scholarly journals Neuropathic Pain Prevalence of Older Adults in an Urban Area of Iran: A Population-Based Study

2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Reza Salman Roghani ◽  
Ahmad Delbari ◽  
Mohsen Asadi-Lari ◽  
Vahid Rashedi ◽  
Johan Lökk

Background. Pain prevalence would increase as the population grows older, but the exact prevalence rate is not apparent in Iran. Objectives. This study, therefore, set out to reveal the prevalence of pain, especially neuropathic type and explore its associated comorbidities among Iranian older adults in a large urban population-based survey. Methods. 5326 older people, aged ≥ 60 years, were randomly chosen by a multistage, cluster sampling method. The selected people then were interviewed by using the following instruments: a standard questionnaire about pain, questions of interview part of Douleur Neuropathique 4 Questions (DN4) and its comorbidities, GHQ-28, and a sociodemographic checklist. Descriptive statistics and multiple regression analysis were conducted to analyze the gathered data. Results. The average of the participants’ age was 68.92 ± 7.02 years. Of 5326 participants, 2529 (47.5%) of participants were male. About one-third of this population had chronic pain. Chronic neuropathic pain prevalence was 13.7% and nociceptive in 30%. Knee pain (20.6%) and feet dysesthesia (7.8%) were the most common sites of nociceptive and neuropathic pain, respectively. Results of multiple regression analysis revealed that the major comorbidities of chronic pain were osteoporosis, disability, diabetes mellitus, and stroke. Neuropathic pain experiences were significantly associated with GHQ-28 scores (t=-11.42, P<0.001). Conclusions. In addition to neuropathic pain, other subtypes of pain prevalence and the comorbidities are determined in the community-dwelling elder adults. This study highlights the importance of neuropathic pain and its adverse consequences and can be used to manage this populations’ needs in Iran effectively.

Gerontology ◽  
2020 ◽  
Vol 66 (6) ◽  
pp. 549-552
Author(s):  
Mizue Suzuki ◽  
Yosuke Kimura ◽  
Yuhei Otobe ◽  
Tomoe Kikuchi ◽  
Hiroaki Masuda ◽  
...  

<b><i>Background:</i></b> Swallowing disorders are a serious health concern among older adults. Previous studies reported that sarcopenia may affect swallowing disorders; however, whether sarcopenia is related to the capacity to swallow (measured according to swallowing speed) in community-dwelling older adults is unclear. <b><i>Objectives:</i></b> The aim of this study was to investigate the relationship between sarcopenia and swallowing capacity in community-dwelling older women. <b><i>Methods:</i></b> This cross-sectional observational study was conducted among community-dwelling older women in Japan. The inclusion criteria were as follows: women aged ≥65 years, with the ability to walk independently, and without dysphagia. The exclusion criterion was a history of stroke or Parkinson’s disease that directly caused dysphagia. The participants were divided into a sarcopenia and a healthy group based on the criteria of the Asian Working Group for Sarcopenia 2019. We measured swallowing speed (mL/s) as the swallowing capacity by conducting a 100-mL water-swallowing test. To assess the relationship between sarcopenia and swallowing capacity, we performed a multiple regression analysis. <b><i>Results:</i></b> Two-hundred and sixty participants were enrolled in the study. Their mean age was 82.3 ± 6.9 years, and 61 (23.5%) of them displayed sarcopenia. The mean swallowing speed was 11.5 ± 4.9 mL/s, and 17 women (6.5%) exhibited choking or a wet-hoarse voice. Multiple regression analysis revealed that sarcopenia was related to the swallowing capacity after adjusting for age, the Mini-Mental State Examination, and the number of comorbidities (β = –0.20, 95% CI –3.78 to –0.86, <i>p</i> = 0.002). <b><i>Conclusions:</i></b> We found that sarcopenia was related to the swallowing capacity in older women in this study. Future research should clarify whether a similar relationship exists in older men as well as the effect of sarcopenia on the swallowing capacity in older adults over a period of time.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S82-S82
Author(s):  
Jessica H Helphrey ◽  
Cassidy M Adams ◽  
Leah N Smith ◽  
Jennifer Sawyer ◽  
Leigh A Fierro ◽  
...  

Abstract Ageism refers to stereotypes about and prejudice against individuals on the basis of age. Ageism among young adults may be different than other forms of intolerance simply because age changes; that is, young adults will grow older, and they will eventually become a member of what is presently an outgroup (i.e., older adults). The purpose of this study was to investigate whether ageism among young adults (N = 623) is more closely associated with future-oriented variables (i.e., optimism and fear of death) or whether ageism more closely resembles an outgroup attitude, which like other outgroup attitudes is mitigated by knowledge about and quality of contact with those outgroup members. Bivariate correlations found that knowledge of aging, quality of contact with older adults, and optimism were associated with lower ageism. In a multiple regression analysis, only knowledge about aging and quality of contact with older adults were associated with lower ageism. Overall, the results suggest that ageism represents more of an outgroup attitude rather than a future-oriented attitude. These results support the contact hypothesis in that knowledge of aging and quality of contact with older adults were associated with lower ageism among young adults. Education about aging and quality contact with older adults may be effective ways to reduce ageism among young adults.


Medicina ◽  
2019 ◽  
Vol 55 (10) ◽  
pp. 652 ◽  
Author(s):  
Yuta Sakamoto ◽  
Takeru Oka ◽  
Takashi Amari ◽  
Satoshi Shimo

Background and Objectives: Pain affects psychological stress and general health in the working population. However, the factors affecting psychological job stress related to chronic pain are unclear. This study aimed to clarify the structural differences among factors affecting psychological job stress in workers with chronic pain and those without pain. Materials and Methods: A stepwise multiple regression analysis revealed the differences in structure between the psychological stress of workers with chronic pain and those with no pain. Psychological job stress by the Brief Job Stress Questionnaire was used as the dependent variable, with psychological state (depression and anxiety), specifically that characteristic of chronic pain (pain catastrophizing); information on the nature of the pain (intensity and duration); and number of years of service as independent variables. Selected independent variables were evaluated for collinearity. Results: In the model with psychological stress as a dependent variable (chronic pain: r2 = 0.57, F = 41.7, p < 0.0001; no-pain: r2 = 0.63, F = 26.3, p < 0.0001), the difference between the experiences of workers with chronic pain and those with no pain was that chronic pain was associated with depression (Beta = 0.43, p < 0.0001) and no pain with anxiety (Beta = 0.34, p < 0.0001). In the model with chronic pain-related depression as a dependent variable (r2 = 0.62, F = 41.7, p < 0.0001), job-life satisfaction (Beta = −0.18, p = 0.0017) and magnification (a dimension of pain catastrophizing; Beta = 0.16, p < 0.0001) were significant. Conclusions: The results of this study suggest that the psychological characteristics of chronic pain, such as depression and magnification, should be considered when evaluating and intervening in the job stress of workers with chronic pain.


Author(s):  
Hyun Sook Kang ◽  
Bonnie Ahn

This study examined the relationship of family and friends to the resiliency of older widows. Data from the National Social Life, Health, and Aging Project (NSHAP) survey (Waite et al., 2007), which sampled persons 57-85 years of age (n = 3005), was used. It was hypothesized that older widows have greater breadth and depth of family and friend relationships than older married adults. Multiple regression analysis results revealed that older widows engaged more frequently in family and friend relations compared to older married adults, possibly enabling greater resilience to widowhood.


2011 ◽  
Vol 1 (1) ◽  
pp. 69
Author(s):  
Achmad Syaiful Hidayat Anwar

The aims of this research is to test the influence of intension, experience using the internet, facilitating conditions and undang-undang Informasi & Transaksi Elektronik (ITE) No. 11/2008 on cybercrime. This research uses survey methods. Cluster sampling and purposive sampling method are used to determine research sample. The respondents are internet users who use the internet at warnet and are located in Yogya- karta, Surabaya and Malang. Some 300 questionnaires have been distributed and received back. A total of 291 questionnaires revealed to be analyzed by using multiple regression analysis. Based on the analysis results can be concluded that intention, experience using the Internet, facilitating conditions and UU ITE No. 11/2008 positively influence the occurrence of cybercrime. For further research, it is advisable to increase research variables also affect the occurrence of cybercrime, among others, and increase the number of samples. It aims to obtain research results more representative so that results can be generalized. Keywords: cybercrime, internet, UU ITE No. 11/2008


2016 ◽  
Vol 3 (2) ◽  
Author(s):  
M. Lutfi Hadi Wicaksono ◽  
Luh Kadek Pande Ary Susilawati

Psychological well-being is a construct associated with the optimum or positive functioning of a person. All of the people exactly want to live well both physically and psychologically including adolescents. One of the factors who has a significant correlation with psychological well-being is gratitude. Psychological well-being of adolescents can also enhanced through the development of positive behaviors. One of positive behavior that support the personal growth of adolescents is prosocial behavior. This study aimed to determine the correlation between gratitude and prosocial behavior toward psychological well-being in late adolescents who join the Islamic medical activists at Faculty of Medicine Udayana University.The sampling technique used in this study was cluster sampling. Subjects of the research were 60 late adolescents who join the Islamic medical activists at Faculty of Medicine Udayana University. Instruments in this study were psychological well-being scale, gratitude scale and prosocial behavior scale. Data obtained in this study were analyzed by multiple regression analysis to see the correlation between gratitude and prosocial behavior toward psychological well-being. Multiple regression analysis results F test values 29,976 with significance value 0,000 (P < 0,05) it means gratitude variable and prosocial behavior were able to predict psychological well-being. Coefficient of determination equal to 0,513 showed that 51,3% psychological well-being can be explained by gratitude and prosocial behavior.Keywords: gratitude, prosocial behavior, psychological well-being, late adolescents


PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e11269
Author(s):  
Toshinori Miyashita ◽  
Shintarou Kudo ◽  
Yoshihiro Maekawa

Background Decreased walking speed has been revealed to be related to many negative events. Several researchers support the importance of triceps surae function as a cause of decreased walking speed. The purpose of this study was to investigate the relationship between walking speed and plantar flexor power during the terminal stance of gait in community-dwelling middle-aged and elderly women using an inertial sensor. Methods One hundred thirty-six healthy female middle-aged to elderly community-dwelling women were included in this study. We measured two-step score, grip strength, walking speed and accelerometer data from which we estimated ankle power (estimated ankle power) during walking using an inertial sensor. All participants were classified into the four different age strata, fifties (50–59), sixties (60–69), seventies (70–79) and eighties (80–89). The differences in each parameter between the four age groups were compared using repeated analysis of variance and post-hoc Bonferroni corrections for multiple comparisons to establish significance. Multiple regression analysis was carried out using a stepwise method to determine the correlations with comfortable walking speed. Comfortable walking speed was considered a dependent variable. Results The normalized estimated ankle power of the eighties group was significantly decreased in comparison with seventies age groups and fifties age groups (P < 0.05), but there were no significant differences in normalized estimated ankle power between the sixties and eighties age-groups. The results of stepwise multiple regression analysis revealed that the normalized estimated ankle power, two-step value and body weight were highly-significant partial regression coefficients (adjusted R2 = 0.57).


2018 ◽  
Vol 36 (5) ◽  
pp. 594-599 ◽  
Author(s):  
Juliana L Torres ◽  
Silvia L A da Silva ◽  
Fabiane R Ferreira ◽  
Liliane P S Mendes ◽  
Luciana A Machado

Abstract Background Chronic pain is known to increase health care use in high-income countries, but in Brazil, little is known. Objective To investigate the association between chronic pain and health care use among Brazilian older adults and explore the relationship between pain severity and health care use. Methods This cross-sectional study was derived from the population-based study Frailty in Brazilian Older People-FIBRA. Chronic pain, pain intensity and pain-related disability were assessed through additional telephone interviews. Health care use was measured by the number of doctor visits, hospitalization events and high health care use (highest quartile of the distribution for number of doctor visits) in the last 12 months. Associations were tested in regression analyses adjusted for predisposing, enabling and illness-level components from the Andersen Model. Results The 383 participants were predominantly female (71.0%), mean age was 75.6 (6.1 SD). The prevalence of chronic pain was 30.0%. Chronic pain was associated with number of doctor visits [unstandardized B coefficient 1.48; 95% confidence interval (CI) = 0.35–2.62] and high health care use [odds ratios (OR) = 2.27; 95% CI = 1.39–3.72]. Pain intensity was associated with high health care use in univariate (OR = 1.13; 95% CI = 1.06–1.20) but not multivariate analysis (OR = 1.12; 95% CI = 0.94–1.33). Pain-related disability was not associated with any outcome. Conclusion Chronic pain increased health care use among Brazilian older adults. Improving the quality of primary care management of individuals at greater risk of chronic pain should be a cornerstone of health policies directed towards reducing the personal and societal burden of ageing.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
André Hajek ◽  
Hans-Helmut König

Abstract Background There is a lack of studies examining the link between meaning in life and health care use. Meaning in life refers to a sense of comprehension and significance in life. Consequently, the purpose of this study was to investigate the association between meaning in life and health care use. Methods Cross-sectional data from the German Ageing Survey, a nationally representative sample of older adults, was used for this study (in the analytical sample: n = 3850; year 2002). The frequency of GP and specialist visits in the past 12 months were used as outcome measures. Meaning in life was assessed using a single item measure. Based on Andersen’s model, covariates were selected. Sex, age, family status, occupational status, income, self-rated health, physical functioning, depressive symptoms, and the number of physical illnesses were adjusted for in a multiple regression analysis. Results After adjusting for various potential confounders, there was a positive association between meaning in life and GP (IRR: 1.04, 95%-CI: 1.01–1.08) as well as specialist visits (IRR: 1.07, 95%-CI: 1.02–1.12) in a multiple regression analysis. With the exception of employment status (retired vs. employed), income and need factors, no covariates were consistently associated with both outcome measures. Conclusions This study highlighted the association between meaning in life and health care use. Our results indicate that there are other factors that are associated with health care use, beyond need-variables. This might help to identify individuals at risk for under- or overuse of health care services.


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