scholarly journals Emerging Multimorbidity Patterns and Its Linkages With Selected Health Outcomes Among Working-Agegroup Population: Findings From Odisha, India

2021 ◽  
Author(s):  
Sanghamitra Pati ◽  
Parul Puri ◽  
Priti Gupta ◽  
Meely Panda ◽  
Pranab Mahapatra
Keyword(s):  
Latent Class ◽  
Economic Status ◽  
Binary Logistic Regression ◽  
Public Health Care ◽  
Age Group ◽  
Disease Clusters ◽  
Co Morbidity ◽  
Aboriginal Ethnicity ◽  
Working Age ◽  
The Individual

Abstract The study utilized data on 2912 individuals in the age-group 15-64 years collected under the burden of diseases study among patients attending public health care settings of Odisha, India. The findings suggested that 2.4% of the individuals in the working age-group were affected with multimorbidity. We utilized a latent class analysis (LCA) to identify commonly occurring disease clusters. Based on the LCA model fits, i.e., lowest AIC and BIC values, two latent disease classes were identified. These classes were named low co-morbidity and Hypertension-Diabetes-Arthritis; based on the item responseprobabilities. Binary logistic regression adjusted for age, sex, ethnicity, educationlevel, marital status, socio-economic status, residence, and health insurance, highlighted thatage, belonging to a non-aboriginal ethnicity and urban area increased the risk of being in the‘Hypertension-Diabetes-Arthritis’group compared to ‘low-comorbidity’ group. Furthermore, 50% of the individual in the ‘Hypertension-Diabetes-Arthritis’ group reportedpoor quality of life, whereas 30% reported poor self-rated health (SRH) compared to only11% reporting poor SRH in the ‘low-comorbidity’ group. Additionally, the mean healthscore reported by the individuals in the ‘Hypertension-Diabetes-Arthritis’ group was 39.9(scale 0-100) compared to 46.9 by their counterparts.

scholarly journals Who are the limited users of digital systems and media? An examination of U.K. evidence

First Monday ◽  
2020 ◽  
Author(s):  
Simeon J. Yates ◽  
Elinor Carmi ◽  
Eleanor Lockley ◽  
Alicja Pawluczuk ◽  
Tom French ◽  
...  
Keyword(s):  
Latent Class ◽  
Class Group ◽  
Narrow Range ◽  
Economic Status ◽  
Binary Logistic Regression ◽  
Demographic Variables ◽  
Digital Systems ◽  
Social Variables ◽  
International Policy ◽  
Literacy Survey

This paper presents findings on the correspondence of levels of digital systems and media use with a range of socio-economic and demographic measures in the U.K. Most research on inequalities in regard to digital systems and media has focused on access and skills. Building on prior work (Yates and Lockley, 2018; Yates, et al., 2015) we argue that inequalities in regard to digital systems and media are better understood around types of user and their correspondence to other key social variables — rather than solely individual skills and access. The analysis presented here covers a range of key demographic variables, especially those that are markers of distinct social disadvantage. We find that those not using the Internet have distinct characteristics — predominantly around age, education and deprivation levels. We also find that those undertaking limited uses (overall limited use or a very narrow range of uses) are all predominantly from lower socio-economic status backgrounds with variations due to age and education. The data used for the analysis is the recent U.K. Ofcom 2018–19 (n = 1,882) media literacy survey. The paper uses latent class analysis methods to inductively define user types. Multinomial and binary logistic regression are used to explore the correspondence of latent class group membership to key demographic variables. These insights have direct U.K. and international policy relevance as they are key to the development of strategies to tackle ongoing digital inequalities in U.K. society.

scholarly journals ADOLESCENT AGE GROUP

2006 ◽  
Vol 13 (04) ◽  
pp. 543-549
Author(s):  
MEHNAZ KHAKWANI ◽  
NABILA TARIQ ◽  
HASAN IMRAN ZAIDI
Keyword(s):  
Economic Status ◽  
Somatic Growth ◽  
Population Based ◽  
Cycle Duration ◽  
Age Group ◽  
Secondary Sexual Characteristics ◽  
Estrogen Production ◽  
Sexual Characteristics ◽  
The Individual ◽  
Population Based Survey

Introduction: Puberty in girls is the phase of transition from childto mature woman. Menarche is the first menstrual period at puberty. The individual then becomes functionally capableof reproduction. Normally, it is a coherent process involving estrogen production, increased somatic growth anddevelopment of secondary sexual characteristics. Objective: To investigate the normal menstrual cycles and menstrualdisorders in adolescent age group. Study design: Population based survey. Setting: Study was conducted in thevarious schools of Multan city. Material and Methods: 500 school going girls. Results: The pattern of menstrualbleeding among Pakistani girls. Majority of the (i.e. 170 (34%) girls had normal pattern of bleeding. The day of heaviestflow was day 2 i.e. 292(49%) followed by day 1 i.e. 192(38.4%) of the cases. Menorrhagia as revealed by passage ofclots was present in 65(13%) of the cases. Majority of girls had their cycle duration between 28-30 days. More than85% of girls used home made pads during periods. Majority 156(48.4%) of girls had dysmenorrhoea for 1st and 2nd dayof the cycle. Dysmenorrhoea was found to be present in 322(64.4%) of the girls. About half of subjects developeddysmenorrhoea with the onset of menarche and about quarter started having dysmenorrhoea 3 months after menarche.Minority of the girls received education or information regarding periods prior to menarche. The majority was educatedeither with or after the menarche. Majority of subjects belonged to middle socio-economic status. Majority of girls hadregular periods since menarche. Majority of the remaining had irregular periods for sometimes due to anovulatorycycles which were spontaneously normalized. Those girls who had irregular periods, in majority of cases the irregularitywas corrected spontaneously after 3 months probably favouring earlier anovulatory cycles. Premenstrual symptomswere complained by 258(51.6%) of the girls. Majority 248(49.6%) of girls took menstruation as normal change of life.In majority 248(62.5%) of cases the mother and elder sister provided the information. Out of 500 girls, 397(79.4%) girlswere either informed or educated about periods.

Health Status of Senior Citizens: A Cross-sectional study

2020 ◽  
Vol 11 (01) ◽  
Author(s):  
Priyanka Beniwal ◽  
Chandrakala Singh
Keyword(s):  
Health Status ◽  
Senior Citizens ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Age Group ◽  
Poor Health Status ◽  
Cross Sectional ◽  
Males And Females ◽  
The Individual ◽  
Average Health

Aging is a series of processes that begin with life and continue throughout the lifecycle. It represents the closing period in the lifespan, a time when the individual looks back on life, lives on past accomplishments and begins to finish off his life course. It represents the accumulation of changes in person over time. The study aims to investigate the health status of senior citizens. The present study was carried out in Hisar and Sirsa district of Haryana state. A total of 400 elderly equally representing both males and females of age group 65-70 years were selected randomly for the study. Modified inventory developed by Khan and Lal (2011) was used to assess health status of senior citizens. The results of the study elucidated that health status of senior citizens depicted that 54.25 per cent of the total respondents had average health status followed by good (25.25%) and poor health status (20.50%). The most common health problems reported by the senior citizens were joint pains, back pains, blood pressure, and chest pain etc. Gender wise comparison of total sample further pointed out that females were poor in their health against males.

Optimization of the care model for elderly in Poland

Physiotherapy ◽  
2013 ◽  
Vol 21 (4) ◽  
Author(s):  
Felicja Lwow ◽  
Małgorzata Korzeniowska ◽  
Joanna Dadacz ◽  
Ewa Hladik ◽  
Agata Łukojko ◽  
...  
Keyword(s):  
Health Care ◽  
Chronic Conditions ◽  
Institutional Care ◽  
Developed Countries ◽  
Social Aspect ◽  
Age Group ◽  
Care Needs ◽  
Optimal Health ◽  
Health Care Models ◽  
The Individual

AbstractThe demographic situation of Poland as well as other developed countries shows a growing number of people at retirement age. According to the data from GUS (Central Statistical Office), their number reached 6.5 mln in Poland in 2011, and the prognosis for shows 8,3 mln by the year 2035. The consequence of this fact is a necessity of including the specificity of this age group in the functioning of Polish health care as well as in preventive medicine and health promotion. Unifying the health needs of this age group would be disadvantageous due to the diversification of physical efficiency level in the psychosomatic and social aspect. Nevertheless, the key problem is to distinguish the optimal health care models which include not only chronic conditions and dysfunctions but also the quality of life and socially independent life style that guarantee the lack of isolation and social exclusion. Distinguishing the four action models, namely people considered as healthy by the system, autonomously functioning people with chronic conditions, and people who need other people or institutional care to function in a society, seems to cover the individual needs of this group. Concluding, the National Health Care needs to work out some proceeding algorithms for these models. The optimal program adjustment for the needs of the target group would most certainly improve the effectiveness of the Health Care.

Socio-Economic Profile of Farm Households in Cotton Belt of Rural Punjab

2020 ◽  
pp. 144-151
Keyword(s):  
Secondary Level ◽  
Farm Households ◽  
General Category ◽  
Age Group ◽  
The Family ◽  
Working Age ◽  
Economic Profile ◽  
Land Holdings ◽  
Average Size ◽  
Cotton Belt

This paper examined the socio-economic profile of farm households in the cotton belt of Rural Punjab. The result revealed that as a whole, more than two-thirds fall in the working-age group of 15-59 years. The average size of the family worked out to be 5.74 and the average size of owned land holdings was 11.50 acres. The data highlights that 34.96 percent were earners, 31.39 percent were earning dependents and 33.65 percent of the persons were dependents. The major proportion (88.46 percent) of total sampled households followed Sikhism and as many as 87.50 percent were from the general category. About 23 percent of the sampled persons were illiterate and literacy levels were found to be positively linked with the size of landholdings. About 34 percent of the heads of sampled farmer households were illiterate and the majority of the heads of sampled farmer households had education below secondary level. None of the heads among marginal farmers had obtained education up to graduation level, whereas, this proportion was 7.41 for the large farmers. The study points out that overall only 11.54 percent of the sampled farm households read the newspaper. There is a need for effective measures which could enhance the educational and awareness levels of farmers and their family members for raising their levels of living.

Socio-Economic Profile of Labour Households in Rural Punjab

2020 ◽  
pp. 306-311
Keyword(s):  
Rural Areas ◽  
Good Condition ◽  
Family Type ◽  
Age Group ◽  
Employment Opportunities ◽  
Nuclear Families ◽  
The Family ◽  
Working Age ◽  
Average Condition ◽  
Economic Profile

The present paper is an attempt to analyze the socio-economic profile of the labour households in rural Punjab. The study revealed that majority of rural labour households belonged to the scheduled caste category. As far as the distribution of sampled rural labour households according to the family type was concerned, it was found that 46.42 percent of the total rural labour households had nuclear families, while the remaining 53.58 percent have joint families. Majority of the rural labourers were living in semi-pucca houses. Further, if we look at the housing condition, 54.72 percent of rural labourers owned the houses of average condition, 40.19 percent owned good condition households and 5.09percent owned dilapidated houses. The analysis further showed that as many as 20.35percentof the sampled labour population was illiterate. A few persons from sampled labour households educated above matric. Although large majority of the sampled labour population were from the working-age group yet the ratio of dependents was high among rural labour households. This was due to lower employment opportunities in rural areas.

scholarly journals The impact of end-userś participation (cancer patients) during the optimization process

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Houwaart
Keyword(s):  
End Users ◽  
Public Health Care ◽  
Optimization Process ◽  
Patient Organization ◽  
End User ◽  
The Public ◽  
Patient Organizations ◽  
Crucial Information ◽  
The Individual ◽  
The Impact

Abstract End-user (e.g. patients or the public) testing of information material is becoming more common in the German public health care system. However, including the end-user (in this case patients) in an optimisation process and thus enabling a close collaboration while developing PIMs is still rare. This is surprising, given the fact that patients provide the exact perspective one is trying to address. Within the isPO project, a patient organization is included as a legal project partner to act as the patient representative and provide the patient's perspective. As such, the patient organization was included in the PHR approach as part of the PIM-optimisation team. During the optimisation process, the patients gave practical insights into the procedures of diagnosing and treating different types of cancer as well as into the patient's changing priorities and challenges at different time points. This was crucial information for the envisioned application of the individual PIMs and their hierarchical overview. Moreover, the developed PIM-checklist enabled the patients to give detailed feedback to the PIMs. With their experience of being in the exact situation in which the PIMs will be applied, their recommendations, especially on the wording and layout of the materials, have been a valuable contribution to the PIM optimisation process. In this part of the seminar, we will take a closer look at the following skill building aspects: What is gained from including patients as end-users in the development and optimization of PIM?How can we reach patients to contribute to a PIM optimization process? Which requirements and prerequisites do patients have to provide to successfully work on an optimisation team?How to compromise and weigh opinions when different ideas occur? Altogether, this part will construct a structured path of productive patient involvement and help to overcome uncertainties regarding a collaboration with patient organizations.

scholarly journals Characteristics of visits and predictors of admission from a paediatric emergency room in Saudi Arabia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mohammad H. Al-Qahtani ◽  
Abdullah A. Yousef ◽  
Bassam H. Awary ◽  
Waleed H. Albuali ◽  
Mohammed A. Al Ghamdi ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Hospital Admission ◽  
Hospital Admissions ◽  
Binary Logistic Regression ◽  
Total Sample ◽  
Age Group ◽  
Chi Squared ◽  
Improper Use ◽  
Level Shifts ◽  
The Impact

Abstract Background The Emergency Repartment (ER) is one of the most used areas in healthcare institutions. Problems with over utilisation and overcrowding have been reported worldwide. This study aims at examining the characteristics of paediatric ER visits, the rate of hospital admissions and its associated predictors at King Fahd Hospital of the University in the Eastern Province of Saudi Arabia. Methods This is a retrospective, medical record-based study. Variables included gender, age group, nationality, complaints, Triage level, shifts and seasons. Descriptive statistics were reported as frequencies/percentages. P-values were obtained through a Chi-Squared test while unadjusted and adjusted odds ratios were estimated by binary logistic regression, where admission was considered as the outcome. Results The total number of paediatric patients included was 46,374, and only 2.5% were admitted. Males comprised 55.4% while females comprised 44.6%. The most common age group were toddlers, and 92.4% of the total sample were Saudis. The most common complaint was fever (26.9%) followed by respiratory symptoms (24.9%). Only 7 patients (0.02%) were classified as triage I (Resuscitation), and most were triage IV (Less urgent) (71.0%). Most visits occurred during the winter months. Adjusted ORs showed that neonates had higher odds of admission (OR = 3.85, 95%CI = 2.57–5.76). Moreover, those presenting with haematological conditions showed an OR of 65.49 (95%CI = 47.85–89.64), followed by endocrine conditions showing an OR of 34.89 (95%CI = 23.65–51.47). Triage I had a very high odds of admission (OR = 19.02, 95%CI = 2.70–133.76), whereas triage V was associated with a very low odds of admission (OR = 0.30, 95%CI = 0.23–0.38). Conclusions A low rate of hospital admission was found in comparison with other rates worldwide. This was mostly attributed to an alarmingly high number of non-urgent ER visits. This further emphasises the problem with improper use of ER services, as these cases should be more appropriately directed towards primary healthcare centres. Further studies to examine the impact of prioritising patients in the ER based on the identified predictors of hospital admission, in addition to the standard triage system, are suggested.

scholarly journals Barriers to Formal Help-Seeking Behavior by Battered Turkish Women According to Sociodemographic Factors

2020 ◽  
Vol 13 (1) ◽  
pp. 165
Author(s):  
Abdulkadir Keskin ◽  
Filiz Karaman
Keyword(s):  
Violence Against Women ◽  
Help Seeking ◽  
Binary Logistic Regression ◽  
Sociodemographic Factors ◽  
Age Group ◽  
Help Seeking Behavior ◽  
Turkish Women ◽  
Chi Square ◽  
Statistical Institute ◽  
Seeking Behavior

Violence against women is a significant sociological problem that negatively affects society. Although violence against women is widespread worldwide, the help-seeking behavior of women exposed to violence remains underdeveloped. In this study conducted in Turkey, the formal help-seeking behavior of women exposed to violence was studied according to sociodemographic factors. Data were obtained from surveys on domestic violence against women from the Turkish Statistical Institute (TURKSTAT), which was held in 2008 and 2014. Chi-square and binary logistic regression analyses are used in this study. The dependent variable is determined as whether women who had experienced violence sought help from formal institutions. In order to explain the dependent variable, education, age group, region, and sociodemographic variables are used. According to the results, as the education level of women exposed to violence increases, help-seeking behavior through official means also increases. In addition, women with a personal income are more likely to seek formal help than those without, and the development of the sociocultural region inhabited affects the formal help-seeking behavior of women exposed to violence. Between 2008 and 2014, legal regulations on women’s rights in Turkey were seen to positively affect formal help-seeking behavior. Although the formal help-seeking behavior of women subjected to violence in 2014 increased significantly compared to 2008, this improvement is not sufficient.

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