Determinants of Unintentional Home Injury Prevention Practice Among B40 Parents of Under-Five Children in Selangor: A Study Protocol

@#Introduction: Unintentional injuries among children are considered a major public health concern since they are one of the leading causes of child death and disability. Inadequate study has been done on whether and how parental influences are linked to childhood injury at home especially among the community with low-socioeconomic status. The study aims to determine the factors affecting unintentional home injury prevention practice among low socioeconomic status (B40) parents of under-five children in Selangor, Malaysia. Methods: This is a cross-sectional and quantitative study. A sample size of 453 parents will be sampled among B40 parents with under-five children in Selangor using a stratified random sampling method. For analysis, only complete questionnaires will be used. Data entry and statistical analysis will be carried out using IBM SPSS version 28.0. Chi-square/Fisher Exact test and simple logistic regression will be used for data analysis. Multiple logistic regression will be used to examine the predictors of poor home injury prevention practice. Discussion: Findings from the study will provide insight on challenges experienced by B40 parents of children under five in implementing preventive injury measures at home.

Factors Contributing to Non-Communicable Diseases in a Selected Low Socio-Economic Status Community in Kedah, Malaysia

@#Introduction: Non-communicable diseases (NCDs) are evolving as the leading cause of death worldwide, including in Malaysia. Changes in a socio-economic status have increased at-risk populations with NCDs. The objective of this study is to describe the prevalence of self-reported NCDs and its contributing factors in a selected low socio-economic status community in Kedah, Malaysia. Methods: A cross-sectional study with a self-administered questionnaire was done among convenience samples of 139 adults (age more than 18 years old) living in a selected low socio-economic status community in Kedah. Results: Among 139 respondents with a mean (SD) age 48.5 (13.1), there were 40.3% of respondents reported to have chronic illnesses with a prevalence of hypertension (25.9%), diabetes mellitus (21.6%), hypercholesterolemia (7.2%), chronic respiratory diseases (5.0%), heart disease (2.9%) and stroke (1.4%). The significant contributing factors of NCDs by multiple logistic regression were age, marital and working status. A person with an increase in 1 year of age has 1.05 times the odds to have NCDs (95% CI: 1.01 to 1.09, p-value=0.007). A divorcee has 3.55 times the odds compared to a married person to have NCDs (95% CI: 1.28 to 9.80, p-value=0.015). The non-working individual has 2.27 times the odds compared to working individuals to have NCDs (95% CI: 1.03 to 5.01, p-value=0.042). Conclusion: The prevalence of NCDs is high in this selected low socio-economic status community. The contributing factors are age, marital and working status.

Evaluation of the incidence, risk factors, severity, and outcome of hydrocephalic fetuses in a tertiary healthcare center located in Northern India: a prospective observational study

Background: Hydrocephalus is a heterogeneous disease marked by abnormal dilatation of the cerebral ventricles secondary to varying etiologies. This study was aimed to determine the incidence, risk factors, severity, and outcome of hydrocephalic fetuses presenting to a tertiary healthcare hospital located in northern India.Methods: In this prospective observational study, pregnant women visiting the obstetrics outpatient department of our hospital from 01 July 2017 to 31 June 2018 were screened for hydrocephalic fetuses via ultrasonography along with a detailed history, and a comprehensive battery of diagnostic investigations. They were followed up for a minimum period of two months after delivery/termination of pregnancy.Results: A total of 3627 pregnant women were screened, of which 10 had hydrocephalic fetuses in the observed time period. The incidence of hydrocephalus was determined to be 2.75 per 1000 live births. Low socio-economic status was identified as a major risk factor. 50% of the hydrocephalic fetuses were severely afflicted and were discontinued. The remaining 50% were successfully delivered and were managed via a ventriculo-peritoneal shunt or are under close observation in the postnatal period without any adverse outcome.Conclusions: The burden of hydrocephalus is considerably high in India, as compared to western countries. In rural settings, low socioeconomic status and lack of folic acid supplementation have a major influence in the etiopathogenesis of hydrocephalus. Management of hydrocephalus requires a multidisciplinary approach and is tailored according to the severity of the presentation. Severe cases of hydrocephalus and cases with associated anomalies have a poor prognosis.

Eating behaviour of young female workers with low socioeconomic status in Malang City, East Java: a qualitative study

@# Introduction: Eating behaviour is one of the important factors affecting nutritional status that has been widely investigated. However, there are few studies on the eating behaviour of young female workers in Indonesia. This study aimed at investigating the factors affecting eating behaviour of young female workers of low socioeconomic status in Malang, East Java province, Indonesia. Methods: Participants were recruited using purposive sampling from low-income families living in Malang City. The eligibility criteria were based on demographic information, including monthly household income and expenses. The participants recruited comprised 21 women aged 18-22 years who were employed outside their homes, unmarried and living with their parents. A qualitative methodology was used to understand the meaning and context of the eating behaviour of these women. In-depth interviews and focus group discussions were used as the primary data collection methods. Results: Two primary themes emerged as the main influences of the participants’ eating behaviour: individual attributes (food preferences, healthy eating knowledge and self-efficacy), and socio-environmental factors (peer influence, mother’s role and food availability). In general, the participants had some knowledge about healthy eating behaviour; however, they lacked self-efficacy to practise such behaviour. Conclusion: Individual motivations and socio-environmental factors were found to mediate the eating behaviour of young working women from poor households. These factors should be considered when designing nutrition programmes for achieving healthier eating behaviour among young working women.

Could Low Birth Weight be Associated with Cardiovascular Disease in Adolescence? / Poderia o baixo peso ao nascimento ser associado com risco cardiovascular na adolescência?

Abstract Purpose Previous studies have shown that low birth weight (LBW) is associated with cardiovascular risk in late adulthood. Recent studies in adolescents suggest that modifiable factors may have greater influence on increased cardiovascular risk. This study aims to investigate the association between LBW and changes in anthropometric and biochemical risk factors during adolescence in a population with low average socioeconomic status. Methods In a retrospective double cohort, data of birth weight were extracted from hospital records of children born on the same day between 1992 and 2002. According to the World Health Organization, we classified the children as having LBW or normal birth weight. A total of 172 subjects among children, adolescents and adults were researched. We measured anthropometric and clinical data, lipid profile and glucose after an overnight fasting. The low and normal weight groups were compared using Mann-Whitney U, Fischer exact, Chi-square (2) and Student's t tests. Results Pregnant women with preeclampsia delivered more newborns with LBW (p< 0.001). Anthropometric and clinical parameters were similar between groups. No differences were found in the family history of cardiovascular diseases (p= 0.1), family incomes (p= 0.8) and maternal school education (p= 0.8) between groups. Conclusion In this study, LBW did not increase cardiovascular disease risk factors in adolescents. We observed absence of association between low birth weight and poor health outcomes among adolescents with low socioeconomic status from an urban city in the Brazilian northeast.

Resumo Objetivo Estudos mostram que o baixo peso ao nascer está associado ao risco cardiovascular na idade adulta. Estudos recentes em adolescentes sugerem que fatores modificáveis podem ter grande influência no aumento do risco cardiovascular. Este estudo busca investigar a associação entre baixo peso ao nascer com mudanças nos fatores de risco antropométricos e bioquímicos durante a adolescência em uma população com baixo nível socioeconômico. Métodos Em um estudo retrospectivo de coorte, dados de peso ao nascimento foram extraídos de registros de hospitais, de crianças que nasceram no mesmo dia, entre 1992 e 2002. De acordo com a Organização Mundial da Saúde, classificamos as crianças como baixo peso e peso normal. Um total de 172 pessoas, com idades entre 10 e 20 anos, foram pesquisadas. Avaliamos dados clínicos e antropométricos, perfil lipídico e glicemia de jejum. Os grupos de baixo peso e de peso normal foram comparados pelos testes de Mann-Whitney, Exato de Fisher, Qui-quadrado e t-Student. Resultados Gestantes com pré-eclâmpsia tiveram mais partos de recém-nascidos com baixo peso (p< 0,001). Parâmetros clínicos e antropométricos foram similares em ambos os grupos. Não houve diferença na história familiar de doença cardiovascular (p= 0,1), renda familiar (p= 0,8) e nível educacional materno (p= 0,8) entre os grupos. Conclusão Neste estudo, o baixo peso ao nascimento não aumentou o risco de doença cardiovascular na adolescência. Observou-se ausência de associação entre o baixo peso ao nascer e adversos resultados de saúde entre os adolescentes com baixo nível socioeconômico de um centro urbano no Nordeste brasileiro.

Assessment of Levels of Oral Hygiene Awareness, Knowledge, Attitude and Practice among the Students of a Government School in Karachi.

Aims: The object of this study was to assess the levels of oral hygiene awareness, knowledge, and practice of the children of a Govt. school belonging to low socioeconomic class in Karachi, and to attract more of the health promotion programs and campaigns towards these less privileged areas so that awareness regarding oral hygiene and health may be emphasized upon them and encourage them about the benefits of a healthy oral cavity. Study Design: A cross-sectional study. Place and Duration of Study: The study was conducted in Railway’s Secondary School. Railway colony, near Kalapul, Karachi in February 2015 . Methodology: This study was conducted to assess the oral health knowledge, attitude and practice amongst the students of a government school in Karachi. Sample: A total of 461 students (251 Males + 210 Females) participated in the study through a questionnaire that consisted of 24 closed-ended questions. The data was analyzed using statistical package for social sciences (SPSS) version 15 and results were accumulated by frequency distribution. Results: It was observed that 97% of children (n= 446) demonstrated regular oral hygiene practice, results regarding knowledge were also good but bad eating habits were also found prevailing amongst them that need to be addressed. Conclusion: Overall it can be said that the results relating to oral hygiene practice and knowledge were good but only 31% of the students visited the dentist and the concept of regular dental checkup was almost nil. Hence the need for continuing dental education through promotion programs is emphasized with justification.

Aprendizaje de letras en niños preescolares de nivel socioeconómico bajo / Letter learning in preschool children growing in poverty

El trabajo que se informa se propuso explorar las diferencias individuales en las habilidades asociadas al aprendizaje de letras en 50 niños de 5 años de edad y de nivel socioeconómico bajo. Motivó este estudio la evidencia existente acerca de las dificultades que el dominio de las letras representa para parte de los niños en contextos de pobreza. A fin de identificar las variables que diferenciaban a los niños con mayor o menor facilidad para el aprendizaje de letras, se administraron pruebas que evalúan sensibilidad fonológica, memoria visual, memoria fonológica y denominación rápida. A continuación, se llevó adelante una situación experimental de aprendizaje de letras desconocidas, a las que se asignaron pseudo -nombres elaborados en base a las características de los nombres de las letras en español. En dos sesiones se presentaron cuatro letras (dos por sesión) y se evaluó la capacidad de los niños para reconocerlas por su nombre. En función del desempeño en la situación de aprendizaje de letras se dividió al grupo en niños con alto y bajo nivel de desempeño y se comparó a los subgrupos en las restantes habilidades evaluadas. La única tarea en la que se obtuvieron diferencias significativas fue en la prueba de denominación rápida de objetos, tarea que capturaría el componente de asociación visual-verbal del aprendizaje de letras. Se analizan las implicancias educativas de estos hallazgos.

Together with phonological sensitivity, letter knowledge has been shown to be one of the best predictors of reading acquisition (Lerväg, Bratën & Hulme, 2009; Muter, Hulme, Snowling & Stevenson, 2004). But letter learning represents a considerable challenge for many children growing in poverty contexts, as evidenced by studies conducted with both selected and unselected samples of different ages (Diuk, Serrano & Ferroni, 2013; Duncan & Seymour, 2000). Even though letter knowledge has been largely attributed to experiential factors such as learning opportunities provided by a child's home or school, there is growing evidence that individual differences in several cognitive and linguistic variables are related to the ease with which children learn letter names or sounds. This paper aimed at exploring letter learning in 50 Argentine, 5-year-old children growing in poverty. Children were tested towards the end of their kindergarten year. An experimental training situation was adapted from Levin, Shatil-Carmon and Asif-Rave (2006). In this situation children were presented with unknown letters (letters from the Cyrillic alphabet). Pseudonames for these letters were created attending to the characteristics of letter names in Spanish. Training involved a card game consisting of a mixed pile of letter cards and picture cards. In each round of the game, the child uncovered one card after the other from the pile and, when a letter card turned up, he or she was asked to provide the letter's name. Children were presented with four letters, two per session. A point was awarded when the child could accurately name each letter. In order to identify cognitive and linguistic variables which might establish individual differences among children in the ease of acquiring letter names, before the training situation children were given tests evaluating phonological sensitivity (syllable and initial sound recognition), phonological memory (digit span and pseudoword repetition), visual memory and rapid naming (RAN) of objects, colors and digits. Based on the scores in the letter learning situation, two subgroups of children were established. The high- and the low - performing subgroups were then compared on the cognitive and linguistic variables previously examined. No differences between groups were obtained in either phonological sensitivity test, in phonological memory (digit span or pseudoword repetition) or visual memory. Statistically significant differences were only found in the rapid naming of objects (results from the rapid naming of colors and digits tests were excluded from analyses given that a high percentage of the sample could not name all five colors or numbers included in the task). The precise cognitive substrate tapped by rapid naming tasks has given rise to considerable debate in the field of Reading Psychology, but there is a growing consensus that these tasks probably capture the efficiency of basic neural mechanisms participating in the establishment of visual-verbal associations (Lervåg & Hulme, 2009). In terms of educational implications, rapid naming has proven to be hard to improve (de Jong & Vrielink, 2004). However, abilities strongly associated with RAN, such as reading fluency, can be enhanced through practice, even if rapid naming itself doesn't improve. RAN performance could consequently be considered an indication of the intensity of the intervention a child will need to achieve learning. Given that many low-income children have few opportunities for learning letter names and sounds in their communities, the fact that current kindergarten curricula do not include teaching letters may put many children in the situation of having to acquire alphabet knowledge in a short period of time once they enter 1st grade. Individual differences in rapid naming can thus be expected to play a role in the ease with which children learn in such a demanding context.