scholarly journals The Effectiveness of Intervening on Social Isolation to Reduce Mortality during Heat Waves in Aged Population: A Retrospective Ecological Study

2021 ◽  
Vol 18 (21) ◽  
pp. 11587
Author(s):  
Stefano Orlando ◽  
Claudia Mosconi ◽  
Carolina De Santo ◽  
Leonardo Emberti Gialloreti ◽  
Maria Chiara Inzerilli ◽  
...  
Keyword(s):  
Social Isolation ◽  
Urban Areas ◽  
Rate Ratio ◽  
Ecological Study ◽  
Heat Waves ◽  
The Elderly ◽  
P Value ◽  
Winter Mortality ◽  
Aged Population ◽  
The Impact

Background: Heat waves are correlated with increased mortality in the aged population. Social isolation is known as a vulnerability factor. This study aims at evaluating the correlation between an intervention to reduce social isolation and the increase in mortality in the population over 80 during heat waves. Methods: This study adopted a retrospective ecologic design. We compared the excess mortality rate (EMR) in the over-80 population during heat waves in urban areas of Rome (Italy) where a program to reduce social isolation was implemented, to others where it was not implemented. We measured the mortality of the summer periods from 2015 to 2019 compared with 2014 (a year without heat waves). Winter mortality, cadastral income, and the proportion of people over 90 were included in the multivariate Poisson regression. Results: The EMR in the intervention and controls was 2.70% and 3.81%, respectively. The rate ratio was 0.70 (c.i. 0.54–0.92, p-value 0.01). The incidence rate ratio (IRR) of the interventions, with respect to the controls, was 0.76 (c.i. 0.59–0.98). After adjusting for other variables, the IRR was 0.44 (c.i. 0.32–0.60). Conclusions: Reducing social isolation could limit the impact of heat waves on the mortality of the elderly population.

scholarly journals The Effectiveness of Intervening on Social Isolation to Reduce Mortality during Heat Waves in Aged Population: A Retrospective Ecological Study

2021 ◽  
Author(s):  
Stefano Orlando ◽  
Claudia Mosconi ◽  
Carolina De Santo ◽  
Leonardo Emberti Gialloreti ◽  
Maria Chiara Inzerilli ◽  
...  
Keyword(s):  
Social Isolation ◽  
Urban Areas ◽  
Rate Ratio ◽  
Ecological Study ◽  
Heat Waves ◽  
The Elderly ◽  
P Value ◽  
Winter Mortality ◽  
Aged Population ◽  
The Impact

Background: Heat waves are correlated with increased mortality in the aged population. Social isolation is known as a vulnerability factor. This study aims at evaluating the correlation between an intervention to reduce social isolation and the increase in mortality in the population over 80 during heat waves. Methods: The study adopts a retrospective ecologic design. We compared the excess mortality rate (EMR) in the over 80 population during heat waves in urban areas of Rome (Italy), where a program to reduce social isolation was implemented compared to others where it was not implemented. We measured mortality of the summer periods from 2015 to 2019 compared with 2014 (a year without heat waves). Winter mortality, cadastral income and proportion of over 90 were included in the multivariate Poisson regression. Results: The EMR in the intervention and controls was 2.70% and 3.81%, respectively. Rate ratio 0.70 (c.i. 0.54 - 0.92, p-value 0.01). The Incidence Rate Ratio (IRR) of the interventions with respect to the controls is 0.76 (c.i. 0.59 - 0.98). After adjusting for other variables, the IRR was 0.44 (c.i. 0.32 - 0.60). Conclusions: Reducing social isolation could limit the impact of heat waves on the mortality of the elderly population.

The effect of brain vitalization activity on dementia incidence in elderly at Budi Luhur Nursing Home of Yogyakarta, Kasongan, Bantul

2020 ◽  
Vol 1 (3) ◽  
pp. 43-50
Author(s):  
Firstyono Miftahul Aziz ◽  
Suratini Suratini
Keyword(s):  
Nursing Home ◽  
The Elderly ◽  
Control Group ◽  
P Value ◽  
Sampling System ◽  
Randomized Sampling ◽  
Care For The Elderly ◽  
Dementia Incidence ◽  
The Family ◽  
The Impact

For some people, dementia is considered as a disease that is common in elderly, regardless the impact of dementia. Taking care for the elderly with dementia brings stress for the family. It can cause and increase the family burden. Brain vitalization gymnastics is one of the methods to improve memory. The study aims to investigate the effect of brain vitalization activity on dementia incidence in elderly at Budi Luhur Nursing Home of Yogyakarta. The study used Quasi Experimental with Pretest-Posttest control group and randomized sampling system. The samples were taken randomly as many as 26 respondents and were divided into two groups namely 13 respondents of experimental group and 13 respondents of control group. The statistical test used Wilcoxon Match Pairs Test. The result showed that Wilcoxon Match pairs test obtained p value 0,003, which is smaller than 0,005. There is an effect of brain vitalization activity on dementia incidence in elderly at Budi Luhur Nursing Home of Yogyakarta

scholarly journals The Impact of Cold and Heat on Years of Life Lost in a Northwestern Chinese City with Temperate Continental Climate

2019 ◽  
Vol 16 (19) ◽  
pp. 3529 ◽  
Author(s):  
Jiangtao Liu ◽  
Yueling Ma ◽  
Yuhong Wang ◽  
Sheng Li ◽  
Shuyu Liu ◽  
...  
Keyword(s):  
Respiratory Diseases ◽  
Heat Waves ◽  
Age Groups ◽  
The Elderly ◽  
Years Of Life Lost ◽  
Weather Variables ◽  
Distributed Lag ◽  
Heat Effects ◽  
The Impact ◽  
Continental Climate

Cold spells and heat waves in a changing climate are well known as great public-health concerns due to their adverse effects on human health. However, very few studies have quantified health impacts of heat and cold in the region of Northwestern China. The purpose of the present study was to evaluate the effects of cold and heat on years of life lost (YLL) in Lanzhou, a city with temperate continental climate. We compiled a daily dataset including deaths, weather variables, and air pollutants in Lanzhou, China, from 2014–2017. We used a distributed lag non-linear model to estimate single-day and cumulative effects of heat and cold on daily YLL. Results indicated that both cold and heat were associated with increased YLL for registered residents in Lanzhou. Estimated heat effects appeared immediately in the first two days, while estimated cold effects lasted over a longer period (up to 30 days). Cold significantly increased the YLL of all residents except for males and those with respiratory diseases (≥65 years). Our results showed that both heat and cold had more pronounced effects on cardiovascular diseases compared to respiratory diseases. Males might be more vulnerable to heat, while females might suffer more YLL from cold. The effects of cold or heat on the elderly might appear earlier and last longer than those for other age groups.

scholarly journals GREEN LIVING ROOF SIMULATION MODEL REVIEW

2019 ◽  
pp. 104-110
Author(s):  
Dimitrijević Jovanović ◽  
Predrag (Miodrag) Zivkovic ◽  
Jelena Janevski ◽  
Mica Vukic ◽  
Ana Momcilovic ◽  
...  
Keyword(s):  
Simulation Model ◽  
Urban Areas ◽  
Architectural Design ◽  
Heat Waves ◽  
Building Envelope ◽  
Climatic Zones ◽  
Urban Level ◽  
Using Data ◽  
The Impact ◽  
Warm Temperate

Integration of nature, live, organic materials, in the design of built areas and building structure is an architectural response to environmental problems of dense urban areas. At the site where green space is limited, greening the building envelope is the solution for the issues such as heat waves, flooding, and noise and air pollution. The benefits could be predicted only using accurate simulation model of this technology. The energy balance of green living roof was researched through models developed over the years by various authors. Most models have been developed and validated with data from extensive roofs and more than 50% of the models were validated using data from warm temperate climatic zones. Ability to determine the impact of green living roofs at different stages of their architectural design process is of most importance if the incorporation this technology is planned due to the impact on building and urban level.

scholarly journals The impact of social isolation on a selected group of older brazilians within the context of the covid-19 pandemic

2021 ◽  
Vol 4 (3) ◽  
pp. 89-94
Author(s):  
Natalia Sperli Geraldes Marin dos Santos Sasaki ◽  
Marília Louvison ◽  
Camila Garcel Pancote ◽  
Maria de Lourdes Sperli Geraldes Santos ◽  
Amena Alcântara Ferraz Cury ◽  
...  
Keyword(s):  
Social Isolation ◽  
Social Life ◽  
Social Activity ◽  
Well Being ◽  
The Elderly ◽  
Health Condition ◽  
Corona Virus ◽  
The Social ◽  
Data Collection Instrument ◽  
The Impact

Objective: This paper is an examination of the experiences of a selected group of older Brazilians people which aims to analyse how they have been impacted by COVID-19 and, particularly, how they have been affected by protective social isolation measures. Methodology: 42 older residents of Sao Jose do Rio Preto were interviewed by phone. The applied script question was developed by International Longevity Centre the Netherlands, based at the Leyden Academy on Vitality and Aging. The data collection instrument consisted of five categories of analysis: social activities, social contacts and connectivity, well-being, vitality and health, and COVID-19 news and reports. Results: All in-person social activity ceased with the implementation of the isolation measures. Most of the interviewees pointed out to be suffering do to absence of their children, grand-children, other relatives and close friends from whom they have being apart since the beginning of the Corona virus pandemic. A large number of the interviewees recognized a worsening of their health condition and attributed it to the suspension of the physical activities and the social life that they had before isolation. Conclusion: The interviewed showed some insight about the experiences of older Brazilian adults during the COVID-19 pandemic. They all revealed a strong awareness of their physical vulnerability regarding corona virus. Most accepted the need to protect themselves through isolation or any other measures. However, there are barriers that difficulty the elderly people isolation as they live with of member of the family with different ages and in poor financial situations.

scholarly journals The impact of legislation on Covid-19 mortality in a Brazilian federative unit was mediated by social isolation.

2021 ◽  
Author(s):  
Fredi A Diaz-Quijano ◽  
Tatiane Bomfim Ribeiro ◽  
Alexia Viana da Rosa ◽  
Rossana Reis ◽  
Fernando Aith ◽  
...  
Keyword(s):  
Social Isolation ◽  
Ecological Study ◽  
The Other ◽  
Preventive Effect ◽  
Mobile Data ◽  
The Social ◽  
Isolation Index ◽  
Delayed Mortality ◽  
The Impact

This study aimed to estimate the effect of restrictive laws on actual social isolation and COVID-19 mortality. Moreover, we evaluated how community adherence, measured with an index of social isolation, would mediate the lockdown effect on COVID-19 mortality. Methods: This ecological study assessed the legislations published until June 30, 2020, in the Brazilian state of Ceara. We performed a systematic review and classification of restrictive norms and estimated their immediate effect on social isolation, measured by an index based on mobile data, and the subsequent impact on COVID-19 mortality (three weeks later). A mediation analysis was performed to estimate the effect of rigid lockdown on mortality that was explained for effective social isolation. Results: The social isolation index showed an increase of 11.9% (95% CI: 2.9% - 21%) during the days in which a rigid isolation norm (lockdown) was implemented. Moreover, this rigid lockdown was associated with a reduction of 26% (95% CI: 21% - 31%) in the three-week-delayed mortality. We also calculated that the rigid lockdown had the indirect effect, i.e., mediated by adherence to social isolation, of reducing COVID-19 mortality by 38.24% (95% CI: 21.64% to 56.07%). Therefore, the preventive effect of this norm was fully explained by the actual population adherence, reflected in the social isolation index. On the other hand, mandatory mask use was associated with 11% reduction in COVID-19 mortality (95% CI: 8% - 13%). Conclusions: We estimated the effect of quarantine regulations on social isolation and evidenced that a rigid lockdown law led to a reduction of COVID-19 mortality in one state of Brazil. In addition, the mandatory masks norm was an additional determinant of the reduction of this outcome.

Synergistic Interactions between Urban Heat Islands and Heat Waves: The Impact in Cities Is Larger than the Sum of Its Parts

2013 ◽  
Vol 52 (9) ◽  
pp. 2051-2064 ◽  
Author(s):  
Dan Li ◽  
Elie Bou-Zeid
Keyword(s):  
Urban Heat Island ◽  
Rural Areas ◽  
Urban Areas ◽  
Heat Waves ◽  
Mitigation Strategies ◽  
Urban Heat Islands ◽  
Heat Island ◽  
Heat Islands ◽  
Urban Heat ◽  
The Impact

AbstractCities are well known to be hotter than the rural areas that surround them; this phenomenon is called the urban heat island. Heat waves are excessively hot periods during which the air temperatures of both urban and rural areas increase significantly. However, whether urban and rural temperatures respond in the same way to heat waves remains a critical unanswered question. In this study, a combination of observational and modeling analyses indicates synergies between urban heat islands and heat waves. That is, not only do heat waves increase the ambient temperatures, but they also intensify the difference between urban and rural temperatures. As a result, the added heat stress in cities will be even higher than the sum of the background urban heat island effect and the heat wave effect. Results presented here also attribute this added impact of heat waves on urban areas to the lack of surface moisture in urban areas and the low wind speed associated with heat waves. Given that heat waves are projected to become more frequent and that urban populations are substantially increasing, these findings underline the serious heat-related health risks facing urban residents in the twenty-first century. Adaptation and mitigation strategies will require joint efforts to reinvent the city, allowing for more green spaces and lesser disruption of the natural water cycle.

scholarly journals Impact of COVID-19 outbreak by income: hitting hardest the most deprived

2020 ◽  
Vol 42 (4) ◽  
pp. 698-703 ◽  
Author(s):  
Jose Miguel Baena-Díez ◽  
María Barroso ◽  
Sara Isabel Cordeiro-Coelho ◽  
Jorge L Díaz ◽  
María Grau
Keyword(s):  
Ecological Study ◽  
Incidence Rates ◽  
European Population ◽  
P Value ◽  
Socioeconomic Gradient ◽  
Health Strategy ◽  
Income Data ◽  
The Mean ◽  
The Impact ◽  
The City

Abstract Background The impact of the 2019 coronavirus disease (COVID-19) has many facets. This ecological study analysed age-standardized incidence rates by economic level in Barcelona. Methods We evaluated confirmed cases of COVID-19 in Barcelona (Spain) between 26 February 2020 and 19 April 2020. Districts were classified according to most recent (2017) mean income data. The reference for estimating age-standardized cumulative incidence rates was the 2018 European population. The association between incidence rate and mean income by district was estimated with the Spearman rho. Results The lower the mean income, the higher the COVID-19 incidence (Spearman rho = 0.83; P value = 0.003). Districts with the lowest mean income had the highest incidence of COVID-19 per 10 000 inhabitants; in contrast, those with the highest income had the lowest incidence. Specifically, the district with the lowest income had 2.5 times greater incidence of the disease, compared with the highest-income district [70 (95% confidence interval 66–73) versus 28 (25–31), respectively]. Conclusions The incidence of COVID-19 showed an inverse socioeconomic gradient by mean income in the 10 districts of the city of Barcelona. Beyond healthcare for people with the disease, attention must focus on a health strategy for the whole population, particularly in the most deprived areas.

scholarly journals Social Engagement and Elderly Health in China: Evidence from the China Health and Retirement Longitudinal Survey (CHARLS)

2019 ◽  
Vol 16 (2) ◽  
pp. 278 ◽  
Author(s):  
Jin Liu ◽  
Scott Rozelle ◽  
Qing Xu ◽  
Ning Yu ◽  
Tianshu Zhou
Keyword(s):  
Health Status ◽  
Rural Areas ◽  
Social Engagement ◽  
Urban Areas ◽  
Healthy Aging ◽  
The Elderly ◽  
Health Behavior Change ◽  
Longitudinal Survey ◽  
Elderly Health ◽  
The Impact

This study examines the impact of social engagement on elderly health in China. A two-stage residual inclusion (2SRI) regression approach was used to examine the causal relationship. Our dataset comprises 9253 people aged 60 or above from the China Health and Retirement Longitudinal Survey (CHARLS) conducted in 2011 and 2013. Social engagement significantly improved the self-rated health of the elderly and reduced mental distress, but had no effect on chronic disease status. Compared with the rural areas, social engagement played a more important role in promoting the elderly health status in urban areas. Social engagement could affect the health status of the elderly through health behavior change and access to health resources. To improve the health of the elderly in China and promote healthy aging, the government should not only improve access to effective medical care but also encourage greater social engagement of the elderly.

scholarly journals Family structure and its impacts on the restrictions of self-perception of elderly health levels in Brazil

2018 ◽  
Vol 23 (8) ◽  
pp. 2751-2762
Author(s):  
Mércia Santos da Cruz ◽  
Jair Andrade Araujo ◽  
Adriano Nascimento da Paixão
Keyword(s):  
Urban Areas ◽  
Family Health ◽  
The Elderly ◽  
National Sample ◽  
Self Report ◽  
Sample Survey ◽  
Physical Mobility ◽  
Elderly Health ◽  
Home Living ◽  
The Impact

Abstract The aim of the article is to investigate the impacts of co-residence over spouce and\or children on self-perceived health among Brazilian elderly. The database used was the health supplement of the National Sample Survey of Households (PNAD) conducted by the Brazilian Institute of Geography and Statistics (IBGE) in 2008. The sample consists of 36 551 people from all regions of the country such as urban areas and rurals. The results indicate that seniors with better socioeconomic status, who don’t have physical mobility problems are more propenspos to a better self report among their health, regardless of the gender of the elderly. Regarding the impact of co-residence family health of respondents, living with daughters increases the probability that perception is better (specifically good or very good). Moreover,the results are consistent with the hypothesis that elderly brazilians realize better their health with home living with daughters and/or spouse.

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