scholarly journals Health status and its socio-economic covariates in the older population in Poland – the assumptions and methods of the nationwide, cross-sectional PolSenior2 survey

Author(s):  
Łukasz Wierucki ◽  
Hanna Kujawska-Danecka ◽  
Małgorzata Mossakowska ◽  
Tomasz Grodzicki ◽  
Piotr Błędowski ◽  
...  

IntroductionPopulation ageing constitutes an increasing medical, social, and economic burden worldwide. Optimal senior policy should be based on well-assessed knowledge on the prevalence and control of age-related diseases, multimorbidity, disabilities, and their social determinants. The objective of this paper is to describe the assumptions, methods, and sampling procedures of the PolSenior2 survey, which was aimed at characterising the health status of old and very-old adults in Poland.Material and methodsThe project was conducted in the period 2018–2019 as a cross-sectional survey of a representative sample of people aged 60 years and over. Subjects were selected using three-stage stratified and proportional random sampling in seven equally sized (n = 850) age groups. The study protocol consisted of face-to-face interviews, specific geriatric scales and tests, and anthropometric and blood pressure measurements performed by well-trained nurses at participants homes as well as blood and urine sample laboratory tests.ResultsIn the Polsenior2 study a group of 5987 subjects underwent the questionnaire parts of the survey, and almost all (n = 5823) agreed to blood or urine sample collection.ConclusionsIn recent decades several studies focused on various aspects of elderly health and life conditions had been carried out in Poland and Central and Eastern Europe. However, none of them is so complex and has covered so many issues as PolSenior2, which is the largest study devoted to the health status of older persons in Poland and one of the largest and the most comprehensive in Europe. The results of the study will help to improve health policy targeted at the elderly population in Poland.

2021 ◽  
Vol 2 (2) ◽  
pp. 38-49
Author(s):  
Keshab Prasad Timalsina

The elderly abuse in a family is one of the most challenging problems in a society. The present study aims to assess the prevalence of elderly abuse in the family environment of JureliTole of Bakaiya Rural Municipality. The study also presents various risk factors that influence the prevalence of Elderly abuse. A descriptive cross-sectional study was carried out among 103 elders taken from household survey by using census method. The data were collected through a face-to-face structured interview schedule. The descriptive and regression analysis of the collected data showed that the prevalence of elderly abuse was 46.6% in the study population. This study measured significant association (p<0.05) of overall abuse against the elder with only two socio-demographic variables (literacy status and health status) among the variables (gender, age groups, living with or without spouse, literacy status, health status, dependency status, and income level). The results showed that the elders with/without spouse had the highest odds ratio to be abused (2.19 times) followed by gender (1.64 times), and health status (1.25 times). Although this study found lower prevalence than many previous studies, it is still significant and needs to be prevented. Based on the study, it can be said that living without a spouse, with poor health, and being female are the major predictive descriptors for elderly abuse.The policies and programs are needed for the prevention of elderly abuse which may require collective action from social, health and justice sectors. 


Author(s):  
K.C. Ogbanya ◽  
C.A. Eze ◽  
J.I. Ihedioha

The objective of the study was to establish reference values for radiographic soft tissue indices of the hooves of apparently healthy Nigerian horses and to identify sex and age-related variations if any. Lateromedial radiographic examinations of the forelimb hooves of 52 apparently healthy Nigerian horses of both sexes aged young (1 – 5years), adult (6 – 10years) and old (11years and above) were carried out in the cross-sectional survey design. Radiographic soft tissue indices such as hoof wall distal phalanx distance (HWDPD), hoof wall proximal phalanx distance (HWPPD), coronary extensor distance (CED), sole depth (SD), hoof cup (HC), palmarocortical length (PCL) of the third phalanx, hoof wall angle (HWA), angle of third phalanx (AP3) and angle of rotation (AR) were measured and compared between sexes and among age groups. There was no significant sex variations in the indices investigated. However, the mean SD and HC showed age-related significant variation. The mean SD was only significantly (P less than 0.05) lower in old horses compared to young and adult horses. The mean values of HC were significantly (P less than 0.05) lower in adult and old horses compared to young horses. Radiographic morphometric indices assessed in this study may differ with those reported from other breeds, so they can be used in the future as reference values for diagnosis of laminitis in front feet of Nigerian horses.


2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Luisa Maria Roberta Tedesco ◽  
Gabriella Di Giuseppe ◽  
Francesco Napolitano ◽  
Italo Francesco Angelillo

Background. The objectives of the study were to document knowledge, attitudes, and behaviors of women regarding cardiovascular diseases (CVDs) and the determinants associated.Materials and Methods. The cross-sectional survey was conducted among a random sample of 830 women older than 18 years from the general population in Italy.Results. Almost all participants reported having heard about CVDs, and among them 89.4% and 74.7% identified smoking and high cholesterol level as risk factors. Only 26.5% identified the main CVDs risk factors. Women more knowledgeable were married and better educated and self-perceived a worse health status. Only 23% knew the main CVDs preventive measures and this knowledge was significantly higher in women who are unemployed, who are more educated, who have received information about CVDs from physicians, and who know the main risk factors. Respondents with lower education, those with at least three children, those who self-perceived a worse health status, and those who need information were most likely to have a positive attitude toward the perceived risk of developing CVDs. Women with two or three children or more were at high risk profiles 49% and 56% lower than women with one child.Conclusions. Educational programs are needed among women as support to improve knowledge and appropriate behavior about CVDs.


2021 ◽  
Vol 8 (3) ◽  
pp. 78-87
Author(s):  
Khaleel I. Alyahya ◽  

The study aimed to assess the impact of awareness of citizens and residents in Saudi Arabia toward the home isolation and social distancing during lockdown that might decrease the outbreak of COVID-19, to measure the importance of social behavior to maintain the constant decline of COVID-19 cases and to determine if there is a difference in the level of awareness and behavior between citizens and residents in Saudi Arabia toward the governmental measures during the pandemic. We have adopted a cross-sectional survey design to investigate the impact of Saudi lockdown on blockade COVID-19 by using an anonymous online questionnaire. The targeted population of the study was Saudi citizens and non-Saudi residents of different ages. The collected data were entered into Microsoft Excel (version 2011) and analyzed by using the Statistical Package for Social Sciences (SPSS), version 23. The Chi-square test with 95% confidence intervals (CI) was used to examine significant associations between the socio-demographic characteristic of participants, their awareness, and their behavior towards the COVOD-19 pandemic. AP value of <0.05 was considered statistically significant. The total number of the current study participants was 1168. The majority (70.50%) were married males with children (73.50%). Three-quarters of the participants were equally distributed between the age groups of 30-39, 40-49, and 50-59 years old. Almost all (90.90%) of the participants have received higher education, 73.60% living in the central region, and in large and crowded cities (75.30%). More than half (58.50%) of the Saudi respondents know about the coronavirus from media sources, while for the non-Saudis, 54.50% are well informed regarding the virus. The results of the current study revealed that the majority of the population in the country believe in home isolation and social distancing for the COVID-19 blockade. Additionally, they also consider non-compliance to these measures as one the main factor for the disease outbreak. Most of the participants were committed to home isolation, social distancing, and personal protective measures including wearing masks, gloves, and avoiding face contact.


2020 ◽  
Author(s):  
J Valdez-Garcia ◽  
Gustavo Ortiz-Morales ◽  
Nallely Morales-Mancillas ◽  
Jorge Luis Domene-Hickman ◽  
Julio Hernandez-Camarena ◽  
...  

Abstract Purpose: To assess the corneal endothelial morphometry in healthy elderly Hispanic eyes.Methods: A retrospective, cross-sectional, observational, descriptive, and analytical study was designed to assess by specular microscopy the central region of the corneal endothelium. In a 4-year period, a total of 75 eyes from 42 patients were studied. All eyes included were from patients 65 or older (mean: 73.87±6.86), without ocular disease or surgeries.Results: The mean cell density (MCD) was 2268±597.0 cells/mm2. 44% of patients had polymegethism, with an average coefficient of variation (CV) of 42.04 ± 10.1%. 76% of patients had low pleomorphism, with an average of 42.3 ± 8.9% hexagonal cells. The mean corneal thickness was 537±38.2 μm. There was no statistically significant difference between age groups for MCD, CV, hexagonality and pachymetry (p=>.05). 27% of patients had corneal guttata.Conclusion: This study suggests that the elderly Hispanic population has a high prevalence of polymegethism, pleomorphism and guttata. Surprisingly, the oldest age group (>85) had an above average MCD, low polymegethism and good pleomorphism.


2020 ◽  
Vol 44 (2) ◽  
pp. 73-80
Author(s):  
Kaustav Das ◽  
Subrata Bagchi ◽  
Somosree Pal ◽  
Sayak Ganguli ◽  
Koel Mukherjee

Undernutrition and ageing may have a significant effect on body composition. A cross sectional study was conducted to explore the age-related variations among different anthropometric and body composition characteristics amongst the adult Kheria Sabar males of Purulia district of West Bengal. From fifteen villages, 304 apparently healthy adult males aged 18–60 years were selected at random. Subjects were categorized into four age groups and standard anthropometric measurements were used like height (HT), weight (WT), mid-upper-arm circumference (MUAC) and skinfolds of biceps (BSF), triceps (TSF) and sub-scapular (SSSF) region. Derived variables of body mass index (BMI), per cent body fat (PBF), fat mass (FM), fat-free mass (FFM), fat mass index (FMI) and fat-free mass index (FFMI) were also calculated. Majority of the variables were found to be inversely correlated with age. Positive (HT, WT, MUAC, BMI, FFM and FFMI) and negative (FM and FMI) significant differences were observed across different age groups. It was also observed that the frequency of undernutrition (62.6%) was the highest among the elderly people with 47.6% overall prevalence. This study clearly indicates that among the undernourished individuals, older people were more vulnerable to malnutrition and thus immediate nutritional intervention is required.


Author(s):  
Petra Baji ◽  
Miklós Farkas ◽  
Ágota Dobos ◽  
Zsombor Zrubka ◽  
Levente Kovács ◽  
...  

Abstract Objective The ICECAP-A and ICECAP-O were validated as capability wellbeing measures of adults aged 18 + and 65 + years, respectively. We aimed to compare their measurement properties in age group 50–70. Methods Data were derived from a cross-sectional survey among a sample representative for the adult Hungarian population. Respondents aged between 50 and 70 filled in both the ICECAP-A and ICECAP-O questionnaires. We assessed and compared feasibility, agreement, discriminatory power, convergent and content validity of the two instruments and explored the determinants of the differences between the two measures. Results 707 respondents (99.4%) provided full answers to both questionnaires (46.3% women, average age 60.1 years). The instruments showed similar construct and convergent validity and discriminatory power. Pearson-correlations between instrument items were strong (r > 0.5). ICECAP-A and ICECAP-O scores could be calculated from each other with a good confidence (R2 = 0.69 and 0.71). ICECAP-O scores (mean 0.87, SD = 0.12) were systematically higher than ICECAP-A scores (0.85, SD = 0.15) in most subgroups. The difference increased with the deterioration of capability and health, and with age. Regression results showed that employment and health status had larger marginal effect on the ICECAP-A than on the ICECAP-O scores, and these effects were larger than the effect of age on both measures. Conclusion Validity of both instruments was confirmed in the age groups 50–70. Given that employment and health status are important determinants of the differences between the two instruments besides age, the possibility of linking the choice between ICECAP-A and ICECAP-O to these factors should be investigated by further research.


Author(s):  
Shubhanshu Gupta ◽  
Sanjeev Kumar ◽  
Piyush D Swami ◽  
Anjana Niranjan

Background: According to World Health Organization, adolescents constitute about one fifth of the world population, and in India they constitute about 21% of the total population. Most of the surveys show that health status of adolescent girls is at sub-optimal level. Objectives: To assess nutritional status and morbidity pattern among the adolescent girls and to suggest measures for improvement of health status of adolescent girls.  Method: A community based cross-sectional study was carried out among 250 adolescent schoolgirls in Rural and urban field practice area of Jhansi school from January 2017 to July 2014. Results: Among the various morbidities eye problem was seen in maximum no of adolescent girls. Eye problem was present in 44.8% of adolescent girls followed by respiratory 14.7% and ear 13.06% disease. Skin disease was present in 3.2% of adolescent girls, which was more in rural girls 6.7% than in urban girls 1.7%, may be due to better hygienic practice in urban schoolgirls. Conclusions: Rural background, low socioeconomic status, illiteracy, birth rate and order, income and number of members in a family have shown to be significant determinants of morbidity pattern in the adolescent girls. Keywords: Adolescent, anemia, morbidity, vaginal discharge.


1970 ◽  
Vol 4 (2) ◽  
pp. 74-77
Author(s):  
Rukshana Ahmed ◽  
Shamim Ara

Pathological changes in the prostate gland occur commonly with advancing age including inflammation, atrophy, hyperplasia and carcinoma and a change in volume is also evident. Estimation of volume of prostate may be useful in a variety of clinical settings. A cross-sectional descriptive study was designed to see the changes in volume of the prostate with advancing age and done in the Department of Anatomy, Dhaka Medical College, Dhaka from August 2006 to June 2007. The study was performed on 70 post-mortem human prostates collected from the unclaimed dead bodies that were under examination in the Department of Forensic Medicine, Dhaka Medical College, Dhaka. The samples were divided into three age groups; group A (10-20 years), group B (21-40 years) and group C (41-70 years). Volume of the sample was measured by using the ellipsoid formula. The mean ± SD volume of prostate was 7.68 ± 3.64 cm3 in group A, 10.61 ± 3.99 cm3 in group B and 15.40 ± 6.31 cm3 in group C. Mean difference in volume between group A and group C, group B and group C were statistically significant (p<0.001). Statistically significant positive correlation was found between age and volume of prostate (r = + 0.579, p < 0.001). Key Words: Prostate; volume; Bangladeshi. DOI: 10.3329/imcj.v4i2.6501Ibrahim Med. Coll. J. 2010; 4(2): 74-77


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