scholarly journals The Socioeconomic Inequality in Increment of Caries and Growth among Chinese Children

2020 ◽  
Vol 17 (12) ◽  
pp. 4234 ◽  
Author(s):  
Anqi Shen ◽  
Eduardo Bernabé ◽  
Wael Sabbah
Keyword(s):  
Dental Caries ◽  
Family Income ◽  
Socioeconomic Inequality ◽  
Chinese Children ◽  
Anthropometric Measurement ◽  
Z Score ◽  
Mother’S Education ◽  
Height For Age ◽  
Mother's Education

Background: This study aimed at assessing socioeconomic inequalities in the increment of dental caries and growth among preschool Chinese children, and to assess the best predictor of socioeconomic inequality for each of these conditions. Methods: This is a longitudinal population-based study. The sample data included preschool children living in three cities of the Liaoning Province, China. At baseline, 15 kindergartens with 1111 participants were included and dropped to 772 with a response rate of 70% at follow-up. Mean ages at baseline and follow-up were 50.82 and 60.55 months, respectively. Median follow-up time was 10.12 months. Data were collected through structured questionnaire, oral examination and anthropometric measurement. The questionnaire collected information on sex, age, family income, mother’s education and children’s dietary habits. The numbers of decayed, missing and filled teeth (DMFT) was used to indicate dental caries. Weight- and height-for-age z-scores were calculated using the WHO Growth Standard. Multilevel analysis was used to assess the association between baseline socioeconomic position and each of dental caries and child’s growth. Results: Mother’s education was negatively associated with increments of DMFT. Family income was not significantly associated with DMFT in the fully adjusted model. The association persisted after accounting for other socioeconomic and dietary factors. Higher income was positively related to an increase in the weight-for-age z-score. The relationship between income and changes in the height-for-age z-score was positive and significant in the second highest income group. Conclusions: Mother’s education appeared to be the strongest predictor of increments of dental caries. Only income was significantly associated with an increase in children’s weight and height.

scholarly journals Stunting and its Determinants among Governmental Primary School Children in Egypt: A School-based Cross-sectional Study

2020 ◽  
Vol 8 (B) ◽  
pp. 650-657
Author(s):  
Ammal M. Metwally ◽  
Marwa El-Sonbaty ◽  
Lobna A. El Etreby ◽  
Ebtissam M. Salah El-Din ◽  
Nabih Abdel Hamid ◽  
...  
Keyword(s):  
Primary School ◽  
School Children ◽  
Social Factors ◽  
Dairy Products ◽  
Family Income ◽  
Primary School Children ◽  
Cross Sectional ◽  
Mother’S Education ◽  
Skipping Breakfast ◽  
Mother's Education

BACKGROUND: In developing countries, stunting among children is a major public health concern. It affects all aspects of children’s lives; its effects are not constrained to physical wellbeing but reach out to mental, social, and spiritual wellbeing. AIM: The aim of this study is to determine the prevalence of stunting in some of the Egyptian governmental primary school children and its nutritional and socioeconomic determinants. METHODS: A cross-sectional observational study was conducted on primary school children aged 6–12 years. General demographic, socioeconomic, and anthropometric data, as well as dietary pattern, were collected. RESULTS: Out of 1740 children, 7.8% were stunted. Not eating eggs and dairy products had the most profound effect on stunting in children (p < 0.001). Not having meals on time, skipping breakfast, and having <3 meals per day were predictors of stunting (p = 0.003, p = 0.00, and p = 0.008, respectively). Mother’s education (p = 0.005) followed by family income (p = 0.007) was the most affecting social factors. CONCLUSION: There are many nutritional factors associated with stunting as skipping breakfast, not having meals on time, and having <3 meals per day. Scarcity in nutritive foods as eggs and dairy products and increased soft drink intake can lead to stunting. There are many enabling social factors for stunting as mother’s education and family income. However, the effects of these factors can be modified by health awareness.

scholarly journals Stunting Trends in Children in Cambodia, 2000–2014 (P11-046-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Courtney Allen ◽  
Lindsay Mallick
Keyword(s):  
Nutritional Status ◽  
Smoking Status ◽  
Extended Period ◽  
Wealth Quintile ◽  
Demographic And Health Surveys ◽  
Mother’S Education ◽  
Nutritional Status Of Children ◽  
The Impact ◽  
Height For Age ◽  
Mother's Education

Abstract Objectives The height-for-age index, a useful marker of health, is not sensitive to recent nutritional insufficiencies but instead reflects cumulative growth deficiencies and linear growth retardation. Low height-for-age, known as stunting, reflects malnutrition over an extended period and can be affected by long-term or chronic morbidity. The weight-for-height index reveals malnourished children at a point in the time and the weight-for-age index reflects underweight children. This study examined trends and sociodemographic inequities in the nutritional status of children under 5 over a 14-year period (2000-2014) in Cambodia. Methods This analysis used data from four Cambodia Demographic and Health Surveys (CDHS) surveys in 2000, 2005, 2010, and 2014 to investigate child nutritional status over time. We conducted tests of association to identify significant changes between each survey, as well as between the first survey and the most recent survey. We performed additional tests of associations to assess the significance of relationships between these indicators and sociodemographic and health covariates within each survey and across surveys. These variables included place of residence (urban or rural), region, wealth quintile, and mother's education. We also included maternal age at birth, birth order, birth interval, ANC, facility delivery, and assistance at birth. Results The percentage of children who are stunted in Cambodia significantly decreased over the period of the four surveys, from 50% in 2000 to 32% in 2014. We found persisting significant differences in the percentages of stunted children in nearly all background characteristics including rural-urban residence, region, wealth, mother's education, age, and smoking status, location of and assistance at delivery, and child's current age. Conclusions Cambodia did not meet the MDG target for stunting by 2015, but the 17% significant decrease achieved in stunting from 2000 to 2014 is promising. This analysis shows gains in every background characteristic over the 14-year period. These gains reflect the impact of the several national programs that have focused on improving nutrition over the past decade; nevertheless, regional and wealth disparities persist and should be addressed. Funding Sources USAID.

scholarly journals Oral hygiene, dietary habits and prevalence of dental caries in adolescents from rural and urban areas in Rio Grande do Sul, Brazil

2017 ◽  
Vol 65 (2) ◽  
pp. 139-147
Author(s):  
Tássia Silvana BORGES ◽  
Moisés Zacarias CARDOSO ◽  
Mixianni Justo FORTUNA ◽  
Cézane Priscila REUTER ◽  
Simone IMPERATORE ◽  
...  
Keyword(s):  
Dental Caries ◽  
Oral Hygiene ◽  
Rural Areas ◽  
Urban Areas ◽  
Dietary Habits ◽  
Bivariate Analysis ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Mother’S Education ◽  
Mother's Education

ABSTRACT Objective: To determine the condition of oral hygiene, dietary habits and prevalence of dental caries in adolescents, listing these habits and comparing residents from rural and urban areas. Methods: Cross-sectional study involving of 623 adolescents of both sexes, aged 12 to 17 year old in Santa Cruz do Sul, Brazil. Data were collected through sociodemographic questionnaires and dental examination. We conducted a descriptive analysis of the exposure variables and outcome. A bivariate analysis was then performed using the Chi-square test. Results: The prevalence of caries was 63.6%, in which adolescents living in rural areas had a prevalence of 70.7% and 56.4% in the urban area. The level of mother’s education ≤4 years and socioeconomic class B1/B2 and C1/C2 showed statistically significant differences between the areas of residence. Among the demographic variables, the rural area showed a higher prevalence of caries. Conclusion: The results showed a high prevalence of dental caries among the adolescents studied and indicate a correlation between prevalence and the low level of mother’s education, socioeconomic status (low to medium) and residence in rural areas. It should be understood that, while the multifactorial nature and stratified caries actions are not taken into consideration, the actions implemented will continue to fail, frustrating the expectations set by government entities.

Clinical Consequences of Untreated Dental Caries, Individual Characteristics, and Environmental Factors on Self-Reported Oral Health Measures in Adolescents: A Follow-Up Prevalence Study

2020 ◽  
Vol 54 (2) ◽  
pp. 176-184
Author(s):  
Michele Pagliarini Silva ◽  
Mario Vianna Vettore ◽  
Maria Augusta Bessa Rebelo ◽  
Janete Maria Rebelo Vieira ◽  
Ana Paula Corrêa de Queiroz Herkrath ◽  
...  
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
Psychosocial Factors ◽  
Family Income ◽  
Individual Characteristics ◽  
Health Measures ◽  
Clinical Consequences ◽  
Parental Schooling ◽  
Untreated Dental Caries

Background/Aims: This study evaluated the relationships of clinical consequences of untreated dental caries, individual characteristics, and environmental factors on self-reported oral health measures in adolescents. Methods: A follow-up prevalence study was conducted involving 406 twelve-year-old adolescents selected from public schools in the eastern area of the city of Manaus, Brazil. Baseline data included clinical consequences of untreated caries (PUFA/pufa index), DMFT, sociodemographic characteristics (sex, parental schooling, and family income), psychosocial factors (sense of coherence [SOC-13 scale], oral health beliefs and self-esteem [Rosenberg Self-Esteem Scale]), and social support (SSA questionnaire). Oral health-related quality of life (OHRQoL [CPQ11–14]) and self-rated oral health were assessed at the 6-month follow-up. Structural equation modelling was used to explore the relationships between variables according to the Wilson and Cleary model. Results: The prevalence of PUFA/pufa was 17.8% and mean DMFT was 1.5. The number of teeth with clinical consequences of untreated caries predicted poor self-rated oral health at the 6-month follow-up. Low parental schooling predicted low family income and clinical consequences of untreated dental caries. Psychosocial factors predicted OHRQoL directly and self-rated oral health indirectly. OHRQoL was linked to self-rated oral health. Clinical consequences of untreated dental caries mediated the relationship of parental schooling with OHRQoL and self-rated oral health. OHRQoL mediated the relationship of psychosocial factors and sex with self-rated oral health. Clinical consequences of untreated dental caries was associated with adolescents’ self-rated oral health. Furthermore, the former was an important mediator on the link between low parental education and adolescents’ self-reported oral health measures. Conclusions: Socioeconomic status, psychosocial factors, and social support were related to OHRQoL and self-rated oral health via direct and indirect pathways.

scholarly journals Mother's education is the most important factor in socio-economic inequality of child stunting in Iran

2013 ◽  
Vol 17 (9) ◽  
pp. 2010-2015 ◽  
Author(s):  
Mohammad Hassan Emamian ◽  
Mansooreh Fateh ◽  
Neman Gorgani ◽  
Akbar Fotouhi
Keyword(s):  
Concentration Index ◽  
Maternal Education ◽  
Economic Inequality ◽  
Child Growth ◽  
International Standards ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Mother’S Education ◽  
Height For Age ◽  
Mother's Education

AbstractObjectiveMalnutrition is one of the most important health problems, especially in developing countries. The present study aimed to describe the socio-economic inequality in stunting and its determinants in Iran for the first time.DesignCross-sectional, population-based survey, carried out in 2009. Using randomized cluster sampling, weight and height of children were measured and anthropometric indices were calculated based on child growth standards given by the WHO. Socio-economic status of families was determined using principal component analysis on household assets and social specifications of families. The concentration index was used to calculate socio-economic inequality in stunting and its determinants were measured by decomposition of this index. Factors affecting the gap between socio-economic groups were recognized by using the Oaxaca–Blinder decomposition method.SettingShahroud District in north-eastern Iran.SubjectsChildren (n 1395) aged <6 years.ResultsThe concentration index for socio-economic inequality in stunting was −0·1913. Mother's education contributed 70 % in decomposition of this index. Mean height-for-age Z-score was −0·544 and −0·335 for low and high socio-economic groups, respectively. Mother's education was the factor contributing most to the gap between these two groups.ConclusionsThere was a significant socio-economic inequality in the studied children. If mother's education is distributed equally in all the different groups of Iranian society, one can expect to eliminate 70 % of the socio-economic inequalities. Even in high socio-economic groups, the mean height-for-age Z-score was lower than the international standards. These issues emphasize the necessity of applying new interventions especially for the improvement of maternal education.

scholarly journals Stunting Was Associated with Reported Morbidity, Parental Education and Socioeconomic Status in 0.5–12-Year-Old Indonesian Children

2020 ◽  
Vol 17 (17) ◽  
pp. 6204
Author(s):  
Moesijanti Y. E. Soekatri ◽  
Sandjaja Sandjaja ◽  
Ahmad Syauqy
Keyword(s):  
Socioeconomic Status ◽  
Parental Education ◽  
Family Income ◽  
Disease Incidence ◽  
Z Score ◽  
Severe Stunting ◽  
Child Morbidity ◽  
Respiratory Tract Illnesses ◽  
Study Population ◽  
Height For Age

Stunting is highly prevalent in Indonesian children. The objective of this study was to identify the associations of stunting with morbidity, parental education and socioeconomic status (SES) in Indonesian children. The study population was part of the South East Asian Nutrition Surveys (SEANUTS). A total of 2236 Indonesian children aged 0.5 to 12 years, who had participated in the SEANUTS, were included in this study. Stunting was defined as height for age Z-score (HAZ) ≤ −2 using WHO criteria and severe stunting as HAZ ≤ −3. Information on morbidity, parental education and family SES were collected by structured questionnaires. ANOVA was used for evaluating differences across groups, with or without correction for confounders. The results showed that the overall prevalence of stunting was 31.4%. HAZ in stunted children was associated with disease incidence, including frequency, parental education and family income. There were no significant differences in HAZ values in stunted children with one or more bouts of infectious, digestive tract or respiratory tract illnesses compared to stunted children with no reported illness. The prevalence of stunting in Indonesian children was high and was strongly associated with child morbidity, parental education and SES.

scholarly journals Hubungan Asupan Mineral Zinc, Tingkat Pendidikan Ibu dan Pendapatan Keluarga dengan Status Gizi Anak Sekolah Dasar

2021 ◽  
Vol 6 (2) ◽  
pp. 1002
Author(s):  
Putri Wardarita ◽  
Mohammad Zulkarnain ◽  
Achmad Fickry Faisyah ◽  
Rostika Flora ◽  
Nur Alam Fajar
Keyword(s):  
Elementary School ◽  
Nutritional Status ◽  
School Children ◽  
Elementary School Children ◽  
Bone Growth ◽  
Family Income ◽  
The Body ◽  
Cross Sectional ◽  
Mother’S Education ◽  
Mother's Education

Zinc is a micronutrient in protein synthesis, cell differentiation and regulated growth for every cell in the body. Micronutrients such as zinc play a role in growth which affects the hormones that play a role in bone growth. Zinc deficiency can interfere with growth and development that is not optimal. This study aims to see the relationship between zinc mineral intake, mother's education level and family income with the nutritional status of elementary school children in Tuah Negeri, Musi Rawas District. This type of research used an observational study with a cross-sectional design. Sampling using simple random sampling technique. The number of samples is 75 respondents. Retrieval of data on the level of mother's education and family income with the interview method using a questionnaire. Data on the adequacy of zinc intake were carried out. SQ-FFQ interviews were asked about the amount of food in a questionnaire for the last period. Measurement of TB/u was carried out using anthropometry. The results of the statistical study showed that there was no relationship between the level of mother's education and the nutritional status of elementary school children (p = 1000). There was no relationship between zinc mineral intake and nutritional status in school children (p = 0.161). There is a close relationship with parents' income (p = 0.028) with the nutritional status of school children. The conclusion of this study is that children with a family income <UMR have the possibility of 4,327 times experiencing stuning.

scholarly journals Effect of community-based food supplementation on improving growth of underweight children under five years of age in West Nusa Tenggara

2017 ◽  
Vol 57 (5) ◽  
pp. 246
Author(s):  
Aman Bhakti Pulungan ◽  
Dini A. Mirasanti
Keyword(s):  
Normal Weight ◽  
Food Supplementation ◽  
Z Score ◽  
Community Based ◽  
Normal Height ◽  
Supplementary Food ◽  
Under Five ◽  
Height For Age ◽  
Weight For Age

Background The prevalence of underweight children in West Nusa Tenggara is as high as 30%. This region had the third largest number of stunted children in the country. The local government has attempted to tackle this problem by providing supplementary food to underweight children.Objective To assess the success of the community-based food supplementation program onimproving children’s growth in West Nusa Tenggara.Methods We conducted a prospective cohort study for 10 months in Paruga District Primary Health Care Unit, Bima, West Nusa Tenggara, in year 2012. Children were given supplementary food according to the Ministry of Health’s guidelines, consisting of formula milk, high calorie biscuits, and a 60-day supply of eggs, estimated to be sufficient to normalize their weights, for their age and sex.  A child’s weight and height were measured every 3 months and the results plotted on WHO growth charts for weight-for-age, height-for-age, and weight-for-height (nutritional status). Z-score <-3 SD was classified as severely underweight, severely stunted, or severely wasted, respectively; Z-score between -2 and -3 SD was classified as underweight, stunted, or wasted, respectively; and Z–score >-2 SD was classified as normal for all three categories.Results Twenty-five children under five years of age participated in this study. Subjects’ median age was 29 months. None of the subjects had normal weight-for-age Z-score at the beginning of the study. Eighty-four percent (21/25) of the subjects were severely underweight. Only 8% (2/25) of the subjects had normal height-for-age Z-score and 88% (22/25) of them were severely stunted. However, 80% (20/25) of subjects had normal nutritional status (weight-for-height). Changes in weight-for-age Z-score varied throughout the study. The highest median score was in the tenth month of follow up (-3.82). The highest median height-for-age score and weight-for-height score were also in the last month of follow up. At the end of the study, only one subject had normal weight-for-age score (4%) and none of the subjects had normal height-for-age scores.  Conclusion The 10-month supplementary food program for under-five children in the Paruga District is not successful in improving body weight and height.

scholarly journals The Correlation of Family and Household Factors on The Incidence of Stunting on Toddlers in Three Villages Sumberbaru Health Center Work Area of Jember

2020 ◽  
Vol 6 (1) ◽  
pp. 1
Author(s):  
Farmarida Dika Rufaida ◽  
Angga Mardro Raharjo ◽  
Adelia Handoko
Keyword(s):  
Employment Status ◽  
Family Income ◽  
Sampling Technique ◽  
Bivariate Analysis ◽  
Number Of Children ◽  
Work Area ◽  
Family And Household ◽  
Mother’S Education ◽  
Male Sex ◽  
Mother's Education

Stunting is a condition of the child's length or height according to his age compared to the WHO standard, the z-score is less than -2SD. Stunting is caused by multifactorial which can affect directly or indirectly and causes various adverse effects. The purpose of this study was to determine the correlation of family and household factors on the incidence of stunting (especially sex of toddler, age of toddler, father's education, mother's education, mother's employment status, number of children, birth distance, family income, and mother's height) in three villages Sumberbaru Health Center Work Area of Jember. This type of research is observational analytic research with cross-sectional research design. A sample of 130 people who met the inclusion and exclusion criteria. The sampling technique uses purposive sampling technique. Bivariate analysis using chi-square test and multivariate analysis using binary logistic regression. The results of the bivariate analysis of this study showed p <0.05 on sex of toddler, number of children, family income, mother’s height, and p > 0.05 on age of toddler, father's education, mother's education, mother's employment status, birth distance. Multivariate analysis showed mother's height <147cm (p = 0,007; OR = 3,345), family income below UMK Jember (p = 0,045; OR = 2,344), and male sex (p = 0,044; OR = 0,456 ). Based on these results it can be concluded that the incidence of stunting is directly affected by mother's height <147cm, family income below UMK Jember, and male sex of boys. While indirectly affected by the number of children >2. Factors that did not affect the incidence of stunting were the age of the toddler, father's education, mother's education, mother's employment status, and birth distance. Mother's height <147cm is the most influencing factor.

Clinical characteristics and abandonment and outcome of treatment in 67 Chinese children with medulloblastoma

2016 ◽  
Vol 17 (1) ◽  
pp. 49-56 ◽  
Author(s):  
Chen Wang ◽  
Xiao-Jun Yuan ◽  
Ma-Wei Jiang ◽  
Li-Feng Wang
Keyword(s):  
Urban Areas ◽  
Family Income ◽  
Univariate Analysis ◽  
Multidisciplinary Treatment ◽  
Chinese Children ◽  
Treatment Modalities ◽  
Female Ratio ◽  
Data Treatment ◽  
Treatment Abandonment

OBJECT The purpose of this study was to explore the clinical features and outcome of medulloblastoma in Chinese children. The authors analyze the reasons that treatment is abandoned and attempt to provide evidence-based recommendations for improving the prognosis of medulloblastoma in this population. METHODS A total of 67 pediatric cases of newly diagnosed medulloblastoma were included in this study. All of the children were treated at Xinhua Hospital between January 2007 and June 2013. The authors retrospectively analyzed the clinical data, treatment modalities, and outcome. The male-to-female ratio was 2:1, and the patients’ median age at diagnosis was 51.96 months (range 3.96–168.24 months). The median duration of follow-up was 32 months (range 3–70 months). RESULTS At the most recent follow-up date, 31 patients (46%) were alive, 30 (45%) had died, and 6 (9%) had been lost to follow-up. The estimated 3-year overall survival and progression-free survival, based on Kaplan-Meier analysis, were 55.1% ± 6.4% and 45.6% ± 6.7%, respectively. Univariate analysis showed that standard-risk group (p = 0.009), postoperative radiotherapy (RT) combined with chemotherapy (p < 0.001), older age (≥ 3 years) at diagnosis (p = 0.010), gross-total resection (p = 0.012), annual family income higher than $3000 (p = 0.033), and living in urban areas (p = 0.008) were favorable prognostic factors. Multivariate analysis revealed that postoperative RT combined with chemotherapy was an independent prognostic factor (p < 0.001). The treatment abandonment rate in this cohort was 31% (21 of 67 cases). CONCLUSIONS There was a large gap between the outcome of medulloblastoma in Chinese children and the outcome in Western children. Based on our data, treatment abandonment was the major cause of therapeutic failure. Parents’ misunderstanding of medulloblastoma played a major role in abandonment, followed by financial and transportation difficulties. Establishment of multidisciplinary treatment teams could improve the prognosis of medulloblastoma in Chinese children.

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