scholarly journals Perceived discrimination as a barrier for the adequate treatment of chronic diseases in Venezuelan migrants from Peru

2021 ◽  
Vol 24 ◽  
Author(s):  
Carolina Delgado-Flores ◽  
Oscar Soto Cutire ◽  
Aleksandar Cvetkovic-Vega ◽  
Wendy Nieto-Gutierrez
Keyword(s):  
Chronic Diseases ◽  
Poisson Regression ◽  
Perceived Discrimination ◽  
Secondary Analysis ◽  
Cross Sectional Study ◽  
Poisson Regression Model ◽  
Sectional Study ◽  
Cross Sectional ◽  
Adequate Treatment ◽  
Multistage Sampling

ABSTRACT: Objective: To determine the association between perceived discrimination and receiving adequate treatment for chronic diseases in Venezuelan migrants. Methodology: A cross-sectional study was performed. This is a secondary analysis of the ENPOVE national survey from Peru. The association between the perceived discrimination and receiving adequate treatment for chronic diseases was evaluated using a Poisson regression model, considering the adjusted effect of the multistage sampling. Results: A total of 865 migrants were evaluated (age: 36.6 ± 0.7 years and 58.2% women). Of these, 54.8% perceived discrimination, and 89.2% did not receive adequate treatment for chronic diseases. Perceived discrimination was significantly associated with a lower prevalence of receiving adequate treatment for chronic diseases (PRa = 0.49; 95%CI 0.25 – 0.97). Conclusion: This study evidenced that perceived discrimination decreases the prevalence of receiving adequate treatment for chronic diseases by approximately 50% compared with those who did not perceive discrimination.

scholarly journals Prevalence and Associated Factors for Frailty among Elder Patients in China: A multicenter cross-sectional study

2019 ◽  
Author(s):  
Jing Jiao ◽  
Yu Wang ◽  
Chen Zhu ◽  
Fangfang Li ◽  
Minglei Zhu ◽  
...  
Keyword(s):  
Regression Model ◽  
Poisson Regression ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Small Sample ◽  
Poisson Regression Model ◽  
Sectional Study ◽  
Cross Sectional ◽  
Mixed Effect ◽  
Elder Patients

Abstract Background: Up to date, most of previous studies of frailty among hospitalized elder Chinese patients were conducted based on a small sample, which could not represent the elder patient population. The aim of this study is to identify the prevalence and the risk factors for frailty among elder patients in China. Study Design and Setting: This is a cross-sectional study, 9996 elder patients from 6 tertiary level hospitals in China were surveyed. The prevalence of frailty among patients from selected wards was surveyed by trained investigators. Mixed-effect Poisson regression model were used to analyze the associated factors of frailty among elder patients. Results: The mean age of all subjects was72.47±5.77years. The prevalence rate of frailty in this study was 18.02%. After controlling the confounding effect of hospital wards clustering effect, Mixed-effect Poisson regression model showed that the associated factors of frailty included: age(OR:1.016, 95% CI:1.012 -1.020), patients with BMI < 18.5(OR: 1.248, 95% CI:1.171-1.330), female(OR:1.058, 95% CI:1.004 -1.115), ethnic minorities(OR: 1.152, 95% CI: 1.073-1.236), admission to hospital by the emergency department(OR: 1.104, 95% CI:1.030 -1.184),the former drinker(OR: 1.094, 95% CI:1.022 -1.171),fall history in past 12 month(OR:1.257, 95%CI:1.194-1.323),vision dysfunction(OR:1.144 , 95% CI:1.080 -1.211),cognition impairment(OR:1.182 , 95% CI:1.130 -1.237),sleeping dysfunction(OR:1.215, 95% CI:1.215 -1.318),urinary dysfunction(OR: 1.175, 95% CI:1.104 -1.251),defecation dysfunction(OR:1.286 , 95% CI:1.217 -1.358). Conclusion: We identified a relatively high prevalence of frailty among elder patients, and there are several associate factors among the population derived from an investigation of a large-scale, multicenter, nationwide representative Chinese elderly inpatient population. Trial registration: Chinese clinical Trial registry, ChiCTR1800017682, Registered 09 August 2018 Keywords: Frailty; Elder patients; Prevalence; Associate factors

scholarly journals O4B.1 The impact of manual patient handling on work ability: a cross-sectional study

2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A34.1-A34
Author(s):  
Adriano Dias ◽  
João Marcos Bernardes
Keyword(s):  
Regression Model ◽  
Work Ability ◽  
Poisson Regression ◽  
Healthcare Workers ◽  
Cross Sectional Study ◽  
Poisson Regression Model ◽  
Sectional Study ◽  
Patient Handling ◽  
Cross Sectional ◽  
Robust Variance

This cross-sectional study investigated the level of work ability (WA) and its association with manual patient handling (MPH) in healthcare workers (HCW). Participants were HCWs working at the University Hospital of Botucatu Medical School, who were willing to participate and provided written informed consent. Of the 488 HCWs who were invited, 320 participated for a response rate of 65.6%. Sixteen participants (5%) were subsequently excluded from data analysis due to missing data. Data were collected using a self-administered anonymous paper questionnaire containing seven parts: manual patient handling, low back pain, demographic characteristics, occupational variables, psychosocial work conditions, lifestyle variables and work ability. Work ability was measured by the Brazilian version of the Work Ability Index (WAI). The association between WA and LBP was analyzed using a Poisson regression model. Initially, simple Poisson regression models with robust variance were conducted for each covariate. Those variables with a p value ≤ 0.25 were selected for inclusion in a multiple Poisson regression model with robust variance, and those with p<0.05 were considered statistically significant. Most respondents were female (83.6%), the mean age was 40.35 years (SD 9.74, range 22-66) and the average duration of employment was 10.67 years (SD 9.36, range 1-40). The WAI mean score was 38.03 points (SD 6.15, 95% CI 37.33-38.72), and the prevalence of adequate WA (equal to or above 37 points) was 56.58%. In the multiple Poisson regression model, MPH (PR 1.375, 95% CI 1.038-1.821) was significantly associated with WA, even when adjusted for the covariates. Thus, hospital managers should plan and implement interventions to maintain healthcare workers’ work ability, and these interventions should include the limitation of manual patient handling activities.

scholarly journals Prevalence and Associated Factors for Frailty among Elder Patients in China: A multicenter cross-sectional study

2020 ◽  
Author(s):  
Jing Jiao ◽  
Yu Wang ◽  
Chen Zhu ◽  
Fangfang Li ◽  
Minglei Zhu ◽  
...  
Keyword(s):  
Regression Model ◽  
Poisson Regression ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Small Sample ◽  
Poisson Regression Model ◽  
Sectional Study ◽  
Cross Sectional ◽  
Mixed Effect ◽  
Elder Patients

Abstract Background: Up to date, most of previous studies of frailty among hospitalized elder Chinese patients were conducted based on a small sample, which could not represent the elder patient population. The aim of this study is to identify the prevalence and the risk factors for frailty among elder patients in China. Study Design and Setting: This is a cross-sectional study, 9996 elder patients from 6 tertiary level hospitals in China were surveyed. The prevalence of frailty among patients from selected wards was surveyed by trained investigators. Mixed-effect Poisson regression model were used to analyze the associated factors of frailty among elder patients. Results: The mean age of all subjects was72.47±5.77years. The prevalence rate of frailty in this study was 18.02%. After controlling the confounding effect of hospital wards clustering effect, Mixed-effect Poisson regression model showed that the associated factors of frailty included: age(OR:1.016, 95% CI:1.012 -1.020), patients with BMI < 18.5(OR: 1.248, 95% CI:1.171-1.330), female(OR:1.058, 95% CI:1.004 -1.115), ethnic minorities(OR: 1.152, 95% CI: 1.073-1.236), admission to hospital by the emergency department(OR: 1.104, 95% CI:1.030 -1.184),the former drinker(OR: 1.094, 95% CI:1.022 -1.171),fall history in past 12 month(OR:1.257, 95%CI:1.194-1.323),vision dysfunction(OR:1.144 , 95% CI:1.080 -1.211),cognition impairment(OR:1.182 , 95% CI:1.130 -1.237),sleeping dysfunction(OR:1.215, 95% CI:1.215 -1.318),urinary dysfunction(OR: 1.175, 95% CI:1.104 -1.251),defecation dysfunction(OR:1.286 , 95% CI:1.217 -1.358). Conclusion: We identified a relatively high prevalence of frailty among elder patients, and there are several associate factors among the population derived from an investigation of a large-scale, multicenter, nationwide representative Chinese elderly inpatient population. Trial registration: Chinese clinical Trial registry, ChiCTR1800017682, Registered 09 August 2018 Keywords: Frailty; Elder patients; Prevalence; Associate factors

scholarly journals Prevalence and Associated Factors for Frailty among Elder Patients in China: A multicenter cross-sectional study

2020 ◽  
Author(s):  
Jing Jiao ◽  
Yu Wang ◽  
Chen Zhu ◽  
Fangfang Li ◽  
Minglei Zhu ◽  
...  
Keyword(s):  
Regression Model ◽  
Poisson Regression ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Small Sample ◽  
Poisson Regression Model ◽  
Sectional Study ◽  
Cross Sectional ◽  
Mixed Effect ◽  
Elder Patients

Abstract Background: Up to date, most of previous studies of frailty among hospitalized elder Chinese patients were conducted based on a small sample, which could not represent the elder patient population. The aim of this study is to identify the prevalence and the risk factors for frailty among elder patients in China. Study Design and Setting: This is a cross-sectional study, 9996 elder patients from 6 tertiary level hospitals in China were surveyed. The prevalence of frailty among patients from selected wards was surveyed by trained investigators. Mixed-effect Poisson regression model were used to analyze the associated factors of frailty among elder patients. Results: The mean age of all subjects was72.47±5.77years. The prevalence rate of frailty in this study was 18.02%. After controlling the confounding effect of hospital wards clustering effect, Mixed-effect Poisson regression model showed that the associated factors of frailty included: age(OR:1.016, 95% CI:1.012 -1.020), patients with BMI < 18.5(OR: 1.248, 95% CI:1.171-1.330), female(OR:1.058, 95% CI:1.004 -1.115), ethnic minorities(OR: 1.152, 95% CI: 1.073-1.236), admission to hospital by the emergency department(OR: 1.104, 95% CI:1.030 -1.184),the former drinker(OR: 1.094, 95% CI:1.022 -1.171),fall history in past 12 month(OR:1.257, 95%CI:1.194-1.323),vision dysfunction(OR:1.144 , 95% CI:1.080 -1.211),cognition impairment(OR:1.182 , 95% CI:1.130 -1.237),sleeping dysfunction(OR:1.215, 95% CI:1.215 -1.318),urinary dysfunction(OR: 1.175, 95% CI:1.104 -1.251),defecation dysfunction(OR:1.286 , 95% CI:1.217 -1.358). Conclusion: We identified a relatively high prevalence of frailty among elder patients, and there are several associate factors among the population derived from an investigation of a large-scale, multicenter, nationwide representative Chinese elderly inpatient population. Trial registration: Chinese clinical Trial registry, ChiCTR1800017682, Registered 09 August 2018 Keywords: Frailty; Elder patients; Prevalence; Associate factors

scholarly journals Socioeconomic Factors and Health Status Disparities Associated with Difficulty in ADLs and IADLs among Long-Lived Populations in Brazil: A Cross-Sectional Study

2021 ◽  
Vol 58 ◽  
pp. 004695802110072
Author(s):  
Júlia Cristina Leite Nóbrega ◽  
Juliana Barbosa Medeiros ◽  
Tácila Thamires de Melo Santos ◽  
Saionara Açucena Vieira Alves ◽  
Javanna Lacerda Gomes da Silva Freitas ◽  
...  
Keyword(s):  
Health Status ◽  
Activities Of Daily Living ◽  
Socioeconomic Factors ◽  
Chronic Diseases ◽  
Daily Living ◽  
Female Gender ◽  
Well Being ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

Objective: To evaluate the association between socioeconomic factors, health status, and Functional Capacity (FC) in the oldest senior citizens in a metropolis and a poor rural region of Brazil. Method: Cross-sectional study of 417 seniors aged ≥80 years, data collected through Brazil’s Health, Well-being and Aging survey. FC assessed by self-reporting of difficulties in Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs). Chi-square tests and multiple logistic regression analyses were performed using “R” statistical software. Results: Socioeconomic and demographic inequalities in Brazil can influence FC in seniors aged 80 years and older. Comparatively, urban long-lived people had a higher prevalence of difficulties for ADLs and rural ones showed more difficulties for IADLs. Among urban oldest seniors, female gender and lower-income were correlated with difficulties for IADLs. Among rural oldest seniors, female gender, stroke, joint disease, and inadequate weight independently were correlated with difficulties for ADLs, while the number of chronic diseases was associated with difficulties for IADLs. Conclusion: Financial constraints may favor the development of functional limitations among older seniors in large urban centers. In poor rural areas, inadequate nutritional status and chronic diseases may increase their susceptibility to functional decline.

scholarly journals Mental capacity assessment: a descriptive, cross-sectional study of what doctors think, know and do

2020 ◽  
pp. medethics-2019-105819
Author(s):  
Dexter Penn ◽  
Anne Lanceley ◽  
Aviva Petrie ◽  
Jacqueline Nicholls
Keyword(s):  
Best Practice ◽  
Secondary Analysis ◽  
Cross Sectional Study ◽  
Mental Capacity ◽  
Capacity Assessment ◽  
Career Stage ◽  
Sectional Study ◽  
Cross Sectional ◽  
Self Confidence ◽  
Mental Capacity Act

BackgroundThe Mental Capacity Act (MCA) (2005) was enacted in 2007 in England and Wales, but the assessment of mental capacity still remains an area of professional concern. Doctors’ compliance with legal and professional standards is inconsistent, but the reasons for poor compliance are not well understood. This preliminary study investigates doctors’ experiences of and attitudes toward mental capacity assessment (MCAx).MethodsThis is a descriptive, cross-sectional study where a two-domain, study-specific structured questionnaire was developed, piloted and digitally disseminated to doctors at differing career stages employed in a large, multi-site National Health Service Trust in London over 4 months in 2018. Descriptive statistics and frequency tables adjusted for missing data were generated and secondary analysis was conducted.ResultsParticipants (n=92) were predominantly UK trained (82%), female (58%) and between the ages of 30 and 44 years (45%). Less than half (45%) of the participants reported receiving formal MCAx training. Only one-third (32%) of the participants self-rated themselves as very competent (29%) or extremely competent (4%). Self-reported MCA confidence was significantly affected by career stage with Consultants with over 10 years of experience reporting lowest confidence (p=0.001).ConclusionsThis study describes significant variation in practice by doctors and low self-confidence in the practice of MCAx. These results raise concerns that MCAx continues to be inconsistently performed by doctors despite appropriate awareness of the law and professional guidance on best practice.

scholarly journals Time trends in patients managed simultaneously in multiple hospital outpatient specialty clinics for chronic diseases: A register-based cross-sectional study

2019 ◽  
Vol 9 ◽  
pp. 2235042X1983190 ◽  
Author(s):  
Donna Lykke Wolff ◽  
Christian Von Plessen ◽  
Frans Boch Waldorff ◽  
Thomas Lund Sørensen ◽  
Søren Bie Bogh ◽  
...  
Keyword(s):  
Chronic Diseases ◽  
Outpatient Care ◽  
Cross Sectional Study ◽  
Descriptive Statistics ◽  
Sectional Study ◽  
Cross Sectional ◽  
Data Set ◽  
Specialty Clinic ◽  
Hospital Outpatient

Background: The increasing prevalence of patients with multimorbidity in the general population affects the health-care system. There is a lack of knowledge of the proportion of patients attending multiple hospital outpatient specialty clinics simultaneously. Objective: This study describes the development in the proportion of patients managed simultaneously in multiple hospital outpatient specialty clinics. Design: We obtained three cross-sectional samples from all of the hospitals in Denmark. The data set consists of adults (age 18+) in long-term outpatient care on January 1 in 2004, 2009, and 2014 with one or more of 50 consensus-selected chronic diseases. Descriptive statistics were used to examine and compare the proportion of patients treated simultaneously in multiple outpatient specialty clinics. We also investigated the most common combinations of outpatient specialty clinics. Results: In 2004, 176,786 patients with chronic diseases were registered as receiving outpatient care in Denmark. This figure increased to 246,542 patients in 2009 and 341,015 in 2014. The proportion of patients managed simultaneously in multiple outpatient specialty clinics was 4.0% in 2004, 5.5% in 2009, and 7.7% in 2014. The most common specialty clinic combination was endocrinology and cardiology, accounting for 12.1% in 2004, 11.5% in 2009, and 9.6% in 2014. Conclusions: The proportion of patients in multiple clinics nearly doubled over a 10-year period. While there were some common specialty clinic combinations in which patients were treated most often, there was also considerable variation. Further studies are needed to identify generic and disease-specific initiatives.

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