scholarly journals OLDER LESBIAN HEALTH VIA RELATIONSHIP STATUS: HEALTH CONDITIONS AND HEALTH BEHAVIORS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S301-S302
Author(s):  
Jie Yang ◽  
Paige Averett
Keyword(s):  
Health Behaviors ◽  
Missing Values ◽  
Multivariate Logistic Regression Analysis ◽  
Health Conditions ◽  
Relationship Status ◽  
Bivariate Analysis ◽  
Committed Relationships ◽  
Lesbian Relationships ◽  
Multiple Imputations ◽  
Lesbian Health

Abstract Existing research has demonstrated that those in committed relationships are healthier than those who are not. However, very little research on same-sex relationships and particularly older lesbian relationships exists. The current study fills the gap by providing a health profile of lesbians in different relationship status, including partnered, widowed, casual dating, single—not dating, and celibate. The outcomes include diagnosed health conditions (include arthritis, high blood pressure, diabetes, depression, heart problems, and stroke) and health behaviors (exercise, smoking, and drinking). Data are from an original sample of 456 older lesbians aged 55 and over. Convenience sampling was adopted for this hard-to-reach population. Bivariate analysis results showed that widowed and celibate lesbians are more likely to report depression than other relationship groups. No disparity was found regarding health behaviors among different relationship groups. To further understand the unique group identifying as celibate, multivariate logistic regression analysis was performed to examine celibacy’s impact on lesbians’ reported depression after controlling for demographics and reported physical health. Multiple imputations was performed to handle missing values. Results showed that being celibate was associated with higher odds of reporting depression compared with having a partner or casually dating. Being celibate was also associated with lower odds of reporting depression compared with widows and singles who are not dating. To our knowledge, this study is the first to examine in details the health consequence of different relationship status among older American lesbians. Findings have important implication for health promotion among older lesbians.

ANALISIS HUBUNGAN SARANA, PENGETAHUAN, DAN SIKAP BIDAN PRAKTIK MANDIRI DENGAN KEPATUHAN MENJALANKAN STANDAR PELAYANAN ANTENATAL CARE DI KOTA PADANGSIDIMPUAN

2019 ◽  
Vol 2 (1) ◽  
pp. 27-33
Author(s):  
Megawati Sinambela ◽  
Evi Erianty Hasibuan
Keyword(s):  
Logistic Regression ◽  
Regression Analysis ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Logistic Regression Analysis ◽  
Care Service ◽  
Multivariate Logistic Regression Analysis ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
The North

Antenatal care is a service provided to pregnant women to monitor, support maternal health and detect mothers whether normal or problematic pregnant women. According to the WHO, globally more than 70% of maternal deaths are caused by complications of pregnancy and childbirth such as hemorrhage, hypertension, sepsis, and abortion. Based on data obtained from the profile of the North Sumatra provincial health office in 2017, in the city of Padangsidimpuan in 2017 the coverage of ANC visits reached (76.58%) and had not reached the target in accordance with the 2017 Provincial Health Office strategy plan (95%). This type of research was an observational analytic study with a cross sectional design. The population in this study were independent practice midwives who were in the Padangsidimpuan, the sample in this study amounted to 102 respondents. The technique of collecting data used questionnaires and data analysis used univariate, bivariate and multivariate analysis with logistic regression analysis. Based on bivariate analysis showed that there was a relationship between facilities, knowledge and attitudes of independent midwives with compliance with the standards of antenatal care services with a value of p <0.05. The results of the study with multivariate logistic regression analysis showed that the factors associated with the compliance of independent midwives in carrying out antenatal care service standards were attitudes with values (p = 0.026).

scholarly journals CONECT-6: a case-finding tool to identify patients with complex health needs

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Catherine Hudon ◽  
Mathieu Bisson ◽  
Marie-France Dubois ◽  
Yohann Chiu ◽  
Maud-Christine Chouinard ◽  
...  
Keyword(s):  
Case Management ◽  
Low Income ◽  
Chronic Conditions ◽  
Multivariate Logistic Regression Analysis ◽  
Case Finding ◽  
Adult Patients ◽  
Health Needs ◽  
Bivariate Analysis ◽  
Predictive Values ◽  
First Case

Abstract Background Early identification of patients with chronic conditions and complex health needs in emergency departments (ED) would enable the provision of services better suited to their needs, such as case management. A case-finding tool would ultimately support ED teams to this end and could reduce the cost of services due to avoidable ED visits and hospitalizations. The aim of this study was to develop and validate a short self-administered case-finding tool in EDs to identify patients with chronic conditions and complex health needs in an adult population. Methods This prospective development and initial validation study of a case-finding tool was conducted in four EDs in the province of Quebec (Canada). Adult patients with chronic conditions were approached at their third or more visit to the ED within 12 months to complete a self-administered questionnaire, which included socio-demographics, a comorbidity index, the reference standard INTERMED self-assessment, and 12 questions to develop the case-finding tool. Significant variables in bivariate analysis were included in a multivariate logistic regression analysis and a backward elimination procedure was applied. A receiver operating characteristic (ROC) curve was developed to identify the most appropriate threshold score to identify patients with complex health needs. Results Two hundred ninety patients participated in the study. The multivariate analysis yielded a six-question tool, COmplex NEeds Case-finding Tool – 6 (CONECT-6), which evaluates the following variables: low perceived health; limitations due to pain; unmet needs; high self-perceived complexity; low income; and poor social support. With a threshold of two or more positive answers, the sensitivity was 90% and specificity 66%. The positive and negative predictive values were 49 and 75% respectively. Conclusions The case-finding process is the essential characteristic of case management effectiveness. This study presents the first case-finding tool to identify adult patients with chronic conditions and complex health needs in ED.

Factors Associated with Intention to Vaccinate against COVID-19 in Puerto Rico: An Online Survey of Adults (Preprint)

2021 ◽  
Author(s):  
Kyle Melin ◽  
Cheyu Zhang ◽  
Juan Pablo Zapata ◽  
Yonaira M. Rivera ◽  
Katie Fernandez ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Puerto Rico ◽  
Online Survey ◽  
Multivariate Logistic Regression Analysis ◽  
International Health ◽  
Bivariate Analysis ◽  
Sources Of Information ◽  
Multivariate Logistic Regression ◽  
Factors Associated ◽  
Bisexual Identity

UNSTRUCTURED COVID-19 has been particularly devastating to Black and Latinx communities in the U.S. However, data on acceptability of the COVID-19 vaccines among minority populations are limited. We conducted an online survey among adults in Puerto Rico to identify factors associated with intention to vaccinate against COVID-19. Sociodemographic variables were analyzed independently for association with intention to vaccinate. Significant associations were included in the multivariate logistic regression analysis. A total of 1016 responses were available for analysis. In the bivariate analysis, younger age, higher education, pre-covid employment, male sex, gay/bisexual identity, and single marital status were associated with increased intention to vaccinate. In the multivariate logistic regression, younger, male respondents who had higher educational attainment reported higher intention to vaccinate. Lower-income and living outside the San Juan metro region were associated with lower intention to vaccinate. National and international health organizations were identified as the most reliable sources of information, followed by healthcare professionals. These findings highlight the importance of considering sociodemographic characteristics identified with low intention to vaccinate as well as using trusted sources of information when designing public messaging related to increasing COVID-19 vaccinations.

Should Strengthening Bonds Be a Public Health Priority?

2021 ◽  
Vol 28 (2) ◽  
pp. 79-87
Author(s):  
Valerie M. Wood ◽  
Heather Stuart
Keyword(s):  
Physical Activity ◽  
Health Behaviors ◽  
Physical Health ◽  
Social Interactions ◽  
Social Relationships ◽  
Health Conditions ◽  
Emotional Bonds ◽  
Important Health ◽  
Negative Social Interactions

Abstract. Background: Previous research demonstrates the importance of close relationships on our physical health. However, to what extent the quality of our social relationships impacts our health, relative to other important health behaviors (e.g., smoking, drinking alcohol, and physical exercise), is less clear. Aims: Our goal was to use a nationally representative sample of Canadian adults to assess the relative importance of the quality of one’s social relationships (close emotional bonds and negative social interactions), relative to important health behaviors on physical health outcomes previously linked to social relationship quality. Method: Data ( N = 25,113) came from the Canadian Community Health Survey in 2012, a cross-sectional survey administered by Statistics Canada (2013) . The predictor variables were the presence of close emotional bonds, negative social relationships, type of smoker, type of drinker, and weekly hours of physical activity. The outcome variables were a current or previous diagnosis of high blood pressure, cancer, stroke, reports of current illness or injury, pain, and self-reported physical health. Results: Using regressions, we found that negative social interactions were more important than other health behaviors in relation to current injury/illness and pain. Physical activity was most strongly related to self-rated health, followed by negative social interactions and then close emotional bonds. Alcohol consumption was more related to the prevalence of stroke. Conclusions: Our findings suggest that negative social interactions may be more related to acute or minor physical health conditions, but social relationships may not be more strongly related to more chronic, life-threatening health conditions than other health behaviors.

scholarly journals Computing Bayes factors from data with missing values

2021 ◽  
Author(s):  
Herbert Hoijtink ◽  
Xin Gu ◽  
Joris Mulder ◽  
Yves Rosseel
Keyword(s):  
Missing Values ◽  
Bayes Factor ◽  
Equality Constraints ◽  
Bayes Factors ◽  
Multiple Imputations

The Bayes factor is increasingly used for the evaluation of hypotheses. These may betraditional hypotheses specified using equality constraints among the parameters of thestatistical model of interest or informative hypotheses specified using equality andinequality constraints. So far no attention has been given to the computation of Bayesfactors from data with missing values. A key property of such a Bayes factor should bethat it is only based on the information in the observed values. This paper will show thatsuch a Bayes factor can be obtained using multiple imputations of the missing values.

scholarly journals CONDIÇÕES DE SAÚDE E ESTADO NUTRICIONAL DE AGENTES COMUNITÁRIOS DE SAÚDE NO INTERIOR DO NORDESTE BRASILEIRO

2020 ◽  
Vol 6 (1) ◽  
pp. 32-43
Author(s):  
Amanda Almeida Gomes Dantas ◽  
Nayara Priscila Dantas De Oliveira ◽  
Mercês de Fátima dos Santos Silva ◽  
Diego de Sousa Dantas
Keyword(s):  
Nutritional Status ◽  
Community Health ◽  
Prevalence Ratio ◽  
National Health Survey ◽  
Health Conditions ◽  
Bivariate Analysis ◽  
Chi Square ◽  
Anthropometric Measures ◽  
Exact Test ◽  
Significant Difference

 Introdução: A saúde do trabalhador é um campo de relevância, mas que ainda está sendo consolidado no âmbito do sistema único de saúde (SUS). Partindo dessa compreensão, esse estudo teve como objetivo avaliar o estado nutricional e as condições de saúde dos agentes comunitários de saúde do município de Currais Novos-RN. Metodologia: Participaram da pesquisa 80 indivíduos de ambos os sexos. A coleta de dados envolveu um questionário padronizado elaborado especificamente para o referido trabalho, baseado na Pesquisa Nacional de Saúde, realizada por o IBGE, para analisar as condições de vida e de saúde. Além disso, foram realizadas aferição de medidas antropométricas como peso, estatura, circunferência abdominal e dobras cutâneas, para analisar o estado nutricional. A análise bivariada foi realizada por meio do teste Qui-quadrado de Pearson ou Exato de Fisher, sendo verificada a magnitude da associação através da razão de prevalência com intervalo de confiança de 95%, por meio do programa estatístico SPSS for Windows versão 22.0. Resultados: De acordo com os resultados, viu-se que 63,8% dos participantes encontram-se com Sobrepeso/Obesidade. Conclusão: Todos os dados antropométricos apresentaram diferença significativa na análise bivariada, demonstrando que essas variáveis exercem influência no estado nutricional desses.   Descritores: Agente Comunitário de Saúde; Saúde do Trabalhador; Condições de Saúde; Estado Nutricional.   ABSTRACTIntroduction:Workers' health is a field of relevance, but it is still being consolidated within the scope of the single health system (SUS). Based on this understanding, this study aimed to evaluate the nutritional status and health conditions of community health agents in the municipality of Currais Novos-RN. Methodology: Participated in the study 80 individuals of both sexes. The data collection involved a standardized questionnaire elaborated specifically for the aforementioned study, based on the National Health Survey, conducted by the IBGE, to analyze the living and health conditions. In addition, anthropometric measures such as weight, height, waist circumference, and skinfolds were performed to analyze the nutritional status.The bivariate analysis was performed using the Pearson's Chi-square test or the Fisher's exact test, and the magnitude of the association was verified through the prevalence ratio with a 95% confidence interval, using the statistical program SPSS for Windows version 22.0. Results: According to the results, it was found that 63.8% of the participants they are Overweight / Obesity. Conclusion: And all anthropometric data presented a significant difference in the bivariate analysis, demonstrating that these variables influence the nutritional status of these.  Descriptors: Community Health; Agent Worker’s Health; Health Conditions; Nutritional Status.

Relationship Status Moderates Men’s Conspicuous Consumption of Smartphones

2014 ◽  
Vol 5 (2) ◽  
pp. 13-16 ◽  
Author(s):  
Christine Hennighausen ◽  
Frank Schwab
Keyword(s):  
Conspicuous Consumption ◽  
Mating Strategy ◽  
Mating Strategies ◽  
Relationship Status ◽  
High Status ◽  
Committed Relationships ◽  
Short Term ◽  
Web Based ◽  
Signaling Systems

By applying the handicap principle, researchers have investigated men’s conspicuous purchases of high-status products as part of sexual signaling systems. Studies have suggested that, as part of short-term mating strategies, men are particularly willing to engage in conspicuous consumption to attract mates. Yet, this research has neglected to examine how relationship status influences conspicuous consumption. In our web-based study involving 352 participants (229 women), men tending towards short-term mating reported greater purchase intentions for a high-status smartphone only when single or in uncommitted relationships, while no association surfaced between mating strategy and conspicuous consumption among men in committed relationships. Results also revealed that, independent of mating strategy and income, single men and men in uncommitted relationships were more willing to purchase a low-status smartphone. Relationship status did not affect women’s conspicuous consumption. With these findings, we argue that relationship status significantly moderates men’s conspicuous consumption, as well as discuss purchases of low-status products as possible signals of men’s interest in long-term mating.

scholarly journals The Prevalence and Associated Factors of Neonatal Hypothermia within Six Hours of Birth among Newborns in Pokhara

2020 ◽  
Vol 2 (2) ◽  
pp. 1150-120
Author(s):  
Rita Adhikari ◽  
Radhika Regmi ◽  
Babita Subedi
Keyword(s):  
Logistic Regression ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Antenatal Care ◽  
Associated Factors ◽  
Multivariate Logistic Regression Analysis ◽  
Pulmonary Hemorrhage ◽  
Bivariate Analysis ◽  
Multivariate Logistic Regression ◽  
Neonatal Hypothermia

Background: Hypothermia is an important cause of neonatal morbidity and mortality. Persistent hypothermia leads to cold injury that results edema, scleroderma, pulmonary hemorrhage, jaundice and death. The objective of this study was to identify the prevalence and associated factors of neonatal hypothermia among newborns within six hours of Birth in Pokhara. Methods: The institutional based quantitative descriptive cross sectional study was done among 402 systematic randomly selected respondents by using structured format and digital thermometer MT 100 after taking ethical approval from Nepal Health Research Council and Pokhara Academy of Health Sciences. Data was analyzed by using SPSS version 20. Multivariate logistic regression analysis was done for the variables (p<0.25) in bivariate analysis. The variables (p< 0.05) with Adjusted Odds ratio (AOR) at 95% CI in the multivariate logistic regression was considered as independent associated variables. Results: The prevalence of neonatal hypothermia in the study area was about 43 percent. The significant independent factors of neonatal hypothermia were maternal age after 35 years (p=0.03, AOR: 4.087, 95% CI: 1.12-14.97), inadequate antenatal care (p=0.03, AOR: 0.52, 95% CI: 0.29-0.94), low birth weight (p=0.00, AOR: 0.433, 95% CI: 0.24- 0.77) and resuscitated babies at birth (p =0.00, AOR: 3.808)95% CI: 1.69- 4.65). Conclusion: Out of 10 births, four babies were hypothermic in study site. Mother’s age more than 35 years, inadequate antenatal care, low birth weight and resuscitation at birth were associated factors of Neonatal hypothermia. So, special care is necessary for low birth weight babies and during resuscitation.

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