Background: Overweight and obesity in adolescence have become a public health challenge. Health effects due to overweight and obesity appear during adolescence and continue into adulthood. Modifiable factors associated with overweight and obesity include unhealthy dietary behaviors and lack of exercise. Assessment of the prevalence of overweight and obesity and unhealthy dietary behaviors is essential to plan for preventive programs at the population level. Objectives: The aim of the study was to estimate the prevalence of overweight, obesity, and unhealthy dietary behaviors among adolescents of grades 8–12 in Dubai schools, 2019. Method: The Adolescents Risk Behavioral Survey (ARBS) is a 2-stage stratified cluster study. The 1st stage involved randomly selecting schools with a probability proportional to the size and the 2nd stage was randomly selecting classes, and all students in the selected classes were invited to participate; the total participants were 1,683 adolescents from grades 8–12 from 28 private and government schools. Students answered a self-administrated electronic questionnaire. Anthropometric measures including height and weight were assessed by a trained school nurse. Body mass index was calculated and classified according to World Health Organization (WHO) growth charts for sex and age. Data were analyzed with adjustment for weight, primary sampling unit, and stratum. Results: Among the adolescents of Dubai schools studying in grades 8–12, the prevalence of overweight was 25.3% (95% confidence interval [CI]: 22.7–28.2) and obesity was 15% (95% CI: 13.0–18.9). Overweight did not vary between male and female students, but obesity was higher among male students 19.9% (95% CI: 15.4–25.1) than female students 11.8% (95% CI: 8.7–15.6) (p = 0.0261). Age and grade were not found to be associated with overweight or obesity. The prevalence of unhealthy dietary behaviors was common. Examining dietary habits from 30 days prior to the survey, 21.3% of adolescents (95% CI: 17.2–26.1) reported not eating fruits and 19.7% (95% CI: 15.7–24.4) not eating vegetables. With regard to consuming dairy, 3.3% of adolescents (95% CI: 10.9–16.1) did not drink milk or consume dairy products in the 7 days prior to the survey, 31% of adolescents (95% CI: 26.8–35.5) consumed a carbonated drink daily, and 18.4% did not eat breakfast on all 7 days during and before the survey. Eating fast food was high among adolescents as 78.9% reported eating fast food one or more days in the week preceding the survey. Conclusion: School programs for overweight and obesity need further strengthening and to extend their scope to outside of the school community.
<b><i>Background:</i></b> Globally, depressive disorders are one of the leading causes of ill mental health and disability affecting about 1 in 4 people at some point in their lives. Population-level data on depressive disorders in the region are sparse yet essential for health sectors. This is the first population estimate for the prevalence of depressive disorders and associated factors in Dubai. <b><i>Objective:</i></b> The aim of this study was to estimate the prevalence of depressive disorders and the associated factors among adults aged ≥18 years in the Emirate of Dubai 2019. <b><i>Method:</i></b> This is a complex-design cross-sectional population survey targeting Dubai residents aged ≥18 years. This study was part of the Dubai Household Survey 2019 (DHHS-2019). The total number of participants was 2,244, with a response rate of 91.6%. The design was a 2-stage stratified cluster sample. Trained investigators conducted computer-assisted face-to-face interviews using the World Health Survey questionnaire and Patient Health Questionnaire (PHQ-9) screening. Analysis was design-based adjusting for weight, primary sampling unit, and stratum. <b><i>Results:</i></b> The overall prevalence of depressive disorders was 2.3% (95% confidence interval [CI]: 1.6%–3.4%). Screening revealed 1.9% (95% CI: 1.2%–2.9%) of participants were positive for depressive disorders, with no prior diagnosis constituting approximately 74% of the depressed. Factors associated with depression were adjusted using logistic regression and revealed significantly higher odds of depressive disorders among the following: unmarried (single, divorced, and widowed) comparing to married (odds ratio [OR]: 2.7, 95% CI: 1.2–6.3) and smokers than nonsmokers (OR: 3.3, 95% CI: 1.4–8.0). Employment was found to be a protective factor and reduced the odds of having depressive disorders by 80% comparing to unemployed (OR: 0.2, 95% CI: 0.1–0.7). Moreover, those suffering from health conditions had higher odds for having depressive disorders, such as chest pain (OR: 20.2, 95% CI: 5.5–74.8), history of tuberculosis (TB) (OR: 12.6, 95% CI: 2.1–76.8), and history of stroke (OR: 22.5, 95% CI: 6.8–74.2). <b><i>Conclusion:</i></b> The prevalence of depressive disorders was relatively low in Dubai compared to most countries. However, approximately 74% of individuals with depression were undiagnosed, indicating the need for screening programs. The odds of having depressive disorders were significantly higher among unmarried, unemployed, smokers, and those with a history of TB and stroke.
Although it is theoretically expected that fiscal decentralization leads to efficient provision of local public services and induces economic growth, there is a mixed outcome of the non-devolved and devolved effect on economic expansion across earlier empirical studies. This could be due to non growth-enhancing expenditures that crowdout outlays that are meant to boost economic growth. Further, devolved allocation is small, about 15 % of total revenue, to full stimulate economic growth in Kenya. However, national government spends a substantial amount in counties to complement devolved expenditure. Therefore, the issue of which non-devolved expenditure by national government can foster permanent movements in county economic growth becomes core. The panel ARDL and Kao co integration technique were used to test the linkage between non-devolved expenditure and economic growth in Kenya during the period, 2013-2017. The panel ARDL regression results revealed that the effect of nondevolved expenditure on economic growth was positive and significant in both long-run and short-run. The findings provide a basis for recommendation on the need for national government to increase budget allocation and execution in counties to complement devolved expenditure and also stimulate county economic growth in long-run.
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