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All Journal Journal of Maternal and Child Health International Journal of Applied Research and Sustainable Sciences (IJARSS) Proceeding Mulawarman International Conference on Tropical Public Health
Ying Zhang
Shenyang Jianzhu University
Religion Humanities Chemical Engineering, Chemistry & Bioengineering Decision Sciences, Operations Research & Management Education Medicine & Pharmacology Public Health

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Assessment of risk factors for Neonatal Abstinence Syndrome (NAS) using a Standardized Surveillance Case Definition in Clark County, NV Bryant, Rachel; Delise, Brandon; Zhang, Ying; Beckford, Niema; Lockett, Cassius
Journal of Maternal and Child Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.01.07

Abstract

Background: Neonatal Abstinence Syndrome (NAS) is a withdrawal syndrome in neonates that can occur due to drug exposure during pregnancy. This study had two objectives: (1) Assess the implementation of the Council of State and Territorial Epidemiologists (CSTE) Tier 2 case definition for NAS surveillance in Clark County, Nevada and (2) Identify risk factors for NAS. Subjects and Method: This study utilized hospital discharge data. Claim-based records from non-federal acute care hospitals located in Clark County during 2016-2022 were analyzed.  All newborn inpatient discharge records from January 1, 2016 to September 30, 2022 in Clark County, Nevada were selected.  ICD-10-CM codes were utilized based on the CSTE Tier 2 case definition. Any neonate record that met the case definition, including any record with the diagnosis code P96.1, was considered a NAS confirmed case. Codes for suspect cases, maternal history of substance use, unspecified maternal medication, and transmitted noxious-substances were also assessed. A multiple logistic regression model using backward stepwise selection was developed to find risk factors related to NAS-confirmed births. Results: In Clark County, Nevada, the NAS incidence rate from January 2016 to September 2022 was 7.4 per 1,000 births. In 2022 alone, the rate of NAS was 8.9 per 1,000 births. Estimated rates of NAS were highest among neonates who were White at 13 per 1,000 births. Hospital J, the largest academic medical center in Southern Nevada, had the highest NAS confirmed case rate at 11.3 per 1000 newborn hospitalizations. Results from the multiple logistic regression model showed the odds of being born with NAS among neonates who identified as White were 5.0 (OR=5.17; 95% CI= 4.29 to 6.24; p <0.001) times more likely to have NAS compared to the Hispanic group. Conclusion: Given that 2022 had the highest rate of confirmed NAS cases there is a need to collect substance and diagnosis-specific data about prenatal substance use to identify unmet service care and disparities.
The Association between Fast Food Consumption and Obesity among College Students in Indonesia Putri, Ulfah Mahardika Pramono; Zhang, Yuhan; Zhang, Ying; Cao, Saiying; Yang, Lina
International Journal of Applied Research and Sustainable Sciences Vol. 2 No. 2 (2024): February 2024
Publisher : MultiTech Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59890/ijarss.v2i2.1402

Abstract

Background: In Indonesia, the total percentage of obese adults rose from 10.5% in 2007 to 21.8% in 2018. College students are the highest consumers on most food purchasing applications with fast food options. This study investigated the association between fast food consumption and obesity among college students in Indonesia. Methods: A Google Form was used to conduct a cross-sectional study with 1086 participants from March to June 2023. Food consumption was measured with the Semi-Quantitative Food Frequency Questionnaire (SQFFQ). Chi-square and Kruskal-Wallis tests were utilized. Results: The results showed that 25% of the college students were overweight and obese. Most college students (30.9%) eat fast food >4 times per week. Furthermore, 33.5% eat traditional fast food, and 28.1% eat Western fast food >2 times a week. There were significant differences in the frequency of traditional and Western fast food and energy intake of fast food after adjusting the covariates (p<0.01). The total energy consumption of fast food among obese college students in Indonesia (800.01 kcal (343.73, 1324.93)) was significantly higher than underweight (411.21 kcal (316.37, 852.13)), normal weight (417.23 kcal (311.49, 980.18)), and overweight college students (600.80 kcal (336.07, 1152.46)). Conclusions: Consuming fast food is substantially linked with obesity among college students in Indonesia. To avoid and lessen obesity among college students, eating a greater variety of healthful foods and learning to cook are necessary.
Women’s Social Independence and Climatic Factors Affect Stunting among Indonesian Children Astutik, Erni; Li, Mu; Kirkwood, Elizabeth; Zhang, Ying
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Social independence in women, climate change, and stunting are interconnected issues through a series of pathways that can create a cycle of vulnerability and adverse health impacts on children, especially in developing countries. Objective : The aims of this study are to explore the impact of women’s social independence and climate factors on stunting in children under 5 years of age in East Java Province, Indonesia. Research Methods/ Implementation Methods : This study used secondary data from a nationally representative 2023 Indonesian Health Survey sample. Data from 3,928 children under five and their parents were analysed. Descriptive analysis and multivariable logistic regression adjusting for complex sampling design were used to examine the risks of contributing factors, controlling for potential confounders. Results : Children of mothers who had medium and higher social independence showed a reduced risk of stunting incidence, compared to children of mothers who had lower social independence. Stunting decreased by 21.61% for 1°C increase in average temperature. Meanwhile, stunting increased by 12% for 1% increase in average humidity, 0.4% for1 mm increase in average rainfall, and 1% for1 hour increase in sunshine duration. Increased stunting risks were also associated with poor environmental sanitation, diarrheal diseases, and older age. Conclusion/Lesson Learned : The study indicates that women’s social independence can reduce stunting incidence among children under five in Indonesia. While decreased temperature and increased rainfall, humidity and duration of sunshine could bring more stunting incidence in the study population. These findings highlight the importance of developing integrative preventive strategies to reduce stunting among Indonesian children under-5.
Co-Authors Astutik, Erni Beckford, Niema Bryant, Rachel Cao, Saiying Delise, Brandon Kirkwood, Elizabeth Li, Mu Lockett, Cassius Putri, Ulfah Mahardika Pramono Yang, Lina Zhang, Yuhan