Prevalence and Influencing Factors of Eczema Among Preschool Children in Urumqi City: A Cross-Sectional Survey

2020 ◽  
Author(s):  
Haonan Shi ◽  
Guangsheng Wan ◽  
Tingting Wang ◽  
Jia Zhu ◽  
Lan Jiang ◽  
...  
Keyword(s):  
Preschool Children ◽  
Protective Factor ◽  
Multivariate Logistic Regression Analysis ◽  
Han Chinese ◽  
Living Environment ◽  
Cluster Sampling ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Strong Basis ◽  
And Control

Abstract Background: We explored the prevalence of eczema and indoor environmental factors in preschool children in Urumqi, Xinjiang, to provide a strong basis for the prevention and control of preschool eczema. Methods: Using stratified random cluster sampling, we conducted a self-administered questionnaire survey among 8153 parents of children aged 2–8 years in 60 kindergartens in six districts of Urumqi City during August 2019. Results: For the 8153 preschool children with valid data, the parent-reported prevalence of eczema was 12.0%. Multivariate logistic regression analysis showed that cesarean section (odds ratio [OR] = 1.18, 95% confidence interval [CI]: 1.03–1.36), being an only child (OR = 1.36, 95% CI: 1.18–1.57), mold or moisture in the mother’s residence before pregnancy (OR = 1.53, 95% CI: 1.17–2.00), flies or mosquitoes in the dwelling currently (OR = 1.31, 95% CI: 1.10–1.55), pets kept in the child’s current residence (OR = 1.23, 95% CI: 1.01–1.51), presence of pets when the child is 0–1 year old (OR = 1.45, 95% CI: 1.14–1.85), and family history of eczema (OR = 3.53, 95% CI: 2.98–4.19) are risk factors, whereas ethnicity other than Han Chinese (OR = 0.77, 95% CI: 0.61–0.96) is a protective factor, for eczema. Conclusion: Preschool children in Urumqi are at a high risk of eczema, especially those of Han Chinese ethnicity. Parents should pay close attention to the indoor living environment of children and must reduce indoor humidity, pay attention to pest control and elimination, and avoid raising pets to reduce the risk of children developing eczema.

scholarly journals Prevalence and influencing risk factors of eczema among preschool children in Urumqi city: a cross-sectional survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Haonan Shi ◽  
Guangsheng Wan ◽  
Tingting Wang ◽  
Jia Zhu ◽  
Lan Jiang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Preschool Children ◽  
Protective Factor ◽  
Multivariate Logistic Regression Analysis ◽  
Chronic Inflammatory Disease ◽  
Han Chinese ◽  
Living Environment ◽  
Cluster Sampling ◽  
Cross Sectional Survey ◽  
Cross Sectional

Abstract Background Eczema is a chronic inflammatory disease associated with impaired quality of life. We identified indoor environmental risk factors, to provide strong evidence for the prevention and control of eczema in preschool children. Methods Using a cross-sectional study with stratified random cluster sampling, we conducted a self-administered questionnaire survey among 8153 parents of children aged 2–8 years in 60 kindergartens in six districts of Urumqi city during August 2019. Results Among 8153 preschool children, 12.0% of the children have been diagnosed with eczema. Multivariate logistic regression analysis showed that caesarean section (odds ratio [OR] = 1.18, 95% confidence interval [CI]: 1.03–1.36), being an only child (OR = 1.36, 95% CI: 1.18–1.57), presence of mould or moisture in the mother’s home before pregnancy (OR = 1.53, 95% CI: 1.17–2.00), presence of flies or mosquitoes in the dwelling currently (OR = 1.31, 95% CI: 1.10–1.55), pets kept in the child’s home currently (OR = 1.23, 95% CI: 1.01–1.51), presence of pets during child’s first year (OR = 1.45, 95% CI: 1.14–1.85), and family history of eczema (OR = 3.53, 95% CI: 2.98–4.19) are the risk factors for the development of eczema, whereas ethnicity other than the Han Chinese (OR = 0.77, 95% CI: 0.61–0.96) is a protective factor for eczema. Conclusion Preschool children in Urumqi are at a high risk of eczema, particularly those of the Han Chinese ethnicity. Parents should be attentive to the indoor living environment of children and take actions to reduce indoor humidity, pest control and elimination, and avoid raising pets to reduce the risk of development of eczema in children.

scholarly journals Prevalence, awareness, treatment and control of hypertension among Ngawa Tibetans in China: a cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e052207
Author(s):  
Tingxin Li ◽  
Ping Shuai ◽  
Jinghong Wang ◽  
Lin Wang
Keyword(s):  
Sampling Method ◽  
Multivariate Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
Cluster Sampling ◽  
Treatment Rate ◽  
Cross Sectional ◽  
Potential Risk Factors ◽  
The Government ◽  
And Control ◽  
Basic Medical

ObjectivesTo explore the prevalence, awareness, treatment and control rate of hypertension and analyse the potential social environment factors among Ngawa Tibetans in China.DesignThis was a cross-sectional observational study.SettingThe investigation based on a multistage stratified cluster sampling was conducted in the Ngawa area, Sichuan Province, Southwest China. Tibetan residents were selected by random sampling method from one city and six counties in Ngawa.MethodsBasic demographical information, physical activity and blood pressure were collected. In addition, the participants completed the questionnaire. A multivariate logistic regression analysis was used to examine the association between the prevalence, awareness, treatment and control rate of hypertension and the potential risk factors.ParticipantsThe sample comprised 2228 Ngawa Tibetan residents (age 18–80 years) from September 2018 to June 2019.ResultsThe prevalence rate of hypertension was 24.6%. The control rate was 6.2%, while the awareness rate (32.3%) and treatment rate (21.7%) of hypertension had been significantly improved.ConclusionThe prevalence of hypertension among Ngawa Tibetans was high. The awareness and treatment were improved in recent years. But the control rate was low. The government needs to strengthen the basic medical care and health education for Ngawa Tibetans.

scholarly journals Prevalence and control status of T2DM in Bangladesh: finding from a nationally representative survey

2021 ◽  
Vol 31 (Supplement_3) ◽  
Author(s):  
I Sutradhar ◽  
M Ikpeme ◽  
M Weldegiorgis ◽  
M Hasan ◽  
MK Mridha ◽  
...  
Keyword(s):  
Health System ◽  
Screening Program ◽  
Point Of Care ◽  
Multivariate Logistic Regression Analysis ◽  
High Serum ◽  
Anthropometric Measurement ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Uncontrolled Diabetes ◽  
And Control

Abstract Background With around 10 million diagnosed patients, Bangladesh remains at the forefront of the global type 2 diabetes mellitus (T2DM) epidemic. A comprehensive understanding of the current T2DM scenario is required to curb the disease burden. In this study, we aimed to identify the prevalence, associated factors, and control status of T2DM in Bangladesh. Methods This cross-sectional survey was conducted in 15 randomly selected community-based clusters in Bangladesh. Around 1,000 adults aged ≥18 years from each cluster were selected. Face-to-face interviews, anthropometric measurement, biospecimen collection, and point of care blood test were performed. Individuals with Fasting Blood Sugar (FBS) ≥126 mg/dl or previously diagnosed with T2DM by a qualified health provider were considered T2DM cases. Multivariate logistic regression analysis was performed to identify factors associated with T2DM. Results Data of 13,674 individuals were analysed for this study. The overall prevalence of T2DM was 10.0%, among whom 29.2% were undiagnosed. Among previously diagnosed patients, 64.9% had uncontrolled diabetes (FBS≥126 mg/dl). The prevalence of uncontrolled diabetes was higher among elderly, female, and urban participants. Patients with hypertension, high waist-hip ratio and high serum cholesterol had 2.20 times (95% CI: 2.17-2.23, p < 0.001), 3.53 times (95% CI: 3.47-3.59, p < 0.001) and 2.53 times (95% CI: 2.48-2.59, p < 0.001) higher odds of having T2DM, respectively. Conclusions One out of every ten adults in Bangladesh had T2DM, and a substantial proportion of them had undiagnosed and uncontrolled diabetes. This finding indicates the lack of preparedness of the country's health system to address the problem. Pertinent stakeholders should adopt a multi-sectoral approach to develop comprehensive policies and implement target-specific interventions, e.g., population-based screening program, primary care based T2DM service, and community mobilisation to combat the T2DM epidemic. Key messages As the T2DM burden is high in Bangladesh, policy makers should adopt a collaborative approach to develop and implement effective public health programs for prevention and control of T2DM. As the burden of uncontrolled T2DM is high in Bangladesh, the country’s health system should ensure early diagnosis and provision of quality care at affordable cost for T2DM patients.

scholarly journals Prevalence and Influencing Factors of Wheezing and Asthma Among Preschool Children in Urumqi City: A Cross-sectional Survey

2021 ◽  
Author(s):  
Tingting Wang ◽  
Haonan Shi ◽  
Guangshen Wan ◽  
Zhuohui Zhao ◽  
Dan Norback ◽  
...  
Keyword(s):  
Risk Factors ◽  
Preschool Children ◽  
Family History ◽  
Influencing Factors ◽  
Protective Factor ◽  
Living Environment ◽  
Cross Sectional ◽  
History Of ◽  
Birth Pattern ◽  
At Home

Abstract Background: To investigate the prevalence and indoor environmental influencing factors of wheezing and asthma among preschool children in Urumqi, Xinjiang, China to provide a strong basis for prevention and control. Methods: In August 2019, a cross-sectional epidemiological study involving 8153 preschool children was conducted in 60 kindergartens in Urumqi. The mean age of the children who participated in the survey was 5.27 ± 1.10 years. Additionally, 51.9% were boys, 86.9% were Han Chinese, and an 81.53% survey response rate was observed. The childhood wheeze and asthma survey used was the ALLHOME-2 questionnaire, and the childhood home dwelling and living environment survey used was the DBH questionnaire. Partial adjustments were made according to the geographical environment of Urumqi and the living habits of the residents.Results: The prevalence of wheezing and asthma in children was 4.7% and 2.0%, respectively. Multivariate unconditional logistic regression results suggested that ethnicity (odds ratio (OR)=1.39, 95% confidence interval (95%CI)=1.05–1.84), birth pattern (OR=1.24, 95%CI=1.00–1.53), family history of asthma (OR=5.00, 95%CI=3.36–7.44), carpet or floor bedding at home (OR=1.40, 95%CI=1.05–1.87), purchasing new furniture in the mother’s residence during pregnancy (OR=1.58,95%CI=1.06–2.36), pet keeping in the residence at age 0–1 (OR=1.55, 95%CI=1.13–2.13), passive smoking in the child's residence (OR=1.35, 95%CI=1.01–1.80), and having mould or hygroma in the child's residence at age 0–1 (OR=1.72, 95%CI=1.12–2.64) were risk factors for wheezing. In addition, sex (OR=0.73, 95%CI=0.59-0.90) was a protective factor for wheezing. Birth pattern (OR=1.46, 95%CI=1.06–2.00), family history of asthma (OR=7.06,95%CI=4.33–11.53), carpet or floor bedding at home (OR=2.20, 95%CI=1.50–3.23), and pet keeping in the residence at age 0–1 (OR=1.64, 95%CI=1.04–1.83) were risk factors for asthma, whereas gender (OR=0.58, 95% CI=0.42–0.80) was a protective factor for asthma. Conclusion: This survey indicates that preschool children in Urumqi have a higher risk of wheezing and asthma. Risk factors that may cause an elevated risk of wheezing or asthma have also been identified.

Knowledge and Practice of Mothers Regarding the Prevention and Management of Malnutrition Among Preschool Children – A Cross Sectional Survey

2017 ◽  
Vol 9 (5) ◽  
Author(s):  
Mahfouz R. Nath ◽  
C. Kanniammal
Keyword(s):  
Preschool Children ◽  
Good Practice ◽  
Strong Association ◽  
Educational Status ◽  
Nursing Interventions ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Economic Class ◽  
Common Causes ◽  
Knowledge And Practice

Malnutrition remains one of the most common causes of morbidity and mortality among children throughout the world. Malnutrition has been responsible, directly or indirectly for 60% of the 10.9 million deaths annually among children under five. The research study was aimed to assess the knowledge and practice of mothers of preschool children regarding the prevention and management of malnutrition. The design used was descriptive cross sectional survey. The study was conducted in a coastal setting of Trivandrum district with a sample size of 115. Data collection was done by self administered structured questionnaire by conducting mothers meeting at selected Anganwadis. According to the results of the study 19.1% of mothers had good knowledge and 34.8 % of mothers had poor knowledge. Regarding practice only 24.3 % of mothers reported good practice while 36.6 % of mothers reported poor practice. There was a strong association between the knowledge and Practice of mothers and selected socio demographic variables such as educational status of mothers and socio economic class (p less than 0.01)). The study findings can be used for planning targeted nursing interventions in coastal areas for mothers of preschool children.

Malaria Prevention and Mothers: Sudan

2021 ◽  
Author(s):  
Yousif Elmosaad ◽  
Ahmed Al Rajeh ◽  
Asif khan ◽  
Elfatih Malik ◽  
Ilias Mahmud
Keyword(s):  
Formal Education ◽  
Effective Means ◽  
Malaria Prevention ◽  
Good Knowledge ◽  
Bed Nets ◽  
Cluster Sampling ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Positive Attitudes

This study assessed the knowledge, attitudes, and practices (KAP) in malaria prevention using insecticide-treated bed nets (ITNs) among mothers of children under five years of age in White Nile State, Sudan. Multistage cluster sampling was used to select 761 mothers for this cross-sectional survey. There were gaps in the KAP in malaria prevention. Only 46.3% of the mothers stated personal protective measures (PPMs) as the best malaria prevention strategy; 54.9% considered ITNs as an effective means; and only 18.7% reported sleeping under an ITN every day. Older mothers were less likely to have good knowledge (OR=0.96), attitudes (OR=0.98) and practices (OR=0.98). Having a Government employee as the head of the household was positively associated with knowledge (OR=2.16) and attitudes (OR=1.96). The mother having a formal education was also positively associated with good knowledge (OR=1.55) and positive attitudes (OR=1.69). Mothers with a monthly household income of <491 Sudanese Pound were more likely to have good knowledge (OR=1.43). Mothers who had good knowledge (OR=4.99) and positive attitudes towards PPMs (OR=2.60) in malaria prevention were found to be more likely to practice preventive measures. Therefore, we recommend focusing on raising mothers’ awareness of the different preventive activities to protect them and their family from malaria.

scholarly journals Child Nutrition Among Circular Migrant Families Working in the Brick Kilns of Bihar, India (P10-052-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Reshma Roshania ◽  
Rakesh Giri ◽  
Melissa Fox Young ◽  
G Sai Mala ◽  
Amy Webb Girard ◽  
...  
Keyword(s):  
Immunization Coverage ◽  
Wealth Index ◽  
Household Wealth ◽  
Nutrition Status ◽  
Cluster Sampling ◽  
Z Score ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Brick Kilns ◽  
Migrant Families

Abstract Objectives The objective of this study was to estimate the prevalence of child malnutrition and the determinants of nutrition status among circular migrant families working in the brick industry in Bihar, India, focusing on differences by origin. Methods We used a stratified, cluster sampling design consisting of a cross-sectional survey in 552 randomly selected brick kilns (clusters) throughout Bihar. Circular migration was defined as residence outside the home block for at least 60 days for employment plus at least one home return in the previous year. Per kiln, three circular migrant households with children 0–35 months of age were randomly selected. We collected kiln, household and child-level data including anthropometric measurements for each selected child (n = 1198). Descriptive, bivariate and logistic regression analyses were conducted in SAS. The primary outcomes were stunting (<-2 SD height-for-age z score) and wasting (<-2 SD weight-for-height z score). The primary exposure of interest was intrastate vs. interstate origin; covariates included household wealth index, parity of the mother, and child age and gender. Results Prevalence of stunting was lower among interstate migrants (47%) compared to intrastate migrants (55%, aOR: 0.66, 95%CI: 0.50–0.88). Wasting was higher among interstate migrants (43%) compared to intrastate migrants (34%, aOR:1.51, 95%CI: 1.17–1.94). Among children 6–23 months, 13% had a minimum acceptable diet; MAD was higher among interstate migrants (17%), compared to intrastate migrants (10%) (P = 0.014). Full immunization coverage among circular migrants was 39%, lower than the overall state (62%, NFHS IV). Open defecation was reported by over 90% of circular migrants. Conclusions Our results are likely to inform the ongoing policy discourse on circular migrants’ access to health and nutrition benefits. State of origin emerged as an important predictor of nutrition status, operating differently for acute and chronic malnutrition; we will further explore pathways of nutrition by origin in future analyses. Funding Sources Bill & Melinda Gates Foundation.

scholarly journals Prevalence of thinness, overweight and obesity among Tibetan adolescents aged 12-17 years

2021 ◽  
pp. 1-17
Author(s):  
Yunfei Zhang ◽  
Jiahong Sun ◽  
Min Zhao ◽  
Costan G. Magnussen ◽  
Xi Bo
Keyword(s):  
Sampling Method ◽  
Total Sample ◽  
Overweight And Obesity ◽  
Cluster Sampling ◽  
Cross Sectional Survey ◽  
Clear Trend ◽  
Cross Sectional ◽  
Significant Difference ◽  
Prevalence Of Obesity ◽  
Study Participants

Abstract Objective: To estimate the prevalence of thinness, overweight and obesity among Tibetan adolescents aged 12-17 years. Design: Cross-sectional survey. Setting: Shigatse city of Tibet municipality, with an average altitude of more than 4000 m. Subjects: Study participants included 2,642 adolescents aged 12-17 years selected from 6 schools using a convenient cluster sampling method. Results: The prevalence of thinness/overweight/obesity among Tibetan adolescents was 9.4%/5.4%/1.4% (China definition), 14.7%/4.4%/0.7% (IOTF definition), and 2.8%/5.7%/0.9% (WHO definition). The prevalence of thinness and overweight was significantly different between both sexes based on each of three BMI classification criteria (P <0.001). There was no significant difference in the prevalence of obesity between both sexes according to each of three BMI criteria. There was no clear trend in the prevalence of thinness across ages according to the China or IOTF definition (both P >0.05), whereas an upward trend was observed for thinness in boys according to the IOTF definition (P for trend <0.05). In contrast, the prevalence of thinness tended to decrease with increasing age in girls according to the IOTF definition, and in total sample according to the WHO definition (P for trend <0.05). Conclusions: Among Tibetan adolescents, the prevalence of overweight and obesity is relatively low, while the prevalence of thinness is high, especially in boys. These data suggest urgent attention is needed to control adolescent thinness in Tibet.

scholarly journals Two-stage mental health survey of first-line medical staff after ending COVID-19 epidemic assistance and isolation

2021 ◽  
Author(s):  
Li Xu ◽  
Dingyun You ◽  
Chengyu Li ◽  
Xiyu Zhang ◽  
Runxu Yang ◽  
...  
Keyword(s):  
Mental Health ◽  
Sleep Quality ◽  
Medical Staff ◽  
Psychological Intervention ◽  
Psychological Status ◽  
Vulnerable Groups ◽  
Cluster Sampling ◽  
Cross Sectional Survey ◽  
Two Stage ◽  
Cross Sectional

AbstractFacing with COVID-19 epidemic such a catastrophic health emergency, the mental health status of medical staff deserves attention. We conducted a two-stage of psychological status monitoring after the end of the assistance and 14 days of isolation, further targeted the vulnerable groups in need of intervention. The study is a cross-sectional survey on 1156 Yunnan medical staff aid to Hubei. Used Cluster sampling method to collect data at 2 time points (at the end of returning from Wuhan and the 14th day of isolation), from March 18, 2020 to April 6, 2020. Female and nurse had higher rates of depressive symptoms than male and doctors and other occupations. The proportion of female with mild and above moderate anxiety levels (22.91%, 2.61%) was higher than male (17.35%, 1.03%) (p < 0.05). Female had a better impaired sleep quality (45.06%, 17.49%) more than male (28.57%, 7.94%). Medical staff supported in Wuhan and with junior professional titles reported a higher proportion of sleep quality impairment. At the 14th isolation day stage, the proportion of nurses changed from depression to health (9.15%) and from health to depression (6.1%) better than doctors. The front-line medical staffs had suffered greater psychological pressure in the treatment process of major public health emergency. Researches on the dynamic monitor for the change of psychological status after aiding epidemic areas were still in relatively blank stage. Targeting the vulnerable characteristics of aiding medical staff is significant for effective psychological intervention and sustainable operation of health system.

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