3 research outputs found
Older peoples experience of the partial lockdown during the COVID-19 pandemic in Switzerland: a cross-sectional study
Objectifs Cette Ă©tude visait Ă Ă©valuer lâexpĂ©rience de la pĂ©riode de semi-confinement pendant la premiĂšre vague de la pandĂ©mie de COVID-19 (16 mars au 11 mai 2020) Ă Lausanne, Suisse.
Participants et lieu Participants (n=2642) de lâĂ©tude « Lausanne cohorte Lc65+ » vivant Ă domicile en 2020, ĂągĂ©s de 71 Ă 86 ans.
Design et outcome Cette Ă©tude transversale, intĂ©grĂ©e dans lâĂ©tude longitudinale Lc65+, sâest basĂ©e sur un questionnaire spĂ©cifique COVID-19 envoyĂ© le 17 avril 2020 afin dâĂ©valuer le vĂ©cu des seniors durant la pĂ©riode de semi-confinement. Des modĂšles de rĂ©gression logistique multinomiaux ont Ă©tĂ© dĂ©veloppĂ©s pour dĂ©terminer les caractĂ©ristiques socio- dĂ©mographiques, dâenvironnement de vie, de santĂ©, et sociales associĂ©es au vĂ©cu positif, nĂ©gatif, ou neutre du semi-confinement.
RĂ©sultats Parmi les 2â642 participants, 67.8% ont dĂ©crit le semi-confinement comme âplutĂŽt difficileâ (groupe de rĂ©fĂ©rence), 21.5% comme âpas du tout difficileâ (vĂ©cu positif), et 10.7% comme âtrĂšs ou extrĂȘmement difficileâ (vĂ©cu nĂ©gatif). Le risque relatif de considĂ©rer lâexpĂ©rience comme positive Ă©tait augmentĂ© chez les personnes vivant seules (RRR=1.93, [95%CI] 1.52â2.46) ou dans une maison individuelle (RRR=1.49, 1.03â2.16), et rĂ©duit chez celles rapportant une peur de chuter (RRR=0.68, 0.54â0.86), des difficultĂ©s fonctionnelles (RRR=0.78, 0.61â0.99), un sentiment de solitude (RRR=0.67, 0.49â0.91), un manque de familiaritĂ© avec les technologies de communication (RRR=0.69, 0.52â0.91), un soutien social (RRR=0.71, 0.50â0.93), une participation prĂ©alable Ă des activitĂ©s en groupe (RRR=0.74, 0.59â 0.92), et de sexe fĂ©minin (RRR=0.75, 0.59â0.95). Le risque relatif de considĂ©rer lâexpĂ©rience comme nĂ©gative Ă©tait plus Ă©levĂ© chez les personnes rapportant une peur de chuter (RRR=1.52, 1.07â2.15), et plus basse chez celles bĂ©nĂ©ficiant dâune terrasse ou dâun jardin (RRR=0.66, 0.44â0.99), et possĂ©dant un chien (RRR=0.32, 0.11â0.90).
Conclusions Un participant sur dix seulement qualifie lâexpĂ©rience du semi-confinement comme trĂšs ou extrĂȘmement difficile. Des interventions spĂ©cifiques ciblant les facteurs de vulnĂ©rabilitĂ©, comme la peur de chuter, pourraient rĂ©duire lâimpact dâun semi-confinement si des situations similaires devaient se prĂ©senter dans le futur.
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Objectives This study aimed to evaluate older peopleâs experience of a COVID-19 partial lockdown (16 Marchâ11 May 2020) in Lausanne, Switzerland.
Setting and participants Community-dwelling participants of the Lausanne cohort (Lc65+) in 2020, aged 71â86 years (n=2642).
Design and outcome This cross-sectional study was nested within the Lc65+ longitudinal study. A specific COVID-19 questionnaire was sent on 17 April 2020
to evaluate participantsâ experience of the lockdown (outcome). Multinomial logistic regression models were used to determine the sociodemographic, living environment, health and social factors associated. Results Out of 2642 participants, 67.8% described the lockdown as âsomewhatâ difficult (reference group), 21.5% as ânot at allâ difficult (positive) and 10.7% as âvery or extremelyâ difficult (negative). The relative risk
of a positive experience was higher in participants living alone (relative risk ratio, RRR=1.93, 95% CI 1.52 to 2.46) or in a house (RRR=1.49, 1.03 to 2.16); lower in those who reported fear of falling (RRR=0.68, 0.54 to 0.86), functional difficulties (RRR=0.78, 0.61 to 0.99), feeling
of loneliness (RRR=0.67, 0.49 to 0.91), unfamiliarity with communication technologies (RRR=0.69, 0.52 to 0.91), usual social support (RRR=0.71, 0.50 to 0.93), previous participation in group activities (RRR=0.74, 0.59 to 0.92) and among women (RRR=0.75, 0.59 to 0.95). The relative risk of a negative experience was higher in participants with fear of falling (RRR=1.52, 1.07 to 2.15), and lower in those who had a terrace/garden (RRR=0.66, 0.44 to 0.99) and owned a dog (RRR=0.32, 0.11 to 0.90).
Conclusions Only one in 10 participants experienced the lockdown as very or extremely difficult. Specific interventions targeting vulnerability factors, such as fear of falling, could lessen the impact of any future similar situatio
Vulvar intraepithelial neoplasia grade 3 associated with Behçet's disease
Little information is available regarding the association between vulvar intraepithelial neoplasia grade 3 (VIN3) and Behçet's disease (BD). We report here concomitant VIN3 and genital ulcers in a patient with BD