scholarly journals Socioeconomic inequality in stage at diagnosis of nasopharyngeal carcinoma: a cross-sectional study

2016 ◽  
Vol 46 (1) ◽  
pp. 44
Author(s):  
Joko Mulyanto ◽  
Anton Budhi Darmawan ◽  
Anisa Kapti

Background: Nasopharyngeal carcinoma (NPC) is head and neck cancer with the highest incidencein Indonesia, and leads Indonesia as one of the countries with the highest incidence of NPC in the world.Early diagnosis is an important prognostic factor in NPC management. However, most of the NPC patientswere diagnosed at the advanced stage. Delayed diagnosis is contributed by several factors includingsocioeconomic status.Objective: To find out the association between socioeconomic status with stageat diagnosis of NPC patients in Indonesia.Methods: A cross-sectional study was conducted and 57 NPCpatients were consecutively recruited from ENT clinic Margono Soekarjo Hospital as study subjects.Socioeconomic status was measured by income level, educational level, employment status, and healthinsurance coverage. Stages at diagnosis were categorized into early and advanced stage based on theclinical stage. Degree of socioeconomic inequality was analyzed by logistic regression.Results: Incomelevel below poverty line (OR 5.39; 95% CI: 1.36-22.42), basic educational level (OR=3.81; 95% CI:1.11–13.09), currently employed (OR=3.59; 95% CI: 1.07–12.00) had higher probability to be diagnosedat advanced stage. After multivariate analysis, only employment status (OR=5.74; 95% CI: 1.25 – 26.21)contributed significantly to probability of being diagnosed at advanced stage.Conclusion: Socioeconomicstatus was associated with stage diagnosis of NPC levels. Socioeconomic inequality in stage at diagnosisof NPC patients did exist in Indonesia, and employment status was the most contributing factor. Keywords: Socioeconomic status, inequality, stage at diagnosis, nasopharyngeal carcinoma ABSTRAKLatar belakang: Karsinoma nasofaring (KNF) merupakan keganasan kepala leher dengan insidenstertinggi di Indonesia, dan menyebabkan Indonesia menjadi salah satu negara dengan insidens KNFtertinggi di dunia. Diagnosis dini merupakan salah satu faktor prognostik penting dalam penatalaksanaanKNF. Meskipun demikian, sebagian besar pasien KNF didiagnosis pada stadium lanjut. Diagnosisterlambat dipengaruhi oleh berbagai faktor, antara lain status sosial ekonomi. Tujuan: Mengetahuihubungan antara kesenjangan sosial ekonomi dengan stadium diagnosis pasien KNF di Indonesia. Metode:Desain penelitian adalah studi potong lintang, dengan 57 subjek penelitian diambil secara konsekutifdari klinik THT RS Margono Soekarjo. Status sosial ekonomi diukur melalui tingkat penghasilan, tingkatpendidikan, status pekerjaan, dan cakupan asuransi kesehatan. Stadium diagnosis diukur berdasarkanstadium klinis, dan dikategorikan menjadi stadium awal dan stadium lanjut. Tingkat kesenjangan sosialekonomi dianalisis menggunakan regresi logistik. Hasil: Tingkat penghasilan di bawah garis kemiskinan(OR=5,39, CI 95%: 1,31–22.42), tingkat pendidikan dasar (OR=3,81, CI 95%: 1,11–13,09), sedangbekerja (OR=3,59, CI 95%: 1,07–12,00), mempunyai peluang lebih tinggi untuk didiagnosis pada stadiumlanjut. Hasil analisis multivariate menunjukkan hanya status pekerjaan (OR=5,74, CI 95%: 1,25–26,21)yang secara bermakna meningkatkan peluang didiagnosis pada stadium lanjut. Kesimpulan: Status sosialekonomi berhubungan dengan stadium diagnosis pasien KNF di Indonesia. Terdapat kesenjangan sosialekonomi pada stadium diagnosis pasien KNF di Indonesia, dan status pekerjaan merupakan faktor yangmemberikan kontribusi terbesar.  Kata kunci: Status sosial ekonomi, kesenjangan, stadium diagnosis, karsinoma nasofaring Author Correspondence: Joko Mulyanto, Department of Public Health and Community MedicineFakultas Kedokteran Universitas Jenderal Soedirman. Email: [email protected].

Author(s):  
Emmanuel Asiedu ◽  
Abraham Assan ◽  
William Dormechele

Background: Foodborne disease is a growing public health concern worldwide, especially among vulnerable populations. Improved understanding of food safety practices is fundamental to addressing the phenomenon. This study aimed to assess the socio-demographic factors influencing knowledge and practice of food safety among pregnant women in Ghana.Design and Methods: This is a cross-sectional study. Self-administered questionnaires were distributed in person to participants during data collection. Data was entered and analysed in Epi Data version 3.1 and Stata 12, respectively. Chi square test and Fischer’s exact test were used to determine association between independent variables and outcome variables (knowledge and practice). Binary logistic regression was used to test the strength of the association between independent and outcome variables at 95% confident interval. A p-value of 0.05 or less was considered significant.Results: Findings were: about 87.06% of the respondents had satisfactory knowledge on food safety; approximately 58.2% of respondents knew how to prevent foodborne disease but about 51.18% had unsatisfactory practice about food safety; about 28.2% of participants had experienced foodborne disease before in the past 6 months. Also, employment status and period of pregnancy were found to have significant influence on food safety knowledge whereas educational level and employment status also had significant influence on food safety practice.Conclusion: Improved understanding about food safety will not necessarily lead to high food safety practices. In the quest to effectively prevent foodborne disease, we recommend an increase in awareness creation regarding foodborne disease and its associated socio-demographic risk factors like employment status, period of pregnancy and educational level.


2021 ◽  
Vol 63 (1) ◽  
Author(s):  
Kenji Fujimoto ◽  
Tomohiro Ishimaru ◽  
Seiichiro Tateishi ◽  
Tomohisa Nagata ◽  
Mayumi Tsuji ◽  
...  

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e042908
Author(s):  
Tingting Zhang ◽  
Jialan Hong ◽  
Xueting Yu ◽  
Qiulin Liu ◽  
Andi Li ◽  
...  

ObjectivesSocioeconomic inequalities in oral health are often neglected in oral health promotion. This cross-sectional study assessed the association between dental caries and socioeconomic status (SES) among preschool children in China.DesignCross-sectional study.SettingData from the Fourth National Oral Health Survey of China (2015), comprising of 40 360 children aged 3–5 years was used.MethodsDental caries indicators including prevalence of dental caries, dental pain experience and number of decayed, missing and filling teeth (dmft). SES indicators included parental education and household income. The associations between SES and dental caries were analysed by using negative binomial regression or Poisson regression models according to data distribution. Relative and absolute inequalities in dental caries were quantified by using the Relative Index of Inequality (RII) and Slope Index of Inequality (SII), respectively.ResultsThere were significant associations between SES and prevalence of dental caries and dmft (p<0.001). Children from lower educated (RII 1.36, 95% CI 1.3 to 1.43; SII 0.97, 95% CI 0.81 to 1.13) and lower household income (RII 1.17, 95% CI 1.11 to 1.24; SII 0.55, 95% CI 0.35 to 0.75) families had higher dmft than those from well-educated and most affluent families. Relative and absolute inequalities in dental caries were larger in urban areas by household income, and in rural areas by parental education.ConclusionsAssociation between dental caries and SES was demonstrated and socioeconomic inequalities in dental caries existed among Chinese preschool children.


2007 ◽  
Vol 17 (4) ◽  
pp. 320-326 ◽  
Author(s):  
Min Jung Park ◽  
Kyung Eun Yun ◽  
Go Eun Lee ◽  
Hong Jun Cho ◽  
Hye Soon Park

2013 ◽  
Vol 143 (5) ◽  
pp. 735-741 ◽  
Author(s):  
George PrayGod ◽  
Nyagosya Range ◽  
Daniel Faurholt-Jepsen ◽  
Kidola Jeremiah ◽  
Maria Faurholt-Jepsen ◽  
...  

BMC Cancer ◽  
2010 ◽  
Vol 10 (1) ◽  
Author(s):  
Zoe Aitken ◽  
Kate Walker ◽  
Bernardine H Stegeman ◽  
Petra A Wark ◽  
Sue M Moss ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nader Rajabi Gilan ◽  
Mehdi khezeli ◽  
Shirin Zardoshtian

Abstract Background Life satisfaction is an important component in designing strategies to improve health outcomes in different groups of society. This study aimed to investigate the effect of subjective socioeconomic status (SSS), social capital (SC), self-rated health (SRH), and physical activity (PA) on life satisfaction (LS) in Iran. Methods This cross-sectional study was conducted on 1187 people (643 men and 544 women) lived in five western cities in Iran. The sampling method was multistage clustering. Data collection tool was a five part questionnaire including demographic characteristics, socioeconomic status ladder, social capital scale, a question to measure physical activity, and the life satisfaction scale. Data were analyzed using independent t-test, one way ANOVA, and Ordinal Logistic Regression. Result Life satisfaction was higher in married men and women compared to single and widows (p < 0.05). Among the variables included in the main model, the significant predictors were college education (− 0.500), marriage (coefficient = 0.422), age 25–34 years (coefficient = − 0.384), SRH (coefficient = 0.477), male sex (coefficient = 0.425), SSS (coefficient = 0.373), trust (coefficient = 0.115), and belonging and empathy (coefficient = 0.064). Conclusion SRH and SSS were significant predictors of life satisfaction in west Iranian society. Being married was associated with higher LS, but college education affects LS adversely.


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