scholarly journals Resilience Significantly Contributes to Exceptional Longevity

2010 ◽  
Vol 2010 ◽  
pp. 1-9 ◽  
Author(s):  
Yi Zeng ◽  
Ke Shen
Keyword(s):  
Well Being ◽  
Cognitive Status ◽  
Cross Sectional ◽  
Exceptional Longevity ◽  
Positive Effects ◽  
Healthy Longevity ◽  
Logistic Regressions ◽  
Policies And Programs ◽  
Young Old

Objective. We aim to investigate whether centenarians are significantly more resilient than younger elders and whether resilience significantly contributes to exceptional longevity.Data. We use a unique dataset from the Chinese Longitudinal Healthy Longevity Survey with the largest sample to date of centenarians, nonagenarians, octogenarians, and a compatible group of young old aged 65–79.Methods and Results. Logistic regressions based on the cross-sectional sample show that after controlling for various confounders, including physical health and cognitive status, centenarians are significantly more resilient than any other old-age group. Logistic regression analyses based on the longitudinal data show that nonagenarians aged 94–98 with better resilience have a 43.1% higher likelihood of becoming a centenarian compared to nonagenarians with lower resilience.Conclusions. Resilience significantly contributes to longevity at all ages, and it becomes even more profound at very advanced ages. These findings indicate that policies and programs to promote resilience would have long-term and positive effects on the well-being and longevity for senior citizens and their families.

scholarly journals Stigma and Discrimination on People Living with HIV (PLHIV): a Systematic Review

2021 ◽  
Author(s):  
Khotibul Umam ◽  
Moses Glorino Rumambo Pandin
Keyword(s):  
Systematic Review ◽  
Well Being ◽  
People Living With Hiv ◽  
Medical Subject Headings ◽  
Cross Sectional ◽  
Stigma And Discrimination ◽  
Family Approach ◽  
Research Bias ◽  
The Family

ABSTRACTIntroduction:Human Immunodeficiency Virus (HIV) is a global health problem that is almost recorded in every country. The long-term and long-term negative impacts of HIV cases are stigma and discrimination in people with HIV (PLHIV). The purpose of this study is to find out the stigma and discrimination felt by PLHIV.Method:This study design of systematic review from 4 electronic databases namely Scopus ScienceDirect, Sage and ProQuest by using keywords tailored to Medical Subject Headings (MeSH) including "Stress", "covid", "nursing", "hospital". This study uses PICOS framework to prevent research bias and analysed using descriptive analysis.Results:The results of the analysis of the article showed from 761 articles have been identified title, abstract and full-text so that recorded 15 articles that can be reviewed. The article consists of various designs, namely RCT, cross sectional and qualitative studies. Analysis shows that stigma and discrimination are social phenomena that manifest in several social areas.Conclusion:Stigma and discrimination in people with HIV (PLHIV) is still common, stigma is carried out by the wider community to their own families. The family approach is necessary to improve well-being as well as improve the social community of the family.

scholarly journals SOCIAL STRATIFICATION AND TRAJECTORIES OF LIVING ARRANGEMENTS AMONG OLDER AMERICANS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S281-S281
Author(s):  
Jersey Liang ◽  
BoRin Kim ◽  
Xiao Xu ◽  
James Raymo ◽  
Mary Beth Ofstedal ◽  
...  
Keyword(s):  
Old Age ◽  
Social Stratification ◽  
Living Arrangements ◽  
Well Being ◽  
Cross Sectional ◽  
Term Care ◽  
Older Americans ◽  
Rate Of Increase ◽  
Race Ethnicity ◽  
Young Old

Abstract Living arrangements are critical to intra-family exchanges that affect older persons’ health and well-being. The conventional conceptualization of living arrangements has emphasized coresidence with children, while overlooking proximate residence from children. Additionally, existing research often relied on cross-sectional data which confound intrapersonal differences with interpersonal variations. This study examined the dynamics of living arrangements in old age by depicting their trajectories as a function of social stratification (i.e., age, gender, race/ethnicity, education, income, and wealth). Data came from the Health and Retirement Study and included a national sample of 7,822 older Americans with at least one living child from 1998 to 2014. Multi-level mixed effects models were employed to analyze the trajectories of living arrangements and their key determinants for the young-old and the old-old separately. Among the young-old (age 65-74, N=4,917), the probability of coresidence increased slightly over time, whereas the probabilities of proximate residence and distant residence decreased slightly and remained stable respectively, and the risk for institutionalization increased moderately. Similar but more accelerated trajectories were observed among the old-old (age 75+, N=2,905). Age, gender, race/ethnicity, education, income, and asset were significantly associated with not only the levels of the probabilities of various living arrangements but also their slopes. For instance, among the old-old, Hispanics had a lower level of nursing home residence as well as a slower rate of increase in the risk of institutionalization than Whites. These findings may inform public policies to strengthen family-based support and long-term care for older people.

scholarly journals Health-Related Quality of Life Among Long-Term Rectal Cancer Survivors With an Ostomy: Manifestations by Sex

2009 ◽  
Vol 27 (28) ◽  
pp. 4664-4670 ◽  
Author(s):  
Robert S. Krouse ◽  
Lisa J. Herrinton ◽  
Marcia Grant ◽  
Christopher S. Wendel ◽  
Sylvan B. Green ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Rectal Cancer ◽  
Short Form ◽  
Well Being ◽  
Health Related Quality ◽  
Cross Sectional ◽  
Related Quality ◽  
Health Related

Purpose Intestinal stomas can pose significant challenges for long-term (≥ 5 years) rectal cancer (RC) survivors. Specifying common challenges and sociodemographic or clinical differences will further the development of tailored interventions to improve health-related quality of life (HRQOL). Patients and Methods This was a matched cross-sectional study of long-term RC survivors conducted in three Kaiser Permanente regions. The mailed questionnaire included the modified City of Hope Quality of Life-Ostomy (mCOH-QOL-Ostomy) and Medical Outcomes Study 36-Item Short-Form Health Survey, version 2 (SF-36v2). Groups surveyed were permanent ostomates (cases) and those who did not require an ostomy (controls). RC survivors were matched on sex, age, and time since diagnosis. Comparisons between groups used regression analysis with adjustment for age, comorbidity score, history of radiation therapy, income, and work status. Results Response rate was 54% (491 of 909). Cases and controls had similar demographic characteristics. On the basis of the mCOH-QOL-Ostomy, both male and female cases had significantly worse social well-being compared with controls, while only female cases reported significantly worse overall HRQOL and psychological well-being. For younger females (< age 75 years), ostomy had a greater impact on physical well-being compared with older females. Based on the SF-36v2, statistically significant and meaningful differences between female cases and controls were observed for seven of the eight scales and on the physical and mental component summary scores. Conclusion Men and women report a different profile of challenges, suggesting the need for targeted or sex-specific interventions to improve HRQOL in this population. This may include focus on physical HRQOL for female ostomy survivors younger than age 75.

Verification of Ingroup Identity as a Longitudinal Mediator between Intergroup Contact and Outgroup Evaluation

2013 ◽  
Vol 16 ◽  
Author(s):  
Angel Gómez ◽  
Anja Eller ◽  
Alexandra Vázquez
Keyword(s):  
High School Students ◽  
Intergroup Contact ◽  
Long Term Effects ◽  
School Students ◽  
Cross Sectional ◽  
Positive Effects ◽  
Group Members ◽  
Ingroup Identity ◽  
Continue Work

AbstractAlmost six decades of research have consistently demonstrated that intergroup contact is one of the most powerful ways of improving intergroup attitudes. At least two important limitations, however, still compel researchers to continue work in this area: the issue of long-term effects of contact, and the processes underlying such effects. This report makes a theoretical and empirical contribution with regard to these two aspects introducing a new mediator of the effects of contact: verification of qualities of typical ingroup members that may or may not characterize individual group members (e.g. verification of ingroup identities). One hundred and forty-two high school students participated in a two-wave longitudinal study with 12 weeks’ lag in Spain. Cross-sectional and longitudinal mediational analyses using multiple imputation data showed that intergroup contact improves general outgroup evaluation through increasing verification of ingroup identities. This research demonstrates the relevance of considering verification of ingroup identity as a mediator for the positive effects of intergroup contact.

scholarly journals Long term complications of hypospadias repair: A ten-year experience from Northern Zone of Tanzania.

2020 ◽  
Author(s):  
mbarouk said mohd ◽  
Frank bright Bright ◽  
Alfred kien Mteta ◽  
Jasper said Mbwambo ◽  
Bartholomew nicolaus Ngowi ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Structural Data ◽  
Well Being ◽  
Cross Sectional Study ◽  
Hypospadias Repair ◽  
Cross Sectional ◽  
Surgeon Experience ◽  
Huge Impact ◽  
Associated Risk Factors

Abstract Background Hypospadias is one of the commonest congenital penile abnormalities in new born males. The external urethral opening can be located anywhere from the glans penis along the ventral aspect of the shaft of the penis up to the scrotum or the perineum in extreme cases. The condition has a huge impact on the patient’s psychological, emotional and sexual well-being. Aim To determine the proportion of patient who develop long term complications after hypospadias repair and its associated risk factors. Materials and Methods This was a hospital based analytical cross-sectional study, conducted at KCMC Urology Institute from January 2009 to December 2018.The structural data sheet was used to collect information from patient file. Study parameters include age, location of hypospadias, surgical technique, surgeon experience, chordee, suture size, materials to assess the association with long-term complications. Results: A total of 254 patients were included in the study, majority were aged more than two years (71.83%) with mean age at operation (SD) of 4.74 ± 2.99 years) . Distal types were the most common type of hypospadias 125(50%), where by 51(20%) of patients had severe chordee. TIP repair was most common technique in 130(51.59%). The proportion of long-term complications among patients who underwent hypospadias repair was 156(61.60%) and UCF accounted for 40.5%, the surgeon experience, location of hypospadias, surgical technique and associate chordee were significant predictors of long-term complications of hypospadias repair. Conclusion TIP urethroplasty is a safe and reliable method of hypospadias repair. Proximal hypospadias with severe chordee still remain a challenge.

scholarly journals Doctor Retention in Ireland - Where Are the Failings That Prolong the Problem? Comment on "Doctor Retention: A Cross-sectional Study of How Ireland Has Been Losing the Battle"

2020 ◽  
Author(s):  
Gozie Offiah ◽  
Frank Murray ◽  
Consilia Walsh
Keyword(s):  
Patient Safety ◽  
Working Conditions ◽  
Current System ◽  
Well Being ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Medical Workforce ◽  
Cross Sectional ◽  
Health Service Executive ◽  
Positive Effects

The issue of doctor retention has been a challenge in Ireland for many years. Poor working conditions including poor supervision, cost of training, bullying, worsening mentoring experiences and speciality specific issues are a substantial challenge faced by doctors in Ireland, thus leading to a higher degree of emigration. While some changes have been introduced to the system and have some positive effects, the root causes of doctor emigration have not been addressed. This commentary reviews the publication by Brugha et al published in the IJHPM in April 2020 on "Doctor Retention: A Cross-sectional Study of How Ireland Has Been Losing the Battle" and explains why the current system needs to change for the benefit of patient safety, doctor well-being and better patient care. Ireland’s Health Service Executive intends to take steps towards developing a new model of medical workforce to address the issue of recruitment and retention challenges within the healthcare system.

scholarly journals HEALTH AND WELL-BEING OF OLDER ADULTS IN LONG-TERM CARE FACILITIES: LESSONS FROM LONGITUDINAL STUDIES.

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S242-S242
Author(s):  
Robert O Barker ◽  
Andrew Kingston ◽  
Fiona Matthews ◽  
Barbara Hanratty
Keyword(s):  
Older Adults ◽  
Longitudinal Studies ◽  
Long Term Care ◽  
Well Being ◽  
Cross Sectional ◽  
Term Care ◽  
Complex Needs ◽  
People With Dementia ◽  
Care Facilities

Abstract Older adults in long-term care facilities (LTCF) have complex needs for health care and support. There is a perception that residents’ needs are increasing over time, but little research evidence to back this up. In this study we brought together data on 1640 residents in LTCFs from three longitudinal studies, and conducted repeated cross-sectional analyses across a 25 year period. We found that the prevalence of severe disability amongst residents has increased from 56% to 80% over a 20 year period, driven by increases in difficulties in bathing and dressing. The prevalence of multimorbidity also increased from 29% to 56% between 2006 and 2014. A growth in the number of people with dementia, cardiovascular and cerebrovascular diseases contributed to this. We conclude that residents in LTCFs have become a selected subset of the population, characterised by increasing needs for support. This poses an important challenge for future care provision.

scholarly journals Universal, school-based interventions to promote mental and emotional well-being: what is being done in the UK and does it work? A systematic review

BMJ Open ◽  
2018 ◽  
Vol 8 (9) ◽  
pp. e022560 ◽  
Author(s):  
Karen Mackenzie ◽  
Christopher Williams
Keyword(s):  
Mental Health ◽  
Outcome Measure ◽  
Well Being ◽  
Study Quality ◽  
Methodological Issues ◽  
Positive Effects ◽  
School Based ◽  
School Based Interventions ◽  
The Uk

ObjectivesThe present review aimed to assess the quality, content and evidence of efficacy of universally delivered (to all pupils aged 5–16 years), school-based, mental health interventions designed to promote mental health/well-being and resilience, using a validated outcome measure and provided within the UK in order to inform UK schools-based well-being implementation.DesignA systematic review of published literature set within UK mainstream school settings.Data sourcesEmbase, CINAHL, MEDLINE, PsycINFO, PsychArticles, ASSIA and Psychological and Behavioural Sciences published between 2000 and April 2016.Eligibility criteriaPublished in English; universal interventions that aimed to improve mental health/emotional well-being in a mainstream school environment; school pupils were the direct recipients of the intervention; pre-post design utilised allowing comparison using a validated outcome measure.Data extraction and synthesis12 studies were identified including RCTs and non-controlled pre-post designs (5 primary school based, 7 secondary school based). A narrative synthesis was applied with study quality check.1ResultsEffectiveness of school-based universal interventions was found to be neutral or small with more positive effects found for poorer quality studies and those based in primary schools (pupils aged 9–12 years). Studies varied widely in their use of measures and study design. Only four studies were rated ‘excellent’ quality. Methodological issues such as small sample size, varying course fidelity and lack of randomisation reduced overall study quality. Where there were several positive outcomes, effect sizes were small, and methodological issues rendered many results to be interpreted with caution. Overall, results suggested a trend whereby higher quality studies reported less positive effects. The only study that conducted a health economic analysis suggested the intervention was not cost-effective.ConclusionsThe current evidence suggests there are neutral to small effects of universal, school-based interventions in the UK that aim to promote emotional or mental well-being or the prevention of mental health difficulties. Robust, long-term methodologies need to be pursued ensuring adequate recording of fidelity, the use of validated measures sensitive to mechanisms of change, reporting of those lost to follow-up and any adverse effects. Further high-quality and large-scale research is required across the UK in order to robustly test any long-term benefits for pupils or on the wider educational or health system.

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