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It has been found that people with disabilities remain at the margin as far as the different aspects of their lives are concerned. This paper tests the hypothesis that disability leads to lower quality of life among older adults in low and middle-income countries. The data from the Study on Global Ageing and Adult Health (SAGE) was used in this study which was conducted in Ghana, China, India, Russia, South Africa and Mexico. The disability scores have been made utilising Item Response Theory, Partial Credit Model and are centered on eight functioning and health areas. Bivariate analysis, binary logistic regression and pooled regression analysis have been used to fulfil the objectives of the paper. The findings reveal that disability acts as a hindrance in attaining a high quality of life (HQOL) amongst the older adults in the above mentioned low and middle-income countries. The older adults with disability are as much as 60% less likely to enjoy an HQOL with respect to the older adults without disability. Better socio-economic development like improved health care for disabled older adults with disability enhanced living standards for both abled and disabled, efficient pension schemes for older adults with disability and effective social service schemes would be very much essential to improve overall QOL among older adults. [ABSTRACT FROM AUTHOR]

Though a continued increase in life expectancy is a significant public health achievement, keeping older adults active and maintaining their well-being is challenging. Active aging requires physical health, mental health, functional independence, economic stability, social participation, and spiritual identification. Among all these factors, social cohesion has significant importance, but there is a dearth of studies focusing on older adults' social cohesion. Thus, the present study focuses on the level of social cohesion among older adults and its variation among the different economic classes. This article uses data from the Study on Global AGEing and Adult Health (SAGE) conducted in China, Ghana, India, Mexico, Russia, and South Africa during 2007–10. Social cohesion scores have been constructed using Item Response Theory Partial Credit Model. Also, bivariate analysis, concentration curves, concentration indices, and multivariate regressions have been used for the analysis presented in this paper. This study confirms the strong predictive power of age, wealth, education, and working status of older adults on their social cohesion across the countries. Higher social non-cohesion is found among the economically poor older adults in Mexico, Russia, India, and China. In contrast, it is just opposite in the case of older adults in South Africa. Governments should develop policies to foster a society with a high level of social inclusion, social capital, and social diversity, to achieve further advancement in social cohesion. [ABSTRACT FROM AUTHOR]

Background: Headache disorders are disabling, with major consequences for productivity, yet the literature is silent on the relationship between headache-attributed disability and lost productivity, often erroneously regarding the two as synonymous. We evaluated the relationship empirically, having earlier found that investment in structured headache services would be cost saving, not merely cost-effective, if reductions in headache-attributed disability led to > 20% pro rata recovery of lost productivity. Methods: We used individual participant data from Global Campaign population-based studies conducted in China, Ethiopia, India, Nepal, Pakistan and Russia, and from Eurolight in Lithuania, Luxembourg and Spain. We assessed relationships in migraine and probable medication-overuse headache (pMOH), the most disabling common headache disorders. Available symptom data included headache frequency, usual duration and usual intensity. We used frequency and duration to estimate proportion of time in ictal state (pTIS). Disability, in the sense used by the Global Burden of Disease study, was measured as the product of pTIS and disability weight for the ictal state. Impairment was measured as pTIS * intensity. Lost productivity was measured as lost days (absence or < 50% productivity) from paid work and corresponding losses from household work over the preceding 3 months. We used Spearman correlation and linear regression analyses. Results: For migraine, in a linear model, we found positive associations with lost paid worktime, significant (p < 0.05) in many countries and highly significant (p < 0.001) in some despite low values of R2 (0–0.16) due to high variance. With lost household worktime and total lost productivity (paid + household), associations were highly significant in almost all countries, although still with low R2 (0.04–0.22). Applying the regression equations for each country to the population mean migraine-attributed disability, we found pro rata recoveries of lost productivity in the range 16–56% (> 20% in all countries but Pakistan). Analysing impairment rather than disability increased variability. For pMOH, with smaller numbers, associations were generally weaker, occasionally negative and mostly not significant. Conclusion: Relief of disability through effective treatment of migraine is expected, in most countries, to recover > 20% pro rata of lost productivity, above the threshold for investment in structured headache services to be cost saving. [ABSTRACT FROM AUTHOR]

The Asian summer monsoon (ASM) begins firstly over the Indo-China Peninsula in early May and over the South China Sea (SCS) in mid-May. The different monsoon onset dates can exert distinct effects on the summer rainfall in Asia. Statistical results indicate that the Antarctic Oscillation (AAO) in the boreal winter has a significant precursory influence on the ASM onset dates. In stronger AAO years, both the Mascarene high and the Australia high in March are stronger owing to the 'see-saw' structure of atmospheric circulation over the subtropics and higher latitudes in the Southern Hemisphere, and the tropical intertropical convergence zone (ITCZ) is deeper. Thus, the pressure gradient between the subtropical and tropical regions increases in spring. As a result, the Somalia cross-equatorial flow (SCEF) occurs earlier, strengthens, and enhances the westerlies over the tropical Indian Ocean. The enhanced westerlies impel an eastward withdrawal of the western Pacific subtropical high and intensify the convergence and rising motion at the lower troposphere, accelerating the burst of ASM. Differently, weaker AAO weakens the pressure gradient between the tropical and subtropical regions and delays the establishment of SCEF, resulting in a delayed onset of ASM. This study extends the leading time of seasonal forecast of ASM onset from the previous spring to winter and provides useful information about precursory signals in climate prediction operation. [ABSTRACT FROM AUTHOR]

Period fertility rates show a recent rise in the fertility of the Malay population of Peninsular Malaysia that became evident in the late 1970s, after more than fifteen years of slow but steady declines. Detailed analysis of age-parity-specific fertility rates suggests that the recent rise is largely due to a "making up" of lower order births (first, second, and third) that had been postponed by a rapid increase in age at marriage. The period trend in higher order births and cohort trends of cumulative fertility from census data point to a continued reduction in completed Malay fertility. Regional analysis shows several states on the east coast with persistent high fertility, although the revolution in marital postponement is national in scope. [ABSTRACT FROM AUTHOR]