Skip header and navigation

Refine By

43 records – page 1 of 5.

[Features of polymorbidity in cardiac and gastroenterologic patients from a therapeutic clinic].

https://arctichealth.org/en/permalink/ahliterature271952
Source
Ter Arkh. 2016;88(1):40-5
Publication Type
Article
Date
2016
Author
Yu A Nikolaev
E V Sevostyanova
I M Mitrofanov
V Ya Polyakov
N A Dolgova
Source
Ter Arkh. 2016;88(1):40-5
Date
2016
Language
Russian
Publication Type
Article
Keywords
Adolescent
Age Factors
Aged, 80 and over
Cardiology Service, Hospital - statistics & numerical data
Comorbidity - trends
Female
Gastrointestinal Diseases - epidemiology
Heart Diseases - epidemiology
Humans
Incidence
Male
Middle Aged
Occupations - statistics & numerical data
Residence Characteristics - statistics & numerical data
Sex Factors
Siberia - epidemiology
Socioeconomic Factors
Abstract
To examine the incidence of polymorbidity (PM) and changes in its rates in 2003 to 2011 in cardiac and gastroenterologic patients living in the Novosibirsk Region and the Republic of Sakha (Yakutia) in accordance with gender, occupation, and residence.
The dynamics of PM rates was analyzed in 13 496 patients who had been examined and treated at the Cardiology and Gastroenterology Departments, Therapeutic Clinic, Research Institute of Experimental and Clinical Medicine (Novosibirsk), 2003-2011. The study used an archival research method and a statistical analysis of all nosological entities, groups, and classes in ICD-10, regardless of whether the diagnosis was primary or concurrent.
There was an increase in PM rates among the therapeutic clinic's patients of regardless of their gender and occupation. There were gender differences in the incidence of PM: its higher rates were noted in the women than those in the men among both the residents of the Novosibirsk Region and those of the Republic of Sakha (Yakutia). More significantly higher PM rates were registered in the male inhabitants of the Novosibirsk Region. There were also regional differences in the incidence of PM: its rates proved to be higher in the patients in the Republic of Sakha (Yakutia) than in those in the Novosibirsk Region in 2003-2007. At the same time, the growth rates for PM were more marked in the patients in the Novosibirsk region than in those in the Republic of Sakha (Yakutia); these differences levelled off in subsequent years.
The findings indicate a pronounced increase in the incidence of PM in cardiac and gastroentorologic patients and determine a need to keep in mind the influence of gender, social, and regional factors on its development in order to create and improve a primary and secondary prevention, diagnosis and treatment system.
PubMed ID
26978608 View in PubMed
Less detail

Cumulative contextual and individual disadvantages over the life course and adult functional somatic symptoms in Sweden.

https://arctichealth.org/en/permalink/ahliterature272361
Source
Eur J Public Health. 2015 Aug;25(4):592-7
Publication Type
Article
Date
Aug-2015
Author
Per E Gustafsson
Anne Hammarström
Miguel San Sebastian
Source
Eur J Public Health. 2015 Aug;25(4):592-7
Date
Aug-2015
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Female
Health Status Disparities
Humans
Male
Prospective Studies
Residence Characteristics - statistics & numerical data
Sex Factors
Socioeconomic Factors
Sweden - epidemiology
Young Adult
Abstract
Disadvantage, originating in one's residential context or in one's past life course, has been shown to impact on health in adulthood. There is however little research on the accumulated health impact of both neighbourhood and individual conditions over the life course. This study aims to examine whether the accumulation of contextual and individual disadvantages from adolescence to middle-age predicts functional somatic symptoms (FSS) in middle-age, taking baseline health into account.
The sample is the age 16, 21, 30 and 42 surveys of the prospective Northern Swedish Cohort, with analytical sample size n = 910 (85% of the original cohort). FSS at age 16 and 42, and cumulative socioeconomic disadvantage, social adversity and material adversity between 16 and 42 years were operationalized from questionnaires, and cumulative neighbourhood disadvantage between 16 and 42 years from register data.
Results showed accumulation of disadvantages jointly explained 9-12% of FSS variance. In the total sample, cumulative neighbourhood and socioeconomic disadvantage significantly predicted FSS at age 42 in the total sample. In women, neighbourhood disadvantage but not socioeconomic disadvantage contributed significantly, whereas in men, socioeconomic but not neighbourhood disadvantage contributed significantly. In all analyses, associations were largely explained by the parallel accumulation of social and material adversities, but not by symptoms at baseline.
In conclusion, the accumulation of diverse forms of disadvantages together plays an important role for somatic complaints in adulthood, independently of baseline health.
PubMed ID
25527526 View in PubMed
Less detail

The weight of place: a multilevel analysis of gender, neighborhood material deprivation, and body mass index among Canadian adults.

https://arctichealth.org/en/permalink/ahliterature160160
Source
Soc Sci Med. 2008 Feb;66(3):675-90
Publication Type
Article
Date
Feb-2008
Author
Flora I Matheson
Rahim Moineddin
Richard H Glazier
Author Affiliation
Center for Research on Inner City Health, St. Michael's Hospital, Toronto, Ontario, Canada. mathesonf@smh.toronto.on.ca
Source
Soc Sci Med. 2008 Feb;66(3):675-90
Date
Feb-2008
Language
English
Publication Type
Article
Keywords
Adult
Age Factors
Body mass index
Canada - epidemiology
Health Behavior
Health Surveys
Humans
Poverty Areas
Residence Characteristics - statistics & numerical data
Sex Factors
Social Support
Socioeconomic Factors
Stress, Psychological
Abstract
This study examined the impact of neighborhood material deprivation on gender differences in body mass index (BMI) for urban Canadians. Data from a national health survey of adults (Canadian Community Health Survey Cycles 1.1/2.1) were combined with census tract-level neighborhood data from the 2001 census. Using multilevel analysis we found that living in neighborhoods with higher material deprivation was associated with higher BMI. Compared to women living in the most affluent neighborhoods, women living in the most deprived neighborhoods had a BMI score 1.8 points higher. For women 1.65 m in height (5'4'' inches), this translated into a 4.8 kg or 11 lb difference. For men, living in affluent neighborhoods was associated with higher BMI (7 lb) relative to men living in deprived neighborhoods. The relative disadvantage for men living in pockets of affluence and women living in pockets of poverty persisted after adjusting for age, married and visible minority status, educational level, self-perceived stress, sense of belonging, and lifestyle factors, including smoking, exercise, diet, and chronic health conditions. The implication of these disparate findings for men and women is that interventions that lead to healthy weight control may need to be gender responsive. Our findings also suggest that what we traditionally have thought to be triggering factors for weight gain and maintenance of unhealthy BMI-lifestyle and behavioral factors-are not sufficient explanations. Indeed, these factors account for only a portion of the explanation of why neighborhood stress is associated with BMI. Cultural attitudes about the body that pressure women to meet the thin ideal which can lead to an unhealthy cycle of dieting and, subsequent weight gain, and the general acceptability of the heavier male need to be challenged. Education and intervention within a public health framework remain important targets for producing healthy weight.
PubMed ID
18036712 View in PubMed
Less detail

Relationship between platelet monoamine oxidase-B (MAO-B) activity and mercury exposure in fish consumers from the Lake St. Pierre region of Que., Canada.

https://arctichealth.org/en/permalink/ahliterature170576
Source
Neurotoxicology. 2006 May;27(3):429-36
Publication Type
Article
Date
May-2006
Author
Christopher John Stamler
Nadia Abdelouahab
Claire Vanier
Donna Mergler
Hing Man Chan
Author Affiliation
Centre for Indigenous Peoples' Nutrition and Environment (CINE) and the School of Dietetics and Human Nutrition, McGill University, 21, 111 Lakeshore Rd., Ste-Anne-de-Bellevue, Montréal, Que., Canada H9X 3V9.
Source
Neurotoxicology. 2006 May;27(3):429-36
Date
May-2006
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Animals
Blood Platelets - enzymology
Child
Environmental Pollutants
Female
Fishes
Food Contamination
Humans
Male
Mercury - analysis - blood - pharmacokinetics
Middle Aged
Monoamine Oxidase - blood
Predictive value of tests
Quebec
Residence Characteristics - statistics & numerical data
Sex Factors
Spectrometry, Fluorescence - methods
Abstract
Mercury (Hg) is a widespread neurotoxic compound that bio-accumulates in fish and marine mammals. Monoamine oxidase (MAO; EC 1.4.3.4) regulates biogenic amine concentration in the brain and peripheral tissue and has been shown to be a molecular target of Hg compounds in animal models. Blood platelet monoamine oxidase-B (MAO-B) activity may reflect MAO function in the central nervous tissue. Therefore, the objective of this study was to evaluate the relationship between platelet MAO-B and Hg exposure in fish-eating adults (n=127) living along the St. Lawrence River (Lake St. Pierre, Que., Canada). Hg concentrations were determined in blood and hair samples. A significant negative association was observed between platelet MAO-B activity and blood-Hg (r=-0.193, p=0.029) but not with hair-Hg levels (r=-0.125, p=0.169). Multiple linear regression analysis demonstrated that blood-Hg (beta=-4.6, p=0.011) and heavy smoking (beta=-8.5, p=0.001) were associated with reduced platelet MAO activity in the total population. In addition, this reduction in MAO-B activity appeared to be associated with blood-Hg concentrations above 3.4 microg/L (75th percentile). Possible gender related differences were also observed and are discussed. Our results suggest that MAO-B activity in blood platelets may be a useful tool to assess biochemical effects of Hg exposure in human populations. These changes in platelet MAO-B may reflect enzymatic changes in nervous tissue and should be further investigated as a surrogate marker of neurotoxicity.
PubMed ID
16494947 View in PubMed
Less detail

Community unemployment and immigrants' health in Montreal.

https://arctichealth.org/en/permalink/ahliterature170732
Source
Soc Sci Med. 2006 Jul;63(2):485-500
Publication Type
Article
Date
Jul-2006
Author
Maria-Victoria Zunzunegui
Mathieu Forster
Lise Gauvin
Marie-France Raynault
J. Douglas Willms
Author Affiliation
Université de Montréal, Que., Canada. maria.victoria.zunzunegui@umontreal.ca
Source
Soc Sci Med. 2006 Jul;63(2):485-500
Date
Jul-2006
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Canada
Emigration and Immigration - statistics & numerical data
Female
Health Behavior
Health status
Humans
Male
Mental health
Middle Aged
Obesity - epidemiology
Quebec
Residence Characteristics - statistics & numerical data
Sex Factors
Stress, Psychological - epidemiology
Unemployment - statistics & numerical data
Abstract
This research examines the relationship between community unemployment and the physical and mental health of immigrants in comparison to non-immigrants in Montreal under the hypothesis that high unemployment in the community may generate more negative effects on the health of immigrants than on non-immigrants. Possible gender differences in these associations are also examined. Montreal residents were studied via multilevel analysis, using both individual survey data and neighbourhood data from 49 police districts. Individual-level data were excerpted from a 1998 health survey of Montreal residents, while neighbourhood data originated from survey data collected in the 49 Montreal police districts and the 1996 Canadian Census. The associations between community unemployment and self-rated health, psychological distress and obesity are examined, and hypotheses regarding the modifying mechanisms via which male and female immigrants may run a greater risk of poor health than non-immigrants when living in areas of high unemployment were tested. Between neighbourhoods, variations in the three health outcomes were slight, and differences in health were not associated with differences in community unemployment. The associations between community unemployment and health varied according to immigration status. At the individual level, immigrants do not differ from non-immigrants with respect to the three health indicators, except that second-generation males are slightly heavier. However, when living in areas of high unemployment, immigrants tend to report poor physical and mental health in comparison to non-immigrants. Among first-generation immigrants, community unemployment was associated with psychological distress. Among second-generation immigrants, the probability of obesity and poor self-rated health increased significantly for those living in areas with high unemployment, but these associations reached statistical significance only for men. Findings among first-generation immigrants are interpreted with respect to the effects of possible discrimination in areas with low job availability. Among second-generation men, poor physical health and obesity may be the result of poor health habits stemming from perceived lack of life opportunities.
PubMed ID
16476514 View in PubMed
Less detail

Gender differences in health habits and in motivation for a healthy lifestyle among Swedish university students.

https://arctichealth.org/en/permalink/ahliterature9231
Source
Nurs Health Sci. 2005 Jun;7(2):107-18
Publication Type
Article
Date
Jun-2005
Author
Margareta I K von Bothmer
Bengt Fridlund
Author Affiliation
School of Social and Health Sciences, Halmstad University, Halmstad, Sweden. Margareta.von_Bothmer@hos.hh.se
Source
Nurs Health Sci. 2005 Jun;7(2):107-18
Date
Jun-2005
Language
English
Publication Type
Article
Keywords
Adult
Alcohol Drinking - epidemiology - prevention & control - psychology
Attitude to Health
Comparative Study
Female
Food Habits - psychology
Habits
Health Behavior
Health Knowledge, Attitudes, Practice
Health Surveys
Humans
Life Style
Male
Men - education - psychology
Motivation
Obesity - epidemiology - prevention & control - psychology
Questionnaires
Research Support, Non-U.S. Gov't
Residence Characteristics - statistics & numerical data
Sex Factors
Smoking - epidemiology - prevention & control - psychology
Social Support
Stress, Psychological - epidemiology - prevention & control - psychology
Students - psychology - statistics & numerical data
Sweden - epidemiology
Universities
Women - education - psychology
Abstract
The aim of the present study was to investigate gender differences in students' health habits and motivation for a healthy lifestyle. The sample of students comprised a probability systematic stratified sample from each department at a small university in the south-west of Sweden (n = 479). A questionnaire created for this study was used for data collection. Self-rated health was measured by number of health complaints, where good health was defined as having less than three health complaints during the last month. A healthy lifestyle index was computed on habits related to smoking, alcohol consumption, food habits, physical activity and stress. Female students had healthier habits related to alcohol consumption and nutrition but were more stressed. Male students showed a high level of overweight and obesity and were less interested in nutrition advice and health enhancing activities. The gender differences are discussed in relation to the impact of stress on female students' health, and the risk for male students in having unhealthy nutritional habits in combination with being physically inactive and drinking too much alcohol.
PubMed ID
15877687 View in PubMed
Less detail

Neighborhood environment and physical activity among young children: a cross-sectional study from Sweden.

https://arctichealth.org/en/permalink/ahliterature265024
Source
Scand J Public Health. 2015 May;43(3):283-93
Publication Type
Article
Date
May-2015
Author
Hanna Weimann
Jonas Björk
Lars Rylander
Patrick Bergman
Gabriele Eiben
Source
Scand J Public Health. 2015 May;43(3):283-93
Date
May-2015
Language
English
Publication Type
Article
Keywords
Age Factors
Child
Child, Preschool
Cross-Sectional Studies
Educational Status
Environment Design - statistics & numerical data
Female
Housing - statistics & numerical data
Humans
Male
Motor Activity
Parents
Residence Characteristics - statistics & numerical data
Seasons
Sex Factors
Sweden
Abstract
The aims of this study were to investigate the association between the neighbourhood environment and physical activity among young children in a Scandinavian setting, and to assess the influences of seasonal variations, age, sex and parental education.
Physical activity was assessed with an accelerometer and neighbourhood resources were estimated using geographic information systems for 205 Swedish children aged 4-11 years. Neighbourhood resources were generated as the sum of three neighbourhood attributes: (a) foot and bike paths, (b) non-restricted destinations and (c) recreational area, all within 300 m of each child's home. Physical activity was assessed as: (a) total volume of physical activity (i.e. counts per minute), (b) sedentary time and (c) moderate to vigorous physical activity (MVPA). The association between neighbourhood resources and physical activity was analysed using mixed linear models weighted by measurement time and adjusted for sex, age, season of activity measurement, type of housing and parental education.
Children were more physically active in areas with intermediate access to neighbourhood resources for physical activity compared to areas with worst access, while the difference between intermediate and best neighbourhood resource areas was less clear. The association between physical activity and neighbourhood resources was weaker than with seasonal variations but compatible in magnitude with sex, age, type of housing and parental education. Among specific neighbourhood attributes, the amount of foot and bike paths was associated with less sedentary time and more MVPA.
This study provides some, not entirely consistent, evidence overall for an association between the neighbourhood environment and physical activity among young children in Scandinavia.
PubMed ID
25712029 View in PubMed
Less detail

End stage renal disease risk and neighbourhood deprivation: a nationwide cohort study in Sweden.

https://arctichealth.org/en/permalink/ahliterature265059
Source
Eur J Intern Med. 2014 Nov;25(9):853-9
Publication Type
Article
Date
Nov-2014
Author
Delshad Saleh Akrawi
Xinjun Li
Jan Sundquist
Kristina Sundquist
Bengt Zöller
Source
Eur J Intern Med. 2014 Nov;25(9):853-9
Date
Nov-2014
Language
English
Publication Type
Article
Keywords
Adult
Age Factors
Aged
Female
Humans
Kidney Failure, Chronic - epidemiology - etiology
Male
Middle Aged
Poverty - statistics & numerical data
Residence Characteristics - statistics & numerical data
Risk factors
Sex Factors
Socioeconomic Factors
Sweden - epidemiology
Young Adult
Abstract
Chronic kidney disease has been associated with socioeconomic disparities and neighbourhood deprivation. We aimed to determine whether there is an association between neighbourhood deprivation and end stage renal disease (ESRD), and whether this association is independent of individual-level sociodemographic factors and comorbidities.
National Swedish data registers were used. The entire Swedish population aged 20-69 years was followed from January 1, 2001 until December 31, 2010. Data were analysed by multilevel logistic regression, with individual-level sociodemographic factors (age, marital status, family income, education level, country of birth, urban/rural status, and mobility) and comorbidities at the first level and neighbourhood deprivation at the second level.
Neighbourhood deprivation was significantly associated with ESRD (age-adjusted odds ratio [OR] 1.45, 95% confidence interval [CI] 1.34-1.56 in men and OR 1.59, 95% CI 1.44-1.75 in women). The ORs for ESRD in men and women living in the most deprived neighbourhoods remained significantly increased when adjusted for age and individual-level sociodemographic factors (OR 1.25, 95% CI 1.15-1.35 in men and OR 1.30, 95% CI 1.17-1.44 in women). In the full model, which took account of sociodemographic factors and comorbidities, the ORs for ESRD remained significantly increased (OR 1.17, 95% CI 1.07-1.27 in men and OR 1.18, 95% CI 1.06-1.31 in women).
Neighbourhood deprivation is independently associated with ESRD in both men and women irrespective of individual-level sociodemographic factors and comorbidities.
Notes
Cites: Am J Kidney Dis. 1994 Jan;23(1):16-228285192
Cites: Kidney Int. 1994 Mar;45(3):907-118196296
Cites: Int J Epidemiol. 1999 Oct;28(5):841-510597980
Cites: J Psychosom Res. 2002 Jan;52(1):1-2311801260
Cites: Nephrol Dial Transplant. 2003 Jan;18(1):82-812480964
Cites: Ann Intern Med. 2003 Jul 15;139(2):137-4712859163
Cites: J Am Soc Nephrol. 2004 Aug;15(8):2178-8515284303
Cites: N Engl J Med. 1989 Mar 16;320(11):684-82922014
Cites: Arch Intern Med. 1995 Jun 12;155(11):1201-87763126
Cites: J Health Econ. 1997 Feb;16(1):93-11210167346
Cites: Am J Ind Med. 1998 Jan;33(1):33-479408527
Cites: Br J Gen Pract. 1998 Mar;48(428):1070-29624750
Cites: Arch Intern Med. 1999 Aug 9-23;159(15):1777-8310448782
Cites: Am J Kidney Dis. 2005 Aug;46(2):203-1316112038
Cites: Soc Sci Med. 2006 Feb;62(4):954-6316081195
Cites: Soc Sci Med. 2006 Apr;62(8):2061-7116203075
Cites: Scand J Public Health. 2006;34(3):228-3716754580
Cites: Am J Prev Med. 2007 Feb;32(2):97-10617234484
Cites: Soc Sci Med. 2007 Aug;65(4):809-2117499411
Cites: Kidney Int. 2007 Aug;72(3):247-5917568785
Cites: J Am Soc Nephrol. 2008 Feb;19(2):356-6418057219
Cites: Am J Kidney Dis. 2008 Apr;51(4):563-7218371532
Cites: Clin J Am Soc Nephrol. 2008 Sep;3(5):1316-2318579673
Cites: Soc Sci Med. 2008 Oct;67(8):1311-2018667261
Cites: Eur J Epidemiol. 2009;24(11):659-6719504049
Cites: Am J Kidney Dis. 2010 Jun;55(6):992-100020207457
Cites: Aust N Z J Public Health. 2010 Jun;34(3):304-1020618274
Cites: Am J Nephrol. 2010;32(1):38-4620516678
Cites: Nephrol Dial Transplant. 2010 Aug;25(8):2422-3020519230
Cites: Methods Mol Biol. 2011;675:215-2020949391
Cites: Cancer. 2011 Apr 1;117(7):1506-1521425152
Cites: BMC Public Health. 2011;11:45021658213
Cites: J Thromb Thrombolysis. 2012 Oct;34(3):374-8222538704
Cites: Lancet. 2013 Jul 20;382(9888):260-7223727169
Cites: Europace. 2013 Aug;15(8):1119-2723447572
Cites: Arch Intern Med. 1991 Jul;151(7):1359-642064486
Cites: JAMA. 1992 Dec 2;268(21):3079-841433738
Cites: J Psychiatr Res. 2014 Jun;53:187-9224613033
PubMed ID
25294596 View in PubMed
Less detail

Effect of socioeconomic status on out-of-hospital transport delays of patients with chest pain.

https://arctichealth.org/en/permalink/ahliterature186130
Source
Ann Emerg Med. 2003 Apr;41(4):481-90
Publication Type
Article
Date
Apr-2003
Author
Anand Govindarajan
Michael Schull
Author Affiliation
Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Source
Ann Emerg Med. 2003 Apr;41(4):481-90
Date
Apr-2003
Language
English
Publication Type
Article
Keywords
Age Factors
Aged
Allied Health Personnel - supply & distribution
Analysis of Variance
Chest Pain - therapy
Emergency Medical Service Communication Systems - statistics & numerical data
Emergency Medical Services - economics - statistics & numerical data
Female
Health Services Research
Humans
Income - statistics & numerical data
Male
Middle Aged
Ontario
Poverty Areas
Predictive value of tests
Regression Analysis
Residence Characteristics - statistics & numerical data
Retrospective Studies
Severity of Illness Index
Sex Factors
Social Class
Time Factors
Transportation of Patients - economics - statistics & numerical data
Abstract
The effect of socioeconomic status on out-of-hospital care has not been widely examined. We determine whether socioeconomic status was associated with out-of-hospital transport delays for patients with chest pain.
A retrospective study of patients with chest pain transported by means of ambulance in Toronto, Ontario, Canada, in 1999 was conducted. The primary outcome measure was the 90th percentile system response interval, with secondary outcomes being the 90th percentile on-scene interval, transport interval, and total out-of-hospital interval. Socioeconomic status was the primary independent variable. Covariates were age, sex, case severity, dispatch and return priority, time and day of transport, paramedic training, and percentage of high-rise apartments in the region.
Four thousand three hundred fifty-six patients met the inclusion criteria. The 90th percentile system response interval and total out-of-hospital interval were 11 minutes and 49 minutes, respectively. In multivariate analyses, the highest socioeconomic status neighborhoods were significantly associated with decreased system response interval (34.0 seconds; 95% confidence interval [CI] 6.2 to 70.9 seconds) and transport interval (132.3 seconds; 95% CI 24.1 to 229.6 seconds). In addition, age (+45.3 seconds per 10 years; 95% CI 13.3 to 75.1 seconds), female sex (+205.0 seconds; 95% CI 78.1 to 287.7 seconds), and advanced care paramedic crews (+371.6 seconds; 95% CI 263.3 to 490.1 seconds) were associated with delays in total out-of-hospital interval. Lastly, calls originating from the highest socioeconomic status neighborhoods were dispatched the highest proportion of advanced care paramedic crews, despite similar dispatch priorities and case severities.
High socioeconomic status neighborhoods were associated with shorter out-of-hospital transport intervals for patients with chest pain. In addition, out-of-hospital delays were associated with age, sex, and advanced care paramedic crew type, with calls from the highest socioeconomic status neighborhoods being most likely to receive advanced care paramedic crews.
Notes
Comment In: Ann Emerg Med. 2003 Apr;41(4):491-312658248
PubMed ID
12658247 View in PubMed
Less detail

Alcohol misuse, gender and depressive symptoms in community-dwelling seniors.

https://arctichealth.org/en/permalink/ahliterature154879
Source
Int J Geriatr Psychiatry. 2009 Apr;24(4):369-75
Publication Type
Article
Date
Apr-2009
Author
Philip D St John
Patrick R Montgomery
Suzanne L Tyas
Author Affiliation
Section of Geriatric Medicine, Department of Medicine, Centre on Aging, University of Manitoba, Winnipeg, Canada. pstjohn@hsc.mb.ca
Source
Int J Geriatr Psychiatry. 2009 Apr;24(4):369-75
Date
Apr-2009
Language
English
Publication Type
Article
Keywords
Aged
Aged, 80 and over
Alcoholism - epidemiology - psychology
Cross-Sectional Studies
Depressive Disorder - epidemiology - psychology
Female
Geriatric Assessment
Humans
Male
Manitoba - epidemiology
Questionnaires
Residence Characteristics - statistics & numerical data
Risk factors
Sex Factors
Social Support
Socioeconomic Factors
Abstract
Alcohol misuse in seniors has been studied in clinical samples and in small communities, but relatively few studies are population-based. Objectives are: (1) to describe the characteristics of seniors who score 1 or more on the CAGE (Cut down; Annoyed; Guilty; Eye-opener) questionnaire of alcohol problems; (2) to determine if depressive symptoms are associated with alcohol misuse after accounting for other factors.
Cross-sectional study of community-dwelling older people (65+ years) sampled from a representative population registry in Manitoba, Canada. Participants were initially interviewed in 1991-1992 and reinterviewed in 1996-1997. Data from Time 2 were used; 1,028 persons were included in the analyses. Sociodemographic characteristics, the CAGE questionnaire, Activities of Daily Living (ADLs) and instrumental ADLs (IADLs), the Center for Epidemiologic Studies-Depression (CES-D) scale and the Mini-Mental State Examination (MMSE) were assessed by trained interviewers.
Males were more likely to score positive on the CAGE questionnaire. After adjusting for gender, age, and education, there was a strong association between depressive symptoms and alcohol misuse. Poor self-rated health and impairments in IADLs were also associated with alcohol misuse.
Male gender, depressive symptoms, and poor functional status were associated with alcohol misuse in this population-based study. Attention to depressive symptoms and functional status may be important in the care of seniors with alcohol misuse. Alternatively, physicians should enquire about alcohol use in seniors with functional impairment or depressive symptoms.
Notes
Comment In: Int J Geriatr Psychiatry. 2009 Apr;24(4):434-5; author reply 433-419301300
PubMed ID
18837057 View in PubMed
Less detail

43 records – page 1 of 5.