Determinants and nomogram prediction of catastrophic health expenditures on respiratory diseases and tuberculosis in Guangdong Province—based on National Health Services Surveys in China (Preprint)

Опубликована: Янв. 8, 2025

Catastrophic health expenditures (CHE) severely impact families, especially in the context of respiratory diseases and tuberculosis. This study evaluates determinants CHE construct nomogram prediction, with a focus on diverse impacts regional disparities income levels Guangdong Province, China, drawing from National Health Services Surveys (NHSS) conducted 2013 2023. To evaluate catastrophic among individuals tuberculosis using data 2023 Surveys, to develop validate nomograms for predicting while assessing roles disparities, levels, other socioeconomic factors. multi-year, cross-sectional utilized two NHSS Province. The population consists aged 15 years above or was defined as medical exceeding 40% non-food household expenditures. We employed stepwise logistic regression analyses identify developed Receiver operating characteristic (ROC) curves area under curve (AUC), calibration plots, decision analysis (DCA) predictive accuracy practical applicability models. Mediation assess age between occurrence CHE. incidence relatively stable (13.5%) (13.6%). Significant risk factors included increasing [OR: 2.615 (1.681, 4.069)], having chronic 1.921 (1.177, 3.133)], living northern region 2.043 (1.204, 6.466)], insomnia almost every day 2.843 (1.345, 6.013)], protective higher 0.204 (0.046, 0.918)], being widowed divorce 0.120 (0.035, 0.415)] so on. mediation highlighted crucial mediator occurrence. Nomograms showed good ability areas (AUCs) ranging 0.844 0.884 training datasets across different survey showing excellent clinical benefits. highlights significant effect status Income played pivotal role mediating these effects, emphasizing need targeted economic policies reduce burden offer tools CHE, aiding healthcare providers resource allocation decision-making.

Язык: Английский

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Life’s Simple 7 and its impact on chronic bowel disorders: a study on constipation and diarrhea in the U.S. adult population

Frontiers in Medicine, Год журнала: 2025, Номер 12

Опубликована: Фев. 12, 2025

Background Chronic gastrointestinal disorders, such as chronic constipation and diarrhea, pose significant public health challenges, affecting quality of life healthcare costs. Life’s Simple 7 (LS7), established by the American Heart Association, encompasses essential behaviors that may influence bowel health. Methods We utilized data from National Health Nutrition Examination Survey (NHANES) conducted between 2005 2010, focusing on adults aged 20 years older. A total 12,912 participants were included in analysis. Bowel was assessed through self-reported questionnaires, while LS7 evaluated based seven components: smoking status, physical activity, dietary quality, BMI, blood pressure, glucose, cholesterol. Survey-weighted logistic regression models employed to assess associations adjusting for various demographic health-related covariates. Results Our findings revealed a inverse association adherence prevalence (OR: 0.914, 95% CI: 0.864–0.966, p = 0.003) diarrhea 0.883, 0.856–0.912, < 0.0001). The protective effect more pronounced among males individuals with BMI under 30 kg/m 2 constipation, younger those without hypertension diarrhea. Restricted cubic spline analyses indicated dose–response relationship, particularly Conclusion This study highlights role promoting preventing Tailoring interventions characteristics enhance effectiveness strategies aimed at improving outcomes.

Язык: Английский

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Tendency to overeat predicts an elevated body mass index trajectory across school-age years

Scientific Reports, Год журнала: 2025, Номер 15(1)

Опубликована: Фев. 22, 2025

Abstract Overeating is a complex appetite trait, cross-sectionally linked to an elevated weight in children. However, little known about longitudinal associations. Therefore, we studied how tendency towards overeating predicts development between 8 and 16 years of age. In this study among 4517 children from the Finnish Health Teens cohort, parents reported their child’s overeat when were on average 11.2 (SD 0.8) old. Children then categorised as overeating, possibly or not overeating. Height measurements two data collection periods combined with growth national health register, age- sex-standardised body mass index z-scores (BMIz) calculated using International Obesity Task Force reference. also lifestyle factors, including food consumption, physical activity, screen time, sleep patterns. We examined association BMIz linear mixed model, adjusting for age, sex, specific consumption frequencies, duration. further analysed whether associations differed by activity. The group was 1.18 (95% CI 1.10─1.26) units higher compared those without but remained stable age increased. Among increased 0.043 per year ( p < 0.001). Physical modified interaction = 0.038). lowest third activity (≤ 5 h/week), 1.28 1.15─1.41) no group, while highest (≥ 9 h/week) effect size 1.08 0.93─1.24). conclusion, parent-reported exhibited elevated, mean across adolescence. Public programmes tackling obesity epidemic should consider differences self-regulation

Язык: Английский

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Insomnia and Alexithymia in Chinese Adolescents with Major Depressive Disorder: A Cross-Sectional Study of Sex Differences and Associations

Psychology Research and Behavior Management, Год журнала: 2024, Номер Volume 17, С. 615 - 625

Опубликована: Фев. 1, 2024

Purpose: Insomnia is related to alexithymia in adults, but the relationship between insomnia and adolescents with major depressive disorder remains unclear. This study aimed investigate sex differences association disorder. Patients Methods: From October 2020 April 2022, adolescent patients were recruited from psychiatric departments of seven hospitals Anhui Province, China. Their general demographic clinical information collected. The 20-item Toronto Alexithymia Scale, Center for Epidemiologic Studies Depression Severity Index Scale used assess their alexithymia, depression, symptoms, respectively. analysis variance (ANOVA), Student's t -test Mann–Whitney U continuous variables chi-square tests categorical variables. Pearson's correlation Spearman examine ISI Multiple binary logistic regression analyses "Enter" method carried out explore correlations insomnia. Results: prevalence female was similar that male (χ 2 =1.84, p = 0.175). Compared those without insomnia, had worse family relationships (F 7.71, 0.021), perceived heavier academic stress 6.32, 0.012), more likely take sedative-hypnotics 5.51, 0.019), higher levels depression 81.57, < 0.001) 28.57, 0.001). Correlation showed significantly associated (r 0.360, 0.01). Binary that, (OR 1.050, 0.05) not patients. Conclusion: In patients, a risk factor which great importance understanding psychopathological mechanisms, treatments psychological interventions Keywords: adolescents, disorder,

Язык: Английский

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Empathy Map Gen Z Towards Healthy Food: A Foodpreneur Design Strategy

Aptisi Transactions On Technopreneurship (ATT), Год журнала: 2024, Номер 6(2), С. 242 - 253

Опубликована: Июль 18, 2024

Healthy eating behavior is becoming increasingly prevalent in Indonesia, especially after the COVID-19 outbreak from 2020-2022, which highlighted importance of diet for immunity. Generation Z, being a significant part Indonesian population, presents an opportunity targeted public health promotions. This study aims to explore Z attitudes towards healthy food develop effective Foodpreneur design strategy. Using qualitative approach, data were collected through interviews and literature studies involving 29 Gen participants various campuses. The research applied thinking method empathy map derive comprehensive results revealed that while acknowledges balanced lifestyle, they face barriers such as economic constraints, taste preferences, accessibility. However, there clear enthusiasm promoting local sustainable practices. findings suggest strategy should emphasize educating on benefits food, creating engaging relatable promotional content, leveraging social media enhance awareness approach can foster culture consciousness support economies, aligning with values behaviors.

Язык: Английский

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Peer effects in weight-related behaviours of young people: A systematic literature review

Economics & Human Biology, Год журнала: 2024, Номер 53, С. 101354 - 101354

Опубликована: Янв. 26, 2024

Язык: Английский

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Sleep Problems and Health Outcomes Among Urban American Indian and Alaska Native Adolescents

JAMA Network Open, Год журнала: 2024, Номер 7(6), С. e2414735 - e2414735

Опубликована: Июнь 4, 2024

Importance Adolescent sleep problems are prevalent, particularly among racial and ethnic minority groups, can increase morbidity. Despite the numerous strengths of their group, urban American Indian Alaska Native adolescents face significant health disparities but rarely included in research. Understanding how associated with outcomes may elucidate novel targets for interventions to promote equity. Objective To assess whether baseline changes behavioral cardiometabolic 2 years later. Design, Setting, Participants were recruited via flyers community events an observational cohort study California. Baseline assessments conducted 142 from March 1, 2018, 31, 2020, follow-ups 114 December June 30, 2022. Exposures actigraphy-assessed duration efficiency self-reported disturbances social jet lag (absolute value difference midpoint on weekends vs weekdays; indicator circadian misalignment). Main Outcomes Measures outcome measures depression (measured using Patient Health Questionnaire), anxiety Generalized Anxiety Disorder 7-item scale), past year alcohol cannabis use, body mass index, systolic blood pressure (SBP) diastolic (DBP), waist circumference, glycosylated hemoglobin (HbA 1c ). Analyses examined was at follow-up, controlling age, sex, measures. Results The sample (mean [SD] 14.0 [1.4] years; 84 girls [59%]), 80% whom (n = 114; mean 14.1 [1.3] 71 [62%]) completed follow-ups. Linear or logistic regressions showed negative associations between shorter (β −1.21 [95% CI, −2.19 −0.24]), −0.89 −1.76 −0.03]), DBP −2.03 −3.79 −0.28]), HbA level −0.15 −0.26 −0.04]) likelihood (odds ratio [OR], 0.57 0.36-0.91]) use (full week: OR, 0.59 0.35-0.99]) follow-up. Greater significantly higher SBP 0.06 0.01-0.11]) Conclusions Relevance This found poor adverse outcomes. Findings highlight importance developing culturally responsive that target as a key modifiable risk factor improve adolescents.

Язык: Английский

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Investigation of Depression and Clinical Factors in Adolescent Temporomandibular Disorder Patients with Aging

Research Square (Research Square), Год журнала: 2024, Номер unknown

Опубликована: Июнь 7, 2024

Background Temporomandibular disorder (TMD) is a musculoskeletal characterized by functional limitations and pain in the masticatory muscle temporomandibular joint. In adolescent, TMD can significantly impact mental health lead to psychosocial disabilities. This study aims investigate correlation between depression, as assessed Symptom-Checklist-90-Revised (SCL-90-R) clinical factors adolescent patients with TMD. Methods included total of 185 adolescents (69 males, 116 females, mean age 15.15 ± 2.17) diagnosed November 2020 May 2023. Patients were categorized into three groups: 46 young aged 10-13, 78 middle 14-16, 61 older 17-18. Clinical data collected from medical records at patients’ initial visit. Depression was evaluated SCL-90-R. Results exhibited strong (rho=0.193, p=0.004). patients, depression scores associated stressful conditions (rho=0.347, p<0.0001), sleep problems (rho=0.249, p=0.001), dysfunction index (rho=0.243, presence tinnitus (rho=0.225, p=0.002), craniomandibular (rho=0.218, p=0.003), history trauma (rho=0.207, p=0.005), habitual irregular diet (rho=0.189, p=0.010). generalized linear model, most significant association aging (B=2.651, 95% CI: 0.363-4.940), followed clenching habits (B=1.433, 0.170-2.696), obsessive-compulsiveness (B=0.581, 0.427-0.735), somatization (B=0.246, 0.047-0.445). contrast, intensity, duration, joint noise not related (p>0.05). Also, osteoarthritis panoramic image Conclusion With results this study, clinicians would be able evaluate state concise information.

Язык: Английский

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The association between the dietary behavior, diet quality, and lifestyle scores with anthropometric indices and happiness levels among university students

BMC Nutrition, Год журнала: 2024, Номер 10(1)

Опубликована: Авг. 26, 2024

Limited information exists linking food habits, diet quality, and lifestyle scores with anthropometric indices happiness levels. Our aim was to examine the association between levels in Iranian population. This cross-sectional study included 200 students randomly selected from a university Iran. Dietary intakes, physical activity (PA), of participants were assessed using validated questionnaires. The examined this body shape index (ABSI), roundness (BRI), abdominal volume (AVI). Multiple logistic regression models used mean age mass (BMI) 23.5 years ± 4.52 23.8 kg/m2 3.17, respectively. In population, no significant seen ABSI, BRI, AVI After adjusting for potential confounders (age, energy intake, marital status, education, smoking, activity, gender, BMI), remained not ABSI respectively (OR: 0.56, 95% CI (0.25–1.34), P = 0.193; OR: 0.59, (0.22–1.57), 0.413; OR:1.19, 95%CI (0.54–2.63), 0.652), BRI (OR:1.98, (0.41–9.49), 0.381; 0.57, (0.12–2.74), 0.512; 1.19, (0.3–4.71), 0.811), (OR:1.15, (0.53–2.48), 0.743, OR:1.01, (0.47–2.18), 0.965; 1.3, (0.64–2.65), 0.465) (OR:0.3, (0.07–1.25), 0.972; 0.77, (0.18–3.19), 0.724, 0.3, 0.083). No detected However, longitudinal studies are required confirm these findings.

Язык: Английский

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Poor sleep quality, dementia status and their association with all-cause mortality among older US adults

Aging, Год журнала: 2024, Номер 16(17), С. 12138 - 12167

Опубликована: Сен. 4, 2024

Evidence points to associations between sleep quality, dementia, and mortality. We examined whether poor quality mediated or moderated the association dementia mortality risk among older US adults vice versa, these differed by sex race.

Язык: Английский

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