38 results on '"Dijkshoorn, H."'
Search Results
2. Verschillen in thuiszorggebruik onder Amsterdamse ouderen
- Author
-
Hazeleger, F.G.M., Dijkshoorn, H., Buster, M., Fakiri el, F., de Jong, I.M., and Cremer, S.
- Published
- 2016
- Full Text
- View/download PDF
3. Lagere prevalentie van overgewicht en obesitas onder volwassenen in Amsterdam: Ligt de verklaring in demografische en sociaaleconomische factoren?
- Author
-
Dijkshoorn, H., Ujcic-Voortman, J.K., Uitenbroek, D.G., and Verhoeff, A.P.
- Published
- 2016
- Full Text
- View/download PDF
4. Body size ideals and body satisfaction among Dutch-origin and African-origin residents of Amsterdam: The HELIUS study
- Author
-
Hoenink, J.C., Galenkamp, H., Beune, E.J., Hartman, M.A., Snijder, M.B., Dijkshoorn, H., Peters, R.J.G., Bal, E., Stronks, K., Nicolaou, M., Hoenink, J.C., Galenkamp, H., Beune, E.J., Hartman, M.A., Snijder, M.B., Dijkshoorn, H., Peters, R.J.G., Bal, E., Stronks, K., and Nicolaou, M.
- Abstract
Objective Obesity is highly prevalent among ethnic minorities and acceptance of larger body sizes may put these ethnic minorities at risk of obesity. This study aimed to examine body size ideals and body satisfaction in relation to body weight, in two Sub-Saharan African (SSA)-origin groups in the Netherlands compared to the Dutch. Additionally, in the two SSA-origin groups, this study assessed the mediating role of acculturation in the relation between ethnicity and body size ideals and body satisfaction. Methods Dutch, African Surinamese and Ghanaians living in Amsterdam, the Netherlands, participated in the observational HELIUS study (n = 10,854). Body size ideals were assessed using a validated nine figure scale. Body satisfaction was calculated as the concordance of current with ideal figure. Acculturation was only assessed among SSA-origin participants and acculturation proxies included age of migration, residence duration, ethnic identity and social network. Weight and height were measured using standardised protocols. Results SSA-origin women and Ghanaian men had larger body size ideals compared to the Dutch; e.g. Surinamese and Ghanaian women had 0.37 (95%CI 0.32; 0.43) and 0.70 (95%CI 0.63; 0.78) larger body size ideals compared to Dutch women. SSA-origin participants were more often satisfied with their weight compared to the Dutch. Similarly, SSA-origin participants had more than twice the odds of being satisfied/preferring a larger figure compared to the Dutch (e.g. BSurinamese men 2.44, 95%CI 1.99; 2.99). Within the two SSA-origin groups, most acculturation proxies mediated the relation between ethnicity and body size ideals in women. Limited evidence of mediation was found for the outcome body satisfaction. Conclusion Public health strategies promoting a healthy weight may need to be differentiated according to sex and ethnic differences in body weight perception. Factors other than acculturation may underlie the ethnic differences between African Sur
- Published
- 2021
- Full Text
- View/download PDF
5. Risk groups for overweight and obesity among Turkish and Moroccan migrants in The Netherlands
- Author
-
Dijkshoorn, H., Nierkens, V., and Nicolaou, M.
- Published
- 2008
- Full Text
- View/download PDF
6. The body size ideals and body size satisfaction of Dutch residents and African-origin residents living in Amsterdam. The HELIUS Study
- Author
-
Hoenink, Jody, Beune, E.J., Hartman, M., Snijder, Marieke B., Dijkshoorn, H., Peters, R, Bal, E.W., de Graft-Aikins, A, Stronks, K., Nicolaou, Mary, Social and Cultural Anthropology, and Mobilities, Beliefs and Belonging: Confronting Global Inequalities and Insecurities (MOBB)
- Subjects
SDG 10 - Reduced Inequalities - Abstract
This was a cross-sectional study in Amsterdam, the Netherlands. It included Dutch, African Surinamese and Ghanaian origin men and women (18-70 years) that participated in the multi-ethnic HELIUS study (n = 11,053). Body size ideals were assessed using a jumbled nine figure scale. Body satisfaction was calculated as the discrepancy between current and ideal silhouette. Acculturation proxies included age of migration, residence duration, ethnic identity and social network.
- Published
- 2018
7. 7.1-O6The body size ideals and body size satisfaction of Dutch residents and African-origin residents living in Amsterdam. The HELIUS Study
- Author
-
Hoenink, J, primary, Beune, E, additional, Hartman, M, additional, Snijder, M, additional, Dijkshoorn, H, additional, Peters, R, additional, Bal, E, additional, de Graft-Aikins, A, additional, Stronks, K, additional, and Nicolaou, M, additional
- Published
- 2018
- Full Text
- View/download PDF
8. Het zorggebruik van minima in Amsterdam
- Author
-
Dijkshoorn, H., Hazeleger, F. G. M., de Jong, I. M., van der Lee, A. P. M., Kunst, A. E., Amsterdam Public Health, and Public and occupational health
- Subjects
health care economics and organizations - Abstract
Gaining more insight into any differences in care expenses between minimum and higher income groups. Cross-sectional study among 6,709 citizens of Amsterdam aged 19 years and over. Data on declared health care expenses from 2012 were linked to personal income and to public health survey data. Through weighted logistic regression analysis, differences in expenses for primary care, hospital care, mental health care and other care were compared for minimum and higher income groups, controlling for demographic characteristics, educational level and health status. Minimum income groups claimed more often for mental health care costs (11%) than higher income groups (7%). However, after controlling for demographic characteristics, educational level and health status this difference was not significant. Further, minimum income groups claimed fewer expenses for hospital care, but this difference was not significant. The number of claims for other care did not differ. The size of the expenses differed between income groups. Expenses for primary care among minimum income groups were lower versus those for higher earners. Expenses for hospital care, mental health care and other care were higher, but not to a statistically significant level. Minimum income groups claim lower costs for primary care. On the other hand, the number of claims for mental health care, hospital care and other care is equal or higher than that of higher income citizens, as is the size of the claimed expenses
- Published
- 2016
9. Validation of the SQUASH Physical Activity Questionnaire in a Multi-Ethnic Population: The HELIUS Study
- Author
-
Nicolaou, M., primary, Gademan, M. G. J., additional, Snijder, M. B., additional, Engelbert, R. H. H., additional, Dijkshoorn, H., additional, Terwee, C. B., additional, and Stronks, K., additional
- Published
- 2016
- Full Text
- View/download PDF
10. Huiselijk geweld
- Author
-
van Rooij, F.B., Dijkshoorn, H., van Dijk, T.K., Janssen, A.P., and Preventive Youth Care (RICDE, FMG)
- Published
- 2009
11. Socioculturele determinanten van voeding, beweging en overgewicht bij Turkse en Marokkaanse Amsterdammers
- Author
-
Dijkshoorn, H., Nicolaou, M., and Nutrition and Health
- Published
- 2007
12. The effect of neighbourhood unemployment on health-risk behaviours in elderly differs between Slovak and Dutch cities
- Author
-
Behanova, M., primary, Katreniakova, Z., additional, Nagyova, I., additional, van Ameijden, E. J. C., additional, Dijkshoorn, H., additional, van Dijk, J. P., additional, and Reijneveld, S. A., additional
- Published
- 2014
- Full Text
- View/download PDF
13. Onvoldoende bereik voor reizigersadvisering over infectieziektepreventie onder autochtone en allochtone Amsterdammers
- Author
-
Dijkshoorn, H., Schilthuis, H. J., van den Hoek, J. A. R., Verhoeff, A., and Other departments
- Published
- 2003
14. Zelfredzaamheid en zorggebruik van de eerste generatie Turkse en Marokkaanse migrantenouderen
- Author
-
Poort, E.C., Spijker, J., Dijkshoorn, H., and Reijneveld, S.A.
- Subjects
Health ,Adl ,Migrantenouderen ,Etnische verschillen ,Leefomgeving en gezondheid ,Migranten ,Zorggebruik ,Ouderen - Abstract
De eerste generatie Turkse en Marokkaanse arbeidsmigranten veroudert. In deze studie wordt de zelfredzaamheid en het zorggebruik van deze allochtone ouderen vergeleken met Nederlandse leeftijdsgenoten. De gegevens zijn afkomstig van een survey-onderzoek in Amsterdam naar de gezondheid van Turkse, Marokkaanse en Nederlandse ouderen tussen de 55 en 74 jaar. Zelfredzaamheid is bepaald door te vragen naar het eigen functioneren bij een tiental Activiteiten in het Dagelijks Leven (adl). Turkse en Marokkaanse ouderen rapporteerden hierbij veel vaker beperkingen dan hun Nederlandse leeftijdsgenoten. Turkse en Marokkaanse ouderen krijgen veel vaker hulp uit de eigen omgeving (informele hulp) dan autochtone ouderen, maar maken minder vaak gebruik van professionele hulp (thuiszorg en ouderenvoorzieningen). De slechte sociaal-economische positie van allochtone ouderen vormt een gedeeltelijke verklaring voor de verschillen in zelfredzaamheid. Het verschil in het gebruik van ouderenvoorzieningen blijkt deels verklaard te worden door de slechte bekendheid met het aanbod van voorzieningen onder de allochtone ouderen. We concluderen dat Turken en Marokkanen reeds op jonge leeftijd te maken hebben met een afnemende zelfredzaamheid. Deze bevindingen onderstrepen het belang van een adequate ondersteuning van Turkse en Marokkaanse mantelzorgers en van het verbeteren van de toegankelijkheid van professionele voorzieningen voor Turkse en Marokkaanse ouderen.
- Published
- 2003
15. Sociaal-economische status als verklaring van verschillen ingezondheid tussen Marokkanen en Nederlanders
- Author
-
Dijkshoorn, H., Diepenmaat, A.C.M., Buster, M.C.A., Uitenbroek, D., Reijneveld, S.A., and TNO Preventie en Gezondheid
- Subjects
Health ,Sociaal-economische status ,Allochtonen ,Gezondheidstoestand - Abstract
Allochtone Nederlanders hebben meer gezondheidsklachten en maken meer gebruik van huisartsenzorg dan autochtone Nederlanders. De groep allochtone Nederlanders vergrijst momenteel, waardoor de omvang van dit gezondheidsprobleem groeit. In dit artikel onderzoeken we of de slechtere sociaal-economische status (SES) van Marokkanen de gezondheidsver schillen tussen Marokkaanse en Nederlandse Amsterdammers kan verklaren, met opleidingsniveau als SES-indicator. Gegevens over de gezondheidstoestand van Marokkaanse Amsterdammers, afkomstig uit een landelijk survey-onderzoek, werden vergeleken met gezondheidsgegevens over Nederlandse Amsterdammers, afkomstig uit Amsterdams survey-onderzoek. Er waren geen verschillen tussen Nederlanders en Marokkanen voor wat betreft psychische gezondheid, voorkomen van CARA, reuma en/of gewrichtsklachten en hoge bloeddruk, en het aantal ziekenhuisopnamen. Marokkanen rapporteerden een slechtere gezondheid, meer suikerziekte en meer chronische rugaandoeningen dan Nederlanders. Marokkanen rookten minder dan Nederlanders en hadden vaker overgewicht dan Nederlanders. Marokkanen gingen vaker naar de huisarts dan Nederlanders. Aile gevonden verschillen tussen Nederlanders en Marokkanen bleven bestaan na correctie voor opleidingsniveau. Het blijkt dat Marokkanen een slechtere gezondheidsbeleving hebben en, ook na correctie voor gezondheidsbeleving, meer gebruik maken van de huisarts dan Nederlanders. Deze verschillen worden kleiner, maar blijven bestaan na correctie voor SES. Blijkbaar verklaren ook andere factoren dan SES etnische verschillen in gezondheid.
- Published
- 2000
16. Het SUPER-project, Deel 5: Eindrapportage van het project in Eindhoven en Bijlagen
- Author
-
Vaandrager, H.W., Koelen, M.A., and Dijkshoorn, H.
- Subjects
Communicatiewetenschap ,Communication Science ,Life Science - Published
- 1996
17. Report of the fifth MCAP Nutrition business meeting of 'The European food and shopping research network' (SUPER)
- Author
-
Vaandrager, L., Koelen, M.A., Houghton, C., and Dijkshoorn, H.
- Subjects
Communicatiewetenschap ,Life Science ,Communication Science - Published
- 1994
18. Prevalence and risk-factors for depression in elderly Turkish and Moroccan migrants in the Netherlands
- Author
-
van der Wurff, F.B., primary, Beekman, A.T.F., additional, Dijkshoorn, H., additional, Spijker, J.A., additional, Smits, C.H.M., additional, Stek, M.L., additional, and Verhoeff, A., additional
- Published
- 2004
- Full Text
- View/download PDF
19. Associations of individual chronic diseases and multimorbidity with multidimensional frailty.
- Author
-
Gobbens RJJ, Kuiper S, Dijkshoorn H, and van Assen MALM
- Subjects
- Humans, Aged, Frail Elderly, Multimorbidity, Surveys and Questionnaires, Geriatric Assessment methods, Chronic Disease, Frailty, Urinary Incontinence epidemiology
- Abstract
Objective: To examine the associations between individual chronic diseases and multidimensional frailty comprising physical, psychological, and social frailty., Methods: Dutch individuals (N = 47,768) age ≥ 65 years completed a general health questionnaire sent by the Public Health Services (response rate of 58.5 %), including data concerning self-reported chronic diseases, multidimensional frailty, and sociodemographic characteristics. Multidimensional frailty was assessed with the Tilburg Frailty Indicator (TFI). Total frailty and each frailty domain were regressed onto background characteristics and the six most prevalent chronic diseases: diabetes mellitus, cancer, hypertension, arthrosis, urinary incontinence, and severe back disorder. Multimorbidity was defined as the presence of combinations of these six diseases., Results: The six chronic diseases had medium and strong associations with total ((f
2 = 0.122) and physical frailty (f2 = 0.170), respectively, and weak associations with psychological (f2 = 0.023) and social frailty (f2 = 0.008). The effects of the six diseases on the frailty variables differed strongly across diseases, with urinary incontinence and severe back disorder impairing frailty most. No synergetic effects were found; the effects of a disease on frailty did not get noteworthy stronger in the presence of another disease., Conclusions: Chronic diseases, in particular urinary incontinence and severe back disorder, were associated with frailty. We thus recommend assigning different weights to individual chronic diseases in a measure of multimorbidity that aims to examine effects of multimorbidity on multidimensional frailty. Because there were no synergetic effects of chronic diseases, the measure does not need to include interactions between diseases., Competing Interests: Declaration of Competing Interest The authors declare that they have no competing interests., (Copyright © 2023 The Author(s). Published by Elsevier B.V. All rights reserved.)- Published
- 2024
- Full Text
- View/download PDF
20. Body size ideals and body satisfaction among Dutch-origin and African-origin residents of Amsterdam: The HELIUS study.
- Author
-
Hoenink JC, Galenkamp H, Beune EJ, Hartman MA, Snijder MB, Dijkshoorn H, Peters RJG, Bal E, Stronks K, and Nicolaou M
- Subjects
- Adult, Black People psychology, Ethnicity psychology, Female, Health Status, Humans, Male, Middle Aged, Minority Groups psychology, Netherlands epidemiology, Obesity psychology, Personal Satisfaction, Public Health, Young Adult, Body Size physiology, Body Weight physiology, Obesity epidemiology
- Abstract
Objective: Obesity is highly prevalent among ethnic minorities and acceptance of larger body sizes may put these ethnic minorities at risk of obesity. This study aimed to examine body size ideals and body satisfaction in relation to body weight, in two Sub-Saharan African (SSA)-origin groups in the Netherlands compared to the Dutch. Additionally, in the two SSA-origin groups, this study assessed the mediating role of acculturation in the relation between ethnicity and body size ideals and body satisfaction., Methods: Dutch, African Surinamese and Ghanaians living in Amsterdam, the Netherlands, participated in the observational HELIUS study (n = 10,854). Body size ideals were assessed using a validated nine figure scale. Body satisfaction was calculated as the concordance of current with ideal figure. Acculturation was only assessed among SSA-origin participants and acculturation proxies included age of migration, residence duration, ethnic identity and social network. Weight and height were measured using standardised protocols., Results: SSA-origin women and Ghanaian men had larger body size ideals compared to the Dutch; e.g. Surinamese and Ghanaian women had 0.37 (95%CI 0.32; 0.43) and 0.70 (95%CI 0.63; 0.78) larger body size ideals compared to Dutch women. SSA-origin participants were more often satisfied with their weight compared to the Dutch. Similarly, SSA-origin participants had more than twice the odds of being satisfied/preferring a larger figure compared to the Dutch (e.g. BSurinamese men 2.44, 95%CI 1.99; 2.99). Within the two SSA-origin groups, most acculturation proxies mediated the relation between ethnicity and body size ideals in women. Limited evidence of mediation was found for the outcome body satisfaction., Conclusion: Public health strategies promoting a healthy weight may need to be differentiated according to sex and ethnic differences in body weight perception. Factors other than acculturation may underlie the ethnic differences between African Surinamese and Ghanaians in obesity., Competing Interests: The authors have declared that no competing interests exist.
- Published
- 2021
- Full Text
- View/download PDF
21. Comparison of general health status, myocardial infarction, obesity, diabetes, and fruit and vegetable intake between immigrant Pakistani population in the Netherlands and the local Amsterdam population.
- Author
-
Raza Q, Nicolaou M, Dijkshoorn H, and Seidell JC
- Subjects
- Adult, Cross-Sectional Studies, Diabetes Mellitus ethnology, Female, Health Surveys, Humans, Male, Middle Aged, Myocardial Infarction ethnology, Netherlands epidemiology, Obesity ethnology, Pakistan epidemiology, Pakistan ethnology, Asian People, Diabetes Mellitus epidemiology, Emigrants and Immigrants statistics & numerical data, Fruit, Health Status, Myocardial Infarction epidemiology, Obesity epidemiology, Vegetables
- Abstract
Objective: South Asians living in Western countries have shown higher prevalence of cardiovascular disease and related non-communicable diseases as compared to the local populations. The aim of this study was to compare the general health status and prevalence of myocardial infarction (MI), diabetes, high blood pressure, overweight, obesity, and fruit and vegetable intake between Pakistani immigrants in the Netherlands and local Amsterdam population., Design: A health survey was conducted in 2012-2013 among Pakistanis in the Netherlands. Results were compared with a health survey conducted among inhabitants of Amsterdam in 2012. One hundred and fifty-four Pakistanis from four big cities of the Netherlands and 7218 inhabitants of Amsterdam participated. The data for Amsterdam population were weighed on the basis of age, gender, city district, marital status, ethnicity and income level while the data for Pakistanis were weighed on the basis of age and gender to make both data-sets representative of their general population., Results: Pakistanis reported a high prevalence of MI (3.3%), diabetes (11.4%), high blood pressure (14.4%), overweight (35.5%) and obesity (18.5%) while Amsterdam population reported the prevalence as 2.5% for MI, 6.8% for diabetes, 15.3% for high blood pressure, 28.1% for overweight and 11.1% for obesity. Pakistanis had a significantly higher level of MI (OR = 2.71; 95% CI: 1.19-6.14), diabetes (OR = 4.41; 95% CI: 2.66-7.33) and obesity (OR = 2.51; 95% CI: 1.53-4.12) after controlling for age, sex and educational level with Amsterdam population as the reference group. Pakistanis showed a higher intake of fruit and fruit juice as compared to Amsterdam population though the latter showed a higher intake of cooked vegetables., Conclusion: Higher prevalence of MI, diabetes and obesity among Pakistanis than Amsterdam population indicates the need for health scientists and policy-makers to develop interventions for tackling non-communicable diseases and its determinants among Pakistanis living in the Netherlands.
- Published
- 2017
- Full Text
- View/download PDF
22. Usage of purchased self-tests for HIV and sexually transmitted infections in Amsterdam, the Netherlands: results of population-based and serial cross-sectional studies among the general population and sexual risk groups.
- Author
-
Bil JP, Prins M, Stolte IG, Dijkshoorn H, Heijman T, Snijder MB, Davidovich U, and Zuure FR
- Subjects
- Adult, Chlamydia Infections epidemiology, Cohort Studies, Cross-Sectional Studies, Female, HIV Infections epidemiology, Humans, Logistic Models, Male, Middle Aged, Netherlands epidemiology, Risk Factors, Sexual Behavior, Syphilis epidemiology, Young Adult, Chlamydia Infections diagnosis, HIV Infections diagnosis, Mass Screening methods, Reagent Kits, Diagnostic statistics & numerical data, Self Care, Syphilis diagnosis
- Abstract
Objectives: There are limited data on the usage of commercially bought self-tests for HIV and other sexually transmitted infections (STIs). Therefore, we studied HIV/STI self-test usage and its determinants among the general population and sexual risk groups between 2007 and 2015 in Amsterdam, the Netherlands., Setting: Data were collected in four different studies among the general population (S1 - 2) and sexual risk groups (S3 - 4)., Participants: S1 - Amsterdam residents participating in representative population-based surveys (2008 and 2012; n=6044) drawn from the municipality register; S2 - Participants of a population-based study stratified by ethnicity drawn from the municipality register of Amsterdam (2011-2015; n=17 603); S3 - Men having sex with men (MSM) participating in an HIV observational cohort study (2008 and 2013; n=597) and S4 - STI clinic clients participating in a cross-sectional survey (2007-2012; n=5655)., Primary and Secondary Outcome Measures: Prevalence of HIV/STI self-test usage and its determinants., Results: The prevalence of HIV/STI self-test usage in the preceding 6-12 months varied between 1% and 2% across studies. Chlamydia self-tests were most commonly used, except among MSM in S3. Chlamydia and syphilis self-test usage increased over time among the representative sample of Amsterdam residents (S1) and chlamydia self-test usage increased over time among STI clinic clients (S4). Self-test usage was associated with African Surinamese or Ghanaian ethnic origin (S2), being woman or MSM (S1 and 4) and having had a higher number of sexual partners (S1-2). Among those in the general population who tested for HIV/STI in the preceding 12 months, 5-9% used a self-test., Conclusions: Despite low HIV/STI self-test usage, we observed increases over time in chlamydia and syphilis self-test usage. Furthermore, self-test usage was higher among high-risk individuals in the general population. It is important to continue monitoring self-test usage and informing the public about the unknown quality of available self-tests in the Netherlands and about the pros and cons of self-testing., Competing Interests: Competing interests: MP, UD and FRZ have received non-financial support (ie, HIV self-test kits) from OraSure Technologies for another (investigator initiated) study concerning HIV self-testing., (© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.)
- Published
- 2017
- Full Text
- View/download PDF
23. Are area-level and individual-level socioeconomic factors associated with self-rated health in adult urban citizens? Evidence from Slovak and Dutch cities.
- Author
-
Behanova M, Reijneveld SA, Nagyova I, Katreniakova Z, van Ameijden EJC, Dijkshoorn H, and van Dijk JP
- Subjects
- Adult, Aged, Cities epidemiology, Female, Humans, Male, Middle Aged, Netherlands epidemiology, Residence Characteristics statistics & numerical data, Self Report, Slovakia epidemiology, Socioeconomic Factors, Surveys and Questionnaires, Urban Health statistics & numerical data, Young Adult, Health Status, Urban Population statistics & numerical data
- Abstract
Background: Evidence shows that living in disadvantaged areas is associated with poor health. This may be due to the socioeconomic (SE) characteristics of both these residents and the areas where they live. Evidence regarding this on Central European (CE) countries is scarce. Our aim was to assess whether the prevalence of poor self-rated health (SRH) was higher in deprived urban areas, whether this can be explained by individual SE status (SES) and whether this differed between Slovakia and the Netherlands per age group. We examined the association of urban-level data and individual-level SE factors from different urban areas in different countries (Slovakia, the Netherlands) using comparable urban health indicators and area indicators. We also obtained unique data from the EU-FP7 EURO-URHIS 2 project. Multilevel logistic regression showed that poor SRH was associated with area deprivation in both countries. Regarding age by country, poor SRH occurred more frequently in the more deprived areas for the younger age group (≤64) in the Netherlands but for the older age group (≥65 years) in Slovakia. Moreover, Slovak citizens reported poor SRH significantly more often than Dutch residents. Individual SES was significantly associated with poor SRH in both age groups and both countries for most area-level SE measures. Individual SES is associated with SRH more strongly than area deprivation. Therefore, it is important to account for relative deprivation at an individual level when considering health-enhancing activities. Moreover, the effect of urban-area deprivation seems to differ between CE and WE countries., (© The Author 2015. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.)
- Published
- 2017
- Full Text
- View/download PDF
24. Determinants of help-seeking behavior in depression: a cross-sectional study.
- Author
-
Boerema AM, Kleiboer A, Beekman AT, van Zoonen K, Dijkshoorn H, and Cuijpers P
- Subjects
- Adult, Aged, Aged, 80 and over, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Netherlands, Social Stigma, Young Adult, Depressive Disorder, Major psychology, Depressive Disorder, Major therapy, Help-Seeking Behavior, Patient Acceptance of Health Care psychology, Patient Acceptance of Health Care statistics & numerical data
- Abstract
Background: Although evidence-based and effective treatments are available for people with depression, a substantial number does not seek or receive help. Therefore, it is important to gain a better understanding of the reasons why people do or do not seek help. This study examined what predisposing and need factors are associated with help-seeking among people with major depression., Methods: A cross-sectional study was conducted in 102 subjects with major depression. Respondents were recruited from the general population in collaboration with three Municipal Health Services (GGD) across different regions in the Netherlands. Inclusion criteria were: being aged 18 years or older, a high score on a screening instrument for depression (K10 > 20), and a diagnosis of major depression established through the Composite International Diagnostic Interview (CIDI 2.1)., Results: Of the total sample, 65 % (n = 66) had received help in the past six months. Results showed that respondents with a longer duration of symptoms and those with lower personal stigma were more likely to seek help. Other determinants were not significantly related to help-seeking., Conclusions: Longer duration of symptoms was found to be an important determinant of help-seeking among people with depression. It is concerning that stigma was related to less help-seeking. Knowledge and understanding of depression should be promoted in society, hopefully leading to reduced stigma and increased help-seeking.
- Published
- 2016
- Full Text
- View/download PDF
25. [Health care usage by minimum income citizens in Amsterdam; a cross-sectional study into claims within the Dutch basic health insurance scheme].
- Author
-
Dijkshoorn H, Hazeleger FG, de Jong IM, van der Lee AP, and Kunst AE
- Subjects
- Adult, Cross-Sectional Studies, Female, Health Status, Health Surveys, Humans, Logistic Models, Male, Middle Aged, Netherlands, Surveys and Questionnaires, Young Adult, Health Care Costs statistics & numerical data, Income statistics & numerical data, Insurance, Health statistics & numerical data, Patient Acceptance of Health Care statistics & numerical data
- Abstract
Objective: Gaining more insight into any differences in care expenses between minimum and higher income groups., Design: Cross-sectional study among 6,709 citizens of Amsterdam aged 19 years and over., Method: Data on declared health care expenses from 2012 were linked to personal income and to public health survey data. Through weighted logistic regression analysis, differences in expenses for primary care, hospital care, mental health care and other care were compared for minimum and higher income groups, controlling for demographic characteristics, educational level and health status., Results: Minimum income groups claimed more often for mental health care costs (11%) than higher income groups (7%). However, after controlling for demographic characteristics, educational level and health status this difference was not significant. Further, minimum income groups claimed fewer expenses for hospital care, but this difference was not significant. The number of claims for other care did not differ. The size of the expenses differed between income groups. Expenses for primary care among minimum income groups were lower versus those for higher earners. Expenses for hospital care, mental health care and other care were higher, but not to a statistically significant level., Conclusion: Minimum income groups claim lower costs for primary care. On the other hand, the number of claims for mental health care, hospital care and other care is equal or higher than that of higher income citizens, as is the size of the claimed expenses.
- Published
- 2016
26. Association between Self-Rated Health and the Ethnic Composition of the Residential Environment of Six Ethnic Groups in Amsterdam.
- Author
-
Veldhuizen EM, Musterd S, Dijkshoorn H, and Kunst AE
- Subjects
- Adult, Aged, Aged, 80 and over, Attitude to Health, Female, Humans, Logistic Models, Male, Middle Aged, Netherlands, Young Adult, Ethnicity psychology, Ethnicity statistics & numerical data, Health Status, Health Surveys, Residence Characteristics statistics & numerical data, Self Concept
- Abstract
Background: Studies on the association between health and neighborhood ethnic composition yielded inconsistent results, possibly due to methodological limitations. We assessed these associations at different spatial scales and for different measures of ethnic composition., Methods: We obtained health survey data of 4673 respondents of Dutch, Surinamese, Moroccan, Turkish other non-Western and other Western origin. Neighborhood ethnic composition was measured for buffers varying from 50-1000 m. Associations with self-rated health were measured using logistic multilevel regression analysis, with control for socioeconomic position at the individual and area level., Results: Overall ethnic heterogeneity was not related to health for any ethnic group. The presence of other Surinamese was associated with poor self-rated health among Surinamese respondents. The presence of Moroccans or Turks was associated with poor health among some groups. The presence of Dutch was associated with better self-rated health among Surinamese and Turks. In most cases, these associations were stronger at lower spatial scales. We found no other associations., Conclusions: In Amsterdam, self-rated health was not associated with ethnic heterogeneity in general, but may be related to the presence of specific ethnic groups. Policies regarding social and ethnic mixing should pay special attention to the co-residence of groups with problematic interrelations.
- Published
- 2015
- Full Text
- View/download PDF
27. The effect of neighbourhood unemployment on health-risk behaviours in elderly differs between Slovak and Dutch cities.
- Author
-
Behanova M, Katreniakova Z, Nagyova I, van Ameijden EJ, Dijkshoorn H, van Dijk JP, and Reijneveld SA
- Subjects
- Aged, Female, Humans, Male, Netherlands ethnology, Risk Factors, Slovakia ethnology, Socioeconomic Factors, Unemployment statistics & numerical data, Geriatric Assessment statistics & numerical data, Health Behavior ethnology, Residence Characteristics statistics & numerical data, Risk-Taking, Unemployment psychology
- Abstract
Background: Health-risk behaviours (HRB) increase the risk of disability and chronic diseases at an older age. This study aimed to compare Slovakia and the Netherlands regarding differences in the prevalence of HRB by neighbourhood and individual deprivation and to determine whether area differences could be explained by the socio-economic position (SEP) of the residents., Methods: We obtained data on non-institutionalized residents aged ≥ 65 years from the EU-FP7: EURO-URHIS 2 project from Slovak (N = 665, response rate 44.0%) and Dutch cities (N = 795, response rate 50.2%). HRB concerned daily smoking, binge drinking, physical activity, consumption of fruits and vegetables and body mass index. Area deprivation was measured by the neighbourhood unemployment rate. Individual SEP was measured by education and household income with financial strain. We used multilevel logistic regression., Results: In Slovakia, no HRB was associated with either neighbourhood unemployment or individual SEP. The elderly in the Netherlands from the least favourable neighbourhoods were more likely to be daily smokers [odds ratio (OR) 2.32; 95% confidence interval (CI) 1.25, 4.30] and overweight (OR 1.84; 95% CI 1.24, 2.75) than residents from the most favourable ones. For the Dutch elderly the gradients varied per HRB and per individual-level SEP indicator. Individual SEP explained country differences in the association of area unemployment with smoking and lack of physical activity but not that with overweight., Conclusion: Countries differed in the associations with HRB of both neighbourhood unemployment and individual SEP among the elderly urban residents. The local importance of socio-economic factors on both levels should be considered when developing health-promotion activities for the elderly., (© The Author 2014. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.)
- Published
- 2015
- Full Text
- View/download PDF
28. Overweight and obesity in young Turkish, Moroccan and Surinamese migrants of the second generation in the Netherlands.
- Author
-
Dijkshoorn H, Nicolaou M, Ujcic-Voortman JK, Schouten GM, Bouwman-Notenboom AJ, Berns MP, and Verhoeff AP
- Subjects
- Adolescent, Adult, Body Mass Index, Cross-Sectional Studies, Educational Status, Female, Humans, Logistic Models, Male, Morocco ethnology, Netherlands epidemiology, Nutrition Surveys, Obesity ethnology, Overweight ethnology, Prevalence, Risk, Sex Factors, Suriname ethnology, Turkey ethnology, Young Adult, Emigrants and Immigrants, Health Transition, Obesity epidemiology, Overweight epidemiology, Urban Health ethnology
- Abstract
Objective: To examine differences in overweight and obesity of second-generation Turkish, Moroccan and Surinamese migrants v. first-generation migrants and the ethnic Dutch. We also studied the influence of sociodemographic factors on this association., Design: Data were collected in 2008 in a cross-sectional postal and online health survey., Setting: Four major Dutch cities., Subjects: In the survey 42 686 residents aged 16 years and over participated. Data from Dutch (n 3615) and second/first-generation Surinamese (n 230/139), Turkish (n 203/241) and Moroccan (n 172/187) participants aged 16-34 years were analysed using logistic regression with overweight (BMI ≥ 25·0 kg/m²) and obesity (BMI ≥ 30·0 kg/m²) as dependent variables. BMI was calculated from self-reported body height and weight. Sociodemographic variables included sex, age, marital status, educational level, employment status and financial situation., Results: After controlling for age, overweight (including obesity) was more prevalent in most second-generation migrant subgroups compared with the Dutch population, except for Moroccan men. Obesity rates among second-generation migrant men were similar to those among the Dutch. Second-generation migrant women were more often obese than Dutch women. Ethnic differences were partly explained by the lower educational level of second-generation migrants. Differences in overweight between second- and first-generation migrants were only found among Moroccan and Surinamese men., Conclusions: We did not find a converging trend for the overweight and obesity prevalence from second-generation migrants towards the Dutch host population. Therefore, preventive interventions should also focus on second-generation migrants to stop the obesity epidemic.
- Published
- 2014
- Full Text
- View/download PDF
29. Relationship between psychosocial stress and hypertension among Ghanaians in Amsterdam, the Netherlands--the GHAIA study.
- Author
-
Agyei B, Nicolaou M, Boateng L, Dijkshoorn H, van den Born BJ, and Agyemang C
- Subjects
- Adolescent, Adult, Cross-Sectional Studies, Female, Ghana ethnology, Humans, Interviews as Topic, Logistic Models, Male, Middle Aged, Netherlands epidemiology, Qualitative Research, Surveys and Questionnaires, Transients and Migrants psychology, Young Adult, Black People, Hypertension ethnology, Hypertension etiology, Stress, Psychological complications, Stress, Psychological ethnology
- Abstract
Background: Hypertension is highly prevalent among recent sub-Saharan African (SSA) migrants in western countries and some tend to associate their hypertension to psychosocial stress. However data on the relationship between hypertension and psychosocial stress among SSA migrants are rare. We assessed the relationship between psychosocial stress and hypertension among the largest SSA migrant population (Ghanaians) in Amsterdam, the Netherlands., Methods: Data were obtained from structured interviews along with medical examination among 212 participants from a cross-sectional study: the GHAIA study in 2010 in Amsterdam. Blood pressure was measured with a validated Oscillometric automated digital blood pressure device. Psychosocial stress was assessed by questionnaires on perceived discrimination, depressive symptoms and financial problems. Binary logistic regression was used to study associations between psychosocial stress and hypertension., Results: The overall prevalence of hypertension was 54.7%. About two thirds of the study population experienced a moderate (31%) or high (36%) level of discrimination. 20.0% of the participants had mild depressive symptoms, whilst 9% had moderate depressive symptoms. The prevalence of financial stress was 34.8%. The psychosocial stresses we assessed were not significantly associated with hypertension: adjusted odds ratios comparing those with low levels and those with high levels were 0.99 (95% CI, 0.47-2.08) for perceived discrimination, 0.81 (95% CI, 0.26-2.49) for depressive symptoms and 0.71 (95% CI, 0.37-1.36) for financial stress, respectively., Conclusion: We did not find evidence for the association between psychosocial stress and hypertension among recent SSA migrants. More efforts are needed to unravel other potential factors that may underlie the high prevalence of hypertension among these populations.
- Published
- 2014
- Full Text
- View/download PDF
30. Multidimensional health locus of control and depressive symptoms in the multi-ethnic population of the Netherlands.
- Author
-
van Dijk TK, Dijkshoorn H, van Dijk A, Cremer S, and Agyemang C
- Subjects
- Adolescent, Adult, Aged, Aged, 80 and over, Cross-Cultural Comparison, Depression diagnosis, Depressive Disorder diagnosis, Ethnicity statistics & numerical data, Female, Humans, Male, Morocco ethnology, Multivariate Analysis, Netherlands epidemiology, Prevalence, Psychiatric Status Rating Scales, Regression Analysis, Risk Factors, Socioeconomic Factors, Suriname ethnology, Transients and Migrants statistics & numerical data, Turkey ethnology, Depression ethnology, Depressive Disorder ethnology, Ethnicity psychology, Internal-External Control, Population Groups statistics & numerical data, Transients and Migrants psychology
- Abstract
Purpose: Ethnic inequalities in health in Western societies are well-documented but poorly understood. We examined associations between health locus of control (HLC) and depressive symptoms among native and non-native Dutch people in the Netherlands., Methods: We used hierarchical multiple linear regression analyses on a representative sample of the multi-ethnic population of Amsterdam and The Hague (n = 10,302). HLC was measured with the multidimensional health locus of control scale. Depressive symptoms were measured with the Kessler Psychological Distress scale., Results: Multivariate analyses showed that HLC contributes to ethnic differences in the prevalence of depressive symptoms. Respondents who scored high on external locus of control (PHLC) were more likely to have depressive symptoms than those with a low score on PHLC (β = 0.133, p < 0.001). Conversely, respondents scoring high on internal locus of control (IHLC) were less likely to have depressive symptoms compared to those scoring low on IHLC (β = -0.134, p < 0.001). The associations were most pronounced among Turkish-Dutch and Moroccan-Dutch respondents., Conclusion: Our findings suggest that HLC contributes to ethnic inequalities in depressive symptoms, especially among Turkish and Moroccan ethnic groups. Professionals (e.g. clinicians and policy makers) need to take HLC into account when assessing and treating depression among ethnic minority groups, particularly in Turkish and Moroccan populations. Future research should look further into the associations within these groups.
- Published
- 2013
- Full Text
- View/download PDF
31. Prevalence, awareness, treatment, and control of hypertension among Ghanaian population in Amsterdam, The Netherlands: the GHAIA study.
- Author
-
Agyemang C, Nicolaou M, Boateng L, Dijkshoorn H, van de Born BJ, and Stronks K
- Subjects
- Adolescent, Adult, Cross-Sectional Studies, Emigrants and Immigrants psychology, Emigration and Immigration, Female, Ghana ethnology, Humans, Hypertension diagnosis, Hypertension ethnology, Hypertension physiopathology, Male, Middle Aged, Netherlands epidemiology, Prevalence, Risk Factors, Sex Factors, Treatment Outcome, Urban Health, Young Adult, Antihypertensive Agents therapeutic use, Awareness, Black People psychology, Blood Pressure drug effects, Health Knowledge, Attitudes, Practice ethnology, Hypertension drug therapy
- Abstract
Background: Migration from sub-Saharan Africa to industrialized countries has increased tremendously over the last few decades, yet very little is known about the health status of sub-Saharan African populations living in industrialized communities. The aim of this study was to assess prevalence, levels of awareness, treatment, and control of hypertension among the largest sub-Saharan African group (Ghanaians) living in the Netherlands., Methods: Cross-sectional study of Ghanaian adults aged 18-60 years in Amsterdam, the Netherlands., Results: The overall prevalence of hypertension was 55%. Of these, about half were aware of their condition, 45% were receiving antihypertensive medication, and 15% were controlled (blood pressure <140/90 mmHg). The prevalence rates of hypertension, awareness, and treatment were similar among males and females. However, males had a lower blood pressure control rate than females. Among all hypertensives, 22% of females had their blood pressure controlled compared with 5.8% in males: adjusted prevalence ratio (APR) 3.94 (95% CI 1.05-14.79). Among those receiving treatment for their hypertension, 48% of females were controlled compared with only 13% of males: APR 4.08 (95% CI 1.20-13.87)., Conclusion: Hypertension is a major problem among this recently migrated sub-Saharan African population. Furthermore, hypertension control rate is very low particularly in males. Urgent measures are needed to halt the increasing prevalence of hypertension and to improve hypertension control among these populations.
- Published
- 2013
- Full Text
- View/download PDF
32. Differences in Body Fat Distribution Play a Role in the Lower Levels of Elevated Fasting Glucose amongst Ghanaian Migrant Women Compared to Men.
- Author
-
Nicolaou M, Kunst AE, Busschers WB, van Valkengoed IG, Dijkshoorn H, Boateng L, Brewster LM, Snijder MB, Stronks K, and Agyemang C
- Subjects
- Adolescent, Adult, Cross-Sectional Studies, Diabetes Mellitus, Type 2 epidemiology, Female, Ghana epidemiology, Humans, Male, Middle Aged, Sex Factors, Young Adult, Blood Glucose metabolism, Fasting, Transients and Migrants
- Abstract
Background: Despite higher levels of obesity, West African migrant women appear to have lower rates of type 2 diabetes than their male counterparts. We investigated the role of body fat distribution in these differences., Methods: Cross-sectional study of Ghanaian migrants (97 men, 115 women) aged 18-60 years in Amsterdam, the Netherlands. Weight, height, waist and hip circumferences were measured. Logistic regression was used to explore the association of BMI, waist and hip measurements with elevated fasting glucose (glucose≥5.6 mmol/L). Linear regression was used to study the association of the same parameters with fasting glucose., Results: Mean BMI, waist and hip circumferences were higher in women than men while the prevalence of elevated fasting glucose was higher in men than in women, 33% versus 19%. With adjustment for age only, men were non-significantly more likely than women to have an elevated fasting glucose, odds ratio (OR) 1.81, 95% CI: 0.95, 3.46. With correction for BMI, the higher odds among men increased and were statistically significant (OR 2.84, 95% CI: 1.32, 6.10), but with consideration of body fat distribution (by adding both hip and waist in the analysis) differences were no longer significant (OR 1.56 95% CI: 0.66, 3.68). Analysis with fasting glucose as continuous outcome measure showed somewhat similar results., Conclusion: Compared to men, the lower rates of elevated fasting glucose observed among Ghanaian women may be partly due to a more favorable body fat distribution, characterized by both hip and waist measurements.
- Published
- 2013
- Full Text
- View/download PDF
33. An exploration of the enablers and barriers in access to the Dutch healthcare system among Ghanaians in Amsterdam.
- Author
-
Boateng L, Nicolaou M, Dijkshoorn H, Stronks K, and Agyemang C
- Subjects
- Adult, Female, Focus Groups, Ghana ethnology, Health Promotion methods, Health Services Needs and Demand, Humans, Interviews as Topic, Language, Male, Middle Aged, Netherlands epidemiology, Social Support, Socioeconomic Factors, Emigrants and Immigrants psychology, Health Knowledge, Attitudes, Practice ethnology, Health Services Accessibility statistics & numerical data, Quality Assurance, Health Care standards
- Abstract
Background: Sub-Saharan African populations are growing in many European countries. Data on the health of these populations are rare. Additionally, many sub-Saharan African migrants are confronted with issues of low socio-economic status, acculturation and language difficulties, which may hamper their access to health care. Despite the identification of some of those barriers, little is known about the enabling factors. Knowledge about the enablers and barriers in access to healthcare experienced is important in addressing their health needs and promoting healthcare access. This study aimed to investigate the enabling factors as well as barriers in access to the Dutch healthcare system among the largest sub-Saharan African migrant group (Ghanaians) living in Amsterdam, the Netherlands., Methods: Six focus groups were conducted from November 2009 to February 2010. A semi-structured interview guideline was used. Discussions were conducted in English or Twi (Ghanaian dialect), recorded and transcribed verbatim. Analysis was based on the Andersen model of healthcare utilisation using MAXQDA software., Results: Knowledge and perceived quality of the health system, awareness of diseases, family and community support, community initiatives and availability of social support were the main enablers to the healthcare system. Difficulties with the Dutch language and mistrust in health care providers were major barriers in access to healthcare., Conclusions: Access to healthcare is facilitated mainly by knowledge of and the perceived efficiency and quality of the Dutch healthcare system. However, poor Dutch language proficiency and mistrust in health care providers appear to be important barriers in accessing healthcare. The enablers and barriers identified by this study provide useful information for promoting healthcare access among this and similar Sub-Saharan African communities.
- Published
- 2012
- Full Text
- View/download PDF
34. Ethnic variation in validity of the estimated obesity prevalence using self-reported weight and height measurements.
- Author
-
Dijkshoorn H, Ujcic-Voortman JK, Viet L, Verhoeff AP, and Uitenbroek DG
- Subjects
- Adolescent, Adult, Aged, Female, Humans, Male, Middle Aged, Morocco ethnology, Netherlands epidemiology, Turkey ethnology, Young Adult, Body Height physiology, Body Weight physiology, Obesity epidemiology, Obesity ethnology, Surveys and Questionnaires standards
- Abstract
Background: We examined ethnic differences between levels of body mass index (BMI) based on self-reported and measured body height and weight and the validity of self-reports used to estimate the prevalence of obesity (BMI≥30 kg/m2) in Turkish, Moroccan, and Dutch people in the Netherlands. Furthermore, we investigated whether BMI levels and the prevalence of obesity in Turkish and Moroccan people with incomplete self-reports (missing height or weight) differ from those with complete self-reports., Methods: Data on self-reported and measured height and weight were collected in a population-based survey among 441 Dutch, 414 Turks and 344 Moroccans aged 18 to 69 years in Amsterdam, the Netherlands in 2004. BMI and obesity were calculated from self-reported and measured height and weight., Results: The difference between measured and estimated BMI was larger in Turkish and Moroccan women than in Dutch women, which was explained by the higher BMI of the Turkish and Moroccan women. In men we found no ethnic differences between measured and estimated BMI. Sensitivity to detect obesity was low and specificity was high. In participants with available self-reported and measured height and weight, self-reports produced a similar underestimation of the obesity prevalence in all ethnic groups. However, many obese Turkish and Moroccan women had incomplete self-reports, missing height or weight, resulting in an additional underestimation of the prevalence of obesity. Among men (all ethnicities) and Dutch women, the availability of height or weight by self-report did not differ between obese and non obese participants., Conclusions: BMI based on self-reports is underestimated more by Turkish and Moroccan women than Dutch women, which is explained by the higher BMI of Turkish and Moroccan women. Further, in women, ethnic differences in the estimation of obesity prevalence based on self-reports do exist and are due to incomplete self-reports in obese Turkish and Moroccan women. In men, ethnicity is not associated with discrepancies between levels of BMI and obesity prevalence based on measurements and self-reports. Hence, our results indicate that using measurements to accurately determine levels of BMI and obesity prevalence in public health research seems even more important in Turkish and Moroccan migrant women than in other populations.
- Published
- 2011
- Full Text
- View/download PDF
35. Participatory approaches to promote healthy lifestyles among Turkish and Moroccan women in Amsterdam.
- Author
-
Wagemakers A, Corstjens R, Koelen M, Vaandrager L, Van't Riet H, and Dijkshoorn H
- Subjects
- Adult, Female, Focus Groups, Health Services Needs and Demand, Humans, Middle Aged, Morocco ethnology, Netherlands, Program Evaluation, Turkey ethnology, Community Participation, Community-Based Participatory Research statistics & numerical data, Health Knowledge, Attitudes, Practice, Health Promotion, Life Style ethnology, Motor Activity
- Abstract
Although it is recognized that community health promotion succeeds or fails by level of participation, effectiveness and benefits of community programs are underestimated, because participation is seldom monitored and evaluated. In the Dutch "Healthy Lifestyle Westerpark" program in Amsterdam, participation was both the main working principle and the main goal.Between 2003 and 2006, the Municipal Health Service (MHS) carried out a qualitative study on the background of overweight in Turkish and Moroccan women aged 25 to 45 years and on possibilities for promoting health with and for the target group. The aim of the program was to increase the women's participation and to evaluate participation levels in all phases. The research aim of this paper is to contribute to the development of participatory methods.Needs assessment and intervention development phases resulted in implementation of aerobic lessons and nutrition interventions. In the evaluation phase, participation levels were measured using Pretty's typology in focus groups.Results show that women appreciate participating in the program. Increase in physical activity was not measured. Women's knowledge about healthy food increased, women changed behavior by buying healthier food ingredients and women continued to participate.Participatory approaches facilitate participation at the desired level in the different phases of the program. Participatory approaches are time-consuming but worthwhile. Pretty's typology is useful to measure degree of participation, although methods can be improved and the meaning of participation should be reconsidered.The added value of this article is twofold: 1. it demonstrates that participatory methods and tools both facilitate and evaluate participation, and 2. it shows how to evaluate the degree of participation.
- Published
- 2008
- Full Text
- View/download PDF
36. Katz' ADL index assessed functional performance of Turkish, Moroccan, and Dutch elderly.
- Author
-
Reijneveld SA, Spijker J, and Dijkshoorn H
- Subjects
- Age Distribution, Aged, Chronic Disease epidemiology, Cross-Cultural Comparison, Depression epidemiology, Female, Health Status, Humans, Male, Middle Aged, Morocco ethnology, Netherlands epidemiology, Physical Fitness, Prognosis, Reproducibility of Results, Sex Distribution, Turkey ethnology, Activities of Daily Living, Disability Evaluation
- Abstract
Background and Objective: We examined the reliability and validity of self-reported limitations encountered in the activities of daily living (ADL) as measure of functional performance, for Turkish, Moroccan, and indigenous Dutch elderly in the Netherlands., Methods: We obtained data on self-reported ADL measured by Katz' ADL index and on five related health outcomes among a general population sample of 304 Dutch, 330 Turkish, and 299 Moroccan respondents aged 55-74 years, in Amsterdam, the Netherlands (response: 60%)., Results: Katz' ADL index demonstrated good internal consistencies for each ethnic group (Cronbach's alphas: 0.84-0.94). Regarding validity, the ADL index showed relatively strong associations with related outcomes, that is, long-term limitations in mobility and SF-36 physical functioning (rank correlations: 0.64 and -0.60, respectively). Associations with more general health outcomes, number of chronic disorders, Center for Epidemiologic Studies-Depression scale symptoms, and SF-36 role performance were weaker, as expected. Associations were stronger for Moroccans than for indigenous Dutch elderly regarding both SF-36 outcomes and depressive symptoms., Conclusion: Katz' ADL index is valid to assess functional performance of Turkish, Moroccan, and Dutch elderly, but comparisons with Moroccan elderly should be handled with caution. The explanation of these findings and their generalizability to other ethnic groups deserve further study.
- Published
- 2007
- Full Text
- View/download PDF
37. [Prevalence of diabetes mellitus and cardiovascular disease among immigrants from Turkey and Morocco and the indigenous Dutch population].
- Author
-
Dijkshoorn H, Uitenbroek DG, and Middelkoop BJ
- Subjects
- Adult, Aged, Cardiovascular Diseases ethnology, Cross-Sectional Studies, Diabetes Mellitus ethnology, Female, Humans, Male, Middle Aged, Morocco ethnology, Netherlands epidemiology, Prevalence, Risk Factors, Surveys and Questionnaires, Turkey ethnology, Cardiovascular Diseases epidemiology, Diabetes Mellitus epidemiology
- Abstract
Objective: To gain insight into the prevalence of diabetes mellitus and cardiovascular disease among Turkish and Moroccan immigrants in the Netherlands., Design: Secondary analysis of data from a cross-sectional study in 1999/'00., Method: The prevalence of self-reported diabetes and cardiovascular disease was studied in a sample of 743 Turkish, 641 Moroccan and 537 ethnic Dutch persons aged 35 to 74 years from the population of Amsterdam, the Netherlands, using an oral questionnaire. Ethnic differences in the prevalence of diabetes and cardiovascular disease were studied by logistic regression analysis controlling for age, sex and educational level. Further, in the case of diabetes, we examined whether or not the differences could be explained by overweight and physical inactivity, and in the case of cardiovascular disease we investigated the relationship with smoking and diabetes. In addition, the association between diabetes and cardiovascular disease was investigated., Results: The Turkish and Moroccan population reported diabetes more often than did the ethnic Dutch (12.3, 12.4 and 3.0%, respectively). The differences were still present after controlling for sex, age, educational level, overweight and physical inactivity. Cardiovascular disease was more prevalent among the Turks (10.6%) than among the indigenous Dutch population (5.0%), but this was not true for the Moroccans (5.4%). The difference between Turkish and ethnic Dutch people still persisted after controlling for educational level, overweight, physical inactivity, smoking and diabetes. The association between diabetes and cardiovascular disease was consistent for all groups studied., Conclusions: The prevalence of diabetes was higher among Turkish and Moroccan immigrants than among the indigenous Dutch population. Cardiovascular disease was more prevalent among the Turks, but not among the Moroccans. The association between diabetes and cardiovascular disease was consistent for all three ethnic groups.
- Published
- 2003
38. [Travel advice on the prevention of infectious diseases insufficiently obtained by indigenous and non-native inhabitants of Amsterdam, the Netherlands].
- Author
-
Dijkshoorn H, Schilthuis HJ, van den Hoek JA, and Verhoeff AP
- Subjects
- Adolescent, Adult, Aged, Female, Humans, Male, Middle Aged, Morocco ethnology, Netherlands, Turkey ethnology, Vaccination standards, Vaccination statistics & numerical data, Hepatitis A prevention & control, Hepatitis A Vaccines administration & dosage, Travel
- Abstract
Objective: To determine the travel behaviour of inhabitants of Amsterdam, the Netherlands, with respect to age and ethnicity, as well as the impact of travel advice, in particular regarding hepatitis A vaccination of Turkish and Moroccan children., Design: Descriptive., Method: In a sample of 2000 inhabitants of Amsterdam, a survey was carried out during the period October 1999-November 2000 on seeking medical advice prior to travelling. In addition, 429 Turkish and Moroccan parents were questioned about hepatitis A vaccination of their children when travelling to their country of origin., Results: In the three years preceding the survey one third of the Amsterdam population travelled to a country where infectious diseases such as malaria and hepatitis A were endemic. Many travellers (18%) went to Asia, Central or Latin America and Africa. Others (12%) travelled to the Middle-East or North Africa. One third of the travellers had sought advice from the Municipal Public Health Service of Amsterdam. Other travellers were advised by their general practitioner (10%). A large group (38%) did not seek any advice at all. Almost one third of the travellers went to their country of origin, particularly Turkish and Moroccan inhabitants of Amsterdam. Seventy percent of Turkish and Moroccan travellers had not sought travel advice. More than half the Turkish and Moroccan parents did not have their children vaccinated against hepatitis A when travelling to their country of origin., Conclusion: One fifth of the indigenous Dutch population received no travel advice. More than half of Turkish and Moroccan children travelling to their country of origin were not vaccinated against hepatitis A.
- Published
- 2003
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.