scholarly journals Associations between Disability and Infertility among U.S. Reproductive-Aged Women

2021 ◽  
Vol 18 (6) ◽  
pp. 3202
Author(s):  
Sandie Ha ◽  
Valerie Martinez
Keyword(s):  
Regression Models ◽  
Health Needs ◽  
Care Seeking ◽  
Health Issues ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
History Of ◽  
Nationally Representative ◽  
Sectional Analysis ◽  
Reproductive Aged Women

We aim to evaluate the association between self-reported disabilities and infertility and whether disabilities are associated with decreased likelihood of seeking infertility-related care. This US nationally representative cross-sectional analysis includes 3789 non-pregnant women aged 18–49 years without history of hysterectomy or oophorectomy (NHANES, 2013–2018). Disabilities and infertility were both self-reported in personal interviews with trained interviewers. Logistic regression models estimated the adjusted odds ratio (aOR) and 95% confidence intervals for the association between disabilities and infertility and related care seeking. Models adjusted for potential confounders and complex probability sampling. Compared to women without disabilities, women with disabilities (WWD) had higher odds of infertility (aOR: 1.78 (1.31–2.40)). Similar findings were observed for sensory (2.32 (1.52–3.52)) and cognitive disabilities (1.77 (1.28–2.44)). Among women with infertility, WWD were less likely to seek infertility-related care (0.68 (0.32–1.44)) but these estimates were not statistically significant. WWD have increased odds of reporting infertility, and if affected, are less likely to visit a health care provider for this condition. While more research is needed to understand reproductive health issues and needs among WWD, it is important to push for more equitable policies and practices to address the health needs of this underserved population.

scholarly journals Association of Hearing Impairment and Anxiety in Older Adults

2016 ◽  
Vol 29 (1) ◽  
pp. 172-184 ◽  
Author(s):  
Kevin J. Contrera ◽  
Josh Betz ◽  
Jennifer Deal ◽  
Janet S. Choi ◽  
Hilsa N. Ayonayon ◽  
...  
Keyword(s):  
Older Adults ◽  
Hearing Impairment ◽  
Regression Models ◽  
Community Based ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Hopkins Symptom Checklist ◽  
Hearing Aid Use ◽  
Health Aging ◽  
Sectional Analysis

Objective: The objective of the study is was investigate the association between hearing impairment and anxiety. Method: We conducted a cross-sectional analysis of 1,732 community-based adults aged 76 to 85 years who participated in the Health Aging and Body Composition (ABC) study. Logistic regression models were adjusted for demographic and cardiovascular risk factors. Hearing impairment was defined by the speech-frequency pure tone average. Anxiety was defined as reporting two symptoms of at least “a little” or one symptom “quite a bit” on the three-item Hopkins Symptom Checklist. Results: Compared with individuals with no hearing impairment, the odds of prevalent anxiety were higher among individuals with mild hearing impairment (odds ratio [OR] = 1.32, 95% confidence interval [CI] = [1.01, 1.73]) and moderate or greater hearing impairment (OR = 1.59, 95% CI = [1.14, 2.22]). Hearing aid use was not significantly associated with lower odds of anxiety. Discussion: Hearing impairment is independently associated with greater odds of anxiety symptoms in older adults.

Exposure to Organophosphate Pesticides and Menstrual Cycle Characteristics in Chinese Preconceptional Women

2019 ◽  
Vol 189 (5) ◽  
pp. 375-383 ◽  
Author(s):  
Yan Zhang ◽  
Lin Ji ◽  
Yi Hu ◽  
Lap Ah Tse ◽  
Yiwen Wang ◽  
...  
Keyword(s):  
Menstrual Cycle ◽  
Confidence Interval ◽  
Regression Models ◽  
Linear Regression Models ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Maternity Hospitals ◽  
Diethyl Phosphate ◽  
Sectional Analysis ◽  
The Relationship

Abstract Organophosphates (OPs) are the most heavily used pesticides in China. The Chinese population, including preconceptional women, is highly exposed, yet little is known regarding the associations between OP exposure and menstruation in humans. We conducted a cross-sectional analysis in women preparing for pregnancy to investigate the relationship between biomarkers of OP exposure and menstrual cycle characteristics. From 2013 to 2015, 627 women visiting free preconception-care clinics at 2 maternity hospitals in Shanghai, China, were included. Information on menstrual cycle characteristics was obtained through questionnaires. OP exposure was assessed by measuring urine concentrations of 6 dialkylphosphate metabolites (dimethylphosphate, dimethylthiophosphate, dimethyldithiophosphate, diethylphosphate, diethylthiophosphate, and diethyldithiophosphate). The relationship between concentrations of dialkylphosphate metabolites and menstrual cycle characteristics was analyzed using multiple linear regression models and logistic regression models. Log-transformed levels of diethyl phosphate metabolites (the sum of diethylphosphate and diethylthiophosphate levels) were related to a higher risk of irregularity of menstrual cycles (adjusted odds ratio = 2.36, 95% confidence interval: 1.28, 4.34). Subjects with a higher concentration of diethyl phosphate metabolites (log-transformed) had a shorter duration of menstrual bleeding (adjusted β = −0.33, 95% confidence interval: −0.64, −0.02). The findings suggest that OP exposure may be associated with alterations in menstrual function in preconceptional women.

Antenatal Care Services and Preparedness of Health Facilities in Bangladesh: Evidence From Two Nationally Representative Surveys

2021 ◽  
Author(s):  
Shariful Hakim ◽  
Muhammad Abdul Baker Chowdhury ◽  
Zobayer Ahmed ◽  
Md Jamal Uddin
Keyword(s):  
Health Planning ◽  
Health Facilities ◽  
Outcome Variable ◽  
P Value ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Public Facilities ◽  
Care Services ◽  
Nationally Representative ◽  
Sectional Analysis

Abstract ObjectiveTo assess whether health facilities in Bangladesh are prepared to provide ANC services and to investigate facility characteristics that are linked to preparedness.Methods This cross-sectional analysis used publicly available data from two waves of Bangladesh Health Facilities Survey (BHFS) that was conducted in 2014 and 2017 using stratified random sample of facilities. 1508 and 1506 health facilities were included as study samples from the 2014 and 2017 BHFS respectively. The outcome variable ‘ANC services preparedness’ was calculated as an index score using a group of tracer indicators. Multivariable logistic regression models were used to identify the important correlates of ANC service preparednessResultsThe percentage of facilities providing ANC services has increased slightly from 97.4% in 2014 to 98.8% in 2017. Union level public facilities were less likely to be prepared for providing ANC service than district level public facilities in 2014 (Odds ratio (OR): 0.20, Confidence interval (CI): 0.08-0.50, P-value=<0.001). Similar results were also found in 2017 (OR: 0.14, CI: 0.06-0.33, P-Value=<0.001). The facilities with high basic amenities score were more likely to be prepared for providing ANC than the facilities with low basic amenities score in 2014 (OR: 2.52, CI: 1.02-6.12, P-Value=0.04) and in 2017 (OR: 1.79, CI: 1.08-2.99, P-Value=0.02). Conclusion The overall preparedness score to offer ANC service was also poor. Our findings may be considered for not only health planning but also decision making in order to produce a healthy mother and a baby at the end of pregnancy.

scholarly journals Gender Differences in Clinicoepidemiological Features of Vitiligo: A Cross-Sectional Analysis

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Sharmila Patil ◽  
Manjyot Gautam ◽  
Nitin Nadkarni ◽  
Neha Saboo ◽  
Kiran Godse ◽  
...  
Keyword(s):  
Social Consequences ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Factors Associated ◽  
Cross Sectional Analysis ◽  
Clinical Presentations ◽  
History Of ◽  
Duration Of Disease ◽  
Males And Females ◽  
Sectional Analysis

Background. Vitiligo has important clinical and social consequences particularly in the pigmented skin. The present study was conducted to assess the differences in clinicoepidemiological presentation of vitiligo in males and females and to understand the factors associated with spread of vitiligo in them. Methods. This is a cross-sectional analysis of secondary clinical data of 168 vitiligo patients at a tertiary medical centre at Navi Mumbai. We used logistic regression models to estimate the association between gender and clinical characteristics of vitiligo and to evaluate the factors associated with spread of vitiligo. Results. There were no significant differences between the mean ages of males and females; however, males reported a longer duration of disease (6.9 (10.4) years) compared with females (4.9 (7.4) years). Males were significantly more likely to report a family history of vitiligo compared with females (adjusted OR (aOR): 16.87, 95% CI: 2.16 to 131.69). Even though females were more likely to report spread of lesions, the association was not statistically significant (OR: 1.21, 95% CI: 0.62 to 2.36). Discussion. The differences in the clinical presentations between genders highlight the need to understand the different factors (possibly genetic) that may play a part in the pathogenesis of this multifactorial disease in males and females.

scholarly journals Children and young people’s versus parents’ responses in an English national inpatient survey

2018 ◽  
Vol 103 (5) ◽  
pp. 486-491 ◽  
Author(s):  
Dougal S Hargreaves ◽  
Steve Sizmur ◽  
Jacqueline Pitchforth ◽  
Amy Tallett ◽  
Sara L Toomey ◽  
...  
Keyword(s):  
Pain Relief ◽  
Patient Experience ◽  
Regression Models ◽  
Individual Characteristics ◽  
Cross Sectional ◽  
Perceived Safety ◽  
Logistic Regression Models ◽  
Inpatient Episode ◽  
Additional Information ◽  
Sectional Analysis

ObjectiveDespite growing interest in children and young people’s (CYP) perspectives on healthcare, they continue to be excluded from many patient experience surveys. This study investigated the feasibility of, and additional information gained by, measuring CYP experiences of a recent hospital admission.DesignCross-sectional analysis of national survey data.SettingInpatients aged 8–15 years in eligible National Health Service hospitals, July–September 2014.Participants6204 parents/carers completed the parent section of the survey. The CYP section of the survey was completed by CYP themselves (n=3592), parents (n=849) or jointly (n=1763).Main outcome measuresPain relief, involvement, quality of staff communication, perceived safety, ward environment, overall experience.AnalysesSingle-measures intraclass correlations (ICCs) were used to assess the concordance between CYP and parent responses about the same inpatient episode. Multilevel logistic regression models, adjusted for individual characteristics, were used to compare the odds of positive responses when the CYP section of the survey was completed by parents, by CYP themselves or jointly.ResultsThe CYP section of the survey was completed independently by 57.8% of CYP. Agreement between CYP and parent responses was reasonably good for pain relief (ICC=0.61 (95% CI 0.58 to 0.63)) and overall experience (ICC=0.70 (95% CI 0.68 to 0.72)), but much lower for questions comparing professionals’ communication with CYP and with their parents (ICC range=0.28 (95% CI 0.24 to 0.32) to 0.51 (95% CI 0.47 to 0.54)). In the regression models, CYP were significantly less likely than parents to report feeling safe (adjusted OR (AOR)=0.54 (95% CI 0.38 to 0.76)), involvement in decisions (AOR=0.66 (95% CI 0.46 to 0.94)) or adequate privacy (AOR=0.68 (95% CI 0.52 to 0.89)).ConclusionsIncluding CYP (8–15 years) in patient experience surveys is feasible and enhances what is known from parents’ responses.

scholarly journals A repeated cross-sectional analysis assessing mental health conditions of adults as per student status during key periods of the COVID-19 epidemic in France

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Melissa Macalli ◽  
Nathalie Texier ◽  
Stéphane Schück ◽  
Sylvana M. Côté ◽  
Christophe Tzourio
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Regression Models ◽  
Negative Impact ◽  
Health It ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Cross Sectional Design ◽  
Restrictive Measures ◽  
Sectional Analysis

AbstractPrevious studies have shown the negative impact of the COVID-19 epidemic on students’ mental health. It is, however, uncertain whether students are really at higher risk of mental health disturbances than non-students and if they are differentially impacted by lockdown periods over time. The objective of our study was to compare the frequency of depressive symptoms, anxiety, and suicidal thoughts in students and non-students enrolled in the same study in France and during the same key periods of the COVID-19 epidemic. Using a repeated cross-sectional design, we collected data from a sample of 3783 participants in the CONFINS study during three recruitment waves between March 2020 and January 2021. Multivariate logistic regression models, adjusted for potential confounding factors, showed that students were more likely to have high scores of depressive symptoms and anxiety more frequently than non-students. These differences were particularly strong during the first (depressive symptoms: adjusted odds ratio aOR 1.59, 95% CI 1.22–2.08; anxiety: aOR 1.63, 95% CI 1.22–2.18) and second lockdowns (depressive symptoms: aOR 1.80, 95% CI 1.04–3.12; anxiety: aOR 2.25, 95% CI 1.24–4.10). These findings suggest that the restrictive measures—lockdown and curfew—have an alarmingly stronger negative impact on students than on non-students and underline the frailty of students’ mental health and the need to pay greater attention to this population in this epidemic-related context.

Wellness Program Nonparticipation and Its Association With Employee Turnover

2020 ◽  
Vol 34 (5) ◽  
pp. 559-562
Author(s):  
Kristi Rahrig Jenkins ◽  
Bruce W. Sherman
Keyword(s):  
Employee Turnover ◽  
Regression Models ◽  
Program Participation ◽  
Wellness Program ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Increased Risk ◽  
Sectional Analysis ◽  
Faculty Status ◽  
Program Data

Purpose: This study examines the association between nonparticipation in wellness activities and employee turnover risk. Design: Retrospective, cross-sectional analysis. Setting: Large university in the Midwestern United States. Participants: Employees with continuous employment during 2016 and complete human resources and wellness program data (n = 34 405). Methods: Demographic, health risk assessment (HRA), and wellness program participation data were collected in 2016 and paired with administratively recorded turnover status from 2017. For the multivariate analyses, logistic regression models were used. Results: There were statistically significant associations between various socioeconomic and demographic characteristics (gender, age, race, wage, union and faculty status, and health score) with turnover status. Also, all 3 participation levels (participated in the HRA only, participated in the HRA and wellness programming, and participated in wellness programming only) had lower odds of experiencing turnover compared to nonparticipants (participated in the HRA only [adjusted odds ratio, AOR: 0.89; confidence interval, CI: 0.80-0.99], participated in wellness program(s) only [AOR: 0.77; CI: 0.62-0.95] and participated in both the HRA and program(s) [AOR: 0.82; CI: 0.74-0.91], respectively). Conclusion: Employee participation in wellness program activities appears to represent a measure of engagement with work. Nonparticipation in these programs is associated with increased risk of employment turnover in the subsequent year.

scholarly journals Understanding the Importance of Fatherhood among Men Living with HIV in Ontario

2021 ◽  
Vol 20 ◽  
pp. 232595822110161
Author(s):  
Luke Thomas Kyne ◽  
Mark H. Yudin ◽  
Tsegaye Bekele ◽  
Mona Loutfy ◽  
Sean B. Rourke ◽  
...  
Keyword(s):  
Regression Models ◽  
Secondary Analysis ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Fertility Desires ◽  
Women Living With Hiv ◽  
African Caribbean ◽  
History Of ◽  
Living With Hiv

While pregnancy and motherhood have become paramount clinical issues for women living with HIV, parenting has received less attention among men living with HIV (MLWH). We conducted a secondary analysis of a cross-sectional study assessing fertility desires and intentions of MLWH using a 5-point Likert scale based on the question: “Being a father is important to me”. Logistic regression models were fit to calculate unadjusted and adjusted odds ratios (ORs) and confidence intervals (CIs) for significant correlates. Of the 276 respondents, 118 were heterosexual, 158 were gay, bisexual, 2-spirit, or queer (GBTQ), 55% had never parented before, and 65% wanted to parent. 191 (69%) respondents agreed that fatherhood was important to them. In unadjusted analyses, heterosexuality (OR 1.52; 95% CI 1.15 to 2.03), African/Caribbean/Black ethnicity (OR 1.57; 95% CI 1.12 to 2.19), African/Caribbean birthplace (OR 1.48; 95% CI 1.06 to 2.05), and history of parenting (OR 1.60; 95% CI 1.10 to 2.39) were significantly (p < 0.05) associated with importance of fatherhood. However, none of these variables were significant in adjusted analyses. From the unadjusted model, factors such as sexual orientation, ethnicity, and current parenthood may influence how MLWH value fatherhood, suggesting HIV and fatherhood is complex and must be explored further.

scholarly journals Sex Differences in the Association between Internet Usage and Overweight/Obesity: Evidence from a Nationally Representative Survey in Nepal

Sexes ◽  
2021 ◽  
Vol 2 (1) ◽  
pp. 132-143
Author(s):  
Juwel Rana ◽  
Md. Momin Islam ◽  
John Oldroyd ◽  
Nandeeta Samad ◽  
Rakibul Islam
Keyword(s):  
Odds Ratio ◽  
Regression Models ◽  
Internet Use ◽  
Adjusted Odds Ratio ◽  
Internet Usage ◽  
The Internet ◽  
Logistic Regression Models ◽  
Biological Sex ◽  
Obesity Interventions ◽  
Nationally Representative

Objective: To examine the associations between internet use and overweight/obesity in people aged 15–49 years in Nepal and the extent to which these associations differ by biological sex. Materials and methods: The study analyzed the nationally representative Nepal Demographic and Health Survey (NDHS) 2016 data. Multivariable ordinal logistic regression models were fitted to estimate the total effects of internet use (IU) in the last 12 months and frequency of internet use (FIU) in the last month on overweight/obesity adjusted for potential confounders. Results: Of the 10,380 participants, the prevalence of overweight/obesity by IU was 38% (95% confidence interval (CI): 35.9%, 40.1%) for males and 44.1% (95% CI: 41.6%, 46.6%) for female. The likelihood of overweight/obesity was significantly higher (adjusted odds ratio (aOR): 1.55; 95% CI: 1.40, 1.73; p < 0.001) among those participants who used the internet compared to the participants who did not use the internet in the last 12 months. Similar associations were observed when using the augmented measure of exposure-FIU in the last month. We observed the modification effect of sex in the associations of IU (p-difference < 0.001) and FIU (p-difference < 0.002) with overweight/obesity in Nepal. Conclusions: Our findings suggest that future overweight/obesity interventions in Nepal discourage unnecessary internet use, particularly among males.

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