scholarly journals Risk factor assessments of temporomandibular disorders via machine learning

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Kwang-Sig Lee ◽  
Nayansi Jha ◽  
Yoon-Ji Kim
Keyword(s):  
Socioeconomic Status ◽  
Marital Status ◽  
Working Conditions ◽  
Temporomandibular Disorders ◽  
Household Income ◽  
Smoking Status ◽  
Subjective Health ◽  
Health Related ◽  
As Stress ◽  
Nutritional Examination Survey

AbstractThis study aimed to use artificial intelligence to determine whether biological and psychosocial factors, such as stress, socioeconomic status, and working conditions, were major risk factors for temporomandibular disorders (TMDs). Data were retrieved from the fourth Korea National Health and Nutritional Examination Survey (2009), with information concerning 4744 participants’ TMDs, demographic factors, socioeconomic status, working conditions, and health-related determinants. Based on variable importance observed from the random forest, the top 20 determinants of self-reported TMDs were body mass index (BMI), household income (monthly), sleep (daily), obesity (subjective), health (subjective), working conditions (control, hygiene, respect, risks, and workload), occupation, education, region (metropolitan), residence type (apartment), stress, smoking status, marital status, and sex. The top 20 determinants of temporomandibular disorders determined via a doctor’s diagnosis were BMI, age, household income (monthly), sleep (daily), obesity (subjective), working conditions (control, hygiene, risks, and workload), household income (subjective), subjective health, education, smoking status, residence type (apartment), region (metropolitan), sex, marital status, and allergic rhinitis. This study supports the hypothesis, highlighting the importance of obesity, general health, stress, socioeconomic status, and working conditions in the management of TMDs.

scholarly journals Possible associations between callers’ degree-of-worry and their socioeconomic status when contacting out-of-hours services: a prospective cohort study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sita LeBlanc Thilsted ◽  
Fredrik Folke ◽  
Janne S. Tolstrup ◽  
Lau Caspar Thygesen ◽  
Hejdi Gamst-Jensen
Keyword(s):  
Socioeconomic Status ◽  
Patient Safety ◽  
Cohort Study ◽  
Marital Status ◽  
Household Income ◽  
Prospective Cohort ◽  
Low Ses ◽  
Telephone Triage ◽  
Annual Household Income ◽  
Out Of Hours

Abstract Background Telephone triage within out-of-hours (OOH) services aims to ascertain the urgency of a caller’s medical condition in order to determine the correct type of health care needed, ensuring patient safety. To improve the triage process by increasing patient-centred communication, a triage tool has been developed, whereby callers are asked to rate their degree-of-worry (DOW) as a measure of self-evaluated urgency. Studies show that low socioeconomic status (SES), being single and non-Western ethnicity are associated to low self-rated health and high morbidity and these factors may also be associated with high DOW. The aim of this paper was to examine if low SES, being single and non-Western ethnicity were associated to high DOW of callers contacting OOH services. Methods A prospective cohort study design, at the OOH services for the Capital Region of Denmark. Over 2 weeks, 6869 of 38,787 callers met the inclusion criteria: ≥18 years, patients themselves or close relative/friend, reported DOW, had a valid personal identification number and gave informed consent. Callers were asked to report their DOW (1 = minimal worry to 5 = maximal worry), which was dichotomized into low (1–3) and high (4, 5) DOW and linked to data from electronical medical records and Statistics Denmark. Socioeconomic factors (education and annual household income), marital status and ethnicity were assessed in relation to DOW by logistic regression. Results High DOW was reported by 38.2% of the participants. Low SES (low educational level; OR 1.5, 95% CI 1.3–1.7 and low annual household income; 1.5, 1.3–1.6) was associated with high DOW and so too was being single; 1.2, 1.1–1.3 and of non-Western ethnicity; 2.9, 2.5–3.4. Conclusions Knowledge of the association of low SES, marital status as single and non-Western ethnicity with high DOW among callers to OOH services may give call handlers a better understanding of callers’ DOW. If this does not correspond to the call handler’s perception of urgency, this knowledge may further encourage patient-centred communication, aid the triage process and increase patient safety. A better understanding of socioeconomic variables and their relation to callers’ DOW gives direction for future research to improve telephone triage of OOH services.

scholarly journals Socioeconomic Status and Parental Lifestyle Are Associated With Vascular Phenotype in Children

2021 ◽  
Vol 9 ◽  
Author(s):  
Sabrina Köchli ◽  
Katharina Endes ◽  
Julia Grenacher ◽  
Lukas Streese ◽  
Giulia Lona ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Household Income ◽  
Cardiovascular Health ◽  
Smoking Status ◽  
Positive Association ◽  
Migration Background ◽  
Parental Smoking ◽  
Clinical Trial Registration ◽  
Childhood Health ◽  
Highly Educated

Background/Aims: Socioeconomic barriers and lifestyle conditions affect development of cardiovascular disease in adults, but little is known about the association of parental lifestyle and education with childhood health. We aimed to investigate the association of socioeconomic status (SES), migration background, parental physical activity (PA) and smoking status with micro-and macrovascular health in children.Methods: In 2016/2017, 833 school children (aged 7.2 ± 0.4 years) in Basel (Switzerland) were screened for retinal arteriolar-to-venular ratio (AVR), pulse wave velocity (PWV), SES, migration background and parental PA as well as smoking status.Results: High parental PA levels were associated with a favorable higher AVR (p = 0.020) and lower PWV (p = 0.035), but not independent of parental smoking status. Children with parents who smoked had a higher PWV [4.39 (4.35–4.42) m/s] compared to children with non-smoking parents [4.32 (4.29–4.34) m/s, p = 0.001]. Children of parents with a low household income had a higher PWV [4.36 (4.32–4.41) m/s] compared to children of parents with a high household income [4.30 (4.26–4.34) m/s, p = 0.033]. Low parental educational level was associated with a lower AVR [0.86 (0.85–0.88)] compared to children with highly educated parents [AVR:0.88 (0.87–0.88), p = 0.007; PWV: 4.33 (4.30–4.35) m/s, p = 0.041]. Children with a European background showed a higher AVR [0.88 (0.87–0.88)] compared to non-European children [AVR: (0.86 (0.85–0.87), p = 0.034].Conclusion: Parental PA is associated with better macro- and microvascular childhood health. However, the positive association is lost when parental smoking is considered in the analysis. Socioeconomic factors seem to associate with subclinical vascular alterations in children. Primary prevention programs should focus on including parental lifestyle interventions and educational programs to reduce the burden of lifestyle-associated barriers in order to improve cardiovascular health during lifespan.Clinical Trial Registration:ClinicalTrials.gov Exercise and Arterial Modulation in Youth, https://clinicaltrials.gov/ct2/show/NCT02853747, NCT02853747.

scholarly journals Possible associations between callers’ degree-of-worry and their socioeconomic status when contacting out-of-hours services: a prospective cohort study

2020 ◽  
Author(s):  
Sita LeBlanc Thilsted ◽  
Hejdi Gamst-Jensen ◽  
Fredrik Folke ◽  
Janne S. Tolstrup ◽  
Lau Caspar Thygesen
Keyword(s):  
Socioeconomic Status ◽  
Patient Safety ◽  
Cohort Study ◽  
Marital Status ◽  
Household Income ◽  
Prospective Cohort ◽  
Low Ses ◽  
Telephone Triage ◽  
Annual Household Income ◽  
Out Of Hours

Abstract Background: Telephone triage within out-of-hours (OOH) services aims to ascertain the urgency of a caller’s medical condition in order to determine the correct type of health care needed, ensuring patient safety. To improve the triage process by increasing patient‐centred communication, a triage tool has been developed, whereby callers are asked to rate their degree-of-worry (DOW) as a measure of self-evaluated urgency. Studies show that low socioeconomic status (SES), being single and non-Western ethnicity are associated to low self-rated health and morbidity and these factors may also be associated with high DOW. The aim of this paper was to examine if low SES, being single and non-Western ethnicity were associated to high DOW of callers contacting OOH services. Methods: A prospective cohort study design, at the OOH services for the Capital Region of Denmark. Over two weeks, 6,869 of 38,787 callers met the inclusion criteria: ³18 years, patients themselves or close relative/friend, reported DOW, had a valid personal identification number and gave informed consent. Callers were asked to report their DOW (1=minimal worry to 5=maximal worry), which was dichotomized into low (1-3) and high (4-5) DOW and linked to data from electronical medical records and Statistics Denmark. Socioeconomic factors (education and annual household income), marital status and ethnicity were assessed in relation to DOW by logistic regression.Results: High DOW was reported by 38.2% of the participants. Low SES (low educational level; OR 1.5, 95% CI 1.3-1.7 and low annual household income; 1.5, 1.3-1.6) was associated with high DOW and so too was being single; 1.2, 1.1-1.3 and of non-Western ethnicity; 2.9, 2.5-3.4.Conclusions: Knowledge of the association of low SES, marital status as single and non-Western ethnicity with high DOW among callers to OOH services may give call handlers a better understanding of callers’ DOW. If this does not correspond to the call handler’s perception of urgency, this knowledge may further encourage patient-centred communication, aid the triage process and increase patient safety. A better understanding of socioeconomic variables and their relation to callers’ DOW gives direction for future research to improve telephone triage of OOH services.

Patterns of Health Behavior, Life Satisfaction, and Future Time Perspective in a Group of Old Aged Women: Data of 'Survivors' from a Longitudinal Study on Aging

1982 ◽  
Vol 5 (3) ◽  
pp. 367-390 ◽  
Author(s):  
Insa Fooken
Keyword(s):  
Life Satisfaction ◽  
Longitudinal Study ◽  
Marital Status ◽  
Time Perspective ◽  
Subjective Health ◽  
Future Time Perspective ◽  
Major Theme ◽  
Future Time ◽  
Objective Health ◽  
Health Related

A widespread "old woman"-stereotype depicts the aging female as hypochondriac and illnessstricken. Considering several health-related variables (objective health assessment done by a physician; subjective health ratings on physical well-being and perceived stress; the degree of concern about health as a major theme of life; coping styles with regard to health status) data of 39 old aged women, born between 1890 and 1905 and grouped according to the manifestation of marital status, from the Bonn longitudinal study of aging were carefully analyzed. Evidence was yielded for 'future time perspective' being an important aspect of the psychological construct 'life satisfaction' because of having a strong impact on health-related behavior. Furthermore, some rather distinct patterns of dealing with health-related aspects were sketched out according to the specific manifestation of marital status. In general, the popular stereotype could not be supported: congruence between objective and subjective health ratings was more common than the reverse. While some women rather experienced physical decline, there were others who manifested "transcendence from bodily restriction" thus giving proof of growth-oriented developmental change and a high degree of plasticity and flexibility in very old age.

scholarly journals Possible associations between callers’ degree-of-worry and their socioeconomic status when contacting out-of-hours services: a prospective cohort study

2020 ◽  
Author(s):  
Hejdi Gamst-Jensen ◽  
Sita LeBlanc Thilsted ◽  
Fredrik Folke ◽  
Janne S. Tolstrup ◽  
Lau Caspar Thygesen
Keyword(s):  
Socioeconomic Status ◽  
Patient Safety ◽  
Cohort Study ◽  
Marital Status ◽  
Household Income ◽  
Prospective Cohort ◽  
Low Ses ◽  
Telephone Triage ◽  
Annual Household Income ◽  
Out Of Hours

Abstract Background: Telephone triage within out-of-hours (OOH) services aims to ascertain the urgency of a caller’s medical condition in order to determine the correct type of health care needed, ensuring patient safety. To improve the triage process by increasing patient-centred communication, a triage tool has been developed, whereby callers are asked to rate their degree-of-worry (DOW) as a measure of self-evaluated urgency. Studies show that low socioeconomic status (SES), being single and non-Western ethnicity are associated to low self-rated health and morbidity and these factors may also be associated with high DOW. The aim of this paper was to examine if low SES, being single and non-Western ethnicity were associated to high DOW of callers contacting OOH services. Methods: A prospective cohort study design, at the OOH services for the Capital Region of Denmark. Over two weeks, 6,869 of 38,787 callers met the inclusion criteria: ≥18 years, patients themselves or close relative/friend, reported DOW, had a valid personal identification number and gave informed consent. Callers were asked to report their DOW (1 = minimal worry to 5 = maximal worry), which was dichotomized into low (1–3) and high (4–5) DOW and linked to data from electronical medical records and Statistics Denmark. Socioeconomic factors (education and annual household income), marital status and ethnicity were assessed in relation to DOW by logistic regression. Results: High DOW was reported by 38.2% of the participants. Low SES (low educational level; OR 1.5, 95% CI 1.3–1.7 and low annual household income; 1.5, 1.3–1.6) was associated with high DOW and so too was being single; 1.2, 1.1–1.3 and of non-Western ethnicity; 2.9, 2.5–3.4. Conclusions: Knowledge of the association of low SES, marital status as single and non-Western ethnicity with high DOW among callers to OOH services may give call handlers a better understanding of callers’ DOW. If this does not correspond to the call handler’s perception of urgency, this knowledge may further encourage patient-centred communication, aid the triage process and increase patient safety. A better understanding of socioeconomic variables and their relation to callers’ DOW gives direction for future research to improve telephone triage of OOH services.

scholarly journals Possible associations between callers’ degree-of-worry and their socioeconomic status when contacting out-of-hours services: a prospective cohort study

2020 ◽  
Author(s):  
Hejdi Gamst-Jensen ◽  
Sita LeBlanc Thilsted ◽  
Fredrik Folke ◽  
Janne S. Tolstrup ◽  
Lau Caspar Thygesen
Keyword(s):  
Socioeconomic Status ◽  
Patient Safety ◽  
Cohort Study ◽  
Marital Status ◽  
Household Income ◽  
Prospective Cohort ◽  
Low Ses ◽  
Telephone Triage ◽  
Annual Household Income ◽  
Out Of Hours

Abstract Background:Telephone triage within out-of-hours (OOH) services aims to ascertain the urgency of a caller’s medical condition in order to determine the correct type of health care needed, ensuring patient safety. To improve the triage process by increasing patient‐centred communication, a triage tool has been developed, whereby callers are asked to rate their degree-of-worry (DOW) as a measure of self-evaluated urgency. Studies show that low socioeconomic status (SES), being single and non-Western ethnicity are associated to low self-rated health and morbidity and these factors may also be associated with high DOW. The aim of this paper was to examine if low SES, being single and non-Western ethnicity were associated to high DOW of callers contacting OOH services. Methods: A prospective cohort study design, at the OOH services for the Capital Region of Denmark. Over two weeks, 6,869 of 38,787 callers met the inclusion criteria: ³18 years, patients themselves or close relative/friend, reported DOW, had a valid personal identification number and gave informed consent. Callers were asked to report their DOW (1=minimal worry to 5=maximal worry), which was dichotomized into low (1-3) and high (4-5) DOW and linked to data from electronical medical records and Statistics Denmark. Socioeconomic factors (education and annual household income), marital status and ethnicity were assessed in relation to DOW by logistic regression.Results: High DOW was reported by 38.2% of the participants. Low SES (low educational level; OR 1.5, 95% CI 1.3-1.7 and low annual household income; 1.5, 1.3-1.6) was associated with high DOW and so too was being single; 1.2, 1.1-1.3 and of non-Western ethnicity; 2.9, 2.5-3.4.Conclusions: Knowledge of the association of low SES, marital status as single and non-Western ethnicity with high DOW among callers to OOH services may give call handlers a better understanding of callers’ DOW. If this does not correspond to the call handler’s perception of urgency, this knowledge may further encourage patient-centred communication, aid the triage process and increase patient safety. A better understanding of socioeconomic variables and their relation to callers’ DOW gives direction for future research to improve telephone triage of OOH services.

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