scholarly journals Treatment Receipt and Outcomes of Self-Reported Voice Problems in the US Population Aged ≥65 Years

OTO Open ◽  
2018 ◽  
Vol 2 (2) ◽  
pp. 2473974X1877402 ◽  
Author(s):  
Schelomo Marmor ◽  
Stephanie Misono
Keyword(s):  
Health Status ◽  
National Survey ◽  
Population Based ◽  
Cross Sectional ◽  
Voice Treatment ◽  
Education And Health ◽  
Treatment Characteristics ◽  
The Us ◽  
Interview Survey ◽  
Multivariable Regression

Objectives (1) Characterize the US population aged ≥65 years with self-reported voice problems, (2) describe voice treatment characteristics in this group, and (3) identify factors associated with self-reported voice improvement. Study Design Retrospective cohort study. Setting Population-based cross-sectional US national survey sample. Subjects and Methods We identified a cohort of adults aged ≥65 years from the 2012 National Health Interview Survey, a population-based US national survey. Descriptive and multivariable regression analyses were performed. Results The prevalence of self-reported voice problems in this cohort was 10%. Of those, 44% reported voice problems for >1 month. The strongest predictor of reporting voice improvement was receipt of voice treatment (odds ratio, 3.50; 95% confidence interval, 1.36-9.00), after adjusting for sex, age, race, education, and health status. Eleven percent reported voice treatment, which included 20% of those with moderate or worse voice problem severity. Female sex and worse health status were associated with reporting voice treatment. Among those with voice treatment, 38% reported “better,” 33% “same,” and 29% “worse” voice symptoms over the past year, compared to 17%, 67%, and 16%, respectively, among those without treatment. Health status influenced likelihood of reporting voice improvement but not universally. Conclusions We observed a significant self-reported burden of voice problems in the US population aged ≥65 years. Most are untreated and thus not well represented in the current literature. Vocal improvement was strongly associated with treatment. Further investigation is needed to clarify patient and treatment characteristics most associated with vocal improvement.

The prevalence, predictors and associations of hypertension in Sri Lanka: a cross-sectional population based national survey

2014 ◽  
Vol 36 (7) ◽  
pp. 484-491 ◽  
Author(s):  
Prasad Katulanda ◽  
Priyanga Ranasinghe ◽  
Ranil Jayawardena ◽  
Godwin R. Constantine ◽  
M. H. Rezvi Sheriff ◽  
...  
Keyword(s):  
Sri Lanka ◽  
National Survey ◽  
Population Based ◽  
Cross Sectional

Abstract P137: Association Of Equol Producing Capacity With Aortic Calcification In Middle-aged Japanese Men

Circulation ◽  
2021 ◽  
Vol 143 (Suppl_1) ◽  
Author(s):  
Xiao Zhang ◽  
Akira Fujiyoshi ◽  
Aya Kadota ◽  
Vasudha Ahuja ◽  
Abhishek Vishnu ◽  
...  
Keyword(s):  
Serum Levels ◽  
Population Based ◽  
Aortic Calcification ◽  
Inverse Association ◽  
Middle Aged ◽  
Cross Sectional ◽  
Japanese Men ◽  
The Us ◽  
Multivariable Analyses ◽  
20 Nm

Background: Soy isoflavones (ISFs) are regularly consumed in Japan and other Asian countries where some studies showed a significant inverse association of ISFs intake with incident coronary heart disease (CHD). However, a US randomized clinical trial did not find ISFs as anti-atherogenic. This discrepancy may be due to the higher capacity of people in Japan than in the US to produce equol, a metabolite of ISF by the gut microbiome. Equol may have greater anti-atherogenic properties than ISFs. It is unknown whether equol producers (EP), people who produce equol after consuming ISF, have lower aortic calcification (AC), a biomarker of atherosclerosis, as compared to non-EP. Aim: To determine the association between equol producing status and AC in Japanese men. Method: This cross-sectional, population-based study included 302 Japanese men aged 40-49, free of CHD. EP was defined as participants with serum levels of equol ≥20 nM. AC was measured in the entire aorta and quantified by the Agatston method. The presence of AC was defined as AC score ≥10. We analyzed the association between equol producing status and AC using the Tobit and the logistic regressions. Result: We observed 125 participants as EP. In multivariable analyses, EP had non-significantly lower AC score by 147 (95% confidence interval (CI): -386, 92) units and an odds ratio of 0.71 (95% CI: 0.40, 1.26) for the AC presence as compared to non-EP. As significant interaction of equol producing status with age was present, we stratified the analyses by the median age. In men aged 45-49 years, EP had non-significantly lower AC score by 246 units and a non-significant 0.62 times the odds of AC presence as compared to non-EP; the corresponding values in men aged 40-44 were 12 units and 0.91 times (Table). Such an association was not observed with serum ISFs (data not shown). Conclusion: Japanese middle-aged men who were EP had non-significantly lower AC than non-EP and such association was stronger in men aged 45-49 than 40-44 years. Further study with much larger sample size is warranted.

Prevalence and determinants of depressive symptoms among adults in Indonesia: A cross‐sectional population‐based national survey

Nursing Forum ◽  
2020 ◽  
Author(s):  
Erni Astutik ◽  
Atik Choirul Hidajah ◽  
Tika Dwi Tama ◽  
Ferry Efendi ◽  
Chung‐Yi Li
Keyword(s):  
Depressive Symptoms ◽  
National Survey ◽  
Population Based ◽  
Cross Sectional

Stressful life events and leukocyte telomere attrition in adulthood: a prospective population-based cohort study

2015 ◽  
Vol 45 (14) ◽  
pp. 2975-2984 ◽  
Author(s):  
S. L. van Ockenburg ◽  
E. H. Bos ◽  
P. de Jonge ◽  
P. van der Harst ◽  
R. O. B. Gans ◽  
...  
Keyword(s):  
Life Events ◽  
Mixed Model ◽  
Stressful Life Events ◽  
Linear Mixed Model ◽  
Smoking Status ◽  
Population Based ◽  
Adverse Life Events ◽  
Cross Sectional ◽  
Telomere Attrition ◽  
Multivariable Regression

Background.Telomere attrition might be one of the mechanisms through which psychosocial stress leads to somatic disease. To date it is unknown if exposure to adverse life events in adulthood is associated with telomere shortening prospectively. In the current study we investigated whether life events are associated with shortening of telomere length (TL).Method.Participants were 1094 adults (mean age 53.1, range 33–79 years) from the PREVEND cohort. Data were collected at baseline (T1) and at two follow-up visits after 4 years (T2) and 6 years (T3). Life events were assessed with an adjusted version of the List of Threatening Events (LTE). TL was measured by monochrome multiplex quantitative PCR at T1, T2, and T3. A linear mixed model was used to assess the effect of recent life events on TL prospectively. Multivariable regression analyses were performed to assess whether the lifetime life events score or the score of life events experienced before the age of 12 predicted TL cross-sectionally. All final models were adjusted for age, sex, body mass index, presence of chronic diseases, frequency of sports, smoking status, and level of education.Results.Recent life events significantly predicted telomere attrition prospectively (B = −0.031, p = 0.007). We were not able to demonstrate a significant cross-sectional relationship between the lifetime LTE score and TL. Nor did we find exposure to adverse life events before the age of 12 to be associated with TL in adulthood.Conclusions.Exposure to recent adverse life events in adulthood is associated with telomere attrition prospectively.

Public awareness of the HPV vaccine: A national population-based study.

2013 ◽  
Vol 31 (15_suppl) ◽  
pp. 1574-1574
Author(s):  
Abigail Shrader ◽  
Linda Niccolai ◽  
Susan T Mayne ◽  
Daniel DiMaio ◽  
Anees B. Chagpar
Keyword(s):  
Young People ◽  
Hpv Vaccine ◽  
Public Awareness ◽  
Population Based ◽  
Hpv Vaccines ◽  
National Guidelines ◽  
Population Based Study ◽  
The Us ◽  
Interview Survey ◽  
Racial Ethnic

1574 Background: Human papilloma virus (HPV) is associated with a number of malignancies. While national guidelines exist for the use of HPV vaccines in men and women up to the age of 26, data are lacking regarding public awareness of these vaccines. Methods: The National Health Interview Survey is conducted annually by the CDC, and is designed to be representative of the US population. Questions regarding the HPV vaccine were fielded in 2010, and formed the basis of this analysis. Results: 9120 men and 10946 women between the ages of 18 and 64 were surveyed. More women than men had heard about the HPV vaccine (68.1% vs. 34.0%, p<0.001), and young people (aged 18-26) were more likely to have heard about the vaccine than their older counterparts (54.3% vs. 50.5%, p=0.002). Factors associated with awareness of HPV vaccines amongst the younger cohort (eligible for the vaccine) are shown below. On multivariate analysis, race, insurance, and education were significant predictors of HPV vaccine awareness. Conclusions: While over half of young people aged 18-26 are aware of the HPV vaccine, racial/ethnic minorities, along with less educated and uninsured populations lag behind their majority counterparts in their awareness of the HPV vaccine. These data should be useful in directing public health educational programs. [Table: see text]

scholarly journals E-cigarette Usage Is Associated With Increased Past-12-Month Quit Attempts and Successful Smoking Cessation in Two US Population–Based Surveys

2018 ◽  
Vol 21 (10) ◽  
pp. 1331-1338 ◽  
Author(s):  
Linda Johnson ◽  
Yinjiao Ma ◽  
Sherri L Fisher ◽  
Alex T Ramsey ◽  
Li-Shiun Chen ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Electronic Cigarettes ◽  
Population Level ◽  
Population Based ◽  
Cigarette Use ◽  
Positive Effects ◽  
Quit Attempts ◽  
The Us ◽  
Interview Survey ◽  
Demographic Shifts

Abstract Introduction We examined past-12-month quit attempts and smoking cessation from 2006 to 2016 while accounting for demographic shifts in the US population. In addition, we sought to understand whether the current use of electronic cigarettes was associated with a change in past-12-month quit attempts and successful smoking cessation at the population level. Methods We analyzed data from 25- to 44-year-olds from the National Health Interview Survey (NHIS) from 2006 to 2016 (N = 26,354) and the Tobacco Use Supplement to the Current Population Survey (TUS-CPS) in 2006–2007, 2010–2011, and 2014–2015 (N = 33,627). Data on e-cigarette use were available in the 2014–2016 NHIS and 2014–2015 TUS-CPS surveys. Results Past-12-month quit attempts and smoking cessation increased in recent years compared with 2006. Current e-cigarette use was associated with higher quit attempts (adjusted odds ratio [aOR] = 2.29, 95% confidence interval [CI] = 1.87 to 2.81, p < .001) and greater smoking cessation (aOR = 1.64, 95% CI = 1.21 to 2.21, p = .001) in the NHIS. Multivariable logistic regression of the TUS-CPS data showed that current e-cigarette use was similarly significantly associated with increased past-12-month quit attempts and smoking cessation. Significant interactions were found for smoking frequency (everyday and some-day smoking) and current e-cigarette use for both outcomes (p < .0001) with the strongest positive effects seen in everyday smokers. Conclusions Compared with 2006, past-12-month quit attempts and smoking cessation increased among adults aged 25–44 in recent years. Current e-cigarette use was associated with increased past-12-month quit attempts and successful smoking cessation among established smokers. These findings are relevant to future tobacco policy decisions. Implications E-cigarettes were introduced into the US market over the past decade. During this period, past-12-month quit attempts and smoking cessation have increased among US adults aged 25–44. These trends are inconsistent with the hypothesis that e-cigarette use is delaying quit attempts and leading to decreased smoking cessation. In contrast, current e-cigarette use was associated with significantly higher past-12-month quit attempts and past-12-month cessation. These findings suggest that e-cigarette use contributes to a reduction in combustible cigarette use among established smokers.

scholarly journals Prevalence and correlates of Alzheimer’s disease and related dementias in rural Uganda: cross-sectional, population-based study

2019 ◽  
Author(s):  
VINCENT MUBANGIZI ◽  
Samuel Maling ◽  
Celestino Obua ◽  
Alexander C. Tsai
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Population Based ◽  
Cross Sectional ◽  
Population Based Study ◽  
Community Screening ◽  
Multi Stage ◽  
Multivariable Regression ◽  
Sub Saharan ◽  
Southwestern Uganda

Abstract Introduction There is a paucity of data on the prevalence and correlates of Alzheimer’s disease and related dementias in sub-Saharan Africa.Objective To estimate the prevalence and correlates of Alzheimer’s disease and related dementias in rural Uganda.Methods We conducted a cross-sectional, population-based study in a rural region of southwestern Uganda. The Brief Community Screening Instrument for Dementia was administered to a multi-stage area probability sample of 400 people aged 60 years and over. Multivariable logistic regression was used to estimate correlates of probable dementia.Results Overall, 80 (20%) of the sample screened positive for dementia. On multivariable regression, we estimated the following correlates of probable dementia: age (adjusted odds ratio [AOR], 1.02 per year; 95% confidence interval [CI], 1.10-1.03, p˂0.001), having some education (AOR, 0.57; 95% CI, 0.41-0.81, p=0.001), exercise (AOR, 0.44; 95% CI, 0.27-0.72, p=0.001), and having a ventilated kitchen (AOR, 0.43; (95% CI, 0.24-0.77, p=0.001).Conclusion In this population-based sample of older-age adults, nearly one-fifth screened positive for dementia.

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