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Health needs assessment of urban areas and the key interventions: A case study of Nairobi City County 城市地区卫生需求评估和关键干预措施:内罗毕市县案例研究
Pub Date : 2024-01-31 DOI: 10.5897/jphe2022.1389
W. K. Martha, O. Collince
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引用次数: 0
COVID-19 vaccine uptake among healthcare workers in the Limbe Health district of Cameroon 喀麦隆林贝卫生区医护人员的 COVID-19 疫苗接种率
Pub Date : 2024-01-31 DOI: 10.5897/jphe2023.1457
E. U. Chrisantus, Tambe Joshua, A. T. Elvis, N. N. Claudia, M. S. Claudine, Orock-Benim Vanessa Tabe, Pandong Feguem Mirabelle, S. N. Dickson
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引用次数: 0
Factors associated with tuberculosis among people who inject drugs (IDUs) in Senegal in 2022 2022 年塞内加尔注射吸毒者(IDUs)中与结核病相关的因素
Pub Date : 2024-01-31 DOI: 10.5897/jphe2023.1478
Ndiaye Mbayang, Ibra Diallo Amadou, B. A. Idrissa, Faly Ba Mouhamadou, Bintou Diongue Fatoumata, Faye Adama
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引用次数: 0
Prevalence and determinants of repeat pregnancy among adolescent girls in selected health areas of the Limbe Health District of Cameroon: A community-based cross-sectional study 喀麦隆林贝卫生区选定卫生区少女重复怀孕的发生率和决定因素:基于社区的横断面研究
Pub Date : 2024-01-31 DOI: 10.5897/jphe2023.1476
E. U. Chrisantus, Tabe Orock-Benem Vanessa, M. S. Claudine, N. N. Claudia, Donald T. Nangue Franck, Z. D. Syveline, M. M. Myra, Ekeme Malika
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引用次数: 0
Factors associated with viral suppression and rebound in adult HIV patients on antiretroviral therapy 接受抗逆转录病毒疗法的成年艾滋病患者病毒抑制和反弹的相关因素
Pub Date : 2023-12-31 DOI: 10.5897/jphe2023.1475
Saint Calvaire Henri Diemer, J. D. D. Longo, S. Woromogo, R. Doyama-Woza, Emmanuel Fandema, Gresenguet Gerard
Suppression of viral load and its maintenance are necessary for reducing morbidity and mortality linked to HIV infection. The present study aims to investigate the factors associated with viral load rebound in adults receiving antiretroviral treatment. The study was conducted in two outpatient treatment centers (CTAs) in Bangui. This cross-sectional analytical study was conducted from August 1 to 31, 2023. The study population comprised people living with HIV, followed by the two CTAs. This includes people living with HIV aged 18 and over, with at least two viral load results, the first of which is suppressed and who have agreed to participate in the study. The data were collected using an individual questionnaire designed and previously tested for clarity and length and through patient records. A total of 458 people living with HIV on antiretroviral treatment were enrolled in the study. The average age of our population was 42 years (±9). Among the 458 participants with a suppressed viral load, 78(17%) experienced a virological rebound. The main factors associated with the rebound in viral load were transport difficulties, poor compliance with treatment, and a poor perception of the concept of suppressed viral load. This study revealed that the poor perception of viral load and transport difficulties were associated with the rebound. Efforts must be made by the National AIDS Control Program to scale up the multi-month dispensation of antiretrovirals. Each clinic should put in place an adherence-improving self-management strategy system. Finally, the quality of the messages to be provided to patients must be improved to avoid confusion.
病毒载量的抑制和维持对于降低与艾滋病毒感染相关的发病率和死亡率十分必要。本研究旨在调查接受抗逆转录病毒治疗的成年人病毒载量反弹的相关因素。研究在班吉的两个门诊治疗中心(CTA)进行。这项横断面分析研究于 2023 年 8 月 1 日至 31 日进行。研究对象包括艾滋病毒感染者,其次是两个 CTA。其中包括年龄在 18 岁及以上、至少有两次病毒载量结果(其中第一次是被抑制的)且同意参与研究的艾滋病毒感染者。数据是通过设计的个人问卷和病人记录收集的,问卷的清晰度和长度都经过事先测试。共有 458 名正在接受抗逆转录病毒治疗的艾滋病病毒感染者参与了这项研究。研究对象的平均年龄为 42 岁(±9)。在病毒载量得到抑制的 458 名参与者中,有 78 人(17%)出现病毒学反弹。与病毒载量反弹相关的主要因素是交通不便、治疗依从性差以及对抑制病毒载量概念的认识不足。这项研究表明,对病毒载量认识不足和运输困难与病毒载量反弹有关。国家艾滋病控制计划必须努力扩大抗逆转录病毒药物的多月发放规模。每个诊所都应建立一个提高依从性的自我管理策略系统。最后,必须提高向患者提供的信息的质量,以避免混淆。
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引用次数: 0
Prevalence of sexual dysfunction, factors, and psychological effects on adult males in the Buea Health District, Cameroon 喀麦隆布埃亚卫生区成年男性性功能障碍的发生率、因素和心理影响
Pub Date : 2023-12-31 DOI: 10.5897/jphe2023.1465
Shella Nkafu Tanze, Wambo Andre Gaetan Simo, Eyong Eta Divine Enoru, Nicholas Tendongfor
The aim of this study was to determine the prevalence of sexual dysfunction, associated factors, quality of life and health seeking habit of males in the Buea Health District (BHD). A community-based cross-sectional study was carried out on sexually active males. Sexual dysfunction and quality of life were assessed using the International Index for Erectile Function (IIEF) and the Sexual Quality of Life Scale-Male (SQOL-M) questionnaire for psychological effect, respectively. The health seeking habits of participants was also assessed. The data were analysed using IBM SPSS Statistics (Version 26). The prevalence of sexual dysfunction was 18%. Erectile dysfunction (48%) was the most reported, whereas premature ejaculation (3.1%) was the least prevalent. Poor intercourse satisfaction and orgasmic dysfunction were linked to masturbation, whereas smoking, anxiety, and age above 50 were associated to poor erectile dysfunction. There was a significant association between all types of sexual dysfunction and the quality of life. For the health seeking habits, 45.7% of the participants sought traditional medication, 40% medical care, and 11.4% roadside medication. Male sexual dysfunction is prevalent in all its forms in the BHD, and it is affected by both life style and demographic factors. The perceived SQOL of affected males is poor and they exhibit different health seeking habits.
本研究旨在确定布埃亚卫生区(Buea Health District,BHD)男性性功能障碍的发病率、相关因素、生活质量和求医习惯。该研究以社区为基础,对性生活活跃的男性进行了横断面研究。性功能障碍和生活质量分别使用国际勃起功能指数(IIEF)和男性性生活质量量表(SQOL-M)问卷进行心理影响评估。此外,还对参与者的求医习惯进行了评估。数据使用 IBM SPSS 统计软件(26 版)进行分析。性功能障碍的发病率为 18%。勃起功能障碍(48%)的报告率最高,而早泄(3.1%)的报告率最低。性交满意度差和性高潮功能障碍与手淫有关,而吸烟、焦虑和 50 岁以上则与勃起功能障碍有关。所有类型的性功能障碍都与生活质量有明显的关联。在求医习惯方面,45.7%的参与者寻求传统药物治疗,40%寻求医疗护理,11.4%寻求路边药物治疗。男性性功能障碍在 BHD 地区以各种形式普遍存在,并受到生活方式和人口因素的影响。受影响男性的 SQOL 感知较差,他们表现出不同的求医习惯。
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引用次数: 0
Prevalence, determinants, and consequences of teenage pregnancy on teenage girls in selected health areas of the Limbe Health District in Cameroon 喀麦隆林贝卫生区部分卫生领域少女怀孕的流行率、决定因素和后果
Pub Date : 2023-12-31 DOI: 10.5897/jphe2023.1472
Myra M. Mande, Malika Ekeme, Chrisantus E. Ukah, Claudine M. Shei, Syveline Z. Dang, S. Atanga
Teenage pregnancy is a significant public health concern in many low-and middle-income countries, including Cameroon. It leads to adverse health outcomes for both the mother and child, as well as social, economic, and educational challenges. Little is known about teenage pregnancy in the Limbe Health District. This study aimed to address this gap by determining the prevalence of teenage pregnancy, identifying the determinants, and assessing the knowledge of teenagers on teenage pregnancy. This was a community-based cross-sectional study carried out in selected health areas of the Limbe Health District from February to May 2023 among 394 teenagers. A multistage sampling technique was used to enroll participants. A Structured questionnaire was used to collect data. The data was analyzed using the Statistical Package for Social Sciences Version 26. The mean age of the participants was 15.5±2.6. Of the 394 teenagers, 167 (42.4%) were within the age group 17-19 years and 358 (90.9%) were single. Less than half, 190 (48.2%) had attended secondary school and 317 (80.5%) were Christian. The prevalence of teenage pregnancy was 56.1% (95%CI: 51.2%-61.0%). The proportion of teenagers with good knowledge of teenage pregnancy was 59.1% (95%CI: 54.3%-64.0%). Factors found associated with teenage pregnancy were: age group (AOR=2.5 [95%CI:1.3-4.9], p=0.007), marital status (AOR=6.3 [95%CI:2.3-17.4], p<0.001), keeping late nights/night clubbing (AOR=2.4[95%CI:1.3-4.2], p=0.003), Sexually abused in the past (AOR=2.1[95%CI:1.2-37], p=0.008), and being free to leave and come home at any time (AOR=3.6 [95%CI:1.9-6.7], p<0.001). Regarding the consequences of teenage pregnancy, 158(40.1%) reported being rejected by their parents as a result of the pregnancy, and 198(50.3%) dropped out of school as a result of teenage pregnancy. Also, 134(31.0%) were reported with health issues as a result of teenage pregnancy. Teenage pregnancy prevalence was high in this study. Healthcare workers and parents of teens girls need to employ a collaborative approach to remedy the situation in the locality.
在包括喀麦隆在内的许多中低收入国家,少女怀孕是一个重大的公共卫生问题。少女怀孕会对母婴健康造成不良影响,并带来社会、经济和教育方面的挑战。人们对林贝卫生区少女怀孕的情况知之甚少。本研究旨在通过确定少女怀孕的发生率、确定其决定因素以及评估青少年对少女怀孕的认识来弥补这一空白。这是一项以社区为基础的横断面研究,于 2023 年 2 月至 5 月在林贝卫生区的选定卫生区对 394 名青少年进行了调查。研究采用多阶段抽样技术招募参与者。采用结构化问卷收集数据。数据使用社会科学统计软件包 26 版进行分析。参与者的平均年龄为 15.5±2.6。在 394 名青少年中,167 人(42.4%)年龄在 17-19 岁之间,358 人(90.9%)为单身。只有不到一半的 190 人(48.2%)上过中学,317 人(80.5%)信奉基督教。少女怀孕率为 56.1%(95%CI:51.2%-61.0%)。对少女怀孕有充分认识的青少年比例为 59.1%(95%CI:54.3%-64.0%)。发现与少女怀孕相关的因素有:年龄组(AOR=2.5 [95%CI:1.3-4.9],P=0.007)、婚姻状况(AOR=6.3 [95%CI:2.3-17.4],P<0.001)、熬夜/夜店(AOR=2.4[95%CI:1.3-4.2],p=0.003)、过去曾遭受性虐待(AOR=2.1[95%CI:1.2-37],p=0.008)和可以随时离开和回家(AOR=3.6 [95%CI:1.9-6.7],p<0.001)。关于少女怀孕的后果,158 人(40.1%)表示因怀孕而被父母拒绝,198 人(50.3%)因少女怀孕而辍学。此外,有 134 人(31.0%)因少女怀孕而出现健康问题。在这项研究中,少女怀孕的发生率很高。医护人员和少女家长需要采用合作的方式来改善当地的状况。
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引用次数: 0
Employing an Eigenfunction Eigendecomposition algorithm to cartographically and statistically delineate traffic-related carbon monoxide pollution in Hillsborough County, Florida 采用特征函数 Eigendecomposition 算法,对佛罗里达州希尔斯伯勒县与交通有关的一氧化碳污染进行制图和统计划分
Pub Date : 2023-11-30 DOI: 10.5897/jphe2023.1461
Jing Liu, Namit Choudhari, Brooke Yost, Benjamin G. Jacob
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引用次数: 0
Association between adiposity indices and hypertension in an urban population of adults in the north west region of Cameroon 喀麦隆西北部地区城市成年人的肥胖指数与高血压之间的关系
Pub Date : 2023-10-31 DOI: 10.5897/jphe2023.1477
Lum Niba Loveline, Austin Chi Njiawah, Kenneth Navti Lifoter
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引用次数: 0
Frequency of different types of intimate partner violence in selected health units of the National Health Service of Mozambique: A retrospective study 莫桑比克国家卫生局选定的保健单位发生不同类型亲密伴侣暴力的频率:一项回顾性研究
Pub Date : 2023-10-31 DOI: 10.5897/jphe2023.1459
Matavel Joaquim, Bila Gercio, Munguambe Khatia, G. Linn James, Loquiha Osvaldo
Intimate partner violence (IPV) includes a wide range of abusive behaviours perpetrated by someone involved or who was involved in an intimate relationship with the victim, and is a serious and preventable public health problem globally. This article reports on the frequency of different types of IPV in selected health units of the Mozambican National Health Service. The study was based on a cross-sectional and retrospective quantitative approach, where the data referring to the year prior to the study, was collected in a single moment in each study location, based on the records of the cases of violence. Sexual violence was the most prevalent, among adolescents and young people from urban areas; sociodemographic factors such as gender, age and origin are associated with the occurrence of IPV. There is a strong association between the type of IPV and the victim's origin, and people from urban areas are twice as likely to experience IPV compared to rural areas. The association between IPV and the gender of victims, and between gender and age group with the occurrence of IPV, has not been proven. Key words: Violence, domestic violence, partner, abuse, frequency.
亲密伴侣暴力包括与受害者有亲密关系的人或曾与之有亲密关系的人实施的各种虐待行为,是全球一个严重的、可预防的公共卫生问题。本文报告了在莫桑比克国家卫生服务的选定卫生单位中不同类型IPV的频率。这项研究是基于横断面和回顾性定量方法,其中涉及研究前一年的数据是根据暴力案件的记录在每个研究地点的同一时刻收集的。性暴力在城市地区的青少年和年轻人中最为普遍;社会人口因素,如性别、年龄和出身与IPV的发生有关。IPV的类型与受害者的出生地之间有很强的联系,城市地区的人患IPV的可能性是农村地区的两倍。IPV与受害者性别之间的关系,以及性别和年龄组与IPV发生之间的关系,尚未得到证实。关键词:暴力,家庭暴力,伴侣,虐待,频率。
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引用次数: 0
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Journal of public health and epidemiology
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