scholarly journals Food and health promotion literacy among employees with a low and medium level of education in the Netherlands

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hanne C. S. Sponselee ◽  
Willemieke Kroeze ◽  
Maartje P. Poelman ◽  
Carry M. Renders ◽  
Kylie Ball ◽  
...  
Keyword(s):  
Health Promotion ◽  
Health Literacy ◽  
Linear Regression ◽  
Weight Status ◽  
Multivariate Linear Regression ◽  
Future Research ◽  
Regression Analyses ◽  
Level Of Education ◽  
Food Literacy ◽  
Medium Level

Abstract Background Prior research indicates a positive association between socioeconomic position and health literacy levels. We hypothesize comparable socioeconomic gradients for food literacy. This study aims to determine the level of self-perceived food literacy and health promotion literacy among adults with a low and medium level of education and from various subgroups, as well as the association between these food and health literacy levels. Furthermore, this study aims to explore the associations of self-perceived food literacy (SPFL) and health promotion literacy (HPL) in BMI. Methods A cross-sectional study was conducted among employees with a low and medium level of education. Descriptive analyses were performed to compute SPFL and HPL levels. Analyses of variance were performed to test differences between subgroups. The correlation between SPFL and HPL was computed by Pearson’s r. Multivariate linear regression analyses were used to explore 1) the association between SPFL and HPL adjusted for demographic characteristics 2) the associations between SPFL and HPL in BMI. Results The majority (63.1%) of all participants (n = 222) scored low on SPFL and 34.5% scored inadequate or problematic on HPL. No significant educational or weight-status differences were found in SPFL or HPL levels. On most levels, women compared to men and older compared to younger employees scored significantly higher. A small positive correlation between the two mean levels was found, r = .25, P < .001 (n = 203). Multivariate linear regression analyses showed a significant association between SPFL and HPL (B = .31, 95% CI = .15–.48). No significant associations between SPFL and HPL in BMI were found. Conclusions This study suggests there is room for improvement in SPFL and HPL among adults with a low and medium level of education. Future research should consider comparing low and middle socioeconomic with high socioeconomic groups when exploring food and health literacy. Regarding health promotion activities for adults with a low and medium level of education, it is recommended to focus on improving both food and health literacy. Furthermore, more research is needed to explore direct proxies of weight-status to better understand the role of food and health literacy in overweight patterns.

scholarly journals Men’s health literacy: a review and recommendations

2019 ◽  
Vol 35 (5) ◽  
pp. 1037-1051 ◽  
Author(s):  
John L Oliffe ◽  
Emma Rossnagel ◽  
Mary T Kelly ◽  
Joan L Bottorff ◽  
Cherisse Seaton ◽  
...  
Keyword(s):  
Health Promotion ◽  
Health Literacy ◽  
Scoping Review ◽  
Help Seeking ◽  
Medical Knowledge ◽  
Men’S Health ◽  
Future Research ◽  
Men's Health ◽  
Colon Cancers ◽  
Health Promotion Programs

Abstract Although men’s health promotion efforts have attracted programmatic and evaluative research, conspicuously absent are gendered insights to men’s health literacy. The current scoping review article shares the findings drawn from 12 published articles addressing men’s health literacy in a range of health and illness contexts. Evident was consensus that approaches tailored to men’s everyday language and delivered in familiar community-based spaces were central to advancing men’s health literacy, and, by extension, the effectiveness of men’s health promotion programs. However, most men’s health literacy studies focussed on medical knowledge of disease contexts including prostate and colon cancers, while diversity was evident regards conceptual frameworks and/or methods and measures for evaluating men’s health literacy. Despite evidence that low levels of health literacy fuel stigma and men’s reticence for health help-seeking, and that tailoring programs to health literacy levels is requisite to effective men’s health promotion efforts, the field of men’s health literacy remains underdeveloped. Based on the scoping review findings, recommendations for future research include integrating men’s health literacy research as a needs analysis to more effectively design and evaluate targeted men’s health promotion programs.

The Drug–Crime Connection in Adolescent and Adult Respondents

2016 ◽  
Vol 47 (2) ◽  
pp. 205-216 ◽  
Author(s):  
Glenn D. Walters
Keyword(s):  
Drug Use ◽  
Linear Regression ◽  
Early Adulthood ◽  
Multivariate Linear Regression ◽  
Regression Analyses ◽  
Criminal Offending ◽  
England And Wales ◽  
Drug Crime ◽  
The Relationship ◽  
Practical Implications

The aim of this study was to determine whether the nature of the drug–crime relationship differs as a function of participant age (adolescent vs. adult). It was hypothesized that the Drug × Crime interaction would predict subsequent drug use and serious offending in 924 early- to mid-adolescents but not in 722 adults. All participants came from the Offending, Crime, and Justice Survey conducted in England and Wales between 2003 and 2006. The hypothesis was supported by the results of two separate two-equation multivariate linear regression analyses. These findings indicate that the relationship between drug use and criminal offending varies as a function of participant age, such that the relationship is interactive during its formative years but becomes cumulative or additive during early adulthood. The research, theoretical, and practical implications of these results are discussed.

scholarly journals TSH and free triiodothyronine concentrations are associated with weight loss in a lifestyle intervention and weight regain afterwards in obese children

2013 ◽  
Vol 168 (3) ◽  
pp. 323-329 ◽  
Author(s):  
Barbara Wolters ◽  
Nina Lass ◽  
Thomas Reinehr
Keyword(s):  
Weight Loss ◽  
Linear Regression ◽  
Multiple Linear Regression ◽  
Lifestyle Intervention ◽  
Weight Status ◽  
Weight Regain ◽  
Regression Analyses ◽  
Obese Children ◽  
Free Triiodothyronine ◽  
The Impact

ObjectiveThe impact of thyroid hormones on weight loss in lifestyle interventions and on weight regain afterwards is unknown. Therefore, we studied the relationships between TSH, free triiodothyronine (fT3), free thyroxine (fT4), and weight status, as well as their changes during and after a lifestyle intervention in obese children.Materials and methodsWe evaluated the weight status as BMI–SDS in 477 obese children (mean age 10.6±2.7 years, 46% male, mean BMI 28.1±4.5 kg/m2) participating in a 1-year lifestyle intervention in a 2-year longitudinal study. Changes in BMI–SDS at 1 and 2 years were correlated with TSH, fT3, and fT4concentrations at baseline and their changes during the intervention.ResultsA decrease in BMI–SDS during the intervention period (−0.32±0.38;P<0.001) was significantly positively associated with baseline TSH and fT3in multiple linear regression analyses adjusted for age, sex, pubertal stage, and baseline BMI–SDS. An increase in BMI–SDS after the end of the intervention (+0.05±0.36;P=0.011) was significantly related to the decreases in TSH and fT3during the intervention in multiple linear regression analyses adjusted for change in BMI–SDS during the intervention. In contrast to children with weight maintenance, children with weight regain after the end of the intervention demonstrated a decrease in their TSH levels (−0.1±1.6 vs +0.2±1.6 mU/l;P=0.03) and fT3(−0.2±1.1 vs +0.3±1.6 pg/ml;P<0.001) during the intervention.ConclusionsThe decreases in TSH and fT3concentrations during the lifestyle intervention were associated with weight regain after the intervention. Future studies should confirm that the decreases in TSH and fT3levels associated with weight loss are related to the change in metabolism such as resting energy expenditure.

scholarly journals MO150SERUM SODIUM DECLINE OCCURS DURING THE ACUTE PHASE OF COVID-19

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Keiko Tanoue ◽  
Masamitsu Senda ◽  
Kaku Tamura ◽  
Kazuo Imai ◽  
Mayu Nagura ◽  
...  
Keyword(s):  
Linear Regression ◽  
Odds Ratio ◽  
Clinical Symptoms ◽  
Multivariate Linear Regression ◽  
Smoking History ◽  
Regression Analyses ◽  
Cross Sectional ◽  
Mixed Effect ◽  
Longitudinal Association ◽  
Serum Crp

Abstract Background and Aims Hyponatremia is associated with aggravation of inflammation in COVID-19 patients. However, to the best of our knowledge, no study has used longitudinal data and investigated the association between hyponatremia and COVID-19. Therefore, we analyzed COVID-19 patients’ changes in serum sodium (Na) levels from admission to discharge. Method We conducted a retrospective, single-center, observational cohort study, involving adult COVID-19 patients who were admitted to Japan Self-Defense Forces Central Hospital between April 1 and May 31, 2020. Serum Na level of &lt; 135 mEq/L was defined as hyponatremia, 135–145 mEq/L as normonatremia, and &gt; 145 mEq/L as hypernatremia. Inflammation was assessed by serum C-reactive protein (CRP) levels. Univariate logistic regression analyses were used to assess associations between hyponatremia at admission and need for oxygen or death during hospitalization. A comparison of serum Na levels at admission and discharge was tested using a paired t-test. Cross-sectional associations between serum Na and CRP levels at admission or days from onset to admission were analyzed using multivariate linear regression analyses. A restricted cubic spline (RCS) curve incorporated in one of these multivariate linear regression analyses was used to identify when serum Na levels were the lowest. In addition, we employed a mixed-effect model to examine the longitudinal association between changes in serum Na and CRP levels during hospitalization. Results Ninety-eight patients were enrolled, of whom 53 (54%) were male and 39 (40%) had a smoking history. Mean (SD) or median (IQR) of age, eGFR, body mass index (BMI), serum Na, and CRP at admission were 50 (17) years, 82 (20) mL/min/1.73m2, 23.3 (5.5), 138 (3.7) mEq/L, and 1.8 (0.2–6.0) mg/dL, respectively. It took an mean of 8.9 (3.7) days from onset to admission due to social disruption. According to government policies, during observation period, patients diagnosed with COVID-19 have to be hospitalized, even if they have minor or improving clinical symptoms. At admission, hyponatremia was observed in 11 (11.2%) patients; the rest of the patients had normonatremia. Twenty-seven (27.6%) patients received oxygen, and 4 (4.1%) died during hospitalization. Hyponatremia at admission was significantly associated with the need for oxygen (odds ratio: 41.2; 95% CI: 4.9–344; P=0.001) and death (odds ratio: 32.3; 95% CI: 3.0-347; P=0.004). Irrespective of hyponatremia at admission, the serum Na levels at discharge were significantly higher than those at admission (Fig. 1). In both cross-sectional and longitudinal analyses, serum Na levels were negatively associated with serum CRP levels after adjustment for age, sex, eGFR, BMI, and smoking history (P&lt;0.001), which suggests that serum Na levels may reflect the activity of COVID-19. Furthermore, the serum Na levels at admission were positively associated with days from onset to admission after adjustment for age, sex, eGFR, BMI, smoking history, and serum CRP levels (P=0.035), and the RCS curve showed that the serum Na levels tended to be the lowest around the 7th day after onset (Fig. 2). Conclusion Hyponatremia in COVID-19 may occur secondarily, and a condition called “COVID-19-induced hyponatremia” might exist.

scholarly journals Being Conscious of Water Intake Positively Associated with Sufficient Non-Alcohol Drink Intake Regardless of Seasons and Reasons in Healthy Japanese; the KOBE Study: A Cross Sectional Study

2019 ◽  
Vol 16 (21) ◽  
pp. 4151
Author(s):  
Tomofumi Nishikawa ◽  
Naomi Miyamatsu ◽  
Aya Higashiyama ◽  
Yoshimi Kubota ◽  
Yoko Nishida ◽  
...  
Keyword(s):  
Linear Regression ◽  
Water Intake ◽  
Salt Intake ◽  
Heat Stroke ◽  
Cross Sectional Study ◽  
Multivariate Linear Regression ◽  
Cerebral Stroke ◽  
Healthy Population ◽  
Regression Analyses ◽  
Cross Sectional

The present study sought to clarify if being conscious of water intake (CWI) is associated with sufficient non-alcohol drink (NAD) intake. We used data of healthy participants without diabetes, aged 40–74 years, in the Kobe Orthopedic and Biomedical Epidemiologic (KOBE) study. The association between being CWI and NAD intake was evaluated by multivariate linear regression analyses after adjusting for age, sex, surveyed months (seasons), alcohol drinking, health-awareness life habits, socioeconomic factors, serum osmolarity, estimated daily salt intake, and reasons for NAD intake. Among 988 (698 women and 290 men) participants eligible for the present analyses, 644 participants (65.2%) were CWI and 344 participants (34.8%) were not CWI (non-CWI). The most popular reason for being CWI was to avoid heat stroke in summer and to prevent ischemic cerebral stroke in winter. The CWI group took more NAD, especially decaffeinated beverages, than the non-CWI group (1846.7 ± 675.1 mL/day vs. 1478.0 ± 636.3 ml/day, p < 0.001). There was a significant association between being CWI and NAD intake in multivariate linear regression analyses ever after adjusting for the relevant variables (β = 318.1, p < 0.001). These findings demonstrated CWI, regardless of the reasons and the seasons, was associated with high NAD intake in Japanese healthy population.

Prevalence and Risk Factors of Cerebral Microbleeds in Patients with Nonvalvular Atrial Fibrillation: An Enhanced T2*-Weighted Angiography Imaging Study

2019 ◽  
Vol 81 (3-4) ◽  
pp. 112-119 ◽  
Author(s):  
Zhiqiang Li ◽  
Lu Cao ◽  
Wanqing Dong ◽  
Jianping Zhang ◽  
Chunyu Wang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Atrial Fibrillation ◽  
Linear Regression ◽  
Cerebral Microbleeds ◽  
Multivariate Linear Regression ◽  
Regression Analyses ◽  
Nonvalvular Atrial Fibrillation ◽  
Radiological Data ◽  
Significant Difference ◽  
Warfarin Treatment

Background/Aims: Cerebral microbleeds (CMBs) may predict the occurrence of intracerebral hemorrhage (ICH). Warfarin use may cause ICH. It is still controversial whether warfarin increases CMBs in atrial fibrillation (AF) patients. The study aimed to investigate the prevalence of CMBs and risk factors in AF patient population. Methods: This single retrospective center study included 113 patients with nonvalvular atrial fibrillation (NVAF) who were on outpatient treatment. CMBs were counted using 3D-enhanced T2*-weighted angiography (ESWAN) imaging. We compared clinical and radiological data between patients who used warfarin and not used warfarin with univariate analysis. The associations between clinical and radiological data and CMBs in NVAF population were analyzed with multivariate linear regression analyses. Results: Among 113 NVAF patients, CMBs were found in 33 (29.2%) patients; there were 53 patients who used warfarin for thromboembolism prevention and 60 patients with similar demographic features who did not use warfarin. CMBs on ESWAN MRI showed no significant difference between the 2 groups (p = 0.061). Patients with CMBs were older than patients without CMBs (p = 0.046), and the frequency of smokers (p = 0.028), hypertension (p = 0.029), previous ICH (p = 0.000), and leukoaraiosis (p = 0.020) in patients with CMBs were significantly higher than patients without CMBs. In multivariate linear regression analyses, previous ICH (β = 1.438, p = 0.000), age (β = 0.082, p = 0.000), hypertension (β = 0.956 p = 0.003), warfarin treatment (β = 0.849, p = 0.006), and smokers (β = 0.920, p = 0.016) were positive linear predictors of CMBs number levels in NVAF patients. Conclusion: The present data demonstrated that CMBs were associated with age, hypertension, warfarin treatment, smoking, and a history of ICH. We also found neither CHA2DS2-VASc score nor HAS-BLED score was associated with CMBs in patients with NVAF.

Which literacy for health promotion: health, food, nutrition or media?

2019 ◽  
Vol 35 (2) ◽  
pp. 432-444 ◽  
Author(s):  
Emily Truman ◽  
Madison Bischoff ◽  
Charlene Elliott
Keyword(s):  
Health Promotion ◽  
Health Literacy ◽  
Media Literacy ◽  
Systematic Reviews ◽  
Information Acquisition ◽  
Health Food ◽  
Food Literacy ◽  
Education And Health ◽  
Food Nutrition ◽  
The Relationship

Abstract Education and literacy are important aspects of health promotion. The potential for health literacy to promote healthier choices has been widely examined, with studies variously incorporating food literacy, nutrition literacy and/or media literacy as components of health literacy, rather than treating each as unique concepts for health promotion. This study examines similarities and differences across health literacy, food literacy, nutrition literacy and health-promoting media literacy to highlight how each literacy type theorizes the relationship between education and health. A meta-review of existing scoping and systematic reviews examining literacy conceptualizations was conducted to examine the four literacies. Representative concept definitions were extracted and key competencies (or skills) and desired consequences were identified and grouped into subcategories for analysis. This study located 378 articles, of which 17 scoping/systematic reviews were included (10 for health literacy, 3 for food, 1 for nutrition and 3 for media). Representative concept definitions of the four literacy types revealed three skill categories (information acquisition, information analysis, and the application of information) and three categories of desired consequences (knowledge, attitudes and behaviors), with each of the four literacy types emphasizing varied collections of skills and desired consequences. Despite perceived similarities in content, health, food, nutrition and media literacy conceptualize the relationship between education and health differently, emphasizing the distinct types of knowledge to promote health-related outcomes. A better understanding of the differences between these four literacies will lead to informed decision making for researchers, educators and health practitioners in intervention design and implementation.

scholarly journals Weight Status

2017 ◽  
Vol 15 (2) ◽  
pp. 27-36
Author(s):  
Fiona B. Lewis ◽  
Amanda A. Price ◽  
Melicia C. Whitt-Glover ◽  
Angela M. Odoms-Young ◽  
Roland J. Thorpe, Jr.
Keyword(s):  
Health Promotion ◽  
Stress Reduction ◽  
Weight Status ◽  
Fruits And Vegetables ◽  
Secondary Data ◽  
Future Research ◽  
Class Iii ◽  
Obese Class ◽  
Types Of Information ◽  
Underserved Groups

Background: Negative health behaviors such as consumption of excess calories, low intake of fruits and vegetables, sedentariness and weight gain are associated with entry into college. Purpose: To determine if weight status is associated with students’ receipt of health promotion (nutrition, physical activity and stress reduction) information, and students’ interest in receiving these types of information from their college or university. Methods: Data from the Spring 2011 ACHA-NCHA II dataset was used to complete secondary data analyses. Students (N=116,254) from 148 postsecondary institutions completed the Spring 2011 ACHA-NCHA II survey. Logistic regression was used to examine the effect of BMI category on receipt of, and interest in receiving, health promotion information. Results: Approximately 32% of respondents were overweight or obese. Students in the obese class III category were the least likely to receive health promotion information and least likely to be interested in receiving the information. Conclusion: Weight status based on BMI classification is a weak predictor of the dissemination of health promotion information. The largest gaps related to the dissemination appear to be among obese students. Future research is needed to determine factors contributing to the observed gaps and strategies should be developed to reach underserved groups.

scholarly journals Nivel de alfabetización en salud de estudiantes universitarios

UVserva ◽  
2019 ◽  
pp. 77-87
Author(s):  
Karla Diane Morales Chacón ◽  
Carolina Palmeros Exome ◽  
Antonia Barranca Enríquez
Keyword(s):  
Health Promotion ◽  
Health Literacy ◽  
Future Research ◽  
Survey Questionnaire ◽  
Prevention And Health Promotion ◽  
Literacy Survey ◽  
European Health ◽  
Promotion Strategies ◽  
The University ◽  
Estudiantes Universitarios

La alfabetización en salud se relaciona con las habilidades de las personas para emplear la información en salud y tomar decisiones en la atención y el cuidado sanitario, la prevención de enfermedades y la promoción de la salud durante la vida. La comunidad universitaria desempeña un papel importante en la sociedad, pudiendo influir directamente en las prácticas y actitudes de la alfabetización en salud. Se midió el nivel de alfabetización en salud de 22 estudiantes de la Universidad Veracruzana mediante la encuesta versión en español del European Health Literacy Survey Questionnaire HLS-EU-Q-47, compuesta por 47 ítems evaluados en una escala de Likert. Se observó que el 27% de los estudiantes tiene un nivel insuficiente de alfabetización en salud. Los resultados señalan la necesidad de implementar estrategias de promoción de la salud que contribuyan a mejorarlos; asimismo, se recomiendan futuras investigaciones que involucren otras variables de estudio.Palabras clave: Alfabetización en salud; estudiantes universitarios; promoción de la salud; universidad saludable; Veracruz AbstractHealth literacy relates to the skills of people to use health information and make decisions in the care and health care, disease prevention and health promotion during life. The university community plays an important role in society, being able to directly influence the practices and attitudes of health literacy. We measured the level of literacy in health of 22 students from the University of Veracruz using the survey spanish version of the European Health Literacy Survey Questionnaire HLS-EU-Q-47, composed of 47 items evaluated in a Likert scale. It was noted that the 27% of students has an insufficient level of health literacy. The results point to the need to implement health promotion strategies that contribute to improving them; it also recommended future research involving other variables under study.Keywords: Health literacy; university students; health promotion; healthy university, Veracruz 

scholarly journals Vem är fattig, vem är rik?

2018 ◽  
Vol 25 (1) ◽  
Author(s):  
Jakob Tornberg ◽  
Lisa Wallander
Keyword(s):  
Social Work ◽  
Linear Regression ◽  
Multivariate Linear Regression ◽  
Factorial Survey ◽  
Regression Analyses ◽  
Point Scale ◽  
Professional Affiliation ◽  
Teaching Career ◽  
School Teaching ◽  
Unexplained Variance

Who is poor, who is rich? A factorial survey of students’ beliefs about povertyAccording to Swärd (2012, p. 36), poverty has “many faces and its appearance is dependent upon time, place and type of society, ideological ideas and values”. The aim of this article was to study the beliefs about poverty held by Swedish students of social work, nursing and pre-school teaching. The study employed the experimental factorial survey vignette method, involving the use of fictitious descriptions made up of randomly varying characteristics. In this study, these characteristics included operationalized measures of poverty in terms of input (the person’s income) and output (a number of relative deprivations, comprising various forms of consumption deemed as necessary for the inclusion of individuals in society, as well as the duration of these deprivations). In the study, each of 383 students was asked to assess 20 randomly varying fictitious persons and to note their judgements on a nine-point scale ranging from extremely poor to extremely rich. The results of two multilevel multivariate linear regression analyses showed that the students’ beliefs about poverty were related to both the input and the output of poverty, even though income was the dimension with by far the strongest effect on the judgements. Among the relative deprivations, those relating to the lack of economic means to pay bills or to buy medicine in general or clothes for one’s child were most strongly associated with beliefs about poverty. The analyses also showed that professional affiliation mattered, in the sense that students embarking on a nursing or a pre-school teaching career were generally less inclined to judge a person as poor, in comparison with students of social work. Further, the poorer the students judged themselves to be, the poorer they believed the vignette person to be. Finally, remaining unexplained variance indicated the existence of potentially significant unmeasured respondent characteristics or of random variation in poverty beliefs held by students within the three studied welfare professions.

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