The GRIM2005 Study of Migraine Consultation in France II. Psychological Factors Associated with Treatment Response to Acute Headache Therapy and Satisfaction in Migraine

The objective of this analysis was to identify variables associated with treatment response in subjects with migraine. Data were collected from a sample of 10 000 subjects. A battery of questionnaires assessing clinical and psychological variables was completed. Migraine diagnosis was attributed using an algorithm based on the IHS criteria and treatment response using the ANAES criteria. We identified 1534 subjects, of whom 1443 were treated. For 54.2%, at least one ANAES criterion for treatment response was unfulfilled. Non-response was associated with female gender, high HIT-6 impact scores and high HAD psychological distress scores. The strongest associations with non-response were identified for four psychological variables: elevated scores on the CSQ catastrophization subscale and the ‘Consequences’ and ‘Acceptance’ dimensions of the Brief COPE, and low scores on the ‘Positive Reinterpretation’ Brief COPE dimension. In conclusion, many individuals with migraine respond inadequately to treatment. Behavioural interventions aimed at modifying coping strategies may improve outcome.

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How do the general population behave with facemasks to prevent COVID-19 in the community?

10.1101/2020.09.18.20195669 ◽

2020 ◽

Author(s):

Colin DESCHANVRES ◽

Thomas HAUDEBOURG ◽

Nathan PEIFFER-SMADJA ◽

Karine BLANCKAERT ◽

David BOUTOILLE ◽

...

Keyword(s):

Demographic Data ◽

Female Gender ◽

The West ◽

Information Campaigns ◽

Factors Associated ◽

Health Authorities ◽

Rural And Urban ◽

General Populations ◽

Indoor And Outdoor

IMPORTANCE The appropriate use of facemasks, recommended or mandated by authorities, is critical to protect the community and prevent the spread of COVID-19. OBJECTIVE To evaluate the frequency and quality of facemask use in general populations of different socio-spatial backgrounds. DESIGN A multi-site observational study carried out from 25 June 2020 to 21 July 2020. SETTING The observations were carried out in 43 different locations in a region in the west of France, representing various areas: rural and urban, indoor and outdoor, and in areas where masks were mandated or not. An observer was positioned at a predetermined place, facing a landmark, and collected information about the use of facemasks and socio-demographic data. PARTICIPANTS All individual passing between the observer and the landmark were included. EXPOSURE The observer collected information on whether a mask was worn, the type of mask used, the quality of the positioning, gender, and the age category of each individual. MAIN OUTCOMES AND MEASURES The main outcomes were the use of a facemask and the quality of the positioning. Factors associated with these outcomes were identified. RESULTS A total of 3354 observations were recorded. A facemask was worn by 56.4% (n=1892) of individuals, varying from 49% (n=1359) in non-mandatory areas and 91.7% (n=533) in mandatory areas, including surgical facemasks (56.8%, n=1075) and cloth masks (43.2%, n=817). The facemask was correctly positioned in 75.2% (n=1422) of cases. The factors independently associated with wearing a facemask were being indoors (adjusted odds ratio [aOR], 0.37; 95% confidence interval [CI], 0.31-0.44), being in a mandatory area (aOR, 0.14; 95%CI, 0.10-0.20), female gender (aOR, 0.57; 95%CI, 0.49-0.66), and age >40 years (aOR, 0.54; 95%CI, 0.46-0.63). The factors independently associated with correct mask position were rural location (aOR, 0.76; 95%CI, 0.97-0.98), being in an indoor area (aOR, 0.49; 95%CI, 0.38-0.65), use of a cloth mask (aOR, 0.65; 95%CI, 0.52-0.81), and age >40 years (aOR, 0.61; 95%CI 0.49-0.76). CONCLUSIONS AND RELEVANCE Information campaigns should promote the use of cloth masks. Young people in general and men in particular are the priority targets. Simplifying the rules to require universal mandatory masking seems to be the best approach for health authorities.

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Factors Associated With the Experience of Cognitive Training Apps for the Prevention of Dementia: Cross-sectional Study Using an Extended Health Belief Model

Journal of Medical Internet Research ◽

10.2196/31664 ◽

2022 ◽

Vol 24 (1) ◽

pp. e31664

Author(s):

Jaegyeong Lee ◽

Jung Min Lim

Keyword(s):

Health Belief Model ◽

Cognitive Training ◽

Online Survey ◽

Mobile Apps ◽

Health Belief ◽

Female Gender ◽

Cross Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Belief Model

Background The prevalence and economic burden of dementia are increasing dramatically. Using information communication technology to improve cognitive functions is proven to be effective and holds the potential to serve as a new and efficient method for the prevention of dementia. Objective The aim of this study was to identify factors associated with the experience of mobile apps for cognitive training in middle-aged adults. We evaluated the relationships between the experience of cognitive training apps and structural variables using an extended health belief model. Methods An online survey was conducted on South Korean participants aged 40 to 64 years (N=320). General characteristics and dementia knowledge were measured along with the health belief model constructs. Statistical analysis and logistic regression analysis were performed. Results Higher dementia knowledge (odds ratio [OR] 1.164, P=.02), higher perceived benefit (OR 1.373, P<.001), female gender (OR 0.499, P=.04), and family history of dementia (OR 1.933, P=.04) were significantly associated with the experience of cognitive training apps for the prevention of dementia. Conclusions This study may serve as a theoretical basis for the development of intervention strategies to increase the use of cognitive training apps for the prevention of dementia.

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Factors Associated with Depression and Anxiety in Adults ≥60 Years Old during the COVID-19 Pandemic: A Systematic Review

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph182211859 ◽

2021 ◽

Vol 18 (22) ◽

pp. 11859

Author(s):

Gianluca Ciuffreda ◽

Sara Cabanillas-Barea ◽

Andoni Carrasco-Uribarren ◽

María Isabel Albarova-Corral ◽

María Irache Argüello-Espinosa ◽

...

Keyword(s):

Systematic Review ◽

Female Gender ◽

Cochrane Library ◽

Poor Sleep ◽

Depression And Anxiety ◽

Poor Sleep Quality ◽

Cross Sectional ◽

Factors Associated ◽

Population Prevalence ◽

Cross Sectional Design

COVID-19 represents a threat to public health and the mental health of the aged population. Prevalence and risk factors of depression and anxiety have been reported in previous reviews in other populations; however, a systematic review on the factors associated with depression and anxiety in older adults is not currently present in the literature. We searched PubMed, Embase, Scopus, ProQuest Psychology Database, Science Direct, Cochrane Library and SciELO databases (23 February 2021). The results were obtained by entering a combination of MeSH or Emtree terms with keywords related to COVID-19, elderly, depression and anxiety in the databases. A total of 11 studies were included in the systematic review. Female gender, loneliness, poor sleep quality and poor motor function were identified as factors associated with both depression and anxiety. Aspects related to having a stable and high monthly income represent protective factors for both depression and anxiety, and exercising was described as protective for depression. This study synthesised information and analysed the main factors associated with depression and anxiety in the older population during the COVID-19 pandemic. However, the cross-sectional design of most of the included studies does not allow a causal relationship between the factors analysed and depression or anxiety.

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Factors Associated with Abdominal Obesity in the Productive Age in Surabaya

Jurnal Berkala Epidemiologi ◽

10.20473/jbe.v3i12015.45-56 ◽

2015 ◽

Vol 3 (1) ◽

pp. 45

Author(s):

Fani Kusteviani

Keyword(s):

Physical Activity ◽

Risk Factors ◽

Abdominal Obesity ◽

Female Gender ◽

Developed Countries ◽

Regression Result ◽

Cross Sectional ◽

Factors Associated ◽

Sugary Drinks ◽

Fat Deposits

Obesity has become a public health and nutrition issues the world both developed countries and developing countries, including Indonesia. Abdominal obesity is one type of obesity where there is abdominal fat deposits as measured by waist circumference. Abdominal obesity is more at risk of health problems such as diabetes mellitus, metabolic syndrome, hypertension and cardiovascular disease than general obesity. Behavioral and environmental factors as well as genetic plays a role in the onset of abdominal obesity. The purpose of the study was to analyze factors associated with abdominal obesity in the productive age (15–64 years) in Surabaya. The independent variables used were age, sex, marital status, family size, education, occupation, smoking, physical activity, consumption of vegetables and or fruit, food or sugary drinks, fatty foods and mental health. This research was analytical study use cross sectional design. The study used secondary data from Basic Health Research Surabaya 2007 amounted to 2191 respondents by simple random sampling. Data were analyzed with Chi-square test and logistic regression. Result of analysis showed that risk factors of abdominal obesity were age 35–64 years, female gender and married or divorced status, level of education ≤ SMA and consume fatty food regularly. The most influential risk factors are female. Increasing knowledge, physical activity, and reducing fat intake can prevent the risk of abdominal obesity.Keyword: abdominal obesity, productive age, lifestyle, female

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Abstract TP165: Mortality After Large Artery Occlusion Acute Ischemic Stroke

Stroke ◽

10.1161/str.51.suppl_1.tp165 ◽

2020 ◽

Vol 51 (Suppl_1) ◽

Author(s):

Rahul R Karamchandani ◽

Jeremy Rhoten ◽

Edwin Strong ◽

Brenda Chang ◽

Sam Singh ◽

...

Keyword(s):

Ischemic Stroke ◽

Acute Ischemic Stroke ◽

Prediction Models ◽

Univariate Analysis ◽

Female Gender ◽

Artery Occlusion ◽

Large Artery ◽

Multivariable Logistic Regression Model ◽

Factors Associated ◽

Social Security Death Index

Introduction: Despite randomized trials demonstrating the benefit of endovascular therapy (EVT), large artery occlusion (LAO) acute ischemic stroke (AIS) remains associated with high mortality. Identifying factors associated with mortality for patients presenting with LAO AIS can assist in therapeutic decision-making and prognostication. Hypothesis: Among patients with LAO AIS, factors associated with 90-day mortality include older age, higher presenting NIHSS score, and lower final Thrombolysis in Cerebral Infarction (TICI) score. Methods: From November 2016 to April 2019, we conducted a retrospective analysis from a large healthcare system’s stroke network registry of patients presenting with ICA and/or MCA occlusions. Ninety-day mortality status from registry follow-up was corroborated with the Social Security Death Index. A multivariable logistic regression model was fitted to determine demographic and clinical characteristics associated with 90-day mortality. Results: Among 796 patients with 800 encounters, mean age was 68 years, 52% were women, mean presenting NIHSS was 14, and 97% presented within 24 hours of last known well time. Fifty-one percent were treated with EVT. Mortality rate for the entire cohort was 25%. In a univariate analysis, there were significant differences in age, gender, race, blood glucose, presenting NIHSS, hypertension, atrial fibrillation, CTP core volume, CTP delayed perfusion volume, EVT treatment, number of passes for EVT, final TICI score, and discharge mRS, between patients with and without 90-day mortality. In the multivariable model, increasing age (per 10 years, OR 1.54, 95% CI 1.20, 1.97) and higher discharge mRS (per 1 point, OR 4.47, 95% CI 3.05, 6.55) were associated with 90-day mortality. Female gender (OR 0.57, 95% CI 0.27, 1.18) and final TICI score of 2B or better (OR 0.42, 95% CI 0.18, 1.01) were protective against 90-day mortality. Conclusions: Increasing age and worse discharge functional outcome are associated with 90-day mortality after LAO AIS. Female gender and better revascularization after EVT are associated with lower mortality. Additional studies are required to refine mortality outcome prediction models for patients presenting with LAO AIS.

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Prevalence of Bacterial Urinary Tract Infections and Associated Factors among Patients Attending Hospitals in Bushenyi District, Uganda

International Journal of Microbiology ◽

10.1155/2019/4246780 ◽

2019 ◽

Vol 2019 ◽

pp. 1-8 ◽

Cited By ~ 11

Author(s):

Martin Odoki ◽

Adamu Almustapha Aliero ◽

Julius Tibyangye ◽

Josephat Nyabayo Maniga ◽

Eddie Wampande ◽

...

Keyword(s):

Urinary Tract ◽

Urinary Tract Infections ◽

Klebsiella Oxytoca ◽

Female Gender ◽

Genitourinary Tract ◽

Indwelling Catheter ◽

Cross Sectional ◽

Factors Associated ◽

Married Individuals ◽

Tract Infections

Urinary tract infections (UTIs) are one of the major causes of morbidity and comorbidities in patients with underlying conditions, and it accounts for the majority of the reasons for hospital visit globally. Sound knowledge of factors associated with UTI may allow timely intervention that can easily bring the disease under control. This study was designed to determine the prevalence of UTI by isolating and characterizing the different bacterial etiological agents and to evaluate the factors associated with UTI. In this cross-sectional study, a total of 267, clean catch midstream urine (MSU) samples were collected aseptically and analyzed using standard microbiology methods. Data for the factors associated with UTI were obtained by use of questionnaires and standard laboratory tests for selected underlying conditions. The study revealed 86/267 (32.2%) UTI prevalence among patients attending hospitals in Bushenyi District, Uganda. Escherichia coli was the most prevalent bacterial uropathogen with 36/86 (41.9%) followed by Staphylococcus aureus 27/86 (31.4%), Klebsiella pneumoniae 10/86 (11.6%), Klebsiella oxytoca 6/86 (7.0%), Proteus mirabilis 3/86 (3.5%), Enterococcus faecalis 3/86 (3.5%), and Proteus vulgaris 1/86 (1.2%). This study has demonstrated that age ≤19 years, female gender, married individuals, genitourinary tract abnormalities, diabetes, hospitalization, indwelling catheter <6 days, and indwelling catheter >6 days had statistically significant relationships (p<0.05) with UTI. Screening for UTI in hospitalized patients, female gender, married individuals, genitourinary tract abnormalities, indwelling catheter, and diabetics should be adopted.

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Factors Associated With Weight Gain in People Treated With Dolutegravir

Open Forum Infectious Diseases ◽

10.1093/ofid/ofaa195 ◽

2020 ◽

Vol 7 (6) ◽

Cited By ~ 6

Author(s):

Lucia Taramasso ◽

Paolo Bonfanti ◽

Elena Ricci ◽

Giancarlo Orofino ◽

Nicola Squillace ◽

...

Keyword(s):

Weight Gain ◽

Female Gender ◽

Proportional Hazard ◽

Cd4 Counts ◽

Factors Associated ◽

Cox Proportional Hazard ◽

Hazard Ratios ◽

Tenofovir Alafenamide ◽

Cox Proportional Hazard Regression

Abstract Background An unexpected excess in weight gain has recently been reported in the course of dolutegravir (DTG) treatment. The aim of the present study was to investigate whether weight gain differs among different DTG-containing regimens. Methods Adult naïve and experienced people with HIV (PWH) initiating DTG-based antiretroviral therapy (ART) between July 2014 and December 2019 in the Surveillance Cohort Long-Term Toxicity Antiretrovirals (SCOLTA) prospective cohort were included. We used an adjusted general linear model to compare weight change among backbone groups and a Cox proportional hazard regression model to calculate hazard ratios (HRs) and 95% confidence intervals (CIs) for weight increases >10% from baseline. Results A total of 713 participants, 25.3% women and 91% Caucasian, were included. Of these, 195 (27.4%) started DTG as their first ART regimen, whereas 518 (72.6%) were ART-experienced. DTG was associated with abacavir/lamivudine in 326 participants, tenofovir disoproxil fumarate/emtricitabine (TDF/FTC) in 148, boosted protease inhibitors in 60, rilpivirine in 45, lamivudine in 75, and tenofovir alafenamide (TAF)/FTC in 59. At 6 and 12 months, weight gain was highest among PWH on TDF/FTC+DTG and TAF/FTC+DTG. Baseline CD4 <200 cells/mm3 (HR, 1.84; 95% CI, 1.15 to 2.96), being ART-naïve (HR, 2.24; 95% CI, 1.24 to 4.18), and treatment with TDF/FTC+DTG (HR, 1.92; 95% CI, 1.23 to 2.98) or TAF/FTC+DTG (HR, 3.80; 95% CI, 1.75 to 8.23) were associated with weight gain >10% from baseline. Higher weight (HR, 0.97 by 1 kg; 95% CI, 0.96 to 0.99) and female gender (HR, 0.54; 95% CI, 0.33 to 0.88) were protective against weight gain. Conclusions Naïve PWH with lower CD4 counts and those on TAF/FTC or TDF/FTC backbones were at higher risk of weight increase in the course of DTG-based ART.

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Prevalence and Risk of Polypharmacy among Community-Dwelling, Elderly Kuwaiti Patients

Medical Principles and Practice ◽

10.1159/000503298 ◽

2019 ◽

Vol 29 (2) ◽

pp. 166-173 ◽

Cited By ~ 1

Author(s):

Nabil Ahmed Badawy ◽

Shokria Adely Labeeb ◽

Mawaheb Falah Alsamdan ◽

Badria Faleh Alazemi

Keyword(s):

Risk Factors ◽

Hospital Admissions ◽

Antihypertensive Drugs ◽

Female Gender ◽

Community Dwelling ◽

Older Individuals ◽

Cross Sectional ◽

Factors Associated ◽

High Prevalence ◽

Study Population

Objectives: To estimate the prevalence of polypharmacy in community-dwelling, older Kuwaiti patients, describe the number and types of drugs used, and identify risk factors associated with polypharmacy. Subjects and Methods: This was a descriptive cross-sectional questionnaire-based survey in which we interviewed 500 community-dwelling Kuwaiti adults over 65 years of age. The data collection occurred during a 4-month period from March to July 2017. Results: Fifty-two percent (n = 260) of the patients were males, with a mean age of 71.73 ± 5.32 years. The prevalence of polypharmacy (5–8 drugs) and excessive polypharmacy (>8 drugs) was 58.4% (n = 292) and 10.2% (n = 51), respectively. The risk factors associated with an increased number of medicines used were: female gender (p = 0.019), a lower level of education (p = 0.003), a high number of hospital admissions (p = 0.000), clinics visited by the patient (p =0.000), and number of comorbidities (p = 0.000). The most commonly used medications (82.6% of the study population) were blood glucose-lowering agents, excluding insulin. Other commonly used medications were antihypertensive drugs and lipid-modifying agents. Conclusion: A significant sector of the older Kuwaiti patient population has a high prevalence of polypharmacy and is thus exposed to its potential hazards. The current study highlights the need to revise the drug-dispensing policy among community-dwelling, older Kuwaiti people, as well as to initiate educational programs among healthcare practitioners concerning prescribing issues in older individuals.

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Assessment and determinants of aesthetic discomfort in hand osteoarthritis

Annals of the Rheumatic Diseases ◽

10.1136/ard.2011.153965 ◽

2011 ◽

Vol 71 (1) ◽

pp. 45-49 ◽

Cited By ~ 20

Author(s):

Bridget Hodkinson ◽

Emmanuel Maheu ◽

Mathilde Michon ◽

Fabrice Carrat ◽

Francis Berenbaum

Keyword(s):

Short Form ◽

Depression Scale ◽

Female Gender ◽

Hand Osteoarthritis ◽

Tender Joint ◽

Erosive Osteoarthritis ◽

Erosive Disease ◽

Factors Associated ◽

Pain Scores ◽

Number Of Patients

BackgroundDissatisfaction with hand appearance is frequently the presenting complaint of patients with hand osteoarthritis (HOA), yet no tool exists for its measurement and few studies have examined aesthetic discomfort.ObjectivesThe aims of this study were to measure the extent and to explore the associations of aesthetic concerns in HOA.Methods172 patients with HOA were assessed with tender joint and node count, global and pain scores, Functional Index for Hand Osteoarthritis, Short Form-12, Hospital Anxiety and Depression Scale and posterior–anterior hand radiographs. Patients scored the aesthetic impact of the disease on a Visual Analogue Scale of 0–100 mm and were classified into low, intermediate and high aesthetic concern (HAC) based on this score.ResultsOf 172 patients (155 women), the majority (92%) had nodes and 46% had erosive disease. The mean aesthetic score was 44.8 mm (SD 35.9), and 59 (34.3%) patients scored their aesthetic discomfort ≥66 mm. Factors associated with HAC were female gender, a high number of tender joints and nodes, high global and pain scores, high radiological damage scores, the presence of erosions and high depression and anxiety levels. The multivariate analysis identified two independent factors associated with HAC: patient's global assessment (p=0.0005) and radiographic erosions (p=0.03).ConclusionsAesthetic discomfort is a major concern for a significant number of patients with HOA, particularly women, those with a high burden of HOA disease and those with erosive osteoarthritis, and is also associated with depression, anxiety and poor health-related quality of life.

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2200Predictors of patient decision time in ST elevation myocardial infarction data from an observational cross sectional survey study

European Heart Journal ◽

10.1093/eurheartj/ehz748.0104 ◽

2019 ◽

Vol 40 (Supplement_1) ◽

Author(s):

M Ericsson ◽

I Thylen ◽

K Hellstrom Angerud ◽

E Swahn ◽

A Stromberg ◽

...

Keyword(s):

Myocardial Infarction ◽

Emergency Medical Services ◽

Female Gender ◽

Decision Time ◽

St Elevation Myocardial Infarction ◽

Survey Study ◽

Cross Sectional ◽

Factors Associated ◽

Early Action ◽

St Elevation

Abstract Background Short time from symptom onset until reperfusion is imperative in ST-elevation myocardial infarction (STEMI). System delay has been successfully shortened but patients delay has had less favorable development. The aim of this study was to find out clinical, contextual, behavioral and cognitive factors associated with decision time in STEMI. Method SymTime was a multicenter observational cross-sectional self-reported survey study performed at five Swedish hospitals representing geographic diversity. Early and late action was defined as decision to seek care <20 min and >90 min, respectively. Results 532 patients were included. Among those 19.5% called Emergency Medical Services (EMS) as first medical contact (FMC) within 20 min, whereas 10.7% acted within 20 min, but did not call EMS as FMC. Twenty-eight % called EMS as FMC, but delayed >20 min and 41.7% neither acted promptly, nor called EMS as FMC. Predictors associated with decision time OR 95% CI Factors associated with decision time <20 min Previous AF 0.43 0.19–0.94 Believing the symptoms originated from the heart 3.10 1.93–4.96 Symptoms waxing and waning 0.58 0.36–0.94 Getting STEMI off hours 0.66 0.45–0.97 Bystanders calling or recommending EMS (Emergency Medical Services) contact 1.67 1.07–2.59 Bystanders calling or recommending SHD (Swedish healthcare Direct) contact 0.56 0.37–0.85 Factors associated with decision time >90 min Female gender 1.67 1.06–2.62 Diaphoresis 0.67 0.46–0.998 Nausea 0.60 0.36–0.998 Stomach pain 0.46 0.23–0.91 Believing the symptoms originated from the heart 0.46 0.32–0.68 Getting STEMI off hours 1.68 1.16–2.14 Low educational level 0.58 0.40–0.86 Bystanders calling or recommending EMS contact 0.45 0.30–0.67 Variable significant at the p 0.05 presented. Conclusion Surprisingly, no specific symptom or severity of symptom were associated with early action, neither age, nor gender. Instead correct interpretation of symptoms and bystanders assisting were factors associated with early action. Frightening symptoms such as diaphoresis was negatively associated, whereas female gender and getting MI off hours were positively associated with late action.

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