Cervical cancer screening in young and elderly women of the Xingu Indigenous Park: evaluation of the recommended screening age group in Brazil

Objective To analyze the occurrence of atypia in the cytology/histology examinations of young women under the age of 25 years and of elderly women aged over 64 years, in the Xingu Indigenous Park and to evaluate, in a subjective manner, if the age range for screening established by the Ministry of Health and the Instituto Nacional de Câncer is appropriate for this population. Methods The Xingu/UNIFESP Project, in partnership with the Center for Gynecological Disease Prevention, develops programs to prevent cervical cancer. The exploratory, retrospective and descriptive study of cytological and histopathological examinations of young (12-24 years) and elderly (aged 64 and over) women of the Xingu Indigenous Park, between 2005 and 2011. Results There was low occurrence of cytological atypia in the elderly female population, but there were occasional high-grade lesions in the indigenous youth. Conclusion Interrupting screening at the limit age of 64 years, as established by the Ministry of Health and the Instituto Nacional de Câncer is justified. However, screening of young women should begin at an earlier age.

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Urodynamic changes in women subjected to gynecological surgeries

10.21203/rs.3.rs-589336/v1 ◽

2021 ◽

Author(s):

Luiz Henrique Simões de Melo

Keyword(s):

Elderly Women ◽

The Elderly ◽

Bladder Function ◽

Adult Women ◽

Gynecological Surgery ◽

Age Group ◽

Female Population ◽

History Of ◽

Voiding Dysfunctions ◽

Urodynamic Parameters

Abstract Introduction: Disorders inherent to aging are increasingly present, with voiding dysfunctions and greater submission to surgeries among them. Objective: To analyze the influence of gynecological surgeries (Hysterectomy-HT and Colpoperineoplasty-CPP) on urodynamic bladder function parameters of adult women. Methods: A comparative study of urodynamic data from 706 patients was performed at the Urology Service of HC/UFPE. Previously, patients with any known clinical factor which could affect bladder function were excluded. These patients were analyzed in groups according to their history of gynecological surgery and age group (Non-elderly/elderly). The control group was composed by women without any gynecological surgery history. Results: All urodynamic parameters were worse in the elderly subgroup. The fundamental difference between the groups consisted of senility and past gynecological surgeries (higher in the elderly group). In the general female population, a history of gynecological surgeries was related to several alterations in urodynamic parameters. All urodynamic micturition phase parameters were significantly worse in patients with colpoplasty history. Hysterectomy history was also associated to a deterioration in some micturition parameters. However, no relationship between gynecological surgeries and urodynamic changes was found in the elderly women subgroup. Conclusion: Gynecological surgeries (HT/CPP) do not alter the prevalence and/or intensity of voiding dysfunctions already expected in the older age group of women from the aging process itself. Functional changes in the lower urinary tract resulting from aging are imposed in elderly women, regardless of their gynecological surgery history.

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Differential susceptibility according to gender in the association between air pollution and mortality from respiratory diseases

Cadernos de Saúde Pública ◽

10.1590/s0102-311x2011000900016 ◽

2011 ◽

Vol 27 (9) ◽

pp. 1827-1836 ◽

Cited By ~ 11

Author(s):

Marcio Sacramento de Oliveira ◽

Antônio Ponce de Leon ◽

Inês Echenique Mattos ◽

Sérgio Koifman

Keyword(s):

Air Pollution ◽

Respiratory Diseases ◽

Elderly Women ◽

Generalized Additive Models ◽

Differential Susceptibility ◽

The Elderly ◽

Additive Models ◽

Male Population ◽

Female Population ◽

Increase In Risk

This study analyzed the association between air pollution and deaths from respiratory diseases, considering differential susceptibility according to gender. The authors used daily deaths from respiratory diseases (ICD-10, J00-J99), PM10, SO2, and O3 levels, and meteorological indicators in Volta Redonda, Rio de Janeiro State, Brazil, from January 2002 to December 2006. The association was estimated by Poisson regression using generalized additive models, where the increase in risk of deaths from PM10 to lag 1 was 10.01% (95%CI: 1.81-18.88%) in the total female population and 10.04% (95%CI: 0.90-20.02%) in elderly women. The increase in risk of deaths from PM10 to lag 9 was 8.25% in the total male population (95%CI: 0.86-16.18%) and 10.80% (95%CI: 2.18-20.15%) in elderly men. For exposure to SO2 and O3, the risk was significant in the total male population and the elderly, respectively. The results emphasize the need for further studies, focusing on modification of the effects of air pollution on health.

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Age and Gender Differences in Body Attitudes: A Comparison of Young and Elderly Adults

The International Journal of Aging and Human Development ◽

10.2190/fvg1-ge5a-8g5y-dxct ◽

1998 ◽

Vol 47 (1) ◽

pp. 1-10 ◽

Cited By ~ 70

Author(s):

Stephen L. Franzoi ◽

Virginia Koehler

Keyword(s):

Young Adults ◽

Young Women ◽

Structural Changes ◽

Elderly Women ◽

The Elderly ◽

Age Difference ◽

Elderly Adults ◽

Positive Attitudes ◽

Body Attitudes ◽

And Gender

One hundred and thirty-two young adults (Mean = 19 years) and 142 elderly adults (Mean = 74 years) evaluated thirty-five different aspects of their own bodies. As hypothesized, elderly adults expressed less positive attitudes than young adults toward body items associated with body functioning (physical coordination, agility, sex drive, health). These differences are consistent with research indicating a progressive decline in bodily function efficiency with advancing age (Christofalo, 1988; Lakatta, 1990). Also as expected, the elderly held less positive attitudes toward body aspects associated with facial attractiveness (lips, appearance of eyes, cheek/cheekbones). These differences are in line with the structural changes that occur in the face as people age, moving them further from cultural beauty standards. One area where these age differences were reversed was in women's attitudes toward weight-related body items: elderly women expressed greater satisfaction than young women toward their appetite, thighs, and weight. The cause of this age difference in women may be due to thinness being a more defining standard of attractiveness for young women, or it could be due to the fact that people typically lose weight after the age of fifty, thus making weight gain less of a concern for older women. Results further indicated that, although men have more positive body attitudes than women, this gender difference is not nearly as pronounced among the elderly.

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Rural community’s perspectives on cervical cancer screening: Report of a consensus-planning workshop

Advances in Modern Oncology Research ◽

10.18282/amor.v3.is1.199 ◽

2017 ◽

Vol 3 (s1) ◽

pp. 73

Author(s):

Smita Asthana ◽

Satyanarayana Labani

Keyword(s):

Cervical Cancer ◽

Rural Community ◽

Rural Women ◽

Elderly Women ◽

Screening Programme ◽

Cervical Screening ◽

Community Setting ◽

The Elderly ◽

Hpv Infection ◽

Using Data

The success of any screening programme depends largely on the acceptability of the community to undergo screening. This study is an attempt to explore the perspectives of rural women on screening through qualitative research, using data generated in a consensus workshop for an unscreened population prior to the start of a screening programme. The study adopted a qualitative method in the form of consensus-planning workshop prior to the start of the careHPV screening project. Knowledge about cervical cancer and human papillomavirus (HPV) infection was found to be very low. Special efforts are needed to educate the elderly women of the family and the peers of the rural community so that the project runs successfully, as their views can influence community participation. The response by rural women in undertaking selfsamplings was good. Cervical screening is acceptable and can be implemented in a rural community setting. The success of screening programme depends on health education of the rural community.

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Acoustic characteristics of voice in different cycles of life: an integrative literature review

Revista CEFAC ◽

10.1590/1982-0216/201921315018 ◽

2019 ◽

Vol 21 (3) ◽

Cited By ~ 1

Author(s):

Evelyn Alves Spazzapan ◽

Viviane Cristina de Castro Marino ◽

Vanessa Moraes Cardoso ◽

Larissa Cristina Berti ◽

Eliana Maria Gradim Fabron

Keyword(s):

Literature Review ◽

Old Age ◽

The Elderly ◽

Acoustic Parameter ◽

Acoustic Characteristics ◽

Female Population ◽

Voice Production ◽

Human Voice ◽

Noise Measurements ◽

Age Range

ABSTRACT Purpose: to carry out an integrative literature review about the acoustic characteristics of healthy voice production, from childhood to old age. Methods: a bibliographic survey was conducted on the databases PubMed, SciELO, MEDLINE and LILACS, covering the last 10 years. Nineteen studies were found, meeting the proposed criteria, on acoustic measurements: F0 (fundamental frequency), jitter, shimmer and/or noise measurements, in males and females, with normal voices in their different stages of life. Results: the analysis showed that F0 is the most changing acoustic parameter as people grow up and grow old. Its values present gradual fall from childhood to old age in the female population, whereas among men such decrease lasts until adulthood. Jitter, shimmer and noise remain stable throughout childhood and adulthood, while shimmer and noise measurements increase in old age. In the literature, there is no consensus regarding increase of jitter measurements in the elderly. Conclusion: from childhood to old age, in both genders, vocal changes take place which are reflected, especially by F0. There is a scarcity of information on acoustics related to specific populations with ample age range, using the same methodology. The information in this study may guide future investigations aiming to understand natural changes occurring in the human voice, in addition to guiding in the clinical practice.

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Exercising Interest in the Middle Age Group

Jurnal Performa Olahraga ◽

10.24036/jpo131019 ◽

2019 ◽

Vol 4 (02) ◽

pp. 214-223

Author(s):

Jeki Haryanto ◽

Wilda Welis

Keyword(s):

Middle Age ◽

Sampling Technique ◽

The Elderly ◽

Age Group ◽

Guttman Scale ◽

Cross Sectional Survey ◽

Cross Sectional ◽

The Family ◽

Age Range

This research begins with a phenomenon that occurs in Air Hangat Subdistrict, Kerinci Regency, which shows that a lack of interest to do sport in the middle age group (45-59 years old). This study aims to find out how interested this age group is in exercising. This type of research is a cross-sectional survey research that is describes a particular situation or situation as it is with the process of taking data only takes place at one time. The subjects in this study are the elderly who are in the middle age category, namely the elderly who are in the age range of 45 - 59 years who do sports in the Air Hangat subdistrict of Kerinci Regency (N=33). The sampling technique used in this research is sensus sampling which mean making the entire population as a sample. The data in this study was collocted using a Guttman scale questionnaire. The data is analysed using descriptive statistics. Based on the results of data analysis, it shows that the interest of the elderly in the middle age group to exercise is in the sufficient category. This is due to the lack of knowledge and role of the family, so their interest needs to be increased again with the hope that in the future this age group will be healthier.

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Death and dying: elderly persons’ experiences of grief over the loss of family members

South African Family Practice ◽

10.4102/safp.v60i5.4924 ◽

2018 ◽

Vol 60 (5) ◽

pp. 53

Author(s):

Eucebious Lekalakala-Mokgele

Keyword(s):

Elderly Women ◽

Death And Dying ◽

Family Members ◽

The Elderly ◽

Phenomenological Approach ◽

Elderly Persons ◽

Age Group ◽

The Family ◽

Qualitative Phenomenological ◽

Depth Interviews

Background: Death is one of life’s few certainties and a universal experience for all individuals. When death occurs there is usually an impact on the family and friends of the deceased, the magnitude of which often depends on whether death was expected or unexpected. The grieving experiences of the elderly are rarely discussed. The purpose of this study was to describe experiences of grief and reactions to the death of family members amongst the elderly.Methods: A qualitative phenomenological approach was used to obtain data from elderly women in Ga-Rankuwa, Gauteng, to gain insight into the experiences of grief in this age group. Purposive sampling was used to conduct in-depth interviews with 10 elderly women whose family members had died. The data were analysed using a thematic approach.Results: The findings show that the elderly were exposed to multiple deaths of family members. The participants helplessly experienced with sorrow the death of family members, had experienced death anxiety, and relinquished control to God in terms of deaths.Conclusions: The response to death of the elderly affirms that it cannot be assumed that multiple death experiences establish their readiness or ability to handle these experiences and to grieve successfully. It can be concluded that the grieving process of the elderly is not different from any other age group and that they will also require the type of support and assistance considered for younger persons in times of grieving.

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Role of a midwife in cervical cancer prevention based on a study of the population of women residing in the Bialski poviat

HIGHER SCHOOL’S PULSE ◽

10.5604/01.3001.0014.2007 ◽

2020 ◽

Vol 14 (1) ◽

pp. 1-10

Author(s):

Iwona Gładysz

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Cancer Prevention ◽

Cervical Cancer Screening ◽

Cervical Cancer Prevention ◽

Age Group ◽

Female Population ◽

Cancer Screening And Prevention ◽

Screening And Prevention

Background: Cancer, next to cardiovascular disease, obesity, diabetes, accidents, and mental illness, is one of the most common diseases of the 21st century. In the female population, cervical cancer is most often diagnosed at late stages. Aim of the study: The goal of the study is to determine the opinions of women who reside in Bialski poviat about midwife participation in cervical cancer screening and prevention. Material and methods: The study group was recruited from randomly selected patients from two physiotherapy offices in the Bialski poviat, as well as students and employees of the State University Pope John Paul II in Biala Podlaska. The research tool consisted of the author’s questionnaire concerning the role of midwives in cervical cancer prevention and consisted of 25 questions. Results: Almost half of the respondents or 44.2% (76) believe that the role of a midwife in cervical cancer prevention is based on health education given to women about cervical cancer screening and prevention. 27.3% (47) believe that the role of a midwife in prevention is based on the availability of cytological pap smears. Most or 56% (14) respondents from the age group over 55 and 29.2% (7) surveyed in the 18-25 age group knew about the important role of midwives performing cytological pap smear as part of a prevention strategy against cervical cancer. Conclusions: 1. The knowledge base of the women examined, regarding the role of a midwife in the prevention of cervical cancer, is lacking or insufficient. 2. The role of the midwife in the prevention of cervical cancer is unknown to young women in the 18-25 age group.

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FUNCTIONAL CHARACTERISTICS OF ELDERLY WOMEN IN RELATION TO THEIR AGE AND MEDICAL CONDITION

Tambov University Review Series Humanities ◽

10.20310/1810-0201-2018-23-175-95-105 ◽

2018 ◽

pp. 95-105

Author(s):

Sergey Vladimirovich SHPAGIN ◽

Esedulla Mallaalievich OSMANOV ◽

Rustam Rinatovich MANYAKOV

Keyword(s):

Physical Training ◽

Vital Capacity ◽

Elderly Women ◽

Medical Condition ◽

Age Groups ◽

The Elderly ◽

Age Group ◽

Functional Characteristics ◽

The Third ◽

Common Opinion

At the present time there is no common opinion on the methods and means for improving elderly women. Moreover, the nature and intensity of the physical training in relation to the age and medical condition of the elderly women are to be clarified. In this regard, in order to develop scientifically-based programs for the integrated health-improving physical training of elderly women, it is necessary to establish their functional characteristics, depending on their age, taking into account their medical condition. Taking into account the medical condition, the elderly women were distributed by cluster analysis into four age groups: 56–62 years, 63–68 years, 69–72 years, 73–75 years. It has been established that, according to indicators, the vital capacity of lungs and the forced vital capacity of lungs do not significantly differ only between the third and fourth age groups of women. According to the Stange and Genci test scores, there were no significant differences between the first and second age groups of women, and between the third and fourth age group of women. Among women of the first age group, the average strength of the force and the compression force of the hand is significantly higher than in other age groups, among women of the fourth age group, significantly lower than in women from other age groups. The indicators of the resting heart rate index in all studied groups do not differ, but the scatter indicator decreases with age, which indicates a decrease in the lability of the cardiovascular system. The received data can be used for development of programs on complex improving physical training of a researched category of persons.

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Elderly Women Are Disproportionately Vulnerable to Hypertension in Bangladesh: Evidence from the National Nutrition Surveillance Study

Current Developments in Nutrition ◽

10.1093/cdn/nzaa040_030 ◽

2020 ◽

Vol 4 (Supplement_2) ◽

pp. 30-30

Author(s):

Abu Abdullah Mohammad Hanif ◽

Abu Ahmed Shamim ◽

Md Mokbul Hossain ◽

Mehedi Hasan ◽

Moyazzam Hossaine ◽

...

Keyword(s):

Physical Activity ◽

Blood Pressure ◽

Waist Circumference ◽

Elderly Women ◽

Family Welfare ◽

Cluster Sampling ◽

Ministry Of Health ◽

Female Population ◽

Factors Associated ◽

Males And Females

Abstract Objectives Bangladesh has a dearth of information on the prevalence and factors associated with hypertension among elderlies. We assessed the prevalence, sex differences in prevalence, and factors associated with hypertension in the most recent national nutrition surveillance round (2018–19). Methods We analyzed data of 4817 elderlies (≥60 years) from 82 clusters (57 rural, 15 urban and 10 slum) selected by multistage cluster sampling. Hypertension was defined as systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg and/or having a history of hypertension. We analyzed data using Stata 15.0. Results The weighted prevalence of hypertension was 42%, and 56% for elderly males, and females, respectively; and was higher among females for many socio-demographic, behavioural and anthropetric variables including age 70 + years (58% vs. 46%); high waist circumference (69% vs. 65%); diabetes (69% vs. 65%); living in rural (55% vs. 41%), urban (63% vs. 45%) and slum (50% vs. 30%) area; Muslim (56% vs. 42%); insufficient physical activity (60% vs 52%); and inadequate fruits/vegetables intake (56% vs. 43%). Among females, the factors associated with hypertension were age 70 + years (AOR: 1.40, 95% CI: 1.15–1.71), waist circumference ≥80 cm (AOR: 2.20, 95% CI: 1.82–2.67), diabetes (AOR: 1.82, 95% CI: 1.35–2.45), and inadequate physical activity (AOR: 1.38, 95% CI: 1.15–1.67). Among males, these factors were age 70 + years (AOR: 1.32, 95% CI: 1.09–1.60), waist circumference ≥90 cm (AOR: 2.76, 95% CI: 2.22–3.43), diabetes (AOR: 1.36, 95% CI: 1.02–1.82), slum-dwelling (AOR: 0.71, 95% CI: 0.52–0.96), > 10 years of education (AOR: 1.83; 95% CI: 1.38, 2.44), inadequate physical activity (AOR: 1.50, 95% CI: 1.25–1.81), and current smoking (AOR: 0.74; 95% CI: 0.61, 0.89). In both males and females, fruits and vegetables intake was not assicaited with hypertension. Conclusions In Bangladesh, the elderly female population is disproportionately affected by hypertension. They were found having a consistent pattern of higher prevalence of hypertension for many socio-demographic, behavioral, and anthropometric variables. The ministry of health of Bangladesh should consider this disproportionately high prevalence of hypertension among elderly females while designing and implementing health programs. Funding Sources Ministry of Health and Family Welfare, Bangladesh.

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