scholarly journals Current status and etiology of valvular heart disease in China: a population-based survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ying Yang ◽  
Zengwu Wang ◽  
Zuo Chen ◽  
Xin Wang ◽  
Linfeng Zhang ◽  
...  
Keyword(s):  
Heart Disease ◽  
National Survey ◽  
Valvular Heart Disease ◽  
Final Analysis ◽  
The Elderly ◽  
Population Based ◽  
Current Status ◽  
Cross Sectional ◽  
Weighted Prevalence ◽  
Rheumatic Heart

Abstract Background The epidemiology of valvular heart disease (VHD) has changed markedly over the last 50 years worldwide, and the prevalence and features of VHD in China are unknown. The objective of this study was to investigate the current status and etiology of VHD in China. Methods We used a cross-sectional national survey with stratified multistage random sampling from the general Chinese population to estimate the VHD burden. Data on demographic characteristics, medical history, physical examination, blood tests, and potential etiology were collected. Echocardiography was used to detect VHD. Results The national survey enrolled 34,994 people aged 35 years or older across China. Overall, 31,499 people were included in the final analysis, and 1309 participants were diagnosed with VHD. The weighted prevalence was 3.8%, with an estimated 25 million patients in China. The prevalence of VHD increased with age and was higher in participants with hypertension or chronic kidney disease than in their counterparts. Among participants with VHD, 55.1% were rheumatic and 21.3% were degenerative. The proportion of rheumatic decreased with age, and the proportion of degenerative rose with age. However, the prevalence of rheumatic disease was still higher in the elderly population than in the younger population. Logistic regression revealed that age and hypertension were correlated with VHD. Conclusions In China, rheumatic heart disease was still the major cause of the VHD, with a significant increase in degenerative heart disease. Age and hypertension are important and easily identifiable markers of VHD.

scholarly journals Collective violence and the health of the elderly: a cross-sectional analysis of a population-based national survey in Mexico

2017 ◽  
Vol 41 ◽  
pp. 1
Author(s):  
Mario Ulises Pérez-Zepeda ◽  
Carmen García-Peña, ◽  
Natalia Sánchez-Garrido ◽  
Emma Grace Wynne-Bannister ◽  
Bernardo Moreno-Peniche
Keyword(s):  
Older Adults ◽  
Weight Loss ◽  
National Survey ◽  
The Elderly ◽  
Population Based ◽  
Vulnerable Groups ◽  
Collective Violence ◽  
Positive Affectivity ◽  
Cross Sectional ◽  
Adjusted Model

Objective. To describe the association between collective violence and the health of older adults in Mexico. Methods. The data analyzed were taken from a Mexican population-based national survey of health and nutrition that included a representative sample of adults over 60 years of age and from an index of violence for each of the states of Mexico that was compiled by a major research center. Five of the most common geriatric ailments (weight loss, depressive symptoms, falls, positive affectivity, and disability) were crossed with the violence index score assigned to each state. Results. A total of 7 108 older adults were included in the analysis. Among the five geriatric health problems, weight loss had the strongest association with violence, even when an adjusted model was used. For weight loss, that association increased as the level of collective violence rose. With the adjusted model, there was also an association of severe collective violence with disability and with low positive affectivity. Conclusions. Our results show that there is an association of collective violence with weight loss and other geriatric problems. Collective violence could indirectly affect individuals’ health, especially older persons and other vulnerable groups.

scholarly journals Rheumatic Heart Disease in Kerala: A Vanishing Entity? An Echo Doppler Study in 5–15-Years-Old School Children

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Bigesh Nair ◽  
Sunitha Viswanathan ◽  
A. George Koshy ◽  
Prabha Nini Gupta ◽  
Namita Nair ◽  
...  
Keyword(s):  
Heart Disease ◽  
Rheumatic Heart Disease ◽  
School Children ◽  
South India ◽  
Population Based ◽  
Cross Sectional ◽  
Doppler Study ◽  
Screening Study ◽  
School Survey ◽  
Rheumatic Heart

Background.Early detection of subclinical rheumatic heart disease by use of echocardiography warrants timely implementation of secondary antibiotic prophylaxis and thereby prevents or retards its related complications.Objectives.The objective of this epidemiological study was to determine prevalence of RHD by echocardiography using World Heart Federation criteria in randomly selected school children of Trivandrum.Methods.This was a population-based cross-sectional screening study carried out in Trivandrum. A total of 2060 school children, 5–15 years, were randomly selected from five government and two private (aided) schools. All enrolled children were screened for RHD according to standard clinical and WHF criteria of echocardiography.Results.Echocardiographic examinations confirmed RHD in 5 children out of 146 clinically suspected cases. Thus, clinical prevalence was found to be 2.4 per 1000. According to WHF criteria of echocardiography, 12 children (12/2060) were diagnosed with RHD corresponding to echocardiographic prevalence of 5.83 cases per 1000. As per criteria, 6 children were diagnosed with definite RHD and 6 with borderline RHD.Conclusions.The results of the current study demonstrate that echocardiography is more sensitive and feasible in detecting clinically silent RHD. Our study, the largest school survey of south India till date, points towards declining prevalence of RHD (5.83/1000 cases) using WHF criteria in Kerala.

scholarly journals Prevalence of disabilities and non-communicable diseases in an elderly population in the Telangana state, India: a population-based cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e041755
Author(s):  
Srinivas Marmamula ◽  
Satya Brahmanandam Modepalli ◽  
Thirupathi Reddy Kumbham ◽  
Rajesh Challa ◽  
Jill E Keeffe
Keyword(s):  
Elderly Population ◽  
Self Care ◽  
The Elderly ◽  
Population Based ◽  
Cross Sectional Study ◽  
Communicable Diseases ◽  
Self Report ◽  
Sectional Study ◽  
Cross Sectional ◽  
Non Communicable Diseases

ObjectivesTo assess the prevalence of disabilities (vision, hearing, mobility, cognitive, self-care and communication) and non-communicable diseases (NCDs) among the elderly population in two districts in Telangana, India.DesignPopulation-based cross-sectional study using a cluster random sampling method to select the study clusters.SettingElderly population in Khammam and Warangal districts were recruited. Detailed interviews were conducted by trained community health workers. Personal and demographic information such as age, gender, level of education and a self-report of NCDs was collected. The Washington Disability Questionnaire was administered to assess the presence of disabilities.Participants1821 participants aged ≥60 years, 54.5% were women, and 73.3% had no education.Primary outcome measurePrevalence of disabilities and NCDs.ResultsOverall, the prevalence of at least disability was 20.3% (95% CI 16.3 to 24.9). The prevalence of self- reported disabilities were: seeing (5.9%; 95% CI 4.4 to 7.8), mobility (12.8%; 95% CI 9.7 to 16.8), hearing (3.6%; 95% CI 2.7 to 4.8), cognition (4.8%; 95% CI 3.5 to 6.7), self-care (3.3%; 95% CI 2.3 to 4.7) and communication (1.8%; 95% CI 1.2 to 2.6). Overall, the prevalence of at least one NCD was 34.2% (95% CI 30.9 to 37.7). Hypertension was the most common systemic condition (25.4%; 95% CI 22.4 to 28.7), followed by diabetes (9.0%; 95% CI 7.3 to 11.0), and body pains (muscle-skeletal) (9.9%; 95% CI 8.1 to 12.2).ConclusionEvery fifth elderly person in the districts of Khammam and Warangal in Telangana had at least one self-reported disability. Besides, a third of the elderly had at least one NCD. There is a definite need to develop comprehensive public health strategies to address disabilities and NCDs in Telangana.

scholarly journals Maternal depression and loss of children under the one-child family planning policy in China: a cross-sectional study of 300 000 women

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e048554
Author(s):  
Hanyu Wang ◽  
Eric Frasco ◽  
Jie Shang ◽  
Minne Chen ◽  
Tong Xin ◽  
...  
Keyword(s):  
Family Planning ◽  
Maternal Depression ◽  
Urban Areas ◽  
The Elderly ◽  
Population Based ◽  
Cross Sectional Study ◽  
Only Child ◽  
Cross Sectional ◽  
Live Births ◽  
Child Group

ObjectivesThis study aims to explore the association between maternal depression and the loss of the only child under the family-planning (FP) policy.DesignCross-sectional data from a Chinese population-based study were analysed.SettingPopulation from 10 (5 rural and 5 urban) areas in China.ParticipantsAround 300 000 females were included in the study. The FP group was defined as women with one or two live births. Those with no surviving child were classified into the loss-of-only-child group. The non-FP group included women who had more than two live births. Logistic regression was used to assess the relationship between major depressive disorder (MDD) and family types, after stratification and adjustment.OutcomeMDD was assessed using the Composite International Diagnostic Inventory.ResultsThe odds of MDD are 1.42 times higher in the FP group in general (OR=1.42, 95% CI: 1.28 to 1.57), as opposed to the non-FP group. In particular, the odds of MDD are 1.36 times greater in the non-loss-of-only-child group (OR=1.36, 95% CI: 1.21 to 1.51) and 2.80 (OR=2.80, 95% CI: 0.88 to 8.94) times greater in the loss-of-only-child group, compared with the non-FP group. The associations between FP groups and MDD appeared to be stronger in the elderly population, in those who were married, less educated and those with a higher household income. The association was found progressively stronger in those who lost their only child.ConclusionsPeople in the FP group, especially those who lost their only child, are more susceptible to MDD than their counterparts in the non-FP group. Mental health programmes should give special care to those who lost their only child and take existing social policies and norms, such as FP policies, into consideration.

scholarly journals The effects of disease-related knowledge on illness perception and psychological status of patients with COVID-19 in Hunan, China

2021 ◽  
pp. 1-30
Author(s):  
Man Ye ◽  
Shi-hao Chen ◽  
Xu-ting Li ◽  
Jin Huang ◽  
Ran-ran Mei ◽  
...  
Keyword(s):  
Low Income ◽  
Illness Perception ◽  
Self Care ◽  
The Elderly ◽  
Diagnosis And Treatment ◽  
Psychological Status ◽  
Current Status ◽  
Average Score ◽  
Future Health ◽  
Cross Sectional

Abstract OBJECTIVE: To assess the current status of disease-related knowledge and to analyze the relationship among the general condition, illness perception, and psychological status of patients with COVID-19. METHODS: A hospital-based cross-sectional study was conducted on 118 patients using convenience sampling. The general questionnaire, disease-related knowledge questionnaire of COVID-19, Revised Illness Perception Questionnaire (IPQ-R), and Profile of Mood States (POMS) were used to measure the current status of participants. RESULTS: The overall average score of the disease-related knowledge of patients with COVID-19 was (79.19 ± 14.25), the self-care situation was positively correlated with knowledge of prevention and control (r=0.265, P=0.004) and total score of disease-related knowledge (r= 0.206, P= 0.025); the degree of anxiety was negatively correlated with the knowledge of diagnosis and treatment (r= -0.182, P= 0.049). The score of disease-related knowledge was negatively correlated with negative cognition (volatility, consequences, emotional statements) and negative emotions (tension, fatigue, depression) (P<0.05); positively correlated with positive cognition (disease coherence) and positive emotion (self-esteem) (P<0.05). CONCLUSION It was recommended that we should pay more attention to the elderly and low-income groups, and increase the knowledge about diagnosis and treatment of COVID-19 and self-care in the future health education for patients.

Periodontitis is associated with incidental valvular heart disease: A nationwide population‐based cohort study

2021 ◽  
Author(s):  
Sung‐Kien Sia ◽  
Ming‐Shiou Jan ◽  
Yu‐Hsun Wang ◽  
Yu‐Feng Huang ◽  
James Cheng‐Chung Wei
Keyword(s):  
Cohort Study ◽  
Heart Disease ◽  
Valvular Heart Disease ◽  
Population Based

scholarly journals Factors associated with lower gait speed among the elderly living in a developing country: a cross-sectional population-based study

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Telma de Almeida Busch ◽  
Yeda Aparecida Duarte ◽  
Daniella Pires Nunes ◽  
Maria Lucia Lebrão ◽  
Michel Satya Naslavsky ◽  
...  
Keyword(s):  
Developing Country ◽  
Gait Speed ◽  
The Elderly ◽  
Population Based ◽  
Cross Sectional ◽  
Population Based Study ◽  
Factors Associated ◽  
Elderly Living

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

scholarly journals Falls among the elderly: risk factors in a population-based study

2014 ◽  
Vol 17 (3) ◽  
pp. 705-718 ◽  
Author(s):  
Iara Guimarães Rodrigues ◽  
Gustavo Pereira Fraga ◽  
Marilisa Berti de Azevedo Barros
Keyword(s):  
The Elderly ◽  
Population Based ◽  
Cross Sectional Study ◽  
Cluster Sampling ◽  
Elderly Adults ◽  
Cross Sectional ◽  
Population Based Study ◽  
Factors Associated ◽  
Gender And Age ◽  
Policies And Programs

Purpose: The aim of the present study was to identify factors associated with the occurrence of falls among elderly adults in a population-based study (ISACamp 2008). Methods: A population-based cross-sectional study was carried out with two-stage cluster sampling. The sample was composed of 1,520 elderly adults living in the urban area of the city of Campinas, São Paulo, Brazil. The occurrence of falls was analyzed based on reports of the main accident occurred in the previous 12 months. Data on socioeconomic/demographic factors and adverse health conditions were tested for possible associations with the outcome. Prevalence ratios (PR) were estimated and adjusted for gender and age using the Poisson multiple regression analysis. Results: Falls were more frequent, after adjustment for gender and age, among female elderly participants (PR = 2.39; 95% confidence interval (95%CI) 1.47 - 3.87), elderly adults (80 years old and older) (PR = 2.50; 95%CI 1.61 - 3.88), widowed (PR = 1.74; 95%CI 1.04 - 2.89) and among elderly adults who had rheumatism/arthritis/arthrosis (PR = 1.58; 95%CI 1.00 - 2.48), osteoporosis (PR = 1.71; 95%CI 1.18 - 2.49), asthma/bronchitis/emphysema (PR = 1,73; 95%CI 1.09 - 2.74), headache (PR = 1.59; 95%CI 1.07 - 2.38), mental common disorder (PR = 1.72; 95%CI 1.12 - 2.64), dizziness (PR = 2.82; 95%CI 1.98 - 4.02), insomnia (PR = 1.75; 95%CI 1.16 - 2.65), use of multiple medications (five or more) (PR = 2.50; 95%CI 1.12 - 5.56) and use of cane/walker (PR = 2.16; 95%CI 1.19 - 3,93). Conclusion: The present study shows segments of the elderly population who are more prone to falls through the identification of factors associated with this outcome. The findings can contribute to the planning of public health policies and programs addressed to the prevention of falls.

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