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Demographic Trends (demographic + trend)
Selected AbstractsDemographic Trends in the United States: A Review of Research in the 2000sJOURNAL OF MARRIAGE AND FAMILY, Issue 3 2010Andrew J. Cherlin Demographic trends in the 2000s showed the continuing separation of family and household because of factors such as childbearing among single parents, the dissolution of cohabiting unions, divorce, repartnering, and remarriage. The transnational families of many immigrants also displayed this separation, as families extended across borders. In addition, demographers demonstrated during the decade that trends such as marriage and divorce were diverging according to education. Moreover, demographic trends in the age structure of the population showed that a large increase in the elderly population will occur in the 2010s. Overall, demographic trends produced an increased complexity of family life and a more ambiguous and fluid set of categories than demographers are accustomed to measuring. [source] "Demographic Futures for Christianity and the World Religions"DIALOG, Issue 1 2004By Todd M. Johnson Abstract:, Since before 1970 Christian researchers have been tracking the massive demographic shift of Christianity to the Southern Hemisphere and noting the increasingly religious nature of populations around the world. At the same time, writers on the future of religion have been drawn to extreme portrayals of decline or revival of religion. However, the world's religious situation is replete with detailed information, drawn from enormous data collections on religious affiliation and questions about religion in government censuses. Quantitative tools, utilizing this information in the context of demography provide a more nuanced view of humankind's religious future. Demographic trends coupled with conservative estimates of conversions and defections envision over 80% of the world's population will continue to be affiliated with religions 200 years into the future. This religious future will have a profound influence on Christian theology, relations between religions, and the interaction between religion and politics. [source] Students' ideals for nursing older people in practiceINTERNATIONAL JOURNAL OF OLDER PEOPLE NURSING, Issue 2 2006Erica S. Alabaster MSc Aim., Drawing on research exploring nursing students' experiences of working with older people, this paper aims to demonstrate how context and culture can impact on the realization of their ideals. Background., The principles underpinning individualized and person-centred approaches to care resonate with those focal to gerontologic nursing. Restrictive contexts of care and pervasive workplace cultures render nurses unable to deliver care in accord with these. Design and method., This interpretive study was informed by phenomenological,hermeneutic theory. A purposive sample (n = 10) was recruited from a single educational institution. Data were generated in two phases using loosely structured interviews and supplementary activity. Themes explicating their experiences were identified via systematized detailed analysis and issues pertaining to nursing students' orientation towards older people cut across these. Findings and discussion., Students perceived that older people were prone to depersonalization and marginalization, so sought to show respect by coming to know individuals, form human connections with them and personalize care accordingly. Giving respect, promoting personhood, asserting reciprocal identity and maintaining dignity were prominent features of this but were often frustrated by practices and cultures encountered in mainstream settings. Conclusions., Nursing students' approaches to older people are contextual and reflect elements of person-centred ideology. Their attempts upholding their ideals are liable to be subverted by workplace norms. Preparatory education should address these, assist students to learn how to attend to personhood in restrictive environments and offer targeted placements in age-specific and non-acute services. Relevance to clinical practice., Demographic trends mean that working with older people has increased significance for nurses in most settings. Person-centredness is seen as beneficial for older people but contemporary service imperatives and enduring practices are inhibitory, preventing entrants to nursing from developing related skills. [source] Osteoporosis in Patients With Diabetes Mellitus,JOURNAL OF BONE AND MINERAL RESEARCH, Issue 9 2007Lorenz C Hofbauer MD Abstract Demographic trends with longer life expectancy and a lifestyle characterized by low physical activity and high-energy food intake contribute to an increasing incidence of diabetes mellitus and osteoporosis. Diabetes mellitus is a risk factor for osteoporotic fractures. Patients with recent onset of type 1 diabetes mellitus may have impaired bone formation because of the absence of the anabolic effects of insulin and amylin, whereas in long-standing type 1 diabetes mellitus, vascular complications may account for low bone mass and increased fracture risk. Patients with type 2 diabetes mellitus display an increased fracture risk despite a higher BMD, which is mainly attributable to the increased risk of falling. Strategies to improve BMD and to prevent osteoporotic fractures in patients with type 1 diabetes mellitus may include optimal glycemic control and aggressive prevention and treatment of vascular complications. Patients with type 2 diabetes mellitus may additionally benefit from early visual assessment, regular exercise to improve muscle strength and balance, and specific measures for preventing falls. [source] Demographic Trends in the United States: A Review of Research in the 2000sJOURNAL OF MARRIAGE AND FAMILY, Issue 3 2010Andrew J. Cherlin Demographic trends in the 2000s showed the continuing separation of family and household because of factors such as childbearing among single parents, the dissolution of cohabiting unions, divorce, repartnering, and remarriage. The transnational families of many immigrants also displayed this separation, as families extended across borders. In addition, demographers demonstrated during the decade that trends such as marriage and divorce were diverging according to education. Moreover, demographic trends in the age structure of the population showed that a large increase in the elderly population will occur in the 2010s. Overall, demographic trends produced an increased complexity of family life and a more ambiguous and fluid set of categories than demographers are accustomed to measuring. [source] An expanded theory of pluralistic interactions in voluntary nonprofit organizationsNONPROFIT MANAGEMENT & LEADERSHIP, Issue 2 2007Judith Y. Weisinger Demographic trends suggest a more culturally diverse society, yet research focusing specifically on the management of this diversity in nonprofit organizations is at a nascent stage. Furthermore, traditional ways of conceptualizing cultural diversity in U.S. society are becoming outmoded. Thus, nonprofit managers and leaders can benefit from new ways of thinking about and managing diversity. In this article, we extend our proposed representationinteraction model of diversity in voluntaristic nonprofits (Weisinger and Salipante, 2005) by more closely examining the interaction prong of our model in order to provide a more grounded understanding of this new approach to increasing pluralism. The expanded model that we discuss here is founded on interaction processes: in-group identity and recategorization. This study enables us to transform our grounded theory into a theory of practices that leaders of voluntaristic organizations can directly apply. We present findings from a field study of a national nonprofit organization and discuss implications for practice and research. [source] Shifts in purchasing patterns of non-alcoholic, water-based beverages in Australia, 1997,2006NUTRITION & DIETETICS, Issue 4 2007Gina LEVY Abstract Aim:, To describe trends in purchasing patterns of non-alcoholic, water-based beverages (WBBs) in Australia, 1997,2006. Methods:, Trends in volume sales of WBBs were determined from data supplied by the Australian beverage industry, not including fruit juice or milk-based drinks. Change was calculated as per cent difference between 1997 and 2006, volume share by proportion of total sales in the category and per capita consumption by dividing total volume sales by population estimate for that year. Sugar supply from WBBs was calculated by multiplying sales by sugar content. Demographic trends from AC Nielsen surveys were shown as per cent households purchasing beverages and as volume share by age and sex. Results:, Total volume sales of WBBs increased by 13% from 1997 to 2006, largely accounted for by increases in sales of plain still water and non-sugar carbonated soft drink (CSD). Sales in the CSD category saw a shift away from sugar-sweetened to non-sugar. There was a concomitant increase in sales of sugar-sweetened sports and energy drinks, and iced tea. Younger people and high-income households were the major purchasers of CSDs, and for sports and energy drinks, it was young males. Conclusion:, The increased sales of beverages by 2006 appear to reflect a greater trend towards purchasing fluids, particularly increases in bottled water and non-sugar CSDs. Sugar supply from beverages has declined, mostly because of decreasing sales of sugar-sweetened CSDs since 2002. Industry-generated data proved useful in forming a picture of apparent non-alcoholic, WBB consumption patterns in Australia. [source] The pathology of ageing: concepts and mechanisms,THE JOURNAL OF PATHOLOGY, Issue 2 2007JE Martin Abstract The rising numbers and proportion of aged individuals in the population is a global demographic trend. The diseases associated with ageing are becoming more prevalent, and the associated healthcare costs are having a significant economic impact in all countries. With these changes have come great advances in our understanding of the mechanisms of ageing. The mechanisms of cellular ageing at a genetic, protein and organelle level are becoming clearer, as are some of the more complex associations between environment and ageing. System ageing is also becoming better understood, and the potential biological advantages of ageing are being explored. Many of the advances in these fields are opening up the prospect of targeted therapeutic intervention for ageing and age related disease. Copyright © 2007 Pathological Society of Great Britain and Ireland. Published by John Wiley & Sons, Ltd. [source] From Soviet Modernization to Post,Soviet Transformation: Understanding Marriage and Fertility Dynamics in UzbekistanDEVELOPMENT AND CHANGE, Issue 3 2003Victor Agadjanian In this article we analyse the dynamics of marriage and childbearing in Uzbekistan through the prism of the recent socioeconomic and political history of that country. After becoming an independent nation in 1991, Uzbekistan abandoned the Soviet modernization project and aspired to set out on a radically different course of economic, social, and political development. We argue, however, that not only independence but also the preceding period of perestroika reforms (1985,91) had a dramatic effect on social conditions and practices and, consequently, the demographic behaviour of the country's population. Using data from the 1996 Uzbekistan Demographic and Health Survey we apply event,history analysis to examine changes in the timing of entry into first marriage, first and second births over four periods: two periods of pre,perestroika socialism, the perestroika years, and the period since independence. We investigate the factors that influenced the timing of these events in each of the four periods among Uzbeks, the country's eponymous and largest ethnic group, and among Uzbekistan's urban population. In general, our results point to a dialectic combination of continuity and change in Uzbekistan's recent demographic trends, which reflect the complex and contradictory nature of broader societal transformations in that and other parts of the former Soviet Union. [source] UK Household Debt: A Threat to Growth or Stability?ECONOMIC OUTLOOK, Issue 1 2005Article first published online: 2 FEB 200 The liberalisation of credit constraints in the 1970s for UK consumers has had important implications for the housing market and consumer spending. This paper by John Muellbauer1 examines the factors that have driven soaring consumer debt and house price levels; in particular those observed since the mid-1990s. By relying on recent econometric evidence and trends in credit availability, real income per head, nominal and real after tax mortgage rates, measures of perceived risk and broad demographic trends, it also analyses the prospects for house prices, mortgage debt and unsecured debt over the coming years. The outlook is for a ,soft landing' in the housing market and associated declines in the rate of growth of consumer debt, which, although probably not smooth, does suggest the underlying situation is more benign and less crisis-prone than it was in 1988,89. [source] Economic Capabilities, Choices and Outcomes at Older Ages,FISCAL STUDIES, Issue 3 2006James Banks Abstract Intense policy and academic interest in the ,economics of ageing' has come about as a result of the demographic trends that have been experienced over the last 50 years and that are projected for the next 50 years. Key economic policy issues relate to the design of public pensions, welfare systems, healthcare and invalidity benefits, and the regulation of private pensions and other retirement saving. This paper presents an overview of the beginnings of a research agenda targeted towards increasing the empirical evidence on these issues in England and providing extensive data for subsequent research. The paper focuses on summarising some recent data on how individuals' economic circumstances, and in particular the ability and willingness to work, change from age 50 onwards. This will be a key factor in determining the ability of economic institutions to adjust to new socio-demographic equilibria in which individuals are living for longer. Further issues for more extensive empirical research are also identified. [source] Detecting the impact of oceano-climatic changes on marine ecosystems using a multivariate index: The case of the Bay of Biscay (North Atlantic-European Ocean)GLOBAL CHANGE BIOLOGY, Issue 1 2008GEORGES HEMERY Abstract Large-scale univariate climate indices (such as NAO) are thought to outperform local weather variables in the explanation of trends in animal numbers but are not always suitable to describe regional scale patterns. We advocate the use of a Multivariate Oceanic and Climatic index (MOCI), derived from ,synthetic' and independent variables from a linear combination of the total initial variables objectively obtained from Principal Component Analysis. We test the efficacy of the index using long-term data from marine animal populations. The study area is the southern half of the Bay of Biscay (43°,47°N; western Europe). Between 1974 and 2000 we monitored cetaceans and seabirds along 131000 standardized line transects from ships. Fish abundance was derived from commercial fishery landings. We used 44 initial variables describing the oceanic and atmospheric conditions and characterizing the four annual seasons in the Bay of Biscay. The first principal component of our MOCI is called the South Biscay Climate (SBC) index. The winter NAO index was correlated to this SBC index. Inter-annual fluctuations for most seabird, cetacean and fish populations were significant. Boreal species (e.g. gadiformes fish species, European storm petrel and Razorbill ,) with affinities to cold temperate waters declined significantly over time while two (Puffin and Killer Whale) totally disappeared from the area during the study period. Meridional species with affinities to hotter waters increased in population size. Those medium-term demographic trends may reveal a regime shift for this part of the Atlantic Ocean. Most of the specific observed trends were highly correlated to the SBC index and not to the NAO. Between 40% and 60% of temporal variations in species abundance were explained by the multivariate SBC index suggesting that the whole marine ecosystem is strongly affected by a limited number of physical parameters revealed by the multivariate SBC index. Aside the statistical error of the field measurements, the remaining variation unexplained by the physical characteristics of the environment correspond to the impact of anthropogenic activities such overfishing and oil-spills. [source] The Transformation of Higher Education in Israel since the 1990s: The Role of Ideas and Policy ParadigmsGOVERNANCE, Issue 4 2008GILA MENAHEMArticle first published online: 22 SEP 200 This article examines the transformation of Israel's higher education system since the 1990s. During that period, the system underwent expansion, diversification, privatization, and internationalization in a series of pathbreaking reforms. The main argument is that while external factors,such as demographic trends,exerted pressure for change, the trajectory and policy options preferred were shaped by ideational factors. Policy entrepreneurs played a crucial role in advancing pathbreaking institutional change when they reframed policies through linking cognitive ideas of "what has to be done" with the normative ideas that granted legitimacy to the proposals for reform. [source] Structural Traps, Politics and Monetary PolicyINTERNATIONAL FINANCE, Issue 1 2004Robert H. Dugger Structural conditions pose a challenge to monetary policy, as the example of Japan shows. In this paper we develop the concept of structural trap, where the interplay of long-term economic development incentives, politics, and demographics results in economies being unable to efficiently reallocate capital from low- to high-return uses. The resulting macroeconomic picture looks like a liquidity trap , low GDP growth and deflation despite extreme monetary easing. But the optimal policy responses are very different and mistaking them could lead to perverse results. The key difference between a liquidity trap and a structural one is the role of politics. We show how, in the Japanese case, longstanding economic incentives and protections and demographic trends have resulted in a political leadership that resists capital reallocation from older protected low-return sectors to higher-return newer ones. If the Japanese case is instructive, in a structural trap, extremely loose monetary policy perpetuates deflation and low GDP growth, because unproductive but politically important firms are allowed to survive and capital reallocation is prevented. By preventing the needed reduction in excess capacity, a structural trap condemns reflationary policies to failure by making the creation of credible inflation expectations impossible. Faced with a structural trap, an independent central bank with a price stability mandate should adopt a monetary policy stance consistent with restructuring. If political resistance is high, monetary policy decision makers will need to keep nominal rates high enough to ensure that capital reallocation takes place at an acceptable pace. [source] Influence of climate and reproductive timing on demography of little brown myotis Myotis lucifugusJOURNAL OF ANIMAL ECOLOGY, Issue 1 2010Winifred F. Frick Summary 1. Estimating variation in demographic rates, such as survival and fecundity, is important for testing life-history theory and identifying conservation and management goals. 2. We used 16 years (1993,2008) of mark,recapture data to estimate age-specific survival and breeding probabilities of the little brown myotis Myotis lucifugus LeConte in southern New Hampshire, USA. Using Kendall & Nichols' (1995) full-likelihood approach of the robust design to account for temporary emigration, we tested whether survival and breeding propensity is influenced by regional weather patterns and timing of reproduction. 3. Our results demonstrate that adult female survival of M. lucifugus ranged from 0·63 (95% CL = 0·56, 0·68) to 0·90 (95% CL = 0·77, 0·94), and was highest in wet years with high cumulative summer precipitation. First-year survival [range: 0·23 (95% CL = 0·14, 0·35) to 0·46 (95% CL = 0·34, 0·57)] was considerably lower than adult survival and depended on pup date of birth, such that young born earlier in the summer (c. late May) had a significantly higher probability of surviving their first year than young born later in the summer (c. mid-July). Similarly, the probability of young females returning to the maternity colony to breed in the summer following their birth year was higher for individuals born earlier in the summer [range: 0·23 (95% CL = 0·08, 0·50) to 0·53 (95% CL = 0·30, 0·75)]. 4. The positive influence of early parturition on 1st-year survival and breeding propensity demonstrates significant fitness benefits to reproductive timing in this temperate insectivorous bat. 5. Climatic factors can have important consequences for population dynamics of temperate bats, which may be negatively affected by summer drying patterns associated with global climate change. 6. Understanding long-term demographic trends will be important in the face of a novel disease phenomenon (White-Nose Syndrome) that is associated with massive mortalities in hibernating bat species, including M. lucifugus, in the northeastern United States. [source] Demographic Trends in the United States: A Review of Research in the 2000sJOURNAL OF MARRIAGE AND FAMILY, Issue 3 2010Andrew J. Cherlin Demographic trends in the 2000s showed the continuing separation of family and household because of factors such as childbearing among single parents, the dissolution of cohabiting unions, divorce, repartnering, and remarriage. The transnational families of many immigrants also displayed this separation, as families extended across borders. In addition, demographers demonstrated during the decade that trends such as marriage and divorce were diverging according to education. Moreover, demographic trends in the age structure of the population showed that a large increase in the elderly population will occur in the 2010s. Overall, demographic trends produced an increased complexity of family life and a more ambiguous and fluid set of categories than demographers are accustomed to measuring. [source] Marital Processes and Parental Socialization in Families of Color: A Decade Review of ResearchJOURNAL OF MARRIAGE AND FAMILY, Issue 4 2000Vonnie C. McLoyd Research published during the past decade on African American, Latino, and Asian American families is reviewed. Emphasis is given to selected issues within the broad domains of marriage and parenting. The first section highlights demographic trends in family formation and family structure and factors that contributed to secular changes in family structure among African Americans. In the second section, new conceptualizations of marital relations within Latino families are discussed, along with research documenting the complexities in African American men's conceptions of manhood. Studies examining within-group variation in marital conflict and racial and ethnic differences in division of household labor, marital relations, and children's adjustment to marital and family conflict also are reviewed. The third section gives attention to research on (a) paternal involvement among fathers of color; (b) the relation of parenting behavior to race and ethnicity, grandmother involvement, neighborhood and peer characteristics, and immigration; and (c) racial and ethnic socialization. The article concludes with an overview of recent advances in the study of families of color and important challenges and issues that represent research opportunities for the new decade. [source] New graduate transitions: leaving the nest, joining the flightJOURNAL OF NURSING MANAGEMENT, Issue 3 2009ENC(C), PNC(C), SANDRA MORROW RN Aim, This review will explore the lived experience of the transition of new nursing graduates in their first year of practice, the implications to nursing and consequences of status quo, and actions required to support new graduates in their transition to practice. Background, The new graduate eagerly anticipates their first position in the ,real world' but often experience challenges in their first year of practice. Evaluation, A literature review highlights the historical inaction and the confirmed lived experiences of new graduate nurses. Key issues, New graduate transition into the workforce has implications on both an individual and societal level. No longer can one ignore the need to recruit and retain nurses, especially new graduates. Conclusion, Implemented collaborative and innovative efforts are required to support new graduate nurse transition to practice. Implications for nursing management, Nurse Managers must question why the disenfranchisement and marginalization of new graduates continues. Persistent inertia impacts recruitment and retention of graduate nurses and patient safety, transforming episodic challenges into chronic systemic issues. This article will contribute to new nursing knowledge by providing a Canadian perspective of demographic trends of the Registered Nurse (RN) and salient actions required to resolve the discourse of new graduate transition into the workplace. [source] Globalization, Societal Change, and New Technologies: What They Mean for the Future of AdolescenceJOURNAL OF RESEARCH ON ADOLESCENCE, Issue 1 2002Reed W. Larson Nations around the world are undergoing rapid changes that are altering the nature of adolescence in their societies. This volume examines current trends in adolescent experience across nations, with the objective of identifying emerging problems and opportunities in adolescents' preparation for adulthood. This introduction reviews methods used by futurists and how these methods are applicable to adolescence, and provides an overview of some of the macrochanges that are shaping the societies in which adolescents of the future will live. The macrochanges considered include demographic trends, globalization, trends in government, and changes in technology. Subsequent articles in this volume examine how these and other changes are altering adolescents' transition to adult work, preparation for adult interpersonal lives, civic and community engagement, and health and well-being. The final article focuses on social policy and is followed by a conclusion with the main points and trends in the volume. [source] Interspecific differences in foraging preferences, breeding performance and demography in herring (Larus argentatus) and lesser black-backed gulls (Larus fuscus) at a mixed colonyJOURNAL OF ZOOLOGY, Issue 4 2006S.-Y. Kim Abstract Herring gulls Larus argentatus and lesser black-backed gulls Larus fuscus breeding at Walney Island, Cumbria, the largest breeding colony of the two species in the UK, have recently shown very different population trends. The former has declined sharply, whereas numbers of the latter have been maintained for several years. Here we compare aspects of the feeding and breeding ecology of the two species in order to examine whether or not this suggests explanations for their different population trends. Comparison of the ratio of the two species in flight lines leading to different feeding sites and their diet composition showed that the lesser black-backed gulls fed more at sea and the herring gulls fed more in the intertidal zone. Urban resources were used by both these species. These differences have been consistent over the last three decades. Susceptibility to death from botulism at the breeding colony was the same for the two species. The availability of the intertidal zone for foraging appears to have declined in recent years, and this may have had a more negative impact on the herring gull. However, the breeding success of the two species remains relatively high. This study suggests that differences in foraging behaviour and food availability during the breeding season are unlikely to be responsible for the marked differences in demographic trends in the two species. Changes in local food availability during the winter would be expected to have more effect on the resident herring gull. This work highlights the need for more detailed studies of the ecology of both species during the breeding season and in winter in regions showing differing patterns of population change. [source] Hispanic charitable giving: An opportunity for nonprofit developmentNONPROFIT MANAGEMENT & LEADERSHIP, Issue 2 2008Jerry D. Marx In 2003, the U.S. Census Bureau indicated that Hispanics had become the largest U.S. minority group. Representing 14 percent of the population, more than forty million Hispanics currently live in the United States and are a growing source of charitable giving. This study uses a national probability sample (n = 3,261) to examine variables that may influence Hispanic charitable giving in the United States to private nonprofit organizations. Logistic regression analyses indicated that Hispanics were eight times more likely to donate to human service organizations when using payroll deduction. In addition, Hispanics who were solicited for a donation by telephone were twice as likely to make a donation to educational organizations as Hispanic donors not solicited by phone. Volunteerism was also a predictor of Hispanic charitable giving. U.S. demographic trends and this study's findings suggest that nonprofit leaders, including those responsible for fundraising in private nonprofit organizations, need to be aware of the opportunities for Hispanic charitable support. [source] Strategies for Developing a High-Skilled WorkforcePERFORMANCE IMPROVEMENT QUARTERLY, Issue 1 2004Catherine M. Sleezer ABSTRACT This article focuses on the human performance improvement and human resource development task of providing an organization with a skilled workforce. We begin by describing the U.S. demographic trends and the changing job skill requirements that will lead to a shortage of skilled workers and that highlight the importance of considering the various strategies that are available for developing a skilled workforce. Then, using perspectives found in the literature, we examine four strategies for developing a skilled workforce: (1) hire and then train the workers, (2) transfer individual workers, (3) relocate the work, and (4) create an educational infrastructure within a community to develop a workforce with the needed skills. We conclude by comparing the four strategies and identifying the advantages, disadvantages, and most effective uses of each. [source] Meeting the challenges of an aging workforceAMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 4 2008Michael Silverstein MD Abstract Background Demographic, labor market and economic forces are combining to produce increases in the number and percentage of U.S. workers 55 and older. In some ways these workers will be our most skilled and productive employees but in others the most vulnerable. Methods The literature on aging and work was reviewed, including demographic trends, physical and cognitive changes, safety and performance, work ability, and retirement patterns. Results and Conclusions Older workers have more serious, but less frequent, workplace injuries and illnesses than younger ones. There is evidence that many of these problems can be prevented and their consequences reduced by anticipating the physical and cognitive changes of age. Many employers are aware that such efforts are necessary, but most have not yet addressed them. There is a need for implementation and evaluative research of programs and policies with four dimensions: the work environment, work arrangements and work-life balance, health promotion and disease prevention, and social support. Employers who establish age-friendly workplaces that promote and support the work ability of employees as they age may gain in safety, productivity, competitiveness, and sustainable business practices. Am. J. Ind. Med. 51:269,280, 2008. © 2008 Wiley-Liss, Inc. [source] Edentulism and associated factors in people 60 years and over from urban, rural and remote Western AustraliaAUSTRALIAN DENTAL JOURNAL, Issue 1 2003C. Adams Abstract Background: Edentulism is declining in the aged, in turn increasing demand on dental services. The aim of this study was to describe the pattern of edentulism and associated factors for people 60 years or over in urban, rural and remote Western Australia. Methods: A cross-sectional telephone interview survey was conducted of 2100 people aged 60 years or over (urban n=800, rural n=800, remote n=500), identified through the State Electoral Roll, who were living in non-institutionalized accommodation in Western Australia and who were able to speak English sufficiently well to be interviewed in English. Results: The main outcome measure was edentulism. The prevalence of edentulism was 25 per cent for people in urban areas, 34 per cent for people in rural areas and 32 per cent for people in remote areas. Respondents aged 60,69 years had less than half the edentulism than respondents aged 80 years or over. Multivariable logistic regression models showed geographic location, age, gender, education and occupation were significantly associated with edentulism. Conclusions: The percentage of edentulism was highest in rural areas with some clear demographic trends. These future aged cohorts are likely to follow the same patterns of social and geographic disadvantage as found for the current edentate cohort. The results were consistent with other studies while providing state level multivariate results to assist service planning. [source] |