Disparities in Hepatitis B Vaccine Coverage by Race/Ethnicity: The National Health and Nutrition Examination Survey (NHANES) 2015–2016

Hepatitis B virus (HBV) infection is the most common form of viral hepatitis and remains a global public health problem, even though the HBV vaccine is available. HBV leads to chronic liver disease, including cirrhosis, liver cancer, and death. This study aimed to identify disparities in HBV vaccine coverage with the serological test by race/ethnicity, adjusting for gender and age. In this study, 5735 adult participants were included, obtaining data from the National Health and Nutrition Examination Survey (NHANES), 2015–2016. Proc survey frequency, bivariate- and multivariate logistic regression in the weighted sample were performed due to the complex survey design of NHANES. Data were analyzed using SAS, version 9.2.4. The overall prevalence of HBV vaccine coverage was only 23.3% (95% CI: 20.7%, 25.9%). In a multivariate logistic regression model, data showed that Mexican Americans (OR 0.57, 95% CI: 0.38, 0.86) and African Americans (OR 0.70, 95% CI 0.56, 0.84) had lower vaccine coverage compared to Whites. Females had (OR 1.55, 95% CI: 1.30, 1.85) higher vaccine coverage compared to men. Older age groups (30–49 years) (OR 0.41, 95% CI: 0.32, 0.52) and age group ≥ 50 years (OR 0.18, 95% CI 0.14, 0.23) had lower vaccine coverage compared to younger adults aged 18–29 years.

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Relationship between Vitamin D Deficiency and Periodontitis in Korean Adults Aged ≥60 Years: Analysis of Data from the Korea National Health and Nutrition Examination Survey (2013–2014)

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18084181 ◽

2021 ◽

Vol 18 (8) ◽

pp. 4181

Author(s):

Mi-Ra Lee ◽

Su-Jin Han ◽

Hee-Eun Kim ◽

Jun-Seon Choi

Keyword(s):

Vitamin D ◽

Logistic Regression ◽

National Health ◽

Final Analysis ◽

Multivariate Logistic Regression Model ◽

Nutrition Examination Survey ◽

Multivariate Logistic Regression ◽

Chi Square ◽

Health And Nutrition ◽

Periodontal Index

There have been contradictory reports on the effects of vitamin D in the prevention of periodontitis. We analyzed the association between vitamin D status (levels of plasma 25(OH)D) and periodontitis using the Korea National Health and Nutrition Examination Survey (KNHANES) 2013–2014 database. Among the participants in the KNHANES (2013–2014), only those aged ≥60 years who completed a health interview survey, periodontal examination, and blood test were included in the study. Thus, data from 701 participants were used in the final analysis. Periodontal status was evaluated using the Community Periodontal Index (CPI), and periodontitis was defined as having a CPI score of 3 or 4. Plasma 25(OH)D levels were classified according to two criteria: 20 ng/mL and quartile value. The chi-square test and multivariate logistic regression analyses were performed to analyze the prevalence of periodontitis according to plasma 25(OH)D levels. Univariate analyses showed that periodontitis was not significantly associated with plasma 25(OH)D levels. In the multivariate logistic regression model adjusted for sociodemographic characteristics, the difference in the prevalence of periodontitis between those with a normal range of 25(OH)D and those with low plasma of 25(OH)D levels was not statistically significant. Vitamin D intake has been reported to have benefits in maintaining periodontal health; however, total plasma 25(OH)D levels showed no significant association with periodontitis based on CPI scores in this study. Additionally, these findings reaffirmed the importance of toothbrushing and smoking cessation to prevent periodontitis in people aged ≥60 years.

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Association between the Number of Prosthetic Crowns and Periodontitis: The Korea National Health and Nutrition Examination Survey (KNANES VII) from 2016–2018

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18115957 ◽

2021 ◽

Vol 18 (11) ◽

pp. 5957

Author(s):

Yun-Jeong Kim ◽

Jae-Young Lee ◽

Young Ku ◽

Hyun-Jae Cho

Keyword(s):

Logistic Regression ◽

Oral Health ◽

National Health ◽

Odds Ratio ◽

Demographic Variables ◽

Nutrition Examination Survey ◽

Regression Analyses ◽

Multivariate Logistic Regression ◽

Health And Nutrition ◽

Health Related

Although the presence of prosthetic restorations has been associated with plaque accumulation, gingivitis, and periodontitis, there is a lack of large epidemiological investigations providing evidence on the association of prosthetic crowns with periodontitis. This study aimed to analyze the association between the number of prosthetic crowns and the presence of periodontitis. This study was based on the Seventh Korea National Health and Nutrition Examination Survey (2016–2018). A total of 12,689 participants over the age of 19 years were surveyed. Multivariate logistic regression analyses were used to identify the association between the number of prosthetic crowns and periodontitis after adjusting for potential confounders, including demographic variables, socio-economic characteristics, oral health-related variables, and oral and systemic clinical variables. The odds ratio of periodontitis showed statistically significant differences in the anterior and posterior regions, and the prevalence of periodontal disease increased as the number of crown prostheses increased. Participants with 6–10 and 11 prosthetic crowns had 1.24 and 1.28 times higher prevalence of periodontitis, respectively, than patients with no prosthetic crown. The results of this study show that the number of prosthetic crowns present in adults is related to the prevalence of periodontitis.

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Added sugar intake and metabolic syndrome in US adolescents: cross-sectional analysis of the National Health and Nutrition Examination Survey 2005–2012

Public Health Nutrition ◽

10.1017/s1368980016000057 ◽

2016 ◽

Vol 19 (13) ◽

pp. 2424-2434 ◽

Cited By ~ 35

Author(s):

Luis A Rodríguez ◽

Kristine A Madsen ◽

Carolyn Cotterman ◽

Robert H Lustig

Keyword(s):

Physical Activity ◽

Metabolic Syndrome ◽

Logistic Regression ◽

Energy Intake ◽

National Health ◽

Nutrition Examination Survey ◽

Multivariate Logistic Regression ◽

Added Sugar ◽

Sugar Intake ◽

Health And Nutrition

AbstractObjectiveTo examine the association between added sugar intake and metabolic syndrome among adolescents.DesignDietary, serum biomarker, anthropometric and physical activity data from the US National Health and Nutrition Examination Survey cycles between 2005 and 2012 were analysed using multivariate logistic regression models. Added sugar intake in grams per day was estimated from two 24 h standardized dietary recalls and then separated into quintiles from lowest to highest consumption. Multivariate logistic regression analyses were adjusted for physical activity, age, BMI Z-score and energy intake, and their interactions with race were included.SettingNationally representative sample, USA.SubjectsUS adolescents aged 12–19 years (n 1623).ResultsAdded sugar was significantly associated with metabolic syndrome. The adjusted prevalence odds ratios for having metabolic syndrome comparing adolescents in the third, fourth and fifth quintiles v. those in the lowest quintile of added sugar were 5·3 (95 % CI 1·4, 20·6), 9·9 (95 % CI 1·9, 50·9) and 8·7 (95 % CI 1·4, 54·9), respectively.ConclusionsOur findings suggest that higher added sugar intake, independent of total energy intake, physical activity or BMI Z-score, is associated with increased prevalence of metabolic syndrome in US adolescents. Further studies are needed to determine if reducing intake of added sugar may help US adolescents prevent or reverse metabolic syndrome.

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Healthcare provider counselling for weight management behaviours among adults with overweight or obesity: a cross-sectional analysis of National Health and Nutrition Examination Survey, 2011–2018

BMJ Open ◽

10.1136/bmjopen-2020-039295 ◽

2020 ◽

Vol 10 (11) ◽

pp. e039295

Author(s):

Mary L. Greaney ◽

Steven A. Cohen ◽

Furong Xu ◽

Christie L Ward-Ritacco ◽

Deborah Riebe

Keyword(s):

Older Adults ◽

National Health ◽

Weight Status ◽

Calorie Intake ◽

Nutrition Examination Survey ◽

Cross Sectional ◽

Health And Nutrition ◽

Race Ethnicity ◽

Sectional Analysis ◽

Overweight Or Obesity

ObjectivesTo determine if adults with overweight or obesity received counselling from their healthcare providers (HCPs) to lose weight and/or adopt healthful behaviours associated with weight loss, and whether they took action on their HCPs’ recommendations.DesignCross-sectional analysis of 2011–2018 National Health and Nutrition Examination Survey (NHANES) data.SampleNHANES respondents aged 18+ who were overweight/obese and had seen an HCP in the previous 12 months (n=13 158).MethodsRespondents reported if their HCPs recommended they control/lose weight, increase exercise/physical activity (PA) and/or reduce fat/calorie intake, and if they adopted the offered recommendation(s). Weighted logistic regression models examined receipt of HCP counselling by sex, age, race/ethnicity, and weight status accounting for demographic characteristics and complex sampling. Similar analyses examined reported adoption of HCPs’ recommendations.ResultsThe sample was 53.1% women, 45.0% were overweight and 55.0% had obesity. In total, 40.4% received counselling to control/lose weight, 49.5% to increase exercise/PA and 38.9% to reduce fat/calorie intake. The following groups were less likely (p<0.001) to receive counselling: men; younger adults (aged 18–39) versus middle-aged (aged 40–64) and older adults (aged 65+); White versus Black and Hispanic respondents; overweight respondents versus respondents with obesity. Approximately half of those advised to make changes reported doing so (53.6% controlled/lost weight, 57.3% increased exercise/PA, 51.8% reduced fat/calorie intake). Differences in the adoption of recommendations were identified by sex, age group, race/ethnicity and weight status (all p<0.05); women, middle-aged and older adults, Black and Hispanic respondents and individuals with obesity were more likely to adopt one or more recommendations.ConclusionMost respondents did not receive HCP counselling, and approximately half of those who received counselling reported taking action. HCPs may need training to provide counselling and to offer recommendations tailored to the social contexts of populations less likely to adopt weight control related recommendations.

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Increased susceptibility to sunburn with hydrochlorothiazide is influenced by race/ethnicity, sex, and treatment duration: Results from the National Health and Nutrition Examination Survey, 2009-2018

Journal of the American Academy of Dermatology ◽

10.1016/j.jaad.2021.04.044 ◽

2021 ◽

Author(s):

Jerry Tsai ◽

Anna L. Chien

Keyword(s):

National Health ◽

Treatment Duration ◽

Nutrition Examination Survey ◽

Health And Nutrition ◽

Race Ethnicity ◽

Increased Susceptibility

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QuickStats: Age-Adjusted Percentage*,† of Adults Aged ≥20 Years Who Had Their Cholesterol Checked in the Past 5 Years,§ by Sex and Race/Ethnicity — National Health and Nutrition Examination Survey, United States, 2011–2014

MMWR Morbidity and Mortality Weekly Report ◽

10.15585/mmwr.mm6510a6 ◽

2016 ◽

Vol 65 (10) ◽

pp. 270

Keyword(s):

United States ◽

National Health ◽

Nutrition Examination Survey ◽

The Past ◽

Health And Nutrition ◽

Race Ethnicity

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Acculturation factors and the proportion of older Mexican Americans with inadequate folate intakes: National Health and Nutrition Examination Survey (NHANES), 2003–2006

The FASEB Journal ◽

10.1096/fasebj.24.1_supplement.915.2 ◽

2010 ◽

Vol 24 (S1) ◽

Author(s):

Heather Carter Hamner ◽

Mary E Cogswell ◽

Mary Ann Johnson

Keyword(s):

National Health ◽

Mexican Americans ◽

Nutrition Examination Survey ◽

Health And Nutrition ◽

Acculturation Factors

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Heart Failure and Disability in Community-Dwelling Older Adults in the United States—1999 to 2018: Data From National Health and Nutrition Examination Survey

Clinical Nursing Research ◽

10.1177/10547738211061620 ◽

2021 ◽

pp. 105477382110616

Author(s):

Yaewon Seo ◽

Jing Wang ◽

Donelle Barnes ◽

Surendra Barshikar

Keyword(s):

Heart Failure ◽

Older Adults ◽

Logistic Regression ◽

National Health ◽

The United States ◽

Community Dwelling ◽

Nutrition Examination Survey ◽

Mediating Effects ◽

Health And Nutrition ◽

Community Dwelling Older Adults

To examine the associations of heart failure (HF) with five domains of disability while controlling for covariates. Subjects with HF and aged ≥ 50 years were selected from the 1999 to 2018 National Health and Nutrition Examination Survey data. Five domains of disability were measured with 19 physical tasks. Logistic regression with adjustment for covariates was conducted. The prevalence of HF in 27,185 adults aged ≥ 50 years was 6.37%. After controlling for demographics and smoking, logistic regression showed that HF was associated with 2.8 to 3.4 times increased odds of all domains of disability compared to adults without HF, but with additional adjustments of covariates, the association was attenuated indicating the mediating effects of covariates. The future study may examine the mediating effects of covariates when intervening difficulties with lower extremity mobility and activities of daily living while considering in community-dwelling older adults with HF.

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