Intra‐family Income Redistribution and Its Dynamic Changes among the Elderly in China: 2002–2018

2021 ◽  
Vol 29 (5) ◽  
pp. 84-104
Author(s):  
Hanrui Jia ◽  
Peng Zhan
2013 ◽  
Vol 26 (6) ◽  
pp. 679-691 ◽  
Author(s):  
Bruna Fernanda do Nascimento Jacinto de Souza ◽  
Letícia Marín-León

OBJECTIVE: To investigate whether food insecurity is associated with the demographic, socioeconomic, lifestyle, and health conditions of the elderly. METHODS: This cross-sectional study included 427 elderly (³60 years) from Campinas, São Paulo; half were users of a government-run soup kitchen and the others, their neighbors of the same sex. Food insecurity was measured by the Brazilian Food Insecurity Scale. Univariate multinomial logistic regression was used for calculating the odds ratio and 95% confidence interval to measure the association between the independent variables and food insecurity. Variables with p<0.20 were included in a multinomial model, and only those with p<0.05 remained. RESULTS: Most respondents (63.2%) were males; 15.2% and 6.6% were experiencing mild and moderate/severe food insecurity, respectively. The final model, adjusted for sex and age, showed that elderly with a total family income ≤2 minimum salaries (OR=3.41, 95%CI=1.27-9.14), who did not have a job (OR=2.95, 95%CI=1.23-7.06), and who were obese (OR=2.01, 95%CI=1.04-3.87) were more likely to be mildly food insecure. Elderly with cancer (OR=4.13, 95%CI=1.21-14.0) and those hospitalized in the past year (OR=3.16, 95%CI=1.23-8.11) were more likely to be moderately/severely food insecure. Finally, elderly living in unfinished houses (OR=2.71; and OR=2.92) and who did not consume fruits (OR=2.95 and OR=4.11) or meats daily (OR=2.04 and OR=3.83) were more likely to be mildly and moderately/severely food insecure. CONCLUSION: Food insecure elderly are more likely to have chronic diseases, poor nutritional status, and poor socioeconomic condition. Therefore, the welfare programs should expand the number of soup kitchens and develop other strategies to assure adequate nutrition to these elderly.


Significance The announcement followed the approval of several legislative amendments earlier last month, relating to family issues such as corporal punishment and neglect of the elderly. The moves come amid concerns over increased domestic violence during COVID-19 restrictions. Impacts Failure to curb intra-family aggression will perpetuate the normalisation of violence more broadly, fostering other crime. Feminicide levels could rise, amid the government’s limited recognition of the need to protect vulnerable women during the pandemic. The suspension of activities in the judiciary due to the pandemic will continue to leave minors unprotected with no access to justice.


2017 ◽  
Vol 13 (1) ◽  
pp. 8-12
Author(s):  
SM Humayun Kabir ◽  
Md Ziaul Islam ◽  
Masuda Begum ◽  
Masud Ahmed ◽  
Mohammad Mohsin ◽  
...  

Introduction: Health problems of elderly are an emerging health burden throughout the world. Bangladesh is currently undergoing a demographic transition and the proportion of the population of 60 years and older is increasing rapidly. Health care providers and policymakers are highly concerned with this burning issue. Objective: To know the disease pattern among the elderly patients in Combined Military Hospital, Dhaka. Materials and Methods: This cross-sectional study was carried out from July 2015 to June 2016 among 152 elderly patients above 60 years of age admitted in Combined Military Hospital (CMH), Dhaka Cantonment. Data were collected by face-to-face interview with semi-structured questionnaire and checklist following purposive sampling technique. Analysis of data was done by Statistical Package for Social Science (SPSS, version 20.0). Results: Mean age of the elderly was 72.06±4.56 years with the range of 60-80 years and majority (90.8%) of the elderly was male. Out of total 152 elderly patients, by occupation majority (31.6%) were in the business group followed by 30.3% in the retired group and 9.2 % in the housewife group. Average monthly family income was BDT 17927.63±7360.75 with the range of BDT 6000-35000. With initial complaints elderly patients reported to doctors in private chamber (38.2%), private hospital (25.6%) and Govt hospital (5.9%). Among all of the elderly patients, majority (21.1%) had Diabetes Mellitus followed by Rheumatoid Arthritis (17.6%), Asthma (12.5%), Cataract (11.2%), ENT problem (6.6%), Malignancy (5.9%) and Benign Enlargement of Prostate 8(5.3%). Conclusion: The number of elderly people is expanding rapidly; it also presents multifaceted health problems and thus creates unique challenges for the national healthcareservices. Early identification of problem and ensuring the availability of health with economic and social support can have a control over the elderly health problems. Journal of Armed Forces Medical College Bangladesh Vol.13(1) 2017: 8-12


2017 ◽  
Vol 20 (4) ◽  
pp. 598-610 ◽  
Author(s):  
Renata Damião ◽  
Álvaro da Silva Santos ◽  
Alicia Matijasevich ◽  
Paulo Rossi Menezes

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.


2003 ◽  
Vol 19 (2) ◽  
pp. 605-612 ◽  
Author(s):  
Sandhi M. Barreto ◽  
Valéria M. A. Passos ◽  
Maria Fernanda F. Lima-Costa

The coexistence of obesity (body mass index, BMI > or = 30kg/m²) and underweight (BMI <= 20kg/m²) and related factors were investigated among all residents aged 60+ years in Bambuí, Minas Gerais State, using multinomial logistic regression. 1,451 (85.5%) of the town's elderly participated. Mean BMI was 25.0 (SD = 4.9kg/m²) and was higher for women and decreased with age. Prevalence of obesity was 12.5% and was positively associated with female gender, family income, hypertension, and diabetes and inversely related to physical activity. Underweight affected 14.8% of participants, increased with age, and was higher among men and low-income families. It was negatively associated with hypertension and diabetes and directly associated with Trypanosoma cruzi infection and > or = 2 hospitalizations in the previous 12 months. Both obesity and underweight were associated with increased morbidity. The association of underweight with T. cruzi infection, increased hospitalization, and low family income may reflect illness-related weight loss and social deprivation of elderly in this community. Aging in poverty may lead to an increase in nutritional deficiencies and health-related problems among the elderly.


Author(s):  
Haewon BYEON

Background: We aimed to develop a model predicting the participation of the elderly in a cognitive health program using the random forest algorithm and presented baseline information for enhancing cognitive health. Methods: This study analyzed the raw data of Seoul Welfare Panel Study (SWPS) (20), which was surveyed by Seoul Welfare Foundation for the residents of Seoul from Jun 1st to Aug 31st, 2015. Subjects were 2,111 (879 men and 1232 women) persons aged 60 yr and older living in the community who were not diagnosed with dementia. The outcome variable was the intention to participate in a cognitive health promotion program. A prediction model was developed by the use of a Random forests and the results of the developed model were compared with those of a decision tree analysis based on classification and regression tree (CART). Results: The random forests model predicted education level, subjective health, subjective friendship, subjective family bond, mean monthly family income, age, smoking, living with a spouse or not, depression history, drinking, and regular exercise as the major variables. The analysis results of test data showed that the accuracy of the random forests was 72.3% and that of the CART model was 70.9%. Conclusion: It is necessary to develop a customized health promotion program considering the characteristics of subjects in order to implement a program effectively based on the developed model to predict participation in a cognitive health promotion program.


2020 ◽  
Author(s):  
Qinglin He ◽  
Xiafen Hu ◽  
Xiaochen Xiang ◽  
Siyang Chen ◽  
Wanxin Liu ◽  
...  

Abstract Objective:To explore the value of C-reactive protein (CRP) and lymphocyte (L) in the assessment of disease severity and prognosis of elderly COVID-19 patients.Methods: A total of 194 positive COVID-19 patients were collected from Tianyou Hospital and Puren Hospital, affiliated hospital of Wuhan University of Science and Technology. Their demographic characteristics were analyzed. The dynamic changes of CRP and L in peripheral blood were retrospectively studied.Results: (1) There were significant statistical differences in CRP, L in clinical typing and clinical outcome in patients over 60 years old compared with those under 60 years old. Survival analysis showed that the risk of death was greater in patients over 60 than in those under 60.(2)In 125 patients over 60 years old, the hospitalized patients with severe or critical types of disease had significantly higher CRP than those with moderate type (p<0.01). In the outcome of the elderly patients, the CRP of the patients with the outcomes of discharge, improvement, aggravation and death increased successively (p<0.01). According to the analysis of Logistic regression model, the increase of CRP constitutes a risk factor for death in elderly patients. (3) In the ROC curve analysis to distinguish the death outcome and non-death outcome of COVID-19 patients, the area under the curve (AUC) of CRP and L was 0.751 and 0.720 respectively. CRP and L had good diagnostic accuracy for the death outcome of patients. (4) Changes in CRP were correlated with changes in CT imaging and were consistent with changes in the course of the disease.Conclusions: (1) The data collected in this research showed that the cumulative survival rate of patients over 60 years old was lower than that of patients under 60 years old. With the increase of age, the CRP of patients showed an increasing trend, and the L of patients showed a characteristic lower than the normal reference interval. (2) CRP and L are important monitoring indicators of COVID-19 in elderly patients. Combined with CT examination and observation of their dynamic changes, CRP and L are of important clinical guiding value for the judgment of disease severity and the evaluation of prognosis.


2020 ◽  
Author(s):  
Yang Jiao ◽  
Xuan Xie ◽  
Chunhong Zhang ◽  
Jie Ming ◽  
Shaoyong Xu ◽  
...  

Abstract Aims This study aimed to understand the characteristics of metabolic syndrome (MetS) in populations (especially females) over 50 years old in Xi’an, China, to avail adjusting prevention strategies in similar regions. Methods 3001 people were included, based on data from “Xi'an Community-Based Management of Diabetes in the Elderly”. The prevalence rate was calculated and analyzed stratifying by gender, age and geography. Results The overall prevalence rates for males and females were 41.9±8.3% and 41.4±11.3% according to 2019 Chinese Diabetes Society diagnosis criteria, 32.0±9.0% and 49.7±9.8% according to International Diabetes Federation diagnosis criteria. The prevalence increased with age in females, but not in males. The prevalence of MetS, as well as abdominal obesity and hypertension, was higher in rural females than in urban and suburban females. Logistic regression analysis showed the risk factors included age, premature menopause, low family income and education level, sedentary time >9 hours/day, weight-gain, and family history of hypertension. Conclusions In Xi'an, China, under the current social-economic conditions, the prevalence of MetS in females over 50 years of age stands higher level than that in males, and the prevalence in rural females is higher than that in urban and suburban females, which deserves more attention.


2015 ◽  
Vol 57 (2) ◽  
pp. 145-152 ◽  
Author(s):  
Laíse dos Santos PEREIRA ◽  
Erlane Chaves FREITAS ◽  
Arduína Sofia Ortet de Barros Vasconcelos FIDALGO ◽  
Mônica Coelho ANDRADE ◽  
Darlan da Silva CÂNDIDO ◽  
...  

By controlling the transmission of Chagas disease, the challenge of providing assistance to millions of infected patients that reach old age arises. In this study, the socioeconomic, demographic and comorbidity records of all elderly chagasic patients followed at the Pharmaceutical Care Service of the Chagas Disease Research Laboratory were assessed. The information related to the clinical form of the disease was obtained from medical records provided by the Walter Cantídio University Hospital. The profile of the studied population was: women (50.5%); mean age of 67 years; retired (54.6%); married (51.6 %); high illiteracy rate (40.2%); and family income equal to the minimum wage (51.5%). The predominant clinical forms of Chagas disease were cardiac (65.3%) and indeterminate (14.7%). The main electrocardiographic changes were the right bundle branch block (41.0%), associated or not with the anterosuperior left bundle branch block (27.4%). The average number of comorbidities per patient was 2.23 ± 1.54, with systemic arterial hypertension being the main one found (67.0%). It was found that the elderly comprise a vulnerable group of patients that associate aging with cardiac and/or digestive disorders resulting from the evolution of Chagas disease and other comorbidities, which requires special attention from health services to ensure more appropriate medical and social care.


2008 ◽  
Vol 2 (2) ◽  
pp. 137
Author(s):  
Danielle Araújo de Albuquerque ◽  
Antônia Michele Deoclécio de Lima ◽  
Daniele Cristina Toscano Guerra Tavares ◽  
Stella Maris Castro Jimenez ◽  
Ednaldo Cavalcante de Araújo

ABSTRACTThis is about a descriptive exploratory study, from quantitative approach, aiming at analyzing the elderly’s knowledge about sexually transmitted infections at a Health Family Unit at Camaragibe, Pernambuco (PE) - Brazil. For data collection an interview form was applied, from October to December 2007, to 50 elderly women. The data were grouped into tables, analyzed and discussed according to literature. Among the main results, it was shown that 58,0% were 69 years old, 56,2% had the incomplete primary education, 70,3% were married and 43,3% had family income from one to two minimum salaries; 65,5% began the sex life in the adolescence, 56,3% with single partner, 83,3% had answered that had sex life active, and 51,4% no had sex life active, 33,3% had answered that they were virgin. Among that who had answered that had sex life active, 50,0% answered that the sexual partners never used condoms, 63,3% were not informed about sexually transmitted infections by professionals health; they knew HIV/aids 30,5%, syphilis 21,2% and HPV 19,9%; 55,3% knew about the transmission, and the sexual intercourses 81,8%, 57,1% about signs and symptoms at 61,8%; about means of prevention, with the cited condoms use 75,0%, 57,1% did not know about the symptoms and, 65,8% consequences; 47,0% reported has been used the television and radio as means for obtaining knowledge. Given those results, proved that the elderly are vulnerable to the risks of sexually transmitted infections. Descriptors: older; knowledge; sexually transmitted infections.RESUMOEstudo descritivo exploratório, de abordagem quantitativa, com objetivo de analisar o conhecimento de idosas sobre infecções sexualmente transmissíveis em uma Unidade de Saúde da Família de Camaragibe, Pernambuco (PE) - Brasil. Um formulário de entrevista foi aplicado, entre outubro e dezembro de 2007, para a coleta de dados com 50 idosas. Os dados foram agrupados em tabelas, analisados e discutidos de acordo com a literatura. Dentre os principais resultados foi evidenciado que 58,0% tinham 69 anos, 56,2% cursaram o ensino fundamental incompleto, 70,3% eram casadas e 43,3% tinham renda familiar de um a dois salários mínimos; 65,5% iniciaram a vida sexual na adolescência, 56,3% tiveram parceiro único, 83,3% das idosas responderam que tinham vida sexual ativa, 51,4% responderam que não a tinham e, 33,3% responderam que eram virgens. Entre as que tinham vida sexual ativa, 50% referiram que os companheiros nunca usaram o preservativo; 63,3% não foram informadas sobre as infecções sexualmente transmissíveis pelos profissionais de saúde; 30,5% estavam informadas sobre o HIV/aids, a sífilis 21,2% e o HPV 19,9%; 55,3% conheciam sobre a transmissão, sendo a relação sexual por 81,8%; 57,1% sobre os sinais e sintomas e 61,8%; sobre os meios de prevenção, com prevalência no uso do preservativo masculino 75,0%; 57,1% não conheciam sobre a sintomatologia e, 65,8% as conseqüências; 47,0% referiram ter utilizado a televisão e rádio como meios para a obtenção de conhecimentos. Diante desses resultados, comprovou-se o déficit de conhecimento sobre infecções sexualmente transmissíveis pelas idosas expondo-as aos riscos de se infectarem. Descritores: idosas; conhecimento; infecções sexualmente transmissíveis.RESUMENEstudio exploratorio descriptivo, de enfoque cuantitativo, con el objetivo de analizar los conocimientos de las idosas sobre las infecciones de transmisión sexual en una Unidad de Salud de Camaragibe, Pernambuco (PE) - Brazil.  Para la recolección de los datos se aplicó un formulario de la entrevista, de octubre a diciembre de 2007, a 50 idosas. Los datos se agruparon en tablas, analizados y discutidos de acuerdo a la literatura. Entre los principales resultados, se demostró que 58,0% eran entre 69 años de edad, el 56,2% tenían educación primaria incompleta, el 70,3% estaban casadas y el 43,3% tenía salarios de la familia de uno a dos salarios mínimos; 65,5% comenzó la vida sexual en la adolescencia, el 56,3% con uno companhero, el 83,3% tenían vida sexual activa, 51,4% no tenían vida sexual activa, 33,3% eran virgens. Entre las que tenían vida sexual activa, el 50,0%, los parejos sexuales nunca otilizan preservativos, 63,3% no fueron informados acerca de las infecciones de transmisión sexual por los profesionales de la salud; los que conocían el VIH/sida 30,5%, 21,2% y la sífilis, VPH 19,9% ; 55,3% tenían conocimiento de la transmisión, y el intercambio sexual 81,8%, 57,1% sobre los signos y síntomas en el 61,8%, sobre los medios de prevención, con el uso de preservativos citado 75,0%, 57,1% no sabía acerca de los síntomas y el 65,8% el consecuencias; 47,0% informó se ha utilizado la televisión y la radio como medios para la obtención de conocimientos. En vista de los resultados, demostró que las personas mayores son vulnerables a los riesgos de las infecciones de transmisión sexual. Descriptores: idosas; conocimiento; infecciones de transmisión sexual. 


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