scholarly journals Recent trends in HIV prevalence in a remote setting of southern India: Insights into arranging HIV control policies

2013 ◽  
Vol 7 (11) ◽  
pp. 838-843
Author(s):  
Ramalingam Sekar ◽  
Murugesan Amudhan ◽  
Moorthy Sivashankar ◽  
Manoharan Mythreyee
Keyword(s):  
Hiv Infection ◽  
Age Groups ◽  
The Elderly ◽  
Hiv Prevalence ◽  
Southern India ◽  
Data Sets ◽  
Male Population ◽  
Female Population ◽  
Study Characteristics ◽  
Integrated Counseling

Introduction: Constant vigilance of the dynamics of HIV prevalence is important in estimating, regulating, and implementing prevention programs. The objective of this study was to investigate the trend in the prevalence of HIV infection over six years among specific demographic groups in the remote district of southern India. Methodology: All high-risk attendees of the Integrated Counseling and Testing Centre, Government Theni Medical College between April 2005 and December 2010 were included in this study. Characteristics including age, sex, place of residence, literacy, and HIV sero-status were collected as per the guidelines of the National AIDS Control Organization. Results: A total of 50,043 data sets were analyzed; 3,282 (6.6%) tested positive for HIV infection. The prevalence of HIV infection among the ≤ 25 age group was significantly lower as compared to the elderly (4.4% vs. 6.9%; odds ratio 0.62; 95% confidence interval 0.55–0.71; p < 0.01). There was a decline in HIV prevalence among both age groups (Ptrend < 0.01 for ≤ 25 year-old; – 82.3% and Ptrend < 0.01 for > 25-year old, – 14.2%), males (Ptrend < 0.01; – 50.9%), the urban population (Ptrend < 0.01; – 45.9%), and illiterates (Ptrend < 0.01; – 68%). The trend of HIV prevalence among females (Ptrend = 0.48; +9.1%), the rural population (Ptrend = 0.95; – 7.1%), and literate population (Ptrend = 0.44; +28%) was statistically insignificant. Conclusion: HIV prevalence is stable in the female population, while it is decreasing in male population, indicating that current interventions must be strengthened to reduce HIV prevalence among females.

scholarly journals Impacts of Dual-Income Household Rate on Suicide Mortalities in Japan

2021 ◽  
Vol 18 (11) ◽  
pp. 5670
Author(s):  
Misaki Nakamoto ◽  
Takatoshi Nakagawa ◽  
Masahiko Murata ◽  
Motohiro Okada
Keyword(s):  
Family Health ◽  
The Elderly ◽  
Health Economy ◽  
Suicide Mortality ◽  
Male Population ◽  
Female Population ◽  
Income Household ◽  
Working Age ◽  
Dual Income ◽  
Work Family

To explore impact of enhancing social advancement of females in Japan, this study determined the effects of the dual-income household rate on suicide mortalities disaggregated by attributes of gender, age, and motives between 2009 and 2017 in Japan. This study analysed impact of dual-income household rate, other household-related factors (savings, liabilities and yearly incomes per household, minors and elderly rate per household), and social/employment factors (complete unemployment rate, employment rate, temporary male and female employment rates and certification rate of long-term care insurance) on suicide mortalities disaggregated by attributes of gender, age, and motives using hierarchical linear-regression model. Dual-income household rate was significantly/negatively related to suicide mortality of the working-age female population, but significantly/positively related to that of the elderly female population. Suicide mortalities of the working-age male population and the elderly male population were significantly/positively related to dual-income household rate. Male suicide mortalities caused by family-, health-, economy- and employment-related motives were significantly/positively related to dual-income household rate; however, the dual-income household rate was significantly/positively related to female suicide mortalities caused by family-, health-, economy- and school-related motives, but significantly/negatively related to suicide mortalities caused by romance-related motives. Dual-income households suppress social-isolation and develop economical/psychological independence of females, leading to reduced suicide mortality in working-age females. However, elderly and school-age populations, who are supported by the working-age female, suffer from isolation. Working-age males also suffer from inability to adapt from the traditional concept of work–life and work–family balances to the novel work–family balance concept adapted to dual-income households. These results suggest occurrence of new social/family problems in the 21st century due to vulnerability of traditional Japanese culture and life–working–family balance concepts as well as novel sociofamilial disturbances induced by declining birth rate and ageing population in Japan.

scholarly journals Temporal trends and regional disparities in cancer screening utilization: an observational Swiss claims-based study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Caroline Bähler ◽  
Beat Brüngger ◽  
Agne Ulyte ◽  
Matthias Schwenkglenks ◽  
Viktor von Wyl ◽  
...  
Keyword(s):  
Cancer Screening ◽  
Prostate Cancer Screening ◽  
Temporal Trends ◽  
Specific Antigen ◽  
Age Groups ◽  
Fecal Occult Blood ◽  
Male Population ◽  
Female Population ◽  
Psa Testing ◽  
Mammography Use

Abstract Background We examined colorectal, breast, and prostate cancer screening utilization in eligible populations within three data cross-sections, and identified factors potentially modifying cancer screening utilization in Swiss adults. Methods The study is based on health insurance claims data of the Helsana Group. The Helsana Group is one of the largest health insurers in Switzerland, insuring approximately 15% of the entire Swiss population across all regions and age groups. We assessed proportions of the eligible populations receiving colonoscopy/fecal occult blood testing (FOBT), mammography, or prostate-specific antigen (PSA) testing in the years 2014, 2016, and 2018, and calculated average marginal effects of individual, temporal, regional, insurance-, supply-, and system-related variables on testing utilization using logistic regression. Results Overall, 8.3% of the eligible population received colonoscopy/FOBT in 2014, 8.9% in 2016, and 9.2% in 2018. In these years, 20.9, 21.2, and 20.4% of the eligible female population received mammography, and 30.5, 31.1, and 31.8% of the eligible male population had PSA testing. Adjusted testing utilization varied little between 2014 and 2018; there was an increasing trend of 0.8% (0.6–1.0%) for colonoscopy/FOBT and of 0.5% (0.2–0.8%) for PSA testing, while mammography use decreased by 1.5% (1.2–1.7%). Generally, testing utilization was higher in French-speaking and Italian-speaking compared to German-speaking region for all screening types. Cantonal programs for breast cancer screening were associated with an increase of 7.1% in mammography utilization. In contrast, a high density of relevant specialist physicians showed null or even negative associations with screening utilization. Conclusions Variation in cancer screening utilization was modest over time, but considerable between regions. Regional variation was highest for mammography use where recommendations are debated most controversially, and the implementation of programs differed the most.

scholarly journals Pulmonary tuberculosis among men over forty

1959 ◽  
Vol 57 (4) ◽  
pp. 367-385 ◽  
Author(s):  
Cecily M. Tinker
Keyword(s):  
Royal College ◽  
Age Groups ◽  
The Elderly ◽  
Older Age ◽  
Personal Hygiene ◽  
Tuberculous Infection ◽  
Elderly Men ◽  
Female Population ◽  
Heavy Smoking ◽  
Increased Risk

1. A review of the few studies so far made on the high mortality from tuberculosis among elderly men, and a consideration of the available statistics, indicate that urbanization is one of the principal factors responsible.2. In the present inquiry, which was confined to London, 445 newly diagnosed cases of tuberculosis in men over 40, together with the same number of paired controls, were studied by means of a questionnaire and of personal interview.3. It was found that the tuberculous patients differed significantly from the controls in the following characteristics; Scots, Irish, Welsh, or foreign nationality; single, widower or divorced; resident in common lodging houses or hostels; inadequate or special diet; history of gastrectomy; a winter cough; shortness of breath; insufficient sleep; and heavy drinking and smoking. On the other hand, overtime or night work, diabetes, rheumatoid arthritis, asthma, and mental illness were distributed fairly evenly in the two groups.4. Unfortunately no group of elderly women exists in this country living under the same sort of conditions as the elderly men studied here, so that it was impossible to determine how far the various factors considered were responsible for the high rate of late adult male tuberculosis. A study, however, of a population of established civil servants living under ordinary conditions revealed little difference between the observed rates of tuberculosis and those expected on the basis of national notification figures for men and women in the older age groups.5. It appears that a low standard of personal hygiene, associated especially with heavy smoking and drinking and residence in loading houses, predispose to the development of tuberculosis in the elderly male. Part of the evil effect of living in common lodging houses in particular may be due to the increased risk of exposure to tuberculous infection that it entails.6. It is tentatively concluded that the casual workers of an urbanized community are one of the principal reservoirs of tuberculous infection in large towns, and since there is no numerically comparable female population, this group, and its immediate male contacts, account in large measure for the difference between the male and female tuberculosis rates in the older age groups.This work was initiated during the tenure of a Prophit Scholarship of the Royal College of Physicians, and completed with the aid of a grant from the Medical Research Council.I am indebted to members of the Prophit Committee of the Royal College of Physicians for their support and encouragement, and most particularly to Dr G. S. Wilson, Director of the Public Health Laboratory Service, under whose guidance the work was carried out. Figures relating to the incidence of tuberculosis in the Civil Service are published by kind permission of Dr W. E. Chiesman, Treasury Medical Adviser, and Dr M. C. W. Long, Dr J. W. Parks, and Dr H. Stannus Stannus, whose departmental records were used to compute the figures.I am greatly indebted to the consultants and staff of the seventeen chest clinics who co-operated in the investigation, for their interest and help in tracing patients, and to the medical superintendents of numerous sanatoria and chest hospitals, and to the surgeons who permitted me to interview patients under their care as controls.I should like also to acknowledge the assistance received from the medical officers of health of the metropolitan boroughs who kept me informed of notifications from lodging houses in their areas, and supplied information about the accommodation.

Age analysis of the population mortality from diabetes mellitus in the Tula region

10.12737/5613 ◽  
2014 ◽  
Vol 8 (1) ◽  
pp. 1-11 ◽  
Author(s):  
Макишева ◽  
R. Makisheva ◽  
Хромушин ◽  
Viktor Khromushin ◽  
Хадарцев ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Adult Population ◽  
Age Groups ◽  
Endocrine System ◽  
Initial Increase ◽  
Male Population ◽  
Female Population ◽  
Men And Women ◽  
Age Cohorts ◽  
Age Cohort

The article analyzes 182897 deaths of the adult population of the Tula region from the mortality register from 2007 to 2013 by age cohorts 15-19; 20-24; 25-34; 35-44; 45-54; 55-64; 65-74; &#62;=75, of which 4882 case of death from diabetes. The increasing incidence of diseases of the endocrine system, disorders of nutrition and metabolism is identified and is accordingly 63,7; 66,5; 68,4; 68,3; 69,4; 71,0 per 1000 population. The mortality rate in the Tula region in 2012 from diabetes was 59,86 per 100000 population. The analysis of mortality shows that the ratio of women to men for the period from 2007 to 2013 increases with increasing age in a power-law dependence from 0,6 to 4,49. In the age cohort 45-54 men and women, there is a decrease in the number of cases. The initial increase and the subsequent significant decline in the number of cases have a place for men in this cohort. For women, the mortality rate decreases with larger slope than for men. The dynamics of the mortality of men and women in the cohort 55-64 is characterized by an increase in the number of cases in 2007-2010 and the decrease in 2011-2013. In this cohort, the mortality rate among men increased (except 2013), and the mortality rate of the female population varies only slightly. Mortality of women, men, and for men and women in the cohort 65-74 years decreases, and in the cohort of 75 and over increased. Positive aspects of age analysis is the transfer of deaths from age groups 45-54, 55-64, 65-74 in a cohort of older ages 75 years or more. Negative aspects of age analysis is the increased mortality of the male population in the cohort 55-64 in 2007- 2012, men and women of this cohort in 2007 - 2010 years, as well as the high mortality of the female population from diabetes, compared with the male population of the Tula region.

scholarly journals Differential susceptibility according to gender in the association between air pollution and mortality from respiratory diseases

2011 ◽  
Vol 27 (9) ◽  
pp. 1827-1836 ◽  
Author(s):  
Marcio Sacramento de Oliveira ◽  
Antônio Ponce de Leon ◽  
Inês Echenique Mattos ◽  
Sérgio Koifman
Keyword(s):  
Air Pollution ◽  
Respiratory Diseases ◽  
Elderly Women ◽  
Generalized Additive Models ◽  
Differential Susceptibility ◽  
The Elderly ◽  
Additive Models ◽  
Male Population ◽  
Female Population ◽  
Increase In Risk

This study analyzed the association between air pollution and deaths from respiratory diseases, considering differential susceptibility according to gender. The authors used daily deaths from respiratory diseases (ICD-10, J00-J99), PM10, SO2, and O3 levels, and meteorological indicators in Volta Redonda, Rio de Janeiro State, Brazil, from January 2002 to December 2006. The association was estimated by Poisson regression using generalized additive models, where the increase in risk of deaths from PM10 to lag 1 was 10.01% (95%CI: 1.81-18.88%) in the total female population and 10.04% (95%CI: 0.90-20.02%) in elderly women. The increase in risk of deaths from PM10 to lag 9 was 8.25% in the total male population (95%CI: 0.86-16.18%) and 10.80% (95%CI: 2.18-20.15%) in elderly men. For exposure to SO2 and O3, the risk was significant in the total male population and the elderly, respectively. The results emphasize the need for further studies, focusing on modification of the effects of air pollution on health.

scholarly journals LITERATE LIFE EXPECTANCY AND ITS GENDER DIFFERENTIALS IN OMAN

2019 ◽  
pp. 21-31
Author(s):  
M. Mazharul Islam ◽  
Md. Hasinur Rahaman Khan
Keyword(s):  
Life Expectancy ◽  
Gender Gap ◽  
Age Groups ◽  
Composite Index ◽  
Well Being ◽  
Alternative Measure ◽  
Average Life Expectancy ◽  
Male Population ◽  
Female Population ◽  
Gender Differentials

Measuring human quality and well-being by the human development index (HDI) is very challenging as it is a composite index of many socio-economic variables. However, a simple index called literate life expectancy (LLE) by combining life expectancy and literacy only can be used as an alternative measure, which is less data intensive than HDI. LLE is the average life expectancy that a person lives under literate state. Length of life in literate state has many positive implications on social, economic and political aspects of life. In this paper an attempt has been made to construct LLE for Omani population with its gender differentials. The data for the study were extracted from the 2015 Statistical Year Book and the 2010 Population and Census report of Oman published by the National Centre for Statistics & Information. Despite socioeconomic progress, levels of education among women in Oman are not the same as men. The analysis shows the remarkable differences in the LLE between men and women for almost all age groups. The Omani female population is much lag behind in literate life expectancy than the Omani male population. The results underscore the need to take necessary steps for reducing gender gap in LLE in Oman.  

scholarly journals Outbreak investigation of acute diarrheal disease in Palitana urban, Gujarat

2017 ◽  
Vol 4 (7) ◽  
pp. 2294
Author(s):  
Bharti Koria ◽  
B. P. Boricha ◽  
Hirava Munsi ◽  
Jatin Sarvaiya
Keyword(s):  
Attack Rate ◽  
Diarrheal Disease ◽  
Age Groups ◽  
Secondary Data ◽  
Polluted Water ◽  
Health Staff ◽  
Male Population ◽  
Cross Sectional ◽  
Female Population ◽  
Adult Age

Background: Clustering of diarrhoea and vomiting cases were reported in Palitana urban on 22 December 2014. Rapid response team was sent from government medical college, Bhavnagar to control the epidemic. Methods: A cross sectional study was conducted in Palitana urban for acute diarrheal disease epidemic investigation. Secondary data obtained from health staff and analysed to have clear picture of epidemic. Necessary actions were taken to control it. Results: Total 390 cases were reported. Out of them 21-30 adult age group was more affected as compared to other age groups. Attack rate of diarrheal disease was more in male population (85.61%) as compared to female population (40.99%).Over all attack rate was 64.19%. Conclusions: It was an acute diarrheal disease outbreak due to mixing of drinking water with polluted water. 

scholarly journals Trends and correlates of HIV prevalence among adolescents in South Africa: evidence from the 2008, 2012 and 2017 South African National HIV Prevalence, Incidence and Behaviour surveys

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Musawenkosi Mabaso ◽  
Goitseone Maseko ◽  
Ronel Sewpaul ◽  
Inbarani Naidoo ◽  
Sean Jooste ◽  
...  
Keyword(s):  
South Africa ◽  
Hiv Infection ◽  
Transition To Adulthood ◽  
Educational Institution ◽  
Age Groups ◽  
Hiv Prevalence ◽  
Cross Sectional ◽  
Factors Associated ◽  
Increased Risk ◽  
And Gender

Abstract Background Adolescents are at increased risk of HIV infection compared to other age groups. There is an urgent need for strategic information that will inform programmes to reduce risk and vulnerability to HIV and reverse the pattern of increasing HIV infection as they transition to adulthood. This paper analysed trends and factors associated with HIV prevalence among adolescents in South Africa using the national HIV population-based household surveys conducted in 2008, 2012 and 2017. Methods All three surveys used a multistage cross-sectional design. A trend analysis was conducted to assess the differences in HIV prevalence and covariates overtime using P-trend Chi-squared statistic. Univariate and multivariate logistic regression models were used to determine factors associated with HIV prevalence. Results Overall there was a significant increase in HIV prevalence among adolescents aged 12–19 years from 3.0% (n = 2892) in 2008 to 3.2% (n = 4829) in 2012 and 4.1% (n = 3937) in 2017 (p = 0.031). The odds of being HIV positive among adolescents aged 12–19 years was significantly higher among females [AOR = 2.24; 95% CI (1.73–2.91); p < 0.001] than males, those residing in KwaZulu-Natal province [AOR = 2.01; 95% CI (1.-3.99); p = 0.027] than Northern Cape, and those who did not attend an educational institution and were unemployed [AOR = 2.66; 95% CI (1.91–3.67); p < 0.001] compared to those attending an educational institution. The odds were significantly lower among Whites [AOR = 0.29; 95% CI (0.09–0.93); p = 0.037], Coloureds [AOR = 0.21; 95% CI (0.11–0.37); p ≤ 0.001] and Indian/Asian [AOR = 0.08; 95% CI (0.02–0.34); p = 0.001] population groups than Black Africans. Conclusion The observed increasing trend and gender disparities in HIV prevalence suggests an urgent need for age appropriate and gender specific HIV interventions tailored and targeted at identified drivers of HIV infection among adolescents.

scholarly journals Prostate Specific Antigen Values of Geriatric Individuals Visiting a Tertiary Care Hospital in Southern India for Comprehensive Check Up

2018 ◽  
Vol 5 (1) ◽  
pp. 3435-3438
Author(s):  
Rahul Unnikrishnan ◽  
George Paul ◽  
Sunil K Senan ◽  
Priya Vijayakumar
Keyword(s):  
Prostate Specific Antigen ◽  
Tertiary Care ◽  
Specific Antigen ◽  
Age Groups ◽  
The Elderly ◽  
Southern India ◽  
Health Clinic ◽  
Reference Ranges ◽  
Care Hospital ◽  
Tertiary Care Centre

Prostate Specific Antigen (PSA) has become the most commonly used tumour marker for prostate cancer. Studies have suggested that age specific cutoff values for PSA screening are better than the currently used standard cutoff of 4.0ng/ml and different races have their own reference ranges. The objective of this study was to measure the PSA values of elderly individuals attending a tertiary care centre in southern India and postulate the possible normal values of PSA in different age groups of elderly. A total of 1038 males over the age of 60 years presenting to the Elderly Comprehensive Health clinic at the Department of Geriatrics of a tertiary hospital in Southern India between March 2009 and  February 2011were studied. 4ml blood was collected  and PSA was estimated by Chemiluminiscent Micro-particle Immunoassay. PSA values were analyzed in terms of mean, standard deviation and 5th and 95th percentiles. Results showed that 5th  and 95th percentile values were 0.27 and 3.82 among those who were 60-69 years, 0.28 and 3.43 among those who were 70-79 years and 0.26 and 3.95 among those who were more than 80 years. 10 % of the elderly population in all age subsets had PSA values over the normal. This  study showed that the PSA values from South India are similar to the expected. The age specific Indians being ethnically distinct, need to have separate PSA reference ranges which need to be established with large community-based multicentre Indian studies.

Differential of HIV prevalence in women and men who attended sexually transmitted disease clinics at HIV sentinel surveillance sites in Kenya, 1990–2001

2003 ◽  
Vol 14 (3) ◽  
pp. 193-196 ◽  
Author(s):  
M R Joesoef ◽  
B Cheluget ◽  
L H Marum ◽  
C Wandera ◽  
C A Ryan ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Sexually Transmitted Disease ◽  
Transmitted Disease ◽  
Age Groups ◽  
Hiv Prevalence ◽  
Sentinel Surveillance ◽  
Sub Saharan Africa ◽  
Sexually Transmitted ◽  
Adolescent Women ◽  
Sub Saharan

Several studies in sub-Saharan Africa have reported that HIV prevalence in young women is higher than in young men. We used data from Kenya HIV sentinel surveillance conducted from 1990 to 2001 among sexually transmitted disease (STD) patients (15-49 years old) to investigate consistency of gender differentials over time and their risk factors. Of the 15,889 STD patients, the HIV prevalence ranged from 16.0% in 1990 to 41.8% in 1997. The odds ratios (ORs) of HIV infection for women compared to men decreased by age; women 15-24 years were nearly twice as likely as men of the same ages to be HIV infected (OR 1.7 [1.5-2.0]), but risk in those >44 years was almost equal (OR 0.8 [95% CI 0.7-1.2]). The odds of HIV infection for women compared to men were twice in unmarried patients (OR 2.1 [95% CI 1.8-2.3]). This association persisted after controlling for age groups or marital status, residence, level of education, and presence of STD syndromes. This pattern had been consistent over 12 years. Adolescent women with symptoms of STDs should be a focus for the HIV/STD intervention programmes because of their high risk for HIV.

Sign in / Sign up

Export Citation Format

Share Document