Determinant of Obesity Among Women From Low Income Family In RW 05 Area Sub-district Cibubur 2021

Obesity is one of the nutrition problems that the prevalence increases continuously. People from low socioeconomic status significantly increase. Likewise, obesity in a woman is more prone than man. This study aims to explore the causes of obesity in adult women who come from middle and lower families. The research was conducted using qualitative principles, which research method in-depth interviews and observations. The primary informants involved ten adult women who have obese nutritional status and the key informants were community leader and family members. Results showed the influence perception of body shape on the intention and willingness to lose weight. Wrong eating patterns are excess food intake and consumption of food and beverages, which lead to obesity along with less exercise and passive activity. Its behavior is affected by individual perceptions, social support, and the environment..

Download Full-text

Socioeconomic Disparities in Foods/Beverages and Nutrients Consumed by U.S. Adolescents When Snacking: National Health and Nutrition Examination Survey 2005–2018

Nutrients ◽

10.3390/nu13082530 ◽

2021 ◽

Vol 13 (8) ◽

pp. 2530

Author(s):

Navika Gangrade ◽

Janet Figueroa ◽

Tashara M. Leak

Keyword(s):

National Health ◽

Low Socioeconomic Status ◽

Low Income ◽

High Income ◽

Future Research ◽

Nutrition Examination Survey ◽

Middle Income ◽

Low Socioeconomic ◽

Health And Nutrition ◽

Income Ratio

Snacking contributes a significant portion of adolescents’ daily energy intake and is associated with poor overall diet and increased body mass index. Adolescents from low socioeconomic status (SES) households have poorer snacking behaviors than their higher-SES counterparts. However, it is unclear if the types of food/beverages and nutrients consumed during snacking differ by SES among adolescents. Therefore, this study examines SES disparities in the aforementioned snacking characteristics by analyzing the data of 7132 adolescents (12–19 years) from the National Health and Nutrition Examination Survey 2005–2018. Results reveal that adolescents from low-income households (poverty-to-income ratio (PIR) ≤ 1.3) have lower odds of consuming the food/beverage categories “Milk and Dairy” (aOR: 0.74; 95% CI: 0.58-0.95; p = 0.007) and “Fruits” (aOR: 0.62, 95% CI: 0.50–0.78; p = 0.001) as snacks and higher odds of consuming “Beverages” (aOR: 1.45; 95% CI: 1.19-1.76; p = 0.001) compared to those from high-income households (PIR > 3.5). Additionally, adolescents from low- and middle-income (PIR > 1.3–3.5) households consume more added sugar (7.98 and 7.78 g vs. 6.66 g; p = 0.012, p = 0.026) and less fiber (0.78 and 0.77 g vs. 0.84 g; p = 0.044, p = 0.019) from snacks compared to their high-income counterparts. Future research is necessary to understand factors that influence snacking among adolescents, and interventions are needed, especially for adolescents from low-SES communities.

Download Full-text

Predictors of Unmet Dental Health Needs in US Adults in 2018: A Cross-Sectional Analysis

JDR Clinical & Translational Research ◽

10.1177/23800844211035669 ◽

2021 ◽

pp. 238008442110356

Author(s):

D.J. Gaskin ◽

H. Zare ◽

R. McCleary ◽

O. Kanwar ◽

A.L. Davis

Keyword(s):

Socioeconomic Status ◽

Oral Health ◽

Low Socioeconomic Status ◽

Low Income ◽

The United States ◽

Permanent Teeth ◽

Dental Visit ◽

Low Socioeconomic ◽

The Past ◽

Dental Needs

Objective: To identify predictors of unmet dental needs for adults 18 y of age or older in the United States. Method: Using the Aday and Andersen framework and data from the 2018 Behavioral Risk Factor Surveillance System (BRFSS), we ran logistic regression to estimate predictors for adults of not having a dental visit within 5 y and having lost any teeth using a national sample of 155,060 survey respondents. Results: Results showed that predisposing factors (age, race/ethnicity, gender, and educational attainment) and enabling factors (income and health insurance status) are important predictors for losing teeth due to decay or gum disease. Men, the elderly, and less educated and low-income residents were less likely to have seen a dentist within the past 5 y and more likely to have lost their permanent teeth. Compared to non-Hispanic White adults, Hispanics adults were more likely to have had a dental visit within the past 5 y. Unmet dental needs varied across states. People living in states with extensive Medicaid dental care benefit coverage were less likely to lose their teeth and more likely to have had a dental visit within the past 5 y. Conclusion: Efforts to improve oral health should address unmet dental needs of men and adults with low socioeconomic status. Studying the variation between state oral health care programs could further our understanding of how public policy can improve population oral health. Knowledge Transfer Statement: Men, non-Hispanic Blacks, mixed and other race minorities, and low socioeconomic status adults are most at risk of unmet dental needs. States can address these needs by expanding Medicaid coverage for adults.

Download Full-text

Health Disparity in Complicated Colorectal Cancer

The American Surgeon ◽

10.1177/000313481007600208 ◽

2010 ◽

Vol 76 (2) ◽

pp. 164-167 ◽

Cited By ~ 2

Author(s):

Kimberly C. Bowman ◽

Parissa Tabrizian ◽

Dana A. Telem ◽

Leon Boudourakis ◽

Celia M. Divino

Keyword(s):

Colorectal Cancer ◽

Low Socioeconomic Status ◽

Low Income ◽

White Women ◽

Tertiary Care ◽

Cancer Recurrence ◽

Recurrence Rates ◽

Low Socioeconomic ◽

Black Patients ◽

Tertiary Care Institution

The purpose of this study was to assess for disparity within a cohort of patients presenting with complicated colorectal cancer. A retrospective study of 522 patients who underwent surgery for colorectal cancer at a tertiary care institution was performed. Complicated cancer was defined by perforating or obstructing colonic lesions. Statistical analysis was conducted by χ2 test and analysis of variance. Of the 522 patients, 72 patients (14%) presented with complicated colorectal cancer. Blacks in low-income brackets (36 vs 0%, P < 0.001) and those with public insurance (55 vs 16%, P < 0.05) had increased presentation with complicated colorectal cancers as compared with whites. Black (91%) and Hispanic women (86%), when compared with white women (37%) had increased incidence of complicated colorectal cancer ( P < 0.05). Patients in low-income brackets, regardless of race, had increased cancer recurrence rates (57 vs 8%, P < 0.001) compared with patients in average or high-income brackets. Mortality rate was 57 per cent in Hispanic, 29 per cent in white, and 27 per cent in black patients ( P = nonsignificant). Specific targeting of colorectal cancer screening, education, and follow-up programs is imperative for minority women and patients of low socioeconomic status.

Download Full-text

Moral Identity Among Low–Socioeconomic Status Adolescents: Stressful Events and Family Relationships Considered

Journal of Adolescent Research ◽

10.1177/0743558417713136 ◽

2017 ◽

Vol 33 (4) ◽

pp. 395-415

Author(s):

Alexandra N. Davis ◽

Cara Streit

Keyword(s):

Low Socioeconomic Status ◽

Low Income ◽

Family Relationships ◽

Conceptual Models ◽

Moral Identity ◽

Qualitative Interviews ◽

The United States ◽

Family Processes ◽

Stressful Events ◽

Low Socioeconomic

The current study aimed to examine themes surrounding the moral identity of adolescents from two low-income communities in the United States using qualitative interviews. Based on previous conceptual models, the authors aimed to examine the co-occurrence of themes of morality, stressors, and family processes. Participants were adolescents from the Northeast and Midwest ( n = 38; mean age = 15.64; 73.7% female; 23.7% Black, 30.6% Latino, and 47.4% White). The results demonstrated that morality was a salient theme among adolescents. In addition, a subset of adolescents discussed stressors and family processes in conjunction with morality. The discussion will focus on the resiliency of youth living in low-income communities.

Download Full-text

Assessing and coping with the financial burden of computed tomography utilization in Limbe, Cameroon: a sequential explanatory mixed-methods study

BMC Health Services Research ◽

10.1186/s12913-020-05830-1 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Joshua Tambe ◽

Lawrence Mbuagbaw ◽

Pierre Ongolo-Zogo ◽

Georges Nguefack-Tsague ◽

Andrew Edjua ◽

...

Keyword(s):

Health Insurance ◽

Low Socioeconomic Status ◽

Financial Burden ◽

Multivariable Analysis ◽

Mixed Methods Study ◽

Financial Hardship ◽

Low Socioeconomic ◽

Ct Utilization ◽

Explanatory Mixed Methods ◽

Depth Interviews

Abstract Background There has been a significant increase in computed tomography (CT) utilization over the past two decades with the major challenges being a high exposure to ionizing radiation and rising cost. In this study we assess the risk of financial hardship after CT utilization and elaborate on how users adapt and cope in a sub-Saharan context with user fee for services and no national health insurance policy. Methods We carried out a sequential explanatory mixed methods study with a quantitative hospital-based survey of CT users followed by in-depth interviews of some purposively selected participants who reported risk of financial hardship after CT utilization. Data was summarized using frequencies, percentages and 95% confidence intervals. Logistic regression was used in multivariable analysis to determine predictors of risk of financial hardship. Identified themes from in-depth interviews were categorized. Quantitative and qualitative findings were integrated. Results A total of 372 participants were surveyed with a male to female sex ratio of 1:1.2. The mean age (standard deviation) was 52(17) years. CT scans of the head and facial bones accounted for 63% (95%CI: 59–68%) and the top three indications were suspected stroke (27% [95%CI: 22–32%]), trauma (14% [95%CI: 10–18%]) and persistent headaches (14% [95%CI: 10–18%]). Seventy-two percent (95%CI: 67–76%) of the respondents reported being at risk of financial hardship after CT utilization and predictors in the multivariable analysis were a low socioeconomic status (aOR: 0.19 [95%CI: 0.10–0.38]; p < 0.001), being unemployed or retired (aOR: 11.75 [95%CI: 2.59–53.18]; p = 0.001) and not having any form of health insurance (aOR: 3.59 [95%CI: 1.31–9.85]; p = 0.013). Coping strategies included getting financial support from family and friends, borrowing money and obtaining discounts from the hospital administration and staff. Conclusion No health insurance ownership, being unemployed or retired and a low socioeconomic status are associated with financial hardship after CT utilization. Diverse coping strategies are utilized to lessen the financial burden, some with negative consequences. Minimizing out-of-pocket payments and/or the direct cost of CT can reduce this financial burden and improve CT access.

Download Full-text

Aesthetical perception of dental fluorosis in a Colombian low income community

CES Odontología ◽

10.21615/cesodon.33.2.4 ◽

2020 ◽

Vol 33 (2) ◽

pp. 39-48

Author(s):

Camila Fragelli ◽

Manuel Restrepo ◽

Diego Girotto Bussaneli ◽

Fabiano Jeremias ◽

Rita De Cássia Loiola Cordeiro ◽

...

Keyword(s):

Low Socioeconomic Status ◽

Low Income ◽

Dental Fluorosis ◽

Dental Health ◽

Cross Sectional Study ◽

Aesthetic Perception ◽

Chi Square ◽

Cross Sectional ◽

Significance Level ◽

Low Socioeconomic

Introduction and objective: The Dental Fluorosis (DF) is a development defect of enamel resulting from overexposure to fluoride and can aesthetically compromise the patient. This study aims to investigate the relationship between aesthetic perception and dental fluorosis (DF) in a low-income community with high DF prevalence. Materials and methods: A cross-sectional study was conducted with 171 Colombian schoolchildren aged 8 to 12 years living in low socioeconomic community (El Cedro, district of Ayapel, Córdoba, Colombia). After receiving authorization, the students were examined for DMFT and dmft indexes (WHO criteria), and for DF (TF index). The aesthetic perceptions were verified by the Child Perceptions Questionnaire About Tooth Appearance (CQATA). Data analysis was carried out using descriptive statistics, the chi-square test, the Student´s t-test, the one-way ANOVA test, and linear regression at a significance level of p ≤ 0.05. Results: The prevalence of DF in this sample was 84.8% (n=145). Only the presence of caries (DMFT/ deft≠ 0) had a significant impact on aesthetic perceptions. A significantly lower rate was found in girls for the report of pleasant color domain. The number of teeth affected by DF had a significant positive correlation with mean overall perception of dental health. Conclusion: The presence of mild DF in children with low socioeconomic status, from a population with a high prevalence of the condition, did not seem to have an impact on the report of pleasant color of teeth domain.

Download Full-text

Low socioeconomic status relates to asthma and wheeze, especially in women

ERJ Open Research ◽

10.1183/23120541.00258-2019 ◽

2020 ◽

Vol 6 (3) ◽

pp. 00258-2019

Author(s):

Christian Schyllert ◽

Anne Lindberg ◽

Linnea Hedman ◽

Caroline Stridsman ◽

Martin Andersson ◽

...

Keyword(s):

Socioeconomic Status ◽

Allergic Asthma ◽

Low Socioeconomic Status ◽

Low Income ◽

Educational Level ◽

Market Research ◽

Postal Questionnaire ◽

Current Asthma ◽

Low Socioeconomic ◽

Increased Risk

Low socioeconomic status (SES) has been associated with asthma and wheezing. Occupational group, educational level and income are commonly used indicators for SES, but no single indicator can illustrate the entire complexity of SES. The aim was to investigate how different indicators of SES associate with current asthma, allergic and nonallergic, and asthmatic wheeze.In 2016, a random sample of the population aged 20–79 years in Northern Sweden were invited to a postal questionnaire survey, with 58% participating (n=6854). The survey data were linked to the national Integrated Database for Labour Market Research by Statistics Sweden for the previous calendar year, 2015. Included SES indicators were occupation, educational level and income.Manual workers had increased risk for asthmatic wheeze, and manual workers in service for current asthma, especially allergic asthma. Primary school education associated with nonallergic asthma, whereas it tended to be inversely associated with allergic asthma. Low income was associated with asthmatic wheeze. Overall, the findings were more prominent among women, and interaction analyses between sex and income revealed that women, but not men, with low income had an increased risk both for asthmatic wheeze and current asthma, especially allergic asthma.To summarise, the different indicators of socioeconomic status illustrated various aspects of associations between low SES and asthma and wheeze, and the most prominent associations were found among women.

Download Full-text

Making the best of it: Adolescents' perceptions of how their home and neighborhood spheres shape their lives

Nordic Journal of Social Research ◽

10.7577/njsr.3918 ◽

2021 ◽

Vol 12 (1) ◽

pp. 111-131

Author(s):

Vibeke Krane ◽

Ellen Andvig

Keyword(s):

Low Income ◽

Social Life ◽

Well Being ◽

Subjective Experiences ◽

Income Family ◽

Future Outcomes ◽

Housing Standards ◽

Underlying Processes ◽

Depth Interviews

Adolescents’ homes are fundamental components of their living conditions and essential for their everyday life, health, well-being and development. Previous research has focused on how housing affects adolescents through investigating certain aspects of adolescent health and future outcomes. In this qualitative study, we explored low-income family adolescents’ subjective experiences of their homes and in what ways their experiences of housing influenced their everyday lives. Seven participants aged between 12 and 20 years were recruited through a housing project. The participants were interviewed using individual in-depth interviews. The data were analysed using a thematic analysis and organised into four themes: 1) housing features affecting social life and privacy, 2) moving around, 3) the importance of neighbourhood and 4) worries and dreams. The findings show how the housing standards affected adolescents’ social life and privacy. House moves could provide new opportunities but also lead to a lack of continuity in relationships. The neighbourhood was highlighted as a public sphere, providing access to places and friends. Adolescents’ worries and dreams concerning housing conditions are also presented. The results show how housing is central in shaping adolescents’ social relationships, the importance of access to neighbourhood spheres and how adolescents adapt to their situation. The findings further reveal the important underlying processes to facilitate a greater understanding of the role of housing in low-income family adolescents’ lives.

Download Full-text

Developing and implementing a new methodology to test the affordability of currently popular weight loss diet meal plans and healthy eating principles

BMC Public Health ◽

10.1186/s12889-021-12447-4 ◽

2022 ◽

Vol 22 (1) ◽

Author(s):

Ella L. Bracci ◽

Rachel Milte ◽

Jennifer B. Keogh ◽

Karen J. Murphy

Keyword(s):

Weight Loss ◽

Healthy Eating ◽

Low Socioeconomic Status ◽

Low Income ◽

Grocery Shopping ◽

Unit Size ◽

Low Socioeconomic ◽

Meal Plan ◽

The Cost

Abstract Background Weight loss diets continue to rise in popularity; however, the associated costs are seldom reported. Certain weight loss diets may be unaffordable and differ from their traditional nutrition composition to include non-conventional premium products. In contrast, healthy eating principles such as the Australian Guide to Healthy Eating (AGHE) and the Mediterranean Diet (MedDiet) place an emphasis on fresh produce and staple foods but are sometimes thought to be unaffordable. A new methodology was piloted to assess the cost of weight loss diets using seven meal plans. Methods Seven meal plans were analysed to quantify the absolute grams required of all ingredients across seven days and multiplied by the cost of the ingredient per gram to determine the total cost of each ingredient based on unit size and price. The weekly grocery shopping cost was determined through summation of all ingredients and their entire unit size to compare weekly costs. Results Weekly meal plans (absolute grams) cost between $93-193AUD. The AGHE meal plan was the least expensive and 8 Weeks to Wow was the most expensive. Weekly grocery shopping of entire units cost between $345-$625AUD, over $100AUD greater than the spending of an average Australian ($237AUD/week). Conclusions The financial feasibility for long-term sustainment of weight loss diets may be questionable for groups including low-income earners and low socioeconomic status. Further, when dietary patterns are adapted for weight loss, or followed by consumers, deviations from foundational principles tend to occur which may influence overall cost.

Download Full-text

Associations of rural residence and low socioeconomic status on the risk of new onset cardiovascular disease (CVD) in cancer patients.

Journal of Clinical Oncology ◽

10.1200/jco.2020.38.29_suppl.90 ◽

2020 ◽

Vol 38 (29_suppl) ◽

pp. 90-90

Author(s):

Atul Batra ◽

Shiying Kong ◽

Rodrigo Rigo ◽

Winson Y. Cheung

Keyword(s):

Socioeconomic Status ◽

Educational Attainment ◽

Cancer Patients ◽

Low Socioeconomic Status ◽

Low Income ◽

Low Ses ◽

Rural Residence ◽

Low Socioeconomic ◽

Low Education

90 Background: Cancer patients are predisposed to CVD due to cancer treatments and shared risk factors (smoking/physical inactivity). We aimed to assess if rural residence and low socioeconomic status (SES) modify the risk of developing CVD. Methods: Patients diagnosed with non-metastatic solid organ cancers without baseline CVD in a large Canadian province from 2004 to 2017 were identified using the population-based registry. Postal codes were linked with Census data to determine rural residence as well as neighborhood-level income and educational attainment. Low income was defined as <46000 CAD/annum; low education was defined as a neighborhood in which <80% attended high school. Myocardial infarction, congestive heart failure, arrythmias and cerebrovascular accident constituted as CVD.We performed logistic regression analyses to examine the associations of rural residence and low SES with the development of CVD, adjusting for measured confounding variables. Results: We identified 81,275 patients diagnosed with cancer without pre-existing CVD. The median age was 62 years and 54.2% were women. The most prevalent cancer types included breast (28.6%), prostate (23.1%), and colorectal (14.9%). At a median follow-up of 68 months, 29.4% were diagnosed with new CVD. The median time from cancer diagnosis to CVD was 29 months. Rural patients (32.3 vs 28.4%,P < .001) and those with low income (30.4% vs 25.9%,P < .001) or low educational attainment (30.7% vs 27.6%,P < .001) experienced higher rates of CVD. After adjusting for baseline factors and treatment, rural residence (odds ratio[OR], 1.07; 95% confidence interval[CI], 1.04-1.11;P < .001), low income (OR,1.17;95%CI,1.12-1.21;P < .001) and low education (OR,1.08;95%CI,1.04-1.11;P < .001) continued to associate with higher odds of CVD. Further, patients with colorectal cancer were more likely to develop CVD compared with other tumors (OR,1.12;95% CI,1.04-1.16;P = .001). A multivariate Cox regression model showed that patients with low SES were more likely to die, but patients residing rurally were not. Conclusions: Approximately one-third of cancer survivors develop CVD on follow-up. Despite universal healthcare, marginalized populations experience different CVD risk profiles that should be considered when operationalizing lifestyle modification strategies and cardiac surveillance programs. [Table: see text]

Download Full-text