scholarly journals Understanding socioeconomic differences in metabolic syndrome remission among adults: what is the mediating role of health behaviors?

Author(s):  
Liza A. Hoveling ◽  
Aart C. Liefbroer ◽  
Ute Bültmann ◽  
Nynke Smidt

Abstract Background Although the incidence of metabolic syndrome (MetS) strongly varies based on individuals’ socioeconomic position (SEP), as yet no studies have examined the SEP-MetS remission relationship. Our aim is to longitudinally assess the associations between SEP measures education, income and occupational prestige, and MetS remission, and whether these associations are mediated by health behaviors, including physical activity, smoking, alcohol intake and diet quality. Methods A subsample (n = 16,818) of the adult Lifelines Cohort Study with MetS at baseline was used. MetS remission was measured upon second assessment (median follow-up time 3.8 years), defined according to NCEP-ATPIII criteria. To estimate direct associations between SEP, health behaviors and MetS remission multivariable logistic regression analyses were used. To estimate the mediating percentages of health behaviors that explain the SEP-MetS remission relationship the Karlson-Holm-Breen method was used. Analyses were adjusted for age, sex, the other SEP measures and follow-up time. Results At the second assessment, 42.7% of the participants experienced MetS remission. Education and income were positively associated with MetS remission, but occupational prestige was not. The association between education and MetS remission could partly (11.9%) be explained by health behaviors, but not the association between income and MetS remission. Conclusions Individuals with higher education more often experienced remission from MetS, mainly because individuals with higher education were more likely to have healthier behaviors. However, individuals with higher income more often experienced MetS remissions, regardless of their health behaviors. The occupational prestige of individuals was not associated with MetS remission.

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L A Hoveling ◽  
A C Liefbroer ◽  
U Bültmann ◽  
N Smidt

Abstract Introduction Metabolic syndrome (MetS) incidence strongly varies by socioeconomic status (SES). Each SES measure comprises different resources of an individual, including cultural, economic and social resources. To date, no studies have examined the SES - MetS remission relationship. Understanding the role of each SES measure for MetS remission could shed light on resources needed to reverse adverse health conditions. The aim is to longitudinally assess the associations between the SES measures years of education, household equivalent income and occupational prestige and remitted MetS and whether these associations are mediated by health behaviors, including physical activity, smoking, alcohol drinking and diet quality. Methods A subsample of the adult Lifelines Cohort Study, including 16,818 participants with MetS at baseline was used. MetS remission was measured at the second assessment (follow-up time 3.8 years) defined according to the NCEP-ATPIII criteria. Direct associations between SES, health behaviors and remitted MetS were estimated using multivariable logistic regression analyses. The mediating percentages of health behaviors explaining the associations between SES and remitted MetS were estimated using the Karlson-Holm-Breen method. Analyses were independent of age, sex, the other SES measures and follow-up time. Results At the second assessment MetS remitted for 42.7% of the participants. Education (OR 1.04, 99% CI: 1.02-1.06) and income (OR 1.01, 99% CI: 1.00-1.02) were associated with MetS remission, occupational prestige was not. Health behaviors (11.9%) only explained the association between education and MetS remission. For the explanation of the association between income and MetS remission, health behaviors played no role. Conclusions More education years increase MetS remission, mainly because higher educated are more likely to have healthier behaviors. Higher income increases MetS remission, regardless of the health behaviors. Key messages Education and income are positively associated with MetS remission. Health behaviors explain a relatively small part of the SES – MetS remission pathway.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L A Hoveling ◽  
A C Liefbroer ◽  
U Bültmann ◽  
N Smidt

Abstract Introduction The incidence of metabolic syndrome (MetS) strongly varies by socioeconomic status (SES). Health behaviors could be one of the mechanisms explaining the SES-MetS relationship, but little is known about their mediating role. This study aims to longitudinally asses the association between SES measures, education, income and occupational prestige, and incident MetS and whether the associations are mediated by health behaviors, including physical activity, smoking, alcohol drinking and diet quality. Methods A subsample of the adult Lifelines Cohort Study, including 85,910 participants without MetS at baseline was used. MetS was measured at the second assessment (follow-up time 3.8 years) defined according to the NCEP-ATPIII criteria. Direct associations between SES, health behaviors and incident MetS were estimated using multivariable logistic regression analyses. The mediating percentages of health behaviors explaining the associations between SES and incident MetS were estimated using the Karlson-Holm-Breen method. Analyses were independent of age, sex, the other SES measures and follow-up time. Results Education (OR 0.92, 99% CI: 0.91-0.94) and occupational prestige (OR 0.94, 99% CI: 0.91-0.97) were inversely associated with MetS. Income was not associated with MetS. Health behaviors explained only partly (13.8%) the association between education and MetS, with smoking as the strongest mediating factor (8.6%). Health behaviors played a minor role (2.7%) in explaining occupational MetS differences, with physical activity as the strongest suppressing factor (-10.4%). Conclusions Individuals with more years of education or a higher occupational prestige showed a decreased risk of developing MetS. This was mainly because of non-smoking, less often excessive alcohol drinking and a higher diet quality; however, they were more often physically inactive. Key messages Education and occupational prestige are inversely associated with MetS incidence. Health behaviors explain a small part of the SES – MetS incidence pathway, with smoking as the largest contributor.


Author(s):  
G.P. Dang ◽  
Puneet Basur

Leadership Style has been since long acknowledged by management scholars as being an important subject in relation to organizational executions and outcome. An effective leadership would not only be able to prevent job stress and burnout among group members, but would also be successful in enhancing the motivation and engagement of the employees. It has been widely accepted that operational excellence in an organization can only be maintained through engaged employees. In this study the researchers have strived to enhance the understanding of the complex relationship between the organic leadership style and the engagement level of the employees and to further comprehend the mediating role of social relevance of work in association of the two constructs i.e. leadership style and employee engagement, in context of faculty members in higher education sector.


2021 ◽  
pp. 000486742110512
Author(s):  
Francisco Tsz Tsun Lai ◽  
Vivien Kin Yi Chan ◽  
Tsz Wai Li ◽  
Xue Li ◽  
Stevan E Hobfoll ◽  
...  

Objective: There is a socioeconomic gradient to depression risks, with more pronounced inequality amid macroenvironmental potential traumatic events. Between mid-2019 and mid-2020, the Hong Kong population experienced drastic societal changes, including the escalating civil unrest and the COVID-19 pandemic. We examined the change of the socioeconomic gradient in depression and the potential intermediary role of daily routine disruptions. Method: We conducted repeated territory-wide telephone surveys in July 2019 and July 2020 with 1112 and 2034 population-representative Cantonese-speaking Hong Kong citizens above 15 years old, respectively. Stratified by year, we examined the association between socioeconomic indicators (education attainment, household income, employment status and marital status) and probable depression (nine-item Patient Health Questionnaire [PHQ-9] ⩾ 10) using logistic regression. Differences in the socioeconomic gradient between 2019 and 2020 were tested. Finally, we performed a path analysis to test for the mediating role of daily routine disruptions. Results: Logistic regression showed that higher education attainment in 2019 and being married in 2020 were protective against probable depression. Interaction analysis showed that the inverse association of higher education attainment with probable depression attenuated in 2020 but that of being married increased. Path analysis showed that the mediated effects through daily routine disruptions accounted for 95.9% of the socioeconomic gradient of probable depression in 2020, compared with 13.1% in 2019. Conclusion: From July 2019 to July 2020, the mediating role of daily routine disruptions in the socioeconomic gradient of depression in Hong Kong increased. It is thus implied that infection control measures should consider the relevant potential mental health impacts accordingly.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Zahraa Sameer Sajwani ◽  
Joe Hazzam ◽  
Abdelmounaim Lahrech ◽  
Muna Alnuaimi

PurposeThe purpose of the study is to investigate the role of the strategy tripod premises, mediated by future foresight and its effect on merger effectiveness in the higher education industry.Design/methodology/approachA quantitative survey method was implemented, with the data provided by senior managers of 14 universities that went through a merger from the years 2013–2016. The proposed model was tested using partial least squares (PLS) of structural equation modeling (SEM).FindingsThe results indicate that government support, competitive intensity and knowledge creation capability relate positivity to merger effectiveness, and these relationships are mediated by future foresight competence.Originality/valueThe study provides a better understanding of merger effectiveness in the higher education industry by identifying the role of future foresight competence in the application of strategy tripod and its contribution on merger effectiveness. Results indicate that future foresight competence contributes to the merger effectiveness and enables the effective implementation of the strategy tripod dimensions in higher education mergers.


PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0255177
Author(s):  
Zahid Shafait ◽  
Muhammad Asif Khan ◽  
Yuriy Bilan ◽  
Judit Oláh

Objective: Drawing on the knowledge-based view and ability-based theories of emotional intelligence (EI), in this study, we investigate the effects of EI on learning outcomes related to academics and administrators in Chinese research universities and we also test the direct association between learning outcomes and creative performance. In addition, we examine the mediating role of self-directed learning (SDL) and knowledge management processes (KMPs) on the relationship between EI and learning outcomes. Methods: The sample, for this study, consisted of 547 academic and administrative personnel at Chinese higher educational institutions (HEIs), and the hypothesized associations were examined through partial least squares structural equation modeling. Results: Our results indicated that EI has no significant influence on learning outcomes. However, an indirect relationship between EI and learning outcomes is established through SDL and KMPs. Conclusions: This study strengthens the professional understanding of EI and supports that the personnel at HEIs should value SDL and KMPs, which in turn enhances their learning outcomes. Although EI has received increased importance in higher education institutions, there are few studies that have investigated the relationship of EI, SDL, KMP, and learning outcomes. This is one of the initial studies that has empirically examined the interface of EI and learning outcomes in HEIs and also provides timely insights into the understanding of the mediating role of SDL and KMP.


2018 ◽  
Vol 7 (4.7) ◽  
pp. 51 ◽  
Author(s):  
Dr. Mohd Sufli Yusof ◽  
Dr. Muhammad Salman Shabbir ◽  
Dr. Muhammad Shukri Bin Bakar ◽  
Prof. Dr. Mohd Noor Mohd Shariff ◽  
Azahari Ramli ◽  
...  

In this study the authors tried to identify mediating role of innovation and moderating role of size of enterprise in the relationship Making a living with lawful earnings is possible by working for others, becoming self-employed or employing others. This paper aims at providing insights into the role of structural support and the use of E-learning such as business simulations games in developing entrepreneurial intentions of university students. The underlying theories of experiential learning, constructivist learning theory and bloom’s taxonomy are discussed in relation with the objectives of this study. The response of 252 university students from Malaysia was collected through self-administrative survey using simple random sampling technique. The results of PLS-SEM demonstrate a significant positive impact of E-learning resources and perceived structural support from Government in developing entrepreneurial inclinations of students at Universiti Utara Malaysia (UUM). The present study provides an overview and highlight the role assumed by the institutions of higher education through adoption of E-learning resources in order to nurture entrepreneurship among young generation. Additionally, keeping in view the role of higher education in socio-economic development, recommendations have also been proposed for universities and policy makings institutions to cope with the current challenges of higher education.  The findings of this study have important implications of enhancing entrepreneurial capacity in Malaysia.


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