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Rogers M, Johnson A, Coffey Y, Fielding J, Harrington I, Bhullar N. Parental perceptions of social and emotional well-being of young children from Australian military families. Aust J Rural Health 2023; 31:1090-1102. [PMID: 37622610 DOI: 10.1111/ajr.13033] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2023] [Revised: 07/25/2023] [Accepted: 08/06/2023] [Indexed: 08/26/2023] Open
Abstract
INTRODUCTION Many Australian Defence Force (ADF) and Veteran families are affected by the stressors of Defence family life, including frequent and prolonged parental deployments, and frequent relocations. OBJECTIVE To address a gap in information about Defence and Veteran (hereafter Defence) parents' knowledge, confidence and resources to support their young children's well-being and build their resilience. DESIGN This study used a mixed methods design to explore Defence parent's perceptions of their young children's (aged 2-8 years) social and emotional well-being and understanding of their children's responses to unique stressors as well as their confidence in providing support. Data from 41 parents were available. FINDINGS Overall, parents reported positive well-being evaluation of their children. However, just over a third of parents also reported that their children rarely cope well on two indicators combined (adapting to new situations and sharing negative emotions with others). Significantly, more than half of the parents (61%) were only partially confident in their ability to assist their children to cope with unique stressors in military families. Qualitative data provided further insights into children's struggle with relocations and parental absence and the challenges parents face in supporting them. Parents reported having limited access to effective age- and culturally appropriate resources to support their young children. DISCUSSION In a first-of-its kind study, we found that Australian Defence parents reported their young children were coping on most of the key well-being indicators. However, awareness of currently available supports for children remains a barrier as well as access to contextualised, age- and culturally appropriate resources are lacking. CONCLUSION There is a need for access to free, quality, online, research-based Australian resources to support young children from Defence families, especially for those living in regional and rural locations and are less likely to have access to mental health and other specialist supports.
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Affiliation(s)
- Marg Rogers
- School of Education, University of New England, Armidale, New South Wales, Australia
- Manna Institute, University of New England, Armidale, New South Wales, Australia
| | - Amy Johnson
- School of Education and the Arts, Central Queensland University, Rockhampton, Queensland, Australia
| | - Yumiko Coffey
- School of Education, University of New England, Armidale, New South Wales, Australia
| | - Jill Fielding
- School of Education, University of New England, Armidale, New South Wales, Australia
| | - Ingrid Harrington
- School of Education, University of New England, Armidale, New South Wales, Australia
| | - Navjot Bhullar
- Discipline of Psychology, Edith Cowan University, Perth, Western Australia, Australia
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2
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Bykowski KA. Management of primary hypertension in rural populations. Nurse Pract 2022; 47:30-37. [PMID: 35604296 DOI: 10.1097/01.npr.0000829796.72770.72] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
ABSTRACT Hypertension affects almost 20% of Canada's population and is even more prevalent in rural locations due to decreased availability of healthcare; lower income levels and levels of formal education; and higher rates of obesity, smoking, and alcohol use, among others. This article uses current evidence to describe the management of primary hypertension in rural populations.
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Affiliation(s)
- Kathleen A Bykowski
- Kathleen A. Bykowski is an RN currently enrolled in the Master of Nursing, Nurse Practitioner program at the University of Alberta in Edmonton, Alberta, Canada
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3
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He L, Wang K, Wang J, Zhang Z, Wang Y, Li T, Wu Y, Zhang S, Zhang S, Yang H. The effect of serving as a danwei leader before retirement on self-rated post-retirement health: empirical evidence from China. BMC Public Health 2022; 22:573. [PMID: 35321667 PMCID: PMC8941785 DOI: 10.1186/s12889-022-12937-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2021] [Accepted: 03/07/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Worker health is often influenced by their occupation type, and the accumulative effect of occupation has a significant impact on their health after retirement. Studies show that the type and level of occupation before retirement directly impact workers' self-rated post-retirement health. However, there is little research on the self-rated post-retirement health of danwei leaders in China. This study seeks to examine the self-rated health level of Chinese danwei leaders after retirement. Furthermore, the differences between their self-rated health level and that of retirees from other occupations are explored by examining the accumulative effect of occupation and the mechanism underlying these differences. METHODS Based on 5,910 samples' data from the 2018 China Longitudinal Aging Social Survey, ordinary least squares, logit, and propensity score matching models are used to investigate the self-rated health level of Chinese danwei leaders after retirement, their differences with other occupations, and the corresponding mechanism. RESULTS The results show that retired danwei leaders have higher self-rated health levels than retirees in other occupations. This was mainly found among female, non-eastern, married, not living with children, and highly educated respondents. The difference in self-rated health between retired danwei leaders and other retired groups was influenced by their post-retirement income and social status. CONCLUSIONS In China, retired danwei leaders rated their health higher than retirees from other occupations. Danwei leaders have high socioeconomic status due to their occupation. Compared with other groups, their advantages are significant and enjoyed for a long time. Additionally, most danwei leaders have high social influence even after retirement and their higher income and social status have a positive impact on their self-rated health compared with other employees. This study provides empirical evidence from China and extends current literature on the effects of occupational type and level on self-rated health after retirement.
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Affiliation(s)
- Li He
- School of Philosophy, Zhongnan University of Economics and Law, Wuhan, Hubei, China
| | - Kun Wang
- School of Philosophy, Zhongnan University of Economics and Law, Wuhan, Hubei, China
| | - Jiangyin Wang
- School of Philosophy, Zhongnan University of Economics and Law, Wuhan, Hubei, China
| | - Zixian Zhang
- School of Philosophy, Zhongnan University of Economics and Law, Wuhan, Hubei, China
| | - Yuting Wang
- School of Philosophy, Zhongnan University of Economics and Law, Wuhan, Hubei, China
| | - Tianyang Li
- School of Philosophy, Zhongnan University of Economics and Law, Wuhan, Hubei, China
| | - Yuanyang Wu
- School of Public Administration, Zhongnan University of Economics and Law, No. 182, Nanhu Avenue, Donghu New Technology Development Zone, Wuhan, Hubei, China
| | - Shuo Zhang
- School of Public Administration, Zhongnan University of Economics and Law, No. 182, Nanhu Avenue, Donghu New Technology Development Zone, Wuhan, Hubei, China
| | - Siqing Zhang
- School of Public Administration, Zhongnan University of Economics and Law, No. 182, Nanhu Avenue, Donghu New Technology Development Zone, Wuhan, Hubei, China
| | - Hualei Yang
- School of Public Administration, Zhongnan University of Economics and Law, No. 182, Nanhu Avenue, Donghu New Technology Development Zone, Wuhan, Hubei, China.
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4
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Díaz-Geada A, Obradors-Rial N, Baena A, Teixidó-Compañó E, Colillas-Malet E, Mallah N, Moure-Rodríguez L, Caamaño-Isorna F, Barón-Garcia T. Contextual Determinants in Alcohol, Tobacco and Cannabis Consumption, Mood and Bullying during Adolescence. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:8480. [PMID: 34444240 PMCID: PMC8393869 DOI: 10.3390/ijerph18168480] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/23/2021] [Revised: 08/05/2021] [Accepted: 08/07/2021] [Indexed: 12/02/2022]
Abstract
The present study aimed to explore the differences in the consumption of alcohol, tobacco and cannabis, mood and bullying between adolescents. A cross-sectional study was carried out in five regions of Northern Spain (one in Galiza and four in central Catalonia) that share similar socioeconomic characteristics and encompass around 10,000 inhabitants each. Students living in Burela, Galiza (N = 71) were compared to those of Central Catalonia (N = 193). The independent variable was the municipality of residence. The dependent variables encompassed: weekly available pocket money, Family Affluence Scale, self-classified academic qualification, place of origin, alcohol consumption, tobacco and cannabis smoking, negative mood and bullying. The mean age and their 95% confidence intervals (95% CI) of participants were similar between the regions (Burela: 15.90 years (15.68-16.13) and Central Catalonia: 15.36 years (15.28-15.44)). More than half of the participants were females (Burela, Galiza (53.5%) and Catalonia (54.9%)). Prevalence ratios (PR) and their 95% CI were estimated using Poisson regression models. In comparison with adolescents from Burela (Galiza), those living in Central Catalonia had higher prevalence of diverse academic levels (adjusted PR = 3.92 (1.78-8.66)), tobacco consumption (adjusted PR = 2.41 (1.47-3.97)) and negative mood (adjusted PR = 5.97 (3.05-11.70)). Even when dealing with regions with similar socioeconomic characteristics and number of inhabitants, differences exist in terms of the socioeconomic level, tobacco consumption, mood and bullying, as reported by adolescents.
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Affiliation(s)
- Ainara Díaz-Geada
- Department of Public Health, University of Santiago de Compostela, 15782 Santiago de Compostela, Spain; (A.D.-G.); (N.M.); (L.M.-R.)
| | - Núria Obradors-Rial
- Faculty of Health Sciences of Manresa, University of Vic—Central University of Catalonia (UVic-UCC), 08242 Manresa, Spain; (N.O.-R.); (E.T.-C.); (E.C.-M.); (T.B.-G.)
| | - Antoni Baena
- Faculty of Health Sciences, Universitat Oberta de Catalunya (UOC), 08018 Barcelona, Spain;
- Tobacco Control Unit, Cancer Control and Prevention Programme, Institut Català d’Oncologia—ICO, Av. Granvia de L’Hospitalet 199-203, 08908 Barcelona, Spain
| | - Ester Teixidó-Compañó
- Faculty of Health Sciences of Manresa, University of Vic—Central University of Catalonia (UVic-UCC), 08242 Manresa, Spain; (N.O.-R.); (E.T.-C.); (E.C.-M.); (T.B.-G.)
| | - Ester Colillas-Malet
- Faculty of Health Sciences of Manresa, University of Vic—Central University of Catalonia (UVic-UCC), 08242 Manresa, Spain; (N.O.-R.); (E.T.-C.); (E.C.-M.); (T.B.-G.)
| | - Narmeen Mallah
- Department of Public Health, University of Santiago de Compostela, 15782 Santiago de Compostela, Spain; (A.D.-G.); (N.M.); (L.M.-R.)
- Biomedical Research Networking Center for Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
- Health Research Institute of Santiago de Compostela (IDIS), 15706 Santiago de Compostela, Spain
| | - Lucía Moure-Rodríguez
- Department of Public Health, University of Santiago de Compostela, 15782 Santiago de Compostela, Spain; (A.D.-G.); (N.M.); (L.M.-R.)
| | - Francisco Caamaño-Isorna
- Department of Public Health, University of Santiago de Compostela, 15782 Santiago de Compostela, Spain; (A.D.-G.); (N.M.); (L.M.-R.)
- Biomedical Research Networking Center for Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
| | - Tivy Barón-Garcia
- Faculty of Health Sciences of Manresa, University of Vic—Central University of Catalonia (UVic-UCC), 08242 Manresa, Spain; (N.O.-R.); (E.T.-C.); (E.C.-M.); (T.B.-G.)
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5
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Faulkner MR, Barker LC, Vigod SN, Dennis CL, Brown HK. Collective impact of chronic medical conditions and poverty on perinatal mental illness: population-based cohort study. J Epidemiol Community Health 2019; 74:158-163. [PMID: 31678966 DOI: 10.1136/jech-2019-212714] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2019] [Revised: 10/15/2019] [Accepted: 10/19/2019] [Indexed: 11/04/2022]
Abstract
BACKGROUND Chronic medical conditions (CMCs) and poverty commonly co-occur and, while both have been shown to independently increase the risk of perinatal mental illness, their collective impact has not been examined. METHODS This population-based study included 853 433 Ontario (Canada) women with a singleton live birth and no recent mental healthcare. CMCs were identified using validated algorithms and disease registries, and poverty was ascertained using neighbourhood income quintile. Perinatal mental illness was defined as a healthcare encounter for a mental health or substance use disorder in pregnancy or the first year postpartum. Modified Poisson regression was used to test the independent impacts of CMC and poverty on perinatal mental illness risk, adjusted for covariates, and additive interaction between the two exposures was assessed using the relative excess risk due to interaction (RERI) and synergy index (SI). RESULTS CMC and poverty were each independently associated with increased risk of perinatal mental illness (CMC vs no CMC exposure: 19.8% vs 15.6%, adjusted relative risk (aRR) 1.21, 95% CI (CI) 1.20 to 1.23; poverty vs no poverty exposure: 16.7% vs 15.5%, aRR 1.06, 95% CI 1.05 to 1.07). However, measures of additive interaction for the collective impact of both exposures on perinatal mental illness risk were not statistically significant (RERI 0.02, 95% CI -0.01 to 0.06; SI 1.09, 95% CI 0.95 to 1.24). CONCLUSION CMC and poverty are independent risk factors for perinatal mental illness and should be assessed as part of a comprehensive management programme that includes prevention strategies and effective screening and treatment pathways.
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Affiliation(s)
- Mary-Rose Faulkner
- Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.,ICES, Toronto, Ontario, Canada
| | - Lucy C Barker
- ICES, Toronto, Ontario, Canada.,Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.,Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada
| | - Simone N Vigod
- ICES, Toronto, Ontario, Canada.,Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.,Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada
| | - Cindy-Lee Dennis
- Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.,Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada
| | - Hilary K Brown
- ICES, Toronto, Ontario, Canada .,Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.,Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.,Interdisciplinary Centre for Health & Society, University of Toronto Scarborough, Toronto, Ontario, Canada
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van der Spuy I, Karunanayake CP, Dosman JA, McMullin K, Zhao G, Abonyi S, Rennie DC, Lawson J, Kirychuk S, MacDonald J, Jimmy L, Koehncke N, Ramsden VR, Fenton M, Marchildon GP, King M, Pahwa P. Determinants of excessive daytime sleepiness in two First Nation communities. BMC Pulm Med 2017; 17:192. [PMID: 29233159 PMCID: PMC5726026 DOI: 10.1186/s12890-017-0536-x] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2017] [Accepted: 11/29/2017] [Indexed: 12/27/2022] Open
Abstract
Background Excessive daytime sleepiness may be determined by a number of factors including personal characteristics, co-morbidities and socio-economic conditions. In this study we identified factors associated with excessive daytime sleepiness in 2 First Nation communities in rural Saskatchewan. Methods Data for this study were from a 2012–13 baseline assessment of the First Nations Lung Health Project, in collaboration between two Cree First Nation reserve communities in Saskatchewan and researchers at the University of Saskatchewan. Community research assistants conducted the assessments in two stages. In the first stage, brochures describing the purpose and nature of the project were distributed on a house by house basis. In the second stage, all individuals age 17 years and older not attending school in the participating communities were invited to the local health care center to participate in interviewer-administered questionnaires and clinical assessments. Excessive daytime sleepiness was defined as Epworth Sleepiness Scale score > 10. Results Of 874 persons studied, 829 had valid Epworth Sleepiness Scale scores. Of these, 91(11.0%) had excessive daytime sleepiness; 12.4% in women and 9.6% in men. Multivariate logistic regression analysis indicated that respiratory comorbidities, environmental exposures and loud snoring were significantly associated with excessive daytime sleepiness. Conclusions Excessive daytime sleepiness in First Nations peoples living on reserves in rural Saskatchewan is associated with factors related to respiratory co-morbidities, conditions of poverty, and loud snoring.
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Affiliation(s)
- Ina van der Spuy
- School of Physical Therapy, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK, S7N 2Z4, Canada
| | - Chandima P Karunanayake
- Canadian Centre for Health and Safety in Agriculture, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK, S7N 2Z4, Canada
| | - James A Dosman
- Canadian Centre for Health and Safety in Agriculture, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK, S7N 2Z4, Canada.,Department of Medicine, College of Medicine, University of Saskatchewan, 103 Hospital Drive, Saskatoon, SK, S7N 0W8, Canada
| | - Kathleen McMullin
- First Nations University of Canada, Prince Albert Campus, 1301 Central Avenue, Prince Albert, SK, S6V 4W1, Canada
| | - Gaungming Zhao
- Canadian Centre for Health and Safety in Agriculture, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK, S7N 2Z4, Canada
| | - Sylvia Abonyi
- Department of Community Health and Epidemiology, College of Medicine, University of Saskatchewan, 107 Wiggins Road, Saskatoon, SK, S7N 5E5, Canada
| | - Donna C Rennie
- Canadian Centre for Health and Safety in Agriculture, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK, S7N 2Z4, Canada.,College of Nursing, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK, S7N 2Z4, Canada
| | - Joshua Lawson
- Canadian Centre for Health and Safety in Agriculture, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK, S7N 2Z4, Canada.,Department of Medicine, College of Medicine, University of Saskatchewan, 103 Hospital Drive, Saskatoon, SK, S7N 0W8, Canada
| | - Shelley Kirychuk
- Canadian Centre for Health and Safety in Agriculture, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK, S7N 2Z4, Canada.,Department of Medicine, College of Medicine, University of Saskatchewan, 103 Hospital Drive, Saskatoon, SK, S7N 0W8, Canada
| | | | - Laurie Jimmy
- Community B, Montreal Lake, Saskatoon, SK, Canada
| | - Niels Koehncke
- Canadian Centre for Health and Safety in Agriculture, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK, S7N 2Z4, Canada.,Department of Medicine, College of Medicine, University of Saskatchewan, 103 Hospital Drive, Saskatoon, SK, S7N 0W8, Canada
| | - Vivian R Ramsden
- Department of Academic Family Medicine, University of Saskatchewan, West Winds Primary Health Centre, 3311 Fairlight Drive, Saskatoon, SK, S7M 3Y5, Canada
| | - Mark Fenton
- Division of Respirology, Critical Care and Sleep Medicine, Department of Medicine, College of Medicine, University of Saskatchewan, 103 Hospital Drive, Saskatoon, SK, S7N 0W8, Canada
| | - Gregory P Marchildon
- Institute of Health Policy, Management and Evaluation, University of Toronto, Suite 425, 155 College Street, Toronto, ON, M5T 3M6, Canada
| | - Malcolm King
- Faculty of Health Sciences, Simon Fraser University, 8888 University Drive, Burnaby, BC, V5A 1S6, Canada
| | - Punam Pahwa
- Canadian Centre for Health and Safety in Agriculture, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK, S7N 2Z4, Canada. .,Department of Community Health and Epidemiology, College of Medicine, University of Saskatchewan, 107 Wiggins Road, Saskatoon, SK, S7N 5E5, Canada.
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Cohort profile: the Saskatchewan Rural Health Study-adult component. BMC Res Notes 2017; 10:732. [PMID: 29228973 PMCID: PMC5725811 DOI: 10.1186/s13104-017-3047-1] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2017] [Accepted: 11/30/2017] [Indexed: 11/10/2022] Open
Abstract
OBJECTIVES Less is known about the respiratory health of general farming and non-framing populations. A longitudinal Saskatchewan Rural Health Study (SRHS) was conducted to explore the association between individual and contextual factors with respiratory health outcomes in these populations. Hence, the objectives are to: (i) describe the updated methodology of longitudinal SRHS-an extension of baseline survey methodology published earlier; (ii) compare baseline characteristics and the prevalences of respiratory health outcomes between drops-outs and completers; and (iii) summarize key findings based on baseline survey data. RESULTS The SRHS was a prospective cohort study conducted in two phases: baseline survey in 2010 and a follow-up in 2014. Each survey consisted of two components, self-administered questionnaire and clinical assessments. At baseline, 8261 participants (≥ 18 years) (4624 households) and at follow-up, 4867 participants (2797 households) completed the questionnaires. Clinical assessments on lung functions and/or allergies were conducted among a sub-group of participants from both the surveys. To date, we published 15 peer-reviewed manuscripts and 40 abstracts in conference proceedings. Findings from the study will improve the knowledge of respiratory disease etiology and assist in the development and targeting of prevention programs for rural populations in Saskatchewan, Canada.
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Chen Y, Rennie DC, Karunanayake CP, Janzen B, Hagel L, Pickett W, Dyck R, Lawson J, Dosman JA, Pahwa P. Income adequacy and education associated with the prevalence of obesity in rural Saskatchewan, Canada. BMC Public Health 2015. [PMID: 26205987 PMCID: PMC4513791 DOI: 10.1186/s12889-015-2006-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
Background Obesity is prevalent in rural communities in Canada, however little is known about the social determinants of health and obesity in rural populations. Socioeconomic status has been found to be inversely associated with the risk of obesity in developed countries. This study investigated the relationship between income adequacy, education and obesity in a rural setting. Methods The study used data from 5391 adults aged 18–69 who participated in the Saskatchewan Rural Health Study in 2010. Participants completed a survey that included questions about location of residence, body weight, height, and socio-demographic and behavioral factors. Obesity was defined as body mass index being ≥ 30 kg/m2. Logistic regression using generalized estimating equation was conducted to assess the associations of income adequacy and education level with the prevalence of obesity taking covariates into consideration. Results Approximately a third of the participants were obese and the prevalence of obesity was similar for men and women. The prevalence of obesity was significantly higher for rural residents not living on farm compared with those living on farm (p < 0.05). After adjustment for potential confounders, the risk of obesity was increased for those with ≤ 12 years of education compared with those with > 12 years of education (aOR: 1.18; 95 % CI: 1.05 - 1.34). Low income adequacy was significantly associated with an increased risk of obesity but only among those not living on farm (aOR: 1.80; 95 % CI: 1.16 – 2.79). Conclusions Home location was associated with obesity prevalence in rural Saskatchewan and modified the influence of income adequacy, but not the influence of education, on obesity. Adults not living on farm had an increased risk of obesity and showed a significant impact of income adequacy on obesity.
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Affiliation(s)
- Yue Chen
- Department of Epidemiology and Community Medicine, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
| | - Donna C Rennie
- Canadian Centre for Health and Safety in Agriculture, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK, S7N 2Z4, Canada. .,College of Nursing, University of Saskatchewan, Saskatoon, SK, Canada.
| | - Chandima P Karunanayake
- Canadian Centre for Health and Safety in Agriculture, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK, S7N 2Z4, Canada.
| | - Bonnie Janzen
- Department of Community Health and Epidemiology, University of Saskatchewan, Saskatoon, SK, Canada.
| | - Louise Hagel
- Canadian Centre for Health and Safety in Agriculture, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK, S7N 2Z4, Canada.
| | - William Pickett
- Department of Community Health and Epidemiology, Queen's University, Kingston, ON, Canada.
| | - Roland Dyck
- Department of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
| | - Joshua Lawson
- Canadian Centre for Health and Safety in Agriculture, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK, S7N 2Z4, Canada.
| | - James A Dosman
- Canadian Centre for Health and Safety in Agriculture, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK, S7N 2Z4, Canada.
| | - Punam Pahwa
- Canadian Centre for Health and Safety in Agriculture, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK, S7N 2Z4, Canada.
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