scholarly journals Prevalence of Poor Self-Rated Health and Associated Risk Factors among Older Adults in Cali, Colombia

2013 ◽  
pp. 224-231 ◽  
Author(s):  
Jose Mauricio Ocampo-Chaparro ◽  
Helmer de Jesus Zapata-Ossa ◽  
Angela M Cubides-Munévar ◽  
Carmen Lucia Curcio ◽  
Juan de Dios Villegas ◽  
...  

Introduction: Self-rated health (SRH) has beeen considered an important marker of quality of life and an independent predictor of mortality in older adults. Objective: To determine the prevalence of poor SRH and identify risk factors associated with poor SRH among older adults residing in the Commune 18 of the city of Cali, Colombia, in 2009. Methods: A population-based cross-sectional study with a single-stage cluster sampling design. Sample included 314 persons aged 60 and older. The dependent variable, SRH was dichotomized into good (excellent, very good, good) and poor (fair, poor). Independent variables were sociodemographic, biological, mental, functional and geriatric syndromes. Logistic regression was used for multivariate statistical modeling. Results: Overall, 40.1% reported poor SRH (women 42.9%, men 35.0%). Factors independently associated with poor SRH were diabetes mellitus, depression, fear of falling and frailty syndrome (frail and pre-frail vs. non-frail). Widowed men reported poorer health than married men while other marital status (single/separated/divorced) was associated with better self rated health in women. Conclusion: Potential modifiable factors such as depression and frailty syndrome are important determinants for poor SRH in Colombian older adults.

2020 ◽  
Vol 54 ◽  
pp. 24
Author(s):  
Nathalia Silva de Lima Loureiro ◽  
Thatiana Lameira Maciel Amaral ◽  
Cledir De Araújo Amaral ◽  
Gina Torres Rego Monteiro ◽  
Maurício Teixeira Leite de Vasconcellos ◽  
...  

OBJECTIVE: To analyze the association between anthropometric variables and cardiovascular risk factors in adults and older adults of Rio Branco, Acre. METHODS: A population-based cross-sectional study with 641 adults and 957 older adults was conducted. The statistical analyses consisted of the distribution of anthropometric variables according to the cardiovascular risk factors by frequency and dispersion measures. Pearson’s correlation coefficient and prevalence ratios (PR) were estimated with their respective 95% confidence intervals (95%CI) using the SPSS® version 20.0. RESULTS: Moderate correlations were obtained in adult men for waist-hip ratio and total cholesterol (r = 0.486; p < 0.001) and for waist-hip and triglyceride ratios (r = 0.484; p < 0.001). The highest prevalence of hypertension and diabetes in adults were observed in men; in the older adults, the prevalence of hypertension was above 65% in both sexes. The prevalence of dyslipidemia was above 78% in obese adults and older adults. When analyzing the associations, a higher strength of association was found between arterial hypertension and waist-to-stature ratio (PR = 13.42; 95%CI 12.58–14.31) and body mass index greater than 30 kg/m2 (PR = 6.61; 95%CI 6.34–6.89) in adult men. In the analysis of diabetes, the waist-hip ratio presented greater robustness in the association for women (PR = 7.53; 95%CI 6.92–8.20) and men (PR = 9.79; 95%CI 9.14–10.49). CONCLUSION: Anthropometric variables are important predictors of cardiovascular risk; however, their assessments should be performed independently, according to sex and age group.


BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e054435
Author(s):  
Wei Yang ◽  
Jinsong Han ◽  
Bowen Wang ◽  
Tianjiao Zhang ◽  
Wei Sun

BackgroundSelf-rated health (SRH) has been well documented as an important assessment of health status among the older adults. Interestingly, visual ability has been reported to have a considerable impact on the quality of life of the older adults. This study clarified vision-specific risk factors impacting SRH among older men without cognitive impairment in order to optimise healthcare for the older adults.MethodsA population-based cross-sectional study was conducted in urban areas of Liaoning Province. A stratified sampling method was used and all men aged ≥65 years and living in sampled communities without dementia were interviewed between March and November 2012. SRH, visual ability and factors including demographic characteristics, physical conditions, lifestyle factors, social psychological factors and social activities, were measured. 1884 effective responses were received (effective response rate, 84.8%) and 1724 individuals were enrolled after further cognitive screening.ResultsThe mean age was 72.9±5.9 (mean±SD). Of individuals with good and poor visual ability, 38.3% and 33.0% reported good SRH, respectively. The characteristics between different visual ability groups were significantly different. Interactions between visual ability and four items had significant effects on SRH. In good visual ability group, chronic disease had the strongest association with good SRH followed by participating in entertainment, taking a walk, filial piety and alcohol consumption. In poor visual ability group, taking a walk had the strongest association with good SRH followed by participating in entertainment, hearing ability, smoking, quality of sleep, going out alone to distant places and alcohol consumption.ConclusionsA good SRH status, even among the individuals with good visual ability, had a low prevalence among older men in urban areas. The risk factors impacting SRH was vision-specific. Physical conditions were crucial for SRH among those with good visual ability. In contrast, lifestyle factors were prominent for those with poor visual ability.


2019 ◽  
Vol 8 ◽  
pp. e935
Author(s):  
Marzieh Bakhshayeshkaram ◽  
Jamshid Roozbeh ◽  
Sayed Taghi Heydari ◽  
Behnam Honarvar ◽  
Mohammad Hossein Dabbaghmanesh ◽  
...  

Background: Currently we face a significant increase in the new cases of end-stage renal disease in developing countries. Hence it seems vital to work on strategies and reduce its development and progression. Determining the related risk factors can provide insight into achieving these policy-making goals. Therefore, this study was conducted in order to identify risk factors associated with chronic kidney disease in Iranian adult population. Material and Methods: This cross-sectional study was performed in Shiraz, through a random cluster sampling in 819 including 340 male and 479 female adult participants. Body mass indexes, waist circumference, blood pressure and biochemical profile were assessed. We evaluated the prevalence of CKD according to glomerular filtration rate (GFR) as well as possible risk factors. GFR was calculated based on “Chronic Kidney Disease Epidemiology Collaboration” creatinine equation. Result:  Mean age of our participants were 43.0± 14.0 years, and 58.5% were female. Our results showed 16.6% of patients with GFR less than 60 mL/min per 1.73. The proportion of participants having hypertension, obesity, high waist circumference, diabetes mellitus and history of cardiovascular disease were 17.3%,19.3%, 35%,9.4% and 5.3 %, respectively. Multiple regression analysis indicated an independent correlation between age, sex, dyslipidemia, and hypertension with CKD. Conclusion: This study indicates that CKD is a substantial health burden in Iranian adult population. Additionally, the results of this study addressed the importance of integrated strategies that aimed to identify, prevent, and treat non-communicable diseases fueling the development of CKD. [GMJ. 2019;8:e935]


2019 ◽  
Vol 8 ◽  
pp. 935 ◽  
Author(s):  
Marzieh Bakhshayeshkaram ◽  
Jamshid Roozbeh ◽  
Sayed Taghi Heydari ◽  
Behnam Honarvar ◽  
Mohammad Hossein Dabbaghmanesh ◽  
...  

Background: Currently we face a significant increase in the new cases of end-stage renal disease in developing countries. Hence it seems vital to work on strategies and reduce its development and progression. Determining the related risk factors can provide insight into achieving these policy-making goals. Therefore, this study was conducted in order to identify risk factors associated with chronic kidney disease in Iranian adult population. Material and Methods: This cross-sectional study was performed in Shiraz, through a random cluster sampling in 819 including 340 male and 479 female adult participants. Body mass indexes, waist circumference, blood pressure and biochemical profile were assessed. We evaluated the prevalence of CKD according to glomerular filtration rate (GFR) as well as possible risk factors. GFR was calculated based on “Chronic Kidney Disease Epidemiology Collaboration” creatinine equation. Results:  Mean age of our participants were 43.0± 14.0 years, and 58.5% were female. Our results showed 16.6% of patients with GFR less than 60 mL/min per 1.73. The proportion of participants having hypertension, obesity, high waist circumference, diabetes mellitus and history of cardiovascular disease were 17.3%,19.3%, 35%,9.4% and 5.3 %, respectively. Multiple regression analysis indicated an independent correlation between age, sex, dyslipidemia, and hypertension with CKD. Conclusion: This study indicates that CKD is a substantial health burden in Iranian adult population. Additionally, the results of this study addressed the importance of integrated strategies that aimed to identify, prevent, and treat non-communicable diseases fueling the development of CKD. [GMJ. 2019;8:e935]


2014 ◽  
Vol 48 (5) ◽  
pp. 714-722 ◽  
Author(s):  
Flávia Silva Arbex Borim ◽  
Anita Liberalesso Neri ◽  
Priscila Maria Stolses Bergamo Francisco ◽  
Marilisa Berti de Azevedo Barros

OBJECTIVE To analyze the association between negative self-rated health and indicators of health, wellbeing and sociodemographic variables in older adults. METHODS Cross-sectional study that used data from a population-based health survey with a probability cluster sample that was carried out in Campinas, SP, Southeastern Brazil,, in 2008 and 2009. The participants were older adults (≥ 60 years) and the dependent variable was self-rated health, categorized as: excellent, very good, good, bad and very bad. The adjusted prevalence ratios were estimated by means of Poisson multiple regression. RESULTS The highest prevalences of bad/very bad self-rated health were observed in the individuals who never attended school, in those with lower level of schooling, with monthly per capita family income lower than one minimum salary. Individuals who scored five or more in the physical health indicator also had bad self-rated health, as well as those who scored five or more in the Self-Reporting Questionnaire 20 and those who did not refer feeling happiness all the time. CONCLUSIONS The independent effects of material life conditions, physical and mental health and subjective wellbeing, observed in self-rated health, suggest that older adults can benefit by health policies supported by a global and integrative view of old age.


2014 ◽  
Vol 94 (10) ◽  
pp. 1410-1420 ◽  
Author(s):  
Brendon Stubbs ◽  
Laura H.P. Eggermont ◽  
Sandhi Patchay ◽  
Pat A. Schofield

Background Pain interference and psychological concerns related to falls (PCRF) are pervasive phenomena among community-dwelling older adults, yet their association remains elusive. Objective The purpose of this study was to establish whether pain interference is associated with PCRF in community-dwelling older adults. Design This was a multisite cross-sectional study. Method Two hundred ninety-five community-dwelling older adults (mean age=77.5 years, SD=8.1; 66.4% female) participated in the study. All participants completed the Brief Pain Inventory (BPI) interference subscale, Short Falls Efficacy Scale–International (FES-I), Activities-specific Balance Confidence Scale (ABC), modified version of the Survey of Activities and Fear of Falling in Elderly Scale (mSAFFE), and Consequences of Falling Scale (CoF). Hierarchical multiple regression analysis were conducted. In the first step of the study, sociodemographic and known risk factors for psychological concerns related to falls were inserted into the model, followed by the BPI interference subscale score in the second step. Results One hundred sixty-nine participants (57.3%) reported some pain interference. The BPI interference subscale was highly correlated with all PCRF (r&gt;.5, P&lt;.0001). After the adjustment for established risk factors, the BPI interference subscale significantly increased the variance in the Short FES-I (R2 change=13.2%), ABC (R2 change=4.7%), mSAFFE (R2 change=5.0%), and CoF (R2 change=10.0%). Pain interference was a significant and independent predictor in the final model for the Short FES-1 (β=0.455, P&lt;.001), ABC (β=−0.265, P&lt;.001), mSAFFE (β=0.276, P&lt;.001), and CoF (β=0.390, P&lt;.001). Limitations The study was cross-sectional. Conclusions Pain interference is an important contributing factor in each of the psychological concerns related to falls. Pain interference had the strongest impact on reducing falls efficacy and increasing older adults' concerns about the consequences of falling.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Bingsi Gao ◽  
Yu-Ligh Liou ◽  
Yang Yu ◽  
Lingxiao Zou ◽  
Waixing Li ◽  
...  

AbstractThis cross-sectional study investigated the characteristics of cervical HPV infection in Changsha area and explored the influence of Candida vaginitis on this infection. From 11 August 2017 to 11 September 2018, 12,628 outpatient participants ranged from 19 to 84 years old were enrolled and analyzed. HPV DNA was amplified and tested by HPV GenoArray Test Kit. The vaginal ecology was detected by microscopic and biochemistry examinations. The diagnosis of Candida vaginitis was based on microscopic examination (spores, and/or hypha) and biochemical testing (galactosidase) for vaginal discharge by experts. Statistical analyses were performed using SAS 9.4. Continuous and categorical variables were analyzed by t-tests and by Chi-square tests, respectively. HPV infection risk factors were analyzed using multivariate logistic regression. Of the total number of participants, 1753 were infected with HPV (13.88%). Females aged ≥ 40 to < 50 years constituted the largest population of HPV-infected females (31.26%). The top 5 HPV subtypes affecting this population of 1753 infected females were the following: HPV-52 (28.01%), HPV-58 (14.83%), CP8304 (11.47%), HPV-53 (10.84%), and HPV-39 (9.64%). Age (OR 1.01; 95% CI 1–1.01; P < 0.05) and alcohol consumption (OR 1.30; 95% CI 1.09–1.56; P < 0.01) were found to be risk factors for HPV infection. However, the presence of Candida in the vaginal flora was found to be a protective factor against HPV infection (OR 0.62; 95% CI 0.48–0.8; P < 0.001). Comparing with our previous study of 2016, we conclude that the subtype distribution of HPV infection is relatively constant in Changsha. Our data suggest a negative correlation between vaginal Candida and HPV, however, more radical HPV management is required in this area for perimenopausal women and those who regularly consume alcohol.


Sign in / Sign up

Export Citation Format

Share Document