China has the largest population of partially or completely disabled elderly people in the world. Although the disabled elderly people try to remain independent in their lives, many still need assistance from others. Failure to obtain sufficient assistance creates a situation of unmet need. Unmet needs of activities of daily living (ADL) for disabled elderly people pose significant risks for hospitalization and mortality and cause an increased economic burden on families and society. This study aimed to identify the prevalence and risk factors of unmet needs among the disabled elderly in China to guide government toward corrective action. A total of 303 older adults from 15 communities in Nanjing, China were recruited. The Barthel Index (BI) and Functional Activities Questionnaire (FAQ) were used to screen disabled elderly people from the communities. These disabled elderly participants were then investigated in terms of their unmet ADL needs, using an unmet needs assessment form, which had been adapted from the BI and FAQ. Additionally, the Zarit Burden Interview and Family Caregiver Task Inventory were used to survey the main caregivers. Finally, univariate analysis was first used to filter out candidate impact factors, and then, binary logistic regression analysis was used to adjust for cofounders and determine reliable risk factors. A total of 93.1% of the disabled elderly people in our study reported at least one unmet need. The prevalence of unmet needs for different ADL tasks ranged from 4.6 to 77.2%. The unmet needs with the highest percentages were using vehicles (77.2%), using stairs (73.1%), working on a hobby (72.1%), social interaction (62.6%) and ambulating (60.1%). The factors influencing unmet needs were related to the degree of disability in instrumental activities of daily living (IADL) (OR = 1.079, p ≤ 0.01), the relationship with caregivers (OR = 1.429, p ≤ 0.05) and the monthly income of caregivers (OR = 0.679, p ≤ 0.05). Disabled elderly people living in communities had a high percentage of unmet needs for activities of daily life that required going outside the bedroom and involved spiritual aspects. Unmet needs increased with worsening disability status in IADL, more distanced relationships with caregivers and lower incomes of caregivers. Both government and caregivers should take more action to prevent or reduce unmet needs among the elderly.

Objective: To determine the relationship between female body image and female sexual dysfunction (FSD) in young patients (20–40 years) with postoperative breast cancer. Methods: Using the convenient sampling method, we identified 276 young patients with postoperative breast cancer from June 2017 to 2019 in the Department of Oncology and Radiotherapy of the First Affiliated Hospital of Anhui Medical University to be included in the study. A general situation questionnaire for body image scale (BIS) and female sexual function index (FSFI) scale was used to evaluate the correlation between body image level and the prevalence of FSD in young patients with postoperative breast cancer. Results: The total score for BIS was 10.98 ± 7.19, indicating that patients were moderately dissatisfied with their body image The total prevalence of FSD was 63.41%. Pearson correlation analysis showed a negative correlation between the total score, each dimension score of BIS, total FSD, and the incidence of each dimension disorder (range, r: −0.414 to −0.717, all P values <0.05). Conclusion: There is a negative correlation between the body image level and the prevalence of FSD in young patients with postoperative breast cancer. This suggests that clinical medical workers should develop an intervention plan to improve the body image level of postoperative young breast cancer patients according to the unique physiological and psychological characteristics of these patients while also reducing the prevalence of FSD.

Background This study aimed to identify potential financial toxicity profiles among Chinese patients with inflammatory bowel disease (IBD) and to explore the factors associated with different profiles. Methods Patients with IBD who attended a tertiary Class A hospital in Anhui Province between October 2022 and January 2024 were recruited through convenience sampling. Data were collected using a general information questionnaire, the Comprehensive Score for Financial Toxicity, and the Chinese version of the Perceived Social Support Scale. Latent profile analysis and multivariate logistic regression were conducted to classify financial toxicity profiles and examine their determinants. Results Three distinct profiles of financial toxicity were identified: a “high financial toxicity group” (46.03%), a “moderate financial toxicity group” (48.41%), and a “low financial toxicity group” (5.56%). Multivariate logistic regression indicated that lower levels of social support and an annual household income below 30,000 CNY were significant predictors of financial toxicity ( P < 0.05). Conclusions Considerable heterogeneity exists in financial toxicity among patients with IBD. Tailored interventions based on patients’ financial toxicity profiles may help healthcare professionals mitigate financial burden and improve patient outcomes.