scholarly journals Socio-economic status and health awareness are associated with choice of cooking oil in Costa Rica

2007 ◽  
Vol 10 (11) ◽  
pp. 1214-1222 ◽  
Author(s):  
Uriyoán Colón-Ramos ◽  
Edmond K Kabagambe ◽  
Ana Baylin ◽  
Alberto Ascherio ◽  
Hannia Campos ◽  
...  

AbstractObjectiveTo examine the socio-economic and lifestyle determinants of cooking oil choice in Costa Rica during the last decade (1994–2004).DesignCross-sectional study. Subjects (total n = 2274) belonged to the control population of a large case–control study; they were recruited yearly. Data about type of oil used for cooking, dietary intake, socio-economic and demographic characteristics were collected.SettingA dietitian visited all subjects and conducted the interviews at their homes; all subjects lived in the Costa Rican central valley region.SubjectsAdult, free-living, rural and urban Costa Ricans with no history of myocardial infarction and physical or mental disability.ResultsThe odds of choosing soybean over palm oil increased significantly each year (P < 0.05) and was determined by high socio-economic status (SES) and variables that suggest health awareness (self-reported history of hypertension, high cholesterol, multivitamin use and intake of green leafy vegetables). The odds of choosing other unsaturated oils, namely corn and sunflower, over soybean oil also increased yearly (P < 0.05) and was associated with the same two factors (high SES and health awareness). Palm oil users remained in the lowest SES tertile and were more likely to live in rural areas. Across all SES tertiles, high health awareness determined the odds of choosing other unsaturated oils over palm oil, and soybean oil (P < 0.05).ConclusionThese data show that, in addition to SES, health awareness is associated with the selection of unsaturated oils over palm oil in a developing country undergoing transition. These data should be considered when targeting nutrition messages and policies that promote better dietary choices.

Author(s):  
KA Mogan ◽  
U Venkatesh ◽  
Richa Kapoor ◽  
Mukesh Kumar

AbstractIntroductionSubstance abuse remains one of the major challenges in young people, as it is one of the top five causes of disability-adjusted life years (DALY). The present study aims to find the prevalence and determinants of substance use among young people attending an urban primary health center in Delhi.MethodologySystematic random sampling was used to enroll the calculated sample size of 190. Substance use was assessed using ASSIST (an Alcohol Smoking Substance Involvement Screening Tool) and brief intervention was given based on the standard guidelines of ASSIST. The total score among the substance users is calculated and divided into Grades 1, 2 or 3. Log binomial regression was performed to quantify the association between substance use and covariates such as age, sex, education, occupation, family history of substance use, socio-economic status and family type. The association was expressed in odds ratio (OR) with 95 percent confidence interval (CI).ResultThe mean age of study participants was 18.6 ± 4.1, ranges from 10 to 24 years. Out of 48 substance users, 43.7% were consuming only tobacco, 22.9% were consuming only alcohol and 33.3% were polysubstance users. The history of substance use among family members of participants was found to be 46.3%. Median substance involvement score of tobacco, alcohol and cannabis users was 19 (IQR: 14.5–22), 19 (IQR: 13.5–25) and 22.5 (IQR: 22–23), respectively. Among tobacco users, 2.7% were Grade 1 and 7.2% were Grade 2. Four (16%), 20 (80%) and one (4%) of alcohol users were Grades 1, 2 and 3, respectively. Among the cannabis users, four (100%) were in the Grade 2 category. The median age of initiation of substance use among users was 16 (range 13–21) years. The analysis shows substance use was almost 25 times (adjusted OR = 25.84, 95% CI 5.65–118.09) more common among males and it increase by 2.5 times with a decrease in socio-economic status (adjusted OR = 2.52, 95% CI 1.27–5.02) and the result is significant. The substance use was almost 7 times higher when there is a family history of substance usage (adjusted OR = 7.40, 95% CI 2.15–25.4). Residential and marital status were not significantly associated with substance use.ConclusionMale sex, lower socio-economic status, participants currently not going to school/college, family history of substance use were found to be significant predictors of substance use among the study participants.


1993 ◽  
Vol 27 (4) ◽  
pp. 630-637 ◽  
Author(s):  
Anthony F. Jorm ◽  
Stephen J. Rosenman ◽  
Patricia A. Jacomb

An analysis was carried out on Medicare data to find out if there are inequalities in the geographical distribution of private psychiatric services in Australia. The number of psychiatric services and persons becoming patients per 100,000 population was calculated for each federal electorate for the year 1985/86 and related to social indicators derived from the 1986 census. As a comparison, services provided by consultant physicians were analyzed as well. The data were based on the electorate of the patient rather than the electorate of the practitioner. Consultant psychiatrist services were found to be received more often in high socio-economic status electorates and those with older populations, and less often in rural areas. A similar pattern was found for consultant physician services, although the relationship with socio-economic status was not as strong. Frequent psychiatric consultations of longer duration, which are an indicator of insight psychotherapy, were more common in higher socioeconomic status electorates. A limitation of the Medicare data is that they cover only private services. To overcome this limitation, a supplementary analysis was carried out on the distribution of consultations for mental disorders using data from the National Health Survey. These data confirmed that individuals of high socio-economic status with a mental disorder are more likely to receive specialist treatment.


1996 ◽  
Vol 9 (1) ◽  
pp. 45-54 ◽  
Author(s):  
Q. Li ◽  
M. D. Fottler

A case-control study of maternal mortality was conducted in selected rural areas of two provinces in China: Henan province, which has a relatively lower socio-economic status and higher maternal mortality rates, and Jiangsu province with higher socio-economic status and lower maternal mortality rates. The major cause of maternal mortality in the two provinces was postpartum hemorrhage and the largest proportion of deaths occurred on the road between the women's home and the health care facility. Results indicate that the expectant mother's socio-economic status, knowledge of maternal care, and the nature and level of maternal care provided all influence rural maternal death rates. However, socio-economic factors were only significant predictors of mortality in the poorer province. Implications for health policy and future research are discussed.


2006 ◽  
Vol 30 (2) ◽  
pp. 148-157 ◽  
Author(s):  
Joanne M. Williams ◽  
Lesley A. Smith

This study explored social and experiential differences in children's (aged 4 to 14 years) concepts of inheritance. The study utilized semi-structured interviews including four tasks that were designed to elicit judgements and explanations about different aspects of inheritance understanding. A variety of social and experiential factors were examined including, gender of participant, family composition, pet ownership, socio-economic status and urban/rural locale. The results indicated strong developmental changes and several social and environmental variations in children's knowledge of inheritance. Children from rural areas and from a higher socio-economic group showed a more sophisticated understanding of inheritance. Other variables including gender, owning a pet and having siblings had less impact on children's understanding of inheritance. Overall, children showed small variations in their inheritance concepts based on differences in experience and background. The precise causes of these differences remains an issue for future research.


2009 ◽  
Vol 30 (1) ◽  
pp. 79-101 ◽  
Author(s):  
PATRICK CLOOS ◽  
CAROLINE F. ALLEN ◽  
BEATRIZ E. ALVARADO ◽  
MARIA VICTORIA ZUNZUNEGUI ◽  
DONALD T. SIMEON ◽  
...  

ABSTRACTThe aim of this study was to document the perceptions of elders in six Caribbean countries about ‘active ageing’ and on the basis of their reports to make recommendations to improve their situation. Data were collected principally through 31 focus group discussions conducted in both urban and rural areas. Comparative analysis was carried out of the qualitative information, focusing on three components of ‘active ageing’: health and social services access and use, social support, and economic circumstances. Most of the participants were women, aged 60–79 years, of lower socio-economic status and from urban areas. Large disparities in the responses of Caribbean societies to population ageing were indicated, as well as unequal opportunities to obtain health care and social services, public transport, income and food by both socio-economic status and location. Home-care services are either insufficient or non-existent. Some elders receive social and financial support from relatives while others fear isolation and face deprivation. Social participation varies by place, physical condition, financial situation, association membership, and transport opportunities. Social protection benefits do not provide adequate income and some older people face food insecurity. It was concluded that a comprehensive and multi-sectoral approach using the ‘active ageing’ framework should be implemented to ensure a healthy ageing process.


Author(s):  
T. J. M. S. Raju

<div><p><em>The present study aimed at the relationship between the socio-Economic Status and Academic Achievement among secondary school students of Prakasam District of Andhra Pradesh, India. A number of investigations conducted so far in the field of Socio Economic Status (SES) indicated a significant relation between achievement and SES.  After independence the SES of secondary school students in both urban and rural areas have registered a remarkable change.  On account of phenomenal advancement in science and technology the conditions of the people have changed a lot.</em></p><p><em>The data were collected from 200 secondary school students by using the tools socio-economic status tool measures the dimensions of educational, economic, social, cultural and occupational determinants.  The academic achievement tool consists of the test items of mathematics, general science and social studies.  Later the data were analyzed with the statistical procedures like mean, standard deviations, critical ratios, Chi-square test and r-values.  The results were discussed according to the significant values.  Based on the results certain conclusions were drawn. Over all observation of the study some educational implications were given.</em></p></div>


2017 ◽  
Vol 7 (3) ◽  
pp. 126-133
Author(s):  
Poly Begum ◽  
Dipti Rani Shaha ◽  
Khalifa Mahmud Walid

Background: The prevalence of gestational diabetes mellitus (GDM) is increasing all over the world and varies widely depending on the region of the country, dietary habits and socio-economic status. The prevalence of GDM with its associated risk factors has important health complications for both mother and child.Objectives: The aim of this study was to evaluate the prevalence of GDM and risk factors associated with it in women attending Diabetic Association Medical College Hospital in Faridpur for ante-natal care.Materials and Methods: In this cross-sectional study, screening for GDM was performed in 303 pregnant women. Women who consented to participate underwent a standardized 2-hour 75 gm oral glucose tolerance test (OGTT). A proforma containing general information on demographic characteristics, socio-economic status, education level, parity, family history of diabetes and past history of GDM etc. was filled in. American Diabetes Association (ADA) criteria for 75 gm 2-hour OGTT was used for diagnosing GDM.Results: A total of 303 women participated in the study and GDM was diagnosed in 22 (7.3%) women. A single abnormal value was observed in additional 33 (10.89%) women. On bivariate analysis risk factors found to be significantly associated with GDM were age, household income, parity, educational level, socio-economic status, hypertension, BMI, weight gain, acanthosis nigricans, family history of diabetes and past history of GDM; but on multivariate analysis only upper middle class and presence of acanthosis nigricans were found to be significantly associated with GDM.Conclusion: This study demonstrates a high prevalence of GDM in Bangladesh. These estimates for GDM may help for new suggestions to prevent and manage gestational diabetes.J Enam Med Col 2017; 7(3): 126-133


2015 ◽  
Vol 05 (03) ◽  
pp. 024-028
Author(s):  
Sudharani M. ◽  
Rashmi Kundapur ◽  
K. G. Kiran ◽  
N. Udaya Kiran

Abstract Introduction: Poverty imposes an oppressive weight on India, especially in the rural areas where almost three out of four Indians and 77 percent of the Indian are under poor living conditions. Although poverty has been reduced during the past four decades, it remains painfully high. Provision of adequate housing and amenities are major challenges for human development, particularly among lowincome urban households in developing countries. Often this shortfall is evident from the proliferation of slums and squatters. Objectives: 1. To assess the housing conditions of the semi urban area (Field practice area of KS Hegde Medical Academy).2. To associate these housing conditions with Education and Socio Economic Status. Methodology: Forty houses included under GRAMA KSHEMA project (Field practice area of K S Hegde Medical Academy) were selected. A pilot study with questionnaire to asses housing condition was done. Subjects were interviewed for their education and socioeconomic status. Results: 100% of Graduates, post graduates and Professionals have excellent housing conditions. Poor housing conditions was seen as the level of education decreased to high school and post high school. Housing conditions were excellent as the socioeconomic class increased. 66.6% of Class I population has excellent housing conditions. 63% of Class II population has good housing conditions and 38.5% of Class IV population has poor housing conditions. Conclusions: It was found that majority of the population had good housing conditions. Education and Socio economic status has an impact on Housing condition.


Author(s):  
Sunil Kumar Ahuja ◽  
Nimisha Mishra ◽  
Pradeep Kumar

Background: Better knowledge of socio-demographic profile and obstetric features may help in early identification and treatment of patients with post-partum psychosis. The aim of present research is to study the age, parity, socio-demographic and obstetric and menstrual profile of patients suffering from post-partum psychosis. Setting and Design: A cross-sectional study at in-patient department of psychiatry, SS Medical College and associated SGMH Rewa.Methods: The study was conducted on sixty patients of post-partum psychosis admitted in psychiatry ward. Detailed socio-demographic characteristics, obstetric and menstrual profile along with psychiatric assessment were recorded in proforma specially designed for the study.Results: Bulk of our post partum psychotic subjects (60%) were in the age range of 18-25 years with 83.33% of women were residing at rural areas. Most of subjects (76.67%) of post partum psychosis were illiterate. 73.33% patient were belonging to low socio-economic status and remaining to middle and high socioeconomic status. Majority of subjects (13.33%) were house wife (86.67%) followed by laborer class. Family jointness reveal 80% and 20% of subjects trailed from joint and nuclear family respectively. the maximum number of subjects (60%) were primipara with only 13.33% of subjects had history of obstetric complication in form of prolonged labour and post-partum heamorrhage. 25% subjects had cesarean delivery. 40% patients of puerperal psychosis were having menstrual irregularity and 60% had regular menstruation.Conclusions: Screening of vulnerable groups i.e. younger age, primipara, history of irregular menstruation in post partum period for psychiatric sign and symptoms is requisite for early diagnosis and prompt and adequate management. As most of the patients were from rural areas it is necessary to establish psychiatric services in rural areas as well so that this group of population can be provided holistic care along with already existing medical services.


2011 ◽  
Vol 14 (12) ◽  
pp. 2260-2267 ◽  
Author(s):  
Segametsi D Maruapula ◽  
Jose C Jackson ◽  
Joanna Holsten ◽  
Sheila Shaibu ◽  
Leapetswe Malete ◽  
...  

AbstractObjectiveTo describe patterns of food consumption associated with overweight/ obesity (OW/OB) and their links to socio-economic status (SES) and urbanization.DesignA nationwide cross-sectional survey.SettingSecondary schools in cities, towns and villages in Botswana, Africa.SubjectsA total of 746 adolescent schoolchildren.ResultsOW/OB is associated with greater SES, city residence and a snack-food diet pattern. Students belonging to higher SES compared with those from a lower SES background reported significantly (P< 0·01) more daily servings of snack foods (1·55v. 0·76) and fewer servings of traditional diet foods (0·99v. 1·68) and also reported that they ate meals outside the home more often (90 %v. 72 %). Students in cities ate significantly (P< 0·01) more servings of snacks (1·69v. 1·05v. 0·51) and fewer servings of traditional foods (0·67v. 1·52v. 1·61) compared with those in urban and rural villages. The odds of OW/OB were increased 1·16-fold with a snack-food diet, a result that was diminished when controlled for SES.ConclusionsThese data suggest that nutritional transition occurs at different rates across urbanization and SES levels in Botswana. In cities, increasing the availability of fruit while reducing access to or portion sizes of snack items is important. Emphasis on continued intake of traditional foods may also be helpful as rural areas undergo economic and infrastructural development.


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