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Biomedical subjects

J Gofin

Publications and source records attributed to J Gofin.

23 records · Page 2Linked to original sources

Prevalence of selected health characteristics of men. A community health survey in Jerusalem.

The health status of males aged 15 or more years was studied as part of a community health survey in a neighborhood of western Jerusalem. Most subjects (75%) reported that they felt well; clinical appraisals revealed a need for treatment in 33%. Hypertension was found in 14% and coronary heart disease in 6%. Other common disorders included hemorrhoids (16%), varicose veins (11%), overweight (18%), hypercholesterolemia (13%), inguinal hernia (13%), symptoms of prostatic hypertrophy (10%) and diabetes (5%). The prevalence of specific symptoms of emotional ill health ranged from 6 to 23%. A quarter reported serious current problems; 10% were dissatisfied with their present life situation; and 10% had concentration camp experience. Half were current cigarette smokers. The prevalence of most disorders rose in successive age groups. Mean diastolic blood pressure, serum cholesterol, relative weight and the prevalence of cigarette smoking were lower in the oldest age groups. With some exceptions, the age trends were similar to those found in other populations.

Adolescent↗

The epidemiology of inguinal hernia. A survey in western Jerusalem.

The epidemiology of inguinal hernia was investigated in a community survey in a neighbourhood of western Jerusalem in 1969-71. The current prevalence rate, excluding operated hernias, was 18 per 100 men aged 25 and over, and the lifetime prevalence, including operated hernias, was 24 per 100. Prevalence rose markedly with age; the lifetime prevalence rate reached 40 per 100 men at the ages of 65-74 and 47 per 100 at 75 and over. The prevalence of hernia was significantly higher in the presence of varicose veins, in men who reported symptoms of prostatic hypertrophy, and, among lean men only, in the presence of haemorrhoids. These associations may reflect the role of increased abdominal pressure. The prevalence of hernia was low in the presence of overweight or adiposity, suggesting that obesity is a protective factor. No significant age-independent associations were found with chronic cough, constipation, physical activity at work, or a number of other variables. Two-thirds of the hernias had not been operated upon. The prevalence of unrepaired hernias rose with age; 13% of all men aged 65-74 and 23% of those aged 75 and over had unoperated groin swellings. One in every five operated hernias showed evidence of recurrence. No significant age-independent associations were found between evidence of occurrence and other characteristics. A comparison of interview responses and examination findings showed that interview data on the presence of hernias were of low validity, mainly because of under-reporting.

Adult↗

Prevalence of selected health characteristics of women and comparisons with men. A community health survey in Jerusalem.

The health status of women was studied as part of a community health survey in Kiryat Hayovel, a neighborhood in western Jerusalem. Most women (66%) reported that they felt well; clinical appraisals indicated a need for treatment in 34%. Hypertension was found in 14% and coronary heart disease in 4%. Other common disorders included varicose veins (31%), overweight (25%), hemorrhoids (20%), hypercholesterolemia (15%), gallbladder disease (8%), and diabetes (4%). Prevalence of symptoms of emotional ill-health ranged from 6 to 40%. A quarter reported serious current problems, 10% were dissatisfied with their present life situation, 8% had concentration camp experience and 27% were current cigarette smokers. Prevalence of most disorders rose in successive age groups. Comparisons with the men in this community indicated a higher prevalence among females of self-appraised ill-health, high symptom and emotional ill-health scores and complaints about a number of physical conditions. This way reflect how women in this community respond to illness and their life situation. With some exceptions, age trends and sex differences were similar to those found in population studies in the USA.

Adolescent↗

Evaluation of a community program for the control of cardiovascular risk factors: the CHAD program in Jerusalem.

A community-focused program for the control of cardiovascular risk factors, the CHAD program, was instituted in a family practice in western Jerusalem in 1971. Its effectiveness was evaluated by comparing the changes detected by surveys conducted in 1970 and 1975 with those observed in an adjacent control neighborhood. Hypertension decreased in prevalence by 33%, hypercholesterolemia by 31%, cigarette smoking by 23% (among men), and overweight by 13%. Allowing for the reductions observed in the control population, the net percent reductions in prevalence were 20% for hypertension, 15% for hypercholesterolemia, 11% for cigarette smoking (men) and 13% for overweight. The net reductions in hypertension, smoking and overweight were statistically significant. The net reductions in mean systolic and diastolic pressures and weight were also significant. The results suggest that intervention centered in primary health care can have an appreciable effect on cardiovascular risk factors in the population.

Adult↗