scholarly journals Iron deficiency is uncommon among lactating women in urban Nepal, despite a high risk of inadequate dietary iron intake

2014 ◽  
Vol 112 (1) ◽  
pp. 132-141 ◽  
Author(s):  
Sigrun Henjum ◽  
Mari Manger ◽  
Eli Skeie ◽  
Manjeswori Ulak ◽  
Andrew L. Thorne-Lyman ◽  
...  
Keyword(s):  
Positive Association ◽  
Fe Deficiency ◽  
Iron Intake ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Lactating Women ◽  
High Dietary Intake ◽  
Hb Concentration ◽  
Low Prevalence ◽  
In Pregnancy

The main objective of the present study was to examine the association between dietary Fe intake and dietary predictors of Fe status and Hb concentration among lactating women in Bhaktapur, Nepal. We included 500 randomly selected lactating women in a cross-sectional survey. Dietary information was obtained through three interactive 24 h recall interviews including personal recipes. Concentrations of Hb and plasma ferritin and soluble transferrin receptors were measured. The daily median Fe intake from food was 17·5 mg, and 70 % of the women were found to be at the risk of inadequate dietary Fe intake. Approximately 90 % of the women had taken Fe supplements in pregnancy. The prevalence of anaemia was 20 % (Hb levels < 123 g/l) and that of Fe deficiency was 5 % (plasma ferritin levels < 15 μg/l). In multiple regression analyses, there was a weak positive association between dietary Fe intake and body Fe (β 0·03, 95 % CI 0·014, 0·045). Among the women with children aged < 6 months, but not those with older infants, intake of Fe supplements in pregnancy for at least 6 months was positively associated with body Fe (P for interaction < 0·01). Due to a relatively high dietary intake of non-haem Fe combined with low bioavailability, a high proportion of the women in the present study were at the risk of inadequate intake of Fe. The low prevalence of anaemia and Fe deficiency may be explained by the majority of the women consuming Fe supplements in pregnancy.

scholarly journals Dietary Intake Patterns among Lactating and Non-Lactating Women of Reproductive Age in Rural Zambia

Nutrients ◽  
2019 ◽  
Vol 11 (2) ◽  
pp. 288 ◽  
Author(s):  
Chisela Kaliwile ◽  
Charles Michelo ◽  
Tyler Titcomb ◽  
Mourad Moursi ◽  
Moira Donahue Angel ◽  
...  
Keyword(s):  
Dietary Intake ◽  
Maternal Nutrition ◽  
Reproductive Age ◽  
Micronutrient Deficiencies ◽  
Iron Intake ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Lactating Women ◽  
Almost All ◽  
Rural Zambia

Insufficient dietary intake, micronutrient deficiencies, and infection may result in malnutrition. In Zambia, an estimated 14% of women are vitamin A-deficient, ~50% are anemic, 10% are underweight, and 23% are overweight/obese. A cross-sectional survey determined food and nutrient intakes of randomly selected Zambian women (n = 530) of reproductive age (15–49 years). Dietary intake data were collected using interactive multiple-pass 24-h recalls. Carbohydrate, fat, protein, and selected micronutrient intakes were estimated. Prevalence of adequate intakes were determined using the estimated average requirement (EAR) cut-point method and comparisons between lactating and non-lactating women were made by two-sample t-tests. The response rate was 98.7%. Overweight/obesity occurred in 20.7% (95% confidence interval (CI: 17.2, 24.5)). Almost all micronutrient intakes were inadequate, with values between 22.3% and 99.9%. Mean iron intake was >EAR, and 8.2% of women tested (12/146, 95% CI: 4.1, 13.0) were anemic (hemoglobin <115 g/L). Calcium intake was higher in lactating than non-lactating women (p = 0.004), but all intakes need improvement. Vitamin intakes in rural Zambian women are inadequate, suggesting a need for health promotion messages to encourage intake of locally available micronutrient-dense foods as well as supplementation, fortification, and biofortification initiatives. Nutritional support is important because maternal nutrition directly impacts child health.

scholarly journals 31. Influenza Vaccination During Pregnancy: A Descriptive Cross-sectional Survey of the Knowledge, Beliefs, and Attitudes of Mexican Gynecologists and Family Physicians

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S39-S39
Author(s):  
Erika Z Lopatynsky-Reyes ◽  
Sue Ann Costa-Clemens ◽  
Enrique Chacon-Cruz ◽  
Michael Greenberg
Keyword(s):  
Influenza Vaccination ◽  
Pregnant Women ◽  
Latin American ◽  
Vaccine Coverage ◽  
Family Physicians ◽  
Morbidity And Mortality ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Beliefs And Attitudes ◽  
In Pregnancy

Abstract Background Influenza in pregnancy is associated with elevated morbidity and mortality. Influenza vaccines are both safe and effective in pregnancy, supporting routine use in this population. Even though influenza vaccination in Mexico is recommended for pregnant women, there are no publications of influenza vaccine coverage in pregnancy. This is the first Latin American survey done only in physicians aiming to assess the knowledge, beliefs, and attitudes that Mexican Obstetrics-Gynecologists (OBG) and Family Physicians (FP) have towards influenza and influenza immunization during pregnancy. Methods A cross-sectional survey was conducted, both paper-based and online. The questionnaire was composed of 35 questions, which addressed general knowledge of influenza, recommendations for vaccination during pregnancy, and beliefs and attitudes concerning the acceptability of the vaccine in pregnant women. Results A total of 206 completed surveys were available, 98 (47.6%) from OBG, 108 (52.4%) from FP. Regarding current practicing medical institutions, 76 (37%), 69 (34%), 31 (14.5%), 30 (14.5%) reported working for the Mexican Institute of Social Security, Private Sector, Secretariat of Health, or a combination of all respectively, representing an estimated 2,472 daily pregnancy consultations. About a quarter (26.2%) reported not having a notion that influenza is more severe among pregnant women. More than half (51.5%) ignored the potential side effects of influenza infection on the fetus. The majority (56.8%) did not know when vaccination during pregnancy should occur. Pregnancy as a risk factor for developing influenza complications was known only in 48.1%. Also, 46.1 % believed that vaccination only confers protection to the mother, but not to the fetus. Nevertheless, 96.1% considered that immunization against influenza during pregnancy is a safe and effective preventive intervention. A results’ summary is shown in Figure-1. Conclusion Based on this survey, current knowledge of OBG and FP for influenza morbidity and mortality during pregnancy, and the importance of influenza vaccination in pregnant women, is poor. Mandatory recommendations to educate medical providers regarding influenza vaccination during pregnancy in Mexico are necessary, even as imperative for CME credits. Disclosures All Authors: No reported disclosures

scholarly journals Universal PCR and antibody testing demonstrate little to no transmission of SARS-CoV-2 in a rural community

2020 ◽  
Author(s):  
Ayesha Appa ◽  
Saki Takahashi ◽  
Isabel Rodriguez-Barraquer ◽  
Gabriel Chamie ◽  
Aenor Sawyer ◽  
...  
Keyword(s):  
Rural Community ◽  
The United States ◽  
Rural Setting ◽  
Antibody Testing ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Rural Town ◽  
Low Prevalence ◽  
Prior Infection ◽  
Estimate Precision

Abstract Background Limited systematic surveillance for SARS-CoV-2 in the early months of the United States epidemic curtailed accurate appraisal of transmission intensity. Our objective was to perform case detection of an entire rural community to quantify SARS-CoV-2 transmission using PCR and antibody testing. Methods We conducted a cross-sectional survey of SARS-CoV-2 infection in the rural town of Bolinas, California (population 1,620), four weeks following shelter-in-place orders. Participants were tested between April 20 th – 24 th, 2020. Prevalence by PCR and seroprevalence from two forms of antibody testing were performed in parallel (Abbott ARCHITECT IgG and in-house IgG ELISA). Results Of 1,891 participants, 1,312 were confirmed Bolinas residents (&gt;80% community ascertainment). Zero participants were PCR positive. Assuming 80% sensitivity, it would have been unlikely to observe these results (p&lt;0.05) if there were &gt;3 active infections in the community. Based on antibody results, estimated prevalence of prior infection was 0.16% (95% CrI: 0.02%, 0.46%). The positive predictive value (PPV) of a positive result on both tests was 99.11% (95% CrI: 95.75%, 99.94%), compared to PPV 44.19%-63.32% (95% CrI range 3.25%-98.64%) if one test was utilized. Conclusions Four weeks following shelter-in-place, SARS-CoV-2 infection in a rural Northern California community was extremely rare. In this low prevalence setting, use of two antibody tests increased seroprevalence estimate precision. This was one of the first community-wide studies to successfully implement synchronous PCR and antibody testing, particularly in a rural setting. Widespread testing remains an underpinning of effective disease control in conjunction with consistent uptake of public health measures.

scholarly journals Fathering Agency Staff Members’ Perspectives on Domestic Violence Perpetration

2010 ◽  
Vol 5 (1) ◽  
pp. 47-56
Author(s):  
Peter F. Cronholm ◽  
Willie Ellison ◽  
Silvana Mazzella ◽  
Marcy Witherspoon ◽  
Joy Bowman Lim ◽  
...  
Keyword(s):  
Domestic Violence ◽  
Odds Ratio ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Agency Staff ◽  
Staff Members ◽  
Training Interventions ◽  
Violence Perpetration ◽  
Low Prevalence ◽  
Routine Inquiry

Purpose: To describe the perspectives of fathering staff regarding domestic violence (DV) perpetration. Materials and methods: A cross-sectional survey of 85 fathering staff members was conducted to identify behaviors and barriers regarding inquiry about DV perpetration. Results: Almost half (47.1%) of the surveyed staff reported never having identified DV perpetration. Routine inquiry was less likely if staff perceived low prevalence rates among their clients (odds ratio [OR] = 0.11, p = .001), did not have standard ways of asking (OR = 0.11, p < .001), or if they had never identified family violence before (OR = 0.07, p < .001). Increased years as a provider (OR = 6.62, p = .001) and DV training (OR = 7.29, p = .003) increased rates of DV perpetration inquiry. Conclusions: Staff of fathering agencies do not routinely screen for DV perpetration likely due to the interplay between individual and agency-level barriers. Appropriate training interventions can address identified barriers.

scholarly journals Seroprevalence of hepatitis B and hepatitis C markers in adolescents in Southern Brazil

2011 ◽  
Vol 27 (4) ◽  
pp. 753-758 ◽  
Author(s):  
Natália Gazzoni Scaraveli ◽  
Ana Maria Passos ◽  
Andréia Royer Voigt ◽  
Andréa do Livramento ◽  
Gabriela Tonial ◽  
...  
Keyword(s):  
Hepatitis C ◽  
Hepatitis B ◽  
Health Campaigns ◽  
Cross Sectional Survey ◽  
School Students ◽  
Cross Sectional ◽  
Immunosorbant Assay ◽  
B Virus ◽  
Low Prevalence ◽  
The City

This study was carried out to determine the prevalence of hepatitis B virus (HBV) and hepatitis C virus (HCV) markers among adolescents aged between 10 and 16 years old, who are elementary school students in the city of Chapecó, Santa Catarina State, Brazil. The study involved a cross-sectional survey that included 418 volunteers, from March to July, 2008. Serology comprised HBsAg, anti-HBc, anti-HBs and anti-HCV. Tests were performed using automated Microparticle Enzyme Immunosorbant Assay (Abbott, AxSYM System, Wiesbaden, Germany). The prevalence of HBsAg was found to be 0.2% (95%CI: 0.0-1.3), and the prevalence of anti-HBc was found to be 1.4% (95%CI: 0.5-3.1). Regarding anti-HBs, 48.6% had titers greater than 10UI/L. None of the volunteers presented reactive results for anti-HCV. This study showed a low prevalence of HBV and HCV markers of infection and a great number of volunteers immunized against HBV. Finally this study shows the importance of proper health campaigns and policies in reducing those prevalences.

scholarly journals The outcomes of gaining digital skills for young people’s lives and wellbeing: A systematic evidence review

2021 ◽  
pp. 146144482110431
Author(s):  
Sonia Livingstone ◽  
Giovanna Mascheroni ◽  
Mariya Stoilova
Keyword(s):  
Survey Methods ◽  
Positive Association ◽  
Future Research ◽  
Positive Outcomes ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Digital Skills ◽  
Evidence Review ◽  
Information Skills ◽  
Research And Policy

Research and policy have invested in the prospect that gaining digital skills enhances children’s and young people’s outcomes. A systematic evidence review of research on digital skills among 12- to 17-year-olds identified 34 studies that used cross-sectional survey methods to examine the association of digital skills with tangible outcomes. Two-thirds concerned the association with online opportunities or other benefits. Another third examined online risks of harm. Findings showed a positive association between digital skills and online opportunities, information benefits, and orientation to technology. Greater digital skills were indirectly linked to greater exposure to online risks, although any link to harm was unclear. While technical skills were linked with mixed or even negative outcomes, information skills were linked with positive outcomes. There was little research on the outcomes of communication or creative digital skills. Future research should examine the dimensions of digital skills separately and encompass a wider range of outcomes.

scholarly journals Association Between Dietary Quality and Postpartum Depression in Lactating Women: A Cross-Sectional Survey in Urban China

2021 ◽  
Vol 8 ◽  
Author(s):  
Chenlu Yang ◽  
Ai Zhao ◽  
Hanglian Lan ◽  
Zhongxia Ren ◽  
Jian Zhang ◽  
...  
Keyword(s):  
Postpartum Depression ◽  
Depression Scale ◽  
Prevalence Ratio ◽  
Urban China ◽  
Dietary Quality ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Lactating Women ◽  
Dietary Recall ◽  
Food Variety

Background: Evidence on the effects of dietary quality on the risk of postpartum depression in the Chinese population is limited. This study aimed to examine the association between dietary quality and postpartum depression in Chinses lactating women.Methods: A total of 939 participants from 10 cities were included in this analysis. A one-time 24-h dietary recall was used to obtain the data on food consumption and dietary quality was assessed based on Diet Balance Index. The Edinburgh postnatal depression scale was considered at a cutoff point of 10 to detect postpartum depression. Poisson regression models were used to explore the association of dietary quality with postpartum depression.Results: Depressed women tended to have a more inadequate intake of vegetables and have more insufficient food variety. The median (25th, 75th) of the overall high bound score (HBS), low bound score (LBS), and diet quality distance (DQD) was 9 (5, 14), 30 (25, 37), and 40 (34, 47), respectively. Compared with subjects with the lowest quartile of LBS, those with the highest quartile of LBS had a higher risk of postpartum depression [adjusted prevalence ratio (aPR), 1.08; 95% confidence interval (95% CI), 1.01, 1.15; P for trend, 0.043]. We also observed a significant association between DQD and postpartum depression (Q4 vs. Q1: aPR, 1.07; 95% CI: 1.00, 1.14; P for trend, 0.036).Conclusion: Poor dietary quality was associated with postpartum depression in Chinese lactating women.

scholarly journals Iodine and pregnancy – a UK cross-sectional survey of dietary intake, knowledge and awareness

2015 ◽  
Vol 114 (1) ◽  
pp. 108-117 ◽  
Author(s):  
E. Combet ◽  
M. Bouga ◽  
B. Pan ◽  
M. E. J. Lean ◽  
C. O. Christopher
Keyword(s):  
Iodine Intake ◽  
Dietary Recommendations ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Nutritional Recommendations ◽  
Level Of Confidence ◽  
Healthy Growth ◽  
The Uk ◽  
The Right ◽  
In Pregnancy

Iodine is a key component of the thyroid hormones, which are critical for healthy growth, development and metabolism. The UK population is now classified as mildly iodine-insufficient. Adequate levels of iodine during pregnancy are essential for fetal neurodevelopment, and mild iodine deficiency is linked to developmental impairments. In the absence of prophylaxis in the UK, awareness of nutritional recommendations during pregnancy would empower mothers to make the right dietary choices leading to adequate iodine intake. The present study aimed to: estimate mothers' dietary iodine intake in pregnancy (using a FFQ); assess awareness of the importance of iodine in pregnancy with an understanding of existing pregnancy dietary and lifestyle recommendations with relevance for iodine; examine the level of confidence in meeting adequate iodine intake. A cross-sectional survey was conducted and questionnaires were distributed between August 2011 and February 2012 on local (Glasgow) and national levels (online electronic questionnaire); 1026 women, UK-resident and pregnant or mother to a child aged up to 36 months participated in the study. While self-reported awareness about general nutritional recommendations during pregnancy was high (96 %), awareness of iodine-specific recommendations was very low (12 %), as well as the level of confidence of how to achieve adequate iodine intake (28 %). Median pregnancy iodine intake, without supplements, calculated from the FFQ, was 190 μg/d (interquartile range 144–256μg/d), which was lower than that of the WHO's recommended intake for pregnant women (250 μg/d). Current dietary recommendations in pregnancy, and their dissemination, are found not to equip women to meet the requirements for iodine intake.

Paid parental leave and fathers’ involvement: capturing fathers’ gender beliefs and fathering perceptions

2021 ◽  
Author(s):  
Luisa A. Streckenbach ◽  
Laura Castiglioni ◽  
Pia S. Schober
Keyword(s):  
Self Efficacy ◽  
Parental Leave ◽  
Positive Association ◽  
Linear Regression Models ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Paid Leave ◽  
Indirect Care ◽  
Paid Parental Leave ◽  
Gender Traditionalism

This study examines how multidimensional gender and fathering beliefs of fathers may explain their relative involvement in childcare after considering paid leave uptake. We draw on cross-sectional survey data from one German state, which allow us to distinguish three belief dimensions: (1) gender traditionalism and essentialism, (2) fathering attitudes, and (3) fathering self-concepts and self-efficacy. By means of multiple linear regression models we investigate how the different dimensions of gender and fatherhood beliefs relate to fathers’ relative involvement in basic and indirect childcare tasks. Our results show that gender (essentialist) ideologies and fatherhood attitudes were strongly associated with fathers’ relative involvement in both childcare domains. The higher fathers perceived self-efficacy in fathering, the more involved they were in basic but not indirect care. All belief dimensions mediated the positive association of fathers’ uptake of paid leave with their involvement in basic childcare.

The psychosocial impact of nausea and vomiting during pregnancy as a predictor of postpartum depression

2019 ◽  
pp. 135910531985904 ◽  
Author(s):  
Nicola Bray ◽  
Katrina L Grasby ◽  
Penelope A Lind ◽  
Jodie N Painter ◽  
Lucía Colodro-Conde ◽  
...  
Keyword(s):  
Postpartum Depression ◽  
Psychosocial Impact ◽  
Nausea And Vomiting ◽  
Cross Sectional Survey ◽  
Design Data ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Hierarchical Logistic Regression ◽  
Depression Status ◽  
In Pregnancy

This study examined the extent to which psychosocial impact of nausea and vomiting during pregnancy predicts postpartum depression using a retrospective design. Data from a cross-sectional survey investigating women’s experiences of nausea and vomiting during pregnancy were used ( N = 861). Hierarchical logistic regression models revealed that the psychosocial impact of nausea and vomiting in pregnancy appears to be predictive of postpartum depression, independent of depression status before and during pregnancy. Our findings indicate that assessing the psychosocial impact of nausea and vomiting in pregnancy during antenatal care may identify women at risk of postpartum depression.

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