Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Resident Status”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 793 records · Page 44Linked to original sources
PubMed1999

Poverty area residence and changes in depression and perceived health status: evidence from the Alameda County Study.

BACKGROUND: Previous evidence from the Alameda County Study indicated that residential area has an independent effect on risk for mortality, adjusting for a variety of important individual characteristics. The current research examined the effect of poverty area residence on risk for developing depressive symptoms and decline in perceived health status in a sample of 1737. METHODS: Data were from a longitudinal population-based cohort. Multiple logistic regression analyses were used. RESULTS: Age- and sex-adjusted risk for incident high levels of depressive symptoms in 1974 was higher for poverty area residents (odds ratio [OR] 2.14; confidence interval [CI]: 1.49-3.06). Those reporting excellent/good health in 1965 were at higher risk for having fair/poor health in 1974 if they lived in a poverty area (age- and sex-adjusted OR 3.30; CI: 2.32-4.71). Independent of individual income, education, smoking status, body mass index, and alcohol consumption, poverty area residence remained associated with change in outcome variables. CONCLUSION: These results further support the hypothesis that characteristics of place affect health conditions and health status.

Adult↗
PubMed2000

The National Nursing Home Survey: 1997 summary.

OBJECTIVES: This report presents estimates of nursing home facilities, their current residents and discharges in the United States. Data are presented on facility characteristics, demographic characteristics, utilization measures, health and functional status of current residents, and discharges. METHODS: Data used in this report are based on data collected from the 1997 National Nursing Home Survey. The survey collects information about providers and recipients of care from nursing home facilities.

Aged↗
PubMedDate not supplied

Where do patients with cancer die in Belfast?

BACKGROUND: Most patients with cancer prefer to die at home but the majority die in institutions. AIM: To determine place of death for patients with cancer in Belfast, to examine changes over time and identify factors associated with place of death. METHODS: A survey of deaths registered in Belfast over a six-month period for 1977, 1987 and 1997 identified patients dying from cancer. Epidemiological data included age, gender, malignancy, social class, marital status, area of residence and place of death. RESULTS: Home deaths fell from 35% in 1977 to 28% in 1997. Hospital deaths fell from 50% in 1977 to 40% in 1987 rising to 42% in 1997. Hospice deaths rose from 13% in 1977 to 25% in 1987 falling to 23% in 1997. There was an association between place of death and age, marital status, type of cancer and area of residence, but not with social class or gender. CONCLUSION: The majority of people fail to achieve a home death. Resources need to be targeted to those most at risk of an institutional death; females, the elderly, the unmarried, those with haematological malignancies and residents of South Belfast.

Aged↗
PubMed2006

Simulation improves resident performance in catheter-based intervention: results of a randomized, controlled study.

OBJECTIVES: Surgical simulation has been shown to enhance the training of general surgery residents. Since catheter-based techniques have become an important part of the vascular surgeon's armamentarium, we explored whether simulation might impact the acquisition of catheter skills by surgical residents. METHODS: Twenty general surgery residents received didactic training in the techniques of catheter intervention. Residents were then randomized with 10 receiving additional training with the Procedicus, computer-based, haptic simulator. All 20 residents then participated in 2 consecutive mentored catheter-based interventions for lower extremity occlusive disease in an OR/angiography suite. Resident performance was graded by attending surgeons blinded to the resident's training status, using 18 procedural steps as well as a global rating scale. RESULTS: There were no differences between the 2 resident groups with regard to demographics or scores on a visuospatial test administered at study outset. Overall, residents exposed to simulation scored higher than controls during the first angio/OR intervention: procedural steps (simulation/control) (50 +/- 6 vs. 33 +/- 9, P = 0.0015); global rating scale (30 +/- 7 vs. 19 +/- 5, P = 0.0052). The advantage provided by simulator training persisted with the second intervention (53 +/- 6 vs. 36 +/- 7, P = 0.0006); global rating scale (33 +/- 6 vs. 21 +/- 6, P = 0.0015). Moreover, simulation training, particularly for the second intervention, led to enhancement in almost all of the individual measures of performance. CONCLUSION: Simulation is a valid tool for instructing surgical residents and fellows in basic endovascular techniques and should be incorporated into surgical training programs. Moreover, simulators may also benefit the large number of vascular surgeons who seek retraining in catheter-based intervention.

Angiography↗
PubMed2000

[Socioeconomic status, self-assessed health and morbidity among Norwegian women aged 45-64].

BACKGROUND: Information from the Norwegian Women and Cancer study was used in a study of the relationship between socio-economic status, place of residence and self-reported health and diseases. Total household income was used as a proxy for socio-economic status. MATERIAL AND METHODS: In 1997 a questionnaire was mailed to a random sample of 20,000 Norwegian women aged 45-69, and a sample of 10,000 women from Northern Norway aged 45-64. Only data on women aged 45-64 were included in the analysis. The response rate was 60.0%. RESULTS: More women in Northern Norway than in Southern Norway reported bad or very bad health. These geographical differences were reduced after adjustment for total household income, which was strongly correlated with self-reported health, physical as well as mental health, diabetes and to a lesser extent hypertension. INTERPRETATION: The study indicates that there are major differences in health according to social class in Norway.

Female↗
PubMed1984

Nutritional status of an institutionalized aged population.

The nutritional status of 146 elderly residents in a long-term care facility was evaluated using biochemical and anthropometric measures. The level of nursing care required and meal locale had no significant effect on the overall nutritional status of the residents. The biochemical data indicated three nutritional problems requiring treatment and follow-up: anemia, low vitamin B6 status, and reduced albumin levels. The incidence of these problems in other groups of elderly deserves further study. Six percent of the study population were anemic, with 13% having low serum folate, 6% with low transferrin saturation, and 31% with low TIBC values suggesting more than one factor involved in the anemia. Low vitamin B6 status was observed in 28% of the population. Whether this is due to poor intake, poor absorption, or both is not known. The percentage of residents with decreased albumin levels was slightly higher than that observed in other studies of the elderly, and may be related to the more advanced age of this population.

Aged↗
PubMed1996

How many general surgeons do you need in rural areas? Three approaches to physician resource planning in southern Manitoba.

OBJECTIVE: To assess critically the results of using three different approaches to planning for the number of general surgeons in rural areas. DESIGN: Estimates of the number of general surgeons needed using a ratio approach, a and a population-needs-based approach. SETTING: Rural southern Manitoba. OUTCOME MEASURE: Number of general surgeons needed. RESULTS: The ratio approach supported the recruitment of 7.8 to 14.5 additional general surgeons to rural southern Manitoba. The repatriation approach suggested that the area might support five additional general surgeons, if residents could be persuaded to undergo their surgery closer to home. The population-needs-based approach suggested that the health status of area residents was similar to that of residents of other areas of the province and that they had a higher rate of surgery than residents of other areas; no additional surgeons were apparently needed. CONCLUSIONS: Each method has certain advantages, and none is necessarily useful in isolation. Hence, the most effective approach to planning for general surgeons is likely a combination of all three methods. Other factors that may be important include the type of payment structure and the need for professional groups to monitor variations in rates of surgery.

Aged↗
PubMed1988

Socioeconomic factors affecting fertility in the developing countries and of the developing population groups in South Africa.

"In the present paper...socioeconomic factors affecting the fertility of the developing population groups in South Africa, are discussed and compared with findings [for developing countries] from the WFS [World Fertility Survey]." Data for South Africa are from an independent survey conducted during 1981-1982. "The relationship between socioeconomic factors and three dependent variables (marital fertility, desired family size, and current contraceptive use) is analysed.... The analyses are restricted to the examination of the extent to which the wife's differentials in fertility and associated variables related to education, employment status, and rural/urban residence persist, when other socioeconomic characteristics of the couple are controlled statistically."

Africa↗
PubMed1998

The health of northern residents.

OBJECTIVES: This article examines differences in health status and health determinants between residents of the North (Yukon and Northwest Territories) and of the provinces, and between Aboriginal and non-Aboriginal territorial residents. The use of health services and medications is also analyzed. DATA SOURCE: The data are from the 1994/95 National Population Health Survey (NPHS), both the territorial and provincial components. The population analyzed consists of household residents aged 12 and older. MAIN RESULTS: Compared with non-Aboriginal Northerners, Aboriginal people in the territories more frequently rated their health poorly. However, they reported fewer injuries and diagnosed chronic conditions. The prevalence of alcohol consumption was lower among Aboriginal people, while the proportion of smokers was substantially higher. A lower proportion of Aboriginal territorial residents had consulted a general practitioner in the previous year, and a higher proportion had consulted a nurse. Aboriginal people also had a low rate of medication use.

Adolescent↗
PubMed2000

Advance directive preferences among subpopulations of Asian nursing home residents in the Pacific Northwest.

OBJECTIVE: To study advance directives (code status) among subgroups of Asian nursing home residents. DESIGN: Cross-sectional design. PARTICIPANTS AND SETTING: A total of 423 residents of Asian descent (aged >55) from two ethnic nursing homes in Seattle, Washington. METHODS: Chart review was conducted on 423 residents (199 discharged between 1995 and 1998 and 244 current residents) to ascertain code status, age, gender, ethnicity, comorbidity (using the Charlson Index), and religion. RESULTS: Seventy percent of the residents were women, median age was 83 +/- 9, 43% were Chinese, 40% Japanese, and 17% other Asian (Korean, Filipino, Southeast Asian). The majority of the patients in any subgroup (72% overall) were 'no code'. In bivariate analysis, ethnicity, increased age, and comorbidity were correlated with no code status. In multivariable logistic regression, Japanese residents were more likely to be no code (OR 4.1 (95% CI, 3.1- 5.4)) controlling for age, comorbidity, gender, and religion. Chinese were more likely to be full code (OR 3.3 (95% CI, 2.6-4.2)). CONCLUSIONS: Code status differs significantly among Asian subgroups in these ethnic nursing homes. Whereas the majority of residents are no code, Japanese residents are more likely than Chinese or others to be no code. Higher age and comorbidity are also correlated with no code status.

Advance Directives↗
PubMed2006

Obtaining self-report data from cognitively impaired elders: methodological issues and clinical implications for nursing home pain assessment.

PURPOSE: We developed and evaluated an explicit procedure for obtaining self-report pain data from nursing home residents across a broad range of cognitive status, and we evaluated the consistency, stability, and concurrent validity of resident responses. DESIGN AND METHODS: Using a modification of the Geriatric Pain Measure (GPM-M2), we interviewed 61 residents from two nursing homes (Mini-Mental State Examination score, M = 15 +/- 7) once a week for 4 consecutive weeks. We collected additional data by means of chart review, cognitive status assessments, and surveys of certified nursing assistants. We used descriptive and correlational analyses to address our primary aims. RESULTS: Eighty-nine percent of residents completed all four scheduled interviews. Cognitive status was not significantly correlated with number of nonresponses and prompts for yes-no questions, but it was significantly correlated with nonresponses and prompts for Likert-scale questions (r = -.48, p <.001 and r = -.59, p <.001, respectively). Completion time for the 17-item pain measure (M = 13 min) was not predicted by cognitive status. Residents' scores on the GPM-M2 were significantly correlated with number of chronic pain-associated diagnoses, r =.37, p <.01, and internal consistency was excellent, alpha = 0.87 - 0.91. Residents' GPM-M2 scores were stable over time, r =.74-.80, p <.0001, for all comparisons. IMPLICATIONS: Using explicit protocols and reporting procedural data allows researchers and clinicians to better understand and apply results of self-report studies with cognitively impaired elders. Results suggest that many nursing home residents can provide consistent and reliable self-report pain data, given appropriate time and assistance.

Aged↗
PubMed2000

[A cross-sectional study on injuries in the residents of Shijiazhuang city].

OBJECTIVE: To comprehend current status of injury in the residents of Shijiazhuang city and to lay a foundation for prevention from injury. METHODS: A retrospective study on injury in the 21,544 residents of two and six rural villages was conducted by multi-stage stratified sampling. RESULTS: Standardized incidence rate of injury was 4.21% in Shijiazhuang city, higher in the rural than in the urban areas and higher in men than in women. The top three causes of injuries were traffic accidents, falls and poisoning. Traffic accidents and poisoning ranked the first place in the urban areas and in the rural areas, respectively. Falls occurred mostly in those aged less than 14 years and more than 60 years. Gas poisoning and traffic accidents occurred more often in those aged 15 - 34 years and traffic accidents ranked the first in the age group of 35 - 59 years old. Standardized mortality rate of injury was 48.78 per 100,000, higher in the rural than in the urban areas. Standardized mortality rate of suicide was the highest with 23.21 per 100,000 in the countryside and that of traffic accidents ranked the next. In average, 22 years of potential life lost, 17 work years of potential life lost and nine valued years of potential life lost for each death were caused by injury. Disability rate caused by injury was 1.1 percent. Direct economic loss for each case with injury cost 679.98 RMB yuan. Incidence rate for traffic accidents ranked the highest and the most severe in all injuries. CONCLUSION: Injury has become an important public health problem harmful to the people's health.

Accidental Falls↗
PubMedDate not supplied

Variations in nutritional status of elderly men and women according to place of residence.

OBJECTIVE: The purpose of this study was to assess comprehensively the nutritional status of elderly individuals in institutions and to compare it with that of community based dwellers in an urban setting in Lebanon. METHODS: Participants included 100 elderly men and women (aged 65 years and older) selected randomly from four institutions who were based on sex and neighborhood with 100 free-living individuals. Subjects were mentally and physically capable of responding to an interview schedule. Their nutritional status was assessed by anthropometric measurements, dietary food intake for a 3-day period, and hematological and biochemical variables. Energy and macro- and micronutrient intakes were compared with the US recommended dietary allowances (RDA) or dietary reference intakes (DRI) as appropriate. RESULTS: Elderly living at home had significantly higher mean body mass index and waist circumference than those living in institutions. Although the total energy intake was comparable between the two groups, the elderly in the institutions consumed more fat and had lower intake of dietary fibers. Deficiencies (below 2/3rd RDA/DRI intakes) in zinc, magnesium, alpha-tocopherol, vitamins A and D, and pyridoxine were noted in both study groups with overall higher proportions observed among the institutionalized elderly. These were also anemic (42.5%) and had low levels of albumin (27.5%). In contrast, those living at home showed a higher prevalence of obesity and a lower calcium intake. Multivariate analysis controlling for a number of potential covariates did not change the results observed. CONCLUSIONS: The results of the present study showed a higher prevalence of obesity in those living at home and varying deficiencies by place of residence with no evidence that duration of institutionalization in itself being associated with poor nutritional status. Awareness of the risks associated with these deficiencies and excesses should address the lay and health professionals working in the community and institutions alike.

Aged↗
PubMed1988

Testing nursing home iatrogenesis.

Many nursing home residents, admitted for "temporary" stays, are expected to return to the community. To test the notion of iatrogenesis, this research examined the discharge status of "temporary" residents discharged from a proprietary nursing home during the first six years of its operation. The research noted 1) the extent to which those residents did not return home and 2) reasons for their derailment. The results of the research did not support the notion of iatrogenesis. Of 419 residents, seventy-nine were expected to return to the community. Only 16 percent of those seventy-nine did not. Content analysis of histories, moreover, showed that two chose to remain, four had families who declined to fill caregiver roles, and two quickly deteriorated. Even the histories of the five who generally lost the ability to function independently did not suggest institutional life was to blame.

Aged↗
PubMed1996

Factors influencing the amount and type of dental services received by older adults in four municipalities in Ontario, Canada.

OBJECTIVES: The purpose of this study was to investigate the factors influencing the pattern (amount and types) of dental care provided to dental visitors participating in the baseline stage of the Ontario Study of the Oral Health of Older Adults. METHODS: We interviewed and examined older adults from four municipalities in Ontario and obtained dental service records for the previous two years for those reporting a dental visit. Individual services and their corresponding time and values were aggregated into categories. We compared the pattern of care for dentate and edentulous subjects, and by age, municipality of residence, and social, demographic and economic characteristics. RESULTS: The 473 subjects received 5,031 services, more than four hours of dental care per subject over the two years. The 29 edentulous subjects received about one-third the number of services compared with the dentate; however, there were no differences in relative time units (RTUs) or relative value units (RVUs). Among the dentate the amount of care (RVUs) varied by municipality of residence and by visiting behavior, but not by age, income, or other socioeconomic variables. CONCLUSIONS: Both dentate and edentulous visitors received over two hours of care per person per year. Dental care patterns were influenced by dental status, area of residence, and visiting behaviors.

Age Factors↗
PubMed2006

The cumulative effect of rural and regional residence on the health of older adults.

OBJECTIVE: This study considers whether rural status or living in a particular region of the United States has effects on mental and physical health. The analyses examine whether there are independent and interactive effects of rural status and region of residence on health, beyond individual level factors related to poverty. METHODS: Ordinary least squares (OLS) regression models are used to examine the relationships between rural and regional residence and health across three time periods. RESULTS: Negative health effects of rural residence were found only in the South region. Positive health effects of rural residence were found only in the Midwest region. There are no observed health risks associated with rural or regional residence across group. DISCUSSION: The results indicate a cumulative risk of rural and Southern residence for older men and women. Living in a rural place in the midwestern United States seems to provide unique sources of health benefits.

Aged↗
PubMed1992

Self-concept and sociometric outcomes: a comparison of only children and sibling children from urban and rural areas in the People's Republic of China.

We investigated differences in self-concept between 360 only children and 555 sibling children in the sixth grade of three urban schools and three rural schools in the People's Republic of China. Peer perceptions and teacher perceptions were also collected using sociometric measures. Self-concept was determined by the Self-Perception Profile for Children (Harter, 1985). Comparisons of sibling children and only children showed no differences on self-concept; however, urban residents had higher self-concept scores than children from rural areas, and boys scored higher than girls. No significant interaction effects between sibling status, gender, and residence were found.

Adolescent↗
PubMed1992

Ecological structure and incidence rates of schizophrenia in Nagasaki City.

The purpose of this study was to investigate the relationship between incidence rates of schizophrenia and residential features in Nagasaki City, Japan. Social features of residents in 259 areas in the Nagasaki City ecological structure were determined using the results of the 1980 national census. Six residential factors--employment status, occupational and academic career, household status, length of residence, housing tenure and young male predominance--were selected as factors that clearly reflect residential differentiation of residents. Contrary to the findings of many other studies conducted in Western cities, no statistically significant differences were observed, although it seemed that incidence rates were comparatively higher in the lower social classes. These results possibly reflect differences in cultural and social values and structures.

Adult↗