Occupational Status Research Articles

Socioeconomic equality in initiation of biologic treatment in Danish patients with inflammatory bowel disease.

Low socioeconomic status is associated with disadvantages in health outcomes and delivery of medical care in patients with Inflammatory Bowel Disease (IBD). Inequality in the utilisation of biologic treatment is largely unexplored. To explore the potential association of socioeconomic status and time to first biologic treatment in apopulation-based IBD cohort. All 37,380 IBD incidences between 2000 and 2017 from the Danish National Patient Register were identified and linked to socioeconomic information including educational level, income and occupational status at diagnosis. Hazard ratios for receiving biologic treatment among socioeconomic groups were estimated using Cox proportional hazard regression. No difference in time between diagnosis and biologic treatment initiation was found comparing patients with upper secondary, vocational, or academic education to those with lower secondary education in patients with IBD. Patients with Crohn's disease in the two highest income quartiles received biologic treatment earlier (HR 1.16; 95% CI: 1.04; 1.30 & HR 1.15; 95% CI: 1.03; 1.30). An elevated treatment rate was found for persons with "other" occupational status (unspecified source of income) compared to employed persons in patients with ulcerative colitis (HR 1.36; 95% CI: 1.11; 1.66), but not in patients with Crohn's disease. This study revealed equal initiation of biologic treatment among patients with IBD across different educational background, income and occupational status. However, results are limited to asetting with free universal healthcare coverage and treatment needs should be considered and addressed in future research.

Participants’ Compliance to Pantawid Pamilyang Pilipino Program: Implications on Their Living Conditions

Aims: Compliance with program guidelines can pave the way for positive changes in people's lives. This study examined the influence of the characteristics of the 4Ps program beneficiaries and their compliance with program conditions and their living conditions. Study Design: Descriptive – Correlational Quantitative Study Place and Duration of Study: This study was conducted in a local Community in the Province of Agusan del Norte, Region Caraga, Philippines. Methodology: This study employed the descriptive-correlational research design. Program Compliance refers to the participants’ faithful observance to the program conditions specifically on the health and education components such as the vaccination of children, natal care for pregnant mothers; and regular attendance (at least 85% in a month) of children 5-18 years old. Living Conditions refers to the education, occupation, and income status that program participants achieved while receiving and utilizing the cash grants given by the program. These constructs were measured through indicators that are contained in a researcher-made questionnaire, such as the study by Salva et al. (2023) and the Social Welfare and Development Indicators (SWDI) Booklet. The 370 out of 4,378 participants were chosen among the 4Ps beneficiaries in a local community in the Province of Agusan del Norte, who were selected through systematic random sampling. The data gathered for this study were tallied, statistically treated, analyzed, and interpreted. The statistical tools used to organize the data were descriptive statistics and multiple regression. Results: Results show that 51.4 % of the participants belong to a family size of 5 members and below; 31.9 % are high school graduates; and 58.9 % earn an income ranging from Php 1,000.00- Php 5,000.00 monthly. Health outcomes is generally high (M=4.0); and Educational outcome is generally very high (M=4.79). All the components of the Living Condition are generally high, specifically the Health and Nutrition Component (M=4.24); Education (M=4.36) and Financial Management (4.21). Regression analysis reveal that the whole model is significant (F= 22.77, p = .000), with compliance as specifically having a significant influence on the participants’ living conditions, rejecting the null hypothesis. Conclusion: Compliance to the program contributes to better living conditions.

#2116 Socioeconomic position and incidence of chronic kidney disease in Central Italy

Abstract Background and Aims Socioeconomic position is strongly related to most chronic conditions, with higher prevalence, higher incidence, and more adverse outcomes in disadvantaged groups of the population compared to well-off counterparts. Similar to other pathologies, several studies reported inequalities in the prevalence of chronic kidney disease (CKD). Few studies investigated socioeconomic differences in disease incidence, and some analyzed socioeconomic inequalities in long-term outcomes, such as mortality or end-stage renal disease, with conflicting results. We aimed to investigate the association between educational level and CKD in the Lazio Region Longitudinal Study, i.e., the 2011 census cohort of all residents followed through administrative databases from 1 Jan 2012 to 31 Dec 2022. Method The Lazio region is one of the twenty Italian regions. With its 5.5 million inhabitants, it is located in central Italy and includes Rome, the Italian capital city. We considered the population enrolled in the Lazio Region Longitudinal Study aged 35-90 years. We used a validated algorithm to identify prevalent cases of CKD at baseline (1 Jan 2012) and incident CKD cases during the follow-up (1 Jan 2012 to 31 Dec 2022). We used the education available for each individual from the census questionnaire to indicate socioeconomic position. We used Cox proportional hazard models to investigate the association between educational level and incidence of CKD. We used age as the time scale to punctually adjust for age, and we adjusted the multivariable models for place of residence, citizenship, marital status, and occupational status. Results We selected 3 752 190 25-90-year-olds included in the Lazio Longitudinal Study. We excluded 66 376 prevalent cases, obtaining a study population of 3 685 814 CKD-free individuals. The prevalent cases were more likely males than females, increased with age, were more Italians than foreigners, were diabetics, and residents in Rome compared to the general population. The study population comprised 1 754 781 men with a mean age of 52 years and 1 997 409 women with a mean age of 54 years. During the 11 years of follow-up, we identified 88 784 new CKD cases among men and 70 217 among women, with crude incidence rates of 540 and 364 per 100, 000 person-years, respectively. The age-adjusted models showed a strong association between educational level and CKD incidence in both men and women (Table 1). In men, compared to those with a university degree, those with upper secondary education had a 30% higher risk of suffering from CKD, those with lower secondary education had a 54% higher risk, while the primary educated men had a 70% higher risk. Among women, the excess risk of low-educated compared to those with a university degree was even higher than in men, with HR = 1.33 (95% CI 1.28-1.38), HR = 1.76 (95% CI 1.69-1.82), and HR = 2.24 (95% CI 2.16-2.32) in upper secondary, lower secondary and primary school educated, respectively. The socioeconomic gap was slightly reduced when we adjusted for possible confounders. Conclusion We found strong socioeconomic inequalities in CKD incidence. Further analyses will investigate the clinical risk factors that mediate the association between educational level and CKD incidence.

Understanding the Right to Development among the People of Noida, Uttar Pradesh: A Case Study

Background: The exercise of a people's innate right to complete sovereignty over all of their natural resources and riches is included in the full realization of their right to self-determination, which is encompassed by the human right to development. It allows all people and communities to fully realize their basic freedoms and human rights by allowing them to engage in, contribute to, and benefit from advancements in the fields of economics, society, culture, and politics. Aim: This study aims to assess the understanding of the right to development as a human right among the people. Materials and Methods: A quantitative approach is employed in this research study to assess the understanding of the right to development as human rights. A descriptive survey research design with a sample size of 60, selected through purposive sampling based on specific inclusion and exclusion criteria, is utilized. Data is collected using a structured knowledge questionnaire and analyzed with descriptive and inferential statistics. Results: The study evaluates the knowledge of the understanding of the right to development as human rights among the people of Noida, Uttar Pradesh. The analysis of knowledge levels is based on different demographic factors. Among the general population, 36 (60%) had average knowledge, 22 (36.7%) had good knowledge, and 2 (3.3%) had poor knowledge. The socio-demographic variable of educational status of the general population showed a statistically significant association with the knowledge level of understanding the right to development as human rights, while age, gender, and occupational status were not statistically significant (p < 0.05).

Mapping the prestige and social value of occupations in the digital economy

With the emergence of the digital economy, the occupational landscape in many countries has undergone major transformations. While scholars have started to study the working conditions of digital economy occupations such as app-based food delivery couriers and social media influencers, assessing societal perceptions of these occupations remains uncharted territory. This article provides a substantive contribution through an in-depth analysis of occupational prestige and occupational social value perceptions across 76 UK digital economy occupations. Leveraging two expansive surveys with more than 2400 respondents, the findings show that these nascent occupations tend to have modest prestige, and that their perceived social value is lower than that of analogous non-digital occupations. Socio-economic factors and attitudes foster variability in societal perceptions. The research thus advances a nuanced understanding of the evolving digital economy, providing evidence for fellow researchers, policymakers, and the larger public, for whom the results help contextualize career choices and occupational identities.

Factors Influencing Social Isolation among Cancer Patients: A Systematic Review

(1) Background: Social isolation, which has numerous adverse effects on health status, is prevalent among cancer patients. This review proposes to identify the influencing factors of social isolation among cancer patients. (2) Methods: Articles published in English or Chinese from six electronic databases before December 2023 were identified via a systematic search. A manual search was also performed. (3) Results: Twenty-eight studies were identified in this systematic review. The factors associated with social isolation can be summarized into the following categories: demographic characteristics, having cancer, health status, coping, social support and social interaction. Despite the heterogeneity, 20 factors were significantly associated with social isolation, including age, gender, comorbidity burden, education level, residence, medical insurance, occupation status, personality, race, smoking status, having children, not living alone, household income level, marital status, the role of primary caregiver, physical health status, mental health status, social health status, coping styles, and the level of social support and social interaction. (4) Conclusions: The systematic review showed that cancer patients’ social isolation was influenced by their demographic characteristics, cancer-related factors, physical condition, psychological status, social health status, coping styles, and level of social support and social interaction. In addition, future group intervention could be considered to improve social isolation.

Mediating role of loneliness and emotional disturbance in the association between childhood trauma and occupational burnout among nurses: a cross-sectional study.

The occupational burnout status of nurses in China warrants attention. Childhood trauma, loneliness, and emotional disturbance are significant predictors of this burnout, yet few studies have delved into the underlying mechanisms. This study seeks to explore the mediating pathway from childhood trauma to loneliness, emotional disturbance, and ultimately occupational burnout among nurses through a cross-sectional analysis. Data for the study were collected from Yunnan province, China, from 11 July to 26 July 2022. Key variables were measured using standardized scales: the Childhood Trauma Questionnaire Short Form for childhood trauma, the three-item loneliness scale for loneliness, the Patient Health Questionnaire and the Generalized Anxiety Disorder questionnaire for emotional disturbance, and the Maslach Burnout Inventory-Human Service Survey for occupational burnout. Mediation modeling analysis was employed for data analysis to test the effect of loneliness and emotional disturbance on the association between childhood trauma and occupational burnout. Data analysis was conducted using AMOS and SPSS software. Loneliness and emotional disturbance fully mediated the association between childhood trauma and emotional exhaustion [indirect effect (95% CI) = 0.228 (0.196, 0.270)]. Loneliness and emotional disturbance partially mediated the association between childhood trauma [indirect effect (95% CI) = -0.020 (-0.039, 0.002)] and personal accomplishment or depersonalization [indirect effect (95% CI) = 0.221 (0.186, 0.255)]. Childhood trauma could affect occupational burnout through loneliness and emotional disturbance among nurses. Preventive strategies could include protective interventions like treatment of loneliness and emotional disturbance, especially in nurses who experienced childhood trauma.

Preferred sources of information on diabetes prevention programmes: a population-based cross-sectional study in Poland

ObjectiveThis study aimed to analyse preferred sources of information on diabetes prevention programmes and to identify sociodemographic determinants influencing these preferences among adults in Poland.DesignA cross-sectional survey was carried out...

Early initiation of complementary feeding practice and its associated factors among children aged 6 to 24 months in Northeast Ethiopia

BackgroundEven if there is currently no research on food integration practices, there is an unreliable hole in the data for the first motives, especially 6 to 24 months, research at ages varies in different ways, always, but the child’s development affects an important part of both the child and the parents. This gap limits our comprehensive knowledge of strategic choices and—their potential impact on children’s overall health and well-being. Therefore, the aim of this study was factors shaping complementary feeding for 6 to 24-Month-Olds in Northeast Ethiopia.MethodsA community-based survey was conducted in northeastern Ethiopia from June to July 2022. A sample of 409 mothers with infants aged 6 to 24 months was selected using a simple random sampling method. A structured questionnaire was adopted and data were collected by an interviewer. Collected data were entered into Epi Data version 4.6 and subsequently converted to SPSS version 21 for further analysis. Variables with a P-value < = 0.25 in the bivariate analysis were included in the multivariable logistic regression model. Multivariable logistic regression analyses aimed at identifying independent associations between early initiation of supplement feeding and determinants-adjusted odds ratios with corresponding 95% confidence intervals were calculated to determine the strength of associations. P-values less than or equal to 0.05 were considered statistically significant.ResultsA total of 409 mothers with their children were included in the analysis, revealing a prevalence of 38.1% for early initiation of complementary feeding among children aged 6–24 months. Factors associated with -early initiation included place of residence (Adjusted Odds Ratio (AOR) 3.63, 95% Confidence Interval (CI) 1.1–11.95), husband’s educational status (AOR 16.83, 95% CI 1.98–24.8), maternal occupation (AOR 21.2, 95% CI 1.11–46.9), number of antenatal care (ANC) visits (AOR 25.94, 95% CI 22.7–85.67), initial breastfeeding time (AOR 4.98, 95% CI 1.22–14.9), and medical illness (AOR 2.81, 95% CI 1.12–3.6.ConclusionSignificant associations with Complementary Feeding were identified with the number of antenatal care (ANC) visits, postnatal care (PNC) check-ups, current residency, breastfeeding initiation time, maternal medical illness, and occupational status. To mitigate the early initiation of complementary feeding, it is recommended to enhance ANC/PNC services and educate mothers about the precise timing for introducing complementary foods to their infants.

Detection of syphilis among patients attending a General Hospital in Ogbakiri, River State, Nigeria

The syphilis-causing agent, Treponema pallidum, has long posed a threat to public health. In sub- Saharan Africa, it is a significant public health issue and is common in developing nations. This study looked into the syphilis prevalence among patients at Rivers State's Ogbakiri General Hospital. Eighty-nine samples were used in total for this investigation after haemolysing; those with fibrin and heavy particles were discarded. For these samples, stratified socio-demographic data were used. In the population, 31 (34.8%) patients were males and 58 (65.2%) were females. Ages ranged from 18 to 75, individuals between the ages of 18 and 30 made up 56.2% of the population; patients between the ages of 31 and 40 made up 10.1% patients between the ages of 41 and 60 made up 21.4% and patients aged 61 and beyond made up 12.4%. Also, 38 (42.7%) and 51 (57.3%) of the population, respectively, were singles and married, 13 (14.6%) of the study population had primary education, 45 (50.6%) had secondary education, and 23 (25.8%) had postsecondary education, according to the results of the educational status analysis. Based on occupational status, there were 8 (8.9%) nurses. According to the study, 2.2% of those who tested were positive for syphilis. Syphilis was found to be more common in people aged 61 to 75 (9.1%), males (3.2%), singles (5.3%) and higher educational status (4.3%). According to this report, Ogbakiri, Nigeria's Rivers State has a relatively low syphilis prevalence compared to other areas in the country.

The Association of Physiotherapy and Opioid Use With Duration of Compensated Time Loss for Workers With Low Back Pain.

To determine patterns of physiotherapy and opioid use among compensated workers with low back pain (LBP), factors associated with these, and their association with time loss. Accepted Victorian and South Australian workers' compensation claims, services, and medicines data for LBP claims lodged June 30, 2010-July 1, 2015. Descriptive statistics, multinomial logistic, and Cox regression were used to determine usage groups, their predictors, and effect of these on time loss. Of 15,728 claims, 24.4% received no services, 3.6% received opioids only, 43.3% received physiotherapy only, and 28.8% received both opioids and physiotherapy. Sex, age, occupation, remoteness, jurisdiction, and socioeconomic status were significantly associated with usage groups. Using opioids and physiotherapy had the longest time loss. Any services/medicine usage was associated with increased time loss and was longest for combined physiotherapy and opioids.

Assessment of the Seroprevalence of Varicella zoster Virus in Young Adults Aged 15 – 35 Years Old in Mashhad, Iran

Background: Varicella zoster virus (VZV) is highly contagious and can lead to two distinct diseases. Initially, it causes chickenpox, a primary infection common among children worldwide, characterized by itchy, red blisters that cover the body. After this initial outbreak, the virus can lie dormant in nerve tissues and may reactivate later in life as herpes zoster, commonly known as shingles, which presents as a painful rash. While chickenpox is generally mild and resolves on its own, it can cause severe complications, especially in vulnerable groups such as immunocompromised individuals or adults. These complications can range from bacterial superinfections and pneumonia to encephalitis. In rare cases, it may lead to life-threatening conditions like necrotizing fasciitis or toxic shock syndrome, highlighting the potential severity of what is often considered a childhood illness. Objectives: One of the main risk factors for varicella-zoster infection is the absence of immunity. Individuals who have not been vaccinated against or previously infected with the VZV are at risk of contracting chickenpox when exposed. Additionally, close contact with infected individuals increases the likelihood of transmission. People with chronic conditions or those undergoing immunosuppressive therapy are particularly vulnerable to severe complications from varicella-zoster infections. Therefore, this study was conducted to assess the seroepidemiology of antibodies against varicella zoster in the young adult population in Mashhad. Methods: This cross-sectional study was conducted in 2018 on men and women aged 15 to 35 years in Mashhad, northeast Iran. Random cluster sampling was utilized. Individuals undergoing treatment for rare diseases were excluded from the study. The enzyme-linked immunoassay (ELISA) technique was employed to assess the presence of IgG antibodies against varicella zoster in 724 serum samples. Data analysis was performed using SPSS 20, and the significance level was set at 0.05. Results: Overall, among the 724 participants aged 15 - 35 years old in Mashhad, the frequency of anti-varicella IgG seropositivity was 85.9%. Our results indicated significant associations between age (P = 0.001) and occupational status (P = 0.02) with varicella-zoster seroprevalence. Conclusions: We observed a high frequency of anti-varicella zoster IgG seroprevalence among young adults in Mashhad. Infants, pregnant women, and individuals with weakened immune systems are more likely to develop severe forms of chickenpox or experience complications from shingles, including pneumonia and encephalitis. Given the severe health problems caused by the varicella virus and its high prevalence in Mashhad, we recommend incorporating the varicella vaccine into the public vaccination program. Additionally, further examination of the burden of herpes zoster, including its impact on quality of life and healthcare utilization, can guide interventions to mitigate the consequences of this condition.

The Impact of Socioeconomic Status on the Incidence and Stage of Melanoma in China: A Single-Center Observational Study.

The role of high socioeconomic status (SES) as an established risk factor for melanoma has been well documented in Western countries and regions. However, research on the association between melanoma and SES in China remains limited. This study aimed to investigate the association between SES and melanoma incidence and stage in China. Five measures of SES were accessed, including education level, ethnic background, per capita household income, occupation, and medical insurance coverage. A scoring system based on the Kuppuswamy Socio-Economic Scale was used to create a quantitative assessment of SES. To improve clarity and precision, we refined the language in the original text. Clinical stage at diagnosis was classified according to the Chinese Society Oncology Melanoma Guidelines. A total of 122 patients with pathologic melanoma were enrolled in this study from January 2013 to December 2017. Of these patients, 58 (48%) were male and 64 (52%) were female, with a mean age of 59.23 ± 9.91 years. Patients in the age groups of 45-59 and 60-73 had a higher incidence of melanoma compared to other age groups. Acral lentiginous melanoma was the most commonly observed subtype, accounting for 48% of cases. Patients with a low level of education (middle school and below) and a low level of monthly household income (<3000 CNY) had a higher risk of developing melanoma, as did those who were unemployed. Interestingly, a higher proportion of melanoma diagnoses were made in patients with medical insurance than those without. However, no significant differences in melanoma staging were found based on education level ( P = 0.153), monthly household income ( P = 0.507), occupation ( P = 0.687), or insurance status ( P = 0.537). According to the Kuppuswamy Socio-Economic Scale, there were 0 in upper class, 50 in upper middle class, 44 in lower middle class, 28 in upper lower class, 0 in lower class. The mean K-score was 13.85. No statistically significant interaction was observed between K-score and tumor stage. Patients with lower SES have a higher risk of developing melanoma. However, no significant differences were found in melanoma staging based on SES.

Assessment of weaning practices among mothers for their infants attending the Pediatric Outpatient Department of Sindh Government Hospital Paretabad Hyderabad.

General Objective: To assess the weaning practices among mothers for their infants those attending the pediatric outpatient department of Sind Government Hospital, Paretabad, Hyderabad.Specific objectives:1. To determine the age of onset of weaning2. To determine the type of weaning food3. To determine the level of education and its relation to weaningMethods: It was a cross-sectional study conducted at Sind Government Hospital, Paretabad, Hyderabad, duringthe period of 15th May 2008 to 15th June 2008. We had included all the patients according to the inclusion criteriaand did not do sampling. Data was collected by principal investigator herself on a pre-formed, pre – tested questionnaire about weaning practices among mothers for their infants. Respondents were mothers/care givers accompanying their infants who were interviewed in their own language to avoid inconvenience. The operationaldefinitions of variables were already set before the starting of data collection process. The study population included all new patients visiting in out patient department of Sindh Government Hospital Paretabad, Hyderabadduring the study period. The variables included the basic demographic variables i.e. age, residence, occupation,education and socio-economic status of mothers, age of onset of weaning, type of first food given as weaning,hygienic practices of mothers etc.The exclusion criteria included prematurely borne infants, those revisiting OPD, and those who visited the facilityfor acute medical problems that required hospitalization.Result: Among 307 infants aged 3-12 months registered, males were 54.1% in comparison to females (45.9%).The majority of the mothers visiting the facility belonged to slum areas (79.2%). Regarding maternal attitudesand practices of weaning, 67 (21.8%) mothers considered cow’s milk as a weaning diet while majority of them i.e.240 (78.2%) were of the opinion that semisolids were the weaning foods. About 24.8% mothers started weaningearlier and only 47.6% of them started to give weaning food to their infants between ages 3 – 6 months. A strongassociation is evident between socio- economic status of mothers and the use of commercial weaning foods(p=0.01). The study concludes that there is a dire need of promoting among mothers the norms of giving properweaning foods to their infants.

Exploring Consumer Perceptions and Value Addition in Street Cuisine: A Case of Kalai Ruti

Aims: The study focused on Kalai Ruti, a popular street food made from black gram in Chapai Nawabganj, Bangladesh. It is aimed to examine the potential for enhancing the dish’s value and to assess consumer attitudes towards street food in that region. Study Design: This study adopted quantitative approach where purposive sampling technique was used to select the sample size. Face-to-face interviews were performed with a structured questionnaire facilitated in-depth interactions with the respondent to reach the goal. Methodology: The research involved direct surveys with 100 Kalai Ruti customers and 30 local vendors. It is employed multiple linear regression and descriptive statistics to analyze data. This included examining the value addition from incorporating various meats and vegetables typical in Bangladeshi cuisine of Kalai Ruti, as well as analyzing the cost and selling price of these ingredients. Results: Findings showed significant value addition from different meats: BDT 370.07 per kg for chicken, BDT 988.3 per kg for beef, BDT 386.03 per kg for duck, and BDT 38.8 per kg for eggplant. Consumer’s feedback was overwhelmingly positive, with over 76% of participants expressing favorable opinions. The analysis also revealed that the street food culture around Kalai Ruti is shaped by a blend of value addition, consumer preferences, and socio-demographic factors. It is also seen that education, family size, and income had minor effects, age, gender, occupation, and marital status significantly influenced consumer choices. Conclusion: The study offers valuable insights that can help enhance marketing strategies and support the sustainable development of the street food sector in the area. Furthermore, it is opening the gate of future research on this sector to discover the scope and expansion of Kalai Ruti’s market.

On the relationship between complexity of primary occupation and L2 varietal behavior in adult migrants in Austria

Abstract This article explores for the first time the relationship between occupational complexity (operationalized using the complexity measures indicated in the Dictionary of occupational titles) and adult migrants’ second language (L2) sociolinguistic repertoires in the Austro-Bavarian naturalistic context. We analyze the data of 36 adult migrant L2 German speakers who participated in a virtual reality experiment involving interactions with a dialect-speaking and standard German-speaking interlocutor, the goal being to capture participants’ interpersonal varietal behavior, that is, their addressee-relational, differential use of standard German, Austro-Bavarian dialect, and mixture varieties. Bayesian multinomial mixed-effects models reveal that participants with occupations requiring more handling and physical precision work are predicted to employ dialect varieties more often, but exclusively in interaction with the standard German-speaking interlocutor. A person-centered visual-quantitative analysis additionally facilitates insights concerning which migrants deviate most notably from group-level patterns, and how these deviations may relate to the complexity of their primary occupation. More generally, this study paves new ground with respect to how we can operationally define and capture the complexity of occupational status, and moreover sets out a new direction for research questions investigating how career-related differences impact on (L2) language variation and use.

Retaining Australian Nurses: An Analysis of Nurses' Wages and Exit Rates

AbstractThis study examines factors influencing Australian nurses' decisions to quit their jobs, the pathways they take after quitting, and estimates the average wage change associated with a nurse changing professions. Using data from the Household, Income, and Labour Dynamics in Australia Survey and panel data estimation methods, we find that a nurse's pre‐exit hourly wage is significantly associated with their exit decision when controlling for relevant exogenous factors. We also find that most nurses who change professions stay in the healthcare sector, which is characterised by significant increases in hourly wages and occupational prestige and suggests that these nurses change jobs for better opportunities. We conclude that while nurses' exit decisions are not associated with a loss of human capital in healthcare, higher wages would have to be paid if the policy objective is to increase nurse retention.

An Observational Study of the Physical and Biochemical Complications and Socioeconomic Status of Type 1 Diabetic Patients in West Bengal, India: A 25-year Follow-up Report of 224 Patients.

Limited information is available on the total profile of type 1 diabetes mellitus patients in India. The present study has been undertaken, therefore, in search of socioeconomic status, glycaemic status and the state of complications of the type 1 diabetics attending the diabetic clinic run by Calcutta Diabetes and Endocrine Foundation (CDEF), Kolkata. (1) To obtain the glycemic, socioeconomic, and complications status of type 1 diabetic patients; (2) to see any change of the abovementioned parameters in this follow-up period of 25 years; (3) to take necessary action to improve the quality of care and the health condition of the type 1 diabetics attending the clinic. A longitudinal observational study. A total of 265 patients were recruited for the study, having been diagnosed or seen within 1 year of diagnosis of type 1 diabetes at the Diabetic Clinic of CDEF. A total of 41 patients were excluded from the study for different reasons, and 224 patients were finally selected. These 224 patients were classified into five separate cohorts according to their first attendance in the diabetes clinic: 1996-2000 (I), 2001-2005 (II), 2006-2010 (III), 2011-2015 (IV), and 2016-2020 (V). Baseline and socioeconomic (based on education and occupational status) data was obtained at the first visit, and mean biochemical parameters were taken from multiple visits. Complications and mortality rates were calculated against the duration of the disease at the end of the study. Gradual improvement of glycemic status was noted when groups I and V were compared. Delayed development of complications and comparatively long life were also observed. Several methods of improvement of clinical disease management, including continuous diabetes education with proper training, can improve diabetes care, leading to delays in the development of diabetic complications and ensuring longer as well as healthier life in type 1 diabetes. The development of socioeconomic status might have played some role.

Cancer odds among Ohio firefighters: data from the Ohio Cancer Incidence Surveillance System (OCISS) 1996–2019

ObjectivesThe objective of the current case–control study was to examine the odds of cancer among firefighters in the state of Ohio and compare the odds of being a firefighter versus...

Knowledge level and health information-seeking behavior of people with diabetes in rural areas: a multicenter cross-sectional study.

There is a lack of research on the current level of diabetes knowledge and health information-seeking behaviors among patients with diabetes in rural areas of China's economically underdeveloped regions during COVID-19, as well as a lack of up-to-date evidence on glycemic control and the incidence of complications among rural patients with diabetes. To investigate the prevalence of glycemic control and complications among patients with diabetes in rural areas, to explore the current status and correlation of diabetes knowledge level and health information-seeking behavior, and to analyze the factors affecting diabetes knowledge level. From January 2022 to July 2022, we conducted a screening on diabetic complications and a questionnaire survey among 2,178 patients with diabetes in 15 county hospitals in rural areas of Guangxi Zhuang Autonomous Region. The patients' knowledge level and health information-seeking behavior were investigated. Spearman correlation analysis was used to assess the correlation between diabetes knowledge and health information-seeking behavior. Multiple linear regression analysis was used to test how demographic information and health information-seeking behavior influenced the level of diabetes knowledge. Of 2,178 patients with diabetes in rural areas, 1,684 (77.32%) had poor glycemic control, and the prevalence of diabetic complications was estimated to be 72.13%. Patients with diabetes had poor diabetes knowledge and health information-seeking behavior, and there is a strong positive correlation between them. Diabetes knowledge level was influenced by per capita household disposable income, occupational status, gender, age, ethnicity, family history of diabetes, insulin use, glycated hemoglobin, education level, number of complications and health information-seeking behavior. Patients with diabetes in rural areas have poor glycemic control and a high incidence of diabetic complications. Patients with diabetes in rural areas have poor knowledge and inadequate health information-seeking behavior. Systematic and standardized education should be provided to improve patients' diabetes knowledge and thus improve their self-management ability.