Cardiovascular Health of Construction Workers in Hong Kong: A Cross-Sectional Study

ObjectivesTo assess the prevalence of potentially inappropriate medication (PIM) use in Hong Kong older patients visiting general outpatient clinics (GOPCs) between 2006 and 2014 and to identify factors associated with PIM use among older adults visiting GOPCs in 2014.DesignCross-sectional study.SettingGOPC.ParticipantsTwo study samples were constructed including a total of 844 910 patients aged 65 and above from 2006 to 2014 and a cohort of 489 301 older patients in 2014.MeasurementsTwo subsets of the 2015 American Geriatrics Society Beers criteria—PIMs independent of diagnosis and PIMs due to drug–disease interactions—were used to estimate the prevalence of PIM use over 12 months. PIMs that were not included in the Hospital Authority drug formulary or with any specific restriction or exception in terms of indication, dose or therapy duration were excluded. Characteristics of PIM users and non-PIM users visiting GOPCs in 2014 were compared. Independent associations between patient variables and PIM use were assessed by stepwise multivariable logistic regression analysis.ResultsThe 12-month period prevalence of PIM use decreased from 55.56% (95% CI 55.39% to 55.72%) in 2006 to 47.51% (95% CI 47.37% to 47.65%) in 2014. In the multivariable regression analysis, the strongest factor associated with PIM use was the number of different drugs prescribed (adjusted OR, AOR 23.01, 95% CI 22.36 to 23.67). Being female (AOR 0.89, 95% CI 0.85 to 0.87 for males vs females) and having a greater number of GOPC visits (AOR 1.83, 95% CI 1.78 to 1.88) as well as more than six diagnoses (AOR 1.43, 95% CI 1.36 to 1.52) were associated with PIM use.ConclusionsThe overall prevalence of PIM use in older adults visiting GOPCs decreased from 2006 to 2014 in Hong Kong although the prevalence of PIM use was still high in 2014. Patients with female gender, a larger number of medications prescribed, more frequent visits to GOPCs, and more than six diagnoses were at higher risk for PIM use.

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Changes in Body Weight From Young Adulthood to Middle Age and Its Association With Blood Pressure and Hypertension: A Cross‐Sectional Study in Hong Kong Chinese Women

Journal of the American Heart Association ◽

10.1161/jaha.115.002361 ◽

2016 ◽

Vol 5 (1) ◽

Cited By ~ 6

Author(s):

Yao Jie Xie ◽

Suzanne C. Ho ◽

Xuefen Su ◽

Zhao‐min Liu

Keyword(s):

Blood Pressure ◽

Body Weight ◽

Hong Kong ◽

Young Adulthood ◽

Middle Age ◽

Chinese Women ◽

Cross Sectional Study ◽

Hong Kong Chinese ◽

Sectional Study ◽

Cross Sectional

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A cross-sectional study of growth, puberty and endocrine function in patients with thalassaemia major in Hong Kong

Journal of Paediatrics and Child Health ◽

10.1111/j.1440-1754.1995.tb00752.x ◽

1995 ◽

Vol 31 (2) ◽

pp. 83-87 ◽

Cited By ~ 25

Author(s):

E. Y. W. KWAN ◽

A. C. W. LEE ◽

A. M. C. LI ◽

S. C. F. TAM ◽

C. F. CHAN ◽

...

Keyword(s):

Hong Kong ◽

Cross Sectional Study ◽

Endocrine Function ◽

Thalassaemia Major ◽

Sectional Study ◽

Cross Sectional

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Abstract P001: LGB Health Disparities: Examining the Status of Ideal Cardiovascular Health From the 2011-2012 NHANES Survey

Circulation ◽

10.1161/circ.137.suppl_1.p001 ◽

2018 ◽

Vol 137 (suppl_1) ◽

Author(s):

Anshul Saxena ◽

Muni Rubens ◽

Sankalp Das ◽

Tanuja Rajan ◽

Gowtham Grandhi ◽

...

Keyword(s):

Sexual Orientation ◽

Cardiovascular Health ◽

Cross Sectional Study ◽

Minority Populations ◽

Sectional Study ◽

Cross Sectional ◽

Ideal Cardiovascular Health ◽

The Status ◽

Nationally Representative ◽

And Bisexual

Objectives: Extensive data suggests that lesbian, gay and bisexual (LGB) adults are more likely to experience adverse cardiovascular outcomes relative to heterosexuals. However, evidence regarding cardiovascular health (CVH) disparities and sexual orientation is scarce. The aim of this study was to examine the distribution of CVH metrics in a US nationally representative population of heterosexual (HT), and LGB adults. Methods: This cross-sectional study analyzed 2445 participants (representing 115 million) adults aged 18 or over years in the 2011-2012 NHANES survey. The CVH factors of smoking, body mass index (BMI), physical activity (PA), diet, blood pressure (BP), total cholesterol (TC) and glucose (GLU) were measured. Each CVH factor was then classified as ideal; intermediate; or poor. Ideal CVH was defined as presence of >=5 ideal CVH metrics. Results: 95.1% of the weighted sample self-identified as HT (95% CI: 93.5%, 96.6%) compared to 4.9% (95%: 3.3%, 6.5%) LGB. The figure illustrates the distribution of each of the 7 CVH categories according to sexual orientation. In age, gender, and race adjusted analysis, LGB individuals were 36% (AOR: 0.64; 95%: 0.29, 1.4; p > 0.05) less likely to have ideal CVH compared to HT. These proportions go higher after adjusting for age. Conclusions: The results suggest that LGB individuals face a higher risk of being in the category for poor cardiovascular health compared to heterosexuals. Evidence suggests that there are sexual orientation disparities among adults. If confirmed in other studies, results point towards disproportionately higher risk for cardiovascular disease among sexual-minority populations. Figure

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