scholarly journals Use of Living Strategies among Adults Aging with HIV in Canada: Comparison by Age-Group Using Data from the HIV, Health and Rehabilitation Survey

2018 ◽  
Vol 17 ◽  
pp. 232595821877404 ◽  
Author(s):  
Kelly Kathleen O’Brien ◽  
Matthieu Dagenais ◽  
Patricia Solomon ◽  
Catherine Worthington ◽  
Soo Chan Carusone ◽  
...  
Keyword(s):  
Successful Aging ◽  
Healthy Lifestyle ◽  
Age Groups ◽  
Cross Sectional ◽  
Positive Attitudes ◽  
Frequency Of Use ◽  
Using Data ◽  
Positive Outlook ◽  
The Mind ◽  
Living With Hiv

Objective: To examine the type and frequency of living strategies used by adults living with HIV. Methods: We conducted a cross-sectional web-based survey that included 51 living strategies: maintaining sense of control, attitudes and beliefs, blocking HIV out of the mind, and social interaction. We examined the frequency of use and compared the proportion of respondents who engaged in strategies across 3 age-groups (<40 years, 40-49 years, and ≥50 years). Results: Of the 935 participants, the majority were men (79%) and most (≥60%) engaged “most” or “all of the time” in healthy lifestyle strategies and maintained a positive outlook living with HIV. Compared to younger participants, a higher proportion of older adults (≥50 years) engaged “most” or “all the time” in strategies that involved maintaining control over health and adopting positive attitudes and outlook living with HIV. Conclusions: Findings can help to inform the role of self-management to enhance successful aging with HIV.

scholarly journals Gene Expression Profile in Different Age Groups and Its Association with Cognitive Function in Healthy Malay Adults in Malaysia

Cells ◽  
2021 ◽  
Vol 10 (7) ◽  
pp. 1611
Author(s):  
Nur Fathiah Abdul Abdul Sani ◽  
Ahmad Imran Zaydi Amir Amir Hamzah ◽  
Zulzikry Hafiz Abu Abu Bakar ◽  
Yasmin Anum Mohd Mohd Yusof ◽  
Suzana Makpol ◽  
...  
Keyword(s):  
Gene Expression ◽  
Cognitive Decline ◽  
Cognitive Aging ◽  
Successful Aging ◽  
Expression Patterns ◽  
Age Groups ◽  
Genetic Network ◽  
Cross Sectional ◽  
Age Related ◽  
Age Related Cognitive Decline

The mechanism of cognitive aging at the molecular level is complex and not well understood. Growing evidence suggests that cognitive differences might also be caused by ethnicity. Thus, this study aims to determine the gene expression changes associated with age-related cognitive decline among Malay adults in Malaysia. A cross-sectional study was conducted on 160 healthy Malay subjects, aged between 28 and 79, and recruited around Selangor and Klang Valley, Malaysia. Gene expression analysis was performed using a HumanHT-12v4.0 Expression BeadChip microarray kit. The top 20 differentially expressed genes at p < 0.05 and fold change (FC) = 1.2 showed that PAFAH1B3, HIST1H1E, KCNA3, TM7SF2, RGS1, and TGFBRAP1 were regulated with increased age. The gene set analysis suggests that the Malay adult’s susceptibility to developing age-related cognitive decline might be due to the changes in gene expression patterns associated with inflammation, signal transduction, and metabolic pathway in the genetic network. It may, perhaps, have important implications for finding a biomarker for cognitive decline and offer molecular targets to achieve successful aging, mainly in the Malay population in Malaysia.

scholarly journals Psychosocial Determinants of HIV Stigma among Men Who Have Sex with Men in San Francisco, California

2021 ◽  
Vol 18 (15) ◽  
pp. 8031
Author(s):  
Dharma N. Bhatta ◽  
Jennifer Hecht ◽  
Shelley N. Facente
Keyword(s):  
Mental Health ◽  
San Francisco ◽  
Age Groups ◽  
Hiv Stigma ◽  
Hiv Care ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Adjusted Risk ◽  
Sex With Men ◽  
Living With Hiv

Background: Stigma and discrimination are major challenges faced by people living with HIV (PLWH), and stigma continues to be prevalent among PLWH. We conducted a cross-sectional study of 584 men who have sex with men (MSM) living with HIV between July 2018 and December 2020, designed to better understand which demographic and behavioral characteristics of MSM living with HIV in San Francisco, California are associated with experience of stigma, so that programs and initiatives can be tailored appropriately to minimize HIV stigma’s impacts. Methods: This analysis was conducted with data from San Francisco AIDS Foundation (SFAF) encompassing services from multiple different locations in San Francisco. Data about the level of HIV-related stigma experienced were collected through a single question incorporated into programmatic data collection forms at SFAF as part of the client record stored in SFAF’s electronic health record. We performed linear regression to determine the associations between self-reported experiences of HIV stigma and other characteristics among MSM living with HIV. Results: HIV stigma was low overall among MSM living with HIV who are actively engaged in HIV care in San Francisco; however, it was significantly higher for the age groups of 13–29 years (adjusted risk difference (ARD): 0.251, 95% CI: 0.012, 0.489) and 30–49 years (ARD: 0.205, 95% CI: 0.042, 0.367) when compared to the age group of 50 years and older, as well as people who were homeless (ARD: 0.844, 95% CI: 0.120, 1.568), unstably housed (ARD: 0.326, 95% CI: 0.109, 0.543) and/or having mental health concerns (ARD: 0.309, 95% CI: 0.075, 0.544), controlling for race, injection history, and viral load. Conclusions: These findings highlight an opportunity to develop culturally, socially, and racially appropriate interventions to reduce HIV stigma among MSM living with HIV, particularly for younger men and those struggling with housing stability and/or mental health.

scholarly journals Sociodemographic Analysis of Neural Tuberculosis in Brazil from 2010 to 2020

2021 ◽  
Author(s):  
Raissa Barreto Lima ◽  
Thaís Machado Belitardo de Carvalho ◽  
Matheus Campos Ribeiro de Souza ◽  
Lara Teixeira de Oliveira ◽  
Ana Carolina Pachêco de Menezes Rios ◽  
...  
Keyword(s):  
Information System ◽  
Extrapulmonary Tuberculosis ◽  
Age Groups ◽  
Severe Form ◽  
Sociodemographic Characteristics ◽  
Age Group ◽  
The South ◽  
Cross Sectional ◽  
Prevention And Health Promotion ◽  
Using Data

Background: Neural tuberculosis is an infection of the central nervous system caused by the bacterium Mycobacterium tuberculosis. Bearing in mind that neural tuberculosis is the most severe form of extrapulmonary tuberculosis and results in significant morbidity and mortality rates, it is important to analyze its sociodemographic characteristics in Brazil. Objectives: To describe the sociodemographic characteristics of neural tuberculosis cases in Brazil in the period from 2010 to 2020. Design and Setting: Cross-sectional, retrospective, and descriptive study, carried out using data collected from the Notifiable Diseases Information System (SINAN) and the Hospital Information System (SIH / SUS) of confirmed cases and hospitalizations for neural tuberculosis. Methods: Variables used: region, sex, age group, color/race and year of service. Results: In the period from 2010 to 2020, the number of notified cases of meningoencephalic tuberculosis was 7.451, with mean cases per year of 677.36. The Southeast region was the most affected with 43.8% of the total cases, followed by the South and Northeast regions, with 24.1% and 20.1%, respectively. There was a wide predominance in individuals aged 30-39 years (42.8%) and in the age group 40-59 years (35.9%). The male sex was the most affected with 63.3% of the total. Conclusions: The study shows a predominance of cases in the South and Southeast regions, with a significant prevalence of males and age groups of 20- 59. This could be an alert for new prevention and health promotion strategies for the most affected groups.

scholarly journals Combined impact of healthy lifestyle factors on risk of asthma, rhinoconjunctivitis and eczema in school children: ISAAC phase III

Thorax ◽  
2019 ◽  
Vol 74 (6) ◽  
pp. 531-538 ◽  
Author(s):  
Eva Morales ◽  
David Strachan ◽  
Innes Asher ◽  
Philippa Ellwood ◽  
Neil Pearce ◽  
...  
Keyword(s):  
Healthy Lifestyle ◽  
International Study ◽  
Lifestyle Factors ◽  
Phase Iii ◽  
Lifestyle Factor ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Asthma And Allergy ◽  
Using Data ◽  
Modifiable Lifestyle Factors

BackgroundAsthma is not the key focus of prevention strategies. A Healthy Lifestyle Index (HLI) was developed to examine the combined effect of modifiable lifestyle factors on asthma, rhinoconjunctivitis and eczema using data from the International Study of Asthma and Allergies in Childhood (ISAAC) phase III.MethodsInformation on symptoms of asthma, rhinoconjunctivitis, eczema and several lifestyle factors was obtained from children aged 6–7 years through written questionnaires. The HLI combined five lifestyle factors: no parental smoking, child’s adherence to Mediterranean diet, child’s healthy body mass index, high physical activity and non-sedentary behaviour. The association between the HLI and risk of asthma, rhinoconjunctivitis and eczema was evaluated using multilevel mixed-effects logistic regression models.FindingsData of 70 795 children from 37 centres in 19 countries were analysed. Each additional healthy lifestyle factor was associated with a reduced risk of current wheeze (OR 0.87, 95% CI 0.84 to 0.89), asthma ever (OR 0.89, 95% CI 0.87 to 0.92), current symptoms of rhinoconjunctivitis (OR 0.95, 95% CI 0.92 to 0.97) and current symptoms of eczema (OR 0.92, 95% CI 0.92 to 0.98). Theoretically, if associations were causal, a combination of four or five healthy lifestyle factors would result into a reduction up to 16% of asthma cases (ranging from 2.7% to 26.3 % according to region of the world).ConclusionsThese findings should be interpreted with caution given the limitations to infer causality from cross-sectional observational data. Efficacy of interventions to improve multiple modifiable lifestyle factors to reduce the burden asthma and allergy in childhood should be assessed.

scholarly journals Self-reported physical activity in European adolescents: results from the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) study

2010 ◽  
Vol 14 (2) ◽  
pp. 246-254 ◽  
Author(s):  
Katrien De Cocker ◽  
Charlene Ottevaere ◽  
Michael Sjöström ◽  
Luis A Moreno ◽  
Julia Wärnberg ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Status ◽  
Leisure Time ◽  
Healthy Lifestyle ◽  
Economic Status ◽  
Age Groups ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Home Based

AbstractObjectiveTo describe self-reported physical activity (PA) patterns in the various domains (school, home, transport, leisure time) and intensity categories (walking, moderate PA, vigorous PA) in European adolescents. Furthermore, self-reported PA patterns were evaluated in relation to gender, age category, weight status category and socio-economic status (SES).DesignCross-sectional study.SettingTen European cities.SubjectsIn total, 3051 adolescents (47·6 % boys, mean age 14·8 (sd1·2) years) completed an adolescent-adapted version of the validated International Physical Activity Questionnaire.ResultsThe total sample reported most PA during leisure time (485 min/week) and least PA at home (140 min/week). Boys reported significantly more school-based PA (P< 0·001), leisure-time PA (P= 0·003), vigorous PA (P< 0·001) and total PA (P= 0·002) than girls, while girls reported more home-based PA (P< 0·001) and walking (P= 0·002) than boys. Self-reported PA at school (P< 0·001), moderate PA (P< 0·001), vigorous PA (P< 0·001) and total PA (P< 0·001) were significantly higher in younger age groups than in older groups. Groups based on weight status differed significantly only in leisure-time PA (P= 0·004) and total PA (P= 0·003), while groups based on SES differed in all PA domains and intensities except transport-related PA and total PA.ConclusionsThe total sample of adolescents reported different scores for the different PA domains and intensity categories. Furthermore, patterns were different according the adolescents’ gender, age, weight status and SES.

scholarly journals Support for Lowering Cervical Cancer Screening Age To 25 for Women Living With HIV: Retrospective Cross-Sectional Programmatic Data From Botswana

2021 ◽  
Author(s):  
Doreen Ramogola-Masire ◽  
Surbhi Grover ◽  
Anikie Mathoma ◽  
Barati Monare ◽  
Lesego Gabaitiri ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Age Groups ◽  
Cervical Cancer Prevention ◽  
World Health ◽  
Hiv Status ◽  
Cross Sectional ◽  
Cancer Risk Factors ◽  
Women Living With Hiv ◽  
Younger Age ◽  
Living With Hiv

Abstract Background: Women living with human immunodeficiency virus (HIV) tend to develop cervical cancer at a younger age than HIV-negative women. The World Health Organization’s (WHO) new guidelines for screening and treatment of cervical pre-cancer lesions for cervical cancer prevention include a conditional recommendation for initiating screening at age 25 for women living with HIV (WLWH). This recommendation is based on low-certainty evidence, and WHO calls for additional data. We describe the association of age and HIV status with visual inspection with acetic acid (VIA) positivity and cervical intra-epithelial neoplasia grade two or higher (CIN2+) in Botswana. Methods: A retrospective cross-sectional study of 5,714 participants aged 25 through 49 years who underwent VIA screening. VIA-positive women received cryotherapy if indicated or were referred for colposcopy. Known cervical cancer risk factors, screening, and histological results were extracted from the program database. We compared the proportions and association of VIA positivity and CIN2+ by age and HIV status.Results: Median age was 35 years [IQR 31-39], and 18% of the women were aged 25-29. Ninety percent were WLWH; median CD4 count was 250 cells/µL [IQR 150-428], and 34.2% were on anti-retroviral treatment (ART). VIA-positivity was associated with younger age (OR 1.48, CI 1.28, 1.72 for 25-29 years versus age 30-49 years ), and HIV-positivity (OR 1.85, CI 1.51, 2.28). CIN2+ was associated with HIV positivity (OR 6.12, CI 3.39, 11.10), and proportions of CIN2+ were similar for both age groups in WLWH (12.1% versus 10.8%).Conclusions: Younger WLWH in Botswana had a significant burden of CIN2+. This finding further supports lowering the screening age for WLWH from 30 to 25.

scholarly journals Can we talk about price with patients when choosing antiretroviral therapy? A survey with people living with HIV and prescribers in France

BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e046212
Author(s):  
Emmanuelle Papot ◽  
Nikos Kalampalikis ◽  
Marjolaine Doumergue ◽  
Fabrice Pilorgé ◽  
Guillemette Quatremère ◽  
...  
Keyword(s):  
Antiretroviral Therapy ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Convenience Sample ◽  
The North ◽  
Hiv Epidemic ◽  
Voluntary Response ◽  
History Of ◽  
Using Data ◽  
Living With Hiv

ObjectiveThe aim of this study was to evaluate people living with HIV (PLWH) and HIV specialist prescribers’ perception of discussing antiretroviral therapy (ART) price in PLWH’s care and the acceptability of choosing or switching to various types of less expensive ARTs.DesignCross-sectional surveys (one in a convenience sample of PLWH and one in a voluntary response sample of HIV specialist prescribers).Setting and participantsThe surveys were conducted among PLHW attending an HIV clinic in the North of Paris (cohort of 4922 PLWH in 2016), and HIV specialists working in French HIV clinics (210 across 12 districts/28), between January and June 2016.MethodSelf-administered questionnaires were constructed using data collected during focus groups with PLWH and prescribers. Pretests were carried out to select the questions and items. Descriptive analyses of the 129 complete questionnaires of PLWH and 79 of prescribers are presented.ResultsAmong PLWH, 128/129 were on ART and 54% (69/128) gave a fair estimation of the price of their current regimen. Among prescribers, 24% (19/79) thought that their patients knew this price. Taking into account the price of ART was not perceived as a negative step in the history of French response to HIV epidemic for 53% (68/129) of PLWH and 82% (65/79) of prescribers. Seventy-seven PLWH (60%) would agree to switch to less expensive antiretroviral regimens (as effective and with similar adverse events) if pills were bigger; 42 (33%) if there were more daily doses, and 37 (29%) if there were more pills per dose; prescribers were more circumspect.ConclusionA high proportion of PLWH gave a fair estimate of their ART price and this seemed unexpected by HIV specialists. Consideration of drug prices when choosing ART was perceived as conceivable by PLWH and prescribers if effectiveness and tolerance were also considered.

scholarly journals Deaflympians' Satisfaction With Athletic Training Services at the 2013 Deaflympic Summer Games

2017 ◽  
Vol 52 (7) ◽  
pp. 708-718 ◽  
Author(s):  
Matthew Paul Brancaleone ◽  
René Revis Shingles ◽  
Nailya DeLellis
Keyword(s):  
Athletic Training ◽  
Athletic Trainers ◽  
Demographic Data ◽  
Age Groups ◽  
Collegiate Athletes ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Frequency Of Use ◽  
Or Team ◽  
Training Services

Context:  Athletic trainers have the opportunity to treat unique populations. Determining athletes' satisfaction with the athletic training services supplied can offer insights into how to improve the health care provided to athletes. Objective:  To explore Deaflympians' satisfaction with athletic training services at the 2013 Deaflympic Summer Games. Design:  Cross-sectional survey. Setting:  The 2013 Deaflympic Summer Games in Sofia, Bulgaria. Patients or Other Participants:  Of the 115 Deaflympians contacted, 55 completed the questionnaire, for a 48% response rate (women = 33, men = 22). Main Outcome Measure(s):  The Medical Interview Satisfaction Survey–Athletic Training was used. The questionnaire gathered demographic data and included 25 Likert-scale items that assessed 6 components of athletic training. Descriptive statistics were calculated as normalized scores to adjust for the different numbers of questions for each item. On a 5-point scale, the scores ranged from 3.82 (management) to 4.24 (environment), with an overall satisfaction score of 3.89. We conducted comparison tests to assess possible differences in overall satisfaction and satisfaction components. Satisfaction with frequency of use of the athletic training room and knowledge were the only areas that showed statistically significant differences. Other differences were in perceptions of medical coverage among age groups and management between sexes. Results:  Satisfaction with the athletic training services provided was lower among these Deaflympians than among collegiate athletes in other studies. However, we observed no differences in overall satisfaction scores by age, sex, race, previous Deaflympic experience, or individual or team sport. Deaflympians who used and visited the athletic training facility more often had higher overall satisfaction scores than individuals who used and visited the facility less. Conclusions:  Deaflympians were satisfied with the athletic training services provided at the 2013 Deaflympic Summer Games.

scholarly journals Relationship with Grandparents and Young Adults’ Attitudes About Aging and Future-Oriented Tendencies

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 883-883
Author(s):  
Tianyuan Li ◽  
Pok Man Siu
Keyword(s):  
Older Adults ◽  
Young Adults ◽  
Online Survey ◽  
Healthy Lifestyle ◽  
Cross Sectional ◽  
The Sustainable Development ◽  
Consideration Of Future Consequences ◽  
Positive Attitudes ◽  
Future Consequences

Abstract It is important but always challenging to restrain from immediate temptations and behave conscientiously for long-term goals. Constructive interactions with older adults may promote young adults’ positive attitudes about aging. With a brighter later adulthood in mind, young adults may then demonstrate a higher level of future-oriented tendency in their behaviors. The current study recruited 371 college students (Mage = 22.43, SDage = 2.88; 203 females) from Hong Kong. They completed an online survey about their interaction with the closest grandparent, attitudes about aging, and measures related to future-oriented tendencies (i.e., consideration of future consequences, healthy lifestyle, and impulsiveness). Parental intimacy and demographic information were assessed as potential covariates. Supporting the hypotheses, more interaction with grandparents was related to more positive attitudes about aging, β = .40, SE = .11, p &lt; .001. More positive attitudes about aging was then related to more consideration of future consequences, β = .14, SE = .07, p = .03, healthier lifestyle, β = .16, SE = .06, p = .005, and less impulsivity, β = -.10, SE = .03, p &lt; .001. Bootstrapping tests for the indirect effects from interaction with grandparents to the future-oriented outcomes through positive attitudes about aging were all significant as well. Although the current cross-sectional data could not confirm the causal links among the variables, the results provide some initial insight on how older adults can foster a long-term orientation in younger generations and contribute to the sustainable development of our societies through constructive intergenerational interactions.

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