scholarly journals Insomnia and Its Related Factors in Elderly Population of Tehran, Iran

2021 ◽  
Author(s):  
Somayeh Hassani ◽  
Parisa Adimi Naghan ◽  
Makan Sadr ◽  
Majid Malekmohammad ◽  
Javad Setareh ◽  
...  
Keyword(s):  
Chronic Diseases ◽  
Elderly Population ◽  
Psychological Disorders ◽  
Study Data ◽  
Cluster Sampling ◽  
Demographic Information ◽  
Related Factors ◽  
Cross Sectional ◽  
Circadian Rhythm Disorder ◽  
Rhythm Disorder

Background and Objective: The present study aimed to determine the prevalence of insomnia and its related factors among elderly population of Tehran, Iran. Materials and Methods: This study was a cross-sectional descriptive study. Data were collected by a three-part questionnaire. The first part included demographic information; the second part contained data on weight, height, neck circumference, menstruation status, diabetes, hypertension (HTN), and heart disease. The third part contained questions about Insomnia Screening Questionnaire (ISQ). Cluster sampling was used and 651 samples were selected for the present study. Results: The prevalence of insomnia was significantly higher in female, single, and illiterate subjects and also in subjects with chronic diseases, psychological disorders, circadian rhythm disorder, restless legs syndrome (RLS), parasomnia, and sleep apnea. Conclusion: According to this study, insomnia is common among elderly population of Tehran, and there is a relationship between this disorder and chronic diseases, psychological disorders, and sleep disorders.

scholarly journals Association of Edentulism with Various Chronic Diseases in Mexican Elders 60+ Years: Results of a Population-Based Survey

Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 404
Author(s):  
Alejandro José Casanova-Rosado ◽  
Juan Fernando Casanova-Rosado ◽  
Mirna Minaya-Sánchez ◽  
José Luís Robles-Minaya ◽  
Juan Alejandro Casanova-Sarmiento ◽  
...  
Keyword(s):  
Angina Pectoris ◽  
Mental Disorders ◽  
Chronic Diseases ◽  
Population Based ◽  
Self Report ◽  
World Health ◽  
Complex Nature ◽  
Cluster Sampling ◽  
World Health Survey ◽  
Cross Sectional

Objective: To determine the association of edentulism with different chronic diseases and mental disorders in Mexicans aged 60 years and over. Material and Methods: A cross-sectional study was carried out using data from the World Health Survey for Mexico, in a probabilistic, multi-stage cluster sampling framework. Data for self-report of chronic diseases (diabetes, arthritis, angina pectoris and asthma), mental disorders (depression and schizophrenia) and edentulism were analyzed. Edentulism data were available for 20 of the 32 States of Mexico. Statistical analysis was performed in Stata 14.0 using the svy module for complex sampling (Complex nature under which individuals are sampled). Results: In total 4213 subjects were included, representing a population of 7,576,057 individuals. Mean age was 70.13 ± 7.82 years (range 60 to 98); 56.2% were women. Chronic diseases’ prevalence and mental disorders prevalence were as follows: diabetes 15.0% (N = 1,132,693); arthritis 13.2% (N = 1,001,667); depression 5.5% (N = 414,912); angina pectoris 4.5% (344,315); asthma 3.6% (N = 269,287); and schizophrenia 2.2% (N = 16,988). The prevalence of edentulism was 26.3%, which pertained to 1,993,463 people aged 60 years and over. Angina in women aged 60 to 69 years (p < 0.05) and depression in men aged 70 years and over (p < 0.0001) were associated with higher prevalence of edentulism. Conclusions: There was generally sparse association between edentulism on chronic diseases and mental disorders included in the study, except for women aged 60 to 69 years for angina, and in men aged 70 and over, for depression. Although our findings are misaligned with previous reports, longitudinal studies are required to test causal and temporal relationships between edentulism with chronic diseases and mental disorders.

Medical interns’ attitudes towards One Health approach

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Ceren Varer Akpinar ◽  
Seyfi Durmaz
Keyword(s):  
One Health ◽  
Health And Safety ◽  
Cross Sectional Study ◽  
Study Data ◽  
Self Report ◽  
Related Factors ◽  
Cross Sectional ◽  
Health Concept ◽  
Medical Interns ◽  
The One

Abstract Objectives One Health approach to health considers human, animal, and ecosystem health as a whole and advocates cooperation across disciplines to reach the highest level of health. The aim of the study is to determine the attitudes of the medical interns’ toward the One Health approach and to evaluate related factors. Methods This cross-sectional study targeted all interns of the Faculty of Medicine of 2019–2020 academic year (n=356). Sociodemographic characteristics, health status, habits, and attitudes toward One Health were asked in the questionnaire, which was created by the researchers using the literature. The study data were collected based on self-report during occupational health and safety training, before the COVID-19 pandemic. Chi-square and logistic regression analyses were also performed. Results The study group included a fair gender distribution (47.8% female), and the average age was 23.6 ± 1.2. Out of the 316 participants, 40.2% had not heard the One Health concept before. In total, 85.4% of them declared a positive attitude toward the concept. The probability of high attitude was found to be 5.03 times (95% CI 1.10–23.12) higher in those with above-average success status and 4.08 times (95% CI 1.15–14.52) higher in those who had kept animals. In students’ responses to the attitude questionnaire items, the epidemic sub-dimension had the highest level as 86.1%, and the antibiotic resistance sub-dimension had the lowest level as 77.2%. Conclusions The current study revealed that the awareness on One Health concept among medical interns is limited, however, students’ attitudes are positive. Recent SARS-CoV 2 pandemic showed us the urgent need for proper implementation of’ One Health approach in the medical education curriculum. Meanwhile, One Health focused courses should be introduced into the curriculum of final year medicine and related programs.

scholarly journals Predictors of Malaria Rapid Diagnostic Tests’ Utilisation Among Healthcare Workers in Zamfara State

2018 ◽  
Author(s):  
Usman Rabi ◽  
Ahmad A. Umar ◽  
Saheed Gidado ◽  
A.A Gobir ◽  
Izuchukwu F. Obi ◽  
...  
Keyword(s):  
Community Health ◽  
Healthcare Workers ◽  
Health Workers ◽  
Diagnostic Testing ◽  
Study Data ◽  
Good Knowledge ◽  
Health Extension Workers ◽  
Related Factors ◽  
Cross Sectional ◽  
Factors Influencing

AbstractIntroductionEarly diagnosis and prompt and effective treatment is one of the pillars of malaria control Malaria case management guidelines recommend diagnostic testing before treatment using malaria Rapid Diagnostic Test (mRDT) or microscopy and this was adopted in Nigeria in 2010. However, despite the deployment of mRDT, the use of mRDTs by health workers varies by settings. This study set out to assess factors influencing utilisation of mRDT among healthcare workers in Zamfara State, Nigeria.MethodsA cross-sectional study was carried out among 306 healthcare workers selected using multistage sampling from six Local Government Areas between January and February 2017. Mixed method was used for data collection. A pre-tested self-administered questionnaire was used to collect information on knowledge, use of mRDT and factors influencing utilization. An observational checklist was used to assess the availability of mRDT in the six months prior to this study. Data were analyzed using descriptive statistics such as means and proportions. Association between mRDT use and independent variables was tested using Chi square while multiple regression was used to determine predictors of use at 5% level of significance.ResultsMean age of respondents was 36.0 ± 9.4years. Overall, 198 (64.7%) of health workers had good knowledge of mRDT; malaria RDT was available in 33 (61.1%) facilities. Routine use of mRDT was reported by 253 (82.7%) healthcare workers. This comprised 89 (35.2%) laboratory scientists/technicians, 89 (35.2%) community health extension workers/community health officers; 59 (23.3%) nurses and 16 (6.3%) doctors. Predictors of mRDT utilisation were good knowledge of mRDT (adjusted OR (aOR):3.3, CI: 1.6-6.7), trust in mRDT results (aOR: 4.0, CI: 1.9 - 8.2), having being trained on mRDT (aOR: 2.7, CI: 1.2 - 6.6), and provision of free mRDT (aOR: 2.3, CI: 1.0 - 5.0).ConclusionThis study demonstrated that healthcare worker utilisation of mRDT was associated with health worker and health system-related factors that are potentially modifiable. There is need to sustain training of healthcare workers on benefits of using mRDT and provision of free mRDT in health facilities.

LIVING AND HEALTH CONDITIONS ASSOCIATED WITH OVERWEIGHT AND OBESITY AMONG ELDERLY

2015 ◽  
pp. 1-9
Author(s):  
B.F. DO NASCIMENTO JACINTO DE SOUZA ◽  
L. MARÍN-LEON
Keyword(s):  
Chronic Diseases ◽  
Eating Behaviors ◽  
Multinomial Logistic Regression ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Overweight And Obesity ◽  
Related Factors ◽  
Cross Sectional ◽  
Increased Risk ◽  
Health Related

Background: The epidemiological and nutritional transition processes in the last decades underlie the rising trend of obesity in the elderly and is related to increased risk of chronic non-communicable diseases and decreased functional status. Objective: To analyze the association of demographic, socioeconomic, lifestyle and health-related factors with overweight and obesity in elderly. Design: Cross-sectional study. Setting: Carried out in Campinas-São Paulo, Brazil, in 2011. Participants: 452 non-institutionalized elderly (aged ≥60 years), half were users of a government-run soup kitchen and the other half were neighbors of the same sex. Results:Overweight frequency (BMI ≥25 and <30 kg/m2) was 44.5% and obesity (BMI ≥30 kg/m2) was 21.7%. In the multiple multinomial logistic regression model adjusted for sex, age group and economic class, there was greater chance of overweight among those that reported dyslipidemia; those that reported arthritis/ arthrosis/rheumatism and that once or more per week replaced supper by a snack were more likely to be obese. Elderly who did not leave home daily and reported diabetes had higher chance of overweight and obesity. Conclusions: Overweight and obesity are associated with worse living and health-related conditions, such as physical inactivity, changes in eating behaviors, and chronic diseases. Public health policies should encourage regular physical activity and healthy eating behaviors, focusing on traditional diet, through nutritional education, in order to reduce the prevalence of overweight and obesity and chronic diseases.

scholarly journals Predictors of Polypharmacy Among Elderly Patients in China: The Role of Decision Involvement, Depression, and Taking Chinese Medicine Behavior

2021 ◽  
Vol 12 ◽  
Author(s):  
Chaoyi Chen ◽  
Zhanchun Feng ◽  
Qian Fu ◽  
Jia Wang ◽  
Zehao Zheng ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Chinese Medicine ◽  
Chronic Diseases ◽  
Inappropriate Prescribing ◽  
Cross Sectional Study ◽  
Cluster Sampling ◽  
Prescription Data ◽  
Cross Sectional ◽  
Old Patients ◽  
Important Challenge

Introduction: The prevalence of polypharmacy is gradually increasing in geriatrics, which may contribute to adverse effects, such as potential drug–drug and drug–disease interactions. These side effects remain an important challenge in patient safety, which has a significant impact on mortality and incidence rate.Aims: Therefore, this study aims to understand the epidemiology of polypharmacy and identify factors that have an impact on the management of potentially inappropriate prescribing.Methods: This study is a cross-sectional study, analyzing the prescription data from 720 hospitalized patients aged 50+ with a random cluster sampling method. We used inverse probability treatment weighting (IPTW) method to group and match polypharmacy and non-polypharmacy patients, and logistic regression was conducted to explore the factors associated with polypharmacy.Results: The prevalence of polypharmacy accounted for 50.14% among the old patients in this study. Female patients (67.34%) have more polypharmacy than male patients, and key predictors associated with polypharmacy in the logistic regression model included the following: domicile (AOR = 0.63, 95% CI 0.42–0.95), annual income (AOR = 0.38, 95% CI 0.20–0.70), the number of chronic diseases (AOR = 3.68, 95% CI 2.69–5.06), taking Chinese medicine (AOR = 1.70, 95% CI 1.22–2.36), decision involvement (AOR = 1.49 95% CI 1.10–2.03), and depression (AOR = 1.42, 95% CI 1.03–1.96).Conclusion: Polypharmacy is common among the participants with chronic diseases in Hubei province, China. The study emphasizes that gerontology practitioners should be prudent in applying clinical guidelines to provide personalized, comprehensive assessment of decision making of prescriptions, especially in socioeconomically deprived areas.

scholarly journals Features of Neck Pain and its Related Factors Among Patients With Cervical Spondylosis

2018 ◽  
Vol 5 (3) ◽  
pp. 92-97
Author(s):  
Nayeema Binti Karim ◽  
Aklima Chowdhury Asha ◽  
Md. Aminul Islam ◽  
Anup Mandal ◽  
Taslima Islam ◽  
...  
Keyword(s):  
Cervical Spondylosis ◽  
Descriptive Analysis ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Study Data ◽  
Age Group ◽  
Related Factors ◽  
Cross Sectional ◽  
Orthopedic Rehabilitation ◽  
Tingling Sensation

Background and aims: The prevalence of cervical spondylosis is rising. The objective of this study was to figure out the various features and their related factors among cervical spondylosis patients in Dhaka, Bangladesh. Methods: A descriptive cross-sectional study was conducted enrolling 40 patients from NITOR (National Institute of Traumatology and Orthopedic Rehabilitation) in Dhaka, Bangladesh. Data were collected from the physiotherapy department of NITOR using convenient sampling technique. A structured questionnaire was used for data collection. Patients who were diagnosed with cervical spondylosis were included in this study. Data were analyzed using SPSS version 22.0. Descriptive analysis was done using frequency measures, mean and percentages. Results: Among our respondents, the majority of them were female (62.5%). Majority of the participants were in the age group of 35 to 50 years (62.5%). Many of them were urban population engaged in service or housewives. Stressful job (55%), duration of working hour >8 hours (62.5%) were the most common characteristics among patients. The main location of pain was in the shoulder (82.5%) followed by the neck (77.4%) and forearm (70%). Most patients had intermittent pain (57.5%), numbness (55%), tingling sensation (47.5%) and paresthesia (42.5%). Moderate type of pain (65%), the involvement of both upper limbs (35%) and radiating pain to shoulder (72.5%) were the most reported features by patients. No response to medication was also observed. Conclusion: Being female, middle age group, stressful occupation, location and radiation of pain to shoulder are some of the common features revealed in this study. The findings will help the practitioner to plan their treatment goals and techniques considering the characteristics of patients.

scholarly journals Prevalence of Falling and its relation with Chronic diseases and Balance of Older Adults in Urmia City

2019 ◽  
Vol 9 (4) ◽  
pp. 273-278
Author(s):  
Seyed Saeed Mazloomy Mahmoodabad ◽  
Moradali Zareipour ◽  
Mohsen Askarishahi ◽  
Alireza Beigomi
Keyword(s):  
Older Adults ◽  
Chronic Diseases ◽  
Elderly People ◽  
The Elderly ◽  
Cluster Sampling ◽  
Balance Assessment ◽  
Cross Sectional ◽  
History Of ◽  
Assessment Questionnaire ◽  
Epidemic Diseases

Introduction: Falling is one of the most common and serious health problems in the elderly people. As a result of aging , the muscles will be departed, so it will be difficult to balance and gait. This study aims to Prevalence of falling and its relation with chronic diseases and balance of Older Adults in Urmia city. Methods: This is a cross-sectional (descriptive-analytic) study in which 200 elderly people were selected by random cluster sampling method. Data were collected by using a two-part questionnaire which was included demographic information, common epidemic diseases and history of falling of the elderly people in the last year and Tinetti balance assessment questionnaire. Data were analyzed by using t- test and logistic regression in SPSS v.21 software. Results: The results of this study showed that, the rate of falling was 30 percent. Diseases such as cardiovascular diseases, arthritis, osteoarthritis, stroke, visual impairment, respiratory disease, fecal incontinence increase the risk of falling in the elderly people. Logistic Recession Results show that old age (OR = 4.2, p = .04; 95%CI = 0.87-1.3)female (OR = 2.2, p = .03; 95%CI = 0.59-2.7)chronic disease (OR = 1.7, p = .05; 95%CI = 0.49-3.07)Poor economic situation (OR = 1.4, p = .008; 95%CI = 0.57-7.3) Low balance (OR = 9.6, p < .0001; 95%CI = 2.3-7.1)،increased the likelihood of falling elderly. Conclusion: The findings of this study showed that the rate of falling in Iranian elderly people is relatively high. The appropriate and effective preventive interventions should be made according to effective factors in falling of older adults.  

Sedentary behavior and related factors among full-time, university faculty

2015 ◽  
Vol 8 (3) ◽  
pp. 206-213 ◽  
Author(s):  
Mary Keenan ◽  
Anna Elizabeth Greer
Keyword(s):  
Physical Activity ◽  
Sedentary Behavior ◽  
Cross Sectional Study ◽  
Study Data ◽  
Faculty Members ◽  
University Faculty ◽  
Full Time ◽  
Related Factors ◽  
Cross Sectional ◽  
Content Type

Purpose – Sedentary behavior, independent of physical activity, is a risk factor for both morbidity and mortality. Little is known about factors related to sedentary behavior. The purpose of this paper is to examine the relationship between sedentary behavior and the demographic characteristics, perceived physical activity (PA) environment, and PA behaviors of 72 full-time, university faculty members. Design/methodology/approach – For this cross-sectional study, data were collected online using Survey Monkey®. Findings – Participants spent an average of 473 and 328 minutes/weekend day in sedentary activity. There was a positive correlation between minutes spent in vigorous PA and minutes spent sedentary while watching TV (p=0.047). There was a negative correlation between minutes spent in moderate PA per week and minutes spent sedentary while playing video games (p=0.034). Participants’ perceived PA environment scores were inversely related to their minutes spent in sedentary behavior during a typical weekday (p=0.027) and positively related to their minutes spent sedentary while on their computers (p=0.022). Originality/value – The study is the first to highlight the large proportion of time university faculty members spend in sedentary activities and factors that could be addressed to reduce this time.

Multimorbidity as a Risk Factor of Elder Abuse/Mistreatment in India: A Cross-Sectional Study

2020 ◽  
pp. 088626052098039
Author(s):  
T Sathya ◽  
R. Nagarajan ◽  
Y. Selvamani
Keyword(s):  
Logistic Regression ◽  
Risk Factor ◽  
Chronic Diseases ◽  
Elderly Population ◽  
Elder Abuse ◽  
Significant Risk ◽  
The Elderly ◽  
Cross Sectional ◽  
Mixed Effect ◽  
Sample Distribution

Globally, elder abuse/mistreatment is a common form of violence against the elderly. This study examines the association between multimorbidity and abuse/mistreatment among the elderly population (60+) in India. Cross-sectional data from the United Nations Population Fund (UNFPA)’s “Building Knowledge Base on Population Aging in India” (BKPAI, 2011) was analyzed. We generated a multimorbidity variable by combining 20 self-reported diagnosed chronic diseases. Bivariate analysis was used to understand the sample distribution and prevalence estimation of elder abuse/mistreatment by multimorbidity and state. Furthermore, multilevel mixed-effect logistic regression was used to examine the association between multimorbidity and elder abuse/mistreatment. The overall prevalence of elder abuse/mistreatment in the study population is 11.4%. The prevalence of elder abuse/mistreatment among elderly with no chronic diseases is 6.01% which increases to 22.7% among elderly with four or more chronic diseases. Furthermore, the result from the multilevel mixed-effect logistic regression showed a close association between multimorbidity and elder abuse. Elderly with two, three, and four or more chronic diseases are 3.02 (CI = 2.33, 3.91, p < .000), 4.16 (CI = 3.02, 5.74, p < .000), and 5.06 (CI = 3.50, 7.31, p <.000) times more likely to experience abuse/mistreatment than elderly with no chronic diseases, respectively. In specific, this association is stronger for the elderly population residing in the urban areas. Furthermore, economic status and educational attainment have a protective role in determining elder abuse/mistreatment in India. In conclusion, multimorbidity has emerged as a significant risk factor of elder abuse/mistreatment in India. Measures to prevent elder abuse should consider the role of multimorbidity.

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