scholarly journals Trend of specific HIV/AIDS mortality in the elderly in the Distrito Federal, Brazil

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
R C C S Sacco ◽  
K T Santos ◽  
P M F Escalda

Abstract Background In the last decade, the number of individuals over 60 years of age with AIDS has increased in Brazil, with the need to know the trend of the mortality of the disease to subsidize educational and preventive actions for service users and health professionals. The objective was to describe the trend of mortality from HIV/AIDS in the elderly in the Federal District (DF), Brazil, from 2007 to 2016. Methods Descriptive study, ecological type of time series, from secondary data on mortality obtained from the Brazilian Ministry of Health. Linear regression was performed to analyze trends by sex and by age group, using the Statistical Package for the Social Sciences (SPSS). Results Deaths were predominant in men (74.1%) aged 60 to 69 years (70.4%). The sex ratio was 2.85. The married / stable union (43.0%) and white (52%) were the majority. There was a significant increase in males, while in females, it was slightly decreasing in the same period. In the age groups of 60-69 years and 70-79 years, there was a tendency to increase in mortality, decreasing for ≥ 80 years. Conclusions There was a predominance and an increasing tendency in young male elderly, demonstrating that prevention actions need to achieve greater reach in this population, with the breaking of barriers related to prejudice and the stigma of the disease. A better organization of the care network for the elderly is suggested, enabling approaches to suspected cases and providing early diagnosis, to ensure greater quality survival for the elderly. Key messages There was a tendency to increase mortality from HIV / AIDS in elderly men, aged 60-79 years. There is a need to improve educational activities and early diagnosis and timely treatment for this group.

Author(s):  
Ruth da Conceição Costa e Silva Sacco ◽  
Raissa Gomes Magalhães ◽  
Amanda de Siqueira Cabral ◽  
Patrícia Maria Fonseca Escalda

Introduction: Infection with the human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) in Brazil experienced a significant increase in the last decade among individuals aged over 60 years. This scenario indicates the need to know the mortality profile from AIDS in aged adults, in order to promote educational and preventive actions, in addition to professional development to improve the care provided to these patients. Objective: To describe the epidemiological profile of aged adults who died of AIDS in the Federal District (FD) from 2007 to 2016. Methods: This is a descriptive ecological study, based on secondary data from the Brazilian Mortality Information System, obtained through the Health Situation Analysis and Data Management of the Health Department of the FD. The analysis was carried out in the Statistical Package for the Social Sciences (SPSS). Results: Deaths occurred more frequently among men (74.1%), especially those aged from 60 to 69 years (70.4%). The gender ratio was 2.85. Most of them only had primary school education (42.0%), were married or in a common-law marriage (43.0%), and were white/Caucasian (52%). Regarding the place of residence, Plano Piloto was the place with the highest incidence (45.7%), followed by Ceilândia (12.3%) and Taguatinga (8.6%). Conclusion: It was found that AIDS, among aged adults, follows the national trend, occurring most frequently in older males, demonstrating that it is necessary to improve the implementation of prevention practices among this population. It is necessary to better study AIDS-related stigma and prejudice barriers, both among older adults and health professionals, to overcome them, to increase life expectancy of these patients and to improve their quality of life.


2013 ◽  
Vol 39 (2) ◽  
pp. 198-204 ◽  
Author(s):  
Francisca Magalhães Scoralick ◽  
Luciana Paganini Piazzolla ◽  
Liana Laura Pires ◽  
Cleudsom Neri ◽  
Wladimir Kummer de Paula

OBJECTIVE: To compare mortality rates due to respiratory diseases among elderly individuals residing in the Federal District of Brasília, Brazil, prior to and after the implementation of a national influenza vaccination campaign. METHODS: This was an ecological time series analysis. Data regarding the population of individuals who were over 60 years of age between 1996 and 2009 were obtained from official databases. The variables of interest were the crude mortality rate (CMR), the mortality rate due to the respiratory disease (MRRD), and the proportional mortality ratio (PMR) for respiratory diseases. We performed a qualitative analysis of the data for the period prior to and after the implementation of the vaccination campaign (1996-1999 and 2000-2009, respectively). RESULTS: The CMR increased with advancing age. Over the course of the study period, we observed reductions in the CMR in all of the age brackets studied, particularly among those aged 80 years or older. Reductions in the MRRD were also found in all of the age groups, especially in those aged 80 years or older. In addition, there was a decrease in the PMR for respiratory diseases in all age groups throughout the study period. The most pronounced decrease in the PMR for respiratory diseases in the ≥ 70 year age bracket occurred in 2000 (immediately following the implementation of the national vaccination campaign); in 2001, that rate increased in all age groups, despite the greater adherence to the vaccination campaign in comparison with that recorded for 2000. CONCLUSIONS: Influenza vaccination appears to have a positive impact on the prevention of mortality due to respiratory diseases, particularly in the population aged 70 or over.


2018 ◽  
Vol 17 (2) ◽  
pp. 224-262
Author(s):  
Ana Lucia Silva ◽  
Ivone Kamada ◽  
João Batista Sousa ◽  
André Luis Vianna ◽  
Paulo Gonçalves Oliveira

La evaluación del problema de la estomía y sus implicaciones sociales y emocionales en la vida conyugal con un compañero estomizado es el punto de origen de este estudio. La condición de la persona con estomía permanente puede afectar actividades sociales y diarias con sus cónyuges. Objetivo: Analizar los aspectos sociales y afectivos de la convivencia diaria del cónyuge y su compañero con estomía intestinal definitiva. Método: Estudio comparativo del tipo caso-control, de naturaleza cuantitativa, realizado con cónyuges de estomizados, del Distrito Federal, Brasil. La muestra estuvo compuesta por 108 personas, siendo 36 cónyuges del estomizados llamado Grupo Caso y 72 cónyuges de no estomizados, titulado Grupo Control. Los datos fueron recolectados de octubre de 2011 a junio de 2012. Resultados: Mostraron que el Grupo Caso cuando comparado al Grupo Control, presentó menor frecuencia a restaurantes, eventos colectivos y participa menos de actividades de ocio. En cuanto a los hábitos en practicar actividades físicas, a la percepción sobre la estabilidad de la convivencia marital y a la evaluación de la relación afectiva fueron verificados índices similares en ambos grupos. Conclusión: El cónyuge y su compañero estomizado sufren cambios en la convivencia diaria, pero el vínculo conyugal y los lazos afectivos de la pareja permanecen inalterados: The evaluation of the ostomy problem and its social and emotional implications on the conjugal life with a partner with colostomy is the starting point of this study. The condition of a person with a permanent ostomy can influence social and daily activities with their spouses. Objective: To analyze the social and affective aspects of daily coexistence of the spouse and his partner with a definite intestinal ostomy. Method: Comparative study of case control type of quantitative nature, conducted with spouses of ostomized patients paired to the non ostomized in the Federal District, Brazil.  The study included 108 spouses of whom 36 spouses of the ostomized called the Case Group and 72 of the non ostomized entitled Control Group. The data was collected from October 2011 to June 2012. Results: The results show that the case group when compared to the control group presented a lower frequency to restaurants, collective events and participates less in leisure activities. In regard to the habits of practicing physical activities, the perception concerning stability in marital coexistence and the evaluation of affective relation, similar rates were observed in both groups. Conclusion: The spouse and his ostomized partner suffered from changes in daily conviviality and the affective bonds of the couple remained unchanged. A avaliação do problema da estomia e suas implicações sociais e emocionais na vida conjugal com um parceiro com colostomia é o ponto de partida deste estudo. A condição da pessoa com estomia permanente pode influenciar atividades sociais e diárias com seus cônjuges. Objetivo: analisar os aspectos sociais e afetivos da convivência diária do cônjuge e seu parceiro com estomia intestinal definitiva. Método: Estudo comparativo do tipo caso controle, de natureza quantitativa, realizado com cônjuges de estomizados, pareado aos de não estomizados, do Distrito Federal, Brasil. A amostra foi composta por 108 pessoas, sendo 36 cônjuges de estomizados denominado Grupo Caso e 72 cônjuges de não estomizados, intitulado Grupo Controle. Os dados foram coletados de outubro de 2011 a junho de 2012. Resultados: Mostraram que o Grupo Caso quando comparado ao Grupo Controle, apresentou menor frequência a restaurantes, a eventos coletivos e participa menos de atividades de lazer. Quanto aos hábitos em praticar atividades físicas, à percepção acerca da estabilidade da convivência marital e à avaliação da relação afetiva, foram verificados índices semelhantes em ambos os grupos. Conclusão: O cônjuge e seu parceiro estomizado sofrem mudanças na convivência diária, mas o vinculo conjugal e os laços afetivos do casal permanecem inalterados.  


2019 ◽  
Vol 70 ◽  
pp. 06011
Author(s):  
Anatoly P. Smantser ◽  
Tatiana A. Sidorchuk ◽  
Мaria А. Sidorchuk

The article deals with the features of intergenerational interaction of students of different ages within a single educational environment and an ambiguous attitude to the social and psychological experience of generations. Empirical research has shown that within the framework of a gerontological unit all age groups of students have an opportunity to receive a qualitatively new social experience on a permanent basis in professional, cultural, leisure and volunteer fields. It should be noted that the younger generation has a positive attitude to retro students; they want to and can become retro students’ mentors, helping the elderly to master modern competencies. Retro students, despite the difficulties of interpersonal relations, are ready as mentors to share their knowledge, social and life experiences with young people. The results presented in the article have shown that the most promising forms of cooperation between students and retro-students are master classes in various areas, and creation of gerontological faculties at universities is the strategic direction of gerontology education.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Zhenhua Zheng ◽  
Hong Chen

Abstract Background Although social network is a known determinant of the elderly’s well-being, it is not clear, in urban-rural and age-comparison, what its structural characteristics are and how it works for well-being. The research aims to discuss the features of the elderly’s social network and the social network efficacies on the well-being of older adults in China’s urban and rural areas as well as revealing the urban-rural disparities among the elderly of different age groups. Methods In this study, descriptive statistical analysis and structural equation Modeling (SEM) were used to make a group comparison between the urban and rural elderly of different age groups. All data are quoted from 2014 China Longitudinal Aging Social Survey (CLASS). The survey adopted the multi-stage probability sampling method, targeting Chinese senior citizens aged 60 and above, the ultimate samples totaled 11,511. Results The social network of the elderly in China feature a “reverse structure” in age sequences: with ageing, family network of the elderly expand while their friend network shrink; also, the expansion scale of the rural elderly’s family network is significantly larger than that of the city’s while the shrinkage scale of their friend network is smaller compared with its urban counterpart. The effect of family network on the rural elderly’s well-being shows a remarkable increase with age. However, there is no noticeable change in urban elderly groups of different ages. Conclusion The social network characteristics of the Chinese elderly are different between different age stages. Namely, the family network and the friend network have the “reverse structure “ in age sequences. Meanwhile, the family network and the friend network have different efficacies on the well-being of the elderly in China, and the differences between urban and rural areas are even more obvious. For rural elderly, family network has very important effects on their well-being. Moreover, With the increase of age, family network’s efficacies increase gradually. For urban elderly, comparatively, family network is just as important as friend network.


2021 ◽  
Vol 1 (1) ◽  
pp. 46-59
Author(s):  
Suryani Suryani ◽  

In this era of digitalization, the development of technology and information is running very rapidly, resulting in an increasingly fierce business competition. This makes producers to think critically, creatively, and innovatively to the changes that occur, both in the social, cultural, political and economic fields. The most important thing that a company should do to succeed in business competition is to try to build a company strategy to achieve the goal of increasing and retaining consumers of the Carvil Brand Store - Yos Sudarso in Bandar Lampung. Carvil remains consistent with current achievements, and continues to develop a variety of new and innovative designs for sandals and shoes for women, men, children, teenagers and adults to the elderly at Carvil Lampung brand stores – Yos Sudarso Bandar Lampung. This is descriptive quantitative, observational data collection techniques, questionnaires, secondary data, and documents conducted by research at the Carvil-Yos Sudarso brand store in Bandar Lampung. Based on the results of research that has been carried out to find empirical evidence about the influence of promotion, quality, and price on the decision to purchase Carvil brand sandals and shoes at Carvil Lampung – Yos Sudarso Bandar Lampung. Keywords: price, quality, promotion, purchase decision


2015 ◽  
Vol 22 (05) ◽  
pp. 603-609
Author(s):  
Jamal Abdul Nasir ◽  
Muhammad Imran ◽  
Syed Arif Ahmed Zaidi

Globally 35 million people were living with HIV in 2013 whereas around 78 millionpeople have been infected since the start of the epidemic and 39 million people have died ofAIDS- related illness. Objectives: To examine the factors associated with HIV/AIDS awareness ofever married men and women age 15-49. Design: The secondary data sets are used of Pakistandemographic and health survey (PDHS) of ever married men and women with sample size 3134and 13558. Period: PDHS 2012-13. Setting: The national institute of population studies done thissurvey with the technical support from ICF International and Pakistan bureau of statistics and theUSAID supported the financially. Methods: Bivariate and binary logistic regression analysis hasbeen carried out to evaluate the significant socio demographic factors. Results: Every 7 out of10 ever married men have heard about AIDS, while the situation is much critical for ever marriedwomen, 6 out of 10 have not heard about HIV/AIDS. Generally finding revealed that almost bothof the respondents have misconception regarding HIV/AIDS transmission. Two binary logisticregression models are executed one for ever married man and other for ever married women.Two models revealed that early age groups have less knowledge about HIV/AIDS; urban hasmore knowledge compared to rural. Education level, media assess and wealth index have positiveassociation regarding to HIV/AIDS awareness. Conclusions: Socio-demographic aspects suchas age, education, place of residence and access to media TV, radio and newspaper, wealth indexand occupation are found to be significant varied systematically with the awareness of HIV/AIDS.These statistical outcomes will enhance the capability in disease management and control.


2021 ◽  
Author(s):  
Yousef Khader ◽  
Mohannad Al Nsour

BACKGROUND All-cause mortality and estimates of excess deaths are commonly used in different countries to estimate the burden of COVID-19 and assess its direct and indirect effects. OBJECTIVE This study aimed to analyze the excess mortality during the COVID-19 pandemic in Jordan in April-December 2020. METHODS Official data on deaths in Jordan for 2020 and previous years (2016-2019) were obtained from the Department of Civil Status. We contrasted mortality rates in 2020 with those in each year and the pooled period 2016-2020 using a standardized mortality ratio (SMR) measure. Expected deaths for 2020 were estimated by fitting the overdispersed Poisson generalized linear models to the monthly death counts for the period of 2016-2019. RESULTS Overall, a 21% increase in standardized mortality (SMR 1.21, 95% CI 1.19-1.22) occurred in April-December 2020 compared with the April-December months in the pooled period 2016-2019. The SMR was more pronounced for men than for women (SMR 1.26, 95% CI 1.24-1.29 vs SMR 1.12, 95% CI 1.10-1.14), and it was statistically significant for both genders (<i>P</i>&lt;.05). Using overdispersed Poisson generalized linear models, the number of expected deaths in April-December 2020 was 12,845 (7957 for women and 4888 for men). The total number of excess deaths during this period was estimated at 4583 (95% CI 4451-4716), with higher excess deaths in men (3112, 95% CI 3003-3221) than in women (1503, 95% CI 1427-1579). Almost 83.66% of excess deaths were attributed to COVID-19 in the Ministry of Health database. The vast majority of excess deaths occurred in people aged 60 years or older. CONCLUSIONS The reported COVID-19 death counts underestimated mortality attributable to COVID-19. Excess deaths could reflect the increased deaths secondary to the pandemic and its containment measures. The majority of excess deaths occurred among old age groups. It is, therefore, important to maintain essential services for the elderly during pandemics.


2019 ◽  
Vol 5 (15) ◽  
pp. 293-299
Author(s):  
Elena SHUKLİNA ◽  
Mariya PEVNAYA

Introduction Russian teachers of the third age are a social group that is currently in a difficult and ambiguous situation. On the one hand, raising the retirement age in Russia sets them the task of further professional development. On the other hand, the level of professional requirements associated with increasing the competitiveness of Russian higher education in the global educational space is sharply increasing. The purpose of the article is to answer the question - how the accumulated social potential of the third age's teachers allows them to adapt to new conditions, to increase the level of competitiveness, to act as a factor in the development of the University teaching community and higher education in general. Materials and methods The article is based on the materials of research team in the Ural Federal University (2017-2019). The article uses quantitative data of the mass survey of teachers in the Ural Federal district, implemented by the method of questioning. The population is 51 University of the Ural Federal district. Quota sampling was implemented in the study. The volume of the teachers' sample is 810 people. Social community of the third age's teachers was 38.5% of the total sample. The results of research The social potential of University teachers was considered in the context of the following structural elements: professional qualification, innovation, cultural, civil. Teachers of the third age have higher professional and qualification potential (qualification and status characteristics) than other age groups. The innovative potential realized in research activity and educational process is also high. This applies to innovation activity implemented in research projects and scientific communication. Their cultural practices are quite diverse, and the activity of cultural consumption is even higher than that of colleagues of other age groups. Civic activity of the third age's teachers is manifested in various forms of public participation, implemented through interaction with authorities of different levels and public organizations. The specificity of their civic activity is the implementation of expert functions that require high qualification, which has this group of teachers. At the same time, the teaching community of the third age notes the lack of sufficient institutional conditions for effective development, manifested primarily in the low level of social protection in the professional sphere. General conclusions University teachers of the third age have sufficient adaptive potential in the new challenges of the social environment. At the same time, the basic problem of their development is the creation of institutional conditions for professional activities and the effective realization of their social potential. Keywords Educational reforms, university teachers, teaching community, public participation, higher education, third age


2019 ◽  
Vol 6 (1) ◽  
pp. 17-27 ◽  
Author(s):  
Shree Kumar Maharjan ◽  
Keshav Lall Maharjan ◽  
Dharma Raj Dangol

The series of earthquakes and aftershocks affect Nepal in 2015. However, very few studies were carried out to assess and analyze the local-level impacts and responses. The present study focuses on impacts and responses to earthquakes in the Kirtipur Municipality based on secondary data and primary information generated from the open-ended questions to the purposively selected samples. Higher number of human casualties was observed among the elderly and children, but no such difference in terms of gender. The wards in core areas, particularly in Panga and Chovar, were affected the most because of century old houses without any disaster resistant technologies. The social bonding and cohesion were strongly observed during rescue and relief phases. The separated families united during the first two phases whereas the united families separated to nuclear families in recovery and reconstruction phases. The major reasons were main political transition, lack of financial resources and social factors.


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