Cigarettes' use and capabilities-opportunities-motivation-for-behavior model:a multi-country survey of adolescents and young adults

The use of cigarettes among adolescents and young adults (AYA) is an important issue. This study assessed the association between regular and electronic-cigarettes use among AYA and factors of the Capability-Motivation-Opportunity-for-Behavior-change (COM-B) model. A multi-country survey was conducted between August-2020 and January-2021, Data was collected using the Global-Youth-Tobacco-Survey and Generalized-Anxiety-Disorder-7-item-scale. Multi-level logistic-regression-models were used. Use of regular and electronic-cigarettes were dependent variables. The explanatory variables were capability-factors (COVID-19 status, general anxiety), motivation-factors (attitude score) and opportunity-factors (country-level affordability scores, tobacco promotion-bans, and smoke free-zones) controlling for age and sex. Responses of 6,989-participants from 25-countries were used. Those who reported that they were infected with COVID-19 had significantly higher odds of electronic-cigarettes use (AOR = 1.81, P = 0.02). Normal or mild levels of general anxiety and negative attitudes toward smoking were associated with significantly lower odds of using regular-cigarettes (AOR = 0.34, 0.52, and 0.75, P < 0.001) and electronic-cigarettes (AOR = 0.28, 0.45, and 0.78, P < 0.001). Higher affordability-score was associated with lower odds of using electronic-cigarettes (AOR = 0.90, P = 0.004). Country-level-smoking-control policies and regulations need to focus on reducing cigarette affordability. Capability, motivation and opportunity factors of the COM-B model were associated with using regular or electronic cigarettes

Anxiety among adolescents and young adults during COVID-19 pandemic: A multi-country survey

(1) Background: Adolescents-and-young-adults (AYA) are prone to anxiety. This study assessed AYA's level of anxiety during the COVID-19 pandemic; and determined if anxiety levels were associated with country-income and region, socio-demographic profile and medical history of individuals. (2) Methods: A survey collected data from participants in 25 countries. Dependent-variables included general-anxiety level, and independent-variables included medical problems, COVID-19 infection, age, sex, education, and country-income-level and region. A multilevel-multinomial-logistic regression analysis was conducted to determine the association between dependent, and independent-variables. (3) Results: Of the 6989 respondents, 2964 (42.4%) had normal-anxiety, and 2621 (37.5%), 900 (12.9%) and 504 (7.2%) had mild, moderate and severe-anxiety, respectively. Participants from the African region (AFR) had lower odds of mild, moderate and severe than normal-anxiety compared to those from the Eastern-Mediterranean-region (EMR). Also, participants from lower-middle-income-countries (LMICs) had higher odds of mild and moderate than normal-anxiety compared to those from low-income-countries (LICs). Females, older-adolescents, with medical-problems, suspected-but-not-tested-for-COVID-19, and those with friends/family-infected with COVID-19 had significantly greater odds of different anxiety-levels. (4) Conclusions: One-in-five AYA had moderate to severe-anxiety during the COVID-19-pandemic. There were differences in anxiety-levels among AYAs by region and income-level, emphasizing the need for targeted public health interventions based on nationally-identified priorities

A multi-country study on the impact of sex and age on oral features of COVID-19 infection in adolescents and young adults

Background: Oral diseases are features of COVID-19 infection. There is, however, little known about oral diseases associated with COVID-19 in adolescents and young adults (AYA). Therefore, the aim of this study was to assess oral lesions’ association with COVID-19 infection in AYA; and to identify if sex and age will modify these associations. Methodology: Data was collected for this cross-sectional study between August 2020 and January 2021 from 11-to-23 years old participants in 43-countries using an electronic validated questionnaire developed in five languages. Data collected included information on the dependent variables (the presence of oral conditions- gingival inflammation, dry mouth, change in taste and oral ulcers), independent variable (COVID-19 infection) and confounders (age, sex, history of medical problems and parents’ educational level). Multilevel binary logistic regression was used for analysis. Results: Complete data were available for 7164 AYA, with 7.5% reporting a history of COVID-19 infection. A significantly higher percentage of participants with a history of COVID-19 infection than those without COVID-19 infection reported having dry mouth (10.6% vs 7.3%, AOR = 1.31) and taste changes (11.1% vs 2.7%, AOR = 4.11). There was a significant effect modification in the association between COVID-19 infection and the presence of dry mouth and change in taste by age and sex (P = 0.02 and < 0.001). Conclusion: COVID-19 infection was associated with dry mouth and change in taste among AYA and the strength of this association differed by age and sex. These oral conditions may help serve as an index for suspicion of COVID-19 infection in AYA

Durability Properties of Lightweight Foamed Concrete Reinforced with Lignocellulosic Fibers

Worldwide concern and ascendancy of emissions and carbon footprints have propelled a substantial number of explorations into green concrete technology. Furthermore, construction material costs have increased along with their gradual impact on the environment, which has led researchers to recognize the importance of natural fibers in improving the durability and mechanical properties of concrete. Natural fibers are abundantly available making them relatively relevant as a reinforcing material in concrete. Presently, it should be recognized that most construction products are manufactured using resources that demand a high quantity of energy and are not sustainable, which may lead to a global crisis. Consequently, the use of plant fibers in lightweight foamed concrete (LFC) is deemed a practical possibility for making concrete a sustainable material that responds to this dilemma. The main objective of this study is to investigate the effect of the addition of lignocellulosic fibers on the performance of LFC. In this investigation, four different types of lignocellulosic plant fibers were considered which were kenaf, ramie, hemp and jute fibers. A total of ten mixes were made and tested in this study. LFC samples with a density of 700 kg/m3 and 1400 kg/m3 were fabricated. The weight fraction for the lignocellulosic plant fibers was kept at 0.45%. The durability parameters assessed were flowability, water absorption capability, porosity and ultrasonic pulse velocity (UPV). The results revealed that the presence of cellulosic plant fibers in LFC plays an important role in enhancing all the durability parameters considered in this study. For workability, the addition of ramie fiber led to the lowest slump while the inclusion of kenaf fiber provided optimum UPV. For porosity and water absorption, the addition of jute fiber led to the best results

Potential of Biomass Frond Fiber on Mechanical Properties of Green Foamed Concrete

Currently, the cost of construction rises along with the ongoing impact on the environment, and it has led the researchers to the acceptance of biomass natural fibers, such as biomass frond fiber (BFF), for the improvement of the mechanical properties of cement-based materials. BFF is abundantly accessible, making it relatively pertinent as a reinforcing material in foamed concrete (FC). In addition, natural fiber-reinforced concrete has been progressively employed in construction for several decades to reduce the crack growth under the static load. This paper intends to experimentally investigate the effectiveness of the addition of BFF to FC to improve its mechanical properties. The FC samples were strengthened with BFF at the weight fractions of 0.12%, 0.24%, 0.36%, 0.48%, and 0.60%. This study used three FC densities: 600 kg/m3, 800 kg/m3, and 1000 kg/m3, with fixed constitutions with 0.45 and 1:1.5 cement-to-water and cement-to-sand ratios, respectively. The evaluated strength characteristics included bending, splitting tensile, and compressive strengths. The experimental outcomes indicated that adding 0.36% BFF to FC facilitates optimal splitting tensile, compressive, and bending strength results. BFF enhances material strength by filling the spaces, microcracks, and gaps inside the FC structure. The BFF helped to reduce crack spreading when the plastic state of the FC cementitious matrix was loaded. Furthermore, the optimum level of BFF inclusion and the accumulation and the non-uniform distribution of BFF were detected, which caused the lowering of the strengths of the FC significantly. Beyond the optimum level of BFF, the agglomeration and the non-uniform dispersion of the BFF were seen, which resulted in a drop in mechanical properties. The output from this research will give a better insight into the potential utilization of plant fiber in FC. It is of profound significance to guide the sustainable development and application of FC material and infrastructures