scholarly journals Factors Influencing the Age of Complementary Feeding—A Cross-Sectional Study from Two European Countries

Author(s):  
Zielinska ◽  
Rust ◽  
Masztalerz-Kozubek ◽  
Bichler ◽  
Hamułka

The timing of introducing complementary feeding affects nutritional status and children’s health. The aim of this study was to determine sociodemographic and birth-related factors associated with the age of introducing complementary foods. This cross-sectional study investigated parents (n = 5815) of children aged 12–36 months from Poland (n = 4065) and Austria (n = 1750) using a single online questionnaire. During the study, detailed data about sociodemographic characteristics, variables related to pregnancy, and early feeding practices were collected. Univariate and multivariate logistic regression models were used to investigate factors associated with the introduction of complementary feeding before 4 completed months, between 4 and 6 months, and after 6 completed months separately for both countries. Complementary foods were introduced before 4 months in 3.0% of infants (2.4% in Poland and 4.3% in Austria), between 4 and 6 months in 65.0% (60.5% in Poland and 75.3% in Austria), and after 6 completed months in 32.1% of infants (37.1% in Poland and 20.4% in Austria). The factors related to earlier introduction of complementary feeding were lower maternal age (in Austria 25–29 years: aOR 2.21 (95% CI 1.06–4.65)) and education level (in Poland and Austria primary and vocational: aOR 14.49 (95% CI 3.73–56.35), aOR 2.13 (95% CI 1.10–4.11), respectively), preterm birth (in Poland and Austria: aOR 10.21 (95% CI 5.73–18.20); aOR 4.45 (95% CI 2.42–8.18), respectively), never breastfeeding (Poland: aOR 2.73 (95% CI 1.29 – 5.76)) and receiving an infant formula after hospital discharge (in both countries: aOR 3.73 (95% CI 2.06–6.75); aOR 3.65 (95% CI 1.87–7.12), respectively). These factors should be taken into account by health professionals in identifying mothers who are least likely to follow nutritional recommendations.

2020 ◽  
Author(s):  
I Mateo-Rodríguez ◽  
E Knox ◽  
A Daponte-Codina ◽  

Abstract Background The concept of workability provides a conceptual framework and proposes measures for the evaluation of relevant actions focused on a healthy workforce. In Spain, one of the countries with the highest life expectancy, there are practically no scientific studies on workability and its associated factors. Aims The objective of this study is to examine the associations between workability and variables related to health and work in a sample of workers from Spanish health centres. Methods Cross-sectional study including 1184 health centre workers who completed a questionnaire at baseline, comprising measures of workability, health and other work-related factors. Workability has been analysed as a one-factor construct, and as a two-factor construct. Multinomial logistic regression models were used to analyse factors associated with workability. Results As a one-dimensional construct, workability is associated with physical and mental health, number of hours of worked, insomnia, work and family life balance, adequate training, never having had an accident and type of contract. When the two-factor measure was used, sensitivity of findings increased, and it was identified that those participants who were older, lived alone and have more years of service in their profession also show worse workability. Conclusions The present study identified factors associated with the workability of health centre workers. The two-factor workability index (WAI) has better psychometric properties and used in combination with the global measure of WAI, identifies important additional aspects, specifically, age and years of professional experience as additional considerations for the intervention.


2021 ◽  
Author(s):  
Fanny Velardo ◽  
Hanifa Bouziri ◽  
Lucie Adélaïde ◽  
Emma Oliosi ◽  
Maylis Layan ◽  
...  

Abstract Background: Freshwater sports can be associated with infections from pathogenic microorganisms. In French Brittany, such infections are a major concern since a leptospirosis outbreak in 2016. Objectives: We aimed to estimate the prevalence of infectious diseases related to the practice of freshwater sports and identify the factors associated with these pathologies in Brittany, France. Methods: We conducted a cross-sectional study from March 18 to May 8, 2019, among freshwater sport licensees (online study) and clubs (phone study). Licensees were 18 years old or more, and practiced at least one freshwater sport, in one of the 79 Brittany clubs. Club presidents and instructors were also surveyed. We used logistic regression models to study the association between our variables of interest and potential risk factors. Results: In total, 551 licensees (20.3% of the total number of licensees) and 38 clubs (48.1%) were surveyed. A diagnosis of leptospirosis was reported by 29 (5.3%) licensees, of which 41.3% occurred in the last five years. The most reported symptoms were skin symptoms (24.3%) and 7.1% of individuals reported at least one hospitalization in their lifetime for a disease related to freshwater sports. The occurrence of leptospirosis was negatively associated with boarding from a pontoon (OR=0.20 [0.06-0.56]), practicing for less than 4 years (OR=0.17 [0.04-0.56]) compared to more than 10 years, and the occurrence of leptospirosis was positively associated with taking a soapy shower after practice (OR=4.38 [1.90-10.51]). Eskimo roll was positively associated with the occurrence of otitis and conjunctivitis (OR=3.22 [1.82-6.03]) and skin irritations (OR=1.66 [0.99-2.84]). Conclusion: This study provides a better understanding of the proportion and factors associated with infectious diseases linked to the practice of freshwater sports in French Brittany. Complementary studies are necessary to better understand the link between these diseases and the practice of freshwater sports.


2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Cesar I. Fernandez-Lazaro ◽  
Juan M. García-González ◽  
David P. Adams ◽  
Diego Fernandez-Lazaro ◽  
Juan Mielgo-Ayuso ◽  
...  

Abstract Background Adherence to treatment, a public health issue, is of particular importance in chronic disease therapies. Primary care practices offer ideal venues for the effective care and management of these conditions. The aim of this study is to assess adherence to treatment and related-factors among patients with chronic conditions in primary care settings. Methods A cross-sectional study was conducted among 299 adult patients with ≥1 chronic condition(s) and prescribed medication in primary healthcare centers of Spain. The Morisky-Green-Levine questionnaire was used to assess medication adherence via face-to-face interviews. Crude and adjusted multivariable logistic regression models were used to analyze factors associated with adherence using the Multidimensional Model proposed by the World Health Organization — social and economic, healthcare team and system-related, condition-related, therapy-related, and patient-related factors. Results The proportion of adherent patients to treatment was 55.5%. Older age (adjusted odds ratio 1.31 per 10-year increment, 95% CI 1.01–1.70), lower number of pharmacies used for medication refills (0.65, 95% CI 0.47–0.90), having received complete treatment information (3.89, 95% CI 2.09–7.21), having adequate knowledge about medication regimen (4.17, 95% CI 2.23–7.80), and self-perception of a good quality of life (2.17, 95% CI 1.18–4.02) were independent factors associated with adherence. Conclusions Adherence to treatment for chronic conditions remained low in primary care. Optimal achievement of appropriate levels of adherence through tailored multifaceted interventions will require attention to the multidimensional factors found in this study, particularly those related to patients’ education and their information needs.


2007 ◽  
Vol 47 (5) ◽  
pp. 196
Author(s):  
Endang Dewi Lestari ◽  
Annang Giri Moelya ◽  
Elief Rohana ◽  
Budiyanti Wiboworini

Background Iron deficiency anemia (IDA) is still prevalent inIndonesian children. Attempt to treat patients with IDA withiron supplementation has been difficult because of lowcompliance.Objective To determine the complementary foods that contributesin the prevalence of anemia in children.Methods A cross sectional study was conducted in three urbanunderprivileged villages. Healthy children aged 6-23 months atthe time of interview were selected. The questionnaire wasspecially developed for determining the risks of IDA. We tookblood sampling to measure the hemoglobin concentration.Results A total of 86 children participated in the study; but only dataof 78 children were available for analysis. The prevalence of anemiaamong those children was 35%. Most children (90%) consumedanimal protein inadequately. Rice-based diet was the main meal ofmost children (97%). Analysis of possible factors associated with theanemia showed that inadequate plant or animal protein consumption,wasted children, less than 2 orange consumption, not consumingiron fortified formula/cereal had OR 1.2 (95%CI 0.40; 3.61), 4.13(95%CI 0.48;35.45), 4.67 (95%CI 1.04;20.04), 6.25 (95% CI1.32;29.55) and 3.15 (95%CI 1.18;8.41), respectively. Logistic analysisrevealed that the factors associated with anemia were wasted children(OR 9.10, 95%CI 1.38;60.18), low or no orange consumption (OR7.86, 95%CI 1.36;45.40) and not consuming iron fortified formula/cereal (OR 3.01, 95%CI 1.02;8.90).Conclusion In children with rice-based diet as main meal,consuming orange as an enhancing factor should also be addressedin order to prevent anemia.


Work ◽  
2021 ◽  
pp. 1-8
Author(s):  
Natália Lins de Souza Villarim ◽  
Isis de Araújo Ferreira Muniz ◽  
Danyel Elias da Cruz Perez ◽  
Hercílio Martelli-Junior ◽  
Renato Assis Machado ◽  
...  

BACKGROUND: The changes in dental care in the face of the COVID-19 pandemic resulted in the need for greater financial investment by dentists in biosafety measures and increase in the costs of dental consultations. OBJECTIVE: To evaluate the economic impact of the COVID-19 pandemic on dental practices in private clinics in Brazil. METHODS: A cross-sectional study was carried out, using an online questionnaire indexed in Google Forms, and distributed among dentists. The data obtained were analyzed using the IBM SPSS 25.0 software, evaluating the factors associated with strong or very strong impact on the participants’ income and the factors that motivated the dentists to look for a credit line. Multiple logistic regression models were constructed to identify the associated factors. Variables with p <  0.05 were considered statistically significant. RESULTS: Most participants were female, with a median age of 35 years. Dentists who are most concerned about their professional future (OR = 3.134; 95% CI: 1.804–5.445), who have longer office hours (OR = 2.056; 95% CI: 1.198–3.529), who had the greatest impact on the flow of patients (OR = 16.358; 95% CI: 9.408–28.443) and in need of investing in infrastructure (OR = 1.756; 95% CI: 1.014–3.041), had the greatest impact on monthly earnings. CONCLUSIONS: The pandemic and the new biosafety recommendations for care during this period had a negative impact on the income of Brazilian dental offices and increased the chance of seeking credit to alleviate the financial deficit.


2020 ◽  
Vol 7 (2) ◽  
pp. 205510292095305
Author(s):  
Bui Thi Tu Quyen ◽  
Linh Thuy Nguyen ◽  
Vo Thi Viet Phuong ◽  
Le Tu Hoang

This cross-sectional study was conducted to identify the quality of life (QoL) and its related factors in methadone maintenance treatment (MMT) patients at four health facilities in Long An province, Vietnam in 2019. We interviewed 373 MMT patients using the WHOQOL-BREF measurement questionnaire and used their health records to collect some other data. The findings showed that the patients had a mean QoL score of 66.1 points. Factors associated with a higher QoL score included having employment, receiving support from relatives, and having health insurance. Therefore, it is recommended that patients should be assisted to participate in health insurance and supported by their relatives.


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