scholarly journals Food insecurity and low access to high-quality food for preconception women in Nepal: the importance of household relationships

2020 ◽  
Vol 23 (15) ◽  
pp. 2737-2745
Author(s):  
Nadia Diamond-Smith ◽  
Jacqueline Shieh ◽  
Mahesh Puri ◽  
Sheri Weiser
Keyword(s):  
Health Outcomes ◽  
Food Insecurity ◽  
Relationship Quality ◽  
Food Consumption ◽  
Structural Equation ◽  
Married Women ◽  
High Quality ◽  
Quality Food ◽  
Newly Married ◽  
Natal Home

AbstractObjective:Women in South Asia, including Nepal, have some of the poorest nutritional indicators globally, leading to poor maternal and child health outcomes. Nepal also suffers from high levels of household food insecurity, and newly married women are at high risk. Intra-household relationships may mediate the relationship between food insecurity and women’s nutrition in Nepal for newly married women. Our aim is to understand how newly married, preconception, women’s food consumption changes when she enters her husband’s home, compared with her natal home. We also explore whether relationship quality with husbands and mothers-in-law mediates the association between food insecurity and eating less high-quality food, using structural equation modelling.Design:Cross-sectional survey data.Setting:Rural Nepal in 2018.Participants:Data were collected from 200 newly married, preconception women.Results:Women had poor diet quality, and most ate fewer high-quality foods important for pregnancy in their marital, compared with natal, home. Higher quality relationships with mothers-in-laws mediated the association between food insecurity and a woman eating fewer high-quality foods in her marital, compared with natal, home. Relationship quality with husbands was not associated with changes in food consumption.Conclusions:Preconception, newly married women in Nepal are eating less high-quality foods important for women’s health during the preconception period – a key period for avoiding adverse maternal and infant health outcomes. Relationships with mothers-in-law are key to women’s access to high-quality food, suggesting that interventions aiming to improve maternal and child nutrition should target all household members.

scholarly journals Maternal attitudes, beliefs and practices related to the feeding and nutritional status of schoolchildren

2019 ◽  
Vol 32 ◽  
Author(s):  
Jéssica PEDROSO ◽  
Natacha TORAL ◽  
Muriel Bauermann GUBERT
Keyword(s):  
Nutritional Status ◽  
Food Consumption ◽  
Cross Sectional Study ◽  
Overweight Children ◽  
Online Questionnaire ◽  
High Quality ◽  
Cross Sectional ◽  
Beliefs And Practices ◽  
Maternal Attitudes ◽  
Quality Food

ABSTRACT Objective To analyze the relationship between the maternal attitudes, beliefs and practices and the children’s food consumption and nutritional status. Methods A cross-sectional study of 563 mother-child pairs. Mothers answered an online questionnaire that collected the following information: sociodemographic data, maternal nutritional status, the child’s food consumption (evaluated through the Food Frequency Questionnaire and the School Child Diet Index), and maternal attitudes, beliefs and practices about the schoolchildren’s eating (assessed through the Child Feeding Questionnaire). Children had their anthropometric measurements evaluated for the interpretation of the nutritional status. Results Mothers who considered their children to be bigger (ORaj=6.60) and who worried more about their children’s weight (ORaj=3.47) presented greater chances of having overweight children. Mothers with a greater perception of responsibility (ORaj=0.57) and who put more pressure in their children to eat (ORaj=0.38) presented lower chances of having overweight children. The majority of children consumed high-quality food (77.4%). Mothers who more closely monitored their children’s food consumption were 2.79 times more likely to have their children eating high-quality food. Conclusion Nutritional interventions should focus on stimulating the parents’ sense of responsibility for the child’s nutrition, as well as on promoting the frequent monitoring of the child’s food intake.

Memperkuat Loyalitas Melalui Kepercayaan, Kepuasan Dan Komitmen Studi Pada Nasabah PT. Bank Cimb Niaga

Liquidity ◽  
2018 ◽  
Vol 4 (1) ◽  
pp. 43-52 ◽  
Author(s):  
Sri Widyastuti
Keyword(s):  
Customer Satisfaction ◽  
Relationship Quality ◽  
Structural Equation Model ◽  
Customer Loyalty ◽  
Structural Equation ◽  
Positive Influence ◽  
Equation Model ◽  
Survey Method ◽  
Branch Office

Customer loyalty is ‘suspected’not been able to optimizationrepetition of transactions, customer recommendation and durability with the establishment relationship quality of the trust, customer satisfaction and commitment. Therefore, research conducted on Bank CIMB Niaga aims to determine the extent of the trust, and commitment to customer satisfaction can increase X-tra and TabunganKU savings customer loyalty. This research is verification and the method of research is explanatory survey method, the sample is 160 customer X-tra and tabunganKU savings in the branch office Bank CIMB Niaga Bintaro. The analytical method used is structural equation model. The results showed loyalty can be achieved with relationship quality for customers through the establishment of trust, and commitment to customer satisfaction, which all three have a positive influence. Therefore, the management of Bank CIMB Niaga need to improve their ability in trust, satisfactionand commitmentwith the bank's customers to become increasingly favored customers.

scholarly journals Dynamics of Multimorbidity Resilience and Health Outcomes Over Time in Community-Residing Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 890-891
Author(s):  
Yingzhi Xu ◽  
Zahra Rahmaty ◽  
Eleanor McConnell ◽  
Tingzhong (Michelle) Xue ◽  
Bada Kang ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Outcomes ◽  
Physical Health ◽  
Social Life ◽  
Structural Equation ◽  
Equation Modeling ◽  
Psychological Resilience ◽  
Pain Level ◽  
Reciprocal Relationships ◽  
Over Time

Abstract Multimorbidity resilience may mitigate the adverse effects of multiple chronic diseases on older adults’ health. Wister et al.’s (2018) multimorbidity resilience index was developed and tested in a cross-sectional sample of older adults in Canada. Building on these findings, we examined the reciprocal relationships of resilience on outcomes to test these potentially mitigating effects in a community-based, U.S. sample of older adults over time. The study sample includes 1,054 older adults from waves 2 and 3 of the National Social Life, Health, and Aging Project (NSHAP) study (Waite et al 2020). Wister et al.’s (2018) index was mapped to NSHAP measures, and reciprocal relationships of multimorbidity resilience and health outcomes over a 5-year period was tested using structural equation modeling (SEM). Results indicated significant effects of multimorbidity resilience on self-rated physical health and pain. Interestingly, a better functional resilience at baseline conferred better self-rated physical health at follow-up, while better psychological resilience predicted lower pain level. By contrast, the influence of health outcomes on any domain of multimorbidity resilience was not detectable at all, supporting the direction of these associations from resilience to outcomes. The study systematically investigated the dynamic hypotheses between multimorbidity resilience and health outcomes. That is, whether they are determinants or consequences, or both. Our findings suggest multimorbidity resilience predicts subsequent 5-year change in health outcomes, especially self-rated physical health and pain level, but not vice versa, strengthening the evidence of the importance of resilience in the health of older adults.

scholarly journals The dark side of rocks: an underestimated high‐quality food resource in river ecosystems

2021 ◽  
Author(s):  
Fen Guo ◽  
Stuart E. Bunn ◽  
Michael T. Brett ◽  
Hannes Hager ◽  
Martin J. Kainz
Keyword(s):  
Food Resource ◽  
Dark Side ◽  
High Quality ◽  
River Ecosystems ◽  
Quality Food

scholarly journals Adolescent-Reported Food Insecurity: Correlates of Dietary Intake and School Lunch Behavior

2021 ◽  
Vol 18 (12) ◽  
pp. 6647
Author(s):  
Naomi Nichele Duke
Keyword(s):  
Dietary Intake ◽  
Food Insecurity ◽  
Food Consumption ◽  
Fast Food ◽  
Emotional Health ◽  
Health Indicators ◽  
School Lunch ◽  
Student Survey ◽  
Sugar Sweetened Beverage ◽  
Fast Food Consumption

Much of what is known about food insecurity (FI) experiences for young people is based on caregiver report. As such, our understanding of relationships between youth FI and dietary intake (DI) may be limited, particularly among adolescents who often eat away from home. This study examined relationships between youth-reported past-month FI, past-week DI, and school lunch behavior. Data are from middle and high school participants in the 2019 Minnesota Student Survey (N = 125,375), one of the longest-running youth surveys in the US. Logistic regression assessed relationships between FI and DI, including fruit, vegetable, milk, sugar-sweetened beverage (SSB), and fast food consumption, and school lunch behavior, adjusting for demographic, physical, and emotional health indicators. Past-month FI was associated with reduced odds of meeting minimum thresholds for daily fruit, vegetable, and milk intake, and increased odds of daily SSB and frequent fast food consumption. Among food-insecure students, no participation in the National School Lunch Program (NSLP) or NSLP participation uncertainty was associated with increased odds of skipping lunch. Findings suggest the importance of clinical and community innovations to prevent the loss of nutritional quality in favor of energy density for youth and families experiencing FI.

scholarly journals Acute psychological impact of coronavirus disease 2019 outbreak among psychiatric professionals in China: a multicentre, cross-sectional, web-based study

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e047828
Author(s):  
Xin Guo ◽  
Robert McCutcheon ◽  
Toby Pillinger ◽  
Atheeshaan Arumuham ◽  
Jianhua Chen ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Mental Stress ◽  
Structural Equation ◽  
Psychiatric Symptoms ◽  
Mental Health Outcomes ◽  
Considerable Proportion ◽  
Cross Sectional ◽  
Event Scale ◽  
Symptoms Of Depression

ObjectivesTo assess the magnitude of mental health outcomes and associated factors among psychiatric professionals in mental health services during COVID-19 in China.Design, setting and participantsThis cross-sectional, survey-based, region-stratified study collected demographic data and mental health measurements from psychiatric professionals in 34 hospitals between 29 January and 7 February 2020, in China. Hospitals equipped with fever clinics or deployed on wards for patients with COVID-19 were eligible.Primary outcome and measuresThe severity of symptoms of depression, anxiety, insomnia and distress were assessed by the Chinese versions of 9-item Patient Health Questionnaire, 7-item Generalised Anxiety Disorder, 7-item Insomnia Severity Index and 22-item Impact of Event Scale-Revised, respectively. Multivariable logistic regression and structural equation modelling was performed to identify factors associated with mental health outcomes.ResultsA total of 610 psychiatric professionals were included. 29.8% were employed in Wuhan, and 22.5% were frontline workers. A considerable proportion of participants reported symptoms of depression (461 (75.6%)), anxiety (282 (46.2%)), insomnia (336 (55.1%)) and mental stress (481 (78.9%)). Psychiatric symptoms were associated with worrying about infection (eg, OR 2.36 (95% CI 1.27 to 4.39) for anxiety), risks of exposure to COVID-19 (eg, having inadequate personal protection equipment, OR 2.43 (1.32 to 4.47) for depression) and self-perceived physical health (eg, OR 3.22 (2.24 to 4.64) for mental stress). Information sources of COVID-19 were also found to be both positively (eg, information from relatives, OR 2.16 (1.46 to 3.21) for mental stress) and negatively (eg, information from TV, OR 0.52 (0.35 to 0.77) for mental stress) associated with mental stress. There is preliminary evidence that mental health might benefit from greater availability of mental healthcare services. The structural equation model analysis indicated that worrying about infection may be the primary mediator via which risk of exposure to COVID-19 pandemic affects the mental health of psychiatric professionals.ConclusionsThe current findings demonstrate several pathways via which the COVID-19 pandemic may have negatively affected the mental health of psychiatric professionals in China.

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