A Cross-Cultural Health Study of Japanese and Caucasian Elders in Hawaii

1986 ◽  
Vol 21 (4) ◽  
pp. 267-279
Author(s):  
Marvelu R. Peterson ◽  
Charles L. Rose ◽  
Robert I. McGee

A study of 1098 Japanese and 873 Caucasians sixty years of age and over from Hawaii State Department of Health data files revealed that better health was predicted not only by younger age, higher family income, and maintenance of work role, but also by Japanese ethnicity. Standardized partial regression coefficients showed ethnic membership per se to be as important as any of the demographic variables. Canonical correlation yielded the best correlation of the independent variables with a health index made up of number of chronic conditions, number of bed days and number of restricted days, with each of equal weight. Findings suggest the importance of ethno-cultural supports in health maintenance of the elderly, and have theoretical relevance for the role of culture in health.

2013 ◽  
Vol 27 (2) ◽  
pp. 95-98 ◽  
Author(s):  
Roshan Razik ◽  
Christopher A Chong ◽  
Geoffrey C Nguyen

BACKGROUND: Traditionally regarded as a disease of the elderly, the incidence of diverticulitis of the colon has been on the rise, especially in younger cohorts. These patients have been found to experience a more aggressive disease course with more frequent hospitalization and greater need for surgical intervention.OBJECTIVE: To characterize factors that portend a poor prognosis in patients diagnosed with diverticulitis; in particular, to evaluate the role of demographic variables on disease course.METHODS: Using the Canadian Institute for Health Information Discharge Abstract Databases, readmission rates, length of stay, colectomy rates and mortality rates in patients hospitalized for diverticulitis were examined. Data were stratified according to age, sex and comorbidity (as defined by the Charlson index).RESULTS: In the cohort ≤30 years of age, a clear male predominance was apparent. Colectomy rate in the index admission, stratified according to age, demonstrated a J-shaped curve, with the highest rate in patients ≤30 years of age (adjusted OR 2.3 [95% CI 1.62 to 3.27]) compared with the 31 to 40 years of age group. In-hospital mortality increased with age. Cumulative rates of readmission at six and 12 months were 6.8% and 8.8%, respectively.CONCLUSION: In the present nationwide cohort study, younger patients (specifically those ≤30 years of age) were at highest risk for colectomy during their index admission for diverticulitis. It is unclear whether this observation was due to more virulent disease among younger patients, or surgeon and patient preferences.


2003 ◽  
Vol os10 (2) ◽  
pp. 45-48 ◽  
Author(s):  
A Graham Gilmour ◽  
Claire L Morgan

It is predicted that geriatric patients will dramatically increase in number within our working lives. Although they are considered to demand treatment less frequently than the younger age groups, there are specific issues that need to be considered when providing dental treatment for these patients. The term gerodontics has been coined to describe this subject. The need to consider family relationships and the role of carers may play a greater part in their dental management than that of the general population. As well as oral disease, the incidence of general disease is higher in this population, as is the amount of medication prescribed to treat it; these factors often complicate dental management. Special problems that will have a high dental impact on the geriatric patient may be lack of adaptive potential, poor plaque control, root caries, periodontal breakdown and levels of toothwear.


2020 ◽  
Author(s):  
Rodrigo Lopes da Silva ◽  
Zulmira da Silva Batista ◽  
Gerusinete Rodrigues Bastos ◽  
Ana Paula Almeida Cunha ◽  
Fábio Vidal Figueiredo ◽  
...  

Abstract Background: Cervical cancer is the fourth most common type of cancer affecting women globally. In Brazil, it is the third most frequent type of cancer in women and HPV is present in approximately 90% of cases. Evidence suggests that variants of HPV 16 can interfere biologically and etiologically during the development of cervical cancer. Methods: Cervix tumor fragments were collected, their DNA was extracted, and nested PCR was used to detect HPV. Positive samples were sequenced to determine the viral genotype. To characterize the HPV 16 strains, positive samples PCR was used to amplify the LCR and E6 regions of the HPV 16 virus. Results: Data from 120 patients with cervical cancer were analyzed. Most women were between 41 and 54 years of age, had schooling until primary school, a family income between 1 and 2 times the minimum wage and were married/in a consensual union. There was no statistically significant association between HPV or socio-demographic variables and risk factors for cervical cancer (P < 0.05). HPV was present in 88 women (73%). The most prevalent types were HPV 16 (47/54%), HPV 18 (12/13.8%), HPV 35 (6/6.9%) and HPV 45 (5/5.7%). Of the 47 HPV 16 positive cases, variant A (49%) was present in 23 samples, followed by variant D in 20 cases (43%), and variants B and C in 2 cases each (4%).The most prevalent histological type of HPV 16 tumors was epidermoid carcinoma, followed by adenocarcinoma. There was a statistically significant association between HPV 16 variants and the tumors’ histological types (P < 0.001).Conclusions: Knowledge of HPV 16 variants will provide data on their influence on the pathological and oncogenic aspects of cervical lesions.


2020 ◽  
Author(s):  
Rodrigo Lopes da Silva ◽  
Zulmira da Silva Batista ◽  
Gerusinete Rodrigues Bastos ◽  
Ana Paula Almeida Cunha ◽  
Fábio Vidal Figueiredo ◽  
...  

Abstract Background: Cervical cancer is the fourth most common type of cancer affecting women globally. In Brazil, it is the third most frequent type of cancer in women and HPV is present in approximately 90% of cases. Evidence suggests that variants of HPV 16 can interfere biologically and etiologically during the development of cervical cancer. Methods: Cervix tumor fragments were collected, their DNA was extracted, and nested PCR was used to detect HPV. Positive samples were sequenced to determine the viral genotype. To characterize the HPV 16 strains, positive samples PCR was used to amplify the LCR and E6 regions of the HPV 16 virus.Results: Data from 120 patients with cervical cancer were analyzed. Most women were between 41 and 54 years of age, had schooling until primary school, a family income between 1 and 2 times the minimum wage and were married/in a consensual union. There was no statistically significant association between HPV or socio-demographic variables and risk factors for cervical cancer (P < 0.05). HPV was present in 88 women (73%). The most prevalent types were HPV 16 (47/54%), HPV 18 (12/13.8%), HPV 35 (6/6.9%) and HPV 45 (5/5.7%). Of the 47 HPV 16 positive cases, variant A (49%) was present in 23 samples, followed by variant D in 20 cases (43%), and variants B and C in 2 cases each (4%).The most prevalent histological type of HPV 16 tumors was epidermoid carcinoma, followed by adenocarcinoma. There was a statistically significant association between HPV 16 variants and the tumors’ histological types (P < 0.001).Conclusions: Knowledge of HPV 16 variants will provide data on their influence on the pathological and oncogenic aspects of cervical lesions.


2020 ◽  
Author(s):  
Meng Zhang ◽  
Ping Zhang ◽  
Joseph Torres ◽  
Hong Li Huang ◽  
Guo Jian Yang ◽  
...  

Abstract Background: With evidence of a rapidly aging population globally, there is need to continuously address the wellbeing of this vulnerable age group. The concern of the subjective wellbeing of the elderly is essential for constructing a healthy and positive aging society. To promote the elderly’s subjective wellbeing, the role of character strengths and depression on subjective wellbeing for older adults needs to be explored. Methods: A large sample of 8839 elders from the 2017-2018 survey of the Chinese Longitudinal Healthy Longevity Survey (CLHLS) were included. The Chinese version of the character strengths scale, the 10-item CES-D scale (Center for Epidemiologic Studies Short Depression Scale) were applied to assess the elderly‘s character strengths and depression respectively. Self-reported quality of life (SelfQoL) and health (Selfhealth) were used to evaluate the subjective wellbeing in participants. IBM SPSS Statistics 25.0 and AMOS version 23.0 were adopted to analyze the data.Results: The average age of participants was 81.27 years. Among these elderly participants, a greater character strengths levels were more evidenced and pronounced among those with a younger age, longer years of education, higher household income, greater social security and social insurance, less depression, higher SelfQoL and Selfhealth levels. Depression had a partial mediation effect of character strengths on self-reported subjective wellbeing, which explained a 36% in total variance (R2=0.36). In addition, character strengths had a statistically significant positive and direct effect on subjective wellbeing (β= 0.290, P<0.001). Furthermore, the indirect effect of character strengths to subjective wellbeing was: β=(-0.603)*(-0.378)=0.228. Conclusion: Depression is an unignored mediator that regulates the effect of character strengths on subjective wellbeing in the elderly. Character strengths and depression may be the new intervention targets to promote and enhance the elderly's subjective wellbeing. Future tailored intervention should focus on relieving the elderly's depression and promoting the development of their character strengths.


2020 ◽  
Vol 9 (4) ◽  
pp. 127-131
Author(s):  
Beata Haor ◽  
◽  
Aleksandra Krychowiak ◽  
Agnieszka Królikowska ◽  
◽  
...  

Introduction. Falls and mobility disorders are classified as large geriatric syndromes, which in turn lead to deficits in the functional fitness of the elderly. Aim. Fall risk analysis in the group of hospitalized seniors, including socio-demographic variables. Material and Methods. The research used the estimation and diagnostic survey method, the estimation scale technique and questionnaires. The research tool was the Tinetti questionnaire. The research was conducted among 100 seniors during their hospitalization. Results. Seniors in younger age categories, with higher education level, married and living with a family, scored higher on the Tinetti scale. Conclusions. Hospitalization, age advancement, lower education, single marital status and lonely household management by seniors significantly increased the risk of their falls. Gender was not a factor that significantly differentiated the risk of falling. (JNNN 2020;9(4):127–131) Key Words: fall, older adults, risk


2013 ◽  
Vol 4 (1) ◽  
pp. 25
Author(s):  
Fayez A. Simadi

This study examines the effect of some demographic variables such as educational achievement, income, residence, profession and gender on parents’ beliefs about their competence to deal with their adolescent children’s behavioral problems. The adolescent behavioral problems investigated in this study include failure in school, alcoholism and addiction to drugs. A group of 350 parents of adolescent children was randomly selected from several districts in the Governorate of Muscat in the Sultanate of Oman. The researcher developed a questionnaire to measure the impact of these variables on certain behavioral problems specifically identified for the study. ANOVA was used to examine the role of socio-demographic variables in explaining parents’ beliefs about their competence to prevent such problems. Results reveal a positive impact for the variables: educational achievement, occupation, family income, gender, and place of residence. To investigate the effects of these sociodemographic factors on each of the dimensions of competence, MANOVA was used. Results show that there is a direct relationship between the variable of level of income and children’s failure in school, and that the variable of gender and the problem of alcoholism and drug addiction are related. Finally, the variable of place of residence is related to the problems of alcoholism, addiction to drugs and school failure. These results were discussed in light of findings of similar previous studies and within the framework of the Omani social lifestyles. 


2020 ◽  
Vol 25 (3) ◽  
pp. 162-173 ◽  
Author(s):  
Sascha Zuber ◽  
Matthias Kliegel

Abstract. Prospective Memory (PM; i.e., the ability to remember to perform planned tasks) represents a key proxy of healthy aging, as it relates to older adults’ everyday functioning, autonomy, and personal well-being. The current review illustrates how PM performance develops across the lifespan and how multiple cognitive and non-cognitive factors influence this trajectory. Further, a new, integrative framework is presented, detailing how those processes interplay in retrieving and executing delayed intentions. Specifically, while most previous models have focused on memory processes, the present model focuses on the role of executive functioning in PM and its development across the lifespan. Finally, a practical outlook is presented, suggesting how the current knowledge can be applied in geriatrics and geropsychology to promote healthy aging by maintaining prospective abilities in the elderly.


2019 ◽  
Vol 11 (1) ◽  
pp. 51-56
Author(s):  
RIANI PRADARA JATI ◽  
Sekar Farah Nabila

  Penempatan peran yang baik bagi Family Caregiver sangatlah membantu lansia dalam meningkatkah qualitas hidupnya, meningkatkan motivasi dalam menjalankan hidup Penelitian ini bertujuan Mengetahui hubungan peran Family Caregiver dalam pemenuhan qualitas hidup bagi lansia di Kelurahan Langenharjo Kabupaten Kendal. DesainPenelitianDeskriptifKorelasional menggunakan pendekatan Krosectional,tehnikSamplingStratified Simple Random Sampling dengan karakteristik heterogen, dari populasi mempunyai hak yang sama untuk diseleksi sebagai sampel teknik undianPengambilan data dengan menggunakan kuesioner yang telah diuji validitas dan reliabilitasnya. Uji statistik Chi-square, dengan taraf signifikasi 5%jumlah sampel pada penelitian ini 70 sampel pada Family Caregiver dari 213 populasi yang ada. Hasil penelitian dari 70 responden didapatkan Peran Family Caregiver tidak baik dengan qualitas hidup tidak baik 33 (47,1%), sedangkan Peran Family Caregiver kurang baik dengan qualitas hidup lansia baik 3 (4,3%). Untuk distribusi Peran Family Caregiver kurang baik dengan qualitas hidup lansia tidak baik sebanyak 6 responden (8,6%) sedangkan untuk distribusi Peran Family Caregiver kurang baik dengan qualitas hidup lansia baik sebanyak 23 responden (32,9%). Terakhir, untuk distribusi Peran Family Caregiver baik dengan qualitas hidup lansia tidak baik didapatkan hasil 2 responden (2, 9%) sedangkan untuk distribusi Peran Family Caregiver baik dengan qualitas hidup lansia baik didapatkan hasil 3 responden (4,3%)Menunjukkan nilai ρ value 0,001 (ρ < 0,05) berarti ada hubungan antara dukungan keluarga dengan kepatuhan lansia dalam keikutsertaan posyandu lansia. Disarankan kepada semua Family Cregiver lansia untuk mampu memahami pentingnya perhatian, dukungan bagi lansia dalammeningkatkan qualitas hidup yang lebih baik bagi lansia.   Kata kunci : Peran family caregiver, qualitas hidup, lansia.   ABSTRACT Placement of a good role for Family Caregiver is very helpful for the elderly to improve their quality of life, increase motivation in living life Research Objective: To know the relationship between the role of Family Caregiver in fulfilling quality of life for the elderly in Langenharjo Village, Kendal Regency. Descriptive Correlational Research Design uses a cross sectional approach, Sampling Stratified Simple Random Sampling technique with heterogeneous characteristics, from the population has the same right to be selected as a sample lottery technique Retrieving data using a questionnaire that has been tested for validity and reliability. Test Chi-square statistics, with a significance level of 5% the number of samples in this study 70 samples on the Family Caregiver from 213 populations. Results of the Study Of 70 respondents found the role of Family Caregiver was not good with poor quality of life 33 (47.1%) , while the role of the Family Caregiver is not good with the quality of life of a good elderly 3 (4.3%). For the distribution of the role of Family Caregiver is not good with the quality of life of the poor family as many as 6 respondents (8.6%) while for the distribution of the Role of Family Caregiver is not good with the quality of life of good elderly as many as 23 respondents (32.9%). Finally, the distribution of the Role of Family Caregiver with good quality of life for the poor is obtained by 2 respondents (2, 9%), while the distribution of the Role of Family Caregiver with good quality of life for the elderly is obtained by 3 respondents (4.3%). 0.001 (ρ <0.05) means that there is a relationship between family support and the compliance of the elderly in the participation of the elderly posyandu. It is recommended to all elderly Cregiver families to be able to understand the importance of attention, support for the elderly in improving the quality of life better for the elderly   Keywords: Role of Family Caregiver, Quality of Life, Elderly


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