scholarly journals Hot Weather and Suicide Deaths among Older Adults in Hong Kong, 1976–2014: A Retrospective Study

Author(s):  
Pui Hing Chau ◽  
Paul Siu Fai Yip ◽  
Eric Ho Yin Lau ◽  
Yee Ting Ip ◽  
Frances Yik Wa Law ◽  
...  

Findings of the association between hot weather and suicide in a subtropical city such as Hong Kong are inconsistent. This study aimed to revisit the association by identifying meteorological risk factors for older-adult suicides in Hong Kong using a time-series approach. A retrospective study was conducted on older-adult (aged ≥65) suicide deaths in Hong Kong from 1976 to 2014. Suicides were classified into those involving violent methods and those involving nonviolent methods. Meteorological data, including ambient temperature, were retrieved. Transfer function time-series models were fitted. In total, 7314 older-adult suicide deaths involving violent methods and 630 involving nonviolent methods were recorded. For violent-method suicides, a monthly average daily minimum ambient temperature was determined to best predict the monthly rate, and a daily maximum ambient temperature of 30.3 °C was considered the threshold. For suicide deaths involving nonviolent methods, the number of days in a month for which the daily maximum ambient temperature exceeded 32.7 °C could best predict the monthly rate. Higher ambient temperature was associated with more older-adult suicide deaths, both from violent and nonviolent methods. Weather-focused preventive measures for older-adult suicides are necessary, such as the provision of more public air-conditioned areas where older adults can shelter from extreme hot weather.

2019 ◽  
Vol 170 ◽  
pp. 487-492 ◽  
Author(s):  
Holly Ching Yu Lam ◽  
Shakoor Hajat ◽  
Emily Ying Yang Chan ◽  
William Bernard Goggins

2020 ◽  
Vol 2 (3) ◽  
Author(s):  
Lori Suet Hang Lo ◽  
Linda Yin King Lee ◽  
Irene Yuen Fung Wong ◽  
Yuen Yan Lai ◽  
Hoi Tong Au ◽  
...  

Globally, in-home drug-storage compliance is often unsatisfactory, especially among older adults, and can lead to negative health outcomes. This study used a cross-sectional and descriptive design to examine in-home drug-storage compliance among older adults. Convenience sampling was used to recruit 117 older adults in Hong Kong. An in-home drug-storage checklist was used to assess the in-home drug-storage environments (light, temperature, and humidity) and drug-storage methods (drug safety, packaging, information, and expiration) of each older adult. The findings showed that Hong Kong older adults’ overall compliance rate in drug storage was 87.25%, and their compliance rate for drug-storage methods (84.59%) was lower than that for drug-storage environments (97.02%). Older adults who were of advanced age, who were less educated or who lived alone demonstrated lower in-home drug-storage compliance. This indicates the need to revise existing health-education strategies to encourage in-home drug-storage compliance. Healthcare professionals should assess older adults’ drug-storage compliance to identify less compliant subgroups and deliver specific drug-storage support as required. Family members should also be involved in this process.


2015 ◽  
Vol 23 (1) ◽  
pp. 144-152 ◽  
Author(s):  
Anthony Barnett ◽  
Ester Cerin ◽  
Man-chin Cheung ◽  
Wai-man Chan

Walking is a suitable activity for older adults and has physical and mental health benefits. To devise interventions that impact levels of walking it is necessary to first understand the purposes for which people walk and the destinations to which they walk. Using a 7-day diary and accelerometry, this study investigated destinations and purposes of walking in older adult residents of an ultra-dense Asian city. Participants reported an average of 17.1 walking trips per week and total weekly accelerometer/diary determined trip walking time averaged 735 min per week; much higher than reported for older adults in non-Asian settings. The most common destinations were within the neighborhood: parks and streets for recreation walking and shops and eating places for transport-related walking. Errands and eating were the most common purposes for transportation trips. The study results can help inform urban design to encourage walking.


1979 ◽  
Vol 22 (88) ◽  
pp. 513-528 ◽  
Author(s):  
A. A. Salway

AbstractAvalanche-hazard evaluation by field analysts is largely achieved along causal intuitive lines, depending for its success upon the experience of the analyst in his particular area. Several attempts have been made in the past to quantify such procedures by means of statistical models based upon meteorological measurements. Modified forms of a multivariate technique known as linear discriminant analysis have been tried with only partial success. Intercorrelated variables and autocorrelated data, omission of time-lagged terms, insufficient variation in the dependent variable, and sampling difficulties may have combined to weaken the discriminant approach. These problems and the nature of the phenomenon suggest that a stochastic transfer-function time-series approach may be a useful alternative method.A numerical weighting scheme has been devised for the representation of avalanche activity for the Rogers Pass area of British Columbia in terms of terminus, size, and moisture-content codes for each event. From various types of correlation analysis performed on data for the period 1965–73, models were developed using the “best” weighting scheme for avalanche activity representation and the most promising meteorological variables, as indicated by the results of the correlation analysis.These relatively simple models demonstrate a good fit to the actual data, in both a descriptive and a simulated-forecasting situation.


BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e041336
Author(s):  
Eliza Lai-Yi Wong ◽  
Kam-Shing Tang ◽  
Annie Wai-Ling Cheung ◽  
Ringo Kin-Cheung Sze ◽  
Jack Chi-Him Lau ◽  
...  

ObjectiveTransitional care is important to successful hospital discharge. Providing patients with a clear and concise summary of medication-related information can help improve outcomes, in particular, among older adults. The present study aimed to propose a framework for the development of salient medication reminders (SMR), which include drug-related risks and precautions, using the Delphi process.DesignIdentification of potential SMR statements for 80% of medication types used by older adult patients discharged from geriatric medicine departments, followed by a Delphi survey and expert panel discussion.SettingsMedical and geriatric departments of public hospitals in Hong Kong.ParticipantsA panel of 13 geriatric medical experts.Outcome measureA Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree) points, scoring item relevance, importance and clarity. The minimum of 70% consensus was required for each statement to be included.ResultsThe expert panel achieved consensus through the Delphi process on 80 statements for 44 medication entities. Subsequently, the SMR steering group endorsed the inclusion of these statements in the SMR to be disseminated among older adults at the time of discharge from geriatric medicine departments.ConclusionsThe Delphi process contributed to the development of SMR for older adult patients discharged from public hospitals in Hong Kong. Patient experience with and staff response to the SMR were assessed at four hospitals before implementation at all public hospitals.


1979 ◽  
Vol 22 (88) ◽  
pp. 513-528
Author(s):  
A. A. Salway

AbstractAvalanche-hazard evaluation by field analysts is largely achieved along causal intuitive lines, depending for its success upon the experience of the analyst in his particular area. Several attempts have been made in the past to quantify such procedures by means of statistical models based upon meteorological measurements. Modified forms of a multivariate technique known as linear discriminant analysis have been tried with only partial success. Intercorrelated variables and autocorrelated data, omission of time-lagged terms, insufficient variation in the dependent variable, and sampling difficulties may have combined to weaken the discriminant approach. These problems and the nature of the phenomenon suggest that a stochastic transfer-function time-series approach may be a useful alternative method.A numerical weighting scheme has been devised for the representation of avalanche activity for the Rogers Pass area of British Columbia in terms of terminus, size, and moisture-content codes for each event. From various types of correlation analysis performed on data for the period 1965–73, models were developed using the “best” weighting scheme for avalanche activity representation and the most promising meteorological variables, as indicated by the results of the correlation analysis.These relatively simple models demonstrate a good fit to the actual data, in both a descriptive and a simulated-forecasting situation.


Author(s):  
Winnie Lai-Sheung Cheng

Due to the ageing population, nursing students will be more likely to work with older adults after graduation. It is important to assess whether Hong Kong nursing students are well prepared to care for older adults. A convenience sample of 139 nursing students was surveyed using questionnaires: Palmore’s Facts on Ageing Quiz (FAQ), Kogan’s Attitudes Toward Old People scale (KAOP), and the Willingness to Care for Older People (WCOP) scale to assess the knowledge of and attitudes toward older adult care, and willingness to care for older adults, respectively. The overall score in the FAQ was medium-low (mean = 15.1, SD = 2.8). The KAOP score was medium-high (mean = 121.6, SD = 12.0). The willingness score was slightly high (mean = 5.2, SD = 1.1). Positive attitudes and knowledge about ageing are the predictors of nursing students’ willingness to take care of older adults. The findings provide evidence to nurse educators and clinical mentors that (a) courses providing knowledge about ageing are valuable, and (b) elements that cultivate positive attitudes towards older adult care should be included in curricula. Nursing curricula that provide knowledge and experience about older adult care play a pivotal role in creating a workforce of nurses ready and willing to care for the ever growing number of ageing adults.


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