1371/journal.pone.0243991 ◽

2020 ◽

Vol 15 (12) ◽

pp. e0243991

Author(s):

Subashini Jayawardana ◽

Carukshi Arambepola ◽

Thashi Chang ◽

Ariaranee Gnanathasan

Keyword(s):

Rural Communities ◽

Sri Lanka ◽

Case Fatality ◽

Population Based ◽

Lower Limbs ◽

Cluster Sampling ◽

Night Time ◽

Cross Sectional ◽

Population Based Study ◽

Epidemiological Characteristics

Background The burden of snakebite remains poorly characterised because of the paucity of population-based data. Further, factors determining the vulnerability of individuals within rural communities to snakebite have been rarely investigated. We undertook a population-based study to determine the prevalence, vulnerability and epidemiological characteristics of snakebite in rural Sri Lanka. Methods and findings A population-based cross-sectional study was conducted among 8707 current residents in the district of Ampara, representing typical rural Sri Lanka. The sample was recruited using multi-stage cluster sampling with probability proportionate-to-size. Snakebite victims were identified using the WHO criteria. Data were collected using a pre-tested interviewer-administered questionnaire. Each household had on average 3.8 persons; mean age 28.3 years (SD = 18.2); 51.3% males. The one-year point prevalence of snakebites was 17.6 per 1000 residents (95% CI: 15–20.6) and 6.12 per 100 households (95% CI: 5.25–7.13), while the lifetime prevalence was 9.4 per 100 residents (95% CI: 8.8–10.0) and 30.5 per 100 households (95% CI: 28.6–32.2) with a case fatality ratio of 0.033. Venomous snakebites accounted for 28.1%; snakes were unidentified among 30.1%. Compared to the non-snakebite victims, being single, males, of Sinhala ethnicity, aged >19 years, low education and socioeconomic status, engaging in farming or unskilled outdoor occupations denoted vulnerability to snakebites. Outdoor bites (77.8%) were more common among males; during daytime; mostly while walking; within the rural terrains and home gardens; on lower limbs; mostly by hump-nosed and Russell viper. Indoor bites were more common among females; during night-time; while sleeping and barefooted; on lower limbs; mostly by hump-nosed vipers, kraits and non-venomous snakes. Conclusions The burden of snakebite is considerably high among rural populations. The concept of vulnerability can be useful in healthcare decision-making and resource allocation.

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