Status Of Respondents Research Articles

Assessment of knowledge and practices regarding prevention of COVID- 19 among adults residing in selected urban community Paschim Medinipur West Bengal

A descriptive survey study was conducted (2022) on assessment of knowledge and practices regarding prevention of COVID- 19 among adults residing in selected urban community, Paschim Medinipur, West Bengal with the objectives to assess the knowledge, to identify the practices, to find out the co-relation between knowledge and practices, to determine the association between knowledge and practices with selected demographic variables. 110 participants were selected by systematic random sampling technique. Semi structured and structured interview schedule, structured three point rating scale tools were used for collect data. The study findings revealed that 49.09% and 47.27% respondents had good knowledge and good practice score respectively regarding prevention of COVID-19. There were strong positive correlation (r = 0.718) between knowledge and practices at 0.01 level of significance. There were significant association between knowledge with educational status, monthly income of family and history of suffering from COVID-19 of family members and practices with type of family, educational status of respondents at 0.05 level. All respondents get information regarding COVID-19 and vaccinated. The study can be replicated in large population.

Factors Affecting Anemia in Pregnancy Women in Ibeju-Lekki, Lagos State, Nigeria.

Anemia progresses due to low red blood cells counts or hemoglobin. The World Health Organization (WHO) has suggested the condition to be a serious global public health problem that affects pregnant women worldwide. Anemic pregnant women may suffer post-partum hemorrhage, pre-term delivery, seizures, and severe cases of anemia that potentially lead to cardiac failure or death. However, it is pertinent for pregnant women and health service providers to have the adequate knowledge about the factors associated with anemia in pregnancy. Thus, this study assessed the factors associated with anemia in pregnancy women attending primary healthcare (PHC) centers in Ibeju-Lekki Local government area, Lagos state. This study employed descriptive cross-sectional design using multi-stage sampling method to recruit 295 pregnant women into the study. Data were collected using a semi-structured, self-administered questionnaire. The recruited participants (56.6%) were majorly in their third trimester, of which their mean age was 28.7 ± 5.9 years. About 80.7% of the participants were married, having a mean knowledge score of 6.6 ± 3.2. More than half of respondents (56.3%) were anemic and had a poor knowledge (50.5%) of anemia in pregnancy. The mean hemoglobin concentration within the population was 11.06 ± 0.73 g/dl with a range of 8.3 to 12.0. There was no significant association between the respondents' knowledge of anemia in pregnancy and anemic status (X2 = 0.549; P = .45). However, this study observed a significant association between dietary diversity score and anemic status (X2 = 8.66; P = .01) and the trimester status of respondents' first antenatal visit (X2 = 9.603; P = .008). The study concluded that anemia in pregnancy was associated with maternal factors such as their first antenatal visit and the dietary diversity score. Due to this, proper education of pregnant women on anemia by health workers during antenatal clinics or visits should be prioritize to improve their anemia status.

Consumption Pattern and Nutritional Status Related to Adolescent Dysmenorrhea

<p><strong>Background:</strong> Adolescent women will experience puberty which is marked by the occurrence of menstruation. During menstruation, adolescents will experience problems such as menstrual pain or dysmenorrhea. The aim of this study was to determine the relationship between consumption patterns and nutritional status with adolescent dysmenorrhea.</p><p><strong>Method:</strong> This study uses an analytical survey design with a cross sectional approach. Subjects were selected by purposive sampling, namely adolescent girls’ class XI MIPA 1-4, totaling 84 people. Data were analyzed using Pearson's test to determine the significance of the relationship between consumption patterns and nutritional status to adolescent dysmenorrhea.</p><p><strong>Result:</strong> This study showed a significant relationship between nutritional status and the incidence of dysmenorrhea in class XI students at SMA Negeri 2 Toraja Utara (p<0.05; r=0.0224). In addition, this study did not find any relationship between the level of energy and carbohydrate adequacy with the incidence of dysmenorrhea (p>0.05). The results of the statistical test showed r = -0.039, which means that there is a weak relationship in a negative direction between the incidence of dysmenorrhea and the frequency of carbohydrate consumption, and p = 0.726, which means that there is a relationship but not significant. This study also shows the results of statistical tests r = -0.036 and p = 0.743, which means that there is a weak and insignificant relationship between the incidence of dysmenorrhea and the frequency of consumption of caffeine sources.</p><p><strong>Conclusion:</strong> Based on the research that has been done, it can be concluded that the incidence of dysmenorrhea in most respondents is in the moderate level category and the nutritional status of respondents is generally in the normal category.</p>

Role of Foreign Employment in Socioeconomic Development of Beldandi Rural Municipality, Kanchanpur, Nepal

This study is about the role of foreign employment in socio-economic development of Beldandi rural municipality. The main objective of this study is to analyze the nature and the role of foreign employment in the socio-economic development of Beldandi Rural Municipality of Kanchanpur district. A micro-level case study type research design was applied in which primary data were collected from a household survey with random sampling methods. A semi-structured questionnaire was applied for primary data where secondary data related to foreign employment were collected from different published sources. Simple mathematical procedures were used to analyze the data. The study findings show that 85 percentage of households got economic security by increasing their economic status from remittance income, and 65 percentages of respondents improved their knowledge and skills and used their skills in their community after arrival. This study also shows that foreign employment has positive changes in the socioeconomic status of respondents. However about 11percent of respondents’ economic status is worse, 35 percent of respondents’ socioeconomic status did not changes and around 54 percent of the respondent’s social attitude changed due to foreign employment.

Problematic internet use and depressive symptoms among the school-going adolescents in Bangladesh during the COVID-19 pandemic: A cross-sectional study findings.

Problematic internet use (PIU) by children and adolescents is a concern for many parents. Several factors, including students' education level, the method of instruction, the dependence on the internet, and their intended use of the internet, could all be contributing factors to PIU and depression. Disturbed mental health may be attributed to the cancellation of physical education classes because of the COVID-19 outbreak. This study aimed to assess the association of COVID-19 pandemic with PIU and depressive symptoms in adolescent students. We performed this cross-sectional study among 491 school-going adolescents of 10 to 16 years. Self-administered questionnaires were applied to collect sociodemographic information and the internet usage pattern of the participants. We measured the prevalence of PIU and depressive symptoms using the PIU questionnaire (PIUQ-SF-6) and patient health questionnaire-9 (PHQ-9). The estimations of the risk group for PIU and depressive symptoms among school-going adolescents were 80.04% and 77.80%, respectively. The latent profiling of PIU scores for obsession, neglect, and control sub-groups were 5.82, 6.12, and 6.35, respectively. Moreover, we observed mild, moderate, and severe depressive symptoms in 48.68%, 27.70%, and 1.43% of cases. Age, education level, medium of education, financial impression, internet connection, the device used, the purpose for internet use, and the living status of respondents were significantly associated with the PIU. Reported mental health issues was associated with education level, medium of education, financial impression, and internet connection. The present study revealed an association of PIU and depressive symptoms with sociodemographic factors and internet usage patterns. Therefore, these results might have practical implications in clinical psychology, psychiatry, and psychotherapy. The healthcare professional can develop a context-specific comprehensive clinical intervention plan for children and adolescents.

Preference and paradox: Local residents’ perspectives on the reuse of post‐agricultural brownfield sites

AbstractStructural change in the agricultural economy may result in the abandonment of agricultural buildings, creating rural brownfield sites. Since the fall of the Iron Curtain in 1989, post‐agricultural brownfields have become very common in Central and Eastern Europe. Our aim is to uncover and understand the reuse preferences for 16 reuse options, among 1275 survey respondents (local residents) from 272 rural communities with post‐agricultural brownfields in the Czech Republic. The influence of respondent status, the socioeconomic characteristics of those communities and environmental characteristics of communities were tested using redundancy analysis and variation partitioning. Three types of reuse were identified as most preferred among respondents: agricultural reuse, industrial reuse and reuse for housing, services and leisure time activities. We found strong and significant ties between the pattern of preferences for potential reuse options and demographic, community socioeconomic and environmental context variables. It can therefore be concluded that preferences for rural renewal tend to be constructed comprehensively and encompass social, economic and environmental dimensions of sustainability. In order to implement a vision that promotes sustainable rural development, we need to recognise that the preferences of rural residents are fundamentally shaped by the local environment and are therefore highly dependent on the place‐based circumstances.

THE IMPACT OF THE COVID-19 PANDEMIC ON THE FORMATION OF THE ATTITUDE OF THE POPULATION OF THE RUSSIAN FEDERATION TO THE PREVENTION OF INFECTIOUS DISEASES

The special anonymous on-line questionnaire was developed and placed on popular social platforms in open access. The questionnaire included two parts and contained 27 closed alternative questions with only one alternative to answer. The respondents included persons older than 18 years agreed to participate in survey. The data gathering provided for three subsequent stages. The final sampling consisted of 1350 respondents, out of them 1230 were citizen of the Russian Federation and 120 representatives of the near abroad. More than 65% of respondents confirmed positive changes of one's attitude to sanitary hygienic activities to better sense. Among them, 63.3% began to wash hands more regularly and 62.2% began to apply hand antiseptic more often. The comparing of study results by individual characteristics revealed a significant effect of primary hygienic status of respondents on magnitude of fixed changes. It is established that during 5 months the population readiness to be vaccinated by one of the registered national vaccines was increasing and level of uncertainty was decreasing. Among respondents 73.5% marked increasing of individual responsibility of citizens for hygienic practices. The study demonstrated significant improvement of population attitude to sanitary hygienic practices after onset of pandemic. The greatest changes are observed in individuals with initially sufficient levels of hygienic commitment. On the basis of study results, the conclusion can be made about significant increasing of civil liability of the population of the Russian Federation for hygienic practices, especially against the background of COVID-19 pandemic.

Menstrual hygiene practices among adolescent schoolgirls in the rural area of Bangladesh

<div align="center">Adolescence is a time of tremendous opportunity. However, inadequate menstrual hygiene habits are related to lower academic achievement and enrollment at school, with possible effects on longer-term socio-economic status and impaired overall quality of life. Therefore, this cross-sectional study was conducted among 422 adolescent schoolgirls in Bangladesh between July 2019 and February 2020 with the aim of examining menstrual hygiene practices. Data indicated that the mean age of menarche in 422 adolescents was 12.71±0.97. According to the data, 47% had well and 53% had poor hygiene practices. In multivariable logistic regression analysis, the educational status of respondents’ mothers at the secondary level [AOR=2.023, 95% CI: 1.159-3.532], fathers at the graduate and above level [AOR=3.150, 95% CI: 0.883-11.238], high level of household income [AOR=2.580, 95% CI: 1.480-4.495], and knowledge about the complication of poor hygiene practice among girls [AOR=2.286, 95% CI: 1.160-4.504] were significantly associated with the level of hygiene practices. Poor menstrual hygiene practice was found among more than half of girls. Attitude toward safe menstrual materials should initiate to improve good hygiene practices. Awareness campaigns for parents and teachers to assist their children would be a vital strategy to ensure good hygiene practices</div>

Pandemic changes in work, rest, physical activity and diet versus nutritional status of respondents

The aim of the study was to determine how the COVID-19 pandemic affected the nutritional status of the respondents through changes in work mode, physical activity and diet among residents of the Tarnów region.
 Material and methods. The study was conducted using the diagnostic survey method, and the tool was the author's questionnaire. The study was conducted in January-February 2022, using the Google Forms platform. In total, data were collected from 414 people. The questionnaires were filled out mostly by women (67.9% vs. 32.1%). The average age of respondents was 31.9 years (±13.52).
 Results. Those who worked remotely and in hybrid mode had the highest percentages declaring an increase in food intake during the COVID-19 pandemic (65.0% and 59.7%, respectively). The highest percentages of those who indicated a deterioration in the quality of their food intake were those who worked remotely (60.0%) and hybrid job (45.5%), while those who did not work were the group that most often among the others indicated an improvement in the quality of their food (23.4%). Respondents with remote and hybrid jobs were the most likely to report a reduction in their activity level (72.5% and 58.4%, respectively). Considering the BMI of those surveyed before the COVID-19 pandemic and now, there is an apparent decrease in the percentage of those with a normal BMI in favor of overweight and obesity.
 Conclusions. During the COVID-19 pandemic period, the percentages of overweight and obese people increased. People working remotely and in hybrid mode not only increased the amount of food they consumed, but also began to consume lower-quality products, as well as more often reporting reduced levels of physical activity.

Prevalence of physical activity and dietary patterns as risk factors for cardiovascular diseases among semi-urban dwellers in Ibadan, Nigeria.

Physical inactivity and unhealthy diet are leading risk factors for cardiovascular diseases globally. Limited studies have assessed the prevalence of these risk factors in community-based settings in Nigeria. This study assessed the prevalence of physical activity and the dietary pattern of residents in selected semi-urban communities in Ibadan, Nigeria. This was a cross-sectional study carried out among 500 randomly selected residents from two semi-urban communities. Multi-stage random sampling technique was used to select households and participants. Data were collected using a pretested modified version of the WHO STEPS instrument. Descriptive and inferential statistical analyses were determined at 5% level of significance. The mean age was 35.36 ± 12.24 and a mean household size of 4.07 ± 1.85. Majority (87.2%) of the respondents engaged in low physical activity (< 150-300 min/wk). Consumption of fruits and vegetables was low among respondents at 33% and 36.4% respectively. The employment status of respondents was significantly related to expected workplace physical activity level (χ2=11.27; P=0.024). This study highlights the need for the development and implementation of community-driven, multi-layered public health promotion initiatives across different settings.

Self-Reported Health of Working-Age Refugees, Immigrants, and the Canadian-Born

Canada has a rapidly growing refugee population, yet, there are limited research studies on the physical health of working-age refugees in comparison to the health of immigrants and Canadian-born individuals. Investigating social capital and acculturation measures may provide important insights into the factors associated with good self-reported health and this may help to inform health promotion strategies for refugees in Canada. A secondary analysis was conducted on data collected from the Canadian General Social Survey 27 (GSS-27) comparing a sample of refugees (n = 753), immigrants (n = 5,063), and Canadian-born (n = 11,266) respondents between the ages of 15 and 64. Both bivariate and logistic regression analyses were conducted. Self-reported physical health, dichotomized into poor versus good, was the outcome of interest. The self-reported physical health status of refugees, immigrants, and Canadian-born respondents was comparable. Visible minority status was not significantly associated with self-reported health status. Among refugees, the likelihood of reporting good health was associated with being a woman, being married/common-law, being involved in a social group/organization, and having more than half of one’s friends who spoke a different mother tongue than the respondent. Refugees, however, were less likely to have a confidant and be involved in social groups/organizations as compared to immigrants or those born in Canada. The odds of reporting good health were significantly lower among those who had experienced discrimination within the last five years. Social capital and acculturation may be protective of the self-reported health of refugees in Canada. Initiatives to support refugees’ social connections are therefore warranted.

The Assessment of the Reliability and Validity of the Polish Version of the Adult Vaccine Hesitancy Scale (PL-aVHS) in the Context of Attitudes toward COVID-19 Vaccination.

Vaccine hesitancy has become a pivotal consideration in assessing society’s readiness to accept recommended vaccination programs. The role of vaccination as a preventive measure during great epidemic challenges cannot be overestimated. On the other hand, the overwhelming flow of misinformation and attitudes resulting from denialism may have a profoundly harmful effect on the acceptance of preventive interventions. The adult Vaccine Hesitancy Scale (aVHS) is a result of efforts to develop a tool that will be relevant to the views about vaccination in the general adult population. It was derived from the Vaccine Hesitancy Scale (VHS), initially developed by researchers attempting to assess the opinions and attitudes of parents. This study’s main aim was to determine the reliability and validity of the Polish version of aVHS (PL-aVHS). We have also analyzed whether the scale can feasibly predict the COVID-19 vaccination status of respondents. The analysis was performed on data originating from a computer-based web-interviewing (CAWI) survey of 2008 adult Internet users. It included the analysis of internal consistency, test-retest reliability, and hypotheses testing. Exploratory (EFA) and confirmatory factor analyses (CFA) were performed on the subsets generated by randomly splitting the initial survey data. We have found that the scale has excellent internal consistency (Cronbach α = 0.935), acceptable levels of inter-item bivariate correlations, and good test–retest reliability (interclass correlation coefficient, ICC = 0.843). The EFA revealed that the tool has a two-factor latent structure; however, similar loadings of item 10 to both factors spoke for its exclusion from the model. Two extracted factors were responsible for 68.90% of the variance after rotation based on the maximum likelihood method. The CFA showed that the best fit of the model to measurement data was obtained for the two-factor model after excluding item 10. All seven fit indexes calculated in the analysis suggested at least an acceptable fit. In conclusion, the assessment of the PL-aVHS revealed good reliability and validity of the instrument. Furthermore, we have obtained similar EFA results as reported for the English version of the tool. Finally, to our knowledge, it is one of a few tools available in Polish for the measurement of vaccine-related attitudes.

Food insecurity and level of depression among patients with chronic diseases, and associated factors during the COVID-19 lockdown: a cross-sectional study in rural Rwanda

ObjectivesWe aimed to describe access to food and symptoms of depression among patients with chronic diseases or their caregivers, and assess associated factors during the COVID-19 lockdown in rural Rwanda.DesignA...

Factors Associated with the Uptake Severe Acute Respiratory Syndrome Corona Virus Two Vaccination in Zambia: Case of Mongu District

Since the vaccination against severe acute respiratory syndrome corona virus two (SARS-CoV-2) became accessible in Zambia, there has been limited uptake. The study aimed to determine social cognitive aspects linked with SARS-CoV-2 vaccination in Mongu. A descriptive quantitative Survey was conducted from December 2021 to April 2022. Cochrane single proportion formula was used to determined sample size of 369 respondents based on 60% herd immunity criterion. Stata version 14 was used to perform Chi square and binary logistic regression. Findings indicated that, vaccination level is still below average, and most non-vaccinated people were unwilling to be vaccinated because they “simply haven’t gotten around to it”. ‘Views on Covid-19 news’, ‘worrying about getting sick/a household member getting sick from Covid-19,” real financial effect of Covid-19 at personal level,’ ‘ages of household Members,’ marital status, religion, academic qualification, and ages of respondents were associated with SAR-CoV-2 vaccination. Social cognitive predictors of vaccination were 30-49-year-old household members and worry about household members being sick. Misconceptions about SARS-CoV-2 vaccinations prevent vaccination. Therefore, there is need scale-up sensitisation, and sensitisation messages should address the need to protect household members and especially having the most mobile age groups (30-49 years) to be vaccinated to reduce on community spread of the infection. Future studies should analyze the proportions of AstraZeneca’s one-dose recipients who did not return for the second dose and the willingness of the completely vaccinated to accept a booster shot. Keywords: Mongu, SARS-CoV-2, Social cognitive Theory, Vaccine, Uptake, Zambia.

Knowledge regarding Teenage Pregnancy among Adolescene Girls of Secondary School of Sindhuli

Teenage pregnancy is a global problem mostly occurring in poor and marginalized community. Teenage pregnancy increases when girls are denied the right to make decisions about their sexual and reproductive health and well-being. The objective of this study was to assess knowledge regarding teenage pregnancy among adolescence girls of secondary school. A descriptive cross sectional study was conducted with sample size of 100 by using probability stratified sampling technique. Pretested (r=0.74) structured and semi structured questionnaires (lowest 1 and highest score 34) were used as instrument for data collection. Data was collected through self administered technique. Data analysis was done from descriptive (mean, SD, frequency, percentage) and inferential (independent t test, ANOVA test) statistics using SPSS version 16. The findings of the study showed that respondents were age group 13-15 years (51%), hindu (91%), chhetri (36%), class 9 and 10 (41%) and family (71%) as a source of information. The overall mean knowledge score of respondents was 25.81±3.46 with the minimum score 14 and maximum score 34. The mean knowledge about contributing factors was 12.34±1.82, consequences were 6.69±1.82 and preventive measures were 6.78±1.17. The knowledge score regarding teenage pregnancy was significant in relation to age and education status of respondents where p value were 0.002, 0.000 respectively. It is concluded that respondents had adequate knowledge. According to findings, teenage pregnancy awareness program should be carried out in school and community through mass media to prevent teenage pregnancy in adolescence.

The transgenerational impact of child abuse. Health professionals' social and values

Introduction: Child abuse is a worrying trend not only in our country but globally. The aim of the article is to present the adverse long-term consequences of child abuse, Adverse Childhood Experiences, which is a classified public health problem according to WHO. The attitude of primary care workers towards the prevention of abuse has a profound impact on the quality of prevention activities. Objective: To assess the knowledge and perceptions of paediatricians, midwives and paediatric nurses working in primary and specialised care about the topic child abuse. Contextualising value judgements and societal perceptions of child abuse in order to break the transgenerational effects. Method: A self-completed online survey was conducted with 49 structured, standardised questions, the data provided insights about the socio-economic status of respondents, their attitudes to the issue of child abuse, their perceptions of the seriousness of the issue and their obligation to report it under the law. Results: Based on our analysis on a sample of 195 respondents, we can conclude that health care workers perceive abuse as clearly harmful, yet it is perceived as a common phenomenon in our country. Nearly one fifth of respondents believe that society is accepting and mildly judges the phenomenon. A significant difference in the perception of abuse by educational level was found between the high and low educated respondents. We also found significant differences in signalling functioning by type of workplace location (p = 0.020) and job category (p = 0.044). Conclusion: The results highlighted that preventive action by health care workers is the key to breaking the transgenerational effects. The authors would like to draw attention to the fact that the improvement of the quality of care depends significantly on the knowledge of professionals. Continuous basic and further training and in-depth knowledge development among primary care workers are necessary.

COVID-19 Vaccination Status and Hesitancy among Breast Cancer Patients after Two Years of Pandemic: A Cross-Sectional Survey.

Simple SummaryThe coronavirus disease 2019 (COVID-19) vaccine has played an important role in preventing infection and adverse outcomes in immunocompromised cancer patients, especially in breast cancer, one of the common tumor types. However, there are limited reports of vaccination in breast cancer patients and these are limited by the timeliness of research investigations. This is a cross-sectional study of 1132 Chinese breast cancer patients aged 18 years and older, each of whom completed an online self-reported questionnaire. This study was conducted to describe the vaccination status, adverse effects and vaccine hesitancy towards future vaccinations or boosters among Chinese breast cancer patients after two years of the pandemic, to provide new perspectives for health promotion.Background: Patients with cancer show greater susceptibility and vulnerability to severe acute respiratory syndrome coronavirus 2 infection. However, data on the vaccination status among patients with breast cancer and any structured analysis of the factors influencing patients’ decisions regarding vaccines are lacking. Methods: This cross-sectional study on patients with breast cancer in China was conducted from 1 June 2022, to 17 June 2022. Every participant completed an online questionnaire about their vaccination status and any adverse reactions, and a scale based on the Health Belief Model (HBM) to assess the vaccination status of respondents and their willingness to receive following doses or boosters. Results: Among the 1132 participants, 55.2% had received a COVID-19 vaccine. The incidence of adverse events per dose was around 40%. Vaccine hesitancy of 61.9% was observed among patients who had not fully received three doses of vaccine or boosters. The only variable found to be associated with vaccine hesitancy was time since diagnosis (p < 0.05). In the HBM scale, vaccine hesitancy was closely related to a low level of perceived susceptibility, a low level of perceived benefit, a high level of perceived barriers and a low level of agreement with doctors’ advice. Conclusions: For patients with breast cancer, perceived susceptibility, benefits and barriers should be prioritized, and the advice from authoritative doctors is a vital cue to action.

Knowledge and Practices of Mothers with Children Aged 6-24 Months on Weaning, Attending Services Hospital Lahore, Pakistan

Objective: This study was conducted to assess the weaning knowledge, practices, and influencing factors. Methods: Questionnaires were filled from 315 mothers with children aged 06-24 months, who visited Pediatrics OPD Services Hospital, Lahore, Pakistan in 4 months. The weaning knowledge and practices of the respondents were evaluated by using a pre-tested questionnaire. Chi-square test was used to assess the associations between the variables. It was ranked as good, satisfactory, and poor based on the gross sum total. Results: The overall knowledge of weaning was good in 159 (50.5%) mothers and 133 (42.2%) had satisfactory knowledge. Whereas the practices of 152 (48.3%) mothers out of 315 were good but poor in 46 (14.6%) of the mothers. There is a statistically significant association between the knowledge and practices of weaning with the age of babies (p values= 0.000 and 0.000, respectively) and the total number of children of the respondents (p-values= 0.000 and 0.000, respectively). Residential status of respondents (p-value=0.028) and educational status of mothers (p-values= 0.01) also showed a significant association with the overall knowledge of mothers. Practices and knowledge of mothers (p-values=0.02 and p-value= 0.026 respectively) are statistically significant with the source of information and weaning practices. We also found an association with the type of family of the respondent (p-value=0.034). Conclusion: The findings of this study will be helpful in making strategies of awareness programs so that the effects of pre-or post-weaning can be minimized.&#x0D;

Community participation in cobblestone road provision

This study aimed at analyzing the effect of social capital on the level of community participation in cobblestone road provision. The study employed a quantitative approach. Samples were selected by using a probability sampling technique. From the probability sampling technique, the researchers used a stratified random sampling technique followed by simple random sampling for the selection of households. The survey questionnaire was administered for 368 sample respondents. Findings revealed that community participation was expressed more in financial terms. Participation in policy formulation, planning, implementation, maintenance and operation, and evaluation were not evident. The study shows that there is a strong and positive relationship between the socioeconomic status of respondents and social capital with the level of community participation. The study also found that there was poor communication and relationship among the municipality and kebele leaders that managed the project, and the community. The study concludes that bottom-up approaches, building an effective communication channel between the community, kebele leaders and institutionalization of participation in the City is essential. Capacity-building strategies are also required to promote community participation.

A healthy migrant effect? Estimating health outcomes of the undocumented immigrant population in the United States using machine learning

This paper investigated whether the commonly observed immigrant health advantage persists among undocumented immigrants in the U.S. and provides nationally representative evidence on the health of this vulnerable population. Data were derived from pooled cross-sections of the National Health Interview Survey (NHIS, 2000–2018). The legal status of foreign-born NHIS respondents is imputed using a non-parametric machine learning model built based on information from the 2004, 2008 and 2014 cohorts of the Survey of Income and Program Participation (SIPP). Multivariate logistic regression analysis indicated that, despite exposure to numerous additional risk factors, the undocumented population experienced a more pronounced Healthy Migrant Effect, with lower odds of reporting fair or poor self-rated health, any physician-diagnosed chronic conditions or being obese. The observed patterns in undocumented health outcomes may be related to the additional challenges and exclusionary policies associated with undocumented migration that could in turn lead to a more pronounced selection of healthy and resilient individuals.