Residential Mobility and Cognitive Function Among Middle-Aged and Older Adults in China

2018 ◽  
Vol 41 (1) ◽  
pp. 3-30 ◽  
Author(s):  
Hanzhang Xu ◽  
Matthew E. Dupre ◽  
Truls Østbye ◽  
Allison A. Vorderstrasse ◽  
Bei Wu
Keyword(s):  
Older Adults ◽  
Cognitive Function ◽  
Residential Mobility ◽  
Rural Areas ◽  
World Health ◽  
Adult Health ◽  
Middle Aged ◽  
Rural And Urban ◽  
Age At Migration ◽  
Health Organization

Objectives: To assess the association between rural and urban residential mobility and cognitive function among middle-aged and older adults in China. Method: We used data from the World Health Organization Study on global AGEing and adult health that included adults age 50+ from China ( N = 12,410). We used multivariate linear regressions to examine how residential mobility and age at migration were associated with cognitive function. Results: Urban and urban-to-urban residents had the highest level of cognitive function, whereas rural and rural-to-rural residents had the poorest cognitive function. Persons who migrated to/within rural areas before age 20 had poorer cognitive function than those who migrated during later adulthood. Socioeconomic factors played a major role in accounting for the disparities in cognition; however, the association remained significant after inclusion of all covariates. Discussion: Residential mobility and age at migration have significant implications for cognitive function among middle-aged and older adults in China.

scholarly journals Functional difficulties and toileting among older adults in Ghana: evidence from the World Health Organization Study on global AGEing and adult health (SAGE) Ghana Wave 1

2021 ◽  
pp. 1-23
Author(s):  
Kofi Awuviry-Newton ◽  
Kylie Wales ◽  
Meredith Tavener ◽  
Paul Kowal ◽  
Julie Byles
Keyword(s):  
Older Adults ◽  
Marital Status ◽  
Conceptual Framework ◽  
World Health ◽  
Adult Health ◽  
Care Needs ◽  
Functional Difficulties ◽  
The World ◽  
Health Organization ◽  
Global Ageing

Abstract Ghana's older population is projected to increase in coming decades and as a result will see increasing care needs. Understanding the functional difficulties older adults experience, and the associated factors, will help identify relevant intervention to assist older adults in meeting their care needs. This study aimed to analyse the prevalence of functional difficulties among older adults in Ghana, and examine how the World Health Organization International Classification of Functioning, Disability and Health (WHO-ICF) conceptual framework can relate to toileting difficulty to understand the factors that increase older adults’ care needs. Data were for 5,096 adults aged ⩾50 years from the WHO Study on global AGEing and adult health (SAGE) Ghana Wave 1. Difficulties were assessed using self-reported difficulty on 22 functional items, including toileting. Multivariate logistic regression tested associations between toileting and other factors as related to the WHO-ICF conceptual framework. Older adults reported climbing one flight of stairs without resting as a common functional difficulty. Difficulty eating was the item least identified. Toileting difficulty was ranked second among five total activities of daily living difficulties. Age, marital status, self-reported health, memory, bodily pain, short- and far-distance vision, obesity, stroke, chronic lung disease, trust at individual and neighbourhood level, toilet facility type, socialising with co-workers, and public and religious meeting attendance were statistically significantly associated with toileting difficulty in the final parsimonious model. Post-hoc analysis testing interaction revealed that interaction existed between female sex and never married marital status (p = 0.04), and obesity and widowed marital status (p = 0.01), with toileting as the outcome. A significant level of functional difficulty existed among Ghanaian older adults in this sample. Toileting difficulty was associated with factors across different components in the WHO-ICF, emphasising functional, social and environmental factors related to this fundamental human activity.

scholarly journals Personality and change in perceived control across the first four months of the coronavirus pandemic

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 726-726
Author(s):  
Amanda Sesker ◽  
Ji Hyun Lee ◽  
Martina Luchetti ◽  
Damaris Aschwanden ◽  
Yannick Stephan ◽  
...  
Keyword(s):  
Older Adults ◽  
Personality Traits ◽  
Perceived Control ◽  
Online Survey ◽  
National Sample ◽  
World Health ◽  
Middle Aged ◽  
Younger Adults ◽  
Health Organization ◽  
Over Time

Abstract Objective: This study examined change in perceived control (PC) across the first four months of the global coronavirus pandemic and whether change varied significantly by age and personality traits during the first four months of the pandemic. Methods: Personality was assessed prior to the pandemic in a large national sample of 2,455 American adults (18-100 years) from a preregistered online survey (https://osf.io/q8cpd), first conducted between January 31, 2020 and February 10, 2020. Three additional follow-up waves were conducted: mid-March 2020 (following the World Health Organization declaration of the coronavirus a pandemic), late April 2020 (toward the end of the White House’s 30 Days to Slow the Spread guidance), and late July 2020 (when patient deaths in the U.S. reached 132,918). PC was assessed in Waves 2-4. Results: There were age differences in the trajectory of PC such that PC increase for middle-aged and older adults, whereas younger adults had lower PC and did not increase over the follow-ups. All personality traits but Openness were associated with PC at the first assessment. Conscientiousness, Extraversion, and Agreeableness positively predicted PC change over time. The association between Conscientiousness and Extraversion and increased PC over time was stronger at older ages. Conclusion: Pre-pandemic personality predicted PC and PC change during the first four months of the pandemic, with middle-aged and older adults showing better adaption than younger adults. This study provides new evidence for PC change and associations between personality and PC during the COVID-19 pandemic.

scholarly journals Utilization of Traditional Chinese Medicine Practitioners in Later Life in Mainland China

Geriatrics ◽  
2019 ◽  
Vol 4 (3) ◽  
pp. 49
Author(s):  
Aw ◽  
Yiengprugsawan ◽  
Gong
Keyword(s):  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Rural Areas ◽  
Mainland China ◽  
Later Life ◽  
World Health ◽  
Adult Health ◽  
Older Individuals ◽  
Chronic Lung Diseases ◽  
Health Organization

Mainland China is one of the world’s most rapidly aging countries, and yet there is very limited literature on traditional Chinese medicine (TCM) use in older individuals. This study aimed to determine the national and provincial prevalence of TCM practitioner utilization in later life and associated factors. We used World Health Organization China Study on Global Aging and Adult Health Wave 1 data to determine descriptive statistics of the study population of participants aged 50 years and over. Multivariate logistic regression was conducted controlling for sociodemographic and health factors. A total of 14% of participants utilized a TCM practitioner, and the prevalence of utilization varied significantly by locality. Utilization was more likely in participants living in rural areas [adjusted odds ratio (OR) = 12.96; p < 0.001], Hubei (OR = 7.17; p < 0.001), or Shandong provinces (OR = 4.21; p < 0.001) and being diagnosed with chronic lung disease (OR = 1.97; p = 0.005). Hence, rurality, provincial influence, and chronic lung diseases are significant factors associated with TCM practitioner utilization among older individuals in China. These findings may inform policy for preservation and development of TCM nationally as well as its sustainability in an increasingly aging society.

scholarly journals The Relationship between External and Internal Risk Factors with Pulmonary Tuberculosis in Children Aged 0-59 Months in Slums in Indonesia, 2013

2020 ◽  
Vol 12 (11) ◽  
pp. 116
Author(s):  
Made Agus Nurjana ◽  
Gunawan Gunawan ◽  
Dwi Hapsari Tjandrarini ◽  
Olwin Nainggolan
Keyword(s):  
Risk Factors ◽  
Pulmonary Tuberculosis ◽  
Rural Areas ◽  
Urban Areas ◽  
World Health ◽  
Rural And Urban ◽  
The Status ◽  
And Gender ◽  
One Year ◽  
Health Organization

BACKGROUND: Tuberculosis (Tb) remains a health problem throughout the world. World Health Organization (WHO) has set it as a &ldquo;Global Emergency&rdquo; disease. The difficulty of confirming the diagnosis of it in children, different from it in adults, causes the treatment of it in children often neglected. This problem is exacerbated by the supporting environmental conditions, namely living in slums, which makes the risk of transmission even higher. OBJECTIVE: To identify internal and external factors related to Tb in children aged 0-59 months living in slums in Indonesia. MATERIAL &amp; METHOD: The data source used was the 2013 Basic Health Research (Riskesdas) using a sample of children less than five years old who lived in slums in 34 provinces in Indonesia. RESULTS: Logistic regression analysis found three risk factors, namely BCG immunization status (age-based), at-risk home environment, and gender (residential area-based). Vaccinated children under one year of age have the best probability of not suffering from pulmonary tuberculosis. Those who live in a house inhabited by less than five people, or in that occupied by more than four with no one of which smokes or does not suffer from pulmonary tuberculosis has a probability of not being exposed to it. Likewise, women who live in rural areas have almost two times less probability of suffering from it, compared to men in urban areas. CONCLUSION: Factors contributing to the prevalence of pulmonary tuberculosis in infants in slums are the status of BCG immunization, air cleanliness in the neighborhood, which can be seen from the differences of risks in rural and urban, and the number of inhabitants per house and their behavior.

Neighborhood Environments and Cognitive Decline Among Middle-Aged and Older People in China

2019 ◽  
Vol 74 (7) ◽  
pp. e60-e71 ◽  
Author(s):  
Ye Luo ◽  
Lingling Zhang ◽  
Xi Pan
Keyword(s):  
Older Adults ◽  
Cognitive Function ◽  
Older People ◽  
Cognitive Decline ◽  
Urban Areas ◽  
Developed Countries ◽  
Cognitive Change ◽  
Middle Aged ◽  
Rural And Urban ◽  
Neighborhood Environments

Abstract Objectives Despite the growing interest in the effects of neighborhood environments on cognitive function, most studies on older people are based on cross-sectional survey data from developed countries. This study examines the relationship between neighborhood environments and decline in cognitive function over time among middle-aged and older people in China and whether this relationship varies between rural and urban residents. Methods The three waves of China Health and Retirement Longitudinal Study (CHARLS 2011–2015) were used. The sample included 12,131 respondents living in 298 rural villages and 4,059 respondents living in 150 urban communities. Three-level linear growth curve models were estimated to track trajectories of cognitive change over a 4-year period. Results Chinese older people who lived in neighborhoods with more handicap access, more bus lines, employment service, and higher socioeconomic status (SES) had slower cognitive decline. Neighborhood basic infrastructures, number of days that roads were unpassable, outdoor exercise facilities, and average social activity participation were associated with baseline cognitive function in both rural and urban areas, but neighborhood environments had more impact on cognitive decline among rural older adults than urban older adults. Discussions Findings from this study call for increased infrastructure development and community building programs in rural China.

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