scholarly journals Impact of economic disruptions and disease experiences on COVID-19 vaccination uptake in Asia: A study in Malaysia

Narra J ◽  
2021 ◽  
Vol 1 (2) ◽  
Author(s):  
Abram L. Wagner ◽  
Yogambigai Rajamoorthy ◽  
Niazlin M. Taib
Keyword(s):  
Employment Status ◽  
Logistic Regression Model ◽  
Multinomial Logistic Regression ◽  
Asian Country ◽  
Vaccination Status ◽  
Multinomial Logistic Regression Model ◽  
Cross Sectional ◽  
Equitable Allocation ◽  
Stable Employment ◽  
The Impact

During the coronavirus disease 2019 (COVID-19) pandemic, individuals have had a variety of experiences with the disease and economic disruptions in Asia. We assessed how these experiences could impact COVID-19 vaccination intent and uptake in one of the Asian country, Malaysia. Two opt-in internet-based cross-sectional samples were collected: a March wave (26 March – 7 April 2021) and a June wave (22 June – 10 July 2021). Individuals were asked about their vaccination status, their employment status, and their experience with COVID-19 cases. The impact of economic disruptions and experiences with COVID-19 on COVID-19 vaccination was assessed through a multivariable, multinomial logistic regression model. Among 1,493 participants (735 in March and 758 in June wave), 26% were already vaccinated, 57% planned to vaccinate, and 17% had no plan to vaccinate. The number who had lost a job or earned less because of the pandemic was 30% in March and 36% in June. Across both waves, 5%-6% had a personal, very serious experience of COVID-19, 13%-16% knew of a family member or friend with a very serious experience of COVID-19, and 43%-61% knew of a very serious COVID-19 case through media. Notably, compared to those who worked the same amount throughout the pandemic, those who lost their job had lower odds of already being vaccinated (OR: 0.37; 95%CI: 0.23, 0.59), but similar odds of planning to become vaccinated. Personal, family/friend, and media experiences were also all related to increased odds of planning to vaccinated or being already vaccinated. The COVID-19 pandemic has led to large disruptions in people’s lives. People’s experiences during the pandemic impact their likelihood of being vaccinated or planning to vaccinate against COVID-19. Equitable allocation of COVID-19 vaccines will require outreach to groups with less stable employment and can leverage people’s experiences with disease during the pandemic.

scholarly journals Perceval or Trifecta to Prevent Patient–Prosthesis Mismatch

2020 ◽  
Vol 9 (9) ◽  
pp. 2964
Author(s):  
Daniel Hernandez-Vaquero ◽  
Carlota Vigil-Escalera ◽  
Yvan Persia ◽  
Carlos Morales ◽  
Isaac Pascual ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Aortic Valve ◽  
Logistic Regression Model ◽  
Multinomial Logistic Regression ◽  
The Other ◽  
Multinomial Logistic Regression Model ◽  
Patient Prosthesis Mismatch ◽  
The Impact ◽  
Similar Risk ◽  
Severe Patient

The Trifecta aortic valve has excellent hemodynamics characteristics. Moreover, the Perceval prosthesis may achieve better hemodynamics than the conventional valves; therefore, it has been proposed to reduce the incidence of patient–prosthesis mismatch. Our aim was to compare the prevalence of this complication between both prostheses. All patients who underwent valve replacement with a Perceval or a Trifecta from 2016 to 2020 at our institution were included. We calculated the prevalence of patient–prosthesis mismatch for each prosthesis and size and performed a multinomial logistic regression model to investigate the impact of choosing one prosthesis over the other. A total of 516 patients were analyzed. Moderate mismatch was present in 33 (8.6%) in the Trifecta group and 28 (21.4%) in the Perceval group, p < 0.001. Severe mismatch was present in 8 (2.1%) patients with Trifecta and 5 (3.8%) patients with Perceval, p = 0.33. Compared with the Perceval, the Trifecta prosthesis was shown to reduce moderate patient–prosthesis mismatch: OR = 0.5 (95% CI 0.3–0.9, p = 0.02). Both prostheses led to a similar risk of severe patient–prosthesis mismatch: OR = 0.9 (95% CI 0.3–2.8, p = 0.79). Both prostheses provide a very low risk of severe patient–prosthesis mismatch. Compared with the Perceval prothesis, the Trifecta prosthesis is able to reduce by 50% the risk of moderate mismatch.

Understanding the Impact of Bullying in a Unionized U.S. Public Sector Workforce

2019 ◽  
Vol 68 (3) ◽  
pp. 139-153 ◽  
Author(s):  
Mazen El Ghaziri ◽  
Shellie Simons ◽  
Jane Lipscomb ◽  
Carla L. Storr ◽  
Kathleen McPhaul ◽  
...  
Keyword(s):  
Public Sector ◽  
Organizational Climate ◽  
Negative Impact ◽  
Multinomial Logistic Regression ◽  
Female Gender ◽  
Bargaining Unit ◽  
Organizational Level ◽  
Organizational Impact ◽  
Cross Sectional ◽  
The Impact

Background: Workplace Bullying (WPB) can have a tremendous, negative impact on the victims and the organization as a whole. The purpose of this study was to examine individual and organizational impact associated with exposure to bullying in a large U.S. unionized public sector workforce. Methods: A cross-sectional Web-based survey was conducted among 16,492 U.S. state government workers. Survey domains included demographics, negative acts (NAs) and bullying, supportiveness of the organizational climate, and individual and organizational impacts of bullying. Multinomial logistic regression was used to assess the impact among respondents who reported exposure to bullying. Findings: A total of 72% participants responded to the survey (n = 11,874), with 43.7% (n = 5,181) reporting exposure to NAs and bullying. A total of 40% (n = 4,711) participants who experienced WPB reported individual impact(s) while 42% ( n = 4,969) reported organization impact(s). Regular NA was associated with high individual impact (negatively impacted them personally; odds ratio [OR] = 5.03) when controlling for other covariates including: female gender (OR =1.89) and job tenure of 6 to 10 years (OR = 1.95); working in a supportive organizational climate and membership in a supportive bargaining unit were protective of high impact (OR = 0.04 and OR = 0.59, respectively). High organizational impact (transferring to another position) was associated with regular NA and bullying (OR = 16.26), female gender (OR = 1.55), providing health care and field service (OR = 1.68), and protective effect of organizational climate (OR = 0.39). We found a dose-response relationship between bullying and both individual and organizational-level impact. Conclusion/Application to Practice: Understanding the impacts of WPB should serve to motivate more workplaces and unions to implement effective interventions to ameliorate the problem by enhancing the organizational climate, as well as management and employee training on the nature of WPB and guidance on reporting.

scholarly journals Characteristics of those most vulnerable to employment changes during the COVID-19 pandemic: a nationally representative cross-sectional study in Wales

2021 ◽  
pp. jech-2020-216030
Author(s):  
Benjamin J Gray ◽  
Richard G Kyle ◽  
Jiao Song ◽  
Alisha R Davies
Keyword(s):  
Multinomial Logistic Regression ◽  
Household Survey ◽  
Well Being ◽  
Employment Outcomes ◽  
Cross Sectional Study ◽  
Public Health Response ◽  
Cross Sectional ◽  
Exact Test ◽  
Nationally Representative ◽  
The Impact

BackgroundThe public health response to the SARS-CoV-2 (COVID-19) pandemic has had a detrimental impact on employment and there are concerns the impact may be greatest among the most vulnerable. We examined the characteristics of those who experienced changes in employment status during the early months of the pandemic.MethodsData were collected from a cross-sectional, nationally representative household survey of the working age population (18–64 years) in Wales in May/June 2020 (n=1379). We looked at changes in employment and being placed on furlough since February 2020 across demographics, contract type, job skill level, health status and household factors. χ2 or Fisher’s exact test and multinomial logistic regression models examined associations between demographics, subgroups and employment outcomes.ResultsOf our respondents, 91.0% remained in the same job in May/June 2020 as they were in February 2020, 5.7% were now in a new job and 3.3% experienced unemployment. In addition, 24% of our respondents reported being placed on furlough. Non-permanent contract types, individuals who reported low mental well-being and household financial difficulties were all significant factors in experiencing unemployment. Being placed on ‘furlough’ was more likely in younger (18–29 years) and older (60–64 years) workers, those in lower skilled jobs and from households with less financial security.ConclusionA number of vulnerable population groups were observed to experience detrimental employment outcomes during the initial stage of the COVID-19 pandemic. Targeted support is needed to mitigate against both the direct impacts on employment, and indirect impacts on financial insecurity and health.

scholarly journals Breakfast skipping alone and in interaction with inflammatory based quality of diet increases the risk of higher scores of psychological problems profile in a large sample of Iranian adults

2021 ◽  
Vol 10 ◽  
Author(s):  
Fahimeh Haghighatdoost ◽  
Awat Feizi ◽  
Ahmad Esmaillzadeh ◽  
Ammar Hassanzadeh Keshteli ◽  
Hamid Afshar ◽  
...  
Keyword(s):  
Multinomial Logistic Regression ◽  
Cross Sectional Study ◽  
Psychological Problems ◽  
Dietary Intakes ◽  
Cross Sectional ◽  
Inflammatory Index ◽  
Breakfast Skipping ◽  
Breakfast Eating ◽  
Profile Score ◽  
The Impact

Abstract The authors investigate the association of breakfast skipping and its interaction with a dietary inflammatory index (DII) with the severity of psychological disorders. A total of 2876 Iranian general adults were enrolled in this cross-sectional study. Psychological problems profile score was calculated using the regression method in the framework of factor analysis based on depression, anxiety and psychological distress. The higher scores indicate more severity of mental problem. The frequency of breakfast eating in a week was assessed. Dietary intakes were assessed using a food-frequency questionnaire and twenty-seven items were included in the calculation of DII. In the crude model, individuals who ate breakfast seldom had the highest odds for having worse psychological problems profile (OR 3⋅59; 95 % CI 2⋅52, 5⋅11). Adjustment for various confounders did not change the associations (OR 3⋅35; 95 % CI 2⋅11, 5⋅32). In the adjusted multinomial logistic regression model, participants with high DII (>median) who skipped breakfast had highest risk of being in the higher tertiles of psychological problems profile compared with those who had low DII (<median) and ate breakfast (OR 6⋅67; 95 % CI 3⋅45, 12⋅90). Similar results were observed in women and men regarding the impact of breakfast skipping alone and interaction with DII on scores of psychological problems profile. Breakfast skipping is associated with higher risk of psychological problems. Similar findings were obtained in the stratified analysis by sex. Our findings confirmed that the DII and breakfast skipping are associated with mental health, interactionally. Further longitudinal studies are needed to confirm the true link between breakfast skipping and psychological problems.

IMPLEMENTASI MODEL REGRESI LOGISTIK MULTINOMIAL PADA PENGELOMPOKAN PENYAKIT TUBERKULOSIS

2021 ◽  
Vol 13 (1) ◽  
pp. 27
Author(s):  
Mella Apriyani ◽  
Jajang Jajang ◽  
Agustini Tripena Br. Sb.
Keyword(s):  
Logistic Regression Model ◽  
Basic Education ◽  
Multinomial Logistic Regression ◽  
Education Level ◽  
Dominant Factor ◽  
Multinomial Logistic Regression Model ◽  
Factor Level ◽  
Level Of Education ◽  
Pulmonary Tb ◽  
Extra Pulmonary

There are three types of  Tuberculosis (TB) patients at Banyumas Region Hospital, namely negative  pulmonary TB, positive pulmonary TB, and extra pulmonary TB. Types of TB generally caused by age, cae of history, gender, level of education, and domicile. One of the methods that used to find a correlation between types of TB with the affect is regression analysis. This study used multinomial logistic regession analysis because types of TB is categorical and the data is 156 TB’s patients recorded at 2018/2019. The result showed that the level of education be a dominant factor to affect TB. Here, we noted that patients with basic education level have a 5,843 time odds for getting positive pulmonary TB and 2,224 times for getting extra pulmonary TB. The multinomial logistic regression model is then given as probability for getting positive pulmonary TB with factor level of education is greather than negative pulmonary TB and extra pulmonary TB.

scholarly journals Relationship between housing insecurity, diabetes processes of care, and self-care behaviors

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Elise Mosley-Johnson ◽  
Rebekah J. Walker ◽  
Madhuli Thakkar ◽  
Jennifer A. Campbell ◽  
Laura Hawks ◽  
...  
Keyword(s):  
Employment Status ◽  
Self Care ◽  
Logistic Models ◽  
Cross Sectional Study ◽  
Behavioral Risk ◽  
Cross Sectional ◽  
Processes Of Care ◽  
Flu Vaccine ◽  
Race Ethnicity ◽  
The Impact

Abstract Background The aim of this analysis was to examine the influence of housing insecurity on diabetes processes of care and self-care behaviors and determine if that relationship varied by employment status or race/ethnicity. Methods Using nationally representative data from the Behavioral Risk Factor Surveillance System (2014-2015), 16,091 individuals were analyzed for the cross-sectional study. Housing insecurity was defined as how often respondents reported being worried or stressed about having enough money to pay rent/mortgage. Following unadjusted logistic models testing interactions between housing insecurity and either employment or race/ethnicity on diabetes processes of care and self-care behaviors, stratified models were adjusted for demographics, socioeconomic status, health insurance status, and comorbidity count. Results 38.1% of adults with diabetes reported housing insecurity. Those reporting housing insecurity who were employed were less likely to have a physicians visit (0.58, 95%CI 0.37,0.92), A1c check (0.45, 95%CI 0.26,0.78), and eye exam (0.61, 95%CI 0.44,0.83), while unemployed individuals were less likely to have a flu vaccine (0.84, 95%CI 0.70,0.99). Housing insecure White adults were less likely to receive an eye exam (0.67, 95%CI 0.54,0.83), flu vaccine (0.84, 95%CI 0.71,0.99) or engage in physical activity (0.82, 95%CI 0.69,0.96), while housing insecure Non-Hispanic Black adults were less likely to have a physicians visit (0.56, 95%CI 0.32,0.99). Conclusions Housing insecurity had an influence on diabetes processes of care and self-care behaviors, and this relationship varied by employment status and race/ethnicity. Diabetes interventions should incorporate discussion surrounding housing insecurity and consider differences in the impact by demographic factors on diabetes care.

scholarly journals Food Security and Diet Quality in Native Hawaiian, Pacific Islander, and Filipino Infants 3 to 12 Months of Age

Nutrients ◽  
2020 ◽  
Vol 12 (7) ◽  
pp. 2120
Author(s):  
Sally Campbell ◽  
John J. Chen ◽  
Carol J. Boushey ◽  
Heather Eicher-Miller ◽  
Fengqing Zhu ◽  
...  
Keyword(s):  
Food Security ◽  
Diet Quality ◽  
Native Hawaiian ◽  
Multinomial Logistic Regression ◽  
Pacific Islander ◽  
Infant Food ◽  
Food Groups ◽  
Linear Regression Models ◽  
Cross Sectional ◽  
The Impact

Food insecurity and other nutritional risks in infancy pose a lifelong risk to wellbeing; however, their effect on diet quality in Native Hawaiian, Pacific Islander, and Filipino (NHPIF) infants in Hawai‘i is unknown. In this cross-sectional analysis, the association between various indicators of food security and NHPIF infant diet quality were investigated in 70 NHPIF infants aged 3–12 months residing on O‘ahu, Hawai‘i. The dietary assessments of the infants were collected using a mobile food recordTM. Foods consumed across four days were categorized into seven food groups. Indicators for food security were examined through an adapted infant food security index and other indicators. Data were analyzed using chi-square tests, independent sample t-tests, multinomial logistic regression, and linear regression models. In models adjusting for age and sex, infants defined as food insecure by the adapted index were found to consume foods from more food groups and consume flesh foods on a greater proportion of days. Of the indicators examined, the adapted index was shown to be the best indicator for food group consumption. Further work is needed on a more representative sample of NHPIF infants to determine the impact that food security has on nutritional status and other indicators of health.

scholarly journals Burden and predictors ofStaphylococcus aureusandS. pseudintermediusinfections among dogs presented at an academic veterinary hospital in South Africa (2007–2012)

PeerJ ◽  
2017 ◽  
Vol 5 ◽  
pp. e3198 ◽  
Author(s):  
Daniel N. Qekwana ◽  
James Wabwire Oguttu ◽  
Fortune Sithole ◽  
Agricola Odoi
Keyword(s):  
South Africa ◽  
Logistic Regression ◽  
Regression Model ◽  
Logistic Regression Model ◽  
Multinomial Logistic Regression ◽  
Risk Of Infection ◽  
Multinomial Logistic Regression Model ◽  
Tract Infections ◽  
Veterinary Hospital ◽  
Isolated Species

BackgroundStaphylococci are commensals of the mucosal surface and skin of humans and animals, but have been implicated in infections such as otitis externa, pyoderma, urinary tract infections and post-surgical complications. Laboratory records provide useful information to help investigate these infections. Therefore, the objective of this study was to investigate the burdens of these infections and use multinomial regression to examine the associations between variousStaphylococcusinfections and demographic and temporal factors among dogs admitted to an academic veterinary hospital in South Africa.MethodsRecords of 1,497 clinical canine samples submitted to the bacteriology laboratory at a veterinary academic hospital between 2007 and 2012 were included in this study. Proportions of staphylococcal positive samples were calculated, and a multinomial logistic regression model was used to identify predictors of staphylococcal infections.ResultsTwenty-seven percent of the samples tested positive forStaphylococcusspp. The species ofStaphylococcusidentified wereS. pseudintermedius(19.0%),S. aureus(3.8%),S. epidermidis(0.7%) andS. felis(0.1%). The remaining 2.87% consisted of unspeciatedStaphylococcus. Distribution of the species by age of dog showed thatS. pseudintermediuswas the most common (25.6%) in dogs aged 2–4 years whileS. aureuswas most frequent (6.3%) in dogs aged 5–6 years.S. pseudintermedius(34.1%) andS. aureus(35.1%) were the most frequently isolated species from skin samples. The results of the multivariable multinomial logistic regression model identified specimen, year and age of the dog as significant predictors of the risk of infection withStaphylococcus. There was a significant temporal increase (RRR = 1.17; 95% CI [1.06–1.29]) in the likelihood of a dog testing positive forS. pseudintermediuscompared to testing negative. Dogs ≤ 8 years of age were significantly more likely to test positive forS. aureusthan those >8 years of age. Similarly, dogs between 2–8 years of age were significantly more likely to test positive forS. pseudintermediusthan those >8 years of age. In addition, dogs 2–4 years of age (RRR = 1.83; 1.09–3.06) were significantly more likely to test positive forS. pseudintermediuscompared to those <2 years of age. The risk of infection withS. pseudintermediusorS. aureuswas significantly higher in ear canal and skin specimens compared to other specimens.ConclusionsThe findings suggest thatS. pseudintermediusandS. aureuswere the most commonly isolated species from dogs presented at the study hospital. Age of the dog and the location of infection were significant predictors of infection with bothStaphylococcusspecies investigated. Significant increasing temporal trend was observed forS. pseudintermediusbut notS. aureus. This information is useful for guiding clinical decisions as well as future research.

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