Dialogues in health最新文献

{"title":"The economic impact of a COVID-19 illness from the perspective of families seeking care in a private hospital in India","authors":"Tarun K. George ,&nbsp;Parth Sharma ,&nbsp;Melvin Joy ,&nbsp;Guna Seelan ,&nbsp;Abirami Sekar ,&nbsp;Karthik Gunasekaran ,&nbsp;Kundavaram Paul Prabhakar Abhilash ,&nbsp;Tina George ,&nbsp;Sudha Jasmine Rajan ,&nbsp;Samuel George Hansdak","doi":"10.1016/j.dialog.2023.100139","DOIUrl":"10.1016/j.dialog.2023.100139","url":null,"abstract":"<div><h3>Background</h3><p>The Covid-19 pandemic had a tremendous impact that caused significant morbidity, mortality, and financial stress for families. Our study aimed to determine the Out-of-pocket expenses and economic impact of a Covid-19 illness for households where patients were admitted to a private hospital in India.</p></div><div><h3>Methodology</h3><p>This was a cost-of-illness study from a tertiary care academic institute where adult patients diagnosed with COVID-19 from May 2020 to June 2021 were included. Patients with an admission of less than one day or who had any form of insurance were excluded. The clinical and financial details were obtained from the hospital information system and a cross-sectional survey. This was stratified across three clinical severity levels and two epidemiological waves.</p></div><div><h3>Results</h3><p>The final analysis included 4445 patients, with 73 % admitted in Wave 1 and 99 patients interviewed. For patients with severity levels 1, 2 and 3, the median admission days were 7, 8 and 13 days respectively. The total cost of illness (general category) was $934 (₹69,010), $1507 (₹111,403) and $3611 (₹266,930) and the direct medical cost constituted 66%, 77% and 91% of the total cost for each level respectively. Factors associated with higher admission costs were higher age groups, male gender, oxygen use, ICU care, private admission, increased duration of hospital stay and Wave 2. The median annual household income was $3247 (₹240,000) and 36% of families had to rely on more than one financial coping strategies, loans with interest being the commonest one. The lockdown period affected employment and reduced income for a considerable proportion of households.</p></div><div><h3>Conclusion</h3><p>A Covid admission of higher severity was a significant financial burden on families. The study reaffirms the need for collaborative and sustainable health financing systems to protect populations from hardships.</p><p>$-US Dollar; ₹- Indian Rupees</p></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"2 ","pages":"Article 100139"},"PeriodicalIF":0.0,"publicationDate":"2023-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10208655/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9668958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of Anderson model to analyze the influencing factors of lung function test behavior in middle-aged and elderly people in China","authors":"Huiwen Jiang ,&nbsp;Bojunhao Feng ,&nbsp;Yujia Wang ,&nbsp;Pu Ge ,&nbsp;Ke Lv ,&nbsp;Xinying Sun ,&nbsp;Yibo Wu","doi":"10.1016/j.dialog.2023.100138","DOIUrl":"10.1016/j.dialog.2023.100138","url":null,"abstract":"<div><h3>Introduction</h3><p>Lung function tests are valuable in assessing respiratory health and disease, and the Healthy China Initiative clearly states that people over 40 years of age should have a lung function test once a year. To explore the influence of propensity factors, ability factors, and need factors on lung function detection behaviors of middle-aged and elderly Chinese, the following studies are conducted.</p></div><div><h3>Method</h3><p>A questionnaire was designed using Anderson's model, and multi-stage sampling was used to conduct a nationwide questionnaire survey based on geographical subdivisions and population distribution. Frequency and percentages were used for descriptive statistical analysis of lung function testing among middle-aged and elderly people in China, and chi-square tests and binary logistic regression analyses were used to investigate the factors influencing lung function testing behavior among middle-aged and elderly people in China.</p></div><div><h3>Result</h3><p>A total of 404 study participants were included in this study. Education level (relative to primary school and below, middle school and high school and secondary school OR = 2.652, <em>P</em> = 0.018; college and above OR = 4.566, <em>P</em> = 0.002), mode of health care affordability (relative to those who paid for the test, non-payers OR = 2.205, <em>P</em> = 0.004), dimensions of the European Five Dimensional Health Scale (mobility OR = 4.571, <em>P</em> = 0.006; pain or discomfort OR = 0.397, <em>P</em> = 0.003; anxiety or depression OR = 0.511, <em>P</em> = 0.028), and self-efficacy (medium group 0R = 0.294, <em>P</em> &lt; 0.001; low group OR = 0.162, <em>P</em> = 0.003) had a significant impact on lung function testing behavior in our middle-aged and older adults.</p></div><div><h3>Conclusion</h3><p>This study found that there is still room for improvement in the participation of middle-aged and elderly people in lung function testing. Among the propensity factors, the factor that affects the rate of lung function tests is the highest degree of education, which determines the degree of patients' attention to lung function tests. Among the need factors, the factors affecting the rate of lung function detection are the physical conditions of middle-aged and elderly people, and those with poor physical conditions need medical detection. Among the ability factors, the factor that affects the rate of lung function tests is the way of bearing medical expenses, and economic status is the key factor that determines whether patients can accept lung function tests.</p></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"2 ","pages":"Article 100138"},"PeriodicalIF":0.0,"publicationDate":"2023-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42344645","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}

{"title":"The impact of the Sri Lankan economic crisis on medication adherence: An online cross-sectional survey","authors":"Ranil Jayawardena ,&nbsp;Wasana Kodithuwakku ,&nbsp;Piumika Sooriyaarachchi","doi":"10.1016/j.dialog.2023.100137","DOIUrl":"10.1016/j.dialog.2023.100137","url":null,"abstract":"<div><h3>Background</h3><p>The economic crisis in Sri Lanka has disarrayed the country's healthcare services, posing a challenge to people with chronic diseases on routine care. This study investigated the changes in medication adherence during the economic crisis.</p></div><div><h3>Methods</h3><p>A web-based cross-sectional survey was undertaken in July–August 2022. It assessed socio-demographics, diseases, medication adherence, and reasons for changes in compliance of respondents and their family members during the economic crisis. Descriptive statistics and multivariable logistic regression analysis were used.</p></div><div><h3>Findings</h3><p>A total of 1214 respondents, aged ≥18 years were included in the survey. The majority were females (60%). The main finding was that 39%, 41%, and 37% of participants, their family members, or children respectively have changed medication use during the crisis. Among those who changed their medication practices, the most significant change was the change in the brand, reported by 44.7% of the respondents. A similar pattern was observed among other family members, with 61.3% of adults and 53.8% of children switching brands. Respondents who lived outside the Colombo district had a significantly increased risk of changing medication (OR = 1.425, 95% CI = 1.020–1.992, <em>P</em> = 0.038). Respondents with monthly incomes of less than 100,000 LKR had a twofold greater risk of medication nonadherence compared to participants who earned more than 100,000 LKR per month (OR = 2.278, 95% CI = 1.37–3.78, <em>P</em> = 0.001). The most stated reason for changing medication among adults was the high cost of drugs, whereas among, children, the lack of access to drugs in the public or private sector was the leading cause of non-compliance.</p></div><div><h3>Interpretation</h3><p>The population's adherence to medication is negatively impacted by the economic crisis in Sri Lanka.</p></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"2 ","pages":"Article 100137"},"PeriodicalIF":0.0,"publicationDate":"2023-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42656784","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}

{"title":"Enhancing healthcare access during disasters and emergencies: Recommendations from Nepali migrants in Japan","authors":"Sushila Paudel ,&nbsp;Sakiko Kanbara","doi":"10.1016/j.dialog.2023.100136","DOIUrl":"10.1016/j.dialog.2023.100136","url":null,"abstract":"<div><p>Migrants in Japan often face difficulties accessing healthcare due to language barriers, lack of information, shortage of interpreters, amongst other barriers. With an increase in the number of foreigners in Japan, it is also expected that health and safety concerns for migrants will rise during times of crisis or disaster. The purpose of this article is to present recommendations from Nepali migrants themselves about various actions that stakeholders or policymakers could take to improve healthcare access during future disasters, emergencies, or crises in Japan. Recommendations from Nepali migrants in this study include mobilization of Nepali healthcare professionals, self-preparedness, a disaster information centre by the embassy, Nepali hotline services, telehealth services, and mutual help. By working together and leveraging available resources, it is possible to ensure that migrants are not left behind in the face of disasters and emergencies. Further research is required to determine the most effective ways to improve healthcare access for migrants in Japan during disasters, crises, or emergencies.</p></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"2 ","pages":"Article 100136"},"PeriodicalIF":0.0,"publicationDate":"2023-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48118092","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}

{"title":"Wealth inequalities in nutritional status among the tribal under-5 children in India: A temporal trend analysis using NFHS data of Jharkhand and Odisha states - 2006-21","authors":"S. Rekha ,&nbsp;P. Shirisha ,&nbsp;V.R. Muraleedharan ,&nbsp;Girija Vaidyanathan ,&nbsp;Umakant Dash","doi":"10.1016/j.dialog.2023.100135","DOIUrl":"10.1016/j.dialog.2023.100135","url":null,"abstract":"<div><h3>Background</h3><p>Undernutrition remains a major public health concern in India, especially among children belonging to the Scheduled Tribes (ST). In this study, we analyse wealth inequalities in nutritional outcomes within ST communities in two tribal-dominated states of India, namely, Odisha and Jharkhand. The study also compares the trends in nutrition outcomes between ST and Non-ST children in these states.</p></div><div><h3>Methods</h3><p>We have conducted a trend analysis of the prevalence and inequalities in the nutritional indicators among ST children under age five using unit-level data of the National Family Health Survey (NFHS) [NFHS-3(2005–06),4 (2015–16) and 5(2019–2021)]. Wealth-related inequalities were analysed using the Slope Index of Inequality (SII), which measures absolute inequality, and the relative Concentration Index (CIX), which measures relative inequality. We have also analysed the correlation between Antenatal Care (ANC) visits and nutritional indicators using the Pearson Correlation test.</p></div><div><h3>Results</h3><p>The trend analysis shows that the prevalence of undernutrition remains higher among ST children in India as compared to Non-ST children between NFHS-3 (2005–06) and NFHS-5 (2019–2020) in Jharkhand and Odisha. The SII and CIX values show that statistically significant inequalities in stunting and underweight exist among children belonging to various wealth quintiles within the ST category in both states. Wasting is found to be significantly prevalent across all wealth quintiles. Also, we found a negative association between ANC visits and all three nutritional indicators.</p></div><div><h3>Interpretation</h3><p>Our study highlights the importance of monitoring both the absolute and relative wealth inequalities in nutritional outcomes. This is due to the fact that while inequalities across groups may reduce, the prevalence of poor nutritional outcomes may increase among certain groups. Such observations, therefore, will enable policymakers to focus further on those groups and devise appropriate interventions.</p></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"2 ","pages":"Article 100135"},"PeriodicalIF":0.0,"publicationDate":"2023-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41654173","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}

{"title":"Katz index of activities of daily living in assessing functional status of older people: Reliability and validity of Sinhala version","authors":"Nirmala Rathnayake ,&nbsp;Ruvini Karunadasa ,&nbsp;Thilina Abeygunasekara ,&nbsp;Warsha De Zoysa ,&nbsp;Dhammika Palangasinghe ,&nbsp;Sarath Lekamwasam","doi":"10.1016/j.dialog.2023.100134","DOIUrl":"10.1016/j.dialog.2023.100134","url":null,"abstract":"<div><h3>Purpose</h3><p>This study evaluated the reliability and validity of the Sinhala version of Katz index of activities of daily living (ADL) in assessing the functional status of older people aged &gt;65 years.</p></div><div><h3>Materials and methods</h3><p>The Katz index was translated to Sinhala, cross-culturally adapted and administered in two stages. In stage 01, 200 patients aged ≥65 years, selected randomly from out-patient medical clinics, were asked to fill the Sinhala version of Katz index along with the Sinhala version of the 10-item Barthel index (BI). The Katz index was re-administered after two weeks among a subgroup of 45 patients selected randomly. In stage 02, Katz index was administered among randomly selected 200 community dwelling older people, aged ≥65 years. In addition, performance-based physical functions [gait speed (GS) and short physical performance battery (SPPB)] were also measured.</p></div><div><h3>Results</h3><p>The analysis of stage 01 data showed internal consistency measured with Cronbach's alpha of 0.82 and test-retest reliability evaluated with intra-class correlation (ICC) (95% CI) of 0.94 (0.89–0.96) (<em>p</em> &lt; 0.001). Exploratory Factor Analysis with the Principal Component Analysis revealed the presence of two factors with Eigen value exceeding 01, explaining 75.9% of cumulative variance. Further, the Sinhala version of Katz index total score showed a strong correlation with the BI total score (<em>r</em> = 0.91, <em>p</em> &lt; 0.001) indicating strong concurrent validity. The stage 02 data revealed that older people with poor perception of general health status had lower mean (SD) Katz index score (3.58 ± 1.82) compared to those with good perception of health (5.56 ± 0.79) (<em>p</em> &lt; 0.001). Similarly older people with prevalent diseases had comparatively lower scores of Katz index, compared to those without, indicating the known group validity (<em>p</em> &lt; 0.05). Further, moderate correlations between the Katz index and performance based physical functions were observed showing the agreement (with GS – r; −0.26, <em>p</em> &lt; 0.001, with SPPB – r; 0.31, p &lt; 0.001).</p></div><div><h3>Conclusions</h3><p>We conclude that the Sinhala version of Katz index has satisfactory psychometric properties and it is a reliable and valid tool to assess the functional status of Sinhala conversant older people in Sri Lanka.</p></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"2 ","pages":"Article 100134"},"PeriodicalIF":0.0,"publicationDate":"2023-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49130600","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}

{"title":"Maternal and child health indicators in primary healthcare facilities: Findings in a health systems quasi-experimental study in western Kenya","authors":"Fabian Esamai ,&nbsp;Ann Mwangi ,&nbsp;Mabel Nangami ,&nbsp;John Tabu ,&nbsp;David Ayuku ,&nbsp;Edwin Were","doi":"10.1016/j.dialog.2023.100133","DOIUrl":"10.1016/j.dialog.2023.100133","url":null,"abstract":"<div><h3>Background and purpose</h3><p>Maternal and infant mortality are higher in low-income than in high-income countries due to weak health systems. The objective of this study was to improve access, utilization and quality of Maternal and Child Health care through a predesigned Enhanced Health Care System (EHC) that embodies the World Health Organization (WHO) pillars of the health system.</p></div><div><h3>Design and methodology</h3><p>This study was conducted in two dispensaries in the Counties of Busia and Bungoma in Kenya as intervention sites and in four control clusters in Kakamega, Uasin Gishu, Trans Nzoia and Elgeyo Marakwet Counties. The study population was pregnant women and their children delivered over the study period in the intervention and control clusters.</p><p>A quasi-experimental study design was used to conduct the study between 2015 and 2020 to compare the outcomes of the implementation of the EHC using the Find Link Treat and Retain (FLTR) strategy in one cluster, community owned initiatives in the other cluster and four control clusters at baseline and at the end of the study. A baseline survey was conducted in year one and an end line survey in the fifth year. Continuous data collection on maternal and childhood health indicators was done in all the six clusters and comparison made at the end of the study between the clusters.</p></div><div><h3>Results</h3><p>We found a 26%, 10.3% and 0.8% increase in antenatal care (ANC) attendance in the intervention clusters of Obekai, Kabula and control clusters respectively. There was a 28.2%, 5.8% and 17.0% increase in attendance of 4+ ANC clinics of Obekai, Kabula and control clusters respectively. There was a 24% and 13% increase in Obekai and Kabula respectively in contraceptive use and a 2% decrease in contraceptive use in the control locations. There was a 38.2%, 25.6% and 34.7% increase in facility deliveries over the study period in Obekai, Kabula and control clusters respectively. There was a marked increase in immunization coverage in the intervention clusters of Obekai and Kabula compared to a significant decrease in control clusters for BCG, polio, pentavalent and measles.</p></div><div><h3>Conclusions and recommendations</h3><p>In conclusion, use of the health systems approach in health care provision provides a holistic improvement in access and utilization of health services and in the improvement of health indicators.</p><p>We do recommend that a systems approach be used in health services delivery to improve access, utilization and quality of health care provision at community and primary care levels.</p></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"2 ","pages":"Article 100133"},"PeriodicalIF":0.0,"publicationDate":"2023-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44835161","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}

{"title":"“Long walk to 2030”: A bibliometric and systematic review of research trends on the UN sustainable development goal 3","authors":"Saheed Adekunle Raji ,&nbsp;Michael Olusegun Demehin","doi":"10.1016/j.dialog.2023.100132","DOIUrl":"10.1016/j.dialog.2023.100132","url":null,"abstract":"<div><h3>Background</h3><p>Since the initiation of the Sustainable Development Goals (SDGs) by the United Nations in 2015, researchers worldwide have investigated various aspects of it. One of the key areas of interest is the third SDG, which focuses on health, with its series of indicators.</p></div><div><h3>Objective</h3><p>This study aims to analyze the contributions of academia by using bibliographic mapping to examine scholarly publications on SDG health from 2015 to 2021.</p></div><div><h3>Methods</h3><p>We analyzed bibliographic data from The Lens database between 2015 and 2021 using Bibliometrix page and VOSviewer. Our analysis focused on scholarly productivity, bibliometric analysis, and geographic distribution of the outputs.</p></div><div><h3>Results</h3><p>We retrieved a total of 450 documents from The Lens database, with articles being the most dominant document typology at 99.8%. The mean age of the documents was 3.85 years, with a total of 18,440 citations. The mean citation per document was 40.98, and the mean citation per document per year was 5.85. The leading article, published in The Lancet journal, studied the effect of multiple adverse childhood experiences on health and received 1809 citations in five years. Keyword co-occurrence analysis generated three clusters, with the keyword ‘human’ appearing in 75.11% of all the publications. The University of London and World Health Organization were the leading institutions, while the United Kingdom, the United States, and Switzerland were the most productive countries.</p></div><div><h3>Conclusion</h3><p>This study provides policymakers working on SDG health with valuable insights into research gaps within the indicators and funding challenges facing developing countries.</p></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"2 ","pages":"Article 100132"},"PeriodicalIF":0.0,"publicationDate":"2023-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45030607","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}

{"title":"What do popular YouTube videos say about genetically modified foods? A content analysis","authors":"Sawyer I. Basch ,&nbsp;Lalitha Samuel ,&nbsp;Joseph Fera","doi":"10.1016/j.dialog.2023.100131","DOIUrl":"10.1016/j.dialog.2023.100131","url":null,"abstract":"<div><h3>Purpose</h3><p>YouTube is one of the most popular media sharing platforms that facilitates both professionals and lay people to participate in dissemination of knowledge and opinions. Its wide-reaching impact allows both top-down and bottom-up flow of information between experts and lay audience. With a vast proportion of Americans obtaining health-related information digitally, the purpose of this study was to describe the content of 100 most viewed YouTube videos in the English language, specific to genetically modified foods (GMFs).</p></div><div><h3>Methods</h3><p>Using the search terms “genetically modified foods” the URLs and metadata for 100 English YouTube videos with the highest viewership were curated. Each video was viewed, and dichotomously coded for the absence or presence of ten content categories. Descriptive statistics, percentages of categorical variables and independent one-tailed t-tests (α=.05) were conducted to assess the statistical effect of the absence or presence of these categories on the number of views and likes garnered by the videos.</p></div><div><h3>Results</h3><p>Cumulatively, the 100 videos observed received 65,536,885 views and 1,328,605 likes. Only 7% of the videos were created by professionally credentialed individuals or organizations. More than 90% of the sampled videos described GMFs with an example, 50% mentioned their role in alleviating hunger, and 65% mentioned ecological concerns attributed to GMFs.</p></div><div><h3>Conclusions</h3><p>Our results underscore the need for health professionals to increase their digital presence on online media sharing platforms such as YouTube, and capitalize on its pervasiveness as potential conduits of accurate scientific information to equip consumers make evidence-based, informed decision regarding GMFs.</p></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"2 ","pages":"Article 100131"},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43289893","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}

{"title":"Effect of emotion-based nutrition messages on consumption of calcium-rich foods among early adolescents in Ogbomoso, Nigeria","authors":"Oluwaseun Ariyo ,&nbsp;Olubunmi Alabi ,&nbsp;Elizabeth O. Aleru ,&nbsp;Tomilola J. Ojo","doi":"10.1016/j.dialog.2023.100130","DOIUrl":"10.1016/j.dialog.2023.100130","url":null,"abstract":"<div><h3>Introduction</h3><p>Calcium is a vital micronutrient for several physiological processes, yet it remains one of the significant shortfall nutrients among Nigerian adolescents.</p></div><div><h3>Objective</h3><p>This study was designed to assess the effect of emotion-based nutrition messages on the consumption of calcium-rich foods among early adolescents in Ogbomoso, Nigeria.</p></div><div><h3>Methodology</h3><p>The quasi-experimental study involved 220 adolescents (experimental: 110 and control: 110) selected using a three-stage sampling procedure. A semi-structured, interviewer-administered questionnaire was used to collect socio-demographic characteristics, dietary practice, calcium-rich foods consumption pattern, calcium intake, and anthropometric parameters. Second, calcium-rich foods consumption pattern was assessed using a food frequency questionnaire, and intake was evaluated using the multi-pass 24-hour dietary recall to define adequacy at intake level ≥1,300 mg per day. Third, the experimental group had five weeks of nutrition education using emotion-based nutrition messages. Data were analyzed using descriptive statistics and the Chi-square test at p &lt; 0.05.</p></div><div><h3>Results</h3><p>The age of respondents (years) in experimental (12.88±1.41) and control (13.4±1.03) groups was similar. Primary dietary calcium sources were meat, chicken, egg, white beans, cheese, soy milk, oranges, and locust beans at baseline. At post-intervention, intake of other calcium-rich foods such as milk, yogurt, ice cream, okra, sardine, and unripe plantain increased, however, calcium intake remains similar in both control (238.41±92.4 mg; 235.40±92.92 mg) and experimental groups (239.76±51 mg; 241.46±100.89 mg) at baseline and post-intervention, respectively. The overall calcium intake of the adolescents remains below the recommended intake level of 1,300 mg.</p></div><div><h3>Conclusion</h3><p>Emotion-based nutritional messages did not significantly increase the total calcium intake among early adolescents.</p></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"2 ","pages":"Article 100130"},"PeriodicalIF":0.0,"publicationDate":"2023-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43155403","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}