Introduction: Overcoming under-five mortality rate remains a great challenge for Indonesia to meet the national target despite its notable advancements and progress in reducing child mortality rate. Therefore, understanding risk factors of under-five mortality is essential to enhance the health and well-being of children. This research seeks to investigate associated factors of under-five mortality in Indonesia by using the 2017 Indonesia Demographic and Health Survey data. Methods: The multilevel zero-inflated and multilevel hurdle models are considered to handle unobserved heterogeneity that may occur at province level, and to model prevalence and risk of child death as a joint process, which are reported in terms of odds ratio (OR) and incidence ratio rate (IRR), respectively. Results: Lower number of household members (IRR = 0.803, 95% confidence interval [CI]: 0.784–0.823), older mother's age at first birth (IRR = 1.020, 95% CI: 1.007–1.032), higher number of children ever born (IRR = 1.491, 95% CI: 1.450–1.533), lower mother's education (IRR = 1.224, 95% CI: 1.013–1.479), and lower father's education (IRR = 1.232, 95% CI: 1.015–1.495) are significantly associated with higher total death numbers in children before the age of 5 years. Furthermore, the odds of no child death are significantly higher among mother who use a contraceptive method (OR = 11.088, 95% CI: 6.659–18.462) and among household in higher quantile wealth (OR = 1.133, 95% CI: 1.005–1.277). Conclusion: This evidence-based empirical highlights priority risk factors that might provide insight for policymakers, health professional, and the community in general to design appropriate intervention to help reduce the burden of under-five mortality in the country.
{"title":"Multilevel zero inflated and hurdle models for under five-child mortality in Indonesia","authors":"MadonaYunita Wijaya","doi":"10.4103/shb.shb_252_23","DOIUrl":"https://doi.org/10.4103/shb.shb_252_23","url":null,"abstract":"Introduction: Overcoming under-five mortality rate remains a great challenge for Indonesia to meet the national target despite its notable advancements and progress in reducing child mortality rate. Therefore, understanding risk factors of under-five mortality is essential to enhance the health and well-being of children. This research seeks to investigate associated factors of under-five mortality in Indonesia by using the 2017 Indonesia Demographic and Health Survey data. Methods: The multilevel zero-inflated and multilevel hurdle models are considered to handle unobserved heterogeneity that may occur at province level, and to model prevalence and risk of child death as a joint process, which are reported in terms of odds ratio (OR) and incidence ratio rate (IRR), respectively. Results: Lower number of household members (IRR = 0.803, 95% confidence interval [CI]: 0.784–0.823), older mother's age at first birth (IRR = 1.020, 95% CI: 1.007–1.032), higher number of children ever born (IRR = 1.491, 95% CI: 1.450–1.533), lower mother's education (IRR = 1.224, 95% CI: 1.013–1.479), and lower father's education (IRR = 1.232, 95% CI: 1.015–1.495) are significantly associated with higher total death numbers in children before the age of 5 years. Furthermore, the odds of no child death are significantly higher among mother who use a contraceptive method (OR = 11.088, 95% CI: 6.659–18.462) and among household in higher quantile wealth (OR = 1.133, 95% CI: 1.005–1.277). Conclusion: This evidence-based empirical highlights priority risk factors that might provide insight for policymakers, health professional, and the community in general to design appropriate intervention to help reduce the burden of under-five mortality in the country.","PeriodicalId":34783,"journal":{"name":"Asian Journal of Social Health and Behavior","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135550956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brajaballav Kar, Nilamadhab Kar, MadhuChhanda Panda
Introduction: General trust and trust in various social institutions/agents are argued to positively influence the outcome, more so, in a crisis. Mitigating a crisis requires actions from individuals, family, friends, co-workers, various policymaking, and implementing agencies, media, and other agencies with whom people interact. In the COVID-19 situation, people individuals did not have a choice but to access essential services even with the risk of infection. Personal experiences also guide individuals' trust in various social groups and are responsible for taking individual action of protecting themselves in the pandemic. To what extent people trusted various social groups and observed appropriate behavior is investigated in this research. Methods: Responses were collected through a structured, web-based questionnaire where respondents self-reported their trust in various social agents and the extent to which they observed COVID-appropriate behavior. Respondents primarily belonged to the eastern part of India. Results: This study finds significant demographic differences in observing appropriate behavior leading to an identification of a vulnerable group. Second, trust in the inner group (family, friends, neighbors, and co-workers among others) is least important whereas trust in professionals and administrative institutions is the most important. Trust in the central government, media, and politicians among others is counterproductive to observing the appropriate behavior. Conclusion: People repose higher trust in professionals and administrative institutions in a crisis situation. Professional and administrative leadership helps in more effective crisis management leading to better behavioral compliance of the public. Any other leadership may be ineffective or counter-productive.
{"title":"Social trust and COVID-appropriate behavior: Learning from the pandemic","authors":"Brajaballav Kar, Nilamadhab Kar, MadhuChhanda Panda","doi":"10.4103/shb.shb_183_22","DOIUrl":"https://doi.org/10.4103/shb.shb_183_22","url":null,"abstract":"Introduction: General trust and trust in various social institutions/agents are argued to positively influence the outcome, more so, in a crisis. Mitigating a crisis requires actions from individuals, family, friends, co-workers, various policymaking, and implementing agencies, media, and other agencies with whom people interact. In the COVID-19 situation, people individuals did not have a choice but to access essential services even with the risk of infection. Personal experiences also guide individuals' trust in various social groups and are responsible for taking individual action of protecting themselves in the pandemic. To what extent people trusted various social groups and observed appropriate behavior is investigated in this research. Methods: Responses were collected through a structured, web-based questionnaire where respondents self-reported their trust in various social agents and the extent to which they observed COVID-appropriate behavior. Respondents primarily belonged to the eastern part of India. Results: This study finds significant demographic differences in observing appropriate behavior leading to an identification of a vulnerable group. Second, trust in the inner group (family, friends, neighbors, and co-workers among others) is least important whereas trust in professionals and administrative institutions is the most important. Trust in the central government, media, and politicians among others is counterproductive to observing the appropriate behavior. Conclusion: People repose higher trust in professionals and administrative institutions in a crisis situation. Professional and administrative leadership helps in more effective crisis management leading to better behavioral compliance of the public. Any other leadership may be ineffective or counter-productive.","PeriodicalId":34783,"journal":{"name":"Asian Journal of Social Health and Behavior","volume":"99 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135550960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Khankeh, M. Pourebrahimi, Mehrdad Karibozorg, M. Hosseinabadi-farahani, M. Ranjbar, M. Ghods, Mohammad Saatchi
Introduction: Preparedness a social behavior with public trust the prerequisite for proper social functioning can reduce disaster sufferings. The aim of this study was to determine the public trust, preparedness, and the influencing factors regarding the COVID-19 pandemic situation in Iran. Methods: This online cross-sectional study conducted on Tehran residents (≥18 years) during the fifth epidemic wave. The tool designed to assess the intention to prepare, public trust, and the subscales. T-test used to compare the means and linear regression to determine the factors influencing on the outcomes. Results: About 26.5% of 407 participants (mean age standard deviation: 40.8 (12.8) years) showed low trust. The mean levels of total trust (P = 0.011), general trust (P = 0.048), and trust to managing authorities (P = 0.018) were significantly lower in men. Adjusted to confounding variables, total trust was lower in men (ß = −3.8, P = 0.01) and less educated (ß = −6.48, P = 0.02) but higher in high-income (ß = 5.7, P = 0.02) people. Only 20% of people were highly prepared. Intention to prepare was higher in families having the elderly (ß = 5.72.8, P = 0.048). Conclusion: Low trust in the managing authorities and their provided information tend to less considering health and preparedness measures in society.
备灾是一种具有公众信任的社会行为，是社会正常运转的前提，可以减少灾害带来的痛苦。本研究的目的是确定伊朗公众对COVID-19大流行形势的信任度、准备情况及其影响因素。方法:对第五波流行期间德黑兰居民(≥18岁)进行在线横断面研究。该工具旨在评估准备意图、公众信任和子量表。t检验用于比较均值和线性回归，以确定影响结果的因素。结果:407名参与者(平均年龄标准差40.8(12.8)岁)中信任度低，约26.5%。男性的总信任(P = 0.011)、一般信任(P = 0.048)和对管理当局的信任(P = 0.018)的平均水平显著低于男性。调整混杂变量后，男性(ß = - 3.8, P = 0.01)和受教育程度较低的人群(ß = - 6.48, P = 0.02)的总信任度较低，但高收入人群(ß = 5.7, P = 0.02)的总信任度较高。只有20%的人做好了充分的准备。有老年人家庭的准备意愿较高(ß = 5.72.8, P = 0.048)。结论:社会对管理机构及其提供的信息的信任度较低，往往较少考虑卫生和防范措施。
{"title":"Public trust, preparedness, and the influencing factors regarding COVID-19 pandemic situation in Iran: A population-based cross-sectional study","authors":"H. Khankeh, M. Pourebrahimi, Mehrdad Karibozorg, M. Hosseinabadi-farahani, M. Ranjbar, M. Ghods, Mohammad Saatchi","doi":"10.4103/shb.shb_155_22","DOIUrl":"https://doi.org/10.4103/shb.shb_155_22","url":null,"abstract":"Introduction: Preparedness a social behavior with public trust the prerequisite for proper social functioning can reduce disaster sufferings. The aim of this study was to determine the public trust, preparedness, and the influencing factors regarding the COVID-19 pandemic situation in Iran. Methods: This online cross-sectional study conducted on Tehran residents (≥18 years) during the fifth epidemic wave. The tool designed to assess the intention to prepare, public trust, and the subscales. T-test used to compare the means and linear regression to determine the factors influencing on the outcomes. Results: About 26.5% of 407 participants (mean age standard deviation: 40.8 (12.8) years) showed low trust. The mean levels of total trust (P = 0.011), general trust (P = 0.048), and trust to managing authorities (P = 0.018) were significantly lower in men. Adjusted to confounding variables, total trust was lower in men (ß = −3.8, P = 0.01) and less educated (ß = −6.48, P = 0.02) but higher in high-income (ß = 5.7, P = 0.02) people. Only 20% of people were highly prepared. Intention to prepare was higher in families having the elderly (ß = 5.72.8, P = 0.048). Conclusion: Low trust in the managing authorities and their provided information tend to less considering health and preparedness measures in society.","PeriodicalId":34783,"journal":{"name":"Asian Journal of Social Health and Behavior","volume":"5 1","pages":"154 - 161"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42826359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Hashemipour, F. Lalooha, F. Etemad, Fatemeh Nozari
Introduction: Association of a good sleep quality and adequate nocturnal sleep duration with metabolic health has been reported in several epidemiological studies. This study aimed to evaluate the impact of sleep quality and duration on gestational diabetes mellitus (GDM) occurrence. Methods: In this longitudinal study, 821 pregnant women with the gestational age of ≤14 weeks were included from 2018 to 2020 by convenience sampling. The participants were evaluated in terms of sleep quality using the Pittsburgh Sleep Quality Index and nocturnal sleep duration. They were also examined for GDM at gestational weeks 24–28. Two GDM and non-GDM groups were compared regarding sleep quality and duration. The multivariate logistic regression analysis was performed to assess the independent association of sleep-related variables with GDM occurrence. Results: The final analysis was performed on 658 participants. The means of age and gestational week of the participants were 29.8 ± 4.9 years and 8.8 ± 4.4 weeks, respectively, on inclusion in the study. During follow-up, GDM occurred in 104 (15.8%) participants. Poor sleep quality, sleep quality components, and nocturnal sleep duration showed no significant difference between groups. The frequency of night sleep duration <7 h was higher in the GDM group compared to the non-GDM group (14.4% vs. 7.8%, P = 0.028). However, in the multivariate analysis, there was no independent association between nocturnal sleep <7 h and GDM occurrence. Conclusion: Sleep quality, nocturnal sleep duration, and short nocturnal sleep duration had no independent association with GDM occurrence.
{"title":"Association of sleep quality and duration with gestational diabetes mellitus: The Qazvin maternal and neonatal metabolic study","authors":"S. Hashemipour, F. Lalooha, F. Etemad, Fatemeh Nozari","doi":"10.4103/shb.shb_127_22","DOIUrl":"https://doi.org/10.4103/shb.shb_127_22","url":null,"abstract":"Introduction: Association of a good sleep quality and adequate nocturnal sleep duration with metabolic health has been reported in several epidemiological studies. This study aimed to evaluate the impact of sleep quality and duration on gestational diabetes mellitus (GDM) occurrence. Methods: In this longitudinal study, 821 pregnant women with the gestational age of ≤14 weeks were included from 2018 to 2020 by convenience sampling. The participants were evaluated in terms of sleep quality using the Pittsburgh Sleep Quality Index and nocturnal sleep duration. They were also examined for GDM at gestational weeks 24–28. Two GDM and non-GDM groups were compared regarding sleep quality and duration. The multivariate logistic regression analysis was performed to assess the independent association of sleep-related variables with GDM occurrence. Results: The final analysis was performed on 658 participants. The means of age and gestational week of the participants were 29.8 ± 4.9 years and 8.8 ± 4.4 weeks, respectively, on inclusion in the study. During follow-up, GDM occurred in 104 (15.8%) participants. Poor sleep quality, sleep quality components, and nocturnal sleep duration showed no significant difference between groups. The frequency of night sleep duration <7 h was higher in the GDM group compared to the non-GDM group (14.4% vs. 7.8%, P = 0.028). However, in the multivariate analysis, there was no independent association between nocturnal sleep <7 h and GDM occurrence. Conclusion: Sleep quality, nocturnal sleep duration, and short nocturnal sleep duration had no independent association with GDM occurrence.","PeriodicalId":34783,"journal":{"name":"Asian Journal of Social Health and Behavior","volume":"5 1","pages":"180 - 185"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46625643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: The nutrition status of older adults during the COVID-19 pandemic is an area of concern. Lower-income older population of Thailand in particular has been affected with regard to their employment, income, and health status. This study focused on the prevalence of nutrition statuses using body mass index (BMI) of this age group and their association with sociodemographic, health behavior, social connectedness, and economic change factors during the pandemic. Methods: Using the 2021 Survey on Housing and Support Services for Poor Older Adults, a sample of lower-income individuals aged 55 years and over was collected from the five regions of Thailand. The data were analyzed using multinomial logistic regression where being underweight and overweight were compared with normal weight as the reference. Relative risk ratios (RRR) were presented. Results: Living in regions other than Bangkok was found to be associated with a higher risk of underweight status and lower risk of being overweight. Having primary level (RRR = 0.600, P < 0.05) and above primary level of education (RRR = 0.952, P < 0.05) significantly related with lower risk of low BMI. Income inadequacy during the outbreak was found to be positively associated with both underweight (RRR = 1.514, P < 0.05) and overweight (RRR = 1.145, P < 0.05) statuses. Conclusion: The results show the need to understand the dynamics of social backgrounds, such as poverty experience, in order to address the needs and issues of vulnerable older people, particularly during pandemic times.
{"title":"Nutrition status of lower-income older adults in Thailand during COVID-19 pandemic","authors":"P. Vicerra, J. Pano, Juniesy M Estanislao","doi":"10.4103/shb.shb_150_22","DOIUrl":"https://doi.org/10.4103/shb.shb_150_22","url":null,"abstract":"Introduction: The nutrition status of older adults during the COVID-19 pandemic is an area of concern. Lower-income older population of Thailand in particular has been affected with regard to their employment, income, and health status. This study focused on the prevalence of nutrition statuses using body mass index (BMI) of this age group and their association with sociodemographic, health behavior, social connectedness, and economic change factors during the pandemic. Methods: Using the 2021 Survey on Housing and Support Services for Poor Older Adults, a sample of lower-income individuals aged 55 years and over was collected from the five regions of Thailand. The data were analyzed using multinomial logistic regression where being underweight and overweight were compared with normal weight as the reference. Relative risk ratios (RRR) were presented. Results: Living in regions other than Bangkok was found to be associated with a higher risk of underweight status and lower risk of being overweight. Having primary level (RRR = 0.600, P < 0.05) and above primary level of education (RRR = 0.952, P < 0.05) significantly related with lower risk of low BMI. Income inadequacy during the outbreak was found to be positively associated with both underweight (RRR = 1.514, P < 0.05) and overweight (RRR = 1.145, P < 0.05) statuses. Conclusion: The results show the need to understand the dynamics of social backgrounds, such as poverty experience, in order to address the needs and issues of vulnerable older people, particularly during pandemic times.","PeriodicalId":34783,"journal":{"name":"Asian Journal of Social Health and Behavior","volume":"5 1","pages":"147 - 153"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49225953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Saeedeh Elhami, Nasim Hatefimoadab, F. Mousaei, Samaneh Naeimi, M. Azizi, Daniyal Moghadam, M. Ghassemi
Introduction: Malnutrition is one of the most important public health problems worldwide and has adverse effects on the physical as well as mental capacities of individuals, especially school-age children. This descriptive-analytical study aimed to investigate the nutritional status of primary-school students in urban and rural areas of Abadan. Methods: Multi-stage stratified-cluster and simple random sampling was performed on urban and rural primary school students in Abadan with the demographic information, height, and weight of 1133 students measured. Furthermore, the indices of short stature for age (stunting), low weight for age (underweight), and low weight for height (wasting) in children were calculated and compared with the National Center for Health Statistics standard. Results: The results revealed that the average age of malnourished children was 9.56 years and the average age of normal children was 8.97 years. The malnutrition prevalence among primary school children of Abadan was 8%, and there was a poor correlation between factors such as sex (P = 0/8), place of residence (P = 0/4), plus school place (P = 0/9), and malnutrition, while there was a positive relationship between with the parents' level of education and malnutrition (P = 0/02). Thus, the most influential factor seems to be the parents' level of education and awareness. Conclusion: Steps can be taken to promote the social and cultural level of families and prevent malnutrition as well as improve the nutritional status of society through collaboration among various institutions, holding educational classes with the presence of education departments, and encouraging families. The household economic status is also one of the important factors in the implementation of these educational classes that must be considered.
{"title":"Prevalence of malnutrition and its related factors among urban and rural primary school students, Abadan, in 2019","authors":"Saeedeh Elhami, Nasim Hatefimoadab, F. Mousaei, Samaneh Naeimi, M. Azizi, Daniyal Moghadam, M. Ghassemi","doi":"10.4103/shb.shb_83_22","DOIUrl":"https://doi.org/10.4103/shb.shb_83_22","url":null,"abstract":"Introduction: Malnutrition is one of the most important public health problems worldwide and has adverse effects on the physical as well as mental capacities of individuals, especially school-age children. This descriptive-analytical study aimed to investigate the nutritional status of primary-school students in urban and rural areas of Abadan. Methods: Multi-stage stratified-cluster and simple random sampling was performed on urban and rural primary school students in Abadan with the demographic information, height, and weight of 1133 students measured. Furthermore, the indices of short stature for age (stunting), low weight for age (underweight), and low weight for height (wasting) in children were calculated and compared with the National Center for Health Statistics standard. Results: The results revealed that the average age of malnourished children was 9.56 years and the average age of normal children was 8.97 years. The malnutrition prevalence among primary school children of Abadan was 8%, and there was a poor correlation between factors such as sex (P = 0/8), place of residence (P = 0/4), plus school place (P = 0/9), and malnutrition, while there was a positive relationship between with the parents' level of education and malnutrition (P = 0/02). Thus, the most influential factor seems to be the parents' level of education and awareness. Conclusion: Steps can be taken to promote the social and cultural level of families and prevent malnutrition as well as improve the nutritional status of society through collaboration among various institutions, holding educational classes with the presence of education departments, and encouraging families. The household economic status is also one of the important factors in the implementation of these educational classes that must be considered.","PeriodicalId":34783,"journal":{"name":"Asian Journal of Social Health and Behavior","volume":"5 1","pages":"162 - 168"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42976575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Nadhiroh, Ira Nurmala, Iqbal Pramukti, S. Tivany, L. Tyas, A. Zari, W. Poon, Y. Siaw, Ruckwongpatr Kamolthip, Paratthakonkun Chirawat, Chung-Ying Lin
Introduction: Weight stigma, a psychological-related health issue associated with obesity or weight problems, is one of the major concerns within public health. Indeed, weight stigma may cause health and behavioral problems, such as a lack of motivation to exercise. Assessing weight stigma is thus essential. Both the Weight Self-Stigma Questionnaire (WSSQ) and the Perceived Weight Stigma Scale (PWSS) are valid and reliable instruments that have been used in several countries. However, WSSQ and PWSS have never been used in Indonesia. Therefore, this study aimed to translate and validate both WSSQ and PWSS in Indonesian for Indonesian young adults. Methods: Via an online survey with convenience sampling, Indonesian college students (n = 438) completed the Indonesian WSSQ, PWSS, and depression anxiety stress scale-21 (DASS-21), and provided their height and weight. Confirmatory factor analysis (CFA), Rasch analysis, internal consistency, and concurrent validity were used for data analysis. Results: The internal consistency was satisfactory for the WSSQ (α = 0.90 and ω = 0.93). One PWSS item did not fit well and was removed. The revised 9-item PWSS had satisfactory internal consistency (α = 0.82 and ω = 0.87). The CFA and Rasch results supported a two-factor structure for the WSSQ, and a one-factor structure for the PWSS. WSSQ and PWSS were significantly and positively correlated (r = 0.32; P < 0.001). Both WSSQ and PWSS were significantly and positively associated with the DASS-21 score (r = 0.18 to r = 0.48; all P < 0.001); WSSQ was significantly and positively associated with body mass index (BMI) (r = 0.17 to r = 0.50; all P < 0.01). Conclusion: The translated Indonesian versions of WSSQ and PWSS can be used as instruments to assess weight stigma in Indonesian young adults.
{"title":"Weight stigma in Indonesian young adults: Validating the indonesian versions of the weight self-stigma questionnaire and perceived weight stigma scale","authors":"S. Nadhiroh, Ira Nurmala, Iqbal Pramukti, S. Tivany, L. Tyas, A. Zari, W. Poon, Y. Siaw, Ruckwongpatr Kamolthip, Paratthakonkun Chirawat, Chung-Ying Lin","doi":"10.4103/shb.shb_189_22","DOIUrl":"https://doi.org/10.4103/shb.shb_189_22","url":null,"abstract":"Introduction: Weight stigma, a psychological-related health issue associated with obesity or weight problems, is one of the major concerns within public health. Indeed, weight stigma may cause health and behavioral problems, such as a lack of motivation to exercise. Assessing weight stigma is thus essential. Both the Weight Self-Stigma Questionnaire (WSSQ) and the Perceived Weight Stigma Scale (PWSS) are valid and reliable instruments that have been used in several countries. However, WSSQ and PWSS have never been used in Indonesia. Therefore, this study aimed to translate and validate both WSSQ and PWSS in Indonesian for Indonesian young adults. Methods: Via an online survey with convenience sampling, Indonesian college students (n = 438) completed the Indonesian WSSQ, PWSS, and depression anxiety stress scale-21 (DASS-21), and provided their height and weight. Confirmatory factor analysis (CFA), Rasch analysis, internal consistency, and concurrent validity were used for data analysis. Results: The internal consistency was satisfactory for the WSSQ (α = 0.90 and ω = 0.93). One PWSS item did not fit well and was removed. The revised 9-item PWSS had satisfactory internal consistency (α = 0.82 and ω = 0.87). The CFA and Rasch results supported a two-factor structure for the WSSQ, and a one-factor structure for the PWSS. WSSQ and PWSS were significantly and positively correlated (r = 0.32; P < 0.001). Both WSSQ and PWSS were significantly and positively associated with the DASS-21 score (r = 0.18 to r = 0.48; all P < 0.001); WSSQ was significantly and positively associated with body mass index (BMI) (r = 0.17 to r = 0.50; all P < 0.01). Conclusion: The translated Indonesian versions of WSSQ and PWSS can be used as instruments to assess weight stigma in Indonesian young adults.","PeriodicalId":34783,"journal":{"name":"Asian Journal of Social Health and Behavior","volume":"5 1","pages":"169 - 179"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42061689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: The centers for disease prevention and control advise wearing a cloth face covering in public to prevent the spread of the coronavirus disease 2019, especially in situations when maintaining social distancing is challenging. As a result, the current study sought to identify the factors influencing mask behavior using constructs from the health belief model (HBM). Methods: This cross-sectional study was conducted on 311 participants who were referred to the Health Centers of Arak, Iran, from November 2021 to December 2021. The participants were selected through multi-stage stratified random sampling. Data were collected using a questionnaire and consisted of sociodemographic data, mask-wearing behavior, and structures of HBM regarding mask wearing. Results: The participants' mean (standard deviation) age was 37.9 (12) years (ranging from 18–81). The rate of “always” wearing a face mask was 57.9%. Multiple regression analysis revealed that mask-wearing behavior was associated with demographic variables (age and gender), perceived severity (β = 0.17, P < 0.001), perceived benefits (β = 0.24, P < 0.001), and self-efficacy (β = 0.35, P < 0.001). The HBM constructs explained 46% of the variance of mask-wearing behavior (F [9,301] = 30, R = 0.68, [P < 0.001]). Conclusion: According to the findings of this study, HBM constructs can be treated as a predictor of mask wearing. Based on this predictor (self-efficacy, perceived severity, and benefits), effective interventions and healthy messages can be designed to improve mask-wearing behavior.
{"title":"Do perceived barriers, benefits, and severity have effect on mask-wearing habits during the coronavirus disease-2019 pandemic?","authors":"R. Soltani, M. Shamsi, A. Moradi","doi":"10.4103/shb.shb_52_22","DOIUrl":"https://doi.org/10.4103/shb.shb_52_22","url":null,"abstract":"Introduction: The centers for disease prevention and control advise wearing a cloth face covering in public to prevent the spread of the coronavirus disease 2019, especially in situations when maintaining social distancing is challenging. As a result, the current study sought to identify the factors influencing mask behavior using constructs from the health belief model (HBM). Methods: This cross-sectional study was conducted on 311 participants who were referred to the Health Centers of Arak, Iran, from November 2021 to December 2021. The participants were selected through multi-stage stratified random sampling. Data were collected using a questionnaire and consisted of sociodemographic data, mask-wearing behavior, and structures of HBM regarding mask wearing. Results: The participants' mean (standard deviation) age was 37.9 (12) years (ranging from 18–81). The rate of “always” wearing a face mask was 57.9%. Multiple regression analysis revealed that mask-wearing behavior was associated with demographic variables (age and gender), perceived severity (β = 0.17, P < 0.001), perceived benefits (β = 0.24, P < 0.001), and self-efficacy (β = 0.35, P < 0.001). The HBM constructs explained 46% of the variance of mask-wearing behavior (F [9,301] = 30, R = 0.68, [P < 0.001]). Conclusion: According to the findings of this study, HBM constructs can be treated as a predictor of mask wearing. Based on this predictor (self-efficacy, perceived severity, and benefits), effective interventions and healthy messages can be designed to improve mask-wearing behavior.","PeriodicalId":34783,"journal":{"name":"Asian Journal of Social Health and Behavior","volume":"5 1","pages":"186 - 192"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46146843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Hossain, M. Habib, Iqramul Haq, M. Zinnia, S. Kabir, A. Saleheen, M. Alam, M. Hasan, A. Talukder
Introduction: Handwashing practice is an effective way to minimize severe infectious diseases such as COVID-19, diarrhea, and pneumonia. The study aimed to explore the prevalence of handwashing behavior and associated determinants in rural and urban areas of Bangladesh. Methods: The research was performed using cross-sectional survey data from the 2019 Bangladesh Multiple Indicator Cluster Survey, and 61,242 household members were the sample for this study. The Chi-square test was applied for the bivariate analysis. A generalized linear mixed-effects model was used to identify the risk factors of practicing handwashing in both urban and rural areas of Bangladesh. Results: Only 65% of the country's households had access to handwashing facilities (place, water, and materials). While urban dwellers were more likely to wash their hands, rural dwellers were only 63% likely to do so. The level of education of household heads, wealth status, division, number of family members, sanitation facilities, and water source were the key factors associated with handwashing behavior. This study revealed that the odds were significantly lower among illiterate respondents compared to those with secondary and above-secondary education in both areas of Bangladesh, and a positive association was found between wealth status and handwashing behavior practiced in both urban and rural areas. In this study, the size of the family was statistically significant for both rural and urban areas of Bangladesh. Conclusion: Handwashing is the most prominent consideration for controlling COVID-19. Policymakers are striving to improve handwashing facilities by increasing awareness-raising programs, especially among rural residents of Bangladesh.
{"title":"Determinants of regional prevalence and variations in handwashing practices among households in Bangladesh: An application of generalized mixed-effects model","authors":"M. Hossain, M. Habib, Iqramul Haq, M. Zinnia, S. Kabir, A. Saleheen, M. Alam, M. Hasan, A. Talukder","doi":"10.4103/shb.shb_48_22","DOIUrl":"https://doi.org/10.4103/shb.shb_48_22","url":null,"abstract":"Introduction: Handwashing practice is an effective way to minimize severe infectious diseases such as COVID-19, diarrhea, and pneumonia. The study aimed to explore the prevalence of handwashing behavior and associated determinants in rural and urban areas of Bangladesh. Methods: The research was performed using cross-sectional survey data from the 2019 Bangladesh Multiple Indicator Cluster Survey, and 61,242 household members were the sample for this study. The Chi-square test was applied for the bivariate analysis. A generalized linear mixed-effects model was used to identify the risk factors of practicing handwashing in both urban and rural areas of Bangladesh. Results: Only 65% of the country's households had access to handwashing facilities (place, water, and materials). While urban dwellers were more likely to wash their hands, rural dwellers were only 63% likely to do so. The level of education of household heads, wealth status, division, number of family members, sanitation facilities, and water source were the key factors associated with handwashing behavior. This study revealed that the odds were significantly lower among illiterate respondents compared to those with secondary and above-secondary education in both areas of Bangladesh, and a positive association was found between wealth status and handwashing behavior practiced in both urban and rural areas. In this study, the size of the family was statistically significant for both rural and urban areas of Bangladesh. Conclusion: Handwashing is the most prominent consideration for controlling COVID-19. Policymakers are striving to improve handwashing facilities by increasing awareness-raising programs, especially among rural residents of Bangladesh.","PeriodicalId":34783,"journal":{"name":"Asian Journal of Social Health and Behavior","volume":"5 1","pages":"122 - 130"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45799736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: To investigate the intention of older Brazilian adults to receive the COVID-19 vaccine, to find out their perception of the older adults' fragility to the virus, and to know their opinion on the progress of the national immunization plan against COVID-19. Methods: An exploratory qualitative study was carried out through semi-structured telephone calls with 32 participants (aged 60–89), between February and March 2021. Data were analyzed thematically, emerging three major themes. Results: Most participants expressed concern about the vulnerability of their immune system to the coronavirus, and dissatisfaction with the organization of the national immunization plan. Strong criticism was leveled at the leadership of the President of the Republic due to his resistance to vaccination and encouraging the use of hydroxychloroquine. Conclusion: The vast majority of respondents reported an intention to receive the vaccine. The short time for the production of vaccines generated distrust with its effectiveness. All expressed dissatisfaction with the organization of the national immunization plan, and agreed that after the pandemic, their lives and the world will no longer be as before.
{"title":"“I believe in science and in all vaccines:” Older adult and the intention for a vaccine against COVID-19","authors":"M. Nascimento, Allysson Nunes, Luciano Juchem","doi":"10.4103/shb.shb_17_22","DOIUrl":"https://doi.org/10.4103/shb.shb_17_22","url":null,"abstract":"Introduction: To investigate the intention of older Brazilian adults to receive the COVID-19 vaccine, to find out their perception of the older adults' fragility to the virus, and to know their opinion on the progress of the national immunization plan against COVID-19. Methods: An exploratory qualitative study was carried out through semi-structured telephone calls with 32 participants (aged 60–89), between February and March 2021. Data were analyzed thematically, emerging three major themes. Results: Most participants expressed concern about the vulnerability of their immune system to the coronavirus, and dissatisfaction with the organization of the national immunization plan. Strong criticism was leveled at the leadership of the President of the Republic due to his resistance to vaccination and encouraging the use of hydroxychloroquine. Conclusion: The vast majority of respondents reported an intention to receive the vaccine. The short time for the production of vaccines generated distrust with its effectiveness. All expressed dissatisfaction with the organization of the national immunization plan, and agreed that after the pandemic, their lives and the world will no longer be as before.","PeriodicalId":34783,"journal":{"name":"Asian Journal of Social Health and Behavior","volume":"5 1","pages":"108 - 114"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43496409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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