INFLUENCE OF THE LEVEL OF EDUCATION ON THE DEGREE OF COMPLIANCE OF THE POPULATION OF OLDER AGE GROUPS

Author(s):  
Cherkasov S.N. ◽  
Polozkov O.I. ◽  
Fedyaeva A.V. ◽  
Avsadzhanishvili V.N.

The purpose of the study: to study the influence of the level of education on the degree of compliance of the population of older age groups. Materials of research. Data from a survey of 1,045 people of both sexes aged 60 years and older were used. The proposed questionnaire included three questions that characterize the level of compliance with medical recommendations, as well as the attitude to self-medication. The results were evaluated for men and women separately in two age groups of 60–74 years and 75 years and older. Results. Women are more compliant with the doctor's prescriptions, as they are more likely to perform them in full. With increasing age, the degree of compliance significantly increases in both men and women, and therefore, the differences between the sexes are leveled. The level of education affects the behavior in relation to the fulfillment of doctor's appointments only in men in the age group of 75 years and older and does not affect the age group of 60–74 years. In women, there was no significant effect in both age groups. Men and women with higher levels of education are more likely to make doctor's appointments only in some cases. A greater proportion of non-respondents, that is, doubters, is also observed in the group of men and women with a high level of education, regardless of age. The results of responses to specific questions concerning the degree of compliance confirmed earlier conclusions about the greater degree of compliance of older women compared to men. A large proportion of doubting men and women with a high level of education, regardless of age, requires a more attentive attitude to them in terms of providing additional information about the need and importance of following doctor's prescriptions.

Author(s):  
Cherkasov S.N. ◽  
Polozkov O.I. ◽  
Fedyaeva A.V. ◽  
Kamaev Yu.O.

The purpose of the study: to study the influence of the level of education on the behavioral patterns associated with medical care of the population of older age groups. Materials and methods of research. The results of an anonymous survey of 1,045 people of both sexes aged 60 years and older were analyzed. The questionnaire included a question about the reasons for visiting medical organizations. The results were evaluated separately for men and women in two age groups of 60–74 years and 75 years and older. Results. There were no significant gender differences in the characteristics of medical activity among the studied cohorts of older age groups. The most common form of behavior regardless of gender was the reactive type, when seeking medical help occurred as a result of health problems. A high level of education contributes to a change in behavior towards a greater prevalence of active behavior in relation to the reasons for seeking medical help. These patterns are observed regardless of gender and are more pronounced in the age group of 75 years and older. Men and women with a low level of education are more likely to choose a reactive type of behavior when seeking medical help occurs after the appearance of health problems. The frequency of passive behavior does not depend on the level of education and is more often recorded in the age group of 60–74 years.


2021 ◽  
Vol 17 (1) ◽  
pp. 1-7
Author(s):  
Chang Shin Jung ◽  
Youn Joo Jung ◽  
Dong Il Kim ◽  
Seungju Lee ◽  
Seok Kyung Kang ◽  
...  

Purpose: The purpose of this study was to compare the clinical characteristics and outcomes of hormone receptor-positive (HR+) human epidermal growth factor 2-negative (HER2–) breast cancer among elderly patients (over 65 years old) and younger patients.Methods: This was a retrospective cohort study of 328 patients who were treated for breast cancer at Pusan National University Yangsan Hospital between January 2009 and December 2014. Tumor characteristics, surgical methods, and survival outcomes were compared between the two age groups (<65 and ≥65 years old). Kaplan-Meier curves for disease-free survival (DFS) and overall survival (OS) were also constructed according to the age groups.Results: Among the 328 patients with HR+ HER2– breast cancer, 184 (56.1%) were <65 years old and 144 (43.9%) were ≥65 years old. Breast cancer stages were similar between the two age groups, but the older patients were treated less often with chemotherapy (81% vs. 66%, P=0.002). During the follow-up period, 17 deaths and 36 cases of recurrence or metastasis were reported. There was no difference in DFS between the two groups (P=0.840); however, the OS of the older age group was significantly lower than that of the younger age group (P=0.015).Conclusion: This study suggested that HR+ HER2– breast cancer patients belonging to the two age groups had no significant difference in DFS. However, older age is an independent factor affecting OS rate. Therefore, even if patients are old, but their physical condition is satisfactory, standard and active treatment may be necessary, similar to that given to younger patients.


2018 ◽  
Vol 25 (3) ◽  
pp. 17-22 ◽  
Author(s):  
Oscar Romero-Ramos ◽  
Emilio Fernández-Rodríguez ◽  
Rafael Merino-Marbán ◽  
Daniel Mayorga-Vega ◽  
Robert Podstawski

Abstract Introduction. Cross triathlon is a sport consisting of three segments: swimming, off-road cycling, and running. Our study analyses the differences in performance between genders and changes in performance in selected age categories at the ITU Cross World Championships held between 2011 and 2016. Material and methods. During this period, a total of 1,933 triathletes were analysed (1,472 men and 461 women). Two-way analyses of variance (ANOVA) were used to examine the impact of sex differences and age-related changes on performance (time, percentage of time, and performance ratio) in swimming, cycling, running, and total race. Results. The age groups with the highest level of participation were persons aged 40-44 and 45-49 years among men and women, respectively. With regards to performance in the different age groups, in men and women, its high level was maintained between 25 and 49 years, and it decreased significantly from the age of 50-54. In men, the best results in cycling and total race time were obtained in the 30-34 age group and in swimming and running in the 40-44 group. Women obtained the best results in running in the 25-29 age group, in cycling in the 30-34 group, and in swimming and total race time in the 35-39 group. Conclusions. The results of the study have confirmed that there is a demand for sports in 40+ age groups. As for performance in the different age groups, it was on a high level between 25 and 49 years and decreased significantly from the age of 50-54 onwards. According to these results, the sports training of these triathletes should be oriented so that they obtain their best results between 30 and 35 years of age.


2015 ◽  
Vol 36 (1) ◽  
pp. 48-90 ◽  
Author(s):  
Erik Schleef ◽  
Nicholas Flynn

This study examines the social meanings that speakers associate with variants of the variable (ing) in Manchester, focusing on a comparison of two age groups: a young age group of adolescents and those in very early adulthood, and an older age group. In most English varieties, (ing) has two possible realisations: [ɪŋ] and [ɪn]. However, in Manchester, a third possibility exists: [ɪŋg]. Social meanings differ between age groups on three scales: articulateness, poshness and reliability. When compared to the youths, those in the older age group consider [ɪŋ] to sound substantially more articulate than [ɪn], as well as posher and more reliable than [ɪŋg]. In contrast, those in the younger group consider [ɪŋg] more reliable and posher-sounding than the older speakers. This is due, we argue, to developmental constraints during adolescence, but, more importantly, to life-stage experiences, with social meanings on these three scales altering as speakers leave adolescence behind and become increasingly subject to the standardisation pressures of adult communities.


The article deals with the problem of the semantic content of the concept BEAUTY in the worldview of the Ukrainians of 12–40 years old. The aim of the research is to form and analise the associative fields of the lexemes that objectify the concept BEAUTY (краса, врода, красень, красуня, красивий, красива, гарний, гарна, вродливий, вродлива) and define its semantic content in the worldview of the Ukrainians of different age groups (teenagers (12–18 years old) and the young (19–40 years old), basing on the results of a chain associative experiment. As a result of an analysis of the semantic content of the received associative fields of the corresponding stimuli two main semantic groups have been singled out: people and nature. Within each of them several subgroups have been singled out. It is defined that the semantic group people outnumbers the group nature both in the quantity of the reactions and their variety. Judging by the quantity of the reactions of the group people that concern men and women, one can make a conclusion that beauty is thought primarily as a quality of girls / women (the reactions жінка, жінки, жіноча, дівчина, дівчини, дівоча, мама, мати, матір, матуся, бабуся, сестра ect.). The perception of beauty as an inherent trait of the closest relatives like mother, father, sister etc. is stable in the consciousness of the respondents of both age groups (the reactions мама, мати, батько, тато, матір, матуся), although the reactions of the older age group representatives are more varied and include such names of relatives as дружина, теща, дочка, син etc., which are not relevant for teenagers. It is established that the age differences in the perception of the analysed concept lie in more abstract representations of the young (19–40 years old) in contrast to more personalized representations of teenagers (12–18 years old). Most differences in the reactions of different age groups have to do with the group people whereas the perception of the beauty of nature is more universal. The qualitative-evaluative reactions show that beauty is perceived as a positively marked concept.


2021 ◽  
Author(s):  
Apatsa Lekskul ◽  
Tunyarat Tangphikunatam ◽  
Phantaraporn Tangtammaruk

Abstract Purpose: To evaluate postoperative corneal astigmatism changes after ptosis correction in groups of young and older patients with congenital ptosis.Patients and Methods: A prospective cohort study of 28 patients (56 eyes) with congenital ptosis enrolled at Ramathibodi Hospital was performed from April 2018 to June 2019. Within this group of patients there were 6 cases of bilateral congenital ptosis and 22 unilateral cases of congenital ptosis forming a total of 34 individual ptotic eyes for the study. The patients were categorized into two groups: early-age group (aged ≤5 years,) comprising of 14 eyes and older-age group (aged >5 years) comprising of 20 eyes. The preoperative visual acuity, amblyopic status, ptosis severity, and refractive error of both groups were evaluated prior to ptosis correction. All patients underwent ptosis correction with either levator resection or frontalis sling. Following the correction, the refractive error was measured after a follow-up period of at least 6 months. The astigmatism results were classified into three subgroups: with-the-rule, against-the-rule and oblique astigmatism.Results: The mean age at diagnosis was 8.91 ± 7.05 years. From the study group, amblyopia was found in 13 out of 28 patients (46.4%). The most common type of astigmatism was with-the-rule astigmatism, making up 24 out of 34 ptotic eyes (70.6%). A postoperative astigmatism change of >0.50 diopters was found in 4 out of14 eyes (28.6%) in the early-age group and in 6 out of 20 eyes (30.0%) in the older-age group (Rate ratio, 1.43; 95% CI, 0.34–6.07). Conclusion: Astigmatism was reduced following ptosis correction, with no statistically significant difference in the amount of reduction between the two age groups. As there is no significant difference, surgical correction can be deferred in patients of all age groups with anisometropic amblyogenic ptosis until appropriate surgical planning is possible.


Kardiologiia ◽  
2019 ◽  
Vol 59 (2) ◽  
pp. 32-37
Author(s):  
N. A. Kovalkova ◽  
Yu. I. Ragino ◽  
A. D. Hudyakovа ◽  
D. V. Denisova ◽  
M. I. Voevoda

Purpose:to study blood pressure levels and the prevalence of hypertension in persons aged 25–45 years in Novosibirsk.Materials and methods.A cross-sectional population study in one of typical areas of Novosibirsk was performed in 2013–2016. The study included 479 men and 612 women aged 25–45 years. Arterial hypertension was defined as blood pressure (BP) ≥140 / 90 mmHg according to Russian recommendations (2004). For analysis two age groups were distinguished: 25–34 years and 35–45 years.Results.Mean values of systolic and diastolic BP were significantly lower in women than in men in age groups. In men and women, the analyzed indicators were significantly higher in the older than in the younger age group. Mean values of pulse pressure in men were significantly higher than in women in both age groups, there were no differences in the analyzed index between age groups in either men or women. Optimal BP was more often recorded among women than among men in both age groups. The proportion of persons with normal BP among men was grate than among women in both age groups. In the age group 35–45 years compared with the younger group, in men there was a decrease in incidence of category with BP<140 / 90 mmHg, an increase of the proportion of persons with hypertension grades 1 and 2, the appearance of persons with grade 3 hypertension; in women – an increase of the proportion of individuals with normal, high-normal BP, and with grade 1 hypertension, appearance of individuals with grades 2 and 3 hypertension. Frequency of BP categories ≥140 / 90 mmHg in age group 25–34 years among men was 17.6 %, among women 3.1 % (p<0.0001); in age group 35–45 years among men – 34.7 %, among women – 12.5 % (p<0.0001).Conclusions.Prevalence of hypertension in men was 28 %, in women – 9 %. Favorable tendencies of BP indicators in both sexes were revealed over a 30-year period, while gender differences did not change.


2016 ◽  
Vol 175 (1) ◽  
pp. 49-54 ◽  
Author(s):  
David Strich ◽  
Gilad Karavani ◽  
Shalom Edri ◽  
David Gillis

ObjectiveWe previously reported increasing free T3 (FT3) to free T4 (FT4) ratios as thyroid-stimulating hormone (TSH) increases within the normal range in children. It is not known if this phenomenon is age-related among humans, as previously reported in rats. This study examines the relationships between TSH and FT3/FT4 ratios in different ages.DesignRetrospective examination of thyroid tests from patients without thyroid disease from community clinics.MethodsFree T3, free T4, and TSH levels from 527 564 sera collected from patients aged 1 year or greater were studied. Exclusion criteria were the following: missing data, TSH greater than 7.5mIU/L, and medications that may interfere with thyroid hormone activity. A total of 27 940 samples remaining after exclusion were stratified by age. Samples with available anthropometric data were additionally stratified for body mass index (BMI). Correlations of TSH to FT4, FT3, and FT3/FT4 ratios by age group were examined.ResultsUp to age 40, for each increasing TSH quartile, FT3 and the FT3/FT4 ratio increased and FT4 decreased significantly (for both FT3, FT4 and FT3/FT4 ratio,P<0.05 for every TSH quartile when compared with the 1st quartile, except FT3 in the 30–40 age group). In older age groups, increasing TSH was not associated with increased FT3/FT4 ratio.ConclusionAs TSH levels increase, FT3/FT4 ratios increase until age 40, but this differential increase does not occur in older age groups. This may reflect a decrease in thyroxine (T4) to triiodothyronine (T3) conversion with age, which may be part of the aging process.


Author(s):  
Kamil Zaworski ◽  
Zofia Kubińska ◽  
Adrianna Dziewulska ◽  
Olga Walasek

Abstract Objective: The aim of this paper is to present the engagement of adult Poles in physical activity (PA) before and during the coronavirus pandemic, taking into consideration: frequency, duration and types of the activity depending on the gender and age of the participants. Methods: The study was conducted using an online survey questionnaire. 688 residents of Poland aged 18 to 58 (28.61±9.5) years old participated in the study. Results: A statistically significant decrease in the frequency of PA was noted in the group of men (p=0.0001) and in the age group of 39 to 58 years old. The analysis of the duration of a single PA before and during the pandemic has shown a statistically significant reduction in the workout time among both men and women and across all age groups (p=0.05). There was a statistically significant increase in the frequency of women undertaking flexibility exercises, e.g. yoga (p=0.000), as well as a decrease in marching and walks (p=0.003). Men significantly less frequently did strength exercises (p=0.002). Conclusions: During the pandemic, there was a statistically significant decrease in the frequency and duration of PA. The preferences of the participants as to the type of PA undertaken changed as well.


2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
H. Y. Jaddou ◽  
A. M. Batieha ◽  
Y. S. Khader ◽  
A. H. Kanaan ◽  
M. S. El-Khateeb ◽  
...  

The study examined prevalence, awareness, treatment and control of hypertension (HTN), and associated factors and to evaluate the trend in hypertension between 2009 (period 2) and 1994–1998 (period 1). A national sample of 4117 adults aged 25 years and older was selected. Prevalence rate of HTN (SBP ≥ 140 or DBP ≥ 90 or on antihypertensive therapy) was 32.3% and was higher than the 29.4% prevalence rate reported in period 1. Prevalence rate was significantly higher among males, older age groups, least educated, obese, and diabetics than their counterparts. The rate of awareness among hypertensives was 56.1% and was higher than the 38.8% rate reported form period 1 data. Awareness was positively associated with age, smoking, and diabetes for both men and women, and with level of education and body mass index for men. Rate of treatment for HTN among aware patients was 63.3% and was significantly higher than the 52.8% rate reported in period1. Control rate of HTN among treated hypertensives was 39.6%; significantly higher than the 27.9% control rate in period 1. Control of HTN was positively associated with age but only for women. In conclusion, HTN is still on the rise in Jordan, and levels of awareness and control are below the optimal levels.


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