Association between Zinc and Vitamin D Intake and Obesity among Women: A Cross-Sectional Analysis of NHANES 2017-2018
Year: 2025
Type: article
Study design: Observational Study
Abstract: Background: High social support is easily assessed and associated with a healthier lifestyle, including vaccination adherence. Similarly, immunization is a widely available public health statistic associated with healthier behaviors. However, the link between the hepatitis immunization status and social support needs to be explored. Methods: We assessed the association between levels of social support and hepatitis immunization status using the National Health and Nutrition Examination Survey (NHANES), a cross-sectional multidisciplinary database publicly available for researchers. With 2005–2006 data, 2997 participants were included. Statistical analyses were conducted using STATA18.5v software, including the odds ratio of both univariable logistic regression and multivariable logistic regression. After adjusting for clinically relevant confounders, two distinct models were designed: 1) full immunization, and 2) incomplete immunization. Results: Multivariable analysis revealed significantly greater odds of high social support for participants fully or partially immunized against both hepatitis A and B: 3.15 (95% CI 1.03–9.66,p=0.04) and 3.35 (95% CI 1.15–9.75,p=0.03), respectively. Conclusion: Our findings show an association between vaccination and social support in both adjusted models. Individuals not vaccinated at all may behave differently from those willing to be, at least partially, immunized. It seems that a similar behavior that may lead to vaccination may also lead to increased social support. Therefore, our study suggests that hepatitis vaccination could perhaps be a surrogate marker for public-health-related outcomes.
Authors: Andres Soto Rodrigues, Andrei Shanchev, Pamela Gil Galleguillos, Beatriz Cubilhas, Escola Bahiana de Medicina e Saúde Pública,Salvador, Bahia, Brazil, Raissa Carvalho, Taciana Baez, Instituto Tecnológico de Santo Domingo, Santo Domingo, Dominican Republic, Giulia Cenci, Faculdade Meridional, Passo Fundo, Brazil, Carlos Alberto Vergara Ascenzo, NiuVida, Centro Especializado de Reproducción Asistida, Lima, Peru, Cristy Tavarez, Instituto Tecnológico de Santo Domingo, Santo Domingo, Dominican Republic, Felipe Martinez, Aché Laboratórios Farmacêuticos, São Paulo, Brazil, Leo Pena, Pontificia Universidad Católica Madre yMaestra, Santiago, Dominican Republic, Diego Saa, Martina Donoso, Centro Oftalmológico Dr. Charles, Buenos Aires,Argentina, Saheed Oyedele, Katherine Amaro, Pontificia Universidad Católica Madre yMaestra, Santiago, Dominican Republic, Marcos Amstalden Barros, Instituto Brasil de Tecnologias da Saúde (IBTS), Rio de Janeiro, Brazil, Simone Barbosa, IDOR, Rio de Janeiro, Brazil, Ana Diaz, Pontificia Universidad Católica Madre yMaestra, Santiago, Dominican Republic, Sharif Folorunso, Tatiana Gatilova, Patricia Leite, Novo Nordisk LATAM, São Paulo, Brazil, Niurkiss Mallen, Universidad Autónoma de Santo Domingo, Dominican Republic, Cinthia Minatel, Carol Moreno, Gabriel Sakaya, Clínica W&S, São Paulo, Brazil, Mery Terrero, Universidad Autónoma de Santo Domingo, Dominican Republic, Carolina Uribe, Clínica Dávila,Santiago, Chile, Adela Yip, Jinhui Peng, Care Alliance, Chengdu, China, Veronica Posse
Institutions: Dresden International University, Hospital del Salvador, University of Chile, Escola Bahiana de Medicina e Saúde Pública, Beneficência Portuguesa de São Paulo, Instituto Tecnológico de Santo Domingo, Atitus Educação, University of Arizona, Aché (Brazil), Pontificia Universidad Católica Madre y Maestra, Hospital del Trabajador, Obafemi Awolowo University Teaching Hospitals Complex, Obafemi Awolowo University, Rush University Medical Center, D’Or Institute for Research and Education, Novosibirsk State Medical University, Universidad Autónoma de Santo Domingo, Universidade Estadual de Campinas (UNICAMP), Hospital Metropolitano, Clínica Dávila, The University of Sydney, Emory University
Language: English
Subfield: Health
Field: Social Sciences
Domain: Social Sciences
Open Access status: diamond
OpenAlex ID: W4414409092
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