FAMILY AND LIVING CHARACTERISTICS OF THE MIDDLE AGE AND THE ELDERLY IN RELATION TO THEIR HOUSING TENURE : Study on the housing condition of the low income class

Abstract OBJECTIVE: To assess the current status of disease-related knowledge and to analyze the relationship among the general condition, illness perception, and psychological status of patients with COVID-19. METHODS: A hospital-based cross-sectional study was conducted on 118 patients using convenience sampling. The general questionnaire, disease-related knowledge questionnaire of COVID-19, Revised Illness Perception Questionnaire (IPQ-R), and Profile of Mood States (POMS) were used to measure the current status of participants. RESULTS: The overall average score of the disease-related knowledge of patients with COVID-19 was (79.19 ± 14.25), the self-care situation was positively correlated with knowledge of prevention and control (r=0.265, P=0.004) and total score of disease-related knowledge (r= 0.206, P= 0.025); the degree of anxiety was negatively correlated with the knowledge of diagnosis and treatment (r= -0.182, P= 0.049). The score of disease-related knowledge was negatively correlated with negative cognition (volatility, consequences, emotional statements) and negative emotions (tension, fatigue, depression) (P<0.05); positively correlated with positive cognition (disease coherence) and positive emotion (self-esteem) (P<0.05). CONCLUSION It was recommended that we should pay more attention to the elderly and low-income groups, and increase the knowledge about diagnosis and treatment of COVID-19 and self-care in the future health education for patients.

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Energy, macronutrient and fatty acid intake of French elderly community dwellers and association with socio-demographic characteristics: data from the Bordeaux sample of the Three-City Study

British Journal Of Nutrition ◽

10.1017/s0007114507756520 ◽

2007 ◽

Vol 98 (5) ◽

pp. 1046-1057 ◽

Cited By ~ 52

Author(s):

Catherine Féart ◽

Marthe A. Jutand ◽

Sophie Larrieu ◽

Luc Letenneur ◽

Cécile Delcourt ◽

...

Keyword(s):

Fatty Acid ◽

Dietary Intake ◽

Low Income ◽

Educational Level ◽

Dietary Habits ◽

Dietary Assessment ◽

The Elderly ◽

Demographic Characteristics ◽

Age Related ◽

Total Fat

Few data are available regarding dietary habits of the elderly, in particular about fatty acid consumption, whereas these are major risk or protective factors of several age-related diseases. The aim of the present study was to characterise the dietary intake of a French elderly population in terms of energy, macronutrients and fatty acids based on their socio-demographic characteristics. The study population (age range 67·7–94·9 years) consisted of 1786 subjects from Bordeaux (France), included in the Three-City cohort. Dietary assessment was performed by a 24 h recall, allowing the estimation of energy, protein, carbohydrate, total fat, SFA, MUFA and PUFA intakes. Socio-demographic characteristics (age, sex, marital status, educational level and income), practice of sports and BMI were registered. Total energy intake (EI) was lower in women and in older participants ( ≥ 85 years) but higher in single subjects. Higher EI was associated with higher income, but not with educational level. Mean contribution of macronutrients to EI (protein 18 %, carbohydrate 46 % and total fat 31 %) was higher in women than men, except for alcohol. The oldest individuals consumed less protein and more mono- and disaccharides. Excess saturated fat intake (43 % of total fat), associated with a relative deficit in MUFA consumption (36 % of total fat), was observed. The mean 18 : 2n-6 : 18 : 3n-3 ratio was 9.9 and decreased with higher educational level. The present results suggest that being female, older age, being widowed and low income level could be considered as risk factors of inadequate dietary intake.

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Anemia and dementia among the elderly: the São Paulo Ageing & Health Study

International Psychogeriatrics ◽

10.1017/s1041610211001724 ◽

2011 ◽

Vol 24 (1) ◽

pp. 74-81 ◽

Cited By ~ 13

Author(s):

Itamar S. Santos ◽

Márcia Scazufca ◽

Paulo A. Lotufo ◽

Paulo R. Menezes ◽

Isabela M. Benseñor

Keyword(s):

Low Income ◽

Univariate Analysis ◽

The Elderly ◽

Sao Paulo ◽

Health Study ◽

São Paulo ◽

Total Blood ◽

Cross Sectional ◽

The Relationship ◽

Life Function

ABSTRACTBackground: Anemia and dementia are common diseases among the elderly, but conflicting data are available regarding an association between these two conditions. We analyzed data from the São Paulo Ageing & Health Study to address the relationship between anemia and dementia.Methods: This cross-sectional observational study included participants aged 65 years and older from a deprived area of the borough of Butantan, São Paulo, Brazil. Data about demographics, education, income, and cognitive and daily life function were collected, as well as blood samples. Anemia and dementia were defined according to WHO and DSM-IV criteria, respectively.Results: Of the 2267 subjects meeting the inclusion criteria, 2072 agreed to participate in the study; of whom 1948 had a valid total blood count and were included in the analysis. Anemia was diagnosed in 203 (10.2%) participants and dementia in 99 (5.1%). The frequency of anemia was higher in patients with dementia according to univariate analysis (odds ratio (OR) = 2.00, 95% confidence interval (CI) = 1.17–3.41, p = 0.01), but this association was not present after adjusting for age (OR = 1.33, 95% CI = 0.76–2.33, p = 0.32). Further multivariate adjustment did not change the results.Conclusion: Although anemia and dementia are frequent disorders in older people, we found their relationship to be mediated exclusively by aging in this low-income population from São Paulo.

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Abstract P614: Effect Sizes of Vascular Risk Factors for Stroke Occurrence by Age Among West Africans

Stroke ◽

10.1161/str.52.suppl_1.p614 ◽

2021 ◽

Vol 52 (Suppl_1) ◽

Author(s):

Mayowa Owolabi ◽

FRED S SARFO ◽

Onoja Akpa ◽

Joshua Akinyemi ◽

Albert Akpalu ◽

...

Keyword(s):

Risk Factors ◽

Middle Age ◽

Meat Consumption ◽

The Elderly ◽

Vascular Risk Factors ◽

Effect Sizes ◽

Modifiable Risk Factors ◽

Age Group ◽

Vascular Risk ◽

Elderly Age

Background: Age is a non-modifiable risk factor for stroke occurrence due its influence on vascular risk factor acquisition. In sub-Saharan Africa, the effect sizes of vascular risk factors for stroke occurrence by age is unknown. Objective: To quantify the magnitude and direction of the effect sizes of key modifiable risk factors of stroke according to three age groups: <50years(young), 50-65 years(middle age) and >65 years(elderly) in West Africa. Methods: The Stroke Investigative Research and Educational Network (SIREN) is a multicenter, case-control study involving 15 sites in Ghana and Nigeria. Cases include adults aged ≥18 years with evidence of an acute stroke. Controls were age-and-gender matched stroke-free adults. Detailed evaluations for vascular, lifestyle, stroke severity and outcomes were performed. We used conditional logistic regression to estimate adjusted odds ratios (aOR) of vascular risk factors of stroke. Results: Among 3,553 stroke cases, 813(22.9%) were young, 1441(40.6%) were middle-aged and 1299(36.6%) were elderly. Five modifiable risk factors were consistently associated with stroke occurrence regardless of age namely hypertension, dyslipidemia, diabetes mellitus, regular meat consumption and non-consumption of green vegetables. Among the 5 co-shared risk factors, the effect size, aOR(95%CI) of dyslipidemia, 4.13(2.64-6.46), was highest among the young age group, hypertension, 28.93(15.10-55.44) and non-consumption of vegetables 2.34(1.70-3.23) was highest among the middle-age group while diabetes, aOR of 3.50(2.48-4.95) and meat consumption, 2.40(1.76-3.26) were highest among the elderly age group. Additionally, among the young age group cigarette smoking and cardiac disease were associated with stroke. Furthermore, physical inactivity and salt intake were associated with stroke in the middle-age group while cardiac disease was associated with stroke in the elderly age group. Conclusions: Age has a profound influence on the profile, magnitude and direction of effect sizes of vascular risk factors for stroke occurrence among West Africans. Population-level prevention of stroke must target both co-shared dominant risk factors as well as factors that are unique to specific age bands in Africa.

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Abstract 17309: Scope and Determinants of Nonfinancial Barriers to Healthcare Access in Individuals With Atherosclerotic Cardiovascular Disease

Circulation ◽

10.1161/circ.142.suppl_3.17309 ◽

2020 ◽

Vol 142 (Suppl_3) ◽

Author(s):

Isaac Acquah ◽

Javier Valero-Elizondo ◽

Miguel Cainzos Achirica ◽

Rahul Singh ◽

Karan Shah ◽

...

Keyword(s):

Cardiovascular Disease ◽

Logistic Regression ◽

Low Income ◽

Barriers To Care ◽

Multinomial Logistic Regression ◽

The Elderly ◽

Atherosclerotic Cardiovascular Disease ◽

The Us ◽

Barriers To Healthcare ◽

Relative Prevalence

Introduction: Barriers to healthcare - financial and nonfinancial - may result in unmet health needs and adverse outcomes. Despite this, the nonfinancial barriers to care among adults with atherosclerotic cardiovascular disease (ASCVD) is poorly defined in the US. We aimed to explore the scope and determinants of nonfinancial barriers to care among individuals with ASCVD. Methods: We analyzed data from the 2013-17 National Health Interview Survey (NHIS). We included adults with self-reported ASCVD (heart attack, angina, and/or stroke). Nine key variables in the NHIS that represent nonfinancial barriers to healthcare were assessed as absent/present, and participants were classified as having 0-1, 2, or ≥3 barriers. Multinomial logistic regression (using 0-1 nonfinancial barriers as reference) was used to evaluate the relationship between various sociodemographic factors, and an increasing number of nonfinancial barriers. Results: Of all the 15,758 adults with ASCVD (8.1% annually in the US; representing 19.6 million), 23.4% reported having at least one nonfinancial barrier to care while 4.9% reported 3 nonfinancial barriers. In a multivariable multinomial logistic regression, after stratifying by age, individuals from low-income families had an almost 2-fold relative prevalence of 3 nonfinancial barriers ( Figure) . In the elderly, however, lack of insurance was the strongest predictor (relative prevalence ratio of 6.51 [95% confidence interval; 2.25, 18.87]) of having ≥3 barriers. Conclusion: Among adults with ASCVD, the relative prevalence of ≥3 nonfinancial barriers was low (4.9%) with low-income being the only modifiable predictor of reporting ≥3 nonfinancial barriers and lack of insurance being the strongest predictor in the elderly. Addressing financial barriers to healthcare may help alleviate these nonfinancial barriers.

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Evaluasi Program Bantuan Pembangunan Rumah Layak Huni (Baperlahu): Studi Pada Kabupaten Mesuji Tahun 2019

Administrativa: Jurnal Birokrasi, Kebijakan dan Pelayanan Publik ◽

10.23960/administrativa.v3i2.77 ◽

2021 ◽

Vol 3 (2) ◽

pp. 175-184

Author(s):

Maharani Karin ◽

◽

Eko Budi Sulistio ◽

Ita Prihantika ◽

◽

...

Keyword(s):

Low Income ◽

Community Involvement ◽

Development Assistance ◽

Development Program ◽

Secondary Data ◽

The Elderly ◽

Housing Development ◽

The Political ◽

Assistance Program ◽

Safe Environment

The Livable of Housing Development Assistance Program (BAPERLAHU) is a government facility to independently support the implementation of proper housing construction in a healthy and safe environment. The implementation of the housing development assistance program requires community involvement to achieve its main goal, namely to provide habitable housing for low-income people (MBR), the elderly or with disabilities. The purpose of this research is to evaluate how the results of the implementation of the Assistance for the Construction of Livable Houses (BAPERLAHU) program in Mesuji Regency in 2019 and to find out what factors affect the implementation of the program. The research method uses qualitative research, the types of data used are primary and secondary data where data collection uses documentation, observation and interview techniques. The results of the study show that the evaluation of the Livable Housing Development program (BAPERLAHU) in Mesuji Regency in 2019 has been going quite well. In 2019 the Livable Housing Development Assistance (BAPERLAHU) program succeeded in completing 322 unfit for habitation houses (RTLH) in Mesuji Regency. However, there are several factors that affect the implementation of the program, such as the political atmosphere, limited funds allocated, the lack of Community Assistants (TPM), and lack of supervision by the Housing and Settlement Area Office of Mesuji Regency.

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