Factors Associated With High-Risk Alcohol Consumption Among LGB Older Adults: The Roles of Gender, Social Support, Perceived Stress, Discrimination, and Stigma

ObjectivesThe primary objective was to investigate the prevalence and factors associated with elevated alcohol consumption among older adults 65 years and above in China and Norway. The secondary objective was to compare the prevalence and factors in the two countries.DesignA secondary data analysis was conducted using two large cross-sectional studies (Chinese Longitudinal Healthy Longevity Survey data in 2008–2009 and Nord-Trøndelag Health Study data in 2006–2008).ParticipantsA total of 3223 (weighted) Chinese older adults and 6210 Norwegian older adults who responded drinking alcohol were included in the analysis.Outcome measuresThe dependent variable was elevated alcohol consumption, which was calculated as a ratio of those with elevated drinking among current drinkers. Multivariable logistic regression was used to test the dependent variable.ResultsThe prevalence of elevated alcohol consumption among current drinkers for the Chinese and Norwegian samples were 78.3% (weighted) and 5.1%, respectively. Being male was related to a higher likelihood of elevated alcohol consumption in both Chinese and Norwegian samples (OR=2.729, 95% CI 2.124 to 3.506, OR=2.638, 95% CI 1.942 to 3.585). Being older, with higher levels of education and a living spouse or partner were less likely to have elevated drinking in the Chinese sample (OR=0.497, 95% CI 0.312 to 0.794, OR=0.411, 95% CI 0.260 to 0.649, OR=0.533, 95% CI 0.417 to 0.682, respectively). Among Norwegian older adults, a higher level of education was related to higher likelihood of elevated drinking (OR=1.503, 95% CI 1.092 to 2.069, OR=3.020, 95% CI 2.185 to 4.175). Living in rural areas and higher life satisfaction were related to lower likelihood of elevated drinking in the Norwegian sample (OR=0.739, 95% CI 0.554 to 0.984, OR=0.844, 95% CI 0.729 to 0.977, respectively).ConclusionsThe elevated alcohol consumption patterns were strikingly different between China and Norway in regards to prevalence and socioeconomic distribution. To develop and implement culturally appropriate public health policies regarding alcohol in the future, public health policy makers and professionals need to be aware of the cultural differences and consider the demographic, social and economic characteristics of their intended population.

Download Full-text

Factors associated with high‐risk drinking in older adults: Evidence from a national survey in Japan

Geriatrics and Gerontology International ◽

10.1111/ggi.13808 ◽

2019 ◽

Vol 19 (12) ◽

pp. 1260-1267

Author(s):

Haruhiko Midorikawa ◽

Hirokazu Tachikawa ◽

Miyuki Aiba ◽

Tetsuaki Arai ◽

Taeko Watanabe ◽

...

Keyword(s):

Older Adults ◽

High Risk ◽

National Survey ◽

Factors Associated ◽

High Risk Drinking

Download Full-text

Influence of age, stigma and social support on male temporary ejaculation failure on IVF oocyte retrieval day

Reproductive Biology and Endocrinology ◽

10.1186/s12958-020-00691-z ◽

2021 ◽

Vol 19 (1) ◽

Author(s):

Jinluan Wang ◽

Mingyue Xue

Keyword(s):

Social Support ◽

Logistic Regression ◽

Regression Analysis ◽

Family Support ◽

Perceived Stress ◽

Logistic Regression Analysis ◽

Psychological Factors ◽

Psychological Capital ◽

Factors Associated ◽

The Social

Abstract Objective To explore the social and psychological factors associated with male Temporary Ejaculation Failure (TEF) during In Vitro Fertilization (IVF), with the goal of providing a theoretical basis for clinical intervention and treatment. Methods The study included 75 TEF patients and 223 non-TEF patients undergoing IVF treatment at the center of reproduction and genetics of Integrated Chinese and Western medicine in the Affiliated Hospital of Shandong University of Traditional Chinese Medicine from May 2019 to May 2020. A questionnaire survey was then administered to the study subjects. The questionnaires included general information, Perceived Stress Scale (PSS), Stigma Questionnaire, Perceived Social Support Scale (PSSS), and Positive Psychological Capital Questionnaire (PPQ). Logistic regression analysis was then used to analyze the social psychological factors associated with the research objectives. Results Comparison of social demographic factors and clinical data between TEF group and non-TEF group: there were significant differences in the age and educational level between the two groups (P< 0.05), and the average age of the TEF group (37.01±7.11) was significantly higher than that of the non-TEF group (34.89±6.24). In addition, patients with high school or technical secondary school education levels had the lowest probability of TEF(X2=7.662, P=0.022). 2. The difference of related social and psychological factors between the two groups: the scores of perceived stress (17.57±6.51) and stigma (4.52±3.87) in the TEF group were significantly higher than those in the non-TEF group, which were (15.50±5.00, P< 0.05) and (2.61±3.52, P< 0.05), respectively. On the other hand, the scores of social support (55.31±14.04) and psychological capital (121.73±25.93) in the TEF group were significantly lower than those in the non-TEF group, which were (60.74±10.93, P< 0.05) and (130.31±17.32, P< 0.05), respectively. Results Obtained after conducting univariate logistic regression analysis indicated that age (OR=1.051, P=0.016), perceived stress (OR=1.073, P=0.005), stigma (OR=1.139, P< 0.001), family support (OR=0.901, P< 0.001), friend support (OR=0.932, P=0.023), other support (OR=0.915, P=0.004), self-efficacy (OR=0.947, P=0.009), resilience (OR=0.947, P=0.013), hope (OR=0.930, P=0.002), and optimism (OR=0.953, P=0.032) can all significantly affect male TEF.4. Moreover, the multivariate logistic regression analysis results indicated that age (OR=1.071, P=0.002) and stigma (OR=1.132, P=0.003) can positively predict TEF, while family support (OR=0.877, P=0.012) can negatively predict TEF. Conclusions The results obtained in this study have indicated that age and stigma are independent risk factors for male TEF, while family support is a protective factor of TEF. Analyzing the treatment of TEF from a socio-psychological perspective provides a new intervention target for effectively reducing its incidence, thereby helping to improve the success rate of IVF.

Download Full-text

The prevalence of and factors associated with high-risk alcohol consumption in Korean adults: The 2009–2011 Korea National Health and Nutrition Examination Survey

PLoS ONE ◽

10.1371/journal.pone.0175299 ◽

2017 ◽

Vol 12 (4) ◽

pp. e0175299 ◽

Cited By ~ 22

Author(s):

Jae Won Hong ◽

Jung Hyun Noh ◽

Dong-Jun Kim

Keyword(s):

High Risk ◽

Alcohol Consumption ◽

National Health ◽

Nutrition Examination Survey ◽

Factors Associated ◽

Korean Adults ◽

Health And Nutrition

Download Full-text

Factors associated with poor physical performance in older adults of 11 Peruvian high Andean communities

F1000Research ◽

10.12688/f1000research.17513.1 ◽

2019 ◽

Vol 8 ◽

pp. 59

Author(s):

Diego Urrunaga-Pastor ◽

Fernando M. Runzer-Colmenares ◽

Tania M. Arones ◽

Rosario Meza-Cordero ◽

Silvana Taipe-Guizado ◽

...

Keyword(s):

Social Support ◽

Older Adults ◽

Urinary Incontinence ◽

Cognitive Impairment ◽

Physical Performance ◽

Poisson Regression ◽

Prevalence Ratio ◽

Female Gender ◽

Cross Sectional ◽

Factors Associated

Background: Physical performance in the older adult has been extensively studied. However, only a few studies have evaluated physical performance among older adults of high Andean populations and none have studied the factors associated with it. The objective of this study was to evaluate factors associated with poor physical performance by using the Short Physical Performance Battery (SPPB) in older adults living in 11 Peruvian high Andean communities. Methods: An analytical cross-sectional study was carried out in inhabitants aged 60 or over from 11 high-altitude Andean communities of Peru during 2013-2017. Participants were categorized in two groups according to their SPPB score: poor physical performance (0-6 points) and medium/good physical performance (7-12 points). Additionally, we collected socio-demographic, medical, functional and cognitive assessment information. Poisson regression models were constructed to identify factors associated with poor physical performance. Prevalence ratio (PR) with 95% confidence intervals (95 CI%) are presented. Results: A total of 407 older adults were studied. The average age was 73.0 ± 6.9 years (range: 60-94 years) and 181 (44.5%) participants had poor physical performance (0-6 points). In the adjusted Poisson regression analysis, the factors associated with poor physical performance were: female gender (PR=1.29; 95%CI: 1.03-1.61), lack of social support (PR=2.10; 95%CI: 1.17-3.76), number of drugs used (PR=1.09; 95%CI: 1.01-1.17), urinary incontinence (PR=1.45; 95%CI: 1.16-1.82), exhaustion (PR=1.35; 95%CI: 1.03-1.75) and cognitive impairment (PR=1.89; 95%CI: 1.40-2.55). Conclusions: Almost half of the population evaluated had poor physical performance based on the SPPB. Factors that would increase the possibility of suffering from poor physical performance were: female gender, lack of social support, number of drugs used, urinary incontinence, exhaustion and cognitive impairment. Future studies with a larger sample and longitudinal follow-up are needed to design beneficial interventions for the high Andean population.

Download Full-text

The Influence of Social Networks and Social Support on Health Among Older Koreans at High Risk of Depression

Care Management Journals ◽

10.1891/1521-0987.17.2.70 ◽

2016 ◽

Vol 17 (2) ◽

pp. 70-80 ◽

Cited By ~ 5

Author(s):

Haesang Jeon ◽

Yeonseung Chung ◽

Soondool Chung ◽

Ahyoung Song

Keyword(s):

Social Support ◽

Older Adults ◽

Social Networks ◽

High Risk ◽

General Health ◽

Age Groups ◽

Family Networks ◽

Network Support ◽

Path Analyses ◽

Using Data

Background: Despite compelling evidence showing that social networks and social support are associated with depression, relatively little research is available on this topic for older Koreans at high risk of depression. This article aimed to examine the relationship among different types of social networks (family vs. friends), social support (instrumental vs. emotional), and perceived general health among older Koreans at high risk of depression. We would then test for possible differences in pathways between two age groups (60–74 years vs. 75 years and older).Methods: Using data from the 2008 Survey of Elderly Life and Welfare Need, age 60–74 years (n = 2,815) and age 75 years and older (n = 1,784) were analyzed separately. Path analyses were used to examine the relationships among social network, support, and health among Korean older adults at high risk of depression.Results: Findings highlighted the complex associations among social networks, social support, and perceived general health within old age. Moreover, this study called attention to the negative association between instrumental support from family networks and perceived general health among older Koreans aged 60–74 years at high risk of depression.Conclusions: The work discussed in this article would help inform the design of much needed and effective social intervention programs for the growing number of Korean older adults with depression.

Download Full-text

Factors Associated With Social Isolation Among Older Adults: The Singapore Chinese Health Study

Innovation in Aging ◽

10.1093/geroni/igaa057.543 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 168-168

Author(s):

Jon Barrenetxea ◽

Yang Yi ◽

Woon Puay Koh ◽

Feng Qiushi

Keyword(s):

Social Support ◽

Older Adults ◽

Cognitive Impairment ◽

Social Isolation ◽

Well Being ◽

Population Based ◽

Living Alone ◽

Health Study ◽

Factors Associated ◽

Singapore Chinese

Abstract Social isolation is a determinant of mortality and well-being among older people. Factors associated with isolation could be different in societies where older adults live mainly with family, as individuals might feel isolated despite living with others. We studied the factors associated with isolation among 16,948 older adults from follow-up 3 of the Singapore Chinese Health Study, a population-based cohort of older Singapore Chinese (mean age of 73, range: 61-96 years). We defined social isolation as having “zero hour per week” of participation in social activities involving 3 or more people and scoring the lowest decile on the Duke Social Support Scale of perceived social support. We used multivariable logistic regressions to compute odds ratio (OR) and 95% confidence interval (CI) for factors associated with likelihood of social isolation. Although only 14.4% of isolated participants lived alone, living alone remained a significant factor associated with isolation (OR 1.93, 95% CI 1.58-2.35), together with cognitive impairment (OR 1.73, 95% CI 1.46-2.04) and depression (OR 2.44, 95% CI 2.12-2.80). Higher education level was inversely associated with isolation (p for trend<0.001). In stratified analysis, among those living alone, compared to women, men had higher odds of social isolation (OR 2.18, 95% CI 1.43-3.32) than among those not living alone (OR 0.99, 95% CI 0.84-1.17) (p for interaction<0.001). Our results showed that living alone, cognitive impairment and depression were indicators of isolation among older Singaporeans. In addition, among those living alone, men were more likely to experience social isolation than women.

Download Full-text

Factors that influence the global quality of life of long-lived older adults (>80 years)

Geriatrics Gerontology and Aging ◽

10.5327/z2447-212320211900078 ◽

2021 ◽

Vol 15 ◽

Author(s):

Roumayne Costa ◽

Márcia Carrera ◽

Ana Paula Marques

Keyword(s):

Quality Of Life ◽

Social Support ◽

Older Adults ◽

World Health ◽

Cross Sectional ◽

World Health Organization Quality ◽

Factors Associated ◽

Global Quality ◽

Global Quality Of Life

OBJECTIVE: The objective of this study was to assess global quality of life and the factors associated with it in long-lived older adults registered with family health centers. Global quality of life was measured using the two general questions on the World Health Organization Quality of Life instrument. METHODOLOGY: This was a cross-sectional, quantitative study based on secondary data from a sample of 100 older adults. RESULTS: The results of analyses revealed a mean age of 84.20 years, 77% of the sample were female, 46% had spent between 1 and 4 years in education, 63% were widowed, 76% had an income equivalent to one to two times the minimum wage, 77% had systemic arterial hypertension, 34% had diabetes mellitus, 27% had cardiovascular disease, 74% had social support, and 63% exhibited depressive symptomology. The frequency of satisfactory global quality of life in the sample studied was 35%. CONCLUSIONS: In relation to global quality of life, assessed in terms of interviewees’ satisfaction with their lives and health in conjunction, the majority of the study population reported not being satisfied. After completion of all statistical analyses, factors associated with dissatisfaction were social support, depression, and osteoarthritis.

Download Full-text