The Effect of Body Adiposity and Alcohol Consumption on Serum Uric Acid: A Quantile Regression Analysis Based on the China National Health Survey

Adiposity and alcohol consumption are reported to be associated with a higher level of serum uric acid (SUA), but whether their effect differs on SUA percentile distribution is still unclear. In this study, we aimed to investigate how alcohol intake and body fat percentage (%BF) integrated with body mass index (BMI) influence the distribution of SUA in Chinese adults. Data from the China National Health Survey (CNHS) which included adults from 10 provinces of China were used (n = 31,746, aged 20–80 years, 40% male). %BF and BMI were integrated into eight expanded body composition groups to understand how excess body adiposity affects the distribution of SUA in the populational level. Self-report alcohol intake information was collected by face-to-face questionnaire interview. Quantile regression (QR) was used to analyze the data. We found that adiposity and alcohol consumption were associated with SUA, especially at the upper percentile in both sexes. In obese men, the QR coefficients at the 75th and 95th percentiles were 74.0 (63.1–84.9) and 80.9 (52.5–109.3) μmol/L, respectively. The highest quartile of %BF in men had a 92.6 (79.3–105.9) μmol/L higher SUA levels at its 95th percentile than the 5th quartile (p < 0.001). Compared with normal or underweight with the lowest %BF group (NWBF1), the obesity-highest %BF group (OBBF4) had the strongest positive effect on SUA, especially at the higher percentile of SUA. In BMI-defined normal or underweight participants, a higher quartile of %BF had greater effect size in all SUA percentiles. In men, current alcohol drinking had the strongest effect at the 95th percentile of SUA (QR coefficient: 31.8, with 95% CI: 22.6–41.0) comparing with 14.5, 95% CI of 8.4 to 20.6 in the 5th SUA percentile. High risk of alcohol consumption had a greater effect on SUA, especially in the higher SUA percentile. The observation of stronger association at the higher percentile of SUA suggests that decreasing body adiposity and alcohol intake at the populational level may shift the upper tails of the SUA distributions to lower values, thereby reducing the incidence of hyperuricemia.

Defaults versus framing: Revisiting Default Effect and Framing Effect with replications and extensions of Johnson and Goldstein (2003) and Johnson, Bellman, and Lohse (2002)

People tend to stick with a default option instead of switching to another option. For instance, Johnson and Goldstein (2003) found a default effect in an organ donation scenario: if organ donation is the default option, people are more inclined to consent to it. Johnson et al. (2002) found a similar default effect in a health-survey scenarios: if receiving more information about your health is the default, people are more inclined to consent to it. Much of the highly cited, impactful work on these default effects, however, has not been replicated in well-powered samples. In two well-powered samples (N = 1920), we conducted a close replication of the default effect in Johnson and Goldstein (2003) and in Johnson, Bellman, and Lohse (2002). We successfully replicated Johnson and Goldstein (2003). In an extension of the original findings, we also show that default effects are unaffected by the permanence of these selections. We, however, failed to replicate the findings of Johnson, Bellman, and Lohse’s (2002) study; we did not find evidence for a default effect. We did, however, find a framing effect: participants who read a positively-framed scenario consented to receive health-related information at a higher rate than participants who read a negatively framed scenario. We also conducted a conceptual replication of Johnson et al. (2002) that was based on an organ-donation scenario, but this attempt failed to find a default effect. Our results suggest that default effects depend on framing and context. Materials, data, and code are available on: https://osf.io/8wd2b/.

Four out of ten married women utilized modern contraceptive method in Ethiopia: A Multilevel analysis of the 2019 Ethiopia mini demographic and health survey

Background Modern contraceptive method is a product or medical procedure that interferes with reproduction from acts of sexual intercourse. Globally in 2019, 44% of women of reproductive age were using a modern method of contraception but it was 29% in sub-Saharan Africa. Therefore, the main aim of this analysis was to assess the prevalence of modern contraceptive utilization and associated factors among married women in Ethiopia. Method The current study used the 2019 Ethiopia mini demographic and health survey dataset. Both descriptive and multilevel mixed-effect logistic regression analysis were done using STATA version 14. A p-value of less than 0.05 and an adjusted odds ratio with a 95% confidence interval were used to report statistically significant factors with modern contraceptive utilization. Result The overall modern contraceptive utilization among married women in Ethiopia was 38.7% (95% CI: 37.3% to 40.0%). Among the modern contraceptive methods, injectables were the most widely utilized modern contraceptive method (22.82%) followed by implants (9.65%) and pills (2.71%). Maternal age, educational level, wealth index, number of living children, number of births in the last three years, number of under 5 children in the household, religion, and geographic region were independent predictors of modern contraceptive utilization. Conclusion In the current study only four out of ten married non-pregnant women of reproductive age utilized modern contraceptive methods. Furthermore, the study has identified both individual and community-level factors that can affect the utilization of modern contraceptive methods by married women in the country. Therefore, concerned bodies need to improve access to reproductive health services, empower women through community-based approaches, and minimize region wise discrepancy to optimize the utilization.

Achieving Proportional Representation In A Reproductive Health Survey Through Social Media: Process And Recommendations

Background: The narrative surrounding women’s reproductive health has shifted from a medical model to an emphasis on reproductive well-being over different life-stages. We developed and piloted a tracker survey for monitoring women’s reproductive health and well-being in England, recruiting respondents online. This paper reports on the success of the online recruitment strategies in achieving a sample proportionally representative of the England general population.Methods: Recruitment was through Facebook and Instagram advertisements and dissemination through Twitter and a blog. At the end week one, the sample was reviewed and compared to the 2011 Census England population. From week two, recruitment targeted under-represented groups. Key data were compared with prevalence estimates from the Third National Survey of Sexual Attitudes and Lifestyles (Natsal-3).Results: Between 1 July-17 August 2021, 13,962 people initiated the online survey, with 11,578 completing it. Numbers were low initially, but peaked at 1700 survey initiations per day after increasing the daily advertisement budget on day seven. At the end of week one, minority ethnic groups and people without a degree or equivalent were under-represented. From week two, we altered the advertisement settings to show to people whose profile indicated they were a ‘high school leaver’ had ‘up to some high school’, worked in industries that do not typically require a degree or lived in local authorities with a high proportion of ethnic minority residents. This had a modest effect, with the final sample short of proportional representation in terms of ethnicity and education but close in terms of region and age. Compared to Natsal-3, we found consistency in the proportion of respondents reporting an abortion and a live birth in the last year, however, the proportion of our sample reporting ever having experienced infertility was significantly higher than in Natsal-3, as was the proportion of ‘planned’ pregnancies in the last year.Conclusions: It is possible to recruit large numbers of respondents online, relatively quickly, to complete a reproductive health survey. This will be valuable to track reproductive health and well-being at a national level over time. More work is needed to understand reasons for non-response among under-represented groups.

The Effect of Socio-Economic & Demographic Determinants on Children's Solid Food-Intake in India: A Study Based on NFHS-4

As nutrition is very critical and its access helps in the improvement of health and creates overall development, it is very vital for the children at their initial stages. In these period of rapid growth, India is still witnessing a huge discrimination regarding the children's solid food intake.<div>This paper seeks to find out the extent of these supplemental food inequality among children aged 6 to 59 months of age using the National Family Health Survey, round 4 data.</div><div>The results are very much evident to show the inequality among female children, along with discontinued breastfeeding. </div>

The Effect of Socio-Economic & Demographic Determinants on Children's Solid Food-Intake in India: A Study Based on NFHS-4

As nutrition is very critical and its access helps in the improvement of health and creates overall development, it is very vital for the children at their initial stages. In these period of rapid growth, India is still witnessing a huge discrimination regarding the children's solid food intake.<div>This paper seeks to find out the extent of these supplemental food inequality among children aged 6 to 59 months of age using the National Family Health Survey, round 4 data.</div><div>The results are very much evident to show the inequality among female children, along with discontinued breastfeeding. </div>

Adolescent fertility and its determinants in Kenya: Evidence from Kenya demographic and health survey 2014

Background Adolescent fertility in Kenya is vital in the development and execution of reproductive health policies and programs. One of the specific objectives of the Kenyan Adolescent Sexual Reproductive Health (ASRH) policy developed in 2015 is to decrease early and unintended pregnancies in an attempt to reduce adolescent fertility. We aimed to establish determinants of adolescent fertility in Kenya. Methods The Kenya Demographic and Health Survey (KDHS) 2014 data set was utilized. Adolescent’s number of children ever born was the dependent variable. The Chi-square test was utilized to determine the relationship between dependent and independent variables. A Proportional-odds model was performed to establish determinants of adolescent fertility at a 5% significance level. Results Over 40% of the adolescent girls who had sex below 17 years had given birth i.e, current age 15–17 years (40.9%) and <15 years (44.9%) had given birth. In addition, 70.7% of the married adolescents had given birth compared to 8.1% of the unmarried adolescents. Moreover, 65.1% of the adolescents who were using contraceptives had given birth compared to only 9% of the adolescents who were not using a contraceptive. Approximately 29.4% of the adolescents who had no education had given birth compared to 9.1% who had attained secondary education. Age at first sex (18–19 years: OR: 0.221, 95% CI: 0.124–0.392; 15–17 years: OR: 0.530, 95% CI: 0.379–0.742), current age (18–19 years: OR: 4.727, 95% CI: 3.318–6.733), current marital status (Not married: OR:0.212, 95% CI: 0.150–4.780), and current contraceptive use (Using: OR 3.138, 95% CI: 2.257–4.362) were associated with adolescent fertility. Conclusion The study established that age at first sex, current age, marital status, and contraceptive use are the main determinants of adolescent childbearing. The stated determinants should be targeted by the government to control the adolescent birth rate in Kenya. Consequently, delaying the age at first sex, discouraging adolescent marriage, and increasing secondary school enrollment among adolescent girls are recommended strategies to control adolescent fertility in Kenya.

Associação entre exposição ao comportamento sedentário, indicadores de sono e fatores comportamentais em adolescentes

O objetivo do estudo foi analisar a associação entre exposição ao comportamento sedentário (ECS), indicadores de qualidade do sono e outros comportamentos de risco à saúde em adolescentes do estado de Sergipe, Brasil. Trata-se de um estudo epidemiológico com delineamento transversal com amostra representativa de 4139 escolares da rede pública de Sergipe. A coleta dos dados foi através do questionário Global Student Health Survey (GSHS, OMS). A variável desfecho analisada no estudo foi a (ECS), considerou-se expostos os adolescentes com período ≥ 3 horas por dia. Foram selecionadas como variáveis independentes o consumo de álcool, uso de drogas, tabagismo, duração e autoavaliação do sono e como variáveis de controle sexo, idade e a renda média familiar. Para associação entre as variáveis foi utilizado a regressão logística binária. A análise revelou que as variáveis sexo, idade, renda média familiar, consumo de álcool, uso de drogas e duração do sono mostraram-se associadas a ECS após ajuste. Dormir oito horas ou menos por dia apresentou-se como fator de proteção para ECS. O estudo concluiu que ECS dos estudantes possui elevada prevalência e associação com fatores multivariados entre os adolescentes de Sergipe, assim fica evidente a necessidade de intervenções que visem a redução da ECS e outros comportamentos de risco à saúde.

AN ANALYSIS OF HEALTH PROFILE OF THANJAVUR DISTRICT AS ENVISAGED BY NATIONAL FAMILY HEALTH SURVEY 2019-21

National Family Health Survey-5 (NFHS-5) fieldwork for India was conducted in two phases, during the years between 2019 and 2021 by 17 Field Agencies and gathered information from 636,699 households, 724,115 women, and 101,839 men. Information was gathered from 27,929 households, 25,650 women, and 3,372 men from Tamil Nadu and in Thanjavur from 826 households, 687 women, and 83 men. This research paper points out the health indicators in which Thanjavur District improved over the earlier NFHS and over the State as well as Country level averages in the NFHS-5. As per The NFHS -4 the sex ratio has raised marginally to 1053 and in the NFHS-5, sharply raised to 1112. The sex ratio of the country is also remarkably high crossing 1000 mark, first time in the Indian statistical history in the NFHS-5. NFHS-5 reveals positive note that the child sex ratio restoration back to 934. It reflects the changing mindset proliferating in the district towards the female. Amidst the negative mindset towards upbringing girl children in the state of Tamil Nadu, revealed by the reduced child sex ratio of 878 in NFHS -5 from 954 in NFHS-4 in Tamil Nadu a sharp positive increase in the child sex ratio in Thanjavur is fair enough to the fair sex. On the other hand, the reason for the reduction in the child sex ratio in the rest of the state of Tamil Nadu needs an immediate attention comparing the previous NFHS. It is also to be noted here that even the country level child sex ratio also is in increasing trend as per the present NFHS comparing its earlier survey. KEYWORDS: National Family Health survey, Government sponsored health insurance schemes, health insurance, Sex ratio, child sex ratio, AB-PMJAY.