Number Of Children In Household Research Articles

Factors affecting households food security during pandemic Covid-19

Purpose. The importance of this study is underscored by the possibility of recurring pandemics in human history. In this context, efforts to overcome or adapt to such crises, particularly in maintaining food security at the household level, become essential for sustaining human life. The study was conducted to identify and analyse the relationship between food security and various dimensions, along with the coping strategies adopted by three different food security statuses in Banten province, Indonesia. Methodology / approach. Primary data were collected from a survey of 170 households selected by stratified random sampling based on three regions with different food security status. To address the research question, regression analysis was used to develop a logistic model illustrating the relationship between independent variables, including social, economic, and demographic factors, dimensions of food security, coping strategies, and the dependent variable of household food security, as assessed by the Food Insecurity Experience Scale (FIES) score. Results. The Coping Strategy Index (CSI) variable significantly affected food security with a 99 % confidence interval. Variables such as the age of the family head, the number of family members in the household, and the Food Consumption Score (FCS) were identified to have a significant effect with a 95 % confidence interval. Meanwhile, the education level of the family head was the only independent variable found to have a significant effect at the 90 % confidence interval. Originality / scientific novelty. This research is the first study conducted in Indonesia regarding the effect of household coping strategies during the Covid-19 pandemic, dimensions of food security, socio-demographic factors on household food security status for three different regional characteristics in Banten province, Indonesia, using a logistic regression model. This model has been tested and has shown high feasibility. Practical value / implications. This study provides evidence of a significant influence of household coping strategies, household consumption scores, age of the household head, and family size. This has implications for the role of households in improving adaptation during times of crisis, particularly in acquiring quality food and meeting daily food needs. The selection of the right and quality menu can enhance the resilience and nutrition of each household member in crisis situations such as the Covid-19 pandemic. The results of these findings will also have implications for government policies related to ensuring education for all citizens, setting a minimum age for marriage, and promoting the Family Planning program to control the number of children in households.

Post-Purchase Trip Heterogeneity: Exploring the Impact of Free and Paid Return Deliveries on Shopping and Transport Mode Choices in the USA

This paper explores aspects of the post-purchase trips generated by the necessity to return purchased clothing to the shops. Particular focus is given to online shopping that has become common for clothing purchases. This study’s novelty lies in delving into the underlying reasons behind post-purchase trips, particularly those initiated when customers seek to return clothing to retailers. It examines the impact of free and paid return delivery options as key factors driving consumers’ decisions in relation to clothing returns. The study consists of two branches and leverages the random utility maximization theory. The first branch focuses on the impact of free and paid return options on the preferred shopping channels by utilizing a stated preference dataset collected from 507 US online shoppers. The second branch of this study employs the revealed preference dataset and aims to explore the return trip behavior. The willingness-to-pay values estimated for the free return delivery option are higher among female online shoppers compared with males—$7.42 and $6.65 per delivery, respectively. It was found that among the identified “returners,” 84.62% of males and 79.91% of females showed a strong reliance on private cars for their return trips. The potential environmental consequences of return trips were evaluated, focusing on the case of the USA. Additionally, the estimated marginal probability effect revealed that factors such as an aging population, car ownership, and number of children in households positively influence car usage for post-purchase trips. The study’s implications for stakeholders are discussed.

Using an intersectionality framework to assess gender inequities in food security: A case study from Uganda

AbstractPrior research in health equity, including food security, indicates that disadvantaged groups, such as women with limited resources, face many obstacles in achieving food security. One of the first of its kind to draw on intersectionality and the social determinants of health frameworks, this study identified and tested gender differences in experiencing food security inequities using nationally representative data from the Gallup World Poll, Uganda 2019 (N = 951). Binary logit models disaggregated by gender were estimated to identify gender differences in food security. Three points of intersection were categorized: individual characteristics (gender, age, region, marital status, household number of children and adults); available resources (education, income, employment, shelter, social support); and the socio‐political context (community infrastructures, corruption within the business). Testing the moderation effect of gender with each variable (difference‐in‐difference) showed that although most variables correlated with a difference in experiencing food security by gender, only two—marital status, and social support—presented a statistically significant difference. Accounting for this moderation effect, the final model showed that lacking shelter and residing in Eastern Uganda decreased food security. More adults in the household, higher education, higher income, available social support, and satisfaction with community infrastructures enhanced the odds of food security. Results suggest that (a) conventional food security quantitative approaches may not suffice to model inequities when gender is a control variable rather than a foundation to explain inequities; and (b) gendered‐centered analysis helps better identify disadvantaged groups and inform policies that target associated inequities.

Number of children in the household influences respiratory morbidities in children with bronchopulmonary dysplasia in the outpatient setting.

Bronchopulmonary dysplasia (BPD), a common complication of prematurity, is associated with outpatient morbidities, including respiratory exacerbations. Daycare attendance is associated with increased rates of acute and chronic morbidities in children with BPD. We sought to determine if additional children in the household conferred similar risks for children with BPD. The number of children in the household and clinical outcomes were obtained via validated instruments for 933 subjects recruited from 13 BPD specialty clinics in the United States. Clustered logistic regression models were used to test for associations. The mean gestational age of the study population was 26.5 ± 2.2 weeks and most subjects (69.1%) had severe BPD. The mean number of children in households (including the subject) was 2.1 ± 1.3 children. Each additional child in the household was associated with a 13% increased risk for hospital admission, 13% increased risk for antibiotic use for respiratory illnesses, 10% increased risk for coughing/wheezing/shortness of breath, 14% increased risk for nighttime symptoms, and 18% increased risk for rescue medication use. Additional analyses found that the increased risks were most prominent when there were threeor more other children in the household. We observed that additional children in the household were a risk factor for adverse respiratory outcomes. We speculate that secondary person-to-person transmission of respiratory viral infections drives this finding. While this risk factor is not easily modified, measures do exist to mitigate this disease burden. Further studies are needed to define best practices for mitigating this risk associated with household viral transmission.

Do Residents Living in Transit-Oriented Development Station Catchment Areas Travel More Sustainably? The Impacts of Life Events

Transit-oriented development (TOD) is an urban designed model aimed at attracting more sustainable travellers. However, not all TOD projects succeed in maintaining a high rate of sustainable travel behaviour. To examine the impacts of TOD on residents’ travel behaviour, this paper applies binary logistic regression to analyse survey data for 1,298 residents living in the TOD areas in Hangzhou collected in 2020. The results show that socioeconomic characteristics, built environment factors, and travel attitudes play important roles in influencing their travel mode choices. Furthermore, the number of children in households and higher levels of car ownership significantly influence residents’ sustainable travel behaviours. However, it appears that only a limited number of factors can convince car users to shift to sustainable modes of travel, such as their workplace being accessible by metro and attitudes towards changes in accessibility. This research study contributes to the existing literature in terms of enhancing the understanding of travel mode choice behaviours, particularly with regard to people who live near public transport infrastructure, as well as formulating evidence-based TOD policies to achieve more sustainable transport systems.

Delay in Regular Visits of Chronic Disease Patients and Its Associated Factors during the COVID-19 Pandemic.

Chronic patients need regular follow-ups. During the COVID-19 pandemic, these regular visits can be affected. The delay of chronic patients and its contributing factors in their periodic visits during the COVID-19 pandemic are examined here. This cross-sectional study was conducted between February and June 2021, in Fars, Iran. Two hundred and eighty-six households with at least one chronic patient were recruited. Then, several trained questioners called the studied households and asked about the studied variables. The dependent variable was the number of delays in regular visits during the COVID-19 pandemic. The results were analyzed through Poisson regression by SPSS Statistics version 22 and GraphPad Prism software version 9. A significance level of 0.05 was considered for this study. Out of 286 households 113 (73.4%) fathers, 138 (70.1%) mothers, and 17 (58.6%) children in the households reported delayed referral. In fathers, referring to the health center was significantly associated with a decrease in the number of delays (P=0.033). The higher age of the householder (P=0.005), the higher number of children (P=0.043), and having a family physician (P=0.007) in the mothers' group, also the number of children in households (P=0.001) in the children group were significantly associated with increasing the number of delays. COVID-19 pandemic not only creates direct harmful effects but also adversely affects people in danger of chronic diseases. Delays in follow-ups are taken into account as a major challenge during the COVID-19 pandemic. This issue is not limited to rural or urban residency.

Caregiving in a Pandemic: Health-Related Socioeconomic Vulnerabilities Among Women Caregivers Early in the COVID-19 Pandemic.

Family and friends who provide regular care for a sick or dependent individual ("caregivers") are at increased risk of health-related socioeconomic vulnerabilities (HRSVs). This study examined pre-pandemic prevalence of and early pandemic changes in HRSVs among women caregivers compared with non-caregivers. A cross-sectional survey was conducted in April 2020 (early pandemic) with 3,200 English-speaking US women aged 18 years or older, 30% of whom identified as caregivers. We modeled adjusted odds of self-reported HRSVs (financial strain, food/housing insecurity, interpersonal violence, transportation/utilities difficulties) before and changes during the early pandemic by caregiving status. Models were adjusted for age, race/ethnicity, marital status, education, income, number of people in household, number of children in household, physical and mental health, and number of comorbidities. Pre-pandemic, 63% of caregivers and 47% of non-caregivers reported 1 or more vulnerability (P <.01); food insecurity was most prevalent (48% of caregivers vs 33% of non-caregivers, P <.01). In the early pandemic, caregivers had higher odds than non-caregivers of financial strain, both incident (adjusted odds ratio [AOR] = 2.1; 95% CI, 1.6-2.7) and worsening (AOR = 2.0; 95% CI, 1.4-2.8); incident interpersonal violence (AOR = 2.0; 95% CI, 1.5-2.7); incident food insecurity (AOR = 1.6; 95% CI, 1.2-2.1); incident transportation difficulties (AOR = 1.9; 95% CI, 1.3-2.6); and incident housing insecurity (AOR = 1.6; 95% CI, 1.1-2.3). The coronavirus disease 2019 (COVID-19) pandemic increased risk of incident and worsening HRSVs for caregivers more than for non-caregivers. COVID-19 response and recovery efforts should target caregivers to reduce modifiable HRSVs and promote the health of caregivers and those who depend on them.Annals Online First article.

Increased number of children in households may protect against inflammatory bowel disease.

The increasing incidence of inflammatory bowel disease (IBD: Crohn's disease and ulcerative colitis) around the world has coincided with a wide array of environmental and epidemiologic changes. The relationship between IBD incidence and household or family size decline, however, has not been examined before. Our background epidemiological analyses suggested an inverse association between household size and IBD incidence. We aimed to examine this further in a murine model. We designed a unique two-generation cohousing model of family size and IBD susceptibility in C57BL/6J mice. Serial fecal microbiomes during cohousing were examined by high-throughput 16S rRNA sequencing. After cohousing for 10 days, mice were exposed to dextran sulfate sodium (DSS) to induce acute colitis. Body weight as a significant correlate of colitis severity was measured. Mice in a large household arrangement demonstrated less weight loss than mice in the small household arrangement in the DSS model. Age- and housing-dependent microbiome shifts were found. Larger households may be protective against intestinal inflammation through intergenerational microbiome modulation. Our observations may set the foundation for age-dependent, microbiome-directed future prevention against IBD. Epidemiological analyses in this study suggested that IBD incidence may inversely correlate with household size (an indicator of family size/children per family), which has not been examined before. A uniquely designed two-generation cohousing model of family size and IBD susceptibility in mice supported our epidemiologic observations. Microbiome changes in our cohousing model may set the foundation for age-dependent, microbiome-directed prevention against IBD.

Socioeconomic and demographic correlates of child nutritional status in Nepal: an investigation of heterogeneous effects using quantile regression

BackgroundChild undernutrition continues to be a major public health problem in many countries, including Nepal. The repercussions of undernutrition are not only limited to the affected children and families but also transcend to the national and global economy. Earlier studies from Nepal have predominantly used either ordinary least squares (OLS) regression or binary regression to analyse the socioeconomic and demographic correlates of the nutritional outcome. In this study, quantile regression was used to understand a complete and more precise estimate of the effects of the covariates on the child nutritional status.MethodsThis study was based on the most recent nationally representative Nepal Multiple Indicator Cluster Survey (MICS) 2019. Height-for-age z scores (HAZ) were used as an indicator for assessing the nutritional status of under-five children. Quantile regression was used to examine the heterogeneous association of covariates with conditional HAZ distribution across the different quantiles (0.10, 0.30, 0.50, 0.85). As a comparison, the effects of covariates at conditional mean of HAZ using OLS regression was also analysed. The graphs were plotted to visualize the changes in the coefficients for each regressor across the entire conditional HAZ distribution.ResultsAge of children, sex of children, province and wealth had a consistent and statistically significant association with HAZ in both OLS and quantile regression. Improved toilet facility was positively correlated with HAZ at the lower tails (tenth and thirtieth percentiles). Ethnicity (Janajati and Newer) was positively correlated with HAZ at the lower tail (thirtieth percentile) and mean (OLS regression). Maternal education was a significant predictor of improved height-for-age across conditional quantiles, except at the tenth percentile. Maternal age, number of under-five children in household, number of household members, and improved source of drinking water showed heterogeneous effects across different quantiles of conditional HAZ distribution.ConclusionUse of quantile regression approach showed that the effect of different factors differed across the conditional distribution of HAZ. Policymakers should consider the heterogeneous effect of different factors on HAZ so that the targeted intervention could be implemented to maximize the nutritional benefits to children.

The Predictors of Awareness of Sexual Abuse and Sexual Violence in the Media and the Influence on Actions of the Individuals.

Introduction: The number of reportings on sexual abuse (SA), sexual violence (SV) cases covered in the media has risen a significant amount with most cases involving women and children. The aim of the study is to explore the questions: Are people aware of sexual abuse and sexual violence in the media? What are the predictors of awareness of sexual abuse and sexual violence? Does the awareness of sexual abuse and sexual violence in the media affect the actions of the individuals?Methods: A representative survey of the German-speaking resident population (2020) on physical and mental well-being was used. The participants (N = 2,503: females = 50.9%) were between the ages of 14 and 97 (M = 49.81). The German version of the Adverse Childhood Experiences Questionnaire, The General Habitual Well-Being Questionnaire and questions about own experiences of sexual harassment on the internet, experiences of domestic sexual abuse and different socio-economic variables were used. The outcome variables regarding the awareness of SA and SV in the media, different types of scandals (church, pedophile, USA), #MeToo-debate and the change in actions were used. Frequency analyses and binary regressions were conducted.Results: One thousand five hundred and fifty-five (62.6%) respondents answered yes to being aware of SA and SV in the media. The results show that females, aging, number of children in household, Protestant and Catholic religion, school graduation, own experience(s) of sexual harassment on the internet, own experience(s) of SA in childhood, and Adverse Childhood Experiences have a significant higher association to the awareness of SA and SV in the media. German nationality and Muslim religion have a significant lower association. The variables that most commonly affected the awareness of SA and SV, scandals, debate and the individual actions were age, own experiences of sexual harassment on the internet and the Protestant religion.Conclusion: Advertising more support centers, hotlines and linking this information to sexual abuse cases covered in the media should be considered. Media bystander interventions could be helpful to train people to react appropriately. Further investigation that considers the different types of media and its influence on the awareness of SA and SV is needed.

Pitungan and birth variations of first-born among Javanese ethnic population in Indonesia

There is a phenomenon among the Javanese ethnic population, in which many wedding ceremonies are held whenever the Javanese calendar points to particular months such as Besar, Rejeb, and Ruwah, because marrying in those months is believed to bring good fortune. This study aimed to analyze the influence of wedding date determination through pitungan and feeling safe on birth variations of first-born and the number of children the wife gives birth to. The research was conducted in Blitar City, Blitar Regency, and Surabaya City with 193 married couples. Linear Regression and Chi-square were the statistical tests used in this research. Chi-square and Linear Regression tests proved that pitungan affects the birth variations of first-born (p = 0.004; p = 0.004) and the number of children a couple has (p = 0.007; p = 0.002). Both Chi-square and Linear Regression proved that feeling safe (roso slamet) does not have any significant effect on birth variations of first-born (p = 0.162; p = 0.767) and the number of children in household (p = 0.863; p = 0.680). The conclusion is that there is an important relationship between pitungan and birth variation in which the more pitungan is done, the sooner first-born is given birth to and the more children a married couple has.

Estimating the number of children in households with substance use disorders in Germany

BackgroundParental substance misuse is reported to endanger the health and psychological development of children and adolescents. The aim of the present study was to address conceptual and methodological problems in estimating the number of children affected by parental substance misuse (CaPSM) and offer a novel approach based on survey data.MethodsData came from the 2018 German Epidemiological Survey of Substance Abuse (ESA) among 18- to 64-year-olds (n = 9267) and from population statistics. DSM-IV diagnostic criteria were used to assess substance use disorder (SUD) related to tobacco, alcohol, cannabis, cocaine or amphetamine. Based on the number of household members, the number of children below age 18 years and the information on SUD status of the respondent living in this household, the number of children currently living in households with at least one member with SUD was estimated.ResultsIn 2018, there were 13,597,428 children younger than 18 years living in Germany. Of these, 6.9–12.3% (935,522–1,673,103) were estimated to currently live in households where at least one adult had a tobacco use disorder, 5.1–9.2% (688,111–1,257,345) in households where at least one adult had an alcohol use disorder and 0.6–1.2% (87,817–158,401) in households where at least one adult had a disorder related to the use of illicit drugs. The total number of children currently living with SUD adults in their household was estimated at 11.2–20.2% (1,521,495–2,751,796).ConclusionsAvailable estimates are difficult to interpret and to compare due to a lack of clear case definitions and methodological approaches with various biases and limitations. Future estimates need to provide precise case definitions and standard approaches.

Overcrowding and exposure to secondhand smoke increase risk for COVID-19 infection among Latinx families in the greater San Francisco Bay Area.

INTRODUCTIONEnvironmental risk factors, including community level pollution burden and exposure to smoking and secondhand smoke, have not been evaluated in relation to risk for infection with COVID-19 in high risk, urban Latinx families.METHODSWe evaluated risk factors for COVID-19 infection in three, preexisting, longitudinal, Latinx family cohorts in the San Francisco Bay Area from May through September 2020 (N=383 households, 1875 people). All households were previously recruited before the pandemic. For the COVID-19 sub-study, participants responded to a telephone interview where we assessed food consumption patterns, housing and employment status, and history of COVID-19 infection. Secondhand smoke exposure was based on previously collected selfreported data, and environmental pollution exposure was determined from census tract residence. Non-parametric tests and multiple logistic regression were used to assess independent predictors of COVID-19 infection.RESULTSLarger household size increased risk for infection (OR=1.58; 95% CI: 1.12–2.23, p<0.01) as did increasing number of children in household (OR=3.79; 95% CI: 1.51–9.56). Any exposure to secondhand smoke was also associated with increased risk for COVID infection (OR 4.69; 95% CI: 1.01–21.85) and having a greater number of family members eating at home was protective against infection (OR=0.10; 95% CI: 0.02–0.52, p<0.01).CONCLUSIONSCrowding, as indicated by larger household size, increases risk for COVID-19 infection in Latinx families, as does exposure to secondhand smoke. Public policy and health interventions need to ensure that multiunit residential complexes do not allow exposure to secondhand smoke between units, that individuals eat in the home environment, and that large households can safely separate individuals exposed to COVID-19.

Pediatric Otolaryngology During COVID-19: Parental Concern About Elective Surgery.

To identify the concerns of parents whose children may need elective surgery during the COVID-19 pandemic. In December 2020, parents of pediatric otolaryngology patients were recruited for a survey about concerns related to elective surgery during the COVID-19 pandemic. A Likert scale quantified concern. The 1 was anchored "Not at all important" and 5 was "Most important." Demographics included gender, age, race, education level, number of children in household, and whether their child had surgery since March 2020. About 253 participants were included. Medians ranged from 1 for concerns about emotional and family support to 4 for concerns about their child being exposed to COVID-19 in the Emergency Room. Black parents were more concerned about the risks of COVID than White parents; they were more concerned about their child contracting COVID-19 during surgery compared to White parents, median was 4 versus 3 (P = .027). Black parents had a median score of 3 for concern about medical expenses compared to a median of 2 (P = .001). Parents of children who had surgery since March 2020 had less concern about their child being exposed to COVID-19 during hospitalization (P = .045) and less concern about critique from others (P = .024). Parents were most concerned about the risk of seeking Emergency Room care. Black parents were generally more concerned about having their child undergo elective surgery. Whether this is translated into fewer Black children undergoing important but elective surgery requires more study.

A study of opinions about the Polish constitutional tribunal’s judgement strengthening Polish abortion laws

Objective In October 2020, the Polish Constitutional Tribunal (CT) ruled that in cases where there are indications of irreversible impairments of a foetus or incurable life-threatening diseases, abortions violate the Polish Constitution. Despite the fact that it was issued during the second wave of the SARS-CoV-2 pandemic in Poland, this judgement caused numerous protests. The current study sought to ascertain Poles’ opinions regarding the CT’s judgement, and the ensuing threat to public health presented by the protests against it. Material and methods An online survey was conducted on a quota sample of adult Poles (N = 1072). The sample reflected the population structure of Poland. Results Only 15.5% of the people surveyed agreed that the CT’s judgement was correct. Logistic regression analysis showed that support for the CT’s ruling could be predicted by male gender, more frequent participation in religious practices, and the presence of a greater number of children in household. The majority of people (65.1%) considered protests to be necessary despite the ongoing pandemic. Cluster analysis distinguished between two groups of people, which were labelled “moderate liberals” (43.9%) and “moderate conservatives” (56.1%). There were no extreme groups - neither one that supported the CT’s judgement and condemned the protesters, nor one that supported protesters unconditionally and disagreed with the judgement. Conclusions Undoubtedly, there is no consensus among Poles on the issue of abortion, but the CT’s judgement, resulted in a high level of agreement between people with different views.

Mental health needs among parents of children with cancer: A commercial claims data analysis.

e18722 Background: Caring for a child diagnosed with cancer may adversely affect mental health (MH) of parents. However, little is known about MH care needs among parents of pediatric cancer patients. This study examined the patterns of MH care for parents of children diagnosed with cancer, as compared to parents of children without cancer. Methods: We used MarketScan® Commercial Database to identify continuously-insured parents of children receiving therapy for leukemia, lymphoma, central nervous system, bone, or gonadal cancers (aged ≤21 years at diagnosis) in 2009-2017. We also identified parents who matched eligibility criteria but had no child with cancer (with a randomly-assigned, fictitious date of cancer diagnosis) as controls. Outcomes included parents’ visits related to a MH disorder (anxiety, depression, substance use disorder [SUD], post-traumatic stress disorder [PTSD]) during six months before to 12 months after their child’s cancer diagnosis. Multivariable regressions were estimated to compare MH visits between 9,870 parents of pediatric cancer patients and 3,396,097 parents in the control group, adjusting for sociodemographic factors (parents’ age and sex, rurality, region, number of children in household) and presence of MH history. Among parents of pediatric cancer patients, we explored sociodemographic factors, MH history, and clinical factors (children’s cancer types, age at diagnosis, therapeutic modalities) associated with MH-related visits in multivariable regression analyses. Results: While the likelihood of MH history was similar between the two groups, a higher proportion of parents caring for cancer patients than controls had any visits related to anxiety (13.1%% vs. 9.5%), depression (9.6% vs. 7.5%), PTSD (0.5% vs. 0.4%), or any MH disorders (22.0% vs. 17.6%). These differences persisted in adjusted analyses. For example, parents of cancer patients were 24%, 37%, and 27% ( p-values &lt; 0.001) more likely than controls to have any MH visits, anxiety-related visits, and depression-related visits, respectively. No difference was observed in SUD-related visits. Among MH care utilizers, no significant difference was observed in the number of MH visits. Among parents of cancer patients, those with MH history, mothers (vs. fathers), and parents of children with bone cancer (vs. leukemia) were more likely to have any MH visits ( p-values &lt; 0.05). Parents whose children received surgery only and those with ≥3 children in household were less likely to have any MH visits ( p-values &lt; 0.05). Conclusions: Parents of pediatric cancer patients have significantly higher needs for MH care as compared to the general parent population. Our finding underlines the importance of future interventions toward targeted MH counseling and supportive strategies for vulnerable parent groups, such as mothers and those caring for children undergoing more complex treatment plans.

Socioeconomic and demographic factors determining the underweight prevalence among children under-five in Punjab

BackgroundUnderweight prevalence continues to be major public health challenge worldwide, particularly in developing countries like Pakistan. This study is focused on socio-economic and demographic aspects of underweight prevalence among children under-five in Punjab.MethodsIn this study, several socioeconomic and demographic factors are considered using MICS-4 data-set. Only those variables which are usually described in the nutritional studies of children were picked. Covariates include: the age of children, sex of the children, age of mother, total number of children born to women, family wealth index quintile, source of drinking water, type of sanitation, place of residence, parents’ education and occupation. All Categorical variables are effect coded. The child’s age and the mother’s age are assumed to be nonlinear, geographical region is spatial effect, while other variables are parametric in nature.Since, the response is binary, covariate comprises linear terms, nonlinear effects of continues covariates and geographic effects, so we have use Geo-additive models (based on Fully Bayesian approach) with binomial family under logit link. Statistical analysis is performed on Statistical package R using Bayes X and R2 Bayes X Libraries.ResultsUnderweight status of children was found to be positively associated with number of under-five children in household, total number of children ever born to women and age of mother when the child was born. Whereas, it negatively associated with place of residence, parent’s education and family wealth index quintile. On the regional effect, the Southern Punjab has higher prevalence of underweight compared to Central and Northern Punjab.ConclusionSimilarity of our results with several other studies demonstrate that the Geo-additive models are an ideal substitute of other statistical models to analyze the underweight prevalence among children. Moreover, our findings suggest the Punjab Government, to introduce target-oriented programs such as poverty reduction and enhancement of education and health facilities for poor population and disadvantaged regions, especially Southern Punjab.

Partial Proportional Odds Analysis of Consumers’ Packaged Food Safety Precautionary Actions in Nsuta-Mampong, Ghana

Partial Proportional Odds Analysis of Consumers’ Packaged Food Safety Precautionary Actions in Nsuta-Mampong, Ghana Isaac Abunyuwah Abstract Food safety issues have received increased and sustained public attention and education in recent years in Ghana. With knowledge and information flow on food safety, it is expected that consumers‟ behaviour, attitudes and actions at point of purchases will match their levels of concern about food safety. The paper investigates and explains consumers‟ precautionary safety checks they undertake during purchases. Partial proportional odds model was applied in the framework of vector generalized additive models to explain how often consumers conduct precautionary checks during purchases of packaged goods. A randomly selected sample of 261 respondents from Nsuta-Mampong administrative area of Ghana was used for the study. About 32% and 27% of respondents indicated that they “always/very often” and “sometimes” conduct precautionary checks during purchases respectively. 41% “do not” engage in any precautionary food safety checks. Education, age, number of children in household, marital status, awareness and professional knowledge on food safety issues, occupation and concerns on unwholesomeness of food explained consumer‟s actions. Full Text: PDF DOI: 10.15640/jeds.v8n3a4

Health-related quality of life among frequent attenders in Swedish primary care: a cross-sectional observational study

ObjectivesThe aim was to examine health-related quality of life (HRQoL), patient characteristics and reasons for visits to general practitioners (GPs) by frequent attenders (FAs) and a comparison group (CG) in...

Examining Response to Treatment of Severe Acute Malnutrition in Children 6–59 Months Old in Afghanistan, Chad, Mali, and Niger (P12-002-19)

ObjectivesIdentify the most significant factors affecting the trajectory of recovery from severe acute malnutrition (SAM), as measured by average daily weight gain in each child 6–59 months of age who were diagnosed and treated for SAM and treated, adjusting for covariates including: breastfeeding status, number of children in household, illness, and distance to health center.Hypothesis 1a:Children 6–59 months enrolled in SAM treatment have slower times to recovery and slower weight gain if they are admitted for treatment at a lower anthropometric cut-off admission (weight for height z-score < –4) than children admitted for treatment at a higher anthropometric cut-off (weight for height z-score ≥ –4).Hypothesis 1b: Older children (24–59 months) recover more quickly than younger children (6–23 months) controlling for ration size. MethodsA retrospective panel data analysis on children 6–59 months enrolled in standard outpatient treatment for severe acute malnutrition (SAM) between 2014 and 2016 was conducted. The study period was between September-December 2018. Children were exhaustively sampled. Children with edema, children with implausible z-scores for W/H (<–5 and >5) and H/A (<–6 and >6), children who were referred for inpatient therapeutic feeding to a stabilization center, and children from the same household, except in the case of twins, were eliminated from the analysis. There was one database per country. A total of 1384 children between 6–59 months were included in the analysis. ResultsThe most significant factors affecting the proportional weight gain include age at enrollment (P = 0.001, 95%CI = –0.00—0.00) and Weight for height z-score (WHZ) (P = 0.00, 95%CI = 0.04—0.05) in each child 6–59 months of age who were diagnosed with SAM and treated, adjusting for covariates including: breastfeeding status, number of children in household, illness, and distance to health center. Sex of child did not significantly affect proportional weight gain (P = 0.404, 95%CI = –0.012–0.005). ConclusionsThe existing protocol to treat severe acute malnutrition should be modified to treat younger children and children who are admitted with a lower weight for height z-score due to different vulnerabilities. Funding SourcesThe research was conducted as part of a dissertation at The Friedman School of Nutrition Science and Policy at Tufts University. Data were obtained from World Vision.