Relationship between chronic diseases and depression: the mediating effect of pain

Abstract Background Chronic diseases have a high incidence in China and may cause pain and depression. However, the association of chronic diseases with pain and the incidence of depression has not been comprehensively investigated. Methods The study population was obtained from the 2015 China Health and Retirement Longitudinal Study (CHARLS). The cross-sectional data from15,213 persons were included. CHARLS provides nationally representative data from21,097 individuals aged 45 years and older in approximately 150 districts and 450 villages. The main outcome was the incidence of depression. The main independent variable was chronic disease (no chronic disease, one chronic disease, and two or more chronic diseases). The mediators were the degree of pain (no pain, mild pain, and moderate to severe pain) and whether measures were taken to relieve pain (measures taken and no measures taken). We performed chi-square and binary logistic regression analyses of the associations of chronic disease with pain and the incidence of depression. The mediation model was examined using the Sobel test. Results Patients with more chronic diseases had more severe pain (OR = 3.697, P < 0.001, CI = 2.919–4.681) and were more likely to develop depression (OR = 2.777, P < 0.001, CI = 2.497–3.090). The degree of pain partially mediated the interaction between chronic disease and depression in this study (t = 7.989, P < 0.001). The incidence of depression was high in people who were female, less educated, unmarried, living in rural areas, and working. Conclusions The degree of pain had a partial mediating effect on chronic disease and depression. Pain relief measures should be considered when treating patients with depression.

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Determinants of COVID-19 preventive behaviours among adults with chronic diseases in the USA: an analysis of the nationally representative COVID-19 impact survey

BMJ Open ◽

10.1136/bmjopen-2020-044600 ◽

2021 ◽

Vol 11 (2) ◽

pp. e044600

Author(s):

Jessica Y. Islam ◽

Denise C. Vidot ◽

Marlene Camacho-Rivera

Keyword(s):

Chronic Diseases ◽

Rural Areas ◽

Prevalence Ratio ◽

Face Mask ◽

Chronic Obstructive ◽

Cross Sectional ◽

Obstructive Pulmonary Disease ◽

High School Degree ◽

The Usa ◽

Nationally Representative

BackgroundPreventive behaviours have been recommended to control the spread of SARS-CoV-2. Adults with chronic diseases (CDs) are at higher risk of COVID-19-related mortality compared to the general population. Our objective was to evaluate adherence to COVID-19 preventive behaviours among adults without CDs compared with those with CDs and identify determinants of non-adherence to COVID-19 preventive behaviours.Study designCross-sectional.Setting and participantsWe used data from the nationally representative COVID-19 Impact Survey (n=10 760) conducted in the USA.Primary measuresAdults with CDs were categorised based on a self-reported diagnosis of diabetes, high blood pressure, heart disease/heart attack/stroke, asthma, chronic obstructive pulmonary disease (COPD), bronchitis or emphysema, cystic fibrosis, liver disease, compromised immune system, or cancer (54%).ResultsCompared with adults without CDs, adults with CDs were more likely to adhere to preventive behaviours including wearing a face mask (χ2-p<0.001), social distancing (χ2-p<0.001), washing or sanitising hands (χ2-p<0.001), and avoiding some or all restaurants (χ2-p=0.002) and public or crowded places (χ2-p=0.001). Adults with a high school degree or below [Adjusted prevalence ratio (aPR):1.82, 95% Confidence interval (CI)1.04 to 3.17], household income <US$50 000 (aPR:2.03, 95% CI 1.34 to 2.72), uninsured (aPR:1.65, 95% CI1.09 to 2.52), employed (aPR:1.48, 95% CI 1.02 to 2.17), residing in rural areas (aPR:1.70, 95% CI 1.01 to 2.85) and without any CD (aPR:1.78, 95% CI 1.24 to 2.55) were more likely to not adhere to COVID-19 preventive behaviours.ConclusionAdults with CDs are more likely to adhere to recommended COVID-19 preventive behaviours. Public health messaging targeting specific demographic groups and geographic areas, such as adults without CD or adults living in rural areas, should be prioritised.

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Digital Recruitment and Acceptance of a Stepwise Model to Prevent Chronic Disease in the Danish Primary Care Sector: Cross-Sectional Study (Preprint)

10.2196/preprints.11658 ◽

2018 ◽

Author(s):

Lars Bruun Larsen ◽

Jens Sondergaard ◽

Janus Laust Thomsen ◽

Anders Halling ◽

Anders Larrabee Sønderlund ◽

...

Keyword(s):

Primary Care ◽

Chronic Disease ◽

Chronic Diseases ◽

Low Cost ◽

Cross Sectional Study ◽

Chronic Obstructive ◽

Chi Square ◽

Cross Sectional ◽

Interaction Detection ◽

Health Checks

BACKGROUND During recent years, stepwise approaches to health checks have been advanced as an alternative to general health checks. In 2013, we set up the Early Detection and Prevention project (Tidlig Opsporing og Forebyggelse, TOF) to develop a stepwise approach aimed at patients at high or moderate risk of a chronic disease. A novel feature was the use of a personal digital mailbox for recruiting participants. A personal digital mailbox is a secure digital mailbox provided by the Danish public authorities. Apart from being both safe and secure, it is a low-cost, quick, and easy way to reach Danish residents. OBJECTIVE In this study we analyze the association between the rates of acceptance of 2 digital invitations sent to a personal digital mailbox and the sociodemographic determinants, medical treatment, and health care usage in a stepwise primary care model for the prevention of chronic diseases. METHODS We conducted a cross-sectional analysis of the rates of acceptance of 2 digital invitations sent to randomly selected residents born between 1957 and 1986 and residing in 2 Danish municipalities. The outcome was acceptance of the 2 digital invitations. Statistical associations were determined by Poisson regression. Data-driven chi-square automatic interaction detection method was used to generate a decision tree analysis, predicting acceptance of the digital invitations. RESULTS A total of 8814 patients received an invitation in their digital mailbox from 47 general practitioners. A total of 40.22% (3545/8814) accepted the first digital invitation, and 30.19 % (2661/8814) accepted both digital invitations. The rates of acceptance of both digital invitations were higher among women, older patients, patients of higher socioeconomic status, and patients not diagnosed with or being treated for diabetes mellitus, chronic obstructive pulmonary disease, or cardiovascular disease. CONCLUSIONS To our knowledge, this is the first study to report on the rates of acceptance of digital invitations to participate in a stepwise model for prevention of chronic diseases. More studies of digital invitations are needed to determine if the acceptance rates seen in this study should be expected from future studies as well. Similarly, more research is needed to determine whether a multimodal recruitment approach, including digital invitations to personal digital mailboxes will reach hard-to-reach subpopulations more effectively than digital invitations only.

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Recognition of Diabetes in a Multi-ethnic Population: Results from a Nationally Representative Population-Based Study

10.1101/2021.02.01.21250802 ◽

2021 ◽

Author(s):

Kumarasan Roystonn ◽

Jue Hua Lau ◽

PV AshaRani ◽

Fiona Devi Siva Kumar ◽

Peizhi Wang ◽

...

Keyword(s):

Binary Logistic Regression ◽

Developed Countries ◽

Population Based ◽

Study Data ◽

Chi Square ◽

Cross Sectional ◽

Demographic Groups ◽

Nationally Representative ◽

Diagnosed Diabetes ◽

The Unemployed

ABSTRACTBackgroundThe prevalence of diabetes is on the rise in developed countries. Yet discrepancies exist in reports regarding the level of knowledge of diabetes. This study evaluates the recognition of diabetes among residents in the Singapore population. Sociodemographic characteristics associated with the ability to correctly recognise diabetes were also examined.MethodsThis was a nationwide cross-sectional vignette-based study. Data were collected from 2895 residents aged 18 years and above through face-to-face interviews, of which 436 are persons with diabetes. Descriptive statistics, chi-square tests, and binary logistic regression were used in the analyses.ResultsIn total, 82.7% (2418/2895) of respondents recognised diabetes correctly. In adjusted models, correct recognition was significantly higher among respondents aged 35-49 years (OR, 1.85; 95% CI, 1.15 to 2.98; P= 0.01), 50-64 years (odds ratio [OR], 2.06; 95% confidence interval [CI], 1.19 to 3.56; P= 0.01), ethnic Malays (OR, 1.39; 95% CI, 1.02 to 1.89; P= 0.04) (vs. Chinese) and persons with diagnosed diabetes (OR, 2.64; 95% CI, 1.38 to 5.08; P < 0.01). Being male (OR, 0.64; 95% CI, 0.46 to 0.90; P < 0.01), ethnic Others (OR, 0.59; 95% CI, 0.37 to 0.93; P < 0.01), and being unemployed (OR, 0.48; 95% CI, 0.25 to 0.92; P= 0.03), were significantly associated with poor recognition of diabetes.ConclusionOverall public recognition of diabetes is high, but the significant gaps in knowledge in certain demographic groups are of concern. Public health interventions aimed at preventing and controlling diabetes should continue to target all members of the population with accurate and appropriate information. Ongoing efforts of diabetes awareness and educational programs need to be improved, particularly for young adults, males, and the unemployed.

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Rural-Urban Differences in Stroke Types, Risk Factors, Severity and Prognosis in Babol, Northern Iran

Elderly Health Journal ◽

10.18502/ehj.v4i2.258 ◽

2018 ◽

Author(s):

Payam Saadat ◽

Alijan Ahmadi Ahangar ◽

Soraya Khafri ◽

Mandana Kalantar ◽

Azin Dariaie ◽

...

Keyword(s):

Risk Factors ◽

Rural Areas ◽

Binary Logistic Regression ◽

Cross Sectional Study ◽

Chi Square ◽

Northern Iran ◽

Cross Sectional ◽

Chi Square Test ◽

Urban And Rural Areas ◽

Rural Patients

Introduction: Stroke recognized as the third most common cause of death. Stroke survivors often suffer a large amount of physical and mental disability. Due to assess difference between stroke types, progression and distribution of risk factors according to residential status, to get the correct information for prevention planning and management, this study was conducted. Methods: This descriptive cross-sectional study on stroke patient from 2016 to 2017 that admitted to Ayatollah Rohani Hospital of Babol was conducted. Type of stroke, their severity, risk factors, and urban or rural area of residence of patients were recorded in the checklist. The chi-square test was used to compare frequencies of gender, and stroke risk assessment between the urban and rural residents. Binary logistic regression modeling was used to estimate the association of risk factors with living in urban and rural areas. The results were expressed as multivariable-adjusted odds ratios (ORs) and 95 % confidence intervals (95 % CIs). A two-sided p < 0.05 was considered statistically significant. All data analyses were performed, using SPSS statistical analysis software. Results: Of 241 stroke patients, 133 patients (55 %) were female and 213 patients (88.4 %) were ischemic. Also, 140 cases were (58 %) rural. Embolic strokes more in urban population and thrombotic strokes were more in rural populations. Hyperlipidemia was more in urban than rural p = 0.01. Severity of stroke in admission time (p = 0.03) and at discharge (p = 0.005) was more in rural than urban. The mortality was higher in rural 12 (8.6) vs. 2 (2) urban resident,( p = 0.03). Conclusion: Rural patients had more severity, thrombotic type and mortality than urban. Suitable policy regard to residential parameter is suggested.

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Hubungan Budaya Organisasi dengan Intensi Turnover di Rumah Sakit Awal Bros Batam

Jurnal Endurance ◽

10.22216/jen.v4i3.4609 ◽

2019 ◽

Vol 4 (3) ◽

pp. 464

Author(s):

Endang Sulastri ◽

Yulastri Arif ◽

Utari Christhya Wardhani

Keyword(s):

Organizational Culture ◽

Interpersonal Relationships ◽

Turnover Intention ◽

Random Sampling ◽

Binary Logistic Regression ◽

Cross Sectional Study ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Good Communication

Intensi turnover pada institusi pelayanan kesehatan merupakan masalah serius dan harus segera ditindaklanjuti, karena akan berdampak terhadap kualitas sumber daya manusia yang dapat mempengaruhi dalam pemberian pelayanan kesehatan kepada pasien. Intensi turnover di Rumah Sakit Awal Bros Batam sejak lima tahun terakhir diatas standar rata-rata turnover dan Rumah Sakit belum mempunyai stategi yang efektif untuk mencegahnya. Tujuan penelitian ini untuk menganalisis hubungan budaya organisasi dengan risiko intensi turnover di Rumah Sakit Awal Bros Batam. Metode penelitian menggunakan desain kuantitatif dengan cross sectional study. Pengambilan sampel kuantitatif menggunakan kuesioner berdasarkan proposional random sampling, Chi Square dan Uji Regresi Logistic Berganda (Binary Logistic). Hasil penelitian menunjukkan bahwa budaya organisasi di Rumah Sakit Awal Bros Batam mempunyai hubungan yang bermakna dengan intensi turnover dengan nilai pValue 0.005. Saran yang dapat diberikan peneliti adalah menciptakan suasana kerja yang kondusif dengan menjaga hubungan interpersonal dan komunikasi yang baik antar karyawan maupun atasan. The intention of turnover in health care institutions is a serious problem and must be followed up immediately, because it will have an impact on the quality of human resources that can affect the delivery of health services to patients. The intention of the turnover in Batam Awal Bros Hospital since the last five years is above the average turnover standard and the Hospital does not yet have an effective strategy to prevent it. The purpose of this study was to analyze the relationship between organizational culture and risk of turnover intention at Awal Bros Batam Hospital. The research method uses quantitative design with cross sectional study. Quantitative sampling using a questionnaire based on proportional random sampling, data processing using the mean, Chi Square and Binary Logistic Regression Test. The results showed that the organizational culture in Batam Awal Bros Hospital had a significant relationship with turnover intention with a pValue 0.005. Suggestions that can be given by researchers is establish a conducive work atmosphere by maintaining interpersonal relationships and good communication between employees and superiors

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Prevalence and risk factors of anaemia among men: A study based on Empowered Action Group states, India

Nutrition and Health ◽

10.1177/0260106020982348 ◽

2021 ◽

pp. 026010602098234

Author(s):

Pradeep Kumar ◽

Himani Sharma ◽

Kamalesh Kumar Patel

Keyword(s):

Family Health ◽

Public Health Problem ◽

Binary Logistic Regression ◽

Bivariate Analysis ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Action Group ◽

Nationally Representative ◽

The Government ◽

Eag States

Background: Despite various programmes initiated by the Government of India, the nutritional indicators are not encouraging, as several problems like undernutrition, malnutrition and anaemia – still persist in the country, especially in the Empowered Action Group (EAG) states. Aim: Because of the dearth of studies regarding anaemia among men in India, the present study aimed to determine its prevalence in this population in the EAG states and to analyse its geographical and socio-demographic determinants. Methods: The study utilized nationally representative, cross-sectional survey data from round 4 of the National Family Health Survey conducted in 2015–16. Bivariate analysis along with binary logistic regression were performed to assess the predictors of anaemia among men in the EAG states. Results: Around a quarter of the men in the EAG states suffered from anaemia. A similar high-prevalence pattern was observed across the EAG states. Wherein, Bihar and Jharkhand had the highest prevalence of anaemia while Uttarakhand showed the lowest. Age, place of residence, marital status and caste were positively associated with the likelihood of anaemia among men in the EAG states. Conclusions: Focusing on the EAG states, this study considered the severity of anaemia as a public health problem among men. Strategies to reduce the burden of anaemia among this population are needed. The government should formulate programmes targeting anaemia specifically, and improving the nutritional status among men in general in the EAG states.

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The Relationship between Clinic Visit Accompanied by Family and Dementia Severity in Taiwan

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18041792 ◽

2021 ◽

Vol 18 (4) ◽

pp. 1792

Author(s):

Chih-Yen Chang ◽

Shou-Jen Lan ◽

Chiao-Lee Chu ◽

Ching-Sung Ho

Keyword(s):

Educational Level ◽

Binary Logistic Regression ◽

Cross Sectional Study ◽

Clinic Visit ◽

Clinical Dementia Rating ◽

Score Distribution ◽

Chi Square ◽

Cross Sectional ◽

Central Taiwan ◽

Severity Of Dementia

Introduction: This study analyzes the severity of dementia status with clinical dementia rating (CDR) score distribution among patients according to various family functional and sociodemographic issues. Methods: A cross-sectional study was performed in a regional hospital in Central Taiwan. The sample consisted of 318 patients who came to the clinic from May 2018 to April 2019, and who were diagnosed by the physicians with CDR scores ≧ 0.5. The Chi-Square test and binary logistic regression analyses were performed for inferential statistical analysis. Results: The mean age of the sample was 78.7 ± 8.51 years, and 61.6% of the samples’ CDR scores were equal or less than 1.0. Patients visiting the clinic were accompanied by spouses (21.7%), sons or daughters-in-law (40.6%), daughters (23.6%). Of the sample, 142 (44.3%) patients live with sons. Patients with a lower educational level had higher CDR scores. Compared to the patients who went to the clinic by themselves, the higher OR values of CDR scores ≧ 2 are found in patients who were accompanied by other relatives (OR = 18.871, 95% C.I. = 3.117–114.237, p = 0.001), or spouse (OR = 10.783, 95% C.I. = 1.996–58.245, p = 0.006). Conclusion: The family member who accompanied the patient to a clinic visit and the patient’s educational level are both significant issues relating to the severity of dementia.

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Assessing the Knowledge, Attitudes and Practices of COVID-19 among Quarantine Hotel Workers in China

Healthcare ◽

10.3390/healthcare9060772 ◽

2021 ◽

Vol 9 (6) ◽

pp. 772

Author(s):

Yi-Man Teng ◽

Kun-Shan Wu ◽

Wen-Cheng Wang ◽

Dan Xu

Keyword(s):

Descriptive Analysis ◽

Binary Logistic Regression ◽

Sociodemographic Factors ◽

Cross Sectional Survey ◽

Chi Square ◽

Cross Sectional ◽

Attitudes And Practices ◽

Positive Attitudes ◽

Hotel Workers ◽

Knowledge Attitudes And Practices

During the pandemic, quarantine hotel workers face a higher risk of infection while they host quarantine guests from overseas. This study’s aim is to gain an understanding of the knowledge, attitudes, and practices (KAP) of quarantine hotel workers in China. A total of 170 participants took part in a cross-sectional survey to assess the KAP of quarantine hotel workers in China, during the COVID-19 pandemic. The chi-square test, independent t-test, one-way analysis of variance (ANOVA), descriptive analysis, and binary logistic regression were used to examine the sociodemographic factors associated with KAP levels during the COVID-19 pandemic. The results show that 62.41% have good knowledge, 94.7% have a positive attitude towards COVID-19, but only 78.2% have good practices. Most quarantine hotel workers (95.3%) are confident that COVID-19 will be successfully controlled and that China is handling the COVID-19 crisis well (98.8%). Most quarantine hotel workers are also taking personal precautions, such as avoiding crowds (80.6%) and wearing facemasks (97.6%). The results evidence that quarantine hotel workers in China have acquired the necessary knowledge, positive attitudes and proactive practices in response to the COVID-19 pandemic. The results of this study can provide a reference for quarantine hotel workers and their targeted education and intervention.

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Factors affecting the milk production of dairy cattle in northern rural areas of Bangladesh

International Journal of Agricultural Research Innovation and Technology ◽

10.3329/ijarit.v4i2.22646 ◽

2015 ◽

Vol 4 (2) ◽

pp. 41-45 ◽

Cited By ~ 3

Author(s):

MR Begum ◽

M Anaruzzaman ◽

MSI Khan ◽

M Yousuf

Keyword(s):

Body Weight ◽

Dairy Cattle ◽

Milk Production ◽

Rural Areas ◽

Binary Logistic Regression ◽

Cross Sectional Study ◽

Lactation Period ◽

Cross Sectional ◽

Age At First Calving ◽

Factors Affecting

A cross sectional study was conducted to observe the factors affecting the productive performance of dairy cattle from northern rural areas of Bangladesh during July and September 2013. Data of 105 cows, 85 (80.95%) from local and 20 (19.05%) cows from cross breed, were randomly selected for the study. A binary logistic regression, expressed by odds ratio with 95% confidence interval, was done to determine the association of daily milk production categorized into ? 2 and > 2 liters (L), based on median, with the significant explanatory variables of body weight, age at first calving, lactation period, vitamin use, type of floor and milking person. The result demonstrated that the probability of milk production of >2 L was 6.16, 4.5, 20.65 and 5.7 times higher from the with animal body weight of >140 kg, age at first calving of >36 m, lactation period of >8 m and vitamin use than that of body weight of 140 kg, age at first calving of ?36 m, lactation period of ? 8 m, and not vitamin used respectively. The chance of milk production of > 2 L was 0.25 and 0.22 times lower for mud floor, and owner milking than that of brick floor and gowala (professional milking person) respectively. DOI: http://dx.doi.org/10.3329/ijarit.v4i2.22646 Int. J. Agril. Res. Innov. & Tech. 4 (2): 41-45, December, 2014

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Willingness to Accept COVID-19 Vaccine and Its Determinants among Nigeria Citizens: A Web-based Cross-sectional Study

Journal of Advances in Medicine and Medical Research ◽

10.9734/jammr/2021/v33i830881 ◽

2021 ◽

pp. 13-22

Author(s):

Olanrewaju Davies Eniade ◽

Abayomi Olarinmoye ◽

Agofure Otovwe ◽

Funke E. Akintunde ◽

Omowumi O. Okedare ◽

...

Keyword(s):

Binary Logistic Regression ◽

Cross Sectional Study ◽

Outcome Variable ◽

Willingness To Accept ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Other Information ◽

Level Of Significance ◽

To Receive

Background: The peculiarity in Nigerians’ demographic, socio-economic and cultural pattern necessitated the need to explore potential COVID-19 vaccine acceptance. This study investigated the determinants of willingness to receive COVID-19 vaccine in Nigeria. Methods: An online cross-sectional study among the general population in Nigeria. Data were collected using an electronic questionnaire. A total of 368 individuals participated in the research. The outcome variable was willingness to accept COVID-19 vaccine coded as “Yes=1 and No=0.” Basic socio-demographic information of participants and other information related to COVID-19 were obtained. Stata MP 14 was used for the statistical analysis. Descriptive statistics were presented, test of association were carried out using chi square and a binary logistic regression was used to assess the determinants of willingness to accept COVID-19 vaccine. All analyses were performed at 5% level of significance. Results: The mean age of the respondents was 29.4 + 9.65 years. Majority of the study participants were female (58.9%), Yoruba (74.7%) and dwellers of urban area (68.5%). Also, 85.6% have attained tertiary level of education. Two-fifth (40.5%) of respondent reported their willingness to take the COVID-19 if made available. Majority (69.8%) of those that are willing to take the vaccine would prefer a live attenuated form and 39.6% would prefer the vaccine administered intramuscularly. Age group≥40 years (AOR: 5.20, CI: 1.02- 26.41), currently married (AOR: 2.81, CI: 1.05 – 7.53) and susceptibility to COVID 19 infection (AOR: 2.52, CI: 1.21 – 5.26) were associated with likelihood of willingness to accept COVID-19 vaccine. Conclusion: Despite the fact that majority were at risk of COVID-19 infection, willingness to receive COVID-19 vaccine was low among Nigerians. Level of maturity in terms of age and marriage as well as susceptibility to COVID-19 infection increased the likelihood of accepting COVID-19 infection. In Furtherance, younger ones, unmarried and non-susceptible individual may require more efforts tailored towards enrichment of understanding about the importance of COVID-19 vaccine in other to improve the acceptance of COVID-19 vaccine in Nigeria.

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