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Kaczmarek, Maria y Magdalena Skrzypczak. "Perceived health status among middle-aged Polish people in relation to selected demographic and social factors". Anthropological Review 75, n.º 2 (1 de julio de 2012): 93–105. http://dx.doi.org/10.2478/v10044-012-0008-0.
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Abstract Self-rated health is an important measure of health status and outcomes and plays a significant role in the quality of life. The main purpose of the study was to estimate selected demographic and socio-economic factors associated with perceived health status among middle-aged Polish people. The sample being studied consisted of 5,776 women and 2,191 men aged 35-65 years, participants of two nation-wide cross-sectional surveys: the survey on middle-aged women’s health and quality of life (WOMID) and the survey on men’s health and quality of life, both conducted in 2000-2004. Participants were administered a gender-specific questionnaire on demographic, socio-economic status, lifestyle behaviours and self-rated health. The subjectively evaluated health status was then correlated with sex, age, marital status, place of residence, education level, financial situation, types of leisure time and the tobacco use. Data were processed using uni- and multivariate statistical procedures including the logistic regression models LOGITs and multiple correspondence analysis (MCA). It was found that the perceived health status was associated with women’s and men’s age, and in women with their menopausal status. Women were likely to evaluate their health significantly worse than men. It was found that marital status, educational attainment and financial well-off were the factors significantly associated with perceived health status in both women and men. In concluding remarks it should be stated that the health perception of women and men in mid-life is significantly related to their socio-economic status.
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Sousa, Alvaro Francisco Lopes, Artur Acelino Francisco Luz Nunes Queiroz, Inês Fronteira, Luís Lapão, Isabel Amélia Costa Mendes y Sandra Brignol. "HIV Testing Among Middle-Aged and Older Men Who Have Sex With Men (MSM): A Blind Spot?" American Journal of Men's Health 13, n.º 4 (julio de 2019): 155798831986354. http://dx.doi.org/10.1177/1557988319863542.
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Middle-aged and older men who have sex with men (MSM) are one of the most underestimated populations with regard to HIV/AIDS infection, despite the worldwide trend of increasing prevalence in recent years. This population also has low rates of testing, although rare studies are done exclusively with middle-aged and older MSM assessing the factors associated with this prevalence. Thus, based on data from an exclusive online survey with middle-aged and older MSM who use geolocation-based dating applications, the purpose of the study was to analyze factors associated with not taking the HIV test among middle-aged (50 years old) and older MSM in Brazil. Using a modification of time-location sampling adapted to virtual reality, 412 volunteers were approached in Grindr®, Hornet®, SCRUFF®, and Daddyhunt®. The multivariate logistic regression model was adopted to produce adjusted odds ratios (ORa), considering a significance level at .05. There were factors associated with not taking the test: being in a relationship (ORa: 0.24; 95% CI [0.10, 0.53]); knowing partner through the applications (ORa: 1.84; 95% CI [1.07, 3.15]); not knowing the serological status (ORa: 5.07; 95% CI [1.88, 13.67]); ejaculating outside of anal cavity (ORa: 1.79; 95% CI [1.04, 3.05]); practicing sex without penetration (ORa: 2.30; 95% CI [1.17, 4.50]); not taking the test as a form of prevention (ORa: 2.83; 95% CI [1.05, 7.68]); and rarely using Viagra in sexual intercourse (ORa: 1.91; 95% CI [1.20, 3.65]). There is a blind spot in the prevalence of HIV testing in older MSM because this population is not being covered by services, which compromises the overall response to HIV, the goals set for universal health coverage.
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Shahly, V., S. Chatterji, M. J. Gruber, A. Al-Hamzawi, J. Alonso, L. H. Andrade, M. C. Angermeyer et al. "Cross-national differences in the prevalence and correlates of burden among older family caregivers in the World Health Organization World Mental Health (WMH) Surveys". Psychological Medicine 43, n.º 4 (9 de agosto de 2012): 865–79. http://dx.doi.org/10.1017/s0033291712001468.
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BackgroundCurrent trends in population aging affect both recipients and providers of informal family caregiving, as the pool of family caregivers is shrinking while demand is increasing. Epidemiological research has not yet examined the implications of these trends for burdens experienced by aging family caregivers.MethodCross-sectional community surveys in 20 countries asked 13 892 respondents aged 50+ years about the objective (time, financial) and subjective (distress, embarrassment) burdens they experience in providing care to first-degree relatives with 12 broadly defined serious physical and mental conditions. Differential burden was examined by country income category, kinship status and type of condition.ResultsAmong the 26.9–42.5% respondents in high-, upper-middle-, and low-/lower-middle-income countries reporting serious relative health conditions, 35.7–42.5% reported burden. Of those, 25.2–29.0% spent time and 13.5–19.4% money, while 24.4–30.6% felt distress and 6.4–21.7% embarrassment. Mean caregiving hours per week in those giving any time were 16.6–23.6 (169.9–205.8 h/week per 100 people aged 50+ years). Burden in low-/lower-middle-income countries was 2- to 3-fold higher than in higher-income countries, with any financial burden averaging 14.3% of median family income in high-, 17.7% in upper-middle-, and 39.8% in low-/lower-middle-income countries. Higher burden was reported by women than men and for conditions of spouses and children than parents or siblings.ConclusionsUncompensated family caregiving is an important societal asset that offsets rising formal healthcare costs. However, the substantial burdens experienced by aging caregivers across multiple family health conditions and geographic regions threaten the continued integrity of their caregiving capacity. Initiatives supporting older family caregivers are consequently needed, especially in low-/lower-middle-income countries.
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Yoon, Jaehee, Jeewuan Kim y Heesook Son. "Gender Differences of Health Behaviors in the Risk of Metabolic Syndrome for Middle-Aged Adults: A National Cross-Sectional Study in South Korea". International Journal of Environmental Research and Public Health 18, n.º 7 (1 de abril de 2021): 3699. http://dx.doi.org/10.3390/ijerph18073699.
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This study examined gender differences in health behaviors for the risk of metabolic syndrome (MetS) among middle-aged adults using nationally representative data from the Seventh Korea National Health and Nutrition Examination Survey (2016–2018). The sample included data from 8677 middle-aged adults. The Health Practice Index measured health behaviors, including smoking, alcohol use, physical activity, sleeping, eating breakfast, working hours, nutritionally balanced diet, and mental stress. Complex sample multiple logistic regression analyses were conducted to determine the association between the Health Practice Index (HPI) and MetS. Men and women with poor or moderate HPI scores had significantly higher risks of having MetS than those with good HPI scores. Controlling for covariates, high-risk alcohol use (p < 0.001) and physical activity (p = 0.008) were associated with the risk of MetS in men and women, respectively. Men reporting alcohol use and women lacking a healthy diet were, respectively, 2.056 times (adjusted odds ratio (OR) = 2.056, 95% CI: 1.681–2.514) and 1.306 times (adjusted OR = 1.306, 95% CI: 1.075–1.587) more likely to have increased risks of MetS. Given these gender differences in health behaviors, developing tailored interventions could be beneficial in preventing MetS among middle-aged men and women.
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MOON, SANG-SIK, SANG-MI PARK y SUNG-IL CHO. "THE ASSOCIATION OF SOCIAL SUPPORT AND ACTIVITIES WITH HEALTH IN SOUTH KOREA: DIFFERENCES IN AGE AND GENDER". Journal of Biosocial Science 42, n.º 3 (18 de enero de 2010): 409–24. http://dx.doi.org/10.1017/s0021932009990563.
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SummaryThis study investigated gender difference in the effects of social support, including emotional support and instrumental support (such as help when sick and financial assistance), and social activities on perceived health of middle-aged and older adults in South Korea. Data were acquired from 3771 men and 4954 women aged 40 years and older who participated in the 2005 cross-sectional survey of the Seoul Citizens Health and Social Indicators Survey. Using multiple regression analysis, both age- and gender-specific differences related to social support and engagement in social activities and self-rated poor health were examined. Poor emotional support from close friends, relatives or someone with whom one could talk about worries was strongly associated with poor self-rated health in men, with the greatest effect in older men. Lack of engagement in social activities was associated with self-rated poor health in older adults, especially in older men. Poor instrumental support was associated with perceived poor health only in middle-aged women. As a health improvement strategy for men aged 65 years and older especially, emotional support should be considered. Measures should be considered for encouraging social activities by older adults, particularly older men.
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Lim, Yejee, Youngmi Park, Sun Kyu Choi, Soyeon Ahn y Jung Hun Ohn. "The Effect of Coffee Consumption on the Prevalence of Diabetes Mellitus: The 2012–2016 Korea National Health and Nutrition Examination Survey". Nutrients 11, n.º 10 (5 de octubre de 2019): 2377. http://dx.doi.org/10.3390/nu11102377.
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An inverse association between coffee consumption and the risk of diabetes mellitus (DM) has been observed. However, little is known about this association in Koreans, although they are now among the top global consumers of coffee. Therefore, the aim of this study was to evaluate the association between the prevalence of DM and the amount of coffee consumption using a unit of exact measurement, regardless of the type of coffee consumed. This study was based on data acquired from the Korea National Health and Nutrition Examination Survey 2012–2016. The participants who completed the survey were included in the statistical analysis (n = 14,578). Subjects were stratified by age (19–39 years old: young adult; 40–64 years old: middle-aged adult) and gender (men, women). The amount of coffee was measured using a teaspoon (tsp) unit corresponding to 5 mL of powdered coffee and was analyzed as a continuous variable. The mean powdered coffee intake per day was 1.97 tsp in women groups, 2.24 tsp in young adult men, and 2.72 tsp in middle-aged men. The frequency of coffee consumption showed an inverse relationship with the amount of coffee intake at a time. With each 1-tsp increment in daily coffee intake, the odds of DM were 0.89 (95% confidence interval (CI): 0.86–0.92, p < 0.001) and 0.93 (95% CI: 0.90–0.95, p = 0.003) in middle-aged women and men, respectively. Coffee consumption was inversely correlated with the prevalence of DM even with adjustment for covariates in middle-aged adults. We delineated that the prevalence for DM decreased as coffee intake increased in Korean middle-aged adults. Therefore, our data represented an inverse association between coffee consumption and the prevalence of DM, although Koreans have a unique coffee-drinking habit.
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Bokovoy, Joanna L. y Steven N. Blair. "Aging and Exercise: A Health Perspective". Journal of Aging and Physical Activity 2, n.º 3 (julio de 1994): 243–60. http://dx.doi.org/10.1123/japa.2.3.243.
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Habitual exercise provides protection against fatal coronary heart disease, extends longevity, and enhances quality of life. National surveys show less physical activity in older men and women compared with middle-aged and younger persons; older women are particularly sedentary. Although there are still few longitudinal studies on exercise and physical activity in older individuals, the data support a positive relationship between physical activity and health and function in older individuals. The data further show that with regular physical activity, health and physical fitness are maintained or even increased over time in older individuals. Studies on physical activity requirements for beneficial health effects in the elderly are reviewed and presented, and exercise recommendations for older individuals are given.
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Wang, Wei C., Anthony Worsley, Everarda G. Cunningham y Wendy Hunter. "Investigation of population heterogeneity of diet use among middle-aged Australians". British Journal of Nutrition 105, n.º 7 (1 de diciembre de 2010): 1091–99. http://dx.doi.org/10.1017/s0007114510004745.
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The purpose of the study was to determine patterns of diet use among middle-aged Australian men and women and the relationships between these different usage patterns and demographic characteristics, health status and health habits. A cross-sectional mail survey was conducted among a random sample of 2975 people aged 40–71 years in Victoria, Australia. A total of 1031 usable questionnaires were obtained which included information about the use of diets (e.g. low-fat and low-salt) during the past 3 months along with demographic information, health status and health habits. Based on the responses about the use of thirteen diets for both sexes, latent class analysis was employed to identify the optimal number of use of diets and the assignment of participants to particular groups. Three types of diet uses were identified and provisionally named: diet use, selected diet use and non-diet use. This classification was associated with demographics, health status and health habits, and these associations differed between men and women. The findings suggest that nutrition education programmes should be tailored to the different needs of the diet use groups.
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Yi, Yunjeong y Jiyeon An. "Sex Differences in Risk Factors for Metabolic Syndrome in the Korean Population". International Journal of Environmental Research and Public Health 17, n.º 24 (18 de diciembre de 2020): 9513. http://dx.doi.org/10.3390/ijerph17249513.
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With an increase in the obese population, the prevalence of metabolic syndrome is increasing in Korea. This study aimed to identify sex- and age-specific risk factors for metabolic syndrome. A secondary data analysis was performed using the Korean National Health and Nutritional Examination Survey. Participants comprised 6144 adults aged 20–79 years. The prevalence of metabolic syndrome was high in the middle- and old-aged men (31.9% and 34.5%, respectively) and in old-aged women (39.1%). Risk factors for metabolic syndrome showed different patterns for men and women. In men, alcohol drinking was identified as the main risk factor for hypertension (odds ratio (OR); young = 3.3 vs. middle age = 2.0), high triglycerides (young = 2.4 vs. middle age = 2.2), and high fasting blood sugar (middle age = 1.6). In women, the main risk factors were household income and education level, showing different patterns in different age groups. In conclusion, the vulnerable groups at high risk of metabolic syndrome are those of middle-aged men and women. The pattern of risk factors is sex-specific.
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Großschädl, Franziska y Willibald J. Stronegger. "Long-term trends (1973–14) for obesity and educational inequalities among Austrian adults: men in the fast lane". European Journal of Public Health 29, n.º 4 (14 de enero de 2019): 790–96. http://dx.doi.org/10.1093/eurpub/cky280.
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AbstractBackgroundThe examination of obesity trends is important to plan public health interventions specific to target-groups. We investigated long-term trends of obesity for the Austrian adult population between 1973 and 2014 according to their sex, age and education and the magnitude of educational-inequalities.MethodsData were derived from six national, representative, cross-sectional interview surveys (N = 194 030). Data correction factors for self-reported body mass index (BMI) were applied. Obesity was defined as BMI ≥ 30 kg/m2. Absolute changes (ACs) and aetiologic fractions (AFs) were calculated to identify trends in the obesity prevalence. To measure the extent of social inequality, the relative index of inequality was computed based on educational levels.ResultsIn 2014, the age-adjusted prevalence of obesity was 14.6% (95%CI: 14.0–15.3) for women and 16.8% (95%CI: 16.1–17.9) for men. Obesity was most prevalent among subjects aged 55–74 years and those with low educational status. The AC in the obesity prevalence during the study period was highest for men aged 75 years and older with high/middle educational levels (16.2%) and also high for subjects aged 55 years and older with low educational levels. The greatest dynamics for obesity were observed among the oldest men with high/middle educational levels. Educational inequalities for obesity were higher among women, but only increased among men.ConclusionsSince 1973, the prevalence for obesity was observed to be higher for men than women in Austria for the first time. Men showed the greatest increase in prevalence and risk for obesity during the study period. Further studies are needed to determine the drivers behind these trends.
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Hall, Eric, Travis Sanchez, Rob Stephenson, Aryeh D. Stein, Robert Craig Sineath, Maria Zlotorzynska y Patrick Sullivan. "Randomised controlled trial of incentives to improve online survey completion among internet-using men who have sex with men". Journal of Epidemiology and Community Health 73, n.º 2 (31 de octubre de 2018): 156–61. http://dx.doi.org/10.1136/jech-2018-211166.
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BackgroundHIV prevention research often involves the use of online surveys as data collection instruments. Incomplete responses to these surveys can introduce bias. We aimed to develop and assess innovative methods to incentivise respondents to complete surveys.MethodsAdult men who have sex with men (MSM) living in the USA were recruited through banner advertisements on Facebook from 27 April 2015 to 6 May 2015 to participate in an online survey about HIV prevention and risk behaviours. Participants were randomised to one of four conditions: a monetary incentive; a series of altruistic messages highlighting the importance of participating in research; access to a dashboard comparing their responses with statistics from other participants after completion; and no incentive. Kaplan-Meier survival methods and univariate Cox proportional hazard models were used to evaluate survey dropout by incentive group and demographic variables of interest.ResultsThere were a total of 1178 participants randomised to the four treatment groups. The rate of survey dropout among participants in the altruistic (HR=0.68, 95% CI 0.49 to 0.93), monetary (HR=0.44, 95% CI 0.32 to 0.61) and dashboard (HR=0.78, 95% CI 0.58 to 1.06) groups was lower than the non-incentivised control group. Regardless of condition, survey dropout was also lower among MSM aged 28–34 (HR=0.67, 95% CI 0.50 to 0.90) compared with those aged 18–22 years old, and MSM who were white (HR=0.78, 95% CI 0.60 to 1.02) compared with non-white participants.ConclusionMonetary incentives and altruistic messaging can improve survey completion in online behavioural HIV prevention research among MSM.Trial registration numberNCT02139566.
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Wong, Samuel Yeung Shan, Dicken Chan y Ping Chung Leung. "Depressive symptoms in middle-aged men: Results from a household survey in Hong Kong". Journal of Affective Disorders 92, n.º 2-3 (junio de 2006): 215–20. http://dx.doi.org/10.1016/j.jad.2006.01.027.
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Chai, Huamin, Rui Fu y Peter C. Coyte. "Unpaid Caregiving and Labor Force Participation among Chinese Middle-Aged Adults". International Journal of Environmental Research and Public Health 18, n.º 2 (13 de enero de 2021): 641. http://dx.doi.org/10.3390/ijerph18020641.
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Unpaid family caregivers must consider the economic trade-off between caregiving and paid employment. Prior literature has suggested that labor force participation (LFP) declines with caregiving intensity, but no study has evaluated this relationship by accounting for the presence of both kinks and discontinuities. Here we used respondents of the China Health and Retirement Longitudinal Study baseline survey who were nonfarming, of working age (aged 45–60) and had a young grandchild and/or a parent/parent-in-law. For women and men separately, a caregiving threshold-adjusted probit model was used to assess the association between LFP and weekly unpaid caregiving hours. Instrumental variables were used to rule out the endogeneity of caregiving hours. Of the 3718 respondents in the analysis, LFP for men was significantly and inversely associated with caregiving that involved neither discontinuities nor kinks. For women, a kink was identified at the caregiving threshold of eight hrs/w such that before eight hours, each caregiving hour was associated with an increase of 0.0257 in the marginal probability of LFP, but each hour thereafter was associated with a reduction of 0.0014 in the marginal probability of LFP. These results have implications for interventions that simultaneously advance policies of health, social care and labor force.
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Stansfeld, S. A., J. E. J. Gallacher, D. S. Sharp y J. W. G. Yarnell. "Social factors and minor psychiatric disorder in middle-aged men: a validation study and a population survey". Psychological Medicine 21, n.º 1 (febrero de 1991): 157–67. http://dx.doi.org/10.1017/s0033291700014744.
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SYNOPSISA cross-sectional survey of minor psychiatric disorder is reported in a representative community sample of 2204 men between the ages of 45 years and 64 years living in Caerphilly, South Wales. Minor psychiatric disorder was measured by the 30-item General Health Questionnaire and validated by the Clinical Interview Schedule in a consecutive sample of 97 men, weighted to provide one-third cases, two-thirds non-cases. A case threshold of 4/5 on the General Health Questionnaire was chosen on the basis of ‘ROC’ analysis. An overall estimated ‘true’ prevalence rate for minor psychiatric disorder of 22·0% was found, with 22·3% of men scoring 5 or more on the General Health Questionnaire. Rates of minor psychiatric disorder were higher in widowed and divorced men than in married men but were also, unexpectedly, lower in single as opposed to married men. There was no social-class gradient in minor psychiatric morbidity but a lower rate in Social Class III NM may be largely explained by lower unemployment rates. There were markedly higher rates of minor psychiatric morbidity in unemployed men and those who retired ill. Men with no available social contacts had higher rates of morbidity than men with some or high social contacts.
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Holden, Carol A., Robert I. McLachlan, Marian Pitts, Robert Cumming, Gary Wittert, Paul A. Agius, David J. Handelsman y David M. de Kretser. "Men in Australia Telephone Survey (MATeS): a national survey of the reproductive health and concerns of middle-aged and older Australian men". Lancet 366, n.º 9481 (julio de 2005): 218–24. http://dx.doi.org/10.1016/s0140-6736(05)66911-5.
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Sakalauskienė, Žana, Miira Vehkalahti, Heikki Murtomaa y Vita Mačiulskienė. "Factors Related to Gender Differences in Toothbrushin g Among Lithuanian Middle-Aged University Employees". Medicina 47, n.º 3 (19 de marzo de 2011): 25. http://dx.doi.org/10.3390/medicina47030025.
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Background and objectives. Many previous studies showed clear gender differences in the percentages of adults reporting toothbrushing more than once a day. This study evaluated the factors determining gender differences in toothbrushing among Lithuanian middle-aged university employees. Material and Methods. A questionnaire survey was anonymously conducted among 35- to 44-year-old employees (n=862) of four universities in Lithuania in 2005. The response rate was 64% (n=553). Data covered toothbrushing frequency, habitual dental attendance, dental health attitudes and knowledge, and subject’s background information. Results. Of all respondents, 68% reported brushing their teeth more than once a day (73% of women and 49% of men, P<0.001) and 51% indicated checkup-based habitual dental attendance (54% of women and 41% of men, P=0.012). The majority reported good dental status as being important to them and poor oral health as injurious to general health. Of all respondents, 44% indicated that “Lack of time is the main reason for incomplete oral self-care” (61% of men and 40% of women, P<0.001). Logistic regression models showed that the strongest factor affecting toothbrushing frequency was the importance of good dental health to them (OR, 1.6; 95% CI, 1.1–2.4; P=0.02) among women and statement that “Poor oral health can be injurious to general health” (OR, 2.6; 95% CI, 1.2–5.5; P=0.01) and checkup-based habitual dental attendance (OR, 2.4; 95% CI, 1.0–5.9; P=0.06) among men. Conclusions. Due to different determinants affecting toothbrushing frequency among men and women, different oral health motivation programs by gender should be developed.
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Chai, Huamin, Rui Fu y Peter C. Coyte. "How Do Middle-Aged Chinese Men and Women Balance Caregiving and Employment Income?" Healthcare 9, n.º 4 (3 de abril de 2021): 415. http://dx.doi.org/10.3390/healthcare9040415.
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Unpaid family caregivers might suffer losses in income as a result of care provision. Here we used data from the baseline survey of the China Health and Retirement Longitudinal Study to assess the relationship between hours of weekly caregiving provided to grandchildren/parents/parents-in-law and individual’s monthly employment income. Our study sample comprised 3718 middle-aged Chinese adults who were of working age (45–60 years). For women and men separately, we used a likelihood-based method to determine a caregiving threshold in a two-stage Heckman selection procedure. Instrumental variables were used to rule out the endogeneity of caregiving hours. Our analysis revealed a negative association between caregiving and income for women that depended on a caregiving threshold of 63 h per week. There was an absence of caregiving-income relationship among men. These results offer new insights into the opportunity costs of unpaid caregiving and support tailored policies to protect the financial well-being of female caregivers.
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Coggon, D., B. Pannett, C. Osmond y E. D. Acheson. "A survey of cancer and occupation in young and middle aged men. II. Non-respiratory cancers." Occupational and Environmental Medicine 43, n.º 6 (1 de junio de 1986): 381–86. http://dx.doi.org/10.1136/oem.43.6.381.
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Park, Kye-Yeung, Hoon-Ki Park y Hwan-sik Hwang. "Relationship between abdominal obesity and alcohol drinking pattern in normal-weight, middle-aged adults: the Korea National Health and Nutrition Examination Survey 2008–2013". Public Health Nutrition 20, n.º 12 (23 de junio de 2017): 2192–200. http://dx.doi.org/10.1017/s1368980017001045.
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AbstractObjectiveAbdominal obesity is associated with obesity-related health risks regardless of body weight. The present study aimed to determine whether alcohol drinking pattern is associated with abdominal obesity in normal-weight, middle-aged adults.DesignCross-sectional study using complex sampling design analyses.SettingThe Korea National Health and Nutrition Examination Survey, which was conducted from 2008 to 2013.SubjectsNormal-weight participants aged 40–69 years with BMI of 18·5–25·0 kg/m2 (n 11 289, 4491 men and 6798 women) were included. Abdominal obesity was defined as waist circumference ≥90 cm for men or ≥85 cm for women. Alcohol drinking pattern was assessed by self-report on questionnaires.ResultsAmong 11 289 normal-weight participants, 7·9 % (n 379) of men and 7·6 % (n 609) of women had abdominal obesity. Both men and women who consumed a higher quantity of alcohol per drinking occasion had higher odds (OR; 95 % CI) for abdominal obesity compared with individuals who consumed fewer than 2 drinks (1·86; 1·04, 3·32 for ≥10 drinks/typical occasion in men; and 3·28; 1·13, 9·46 in women). Men who binge drink every day had higher odds for abdominal obesity (2·10; 1·21, 3·63). In both sexes, frequency of alcohol drinking was not associated with normal-weight abdominal obesity.ConclusionsOur study showed that the amount of alcohol drinking per occasion influenced abdominal obesity in normal-weight, middle-aged individuals that may have impacted obesity-related health risks. Healthy alcohol drinking habits need to be controlled for prevention of abdominal obesity even among persons with normal weight.
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Sivakumaran, Gajan y Rachel Margolis. "Self-Rated Health by Sexual Orientation Among Middle-Aged and Older Adults in Canada". Journals of Gerontology: Series B 75, n.º 8 (22 de mayo de 2019): 1747–57. http://dx.doi.org/10.1093/geronb/gbz067.
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Abstract Objectives This article examines patterns of self-rated physical and mental health by sexual orientation among middle-aged and older adults in Canada, a rapidly growing subpopulation shown to be at risk of poor health. Method We use the Canadian Community Health Survey (CCHS 2015–2016) to estimate logit models predicting fair/poor self-rated physical and mental health by sexual orientation among middle-aged and older adults, stratifying by sex and age group. Results We find no differences in physical health for gay men and lesbian women compared with their heterosexual counterparts. However, middle-aged gay men are disadvantaged in terms of mental health, but not women. Bisexual women are disadvantaged in terms of physical health, and for mental health in some model specifications. Respondents who did not know their sexual orientation have poorer health across some measures of health and age groups. Discussion Our findings add to the paucity of research on older sexual minorities in Canada. They highlight the importance of separating out sexual minority groups because bisexual women have distinct health profiles. In addition, this is the first study to examine the health of respondents who “do not know” their sexual orientation, and future research should distinguish between different explanations for their poor health.
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Dash, Sarah, Erin Hoare, Pia Varsamis, Garry Jennings y Bronwyn Kingwell. "Sex-Specific Lifestyle and Biomedical Risk Factors for Chronic Disease among Early-Middle, Middle and Older Aged Australian Adults". International Journal of Environmental Research and Public Health 16, n.º 2 (15 de enero de 2019): 224. http://dx.doi.org/10.3390/ijerph16020224.
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Evidence suggests age and sex differences in risk factors for chronic disease. This study examined lifestyle and biomedical risk factors among men (m) and women (w) in early-middle (25–51 years), middle (52–64) and older (65+) adulthood. Cross-sectional data from the 2011–2012 Australian Health Survey (n = 3024) were analysed. Self-reported dietary, activity, sleep behaviours and collected biomedical data were analysed. Early-middle adults failed to meet fruit, vegetable (95.3%) and sugar-sweetened beverage (SSB, 34.9%) recommendations. Older adults had higher prevalence of overweight/obesity (70%), high blood pressure (38.0%) and fewer met physical activity guidelines (36.3%). Prior to older adulthood, more men consumed SSBs (early-middle m 45.6%, w 24.4%; middle m 26.0%, w 19.3%), and fewer met sedentary behaviour recommendations (early-middle m 43.2%, w 62.1%; middle m 46.4%, w 63.9%). Differences in overweight/obese women in early-middle (44.8%) to middle adulthood (64.7%) were significant. Biomedical risk was greatest in middle age; abnormal cholesterol/lipids increased specifically for women (total cholesterol early-middle 24.9% middle 56.4%; abnormal LDL-cholesterol early-middle 23.1% middle 53.9%). Adherence to lifestyle guidelines was low; particularly among men. While men exhibited greater clinical risk overall, this significantly increased among women in middle-adulthood. Public health strategies to improve lifestyle, monitor and intervene among middle-aged women are warranted.
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Fledderjohann, Jasmine y Celia Roberts. "Missing men, missing infertility: The enactment of sex/gender in surveys in low- and middle-income countries". Population Horizons 15, n.º 2 (1 de diciembre de 2018): 66–87. http://dx.doi.org/10.1515/pophzn-2018-0003.
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Abstract Although reproduction involves (at least) two sexed bodies, men are often missing from in/fertility research. Surveys such as the widely-used Demographic and Health Surveys (DHS) engage in often unintentional yet highly consequential practices of gendering. Here we identify two processes through which surveys have the potential to render male infertility invisible: defining the population at risk of infertility in an exclusionary way; and designing survey instruments to select out some groups/issues. Compiling information about survey samples and inclusion criteria in the DHS, and combining this with a qualitative examination of instrument design, we identify areas of men’s invisibility across time and place. While inclusion of men in DHS samples has increased over time, some men (e.g. single and divorced, transgender) remain missing in many survey settings. This is problematic from a reproductive justice perspective. Survey results, which both reflect and contribute to men’s invisibility, are widely used as an evidence-base for family and population policies. Moreover, reproductive health services are only made available to those whose reproductive health needs are recognized; men’s exclusion from the reproductive discourse contributes to the stratification of reproduction. Men’s underrepresentation in in/fertility data also reinforces the notion that reproduction is a woman’s domain, and so contributes to a system that places responsibility for reproduction on women. It is vital to explore how gender is enacted or ‘done’ in such research.
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Simojoki, Meri, Riitta Luoto, Antti Uutela, John D. Boice, Joseph K. McLaughlin y Pekka Puska. "Consistency of use of plant stanol ester margarine in Finland". Public Health Nutrition 7, n.º 1 (febrero de 2004): 63–68. http://dx.doi.org/10.1079/phn2003514.
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AbstractObjective:The aims of this study were to investigate the consistency of use of plant stanol ester margarine and to characterise consistent and inconsistent users.Design:A cohort of plant stanol ester margarine users was established based on 14 national surveys conducted by the National Public Health Institute in Finland between 1996 and 1999. A follow-up study questionnaire was developed and sent to 1294 users in 2000.Setting:Subjects who reported using plant stanol ester margarine in both the original survey and the follow-up study were classified as consistent users, and the rest as inconsistent users.Subjects:The study population consisted of 1094 subjects aged 18–87 years, 590 men and 504 women.Results:There were 357 (33%) consistent and 737 (67%) inconsistent users of plant stanol ester margarine in the study population. Consistent users were more likely to be men and to have a higher household income than inconsistent users. Both consistent and inconsistent users were predominantly middle-aged persons with a healthy lifestyle and diet as well as a history of cardiovascular disease. Healthfulness was the main factor affecting bread spread choice among 94% of the consistent users and 59% of the inconsistent users.Conclusions:The use of plant stanol ester margarine is more often inconsistent than consistent. There is nevertheless a relatively large subgroup of long-term users of plant stanol ester margarine. It is important to examine the health effects especially among these regular users.
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Lorenz, Rebecca, Samantha Auerbach y Yu-Ping Chang. "Binge Drinking, Depressive Symptoms, and Sleep Health in Middle-Aged and Older Adults". Innovation in Aging 4, Supplement_1 (1 de diciembre de 2020): 425. http://dx.doi.org/10.1093/geroni/igaa057.1373.
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Abstract Unhealthy alcohol consumption such as binge drinking and depression are common problems among adults. The combined effect of binge drinking and depression might contribute to negative health outcomes, such as accidents, addiction, or sleep problems. Previous evidence has indicated that alcohol consumption differs by age. However, little is known about the association between binge drinking, depression, and sleep health, and how age might play a role in this association. This study aimed to examine the association between binge drinking, depressive symptoms, and sleep health in middle-aged and older adults and characterize any age differences. A total of 5191 middle-aged and older adults from the 2014 Core Survey of the Health and Retirement Survey (HRS) data aged 50 to 80 were included for this study. Binge drinking was defined as the consumption of 5 or more drinks (men) and 4 or more drinks (women) per drinking day. Depressive symptoms were measured using a validated 8-item Center for Epidemiologic Studies Depression Scale. Sleep health was assessed using a composite measure. Age was grouped into middle-aged (50-64.9 years) and older (65-79.9 years) adults. Multiple linear regression analysis was used to examine the associations between variables of interest. Our findings indicated that binge drinking and depressive symptoms negatively influenced sleep health among middle-aged adults, however this relationship was not found in older adults. Clinicians should simultaneously assess problematic alcohol consumption, depressive symptoms, and sleep health. Future research can develop and test age-specific interventions to reduce unhealthy drinking behaviors in middle-aged adults.
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Kumagai, Narimasa. "Valuation of health losses of women with multiple roles using a well-being valuation approach: Evidence from Japan". PLOS ONE 16, n.º 5 (12 de mayo de 2021): e0251468. http://dx.doi.org/10.1371/journal.pone.0251468.
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Unpaid housework among married working couples is largely done by women in Japan, causing health losses due to work-to-family conflict. However, monetary values for the poor health condition of working mothers with multiple roles have not been explored. The purpose of this study is to examine the impacts of health conditions on life satisfaction (LS) among middle-aged Japanese men and women and attach a monetary value to self-assessed poor health (SAPH). The well-being valuation approach applied monetary values to health losses among middle-aged working persons, using a total of 6,779 married workers drawn from a nationwide 6 wave (2007, 2009, 2011–2014) longitudinal data from the Japanese Life Course Panel Survey of Middle-aged Persons. Female workers having multiple roles as employees and housewives, who spent at least 35 hours per week on market work are defined as women with multiple roles. LS was used as a proxy of individuals’ subjective well-being. Considering the endogeneity between SAPH and LS, I used the two-stage residual inclusion approach with generalized residuals. Major findings are (1) health losses of women with multiple roles were 1.47 times of the equivalent household income; larger than those of men with multiple roles, and (2) health losses of women with multiple roles can be reduced by around 9.5% of the equivalent household income if the spouse shares the housework by engaging in frequent cleaning of the house. Taking health losses of women with multiple roles into consideration, middle-aged men should reconsider the allocation of work attributable to the attitudes toward gender roles.
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Majeed, Tazeen, Peta M. Forder, Gita Mishra, Hal Kendig y Julie E. Byles. "Exploring Workforce Participation Patterns and Chronic Diseases Among Middle-Aged Australian Men and Women Over the Life Course". Journal of Aging and Health 29, n.º 2 (9 de julio de 2016): 343–61. http://dx.doi.org/10.1177/0898264316635586.
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Objective: This study identified associations between chronic diseases (diabetes, asthma, depression, and arthritis) and workforce participation patterns with a gendered perspective. Method: We used data from 1,261 middle-aged participants of the Australian Life Histories and Health (LHH) Survey, aged 60 to 64 years in 2011. Latent class analysis identified dominant workforce patterns and associations between chronic diseases and these patterns were explored by multinomial regression models. Results: Diabetes, asthma, depression, and arthritis were less prevalent in men and women in class “mostly full-time work,” compared with other workforce patterns. The odds of “mostly full-time work” were lower for men reporting depression or arthritis, whereas among women, depression was associated with “increasing part-time work” after adjusting early and adult life factors. Discussion: The results strengthen the importance of gender focused policies aimed to promote and preserve health of young and middle-aged workers, and creating supportive environment for those with chronic health issues over the life course.
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Mah, Sarah M., Claudia Sanmartin, Mylène Riva, Kaberi Dasgupta y Nancy A. Ross. "Active living environments, physical activity and premature cardiometabolic mortality in Canada: a nationwide cohort study". BMJ Open 10, n.º 11 (noviembre de 2020): e035942. http://dx.doi.org/10.1136/bmjopen-2019-035942.
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ObjectiveTo evaluate sex-specific and age-specific associations of active living environments (ALEs) with premature cardiometabolic mortality.DesignPopulation-based retrospective cohort study.SettingResidential neighbourhoods (1000-metre circular buffers from the centroids of dissemination areas) across Canada for which the Canadian ALE Measure was derived, based on intersection density, points of interest and dwelling density.Participants249 420 survey respondents from an individual-level record linkage between the Canadian Community Health Survey (2000–2010) and the Canadian Mortality Database until 2011, comprised of older women (65–85 years), older men (65–81 years), middle-aged women (45–64 years) and middle-aged men (45–64 years).Primary outcome measuresPremature cardiometabolic mortality and average daily energy expenditure attributable to walking. Multivariable proportional hazards regression models were adjusted for age, educational attainment, dissemination area-level median income, smoking status, obesity, the presence of chronic conditions, season of survey response and survey cycle.ResultsSurvey respondents contributed a total of 1 451 913 person-years. Greater walking was observed in more favourable ALEs. Walking was associated with lower cardiometabolic death in all groups except for middle-aged men. Favourable ALEs conferred a 22% reduction in death from cardiometabolic causes (HR 0.78, 95% CI 0.63 to 0.97) for older women.ConclusionsOn average, people walk more in favourable ALEs, regardless of sex and age. With the exception of middle-aged men, walking is associated with lower premature cardiometabolic death. Older women living in neighbourhoods that favour active living live longer.
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Andrade, Flavia C. D. y Mariana López-Ortega. "Educational Differences in Health Among Middle-Aged and Older Adults in Brazil and Mexico". Journal of Aging and Health 29, n.º 6 (21 de abril de 2017): 923–50. http://dx.doi.org/10.1177/0898264317705781.
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Objective: This study examines educational differences in health conditions among middle-aged and older adults in Brazil and Mexico. Method: Cross-sectional data from the 2013 Brazilian National Health Survey and the 2012 Mexican National Health and Nutrition Survey were used in the analyses. We used multivariate Poisson regressions to examine the relationship between educational level and prevalence of common health conditions (obesity, abdominal obesity, diabetes, hypertension, heart disease, and hearing and visual impairments). Results: Socioeconomic and sex inequalities persist in both countries. In general, low levels of education were associated with higher risk for having health conditions. However, men of lower education had a smaller risk of abdominal obesity and hypertension. Discussion: Brazil and Mexico have expanded public health actions aimed at improving health behaviors, diagnosis, and access to treatment of chronic conditions. However, important social disparities remain. Improving lifestyle behaviors, such as physical activity and dietary habits, could benefit both countries.
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Lorenz, R. A., S. L. Auerbach, C. Li y Y. Chang. "0857 Factors Associated With Sleep Health Among Middle-aged And Older Adults". Sleep 43, Supplement_1 (abril de 2020): A326—A327. http://dx.doi.org/10.1093/sleep/zsaa056.853.
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Abstract Introduction The concept of Sleep Health (SH) was developed to provide a multidimensional framework consisting of characteristics of sleep that have been closely associated with physical and mental well-being. Identification of key factors associated with SH can identify targets for intervention for its improvement. This study aimed to identify factors related to SH among middle-aged and older adults. Methods A valid Sleep Health Composite Measure was recently developed from the data of the 2014 Core Survey of the Health and Retirement Survey and was used to assess overall SH in middle-aged and older adults. Spearman’s correlations, T-test, and Kruskal-Wallis tests were used to explore the association of SH with age, gender, self-rated health, chronic disease burden, disability, pain, and modifiable lifestyle behaviors (physical activity, smoking, alcohol, sleep medication). Results Our sample included 6,095 adults with mean age of 68 years (SD=10.1; range 50-99 years). The majority were female (59.7%) and white (77%). Correlations showed significant moderate associations between SH and self-rated health (r=.404), sleep medications (r=.390), pain (r=-.315). There were significant but small associations between vigorous activity (r=-.193), alcohol (r=.112), currently smoking (r=-.089) and SH. SH was significantly worse among women compared to men (t(6093)=6.996, p<0.001). Furthermore, SH scores were significantly different between middle-aged versus older adults (p<0.001); varying levels of self-rated health (p<0.001), number of chronic diseases (p<0.001), and degree of physical disability (p<0.001). Conclusion These findings provide evidence of factors related to SH among middle-aged and older adults, providing targets for intervention to improve health in this population. Age-related differences in relation to SH indicate intervention tailored for middle-aged adults may improve health outcomes as they age. Future studies are warranted to extend these findings using multivariable statistical approaches. Support This study was supported by the University at Buffalo Clinical and Translational Science Institute (CTSI) funded by the National Institutes of Health (Lorenz PI).
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Werneck, André O., Adewale L. Oyeyemi, Célia L. Szwarcwald y Danilo R. Silva. "Association between physical activity and alcohol consumption: sociodemographic and behavioral patterns in Brazilian adults". Journal of Public Health 41, n.º 4 (16 de noviembre de 2018): 781–87. http://dx.doi.org/10.1093/pubmed/fdy202.
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ABSTRACT Background Our aim was to investigate the association between physical activity and alcohol consumption, as well as the sociodemographic and behavioral patterns of this association in a representative sample of Brazilian adults. Methods Data from the Brazilian Health Survey (PNS), a nationally representative survey conducted in 2013 (n = 60 202; age≥18 years), were used. Time spent in leisure physical activity, alcohol consumption as well as sociodemographic (chronological age, educational status and skin color) and associated behavioral factors (TV viewing and tobacco smoking) were collected via interview. Logistic regression models were used for the main analyses. Results Prevalence of weekly and almost daily alcohol consumption were 29.5% and 6.7% for men and 12.0% and 1.0% for women respectively. Adults with weekly alcohol consumption were more likely to be classified as physically active [young: men=OR:1.20 (CI 95%:1.02–1.39), women= OR:2.33 (CI 95%:1.92–2.82); middle-aged: men= OR:1.46 (CI 95%: 1.17–1.82), women= OR:1.75 (CI 95%:1.38–2.22); older: men= OR:1.83 (CI 95%:1.27–2.66), women= OR:2.11 (CI 95%: s1.26–3.52)], when compared to adults with no alcohol consumption. Almost daily alcohol consumption was associated with lower physical activity among young and middle-aged adults but with higher physical activity among older adults of both sexes and young women. Conclusions Weekly alcohol consumption was associated with a higher level of physical activity among young, middle aged and older adults.
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Scholes, Shaun, Jane Biddulph, Adrian Davis y Jennifer S. Mindell. "Socioeconomic differences in hearing among middle-aged and older adults: cross-sectional analyses using the Health Survey for England". BMJ Open 8, n.º 2 (febrero de 2018): e019615. http://dx.doi.org/10.1136/bmjopen-2017-019615.
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BackgroundHearing loss impacts on cognitive, social and physical functioning. Both hearing loss and hearing aid use vary across population subgroups. We examined whether hearing loss, and reported current hearing aid use among persons with hearing loss, were associated with different markers of socioeconomic status (SES) in a nationally representative sample of community-dwelling middle-aged and older adults.MethodsHearing was measured using an audiometric screening device in the Health Survey for England 2014 (3292 participants aged 45 years and over). Hearing loss was defined as >35 dB HL at 3.0 kHz in the better-hearing ear. Using sex-specific logistic regression modelling, we evaluated the associations between SES and hearing after adjustment for potential confounders.Results26% of men and 20% of women aged 45 years and over had hearing loss. Hearing loss was higher among men in the lowest SES groups. For example, the multivariable-adjusted odds of hearing loss were almost two times as high for those in the lowest versus the highest income tertile (OR 1.77, 95% CI 1.15 to 2.74). Among those with hearing loss, 30% of men and 27% of women were currently using a hearing aid. Compared with men in the highest income tertile, the multivariable-adjusted odds of using a hearing aid nowadays were lower for men in the middle (OR 0.50, 95% CI 0.25 to 0.99) and the lowest (OR 0.47, 95% CI 0.23 to 0.97) income tertiles. Associations between SES and hearing were weaker or null among women.ConclusionsWhile the burden of hearing loss fell highest among men in the lowest SES groups, current hearing aid use was demonstrably lower. Initiatives to detect hearing loss early and increase the uptake and the use of hearing aids may provide substantial public health benefits and reduce socioeconomic inequalities in health.
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Abel, T., D. V. McQueen, K. Backen y C. Currie. "Patterns of Unhealthy Eating Behaviours in a Middle Aged Scottish Population". Scottish Medical Journal 37, n.º 6 (diciembre de 1992): 170–74. http://dx.doi.org/10.1177/003693309203700604.
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This paper examines unhealthy eating in a middle aged Scottish population. Data from a 1989 survey of 5 00 Scottish men and women aged 45 to 59 years are used to explore inter-relations among five items of unhealthy eating, smoking and alcohol consumption. The results show that unhealthy eating behaviours are highly correlated, indicating strong links among certain nutrition habits. The findings also reveal that such patterns of unhealthy eating vary considerably between males and females. Finally, unhealthy eating behaviours were also found to be significantly associated with smoking and alcohol consumption. Implications of these findings for future research in epidemiology and health promotion are considered.
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Huang, Qiushi, Yichen Jin, Nicholas S. Reed, Yan Ma, Melinda C. Power y Sameera A. Talegawkar. "Diet quality and hearing loss among middle–older aged adults in the USA: findings from National Health and Nutrition Examination Survey". Public Health Nutrition 23, n.º 5 (31 de octubre de 2019): 812–20. http://dx.doi.org/10.1017/s1368980019002970.
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AbstractObjective:To examine the associations between overall diet quality and hearing function among middle–older aged adults in the USA.Design:Cross-sectional analysis. Diet quality was examined using the Mediterranean Diet Score (MDS), using data from a single 24 h dietary recall. Hearing function was objectively measured by audiometry assessments and hearing loss, including high- and low-frequency hearing loss, was defined as pure-tone averages at specific ranges of hearing frequencies >25 dB. Weighted logistic regression analyses were performed to examine the associations of MDS (scored 0–9, categorized at the median as ≤3 or >3) with hearing loss and high- and low-frequency hearing loss.Setting:National Health and Nutrition Examination Surveys 2000–2006 and 2009–2012.Participants:Adults aged ≥50 years (n 1639) with valid dietary and audiometry assessments.Results:After adjusting for potential confounders, a non-significant trend for a protective association of higher MDS was observed for hearing loss (OR = 0·78; 95 % CI 0·49, 1·23). A significant inverse association was observed for high-frequency hearing loss (OR = 0·64; 95 % CI 0·43, 0·95). No association was found for low-frequency hearing loss among women; however, higher MDS was significantly associated with higher odds of low-frequency hearing loss among men (OR = 2·63; 95 % CI 1·39, 4·95).Conclusions:Among middle–older aged adults, adherence to a Mediterranean-style diet was inversely associated with hearing loss, including those at high hearing frequencies, among older adults. However, a detrimental association was observed at low hearing frequencies among men. Future investigations with a longitudinal design are needed to clarify the associations between diet quality and hearing loss.
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Bae, Eun-Jung, Na-Jin Park, Hae-Sook Sohn y Yun-Hee Kim. "Handgrip Strength and All-Cause Mortality in Middle-Aged and Older Koreans". International Journal of Environmental Research and Public Health 16, n.º 5 (1 de marzo de 2019): 740. http://dx.doi.org/10.3390/ijerph16050740.
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Aging-related decline in handgrip strength has been associated with adverse functional and metabolic morbidity and mortality. Korea is one of the fastest aging countries, and the prospective relationship of handgrip strength with all-cause mortality in Korean adults has not been studied. We conducted a prospective observation study to examine whether baseline handgrip strength predicted mortality over eight years of follow-ups in Korean adults aged 45 years or older. We analyzed the nationwide survey data based on 9393 Korean adults (mean age of 61 ± 10.7 years) from the 2006–2014 Korean Longitudinal Study of Aging. The mean handgrip strength values measured using a dynamometer, and were divided into quartiles for each gender. Cox models were conducted in order to estimate the hazard ratios (HRs) of all-cause mortality with 95% confidence intervals (CIs) in relation to handgrip strength adjusting for covariates. There was a robust independent relationship between a weaker handgrip strength and higher all-cause mortality in both women and men, adjusting for selected covariates (e.g., age, income, smoking, exercise, and comorbidities). Compared to the strongest quartile (i.e., reference), women and men in the weakest group had higher HRs of mortality, 2.5 (95% CI: 1.7–3.8) vs. 2.6 (95% CI: 1.8–3.9), respectively. The robust independent relationships between weaker handgrip strength and higher all-cause mortality found in the study suggest that simply assessing and monitoring the handgrip strength during adulthood demonstrates great potentials for the public health of aging populations, and protects against premature death in Korean adults.
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Sahoo, Shalini, Roberto J. Millar, Takashi Yamashita y Phyllis Cummins. "PROBLEM SOLVING SKILLS AND CANCER SCREENING BEHAVIORS IN MIDDLE-AGED AND OLDER MEN IN THE U.S." Innovation in Aging 3, Supplement_1 (noviembre de 2019): S331. http://dx.doi.org/10.1093/geroni/igz038.1204.
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Abstract Routine cancer screening is widely recognized as an effective strategy for reducing cancer mortality – the second leading cause of death in the U.S. Research shows cancer screening rates need to be improved, and men are less likely to uptake recommended screening than women. Cancer screening requires an array of tasks such as seeking up-to-date guidelines, making appointments, planning a hospital visit, and communicating with health care professionals in the complex health care systems. Importantly, modern health care systems are rapidly adopting technology such as web-based applications for information dissemination and communication with patients. This current study is designed to better understand the roles of problem-solving skills in the technology-rich environment (PSTRE) in two selected cancer screening behaviors among middle-aged and older men. We obtained nationally representative data with a sophisticated PSTRE assessment from the 2012/2014 Program for the International Assessment of Adult Competencies (PIAAC). Binary logistic regression models with survey weights were used to estimate the association between PSTRE scores (1 – 500 points) and two cancer screening behaviors of men who meet the recommended guideline of age between 45 to 74 years old (n = 1,168). Results showed that greater PSTRE scores were positively associated with prostate cancer screening (OR = 1.005, p < 0.05). Improvement in PSTRE may promote the specific cancer screening behaviors. Our findings also inform future interventions that seek to improve cancer screening among a vulnerable section of older populations.
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Coggon, D., B. Pannett, C. Osmond y E. D. Acheson. "A survey of cancer and occupation in young and middle aged men. I. Cancers of the respiratory tract." Occupational and Environmental Medicine 43, n.º 5 (1 de mayo de 1986): 332–38. http://dx.doi.org/10.1136/oem.43.5.332.
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Petrela, Elizana, Genc Burazeri, Fatjona Pupuleku, Edmond Zaimi y Mizanur Rahman. "Prevalence and Correlates of Hypertension in A Transitional Southeastern European Population: Results from the Albanian Demographic and Health Survey". Archives of Industrial Hygiene and Toxicology 64, n.º 4 (1 de diciembre de 2013): 479–87. http://dx.doi.org/10.2478/10004-1254-64-2013-2362.
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Abstract We assessed the prevalence and socioeconomic and behavioural correlates of hypertension in the young to middle-aged population of Albania, a transitional post-communist country in the Western Balkans. We analysed a sample of 2,837 men and 3,580 women aged 15 to 49 from the 2008/2009 Albanian Demographic and Health Survey. Hypertension was defined as SBP≥140 mm Hg, or DBP≥90 mm Hg, or if the subjects were under treatment for hypertension. Data on demographic and socioeconomic characteristics and behavioural factors were also collected. Logistic regression was used to assess the association of hypertension with covariates. Hypertension was significantly higher among men (27.3 %) than women (20.0 %), and significantly increased with age. The harmful effect of excessive weight and obesity on hypertension was stronger among women than among men and this effect increased with age, especially in women. Smoking and alcohol were risk factors for hypertension in men, but not women. Education had a protective effect on hypertension in women but not in men.
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Assari, Shervin. "Prostate Cancer Screening in Middle-Aged and Older American Men: Combined Effects of Ethnicity and Years of Schooling". Hospital Practices and Research 5, n.º 2 (11 de junio de 2020): 64–69. http://dx.doi.org/10.34172/hpr.2020.12.
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Background: Prostate cancer screening is more commonly utilized by highly educated people. As shown by marginalization-related diminished returns (MDRs), the effects of socioeconomic status (SES) such as education on the health outcomes are considerably smaller for ethnic minorities than for Whites. The role of MDRs as a source of ethnic health disparities is, however, still unknown. Objectives: The current study had two aims: first, to explore the association between years of schooling and having taken a prostatespecific antigen (PSA) test among men in the US, and second, to explore ethnic differences in this association. Methods: This study was a secondary analysis of data from the National Health Interview Survey (NHIS-2015). The data of 5,053 men aged 55 years or older who were either Latino, non-Latino, African–American, or White were analyzed. Years of schooling was the independent variable. The dependent variable was taking a PSA test sometime during one’s lifetime. Age, region, and employment were the control variables. Ethnicity was the focal moderating variable. Binary logistic regression was used for data analysis. Results: A higher number of years of schooling was associated with higher odds of having taken a PSA test, net of all confounders. Ethnicity showed a significant statistical interaction with years of schooling on having taken a PSA test. This interaction was suggestive of a smaller slope for Latino men than non-Latino men. White and African American men did not show differential effects of years of schooling on having taken a PSA test. Conclusion: Similar to the MDRs patterns in other domains, non-Latino White men show more health gain from their years of schooling than Latino men. Highly educated Latino men still need programs to encourage their use of prostate cancer screening.
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Hemmingsson, Tomas, Jenny Selander y Katarina Kjellberg. "O6C.3 The association between long-term exposure from heavy physical work load and coronary heart disease in middle aged men". Occupational and Environmental Medicine 76, Suppl 1 (abril de 2019): A56.2—A56. http://dx.doi.org/10.1136/oem-2019-epi.151.
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ObjectivesPrevious studies have shown conflicting results concerning the association between heavy physical work load and risk of coronary heart disease (CHD). The aim of this study was to investigate the association between long-term exposure to heavy physical work load in middle age and risk of CHD among Swedish men during almost 20 years of follow-up.MethodsThe study is based on a cohort of around 40 000 Swedish males, born 1949–51, with census information on occupation in 1985 and 1990 (at ages 34–41). Aspects of physical workload was estimated from job exposure matrices based on questions concerning heavy lifting, strenuous work postures, and physically strenuous work from the Swedish Work Environment Surveys 1989–97. Mean values for each physical exposure variable were assigned to over 300 occupational titles from the censuses conducted in 1985 and 1990. Only those 29 530 subjects who were in the same quintile of exposure both years were included in the analyses. Information on smoking behavior and body mass index (BMI) was collected at compulsory conscription for military training in 1969/70 (at 18–20 years of age), and follow up data on CHD (1457 cases) between the years 1991–2009.ResultsAn increased relative risk of CHD were found among workers in the quintiles with medium low (HR=1.36 CI95%=1.14–1.62), medium (HR=1.46 CI95%=1.23–1.74), medium-high (HR=1.62 CI95%=1.36–1.91), and high (HR=1.45 CI95%=1.22–1.71) exposure to heavy lifting at work compared with those in the quintile with low exposure to heavy lifting. After adjustment for smoking and BMI the risk estimates were somewhat lower but still significantly increased. Risk estimates of the same magnitude were seen for a number of other aspects of the physical work environment.ConclusionThere was an association between long-term exposure from heavy physical work load and CHD even after adjustement for smoking and BMI.
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Chung, Sangwon, Min-Yu Chung, Hyo-Kyoung Choi, Jae Ho Park, Jin-Taek Hwang y Hyojee Joung. "Animal Protein Intake Is Positively Associated with Metabolic Syndrome Risk Factors in Middle-Aged Korean Men". Nutrients 12, n.º 11 (6 de noviembre de 2020): 3415. http://dx.doi.org/10.3390/nu12113415.
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Few studies have examined the relationship of protein intake by food source with metabolic syndrome in Korean adults, even though animal food intake has increased. This study examined the association between plant and animal protein intake and metabolic syndrome among middle-aged Korean adults. A total of 13,485 subjects aged 30–64 years were selected from the 2013–2018 Korea National Health and Nutrition Examination Survey. Protein intake was assessed using 24-h dietary recall data and divided into quintiles. Men had a higher percentage of energy intake from animal protein (7.4%) than plant protein (6.9%). Men in the highest quintile group of animal protein intake had a higher prevalence of abdominal obesity (OR: 1.30, 95% CI: 1.00–1.70), reduced high-density lipoprotein cholesterol (HDL-C) (OR: 1.43, 95% CI: 1.07–1.90), and elevated fasting glucose (OR: 1.32, 95% CI: 1.01–1.74), after adjusting for covariates. Furthermore, stronger associations of animal protein intake with abdominal obesity were shown in men who consumed less than estimated energy requirements (OR: 1.60, 95% CI: 1.11–2.31). Plant protein intake was negatively associated with increased blood pressure in men. Neither animal nor plant protein intakes were significantly associated with any of the metabolic syndrome risk factors in women. The results imply that lower animal protein intake may be a beneficial factor for metabolic syndrome management in middle-aged Korean men.
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Lv, Yuebin, Chen Mao, Zhaoxue Yin, Furong Li, Xianbo Wu y Xiaoming Shi. "Healthy Ageing and Biomarkers Cohort Study (HABCS): a cohort profile". BMJ Open 9, n.º 10 (octubre de 2019): e026513. http://dx.doi.org/10.1136/bmjopen-2018-026513.
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PurposeThe Chinese Longitudinal Healthy Longevity Survey Biomarkers Cohort (Healthy Ageing and Biomarkers Cohort Study (HABCS)) was established to investigate the determinants of healthy aging and mortality among the oldest old in China. Besides collecting health status, behavioural and sociodemographic circumstances, the present study also gathers comprehensive data for the elderly by simultaneously collecting, detecting, analysing blood and urine, respectively.ParticipantsHABCS is a community-based longitudinal multiwave study of older men and women aged 65 or above. Baseline survey and the follow-up surveys with replacement for deceased elderly were conducted in eight longevity areas in China, which cover the northern, middle and southern parts of China. Between 2008 and 2017, 6333 participants were included in HABCS, comprising 1385 centenarians, 1350 nonagenarians, 1294 octogenarians, 1577 younger elderly (aged 65–79).Findings to dateWe have found that higher baseline levels of (1) total cholesterol, (2) low-density lipoprotein cholesterol (LDL-C) and (3) superoxide dismutase activity were associated with greater cognitive decline. While (4) higher LDL-C level was associated with lower risk of all-cause mortality. There was a reverse association between (5) plasma vitamin D and cognitive impairment in cross-sectional and prospective study.Future plansWe are currently exploring the relationships between various biomarkers and different outcomes such as cognitive function and mortality. This longitudinal cohort study will be continued in the future.
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Wesołowska, Paula. "Body image and quality of life for middle-age men practicing long-distance running". Studies in Sport Humanities 27 (9 de diciembre de 2020): 21–27. http://dx.doi.org/10.5604/01.3001.0014.6095.
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Physical activity is an integral part of a healthy lifestyle, regardless of an individual human’s stage of life. The aim of the study was to investigate the relationship between long-distance running and body image,as well as quality of life amongmiddle-aged Polish men practicing long distance-running. Furthermore, the study was aimed at comparing their group in terms of the above variables with the group of men not undertaking physical activity. The study was conducted in 2018 among 220 men. The research tool consisted of: an original personal survey, the Body Scale Image and the Shortened Version of the WHOQOL-BREF (The World Health Organization Quality of Life) Survey. It has been shown that practicing physical activity aff ects the perception of one’s body among men in the middle of adulthood, while its impact on the sense of quality of life has not been confi rmed. It has been proven that men who practice long-distance running diff er signifi cantly in the perception of their own body from men not performing any physical activity.
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Clause-Verdreau, Anne-Caroline, Étienne Audureau, Alain Leplège y Joël Coste. "Contrasted trends in health-related quality of life across gender, age categories and work status in France, 1995–2016: repeated population-based cross-sectional surveys using the SF-36". Journal of Epidemiology and Community Health 73, n.º 1 (9 de octubre de 2018): 65–72. http://dx.doi.org/10.1136/jech-2018-210941.
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BackgroundInterest in monitoring health-related quality of life (HRQoL) in general populations has increased in the past 20 years, reinforced by population ageing and repeated economic crises. This study aims to identify temporal trends in HRQoL in France between 1995 and 2016 and to assess disparities according to demographic and socioeconomic characteristics.MethodsData from repeated population-based cross-sectional surveys conducted in 1995, 2003 and 2016 were used. HRQoL was measured using the Medical Outcomes Study 36-item Short Form (SF-36) questionnaire.ResultsA substantial decrease in score was observed between 1995 and 2016 for both genders in almost all subscales of the SF-36, with the largest decrease being in the mental health dimension for men. However, the age group 18–54 years were the most affected with persistent negative or even worsening trends in HRQoL. The largest decreases were among men aged 45–54 years and women aged 35–44 years in most dimensions, and among the age group 18–24 years in vitality. Conversely, an overall improvement was noted among the age group 65–84 years. People in employment were more affected than the unemployed by the decline in several HRQoL dimensions.ConclusionA general decline in HRQoL was found between 1995 and 2016 in the French population, but with wide disparities in trends between age groups. Young and especially middle-aged, employed people exhibited persistent negative and worsening trends. Consistent with evidence from traditional mental health morbidity and mortality indicators, our findings raise questions about the potential influence of macro-socioeconomic factors, especially the 2008 crisis; these observations deserve special attention from health policy-makers.
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Cao, Gui-Ying, Shan-Shan Yao, zi-shuo Chen, Zi-Ting Huang y Beibei Xu. "TEMPORAL TRENDS IN INCIDENCE RATES OF VISION IMPAIRMENT AMONG MIDDLE-AGED AND OLDER CHINESE". Innovation in Aging 3, Supplement_1 (noviembre de 2019): S485—S486. http://dx.doi.org/10.1093/geroni/igz038.1803.
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Abstract This study aimed to investigate temporal trends in the incidence rates (IRs) of vision impairment (VI) and explore its associated factors among middle-aged and older Chinese. Data were obtained from China Health and Retirement Longitudinal Study (CHARLS, 2011-2015) and Chinese Longitudinal Healthy Longevity Survey (CLHLS, 1998-2014). There were 20,467 participants with a mean age of 57.4 years from CHARLS and 21,210 participants with a mean age of 90.0 years from CLHLS. Distance and near vision were self-reported in CHARLS and performance-based vision was assessed in CLHLS. Crude and age-adjusted IRs per 1,000 person years (PY) of distance vision impairment (DVI), near vision impairment (NVI) and both distance and near vision impairment (DNVI) in CHARLS and VI in CLHLS were calculated for each wave of surveys. Risk factor adjusted temporal trends in the incidence were examined using regression models. Age-standardised IRs for DVI, NVI and DNVI significantly decreased from 79.4 to 41.2, 95.1 to 48.0 and 40.0 to 21.3 (P < 0.001) from 2013 to 2015, respectively. Male gender, higher education, no ADL disability, no depression, no multimorbidity were associated with lower IRs of DVI, NVI or DNVI. Younger age was associated with lower IRs of DVI and DNVI but higher IRs of NVI. Age-standardised IR of VI significantly decreased from 131.6 to 71.9 (P = 0.010) from 2000 to 2014, and higher education and living in the South were associated with lower IR of VI. Future studies may further investigate the causality of such phenomenon.
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Pedersen, Jacob, Svetlana Solovieva, Sannie Vester Thorsen, Malene Friis Andersen y Ute Bültmann. "Expected Labor Market Affiliation: A New Method Illustrated by Estimating the Impact of Perceived Stress on Time in Work, Sickness Absence and Unemployment of 37,605 Danish Employees". International Journal of Environmental Research and Public Health 18, n.º 9 (7 de mayo de 2021): 4980. http://dx.doi.org/10.3390/ijerph18094980.
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As detailed data on labor market affiliation become more accessible, new approaches are needed to address the complex patterns of labor market affiliation. We introduce the expected labor market affiliation (ELMA) method by estimating the time-restricted impact of perceived stress on labor market affiliation in a large sample of Danish employees. Data from two national surveys were linked with a national register. A multi-state proportional hazards model was used to calculate ELMA estimates, i.e., the number of days in work, sickness absence, and unemployment during a 4-year follow-up period, stratified by gender and age. Among employees reporting frequent work-related stress, the expected number of working days decreased with age, ranging from 103 days lost among older women to 37 days lost among younger and middle-aged men. Young and middle-aged women reporting frequent work- and personal life-related stress lost 62 and 81 working days, respectively, and had more days of sickness absence (34 days and 42 days). In conclusion, we showed that perceived stress affects the labor market affiliation. The ELMA estimates provide a detailed understanding of the impact of perceived stress on labor market affiliation over time, and may inform policy and practice towards a more healthy and sustainable working life.
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Borba-Pinheiro, Claudio Joaquim, Amauri Gouveia-Jr, Italo Sérgio Lopes Campos, Edna Cristina Santos Franco, Alam dos Reis Saraiva, Délson Lustosa de Figueirêdo y Alexandre Janotta Drigo. "Methodology Adapted to the Practice of Judo for Older Men". International Journal of Physical Education, Fitness and Sports 9, n.º 4 (5 de diciembre de 2020): 51–59. http://dx.doi.org/10.34256/ijpefs2046.
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Our study presents a methodological proposal for the practice of judo as a viable, alternative exercise method to improve the health of older men and seniors. Bibliographic survey was utilized to analyze the results. A number of studies attempt to adapt the practice of judo to enhance different health variables in middle-aged and elderly men. The proposal of adapting judo methodology to older men was conceived based on these studies. The methodological proposal presented in this study corroborates the health and quality of life needs of judo enthusiasts, in addition to providing an opportunity for exercise that is normally appealing to men. In this respect, the methodological adaptations described in the present study may be an effective and viable way to prevent disease, maintain and promote health and quality of life, applying an exercise method that uses adapted judo training.
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Wang, Meng, Yanqing Yi, Barbara Roebothan, Jennifer Colbourne, Victor Maddalena, Peizhong Peter Wang y Guang Sun. "Body Mass Index Trajectories among Middle-Aged and Elderly Canadians and Associated Health Outcomes". Journal of Environmental and Public Health 2016 (2016): 1–9. http://dx.doi.org/10.1155/2016/7014857.
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Background. Whether there is heterogeneity in the development of BMI from middle-age onward is still unknown. The primary aim of this study is to analyze long-term obesity and how BMI trajectories are associated with health outcomes in midlife.Methods. Latent Class Growth Modelling was used to capture the changes in BMI over time. In this study, 3070 individuals from the National Population Health Survey (NPHS), aged 40–55 years at baseline, were included.Results. Four BMI trajectory groups, “Normal-Stable” (N-S), “Overweight-Stable” (OV-S), “Obese I-Stable” (OB I-S), and “Obese II-Stable” (OB II-S), were identified. Men, persons of White ancestry, and individuals who had no postsecondary education had higher odds of being in the latter three groups. Moreover, members of the OV-S, OB I-S, and OB II-S groups experienced more asthma, arthritis, hypertension, diabetes, heart disease, cognitive impairment, and reduced self-rated overall health. Individuals in the OB II-S group were at greater risk for back problems, chronic bronchitis or emphysema, and emotional issues when compared to the N-S group.Conclusion. Understanding different BMI trajectories is important in order to identify people who are at the highest risk of developing comorbidities due to obesity and to establish programs to intervene appropriately.
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Thorpe, Roland J., Shondelle M. Wilson-Frederick, Janice V. Bowie, Kisha Coa, Olivio J. Clay, Thomas A. LaVeist y Keith E. Whitfield. "Health Behaviors and All-Cause Mortality in African American Men". American Journal of Men's Health 7, n.º 4_suppl (6 de mayo de 2013): 8S—18S. http://dx.doi.org/10.1177/1557988313487552.
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Because of the excess burden of preventable chronic diseases and premature death among African American men, identifying health behaviors to enhance longevity is needed. We used data from the Third National Health and Nutrition Examination Survey 1988-1994 (NHANES III) and the NHANES III Linked Mortality Public-use File to determine the association between health behaviors and all-cause mortality and if these behaviors varied by age in 2029 African American men. Health behaviors included smoking, drinking, physical inactivity, obesity, and a healthy eating index score. Age was categorized as 25-44 years ( n = 1,045), 45-64 years ( n = 544), and 65 years and older ( n = 440). Cox regression analyses were used to estimate the relationship between health behaviors and mortality within each age-group. All models were adjusted for marital status, education, poverty-to-income ratio, insurance status, and number of health conditions. Being a current smoker was associated with an increased risk of mortality in the 25- to 44-year age-group, whereas being physically inactive was associated with an increased risk of mortality in the 45- to 64-year age-group. For the 65 years and older age-group, being overweight or obese was associated with decreased mortality risk. Efforts to improve longevity should focus on developing age-tailored health promoting strategies and interventions aimed at smoking cessation and increasing physical activity in young and middle-aged African American men.
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Birkeland, Søren F., Anders K. Haakonsson, Susanne S. Pedersen, Nina Rottmann, Michael J. Barry y Sören Möller. "Sociodemographic Representativeness in a Nationwide Web-Based Survey of the View of Men on Involvement in Health Care Decision-Making: Cross-Sectional Questionnaire Study". Journal of Medical Internet Research 22, n.º 9 (2 de septiembre de 2020): e19517. http://dx.doi.org/10.2196/19517.
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Background Being able to generalize research findings to a broader population outside of the study sample is an important goal in surveys on the internet. We conducted a nationwide, cross-sectional, web-based survey with vignettes illustrating different levels of patient involvement to investigate men’s preferences regarding participation in health care decision-making. Following randomization into vignette variants, we distributed the survey among men aged 45 to 70 years through the state-authorized digital mailbox provided by the Danish authorities for secure communication with citizens. Objective This study aimed to investigate the sociodemographic representativeness of our sample of men obtained in a nationwide web-based survey using the digital mailbox. Methods Response rate estimates were established, and comparisons were made between responders and nonresponders in terms of age profiles (eg, average age) and municipality-level information on sociodemographic characteristics. Results Among 22,288 men invited during two waves, a total of 6756 (30.31%) participants responded to the survey. In adjusted analyses, responders’ characteristics mostly resembled those of nonresponders. Response rates, however, were significantly higher in older men (odds ratio [OR] 2.83 for responses among those aged 65-70 years compared with those aged 45-49 years, 95% CI 2.58-3.11; P<.001) and in rural areas (OR 1.10 compared with urban areas, 95% CI 1.03-1.18; P=.005). Furthermore, response rates appeared lower in areas with a higher tax base (OR 0.89 in the highest tertile, 95% CI 0.81-0.98; P=.02). Conclusions Overall, the general population of men aged 45 to 70 years was represented very well by the responders to our web-based survey. However, the imbalances identified highlight the importance of supplementing survey findings with studies of the representativeness of other characteristics of the sample like trait and preference features, so that proper statistical corrections can be made in upcoming analyses of survey responses whenever needed.
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Chung, Jae Ho, Hee Jin Hwang, Hyun-Young Shin y Chang Hoon Han. "Association between Sarcopenic Obesity and Bone Mineral Density in Middle-Aged and Elderly Korean". Annals of Nutrition and Metabolism 68, n.º 2 (8 de diciembre de 2015): 77–84. http://dx.doi.org/10.1159/000442004.
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Objectives: To identify the prevalence of osteosarcopenic obesity and to evaluate the association between sarcopenic obesity and bone mineral density in middle-aged and elderly Korean. Methods: This study included 3,385 males and 4,064 females (age ≥50 years and in the stage of menopause) who participated in the Korean National Health and Nutrition Examination Survey (KNHANES) from 2008 to 2011. The cutoff value for sarcopenia was 7.26 kg/m2 for men and 5.45 kg/m2 for female. The fat mass was >30% for men and 40% for female; these values were used to define obesity. Based on the combination of sarcopenia and obesity status, all subjects were classified as sarcopenic obese (SO), sarcopenic nonobese (SNO), nonsarcopenic obese (NSO), or nonsarcopenic nonobese. Results: The incidence rates of sarcopenia, sarcopenic obesity, and osteosarcopenic obesity were 31.5, 5.1, and 4.1%, respectively. Following adjustment, the ORs for osteoporosis were 8.67 in the SO group (95% CI 4.19-17.94), 3.85 in the SNO group (95% CI 2.61-5.67), and 1.88 in the NSO group (95% CI 0.72-4.91) in men and 2.93 in the SO group (95% CI 1.99-4.32), 1.71 in the SNO group (95% CI 1.31-2.23), and 0.58 in the NSO group (95% CI 0.43-0.78) in women. Conclusions: Sarcopenic obesity is associated with the development of osteoporosis among the middle-aged and elderly Korean population.