Economic and educational factors played roles in the development of regional vision impairment in Shandong province, China

AbstractWe analyze regional factors and spatial distribution of children's vision impairment in Shandong province, to explore the spatial changes brought by time and their influencing factors, so as to provide scientific basis for prevention of childhood vision impairment. This study covers five complete cross-sectional surveys from 2013 to 2017, involving about 29.24 million students. Spatial autocorrelation and hotspot analysis methods were used to analyze spatial features. The associated factors were analyzed by multinomial logistic regression. The vision impairment prevalence showed a trend of decreasing first and then increasing from 2013 to 2017, with slight changes. In terms of regional spatial differences, Weihai and Yantai have the highest VI rates in all years, and there was a large-scale spatial aggregation phenomenon. The southern low-value clusters, however, showed a trend of weakening from year to year. Further exploration revealed that economic factors and number of full-time teachers were verified as risk factors for regional vision impairment levels. The slight rebound of the prevalence of vision impairment and the high rate in the eastern and northern regions of Shandong province need more attention. It is suggested that relevant departments should focus on the influence of regional economic and educational factors when formulating relevant strategies.

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Regional trends and associated factors of childhood visual impairment: a case study in Shandong province, China

10.21203/rs.3.rs-49579/v3 ◽

2021 ◽

Author(s):

Lizhen Han ◽

Jinzhu Jia ◽

Lu Wang

Keyword(s):

Visual Impairment ◽

Associated Factors ◽

Large Scale ◽

Multinomial Logistic Regression ◽

Scientific Basis ◽

Shandong Province ◽

High Rate ◽

Full Time ◽

Hotspot Analysis ◽

Cross Sectional

Abstract Background: We analyze regional factors and spatial distribution of children's visual impairment in Shandong province, to explore the spatial changes brought by time and their influencing factors, so as to provide scientific basis for prevention of childhood visual impairment.Methods: This study covers five complete cross-sectional surveys from 2013-2017, involving about 29.24 million students. Spatial autocorrelation and hotspot analysis methods were used to analyze spatial features. The associated factors were analyzed by multinomial logistic regression.Results: The visual impairment prevalence showed a trend of decreasing first and then increasing from 2013-2017, with slight changes. In terms of regional spatial differences, Weihai and Yantai have the highest VI rates in all years, and there was a large-scale spatial aggregation phenomenon. The southern low-value clusters, however, showed a weakening year by year. Further exploration revealed that economic factors and number of full-time teachers were verified as risk factors for regional visual impairment levels.Conclusions: The slight rebound of the prevalence of visual impairment and the high rate in the eastern and northern regions of Shandong province need more attention. It is suggested that relevant departments should focus on the influence of regional economic and educational factors when formulating relevant strategies.

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Regional trends and associated factors of childhood visual impairment: a case study in Shandong province, China

10.21203/rs.3.rs-49579/v1 ◽

2020 ◽

Author(s):

Lizhen HAN ◽

Jinzhu Jia ◽

Lu Wang

Keyword(s):

Visual Impairment ◽

Associated Factors ◽

Large Scale ◽

Multinomial Logistic Regression ◽

Shandong Province ◽

High Rate ◽

Full Time ◽

Hotspot Analysis ◽

Related Factors ◽

Cross Sectional

Abstract Background Visual impairment is a common child health problem. We hopes to analyze the regional trend, related factors and spatial distribution of children's visual impairment in Shandong province, to explore the spatial changes brought by time and their influencing factors, so as to provide scientific basis for prevention of childhood visual impairment. Methods This study covers 5 complete cross-sectional surveys (Physical examination data in Shandong province) from 2013 to 2017, involving about 29.24 million students. The 11th International Classification of Diseases was selected as the diagnostic standard. Spatial autocorrelation and hotspot analysis methods in ArcGIS software were used to analyze spatial features. The associated factors were analyzed by multinomial logistic regression. Results The visual impairment prevalence showed a trend of decreasing first and then increasing from 2013–2017, with slight changes. In terms of regional spatial differences, Weihai and Yantai have the highest VI rates in all years, and there was a large-scale spatial aggregation phenomenon. The southern low-value clusters, however, showed a weakening year by year. Further exploration revealed that the per capita disposable income of rural households, the growth rate of gross domestic product, total retail sales of consumer goods and number of full-time teachers were verified as risk factors for regional visual impairment levels. Conclusions The slight rebound of the prevalence of visual impairment and the high rate in the eastern and northern regions of Shandong province need more attention. It is suggested that relevant departments should focus on the influence of regional economic and educational factors when formulating relevant strategies.

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Regional Trends and Associated Factors of Childhood Visual Impairment: A Case Study in Shandong Province, China

10.21203/rs.3.rs-87688/v1 ◽

2020 ◽

Author(s):

Lizhen Han ◽

Jinzhu Jia ◽

Lu Wang

Keyword(s):

Visual Impairment ◽

Associated Factors ◽

Large Scale ◽

Multinomial Logistic Regression ◽

Shandong Province ◽

High Rate ◽

Full Time ◽

Hotspot Analysis ◽

Related Factors ◽

Cross Sectional

Abstract Background: Visual impairment is a common child health problem. We hopes to analyze the regional trend, related factors and spatial distribution of children's visual impairment in Shandong province, to explore the spatial changes brought by time and their influencing factors, so as to provide scientific basis for prevention of childhood visual impairment.Methods: This study covers five complete cross-sectional surveys (Physical examination data in Shandong province) from 2013 to 2017, involving about 29.24 million students. The 11th International Classification of Diseases was selected as the diagnostic standard. Spatial autocorrelation and hotspot analysis methods in ArcGIS software were used to analyze spatial features. The associated factors were analyzed by multinomial logistic regression.Results: The visual impairment prevalence showed a trend of decreasing first and then increasing from 2013-2017, with slight changes. In terms of regional spatial differences, Weihai and Yantai have the highest VI rates in all years, and there was a large-scale spatial aggregation phenomenon. The southern low-value clusters, however, showed a weakening year by year. Further exploration revealed that the per capita disposable income of rural households, the growth rate of gross domestic product, total retail sales of consumer goods and number of full-time teachers were verified as risk factors for regional visual impairment levels.Conclusions: The slight rebound of the prevalence of visual impairment and the high rate in the eastern and northern regions of Shandong province need more attention. It is suggested that relevant departments should focus on the influence of regional economic and educational factors when formulating relevant strategies.

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Association of low birth weight with thinness and severe obesity in children aged 3–12 years: a large-scale population-based cross-sectional study in Shanghai, China

BMJ Open ◽

10.1136/bmjopen-2018-028738 ◽

2019 ◽

Vol 9 (5) ◽

pp. e028738 ◽

Cited By ~ 2

Author(s):

Chang Chen ◽

Zhijuan Jin ◽

You Yang ◽

Fan Jiang ◽

Hong Huang ◽

...

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Large Scale ◽

Severe Obesity ◽

Multinomial Logistic Regression ◽

Population Based ◽

Cross Sectional ◽

Increased Risk ◽

Grade 3 ◽

Obesity In Children

ObjectivesLow birth weight (BW) is a general symbol of inadequate intrauterine conditions that elicit abnormal fetal growth and development. The aim of current study is to investigate the relationship between low BW and thinness or severe obesity during maturation.DesignA large-scale cross-sectional population-based survey.Setting134 kindergartens and 70 elementary schools.Participants70 284 Chinese children aged 3–12 years.Outcome measuresInternational Obesity Task Force body mass index (BMI) cut-offs were used to define grade 1, grade 2 and grade 3 thinness, overweight, obesity and severe obesity. Multinomial logistic regression was used to estimate the association between BW and BMI category.ResultsA total of 70 284 children participated in the survey. The percentage of grade 1 thinness and severe obesity in children with low BW is significantly higher than that in children with normal BW (p<0.05). Low BW was associated with an increased risk of grade 1 thinness (OR 1.56, 95% CI 1.38 to 1.75), grade 2 thinness (OR 1.34, 95% CI 1.10 to 1.64), grade 3 thinness (OR 1.99, 95% CI 1.63 to 2.42) and severe obesity (OR 1.27, 95% CI 1.03 to 1.55) but was not associated with obesity (OR 0.85, 95% CI 0.67 to 1.06).ConclusionThere is a positive association between low BW and thinness or severe obesity risk.

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Protestant Revivals in China with Particular Reference to Shandong Province

Studies in World Christianity ◽

10.3366/swc.2012.0022 ◽

2012 ◽

Vol 18 (3) ◽

pp. 213-236 ◽

Cited By ~ 1

Author(s):

R. G. Tiedemann

Keyword(s):

Large Scale ◽

Shandong Province ◽

Western World ◽

Full Time ◽

Regular Feature ◽

Speaking In Tongues ◽

Mainline Denominations ◽

Independent Churches ◽

Revival Movements ◽

Religious Revivals

Revivals have been a regular feature of the missionary enterprise. The modern Catholic and Protestant missionary movements themselves emerged from major religious revivals in the Western world. On the nineteenth-century China mission fields, Protestant missionaries from the mainline denominations frequently lamented the fact that their often nominal convert communities were lacking in Christian spirit and called for reinvigoration campaigns. It was, however, in the twentieth century that several large-scale revival movements occurred, starting with the ‘Manchurian revival’ of 1907–8 and culminating in the great ‘Shandong revival’ of the 1930s. The years after 1908 saw the rise of Chinese ― as well as some foreign ― full-time revivalists engaging in evangelistic efforts to reach the native Christian as well as non-Christian populations. The Canadian Presbyterian Jonathan Goforth (1859–1936) and the Shandong evangelist Ding Limei (1871–1936) are the most prominent representatives of the early campaigns of Christian renewal. In the 1920s, in spite of the fundamentalist/modernist controversy and anti-Christian agitation by nationalist and revolutionary forces in China, revivalism actually intensified. The principal focus of this paper will be on the new currents of spiritual regeneration that came with the proliferation of mostly small and sectarian missions of Holiness or Pentecostal provenance. Pentecostal ideas, in particular, contributed to the growth of Chinese independent churches and the wave of revivalism that swept across parts of China in the early 1930s. Such ‘gifts of the spirit’ as prophecy, divine healing and speaking in tongues, as well as a strong pre-millenarian belief, energised many of the more radical indigenous revivalists at this time. Other well-known Chinese evangelists had been influenced by the Holiness movement or Plymouth Brethren ideas. The Chinese dimension, especially in the context of Shandong province, is receiving particular attention in this paper.

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Trends in COVID-19 vaccination intent, determinants and reasons for vaccine hesitancy: results from repeated cross-sectional surveys in the adult general population of Greece during November 2020-June 2021

10.1101/2021.06.23.21259376 ◽

2021 ◽

Author(s):

Vana Sypsa ◽

Sotirios Roussos ◽

Vasiliki Engeli ◽

Dimitrios Paraskevis ◽

Sotirios Tsiodras ◽

...

Keyword(s):

General Population ◽

Large Scale ◽

Multinomial Logistic Regression ◽

Multivariable Analysis ◽

Age Groups ◽

Female Gender ◽

Vaccine Hesitancy ◽

Cross Sectional ◽

Major Barrier ◽

Over Time

Background: Vaccine hesitancy is a major barrier to achieve large-scale COVID-19 vaccination. We report trends in vaccination intention and associated determinants from surveys in the adult general population in Greece. Methods: Four cross-sectional phone surveys were conducted in November 2020, February, April and May 2021 on nationally representative samples of adults in Greece. Multinomial logistic regression was used on the combined data of the surveys to evaluate independent predictors of vaccination unwillingness/uncertainty. Results: Vaccination intention increased from 67.6% in November 2020 to 84.8%. in May 2021. Individuals aged 65 years or older were more willing to get vaccinated (May 2021: 92.9% vs. 79.5% in 18-39 years, p<0.001) but between age-groups differences decreased over time. Vaccination intention increased substantially in both sexes, though earlier among men than women and was higher in individuals with postgraduate studies (May 2021: 91.3% vs. 84.0% up to junior high). From multivariable analysis, unwillingness and/or uncertainty to get vaccinated was associated with younger age, female gender (in particular in the April 2021 survey), lower educational level and living with a child ≤12 years old. Among those with vaccine hesitancy, concerns about vaccine effectiveness declined over time (21.6% in November 2020 vs. 9.6% in May 2021, p=0.014) and were reported more often by men; safety concerns remained stable over time (66.3% in November 2020 vs. 62.1% in May 2021, p=0.658) and were reported more often by women. Conclusions: Vaccination intention increased substantially over time. Tailored communication is needed to address vaccine hesitancy and concerns regarding vaccine safety.

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Visual Impairment and Frailty: Examining an Understudied Relationship

The Journals of Gerontology Series A ◽

10.1093/gerona/glz182 ◽

2019 ◽

Vol 75 (3) ◽

pp. 596-602 ◽

Cited By ~ 5

Author(s):

Bonnielin K Swenor ◽

Moon J Lee ◽

Jing Tian ◽

Varshini Varadaraj ◽

Karen Bandeen-Roche

Keyword(s):

Visual Acuity ◽

Logistic Regression ◽

Visual Impairment ◽

Propensity Scores ◽

Multinomial Logistic Regression ◽

Vision Impairment ◽

Frailty Phenotype ◽

Cross Sectional ◽

Increased Risk ◽

Using Data

Abstract Background Older adults with visual impairments are at increased risk of negative health outcomes. Here, we investigate the association between visual impairment and frailty. Methods Cross-sectional and longitudinal relationships between visual impairment (distance visual acuity) and frailty (frailty phenotype criteria) were examined using data from the National Health and Nutrition Examination Survey (NHANES, 1999–2002, ≥60 years) and the Women’s Health and Aging Studies (WHAS III). Imbalance of potential confounders, particularly age, was addressed using propensity score-based adjustment. Multinomial logistic regression determined the odds of prefrailty and frailty at baseline in NHANES and ordinal logistic regression examined the odds of baseline and incident frailty over 3 years in WHAS III after adjustment for confounders and probability weighting (survey weights × inverse propensity scores). Results In NHANES (n = 2,639, 9% vision impairment), participants with visual impairment were more likely to be prefrail (odds ratio [OR] = 3.2; 95% confidence interval [CI]: 1.9–5.3) and frail (OR = 3.7; 95% CI: 1.5–9.2) than those without visual impairment. In WHAS III (n = 796, 26% mild, 37% moderate/severe vision impairment), participants with mild and moderate/severe vision impairment were more likely to be frail (OR = 2.0; 95% CI: 1.5–2.5; OR = 5.5; 95% CI: 4.2–7.2, respectively). A one-line worse visual acuity (0.1 logMAR increase) was associated with greater odds of frailty (OR = 1.5; 95% CI: 1.4–1.7). Of those non-frail at baseline (n = 549), moderate/severe visual impairment and one-line worse visual acuity was associated with greater odds of incident frailty (OR = 3.5; 95% CI: 1.4–8.4; OR = 1.3; 95% CI: 1.1–1.5, respectively) over 3 years. Conclusions Visual impairment may be an important, yet understudied risk factor for frailty.

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Spatial Differences of Overweight and Obesity among Schoolchildren in Shandong Province, China

10.21203/rs.3.rs-15547/v1 ◽

2020 ◽

Author(s):

Lizhen Han ◽

Maosun Fu ◽

Yihua Liu ◽

Jinzhu Jia ◽

Lu Wang

Keyword(s):

Rural Areas ◽

Protective Factor ◽

Multinomial Logistic Regression ◽

Hot Spot ◽

Regional Distribution ◽

Overweight And Obesity ◽

Shandong Province ◽

Full Time ◽

Targeted Interventions ◽

Spatial Differences

Abstract Background The spatial differences and related factors of overweight and obesity among schoolchildren in Shandong province were analyzed, aiming to provide scientific basis for prevention of childhood obesity and the adoption of targeted intervention policies. Methods The sample came from Shandong province's physical examination data in 2017. A total of 10.27 million schoolchildren aged 6-18 years were included. ArcGIS software (hot spot analysis) was used to explore the spatial differences, and regional influencing factors were analyzed by multinomial logistic regression. Results The prevalence of overweight and obesity among schoolchildren aged 6-18 years were 17.93% and 6.79%, respectively. Moreover, boys/girls, urban/rural areas both showed that the former rate was higher than the latter, and the 9-11 age group was confirmed to have the highest prevalence. Regional distribution illustrated that, in Shandong province, the areas with high prevalence of overweight and obesity were mainly concentrated in the central, northern and eastern parts, and the hot spots clusters were located in Yantai and Weihai, while the low-value areas were aggregated in the western (boys) and southern (girls) regions. Further exploration revealed that total retail sales of consumer goods (CGTRS) and per capita disposable income (PCDI) were confirmed as risk factors for regional obesity level, while number of full-time teachers (FTT) was a protective factor. Conclusions The spatial differences of overweight and obesity are statistically significant and influenced by some regional factors, suggesting that relevant departments should adopt targeted interventions when relevant strategies are made.

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Large-Scale Cross-Sectional Study of the Problem Areas in Diabetes Survey among Japanese Patients with Type 2 Diabetes Mellitus

Diabetes ◽

10.2337/db18-2393-pub ◽

2018 ◽

Vol 67 (Supplement 1) ◽

pp. 2393-PUB

Author(s):

KENICHIRO TAKAHASHI ◽

MINORI SHINODA ◽

RIKA SAKAMOTO ◽

JUN SUZUKI ◽

TADASHI YAMAKAWA ◽

...

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Large Scale ◽

Japanese Patients ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Diabetes Survey

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Assessment of Knowledge and Practice of Various Eye Diseases in Sulaimani: A Descriptive Study

Kurdistan Journal of Applied Research ◽

10.24017/science.2018.2.1 ◽

2018 ◽

pp. 1-6

Author(s):

Abdulrahman M. Ibrahem ◽

Salah Q. Mahmood ◽

Muhammed Babakir-Mina ◽

Salar Ibrahim Ali ◽

Bakhtyar Kamal Talabany

Keyword(s):

Vision Loss ◽

Good Practice ◽

Study Data ◽

Eye Diseases ◽

Vision Impairment ◽

P Value ◽

Published Data ◽

Knowledge Level ◽

Cross Sectional ◽

Knowledge And Practice

Knowledge and practice of public, especially patients about eye diseases are important to reduce magnitude of human blindness. Vision and sight are very essential because they allow us to connect to each other’s. In accordance to the recently published data; the estimation of 253 million people lives with vision impairment, 36 million are blind and 217 million suffer from moderate to severe vision impairment. A descriptive cross-sectional study was conducted at Shahid Dr. Aso Hospital in Sulaimani city-Iraq, from April to August 2017 by face-to-face interview through close ended questionnaire for data collecting. All data were analyzed by Statistical Package for Social Sciences version 22.0 software. P-value of < 0.05 was considered as a statistically significant. A total of 430 patients were randomly chosen to participate in the study. They were 254 (59.1%) males and 176 (40.9%) females. 76.7% of respondents was worrying about vision loss, 0.7% was worrying about hair loss. Of the participants, 32.8% was with a good knowledge level and 40.5% was with a poor knowledge level, as well as 3.1% was in a good practice and 58.8% was in a poor practice level. Female knowledge mean score was 9.53±4.96 and male knowledge mean score was 8.42±5.45, the practice mean score of males was 4.33±1.96 and mean practice score of females was 4.13±1.93. The study data indicate the worrying of participates about vision loss is in the highest proportion and the awareness and practice of patients about eye diseases is unsatisfactory. Health education campaigns are needed to improve personal awareness about vision related problems and for better eye health.

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