scholarly journals Association between serum zinc levels and basic physical functioning: secondary data analysis of NHANES 2011–14

BMC Nutrition ◽  
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Jen-Tzer Gau ◽  
Bhakti Chavan ◽  
Yang Li ◽  
Brian C. Clark ◽  
Zelalem T. Haile
Keyword(s):  
High School ◽  
Older Adults ◽  
Physical Functioning ◽  
Serum Zinc ◽  
High Serum ◽  
School Education ◽  
High School Education ◽  
Cross Sectional ◽  
Serum Zn ◽  
Low Serum

Abstract Background Serum zinc (Zn) levels have been shown to be associated with functional status; however, it is not clear whether this association differs by other sociodemographic characteristics. We examined the association between serum Zn levels and physical functioning difficulty in a representative sample of older adults in the US. Design and methods A cross-sectional study was conducted on participants 50 years and older from the 2011–12 and 2013–14 National Health and Nutrition Examination Surveys (n = 1136). Serum Zn levels were analyzed as tertiles. The main outcome of interest was physical functioning difficulty, defined as self-reported difficulty of basic physical functioning that included walking, transferring, dressing, and feeding. Results Mean Zn levels (SE) were 0.67(0.1), 0.81(0.1), and 0.98(0.1) μg/mL in the low, middle, and high Zn groups, respectively. Approximately 24.9% participants reported physical functioning difficulty. In the multivariable model, we found a significant multiplicative interaction between sex and serum Zn (P for interaction =0.028) and between education and serum Zn (P for interaction = 0.001) on basic physical functioning difficulty. The stratified analysis revealed that among men, compared to those with low serum Zn, the odds of having physical functioning difficulty were lower in men who had high serum Zn [aOR 0.43 (95% CI: 0.25–0.76)]. For women, compared to those with low serum Zn the odds of having physical functioning difficulty were higher in women who had middle serum Zn [aOR 2.67 (1.58–4.50)]. Among individuals with less than high school education, the odds of having physical functioning difficulty were lower in those who had middle serum Zn compared to those who had low serum Zn [aOR 0.48 (0.26–0.89)]. However, the odds of having physical functioning difficulty were higher in those who had middle serum Zn compared to those who had low serum Zn for individuals with high school [aOR 5.72 (1.92–17.00)] and beyond high school education [aOR 1.77 (1.05–2.97)], respectively. Conclusion Sex and educational attainment interact with serum Zn levels to influence basic physical functioning difficulty in older adults.

scholarly journals Residential exposure to natural outdoor environments and general health among older adults in Shanghai, China

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Baishi Huang ◽  
Ye Liu ◽  
Zhiqiang Feng ◽  
Jamie R. Pearce ◽  
Ruoyu Wang ◽  
...  
Keyword(s):  
High School ◽  
Older Adults ◽  
Elementary School ◽  
Junior High School ◽  
School Education ◽  
High School Education ◽  
Green Spaces ◽  
Self Rated Health ◽  
Outdoor Environments ◽  
Non Local

Abstract Background Exposure to natural outdoor environments (NOE) has been shown to be beneficial to older adults’ health and functioning, yet this assertion has rarely been tested in China. We investigated the relationships between exposure to NOE and older adults’ self-rated health in Shanghai, China and examined whether these relationships varied by sex, age, education and hukou status. Method This cross-sectional study used micro-data sample of the 2010 Shanghai population census, including 7962 older adults nested within 3345 neighbourhoods. Self-rated health was the outcome variable. Four NOE exposure indicators were calculated for each neighbourhood: the amount of surrounding greenness/blueness and proximity to large green/blue spaces. Multilevel logistic regression was employed to explore the association between natural outdoor environment exposure and self-rated health, adjusting for individual-level and neighbourhood-level covariates. Stratified analyses were used to examine variations by sex, age, education and hukou status. Results Older adults living in neighbourhoods with higher surrounding greenness and higher proximity to both green spaces and blue spaces were more likely to report good health. Residential surrounding blueness was not significantly related to self-rated health. Females, those aged 60–69 years, those who had elementary school or junior high school education and those with non-local hukou benefit more from residential surrounding greenness, and those aged 70–79 years and who had elementary school or junior high school education benefit more from residential proximity to blue spaces. Conclusions Higher residential greenness and proximity to both green spaces and blue spaces were associated with better self-rated health, particularly for females, younger older adults, the low educated and non-local hukou holders. Our findings suggest that urban green spaces and urban blue spaces have different effects on health among Chinese older adults and that the assessment of exposure matters to the investigation of NOE-health relationships.

eHealth Literacy and Caregiver Burden Among Chinese Caregivers of Older Adults With Cognitive Impairment: Does Education Matter?

2020 ◽  
pp. 073346482095715
Author(s):  
Kaipeng Wang ◽  
Xiang Gao ◽  
Fei Sun ◽  
Nicholas J. Bishop
Keyword(s):  
High School ◽  
Older Adults ◽  
Cognitive Impairment ◽  
Caregiver Burden ◽  
Literacy Education ◽  
School Education ◽  
High School Education ◽  
Care Recipient ◽  
Ehealth Literacy ◽  
Chinese Caregivers

eHealth literacy is a critical factor that influences caregivers’ well-being. The purpose of this study is to examine the association between eHealth literacy, education, and caregiver burden among Chinese caregivers of older adults with cognitive impairment. Data came from structured interviews with 300 primary family caregiver–care recipient dyads in Wuhan, China. We used logistic regression to examine the association between eHealth literacy, education, and caregiver burden. An interaction effect between eHealth literacy and education on caregiver burden was identified. eHealth literacy was positively associated with caregiver burden among caregivers with less than a high school education, but not among those with a high school education or above. eHealth literacy is salient in the burden experienced by caregivers with low education. eHealth literacy needs to be enhanced with health information verification from health professionals and programs to support caregiving efficacy to realize its positive impact on caregivers’ mental health.

scholarly journals Cognitive Impairment Trends Among Older Adults in a Medicaid Home and Community-Based Service Program

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 17-17
Author(s):  
Richard Fortinsky ◽  
Julie Robison ◽  
David Steffens ◽  
James Grady ◽  
Deborah Migneault
Keyword(s):  
High School ◽  
Older Adults ◽  
Cognitive Impairment ◽  
Ethnic Group ◽  
Race And Ethnicity ◽  
Group Identification ◽  
School Education ◽  
High School Education ◽  
Nursing Home Admission ◽  
Study Cohort

Abstract Cognitive impairment (CI) is an important risk factor for nursing home admission, but little is known about CI among older adults in Medicaid HCBS programs. Racial and ethnic group CI disparities are found among community-dwelling older adults, but these CI trends have not been explored in Medicaid HCBS populations. In this study, we determined how CI is associated with older adults’ racial and ethnic group identification and educational attainment in Connecticut’s Medicaid HCBS program. The study cohort includes program enrollees age >65 during January-March 2019 (N=3,520). CI measures include: Cognitive Performance Scale (CPS), ranging from 0-8 (cognitively intact to very severe impairment); and a dichotomous measure incorporating Alzheimer’s disease or other dementia diagnosis (ADRD) and CPS score signifying moderate or severe CI. Study cohort characteristics: 75.7% female; age, mean(sd)=79.1(8.2); Non-Hispanic White=47.8%; Non-Hispanic Black=15.9%; Non-Hispanic Other=2.7%; Hispanic=33.6%; HS education=21.7%; mean(sd) CPS score=2.7(1.9); 36.1% with ADRD/high CPS2 score. In multivariate regression models adjusting for age and sex, CPS scores were not independently associated with race and ethnicity, and the likelihood of having ADRD/high CPS scores did not differ by race and ethnicity (all p-values >0.05). In these same models, persons with more than high school education had significantly lower CPS scores (b=-.12; p<.001), and significantly lower likelihood of having ADRD/high CPS scores (AOR=0.61; p<.001), than persons with less than high school education. We conclude that educational level is independently associated with CI, but race and ethnicity are not in this cohort. Policy and practice implications will be discussed.

scholarly journals HUBUNGAN TINGKAT PENDIDIKAN DENGAN KEPATUHAN ANTENATAL CARE PADA PRIMIGRAVIDA RIWAYAT PERNIKAHAN DINI

2021 ◽  
Vol 3 (2) ◽  
pp. 98
Author(s):  
Nur Indah Dwi Yanti ◽  
Ilya Krisnana ◽  
Pudji Lestari
Keyword(s):  
High School ◽  
Antenatal Care ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Junior High School ◽  
School Education ◽  
High School Education ◽  
Early Marriage ◽  
Chi Square ◽  
Cross Sectional

Abstrak Latar Belakang: Pernikahan dini merupakan salah ssatu masalah kesehatan reproduksi di Indonesia. Berdasarkan laporan BPS 2017 angka pernikahan dini di Indonesia mencapai 25,71%, sedangkan di Kabupaten jember 28,66% perempuan menikah di usia dini. Antenatal care yang rutin dapat menurunkan angka kematian ibu.  Berdasarkan Kemenkes 2017 kehamilan pada ibu dibawah usia 20 tahun meningkatkan angka kematian ibu. Remaja perempuan yang telah menikah cenderung 11 kali memiliki pendidikan yang rendah. Penelitian ini bertujuan untuk menganalisis hubungan tingkat pendidikan dengan kepatuhan antenatal care pada ibu hamil primigravida dengan riwayat pernikahan dini. Metode: Metode penelitian ini adalah penelitian cross sectional. Instrument yang digunakan adalah kuesioner. Analisis data menggunakan uji chi square dengan α=0,05. Hasil: Hasil penelitian menunjukkan 81,35% ibu hamil dalam kategori usia remaja akhir, 54,2% Ibu hamil memiliki pendidikan terakhir SMP, Ibu hamil yang patuh dalam ANC sebesar 64,4%, ibu hamil dengan pendidikan SMA patuh dalam ANC (70,5%) dan didapatkan nilai p=0,005. Kesimpulan: Data tersebut menunjukkan bahwa terdapat hubungan antara tingkat pendidikan dengan kepatuhan ANC pada ibu hamil dengan riwayat pernikahan dini di Kecamatan Tanggul Kabupaten Jember.AbstractBackground: Early marriage is one of the reproductive health problems in Indonesia. Based on the BPS report 2017 the rate of early marriage in Indonesia reached 25.71%, while in Kabupaten Jember 28.66% of women married at an early age. Regular antenatal care can reduce maternal mortality. Based on the Ministry of Health 2017 under 20 years of gestation increases maternal mortality. Married girls tend to have 11 times lower education. This study aims to analyze the relationship of education with the agreement of antenatal care in primigravida pregnant women with a collection of early marriage.Method: The method of this study is a cross-sectional study. The instrument used was a questionnaire. Data analysis using chi square test with α = 0.05. Results: The results showed 81.35% of pregnant women in the final adolescent age category, 54.2% of pregnant women had the last junior high school education, 64.4% of obedient pregnant women in the ANC, pregnant women with high school education were obedient in the ANC (70 , 5%) and the value of p = 0.005 is obtained.Conclusion: The data shows that there is a relationship between education level and ANC compliance in pregnant women with a history of early marriage in the Tanggul District of Jember Regency.   

scholarly journals Pengetahuan Ibu Hamil Trimester III Tentang KB Pasca Persalinan di Puskesmas Jetis Kota, Yogyakarta

2016 ◽  
Vol 3 (1) ◽  
pp. 15
Author(s):  
Nining Kurnia ◽  
Yhona Paratmanitya ◽  
Oktaviana Maharani
Keyword(s):  
High School ◽  
Family Planning ◽  
Pregnant Women ◽  
Sampling Technique ◽  
School Education ◽  
High School Education ◽  
Knowledge Level ◽  
Cross Sectional ◽  
Cross Sectional Design

<p>The population of Indonesia increased every year. The goverment makes family planning post delivery to press off Indonesian growth. In Yogyakarta family planning post delivery were used by 527 people, at Puskesmas Jetis were 167 women from 363 total target of pregnant women. A succession of this program influenced by knowledge and education. The purpose of this study was to know the knowledge level of pregnant women in trimester III about family planning post delivery at Puskesmas Jetis Yogyakarta. The methode of this study was descriptive quantitative with cross sectional design. The sample obtained by saturated sampling technique which consisted of 45 pregnant women trimester III. The data used univariate analysys. The results showed that most of pregnants women in trimester III was aged 20-35 years (77.7%), high school education (37.8%), and there was 51.1% of pregnant women in fair knowledge level. Most of pregnant women decides to used family planning injection post delivery (44.4%). In conclusion, the knowledge level of pregnant women in trimester III about family planning post delivery was mostly in fair knowledge level.</p>

scholarly journals Analisis Faktor Penentu Kepesertaan Bpjs

2020 ◽  
Vol 4 (1) ◽  
pp. 162-170
Author(s):  
Ismatut Thobibah ◽  
Ernawaty Ernawaty ◽  
Nyoman Anita Damayanti
Keyword(s):  
High School ◽  
Family Support ◽  
Research Method ◽  
School Education ◽  
High School Education ◽  
P Value ◽  
Cross Sectional ◽  
Good Family ◽  
The People ◽  
The Relationship

This study aims to analyze the relationship between information factors, knowledge, family support, and attitudes to become a member of the BPJS. The research method used was observational with a cross-sectional approach. The results showed that 69.4% were female, 32.2% were aged 36-45 years. 53.4% ​​have a high school education. The people who are members of the BPJS are 69.53%. There is a relationship between information about BPJS and BPJS membership (p-value = 0,000) and family support and attitudes to support BPJS, which are also related to BPJS membership (p-value = 0,000). Knowledge about BPJS is not related to BPJS membership (p-value = 0.229). In conclusion, information about BPJS, good family support, and a supportive attitude towards BPJS will determine BPJS membership, while knowledge is not related to BPJS membership.   Keywords: Family Support, Information, BPJS Membership, Attitude

scholarly journals A cross-sectional survey on patient perception of subject payment for research

2020 ◽  
Vol 9 (2) ◽  
pp. 14
Author(s):  
Merhunisa Karagic ◽  
Justin Chin ◽  
Jun H. Lin ◽  
Nanette Silverberg ◽  
Mary Lee-Wong
Keyword(s):  
High School ◽  
Clinical Trials ◽  
Financial Incentives ◽  
Multiple Testing ◽  
School Education ◽  
High School Education ◽  
Market Model ◽  
Research Subjects ◽  
Cross Sectional Survey ◽  
Cross Sectional

Background: Research subjects may receive payment for their participation. Multiple models for payment have been proposed, however, the most ethical model is not completely clear.Objective: The purpose of the present study is to evaluate and quantify the public’s perception and to identify demographic determinants influencing said perceptions.Methods: Patients from a New York City medical clinic were queried using an adapted survey on medical research compensation consisting of 6 opinion-style questions pertaining to the payment of subjects enrolling in clinical trials and 9 demographic questions. Pearson’s chi-squared tests of independence with two-tailed alpha of 0.05 and correction for multiple testing were performed to determine statistical significance.Results: 440 respondents were recruited for participation, with broad distribution across age, race, and socioeconomic levels. For research payment, surveyed respondents preferred the market model (n = 265, 62%) compared to the reimbursement model (n = 72, 16.8%) or wage payment model (n = 64, 15%) and no payment (n = 27, 6.3%). Patients under the age of 60 were more likely to choose the market model (p = .01) compared to those over 60 selecting the reimbursement model (p = .001). 88.7% (n = 377) of respondents indicated they did not perceive clinical trial payment to be a bribe, with non-white patients being more likely to identify payment as a bribe (p = .025). 73.2% of respondents (n = 344) believed that poorer individuals were more likely to enroll. Patients without high school education and patients 60 years of age or older were more likely to believe that payment (p = .006 and p < .001, respectively) would have no influence on enrollment than those with high school education.Conclusions: Differences in mind-set towards clinical trials demonstrate older patients and individuals without a high school education may have differing opinions with regards to financial incentives in clinical trials. Sensitivity towards these attitudes may require alternative models of payment for future clinical trials.

scholarly journals Pengaruh Pembelajaran Online terhadap Stres Akademik Siswa Di SMA Negeri 1 Kepanjen

2021 ◽  
Vol 4 (1) ◽  
pp. 41-47
Author(s):  
Syarifatur Rofiah
Keyword(s):  
High School ◽  
Online Learning ◽  
Academic Stress ◽  
School Education ◽  
High School Education ◽  
Cross Sectional ◽  
Face To Face ◽  
Learning Patterns ◽  
Face To Face Learning

Changes in learning patterns occurred in Indonesia during the Covid-19 pandemic outbreak. Face-to-face learning patterns, which are usually carried out at all levels of high school education and above, must be replaced by online or online learning. This is done to prevent the spread of covid-19. This study aims to determine the effect of online learning on student academic stress during the Covid-19 pandemic. The research used was analytic observational with cross sectional approach. The research was conducted in November 2020 with 285 respondents from SMA Negeri 1 Kepanjen. The results of the study indicate that there is an effect of online learning on academic stress experienced by students in school. Online learning requires support from various parties, both government and schools. Keywords:Online Learning; Academic Stress; Students 

scholarly journals DEMOGRAPHIC CHARACTERISTICS AND BODY MASS INDEX IN OBESE ADOLESCENTS

2019 ◽  
Vol 7 (3) ◽  
pp. 189
Author(s):  
Nur Aisyah Widjaja ◽  
Rendi Aji Prihaningtyas ◽  
Meta Herdiana Hanindita ◽  
Roedi Irawan
Keyword(s):  
High School ◽  
Body Mass Index ◽  
Body Mass ◽  
Maternal Education ◽  
Intima Media Thickness ◽  
Demographic Characteristics ◽  
School Education ◽  
High School Education ◽  
Cross Sectional ◽  
Obese Adolescents

Background: The prevalence of adolescent obesity is increasing in Indonesia. Obesity can reduce the quality of life, especially as most obese adolescents remain obese after they become adult. In obese adolescents, the higher their IMT (intima-media thickness), the higher the risk of cardiovascular disease in adulthood. Purpose: The aim of this study is to analyse the correlation of demographic characteristics with BMI (body mass index) in adolescents with obesity. Methods: This study is a cross-sectional study on adolescents with obesity conducted in the Paediatric Nutrition and Metabolic Disease Clinic of Dr Soetomo General Hospital, Surabaya. The data on demographic characteristics, such as gender, number of siblings, paternal education, maternal education, and maternal occupation, were collected using the interview method. Data on anthropometry were collected to calculate BMI. Obesity is established if it is higher than the 95th percentile, based on CDC percentile of BMI, according to age and sex. Data were analysed using multiple regression. Results: A total of 59 obese adolescents, between 13 and 16 years old, were involved. As many as 49.20% of respondents had one sibling. As many as 52.50% of respondents had a father with a high school education and 44.10% of respondents had mothers with a high school education; 61% of respondents had working mothers. There was no correlation between BMI and demographic characteristics (p> 0.05), except for number of siblings (p = 0.02). Conclusion: In this study, the number of siblings was correlated with BMI. A study with a greater number of obese adolescents and with adolescents who have normal nutritional status is needed to fully assess the influence of demographic characteristics on BMI in obese adolescents.

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