scholarly journals Identifying correlates of salt reduction practices among rural, middle-aged Muslim Indonesians with hypertension through structural equation modeling

2022 ◽  
pp. 026010602110576
Author(s):  
Mayumi Mizutani ◽  
Junko Tashiro ◽  
Heri Sugiarto ◽  
Maftuhah ◽  
Riyanto ◽  
...  
Keyword(s):  
Structural Equation Modeling ◽  
Health Information ◽  
Structural Equation ◽  
Salt Intake ◽  
World Health ◽  
Equation Modeling ◽  
Spiritual Support ◽  
Middle Aged ◽  
Salt Reduction ◽  
Illness Experiences

Background: In 2016, the World Health Organization recommended salt reduction strategies. In most low- and middle-income countries, little is known about what causes people to reduce their salt intake. Aim: In rural West Java, Indonesia, we conducted a cross-sectional survey to describe self-reported salt reduction practices among middle-aged Muslims with hypertension (n = 447) and to identify correlates of salt reduction. Methods: We developed a questionnaire with Likert scales to measure self-reported frequency of efforts to reduce salt intake, and degree of agreement/disagreement with 51 statements about variables hypothesized to influence salt reduction practices. We compared groups using t-tests and one-way ANOVAs. Through one-factor confirmatory factor analysis and structural equation modeling, we identified correlates of salt reduction practices. Results: About 45% of participants reported regularly reducing their salt intake; only 12.8% reported never attempting. Men reported higher social barriers, while women reported higher family support and spiritual support. Overall, we found that participants’ frequency of effort to reduce their salt intake was associated with a constellation of six correlates. Salt reduction practices were directly positively associated with prior health/illness experiences (β = 0.25), and by seeking health information (β = 0.24). Seeking health information was in turn positively associated with prior health/illness experiences (β = 0.34), receiving support from health professionals (β = 0.23) and Islamic spiritual practice (β = 0.24). Salt reduction practices were negatively associated with environmental barriers to healthful eating practices (β = -0.14). Conclusion: In this population, reinforcing positive correlates identified in this study and mitigating against negative correlates may foster salt reduction practices.

scholarly journals Workplace Violence Against Chinese Frontline Clinicians During the COVID-19 Pandemic and Its Associations With Demographic and Clinical Characteristics and Quality of Life: A Structural Equation Modeling Investigation

2021 ◽  
Vol 12 ◽  
Author(s):  
Yuan Yang ◽  
Yue Li ◽  
Ying An ◽  
Yan-Jie Zhao ◽  
Ling Zhang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Structural Equation Modeling ◽  
Workplace Violence ◽  
Structural Equation ◽  
Emotional Disturbances ◽  
World Health ◽  
Equation Modeling ◽  
Life Questionnaire ◽  
World Health Organization Quality

Background: Workplace violence is a major concern for clinicians worldwide. There has been little data on the epidemiology of workplace violence against frontline clinicians during the COVID-19 pandemic. This study examined the pattern of workplace violence and its association with quality of life (QOL) against frontline clinicians during the outbreak of COVID-19 pandemic in China.Methods: A cross-sectional online study was conducted in China between March 15 and March 20, 2020. Frontline clinicians' experience with workplace violence was measured with six standardized questions derived from the Workplace Violence Scale, while anxiety, depressive, and insomnia symptoms, and QOL were measured using the General Anxiety Disorder Questionnaire, the Patient Health Questionnaire, the Insomnia Severity Index, and the World Health Organization Quality of Life Questionnaire, respectively. Univariate analyses, multivariable logistic regression analyses, and structural equation modeling (SEM) were conducted.Results: A total of 15,531 clinicians completed the assessment; 2,878 (18.5, 95% CI = 17.92–19.14%) reported workplace violence during the outbreak of the COVID-19 pandemic (verbal violence: 16.1%; physical violence: 6.9%). According to multivariable models, key correlates of workplace violence were male gender, longer work experience, higher education level, smoking, working in the psychiatry or emergency department, working in tertiary hospitals, being involved in direct care of infected patients, having infected family/ friends/ colleagues, and frequently using social communication programs. Clinicians working in inpatient departments were less likely to report workplace violence compared to those working in outpatient departments. SEM analysis revealed that both violence and emotional disturbances (anxiety, depression, and insomnia) directly affected QOL (standardized direct effect = −0.031, and −0.566, respectively, P < 0.05), while emotional disturbances partly mediated the association between work violence and QOL (standardized indirect effect = −0.184, P < 0.05).Conclusion: Frontline clinicians were vulnerable to workplace violence during the COVID-19 pandemic. Due to the negative impact of workplace violence on quality of care and clinicians' QOL, health authorities and policymakers should take effective measures to reduce workplace violence against clinicians.

An Analysis of the World Health Organization Disability Assessment Schedule 2.0 Measurement Model Using Partial Least Squares–Structural Equation Modeling

Assessment ◽  
2019 ◽  
Vol 27 (8) ◽  
pp. 1731-1747 ◽  
Author(s):  
Saundra M. Tabet ◽  
Glenn W. Lambie ◽  
Shiva Jahani ◽  
S. Mostafa Rasoolimanesh
Keyword(s):  
Structural Equation Modeling ◽  
World Health Organization ◽  
Structural Equation ◽  
Measurement Model ◽  
World Health ◽  
Equation Modeling ◽  
Disability Assessment ◽  
Whodas 2.0 ◽  
The World ◽  
Health Organization

The researchers examined the factor structure and model specifications of the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) with confirmatory tetrad analysis (CTA) using partial least squares–structural equation modeling (PLS-SEM) with a sample of adult clients ( N = 298) receiving individual therapy at a university-based counseling research center. The CTA and PLS-SEM results identified the formative nature of the WHODAS 2.0 subscale scores, supporting an alternative measurement model of the WHODAS 2.0 scores as a second-order formative–formative model.

Factors associated with the salt intake behaviors in women in a high-salt intake setting

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Roghayeh Chenary ◽  
Akram Karimi-Shahanjarini ◽  
Saeid Bashirian ◽  
Ghodratollah Roshanaei ◽  
Ali Akbar Fazaeli ◽  
...  
Keyword(s):  
Structural Equation ◽  
Salt Intake ◽  
Equation Modeling ◽  
Perceived Behavioral Control ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Salt Reduction ◽  
Content Type ◽  
High Salt Intake ◽  
Moderating Role

Purpose The high prevalence of hypertension is a significant concern worldwide. A decrease in salt intake is a well-known strategy to control hypertension and reduce the risk of cardiovascular diseases. Little is known about the factors influencing salt intake behaviors in settings such as Iran where consumption of salt is higher than the recommended amount. The purpose of this study was to find out what factors affect three salt intake behaviors among women: adding salt when cooking, adding salt to prepared food at the table and purchasing salty foods. Design/methodology/approach A community-wide cross-sectional survey of 516 women was conducted in Ilam, Iran. Participants were recruited using the cluster random sampling method. The survey included behaviors and variables of an expanded theory of planned behavior. The hypothesized relationships were investigated using structural equation modeling. Findings Perceived behavioral control (PBC) (p < 0.001) and habit (p = 0.01) appeared to be significant factors of adding salt when cooking. Determinants of adding salt to food at the table were intention (p < 0.001), PBC (p < 0.001), habit (p < 0.001). Also, PBC (p < 0.001), intention (p < 0.001), habit (p < 0.001) were identified as predictors of the purchase of salty foods. The results did not support the moderating role of Hedonic feeling to salt on the relation between intention and behaviors. Originality/value This study would be applicable to develop salt reduction interventions. Because altering the hedonic response to food is difficult, the lack of its moderating role could be a promising finding for developing salt reduction interventions.

Civility, credibility, and health information: The impact of uncivil comments and source credibility on attitudes about vaccines

2019 ◽  
Vol 28 (4) ◽  
pp. 417-432 ◽  
Author(s):  
Freddie J. Jennings ◽  
Frank M. Russell
Keyword(s):  
Social Media ◽  
Structural Equation Modeling ◽  
Health Information ◽  
Structural Equation ◽  
Source Credibility ◽  
Policy Support ◽  
Equation Modeling ◽  
The Impact ◽  
Willingness To Engage

As individuals turn to social media sites for health information, it is important to understand the factors that influence their perceptions of this information. This study employed an experiment to investigate the impact of social media discussion on perceptions of vaccines. Analysis, using structural equation modeling, revealed that source credibility and the civility of a discussion indirectly influence policy support requiring vaccinations, intention to vaccinate future children, and willingness to engage in discussion about vaccines. This impact is mediated by message elaboration and attitudes of the value of vaccinations. As individuals think about a pro-vaccine message and understand the importance of receiving vaccinations, they are more likely to engage in pro-social vaccination choices.

scholarly journals Active ageing among elderly community members: structural equation modeling analysis

2020 ◽  
Vol 73 (suppl 3) ◽  
Author(s):  
Nayara Gomes Nunes Oliveira ◽  
Darlene Mara dos Santos Tavares
Keyword(s):  
Structural Equation Modeling ◽  
Health Services ◽  
Structural Equation ◽  
Structural Model ◽  
World Health ◽  
Equation Modeling ◽  
Active Ageing ◽  
Access To Health Services ◽  
Community Members ◽  
Cross Sectional

ABSTRACT Objective: to propose a structural model of active ageing among elderly community members based on the World Health Organization’s theoretical framework and to identify the most relevant determinants of active ageing to the proposed model. Methods: a cross-sectional and analytical study conducted with 957 elderly community members. Confirmatory factor analysis and structural equation modeling were performed. Results: the final measurement model was composed of the six determinants of active ageing: behavioral (R²=0.66); personal (R²=0.74); physical environment (R²=0.70); social (R²=0.77); economic (R²=0.44); and social and health services (R²=0.95). The last one showed good quality of adjustment: χ2/gl=3.50; GFI=0.94; CFI=0.92; TLI=0.90; RMSEA=0.05. By analyzing the trajectories between determinants and active ageing, the most representative was social and health services active ageing (λ=0.97; p<0.001). Conclusion: satisfaction with access to health services and positive self-assessment of health status were the factors that most contributed to active ageing in this population.

scholarly journals Influence of Biomedical Factors on the Five Viscera Score (FVS) on Middle-Aged and Elderly Individuals: Application of Structural Equation Modeling

2015 ◽  
Vol 2015 ◽  
pp. 1-8
Author(s):  
Taro Tomura ◽  
Kouichi Yoshimasu ◽  
Shunji Sakaguchi ◽  
Kanami Tsuno ◽  
Shigeki Takemura ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Structural Equation Modeling ◽  
Structural Equation ◽  
Medical Data ◽  
Equation Modeling ◽  
Age Group ◽  
Middle Aged ◽  
Elderly Individuals ◽  
Objective Evidence ◽  
Significant Difference

The five viscera score (FVS) is a diagnostic scale for traditional Chinese medicine (TCM). The purposes of current study are to elucidate the characteristics of FVS obtained from middle-aged to elderly individuals and to investigate the validity of FVS using biological medical data of middle-aged and elderly individuals. Structural equation modeling (SEM) was used to conduct assessments between FVS and medical data. Eighty men and 99 women participated in this study, whose mean ages (SD) were 58 ± 7 years in both genders showing no significant difference. FVS of women was significantly higher than that of men in the spleen of the 50s (P=0.019) and liver of the 60s age group (P=0.030). By SEM, the following biomedical factors were found to influence viscera: gender, diastolic blood pressure, and HDL-C for the liver; GLU, GOT, andγ-GTP for the spleen; age, BMI, and HCRP for the lungs; and HbA1c and creatinine clearance for the kidneys. These results provide objective evidence that FVS can be used for TCM diagnosis in middle-aged and elderly individuals.

Sign in / Sign up

Export Citation Format

Share Document