scholarly journals 709 Healthy Sleep as an important resource and buffer for intersectional discrimination: Results from Covid 19 study

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A276-A277
Author(s):  
Abhishek Pandey ◽  
Kerry Littlewood ◽  
Christine Spadola ◽  
Michelle Rosenthal ◽  
Larry Cooper ◽  
...  

Abstract Introduction Our previous studies have highlighted sleep disparities for this underserved population, including how Grandparents Raising Grandchildren (GRG) experience troubled and disruptive sleep. Intersectional types of discrimination facing these families during COVID 19, include: race/ethnicity of self and children, income, age, essential workforce status, and impairments (mobility, vision, and hearing). This current study intends to explore how healthy sleep is an important resource (potential buffer) for GRG experiencing intersectional discrimination during COVID 19. Methods We used community partnerships to recruit 600 GRG from all fifty states in USA and several tribes to complete an online survey on their experiences with caregiving and intersectional discrimination during COVID 19. We developed an index on intersectional discrimination based on GRG lived experiences to inform the survey and used descriptive and bivariate statistics to profile this group. Chi-square Automatic Interaction Detector (CHAID) analysis was used to build a predictive model to help determine how variables in our study best merge to explain intersectional discrimination. Results Of the GRGs’, 37% were between 54–65 years and 33% cared for children 6 to 10 years for at least 5 years. The types of discrimination that were more likely to be included in intersectional discrimination include: Black or African American [83.8% (31)], my child’s race [59.5% (22)], my lower economic status [56.8% (21)], and my status as a caregiver [56.8% (21)]. The resource needs that showed the most disparity (higher rate showed higher priority/extreme concern) between those with ID and those without included: Information on how COVID impacts race and ethnicity differently (6.0 vs. 3.61), ability to pay utilities (3.7 vs. 1.99), and information on how to achieve healthy sleep (4.19 vs. 2.64). Conclusion This study suggests that GRG facing intersectional discrimination identify the importance of attaining information on how to achieve healthy sleep as an important resource to them during COVID 19. These results can be used to help mobilize resources and disseminate information for this underserved group to improve healthy sleep and also model for their extended families and communities. Support (if any) This study was conducted by the Grandfamilies Outcome Workgroup, (GrOW), with support from Generations United and Collaborative Solutions.

2018 ◽  
Vol 35 (2) ◽  
pp. 323-339 ◽  
Author(s):  
Alex Kojo Anderson ◽  
Evan Johnson ◽  
Nicole Motoyasu ◽  
Whitney E. Bignell

Background: Over the past 2 decades, southern states in the United States have recorded the lowest breastfeeding rates. It is not known whether awareness of breastfeeding laws and provision of resources play any role in their breastfeeding practices. Research aims: The aims were (a) to describe awareness of breastfeeding laws and provisions by students and employees of institutions of higher learning in the state of Georgia, (b) to describe awareness by race and ethnicity, and (c) to determine factors associated with awareness of breastfeeding laws and provisions among students and employees within Georgia institutions of higher learning. Methods: A cross-sectional online survey of students ( n = 1,923) and employees ( n = 1,311) associated with five institutions within the University System of Georgia ( N = 3,271) was completed. Convenience sampling was used. Data were collected through Qualtrics. Chi-square test was used to examine differences between groups, while logistic regression was used to examine associations. Results: Participants included 33.3% undergraduate, 26.2% graduate students, 24.6% staff, 14.2% faculty, and 1.7% administrators. Over two thirds were female and white. Almost one third reported having a child or children. Awareness of breastfeeding laws and provisions was very low among respondents, with 26.6 and 9.6% aware of federal and state provisions, respectively. While less than 10% were familiar with the Baby Friendly Hospital Initiative program, 52.6% reported their institution provides a supportive environment for breastfeeding. Being a student and being a minority were negatively associated with awareness of laws and provisions that support breastfeeding. Conclusion: The need for focused efforts on increasing awareness of legislative and institutional provisions and support for breastfeeding exists.


2021 ◽  
Vol 11 ◽  
Author(s):  
Gökhan Savaş

The aim of this study is to reveal university students' views of distance education delivered during the Covid-19 pandemic. This quantitative study designed as an online survey research collected data from 3861 university students from different universities in each geographical region of Turkey between April 26, 2020 and May 6, 2020. Student views of distance education are presented with descriptive analyses. Next, cross tables containing chi-square tests of the variables that affect the difficulty of focusing on distance education along with the regression analysis of the factors influencing the evaluation of the effectiveness of distance education are presented. It was found that the majority of the students have difficulty focusing on distance education, which is related to gender, frequency of physical activity at home, university type, and their majors. The factors that affect students' perceptions of the effectiveness of distance education include age, socio-economic status of their family, staying with the family during the pandemic, difficulties in focusing, frequency of physical activity, and negative psychological effects of Covid-19.


2020 ◽  
Vol 11 (SPL1) ◽  
pp. 591-601
Author(s):  
Akansha Kishen ◽  
Anjali A K ◽  
Brundha M P ◽  
Muralidharan N P

Covid 19 is considered to be a pandemic virus infection. SARS-Cov-2 causes it. It is a viral infection that is transmitted through aerosol and droplet contamination, cross-infection, etc. Dentists are at a higher risk due to this corona. It has affected daily routines of dentist's life as they are unavailable to run the clinic and attend to patients. Different search engines like PubMed, and Google Scholar was used. The questionnaire consisting of twenty questions was prepared by using online survey google forms and circulated among the participants. SPSS software was used to evaluate the results and data collection. Statistical analysis was done by chi-square test. Later, results were being tabulated. This survey that is taken among dental students, dentists, and random public, it is seen that the majority of them are well aware of this recent pandemic attack. (COVID-19). It is concluded that dentists are affected to a significant extent due to coronavirus as their daily routine is affected severely. This study aims to identify the effect on dentist life on a routine basis due to the pandemic COVID - 19.


2021 ◽  
Vol 27 (1) ◽  
pp. 93-101
Author(s):  
Ronnie E. Baticulon ◽  
Michael C. Dewan ◽  
Nunthasiri Wittayanakorn ◽  
Philipp R. Aldana ◽  
Wirginia J. Maixner

OBJECTIVEThere are limited data on the pediatric neurosurgical workforce in Asia and Australasia. The training and clinical practice of pediatric neurosurgeons need to be characterized in order to identify gaps in knowledge and skills, thereby establishing a framework from which to elevate pediatric neurosurgical care in the region.METHODSAn online survey for pediatric neurosurgeons was created in REDCap (Research Electronic Database Capture), collecting demographic information and data on pediatric neurosurgical training and clinical practice. The link to answer the survey was sent to the mailing lists of the Asian Australasian Society for Pediatric Neurosurgery and the Japanese Society for Pediatric Neurosurgery, disseminated during the 2019 Asian Australasian Pediatric Neurosurgery Congress, and spread through social media. The survey was open to neurosurgeons who operated on patients ≤ 18 years old in Asian Australasian countries, whether or not they had completed fellowship training in pediatric neurosurgery. Descriptive statistics were computed and tabulated. Data were stratified and compared based on surgeon training and World Bank income group.RESULTSA total of 155 valid survey responses were analyzed, representing neurosurgeons from 21 countries. A total of 107 (69%) considered themselves pediatric neurosurgeons, of whom 66 (43%) had completed pediatric neurosurgery training. Neurosurgeons in East Asia commonly undergo a fellowship in their home countries, whereas the rest train mostly in North America, Europe, and Australia. A majority (89%) had operating privileges, and subspecialty pediatric training usually lasted from 6 months to 2 years. On average, trained pediatric neurosurgeons perform a higher number of pediatric neurosurgical operations per year compared with nonpediatric-trained respondents (131 ± 129 vs 56 ± 64 [mean ± SD], p = 0.0001). The mean number of total neurosurgical operations per year is similar for both groups (184 ± 129 vs 178 ± 142 [mean ± SD], p = 0.80). Respondents expressed the desire to train further in pediatric epilepsy, spasticity, vascular malformations, craniofacial disorders, and brain tumors.CONCLUSIONSBoth pediatric and general neurosurgeons provide neurosurgical care to children in Asia and Australasia. There is a need to increase pediatric neurosurgery fellowship programs in the region. Skill sets and training needs in pediatric neurosurgery vary depending on the country’s economic status and between pediatric-trained and nonpediatric-trained surgeons.


Author(s):  
Wulan Citra Sari Wulan Citra Sari

  ABSTRACT Diarrhea is cause the number one of a death in the world. The united Nation Children’s Found (UNICEF) thinks about every 30 second there one a child die because diarrhea. Diarrhea disease still be a problem for society healthy in Indonesia well reviewed of morbidity and mortality ant the mark of deaths and “Kejadian Luar Biasa (KLB)” that caused. Accrodin to WHO the mark of diarrhea illness 2010 is 411 patients per 1.000 population. The digit of death diarrhea is 14% from the digit of death over all. The purpose of this research to know a connection between education and mother economic status with toodler (children under 5 years old) diarrhea case at Puskesmas Sekip Palembang in February 2014. Desaign of this research to survey analitic by do coloser Cross Sectional in Accidental Sampling tehnic which one the variable who get research, include education and mothers economic status. The sampel in this research in 33 mothers who come by bring their toodler to MTBS Puskesmas Sekip Palembang at February 2014. Each variabel who get research, then get analysis by use analysis Chi-Square by decisios X² table (3,481). The result of this research show that the respondent by diarrhea as many is 15 respondent (45,5%) and didn’t diarrhea 18 respondent (54,5%). This of high education 13 repondent (39,4%) and less education is many as 20 respondent (60,6%), the respondent based to the high economic status as many as 13 respondent (39,4%). From statistic test Chi-Square show that, there a connection between education  with diarrhea case in X² count = 4,313, and there a connection between mothers economic status with case diarrhea at X² count= 4,917. From the results of this study are expected to further improve health education, especially regarding the incidence of diarrhea in infants to mothers who have young children understand more about the incidence of diarrhea.     ABSTRAK Diare adalah penyebab nomor satu kematian di dunia. The United Nations Children’s Fund (UNICEF) memperkirakan bahwa setiap 30 detik ada anak meninggal karena diare. Penyakit diare masih merupakan masalah kesehatan masyarakat di Indonesia baik ditinjau dari angka kesakitan dan angka kematian serta kejadian luar biasa (KLB) yang ditimbulkan. MenurutWHO angka kesakitan diare pada tahun 2010 yaitu 411 penderita per 1000 penduduk. Angka kematian diare 14% dari angka kematian balita secara keseluruhan. Tujuan penelitian ini untuk mengetahui hubungan antara pendidikan dan status ekonomi ibu dengan kejadian diare pada balita di Puskesmas SekipPalembang pada bulan Februari Tahun 2014. Desain penelitian ini adalah survey analitik dengan pendekatan Cross Sectional dalam teknik Accidental Sampling dimana variableyang diteliti meliputi pendidikan dan status ekonomi ibu. Sampel pada penelitian ini adalah 33ibu yang datang membawa anak balitanya berobat ke MTBS puskesmas Sekip Palembang pada bulan FebruariTahun 2014. Masing-masing variabel yang diteliti kemudian dianalisa dengan menggunakan analisis Chi-Square dengan ketetapan X² Tabel (3,481). Hasil penelitian ini menunjukan bahwa responden dengan diare sebanyak 15 responden (45,5%) dan tidak diare 18 responden (54,5%), responden berdasarkan pendidikan tinggisebanyak 13responden (39,4%) dan pendidikan rendah sebanyak 20 responden (60,6%), responden berdasarkan status ekonomi tinggi sebanyak 20 responden (60,6%) dan yang status ekonomi rendah sebanyak 13 responden (39,4%). Dari uji statistik Chi-Square menunjukkan ada hubungan antara pendidikan dengan kejadian diare pada X²hitung= 4,313, dan ada hubungan antara status ekonomi ibu dengan kejadian diare pada X²hitung= 4,917. Dari hasil penelitian ini diharapkan agar lebih meningkatkan penyuluhan kesehatan khususnya tentang kejadian diare pada balita agar ibu yang mempunyai balita lebih memahami tentang kejadian diare.  


Author(s):  
Tirta Anggraini Tirta Anggraini

ABSTRACT According to the World Health Organization (WHO), maternal nutritional status at the time of growth and during pregnancy can affect fetal growth and development. Based on (IDHS) survey of 2007 AKI Indonesia at 228 per 100,000 live births, although this figure is still the highest in Asia. Social health center in Palembang in 2011 the number of pregnant women with good nutritional status of 67 men (97.1%). factors that influence the nutritional status of pregnant women is the temperature of the environment, economic status, habits and views of women to food, age, education, and health status. The purpose of this study is a known relationship education and economic status with nutritional status of pregnant women in the third trimester of Social Health Center Palembang in 2012. This study uses analytic survey with cross sectional approach. The population in this study were all third trimester pregnant women who visit the health center Social Palembang in May 2012, with a sample of 30 respondents. Sampling in this study with non-random methods with techniques Accidental Sampling. Data analysis carried out univariate and bivariate statistics with Chi-Square test with significance level α = 0.05. The results showed than 30 respondents there (73.3%) of respondents that good nutritional status, higher education (76.7%), and high economic status (70.0%). The results of this study showed no significant association education and economic status with nutritional status of pregnant women in the third trimester of Social Health Center Palembang in 2012. From the results of this study, researchers hope to improve the health care workers, especially health services in Antenatal Care services pay more attention to maternal risk of poor nutritional status.   ABSTRAK Menurut World Health Organization (WHO), status gizi ibu hamil pada waktu pertumbuhan dan selama hamil dapat mempengaruhi pertumbuhan dan perkembangan janin. Berdasarkan (SDKI) survei terakhir tahun 2007 AKI Indonesia sebesar 228 per 100.000 Kelahiran Hidup, meskipun demikian angka tersebut masih tertinggi di Asia.  Di Puskesmas Sosial Palembang tahun 2011 jumlah ibu hamil yang berstatus gizi baik sebesar 67 orang (97,1%). faktor-faktor yang mempengaruhi status gizi ibu hamil adalah suhu lingkungan, status ekonomi, kebiasaan dan pandangan wanita terhadap makanan, usia, pendidikan, dan status kesehatan. Tujuan penelitian ini adalah diketahuinya hubungan pendidikan dan status ekonomi dengan status gizi ibu hamil trimester III di Puskesmas Sosial Palembang tahun 2012. Penelitian ini menggunakan metode survey analitik dengan pendekatan cross sectional. Populasi pada penelitian ini adalah semua ibu hamil trimester III yang berkunjung di Puskesmas Sosial Palembang pada bulan Mei tahun 2012, dengan jumlah sampel 30 responden. Pengambilan sampel pada penelitian ini dengan metode non random dengan teknik Accidental Sampling. Analisa data dilakukan secara univariat dan bivariat dengan uji statistik Chi-Square dengan tingkat kemaknaan α = 0,05. Hasil penelitian menunjukkan dari 30 responden terdapat (73,3%) responden yang berstatus gizi baik, pendidikan tinggi (76,7%), dan status ekonomi tinggi (70,0%). Hasil penelitian ini menunjukkan ada hubungan yang bermakna pendidikan dan status ekonomi dengan status gizi ibu hamil trimester III di Puskesmas Sosial Palembang tahun 2012. Dari hasil penelitian ini, peneliti berharap petugas pelayanan kesehatan dapat meningkatkan pelayanan kesehatan terutama dalam pelayanan Antenatal Care lebih memperhatikan kehamilan ibu yang berisiko status gizi buruk.


2017 ◽  
Vol 45 (5) ◽  
pp. 809-817
Author(s):  
Gyu-Young Lee ◽  
Yun-Jung Choi

We investigated the relationship between Korean adolescents' sexual experience—including, kissing, petting, and sexual intercourse—and their alcohol consumption and use of illegal drugs and tobacco. We analyzed data taken from the responses of 74,186 adolescents who had participated in the 2012 Korean Youth Health Behavior Online Survey. Variables regarding sexual experiences, experience of contraception, and substance and alcohol use were extracted and analyzed using descriptive statistics, chi-square tests, and logistic regression. The results showed that fewer than 30% of the respondents reported always using contraception, and almost half reported rarely using contraception. The number of boys and girls reporting having had sexual experiences increased from 2 to 4 times when they also reported use of illicit drugs, smoking tobacco, or alcohol consumption. The results highlight a need for school-based sex education supported by a national policy and the provision of basic resources to reduce the incidence of unprotected sex and to improve healthy behavior of adolescents.


2021 ◽  
pp. 097135572110256
Author(s):  
Eric Joseph van Holm

Makerspaces have grown over the last two decades and provide a potentially important resource to entrepreneurs. One area where the expansion of makerspaces has been the largest is in educational settings, at both K-12 schools and colleges. However, scant research to date has analysed whether students visiting a makerspace have any relationship with their professional goals or intentions. This study uses a survey conducted in New Orleans to analyse the predictors of what students use a makerspace, and the potential relationship visiting may have with entrepreneurial intent. The analysis finds that students with a higher socio-economic status appear to use makerspaces more often, and that students who visited makerspaces are more likely to express interest in starting their own businesses.


2021 ◽  
Author(s):  
Veronica M Burns ◽  
Fritz M Castillo ◽  
Rodney L Coldren ◽  
Trisha Prosser ◽  
Renee L Howell ◽  
...  

ABSTRACT Introduction Influenza is a globally occurring viral respiratory infection that can lead to hospitalizations and death. An influenza outbreak can interfere with combat readiness in a military setting, as the infection can incapacitate soldiers. Vaccination remains the most effective tool to prevent and mitigate seasonal influenza. Although influenza vaccinations for U.S. Army soldiers can be monitored through military health systems, those systems cannot capture DoD civilians and Army dependents who may not use military health services. This study aims to gauge flu vaccine uptake and perceptions in U.S. Army civilians and dependents. Materials and Methods An online survey was e-mailed to civilian and dependent enrollees of Landstuhl Regional Medical Center. The survey contained 24 questions pertaining to demographics, vaccine history, history of the flu, and beliefs toward vaccines. Chi-square tests, t-tests, and logistic regressions were performed to investigate the association between demographic, behavior, and belief factors with vaccine uptake. Free-text answers were coded and categorized by themes. Results Over 70% of respondents were vaccinated for the flu. There were differences between vaccinated and unvaccinated respondents regarding their perceptions of barriers to vaccination, benefits of the flu vaccine, severity of flu symptoms, and personal risk of getting ill with the flu. After controlling for confounders, flu vaccination in the previous season and healthcare worker status were associated with increased vaccine uptake, while perceived barriers to influenza vaccination were associated with decreased vaccine uptake. Conclusions Flu vaccine uptake may be increased by increasing access to vaccination, promoting vaccination and addressing concerns at the provider level, and engaging positively framed public messaging. Increasing flu vaccine uptake is of particular importance as the flu season approaches during the COVID-19 (Coronavirus disease 2019) pandemic.


Author(s):  
Jonathan M. Casper ◽  
Brian P. McCullough ◽  
Danielle M. Kushner Smith

Political ideology is one of the most powerful predictors of perceptions about environmental sustainability and related behaviors. The purpose of this study was to investigate how sport fans’ sustainability-specific values, perceptions, and norms related to awareness, engagement, and influence of USA collegiate sport sustainability efforts based on political affiliation, accounting for age and gender. Data were collected using an online survey distributed to season ticket holders after the 2019 college football season that featured three sponsored sustainability initiatives at each home game. Multivariate analysis of variance and chi-square difference tests found that self-identified Democrats reported significantly higher pro-environmental values and norms, but sustainability program engagement, sponsored initiatives awareness, and influence of initiatives on behavior were politically neutral. Path analysis found that ascription of responsibility was a significant predictor of sustainability-related engagement and behaviors for both Independents and Republicans. The results and discussion sections highlight how academics and practitioners can account for political affiliation when creating campaign messaging for environmental initiatives.


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