Τρίτη 29 Οκτωβρίου 2019




Sitting time among adolescents across 26 Asia–Pacific countries: a population-based study

Abstract

Objectives

To assess the prevalence of sitting time (ST) and examine sex and age disparities in the prevalence among adolescents from Asia–Pacific countries.

Methods

We used the Global School-based Student Health Survey data (n = 101,785) from 26 Asia–Pacific countries and computed the pooled prevalence of high ST (≥ 3 h/day) using random effect meta-analysis. We used logistic regression to examine sex and age disparities in the prevalence, and meta-regression to assess whether the prevalence was associated with common global indices.

Results

The overall prevalence of ST was 29.9% (95% CI 24.1–35.8) with 29.8% (24.4–35.2) among male and 29.9% (23.4–36.3) female adolescents. Males had higher odds of high ST than females in seven countries, while females had higher odds in six countries. Older adolescents had higher prevalence than their younger counterparts. High ST was more common in high-income countries and was positively associated with country Human Development Index (β = 1.28, 95% CI 0.88–1.68).

Conclusion

Continued monitoring of adolescents’ ST is warranted in this region to generate consistent and comparable surveillance data that can inform policies and actions for the health and well-being of the regional adolescents.




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Inconsistencies in self-reported health conditions: results of a nationwide panel study

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Governance to address health systems pitfalls of antibiotics overuse in low- and middle-income countries

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Household food insecurity and its association with anaemia in Mexican children: National Health and Nutrition Survey 2012

Abstract

Objectives

To assess the association between household food insecurity (FI) and the presence of anaemia among Mexican children who were between 12 and 59 months old, and to determine whether this association differs by geographical regions.

Methods

We analysed 7468 children of ages between 12 and 59 months, based on data from the 2012 National Health and Nutrition Survey (ENSANUT 2012). Haemoglobin was measured in capillary blood. Household FI levels were defined according to the Latin American and Caribbean Food Security Scale. An ordinal logistic regression model was developed to assess the relationship between FI and anaemia. The interaction between geographical regions and FI was determined.

Results

The highest proportion of anaemia occurred in children with severe household FI (24.3%), compared to those from households with food security (21.2%). Children from severe FI households have a higher adjusted prevalence of anaemia than those from households with food security. FI and anaemia were associated mainly among children residing in the southern region of Mexico.

Conclusions

Our findings can contribute to a better understanding of FI and anaemia in children and to strengthen interventions to address these problems.

Advantages and disadvantages across the life course and health status in old age among women in Chile

Abstract

Objectives

Based on a life course perspective, we assessed the association between three types of social advantages and disadvantages accumulated across different life stages, with the number of self-reported chronic conditions among women aged 60 + in Chile, a Latin-American country with almost no reports on this matter.

Methods

We used a population-representative longitudinal survey (Chile’s Social Protection Survey) with information about childhood conditions, economic mobility across life, educational attainment, late adulthood labor-force trajectories, and later-life health, of 2627 women aged 60+. We then used sequence and Poisson regression analyses to assess the effect of life course (dis)advantages over the number of chronic conditions in old age.

Results

Growing up in a poor household and experiencing downward economic mobility (especially among those with a non-poor childhood) increases the predicted number of chronic conditions in old age. By contrast, having a continuous and formal labor-force trajectory in late adulthood and higher educational attainment is associated with fewer chronic conditions later in life.

Conclusions

Policy measures that seek to foster health prevention and health care among older women should consider how multiple exposures to social advantages/disadvantages during earlier stages of the life course could affect health in late life.

Benchmarking the commitments related to population nutrition and obesity prevention of major food companies in New Zealand

Abstract

Objectives

To benchmark comprehensiveness, specificity and transparency of the nutrition-related commitments of major food companies in New Zealand.

Methods

We applied the Business Impact Assessment on Obesity and Population Level Nutrition (BIA-Obesity). The largest 25 New Zealand companies in each of the packaged food (n = 15), non-alcoholic beverage (n = 2), supermarket (n = 2) and quick-service restaurant (n = 6) sectors were selected. Publicly available information on commitments was collected through an online search. Representatives from each company were asked to review and/or supplement the information collected. Commitments were then assessed, and recommendations made at the company and sector levels.

Results

Overall scores ranged from 0 to 75% across all companies with a median score of 38%. The best-performing domain was ‘corporate nutrition strategy’ (median score = 55%), and the worst-performing domain was ‘product accessibility’ (median score = 0%). Twelve out of 25 companies fully engaged with the process.

Conclusions

The comprehensiveness, specificity and transparency of company commitments varied but were low overall. In the absence of strong industry commitments, government regulations, such as restrictions on unhealthy food marketing, are urgently needed. Future assessments should incorporate performance measures.

The epidemiology of domestic violence in Saudi Arabia: a systematic review

Abstract

Objectives

The aim of this study is to review the prevalence, risk factors, and outcomes of domestic violence (DV) in Saudi Arabia.

Methods

Systematic review utilizing PRISMA guidelines conducted on articles focusing on research related to the epidemiology of domestic violence in Saudi Arabia between 2009 and 2017 were identified through electronic databases (PubMed and Embase) and supplemented by cross-referencing and local journal searches.

Results

Eleven studies were conducted in six cities (Riyadh, Jeddah, Madina, Taif, Arar, and Al-Ahsa). Several screening questionnaires were utilized; four studies used the WHO multi-country study questionnaire and found that the lifetime prevalence of DV ranged between 39.3 and 44.5%. The most frequently reported risk factors for DV were the level of education of both the victim and the spouse and alcohol or drug addiction of the spouse.

Conclusions

One in every three women in Saudi Arabia is a victim of domestic violence. Strategies to reduce risk factors, prevent DV, care for victims, and mitigate the effects of DV must be adopted by health care agencies in Saudi Arabia.

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