scholarly journals Falls among the non-institutionalized elderly in northern Minas Gerais, Brazil: prevalence and associated factors

2016 ◽  
Vol 19 (4) ◽  
pp. 613-625 ◽  
Author(s):  
Jair Almeida Carneiro ◽  
Gizele Carmen Fagundes Ramos ◽  
Ana Teresa Fernandes Barbosa ◽  
Élen Débora Souza Vieira ◽  
Jéssica Santos Rocha Silva ◽  
...  

Abstract Objective: To identify the prevalence of falls and associated factors in non-institutionalized elderly persons. Methods: A cross-sectional study featuring a population-based sample of non-institutionalized elderly persons in a city in the north of Minas Gerais was performed. Interviews were conducted in households by trained staff using validated instruments. We investigated the associations between falls and demographic, socioeconomic and health-related factors. After bivariate analysis, the variables associated with falls to a level of 20% were analyzed together using logistic regression, assuming at this stage a significance level of 5%. Results: The studied population was predominantly female, married and with a low educational level. The prevalence of falls was 28.4%. The factors that were associated with falls were: female gender (OR=1.67; 95% CI:1.13 to 2.47); negative self-evaluation of health (OR=1.49; 95% CI: 1.02 to 2.20); impaired functional mobility (Timed Up and Go test >20 seconds) (OR=1.66; 95CI: 1.02-2.74); the occurrence of hospitalization in the previous 12 months (OR=1.82; 95% CI: 1.17 to 2.84); and frailty measured by the Edmonton Frail Scale (OR=1.73; 95% CI: 1.14 to 2.64). Conclusions: The prevalence of falls was high for the population studied and was related to the individual health conditions of the elderly.

2016 ◽  
Vol 19 (6) ◽  
pp. 995-1003 ◽  
Author(s):  
Lidiane Maria de Brito Macedo Ferreira ◽  
◽  
Javier Jerez-Roig ◽  
Fabienne Louise Juvêncio Paes de Andrade ◽  
Nayara Priscila Dantas de Oliveira ◽  
...  

Abstract Objective: The present study aimed to estimate the prevalence of falls among institutionalized elderly persons and identify associated factors. Method: A cross-sectional study of elderly residents of Care Facilities For the Elderly in Natal, Rio Grande do Norte, was carried out. The elderly persons could walk independently and did not have severe cognitive impairment. Data was obtained about the institution and socio-demographic and health information was collected. A physical examination was performed to evaluate frailty, mobility and balance (Timed up and go, Berg Balance Scale, Gait speed and Sitting-rising Test - SRT). Statistical analysis was performed using the Chi-squared Test for a 5% significance level. Results: Sixty-three elderly persons were within the search criteria. Of these 22.2% had fallen in the past year. Only the SRT was associated with these falls. Conclusion: It was concluded that the studied population has a low prevalence of falls, and the ability to perform less than 5 repetitions in the SRT was associated with episodes of falling.


2017 ◽  
Vol 20 (1) ◽  
pp. 138-148 ◽  
Author(s):  
Natália Araujo de Almeida ◽  
Annelita Almeida Oliveira Reiners ◽  
Rosemeiry Capriata de Souza Azevedo ◽  
Ageo Mário Cândido da Silva ◽  
Joana Darc Chaves Cardoso ◽  
...  

Abstract Objective: to verify the prevalence of and factors associated with polypharmacy among elderly residents of the city of Cuiabá, in the state of Mato Grosso. Method: a cross-sectional study of 573 people aged 60 and over was performed. Polypharmacy was defined as the use of five or more medications. To investigate the association between polypharmacy and sociodemographic variables, health and access to medication, the Mantel Haenszel chi square test was used in bivariate analysis and Poisson regression was used in multivariate analysis. The significance level adopted was 5%. Result: the prevalence of polypharmacy was 10.30%. Statistically significant associations were found between polypharmacy and living with others, describing suffering from circulatory, endocrine, nutritional and digestive tract diseases, and referring to financial difficulties for the purchase of medicines. Conclusion: some social and health condition factors play an important role in the use of multiple medications among the elderly.


2017 ◽  
Vol 20 (6) ◽  
pp. 856-868 ◽  
Author(s):  
Maria Cecília Azevedo de Aguiar ◽  
Natália Cristina Garcia Pinheiro ◽  
Karolina Pires Marcelino ◽  
Kenio Costa de Lima

Abstract Objective: to evaluate the prevalence of halitosis and associated factors in institutionalized elderly persons. Methods: a sectional study was performed with 268 elderly persons from 11 long-term care institutions in Natal in the northeast of Brazil. Data collection included an oral epidemiologic examination and questions about self-perception of oral health, as well as a consultation of medical records and the application of a questionnaire to the directors of the institutions. Halitosis was measured using the organoleptic test. The independent variables were oral, sociodemographic, institutional, general health and functional conditions. Bivariate analysis was performed using the Pearson chi-square test and Fisher's exact test, and the magnitude of effect was verified by the prevalence ratio for the independent variables in relation to the outcome, with a 95% confidence level. Results: the prevalence of halitosis was 26.1%, which was exhaled by the mouth in 98.57% of cases and by the nose in 10% of cases. Prevalence was 43% higher among non-white individuals (p=0.006); 65% higher among those living in non-profit institutions (p=0.039); 52% higher in elderly persons with oriented cognitive status (p=0.047); 41% higher in elderly persons with root caries (p=0.029); 62% higher in those who did not use dentures (p=0.046); 57% lower in edentulous persons (p<0.001); and 73% higher in elderly individuals with tongue biofilm (p=0.001). Conclusion: The occurrence of halitosis in institutionalized elderly persons was similar to other studies, but there was an expressive number of extrabuccal cases and an association with oral health problems, as well as sociodemographic, institutional and functional factors.


2021 ◽  
Vol 16 (1) ◽  
pp. 14-22
Author(s):  
Urip Tri Wijayanti

Background: The use of modern contraceptives in Central Java tends to decrease while traditional methods are increasing. The purpose of this study was to determine the factors associated with the use of traditional contraceptives among currently married women aged 15-49 in Central Java Province. The factors discussed include the number of children born alive, wife's age, wife's education, wife's occupation, residence, and access/utilization of family planning information sources.Method: The research design was cross-sectional, used secondary data from the Central Java SKAP 2019. The total number of respondents was 2.088 married women aged 15-49 years and not currently pregnant. Data collected by interview using a structured questionnaire. Data analysis with univariate analysis and bivariate analysis using the chi-square statistical test with a significance level of 5%.Results: The research found that most respondents were ≥ 35 years old, having ≥ 2 children, having high education level (senior high school to higher education), not working, living in the cities, and able to use some media to find information about family planning. The related factors to the use of traditional contraceptive methods were education and residences. The number of live birth children, ages, jobs, and the use of media did not influence the use of the traditional contraceptive method.


Author(s):  
Akriti Kafle ◽  
Maginsh Dahal ◽  
Sudip Khanal ◽  
Kushalata Baral ◽  
Sirjana Pandit Pahari ◽  
...  

It is great time to know the psychological consequences and know how hoteliers are coping to it because of Covid19 lockdown. Thus we tried to access prevalence of perceived stress and associated factors among hoteliers of Nepal. A hotel based quantitative descriptive cross-sectional study was done using a structured questionnaire cum interview schedule. The data was recorded in Microsoft Excel sheet, and was analyzed using Statistical Package for Social Sciences version 23. A descriptive analysis was done using mean, frequency, percentage and standard deviation. Bivariate analysis was done using Mann-whitney U test and Kruskal Wallis test as the data were non-normal. Significance level was observed at p-value less than 0.05. There was significant relation between stress score and variables like age, gender, marital status, smoking, alcohol, bread winner, sound sleep, family conflict, too many responsibilities, pay loans, pay rent of hotel, other source of income, paying salary, happy with government, lockdown only solution, economic problem and social problems. (p -value <0.05) Male had significantly higher stress than female. Similarly married participants showed significantly higher stress than unmarried. Stress level has been increased among the hoteliers of Nepal due to covid19 lockdown and has affected the tourism sector very badly.


2021 ◽  
Vol 05 (04) ◽  
pp. 79-88
Author(s):  
Duc Nguyen ◽  
Thi My Bui ◽  
Thanh Phung

Objective: Improving quality of healthcare services is one of a crucial issues for the current implementation and development in hospitals. Method: A cross-sectional study was applied by using the combination of quantitative and qualitative approaches to identify the quality of healthcare services among inpatents and associated factors in Ho Chi Minh Oncology hospital from April 2020 to August 2020. A total of 400 inpatients and 16 health staffs were selected in this study. The study tool was designed by using SERVPERF to measure the quality of healthcare services in 5 aspects (including tangibles, reliability, responsiveness, assurance and sympathy) with 5-Likert-scale. Bivariate analysis was applied to identify the associated factors with the categorical dependent variable of healthcare quality, with significant level p<0.05. Result: The results demonstrated that only 26.8% of inpatients satisfied with the quality of healthcare services. In term of healthcare services quality, the assurance aspect had 70.8% of inpatients rated as satisfactory. The remaining aspects were with the lower rate, particularly sympathetic (43.5%), reliable (37.8%), responstive (32%) and tangible (31.5%). Conclusion: There was an inadequate proportion of healthcare staffs, limited training and motivation, performance assessment, lacking of supervion and support, influencing the quality of healthcare services. It is necessary to facilitate the capacity building for health staffs, implement the working performance assessment based on job positions and strengthen activities of supervision and support. Keyword: Healthcare services, healthcare quality, inpatients, SERVPERF,…


2015 ◽  
Vol 18 (3) ◽  
pp. 630-641 ◽  
Author(s):  
Marília Galvão Chaves Lemes ◽  
Maria do Rosário Gondim Peixoto ◽  
Ida Helena Carvalho Francescantonio Meneses ◽  
Maria do Carmo Matias Freire

OBJECTIVE: To investigate the prevalence of dental pain and associated factors in 2-4-year-old children in Goiânia (GO). METHODS: Cross-sectional study using home interviews with parents or guardians and anthropometric measures. The sample consisted of 385 children from 2 to 4 years old. The variables analyzed were: dental pain sometime in their lives, and demographic, socioeconomic and health-related factors (health condition, diet, nutritional status and behavior). Bivariate analysis and logistic regression were performed, based on a hierarchical model for risk assessment, considering the sample weights. RESULTS: Dental pain prevalence was 9.9% (95%CI 7.4 - 13.1). After adjustment for other variables, children whose mothers had low education level and those who regularly consumed artificial powder juice containing sugar were more likely to have dental pain (OR = 3.03 and 2.15, respectively). CONCLUSION: It was concluded that one in ten children had dental pain, and the prevalence was associated with low education level of the mother and the regular consumption of artificial powder juice.


2016 ◽  
Vol 19 (6) ◽  
pp. 987-994 ◽  
Author(s):  
Elias Nasrala Neto ◽  
◽  
Walkiria Shimoya Bittencourt ◽  
Mara Lilian Soares Nasrala ◽  
Andre Luiz Lopes de Oliveira ◽  
...  

Abstract Objective: To investigate the association between low back pain and functional capacity among non-institutionalized elderly persons. Method: A cross-sectional observational study of non-institutionalized elderly persons was performed. The Timed Up and Go (TUG) and Sitting-Rising Test (SRT) functional tests were used, together with the Roland Morris Disability Questionnaire (RMDQ). Result: A total of 99 elderly persons of both genders were included. Kendall’s Correlation analysis showed a significant correlation between the RMDQ and the SRT scores for the act of sitting (p=0.001) and the act of lifting (p=0.028). Despite the statistical significance, these two variables were weakly correlated (r=-239;r=-163). The results also identified a statistically significant correlation between the TUG and SRT tests for the act of sitting (r=-222; p=0.003) and the act of lifting (r=-206; p=0.006). Conclusion: It was observed that most of the non-institutionalized elderly persons had good functional capacity. It is also possible to affirm that there is an association between low back pain and functional capacity.


2017 ◽  
Vol 5 (1) ◽  
pp. 66
Author(s):  
Jeane Ferreira Silva ◽  
Ilda Carla da Silva Martuscelli ◽  
Viviane Lemos Silva Fernandes ◽  
Fábio Fernandes Rodrigues ◽  
Luciana Caetano Fernandes ◽  
...  

ResumoObjetivo: Avaliar a prevalência de quedas em idosos institucionalizados e seus fatores associados. Metodologia: Trata-se de um estudo de delineamento transversal e quantitativo. A amostra foi de conveniência, com idosos de ambos os sexos, residentes em Instituição de Longa Permanência para Idosos. Foi avaliado o histórico de quedas nos últimos 12 meses, condições gerais de saúde-doença, a capacidade cognitiva através do Mini Exame do Estado Mental, a capacidade funcional através do índice de Katz, a Força de Preensão Palmar, a avaliação do equilíbrio estático com o Teste de Apoio Unipodal e o equilíbrio dinâmico com o Teste Timed Up and Go.  Resultados: Verificou-se que dos 20 participantes amostrados por conveniência 55% são do sexo feminino com idade média de 78,45±10,88 anos. A doença crônica que se destaca é Hipertensão Arterial Sistêmica em 55,6%, sendo que estes são idosos caidores. Constata-se que nove idosos (45%) caíram nos últimos doze meses, totalizando dezenove quedas em que 25% sofreram mais de uma queda. Dentre os fatores intrínsecos para a ocorrência de quedas destaca-se os usuários de medicamentos sendo 88,9%, e as alterações visuais em 66,7% sendo estes caidores. O local de maior ocorrência de quedas foi o quarto com nove eventos (47,37%). Conclusão: A prevalência de quedas foi alta e semelhante a outros estudos nacionais, demonstrando a necessidade de identificar os fatores de risco associados em idosos institucionalizados, e a partir disso traçar estratégias passiveis de intervenção, para corrigir ou minimizar as chances de novas quedas nessa população.Palavras-chave:Idoso. Quedas. Fatores de risco. AbstractObjective: This study aimed at evaluating the prevalence of falls in institutionalized elderly people and their associated factors. Methodology: this is about a of cross- sectional and quantitative study. The sample was of convenience, with elderly people of both sexes, living in a Long Stay Institution for the Elderly. It was assessed the history of falls in the last 12 months, general conditions of health- disease, cognitive capacity through the Mini Mental State Examination, the functional capacity through the Katz index, the Handgrip strength, the evaluation of the static balance with the Unipodal Support Test and the dynamic balance with the Time Up and Go (TUG) test.  Results: It was verified that among the 20 participants sampled by convenience 55% are females members with an average age of 78,45±10,88. The most common chronic disease is the Systemic Arterial Hypertension in 55,6%, being these, elderly who falls. It was verified that 9 elderly people had fallen in the last 12 months, numbering nineteen falls which 25% suffered more than one fall. Among the intrinsic factors for the occurrence of falls, it stands out the ones who make use of medicines 88,9% and the ones with visual changes in 66,7% being people who fall. The place where most of the falls happened was the bedroom with nine events (47,37%). Conclusion: The prevalence of falls was high and similar to other national studies, demonstrating the need to identify the associated risk factors in institutionalized elderly, and from there to draw up intervention strategies to correct or minimize the chances of further falls in this population.Keyword:Elderly. Falls. Risk factors.


2020 ◽  
Vol 2 (1) ◽  
pp. 53-59
Author(s):  
Josimara A. de Araújo Varela ◽  
Tatiana F.T. Palitot ◽  
Smyrna L.X. de Souza ◽  
Alidianne F.C. Cavalcanti ◽  
Alessandro L. Cavalcanti

Objective: This study aimed to analyze the presence of lesions in the skull and face and the associated factors in pedestrian victims of traffic accidents. Methods: A cross-sectional, descriptive-analytical study carried out through the analysis of medical records of pedestrian victims of traffic accidents in an emergency service in the city of Campina Grande, Brazil, during the year of 2016. Information was collected regarding gender, age group, day of the week, time of the accident, type of vehicle involved, presence of trauma to the skull and face, and outcomes. The Chi-square and Fisher's Exact tests were used, with a significance level of 5%. Results: A total of 1,884 medical records were evaluated, out of which 7.1% (n = 133) involved pedestrians. Men were the most frequent victims (68.4%), and victims of age 60 years old or over (30.5%) predominated. Almost one-third of the cases were recorded during the weekends (30.5%), and the most prevalent time was at night (52.7%). Regarding the type of vehicle involved, motorcycles predominated (47.4%). Head trauma was present in 37.6% of victims, while facial injuries corresponded to 8.2%. In 12% of cases, the victims died. The variables of gender, age group, occurrence on weekends, and trauma to the face showed a statistically significant association with the occurrence of traffic accidents (Chi-square test; p<0.05). Conclusion: Among pedestrian victims of traffic accidents, there is a predominance of men aged 65 years or over. Accidents are frequent at night, and motorcycles are the main vehicles involved. The presence of trauma to the skull and face regions is high.


Sign in / Sign up

Export Citation Format

Share Document