Determinants of late adolescent nutritional status in Indonesia: a nation-wide cross-sectional survey

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ni Ny Wedarthani Achintya Amrita ◽  
Ni Wayan Arya Utami ◽  
Kadek Tresna Adhi
Keyword(s):  
Nutritional Status ◽  
Urban Areas ◽  
Multinomial Logistic Regression ◽  
Age Groups ◽  
Late Adolescents ◽  
Late Adolescent ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Content Type ◽  
Study Results

Purpose This study aims to examine determinants of underweight and overweight nutritional status among late adolescents in Indonesia. Design/methodology/approach A cross-sectional analysis of the 2015 Indonesian Family Life Survey 5 (IFLS-5) was conducted. Respondents for this study were selected through stratified and multistage random sampling. Of all IFLS-5 respondents, 2,791 were adolescents 18–24 years old. Multinomial logistic regression was applied to identify major determinants of nutritional status among late adolescents. Findings The prevalence of underweight and overweight nutritional status was 19.10% and 12.79%, respectively. Underweight status among late adolescents was strongly associated with smoking (adjusted odds ratio [AOR] = 1.72, 95% confidence interval [CI] = 1.29–2.33). Moreover, living in urban areas showed the strongest association with overweight status among the same group (AOR = 1.77, 95%CI = 1.29–2.44). Research limitations/implications This study gained the advantage from the use of national data that are collected by trained enumerators. Therefore, the possibility of bias is very small, and the study results can be generalized to a late adolescent group in Indonesia. However, this study also has limitations in the types of data available, as it uses secondary data. The lack of detailed data regarding food security, frequency of food consumption in a month and sources of income of the adolescents limit the interpretation of the study. Further studies should consider using a retrospective cohort approach in all adolescent age groups using data from the IFLS-1 to IFLS-5 so that the temporal relationship of the multifactorial nutrition variables can be identified. Practical implications Provide input and advice to policymakers in all sectors related to adolescent health and educational curricula for consideration in making interventions that focus on improving nutrition by taking into account the characteristics of adolescents, such as smoking habits, area of residence, income and age of adolescents because nutritional problems are multifactorial. Social implications This study can provide education to adolescents to create healthier consumption habits to reduce non-communicable diseases (NCDs) in the adult phase, ideal body weight, reduce unhealthy lifestyles (smoking, drinking alcohol and drugs) and increase self-esteem and reduce depression. Originality/value This study brings significant findings on the dominant determinant of nutritional status among late adolescents in Indonesia and their vulnerability to NCDs. To address the high prevalence of underweight and overweight nutritional status in Indonesia, a collaboration between smoking cessation, community nutrition and reproductive health programs is required for preventing the underweight nutritional status in adolescents, with a focus on obesity prevention for adolescents living in urban areas. It is expected that this collaboration will support the early prevention of NCD risks.

scholarly journals Acute food insecurity and short-term coping strategies of urban and rural households of Bangladesh during the lockdown period of COVID-19 pandemic of 2020: report of a cross-sectional survey

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e043365
Author(s):  
Subhasish Das ◽  
Md. Golam Rasul ◽  
Md Shabab Hossain ◽  
Ar-Rafi Khan ◽  
Md Ashraful Alam ◽  
...  
Keyword(s):  
Food Insecurity ◽  
Coping Strategies ◽  
Rural Areas ◽  
Urban Areas ◽  
Multinomial Logistic Regression ◽  
Rural Households ◽  
P Value ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Food Insecure Households

IntroductionWe conducted a cross-sectional survey to assess the extent and to identify the determinants of food insecurity and coping strategies in urban and rural households of Bangladesh during the month-long, COVID-19 lockdown period.SettingSelected urban and rural areas of Bangladesh.Participants106 urban and 106 rural households.Outcome variables and methodHousehold food insecurity status and the types of coping strategies were the outcome variables for the analyses. Multinomial logistic regression analyses were done to identify the determinants.ResultsWe found that around 90% of the households were suffering from different grades of food insecurity. Severe food insecurity was higher in urban (42%) than rural (15%) households. The rural households with mild/moderate food insecurity adopted either financial (27%) or both financial and food compromised (32%) coping strategies, but 61% of urban mild/moderate food insecure households applied both forms of coping strategies. Similarly, nearly 90% of severely food insecure households implemented both types of coping strategies. Living in poorest households was significantly associated (p value <0.05) with mild/moderate (regression coefficient, β: 15.13, 95% CI 14.43 to 15.82), and severe food insecurity (β: 16.28, 95% CI 15.58 to 16.97). The statistically significant (p <0.05) determinants of both food compromised and financial coping strategies were living in urban areas (β: 1.8, 95% CI 0.44 to 3.09), living in poorest (β: 2.7, 95% CI 1 to 4.45), poorer (β: 2.6, 95% CI 0.75 to 4.4) and even in the richer (β: 1.6, 95% CI 0.2 to 2.9) households and age of the respondent (β: 0.1, 95% CI 0.02 to 0.21).ConclusionBoth urban and rural households suffered from moderate to severe food insecurity during the month-long lockdown period in Bangladesh. But, poorest, poorer and even the richer households adopted different coping strategies that might result in long-term economic and nutritional consequences.

A syndemic examination of injecting drug use, incarceration and multiple drug-related harms in French opioid users

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Salim Mezaache ◽  
Laélia Briand-Madrid ◽  
Virginie Laporte ◽  
Daniela Rojas Castro ◽  
Patrizia Carrieri ◽  
...  
Keyword(s):  
Bacterial Infections ◽  
Viral Infections ◽  
Multinomial Logistic Regression ◽  
Logistic Models ◽  
Multiple Drug ◽  
Drug Injection ◽  
Risk Environment ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Content Type

Purpose People who inject drugs (PWID) face multiple health problems, including infectious diseases and drug overdoses. Applying syndemic and risk environment frameworks, this paper aims to examine the co-occurrence and clustering of drug-related harms and their association with incarceration experience with or without in-prison drug injection. Design/methodology/approach The authors used data from a cross-sectional survey conducted in 2015 among 557 active opioid injectors. Self-reported data were collected through face-to-face or online questionnaires. They distinguished three harm categories, namely, viral infections, bacterial infections and overdoses, and built an index variable by summing the number of harm categories experienced, yielding a score from 0 to 3. Association between incarceration experience and co-occurrence of harms was modelled using a multinomial logistic regression. Findings Of the 557 participants, 30% reported lifetime experience of drug-related viral infection, 46% bacterial infection and 22% drug overdose. Multinomial logistic models showed that those who injected drugs during incarceration were more likely to report two (aOR = 2.35, 95% CI: 1.03–5.36) and three (aOR = 9.72, 95% CI: 3.23–29.22) harm categories than those who had never been incarcerated. They were also more likely to report three harm categories than formerly incarcerated respondents who did not inject drugs in prison (aOR = 5.14, 95% CI: 1.71–15.48). Originality/value This study provides insights of the syndemic nature of drug-related harms and highlights that drug injection during incarceration is associated with co-occurring harms. Public health interventions and policy changes are needed to limit the deleterious impact of prison on PWID.

scholarly journals Knowledge, attitude and practices towards anemia among late adolescent girls of JSS schools and colleges of Mysuru, India: a cross-sectional survey

2021 ◽  
Vol 8 (10) ◽  
pp. 4919
Author(s):  
Satendra Kumar Verma ◽  
Rufia Shaistha Khanum ◽  
Sunil D. Kumar ◽  
Narayanmurthy M. R.
Keyword(s):  
Adolescent Girls ◽  
Age Groups ◽  
Nutrient Deficiency ◽  
Cross Sectional Study ◽  
Late Adolescent ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Underdeveloped Countries ◽  
Positive Attitudes ◽  
Women And Children

Background: Anemia is a serious issue globally affecting all age groups. Anemia can be both acute and chronic. The most common cause is undernutrition which is a common issue in underdeveloped countries. Knowledge about anemia, attitude, and practices are important to decrease the burden of anemia. The community should be educated about the causes and prevention of anemia. Despite various measures like WIFS, POSHAN abhiyan, and National iron plus initiative, etc., there is still a long way to go to improve the nutritional status of adolescents and curb nutrient deficiency disorders.Methods: A cross-sectional study was conducted in JSS schools and pre-university during February 2021. The sample size was 292, but a total of 300 girls in the late adolescent age group were included in the study. A structured proforma was used to collect data regarding knowledge, attitude, and practices towards anemia. Descriptive statistics such as mean, frequencies, and percentages were calculated.Results: Mean age of the participants was 16.8±1 years. The knowledge about anemia was poor, positive attitudes and good practices were noticed among the participants.Conclusions: Anemia is a huge problem among adolescent girls. The awareness is poor regarding the disease and its effects. The community is ignorant about the detrimental effects of anemia. Hence appropriate health interventions targeting women and children are needed to see any positive changes in their status.

Socioeconomic and demographic forecasters of upgraded water and sanitation facilities admittance in Rwanda

2019 ◽  
Vol 47 (2) ◽  
pp. 190-206
Author(s):  
Gerard Bikorimana ◽  
Sun Shengmin
Keyword(s):  
Peer Review ◽  
Rural Areas ◽  
Urban Areas ◽  
Water Policy ◽  
Policy Formulation ◽  
Water Sources ◽  
Cross Sectional ◽  
Water And Sanitation ◽  
Content Type ◽  
Study Results

Purpose Upgraded water and better sanitation are essential for human health, but it is still a challenge to get admittance to these facilities and the concerns of public health becomes most victims. The purpose of this paper is to analyze the socioeconomic and demographic forecaster linked with admittance to safer water and upgraded sanitation facilities in Rwanda. The study uses the cross-sectional data from the 2014 to 2015 Rwanda Demographic Health Survey and uses linear generalized models for the analysis. Design/methodology/approach The logit and probit regressions were used to analyze whether or not any forecaster variables influenced the predicted variable. Findings The findings showed that the households with the highest education background were 11.55 times more probable to have admittance to upgraded water sources compared to those who had none level of education. Likewise, the respondents with secondary and higher education were, respectively, 9.55 times and 4.09 times more probable to have admittance to upgraded latrine facilities. The authors found the increase of household size as significantly associated with admittance to the upgraded water source and latrine facilities compared to those families with fewer household members. The results also found that wealthier households had a larger odds ratio significance in getting admittance to upgraded water sources and sanitation facilities compared to poorer households. The study results found the greatest gap in access to upgraded water sources and sanitation facilities in rural areas compared to urban areas. Research limitations/implications The implications of the study results call for water policy formulation and implementation in Rwanda, as well as generally for other developing countries. Originality/value In Rwanda, this is the first study that empirically inspected the relationship between socioeconomic and demographic forecasters on admittance to upgraded water and sanitation facilities. Peer review The peer review history for this article is available at: https://publons.com/publon/10.1108/IJSE-07-2019-0452

scholarly journals Is neighbourhood walkability related to body mass index among different age groups? A cross-sectional study of Canadian urban areas

BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e032475 ◽  
Author(s):  
Justin Thielman ◽  
Ray Copes ◽  
Laura C Rosella ◽  
Maria Chiu ◽  
Heather Manson
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Rural Areas ◽  
Urban Areas ◽  
Age Groups ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Neighbourhood Walkability ◽  
Nationally Representative ◽  
Objectively Measured

BackgroundStudies of neighbourhood walkability and body mass index (BMI) have shown mixed results, possibly due to biases from self-reported outcomes or differential effects across age groups. Our objective was to examine relationships between walkability and objectively measured BMI in various age groups, in a nationally representative population.MethodsThe study population came from the 2007–2011 Canadian Health Measures Survey, a cross-sectional survey of a nationally representative Canadian population. In our covariate-adjusted analyses, we included survey respondents aged 6–79 who were not pregnant, did not live in rural areas, were not missing data and were not thin/underweight. We used objectively measured height and weight to calculate BMI among adults aged 18–79 and zBMI among children aged 6–17. We categorised respondents into walkability quintiles based on their residential Street Smart Walk Score values. We performed linear regression to estimate differences between walkability quintiles in BMI and zBMI. We analysed adults and children overall; age subgroups 6–11, 12–17, 18–29, 30–44, 45–64 and 65–79; and sex subgroups.ResultsThe covariate-adjusted models included 9265 respondents overall. After adjustment, differences between walkability quintiles in BMI and zBMI were small and not statistically significant, except for males aged 6–17 in the second-highest walkability quintile who had significantly lower zBMIs than those in the lowest quintile.ConclusionAfter accounting for confounding factors, we did not find evidence of a relationship between walkability and BMI in children or adults overall, or in any age subgroup with sexes combined. However, post hoc analysis by sex suggested males aged 6–17 in more walkable areas may have lower zBMIs.

The direct and interactive effects of retail community engagement

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Donald J. Lund ◽  
John D. Hansen ◽  
Robert A. Robicheaux ◽  
Clara Cid Oreja
Keyword(s):  
Community Engagement ◽  
Word Of Mouth ◽  
Local Community ◽  
Economic Value ◽  
Customer Relationships ◽  
Interactive Effects ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Content Type ◽  
Study Results

Purpose This paper aims to examine the direct and interactive effects of community engagement and economic value on customers’ trust in, and commitment to, the retailer. This paper also examines the extent to which these variables, in turn, drive desirable behavioral outcomes in the form of positive word of mouth communications and share of customer. Design/methodology/approach Study results are derived from a cross-sectional survey of 1,757 respondents. Findings The authors find that retailer community engagement positively impacts word of mouth and share of customer indirectly through commitment and trust. As hypothesized, the results support a suppressing interaction between community engagement and economic value on trust. Contrary to the hypothesis, the interactive effects on commitment are positive. Research limitations/implications The study uses cross-sectional, single-sourced data. Incorporating secondary data or using experiments would reinforce these findings. This research is limited to local community engagement, future studies could broaden the focus to strategies that benefit communities outside the local area. Practical implications Study results indicate that managers can indeed build stronger customer relationships through community engagement as customers are more apt to be trusting of and committed to retailers perceived to be more actively engaged in the community. These findings are particularly important considering that community engagement is typically less expensive than other marketing strategies. Community investments are inexpensive initiatives that retailers can leverage to generate a big impact in the hearts and minds of their customers. Originality/value While it seems logical to assume that community engagement will benefit retailers in the form of stronger customer relationships, the authors empirically validate this assumption. The finding that community engagement simultaneously serves as both an antecedent and moderator is novel, albeit counterintuitive in the sense that the variable negatively moderates the economic value-trust relationship while positively moderating the economic value-commitment relationship. Taken in their totality, these findings indicate that community engagement serves to simultaneously drive stronger customer relationships while also differentially affecting the way customers arrive at their assessments.

Differences in tobacco smoking status in segments of the Australian population

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Julian de Meyrick ◽  
Farhat Yusuf
Keyword(s):  
Tobacco Smoking ◽  
Multinomial Logistic Regression ◽  
Smoking Status ◽  
Age Groups ◽  
Smoking Behaviour ◽  
Australian Population ◽  
Disadvantaged Area ◽  
Cross Sectional ◽  
Content Type ◽  
Never Smokers

PurposeThe purpose of this study is to identify correlates of tobacco smoking behaviour across various socio-demographic segments of the Australian population.Design/methodology/approachData from two nationally representative, probability samples of persons 18 and over, surveyed by the Australian Bureau of Statistics in 2001 and 2017–2018 were analysed using multinomial logistic regression.FindingsOverall, the prevalence of current smokers declined from 24.3 to 15%. More than half of the population had never smoked. The prevalence of ex-smokers increased slightly to 30%. Prevalence of current smoking was higher among older age groups and among those with lower educational achievement, lower income, living in a disadvantaged area and experiencing increasing stress. Females were more likely than males to be never-smokers. Males were more likely than females to be current smokers.Research limitations/implicationsThe findings are based on two cross-sectional surveys conducted 17 years apart. It is not possible to draw any conclusions about the actual trajectories of the changes in the values reported or any correlations between those trajectories. Nor is it possible to make any meaningful forecasts about likely future trends in smoking status in these various segments based on these data sets. The classifications used in the surveys generate some heterogeneous groups, which can obscure important differences among respondents within groups. Data are all self-reported, and there is no validation of the self-reported smoking status. This might lead to under-reporting, especially in a community where tobacco smoking is no longer a majority or even a popular habit. Because the surveys are so large, virtually, all the findings are statistically significant. However, the increasing preponderance of never-smokers in many categories might mean that never-smokers could come to dominate the data.Practical implicationsThe findings from this paper will help tobacco-control policy-makers to augment whole-of-community initiatives with individual campaigns designed to be more effective with particular socio-demographic segments. They will also assist in ensuring better alignment between initiatives addressing mental health and tobacco smoking problems facing the community.Originality/valueThe examination of smoking behaviour among individual population sub-groups, chosen by the authors, is commonplace in the literature. This paper uses data from two large surveys to model the whole, heterogeneous population, measured at two different points in time.

Consumption of trans fatty acid and omega 6 to omega 3 ratio in Lebanese adults

2016 ◽  
Vol 46 (1) ◽  
pp. 120-129 ◽  
Author(s):  
Antoine G. Farhat ◽  
Doris Jaalouk ◽  
Sara R. Moukarzel ◽  
Jennifer J. Ayoub
Keyword(s):  
Fatty Acids ◽  
Fatty Acid ◽  
Age Groups ◽  
Dietary Lipid ◽  
World Health ◽  
Omega 3 ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Content Type ◽  
Omega 6

Purpose – This study aims to quantify the dietary intake of different fat classes in Lebanese adults, compare the intakes between adult age groups and gender and compare the intakes to the World Health Organization (WHO) recommendations. Despite the health benefits of the Mediterranean diet, the diet of Lebanese adults may be altered away from the typical dietary lipid profile, possibly by the increased consumption of trans fatty acids (TFAs) and the ratio of omega 6 (n-6) to omega 3 (n-3) fatty acids. Design/methodology/approach – This is a cross-sectional survey conducted on 657 Lebanese adults (19-70 years) who completed the USA National Institute of Health diet history questionnaire. Findings – Mean daily energy intake was estimated at 2,900 ± 1,466 kcal in men and 1,977 ± 902 kcal in women. Mean TFA consumption was significantly higher in men than in women (7.2 ± 1.9 and 6.8 ± 2.0 per cent of total fat, p < 0.001) and was at least double the WHO recommendations of 1 per cent of total energy, particularly among younger adults. The n-6 to n-3 fatty acid intake ratio, fluctuated around 9:1 in both genders and in all age groups and is higher than the maximum 5-to-1 ratio recommended by WHO. The mean intake of eicosapentaenoic acid and docosahexaenoic acid was significantly lower than the latest recommendations (147 ± 182 mg/day for men and 100 ± 155 mg/day for women). Originality/value – Limited data exists on the quantity and quality of fat consumed among Lebanese adults. In conclusion, this descriptive study estimated the quantity of different fat classes consumed and compared the intakes of critical fatty acids to the WHO recommendations. Future studies need to address the implications of the high intakes of TFA and n-6 to n-3 ratio on health outcomes, including cardiometabolic diseases in our population.

scholarly journals Awareness of the Dangers of High Salt Intake among the Urban Omani Population

2020 ◽  
Vol 20 (3) ◽  
pp. 352
Author(s):  
Hassan Al-Riyami ◽  
Qusay Al-Abdulsalam ◽  
Ali Al-Khayari ◽  
Hilal Al-Mushrafi ◽  
Ziyad Al-Alawi ◽  
...  
Keyword(s):  
Urban Areas ◽  
Salt Intake ◽  
High Salt ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Salt Diet ◽  
Attitudes And Practices ◽  
High Salt Intake ◽  
Study Results ◽  
Low Salt

Objectives: This study aimed to assess the knowledge, attitudes and practices of the general public in Oman regarding the dangers of high salt intake. Methods: This cross-sectional questionnaire-based survey was conducted among the urban population in Oman. Individuals aged ≥18 were invited to join the study. Results: A total of 1,214 respondents (mean age 34 ± 10 years) answered the questionnaire. The majority were male (65.8%), employed (69.4%) and some were hypertensive (14.3%). Most (90.9%) were aware that excess salt can cause diseases such as hypertension and that it is either somewhat important (51.2%) or very important (42.9%) to reduce salt in the diet. However, only 42.2% said that they actively try to reduce salt in their diet. Conclusion: Although most people in urban areas of Oman appear to be aware of the dangers of high salt intake, only a few are actively trying to reduce it. More educational activities are required to improve awareness.Keywords: Cross-Sectional Survey; Sodium; Low Salt Diet; Oman.

scholarly journals Cross sectional study on nutritional status and prevalence of anemia in rural adolescents

2017 ◽  
Vol 4 (3) ◽  
pp. 951 ◽  
Author(s):  
Dharmalingam A. ◽  
Raju Mena ◽  
Raghupathy N. S. ◽  
Sowmiya M.
Keyword(s):  
Nutritional Status ◽  
Rural Areas ◽  
Urban Areas ◽  
Cross Sectional Study ◽  
Female Adolescent ◽  
Rural Adolescents ◽  
Late Adolescents ◽  
Cross Sectional ◽  
Under Nutrition ◽  
Prevalence Of Anemia

Background: This study is targeted to find out the nutritional status of adolescents in rural population. Studies were done in urban areas of India on nutritional status and anemia prevalence these studies do not reveal the actual prevalence of anemia and malnutrition among adolescents in the rural areas. The purpose of this study is therefore to determine the nutritional status and prevalence of anemia in rural adolescents.Methods: Five hundred and eight rural adolescent school going and non-school going living in villages around A.V.M.C. and H., Pondicherry of age 10 to 19 years of both sexes were chosen by systemic random sampling. Migration populations were excluded from the study.Results: Among 24 Villages, of which 20 Camps were conducted and 508 Adolescents were included. The non-school going constituted 8.27% among male and 27.39% among female. Among the school going males were 42.2% and female were 30.5%. Among male, in the school going group, 33.96% in early, 36.14% of middle and 43.94% of late adolescents were under nourished, whereas in non-school going male, 50% in early, 58.33% of middle and 20% of late adolescents were under nourished. In case of female adolescent, in the school going group, 49.18% in early, 20.59% of middle and 18.42% of late adolescents were under nourished whereas in non-school going female, 14.29% in early, 36.84% of middle and 45.95% of late adolescents were under nourished. Stunting is more common among boys from 10 years of age to 14 years of age than girls. After 14 years of age stunting is more common in girls than boys. The average stunting was 46.18% in male and to 48.1% in females.Conclusions: Under nutrition was found to be a significant problem in both sexes of rural adolescents. Late adolescents were more undernourished in both sexes. Under nutrition was more common in boys than in girls. Anemia was more common in female than in male in both school going and non-school going. Anemia was more common in non-school going than in school going in both sexes. Severe anemia was more common in female of non-school going group. 

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