bluuebunny/crossref_metadata_2025_split huggingface dataset:
Multidimensional relative poverty of rural women: Measurement, dynamics, and influencing factors in China
Authors: Peng Yan 
Published: October 2022

BackgroundChina has eliminated absolute poverty; however, relative poverty still exists. Specifically, the characteristic group of rural women is affected by traditional gender concepts and behavioral norms, and rural women are often relatively deprived of economics, rights, abilities, and information.ObjectiveTherefore, studying their relative poverty is crucial for realizing the overall development of China and the shared prosperity of farmers.MethodsThis study utilizes the multidimensional poverty theory to construct an analytical framework for the multidimensional relative poverty of rural households using the Alkire-Foster multidimensional measurement method and the tracking survey data of the “China Family Tracking Survey” from 2010 to 2016. From the “individual perspective,” the six dimensions of economy, health, humanities, spiritual life, social relations, and rights are used to measure and compare the relative poverty of women and men in rural households in China.ResultsThe results showed that the relative poverty of women in rural households is extensive and broader, especially in the economic, humanities, and rights dimensions, and is much higher than that of men. Education level, physical health, ideology, and family status are the primary factors affecting the multidimensional relative poverty of women.ConclusionThis study finds that the relative poverty of rural women exists within the family and it is multi-dimensional. This finding provides a reference for promoting well-rounded human development and achieving common prosperity for everyone.
Addictive disorders, psychiatric symptoms, and potentially traumatic events in individuals with disabilities
Authors: Marín-Navarrete Rodrigo , Sánchez-Domínguez Ricardo , Pérez-López Alejandro , Saracco-Alvarez Ricardo 
Published: October 2022

Background/ObjectivesIndividuals with disabilities (IWD) have a higher risk of potentially traumatic events (PTEs) either in childhood or adulthood, increasing the risk of suicide attempts, mental disorders, and substance use disorder. The aim of this study was to explore the association between substance use, psychiatric symptoms and suicidal behavior with PTEs. A Multisite cross-sectional study was conducted.Materials and methodsThe sample includes 1,098 participants with any type of disability (motor, intellectual, visual, and mixed) located in Mexico City. Traumatic events, violence, discrimination, addictive disorders, and psychiatric disorders were examined. Multivariate logistic regression models were conducted. Data was collected between September–October 2014.ResultsPeople with motor or visual disability have a higher prevalence in nicotine use disorder (NUD), generalize anxiety disorder (GAD), mayor depression disorder (MDD), want to be dead, and lifetime suicide attempts. Intellectual disability group only presents GAD and MDD. All disability groups have a high prevalence of PTEs. Verbal violence in childhood, sexual abuse, discrimination and serious accidents had a strong impact in the development of NUD, psychiatric symptoms and suicidal behavior.ConclusionThese findings show the relevance of develop specific tools for detection, referral and treatment, in order to improve the mental health of people with disabilities.
Family resilience of stroke survivors within 6 months after a first-episode stroke: A longitudinal study
Authors: Zhang Wei , Zhou Wanqiong , Ye Mingming , Gao Yitian , Zhou Lanshu 
Published: October 2022

ContextFamily resilience is frequently recognized as a powerful determinant of family adaptation in chronic disease patients; understanding the family resilience of stroke patients and its predictors could help nurses develop interventions to assist patients in maintaining healthy family functioning.ObjectiveThis study aimed to explore the trajectory of family resilience in the 6 months following stroke onset and examine the predictors of family resilience over time.MethodsA total of 288 first-episode stroke survivors were selected from seven hospitals in China from July 2020 to March 2021. Their family resilience, social support, self-efficacy, and medical coping style were assessed at hospitalization and 1, 3, and 6 months after stroke onset. The study was performed in accordance with the STROBE guidelines.ResultsThe mean levels of family resilience were between 95.52 ± 11.10 and 97.68 ± 9.68 within the first 6 months after a first-episode stroke, with a significant increase 3 months after the onset. Patient self-efficacy, social support, family atmosphere, and caregiver-patient relationship (sibling) were predictors of family resilience at all four time points. Baseline predictors of family resilience at 6 months included self-efficacy of the patients, subjective support, support utilization, family atmosphere, living district, medical bill payment methods, and caregiver-patient relationship (sibling).ConclusionFamily resilience levels were low in stroke patients 6 months after the onset, and 3 months post-stroke onset was a critical period for family resilience of stroke patients. Nurses are recommended to pay particular attention to patients with low self-efficacy, perceived low support, poor utilization of available support, as well as those who are under the care of their siblings, self-pay, or live in a poor family atmosphere. Interventions aimed at improving the self-efficacy of patients and social support are potential approaches to enhance family resilience.
Associations of executive function and age of first use of methamphetamine with methamphetamine relapse
Authors: Mu Lin-Lin , Wang Yan , Wang Li-Jin , Xia Ling-Ling , Zhao Wei , Song Pei-Pei , Li Jun-Da , Wang Wen-Juan , Zhu Lin , Li Hao-Nan , Wang Yu-Jing , Tang Hua-Jun , Zhang Lei , Song Xun , Shao Wen-Yi , Zhang Xiao-Chu , Xu Hua-Shan , Jiao Dong-Liang 
Published: October 2022

Background and aimsMethamphetamine (MA) is a psychostimulant associated with a high relapse rate among patients with MA use disorder (MUD). Long-term use of MA is associated with mental disorders, executive dysfunction, aggressive behaviors, and impulsivity among patients with MUD. However, identifying which factors may be more closely associated with relapse has not been investigated. Thus, we aimed to investigate the psychological factors and the history of MA use that may influence MA relapse.MethodsThis cross-sectional study included 168 male MUD patients (MUD group) and 65 healthy male residents (control group). Each patient was evaluated with self-report measures of executive dysfunction, psychopathological symptoms, impulsiveness, aggressiveness, and history of MA use. Data were analyzed with t-tests, analyses of variance, and correlation and regression analyses.ResultsThe MUD group reported greater executive dysfunction, psychopathological symptoms, impulsivity, and aggression than the control group. Lower age of first MA use was associated both with having relapsed one or more times and with having relapsed two or more times; greater executive dysfunction was associated only with having relapsed two or more times.ConclusionPatients with MUD reported worse executive function and mental health. Current results also suggest that lower age of first MA use may influence relapse rate in general, while executive dysfunction may influence repeated relapse in particular. The present results add to the literature concerning factors that may increase the risk of relapse in individuals with MUD.
The relations between different components of intolerance of uncertainty and symptoms of depression during the COVID-19 pandemic: A network analysis
Authors: Feng Tingwei , Ren Lei , Liu Chang , Li Kuiliang , Wu Lin , Wei Xinyi , Yuan Shangqing , Cui Long-Biao , Yang Xi , Li Danyang , Yang Wei , Li Ye , Wang Buyao , Wang Hui , Liu Xufeng 
Published: October 2022

BackgroundThe relations between depression and intolerance of uncertainty (IU) have been extensively investigated during the COVID-19 pandemic. However, there is a lack of understanding on how each component of IU may differentially affect depression symptoms and vice versa. The current study used a network approach to reveal the component-to-symptom interplay between IU and depression and identify intervention targets for depression during the COVID-19 pandemic.MethodsA total of 624 college students participated in the current study. An IU-Depression network was estimated using items from the 12-item Intolerance of Uncertainty Scale and the Patient Health Questionnaire-9. We examined the network structure, node centrality, and node bridge centrality to identify component-to-symptom pathways, central nodes, and bridge nodes within the IU-Depression network.ResultsSeveral distinct pathways (e.g., “Frustration when facing uncertainty” and “Feelings of worthlessness”) emerged between IU and Depression. “Fatigue” and “Frustration when facing uncertainty” were identified as the central nodes in the estimated network. “Frustration when facing uncertainty,” “Psychomotor agitation/retardation,” and “Depressed or sad mood” were identified as bridging nodes between the IU and Depression communities.ConclusionBy delineating specific pathways between IU and depression and highlighting the influential role of “Frustration when facing uncertainty” in maintaining the IU-Depression co-occurrence, current findings may inform targeted prevention and interventions for depression during the COVID-19 pandemic.
Comprehensive league table of cost-utility ratios: A systematic review of cost-effectiveness evidence for health policy decisions in India
Authors: Shah Komal , Singh Malkeet , Kotwani Priya , Tyagi Kirti , Pandya Apurvakumar , Saha Somen , Saxena Deepak , Rajshekar Kavitha 
Published: October 2022

Background and objectivesAlthough a relatively recent concept for developing countries, the developed world has been using League Tables as a policy guiding tool for a comprehensive assessment of health expenditures; country-specific “League tables” can be a very useful tool for national healthcare planning and budgeting. Presented herewith is a comprehensive league table of cost per Quality Adjusted Life Years (QALY) or Disability Adjusted Life Years (DALY) ratios derived from Health Technology Assessment (HTA) or economic evaluation studies reported from India through a systematic review.MethodsEconomic evaluations and HTAs published from January 2003 to October 2019 were searched from various databases. We only included the studies reporting common outcomes (QALY/DALY) and methodology to increase the generalizability of league table findings. To opt for a uniform criterion, a reference case approach developed by Health Technology Assessment in India (HTAIn) was used for the reporting of the incremental cost-effectiveness ratio. However, as, most of the articles expressed the outcome as DALY, both (QALY and DALY) were used as outcome indicators for this review.ResultsAfter the initial screening of 9,823 articles, 79 articles meeting the inclusion criteria were selected for the League table preparation. The spectrum of intervention was dominated by innovations for infectious diseases (33%), closely followed by maternal and child health (29%), and non-communicable diseases (20%). The remaining 18% of the interventions were on other groups of health issues, such as injuries, snake bites, and epilepsy. Most of the interventions (70%) reported DALY as an outcome indicator, and the rest (30%) reported QALY. Outcome and cost were discounted at the rate of 3 by 73% of the studies, at 5 by 4% of the studies, whereas 23% of the studies did not discount it. Budget impact and sensitivity analysis were reported by 18 and 73% of the studies, respectively.Interpretation and conclusionsThe present review offers a reasonably coherent league table that reflects ICER values of a range of health conditions in India. It presents an update for decision-makers for making decisions about resource allocation.
Association between vigorous physical activity and life satisfaction in adolescents
Authors: Feng Bin , Xu Ke , Zhou Panpan 
Published: October 2022

PurposeThe association between overall physical activity (PA) and life satisfaction has been confirmed in adolescents. However, the associations between different forms of PA at various intensities and life satisfaction are under-studied. This study aimed to explore the association between vigorous PA (VPA) and life satisfaction, and whether the associations vary by gender and age.MethodsUsing data from the Health Behavior in School-aged Children (HSBC) investigation, the research samples of 11- to 15-year-old adolescents were included for further. The information on VPA was collected via two self-reported questions, including frequency per week and hours per week. Life satisfaction was assessed by a ladder of 0–10 scores, with being higher indicating better life satisfaction. Logistic models were carried out to analyse the association between VPA and life satisfaction among adolescents, and results were presented with odd ratio (OR) and associated 95% confidence interval.ResultsAmong the 214,080 (49.2% male) adolescents studied, both boy and girl participants reporting higher frequency of VPA per week were more likely to be associated with higher life satisfaction (e.g., in boys, VPA for every day: OR = 1.054; in girls: VPA for every day: OR = 1.047). More hours of VPA was also associated with better life satisfaction in adolescents (in overall sample, 7 h or more: OR = 1.178).ConclusionsIn conclusion, this research provided evidence on the roles of VPA on life satisfaction among adolescents aged 11–15. Considering life satisfaction is regarded as an indicator of adolescents' psychological health development, our study supports and extends the evidence for the importance of VPA in adolescence.
Depressive symptoms increase the risk of falls and injurious falls in Chinese adults aged ≥ 45 years: A 3-year cohort study
Authors: Bu Hanli , Lu Suqing , Wang Linxian , Jiang Dan , Tian Zhenzhen , Ding Yi , Zhuang Qin 
Published: October 2022

BackgroundFalls and depressive symptoms are both public health concerns in China, but the effects of depressive symptoms on falls and injurious falls have not been thoroughly investigated.MethodsThis population-based prospective cohort study used data derived from adults aged ≥45 years acquired from the 2015 and 2018 China Health and Retirement Longitudinal Study. Data were analyzed from August 2021 to December 2021. Self-reported depressive symptoms were determined using a 10-item Center for Epidemiologic Studies Depression scale (CESD-10) with a total score range of 0–30. Item responses of 3–4 or 5–7 days were deemed indicative of specific depressive symptoms. The outcome variables were self-reported accidental falls and injurious falls.ResultsOf the 12,392 participants included in the study, 3,671 (29.6%) had high baseline depressive symptoms (CESD-10 scores ≥ 10), 1,892 (15.3%) experienced falls, and 805 (6.5%) experienced injurious falls during 2015–2018 follow-up. High depressive symptoms increased the risk of falls [odds ratio (OR) 1.34, 95% confidence interval (CI) 1.19–1.50] and injurious falls (OR 1.28, 95% CI 1.09–1.51) in a multivariable logistic regression model adjusted for major demographic, health-related, and anthropometric covariates. All of the 10 specific depressive symptoms except “felt hopeless” were associated with falls, and four specific symptoms significantly increased the risk of injurious falls; “had trouble concentrating” (OR 1.32, 95% CI 1.13–1.55); “felt depressed” (OR 1.32, 95% CI 1.12–1.55); “everything was an effort” (OR 1.23, 95% CI 1.04–1.45); and “restless sleep” (OR 1.18, 95% CI 1.02–1.40).ConclusionHigh depressive symptoms are significantly related to risk of falls and injurious falls. Four specific symptoms (had trouble concentrating, felt depressed, everything was an effort, and restless sleep) increase the risk of injurious falls in Chinese adults aged ≥ 45 years.
The hidden financial catastrophe of chronic kidney disease under universal coverage and Thai “Peritoneal Dialysis First Policy”
Authors: Sangthawan Pornpen , Klyprayong Pinkaew , Geater Sarayut L. , Tanvejsilp Pimwara , Anutrakulchai Sirirat , Boongird Sarinya , Gojaseni Pongsathorn , Kuhiran Charan , Lorvinitnun Pichet , Noppakun Kajohnsak , Parapiboon Watanyu , Sirilak Supinda , Tankee Pluemjit , Taruangsri Puntapong , Sangsupawanich Pasuree , Sritara Piyamitr , Chaiyakunapruk Nathorn , Kitiyakara Chagriya 
Published: October 2022

ObjectiveUniversal health coverage can decrease the magnitude of the individual patient's financial burden of chronic kidney disease (CKD), but the residual financial hardship from the patients' perspective has not been well-studied in low and middle-income countries (LMICs). This study aimed to evaluate the residual financial burden in patients with CKD stage 3 to dialysis in the “PD First Policy” under Universal Coverage Scheme (UCS) in Thailand.MethodsThis multicenter nationwide cross-sectional study in Thailand enrolled 1,224 patients with pre-dialysis CKD, hemodialysis (HD), and peritoneal dialysis (PD) covered by UCS and other health schemes for employees and civil servants. We interviewed patients to estimate the proportion with catastrophic health expenditure (CHE) and medical impoverishment. The risk factors associated with CHE were analyzed by multivariable logistic regression.ResultsUnder UCS, the total out-of-pocket expenditure in HD was over two times higher than PD and nearly six times higher than CKD stages 3–4. HD suffered significantly more CHE and medical impoverishment than PD and pre-dialysis CKD [CHE: 8.5, 9.3, 19.5, 50.0% (p &lt; 0.001) and medical impoverishment: 8.0, 3.1, 11.5, 31.6% (p &lt; 0.001) for CKD Stages 3–4, Stage 5, PD, and HD, respectively]. In the poorest quintile of UCS, medical impoverishment was present in all HD and two-thirds of PD patients. Travel cost was the main driver of CHE in HD. In UCS, the adjusted risk of CHE increased in PD and HD (OR: 3.5 and 16.3, respectively) compared to CKD stage 3.ConclusionsDespite universal coverage, the residual financial burden remained high in patients with kidney failure. CHE was considerably lower in PD than HD, although the rates remained alarmingly high in the poor. The “PD First' program” could serve as a model for other LMICs. However, strategies to minimize financial distress should be further developed, especially for the poor.
Potential mediators of the link between wealth index and anthropometric indices of under-five children in Ethiopia
Authors: Tesfaw Lijalem Melie , Woya Ashenafi Abate 
Published: October 2022

BackgroundMalnutrition of under-five children has adverse effects on child's health and development, such as growth failure and muscle wasting. The household wealth index has a direct contribution to child malnutrition despite little attention being given to its indirect effect through other factors. This study aimed to identify the potential mediators of the link between wealth index and malnutrition.MethodsIn this study, a cross-sectional study design was implemented based on the data obtained from the 2019 Ethiopia Mini Demographic and Health Survey (EMDHS), which consists of a total of 3,918 under-five children. Mediation analysis of structural equation (SEM) was implemented to determine and estimate the effects of potential mediators of the link between wealth index and under-five children malnutrition.ResultsAmong 3,918 under-five children involved in this study, 51.4% were male children and 20.2% were from urban areas. The place of delivery of the majority of mothers (56.1%) was at home, and the majority of children were from the poorest household (36.4%). The estimated effects of height-for-age of female children were higher (1.31:95% CI = 0.45, 0.200), indicating that female children had a lower likelihood of stunting than males. As compared to children in an urban area, children from rural areas were more likely to be stunted (−0.269; 95%CI = −0.388, −0.135). The estimated total indirect effects of wealth index on stunting and underweight was 0.69 (95% = 0.045, 0.094) and 0.036 (95% = 0.013, 0.054), respectively, and significant (p-value of &lt;0.05).ConclusionEnvironmental, maternal, biological, and behavioral factors were the potential mediators of the link between the wealth index and the anthropometric indices. Besides, the total effects of the household wealth index had a significant effect on stunting, underweight, and wasting in which children from a household with low economic status were more likely to be malnourished.
Classification of multiple sclerosis clinical profiles using machine learning and grey matter connectome
Authors: Barile Berardino , Ashtari Pooya , Stamile Claudio , Marzullo Aldo , Maes Frederik , Durand-Dubief Françoise , Van Huffel Sabine , Sappey-Marinier Dominique 
Published: October 2022

Purpose: The main goal of this study is to investigate the discrimination power of Grey Matter (GM) thickness connectome data between Multiple Sclerosis (MS) clinical profiles using statistical and Machine Learning (ML) methods.Materials and Methods: A dataset composed of 90 MS patients acquired at the MS clinic of Lyon Neurological Hospital was used for the analysis. Four MS profiles were considered, corresponding to Clinical Isolated Syndrome (CIS), Relapsing-Remitting MS (RRMS), Secondary Progressive MS (SPMS), and Primary Progressive MS (PPMS). Each patient was classified in one of these profiles by our neurologist and underwent longitudinal MRI examinations including T1-weighted image acquisition at each examination, from which the GM tissue was segmented and the cortical GM thickness measured. Following the GM parcellation using two different atlases (FSAverage and Glasser 2016), the morphological connectome was built and six global metrics (Betweenness Centrality (BC), Assortativity (r), Transitivity (T), Efficiency (Eg), Modularity (Q) and Density (D)) were extracted. Based on their connectivity metrics, MS profiles were first statistically compared and second, classified using four different learning machines (Logistic Regression, Random Forest, Support Vector Machine and AdaBoost), combined in a higher level ensemble model by majority voting. Finally, the impact of the GM spatial resolution on the MS clinical profiles classification was analyzed.Results: Using binary comparisons between the four MS clinical profiles, statistical differences and classification performances higher than 0.7 were observed. Good performances were obtained when comparing the two early clinical forms, RRMS and PPMS (F1 score of 0.86), and the two neurodegenerative profiles, PPMS and SPMS (F1 score of 0.72). When comparing the two atlases, slightly better performances were obtained with the Glasser 2016 atlas, especially between RRMS with PPMS (F1 score of 0.83), compared to the FSAverage atlas (F1 score of 0.69). Also, the thresholding value for graph binarization was investigated suggesting more informative graph properties in the percentile range between 0.6 and 0.8.Conclusion: An automated pipeline was proposed for the classification of MS clinical profiles using six global graph metrics extracted from the GM morphological connectome of MS patients. This work demonstrated that GM morphological connectivity data could provide good classification performances by combining four simple ML models, without the cost of long and complex MR techniques, such as MR diffusion, and/or deep learning architectures.