Healthcare Utilization and Morbidity among Adolescents with ADHD in Children Aged 11-17 Years, NHIS, 2017

Purpose. Children with ADHD have known behaviors of hyperactivity and impulsivity which may result in adverse outcomes. The purpose of this study is to examine the association of serious adverse outcomes (emergency department visits within the previous year) in preadolescents and adolescents with ADHD as compared with preadolescents and adolescents without ADHD. Method. The researchers conducted a cross-sectional, secondary data analysis of National Health Interview Survey (NHIS) 2017 data concerning 2,965 children (>11 to 17 years). The NHIS data resulted from face-to-face interviews of a household member selected from a multistage area probability design representing households in the US. Data analyses for this study included Chi-square bivariate analyses and logistic regression analyses. Results. There were 13.2% of children in the sample who had ADHD. Children with ADHD were more likely to be male and non-Hispanic white. They were also more likely to have one or more additional disease or condition excluding ADHD. In adjusted logistic regression analysis on emergency department utilization by ADHD status, the adjusted odds ratio was 1.93 (95%CI: 1.35, 2.74; p = 0.0003) for preadolescents and adolescents with ADHD as compared with preadolescents and adolescents without ADHD. Conclusion. Children with ADHD were more likely to have emergency department utilization than children without ADHD. Preventive medical visits were similar between preadolescent and adolescent children with and without ADHD. Characteristics associated with ADHD may explain the increased need for emergent care. Developing interventions for children with ADHD may decrease emergency department utilization.

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Relationship between Body Mass Index and Gender with Asthma

Jurnal Berkala Epidemiologi ◽

10.20473/jbe.v9i22021.115-122 ◽

2021 ◽

Vol 9 (2) ◽

pp. 115

Author(s):

Dewi Puji Ayuningrum ◽

Risna Nur Fajariyah ◽

Randy Novirsa ◽

Erni Astutik

Keyword(s):

Body Mass Index ◽

Logistic Regression ◽

Body Mass ◽

Life Support ◽

Statistical Significance ◽

Secondary Data ◽

The Other ◽

Chi Square ◽

Cross Sectional ◽

And Gender

Background: Asthma is ranked 16th among the leading causes of years lived with disability (YLD) and ranks 28th among the causes of global burden of disease (GBD). Various potential factors can cause asthma, which include body mass index (BMI) and gender. Purpose: This research aimed to determine the relationship between BMI and gender in people living with asthma in Indonesia. Methods: This research employed secondary data obtained from the Indonesian family life support (IFLS) 5th edition. This research used an observational analysis technique with a cross-sectional approach. The number of respondents in this research were 30,713. In this study, the BMI category was based on WHO’s classification for Asians. Data was analyzed using logistic regression tests and chi square. Statistical significance was set at a value of p<0.05. Results: As many as 17,175 respondents had a normal BMI range (56.92%), out of which the majority were women—16,001 respondents (52.10%). After controlling the other variables, statistical test results with logistic regression indicated that male respondents had 1.23 times the odds of experiencing asthma compared to females (adjusted odds ratio (AOR)=1.23; 95% confidence interval (CI), 1.04–1.44; p=0.02). Again, after controlling the other variables, underweight respondents had 1.31 times the odds of experiencing asthma compared to respondents who had a normal BMI (AOR=1.31; 95%CI=1.07–1.59; p=0.01). Conclusion: A relationship between gender and the category of people who were underweight after determining their BMI could be established. Health counseling can be provided to help improve the respiratory conditions of these individuals.

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FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEPATUHAN MASYARAKAT TERHADAP PROTOKOL KESEHATAN COVID-19

JURNAL KESEHATAN MASYARAKAT & GIZI (JKG) ◽

10.35451/jkg.v3i2.687 ◽

2021 ◽

Vol 3 (2) ◽

pp. 207-212

Author(s):

Felix Kasim ◽

Beni Satria ◽

Balqis Wasliati ◽

Kuat Sitepu ◽

Ika Nur Saputri ◽

...

Keyword(s):

Logistic Regression ◽

Secondary Data ◽

Total Sample ◽

Physical Distance ◽

Multiple Logistic Regression ◽

Chi Square ◽

Cross Sectional ◽

Chi Square Test ◽

Cross Sectional Design ◽

Regression Tests

The COVID-19 pandemic outbreak is increasingly deadly and is expanding beyond China. Batu Bara Regency is one of the districts that has experienced an increase in confirmed cases of COVID-19. The success of the COVID-19 health protocol practice is largely determined by the compliance of the community in carrying out the 3M movement, namely using masks, washing hands with soap, and maintaining physical distance. The purpose of this study was to determine the factors related to community compliance with the COVID-19 health protocol in Datuk Lima Puluh District, Batu Bara Regency. This study was an observational analytic study with a cross sectional design. The population in this study were all people in Datuk Lima Puluh District, Batu Bara Regency and the total sample was 393 people. Data collection was carried out with primary and secondary data. Data analysis was performed using the chi-square test and multiple logistic regression. The results of the chi-square test show that there is a relationship between knowledge and availability of facilities and community compliance with the COVID-19 health protocol in Datuk Lima Puluh District, Batu Bara Regency. The results of multiple logistic regression tests show that respondents who do not have the availability of facilities have 1,904 times the chance of not adhering to the COVID-19 health protocol. Suggestions for the health office and health services are expected to increase health socialization related to the prevention of COVID-19 so that people can comply with health protocols.

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Association of Family Type with Happiness Attributes Among Older Adults

10.21203/rs.3.rs-27103/v1 ◽

2020 ◽

Author(s):

Eun-Jeong Hwang ◽

In Ok Sim

Keyword(s):

Older Adults ◽

Logistic Regression ◽

Physical Environment ◽

Secondary Data ◽

Living Alone ◽

Family Type ◽

Social Activities ◽

Chi Square ◽

Cross Sectional ◽

Significant Difference

Abstract Abstract Background: This study used secondary data from the 2017 Korean Community Health Survey to compare the associations between depressive symptoms, present health status, socio-physical environment, social support networks, and social activities with happiness among older adults from three different family types. Method: The study employed a non-experimental, cross-sectional research design. The data were analyzed using the chi-square test, one-way ANOVA, and Logistic regression. Results: Findings revealed a significant difference in the happiness index among older adults living alone (6.22±2.11), older adults living with their spouse (6.76±1.99), and older adults living with their family (6.46±1.94) (F = 88.69, p < .001). As the result of logistic regression, older adults living alone (odds ratio (OR) = 0.75, 95% confidence interval (CI) = 0.57–0.99) and those living with their family (OR = 0.80, 95% CI = 0.65–0.99) demonstrated greater happiness as the frequency of contact with their family increased. Older adults living with their spouse indicated an increase in happiness when their contact with friends was higher (OR = 0.69, 95% CI = 0.56–0.84). Conclusion: It was confirmed that factors influencing happiness differed according to older adults’ family type, thus suggesting that older adults’ happiness could be facilitated through interventions that consider their circumstances, including family type. Keywords: family type; happiness; older adult; social activities; socio-physical environment

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PENGARUH USIA DAN PARITAS TERHADAP KEJADIAN PRE EKLAMPSIA DI RSUD SIDOARJO

Journal of Health Sciences ◽

10.33086/jhs.v9i1.180 ◽

2018 ◽

Vol 9 (1) ◽

Author(s):

Hinda Novianti

Keyword(s):

Logistic Regression ◽

Multivariate Analysis ◽

Secondary Data ◽

Simple Random Sampling ◽

Multiple Logistic Regression ◽

Chi Square ◽

Cross Sectional ◽

Maternity Hospitals ◽

Calculation Results ◽

Chi Square Test

The Influence Of Age And Parity Of Events Pre Eklampsia In Sidoarjo General Hospital. One of the complications in pregnancy that could have an impact on maternal neonatal mortality is preeclampsia. Until now, the exact cause of preeclampsia is not known. The purpose of this study was to determine the effects of age and parity on the incidence of preeclampsia. The study design was cross-sectional analytic approach. Entire population Pregnant women and maternity hospitals in the delivery room of Sidoarjo by 450 people from January to March 2016, samples were taken using simple random sampling of 150 respondents. The independent variables were maternal age and parity, the dependent variable was the incidence of preeclampsia. The research instrument used secondary data from medical records. Then the data is processed with the process of editing, coding, processing and cleaning, were analyzed using univariate, bivariate and multivariate analysis with multiple logistic regression. Results of the research that has been conducted using the chi-square test for variables of age obtained Pearson chi-square value of 24.093 and p = 0.000> 0.05 of the proceeds Ho is rejected, and the variable parity performed using chi- square test of Pearson chi-square didapatkannilai 8.687 and p = 0.000> 0.05 from the results of Ho rejected. From the multiple logistic regression multivariate analysis showed calculation results Nagelkerke R 0234 square connotes age and parity variables simultaneously able to explain 23.4% of variations in the risk of preeclampsia. In conclusion there is the effect of age on preeclampsia, and there is also the effect of parity against preeclampsia.

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Association of living arrangements with happiness attributes among older adults

BMC Geriatrics ◽

10.1186/s12877-021-02017-z ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Eun Jeong Hwang ◽

In Ok Sim

Keyword(s):

Older Adults ◽

Logistic Regression ◽

Living Arrangements ◽

Secondary Data ◽

Living Alone ◽

Cross Sectional Survey ◽

Chi Square ◽

Related Factors ◽

Cross Sectional ◽

Significant Difference

Abstract Background In Korea, along with the rapid aging of the population, older adults’ living arrangements have changed in various ways. In particularly, the happiness of older adults living alone warrants attention because they are more vulnerable to unhappiness than those living with families are. This study reports on the level of happiness among older adults in Korean and examines the potential mediating roles of depressive symptoms, present health status, socio-physical environment, social support networks, and social activities, and happiness in three different living arrangements, older adults living alone, with their spouse, or with their family. Method Data for this study were extracted from the secondary data from the 2017 Korean Community Health Survey, a non-experimental, cross-sectional survey conducted among Korean individuals that were aged 65 and above (n = 14,687). The chi-square test, one-way ANOVA, and Logistic regression were used to explore the related factors of happiness among the three groups. Results Findings revealed a significant difference in the happiness index among older adults living alone (6.22 ± 2.11), older adults living with their spouse (6.76 ± 1.99), and older adults living with their family (6.46 ± 1.94) (F = 88.69, p < .001). As the result of logistic regression, older adults living alone (odds ratio (OR) = 0.75, 95% confidence interval (CI) = 0.57–0.99) and those living with their family (OR = 0.80, 95% CI = 0.65–0.99) demonstrated greater happiness as the frequency of contact with their family increased. Older adults living with their spouse indicated an increase in happiness when their contact with friends was higher (OR = 0.69, 95% CI = 0.56–0.84). Conclusion It was recognized that factors influencing happiness differed according to older adults’ living arrangements, thus suggesting that older adults’ happiness could be facilitated through interventions that consider their circumstances, including living arrangements.

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Budaya Kerja Petugas Panti Menurut Persepsi Lansia Dengan Kejadian Pengabaian di PSTW X

Jurnal Endurance ◽

10.22216/jen.v4i3.3776 ◽

2019 ◽

Vol 4 (3) ◽

pp. 651

Author(s):

Lola Felnanda Amri

Keyword(s):

Logistic Regression ◽

Nursing Home ◽

Work Environment ◽

The Elderly ◽

Statistical Test ◽

Nursing Personnel ◽

Work Culture ◽

Chi Square ◽

Cross Sectional ◽

Correlation Design

Perawatan pada lansia di panti tresna werdha X dilakukan berdasarkan rutinitas kerja dan petugas belum mendapat pelatihan mengenai kebutuhan dasar lansia yang harus dipenuhi. Berdasarkan hal tersebut, peneliti ingin mengetahui hubungan budaya kerja petugas panti menurut persepsi lansia dengan kejadian pengabaian di PSTW X Sumatera Barat. Desain penelitian deskriptif korelasi, menggunakan pendekatan cross sectional. Pengambilan sampel dengan total sampling, berjumlah 75. Uji statistik digunakan chi square dan regresi logistik. Hasil yang diperoleh seluruh lansia mengalami pengabaian; ada hubungan antara sikap terhadap apa yang dikerjakan, lingkungan pekerjaan; waktu dengan pengabaian lansia; Tidak ada hubungan antara perilaku ketika mengambil keputusan dengan pengabaian lansia. Sikap terhadap apa yang dikerjakan memiliki pengaruh paling besar terhadap kejadian pengabaian lansia. Disimpulkan bahwa petugas harus lebih memahami tentang peran dan fungsinya sebagai pemberi pelayanan pada lansia. Direkomendasikan agar pejabat yang berwenang dapat menempatkan petugas panti sesuai dengan peran dan fungsi serta kewenangannya, dan merekrut perawat sesuai dengan kebutuhan panti. The nursing of elderly in Tresna Werda X nursing home is mainly based on the workrout in and that the caregiver have not yet received training on the basic needs of the elderly that they should meet. Therefore, the researcher wanted to know the relations of the work culture of caregiver according to the elderly’s perception with the incidence of neglect in PSTW X West Sumatera. This study used Descriptive correlation design with cross sectional approach. The method of sampling used total sampling, which amounts to 75. The statistical test used chi square and logistic regression. The results of the study show that all of the elderly experienced neglect; there is a relation between attitude towards what is conducted, work environment, time with elderly neglect; no relation between behavior in making decisions with elderly neglect. The attitude towards what is conducted has the most impacton the incidence of elderly neglect. It is concluded that the caregiver should have a better understanding on their roles and functions as the caregivers to the elderly. Moreover, it is recommended that the authorities should put nursing personnel in accordance with the roles, functions and competence, and recruit nurses in accordance with the needs of the nursing home.

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Red Blood Cell Transfusion in the Emergency Department: An Observational Cross-Sectional Multicenter Study

Journal of Clinical Medicine ◽

10.3390/jcm10112475 ◽

2021 ◽

Vol 10 (11) ◽

pp. 2475

Author(s):

Olivier Peyrony ◽

Danaé Gamelon ◽

Romain Brune ◽

Anthony Chauvin ◽

Daniel Aiham Ghazali ◽

...

Keyword(s):

Emergency Department ◽

Logistic Regression ◽

Blood Cell ◽

Red Blood Cell ◽

Cross Sectional Study ◽

Red Blood Cell Transfusion ◽

Cross Sectional ◽

Acute Bleeding ◽

History Of ◽

Rbc Transfusion

Background: We aimed to describe red blood cell (RBC) transfusions in the emergency department (ED) with a particular focus on the hemoglobin (Hb) level thresholds that are used in this setting. Methods: This was a cross-sectional study of 12 EDs including all adult patients that received RBC transfusion in January and February 2018. Descriptive statistics were reported. Logistic regression was performed to assess variables that were independently associated with a pre-transfusion Hb level ≥ 8 g/dL. Results: During the study period, 529 patients received RBC transfusion. The median age was 74 (59–85) years. The patients had a history of cancer or hematological disease in 185 (35.2%) cases. Acute bleeding was observed in the ED for 242 (44.7%) patients, among which 145 (59.9%) were gastrointestinal. Anemia was chronic in 191 (40.2%) cases, mostly due to vitamin or iron deficiency or to malignancy with transfusion support. Pre-transfusion Hb level was 6.9 (6.0–7.8) g/dL. The transfusion motive was not notified in the medical chart in 206 (38.9%) cases. In the multivariable logistic regression, variables that were associated with a higher pre-transfusion Hb level (≥8 g/dL) were a history of coronary artery disease (OR: 2.09; 95% CI: 1.29–3.41), the presence of acute bleeding (OR: 2.44; 95% CI: 1.53–3.94), and older age (OR: 1.02/year; 95% CI: 1.01–1.04). Conclusion: RBC transfusion in the ED was an everyday concern and involved patients with heterogeneous medical situations and severity. Pre-transfusion Hb level was rather restrictive. Almost half of transfusions were provided because of acute bleeding which was associated with a higher Hb threshold.

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Empty shelves: selected essential medicines stockouts in South Africa

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.490 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

L Wolvaardt ◽

R Nemuntandani ◽

I Kamungoma-Dada

Keyword(s):

South Africa ◽

Urban Areas ◽

Descriptive Analysis ◽

Secondary Data ◽

Treatment Interruption ◽

Cross Sectional Study ◽

Essential Medicines ◽

Chi Square ◽

Cross Sectional ◽

Antiretroviral Medication

Abstract Background Access to essential medicines in South Africa has been compromised by stockouts in health facilities. This study describes the occurrence of stockouts for a selection of essential medicines. Methods This cross-sectional study used secondary data retrieved from the Stop Stock Outs Project (SSP). A descriptive analysis was conducted on data from the 2013-2015 SSP case management database of routinely reported stockouts. Chi square tests of independence was conducted on data from the SSP 2015 annual telephonic survey to investigate associations between the occurrence of stockouts, the level of health facility and the type of health professional. Results 231 facilities reported 609 stockouts. Antiretroviral medication had the most stockout reports (78%; n = 475/609), followed by anti-infectives (17.1%; n = 104/609) and tuberculosis medication (4.9%; n = 30/609). The highest number of stockout reports were received from Gauteng province and the majority (71.09%; n = 150/211) of facilities reporting stockouts were in urban areas. There were more stockouts at ambulatory, rather than inpatient care, facilities however, this was not statistically significant. Conclusions This study confirms that South Africa experiences medicine stockouts for many of the essential medicines, with antiretroviral medication being the category most affected. The stockouts vary between provinces and the urban-rural divide but are an equal threat to both ambulatory and inpatient facilities. Key messages The pattern of stockouts experienced over a three-year period suggest that stockouts are ‘normal’ despite the substantive effects of treatment interruption – especially patients with HIV and/or TB. Antiretroviral therapy is at risk as a result of stockouts.

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Symmetry Dimension in Obsessive–Compulsive Disorder: Prevalence, Severity and Clinical Correlates

Journal of Clinical Medicine ◽

10.3390/jcm10020274 ◽

2021 ◽

Vol 10 (2) ◽

pp. 274

Author(s):

Aline P. Vellozo ◽

Leonardo F. Fontenelle ◽

Ricardo C. Torresan ◽

Roseli G. Shavitt ◽

Ygor A. Ferrão ◽

...

Keyword(s):

Logistic Regression ◽

Obsessive Compulsive Disorder ◽

Clinical Sample ◽

Cross Sectional Study ◽

Obsessive Compulsive ◽

Chi Square ◽

Cross Sectional ◽

Compulsive Disorder ◽

Clinical Correlates ◽

Axis I

Background: Obsessive–compulsive disorder (OCD) is a very heterogeneous condition that frequently includes symptoms of the “symmetry dimension” (i.e., obsessions and/or compulsions of symmetry, ordering, repetition, and counting), along with aggressive, sexual/religious, contamination/cleaning, and hoarding dimensions. Methods: This cross-sectional study aimed to investigate the prevalence, severity, and demographic and clinical correlates of the symmetry dimension among 1001 outpatients from the Brazilian Research Consortium on Obsessive–Compulsive Spectrum Disorders. The main assessment instruments used were the Dimensional Yale–Brown Obsessive–Compulsive Scale, the Yale–Brown Obsessive–Compulsive Scale, the USP-Sensory Phenomena Scale, the Beck Depression and Anxiety Inventories, the Brown Assessment of Beliefs Scale, and the Structured Clinical Interview for DSM-IV Axis I Disorders. Chi-square tests, Fisher’s exact tests, Student’s t-tests, and Mann–Whitney tests were used in the bivariate analyses to compare patients with and without symptoms of the symmetry dimension. Odds ratios (ORs) with confidence intervals and Cohen’s D were also calculated as effect size measures. Finally, a logistic regression was performed to control for confounders. Results: The symmetry dimension was highly prevalent (86.8%) in this large clinical sample and, in the logistic regression, it remained associated with earlier onset of obsessive–compulsive symptoms, insidious onset of compulsions, more severe depressive symptoms, and presence of sensory phenomena. Conclusions: A deeper knowledge about specific OCD dimensions is essential for a better understanding and management of this complex and multifaceted disorder.

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Relative Humidity Affects Acute Otitis Media Visits of Preschool Children to the Emergency Department

Ear Nose & Throat Journal ◽

10.1177/01455613211009151 ◽

2021 ◽

pp. 014556132110091

Author(s):

Ying-Fang Jiang ◽

Wen-Wei Luo ◽

Xin Zhang ◽

Dong-Dong Ren ◽

Yi-Bo Huang

Keyword(s):

Emergency Department ◽

Preschool Children ◽

Relative Humidity ◽

Otitis Media ◽

Meteorological Factors ◽

Acute Otitis Media ◽

Emergency Department Visits ◽

Preschool Age ◽

School Age Children ◽

Cross Sectional

Objective: The associations between climate variables and diseases such as respiratory infections, influenza, pediatric seizure, and gastroenteritis have been long appreciated. Infection is the main reason for acute otitis media (AOM) incidence. However, few previous studies explored the correlation between climatic parameters and AOM infections. The most important meteorological factors, temperature, relative humidity, and fine particulate matter (PM2.5), were included in this study. We studied the relationship between these meteorological factors and the AOM visits. Materials and Methods: It was a retrospective cross-sectional study. A linear correlation and a linear regression model were used to explore the AOM visits and meteorological factors. Results: A total of 7075 emergency department visits for AOM were identified. Relative humidity was found an independent risk factor for the AOM visits in preschool children (regression coefficient = −10.841<0, P = .039 < .05), but not in infants and school-age children. Average temperature and PM2.5 were not correlated with AOM visits. Conclusion: Humidity may have a significant inverse impact on the incidence of AOM in preschool-age children.

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