scholarly journals Acceptance of a Third Dose of COVID-19 Vaccine and Associated Factors in China Based on Health Belief Model: A National Cross-Sectional Study

Vaccines ◽  
2022 ◽  
Vol 10 (1) ◽  
pp. 89
Author(s):  
Chenyuan Qin ◽  
Ruitong Wang ◽  
Liyuan Tao ◽  
Min Liu ◽  
Jue Liu
Keyword(s):  
Logistic Regression ◽  
Health Beliefs ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Perceived Susceptibility ◽  
The Third ◽  
Multivariable Logistic Regression ◽  
Cues To Action ◽  
High Level

COVID-19 infections are returning to many countries because of the emergence of variants or declining antibody levels provided by vaccines. An additional dose of vaccination is recommended to be a considerable supplementary intervention. We aim to explore public acceptance of the third dose of the COVID-19 vaccine and related influencing factors in China. This nationwide cross-sectional study was conducted in the general population among 31 provinces in November, 2021. We collected information on basic characteristics, vaccination knowledge and attitudes, and vaccine-related health beliefs of the participants. Univariable and multivariable logistic regression models were used to assess factors associated with the acceptance of a third COVID-19 vaccine. A total of 93.7% (95% CI: 92.9–94.6%) of 3119 Chinese residents were willing to receive a third dose of the COVID-19 vaccine. Individuals with low level of perceived susceptibility, perceived benefit, cues to action cues, and high level of perceived barriers, old age, low educational level, low monthly household income, and low knowledge score on COVID-19 were less likely to have the acceptance of a third dose of COVID-19 (all p < 0.05). In the multivariable logistic regression model, acceptance of the third dose of COVID-19 vaccine was mainly related to previous vaccination history [Sinopharm BBIP (aOR = 6.55, 95% CI 3.30–12.98), Sinovac (aOR = 5.22, 95% CI:2.72–10.02), Convidecia (aOR = 5.80, 95% CI: 2.04–16.48)], high level of perceived susceptibility (aOR = 2.48, 95% CI: 1.48–4.31) and high level of action cues (aOR = 23.66, 95% CI: 9.97–56.23). Overall, residents in China showed a high willingness to accept the third dose of COVID-19 vaccines, which can help vaccine manufacturers in China to manage the vaccine production and distribution for the huge domestic and international vaccine demand. Relevant institutions could increase people’s willingness to booster shots by increasing initial COVID-19 vaccination rates, public’s perception of COVID-19 susceptibility and cues to action through various strategies and channels. Meanwhile, it also has certain reference significance for other countries to formulate vaccine promotion strategies.

scholarly journals DETERMINANTS OF PARENT’S DECISIONS IN IMMUNIZING MEASLES RUBELLA (MR) VACCINE

2021 ◽  
Vol 4 (1) ◽  
pp. 82
Author(s):  
Devi Maya Arista ◽  
Dwiyanti Puspitasari ◽  
Sri Utami
Keyword(s):  
Self Efficacy ◽  
Immunization Coverage ◽  
Cross Sectional Study ◽  
Regression Result ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Perceived Susceptibility ◽  
Logistic Regression Result ◽  
Cues To Action

AbstractBackground: The government’s effort to reduce measles and rubella transmission are by increasing MR immunization coverage. The immunization coverage was influenced by parent’s decisions. There were factors that related with parent’s decisions such as knowledge, perceived susceptibility, seriousness, benefit, barrier, self-efficacy, and cues to action. This study aimed to analyze factors  related with parent’s decisions in giving MR immunization. Methods: This was a cross sectional study using questionnaire among parents of children aged 10-30 months at working area of Kenjeran public health center, Surabaya. Data of knowledge, perceived susceptibility, seriousness, benefit, barrier, self-efficacy, and cues to action regarding MR immunization then analyzed using chi-square and logistic regression. Result: From 206 parents, 56.3% were giving MR immunization to their children. Parent’s knowledge (p=0.023; OR=18.08), perceived barrier (p=0.002; OR=46.79), and self-efficacy (p=0.033; OR=7.66) were related with parent’s decisions. Conclusion: Parent’s decisions in giving MR immunization was related with knowledge, perceived barrier, and self-efficacy. 

scholarly journals PREVALENCE, PATTERNS AND PERCEPTION OF TOBACCO USE AMONG HEALTH SCIENCES UNDERGRADUATE STUDENTS IN MALAYSIA: A CROSS SECTIONAL STUDY

2021 ◽  
Vol 21 (2) ◽  
pp. 88-94
Author(s):  
Priyadarshini Ramamurthy ◽  
Bennete Fernandes ◽  
Avita Rath
Keyword(s):  
Logistic Regression ◽  
Tobacco Use ◽  
Undergraduate Students ◽  
Peer Pressure ◽  
Cross Sectional Study ◽  
Health Sciences ◽  
Health Science ◽  
Sectional Study ◽  
Cross Sectional ◽  
Multivariable Logistic Regression

The aim of this study was to determine the prevalence and patterns of tobacco use among health sciences undergraduate students. A cross-sectional study was conducted among 422 students in four health sciences faculties at a private university in Kota Damansara, Selangor Malaysia. Data was collected through a self-administrated validated questionnaire, adopted and modified from the Global Youth Tobacco Survey. The survey  was administered online  using a Google Form for the participants to fill. Data was analysed using SPSS version 22. Descriptive statistics was used to express results in percentage. Chi-square test and multivariable logistic regression was used to test the association of smoking status and demographic variables. p value of <0.05 was considered as statistically significant. Results showed that more than 90% of the respondents were aware of the harmful effects of tobacco and effects of passive smoking. About one fifth of the participants had used tobacco (19%) in our study. Out of the tobacco users, 95% had used tobacco in more than one form. The most important reasons for smoking were peer pressure (36%) and stress (35%). No significant differences were found between age,  faculty, year of study, or nationality, with the use of tobacco. Multivariable logistic regression analysis showed significant gender differences in smoking with more smokers among males than females. In conclusion, about one fifth of the health science undergraduate students had  used tobacco products in our study reflecting a seemingly inappropriate portrait as compared to their future careers as health professionals. Therefore, there is an urgent need for reinforcement of education and assistance on quitting tobacco usage among the undergraduates of health science faculties.

scholarly journals Mild behavioral impairment is related to frailty in non-dementia older adults: a cross-sectional study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Shaoyi Fan ◽  
Ximin Liang ◽  
Tianchan Yun ◽  
Zhong Pei ◽  
Bin Hu ◽  
...  
Keyword(s):  
Older Adults ◽  
Logistic Regression ◽  
Cross Sectional Study ◽  
Consecutive Series ◽  
Sectional Study ◽  
Behavioral Impairment ◽  
Cross Sectional ◽  
Multivariable Logistic Regression ◽  
Increased Risk ◽  
The Relationship

Abstract Background Frailty and cognitive decline are highly prevalent among older adults. However, the relationship between frailty and mild behavioral impairment (MBI), a dementia risk syndrome characterized by later-life emergence of persistent neuropsychiatric symptoms, has yet to be elucidated. We aimed to evaluate the associations between MBI and frailty in older adults without dementia. Methods In this cross-sectional study, a consecutive series of 137 older adults without dementia in the Anti-Aging Study, recruited from primary care clinics, were enrolled. Frailty was estimated using the Fried phenotype. MBI was evaluated by the Mild Behavioral Impairment Checklist (MBI-C) at a cut-off point of > 8. Cognition was assessed with the Chinese versions of the Montreal Cognitive Assessment (MoCA-BC) and Mini-mental State Examination (MMSE). Multivariable logistic regression was performed to estimate the relationship between MBI and objective cognition with frailty status. Results At baseline, 30.7% of the older adults had frailty and 18.2% had MBI (MBI+ status). Multivariable logistic regression analysis demonstrated that compared to those without MBI (MBI- status), MBI+ was more likely to have frailty (odds ratio [OR] = 7.44, 95% CI = 1.49–37.21, p = 0.02). Frailty and MBI were both significantly associated with both MMSE and MoCA-BC score (p < 0.05). Conclusions Both frailty and MBI status were associated with higher odds of cognitive impairment. MBI was significantly associated with an increased risk of having frailty in the absence of dementia. This association merits further study to identify potential strategies for the early detection, prevention and therapeutic intervention of frailty.

scholarly journals A cross-sectional study on the association of serum uric acid levels with depressive and anxiety symptoms in people with epilepsy

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rui Zhong ◽  
Qingling Chen ◽  
Mengmeng Li ◽  
Nan Li ◽  
Chaojia Chu ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Uric Acid ◽  
Depressive Symptoms ◽  
Serum Uric Acid ◽  
Cross Sectional Study ◽  
Anxiety Symptoms ◽  
Chinese Version ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Third

Abstract Background High serum uric acid (SUA) levels may provide protection against depression and anxiety through its defensive role in oxidative damage. The aim of this study was to test the hypothesis of the independent associations of lower SUA levels with depressive and anxiety symptoms among patients with epilepsy (PWE). Methods A cross-sectional study was performed among 320 PWE aged ≥18 years old in Northeast China. The Neurological Disorders Depression Inventory for Epilepsy (NDDI-E; Chinese version) and the Generalized Anxiety Disorder-7 scale (GAD-7; Chinese version) were used as screening tools for depressive and anxiety symptoms for PWE. Serum uric acid levels were measured. The associations of SUA levels with depressive and anxiety symptoms were assessed by using binary logistic regression models, with adjustment for the related risk factors (P< 0.05). Results Lower SUA tertiles were significantly associated with higher C-NDDI-E and GAD-7 scores compared with the higher two tertiles (p=0.001, and p= 0.002). Patients with depressive symptoms exhibited significantly lower SUA levels compared to those without depressive symptoms (p< 0.001). SUA levels of patients with anxiety symptoms were significantly lower than those of patients without anxiety symptoms (p< 0.001). The first and second SUA tertiles were associated with depressive symptoms, with the third tertile group as the reference group, after adjusting for confounders (first tertile: OR = 4.694, 95% CI = 1.643~ 13.413, P = 0.004; second tertile: OR = 3.440, 95% CI = 1.278~9.256, P = 0.014). However, The first and second SUA tertiles were not associated with the risk of anxiety symptoms compared with the third tertile in the adjusted logistic regression model (First tertile: OR = 1.556, 95% CI = 0.699~3.464, P = 0.279; second tertile: OR = 1.265, 95% CI = 0.607~2.635, P = 0.530). Conclusion We found that lower SUA levels were independently associated with depressive symptoms but not with anxiety symptoms among PWE. Further well-designed prospective cohort studies are required to determine the causality of the associations and to further clarify the mechanisms of SUA in depressive symptoms.

scholarly journals Anaemia Prevalence and Contributory Factors among Children in Uttarakhand, India

2020 ◽  
pp. 41-51
Author(s):  
Shweta Suri ◽  
Anuradha Dutta ◽  
Rita Singh Raghuvanshi ◽  
Anupama Singh ◽  
C. S. Chopra
Keyword(s):  
Logistic Regression ◽  
Regression Analysis ◽  
Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
Health Concern ◽  
Multivariable Logistic Regression Analysis ◽  
Sectional Study ◽  
Cross Sectional ◽  
Multivariable Logistic Regression ◽  
History Of

Background: In India, Anaemia among children is still one of the major nutritional problems of public health concern. Aim of the Study: The aim of the present study was to assess the prevalence of anaemia among Anganwadi children (3-6 years of age) and to determine the important risk factors associated with anaemia. Study Design: Cross-sectional study. Place and Duration of Study: Study was conducted among 390 Anganwadi children of Udham Singh Nagar district of Uttarakhand, during April, 2019- August, 2019. Methodology: In this cross sectional study, data on socio-demographic, socioeconomic, hygiene and dietary practices were collected using a self-structured questionnaire. Hemoglobin (Hb) and anthropometric measurements were carried out. Multivariable logistic regression analysis was employed to estimate the adjusted odds ratio (AOR). Results: A majority, 70.54% of the Anganwadi children were found to be anaemic, with higher prevalence among male children (51.30%) as compared to female children (48.70%). The mean hemoglobin concentration of children was 9.91 (±1.9 g/dl). Stunting was higher among males (54.83%) as compared to females (45.17%).Multivariable logistic regression analysis showed that anaemia was significantly associated with monthly income of family AOR (95% CI) 3.25(2.49, 4.00), mother's illiteracy AOR (95% CI) 1.98 (1.49, 2.46), history of anaemia in mother AOR (95% CI) 1.60(0.67, 2.52 ), history of worms in child's stool AOR (95% CI) 3.17(2.26,4.03), barefoot walking AOR (95% CI) 3.08(2.11,4.04) and lack of habit of hand washing AOR (95% CI) 1.55(0.98, 2.11). Conclusion: The prevalence of anaemia among children was high. Iron supplementation, nutrition education among mothers and overall personal hygiene are important to ameliorate their iron status.

scholarly journals Anxiety Levels of Doctors Working in Kolkata during COVID-19 Pandemic: A Cross-sectional Study

2021 ◽  
Vol 9 (1) ◽  
pp. 23-31
Author(s):  
Ankush Banerjee ◽  
Bobby Paul ◽  
Aparajita Dasgupta ◽  
Madhumita Bhattacharyya ◽  
Lina Bandyopadhyay ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Logistic Regression ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
High Anxiety ◽  
Cross Sectional ◽  
Multivariable Logistic Regression ◽  
Anxiety Levels ◽  
Study Participants

Introduction: Doctors are amongst the major frontline health-care providers combating the ongoing COVID-19 pandemic situation. This overwhelming burden has not only resulted in physical exhaustion but also taken a toll on their mental health. It is thus important to determine the anxiety levels among doctors working in Kolkata and identify its associated factors which can serve as important evidence for promotion of mental well-being among them. Methodology: This cross-sectional study was done through online social media platform-based survey from August to October 2020, in Kolkata, among 313 doctors. Levels of anxiety was assessed by the Generalized Anxiety Disorder-7 scale (modified for COVID-19 pandemic). Univariate and multivariable logistic regression was done to find out the association of risk factors with high anxiety levels among the study participants. Results: Among 313 study participants,31.9% had mild, 22% moderate and 6.4% had severe anxiety levels. Multivariable logistic regression analysis showed that younger age, female gender, working in government sector, presence of associated co-morbid medical condition, working as designated frontline COVID-19 health-care worker, working in increasing number of high-risk areas in the health facility, poor quality of available personal protective equipment and increasing number of difficulties faced while working had significant association with high anxiety levels. Conclusion: Present study showed that considerable proportion (28.4%) of doctors had high anxiety levels. Maintaining appropriate COVID-19 protocols at the workplace, periodic health check-up to detect co-morbidity at the earliest, counseling services with particular attention to female providers would add on to betterment of their mental health.

scholarly journals Mild behavioral impairment is related to frailty in non-dementia older adults: a cross-sectional study

2020 ◽  
Author(s):  
Shaoyi Fan ◽  
Ximin Liang ◽  
Tianchan Yun ◽  
Zhong Pei ◽  
Bin Hu ◽  
...  
Keyword(s):  
Older Adults ◽  
Logistic Regression ◽  
Cross Sectional Study ◽  
Consecutive Series ◽  
Sectional Study ◽  
Behavioral Impairment ◽  
Cross Sectional ◽  
Multivariable Logistic Regression ◽  
Increased Risk ◽  
The Relationship

Abstract Background: Frailty and cognitive decline are highly prevalent among older adults. However, the relationship between frailty and mild behavioral impairment (MBI), a dementia risk syndrome characterized by later-life emergence of persistent neuropsychiatric symptoms, has yet to be elucidated. We aimed to evaluate the associations between MBI and frailty in older adults without dementia.Methods: In this cross-sectional study, a consecutive series of 137 older adults without dementia in the Anti-Aging Study, recruited from primary care clinics, were enrolled. Frailty was estimated using the Fried phenotype. MBI was evaluated by the Mild Behavioral Impairment Checklist (MBI-C) at a cut-off point of >8. Cognition was assessed with the Chinese versions of the Montreal Cognitive Assessment (MoCA-BC) and Mini-mental State Examination (MMSE). Multivariable logistic regression was performed to estimate the relationship between MBI and objective cognition with frailty status.Results: At baseline, 30.7% of the older adults had frailty and 18.2% had MBI (MBI+ status). Multivariable logistic regression analysis demonstrated that compared to those without MBI (MBI- status), MBI+ was more likely to have frailty (odds ratio [OR] = 7.44, 95% CI = 1.49-37.21, p = 0.02). Frailty and MBI were both significantly associated with both MMSE and MoCA-BC score (p<0.05).Conclusions: Both frailty and MBI status were associated with higher odds of cognitive impairment. MBI was significantly associated with an increased risk of having frailty in the absence of dementia. This association merits further study to identify potential strategies for the early detection, prevention and therapeutic intervention of frailty.

scholarly journals Nearly one-in-five mothers avoid colostrum in North Wollo Zone, Ethiopia: an institution-based cross-sectional study

2021 ◽  
Vol 10 ◽  
Author(s):  
Misgan Legesse Liben ◽  
Nigus Bililign Yimer ◽  
Fentaw Wassie Feleke
Keyword(s):  
Logistic Regression ◽  
Breast Feeding ◽  
Cross Sectional Study ◽  
Multivariable Logistic Regression Analysis ◽  
Sectional Study ◽  
Child Feeding ◽  
Cross Sectional ◽  
Timely Initiation ◽  
Multivariable Logistic Regression ◽  
North Wollo

Abstract Colostrum contains antibodies that protect the newborn against disease. Despite this fact, many Ethiopian mothers see colostrum feeding as a cause of neonatal morbidity and mortality. These mothers believe that colostrum must discard to alleviate this effect. However, the cause of this misconception about colostrum was not well researched, particularly in this study area. The main aim of the present study was to assess colostrum avoidance and associated factors among mothers having children aged 6–59 months in North Wollo Zone, Northeastern Ethiopia. An institution-based cross-sectional study design was used. Descriptive statistics, binary and multivariable logistic regression analyses were used for the statistical analysis. The prevalence of colostrum avoidance was 19 % (95 % CI 15⋅03, 22⋅89 %) among mother–child pair aged 6–59 months. In multivariable logistic regression analysis, the most important predictors were breast-feeding initiation Adjusted Odds Ratio (AOR) 6⋅369; 95 %, Confidence Interval (CI) (3⋅067, 13⋅224), pre-lacteal feeding AOR 3⋅464; 95 % CI (1⋅721, 6⋅973), shared household decision about child feeding AOR 3⋅585; 95 % CI (1⋅563, 7⋅226), Index child sex AOR 2⋅103; 95 % CI (1⋅015, 4⋅358) and health facility delivery AOR 3⋅033; 95 % CI (1⋅293, 7⋅117). The colostrum avoidance in the present study was 19 %. The study recommends the promotion of institutional delivery, timely initiation of breast-feeding, the shared household decisions about child feeding, avoiding sex preferences and stopping pre-lacteal feeding were critically important.

scholarly journals The Burden of Overweight and its Risk Factors in Urban Nepalese School Adolescents: A Cross-Sectional Study

2021 ◽  
Vol 4 (4) ◽  
Author(s):  
Kamal Chaulagain
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Cross Sectional Study ◽  
Communicable Diseases ◽  
Family Type ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Non Communicable Diseases ◽  
Multivariable Logistic Regression

Introduction: Adolescent’s overweight is rising in both developing and developed countries. Overweight and obese adolescents are more likely to become obese adults which stimulate the risk of non-communicable diseases such as diabetes, cardiovascular diseases and so on. Adolescence is the critical period for development of unhealthy lifestyles and food choices which increases the risk of NCDs. The loss of productivity, premature deaths and disability has been associated with NCDs at younger ages. This study focuses on identifying the prevalence and associated risk factors with adolescents’ overweight. Methods: A school based cross-sectional study was conducted between August-October 2020 in Gokarneshwor municipality of Nepal. A random sample of 558 students aged 10-19 years from nine schools was included in the study. A self-administered questionnaire was filled out by the study participants. Anthropometric indices were measured and categorized using BMI for age Z-score. Descriptive statistics were carried out. Variables were considered for multivariable logistic regression if a Wald test p-value was ≤0.25 during bivariate logistic regression. The odds ratio with a 95% CI was calculated and a p-value of ≤0.05 was considered to declare the statistical significance of variables after fitting into the multivariable logistic regression. Results: The prevalence of overweight among school adolescents was 17.9% (95% CI 14.7 to 21.1). The female adolescents were more likely to get overweight as compared to male adolescents (AOR 1.53, 95% CI 0.97 to 2.39). Similarly, the adolescents staying with more than four family members were less likely to get overweight as compared to their counterparts (AOR 0.57, 95% CI 0.35 to 0.95). There was no statistical significant association between adolescent overweight and age group, family type, school type, mothers’ occupation or fruits consumption. Conclusion: The study findings highlighted the accelerated increase in the prevalence of overweight among school adolescents in Nepal. Therefore, appropriate nutritional intervention focusing on tackling overweight should be formulated and implemented so that the prevalence of overweight-associated non-communicable diseases can be minimized.

scholarly journals PREVALENCE, PATTERNS AND PERCEPTION OF TOBACCO USE AMONG HEALTH SCIENCES UNDERGRADUATE STUDENTS IN MALAYSIA: A CROSS SECTIONAL STUDY

2021 ◽  
Vol 21 (2) ◽  
pp. 88-94
Author(s):  
Priyadarshini Ramamurthy ◽  
Bennete Fernandes ◽  
Avita Rath
Keyword(s):  
Logistic Regression ◽  
Tobacco Use ◽  
Undergraduate Students ◽  
Peer Pressure ◽  
Cross Sectional Study ◽  
Health Sciences ◽  
Health Science ◽  
Sectional Study ◽  
Cross Sectional ◽  
Multivariable Logistic Regression

The aim of this study was to determine the prevalence and patterns of tobacco use among health sciences undergraduate students. A cross-sectional study was conducted among 422 students in four health sciences faculties at a private university in Kota Damansara, Selangor Malaysia. Data was collected through a self-administrated validated questionnaire, adopted and modified from the Global Youth Tobacco Survey. The survey  was administered online  using a Google Form for the participants to fill. Data was analysed using SPSS version 22. Descriptive statistics was used to express results in percentage. Chi-square test and multivariable logistic regression was used to test the association of smoking status and demographic variables. p value of <0.05 was considered as statistically significant. Results showed that more than 90% of the respondents were aware of the harmful effects of tobacco and effects of passive smoking. About one fifth of the participants had used tobacco (19%) in our study. Out of the tobacco users, 95% had used tobacco in more than one form. The most important reasons for smoking were peer pressure (36%) and stress (35%). No significant differences were found between age,  faculty, year of study, or nationality, with the use of tobacco. Multivariable logistic regression analysis showed significant gender differences in smoking with more smokers among males than females. In conclusion, about one fifth of the health science undergraduate students had  used tobacco products in our study reflecting a seemingly inappropriate portrait as compared to their future careers as health professionals. Therefore, there is an urgent need for reinforcement of education and assistance on quitting tobacco usage among the undergraduates of health science faculties.

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