scholarly journals Intergenerational Transmission of Parental Risky Health Behaviors in Chinese Children: Are There Socioeconomic Differences?

Author(s):  
Zexuan Yu ◽  
Jiajia Li

Abstract Background: Risky health behaviors in childhood, including smoking, drinking alcohol, and poor diet, are major sources of non-communicable diseases in adulthood. This study was intended to examine how parents affect children’s risky health behaviors, and whether intergenerational transmission differed by Socioeconomic Status (SES). Methods: Data were extracted from the 1991-2015 China Health and Nutrition Survey (CHNS). Smoking (n=5946), alcohol drinking (n=7821), and sugar-sweetened beverages (SSBs) drinking (n=3537) were singled out as proxies for risky health behaviors in children. A binary choice model for panel data with random effect specification was employed to examine whether the risky health behaviors can be transmitted from parents to their children. Subsequently, we conducted a seemingly unrelated test to explore the difference in parental transmission between SES groups. Results: We found strong intergenerational persistence of smoking, alcohol drinking, and SSBs drinking behaviors, except mothers’ smoking behavior. Mothers had a greater influence on children’s alcohol drinking and SSBs drinking behaviors than fathers, both in urban and rural areas, and in different SES groups. The intergenerational transmission of SSBs drinking behaviors exhibited a downward SES gradient for both urban and rural families. In urban areas, mothers’ drinking behavior has a downward gradient with their education level, occupation, and income, but in rural areas, the influence of mothers' drinking behavior is in the same direction with the upward gradient of education level and occupation type. In rural areas, the influence of fathers’ drinking and smoking behaviors appears to show a mainly positive gradient with SES, while some become a downward gradient among urban fathers. Conclusions: Parents’ behaviors and socioeconomic status could make sense in the initiation of their offspring’s risky health behaviors. To promote healthy behaviors, policymakers can introduce health education programs for parents, especially for rural areas and low SES parents.

2021 ◽  
Vol 17 (3) ◽  
pp. 103
Author(s):  
Deri Indrahadi ◽  
Amika Wardana ◽  
Adi Cilik Pierewan

Background: The prevalence of diabetes mellitus is increasing globally and remains debated. Objective: This study examines the association of socioeconomic status with the prevalence of diabetes mellitus in Indonesia. Methods: This study used a cross-sectional design. Data obtained from the 2014 Indonesia Family Life Survey (IFLS), a nationally representative population survey data, which polled 30,497 individuals age 16 years and over in 13 provinces in Indonesia. Logistic regression models were used to estimate odds ratios (OR) and 95% confidence intervals (CI) for the prevalence of diabetes mellitus with socioeconomic status. Results: Education level, employment status, age, and hypertension are related to the prevalence of diabetes mellitus. According to educational level, individuals with lower education level were more likely to have diabetes mellitus than those who had a higher level of education (OR=1.42; 95% CI: 1.21-1.67), higher risk was also found in those who were unemployed (OR=1.55; 95% CI: 1.33-1.82). Besides, age and hypertension were independent factors for a higher prevalence of diabetes mellitus, age >55 (OR=4.71; 95% CI: 4.06-5.46), hypertension (OR=5.86; 95% CI: 5.00-6.87). Diabetes mellitus also show significantly higher among individuals living in urban areas compared to individuals living in rural areas (OR=2.13; 95% CI: 1.78-2.55). Conclusions: Socioeconomic status has a significant association with the prevalence of diabetes mellitus among people above 15 years old in Indonesia. The government needs to design a preventive program to control this disease by considering the risk factors that may lead to the development of diabetes mellitus in Indonesia.


Author(s):  
Hosihn Ryu ◽  
Jihyun Moon ◽  
Jiyeon Jung

The socioeconomic status (SES) and health behaviors of workers are associated with the risks of developing obesity, diabetes, hypertension, hyperlipidemia, and other cardiovascular diseases. Herein, we investigated the factors influencing cardiovascular disease (CVD) risk based on the SES of male and female workers. This cross-sectional analysis used the National Health Information Database to assess the associations between gender, SES (income level, residential area), health behaviors, and CVD-related health status of workers, through multinomial logistic regression. Upon analysis of a large volume of data on workers during 2016, the smoking and drinking trends of male and female workers were found to differ, causing different odds ratio (OR) tendencies of the CVD risk. Also, while for male workers, higher ORs of obesity or abdominal obesity were associated with higher incomes or residence in metropolitan cities, for female workers, they were associated with lower incomes or residence in rural areas. Additionally, among the factors influencing CVD risk, lower income and residence in rural areas were associated with higher CVD risk for male and female workers. The study findings imply the importance of developing gender-customized intervention programs to prevent CVD, due to gender-specific associations between CVD-related health status and health behaviors according to SES.


2021 ◽  
Vol 13 (16) ◽  
pp. 8858
Author(s):  
Pongpat Putthinun ◽  
Somtip Watanapongvanich ◽  
Mostafa Saidur Rahim Khan ◽  
Yoshihiko Kadoya

Alcohol consumption is an important public health issue in Japan due to its association with numerous side effects. Recent studies find that financial literacy helps people abstain from risky health behaviors such as smoking, lack of exercise, and gambling. This study investigates how financial literacy, as a rational decision-making instrument, is associated with alcohol consumption behavior in Japan. Using data from the Preference Parameter Study (PPS) of Osaka University, we categorize respondents into daily drinkers and non-daily drinkers. We find that financial literacy is not significantly associated with alcohol consumption among Japanese people. We argue that the prevailing social belief that alcohol consumption is not entirely negative from the health perspective and can be beneficial for socialization to some extent overrides people’s rationality and plays a significant role in alcohol consumption decisions. However, our study provides evidence that respondents who are males, middle-aged, have children, have higher household income, have smoking habits, and place more importance on the future are more likely to be daily drinkers. We argue that the availability and easy access to alcohol drinking opportunities likely make people irrational and tempts them to drink frequently. Thus, authorities might consider revising current policies regarding alcohol availability and accessibility to limit alcohol consumption.


2020 ◽  
Author(s):  
Sarah A Griffin ◽  
Timothy J Trull

Objectives: Using Ecological Momentary Assessment methods (EMA) we aimed to investigate the influence of trait and state (momentary) impulsivity on alcohol use behaviors in daily life. Facets of the UPPS trait model of impulsivity (Whiteside and Lynam, 2001) have been found to differentially relate to alcohol-related outcomes and behaviors in cross-sectional and longitudinal studies. The present work expands on this by assessing UPPS facets in daily life and examining the contributions of trait and state impulsivity facets to daily life drinking behavior. Methods: 49 participants were prompted at least six times per day for 21 days. A total of 4,548 collected EMA reports were included in analyses. Multi-level models were computed predicting daily life alcohol use behaviors from state and trait impulsivity facets and relevant covariates. Results: Individual facets of momentary impulsivity differentially related to alcohol outcomes, such that (lack of) premeditation and, to a lesser extent, sensation seeking showed unique patterns of association with drinking and drinking quantity. Only trait levels of (lack of) premeditation were related to drinking behavior in daily life; no other trait UPPS scale significantly related to alcohol use. Conclusions: These results highlight state difficulties with premeditation as particularly relevant to drinking behavior in daily life. Our results also support the incremental validity of state impulsivity facets over trait level measures in relation to drinking behavior in daily life. These findings offer important insight into the phenomenology of daily-life alcohol use and highlight possible avenues for intervention and prevention efforts. Public Health Statement: Momentary fluctuations in premeditation predict alcohol use in daily life. Treatments targeting planning or forethought in relation to alcohol use may interrupt this process contributing to daily life drinking behaviors.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Kaili Yang ◽  
Liyan Xu ◽  
Qi Fan ◽  
Yuwei Gu ◽  
Bo Zhang ◽  
...  

AbstractChina is a populous country but lacks epidemiological data on keratoconus (KC). The present study aimed to investigate the clinical data, demographic data, and visual function (VF) data of KC patients in Central China. A total of 524 KC eyes in 307 KC patients (217 bilateral and 90 unilateral) from Henan Eye Hospital were included in the current study. Demographic and VF data were assessed with questionnaires administered by well-trained staff during face-to-face interviews. Visual acuity value was examined by a qualified optometrist, and the clinical data were measured by professional clinicians. The distributions of sex, residence and education level of KC patients were compared by Chi-square tests, and the ratios of people wearing glasses and rigid gas permeable (RGP) lenses were compared by McNemar tests. General linear models/Chi-squared tests were used to compare the clinical and demographic data according to KC severity. Spearman’s correlation analysis was used to test the associations between the data and KC severity. The mean age at diagnosis was 20.98 ± 6.06 years, and males had a higher ratio of KC than females (P < 0.001). Patients in rural areas had a higher rate of KC than those in urban areas (P = 0.039), and the proportion of KC patients with a higher education level (above high school) was high (P < 0.001). A total of 68.40% of the patients reported eye rubbing and 3.52% had a positive family history. The percentage of people wearing glasses was higher than that of patients wearing RGP lenses (P < 0.001). The total VF score of KC patients was 69.35 ± 15.25. The thinnest corneal thickness (TCT) and stiffness parameter at the first applanation (SP-A1) values were inversely correlated with KC severity (P < 0.05). The mean, steep, and max keratometry (Km, Ks and Kmax) values, the RGP lens use and keratoplasty were positively correlated with KC severity (all P < 0.05). The total VF score of the eye with better VA decreased as the severity increased (r = − 0.21, P = 0.002). The present study comprehensively describes various associated features of KC patients from a tertiary hospital in Central China, providing a reference for understanding the characteristics of KC patients in China.


2007 ◽  
Vol 27 (13) ◽  
pp. 3593-3602 ◽  
Author(s):  
J. Wang ◽  
S. Carnicella ◽  
K. Phamluong ◽  
J. Jeanblanc ◽  
J. A. Ronesi ◽  
...  

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e045433
Author(s):  
Suqin Ding ◽  
Jingqi Chen ◽  
Bin Dong ◽  
Jie Hu

ObjectiveTo examine the association between parental socioeconomic status (SES) and the risk of offspring overweight/obesity and the changes of the association that occur as children grow older.DesignWe used data from the nationally representative longitudinal survey of the China Family Panel Studies of 2010 and its three follow-up waves in 2012, 2014 and 2016.ParticipantsA total of 6724 children aged 0–15 years old were included.Primary and secondary outcome measuresAverage household income and paternal and maternal education levels were used as SES indicators. Logistic regression model for panel data was used to examine the associations between SES indicators and child overweight/obesity. A restricted cubic spline linear regression model was used to estimate body mass index (BMI) trajectories with child growth across parental SES levels.ResultsCompared with the lowest education level (primary school or less), the ORs for fathers who had completed junior high school, senior high school and junior college or higher were 0.85 (95% CI 0.75 to 0.97), 0.77 (95% CI 0.64 to 0.92) and 0.72 (95% CI 0.55 to 0.93), respectively. The corresponding ORs for mothers were 0.76 (95% CI 0.67 to 0.86), 0.59 (95% CI 0.47 to 0.72) and 0.45 (95% CI 0.34 to 0.60), respectively. A negative association between parental education and offspring overweight/obesity was observed in the first 10 years but not in children 11–15 years old. BMI differences across parental education levels emerged from birth and widened before 6–7 years old, but decreased before adolescence. High average household income was related to a low risk of offspring overweight/obesity but not when parental education level was adjusted for.ConclusionHigh parental education levels were associated with a low risk of offspring overweight/obesity, especially before adolescence. Effective approaches need to be adopted in early childhood to reduce socioeconomic differences in overweight/obesity.


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