AIM：To evaluate the association between visual impairment（VI） and mental health or social engagement in older adults living in rural Thailand.METHODS：Data for this cross-sectional study were drawn from a community...AIM：To evaluate the association between visual impairment（VI） and mental health or social engagement in older adults living in rural Thailand.METHODS：Data for this cross-sectional study were drawn from a community survey conducted in 2015 in Saraburi Province,Thailand.Participants were 327 adults aged ≥50 y.VI was assessed using presenting distance visual acuity.Mental health and social engagement were evaluated in face-to-face interviews using validated questionnaires.After determining the prevalence of VI and relevant sociodemographic characteristics,multivariate regression analysis was used to evaluate the impact of VI on mental health and social engagement.RESULTS：The prevalence of VI was 18.3%.Major causes were refractive error（58.3%） and cataract（35%）.Factors associated with VI in the crude analysis were：older age [odds ratio（OR） 8.08],unemployment（OR 2.72）,widowhood（OR 2.47）,being divorced/separated（OR 3.27）,smoking（OR 2.09） and disability in activities of daily living（OR 2.35）.Protective factors were undergoing eye screening at least once a year（P=0.029） and obesity（P=0.005）.VI was significantly associated with low social engagement（adjusted OR 4.13） but not with poor mental health（P〉0.05）.CONCLUSION：Although VI older adults reported less participation in social activities,there is no significant association between VI and poor mental health.Annual eye examinations may prevent VI in older adults.Information about employment and anti-smoking should be targeted to older adults with VI.展开更多
<strong>Background: </strong><span style="font-family:;" "=""><span style="font-family:Verdana;">Cardiovascular</span><b><i><span style=&...<strong>Background: </strong><span style="font-family:;" "=""><span style="font-family:Verdana;">Cardiovascular</span><b><i><span style="font-family:Verdana;"> </span></i></b><span style="font-family:Verdana;">risk factors play </span></span><span style="font-family:Verdana;">a </span><span style="font-family:;" "=""><span style="font-family:Verdana;">major role in cardiovascular disease burden worldwide. The prevalence is known to be in the increase especially in the developing countries. There is need for timely community based studies in order to keep tab with the current scope. It is against this background that we embarked on this cross-sectional community based study of the prevalence of selected cardiovascular risk factors in semi-urban community in Abakaliki Southeastern part of Nigeria in October 2016. </span><b><span style="font-family:Verdana;">Method:</span><i><span style="font-family:Verdana;"> </span></i></b><span style="font-family:Verdana;">The consecutive consenting persons of 18</span></span><span style="font-family:Verdana;"> </span><span style="font-family:;" "=""><span style="font-family:Verdana;">years and above were screened for selected cardiovascular risk factors in October 2016. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">A total of 1074 adults were seen (males-567, females-507) with age range of 18</span></span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">- 80</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">years and mean age of 35.63 ± 12.45</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">years. They were predominantly farmers, petty traders and artisans. The identified CVD risk factors were hypertension 285 (26.4%), alcohol abuse 131</span><span style="font-family:Verdana;"> </span><span style="font-family:;" "=""><span style="font-family:Verdana;">(12.1%), obesity 122 (11.3%), diabetes 97 (9%), family history of stroke 87 (8.1%), smoking 74 (6.9%) and previous stroke 29 (2.7%). </span><b><span style="font-family:Verdana;">Conclusion: </span></b><span style="font-family:Verdana;">The cardiovascular risk factors were quite prevalent with male preponderance of alcohol abuse and smoking.</span></span>展开更多
To the Editor:Dementia is a common degenerative disease characterized by a progressive decline in cognitive function and the ability to perform activities of daily living.In 2010,>35 million people worldwide were l...To the Editor:Dementia is a common degenerative disease characterized by a progressive decline in cognitive function and the ability to perform activities of daily living.In 2010,>35 million people worldwide were living with dementia,and this number is expected to increase to>115 million by 2050.[1]Mild cognitive impairment(MCI)is an intermediate state between normal aging and dementia,and it has a higher risk of transition to dementia.[2]Over the past few decades,>100 epidemiological studies have been conducted in China to investigate the prevalence of dementia and MCI and their influencing factors.Although these studies are helpful in understanding the pathogenesis of cognitive impairment,their prevalence estimates are highly inconsistent,resulting in unreliable results.These differences may be related to different age spans,inconsistent diagnostic criteria for dementia and MCI,and different assessment tools.展开更多
文摘AIM：To evaluate the association between visual impairment（VI） and mental health or social engagement in older adults living in rural Thailand.METHODS：Data for this cross-sectional study were drawn from a community survey conducted in 2015 in Saraburi Province,Thailand.Participants were 327 adults aged ≥50 y.VI was assessed using presenting distance visual acuity.Mental health and social engagement were evaluated in face-to-face interviews using validated questionnaires.After determining the prevalence of VI and relevant sociodemographic characteristics,multivariate regression analysis was used to evaluate the impact of VI on mental health and social engagement.RESULTS：The prevalence of VI was 18.3%.Major causes were refractive error（58.3%） and cataract（35%）.Factors associated with VI in the crude analysis were：older age [odds ratio（OR） 8.08],unemployment（OR 2.72）,widowhood（OR 2.47）,being divorced/separated（OR 3.27）,smoking（OR 2.09） and disability in activities of daily living（OR 2.35）.Protective factors were undergoing eye screening at least once a year（P=0.029） and obesity（P=0.005）.VI was significantly associated with low social engagement（adjusted OR 4.13） but not with poor mental health（P〉0.05）.CONCLUSION：Although VI older adults reported less participation in social activities,there is no significant association between VI and poor mental health.Annual eye examinations may prevent VI in older adults.Information about employment and anti-smoking should be targeted to older adults with VI.
文摘<strong>Background: </strong><span style="font-family:;" "=""><span style="font-family:Verdana;">Cardiovascular</span><b><i><span style="font-family:Verdana;"> </span></i></b><span style="font-family:Verdana;">risk factors play </span></span><span style="font-family:Verdana;">a </span><span style="font-family:;" "=""><span style="font-family:Verdana;">major role in cardiovascular disease burden worldwide. The prevalence is known to be in the increase especially in the developing countries. There is need for timely community based studies in order to keep tab with the current scope. It is against this background that we embarked on this cross-sectional community based study of the prevalence of selected cardiovascular risk factors in semi-urban community in Abakaliki Southeastern part of Nigeria in October 2016. </span><b><span style="font-family:Verdana;">Method:</span><i><span style="font-family:Verdana;"> </span></i></b><span style="font-family:Verdana;">The consecutive consenting persons of 18</span></span><span style="font-family:Verdana;"> </span><span style="font-family:;" "=""><span style="font-family:Verdana;">years and above were screened for selected cardiovascular risk factors in October 2016. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">A total of 1074 adults were seen (males-567, females-507) with age range of 18</span></span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">- 80</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">years and mean age of 35.63 ± 12.45</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">years. They were predominantly farmers, petty traders and artisans. The identified CVD risk factors were hypertension 285 (26.4%), alcohol abuse 131</span><span style="font-family:Verdana;"> </span><span style="font-family:;" "=""><span style="font-family:Verdana;">(12.1%), obesity 122 (11.3%), diabetes 97 (9%), family history of stroke 87 (8.1%), smoking 74 (6.9%) and previous stroke 29 (2.7%). </span><b><span style="font-family:Verdana;">Conclusion: </span></b><span style="font-family:Verdana;">The cardiovascular risk factors were quite prevalent with male preponderance of alcohol abuse and smoking.</span></span>
基金China Ministry of Science and Technology(No.STI2030-Major Projects-2022ZD0213100)National Natural Science Foundation of China(Nos.82101564,82001123,and 82271607)+5 种基金Feixiang Program of Shanghai Mental Health Center(No.2020-FX-03)Shanghai Clinical Research Center for Mental Health(No.19MC1911100)Shanghai brain health foundation(No.SHBHF2016001)Chinese Academy of Sciences(No.XDA12040101)Shanghai Clinical Research Center for Mental Health(Nos.SCRC-MH,19MC1911100)Shanghai Science and Technology Committee(No.20Y11906800)
文摘To the Editor:Dementia is a common degenerative disease characterized by a progressive decline in cognitive function and the ability to perform activities of daily living.In 2010,>35 million people worldwide were living with dementia,and this number is expected to increase to>115 million by 2050.[1]Mild cognitive impairment(MCI)is an intermediate state between normal aging and dementia,and it has a higher risk of transition to dementia.[2]Over the past few decades,>100 epidemiological studies have been conducted in China to investigate the prevalence of dementia and MCI and their influencing factors.Although these studies are helpful in understanding the pathogenesis of cognitive impairment,their prevalence estimates are highly inconsistent,resulting in unreliable results.These differences may be related to different age spans,inconsistent diagnostic criteria for dementia and MCI,and different assessment tools.
