Frequency and factors associated with sustained exergaming in adolescents (Preprint)

BACKGROUND Exergaming is increasing in popularity, but little is known about sustained exergaming. OBJECTIVE The objectives of this study were to describe the frequency and correlates/predictors of sustained exergaming. METHODS Data were available in AdoQuest (2005-11), a longitudinal investigation of 1843 grade 5 students in in Montréal, Canada. This analysis uses data from grade 9 and 11. Participants at T1 (mean age 14 (0.8) years) who reported past-week exergaming (n = 186), completed mailed self-report questionnaires at T2 (mean age 16 (0.8) years). Independent correlates (from T2)/predictors (from T1 or earlier) were identified using multivariable logistic regression. RESULTS Of 186 exergamers at T1, 81 (44%) reported exergaming at T2. Being female and having higher introjected regulation (i.e., a type of PA motivation indicative of internalization of PA as a behaviour) were independent correlates.. None of the predictors investigated were associated with sustained exergaming. CONCLUSIONS Almost 50% of grade 9 exergamers sustained for 2-3 years. In non-clinical settings, exergaming may be a viable approach to help adolescents maintain PA during adolescence, a period in the life course when PA generally declines. Sex and PA motivation should be considered in the design of exergaming interventions. CLINICALTRIAL N\A

Download Full-text

Factors Associated with Sustained Exergaming: Longitudinal Investigation

JMIR Serious Games ◽

10.2196/13335 ◽

2019 ◽

Vol 7 (3) ◽

pp. e13335 ◽

Cited By ~ 3

Author(s):

Erin Kathleen O'Loughlin ◽

Tracie A Barnett ◽

Jennifer J McGrath ◽

Mia Consalvo ◽

Lisa Kakinami

Keyword(s):

Physical Activity ◽

Video Game ◽

Self Report ◽

Behavioral Correlates ◽

Physically Active ◽

Video Game Play ◽

Factors Associated ◽

Longitudinal Investigation ◽

Grade 5 ◽

Viable Approach

Background Exergaming is technology-driven physical activity (PA) which, unlike traditional video game play, requires that participants be physically active to play the game. Exergaming may have potential to increase PA and decrease sedentary behavior in youth, but little is known about sustained exergaming. Objective The objectives of this study were to describe the frequency, correlates, and predictors of sustained exergaming. Methods Data were available in AdoQuest (2005-11), a longitudinal investigation of 1843 grade 5 students in Montréal, Canada. This analysis used data from grade 9 (2008-09) and 11 (2010-11). Participants at Time 1 (T1; mean age 14 years, SD 0.8 ) who reported past-week exergaming (n=186, 19.1% of AdoQuest sample) completed mailed self-report questionnaires at Time 2 (T2; mean age 16 years, SD 0.8). Independent sociodemographic, psychological, and behavioral correlates (from T2)/predictors (from T1 or earlier) were identified using multivariable logistic regression. Results Of 186 exergamers at T1, 81 (44%) reported exergaming at T2. Being female and having higher introjected regulation (ie, a type of PA motivation indicative of internalizing PA as a behavior) were independent correlates. None of the predictors investigated were associated with sustained exergaming. Conclusions Almost half of grade 9 exergamers sustained exergaming for 2 years. Exergaming may be a viable approach to help adolescents engage in and sustain PA during adolescence. Sex and PA motivation may be important in the sustainability of exergaming.

Download Full-text

Risk factors for symptomatic Avascular Necrosis (AVN) in a multi-ethnic Systemic Lupus Erythematosus (SLE) cohort

PLoS ONE ◽

10.1371/journal.pone.0248845 ◽

2021 ◽

Vol 16 (3) ◽

pp. e0248845

Author(s):

Syahrul Sazliyana Shaharir ◽

Siew Huoy Chua ◽

Rozita Mohd ◽

Ruslinda Mustafar ◽

Malehah Mohd Noh ◽

...

Keyword(s):

Risk Factors ◽

Logistic Regression ◽

Avascular Necrosis ◽

Lupus Erythematosus ◽

Osteoporotic Fractures ◽

Protective Effects ◽

Regression Analyses ◽

Mobility Limitations ◽

Factors Associated ◽

Multivariable Logistic Regression

Avascular necrosis of bone (AVN) is increasingly being recognized as a complication of SLE and causes significant disability due to pain and mobility limitations. We studied the prevalence and factors associated with avascular necrosis (AVN) in a multiethnic SLE cohort. SLE patients who visited the outpatient clinic from October 2017 to April 2019 were considered eligible. Their medical records were reviewed to identify patients who developed symptomatic AVN, as confirmed by either magnetic resonance imaging or plain radiography. Subsequently, their SLE disease characteristics and treatment were compared with the characteristics of patients who did not have AVN. Multivariable logistic regression analyses were performed to determine the independent factors associated with AVN among the multiethnic SLE cohort. A total of 390 patients were recruited, and the majority of them were females (92.6%); the patients were predominantly of Malay ethnicity (59.5%), followed by Chinese (35.9%) and Indian (4.6%). The prevalence of symptomatic AVN was 14.1%, and the mean age of AVN diagnosis was 37.6 ± 14.4 years. Both univariate and multivariable logistic regression analyses revealed that a longer disease duration, high LDL-C (low density lipoprotein cholesterol), positive anti-cardiolipin (aCL) IgG and anti-dsDNA results, a history of an oral prednisolone dose of more than 30 mg daily for at least 4 weeks and osteoporotic fractures were significantly associated with AVN. On the other hand, hydroxychloroquin (HCQ), mycophenolate mofetil (MMF) and bisphosphonate use were associated with a lower risk of AVN. No associations with ethnicity were found. In conclusion, several modifiable risk factors were found to be associated with AVN, and these factors may be used to identify patients who are at high risk of developing such complications. The potential protective effects of HCQ, MMF and bisphosphonates warrant additional studies.

Download Full-text

Youth Violence in Germany

Criminal Justice Review ◽

10.1177/0734016818761529 ◽

2018 ◽

Vol 43 (3) ◽

pp. 325-344 ◽

Cited By ~ 4

Author(s):

Anke Erdmann ◽

Jost Reinecke

Keyword(s):

Life Course ◽

Youth Violence ◽

Mutual Influence ◽

Early Adulthood ◽

Theory Development ◽

Self Report ◽

Latent Growth ◽

German Research Foundation ◽

Parallel Processes ◽

The Life Course

The victim–offender overlap is currently under discussion in criminology. However, the connection between victimization and offending over the life course still requires further investigation. The present study examines whether the victim–offender overlap is invariant during the transition from adolescence to early adulthood using seven consecutive waves of the German Research Foundation–funded self-report study “Crime in the Modern City,” which contain information about German students from the age of 14 to 20 years. The results indicate that the nature as well as the strength of the overlap changes over the period from adolescence to early adulthood. The introduced measurement of the relative victim–offender overlap indicates that with growing up, fewer victims are also offenders whereas the amount of offenders that are also victims remains stable. Longitudinal analyses based on latent growth and cross-lagged panel models further point out that the developments of victimization and offending are highly parallel processes that evince similar stability and mutual influence over the phase of youth and adolescence. However, the association between both weakens over age. In conclusion, our results suggest variance in the victim–offender overlap over the life course. This justifies the demand for further research and theory development on this criminological phenomenon.

Download Full-text

Prehospital factors associated with death on hospital arrival after traffic crash in Japan: a national observational study

BMJ Open ◽

10.1136/bmjopen-2018-025350 ◽

2019 ◽

Vol 9 (1) ◽

pp. e025350

Author(s):

Yusuke Katayama ◽

Tetsuhisa Kitamura ◽

Kosuke Kiyohara ◽

Junya Sado ◽

Tomoya Hirose ◽

...

Keyword(s):

Logistic Regression ◽

Rural Area ◽

Multivariable Logistic Regression Analysis ◽

Night Time ◽

Hospital Arrival ◽

Traffic Crash ◽

Factors Associated ◽

Back Seat ◽

Multivariable Logistic Regression ◽

Male Sex

ObjectiveAlthough it is important to assess prehospital factors associated with traffic crash fatalities to decrease them as a matter of public health, such factors have not been fully revealed.MethodsUsing data from the Japanese Trauma Data Bank, a large hospital-based trauma registry in Japan, we retrospectively analysed traffic crash patients transported to participating facilities that treated patients with severe trauma from 2004 to 2015. This study defined registered emergency patients whose systolic blood pressure was 0 mm Hg or heart rate was 0 bpm at hospital arrival as being in prehospital cardiopulmonary arrest (CPA). Prehospital factors associated with prehospital CPA due to traffic crash were assessed with multivariable logistic regression analysis.ResultsIn total, 66 243 patients were eligible for analysis. Of them, 3390 (5.1%) patients were in CPA at hospital arrival. A multivariable logistic regression model showed the following factors to be significantly associated with prehospital CPA: ages 60–74 years (adjusted OR (AOR) 1.256, 95% CI 1.142 to 1.382) and ≥75 years (AOR 1.487, 95% CI 1.336 to 1.654), male sex (AOR 1.234, 95% CI 1.139 to 1.338), night-time (AOR 1.575, 95% CI 1.458 to 1.702), weekend including holiday (AOR 1.078, 95% CI 1.001 to 1.161), rural area (AOR 1.181, 95% CI 1.097 to 1.271), back seat passenger (AOR 1.227, 95% CI 0.985 to 1.528) and pedestrian (AOR 1.754, 95% CI 1.580 to 1.947) as types of patients.ConclusionIn this population, factors associated with prehospital CPA due to a traffic crash were elderly people, male sex, night-time, weekend/holiday, back seat passenger, pedestrian and rural area. These fundamental data may be of help in reducing and preventing traffic crash deaths.

Download Full-text

Financial toxicity among patients with lung cancer in a publicly funded health care system.

Journal of Clinical Oncology ◽

10.1200/jco.2018.36.30_suppl.192 ◽

2018 ◽

Vol 36 (30_suppl) ◽

pp. 192-192

Author(s):

Doreen Anuli Ezeife ◽

Joshua Morganstein ◽

Sally C Lau ◽

Lisa Le ◽

David Cella ◽

...

Keyword(s):

Lung Cancer ◽

Health Care ◽

Logistic Regression ◽

Healthcare System ◽

Financial Distress ◽

Public Healthcare ◽

Financial Toxicity ◽

Public Healthcare System ◽

Factors Associated ◽

Multivariable Logistic Regression

192 Background: Financial distress has been established as a clinically relevant patient-reported outcome (PRO) associated with worse mortality and quality of life, but remains under-recognized by health care providers. Our goal was to define factors associated with financial toxicity (FT) in a public healthcare system. Methods: Patients with advanced lung cancer were recruited from outpatient clinics at the Princess Margaret Cancer Centre (Toronto, Canada). FT was measured with the validated Comprehensive Score for Financial Toxicity (COST) instrument, a 12-item survey scored from 0-44 with lower scores reflecting worse financial well-being. Data on patient and treatment characteristics, total out-of-pocket costs (OOP) and extended insurance coverage (EIC) were collected. Multivariable logistic regression models were fit for COST score and each variable, to determine factors associated with greater FT (COST < 21). Results: Of 251 patients approached, 200 (80%) participated. Median age of the cohort was 65 years; 56% were female, 64% immigrants and 77% employed or on pension. Median total OOP while on treatment ranged between $1000-5000 CAD. Median COST score was 21 (range 0-44). FT was associated with age, with patients < 65 years reporting greater FT than older patients (COST 18.0 vs. 24.0, p < 0.0001). In multivariable logistic regression analysis, younger age was associated with greater FT, when adjusting for income, employment status, OOP and EIC (OR 3.6, [95% CI, 1.5-9.1]; p < 0.0001). Total OOP > $1000 and EIC also were associated with greater FT (adjusted OR 5.0 [95% CI, 2.0-12.1] and 3.7 [95% CI, 1.5-9.1], respectively). Conclusions: Age is significantly associated with FT in the Canadian (Ontario) public healthcare system, with younger lung cancer patients reporting greater financial distress. This study highlights priority patient populations where FT should be routinely assessed and appropriate resources for support offered.

Download Full-text

Individual Patient Factors Associated with Effective Tinnitus Treatment

Journal of the American Academy of Audiology ◽

10.3766/jaaa.25.7.2 ◽

2014 ◽

Vol 25 (07) ◽

pp. 631-643 ◽

Cited By ~ 5

Author(s):

Sarah M. Theodoroff ◽

Andrew Schuette ◽

Susan Griest ◽

James A. Henry

Keyword(s):

Logistic Regression ◽

Treatment Outcome ◽

Clinical Study ◽

Emotional Health ◽

The Other ◽

Self Report ◽

Patient Factors ◽

Tinnitus Handicap Inventory ◽

Factors Associated ◽

Controlled Clinical Study

Background: Little is known about patient factors that might influence outcomes of tinnitus interventions. Determining such factors would offer insights into why some individuals benefit from tinnitus intervention whereas others do not. Purpose: The purpose of this study was to evaluate selected patient factors that may be associated with outcomes of tinnitus intervention. Factors studied include demographics, tinnitus characteristics, psychoacoustic tinnitus measures, audiometric data, and overall physical/emotional health status. Research Design: A retrospective analysis was performed on data obtained from a controlled clinical study that compared factors associated with tinnitus relief after tinnitus masking and tinnitus retraining therapy. Study Sample: A total of 126 military veterans participated in this controlled clinical study. Of these, 89 completed outcome measures at both baseline and 12 mo and were included in the present analysis. Data Collection and Analysis: A “responder” to intervention was identified as having a decrease (improvement) of 20 or more points on the Tinnitus Handicap Inventory between baseline and 12 mo. A “nonresponder” did not achieve a 20-point improvement on the Tinnitus Handicap Inventory. Individual patient factors were examined using independent t-tests or χ2 analysis. A logistic regression model was used to determine how well each factor predicted treatment outcome (responder or nonresponder) while controlling for each of the other factors. Results: Five patient factors were significantly different (p ≤ 0.05) between responders and nonresponders. Responders tended to (1) be younger in age; (2) have better low-frequency hearing sensitivity; (3) have greater problems with overall hearing; (4) be more likely to have tinnitus for shorter durations; and (5) perceive their tinnitus to be located “in the head” versus “in the ears.” A logistic regression was then performed to determine how well each factor predicted the treatment outcome (responder versus nonresponder) while controlling for each of the other factors. Results from the logistic regression revealed two of the five factors, localization of tinnitus and self-report of hearing problems, to be statistically significant. Conclusions: Examining the association of individual patient factors to a specific tinnitus intervention yielded several significant findings. Although these findings are not definitive, they reveal the capability that exists to perform these kinds of analyses to investigate relationships between individual patient characteristics and outcomes of intervention for tinnitus. Prospective research using systematic approaches is needed to identify these relationships that would contribute toward the ability to differentially predict outcomes of various tinnitus interventions. Obtaining this information would lead to more targeted therapy and ultimately more effective intervention.

Download Full-text

Health system responsiveness in maternity care at Hadiya zone public hospitals in Southern Ethiopia: Users’ perspectives

PLoS ONE ◽

10.1371/journal.pone.0258092 ◽

2021 ◽

Vol 16 (10) ◽

pp. e0258092

Author(s):

Ritbano Ahmed Abdo ◽

Hassen Mosa Halil ◽

Biruk Assefa Kebede ◽

Abebe Alemu Anshebo ◽

Minychil Demelash Ayalew ◽

...

Keyword(s):

Logistic Regression ◽

Health System ◽

Maternity Care ◽

Public Hospitals ◽

Southern Ethiopia ◽

Factors Associated ◽

Multivariable Logistic Regression ◽

System Responsiveness ◽

Health System Responsiveness ◽

Hadiya Zone

Background Health system responsiveness refers to non-financial, non-clinical qualities of care that reflect respect for human dignity and interpersonal aspects of the care process. The non-clinical aspects of the health system are therefore essential to the provision of services to patients. Therefore, the main purpose of this study was to assess the responsiveness in maternity care, domain performance and factors associated with responsiveness in maternity care in the Hadiya Zone public Hospitals in Southern Ethiopia. Methods A hospital-based cross-sectional study was employed on 413 participants using a systematic sampling technique from 1 July to 1 August 2020. An exit interviewer–administered questionnaire was used to collect data. EpiData (version 3.1) and SPSS (version 24) software were used for data entry and analysis, respectively. Bivariate and multivariable logistic regression were computed to identify the associated factors of health system responsiveness in maternity care at 95% CI. Results The findings indicated that 53.0% of users gave high ratings for responsiveness in delivery care. In the multivariable logistic regression analysis, mothers aged ≥ 35 (AOR = 0.4; 95% CI = 0.1–0.9), urban resident (AOR = 2.5; 95% CI = 1.5–4.8), obstetrics complications during the current pregnancy (AOR = 2.1; 95% CI = 1.1–3.0), and caesarean delivery (AOR = 0.4; 95% CI = 0.2–0.7) were factors associated with poor ratings for responsiveness in maternity care. Conclusion In the hospitals under investigation, responsiveness in maternity care was found to be good. The findings of this study suggest that the ministry of health and regional health bureau needs to pay attention to health system responsiveness as an indicator of the quality of maternity care.

Download Full-text

Respiratory viral infections in pragmatically selected adults in intensive care units

Scientific Reports ◽

10.1038/s41598-021-99608-y ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Cong-Tat Cia ◽

I-Ting Lin ◽

Jen-Chieh Lee ◽

Huey-Pin Tsai ◽

Jen-Ren Wang ◽

...

Keyword(s):

Logistic Regression ◽

Influenza Virus ◽

Intensive Care ◽

Critically Ill ◽

Respiratory Viruses ◽

Factors Associated ◽

Multivariable Logistic Regression ◽

Critically Ill Adults ◽

Tract Infections ◽

Ill Adults

AbstractRespiratory viruses can be detected in 18.3 to 48.9% of critically ill adults with severe respiratory tract infections (RTIs). The present study aims to assess the clinical significance of respiratory viruses in pragmatically selected adults in medical intensive care unit patients and to identify factors associated with viral respiratory viral tract infections (VRTIs). We conducted a prospective study on critically ill adults with suspected RTIs without recognized respiratory pathogens. Viral cultures with monoclonal antibody identification, in-house real-time polymerase chain reaction (PCR) for influenza virus, and FilmArray respiratory panel were used to detect viral pathogens. Multivariable logistic regression was applied to identify factors associated with VRTIs. Sixty-four (40.5%) of the included 158 critically ill adults had respiratory viruses detected in their respiratory specimens. The commonly detected viruses included influenza virus (20), followed by human rhinovirus/enterovirus (11), respiratory syncitial virus (9), human metapneumovirus (9), human parainfluenza viruses (8), human adenovirus (7), and human coronaviruses (2). The FilmArray respiratory panel detected respiratory viruses in 54 (34.6%) patients, but showed negative results for seven of 13 patients with influenza A/H3 infection. In the multivariable logistic regression model, patient characters associated with VRTIs included those aged < 65 years, household contact with individuals with upper RTI, the presence of fever, cough with sputum production, and sore throat. Respiratory viruses were not uncommonly detected in the pragmatically selected adults with critical illness. The application of multiplex PCR testing for respiratory viruses in selected patient population is a practical strategy, and the viral detection rate could be further improved by the patient characters recognized in this study.

Download Full-text

Integrase Inhibitor Prescribing Disparities in the DC and Johns Hopkins HIV Cohorts

Open Forum Infectious Diseases ◽

10.1093/ofid/ofab338 ◽

2021 ◽

Author(s):

Anne K Monroe ◽

Matthew E Levy ◽

Alan E Greenberg ◽

Jeanne C Keruly ◽

Richard D Moore ◽

...

Keyword(s):

Logistic Regression ◽

Integrase Inhibitor ◽

Initial Therapy ◽

Integrase Inhibitors ◽

Factors Associated ◽

Clinical Cohort ◽

Multivariable Logistic Regression

Abstract Integrase inhibitors (INSTIs) are recommended by expert panels as initial therapy for people with HIV. Because there can be disparities in prescribing and uptake of novel and/or recommended therapies, this analysis assessed potential INSTI prescribing disparities using a combined dataset from the Johns Hopkins HIV Clinical Cohort and the DC Cohort. We performed multivariable logistic regression to identify factors associated with ever being prescribed an INSTI. Disparities were noted, including clinic location, age, and being transgender. Identifying disparities may allow clinicians to focus their attention on these individuals and ensure that therapy decisions are grounded in valid clinical reasons.

Download Full-text

Unsafe child feces disposal status in Ethiopia: what factors matter? analysis of pooled data from four demographic and health surveys

10.21203/rs.2.12989/v3 ◽

2020 ◽

Author(s):

Biniyam Sahiledengle

Keyword(s):

Logistic Regression ◽

Health Surveys ◽

Demographic And Health Surveys ◽

Multivariable Logistic Regression Model ◽

Lower Odds ◽

Paternal Education ◽

Factors Associated ◽

Pooled Data ◽

Multivariable Logistic Regression ◽

Toilet Facility

Abstract Background: The only safest way to dispose of a child’s feces is to help the child use a toilet or, for very young children, to put or rinse their feces into a toilet; whereas all other disposals are considered unsafe (feces put/rinsed into a drain or ditch, bush or thrown into the garbage, buried or left on the ground, and not disposed of). The study aims to determine the magnitude and factors associated with unsafe child feces disposal in Ethiopia.Methods: The study is cross-sectional in nature and based on the pooled data from the four rounds of Demographic and Health Surveys (DHS) conducted in Ethiopia (2000-16). Data on child feces disposal practice was collected for all children born during the five years preceding survey. To get detail about the disposal of children’s feces, mothers of under-five children were asked, “The last time passed stools, what was done to dispose of the stools?” with respect to the youngest child born. Descriptive statistics were computed to illustrate the given data. Multivariable logistic regression was performed to identify factors associated with unsafe child feces disposal. Results: The pooled dataset contains data for 40,520 children younger than 5 years, male accounts 20,629 (50.9%). Overall, 77.7% (95%CI: 76.3-79.0) of children feces disposed of unsafely. In the multivariable logistic regression model, those mothers whose child was 13-24 months [AOR: 0.68, 95% CI: (0.60-0.78)] and ≥ 25 months [AOR: 0.66, 95% CI: (0.60-0.72)] were lower odds of unsafe child’s feces disposal. Children born into households having two or fewer children were 33% lower [AOR: 0.67, 95% CI: (0.56-0.79)] odds of unsafe child’s feces disposal than their counterparts. The odds of disposing of feces unsafely among households having improved toilet facility was 76% lower [AOR: 0.24, 95% CI: (0.19-0.29)] that of households lacking such facilities. Further, being an urban resident, having improved drinking water facility, a high level of maternal and paternal education, paternal occupational status (work in non-agriculture), and maternal age (25-34 and ≥ 35 years) were factors associated with lower odds of unsafe child's feces disposal.Conclusions: Three in four Ethiopian children feces disposed of unsafely. Household and socio-demographic factors, such as access to improved water and toilet facility, area of a resident (urban), the child’s age (older age), and both higher maternal and paternal education levels were significantly associated with lower odds of unsafe child feces disposal.

Download Full-text