scholarly journals SOCIODEMOGRAPHIC DISADVANTAGE, LIVING WITH A SMOKER, AND OBESITY IN MIDDLE-AGED AND OLDER WOMEN

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S693-S693
Author(s):  
Carole K Holahan ◽  
Charles J Holahan ◽  
Sangdon Lim ◽  
Yen T Chen ◽  
Daniel A Powers
Keyword(s):  
Low Income ◽  
Indirect Effects ◽  
Smoking Status ◽  
Cross Sectional ◽  
Current Smoking Status ◽  
Current Smoking ◽  
Household Level ◽  
Proposed Model ◽  
Low Education

Abstract Although sociodemographic disadvantage is a recognized risk factor for obesity, the potential role of living with a smoker in this relationship has been unexamined. This study investigated: (a) the association between sociodemographic disadvantage and living with a smoker, and (b) the role of living with a smoker in partially explaining the link between sociodemographic disadvantage and obesity. The study used limited access data from the Women’s Health Initiative Observational Study obtained from NHLBI. Participants were 91,888 women ranging in age from 50 to 79; 6,527 participants reported living with a smoker. Analyses were cross-sectional. Logistic regression analyses examined paths in the proposed model; bias-corrected bootstrapped confidence intervals tested indirect effects. All analyses controlled for age, marital status, and participants’ current smoking status. Results demonstrated a significant association (p < .001) between sociodemographic disadvantage and living with a smoker across three measures of disadvantage (for low education, low income, and Black ethnicity, ORs were 1.95, 2.10, and 2.63, respectively), as well as between living with and smoker and obesity (OR = 1.71). Moreover, the unstandardized indirect effect (CIs are in brackets) from sociodemographic disadvantage to obesity through living with a smoker was statistically significant for all three measures of disadvantage (for low education, low income, and Black ethnicity, indirect effects = .05 [.04, .06], .06 [.05, .06], and .07 [.06, .08], respectively). These findings underscore the need for innovative household-level interventions for disadvantaged families living with a smoker integrating smoking- and obesity-prevention efforts. This project was supported by the NIH/NCI (R03CA215947).

scholarly journals Sociodemographic Disadvantage, Living With a Smoker, and Health Risk Behaviors in Middle-Aged and Older Women

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 337-338
Author(s):  
Carole Holahan ◽  
Charles Holahan ◽  
Sangdon Lim ◽  
Yen Chen ◽  
Daniel Powers
Keyword(s):  
Health Risk ◽  
Risk Behaviors ◽  
Low Income ◽  
Indirect Effects ◽  
Fruits And Vegetables ◽  
Smoking Status ◽  
Health Risk Behaviors ◽  
Unhealthy Lifestyle ◽  
Cross Sectional

Abstract Sociodemographic disadvantage places individuals at risk for an unhealthy lifestyle (Kushi et al., 2012; Shanker et al., 2010), as well as for exposure to second-hand household smoke (Gan et al., 2015; Zhang et al., 2012). However, the role of living with a smoker in the association between sociodemographic status and health behavior is unstudied. This study investigated the role of living with a smoker in partially explaining the link between sociodemographic disadvantage and physical inactivity and poor dietary behaviors. The study used limited access data from the Women’s Health Initiative Observational Study obtained from NHLBI. Participants were 83,597 women ranging in age from 49 to 81; 6038 participants lived with a smoker. Cross-sectional logistic regression analyses examined paths in the models; bias-corrected bootstrapped confidence intervals tested indirect effects in probit analyses. Analyses controlled for age, ethnicity, marital status, and participants’ current smoking status. Results demonstrated a significant association (p < .001) between sociodemographic disadvantage (composite of low education and low income) and living with a smoker (OR = 1.74). The unstandardized indirect effects (CIs are in brackets) from sociodemographic disadvantage through living with a smoker to no exercise, no walking, high percent dietary fat, and low servings of fruits and vegetables through living with a smoker were statistically significant (.023 [.019, .028], .026 [.023, .033], .041 [.037, .047], and .032 [.027, .036], respectively). These findings illustrate the need to address multiple non-smoking health risk behaviors in household smoking interventions for disadvantaged families. This project was supported by the NIH/NCI (R03CA215947).

scholarly journals Prevalence and characteristics of ever regular use of non-combustible nicotine for 1 year or more: a population survey in England

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Sharon Cox ◽  
Jamie Brown ◽  
Loren Kock ◽  
Lion Shahab
Keyword(s):  
Smoking Status ◽  
Cross Sectional Survey ◽  
Hazardous Alcohol Use ◽  
Cross Sectional ◽  
Current Smoking Status ◽  
Current Smoking ◽  
Hazardous Alcohol ◽  
Multiple Product ◽  
Never Smokers ◽  
Weighted Prevalence

Abstract Introduction Up-to-date monitoring of non-combustible nicotine products (e.g. e-cigarettes, nicotine replacement therapies (NRT), heated tobacco products (HTP); NNP) is important to assess their impact. To date, there is little evidence on the association between ever regular use (defined here as 1 year or more) of NNP and current smoking status. Aims/methods The purpose of this study was to examine the prevalence, and sociodemographic, alcohol and smoking status correlates, of ever regular use of NNP in England in 2020. A cross-sectional survey of adults in England was conducted between February and June 2020. Results A total of 8486 adults were surveyed; 94.9% (8055) were complete cases. The weighted prevalence of ever regular NNP use was 5.4% (n = 436; 95% CI 5.0–6.0), of which 82% (n = 360; 95% CI 78.7–85.8) was single and 18% (n = 79; 95% CI 14.8–22) multiple product use. Amongst ever regular NNP users, the prevalence of ever regular NRT, e-cigarette and HTP use was 64.7% (95% CI 60.1–69), 43.4% (95% CI 38.8–48) and 2.5% (95% CI 1.4–4.5), respectively. In adjusted analysis, ever regular NNP use was associated with smoking status, being significantly higher among current (22.3%; adjusted OR (aOR) 34.9, 95% CI 24.0–50.8) and ex-smokers (12.7%, aOR 19.8, 95% CI 11.1–14.4) than among never-smokers (0.6%). More advantaged occupational grade (aOR, 1.27 95% CI 1.02–1.57) and at least hazardous alcohol use (aOR, 1.38 95% CI 1.06–1.78) were associated with greater prevalence of ever regular NNP use. Conclusions Ever regularly using NNP was highest among smokers and ex-smokers and rare among never-smokers. Among people who have ever regularly used NNP, NRT is the most popular.

scholarly journals Determinants of cigarette smoking status in a national cohort of black and white adult ever smokers in the USA: a cross-sectional analysis of the REGARDS study

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e027175 ◽  
Author(s):  
Trisha M Parekh ◽  
Chengyi Wu ◽  
Leslie A McClure ◽  
Virginia J Howard ◽  
Mary Cushman ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Racial Differences ◽  
Smoking Status ◽  
Cross Sectional ◽  
Current Smoking Status ◽  
Current Smoking ◽  
Factors Associated ◽  
Cross Sectional Analysis ◽  
Regards Study ◽  
Sectional Analysis

ObjectivesWhile awareness of cigarette smoking’s harmful effects has increased, determinants associated with smoking status remain understudied, including potential racial differences. We aim to examine factors associated with former versus current smoking status and assess whether these associations differed by race.SettingWe performed a cross-sectional analysis using the population-based Reasons for Geographic and Racial Differences in Stroke(REGARDS)study.Outcome measuresLogistic regression was used to calculate the OR of former smoking status compared with current smoking status with risk factors of interest. Race interactions were tested using multiplicative interaction terms.Results16 463 participants reported smoking at least 100 cigarettes in their lifetime. Seventy-three per cent (n=12 067) self-reported former-smoker status. Physical activity (reference (REF) <3×/week; >3×/week: OR=1.26, 95% CI 1.11 to 1.43), adherence to Mediterranean diet (REF: low; medium: OR=1.46, 95% CI 1.27 to 1.67; high: OR=2.20, 95% CI 1.84 to 2.64), daily television viewing time (REF: >4 hours; <1 hour: OR=1.32, 95% CI 1.10 to 1.60) and abstinence from alcohol use (REF: heavy; none: OR=1.50, 95% CI 1.18 to 1.91) were associated with former-smoker status. Male sex, higher education and income $35 000–$74 000 (REF: <$20 000) were also associated with former-smoker status. Factors associated with lower odds of reporting former-smoker status were younger age (REF: ≥65 years; 45–64 years: OR=0.34, 95% CI 0.29 to 0.39), black race (OR=0.62, 95% CI 0.53 to 0.72) and single marital status (REF: married status; OR=0.66, 95% CI 0.51 to 0.87), being divorced (OR=0.60, 95% CI 0.50 to 0.72) or widowed (OR=0.70, 95% CI 0.57 to 0.85). Significant interactions were observed between race and alcohol use and dyslipidaemia, such that black participants had higher odds of reporting former-smoker status if they were abstinent from alcohol (OR=2.32, 95% CI 1.47 to 3.68) or had a history of dyslipidaemia (OR=1.31, 95% CI 1.06 to 1.62), whereas these relationships were not statistically significant in white participants.ConclusionEfforts to promote tobacco cessation should consist of targeted behavioural interventions that incorporate racial differences.

Role of Dental Nutrition Knowledge and Socioecological Factors in Dental Caries in Low-Income Women

2021 ◽  
pp. 109019812110041
Author(s):  
Prageet K. Sachdev ◽  
Jeanne Freeland-Graves ◽  
Nalini Ranjit ◽  
Mahsa Babaei
Keyword(s):  
Dental Caries ◽  
Home Environment ◽  
Low Income ◽  
Emotional Eating ◽  
Nutrition Knowledge ◽  
Cross Sectional ◽  
Environment Scale ◽  
Scale Scores ◽  
Low Income Women

Dental caries is a chronic oral condition that disproportionately affects low-income women. The aim of this research was to investigate relationships between dental nutrition knowledge, socioecological factors, and prevalence of dental caries in low-income women. This quantitative cross-sectional study involved 220 women who were recruited from Central Texas. Participants completed demographics, the Dental Nutrition Knowledge Competency Scale, United States Adult Food Security Survey Module, and the Multidimensional Home Environment Scale. Two dentists measured dental caries via the Decayed, Missing, Filled Teeth Index. Regression models were conducted to test the effects of dental nutrition knowledge and Multidimensional Home Environment Scale factors on dental caries. Finally, mediation analysis explored relationships between dental nutrition knowledge and dental caries, adjusting for Multidimensional Home Environment Scale scores. Results showed that dental nutrition knowledge and Multidimensional Home Environment Scale score were significantly associated with dental caries. Subscales of self-efficacy for eating healthy, oral hygiene practices, emotional eating, availability of unhealthy foods at home, and social support were related to dental caries. The relationship between dental nutrition knowledge and caries was mediated by Multidimensional Home Environment Scale scores. This research emphasizes the role of dental nutrition knowledge and socio-ecological factors on prevalence of dental caries. Public health interventions to reduce dental caries should involve strategies that increase dental nutrition knowledge and encourage behavior change in low-income populations.

scholarly journals Association between socioeconomic status and self-reported, tested and diagnosed COVID-19 status during the first wave in the Northern Netherlands: a general population-based cohort from 49 474 adults

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e048020
Author(s):  
Yinjie Zhu ◽  
Ming-Jie Duan ◽  
Hermien H. Dijk ◽  
Roel D. Freriks ◽  
Louise H. Dekker ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
General Population ◽  
Low Income ◽  
Smoking Status ◽  
Sleep Time ◽  
Population Based ◽  
Lifestyle Factors ◽  
Self Report ◽  
Low Education ◽  
Tv Watching

ObjectivesStudies in clinical settings showed a potential relationship between socioeconomic status (SES) and lifestyle factors with COVID-19, but it is still unknown whether this holds in the general population. In this study, we investigated the associations of SES with self-reported, tested and diagnosed COVID-19 status in the general population.Design, setting, participants and outcome measuresParticipants were 49 474 men and women (46±12 years) residing in the Northern Netherlands from the Lifelines cohort study. SES indicators and lifestyle factors (i.e., smoking status, physical activity, alcohol intake, diet quality, sleep time and TV watching time) were assessed by questionnaire from the Lifelines Biobank. Self-reported, tested and diagnosed COVID-19 status was obtained from the Lifelines COVID-19 questionnaire.ResultsThere were 4711 participants who self-reported having had a COVID-19 infection, 2883 participants tested for COVID-19, and 123 positive cases were diagnosed in this study population. After adjustment for age, sex, lifestyle factors, body mass index and ethnicity, we found that participants with low education or low income were less likely to self-report a COVID-19 infection (OR [95% CI]: low education 0.78 [0.71 to 0.86]; low income 0.86 [0.79 to 0.93]) and be tested for COVID-19 (OR [95% CI]: low education 0.58 [0.52 to 0.66]; low income 0.86 [0.78 to 0.95]) compared with high education or high income groups, respectively.ConclusionOur findings suggest that the low SES group was the most vulnerable population to self-reported and tested COVID-19 status in the general population.

An observational study to determine the prevalence of alcohol use disorders in advanced cancer patients

2011 ◽  
Vol 26 (4) ◽  
pp. 360-367 ◽  
Author(s):  
Katherine Webber ◽  
Andrew N Davies
Keyword(s):  
Alcohol Use ◽  
Cancer Patients ◽  
Advanced Cancer ◽  
Alcohol Use Disorder ◽  
Smoking Status ◽  
Alcohol Use Disorders ◽  
Symptom Burden ◽  
Advanced Cancer Patients ◽  
Current Smoking Status ◽  
Current Smoking

Context: observational studies in North America suggest alcohol dependence is a common problem in advanced cancer patients and is associated with a high burden of physical and psychological symptoms. The prevalence of all types of alcohol use disorders, and the relationship between alcohol use disorders and symptoms, has not been studied. Objectives: this observational, cross-sectional study was designed to determine the prevalence of alcohol use disorders in patients with advanced cancer and establish if such patients have a higher symptom burden. Methods: sequential patients referred to the palliative medicine team at a United Kingdom cancer centre completed the Alcohol Use Disorders Identification Test, Hospital Anxiety and Depression Scale (HADS) and Memorial Symptom Assessment Scale-Short Form (MSAS-SF). Results: 120 patients participated in the study. Twenty-two (18%) patients screened positively for the presence of an alcohol use disorder. This study found no significant association between alcohol use disorders and the presence of anxiety ( P = 0.38) or depression ( P = 0.81) on the HADS or the global distress index subscale ( P = 0.142), physical symptom distress index subscale ( P = 0.734), or the psychological distress index subscale ( P = 0.154) on the MSAS-SF. Current smoking status was the only independent predictor for the presence of an alcohol use disorder ( P < 0.001). Seven (6%) patients screened positively for high-risk alcohol use disorders. Current smoking status ( P < 0.001) and male gender ( p < 0.001) were independent predictors of this problem. Conclusions: alcohol use disorders in this cohort of patients were not associated with a higher symptom burden, and the prevalence was lower than the general United Kingdom population.

The Role of Women in Improving Access to Food at the Household Level in Mandeni Local Municipality, KwaZulu-Natal, South Africa

2021 ◽  
Vol 10 (2) ◽  
pp. 135-155
Author(s):  
Nondumiso Thabisile Mpanza ◽  
Mfaniseni Wiseman Mbatha
Keyword(s):  
Food Security ◽  
Low Income ◽  
Home Gardens ◽  
Household Food Security ◽  
Exploratory Research ◽  
Structured Interviews ◽  
Household Level ◽  
Role Of Women ◽  
Access To Food

This paper censoriously assesses the role of women in improving access to food at the household level. The role of women is essential in the production of food as caretakers of household food security. However, their role is not well recognised, more especially in policymaking and resource allocation. This study was conducted through a qualitative approach with an exploratory research design. The participants were sampled with convenience sampling and interviewed with semi-structured interviews. Content analysis was employed as a tool for data analysis. The study adopted feminisation of poverty as a primary theory of this paper. Certain aspects of the study reveal that women have been struggling to access food from the diversity of retail vents that are obtainable in town because of low income and limitations of transport service. This is a constraint to women who depend on the off-farm sources of income because their household’s livelihood depends on purchasing food from retail vents. Those who rely on home gardens were experiencing low productivity and the unsustainability of their gardens. This has been caused by water scarcity and climate change. Therefore, women must be provided with training that seeks to develop their skills on how to make effective use of home gardens so that food security can be ensured.

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