Digital divide among B40 students in Malaysian higher education institutions.

While technological advances have led to digital transformation in many higher education institutions (HEIs), digital divide, especially among students in developing nations, is becoming a growing concern. This study aims to investigate the use of digital technology among B40 students (students from the lower socioeconomic backgrounds) in Malaysian HEIs. Specifically, this study intends to investigate how perceived ease of use, perceived usefulness, subjective norms, perceived behavioural control, as well as gratification constructs significantly affect digital usage among B40 students in Malaysian HEIs. This study used the quantitative research method with an online questionnaire which received 511 responses. SPSS was employed for demographic analysis, while Smart PLS software was used for structural model measurements. This study was based on two theories: planned behaviour theory and uses and gratification theory. The results showed that perceived usefulness and subjective norms significantly influenced the digital usage of the B40 students. In addition, all three gratification constructs indicated a positive effect on the students' digital usage.

Social Insurance Literacy of Dutch Workers Receiving Disability Benefits and its Associations with Socio-Economic Characteristics.

Purpose This study explores the concept social insurance literacy (SIL) and corresponding questionnaire (SILQ) among workers receiving disability benefits and the comprehensibility of the social security institute (SSI), and examines associations with socio-economic characteristics. Methods 1753 panel members of the Dutch SSI were approached to complete the SILQ-NL37. This measure was based on the original SILQ. The SILQ-NL37 contains domains for obtaining, understanding and acting upon information for both individual SIL and system comprehensibility. A higher score means better SIL or comprehensibility. Data on age, gender, education, living situation, Dutch skills and time receiving disability benefits were also collected. With k-means clustering, groups with adequate and limited SIL were created. Associations with socio-economic characteristics were examined with independent t-tests and linear regression analyses for both the total scores and within domain scores. Cronbach α and Spearman rho's indicated measurement properties were good to acceptable for the SILQ-NL37. Results Thirty-five percent of the 567 participants were in the group with limited SIL. Higher individual SILQ-NL37 scores were associated with having a partner (p = 0.018) and northeastern living region (p = 0.031). Higher scores for obtaining (p = 0.041) and understanding (p = 0.049) information were associated with female sex, and for acting on information with younger age (p = 0.020). People with limited Dutch skills (p = 0.063) and a partner (p = 0.085) rated system comprehensibility higher. Conclusions According to the SILQ-NL37 scores, about 35% of the panel members have limited ability to obtain, understand and act upon social insurance systems information. Limited SIL is associated with several socio-economic factors. Future researches should study the concept in a more representative sample, and in different countries and social insurance contexts.

The changing relationship between socio-economic background and family formation in four European countries.

Family formation, a process that includes union formation, fertility, and their timing and order, has become increasingly diverse and complex in Europe. We examine how the relationship between socio-economic background and family formation has changed over time in France, Italy, Romania, and Sweden, using first wave Generations and Gender Survey data. Competing Trajectories Analysis, a procedure which combines event-history analysis with sequence analysis, allows us to examine family formation as a process, capturing differences in both the timing of the start of family formation and the pathways that young adults follow. Regarding timing, socio-economic background differences in France and Sweden have remained relatively small, whereas in Italy and Romania higher parental education has become more strongly associated with postponement. Pathways tend to diverge by socio-economic background, particularly in Sweden and France. These results indicate that while family formation patterns have changed, they continue to be stratified by socio-economic background.

Digital inequality in Austria: Empirical evidence from the survey of the OECD "Programme for the International Assessment of Adult Competencies".

Digitisation and rapidly emerging new technologies are transforming many aspects of life such as education, work, and leisure. These changes lead to a growing demand for new skills related to ICT use, computer literacy, internet use, or technical digital skills. However, the extensive literature on digital inequality provides evidence for significant differences in computer skills along the usual dimensions of social inequality. Due to the omnipresence of digital technologies in everyday life, it is all the more important to know the extent of digital inequality to be able to take appropriate measures to ensure that social participation does not degenerate into a question of social stratification in the Digital Age. In this paper, we provide empirical evidence for socio-economic digital inequality in Austria using survey data from the "Programme for the International Assessment of Adult Competencies" (PIAAC) conducted in 2011/2012. We show, for Austria, that higher socio-economic background is positively related to digital problem-solving while being female is negatively correlated. However, when controlling for ICT engagement in everyday life, the positive effect of the socio-economic background only remains significant for groups of people with a very high socio-economic background while the effect of gender becomes statistically insignificant. Furthermore, based on Eurostat data we cannot identify a uniform trend towards a decline of digital inequality since 2012. Our results indicate that disadvantaged population groups in Austria should be encouraged and enabled to integrate ICT usage in their everyday life to reduce digital inequality.

Depression and suicidal ideation among individuals with type-2 diabetes mellitus, a cross-sectional study from an urban slum area of Karachi, Pakistan.

Background: Suicidal thoughts and depression are associated with patients with diabetes, especially patients with low socioeconomic backgrounds and prolonged illness. Objective: We aimed to estimate suicidal thoughts and depression among patients with type 2 diabetes (T2D) in the slums of Karachi. Methods: This cross-sectional study was conducted across 38 locations in the slums of Karachi to understand depression, suicidal thoughts, and other supporting factors of depression associated with T2D. The three-item Oslo Social Support Scale, the Patient Health Questionnaire-9 (PHQ-9) scale, and the Ask Suicide Screening Questions were used to screen the patients. Results: A total of 504 study participants were interviewed, with a response rate of 98%. The prevalence of depression among patients with diabetes was 30.83%, and suicidal ideation was 20.39%. In the final multivariate analysis, being socioeconomically poor, physically disabled, and having poor social support were independent predictors of depression. Conclusion: Diabetes, low socioeconomic level, a lack of social support, and physical disability were all linked to depression. Therefore, trained health providers should conduct an early depression-focused routine screening for patients with diabetes.

Impact of COVID-19 on changing consumer behaviour: Lessons from an emerging economy.

The present study investigates the impact of COVID-19 on Consumers' changing way of life and buying behaviour based on their socio-economic backgrounds. A questionnaire survey was carried out to understand the impact of COVID-19 on consumers' affordability, lifestyle, and health awareness and how these effects influenced their buying behaviour. A total of 425 usable responses were analysed using the structural equation modelling considering Consumers' socio-economic background as exogenous variables and Consumers' changing way of life and Adaptation in consumers' buying behaviour as endogenous variables. The study reveals that COVID-19 has affected the consumers in the unorganised sectors more than others and induced an increase in the demand for affordable substitutes for daily necessities. The demand for wellness and entertainment products is found to depend upon the occupation and family earning status of consumers which is jointly mediated by affordability and lifestyle changes. Further, the findings show that the demand for health and hygiene products depends on the current employment status and family earning status of consumers which is jointly mediated by affordability and awareness towards health and hygiene. The model developed in the present study allows the decision-makers to identify which segments of the population with certain socio-economic backgrounds could be targeted for wellness products and which ones could be targeted for health and hygiene products. In addition, the model provides rich insights to the managers as to what kind of product substitution would be viable in the market during the pandemic.

A study on the effects of health behavior and sports participation on female college students' body mass index and healthy promoting lifestyle.

Objective: Life form and body composition may affect the health of college students. This study will explore the relationship between the demographic variables of female college students and their body composition and health promoting lifestyle, so as to provide useful reference for the future design and planning of college students' physical and mental health courses and improving their physical activity level. Methods: Using the method of questionnaire and bioelectrical resistance measurement, a questionnaire on healthy lifestyle of college students was constructed on the basis of consulting a large number of relevant research literature. Relevant survey samples were obtained through random sampling, and their body composition was measured; use SPSS21.0 statistical analysis software to conduct statistical analysis on relevant indicators. Results and conclusions: (1) at present, female college students generally lack leisure activities and sleep, the proportion of regular fitness habits is low, and the number of snacks and average daily online time are generally too high; The overweight rate and body fat rate of female college students are generally too high, while the standard rate of muscle weight is generally too low. (2) Female college students' health promoting lifestyle has the highest score of self-realization, followed by interpersonal support and the worst behavior of sports participation; The older the college students, the worse their sports participation and overall health promotion behavior; The better the Conscious health status, the better the self-realization, exercise participation and nutritional behavior; The more exercise time per day, the higher their participation in sports and the stronger their health responsibility; The more time spent on the Internet every day, the worse the health responsibility and sports participation. (3) The more time female college students spend on the Internet every day, the higher the probability of overweight. Those with regular exercise habits have a lower proportion of overweight and high body fat rate, while the better their sleep and night snack behavior, the lower their body fat rate. The older college students are, the larger their visceral fat area is, the better their exercise habits and sleep behavior are, the smaller their visceral fat area is, and the lower their visceral fat level is.

Factors Influencing Adherence Among Youth with Type-1-Diabetes Mellitus - The Hungarian Case.

Background and Introduction: Due to the increasing prevalence of type-1-diabetes, an increasing number of studies have drawn attention to its psychological effects and long-term consequences. As Type 1 Diabetes Mellitus is a chronic, non-curable, yet maintainable condition, with the affected children and their families facing a lifelong challenge, our research focuses on the factors influencing adherence. METHODS: The adherence of youth was examined in a sample involving 114 patients treated in the Medical and Health Science Centre at the University of Debrecen by employing a new adherence questionnaire (DAQ abbreviated version, Munkácsi et al. 2019) (DAF 2017; N=114). The influence of socio- demographic variables and those related to the disease (age at the time of diagnosis, the time elapsed since diagnosis, method of treatment, the time elapsed since the use of the pump) was measured by linear regression. Furthermore, the between-group comparisons were made by independent sample t-tests and variance analysis. The investigation was carried out between September 2017 and May 2018. RESULTS: The effect of using insulin pump as therapy turned out to be significant and positive (0.36. p=0.045). It was observed that the adherence of the patients using insulin pump was higher while the effect of the age at the diagnosis had a significantly negative effect (-.247, p=0.035). Thus, earlier detection of the disease may lead to a higher level of adherence. The effects of the socio-demographic variables (gender, family structure, educational level, type of the settlement, owning sibling and birth order) were not significant (p>0.05). Regarding the between-group comparisons, a significant difference could be pointed out concerning the siblings and birth-order as the adherence of those with siblings was higher (p=0.044). Moreover, concerning insulin pump therapy, the adherence of patients using pump was significantly better (p=0.048). Also, regarding the age of the diagnosis, the adherence of those diagnosed before 12 was seemingly higher (p=0.039). Concerning the other socio-demographical and disease-related variables, no significant differences could be detected. CONCLUSION: The results suggest that the treatment has an outstanding role in the adherence of the disease. Moreover, the role of the appropriate treatment, living conditions as well as the early diagnosis is relevant.

The Early Years Home Learning Environment - Associations With Parent-Child-Course Attendance and Children's Vocabulary at Age 3.

Although many studies investigated the effects of the home learning environment (HLE) in the preschool years, the constructs that underlie the HLE in the years before the age of three and its effects on language development are still poorly understood. This study therefore investigated the dimensionality of the HLE at age two, its relation to the attendance of low threshold parent-child-courses, and its importance for children's vocabulary development between age 2 and 3 years against the background of differing family background characteristics. Using data from 1,013 children and their families of the Newborn Cohort of the German National Educational Panel Study, structural equation modeling analyses showed that (1) quantitative and qualitative aspects of the early HLE, i.e., the frequency of stimulating activities, and the quality of parent-child-interactions should be differentiated; (2) that family background variables are differentially associated with the HLE dimensions and (3) that attendance at parent-child courses enriches both aspects of the HLE which in turn (4) are related to the children's vocabulary development. Our results highlight the need to differentiate aspects of the early HLE to disentangle which children are at risk in terms of which stimulation at home and the possibility to enrich the HLE through low threshold parent-child courses.

Abdominal aortic aneurysm screening attendance: Effect of removing the examination fee.

OBJECTIVES: The organized population-based screening programme for abdominal aortic aneurysm in Stockholm, Sweden, started in 2010. An examination fee was initially charged, but later removed because of a policy change. We examined the effect on screening attendance of removing the fee. METHODS: The periods before and after removing the examination fee were compared with regard to screening attendance, overall, by municipality and by district. RESULTS: Screening attendance was 79.2% in the period with an examination fee and 79.9% in the period without an examination fee (p = 0.1787), with no significant change in screening attendance between the periods. CONCLUSIONS: Although removing examination fees has been shown to have a positive impact on attendance in other screening programmes, we did not find this association in our study.

Getting the right balance? A mixed logit analysis of the relationship between UK training doctors' characteristics and their specialties using the 2013 National Training Survey.

OBJECTIVE: To analyse how training doctors' demographic and socioeconomic characteristics vary according to the specialty that they are training for. DESIGN: Descriptive statistics and mixed logistic regression analysis of cross-sectional survey data to quantify evidence of systematic relationships between doctors' characteristics and their specialty. SETTING: Doctors in training in the United Kingdom in 2013. PARTICIPANTS: 27 530 doctors in training but not in their foundation year who responded to the National Training Survey 2013. MAIN OUTCOME MEASURES: Mixed logit regression estimates and the corresponding odds ratios (calculated separately for all doctors in training and a subsample comprising those educated in the UK), relating gender, age, ethnicity, place of studies, socioeconomic background and parental education to the probability of training for a particular specialty. RESULTS: Being female and being white British increase the chances of being in general practice with respect to any other specialty, while coming from a better-off socioeconomic background and having parents with tertiary education have the opposite effect. Mixed results are found for age and place of studies. For example, the difference between men and women is greatest for surgical specialties for which a man is 12.121 times more likely to be training to a surgical specialty (relative to general practice) than a woman (p-value<0.01). Doctors who attended an independent school which is proxy for doctor's socioeconomic background are 1.789 and 1.413 times more likely to be training for surgical or medical specialties (relative to general practice) than those who attended a state school (p-value<0.01). CONCLUSIONS: There are systematic and substantial differences between specialties in respect of training doctors' gender, ethnicity, age and socioeconomic background. The persistent underrepresentation in some specialties of women, minority ethnic groups and of those coming from disadvantaged backgrounds will impact on the representativeness of the profession into the future. Further research is needed to understand how the processes of selection and the self-selection of applicants into specialties gives rise to these observed differences.

Differences in height by education among 371,105 Dutch military conscripts.

Adult height is associated with a variety of familial and socio-economic factors and large, well-defined populations are needed for a reliable assessment of their relative contributions. We therefore analyzed recorded heights from the military health examinations of 18-year conscripts in the Netherlands born between 1944 and 1947 and observed large differences by their attained education and by their father's occupation. The 5.1 cm height gradient from lowest to highest education level was more than twice as large as the gradient between father's occupation levels. The education gradient was not explained by common determinants of height including paternal occupation as a measure of familial background, region of birth, family size, or religion.

Activator reloaded - Myofunctional appliance at its best.

Orthodontics from time immemorial has always been considered as the first speciality of dentistry. Diagnosis and treatment planning from Dr. Tweed's time always required extraction of four vital and functional premolar teeth. However, many patients, parents and general dentists have failed to understand that orthodontic treatment at an early age can help save the extraction teeth to achieve a full functional and esthetic harmonius dentition. Our case demonstrates a non-extraction orthodontic treatment plan of a developing skeletal Class II malocclusion. The results of this case show a successful correction of Class II molar malocclusion with excellent form and function, which resulted in improvement of the patient's frontal and facial profile, which, thereby boosted her personality and self-confidence.