scholarly journals Risk factors associated with early breastfeeding cessation among first‐time, low‐income mothers

2007 ◽  
Vol 21 (5) ◽  
Author(s):  
Laurie Ann Nommsen‐Rivers ◽  
Arlene Cullum ◽  
Ann M. Mastergeorge ◽  
Robin L. Hansen ◽  
Kathryn G. Dewey
Keyword(s):  
Risk Factors ◽  
Low Income ◽  
Factors Associated ◽  
Breastfeeding Cessation ◽  
Low Income Mothers ◽  
First Time

scholarly journals Clinical Risk Factors Associated with Mortality Among Burn Patients Admitted to Jinnah Burn and Reconstructive Surgery Center, Lahore

2020 ◽  
Vol 34 (3) ◽  
pp. 46-50
Author(s):  
Fatima Sakhawat
Keyword(s):  
Risk Factors ◽  
Mechanical Ventilation ◽  
Reconstructive Surgery ◽  
Low Income ◽  
Burn Injuries ◽  
Clinical Risk Factors ◽  
Burn Patients ◽  
Factors Associated ◽  
Clinical Risk ◽  
Surgery Center

Introduction: Burn injuries being highly devastating in nature, are associated with extensive morbidity and mortality. Although the incidence of burn injuries is less in developed countries but it is increasing in developing and low income countries. Aims & Objectives: The aim of this study was to determine clinical risk factors associated with mortality among burn patients. Place and duration of study: Jinnah Burn and Reconstructive Surgery Center, Lahore from August 2018 till January 2019. Material & Methods: Data was collected by researchers themselves by studying files of patients. Data analysis was done by using SPSS and Pearson Chi Square test was used to determine association of clinical risk factors with mortality among burn patients. Results: Out of 200 patients, 137 were males. The Mortality rate was 12.50 %. Cardiopulmonary arrest was the most common cause of death. Sepsis was the most common complication among burn patients. Higher mortality rates were observed among patients with arterial/venous and urinary catheterization done. Higher survival rates were seen in those patients who were treated with debridement, grafting surgeries, Colistin Use and aided by mechanical ventilation. Conclusion: Aid through mechanical ventilation, grafting surgeries, wound debridement, use of colistin are associated with improved survival outcomes among burn patients. Whereas inhalational injury, arterial/venous catheterization, urinary catheter and sepsis are seen as major predictors of mortality among burn patients

scholarly journals Psychosocial risk factors associated with mental health of adolescents amidst the COVID-19 pandemic outbreak

2020 ◽  
pp. 002076402097100
Author(s):  
Muhammad Syawal Amran
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Low Income ◽  
Online Communication ◽  
Well Being ◽  
Psychosocial Risk Factors ◽  
Psychosocial Risk ◽  
Psychosocial Risks ◽  
Factors Associated ◽  
At Home

Background: An outbreak of global pandemic COVID-19 profoundly affects life around the globe. Prolonged isolation, contact restriction and economic shutdown impose a deeply change to the psychosocial environment. These indicate a tendency to threaten the mental health of adolescents’ significantly. Detecting adolescents’ psychosocial risk during Pandemic COVID-19, particularly when they stay at home, may be helpful to better understand their mental health well- being. Aims: The current study aimed to explore psychosocial risk factors associated with mental health of adolescents’ in the midst of the outbreak. Method: This research uses a qualitative approach which focuses on focus group discussions interviews. This research took 6 weeks via online communication platform involving ( n = 15) adolescents from the Low Income Household. Result: The participants adolescents’ psychosocial risk experience during amidst of Outbreak Covid-19 Pandemic are composed of (1) self- conflict (develop negative thought at home, unplanned of daily activities, changing sleep pattern and irregular wake up time and massively use internet) (2) Family Members (Conflict between parent and miscommunication between siblings) (3) School (Piling up on homework, Inadequate guidance for homework and Inability to comprehend online learning). These psychosocial risk factors have caused disruption to daily life adolescents’ during outbreaks and almost inevitably trigger a spike in mental health issues. Conclusion: Overall of study emphasized that psychosocial risks are important factors that can be addressed in order to reduce mental health problem.

scholarly journals Factors Associated with Anxiety and Depression among African American and White Women

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Kalycia Trishana Watson ◽  
Nehezi M. Roberts ◽  
Milda R. Saunders
Keyword(s):  
Risk Factors ◽  
Low Income ◽  
White Women ◽  
General Health Questionnaire ◽  
Significant Risk ◽  
Depression And Anxiety ◽  
Neighborhood Poverty ◽  
Factors Associated ◽  
Self Rated Health ◽  
Multivariable Analyses

Background. We examined factors associated with depression and anxiety in a cohort of low-income Baltimore women. Methods. We used Pathways to Adulthood data, a cohort of adults aged 27 to 33 who were born in Baltimore between 1960 and 1965. Our outcomes were a score of >4 on the General Health Questionnaire (GHQ-28) across the depression or anxiety domains. Linear regression clustered on census tract was used for multivariate analysis. Results. In multivariable analyses, unmarried women, White women, those with lower self-rated health, and younger mothers had higher depression scores. Only lower self-rated health and White race were associated with a higher anxiety score. Neither neighborhood poverty nor racial composition was a predictor for anxiety or depression; however, the significant risk factors cluster in disadvantaged neighborhoods. Conclusion. Our work highlights the importance of universal screening for depression or anxiety with more in-depth surveillance based on risk factors rather than on race.

scholarly journals 89Factors associated with pneumococcal nasopharyngeal carriage: a systematic review

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Eleanor Neal ◽  
Jocelyn Chan ◽  
Fiona M. Russell ◽  
Cattram. D Nguyen
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Low Income ◽  
Pneumococcal Disease ◽  
High Income ◽  
Study Quality ◽  
Nasopharyngeal Carriage ◽  
Factors Associated ◽  
Pneumococcal Carriage ◽  
Carriage Prevalence

Abstract Background Pneumococcal disease is a major contributor to global childhood morbidity and mortality. Pneumococcal carriage is a prerequisite for pneumococcal disease. Identifying factors associated with pneumococcal carriage can aid public health intervention programs. It is unknown if risk factors for pneumococcal carriage differ between low, middle, and high-income countries. We present preliminary findings of our systematic review of factors associated with pneumococcal carriage in community settings, in all ages. Methods A systematic search for pneumococcal nasopharyngeal carriage studies, published in English before July 2019. Two researchers independently reviewed studies that described factors associated with pneumococcal nasopharyngeal carriage. Study quality was assessed using the NIH Study Quality Assessment Tools. Results are presented as narrative summaries due to heterogeneity amongst factor definitions. Results Preliminary results are shown. Sixty-seven studies were included. 49% were conducted in high-income countries. Pneumococcal prevalence ranged from 0.3%-97%, 2.6%-89.6%, 14%-73%, 1.6%-82.4% in low-, lower-middle, upper-middle, and high-income classifications. Age, respiratory tract infection symptoms, living with young children, poverty, exposure to smoke, and season were positively associated with pneumococcal carriage in all income classifications. Conclusions Pneumococcal carriage prevalence was highest in low-income classifications. Pneumococcal carriage is associated with similar factors across income classifications. Differences in prevalence of risk factors associated with pneumococcal carriage by income classification may contribute to differences in carriage prevalence by income classifications. Key messages Pneumococcal carriage is considered a prerequisite for pneumococcal disease. Pneumococcal carriage prevalence is highest in low-income countries, however preliminary results suggest risk factors for carriage may be similar across income classifications.

scholarly journals Awareness of Stroke Warning Symptoms, Risk Factors, and Response to Acute Stroke in Biswanath District, Assam, India

2020 ◽  
Vol 3 (2) ◽  
pp. 88-91
Author(s):  
Sima Kurmi ◽  
Elezebeth Mathews ◽  
Prakash Babu Kodali ◽  
K. R. Thankappan
Keyword(s):  
Risk Factors ◽  
Acute Stroke ◽  
Low Income ◽  
Community Dwelling ◽  
World Health ◽  
High Income Group ◽  
Government Employees ◽  
Stroke Risk Factor ◽  
Factors Associated ◽  
Income Groups

Introduction: This study was undertaken with the following objectives: (a) to find out the awareness of warning symptoms and risk factors of stroke, (b) response to acute stroke, and (c) factors associated with awareness, risk factors, and response to acute stroke among community-dwelling adults in Biswanath district of Assam. Methods: Using a cross-sectional design, a community-based study was done among 340 adults (mean age 38 years, men 55%) selected using multistage cluster sampling. Information on sociodemographic variables, stroke warning symptoms, risk factors, and response to acute stroke was collected using an adapted World Health Organization (WHO) STEPs stroke surveillance tool. Bivariate and logistic regression analysis were done to find out the factors associated with stroke warning symptoms, risk factors, and response to acute stroke. A “ P” value < .05 was considered for statistical significance. Results: Awareness of stroke was significantly higher among males ( P < .01), better educated ( P < .01), government employees ( P < .05), high-income group ( P < .01), and those who reported receiving information from a professional source ( P < .01) compared to their counterparts. Knowledge of at least one stroke risk factor and providing at least one correct response to acute stroke was higher among males, better educated, government employees, higher income groups, and those who received information from professional source compared to their counterparts ( P < .05). Conclusion: Awareness of stroke warning symptoms, risk factors, and response to acute stroke needs to be improved focusing on women, low education groups, those working in the nongovernment sector, and low-income groups by health professionals.

Risk Factors for Delayed Onset of Lactogenesis II Among Primiparous Mothers from a Brazilian Baby-Friendly Hospital

2019 ◽  
Vol 36 (1) ◽  
pp. 146-156 ◽  
Author(s):  
Beatriz de Oliveira Rocha ◽  
Marcia Penido Machado ◽  
Livia Lima Bastos ◽  
Livia Barbosa Silva ◽  
Ana Paula Santos ◽  
...  
Keyword(s):  
Risk Factors ◽  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
Factors Associated ◽  
Delayed Onset ◽  
Scale Scores ◽  
Observational Cohort ◽  
Breastfeeding Cessation ◽  
Prospective Longitudinal

Background: Low milk supply is frequently reported as a reason for exclusive breastfeeding cessation. Research aims: To determine the occurrence of, and the risk factors associated with, delayed onset of lactogenesis II among primiparas seen at a Baby-Friendly Hospital in Brazil. Method: We conducted a prospective longitudinal observational cohort study of 224 primiparas who had a singleton delivery. Data were first collected at the hospital. We assessed the onset of lactogenesis on day four postpartum, based on maternal reports of changes in breast fullness. Breastfeeding practices and Edinburgh Postnatal Depression Scale were evaluated on day seven postpartum. Using Poisson regression, we assessed significant factors associated with delayed onset of lactogenesis II. Results: Delayed lactogenesis II occurred in 18.8% ( n = 42) of participants and was significantly associated with alcohol drinking during pregnancy (IRR = 2.710, 95% CI [1.469, 4.996]); Edinburgh Postnatal Depression Scale scores ≥ 10 (IRR = 2.092, 95% CI [1.118, 3.916]), and the age of the mother (IRR: 1.081, 95% CI [1.039, 1.125]). Conclusion: Postpartum depression and alcohol ingestion during pregnancy may be associated with lactogenesis II delay, but more research is needed to elucidate the directionality of these relationships. Older mothers are at risk of delayed lactogenesis II onset. The frequency of delayed lactogenesis in this population is similar to the rates seen in previous Latin America studies and much lower than the ranges seen in North America, possibly because of the low proportion of obesity and severe gestational diabetes in this sample.

scholarly journals Risk factors associated with health-related quality of life in pediatric asthma

2021 ◽  
Vol 104 (2) ◽  
pp. 003685042110136
Author(s):  
Miaomiao Shi ◽  
Lei Liang ◽  
Yu Wang ◽  
Yangze Yu
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Low Income ◽  
Clinical Characteristics ◽  
Pediatric Asthma ◽  
Activity Limitation ◽  
Life Questionnaire ◽  
Related Factors ◽  
Factors Associated

To evaluate the quality of life (QOL) of children with asthma and analyze the related factors. A total of 360 children diagnosed with asthma were enrolled. We conducted the pediatric asthma quality of life questionnaire (PAQLQ). The differences in clinical characteristics between the two groups were compared. Clinical characteristics were compared between high and low QOL. More female was observed in low QOL group ( p = 0.013). Patients with higher income ( p = 0.003) were shown with higher QOL. Female patients presented significantly lower values for activity limitation ( p = 0.016) and emotional function ( p = 0.016) as compared to male patients. For patients who have low income, the QOL scores for dimensions of activity limitation was significantly worse than those have higher income ( p = 0.001). Univariable results showed that gender ( p = 0.013) and income ( p = 0.001) were factors associated with QOL in asthma children. However, multivariate analysis suggested that only gender (OR = 0.558, p = 0.008) and income (OR = 1.762, p < 0.001) were the independent factors that affected the QOL levels. In this study, we found that the QOL dimensions of pediatric asthma differed between various subpopulations. For patients with risk factors of poor QOL, target intervention is advised in order to increase QOL.

scholarly journals Causative Organisms, Antibiotic Sensitivity Patterns and Risk Factors Associated with Neonatal Sepsis at Moi Teaching and Referral Hospital, Kenya

2020 ◽  
Author(s):  
Benard Mageto Ateka ◽  
Julia Songok ◽  
Winstone Nyandiko
Keyword(s):  
Risk Factors ◽  
Low Income ◽  
Neonatal Sepsis ◽  
Antibiotic Sensitivity ◽  
Referral Hospital ◽  
Maternal Risk ◽  
Factors Associated ◽  
Hospital Infection Control ◽  
Tertiary Teaching ◽  
Klebsiella Spp

ABSTRACTBackgroundNeonatal bacterial infections have been associated with rising antimicrobial resistance levels. This has led to increasing neonatal morbidity and mortality in poorly resourced health facilities located in low income countries. Local studies on neonatal antibiotic sensitivity patterns and its associated risk factors could inform empirical antibiotic therapy and hospital infection control strategies.PurposeThe study aimed at determining the causative organisms, antibiotic sensitivity patterns and risk factors associated with neonatal sepsis at a tertiary teaching hospital in Western Kenya.Materials and MethodsCross-sectional study among neonates suspected to have sepsis and undergoing treatment at Moi Teaching and Referral Hospital (MTRH’s) newborn unit (NBU) between September 2017 and July 2018. Blood culture tests isolated bacteria and determined their antimicrobial sensitivity. Neonatal and maternal characteristics were obtained through medical chart reviews. Descriptive statistics, Pearson chi-square test of association and odds ratios were adopted.ResultsThe study enrolled 141 neonates, majority (57.4%) of whom were female. The median gestational age and birth weight were 37 (IQR: 22-45) weeks and 2400g (IQR: 800 - 4700) respectively. Of the 151 bacterial isolates identified, 46.4% were Klebsiella spp. followed by Coagulate negative staphylococcus (CoNS) at 27.8%. Klebsiella spp. was sensitive to meropenem, amikacin and cefepime but resistant to ceftriaxone, gentamycin and cefotaxime. However, CoNS was sensitive to vancomycin and penicillin. Both the neonatal and maternal risk factors assessed were not associated with neonatal sepsis.ConclusionThe main bacterial causes of neonatal sepsis were Klebsiella spp. and CoNS which were both sensitivity to meropenem and amikacin.

RISK FACTORS ASSOCIATED WITH PULMONARY TB INCIDENCE IN CHILDREN IN BANDA ACEH

2021 ◽  
Vol 7 (1) ◽  
pp. 49-58
Author(s):  
Riska Novita ◽  
Asnawi Abdullah ◽  
Hermasnyah Hermasnyah
Keyword(s):  
Risk Factors ◽  
Cigarette Smoke ◽  
Low Income ◽  
Public Health Problem ◽  
Cigarette Smoke Exposure ◽  
Pulmonary Tb ◽  
Factors Associated ◽  
Aceh Province ◽  
The City ◽  
Banda Aceh

Background: Pulmonary TB in children is still a serious public health problem in Aceh Province, this can be seen from the increase in cases in the last three years that are suspected to be related to immunization status, nutritional status, income, knowledge, the presence of TB sufferers, occupancy density and exposure to cigarette smoke. This study aims to determine the risk factors associated with pulmonary TB incidence in children in Banda Aceh. Method: This research is an analytic observational study using a case control design. The population in this study was children suffering from pulmonary TB in Banda Aceh as many as 30 respondents. Using a ratio of 1:2 comparison, the research sample of 90 respondents consisted of 30 cases and 60 controls.  Data collection was conducted from 15 October to 15 December, conducted in the respondent's home. Data analysis using conditional multiple logistic regression test. Results: Risk factors associated with pulmonary TB in childrenare: the employment of self-employed fathers (p=0.046; OR=2.7; 95% CI: 1.01-7.50), low income (p=0.046; OR=2.7; 95% CI: 1.01-7.50), the presence of TB patients in home (p=0.001; OR=31; 95% CI: 4.11-234), cigarette smoke exposure (p=0.004; OR=4; 95% CI: 1.54-10.3), no BCG immunization (p=0.023; OR=4.6; 95% CI: 1.23-17.2), malnutrition status with the occurrence of pulmonary TB in children in Banda Aceh (p=0.002; OR=5.9; 95% CI: 1.93-18.5). The results of the multivariate analysis concluded that the tendency of pulmonary TB in children in the city of Banda Aceh to occur in the presence of TB patients at home was almost 4 times more dominant than other variables. Recommendation: To Banda Aceh Health Office in order to increase the number of pulmonary TB screening in children, especially in children with parents who suffer from pulmonary TB.

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