scholarly journals Evaluating the Parenting of Caregiving Grandparents

CommonHealth ◽  
2021 ◽  
Vol 2 (1) ◽  
pp. 23-28
Author(s):  
Sylvia Forman
Keyword(s):  
Social Support ◽  
Social Services ◽  
Parenting Practices ◽  
Positive Association ◽  
Parenting Practice ◽  
Social Relevance ◽  
Significant Positive Association ◽  
Increased Risk ◽  
And Behavior ◽  
Change In Mean

Background and Purpose: In Philadelphia, over 15,000 grandparents are primary caregivers for grandchildren.  Children raised by grandparents have increased risk for health and behavior issues.  The SOWN Grandfamily Resource Center (GFRC) provides social services and parenting education for caregiving grandparents.  This project investigates whether the annual Department of Human Services (DHS) Parenting pre- and post-survey measures parenting changes for grandparents participating in the GFRC.  Methods: Selected DHS survey questions were grouped into subscales measuring social support and parenting practices.  Associations between social support and parenting were examined, and average subscale scores and percentage of grandparents demonstrating positive beliefs and practices were compared between 16 matched pre- and post-surveys using paired t-tests and McNemar’s tests.  Results:  McNemar’s tests determined the changes from pre- to post-survey were not statistically significant, with p-values between .625 and 1.  The change in mean score for nurturing behavior was statistically significant, .  Social support had a moderate, statistically significant, positive association with all parenting measures.  Conclusion:  Participants averaged 4.1 years of GFRC participation and demonstrated high levels of initial knowledge and parenting practice, but not a significant change from pre to post.  The positive association between social support and parenting practice is supported by research that a caregiver’s distress negatively impacts parenting.  Social relevance:  The parenting qualities included here can alleviate some of the health and behavior problems experienced by children exposed to trauma as well as reduce the parenting stress experienced by caregiving grandparents.

scholarly journals Fertility Drugs Associated with Thyroid Cancer Risk: A Systematic Review and Meta-Analysis

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
QingAn Yu ◽  
XiaoYing Lv ◽  
KunPeng Liu ◽  
DaKun Ma ◽  
YaoHua Wu ◽  
...  
Keyword(s):  
Thyroid Cancer ◽  
Cancer Risk ◽  
Clomiphene Citrate ◽  
Positive Association ◽  
Female Infertility ◽  
Cochrane Library ◽  
Significant Positive Association ◽  
Fertility Drugs ◽  
Increased Risk ◽  
Thyroid Cancer Risk

Associations have been demonstrated between fertility drugs and a variety of hormone-sensitive carcinomas. The purpose of this study was to determine the relationship between fertility drugs used in the treatment of female infertility and the risk of thyroid cancer. To investigate the clinical significance of fertility drugs used for the treatment of female infertility and the risk associated with thyroid cancer, we performed a literature search using PubMed, MEDLINE, the Cochrane Library, the Web of Science, and EBSCOHOST for comparative studies published any time prior to July 21, 2017. The studies included women who were treated for infertility with fertility drugs, such as clomiphene citrate, gonadotropins, or other unspecified fertility agents, which reported the incidence of thyroid cancer as the main outcome. Eight studies were included in the meta-analyses. Among women with infertility, there was a significant positive association between thyroid cancer risk and the use of fertility drugs (relative risk [RR] = 1.35; 95% confidence interval [CI] 1.12–1.64; P=0.002). Additionally, among women with infertility, the use of clomiphene citrate was associated with an increased risk of thyroid cancer compared to women who did not use fertility drugs (RR = 1.45; 95% CI 1.12–1.88; P=0.005). After pooling results, we found that the parity status of infertile women using fertility drugs was not associated with thyroid cancer risk (RR = 0.99; 95% CI 0.61–1.58, P=0.95). In summary, clomiphene citrate (the most commonly used fertility drug) and other fertility drugs are associated with an increased risk of thyroid cancer.

scholarly journals Red de soporte social y apoyo comunitario en miembros de una organización de desplazados por violencia política residentes en Cañete, Perú/Social Support Network and Community Support Among Members of an Organization of Persons Displaced by Political Violence Residing in Cañete, Peru

2018 ◽  
Vol 37 (2) ◽  
pp. 107
Author(s):  
Ma. Teresa Schoof Aguirre ◽  
Eduardo Manzanares Medina ◽  
Miriam Grimaldo Muchotrigo
Keyword(s):  
Social Support ◽  
Political Violence ◽  
Community Support ◽  
Positive Association ◽  
Support Network ◽  
Social Support Network ◽  
Significant Positive Association ◽  
The Social ◽  
La Red ◽  
Violencia Politica

<p><em><strong>Español</strong></em></p><p>El objetivo de la presente investigación fue determinar la relación entre la red de soporte social y el apoyo comunitario en los miembros de una organización de personas desplazadas por violencia política. Para tal fin, el estudio descriptivo correlacional incluyó a 80 participantes (49 mujeres y 31 hombres) con una edad promedio de 45.79 años (DE = 11.41), quienes residían en una provincia de Lima y provenían, en su mayoría, del departamento de Ayacucho. Se les administró el Cuestionario de Red Social (SNQ) y el Cuestionario de Apoyo Comunitario Percibido (PCSQ). Entre los principales resultados, se encontró que el componente Integración y Participación Comunitaria del PCSQ correlaciona con dos funciones y dos categorías del SNQ. Se presenta asociación positiva estadísticamente significativa con la función guía cognitiva (rs = .32), la función socialización (rs = .24) y la categoría satisfacción (rs = .24) y asociación negativa y estadísticamente significativa con la categoría heterogeneidad (rs = -.23). Se discuten las implicancias de los presentes hallazgos.</p><p> </p><p><em><strong>English</strong></em></p><p>The present study’s aim was to determine the relationship between the social support network and community support among members of an organization of persons displaced by political violence. The correlational-descriptive research included 80 individuals (49 females and 31 males) with a mean age of 45.79 years old (SD = 11.41), who reside in a province of Lima and came, mostly, from the department of Ayacucho. Participants completed the Social Network Questionnaire (SNQ), as well as the Perceived Community Support Questionnaire (PCSQ). Among the main findings, we found that the Integration component and Community Participation from the PCSQ correlate with two functions and two categories from the SNQ. Specifically there is a statistically significant positive association with the Cognitive Guide function (rs = .32), the Socialization function (rs = .24) and the Satisfaction category (rs = .24); and a statistically significant negative association with the Heterogeneity category (rs = -.23). Implications of the results obtained will be discussed in the present paper.</p>

Association between air travel and importation of chikungunya into the USA

2019 ◽  
Vol 26 (5) ◽  
Author(s):  
Tahmina Nasserie ◽  
Shannon E Brent ◽  
Ashleigh R Tuite ◽  
Rahim Moineddin ◽  
Jean H E Yong ◽  
...  
Keyword(s):  
Negative Binomial ◽  
State Level ◽  
Positive Association ◽  
Air Travel ◽  
The State ◽  
Significant Positive Association ◽  
Increased Risk ◽  
Epidemic Period ◽  
Imported Cases ◽  
The Usa

Abstract Background: During infectious disease outbreaks with pandemic potential, the number of air passengers travelling from the outbreak source to international destinations has been used as a proxy for disease importation risk to new locations. However, evaluations of the validity of this approach are limited. We sought to quantify the association between international air travel and disease importation using the 2014–2016 chikungunya outbreak in the Americas as a case study. Methods: We used country-level chikungunya case data to define a time period of epidemic activity for each of the 45 countries and territories in the Americas reporting outbreaks between 2014 and 2016. For each country, we identified airports within or proximate to areas considered suitable for chikungunya transmission and summed the number of commercial air passengers departing from these airports during the epidemic period to each US state. We used negative binomial models to quantify the association between the number of incoming air passengers from countries experiencing chikungunya epidemics and the annual rate of chikungunya importation into the USA at the state level. Results: We found a statistically significant positive association between passenger flows via airline travel from countries experiencing chikungunya epidemics and the number of imported cases in the USA at the state level (P < 0.0001). Additionally, we found that as the number of arriving airline passengers increased by 10%, the estimated number of imported cases increased by 5.2% (95% CI: 3.0–7.6). Conclusion: This validation study demonstrated that air travel was strongly associated with observed importation of chikungunya cases in the USA and can be a useful proxy for identifying areas at increased risk for disease importation. This approach may be useful for understanding exportation risk of other arboviruses.

scholarly journals Hypertension as a prognostic factor in the prediction of mortality in patients with COVID-19: a systematic review and meta-analysis

2021 ◽  
Vol 42 (Supplement_1) ◽  
Author(s):  
C D P Pagdanganan ◽  
J Juangco ◽  
Keyword(s):  
Prognostic Factor ◽  
Odds Ratio ◽  
Positive Association ◽  
Hazard Ratio ◽  
P Value ◽  
Comorbid Condition ◽  
Significant Positive Association ◽  
Prediction Of Mortality ◽  
Risk Of Mortality ◽  
Increased Risk

Abstract Background The coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) brought the majority of the world into a halt when it started to spread outside the virus epicenter in Wuhan, China. With the alarming increase in the number of cases and deaths worldwide, the possible risk factors should be determined in order to have a general idea on those who are more susceptible to have this disease. Hypertension, being one of the world's leading causes of noncommunicable diseases, was identified by the CDC to be one of underlying medical conditions that might pose an increased risk for severe illness from COVID-19. Objective The aim of this study is to determine the predictive value of hypertension as a comorbidity in COVID-19 mortality. Materials and methods Participants included all patients clinically diagnosed with COVID-19, and have hypertension as their pre-existing medical condition. Studies were selected based on study design, participants, exposure, outcome, timing, setting and language. The following databases were searched from June to August 2020 for case control and cohort studies on MEDLINE and CINAHL, ScienceDirect, Clinical Key, OVID database, Wiley Online library, and UpToDate. The criteria for evaluation of risk of bias were based on the selection bias, comparability bias and outcome bias. All information gathered were collated and evaluated using the Newcastle-Ottawa Quality Assessment Scale and CEBM. Results Individual studies all showed a significant relationship between hypertension and mortality in COVID-19 patients. Odds ratio ranging from 1.75 to 28.88, and hazard ratio ranging from 1.49 to 3.32 are present in the studies. For the data analysis, Mantel Haenszel method and random effects model was used for case control studies with odds ratio as effect measure; while Inverse variance method and fixed model was used for cohort studies with hazard ratio as effect measure. Both groups showed significant positive association between mortality and hypertension as a prognostic factor. Overall odds ratio is 5.25 (2.42–11.40) with a p value of &lt;0.ehab724.23931, and the pooled hazard ratio is 2.21 (1.75–2.80) with a p value of &lt;0.ehab724.23931. This shows that there is an increased risk of mortality among COVID-19 patients with hypertension as a comorbid condition. Conclusions Hypertension as a comorbid condition is a prognostic factor in the prediction of mortality in hospitalized COVID-19 patients. The ten included studies showed that there is a significant positive association suggesting an increased risk of mortality in COVID-19 patients with hypertension. FUNDunding Acknowledgement Type of funding sources: Other. Main funding source(s): University of the East Ramon Magsaysay Memorial Medical Center College of Medicine Forest Plot HR Hypertension COVID

scholarly journals Cellular Phone Use and Risk of Tumors: Systematic Review and Meta-Analysis

2020 ◽  
Vol 17 (21) ◽  
pp. 8079
Author(s):  
Yoon-Jung Choi ◽  
Joel M. Moskowitz ◽  
Seung-Kwon Myung ◽  
Yi-Ryoung Lee ◽  
Yun-Chul Hong
Keyword(s):  
Meta Analysis ◽  
Harmful Effect ◽  
Positive Association ◽  
Cellular Phone ◽  
Case Control ◽  
International Agency ◽  
Case Control Studies ◽  
Significant Positive Association ◽  
Tumor Risk ◽  
Increased Risk

We investigated whether cellular phone use was associated with increased risk of tumors using a meta-analysis of case-control studies. PubMed and EMBASE were searched from inception to July 2018. The primary outcome was the risk of tumors by cellular phone use, which was measured by pooling each odds ratio (OR) and its 95% confidence interval (CI). In a meta-analysis of 46 case-control studies, compared with never or rarely having used a cellular phone, regular use was not associated with tumor risk in the random-effects meta-analysis. However, in the subgroup meta-analysis by research group, there was a statistically significant positive association (harmful effect) in the Hardell et al. studies (OR, 1.15—95% CI, 1.00 to 1.33— n = 10), a statistically significant negative association (beneficial effect) in the INTERPHONE-related studies (case-control studies from 13 countries coordinated by the International Agency for Research on Cancer (IARC); (OR, 0.81—95% CI, 0.75 to 0.89—n = 9), and no statistically significant association in other research groups’ studies. Further, cellular phone use with cumulative call time more than 1000 h statistically significantly increased the risk of tumors. This comprehensive meta-analysis of case-control studies found evidence that linked cellular phone use to increased tumor risk.

scholarly journals Associations Between Structural and Social Determinants of Health With COVID Infection Rates at a Safety Net Hospital.

2021 ◽  
Author(s):  
Dotun Ogunyemi ◽  
Rolando Mantilla ◽  
Abhinav Markus ◽  
Aubrey Reeves ◽  
Suyee Win ◽  
...  
Keyword(s):  
Predictive Value ◽  
Medical Center ◽  
Retrospective Chart Review ◽  
Positive Association ◽  
Safety Net ◽  
Individual Risk ◽  
Infection Rates ◽  
Significant Positive Association ◽  
Increased Risk ◽  
Safety Net Hospital

Abstract Background: The reported disproportionate impact of COVID-19 infections on minority populations may be due to living in disinvested communities with high level of poverty, pollution, inadequate unsafe employment, and overcrowded housing.Objective: To determine the association of county, city, and individual risk factors with COVID-19 infection ratesMethods: Retrospective chart review on COVID-19 tests performed from March through July 2020 at Arrowhead Regional Medical Center, Colton­, California. Results: A total of 7104 tests were performed with 69% in the drive-through testing center. The mean duration of test-to-results time was 2.36 (+0.02) days. COVID-19 positive tests occurred in 1095 (15.4%). At least one symptom occurred in 414 (33%) with sensitivity of 37.8, specificity of 86.02, positive predictive value of 33.01, and negative predictive value of 72.76. Individual factors significantly associated with testing positive for COVID-19 were diabetes, Hispanic ethnicity, and male gender. Younger age was significantly associated with testing COVID positive with the highest risk in children <10 years. COVID-19 positive persons significantly resided in cities with higher population density, household members, poverty, non-English speaking homes, disability, lower median household income, lack of health insurance and decreased access to a computer and WIFI services. County health rankings showed significant positive association between testing positive for COVID-19 with increased smoking, air pollution, violent crimes, physical inactivity, decreased education and access to exercise. Conclusion: Adverse county health rankings; socially and economically disadvantaged cities are associated with an increased risk of testing positive for COVD-19. This information can be used in strategic planning and invention mitigation.

scholarly journals Exogenous hormone use, reproductive factors, and risk of intracranial meningioma in females

2013 ◽  
Vol 118 (3) ◽  
pp. 649-656 ◽  
Author(s):  
Elizabeth B. Claus ◽  
Lisa Calvocoressi ◽  
Melissa L. Bondy ◽  
Margaret Wrensch ◽  
Joseph L. Wiemels ◽  
...  
Keyword(s):  
Body Mass Index ◽  
San Francisco ◽  
Body Mass ◽  
Hormone Replacement ◽  
Premenopausal Women ◽  
Positive Association ◽  
Age At Menarche ◽  
Intracranial Meningioma ◽  
Significant Positive Association ◽  
Increased Risk

Object The 2-fold higher incidence of meningioma in women compared with men has long suggested a role for hormonally mediated risk factors, but specific mechanisms remain elusive. Methods The study included data obtained in 1127 women 29–79 years of age with intracranial meningioma diagnosed among residents of Connecticut, Massachusetts, North Carolina, the San Francisco Bay Area, and 8 Texas counties between May 1, 2006, and October 6, 2011, and data obtained in 1092 control individuals who were frequency matched for age group and geography with meningioma patients. Results No association was observed for age at menarche, age at menopause, or parity and meningioma risk. Women who reported breastfeeding for at least 6 months were at reduced risk of meningioma (OR 0.78, 95% CI 0.63–0.96). A significant positive association existed between meningioma risk and increased body mass index (p < 0.01) while a significant negative association existed between meningioma risk and current smoking (p < 0.01). Among premenopausal women, current use of oral contraceptives was associated with an increased risk of meningiomas (OR 1.8, 95% CI 1.1–2.9), while current use of hormone replacement therapy among postmenopausal women was not associated with a significant elevation in risk (OR 1.1, 95% CI 0.74–1.67). There was no association between use of fertility medications and meningioma risk. Conclusions The authors' study confirms associations for body mass index, breastfeeding, and cigarette smoking but provides little evidence for associations of reproductive and menstrual factors with meningioma risk. The relationship between current use of exogenous hormones and meningioma remains unclear, limited by the small numbers of patients currently on oral hormone medications and a lack of hormone receptor data for meningioma tumors.

Ethnic Differences in the Association Between Pain and Social Support in Iraq and Afghanistan Veterans

Pain Medicine ◽  
2020 ◽  
Vol 21 (11) ◽  
pp. 3066-3072
Author(s):  
Matthew S Herbert ◽  
Jeffrey Hernandez ◽  
Cara Dochat ◽  
James O E Pittman ◽  
Niloofar Afari
Keyword(s):  
Social Support ◽  
Pain Intensity ◽  
Ethnic Differences ◽  
Positive Association ◽  
Pain Interference ◽  
Future Research ◽  
Measurement Information ◽  
Significant Positive Association ◽  
Cross Sectional ◽  
Patient Reported

Abstract Objective Although past research has identified differences in pain between non-Latino white (NLW) and Latino persons, few studies have focused on the influence of social support. The purpose of the present study was to determine if the association between the number of social support sources and ratings of pain intensity and pain interference differed as a function of ethnicity. Design Cross-sectional. Setting Veterans Affairs San Diego Healthcare System Subjects Participants were NLW (N = 389) and Latino (N = 207) Iraq and Afghanistan veterans. Methods Linear regression analyses were used to examine the interaction between ethnicity and number of social support sources on pain intensity and pain interference as measured by the Patient-Reported Outcomes Measurement Information System pain inventory. Results The association between number of social support sources and pain intensity and interference significantly differed by ethnicity (P &lt; 0.01 and P = 0.01, respectively). Among NLW veterans, there was a significant negative association between number of social support sources and pain intensity. Among Latino veterans, there was a significant positive association between number of social support sources and pain intensity and interference. Conclusions These findings suggest important differences between NLW and Latino Iraq and Afghanistan veterans in the association between social support and pain. Future research should examine ethnic differences in pain-specific support received from the social environment.

scholarly journals Egg consumption and CHD and stroke mortality: a prospective study of US adults

2010 ◽  
Vol 14 (2) ◽  
pp. 261-270 ◽  
Author(s):  
Carolyn G Scrafford ◽  
Nga L Tran ◽  
Leila M Barraj ◽  
Pamela J Mink
Keyword(s):  
Positive Association ◽  
Dietary Factors ◽  
Inverse Association ◽  
Stroke Mortality ◽  
Significant Positive Association ◽  
Health Lifestyle ◽  
Egg Consumption ◽  
Health And Nutrition ◽  
Increased Risk

AbstractObjectiveTo evaluate the relationship between egg consumption and CHD and stroke mortality using the Third National Health and Nutrition Examination Survey 1988–1994 (NHANES III) and follow-up survey.DesignA cross-sectional survey using a stratified, multi-stage probability sample was analysed, adjusting for survey design. Egg consumption was obtained from the FFQ and separated into categories of egg intake. Hazard ratios (HR) were calculated for CHD and stroke mortality using multivariate Cox regression models.SettingA health and nutrition survey conducted in the USA from 1988 to 1994 with follow-up through 31 December 2000.SubjectsThe study population included men and women who were free of CVD and had completed a FFQ at baseline.ResultsMultivariate models adjusting for health, lifestyle and dietary factors indicated that ‘high’ egg consumption (≥7 times/week v. <1 time/week) was not associated with significantly increased CHD mortality (HR = 1·13, 95 % CI 0·61, 2·11 (men); HR = 0·92, 95 % CI 0·27, 3·11 (women)). There was a statistically significant inverse association between ‘high’ egg consumption and stroke mortality among men (HR = 0·27, 95 % CI 0·10, 0·73), but the estimate was imprecise because of sparse data. We did not observe a statistically significant positive association between ‘high’ egg consumption and CHD or stroke mortality in analyses restricted to individuals with diabetes, but these analyses may be limited due to the small number of diabetics.ConclusionsWe did not find a significant positive association between egg consumption and increased risk of mortality from CHD or stroke in the US population. These results corroborate the findings of previous studies.

scholarly journals Dioxins Exposure and the Risk of Breast Cancer: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 13 (2) ◽  
Author(s):  
Nematollah Jaafarzadeh Haghighi ◽  
Amal Saki Malehi ◽  
Zeinab Ghaedrahmat
Keyword(s):  
Breast Cancer ◽  
Systematic Review ◽  
English Language ◽  
Meta Analysis ◽  
Breast Cancer Mortality ◽  
Positive Association ◽  
Great Distance ◽  
Organic Chemical ◽  
Significant Positive Association ◽  
Increased Risk

Context: Dioxins and dioxin-like chemicals composed of 419 compounds are a large group of compounds, including polychlorinated di-benzo-p-dioxins (PCDDs), dibenzofurans (PCDFs), and biphenyls (PCBs). Dioxins are extremely persistent in the environment and disperse in a great distance from the emission source, and bioaccumulation in the food chain is one of their critical properties. The incidence of breast cancer among Iranian women is about 30 to 35 per 100,000 cases. The present study is a systematic review of published studies in English language to discover the relationship between exposure to dioxin compounds and breast cancer. Methods: We conducted a comprehensive literature review utilizing PubMed, Embase, Scopus, and ISI web of science databases. The MeSH-based keywords used included Organic Chemical (MeSH) OR Dioxins (MeSH) AND cancer (MeSH) OR Breast cancer (MeSH) AND Breast disease (MeSH). Results: The review of the literature indicated a significant positive association between dioxins exposure and the risk of breast cancer. Only in one study, breast cancer mortality rate was reported in terms of exposure to dioxins, and standardized mortality rates (SMRs) were determined. Conclusions: Although there were limitations in this study, statistical analyses in various epidemiological studies demonstrated that dioxins exposure is linked to an increased risk of breast cancer.

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