Home Interviews Research Articles

24-hour movement behaviors and changes in quality of life over time among community-dwelling older adults: a compositional data analysis.

Favorable movement behavior patterns, comprising more physical activity, less sedentary behavior, and sufficient sleep, may promote the maintenance of good quality of life (QoL) with advancing age. The aim of the present study was to investigate whether movement behaviors predict future changes in QoL among community-dwelling older adults over a four-year follow-up. Participants were 75-, 80- and 85-year-old community-dwelling older adults (n = 203) followed up for 4 years. Participants wore thigh- and trunk-mounted accelerometers for 3-7 days at baseline. Proportion of time-use in physical activity, standing and sedentary behavior were assessed based on body posture and movement intensity. Time in bed was determined using an automated algorithm. QoL was assessed during a home interview using the short Older People's Quality of Life Questionnaire at baseline and follow-up (range 13-65, higher scores indicate higher QoL). Compositional linear regression analysis was used to study whether baseline time-use composition predicts changes in QoL. Over the 4-year follow-up, QoL scores decreased by 5% on average. Higher physical activity in relation to the other movement behaviors was associated with increase in QoL over time (βilr 0.94, p = 0.013), but this association attenuated after adding baseline physical function into the model. Sedentary behavior, standing, and time in bed were not associated with changes in QoL. Theoretical reallocation of 30min of physical activity into sedentary behavior, standing or time in bed was estimated to decrease QoL by 0.5 (CI 95% -0.6 to -0.4), 0.6 (-0.7 to -0.5) and 0.4 (-0.5 to -0.3) points, respectively. Theoretical reallocation of physical activity into sedentary behavior, standing, and time in bed was found to be associated with prospective decline in QoL among older adults. Engaging more in physical activity and less in more passive activities may promote better QoL with advancing age.

How Does Lacking a Home Program Impact Otolaryngology Applicants?

To compare otolaryngology interview and match outcomes between applicants with and without home residency programs. Otolaryngology applicants from US allopathic medical schools during the 2019-2023 cycles who responded to the Texas Seeking Transparency in Application to Residency (STAR) survey were identified. Students were stratified based upon whether their medical school had an affiliated otolaryngology residency program. The primary outcomes were number of interviews and match rate. Wilcoxon-rank sum and χ2 testing was used to assess associations between home program status and interview and match outcomes. Of the 633 fourth-year medical students applying to otolaryngology during the 2019-2023 application cycles, 89 had no home program (NHP) and 544 had a home program (HP). Applicants with NHP completed significantly more away rotations than applicants with a HP (2.2 vs. 1.5; p < 0.01). There was no difference in mean number of applications submitted between applicants with NHP and applicants with a HP. However, applicants with a HP received a significantly greater number of interviews (14.7 vs. 11.8; p < 0.01), attended more interviews (12.4 vs. 11.3; p = 0.02), attended a lower percentage of their offered interviews (84.4% vs. 95.8%), and had a higher match rate (81.8% vs. 70.8%; p = 0.02) than applicants with NHP. Applicants with NHP interviewed at (1.9 vs. 1.3; p < 0.01) and matched at (33.7% vs. 23.9%; p = 0.048) significantly more away rotation institutions than applicants with a HP. Applicants with NHP received fewer interviews and had lower match rates. Away rotations may be especially important for applicants with NHP. NA Laryngoscope, 134:4494-4500, 2024.

Effects of physical activity on blood pressure and mortality among aged hypertensive patients: A cross-sectional study.

Previous research on physical activity (PA) has mostly concentrated on a single or small number of activities, with scant coverage of the effects of PA on hypertension (HTN) and all-cause mortality. Most studies examining HTN in the elderly have been too small or shown contradictory findings. We conducted a cross-sectional study using 10 cycles of the National Health and Nutrition Examination Survey data from 1999 to 2018. Our sample consisted of respondents aged 65 years or older with HTN, who underwent thorough in-person home interviews. We used a questionnaire to assess their PA levels and divided them into 2 groups: physically active and inactive. We then used logistic analysis to determine the association between PA and death in HTN patients. The gender distribution was nearly equal among the 11,258 participants, with a mean age of 74.36 ± 5.88 years. Nearly 80% of the survey respondents identified as non-Hispanic White. Patients in the physically active group were less likely to suffer from co-morbidities than those in the inactive group. A negative correlation was found between physically active and systolic blood pressure (P < .0001) and a positive correlation between physically active and diastolic blood pressure (P = .0007). There was a much higher risk of death from any cause and heart disease in the inactive group in the uncorrected COX model (HR 2.96, CI 2.65-3.32, P < .0001; HR 3.48, CI 2.64-4.58, P < .0001). The risk of death from any cause and HTN mortality was still significantly higher in the physically inactive group, even after controlling for age, sex, and race or taking all covariates into account. These results have the potential to significantly impact healthcare practices, particularly in the field of geriatric care, by emphasizing the importance of PA in reducing the risk of HTN and mortality in aged patients. The present study underscores the significant benefits of PA in patients aged 65 years and older with HTN. Notably, it was found to reduce systolic blood pressure and have a positive impact on the decrease of all-cause and hypertensive mortality. These findings highlight the crucial role of PA in the health and longevity of aged patients with HTN.

Engaging under-represented oldest old in research: Anapproach for inclusive recruitment.

Those aged 80 years and over are the fastest-growing sector of the Australian population but are often excluded from research. Oldest old people living alone, in disadvantaged neighbourhoods, and with ill health or dementia, face additional barriers that may hinder their participation in research. This paper contributes timely critical commentary on methodological and ethical approaches to engaging under-represented people in research. We draw on our experiences and reflections from a study of social exclusion of people aged 80 years and older living alone in government housing in Melbourne, Australia. We suggest key factors to facilitate representation of this population group in future research. These factors include using doorknocking to gain access, cultivating trust with participants and gatekeepers, and conducting face-to-face home interviews. We also interrogate ethical and safety issues for researchers and oldest old participants including the potential for informed consent protocols to exclude this population group. To avoid unintentionally excluding the oldest old, researchers need to consider older persons' self-determination and advocate for methods that ensure oldest old perspectives inform future healthy ageing planning and reduce possible health and well-being inequities.

Sibling relational aggression: Developmental change and associations with family relationships across adolescence.

Sibling relational aggression is an understudied social and family process that is of developmental significance in adolescence, a period of interpersonal relationship development. This study examined developmental change in sibling relational aggression across adolescence and used multilevel actor-partner independence models to test its longitudinal associations with mother-adolescent, father-adolescent, and sibling relationship qualities. Participants were 196 adolescent (firstborn-secondborn) sibling pairs from predominantly White families who averaged 16.47 years (SD = .80) and 13.88 years (SD = 1.15) of age, respectively, at baseline. Data were collected separately from each sibling during home interviews at three timepoints, each spaced a year apart. Longitudinal growth modeling revealed declines in sibling relational aggression from early to late adolescence. Findings from longitudinal multilevel actor-partner independence models revealed a negative within-person (WP) effect of father-adolescent intimacy and a positive WP effect of father-adolescent conflict on sibling relational aggression: On occasions when adolescents reported lower intimacy or more conflict with their fathers than usual (compared to individuals' own cross-time averages), adolescents reported experiencing more sibling relational aggression than usual. A between-person (BP) effect of mother-adolescent conflict also indicated that the cross-time average of mother-adolescent conflict was linked positively to the cross-time average of sibling relationship aggression. Primarily at the WP level, associations also emerged between lower sibling intimacy and higher sibling conflict and sibling relational aggression. For relationships with fathers and siblings, some effects were moderated by sibling structural characteristics. Discussion highlights the interplay of family relationship dynamics, including gender dynamics, and sibling relational aggression in adolescence. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

"Actually, I don't do different": Black parents' perceptions of gender socialization of sons versus daughters.

This study expanded on research examining families' roles in youth gender development that has investigated boys' versus girls' family experiences by using a within-family design to study the gender socialization of brothers versus sisters from the same families. We drew from archival data collected in 2001-2002 from an ethnic homogeneous sample of Black American mother-father families (N = 128) who were raising at least one son and one daughter; the majority of youth were adolescents (range 2-31 years). In separate home interviews, mothers and fathers described whether and how they socialized their sons versus daughters about education, their futures, and racism and discrimination. Across these three domains, most parents reported that they did not socialize their sons and daughters differently. Nonetheless, several themes emerged that illuminated race and race-gender intersectionality in parents' socialization, both resistance and accommodation to traditional gender norms, and the role of children's personal characteristics in parents' socialization, with similar themes evident among parents who did and who did not report socializing sons and daughters differently. This study advances understanding of parents' gender socialization and has implications for family-focused interventions aimed at promoting the well-being and achievement of Black American boys and girls. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Youth exposure to violence and victimization in a South African community sample

Background: Studies show that youth in low socioeconomic communities suffer significant disturbances in mental and emotional health because of exposure to violence and peer victimisation, manifesting in internalising disorders such as depression, anxiety and traumatic stress.Aim: To examine the relation between risks and exposure to community violence and peer victimisation.Setting: Low socioeconomic communities in Durban, KwaZulu-Natal.Methods: Data were collected via school and home interviews with youth and maternal caregivers using standardised schedules and instruments. These included the Demographics and Questions about Child’s Health schedule, the Family History of Risk Questionnaire, the Child Behaviour Checklist, the Social Experiences Questionnaire and the Survey of Children’s Exposure to Violence. Youth sample comprised 256 participants, with age range from 9 to 18 years, and 65% being female.Results: Sociodemographic risks were significantly associated with lifetime witnessing violence, victimisation and hearing about violence. Low maternal education was associated with overt peer victimisation and cyber-victimisation. Internalising conditions such as worry and oversensitivity, fear and concentration, youth anxiety and maternal anxiety were also significantly associated with violence exposure and peer victimisation.Conclusion: Predisposing risks for exposure to violence and victimisation occur in all domains, suggesting that interventions should target these domains to minimise their impact. Co-occurring experience of violence at the personal, proximal and distal levels perpetuate a cyclical loop of violence, intersecting and influencing each other.Contribution: Risk factors such as anxious attachment, avoidant attachment and anxiety, conceptually often seen as maladaptive outcomes, also serve as predisposing risks for violence exposure.

Environmental and Life Conditions Associated with Childhood Diarrhea in the Rural Area in Southern Brazil: an Exploratory Study

Objective: The objective of this study is to investigate the conditions of basic sanitation and its association with the prevalence of cases of childhood diarrhea in the rural area of the municipality of Alpestre (Brazil). Method: The methodology adopted for this research comprises a cross-sectional epidemiological study. Data collection was carried out through a survey of information conducted through home interviews. Socioeconomic conditions and basic sanitation were investigated, in addition to caregiver-reported diarrhea in children. For data alnalysis, the information contained in the questionnaires was entered into a database in the Epi InfoTM software. Results and Discussion: This study can be an example of the one health concept approach. The results obtained revealed the prevalence of 13.4% of diarrhea had been associated with factors of the peri-domiciliary environment such as the quality of the water consumed and its storage, sewage treatment, the presence of domestic animals on the rural property, solid waste destination, and socioeconomic conditions. Research Implications: Social and economic policies in favor of environmental health are essential, especially for the health of children. Community health agents are important to the application of public policies related to health education, aiming to expand access to sanitation services and improve conditions in rural areas with a focus on the most vulnerable families. Originality/Value: The relevance of this research is its contribution to the literature by showing tha rural areas have difficult socio-economic conditions, the prevalence of diarrhea was associated with poor sanitation, and public policies related to health education for rural population are needed.

Analysing the dropout patterns of individual children in Nepal: relationship between school dropout and grade repetition/entrance age

PurposeUsing longitudinal data of children in Nepal, this study examines the relationships between dropouts, grade repetition and the causes of dropout, such as entrance age, to derive concrete recommendations to improve the basic education completion rates in Nepal, one of the targets of Sustainable Development Goal 4 (SDG4).Design/methodology/approachThe data for this study were drawn from school records kept in the target schools, home visit surveys and interviews with principals and teachers. After comparing the repetition experience and the frequency of repetitions between graduates and dropouts, the study analysed the dropout patterns of individual children. The study then examined the effects of repetition and entrance age on children’s schooling.FindingsThe results identified a large group of children who dropped out of school without any repetition, with only 15.9% of the children repeating a grade immediately before dropping out. The findings indicated that harsh family environments, being overage and low educational expectations were factors in sudden dropout.Originality/valueCollecting longitudinal data is difficult in developing countries, and few studies use such data. The question of access to education has been re-ignited by the COVID-19 pandemic; this study used longitudinal data to thoroughly analyse children’s dropout patterns and provide specific recommendations that will contribute to the achievement of SDG4.

Characteristics of asserting the identity of people with dementia in an old people's home

Dementia poses a specific risk to the expression of identity due to the progressive decline of cognitive abilities and the general negative image of people with dementia. Prejudice and negative beliefs often lead to stigma and discrimination, which can depersonalise people with dementia and make it impossible for them to express their identity. The socially constructed image of people with dementia points to the need to explore the concept of identity of people with dementia. Based on qualitative research conducted in an old people's home and narrative interviews with residents with dementia, we demonstrate the possibilities of asserting the identity of people with dementia in an institutional setting. The paper highlights various factors that have a significant impact on the identity formation of residents with dementia. Among the most highlighted are appearance, physical abilities, social environment, activities, emotions, and religion. Residents with dementia develop different strategies to cope with the changes brought about by dementia and ageing (accepting change, redirecting negative thoughts, and maintaining skills through activities and employment). The paper presents the ability of residents with dementia to maintain or even transform their identity in an institutional setting, which has a strong impact on the expression and assertion of the individual's identity.

Association of anemia with all-cause mortality in Chinese centenarians: a prospective cohort study

ObjectivesThis study aimed to examine the relationship between anemia and all-cause mortality in Chinese centenarians. DesignProspective cohort study. Setting and participantsWe included 1002 Chinese centenarians from the China Hainan Centenarian Cohort Study (CHCCS) MeasurementsStandard procedures were followed to perform blood analysis, home interviews, and physical examinations. Anemia was defined as a hemoglobin level of less than 130 g/L for men and less than 120 g/L for women. ResultsDuring the 9-year follow-up period, a total of 929 (92.7%) deaths were identified. Cox proportional hazards regression models revealed that anemia (hazard ratio [HR] 1.289, 95% confidence interval [CI]: 1.117–1.489) was significantly associated with all-cause mortality. There was an apparent dose-response relationship between anemia and all-cause mortality. Centenarians with severe anemia had approximately 1.6 times higher likelihood of all-cause mortality than those without anemia (HR 1.662; 95% CI: 1.154–2.394). ConclusionAnemia is associated with an increased risk of all-cause mortality in Chinese centenarians. Further research will be needed to collect more comprehensive data on the etiology of anemia and causes of death in centenarians.

Abstract 3437: Stromal tumor-infiltrating lymphocytes in association with body size and composition among Black and White women with breast cancer

Abstract Background: Obesity is a major risk factor for breast cancer and negatively affects disease prognosis. Tumor-infiltrating lymphocytes (TILs) in the stroma of breast tissue play a major role in eliminating cancer cells and modulating immunotherapy efficacy. We aim to study the association between body size and composition with stromal TILs in breast tumor tissue by race. Methods: The study included 920 Black and 395 White women with newly diagnosed invasive breast cancer who have stromal TIL scores from the Women’s Circle of Health Study (WCHS). Body mass index (BMI), waist circumference (WC), and waist-to-hip ratio (WHR) were measured during the home interview. Pre-treatment H&amp;E-stained tumor tissue sections were reviewed by our study pathologist and stromal TILs were scored on a scale of 0-100% at 10% increment according to the recommendations of the International TILs Working Group. Linear regressions adjusting for age at diagnosis, tumor grade, stage, and molecular subtype were used to test the differences in TILs across the categories of body size and composition indicators separately for Black and White women. Results: A higher stromal TILs score was associated with more aggressive breast cancer features, including higher grade, larger tumor size, more advanced stage, hormone receptor (HR) negativity, and human epidermal growth factor receptor 2 (HER2) positivity in both Black and White women (all P&amp;lt;0.05). Among Black women, WHR &amp;gt;0.90 vs ≤0.85 was associated with lower TILs overall (β = -3.5%, P = 0.045) and in triple-negative tumors (β = -12.3%, P = 0.003). Among White women, BMI 25.0 - 29.9 vs &amp;lt;25 was associated with higher TILs in HR-/HER2+ tumors (β = 28.1%, P = 0.031). A pattern suggested that BMI ≥30 vs &amp;lt;25 was associated with lower TILs in both HR-/HER2+ (β = -10.2, P=0.52) and triple-negative (β = -12.8, P=0.14) tumors, although the associations were not significant. No association was observed between TILs and any of the body composition parameters in women with HR+ tumors. Conclusions and Relevance: Body size and composition correlate with stromal TILs mainly in patients with HR- tumors, and this relation may be race-dependent. These findings suggest that body size and composition potentially modulate breast cancer treatment outcomes at least in part through TILs-dependent mechanisms. Funding: This work was in part supported by grants from the US National Institutes of Health (P01CA151135, R01CA100598, R01CA185623, P30CA016056, P30CA072720, K07CA201334, and R37CA248371), US Army Medical Research and Material Command (DAMD-17-01-1-0334), the Breast Cancer Research Foundation (CBA), and the Philip L. Hubbell family. Citation Format: Rand T. Akasheh, Thaer Khoury, Song Yao, Angela Omilian, Chi-Chen Hong, Elisa V. Bandera, Bonnie Qin, Nur Zeinomar, Christine Ambrosone, Ting-Yuan David Cheng. Stromal tumor-infiltrating lymphocytes in association with body size and composition among Black and White women with breast cancer [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2024; Part 1 (Regular Abstracts); 2024 Apr 5-10; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2024;84(6_Suppl):Abstract nr 3437.

PERUBAHAN PERILAKU MANDATORY ACTIVITY DAN ONLINE SHOPPING ACTIVITY AKIBAT PANDEMI COVID-19

&lt;p class="Keywords"&gt;&lt;em&gt;&lt;span lang="EN-GB"&gt;Teleworking activities, which have been developing since 1970 and initially aimed at employee efficiency, proved applicable during the COVID-19 pandemic. Supported by the advances of internet-based information technology, teleworking activities could be carried out optimally, leading to the emergence of various new innovations. One such innovation is app-based online shopping, which facilitates users in ordering ready-to-eat meals or groceries, known as food delivery. The COVID-19 pandemic, which spread to all countries globally, also impacted individual behaviors in activities and travel, especially with government advisories to implement lockdowns to reduce the spread of the Coronavirus. This study was conducted to examine individual behaviors in carrying out online activities in the Surakarta Agglomeration Area. Data was collected through a home interview survey from March to June 2021, involving 402 respondents. Online activities, particularly for shopping and ordering food, were hypothesized to have high value during COVID-19, leading to a comprehensive dependency on online activities, especially shopping. The research results, however, contradicted the initial hypothesis. 88.8% of individuals stated that they "never" shopped online or did grocery shopping online, with the remaining 11.2% engaging in online shopping. This discrepancy is suspected to occur because, although online shopping is easy to conduct, it requires adequate financial strength to support it.&lt;/span&gt;&lt;/em&gt;&lt;/p&gt;

The Impact of Nutritional School Based Feeding Program on Academic Achievement of Selected Elementary Learners in West Philippines

This study investigates the impact of nutritional school-based feeding programs on the academic performance of 45 elementary learners. This research method uses a quasi-experimental design with a pretest and posttest structure; a two-part questionnaire was the primary research tool. The first part gathered demographic information, while the second assessed participating students’ nutritional status and academic performance. Researchers administered the questionnaire to parents or caregivers, selected students systematically, traced household addresses, and conducted home interviews. The study results showed that the general weighted average increased noticeably and statistically significantly after implementing school-based feeding programs. Subsequent investigation, however, revealed a fascinating finding: the gains in academic achievement did not correspond consistently with the varied profiles of respondents, including age, gender, socioeconomic status, and educational attainment. The research highlights the necessity for additional investigation into the impact of nutrition on academic achievement.

"Nobody But a Family Member Can Do It Quite the Same Way": Understanding the Meaning of Mealtimes to Residents and Families in Long-Term Care Homes During the Pandemic.

Meals in long-term care (LTC) are essential to residents not only for nutrition and their physical well-being but also for their social interactions supporting resident quality of life. This study aims to understand the mealtime experiences of residents and family care partners during the coronavirus 2019 disease (COVID-19) pandemic when restrictions were put in place in LTC and retirement homes. Interpretive description analysis of qualitative interviews in LTC and retirement homes, with 17 family care partners and 4 residents. Convenience and snowball sampling was used to recruit participants for telephone interviews. Three themes were generated. Compromised mealtimes mean compromising community-meals were seen by participants as a key social and community-building event of the home; they reported this loss of community with pandemic restrictions. Participants noted that family care partners are indispensable at meals for social, psychological, and physical support. The dangers of eating alone spoke to the social isolation reported by participants that occurred during the pandemic and the risks they described of eating alone. This study confirms the importance of mealtimes in LTC and retirement homes to community building and extends our understanding of the importance of family inclusion at meals and why eating alone, as happened during COVID-19, was so detrimental to residents. Effort needs to be made to value this communal activity for the well-being of residents.

Designing meaningful surveys: Engaging experts-by-lived experience in the development of a patient-reported experience measure (PREM) of integrated home and community care.

Background: People want to live well in their homes and communities for as long as possible. To support this, some home care services in Ontario, Canada are restructuring to integrate medical and personal care, with community-based social care and services (e.g., friendly visiting, meals, and transportation). Measures of client experience, referred to as ‘patient-reported experience measures’ (PREMs) are important for guiding health system improvements in a way that is meaningful to clients. A current challenge is that existing PREMS are insufficient for measuring client experience of new models of home and community care.&#x0D; Aims: This study engaged clients, family/friend caregivers, and health and social care providers in a participatory process to develop relevant items for a PREM for integrated home and community care. This engagement process aimed to provide opportunities for client feedback to support integrated care and ensure the new PREM will collect data that can inform health system improvements in ways that are most meaningful to clients and caregivers.&#x0D; Methods: Guided by Streiner et al.’s (2015) approach, we engaged experts-by-lived experience in content and face validity testing of an item pool matrix to determine relevance and coverage of domains and items. The matrix consisting of 3 domains, 14 categories, and 72 items was based on a literature review of home and community PREMs (32 PREMs with 550+ items) and interviews with healthcare leader experts (n=6). To conduct content and face validity testing we held three focus groups with home care recipients and family/friend caregivers (n=17) as well as individual interviews with health and social care providers working in home care (n=15). We analyzed transcripts line-by-line to generate themes related to face and content validity of each item. &#x0D; Results: Participants agreed that client experience of innovative home and community care is well captured by three domains: equity, continuity, and life care. They also agreed the corresponding 72 proposed items had face validity. Suggestions to improve content validity included that items be adapted to recognize the role of caregivers; the role of primary providers and/or coordinators in delivering well organized care; and shifting from a focus on self-management to having needed supports to stay in the home, and collaboratively developing care plans. Participants excluded several items due to being vague or not meaningful, such as asking, “my providers understood my needs”. Based on feedback, 22 items were removed from the matrix.&#x0D; Learnings: Engaging experts-by-lived experience in development of PREMs helps ensure the data generated from PREMs will be meaningful and useful for guiding health system improvements that matter to clients. Relying on existing literature and traditional expert opinion alone did not guarantee relevance or coverage of items. &#x0D; Next steps: The feedback from participants will be used to further refine and scale the PREM items. Clients of home care and family/friend caregivers will then be re-engaged in cognitive testing to identify issues related to answering the questions on the scale. Once complete, the PREM will undergo psychometric testing.&#x0D;

Mothers’perceptions and exposure to information associated with the acceptance of children’s tuberculosis prevention therapy in Bali Indonesia

Background and purpose: Children face risk of tuberculosis (TB) infection within households where an index case is present. TB prevention therapy (TPT) for children is a recommended measures to provide protection against TB. This study aims to investigate the relationship between maternal perceptions and the information exposure received by mothers with the acceptance of TPT for toddlers. Methods: A cross-sectional study was conducted in Badung District, Bali Province, using the register of tuberculosis patients from 2018-2019 as the sampling frame. A systematic random selection yielded 138 mothers with eligible criteria out of 226 children. Home interviews was conducted with mothers regarding maternal characteristics, knowledge, toddlers’ characteristics, perceptions, information exposure, and acceptance of TPT for their children. The relationship between acceptance of TPT and perceptions, information, and other variables was tested using Chi-square test, followed by multivariable analysis using forward logistic regression. Results: The majority of mothers were aged 30-39 years (57.8%), had completed high school (43.5%), unemployed (43.5%), resided in the Kuta sub-district (23.9%), and had ≤2 living children (73.2%). About 19.2% of mothers accepted TPT for their children. The acceptance of TPT for children was significantly associated with information sources from health worker (aOR=26.70; 95%CI: 1.25-569.38), the presence of ≥2 family members with TB (aOR=14.29; 95%CI: 1.22-166.68), duration of child care by the index case ≥8 hours/day (aOR=10.04; 95%CI: 2.05-49.26), receiving complete information (aOR=9.01; 95%CI: 1.64-49.64), and perceiving minimal barriers (aOR=4.08: 95%CI: 1.22-13.62). Conclusion: Adequate information exposure, longer duration of care by TB patients, and low perceived barriers contribute to the acceptance of TPT for children. Education to parent is essential to improve acceptance to TPT.

P25: Promote DemenTitude® - Cultural Adaption of Progressively Lowered Stress Threshold Model with Social Work Perspective in Hong Kong

Social work principles integrated with the Progressively Lowered Stress Threshold (PLST) model create new inspiration for understanding distressed behaviour among people with dementia in Hong Kong. Social work emphasizes the individuality and uniqueness of every human, whose experiences, perceptions and feelings should be respected. This research aimed to explore the self-perception of people with dementia and the interpretation of their surroundings to understand the rationale behind the distressed behaviour based on the PLST model. In-depth interviews and participatory observations during interviews in the residential care homes of Hong Kong were conducted. Following the theoretical framework blending interpretivism and the sociocultural perspective on dementia, the interpretation of data did not focus solely on what was expressed explicitly but also upon how the experiences, perceptions and interpretations of people with dementia had affected their self-perception and distressed behaviour.Beyond the six principles of care from the traditional PLST model, the research finding in Hong Kong identified the new principles with the adaption of the local context. The seventh principle, known as DemenTitude ®, got the review and approval by one of the original authors, Prof Kathleen Buckwalter, in understanding more distressed behaviour among people with dementia. The new principle involves four key elements as follows: (i) Understand the self-perception and subjective views of people with dementia to synchronize the feeling and impact of dementia; (ii) Avoid using words that stigmatize the person with dementia; (iii) Avoid excess disability and psychosocial restraint &amp; (iv) Assist the person with dementia to create a comfortable relationship with their surroundings and to experience meaningful engagement. Truly listening to the voice of people with dementia and how to minimize different natures of distress with cultural sensitivity is essential to promote a good quality of dementia care in Hong Kong. With the updated finding from the local context and the voice of people with dementia beyond behavioural and psychological symptoms of dementia (BPSD), the paradigm shift should be advocated from the medical model to person-centred care and even further develop a proper caring attitude with the perspective of social work professions, called as DemenTitude®.

Abstract B129: The association of Covid-19 pandemic restrictions with patient-reported outcomes and lifestyle behaviors among breast cancer survivors: Evidence from a cohort of Black and Hispanic breast cancer survivors in New Jersey

Abstract Purpose: The onset of COVID-19 pandemic restrictions in the US since March 2020 has worsened the disproportionate burden of physical and mental health challenges faced by vulnerable Black and Hispanic breast cancer (BrCa) patients. BrCa survivors experienced delays in their cancer treatments and limited access to supportive care, which may lead to further physical, and psychosocial challenges during an already difficult time. This study aimed to evaluate the association of the COVID-19 pandemic restrictions with patient-reported outcomes (PROs) (i.e. health-related quality of life (HRQoL), sleep, perceived stress, coping and financial toxicity), and lifestyle behaviors (i.e. obesity, smoking, and alcohol) among Black and Hispanic BrCa survivors participating in the Women’s Circle of Health Follow-Up 1 (WCHSFU1) and the New Jersey Breast Cancer Survivors Study (NJBCS), two ongoing population-based studies in New Jersey. Methods: The NJBCS followed similar methods to those in the WCHSFU1. We included a total of 447 Black (npre=364 and npost=83) and 182 Hispanic (npre=102 and npost=80) BrCa survivors who completed a home interview ~24 months post-diagnosis, from 2017 to 2023. The COVID-19 pandemic era was defined as pre- (recruited prior to March 2020) and post-(recruited after March 2020) pandemic. To assess the association of the pandemic with PROs and lifestyle behaviors we employed multivariable adjusted Poisson regression models with robust standard errors to estimate prevalence ratios with 95%CI. Results: Compared to the pre-pandemic group, Black survivors in the post-pandemic group were more likely to be educated, to have higher income, and to be foreign-born, while Hispanic women were significantly more likely to have private insurance and higher HRQoL, physical and emotional well-being mean scores (p&amp;lt;0.05 for all). Adjusted Poisson models indicated that Hispanic women in the post-pandemic group had 1.53 times higher prevalence of low resilience (vs high resilience) (PR:1.53 95% CI: 1.15-2.04), compared to the pre-pandemic group. Whereas Black women in the post-pandemic group reported a higher prevalence of clinically significant sleep disturbance and efficiency (PR: 1.43 95% CI: 1.23-1.68 and PR:1.50 95% CI: 1.30 – 1.73, respectively), compared to the pre-pandemic group. Both Hispanic and Black women in the post-pandemic group showed significantly less perceived stress and a lower prevalence of alcohol consumption. Conclusion: We found heterogeneity in the prevalence of PROs and lifestyle behaviors by pandemic era among Black and Hispanic survivors. Notably, we also noticed differences in demographic characteristics of women participating after the onset of the pandemic, which highlights the importance of considering the impact of the pandemic in all aspects of research, including the interpretation of findings. Continuing research to untangle important factors contributing to racial and ethnic differences in patient characteristics, PROs and lifestyle behaviors post-pandemic in cancer survivorship is warranted. Citation Format: Carola T. Sanchez-Diaz, Nur Zeinomar, Hari S. Iyer, Marley Perlstein, Chi-Chen Hong, Bo Qin, Elisa V. Bandera. The association of Covid-19 pandemic restrictions with patient-reported outcomes and lifestyle behaviors among breast cancer survivors: Evidence from a cohort of Black and Hispanic breast cancer survivors in New Jersey [abstract]. In: Proceedings of the 16th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2023 Sep 29-Oct 2;Orlando, FL. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2023;32(12 Suppl):Abstract nr B129.

Risk factors for increasing leprosy treatment dropout cases reported in specific areas in Tangerang District

Link of Video Abstract: https://youtu.be/WPu8KQqNFNM Introduction: In 2020, Indonesia announced the elimination of leprosy in the whole country, including the Banten Province, with new cases detected 568 cases (4.8 per 100,000 population), higher than the national average of 4.12 per 100,000 population. Although information on the percentage of dropouts in Indonesia is not known, it still occurs in the field, If the case is cleared out unchecked, it will become a source of transmission of wellbeing problems in the community. This study aims to determine the influence of socio-demographic factors, leprosy patients, and health services on leprosy dropout rates and detect new cases in the Panongan Community Health Center working area. Methods: Secondary data on leprosy patients at the Panongan Community Health Center during 2019-2022 and primary data from cross-sectional surveys through home visits, interviews, face-to-face, and screening. Screening for leprosy symptoms in close contact with the patient's family using a questionnaire that includes independent variables of socio-demographic, patient, and health center with the dependent variable of treatment dropout. Purposive sampling technique in 5 villages with leprosy cases. The total sample size was 79 people. Data were processed and analyzed using STATA 14.0. Results: The logistic regression test was found to be significant (p-value &lt; 0.05) including age, (p=0.003), occupation (p=0.002), stigma (p=0.001), family of leprosy patients (p=0.003), close contact (p=0,000), healthy eating habits (p=0.002), perception of taking medicine (p=0.000) and a woman, 60 years old, was found to be infected with leprosy within the family of a drug withdrawal patient who was in near contact for 1 year, although multivariate testing was not statistically significant (p-value: &gt; 0.05). Conclusion: Increasing compliance through health education and motivation of patients and families, also monitoring medication taking by health service staff, groups of former patients, and cadres.