Gender Roles and Women's Sleep in Mid and Later Life: A Quantitative Approach

2007 ◽  
Vol 12 (5) ◽  
pp. 182-199 ◽  
Author(s):  
Sara Arber ◽  
Jenny Hislop ◽  
Marcos Bote ◽  
Robert Meadows
Keyword(s):  
Health Status ◽  
Gender Roles ◽  
Later Life ◽  
Quantitative Approach ◽  
Poor Health ◽  
Bivariate Analysis ◽  
Poor Sleep ◽  
Night Time ◽  
The Impact ◽  
Women's Gender Roles

Women in mid and later life report particularly poor quality sleep. This article suggests a sociologically-informed quantitative approach to teasing out the impact of women's roles and relationships on their sleep, while also taking into account women's socio-economic characteristics and health status. This was accomplished through analysis of the UK Women's Sleep Survey 2003, based on self-completion questionnaires from a national sample of 1445 women aged over 40. The article assesses the ways in which three central aspects of women's gender roles: the night-time behaviours of their partners, night-time behaviours of their children, and night-time worries – impact on women's sleep, while also considering how disadvantaged socio-economic circumstances and poor health may compromise women's sleep. Using bivariate analysis followed by hierarchical multiple regression models, we examine the relative importance of different aspects of women's gender roles. The key factors implicated in the poor sleep quality of midlife and older women are their partner's snoring, night-time worries and concerns, poor health status (especially experiencing pain at night), disadvantaged socio-economic status (especially having lower educational qualifications) and for women with children, their children coming home late at night.

Abstract P303: Association of Overweight/Obesity and Self Reported Health Status in Hispanics: A Comparison with Non Hispanic Whites

Circulation ◽  
2013 ◽  
Vol 127 (suppl_12) ◽  
Author(s):  
Connie Ingram ◽  
Maria Canossa-Terris ◽  
Mary Comerford ◽  
Paul Kurlansky
Keyword(s):  
Logistic Regression ◽  
Health Status ◽  
Good Health ◽  
Overweight And Obesity ◽  
Poor Health ◽  
Self Perception ◽  
Heart Research ◽  
Major Health Problem ◽  
Perception Of Health ◽  
The Impact

Introduction The growing global prevalence of obesity is recognized as an important risk for cardiovascular disease. Understanding self perception of weight as it pertains to health is critical to the success of weight reduction programs. The impact of ethnicity on this association has not been examined. Methods The sample included 927 Hispanic (H) and 72 Non-Hispanics white (NHW) adults who received free cardiovascular screening from Florida Heart Research Institute. Overweight and obesity were measured by Body Mass Index. Self-perceived health status was characterized as excellent, very good, good, fair or poor health. Logistic regression was used to determine independent risk factors for perceived fair-poor health, as well as for excellent, very good health. Odds ratios and 95% Confidence Intervals were calculated. Results Both H and NHW overweight/obese subjects tended to view their health as good, very good or excellent: H (overweight 81.1%/obese 73%) and NHW (89.3%/66.7%). Logistic regression revealed the following independent correlates of self-perceived very good or excellent health: NHW (OR 3.618, CI 2.126, 6.157, p<0.001) and exercise (OR 1.640;CI 1.186, 2.268; p=0.003). Hypertension (OR 0.392; CI 0.246, 0.625; p<0.001), overweight (OR 0.551, CI0.386, 0.785, p=0.001) and obesity (OR 0.431, CI 0.288, 0.644; p<0.001) were all negatively associated with very good/excellent status. Conclusions Although it is not surprising that participation in regular exercise is associated with a better self-perception of health status, or that hypertension and obesity is correlated with a worse self-assessed health status, there are two striking findings that emerge from this data: 1. The vast majority of both H and NHW subjects do not perceive either overweight or obesity to be a major health problem. 2. Hispanics have a significantly worse self-perception of health status even after controlling for associated factors.This information provides a critical foundation for overcoming fundamental barriers to effective patient education_a critical first step in addressing the current epidemic of obesity in ethnically diverse populations.

scholarly journals Protocol for a nationwide Internet-based health survey in workers during the COVID-19 pandemic in 2020

2021 ◽  
Author(s):  
Yoshihisa Fujino ◽  
Tomohiro Ishimaru ◽  
Hisashi Eguchi ◽  
Mayumi Tsuji ◽  
Seiichiro Tateishi ◽  
...  
Keyword(s):  
Health Status ◽  
Health Survey ◽  
Geographical Area ◽  
Sampling Plan ◽  
Poor Health ◽  
Social Implications ◽  
Third Wave ◽  
Working Environments ◽  
Japanese Workers ◽  
The Impact

AbstractThe ever-changing social implications of the COVID-19 pandemic have resulted in an urgent need to understand the working environments and health status of workers. We conducted a nationwide Internet-based health survey in Japanese workers in December 2020, in the midst the country’s “third wave” of COVID-19 infection. Of 33,087 surveys collected, 6,051 were determined to have invalid responses. The 27,036 surveys included in the study were balanced in terms of geographical area, participant sex, and type of work, according to the sampling plan. Men were more likely than women to have telecommuted, while women were more likely to have resigned since April 2020. Moreover, 40% and 9.1% of respondents had a K6 score of 5 or higher and 13 or higher, respectively, they did not exhibit extremely poor health. The present study describes the protocol used to conduct an Internet-based health survey in workers and a summary of its results during a period when COVID-19 was spreading rapidly in Japan. In the future, we plan to use this survey to examine the impact of COVID-19 on workers’ work styles and health.

scholarly journals Effect on nurse and patient experience: overnight use of blue-depleted illumination

2019 ◽  
Vol 8 (3) ◽  
pp. e000692 ◽  
Author(s):  
Lorenzo Albala ◽  
Timothy Bober ◽  
Graham Hale ◽  
Benjamin Warfield ◽  
Micaela Langille Collins ◽  
...  
Keyword(s):  
Health Outcomes ◽  
Patient Experience ◽  
Financial Incentives ◽  
Healthcare Providers ◽  
Depression Scale ◽  
Poor Sleep ◽  
Patient Anxiety ◽  
Night Time ◽  
Task Lighting ◽  
The Impact

BackgroundTypical hospital lighting is rich in blue-wavelength emission, which can create unwanted circadian disruption in patients when exposed at night. Despite a growing body of evidence regarding the effects of poor sleep on health outcomes, physiologically neutral technologies have not been widely implemented in the US healthcare system.ObjectiveThe authors sought to determine if rechargeable, proximity-sensing, blue-depleted lighting pods that provide wireless task lighting can make overnight hospital care more efficient for providers and less disruptive to patients.DesignNon-randomised, controlled interventional trial in an intermediate-acuity unit at a large urban medical centre.MethodsNight-time healthcare providers abstained from turning on overhead patient room lighting in favour of a physiologically neutral lighting device. 33 nurses caring for patients on that unit were surveyed after each shift. 21 patients were evaluated after two nights with standard-of-care light and after two nights with lighting intervention.ResultsProviders reported a satisfaction score of 8 out of 10, with 82% responding that the lighting pods provided adequate lighting for overnight care tasks. Among patients, a median 2-point improvement on the Hospital Anxiety and Depression Scale was reported.Conclusion and relevanceThe authors noted improved caregiver satisfaction and decreased patient anxiety by using a blue-depleted automated task-lighting alternative to overhead room lights. Larger studies are needed to determine the impact of these lighting devices on sleep measures and patient health outcomes like delirium. With the shift to patient-centred financial incentives and emphasis on patient experience, this study points to the feasibility of a physiologically targeted solution for overnight task lighting in healthcare environments.

scholarly journals What Levels the Association Between Income and Mortality in Later Life: Age or Health Decline?

2019 ◽  
Author(s):  
Johan Rehnberg
Keyword(s):  
Health Status ◽  
Old Age ◽  
Socioeconomic Position ◽  
Poisson Regression ◽  
Later Life ◽  
Good Health ◽  
Poor Health ◽  
Health Decline ◽  
Marginal Effects ◽  
Average Marginal Effects

Abstract Objectives Researchers frequently use the “age-as-leveler” hypothesis to explain decreasing inequality and a weakened relationship between socioeconomic position and health in old age. This study examined whether health status can explain the age pattern in the association between income and mortality as predicted by the age-as-leveler hypothesis. Method This study used longitudinal (1991–2002) data from the SWEOLD and LNU surveys. The analytical sample consisted of 2,619 people aged 54–92 in 2003. Mortality (2003–2014) and income (1991–2000) was collected from Swedish national registers. Poisson regression was used to estimate associations between mortality, income, age, and health status. Average marginal effects were used to visualize interaction effects between income and age. Results The association between income and mortality weakened in those aged 84 and older. However, health status explained a large part of the effect that age had on the association between income and mortality. Analyses done after stratifying the sample by health status showed that the association between income and mortality was strong in people who reported good health and weak or nonexistent in those who reported poor health. Discussion Age leveled the income–mortality association; however, health status, not age, explained most of the leveling.

Urinary and faecal incontinence: prevalence and health status

2001 ◽  
Vol 11 (2) ◽  
pp. 109-113 ◽  
Author(s):  
Peter Crome ◽  
Allison E Smith ◽  
Alexandra Withnall ◽  
Ronan A Lyons
Keyword(s):  
Urinary Incontinence ◽  
Health Status ◽  
Faecal Incontinence ◽  
Health Anxiety ◽  
Later Life ◽  
Nursing Home Population ◽  
Prevalence Studies ◽  
Therapeutic Services ◽  
The Impact ◽  
Distressing Condition

Incontinence is a common and distressing condition of later life. Prevalence studies have reported rates of urinary incontinence from about 3% to 60%, depending on how incontinence is defined and the type of population studied. There is much less information about the prevalence of faecal incontinence. However, some studies have found approximately 2% of the general population and about 60% of the nursing home population to be incontinent of faeces. Although some studies have examined the impact of urinary incontinence on health status, the impact of faecal incontinence has not been investigated previously. Quantification of the prevalence and specific impact on health of common disorders such as incontinence will help commissioners and providers in the prioritization of diagnostic and therapeutic services for this distressing condition. With this in mind, we report the relevant results of the Tipping the Balance Survey, which quantified the prevalence and impact on self-perceived health, anxiety and depression of both faecal and urinary incontinence.

FRI0318 REAL-LIFE EVALUATION OF HEALTH STATUS USING ASAS HEALTH INDEX ON PATIENTS WITH AXIAL AND PERIPHERAL SPONDYLOARTHRITIS IN ARGENTINA

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 750-751
Author(s):  
V. Martire ◽  
P. Girard Bosch ◽  
C. Airoldi ◽  
M. Benegas ◽  
V. Cosentino ◽  
...  
Keyword(s):  
Health Status ◽  
Disease Duration ◽  
Real Life ◽  
Poor Health ◽  
Bivariate Analysis ◽  
State Of Health ◽  
Health Index ◽  
Poor Health Status ◽  
Factors Associated ◽  
Asas Criteria

Background:The questionnaire “Assessment of Spondyloarthritis international Society Health Index” (ASAS HI) was developed to measure functionality and health status in patients with spondyloarthritis (SpA)1.Objectives:To describe the state of health measured by ASAS HI in Argentinian patients with SpA and to evaluate factors associated with poor health.Methods:Analytical, cross sectional, multicenter study. Patients with SpA according to ASAS criteria were consecutively included from 15 Argentinian centers. Statistical analysis: frequencies and percentages (%), mean and standard deviation (SD) or median and interquartile range (IQR). Bivariate analysis and logistic regression were performed to evaluate the factors associated with poor health status (ASAS HI > or equal to 12). Correlation with other parameters was evaluated by Spearman correlation.Results:We included 274 patients with a mean age 49 (SD 14) years, median disease duration 60 month (IQR 24-135), 155 (56.6%) of patients are male, 47% (n:129) axial SpA and 52.9 (n:145) peripheral SpA. One hundred and nine patients (43.4%) presented good health status, 117 (42.7%) had moderate state of health and 38 (13.9%) had poor health. In the bivariate analyses patients with ASAS health index greater than or equal to 12 (poor status), were older [54 (11) vs 48 (14), p: 0.01], had higher disease duration [11(IQR 57-192) vs 60 (IQR 24-120), p: 0.02], more hypertension [20 (52.6%) vs 67 (28.4%), p:0.004], more diabetes mellitus [10 (26.3%) vs 22(9.3%), p: 0.006], depression [6 (15.8%) vs 10 (4.2%), p:0.013], anxiety [8 (21%) vs (22 (9.3%),p:0.046], less years of education [9.8 (SD 3.5) vs 13 (SD 10), p:0.001], higher ASQol [12.6 (SD 4.6) vs 5.7 (SD4), p < 0.001], BASFI [7(SD2) vs 4(SD6), p: 0.001], DAS28 [4.71 (SD3.2) vs 2.8 (SD1),p: <0.001]. In the multivariate analyses the following variables were independently associated with poor health status: duration of disease, ASQol and DAS28. ASAS HI showed positive correlation with the following parameters: BASDAI (r:0.67, p< 0.001), HAQ (r:0.54, p< 0.001), ASDAS (r:0.67, p< 0.001), ASQol (r:0.80, p< 0.001), BASFI (r:0.72, p< 0.001) and DAS28 (0.56, p< 0.001).Conclusion:Poor health status is associated with disease activity, poor quality of life and functional activity. ASAS HI has a good correlation with other parameters to evaluate SpA, reinforcing the construct validity of this new tool.References:[1]Kiltz U,et al.Ann Rheum Dis2018;0:1–7.Disclosure of Interests:None declared

Sleep and autonomy in later life: the SomnIA project

2018 ◽  
pp. 17-34
Author(s):  
Sara Arber ◽  
Susan Venn ◽  
Ingrid Eyers
Keyword(s):  
Older People ◽  
Medical Profession ◽  
Care Home ◽  
Later Life ◽  
Well Being ◽  
Active Ageing ◽  
Poor Sleep ◽  
Night Time ◽  
Staffing Levels ◽  
Care Giving

This chapter discusses how the sleep of older people is linked to issues of autonomy and active ageing. For older people living in the community, this chapter demonstrates how the strategic use of napping is related to the goal of active ageing, discusses the reluctance of older people to take prescribed sleeping medication, and examines how care-giving can adversely affect the sleep of older people. For older people living in care homes, care home routines, staffing levels at night and night-time monitoring by staff can compromise the sleep of care home residents, which has implications for their daytime functioning. This chapter argues that poor sleep is often ignored by both the medical profession and by the general public, yet is fundamental in terms of optimising health and well-being in later life, and enabling older people to achieve independent and active lives.

scholarly journals Fear of crime and its relationship to self-reported health and stress among men

2018 ◽  
Author(s):  
Gloria Macassa ◽  
Rocio Winersjö ◽  
Katarina Wijk ◽  
Cormac McGrath ◽  
Nader Ahmadi ◽  
...  
Keyword(s):  
Fear Of Crime ◽  
Public Health Problem ◽  
Developed Countries ◽  
Poor Health ◽  
Bivariate Analysis ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Reported Health ◽  
The Impact ◽  
The Relationship

Background: Fear of crime is a growing social and public health problem globally, including in developed countries such as Sweden. This study investigated the impact of fear of crime on self-reported health and stress among men living in Gävleborg County.Design and Methods: The study used data collected from 2993 men through a cross sectional survey in the 2014 Health in Equal Terms survey. Descriptive and logistic regression analyses were carried out to study the relationship between fear of crime and self-reported health and stress. Results: There was a statistically significant association between fear of crime and self-reported poor health and stress among men residing in Gävleborg County. In the bivariate analysis, men who reported fear of crime had odds of 1.98 (CI 1.47- 2.66) and 2.23 (CI 1.45-3.41) respectively. Adjusting for demographic, social and economic variables in the multivariate analysis only reduced the odds ratio for self-reported poor health to 1.52 (CI 1.05-2.21) but not for self-reported stress with odds of 2.22 (1.27-3.86). Conclusions: Fear of crime among men was statistically significantly associated with self-reported poor health and stress in Gävleborg County. However, the statistically significant relationship remained even after accounting for demographic, social and economic factors, which warrants further research to better understand the role played by other variables.

scholarly journals Disabling sexualities: Exploring the impact of the intersection of HIV, disability and gender on the sexualities of women in Zambia

2013 ◽  
Vol 2 (1) ◽  
Author(s):  
Anna Wickenden ◽  
Stephanie Nixon ◽  
Karen K. Yoshida
Keyword(s):  
Gender Roles ◽  
Structured Interviews ◽  
Hiv Diagnosis ◽  
Hiv Positive Women ◽  
Women's Lives ◽  
And Gender ◽  
Living With Hiv ◽  
Gender Neutrality ◽  
The Impact ◽  
Women's Gender Roles

Background: Women with a disability are often characterised as a homogenous social group consigned to a cultural stereotype with assumptions of dependence, asexuality and gender neutrality. Furthermore, there is a void of research about the experience of people with disabilities following diagnosis with HIV. Little is known about how HIV diagnosis intersects with disability and gender and how it shapes the experiences of intimacy and gender roles of those negotiating this intersection.Objective: The objective of this study was to explore how HIV, disability and gender shape the perspectives of HIV-positive women with disabilities regarding intimacy and gender roles.Methods: Twelve women in Lusaka, Zambia were recruited for in-depth semi-structured interviews to explore their experiences of having a disability and living with HIV. Interviews were conducted in English, Bemba, Nyanja and Zambian sign language. Descriptive and thematic analyses were conducted, followed by in-depth gender analyses of data relating to intimacy and gender roles.Results: Data analysis led to the identification of two main themes: the impact of HIV diagnosis on intimate relationships amongst the participants; and the disruption and renegotiation of gender roles. These findings demonstrate the loss of intimacy (often decided by the participants) and changes in women’s gender roles (infrequently decided by them).Conclusions: The narrow approaches to sexuality and HIV that reinforce misconceptions and stereotypes need to change. In their place should be inclusive and disability and sex-positive approaches that are informed by the diverse realities of women’s lives. Further research is needed to develop stronger evidence of the impact of HIV and disability on gender roles and sexuality.

scholarly journals Day-time sleep and active ageing in later life

2010 ◽  
Vol 31 (2) ◽  
pp. 197-216 ◽  
Author(s):  
SUSAN VENN ◽  
SARA ARBER
Keyword(s):  
Older People ◽  
Later Life ◽  
World Health Organisation ◽  
World Health ◽  
Ageing Process ◽  
Active Ageing ◽  
Poor Sleep ◽  
Activity Levels ◽  
Night Time ◽  
Attitudes And Practices

ABSTRACTThe concept of ‘active ageing’ has received much attention through strategic policy frameworks such as that initiated by the World Health Organisation, and through government and non-governmental organisation initiatives. The primary goal of these initiatives is to encourage older people to be active and productive, and to enhance quality of life, health and wellbeing. It is well known that with increasing age, night-time sleep deteriorates, which has implications for how older people maintain activity levels, and leads to an increased propensity for day-time sleep. Using data from 62 interviews with people aged 65–95 years living in their own homes who reported poor sleep, this paper explores the meanings of day-time sleep, and how the attitudes and practices of ‘active ageing’ are intricately linked to the management of day-time sleep and bodily changes that arise from the ageing process. The desire to be active in later life led to primarily dichotomous attitudes to day-time sleep; older people either chose to accept sleeping in the day, or resisted it. Those who accepted day-time sleep did so because of recognition of decreasing energy in later life, and an acknowledgement that napping is beneficial in helping to maintain active lives. Those who resisted day-time sleep did so because time spent napping was regarded as being both unproductive and as a negative marker of the ageing process.

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