Abstract:
BACKGROUND:Alcohol misuse, especially binge drinking in young people, and alcoholic liver disease are major public health concerns. However, alcohol misuse in older people is underestimated and often goes undetected. OBJECTIVE:To document alcohol consumption and clinical presentation of alcohol misuse in hospital inpatients aged >or=60 years. METHODS:208 inpatients aged >or=60 years, referred to the alcohol liaison nurse between 1998 and 2003 at the Royal Bolton Hospital, Bolton, UK, were assessed for sex, alcohol intake, primary and secondary reasons for admission, and other concurrent health problems and death. RESULTS:90% of men drank >21 units weekly and 93% of women drank >14 units weekly. Median weekly alcohol intake was 78.5 units for men and 47 units for women. Acute intoxication, falls, circulatory problems and alcoholic liver disease were the main primary reasons for admission. Neglect or malnutrition, alcoholic liver disease and hypertension were the main secondary reasons and concurrent health problems. 30% of patients died between 1998 and 2003. CONCLUSION:In inpatients aged >or=60 years who were referred to the alcohol liaison nurse in a district general hospital, heavy alcohol consumption, often to very high levels, was characteristic in both men and women and was associated with a wide variety of primary and secondary clinical presentations, including death.
journal_name
J Epidemiol Community Healthjournal_title
Journal of epidemiology and community healthauthors
Mehta MM,Moriarty KJ,Proctor D,Bird M,Darling Wdoi
10.1136/jech.2005.043653subject
Has Abstractpub_date
2006-12-01 00:00:00pages
1048-52issue
12eissn
0143-005Xissn
1470-2738pii
60/12/1048journal_volume
60pub_type
杂志文章abstract::The outlook for patients with lung cancer is poor, so an accurate estimation of prognosis will underpin treatment decisions and allow patients to make personal plans for the future. However, evidence suggests that there is a variation between doctors in their predictions of outcomes and also they tend to be over-optim...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2005.044917
更新日期:2007-04-01 00:00:00
abstract:BACKGROUND:Out-of-hospital cardiac arrest (OHCA) remains a major public health issue. Several studies have found that an increased level of ambient particulate matter (PM) smaller than 2.5 microns (PM2.5) is associated with an increased risk of OHCA. We investigated the relationship between air pollution levels and the...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2013-202955
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:To analyse in the general population the prevalence and predictors of symptomatology consistent with post-traumatic stress disorder (S-PTSD) 18 months after an industrial explosion. DESIGN:Cross-sectional survey. PARTICIPANTS AND OUTCOME MEASURES:A random sample of 1191 city inhabitants, including an oversa...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2006.057273
更新日期:2008-05-01 00:00:00
abstract:BACKGROUND:The use of validated multivariate cardiovascular predictive models in a population setting is of interest for public health policy makers. We aimed to validate the estimations of the CASSANDRA model (coronary heart disease (CHD) incidence and CHD risk distribution), considering the population changes in age,...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2013-203516
更新日期:2014-11-01 00:00:00
abstract::A cohort of 6168 schizophrenic patients was followed from 1957 to 1984 to determine the incidence of cancer in these patients. In the male schizophrenic patients the incidence of cancer was found to be significantly reduced in comparison with the general Danish population. This reduction was especially marked for canc...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.43.1.43
更新日期:1989-03-01 00:00:00
abstract:BACKGROUND:Inconsistent results have been found on the association between air pollution and stroke mortality. Additionally, evidence on people who are potentially sensitive to air pollution-associated stroke mortality is limited. METHODS:Daily stroke mortality of adults aged over 65 between 2003 and 2008 in Shanghai,...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2012-201096
更新日期:2013-08-01 00:00:00
abstract:BACKGROUND:Disparities in health among blacks and Hispanics compared to whites individuals exist for a number of health measures; however, the health profile of individuals who are both black and Hispanic is not well known. We sought to determine whether race and ethnicity have synchronous or independent effects on hea...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2009.103879
更新日期:2012-07-01 00:00:00
abstract:BACKGROUND:There are substantial socioeconomic inequalities in functional limitations in old age. Resilience may offer new insights into these inequalities by identifying constellations of factors that protect some individuals from developing functional limitations despite socioeconomic adversity. METHODS:Data from 19...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2018-211736
更新日期:2019-06-01 00:00:00
abstract:OBJECTIVE:To examine the association of self-reported health (SRH) with the apolipoprotein E (APOE) gene, life stress, and sociobehavioural factors in adults aged 55 and over. DESIGN:Secondary analysis of data from the Social Environment and Biomarkers of Aging Study (SEBAS) in Taiwan in 2000, comprising 1023 individu...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,多中心研究
doi:10.1136/jech.2007.063917
更新日期:2008-04-01 00:00:00
abstract::This analysis attempts to fill the gap in the epidemiological evidence about the relation between dietary salt and hypertension. Changes in the purchase of salt in England and Wales are compared with changes in mortality from cerebrovascular disease (1958-78). Stroke mortality, a major sequel of hypertension, has decl...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.37.1.25
更新日期:1983-03-01 00:00:00
abstract:OBJECTIVE:Organisational justice has been proposed as a new way to examine the impact of psychosocial work environment on employee health. This article studied the justice of interpersonal treatment by supervisors (the relational component of organisational justice) as a predictor of health. DESIGN:Prospective cohort ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2003.019026
更新日期:2004-11-01 00:00:00
abstract:BACKGROUND:We estimated the contribution of smoking to educational differences in mortality and life expectancy between 1971 and 2010 in Finland. METHODS:Eight prospective datasets with baseline in 1970, 1975, 1980, 1985, 1990, 1995, 2000 and 2005 and each linked to a 5-year mortality follow-up were used. We calculate...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2012-201266
更新日期:2013-03-01 00:00:00
abstract::Average paternal age in the UK is increasing. The public health implications of this trend have not been widely anticipated or debated. This commentary aims to contribute to such a debate. Accumulated chromosomal aberrations and mutations occurring during the maturation of male germ cells are thought to be responsible...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2005.045179
更新日期:2006-10-01 00:00:00
abstract:BACKGROUND:Health inequities between indigenous and non-indigenous people are well documented. However, the contribution of differential exposure to risk factors in the occupational environment remains unclear. This study assessed differences in the prevalence of self-reported exposure to disease risk factors, includin...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2018-210438
更新日期:2018-09-01 00:00:00
abstract:STUDY OBJECTIVE:There is little information on the potential benefit of immunising all patients with chronic lung disease in the community against influenza. The clinical effectiveness and economic benefit was established of the influenza vaccination programme in a general practice based cohort of adult patients with c...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.52.2.120
更新日期:1998-02-01 00:00:00
abstract:BACKGROUND:Depression is an important contributor to the global burden of disease. Besides several known individual-level factors that contribute to depression, there is a growing recognition that neighbourhood environment can also profoundly affect mental health. This study assessed associations between three neighbou...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2017-209453
更新日期:2018-03-01 00:00:00
abstract:STUDY OBJECTIVE:The aim was to examine the relationship between exposure to occupational risk factors during working life and physical disability after retirement. DESIGN:The study was a cross sectional epidemiological survey of a representative sample of retired subjects belonging to a supplementary pension fund in t...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.46.5.506
更新日期:1992-10-01 00:00:00
abstract:OBJECTIVES:To investigate associations between measures of neighbourhood social and material environment and self rated health. DESIGN:New contextual measures added to cross sectional study of a sample of people from the Health Survey for England and the Scottish Health Survey to provide multilevel data. PARTICIPANTS...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2003.016147
更新日期:2005-03-01 00:00:00
abstract:BACKGROUND:In India, excess female under-5 mortality is well documented. Under-5 mortality is also known to be patterned by socioeconomic factors. This study examines sex differentials and sex-specific wealth gradients in neonatal, postneonatal and child mortality in India. METHODS:Repeated cross-sectional study of na...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2018-211569
更新日期:2019-07-01 00:00:00
abstract:INTRODUCTION:Lifestyle factors in combination have been hypothesised to be associated with the prevention of type 2 diabetes (T2D) and mortality among individuals with T2D. The aim was to conduct a systematic review and meta-analysis to quantify the association between lifestyle indices and incident T2D as well as mort...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,meta分析
doi:10.1136/jech-2019-213415
更新日期:2020-05-01 00:00:00
abstract:STUDY OBJECTIVES:To estimate the cost per woman participating in a mammographic screening programme, and to describe methods for measuring costs. DESIGN:Expenditure, resource usage, and throughput were monitored over a 12 month period. Unit costs for each phase of the screening process were estimated and linked with t...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.48.4.391
更新日期:1994-08-01 00:00:00
abstract:BACKGROUND:Children are particularly vulnerable to the effects of extreme temperatures. OBJECTIVE:To examine the relationship between extreme temperatures and paediatric emergency department admissions (EDAs) in Brisbane, Australia, during 2003-2009. METHODS:A quasi-Poisson generalised linear model combined with a di...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2013-202725
更新日期:2014-04-01 00:00:00
abstract:STUDY OBJECTIVE:To test hypotheses about associations between area level exposures and the prevalence of the most common mental disorders (CMD) in Britain. A statistically significant urban-rural gradient was predicted, but not a socioeconomic gradient, in the prevalence of CMD after adjusting for characteristics of in...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.57.8.616
更新日期:2003-08-01 00:00:00
abstract::It is not a point of debate that the Stockholm Convention for the prevention of further accumulation of persistent organic pollutants (POPs) should be ratified and implemented by all countries. However, in their article, Schafer and Kegley present an unbalanced "worst case scenario". Approximately 20% of the food supp...
journal_title:Journal of epidemiology and community health
pub_type: 评论,杂志文章
doi:10.1136/jech.56.11.824
更新日期:2002-11-01 00:00:00
abstract:BACKGROUND:Injuries have been recognised as important public health concerns, particularly among adolescents and young adults. Few studies have examined injuries using a multilevel perspective that addresses individual socioeconomic status (SES) and health behaviours and local socioeconomic conditions in early adolesce...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2017-210259
更新日期:2018-06-01 00:00:00
abstract:BACKGROUND:In 1998, highly active antiretroviral therapy (HAART) was widespread, but the diffusion of these life-saving treatments was not uniform. As half of all AIDS patients in the USA have Medicaid coverage, this study of a multistate Medicaid claims dataset was undertaken to assess disparities in the rates of HAAR...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,多中心研究
doi:10.1136/jech.2005.045567
更新日期:2008-09-01 00:00:00
abstract:OBJECTIVES:To explore whether the predictive power of mid-life ECG abnormalities and conventional cardiovascular risk factors for future stroke change over a 30-year follow-up period, and whether a repeated examination improves their predictive power. DESIGN AND SETTING:Longitudinal population-based study. PARTICIPAN...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2006.048074
更新日期:2007-08-01 00:00:00
abstract:STUDY OBJECTIVE:To clarify concepts and methodological problems in existing multidimensional health status measures for children. DESIGN:Thematic review of instruments found by computerised and manual searches, 1979-95. SUBJECTS:Nine health status instruments. MAIN RESULTS:Many instruments did not satisfy criteria o...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,评审
doi:10.1136/jech.50.4.391
更新日期:1996-08-01 00:00:00
abstract:STUDY OBJECTIVE:The aim was to assess the risk of back symptoms in people admitted to hospital because of traffic accidents and falls. DESIGN:The study was a cross sectional survey with information collected by postal questionnaire. Main outcome measures were associations between hospital admission for a traffic accid...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.46.3.231
更新日期:1992-06-01 00:00:00
abstract:BACKGROUND:Underserved women (rural, minority or poor) are disproportionally diagnosed with late-stage cervical cancer, indicative of inadequate access to, and use of, preventative healthcare. The Institute of Medicine (IOM) has proposed that nurse practitioners (NP) can address provider shortages among underserved pop...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,评审
doi:10.1136/jech-2018-210709
更新日期:2019-03-01 00:00:00