scholarly journals Prevalence and Associated Factors of Fecal Incontinence and Double Incontinence among Rural Elderly in North China

2020 ◽  
Vol 17 (23) ◽  
pp. 9105
Author(s):  
Yan Luo ◽  
Kai Wang ◽  
Ping Zou ◽  
Xiaomei Li ◽  
Jinjie He ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Urinary Incontinence ◽  
Social Interaction ◽  
Brain Injury ◽  
Fecal Incontinence ◽  
Associated Factors ◽  
North China ◽  
Rural Elderly ◽  
Intervention Programs ◽  
Double Incontinence

Fecal and double incontinence are known to be more prevalent among the rural elderly. Yet, there have been few studies on their epidemic condition among Chinese rural elders. This study estimated the prevalence and correlates of fecal and double incontinence in rural elderly aged 65 years and over in North China. A multisite cross-sectional survey was conducted in 10 villages, yielding a sampling frame of 1250 residents. Fecal and urinary incontinence assessments were based on the self-reported bowel health questionnaire and the International Consultation on Incontinence Questionnaire-Short Form, respectively. The concomitant presence of fecal and urinary incontinence in the same subject was defined as double incontinence. The prevalence of fecal and double incontinence was 12.3% and 9.3%, respectively. Factors associated with fecal incontinence included urinary incontinence, lack of social interaction, traumatic brain injury, cerebrovascular disease, and poverty. Physical activities of daily living dependence, traumatic brain injury, lack of social interaction, and poor sleep quality were associated with higher odds of having double incontinence, whereas tea consumption was correlated with lower odds. Individualized intervention programs should be developed targeting associated factors and high-risk populations. These intervention programs should be integrated into existing public health services for the rural elderly to facilitate appropriate prevention and management of incontinence.

Post‐craniotomy fever and its associated factors in patients with traumatic brain injury

2021 ◽  
Author(s):  
Jui‐Hsia Huang ◽  
Tsae‐Jyy Wang ◽  
Shu‐Fang Wu ◽  
Chieh‐Yu Liu ◽  
Jun‐Yu Fan
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Associated Factors

Cognitive Impairment and Associated Factors in Rural Elderly in North China

2020 ◽  
Vol 77 (3) ◽  
pp. 1241-1253
Author(s):  
Jing Wang ◽  
Lily Dongxia Xiao ◽  
Kai Wang ◽  
Yan Luo ◽  
Xiaomei Li
Keyword(s):  
Risk Factors ◽  
Cognitive Impairment ◽  
Rural Areas ◽  
Associated Factors ◽  
North China ◽  
Health Resources ◽  
Rural Elderly ◽  
Multivariate Logistic Regression Model ◽  
Structured Interviews ◽  
Income Source

Background: China has the largest population living with dementia globally and urban-rural differences are significant in prevalence, risk factors, and health resources. Epidemiologic studies on cognitive impairment in rural areas are limited in China and other low- and middle-income countries. Objective: This study investigated cognitive impairment and associated factors in rural elderly aged 65 years and over in China. Methods: In total, 1,250 participants from ten villages in North China were recruited from June to September, 2017. Face-to-face structured interviews were conducted for data collection. The interviews included socio-demographic information, health status, and psychological assessments. Cognitive function was assessed using the Chinese version of the Mini-Mental State Examination. A multivariate logistic regression model with backward method was employed to identify factors associated with cognitive impairment. Results: The positive rate of cognitive impairment among rural Chinese elderly aged 65 years and older was 42.9% (95% CI, 40.1–45.6). No significant differences were found in cognitive impairment by age or gender before the age of 75 years. Older age, lack of formal school education, reliance on the basic living allowance as the only income source, poor hearing and vision function, diabetes, and activities of daily living dependence were associated with higher rate of cognitive impairment, while tea consumption and fatty liver disease were associated with lower cognitive impairment rate. Conclusion: A very high percentage of rural elderly in China had cognitive impairment. Education programs and prevention interventions targeting modifiable risk factors among high-risk populations should be developed through collective efforts involving all stakeholders.

scholarly journals Social Interaction in Young Children with Inflicted and Accidental Traumatic Brain Injury: Relations with Family Resources and Social Outcomes

2013 ◽  
Vol 19 (5) ◽  
pp. 497-507 ◽  
Author(s):  
Linda Ewing-Cobbs ◽  
Mary R. Prasad ◽  
Donna Mendez ◽  
Marcia A. Barnes ◽  
Paul Swank
Keyword(s):  
Traumatic Brain Injury ◽  
Social Interaction ◽  
Brain Injury ◽  
Young Children ◽  
Social Interactions ◽  
Social Engagement ◽  
Injury Severity ◽  
Social Outcomes ◽  
Social Responsiveness ◽  
Family Resources

AbstractCore social interaction behaviors were examined in young children 0–36 months of age who were hospitalized for accidental (n= 61) or inflicted (n= 64) traumatic brain injury (TBI) in comparison to typically developing children (n= 60). Responding to and initiating gaze and joint attention (JA) were evaluated during a semi-structured sequence of social interactions between the child and an examiner at 2 and 12 months after injury. The accidental TBI group established gaze less often and had an initial deficit initiating JA that resolved by the follow-up. Contrary to expectation, children with inflicted TBI did not have lower rates of social engagement than other groups. Responding to JA was more strongly related than initiating JA to measures of injury severity and to later cognitive and social outcomes. Compared to complicated-mild/moderate TBI, severe TBI in young children was associated with less responsiveness in social interactions and less favorable caregiver ratings of communication and social behavior. JA response, family resources, and group interacted to predict outcomes. Children with inflicted TBI who were less socially responsive and had lower levels of family resources had the least favorable outcomes. Low social responsiveness after TBI may be an early marker for later cognitive and adaptive behavior difficulties. (JINS, 2013,19, 1–11)

Traumatic brain injury increases the risk of female urinary incontinence

2012 ◽  
Vol 32 (4) ◽  
pp. 354-358 ◽  
Author(s):  
Joseph J. Keller ◽  
Shih-Ping Liu ◽  
Herng-Ching Lin
Keyword(s):  
Traumatic Brain Injury ◽  
Urinary Incontinence ◽  
Brain Injury ◽  
Female Urinary Incontinence

A 10-Year Follow-Up of Urinary and Fecal Incontinence among the Oldest Old in the Community: The Canadian Study of Health and Aging

2004 ◽  
Vol 23 (4) ◽  
pp. 319-331 ◽  
Author(s):  
Truls Østbye ◽  
Arnfinn Seim ◽  
Katrina M. Krause ◽  
John Feightner ◽  
Vladimir Hachinski ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Fecal Incontinence ◽  
Oldest Old ◽  
The Elderly ◽  
National Study ◽  
Canadian Study ◽  
Nursing Assessment ◽  
Double Incontinence ◽  
Using Data

ABSTRACTUrinary incontinence is common in the elderly. The epidemiology of fecal and double (urinary and fecal) incontinence is less known. The Canadian Study of Health and Aging (CSHA) is a national study of elderly living in the community at baseline (n = 8,949) and interviewed in 1991–1992, 1996, and 2001. Using data from the CSHA, we report the prevalence of urinary, fecal, and double incontinence in each wave and the cumulative incidence between waves and investigate the predictors of urinary and fecal incontinence. Urinary incontinence increased rapidly in old age, being almost twice as high in women as in men. Fecal and double incontinence were less common, but also increased rapidly with age. In women, parity showed a positive relationship with (prevalent) urinary incontinence. In men, diabetes was a risk factor for urinary and fecal incontinence. We conclude that urinary, fecal, and double incontinence increase rapidly with age and that inquiry about incontinence should be part of routine medical and nursing assessment of all elderly.

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