Association between energy intake under‐reporting and previous professional nutritional counselling in low‐income women with obesity: A cross‐sectional study

ObjectivesRecent data relating to the association between spicy food intake frequency and abdominal obesity are limited, especially in low-income areas. Therefore, the study explored the relationship between spicy food intake frequency and abdominal obesity, and assessed the role of energy intake as a mediator of these associations in a rural Chinese adult population.DesignCross-sectional study.SettingRural Chinese adult population.ParticipantsSubjects from Henan Rural Cohort Study (n=28 773).Primary outcome measuresThe effects of spicy food intake frequency on abdominal obesity were analysed by restricted cubic spline and logistic regression, and the mediation effect was analysed using the bootstrap method.ResultsThe adjusted percentages of abdominal obesity were 47.32%, 51.93%, 50.66% and 50.29% in the spicy food intake subgroups of never, 1–2 day/week, 3–5 day/week and 6–7 day/week, respectively. An inverse U-shaped association was found between spicy food intake frequency and abdominal obesity (p<0.01). Compared with subjects who never consumed spicy food, the adjusted ORs (95% CIs) in the 1–2 day/week, 3–5 day/week and 6–7 day/week subgroups were 1.186 (1.093, 1.287), 1.127 (1.038, 1.224) and 1.104 (1.044, 1.169), respectively. Furthermore, the increased odd of abdominal obesity related to more frequent spicy food intake was mediated by higher fat energy intake; the direct and indirect effects were 1.107 (1.053, 1.164) and 1.007 (1.003, 1.012), respectively.ConclusionsThe data indicated that spicy food intake increased the risk of abdominal obesity, and fat energy intake may be a mediator of this association in rural Chinese populations. Clarifying the mechanisms will facilitate the development of novel preventive and therapeutic approaches for abdominal obesity.Trial registration numberChiCTR-OOC-15006699

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Physical activity pattern in early pregnancy and gestational diabetes mellitus risk among low-income women: A prospective cross-sectional study

SAGE Open Medicine ◽

10.1177/2050312119875922 ◽

2019 ◽

Vol 7 ◽

pp. 205031211987592

Author(s):

Graciliano Ramos do Nascimento ◽

Maria do Carmo Borges ◽

José Natal Figueiroa ◽

Lucas Victor Alves ◽

João Guilherme Alves

Keyword(s):

Physical Activity ◽

Diabetes Mellitus ◽

Gestational Diabetes ◽

Gestational Diabetes Mellitus ◽

Early Pregnancy ◽

Low Income ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Low Income Women

Objective: Gestational diabetes mellitus is increasing worldwide, mainly in developing countries, and physical activity has not been studied in gestational diabetes mellitus prevention among low-income population. This prospective cross-sectional study assessed the gestational diabetes mellitus risk related to physical activity in early pregnancy among low-income women. Methods: A prospective cross-sectional study with 544 low-income pregnant women was conducted at the Instituto de Medicina Integral Prof. Fernando Figueira, Brazil. Gestational diabetes mellitus was diagnosed using the International Association of Diabetes and Pregnancy Study Groups criteria. Physical activity was assessed during early pregnancy using the Pregnancy Physical Activity Questionnaire and categorized as sedentary, light, moderate, or vigorous intensity. Results: Gestational diabetes mellitus occurred in 95 of 544 women (17.4%). Body mass index was higher in the gestational diabetes mellitus group. Nearly half of all pregnant women studied were physically inactive, and none of them were classified as vigorous physical active. Sedentary physical activity pattern was associated with a higher odds of gestational diabetes mellitus (odds ratio = 1.8, 95% confidence interval = 1.1–2.9), which did not change after adjusting for several covariates (odds ratio = 1.9, 95% confidence interval = 1.2–3.1). Conclusion: Physical inactivity in early pregnancy is associated with a higher risk of gestational diabetes mellitus among low-income women.

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Serum Concentrations of Selected Organochlorines in Pregnant Women and Associations with Pregnancy Outcomes. A Cross-Sectional Study from Two Rural Settings in Cambodia

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17207652 ◽

2020 ◽

Vol 17 (20) ◽

pp. 7652

Author(s):

Margit Steinholt ◽

Shanshan Xu ◽

Sam Ol Ha ◽

Duong Trong Phi ◽

Maria Lisa Odland ◽

...

Keyword(s):

Polychlorinated Biphenyls ◽

Pregnant Women ◽

Gestational Age ◽

Low Income ◽

Cross Sectional Study ◽

Maternal Serum ◽

Sectional Study ◽

Serum Samples ◽

Cross Sectional ◽

Rural Settings

We conducted a cross-sectional study among 194 pregnant women from two low-income settings in Cambodia. The inclusion period lasted from October 2015 through December 2017. Maternal serum samples were analyzed for persistent organic pollutants (POPs). The aim was to study potential effects on birth outcomes. We found low levels of polychlorinated biphenyls (PCBs) and organochlorine pesticides (OCP), except for heptachlors, β-hexachlorocyclohexane (HCH), heptachlor epoxide, and p,p’-DDE. There were few differences between the two study locations. However, the women from the poorest areas had significantly higher concentrations of p,p’-DDE (p < 0.001) and hexachlorobenzene (HCB) (p = 0.002). The maternal factors associated with exposure were parity, age, residential area, and educational level. Despite low maternal levels of polychlorinated biphenyls, we found significant negative associations between the PCB congeners 99 (95% CI: −2.51 to −0.07), 138 (95% CI: −1.28 to −0.32), and 153 (95% CI: −1.06 to −0.05) and gestational age. Further, there were significant negative associations between gestational age, birth length, and maternal levels of o,p’-DDE. Moreover, o,p’-DDD had positive associations with birth weight, and both p,p’-DDD and o,p’-DDE were positively associated with the baby’s ponderal index. The poorest population had higher exposure and less favorable outcomes.

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Cross-sectional study of drivers of animal-source food consumption in low-income urban areas of Nairobi, Kenya

BMC Nutrition ◽

10.1186/s40795-016-0109-z ◽

2016 ◽

Vol 2 (1) ◽

Cited By ~ 12

Author(s):

Laura Cornelsen ◽

Pablo Alarcon ◽

Barbara Häsler ◽

Djesika D. Amendah ◽

Elaine Ferguson ◽

...

Keyword(s):

Food Consumption ◽

Low Income ◽

Urban Areas ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Animal Source ◽

Animal Source Food

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Inpatients’ experience and the associated factors: A cross-sectional study at Lung hospital, Son La, in 2020

Journal of Health and Development Studies ◽

10.38148/jhds.0504skpt21-007 ◽

2021 ◽

Vol 05 (04) ◽

pp. 110-116

Author(s):

Huu Thang Nguyen ◽

◽

Thi Nguyet Minh Doan ◽

Thanh Huong Tran ◽

Hai Thanh Pham

Keyword(s):

Low Income ◽

Associated Factors ◽

Income Group ◽

Cross Sectional Study ◽

Sectional Study ◽

Related Factors ◽

Cross Sectional ◽

Middle Income ◽

Medical Facilities ◽

Middle Income Group

Objectives: Medical facilities with an autonomous tendency always try to serve positive and pleasant experiences to improve the brand name, increase patient satisfaction and loyalty. A descriptive cross-sectional study was conducted on 245 inpatients at Lung Hospital in Son La province in 2020. To describe the current situation of the inpatient's experience at Lung Hospital in Son La province by 2020 and its related factors. Methods: This was a cross-sectional study conducted on 245 inpatients at Son La Lung Hospital Results: The study showed that the total score of inpatients’ experience ranged from 22 points to 57 points and the mean of it was 39.7 (6.13) points. Subject's experience scores were divided into 2 groups, the satisfied group accounted for 32.7% and the percentage of the unsatisfied group was 67.3%. As compared to men, a higher total score of women was (OR: 1.134; 95% CI: 0.284-0.997). The urban area group’s score was 1,190 times higher than that of those who live in rural and mountainous areas (95% CI: 1,010 - 1,400). The middle-income group had more positive experience than the low-income group (OR: 1.180; 95% CI: 1.010 - 1.370). Conclusions: Our research showed that gender, living area and economic condition affected the total score of inpatients’ experience at the Lung hospital. Keywords: Patient experiences, inpatient treatment, hospital, associated factors

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Infant Feeding Practices and Perceived Optimal Breastfeeding Interventions among Low-Income Women Delivering at a Baby-Friendly Hospital

American Journal of Perinatology ◽

10.1055/s-0038-1676485 ◽

2018 ◽

Vol 36 (07) ◽

pp. 669-677 ◽

Cited By ~ 3

Author(s):

Adam K. Lewkowitz ◽

Nandini Raghuraman ◽

Julia D. López ◽

George A. Macones ◽

Alison G. Cahill

Keyword(s):

Infant Feeding ◽

Low Income ◽

Tertiary Care ◽

Feeding Practices ◽

Cross Sectional Study ◽

Perceived Usefulness ◽

Breastfeeding Initiation ◽

Infant Feeding Practices ◽

Cross Sectional ◽

Low Income Women

Objective To determine infant feeding practices of low-income women at a Baby-Friendly Hospital and to ascertain breastfeeding interventions they believe would increase exclusive breastfeeding. Study Design This cross-sectional study occurred at a tertiary care Baby-Friendly Hospital. Low-income women without breastfeeding contraindications were recruited at scheduled obstetrician/gynecologist appointments within 6 to 9 months of delivering a term, nonanomalous infant. Participants completed a survey. Outcomes included infant feeding patterns and perceived usefulness of proposed breastfeeding interventions. Results Of 149 participants, 129 (86.6%) initiated breastfeeding; by postpartum day 2 (PPD2), 47 (31.5%) exclusively breastfed, 51 (34.2%) breastfed with formula, and 51 (34.2%) exclusively formula fed. On a scale of 1 (“strongly agree”) to 5 (“strongly disagree”), women who supplemented with formula on PPD2 were significantly more likely than those who exclusively formula fed to agree education on neonatal behavior, 1 (interquartile range [IQR] 1, 2) versus 2 (IQR 1, 3); p = 0.026 and on-demand access to breastfeeding videos on latch or positioning, 1 (IQR 1, 2) versus 2 (IQR 1, 3), p = 0.043; 1 (IQR 1, 2) versus 2 (IQR 1, 3), p = 0.021, respectively, would have helped them exclusively breastfeed. Conclusion Though low-income women at a Baby-Friendly Hospital had high breastfeeding initiation rates, the majority used formula by PPD2. To increase breastfeeding rates among low-income women, future interventions should provide appropriate and effective breastfeeding interventions.

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Association Between Pulse Pressure and Carotid Intima-Media Thickness Among Low-Income Adults Aged 45 Years and Older: A Population-Based Cross-Sectional Study in Rural China

Frontiers in Cardiovascular Medicine ◽

10.3389/fcvm.2020.547365 ◽

2020 ◽

Vol 7 ◽

Author(s):

Jie Liu ◽

Qiuxing Lin ◽

Dandan Guo ◽

Yuan Yang ◽

Xin Zhang ◽

...

Keyword(s):

Low Income ◽

Pulse Pressure ◽

Rural China ◽

Intima Media Thickness ◽

Carotid Intima Media Thickness ◽

Population Based ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Media Thickness

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Incentives and barriers to HIV testing in men who have sex with men in a metropolitan area in Brazil

Cadernos de Saúde Pública ◽

10.1590/0102-311x00049015 ◽

2016 ◽

Vol 32 (5) ◽

Cited By ~ 4

Author(s):

Valéria Freire Gonçalves ◽

Ligia Regina Franco Sansigolo Kerr ◽

Rosa Salani Mota ◽

Raimunda Hermelinda Maia Macena ◽

Rosa Lívia de Almeida ◽

...

Keyword(s):

Hiv Testing ◽

Metropolitan Area ◽

Low Income ◽

Demographic Data ◽

Cross Sectional Study ◽

Respondent Driven Sampling ◽

Sectional Study ◽

Personal Network ◽

Cross Sectional ◽

Sex With Men

Abstract: This study aimed to identify incentives and barriers to HIV testing in men who have sex with men (MSM). This was a cross-sectional study of MSM who had lived at least three months in greater metropolitan Fortaleza, Ceará State, Brazil, 2010. The study recruited 391 men ≥ 18 years of age who reported sexual relations with men in the previous six months, using Respondent Driven Sampling. Personal network and socio-demographic data were collected and HIV testing was offered, analyzed with RDSAT 6.0 and Stata 11.0. The majority were young (40.3%), had 5 to 11 years of schooling (57.3%), were single (85.1%), had low income (37.6%), and 58.1% had tested for HIV some time in life. Incentive to test: certainty of not being infected (34.1%) and the exposure to national campaign Fique Sabendo [Know your Status] (34%). Barriers: trust in partner(s) (21%) and fear of discrimination if tested positive (20.3%). Policies should be developed to ensure test confidentiality and communication campaigns focusing on information gaps and encouragement for testing.

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Sex Differences in the Association Between Obesity and Cognitive Impairment in a Low-Income Elderly Population in Rural China: A Population-Based Cross-Sectional Study

Frontiers in Neurology ◽

10.3389/fneur.2021.669174 ◽

2021 ◽

Vol 12 ◽

Author(s):

Dandan Guo ◽

Xin Zhang ◽

Changqing Zhan ◽

Qiuxing Lin ◽

Jie Liu ◽

...

Keyword(s):

Cognitive Impairment ◽

Low Income ◽

Elderly Population ◽

Elderly Women ◽

Rural China ◽

Population Based ◽

Cross Sectional Study ◽

Sectional Study ◽

Elderly Men ◽

Cross Sectional

Background: Obesity is a potentially modifiable risk factor for cognitive impairment. However, sex-specific relationships between obesity and cognitive impairment in late life remain unclear.Objective: We aimed to assess sex differences in the association between various obesity parameters and cognitive impairment in a low-income elderly population in rural China.Methods: A population-based cross-sectional study was conducted to collect basic information from elderly residents aged 60 years and older from April 2014 to August 2014 in rural areas of Tianjin, China. Obesity parameters, including body mass index (BMI) and waist circumference (WC), and Mini Mental State Examination scores were measured, and the relationships between these variables were assessed.Results: A total of 1,081 residents with a mean age of 67.70 years were enrolled in this study. After adjusting for age, educational attainment, smoking status, drinking status, physical exercise participation, and the presence of diabetes and hyperlipidemia, blood pressure group; a high BMI was found to be associated with an increased prevalence of cognitive impairment in elderly women. Each 1-unit increase in BMI was associated with a 5.9% increase in the prevalence of cognitive impairment. WC was related to the prevalence of cognitive impairment in elderly men, and each 1-cm increase in WC was associated with a 4.0% decrease in the prevalence of cognitive impairment. However, there were no significant associations between WC and cognitive function in women or between BMI and cognitive impairment in men.Conclusion: A greater WC was positively associated with better cognitive function in low-income elderly men in rural China, whereas a higher BMI was associated with an increased risk of cognitive impairment in elderly women, independent of sociodemographic, lifestyle, and health-related comorbid factors. Our results suggest weight management of elderly women in rural China may have cognitive benefits. However, randomized controlled trials would be needed to confirm causality.

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