Multinomial logistic regression modelling of obesity and overweight among primary school students in a rural area of Negeri Sembilan

Author(s):  
Amirul Syafiq Mohd Ghazali ◽  
Zalila Ali ◽  
Norlida Mohd Noor ◽  
Adam Baharum
2019 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Somaye Gholami ◽  
Masoud Rahmanian ◽  
Saeedeh Jam Ashkezari ◽  
Narjes Hazar ◽  
Seied Mohammad Reza Aghaee- Meybody ◽  
...  

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Zemin Cai ◽  
Ruibin Wu ◽  
Shukai Zheng ◽  
Zhaolong Qiu ◽  
Kusheng Wu

Abstract Background Idiopathic scoliosis (IS) affects patients’ quality of life, yet there have been few reports of its morphology and epidemiological study in the southeast region of China. The aim of this study is to access the curve characteristics, prevalence, and factors associated with IS in Chaozhou city. Methods A cross-sectional study was performed in 2018, in which scoliosis screening was conducted among 5497 primary school students in Chaozhou city. Then, a case-control study based on the screening involving 2547 children was followed for the exploration of the associated factors. The questionnaires covering demographic characteristics, postural habits, cognition and self-sensation of scoliosis, and physical conditions were addressed for the investigation. ORs with 95%CIs were calculated based on logistic regression analysis to evaluate the factors associated with scoliosis. Results The prevalence of IS among primary school students was 6.15% in Chaozhou city, with 4.04% for males and 8.71% for females. The average Cobb angle was 15° (range 8 to 37°). Multiple logistic regression analysis suggested that female (OR=2.45), BMI (OR=0.67), having myopia (OR=1.49), self-sensation of scoliosis with symptoms (OR=5.52), insufficient sleep time (OR=2.65, 3.33), and less exercise time (OR=7.09, 7.29) were significantly associated with IS. Conclusions The prevalence of IS among primary school students in Chaozhou was at an average level, and it was significantly higher in females than in males. Lower body mass, having myopia, insufficient sleep time, and lower physical activity were associated with IS.


2020 ◽  
Author(s):  
Fira Abamecha Ababulgu ◽  
Lakew Abebe Gebretsadik ◽  
Zewdie Birhanu Koricha ◽  
Morankar Sudhakar ◽  
Yohannes Kebede Lemu ◽  
...  

Abstract Background: Unequivocally; malaria becomes major health problems among school children. Evidences of coordinated school engaged social and behavior change communication (SBCC) strategy is required to curb the disease; thus keeping momuntem to malaria eliemination. This study examined effectiveness of schools engaged SBCC approach on use of insecticide treated nets (ITNs) among primary school students in malaria endemic settings of Ethiopia.Methods: The school-community engaged SBCC intervention involving various educational and capacity building activities was implemented from Oct.2016 to Sept.2018 in 75 rural schools of Jimma to promote malaria preventive practices both at schools and community levels. A quasi-experimental evaluation design was employed enrolling 798 randomly sampled primary school students (399 interventions and 399 controls). Data were collected using structured questionnaires by interveirwers and analyzed using SPSS 26 Amoss software. Propensity score matching (PSM) technique was applied to create approparite matching. Chi-square and general linear model was conducted to estimate the average effects of the intervention for dichotomous and continous outcomes respectively.Finally; multivariable logistic regression modelling was done to indentify predictors of ITN use. P-value < 5% was considered for statistical significance. Results: Effects of the interventions were observed on all measured psychographic dimensions with self-efficacy (β =25.87, 95% CI: 22.77-28.97) and perception of malaria threat (β =6.38, 95% CI: 4.08-8.68) showing highest and lowest effects respectively. Importantly; a difference of 39% (95% CI: 32.18-45.91) was observed with respect to ITN use between intervention and control groups. Multivarible logistic regression showed access to one and more ITN per two family members was associated to ITN use (AOR=1.76, 95% CI: 1.01-3.07). Similarily; unit increase in self-efficacy (β=0.101, 95% CI: 1.22-2.32), multidimesional knowledge (β=0.04, 95% CI: 1.01-1.06) and family support (β=0.04, 95% CI: 1.02-1.06) improve use of ITN by 10%, 4%, and 4% respectively.Conclusion: This study suggested that SBCC impelemetation that draw on combination of various interpersonal communication and stakeholders’ engagement approaches were effective promoting sustained malaria preventive behaviours in school going children. Indeed; it’s important to account for message contents and communication methods targeted to influence knowledge, risk perceptions and behavioral skills combined with family supports, access to ITNs and beyond


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