Characteristics and demographic factors of traditional Chinese medicine constitution types among elderly individuals in China:A national multistage cluster random study Author links open overlay panel

Objective:To reveal the distribution characteristics and demographic factors of traditional Chinese medicine(TCM)constitution among elderly individuals in China.Methods: Elderly individuals from seven regions in China were selected as samples in this study using a multistage cluster random sampling method.The basic information questionnaire and Constitution in Chinese Medicine Questionnaire(Elderly Edition)were used.Descriptive statistical analysis,chi-squared tests,and binary logistic regression analysis were used.Results: The single balanced constitution(BC)accounted for 23.9%.The results of the major TCM constitution types showed that BC(43.2%)accounted for the largest proportion and unbalanced constitutions ranged from 0.9%to 15.7%.East China region(odds ratio[OR]=2.097;95%confidence interval[CI],1.912 to 2.301),married status(OR=1.341;95%CI,1.235 to 1.457),and managers(OR=1.254;95%CI,1.044 to 1.505)were significantly associated with BC.Age>70 years was associated with qi-deficiency constitution and blood stasis constitution(BSC).Female sex was significantly associated with yang-deficiency constitution(OR=1.646;95%CI,1.52 to 1.782).Southwest region was significantly associated with phlegm-dampness constitution(OR=1.809;95%CI,1.569 to 2.086).North China region was significantly associated with inherited special constitution(OR=2.521;95%CI,1.569 to 4.05).South China region(OR=2.741;95%CI,1.997 to 1.3.763),Central China region(OR=8.889;95%CI,6.676 to 11.835),senior middle school education(OR=2.442;95%CI,1.932 to 3.088),and managers(OR=1.804;95%CI,1.21 to 2.69)were significantly associated with BSC.Conclusions: This study defined the distribution characteristics and demographic factors of TCM constitution in the elderly population.Adjusting and improving unbalanced constitutions,which are correlated with diseases,can help promote healthy aging through the scientific management of these demographic factors.

Climate Change Perceptions , Impacts and Adaptation Strategies of F arm Households in Potohar Region of Punjab, Pakistan

Climate change has become a global phenomenon and is adversely affecting agricultural development across the globe.Developing countries like Pakistan where 18.9%of the GDP(gross domestic product)came from the agriculture sector and also 42%of the labor force involved in agriculture.They are directly and indirectly affected by climate change due to an increase in the frequency and intensity of climatic extreme events such as floods,droughts and extreme weather events.In this paper,we have focused on the impact of climate change on farm households and their adaptation strategies to cope up the climatic extremes.For this purpose,we have selected farm households by using multistage stratified random sampling from four districts of the Potohar region i.e.Attock,Rawalpindi,Jhelum and Chakwal.These districts were selected by dividing the Potohar region into rain-fed areas.We have employed logistic regression to assess the determinants of adaptation to climate change and its impact.We have also calculated the marginal effect of each independent variable of the logistic regression to measure the immediate rate of change in the model.In order to check the significance of our suggested model,we have used hypothesis testing.