Violencia en el hogar contra mujeres adultas durante el confinamiento por la pandemia de Covid-19 en México

2021 ◽  
Vol 63 (6, Nov-Dic) ◽  
pp. 782-788
Author(s):  
Rosario Valdez-Santiago ◽  
Aremis Litai Villalobos-Hernández ◽  
Luz Arenas-Monreal ◽  
Karla Flores ◽  
Luciana Ramos-Lira

Objective. To analyze the prevalence of domestic violence in adult women during confinement derived from the Co­vid-19 pandemic and individual, familiar and communitarian associated factors. Materials and methods. A second­ary analysis was carried out the 2020 National Health and Nutrition Survey on Covid-19, with national representation. A logistic regression model adjusted for the variables of interest was performed. Results. The prevalence was 5.8%. The most reported acts were shouting, insults or threats (4.3%). Most of the women who reported some type of violence in the home had already experienced it before the confinement. Low levels of well-being (OR= 1.96, 95%CI: 1.28,2.99), and living in a home where job was lost due to contingency (OR= 1.96, 95%CI: 1.41,2.73) were associated factors. Conclusions. In care interventions, it is necessary to take into account factors that deepen the vulnerability of women, such as pre-existing violence and loss of employment.


2013 ◽  
pp. 1-8
Author(s):  
T. SHAMAH LEVY ◽  
L. CUEVAS NASU ◽  
M.C. MORALES RUAN ◽  
V. MUNDO ROSAS ◽  
I. MENDEZ GOMEZ-HUMARAN ◽  
...  

Background:The health and nutritional conditions of older adults in Mexico are heterogeneous. Theprevalence of chronic noncommunicable diseases is elevated with disparities in functionality and socioeconomicinequities. Objectives:To obtain updated information of the health and nutritional profile of older adults inMexico in a national representative sample. Methods:Information was obtained from 6,687 60 years and olderadults from the 2012 National Health and Nutrition Survey (ENSANUT 2012). An index defining the status of"healthy adult" was constructed taking into account the variables of independence in performing activities ofdaily living (ADL), based on the development by Katz, instrumental ADL, no chronic diseases, nonsmoker andno active use of alcohol. Tables of frequencies and proportions were constructed and expanded to describe thegeneral characteristics and nutritional status of the adult Mexican population. A logistic regression model wasused to study changes in the probability of being classified as a healthy adult with respect to different variables ofinterest. Probabilities using the delta method were estimated to establish 95% confidence intervals. Results:Inthis study 12.2% of the older adults, were classified as healthy. The logistic regression model adjusted for thevariables included in the study shows that the interaction of age and gender is significant (P = 0.068), where theprobability of healthy adult status decreases in women with ageing and remains stable for men. Also, living in thesouthern region of the country significantly decreases the probability of healthy adult status (P = 0.001). Genderof the older adult was not significant. Conclusions:In Mexico, the health conditions of older adults are deficient.Public policies need to be generated that are directed at this population group and will translate into self-careactions in the early stages of life so as to guarantee a healthy future.



2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Amare Muche ◽  
Reta Dewau

Abstract Background In Ethiopia, stunting is the most common form of undernutriton. Identifying the determinants of severe stunting among children is crucial for public health interventions to improve child health. Therefore, this study aimed to identify the determinants of severe stunting among under-five children in Ethiopia. Methods A community-based cross-sectional study design was employed. A two stage stratified cluster sampling technique was used. A multilevel ordinal logistic regression model was fitted to identify independent determinants. Adjusted odds ratio (AOR) and median odds ratio (MOR) with its 95% confidence interval at p-value< 0.05 were used to declare statistical significance. Results The result of this study showed that about 18% of the children were severely stunted. Being male increased the severity of stunting in children by 26% adjusted odds ratio (AOR): 1.26 (95% CI: 1.09–1.46), compared to female sex; over-weight mothers increased the severity of stunting in their children AOR: 3.43 (95% CI: 2.21–5.33) compared to normal BMI mothers; and children from middle, poorer, and poorest wealth index households were 1.84 (95% CI:1.27–2.67), 2.13 (95% CI, CI:1.45–3.14) and 2.52 (95% CI,1.72–3.68). In contrast, severe stunting was reduced by 62% (AOR: 0.38, 95% CI: 0.20–0.74) and 48% (AOR = 0.52, 95% CI: 0.37–0.72) in children of educated mothers compared to children of uneducated mothers and children of underweight mothers compared with those children of normal BMI mothers respectively. For each one-unit increase in maternal height, there is a 5% significant reduction in the child’s odds of being severely stunted. After controlling for other factors, the effect of predictors on the likelihood of stunting in high risk clusters increased by a median odds ratio (MOR) of 1.83 (95% CI: 1.69–2.00). Conclusions The magnitude of severe childhood stunting was still high with regional variation in Ethiopia. Child age, sex, maternal height, age, education and household wealth index as well as administrative regions were significantly associated factors with severe stunting. Significant interventions shall be implemented at the individual, household and community levels in order to reduce the problem.



2021 ◽  
Vol 10 (11) ◽  
pp. 2398
Author(s):  
Yong Un Shin ◽  
Seung Hun Park ◽  
Jae Ho Chung ◽  
Seung Hwan Lee ◽  
Heeyoon Cho

We investigated the association between the severity of diabetic retinopathy (DR) and hearing loss based on vascular etiology. We used data from the Korean National Health and Nutrition Survey 2010–2012. Adults aged >40 years with diabetes were enrolled. Demographic, socioeconomic, general medical, noise exposure and biochemical data were used. Participants were classified into three groups: diabetes without DR, non-proliferative DR (NPDR), and proliferative DR (PDR); participants were also divided into two groups (middle age (40 ≤ age < 65 years) vs. old age (age ≥ 65 years)). The association between hearing loss and DR was determined using logistic regression analysis. A total of 1045 participants (n = 411, middle-aged group; n = 634, old-age group) were enrolled. Overall, the prevalence of hearing loss was 58.1%, 61.4%, and 85.0% in the no DR, NPDR, and PDR groups, respectively. After adjusting for confounding factors, the logistic regression model showed that there was no significant association between the prevalence of DR and hearing loss in the overall sample. However, the presence of PDR (OR 7.74, 95% CI 2.08–28.82) was significantly associated with hearing loss in the middle-aged group. Middle-aged people with diabetes may have an association between DR severity and hearing loss. The potential role of microvascular diseases in the development of hearing loss, especially in middle-aged patients, could be considered.



2008 ◽  
Vol 11 (3) ◽  
pp. 252-257 ◽  
Author(s):  
Fumi Hayashi ◽  
Nobuo Yoshiike ◽  
Katsushi Yoshita ◽  
Kazuo Kawahara

AbstractObjectiveThere is an increasing concern of anaemia in Japanese women, but no national trend data has existed to date. We analysed long-term national trends of anaemia in adult women.DesignSecondary analyses of 15 consecutive cross-sectional nationwide surveys conducted during the period 1989–2003. Analyses were based on 5-year intervals (1989–1993, 1994–1998, 1999–2003).SettingJapan.SubjectsThe subjects included the National Health and Nutrition Survey of Japan (NHNS-J) population. Analyses were based on 50 967 non-pregnant/non-lactating women aged 20 years and over, with complete data sets. We stratified subjects into six age groups (20–29 years, 30–39 years, 40–49 years, 50–59 years, 60–69 years and 70+ years), and three age groups (20–49 years, 50–69 years, 70+ years) for analyses on residential areas (metropolitan, cities and towns).ResultsDecreases in trends of mean haemoglobin values (intravenous) were significant in all age groups. Changes in the prevalence of anaemia were significant only in women aged 30–39 and 40–49 years. Anaemia (haemoglobin < 12.0 g dl−1) increased from 16.8% to 20.6% in women aged 30–39 years, and from 20.2% to 26.9% in women aged 40–49 years, respectively. Prevalence was highest in women aged 70 years and older in all times, but no significant change was observed.ConclusionsHaemoglobin values have declined significantly in all ages in the last 15 years. Anaemia was especially significant in women aged 30–39 years and 40–49 years. Our findings suggest that a large number of young women in Japan are at risk of anaemia, so continuous monitoring and controlling efforts of this trend are needed.



Author(s):  
Shizhen Wang ◽  
Ying Yang ◽  
Runhu Hu ◽  
Hongfei Long ◽  
Ni Wang ◽  
...  

Promoting a healthy diet of the elderly is an important task in the current “Healthy China Action”. This study aimed to describe the changing trends of the dietary knowledge elderly Chinese during 2004–2015 and to examine the associated factors of dietary knowledge. Elderly people aged ≥60 years were included as study subjects from the China Health and Nutrition Survey 2004–2015. A total of 15,607 samples were involved in the analysis. The correct rate of dietary knowledge items followed upward trends over time, except for two items regarding physical activity intensity (Question 11, Cochran-Armitage χ2 = 20.05, p < 0.001) and healthy weight (Question 12, Cochran-Armitage χ2 = 43.93, p < 0.001). Four of the twelve dietary knowledge items consistently followed the lowest correct rate between 2006 and 2015, regarding physical activity intensity (Question 11, 24.5%−25.8%), staple food consumption (Question 5, 36.6%−41.5%), animal product consumption (Question 6, 45.8%−59.5%), and fatty meat and animal fat consumption (Question 7, 63.6%−64.9%). Participants who had a lower educational level or lived in rural areas or western regions, did not know about the Chinese Food Pagoda (CFP) or Dietary Guidelines for Chinese Residents (DGCR), and did not proactively look for nutrition knowledge were less likely to have adequate dietary knowledge literacy. Targeted interventions should be developed to promote dietary knowledge level of the elderly.



2016 ◽  
Vol 16 (5) ◽  
pp. 1349-1360 ◽  
Author(s):  
Dil Bahadur Rahut ◽  
Akhter Ali ◽  
Nar Bahadur Chhetri ◽  
Bhagirath Behera ◽  
Pradyot Ranjan Jena

Provision of safe drinking water is essential for the promotion of human well-being. This paper makes an attempt to examine the patterns of access to drinking water, identify and analyze the factors that influence households access to safe drinking water sources, and analyze factors determining the extent of households travel to fetch drinking water, and assess the effects of access to safe drinking water on human health in Bhutan, using the data from the Bhutan Living Standard Survey 2012 (BLSS 2012). For this, various methodological tools have been adopted such as logistic regression model, censored least absolute deviation model, and the propensity score matching (PSM) approach. The logistic regression results show that households with educated, younger, and male members are more likely to have access to safe drinking water. Wealthier households also prefer safe drinking water than their poorer counterparts. The PSM results suggest that households having access to safe drinking water have fewer stomach disorders and skin diseases, and are likely to incur less expenditure on medicine. Keeping these findings in mind, the paper suggests that the Bhutanese government should invest in water infrastructure, which may lead to a significant reduction in water-borne diseases and health expenditure.



2013 ◽  
Vol 59 (No. 10) ◽  
pp. 467-477 ◽  
Author(s):  
M. Ning ◽  
H.-H. Chang

Using an individual-level dataset drawn from the China Health and Nutrition Survey in 2000, 2004, 2006, and 2009, this paper investigated whether the parental labour migration is associated with deficiencies in the nutrition intakes of children left at home in the rural area. The results show that the parental migration increases the probability of deficiency in the energy and protein intake of children left at home. Although several studies have pointed out that the parental remittances can increase the economic well-being of their children at home, this study points to an undesired cost of the parental migration. Governments should establish effective policies to promote the benefits of migration while minimizing the potential costs. In particular, specific social welfare programs targeting on children in the rural area can be designed to insecure the nutritional health of children left at home in the rural area. &nbsp;



2008 ◽  
Vol 20 (2) ◽  
pp. 159-169 ◽  
Author(s):  
Xiaohui Hou

The objective of this study was to examine the urban—rural variations in the prevalence of overweight, hypertension, undiagnosed hypertension, and untreated hypertension among adults. The China Health and Nutrition Survey was used to study adults 25 to 65 years old. Logistic regression was used to obtain the odds ratios (ORs) after adjusting for demographic, socioeconomic, and lifestyle variables. Urban adults have a higher probability of being overweight (OR = 1.18, P < .01) and having hypertension (OR = 1.19, P < .1). After further controlling for lifestyle variables, the difference is not significant. Urban hypertensive adults are less likely to be undiagnosed (OR = 0.54, P < .001) and untreated (OR = 0.53, P < .001), even after controlling for socioeconomic and lifestyle variables, suggesting that there are other reasons for the urban—rural disparity of undiagnosed and untreated hypertension. This finding suggests that modifying lifestyles is critical in preventing urban adults from being overweight. Interventions targeting rural adults should promote the awareness and treatment of hypertension.



2019 ◽  
Author(s):  
Getachew Tesfaw Desalegn ◽  
Mesele Wondie ◽  
Saron Dereje ◽  
Adanech Addisu

Abstract Background Suicidal ideation and attempt are highly prevalent among medical students compared to the general population and negatively impacts the quality of life, physical, and mental well being of students. However, research into suicidal ideation and attempt among medical students in low and middle-income countries are limited. Therefore, this study aimed to explore the suicide ideation and attempt and associated factors among medical students in Ethiopia.Methods An institution based cross-sectional study was conducted from March to June 2019 at the University of Gondar among medical students. A simple random sampling technique used to get study units by their identification card. Suicide ideation and attempt were assessed by using World Health Organization Composite International Diagnostic Interview (CIDI) to assess suicide ideation and attempt. Data were collected using self-administered questionnaires. Binary logistic regression analysis was used to identify associated factors between suicidal ideation and attempt with the explanatory variables at p-value <0.05 was considered statistically significant.Results The prevalence of suicidal ideation and attempt among study participants was found to be 14% and 7.4% with 95% CI (10.9, 18.1) and (5.1, 10.2), respectively. In multivariate logistic regression; female sex (AOR: 5.21, 95% CI: 2.42, 11.20), depression (AOR: 10.12, 95% CI; 4.80, 21.52), current khat chewing (AOR: 4.46, 95% CI; 132, 15.02), and poor social support (AOR: 4.46, 95% CI: 1.43, 13.87) were factors significantly associated with suicidal ideation. Being female (AOR: 8.08, 95% CI: 3.04, 21.39), depression (AOR: 10.66, 95% CI; 4.01, 28.01 ) and history of mental illness (AOR: 5.53, 95% CI; 1.20, 25.50) were factors significantly associated with suicidal attempt.Conclusion In the current study, the prevalence of suicidal ideation among medical students was low compared to other studies, but the suicidal attempt was high. The University of Gondar better to instate a screening program for every medical student for early diagnosis and intervention of suicide ideation and attempt.



2020 ◽  
Author(s):  
Daniel Da Silva ◽  
Ícaro Rodrigues ◽  
Antonio Braga ◽  
Juvêncio Nobre ◽  
Breno Freitas ◽  
...  

Honey bees, important pollinators, are threatened by a variety of pests, pathogens and extreme climatic events, such as the winter period. This paper proposes a two-stages model that seeks to define and predict evolutionary scenarios for improving the bee colonies’ well-being. The used dataset has data from both internal and external beehive sensors, and on-site inspection of beekeepers from six apiaries between the years 2016-2018. In the first stage, three evolutionary scenarios were obtained (pessimistic, conservative and optimistic) through the clustering technique. In the second one, aiming to classify these scenarios, an elastic net penalty logistic regression model was obtained with an accuracy of ~99.5%.



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