scholarly journals 447Decoding the effect of neighbourhood on arterial health (DEpICT): Preliminary results on neighbourhood self-evaluation

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Andrie Panayiotou ◽  
Galateia Photiou ◽  
Demosthenis Panagiotakos ◽  
Nicos Middleton
Keyword(s):  
Family Income ◽  
Personal Information ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Sense Of Control ◽  
Cross Sectional ◽  
Individual Level ◽  
Self Evaluation ◽  
Making Sense ◽  
Excellent Health

Abstract Background DEpICT is an ongoing exploratory, observational, cross-sectional study in community-dwelling individuals in Limassol, Cyprus aiming to combine individual-level and community-level risk factors to decode their effect on arterial health (stiffness) as measured with pulse wave velocity (PWV). Methods Participants are >40 years and living in the same address for ≥5 years. They provide personal information on quality of life and mental health (SF-12 and GHQ-12), physical activity (IPAQ), adherence to Mediterranean diet (MedDiet) and sociodemographic. Arterial stiffness is measured as PWV. Neighborhood is self-assessed using the “Place Standard” Tool, as well as independent neighborhood audit with the newly-developed CyNoTes tool. Results Mean age of the first 176 participants (53%male) was 55.2 (±8.6). All participants rated their health between excellent/very good (50.5%) and good/modest (49.5%), however participants with a higher net family income reported significantly better health (p for trend=0.02), with 61.4% reporting very good/excellent health in those earning >2000E Vs 40.2% in those earning ≤ 2000E/m (p = 0.005). Out of 14 constructs in “Place”, “Public transport” and “Participation and sense of control” were rated lowest (3.1 ± 1.9 and 3.1 ± 1.8) and “Identity and sense of belonging” and “Safety” highest (4.1 ± 1.9 and 4.5 ± 1.8). Out of these, family income was associated with “Safety” (p = 0.005) and self-health with “Participation and sense of control”. Conclusions Participants rate social and safety aspects of their neighborhood higher than build aspects. Key messages Participants express the need for more public engagement in community decision-making; sense of lacking control may affect individual health.

scholarly journals Factors associated with risk of malnutrition in the elderly in south-eastern Brazil

2017 ◽  
Vol 20 (4) ◽  
pp. 598-610 ◽  
Author(s):  
Renata Damião ◽  
Álvaro da Silva Santos ◽  
Alicia Matijasevich ◽  
Paulo Rossi Menezes
Keyword(s):  
At Risk ◽  
Formal Education ◽  
Family Income ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Hierarchical Regression ◽  
Cross Sectional

ABSTRACT: Objective: The aim of this study was to evaluate the prevalence of malnutrition risk and its association with socioeconomic, behavioral, and health characteristics in the community-dwelling elderly. Methods: A cross-sectional study with individuals aged ≥ 60 years. Nutritional status was evaluated using the Mini Nutritional Assessment. Socioeconomic, behavioral, and health information was also collected from all participants. The association between each variable and the risk of malnutrition was calculated and adjusted using Poisson hierarchical regression. Results: The initial sample consisted of 3,101 elderly people, of whom 28.3% (95%CI 25.3 - 31.4%) were at risk of malnutrition. The multivariate analysis showed that the risk of malnutrition was significantly higher in women without formal education, who did not live with a partner, and identified as black-skinned. The risk of malnutrition was twice as high in individuals with no family income as compared to those who earned at least three minimum wages. Smokers were also more likely to be at risk of malnutrition than individuals who had never smoked. Participants suffering from kidney, respiratory or heart disease were at higher risk of malnutrition than those with no history of such illnesses. Conclusion: These findings could be used to help in the development of health policies and in the establishment of adequate programs aimed at reducing the risk of malnutrition in this population.

scholarly journals FACTORS ASSOCIATED WITH DURATION OF NAPS AMONG COMMUNITY-DWELLING ELDERLY: DATA FROM THE MULTICENTER STUDY FIBRA

2016 ◽  
Vol 25 (1) ◽  
Author(s):  
Ariene Angelini dos Santos-Orlandi ◽  
Maria Filomena Ceolim ◽  
Sofia Cristina Iost Pavarini ◽  
Simone Camargo de Oliveira-Rossignolo ◽  
Aline Maino Pergola-Marconato ◽  
...  
Keyword(s):  
Family Income ◽  
Descriptive Analysis ◽  
Leisure Activity ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Cross Sectional ◽  
Hand Grip ◽  
Frailty Criterion ◽  
State Examination

This study aimed to analyze the association between the duration of the nap and the variables gender, age, education, family income, frailty levels and frailty criteria of community-dwelling elderly. This was a descriptive and cross-sectional study, an excerpt from the multicenter project Frailty in Elderly Brazilians. A total of 3,075 older adults were evaluated, aged 65 and over, using a sociodemographic questionnaire, question about nap (Minnesota Leisure Activity Questionnaire), phenotype of frailty proposed by Fried and screening test for cognitive impairment (Mini Mental State Examination). Descriptive analysis, Mann-Whitney and Kruskal-Wallis tests (p<0.05) and multiple linear regression were applied. Ethical principles were respected. Most of the elderly participants napped (61.7%), with an average of 53.4±42.7 min/day. There was an association between duration of naps and variables gender (p=0.002), frailty (p=0.022) and frailty criterion "hand grip strength" (p=0.008). It was observed that the length of the naps is greater for male and frail elderly.

scholarly journals Association between education and self-assessment of the neighborhood environment

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
G Photiou ◽  
N Middleton ◽  
D B Panagiotakos ◽  
A Panayiotou
Keyword(s):  
Educational Attainment ◽  
Cultural Context ◽  
Family Income ◽  
Home Ownership ◽  
Personal Information ◽  
Cross Sectional Study ◽  
Neighborhood Environment ◽  
University Graduates ◽  
Cross Sectional ◽  
Good Proxy

Abstract Background DEpICT is an ongoing observational, cross-sectional study in community-dwellers in Limassol, Cyprus aiming to combine individual-level and community-level risk factors to decode their effect on arterial health (stiffness) as measured with pulse wave velocity (PWV). Methods Participants are &gt;40 years who have been living in the same address for ≥5 years. They provide personal information on quality of life and mental health (SF-12 and GHQ-12), physical activity (IPAQ), adherence to Mediterranean diet (MedDiet) and sociodemographic. Anthropometric characteristics are measured on site, as well as arterial stiffness (carotid-femoral PWV) and central blood pressure. Neighborhood is self-assessed using the “Place Standard” Tool, as well as with an independent neighborhood audit using the newly-developed CyNoTes tool. Results Out of the first 176 participants (53% male), 45% had a college/university degree with a further 19% having graduate degrees, while the vast majority (92%) reported home ownership. Education was not associated with net family income (p = 0.3) nor home-ownership (p = 0.28). Out of the 14 constructs in Place standard, “Public transport” and “Participation and sense of control” were rated lowest (3.1 ± 1.9 and 3.1 ± 1.8) and “Identity and sense of belonging” and “Safety” highest (4.1 ± 1.9 and 4.5 ± 1.8). Education was not associated with any construct in “Place” or with total neighbourhood score. Conclusions Participants rate the social and safety aspects of their neighbourhood higher than the build aspects. Educational attainment may not be a good proxy for neighbourhood socioeconomic assessment in Cyprus, given the high rates of university graduates. Key messages Participants express the need for more public engagement in community decision-making; sense of lacking control may affect individual health. Educational attainment is not a good proxy for neighborhood socioeconomic assessment in the cultural context of Cyprus.

scholarly journals Continue or not to continue? Attitudes towards deprescription among community-dwelling older adults in China

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 836-837
Author(s):  
Jie Tan ◽  
Chenkai Wu ◽  
Li Zhang ◽  
Ying Wang ◽  
Lihui Chen
Keyword(s):  
Older Adults ◽  
Chronic Disease ◽  
Inappropriate Prescribing ◽  
Prescription Medication ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Potentially Inappropriate Medications ◽  
Cross Sectional ◽  
Individual Level ◽  
Community Dwelling Older Adults

Abstract Inappropriate prescribing of medications and polypharmacy among older adults could lead to avoidable harms. It is hence vital to stop potentially inappropriate medications in this vulnerable group. An approach coined ‘deprescribing’ has been used to describe a patient-centerd process of optimizing medication regimens. But patient resistance to discontinuing medication use is a significant barrier to deprescribing. The present study aims to describe attitudes towards deprescribing and to examine individual-based characteristics that might be associated with these attitudes among community-dwelling older adults in China. We conducted a cross-sectional study through in-person interviews using the validated Patients’ Attitudes Towards Deprescribing questionnaire in two communities through the community-based physical examination platform. Participants were 65 years and older and had at least one chronic disease and one regular prescription medication. Of the 1,897 participants in the study, the average age was 74 years and 1,023 (53.9%) were women. The majority had one chronic disease (n=1,364 [71.9%]) and took 1-2 medications (n=1,483 [78.2%]). A total of 947 (50.0%) older adults reported being willing to stop taking one or more of their medicines if their physician said it was possible, and 1204 (63.5%) older adults wanted to stop a medicine been taking for a long time. Chronological age, marital status, number of chronic diseases, and self-rated health status were associated with the attitudes towards deprescribing. This study showed that half of the participants were willing to cease a medication that their physician though was no longer required. Individual-level factors were associated with attitudes towards deprescribing.

scholarly journals A CROSS-SECTIONAL STUDY ON BENZODIAZIPINE (BZD) ABUSERS OF DHAKA CITY: A SOCIO-PSYCHOLOGICAL CONDITION OF BANGLADESH

2018 ◽  
Author(s):  
Forhad Monjur ◽  
Farhana Rizwan
Keyword(s):  
Drug Abuse ◽  
Family Income ◽  
Personal Information ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Dhaka City ◽  
Sectional Study ◽  
Cross Sectional ◽  
Psychological Condition ◽  
Drug Of Choice

Benzodiazepines (BZD) are highly potential drug for abuse among the most frequently prescribed medicine. Different studies say that young-adults are the vulnerable population of BZD misuse in Bangladesh. The aim of the study was designed to evaluate the BZD drug abuser with relation to its impact on socio-psychological condition of Dhaka city. A cross sectional study consisted of 468 current BZD users. The participants were chosen randomly. Structured questionnaires included participant’s personal information; drug use characteristics; physiological and psychological effects of drugs. Verbal consent was taken from each respondent. In this study, 96.15% were male where 40.39 % of respondents were from the age group 23-27 years.  57.70 % participants were single. Here, 34.62 % were student, 40.38 % had monthly family income above 50,000 BDT. BZD was used to relive from stress/pressure by 23.07%, from insomnia by 13.46% of respondents. The drug of choice was diazepam for 44.24% respondents. Most of the users (44.23%) were influenced by friends. 32.69% participant concomitantly used BZD with YABA. The common problem was amnesia, confusion and difficulty in cognition. The withdrawal effects were rebound insomnia, anxiety, headache; restlessness and so on. Drug abuse is a serious public health problem worldwide. Therefore, these findings may help Government or policymakers to take initiative for drug addict. Moreover, there is need of further research on these topics in different area of Bangladesh to get the complete scenario of drug abuse, especially BZD abuse.

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