Association between glucose levels of children with type 1 diabetes and parental economic status in mobile health application

BACKGROUND The glycemic control of children with type 1 diabetes(T1D)may be influenced by the economic status of their parents.AIM To investigate the association between parental economic status and blood glucose levels of children with T1D using a mobile health application.METHODS Data from children with T1D in China's largest T1D online community,Tang-TangQuan■.Blood glucose levels were uploaded every three months and parental economic status was evaluated based on annual household income.Children were divided into three groups:Low-income(<30000 Yuan),middle-income(30000-100000 Yuan),and high-income(>100000 yuan)(1 Yuan=0.145 United States Dollar approximately).Blood glucose levels were compared among the groups and associations were explored using Spearman’s correlation analysis and multivariable logistic regression.RESULTS From September 2015 to August 2022,1406 eligible children with T1D were included(779 female,55.4%).Median age was 8.1 years(Q1-Q3:4.6-11.6)and duration of T1D was 0.06 years(0.02-0.44).Participants were divided into three groups:Low-income(n=320),middle-income(n=724),and high-income(n=362).Baseline hemoglobin A1c(HbA1c)levels were comparable among the three groups(P=0.072).However,at month 36,the low-income group had the highest HbA1c levels(P=0.036).Within three years after registration,glucose levels increased significantly in the low-income group but not in the middle-income and high-income groups.Parental economic status was negatively correlated with pre-dinner glucose(r=-0.272,P=0.012).After adjustment for confounders,parental economic status remained a significant factor related to pre-dinner glucose levels(odds ratio=13.02,95%CI:1.99 to 126.05,P=0.002).CONCLUSION The blood glucose levels of children with T1D were negatively associated with parental economic status.It is suggested that parental economic status should be taken into consideration in the management of T1D for children.

IMMIGRATION, GEOGRAPHIC DISTRIBUTION AND SOCIAL ECONOMIC STATUS OF AMERICAN CHINESE

In 1994, the total Chinese population in the United States were 2,017,799 which were 0.8 percent of the total US population. The Chinese population were highly concentrated by regions and among the total population. By states, 42 percent of total Chinese population were found in California, 17 percent in New York. More than 80 percent total Chinese population were concentrated in 9 states. By metropolitan areas, 14.73 percent of total Chinese population were found in Los Angeles and New York respectively. Compared with the total US population, 60 percent Chinese population were found in less than 20 percent total US population and 80 percent in 50 percent. By studying the Chinese population distribution and the reason behind it, we hope to find some interesting relationships among the characteristics of this distribution and the historical, cultural, social and economic factors influencing it.

Economic Status and Social Attitudes of Migrant Workers in China

Migrant workers, meaning those who used to be farmers but have left rural areas and found jobs in cities as a result of economic reform and rapid development in China, have made a significant contribution to the burgeoning labor market and played an important role in speeding up the transition from a planned to a market economy. This present paper considers the economic status and social attitudes of migrant workers. It is based on the analysis of a large-scale survey in 2006, which was conducted using questionnaires and covered 28 provinces, municipalities and autonomous regions throughout the country. It was found that the income status of migrant workers depends heavily on the education and technical skills that they have developed, rather than on identity-based discrimination. Surprisingly, it was also found that those on less income and of lower economic and social status show more positive attitudes to society than those who are affluent and considered of higher social status. It is concluded that the decisive factor in attitude and behavior of migrant workers is historic rather than economic.

Blood pressure-controlling behavior in relation to educational level and economic status among hypertensive women in Ghana

Objective:To explore the association between economic status and educational level with self-management behavior(medication adherence,controlling body weight,reducing salt intake,performing physical exercise,reducing alcohol consumption,abstaining from smoking,increasing fruit and vegetable consumption)among hypertensive women in Ghana.Methods:Cross-sectional data on 598 women were collected from the Ghana Demographic and Health Survey of 2014.The association between economic status and educational level with self-management behavior was measured by logistic regression methods.Results:Mean systolic blood pressure and diastolic blood pressure were 131.4 and 86.58 mm Hg,respectively.With regard to self-management behavior,81.8%of women reported taking medication to control high blood pressure,44.4%reported controlling body weight,22.5%reported reducing salt intake,48.3%reported performing physical exercise,74.2%reported reducing alcohol consumption,74.2%reported abstaining from alcohol and smoking,and 20.2%reported consuming more fruits and vegetables.Women living in the wealthiest households had significantly higher odds of maintaining healthy weight,reducing salt intake,and exercising.Conclusion:The findings imply that socioeconomic factors may play important roles in women’s adherence to blood pressure-controlling behavior.It is therefore suggested that policy makers focus on improving women’s economic status as a strategy to encourage cardiovascular health-promoting behavior.

Childhood economic status predicting later income： the role of networking ability and encouragement of participation

Drawing from a social capital perspective, this study examines the psychological mechanism and boundary conditions of the relationship between individuals＇ childhood economic status （CES） and later income. Specifically, we tested the mediating role of networking ability and the moderating role of encouragement of participation in this relationship. With a sample of 3635 employees in China and the use of multistage stratified sampling, the results indicate that networking ability mediates the CES and later income relationship. Moreover, encouragement of participation acts as a necessary condition in the relationship between networking ability and later income. Specifically, when encouragement of participation was high, increased networking ability was associated with increased later income. When encouragement of participation was low, the positive relationship between employees＇ networking ability and later income was no longer significant. Finally, the indirect effect of CES on later income mediated by networking ability was stronger for organizations with a higher level of encouragement of participation. Findings and future directions in the theory and practice of career development are discussed.

An Analysis of the Relationship Between the Education Attainment and Economic Status of the Elderly Population in the Towns and Cities of China

Viewed from a macro scope,the cultureof a community is closely related to its econ-omy.Economy being the basis,the level ofeconomic growth determines the level ofcultural development.Conversely,culturecan act as the precursor and cultural devel-opment enhances economic growth.Likewise,the education attainment of an in-dividual reflects the same sort

Relationship between family economic status and dental fluorosis of primary school students in Douqing Minority Village of Shuicheng County,Guizhou Province

Objective To investigate ethnic belonging,family economic status,staple food,dental fluorosis and urinary fluoride level of primary school students in Douqing Minority(Miao and Yi)Village,where is a severe area of coal-burning type of endemic fluorosis,in order to provide a base for diminishing the disease in ethnic minori-

NEW STATUS OF THE LOESS PLATEAU IN CHINA'S ECONOMIC DEVELOPMENT

impovensnment ana backwardness usea 10 be me common impression the me Loess Plateau. In thewake of the current reform drive and "open-door" policy, the Loess Plateau has seen a burgeoning development in the regional economy that is now driven by a new momentum. Viewed from the increase of its grain output, exploitation of the land resources and fruit production, establishment of energy bases, soil-and-water conservation and other aspects, this article delineates a brand-new and panoramic blueprint for the Plateau’s future. So a new status in the development of China’s national economy is endowed to the Plateau.

Prevalence and correlates of lifestyle behavior,anxiety and depression in Chinese college freshman:A cross-sectional survey

Objectives:First-year college students had exposure to unhealthy lifestyle behaviors that correlate with a high prevalence of anxiety and depression.Regarding to the modifiable lifestyle behaviors factors,this study investigated the prevalence and correlation of multiple lifestyle behaviors,anxiety and depression in a sample of Chinese first-year college students.Methods:Cross-sectional data were extracted from Residents eHealth app of health lifestyle behaviors survey from September to October 2019.Anxiety,depression,eating regular meals,consumption of snacks in-between meals,consumption of fruit,dessert and sugar-sweetened beverages,smoking and secondhand smoke exposure,consuming alcohol,physical activity,sedentary time were assessed by self-report.Socio-demographic including age,gender,education,family income,religion,and health condition were captured.Logistic regression was used to explore the association of multiple lifestyle behaviors,anxiety and depression.Results:Totally 1,017 participants were included in the study.The prevalence of anxiety and depression(from mild to severe) were 40.3% and 45.3%,respectively.In multivariable analyses,religion (believe in Buddhism,OR =2.438,95%CI:1.097-5.421;believe in Christian,OR =5.886,95%CI:1.604-21.597),gender (Female,OR =1.405,95%CI:1.001-1.971),secondhand smoke exposure (OR =1.089,95%CI:1.001-1.184),and eating regular meals (OR =0.513,95%C1:0.346-0.759) were associated with anxiety.Family income (OR =0.732,95%CI:0.596-0.898),eating regular meals (OR =0.641,95%CI:0.415-0.990),frequency of breakfast (OR =0.813,95%CI:0.690-0.959),with a chronic disease (OR =1.902,95%CI:1.335-2.712),and consumption of nocturnal snack (OR =1.337,95%CI:1.108-1.612) were associated with depression.Conclusions:These results highlighted the need for early lifestyle behavior intervention,especially modifying diet patterns considering the background of religion,health condition,and social-economic status in first-year college students to improve their mental health.

Adherence to Radiation Therapy among Cervical Cancer Patients at Cancer Diseases Hospital in Lusaka, Zambia

Background: Radiation therapy has the potential to improve cure rates and provide palliative relief for cervical cancer patients. Despite adherence to radiation therapy being a key treatment modality, patients rarely follow prescriptions. Poor adherence to radiation therapy is associated with low survival and high mortality rates. This study therefore sought to investigate the levels of adherence and factors influencing adherence to radiation therapy among cervical cancer patients being treated at Cancer Diseases Hospital. Methods: A cross-sectional analytical study design was used, 142 patients were selected from the outpatient department using a fishbowl sampling method. A structured interview schedule was used to collect data. Data was entered and analyzed using SPSS, the binary logistic regression analysis was used to predict levels of adherence to treatment and to identify factors associated with adherence to RT among cervical cancer patients. Results: The findings showed that 93% of the participants adhered to radiation therapy while 7% did not adhere to treatment. Majority of the patients 77.1% had experienced side effects of radiation therapy. About 28% of patients had severe psychological distress. By using binary logistic regression, there was a statistically significant association between adherence and perceived quality of health care services (p = 0.001). The analysis showed that patients who perceived poor quality of health care services were 0.005 (99.5%) times less likely to adhere to radiation therapy. The other independent variables were not statistically significant despite being associated with adherence among cervical cancer patients. Conclusions and Recommendations: The findings showed that patients who perceived good quality of health care services had higher chances of adherence compared to those who perceived poor quality of health care services. There is therefore a need for quality service provision which could include good maintenance of radiation machines. Furthermore, there is a need to develop guidelines for follow-up in case of any disease outbreak to avoid interference with patients’ treatment schedules and appointments for reviews.

Can Education Make Us Healthier? An Urban-Rural Comparative Analysis Based on the Chinese General Social Survey of 2010

In modern society, educational achievement＇s impact on individual lives is reflected not only in economic benefits in the labor market but also in various ＂intangible returns.＂ Based on national data from the Chinese General Social Survey of 2010, our analysis of the urbanrural disparity and mediating factors in the health benefits of educational achievement shows that education has positive returns in terms of health for both urban and rural residents, but the returns to compulsory education and senior middle school differ for the two groups. This difference may be caused by the gap in the quality of compulsory education between urban and rural areas. Therefore, a linchpin of the relevant education policies should be encouragement of ＂urban-rural integration＂ in terms of the quality rather than just the quantity of education and the universalizing of senior middle school education in rural areas.