Background/objectives: This study explored factors influencing self-rated health (SRH) among community-dwelling older adults to better support its use in health screening and provide an alternative for older adults who may have difficulty working with lengthy assessment scales.
Methods: The participants were 8379 individuals aged 65 years or older from the 2020 Elderly Survey. Data were collected in South Korea between September and November 2020. Descriptive statistics were calculated, and independent samples t-tests, a Kruskal-Wallis test, and weighted multiple regression analysis were conducted using IBM SPSS for Windows ver. 23.0. SRH factors, such as illness, daily living performance, nutritional status, depression, and cognitive impairment, were analyzed.
Results: The greater the number of chronic conditions (β = -0.21, < 0.001), the higher the dependence on activities of daily living and instrumental activities of daily living (β = -0.05, = 0.002; β = -0.13, < 0.001), the higher the depression score (β = -0.22, < 0.001), the more severe the cognitive impairment (β = -0.04, < 0.001), and the worse the SRH.
Conclusions: Participants with high-risk medical conditions, such as cancer, stroke, and depression, thought their health was poor. However, they did not consider hypertension, malnutrition, and abnormal BMI as significantly affecting their health status. Therefore, these factors should be considered when measuring SRH in older adults.
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http://dx.doi.org/10.3390/healthcare13030314 | DOI Listing |
JAMA Netw Open
March 2025
Department of Addictions, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
Importance: It remains unknown whether nicotine intake among youths who vape is lower, comparable, or higher than among youths who smoke.
Objective: To examine potential differences in biomarkers of exposure to nicotine (1) between adolescents who smoke tobacco, vape, both vape and smoke (dual use), or do not use; (2) between adolescents in 3 countries; and (3) by nicotine content and form in the vaping product last used among adolescents who exclusively vaped.
Design, Setting, And Participants: This population-based, observational cross-sectional study invited adolescents aged 16 to 19 years in Canada, England, and the US who had previously completed national surveys to participate in a biomarker study based on their vaping and smoking status.
JAMA Netw Open
March 2025
Department of Psychiatry, University of Oxford, Oxford, United Kingdom.
Importance: Epidemiological studies suggest that lifestyle factors are associated with risk of dementia. However, few studies have examined the association of diet and waist to hip ratio (WHR) with hippocampus connectivity and cognitive health.
Objective: To ascertain how longitudinal changes in diet quality and WHR during midlife are associated with hippocampal connectivity and cognitive function in later life.
JAMA Netw Open
March 2025
Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill.
Importance: Frailty assessed at a single time point is associated with mortality in older women with breast cancer. Little is known about how changes in frailty following cancer treatment initiation affect mortality.
Objective: To evaluate the association between claims-based frailty trajectories following adjuvant chemotherapy initiation and 5-year mortality in older women with stage I to III breast cancer.
AIDS
March 2025
National Center for Epidemiology, Carlos III Health Institute.
Objective: We assessed the association between early HIV medical care interruption (MCI) and the development of AIDS-defining events (ADEs), serious non-AIDS events (SNAEs), and death among people with HIV (PWH) from the CoRIS cohort.
Design: We included antiretroviral-naive individuals aged at least 18 years at enrollment, recruited between 1 January 2004 and 30 May 2021, and followed-up until 30 November 2023.
Methods: Early MCI was defined as a time interval over 15 months between two consecutive visits, where the first of these visits occurred within the first 15 months of enrollment.
Transl Vis Sci Technol
March 2025
Ophthalmology Department, Dijon University Hospital, Dijon, France.
Purpose: To compare automated and semiautomated methods for the measurement of retinal microvascular biomarkers: the automated retinal vascular morphology (AutoMorph) algorithm and the Singapore "I" Vessel Assessment (SIVA) software.
Methods: Analysis of retinal fundus photographs centered on optic discs from the population-based Montrachet Study of adults aged 75 years and older. Comparison and agreement evaluation with intraclass correlation coefficients (ICCs) between SIVA and AutoMorph measures of the central retinal venular and arteriolar equivalent, arteriolar-venular ratio, and fractal dimension.
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