scholarly journals Discrepancy Between Perceived Diet Quality and Actual Diet Quality Among US Adult Cancer Survivors (OR14-05-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Hong Xue ◽  
Jin Liu
Keyword(s):  
Logistic Regression ◽  
Cancer Survivors ◽  
Diet Quality ◽  
Regression Models ◽  
Vegetable Intake ◽  
Multinomial Logistic Regression ◽  
Calorie Intake ◽  
Fruit Intake ◽  
Logistic Regression Models

Abstract Objectives Postdiagnosis diet and food choices are essential for survivorship management. However, diet quality of cancer survivors is generally low. This study aimed to examine he temporal trends of diet quality of cancer survivors, assess the discrepancy between perceived diet quality and actual diet quality among cancer survivors, and its impact on their actual diet quality. Methods The National Health and Nutrition Examination Survey (NHANES) data 2005 -2014 were used in this study. Logistic regression models were fit to examine the influence of misperception of eating healthiness on diet quality measured by healthy eating index (HEI). Multinomial logistic regression models were fit to examine the factors that may influence the likelihood of diet quality misperception. Results Between 2005 and 2014, there was an increasing trend in HEI in cancer survivors, with a small but significant increase of 0.7 per year. Non-Hispanic white survivors had a consistent higher total HEI score compared to other race/ethnic groups during this period. There were 11.66%, 29.67% and 38.02% cancer survivors who rated their overall diet quality as excellent, very good, or good, while 16.96% and 3.69% perceived their overall diet as fair and poor respectively. Kappa statistic indicated a low agreement between the self-perceived diet quality and the actual diet quality measured by HEI among cancer survivors (0.06, 95% CI: 0.02, 0.09). with adjustment of age, gender, race/ethnicity, and SES status, over-rate misperception was associated with a 5.39 lower total HEI score P < 0.0001), 1.00 lower HEI score of empty calorie intake (P = 0.0028), 0.15 lower score of vegetable intake (P = 0.108) and 0.29 lower score of fruit intake. On the other hand, under-rate misperception was associated with a 7.12 higher total HEI score P < 0.0001), 2.57 higher HEI score of empty calorie intake (P < 0.0001), 0.02 higher score of vegetable intake (P = 0.904) and 0.84 higher score of fruit intake (P = 0.001). Multinomial logistic regression suggested that higher income was also associated with higher odds of being an over-rater. Individuals with college education or above were more likely to over-rate their diet quality compared to those with high school or under education (OR: 1.32, 95% CI: 1.005 1.732). Moreover, Hispanics were more likely than Non-Hispanic Whites to over-rate their diet quality ( OR: 1.792, 95% CI: 1.062, 3.024). Conclusions The divergence between self-assessed eating health and the HEI measured diet quality was an important factor that may have influenced cancer survivors’ diet behavior and diet quality. Funding Sources NA.

Physician Perceptions on Quality of Life and Resuscitation Preferences for Extremely Early Newborns

2021 ◽  
Author(s):  
Danielle LoRe ◽  
Christopher Mattson ◽  
Dalia M. Feltman ◽  
Jessica T. Fry ◽  
Kathleen G. Brennan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Logistic Regression ◽  
Regression Models ◽  
Mixed Effects ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Comfort Care ◽  
Logistic Regression Models ◽  
Extremely Preterm

Objective The study aimed to explore physician views on whether extremely early newborns will have an acceptable quality of life (QOL), and if these views are associated with physician resuscitation preferences. Study Design We performed a cross-sectional survey of neonatologists and maternal fetal medicine (MFM) attendings, fellows, and residents at four U.S. medical centers exploring physician views on future QOL of extremely early newborns and physician resuscitation preferences. Mixed-effects logistic regression models examined association of perceived QOL and resuscitation preferences when adjusting for specialty, level of training, gender, and experience with ex-premature infants. Results A total of 254 of 544 (47%) physicians were responded. A minority of physicians had interacted with surviving extremely early newborns when they were ≥3 years old (23% of physicians in pediatrics/neonatology and 6% in obstetrics/MFM). The majority of physicians did not believe an extremely early newborn would have an acceptable QOL at the earliest gestational ages (11% at 22 and 23% at 23 weeks). The majority of physicians (73%) believed that having an extremely preterm infant would have negative effects on the family's QOL. Mixed-effects logistic regression models (odds ratio [OR], 95% confidence interval [CI]) revealed that physicians who believed infants would have an acceptable QOL were less likely to offer comfort care only at 22 (OR: 0.19, 95% CI: 0.05–0.65, p < 0.01) and 23 weeks (OR: 0.24, 95% CI: 0.07–0.78, p < 0.02). They were also more likely to offer active treatment only at 24 weeks (OR: 9.66, 95% CI: 2.56–38.87, p < 0.01) and 25 weeks (OR: 19.51, 95% CI: 3.33–126.72, p < 0.01). Conclusion Physician views of extremely early newborns' future QOL correlated with self-reported resuscitation preferences. Residents and obstetric physicians reported more pessimistic views on QOL. Key Points

Domestic Violence Reported to the Police: Correlates of Victims’ Reporting Behavior and Support to Legal Proceedings

2016 ◽  
Vol 31 (3) ◽  
pp. 402-415 ◽  
Author(s):  
Rémi Boivin ◽  
Chloé Leclerc
Keyword(s):  
Domestic Violence ◽  
Logistic Regression ◽  
Regression Models ◽  
Multinomial Logistic Regression ◽  
The Other ◽  
Individual Factors ◽  
Initial Report ◽  
Logistic Regression Models ◽  
Legal Proceedings ◽  
History Of

This article analyzes reported incidents of domestic violence according to the source of the complaint and whether the victim initially supported judicial action against the offender. Almost three quarters of incidents studied were reported by the victim (72%), and a little more than half of victims initially wanted to press charges (55%). Using multinomial logistic regression models, situational and individual factors are used to distinguish 4 incident profiles. Incidents in which the victim made the initial report to the police and wished to press charges are the most distinct and involve partners who were already separated at the time of the incident or had a history of domestic violence. The other profiles also show important differences.

scholarly journals Diet Quality Measured by Healthy Eating Index-2015 is Inversely Associated with Depression: NHANES 2011–2014

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 568-568 ◽  
Author(s):  
St John Katherine ◽  
David Gee
Keyword(s):  
Logistic Regression ◽  
Depressive Symptoms ◽  
Healthy Eating ◽  
Diet Quality ◽  
Total Protein ◽  
Regression Models ◽  
Healthy Eating Index ◽  
Added Sugar ◽  
Logistic Regression Models ◽  
Sugar Intake

Abstract Objectives The purpose of this study was to assess the relationship between diet quality and self-reported depressive symptoms in a nationally representative sample of the U.S. population. Methods A total of 8448 adults over the age of 20 were included in this study. Dietary data were based on 24-hour diet recalls and diet quality was measured using the USDA Healthy Eating Index (HEI)-2015. Symptoms of depression were assessed by trained interviewers using the Patient Health Questionnaire-9 (PHQ-9). Logistic regression models determined whether HEI-2015 scores differed between depressed and non-depressed adults after controlling for age, gender, poverty income ratio, and body mass index. Additional logistic regression models examined the association of HEI-2015 diet components and risk of depression. Results The overall prevalence of depression in this sample was 9.3%. Rates of depression were higher among women, middle-aged adults, obese subjects, and those of lower socioeconomic status. Compared to non-depressed adults (n = 7665), depressed adults (n = 783) had a lower total HEI-2015 score. HEI-2015 score was significantly (P &lt; 0.001) and inversely associated with depressive symptoms, both before and after adjusting for covariates. Greater intake of whole fruit, total protein, and lower added sugar intake was associated with a reduced risk of depression. Conclusions Dietitians should be aware that depressed patients may be consuming less-optimal diets than the non-depressed population and should assess diet quality. Lower intakes of whole fruit, total protein, and higher added sugar intake in particular may be prevalent in those with depressive symptoms. All health professionals should encourage a better balanced diet, and a diet pattern that adheres to the 2015–2020 DGA should be promoted for overall health. Funding Sources Central Washington University.

scholarly journals Releasing the conceptual spring to construct multiplicative reasoning

2020 ◽  
Author(s):  
Karen Zwanch ◽  
Jesse L. M. Wilkins
Keyword(s):  
Logistic Regression ◽  
Educational Research ◽  
Regression Models ◽  
Middle Grades ◽  
Multinomial Logistic Regression ◽  
American Educational Research Association ◽  
Research Association ◽  
Multiplicative Reasoning ◽  
Logistic Regression Models ◽  
Quantitative Verification

Abstract Constructing multiplicative reasoning is critical for students’ learning of mathematics, particularly throughout the middle grades and beyond. Tzur, Xin, Si, Kenney, and Guebert [American Educational Research Association, ERIC No. ED510991, (2010)] conclude that an assimilatory composite unit is a conceptual spring to multiplicative reasoning. This study examines patterns in the percentages of students who construct multiplicative reasoning across the middle grades based on their fluency in operating with composite units. Multinomial logistic regression models indicate that students’ rate of constructing an assimilatory composite unit but not multiplicative reasoning in sixth and seventh grades is significantly greater than that in eighth and ninth grades. Furthermore, the proportion of students who have constructed multiplicative reasoning in sixth and seventh grades is significantly less than the proportion of those who have constructed multiplicative reasoning in eighth and ninth grades. One implication of this is the quantitative verification of Tzur, Xin, Si, Kenney, and Guebert’s (2010) conceptual spring. That is, students who construct assimilatory composite units early in the middle grades are likely to construct multiplicative reasoning; students who do not construct assimilatory composite units early in the middle grades likely do not construct multiplicative reasoning in the middle grades.

Adverse Childhood Experiences and School-Based Victimization and Perpetration

2017 ◽  
Vol 35 (3-4) ◽  
pp. 662-681 ◽  
Author(s):  
Myriam Forster ◽  
Amy L. Gower ◽  
Barbara J. McMorris ◽  
Iris W. Borowsky
Keyword(s):  
Logistic Regression ◽  
School Violence ◽  
Adverse Childhood Experiences ◽  
Regression Models ◽  
Multinomial Logistic Regression ◽  
Self Report ◽  
Childhood Experiences ◽  
Logistic Regression Models ◽  
School Based ◽  
Adverse Childhood

Retrospective studies using adult self-report data have demonstrated that adverse childhood experiences (ACEs) increase risk of violence perpetration and victimization. However, research examining the associations between adolescent reports of ACE and school violence involvement is sparse. The present study examines the relationship between adolescent reported ACE and multiple types of on-campus violence (bringing a weapon to campus, being threatened with a weapon, bullying, fighting, vandalism) for boys and girls as well as the risk of membership in victim, perpetrator, and victim–perpetrator groups. The analytic sample was comprised of ninth graders who participated in the 2013 Minnesota Student Survey ( n ~ 37,000). Multinomial logistic regression models calculated the risk of membership for victim only, perpetrator only, and victim–perpetrator subgroups, relative to no violence involvement, for students with ACE as compared with those with no ACE. Separate logistic regression models assessed the association between cumulative ACE and school-based violence, adjusting for age, ethnicity, family structure, poverty status, internalizing symptoms, and school district size. Nearly 30% of students were exposed to at least one ACE. Students with ACE represent 19% of no violence, 38% of victim only, 40% of perpetrator only, and 63% of victim–perpetrator groups. There was a strong, graded relationship between ACE and the probability of school-based victimization: physical bullying for boys but not girls, being threatened with a weapon, and theft or property destruction ( ps < .001) and perpetration: bullying and bringing a weapon to campus ( ps < .001), with boys especially vulnerable to the negative effects of cumulative ACE. We recommend that schools systematically screen for ACE, particularly among younger adolescents involved in victimization and perpetration, and develop the infrastructure to increase access to trauma-informed intervention services. Future research priorities and implications are discussed.

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