Spatial distribution of gambling: two indexes in support of the reduction of health inequalities

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Papineau ◽  
E Robitaille ◽  
C Prisca Samba ◽  
F Lemétayer ◽  
Y Kestens ◽  
...  
Keyword(s):  
Relative Risk ◽  
Average Distance ◽  
Spatial Accessibility ◽  
Prevalence Survey ◽  
Cross Sectional ◽  
Treatment Services ◽  
Risk Monitoring ◽  
Dissemination Area ◽  
Interactive Map ◽  
The Relationship

Abstract Background Many studies have showed that disadvantaged areas residents have greater access to gambling sites and are more affected by gambling. Our research proposes an innovative method to characterize gambling environments in Quebec and addresses social inequality with respect to gambling exposure. Methods This cross-sectional ecological study was carried out in 3 stages: a Gambling Exposure Index (GEI) was built and is composed of 3 dimensions: spatial accessibility to gambling sites, density of gambling places, and relative risk associated with the types of game. The two-step floating catchment area (2SFCA) method was used to combine these dimensions into an overall GEI index. Data was retrieved from a geocoded directory of gambling sites and commercial databases. The relative risk of games is expressed by prevalence rates for those specific games in a Quebec population prevalence survey. A Vulnerability to Gambling Index (VGI) was produced based on 6 socio-economic proxies of problem gambling from the 2016 Canadian census, which were weighted and aggregated at the dissemination area (DA) level. Spatial and descriptive statistical analyses were conducted to explore the relationship between VGI and GEI, and to identify highly exposed and vulnerable areas. Results Our analyzes reveal significant associations between the GEI and the VGI in 2 599 out of 13 420 Quebec DAs (p < 0.05). Sectors with a high GEI show an average distance to the closest gambling sites of 2.8 km compared with 13.5 km for more advantaged sectors. Conclusions The interactive online mapping of the two indexes and statistical analysis of the results are beneficial to the professionals working in several fields such as risk monitoring, management of zoning, licensing and gambling distribution, prevention and treatment services. The method and the associated tools can be adapted to address the problem of increased accessibility to other unhealthy products in vulnerable neighborhoods. Key messages Two innovative ecological indexes show that increased accessibility to gambling correlates with a higher vulnerability to gambling in many Quebec regions. The online interactive map on gambling exposure and vulnerability provides reliable criteria to municipal, regional and governmental bodies for a safer distribution of gambling offer.

scholarly journals Diverging trends of respiratory allergies and eczema in Greek schoolchildren: Six surveys during 1991‐2018

2022 ◽  
Vol 43 (1) ◽  
pp. e17-e24 ◽  
Author(s):  
Styliani Malliori ◽  
Alexandros Ntzounas ◽  
Panagiotis Lampropoulos ◽  
Eleana Koliofoti ◽  
Kostas N. Priftis ◽  
...  
Keyword(s):  
Relative Risk ◽  
Forced Expiratory Volume ◽  
Cross Sectional ◽  
Current Asthma ◽  
The Past ◽  
Respiratory Allergies ◽  
Children With Asthma ◽  
Questionnaire Surveys ◽  
The Relationship ◽  
The City

Background: The prevalence of childhood asthma, rhinoconjunctivitis, and eczema in the city of Patras, Greece, has been followed in four consecutive surveys since 1991. After a continuous rise in the prevalence of all three of these disorders, a plateau was reached for asthma between 2003 and 2008, whereas the prevalence of rhinoconjunctivitis and eczema continued to increase. Objective: To investigate these trends in the same population into the following decade. Methods: We repeated two methodologically identical cross-sectional parental questionnaire surveys in 2013 and 2018 among 8‐9-year-old schoolchildren (N = 2554 and N = 2648, respectively). In 2018, spirometry and fractional exhaled nitric oxide (FeNO) measurements were also performed. Results: Current asthma (i.e., wheeze/asthma in the past 2 years) decreased from 6.9% in 2008 to 5.2% in 2013 and 4.3% in 2018 (p for trend < 0.001). The prevalence of lifetime (“ever had”) rhinoconjunctivitis also declined (5.1% in 2008, 4.4% in 2013, 3.0% in 2018; p for trend < 0.001), whereas that of lifetime eczema increased (10.8%, 13.6%, and 16.1%, respectively; p for trend < 0.001). The relative risk of current asthma in children with ever-had rhinoconjundtivitis was 7.73 in 2008, 6.00 in 2013, and 6.69 in 2018, whereas the relative risk in those with ever-had eczema was 5.15, 2.80, and 2.22, respectively. Among children with asthma, those with rhinoconjunctivitis had lower forced expiratory volume in the first second of expiration and higher FeNO values than those with eczema. Conclusion: The prevalence of asthma and rhinoconjunctivitis declined during the past decade in Greek schoolchildren, whereas the prevalence of eczema continued to rise. Nevertheless, the relationship between rhinoconjunctivitis and asthma remained strong, whereas the association between eczema and asthma appears to have weakened.

scholarly journals HUBUNGAN BUDAYA MASYARAKAT DENGAN TINGKAT KECEMASAN PADA PASANGAN INFERTIL DI RSIA ANNISA JAMBI TAHUN 2015

2018 ◽  
Vol 18 (1) ◽  
pp. 161
Author(s):  
Bri Novrika
Keyword(s):  
Supportive Therapy ◽  
Sampling Technique ◽  
Infertile Couple ◽  
Chi Square ◽  
Cross Sectional ◽  
Community Culture ◽  
Treatment Services ◽  
Chi Square Test ◽  
Infertile Couples ◽  
The Relationship

Differences in the culture of patriarchal or matriarchal society can influence the way people view the couple with infertility problems and the importance of the existence of children in a family. This study aims to determine the relationship between the culture of the community with anxiety levels in infertile couples at RSIA Annisa Jambi. The type of this study was cross sectional, with a sample of 76 female infertile couples who experienced anxiety with total sampling technique. Data analysis with chi square test. The result of this research shows that there is a cultural relation (p = 0,000) with anxiety level on infertile couple. It is expected that hospitals providing infertility treatment services to provide therapy through psychiatric nursing psychoeducation therapy and / or supportive therapy to infertile couples so as to assist in minimizing the anxiety experienced and support the treatment program undergone infertile couples.Keyword : Community culture, Anxiety, Infertile couples

scholarly journals The Relationship between Phimosis, Smegma, and Preputial Bacteria with Inflammatory Status of Circumcised Patient

2020 ◽  
Vol 9 (3S) ◽  
pp. 289-292
Keyword(s):  
Urinary Tract ◽  
Relative Risk ◽  
Urinary Tract Infections ◽  
Analytical Study ◽  
Significant Risk ◽  
Chi Square ◽  
Cross Sectional ◽  
Inflammatory Status ◽  
Tract Infections ◽  
The Relationship

Phimosis is the inability of the penis to potrude from the prepuce either partially or completely and the preputial retractability increases with age. Circumcision is believed by various parties as a form of defense against pathogens that may cause various abnormalities. Smegma is whitish lump that formed from desquamation of preputial epithelial cells. Smegma and bacteria in the prepuce may cause abnormalities such as genital infections, urinary tract infections, and even malignancy. This study aims to determine the presence between phimosis, smegma, and preputial bacteria, and its relationship with inflammatory status of circumcised patient. A cross sectional analytical study for boys who underwent circumcision at Saiful Anwar General Hospital Malang. The data will be analyzed using chi-square and will be calculated for the relative risk. There were 76 patients who underwent circumcision from March 2018 until August 2018. The result was found that the presence of phimosis was significantly associated with the presence of smegma and preputial bacteria (p <0.01) with a risk of 30x and 8x respectively. However, the presence of smegma and preputial bacteria in the prepuce was not significantly associated with the inflammatory status in the prepuce (p = 0.541 & p = 0.084). In conclusion, the presence of phimosis has a significant risk in the formation of smegma and the growth of preputial bacteria.

scholarly journals Changes in socio-economic patterns of energy consumption and insufficient energy intake across India from 1993–94 to 2011–12

2019 ◽  
Vol 23 (2) ◽  
pp. 231-242
Author(s):  
Jessica M Perkins ◽  
Suman Chakrabarti ◽  
William Joe ◽  
Hwa-Young Lee ◽  
Jongho Heo ◽  
...  
Keyword(s):  
Energy Consumption ◽  
Relative Risk ◽  
Energy Intake ◽  
Rural Areas ◽  
Urban Areas ◽  
Average Energy ◽  
Survey Study ◽  
Cross Sectional ◽  
Time Points ◽  
The Relationship

AbstractObjective:To assess whether disparities in energy consumption and insufficient energy intake in India have changed over time across socio-economic status (SES).Design:This cross-sectional, population-based survey study examines the relationship between several SES indicators (i.e. wealth, education, caste, occupation) and energy consumption in India at two time points almost 20 years apart. Household food intake in the last 30 d was assessed in 1993–94 and in 2011–12. Average dietary energy intake per person in the household (e.g. kilocalories) and whether the household consumed less than 80 % of the recommended energy intake (i.e. insufficient energy intake) were calculated. Linear and relative risk regression models were used to estimate the relationship between SES and average energy consumed per day per person and the relative risk of consuming an insufficient amount of energy.Setting:Rural and urban areas across India.Participants:A nationally representative sample of households.Results:Among rural households, there was a positive association between SES and energy intake across all four SES indicators during both survey years. Similar results were seen for energy insufficiency vis-à-vis recommended energy intake levels. Among urban households, wealth was associated with energy intake and insufficiency at both time points, but there was no educational patterning of energy insufficiency in 2011–12.Conclusions:Results suggest little overall change in the SES patterning of energy consumption and percentage of households with insufficient energy intake from 1993–94 to 2011–12 in India. Policies in India need to improve energy intake among low-SES households, particularly in rural areas.

Endoscopic Plantar Fascia Release: A Cross-sectional Anatomic Study

1997 ◽  
Vol 18 (7) ◽  
pp. 398-401 ◽  
Author(s):  
Fredrick Reeve ◽  
Richard T. Laughlin ◽  
Douglas G. Wright
Keyword(s):  
Average Distance ◽  
Plantar Fascia ◽  
Anatomic Study ◽  
Abductor Hallucis ◽  
Cross Sectional ◽  
Abductor Hallucis Muscle ◽  
Fresh Frozen ◽  
Abductor Digiti Minimi ◽  
The Relationship ◽  
Plantar Fascia Release

Endoscopic plantar fascia release is a new procedure proposed to treat heel pain and plantar fasciitis. The purpose of this study was to assess the structures at risk during plantar fascia release using this method. Ten fresh-frozen cadaver feet were divided into two groups. All specimens underwent cannula placement inferior to the plantar fascia. Five of the specimens had plantar fascia release using the endoscopic technique. Six of the specimens were then frozen and cut in transverse, sagittal, and coronal sections to visualize the relationship between the cannula and plantar fascia and surrounding structures. Gross dissection was performed on the remaining four specimens. The amount of plantar fascia released, the relationship to the nerve to abductor digiti minimi, and the fascia of the abductor hallucis muscle were assessed. The average distance from the cannula margin to the nerve to the abductor digiti minimi was 6 mm at the medial border of the plantar fascia. The average amount of plantar fascia released was 90%. Although a complete release was attempted, the fascia to the abductor hallucis was not released in any of the specimens. The nerve to the abductor digiti minimi was not damaged in any of the specimens. On coronal sections, the nerve was closer to the cannula and plantar fascia release than previously reported.

scholarly journals To what extent does the COVID-19 pandemic impact patients with anorexia nervosa?

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S273-S273
Author(s):  
Krishna Mehta
Keyword(s):  
Anorexia Nervosa ◽  
English Language ◽  
Mental Illnesses ◽  
Cross Sectional ◽  
Individual Level ◽  
Care Services ◽  
Treatment Services ◽  
Pubmed Database ◽  
Study Results ◽  
The Relationship

AimsThis systematic review aims to discuss the extent to which the measures undertaken to control the COVID-19 pandemic in several countries have affected those with Anorexia Nervosa (AN). The coronavirus pandemic is still raging on in many countries and its effects will still be felt years from now and previous studies have shown that it has impacted other mental illnesses. AN cases are on the rise and the nature of the illness has deadly consequences, therefore it is paramount to discuss the relationship between the COVID-19 measures and symptomatology of AN to ensure appropriate services are in place to deal with potential outcomes.MethodSystematic search of the PubMed database gave thirty-three total results with seven of these used in this review. These studies met the inclusion criteria; examples include primary studies and use of the English Language. The exclusion criteria involved literature reviews, studies with less than ten participants and studies not separating AN from other eating disorders.ResultMany studies were cross sectional in nature except two longitudinal studies. Anorexic symptomology increased in the majority of papers in this review. Specifically restricting intake has increased compared to before lockdown measures. Physical activity has varied on an individual level in most studies potentially due to compensatory behaviours. Co-morbid psychopathologies were also noted during these studies. There are many factors behind these changes such as food insecurity, the effect of media and social media, uncertainty and the lack of social interaction. A number of participants across the studies were dissatisfied with treatment services during lockdowns. Variability in study results may be due to the differences in measures between countries and the use of self-reported cases compared to those contacted through care services. Limitations of this review are largely due to the how current the topic is and recommendations for the future include reviewing new studies that are published and to review the situation once the full impact of COVID-19 is known.ConclusionPatients with AN have struggled more due to the COVID-19 measures and the true effect of the pandemic is yet to be felt. Further studies and reviews should be conducted. The appropriate services should be put into place to ensure patients are supported effectively.

Coping Style as a Mediator of the Relationship Between Depressive Symptoms and Deliberate Self-Harm

Crisis ◽  
2011 ◽  
Vol 32 (5) ◽  
pp. 272-279 ◽  
Author(s):  
Allison S. Christian ◽  
Kristen M. McCabe
Keyword(s):  
Depressive Symptoms ◽  
Undergraduate Students ◽  
Cross Sectional Study ◽  
Self Report ◽  
Hierarchical Regression ◽  
Cross Sectional ◽  
Deliberate Self Harm ◽  
Self Blame ◽  
Self Harm ◽  
The Relationship

Background: Deliberate self-harm (DSH) occurs with high frequency among clinical and nonclinical youth populations. Although depression has been consistently linked with the behavior, not all depressed individuals engage in DSH. Aims: The current study examined maladaptive coping strategies (i.e., self-blame, distancing, and self-isolation) as mediators between depression and DSH among undergraduate students. Methods: 202 students from undergraduate psychology courses at a private university in Southern California (77.7% women) completed anonymous self-report measures. Results: A hierarchical regression model found no differences in DSH history across demographic variables. Among coping variables, self-isolation alone was significantly related to DSH. A full meditational model was supported: Depressive symptoms were significantly related to DSH, but adding self-isolation to the model rendered the relationship nonsignificant. Limitations: The cross-sectional study design prevents determination of whether a casual relation exists between self-isolation and DSH, and obscures the direction of that relationship. Conclusions: Results suggest targeting self-isolation as a means of DSH prevention and intervention among nonclinical, youth populations.

Authoritative Maternal Parenting Associates With the Explicit Need for Autonomy

2020 ◽  
Vol 41 (2) ◽  
pp. 110-116
Author(s):  
Jonathan E. Ramsay
Keyword(s):  
University Students ◽  
Parenting Style ◽  
Cross Sectional ◽  
Perceived Parenting ◽  
Maternal Parenting ◽  
Retrospective Design ◽  
Dependent Variables ◽  
Paternal Parenting ◽  
The Relationship

Abstract. Previous research suggests that parenting style influences the development of the needs for achievement, power, and affiliation. The present study investigated the relationship between parenting style and another important motive disposition – the need for autonomy – in a sample of Singapore university students ( N = 97, 69% female), using a cross-sectional and retrospective design. It was predicted that an authoritative perceived parenting style would relate positively to the implicit need for autonomy ( nAut), the explicit need for autonomy ( sanAut), and the congruence between these two motive dispositions. Authoritative maternal parenting was found to positively associate with sanAut, while maternal parenting was not found to associate with nAut, or with nAut/ sanAut congruence. Paternal parenting was not associated with any of the dependent variables.

HUBUNGAN KUALITAS KEHIDUPAN KERJA TERHADAP KINERJA PERAWAT PELAKSANA

2019 ◽  
Vol 9 (4) ◽  
pp. 413-420
Author(s):  
Amella Gusty ◽  
Dachriyanus Dachriyanus ◽  
Leni Merdawati
Keyword(s):  
District Hospital ◽  
Simple Random Sampling ◽  
Work Life ◽  
Quality Of Work Life ◽  
P Value ◽  
Work Context ◽  
Cross Sectional ◽  
Quality Of Work ◽  
The Relationship

Kinerja perawat merupakan hasil yang dicapai dalam melaksanakan asuhan keperawatan di rumah sakit. Terciptanya asuhan keperawatan yang optimal sangat diperlukan dukungan dari pihak rumah sakit salah satunya adalah menciptakan kualitas kehidupan kerja baik bagi perawat. Penelitian ini bertujuan untuk mengetahui hubungan antara kualitas kehidupan kerja terhadap kinerja perawat pelaksana di RSUD Teluk Kuantan. Jenis penelitian kuantitatif dengan pendekatan cross sectional. Jumlah sampel 120 responden yang diperoleh melalui proportionate simple random sampling. Hasil penelitian menunjukkan kualitas kehidupan kerja perawat RSUD Teluk Kuantan berada pada kategori sedang, kinerja perawat berada pada kategori kurang baik. Berdasarkan analisis kedua variabel teridentifikasi bahwa tidak ada hubungan antara kualitas kehidupan kerja dengan kinerja perawat pelaksana dengan  p value 0,817. Dimensi work context merupakan komponen yang memiliki hubungan dengan kinerja perawat pelaksana dengan p value 0,008, dimensi work life  tidak berhubungan secara signifikan dengan kinerja perawat. Kesimpulan penelitian diketahui tidak ada hubungan antara kualitas kehidupan kerja dengan kinerja perawat pelaksana. Ada hubungan dimensi work context dengan kinerja perawat pelaksana. Tidak ada hubungan dimensi work life dengan kinerja perawat.   Kata kunci: kualitas kehidupan kerja, kinerja, perawat pelaksana   THE RELATIONSHIP BETWEEN THE QUALITY OF WORK LIFE AND THE PERFORMANCE OF IMPLEMENTERS NURSES   ABSTRACT Nurse performance is the result achieved in implementing nursing care in a hospital. The creation of optimal nursing care is very much needed support from the hospital, one of which is to create a good quality of work life for nurses. This study aims to determine the relationship between the quality of work life and the performance of nurses at the Kuantan District Hospital. This type of quantitative research with cross sectional approach. The number of samples of 120 respondents obtained through proportionate simple random sampling. The results showed that the quality of work life of nurses at the Kuantan District Hospital was in the medium category, the nurses' performance was in the unfavorable category. Based on the analysis of the two variables, it was identified that there was no relationship between the quality of work life with the performance of implementing nurses with a p value of 0.817. The work context dimension is a component that has a relationship with the performance of nurses implementing with p value 0.008, the dimension of work life does not significantly correlate with nurse performance. The conclusion of the research is that there is no relationship between the quality of work life and the performance of the implementing nurses. There is a relationship between the dimensions of the work context and the performance of the nurses. There is no relationship between the dimensions of work life and nurse performance.   Keywords: quality of work life, performance, implementers nurse

HUBUNGAN KOMUNIKASI TERAPEUTIK PERAWAT DENGAN KECEMASAN ANAK USIA PRASEKOLAH AKIBAT HOSPITALISASI

2019 ◽  
Vol 9 (2) ◽  
pp. 135-140
Author(s):  
Qurrotul Aeni ◽  
Andriyani Mustika Nurwijayanti ◽  
Muhammad Khabib Burhanuddin Iqomh
Keyword(s):  
Research Data ◽  
School Age Children ◽  
P Value ◽  
School Age ◽  
Therapeutic Communication ◽  
Cross Sectional ◽  
Communication Anxiety ◽  
Children’S Anxiety ◽  
The Relationship ◽  
Severe Anxiety

Introduction: anxiety is a condition that will be experienced by children who experience hospitalization and must get attention and management. Anxiety during hospitalization that is not properly addressed will hinder treatment and affect child development. The purpose of the study: to determine the relationship between therapeutic communication nurses and the anxiety of preschool children due to hospitalizationMethod: The study design used descriptive correlation with a cross-sectional approach. The number of samples is 31 with purposive sampling. Collecting research data using a questionnaire.Results: The results showed a majority of therapeutic communication was 61.3%, anxiety in children due to hospitalization of 100% with severe anxiety was 58.1%, there was a relationship between therapeutic communication and children's anxiety (p = 0.001). Suggestions need to be carried out further research on the factors that influence the low therapeutic communication in nurses.Discussion: The results of the statistical analysis using the Spearman's Rho test got p value 0.001 (p <0.05) the relationship between therapeutic communication and the anxiety of pre-school age children who experienced hospitalization, therapeutic communication can be used as an action to prevent anxiety due to hospitalization in pre-school age children.Suggestion: need to do further research on the factors that influence the low therapeutic communication in nurses Keywords: therapeutic communication, anxiety, hospitalization.  

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