4th National Research Articles

비정형 빅데이터를 통해 본 국민건강증진종합계획 시기별 구강보건교육에 대한 사회적 인식

Objectives The purpose of this study was to suggest directions for the future oral health promotion through oral health education. We analyze changes in social awareness of oral health education according to the period from the 1st to the 4th National Health Promotion Comprehensive Plan.
 Methods The data for this study was collected through texts posted on Naver, Daum, Google, YouTube, and Twitter through a keyword search of ‘oral + education’. The period for collecting data was from January 1, 2002, when the 1st National Health Promotion Plan began, to December 31, 2020, when the 4th plan was completed. The frequencies of top 30 keywords were analyzed. In addition, the structural characteristics of the semantic network of keywords in each period were confirmed, and centrality analysis, QAP correlation analysis, and co-occurrence analysis were performed.
 Results There were changes in the priorities of key keywords depending on the timing of the National Health Promotion Comprehensive Plan. After the third period, the frequency of ‘education’ and ‘health’ increased, and the frequency, centrality degree, and eigne-vector degree of ‘public health center’ increased compared to ‘elementary school.’ All correlation coefficients for each period were statistically significant. As a result of analysis of the frequency of co-occurrence, ‘health→education’ appeared highly in the 1st, 2nd, and 3rd periods, while ‘education→implementation’ appeared highly in the 4th period.
 Conclusions The impact of oral health policies was reflected in social awareness related to oral health education. However, as the correlation between each period was significant, there was no significant difference in the level of public awareness according to the period of the National Health Promotion Comprehensive Plan. The level of education implementation is low compared to the public's awareness of the need for oral health education, so efforts are needed to implement more universal oral health education in the future.

Relationship between Age-Related Macular Degeneration and Hyperuricemia Based on the 7th and 8th Korea National Health and Nutrition Examination Survey

Relationship between Age-Related Macular Degeneration and Hyperuricemia Based on the 7th and 8th Korea National Health and Nutrition Examination Survey

Energy transition paradox: Solar and wind growth can hinder decarbonization

The decarbonization of energy systems requires the deployment of intermittent renewables (wind and solar) with increasingly low costs. The growth of these renewables impacts power prices, which may influence hydropower investments and the adoption of fossil-fuel options for baseload electricity. It thus remains unclear whether deploying more intermittent renewables would reduce the net carbon emissions across energy systems in the absence of well-designed policy. This study first developed a techno-economic optimization model to explore the impacts of future projections of intermittent renewables on long-run electricity prices and the subsequent hydropower investments, using Hubei Province of China as a case study. The carbon emissions associated with the change in hydropower investment were then quantified. Results indicate that the new policy-driven renewables deployment reduces the electricity prices by 36 % on average over 2021–2100, compared to the case with the policy specified in the prior (13th) National Five-Year Plan. Without intervention, the lower electricity price could result in a 42 % reduction in hydropower investments by 2050. With increased intermittent renewables and decreased investments in hydropower, the energy system is expected to deploy more backup fossil-fuel options, which could increase carbon emissions by 45 %. Therefore, deploying more renewable energy would depress the investments in hydropower plants and further hinder decarbonization unexpectedly, suggesting a possible paradox in the energy transition. This possible paradox calls for a new, and robust policy to ensure the benefits of decarbonization are realized regardless of potential changes electricity prices.

The Reality of Hunger and Poverty Among Khmer People in The Mekong Delta Region

Today, hunger and poverty are not only national problems but also global problems. In Vietnam, our party regards eradicating hunger and reducing poverty as goals throughout the country’s economic and social development process. Poverty eradication is a fundamental factor in ensuring social justice, enhancing sustainability, creating material strength, and providing opportunities to support poor people in getting out of poverty. This is clearly reflected in the principles and policies of the Party Congress on eradicating hunger and reducing poverty. Recently, at the 13th National Congress, our party declared: “Focus on the development of hunger eradication and poverty reduction in remote areas and extremely poor areas. Diversification of resources and means of poverty reduction, linked to agricultural and rural development, educational development, vocational training and job creation, to eradicate hunger and reduce poverty sustainably." In the Ten-Year Socio-Economic Development Strategy (2011-2020) , the task of "implementing poverty reduction policies more effectively" is determined, poverty alleviation is adapted to different periods, diversifying resources and methods, ensuring sustainable poverty reduction, especially in the poorest areas and extremely poor areas, encouraging the enrichment of the people and the government in accordance with the law, and narrowing the Policies and solutions to the wealth gap. The Mekong Delta is an area with a large Khmer population, with approximately 1,201,691 people, accounting for 6.93% of the region's population. The provinces with the largest Khmer population are Soc Trang (397,014 people), Tra Vinh (318,288 people), Kien Giang (213,310 people), and An Giang (91,018 people). There are approximately 400,000 poor households in the region, of which more than 72,000 are Khmer poor households (ranking the highest proportion of ethnic minority poor households in the region). Faced with this situation, it is very important to study and understand the hunger and poverty problems of the Khmer people, and is of great significance to the country's overall development strategy, especially the development strategy of the Mekong Delta region

Postfire damage zoning with open low-density LiDAR data sources in semi-arid forests of the Iberian Peninsula

Wildfires represent one of the major ecological disasters with significant repercussions for terrestrial ecosystems (loss of biodiversity, material damages, erosion, etc). Using LiDAR (Light Detection and Ranging) technology allows large amounts of forest measurements data to be obtained, such as size of volume, biomass, canopy cover, heights, among others. It also allows to quantify some damage caused by forest fires by comparing LiDAR data point clouds at two different times (before and after fire). By correlating in situ measurements with statistical parameters from point clouds, we aim to evaluate postfire deviations in volume, biomass and canopy integrity. The aim of this study was to estimate the losses caused by the 2012 wildfire in the Public Utility Forest No.82 “Sierra de los Donceles” (Hellín, Albacete, Spain), which devastated more than 5000 ha. We used 65 plots from the 4th National Forest Inventory (NFI4) and the LiDAR data from 2009 to develop statistical models and train Artificial Neural Networks (ANN). Another independent set of 29 plots (of 14.1-m radius with sub-metric GPS) was employed to validate the regression and ANN models. The regression results showed better performance for estimating heights (R2 = 75.03%, RMSE = 28.90%), volume (R2 = 70.32%, RMSE = 37.61%) and basal area (R2 = 68.37%, RMSE = 37.18). The total biomass showed the best fit (R2 = 93.51%), but also the maximum error (RMSE = 40.08%). The worst fit result was the estimation of number of trees per hectare (R2 = 33.76%, RMSE = 30.97%). All the models were improved with neural network implementation: number of trees per hectare (R2 = 44.41%, RMSE = 26.74%), basal area (R2 = 68.81%, RMSE = 33.49%), dominant height (R2 = 75.55%, RMSE = 15.43%), volume (R2 = 61.03%, RMSE = 14.78%) and biomass (R2 = 99.21%, RMSE = 20.81%). With our top-performing models in the 2009- and 2016-point cloud data, we measured forest reductions in terms of trees per hectare, basal area, predominant height, volume and biomass. These models provided a comprehensive view of forest losses by highlighting major decreases in vegetation coverage, tree density and tree heights.

Preface

It is a matter of great pleasure for the organizers to bring out the Conference proceedings of the 6th National Conference on Advanced Materials and Radiation Physics (AMRP-2023) in Journal of Physics: Conference Series. The 6th National Conference on Advanced Materials and Radiation Physics (AMRP-2023) was held during May 18-19, 2023 through HYBRID Mode at Sant Longowal Institute of Engineering and Technology, Longowal, Punjab (INDIA). The AMRP-2023 conference is an important event that brings academics and researchers from all over India to share their professional experiences, expand their professional knowledge and receive updates on the latest advances in the field of advanced materials and radiation Physics.Materials science is an interdisciplinary field which deals with the discovery and design of new materials involving the study of materials through the materials paradigm (synthesis, structure, properties and performance). The subject covers a broad spectrum of materials science research including functional materials, synthesis and processing, theoretical analyses, characterization and properties of materials. Emphasis is also placed on the interdisciplinary nature of materials science and issues at the forefront of the field, such as energy and environmental issues, as well as medical and bioengineering applications are also discussed.The Radiation Physics is highly multidisciplinary in nature and is now the backbone of the nuclear medical diagnostics. The radiation physics research covers many areas of radiation imaging techniques, fundamental studies of semiconductor radiation detectors, detector materials, radiation interaction with matter and medical physics which aims to improve knowledge and methods in the field of radiation physics and radiation dosimetry, in order to develop new radiation measurement instruments and methods for applications in research, industry and medicine.In this conference more than 150 researchers from reputed universities/institutes have shown interest in hybrid mode participation. The conference included one key note address, four plenary talks, six invited talks, and presentation of more than 130 contributed papers via online & offline mode on different aspects of the conference theme. We extend our sincere gratitude to all the authors who submitted their papers to the AMRP conference. We also like to express our great appreciation to the Keynote, plenary and invited speakers.We are thankful to Institute administration for extending all support and motivation to organize this conference. On behalf of the Conference Organizing Committee, we would like to thank the referees for their efficient and thoughtful actions. We are grateful to the members of the Organising Committee for their efforts in making and shaping the program for AMRP 2023. Particularly, we acknowledge the publishing support from the members of Journal of Physics: Conference Series. We hope that the future AMRP will be as successful and stimulating, as indicated with the contributions presented in this volume.Organising Committee AMRP-2023List of Organising Committee is available in this Pdf.

Airway and respiratory complications during anaesthesia and associated with peri-operative cardiac arrest as reported to the 7th National Audit Project of the Royal College of Anaesthetists.

The 7th National Audit Project (NAP7) of the Royal College of Anaesthetists studied complications of the airway and respiratory system during anaesthesia care including peri-operative cardiac arrest. Among 24,721 surveyed cases, airway and respiratory complications occurred commonly (n = 421 and n = 264, respectively). The most common airway complications were: laryngospasm (157, 37%); airway failure (125, 30%); and aspiration (27, 6%). Emergency front of neck airway was rare (1 in 8370, 95%CI 1 in 2296-30,519). The most common respiratory complications were: severe ventilation difficulty (97, 37%); hyper/hypocapnia (63, 24%); and hypoxaemia (62, 23%). Among 881 reports to NAP7 and 358 deaths, airway and respiratory complications accounted for 113 (13%) peri-operative cardiac arrests and 32 (9%) deaths, with hypoxaemia as the most common primary cause. Airway and respiratory cases had higher and lower survival rates than other causes of cardiac arrest, respectively. Patients with obesity, young children (particularly infants) and out-of-hours care were overrepresented in reports. There were six cases of unrecognised oesophageal intubation with three resulting in cardiac arrest. Of these cases, failure to correctly interpret capnography was a recurrent theme. Cases of emergency front of neck airway (6, approximately 1 in 450,000) and pulmonary aspiration (11, approximately 1 in 25,000) leading to cardiac arrest were rare. Overall, these data, while distinct from the 4th National Audit Project, suggest that airway management is likely to have become safer in the last decade, despite the surgical population having become more challenging for anaesthetists.

Proceedings of the 4th National Big Data Health Science Conference

Proceedings of the 4th National Big Data Health Science Conference

Peri-operative decisions about cardiopulmonary resuscitation among adults as reported to the 7th National Audit Project of the Royal College of Anaesthetists.

Current guidance recommends that, in most circumstances, cardiopulmonary resuscitation should be attempted when cardiac arrest occurs during anaesthesia, and when a patient has a pre-existing 'do not attempt cardiopulmonary resuscitation' recommendation, this should be suspended. How this guidance is translated into everyday clinical practice in the UK is currently unknown. Here, as part of the 7th National Audit Project of the Royal College of Anaesthetists, we have: assessed the rates of pre-operative 'do not attempt cardiopulmonary resuscitation' recommendations via an activity survey of all cases undertaken by anaesthetists over four days in each participating site; and analysed our one-year case registry of peri-operative cardiac arrests to understand the rates of cardiac arrest in patients who had 'do not attempt cardiopulmonary resuscitation' decisions pre-operatively. In the activity survey, among 20,717 adults (aged > 18 y) undergoing surgery, 595 (3%) had a 'do not attempt cardiopulmonary resuscitation' recommendation pre-operatively, of which less than a third (175, 29%) were suspended. Of the 881 peri-operative cardiac arrest reports, 54 (6%) patients had a 'do not attempt cardiopulmonary resuscitation' recommendation made pre-operatively and of these 38 (70%) had a clinical frailty scale score ≥ 5. Just under half (25, 46%) of these 'do not attempt cardiopulmonary resuscitation' recommendations were formally suspended at the time of anaesthesia and surgery. One in five of these patients with a 'do not attempt cardiopulmonary resuscitation' recommendation who had a cardiac arrest survived to leave hospital and of the seven patients with documented modified Rankin Scale scores before and after cardiac arrest, four remained the same and three had worse scores. Very few patients who had a pre-existing 'do not attempt cardiopulmonary resuscitation' recommendation had a peri-operative cardiac arrest, and when cardiac arrest did occur, return of spontaneous circulation was achieved in 57%, although > 50% of these patients subsequently died before discharge from hospital.

Peri‐operative cardiac arrest: management and outcomes of patients analysed in the 7th National Audit Project of the Royal College of Anaesthetists

SummaryThe 7th National Audit Project of the Royal College of Anaesthetists studied peri‐operative cardiac arrest in the UK, a topic of importance to patients, anaesthetists and surgeons. We report the results of the 12‐month registry phase, from 16 June 2021 to 15 June 2022, focusing on management and outcomes. Among 881 cases of peri‐operative cardiac arrest, the initial rhythm was non‐shockable in 723 (82%) cases, most commonly pulseless electrical activity. There were 665 (75%) patients who survived the initial event and 384 (52%) who survived to hospital discharge. A favourable functional outcome (based on modified Rankin Scale score) was reported for 249 (88%) survivors. Outcomes varied according to arrest rhythm. The highest rates of survival were seen for bradycardic cardiac arrests with 111 (86%) patients surviving the initial event and 77 (60%) patients surviving the hospital episode. The lowest survival rates were seen for patients with pulseless electrical activity, with 312 (68%) surviving the initial episode and 156 (34%) surviving to hospital discharge. Survival to hospital discharge was worse in patients at the extremes of age with 76 (40%) patients aged > 75 y and 9 (45%) neonates surviving. Hospital survival was also associated with surgical priority, with 175 (88%) elective patients and 176 (37%) non‐elective patients surviving to discharge. Outcomes varied with the cause of cardiac arrest, with lower initial survival rates for pulmonary embolism (5, 31%) and bone cement implantation syndrome (9, 45%), and hospital survival of < 25% for pulmonary embolism (0), septic shock (13, 24%) and significant hyperkalaemia (1, 20%). Overall care was rated good in 464 (53%) cases, and 18 (2%) cases had overall care rated as poor. Poor care elements were present in a further 245 (28%) cases. Care before cardiac arrest was the phase most frequently rated as poor (92, 11%) with elements of poor care identified in another 186 (21%) cases. These results describe the management and outcomes of peri‐operative cardiac arrest in UK practice for the first time.

Peri-operative cardiac arrest: epidemiology and clinical features of patients analysed in the 7th National Audit Project of the Royal College of Anaesthetists.

The 7th National Audit Project of the Royal College of Anaesthetists studied peri-operative cardiac arrest in the UK, a topic of importance to patients, anaesthetists and surgeons. Here we report the results of the 12-month registry, from 16 June 2021 to 15 June 2022, focusing on epidemiology and clinical features. We reviewed 881 cases of peri-operative cardiac arrest, giving an incidence of 3 in 10,000 anaesthetics (95%CI 3.0-3.5 per 10,000). Incidence varied with patient and surgical factors. Compared with denominator survey activity, patients with cardiac arrest: included more males (56% vs. 42%); were older (median (IQR) age 60.5 (40.5-80.5) vs. 50.5 (30.5-70.5) y), although the age distribution was bimodal, with infants and patients aged > 66 y overrepresented; and were notably more comorbid (73% ASA physical status 3-5 vs. 27% ASA physical status 1-2). The surgical case-mix included more weekend (14% vs. 11%), out-of-hours (19% vs. 10%), non-elective (65% vs. 30%) and major/complex cases (60% vs. 28%). Cardiac arrest was most prevalent in orthopaedic trauma (12%), lower gastrointestinal surgery (10%), cardiac surgery (9%), vascular surgery (8%) and interventional cardiology (6%). Specialities with the highest proportion of cases relative to denominator activity were: cardiac surgery (9% vs. 1%); cardiology (8% vs. 1%); and vascular surgery (8% vs. 2%). The most common causes of cardiac arrest were: major haemorrhage (17%); bradyarrhythmia (9%); and cardiac ischaemia (7%). Patient factors were judged a key cause of cardiac arrest in 82% of cases, anaesthesia in 40% and surgery in 35%.

Inclusivity and Engagement: The Canadian Spinal Cord Injury - Rehabilitation Association Welcomes You to the 10th National Spinal Cord Injury Conference.

Inclusivity and Engagement: The Canadian Spinal Cord Injury - Rehabilitation Association Welcomes You to the 10th National Spinal Cord Injury Conference.

The incidence of potentially serious complications during non-obstetric anaesthetic practice in the United Kingdom: an analysis from the 7th National Audit Project (NAP7) activity survey.

Complications and critical incidents arising during anaesthesia due to patient, surgical or anaesthetic factors, may cause harm themselves or progress to more severe events, including cardiac arrest or death. As part of the 7th National Audit Project of the Royal College of Anaesthetists, we studied a prospective national cohort of unselected patients. Anaesthetists recorded anonymous details of all cases undertaken over 4 days at their site through an online survey. Of 416 hospital sites invited to participate, 352 (85%) completed the survey. Among 24,172 cases, 1922 discrete potentially serious complications were reported during 1337 (6%) cases. Obstetric cases had a high reported major haemorrhage rate and were excluded from further analysis. Of 20,996 non-obstetric cases, 1705 complications were reported during 1150 (5%) cases. Circulatory events accounted for most complications (616, 36%), followed by airway (418, 25%), metabolic (264, 15%), breathing (259, 15%), and neurological (41, 2%) events. A single complication was reported in 851 (4%) cases, two complications in 166 (1%) cases and three or more complications in 133 (1%) cases. In non-obstetric elective surgery, all complications were 'uncommon' (10-100 per 10,000 cases). Emergency (urgent and immediate priority) surgery accounted for 3454 (16%) of non-obstetric cases but 714 (42%) of complications with severe hypotension, major haemorrhage, severe arrhythmias, septic shock, significant acidosis and electrolyte disturbances all being 'common' (100-1000 per 10,000 cases). Based on univariate analysis, complications were associated with: younger age; higher ASA physical status; male sex; increased frailty; urgency and extent of surgery; day of the week; and time of day. These data represent the rates of potentially serious complications during routine anaesthesia care and may be valuable for risk assessment and patient consent.

Interdental cleaning and periodontal status among older Koreans: Findings from KNHANES VII.

To assess the association between the usage of interdental cleaning and periodontal status among older people in Korea. In order to maintain oral health in older people, it is very important to use interdental cleaning devices. However, there is a lack of research on periodontal status and interdental cleaning device use in older people. This study used data collected from the 7th National Health Nutrition Survey (KNHANES VII: 2016-2018). A total of 3426 older people adults aged 65 years or older were selected from 16 489 participants. Data on sociodemographic status (sex, age, level of education, income, residential area), personal health practice (subjective health status, smoking, physical activity, hypertension, and diabetes mellitus), oral health practice (subjective oral health status, tooth brushing frequency, dental visits, and chewing problem), the number of teeth and periodontitis were collected. Periodontitis was defined as having a World Health Organisation community periodontal index (CPI) code greater than or equal to three, and severe periodontitis was defined as a CPI code 4. Participants having a CPI code of 3 or 4 were considered to have periodontal disease in this study. Logistic regression analysis investigated the association between interdental cleaning devices usage and periodontitis controlling the confounding factors. Those who do not use dental floss had a higher rate of periodontal disease (AOR = 1.47, 95% confidence interval [CI]: 1.05 to 2.1). However, there were no significant differences by interdental brush use. In those with 20 or more teeth, non-users of dental floss had a higher risk of periodontitis in all models. Conversely, in those with fewer than 20 teeth, no significant differences were observed. Older people with mostly intact dentitions have better periodontal health if they clean between their teeth.

The 7th National Audit Project (NAP7) baseline survey of individual anaesthetists: preparedness for and experiences of peri-operative cardiac arrest.

The Royal College of Anaesthetists' 7th National Audit Project baseline survey assessed knowledge, attitudes, practices and experiences of peri-operative cardiac arrests among UK anaesthetists and Anaesthesia Associates. We received 10,746 responses, representing a 71% response rate. In-date training in adult and paediatric advanced life support was reported by 9646 (90%) and 7125 (66%) anaesthetists, respectively. There were 8994 (84%) respondents who were confident in leading a peri-operative cardiac arrest, with males more confident than females, but only 5985 (56%) were confident in leading a debrief and 7340 (68%) communicating with next of kin. In the previous two years, 4806 (46%) respondents had managed at least one peri-operative cardiac arrest, of which 321 (7%) and 189 (4%) of these events involved a child or an obstetric patient, respectively. Respondents estimated the most common causes of peri-operative cardiac arrest to be hypovolaemia, hypoxaemia and cardiac ischaemia, with haemorrhage coming fifth. However, the most common reported causes for the most recently attended peri-operative cardiac arrest were haemorrhage; (927, 20%); anaphylaxis (474, 10%); and cardiac ischaemia (397, 9%). Operating lists or shifts were paused or stopped after 1330 (39%) cardiac arrests and 1693 (38%) respondents attended a debrief, with 'hot' debriefs most common. Informal wellbeing support was relatively common (2458, 56%) and formal support was uncommon (472, 11%). An impact on future care delivery was reported by 196 (4%) anaesthetists, most commonly a negative psychological impact. Management of a peri-operative cardiac arrest during their career was reported by 8654 (85%) respondents. The overall impact on professional life was more often judged positive (2630, 30%) than negative (1961, 23%), but impact on personal life was more often negative.

Organisation of UK hospitals and anaesthetic departments in the treatment of peri‐operative cardiac arrest: an analysis from the 7th National Audit Project (NAP7) local co‐ordinator baseline survey

SummaryWe report the results of the Royal College of Anaesthetists' 7th National Audit Project organisational baseline survey sent to every NHS anaesthetic department in the UK to assess preparedness for treating peri‐operative cardiac arrest. We received 199 responses from 277 UK anaesthetic departments, representing a 72% response rate. Adult and paediatric anaesthetic care was provided by 188 (95%) and 165 (84%) hospitals, respectively. There was no paediatric intensive care unit on‐site in 144 (87%) hospitals caring for children, meaning transfer of critically ill children is required. Remote site anaesthesia is provided in 182 (92%) departments. There was a departmental resuscitation lead in 113 (58%) departments, wellbeing lead in 106 (54%) and departmental staff wellbeing policy in 81 (42%). A defibrillator was present in every operating theatre suite and in all paediatric anaesthesia locations in 193 (99%) and 149 (97%) departments, respectively. Advanced airway equipment was not available in: every theatre suite in 13 (7%) departments; all remote locations in 103 (57%) departments; and all paediatric anaesthesia locations in 23 (15%) departments. Anaesthetic rooms were the default location for induction of anaesthesia in adults and children in 148 (79%) and 121 (79%) departments, respectively. Annual updates in chest compressions and in defibrillation were available in 149 (76%) and 130 (67%) departments, respectively. Following a peri‐operative cardiac arrest, debriefing and peer support programmes were available in 154 (79%) and 57 (29%) departments, respectively. While it is likely many UK hospitals are very well prepared to treat anaesthetic emergencies including cardiac arrest, the survey suggests this is not universal.

4th National Anaesthesia Research Symposium: Enhancing the Quality of Anaesthesia Research in the Developing World, September 8-10, 2023

4th National Anaesthesia Research Symposium: Enhancing the Quality of Anaesthesia Research in the Developing World, September 8-10, 2023

인슐린 저항성이 심뇌혈관질환에 미치는 영향

Recently, insulin resistance has been caused by the imbalance between energy intake and calories consumed, and the prevalence of cardiocerebrovascular disease is increasing. Therefore, it is intended to understand how physical activity, nutrients, and food group intake affect insulin resistance, and to examine the association with cardiocerebrovascular disease. This study used data from the 3rd year of the 6th National Health and Nutrition Examination Survey, and a total of 740 people with insulin resistance were the final subjects of analysis. To investigate the relationship between insulin resistance and cardiovascular disease, chi-square teat, t-test, and logistic regression were performed. final analysis targets. As a result, it was found that in those with insulin resistance, high blood pressure increased 2.31 times, dyslipidemia increased 1.76 times, and stroke increased 1.72 times. We hope that it will be used as basic data to understand the relationship between insulin resistance and cardiovascular disease and to find different ways to minimize the risk.

Condom use among young Chileans: The role of social determinants, gender roles and mental health

Despite various strategies implemented to promote sexual education and prevent sexually transmitted infections (STIs), the 10th National Youth Survey revealed that slightly more than half of young people in Chile used a condom during their last sexual encounter. While several sociodemographic, cultural, and psychological predictors have been described, recent studies specific to Chile are scarce. To examine the relationship between social determinants, gender roles, and mental health symptoms with condom use in young Chileans. Secondary data from the 10th National Youth Survey were analyzed. The analytical sample comprised 5,507 young people who had started their sexual life. Multiple binomial logistic regression models were run using survey-based data estimates. Older youth, women, people who identify with any ethnicity, those in a dating relationship, and those diagnosed with an STI are less likely to use a condom at last intercourse. Individual characteristics can explain adherence to preventive behaviors and may reflect underlying psychological and cultural factors. Identifying socio-structural, cultural, and psychological factors associated with preventive and protective sexual behaviors should be a health priority, as it enables the design and promotion of more effective social communication campaigns.

The 6th National Meeting on Hydrogeology Flowpath 2023

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