Journal articles on the topic 'Middle-aged men – Hong Kong'
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Wong, Samuel Yeung Shan, Dicken Chan, and Ping Chung Leung. "Depressive symptoms in middle-aged men: Results from a household survey in Hong Kong." Journal of Affective Disorders 92, no. 2-3 (June 2006): 215–20. http://dx.doi.org/10.1016/j.jad.2006.01.027.
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Ip, Mary S. M., Bing Lam, Ian J. Lauder, Kenneth W. T. Tsang, Ka-fai Chung, Yuk-wan Mok, and Wah-kit Lam. "A Community Study of Sleep-Disordered Breathing in Middle-aged Chinese Men in Hong Kong." Chest 119, no. 1 (January 2001): 62–69. http://dx.doi.org/10.1378/chest.119.1.62.
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Wong, Samuel Yeung Shan, Dicken C. C. Chan, Athena Hong, and Jean Woo. "Prevalence of and risk factors for androgen deficiency in middle-aged men in Hong Kong." Metabolism 55, no. 11 (November 2006): 1488–94. http://dx.doi.org/10.1016/j.metabol.2006.06.019.
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Yip, Paul S. F. "Age, Sex, Marital Status and Suicide: An Empirical Study of East and West." Psychological Reports 82, no. 1 (February 1998): 311–22. http://dx.doi.org/10.2466/pr0.1998.82.1.311.
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The relationships among age, sex, marital status and suicidal behaviour in Australia and Hong Kong showed disparity in age-specific suicide rates among the four marital status groups, never married, married, widowed and divorced, for both sexes in the two locations. Examining the coefficients of preservation suggested the coefficient for never married to married in all cases was larger than 1, except for the groups of teenagers aged 15–19 years for both sexes and of elderly women aged 60 years or over in Hong Kong. The widowed or divorced groups have lower suicide rates than the married women among the elderly in Hong Kong. Hong Kong women seem not to have been benefited in marriage as much as men. Responsibility and workload in married life rather than low social status are the likely reasons for the relative high female suicide rate in Hong Kong. Possible cultural and environmental factors which are somewhat speculative (yet to be confirmed) are discussed.
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Hui, Stanley S. C., Neil Thomas, and Brian Tomlinson. "Relationship Between Physical Activity, Fitness, and CHD Risk Factors in Middle-Age Chinese." Journal of Physical Activity and Health 2, no. 3 (July 2005): 307–23. http://dx.doi.org/10.1123/jpah.2.3.307.
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Background:The impact of physical activity, aerobic fitness, and body composition on coronary heart disease (CHD) risk factors in Hong Kong Chinese adults has not been previously investigated.Methods:The study surveyed 707 randomly selected middle-age Hong Kong Chinese by telephone for Physical Activity Rating (PAR). Three hundred and sixteen respondents (age: 45.1 ± 8.1 y) participated in subsequent aerobic fitness testing (VO2max) and CHD risk factor screening.Results:More than 70% of respondents did not have sufficient levels of physical activity. Fifty percent of the men and 19.5% of the women had two or more CHD risk factors. PAR correlated poorly with VO2max and CHD risk factors. VO2max showed significant associations with CHD risk factors. The adjusted odds ratios of having CHD risk factors for unfit participants ranged from 1.11 to 6.61 as compared to fit participants. Obese but fit individuals demonstrated lower odds of CHD risk factors than the obese and unfit individuals. WC was found to be a stronger predictor for CHD risk factors than BMI.Conclusions:The prevalence of CHD risk factors in middle-age Chinese in Hong Kong was high and was related to levels of aerobic fitness and obesity.
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Zhang, Xin-Hua, Jean Woo, and Richard F. Heller. "Increasing dietary fish intake has contributed to decreasing mortality from CHD among the older population in Hong Kong." Public Health Nutrition 12, no. 8 (August 2009): 1248–53. http://dx.doi.org/10.1017/s1368980008003790.
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AbstractObjectiveTo test whether change in the frequency of fish intake at population level would affect the trends of death from CHD and how many CHD events could be prevented in Hong Kong, a population among those with the highest fish consumption and the lowest CHD mortality in the world.DesignTime trends analysis with data from repeated dietary surveys and death registration.SettingHong Kong SAR, People’s Republic of China.SubjectsA total of 3096 men and women aged 40–69 years who participated in territory-wide surveys in 1995 or 2003 were included in the analysis of changes in dietary fish intake; all adults aged 40–69 years in Hong Kong were included in the analysis of time trends of CHD mortality.ResultsOver the period, the frequency of fish intake increased and CHD mortality decreased significantly in the population age group of 50–69 years, while in the age group of 40–49 years little change in both fish intake and CHD mortality was observed. It was estimated that 240 CHD deaths (or 29 % of the total) were avoided among the population aged 40–69 years in 2003, as more than half of the population consumed fish every day in Hong Kong.ConclusionsThe time trend of CHD mortality was inversely related to the trend of fish intake. The frequency of fish intake may have a substantial impact on the population for the prevention of CHD deaths in Hong Kong.
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Yu, Ruby, Cecilia Tong, Jason Leung, and Jean Woo. "Socioeconomic Inequalities in Frailty in Hong Kong, China: A 14-Year Longitudinal Cohort Study." International Journal of Environmental Research and Public Health 17, no. 4 (February 18, 2020): 1301. http://dx.doi.org/10.3390/ijerph17041301.
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The prevalence of frailty varies among socioeconomic groups. However, longitudinal data for the association between subjective social status and frailty is limited. In this study, we examined whether subjective social status was associated with incident frailty. Data were obtained from a 14-year cohort of Chinese men and women (n = 694) aged 65 years and older who participated in the MrOs study—a longitudinal study on osteoporosis and general health in Hong Kong. Subjective social status at baseline (2001–2003) was assessed using a 10-rung self-anchoring scale. Incident frailty at the 14-year follow-up (2015–2017) was defined as proposed by Fried and colleagues. Ordinal logistic regressions were used to examine the association between subjective social status (high, middle, or low) and incident frailty. After adjustment for age, sex, marital status, objective socioeconomic status, medical history, lifestyle, mental health, and cognitive function, subjective social status at baseline was negatively associated with risk of developing frailty over time (OR 2.3, 95% CI 1.2–4.6). In sex-stratified analysis, the social gradient in frailty was only found in men. Social inequality in frailty in men but not in women supports interventions specific to gender inequality and frailty.
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WONG, SAMUEL YEUNG SHAN, DICKEN CHAN, ATHENA HONG, PING CHUNG LEUNG, and JEAN WOO. "Depression and lower urinary tract symptoms: Two important correlates of erectile dysfunction in middle-aged men in Hong Kong, China." International Journal of Urology 13, no. 10 (September 27, 2006): 1304–10. http://dx.doi.org/10.1111/j.1442-2042.2006.01560.x.
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Leung, Raymond YH, Bernard MY Cheung, Kathryn CB Tan, Annie WC Kung, and Ching-Lung Cheung. "25-Hydroxyvitamin D and the risk of incident diabetes in Hong Kong Chinese." Public Health Nutrition 23, no. 7 (June 6, 2019): 1201–7. http://dx.doi.org/10.1017/s1368980019000582.
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AbstractObjective:To investigate the relationship between serum 25-hydroxyvitamin D (25(OH)D) and risk of incident diabetes in Hong Kong Chinese, after accounting for the effect of multiple bone- and mineral-related markers.Design:We conducted a retrospective study on the Hong Kong Osteoporosis Study cohort. Incident diabetes was ascertained using electronic medical records. Serum 25(OH)D was measured at baseline and its association with incident diabetes was evaluated using multivariable Cox proportional-hazard regression.Participants:Individuals (n 4342) aged 20 years or above (1395 men, 2947 women; mean age 54·3 (sd 16·5) years) from the Hong Kong Osteoporosis Study, who were free of diabetes at baseline, were included.Results:During 40 124·7 person-years of follow-up (a median of 9·2 years), 443 participants developed diabetes. Mean 25(OH)D was 63·34 (sd 13·07) nmol/l. Age-, sex- and BMI-adjusted Cox proportional-hazard regression showed no significant difference in the risk of incident diabetes between the lowest and the highest quintiles of 25(OH)D. In the analysis of the interaction effect between 25(OH)D and serum Ca, the interaction term did not affect the risk of incident diabetes significantly (P = 0·694). Similarly, there was no significant interaction of different subgroups (age, sex, BMI, femoral-neck T-score, serum Ca levels) with serum 25(OH)D.Conclusions:The present study finds that serum vitamin D level is not associated with the risk of incident diabetes in Hong Kong Chinese and this relationship is not modified by serum Ca level.
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Xu, Cuiling, Ranawaka A. P. M. Perera, Yap-Hang Chan, Vicky J. Fang, Sophia Ng, Dennis K. M. Ip, Andrea May-Sin Kam, Gabriel M. Leung, J. S. Malik Peiris, and Benjamin J. Cowling. "Determinants of serum 25-hydroxyvitamin D in Hong Kong." British Journal of Nutrition 114, no. 1 (June 8, 2015): 144–51. http://dx.doi.org/10.1017/s0007114515001683.
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Vitamin D plays an important role in skeletal health throughout life. Some studies have hypothesised that vitamin D may reduce the risk of other diseases. Our study aimed to estimate age-specific and sex-specific serum 25-hydroxyvitamin D (25(OH)D) status and to identify the determinants of serum 25(OH)D status in Hong Kong, a subtropical city in southern China. In 2009–2010, households in Hong Kong were followed up to identify acute respiratory illnesses, and sera from 2694 subjects were collected in three to four different study phases to permit measurement of 25(OH)D levels at different times of the year. A questionnaire survey on diet and lifestyle was conducted among children, with simultaneous serum collection in April and May 2010. The mean of serum 25(OH)D levels in age groups ranged from 39 to 63 nmol/l throughout the year with the mean values in all age groups in spring below 50 nmol/l. Children aged 6–17 years, and girls and women had significantly lower serum 25(OH)D levels than adults, and boys and men, respectively (allP< 0·001). We estimated that serum 25(OH)D levels in Hong Kong followed a lagged pattern relative to climatic season by 5 weeks with lowest observed levels in early spring (March). For children aged 6–17 years, reporting a suntan, having at least 1 servings of fish/week and having at least 1 serving of eggs/week were independently associated with higher serum 25(OH)D levels. Adequate sunlight exposure and increased intake of dietary vitamin D could improve vitamin D status, especially for children and females in the winter and spring.
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Chan, Alex Siu Wing, and Elsie Yan. "FACTORS ASSOCIATED WITH THE PSYCHOLOGICAL WELL-BEING OF OLDER MEN WHO HAVE SEX WITH MEN IN THE CHINESE POPULATION." Innovation in Aging 7, Supplement_1 (December 1, 2023): 666–67. http://dx.doi.org/10.1093/geroni/igad104.2167.
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Abstract Older men who have sex with men (OMSM) experience discrimination based on their age and sexual orientation, which presents major challenges to their health. Existing studies have examined discrimination experienced by younger MSM. This study aims to examine the discrimination experienced by OMSM in the People’s Republic of China (PRC), Hong Kong, and Taiwan. The eligible participants for this research comprised OMSM aged over 60 years. The demographic information of the participants was collected. Particularly, the General Health Questionnaire-12 (GHQ-12), Personal Social Capital Scale (PSCS), Perceived Acceptance Scale (PAS), and Global Index on Legal Recognition of Homosexual Orientation (GIRLHO) scales were used to assess psychological well-being, discrimination, social capital, perceived acceptance, and legal inclusion. Discrimination differs across PRC, Hong Kong, and Taiwan (F(2, 450) = 112.07, p < .001), and it also has a negative impact on psychological well-being (B = -1.16, p <.001). Social capital was found to have a negative impact on psychological well-being (B = -3.38, p < 0.001), and a positive impact on legal inclusion (B = 1.55, p< 0.001). Lastly, social acceptance has a positive impact on psychological well-being (B = 0.52, p = .035). This study provides new insights into the negative impact of discrimination on the psychological health of OMSM and mitigating factors representing the positive effects. However, future studies are necessary to bridge the literature gap regarding the associations between the different factors described in this study.
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Chor, Josette Sin-yee, Jason Leung, Sian Griffiths, and Ping-chung Leung. "Assessment of Malnutrition in Community Chinese Elderly: A Hidden Problem in a Developed Society." ISRN Geriatrics 2013 (November 5, 2013): 1–9. http://dx.doi.org/10.1155/2013/564342.
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Background. Malnutrition can lead to chronic disease especially in vulnerable population. This study is to explore the extent of the malnutrition problem in community Chinese elderly and its associating factors in Hong Kong. Method. This is a cross-sectional study using structured interview with 7-day food frequency questionnaires. 1960 men and 1954 women aged 65 or above were recruited from the community. Results. Less than half of the participants fulfilled the recommended intake level of the others. Less than 10% of participants met the daily requirement of fibre, Calcium, Vitamin D, Iodine, and Copper. 22.32% of male participants and 6.21% of female participants have cholesterol intake exceeding the recommended upper level. 41.19% men and 28.99% women exceeded the upper level of fat percentage of total energy. Educational level was demonstrated to have a consistent positive association with the adequate intake in most nutrients. Single or divorced marital status is a risk factor in over-intake of saturated fatty acid in men and under-intake in Zinc and meat in women. Conclusion. Our study has shown the serious malnutrition problem in a wide range of nutrients in community Chinese elderly in Hong Kong.
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Tang, Denise Tse-Shang. "All I get is an emoji: dating on lesbian mobile phone app Butterfly." Media, Culture & Society 39, no. 6 (March 6, 2017): 816–32. http://dx.doi.org/10.1177/0163443717693680.
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Unlike mobile apps for gay men, lesbian dating apps have been slow to catch on as a habitual space to look for friends and lovers. This study adopted a qualitative approach to investigate the social expectations and romantic longings of Chinese lesbians and bisexual women aged 35 and above in establishing same-sex relationships using mobile media. In-depth interviews were conducted with 12 Chinese lesbians and bisexual women, and participant observation was carried out on the Hong Kong-based lesbian social networking site Butterfly. The aim of the study was to explore the social meanings of intimacy created, negotiated and changed among Chinese lesbians and bisexual women. I argue that although social media presents ample opportunities for love and intimacy, the prevailing conservative values and cultural norms surrounding dating and relationships in Hong Kong are often reinforced and played out in their choice of romantic engagement.
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Low, Chien Tat, Poh Chin Lai, Paul Sai Shun Yeung, Axel Yuet Chung Siu, Kelvin Tak Yiu Leung, and Paulina Pui Yun Wong. "Temperature and age–gender effects on out-of-hospital cardiac arrest cases." Hong Kong Journal of Emergency Medicine 25, no. 2 (January 5, 2018): 83–90. http://dx.doi.org/10.1177/1024907917751301.
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Introduction: Temperature is a key factor influencing the occurrence of out-of-hospital cardiac arrest, yet there is no equivalent study in Hong Kong. This study reports results involving a large-scale territory-wide investigation on the impacts of ambient temperature and age–gender differences on out-of-hospital cardiac arrest outcome in Hong Kong. Methods: This study included 25,467 out-of-hospital cardiac arrest cases treated by the Hong Kong Fire Services Department between December 2011 and November 2016 inclusive. Simple correlation and regression analyses were used to examine the relationships between out-of-hospital cardiac arrest cases and temperature, age and gender. Calendar charts were used to visualise temporal patterns of pre-hospital emergency medical services related to out-of-hospital cardiac arrest cases. Results: A strong negative curvilinear relationship was found between out-of-hospital cardiac arrest and daily temperature (r2 > 0.9) with prominent effects on elderly people aged ≥85 years. For each unit decrease in mean temperature in °C, there was a maximum of 5.6% increase in out-of-hospital cardiac arrest cases among all age groups and 7.3% increase in the ≥85 years elderly age group. Men were slightly more at risk of out-of-hospital cardiac arrest compared with women. The demand for out-of-hospital cardiac arrest–related emergency medical services was highest between 06:00 and 11:00 in the wintertime. Conclusion: This study provides the first local evidence linking weather and demographic effects with out-of-hospital cardiac arrest in Hong Kong. It offers empirical evidence to policymakers in support of strengthening existing emergency medical services to deal with the expected increase in out-of-hospital cardiac arrest in the wintertime and in regions with a large number of elderly population.
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Ng, CP, and CH Chung. "Persistent Fever and Exanthema in a Family: A Case Report of Mediterranean Spotted Fever." Hong Kong Journal of Emergency Medicine 12, no. 2 (April 2005): 91–94. http://dx.doi.org/10.1177/102490790501200210.
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Mediterranean spotted fever (also called Boutonneuse fever) is a notifiable disease in Hong Kong, but its diagnosis can be difficult. We report a case of Mediterranean spotted fever in a middle-aged man who presented with persistent fever, headache, and skin rash. Three weeks ago, his daughter had similar presentations. With a history of similar clinical presentation within family members, the possibility of potential exposure to a common disease vector should be suspected. Establishing an early diagnosis may be possible if this important history is obtained. Early recognition of this disease may lead to early therapeutic intervention, resulting in decreased morbidity and shortened duration of hospital stay.
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Cheung, Siu-Lan Karen, Siu-Fai Paul Yip, Laurence G. Branch, and Jean-Marie Robine. "Decreased Proportion of Dementia-Free Life Expectancy in Hong Kong SAR." Dementia and Geriatric Cognitive Disorders 40, no. 1-2 (2015): 72–84. http://dx.doi.org/10.1159/000381848.
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Background: Estimations of life expectancies (LE) in health and ill health are important for planning future health care support. This study aimed at quantifying whether an increased LE is accompanied by an increase in the duration of life with dementia (DemLE) in Hong Kong SAR. Methods: Two parameters from a logistic model were used to fit the overall trend of the weighted prevalence of dementia. Abridged age- and sex-specific life tables and Sullivan's method were used to calculate dementia-free LE (DemFLE) for 1998 and 2013. Results: In 2013, among elderly individuals in Hong Kong aged 65 years, men had lived with dementia for 1.8 years and women for 3.6 years. These values are similar to those for subjects aged ≥85 years, while the proportion of DemLE was much greater at advanced ages. Elderly female individuals tend to experience a greater number of years with dementia than males. Conclusion: Our results indicate although LE has increased for all older age groups over time, the increase in DemFLE has not been greater than the gain in LE, suggesting an absolute expansion of the burden of dementia to the community between 1998 and 2013. The results suggest that more caregiving resources and manpower will be needed in the future as the population ages.
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Liong, Chan Ching Mario. "Factors Influencing Distress Toward Erectile Dysfunction and Attitude Toward Erectile Dysfunction Drugs Among Middle‐Aged and Elderly Chinese Women and Men in Hong Kong." Journal of Sexual Medicine 10, no. 3 (March 2013): 782–90. http://dx.doi.org/10.1111/j.1743-6109.2012.02975.x.
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Woo, Jean, S. C. Ho, S. P. B. Donnan, and R. Swaminathan. "Nutritional status of healthy, active, Chinese elderly." British Journal of Nutrition 60, no. 1 (July 1988): 21–28. http://dx.doi.org/10.1079/bjn19880072.
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1. Anthropometric indices are presented for 402 healthy Chinese elderly subjects leading an active life in the community in Hong Kong.2. Women had higher body-mass index (weight/height2) and body fat, while fat-free mass, arm-muscle circumference and corrected arm-muscle area were higher in men. Body-mass index, fat-free mass, arm-muscle circumference and corrected arm-muscle area did not decline with age. Total body fat was lower in women aged 75 years and above compared with those aged 60–64 years.3. All values were lower than those for elderly Caucasians. A different criteria for severe wasting malnutrition among elderly Chinese should be established.
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Zhang, Huiping, Andrew W. C. Yip, Susan Fan, and Paul S. F. Yip. "Sexual Dysfunction Among Chinese Married Men Aged 30-60 Years: A Population-based Study in Hong Kong." Urology 81, no. 2 (February 2013): 334–39. http://dx.doi.org/10.1016/j.urology.2012.11.003.
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Yuen, John Wai-Man, Ivy Yuen-Ping Wong, Peter Ka-Fung Chiu, Jeremy Yuen-Chun Teoh, Chi-Kwok Chan, Chi-Hang Yee, and Chi-Fai Ng. "A Comprehensive Community-Based Prevalence Study on Nocturia in Hong Kong Male Adults." International Journal of Environmental Research and Public Health 18, no. 17 (August 29, 2021): 9112. http://dx.doi.org/10.3390/ijerph18179112.
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Background: Most prevalence surveys on nocturia have focused on older populations. This study aimed to measure the nocturia prevalence across the full spectrum of male adults living in Hong Kong, where severity and associated quality-of-life (QoL) were also explored. Methods: A cross-sectional population-based survey was conducted in men aged 18 or above using the ICIQ-NQoL Questionnaire. Results: With 1239 respondents at age ranged 18–99, the overall nocturia prevalences were found to be 63.0% (ranged 41.6–84.6% at different age groups) and 31.2% (ranged 13.0–56.3% at different age groups), for ≥1 and ≥2 bedtime voiding episodes, respectively. The chance of nocturia was dramatically increased at age 60 or above while both prevalence and voiding frequency were increased with advancing age. About 83% of the nocturia men experienced one to two voiding episodes per night, but many of them had self-rated their QoL poor or very poor and indicated moderate-to-high bothersome. Younger men at age 18–39 were found to have high prevalence as 41.6% and almost 30% of them rated poor or very poor QoL. Conclusions: Nocturia was not only affecting the older populations but also caused significant bothersome and negative impacts on QoL in younger males.
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Chan, Man Hin, Feng Wang, Wai kong Mang, and Lap Ah Tse. "Sex Differences in Time Trends on Incidence Rates of Oropharyngeal and Oral Cavity Cancers in Hong Kong." Annals of Otology, Rhinology & Laryngology 127, no. 12 (September 29, 2018): 895–902. http://dx.doi.org/10.1177/0003489418802287.
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Objectives: Worldwide studies have shown an increasing trend of oropharyngeal squamous cell carcinoma (OPSCC) but a decreasing trend of oral cavity cancers over the past 2 decades, particularly in developed countries with successful tobacco control. This trend has been attributed to the increase in the incidence of human papillomavirus (HPV)–associated OPSCC. The aim of this study was to examine sex differences in incidence trends of oropharyngeal and oral cavity cancers in Hong Kong from 1983 to 2014. Methods: Using data from the Hong Kong Cancer Registry from 1983 to 2014, age-standardized incidence rates for potentially HPV-associated sites (oropharyngeal) and non-HPV-associated sites (oral cavity) were calculated, stratified by sex and age groups. Joinpoint regression and an age-period-cohort model were used to assess incidence trends. Results: A total of 1,972 cases of oropharyngeal cancer and 7,389 cases of oral cavity cancer were diagnosed from 1983 to 2014. The male/female ratios were 4.16:1 for oropharyngeal cancers and 1.63:1 for oral cavity cancers. A significant increasing trend was observed in oropharyngeal cancers from 1994 to 2014 (average annual percentage change = 2.66, P < .05). In contrast, a significant decreasing trend was observed in oral cavity cancers from 1983 to 1994 (average annual percentage change = −5.36, P < .05). The trends were more significant in men and in patients aged 45 to 69 years. A positive birth cohort effect was observed for oropharyngeal cancer in men. Conclusions: The rising trend of oropharyngeal cancer and decreasing trend of oral cavity cancer in Hong Kong from 1983 to 2014 are consistent with worldwide trends. Increase in high-risk sexual behaviors and oral HPV infection may influence the difference in trends.
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Desheva, Yulia, Nadezhda Petkova, Tatiana Smolonogina, Svetlana Donina, and Alexey Go. "Study of Antibodies to Influenza Neuraminidase N2." Pharmaceuticals 15, no. 5 (April 19, 2022): 498. http://dx.doi.org/10.3390/ph15050498.
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Humoral immunity to influenza neuraminidase (NA) was evaluated among different groups of people including patients with acute influenza infection and healthy people in different age groups using an enzyme linked lectin assay (ELLA). The amino acid composition of NA of seasonal influenza viruses A/Victoria/361/2011(H3N2) and A/Hong Kong/4801/2014(H3N2) differed by 2%, while cross-reacting neuraminidase-inhibiting (NI) antibodies to them in the same serum samples were detected in 10% of cases. Middle-aged patients born from 1977 to 2000 had a high level of hemagglutination-inhibiting (HI) antibodies to A/Hong Kong/4801/2014(H3N2), but almost no NI antibodies, which may indicate that in the case of a change in the hemagglutinin (HA) subtype, this age group will be susceptible to influenza A/H3N2 viruses. Therefore, it could mean there is a need for priority vaccination of this age group with a vaccine against the appropriate strain. It was shown that after intranasal administration of live influenza vaccine (LAIV) for the 2017–2018 season, serum antibody response was not lower compared to that during natural infection. In older people, antibodies to archival A/H2N2 viruses were detected more often than to modern A/H3N2. Since the conversion of antibodies to HA and NA often did not coincide, antibodies to NA can serve as an additional criterion for assessing the immunogenicity of influenza vaccines.
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HO, S. C., P. H. CHAU, P. K. FUNG, A. SHAM, E. A. NELSON, and J. SUNG. "Acute gastroenteritis in Hong Kong: a population-based telephone survey." Epidemiology and Infection 138, no. 7 (November 20, 2009): 982–91. http://dx.doi.org/10.1017/s0950268809991087.
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SUMMARYA population-based telephone survey of acute gastroenteritis (AG) was conducted in Hong Kong from August 2006 to July 2007. Study subjects were recruited through random digit-dialling with recruitments evenly distributed weekly over the 1-year period. In total, 3743 completed questionnaires were obtained. An AG episode is defined as diarrhoea ⩾3 times or any vomiting in a 24-h period during the 4 weeks prior to interview, in the absence of known non-infectious causes. The prevalence of AG reporting was 7%. An overall rate of 0·91 (95% CI 0·81–1·01) episodes per person-year was observed with women having a slightly higher rate (0·94, 95% CI 0·79–1·08) than men (0·88, 95% CI 0·73–1·04). The mean duration of illness was 3·6 days (s.d.=5·52). Thirty-nine percent consulted a physician, 1·9% submitted a stool sample for testing, and 2·6% were admitted to hospital. Of the subjects aged ⩾15 years, significantly more of those with AG reported eating raw oysters (OR 2·4, 95% CI 1·3–4·4), buffet meals (OR 1·8, 95% CI 1·3–2·5), and partially cooked beef (OR 1·8, 95% CI 1·2–2·7) in the previous 4 weeks compared to the subjects who did not report AG. AG subjects were also more likely to have had hot pot, salad, partially cooked or raw egg or fish, sushi, sashimi, and ‘snacks bought at roadside’ in the previous 4 weeks. This first population-based study on the disease burden of AG in Asia showed that the prevalence of AG in Hong Kong is comparable to that experienced in the West. The study also revealed some ‘risky’ eating practices that are more prevalent in those affected with AG.
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Seftel, Allen. "Re: Sexual Dysfunction Among Chinese Married Men Aged 30–60 Years: A Population-Based Study in Hong Kong." Journal of Urology 190, no. 2 (August 2013): 645. http://dx.doi.org/10.1016/j.juro.2013.04.110.
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Chung, Gary KK, Francisco TT Lai, Heidi Hung, Eng-Kiong Yeoh, and Roger Y. Chung. "Differential educational patterning of cardiometabolic risks between women and men among community-dwelling Chinese adults in Hong Kong: the mediating role of obesity." Public Health Nutrition 24, no. 13 (May 26, 2021): 4245–56. http://dx.doi.org/10.1017/s1368980021002044.
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AbstractObjectives:Educational inequalities in cardiometabolic diseases (CMD) are globally recognised; nonetheless, the evidence on potential explanatory mechanisms and effective strategies for CMD prevention and inequality reduction is relatively scarce in Asia. Therefore, the current study examined the extent and potential mediators of the association of education level with CMD conditions (i.e., hypertension and diabetes) in an advanced economy in Asia.Design:A cross-sectional study.Setting:This territory-wide cross-sectional Population Health Survey in 2014–2015 was performed in Hong Kong. Demographic, socio-economic and lifestyle factors were collected via questionnaire, while clinical data on blood pressure and glucose levels, lipid profiles and anthropometric measures were obtained during health examination. Hypertension and diabetes statuses were objectively defined by both clinical data and the use of relevant medications.Participants:2297 community-dwelling adults aged between 15–84 years recruited via systematic replicated sampling of living quarters.Results:Multivariable binary logistic regression analysis showed that lower education level was significantly associated with hypertension among women but not men, whereas similar pattern was also observed for diabetes and other related clinical risk factors. Also, general and abdominal obesity were independently associated with hypertension and diabetes among both women and men, and substantially mediated the observed inequalities across education levels among women. Specifically, abdominal obesity was a particularly strong risk factor and mediator for diabetes.Conclusion:Educational patterning of CMD was more apparent among women in Hong Kong. Obesity control appears to be important for both overall CMD prevention and reduction of educational inequalities in CMD among women.
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FREIRE, TIAGO. "WAGE SUBSIDIES AND THE LABOR SUPPLY OF OLDER PEOPLE: EVIDENCE FROM SINGAPORE’S WORKFARE INCOME SUPPLEMENT SCHEME." Singapore Economic Review 63, no. 05 (December 2018): 1101–39. http://dx.doi.org/10.1142/s0217590815500964.
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An increasing body of literature considers population aging and labor markets, focusing on the dynamics of older workers’ labor market participation. Singapore introduced the Workfare Income Supplement (WIS) scheme in 2007, targeting low-income, older workers. Previous studies show that labor force participation drops significantly after the age of 45. We examine whether a wage subsidy program can increase the labor supply of these older workers. Using Hong Kong as a control group in a difference-in-difference-in-difference approach, we find that this program increased labor force participation for women aged 60–64 by 3.1–5.5% points, but had no statistically significant impact on the labor supply of men.
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Liong, Mario, and Lih Shing Chan. "Walking a Tightrope on (Hetero)Sexuality: Performatively Vigilant Masculine Subjectivity in Response to Sexualized Culture." Men and Masculinities 23, no. 2 (January 18, 2018): 225–41. http://dx.doi.org/10.1177/1097184x17753267.
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Although young men’s subjectivity continues to be defined in terms of their heterosexual performance, they feel vulnerable when women increasingly resist submission to men’s desire and control. However, the sexual objectification of women, driven by consumerist urban culture and commercial media, is rapidly pushing the boundaries of men’s (hetero)sexual expression. Men are thus compelled to renegotiate their masculine heterosexual subjectivities in response to women’s resistance and the demands of the moralistic middle-class society. Based on the performativity-performance framework, this article uses focus group data with Hong Kong college men to illustrate the ways that Chinese young men are “performatively vigilant,” resorting to different cultural and discursive resources to construct multiple and diverse subjectivities in defining manhood and responding to their vulnerabilities in different relational contexts. In this process, the hegemony of men as sexually and culturally superior to women and in control of themselves and the situation is propagated.
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Wong, Samuel Yeung Shan, Frank Wan Kin Chan, Chi Kei Lee, Martin Li, Fai Yeung, Christopher Chor Ming Lum, Jean Woo, and Dicky T. K. Choy. "Maximum oxygen uptake and body composition of healthy Hong Kong Chinese adult men and women aged 20 – 64 years." Journal of Sports Sciences 26, no. 3 (February 2008): 295–302. http://dx.doi.org/10.1080/02640410701552658.
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Yeung, Wing-Fai, Shu-Cheng Chen, Denise Shuk Ting Cheung, Carlos King-Ho Wong, Tsz Chung Chong, Yuen Shan Ho, Lorna Kwai Ping Suen, Lai Ming Ho, and Lixing Lao. "Self-Administered Acupressure for Probable Knee Osteoarthritis in Middle-Aged and Older Adults." JAMA Network Open 7, no. 4 (April 19, 2024): e245830. http://dx.doi.org/10.1001/jamanetworkopen.2024.5830.
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ImportanceThe effects of self-administered acupressure (SAA) on knee osteoarthritis (OA) pain remain unclear.ObjectiveTo evaluate the effectiveness of SAA taught via a short training course on reducing knee OA pain in middle-aged and older adults.Design, Setting, and ParticipantsThis randomized clinical trial was conducted among community-dwelling individuals in Hong Kong who were aged 50 years or older with probable knee OA from September 2019 to May 2022.InterventionsThe intervention included 2 training sessions for SAA with a brief knee health education (KHE) session, in which participants practiced acupressure twice daily for 12 weeks. The control group (KHE only) received only education about maintaining knee health on the same schedule and duration.Main Outcomes and MeasuresThe primary outcome was the numerical rating scale (NRS) pain score at 12 weeks. Other outcomes included Western Ontario and McMaster University Osteoarthritis Index, Short Form 6 Dimensions (SF-6D), Timed Up and Go, and Fast Gait Speed tests.ResultsA total of 314 participants (mean [SD] age, 62.7 [4.5] years; 246 [78.3%] female; mean [SD] knee pain duration, 7.3 [7.6] years) were randomized into intervention and KHE-only groups (each 157). At week 12, compared with the KHE-only group, the intervention group had a significantly greater reduction in NRS pain score (mean difference [MD], −0.54 points; 95% CI, −0.97 to −0.10 points; P = .02) and higher enhancement in SF-6D utility score (MD, 0.03 points; 95% CI, 0.003 to 0.01 points; P = .03) but did not have significant differences in other outcome measures. The cost-effectiveness acceptability curve demonstrated a greater than 90% probability that the intervention is cost-effective at a willingness to pay threshold of 1 GDP per capita.Conclusions and RelevanceIn this randomized clinical trial, SAA with a brief KHE program was efficacious and cost-effective in relieving knee pain and improving mobility in middle-aged and older adults with probable knee OA.Trial RegistrationClinicalTrials.gov Identifier: NCT04191837
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NG, Siu Kuen Robert. "Body Image Discrepancy and Body Mass Index among Chinese University Students in Hong Kong." Asian Journal of Physical Education & Recreation 20, no. 1 (June 1, 2014): 12–20. http://dx.doi.org/10.24112/ajper.201810.
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LANGUAGE NOTE | Document text in English; abstract also in Chinese.
Introduction: The purposes of this study were to examine (a) the relationship between Body Mass Index (BMI) and the perception of body image, (b) the body satisfaction level (BSS), and (c) the most satisfied and dissatisfied body part. Methods: 588 university students (aged: 20.0±2.2 years; BMI: 20.3±2.8 kg/m2) from four universities in Hong Kong indicated their perceived ‘ideal’ and the ‘healthiest’ male and female figure from 9-figure rating scale. Body Image Discrepancy (BID) between their ‘current’ and ‘ideal’ figure was calculated. Results: Men reported significantly higher level of BSS than women. BMI correlated with BSS in women (r=.-263, p<.01) but not in men; BMI correlated with BID in women (r=.446, p<.001) and men (r=.587, p<.001). Most respondents indicated ‘no part’ as their most satisfied body part. Men and women stated their most dissatisfied body part was abdomen and thigh respectively. BSS was the highest in normal weight men and underweight women. Overweight respondents rated significantly larger figure as their ‘ideal’ size than their underweight and normal weight counterparts. Conclusions: An increase in BMI aggravates an increase in their desire to be thinner. It is necessary to help university students in Hong Kong to develop a healthy and realistic body image.
探討大學生(1)身體質量指數(BMI)與身體形象差異的關係; (2)身體滿意度; (3)最滿意和最不滿意自己身體部份。588位大學生從香港四所大學在9個由瘦至肥的男女剪影公仔中選擇(1)“理想”和“最健康”的男女體型; (2)代表自己“現在”和“理想”的體型來計算出身體形象差異。女性的身體滿意度比男性低並與BMI成反比。大多數指無最滿意的身體部份，男女分別最不滿意腹部和大腿。正常體重男士和過輕女士最滿意自己身體。總結，BMI與減磅意欲成正比。
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Mak, W., KL Tsang, TH Tsoi, KM Au Yeung, KH Chan, TS Cheng, TFR Cheung, and SL Ho. "Bath-Related Headache." Cephalalgia 25, no. 3 (March 2005): 191–98. http://dx.doi.org/10.1111/j.1468-2982.2004.00832.x.
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Bath-related headache (BRH) is a rare primary headache syndrome. We present our experience over seven years and review all reported cases of BRH. Thirteen patients, including six from our group, are described. BRH occurred exclusively in middle-aged or elderly Oriental women (mean age 51 years, range 32-67. Hong Kong 6 cases, Taiwan 4 cases, Japan 3 cases). The typical presentation was a uniphasic cluster of severe headache recurrently triggered by bathing or other activities involving contact with water. Each attack lasted 30 min to 30 h. Onset was hyperacute, consistent with that of thunderclap headache. Reversible multisegmental cerebral vasoconstriction was found in two patients. No underlying secondary causes were identified. Response to acute treatment was generally unsatisfactory, but headache could be prevented by avoiding the specific trigger(s). BRH runs a self-limiting course; all patients remitted within three months after onset. Nimodipine may shorten the duration of illness.
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Wang, Zixin, Phoenix K. H. Mo, Yuan Fang, Mary Ip, and Joseph T. F. Lau. "Factors predicting first-time hepatitis C virus testing uptake among men who have sex with men in China: an observational prospective cohort study." Sexually Transmitted Infections 96, no. 4 (January 9, 2020): 258–64. http://dx.doi.org/10.1136/sextrans-2019-054248.
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ObjectivesMen who have sex with men (MSM) are at high risk of hepatitis C virus (HCV). This study investigated predictors of first-time HCV testing uptake during a 6-month period among a sample of MSM in Hong Kong.MethodsParticipants were 351 Chinese-speaking MSM who had never received HCV testing. Participants completed two telephone surveys 6 months apart. At baseline, participants reported on sociodemographics, sexual behaviours, risk perception, depressive symptoms and anxiety symptoms. Illness representations, which refers to how people think about HCV, was measured by the Brief Illness Perception Questionnaire (BIPQ) at baseline. The BIPQ assessed identity (identifying symptoms of HCV), timeline (whether HCV is acute/chronic), consequences (severity of HCV), personal control and treatment control (whether HCV is under volitional control), concern, emotions (anger, guilt or shame) and coherence (overall comprehensibility of HCV). Six months later, participants reported on HCV testing uptake. Logistic regression was used to analyse the associations between baseline predictors and HCV testing uptake.ResultsMost participants were aged ≤30 years (55.0%) and had attained college education or above (85.2%). Among 242 participants (68.9%) who completed the month 6 follow-up, 12.4% had tested for HCV during the follow-up period. After adjustment for HIV testing and chemsex in the last year, participants who perceived more severe consequences of HCV reported higher HCV testing uptake (adjusted ORs (AOR): 2.22, 95% CI: 1.65 to 3.00). Belief that treatment can control HCV (AOR: 1.75, 95% CI: 1.35 to 2.26) and having negative emotions related to HCV (AOR: 1.59, 95% CI: 1.25 to 2.03) were also positively associated with HCV testing uptake.ConclusionsTargeted health promotion efforts are needed to increase HCV testing among MSM in Hong Kong. Healthcare workers engaged in HCV-related programming should consider modifying the illness representations of HCV. Integrating HCV and HIV testing services may also be beneficial.
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Rochelle, Tina L. "“Take a Spoonful of Concrete and Harden the **** up!”: How British Men in Hong Kong Talk About Health and Illness." American Journal of Men's Health 13, no. 1 (January 2019): 155798831982933. http://dx.doi.org/10.1177/1557988319829334.
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The present study draws on semistructured focus group discussions conducted with British men living in Hong Kong to examine how men’s constructions of masculinity influence health behavior and attitudes. Twenty-eight men aged 21–51 years were divided into groups based on age (≤35 years and ≥36 years); length of residence ranged from 2 to 20 years. Discussions were analyzed using open-ended thematic analysis. Following intensive analysis of the transcripts, four subthemes were identified and analyzed in greater detail: (a) health talk; (b) help-seeking behavior; (c) health risk; and (d) health motivations. Findings suggest a widespread endorsement of a hegemonic view of masculinity among men in the present study. Men expressed reluctance in seeking help for illness, regardless of age, particularly when experiencing symptoms of ill-health that were deemed to be “minor.” However, help seeking was embraced when it was perceived to impact masculinity, for example, when potentially related to sexual performance or function. While men in the present study were sometimes dismissive of health advice provided by family, they were more open and responsive to seeking help upon the advice of male friends. Findings are further discussed with reference to the relationships between masculinities and health; implications for health are discussed.
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Sing, Chor-Wing, Bernard M. Y. Cheung, Ian C. K. Wong, Kathryn C. B. Tan, Annie W. C. Kung, Raymond Y. H. Leung, Yi Han, and Ching-Lung Cheung. "Serum 25-hydroxyvitamin D and the risk of stroke in Hong Kong Chinese." Thrombosis and Haemostasis 117, no. 01 (2017): 158–63. http://dx.doi.org/10.1160/th16-07-0551.
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SummaryLow vitamin D levels have been associated with various cardiovascular diseases; however, whether it is associated with stroke remains inconclusive. We aimed to evaluate the association between serum 25-hydroxyvitamin D and risk of stroke. We conducted a cohort study consisting of 3,458 participants from the Hong Kong Osteoporosis Study aged ≥45 at baseline, examined between 1995 and 2010 and followed up using electronic medical records. Ischaemic and haemorrhagic stroke were defined using the ICD-9 code. In multivariable Cox-proportional hazard regression, quintiles 1 and 4 were significantly associated with increased risk of stroke when compared to the highest quintile (Quintile 1: HR, 1.78; 95 % CI, 1.16–2.74 and quintile 4: HR, 1.61; 95 % CI, 1.07–2.43). A similar association was observed in both men and women. In subgroup analysis, the association was specifically observed for ischaemic stroke, but not haemorrhagic stroke. Using a penalized regression spline, the association between vitamin D and risk of stroke was in a reverse J-shape, with the lowest risk of stroke being observed at 25(OH)D levels between 70 and 80 nmol/l. In conclusion, a low vitamin D level is associated with increased risk of ischaemic stroke; however, whether high vitamin D level is also associated with increased risk of stroke requires further study.Supplementary Material to this article is available at www.thrombosis-online.com.
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Wong Chi, Hong, Chuang Shuk Kwan, Wing Hang Lam, Ho Yeung Lam, Tsz Sum Lam, Raymond Ho Lei Ming, Hong Leung Yi, and Chau Kuen Yonnie Lam. "Investigation and control of a measles outbreak at the Hong Kong International Airport, 2019." Western Pacific Surveillance and Response Journal 11, no. 2 (June 30, 2020): 1–4. http://dx.doi.org/10.5365/wpsar.2019.10.2.007.
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Introduction: Hong Kong SAR (China) achieved measles elimination status in 2016, and the incidence of measles infection had been low over the past few years. However, the Centre for Health Protection (CHP) at the Department of Health was notified on 22 March 2019 of an outbreak of three cases of measles infection among workers at the Hong Kong International Airport (HKIA). Methods: We reviewed notifications of measles received by CHP from 1 January to 17 May 2019. We defined a confirmed case of measles as having laboratory evidence of measles infection. All confirmed cases among airport workers or those with epidemiological information suggesting they had been infected by contact with airport workers were included in the review. We described the epidemiological features and reviewed the control measures against the outbreak. Results: We identified 33 cases, 29 of which were among airport workers. They comprised 22 men and 11 women, aged 20–49 years (median 25 years). The majority of people with confirmed measles presented with fever and rash. All required hospitalization. None developed complications. Control measures, including enhanced environmental hygiene and improved ventilation at HKIA and vaccinations for the airport community, were implemented. Vaccinations were provided to 8501 eligible airport workers, and the outbreak was declared over on 17 May 2019. Discussion: Early recognition of the outbreak and prompt control measures, especially targeted vaccination of the exposed population, effectively controlled the outbreak in just two weeks.
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Yan, Elsie, and Thanos Karatzias. "Childhood Abuse and Current Intimate Partner Violence: A Population Study in Hong Kong." Journal of Interpersonal Violence 35, no. 1-2 (December 9, 2016): 233–51. http://dx.doi.org/10.1177/0886260516682521.
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Previous studies have established that childhood violence victimization is associated with current experience of intimate partner violence (IPV). Existing literature, however, focused exclusively on female survivors and physical IPV and relied on non-representative samples. The present study examined the associations between life adversities and IPV using a representative sample of 1,239 men and women aged between 18 and 97. Participants provided information on their demographic characteristics, lifetime history of adverse life events, and past year IPV. Results show that IPV is common with 32.8% of the participants having reported past year psychological aggression, 4.5% reported physical abuse, and 1.1% reported injury. Various life adversities were also common with 21.7% having reported family disruption, 6% having experienced abuse or witnessing violence, and 2.1% life-threatening events. Logistic regression analyses revealed that experiencing abuse or witnessing violence in childhood is associated with a greater risk of past year psychological aggression, physical assault, and injury. Results were significant even after controlling for demographics and other life adversities. Family disruption in childhood was associated with increased risk of past year injury, but the association diminished after controlling for the rest of the variables. Experience of life-threatening events was not associated with any form of past year IPV. Altogether, our results point out that childhood victimization, especially physical abuse by parents, is associated with future long-term risk of IPV. This highlights the importance of early prevention and intervention for child abuse.
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Wang, Zixin, Yuan Fang, Paul Shing-fong Chan, Andrew Chidgey, Francois Fong, Mary Ip, and Joseph T. F. Lau. "Effectiveness of a Community-Based Organization—Private Clinic Service Model in Promoting Human Papillomavirus Vaccination among Chinese Men Who Have Sex with Men." Vaccines 9, no. 11 (October 20, 2021): 1218. http://dx.doi.org/10.3390/vaccines9111218.
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This study evaluated the effectiveness of the community-based organization (CBO)-private clinic service model in increasing human papillomavirus (HPV) vaccination uptake among unvaccinated men who have sex with men (MSM) in Hong Kong during a 12-month follow-up period. A CBO-private clinic model was implemented to promote HPV vaccination among Chinese MSM. A CBO with good access to MSM approached MSM aged 18–45 years who had never received an HPV vaccination, invited them to receive an online health promotion, and referred them to receive HPV vaccination at gay-friendly private clinics. A baseline survey and a follow-up evaluation at Month 12 were conducted. A total of 350 participants completed the baseline survey. Among 274 participants who were followed up at Month 12, 46 (16.8%) had taken up at least one dose of HPV vaccination. After adjusting for significant baseline characteristics, the perceived susceptibility (AOR:1.25, p = 0.002) and perceived severity (AOR:1.21, p = 0.003) of HPV and HPV-related diseases, perceived benefits (AOR:1.16, p = 0.03), self-efficacy to receive HPV vaccination (AOR:1.37, p = 0.001), and behavioral intention to take up HPV vaccination at baseline (AOR:6.99, p < 0.001) significantly predicted HPV vaccination uptake. The process evaluation of the program was positive. The CBO-private clinic service model was helpful in increasing HPV vaccination uptake among MSM.
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Chan, D. L., C. S. Wong, C. L. Hui, S. K. Chan, and E. H. Lee. "Smartphone internet addiction among hong kong young adults: The role of gender and depression." European Psychiatry 64, S1 (April 2021): S211. http://dx.doi.org/10.1192/j.eurpsy.2021.562.
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IntroductionGrowing evidence studying pathological online behaviour has shown an increasing rate of internet addictions in younger populations across the globe.ObjectivesThe current study aims to investigate the prevalence of smartphone internet addiction of youths in Hong Kong, and its associations with gender and depression.Methods A total of 1,164 participants’ preliminary data were extracted from the Hong Kong Youth Epidemiological Study of Mental Health, a territory-wide, household-based study of mental health in youths aged between 15-24. Internet usage behaviors, socio-demographic and psychosocial characteristics of the participants were assessed. The Chen Internet Addiction Scale was modified to measure smartphone internet addiction (SIA). Symptoms of depression were assessed using the Patient Health Questionnaire. Mann-Whitney U tests were used to examine (i) SIA across gender and (ii) depressive symptoms between high and no to low SIA groups. Linear regression model was used to evaluate the association between SIA and depression.Results The prevalence of smartphone internet addiction was 27.8% using the cut-off scores of 67/68. Women had higher SIA scores than men (U=144239.50, p=0.001). Participants with high SIA were associated with a higher severity in depression than those with no-to-low SIA (U=89187.00, p<0.001). Regression analysis revealed a significant positive correlation between depression and SIA after adjusting for confounding factors (B=0.099, t=9.138, p<0.001).ConclusionsOur findings suggest a gender difference on online behaviour using smartphones. Further investigations are needed on whether SIA may exacerbate severity of common mental disorders.
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Cockain, Alex. "Temporalities, a Disability Chronotope, and Empathetic Horizons in Still Human." Journal of Literary & Cultural Disability Studies: Volume 15, Issue 1 15, no. 1 (February 1, 2021): 19–37. http://dx.doi.org/10.3828/jlcds.2021.2.
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The article engages with arrangements of time and space and how they conjoin to constitute a disability chronotope that combines with other textual elements to both expand and limit empathetic horizons in Still Human, a film about a physically impaired middle-aged man and his Pilipino foreign domestic helper (FDH), set largely within a Hong Kong public housing estate. The study distinguishes between the text’s declarative and descriptive layers, albeit while recognizing the forced and perhaps violent nature of this division. Structuring the surface of the film are technical codes and a chronological, optimistic, and sometimes humorous overcoming narrative through which protagonists triumph over tragedy. However, the surface of the text is intermittently disturbed by descriptive layers, or figurative currents. Although this troubling content appears peripheral to, and on the margins of, the text, this underlying and seemingly extraneous content is a crucial supplement which may more effectively realize authorial intentions to disclose the protagonists’ humanness and engender empathy than the more prominent technical codes that structure the text’s surface. Such coexisting layers illustrate how texts are stratified and how the content of texts and the intentions of authors are haunted by undecidability.
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Lai, Daniel W. L., Xue Bai, Vincent W. P. Lee, Kin Cheung, Calvin W. Luk, and Chi-Ko Lee. "WORKPLACE AND PERSONAL ATTRIBUTES AFFECTING WORKPLACE PSYCHOLOGICAL BURDEN OF MATURE AND AGING WORKERS IN HONG KONG." Innovation in Aging 7, Supplement_1 (December 1, 2023): 665. http://dx.doi.org/10.1093/geroni/igad104.2163.
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Abstract Older employees are valuable human resources for society. However, changes in cognitive abilities and mental health in older persons may affect their ability to work, as well as their safety and health at work. The purpose of this study is to investigate the effects of older workers’ personal attributes such as demographics and lifestyle, physical health status, mental health status, labour intensity of employment, and experience of occupational and health risks on their psychological burden at work. A quantitative telephone survey was conducted with a stratified random sample of 1,225 workers aged 40 or above. The results of multiple linear regression analysis indicated that the men and workers with better sleep quality tended to suffer less from psychological burden at work. Older workers with longer weekly work hours and incidents of work-related injuries tended to have a higher level of psychological burden, whereas a safer work environment perceived by the older workers was associated with a lower psychological burden. To accommodate their needs, employers are recommended to allow the older employees choices of reducing work hours and flexible work arrangements. The application of assistive devices and relevant technologies for minimizing the threats to safety and health for the sake of the employees’ long-term psychological well-being is important for institutions and employers to consider.
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Yu, Ruby, Moses Wong, Billy Chang, Xin Lai, C. M. Lum, T. W. Auyeung, Jenny Lee, Kelvin Tsoi, Ruby Lee, and Jean Woo. "Trends in activities of daily living disability in a large sample of community-dwelling Chinese older adults in Hong Kong: an age-period-cohort analysis." BMJ Open 6, no. 12 (December 2016): e013259. http://dx.doi.org/10.1136/bmjopen-2016-013259.
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BackgroundTo examine the trends in activities of daily living (ADL) disability in older Chinese adults in Hong Kong between 2001 and 2012.MethodsUsing data from the Elderly Health Centres (EHCs) of the Department of Health comprising a total of 54 808 community-dwelling Chinese adults aged ≥65 years in 1 early cohort (1904–1917) and 10 3-year birth cohorts (1918–1920, 1921–1923, 1924–1926, 1927–1929, 1930–1932, 1933–1935, 1936–1938, 1939–1941, 1942–1944, 1945–1947), we examined trends in ADL disability by using age-period-cohort (APC) models. ADL disability was defined as being unable to perform at least 1 of 7 ADL activities (bathing, dressing, toileting, transferring, feeding, grooming, walking) independently. Cross-classified random-effects logistic regressions were performed for each of the APC trends with adjustment for age, period, cohort, sociodemographic, lifestyle, comorbidity and self-rated health.ResultsThe mean age of the cohort was 70.9±4.7 (range 65–99) years. The prevalence rate of ADL disability was 1.6%. ADL disability increased with age (p<0.001) and the gradient of the increase was steeper in the older age groups. At the same age, women (1.7%) were more likely to report ADL disability than men (1.4%, p=0.001). For both genders, there was an increase in ADL disability between 2003 and 2012; adjustment for age, cohort and other covariates has diminished the trends observed among men. There was no cohort effect in ADL disability.ConclusionsADL disability in older adults has increased over the last decade. Further study is required to identify possible causes behind the disability trends.
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Lai, Francisco T. T., Bruce Guthrie, Samuel Y. S. Wong, Benjamin H. K. Yip, Gary K. K. Chung, Eng-Kiong Yeoh, and Roger Y. Chung. "Sex-specific intergenerational trends in morbidity burden and multimorbidity status in Hong Kong community: an age-period-cohort analysis of repeated population surveys." BMJ Open 9, no. 1 (January 2019): e023927. http://dx.doi.org/10.1136/bmjopen-2018-023927.
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ObjectivesPrevalence of multimorbidity has been increasing worldwide. While population ageing undoubtedly contributes, secular trends have seldom been decomposed into age, period and cohort effects to investigate intergenerational differences. This study examines the birth cohort effect on morbidity burden and multimorbidity in Hong Kong community.DesignSex-specific age-period-cohort analysis with repeated cross-sectional surveys.SettingA territory-wide population survey database.Participants69 636 adults aged 35 or above who participated in the surveys in 1999, 2001, 2005 or 2008.Main outcome measuresMorbidity burden was operationalised as number of chronic conditions from a list of 14, while multimorbidity was defined as a dichotomous status of whether participants had two or more conditions.ResultsFor both sexes, there was an upward inflection (positive change) of risk of increased morbidity burden starting from cohort 1955–1959. For men born after 1945–1954, there was a trend of lower risk (relative risk=0.63, 95% CI 0.50 to 0.80 for 1950–1954 vs 1935–1939) which continued through subsequent cohorts but with no further declines. In women, there had been a gradual increase of risk, although only significant for cohort 1970–1974 (relative risk=1.90, 95% CI 1.08 to 1.34 vs 1935–1939). Similar results were found for dichotomous multimorbidity status.ConclusionsThe trend of lower risk starting from men born in 1945–1954 may be due to a persistent decline in smoking rates since the 1980s. On the other hand, the childhood obesity epidemic starting from the late 1950s coincided with the observed upward inflection of risk for both sexes, that is, notably more drastic increase of risk in women and the levelling-off of the decline of risk in men. These findings highlight that the cohort effects on morbidity burden and multimorbidity may be sex-specific and contextual. By examining such effects in different world populations, localised sex-specific and generation-specific risk factors can be identified to inform policy-making.
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Groenendijk, Inge, Ruth Chan, Jean Woo, Sherlin Ong, Panam Parikh, Marjolijn C. E. Bragt, and Lisette C. P. G. M. de Groot. "A Combined Nutrition and Exercise Intervention Influences Serum Vitamin B-12 and 25-Hydroxyvitamin D and Bone Turnover of Healthy Chinese Middle-Aged and Older Adults." Journal of Nutrition 150, no. 8 (June 26, 2020): 2112–19. http://dx.doi.org/10.1093/jn/nxaa149.
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ABSTRACT Background Hong Kong faces several public health problems including malnutrition and osteoporosis. Considering the typical Chinese diet and overall low physical activity levels of Chinese adults, timely interventions to improve nutritional status and bone health are needed. Objectives We examined the effects of a nutrition plus exercise intervention on serum vitamin B-12 and 25-hydroxyvitamin D [25(OH)D], bone turnover markers, and parathyroid hormone (PTH) concentrations in apparently healthy Chinese middle-aged and older adults. Methods In this 24-wk randomized controlled trial, 180 Chinese adults (85 women, mean ± SD age: 61 ± 6 y) were randomly assigned to receive a fortified milk supplement (2 × 30 g/d) and an exercise program (2 × 1 h/wk including resistance, balance, and aerobic training) or no intervention. The primary outcome was physical performance. In this article we analyzed the secondary outcomes serum vitamin B-12 and 25(OH)D concentrations, assessed at baseline, 12 wk, and 24 wk. Also, bone turnover markers and PTH concentrations were studied. Linear mixed models evaluated group differences over time. Results A significant time × group interaction (P < 0.001) was found for serum vitamin B-12 and 25(OH)D concentrations and the bone turnover markers, but not for serum PTH concentrations (P = 0.09). The intervention increased mean ± SD vitamin B-12 concentrations from baseline (345 ± 119 pmol/L) to 24 wk (484 ± 136 pmol/L), whereas concentrations remained stable within the control. For 25(OH)D concentrations, the intervention group had a greater increase from baseline (54.7 ± 14.2 nmol/L) to 24 wk (80.1 ± 19.2 nmol/L) than the control (60.6 ± 15.2 compared with 65.6 ± 14.6 nmol/L). The ratio of the net effect of bone formation and resorption was greater in the intervention group, suggesting less bone remodeling, irrespective of sex. Conclusions A fortified milk supplement and exercise intervention successfully improved vitamin B-12 and 25(OH)D concentrations as well as the balance of bone turnover markers of Chinese middle-aged and older adults. This trial was registered at trialregister.nl as NTR6214.
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Chen, Yu-Chih, Natalee Hung, Bobo H. P. Lau, Rebecca M. P. Choy Yung, Ellmon S. M. Fung, and Cecilia L. W. Chan. "Generativity and Gendered Pathways to Health: The Role of Human, Social, and Financial Capital Past Mid-Life." International Journal of Environmental Research and Public Health 19, no. 9 (April 19, 2022): 4956. http://dx.doi.org/10.3390/ijerph19094956.
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Generativity has recently received increasing attention as a key contributor to healthy aging. Personal resources and social expectations are shown to influence the desire to be generative and that generativity affects later-life health. However, whether generativity has a mediating role in linking its driving factors and health, and how gender may affect these pathways, is underexplored. Cross-sectional online data from 1085 Hong Kong residents aged 45+ were collected between November and December 2020. Latent variable path analysis was used to examine the mediating effect of generativity between human, social, and financial capital, and physical and mental well-being. Gendered pathways were investigated using multi-group analysis. Results showed that human, social, and financial capital contributed to better health through generativity, and gendered pathways were observed. Human capital had a stronger effect on generativity for men, but for women, social capital was vital for increased generativity and consequently improved health. Findings suggested that health benefits of generativity depend on different capital drivers and differ by gender. Implications for program development that aim to facilitate health should include generativity components that maximize physical and psychosocial engagement so that individuals can reap the health benefits through contributions to others.
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Zhang, Yi, Paul Siu Fai Yip, Shu-Sen Chang, Paul Wai Ching Wong, and Frances Yik Wa Law. "Association Between Changes in Risk Factor Status and Suicidal Ideation Incidence and Recovery." Crisis 36, no. 6 (November 2015): 390–98. http://dx.doi.org/10.1027/0227-5910/a000343.
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Abstract. Background: Little is known about risk factors associated with the incidence of and recovery from suicidal ideation. Aims: To examine the association between potential risk factors and their change in status over the follow-up period and the incidence of and recovery from suicidal ideation. Method: A 12-month follow-up survey was conducted among 997 adults aged between 20 and 59 years living in Hong Kong. Results: The incidence rates of suicidal ideation increased in individuals who were divorced, separated, or widowed, in low economic status, had a history of psychiatric treatment, and experienced bereavement at baseline. Experiencing three or more life events and persistent unemployment over the follow-up period was associated with increased incidence of suicidal ideation. Increased levels of depression, anxiety, hopelessness, and irrational beliefs were associated with suicidal ideation incidence in men but not in women (p = .009–.067 for interactions). Among individuals who had suicidal ideation at baseline, those who had increased severity of depression, anxiety, and hopelessness over the follow-up period were less likely to recover from suicidal ideation. Conclusion: Life events and persistent unemployment were associated with increased risk of suicidal ideation. Gender differences were detected in the association between changes in the status of psychological factors and the occurrence of suicidal ideation.
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Lam, Freddy M. H., Jason C. S. Leung, and Timothy C. Y. Kwok. "84 Identifying Potential Recurrent Fallers in the Community using Frailty Indicators." Age and Ageing 48, Supplement_4 (December 2019): iv18—iv27. http://dx.doi.org/10.1093/ageing/afz164.84.
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Abstract Introduction Frailty indicators were proposed to be significant predictors of falls. However, their comparative and additional value to other simple fall predictors has not been evaluated. This study aims to compare the clinical value of three frailty indicators to fall history in predicting recurrent falls in older adults. Methods Four thousand community-dwelling elderly (2000 female) aged 65 years or above were recruited in Hong Kong. The three candidate frailty indicators were the FRAIL scale, the Cardiovascular Health Study Criteria (CHS), and the Study for Osteoporosis and Fracture Criteria (SOF). The comparative predictor was fall history. The area under the receiver operating characteristic curve (AUC) was used to assess their ability to predict recurrent falls in the second year after baseline. Classification and Regression Tree (CART) analysis was used to evaluate the clinical potential of significant predictors on identifying older recurrent fallers in a simulated clinical pathway. Results Fall history is better than all frailty indicators in predicting recurrent falls in men and women (Fall History: AUC: men=0.681; women=0.645; Frailty indicators: AUC≤0.641). Upon adjusting for fall history, FRAIL and SOF remained as significant predictors for women but no frailty indicator remained significant for men. FRAIL could separate older women into two groups with different proportion of recurrent fallers in those with history of recurrent falls (16.0% vs 30.8%), single fall history (9.5% vs 37.5%), and no fall history (3.8% vs 7.5%). SOF provides limited value in people with a single fall history (history of recurrent falls: 16.5% vs 20.6%; single fall history: 10.2% vs 10.9%; no fall history: 3.9% vs 8.6%). Conclusion Adding FRAIL or SOF on top of fall history improves the prediction of recurrent falls in older women but not men. FRAIL could be a useful tool for identifying community-dwelling older women at high risk of recurrent falls.
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Lau, Janice Y. C., Ngai-Sze Wong, Krystal C. K. Lee, Tsz-Ho Kwan, Grace C. Y. Lui, Denise P. C. Chan, and Shui-Shan Lee. "What makes an optimal delivery for PrEP against HIV: A qualitative study in MSM." International Journal of STD & AIDS 33, no. 4 (January 2, 2022): 322–29. http://dx.doi.org/10.1177/09564624211060824.
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Background Pre-exposure prophylaxis (PrEP) is an effective means of HIV prevention for men who have sex with men (MSM), a key population whose engagement is crucial for achieving effective public health outcomes. An optimal service model would be important in planning the implementation of PrEP in places where such service has not been established. Methods A qualitative study was conducted to delineate the attributes of an optimal PrEP service model for MSM in Hong Kong, a city where no formal PrEP programs existed. Twenty purposively sampled MSM who were enrollees of two pilot PrEP projects participated in the semi-structured interviews promoting story-telling. The coded data were thematically analyzed following Grounded Theory approach, focusing on uncovering a typology of the essential attributes of an optimal PrEP service model, and the reasons for such preferences. Results Participating MSM were all ethnic Chinese and aged 26 to 52 years. All had received PrEP from pilot projects in conjunction with periodic screening of sexually transmitted infections (STI), HIV antibody, and plasma creatinine. Four major themes emerged as regards the attributes of a preferred PrEP service: (i) comprehensiveness of HIV/STI and safety monitoring; (ii) convenient unitary service; (iii) stigma-free PrEP access and protecting confidentiality; and (iv) affordable price. Whereas regular provision of PrEP was acceptable to MSM, unaffordability and related stigma were the anticipated challenges for potential service providers. Conclusions The qualitative assessment of MSM’s preference for PrEP service delivery has yielded important information on the many facets of a desirable service model.
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Yu, Ruby, Osbert Cheung, Jason Leung, Cecilia Tong, Kevin Lau, Johnny Cheung, and Jean Woo. "Is neighbourhood social cohesion associated with subjective well-being for older Chinese people? The neighbourhood social cohesion study." BMJ Open 9, no. 5 (May 2019): e023332. http://dx.doi.org/10.1136/bmjopen-2018-023332.
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ObjectivesTo evaluate the psychometric properties of the Hong Kong version of Neighbourhood Cohesion Instrument (HK-NCI) and examine whether neighbourhood social cohesion as measured using HK-NCI would be associated with evaluative, hedonic and eudaemonic well-being.DesignA validation analysis followed by a cross-sectional analysis of a community-based survey.SettingCommunities in two districts (Sha Tin and Tai Po) in Hong Kong.Participants301 community-dwelling Chinese men and women aged 60 years and older normally residing in Sha Tin or Tai Po for not less than six consecutive months at the time of participation in the study were interviewed.MeasurementsNeighbourhood social cohesion was measured using the 15-item HK-NCI. The Social Cohesion Scale (SCS) and the Brief Sense of Community Scale (BSCS) were administered for assessing the validity of the HK-NCI. Evaluative (life satisfaction), hedonic (feelings of happiness) and eudaemonic well-being (sense of purpose and meaning in life) were examined. Socio-demographic characteristics, lifestyle and health behaviours, medical history, and neighbourhood characteristics were used as covariates.ResultsFor homogeneity, internal consistency of HK-NCI (α=0.813) was good. For stability (test–retest reliability), the averages of mean scores of the 15 items suggested an acceptable repeatability with an intra-class correlation coefficient=0.701(95% CI 0.497 to 0.832). HK-NCI was correlated with SCS (r=0.515–0.635, p<0.001) and BSCS (r=0.500–0.612, p<0.001). Neighbourhood social cohesion was positively and independently associated with life satisfaction, feelings of happiness and sense of purpose and meaning in life (all p values <0.05). Stratified analyses indicated that neighbourhood social cohesion was more strongly associated with all dimensions of subjective well-being in ‘young-old’ subgroup, and with sense of purpose and meaning in life for women.ConclusionThe HK-NCI has adequate levels of internal consistency and test–retest reliability. In addition, higher levels of neighbourhood social cohesion were associated with better subjective well-being among older Chinese people.
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Lau, Caren, Ruby Yu, and Jean Woo. "Effects of a 12-Week Hatha Yoga Intervention on Cardiorespiratory Endurance, Muscular Strength and Endurance, and Flexibility in Hong Kong Chinese Adults: A Controlled Clinical Trial." Evidence-Based Complementary and Alternative Medicine 2015 (2015): 1–12. http://dx.doi.org/10.1155/2015/958727.
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Objective. To examine the effects of a 12-week Hatha yoga intervention on cardiorespiratory endurance, muscular strength and endurance, and flexibility in Chinese adults.Methods. 173 adults (aged 52.0 ± 7.5 years) were assigned to either the yoga intervention group (n=87) or the waitlist control group (n=86). 19 dropped out from the study. Primary outcomes were changes in cardiorespiratory endurance (resting heart rate (HR) and maximal oxygen uptake (VO2max)), muscular strength and endurance (curl-up and push-up tests), and lower back and hamstring flexibility (the modified back-saver sit-and-reach (MBS) test).Results. Compared to controls, the yoga group achieved significant improvements inVO2max(P<0.01), curl-up (P<0.05) and push-up (P<0.001) tests, and the MBS left and right leg tests (bothP<0.001) in both genders. Significant change was also found for resting HR between groups in women (P<0.05) but not in men. Further analysis comparing participants between younger and older subgroups yielded similar findings, except that the older participants in the yoga group failed to improve resting HR or the curl-up test versus control. Adherence (89%) and attendance (94%) were high. No serious adverse events occurred.Conclusion. A 12-week Hatha yoga intervention has favorable effects on cardiorespiratory endurance, muscular strength and endurance, and flexibility in Chinese adults.
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Yip, Yuk-Chiu, Ka-Huen Yip, and Wai-King Tsui. "Exploring the Gender-Related Perceptions of Male Nursing Students in Clinical Placement in the Asian Context: A Qualitative Study." Nursing Reports 11, no. 4 (November 1, 2021): 881–90. http://dx.doi.org/10.3390/nursrep11040081.
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The lack of gender diversity in the nursing profession has long been recognized as a cause for concern. Female nurses in many practice settings across nations continue to outnumber their male counterparts. Male nursing students may have perceived differences in the way they are treated in clinical practice; however, limited studies have been conducted to determine the unique perspectives of these students in terms of gender bias in their clinical learning. To address this knowledge gap, this study employed a qualitative descriptive approach to explore the experiences of male nursing students in clinical learning in an Asian context. Specifically, we examined the insights emerging from the thoughts and feelings of male nursing students from interactions with their clinical mentors, patients, and peers in their encounters during their clinical placement. From November 2019 to July 2020, data were collected through semi-structured interviews from 22 male participants aged 21–30 years (mean age: 22.7), enrolled in a prelicensure Bachelor of Nursing (honors) program in Hong Kong. Four themes emerged after a qualitative content analysis: (1) while the School of Nursing welcomes men, clinical settings are another story due to pragmatic considerations; (2) you are welcomed because you may be seen as a helper with greater physical strength; (3) male nursing students feel alienated in the obstetrics and gynecology practicum; (4) more male role models are desired in the clinical setting. Our findings indicate the need to promote gender awareness among faculty and clinical mentors, understand the factors hindering and facilitating the clinical practicum for male nursing students, improve the male nursing experience during the maternity practicum, and ensure access to more male role models to boost role socialization and learning.