Household Education Research Articles

Determinants of the food insecurity at household level in Pakistan: A multilevel model approach.

Food insecurity is a major concern for the developing world and around 37% of the population of Pakistan is food insecure. This paper utilizes the Food Insecurity Experience Scale (FIES) to assess the population prevalence of food insecurity and to identify their risk factors and determinants at the household level in Pakistan. This study employs a multi-level random coefficient model, using the Pakistan Panel Household Survey (PPHS-2010) dataset; representative data from 4,130 households. Factors like; income of the household, gender, education, household size, land ownership, and shocks of food insecurity allow the incidence of idiosyncratic shocks (injuries and/or casualties) at the community level, which affects the food insecurity situation of the community, rather differently were included. The study confirms a statistically significant inverse relationship between household income, household size, and household head education with food insecurity and a positive association of shocks and inflation with food insecurity at the household level. Specifically, with increasing per capita income of the household, food insecurity declines (coefficient: -0.083, statistically significant at 1%) and food insecurity increases with shocks (coefficient: 0.058, statistically significant at 1% significance level). The study also reveals a significant heterogeneity at a one percent significance level in the determinants of food insecurity at the district, community, and household levels. The income of the household, household head gender and education level, household size, household assets, shocks, injuries, and inflationary pressure are important determinants of food insecurity in Pakistan.

Self-Esteem Post-Rhinoplasty: A Detailed Analysis of Influencing Factors

Abstract Background: Esthetic procedures such as rhinoplasty can have profound effects on individuals’ self-esteem. However, the relationship between sociodemographic factors, self-perception, and self-esteem postrhinoplasty remains underexplored. Methodology: We conducted a comparative study between individuals who have undergone rhinoplasty (rhinoplasty group) and those who have not (nonrhinoplasty group). Variables such as education level, employment status, household income, and family circumstances were studied. The Rosenberg Self-Esteem Scale (RSE) was used to evaluate self-esteem. Results: The rhinoplasty group was more likely to be employed and represented in the lower household income range. Those with a Master’s degree within the rhinoplasty group showed higher self-esteem scores. The rhinoplasty group demonstrated higher levels of body dissatisfaction yet also reported more positive attitudes toward themselves. Gender differences in RSE scores were noted, with females showing higher median scores. Age did not significantly influence RSE scores across the groups. Conclusion: The results suggest a multifaceted relationship between rhinoplasty and self-esteem, influenced by a variety of sociodemographic factors. Our findings highlight the need for a comprehensive approach in the pre- and post-operative management of patients considering rhinoplasty, considering not only the physical but also the psychological aspects. Further research is needed to elucidate the complex interplay between self-esteem, self-perception, and sociodemographic factors in individuals undergoing rhinoplasty.

Financial Toxicity and Patient Experience Outcomes on a Multi-Institutional Phase I Single Fraction Stereotactic Partial Breast Irradiation Protocol for Early-Stage Breast Cancer

Given the demonstrated financial toxicity (FT) of radiation treatment on breast cancer patients shown in both conventional and our recent 5 fraction stereotactic APBI (S-PBI) study, we assessed the FT, as well as patient-reported utility, quality-of-life and patient experience measures, on patients treated in our phase I single fraction S-PBI trial. A phase I single fraction dose escalation trial of S-PBI for early-stage breast cancer was conducted. Women with in-situ or stage I-II (AJCC 6) invasive breast cancer following breast conserving surgery were treated with S-PBI in 1 fraction to a total dose of 22.5, 26.5 or 30 Gy (Clinical trials.gov ID NCT02685332). At one month follow-up, patients were asked to complete our novel "Patient Perspective Cost and Convenience of Care Questionnaire". Patients also completed the EQ-5D-5L, including the visual analogue scale of overall health (VAS), at enrollment, 6, 12-, 24-, 36-, and 48-month follow-up. Of 29 patients enrolled and treated, questionnaire data was available for all patients. Our trial encompassed a wide range of annual household incomes, education, and employment status. Overall, 44.8% (n = 13/29) of patients reported that radiation treatment presented a financial burden. Interestingly, no demographic information, such as patient race, marital status, education, household income, or employment during treatment predicted perceived FT. Patients reporting FT trended towards younger age (median 64 vs 70.5) and having a cancer related co-pay similar to our 5 fraction S-PBI FT trial; however, due to the small size of this study, this did not reach significance (p = 0.24 and 0.10, respectively). VAS and utility scores were calculated per the EQ-5D-5L and remained unchanged from baseline through 4-year follow-up. Likewise, there was no difference in the utility or VAS between patients who reported FT and those who did not. Interestingly, while patient reported cosmesis was similar for all patients at enrollment, patients who reported FT noted significantly worse cosmesis scores (fair/poor vs good/excellent) at 6 month and 2-year follow-ups (p = 0.01 and 0.04, respectively). Finally, patients were surveyed on treatment related disruption to their daily activities and enjoyment of life. The median values were 0 (scale 0-10, with 0 being no disruption) regardless of perceived FT. Patients were also uniformly satisfied with treatment time with a median score of 10 (scale 0-10, 10 being most satisfied). Here, we show that despite using SPBI in a single fraction, nearly half of the patients treated still reported FT of treatment. Importantly, single fraction S-PBI has no negative impact on patient VAS or utility scores, and all patients were uniformly satisfied with treatment time without significant disruption to their life.

The Impact of Internet Use on Farmers’ Land Transfer under the Framework of Transaction Costs

The problems that exist in China’s agricultural operations are not only on a small scale; more seriously, there are also problems of land fragmentation and the mismatch of human and land resources. Land transfer is expected to be a tool for solving these problems. The land transfer market development is slow, leaving farmers facing serious information asymmetry. On the back of the information explosion brought about by information technology represented by the Internet, exploring the impact of Internet use on land transfer can provide ideas to improve the solution of land problems. Based on the cost theory analysis framework of new institutional economics, this paper empirically examines the impact of Internet use on farmers’ land transfer behavior. The results of the study show that Internet use can significantly increase the probability and scale of household land transfer by reducing the fixed and variable costs of transactions. This conclusion still holds after using instrumental variables to address endogeneity. The impact of Internet use on land transfer is heterogeneous, with the younger, more educated, and higher-income household heads tending to participate in the land transfer market on a larger land transfer scale. Therefore, rural Internet infrastructure should be further improved to alleviate information asymmetry in the land transfer market, further strengthen the training of Internet use skills of farmers, stimulate the enthusiasm of farmers to participate in the land transfer market, further increase farmers’ income, enhance the elasticity of farmers’ response to the use of the Internet to reduce transaction costs, and promote land transfer.

COVID-19, Income Shocks, and Women’s Employment in India

Existing evidence shows that the COVID-19 pandemic led to larger employment losses for working women in India. This article examines the heterogeneity that underlies these trends by studying the impact of income shocks due to the COVID-19 induced national lockdown (April–May 2020) on women’s employment. Using individual-level panel data and a difference-in-differences strategy that exploits the imposition of the lockdown and accounts for seasonal employment trends, the study finds that women in households facing a hundred percent reduction in men’s income during the lockdown were 1.57 pp (27 percent) more likely to take up work after restrictions eased (June–August 2020). These results are predominant in poorer and less educated households. However, these positive employment trends are largely transitory as the effect on women’s employment reduces to 13 percent in these households during September–December 2020. These findings underscore the use of women’s labor as insurance during low-income periods by poorer households. HIGHLIGHTS Women’s labor acts as insurance during periods of men’s income loss. The increase in labor market participation is only observed for married women. Rural women participate in less-secure casual agricultural labor. Urban women access more secure fixed-wage work and self-employment. Increase in women’s labor force participation is mostly transitory.

Childhood Socioeconomic Characteristics and Risk of Inflammatory Bowel Disease: A Scandinavian Birth Cohort Study.

Ecological observations suggest a negative relationship between childhood socioeconomic status (SES) and inflammatory bowel disease (IBD) risk. Individual-level analyses have been inconsistent and mostly lacked refined assessments of SES. We aimed to comprehensively study the association between early-life SES and later IBD. This study included 117 493 participants from the Norwegian Mother, Father and Child cohort and Swedish All Babies in Southeast Sweden cohorts. Participants were followed from birth (1997-2009) through 2021. IBD was identified through national patient registers. Questionnaire and register data were used to define parental educational level, employment, and household income level. Cox regression estimated adjusted hazard ratios (aHRs), accounting for other SES exposures and covariates (eg, parental IBD). Cohort-specific estimates were pooled using a random-effects model. During 2 024 299 person-years of follow-up, 451 participants were diagnosed with IBD (All Babies in Southeast Sweden cohort, n = 113 and Norwegian Mother, Father and Child cohort, n = 338). Early-life maternal, but not paternal, educational level was associated with later IBD (low vs high educational level; pooled aHR, 1.81; 95% confidence interval [CI], 1.16-2.82; and pooled aHR, 1.20; 95% CI, 0.80-1.80; respectively). Having a nonworking mother or father was not significantly associated with IBD (pooled aHR, 0.69; 95% CI, 0.47-1.02; pooled aHR, 0.79; 95% CI, 0.45-1.37). High vs low household income level yielded a pooled aHR of 1.33 (95% CI, 0.94-1.89). Overall, results were largely consistent across cohorts. In this prospective Scandinavian cohort study, low maternal educational level was, independent of other SES and covariates, significantly associated with later IBD in her child. Further research is needed to elucidate factors that may mediate this relationship.

Predictors of underweight among adult patients receiving antiretroviral therapy in Bishoftu general hospital, central Ethiopia: Case-control study.

Underweight affects the overall clinical outcome and quality of life and increases the risk of mortalities in Human immunodeficiency virus and acquired immunodeficiency syndrome (HIV/AIDS) patients. Though studies have examined the various determinants of being underweight in people living with HIV/AIDS (PLHIV), scanty evidence exists about the influence of dietary diversity scores and dietary counseling on underweight HIV patients in Ethiopia. This study aimed to identify the determinants of being underweight among adult patients receiving antiretroviral therapy at Bishoftu General Hospital, central Ethiopia. An institution-based unmatched case-control study was conducted among 279 participants (93 cases and 186 controls) from April to May 2022. Cases were selected consecutively as they occur, and then two subsequent controls that visited the antiretroviral therapy(ART) clinic were interviewed until the sample size was attained. Data were collected using a pretested structured questionnaire and involved patient interviews and chart review. Bivariate and Multivariable logistic regression was used to identify determinants of underweight. The presence of statistically significant association was declared with p-value <0.05, and a 95% confidence interval was used to show the precision in the measure of the strength of association. The response rate of participants was 91.2% for each of the cases and controls. Monthly income of patients ≤2000 birr (AOR = 6.63, 95% CI: 2.96-14.85), absence of support giver (AOR = 3.22, 95% CI: 1.38-7.50), being having an eating problem (AOR = 14.48, 95% CI: 5.06-41.40), dietary diversity score of four to five (AOR = 2.36, 95% CI: 1.92, 6.08), not getting dietary counseling support and advice (AOR = 2.53, 95% CI: 1.11, 5.72) and chewing khat (AOR = 3.36, 95% CI: 1.99,11.33) were determinants of underweight in adult HIV patients. This study revealed that household dietary diversity, counseling and education on nutrition, monthly income, eating problems, support giver, and khat chewing were predictors of being underweight in HIV patients. This inquires an integrated nutritional intervention including income-generating activities, counseling and education on nutrition and bad habits, and regular monitoring of the nutritional status during clinic visits.

PERCEPTION OF PARENTS IN USING VIDEO MODELLING TO IMPROVE SELF-HELP SKILLS OF CHILDREN WITH AUTISM SPECTRUM DISORDER

Over the past 20 years, there has been a noticeable increase in the prevalence of autism spectrum disorder (ASD) because of the change in diagnostic criteria, policy and increased awareness. One of the issues that children with ASD have in their life is self-help skills. This triggers the need to adopt a proper technique to intervene and teach new skills to children with ASD. Video modelling (VM) is one of the intervention methods that can be done with children with ASD as one of parent-mediated interventions (PMI). The objective of this study was to investigate the self-help skills problems among children with ASD and parents’ perception of using VM to improve self-help skills in children with ASD. Associations of the child’s and parent’s demographic characteristics with self-help skills problems and perception of parents in using VM were also examined. A cross-sectional study using purposive sampling that included 262 parents of children with ASD was employed. Questionnaires that include demographic characteristics, Vineland Adaptive Behaviour Scale Third Edition (VABS-3) and Video Modelling Perceptions Scale (VMPS) were completed by the participants. There were significant differences between the age of children with ASD (p &lt; 0.001) with self-help skills problems. Educational level (p &lt; 0.001), occupation sector (p &lt; 0.001) and household income status (p &lt; 0.001) were associated with parents’ perceived interest and accessibility in using VM. In conclusion, parents showed positive responses about their perceived interest and accessibility in using VM to improve self-help skills in children with ASD.

Perceived income inadequacy is associated with Epstein-Barr Virus latency and mental health outcomes in informal caregivers who are also employed in the healthcare industry

Finances are a prevalent source of stress. In a sample of 799 nursing home workers measured multiple times over 18 months, we found that higher perceived income inadequacy, the perception that one's expenses exceeds one's incomes, was associated with poorer self-reported mental health indicators and Epstein-Barr Virus antibody titers (a marker of cell-mediated immune function). Perceived income inadequacy predicted outcomes over and above the role of other socioeconomic status variables (objective household income and education). Mental health variables were not related to Epstein-Barr Virus antibody titers. Additionally, we found an interaction between perceived income inadequacy and informal caregiver status on our mental health outcomes; informal caregivers with higher perceived income inadequacy had poorer mental health than non-caregivers with the same perceived income inadequacy. Our findings may add nuance to the reserve capacity model, which states that those at lower socioeconomic levels are at higher risk of adverse health outcomes partly because they have fewer resources to address demands and strain. Perceived income inadequacy may significantly predict mental and physical well-being beyond other socioeconomic status variables, especially among lower-income employees. Caregiving stress and perceived income inadequacy may have synergistic effects on mental health.

Analysing the Influence of Caste, Gender, Religion, and Household Characteristics on Enrolment Status and Student Dropout in Assam: A Logistic Regression Study

This study investigates the factors contributing to enrolment status and dropout rates in Assam using a binomial logistic regression model. The dependent variable, enrolment status, is categorized into currently enrolled and dropout or no enrolment. Explanatory variables encompass religion, gender, social group, sex of the head of the household, household head's education level, family income, and household size.&#x0D; Our objectives include assessing the influence of religion, gender, social group, household leadership, head's education level, family income, and household size on enrolment and dropout likelihood. Dummy variables are used for religious affiliations, social group categories, head's education, and family income groups.&#x0D; The results reveal significant associations between gender, education level of the head of the household, and family income with enrolment and dropout likelihood. Muslims exhibit a higher likelihood of dropout or no enrolment compared to Hindus. Female-headed households and individuals in households with higher-educated heads display increased odds of no enrolment or dropout. Lower family income levels are associated with higher odds of dropout.

Influencing Mechanism of Rural Households’ Livelihood Capital on Entrepreneurial Behavior: Evidence from the CFPS

The livelihood capital of rural households is an essential basis for their selection of livelihood strategy. This paper uses rural household data from the 2018 CFPS to construct a “hexagonal” framework for the analysis of livelihood capital. Natural capital, material capital, financial capital, social capital, human capital, psychological capital, and total livelihood capital are measured using entropy weight method. The paper uses logit and tobit models to analyze how livelihood capital affects rural households’ entrepreneurship. Finally, the heterogeneous impact of livelihood capital on rural households’ entrepreneurial behavior is discussed from the view of household head gender, household education level, and regional differences. The results show that rural households’ livelihood capital distribution in each dimension is uneven and the difference is great. Rural households’ capital of livelihood and finance have positive effects on their entrepreneurial behavior. Heterogeneity analysis shows that the increase in livelihood capital impacts entrepreneurship in female-headed households more positively and significantly. Livelihood capital can significantly promote the entrepreneurial behavior of rural households with lower education levels. The impact of livelihood capital on rural household entrepreneurship presents a decreasing distribution pattern from east to the middle to west. The results of the robustness test show that the conclusion of the positive impact of livelihood capital on rural household entrepreneurship is reliable. The main conclusions provide guidance and a foundation for further optimizing rural household entrepreneurship policies and promoting rural household entrepreneurship.

Exploring environmental obesogenous effects of organic ultraviolet filters on children from a case-control study

It has been globally recognized that obesity has become a major public health concern, especially childhood obesity. There is limited information, however, regarding the exposure risk of organic ultraviolet (UV) filters, a kind of emerging contaminant, on childhood obesity. This study would be made on 284 obese and 220 non-obese Chinese children with eight organic UV filters at urinary levels. The eight organic UV filters, including 2-Ethylhexyl 4-aminobenzoate (PABA-E), octisalate (EHS), homosalate (HMS), 2-Ethylhexyl-p-methoxycinnamate (EHMC), benzophenone-3 (BP-3), amiloxate (IAMC), octocrylene (OC) and 4-Methylbenzylidene camphor (4-MBC) were identified in urine samples with detection rates ranged from 35.32% to 100%, among which PABA-E, HMS, IAMC and OC were firstly detected in children’ s urine. And the urinary UV filters concentration was associated with genders, living sites, guardian education levels, household income, and dietary factors. Urinary EHMC concentrations and childhood obesity were positively associated for girls [Adjusted OR = 2.642 (95% CI: 1.019, 6.853)], while OC concentrations and childhood obesity were negatively associated for girls [Adjusted OR = 0.022 (95% CI: 0.001, 0.817)]. The results suggest that EHMC exposure may be an environmental obesogen for girls. Moreover, two statistical models were used separately to evaluate the impact of UV filter mixtures on childhood obesity, including the Bayesian kernel machine regression (BKMR) model and the quantile g-computation (qgcomp) model. The negative association between UV filter mixtures and childhood obesity was proposed from both BKMR and qgcomp models. Further experimental and epidemiological studies are called upon to discern the individual and mixture impacts of organic UV filters on childhood obesity.

The Association Between Socioeconomic Status and Use of Time in Australian Children and Adolescents

PurposeThere are well-known socioeconomic status (SES) gradients in children and adolescents' health which may be associated with time use. Our aim was to evaluate the association between Australian children's 24-hour time use and SES using four separate surveys from 2005 to 2021. MethodsTime use was assessed in 4526 8-19-year-olds from the 2005 Health of Young Victorians, 2007 National Children's Nutrition and Physical Activity, 2015 Child Health CheckPoint, and 2019-21 Life on Holidays study. Each survey used the same reliable, valid, 24-hour recall instrument. SES was quantified using tertiles of household income, education, and postcode-level measures. Compositional data analysis was used to compare 24-hour time use between SES categories, adjusting for age, sex, and puberty. ResultsTime-use compositions differed significantly by SES in each survey. Relative to the lowest SES, children from the highest SES accumulated on average 31 min/day more School-related time, 6 min/day more Passive Transport and 6 min/day more Self-care. Conversely, they accumulated 30 min/day less Screen Time (which included computer time), 11 min/day less sleep, and spent 7 min/day less in Domestic/Social activities. There were only small differences in Quiet Time and Physical Activity. DiscussionSES-related differences in time use were robust across ages 8-19, a 16-year timespan, diverse Australian geographical regions, and using different SES metrics. The exchange of about 30 min/day between School-related activities and Screen Time amounts to >180 hours extra exposure to School-related activities annually in the highest SES category relative to the lowest, equivalent to >6 weeks of school time per year.

Associations of healthy lifestyle and three latent socioeconomic status patterns with physical multimorbidity among middle-aged and older adults in China

BackgroundMultimorbidity is an emerging global public health concern. However, complex associations of healthy lifestyle and socioeconomic status (SES) with multimorbidity have not been identified. MethodsThis population-based prospective cohort study used data from four waves of the China Health and Retirement Longitudinal Study (CHARLS) to explore these relationships. Physical multimorbidity was measured using 12 non-communicable diseases. Latent class analysis (LCA) was conducted to determine the optimal SES patterns based on annual per-capita household expenditure, occupation, education level, and health insurance. The healthy lifestyle score (0–5) was constructed comprising information on smoking, drinking, physical activity, sleep, and body shape. ResultsOf 17,708 participants in the CHARLS, 7776 were eligible for inclusion in our analysis (13.3% with high SES, 26.1% with medium SES, and 60.6% with low SES). Compared with high SES participants, those with low SES had higher risks of incident physical multimorbidity (OR 1.22, 95% CI 1.05, 1.42), which was competitively mediated by lifestyle (mediation proportion, −10.17%, 95% CI -19.12%, −1.23%). Significant interactions were observed between lifestyle factors and SES in patients with incident diabetes. Participants with low SES and no or one healthy lifestyle factor had a higher risk of incident physical multimorbidity than those with high SES and four to five healthy lifestyle factors (OR 2.19, 95% CI 1.57, 3.04). ConclusionHealthy lifestyles competitively mediate a fractional proportion of socioeconomic inequity in incident physical multimorbidity. Furthermore, healthy lifestyles were associated with lower multimorbidity risk in the SES subgroups, supporting the important role of lifestyle in reducing physical multimorbidity burden.

A systematic analysis and future projections of the nutritional status and interpretation of its drivers among school-aged children in South-East Asian countries.

Nutrition inadequacy during childhood and adolescence can cause suboptimal growth, intergenerational effects on offspring and an increased risk of chronic diseases in adulthood. There is little information on the prevalence and drivers of malnutrition in children aged 5-19 years, in the South-East Asian setting, since most existing interventions have to date targeted undernutrition. We assessed the national prevalence of nutritional indicators, their trends, and associated risk factors among children aged 5-19 years from 11 countries of WHO South-East Asia Region (SEA Region) in order to provide evidence to guide future policy direction. We included 5,210,646 children for analysis from 345 studies and 25 survey datasets. A Newcastle-Ottawa Scale was used to assess the quality of the study. Bayesian regression models were used to estimate the prevalence of malnutrition between 2000 and 2030, and a series of subgroup analyses were performed to assess variation in pooled estimates by different socio-demographic and lifestyle factors. The protocol was registered with PROSPERO database (CRD42023400104). Overall, pooled analysis demonstrated that indicators of undernutrition in SEA is predicted to decrease between 2000 and 2030 including stunting (36.6%-27.2%), thinness (29.5%-6.2%), and underweight (29.2%-15.9%). However, a substantial increase in prevalence of overweight (6.0% in 2000-16.9% in 2030), and obesity (2.6%-9.5%) are predicted. The prevalence of micronutrient deficiencies between 2000 and 2030 is predicted to decrease-vitamin A by 84% and vitamin D by 53%. Parents' education levels and household wealth were inversely associated with malnutrition. Children's health-related behaviours, such as unhealthy dietary habits and spending more time watching TV, playing games, or using the computer, were associated with increased chance of overweight and obesity. There were no clear signs of publication bias in our study. Our analysis highlights the pattern of a double burden of malnutrition, with clear differences between different socio-demographic groups. Despite a substantial reduction in the prevalence of stunting, underweight, and anaemia since 2000, an emerging increase in overweight/obesity and micronutrient deficiencies warrants urgent attention. World Health Organization Regional Office for South-East Asia New Delhi, India.

Determinant of Women Empowerment in Southern Punjab (Pakistan): An Empirical Study

Women's empowerment is the most debated topic in world literature today. It is one of the Millennium Development Goals in relation to microfinance programmes; a latest issue in the microcredit literature. Not only was Grameen Bank founder Dr. Younus awarded the 2006 Nobel Peace Prize in Bangladesh's micro-credit program, but it has also been a hot topic for researchers since its introduction in the mid-1990s to 1970s. This study considers women's empowerment empirically, as it is very difficult to measure this qualitative term. An attempt has been made to develop an Empowerment Index that has three important dimensions. Regression analysis is used to compare women's empowerment between microcredit borrowers and non-borrowers. The results obtained show that borrowed women obtained higher points in the Empowerment Index. Women's education and household education, community norms, and the impact of the media have also been observed to be significant factors in women's empowerment.

Gender disparity and risk of noncommunicable disease among adults in Islamic Republic of Iran.

The relationship between gender disparity and the risk of developing noncommunicable disease and other social health determinants has not been well researched in the Islamic Republic of Iran. To assess how gender disparity contributes to the overall risk of noncommunicable disease in the Islamic Republic of Iran. This was a secondary analysis of data on about 11 000 adults aged 15-69 years from the 2011 WHO STEPwise approach to NCD risk factor surveillance (STEPS) survey in the Islamic Republic of Iran. The outcome variable in our analysis was the noncommunicable disease risk factor index. We used an extension of the Blinder-Oaxaca decomposition model to decompose the predicted mean difference in this index. Sampling method, study design and sex were considered in the analysis. The predictor variables were age, household assets index, education, employment status, ethnicity, and residence. The overall mean (standard deviation) noncommunicable disease risk score was 39.26 (22.4). The risk score for women was significantly higher than for men (41.75 versus 36.84; P < 0.001). About 35% of gender disparity in risk score was due to the differences in distribution of the predictor variables (explained component); of these, age contributed the most (23.79%), followed by education (7.82%). The different gender effects on work status and age made the largest contributions to the unexplained component of the disparity, 36.40% and 14.82%, respectively. Policies to reduce the risk of noncommunicable diseases need to consider gender groups and how gender affects social determinants such as employment status to make some gender subgroups more vulnerable than others.

Identifying the mediating role of socioeconomic status on the relationship between schizophrenia and major depressive disorder: a Mendelian randomisation analysis

Depressive disorder prevalence in patients with schizophrenia has been reported to be 40%. People with low socioeconomic status (SES) are more likely to suffer from schizophrenia and major depressive disorder (MDD). However, the causal relationship between schizophrenia and depression and the potential mediating role of SES remains unclear. Two-sample Mendelian randomization (MR) analyses were conducted to explore the bidirectional causal relationship between schizophrenia and MDD with the largest sample size of European ancestry from public genome-wide association studies (sample size ranged from 130,644 to 480,359). Inverse variance weighted (IVW) method was used as the primary analysis, and several canonical MR methods were used as validation analyses. The mediating role of SES (educational years, household income, employment status, and Townsend deprivation index) was estimated by the two-step MR method. MR analyses showed that genetically predicted schizophrenia was associated with an increased risk of MDD (IVW odds ratio [OR] = 1.137 [95% CI 1.095, 1.181]). Reversely, MDD was also associated with an increased risk of schizophrenia (IVW OR = 1.323 [95% CI 1.118, 1.565]). The mediation analysis via the two-step MR method revealed that the causal effect of schizophrenia on MDD was partly mediated by the Townsend deprivation index with a proportion of 10.27%, but no significant mediation effect was found of SES on the causal effect of MDD on schizophrenia. These results suggest a robust bidirectional causal effect between schizophrenia and MDD. Patients with schizophrenia could benefit from the early and effective intervention of the Townsend deprivation index.

Household structure is independently associated with malaria risk in rural Sussundenga, Mozambique.

Mozambique has the fourth highest malaria cases and malaria mortality globally. Locally, malaria incidence increases from low in the southern region to high in the central and northern regions. Manica Province in central Mozambique has the fourth highest prevalence of malaria out of the 11 provinces, and the highest in the central region of the country. In this area where coverage of interventions has been limited, household level risk factors can be important for understanding the natural history of infection, as well as the implementation of current and future interventions. There has been indication that the relationship between household structure and malaria risk is actually a mediating one between the true relationship between household income and education and Plasmodium falciparum infection. The objective of this study was to determine and quantify these complex relationships. We conducted a community-based cross-sectional study in Sussundenga village. Sussundenga is a rural village, located in Sussundenga District, Manica Province, Mozambique. We enrolled 303 participants from 83 randomly selected households. We collected information on demographics, household construction, and administered a P. falciparum rapid diagnostic test (RDT). We constructed several generalized estimating equations logistic regression models to determine the independent effects of housing construction on malaria risk. We also constructed models separate from generalized estimating equations logistic mediation models to determine the proportion of effects mediated by household construction material in the relationship between head of household occupation and education and malaria risk. The overall malaria prevalence among the study population by RDT was 30.8%. In the multivariable model adjusting for all individual and household factors as potential confounders, rudimentary roof structure was the only household structural variable that was statistically significantly associated with increased malaria risk [OR 2.41 (1.03-5.63)]. We found no evidence that household structure mediated the relationship between head of household education or employment and malaria risk in our study population. Household structure was a significant risk factor for malaria infection in our study population. These findings are consistent with malaria being a disease of poverty and an area that could be targeted for future interventions that could have long-term impacts.

The relationship between traditional postnatal care (TPC) and sociodemographic of postnatal mothers in Kota Kinabalu, Sabah, Malaysia

Link of Video Abstract: https://youtu.be/Ethmg0srBhU Background: Traditional Postnatal Care (TPC) is derived from traditional medicines as health practices. The approaches of knowledge and beliefs incorporating plant and manual techniques are applied singularly or in combination to prevent illnesses and maintain well-being. TPC is used widely among the postnatal mother as a self-care for the healing process, both physically and mentally. As part of the nursing management in a community health setting, understanding the different health and wellness approaches and their benefits is part of the early knowledge and skills when delivering care to postnatal mothers. This study aimed to assess the relationship between TPC and sociodemographic data of postnatal mothers in selected study settings to understand more about the types of common TPC practiced within the study setting. Methods: Participants were among the postnatal mothers within one week after delivery and selected purposely based on inclusion criteria. A cross-sectional survey from November 2021 to February 2022 with 178 postnatal mothers completed the distributed questionnaires. The researcher used SPSS version 28.0 to analyse the data. Results: The result showed that the educational background (p=0.001, p&lt;0.05) and household income per month (p=0.001, p&lt;0.05) demonstrated a significant effect concerning postnatal mothers practising and non-practising TPC. Conclusion: This study identified the significant variables of sociodemographic, namely household income and education level. This study’s result is the starting point for the researcher to begin a broader analysis of this title.