scholarly journals The relationship between home ownership and fall-related outcomes: The National Health and Aging Trends Study

2021 ◽  
Vol 1 (12) ◽  
pp. e0000019
Author(s):  
Ching-Yao Tsai ◽  
Tao-Hsin Tung ◽  
Yang-Tzu Li ◽  
Wei-Cheng Chen

Although many studies have tried to explore the association between fall incidents and fear of falling (FOF)/worry about fall-limited activities and various risk factors, few studies have recognized the relationship between house ownership and fall-related outcomes. The aim of this study was to assess whether house ownership will affect an older adult’s experience of falling or lead to fear of falling. The National Health and Aging Trends Study (NHATS) collected data that would provide an understanding of basic trends in people aged 65 years and older living in the United States of America. This study conducted round one of the NHATS and did logistic regression to examine the relationship between house ownership and fall-related outcomes among 7,090 persons aged 65 or older. Twenty five percent of the sampled population who lacked house ownership. All fall-related outcomes (fall last month, fall last year, fear of falling, and worry about fall-limited activities) were statistically significant in the bivariate analysis. Multiple logistic regression analysis showed that house ownership (OR = 0.75, 95%CI: 0.65–0.86) was significantly associated with fear of falling after adjusting for other covariates. The findings underscore the association between the lack of house ownership and fall-related outcomes.

Author(s):  

Background: It has been still unclear whether the cut-off value of the short physical performance battery for predicting the ability of the toilet activity in the hospitalized older patients. The aim of this study was to reveal the relationship between the short physical performance battery and the ability of toilet activity, and also to determine the cut-off value of the short physical performance battery score for the ability of toilet activity in the hospitalized older patients. Methods: In this cross-sectional study, 71 hospitalized older patients were recruited. The short physical performance battery and the ability of toilet activity using the Barthel index (BI) were measured. The patients were split into two groups, according to the ability of toilet activity (Group 1: 10 point; Group 2: 5 point or less in BI score). A multiple logistic regression analysis was used to assess the relationship between the two groups. Moreover, the cut-off value for dividing into two groups, (Group 1 and Group 2) using the short physical performance battery score, which was calculated by a receiver operating characteristic curve. Results: The short physical performance battery score was an independent explanator for the ability of toilet activity using multiple logistic regression analysis. Besides, the cut-off value of the short physical performance battery for the ability of toilet activity was set in this study. Conclusion: The findings of this study suggest that the cut-off value of the short physical performance battery score could be a useful index to predict the ability of toilet activity in the hospitalized older patients.


Author(s):  
Rajender R Aparasu ◽  
Saurabh Nagar ◽  
Ayush Patel ◽  
Vishal Bali

Depression is common in children and adolescents. However, little is known about the predictors of depression in children and adolescents. This study examined the prevalence and predictors of pediatric depression in the United States.  A cross sectional study was conducted using 2005-2006 Medical Expenditure Panel Survey (MEPS). The study population included 5-17 years old children and adolescents with diagnosis depression, ascertained using the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes. Independent variables were categorized as personal, family and environmental characteristics. Descriptive statistics were computed using t-test for the continuous variables and chi-square test for the categorical variables. Multiple logistic regression analysis was used to examine personal, family, and environmental factors associated with pediatric depression.  Our results indicate that around 1.25 million (2.33%) children and adolescents had a diagnosis of depression in 2005-2006. Prevalence was significantly higher among adolescents aged 12-17 years (3.86%), children with single parent (4.05%) and children of parents suffering from psychiatric illness (5.24%). The multiple logistic regression analysis found that the likelihood of depression was higher for adolescents aged 12-17 years (Odds Ratio, OR: 2.40, 95% Confidence Interval (CI):  1.60-3.59), those with a diagnosis of attention deficit hyperactivity disorder (OR: 5.64, 95% CI: 3.52-9.04), and anxiety disorder (OR: 4.96, 95% CI: 2.65-9.26). Among family characteristics, odds of depression were higher for a child having either or both parents with psychiatric disorders (OR: 2.39, 95% CI: 1.60-3.59), those belonging to a single-parent household (OR: 2.63, 95% CI: 1.68-4.12), and to a family of eight or more members (OR: 2.92, 95% CI: 1.60-3.59). In conclusions, both personal and family level factors are associated with depression in children and adolescents. Understanding of these risk factors can help in timely diagnosis and management of depression in pediatric population


2021 ◽  
Vol 1 (1) ◽  
pp. 44-55
Author(s):  
Supiani Supiani ◽  
Mufdlilah Mufdlilah ◽  
Djauhar Ismail

Introduction: Pneumonia is a global problem with a significant cause of death for more than 2 million children under five every year. Mothers’ behavior in seeking treatment is one of the main factors of delay in getting proper treatment by increasing the risk of recurrence pneumonia among children under five. This study aimed to investigate the relationship between the mother's behavior in seeking treatment with the recurrence rate of pneumonia among children under five. Method: This research method was an observational analytic study with the cross-sectional approach. The number of samples in this study was 47 mothers with toddlers pneumonia. The sampling technique was using purposive sampling and data analysis used Chi-square and multiple logistic regression. Result: The study found, there was a relationship between the mothers’ behavior in seeking treatment with the recurrence rate of pneumonia among children under five (PR = 12,000; CI95%=2,275-63,285; p = 0.003). One of confounding variables namely the cost of treatment had relationship with the recurrence rate of pneumonia. Whereas the variables of mother's knowledge, access to services, and distance of residence are not related to the recurrence rate of pneumonia in infants. The results of multiple logistic regression analysis found that mothers’ behavior in seeking of the treatment, treatment cost, and distance of residence affect 51.2% of the recurrence rate of pneumonia among children under five in Yogyakarta. Conclusion: The mothers’ behavior in seeking treatment, the cost of treatment, and distance of residence affect the recurrence rate of pneumonia among children under five.


2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Cheng-Yu Wei ◽  
Chia-Cheng Sun ◽  
James Cheng-Chung Wei ◽  
Hsu-Chih Tai ◽  
Chien-An Sun ◽  
...  

The increasing prevalence of metabolic syndrome (MetS) has become an important issue worldwide. Metabolic comorbidities of hypertension, obesity, and hyperlipidemia are shown as important risk factors for incident gout. The purpose of this study was to investigate the relationship between hyperuricemia and MetS. This is a cross-sectional study. The effective sample included 21,544 individuals who received worker health examinations at a local teaching hospital in Changhua County from 2008~2012. We used multiple logistic regression analysis to investigate the influences of hyperuricemia on MetS. The results showed that individuals with MetS had significantly higher blood pressure, fasting plasma glucose, triglycerides, waist circumference, and high-density lipoprotein cholesterol than those without MetS(P<0.001). Multiple logistic regression analysis revealed hyperuricemia to be an important factor of MetS. The risk of developing MetS is higher with high levels of serum uric acid (SUA) and the odds ratio (OR) of having MetS is 4.98 times higher for Tertile 3 than for Tertile 1 (95% CI = 4.16–5.97) and 4 times higher for Quartile 4 than for Quartile 1 (95% CI = 3.59–4.46). In conclusion, males are more likely to develop MetS than females, and the risk of having MetS increases with age and SUA concentration.


2019 ◽  
Author(s):  
Mikiko Tokiya ◽  
Osamu Itani ◽  
Yuichiro Otsuka ◽  
Yoshitaka Kaneita

Abstract Background: As the number of Internet users around the world increases, so does the dependency on the Internet. In adolescents this dependence interferes with sleep, which is important for the development of their psychophysiological capabilities. However, few large-scale surveys have examined the relationship between internet addiction (IA) and sleep disturbance in detail using standardized questionnaires. This study aimed to determine the relationship between sleep disturbance in adolescents and IA according to the categories of the Young Diagnostic Questionnaire (YDQ) through a complete survey of one prefecture in Japan. Methods: In 2016, a self-administered questionnaire was used to survey high school students (n=10,405) in all 54 daytime high schools in one prefecture. In this study, “sleep disturbance” was defined as achieving over 5.5 points on the Japanese version of the Pittsburgh Sleep Quality Index. IA was evaluated using the YDQ: “IA,” when 5 of the 8 YDQ items were applied; “at-risk,” when either 3 or 4 YDQ items were applied; and “non-IA,” when less than 2 YDQ items were applied. Multiple logistic regression analysis was performed, with sleep disturbance as the dependent variable, IA as the explanatory variable, and adjustments made for 8 items, including the frequency of skipped meals. Results: High YDQ scores were associated with high prevalence rates of sleep disturbance in both male and female participants; the higher the score, higher was the rate. On multiple logistic regression analysis for both male and female participants, higher YDQ scores showed higher adjusted odds ratios for sleep disturbances. Conclusions: For high school students within one prefecture in Japan, higher YDQ scores, which indicate internet dependency, were significantly related to sleep disturbance, suggesting that the likelihood of sleep disturbance increases with YDQ scores.


2007 ◽  
Vol 14 (4) ◽  
pp. 369-379 ◽  
Author(s):  
Kristen J. Wells ◽  
Richard G. Roetzheim

Background Increased use of screening mammography is associated with lower death rates from breast cancer in the United States. Despite recommendations that women over 40 years of age should obtain regular screening mammography at least every 2 years, many women do not adhere to these guidelines. Historically, women from underserved and minority populations have been less likely to receive screening mammography. Methods A critical review of recent research literature was conducted to evaluate whether Latinas are less likely to receive screening mammography, determine whether disparities in screening mammography persist when controlling for other variables, and examine what other variables are associated with screening mammography. The articles were obtained from a search of the PubMed database. Results Fifteen published articles met the inclusion criteria and were critically reviewed. The unadjusted odds ratios (ORs) of the association between Hispanic ethnicity and screening mammography ranged from 0.40 to 0.93. For the most part, the ORs adjusted for other variables in multiple logistic regression analyses increased (range: 0.3 to 1.67). Age, education, income, health insurance, having a usual source of care, and having a recent visit to a physician were consistently related to screening mammography in multiple logistic regression analysis. Conclusions Hispanic ethnicity is a risk factor for lack of adherence to screening mammography. However, other demographic, socioeconomic, and health system variables account for some of the disparity related to Hispanic ethnicity.


2021 ◽  
pp. 1-10
Author(s):  
Guang Fu ◽  
Hai-chao Zhan ◽  
Hao-li Li ◽  
Jun-fu Lu ◽  
Yan-hong Chen ◽  
...  

Objective: The objective of this study was to assess the relationship between serum procalcitonin (PCT) and acute kidney injury (AKI) induced by bacterial septic shock. Methods: A retrospective study was designed which included patients who were admitted to the ICU from January 2015 to October 2018. Multiple logistic regression and receiver operating characteristic (ROC) as well as smooth curve fitting analysis were used to assess the relationship between the PCT level and AKI. Results: Of the 1,631 patients screened, 157 patients were included in the primary analysis in which 84 (53.5%) patients were with AKI. Multiple logistic regression results showed that PCT (odds ratio [OR] = 1.017, 95% confidence interval [CI] 1.009–1.025, p < 0.001) was associated with AKI induced by septic shock. The ROC analysis showed that the cutoff point for PCT to predict AKI development was 14 ng/mL, with a sensitivity of 63% and specificity 67%. Specifically, in multivariate piecewise linear regression, the occurrence of AKI decreased with the elevation of PCT when PCT was between 25 ng/mL and 120 ng/mL (OR 0.963, 95% CI 0.929–0.999; p = 0.042). The AKI increased with the elevation of PCT when PCT was either <25 ng/mL (OR 1.077, 95% CI 1.022–1.136; p = 0.006) or >120 ng/mL (OR 1.042, 95% CI 1.009–1.076; p = 0.013). Moreover, the PCT level was significantly higher in the AKI group only in female patients aged ≤75 years (p = 0.001). Conclusions: Our data revealed a nonlinear relationship between PCT and AKI in septic shock patients, and PCT could be used as a potential biomarker of AKI in female patients younger than 75 years with bacterial septic shock.


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