scholarly journals Chronic Health Conditions as a Risk Factor for Falls among the Community-Dwelling US Older Adults: A Zero-Inflated Regression Modeling Approach

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Yoshita Paliwal ◽  
Patricia W. Slattum ◽  
Scott M. Ratliff
Keyword(s):  
Older Adults ◽  
Risk Factor ◽  
Medical History ◽  
Community Dwelling ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Health Concern ◽  
Chronic Health ◽  
History Of ◽  
First Time

Falls are an important health concern among older adults due to age-related changes in the body. Having a medical history of chronic health condition may pose even higher risk of falling. Only few studies have assessed a number of chronic health conditions as risk factor for falls over a large nationally representative sample of US older adults. In this study, Behavioral Risk Factor Surveillance System (BRFSS) 2014 participants aged 65 years and older (n = 159,336) were evaluated. It was found that 29.7% (n=44,550) of the sample experienced at least one fall and 16.3% (n=20,444) experienced more than one fall in the past 12 months. According to the study findings, having a medical history of stroke, CKD, arthritis, depression, and diabetes independently predict the risk of first-time falling as well as the risk of recurrent falling in older adult population while controlling for other factors. On the other hand, having a medical history of the heart attack, angina, asthma, and COPD did not predict the risk of first-time falling, but did predict the risk of recurrent falling after experiencing the first fall in this population.

scholarly journals Needs, barriers and facilitators of older adults towards eHealth in general practice: a qualitative study

2020 ◽  
Vol 21 ◽  
Author(s):  
Johannes William Vergouw ◽  
Hanneke Smits-Pelser ◽  
Marijke C. Kars ◽  
Thijs van Houwelingen ◽  
Harmieke van Os-Medendorp ◽  
...  
Keyword(s):  
Older Adults ◽  
General Practice ◽  
Qualitative Study ◽  
Community Dwelling ◽  
Chronic Health Conditions ◽  
Barriers And Facilitators ◽  
Health Conditions ◽  
Ageing Population ◽  
Think Aloud ◽  
Chronic Health

Abstract Background: The strain on health care services is increasing due to an ageing population and the increasing prevalence of chronic health conditions. eHealth could contribute to optimise effective and efficient care to older adults with one or more chronic health conditions in the general practice. Aim: The aim of this study was to identify the needs, barriers and facilitators amongst community-dwelling older adults (60+) suffering from one or more chronic health conditions, in using online eHealth applications to support general practice services. Methods: A qualitative study, using semi-structured followed by think-aloud interviews, was conducted in the Netherlands. The semi-structured interviews, supported by an interview guide were conducted and analysed thematically. The think-aloud method was used to collect data about the cognitive process while the participant was completing a task within online eHealth applications. Verbal analysis according to the Chi approach was conducted to analyse the think-aloud interviews. Findings: A total of n = 19 older adults with a mean age of 73 years participated. The ability to have immediate contact with the GP on important health issues was identified as an important need. Identified barriers were non-familiarity with the online eHealth applications and a mismatch of user health needs. The low computer experience resulted in non-familiarity with the online eHealth applications. Faltering applications resulted in participants refusing to participate in the use of online eHealth applications. Convenience, efficiency and the instant availability of eHealth via applications were identified as important facilitators. Conclusion: To improve the use and acceptability of eHealth applications amongst older adults in the general practice, the applications should be tailored to meet individual needs. More attention should be given to improving the user-friendliness of these applications and to the promotion of the benefits such as facilitating older adults independent living for longer.

Saskatoon in motion: Class vs. home-based exercise intervention in older adults with chronic health conditions

2005 ◽  
Author(s):  
Bruce Reeder ◽  
Karen Chad ◽  
Liz Harrison ◽  
Nigel Ashworth ◽  
Suzanne Sheppard ◽  
...  
Keyword(s):  
Older Adults ◽  
Exercise Intervention ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Chronic Health ◽  
Home Based

Vulnerable, But Why? Post-Traumatic Stress Symptoms in Older Adults Exposed to Hurricane Sandy

2016 ◽  
Vol 10 (3) ◽  
pp. 362-370 ◽  
Author(s):  
Allison R. Heid ◽  
Zachary Christman ◽  
Rachel Pruchno ◽  
Francine P. Cartwright ◽  
Maureen Wilson-Genderson
Keyword(s):  
Older Adults ◽  
Traumatic Stress ◽  
Hurricane Sandy ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Ptsd Symptoms ◽  
Post Traumatic Stress ◽  
Group Status ◽  
Chronic Health ◽  
Post Traumatic

AbstractObjectiveDrawing on pre-disaster, peri-disaster, and post-disaster data, this study examined factors associated with the development of post-traumatic stress disorder (PTSD) symptoms in older adults exposed to Hurricane Sandy.MethodsWe used a sample of older participants matched by gender, exposure, and geographic region (N=88, mean age=59.83 years) in which one group reported clinically significant levels of PTSD symptoms and the other did not. We conducted t-tests, chi-square tests, and exact logistic regressions to examine differences in pre-disaster characteristics and peri-disaster experiences.ResultsOlder adults who experienced PTSD symptoms reported lower levels of income, positive affect, subjective health, and social support and were less likely to be working 4 to 6 years before Hurricane Sandy than were people not experiencing PTSD symptoms. Those developing PTSD symptoms reported more depressive symptoms, negative affect, functional disability, chronic health conditions, and pain before Sandy and greater distress and feelings of danger during Hurricane Sandy. Exact logistic regression revealed independent effects of preexisting chronic health conditions and feelings of distress during Hurricane Sandy in predicting PTSD group status.ConclusionsOur findings indicated that because vulnerable adults can be identified before disaster strikes, the opportunity to mitigate disaster-related PTSD exists through identification and resource programs that target population subgroups. (Disaster Med Public Health Preparedness. 2016;10:362–370)

scholarly journals Chronic health conditions and work-related stress in older adults participating in the Dutch workforce

2020 ◽  
Vol 17 (4) ◽  
pp. 499-508
Author(s):  
Miriam Mutambudzi ◽  
Kene Henkens
Keyword(s):  
Older Adults ◽  
Sleep Disorders ◽  
Work Stress ◽  
Older Workers ◽  
Pension Reform ◽  
Panel Study ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Physical Demands ◽  
Chronic Health

AbstractThe proportion of workers with chronic health conditions (CHCs) will increase over the years as pension reform is increasing the age of retirement in many European countries. This will increase the percentage of older adults with CHCs performing highly demanding work. This study sought to examine the association between common CHCs [cardiovascular disease (CVD), diabetes, arthritis, respiratory and sleep disorders] and three domains of work stress in older Dutch workers. This study used data from the first wave of the NIDI Pension Panel Study for working adults aged 60–65 years (n = 6793). Logistic regression models examined the strength of association between CHCs and (1) general work stress, (2) emotional, and (3) physical demands. All five CHC were independently associated with one or more domains of stress. After including all CHCs in the model, CVD, sleep disorders, and arthritis were significantly associated with general stress. Respiratory disorders, sleep disorders, and arthritis were significantly associated with physical demands. Diabetes (1.25, 95% CI 1.01–1.53), sleep disorders (1.99, 95% CI 1.72–2.31), and arthritis (1.18, 95% CI 1.06–1.31) were significantly associated with emotional demands. Our findings demonstrate that work stress is associated with prevalent CHCs, and these conditions are differentially associated with several domains of work stress in adults approaching retirement. More research is needed to understand the causal relationship between CHCs and work stress. Such research may provide insights for effective workplace and public health interventions to ensure that older workers remain physically and mentally healthy, and productive through their working years.

Problem Drinking and Depression in Older Adults with Multiple Chronic Health Conditions

2016 ◽  
Vol 65 (1) ◽  
pp. 146-152 ◽  
Author(s):  
Orion Mowbray ◽  
Tiffany Washington ◽  
Greg Purser ◽  
Jay O‘Shields
Keyword(s):  
Older Adults ◽  
Problem Drinking ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Chronic Health

scholarly journals IS BEING A PREMATURE OR HAVING ABNORMAL BIRTH WEIGHT ASSOCIATED WITH DEPRESSION AMONG 6 - 17 YEARS OLD U.S. CHILDREN?

2018 ◽  
Vol 23 (suppl_1) ◽  
pp. e51-e51
Author(s):  
Abdulaziz Bahassan ◽  
Colin Depp
Keyword(s):  
Mental Health ◽  
United States ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Very Low Birth Weight ◽  
The United States ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Chronic Health ◽  
History Of

Abstract BACKGROUND Reports in 2015 showed that premature birth rate in the United States increased when compared to 2014 data, and this was the first increment since 2007. Major complications of prematurity and birth weight abnormalities are well known, but other complications including mental health abnormalities require more investigation to understand their association well. OBJECTIVES We aimed in this study to determine if prematurity and birth weight abnormalities including very low birth weight (VLBW) and low birth weight (LBW) are associated with depression among United States children aged between six and seventeen years old. ​ DESIGN/METHODS This is a cross sectional study using data from the National Survey of Children’s Health (NSCH) 2011–2012. When we applied our selection criteria, 84,182 children out of the total 95,677 NSCH population were selected. Our exclusion criteria were: age less than six years, child’s history of cerebral palsy, and mental retardation. Multivariable logistic regression was done to control for confounding effects when studying the association of prematurity, birth weight abnormalities and depression. ​ RESULTS Our results reveal that 3.6% of our population had history of depression, 11% were born prematurely, 7.4% had low birth weight, and 1.5% had very low birth weight. Depression was more frequent in children who were born prematurely (prevalence 4.3%) when compared to children born at term. Different models were built to analyze the association between prematurity, birth weight abnormalities and depression. There was no detectable statistically significant association when controlling for demographic data (age, gender, race, family structure) and mental health risk factors (parental poor mental health, chronic health conditions) as well as other factors. Results reveal that children who had chronic health conditions or had adverse family experiences have greater odds of having depression. On the other hand, African-American, male, and younger (6–11 years old) children have lower odds of depression. ​ CONCLUSION Further longitudinal studies are required to establish a causal relationship of behavioral and psychological complications, and to determine the biological mechanisms of brain development that could be associated with depression among premature infants or those who have birth weight abnormalities.

scholarly journals Evacuations as a Result of Hurricane Sandy: Analysis of the 2014 New Jersey Behavioral Risk Factor Survey

2017 ◽  
Vol 11 (6) ◽  
pp. 720-728 ◽  
Author(s):  
Prathit A. Kulkarni ◽  
Hui Gu ◽  
Stella Tsai ◽  
Marian Passannante ◽  
Soyeon Kim ◽  
...  
Keyword(s):  
Risk Factor ◽  
New Jersey ◽  
Female Gender ◽  
Hurricane Sandy ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Behavioral Risk ◽  
Behavioral Risk Factor ◽  
Health Factors ◽  
History Of

AbstractObjectiveWe characterized evacuations related to Hurricane Sandy, which made landfall in New Jersey on October 29, 2012.MethodsWe analyzed data from the 2014 New Jersey Behavioral Risk Factor Survey. The proportion of respondents reporting evacuation was used to estimate the number of New Jersey adults who evacuated. We determined evacuation rates in heavily impacted and less-impacted municipalities, as well as evacuation rates for municipalities under and not under mandatory evacuation orders. We tested associations between demographic and health factors, such as certain chronic health conditions, and evacuation.ResultsAmong respondents, 12.7% (95% CI: 11.8%-13.6%) reported evacuating, corresponding to approximately 880,000 adults. In heavily impacted municipalities, 17.0% (95% CI: 15.2%-18.7%) evacuated, compared with 10.1% (95% CI: 9.0%-11.2%) in less-impacted municipalities. In municipalities under mandatory evacuation orders, 42.5% (95% CI: 35.1%-49.8%) evacuated, compared with 11.8% (95% CI: 10.9%-12.9%) in municipalities not under mandatory orders. Female gender (odds ratio [OR]: 1.36; 95% CI: 1.14-1.64), unmarried status (OR: 1.22; 95% CI: 1.02-1.46), shorter length of residence (OR: 1.28; 95% CI: 1.03-1.60), and living in a heavily impacted municipality (OR: 1.84; 95% CI: 1.54-2.20) were significantly associated with evacuation. History of stroke (OR: 1.61; 95% CI: 1.02-2.53) was the only chronic condition associated with evacuation.ConclusionsApproximately 880,000 New Jersey adults evacuated because of Hurricane Sandy. Those in heavily impacted municipalities and municipalities under mandatory evacuation orders had higher evacuation rates; however, still fewer than half evacuated. These findings can be used for future disaster planning. (Disaster Med Public Health Preparedness. 2017;11:720–728).

Sign in / Sign up

Export Citation Format

Share Document