scholarly journals 330 - Depression and Anxiety among Older people in Central Africa: Results of the EPIDEMCA population-based study

2020 ◽  
Vol 32 (S1) ◽  
pp. 89-89
Author(s):  
Maëlenn Guerchet ◽  
Antoine Gbessemehlan ◽  
Caroline Adou ◽  
Jean-Pierre Clément ◽  
Bébène Ndamba-Bandzouzi ◽  
...  
Keyword(s):  
Older People ◽  
Rural Areas ◽  
Psychiatric Symptoms ◽  
Central Africa ◽  
Diagnostic System ◽  
Population Based ◽  
Computer Assisted ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Population Based Study

Introduction:Depression and anxiety are two very common psychiatric disorders in late-life. They are markers of poor quality of life and are strongly associated with death among older people. Yet, few studies on these comorbidities have been conducted in the African population. This study aims to present the epidemiology of depression and anxiety among older people in Central Africa.Method:A cross-sectional population-based study was carried out in Republic of Congo (ROC) and Central African Republic (CAR) between 2011 - 2012 among older people aged ? 65 years (EPIDEMCA study). Data were collected using a standardized questionnaire and participants underwent a brief physical examination. Depression and anxiety symptoms were ascertained using a community version of the Geriatric Mental State (GMS-B3) and the Automated Geriatric Examination for Computer Assisted Taxonomy diagnostic system (AGECAT), probable cases were defined as having a GMS-AGECAT level of 3 or more. Logistic regression models were used to investigate the association between potential risk factors collected and each symptom.Results:Overall 2002 participants were included in the EPIDEMCA study (500 in Brazzaville and 529 in Gamboma in ROC, 500 in Bangui and 473 in Nola (473) in CAR). Median age of the participants was 72 years [interquartile range: 68 – 78 years] and females were mostly represented (61.8%). Prevalence was 38.1% (95% Confidence Interval: 35.9% - 40.2%) for depression, 7.7% (95% CI: 6.5% - 8.9%) for anxiety and 5.7% (95% CI: 4.6% - 6.7%) for the co-occurrence of both disorders. For all three outcomes, prevalence was significantly higher among females and in rural areas. Only depression increased with age. Preliminary analyses showed that female sex, living in a rural area, and living without a partner were associated with the three outcomes (Odds Ratios from 1.59 to 3.27; p<0.01). In-depth results regarding correlates of depression, anxiety and the co-occurrence of both will be presented.Conclusion:The prevalence of depression and anxiety was high among Central African older people. Evidence on the epidemiology of these common psychiatric symptoms are of importance for care management and also emphasize the need to maintain and/or strengthen social support around older people in the region.

Self-Reported Vision Impairment and Frailty among Older People with Low Cognitive Performance in Central Africa: EPIDEMCA Population-Based Study

2021 ◽  
pp. 1-7
Author(s):  
Antoine Gbessemehlan ◽  
Gilles Kehoua ◽  
Catherine Helmer ◽  
Cécile Delcourt ◽  
Achille Tchalla ◽  
...  
Keyword(s):  
Older People ◽  
Cognitive Performance ◽  
Odds Ratio ◽  
Adjusted Odds Ratio ◽  
Central Africa ◽  
Population Based ◽  
Vision Impairment ◽  
Sub Saharan Africa ◽  
Population Based Study ◽  
The Impact

<b><i>Introduction:</i></b> Very little is known about the impact of vision impairment (VI) on physical health in late-life in sub-Saharan Africa populations, whereas many older people experience it. We investigated the association between self-reported VI and frailty in Central African older people with low cognitive performance. <b><i>Methods:</i></b> It was cross-sectional analysis of data from the Epidemiology of Dementia in Central Africa (EPIDEMCA) population-based study. After screening for cognitive impairment, older people with low cognitive performance were selected. Frailty was assessed using the Study of Osteoporotic Fracture index. Participants who met one of the 3 parameters assessed (unintentional weight loss, inability to do 5 chair stands, and low energy level) were considered as pre-frail, and those who met 2 or more parameters were considered as frail. VI was self-reported. Associations were investigated using multinomial logistic regression models. <b><i>Results:</i></b> Out of 2,002 older people enrolled in EPIDEMCA, 775 (38.7%) had low cognitive performance on the screening test. Of them, 514 participants (sex ratio: 0.25) had available data on VI and frailty and were included in the analyses. In total, 360 (70%) self-reported VI. Prevalence of frailty was estimated at 64.9% [95% confidence interval: 60.9%–69.1%] and 23.7% [95% CI: 20.1%–27.4%] for pre-frailty. After full adjustment, self-reported VI was associated with frailty (adjusted odds ratio = 2.2; 95% CI: 1.1–4.3) but not with pre-frailty (adjusted odds ratio = 1.8; 95% CI: 0.9–3.7). <b><i>Conclusion:</i></b> In Central African older people with low cognitive performance, those who self-reported VI were more likely to experience frailty. Our findings suggest that greater attention should be devoted to VI among this vulnerable population in order to identify early frailty onset and provide adequate care management.

Factors that influence the oral impact on daily performance of older people in Brazil: A cross‐sectional population‐based study

Gerodontology ◽  
2019 ◽  
Vol 37 (1) ◽  
pp. 78-86
Author(s):  
Yuri Wanderley Cavalcanti ◽  
Leopoldina de Fátima Dantas Almeida ◽  
Edson Hilan Gomes Lucena ◽  
Livia Fernandes Probst ◽  
Denise de Fatima Barros Cavalcante ◽  
...  
Keyword(s):  
Older People ◽  
Population Based ◽  
Cross Sectional ◽  
Population Based Study ◽  
Oral Impact

scholarly journals Public Awareness of Tuberculosis in Southeast China: A Population-Based Study

2019 ◽  
Vol 16 (21) ◽  
pp. 4290 ◽  
Author(s):  
Xinyi Chen ◽  
Wei Wang ◽  
Xiaomeng Wang ◽  
Chengliang Chai ◽  
Kui Liu ◽  
...  
Keyword(s):  
Rural Areas ◽  
Public Awareness ◽  
Population Based ◽  
Cross Sectional Study ◽  
Zhejiang Province ◽  
First Line ◽  
Cross Sectional ◽  
Population Based Study ◽  
Therapeutic Drugs ◽  
And Control

Few provinces in China have recently conducted population-based surveys on tuberculosis (TB) awareness at the provincial level. Hence, we conducted a population-based, cross-sectional study to evaluate the level of awareness of TB knowledge among residents of Zhejiang Province, China from October 2018 to December 2018. A total of 7174 individuals were randomly selected to participate in this survey. The rate of awareness of key information on TB was found to be 48.0%. The study’s participants exhibited a good understanding of the transmission route (80.8%), curable outcome (78.3%), and designated treatment sites (67.0%) of TB. The rate of awareness of suspicious TB symptoms (36.1%) and the relief policy on diagnosis and first-line therapeutic drugs (38.0%) were found to be relatively low among the respondents. People living in rural areas, those who were less educated, and students all showed a low level of awareness of key knowledge about TB. In conclusion, residents in Zhejiang Province generally lacked key information about TB, which is not conducive to the early detection and treatment of TB. Corresponding efforts should be made for different groups of people to achieve favorable effects on the prevention and control of TB.

Factors associated with medication regimen complexity in older people: a cross-sectional population-based study

2015 ◽  
Vol 71 (9) ◽  
pp. 1099-1108 ◽  
Author(s):  
Barbara Caecilia Wimmer ◽  
Kristina Johnell ◽  
Johan Fastbom ◽  
Michael David Wiese ◽  
J. Simon Bell
Keyword(s):  
Older People ◽  
Population Based ◽  
Medication Regimen ◽  
Cross Sectional ◽  
Population Based Study ◽  
Factors Associated ◽  
Medication Regimen Complexity ◽  
Regimen Complexity

scholarly journals Alcohol consumption and self-rated health among older people: population-based study in Sweden

2019 ◽  
Vol 42 (4) ◽  
pp. 756-765 ◽  
Author(s):  
Jim Lindström ◽  
Charlotta Hellström ◽  
Bo Simonsson ◽  
Anu Molarius
Keyword(s):  
Alcohol Consumption ◽  
Older People ◽  
Population Sample ◽  
Population Based ◽  
Cross Sectional Study ◽  
Lower Probability ◽  
Cross Sectional ◽  
Population Based Study ◽  
Self Rated Health ◽  
Random Population Sample

Abstract Objective To analyse alcohol consumption and its association with self-rated health among a representative sample of older people in mid-Sweden. Background Over the past decades, alcohol consumption has increased in the older population in Sweden, but few studies have investigated the association between alcohol consumption and self-rated health in this group. The aim was therefore to investigate alcohol consumption and self-rated health among older Swedes. Methods The study is based on a cross-sectional study of 11,716 men and women, 65 years and over, answering a survey questionnaire sent to a random population sample in mid-Sweden in 2012. We assessed alcohol consumption with AUDIT-C and its association with self-rated health using logistic regression analysis, adjusting for age, economic situation, educational level, BMI, physical activity, social support and medication use. Results Men (83%) were more prone to drink alcohol compared to women (71%). The prevalence of risk drinking was about 2% for both genders. Alcohol consumption declined with age. Moderate consumption of alcohol was associated with lower probability of poor self-rated health compared to non-drinking with an adjusted odds ratio 0.64 (95% confidence interval: 0.54-0.76) for men and 0.68 (0.59-0.79) for women. Conclusion Since the study was cross-sectional the direction of the association could not be determined, and the results should not be interpreted as an argument for promoting alcohol consumption among older people.

scholarly journals Benzodiazepine and z-hypnotic prescribing for older people in primary care: a cross-sectional population-based study

2016 ◽  
Vol 66 (647) ◽  
pp. e410-e415 ◽  
Author(s):  
Chris F Johnson ◽  
Cornelia Frei ◽  
Noreen Downes ◽  
Stuart A McTaggart ◽  
Gazala Akram
Keyword(s):  
Primary Care ◽  
Older People ◽  
Population Based ◽  
Cross Sectional ◽  
Population Based Study

[P3-547]: EARLY LIFE AND COGNITIVE RESERVE: ASSOCIATIONS WITH DEMENTIA AMONG OLDER PEOPLE IN CENTRAL AFRICA IN THE EPIDEMCA POPULATION-BASED STUDY

2017 ◽  
Vol 13 (7S_Part_24) ◽  
pp. P1187-P1188
Author(s):  
Maëlenn Guerchet ◽  
Sophie Pilleron ◽  
Bebene Ndamba Bandzouzi ◽  
Pascal Mbelesso ◽  
Jean-Pierre Clement ◽  
...  
Keyword(s):  
Older People ◽  
Early Life ◽  
Cognitive Reserve ◽  
Central Africa ◽  
Population Based ◽  
Population Based Study

scholarly journals ANTENATAL CARE DIFFERENCES IN BRAZILIAN URBAN AND RURAL AREAS: A CROSS-SECTIONAL POPULATION-BASED STUDY

2013 ◽  
Vol 17 (1) ◽  
Author(s):  
Laís Santos de Magalhães Cardoso ◽  
Larissa Loures Mendes ◽  
Gustavo Velásquez-Meléndez
Keyword(s):  
Antenatal Care ◽  
Rural Areas ◽  
Population Based ◽  
Cross Sectional ◽  
Population Based Study ◽  
Urban And Rural Areas

scholarly journals Care-Seeking Pattern among Persons with Depression and Anxiety: A Population-Based Study in Sweden

2012 ◽  
Vol 2012 ◽  
pp. 1-9 ◽  
Author(s):  
Anna Wallerblad ◽  
Jette Möller ◽  
Yvonne Forsell
Keyword(s):  
Anxiety Disorders ◽  
Depressive Disorders ◽  
Psychiatric Symptoms ◽  
Psychological Symptoms ◽  
Population Level ◽  
Population Based ◽  
Care Seeking ◽  
Depression And Anxiety ◽  
Population Based Study ◽  
Research Criteria

Background. In primary care, a vast majority of patients affected with depression and anxiety present with somatic symptoms. Detection rate of psychiatric symptoms is low, and knowledge of factors influencing care seeking in persons affected by depressive and anxiety disorders on a population level is limited. Objective. This study aims to describe if persons, affected by depression and anxiety disorders, seek care and which type of care they seek as well as factors associated with care seeking. Method. Data derives from a longitudinal population-based study of mental health conducted in the Stockholm County in 1998–2010 and the present study includes 8387 subjects. Definitions of anxiety and depressive disorders were made according to DSM-IV criteria, including research criteria, using validated diagnostic scales. 2026 persons (24%) fulfilled the criteria for any depressive or anxiety disorder. Results. Forty-seven percent of those affected by depression and/or anxiety had been seeking care for psychological symptoms within the last year. A major finding was that seeking care for psychological symptoms was associated with having treatment for somatic problems. Conclusions. As a general practitioner, it is of great importance to increase awareness of mild mental illness, especially among groups that might be less expected to be affected.

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