scholarly journals Low parental awareness about energy (calorie) recommendations for children’s restaurant meals: findings from a national survey in the USA

2017 ◽  
Vol 20 (11) ◽  
pp. 1921-1927 ◽  
Author(s):  
Vanessa M Lynskey ◽  
Stephanie Anzman-Frasca ◽  
Linda Harelick ◽  
Ariella Korn ◽  
Shanti Sharma ◽  
...  
Keyword(s):  
Parent Education ◽  
Online Survey ◽  
Sociodemographic Characteristics ◽  
Sampling Weights ◽  
Cross Sectional ◽  
Parental Awareness ◽  
Labelling Information ◽  
The Usa ◽  
Logistic Regressions ◽  
Restaurant Meals

AbstractObjectiveTo assess parental awareness of per-meal energy (calorie) recommendations for children’s restaurant meals and to explore whether calorie awareness was associated with parental sociodemographic characteristics and frequency of eating restaurant food.DesignCross-sectional online survey administered in July 2014. Parents estimated calories (i.e. kilocalories; 1 kcal=4·184 kJ) recommended for a child’s lunch/dinner restaurant meal (range: 0–2000 kcal). Responses were categorized as ‘underestimate’ (<400 kcal), ‘accurate’ (400–600 kcal) and ‘overestimate’ (>600 kcal). Confidence in response was measured on a 4-point scale from ‘very unsure’ to ‘very sure’. Logistic regressions estimated the odds of an ‘accurate’ response and confident response (‘somewhat’ or ‘very sure’) by parental sociodemographic characteristics and frequency of eating from restaurants. Sampling weights based on demographics were incorporated in all analyses.SettingUSA.SubjectsParents (n 1207) of 5–12-year-old children.ResultsOn average, parents estimated 631 (se 19·4) kcal as the appropriate amount for a 5–12-year-old child’s meal. Thirty-five per cent answered in the accurate range, while 33·3 and 31·8 % underestimated and overestimated, respectively. Frequent dining at restaurants, lower income and urban geography were associated with lower odds of answering accurately. Parents’ confidence in their estimates was low across the sample (26·0 % confident) and only 10·1 % were both accurate and confident.ConclusionsParent education about calorie recommendations for children could improve understanding and use of menu labelling information in restaurants. Targeted strategies are recommended to ensure that such efforts address, rather than exacerbate, health disparities.

The provision of COVID-19 vaccines to other countries: A cross-sectional online survey on the views of the Chinese public (Preprint)

2021 ◽  
Author(s):  
Hanzhi Yu ◽  
Runming Du ◽  
Minmin Wang ◽  
Fengyun Yu ◽  
Juntao Yang ◽  
...  
Keyword(s):  
Online Survey ◽  
Public Attitudes ◽  
Public Support ◽  
Policy Implications ◽  
Sociodemographic Characteristics ◽  
Sampling Weights ◽  
Cross Sectional ◽  
Short Supply ◽  
Vaccination Rates ◽  
Delivery Platform

BACKGROUND COVID-19 vaccines are in short supply globally. China was among the first countries to pledge supplies of the COVID-19 vaccine as a global public product, and to date the country has provided more than 600 million vaccines to more than 200 countries and regions with low COVID-19 vaccination rates. To date, however, no research has determined public attitudes within China regarding global vaccine assistance, although such perspectives could inform global and national decisions, policies and debates. OBJECTIVE The aim of this study was to learn the attitudes of adults living in China regarding global allocation of Chinese COVID-19 vaccines, and to determine variation in attitudes across provinces and by sociodemographic characteristics within China. METHODS A cross-sectional online survey were conducted in China where participants were asked 31 questions on their attitudes regarding global allocation of ChineseCOVID-19 vaccines. We disaggregated responses by sociodemographic characteristics. All analyses used survey sampling weights. RESULTS A total of 10,000 participants completed the questionnaire. Participants generally favored providing COVID-19 vaccines to foreign countries before fully fulfilling domestic needs (75.6%, 95% CI: 74.6%-76.5%), and of the participants, this was applied especially to those who were female, in the youngest age group, and living in a rural area. Most respondents preferred providing financial support through international platforms rather than directly offering support to individual countries (72.1%, 95% CI: 71.0%-73.1%), providing vaccine products directly to relevant countries instead of via a delivery platform such as COVAX (77.3%, 95% CI: 76.3%-78.2%). CONCLUSIONS This finding has important policy implications for current global COVID-19 vaccine delivery and allocation work. This research provides evidence for global policy makers such as the WHO to encourage and call on more countries to provide vaccine assistance in the name of public support. Meanwhile, similar surveys should be conducted in more countries. If the public supports the international assistance or export of COVID-19 vaccines, politicians may feel encouraged to stop stockpiling vaccines.

scholarly journals Characteristics associated with changes in food security status among college students during the COVID-19 pandemic

2020 ◽  
Author(s):  
Jessica Soldavini ◽  
Hazael Andrew ◽  
Maureen Berner
Keyword(s):  
College Students ◽  
Food Security ◽  
Food Insecurity ◽  
Online Survey ◽  
Individual Characteristics ◽  
Cross Sectional ◽  
Food Security Status ◽  
The Usa ◽  
Security Module ◽  
Adult Food

Abstract The prevalence of food insecurity in the USA has increased since the start of the COVID-19 pandemic; however, past studies have not examined how the food security status of college students has been impacted. The purpose of this study was to examine changes in the prevalence of food insecurity; determine the proportion of students experiencing a change in food security status; and identify characteristics associated with changes in food security status from before to during the COVID-19 pandemic among a sample of college students. We administered a cross-sectional online survey to students from a large public university in the Southeastern USA. The 10-item U.S. Adult Food Security Module was used to assess food security status during the spring 2020 semester both before and during the COVID-19 pandemic, and students self-reported a variety of individual characteristics. The overall prevalence of food insecurity increased by approximately one-third during the spring 2020 semester from before to during the COVID-19 pandemic. When examining the types of changes in food security status experienced by students, 12% improved, 68% stayed the same, and 20% worsened. A variety of characteristics were associated with an improvement or worsening of food security status category from before to during the pandemic. Similar to what is seen in other reports, we found that the overall proportion of college students in our sample experiencing food insecurity increased during the COVID-19 pandemic; however, some students showed improvements in food security status. Approaches for addressing food insecurity during and beyond the pandemic are needed.

scholarly journals Psychosocial and health behavioural impacts of COVID-19 pandemic on adults in the USA: protocol for a longitudinal cohort study

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e044642
Author(s):  
Hoda Badr ◽  
Abiodun Oluyomi ◽  
Maral Adel Fahmideh ◽  
Syed Ahsan Raza ◽  
Xiaotao Zhang ◽  
...  
Keyword(s):  
Cohort Study ◽  
Online Survey ◽  
Assessment Tools ◽  
Alternative Methods ◽  
Longitudinal Cohort Study ◽  
Unhealthy Lifestyle ◽  
Cross Sectional ◽  
Longitudinal Cohort ◽  
Modifiable Factors ◽  
The Usa

IntroductionAlthough social distancing may help contain the spread of COVID-19, the social isolation and loneliness it causes can heighten stress, contribute to unhealthy lifestyle behaviours and have deleterious effects on social relationships. This ongoing longitudinal cohort study aims to (1) characterise the psychological, social and health behavioural impacts of the COVID-19 pandemic over a 12-month period in the USA; (2) determine whether these impacts differ for certain subgroups based on sociodemographics and other individual-level factors; and (3) explore whether there are modifiable factors (eg, coping, social support) that moderate the effects of the pandemic over time.Methods and analysisAdults (aged ≥18 years) who were fluent in either English or Spanish were recruited via social media and invited to complete an online survey during the 8-week period from 13 April to 8 June 2020 (baseline). Follow-up surveys will be conducted 6 and 12 months after baseline. Data transformations, non-parametric tests or other alternative methods will be used when appropriate. Descriptive statistics and cross-sectional analyses will be performed. Longitudinal associations will be analysed using multilevel modelling with time-variant and time-invariant predictors of change in trajectory over the study period.Ethics and disseminationResearch ethics approval was received from the Baylor College of Medicine Institutional Review Board (H-47505). Overall, this study will provide timely information that can be used to inform public health messaging strategies and guide development of assessment tools and interventions to support vulnerable individuals dealing with the long-term impacts of the COVID-19 pandemic.

scholarly journals Trust in genomic data sharing among members of the general public in the UK, USA, Canada and Australia

2019 ◽  
Vol 138 (11-12) ◽  
pp. 1237-1246 ◽  
Author(s):  
Richard Milne ◽  
◽  
Katherine I. Morley ◽  
Heidi Howard ◽  
Emilia Niemiec ◽  
...  
Keyword(s):  
Data Sharing ◽  
General Public ◽  
Personal Experience ◽  
Online Survey ◽  
Latent Class ◽  
Public Attitudes ◽  
Genomic Medicine ◽  
Genomic Data ◽  
Cross Sectional ◽  
The Usa

Abstract Trust may be important in shaping public attitudes to genetics and intentions to participate in genomics research and big data initiatives. As such, we examined trust in data sharing among the general public. A cross-sectional online survey collected responses from representative publics in the USA, Canada, UK and Australia (n = 8967). Participants were most likely to trust their medical doctor and less likely to trust other entities named. Company researchers were least likely to be trusted. Low, Variable and High Trust classes were defined using latent class analysis. Members of the High Trust class were more likely to be under 50 years, male, with children, hold religious beliefs, have personal experience of genetics and be from the USA. They were most likely to be willing to donate their genomic and health data for clinical and research uses. The Low Trust class were less reassured than other respondents by laws preventing exploitation of donated information. Variation in trust, its relation to areas of concern about the use of genomic data and potential of legislation are considered. These findings have relevance for efforts to expand genomic medicine and data sharing beyond those with personal experience of genetics or research participants.

Variation in career and workplace attitudes by generation, gender, and culture differences in career perceptions in the United States and China

2015 ◽  
Vol 37 (1) ◽  
pp. 66-82 ◽  
Author(s):  
Xiang Yi ◽  
Barbara Ribbens ◽  
Linna Fu ◽  
Weibo Cheng
Keyword(s):  
Generational Differences ◽  
Online Survey ◽  
Work Values ◽  
The United States ◽  
Snowball Sampling ◽  
Cross Sectional ◽  
Chinese Sample ◽  
Content Type ◽  
The Us ◽  
The Usa

Purpose – The purpose of this paper is to compare and understand how age, gender and culture affect individual career and work-related attitudes in Chinese and American samples. Design/methodology/approach – Online and printed questionnaires were administered to employees and managers in China, whereas in the USA, faculty, staff and students at a Midwestern university responded to an online survey. Snowball sampling technique was used to collect data. Independent sample t-tests were conducted to test the hypothesis. Findings – The study showed different work values and attitudes in the workplace between Chinese and the US samples, and indicated the specifics influences that national culture has on them. Culture affects generational changes; generational differences in the US sample are bigger than in Chinese sample; work values differ across generations and cultures; traditional gender role differences persist more strongly across generations in Chinese sample than in the US sample. Research limitations/implications – Generalizability issues; cross-sectional data. Practical implications – US-based multi-national corporations need to understand these differences and better manage their diverse employees operating in China. Originality/value – This study compared generation, culture and gender differences simultaneously; parallel groups at similar life stages were used by basing the boundaries of each generation on the distinct cultural events of each nation. This approach is more consistent with generation definitions than by using influential specific events of each country, respectively. Useful to managers, it will provide guidance for understanding work values and attitudes across gender and generations in the USA and China. Most benefit will occur for US based multinational companies that have Chinese operations, and manage employees with cultural, gender and generational differences.

scholarly journals Associations between vaping and Covid-19: cross-sectional findings from the HEBECO study

2020 ◽  
Author(s):  
Dimitra Kale ◽  
Aleksandra Herbec ◽  
Olga Perski ◽  
Sarah E Jackson ◽  
Jamie Brown ◽  
...  
Keyword(s):  
Online Survey ◽  
Living Alone ◽  
Sufficient Evidence ◽  
Sociodemographic Characteristics ◽  
List Type ◽  
Cross Sectional ◽  
Factors Associated ◽  
Motivation To Quit ◽  
Reported Data ◽  
Rule Out

AbstractAimsTo explore i) associations between vaping and self-reported diagnosed/suspected Covid-19; ii) changes in vaping since Covid-19 and factors associated with these changes; iii) whether Covid-19 motivated current or recent ex-vapers to quit.MethodsCross-sectional online survey of 2791 UK adults recruited 30/04/2020–14/06/2020. Participants self-reported data on sociodemographic characteristics, diagnosed/suspected Covid-19, vaping status, changes in vaping and motivation to quit vaping since Covid-19.ResultsThere were no differences in diagnosed/suspected Covid-19 between never, current and ex-vapers. Bayes factors indicated there was sufficient evidence to rule out small negative (protective) associations between vaping status and diagnosed/suspected Covid-19. Among current vapers (n=397), 9.7% (95% CI 6.8-12.6%) reported vaping less than usual since Covid-19, 42.0% (37.2-46.9%) reported vaping more, and 48.3% (43.4-53.2%) reported no change. In adjusted analyses, vaping less was associated with being female (aOR=3.40, 95% CI 1.73-6.71), not living with children (aOR=4.93, 1.15-21.08) and concurrent smoking (aOR=8.77, 3.04-25.64), while vaping more was associated with being younger (aOR=5.26, 1.37-20.0), living alone (aOR=2.08, 1.14-3.85), and diagnosed/suspected Covid-19 (aOR=4.72, 2.60-8.62). Of current vapers, 32.2% (95% CI 27.5-36.8%) were motivated to quit vaping since Covid-19, partly motivated by Covid-19, and 17.4%, (9.7-26.3%) of recent ex-vapers quit vaping due to Covid-19.ConclusionsAmong UK adults, self-reported diagnosed/suspected Covid-19 was not associated with vaping status. Half of current vapers changed their vaping consumption since Covid-19, with the majority reporting an increase, and a minority was motivated to quit due to Covid-19.RegistrationThe analysis plan was pre-registered, and it is available at https://osf.io/6j8z3/HighlightsNo difference found in diagnosed/suspected Covid-19 between never, current and ex-vapersHalf of current vapers changed their vaping consumption since Covid-19Motivation to quit vaping was partly related to Covid-19

Exploring personal definitions of sustainability and their impact on perceptions of sustainability culture

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Rob Alexander ◽  
Jessica Jacovidis ◽  
Deborah Sturm
Keyword(s):  
Higher Education ◽  
Online Survey ◽  
Higher Education Institutions ◽  
Community Member ◽  
Social Dimension ◽  
Campus Community ◽  
Cross Sectional ◽  
Content Type ◽  
Campus Sustainability ◽  
The Usa

Purpose The purpose of this paper is to present an exploratory analysis of campus community member (i.e. students, faculty, staff) definitions of sustainability, their perceptions of select elements of sustainability culture and the relationship between the two. Design/methodology/approach Researchers implemented a cross-sectional design where participants from two higher education institutions in the USA completed an online survey. The 352 respondents from James Madison University and 349 respondents from Wofford College included students, faculty and staff members. Descriptive statistics were used to examine patterns in the quantitative data, and an inductive theme approach was used to analyze the qualitative data. Findings This study provides evidence that sustainability is often viewed from an environmental lens, and personal definitions of sustainability may impact perceptions of campus sustainability culture elements. Generally, the highest rated elements of culture examined (i.e. university actions, signs and symbols and institutional commitments) were all aligned with the environment dimension of sustainability and consistent across sustainability definitions. However, respondents with a more integrative definition of sustainability expected to see elements of culture that aligned with the social dimension of sustainability at a considerably higher rate than the respondents who reported more narrow definitions of sustainability. Research limitations/implications Lack of generalizability, low response rates and self-selection bias are some of the limitations of the study. Practical implications Personal definitions of sustainability may impact campus community member perceptions of sustainability culture and progress on their campuses. Practitioners may use this study to inform development of more effective strategies for creating and assessing the culture of sustainability that colleges and universities are pursuing. Originality/value The empirical analysis of campus community members on two very different campus communities responds to Owens and Legere (2015) who argue for further studies to understand the concept of sustainability at other higher education institutions that are at different stages of pursuing sustainability. This paper links research about sustainability definitions to the emergent research on campus sustainability culture, filling a gap between these two areas.

scholarly journals The Association between Medication Experiences and Beliefs and Low Medication Adherence in Patients with Chronic Disease from Two Different Societies: The USA and the Sultanate of Oman

Pharmacy ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 31
Author(s):  
Kamla M. Ibrahim ◽  
Jon C. Schommer ◽  
Donald E. Morisky ◽  
Raquel Rodriguez ◽  
Caroline Gaither ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Online Survey ◽  
Medical Center ◽  
The United States ◽  
Sultanate Of Oman ◽  
Improve Medication Adherence ◽  
Cross Sectional ◽  
The Usa ◽  
Chi Square Analysis ◽  
The U.S

This cross-sectional study aimed to describe the association between medication experiences and beliefs and self-reported medication adherence in patients with chronic diseases in two different samples from two different societies: the USA and the Sultanate of Oman. The Morisky Medication Adherence Score (MMAS-8) questionnaire was used to measure medication adherence. Three items (statements) were used for measuring medication experiences and beliefs variable on a four-point Likert scale adapted from the 2015 National Consumer Survey of the Medication Experience and Pharmacists’ Role (NCSME&PR). In the U.S., quantitative secondary data analysis of 13,731 participants was conducted using the 2015 NCSME&PR, a self-administered online survey coordinated by Qualtrics Panels between 28 April 2015 and 22 June 2015. The same variables were translated into Arabic, with studies conducted at the Royal Court Medical Center in Oman, and data from 714 participants were collected between 16 June 2019 and 16 August 2019. Data were analyzed using IMB/SPSS version 24.0 software. Chi-square analysis and descriptive statistics were used. The results showed that the low adherence rates for medication (MMAS-8 < 6) were 56% and 52% in Omani and U.S. groups, respectively. Approximately 90% of the U.S. and Omani participants believed that “medicines are a life-saver”; however, medication adherence was higher in Oman (30%) than in the United States (9%) for these participants. In total, 60% of the U.S. and 29% of Omani participants believed that “medicines are a burden”; however, about 60–65% of participants in both countries were in the low medication adherence group. Additionally, 63% of the U.S. and 83% of the Omani participants disagreed that “medicines do more harm than good”; however, medication adherence in the U.S. (15%) was higher than in Oman (8%). In conclusion, a decrease in low medication adherence was observed with positive medication experiences and beliefs. However, the impacts of medication experiences and beliefs on low medication adherence rates were different from one population to another. The “medication burden” statement resulted in the highest percentage of difference in terms of low medication adherence rates between those who agree and those who disagree in the U.S. group (20%), whereas the “medicines are a life-saver” statement resulted in a greater difference in the Omani group (30%). Proper communication between patients and healthcare providers based on the patient’s medication experiences and beliefs will substantially improve medication adherence.

scholarly journals The impact of the COVID-19 pandemic on the mental health of the adult population in Bangladesh: A nationwide cross-sectional study

2020 ◽  
Author(s):  
Hasan Al Banna ◽  
Abu Sayeed ◽  
Satyajit Kundu ◽  
Enryka Christopher ◽  
M Tasdik Hasan ◽  
...  
Keyword(s):  
Mental Health ◽  
Online Survey ◽  
Adult Population ◽  
Cross Sectional Study ◽  
Poor Mental Health ◽  
Health Interventions ◽  
Cross Sectional ◽  
Logistic Regressions ◽  
Economy And Education ◽  
The Impact

The recent COVID-19 pandemic has imposed threats on both physical andmental health since its outbreak. This study aimed to explore the impactof the COVID-19 pandemic on mental health among a representativesample of home-quarantined Bangladeshi adults. A cross-sectional designwas used with an online survey completed by a convenience samplerecruited via social media. A total of 1,427 respondents were recruited,and their mental health was assessed by the DASS-21 measure. Theprevalence of anxiety symptoms and depressive symptoms was 33.7%and 57.9%, respectively, and 59.7% reported mild to extremely severelevels of stress. Perceptions that the pandemic disrupted life events,affected mental health, jobs, the economy and education, predictions ofa worsening situation, and uncertainty of the health care system capacitieswere significantly associated with poor mental health outcomes.Multivariate logistic regressions showed that sociodemographic factorsand perceptions of COVID-19 significantly predict mental health outcomes.These findings warrant the consideration of easily accessible lowintensitymental health interventions during and beyond this pandemic.

scholarly journals Effect of Cost-Related Medication Non-adherence Among Older Adults With Medication Therapy Management

2021 ◽  
Vol 8 ◽  
Author(s):  
Weiwei Zhang ◽  
Gang Lv ◽  
Xiaomo Xiong ◽  
Minghui Li
Keyword(s):  
Low Income ◽  
Longitudinal Design ◽  
Cross Sectional Study ◽  
Medication Therapy Management ◽  
Improve Medication Adherence ◽  
Sampling Weights ◽  
Cross Sectional ◽  
Therapy Management ◽  
Medication Therapy ◽  
Logistic Regressions

Background: Medication therapy management (MTM) was established by the Center for Medicare and Medicaid Services (CMS) with the aim to improve medication adherence. However, the national prevalence of cost-related medication non-adherence (CRN) is still unknown and there is a literature gap in the association between MTM services and CRN.Methods: A cross-sectional study was conducted. A nationally representative study sample from Medicare Current Beneficiary Surveys (MCBS) was used. Survey sampling weights were applied for national estimates of CRN. Weighted multivariable logistic regressions controlling for covariates were conducted to investigate the effect of the MTM on the CRN.Results: The study identified 1,549 MTM-eligible beneficiaries. The prevalence of CRN was higher in MTM-eligible individuals than in non-MTM eligible individuals (24.14 vs. 13.44%; P &lt; 0.001). According to the results of multivariable logistic regressions, we found that MTM eligibility was significantly associated with a higher prevalence of CRN (OR: 1.59; 95% CI: 1.28–1.96). Additionally, some other variables such as health status, with or without low-income subsidy are also associated with CRN.Conclusions: Our findings suggest that the prevalence of CRN in MTM-eligible beneficiaries was higher than in non-MTM eligible beneficiaries. Further studies with the longitudinal design are warranted to clarify the relationship between MTM and CRN. Alternative strategies to improve CRN should be considered in future Medicare Part D Enhanced MTM Models.

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