scholarly journals Socio-economic and Demographic Determinants of Women’s Household Decision Making Autonomy in Bangladesh: A Cross-sectional Study

2018 ◽  
Vol 66 (2) ◽  
pp. 115-120
Author(s):  
Kanchan Kumar Sen ◽  
Mirajul Islam ◽  
Muhammad Mahmudul Hasan
Keyword(s):  
Decision Making ◽  
Urban Areas ◽  
Mixed Model ◽  
Linear Mixed Model ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Mixed Model Approach ◽  
Household Decision ◽  
Household Decision Making ◽  
Potential Factors

Women’s autonomy is an important element of the economic and reproductive health developments in a country. The aim of this study was to find out the potential factors associated with women’s decision-making autonomy in Bangladesh. To fulfill this purpose, the cross-sectional data obtained from the Bangladesh Demographic Health Survey (BDHS), 2014 was used. The generalized linear mixed model approach has been applied to calculate the adjusted effects of the covariates by taking into account the correlation among subjects within clusters. The study reveals that women with age at marriage ≥ 18 years, having family size ≤ 4, having at least one child, exposed to media, belonging to NGO, living in urban areas and working outside home have greater influence on autonomy in household decision making. Dhaka Univ. J. Sci. 66(2): 115-120, 2018 (July)

scholarly journals Analyzing Child Malnutrition in Bangladesh: Generalized Linear Mixed Model Approach

2016 ◽  
Vol 64 (2) ◽  
pp. 163-167
Author(s):  
Tahmidul Islam ◽  
Md Golam Rabbani ◽  
Wasimul Bari
Keyword(s):  
Mixed Model ◽  
Sampling Design ◽  
Linear Mixed Model ◽  
Generalized Linear Mixed Model ◽  
Child Malnutrition ◽  
Demographic Health Survey ◽  
Factors Affecting ◽  
Mixed Model Approach ◽  
Potential Factors ◽  
Model Approach

Child malnutrition is a serious issue for overall child health and future development. Stunting is a key anthropometric indicator of child malnutrition. Because of the nature of sampling design used in Bangladesh Demographic Health Survey, 2011, responses obtained from children under same family might be correlated. Again, children residing in same cluster may also be correlated. To tackle this problem, generalized linear mixed model (GLMM), instead of usual fixed effect logistic regression model, has been utilized in this paper to find out potential factors affecting child malnutrition. Model performances have also been compared. Dhaka Univ. J. Sci. 64(2): 163-167, 2016 (July)

scholarly journals The association of socio-demographic and environmental factors on childhood diarrhea in Cambodia

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 303
Author(s):  
Vong Pisey ◽  
Pannee Banchonhattakit
Keyword(s):  
Maternal Age ◽  
Mixed Model ◽  
Linear Mixed Model ◽  
Secondary Data ◽  
Cross Sectional Study ◽  
Health Concern ◽  
Childhood Diarrhea ◽  
Public Health Concern ◽  
Cross Sectional ◽  
One Year

Background: Diarrhea is still the leading cause of childhood death worldwide, as well as a major cause for concern in developing countries. This study was conducted to investigate the factors related to childhood diarrhea in Cambodia. Methods: A cross-sectional study of the secondary data from the Cambodia Demographic and Health Survey 2014 was conducted using the combination of household data and children’s data. A generalized linear mixed model was used to analyze the determinant factors of childhood diarrhea. Results: The surveys included 2,828 children, aged 12 to 35 months. The prevalence of diarrhea in the last 2 weeks was 16.44% (95% CI: 14.72%-18.31%). Factors with statistically significant associations with childhood diarrhea in Cambodia were: maternal  unemployment, compared with being in employment (AOR = 1.43; 95% CI: 1.14-1.78); the child being male (AOR = 1.25; 95%CI: 1.02-1.53); the presence of unimproved toilet facilities (AOR = 1.17; 95%CI: 1.05-1.31) compared with improved toilet facilities; and unhygienic disposal of children’s stools (AOR = 1.32; 95%CI: 1.06-1.64) compared with hygienic disposal of children’s stools when controlling for other covariates. Both maternal age (one year older; AOR = 0.85; 95%CI: 0.78– 0.93) and child age (one month older; AOR = 0.86; 95%CI: 0.78-0.94) had significant negative associations with the occurrence of childhood diarrhea. Conclusion: Childhood diarrhea remains a public health concern in Cambodia. The probability of diarrhea occurring is shown to be increased by maternal unemployment, the sex of the child being male, lack of provision of improved toilet facilities, and the unhygienic disposal of children’s stools; whereas increasing maternal age and child’s age were associated with a reduced chance of diarrhea occurring. On the basis of these results, we recommend provision of programs focusing on reducing diarrhea through the construction of improved toilet facilities and the promotion of behavior to improve hygiene, specifically targeting younger mothers.

scholarly journals Intra-household decision-making among smallholder agroforestry farmers in the eastern highlands of Uganda

2020 ◽  
Vol 8 (2) ◽  
pp. 97-111
Author(s):  
Fred Kalanzi ◽  
Prossy Isubikalu ◽  
Florence B. Kyazze ◽  
Lawrence J. B. Orikiriza ◽  
Isaac Kiyingi ◽  
...  
Keyword(s):  
Decision Making ◽  
Qualitative Data ◽  
Critical Factor ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Household Decision ◽  
Roles And Responsibilities ◽  
Number Of Children ◽  
Household Decision Making ◽  
Eastern Highlands

This paper examines the intra-household decision-making patterns among spouses regarding agroforestry decisions in the eastern highlands of Uganda. The study uses both quantitative and qualitative data to examine spousal differences in the allocation of decision-making power over eight agroforestry decisions in dual-headed households. Quantitative data were collected through a cross-sectional survey in which both husbands and wives were interviewed separately and used to determine the decision-making power of spouses as well as the influence of individual and household characteristics on decision-making. Qualitative data from focus group discussions were collected to validate the quantitative findings. The study found that there were agreements and disagreements among spouses on how decision-making power is exercised over a range of agroforestry decisions. Wives allocated themselves more decision-making power than was assigned to them by their husbands. The higher allocation of decision-making power for wives tended to be in decisions linked to their roles and responsibilities in the household. The most critical factor influencing accord in decision-making was the number of years spent together by the couple while the number of children shared between the couple and farm-labour difference between husband and wife was the most significant for discord. Findings imply that most agroforestry interventions where wives participate without their spouses are bound to fail in dual-headed households because they wives limited decision-making power. It's desirable for programmes promoting agroforestry to integrate both husbands and wives in their interventions, for agroforestry to be more meaningful in meeting their divergent interests. This paper examines the intra-household decision-making patterns among spouses regarding agroforestry decisions in the eastern highlands of Uganda. The study uses both quantitative and qualitative data to examine spousal differences in the allocation of decision-making power over eight agroforestry decisions in dual-headed households. Quantitative data were collected through a cross-sectional survey in which both husbands and wives were interviewed separately and used to determine the decision-making power of spouses as well as the influence of individual and household characteristics on decision-making. Qualitative data from focus group discussions were collected to validate the quantitative findings. The study found that there were agreements and disagreements among spouses on how decision-making power is exercised over a range of agroforestry decisions. Wives allocated themselves more decision-making power than was assigned to them by their husbands. The higher allocation of decision-making power for wives tended to be in decisions linked to their roles and responsibilities in the household. The most critical factor influencing accord in decision-making was the number of years spent together by the couple while the number of children shared between the couple and farm-labour difference between husband and wife was the most significant for discord. Findings imply that most agroforestry interventions where wives participate without their spouses are bound to fail in dual-headed households because they wives limited decision-making power. It's desirable for programmes promoting agroforestry to integrate both husbands and wives in their interventions, for agroforestry to be more meaningful in meeting their divergent interests.

scholarly journals The association of socio-demographic and environmental factors on childhood diarrhea in Cambodia

F1000Research ◽  
2021 ◽  
Vol 9 ◽  
pp. 303
Author(s):  
Vong Pisey ◽  
Pannee Banchonhattakit ◽  
Wongsa Laohasiriwong
Keyword(s):  
Maternal Age ◽  
Mixed Model ◽  
Linear Mixed Model ◽  
Secondary Data ◽  
Cross Sectional Study ◽  
Health Concern ◽  
Childhood Diarrhea ◽  
Public Health Concern ◽  
Cross Sectional ◽  
One Year

Background:Diarrhea is still the leading cause of childhood death worldwide, as well as a major cause for concern in developing countries. This study was conducted to investigate the factors related to childhood diarrhea in Cambodia. Methods:A cross-sectional study of the secondary data from the Cambodia Demographic and Health Survey 2014 was conducted using the combined dataset of household data and children’s data. A generalized linear mixed model was used to analyze the determinant factors of childhood diarrhea. Results:The surveys included 2,828 children, aged 12 to 35 months. The prevalence of diarrhea in the last 2 weeks was 16.44% (95% CI: 14.72%-18.31%). Factors with statistically significant associations with childhood diarrhea in Cambodia were: maternal unemployment, compared with being in employment (AOR = 1.43; 95% CI: 1.14-1.78); the child being male (AOR = 1.25; 95%CI: 1.02-1.53); the presence of unimproved toilet facilities (AOR = 1.17; 95%CI: 1.05-1.31) compared with improved toilet facilities; and unhygienic disposal of children’s stools (AOR = 1.32; 95%CI: 1.06-1.64) compared with hygienic disposal of children’s stools when controlling for other covariates. Both maternal age (one year older; AOR = 0.85; 95%CI: 0.78– 0.93) and child age (one month older; AOR = 0.86; 95%CI: 0.78-0.94) had significant negative associations with the occurrence of childhood diarrhea. Conclusion:Childhood diarrhea remains a public health concern in Cambodia. The probability of diarrhea occurring is shown to be increased by maternal unemployment, the sex of the child being male, lack of provision of improved toilet facilities, and the unhygienic disposal of children’s stools; whereas increasing maternal age and child’s age were associated with a reduced chance of diarrhea occurring. On the basis of these results, we recommend provision of programs focusing on reducing diarrhea through the construction of improved toilet facilities and the promotion of behavior to improve hygiene, specifically targeting younger mothers.

scholarly journals Linking Differences in Eating Behavior with Appetitive Hormones in Women

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 594-594
Author(s):  
Debra Kirsty Tacad ◽  
Christine Bowlus ◽  
Leslie Woodhouse ◽  
Sridevi Krishnan ◽  
Nancy Keim
Keyword(s):  
Mixed Model ◽  
Linear Mixed Model ◽  
Bimodal Distribution ◽  
Cross Sectional Study ◽  
Blood Collection ◽  
Response Curves ◽  
Chi Square ◽  
Cross Sectional ◽  
Glucose Levels ◽  
Time To Peak

Abstract Objectives Examine and compare the hormones related to satiety in women identified as 1) restrained + disinhibited eaters, 2) restrained, non-disinhibited eaters, or 3) unrestrained, non-disinhibited eaters. We hypothesized restrained eaters with disinhibition would have a different pattern of appetitive hormones involved in food intake regulation. Methods 178 women from a cross-sectional study completed the three factor eating questionnaire (TFEQ), and were classified as restrained + disinhibited eaters (RD, n = 38), restrained, non-disinhibited eaters (R, n = 52), or unrestrained, non-disinhibited eaters (LL, n = 88). Women fasted for 12 h prior to baseline blood collection, and postprandial blood was collected after a meal challenge at 30 min, 3 h, and 6 h. Data were evaluated for outliers and missingness, and transformed and imputed using multivariate normal imputation. Differences in glucose, insulin and ghrelin were analyzed using a linear mixed model comparing groups. Time to peak and nadir for glucose, insulin and ghrelin were calculated from response curves. Chi square tests of proportions were used to determine whether the distribution of participants in the three groups were different in their times to peak and nadir. Results There were no significant differences between groups in ghrelin or insulin concentrations over time. However, overall glucose levels in RD were significantly lower than R and LL groups (P = 0.05 and P = 0.03, respectively). Chi-squared tests indicated that a greater proportion of women in the RD group reached peak glucose at 3 h, compared to women in R and LL with peak glucose occurring at 30 min (P = 0.04). Glucose nadir displayed a bimodal distribution in R, with more women at baseline and 3 h compared to RD and LL (P = 0.05). Ghrelin nadir was reached at 3 h for more participants in RD and LL, but occurred later at 6 h in more participants in R (P = 0.04). Conclusions Dietary restraint and disinhibition are associated with circulating glucose and ghrelin concentrations; however, prospective research is needed to determine if there is a causal relationship. Funding Sources USDA CRIS 2032-51530-022, 2032-51530-025, and 2032-51530-026-00-D, and a grant from Arla Foods Inc.

Association Between Glycaemic Control and the Intake of Thiazide Diuretics, Beta Blockers and Levothyroxine in People Without Diabetes

2019 ◽  
Author(s):  
Johannes Roth ◽  
Nicole Müller ◽  
Nadine Kuniss ◽  
Gunter Wolf ◽  
Ulrich Alfons Müller
Keyword(s):  
Mixed Model ◽  
Linear Mixed Model ◽  
Beta Blockers ◽  
Tolerance Test ◽  
Cross Sectional Study ◽  
Drug Intake ◽  
Oral Glucose ◽  
Minor Importance ◽  
Cross Sectional ◽  
Additional Information

Abstract Objective The pharmacological additional information for many medications includes warnings stating that the blood sugar control may be worsened by the intake of certain drugs. However a quantification of the effects is missing. This may result in confusion for patients as well as for their physicians. The aim of this study was to assess a potential association between medication (beta blockers, thiazides, levothyroxine) and HbA1c in people without diabetes. Methods In this cross-sectional study we analysed data from 2 921 people (7 699 visits) without diabetes (age 46.6 y; 69.1% women; BMI 27.6±6.4 kg/m²; HbA1c 5.2%) who had at least one HbA1c determination and a complete documentation of their drug intake. An oral glucose tolerance test was not performed. The participants were divided in 8 groups (no regular drug intake, levothyroxine alone, beta blockers alone, thiazides alone, combination 2 of 3, combination of all 3). Patients with known distorting influences of the HbA1c were excluded. Results People with no regular drug intake had an HbA1c of 5.4% [35.8 mmol/mol]. The HbA1c of the group that took all 3 drugs in combination was 5.6% [38.2 mmol/mol]. A multiple linear mixed model showed an increase in HbA1c for thiazides (β=0.0558, p=0.025) and a decrease for combination of levothyroxine and thiazide (β=−0.0765, p=0.010). Conclusion Thiazides and the combination of levothyroxine and thiazides were associated with slight changes in HbA1c. In this study there was no association between the intake of beta blockers and HbA1c. At least for people without diabetes these effects seem to be of minor importance.

scholarly journals Effects of particulate air pollution on tuberculosis development in seven major cities of Korea from 2010 to 2016: methodological considerations involving long-term exposure and time lag

2020 ◽  
Vol 42 ◽  
pp. e2020012 ◽  
Author(s):  
Honghyok Kim ◽  
Sarah Yu ◽  
Hongjo Choi
Keyword(s):  
Air Pollution ◽  
Exposure Duration ◽  
Mixed Model ◽  
Linear Mixed Model ◽  
Time Lag ◽  
Cross Sectional Study ◽  
Cumulative Exposure ◽  
Notification Rate ◽  
Cross Sectional

OBJECTIVES: Epidemiological evidence of associations between ambient particulate matter (PM) and tuberculosis (TB) risk is accumulating. Two previous studies in Korea found associations between air pollution—especially sulfur dioxide (SO<sub>2</sub>)—and TB. In this study, we conducted an annual time-series cross-sectional study to assess the effect of PM with an aerodynamic diameter less than 10 μm (PM<sub>10</sub>) on TB risk in seven major cities of Korea from 2010 to 2016, taking into account time lag and long-term cumulative exposure.METHODS: Age-standardized TB notification rates were derived using the Korea National TB Surveillance System. Annual average PM<sub>10</sub> concentrations were obtained from annual Korean air quality reports. We applied a generalized linear mixed model with unconstrained distributed lags of exposure to PM<sub>10</sub>. We adjusted for potential confounders such as age, health behaviors, and area-level characteristics.RESULTS: Both average annual PM<sub>10</sub> concentrations and age-standardized TB notification rates decreased over time. The association between cumulative exposure to PM<sub>10</sub> and TB incidence became stronger as a longer exposure duration was considered. An increase of one standard deviation (5.63 μg/m<sup>3</sup>) in PM<sub>10</sub> exposure for six years was associated with a 1.20 (95% confidence interval, 1.17 to 1.22) times higher TB notification rate. The marginal association of exposure duration with the TB notification rate was highest at four and five years prior to TB notification. This association remained consistent even after adjusting it for exposure to SO<sub>2</sub>.CONCLUSIONS: The findings of this study suggest that cumulative exposure to PM<sub>10</sub> may affect TB risk, with a potential lag effect.

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