Influence of socioeconomic status on changes in body size and physical activity in ageing black South African women

Background

The increasing prevalence of obesity in sub-Saharan African women is not well understood, and black South African women in the region are particularly vulnerable. This study aimed to examine whether the relationship of socioeconomic status (SES) with changes in body mass index (BMI) and waist circumference (WC) is mediated by physical activity in ageing African women.

Methods

In a longitudinal analysis of the 518 caregivers associated with the Birth to Twenty Plus study, the role of SES associated with 10-year changes in BMI and WC was tested using structural equation modelling (SEM). The degree of mediation of moderate-vigorous physical activity (MVPA) and sitting time in this association was also assessed.

Results

The prevalence of obesity increased significantly from baseline to follow-up (p?<?0.0001). In the SEM models, baseline SES had a direct positive effect on changes in BMI (β, 95% CI, 0.02 (0.005 to 0.04), and a direct negative effect on changes in MVPA (β, 95% CI, ??3.81 (??6.92 to ??0.70). Baseline MVPA had a direct negative effect (β, 95% CI, ??0.002 (??0.003 to ??0.0003) and indirect positive effect via change in MVPA (β, 95% CI, 0.01 (0.0001 to 0.001) on change in WC.

Conclusions

Our study demonstrates the role and interaction of sociodemographic and behavioural predictors of obesity, and suggests a multifaceted approach to management of the crisis in communities of ageing urban African women.

     

Le télétravail des cadres : entre suractivité et apprentissage de nouvelles temporalités

Telework is often considered to be a means for making life at work and at home more compatible. Why do some wage-earners, in particular white-collar employees, choose it? Do they actually make a choice or simply adopt a solution “for want of anything better” in an organizational context with its limitations? In this case, what factors do they weigh against each other? Once they have opted for telework, how do these white collars manage to adjust their occupational and family lives? Is their aspiration to improve the balance between the two satisfied? Or do they run up against unexpected difficulties? Answers to these questions come out of two studies conducted among white-collar employees in different sorts of telework. Given the absence of institutional regulations governing the relation between life at home and at work, telework, far from leading to a more balanced life, jeopardizes the organization’s collective efficiency.     

A mixture model for dimension reduction

The existence of a dimension reduction (DR) subspace is a common assumption in regression analysis when dealing with high-dimensional predictors. The estimation of such a DR subspace has received considerable attention in the past few years, the most popular method being undoubtedly the sliced inverse regression. In this paper, we propose a new estimation procedure of the DR subspace by assuming that the joint distribution of the predictor and the response variables is a finite mixture of distributions. The new method is compared through a simulation study to some classical methods.     

Social assistance trajectories in Switzerland: do they follow discernible patterns?

Dynamic research on poverty to date tends to stress the temporalised and democratised nature of the phenomenon. It describes poverty as a short or transient experience shaped essentially by individual characteristics. Empirical evidence, however, remains inconclusive. Recent studies focussing on social assistance paint a more nuanced picture that reveals the existence of both short- and long-term trajectories. The present study aims to advance this debate by exploring trajectory patterns of social assistance recipients in Switzerland. Trajectory patterns have been substantiated by means of sequence analysis. Multinominal logistic regression analysis was then used to study the effect of individual and contextual factors on these trajectories. Results yield four clearly discernible patterns associated with well-established indicators of poverty risk and social inequalities. The study concludes that poverty, defined as social assistance benefit receipt, is neither a highly temporalised nor a markedly individualised phenomenon.     

A Shorter and Multidimensional Version of the Gambling Attitudes and Beliefs Survey (GABS-23)

The Gambling Attitudes and Beliefs Survey (GABS) is a questionnaire which explores gambling-related dysfunctional beliefs in an unidimensional way. The present research aims to investigate the dimensionality of the scale. 343 undergraduate student gamblers and 75 pathological gamblers seeking treatment completed the GABS and the south oaks gambling screen. Exploratory and confirmatory factor analyses revealed that the original one-factor structure of the GABS did not fit the data effectively. We then proposed a shorter version of the GABS (GABS-23) with a new five-factor structure, which fitted with the data more efficiently. The comparisons between students (problem vs. non-problem gamblers) and pathological gamblers seeking treatment indicated that the GABS-23 can discriminate between problem and non-problem gamblers as efficiently as the original GABS. To ensure the validity and the stability of the new structure of the GABS-23, analyses were replicated in an independent sample that consisted of 628 gamblers (256 non problem gamblers, 169 problem gamblers who are not treatment-seeking and 203 problem gamblers seeking treatment). Analyses showed satisfactory results, and the multidimensional structure of the GABS-23 was then confirmed. The GABS-23 seems to be a valid and useful assessment tool for screening gambling-related beliefs, emotions and attitudes among problem and non-problem gamblers. Moreover, it presents the advantage of being shorter than the original GABS, and of screening irrational beliefs and attitudes about gambling in a multidimensional way. The five-factor model of the GABS-23 is discussed based on the theory of locus of control.     

Clinical Profiles as a Function of Level and Type of Impulsivity in a Sample Group of At-risk and Pathological Gamblers Seeking Treatment

Level and type of impulsivity are essential variables to be taken into consideration during the initial evaluation of a pathological gambler. The aim of this study was to measure the score for 4 impulsivity-related traits (Urgency, (lack of) Premeditation, (lack of) Perseverance and Sensation seeking) in a sample group of at-risk and pathological gamblers, and to highlight any links with certain elements of clinical data. The UPPS Impulsive Behaviour Scale was administered to 84 problem gamblers seeking treatment. The severity of gambling disorders was evaluated using the diagnostic criteria of the DSM-IV. Psychiatric and addictive comorbidities were also explored. The results indicated that the score for the Urgency facet had a positive correlation with the severity of gambling disorders. It appeared that participants displayed different clinical profiles according to the level and type of impulsivity. Several of the UPPS scales were identified as risk factors for mood disorders, risk of suicide, alcohol use disorders, and Attention Deficit/Hyperactivity Disorder (ADHD). The results confirm both the complexity of the multi-dimensional concept of impulsivity and the reason why the UPPS is of interest for a more in-depth study of the subject.