Research on the relationship between the species of chronic diseases and
                        medical services utilization and expenses: a cross sectional survey in rural
                        areas of Jiangsu Province

Objective: To identify the relationship between religiosity and self-rated health among older adults in Colombia. Methods: Data are drawn from the SABE (Salud, Bienestar y Envejecimiento) Colombia Study, a cross-sectional survey conducted in 2015 involving 18,871 community-dwelling adults aged 60 years and older living in urban and rural areas of Colombia. Religiosity was assessed by self-rated religiosity (how religious are you: not at all, somewhat or very). Self-rated health during previous 30 days was assessed as very good, good, fair, poor or very poor, analyzed as an ordinal variable(1-5) using weighted logistic regression, adjusting for confounders. Results: Those who were more religious were older, female, had lower socioeconomic status, and were more likely to be married. Multivariate analyses demonstrated that older adults who were more religious had better self-rated health (OR 0.92 95% CI 0.86- 0.99, p= 0.038); however, there was a significant interaction effect between gender and religiosity on self-rated health (p= 0.002), such that the relationship between religiosity and health was stronger in men (OR 0.86, 95% CI: 0.79-0.94, p= 0.001) but not significant in women. Conclusion: Older adults in Colombia who consider themselves more religious, especially men, are less likely to perceive their physical health as poor compared to those who are less religious.

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Standard Precautions Among Emergency Medical Services in Urban and Rural Areas

Workplace Health & Safety ◽

10.1177/2165079919864118 ◽

2019 ◽

Vol 68 (2) ◽

pp. 73-80

Author(s):

Riyadh A. Alhazmi ◽

R. David Parker ◽

Sijin Wen

Keyword(s):

West Virginia ◽

Emergency Medical Services ◽

Rural Areas ◽

Urban Areas ◽

Medical Services ◽

Cross Sectional Survey ◽

Standard Precautions ◽

Cross Sectional ◽

Emergency Medical ◽

Rural And Urban

Backround: Emergency medical services (EMS) workers are at risk of exposure to bloodborne pathogens and frequently exposed to blood and bodily fluids through percutaneous injuries. This study aimed to assess the consistency with which standard precautions (SPs) among rural and urban EMS providers were used. Methods: This study consisted of a cross-sectional survey conducted with a sample of certified EMS providers in West Virginia in which we ascertained details about sociodemographic characteristics, and the frequency of consistent SP. An email invitation was sent to a comprehensive list of agencies obtained from the Office of West Virginia EMS. Findings: A total of 248 out of 522 (47%) EMS providers completed the survey. The majority of the EMS providers (76%) consistently complied with SPs; however, more than one third (38%) of urban EMS providers indicated inconsistent use compared with 19% of rural EMS providers ( p = .002). Most EMS providers reported low prevention practices to exposure of blood and body fluids in both areas. Conclusion/Application to Practice: The results emphasize the need to enhanced safe work practices among EMS providers in both rural and urban areas through education and increasing self-awareness. Occupational health professional in municipalities that serve these workers are instrumental in ensuring these workers are trained and evaluated for their compliance with SPs while in the field.

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Factors associated with active aging in Chinese elderly in rural areas of Xiangtan County, China†

Frontiers of Nursing ◽

10.2478/fon-2021-0041 ◽

2021 ◽

Vol 8 (4) ◽

pp. 407-417

Author(s):

Xue-Lian Fu ◽

Jian-Guang Li ◽

Yin-Li Su ◽

Hong-Hong Wang ◽

Yang Guo ◽

...

Keyword(s):

Chronic Diseases ◽

Rural Areas ◽

Economic Status ◽

Rural Elderly ◽

Average Score ◽

Active Aging ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Chinese Elderly ◽

Number Of Children

Abstract Objectives To explore the level of active aging and correlates among rural elderly in Xiangtan County, China. Methods A cross-sectional survey was conducted from July to November 2019. A total of 945 rural elderly from 3 towns in Xiangtan County, China, were investigated by using the positive aging evaluation questionnaire (PAEQ), the activity of daily living scale (ADL), and the depression in old-age scale (DIA-S). Results The average score in the PAEQ among the rural elderly of Xiangtan County was 72.81 (range = 21–105). A moderate negative correlation was found between the score in the PAEQ and those in the ADL (r = −0.361) and DIA-S (r = −0.495). Symptoms of depression (β: −0.321, P = 0.001), number of chronic diseases (β: −0.281, P = 0.001), subjective economic status (β: 0.239, P = 0.001), ADL (β: −0.196, P = 0.001), education (β: 0.126, P = 0.001), number of children (β: 0.097, P = 0.001), and marital status (β: −0.060, P = 0.001) were significantly associated with levels of active aging in rural elderly, whereas gender and age were not independently related to active aging. Conclusions The level of active aging is at a moderately high level in the Chinese elderly in rural areas in Xiangtan County. The focus group of active aging in rural areas should be elderly people suffering from chronic diseases, physical decline, poor education and economic conditions, childlessness, and those without partners.

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Financial literacy and quality of life of consumers faced with cancer: a moderated mediation approach

International Journal of Bank Marketing ◽

10.1108/ijbm-10-2019-0355 ◽

2020 ◽

Vol 38 (5) ◽

pp. 1009-1031

Author(s):

Saeed Pahlevan Sharif ◽

Navaz Naghavi ◽

Hamid Sharif Nia ◽

Hassam Waheed

Keyword(s):

Quality Of Life ◽

Chronic Diseases ◽

Financial Literacy ◽

Financial Distress ◽

Sampling Technique ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Content Type ◽

The Relationship

PurposeThe purpose of this paper is to investigate whether financial distress explains the relationship between financial literacy and quality of life (QoL) among consumers who have faced life-threatening cancer. To extend this line of research, the moderating role of social supports in the relationship between financial distress and QoL is examined.Design/methodology/approachA cross-sectional survey was utilized to collect quantitative data through a self-administered questionnaire. A total of 223 consumers diagnosed with cancer in Iran participated in the study by means of a convenience sampling technique. Using a forward–backward method the questionnaire was translated from English into Persian.FindingsThe findings highlight the importance of financial literacy in managing direct and indirect costs of chronic diseases that in turn can improve consumers' QoL. Moreover, while perceived social support improves QoL of consumers diagnosed with cancer, it strengthens the negative association between financial distress and QoL. Consequently, solely receiving of emotional support from acquaintances with no financial support might be bothersome.Practical implicationsThe findings highlight the need for interventions that target financial literacy and perceived financial distress for consumers with chronic diseases. These consumers can benefit from interventions that offer support based on accurate assessments of their needs and priorities.Originality/valueThe present study is the first of its kind to highlight the importance of financial literacy in improving the QoL of consumers with chronic diseases.

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Challenges of Emergency Medical Services utilization by the older adults in Tabriz, Iran

10.21203/rs.3.rs-471030/v2 ◽

2021 ◽

Author(s):

Rouzbeh Rajaei Ghafouri ◽

Mohammad Hasan Sahebihagh ◽

Asghar Mohammadpoorasl ◽

Zahra Parsian ◽

Mahmood Yousefi ◽

...

Keyword(s):

Older Adults ◽

Emergency Medical Services ◽

Rural Areas ◽

Health Care Services ◽

Public Awareness ◽

High Rate ◽

Medical Services ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Emergency Medical

Abstract Background As the number of older adults is increasing, the health care services such as Emergency Medical Services (EMS) should be promoted. One of the preconditions for the use of health services is awareness of these services and their terms of use. This study is conducted to evaluate the awareness of the older adults in Tabriz about EMS and the terms of services. Methods This cross-sectional survey was conducted in a representative sample of over 60 years old noninstitutionalized population in Tabriz (Iran). It included 1062 participants (514 males and 548 females) who were selected using Probability Proportional to Size (PPS) sampling method. Service awareness is considered as being informed about the existence of the EMS. Knowledge about EMS is defined as knowing the EMS phone number and knowledge about its free and 24-hour service. After completing the informed consent, data collection was conducted in the households of the participants. Data analysis was conducted using logistic regression. Results The findings showed that 47% of the older adults were not familiar with the EMS system. Awareness of EMS in males (63.4%) was higher than females (44.2%) and also it was higher among those born in cities (61.2%) than rural areas (46.1%). Holding primary, secondary, and higher education compared with illiteracy had higher chance of awareness of EMS by more than 2, 4, and 12 times respectively (OR = 2.53, OR = 4.69, and OR = 12.09). Conclusion Due to high rate of illiteracy and low public awareness, older adults do not have appropriate knowledge about the facilities, conditions, and terms of using EMS and may not be able to demand some of their essential services; therefore, notifying and increasing awareness about the available services to older adults are necessary.

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Dynamics of transmission of Trypanosoma cruzi in a rural area of Argentina: III. Persistence of T. cruzi parasitemia among canine reservoirs in a two-year follow-up

Revista do Instituto de Medicina Tropical de São Paulo ◽

10.1590/s0036-46651986000400002 ◽

1986 ◽

Vol 28 (4) ◽

pp. 213-219 ◽

Cited By ~ 15

Author(s):

Ricardo E. Gurtler ◽

Nora D. Solard ◽

Marta A. Lauricela ◽

Ana S. Haedo ◽

Silvia M. Pietrokovski ◽

...

Keyword(s):

Rural Area ◽

Rural Areas ◽

Cross Sectional Survey ◽

Present Survey ◽

Cross Sectional ◽

The One ◽

Relationship Of ◽

The Relationship ◽

Insight Into

A new cross-sectional survey of household- associated mongrel dogs as well as follow-up of previously parasitemic individuals was carried out in 1984 toy means of xenodiagnosis and serologic techniques to get a deeper insight into the relationship of T. cruzi parasitemia and age among canine hosts in a rural area of Argentina. Persistence of detectable parasitemia was age-independent, or at most, loosely related to age, confirming the pattern observed in 1982. Similarly no significant age-decreasing effect was recorded among seropositive dogs in: a) the probability of detecting parasites in a 2-year follow-up; b) their intensity of infectiousness (=infective force) for T. infestans 3rd-4th instar nymphs, as measured by the percentage of infected bugs observed in each dog xenodiagnosis. Moreover, not only was the infective force of seropositive dogs for bugs approximately constant through lifetime, but it was significantly higher than the one recorded for children in the present survey, and for human people by other researchers. Therefore, and since T. infestans field populations show high feeding frequencies on dogs, the latter are expected to make the greatest contribution to the pool of infected vectors in the rural household of Argentina. This characteristic should be sufficient to involve canine reservoirs definitely as a risk factor for human people residing in the same house. The increased severity of parasitemia observed among dogs in this survey may be related to the acute undernutrition characteristic of canine populations of poor rural areas in our country, which is expected to affect the ability of the host to manage the infection.

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The Distribution and Consequences of Sexual Misconduct Perpetrated by Peacekeepers in Haiti: An Exploratory Cross-Sectional Analysis

10.21203/rs.3.rs-22307/v2 ◽

2020 ◽

Author(s):

Luissa Vahedi ◽

Heather Stuart ◽

Sabine Lee ◽

Susan A Bartels

Keyword(s):

Sexual Abuse ◽

Rural Areas ◽

Urban Areas ◽

Personal Narratives ◽

Sexual Misconduct ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Sectional Analysis ◽

The Relationship ◽

Experiences Of Women

Abstract Reports of sexual abuse and exploitation and children fathered by peacekeepers were made during the course of The United Nations Stabilization Mission in Haiti (MINUSTAH). This research (1) Explores the association between location (rural, semi-urban, urban) and the sharing of narratives about sexual misconduct perpetrated by MINUSTAH peacekeepers; (2) Investigates the relationship between sharing narratives about sexual misconduct and the desire to engage with the UN/MINUSTAH. In 2017, a cross-sectional survey was administered by Haitian research assistants using SenseMaker®, a rapid mixed-methods data collection tool that allows participants to share a narrative on a topic of interest. In total, 2541 self-interpreted narratives pertaining to the experiences of women/girls in relation to MINUSTAH were collected across Haiti. After adjustment, narratives from rural areas were more likely (RRrural: 1.19; 95% CI: 1.03, 1.38) to address sexual misconduct, compared to narratives shared in urban areas. (2) Personal experiences of sexual misconduct were more likely (RRsex: 4.52; 95% CI: 3.34, 6.12) to be associated with rejection of the UN/MINUSTAH, compared to personal narratives of positive/neutral experiences. This research is an empirical steppingstone to understanding the distribution and consequences of peacekeeper perpetrated sexual abuse and exploitation in Haiti.

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Egyptian Public’s Knowledge, Attitudes, Perceptions, and Practices toward COVID-19 Infection and Their Determinants. A Cross-Sectional Study, 2020

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2021.5797 ◽

2021 ◽

Vol 9 (E) ◽

pp. 250-259

Author(s):

Doaa I. Omar ◽

Samar A. Amer

Keyword(s):

Chronic Diseases ◽

Rural Areas ◽

Demographic Data ◽

Current Control ◽

Control Measures ◽

Health Concern ◽

Effective Vaccine ◽

Cross Sectional Survey ◽

Online Questionnaire ◽

Cross Sectional

BACKGROUND: The outbreak of coronavirus pandemic in Wuhan, China, since December 2019 has been the major public health concern. With the absence of an effective vaccine or treatment for the disease, current control measures are directed toward preventive measures to lessen disease burden and to curb the spread of the virus. AIM: The aim of the study was to assess knowledge, attitudes, perceptions, and practices (KAPP) of adult Egyptians toward COVID-19 and to study their determinants. METHODS: A community-based cross-sectional survey of a random sample of 999 Egyptian residence aged 16 years and above, it was conducted between April and June 2020 using self-administrated online questionnaire. It consisted of 15, five, and eight questions pertaining to knowledge, attitude, and practices toward COVID-19, respectively, in addition to demographic data. Data were analyzed using SPSS Statistics 23.0 at a level of significant at p ≤ 0.05. RESULTS: Out of the 999 participants, 628 (62.8%) were aged (20-<40y), 666 (66.7%) were females 576 (57.6) from urban residence, 665 (66.7%) were married with university educated or higher 605 (60.5%), and only 105 (10.5%) had chronic diseases. The total knowledge score was significantly higher among highly educated, females, in rural areas, married, and governmental workers, while higher educational status, females, married, smokers, and being without chronic diseases and governmental workers were significantly associated with higher practice scores. CONCLUSIONS: Egyptian participates had good level of knowledge, positive attitude about COVID-19 infection and, poor practice; however, community educational campaigns are necessary to ensure to improve on practice campaigns.

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Challenges of Emergency Medical Services utilization by the older adults in Tabriz, Iran

10.21203/rs.3.rs-471030/v1 ◽

2021 ◽

Author(s):

Akbar Azizi-Zeinalhajlou ◽

Rouzbeh Rajaei Ghafouri ◽

Mohammad Hasan Sahebihagh ◽

Asghar Mohammadpoorasl ◽

Zahra Parsian ◽

...

Keyword(s):

Older Adults ◽

Emergency Medical Services ◽

Rural Areas ◽

Health Care Services ◽

Public Awareness ◽

High Rate ◽

Medical Services ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Emergency Medical

Abstract Background: As the number of older adults is increasing, the health care services such as Emergency Medical Services (EMS) should be promoted. One of the preconditions for the use of health services is awareness of these services and their terms of use. This study is conducted to evaluate the awareness of the older adults in Tabriz about EMS and the terms of services. Methods: This cross-sectional survey was conducted in a representative sample of over 60 years old noninstitutionalized population in Tabriz (Iran). It included 1062 participants (514 males and 548 females) who were selected using Probability Proportional to Size (PPS) sampling method. Service awareness is considered as being informed about the existence of the EMS. Knowledge about EMS is defined as knowing the EMS phone number and knowledge about its free and 24-hour service. After completing the informed consent, data collection was conducted in the households of the participants. Data analysis was conducted using logistic regression. Results: The findings showed that 47% of the older adults were not familiar with the EMS system. Awareness of EMS in males (63.4%) was higher than females (44.2%) and also it was higher among those born in cities (61.2%) than rural areas (46.1%). Holding primary, secondary, and higher education compared with illiteracy had higher chance of awareness of EMS by more than 2, 4, and 12 times respectively (OR= 2.53, OR= 4.69, and OR= 12.09). Conclusion: Due to high rate of illiteracy and low public awareness, older adults do not have appropriate knowledge about the facilities, conditions, and terms of using EMS and may not be able to demand some of their essential services; therefore, notifying and increasing awareness about the available services to older adults are necessary.

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Sleep Reactivity and Psychological Health in Normal Sleepers: the moderating role of stress

10.31234/osf.io/nxz42 ◽

2018 ◽

Author(s):

Jason G. Ellis ◽

Sarah Allen ◽

Michael Perlis ◽

Michael Grandner ◽

Maria Gardani ◽

...

Keyword(s):

Life Events ◽

Psychological Health ◽

Public Health Campaign ◽

Health Campaign ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Dysfunctional Cognitions ◽

The Relationship ◽

Moderating Role

The aim of the present study was to determine whether normal sleepers with vulnerability to insomnia, via high sleep reactivity, demonstrate more sleep-related dysfunctional cognitions and behaviours and poorer psychological health compared to those who are not vulnerable. Further, the influence of stress on the relationship between sleep reactivity and psychological health was also examined. A cross-sectional survey of 737 young adult ‘normal’ sleepers from the general population was undertaken. Results indicated normal sleepers vulnerable to insomnia demonstrated more sleep-related dysfunctional cognitions and behaviours as well as poorer psychological health compared to those not vulnerable. Furthermore, the relationship between sleep reactivity and psychological health was moderated by perceived stress over the previous month and life events over the previous year. Therefore, identifying and supporting those who are vulnerable to insomnia may be a fruitful avenue for preventative public health campaign to mitigate both insomnia and poor psychological health.

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