Smokeless Tobacco Use among Women in Kasama District-Zambia

Background: Smokeless tobacco is defined as a product that contains tobacco, is not smoked or burned at the time of use, and commonly consumed orally or nasally. These products can be placed in the mouth, cheek or the lip and are sucked or chewed. The Zambian government, in the 2019 country report, gave an estimated figure of 4.5% of females aged 15 years and above in 2017 used smokeless tobacco and by 31st December, 2018, there was an increase of smokeless tobacco users to 6.8% women of the same age group. This study aimed to explore the extent of smokeless tobacco use among women in Kasama district-Zambia. Methodology: An analytical cross-sectional quantitative study design was used to collect data using the modified structured interview schedule, adopted from Medicine for Global Health. Simple random sampling method using rotary technique was used to select 430 respondents after meeting the inclusion criteria. Informed consent to participate in the study was obtained. Data was analysed using version 26.0 of the Statistical Package for Social Sciences. Appropriate parametric or non-parametric statistical tests (Chi-squared or Fisher’s exact test) were adopted in testing for associations between variables. Univariable and multivariable binary logistic regression analysis were employed in identifying smokeless tobacco use among women using an investigator-led stepwise approach, guided by various fit statistics and the likelihood ratio test. All statistical analyses adopted a 5% significance level at 95% confidence interval. Results: The results showed that most of the respondents were aged between 18 and 25 years (45.6%), (53.7%) lived in urban settlements and the majority (80%) were unemployed. The majority of respondents (83.5%) had a friend/relative who used smokeless tobacco and over half (53.5%) thought smokeless tobacco was beneficial to them. The commonly mentioned benefits of smokeless tobacco included body warmth (13.6%) and vaginal tightening (7.9%). The results revealed that most of the respondents attained a secondary level of education (38.4%). According to the study, smokeless tobacco use among women of Kasama-Zambia was significantly associated with the following;age (p Conclusion: Based on these findings, the study recommends that efforts should be channeled towards the dissemination of information on the impacts of smokeless tobacco use in order to overcome cultural beliefs attached to smokeless tobacco use.

Analysis of Esophageal Cancer Death at Different Educational Levels in Inner Mongolia from 2009 to 2015

Objective: This study aimed to clarify the death characteristics of esophageal cancer in Inner Mongolia and the population distribution with various education levels. Methods: The mortality rate of esophageal cancer was calculated using the monitoring point of Death Registry System in Inner Mongolia from 2009 to 2015. The gender, age, region, ethnicity at two education levels of percentage were calculated and the χ2 test was executed. Result: The mortality rate of esophageal cancer was 10.10/105, China Adjustment Mortality was 10.97/105, World Adjustment Mortality was 9.08/105 in Inner Mongolia. The death of esophageal cancer showed statistical significance at two educational levels (P < 0.05). High school and below accounted for 93.9% at the education level, and above high school accounted for 3.5%. In addition, there were significant differences in the percentage of death by gender, age and region at two educational levels (P < 0.05). Conclusion: Education level has a certain relation with the death of esophageal cancer. To improve the health level, health education plans can be formulated according to esophageal cancer prevention relevant policy with different education levels.

The Study of the Effect of Educational Level of Students and English Language Teachers＇ Awareness on True and False Cognates in Iran

The ability to speak two languages in the non-English-speaking countries is a remarkable achievement. There is a good reason to believe that bilingualism is the norm for the majority of people in the world, because 70% of the earth＇s population are supposed to be bilingual or multilingual. Our purpose of the study was to determine the participants＇ awareness of using true and false cognate words of L 1 （the first language） ＆ L2 （the second language） in learning English. Three hundred and eighty-five selected people from 3,789 statistical population participated in 2014--2015 at three levels of A.D., B.A., and M.A. of Islamic Azad University as well as teachers of English in English educational institutions in Zanjan （Iran）. Each educational level was considered as one category with the total sample calculated by using Kokran Formula, and the amount of each category was determined by using appropriate proportion and randomized categorical sampling method. The participants＇ age was between from 18 to 52, with a mean age of 29 years. The materials were 45 words of true and false cognate＇s words from 500 words by doing CVR （content validity ratio） and CVI （content validity index） （Lawshe＇s table with the index of 88% and 82% respectively） for being reliable and valid. ANOVA （Analysis of variance） was used for studying the effect of educational level on the rate of awareness. In other words, the awareness level has been compared in different educational levels. The results of Dankan test show that： There is no significant difference between the awareness of A.D., B.A., and M.A. levels, but there is a significant difference between the level of awareness of teachers group and the other groups （in true cognate words） and for false cognate words, there is no significant difference between the level of awareness of the four groups in this regard.

Impact of Levels of Education on Perceived Academic Stress and Mental Wellbeing: An Investigation into Online Mode of Learning during Pandemic

A sudden outbreak of the current pandemic COVID-19 has switches the learning to online mode which leads to an increase in perceived academic stress and a serious threat to the mental well-being of the students across the globe.The aim of the current study was therefore,to examine the impact of online learning on perceived academic stress and mental well being of the students with moderating effects of levels of education,during the current pandemic.Measures of the constructs were obtained by the online Google form which consists of the Perceptions of Academic Stress Scale(PASS)by Dalia Bedewy and Adel Gabriel(2015)and War­wick-Edinburg Mental Well-being Scale(2008),from a sample of 150 undergraduate students aged 19-25 years studying in different colleges of Bengaluru,India.Mental well-being constituted the criterion variable whilst academic stress and levels of education were treated as predictor variables.Two-way ANOVA were employed.Results show that academic stress is a significant negative predictor of mental wellbeing(r=-.083;p<0.05),there is a significant difference in the perceived academic stress(df=2;F=2.72;p<0.05)which increase in hierarchy(Third year&first year MD=-3.7;Third year&second year MD=-3.2)and mental well being(df=2,F=5.314 p<0.05)which decreases in hierarchy(Third year&first year MD=-5.8;Third year&second year MD=-5.860)of the students at different educational levels and a combination perceived aca­demic stress and educational levels predicts variance in mental well being of the students(R2=0.052;p>0.05).It was concluded that combined aca­demic stress and educational levels have an impact on mental wellbeing of students in online mode of learning during the current pandemic,but this impact is low(only 5.2%).

Effective Face-to-faceTutorials of Online English Learning Lie in Interaction of Affective Domain and Higher Levels of Cognitive Domain of Bloom＇s Taxonomy

Online English learning as an outcome of the rapid development of the Internet has got a wider and wider market in China. However, problems of varieties have also occurred along its way. People never stop thinking of better strategies either in designing online course wares or tutorials to help smooth the learning process. My experience as a tutor is that interaction of affective domain and higher levels of cognitive domain of Bloom＇s Taxonomy plays an important role in face-to-face tutorials of online English learning.

Exploring Tourists’Low-carbon Cognition and Influencing Factors from the Dimension of Education Level

The cognition of low-carbon tourism among tourists is closely related to education level.In this study,the degree of coordination of low-carbon cognition with different educational levels is assessed by the coupling model in Wutai Mountain,and the effect of each factor on low-carbon cognition is analyzed by the geographical detector.The results show that:(1)The six cognition aspects of low-carbon tourism gradually transition from the level of intermediate coordination to good coordination with the advancement of the education level.Both the low-level and lower-level tourists belong to the lag type of low-carbon visiting cognition,and the higher-level tourists belong to the lag type of low-carbon shopping cognition,while the high-level tourists show the lag type of low-carbon food cognition.(2)According to the individual factors and interactive effects in the geographical detector,each impacting factor has a decisive effect on tourists’cognition of low-carbon tourism,and the effect of any two factors after interaction shows either a double-factor or nonlinear enhancement.The findings of this study provide valuable practical implications for helping tourism destinations to educate tourists and improve their low-carbon tourism options.At the same time,this study will provide theoretical standards for measuring tourists’cognition of low-carbon tourism,so as to enrich and improve the theoretical research related to low-carbon tourism.

Comparative Analysis of International School Education Evaluation Systems:A Case Study of the IB and A-Level

This paper presents a comparative analysis of the International Baccalaureate(IB)and the General Certificate of Education Advanced Level(A-Level),two international educational assessment systems.The study explores their similarities and differences in educational philosophy,curriculum design,assessment methods,and student experience.Findings indicate that the IB curriculum emphasizes holistic education and interdisciplinary learning,while the A-Level curriculum focuses more on subject depth and specialization.In terms of assessment methods,the IB combines internal and external evaluations,whereas the A-Level primarily relies on final examinations.Regarding student experience,IB students typically perceive a broader range of learning opportunities,while A-Level students gain in-depth knowledge in specific subject areas.The study offers valuable insights for educators and policymakers to improve educational practices and support the personalized development of students.

Human Capital of Family and Social Mobility in Rural Areas-Evidence from China

This research focuses on the impact of family＇s human capital on social mobility in China＇s rural community.Empirical research is conducted based on data from surveying a typical rural community in the past 20 yr.The study indicates that social mobility in rural area is active in the past 20 yr,and the human capital of family,represented by primary labor＇s education level,has played an essential role in mobility of low social class.Meanwhile,socio-economic development and the change of supply and demand in labor market dims the signaling role of degree education,but the impact of occupational training is increasingly remarkable.Therefore,the change from sole degree education to multi-leveled education including occupational education and training is a main way for China＇s rural families in low class to realize social mobility.

Self-development of the Teachers and Improvement on EnglishTeaching

For a long time, there have been extensive and deep studies and researches about how to upgrade the level of language education in universities. Now people have realized that the key factor that influences the language education most is teachers＇ self-development and the promotion of teachers＇ personalities. A new teaching concept -- reflective teaching has become very popular in the educational circles. It emphasizes that students should become positive and active learners while teachers should bear more dynamic and capacities for self-development.

Relationship Between Self-efficacy Beliefs and Achievement Motivation in Student Nurses

Objective： To investigate general self-efficacy levels and to examine the relationship between self-efficacy and achievement motivation in student nurses in China. Methods： A total of 716 student nurses were enrolled in this study from 7 hospitals in western China. Data were collected using three scales： General Data Scale, Self-Efficacy Scale （SES） and Achievement Motivation Scale （AMS）. There were 566 valid questionnaires. Results： The mean general self-efficacy scores of the student nurses were low. There was a significantly positive relationship between self-efficacy and achievement motivation （ r = 0. 432, P = 0. 000）. Conclusions： Our findings suggested that self-efficacy was related to age and educational levels, rather than gender and place of residence. Nursing managers should take measures to develop the self-efficacy of student nurses; when self-efficacy is developed, the achievement motivation may then be improved. Achievement motivation may also be improved through the improvement of self-efficacy.

Colorectal cancer mortality in Inner Mongolia between 2008 and 2012

AIM: To determine the extent of colorectal cancer (CRC) mortality and the association between demographic characteristics and CRC mortality in Inner Mongolia.

An Analysis of Labor Resources “One River and Two Tributaries” Region in Tibet, China

Focusing on the region of Yarlung Zangbo River and the middle reaches of itstwo tributaries of Nianchu River and Lhasa River in Tibet (Hereafter referred to as the 'One Riverand Two Tributaries' region), and based on the data from China 3rd, 4th and5th population censuses,the article has analyzed change patterns of this region' s labor force. Major findings from thestudy are summarized as follows; (1) Compared with the data from the 3rd census, labor forcepopulation in 2000 has increased significantly. (2) Children dependency coefficient has dropped,while old people dependency coefficient has changed very slightly with an increase of 0. 047% only.(3) Compared 2000 with 1982, illiteracy and semi-illiteracy rate of the population above 15 yearsold have decreased significantly by 30. 69 percentage points, but still higher than the nationalaverage. (4) Women' s illiteracy rate has dropped faster than men's, but up to 2000 it was generallyquite high. The upgrading of the entire population's overall quality has a long way to go.

The Dynamism of Teachers＇ Identity： The Case of Iranian EFL Teachers

Recent conceptualizations of professional identity as an ongoing process of interpretation and re-interpretation of experiences demonstrate that it is dynamic and subject to an ongoing learning process. In effect, identity is essentially viewed as fluid, dynamic, recursive, and discursive process in which statements about actions are translated into statements about states, and vice versa. Having these standpoints in mind, the present paper aims at depicting the profile of English as a foreign language （EFL） teachers＇ professional identity. The second purpose of this study is to examine the relationships among the components of teachers＇ professional identity as measured by Kao and Lin＇s （2015） model comprising six latent factors of teachers＇ professional identity： self-expectation （SE）, teachers＇ duties （TD）, external influential factors （EF）, pedagogy （PE）, instructional skills and knowledge （SK）, and teachers＇ citizenship behavior （CB）. This study also sought to scrutinize the dynamics of teachers＇ identity in accordance with their teaching experience, gender, and educational level. For these purposes, 110 EFL teachers were chosen from different language institutes in Mashhad, a city in northeastern Iran. The results indicated that SE received the highest value and EF obtained the lowest mean score in our sample. The highest correlation was observed between SK and PE, followed by the relationship between TD and PE. The results indicated that there were significant correlations between teachers＇ teaching experience and all the teachers＇ identity components. It was also found that there were statistically significant differences between male and females in four components of identity as follows： TD, PE, SK, and CB. The results showed that there were variations in teacher identity with regards to their educational level.

Education and Employment （2005-2009） A Comparative Analysis Between the Spanish and Foreign Working Population

Spain became a net receiver country of a high number of foreigners entering the labour market in the first decade of the 21 st century. The ensuing economic crisis, beginning in 2007, led to the destruction of a large number of companies and jobs. The objective of this paper is to analyze the relationship between educational level, employment and economic activity, in the Spanish and foreign working population in the Spanish labour market and the impact that the economic crisis is having on employment and self-employment. The hypotheses considered have been as followed--HI： The economic crisis mainly affects the less educated working population, both Spanish and foreign; H2： Self-employment is characterized by being an initiative of a working population with low educational levels for both population groups （Spanish and foreign）; H3： Employment is related to the productive economic structure. Micro-data from the Labour Force Survey 2009 （EPA in Spanish） has been used, compiled by Spains National Statistics Office （INE in Spanish）, and it has been applied Multiple Correspondence Analysis （MCA） to detect possible associations among the study variables （nationality, level of education, salaried employment, self-employment and economic activity）. The results show significant differences between both groups： Spanish and foreign working population. The study also shows how the crisis affects employment, and the important role played by the educational level of the working population, especially foreigners employed in certain economic activities.

Divergences in Perceptions as for Oral Activity in Morocco

This article tries to find out the few discrepancies between the teachers and their scholars as to oral activity, which shows that scholars＇ expectations and needs are not quite responded to. The versions chosen as a sample for this study come from different schools in the academy of Rabat Sal~ Zemmour Zaer area and belong to three different educational levels including common core, first year, and second year in addition to a total number of 40 teachers who have contributed to this research throughout the whole process. This research has relied on different instruments to collect the data including questionnaires, interviews, and class observation grids. Results showed that scholars＇ perceptions highly favour thematic variety. Findings also reported match findings of previous research in highlighting the importance of using tech facilities and multimedia to improve oral activity.

Factors Influencing Breast-Feeding Among Women in China

Although a well-established association between breast-feeding and a range of positive health outcomes in children has been demonstrated, less attention has been paid under China circumstance, especially what factors will influence breast-feeding behavior among Chinese women from empirical perspective has not been explored yet. In this paper, survival analysis with duration model is applied to find out the main determinants. The well-known China Health and Nutrition Survey （CHNS） dataset fits for this study since it has plenty information about breast-feeding and children. Family income, age, education level, and maternity leave are found to he the main determinants which have significant effects on the breast-feeding behavior, also the gender of infant plays an important role which is for Chinese-specific cases. The opportunity cost for women with higher education level and higher income, especially in urban areas is so high that they have to shorten the duration of breastfeeding their children. The probability of breast-feeding her child is decreasing with the aging of mother.

The Social Context of Antibiotic Resistance

There are various socio-economic （poverty, self medication, and non-compliance to prescribed therapy） and behavior factors that affects the way of antibiotic use, which consequently brings the development of antibiotic resistance in patients. In the study, some of these social factors that might have an impact on the resistance of antibiotics in patients of regional of Vlora hospital during the period 2011-2012 were examined. The study was conducted using structured interviews on patients who were previously examined for bacterial cultures and sensitivity. The antibiotic resistance resulted really high in these patients. It is found out that the organisms with higher resistance were Streptococcus and Escherichia coli. 75% of the patients, whose cultures were positive, were resistant to at least one antibiotic and 31% to three or more antibiotics. A significant correlation between the structure of antibiotic resistance and the upper socio economic levels, the low educational level of the patients, self medication and the frequency of antibiotic use was found. These data have influence in the development of the awareness strategies in risky groups in order to clarify the concepts on the proper use of antibiotics.

Investigation of Relationship between Sociodemographic Factors and HIV Counseling and Testing (HCT) among Young People in Nigeria

The main purpose of this study was to examine the association between sociodemographic factors (gender, place of residence, level of education, geopolitical zone, and socioeconomic status) and HCT uptake among young people in Nigeria. The study is a quantitative research guided by one research question and one hypothesis. The target population comprised young people in Nigeria ages 15 to 24 years because the focus of this study was to identify the factors affecting HCT uptake among young people in this age cohort. The representative sample was obtained from the updated master sample frame of rural and urban zones developed by the National Population Commission in Nigeria. This master sample frame was a national survey that comprises all 36 states in Nigeria. Probability sampling technique was used to obtain a sample of 10,091 respondents (ages 15 to 24 years) for the study. The multistage cluster sampling was used to select suitable young people with known probability. Data were collected throughout Nigeria between September and December 2012 from 32,543 households (rural = 22,192;urban = 10,351) using structured and semi-structured questionnaires. The individual questionnaires asked about household characteristics, background characteristics of the respondents. Data were analyzed by inputting them into SPSS v21.0 for analysis and then coded them for each participant. The data were summed using descriptive statistics. Frequencies and percentages;measures of central tendencies were used to answer the research question while nonparametric test such as chi-square was used to analyze non-normally distributed data at 0.5 level of significance. Results of data analysis indicated that the sociodemographic variables of gender, place of residence, level of education, geopolitical zone, and SES were significantly associated with HCT uptake. Among others, it was recommended that examining the efficacy of HCT treatments in Nigeria, along with conducting a demographic analysis of the at-risk population, could be beneficial in informing the authorities who are responsible for allocating finite medical resources.

The Research for Sustainble Poverty Reduction in Khmer Ethnic Community

The research for sustainable poverty reduction for Khmer ethnic people in Tra Vinh province was conducted by the use of statistic approach, the current situation of poor households of Khmer ethnic people in Tra Vinh province, the interview with 300 Khmer households living in seven districts and cities of Tra Vinh province. Research findings show that there are a number of factors affecting the income of Khmer households, including the career of householders, the level of education, the ratio of dependants, living experience of the householders, the land square area, people＇s participation in different festivals; the number of household members, the number of activities for income and the gender of the householders. Of all the factors, occupation, level of education, and the ratio of dependants are considered to have the biggest influence on the income of Khmer ethnic people in Tra Vinh province.