Child-street migration among HIV-affected families in Kenya: a mediation analysis from cross-sectional data

Inflammation-modulating elements are recognized periodontitis (PD) risk factors, nevertheless, the association between dietary inflammatory index (DII) and PD has never been appraised. We aimed to assess the association between DII and PD and the mediation effect of DII in the association of PD with systemic inflammation. Using the National Health and Nutrition Examination Survey 2009–2010, 2011–2012 and 2013–2014, participants who received periodontal exam and provided dietary recall data were included. The inflammatory potential of diet was calculated via DII. PD was defined according to the 2012 case definition. White blood cells (WBC), segmented neutrophils and C-reactive protein (CRP) were used as proxies for systemic inflammation. The periodontal measures were regressed across DII values using adjusted multivariate linear regression and adjusted mediation analysis. Overall, 10,178 participants were included. DII was significantly correlated with mean periodontal probing depth (PPD), mean clinical attachment loss (CAL), thresholds of PPD and CAL, WBC, segmented neutrophils and DII (p < 0.01). A linear regression logistic adjusted for multiple confounding variables confirmed the association between DII and mean PPD (B = 0.02, Standard Error [SE]: 0.02, p < 0.001) and CAL (B = −0.02, SE: 0.01, p < 0.001). The association of mean PPD and mean CAL with both WBC and segmented neutrophils were mediated by DII (from 2.1 to 3.5%, p < 0.001). In the 2009–2010 subset, the association of mean CAL with serum CRP was mediated by DII (52.0%, p < 0.01). Inflammatory diet and PD may be associated. Also, the inflammatory diet significantly mediated the association of leukocyte counts and systemic inflammation with PD.

Download Full-text

Precarious employment, psychosocial risk factors and poor mental health: A cross-sectional mediation analysis

Safety Science ◽

10.1016/j.ssci.2021.105439 ◽

2021 ◽

Vol 143 ◽

pp. 105439

Author(s):

Fabrizio Méndez Rivero ◽

Eva Padrosa ◽

Mireia Utzet ◽

Joan Benach ◽

Mireia Julià

Keyword(s):

Mental Health ◽

Risk Factors ◽

Mediation Analysis ◽

Poor Mental Health ◽

Psychosocial Risk Factors ◽

Psychosocial Risk ◽

Cross Sectional ◽

Precarious Employment

Download Full-text

Disgust as an emotional driver of vaccine attitudes and uptake? A mediation analysis

Epidemiology and Infection ◽

10.1017/s0950268819000517 ◽

2019 ◽

Vol 147 ◽

Cited By ~ 4

Author(s):

P. M. Luz ◽

H. E. Brown ◽

C. J. Struchiner

Keyword(s):

Mediation Analysis ◽

Cross Sectional Study ◽

Vaccine Uptake ◽

Disgust Sensitivity ◽

Cross Sectional ◽

Perceived Susceptibility ◽

Psychological Determinants ◽

Negative Effect ◽

The Usa ◽

Positive Effect

AbstractResearch on the drivers of vaccine acceptance has expanded but most interventions fall short of coverage targets. We explored whether vaccine uptake is driven directly or indirectly by disgust with attitudes towards vaccines acting as a possible mediator. An online cross-sectional study of 1007 adults of the USA via Amazon's Mechanical Turk was conducted in January 2017. The questionnaire consisted of four sections: (1) items assessing attitudes towards vaccines and vaccine uptake, (2) revised Disgust Scale (DS-R) to measure Disgust Sensitivity, (3) Perceived Vulnerability to Disease scale (PVD) to measure Germ Aversion and Perceived Susceptibility, and (4) socio-demographic information. Using mediation analysis, we assess the direct, the indirect (through Vaccine Attitudes) and the total effect of Disgust Sensitivity, Germ Aversion and Perceived Susceptibility on 2016 self-reported flu vaccine uptake. Mediation analysis showed the effect of Disgust Sensitivity and Germ Aversion on vaccine uptake to be twofold: a direct positive effect on vaccine uptake and an indirect negative effect through Vaccine Attitudes. In contrast, Perceived Susceptibility was found to have only a direct positive effect on vaccine uptake. Nonetheless, these effects were attenuated and small compared to economic, logistic and psychological determinants of vaccine uptake.

Download Full-text

Exploring food insecurity and obesity in Dutch disadvantaged neighborhoods: a cross-sectional mediation analysis

BMC Public Health ◽

10.1186/s12889-020-08611-x ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Laura A. van der Velde ◽

Claire J. Nyns ◽

Marije D. Engel ◽

Judith E. Neter ◽

Irene M. van der Meer ◽

...

Keyword(s):

Food Insecurity ◽

Mediation Analysis ◽

Cross Sectional ◽

Disadvantaged Neighborhoods

Download Full-text

Depression is linked to hyperglycaemia via suboptimal diabetes self-management: A cross-sectional mediation analysis

Journal of Psychosomatic Research ◽

10.1016/j.jpsychores.2016.12.015 ◽

2017 ◽

Vol 94 ◽

pp. 17-23 ◽

Cited By ~ 19

Author(s):

Andreas Schmitt ◽

André Reimer ◽

Norbert Hermanns ◽

Bernhard Kulzer ◽

Dominic Ehrmann ◽

...

Keyword(s):

Mediation Analysis ◽

Self Management ◽

Cross Sectional

Download Full-text

Two dimensions of problematic smartphone use mediate the relationship between fear of missing out and emotional well-being

Cyberpsychology Journal of Psychosocial Research on Cyberspace ◽

10.5817/cp2020-3 ◽

2020 ◽

Vol 14 (2) ◽

Author(s):

Nino Gugushvili ◽

Karin Täht ◽

Dmitri Rozgonjuk ◽

Maris Raudlam ◽

Robert Ruiter ◽

...

Keyword(s):

Mediation Analysis ◽

Negative Relationship ◽

Well Being ◽

Cross Sectional Study ◽

Physical Symptoms ◽

Two Dimensions ◽

Cross Sectional ◽

Fear Of Missing Out ◽

Smartphone Use ◽

The Relationship

It has been shown that both fear of missing out (FoMO) and problematic (i.e., excessive) smartphone use (PSU) are negatively associated with indicators of emotional well-being. Moreover, FoMO has been found to be a key predictor of PSU. This suggests that PSU may mediate the relation between FoMO and decreased emotional well-being but this pathway has never been tested. Moreover, in most studies on PSU, the multidimensional nature of this construct has been ignored. The aim of the present study was to address these gaps by directly testing the mediating role of (subdimensions of) PSU in the association between FoMO and emotional well-being. We conducted a cross-sectional study with Estonian participants (n = 426). Using a simple mediation analysis, we found that PSU partially mediated the relationship between FoMO and decreased emotional well-being. Using a parallel mediation analysis, we found that two specific dimensions of PSU were significant mediators of the relationship between FoMO and decreased emotional well-being: Cyberspace-oriented Relations and Physical Symptoms. This suggests that the negative relationship between FoMO and decreased emotional well-being is due to FoMO stimulating (a) online relationships at the cost of offline interactions and (b) Physical symptoms associated with excessive smartphone use. Overall, this study provides a fine-grained analysis of the relationship between FoMO, PSU and emotional well-being.

Download Full-text

Two dimensions of problematic smartphone use mediate the relationship between fear of missing out and emotional well-being

Cyberpsychology Journal of Psychosocial Research on Cyberspace ◽

10.5817/cp2020-2-3 ◽

2020 ◽

Vol 14 (2) ◽

Cited By ~ 1

Author(s):

Nino Gugushvili ◽

Karin Täht ◽

Dmitri Rozgonjuk ◽

Maris Raudlam ◽

Robert Ruiter ◽

...

Keyword(s):

Mediation Analysis ◽

Negative Relationship ◽

Well Being ◽

Cross Sectional Study ◽

Physical Symptoms ◽

Two Dimensions ◽

Cross Sectional ◽

Fear Of Missing Out ◽

Smartphone Use ◽

The Relationship

It has been shown that both fear of missing out (FoMO) and problematic (i.e., excessive) smartphone use (PSU) are negatively associated with indicators of emotional well-being. Moreover, FoMO has been found to be a key predictor of PSU. This suggests that PSU may mediate the relation between FoMO and decreased emotional well-being but this pathway has never been tested. Moreover, in most studies on PSU, the multidimensional nature of this construct has been ignored. The aim of the present study was to address these gaps by directly testing the mediating role of (subdimensions of) PSU in the association between FoMO and emotional well-being. We conducted a cross-sectional study with Estonian participants (n = 426). Using a simple mediation analysis, we found that PSU partially mediated the relationship between FoMO and decreased emotional well-being. Using a parallel mediation analysis, we found that two specific dimensions of PSU were significant mediators of the relationship between FoMO and decreased emotional well-being: Cyberspace-oriented Relations and Physical Symptoms. This suggests that the negative relationship between FoMO and decreased emotional well-being is due to FoMO stimulating (a) online relationships at the cost of offline interactions and (b) Physical symptoms associated with excessive smartphone use. Overall, this study provides a fine-grained analysis of the relationship between FoMO, PSU and emotional well-being.

Download Full-text

Hospital Nurses’ Perception of Death and Self-Reported Performance of End-of-Life Care: Mediating Role of Attitude towards End-of-Life Care

Healthcare ◽

10.3390/healthcare8020142 ◽

2020 ◽

Vol 8 (2) ◽

pp. 142

Author(s):

Hyo-Jin Park ◽

Yun-Mi Lee ◽

Mi Hwa Won ◽

Sung-Jun Lim ◽

Youn-Jung Son

Keyword(s):

Linear Regression ◽

End Of Life ◽

Mediation Analysis ◽

End Of Life Care ◽

Cross Sectional Study ◽

Hospital Nurses ◽

Life Care ◽

Cross Sectional ◽

Mediating Role

Few studies have explored how nurses in acute care hospitals perceive and perform end-of-life care in Korea. Therefore, this study aimed to evaluate the influence of nurses’ perceptions of death on end-of-life care performance and analyze the mediating role of attitude towards end-of-life care among hospital nurses. This cross-sectional study included a total of 250 nurses who have had experience with end-of-life care from four general hospitals in Korea. We used the Korean validated tools with the View of Life and Death Scale, the Frommelt Attitudes Toward Care of the Dying (FATCOD) scale, and the performance of end-of-life care. Hierarchical linear regression and mediation analysis, applying the bootstrapping method. The results of hierarchical linear regression showed that nurses’ positive perceptions of death and attitude towards end-of-life care were significantly associated with their performance of end-of-life care. A mediation analysis further revealed that nurses’ attitude towards end-of-life care mediates the relationship between the perceptions of death and performance of end-of-life care. Our findings suggest that supportive and practical death educational programs should be designed, based on nurses’ professional experience and work environment, which will enable them to provide better end-of-life care.

Download Full-text

Sexual violence and suicidal ideation among French adults, a mediation analysis

European Journal of Public Health ◽

10.1093/eurpub/ckz186.576 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Author(s):

F El-Khoury ◽

Keyword(s):

Mental Health ◽

Suicidal Ideation ◽

Sexual Assault ◽

Sexual Violence ◽

Mediation Analysis ◽

Suicide Attempts ◽

Mental Health Problems ◽

Adult Population ◽

Cross Sectional ◽

Increased Risk

Abstract Objectives Sexual violence against women is endemic and is linked with a host of mental health problems and suicidal behaviour. We test whether sexual violence is more prevalent and have more damaging psychological effects among women compared to men, and quantify its mediating role in the association between sex and suicidal ideation and behaviour. Methods We used data from the “Health Barometer” (Baromètre Santé) 2017 a cross-sectional phone survey, which recruited a nationally representative sample of French adults aged 18 to 75 years in 2017 (n = 25319). Data were weighted to be representative of the French adult population. Outcomes included suicidal ideation, imagery of suicide, and suicide attempts in the preceding year. We conducted mutlivariable mediation analysis using the counterfactual approach to evaluate the contribution that lifetime sexual violence has in the association between sex and suicidal ideation and behaviour. Results We found that women are five times more likely to have experienced sexual victimisation, and are more at risk of any suicidal ideation and imagery of suicide in the preceding year compared to men. Women and men had comparable rates of suicide attempts in the preceding year. We estimated that 47% of the increased risk of suicidal ideation in the preceding year women have compared to men is mediated by lifetime sexual assault. Lifetime sexual assault also explained 39% of the association between sex and having imagery of suicide. Discussion Our findings reiterate the importance of the prevention of sexual violence and an adequate care for sexual assault victims, especially women, in public health and mental health policies and initiatives. Key messages Women are five times more likely to have experienced sexual victimisation compared to men, and are more likely to suffer from suicidal ideation in the preceding year. Experience of lifetime sexual violence contributes substantially (around 50%) to women’s increased likelihood of suicidal ideation compared to men.

Download Full-text