Association between medical resources and the proportion of oldest-old in the Chinese population

Tan, Chao; Tang, Cai-Zhi; Chen, Xingshu; Luo, Yi

doi:10.1186/s40779-021-00307-6

Cited by 5 publications

(4 citation statements)

References 2 publications

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“…In contrast with older adults, younger individuals are more resilient to general physical stresses and external trauma ( 24 ). However, aging leads to declining functional abilities among older adults ( 25 ), resulting in a greater need for medical resources and care services ( 26 ). Accordingly, families must provide more significant and better resources to older adults to sustain their well-being and quality of life, including preserving their hearing health, which places a substantial financial burden on households.…”

Section: Discussionmentioning

confidence: 99%

Exploration of the factors influencing hearing disability in older adults of China: a nested case-control study

Zhou,

Liu,

Gao

et al. 2024

Front. Public Health

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ObjectiveAs two line trends – aging disability and disability aging – continue to emerge, hearing disability is becoming increasingly prevalent among older adults in china. This study aimed to investigate the incidence of hearing disability among older adults and identify the various factors contributing to its development.MethodsIn this matched nested case-control study, data from the China Health and Retirement Longitudinal Study from 2011 to 2018 were analyzed. A total of 4,523 older adults were recruited from a national sample database, of which 1,094 individuals were eligible for inclusion in the hearing disability cohort, while 3,429 older adults who had not been diagnosed with hearing disability were considered non-hearing disability controls. Hearing disability was assessed by a self-reported question. These controls were matched to hearing disability cases in a 1:1 ratio based on age and sex. The logistic regression models were used to find out various factors of hearing disability in the target population.ResultsTotally 1,094 individuals (24.14%) developed hearing disability during the follow-up period. After 1:1 matching, 2,182 subjects were included in the study, with 1,091 cases in the case group. Factors that influenced the incidence of hearing disability in older adults included annual per capita household income (OR = 0.985, p = 0.003), cognitive function (OR = 0.982, p = 0.015), depression level (OR = 1.027, p < 0.001), somatic mobility (OR = 0.946, p = 0.007), history of kidney disease (OR = 1.659, p < 0.001), history of asthma (OR = 1.527, p = 0.008), history of accidental injuries (OR = 1.348, p = 0.015), whether there is a place for recreational and fitness activities in the community (OR = 0.672, p < 0.001), and whether there is a health service center/health center in the community (OR = 0.882, p = 0.006).ConclusionThe incidence of hearing disabilities among older adults in China is high. The protective and risk factors that contribute to the incidence of disability should be fully considered in the care of older adults.

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Section: Discussionmentioning

confidence: 99%

Exploration of the factors influencing hearing disability in older adults of China: a nested case-control study

Zhou,

Liu,

Gao

et al. 2024

Front. Public Health

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“…Consistent with previous studies [ 2 – 4 , 21 , 22 ], the burden of genitourinary cancers was highest in elderly men. The aging population clearly affects the burden of disease, but cancer-related risk factors also play an important role [ 23 – 27 ]. Smoking, a risk factor shared by all three genitourinary showed a decreasing contribution to cancer death and DALYs in the past 30 years, suggesting the past/current tobacco control strategies are effective.…”

Section: Discussionmentioning

confidence: 99%

Global, regional, and national burden of kidney, bladder, and prostate cancers and their attributable risk factors, 1990–2019

Leng

et al. 2021

Military Med Res

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Background The burden of kidney, bladder, and prostate cancers has changed in recent decades. This study aims to investigate the global and regional burden of, and attributable risk factors for genitourinary cancers during the past 30 years. Methods We extracted data of kidney, bladder, and prostate cancers from the Global Burden of Disease 2019 database, including incidence, mortality, disability-adjusted life-years (DALYs), and attributable risk factors from 1990 to 2019. Estimated annual percentage changes (EAPC) were calculated to assess the changes in age-standardized incidence rate, age-standardized mortality rate (ASMR), and age-standardized DALYs rate (ASDR). The associations between cancers burden and socio-demographic index (SDI) were also analyzed. Results Compared with 1990, the global incident cases in 2019 were higher by 154.78%, 123.34%, and 169.11% for kidney, bladder, and prostate cancers, respectively. During the 30-year study period, there was a downward trend in ASMR and ASDR for bladder cancer (EAPC = − 0.68 and − 0.83, respectively) and prostate cancer (EAPC = − 0.75 and − 0.71, respectively), but an upward trend for kidney cancer (EAPC = 0.35 and 0.12, respectively). Regions and countries with higher SDI had higher incidence, mortality, and DALYs for all three types of cancers. The burden of bladder and prostate cancers was mainly distributed among older men, whereas the burden of kidney cancer increased among middle-aged men. Smoking related mortality and DALYs decreased, but high body mass index (BMI) and high fasting plasma glucose (FPG) related mortality and DALYs increased among kidney, bladder, and prostate cancers during the study period. Conclusions Kidney, bladder, and prostate cancers remain major global public health challenges, but with distinct trend for different disease entity across different regions and socioeconomic status. More proactive intervention strategies, at both the administrative and academic levels, based on the dynamic changes, are needed.

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“…Previous studies based on the GBD 2017 data have also shown that the burden of genitourinary cancers in the elderly was more serious [2-4, 17, 18]. The aging population and the increase in life expectancy are one of the factors that affect the burden of disease, but cancer-related risk factors also play an important role [19][20][21][22][23]. Smoking is a shared risk factor for these three cancers and shows a decreasing contribution to cancer death and DALYs in the past 30 years.…”

Section: Discussionmentioning

confidence: 99%

Global, Regional, and National Burden of Kidney, Bladder, and Prostate Cancers and Their Attributable Risk Factors, 1990-2019

Leng

et al. 2021

Preprint

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Background: To investigate the burden and attributable risk factors for three genitourinary cancers in 204 countries and territories during 30 years.Methods: We extracted data of kidney, bladder, and prostate cancers from the Global Burden of Disease 2019 database, including incidence, mortality, disability-adjusted life-years (DALYs), and the attributable risk factors from 1990 to 2019. Estimated annual percentage changes (EAPC) were calculated to assess the changes in age-standardized incidence rate, age-standardized mortality rate (ASMR), and age-standardized DALYs rate (ASDR). The associations between cancers burden and socio-demographic index (SDI) were also analyzed.Results: Compared with 1990, the global incident cases of kidney, bladder, and prostate cancers have increased by 154.78%, 123.34%, and 169.11% in 2019. The ASMR and ASDR of bladder cancer (EAPC = -0.68 for ASMR, EAPC = -0.83 for ASDR) and prostate cancer (EAPC = -0.75 for ASMR, EAPC = -0.71 for ASDR) showed a downward trend, but kidney cancer increased (EAPC = 0.35 for ASMR, EAPC = 0.12 for ASDR). Of all cancers, incidence, mortality, and DALYs were higher in the high-level SDI regions and countries. The burden of bladder cancer and prostate cancer was mainly distributed among older men, while the burden of kidney cancer increases among younger men. Smoking related mortality and DALYs decreased, but high body-mass index and high fasting plasma glucose related mortality and DALYs increased among kidney, bladder, and prostate cancers between 1990 and 2019.Conclusions: Kidney, bladder, and prostate cancers remain the major global public health challenge until 2019. We suggest the 204 countries and territories to take positive cancer prevention and intervention strategies, especially the urologists and urological related academic associations.

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Association between medical resources and the proportion of oldest-old in the Chinese population

Abstract: The potential association between medical resources and the proportion of oldest-old (90 years of age and above) in the Chinese population was examined, and we found that the higher proportion of oldest-old was associated with the higher number of beds in hospitals and health centers.

Cited by 5 publications

References 2 publications

Exploration of the factors influencing hearing disability in older adults of China: a nested case-control study

Exploration of the factors influencing hearing disability in older adults of China: a nested case-control study

Global, regional, and national burden of kidney, bladder, and prostate cancers and their attributable risk factors, 1990–2019

Global, Regional, and National Burden of Kidney, Bladder, and Prostate Cancers and Their Attributable Risk Factors, 1990-2019

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