Socioeconomic factors and lifestyles influencing the incidence of calcaneal fractures, a national population-based survey in China

Abstract Background We aimed to do a national survey on the population-based incidence of calcaneal fracture in China. Methods All the data on calcaneal fractures were available from the China National Fracture Survey (CNFS) between January and May in 2015. And in the CNFS, all eligible household members were sampled from 8 provinces, 24 urban cities and 24 rural counties in China, using stratified random sampling and the probability proportional to size method. Questionnaires were sent to every participant for data collection and quality control was accomplished by our research team members. Results A total of 512187 valid questionnaires were collected and relevant data were abstracted and analyzed. There were 59 patients with 62 calcaneal fractures occurring in 2014, indicating that the incidence was 11.5/100,000 person-years, 17.3/100,000 in males, and 5.5/100,000 in females. BMI ≥ 28.0 kg/m2, scarce meat consumption, smoking, alcohol consumption, average sleep time < 7 h/day, and previous history of fracture were identified as independent risk factors for calcaneal fracture. Conclusions Specific public health policies focusing on quitting smoking, decreasing alcohol consumption, and encouraging individuals to obtain sufficient sleep should be implemented. Reasonable meat consumption and maintaining a normal body weight should be emphasized in individuals, especially in those with previous fracture.

Download Full-text

The associations between risk behaviour and reported history of sexually transmitted diseases, among young women: a population-based study

International Journal of STD & AIDS ◽

10.1258/0956462971920659 ◽

1997 ◽

Vol 8 (8) ◽

pp. 501-505 ◽

Cited By ~ 36

Author(s):

Monica Jonsson ◽

Roger Karlsson ◽

Ewa Rylander ◽

Ake Gustavsson ◽

Goran Wadell

Keyword(s):

Alcohol Consumption ◽

Sexually Transmitted Diseases ◽

Univariate Analysis ◽

Previous History ◽

Multivariate Logistic Regression Analysis ◽

Risk Behaviour ◽

Population Based ◽

Sexual Partners ◽

Sexually Transmitted ◽

History Of

The aim of this study was to determine the associations between risk behaviour and women's reported sexually transmitted diseases (STDs). All the women aged 19, 21, 23 and 25, residing in a specified housing area, were invited to answer a questionnaire regarding their sexual behaviour, smoking and alcohol consumption and previous history of STD. Of the 611 women participating, one out of 4 women had a history of at least one STD. In an univariate analysis, self-reported STD was found to be related to age, having more than 4 lifetime sexual partners, having practised intercourse at first date, inconsistent use of condoms, alcohol consumption of more than 3 bottles of wine per month and smoking. These factors were, however, not independent of each other and when subjected to a multivariate logistic regression analysis 2 factors, i.e. the lifetime number of sexual partners (more than 4 partners vs one; OR 7.94, (3.41-18.50)) and coitus on first date (practised more than once vs never, OR 2.99 (1.55-5.78)) emerged as independently associated with a previous STD.

Download Full-text

Are there any gender differences in the association between alcohol consumption and IgE sensitization? Findings from a nationwide population-based study

10.26226/morressier.5afac509d0241f0023cca21b ◽

2018 ◽

Author(s):

Ji-Hyeon Shin

Keyword(s):

Gender Differences ◽

Alcohol Consumption ◽

Population Based ◽

Population Based Study

Download Full-text

Examining Transnational Student Mental Health Responses to COVID-19 During the Transition to Remote Learning: A Longitudinal Study (Preprint)

10.2196/preprints.26626 ◽

2020 ◽

Author(s):

Laura Leticia Salazar Preciado ◽

Sally Haack ◽

Luis Renee González Lucano ◽

Ricardo Javier Díaz Domínguez ◽

Inbal Mazar

Keyword(s):

Mental Health ◽

Longitudinal Study ◽

Alcohol Consumption ◽

Sleep Time ◽

Health Science ◽

Science Students ◽

Health Science Students ◽

Survey Results ◽

Survey Sample ◽

Remote Learning

BACKGROUND COVID-19 represents a major global health crisis and has resulted in drastic changes to daily life. While even prior to the start of the pandemic college students had a high prevalence of mental health conditions, this group is even more at risk during the pandemic. OBJECTIVE To investigate the emotional impact of quarantine and transition to remote learning on health science students from two countries, regarding anxiety prevalence, mental wellbeing and coping behaviors during the first month of the COVID-19 outbreak. METHODS A total of 28 students from Tecnologico de Monterrey (TEC) in Guadalajara, Mexico and 19 students from Drake University (Drake) in Iowa, United States participated in the study. All students were studying health sciences, including degree programs such as medicine, pharmacy, and nutrition and wellness. This longitudinal study assessed students’ immediate psychological response during the COVID-19 pandemic by using an anonymous online questionnaire administered in April and again in May 2020. The survey was created to assess anxiety levels, coping mechanisms, and changes in daily habits. Demographics such as gender, age, non-academic working, living arrangements, household size, and number of roommates/co-habitants were also collected. RESULTS The April survey sample included 47 students and the May survey sample included 41 students. At least 50% of respondents were females, 20 to 21 years of age. The April survey results showed that more TEC students rated their food intake as higher than before the pandemic when compared to Drake students (p=0.032). Alcohol consumption reportedly stayed the same for Drake students and was lower for TEC students (p=0.004). The May survey results showed a statistically significant difference only for the alcohol consumption (p<0.001). Sleep time between April and May in TEC students showed a significant statistical difference, with students reporting less sleep time in May (p=0.016). The analysis for the level of anxiety according to the Beck Anxiety Inventory showed no statistically significant differences, neither when comparing between intra (TEC p=0.189 and Drake p=0.879) and inter group survey times (TEC vs Drake in April p=0.919 and TEC vs Drake in May p=0.305). The most common physical symptoms reported by students during both study periods were: feeling hot, nervous, fear of losing control, inability to relax, and fear of the worst happening. CONCLUSIONS There is growing concern surrounding the mental health status and needs of health science students during the pandemic. It is important to monitor changes in students’ mental health in response to the pandemic and to create interventions that target students appropriately.

Download Full-text

Association between socioeconomic status and self-reported, tested and diagnosed COVID-19 status during the first wave in the Northern Netherlands: a general population-based cohort from 49 474 adults

BMJ Open ◽

10.1136/bmjopen-2020-048020 ◽

2021 ◽

Vol 11 (3) ◽

pp. e048020

Author(s):

Yinjie Zhu ◽

Ming-Jie Duan ◽

Hermien H. Dijk ◽

Roel D. Freriks ◽

Louise H. Dekker ◽

...

Keyword(s):

Socioeconomic Status ◽

General Population ◽

Low Income ◽

Smoking Status ◽

Sleep Time ◽

Population Based ◽

Lifestyle Factors ◽

Self Report ◽

Low Education ◽

Tv Watching

ObjectivesStudies in clinical settings showed a potential relationship between socioeconomic status (SES) and lifestyle factors with COVID-19, but it is still unknown whether this holds in the general population. In this study, we investigated the associations of SES with self-reported, tested and diagnosed COVID-19 status in the general population.Design, setting, participants and outcome measuresParticipants were 49 474 men and women (46±12 years) residing in the Northern Netherlands from the Lifelines cohort study. SES indicators and lifestyle factors (i.e., smoking status, physical activity, alcohol intake, diet quality, sleep time and TV watching time) were assessed by questionnaire from the Lifelines Biobank. Self-reported, tested and diagnosed COVID-19 status was obtained from the Lifelines COVID-19 questionnaire.ResultsThere were 4711 participants who self-reported having had a COVID-19 infection, 2883 participants tested for COVID-19, and 123 positive cases were diagnosed in this study population. After adjustment for age, sex, lifestyle factors, body mass index and ethnicity, we found that participants with low education or low income were less likely to self-report a COVID-19 infection (OR [95% CI]: low education 0.78 [0.71 to 0.86]; low income 0.86 [0.79 to 0.93]) and be tested for COVID-19 (OR [95% CI]: low education 0.58 [0.52 to 0.66]; low income 0.86 [0.78 to 0.95]) compared with high education or high income groups, respectively.ConclusionOur findings suggest that the low SES group was the most vulnerable population to self-reported and tested COVID-19 status in the general population.

Download Full-text

Alcohol consumption, physical activity, and chronic disease risk factors: a population-based cross-sectional survey

BMC Public Health ◽

10.1186/1471-2458-6-118 ◽

2006 ◽

Vol 6 (1) ◽

Cited By ~ 58

Author(s):

Kenneth J Mukamal ◽

Eric L Ding ◽

Luc Djoussé

Keyword(s):

Physical Activity ◽

Risk Factors ◽

Chronic Disease ◽

Alcohol Consumption ◽

Disease Risk ◽

Population Based ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Chronic Disease Risk

Download Full-text

Abstract LB089: A national study of alcohol consumption patterns among population-based U.S. cancer survivors compared with cancer-free controls

10.1158/1538-7445.am2021-lb089 ◽

2021 ◽

Author(s):

Junrui Lyu ◽

Maneet Kaur ◽

Avonne E. Connor

Keyword(s):

Alcohol Consumption ◽

Cancer Survivors ◽

Population Based ◽

Consumption Patterns ◽

National Study

Download Full-text

Abstract 12385: Past Alcohol Consumption and Incident Atrial Fibrillation

Circulation ◽

10.1161/circ.132.suppl_3.12385 ◽

2015 ◽

Vol 132 (suppl_3) ◽

Author(s):

Shalini Dixit ◽

Alvaro Alonso ◽

Elsayed Z Soliman ◽

Lin Y Chen ◽

Gregory M Marcus

Keyword(s):

Atrial Fibrillation ◽

Alcohol Consumption ◽

Alcohol Use ◽

Population Based ◽

Self Report ◽

Atherosclerosis Risk In Communities ◽

Increased Risk ◽

Before And After ◽

Dietary Intake Assessment ◽

Aric Study

Introduction: Although current alcohol consumption appears to be a risk factor for incident atrial fibrillation (AF), limitations related to self-reported alcohol use and confounding in observational studies limit the certainty of conclusions regarding causality. Whether cessation of alcohol consumption can protect against incident AF remains unknown. Methods: We examined all participants in the Atherosclerosis Risk in Communities (ARIC) study, a population-based cohort of 15,792 men and women aged 45-65, without prevalent AF. Past alcohol consumption was assessed via self-report during the baseline dietary intake assessment. Cases of incident AF were ascertained via study ECGs, hospital discharge ICD-9 codes, and death certificates. Results: Among 15,262 participants with complete survey data, 2,898 (19.0%) were former drinkers. During an average follow-up of 17.4 years, there were 380 cases of incident AF in former consumers. Both before and after adjustment for potential confounders, a longer duration of alcohol abstinence was associated with a lower risk of developing AF; previously consuming alcohol for a longer duration and consuming a greater quantity of alcohol were each associated with a higher risk of developing AF (Table). Conclusions: Among former drinkers, the number of years of drinking and the amount of alcohol consumed may each confer an increased risk of AF. Given that a longer duration of abstinence was associated with a decreased risk of AF, modification of alcohol use could potentially play a role in AF prevention.

Download Full-text

Serum paraoxonase-1 activity is associated with light to moderate alcohol consumption: the PREVEND cohort study

American Journal of Clinical Nutrition ◽

10.1093/ajcn/nqy217 ◽

2018 ◽

Vol 108 (6) ◽

pp. 1283-1290 ◽

Cited By ~ 5

Author(s):

Eke G Gruppen ◽

Stephan J L Bakker ◽

Richard W James ◽

Robin P F Dullaart

Keyword(s):

Alcohol Consumption ◽

Linear Regression Analysis ◽

Density Lipoprotein ◽

Hdl Cholesterol ◽

High Sensitivity ◽

Population Based ◽

Cross Sectional Study ◽

Paraoxonase 1 ◽

Phenyl Acetate ◽

Cross Sectional

ABSTRACT Background Paraoxonase-1 (PON-1) is a high-density lipoprotein (HDL)-associated enzyme with antioxidative properties, which may protect against the development of cardiovascular disease. Alcohol consumption increases HDL cholesterol, but the extent to which alcohol consumption gives rise to higher serum PON-1 activity is uncertain. Objective In a population-based study, we determined the relation of serum PON-1 activity with alcohol consumption when taking account of HDL cholesterol and apolipoprotein A-I (apoA-I), its major apolipoprotein. Design A cross-sectional study was performed in 8224 participants of the Prevention of Renal and Vascular End-Stage Disease (PREVEND) cohort. Alcohol consumption was categorized as 1) no/rarely (25.3%); 2) 0.1–10 g/d (49.3%); 3) 10–30 g/d (20.1%); and 4) >30 g/d (5.2%) with 1 drink equivalent to 10 g alcohol. Serum PON-1 activity was measured as its arylesterase activity (phenyl acetate as substrate). Results Median serum PON-1 activity was 50.8, 53.1, 54.4, and 55.7 U/L in the 4 categories of alcohol consumption, respectively (P < 0.001). Its increase paralleled the increments in HDL cholesterol and apoA-I. Notably, there was no further increase in PON-1 activity, HDL cholesterol, and apoA-I when alcohol consumption was increased from 10–30 g/d to >30 g/d. Multivariable linear regression analysis demonstrated that PON-1 activity was related to alcohol consumption independently from clinical covariates, high sensitivity C-reactive protein, and lipid concentrations, including HDL cholesterol (P < 0.001 for each category of alcohol consumption with no alcohol consumption as the reference category). Notably, as inferred from standardized β-coefficients, there was no difference in PON-1 activity between 10–30 g alcohol/d and >30 g alcohol/d. Conclusions Alcohol consumption is associated with an increase in serum PON-1 activity, but its effect seems to reach a plateau with alcohol consumption of 10–30 g/d.

Download Full-text

Alcohol consumption and cardiorespiratory fitness in five population-based studies

European Journal of Preventive Cardiology ◽

10.1177/2047487317738594 ◽

2017 ◽

Vol 25 (2) ◽

pp. 164-172 ◽

Cited By ~ 9

Author(s):

Sebastian E Baumeister ◽

Jonas D Finger ◽

Sven Gläser ◽

Marcus Dörr ◽

Marcello RP Markus ◽

...

Keyword(s):

Alcohol Consumption ◽

Oxygen Uptake ◽

Cardiorespiratory Fitness ◽

Polynomial Regression ◽

Population Based ◽

Peak Oxygen Uptake ◽

Heavy Episodic Drinking ◽

P Value ◽

Independent Population ◽

Average Alcohol

Background Poor cardiorespiratory fitness is a risk factor for cardiovascular morbidity. Alcohol consumption contributes substantially to the burden of disease, but its association with cardiorespiratory fitness is not well described. We examined associations between average alcohol consumption, heavy episodic drinking and cardiorespiratory fitness. Design The design of this study was as a cross-sectional population-based random sample. Methods We analysed data from five independent population-based studies (Study of Health in Pomerania (2008–2012); German Health Interview and Examination Survey (2008–2011); US National Health and Nutrition Examination Survey (NHANES) 1999–2000; NHANES 2001–2002; NHANES 2003–2004) including 7358 men and women aged 20–85 years, free of lung disease or asthma. Cardiorespiratory fitness, quantified by peak oxygen uptake, was assessed using exercise testing. Information regarding average alcohol consumption (ethanol in grams per day (g/d)) and heavy episodic drinking (5+ or 6+ drinks/occasion) was obtained from self-reports. Fractional polynomial regression models were used to determine the best-fitting dose-response relationship. Results Average alcohol consumption displayed an inverted U-type relation with peak oxygen uptake ( p-value<0.0001), after adjustment for age, sex, education, smoking and physical activity. Compared to individuals consuming 10 g/d (moderate consumption), current abstainers and individuals consuming 50 and 60 g/d had significantly lower peak oxygen uptake values (ml/kg/min) (β coefficients = −1.90, β = −0.06, β = −0.31, respectively). Heavy episodic drinking was not associated with peak oxygen uptake. Conclusions Across multiple adult population-based samples, moderate drinkers displayed better fitness than current abstainers and individuals with higher average alcohol consumption.

Download Full-text