Contextual Variables Research Articles

A firm-specific Malmquist productivity index model for stochastic data envelopment analysis: an application to commercial banks

In the data envelopment analysis (DEA) literature, productivity change captured by the Malmquist productivity index, especially in terms of a deterministic environment and stochastic variability in inputs and outputs, has been somewhat ignored. Therefore, this study developed a firm-specific, DEA-based Malmquist index model to examine the efficiency and productivity change of banks in a stochastic environment. First, in order to estimate bank-specific efficiency, we employed a two-stage double bootstrap DEA procedure. Specifically, in the first stage, the technical efficiency scores of banks were calculated by the classic DEA model, while in the second stage, the double bootstrap DEA model was applied to determine the effect of the contextual variables on bank efficiency. Second, we applied a two-stage procedure for measuring productivity change in which the first stage included the estimation of stochastic technical efficiency and the second stage included the regression of the estimated efficiency scores on a set of explanatory variables that influence relative performance. Finally, an empirical investigation of the Iranian banking sector, consisting of 120 bank-year observations of 15 banks from 2014 to 2021, was performed to measure their efficiency and productivity change. Based on the findings, the explanatory variables (i.e., the nonperforming loan ratio and the number of branches) indicated an inverse relationship with stochastic technical efficiency and productivity change. The implication of the findings is that, in order to improve the efficiency and productivity of banks, it is important to optimize these factors.

Remote photoplethysmography (rPPG) in the wild: Remote heart rate imaging via online webcams

Remote photoplethysmography (rPPG) is a low-cost technique to measure physiological parameters such as heart rate by analyzing videos of a person. There has been growing attention to this technique due to the increased possibilities and demand for running psychological experiments on online platforms. Technological advancements in commercially available cameras and video processing algorithms have led to significant progress in this field. However, despite these advancements, past research indicates that suboptimal video recording conditions can severely compromise the accuracy of rPPG. In this study, we aimed to develop an open-source rPPG methodology and test its performance on videos collected via an online platform, without control of the hardware of the participants and the contextual variables, such as illumination, distance, and motion. Across two experiments, we compared the results of the rPPG extraction methodology to a validated dataset used for rPPG testing. Furthermore, we then collected 231 online video recordings and compared the results of the rPPG extraction to finger pulse oximeter data acquired with a validated mobile heart rate application. Results indicated that the rPPG algorithm was highly accurate, showing a significant degree of convergence with both datasets thus providing an improved tool for recording and analyzing heart rate in online experiments.

How does the external context affect an implementation processes? A qualitative study investigating the impact of macro-level variables on the implementation of goal-oriented primary care

BackgroundAlthough the importance of context in implementation science is not disputed, knowledge about the actual impact of external context variables on implementation processes remains rather fragmented. Current frameworks, models, and studies merely describe macro-level barriers and facilitators, without acknowledging their dynamic character and how they impact and steer implementation. Including organizational theories in implementation frameworks could be a way of tackling this problem. In this study, we therefore investigate how organizational theories can contribute to our understanding of the ways in which external context variables shape implementation processes. We use the implementation process of goal-oriented primary care in Belgium as a case.MethodsA qualitative study using in-depth semi-structured interviews was conducted with actors from a variety of primary care organizations. Data was collected and analyzed with an iterative approach. We assessed the potential of four organizational theories to enrich our understanding of the impact of external context variables on implementation processes. The organizational theories assessed are as follows: institutional theory, resource dependency theory, network theory, and contingency theory. Data analysis was based on a combination of inductive and deductive thematic analysis techniques using NVivo 12.ResultsInstitutional theory helps to understand mechanisms that steer and facilitate the implementation of goal-oriented care through regulatory and policy measures. For example, the Flemish government issued policy for facilitating more integrated, person-centered care by means of newly created institutions, incentives, expectations, and other regulatory factors. The three other organizational theories describe both counteracting or reinforcing mechanisms. The financial system hampers interprofessional collaboration, which is key for GOC. Networks between primary care providers and health and/or social care organizations on the one hand facilitate GOC, while on the other hand, technology to support interprofessional collaboration is lacking. Contingent variables such as the aging population and increasing workload and complexity within primary care create circumstances in which GOC is presented as a possible answer.ConclusionsInsights and propositions that derive from organizational theories can be utilized to expand our knowledge on how external context variables affect implementation processes. These insights can be combined with or integrated into existing implementation frameworks and models to increase their explanatory power.

Sensemaking Process of Parents of Children with Autism Spectrum Disorder: Identification of Specific Clusters of “Sense of Grip”

AbstractAutism spectrum disorder (ASD) represents a pervasive neurodevelopmental disorder characterized by persistent atypicalities in social communication and social interactions across different domains of life, often with restricted, repetitive, stereotyped patterns of behaviors, interests, and activities. A large corpus of previous research shows that parental involvement in caregiving is perceived as stressful and challenging, in many cases resulting in poorer parental quality of life. The authors present a quali-quantitative mixed method research on sensemaking process of 34 parents (16 mothers and 18 fathers) of children with ASD. The interviews were collected and analyzed according to the “Sense of Grip” (SoG) methodology. SoG indeed refers to the sensemaking processes that a person realizes to manage the relationship with diseases or disorders by organizing several degrees of flexibility, differentiation, and adaptation to the variability of experiences and contexts of life. This construct of health psychology—semiotically and clinically oriented—is based on specific narrative functions (i.e., temporal, integrative, emotional, sharing, and agentive functions). The cluster analysis procedure allowed to identify three different SoG profiles: (a) enterprising (parents who are able to construct flexible and dynamic familiar routines), (b) opposing (parents who experience the ASD disorder as a deep unacceptable crisis, hindering the rest of familiar and professional activities), and (c) condescending (parents who organize family life completely on adherence to medical prescriptions and care protocols). These profiles show interesting implications for clinical practice and support as showing specific aspects of treating, managing, and sharing children conditions within family and relational contexts of life.

The influence of XBRL technology on the quality of financial reporting: exploring mediating variables in the Indian context

PurposeThis study aims to examine the impact of extensible business reporting language (XBRL) technology and its functionality on various aspects of financial reporting and its overall quality.Design/methodology/approachTo conduct this study, data was collected from a variety of professionals, including accountants, auditors, tax advisors and others. A structured research instrument was developed, and the collected data were analysed using structural equation modelling and mediation analysis techniques.FindingsThe study’s results showed that XBRL technology and its functionality have a noteworthy impact on different aspects of financial reporting. Moreover, the various aspects of financial reporting positively affect the overall quality of financial reporting.Research limitations/implicationsThis study solely relied on the opinions of various professionals regarding the current issue under investigation and did not empirically assess the reporting practices of companies by examining their XBRL-based reports. Additionally, it concentrated solely on financial reporting aspects and did not account for non-financial aspects. The main theoretical contributions of this paper to technology in financial reporting, XBRL and accounting literature are that it sheds light on the influence of the use of technologies in the business reporting process and their influence on various aspects of business reporting, which has only received confined focus from earlier studies so far.Practical implicationsThis study’s findings could provide valuable insights to the managerial teams of organizations seeking to digitize their business reporting practices, specifically in areas such as regulatory compliance, integrated reporting and timely dissemination of reports in a sustainable way. Furthermore, it could help these teams reap the benefits of technology for various regulatory compliance matters.Originality/valueThis study could assist business organizations and regulatory authorities in adopting and implementing technology such as XBRL for accounting and business reporting. Furthermore, the study’s findings can aid in enhancing financial reporting practices by considering emerging aspects such as ESG and sustainability aspects.

Individualized second stage corrections in data envelopment analysis

In the context of two-stage data envelopment analysis (DEA) for efficiency correction, we shift the focus from the common central tendency orientation in its second stage to an individually oriented procedure. We propose to evaluate the influence of contextual variables on each unit's performance relative to the other operating units. This results in an alternative approach in which the second stage inherits the principal property of DEA in the first stage of putting each individual unit in its best possible light. We demonstrate the applicability of our approach using data from the energy sector in the domain of incentive regulation, where operators are natural monopolies. In such systems of incentives, ensuring fair performance evaluations is crucial, given the influence of contextual variables beyond management control. Our approach contributes to efficiency correction procedures under these circumstances. The results not only encourage operators to economize costs and improve service quality but also motivate them to, for example, minimize environmental impact of operations, adopt eco-friendly technologies, and invest in renewable energy sources.

The landscape of heat pump adoption in Canada: a market segments approach

Heat pumps are an important technology for reducing residential building emissions, however their adoption rate in North America is far below what is needed to meet emission reduction targets. This paper uses a representative web-based survey of Canadian homeowners (n = 3,804) to identify and describe characteristic and attitudinal trends of three market segments of Canadian homeowners: Pioneers (heat pump owners), Potential Early Mainstream buyers (homeowners currently willing to purchase a heat pump), and Late Mainstream buyers (homeowners currently unwilling to purchase a heat pump). We find that personal capability, contextual and attitudinal factors are significant determinants of market segments. For example, being younger, more educated and wealthier is positively associated with market segmentation in Canada. A novel finding is that voting and living in rural areas is strongly associated with willingness to install a heat pump. The Atlantic Provinces, Quebec and British Columbia are all more likely than Ontario and Alberta to adopt heat pumps while the Prairies are less likely. This is true even after controlling for personal capability, contextual and attitudinal variables. We find an important role for contextual variables in explaining the geographical distribution of heat pump market segments.

The relation between contact experiences and dual identity among German residents with a Turkish or Kurdish identity

AbstractWe present secondary analyses of data collected with German residents with Turkish and Kurdish ancestry (n = 414), who represent the largest migrant groups in Germany. The majority of our sample of mostly second‐generation migrants exhibited integrated identity profiles, with high levels of both ethnic (Turkish or Kurdish) and national (German) identification. National and ethnic identification were unrelated, and both were predicted by the frequency and quality of contact with members of the respective groups as well as the extent to which participants report daily discrimination experiences. We additionally adopted a regional bias approach (Calanchini et al., 2022), inserting regional‐level data as indicators of context variance of contact opportunity and local aggregates of racialized group attitudes into analyses. Results document that the varying level of contact opportunity did not predict individual contact experiences and social identity, whereas the local attitude aggregate predicted individual contact experiences and participants' reports of daily discrimination, which, in turn, related to both ethnic and national identifications. These results indicate the relevance of social and contextual variables on the formation and navigation of multiple identities, which has theoretical and practical implications for the current societal and political debates about migration and integration.

Exploring the factors influencing public intention for spectator sports consumption based on grounded theory

Spectator sports consumption serves as a vital component in the development of the sports industry. However, numerous challenges exist in fostering public engagement in this domain. Therefore, in order to explore the factors that influence public participation in spectator sport consumption, this study analyzes the intention to participate in spectator sports consumption from the perspective of consumers. On this basis, Semi-structured interviews were conducted with a sample of 25 members of the public, and three levels of coding were analyzed using the qualitative research method of procedural rooting theory and establish a model on the influence of public intention to participate in spectator sports consumption, and on this basis, we reveal the influence of crucial elements. The results of the study indicate that: Firstly, personal and psychological factors are significant internal drivers, while external drivers cover product and contextual factors. Secondly, the key to filling the attitudinal and behavioral gaps is the depth of perception individually, which is of great importance in increasing public participation. Thirdly, external contextual factors impacting consumer support primarily consist of external incentives, social influences, and urban contextual variables, which also serve a moderating role in the integration model. The results suggest that guiding the public to actively participate in spectator sport consumption should be based on an understanding of individual perceptions, emotions as well as attitudes. This paper develops a model examining public motivation to engage in spectator sports locally in China, pinpoints the primary influencing factors and mechanisms, and presents novel concepts for the sustainable growth of the sports sector.

Prevalence and Preferred Niche of Small Eukaryotes with Mixotrophic Potentials in the Global Ocean.

Unicellular eukaryotes that are capable of phago-mixotrophy in the ocean compete for inorganic nutrients and light with autotrophs, and for bacterial prey with heterotrophs. In this study, we ask what the overall prevalence of eukaryotic mixotrophs in the vast open ocean is, and how the availability of inorganic nutrients, light, and prey affects their relative success. We utilized the Tara Oceans eukaryotic 18S rRNA gene and environmental context variables dataset to conduct a large-scale field analysis. We also performed isolate-based culture experiments to verify growth and nutritional resource relationships for representative mixotrophic taxa. The field analysis suggested that the overall prevalence of mixotrophs were negatively correlated with nutrient concentrations and positively associated with light availability. Concentrations of heterotrophic bacteria as a single variable also presented a positive correlation with mixotrophic prevalence, but to a lesser extent. On the other hand, the culture experiments demonstrated a taxa-specific relationship between mixotrophic growth and nutrition resources, i.e., the growth of one group was significantly dependent on light availability, while the other group was less affected by light when they received sufficient prey. Both groups were capable of growing efficiently with low inorganic nutrients when receiving sufficient prey and light. Therefore, our field analysis and culture experiments both suggest that phago-mixotrophy for ocean eukaryotes is seemingly an efficient strategy to compensate for nutrient deficiency but unnecessary to compensate for light scarcity. This study collectively revealed a close relationship between abiotic and biotic nutritional resources and the prevalence of trophic strategies, shedding light on the importance of light and nutrients for determining the competitive success of mixotrophs versus autotrophic and heterotrophic eukaryotes in the ocean.

Misinformation and COVID-19 vaccine uptake hesitancy among frontline workers in Tanzania: Do demographic variables matter?

ABSTRACT Although COVID-19 vaccination has been widely considered as an important remedy to confront COVID-19, people remain hesitant to take it. The objective of this study was to assess the moderation effects of demographic characteristics on the relationship between forms of misinformation and COVID-19 vaccine uptake hesitancy among frontline workers in Dar es Salaam and Dodoma, Tanzania. Using a sample of 200 respondents, it assessed the differences in ratings on misinformation regarding COVID-19 vaccine based on respondents’ demographics. The study used a Five-point Likert scale questionnaire distributed through snowball sampling to frontline workers from Dar es Salaam and Dodoma regions. Data was analyzed using binary logistic regression. It was found that the forms of misinformation revealed were manipulated imposters, satire, fabricated contents and false contents with their connection, which they influenced COVID-19 hesitancy significantly. With exception of age, that significantly moderated hesitancy, this study uncovers that, sex and education level moderated insignificantly in predicting those who are misinformed; misinformed individuals are not any less educated or not based on one’s sex, different than individuals who are informed. The study informs policy makers on devising appropriate strategies to promote COVID-19 vaccination uptake among the different contextual demographic variables. Promotion of information, media and health literacy to the general public should be considered to deter spreading of vaccine-related misinformation.

Socio-economic factors related to premature death from colorectal cancer in Santiago de Chile, 2014–2018: a cross-sectional study

ObjectivesIn Chile, colorectal cancer (CRC) is the fourth cause of death by cancer. Few studies have evaluated the role of contextual and individual socio-economic variables associated with premature death by CRC (<70 years). We analyzed the association between socio-economic factors (at individual and contextual levels) and premature death from CRC in Santiago de Chile. Study designThis was a cross-sectional study. MethodsWe analyzed deaths from CRC between 2014 and 2018 using data published by the Ministry of Health. Individual predictors were sex, marital status, and educational level. Contextual variable included the Social Priority Index (SPI) of the commune where the deceased lived. The association was assessed through multilevel logistic regression models. ResultsDuring the period, 4762 deaths occurred (51.7% women); 39.3% were premature. At the individual level, male sex (odds ratio [OR] 1.36; 95% confidence interval [CI] 1.20–1.53) and single marital status (OR 1.45; 95% CI 1.24–1.68) were associated with premature death from CRC. Primary or lower education was a protective factor (OR 0.53; 95% CI 0.47–0.60). At the contextual level, communes with a higher SPI were three times more at risk than those with a lower SPI (OR 3.13; 95% CI 2.15–4.57). ConclusionsThis study showed that individual and contextual socio-economic variables are related to premature death from CRC. Residing in communes with greater socio-economic vulnerability was associated with greater risk. To reduce this gap, it is urgent to design and implement structural policies to reduce social inequities and improve access to health care.

A scoping review on what motivates individuals to illegally harvest wildlife

ABSTRACT Wildlife are natural resources utilised by many people around the world, both legally and illegally, for a wide range of purposes. This scoping review evaluates 82 studies nested in 75 manuscripts to provide an overview of the documented motivations and methodologies used, and to identify and analyse knowledge gaps in the motivations of illegal harvesters. Studies differ in what data is collected, often leaving out important contextual variables. We find 12 different motivations, frequently interlinked and multiple often play a role in the same harvesting incident. Motivations seemed to differ between taxa. Future research needs to move beyond a general description but recognise the complexity of the matter and allow for context-specific adjustments to facilitate a deeper understanding of these motivations.

Qualitative Analysis of Initial Palliative Care Consultations in Amyotrophic Lateral Sclerosis

BackgroundPalliative care (PC) benefits patients with amyotrophic lateral sclerosis (ALS), however the needs of patients and caregivers and the optimal timing of PC discussions remains unclear. This study reports the analysis of PC consult notes from a larger feasibility trial. The specific aims of this analysis were to i) identify the PC needs of patients with ALS via qualitative analysis and ii) identify characteristics of patients and caregivers that could predict specific PC needs. MethodsThis study was nested within a nonrandomized, prospective study of patients with ALS (and their caregivers) being treated at a multidisciplinary ALS clinic. Exclusion criteria of the main study were age <18 years, inability to complete questionnaires, and prior receipt of PC. All patients were offered a PC consultation (PCC); those who accepted were included in this nested study. Consultation notes were reviewed and thematic and content analyses were conducted. The occurrence of themes across patient and caregiver contextual variables were examined. ResultsThirty-two PCCs were completed between October 2020 and April 2022. Six major themes were identified: PC roles (with subthemes encompassing the spectrum of specialist PC practice including symptom management and advance care planning), engagement with PC, patients’ concerns for their caregivers, caregiver-specific concerns, finances, and COVID-19. An average of 12 topics were discussed per PCC (range = 3–22). Discussion of advance care planning, care coordination, and symptom management was common, and these topics were not discussed more frequently in PCCs with patients with lower functional status, more bulbar symptoms, or lower quality of life. Time from diagnosis did not impact topics of discussion. Patients reporting more symptoms of depression more frequently required psychological support, particularly regarding loss of independence, employment, and leisure activities. DiscussionPatients with ALS and their caregivers have a wide range of PC needs. These needs vary irrespective of time from diagnosis, functional status, or quality of life, therefore PCC is recommended for all patients with ALS. PCC should be individualized based on patient and caregiver preferences. Trial registration informationThe study was registered with ClinicalTrials.gov (NCT04257760; https://clinicaltrials.gov/ct2/show/NCT04257760) on February 6, 2020. The first enrollment occurred on October 20, 2020.

Factors affecting success and failure in higher education mathematics: Students' and teachers’ perspectives

BackgroundStudents from Bangladesh pursuing STEM education often encounter obstacles when tackling diverse mathematical problems within various educational settings. Frequently, they find themselves lacking the essential prerequisite knowledge and strong foundational skills necessary to engage with the teaching and learning resources utilized at the undergraduate level, resulting in a significant number of students needing to seek readmission annually. ObjectiveThe objective of this study is to explore the determinants of academic achievement among university undergraduates majoring in mathematics in Bangladesh. Employing a mixed-method research approach, the study combines quantitative and qualitative data analysis to examine the viewpoints of both students and educators concerning these factors. The authors primarily emphasize classifying the factors that impact the efficacy of mathematics pedagogical methods. MethodologyThe study is structured into three phases: i. An initial exploratory qualitative survey. ii. A quantitative triangulation survey. iii. Followed by explanatory semi-structured interviews. FindingsTo begin, the initial qualitative survey identified significant factors that contribute to students' achievements and setbacks in mathematics. Subsequently, the quantitative analysis verified both similarities and distinctions in the perspectives of students and educators. Furthermore, the correlation coefficient analysis revealed that male students frequently exhibit inconsistency and a lack of enthusiasm for studying, resulting in subpar performance. Conversely, female students frequently cited challenges like the difficulty of connecting mathematical theories to real-world applications, heavy course loads, and limited resources as reasons for their academic difficulties. Lastly, insights from interviews with students highlighted their acknowledgment of inadequate study practices, excessive reliance on memorization, suboptimal teaching methods, low motivation, and external distractions as key factors leading to their struggles. They also recognized the importance of consistent practice, a solid comprehension of concepts, regular study routines, and effective learning strategies for successful mathematics education. In contrast, educators emphasized the significance of students having clear concepts, natural aptitude, motivation, and a sense of curiosity as pivotal elements for successful learning in mathematics. ConclusionThis conclusion suggests a new beginning in the realm of local mathematics pedagogy, achieved by scrutinizing teacher-student feedback about the factors influencing success and failure, considering the diverse individual and contextual variables at play. To foster mutual trust and understanding between students and teachers, it may be beneficial to engage in open discussions and interactions.

Demographic and school factors associated with digital competences in higher education students

Nowadays, digital competencies encompass skills and attitudes with technical, informational, content, media, and communication aspects that are crucial for students and future professionals. Hence, there is a need to investigate the possible correlations between demographic and contextual variables and the development of digital competencies in higher education. This paper reports on several university-student demographic factors associated with digital competencies. The work used a quantitative approach with descriptive statistical techniques such as a means test and Pearson correlation analysis. The findings identified that (a) there are statistically significant differences between the mean obtained in the previous semester in digital competencies and the gender of the students, (b) there are no statistically significant differences in the final mean for digital competencies and the students’ institution of origin, and (c) the variables included in the study are statistically significant. They also found that the mean attained by the university students in the previous semester had a strong predictive power of student performance; in contrast, the student’s high school institution of origin variable was a weak predictor of their digital competency. This paper presents the findings and implications for practice and research.

Children’s evaluations of culturally diverse lunchbox foods

Previous research indicates that children make ingroup–outgroup judgments based on notions of food conventionality and that ethnic minority children have been teased or bullied for bringing non-conventional foods to school. This series of three studies experimentally investigated U.S. school-age children’s evaluations of culturally diverse lunchbox foods. Study 1 examined an online sample of children aged 5 to 12 years and their evaluations of foods from four cultures (mainstream American, Chinese, Indian, and Mexican) on the taste, smell, and messiness of the food, the appropriateness of bringing the food to school, and whether “cool kids” eat the food. Compared with the mainstream American lunchbox, children rated the Chinese, Indian, and Mexican lunchboxes as less tasty, more messy, and less likely that cool kids would bring those foods to school. In Studies 2 and 3, we examined children’s behavioral choices in a hypothetical cafeteria. In both studies, we found that the match between children’s own lunch preferences and what was displayed in the mainstream American lunchbox was the only predictor of children’s choice to sit at the table with the American lunchbox. Individual variables (e.g., child age, food pickiness) and contextual variables (e.g., neighborhood diversity) did not predict children’s table choices. This research highlights children’s understanding of familiarity and conventionality of foods and the social consequences of their behavioral choices.

Neurodevelopmental lags and type of delivery in a Colombian infant population

IntroductionThe Choice giving birth by cesarean section when it is not biologically necessary implies a greater risk to the health of the mother and child Toral et al. Eletrônica Estácio Saúde 2018; 95(1) 27-30,refers the psychological relevance to identify perinatal effects of a good medical practice at birth. In this respect Poojari et al. Early Hum Dev 2019;115 93-98, state that a cesarean section as a surgical risk, causes decrease fetal oxygenation and an impairment release of stress-related hormones in the maternal-fetal binomial that does not favor neural connections at birthObjectivesIdentify the neurodevelopmental lags in infant on children under 24 months of age born by cesarean section and vaginal delivery,MethodsA cross-sectional descriptive correlational; Sample consisted of 100 children of a term gestation, 70 with spontaneous vaginal birth and 30 whose birth was by cesarean section, aged between one and twenty-four months; using the Abbreviated Development Scale, an instrument created and validated for the Colombian population (Cronbach’s alpha, 0.94). All parents signed the informed consent.ResultsAll test scales were applied (gross and fine motor, language and social personal), the results showed that children born by cesarean section had better development in areas of fine motor and language, while children born by vaginal delivery had better development of gross motor. See (graphic 1).Graphic 1: Areas of development according to the type of delivery.ReferencesConclusionsThe influence of contextual variables such as age and educational level of the mother on language and social areas was also foundDisclosure of InterestNone Declared

The Social Determinants of Health and Athletic Trainer Availability in Indiana Secondary Schools.

The social determinants of health (SDOH) are circumstances under which individuals are born, work, and live that influence health outcomes. Previous researchers have examined 1 determinant of economic stability and found disparities in socioeconomic status and athletic trainer (AT) availability. To examine the SDOH characteristics of Indiana secondary schools and AT availability. Cross-sectional study. Database secondary analysis. A total of 426 secondary schools. All data were collected from publicly available databases. The independent variable was AT availability, and schools were classified as having a full-time AT, a part-time AT only, or no AT. The SDOH variables were gathered for each school (at the school and county levels). Data were summarized using measures of central tendencies, 1-way analysis of variance, and Kruskal-Wallis tests. School enrollment was larger in schools with greater AT availability (P< .001). The proportion of non-White students was greater in schools with more AT availability (P= .002). Greater AT availability was present in counties with higher graduation rates (P= .03). Post hoc comparisons revealed differences in graduation rates between schools with a part-time AT and those with no AT (P= .04). Schools with less AT availability were located in counties with a slightly higher percentage of the population uninsured (P= .02). Schools with greater AT availability were located in counties with a higher ratio of population to primary care physicians (P= .03). Schools with less AT availability were located in counties with a higher population experiencing severe housing problems (P= .02). No differences were found in AT availability based on the 3 social and community context variables (P> .05). Differences were noted in AT availability and SDOH characteristics at the secondary school level. We observed less AT availability where high school graduation rates and the population of primary care providers were lower. Strategies should be implemented to improve access to athletic health care in underresourced communities.

IJCM_53A: Association between women’s autonomy and unintended pregnancy in India using NFHS- 5

Background: Numerous research studies conducted in low- and middle- income nations have suggested that women’s autonomy can be a major factor in lowering the rate of unwanted pregnancies. In the Indian setting, where patriarchy is prevalent and women’s participation in crucial choices is restricted by sociocultural norms, there is limited data on women’s autonomy. The National Family Health Survey 2019-2021 (NFHS-5) provides information on population, health, and nutrition for India and each state/union territory (UT). Data of 4,00606 women aged 15-49 years who reported their reproductive intentions were extracted and analysed in which 3,70,691 had a birth in the last five years and were not pregnant, and 29,915 women were pregnant at the time of the survey. Objective: To determine the association between women’s autonomy and unintended pregnancy in India. Methodology: The National Family Health Survey-5 conducted in 2019-21 was used for the analysis. Information on ever-married women was extracted from women aged 15-49 years. Bivariate logistic regression was used to examine the association of unintended pregnancy with women’s autonomy, demographic, socio-economic, and social context variables. Results: The highest proportion of unintended pregnancies 12.82% were found in the women with low autonomy. A significant difference was seen between the pregnancy intention of respondents and their demographic, economic and social covariates. The prevalence of unintended pregnancy was higher among women who were in the age group 15-24 years, in the poorest wealth quintile, lived in rural areas, had more than three children, and who married before the age of 18 years. Conclusion: Improvement in women’s autonomy can reduce unintended pregnancy in India. Women with higher autonomy will be able to regulate their fertility and can appropriately limit their family size.