Factors Associated with Serious Injuries among Adolescents in Ghana: Findings from 2012 Global School Health Survey

Introduction. Injuries are of public health concern and the leading cause of residual disability and death among teenagers, especially in low- and middle-income countries (LMICs). In Ghana, the burden of injury among adolescents is under-reported. Hence, the study sought to determine the prevalence of serious injuries (SI) and the potential factors influencing these injuries among school children in Ghana. Methods. This study was conducted in Ghana among Junior High School (JHS) and senior high school students (SHS) using the 2012 Global School-Based Student Health Survey (GSHS) data. The GSHS employed two-stage cluster sampling method. Serious injuries (SI) and independent factors were measured via self-administered questionnaires. Pearson chi-square test between each explanatory variable and serious injuries was conducted and the level of statistical significance was set at 5%. The significant variables from the chi-square test were selected for multiple logistic regression analysis. Multiple logistic regression was performed to estimate the adjusted odds ratio (AOR) at 95% confidence interval (CI). Results. The prevalence of SI in the past 12 months was 66% [CI=61.8–70.2] . The most common cause of SI was fall, 36%. The common types of injuries were cut/stab wounds and broken/dislocated bone. In the multiple logistic regression analysis, after controlling for other variables, educational level (AOR = 0.64, CI = 0.44–0.90, p < 0.015), suicidal ideation (AOR = 1.58, CI = 1.00–2.48, p < 0.002), suicidal attempt (AOR = 1.88, CI = 1.29–2.72, p < 0.001), having at least one close friend (AOR = 1.49, CI = 1.17–1.89, p < 0.002), school truancy (AOR = 1.66, CI = 1.31–2.09, p < 0.000), smoking marijuana (AOR = 2.64, CI = 1.22–5.69), and amphetamine use (AOR = 2.95, CI = 1.46–5.69) were independently associated with SI. Conclusion. The findings of the study established a high prevalence of SI among adolescents in Ghana, with cut/stab wound and broken/dislocated bone being the most reported type of injuries. This study also revealed that factors such as educational level, suicidal ideation, suicidal attempt, at least one close friend, school truancy, smoking marijuana, and amphetamine use are associated with SI among the adolescents. Therefore, pragmatic interventional programs should be targeted at these factors to curb the rate of SI among junior and senior school students.

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Migraine aura, a predictor of near-death experiences in a crowdsourced study

10.1101/811885 ◽

2019 ◽

Author(s):

Daniel Kondziella ◽

Markus Harboe Olsen ◽

Coline L. Lemale ◽

Jens P. Dreier

Keyword(s):

Logistic Regression ◽

Regression Analysis ◽

Odds Ratio ◽

Multiple Logistic Regression Analysis ◽

Migraine Aura ◽

Multiple Logistic Regression ◽

Chi Square ◽

Chi Square Test ◽

Imminent Death ◽

Near Death Experiences

AbstractBackgroundNear-death experiences (NDE) occur with imminent death and in situations of stress and danger but are poorly understood. Evidence suggests that NDE are associated with rapid eye movement (REM) sleep intrusion, a feature of narcolepsy. Previous studies further found REM abnormalities and an increased frequency of dream-enacting behavior in migraine patients, as well as an association between migraine with aura and narcolepsy. We therefore investigated if NDE are more common in people with migraine aura.MethodsWe recruited 1037 laypeople from 35 countries via a crowdsourcing platform. Reports were validated using the Greyson NDE Scale.ResultsEighty-one of 1037 participants had NDE (7.8%; CI 6.3-9.7%). There were no significant associations between NDE and age (p>0.6, t-test independent samples) or gender (p>0.9, chi-square test). The only significant association was between NDE and migraine aura: Forty-eight (6.1%) of 783 subjects without migraine aura and 33 (13.0%) of 254 subjects with migraine aura had NDE (p<0.001, chi-square test, odds ratio (OR) = 2.29). In multiple logistic regression analysis, migraine aura remained significant after adjustment for age (p≤0.001, OR 2.31), gender (p<0.001, OR 2.33), or both (p<0.001, OR 2.33).ConclusionsIn our sample, migraine aura was a predictor of NDE. This indirectly supports the association between NDE and REM intrusion and might have implications for the understanding of NDE, because a variant of spreading depolarization (SD), terminal SD, occurs in humans at the end of life, while a short-lasting variant of SD is considered the pathophysiological correlate of migraine aura.

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Food Safety in the Public Awareness

Analecta Technica Szegedinensia ◽

10.14232/analecta.2015.1.25-30 ◽

2015 ◽

Vol 9 (1) ◽

pp. 25-30

Author(s):

András Papp ◽

Judit Krisch

Keyword(s):

Logistic Regression ◽

Food Safety ◽

Public Awareness ◽

National Curriculum ◽

Personal Hygiene ◽

School Students ◽

Chi Square ◽

Significant Difference ◽

Chi Square Test ◽

Knowledge And Attitude

National and international surveys show that people still do not have appropriate knowledge of and attitude to food safety. Therefore more and more countries organize educational courses to improve skills and knowledge regarding food safety. In Hungary the National Curriculum 2012 contains the program for food safety education. The aim of our survey was investigation about knowledge and attitude of primary and secondary school students towards food safety. The questions, according to international surveys, fell into 5 categories: personal hygiene, keeping food at safe temperatures, adequate cooking, avoidance of cross-contamination, and safe source of foods. Statistical evaluation was done using SPSS 20 software. Significant differences were evaluated by logistic regression, Chi square test, and crossing table analysis. Results showed that there was no significant difference among primary school students regarding gender or residence (village or town) in knowledge of food safety. Their attitudes showed more significant divergence. Logistic regression investigation has showed that there was a good correlation between knowledge and attitude of personal and kitchen hygiene. In conclusion, our students have presented more or less the same results as the others from international questionnaires. Even though, we need to improve knowledge and skill in food safety.

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Factors influencing the effectiveness of colonoscopy

Proceedings Series on Health & Medical Sciences ◽

10.30595/pshms.v1i.43 ◽

2020 ◽

Vol 1 ◽

pp. 98-100

Author(s):

Mustikawati Mustikawati ◽

Sodikin Sodikin

Keyword(s):

Logistic Regression ◽

Drug Use ◽

Medical History ◽

Univariate Analysis ◽

Current Medical ◽

Multiple Logistic Regression ◽

Preparation Time ◽

Chi Square ◽

Chi Square Test ◽

History Of

Colonoscopy is one of the most widely-used procedures for diagnostic examination and treatment of colorectal diseases, either benign or malignant. Colonoscopy results are influenced by several factors such as current medical history, history of drug use, history of accompanying illnesses, and procedures performed. To analyze the factors which affectiverness the results of colonoscopy among the undergoing patients in Regional Public Hospital of Banyumas. The method used was observational analytic with a cross sectional approach. From the consecutive sample selection, it gave 76 respondents. The analysis was done using Univariate analysis with frequency distribution test, bivariate with chi square test and multivariate with multiple logistic regression test. Most of the respondents (51 respondents, 67.1%) aged 46-65 years and most of them were female (41 or 53.1%), they were dominated by high school graduates (56 or 73.7%), and the dominant occupation status was undemployed (31 or 40.8%). The results of the chi square test showed that there was an effect of current disease history, namely complaints / indications for colonoscopy examinations (p 0.011), drug use (p 0.021),accompanying disease history (p 0.003), and implementation procedures (p 0.000) on colonoscopy results. The results of multiple logistic regression showed that the factor that mostly influences the colonoscopy results was the length of preparation time (1-2 days of preparation).In conclusion current medical history, drug use history, accompanying medical history, and procedure administration significantly influence the colonoscopy outcome. And the most influencing factor is the length of preparation time (1-2 days of preparation).

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The Influence of Gestational Age and Birth Weight on Neonatal Mortality

Global Medical & Health Communication (GMHC) ◽

10.29313/gmhc.v8i3.6718 ◽

2020 ◽

Vol 8 (3) ◽

Author(s):

Wedi Iskandar ◽

Yeni Andayani ◽

Lia Marlia ◽

Burhan Burhan ◽

Aris Primadi

Keyword(s):

Logistic Regression ◽

Birth Weight ◽

Low Birth Weight ◽

Neonatal Mortality ◽

Gestational Age ◽

Multiple Logistic Regression ◽

Chi Square ◽

Percentage Contribution ◽

Chi Square Test ◽

Significant Health

Prematurity and low birth weight are some of the causes of neonatal death and significant health problem. This study aimed to determine the influence of gestational age and birth weight on neonatal mortality at the Al Islam Hospital Bandung in 2015–2019. It was a case-control retrospective observational analysis using medical records of the Al Islam Bandung Hospital from January 1, 2015, to December 31, 2019. The inclusion criteria for infants were born alive. Exclusion criteria had severe congenital abnormalities and gestational age <26 weeks. The chi-square test evaluated the univariate comparison test of risk factors between 2 groups. Multiple logistic regression to assess neonatal mortality's predictive factors and the percentage contribution of the influence was calculated (Nagelkerke’s R2 analysis). The number of infants enrolled in 2015–2019 was 6,791 neonates, and who died was 56 neonates (0.82%). In premature infants and low birth weight there was a very significant relationship with neonatal mortality, respectively p=0.000 (p<0.05) OR=30.397 (CI=16.506–55.976), and p=0.000 (p<0.05) OR=41.206 (CI=18.611–91.233). In the multiple logistic regression test, p=0.000 (p<0.05), with a Nagelkerke’s R2 value of 0.344 or 34.4%. This presence that gestational age and birth weight significantly affects neonatal mortality, either partially or simultaneously. The percentage contribution of the influence of gestational age and birth weight to neonatal mortality was 34.4%. PENGARUH USIA GESTASI DAN BERAT BADAN LAHIR TERHADAP KEMATIAN NEONATUSPrematuritas dan berat badan lahir rendah merupakan beberapa penyebab kematian neonatus dan masalah kesehatan yang signifikan. Penelitian ini bertujuan mengetahui pengaruh usia gestasi dan berat badan lahir terhadap kematian neonatus di RS Al Islam Bandung tahun 2015–2019. Penelitian ini merupakan penelitian observasional retrospektif kasus kontrol menggunakan data rekam medis RS Al Islam Bandung periode 1 Januari 2015 hingga 31 Desember 2019. Kriteria inklusi bayi lahir hidup. Kriteria eksklusi bayi dengan kelainan kongenital berat dan usia gestasi <26 minggu. Uji chi-square mengevaluasi perbandingan univariat faktor risiko antara 2 grup. Regresi logistik multipel untuk mengevaluasi faktor prediktif kematian neonatus dan persentase kontribusi pengaruh dihitung (Analisis R2 Nagelkerke). Jumlah bayi yang dirawat tahun 2015–2019 sebanyak 6.791 dan yang meninggal sebanyak 56 (0,82%). Pada bayi lahir prematur dan berat badan lahir rendah terdapat hubungan sangat bermakna terhadap kematian neonatus, berturut-turut p=0,000 (p<0,05) OR=30,397 (CI=16,506–55,976) dan p=0,000 (p<0,05) OR=41,206 (CI=18,611–91,233). Pada uji regresi logistik multipel, p=0,000 (p<0,05) dengan nilai R2 Nagelkerke sebesar 0,344 atau 34,4%. Usia gestasi dan berat badan lahir berpengaruh bermakna terhadap kematian neonatus, baik secara parsial maupun simultan. Persentase sumbangan pengaruh usia gestasi dan berat badan lahir terhadap kematian neonatus sebesar 34,4%.

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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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Analisis Faktor-Faktor yang Memengaruhi Kualitas Hidup Penderita Talasemia Anak di RSUD Al-Ihsan Kabupaten Bandung Tahun 2019

Jurnal Integrasi Kesehatan & Sains ◽

10.29313/jiks.v2i2.5848 ◽

2020 ◽

Vol 2 (2) ◽

Author(s):

Jamaluddin Kamil ◽

Tito Gunantara ◽

Yani Dewi Suryani

Keyword(s):

Quality Of Life ◽

Logistic Regression ◽

Social Function ◽

Dominant Factor ◽

Multiple Logistic Regression ◽

Chi Square ◽

Regression Test ◽

Chi Square Test ◽

Logistic Regression Test

Talasemia merupakan penyakit genetik dan kronis yang dapat menyebabkan anemia berat sehingga mengganggu kualitas hidup. Penelitian ini bertujuan untuk mengetahui gambaran dan faktor apa saja yang memengaruhi kualitas hidup penderita talasemia anak di RSUD Al- Ihsan Kabupaten Bandung tahun 2019. Subjek penelitian adalah pasien talasemia anak di RSUD Al-Ihsan Kabupaten Bandung yang memenuhi kriteria inklusi. Data diambil menggunakan teknik total sampling dengan jumlah subjek 65 orang. Desain penelitian bersifat analitik dengan rancangan potong lintang. Penelitian menggunakan alat berupa kuesioner pediatric quality of life (PedsQL) yang berisi 23 pertanyaan. Hasil analisis univariat didapatkan kualitas hidup total subjek penelitian adalah buruk dengan rerata skor 68,9. Fungsi fisik, emosi, dan sekolah buruk dengan nilai rerata skor <80. Analisis bivariat dengan chi square test didapatkan hubungan bermakna antara faktor-faktor dengan kualitas hidup dengan nilai p≤0,05. Analisis multivariat dengan multiple logistic regression test didapatkan faktor yang paling dominan memengaruhi kualitas hidup yaitu fungsi sosial dengan koefisien beta 1,823 dan nilai p=0,039. Simpulan, rerata kualitas hidup penderita talasemia anak di RSUD Al-Ihsan Kabupaten Bandung adalah buruk. Fungsi yang terganggu yaitu fungsi fisik, emosi, dan sekolah. Faktor yang paling dominan memengaruhi kualitas hidup dengan nilai tertinggi yaitu fungsi sosial. ANALYSIS OF FACTORS THAT INFLUENCE THE QUALITY OF LIFE OF CHILDREN WITH THALASSEMIA IN RSUD AL-IHSAN BANDUNG IN 2019Thalassemia is a genetic and chronic disease that can cause severe anemia that disrupts the quality of life. The purpose of this study was to determine the description and factors that influence the quality of life of children with thalassemia in RSUD Al-Ihsan Bandung in 2019. The subjects were pediatric thalassemia patients in RSUD Al-Ihsan Bandung who met the inclusion criteria. Data were taken using a total sampling technique with a total 65 subjects. This study design was analytic with cross sectional design. This study used a tool of a Pediatric Quality of Life (PedsQL) questionnaire containing 23 questions. Univariate analysis results found that the total quality of life of the study subjects was poor with a mean score of 68.9. Physical, emotional, and school functions were poor with an average score of <80. Bivariate analysis with chi square test found a significant relationship between factors with quality of life with a p value ≤0.05. Multivariate analysis with multiple logistic regression test found that the most dominant factor affecting the quality of life was social function with a beta coefficient of 1.823 (p=0.039). Conclusions, the average quality of life of children with thalassemia in RSUD Al-Ihsan in Bandung is poor. Functions that are disrupted are physical, emotional, and school functions. The most dominant factor influencing the quality of life with the highest value is social function.

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Multivariate analysis of determinant factors in adjuvant chemotherapy (AC) utilization in patients with stage II colon cancer (CC): Analysis of the National Cancer Database (NCDB).

Journal of Clinical Oncology ◽

10.1200/jco.2017.35.4_suppl.577 ◽

2017 ◽

Vol 35 (4_suppl) ◽

pp. 577-577

Author(s):

Donny V. Huynh ◽

Shiva Kumar Reddy Mukkamalla ◽

Ponnandai Sadasivan Somasundar ◽

Ritesh Rathore

Keyword(s):

Logistic Regression ◽

Multivariate Analysis ◽

Single Agent ◽

Stage Ii ◽

Distribution Analysis ◽

Multiple Logistic Regression ◽

Chi Square ◽

Primary Tumors ◽

Chi Square Test ◽

Multi Agent

577 Background: Evidence from randomized controlled trials does not support routine use of AC for patients with stage II CC. Clinical guidelines recommend discussion of AC in patients with high-risk disease. In our study, we analyzed NCDB data to determine factors favoring the use of AC in this setting. Methods: NCDB data was extracted on a total of 45,098 patients from 2004 to 2009 with stage II CC. Descriptive characteristics were analyzed using Chi-square test and odds ratios were calculated using multiple logistic regression. Results: Frequency of AC was significantly different among patients belonging to different age groups, tumor laterality, grade, pathologic tumor status (pT), and clinical nodal status (cN) (Chi-square test; p < 0.0001). Age distribution analysis revealed higher frequency of AC administration among patients of 18-64 years compared to those of 65-74 years and older, irrespective of single-agent or multi-agent regimens (p < 0.0001). Multivariate analysis was performed using multiple logistic regression technique. The odds of AC administration increased with increasing pT status, worsening tumor grade, and inadequate lymph node dissection ( < 12 lymph nodes evaluated) (p < 0.0001). AC administration was also more likely with left sided primary tumors (p < 0.0001). Conclusions: Using NCDB data, our analysis reveals conventional factors which are associated with AC administration in patients with resected stage II CC. Use of single-agent vs. multi-agent regimens did not differ, though elderly patients and those without left sided tumors were less likely to receive AC. Oncologists should be able to utilize these findings in discussions with stage II CC patients regarding the use of AC. [Table: see text]

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Factors Associated with 0-28 Day Neonatal Mortality in Central Aceh Regency in 2020

International Journal Papier Advance and Scientific Review ◽

10.47667/ijpasr.v2i2.123 ◽

2021 ◽

Vol 2 (2) ◽

pp. 38-49

Author(s):

Asriwati Amirah ◽

Thomson P Nadapdap ◽

Suryani Suryani

Keyword(s):

Logistic Regression ◽

Neonatal Mortality ◽

Maternal Age ◽

P Value ◽

Multiple Logistic Regression ◽

Chi Square ◽

Factors Associated ◽

Regression Test ◽

Chi Square Test ◽

Logistic Regression Test

This study aims to determine the factors associated with neonatal mortality 0-28 days in Central Aceh District in 2020. This research is a quantitative study with a case control research design and uses a retrospective approach. The study population was all mothers giving birth whose babies died at the age of 0-28 days from January to December 2020. The sample in this study was 120 respondents consisting of 60 cases and 60 controls. The sampling technique used was total sampling. Data analysis using chi square test and multiple logistic regression test. The results of the bivariate analysis using the chi square test showed that there were 2 variables that were significantly related to neonatal mortality, namely the maternal age variable with p value = 0.012 and the pregnancy examination variable with p value = 0.047. The results of multivariate analysis with multiple logistic regression test showed that there were 3 variables that influenced neonatal mortality, namely the maternal age variable with a p value of 0.001, the birth spacing variable with a p value of 0.018 and the pregnancy examination variable with a p value of 0.018, while the most dominant variable affecting the incidence of death Neonatal age is the variable of maternal age with an OR value of 4.397.

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Relationship between internet addiction and sleep disturbance in high school students: a cross-sectional study

10.21203/rs.2.18949/v1 ◽

2019 ◽

Author(s):

Mikiko Tokiya ◽

Osamu Itani ◽

Yuichiro Otsuka ◽

Yoshitaka Kaneita

Keyword(s):

High School ◽

Logistic Regression ◽

Regression Analysis ◽

High School Students ◽

Sleep Disturbance ◽

Multiple Logistic Regression Analysis ◽

Multiple Logistic Regression ◽

School Students ◽

Male And Female ◽

The Relationship

Abstract Background: As the number of Internet users around the world increases, so does the dependency on the Internet. In adolescents this dependence interferes with sleep, which is important for the development of their psychophysiological capabilities. However, few large-scale surveys have examined the relationship between internet addiction (IA) and sleep disturbance in detail using standardized questionnaires. This study aimed to determine the relationship between sleep disturbance in adolescents and IA according to the categories of the Young Diagnostic Questionnaire (YDQ) through a complete survey of one prefecture in Japan. Methods: In 2016, a self-administered questionnaire was used to survey high school students (n=10,405) in all 54 daytime high schools in one prefecture. In this study, “sleep disturbance” was defined as achieving over 5.5 points on the Japanese version of the Pittsburgh Sleep Quality Index. IA was evaluated using the YDQ: “IA,” when 5 of the 8 YDQ items were applied; “at-risk,” when either 3 or 4 YDQ items were applied; and “non-IA,” when less than 2 YDQ items were applied. Multiple logistic regression analysis was performed, with sleep disturbance as the dependent variable, IA as the explanatory variable, and adjustments made for 8 items, including the frequency of skipped meals. Results: High YDQ scores were associated with high prevalence rates of sleep disturbance in both male and female participants; the higher the score, higher was the rate. On multiple logistic regression analysis for both male and female participants, higher YDQ scores showed higher adjusted odds ratios for sleep disturbances. Conclusions: For high school students within one prefecture in Japan, higher YDQ scores, which indicate internet dependency, were significantly related to sleep disturbance, suggesting that the likelihood of sleep disturbance increases with YDQ scores.

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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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