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Southern Italy's Elderly Suffer Poor Health

Yahoo News, May 7, 2003

FLORENCE (Reuters Health) - Italians who grow old in the south of the country are likely to suffer more illness than their northern compatriots, according to data released Wednesday at a meeting in Rome.

The National Center for Epidemiology and Health Surveillance surveyed 2,500 people older than 65 from 11 Italian regions.

The results highlight a drastic "split between the North and South," according to its report.

In the South, elderly people are less isolated and more integrated into the social fabric, but they are also tend to be sicker, less self-sufficient, more likely to need hospitalization and less likely to get vaccinated.

"On the contrary, elderly people living in the North are less ill, are given influenza vaccines and suffer less from cognitive disorders," according to the report.

The health systems of Italy's more-rural southern regions are routinely shown to be less robust than those in the north, where the bulk of the country's wealth is clustered.

The current national government has come under fire for giving some health-budget control to the regional authorities. Doctors groups and others say this will only serve to worsen disparities in health care.

Overall, arthritis is the most common disease among older adults, followed by high blood pressure and other cardiovascular diseases, respiratory problems, osteoporosis, diabetes and stroke.

"Elderly in the North and South have one point in common -- they share a large consumption of drugs," according to the report.

Up to 91 percent of those interviewed said they took medicines in the past week, while up to 60 percent took more than four different drugs. The most-used drugs are those for cardiovascular diseases, followed by gastrointestinal and anti-inflammatory drugs.


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