The Association of Energy Poverty with Health and Wellbeing in Children in a Mediterranean City

Children have been identified as being particularly vulnerable to energy poverty (EP), but little empirical research has addressed the effect of EP on children’s health and wellbeing, especially in southern Europe. In this work we aimed to provide an in-depth description of the distribution of EP by sociodemographic, socioeconomic and housing characteristics, as well as to analyse the association between EP and health and wellbeing in children in Barcelona. We performed a cross-sectional study using data from the Barcelona Health Survey for 2016 (n = 481 children under 15 years). We analysed the association between EP and health outcomes through prevalence differences and prevalence ratios (PR) and their 95% confidence interval (CI), using Poisson regression models with robust variance. In Barcelona, 10.6% of children were living in EP and large inequalities were found by sociodemographic, socioeconomic and housing characteristics. EP was strongly associated with poor health in children (PR (95% CI): 7.70 (2.86, 20.72)). Living in EP was also associated with poor mental health (PR (95% CI): 2.46 (1.21, 4.99)) and with more cases of asthma (PR (95% CI): 4.19 (1.47, 11.90)) and overweight (PR (95% CI): 1.50 (1.05, 2.15)) in children. It is urgent to develop specific measures to avoid such serious and unfair health effects on children.

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Epidemiology of recreational football in Brazil: prevalence and association with risk factors for chronic diseases and self-rated health in adults

Motriz Revista de Educação Física ◽

10.1590/s1980-65742013000100023 ◽

2013 ◽

Vol 19 (1) ◽

pp. 224-230 ◽

Cited By ~ 1

Author(s):

Alex Antonio Florindo ◽

José Cazuza de Farias Júnior ◽

Jonathan Charles Kingdon Wells ◽

Pedro Curi Hallal

Keyword(s):

Descriptive Analysis ◽

Logistic Models ◽

Cross Sectional Study ◽

Football Players ◽

Cross Sectional ◽

Health And Wellbeing ◽

Self Rated Health ◽

The Social ◽

Using Data ◽

Weekly Frequency

The aim of this study was to describe the social and health characteristics of adults who practice football for recreation in adult living in Brazil. This was a cross-sectional study using data from the VIGITEL Surveillance System. In 2006, 54,369 interviews were carried out with adults. Individuals were classified in three groups: inactive in leisure-time; recreational football participants: one/ two times per week or three or more times per week. We ran descriptive analysis and binary logistic models. Recreation footballers in Brazil are mostly young men of low schooling levels. The southeastern region had the greatest proportion of practitioners in Brazil. Most footballers practiced once or two times per week (75.9%), for 60 minutes or more per day (87.7%), and used public locations (94.2%). Football players had less obesity and poor self-rated health compared with inactive. Football practice seems to provide health and wellbeing benefits, independent of the weekly frequency.

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Combustible cigarettes, heated tobacco products, combined product use, and periodontal disease: A cross-sectional JASTIS study

PLoS ONE ◽

10.1371/journal.pone.0248989 ◽

2021 ◽

Vol 16 (3) ◽

pp. e0248989

Author(s):

Takashi Yoshioka ◽

Takahiro Tabuchi

Keyword(s):

Periodontal Disease ◽

Primary Outcome ◽

Periodontal Diseases ◽

Cross Sectional Study ◽

Tobacco Product ◽

Internet Survey ◽

Cross Sectional ◽

Product Use ◽

Using Data ◽

Prevalence Ratios

Background Combustible cigarettes have detrimental effects on periodontal disease. However, little evidence is available regarding new heated tobacco product (HTP) use and combined product use (both combustible cigarettes and HTPs). This study aimed to examine the association of combustible cigarettes, HTPs, and combined product use with periodontal disease simultaneously. Materials and methods This cross-sectional study was conducted using data from the 2019 arm of the longitudinal Japan “Society and New Tobacco” Internet Survey. Combustible cigarette users, HTP users, combined product users, never-users, and former users’ data were separately obtained. In the present study, the primary outcome was self-reported periodontal disease. We estimated adjusted prevalence ratios (PRs) and confidence intervals (CIs) using multivariable modified Poisson regression analysis after adjusting for 12 confounders. Results Of the 10,439 JASTIS respondents, the numbers of users of combustible cigarettes only, HTPs only, and both products were 1,304, 437, and 1,049, respectively. Compared with never-users, HTP use was significantly associated with the prevalence of self-reported periodontal diseases (PR 1.43, 95% CI 1.03–1.62). Moreover, former users, combustible cigarette users, and combined product users also showed significant associations (PR 1.56, 95% CI 1.35–1.80; PR 1.29, 95% CI 1.03–1.62; and PR 1.55, 95% CI 1.20–1.99, respectively). Conclusions Users of HTPs, combustible cigarettes, and combined products as well as former users were all significantly associated with a higher prevalence of periodontal diseases compared to never-users.

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Impact of the SARS-CoV-2 pandemic and first lockdown on pregnancy monitoring in France: the COVIMATER cross-sectional study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-04256-9 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Alexandra Doncarli ◽

Lucia Araujo-Chaveron ◽

Catherine Crenn-Hebert ◽

Virginie Demiguel ◽

Julie Boudet-Berquier ◽

...

Keyword(s):

Pregnant Women ◽

Cross Sectional Study ◽

Lower Probability ◽

Medical Monitoring ◽

Poisson Regression Model ◽

Sectional Study ◽

Cross Sectional ◽

Robust Variance ◽

The Impact ◽

Prevalence Ratios

Abstract Background In the context of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, consultations and pregnancy monitoring examinations had to be reorganised urgently. In addition, women themselves may have postponed or cancelled their medical monitoring for organisational reasons, for fear of contracting the disease caused by SARS-CoV-2 (COVID-19) or for other reasons of their own. Delayed care can have deleterious consequences for both the mother and the child. Our objective was therefore to study the impact of the SARS-CoV-2 pandemic and the first lockdown in France on voluntary changes by pregnant women in the medical monitoring of their pregnancy and the associated factors. Methods A cross-sectional study was conducted in July 2020 using a web-questionnaire completed by 500 adult (> 18 years old) pregnant women during the first French lockdown (March–May 2020). A robust variance Poisson regression model was used to estimate adjusted prevalence ratios (aPRs). Results Almost one women of five (23.4%) reported having voluntarily postponed or foregone at least one consultation or pregnancy check-up during the lockdown. Women who were professionally inactive (aPR = 1.98, CI95%[1.24–3.16]), who had experienced serious disputes or violence during the lockdown (1.47, [1.00–2.16]), who felt they received little or no support (1.71, [1.07–2.71]), and those who changed health professionals during the lockdown (1.57, [1.04–2.36]) were all more likely to have voluntarily changed their pregnancy monitoring. Higher level of worry about the pandemic was associated with a lower probability of voluntarily changing pregnancy monitoring (0.66, [0.46–0.96]). Conclusions Our results can guide prevention and support policies for pregnant women in the current and future pandemics.

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Frailty in the elderly: prevalence and associated factors

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2016-0633 ◽

2017 ◽

Vol 70 (4) ◽

pp. 747-752 ◽

Cited By ~ 22

Author(s):

Jair Almeida Carneiro ◽

Rafael Rodrigues Cardoso ◽

Meiriellen Silva Durães ◽

Maria Clara Araújo Guedes ◽

Frederico Leão Santos ◽

...

Keyword(s):

The Elderly ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Robust Variance ◽

The North ◽

History Of ◽

Prevalence Ratios ◽

Use Of Health Services

ABSTRACT Objective: to know the prevalence and factors associated with frailty in elderly assisted by the Centro Mais Vida de Referência em Assistência à Saúde do Idoso (Mais Vida Health Reference Center for the Elderly) in the North of Minas Gerais, Brazil. Method: cross-sectional study, with sampling by convenience. Data collection occurred in 2015. Demographic and socioeconomic variables, morbidities, use of health services and the score of the Edmonton Frail Scale were analyzed. The adjusted prevalence ratios were obtained by multiple analysis of Poisson regression with robust variance. Results: 360 elderly aged 65 or older were evaluated. Frailty prevalence was 47.2%. The variables associated with frailty were the following: advanced age elderly, who live without a partner, have a caregiver, present depressive symptoms, osteoarticular disease, as well as history of hospitalization and falls in the last twelve months. Conclusion: knowledge of factors associated with frailty allows development of health actions aimed at the elderly.

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Impact of the SARS-CoV-2 Pandemic and First Lockdown on Pregnancy Monitoring in France: the COVIMATER Cross-sectional Study

10.21203/rs.3.rs-601913/v1 ◽

2021 ◽

Author(s):

Alexandra Doncarli ◽

Lucia Araujo ◽

Catherine Crenn-Hebert ◽

Virginie Demiguel ◽

Julie Boudet-Berquier ◽

...

Keyword(s):

Pregnant Women ◽

Cross Sectional Study ◽

Lower Probability ◽

Medical Monitoring ◽

Poisson Regression Model ◽

Sectional Study ◽

Cross Sectional ◽

Robust Variance ◽

The Impact ◽

Prevalence Ratios

Abstract BackgroundIn the context of the SARS-CoV-2 pandemic, consultations and pregnancy monitoring examinations had to be reorganised urgently. In addition, women themselves may have postponed or cancelled their medical monitoring for organisational reasons, for fear of contracting the disease caused by SARS-CoV-2 (Covid-19) or for other reasons of their own. Delayed care can have deleterious consequences for both the mother and the child. Our objective was therefore to study the impact of the SARS-CoV-2 pandemic and the first lockdown in France on voluntary changes by pregnant women in the medical monitoring of their pregnancy and the associated factors.MethodsA cross-sectional study was conducted in July 2020 using a web-questionnaire completed by 500 adult (>18 years old) pregnant women during the first French lockdown (March-May 2020). A robust variance Poisson regression model was used to estimate adjusted prevalence ratios (aPRs). ResultsAlmost one women of five (23.4%) reported having voluntarily postponed or foregone at least one consultation or pregnancy check-up during the lockdown. Women who were professionally inactive (aPR=1.98, CI95%[1.24-3.16]), who had experienced serious disputes or violence during the lockdown (1.47, [1.00-2.16]), who felt they received little or no support (1.71, [1.07-2.71]), and those who changed health professionals during the lockdown (1.57, [1.04-2.36]) were all more likely to have voluntarily changed their pregnancy monitoring. Higher level of worry about the pandemic was associated with a lower probability of voluntarily changing pregnancy monitoring (0.66, [0.46 -0.96]).Conclusions Our results can guide prevention and support policies for pregnant women in the current and future pandemics.

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Maternity leave and exclusive breastfeeding

Revista de Saúde Pública ◽

10.11606/s1518-8787.2019053000244 ◽

2019 ◽

Vol 53 ◽

pp. 10

Author(s):

Karina Abibi Rimes ◽

Maria Inês Couto de Oliveira ◽

Cristiano Siqueira Boccolini

Keyword(s):

Health Care ◽

Exclusive Breastfeeding ◽

Maternity Leave ◽

Cross Sectional Study ◽

Child Health Care ◽

Cross Sectional ◽

Final Model ◽

Maternal Work ◽

Robust Variance ◽

Prevalence Ratios

OBJECTIVE: To analyze the association between maternity leave and exclusive breastfeeding and to estimate the prevalence of exclusive breastfeeding in children under six months of life. METHODS: Cross-sectional study, with mothers of children under six months of life, attended in primary health care units with Breast Milk Collection Services in the municipality of Rio de Janeiro, Brazil, in 2013 (n = 429). We analyzed characteristics concerning: maternal sociodemographic aspects, household, prenatal care, childbirth, maternal lifestyle, the child, health care, and infant feeding. Adjusted prevalence ratios (APR) were obtained by Poisson regression with robust variance according to hierarchical approach, and we kept in the final model variables that were associated (p ≤ 0.05) with exclusive breastfeeding (outcome). RESULTS: Among the interviewed mothers, 23.1% were on maternity leave and 17.2% were working. The prevalence of exclusive breastfeeding was 50.1%. The maternal work with maternity leave was associated with higher prevalence of the outcome (APR = 1.91; 95%CI 1.32–2.78), compared with mothers who worked without maternity leave. CONCLUSIONS: Maternity leave has contributed to the practice of exclusive breastfeeding for children under six months of life, which indicates the importance of this benefit in protecting exclusive breastfeeding for women inserted in the formal labor market.

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Behavioural characteristics and abdominal obesity among Brazilian shift working women

Public Health Nutrition ◽

10.1017/s1368980020003377 ◽

2020 ◽

pp. 1-7

Author(s):

Heloísa Theodoro ◽

Diego Garcia Bassani ◽

Janaína Cristina da Silva ◽

Karina Giane Mendes ◽

Gabriela Hermann Cibeira ◽

...

Keyword(s):

Abdominal Obesity ◽

Night Shift ◽

Working Women ◽

Cross Sectional Study ◽

Cross Sectional ◽

Shift Workers ◽

Robust Variance ◽

Behavioural Characteristics ◽

High Prevalence ◽

Prevalence Ratios

Abstract Objective: To explore the association between behavioural characteristics with the prevalence of abdominal obesity (AO) among a population of Southern Brazilian shift working women. Design: A cross-sectional study was conducted. AO was estimated using waist circumference (WC), and it was used to classify women as having AO (WC ≥ 88 cm). Prevalence ratios were estimated using Poisson regression with robust variance. Setting: A large plastic utensils company in Southern Brazil. Participants: 450 female shift workers. Results: The prevalence of the AO in the women shift workers was 44·5 % (95 % CI 40·0, 49·2 %). In night shift workers, the prevalence of AO was 56·1 % compared with 40·9 % among hybrid shift workers. After adjustments for covariates, women who were current smokers had a decrease in the prevalence of AO compared with those who never smoked. Women who had three or fewer meals per day had a 46 % increase in the AO prevalence compared with those eating more frequent meals. Night shift work was associated with increase in AO prevalence compared with hybrid shift (PR 1·33; 95 % CI: 1·08, 1·64). Conclusions: Our findings indicate that behavioural characteristics are associated with a high prevalence of AO in female shift workers, thus suggesting that behavioural modifications among women working shifts, such as increase in meal frequency and physical activity, may reduce AO.

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Psychological distress in the COVID-19 pandemic: prevalence and associated factors at a nursing college

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2021-0023 ◽

2021 ◽

Vol 74 (suppl 1) ◽

Author(s):

Ricardo de Mattos Russo Rafael ◽

Luiza Mara Correia ◽

Alex Simões de Mello ◽

Juliana Amaral Prata ◽

Davi Gomes Depret ◽

...

Keyword(s):

Psychological Distress ◽

Risk Group ◽

Cross Sectional Study ◽

P Value ◽

Cross Sectional ◽

Factors Associated ◽

Robust Variance ◽

High Magnitude ◽

Nursing College ◽

Prevalence Ratios

ABSTRACT Objective: to analyze the prevalence and factors associated with psychological distress in students and workers at a public nursing college during the COVID-19 pandemic. Methods: this is a cross-sectional study, carried out by a structured survey based on the internet with a sample of 477 students and workers. Prevalence ratios were calculated and adjusted Prevalence Ratios were obtained by Poisson Regression, with robust variance control and stepwise backward technique. Results: the prevalence of psychological distress was 19.29% (95%CI: 15.98-23.09). Testing (PR 1.55; p-value 0.026) and belonging to the COVID-19 risk group (1.71; p-value 0.005), perception of family atmosphere (PR 3.10; p-value <0.001), feelings of loneliness (PR 2.64; p-value <0.001) and family violence (PR 2.21; p-value 0.005) were associated with distress. Conclusions: the high magnitude of the event and its association with COVID-19, loneliness and family dynamics arouse the need to build strategies that promote a place of protection for schools.

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Current understanding and implementation of ‘care navigation’ across England: a cross-sectional study of NHS clinical commissioning groups

British Journal of General Practice ◽

10.3399/bjgp19x705569 ◽

2019 ◽

Vol 69 (687) ◽

pp. e675-e681 ◽

Cited By ~ 3

Author(s):

Stephanie Tierney ◽

Geoff Wong ◽

Kamal R Mahtani

Keyword(s):

Cross Sectional Study ◽

Descriptive Statistics ◽

Sectional Study ◽

Cross Sectional ◽

Long Term Conditions ◽

Health And Wellbeing ◽

Medical Needs ◽

Social Prescribing ◽

Evaluation Of Care

BackgroundCare navigation is an avenue to link patients to activities or organisations that can help address non-medical needs affecting health and wellbeing. An understanding of how care navigation is being implemented across primary care is lacking.AimTo determine how ‘care navigation’ is interpreted and currently implemented by clinical commissioning groups (CCGs).Design and settingA cross-sectional study involving CCGs in England.MethodA questionnaire was sent to all CCGs inviting them to comment on who provided care navigation, the type of patients for whom care navigation was provided, how individuals were referred, and whether services were being evaluated. Responses were summarised using descriptive statistics.ResultsThe authors received usable responses from 83% of CCGs (n = 162), and of these >90% (n = 147) had some form of care navigation running in their area. A total of 75 different titles were used to describe the role. Most services were open to all adult patients, though particular groups may have been targeted; for example, people who are older and those with long-term conditions. Referrals tended to be made by a professional, or people were identified by a receptionist when they presented to a surgery. Evaluation of care navigation services was limited.ConclusionThere is a policy steer to engaging patients in social prescribing, using some form of care navigator to help with this. Results from this study highlight that, although this type of role is being provided, its implementation is heterogeneous. This could make comparison and the pooling of data on care navigation difficult. It may also leave patients unsure about what care navigation is about and how it could help them.

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33. Concerning Trends of Pediatric Leprosy in Minas Gerais, Brazil and Associations with Number of Municipality Medical Facilities

Open Forum Infectious Diseases ◽

10.1093/ofid/ofaa417.032 ◽

2020 ◽

Vol 7 (Supplement_1) ◽

pp. S17-S17

Author(s):

Taylor Landay ◽

Julie A Clennon ◽

José A Ferreira ◽

Lucia A Fraga ◽

Maria Aparecida F Grossi ◽

...

Keyword(s):

Cross Sectional Study ◽

Minas Gerais ◽

Chi Square ◽

Cross Sectional ◽

Period 2 ◽

Time Period ◽

Medical Facilities ◽

Age Of Diagnosis ◽

Using Data ◽

Incident Cases

Abstract Background Leprosy in children under 15 years of age, and in particular, the presence of leprosy grade 2 disability (G2D) in children, signifies ongoing transmission and the need for improved surveillance. Our objective was to describe the epidemiology of pediatric leprosy in Minas Gerais, Brazil and to explore associations with access to medical facilities. Methods A cross-sectional study was conducted using data from the Brazilian Notifiable Diseases Surveillance System (SINAN) from 2002–2017. Incident cases were included if they resided in a municipality with both adult and pediatric cases. Municipalities were divided by the number of medical facilities per municipality: < 5, 5–17, and 18 or higher. Analyses compared pediatric cases across two time periods (2002–2009 and 2010–2017) and number of medical facilities / municipality using chi-square, t-tests, and logistic regression. Results A total of 27,725 cases were reported with 1,611 under 15 years of age. Overall incidence declined from 34.8 per 100,000 to 13.6 per 100,000 during the study period with pediatric incidence declining from 2.6 per 100,000 to 0.8 per 100,000. Time period 2 (TP2) showed an increase in the proportion of pediatric G2D (2.58% vs 1.91%, p < 0.0001) when compared to time period 1 (TP1). Mean age of diagnosis in children was younger in TP2 then in TP1 (10.06 vs 10.43, p=0.02). In 2017, the pediatric incidence in municipalities with the fewest medical facilities was 0.95 per 100,000 compared to 0.23 per 100,000 in municipalities with > 5 facilities (p=0.009). There was significantly higher odds of disability at diagnosis (grades 1 and 2) in pediatric cases residing in municipalities with < 5 medical facilities (aOR 1.88; 95% CI 1.37–2.59), adjusted for age and sex. See map (Fig 1). Figure 1. Cases of Pediatric Disability By Number of Municipality Medical Facilities from 2002–2017 (White areas without reported pediatric leprosy) Conclusion The increasing proportion of G2D in children in the second half of the study period despite declining incidence suggest occult infections among children and adults alike in Minas Gerais. Furthermore, the average age of diagnosis in children should increase, not decrease, if M. leprae transmission was truly declining. Lastly, the association between fewer municipality health facilities and increased disability suggest barriers to timely diagnosis and a critical area of focus for research into access to healthcare and leprosy risk. Disclosures All Authors: No reported disclosures

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