Low Educational Level Research Articles

A mixed method approach to evaluate a vaccine hesitancy assessment among parents in Dutch language

Abstract Vaccine hesitancy (VH), as a driver for falling vaccine uptake rates, is a significant public health challenge. It is important to monitor this phenomenon and compare results in a unambiguous manner. However, in Dutch and possibly other languages, there is no unequivocal translation for VH. Therefore, we aimed to develop and cross culturally validate a method to assess VH in a simple and self-reported manner, using five differently worded alternatives reflecting ‘doubt’, ‘reluctance’, ‘uncertainty’, ‘concerned’ and ‘indecision’. We designed a mixed method study with a quantitative and qualitative evaluation. In the quantitative evaluation, parents were asked to rate experienced vaccine hesitancy in their decision about vaccinations on a 10-item Likert scale, using the five differently worded alternatives. We analyzed internal consistency with Cronbach’s alpha and correlation with the short parental attitudes about childhood vaccination (PACV-5) scale. A total of 532 parents participated in the survey. We found that the five worded alternatives measured the same construct, indicated by a Cronbach’s alpha of 0.95. The wording resembling ‘doubt’ had the highest correlation with the PACV score (coefficient -0.525, p < 0.001). We subsequently conducted cognitive interviews with 12 parents with lower education levels to evaluate their interpretation of the five wording alternatives and the comprehensibility of the question itself. The wordings resembling ‘doubt’ and ‘uncertainty’ were viewed as most clear and reflecting VH, although some participants had a negative association with ‘uncertainty’. Overall, the question was well understood and minor suggestions were provided to improve comprehensibility. Based on the integrated results of both studies, we conclude that using the word resembling ‘doubt’ in Dutch language is the best instrument to assess VH. We encourage uniform translation of vaccine hesitancy in other languages to enable comparison of results across countries. Key messages • Uniform translation of the term vaccine hesitancy in other language is important to enable comparison of results across countries. • In Dutch language, the word resembling ‘doubt’ is the best instrument to assess vaccine hesitancy.

Relationship Between Morphofunctional Alterations of the Foot and Its Functionality in Patients with Fibromyalgia Syndrome: A Case–Control Study

Objective: To evaluate the morphofunctional alterations in the foot and their association with functionality, considering aspects such as disability, pain, and limitations in daily activities in patients with fibromyalgia syndrome (FMS). Methods: A case–control study was conducted in patients with FMS (case group) and without FMS (control group), matched by age and sex. Foot posture was assessed using the foot posture index (FPI), along with the presence of hallux valgus (HV), trigger points, hyperkeratosis, and dorsiflexion of the first metatarsophalangeal joint and ankle. Foot functionality was evaluated using the foot function index (FFI) questionnaire. Results: A total of 100 women with FMS and 100 women without FMS, with a mean age of 61.97 ± 9.26 years, were recruited. HV (p < 0.001), hyperkeratosis (p < 0.001), pronated and supinated foot (p < 0.001), as well as limitations in dorsiflexion of the first metatarsophalangeal joint (p < 0.001) and the ankle with the knee flexed (p < 0.001) and extended (p < 0.001), along with the activity of the flexor hallucis brevis (p = 0.006), adductor hallucis (p = 0.006), and dorsal interosseous (p = 0.002) muscles, were significantly associated with the FFI, being higher in individuals with FMS, indicating greater impairment of foot functionality in these patients. Multivariate analysis revealed a statistical association between FMS and low educational level (OR = 2.57, 95% CI 1.05–5.72), the presence of another rheumatic disease (OR = 5.07, 95% CI 2.34–11), and the presence of any active trigger point (OR = 11.15, 95% CI 3.97–31.31). Conclusions: The study highlights the relationship between morphofunctional foot alterations, specifically the presence of active myofascial trigger points, and functionality in patients with FMS.

Impact of the socioeconomic crisis in Lebanon on people with epilepsy.

The economic crisis in Lebanon, which began in 2019, has affected the healthcare system and patients' incomes. The aim of this study was to analyze the obstacles faced by people with epilepsy (PWE) during this crisis and to assess its impact on their quality of life. The method used was a cross-sectional study conducted among PWE aged 18-65 years, who were asked to complete a comprehensive questionnaire covering sociodemographic aspects, clinical aspects, the impact of the economic crisis, and the QOLIE-31 (version 1.0), validated in English and Arabic, which assesses the quality of life of PWE. 71 patients were included in the study with an average age of 35.2 years [23.5; 62.5] (53.5% were males). Their average QOLIE-31 score was 50.3 (+/- 17.9). A significant proportion (71%) of patients reported difficulties during the crisis, with 25% reporting having had seizure-related injuries in the years 2022-2023 and 36.6% reporting an increase in seizure frequency compared to that prior to 2020. Moreover, many patients had to change (33.8%) or discontinue (18.3%) antiseizure medications, due to drug shortages, rising costs, and high gas prices. To mitigate these challenges, patients sought solutions such as obtaining medications from abroad (34%) or through donations (8%) or purchasing from the black market (8%). Low quality of life was associated with unemployment, low education level, the presence of focal seizures with impaired awareness or generalized seizures, polytherapy, seizure-related injuries, and medication changes during the economic crisis. These results highlight the considerable challenges faced by PWE in Lebanon during the economic crisis, emphasizing the negative effect of the crisis on their quality of life and seizure control. This study analyzed the obstacles faced by 71 people with epilepsy during Lebanon's economic crisis and showed that many patients had to change (33.8%) or discontinue (18.3%) antiseizure medications, due to drug shortages, rising costs, and high gas prices. To mitigate these challenges, patients sought solutions such as obtaining medications from abroad (34%) or through donations (8%) or purchasing from the black market (8%). This affected their quality of life. In fact, low quality of life was associated with unemployment, low education level, focal seizures with impaired awareness or generalized seizures, polytherapy, seizure-related injuries, and medication changes.

Sociodemographic differences in low back pain: which subgroups of workers are most vulnerable?

BackgroundLow back pain (LBP) is a common health problem in workers that contributes to work disability and reduces quality of life. However, studies examining vulnerable groups in relation to sociodemographic differences in LBP remain scarce. Therefore, the current study investigates which sociodemographic groups of workers are most affected by LBP.MethodsData from the 2018 BIBB/BAuA employment survey were used (N = 16252). Age, education, occupational group, income, working hours, atypical working time, relationship status, and having children were used as sociodemographic predictors. Gender-stratified logistic regression analyses and intersectional classification tree analyses were conducted.ResultsA higher prevalence of LBP was observed for women compared to men. Significant differences in LBP emerged for age, working hours, atypical working time, occupational group and education, with some gender differences in the importance of predictors: Age was a significant predictor mostly in men as compared to women, atypical working hours had a slightly greater effect in women, whereas differences in LBP according to the occupational group were more pronounced for men. Vulnerable groups were found to be women who work in occupations other than professionals or managers, work atypical hours and have an intermediate or low educational level as well as men who work as skilled agricultural workers, craft workers, machine operators, or elementary occupations and are between 35 and 64 years old.ConclusionsThus, workers with certain occupations and lower levels of education, middle-aged men and women with unfavourable working time characteristics are most affected by low back pain. These groups should be focused on to potentially increase healthy working life and prevent work disability.

Impact of age on clinical characteristics and 1-year outcomes of non-disabling ischemic cerebrovascular events: A multicenter prospective cohort study

BackgroundThe exploration of age-related clinical features and adverse outcomes of non-disabling ischemic cerebrovascular disease (NICE) has been largely unaddressed in current research. This study aimed to analyze the differences in clinical characteristics and prognostic outcomes of NICE across various age groups, utilizing data from the Xi’an Stroke Registry Study in China.MethodsThe age distribution of NICE was categorized into four groups: age ≤ 54 years, age 55–64 years, age 65–74 years, and age ≥ 75 years. Multivariate Cox logistic regression analysis was employed to evaluate the 1-year risk of outcome events in each age group of patients with NICE. A subgroup analysis was conducted to explore interaction factors influencing age-dependent outcomes in patients with NICE.ResultsThis study included 1,121 patients with NICE aged between 23 and 96 years, with an average age of 63.7 ± 12.2 years. Patients aged ≥ 75 years had a higher proportion of women, lower education levels, and a greater likelihood of having urban employee medical insurance. Those aged < 55 years had a higher prevalence of smoking, while individuals aged > 65 years showed a higher prevalence of comorbidities. Furthermore, there was a significant decrease in body mass index among patients aged ≥ 75 years. Laboratory tests indicated well-controlled blood lipids, liver function, and inflammation across all age groups, but renal function was notably reduced in patients with NICE aged ≥ 75 years. Adjusting for potential confounding factors revealed a significant increase in the one-year risk of all-cause mortality and poor prognosis among patients aged ≥ 75 years compared to those aged < 55 years, with no significant gender difference observed. Subgroup analysis indicated that patients with NICE who consumed alcohol were more prone to experience all-cause mortality with advancing age.ConclusionsAge significantly influences the clinical characteristics and prognostic outcomes of NICE patients. Clinicians should consider age-specific characteristics when diagnosing, treating, and developing prevention strategies. Tailored prevention and treatment strategies for different age groups can enhance prognosis and reduce adverse outcomes in NICE patients.

Assessing foodborne outbreak risk in Chinese households: A national survey analysis of pork handling practices

ObjectiveThis study aimed to assess the risk of foodborne outbreaks associated with household food handling practices in China and identify the consumer groups that are at higher risk for foodborne outbreaks. MethodsA national survey of household pork handling practices was conducted in China. The risk of foodborne outbreaks stemming from consumers’ improper handling practices was assessed utilizing the Weighted Harmonic Outbreak Prevention Index (WHOPI). The index categorized these practices into three levels of good hygienic practice (GHP): low (WHOPI≤0.35), medium (WHOPI: 0.36–0.70), and high (WHOPI>0.70). Logistic regression analyses were used to identify groups at higher risk for foodborne outbreaks. ResultsA total of 2730 households from seven provinces in mainland China were analyzed. Based on WHOPI, only 0.4 % of households demonstrated a high level of GHP, while 55.4 % showed a low level of GHP. The primary non-conforming stage was separation practices, followed by cooking and purchasing practices. Nearly two-thirds of households (64.8 %) didn’t have a separate cutting board for raw meat, and 44.9 % of them claimed to use the same board to handle ready-to-eats afterward. Logistic regression indicated more attention is required for those living in southern and rural areas, working in non-public institutions, possessing lower levels of education, and being single or widowed. ConclusionThe household food handling practices of Chinese consumers involve serious food safety risk. Education programs and interventions concerning safe handling practices in households are urgently needed.

Teachers’ Perception Towards Integration of Artificial Intelligence Tutoring-Based System in the School Curriculum: A Survey

Artificial Intelligence (AI) is the theory and development of computer systems capable of performing tasks normally requiring human intelligence, such as visual perception, speech recognition, decision-making, and translation between languages. This approach has been adopted by many organizations, including schools, to facilitate the teaching and learning process. This development has raised varying opinions on the future of employment within all sectors, including the educational sector. The purpose of this research was to evaluate the perception of teachers toward the integration of AI tutoring-based systems into the school curriculum. A descriptive analysis of the quantitative design was used, and 320 teachers were purposely sampled from public secondary schools in Southwest, Nigeria. The data were collected using a questionnaire and analyzed using SPSS. The findings of the study revealed that although teachers in public secondary schools in the southwest of Nigeria are aware of the positive impact of AI tutoring, 77% of the participants have a negative disposition towards the integration of an AI tutoring-based system into the school curriculum. The factors responsible for this high level of negative disposition include age, low level of education, fear of replacement and professional specialties of the teachers. Based on these findings, it was therefore recommended that teachers be sensitized on the importance of AI tutoring and that stakeholders should propagate the message of how it would promote the standard of education in the state. The study also recommended that educational policymakers integrate the use of artificial intelligence into the school curriculum by allocating the required resources to schools and organizing staff training on the use of AI without neglecting a befitting remuneration. Keywords: Artificial Intelligence, Teachers, Learning, Disposition, Perception

Research on Socio-Profile of Farmers of S.A.S. Nagar District, Punjab

The socio-economic traits of farm households in Punjab's rural districts were the focus of the current study. For this objective, information was gathered from 150 farm homes from the villages of S.A.S. Nagar district, Punjab. The findings showed that the Sikh religion and General Castes comprised the majority of farm households. Most people were found to be in the 30 to 70 age range, which is the most economically active. In all farm-size categories, the sex ratio was in favour of the females. The proportion of farm households living in the joint type of family was positively associated with the farm size. Most of the persons of the marginal and small farm-size categories were illiterate and with relatively low level of education as compared to the semi-medium, medium, and large farm-size categories. The proportionate share of earners was the highest for the small farm-size category and the lowest for the semi-medium farm-size category. About 92 percent of sampled farmers owned pucca houses. The proportion of sampled farmers who owned good condition houses, bathrooms and toilets were related to the farm size. About 93% of farmers contact the local input dealers for any information needed for crop cultivation. 90 % of farmers had mobile connection. It was found that most of the farmers had an internet connection (66%) for a majority of sampled farmers in the rural areas of Punjab.

The Determinants of Mental Illness Self-Management for Patients With Schizophrenia and Type 2 Diabetes: A Self-Determination Theory Approach.

This study based on self-determination theory aimed to assess the relationship between motivation, competence in diabetes management and perceived autonomy support respectively and mental illness self-management; furthermore, the authors intended to explore the determinants of mental illness self-management for patients with schizophrenia and diabetes. This was a cross-sectional study. One hundred ten participants were recruited at the psychiatric hospital and assessed with the Illness Management and Recovery Scale, the Treatment Self-Regulation Questionnaire, the Perceived Competence Scale for Diabetes and the Health-Care Climate Questionnaire. Patients with lower educational levels, who were admitted to the chronic ward, were unemployed, had lower motivation in illness management, lower competence in diabetes management and perceived lower autonomy support all had lower mental illness self-management. Competence in diabetes management, employment status, autonomy support, educational levels and living alone were the determinants of mental illness self-management. Recovery from schizophrenia and comorbid diabetes is an enduring and complicated process requiring support from healthcare providers. Health professionals should assess the levels of illness self-management and provide integrated care interventions for patients with schizophrenia and diabetes, helping them manage both conditions. The illness management programme could apply to patients with schizophrenia and diabetes and address patients' characteristics such as low levels of education, living alone and being unemployed while additionally promoting motivation and competence, and providing supporting autonomy. The STROBE checklist was followed. Patients with schizophrenia and diabetes were recruited for this study and voluntarily completed the questionnaire.

The Impact of COVID-19 Shocks on the U.S. Unemployment Rate

Abstract: The COVID-19 pandemic has had a profound impact on the U.S. labor market, resulting in significant fluctuations in unemployment rates across various demographic and educational groups. This paper examines the trends in unemployment from January 2020 to December 2021, a period characterized by intense economic upheavals due to public health measures and subsequent economic recovery initiatives. Utilizing data from the U.S. Bureau of Labor Statistics, the study explores how unemployment rates varied among different racial groups and levels of educational attainment, identifying which groups were most vulnerable to job losses and which experienced more resilient employment patterns. The findings reveal that the pandemic exacerbated existing disparities in the labor market, with particularly severe impacts on Black or African American individuals and those with lower educational levels. The paper also discusses the gradual recovery observed in unemployment rates as the economy began to stabilize, though noting that full recovery was not uniform across all groups and make a conclusion that there are significant differences in the impact of different racial groups and levels of education on unemployment rates. Through this analysis, the research provides insights into the structural weaknesses in the labor market exposed by the pandemic and offers recommendations for targeted policy measures aimed at fostering a more equitable economic recovery. This study contributes to the broader understanding of the economic implications of global health crises and the critical role of inclusive policy interventions in mitigating these effects.

The prevalence of overweight among 4-year-olds during and after the COVID-19 pandemic was associated with socioeconomic burden.

To assess the prevalence of overweight among Swedish 4 year olds in 2018, 2020 and 2022, taking socioeconomic variables into account. Aggregated regional data on children's body mass index were collected. The socioeconomic Care Need Index (CNI), foreign background, low education, being a single parent, low income and childhood poverty, were assessed. The differences in overweight, including obesity, were tested for Sweden and for regions. Data were available for 303 843 children, representing 87% of children born in 2014, 2016 and 2018. Overweight or obesity were found in 11 177 (11.4%) of children in 2022, decreasing from 2020 (13.3%, p < 0.001) but at the same level as in 2018. Regional low CNI, low level of foreign background, education and income as well as being a single parent were associated with a higher prevalence of overweight or obesity in all cohorts (p < 0.001). In regions with high levels of childhood poverty, overweight or obesity were more prevalent during (p = 0.009) and after the pandemic (p < 0.001). Three national cohorts demonstrate that the increase in overweight during the COVID-19 pandemic has returned to pre-pandemic levels, but the inequalities in health associated with socioeconomic vulnerability of the regions remained.

The Relationship Between Maternal Education Level and Stunting: Literature Review

Children who are shorter than their peers due to malnutrition before and after birth are called stunting. Stunting occurs when a married adolescent woman has a low socioeconomic status and education level, thus increasing psychological stress caused by limited human resources and childcare so that child growth and development are not optimal. One important factor that influences the prevalence of stunting in early childhood and toddlers is maternal education. Increasing public awareness of the importance of maternal education in preventing stunting and improving the quality of child health. This review study aims to present evidence on the correlation between stunting and maternal education and to determine the extent to which maternal education affects the nutritional status and growth of children, especially stunting. With these objectives, this study is expected to make a significant contribution to understanding and addressing stunting problems in the community. The literature review method and the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) meta-analysis process were used throughout the investigation. There is a correlation between stunting and maternal education based on many research findings. In conclusion, education level, low maternal age, poor toddler care and nutritional intake during pregnancy are associated with stunting

Perceptions of preschoolers and parents on forest pollution

IntroductionAn examination of preschool children’s perceptions and attitudes towards the environment and forests has recently been conducted. However, little research has focused on preschool children’s and their parents’ perceptions of clean and dirty forests. Investigating these perceptions is essential to increase children’s interest in and sensitivity to the environment, thereby fostering their development as responsible individuals who protect the natural world.MethodsThis study aimed to address this knowledge gap by examining the perceptions of clean and dirty forests held by 40 5–6-year-old students and 40 parents, randomly selected from two preschools: one attended by children from high socioeconomic families and the other by children from low socioeconomic families, in a Mediterranean coastal city in southwestern Turkey. A semi-structured questionnaire was used to collect sociodemographic information and perceptions of clean and dirty forests. Additionally, drawing sheets were distributed to the students to illustrate their concepts of clean and dirty forests.ResultsThe results indicated that individuals with higher educational levels had more complex and conscious perceptions of clean forests. Children considered abstract concepts, such as supernatural forces and fossil fuels, while parents focused on awareness and conservation status. Conversely, parents and children with lower levels of education tended to concentrate on more concrete and everyday factors, such as litter and natural disasters. Individuals with higher socioeconomic status generally associated forest cleanliness with conscious behaviors and conservation, whereas those with lower socioeconomic status linked it more with polluting factors.DiscussionThis investigation provides valuable insights into the management and control of local forests by incorporating the perspectives of children and their parents, promoting responsible and sustainable tourism practices.

Dynamic factors associated with COVID-19 vaccine uptake in Cameroon between 2021 and 2022.

Little is known about attitudes towards COVID-19 vaccination in sub-Saharan Africa, where immunisation coverage is the lowest in the world. The study aimed to identify factors associated with COVID-19 vaccine hesitancy and uptake in Cameroon, and assess changes in these factors over a period of time. The study was conducted in the ten regions of Cameroon. The authors conducted a two-phase cross-sectional survey in the 10 regions of Cameroon, from July 2021 to August 2021 (Phase one) and from August 2022 to September 2022 (Phase two). We analysed reasons for vaccine hesitancy descriptively and used logistic regression to assess factors associated with hesitancy. Overall, we enrolled 12 109 participants: 6567 (54.23%) in Phase one and 5542 (45.77%) in Phase two. Of these, 8009 (66.14%) were not interested in receiving the COVID-19 vaccine (n = 4176 in Phase one, n = 3833 in Phase two). The refusal rate increased significantly in the northern region from 27.00% in Phase 1 to 60.00% in Phase two. The leading contributor to COVID-19 vaccine hesitancy was fear that the vaccine was dangerous, which was significantly associated (95% confidence interval [CI], p < 0.05%) with vaccine refusal in both phases. Overall, 32.90% of participants (n = 2578) perceived the COVID-19 vaccine to be dangerous. Advanced age, male gender, Muslim religion and low level of education were associated with vaccine acceptance. Participants reported that healthcare workers were the most trusted source of information about the COVID-19 vaccine by 5005 (42.84%) participants. Despite the investment of the Ministry of Health and its partners in community engagement, focussing on communication about the vaccine efficacy, tolerance and potential adverse events, fear of the vaccine remains high, likely leading to vaccine hesitancy in Cameroon between 2021 and 2022. The study highlight regional variations in COVID-19 vaccine acceptance in Cameroon, with factors age, gender, religion and education influencing willingness to vaccine. Trust in health workers was high, indicating that, tailored, community-led vaccination strategies are key for improving vaccine uptake, not only for COVID-19 but also for future epidemics.

The effects of the changes in the depression on suicidal ideation among older adults aged 75 and above before and after the COVID-19

BackgroundThe unprecedented pandemic situation of COVID-19 has had a negative impact on the mental health of many people, especially among the "old-old" older adults who are aged 75 or older. Therefore, the aim of this study is to investigate the changes in depression among "old-old" older adults before and after the onset of COVID-19, and the extent to which depression affects suicidal ideations.MethodThe 12th to 16th Korea Welfare Panel Study(KoWePS) conducted from 2017 to 2021 was used for analysis. For this study, 771 older individuals with complete data to estimate the degree of change of depression were selected as the final analysis subjects.ResultA Growth Mixture Modeling(GMM) analysis was conducted, resulting in the classification of two groups: an increasing group and a decreasing group. The study findings showed that "old-old" older individuals with high levels of depression, specifically those in the decreasing group, may be more susceptible to suicidal ideation. Despite this steep change slope, the decreasing group still exhibited a higher level of depression in 2021 compared to the increasing group. As per characteristics, the decreasing group, which showed a higher prevalence of suicidal ideation, had a higher proportion of women and individuals with lower levels of education, those living alone, and a lower household income compared to the increasing group.ConclusionIt is important to note that although the study emphasized the need to prioritize intervention for the decreasing group with consistently high levels of depression, the majority of individuals belong to the increasing group, which exhibited a gradual increase in depression levels over time. Therefore, intervention plans should be developed concurrently for both groups. Also, it is crucial to implement proactive efforts targeting groups with understandings of these characteristics when establishing preventative measures for depression and suicidal ideation among "old-old" older adults.

Knowledge and Misinformation About Breast Cancer Risk Factors, Symptoms, and Prevention Among Healthy and Affected Women: A Study on 2375 Italian Participants

Background: Breast cancer is the most common cancer among women worldwide and remains the leading cause of death among Italian women. Despite increased breast cancer awareness and improved diagnostic techniques, mortality rates remain high globally. In Italy, despite the availability of screening programs by the National Health System (NHS) for all Italian women aged 50–69 every two years, the participation rate remains relatively low. The low uptake of screening may be attributed to a lack of general cancer knowledge among women, including awareness of risk factors, symptoms, and prevention measures. This study investigates the knowledge and misinformation in a population of Italian women regarding breast cancer risk factors, symptoms, and prevention. Methods: From March 2021 to January 2022, we conducted a survey targeting the female population in Italy, with a total of 2375 participants willingly participating in the study. To investigate factors linked to variations in attitudes toward breast cancer, the participants were categorized into two groups: the general population (Group A, n = 2235) and women who have had or currently have breast cancer (Group B, n = 140). Statistically significant differences were identified between these two groups. Results: The findings revealed considerable confusion regarding both the symptoms and causes associated with cancer, as well as prevention measures. This confusion was particularly prominent among women in the general population and those with lower levels of education. Conclusions: Given these insights, it remains crucial to promote accurate health information concerning risk factors, symptoms, and prevention strategies related to this devastating disease, emphasizing the ongoing importance of disseminating correct health information.

Preoperative Anxiety in Patients Scheduled for Minimally Invasive Abdominal Surgery: Institutional Experience

Introduction: Preoperative anxiety is an unpleasant emotional state, characterized by feelings of tension, nervousness, fear, and intensified activation of the autonomic nervous system. According to the WHO, more than 4 million people undergo surgery annually in the world, and in about 50 to 75% of them, they develop some degree of anxiety during the course of the preoperative period. Objective: To analyze preoperative anxiety levels through the application of the Amsterdam Preoperative and Information Anxiety Scale (APAIS) in patients scheduled for laparoscopic cholecystectomy in a third-level health institution of complexity in the department of Huila during the first half of 2023. Methodology: Descriptive-cross-sectional study, the APAIS scale will be applied. The population will be patients over 18 years of age scheduled for laparoscopic cholecystectomy. The data obtained will be coded and tabulated in the SPSS statistical program. Results: Preoperative anxiety mostly affects mature adult women, Catholic and married. In addition, those who have had previous surgeries tend to experience less anxiety before the procedure, additionally it is observed that patients with a lower level of education tend to show lower levels of preoperative anxiety, however, despite this, all patients express a strong desire to receive more information about the procedure, which highlights the importance of clear and complete communication to help reduce anxiety before surgery. Conclusions: It is recommended to provide detailed information and to carry out early and individualized interventions to reduce preoperative anxiety and the desire for information. New research approaches may evaluate the reduction of anxiety in the face of different interventions.

Assessment of socioeconomic and health vulnerability among urban slum dwellers in Bangladesh: a cross-sectional study

BackgroundBangladesh is rapidly urbanizing and approximately half of its urban population resides in deprived slums with limited access to basic needs. However, there is a dearth of information on vulnerability levels among slum dwellers. We aimed to assess the level of vulnerability within and between slums via various socioeconomic and health indicators.MethodsA cross-sectional survey of 810 randomly selected households was conducted in two purposively selected slums, Korail and Shyampur, in Dhaka from November to December 2021. Data was collected on various indicators, including demographics, education, employment, access to utility, and healthcare services. Principal component factor analysis was employed to identify the key indicators to construct the socioeconomic and health vulnerability index for the urban slums of Bangladesh (SEHVI-BD). Kaiser-Meyer-Olkin, Bartlett’s test, and Cronbach’s alpha coefficient test were used to assess indicators’ suitability. The selected indicators were used to generate an index on a scale of 100, with a higher index value indicating a higher level of vulnerability. The estimated scores were used to categorize the vulnerability status into three levels: mild, moderate, and severe vulnerability. The Mann-Whitney-U test and Kruskal-Wallis test were applied between the generated index and other socioeconomic variables to validate the relationship.ResultsA total of 27 socioeconomic and health indicators were identified that explained 60% of the variance. The indicators were then grouped into six domains on the basis of their relevance. The prevalence of severe vulnerability in the Korail slum was approximately 9% and moderate vulnerability was 30% whereas these values were approximately 58% and 37%, respectively, in the Shyampur slum. The difference in the vulnerability level between the two slums was also evident across the domains. Households in the poorest wealth quintile, with lower education levels of household heads, and having irregular income experienced higher levels of vulnerability.ConclusionsThe SEHVI-BD offers a critical tool for policymakers to identify and address vulnerabilities, facilitating more targeted public health interventions in urban Bangladesh and similar low-income settings. This study further emphasizes the importance of integrating comprehensive vulnerability assessments into public health policies to reduce inequalities and improve well-being, especially for the urban marginalized slum population.

Depressive symptoms and associated socioeconomic and clinic factors: Three different years data from Türkiye.

Depression is one of the main diseases that cause disability. It is more common in various sociodemographic situations. This study investigated the risk factors associated with depressive symptoms and changes over the years based on data from a sample from the Republic of Türkiye. It was also intended to compare depressive symptoms and inflation rates by years. Data for 2016, 2019 and 2022 from the Turkish Health Survey performed by the Turkish Statistical Institute were used in the study. Data for age, sex, marital status, education level, employment status, accompanying chronic health problems, restrictions in daily activities associated with health problems and problems accessing psychological treatment due to difficulty in paying were evaluated in terms of depressive symptoms. Higher depressive symptoms were determined in women, the widowed and divorced, individuals with a low level of education, the unemployed, individuals with chronic health problems, those with restrictions in daily activities associated with chronic health problems and those with problems accessing psychological treatment due to difficulty in paying. Although inflation rates increased over the years, the severity of depressive symptoms decreased. A moderate positive correlation was observed between depressive symptoms and basic activities of daily living. Developing policies aimed at groups with high depressive symptoms may be important in combating depression.

Strengthening Community Resilience in the Face of Environmental and Economic Challenges in Southeast Mexico

Objective: The problems in the sustainable management of natural resources in their fishing practices in the community of Aztlán Quinta Seccion Palomillal in Tabasco, Mexico, are analyzed to develop community solutions and improve sustainability and socioeconomic results. Theoretical Framework: It is based on the theory of sustainability (World Commission on Environment and Development, 1987, p. 43), the natural resources management model (Natural Resources Commission, 2012, p. 3) and the theory of participatory research (Reason &amp; Bradbury, 2008, p. These frameworks are the context in which fishing practices are developed in the community, serving as a relevant case study for southeastern Mexico, facilitating the analysis of the problems and proposed solutions. Method: A qualitative case study design focused on community-based participatory research was applied, involving key community actors, including fishermen and leaders of the fishing cooperative. Data collection was through semi-structured interviews, focus groups and participant observation. The interviews were designed to learn about challenges in resource management, while focus groups facilitated discussions about possible solutions. Participant observations were carried out during community meetings and the sociocultural and environmental context. Results and Discussion: The problems of sediment accumulation, the presence of invasive species, the lack of adequate infrastructure and low educational levels were identified. There is an urgency to implement strategies that combine traditional knowledge with modern practices to improve the sustainability of fishing activities. The importance of community participation is highlighted. Research Implications: It has significant practical and theoretical implications for sustainable resource management in rural fishing communities and can be applied in other similar rural contexts and contributes to the theoretical development of community-based participatory research. Originality/Value: An innovative community-based participatory research approach is applied for sustainable natural resource management in a rural fishing community, replicable for sustainable resource management in vulnerable contexts.