Last data update: May 06, 2024. (Total: 46732 publications since 2009)
Records 1-2 (of 2 Records) |
Query Trace: Sekar S[original query] |
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The prevalence of chronic conditions and poor health among people with and without vision impairment, aged ≥ 65 years, 2010-2014
Crews JE , Chou CF , Sekar S , Saaddine JB . Am J Ophthalmol 2017 182 18-30 PURPOSE: To examine the prevalence of 13 chronic conditions and fair/poor health among people aged ≥65 years in the U.S. with and without vision impairment. DESIGN: Cross-sectional study from the 2010-2014 National Health Interview Survey METHODS: We examined hypertension, heart disease, high cholesterol, stroke, arthritis, asthma, chronic obstructive pulmonary disease, cancer, weak/failing kidneys, diabetes, hepatitis, depression, and hearing impairment. We used logistic regression to show the association between vision impairment and chronic conditions and the association between vision impairment and poor health for those with chronic conditions. RESULTS: People aged ≥65 years with vision impairment reported greater prevalence of chronic conditions compared to people without vision impairment. After controlling for covariates (age, sex, education, race, smoking, physical activity, and obesity), people with vision impairment were more likely than those without to report chronic conditions (hypertension: OR [odds ratio] 1.43; heart disease: OR 1.68; high cholesterol: OR 1.26; stroke: OR 1.99; arthritis; OR 1.71; asthma: OR 1.56; COPD: OR 1.65; cancer: OR 1.23; weak/failing kidneys: OR 2.29; diabetes: OR 1.56; hepatitis: OR 1.30; depression: OR 1.47; hearing impairment: OR 1.91) (all P<0.05). Among older people with chronic conditions, those with vision impairment and chronic conditions compared to people without vision impairment and chronic conditions were 1.66 to 2.98 times more likely to have fair/poor health than those without vision impairment (all p<0.05). CONCLUSION: Higher prevalence of chronic conditions is strongly associated with vision impairment among the older people and poor health is strongly associated with vision impairment and chronic conditions. |
Comparison of national malaria surveillance system with the national notifiable diseases surveillance system in the United States
Hwang J , McClintock S , Kachur SP , Slutsker L , Arguin P . J Public Health Manag Pract 2009 15 (4) 345-51 BACKGROUND: The Centers for Disease Control and Prevention (CDC) is in the process of integrating the existing dual mechanisms for reporting cases of malaria diagnosed in the United States into a single electronic reporting mechanism. Before adoption of this new system, an evaluation of the existing systems for state-level reporting of malaria data to the CDC was conducted. METHODS: CDC guidelines for evaluating surveillance systems were used to assess the attributes of the National Malaria Surveillance System (NMSS), the current National Notifiable Diseases Surveillance System (NNDSS), and the projected fully integrated NNDSS. We analyzed data collected from NMSS and NNDSS from 2001 to 2005 using the Chandra-Sekar-Deming method to estimate completeness of reporting. RESULTS: The projected fully integrated system was assessed likely to perform better than either of the existing systems on all attributes except stability. The overall completeness of reporting was estimated to be 80.3 percent for NNDSS and 74.7 percent for NMSS. CONCLUSIONS: Both existing systems have reasonably high ascertainment of cases. A fully integrated system with malaria-specific data fields would improve upon existing systems if it proved to be stable. |
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