Self-rated health status (SRHS) is a reliable and valid measure for assessing the subjective and objective health of individuals. Previous studies have either focused predominantly on the elderly or investigated only a narrow range of factors potentially associated with SRHS. In examining student populations, these past studies were limited to single countries. The objectives of this study were to assess which candidate variables were independently associated with SRHS in university students, to compare these variables by country and by gender, and to investigate which of the variables was most important as a rating frame for SRHS. The data is from the Cross-National Student Health Survey, conducted in 2005 in universities in Germany, Bulgaria, and Poland (n = 2103; mean age = 20.7 years). SRHS was assessed with a single question using a five-point scale ranging from excellent to poor. The study also measured a wide range of variables including: physical and psychological health, studying, social
Data & statistics on Physical Health Status by PGSI Classification: Rating of Physical Health Status by PGSI Classification, Trends of mental (a), physical (b) and social (c) HRQoL scores according to weight status. Note: Weight status is in BMI classes. Trends of HRQoL scores are adjusted for confounders. BMI classes are defined according to the International Obesity TaskForce (IOTF) classification; p: p-value of the linearity test of weight status on HRQoL scores (if p-value|0.05 then the linearity was not verified)., State of health and wellbeing: Health status: Physical wellbeing: Additional diagnosis ......................................................................................................... page Apgar score at 1 minute .................................................................................................... page Apgar score at 5 minutes .................................................................................................. ......
TY - GEN. T1 - A Multi-Dimensional General Health Status Concept to Predict Liver Transplant Mortality. AU - Pruinelli, Lisiane. AU - Westra, Bonnie L.. AU - Pruett, Timothy. AU - Monsen, Karen A.. AU - Gross, Cynthia R.. AU - Radosevich, David R.. AU - Ma, Sisi. AU - Simon, Gyorgy J.. PY - 2019/6. Y1 - 2019/6. N2 - General health status is a holistic concept that includes not just diseases, but also life expectancy, activities, and health status. However, there is a gap in understanding how recipient general health status impact survival post liver transplantation. We aimed to evaluate the impact of general health status on survival after liver transplantation, while adjusting for severity of their comorbidities and demographics. This was a retrospective cohort study of 344 adults 18 years or older that underwent liver transplantation from 01/01/2008 through 12/31/2014. Predictors were general health status, comorbidities, and demographics. A severity score was built for health status and for ...
Downloadable! Objectives. This paper explores the use of regression models for estimating health status of schizophrenic patients, from a Bayesian perspective. Our aims are: 1- To obtain a set of values of health states of the EQ-5D based on self-assessed health from a sample of schizophrenic patients. 2- To analyse the differences in the health status and in patients perceptions of their health status between four mental-health districts in Spain. Methods. We develop two linear models with dummy variables. The first model seeks to obtain an index of the health status of the patients using a VAS as a dependent variable and the different dimensions of EQ-5D as regressors. The second model allows to analyse the differences between the self-assessed health status in the different geographic areas and also the differences between the patients self-assessed health states, irrespective of their actual health state, in the different geographic areas. The analysis is done using Bayesian approach with Gibbs
This study evaluated the effect of functional health status on mortality in a sample of community-dwelling older people. White and African-American self-respondents to the 1986 National Health Interview Survey Functional Health Supplement n=5,320 were included in the study. Functional health status was measured by a ten-item unidimensional...
The current recognition of the importance of perceived health status as a predictor of need for, and utilisation of, health services has led to attempts to produce indicators which assess subjective rather than objective health problems. The development of the Nottingham Health Profile is described, together with a study which tested the validity of the instrument on four groups of elderly people differing in health status. The results showed that the profile was capable of discriminating between groups differing in terms of diagnosed chronic illness, number of consultations at primary care level, and physiological fitness. Age, sex, and marital status were not significant overall in affecting scores. In these elderly subjects, perceived health status accorded well with objective health status. Further tests of the profile are now taking place on younger groups of subjects.. ...
BACKGROUND: Drugs for the management of cardiovascular disease may provoke gastrointestinal discomfort and complications. AIM: To evaluate whether upper gastrointestinal symptoms affect the health status of patients with cardiovascular disease. METHODS: Two weeks after discharge, 958 consecutive patients, who had been admitted to the Coronary Care Unit of the University Hospital Nijmegen between January and September 2001, were sent a questionnaire for the evaluation of gastrointestinal symptoms and health status. RESULTS: The questionnaire was returned by 632 patients (66%), with 334 patients (53%) reporting gastrointestinal symptoms. The self-rated health status (mean and 95% confidence interval), evaluated by visual analogue scale, was 70 (68-72) for patients without and 61 (59-63) for patients with gastrointestinal symptoms (P = 0.001). Patients with gastrointestinal symptoms reported significantly higher rates of problems with mobility (50% vs. 37%), self-care (19% vs. 10%), usual ...
Dive into the research topics of Influence of frailty and health status on outcomes in patients with coronary disease undergoing percutaneous revascularization. Together they form a unique fingerprint. ...
Impaired functional abilities, especially those associated with ambulation and standing balance, are common sequelae of brain tumors. A majority of research regarding the effectiveness of surgery in treating individuals with brain tumor (BT) has measured length of survival, recurrence rate, and amount of tumor removed. Objective measurements of functional abilities and self-perceived overall health status (OHS) prior to and after surgery are important aspects of treatment, yet these areas have been inadequately studied. 9 adults with diagnosis of primary brain tumor were assessed prior to, immediately following, and at 3 months after surgery using the Timed Up-and-Go (TUG) and Tinetti Performance-Oriented Mobility Assessment (Tinetti) and Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). Repeated measures ANOVA demonstrated significant differences in all outcome measures from pre- to immediately post-surgery with OHS (SF-36: df=1, F=6.3, p=0.04) and physical functioning (TUG: ...
It seems that everywhere you turn, there is new research in medical tests that promise to unveil hidden diseases. Lifeline Screening is the the real deal. This test is easy to do. The knowledge of your own health status is invaluable. When people know that certain activities or foods might hasten along the disease process of an underlying health condition, they usually are more diligent. These remarkable Lifeline Screenings are terrific tools to take better care of your body. There is not any hospital stay associated with these important screens. Individuals can sign up to have the screening online or via telephone call.. A Lifeline Screening representative is waiting to take your call. This relevant health test should not be put off. The earlier a specific health problem is found, the quicker that steps can be taken to lower complication risks. There is not specific age that is required for getting this assessment screen. It is highly recommended that people at age 45 and up do come in for ...
The 6 minutes walk test (6MWT) is a useful assessment instrument for the exercise capacity of elderly persons. The impact of the health status on the 6MWT-distance in elderly, however, remains unclear, reducing its value in clinical settings. The objective of this study was to investigate to what extent the 6MWT-distance in community dwelling elderly is determined by health conditions. One hundred and fifty-six community dwelling elderly people (53 male, 103 female) were assessed for health status and performed the 6MWT. After clinical evaluation, electrocardiography and laboratory examination participants were categorized into a stratified six-level classification system according to their health status, going from A (completely healthy) to D (signs of active disease at the moment of examination). The mean 6MWT-distance was 603 m (SD = 178). The 6MWT-distance decreased significantly with increasing age (ANOVA p = 0.0001) and with worsening health status (ANCOVA, corrected for age p | 0.001). A multiple
Robben, S. M. B., Englebienne, G., Pol, M., & Kröse, B. J. A. (2012). How is Grandma Doing? Prediction Functional Health Status from Binary Ambient Sensor Data. In How is Grandma Doing? Prediction Functional Health Status from Binary Ambient Sensor Data. (Vol. 2012-01). (AAAI Technical Report FS ...
AIM:. To examine background factors for bullying and associations between bullying victimisation and health problems.. METHODS:. A cross-sectional study on all pupils in grades 7 and 9 in a Swedish county was conducted in 2011 (n=5248). Data have been analysed with bi- and multivariate models.. RESULTS:. 14% of the children reported that they had been bullied during the past 2 months. Background factors for bullying were: gender (girls more often); age (younger students more often); disability/disease; high body mass index, and having parents born abroad. There were strong associations between being bullied and poor health and self-harm. Associations with poor general health for boys and girls and mental health problems for girls showed stronger associations with higher frequency of bullying than with lower. For boys, physical bullying had stronger correlations with poor general health than written-verbal bullying.. CONCLUSIONS:. Bullying is a serious public health problem among young people and ...
is based on a respondents own perception of their health status and functioning. This measure is an alternative to the more traditional objective measures of health (eg hospitalisation rates and disease prevalence). Self-reported health measures introduce subjectivity into health status measurement, which is useful for providing a more person-centred view of health, and for placing more emphasis on quality of life and well-being. Respondents summarised their perception of their overall health by indicating whether, in general, their health was excellent, very good, good, fair, or poor.. ...
TY - JOUR. T1 - Health status quality of life. AU - Carone, M.. AU - Jones, P. W.. PY - 2000. Y1 - 2000. N2 - Since therapy of chronic obstructive pulmonary disease is directed mainly towards a reduction of exacerbations, minimization of symptom severity, and improvement in patients well-being or quality of life, the measurement of patients global health status is of growing interest among physicians, particularly in rehabilitation. There is evidence that it is not possible to predict patients health from surrogate measures such as spirometry or exercise performance. Adequate assessments of health status can only be measured directly through the use of valid and reliable instruments. To provide a reliable and sensitive estimate of health status, general health questionnaires and disease-specific questionnaires have been developed. The generic questionnaires were designed to measure disturbance to health irrespective of cause: their reproducibility and validity have been verified for ...
In order to make the example more simple in the following, I will refer to the satisfaction of the financial situation of the household as satisfaction and the subjective state of health as health status. (In social sciences and during the assignments you should always refer to the exact terms, since these terms do not measure the same things.). At the end of every statement write down in parenthesis at which level is your finding significant. If the p value is equal to 0,000 then we usually write p,0,001, if the p value is not equal to 0,000, but it is less than 0,05 then write (p,0,05) and if the p value is above 0,05 write the exact value of the p, example: (p=0,457).. On average those whose health status is very good score 6.566 in terms of satisfaction. (p,0,001). On average those whose health status is good score 0,499 less than those whose health status is very good in terms of satisfaction. (p,0,001). On average those whose health status is fair score 1,195 less than those whose health ...
The Role of Average Health Status: Health Inequalities Matrix for Assessing Impacts on Population Health in Health in All Policies: 10.4018/978-1-5225-1674-3.ch041: Economic, social and environmental policies, programs and projects have impact on health. Health in All Policies (HiAP) aims to improve population health by
Sleep apnea is most commonly caused by an obstruction of the airway. This obstruction involves excess throat tissue blocking the airways which makes it difficult to breathe causing snoring, gasping and choking while asleep. Throat tissue can sometimes rest in the wrong position while youre asleep due to incorrect oral posture which can be trained with the use of one of our DNA appliances. If you or someone you know has been diagnosed with sleep apnea, please dont hesitate to contact Dr. Martha Cortes. You can also purchase a hardcover of her book to learn more about the health implications that sleep apnea can cause.. If you are interested in finding out more about Cortes Advanced Dentistrys sleep apnea and dental hygiene practices please do not hesitate to contact us.. ...
TY - JOUR. T1 - Correspondence between EQ-5D health state classifications and EQ VAS scores. AU - Whynes, David K. AU - The TOMBOLA (Trial Of Management of Borderline and Other Low-grade Abnormal smears) Group. PY - 2008. Y1 - 2008. N2 - BACKGROUND: The EQ-5D health-related quality of life instrument comprises a health state classification followed by a health evaluation using a visual analogue scale (VAS). The EQ-5D has been employed frequently in economic evaluations, yet the relationship between the two parts of the instrument remains ill-understood. In this paper, we examine the correspondence between VAS scores and health state classifications for a large sample, and identify variables which contribute to determining the VAS scores independently of the health states as classified. METHODS: A UK trial of management of low-grade abnormalities detected on screening for cervical pre-cancer (TOMBOLA) provided EQ-5D data for over 3,000 women. Information on distress and multi-dimensional health ...
In the following scenario,FSCK shows overall health status as corrupt even its has one good replica.. 1. Create file with 2 RF ...
YEHS - Your Excellent Health Service, 1 Harley Street, provides excellent quality private health care, products and health screening without barriers to access at convenient times from a central location but with national and international partners.
YEHS - Your Excellent Health Service, 1 Harley Street, provides excellent quality private health care, products and health screening without barriers to access at convenient times from a central location but with national and international partners.
Equity in health: the absence of systematic differences in one or more aspects of health status across socially, demographically, or geographically defined population groups.. Inequity in health: the presence of systematic differences in one or more aspects of health across socially, demographically, or geographically defined population groups.. Inequity in access to health services:differences in access to health services for equal health needs and/or absence of enhanced access for socially, demographically, or geographically defined population groups with greater health needs.. Inequity in receipt of health services:inequalities in the receipt of health services for equal health needs and/or failure to receive increased or augmented services for socially, demographically, or geographically defined population groups with greater health needs.. Functional status: the capacity to engage in activities of daily living and social role activities. (Increasingly, functional status is considered to ...
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Although inclusion of a community sample of IPV-exposed children strengthened these studies, the small number of children in each group potentially precluded Attala et al from detecting additional differences between the groups. In addition, Attala et al commented that the 3 groups were different with regards to factors such as race and age but did not control for confounding in the analysis.. Also accessing a shelter population, Brooks et al13 used information from a nationally representative database in Wales to compare actual immunization rates and well-child visits in a convenience sample of children who were residing in an IPV shelter with the expected rates based on the current local child population and child patients from 1 socioeconomically depressed general practice. Children in the shelter were significantly less likely than their counterparts in both communities to be properly immunized and also were less likely to have received appropriate well-child care. The authors did not ...
Free Online Library: Insights from a developing country: self-reported health status of elderly men (60 years and over) in Jamaica. by International Journal of Mens Health; Health, general Aged Surveys Developing countries Elderly Prostate cancer
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Smart Business spoke with Galardini about health care costs and what do about them.. What has led to increased health care costs?. Several market conditions have led to a decade of unrelenting increases. The two main factors have been an aging population and poor general health. Because older workers are more prone to health problems, companies see a rise in chronic conditions, costly medical problems, the use of prescription drugs, and an increase in the number and frequency of catastrophic claims. Poorer health among Americans also has contributed to health care cost increases. Preventable risk factors like obesity and high blood pressure have led to increases in chronic health conditions, such as diabetes and heart disease - illnesses that are long in duration and costly.. For employers, understanding why annual health plan renewal rates are significantly higher than the prior year is the key to forming strategies and solutions to their particular challenges. It is also important to educate ...
Established in 2005 and funded through the Public Health Agency of Canada, the six National Collaborating Centres (NCCs) for Public Health work together to promote the use of scientific research and other knowledge to strengthen public health practices, programs and policies in Canada.
Approximately 20% of ax-SpA patients reported a large negative effect on their sexual activity. Female gender, high BMI, current smoking, and reduced HRQoL were associated with health status having a large effect on sexual activity, whereas no measures reflecting ax-SpA disease showed an independent …
//www.youtube.com/embed/tPXR-f10MFs Prolonged negative emotions related to depression can have significant short term and long term effects on our mental
Although previous research has documented the adverse influence of early socioeconomic disadvantage on youths physical health outcomes and the increase in health inequalities over the early life course, little is known about genetically informed sequential life course developmental processes leading to health outcomes. Consistent with the life course-stress process perspective, we hypothesized that early socioeconomic adversity initiates a stress process over the early life course. This process involves the disrupted transition from adolescence to young adulthood, which increases the risk of health problems during young adulthood. Behavioral, psychosocial, and genetic data were collected from 12,424 adolescents (53 % female) over a period of 13 years participating in the nationally representative National Longitudinal Study of Adolescent Health (Add Health). Early cumulative socioeconomic adversity and the polygenic influence were measured using composite indices. The study provided evidence ...
Abstract: Deep learning-based health status representation learning and clinical prediction have raised much research interest in recent years. Existing models have shown superior performance, but there are still several major issues that have not been fully taken into consideration. First, the historical variation pattern of the biomarker in diverse time scales plays a vital role in indicating the health status, but it has not been explicitly extracted by existing works. Second, key factors that strongly indicate the health risk are different among patients. It is still challenging to adaptively make use of the features for patients in diverse conditions. Third, using prediction models as the black box will limit the reliability in clinical practice. However, none of the existing works can provide satisfying interpretability and meanwhile achieve high prediction performance. In this work, we develop a general health status representation learning model, named AdaCare. It can capture the long ...
Our analysis showed that increased social spending was positively associated with population health measures in Canada at the provincial level. Our supplementary analyses showed that health spending did not have the same association. In all of these analyses, we controlled for the effects of province-level variables and time.. The ratio of social to health spending is a potential avenue through which the government can affect population health outcomes. The ratio of social to health spending is low, so redistributing money from health to social spending represents a small relative change in health spending. The literature suggests that additional spending on health does not necessarily affect population health outcomes,15 yet in all provinces, health spending increased rapidly after a drop in the mid-1990s, while social spending remained relatively flat. If a proportionately small funding reallocation from health to social spending is associated with small improvements in population health ...
This paper reviews existing research on the intersections between gender and class, and their impacts on health status and access to health care. The review suggests that intersecting stratification processes can significantly alter the impacts of any one dimension of inequality taken by itself. Studies confirm that socio-economic status measures cannot fully account for gender inequalities in health. A number of studies show that both gender and class affect the way in which risk factors are translated into health outcomes, but their intersections can be complex. Other studies indicate that responses to unaffordable health care often vary by the gender and class location of sick individuals and their households. They strongly suggest that economic class should not be analysed by itself, and that apparent class differences can be misinterpreted without gender analysis.. This document may be accessible through your organisation or institution. If not, you may have to purchase access. ...
Background: Lived health is a persons level of functioning in his or her current environment and depends both on the persons environment and biological health. Our study addresses the question whether biological health or lived health is more predictive of self-reported general health (SRGH). Methods: This is a psychometric study using cross-sectional data from the Spanish Survey on Disability, Independence and Dependency Situation. Data was collected from 17,739 people in the community and 9,707 from an institutionalized population. The following analysis steps were performed: (1) a biological health and a lived health score were calculated for each person by constructing a biological health scale and a lived health scale using Samejimas Graded Response Model; and (2) variable importance measures were calculated for each study population using Random Forest, with SRGH as the dependent variable and the biological health and the lived health scores as independent variables. Results: The levels ...
Racial-ethnic disparities in health status are well documented (IOM 2002, DHHS 1999), but the role of occupational racial-ethnic segregation and hazardous job exposures remain relatively unexplored. Racial-ethnic health disparities may reflect exposure to hazardous work environments that are associated with poor health status. This analysis explores associations between job segregation, occupational skill levels, occupational physical demands, occupational environmental exposures and health status. This study uses individual level data from the 2002 Medical Expenditure Panel Survey (MEPS) and occupation level data from detailed US Census (2000) and the Occupational Information Network (O*Net 14.0). Preliminary models show that occupation-level demographic variables are significant predictors of both physical and mental health outcomes, although the patterns of associations are unique for each outcome. The percentage of black workers in occupations is associated with greater odds of reporting ...
Study Purpose: The specific aims of SAGE as currently formulated are: To obtain reliable, valid and comparable data on levels of health on a range of key domains for older adult populations; to examine patterns and dynamics of age-related changes in health using longitudinal follow-up of survey respondents as they age, and to investigate socio-economic consequences of these health changes; to supplement and cross-validate self-reported measures of health and the anchoring vignette approach to improving comparability of self-reported measures, through measured performance tests for selected health domains; to collect data on health examinations and biomarkers to improve reliability of data on morbidity, risk factors and monitor effect of interventions. Additional objectives include: To generate large enough cohorts of older adult populations and comparison cohorts of younger populations for follow-up of intermediate outcomes, monitoring trends, examine transitions and life events, and address ...
Social prescribing enables healthcare practitioners to refer patients to a range of non-clinical services.1 Primarily, but not solely, directed at people with long-term conditions, social prescribing harnesses assets within the voluntary and community sectors to improve and encourage self-care and facilitate health-creating communities.2-4 There is increasing interest in social prescribing as a means of addressing complex health, psychological and social issues presented in primary care, as well as its potential to reduce health inequalities.5 A recent review of social prescribing indicates that, despite a small and largely inconclusive evidence base, there is the potential for credible psychosocial benefits to be incurred by patients with mental health problems, and for health and well-being improvements to be seen in people with long-term conditions.6 While less attention has been paid to the impact of social prescribing on physical health and resource use,4 improvements in physical activity,7 ...
Health Status is a 9-item questionnaire used in Wave XIX. These questions are derived from the Short Form Health Survey, and the RAND 36-item Health Survey 1.0. The participant answers questions about health conditions, chronic conditions, pain and conditions impeding normal work. The respondent also reports height in feet and inches, weight in pounds and frequency of physical activity.. No scales are constructed for this measure. However, overall height measured in inches is computed.. The user is warned that there are respondents with unusually low values for weight. Also recodes were made to respondents with unusual responses for height.. ...
Community Health Status report contains health status information on a range of topics relevant to public health and draws on the information to fully understand the health status of the population. ...
Women currently comprise approx. 25% of the Australian workforce in the Australian Bureau of Statistics category of Managers & Administrators. Little is known of their health status. HBA Health Management made available the results of corporate health assessments of 600 female clients in this category to carry out this health status study based on a range of medical, lifestyle and fitness indicators. Comparisons were drawn from women working within other occupational categories. Analysis showed there to be few detrimental health effects associated with being employed as a Manager & Administrator or with being married. Being a mother and employed does have some negative health effects ...
If you could predict your future health, would you want to know the outcome?. A series of free online tools are now available to help you determine your risk for heart disease, cancer, stroke and other conditions. The assessments take just a few minutes to complete. You answer several questions designed to provide basic information related to your family medical history, current health status, behaviors and lifestyle. In return, you get a report that can help you understand how your lifestyle and habits today can affect your health now and in the future. Armed with that knowledge, you can take steps to address medical concerns before its too late.. Steve Kulick, MD, ProHealth Cares chief medical officer, states, As the communitys health care resource, we are offering these free online tools and education to help consumers identify their risks for a variety of medical conditions. We want to arm individuals with the information they need to help motivate them to adopt a healthier lifestyle or ...
Purpose: The Clinical Outcomes Utilizing Revascularization and Aggressive DruG Evaluation (COURAGE) trial randomized 2,287 patients to percutaneous coronary intervention (PCI) plus optimal medical treatment (OMT) or OMT alone. The purpose of this study was to assess sex differences in quality of life (QOL) and health status between randomized initial management strategies over the trial follow-up period.. Methods: Of the 2,287 patients, 979 males and 169 females were randomized to PCI, and 968 males and 169 females were randomized to OMT. Quality of life was assessed with the Seattle Angina Questionnaire (SAQ) and health status with the RAND-36 at baseline, 1, 3, 6, 12 months and annually thereafter. SAQ and RAND-36 scores were assessed by analysis of variance (ANOVA), and linear mixed effects models.. Results: There were no significant sex by treatment group interactions indicating PCI vs. OMT differences were similar for the 1,947 men (85%) and 338 women (15%). Men had significantly higher SAQ ...
Recent research indicated that using gelatinisation during cereal product production for piglets results in a rapid reduction in viscosity and optimal nutrient intake in the small intestine. All these positive effects lead to faster growth and a better health status for the piglets.
Results from our study show that the level of functional limitation of CSHCN is associated with disparities in their health care needs and health care experiences. For many of the outcome variables examined, a gradient was seen, in which higher levels of functional limitation were associated with greater health care needs and worse health care experiences.. Our study showed overrepresentation of boys, children of minority race, children with public insurance, and children living in households with low maternal education and poverty in the some-limitation and severe-limitation groups. These relationships of functional limitation with sociodemographic characteristics of CSHCN are similar to previous studies comparing children with disability with and without functional limitation from the National Health Interview Survey (1994-1995),16,22,23 although functional limitation was operationalized differently in those studies. Minority race/ethnicity, low maternal education, and poverty are important ...
This research theme's focus is on the physical health and wellbeing of older adults with intellectual disability. This theme includes oral health and dentistry, bone health and osteoporosis, falls and fear of falling, frailty, cardiovascular health, diabetes and obesity.. The experience of physical health and well-being can be very different for older adults with intellectual disability. Frequently individuals experience poorer health than their non-disabled peers, many have atypical presentation of health conditions especially individuals with communication challenges or language limitations resulting in many conditions going unrecognised or unmet.. Combined with evidence of higher rates of morbidity and mortality, and the current policy changes that are influencing health care delivery for this cohort, individual's experience of health may be compromised. Knowledge of the specific age-related health risk factors can lead to enhanced prevention or early diagnosis of potentially ...
Objectives : To measure the health status of critically ill patients prior to hospital admission and to study the relationship between prior health status PHS and hospital mortality. Design : 523 patients admitted to the intensive care department from October 1994 to June 1995 were included consecutively in the study. Health status 3 months...
Judy:. You could be right. It would be nice to adjust for DM2 family history.. This study was adjusted for age, hypertension, smoking status, self-rated health status, education, and waist circumference.. The autor thinks that this risk (to sleep a lot or not) for developing DM2 could be mediated by changes in endogenous testosterone.. ...
This systematic review provides clear evidence that FGM/C entails harms to womens physical health throughout their life, from the moment of cutting as an infant or child, to sexuality and childbirth in adulthood. Predictably, the most common direct, procedure-related complication includes haemorrhage, most likely resulting from laceration of the internal pudendal artery or the clitoral artery. It is difficult to determine the number of females who die from procedure-related complications. Only a few studies reported death, but highly publicised fatalities from FGM/C heighten the awareness of the possible harms posed by the procedure, such as three recent cases in Egypt and Kenya.88-90. We found several long-term consequences of FGM/C, including increased risks of urinary tract infections, bacterial vaginosis, dyspareunia and obstetric complications. Studies have been published since we conducted our search, and they corroborate our findings.91-98 The identified risks from FGM/C are also ...
The aim of this study was to describe the impact of chronic obstructive pulmonary disease (COPD) on health status in the Burden of Obstructive Lung Disease (BOLD) populations. We conducted a cross-sectional, general population-based survey in 11 985 subjects from 17 countries. We measured spirometric lung function and assessed health status using the Short Form 12 questionnaire. The physical and mental health component scores were calculated. Subjects with COPD (post-bronchodilator forced expiratory volume in 1 s/forced vital capacity |0.70, n = 2269) had lower physical component scores (44±10 versus 48±10 units, p|0.0001) and mental health component scores (51±10 versus 52±10 units, p = 0.005) than subjects without COPD. The effect of reported heart disease, hypertension and diabetes on physical health component scores (-3 to -4 units) was considerably less than the effect of COPD Global Initiative for Chronic Obstructive Lung Disease grade 3 (-8 units) or 4 (-11 units). Dyspnoea was the most
Understanding the correlates of self-rated health (SRH) can help public health professionals prioritize health-promotion and disease-prevention interventions. This study aimed to investigate the association between multiple comorbidities and global SRH and age-comparative SRH. A total of 512,891 participants aged 30-79 years old were recruited into the China Kadoorie Biobank study from ten regions between 2004 and 2008. Multivariate logistic regression models were used to estimate the odds ratios (ORs) for the associations between comorbidities (including diabetes, hypertension, coronary heart disease, rheumatic heart disease, stroke, tuberculosis, emphysema/bronchitis, asthma, cirrhosis/chronic hepatitis, peptic ulcer, gallbladder disease, kidney disease, fracture, rheumatic arthritis, psychiatric disorders, depressive symptoms, neurasthenia, head injury and cancer) and SRH. Population attributable risks (PARs) were used to estimate the contribution of multiple comorbidities to poor global SRH and
Results We identified 27,662 first-ever stroke and 2,909 recurrent events during an average of 7.0 years of follow-up. Compared with excellent general SRH, the hazard ratios (HRs) and 95% confidence intervals (CIs) for first-ever stroke associated with good, fair, and poor general SRH were 1.04 (1.00 to 1.08), 1.19 (1.15 to 1.23), and 1.49 (1.42 to 1.56) in the multivariate model, respectively. Compared with better age-comparative SRH, the HRs (95% CIs) of same and worse age-comparative SRH were 1.13 (1.10 to 1.17) and 1.51 (1.45 to 1.58), respectively. The relations of SRH measures with ischemic stroke, hemorrhagic stroke, and recurrent stroke were similar to that with total first-ever stroke. However, the magnitude of associations was much stronger for fatal stroke than for non-fatal stroke. ...
OBJECTIVES: To obtain prevalence rates of hip and knee pain in elderly people and compare combinations of symptoms with overall health status. METHODS: We performed a cross-sectional postal survey of a random sample of 5500 Oxfordshire residents aged 65 yr and older. Prevalence estimates were based on the screening question: During the past 12 months, have you had pain in or around either of your hip/knee joints on most days for one month or longer? Overall health status was assessed with the SF-36 questionnaire. RESULTS: The response rate was 66.3% (3341/5039 eligible people), and was highest (approximately reverse similar 72%) for the 65-74 yr age-group. The percentage reporting hip pain was 19.2% [95% confidence interval (CI) 17.9-20.6], and 32.6% (95% CI 31.0-34.3) reported knee pain. The percentage reporting hip and knee pain was 11.3%, and 40.7% reported hip or knee pain. Less than half (48%) of the symptomatic respondents had unilateral problems affecting one hip or knee joint only. SF-36
TY - JOUR. T1 - Impact of Oral Health Status on Future Dietary Intake and Dietary Quality in Older Adults in Northern Ireland: A Longitudinal Analysis. AU - Logan, Danielle. AU - McEvoy, Claire. AU - McKenna, Gerald. AU - Kee, Frank. AU - Linden, Gerry. AU - Woodside, Jayne. PY - 2019/6/13. Y1 - 2019/6/13. U2 - 10.1093/cdn/nzz039.P18-080-19. DO - 10.1093/cdn/nzz039.P18-080-19. M3 - Meeting abstract. VL - 3 SP - 1631. JO - Current Devlopments in Nutrition. JF - Current Devlopments in Nutrition. SN - 2475-2991. IS - Suppl 1. ER - ...
TY - JOUR. T1 - Self-assessed health status and neighborhood context. AU - Baum, Scott. AU - Kendall, Elizabeth. AU - Parekh, Sanjoti. PY - 2016/10/1. Y1 - 2016/10/1. N2 - In recent years, there has been growing interest in the relationship between the characteristics of neighborhoods and the health and well-being of residents. The focus on neighborhood as a health determinant is based on the hypothesis that residing in a disadvantaged neighborhood can negatively influence health outcomes beyond the effect of individual characteristics. In this article, we examine three possible ways of measuring neighborhood socio-economic status, and how they each impact on self-reported health status beyond the effect contributed by individual-level factors. Using individual-level data from the Household Income and Labor Dynamics Australia survey combined with neighborhood-level (suburb) data, we tested the proposition that how one measures neighborhood socio-economic characteristics may provide an important ...
This paper used two panel data models estimated by the random effects and fixed effects approach to establish the impact of environmental quality on health status in 12 SADC countries between 2000 and 2008. Proxies of environmental quality used in the paper are carbon emissions, access of people to improved water sources and improved sanitary facilities. Health status was measured by infant mortality rate. Environmental factors are found to account for about 38 percent of mortality in the region. The paper concluded that carbon emissions do not have an impact on health status of SADC countries. Access to improved water sources and sanitary facilities are found to have a greater impact on infant mortality than socioeconomic variables. The study also reports that there is significant difference in infant mortality rates between countries with environmental laws and where there are none. We conclude that it is important for SADC countries to strengthen environmental regulations meant to improve ...
AbstractWe assessed the feasibility and psychometric properties of two commonly used health status questionnaires in Parkinsons disease (PD): the generic Nottingham Health Profile (NHP) and the disease-specific 39-item Parkinsons disease Questionnaire (PDQ-39), from a cross-sectional postal survey of PD patients (N = 81), using traditional and Rasch measurement methodologies. Overall response rate was 88%. Both questionnaires were found feasible, although the NHP performed less well.
PURPOSE: Because limited audit/feedback of health status information has yielded mixed results, we evaluated the effects of a sustained program of audit/feedback on patient health and satisfaction. METHODS: We conducted a group-randomized effectiveness trial in which firms within Veterans Administration general internal medicine clinics served as units of randomization, intervention, and analysis. Respondents to a baseline health inventory were regularly mailed the 36-Item Short Form (SF-36) and, as relevant, questionnaires about six chronic conditions (ischemic heart disease, diabetes, chronic obstructive pulmonary disease, depression, alcohol use, and hypertension) and satisfaction with care. Data were reported to primary providers at individual patient visits and in aggregate during a 2-year period. RESULTS: Baseline forms were mailed to 34,050 patients; of the 22,413 respondents, 15,346 completed and returned follow-up surveys. Over the 2-year study, the difference between intervention and control
View more ,Objective To test the Health Literacy Questionnaire (HLQ) in a sample of men with prostate cancer and examine the components of health literacy that are most strongly associated with mental and physical health‐related quality of life in men with prostate cancer. Method Members (N = 565) of a state‐wide prostate cancer support network in Queensland, Australia (Mage = 71.14, SD = 8.68) completed the HLQ along with the Medical Outcomes Study, 36‐item short‐form health survey (SF‐36). Confirmatory factor analysis was employed to assess the internal structure of the HLQ. The effects (bs) of each of the nine health literacy factors on mental and physical health status were graphed and compared using Fishers exact test for comparing parameter estimates. Results Fit indices including RMSEA (0.069, CI = 0.066‐0.072), CFI (.853), and TLI (.839), alongside item loadings and internal consistency (Cronbach alphas ,0.80) for the nine‐factor model, supported the robustness of the HLQ ...
Background: Functional health status is an important indicator of health outcomes for women LWHIV. Methods: A nested case-control cohort of 161 women LWHIV (62% non-white, mean age 41.9 years (range 24-61, ± 7.62) on ART. We measured functional health status by the Medical Outcomes Survey HIV Physical Function Scale. Higher scores indicated better status. We measured disease severity by CD4 counts and viral load, tested a mediation model of functional health status by race/ethnicity using structural equation modeling, and for mediation, tested intervening variables; CD4 counts, viral load, and social support. Results: Non-white women had higher physical health score than white women (43.9 ± 11.5 vs. 36.7 ± 11.2; p,.001) after adjusting for age, education, CD4, viral load, and social support. There was a positive prediction of functional health status by social support after adjusting for other predictors (Beta =.317 (standardized), z = 4.198, p,.001). There was no other significant prediction ...
Data from the 1984 National Health Interview Surveys Supplement on Aging are used to examine the relationship between health status & health care use among rural elderly. Measures of health status include self-perceived health, functional limitations, & limitations in activities of daily living; health service use is measured by number of doctors office visits & hospital stays. Logistic regression reveals that rural residence does not have a significant effect on either health status or service use, once various demographic characteristics are controlled, except for lower use of doctors by nonmetropolitan & farm residents. This discrepancy may be due to differences in types of illness, health beliefs, strength of informal care networks, or availability of public & private insurance.. ...
Self-assessed health is a commonly used measure of health status. While it may not always be equivalent to health status as measured by a medical professional, it does reveal something about a persons perception of his or her own health at a given point in time. Analysis of self-assessed health status may provide insights into how people perceive their own health in relation to being overweight or obese, high risk drinkers, smokers or having a sedentary lifestyle. Research has also shown that self-assessed health is a predictor of mortality and morbidity (Gerdtham et al 1999; McCallum et al, 1994 ...
Anxiety and depression are common comorbidities in patients with chronic obstructive pulmonary disease (COPD) and affect patients health status [1, 2]. Health status in COPD patients is frequently assessed by the St Georges Respiratory Questionnaire (SGRQ), which is a validated disease-specific questionnaire widely used in clinical trials [3], but complex and time-consuming to complete and score. Consequently, the COPD Assessment Test (CAT) has been developed [4]. This is a disease-specific health status questionnaire containing eight items with good sensitivity, reliability and responsiveness [4]. CAT scores are strongly positively correlated with SGRQ scores in patients with COPD [4]. Therefore, it is reasonable to hypothesise that those COPD patients with symptoms of anxiety and/or depression will report higher CAT scores (equalling worse health status) compared to those without symptoms.. The latest version of the Global Initiative for Chronic Obstructive Lung Disease (GOLD) document [5] ...
Downloadable (with restrictions)! The study investigates the health effects of subjective class position stratified by objective social position. Four types of subjective class were analysed separately for individuals with manual or non-manual occupational background. The cross-sectional analysis is based on the Swedish Level-of-Living Survey from 2000 and includes 4,139 individuals. The dataset comprises information on perceived class affinity and occupational position that was combined to conduct logistic regression models on self-rated health. An inverse relationship between self-rated health and the eight combinations of objective and subjective social position was found. Lower socio-economic position was associated with poor health. The largest adverse health effects were found for lower subjective social position in combination with lower occupational position. When the covariates education, fathers occupational position and income were added to the model, adverse effects on health remained only
Theme 5. 1. Living Well Living Longer is a program funded to improve physical health outcomes for people living with severe mental illness. Health Peer Support Workers(HPSW) are employed in community mental health teams to strengthen consumer engagement in their own health and wellbeing. 2. HPSWs have increased rates of engagement in care, increase rates of physical health screening, and contributed to improved social, emotional and physical wellbeing of care co-ordinated mental health consumers. 3. HPSWs facilitate patient centred care that is consumer led, recovery focussed, strengths based and develops connections between the consumer, the mental health service, primary care providers and the non government sector. They provide a focus on integrated physical health care that champions the consumer as the expert in their own experience, and they partner with the consumer in the recovery journey, to address health disparities using a range of non clinical strategies. 4. People living with ...
BACKGROUND: The SF-36 is a generic health status measure which has gained popularity as a measure of outcome in a wide variety of patient groups and social surveys. However, there is a need for even shorter measures, which reduce respondent burden. The developers of the SF-36 have consequently suggested that a 12-item sub-set of the items may accurately reproduce the two summary component scores which can be derived from the SF-36 [the Physical Component Summary Score (PCS) and Mental Health Component Summary Score (MCS)]. In this paper, we adopt scoring algorithms for the UK SF-36 and SF-12 summary scores to evaluate the picture of change gained in various treatment groups. METHODS: The SF-36 was administered in three treatment groups (ACE inhibitors for congestive heart failure, continuous positive airways therapy for sleep apnoea, and open vs laparoscopic surgery for inguinal hernia). RESULTS: PCS and MCS scores calculated from the SF-36 or a sub-set of 12 items (the SF-12) were virtually identical
Improvement in health requires a secure foundation in these basic prerequisites. ADVOCATE Good health is a major resource for social, economic and personal development and an important dimension of quality of life. Political, economic, social, cultural, environmental, behavioural and biological factors can all favour health or be harmful to it. Health promotion action aims at making these conditions favourable through advocacy for health. ENABLE Health promotion focuses on achieving equity in health. Health promotion action aims at reducing differences in current health status and ensuring equal opportunities and resources to enable all people to achieve their fullest health potential. This includes a secure foundation in a supportive environment, access to information, life skills and opportunities for making healthy choices. People cannot achieve their fullest health potential unless they are able to take control of those things which determine their health. This must apply equally to women ...
This study is the first to demonstrate the validity of the EQ-5D-5L UI and EQ-VAS in patients with COPD by showing significant correlations with established disease-specific HRQoL questionnaires and an ability to differentiate between groups defined according to disease severity. Furthermore, we demonstrate that the EQ-5D-5L is responsive to change following pulmonary rehabilitation, and that change in EQ-5D-5L correlates significantly with change in disease-specific HRQoL measures. Furthermore, to our knowledge, this is the first study to prospectively and purposely estimate the MID for both the EQ-5D-5L directly calculated UI and EQ-VAS. Using anchors measuring similar construct, we estimated the minimum important improvement in UI and VAS to be approximately 0.05 and 7.0, respectively.. The generic format of the EQ-5D enables comparisons of health change to be made with other conditions. It has been used in national surveys to measure population-level health status, including the Health ...
Survival and state of health were assessed one year after discharge in 468 children admitted to an intensive care unit (ICU). ICU mortality was 7.5%, cumulative hospital mortality 8.3%, and one year mortality 10.5%. An established six domain health status classification was used, comprising sensation, mobility, emotion, cognition, self care, and pain to determine the presence, type, and severity of chronic health impairment. This classification has not been validated for infants, who were therefore excluded. After one year, of the 254 patients eligible for analysis, 80 (31.5%) had no overall health impairment (no affected domains) preceding admission; of these, 11 had died in ICU and 69 were long-term survivors, among whom 45 recovered to perfect health. There was overall health impairment (, or = 1 affected domain) preceding admission in 174 of 254 patients (68.5%). However, after one year, overall state of health was improved or equal to the preadmission state in 164 of 226 survivors (72.6%). ...
This study confirms that poor psychosocial working conditions can have an important influence on self-rated health in medical doctors. Results suggest both similarities and differences in the work-related determinants of self-rated health among male and female doctors. We found consistent but slightly larger effect estimates in random effect models, which suggests that factors that vary between persons, such as gender and personality, may also influence self-rated health.. Using a similar methodological approach to the one we have taken, Eloivano et al. [20] found significant associations between health outcomes (psychological distress, and sleeping problems) and job demands, job control and effort-reward imbalance. In our study, the predictors of poorer health among doctors were broadly consistent with this past research (e.g., job demands, job control, feeling rewarded at work). Our findings suggest that some doctors in Australia experience poor working conditions and that these conditions are ...
Effective planning and decision-making for improving the health of a community requires good information about the current health status and factors that will influence that health status.. The Marion County Public Health Department, the Community Health Assessment Steering Committee and many local partners released a community health assessment in 2014. This report describes the health status of Marion County residents using six specific age groups and identified key health issues using accepted, pre-set criteria.. Click here to see the full report.. ...
Dias Lima, V., Kopec, J.A. (2005) Quantifying the effect of health status on healthcare utilization using a preference-based health measure. Social Science and Medicine 60(3): 515- ...
References. 1. Deci EL, Ryan RM. Hedonia, eudaimonia, and well-being: An introduction. J Happiness Stud. 2008;9:1-11. [ Links ] 2. Keyes CLM, Shmotkin D, Ryff CD. Optimizing well-being: The empirical encounter of two traditions. J Pers Soc Psychol. 2002;82(6):1007-22. [ Links ] 3. Grossi E, Blessi GT, Sacco PL, Buscema M. The interaction between culture, health, and psychological well-being: Data mining from the Italian culture and well-being project. J Happiness Stud. 2002;13:129-48. [ Links ] 4. Keyes CLM. The mental health continuum: From languishing to flourishing in life. J Health Soc Behav. 2002;43(2):207-22. [ Links ] 5. Ryff CD. Psychological well-being revisited: Advances in the science and practice of eudaimonia. Psychother Psychosom. 2014;83(1):10-28. [ Links ] 6. Loprinzi PD. Factors influencing the disconnect between self-perceived health status and actual health profile: Implications for improving self-awareness of health status. Prev Med. 2015;73:37-9. [ Links ] 7. Diener E, Chan ...
Rural and remote Australians face a range of barriers to mental health care, potentially limiting the extent to which current services and support networks may provide assistance. This paper examines self-reported mental health problems and contacts during the last 12 months, and explores cross-sectional associations between potential facilitators/barriers and professional and non-professional help-seeking, while taking into account expected associations with socio-demographic and health-related factors. During the 3-year follow-up of the Australian Rural Mental Health Study (ARMHS) a self-report survey was completed by adult rural residents (N = 1,231; 61% female; 77% married; 22% remote location; mean age = 59 years), which examined socio-demographic characteristics, current health status factors, predicted service needs, self-reported professional and non-professional contacts for mental health problems in the last 12 months, other aspects of help-seeking, and perceived barriers. Professional
Edited by Michael Moore and Theodore Tulchinsky. Aborigine health is a major public health problem globally. There are different aspects across populations but in common they share marginalization in health due to isolation, poverty and inadequate health related interventions. Native populations in many parts of the world suffer from poor health related to poverty, lifestyle, isolation and poor access to perceptive and curative health care. The problems are global affecting countries everywhere, and in homogeneous countries immigration is producing excluded minorities in health conditions similar to aborigines.. This collection of Public Health Reviews will explore the current health status of aboriginal populations in selected countries, and the tragic effects of social, cultural, and health consequences. It will look at the intervention successes and failures, as well as future approaches.. Publication charges for this collection were funded by ASPHER. Articles have undergone the journals ...
Studies in the US have found that both exposure to environmental toxins and childrens general health status negatively impact childrens academic achievement. This thesis will be made of up two papers. The first examines the impact of exposure to residential air toxins from a variety of sources on students academic achievement and the second paper incorporates a measure of childrens general health status into the statistical model from the first paper. This thesis employs National Air Toxics Assessment (NATA) risk estimates from a variety of sources and individual-level data collected through a mail survey of fourth and fifth grade school children in El Paso (Texas, USA). Results indicate that both higher levels of residential air toxins are statistically significantly associated with lower grade point averages, even when controlling for caretaker-reported general health status, meaning that there is an independent effect of air pollution on childrens academic achievement outcomes that cannot be
Health Profile of North Carolinians: 2005 Update NC Department of Health and Human Resources Division of Public Health State Center for Health Statistics 1908 Mail Service Center Raleigh, North Carolina 27699-1908 www.schs.state.nc.us/SCHS/ April 2005 Health Profile of North Carolinians: 2005 Update Department of Health and Human Services Division of Public Health State Center for Health Statistics 1908 Mail Service Center Raleigh, NC 27699-1908 www.schs.state.nc.us/SCHS/ April 2005 STATE OF NORTH CAROLINA Michael F. Easley, Governor DEPARTMENT OF HEALTH AND HUMAN SERVICES Carmen Hooker Odom, Secretary DIVISION OF PUBLIC HEALTH Leah Devlin, DDS, MPH State Health Director STATE CENTER FOR HEALTH STATISTICS Gustavo Fernandez, Ph.D., Director Contributors Kathleen Jones-Vessey Paul Buescher Gustavo Fernandez Jean Stafford 500 copies of this public document were printed at a total cost of $1,580.51 or $3.16 per copy. Table of Contents Executive Summary Health Profile of North Carolinians: 2005 ...
This seventh edition of Health at a Glance provides the latest comparable data on different aspects of the performance of health systems in OECD countries. It provides striking evidence of large variations across countries in health costs, health activities and health results of health systems. Key health indicators provide information on health status including suicide and life expectancy, the determinants of health, health care activities and health expenditure and financing in OECD countries. Each health indicator in the book is presented in a user-friendly format, consisting of charts illustrating variations across countries and over time, brief descriptive analyses highlighting the major findings conveyed by the health data, and a methodological box on the definition of the indicator and any limitations in data comparability.. ...
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Background: In previous public health surveys large differences in health have been shown between citizens living in different neighbourhoods in the Ã-rebro municipality, which has about 125000 inhabitants. The aim of this study was to investigate the determinants of health with an emphasis on the importance of neighbourhood characteristics such as the influence of neighbourhood social cohesion and social capital. The point of departure in this study was a conceptual model inspired by the work of Carpiano, where different factors related to the neighbourhood have been used to find associations to individual self-rated health. Methods: We used data from the survey Life & Health 2004 sent to inhabitants aged 18-84 years in Ã-rebro municipality, Sweden. The respondents (n = 2346) answered a postal questionnaire about living conditions, housing conditions, health risk factors and individual health. The outcome variable was self-rated health. In the analysis we applied logistic regression ...
The objective of this report is to analyse the prevalence of good and poor health in Poland and the impact of self-assessed health on the use of health care services. Special attention is given to the impact of ageing on health status and the utilisation of health care. In addition, other social and economic factors that underpin health status and drive the utilisation of health care services are described. The analysis differentiates utilisation by type of medical service, including primary care, consultations with specialists and hospital care. The main research question is whether the ageing process is leading to a worsening health status of the population or if living longer means living in better health. The answer to this question implies possible changes in the structure of medical care utilisation and - finally - allows for recognition of the impact of population ageing on the level of health care expenditure.. ...
TY - CHAP. T1 - Variations in self-reported health status. AU - OReilly, Dermot. AU - Cruise, Sharon. PY - 2017/11/27. Y1 - 2017/11/27. M3 - Chapter. SN - 978-1-909131-68-2. SP - 72. EP - 79. BT - Early key findings from a study of older people in Northern Ireland The NICOLA Study. A2 - Cruise, Sharon. A2 - Kee, Frank. PB - Queens University Belfast. CY - Belfast. ER - ...
Rational health services planning requires an examination of the effects of various factors on the health status of a population within a given set of socioeconomic circumstances. The commonly accepted explanations for improved health in the less developed countries (LDCs) are: Health Service Resources available to a population, Environmental and Life conditions, and the Econosociocultural Characteristics of the population. In the context of the low economic base from which many LDCs initiate development activities, a strong imperative exists for identifying in which of these major areas public health policy would be most effective in terms of improving health. A new conceptual model is proposed that would be used for future policy analyses to assess what changes in health status of populations in LDCs can be expected as direct functions of increased health service resources, and of improved environmental and econosociocultural conditions. While direct policy analysis is ill-advised at this time due to
The number of cancer survivors is increasing. Knowledge gaps exist regarding the health of survivors and their use of services, particularly survivors with long-term effects of the disease and treatment, including late effects. This PhD study comprised (i) a systematic review of health service utilisation by cancer survivors; (ii) a population-based comparative survey of the health status and service utilisation of cancer survivors and a matched General Practice population; (iii) an overview of reviews of late effects; (iv) a comparative analysis of cancer survivors with self-reported late effects and survivors without late effects in terms of their health status and services utilisation patterns and; (v) a qualitative study of the narrative of cancer survivors with late • effects. The health service utilisation review identified that increasing age was associated with less care and increased hospitalisations. Improved care receipt was dependent on type and frequency of physician contact which ...
The health of older adults is influenced by many factors. One of the least understood is the role that social support and personal relationships may play in healthy aging. The National Social Life, Health and Aging Project (NSHAP) is the first population-based study of health and social factors on a national scale, aiming to understand the well-being of older, community-dwelling Americans by examining the interactions among physical health, illness, medication use, cognitive function, emotional health, sensory function, health behaviors, and social connectedness. It is designed to provide health providers, policy makers, and individuals with useful information and insights into these factors, particularly on social and intimate relationships. The National Opinion Research Center (NORC), along with Principal Investigators at the University of Chicago, conducted more than 3,000 interviews during 2005 and 2006 with a nationally representative sample of adults aged 57 to 85. Face-to-face interviews ...
Introduction: Poor self-rated health (SRH) has been associated with increased risk of death and poor health outcomes even after adjusting for confounders. However its relationship with disease-specific mortality and morbidity has been less studied. SRH may also be particularly predictive of health outcomes in those with pre-existing conditions. We studied whether SRH predicts new stroke in older people who have never had a stroke, or a recurrence in those with a prior history of stroke. Methods: MRC CFAS I is a multicentre cohort study of a population representative sample of people in their 65th year and older. A comprehensive interview at baseline included questions about presence of stroke, self-rated health and functional disability. Follow-up at 2 years included self-report of stroke and stroke death obtained from death certificates. Multiple logistical regression determined odds of stroke at 2 years adjusting for confounders including disability and health behaviours. Survival analysis ...
This chapter describes changes over the past 15-20 years in non‐income measures of well‐being-education and health-in Africa. We expected to find, as we did in Latin America, that progress in the provision of public services and the focus of public spending in the social sector would contribute to declining poverty and inequality in health and education, even in an environment of stagnant or worsening levels of income poverty. Unfortunately, our results indicate that, in the area of health, little progress is being made in terms of reducing pre‐school age‐stunting, a clear manifestation of poor overall health. Likewise, our health inequality measure showed that while there were a few instances of reduced inequality along this dimension, there was, on balance, little evidence of success in improving equality of outcomes. Similar results were found in our examination of underweight women as an indicator of general current health status of adults. With regard to education, the story is ...
NEXT is a seven-year longitudinal assessment of a representative sample of U.S. adolescent and young adults starting at grade 10. The goals of the NEXT longitudinal study include: to identify the trajectory of adolescent health status and health behaviors from mid-adolescence through the post high school years; to examine individual predictors of the onset of key adolescent risk behaviors and risk indicators during this period; to identify genetic, personal, family, school, and social/environmental factors that promote or sustain positive health behaviors; to identify transition points in health risk and risk behaviors and changes in family, school, and social/environmental precursors to these transitions, and to examine the role of potential gene-environment interactions in the development of health status and health behaviors.. This study collects reliable and valid data on health behaviors and health indicators and their social, environmental, and biological contexts beginning with a ...
NEXT is a seven-year longitudinal assessment of a representative sample of U.S. adolescent and young adults starting at grade 10. The goals of the NEXT longitudinal study include: to identify the trajectory of adolescent health status and health behaviors from mid-adolescence through the post high school years; to examine individual predictors of the onset of key adolescent risk behaviors and risk indicators during this period; to identify genetic, personal, family, school, and social/environmental factors that promote or sustain positive health behaviors; to identify transition points in health risk and risk behaviors and changes in family, school, and social/environmental precursors to these transitions, and to examine the role of potential gene-environment interactions in the development of health status and health behaviors. .. This study collects reliable and valid data on health behaviors and health indicators and their social, environmental, and biological contexts beginning with a ...
In Milbank Quarterly, former Commonwealth Fund Harkness Fellow Philip J. Van der Wees and coauthors examine whether the Massachusetts coverage expansions resulted in better health status and increased access to preventive health services for residents.
Given the positive correlation of some harmful factors present in the premises with a series of respiratory diseases, certain supervisory mechanisms for the quality of indoor air are absolutely needed.
Our study was designed to identify the difference in the mental health status among hospitalized patients due to occupational diseases and accidents and pre-employment physical examinees, and to identify the relationship between mental health status and socio-demographic variables, and to provide information useful to non-psychiatric clinicians in caring of such patients. Samples were comprised of 189 pneumoconiotic patients, 132 industrial accident-induced patients and 122 pre-employment physical examinees who were interviewed with 90-item symptom cheklist(SCL-90). The following results were obtained: 1) Mean scores of symptom dimension on socio-demographic subgroup showed higher tendencies in older aged, male, lower educated, miner, married, mining residence, and pnemoconiotic patients. 2) Mean scores of total samples on all symptom dimensions were as follows in the order of their magnitudes; Depression, Somatization, Obsessive-compulsive, Anxiety, Psychoticism, Interpersonal sensitivity, ...
Both HRQoL and the prevalence of side effects were not statistically significantly different between screening and control groups whereas treatment choices between the two groups were statistically significantly different. The mean scores of sleeping and sexual dimensions of the 15D and the mean 15D scores of the screening population were statistically significantly lower in comparison with reference population. Treatment choices were associated with the prevalence of prostate-specific side effects, the sexual dimension of the 15D and overall HRQoL. Sex-related symptoms were the most common side effects and higher occurrence was observed in surgery patients. The presence of erectile side effects was associated with the sexual dimension of the 15D and overall HRQoL. However, other side effects were not found to be related to the three dimensions (sleeping, elimination and sexual activity) of the 15D or overall HRQoL. After adjusting for a number of factors, patients who experienced the worst ...