scholarly journals Breastfeeding after Gestational Diabetes: Does Perceived Benefits Mediate the Relationship?

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Jordyn T. Wallenborn ◽  
Robert A. Perera ◽  
Saba W. Masho

Introduction. Breastfeeding is recognized as one of the best ways to decrease infant mortality and morbidity. However, women with gestational diabetes mellitus (GDM) may have breastfeeding barriers due to the increased risk of neonatal and pregnancy complications. While the prevalence of GDM is increasing worldwide, it is important to understand the full implications of GDM on breastfeeding outcomes. The current study aims to investigate the (1) direct effect of GDM on breastfeeding duration and (2) indirect effect of GDM on breastfeeding duration through perceived benefits of breastfeeding.Methods. Prospective cohort data from the Infant Feeding and Practices Study II was analyzed (N=4,902). Structural equation modeling estimated direct and indirect effects.Results. Perceived benefits of breastfeeding directly influenced breastfeeding duration (β=0.392,p≤0.001). GDM was not directly associated with breastfeeding duration or perceived benefits of breastfeeding. Similarly, GDM did not have an indirect effect on breastfeeding duration through perceived benefits of breastfeeding.Conclusions. Perceived benefits of breastfeeding are an important factor associated with breastfeeding duration. Maternal and child health care professionals should enhance breastfeeding education efforts.

2020 ◽  
Vol 51 (1) ◽  
pp. 68-83
Author(s):  
Thomas Wojciechowski

Post-traumatic stress disorder (PTSD) is associated with increased risk for polydrug use. Low self-control is a key characteristic of the disorder and is predictive of polydrug use. However, there is a dearth of research focused on the relevance of a dual systems model delineation of self-control into the constructs of risk-seeking and impulsivity as it pertains to polydrug use and PTSD. This study tested dual systems mediation of this relationship. Generalized structural equation modeling was used to test for mediation effects. Results indicated that more PTSD symptoms predicted increased drug use variety (coefficient = 0.024; confidence interval [CI] = [0.001, 0.046]). Inclusion of dual systems constructs fully attenuated this relationship. The total indirect effect achieved marginal significance (coefficient = 0.005; CI = [>−0.001, 0.009]). Sensitivity analyses of the specific indirect effect of impulsivity as the sole mediator indicated significant mediation. These results provide some indication that impulsivity-based programming may help to treat polydrug use among those with severe PTSD.


2021 ◽  
pp. 073401682110157
Author(s):  
Thomas Wojciechowski

Cumulative victimization represents the summation of victimization experiences across multiple contexts, with greater accumulation generally predicting greater dysfunction than less accumulation of exposures. Past research has indicated that cumulative victimization predicts increased risk for future revictimization also. The dual systems model may help to understand this relationship. This framework comprises constructs of sensation-seeking and impulse control in developmental context. Deviant peer association may provide a social factor that helps to understand this relationship. Victimization has been found to influence all of these constructs identified here. It is predicted that increased accumulation of victimization experiences may drive variation in these constructs that results in elevated risk for revictimization. This study sought to test the theory that each of these three constructs independently mediated the cumulative victimization–revictimization relationship. The Pathways to Desistance data were used in analyses. This sample was comprised of 1,354 juvenile offenders followed for 7 years after a recent adjudication prior to baseline measurements. The first three waves of data were used in analyses. Generalized structural equation modeling was used to test for the relationships of interest. A bootstrapping process of computing standard errors was carried out to determine significance of mediation effects. Results indicated that increased cumulative victimization scores at baseline predicted increased probability of experiencing victimization at Wave 3. This relationship was attenuated by about 15% when all mediators were added to the model and the relationship remained significant. Further analyses indicated that the specific indirect effect running through deviant peer association was significant, as was the total indirect effect. Findings indicate that increases in cumulative victimization may result in increased affiliation with deviant peers that further increases their future victimization risk. Service providers for survivors of violence should focus on screening of social relationships of those they provide care for in order to assess safety concerns.


Foods ◽  
2021 ◽  
Vol 10 (6) ◽  
pp. 1205
Author(s):  
Yogi Tri Prasetyo ◽  
Allysa Mae Castillo ◽  
Louie John Salonga ◽  
John Allen Sia ◽  
Thanatorn Chuenyindee ◽  
...  

The drive-through fast-food industry has been one of the fastest businesses growing over the past decades in developing countries, including the Philippines. The purpose of this study was to evaluate factors influencing costumers’ repurchase intention in a drive-through fast food in the Philippines by utilizing the structural equation modeling (SEM) approach. A total of 305 Filipinos answered the online questionnaire, which contained 38 questions. The results of SEM indicated that subjective appetite (SA) was found to have a significant direct effect on menu options (MO). Consequently, MO was found to have significant direct effects on imagery elaboration (IE), vividness (VV), and convenience (CO), and an indirect effect on order accuracy (OA). Finally, SA, MO, IE, VV, OA, and CO were found to have significant effects on satisfaction (S), which subsequently led to loyalty (L) and repurchase intention (RI). Interestingly, MO was found to have the highest indirect effect on RI, indicating that MO is an important consideration for RI. This is the first comprehensive study evaluating drive-through fast food in the Philippines. The causal relationships of the present study can be applied and extended to evaluate the repurchase intention of drive-through fast food in other countries.


NUCLEUS ◽  
2020 ◽  
Vol 1 (2) ◽  
pp. 50-57
Author(s):  
Muhammad Darwin ◽  
Khoirul Umam

Tujuan penelitian ini adalah untuk mengetahui perbedaan dan kesamaan analisis Indirect Effect pada Structural Equation Modeling menggunakan software Amos dan SmartPLS. Metode penelitian yang digunakan adalah menggunakan metode penelitian kualitatif –komparatif. Analisis data yang digunakan menggunakan Model Spradley, dengan proses penelitian yang berangkat dari penjelasan yang lebih luas tentang indirect effect pada SEM, kemudian memfokus pada komparasi antar software dan menemukan benang merah penelitian (discovering cultural themes). Pembatasan penelitian ini adalah terbatas pada komparasi yang dilihat dari segi penggunaan dan ketersediaan yang ada pada output software. Ruang lingkup dalam pembahasan penelitian ini adalah terbatas pada penelitian skala nasional. Hasilnya adalah terdapat perbedaan pada analisis indirect effect pada  nilai dan hasil evaluasi yang berbeda. Kemudian berbeda pada pengujian hipotesa Indirect Effect, keduanya menggunakan tool yang tidak sama, namun bisa saja menghasilkan evaluasi yang diterima atau ditolak tergantung jenis data dan model penelitiannya. Sedangkan kesamaan yang diperoleh adalah terletak pada hasil evaluasi pada ilustrasi penelitian ini sama-sama menghasilkan hipotesis yang ditolak.


2021 ◽  
Vol 14 (1) ◽  
pp. 238
Author(s):  
Sa’Ed M. Salhieh ◽  
Yousef Al-Abdallat

Several factors can affect students’ intention to start a new technology-based venture (technopreneurial intentions). Understanding these factors is important when developing technical educational programs. This study investigates the effect of innate innovativeness and academic self-efficacy on technopreneurial self-efficacy and the forming of technopreneurial intentions. It does this by developing a conceptual model that relates technopreneurial intentions, technopreneurial self-efficacy, academic self-efficacy, and innate innovativeness. The data was collected from 378 undergraduate engineering students enrolled in a Jordanian university with a self-administered questionnaire survey. The results of the structural equation modeling (SEM) using AMOS showed that technopreneurial self-efficacy had a positive and significant impact on technopreneurial intentions. Academic self-efficacy had both a direct and indirect positive effect on technopreneurial intention. The indirect effect occurred through increased technopreneurial self-efficacy. Innate innovativeness had a direct effect on technopreneurial intentions, but it did not have a significant indirect effect through technopreneurship self-efficacy as was initially hypothesized. The findings suggest that those who show interest in starting a new technology-based venture have a strong belief in their abilities to perform the technological and entrepreneurial tasks needed, are confident about their ability to acquire the academic technical skills required, and have the inner motivation to seek what is technologically new and different.


2020 ◽  
Vol 4 (3) ◽  
pp. 29
Author(s):  
Edrick Heriyanto ◽  
Eko Harry Susanto

The purpose of this study is to examine the influence of perceived quality toward customer loyalty which is mediated by perceived risk and customer trust for PT. XYZ that engaged in chemistry. There are four variables perceived quality as the independent variable, customer loyalty as the dependent variable, and perceived risk and customer trust as mediating variable. The sample was determined by purposive sampling method, the questionnaire was well-collected and was used in data processing using the Structural Equation Modeling (SEM) method with Smart PLS 3.0 program. This analysis was conducted on 115 respondents as customer of PT. XYZ. Based on the result of the study, it was found that perceived quality, perceived risk, and customer trust have influence towards customer loyalty, perceived quality have influence towards perceived risk and customer trust, perceived quality had an indirect effect on customer loyalty via perceived risk and customer trust.


2011 ◽  
Vol 6 (2) ◽  
pp. 99
Author(s):  
Maria Pampa Kumalaningrum

This study examined the effect of entrepreneurial orientation on profitability in small business mediated by market orientation. Entrepreneurial orientation reflects the degree to which firms’ growth objectives are driven bythe identification and exploitation of untapped market opportunities. Market orientation reflects the degree to which firms’ strategic market planning is driven by customer and competitor intelligence.Data was processed with Structural Equation Modeling using AMOS  program. The results showed that Entre-preneurial orientation has an direct effect onmarket orientation and indirect effect on profitability mediated by market orientation. The results suggest, at least in small firms, entrepreneurial orientation complements market orientation by instilling an opportunistic culture that impacts the firm’s profitability.Keywords:market orientation, entrepreneurial orientation, and profitability.


2020 ◽  
Vol 122 (12) ◽  
pp. 3935-3946
Author(s):  
Shih-Tse Edward Wang ◽  
Yu-Ting Liao

PurposeAlthough the association between social norms and alcohol dependence has been noted, how social norms cause alcohol dependence remains unclear. This study thus investigated how social norms affect the perceived benefits of drinking and alcohol identity, which in turn affect alcohol dependence.Design/methodology/approachConvenience sampling was used, and 452 valid questionnaires were collected from alcohol (specifically, beer) consumers over the age of 18; answers were analyzed through structural equation modeling.FindingsSocial norms positively affected the perceived benefits of drinking and alcohol identity; alcohol identity positively affected alcohol dependence; moreover, alcohol identity fully mediated the effects of social norms and the perceived benefits of drinking on alcohol dependence.Originality/valueHow social norms affect alcohol dependence has rarely been studied; thus, the present study has value for integrating the findings in the lines of research on social norms and alcohol dependence. Based on the study results, the authors recommend that policies aimed at discouraging alcohol dependence should focus on mitigating the social pressure to drink and the perceived benefits of drinking as well as labeling others as drinkers.


2019 ◽  
Vol 26 (3) ◽  
pp. 262-268 ◽  
Author(s):  
Hamidreza Mokarami ◽  
Tayebe Rahimi Pordanjani ◽  
Ali Mohammadzadeh Ebrahimi ◽  
Fariba Kiani ◽  
Mohammad Faridan

BACKGROUND: Lifestyle is one factor that forms the nurses’ health, particularly those who work in shiftwork schedules. AIMS: The aim of this study was to design and test a model for health promotion of Iranian nurses. In this model, nurses’ lifestyle was considered as the precedent, physical and mental health as the outcomes, and sleep disturbance and chronic fatigue as the mediators. METHODS: A cross-sectional study using structural equation modeling was conducted among 240 shiftworker nurses in Iran. The data collection was performed using the Persian versions of the Survey of Shiftworkers Questionnaire and Life Style Questionnaire. Bootstrap in Preacher and Hayes’ Macro program was used for testing mediation. RESULTS: Lifestyle had a weak significant direct effect on physical (β = 0.13, p < .04) and mental health (β = 0.12, p < .02), and it had a significant indirect effect on physical health via chronic fatigue (β = −0.11, p < .001) and sleep disturbance (β = −0.05, p < .01). This variable only had a significant indirect effect on mental health via chronic fatigue (β = −0.19, p < .001). The final model proposed a new significant path between sleep disturbances and chronic fatigue (β = 0.22, p < .001). CONCLUSIONS: Therefore, the hospital officials can enhance the nurses’ physical and mental well-being by providing interventions and training courses on aspects of healthy lifestyles, such as physical activity, avoidance of smoking, and maintenance of body weight.


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