Sleep Disturbance in Older Adults With or Without Mild Cognitive Impairment and Its Associated Factors Residing in Rural Area, China

2020 ◽  
pp. 089198872096424
Author(s):  
Li Qin Xie ◽  
Bing Xiang Yang ◽  
Yang Hui Liao ◽  
Gui Xian Gao ◽  
Na Jiang ◽  
...  
Keyword(s):  
Older Adults ◽  
Logistic Regression ◽  
Cognitive Impairment ◽  
Sleep Disturbance ◽  
Rural Areas ◽  
Associated Factors ◽  
Multiple Logistic Regression ◽  
Affect Balance ◽  
Drinking Habits ◽  
Factors Influencing

Aims: To evaluate the prevalence of sleep disturbance in older adults with or without mild cognitive impairment (MCI) and associated factors among residents in rural central China. Methods: A cross-sectional survey was conducted in adults in rural areas of the Hunan province aged≥60 years. Study participants (N = 1213) included 479 individuals meeting the criteria for MCI and 734 with normal cognitive abilities. The participants completed the Athens Insomnia Scale, Stress Resilience Quotient Scale, Affect Balance Scale and Activities of Daily Living (ADL) Scale. Chi-square test, Wilcoxon rank sum analyses and multiple logistic regression were used in this study. Results: A total of 60.33% of participants with MCI demonstrated sleep disturbance (60.33%, 95% CI: 0.559-0.649), which was significantly higher than in the non-MCI group (43.73%, 95% CI: 0.759-0.838). Multiple logistic regression conducted separately in the populations of older adults with or without MCI showed that age, drinking habits, affect balance and activities of daily life were correlates of self-reported sleep disturbance in rural older adults with MCI ( B = −5.469), whereas age, ADL, living arrangement and resilience were the main influencing factors in older adults without MCI ( B = 2.991). Conclusion: Sleep disturbance is more common in older adults with MCI than without MCI in rural areas of China. The factors influencing sleep disturbances vary between older adults with or without MCI, with age and ADL representing common factors influencing sleep disturbance in both groups. Interventions focusing on the age, drinking habits, affect balance and ADL may improve sleep quality in MCI older adults.

scholarly journals Factors Influencing the Stages of Frailty among Korean Older Adults Focusing on Objective and Subjective Social Isolation

2021 ◽  
Author(s):  
Song Yi Han ◽  
Hye Young Jang ◽  
Young Ko
Keyword(s):  
Older Adults ◽  
Logistic Regression ◽  
Social Isolation ◽  
Social Relationships ◽  
Regular Exercise ◽  
Multiple Logistic Regression ◽  
Regression Analyses ◽  
Factors Affecting ◽  
Factors Influencing ◽  
Health Related

Abstract Background: Although many studies have investigated the factors influencing frailty, studies on factors affecting transition between frailty stages are insufficient. This study was conducted to identify factors influencing the stages of frailty in Korean older adults, focusing on objective and subjective social isolation. Methods: This study analyzed the data of 10,041 older adults from the 2017 National Survey of Older Koreans. Two multiple logistic regression analyses were performed to identify the factors influencing the frailty stages.Results: Among Korean older adults, 6% were in a frail stage, and 42.5% were in the pre-frail stage. The progression to the pre-frail stage was influenced by sociodemographic and health-related characteristics and by objective and subjective social isolation. Contrastingly, the transition from the pre-frail to frail stage was influenced by factors including objective social isolation, declining hearing, and lack of regular exercise.Conclusions: In the development of future interventions, researchers should consider differences in factors that influence the stages of frailty among Korean older adults. Interventions that help older people maintain existing social relationships or connect to new social networks can delay the transition from the pre-frail to frail stages.

Abstract 395: State-Level CPR Education Legislation Associated With Higher Survival After Out-Of-Hospital Cardiac Arrest in Older Adults

Circulation ◽  
2019 ◽  
Vol 140 (Suppl_2) ◽  
Author(s):  
David G Buckler ◽  
Megan Barnes ◽  
Tyler D Alexander ◽  
Marissa Lang ◽  
Alexis M Zebrowski ◽  
...  
Keyword(s):  
Older Adults ◽  
Logistic Regression ◽  
Cardiac Arrest ◽  
State Level ◽  
Categorical Variables ◽  
Multiple Logistic Regression ◽  
Education Legislation ◽  
Chi Squared ◽  
Patient State ◽  
Hospital Cardiac Arrest

Introduction: State-level legislation requiring CPR education prior to high school graduation (CPR Legislation) is associated with an increased likelihood of community-level CPR training. CPR Legislation has also been shown to be associated with increased bystander CPR. We hypothesized that states with recent CPR Legislation would be associated with higher survival in older adults following out-of-hospital cardiac arrest (OHCA). Methods: Utilizing 2014 Medicare Claims data for emergency department (ED) visits and inpatient stays, we identified OHCA via ICD-9-CM code. CPR Legislation data was collected through online statute review. Exposure to CPR Legislation was assessed using the patient state of residence reported on the first claim. Patient dispositions were coded as home, SNF, death/hospice, rehab or other. All categories were considered survival to discharge except for death/hospice. Associations between categorical variables were assessed by chi-squared test. Multiple logistic regression was used to calculate the odds ratio associated with OHCA survival and CPR Legislation, controlling for patient age and sex. Results: In 2014, 256,277 OHCAs were identified. Mean age was 79 ±8 y, 48% were female, 23% were non-white, and survival to discharge was 22%. Prior to 2013, 4 states had passed CPR Legislation and 6 others passed legislation in 2013. These states account for 12% of OCHA for the study year. States that passed CPR Legislation in 2013 had the highest survival compared to states with earlier passage or no CPR Legislation (22.2% vs 20.6% vs. 21.8%, respectively, p < 0.001). Among those who survived to discharge, more patients were discharged home from states with 2013 CPR Legislation, than earlier or no legislation (50.8% vs. 41.3% vs. 42.8%, p <0.001). Results of the multiple logistic regression showed CPR Legislation passed in 2013 was associated with a 12% increase in the odds of survival to discharge compared to states with CPR Legislation prior to 2013 (OR: 1.12, p <0.001). Conclusion: States with CPR Legislation passed in 2013 were associated with higher survival to discharge and discharge to home, compared to earlier adopters and states with no legislation. Further work is needed to assess the mechanisms underlying this relationship.

scholarly journals Older adults’ functional capacity and cognitive impairment in rural areas Tungurahua – Ecuador

Medwave ◽  
2020 ◽  
Vol 20 (S1) ◽  
pp. eCS25-eCS25
Author(s):  
Alicia Zavala ◽  
Paola Ortiz ◽  
Victoria Espín
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Functional Capacity ◽  
Rural Areas

Cognitive Impairment and Associated Factors in Rural Elderly in North China

2020 ◽  
Vol 77 (3) ◽  
pp. 1241-1253
Author(s):  
Jing Wang ◽  
Lily Dongxia Xiao ◽  
Kai Wang ◽  
Yan Luo ◽  
Xiaomei Li
Keyword(s):  
Risk Factors ◽  
Cognitive Impairment ◽  
Rural Areas ◽  
Associated Factors ◽  
North China ◽  
Health Resources ◽  
Rural Elderly ◽  
Multivariate Logistic Regression Model ◽  
Structured Interviews ◽  
Income Source

Background: China has the largest population living with dementia globally and urban-rural differences are significant in prevalence, risk factors, and health resources. Epidemiologic studies on cognitive impairment in rural areas are limited in China and other low- and middle-income countries. Objective: This study investigated cognitive impairment and associated factors in rural elderly aged 65 years and over in China. Methods: In total, 1,250 participants from ten villages in North China were recruited from June to September, 2017. Face-to-face structured interviews were conducted for data collection. The interviews included socio-demographic information, health status, and psychological assessments. Cognitive function was assessed using the Chinese version of the Mini-Mental State Examination. A multivariate logistic regression model with backward method was employed to identify factors associated with cognitive impairment. Results: The positive rate of cognitive impairment among rural Chinese elderly aged 65 years and older was 42.9% (95% CI, 40.1–45.6). No significant differences were found in cognitive impairment by age or gender before the age of 75 years. Older age, lack of formal school education, reliance on the basic living allowance as the only income source, poor hearing and vision function, diabetes, and activities of daily living dependence were associated with higher rate of cognitive impairment, while tea consumption and fatty liver disease were associated with lower cognitive impairment rate. Conclusion: A very high percentage of rural elderly in China had cognitive impairment. Education programs and prevention interventions targeting modifiable risk factors among high-risk populations should be developed through collective efforts involving all stakeholders.

scholarly journals Prevalence of Hepatitis B Virus Infection and Associated Factors Among Blood Donors in 48 Hospital Sana'a City- Yemen During 2016: انتشار عدوى فيروس الكبد الوبائي ب والعوامل المرتبطة به بين المتبرعين بالدم في مستشفى 48 مدينة صنعاء - اليمن خلال عام 2016م

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Naif Tawfiq Alnwany
Keyword(s):  
Logistic Regression ◽  
Hepatitis B Virus ◽  
Hepatitis B ◽  
Malaria Infection ◽  
Associated Factors ◽  
Blood Donors ◽  
Dental Treatment ◽  
Multiple Logistic Regression ◽  
B Virus ◽  
History Of

Aim: This study was conducted to determine the prevalence of hepatitis B virus (HBV) and associated factors. Method: A cross-sectional study was conducted on randomly (simple random sample according to previous seroprevalence HBV in population) selected 500 blood donors from who came to the blood bank service in 48 Hospital in Sana'a between October 2016 to Aug 2016 and were interviewed face to face, then data was collected by using questionnaire and blood samples collected after that using enzyme-linked immunosorbent assay technique. the questionnaire consisted of three sections (A) demographics, (B) associated factors and (C) blood sample results. Results and conclusion: The prevalence of hepatitis B virus infected was 2.6%. Only three factors in simple and multiple logistic regression were statistically significant with prevalence of HBsAG. Multiple logistic regression analysis showed that blood donors who had history of: dental treatment, cupping and malaria infection were more likely to infect with hepatitis B virus infected compared to those without history of: dental treatment, cupping and malaria infection 7.8%, 7.3 % and 7.5 % respectively. The rest of factors failed to achieve any statistical significant with prevalence of HBsAG. Hepatitis b is hyper endemic in Yemen, this need application of infection control policies in dental clinics, cupping centers, inject Hepatitis B virus vaccine and control of malaria in endemic areas.

scholarly journals Magnitude and Associated Factors of Antenatal Care Utilization in Western Regions of Ethiopia: A study Based on Demographic and Health Survey Data

2021 ◽  
pp. 23-29
Author(s):  
Mekonin Abera Negeri
Keyword(s):  
Logistic Regression ◽  
Antenatal Care ◽  
Survey Data ◽  
Health Survey ◽  
Associated Factors ◽  
Maternal Education ◽  
Demographic And Health Survey ◽  
Multiple Logistic Regression ◽  
Health Survey Data ◽  
To Receive

Antenatal care (ANC) service is used to ensure the best health conditions for both mother and baby during pregnancy. There are marked disparities in the utilization of ANC utilization among regions of Ethiopia. Hence, this study was intended to analyze the magnitude and associated factors of ANC utilization in Western Regions of Ethiopia. The study was conducted based on 2019 Ethiopian Mini Demographic and Health Survey data. A total of 1200 women representing the three regions (Oromiya, Benishangul Gumuz and Gambela), who gave birth two years preceding the survey were included and the analysis was done by SPSS version 20. Multiple logistic regression was used to assess the net effect of associated factors of ANC utilization. Among the studied participants, 39.9%, 51.0% and 27.8%of women in Oromiya, Benishangul Gumuz and Gambela regions, respectively, received a minimum of four ANC visits from the skilled health personnel. The result from multiple logistic regression depicted that age in 5- year group, region, place of residence, maternal education and wealth index were significantly associated with the utilization of ANC service. The utilization of ANC service was higher among young women than old women while women in Benishangul Gumuz were more likely to receive ANC service than women in Gambela region. Better education attainment increases the likelihood of receiving ANC service from the skilled personnel. Urban women as well as rich women were more likely to receive ANC service than their respective rural and poor counterparts in the studied regions. Providing awareness creation on ANC utilization for women of fertile age is a best instrument to minimize maternal and child mortality.

scholarly journals Association of Cognitive Impairment With Migrant Status Among Older Adults in India: A Cross-Sectional Study

2021 ◽  
Author(s):  
Shobhit Srivast ◽  
Ruchi Singh ◽  
Prem Shankar Mishra ◽  
Alok Aditya
Keyword(s):  
Older Adults ◽  
Logistic Regression ◽  
Cognitive Impairment ◽  
Total Sample ◽  
Health Concern ◽  
Bivariate Analysis ◽  
Migrant Status ◽  
Cross Sectional ◽  
Comprehensive Primary Health Care ◽  
Health Vulnerability

Abstract Introduction Among various health implications for older adult, cognitive impairment and related dementias are significant public health concern in many low and middle income countries, including India and lack due attention in policy arena. Socio-economic and health vulnerability are associated with cognitive impairment among older adults. Therefore the present study explores the prevalence and determinants of cognitive impairment among older adults in India with special reference to migrant status of older adults. MethodsData for this study was utilized from recent release of Longitudinal Ageing Study in India (LASI) wave 1 2017-19. The LASI is a nationally representative survey over 72000 older adults age 45 and above across all states and union territories of India. The present study is conducted on the eligible respondent’s age 60 years and above. The total sample size for the present study is 31,464 older adults aged 60 years and above (Male-15,068; Female-16,366). Descriptive and logistic regression analysis carried to fulfil the objective of the study. ResultsOverall, the prevalence of cognitive impairment among male older adults was 6.4% and female older adults 19.8%. Non-migrant status (6.8%) was more likely to face cognitive impairment than migrant status (5.7%) among older adults. The high prevalence of cognitive impairment were found with increasing socio-economic, demographic and multi-morbidities among older adults. Older adults (male 6.7% vs. female 20.2%) with no social participation were more likely to be face cognitive impairment. The result of logistic regression of our study is supported the bivariate analysis. Older adults with migrant status were more likely to be suffered from the cognitive impairment with unadjusted [UOR; 1.57, CI: 1.45-1.70] & after adjusting with covariates [AOR; 1.14, CI: 1.03-1.26] as compared to non-migrant status. Among the individual factors, odds of impairment was very high for the oldest-older adults age group [AOR: 2.95, CI: 2.59-3.36] as compared to young-older adults and further, female older adults were more likelihood to be cognitive impairment [AOR: 1.99, CI: 1.77-2.24] than their counterparts. Similar findings were also found with socio-economic and health vulnerability among older adults.Conclusion The study demonstrates that female older adults need more care and support from community and government as they face higher cognitive impairment. Further, the results significantly varied across different socio-economically, demographically, regionally in cognitive impairment and those who were suffering with co-morbidities. Comprehensive primary health care with community health approach may improve the health status of older adults in later period of life.

scholarly journals Prevalence of Depression and its Associated Factors among Medical Students in International Islamic University Malaysia (IIUM)

2021 ◽  
Vol 20 (4) ◽  
Author(s):  
Abdul Hadi Said ◽  
Muhammad Addin Nur Hakim Azmi ◽  
Haziqah Mohd Hanapiah ◽  
Anis Wardati Abdullah ◽  
Mohd Shaiful Ehsan Shalihin
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Logistic Regression ◽  
Medical Students ◽  
Associated Factors ◽  
Multiple Logistic Regression Analysis ◽  
Regular Physical Activity ◽  
Multiple Logistic Regression ◽  
Cross Sectional ◽  
Prevalence Of Depression

Introduction: Globally, depression is one of the serious problems reported among medical students. Various studies reported that the prevalence of depression among medical students was high due to multiple risk factors. Therefore, this study aimed to measure the prevalence of depression and its associated factors among medical students in International Islamic University Malaysia (IIUM). Materials and Methods: A cross-sectional study was conducted among 500 medical students in IIUM Kuantan. A validated self-reported questionnaire using Depression Anxiety Stress Score 21 was distributed during the second semester of the 2018/2019 session. Descriptive statistics were used to measure the prevalence of depression. Chi-square test, Fisher’s exact test, independent sample T-test, and multiple logistic regression were used to determine the association between risk factors and depression. Result: The prevalence of depression was 39% with 10.5% of them were having severe and extremely severe level of depression. Multiple logistic regression analysis showed regular physical activity (AOR=0.64, 95% CI: 0.42-0.98) and Tahajjud prayer practice (AOR: 0.76, 95% CI 0.66-0.88) are two protective factors against depression among medical students. Conclusion: About two out of every five IIUM medical students had depression. Regular physical activity and Tahajjud prayer practised may reduce the risk of depression and should be encouraged.

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