scholarly journals High Burden among Older Family Caregivers is Associated with High Prevalence of Symptoms: Data from the Swedish Study “Good Aging in Skåne (GÅS)”

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Henrik Ekström ◽  
Nathalie Lundholm Auoja ◽  
Sölve Elmståhl ◽  
Lena Sandin Wranker

Background/Aim. Certain groups of informal caregivers have been shown to have worse health compared to noncaregivers. The aim of this cross-sectional study was to explore the health and gender aspects of caregiving in an older Swedish population. Methods. Our study included 5457 participants from the longitudinal, general population study “Good Aging in Skåne.” A total of 33 self-reported symptoms were obtained from questionnaires and were then divided into seven domains: depressive, musculoskeletal, gastrourinary, symptoms related to head, cardiopulmonary, symptoms related to tension, and metabolic symptoms. Multivariate logistic regression analysis was performed to assess the risk of developing symptoms in each of the seven domains, regarding caregiving burden and caregiving in relation to gender. Results. We found that caregivers, compared to noncaregivers, had a higher prevalence for depressive and tension-related symptoms. High-burden caregivers exhibited significantly more individual symptoms and a higher prevalence of symptoms in the depressive, tension, and gastrourinary domains of symptoms compared to both low-burden caregivers and noncaregivers. More than 79% of high-burden caregivers reported general fatigue, and over half of the high-burden caregivers experience depressive mood. Female caregivers showed a significantly higher risk of reporting depressive symptoms (OR = 1.54, 95% CI 1.19–1.98) and tension-related symptoms compared to male caregivers. Conclusion. Depressive and tension-related symptoms were more common in caregivers, especially in high-burden caregivers. High-burden caregivers might be at a risk of adverse mental health, and this highlights the need to offer proper support to these groups.

2020 ◽  
Vol 11 ◽  
Author(s):  
Alessia Perna ◽  
Daria Maccora ◽  
Salvatore Rossi ◽  
Tommaso Filippo Nicoletti ◽  
Maria Assunta Zocco ◽  
...  

Author(s):  
Rabeya Sultana

Background: Despite the high prevalence of secondhand smoke exposure among Bangladeshi adults, little is known about the knowledge regarding the health effects of exposure to secondhand smoke among the youth aged 15-24 years in Bangladesh. Against this background, the present study was conducted among the youth in Bangladesh to ascertain their levels of knowledge regarding health effects of secondhand smoke and its associated factors.Methods: This was a cross-sectional study of 656 respondents between the age of 15-24 years old selected by multistage cluster sampling. This study was conducted in Dhaka Division, Bangladesh. Data was analyzed using Chi square testing and multivariate logistic regression.Results: The proportion of good, average and poor knowledge scores among respondents were 30.5%, 50.0% and 19.5% respectively. Age and education were significant independent predictors of good knowledge. Furthermore, education and gender were tended as independent predictor of average knowledge. OR for age: 1.12 (95% CI: 1.01 to 1.25); OR for education: 1.27 (95% CI: 1.15 to 1.40).Conclusions: Overall, the results of this study found that less than one-third of the youth had a good level of knowledge on secondhand smoke health effects. The government needs to focus more on less-educated individuals and adolescents if a successful policy is to be implemented.


Author(s):  
Hassan Hashemi ◽  
Mohammad Saatchi ◽  
Abbasali Yekta ◽  
Babak Ali ◽  
Hadi Ostadimoghaddam ◽  
...  

Purpose: To determine the prevalence of asthenopia and its associated factors in a sample of university students in Iran. Methods: In this cross-sectional study, participants were selected using multistage cluster sampling. Presence of at least one of the 10 symptoms—foreign body sensation, diplopia, blurred vision, eye swelling, dry eye, eye pain, difficulty in sustaining visual operations, decreased visual acuity, tearing, and photophobia—was considered as asthenopia. Ocular examinations, including uncorrected/corrected visual acuity measurement, objective/subjective refraction, cover test, amplitude of accommodation (AA), and near point of convergence (NPC) were performed. Results: Of the 1,462 students (mean age: 22.8 ± 3.1 years), 73% were women. The age- and gender standardized prevalence was 70.9% (95% confidence interval [CI]: 68.3–73.5), 39.8% (95% CI: 36.4–43.1), and 19.7% (95% CI: 16.0–23.3) based on the presence of at least one, two, and three symptoms, respectively. The prevalence was significantly higher in females (P = 0.048), hyperopic students (P < 0.001), and astigmatic participants (P < 0.001). The mean AA and NPC were 9.7 ± 2.6 D and 10.2 ± 4.2 D (P = 0.008) and 7.0 ± 2.1 cm and 7.7 ± 3.9 cm (P < 0.001) in participants with and without asthenopia, respectively. Multiple regression model revealed age (28–29 years), astigmatism, and NPC as independent associated factors (odds ratios: 3.51, 1.61, and 0.91, respectively). Conclusion: This study shows relatively high prevalence of asthenopia in university students. Demographic factors and visual system disorders are important risk factors and timely correction of conditions may lead to decreased asthenopia.


2018 ◽  
Vol 22 (4) ◽  
Author(s):  
Marcelle Aparecida de Barros Junqueira ◽  
Manoel Antônio dos Santos ◽  
Lúcio Borges de Araújo ◽  
Maria Cristina de Moura Ferreira ◽  
Carla Denari Giuliani ◽  
...  

Abstract Objectives: To evaluate possible relationships between drug abuse, symptoms suggestive of depression and gender in nursing team professionals. Method: A cross-sectional study conducted in a general hospital with 416 participants. Used questionnaire with sociodemographic information, ASSIST, AUDIT-C and PHQ-2 tests. Used Fisher's Exact Tests, Chi-Square Test, and Multivariate Logistic Regression Analysis. Results: The female gender presented decreased odds ratios for alcohol consumption in the binge pattern and use of marijuana; and double odds ratios for feelings of lack of interest and pleasure. Symptoms suggestive of depression presented potential risks for the use of sedatives. Conclusion: Drug abuse and symptoms of depression are associated and manifest differently, according to gender among nursing staff professionals. Implications for practice: Social and gender roles influence the mental health conditions of these professionals.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
V Ferreira Júnior ◽  
E de Sousa Gomes ◽  
M Pereira Lima ◽  
L Maura Mascarini

Abstract Although it is recognized that mental disorders are more likely to occur in adulthood, especially in university period, and result in damage to health and incapacity for work, researches with university population are scarce in Brazil. We aimed to evaluate the prevalence of Minor Mental Disorders (MMD) among undergraduate students of a public university of São Paulo state, and investigate its association with social and economic conditions, sexuality and gender. This is a cross-sectional study conducted in 2018 with 376 undergraduate students who were halfway through the course. Data were collected from an anonymously and self-administered questionnaire, and MMD was evaluated from Self Report Questionnaire (SRQ-20). Associations were estimated through logistic regression, and odds ration calculated. We found prevalence of 53.9% of MMD among the students, and associated with gender (OR, 3.66; 95% CI, 2.37-5.67), being LGBT + (e.g Bisexuals OR, 2.92; 95% CI, 1.56-5.50), not receiving necessary family support (OR, 5.6; 95% CI, 2.00 - 15.68), not being satisfied with the course (OR, 23.69 95% CI, 2.95 - 190,03) and not practicing physical activities regularly (OR, 2.05; 95% IC, 1.33 - 3.17). Minor mental disorders prevalence found was high, reaching more than 70% in some courses (e.g 77.8% among Biomedicine students), mainly associated with gender, sexual orientation and emotional support. Our study draws attention to the urgency of monitoring the mental health status of undergraduate students, and implementing mental health centers at universities, as well as facilitating access and improve existing centers. Key messages The high prevalence of minor mental disorders found among undergraduate students indicates the urgent need for interventions in this populations. Women and LGBT+ students are groups at higher risk for the development of minor mental disorders at university. Strategies must be created to reduce the higher prevalence in this populations.


2009 ◽  
Vol 84 (2) ◽  
pp. 132-135 ◽  
Author(s):  
H.M. Mahgoub ◽  
A.A. Mohamed ◽  
M. Magzoub ◽  
G.I. Gasim ◽  
W.N. Eldein ◽  
...  

AbstractA cross-sectional study was carried out to investigate the prevalence and risk factors for severe anaemia among schoolchildren in New Halfa, eastern Sudan. After taking age and gender, haemoglobin (Hb) levels were measured and all children were screened for malaria and intestinal parasitic infections, including schistosomiasis. Six hundred and forty (230 boys, 410 girls) schoolchildren aged 8–18 years were enrolled. The mean (SD) of the haemoglobin was 9.6 (1.7) mg/dl. One hundred and eleven (17.3%) and 33 (5.2%) children had Schistosoma mansoni infection and Hymenolepis nana infection, respectively. Five hundred and eighty (90.6%) of these children had anaemia (Hb < 12 g/dl), and 103 (16.0%) of them had severe anaemia (Hb < 8 g/dl). Girls (OR = 2.5, 95% CI = 1.1–5.3; P = 0.01) were at higher risk for severe anaemia in univariate and multivariate analyses. Schistosoma mansoni infections were associated with severe anaemia in univariate analyses only. Thus, there was a high prevalence of severe anaemia among these children. This needs to be investigated in more depth in the future, and more attention should be paid to the health of adolescent girls.


2020 ◽  
Vol 37 (3) ◽  
pp. 149-158
Author(s):  
Joao R. Kunz ◽  
Milena C. S. Granella ◽  
Rubens P. Mendes ◽  
Thiago R. Müller ◽  
Silvio Kau ◽  
...  

In developing and emerging countries, many people make a living from picking municipal solid waste to sell for reuse or recycling. These people depend on cost-effective transport vehicles like horse-drawn carts. It is indisputable that the general health of these horses not only plays a major economic role but is a welfare issue as well. Orodental disorders are likely to be of particular importance as they directly impair health, performance, and therefore influence animal welfare and income. However, studies investigating prevalence and distribution of orodental disorders in working horses are scarce. This cross-sectional study is a survey of orodental alterations in 70 South Brazilian urban mixed-breed cart horses. All animals were subjected to a standardized clinical and subsequent specific orodental examination, and no horse had previously received dental treatment. Age and gender-related distribution and correlation of type and prevalence of orodental disorders were assessed. Excessively sharp enamel points (98.6%), cheek tooth diastema (65.7%), and mucosal ulcers (65.7%) occurred most frequently. Diastemata were more likely to be present between maxillary and mandibular Triadan 06/07 and mandibular 10/11. Male horses showed a higher individual number of orodental alterations than females ( P = .048). Incisors were often worn down and endodontically affected, occurring most frequently in horses >18 years ( P = .004) and males ( P = .048). Results indicate a high prevalence of orodental changes among South Brazilian cart horses. Poor orodental health in working horses is an animal welfare issue and may be influenced by the socioeconomic status of waste pickers.


2020 ◽  
Vol 30 (3) ◽  
Author(s):  
Seongmin Ro ◽  
Jungmin Lee ◽  
In Cheol Hwang

Background: Previous research on sleep debt has neglected considering sleep duration on weekdays as a contributing factor. Objectives: This cross-sectional study investigated the relationship between sleep debt and mental health in school-age adolescents, taking weekday sleep deficits under consideration. Methods: We identified 1,392 students who had provided data on sleep duration from the 2016 - 2017 for Korea National Health and Nutrition Examination Survey (KNHANES). A stepwise multivariate logistic regression analysis was used to examine the independent effect of sleep debt on perceived stress or depressive mood. Results: Individuals with poor mental health sleep less on weekdays, resulting in more sleep debt. Final regression models that were adjusted for potential covariates revealed that poor mental health was associated with shortened sleep on weekdays but was not associated with overall sleep debt. Conclusions: Our result suggests that efforts should be made to lengthen sleep on weekdays, not on weekends, to lower stress or depressive mood among adolescents.


BMC Neurology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Toshihide Naganuma ◽  
Daijiro Kabata ◽  
Yoshiaki Takemoto ◽  
Junji Uchida ◽  
Ayumi Shintani

Abstract Introduction Cerebral microbleeds (CMBs) are detected on gradient-echo T2*-weighted magnetic resonance imaging (MRI). Clinically, CMBs are often detected after stroke, including in cases of intracerebral hemorrhage and ischemic cerebrovascular disease. Hemodialysis (HD) patients are widely known to have a high incidence of stroke, and HD patients without stroke history have been reported to have a high prevalence of CMBs. In this study, we investigated whether history of stroke affects the prevalence of CMBs in HD patients. Methods A cross-sectional study was performed in 241 HD patients who underwent brain T2*-weighted MRI. We compared the prevalence of CMBs between the patients with and without a history of stroke. Moreover, the relationship between history of stroke and presence of CMBs was examined by multivariate logistic regression analysis. Results Among these patients, 22 (9.1%) had a history of stroke. CMBs were detected in 70 patients (29.0%). The prevalence of CMBs was significantly higher in patients with a history of stroke compared to those without this history (54.5 vs. 26.5%, p = 0.012). In the multivariable analysis adjusted for background characteristics, history of stroke was a significant and independent factor related to CMBs (OR: 3.24, 95%CI: 1.18–8.89, p = 0.02). Discussion/conclusions As has been reported for non-dialysis patients, our results showed a high prevalence of CMBs in HD patients with a history of stroke, and indicated that a history of stroke is significantly and independently associated with CMBs in HD patients.


2021 ◽  
Vol 15 (6) ◽  
pp. 1259-1261
Author(s):  
Z. Arshad ◽  
A. Ammar ◽  
M. Arshad ◽  
T. M. Mirza ◽  
T. Arshad ◽  
...  

Aim: To evaluate the prevalence and associationbetween Achilles and plantar calcaneal spurs in Pakistani population. Study design: Cross sectional study. Place and duration of study: The study was conducted in the radiology department Combined Military Hospital Lahore from October 2020 to December 2020. Methodology: Three hundred and thirty five patients were enrolled. The age and sex of the patients were recorded. Lateral foot and/ or ankle radiographs were evaluated for presence of calcaneal spurs. Results:Mean age 38 years.There were 268 (80%) males and 67 (20%) females. 30.7% patients had a calcaneal spur in our population irrespective of age and gender. 13% patients had both posterior and inferior calcaneal spurs. There was higher prevalence of inferior calcaneal spur irrespective of age and gender.Posterior calcaneal spur was seen in 20% of males and in 15% of females. A total of 44 (68%) patients with posterior plantar spur were found to have a concomitant inferior calcaneal spur.Inferior calcaneal spur was seen in 25% of males and in 28% of females and positive correlation between posterior and inferior calcaneal spurs. Conclusion: There is a high prevalence of calcaneal spurs, which increases with advances of age. Inferior calcaneal spurs tend to be more prevalent in females. Furthermore, there is a significant association between the presence of posterior calcaneal spurs and the concomitant inferior calcaneal spurs. Key words: Achilles, Plantar, Calcaneal, Spur


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