scholarly journals Do the determinants of self-rated health vary among older people with disability, chronic diseases or both conditions in urban Colombia?

2020 ◽  
Vol 36 (5) ◽  
Author(s):  
Monica Pinilla-Roncancio ◽  
Catalina González-Uribe ◽  
Diego I. Lucumí
Keyword(s):  
Chronic Disease ◽  
Family Support ◽  
Chronic Diseases ◽  
Subgroup Analysis ◽  
Disease Status ◽  
Logistic Regression Models ◽  
Self Rated Health ◽  
Main Determinants ◽  
The Individual ◽  
To Receive

Abstract: Our study aimed to identify the main determinants of self-rated health for individuals aged 60 years or older in Bogotá, Colombia, and if those determinants vary between groups. Data was obtained from the Demographic Health Survey 2011 for Bogotá. Logistic regression models were estimated to identify the determinants of excellent/good self-rated health among people aged 60 years or older living in Bogotá. Moreover, a subgroup analysis was conducted seeking to identify if the determinants changed between groups (men, women, persons with disability, with chronic disease(s), and persons with both disability and chronic disease(s)). The likelihood of reporting an excellent/good self-rated health health decreases when the individual has a disability, a chronic disease or reports that their household income is not enough to cover the basic needs. On the other hand, the odds of reporting excellent/good self-rated health increase when the individual is more educated and reports to receive family support. The subgroup analysis showed that although some determinants are only associated with one group (age with chronic diseases), in general, three main determinants stood out: years of education, socioeconomic status variables and receiving family support. The determinants of self-rated health for older adults in Bogotá differ according to the disability and the chronic disease status. Thus, public policies aiming to improve the levels of health and quality must consider the impacts of those characteristics on individuals’ perceptions of their own health.

scholarly journals Identification of confounders in the association between self-reported diseases and symptoms and self-rated health in a group of factory workers

2008 ◽  
Vol 24 (5) ◽  
pp. 983-992 ◽  
Author(s):  
Doroteia Aparecida Höfelmann ◽  
Nelson Blank
Keyword(s):  
Chronic Diseases ◽  
Regression Models ◽  
Factory Workers ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Self Rated Health ◽  
Common Complaint ◽  
Metallurgical Factory ◽  
Probabilistic Sample ◽  
Self Administered Questionnaire

Self-related health is an important predictor of morbidity and mortality, and much of its effect is influenced by the presence of chronic diseases and/or symptoms. The current study aimed to identify confounders in the association between reported chronic diseases and/or symptoms and self-rated health among workers at a metallurgical factory in Santa Catarina State, Brazil. The study design was cross-sectional, with a probabilistic sample of 482 workers. The information was obtained through a self-administered questionnaire and anthropometric measurements. Hierarchical multiple logistic regression models were adjusted. The response rate was 98.6% (n = 475), with 84.8% men, mostly employed on the factory floor (79.4%). Back pain was the most common complaint. The association between chronic diseases and self-rated health showed an odds ratio (OR) of 7.3 (95%CI: 3.7;14.5). After statistical modeling, psychosocial (-25.59%), socioeconomic (-9.29%), and occupational variables (10.54%) were identified as confounders between the outcome and chronic diseases and/or symptoms. The way diseases and/or symptoms act on self-rated health among workers transcends physical aspects.

Physical activity can attenuate, but not eliminate, the negative relationships of high TV viewing with some chronic diseases: findings from a cohort of 60 202 Brazilian adults

2019 ◽  
Author(s):  
André O Werneck ◽  
Adewale L Oyeyemi ◽  
Paul J Collings ◽  
Edilson S Cyrino ◽  
Enio R V Ronque ◽  
...  
Keyword(s):  
Physical Activity ◽  
Chronic Disease ◽  
Chronic Diseases ◽  
Leisure Time Physical Activity ◽  
Sodium Intake ◽  
Viewing Time ◽  
Negative Effects ◽  
Tv Viewing ◽  
Logistic Regression Models ◽  
Nationally Representative

Abstract Background This study examined the joint associations of leisure time physical activity and television (TV) viewing time with the prevalence of chronic diseases among Brazilian adults. Methods Data from the Brazilian Health Survey, a nationally representative survey conducted in 2013 (n = 60 202; ≥18 years), were used. Time spent in TV viewing and leisure physical activity, physician diagnoses of diabetes, hypertension and heart disease and information on co-variables (chronological age, education, ethnicity, candies/sweets consumption, sodium intake and tobacco smoking) were collected via interview. Descriptive statistics (mean and 95% confidence interval) and logistic regression models were used for etiological analyses. Results Physical activity attenuated but did not eliminate the risk associated with high TV viewing for at least one chronic disease in the general population [odds ratio [OR]: 1.29 (1.11–1.50)] and among women [OR: 1.31 (1.09–1.60)], adults [OR: 1.24 (1.05–1.46)] and older adults [OR: 1.63 (1.05–2.53)]. On the other hand, physical activity eliminated the risk associated with high TV viewing for at least one chronic disease among men [OR: 1.24 (0.98–1.58)]. Conclusions We conclude that physical activity can attenuate but not eliminate the negative effects of high TV viewing on chronic disease among subgroups of Brazilian adults.

scholarly journals Gender Specificity of Spousal Concordance in the Development of Chronic Disease Among Middle-Aged and Older Chinese Couples:  A Prospective Dyadic Analysis

2020 ◽  
Author(s):  
Jing Liao ◽  
Jing Zhang ◽  
Jinzhao Xie ◽  
Jing Gu
Keyword(s):  
Chronic Disease ◽  
Chronic Diseases ◽  
Disease Status ◽  
Community Dwelling ◽  
Dyadic Analysis ◽  
Middle Aged ◽  
Gender Specificity ◽  
Increased Risk ◽  
Spousal Concordance ◽  
Older Chinese

Abstract Background This study aimed to explore the gender specificity of spousal concordance in the development of chronic diseases among middle-aged and older Chinese couples. Methods Data of 3420 couples (husbands: mean age, 57.5 years, SD = 8.5; wives: mean age, 55.6 years, SD = 8.0) were obtained from the China Health and Retirement Longitudinal Study (CHARLS). Multivariate logistic regression was used to analyze the incidence of chronic disease development over 4 years, conditional on the spousal baseline chronic disease status; and stepwise adjusting for the couples’ sociodemographic characteristics (i.e. age, education, retirement status and household income), and their individual lifestyle (i.e. smoking, drinking, exercise, social participation and (pre-)obesity) all measured at baseline. Results The incidence of chronic diseases after 4 years of follow-up was 34.5% in the husbands (727/2110) and 37.2% in the wives (882/2371). Taking the couples’ baseline sociodemographic and lifestyle covariates into account, husbands whose wife had a chronic disease at baseline showed an increased risk of developing a chronic disease over 4 years (ORadjusted=1.37, 95% CI:1.14,1.63), but this risk was not statistically-significant for wives (ORadjusted=1.16, 95%CI:0.97,1.40). Conclusions Our study identified gender specificity of spousal concordance in the development of chronic diseases among middle-aged and older- Chinese couples. This finding may contribute to the design of couple-based intervention for disease prevention and management for community-dwelling older adults.

scholarly journals Vaccination Coverage with the Pneumococcal and Influenza Vaccine Among Persons with Chronic Diseases in Shanghai, China, 2017

2019 ◽  
Author(s):  
Yuheng Wang ◽  
Minna Cheng ◽  
Siyuan Wang ◽  
Fei Wu ◽  
Qinghua Yan ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Disease Management ◽  
Influenza Vaccination ◽  
Chronic Diseases ◽  
Vaccination Coverage ◽  
Rural Areas ◽  
Urban Areas ◽  
Chronic Disease Management ◽  
Pneumococcal Vaccination ◽  
Logistic Regression Models

Abstract Background Adults with chronic conditions such as heart disease, diabetes, or lung disease are more likely to develop complications from a number of vaccine-preventable diseases, including influenza and pneumonia. In this study, we use the data from a chronic disease management information system in Shanghai to estimate vaccination coverage and characterize predictors of influenza and pneumococcal vaccination among people with chronic disease in Shanghai. Methods The Shanghai Centers for Disease Control and Prevention have information systems related to chronic disease management, hospital records, and immunizations. Data from individuals with chronic disease were abstracted during July 2017. The main outcome was coverage of pneumococcal and influenza vaccination. Vaccination coverage was calculated across demographic groups. Significance in bivariate associations was assessed through Pearson’s chi-square tests, and in multivariable models through logistic regression models with a forward stepwise method to select variables. Results In the sample of 2,531,227 individuals ≥15 years, 22.8% were vaccinated for pneumonia from January 2013 to July 2017, and the vaccination coverage of influenza in the 2016/17 influenza season was 0.4%. Vaccination coverage was highest in those 70-79 and lowest in those younger than 60. Compared to urban areas, uptake in rural areas was higher for pneumonia vaccination (OR: 2.43, 95% CI: 2.41, 2.45), but lower for influenza vaccination (OR: 0.55, 95% CI: 0.51, 0.59). Having a greater number of chronic diseases was associated with higher likelihood of pneumonia vaccination (3 vs 1: OR: 1.68, 95% CI: 1.64, 1.71), but this relationship was not statistically significant for influenza vaccination. Conclusions We found low levels with of pneumococcal vaccination, and extremely low uptake of influenza vaccination among individuals with high risk conditions in Shanghai who should be priority groups targeted for vaccination. Interventions could be designed to target groups with low uptake – like younger adults, and individuals who have not yet retired.

scholarly journals The Association between Socioeconomic Status, Smoking, and Chronic Disease in Inner Mongolia in Northern China

2019 ◽  
Vol 16 (2) ◽  
pp. 169
Author(s):  
Xuemei Wang ◽  
Ting Zhang ◽  
Jing Wu ◽  
Shaohua Yin ◽  
Xi Nan ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Chronic Disease ◽  
Chronic Diseases ◽  
Inner Mongolia ◽  
Northern China ◽  
Population Based ◽  
Cluster Sampling ◽  
Low Ses ◽  
Logistic Regression Models ◽  
Tobacco Policies

The interactive associations of socioeconomic status (SES) and smoking with chronic disease were investigated with a view to expanding the evidence to inform tobacco policies and interventions in Northern China. The fifth NHSS (National Health Service Survey) 2013 in Inner Mongolia was a population-based survey of national residents, aged 15 years and older, in which multi-stage stratified cluster sampling methods were used to survey 13,554 residents. The SES was measured by scores derived from levels of education level and household annual income. Multivariate logistic regression models were performed to determine the association between SES, smoking, and chronic disease adjusted by confounders. Three thousand nine hundred and thirty-seven residents (32.29%) were identified as current smokers and 3520 residents (26.01%) had been diagnosed with chronic diseases. In the males, former smoking with low SES had the highest risk of one chronic disease, with an odds ratio (OR) of 2.505 (95% confidence interval [95% CI] (OR = 2.505, 95% CI: 1.635–3.837) or multiple chronic diseases (OR = 2.631, 95% CI: 1.321–5.243). In the females, current smoking with low SES had the highest risk of one chronic disease (OR = 3.044, 95% CI: 2.158–4.292). The conclusion of this study was that residents with combined ever-smoking and low SES deserved more attention in the prevention and control of chronic disease.

scholarly journals 169 Examining the Associations Between Frailty, Obesity and Allostatic Load in The Irish Longitudinal Study on Ageing (TILDA)

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii17-iii65
Author(s):  
Kevin McCarthy ◽  
Triona McNicholas ◽  
Eamon Laird ◽  
Mark Ward ◽  
Roman Romero-Ortuño ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Allostatic Load ◽  
Disease Status ◽  
Educational Status ◽  
Population Based ◽  
Outcome Variable ◽  
Obese People ◽  
Frailty Phenotype ◽  
Cross Sectional ◽  
Logistic Regression Models

Abstract Background Fried’s frailty phenotype is defined by five criteria: exhaustion, unexplained weight loss, weakness, slowness and low physical activity. Frailty can also affect obese people. Little is known about how body mass index [BMI] or waist-hip ratio [WHR] are associated with frailty or pre-frailty in the face of confounding factors, including markers of allostatic load which are known to be involved in frailty biology. We cross-sectionally examined these associations in a population-based study. Methods A cross-sectional analysis of data collected at Wave 1 (2010) of TILDA was undertaken. Participants aged <50 and those who did not have measurements of their BMI, WHR, chronic disease status, HbA1c, CRP, sex and educational status were excluded. Two multivariate logistic regression models (one with BMI and another one with WHR as measure of obesity) were computed adjusting for these covariates, with frail/pre-frail versus non-frail as the outcome variable. Results 4,568 participants were included: 3,277 non-frail and 1,291 frail/pre-frail. The frail/pre-frail group had a mean BMI of 29.2 (versus 28.3) kg/m2 and a mean WHR of 0.912 (versus 0.899). In the adjusted regression model, BMI had a significant association with frailty/pre-frailty (OR 1.02, 95% CI: 1.01-1.04, p=0.001). However, in the model using WHR, the latter had a stronger association with frailty (OR 4.52, 95% CI: 1.60-12.72, p=0.004). In both models, age, education, chronic disease status, HbA1c and CRP had the expected associations with frailty/pre-frailty. Female sex was significantly associated with frailty/pre-frailty in the WHR model (OR 1.26, 95% CI 1.06-1.50, p=0.008). Conclusion While obesity is associated with frailty, the distribution of body fat may be more important as a marker of frailty. These physical traits should not be overlooked in the over 50 population. The association between frailty, obesity and markers of ‘inflammaging’ could be examined longitudinally to further understand their complex biology.

New Nutritional Perspectives in the Context of Chronic Disease Patient Management

2022 ◽  
pp. 206-224
Author(s):  
Irina M. Matran ◽  
Tuan Quoc Le ◽  
Monica Tarcea
Keyword(s):  
Chronic Disease ◽  
Chronic Diseases ◽  
Food System ◽  
Disease Patient ◽  
Disease Status ◽  
Safety Standards ◽  
Nutritional Conditions ◽  
Environment Exposure ◽  
Food Conditions ◽  
Social Encounters

As living standards change with the development of modern industry and social encounters, people tend to change their lifestyle and environment exposure along with their psychophysiological factors, leading to an imbalance of homeostasis and increasing the risk for chronic diseases. In addition to ingredients, methods, and food conditions storage and processing, the use of additives and certain new foods have facilitated the increased occurrence of chronic diseases in children or adults. The interaction of some components of the food system with enzymes that metabolize different types of drugs can affect the body's clearance and therapeutic index.The objective of this chapter was to present the general principles of food development for special nutritional conditions, also the adjuvants used for chronic disease status improvement, under the condition of nutritional nutrivigilence and food safety standards, and specific to introduce an adjuvant food for atopic dermatitis management.

scholarly journals A Homeopathic View of the Influence of Chronic Diseases in the Manifestation of COVID-19

Homeopathy ◽  
2021 ◽  
Vol 110 (01) ◽  
pp. 067-069
Author(s):  
Fernanda Maria Simões da Costa Fujino ◽  
Ana Amélia Campos Claro Olandim ◽  
Vagner Doja Barnabé ◽  
Jennifer Anne Coggan ◽  
Nilson Roberti Benites
Keyword(s):  
Chronic Disease ◽  
Health Status ◽  
Chronic Diseases ◽  
Pulmonary Infection ◽  
Severe Form ◽  
Epidemic Disease ◽  
Chronic Disease Patients ◽  
The Face ◽  
The Individual ◽  
The Relationship

AbstractCOVID-19 (coronavirus disease 2019) may present variable symptoms among infected individuals, with chronic disease patients appearing as the group most susceptible to present severe pulmonary infection, while having a higher risk of developing complications from the disease. This study demonstrates the relationship between the manifestation of COVID-19 and the presence of chronic miasmatic disease, based on the works of Samuel Hahnemann. The reaction of the individual who previously presented chronic miasmatic disease, when in contact with the stimulus of the epidemic disease, depends on the type of response that the organism was generating in the face of the pre-existing situation: if it is an intense reaction and greater than that which the stimulus of COVID-19 can generate, this individual will not develop the severe form of the epidemic disease; if the reaction is less than that generated by COVID-19, more intense symptoms may appear. Understanding that the presence of a chronic miasmatic disease interferes with the manifestation of COVID-19, which may have repercussions on other organs, can change how one must act on the treatment, as this can alter the individual's health status.

scholarly journals Association of self-rated health with chronic disease, mental health symptom and social relationship in older people

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Hongling Yang ◽  
Qin Deng ◽  
Qingshan Geng ◽  
Yanfei Tang ◽  
Jun Ma ◽  
...  
Keyword(s):  
Mental Health ◽  
Chronic Disease ◽  
Older People ◽  
Chronic Diseases ◽  
Social Relationships ◽  
Social Relationship ◽  
Poor Mental Health ◽  
Mental Health Symptoms ◽  
Health Symptoms ◽  
Self Rated Health

AbstractChronic disease, mental health symptoms and poor social relations are reported common causes for poor self-rated health in older people. To assess the co-occurrence rate of chronic diseases, poor mental health and poor social relationships in older people, and determine their association with self-rated health. 6,551 older people in Zhongshan, China, participated a large health surveillance program were randomly selected and questioned about their SRH, chronic conditions, mental health symptoms and social relationships. The association between self-rated health and chronic conditions, poor mental health, social relationships, and their co-occurrence were analyzed. 56.4% of participants reported poor self-rated health. 39.1% experienced at least one chronic disease. 29.0% experienced one or more mental health symptoms; 19.5% experienced at least one poor social relationship. 7.8% had co-occurrence of chronic diseases, mental health problems, and poor social relationships. Logistic regressions showed that poor self-rated health was associated with chronic diseases, poor mental health, poor social relationships and their co-occurrence. The findings indicate the importance of managing chronic disease, poor mental health and poor social relationships for older people.

scholarly journals Vaccination Coverage with the Pneumococcal and Influenza Vaccine Among Persons with Chronic Diseases in Shanghai, China, 2017

2019 ◽  
Author(s):  
Yuheng Wang ◽  
Minna Cheng ◽  
Siyuan Wang ◽  
Fei Wu ◽  
Qinghua Yan ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Disease Management ◽  
Influenza Vaccination ◽  
Chronic Diseases ◽  
Vaccination Coverage ◽  
Rural Areas ◽  
Urban Areas ◽  
Chronic Disease Management ◽  
Pneumococcal Vaccination ◽  
Logistic Regression Models

Abstract Background Adults with chronic conditions such as heart disease, diabetes, or lung disease are more likely to develop complications from a number of vaccine-preventable diseases, including influenza and pneumonia. In this study, we use the data from a chronic disease management information system in Shanghai to estimate vaccination coverage and characterize predictors of influenza and pneumococcal vaccination among people with chronic disease in Shanghai. Methods The Shanghai Centers for Disease Control and Prevention have information systems related to chronic disease management, hospital records, and immunizations. Data from individuals with chronic disease were abstracted during July 2017. The main outcome was coverage of pneumococcal and influenza vaccination. Vaccination coverage was calculated across demographic groups. Significance in bivariate associations was assessed through Pearson’s chi-square tests, and in multivariable models through logistic regression models with a forward stepwise method to select variables. Results In the sample of 2,531,227 individuals ≥15 years, 22.8% were vaccinated for pneumonia from January 2013 to July 2017, and the vaccination coverage of influenza in the 2016/17 influenza season was 0.4%. Vaccination coverage was highest in those 70-79 and lowest in those younger than 60. Compared to urban areas, uptake in rural areas was higher for pneumonia vaccination (OR: 2.43, 95% CI: 2.41, 2.45), but lower for influenza vaccination (OR: 0.55, 95% CI: 0.51, 0.59). Having a greater number of chronic diseases was associated with higher likelihood of pneumonia vaccination (3 vs 1: OR: 1.68, 95% CI: 1.64, 1.71), but this relationship was not statistically significant for influenza vaccination. Conclusions We found low levels with of pneumococcal vaccination, and extremely low uptake of influenza vaccination among individuals with high risk conditions in Shanghai who should be priority groups targeted for vaccination. Interventions could be designed to target groups with low uptake – like younger adults, and individuals who have not yet retired.

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