Cross-Sectional Association between Length of Incarceration and Selected Risk Factors for Non-Communicable Chronic Diseases in Two Male Prisons of Mexico City

ABSTRACT: Introduction: This study aimed to investigate the association of four different risk factors for chronic diseases and accumulation of these health behaviors with area-level education, regardless of individual-level characteristics in Brazil. Methods: A population-based cross-sectional study was carried out in Southern Brazil including 1,720 adults in 2009/2010. The simultaneous occurrence of tobacco smoking, abusive drinking, unhealthy eating habits, and physical inactivity was investigated. Using multilevel models, we tested whether area-level education was associated with each risk factor and with the co-occurrence of them after controlling sociodemographic individual-level variables. Results: We observed a between-group variance of 7.79, 7.11, 6.84 and 1.08% for physical inactivity, problematic use of alcohol, unhealthy eating habits, and smoking, respectively. The between-group variance for the combination of four behaviors was 14.2%. Area-level education explained a significant proportion of the variance observed in physical inactivity and unhealthy eating habits. Residents of low educational level neighborhoods showed a 2.40 (95%CI 1.58 - 3.66) times higher chance of unhealthy eating and 1.78 (95%CI 1.19 - 2.67) times higher chance of physical inactivity. The likelihood of individuals with two or three/four risk factors was simultaneously higher among residents of low educational level neighborhoods. Conclusion: Public policies should consider the area-level characteristics, including education to control risk factors for chronic diseases.

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PENGARUH PENYAKIT KRONIS DAN GAYA HIDUP TERHADAP KINERJA VERBAL FLUENCY KATEGORIK PADA LANSIA

Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia ◽

10.52386/neurona.v37i1.97 ◽

2019 ◽

Vol 37 (1) ◽

Author(s):

Jessica Alysia ◽

Yvonne Suzy Handajani ◽

Nelly Tina Widjaja ◽

Yuda Turana

Keyword(s):

Risk Factors ◽

Cardiovascular Disease ◽

Cognitive Impairment ◽

Chronic Illness ◽

Chronic Diseases ◽

Verbal Fluency ◽

Cross Sectional Study ◽

Education Level ◽

Cross Sectional ◽

History Of

CHRONIC DISEASES AND LIFESTYLE IMPACT TO CATEGORY VERBAL FLUENCY PERFORMANCE IN ELDERLYABSTRACTIntroduction: In recent studies, chronic illness and sedentary lifestyle were found to bea risk factors for cognitive impairment. Verbal fluency (VF) is one of the most used instruments.Aim: To determine cognitive impairment using VF and its correlation with risk factors (chronic illness and lifestyle) in elderly.Method: This cross-sectional study was conducted toward 121 elderly respondents in August–September 2017 at Pusaka, West Jakarta. Cognitive impariment was assessesed using VF. VF otherwise disturbed if the value <16.03. Heart disease and stroke were determined by anamnesis. Blood pressure was determined using Riester tensimeter. that has been calibrated. Cholesterol and blood sugar were determined using laboratory result by CHOD-PAP method. Smoking was determined by asking the history of smoking. Physical activity was determined by 24-hour activity recall. Nutrition Intake was determined by food record.Results: There were 63.6% subjects wno had VF impairment. Most respondent were over 65 years old (71.9%), female (66.1%) and education level more than 6 years (72.7%). VF had a significant assosiation with education level (p=0.020; OR=3.792), and without cardiovascular disease (p=0.023; OR=0.111).Discussion: The mayority of respondents had VF impairment, lower education was consistenly as a risk factors while no history of cardiovascular disease as a protective factors of language impairment.Keywords: Chronic diseases, cognitive impairment, lifestyle, verbal fluencyABSTRAKPendahuluan: Pada beberapa penelitian terbaru ditemukan bahwa faktor risiko seperti penyakit kronis dan gaya hidup buruk meningkatkan risiko terkena gangguan fungsi kognitif. Salah satu instrumen yang sering digunakan adalah verbal fluency (VF).Tujuan: Mengetahui gambaran fungsi kognitif dengan instrumen VF dan hubungannya dengan faktor risiko (penyakit kronis dan gaya hidup) pada lansia.Metode: Penelitian potong lintang ini dilaksanakan pada 121 responden lansia pada bulan Agustus-September 2017 di Pusaka Jakarta Barat. Gangguan fungsi kognitif dinilai menggunakan instrumen VF. Verbal fluency dikatakan terganggu dengan nilai <16,03. Penyakit jantung dan stroke didapatkan dari anamnesis. Tekanan darah dari hasil pengukuran menggunakan tensimeter yang telah dikalibrasi sebelumnya. Pengukuran kolesterol dan gula darah didapatkan dari hasil laboratorium dengan metode CHOD-PAP. Merokok didapat dari anamnesis. Aktivitas fisik dinilai dari 24-hour activity recall. Asupan nutrisi dinilai dari kuisioner food record.Hasil: Hasil penelitian ini menunjukkan subjek dengan gangguan VF sebanyak 63,6%. Mayoritas responden berusia diatas 65 tahun (71,9%), dengan jenis kelamin wanita (66,1%) dan tingkat pendidikan diatas 6 tahun (72,7%). Hasil analisis menunjukan bahwa instrumen VF memiliki hubungan bermakna dengan tingkat pendidikan rendah (p=0,020; RO=3,792), dan tidak berpenyakit jantung (p=0,023; RO=0,111).Diskusi: Mayoritas responden memiliki gangguan bahasa, pendidikan rendah diketahui secara konsisten sebagai faktor risiko sementara tidak ada riwayat penyakit jantung sebagai faktor protektif untuk gangguan fungsi bahasa.Kata kunci: Gangguan fungsi kognitif, gaya hidup, penyakit kronis, verbal fluency

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Identifying risk factors for HIV-positive test results in walk-in and hospitalized patients in a Mexico City HIV clinic: a descriptive study

International Journal of STD & AIDS ◽

10.1177/0956462419828604 ◽

2019 ◽

Vol 30 (6) ◽

pp. 569-576

Author(s):

Ester Gutiérrez-Velilla ◽

Francisco J Quezada-Juárez ◽

Ivonne N Pérez-Sánchez ◽

Maria C Iglesias ◽

Gustavo Reyes-Terán ◽

...

Keyword(s):

Risk Factors ◽

Hiv Testing ◽

Mexico City ◽

Hiv Risk ◽

Hospitalized Patients ◽

Hiv Positive ◽

City Hospital ◽

Cross Sectional ◽

Hiv Test ◽

Hiv Risk Factors

The objective of this study was to analyze risk factors for HIV-positive tests in walk-in users and in hospitalized patients in a Mexico City hospital. We undertook a cross-sectional study based on routine HIV testing and counseling service data in adults undergoing an HIV test from January 2015 to July 2017. Multivariate analysis was performed to determine risk factors for walk-in and hospitalized patients. The results showed that 2040 people tested during the period; hospitalized patients were more likely to test HIV-positive than walk-in users (18 versus 15%; p < 0.05). HIV risk factors for hospitalized patients included being men who have sex with men (MSM) (adjusted odds ratio [aOR] 7.2, 95% CI 2.0–26.5), divorced (aOR 4.4, 95% CI 1.3–14.4), having 3–5 lifetime sexual partners (aOR 2.7, 95% CI 1.0–7.4), and being in the emergency room (aOR 3.6, 95% CI 1.1–11.3), intensive care (aOR 27.2, 95% CI 3.4–217.2), or clinical pneumology wards (aOR 33.4, 95% CI 9.7–115.2). In the walk-in group, HIV risk factors included being male (aOR 2.8, 95% CI 1.3–5.9), being MSM (aOR 4.3, 95% CI 2.0–9.5), having sex while using drugs (aOR 2.3, 95% CI 1.3–4.0), being referred by a physician for testing (aOR 3.2, 95% CI 1.6–6.3), and perceiving oneself at risk (aOR 3.8, 95% CI 2.3–6.3). Differential risk factors found among hospitalized patients and walk-in testers can be helpful in designing better HIV testing strategies to increase early diagnosis and linkage to care.

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Exploring health literacy in Wuhan, China: a cross-sectional analysis

BMC Public Health ◽

10.1186/s12889-020-09520-9 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Xin Mei ◽

Qing Zhong ◽

Gong Chen ◽

Yuanxia Huang ◽

Junlin Li

Keyword(s):

Risk Factors ◽

Health Literacy ◽

Chronic Diseases ◽

Urban Areas ◽

Cross Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Logistic Regression Models ◽

Education Levels ◽

Chi Square Test

Abstract Background In recent years, research on health literacy has become increasingly focused on the health care system and public health. This cross-sectional study aimed to investigate health literacy and analyse the risk factors that affect health literacy in Wuhan, China. Methods Multistage stratified random sampling was used to select 5304 urban and rural residents aged 15 to 69 years from 204 monitoring points in 15 districts of Wuhan. Using the Chinese Citizen Health Literacy Questionnaire (HLQ) (2018 edition), a face-to-face survey was conducted from November to December 2018. Risk factors that may affect health literacy were assessed using the Chi-square test and multivariate logistic regression models. Results The knowledge rate of health literacy was relatively low (19.3%). The knowledge rate of health-related behaviour and lifestyle (BAL, 17.3%) was the lowest of the three aspects of health literacy, and the knowledge rate of chronic diseases (CD, 19.0%) was the lowest of the six dimensions of health literacy. Respondents who lived in urban areas, had higher education levels, worked as medical staff, had a higher household income and did not suffer from chronic diseases were likely to have higher health literacy. Conclusions The health literacy levels of citizens in Wuhan are insufficient and need to improve.

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A Cross-Sectional Study of Prisoners in Mexico City Comparing Prevalence of Transmissible Infections and Chronic Diseases with That in the General Population

PLoS ONE ◽

10.1371/journal.pone.0131718 ◽

2015 ◽

Vol 10 (7) ◽

pp. e0131718 ◽

Cited By ~ 22

Author(s):

Sergio Bautista-Arredondo ◽

Andrea González ◽

Edson Servan-Mori ◽

Fenella Beynon ◽

Luis Juarez-Figueroa ◽

...

Keyword(s):

General Population ◽

Chronic Diseases ◽

Mexico City ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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Mental Health of People in State Quarantine during COVID-19 Situation in Thailand

Global Journal of Health Science ◽

10.5539/gjhs.v13n9p1 ◽

2021 ◽

Vol 13 (9) ◽

pp. 1

Author(s):

Sukjai Charoensuk ◽

Kanyawee Mokekhaow ◽

Duanphen Channarong ◽

Chariya Sonpugdee

Keyword(s):

Mental Health ◽

Risk Factors ◽

Chronic Diseases ◽

Mental Health Problems ◽

Female Gender ◽

Health Problems ◽

Health Condition ◽

Eastern Region ◽

Cross Sectional ◽

Factors Associated

When the COVID-19 outbreak spread across the globe, Thailand was the first country to report a COVID patient outside of China. We conducted a cross-sectional descriptive study to examine the mental health condition and the risk factors associated with the mental health problems of people in state quarantine. Our study sample included 4,069 people who were in state quarantine in the eastern region of Thailand. We administered a stress assessment test, a depression screening questionnaire, a suicidal risks screening tool and a COVID-19 anxiety screening scale, which were developed by the Department of Mental Health, Thailand. We found that most people in state quarantine reported a moderate level of COVID-19 anxiety, a mild level of stress, and no current risk of suicide. The risk factors associated with stress were female gender (OR = 2.290, p < 0.001, 95% CI [1.687, 3.109]) and having chronic diseases (OR = 2.443, p < 0.001, 95%CI [1.720, 3.470]). The factor associated with depression was female gender (OR = 1.380, p < 0.001, 95%CI [1.201, 1.586]). The factors associated with risks for suicide were female gender (OR = 2.059, p < 0.001, 95%CI [1.553, 2.729]) and having chronic diseases (OR = 2.128, p < 0.001, 95%CI [1.510, 2.998]). The factors associated with COVID-19 anxiety were female gender (OR = 1.469, p < 0.001, 95%CI [1.294, 1.669]) and having chronic diseases (OR = 1.329, p = 0.011, 95%CI [1.066, 1.657]). A system to screen for mental health problems and rapid assistance offered to people in state quarantine who are at risk of mental health problems are recommended to reduce the severity of the problems.

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Risk factors for the frequent attendance of older patients at community health service centers in China: a cross-sectional study based on stratified sampling

BMC Family Practice ◽

10.1186/s12875-021-01575-w ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Nana Li ◽

Juan Shou

Keyword(s):

Risk Factors ◽

Health Service ◽

Community Health ◽

Chronic Diseases ◽

Cross Sectional Study ◽

Community Health Service ◽

Service Center ◽

Sectional Study ◽

Cross Sectional ◽

Frequent Attendance

Abstract Background This study aimed to investigate the characteristics of frequent attenders (FAs) among older patients in Shanghai, China, and explore the associated factors. Methods This cross-sectional study was conducted in six community health service centers in Shanghai, China, from August to December 2018 based on stratified sampling. On the basis of our preliminary study, FAs were defined as those attending at least four consultations in a month. A self-administered questionnaire was used to collect the clinicodemographic data of the participants. Social support, pain severity, depression, and anxiety were evaluated using the Social Support Revalued Scale, six-point Behavioral Rating Scale, Patient Health Questionnaire–9, and Generalized Anxiety Disorder Scale, respectively. Results This study included 619 patients aged > 60 years. Among these patients, 155 (25%) were FAs to a community health service center, 366 (59.1%) had 1 or 2 chronic diseases, 179 (28.9%) had ≥3 chronic diseases, 313 (50.4%) opted for a family doctor service, and 537 (86.8%) chose a community health service center for the first consultation. The following were identified as independent risk factors for frequent attendance: widowed status, unmarried status, the presence of > 3 chronic diseases, first consultation at a community health service center, high medical expenses, frequent attendance of the spouses, long-term medication, the use of both traditional Chinese and Western medicine services, and depression. Conclusions This study summarizes the characteristics of older FAs to community health service centers in China and identifies 10 risk factors significantly associated with frequent attendance.

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Prison environment and non-communicable chronic disease modifiable risk factors: length of incarceration trend analysis in Mexico City

Journal of Epidemiology & Community Health ◽

10.1136/jech-2017-209843 ◽

2018 ◽

Vol 72 (4) ◽

pp. 342-348 ◽

Cited By ~ 1

Author(s):

Omar Silverman-Retana ◽

Edson Servan-Mori ◽

Stefano Michele Bertozzi ◽

Emanuel Orozco-Nuñez ◽

Sergio Bautista-Arredondo ◽

...

Keyword(s):

Risk Factors ◽

Chronic Disease ◽

Chronic Diseases ◽

Mexico City ◽

Regression Models ◽

Computer Assisted ◽

Modifiable Risk Factors ◽

Current Smoking ◽

Cocaine Use ◽

Prison Environment

BackgroundThere is a lack of evidence regarding chronic disease modifiable risk factors among prisoner populations in Latin America. The purpose of this study was to estimate the prevalence of modifiable risk factors for chronic diseases and to assess their relationship with length of incarceration.MethodsWe analysed data from a cross sectional study in which 4241 prisoners were randomly selected to answer a questionnaire with socio-demographic and health behaviour content using an audio computer-assisted self-interview format. Physical activity (PA), low-quality diet, current smoking and alcohol or cocaine use during the last month in prison were our main outcomes. Quantile regression models and logistic regression models were performed.ResultsOur final analytical sample consisted of 3774 prisoners from four Mexico City prisons. PA was estimated as 579 median metabolic equivalents-min/week, prevalence of alcohol use was 23.4%, cocaine use was 24.2% and current smoking was 53.2%. Our results suggest that, as length of incarceration increased, PA as well as alcohol and cocaine use increased, whereas the quality of diet decreased.ConclusionThis study supports the hypothesis that exposure to prison environment (measured by length of incarceration) fosters modifiable risk factors for chronic diseases, particularly diet quality and cocaine use.

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Health Care Burden and Expenditure Associated with Adverse Childhood Experiences in Tennessee and Virginia

Journal of Child & Adolescent Trauma ◽

10.1007/s40653-021-00390-w ◽

2021 ◽

Author(s):

Glory Okwori ◽

Steven Stewart ◽

Megan Quinn ◽

Delaney Lawson

Keyword(s):

Risk Factors ◽

Health Care ◽

Chronic Diseases ◽

Adverse Childhood Experiences ◽

Chronic Obstructive ◽

Behavioral Risk ◽

Cross Sectional ◽

Childhood Experiences ◽

Adverse Childhood ◽

Life Years

AbstractTo estimate attributable burden and costs of conditions associated with exposure to Adverse Childhood Experiences (ACEs) in Tennessee (TN) and Virginia (VA) during 2017. This is a cross-sectional study of individuals aged 18+ having exposure to ACEs using Behavioral Risk Factor Surveillance System (BRFSS) data. Eight chronic diseases (asthma, obesity, hypertension, diabetes, chronic obstructive pulmonary disease (COPD), depression, cardiovascular disease, and arthritis) and two risk factors (smoking and drinking) associated with ACEs were analyzed. Pearson's chi-square tests analyzed the association between ACEs, risk factors and chronic diseases. The population attributable risks (PAR) were estimated for the ACEs related diseases and risk factors and combined with health care expenses and Disability Adjusted-Life-Years (DALYs). Among those who experienced at least 1 ACE in TN, 10% had COPD, 17% had diabetes, 36% had obesity, and 30% had depression. Individuals who experienced at least 1 ACE in VA had higher percentages for COPD, obesity and depression diseases compared to those who had no ACE (p< .0001). ACEs’ exposure resulted in a burden of about 115,000 years and 127,000 years in terms of DALYs in TN and VA, respectively. The total health spending associated with ACEs based on PARs was about $647 million ($165 per adult) and $942 million ($292 per adult) in TN and VA respectively. The total costs associated with ACEs was about $15.5 billion ($3948) per person) and $20.2 billion ($6288 per person) in TN and VA, respectively. This study emphasizes the need to reduce ACEs due to high health and financial costs.

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