Risk factors for PTSD after Typhoon Morakot among elderly people in Taiwanese aboriginal communities

2011 ◽  
Vol 23 (10) ◽  
pp. 1686-1691 ◽  
Author(s):  
Yi-Lung Chen ◽  
Chung-Sheng Lai ◽  
Wu-Tsung Chen ◽  
Wen-Yau Hsu ◽  
Yi-Cheng Wu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Elderly People ◽  
Aboriginal People ◽  
Perceived Health ◽  
The Elderly ◽  
Personal Injury ◽  
Ptsd Symptoms ◽  
Typhoon Morakot ◽  
Property Damage ◽  
Ptsd Symptomatology

ABSTRACTBackground:This study aimed to investigate the risk factors associated with post-traumatic stress disorder (PTSD) symptoms in a mid- and old-age population who experienced Typhoon Morakot in Taiwan.Methods:One hundred and twenty people, who were mostly Taiwanese aboriginal people aged 55 years and above, were invited to participate in this study. PTSD symptoms were assessed using the PTSD Symptom Scale (PSS-I). Information regarding demographic characteristics, relocation, personal injury, family death, property damage, and self-perceived health was collected.Results:29.2% of study participants presented significant PTSD symptomatology during the previous month. Development of PTSD symptomatology after the disaster was significantly associated with being female (OR 3.63, 95% CI = 1.11–11.88), experiencing relocation (OR 5.64, 95% CI = 1.60–19.88), and having poorer self-perceived health (OR 4.24, 95% CI = 1.53–11.78) after controlling for age, education, personal injury, family death, and property damage. Further, by adding depression into the analysis, we found the risk factors were being female (OR 4.66, 95% CI = 1.16–18.80), experiencing relocation (OR 27.91, 95% CI = 3.74–229.80), family death (OR 67.62, 95% CI = 2.85–1063.68), and poorer self-perceived health (OR 28.69, 95% CI = 4.52–182.06).Conclusion:Nearly 30% of the elderly people studied who experienced Typhoon Morakot developed significant PTSD symptomatology. The risk factors for PTSD symptoms were female gender, poorer self-perceived health, relocation, family death, and depression. The elderly people who were relocated by governmental programs were more likely to develop PTSD symptomatology after experiencing trauma. Resettlement and rehabilitation programs after a disaster need to be more concerned with their psychological effects on victims.

scholarly journals Prevalence and intensity of chronic pain and self-perceived health among elderly people: a population-based study

2014 ◽  
Vol 22 (4) ◽  
pp. 662-669 ◽  
Author(s):  
Lilian Varanda Pereira ◽  
Patrícia Pereira de Vasconcelos ◽  
Layz Alves Ferreira Souza ◽  
Gilberto de Araújo Pereira ◽  
Adélia Yaeko Kyosen Nakatani ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Elderly People ◽  
Perceived Health ◽  
The Elderly ◽  
The Self ◽  
Lower Limbs ◽  
Joint Disease ◽  
Lumbar Region ◽  
Self Perception ◽  
Perception Of Health

OBJECTIVE: to identify the prevalence and intensity of chronic pain among elderly people of the community and to analyze associations with the self-perceived health status.METHOD: cross-sectional study with a populational sample (n=934), conducted through household interviews in the city of Goiânia, Brazil. The intensity of chronic pain (existing for 6 months or more) was measured using a numerical scale (0-10) and the self-perceived health through a verbal scale (very good, good, fair, poor, very poor). For the statistical analysis, the absolute frequency and percentage, CI (95%), Chi-square test, Odds ratio, and regression analysis were used. Significance of 5%.RESULTS: The prevalence of chronic pain was 52.8% [CI (95%):49.4-56.1]; most frequently located in the lower limbs (34.5%) and lumbar region (29.5%); with high or the worst possible intensity for 54.6% of the elderly people. The occurrence of chronic pain was associated with (p<0.0001) a worse self-perception of health (OR=4.2:2.5-7.0), a greater number of chronic diseases (OR=1.8:1.2-2.7), joint disease (OR=3.5:2.4-5.1) and the female gender (OR=2.3:1.7-3.0). A lower intensity of chronic pain was associated with a better self-perception of health (p<0.0001).CONCLUSION: the majority of the elderly people of the community reported chronic pain, of a severe intensity, and located in areas related to movement activities, thus influencing the morbidity and mortality of this population.

scholarly journals Incidence of delirium following hospitalization of elderly people with fractures: risk factors and mortality

2021 ◽  
Vol 55 ◽  
Author(s):  
Brunna Rodrigues de Lima ◽  
Brenda Kelly Gonçalves Nunes ◽  
Lara Cristina da Cunha Guimarães ◽  
Lucenda Fellipe de Almeida ◽  
Valéria Pagotto
Keyword(s):  
Risk Factors ◽  
Elderly People ◽  
Past History ◽  
The Elderly ◽  
High Energy ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Risk Of Death ◽  
Incidence Risk ◽  
One Year

ABSTRACT Objective: To identify the incidence, risk factors for delirium, and its association with death in the elderly hospitalized with fractures. Method: Prospective cohort, with a one-year follow-up of elderly people with clinical or radiological diagnosis of fracture, from an emergency and trauma hospital in the state of Goiás. The outcome delirium was defined by the medical description in the medical record. The predictor variables were demographic, health conditions, and hospitalization complications. A hierarchical multiple analysis was performed using robust Poisson regression, with Relative Risk as a measure of effect. Results: A total of 376 elderly patients were included. The incidence of delirium was 12.8% (n = 48). Risk factors were male gender, age ≥80 years, dementia, heart disease, osteoporosis, chronic obstructive pulmonary disease, high-energy traumas, pneumonia, urinary tract infection, and surgery. The risk of death in the sample was 1.97 times higher (HR: 1.97 95% CI 1.19–3.25) in elderly people with delirium. Conclusion: Delirium had an intermediate incidence (12.8%); the risk of death in this group was about 2 times higher in one year after hospital admission. Demographic factors, past history of diseases, surgery, and complications have increased the risk and require monitoring during hospitalization of elderly people with fractures.

scholarly journals Predictors of Symptom Increase in Subsyndromal PTSD Among Previously Deployed Military Personnel

2021 ◽  
Author(s):  
Robyn M Highfill-McRoy ◽  
Jordan A Levine ◽  
Gerald E Larson ◽  
Sonya B Norman ◽  
Emily A Schmied ◽  
...  
Keyword(s):  
Risk Factors ◽  
Military Service ◽  
Military Veterans ◽  
Baseline Survey ◽  
Ptsd Symptoms ◽  
Logistic Regression Models ◽  
Positive Coping ◽  
Increased Risk ◽  
Ptsd Symptomatology

ABSTRACT Introduction Subsyndromal PTSD (sub-PTSD) is associated with functional impairment and increased risk for full PTSD. This study examined factors associated with progression from sub-PTSD to full PTSD symptomatology among previously deployed military veterans. Materials and Methods Data were drawn from a longitudinal survey of Navy and Marine Corps personnel leaving military service between 2007 and 2010 administered immediately before separation (baseline) and ~1 year later (follow-up). Survey measures assessed PTSD symptoms at both times; the baseline survey also assessed potential predictors of symptom change over time. Logistic regression models were used to identify predictors of progression from sub-PTSD to full PTSD status. Results Compared to those with no or few PTSD symptoms at baseline, individuals with sub-PTSD were almost three times more likely to exhibit full PTSD symptomatology at follow-up. Risk factors for symptom increase among those with sub-PTSD included moderate or high levels of combat exposure and utilization of fewer positive coping behaviors. Use of prescribed psychotropic medication was protective against symptom increase. Conclusion This study identified several predictors of symptom increase in military veterans with sub-PTSD. Interventions targeting modifiable risk factors for symptom escalation, including behavioral and pharmacological treatments, may reduce rates of new-onset PTSD in this population.

scholarly journals EXPLORING GAIT, BALANCE PERFORMANCE AND FEAR OF FALLING AMONG ELDERLY PEOPLE LIVING IN RURAL AREAS OF THAILAND

1970 ◽  
Vol 7 (3) ◽  
pp. 142-145
Author(s):  
Pummarak S ◽  
Samrongtong R ◽  
Ramesh Kumar
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Elderly People ◽  
Prevention Program ◽  
Fall Risk ◽  
Fear Of Falling ◽  
The Elderly ◽  
Balance Performance ◽  
Fall Risk Factors

Background: Previous evidence indicates that older people allocate more of their attentional resources toward their gait and that the attention-related changes that occur during aging increase the risk of falls. Methods: A cross sectional study was conducted in Banna District and Ongkarak District, Nakornnayok Province, Thailand. One hundred elderly people participated in this study. Gait was assessed by a Time Up and Go Test (TUGT) while the One legged stance test (OLST) assessed balance performance. The Falls Efficacy Scale (FES) measured fear of falling of the elderly people. A WHOQOL-BREF instrument assessed the quality of Life among elderly people. Results: The findings revealed that 58% of the participants were female, aged between 60-74 years (mean = 66.39, SD 3.65). Over a 12 month period, 57% of participants had experienced a fall once, 41% had experienced 2 falls while 2% had experienced 3 or more falls. One-third of the elderly people who participated in the study had a fear of falling. Almost all of the elderly participants (76%) had a moderate fall risk perception score. The mean score of total quality of life was moderate (80.43). Conclusion: Study concluded that the elderly people face a valid risk of falling based on prevalent risk factors that results in a fear of falling. An assessment of fall risk factors are important in establishing a fall prevention program for the elderly faced with fall risk factor from fear of falling and. Assessment fall risk factors are important to provide the suitable falls prevention program for the elderly.

scholarly journals Effect of the Living Environment on falls among the Elderly in Urmia

2018 ◽  
Vol 6 (11) ◽  
pp. 2233-2238 ◽  
Author(s):  
Seyed Saeed Mazloomy Mahmoodabad ◽  
Moradali Zareipour ◽  
Mohsen Askarishahi ◽  
Alireza Beigomi
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Elderly People ◽  
Physical Space ◽  
The Elderly ◽  
Living Environment ◽  
Cluster Sampling ◽  
Living Room ◽  
Chi Square ◽  
Cross Sectional

BACKGROUND: The living environment has an impact on the health of the elderly, and the safety of the house is one of the concerns of the elderly. Disregarding the safety concerns increases the falling. AIM: This research was conducted with the aim of influencing the living environment on falls among elderly people in Urmia city. METHODS: This is a cross-sectional (descriptive-analytic) study which 200 elderly people were selected by random cluster sampling. Data were collected by using a two-part questionnaire including demographic information, and home safety assessment checklist. Data were analysed by using chi-square test and logistic regression in SPSS v. 21 software. RESULTS: The incidence of falling in the elderly was 30%. There was a significant statistical association with age, sex, marital status and history of chronic disease. Results of logistic regression showed non-safe stairs (OR = 1.1, p = 0.002), unsafe toilet/bath (OR = 1.3, p = 0.001), unsafe bedrooms (OR = 1.7, p = 0.05) unsafe living room (OR = 1.4, p = 0.02) increase the falls in the elderly, as well as male gender (OR = 1.14, p < 0.001) and living with other people (OR = 0.19, p = 0.002) reduce the falls in the elderly. CONCLUSION: By identifying the risk factors of the physical space of the home, we can plan for implementing necessary interventions according to the risk factor or risk factors to prevent and reduce the falls in the elderly community.

scholarly journals Eldre personer er sårbare i ekstreme værsituasjoner

2009 ◽  
Vol 14 (2) ◽  
Author(s):  
Anette Hylen Ranhoff
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Elderly People ◽  
Heat Waves ◽  
Weather Conditions ◽  
Risk Groups ◽  
The Elderly ◽  
Extreme Weather ◽  
Vulnerable Groups ◽  
Font Size

<span style="font-size: x-small; font-family: TimesNewRomanPSMT;"><span style="font-size: x-small; font-family: TimesNewRomanPSMT;"><p align="left">I fjor sommer ble Europa rammet av en hetebølge og tusenvis av eldre mennesker døde. Sammenhengen mellom helsetilstand og påvirkning av klima er kompleks og medisinske, sosiale og miljømessige faktorer er involvert. Imidlertid er hete- og kulderelaterte sykdommer, skade og død i høy grad mulig å forebygge, og det er behov for å analysere denne situasjonen og andre ekstreme værsituasjoner for å kunne sikre helsen til eldre personer ved liknede hendelser i fremtiden.   Artikkelen gir en oversikt over litteratur som omhandler sykelighet og dødelighet som følge av ekstreme værforhold: hete, kulde og situasjoner der transport, elektrisitet og andre leveranser er begrenset, som etter en orkan, enorme snøfall eller liknende. Sammenhenger mellom sykelighet, dødelighet og temperatur i alminnelighet bli også omtalt, med spesielt fokus på de eldre.            </p><p align="left">Eldre som lever alene og er sosialt isolerte, og spesielt de som har funksjonshemning eller kognitiv svikt har høyest risiko for sykdom, skade og død i ekstreme værsituasjoner. Dette kan trolig i stor grad forebygges. Det anbefales at alle kommuner har kriseplaner for naturkatastrofer og ekstreme værsituasjoner som spesielt inneholder tiltak rettet mot sårbare eldre. Planene bør inneholde generell alarmering og informasjon samt systemer for oppsøkende virksomhet overfor risikogrupper.</p><p align="left"> </p><span style="font-size: x-small; font-family: TimesNewRomanPSMT;"><span style="font-size: x-small; font-family: TimesNewRomanPSMT;"><p>The 2003 heat wave in Europe was responsible for the deaths of thousands of elderly people. Heat- and cold-related illnesses, injuries and deaths are supposed to be largely preventable, and it is a need for analysing this situation and other situations with extreme weather conditions where elderly people are believed to be particularly vulnerable</p><p>This article is a review of the literature concerning morbidity and mortality in extreme weather conditions like heat, cold and situations where transportation, electricity, and other supplies are limited as a consequence of extreme weather such as after a hurricane or an enormous snowfall. Associations between mortality, morbidity and temperature in general are also discussed with focus on the elderly population<strong>. </strong>after a hurricane or an enormous snowfall. The frailest elderly are at the highest risk. In situati The elderly are at high risk for illnesses, injuries and death in extreme weather conditions. There are numerous reports from heat waves, but also cold-related problems are well documented. Other risk factors are disability, cognitive impairment, chronic disease, the use of special drugs and social isolation. Many risk factors are common for heat-, and cold-related problems, and also for other situations like<strong> </strong>ons with extreme weather conditions, we recommend local and central authorities to have emergency plans with special adaptations to the needs of elderly people and other vulnerable groups. These plans should include general warning and information and systems for preventive visits to high-risk groups.</p>. </span></span></span></span>

scholarly journals Avaliação nutricional, qualidade de vida e risco de sarcopenia em idosos frequentadores de instituições day care de São Paulo e Ribeirão Preto

2020 ◽  
Vol 35 (3) ◽  
pp. 237-243
Author(s):  
Noeli Aparecida Rosa de Morais ◽  
Renata Furlan Viebig
Keyword(s):  
Nutritional Status ◽  
Elderly People ◽  
Day Care ◽  
Perceived Health ◽  
The Elderly ◽  
Sao Paulo ◽  
The Other ◽  
Nutritional Risk ◽  
São Paulo ◽  
Significant Difference

Objective: To investigate associations among nutritional status, self-perceived health and risk of sarcopenia in people attending Day Care institutions, comparing elderly people in the capital and in the interior of São Paulo. Methods: Cross-sectional study, carried out in two Day Care institutions, one in São Paulo and the other in Ribeirão Preto, with the convenience sample consisting of 28 elderly people. Individual interviews were conducted to obtain personal data and self-perceived health. To assess nutritional status and risk of sarcopenia, anthropometric data (weight, height, skin folds and body circumferences) were measured and the SARC-F questionnaire was applied, translated and validated into Portuguese. To assess the nutritional risk of the elderly, the Mini Nutritional Assessment (MAN) was used and the appetite of the elderly was investigated by the Simplified Nutritional Questionnaire for Appetite (QNSA). The statistical analysis was performed with the aid of the SPSS v.21 software, at a significance level of 5%. The chi-square test was used to investigate the associations among the variables obtained. Results: There was a statistically significant difference (p = 0.035) in self-perceived health among the elderly in both cities, and no elderly person in the capital considered their health “excellent”. The elderly in the interior had an average body mass index significantly lower than the value found in the capital (p = 0.013). Statistically significant differences were also observed for arm circumference (p <0.001) and skinfold triceps (p <0.001). MAN’s results demonstrated nutritional risk for the elderly in both cities. On the other hand, the average SARC-F scores in both cities did not indicate a significant risk of sarcopenia. Conclusions: Although the risk of sarcopenia was not observed in the majority of the studied population, the results suggested that elderly people in the countryside have a better perception of their health, but with anthropometric indicators indicative of nutritional deficit

scholarly journals Risk factors and knowledge of the elderly people about chronic kidney disease

Rev Rene ◽  
2017 ◽  
Vol 18 (3) ◽  
pp. 361 ◽  
Author(s):  
Millena Freire Delgado ◽  
Isabel Neves Duarte Lisboa ◽  
Maria Isabel Da Conceição Dias Fernandes ◽  
Ana Carolina Costa Carino ◽  
Renata Marinho Fernandes ◽  
...  
Keyword(s):  
Risk Factors ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Elderly People ◽  
The Elderly

scholarly journals HEALTH OF THE ELDERLY PEOPLE AS THE BASIS FOR FORMATION OF MEDICAL AND SOCIAL NEEDS

2021 ◽  
Vol 74 (3) ◽  
pp. 658-664
Author(s):  
Tetiana S. Gruzieva ◽  
Mykhаilo D. Diachuk ◽  
Hanna V. Inshakova ◽  
Ivan M. Soroka ◽  
Vasyl A. Dufynets
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Older People ◽  
Elderly People ◽  
Social Services ◽  
Age Groups ◽  
The Elderly ◽  
Medical Activity ◽  
Economic Determinants ◽  
Low Level

The aim: The identification and determination of needs that the population of older age groups have in medical and social services on the basis of health data and the results of a survey. Material and methods: Because of bibliographic, epidemiological, medical-statistical, analytical methods the research has investigated the problems of healthy aging, tendencies in population health of the population of Ukraine of senior age groups during 2000-2017, features and tendencies of health of a sample contingent of urban population of elderly age according to appeals in health care facilities during 2009-2019. The use of the sociological method, the self-evaluation of elderly people of their own health, characteristics of lifestyle and medical activity are determined, the needs of older people in medical and social services were assessed. Results: Negative tendencies to increase during 2000-2017 the prevalence of pathology among the population older than working age by 22.8%, including blood diseases in 2 times, endocrine system – in 1.8 times, urogenital system – by 1.5 times, digestive organs – by 1.4 times, tumors and nervous system – by 1.3 times. Among the urban elderly population, the prevalence of sensory diseases, including ear and eye diseases, endocrine disorders, injuries and poisonings, has increased, and mental health indicators have deteriorated. The sociological survey found a low level of self-esteem (31.5±3.5 per 100 had health problems, 10.1±2.3 are significant). Self-medication was practiced by 76.4±3.2 per 100 respondents, 74.2±3.3 were not followed or they violated the doctor's recommendations. 56.2 ±3.7 per 100 respondents had physical examinations in the non-right time 29.7±3.4 had not it. There was a significant prevalence of risk factors, including hypodynamics (21.9±3.1 per 100), tobacco use (29.8±3.4), malnutrition (37.1±3.6), overweight (obesity) (32, 6±3.5), arterial hypertension (37.6±3.6), hypercholesterolemia (28.7±3.4), glucosemia 16.3±2.8). The research has discovered the needs of older people in health care and social services, inter alia in preventive counseling (65.2±3.6 per 100), the introduction of electronic technologies in health care (68.5±3.5), information educational services on health issues (67.4±3.5), provision of services in hospitals at home (66.3±3.5), in increasing the availability of rehabilitation (43.8±3.7), specialized counseling (34.3±3.6) and emergency medical care (16.2±2.8), improvement of socio-economic determinants (78.0±3.1), introduction of activities (48.3±3.7), joint training programs for older people (42.1±3.7), the development of certain skills, the use of technical means, assistive devices (67.4±3.5), the formation of a conducive to better health environment (58, 4±3.7). Conclusions: The low level of the elderly people's health, the tendency to increase the burden of disease, the prevalence of risk factors for disease and low medical activity lead to significant needs for medical and social services of preventive, treatment-diagnostic, rehabilitation, improving socio-economic determinants, measures to reduce social isolation.

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