Purpose: To examine the association between maternal delay in reaching appropriate health facility and perinatal mortality in Lurambi and Butere sub-counties, Kakamega Kenya Methodology: A community based retrospective cross-sectional research design was adopted using mixed methods for data collection. A total of 520 respondents were randomly selected from 40 out 830 villages of Lurambi and Butere sub-counties using multistage cluster sampling. The respondents were interviewed from November 2017 to March 2018. Data entry and analysis was done using SPSS Version 25 software. Descriptive and inferential statistical analyses were used. Bivariate and multivariate logistic regressions were applied and adjusted odds ratio was used to determine the strength of association. A p-value of ≤ 0.05 was considered as statistically significant. Findings: Mothers who were aware of the appropriate health facility were 90% less likely to experience perinatal deaths (AOR: 0.1; 95% CI: 0.1 – 0.4; p< 0.0001), mothers who visited appropriate health facility were 80% less likely to experience perinatal deaths (AOR=0.2; 95%CI: 0.1-0.6; p=0.002). Unique Contribution to Theory, Practice, and Policy: Unique finding is that proximity to a health facility alone is not critical but proximity to the appropriate health facility that will be able to provide the needed maternal and newborn care is very important in reduction of perinatal mortality. In addition, interventions aimed at creating awareness on the appropriate facility to visit during maternal and newborn complication is critical to ensure perinatal survival.
{"title":"Second Delay Factors Influencing Perinatal Mortality among Mothers in Lurambi and Butere Sub-Counties, Kakamega County, Kenya","authors":"C. Simiyu, M. Kipmerewo, J. Arudo","doi":"10.47604/jhmn.2020","DOIUrl":"https://doi.org/10.47604/jhmn.2020","url":null,"abstract":"Purpose: To examine the association between maternal delay in reaching appropriate health facility and perinatal mortality in Lurambi and Butere sub-counties, Kakamega Kenya \u0000Methodology: A community based retrospective cross-sectional research design was adopted using mixed methods for data collection. A total of 520 respondents were randomly selected from 40 out 830 villages of Lurambi and Butere sub-counties using multistage cluster sampling. The respondents were interviewed from November 2017 to March 2018. Data entry and analysis was done using SPSS Version 25 software. Descriptive and inferential statistical analyses were used. Bivariate and multivariate logistic regressions were applied and adjusted odds ratio was used to determine the strength of association. A p-value of ≤ 0.05 was considered as statistically significant. \u0000Findings: Mothers who were aware of the appropriate health facility were 90% less likely to experience perinatal deaths (AOR: 0.1; 95% CI: 0.1 – 0.4; p< 0.0001), mothers who visited appropriate health facility were 80% less likely to experience perinatal deaths (AOR=0.2; 95%CI: 0.1-0.6; p=0.002). \u0000Unique Contribution to Theory, Practice, and Policy: Unique finding is that proximity to a health facility alone is not critical but proximity to the appropriate health facility that will be able to provide the needed maternal and newborn care is very important in reduction of perinatal mortality. In addition, interventions aimed at creating awareness on the appropriate facility to visit during maternal and newborn complication is critical to ensure perinatal survival.","PeriodicalId":16078,"journal":{"name":"Journal of Health, Medicine and Nursing","volume":"61 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84896341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Occurrence of Fungi of Public Importance in Rodents Trapped along and inside Grain Storage Facilities in Mbeya Municipal, Tanzania","authors":"","doi":"10.7176/jhmn/109-05","DOIUrl":"https://doi.org/10.7176/jhmn/109-05","url":null,"abstract":"","PeriodicalId":16078,"journal":{"name":"Journal of Health, Medicine and Nursing","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77047970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose: The aim of this study was to assess the prevalence of utilization of long-acting permanent methods (LAPMs) of family planning (FP) among women in Ossen Location, Baringo North Sub-County of Kenya, and to determine the influence of myths and misconceptions on women’s choice about LAPMs options. Methodology: This study adopted a descriptive cross-sectional design and a mixed method research (MMR) approach, which allowed for concomitant collection of qualitative and quantitative data. The target population of the study consisted of all 2440 women of reproductive ages (15-49 years) in Ossen location. The sample size consisted of 421 women, selected using stratified random sampling. Women willing to participate, able to give informed consent, in reproductive age, and having resided in the area for at least six months were included in the study. Findings: The prevalence of FP in the study area was 66%, with more women (61%) using short term FP methods (pills and Depo-Provera) compared to those using long-acting reversible contraceptive methods (implants and intra-uterine contraceptive devices/IUCD) [39%] and LAPM/tubal ligation (0%). The study found significant myths and misconceptions about LAPMs: IUCD, tubal ligation and implants. The study found that women who harbored myths and misconceptions about IUCD, tubal ligation and implants were likely to use short-term FP methods such as pills rather than LAPMs. Unique Contributions to Theory, Practice and Policy: This study reports on interesting myths and misconceptions still extant among women in a typical county in Kenya. The research also documents a clear relationship between the existence of myths and misconceptions and the unlikelihood of using LAPMs. Consequently, the study recommends for adoption of approaches that remove the myths and misconceptions in the whole population and improve the poor attitude and negative perception towards LAPMs.
{"title":"Socio - Cultural Factors Influencing Uptake of Long Term and Permanent Methods of Family Planning Among Women of Reproductive Age in Baringo North Sub-County, Baringo County, Kenya","authors":"Emily Kipngo’k, Margaret Kereka, Kipruto Tuitoek","doi":"10.47604/jhmn.2013","DOIUrl":"https://doi.org/10.47604/jhmn.2013","url":null,"abstract":"Purpose: The aim of this study was to assess the prevalence of utilization of long-acting permanent methods (LAPMs) of family planning (FP) among women in Ossen Location, Baringo North Sub-County of Kenya, and to determine the influence of myths and misconceptions on women’s choice about LAPMs options. \u0000Methodology: This study adopted a descriptive cross-sectional design and a mixed method research (MMR) approach, which allowed for concomitant collection of qualitative and quantitative data. The target population of the study consisted of all 2440 women of reproductive ages (15-49 years) in Ossen location. The sample size consisted of 421 women, selected using stratified random sampling. Women willing to participate, able to give informed consent, in reproductive age, and having resided in the area for at least six months were included in the study. \u0000Findings: The prevalence of FP in the study area was 66%, with more women (61%) using short term FP methods (pills and Depo-Provera) compared to those using long-acting reversible contraceptive methods (implants and intra-uterine contraceptive devices/IUCD) [39%] and LAPM/tubal ligation (0%). The study found significant myths and misconceptions about LAPMs: IUCD, tubal ligation and implants. The study found that women who harbored myths and misconceptions about IUCD, tubal ligation and implants were likely to use short-term FP methods such as pills rather than LAPMs. \u0000Unique Contributions to Theory, Practice and Policy: This study reports on interesting myths and misconceptions still extant among women in a typical county in Kenya. The research also documents a clear relationship between the existence of myths and misconceptions and the unlikelihood of using LAPMs. Consequently, the study recommends for adoption of approaches that remove the myths and misconceptions in the whole population and improve the poor attitude and negative perception towards LAPMs. ","PeriodicalId":16078,"journal":{"name":"Journal of Health, Medicine and Nursing","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75917420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose: The research sought to evaluate mobile maternal health service use among women within reproductive age in Makueni County, Kenya.
Methodology: An analytical cross-sectional study was carried out in Makueni County. Kibwezi East and Kaiti Sub-Counties were purposively selected. Ukia ward from Kaiti sub-county and Nzambani ward from Kibwezi East sub-county were randomly selected using folded pieces of paper. Both qualitative and quantitative data were collected. Questionnaires were the tools used for quantitative data while guides for key informant were used to collect data qualitatively. The study systematically sampled 367 women of reproductive age as primary respondents from households at a sampling interval of 5. Twelve Key Informant Interviewees were purposively selected to provide additional qualitative data which were community health extension workers and healthcare providers. The research instruments were pretested at Kilome Sub County before actual data collection. Analytical correctional statistical analysis was done using the Statistical Package for Social Sciences software version 20.0. Pie-charts, frequency tables and graphs were used to present data. Triangulation of data collected qualitatively with quantitative data was done and presented as direct quotes. Tests of Chi-Square were done at 95% CI and an error of precision of 0.05 to calculate inferential statistics showing variable associations. Ethical considerations were taken into account and informed consent acquired from participants.
Findings: The study concludes that 40.6% of respondents utilized mobile maternal health services in Makueni County. The most common service sought was antenatal care. Distance from health facilities was the main reason for using mobile maternal health services. Majority of individual factors such as average family income (p=0.001), parity (p=0.019), type of pregnancy related complication experienced (p=0.027) and awareness (p=0.006) influenced use of mobile maternal health services. About 59.9% of respondents had a positive attitude towards mobile maternal health services and attitude (p=0.010) significantly affected mobile maternal health service use. Further, the study concludes that most health system factors including facility distance (p=0.001), source of information (p=0.012), waiting time (p=0.004), affordability (p=0.013) and experience with healthcare providers (p=0.023) played a key role in influencing utilization mobile maternal health services.
Unique Contribution to Theory, Practice and Policy: These results would inform policy makers to craft interventions seeking to advance mobile maternal health services utilization. This would further avoid preventable complications thus improving maternal and health outcomes of children in the country.
目的:本研究旨在评估肯尼亚Makueni县育龄妇女流动孕产妇保健服务的使用情况。
方法:在Makueni县进行了一项分析性横断面研究。有目的地选择基布维兹东部和开提县。使用折叠的纸片随机选择凯提副县的乌基亚区和基布韦齐东部副县的恩赞巴尼区。收集了定性和定量资料。问卷是定量数据收集的工具，而关键信息提供者指南是定性数据收集的工具。本研究系统地从家庭中抽取367名育龄妇女作为主要调查对象，每隔5次抽样一次。有目的地选择了12个关键信息受访者，以提供额外的定性数据，这些受访者是社区卫生推广工作者和卫生保健提供者。在实际数据收集之前，研究仪器在Kilome Sub县进行了预测试。使用statistical Package for Social Sciences软件20.0版本进行分析校正统计分析。使用饼图、频率表和图形来表示数据。将定性收集的数据与定量数据进行三角测量，并以直接引用的形式呈现。卡方检验在95% CI和0.05的精度误差下进行，以计算显示变量关联的推论统计量。考虑了伦理因素，并获得了参与者的知情同意。
研究结果:研究得出结论，在马库尼县，40.6%的应答者利用流动孕产妇保健服务。最常寻求的服务是产前护理。远离保健设施是使用流动孕产妇保健服务的主要原因。家庭平均收入(p=0.001)、胎次(p=0.019)、所经历的妊娠相关并发症类型(p=0.027)和意识(p=0.006)等大多数个人因素影响流动孕产妇保健服务的使用。约59.9%的受访者对流动孕产妇保健服务持积极态度，态度显著影响流动孕产妇保健服务的使用(p=0.010)。此外，该研究得出结论，大多数卫生系统因素，包括设施距离(p=0.001)、信息来源(p=0.012)、等待时间(p=0.004)、可负担性(p=0.013)和卫生保健提供者经验(p=0.023)，在影响流动孕产妇卫生服务的利用方面发挥了关键作用。对理论、实践和政策的独特贡献:这些结果将为决策者提供信息，以制定旨在促进流动孕产妇保健服务利用的干预措施。这将进一步避免可预防的并发症，从而改善该国的孕产妇和儿童健康结果。
{"title":"Utilization of Mobile Maternal Health Services among Women of Reproductive Age in Makueni County, Kenya","authors":"Joyce Mumo, Sarah Tai, Rosebella Kipkalom","doi":"10.47604/jhmn.2007","DOIUrl":"https://doi.org/10.47604/jhmn.2007","url":null,"abstract":"Purpose: The research sought to evaluate mobile maternal health service use among women within reproductive age in Makueni County, Kenya.
 Methodology: An analytical cross-sectional study was carried out in Makueni County. Kibwezi East and Kaiti Sub-Counties were purposively selected. Ukia ward from Kaiti sub-county and Nzambani ward from Kibwezi East sub-county were randomly selected using folded pieces of paper. Both qualitative and quantitative data were collected. Questionnaires were the tools used for quantitative data while guides for key informant were used to collect data qualitatively. The study systematically sampled 367 women of reproductive age as primary respondents from households at a sampling interval of 5. Twelve Key Informant Interviewees were purposively selected to provide additional qualitative data which were community health extension workers and healthcare providers. The research instruments were pretested at Kilome Sub County before actual data collection. Analytical correctional statistical analysis was done using the Statistical Package for Social Sciences software version 20.0. Pie-charts, frequency tables and graphs were used to present data. Triangulation of data collected qualitatively with quantitative data was done and presented as direct quotes. Tests of Chi-Square were done at 95% CI and an error of precision of 0.05 to calculate inferential statistics showing variable associations. Ethical considerations were taken into account and informed consent acquired from participants.
 Findings: The study concludes that 40.6% of respondents utilized mobile maternal health services in Makueni County. The most common service sought was antenatal care. Distance from health facilities was the main reason for using mobile maternal health services. Majority of individual factors such as average family income (p=0.001), parity (p=0.019), type of pregnancy related complication experienced (p=0.027) and awareness (p=0.006) influenced use of mobile maternal health services. About 59.9% of respondents had a positive attitude towards mobile maternal health services and attitude (p=0.010) significantly affected mobile maternal health service use. Further, the study concludes that most health system factors including facility distance (p=0.001), source of information (p=0.012), waiting time (p=0.004), affordability (p=0.013) and experience with healthcare providers (p=0.023) played a key role in influencing utilization mobile maternal health services.
 Unique Contribution to Theory, Practice and Policy: These results would inform policy makers to craft interventions seeking to advance mobile maternal health services utilization. This would further avoid preventable complications thus improving maternal and health outcomes of children in the country.","PeriodicalId":16078,"journal":{"name":"Journal of Health, Medicine and Nursing","volume":"86 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135045915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Investigations on Economic Significance of Hydatidosis on Animals Slaughtered at Hirna Municipal Abattior","authors":"","doi":"10.7176/jhmn/109-02","DOIUrl":"https://doi.org/10.7176/jhmn/109-02","url":null,"abstract":"","PeriodicalId":16078,"journal":{"name":"Journal of Health, Medicine and Nursing","volume":"336 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78046720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Platelet Indices During Pregnancy in Enugu Women","authors":"","doi":"10.7176/jhmn/109-03","DOIUrl":"https://doi.org/10.7176/jhmn/109-03","url":null,"abstract":"","PeriodicalId":16078,"journal":{"name":"Journal of Health, Medicine and Nursing","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82218456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Review on Approaches to Reverse Vaccinology Against Dangerous Pathogens in Animals","authors":"","doi":"10.7176/jhmn/109-01","DOIUrl":"https://doi.org/10.7176/jhmn/109-01","url":null,"abstract":"","PeriodicalId":16078,"journal":{"name":"Journal of Health, Medicine and Nursing","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83230544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessment of Serum Copeptin Level and eGFR in Adult Hypertensive Individuals Suspected with Polycystic Kidney Disease in NAUTH, Nnewi","authors":"","doi":"10.7176/jhmn/109-04","DOIUrl":"https://doi.org/10.7176/jhmn/109-04","url":null,"abstract":"","PeriodicalId":16078,"journal":{"name":"Journal of Health, Medicine and Nursing","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75658779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose: The objective of this study was to explore the psychosocial factors associated with alcohol use among persons aged 18-35 years in Kangundo North Ward, Machakos County. Methodology: A cross sectional study design where data was collected using a structured questionnaire. Data entry was done and analyzed using SPSS version 23, descriptive statistics was used. Logistic regressions were used to explore the psychosocial factors associated with alcohol use where Odds ratios were used. Multivariate and bivariate analysis were done to establish association between psychosocial factors and alcohol use. Findings: 310 respondents were interviewed, the response rate was 100%, 86% were males while 14% were females, 86% of alcohol consumers were males, while 14% who consumed alcohol were females. 89% were aged between 18-24 years, 8% were aged between 25-29 years while 3% were 30-35 years. The study revealed that youths aged 18-35 years suffer a wide variety of challenges.49% of the respondents had experienced financial difficulties, 11% were victims of robbery, these stressful life events can lead to one using alcohol. Majority of respondents had ever experienced stressful event with 50% using alcohol as a solution to relieve the stress. 50.32% indicated that they started taking alcohol after the stressful experiences, 48% had experienced physical violence,5% sexual violence,45% emotional violence while 24% had undergone harsh childhood experiences. The study findings revealed that (28%) had consumed tobacco, (17%) miraa, (8%) marijuana, (1%) inhalants while (46%) had never consumed any psychoactive substance. There was significant association between experiences of emotional, sexual abuse, harsh childhood experiences and use of other psychoactive substances with alcohol use (p<0.05). Unique Contribution to Theory, Practice and Policy: Targeted interventions aimed at addressing psychosocial factors associated with alcohol use is vital. The study adds to the pool of knowledge that psychosocial issues such as stressful life events, gender based violence, harsh childhood experiences and use of other psychoactive substances contribute to alcohol use. Awareness on Gender based violence and other psychoactive substances such as cigarette and marijuana use needs to be enhanced. The findings of the study may inform the local county government of Machakos and Kangundo Sub-county administrators in formulating policies to help address alcohol use among persons aged 18-35 years.
目的:本研究的目的是探讨与马查科斯县康多多北区18-35岁人群饮酒相关的社会心理因素。方法:采用横断面研究设计，采用结构化问卷收集数据。数据录入使用SPSS version 23进行统计分析，采用描述性统计。在使用优势比的情况下，使用逻辑回归来探索与酒精使用相关的社会心理因素。进行多变量和双变量分析以确定心理社会因素与酒精使用之间的关联。调查结果:对310名受访者进行了访谈，回复率为100%，86%为男性，14%为女性，86%的酒精消费者为男性，14%的饮酒者为女性。年龄在18-24岁之间占89%，25-29岁占8%，30-35岁占3%。研究显示，18-35岁的年轻人面临着各种各样的挑战。49%的受访者经历过经济困难，11%是抢劫的受害者，这些紧张的生活事件可能导致一个人使用酒精。大多数受访者都经历过压力事件，50%的人使用酒精作为缓解压力的方法。50.32%的人表示，他们是在有压力的经历后开始酗酒的，48%的人经历过身体暴力，5%的人经历过性暴力，45%的人经历过情感暴力，24%的人经历过严酷的童年经历。研究结果显示，28%的人吸食烟草，17%的人吸食大麻，8%的人吸食大麻，1%的人吸食吸入剂，而46%的人从未吸食过任何精神活性物质。情感经历、性虐待、童年严酷经历和其他精神活性物质的使用与酒精使用之间存在显著关联(p<0.05)。对理论、实践和政策的独特贡献:旨在解决与酒精使用有关的社会心理因素的有针对性的干预措施至关重要。这项研究增加了对社会心理问题的认识，如压力生活事件、基于性别的暴力、悲惨的童年经历和使用其他精神活性物质会导致饮酒。需要加强对基于性别的暴力和使用香烟和大麻等其他精神活性物质的认识。研究结果可以为马查科斯当地县政府和康多多副县政府制定政策提供信息，以帮助解决18-35岁人群的饮酒问题。
{"title":"Psychosocial Factors Associated With Alcohol Use among Persons Aged 18-35 Years in Kangundo North Ward, Machakos County, Kenya","authors":"Joseph Makau, D. Magu, S. Mambo, M. Kirimi","doi":"10.47604/jhmn.1979","DOIUrl":"https://doi.org/10.47604/jhmn.1979","url":null,"abstract":"Purpose: The objective of this study was to explore the psychosocial factors associated with alcohol use among persons aged 18-35 years in Kangundo North Ward, Machakos County. \u0000Methodology: A cross sectional study design where data was collected using a structured questionnaire. Data entry was done and analyzed using SPSS version 23, descriptive statistics was used. Logistic regressions were used to explore the psychosocial factors associated with alcohol use where Odds ratios were used. Multivariate and bivariate analysis were done to establish association between psychosocial factors and alcohol use. \u0000Findings: 310 respondents were interviewed, the response rate was 100%, 86% were males while 14% were females, 86% of alcohol consumers were males, while 14% who consumed alcohol were females. 89% were aged between 18-24 years, 8% were aged between 25-29 years while 3% were 30-35 years. The study revealed that youths aged 18-35 years suffer a wide variety of challenges.49% of the respondents had experienced financial difficulties, 11% were victims of robbery, these stressful life events can lead to one using alcohol. Majority of respondents had ever experienced stressful event with 50% using alcohol as a solution to relieve the stress. 50.32% indicated that they started taking alcohol after the stressful experiences, 48% had experienced physical violence,5% sexual violence,45% emotional violence while 24% had undergone harsh childhood experiences. The study findings revealed that (28%) had consumed tobacco, (17%) miraa, (8%) marijuana, (1%) inhalants while (46%) had never consumed any psychoactive substance. There was significant association between experiences of emotional, sexual abuse, harsh childhood experiences and use of other psychoactive substances with alcohol use (p<0.05). \u0000Unique Contribution to Theory, Practice and Policy: Targeted interventions aimed at addressing psychosocial factors associated with alcohol use is vital. The study adds to the pool of knowledge that psychosocial issues such as stressful life events, gender based violence, harsh childhood experiences and use of other psychoactive substances contribute to alcohol use. Awareness on Gender based violence and other psychoactive substances such as cigarette and marijuana use needs to be enhanced. The findings of the study may inform the local county government of Machakos and Kangundo Sub-county administrators in formulating policies to help address alcohol use among persons aged 18-35 years.","PeriodicalId":16078,"journal":{"name":"Journal of Health, Medicine and Nursing","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85114759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Evas Atuhaire, Eric Murungi, Joseph Atukwatse, Vallence Niyonzima, Joseph Namanya, Chris Byaruhanga, Betty Kinkuhaire
Purpose: Traumatic brain injury (TBI) is a leading cause of morbidity and mortality worldwide. TBIs are increasing in Uganda, but little is known about outcomes and their predictors in post-ICU patients. This study assessed outcomes and their predictors in post-ICU patients admitted with TBI at Mbarara Regional Referral Hospital (MRRH) in south-western Uganda. Methodology: Retrospective study was used to review hospital records of patients admitted to the Intensive Care Unit (ICU) for MRRH with TBI. Data were entered into Excel, cleaned and exported to Stata version for analysis and presented as mean (standard deviation), median (interquartile range) and number (percent), while using the chi-square test and multinomial logistic regression as predictors for Post-ICU outcomes were used Findings: In the study, males dominated at 73%, while 81% were of working age (15-64 years). Road traffic accidents (83%) were the most common injury mechanism, followed by physical injury at 11%. Length of stay in the Intensive Care Unit was 9 (IQR = 4–8) days, mean GCS at ICU admission and discharge was 7.7 (±2.65) and 10 (±3.27), respectively. Fifty-seven patients (63%) were discharged home; with 73% good recovery Glasgow coma Outcome Scale of hospital discharges. Post-ICU outcomes were associated with GCS at ICU discharge ( . Having moderate Glasgow Coma Scale on ICU discharge was 3.59 times higher of being discharged home than dying compared to severe GCS on ICU discharge (OR=3.59; 95%CI, 1.11 to 11.63). This study established GCS as a statistical predictor of patient outcomes at ICU discharge. Unique Contribution to Theory, Practice and Policy: Based on the findings of this study, prevention of TBI is critical in order to reduce incidence of TBI related mortality. Policy makers to put rules that continuously teach and enforce road safety and traffic rules to all road users.
{"title":"Outcomes and Their Predictors in Post- Intensive Care Patients Admitted With Traumatic Brain Injury at Mbarara Regional Referral Hospital, Southwestern Uganda: A Retrospective Study","authors":"Evas Atuhaire, Eric Murungi, Joseph Atukwatse, Vallence Niyonzima, Joseph Namanya, Chris Byaruhanga, Betty Kinkuhaire","doi":"10.47604/jhmn.1970","DOIUrl":"https://doi.org/10.47604/jhmn.1970","url":null,"abstract":"Purpose: Traumatic brain injury (TBI) is a leading cause of morbidity and mortality worldwide. TBIs are increasing in Uganda, but little is known about outcomes and their predictors in post-ICU patients. This study assessed outcomes and their predictors in post-ICU patients admitted with TBI at Mbarara Regional Referral Hospital (MRRH) in south-western Uganda. \u0000Methodology: Retrospective study was used to review hospital records of patients admitted to the Intensive Care Unit (ICU) for MRRH with TBI. Data were entered into Excel, cleaned and exported to Stata version for analysis and presented as mean (standard deviation), median (interquartile range) and number (percent), while using the chi-square test and multinomial logistic regression as predictors for Post-ICU outcomes were used \u0000Findings: In the study, males dominated at 73%, while 81% were of working age (15-64 years). Road traffic accidents (83%) were the most common injury mechanism, followed by physical injury at 11%. Length of stay in the Intensive Care Unit was 9 (IQR = 4–8) days, mean GCS at ICU admission and discharge was 7.7 (±2.65) and 10 (±3.27), respectively. Fifty-seven patients (63%) were discharged home; with 73% good recovery Glasgow coma Outcome Scale of hospital discharges. Post-ICU outcomes were associated with GCS at ICU discharge ( . Having moderate Glasgow Coma Scale on ICU discharge was 3.59 times higher of being discharged home than dying compared to severe GCS on ICU discharge (OR=3.59; 95%CI, 1.11 to 11.63). This study established GCS as a statistical predictor of patient outcomes at ICU discharge. \u0000Unique Contribution to Theory, Practice and Policy: Based on the findings of this study, prevention of TBI is critical in order to reduce incidence of TBI related mortality. Policy makers to put rules that continuously teach and enforce road safety and traffic rules to all road users.","PeriodicalId":16078,"journal":{"name":"Journal of Health, Medicine and Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88997514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：