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Journal of Epidemiology and Community Health
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Frailty has been conceptualised as reduction in the functional capacity of multiple physiological systems, and results in a wide range of outcomes, including physical limitations, impaired activities of daily living, falls and fractures, hospitalisation and mortality.1 These outcomes also include cognitive decline,1 which in combination with psychiatric morbidity is the biggest cause of disability in the UK and other Western countries. Gale et al report that frailty predicts decline in a range o...
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#1Catharine R. Gale (University of Southampton)H-Index: 60
#2Stuart J. Ritchie ('KCL': King's College London)H-Index: 26
Last.Ian J. Deary (Edin.: University of Edinburgh)H-Index: 128
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Background Physical frailty is associated with many adverse outcomes including disability, chronic disease, hospitalisation, institutionalisation and death. It is unclear what impact it might have on the rate of normal cognitive ageing. We investigated whether physical frailty was related to initial level of, and change in, cognitive abilities from age 70 to 79 years. Method Participants were 950 members of the Lothian Birth Cohort 1936. Physical frailty was assessed at age 70 years using the Fr...
1 CitationsSource
#1Paulien Hagedoorn (UU: Utrecht University)H-Index: 1
#2Peter P. Groenewegen (UU: Utrecht University)H-Index: 52
Last.Marco Helbich (UU: Utrecht University)H-Index: 25
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Background Neighbourhood social fragmentation and socioeconomic deprivation seem to be associated with suicide mortality. However, results are inconclusive, which might be because dynamics in the social context are not well-represented by administratively bounded neighbourhoods at baseline. We used individualised neighbourhoods to examine associations between suicide mortality, social fragmentation, and deprivation for the total population as well as by sex and age group. Methods Using a nested ...
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#1Mary-Rose Faulkner (U of T: University of Toronto)
#2Lucy Church BarkerH-Index: 2
Last.Hilary K. BrownH-Index: 14
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Background Chronic medical conditions (CMCs) and poverty commonly co-occur and, while both have been shown to independently increase the risk of perinatal mental illness, their collective impact has not been examined. Methods This population-based study included 853 433 Ontario (Canada) women with a singleton live birth and no recent mental healthcare. CMCs were identified using validated algorithms and disease registries, and poverty was ascertained using neighbourhood income quintile. Perinata...
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#1Suhail Shiekh (Lond: University of London)H-Index: 3
#2Harriet Forbes (Lond: University of London)H-Index: 14
Last.Charlotte Warren-Gash (Lond: University of London)H-Index: 9
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Introduction The UK has over 1.2 million stroke survivors. Stroke is a major risk factor for dementia, and along with other risk factors such as hypertension and diabetes, is more common among Black, Asian and other ethnic minorities (BAME). We aimed to explore whether diagnosed dementia differed by ethnicity among adult stroke survivors. Methodology Using the UK Clinical Practice Research Datalink and linked hospital data, we conducted a cohort study among patients aged ≥40 years who had an inc...
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#1Yingqi Guo (HKU: University of Hong Kong)H-Index: 3
#2Shu-Sen Chang (NTU: National Taiwan University)H-Index: 25
Last.Paul S. F. Yip (HKU: University of Hong Kong)H-Index: 59
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Background Previous studies investigating the independent effects of neighbourhood-level factors on depression are rare within the Asian context, especially in the elderly population. Methods Data for 29 099 older adults aged 65 years or above who have received health examinations at elderly health centres in Hong Kong in 2008–2011 were analysed. Using multilevel regression modelling, the cross-sectional associations of neighbourhood social attributes (neighbourhood poverty, ethnic minority, res...
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Timonin et al article adds weight to a need to address geographical health inequalities in Russia.1 They show, for the first time, how inequalities between districts are much greater than the inequalities between larger regional geographical containers. The difference in life expectancy between the best-performing and worst-performing groups of districts, each accounting for 5% of the Russian population, was as large as 16 years for men and 10 years for women. The mortality inequality was 2.6 ti...
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#1Sergey Timonin (HSE: National Research University – Higher School of Economics)H-Index: 3
#2Domantas Jasilionis (MPG: Max Planck Society)H-Index: 16
Last.Evgeny Andreev (HSE: National Research University – Higher School of Economics)H-Index: 11
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Background Prior studies on spatial inequalities in mortality in Russia were restricted to the highest level of administrative division, ignoring variations within the regions. Using mortality data for 2239 districts, this study is the first analysis to capture the scale of the mortality divide at a more detailed level. Methods Age-standardised death rates are calculated using aggregated deaths for 2008–2012 and population exposures from the 2010 census. Inequality indices and decomposition are ...
1 CitationsSource
#1Ute Bültmann (UG: University of Groningen)H-Index: 43
#2Iris Arends (UG: University of Groningen)H-Index: 8
Last.Benjamin C. Amick (FIU: Florida International University)H-Index: 36
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Background Many young adults leave the labour market because of mental health problems or never really enter it, through early moves onto disability benefits. Across many countries of the Organisation for Economic Co-operation and Development, between 30% and 50% of all new disability benefit claims are due to mental health problems; among young adults this moves up to 50%–80%. Outline We propose a research agenda focused on transitions in building young adults’ mental health and early working l...
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#1David Ogilvie (University of Cambridge)H-Index: 45
#2Jean Adams (University of Cambridge)H-Index: 32
Last.Martin White (University of Cambridge)H-Index: 106
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Despite smaller effect sizes, interventions delivered at population level to prevent non-communicable diseases generally have greater reach, impact and equity than those delivered to high-risk groups. Nevertheless, how to shift population behaviour patterns in this way remains one of the greatest uncertainties for research and policy. Evidence about behaviour change interventions that are easier to evaluate tends to overshadow that for population-wide and system-wide approaches that generate and...
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