Pub Date : 2018-03-07DOI: 10.4172/2325-9795.1000301
Simi A. Khan, Sumitra Dhal Samanta, Jagannath Behera, N. Sethi, S. Bhardwaj, S. Mehra
Young married women (YMW) and adolescent girls do not obtain health care from early childhood until their first pregnancy. The current study aimed at strengthening Health Care Providers (HCPs) like Master Trainers, Auxiliary Nurse Midwifery, Accredited Social Health Activist and Anganwadi Workers, on preconception care through trainings and capacity building and assesses skillshift. Pre and post-test quantitative-experimental study design was used. Quarterly data was obtained from robust management information system maintained periodically, for analysing skill shift after providing mentoring and supportive supervision. A significant increase was seen in knowledge and service delivery on preconception care (PCC) from pre to post-test among MTs, ANMs, ASHAs and AWWs (7.8%, 15.8%, 16.1% and 29.2%; p ≤ 0.000). The logistic regression analysis depicted that different cadres of HCPs post training are more likely to have better knowledge on pre-conception care (PCC) and CoC, after adjusting for potential confounders. Significant shift is observed in knowledge, counselling and service delivery practices among HCPs about contraceptives, screening for complex diseases like diabetes, and hypertension, counselling for motherhood and delay in pregnancy for YMW. The present study indicates that trainings along-with mentoring and supportive supervision of HCPs on PCC, need emphasis to achieve better maternal and child health outcomes.
{"title":"Assessment of Training and Capacity Building of Health Care Providers on Providing Quality Health Care Services with Special Focus on Pre- Conception Care: A Study in Rural India","authors":"Simi A. Khan, Sumitra Dhal Samanta, Jagannath Behera, N. Sethi, S. Bhardwaj, S. Mehra","doi":"10.4172/2325-9795.1000301","DOIUrl":"https://doi.org/10.4172/2325-9795.1000301","url":null,"abstract":"Young married women (YMW) and adolescent girls do not obtain health care from early childhood until their first pregnancy. The current study aimed at strengthening Health Care Providers (HCPs) like Master Trainers, Auxiliary Nurse Midwifery, Accredited Social Health Activist and Anganwadi Workers, on preconception care through trainings and capacity building and assesses skillshift. Pre and post-test quantitative-experimental study design was used. Quarterly data was obtained from robust management information system maintained periodically, for analysing skill shift after providing mentoring and supportive supervision. A significant increase was seen in knowledge and service delivery on preconception care (PCC) from pre to post-test among MTs, ANMs, ASHAs and AWWs (7.8%, 15.8%, 16.1% and 29.2%; p ≤ 0.000). The logistic regression analysis depicted that different cadres of HCPs post training are more likely to have better knowledge on pre-conception care (PCC) and CoC, after adjusting for potential confounders. Significant shift is observed in knowledge, counselling and service delivery practices among HCPs about contraceptives, screening for complex diseases like diabetes, and hypertension, counselling for motherhood and delay in pregnancy for YMW. The present study indicates that trainings along-with mentoring and supportive supervision of HCPs on PCC, need emphasis to achieve better maternal and child health outcomes.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"921 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133108511","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}
Background and Objective: Gender based violence (sexual and /physical), frequently occurs in institutions assumed to be ‘safe’, such as schools, where perpetrators include peers and teachers. School-related gender-based violence includes but is not limited to rape, unwanted sexual touching, unwanted sexual comments, corporal punishment, bullying and verbal harassment that is based on gender stereotypes which targets female students on the basis of their sex. It is a widespread barrier to girls’ attaining educational equity, which also brings with it many health risks. This study aimed the correlates of sexual and physical violence among female preparatory students in Garage zone, Ethiopia.Materials and Methods: Institution based cross-sectional descriptive study was conducted in preparatory schools of Gurage zone on March 2017. A multi-stage stratified sampling with simple random sampling technique was applied to select the study participant. Data were collected using a pre-tested structured selfadministered questionnaire. The collected data was cleaned and entered in to Epidata3.1 then exported to SPSS version 20:00 for analysis. Finally, a multivariate logistic regression model was created predict the correlates of sexual and physical violence among female students.Result: A total of 686 female preparatory students participated in the study, giving a response rate of 90.3 %. The finding showed that the prevalence of sexual and physical violence were 15.9% and 47.5% respectively. Forceful/ unwilling sex accounts 42(38.5%) from sexually active female students. Age group (i.e. Age<18years); [AOR 1.72, 95 % CI=1.02, 2.84] and monthly received pocket money [AOR 1.37, 95 % CI=1.06, 2.78] were statistically significant predictors of sexual violence. Whereas, substance uses (i.e. Khat chewing, drinking alcohol and cigarette smoking) were statistically significant determinants of sexual and physical violence among female students.Conclusion: The study has shown that the prevalence of both sexual and physical violence among female students is found to be relatively higher. Thus, designing specific strategic activates towards early detection, identification and prevention of school related gender based violence through provision of different regular information and communication and empowerment of female students is implicated.
{"title":"Correlates of Sexual and Physical Violence among Female Preparatory School students in Gurage Zone, Ethiopia","authors":"Bisrat Zeleke Shiferaw, Kenzudine Assfa Mossa, Zerihun Hile","doi":"10.4172/2325-9795.1000287","DOIUrl":"https://doi.org/10.4172/2325-9795.1000287","url":null,"abstract":"Background and Objective: Gender based violence (sexual and /physical), frequently occurs in institutions assumed to be ‘safe’, such as schools, where perpetrators include peers and teachers. School-related gender-based violence includes but is not limited to rape, unwanted sexual touching, unwanted sexual comments, corporal punishment, bullying and verbal harassment that is based on gender stereotypes which targets female students on the basis of their sex. It is a widespread barrier to girls’ attaining educational equity, which also brings with it many health risks. This study aimed the correlates of sexual and physical violence among female preparatory students in Garage zone, Ethiopia.Materials and Methods: Institution based cross-sectional descriptive study was conducted in preparatory schools of Gurage zone on March 2017. A multi-stage stratified sampling with simple random sampling technique was applied to select the study participant. Data were collected using a pre-tested structured selfadministered questionnaire. The collected data was cleaned and entered in to Epidata3.1 then exported to SPSS version 20:00 for analysis. Finally, a multivariate logistic regression model was created predict the correlates of sexual and physical violence among female students.Result: A total of 686 female preparatory students participated in the study, giving a response rate of 90.3 %. The finding showed that the prevalence of sexual and physical violence were 15.9% and 47.5% respectively. Forceful/ unwilling sex accounts 42(38.5%) from sexually active female students. Age group (i.e. Age<18years); [AOR 1.72, 95 % CI=1.02, 2.84] and monthly received pocket money [AOR 1.37, 95 % CI=1.06, 2.78] were statistically significant predictors of sexual violence. Whereas, substance uses (i.e. Khat chewing, drinking alcohol and cigarette smoking) were statistically significant determinants of sexual and physical violence among female students.Conclusion: The study has shown that the prevalence of both sexual and physical violence among female students is found to be relatively higher. Thus, designing specific strategic activates towards early detection, identification and prevention of school related gender based violence through provision of different regular information and communication and empowerment of female students is implicated.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122084697","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}
Pub Date : 2017-10-31DOI: 10.4172/2325-9795.1000288
Dalia Laužikienė, S. Vosylius, Ieva Šiaudinytė, Emilis Laužikas, D. Ramašauskaitė, D. Bartkevičienė
Objective: The aim of this study is to measure the prevalence of maternal depression in a primary care setting in North-Central Trinidad a small island developing country and to determine its socioeconomic, geographic and health-related risk factors. Methods: A cross sectional observational study to determine the point prevalence of maternal depression in women attending primary care facilities in North Central Trinidad was conducted. The population consisted of all pregnant women attending primary care facilities. The systematic sample of 400 women was taken. A two part questionnaire was administered after informed verbal consent. The questionnaire collected demographic data and the nine item PHQ questionnaire was administered. Results: Six hundred and two patients were entered into the study, consisting of 441 antenatal women and 161 postnatal women. The point prevalence of post partum depression was 38.5(95% CI 31.046.5), and prenatal depression 49.7%. Conclusion: The study provides evidence that MD is common in the developing world, detection and treatment therefore must be a priority as children born to mothers with depression have more behavioral problems, more psychiatric illness, more visits to pediatricians, lower IQ scores, and attachment issues.
目的:本研究旨在测量小岛屿发展中国家特立尼达中北部初级保健机构中产妇抑郁症的患病率，并确定其社会经济、地理和健康相关风险因素。方法:一项横断面观察研究，以确定在特立尼达中北部初级保健机构就诊的妇女中产妇抑郁症的点流行率。人口包括所有在初级保健机构就诊的孕妇。对400名女性进行了系统抽样。在知情口头同意后，进行了两部分的问卷调查。问卷收集人口统计数据，采用9项PHQ问卷。结果:共纳入602例患者，其中产前妇女441例，产后妇女161例。产后抑郁点患病率为38.5% (95% CI 31.046.5)，产前抑郁点患病率为49.7%。结论:该研究提供的证据表明，抑郁症在发展中国家很常见，因此，检测和治疗必须成为当务之急，因为患有抑郁症的母亲所生的孩子有更多的行为问题、更多的精神疾病、更多的儿科医生就诊、更低的智商得分和依恋问题。
{"title":"Complete Uterine Rupture and Placenta Percreta Complicated with Thrombotic Microangiopathy: A Case Report","authors":"Dalia Laužikienė, S. Vosylius, Ieva Šiaudinytė, Emilis Laužikas, D. Ramašauskaitė, D. Bartkevičienė","doi":"10.4172/2325-9795.1000288","DOIUrl":"https://doi.org/10.4172/2325-9795.1000288","url":null,"abstract":"Objective: The aim of this study is to measure the prevalence of maternal depression in a primary care setting in North-Central Trinidad a small island developing country and to determine its socioeconomic, geographic and health-related risk factors. \u0000Methods: A cross sectional observational study to determine the point prevalence of maternal depression in women attending primary care facilities in North Central Trinidad was conducted. The population consisted of all pregnant women attending primary care facilities. The systematic sample of 400 women was taken. A two part questionnaire was administered after informed verbal consent. The questionnaire collected demographic data and the nine item PHQ questionnaire was administered. \u0000 Results: Six hundred and two patients were entered into the study, consisting of 441 antenatal women and 161 postnatal women. The point prevalence of post partum depression was 38.5(95% CI 31.046.5), and prenatal depression 49.7%. \u0000 Conclusion: The study provides evidence that MD is common in the developing world, detection and treatment therefore must be a priority as children born to mothers with depression have more behavioral problems, more psychiatric illness, more visits to pediatricians, lower IQ scores, and attachment issues.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"37 6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116787459","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}
Pub Date : 2017-10-31DOI: 10.4172/2325-9795.1000283
B. Harris, Katherine Bishop, A. Veade, J. Kuller, Sobolewski Cj
Ectopic pregnancy in the context of undiagnosed Mullerian anomalies can present diagnostic and therapeutic challenges to the general Obstetrician/Gynecologist. We present a case of a noncommunicating rudimentary horn ectopic pregnancy discovered at the time of laparoscopy after ultrasound findings were suggestive of, but not diagnostic for, Mullerian anomaly.
{"title":"Non-communicating Rudimentary Horn Ectopic Pregnancy in a Patient with a Known Urinary Tract Anomaly","authors":"B. Harris, Katherine Bishop, A. Veade, J. Kuller, Sobolewski Cj","doi":"10.4172/2325-9795.1000283","DOIUrl":"https://doi.org/10.4172/2325-9795.1000283","url":null,"abstract":"Ectopic pregnancy in the context of undiagnosed Mullerian anomalies can present diagnostic and therapeutic challenges to the general Obstetrician/Gynecologist. We present a case of a noncommunicating rudimentary horn ectopic pregnancy discovered at the time of laparoscopy after ultrasound findings were suggestive of, but not diagnostic for, Mullerian anomaly.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114172703","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}
Pub Date : 2017-10-31DOI: 10.4172/2325-9795.1000285
Jung Yeon Park, K. Hwang, S. Kim, B. Kim, T. Lee, H. Jeon, K. Hong
Objective: To investigate the epidemiology of and clinical characteristics associated with alleged sexual violence over the past 7 years in Seoul and anticipate trends of further sexual violence.Methods: The data for cases of alleged sexual assault recorded at the Seoul Southern Sunflower Center of Boramae Medical Center during December 2008-2015 were retrospectively analyzed. Information regarding the victim’s age, parity, mental disorder status, alcohol consumption habit, time and place of the crime, relationship between the victim and perpetrator, and the time interval from the crime to declaration was recorded. Physical examinations, serology tests, vaginal swabs, and cultures were conducted. Emergency contraceptives were prescribed to victims who declared sexual violence within 72 hours after the crime.Results: The highest percentage of victims was observed among the age group of 20 to 24 years (596 cases, 27.2%). There were 13 male victims (0.6%), 24 victims were allegedly assaulted ≥2 times, and 141 (6.4%) had a mental disorder. The number of disabled pregnant women (5 cases, 3.6%) who developed the pregnancy due to the assault was significantly higher than that of non-disabled pregnant women (17 cases, 0.8%). Furthermore, 1,257 cases (57.4%) involved alcohol consumption or illegal drugs. We found that 28.6% and 19.2% of cases occurred in summer and in winter, respectively. Furthermore, 50.4% of all crimes occurred between midnight and 6 AM. Unknown perpetrators accounted for 768 (35.0%) cases and acquaintances 1,424 (65.0%). In the majority of cases (77.7%), victims were not physically injured. Sexually transmitted disease and bacterial vaginitis were found in 380 (17.3%) and 1,152 cases (52.6%), respectively.Conclusion: The findings of this study could help guide management and comprehensive care for sexual violence victims. It is expected that it will be able to obtain accurate basic data on the victim status and damage characteristics by the subtype classification of victims of sexual violence. Especially, it is thought that it will contribute more to the establishment of policies, laws, systems, and social services according to the characteristics of the group, by more closely analyzing the rape cases targeted by the disabled and the youth who are social weak. Additionally, it is expected that sexual violence victims will be able to systematically manage the occurrence and progress of problems related to sexual violence by objectively assessing and following up risk factors, physical diseases, and psychiatric sequelae.
{"title":"An Analysis of Sexual Violence over 7 Years: Data from the Seoul Southern Sunflower Center","authors":"Jung Yeon Park, K. Hwang, S. Kim, B. Kim, T. Lee, H. Jeon, K. Hong","doi":"10.4172/2325-9795.1000285","DOIUrl":"https://doi.org/10.4172/2325-9795.1000285","url":null,"abstract":"Objective: To investigate the epidemiology of and clinical characteristics associated with alleged sexual violence over the past 7 years in Seoul and anticipate trends of further sexual violence.Methods: The data for cases of alleged sexual assault recorded at the Seoul Southern Sunflower Center of Boramae Medical Center during December 2008-2015 were retrospectively analyzed. Information regarding the victim’s age, parity, mental disorder status, alcohol consumption habit, time and place of the crime, relationship between the victim and perpetrator, and the time interval from the crime to declaration was recorded. Physical examinations, serology tests, vaginal swabs, and cultures were conducted. Emergency contraceptives were prescribed to victims who declared sexual violence within 72 hours after the crime.Results: The highest percentage of victims was observed among the age group of 20 to 24 years (596 cases, 27.2%). There were 13 male victims (0.6%), 24 victims were allegedly assaulted ≥2 times, and 141 (6.4%) had a mental disorder. The number of disabled pregnant women (5 cases, 3.6%) who developed the pregnancy due to the assault was significantly higher than that of non-disabled pregnant women (17 cases, 0.8%). Furthermore, 1,257 cases (57.4%) involved alcohol consumption or illegal drugs. We found that 28.6% and 19.2% of cases occurred in summer and in winter, respectively. Furthermore, 50.4% of all crimes occurred between midnight and 6 AM. Unknown perpetrators accounted for 768 (35.0%) cases and acquaintances 1,424 (65.0%). In the majority of cases (77.7%), victims were not physically injured. Sexually transmitted disease and bacterial vaginitis were found in 380 (17.3%) and 1,152 cases (52.6%), respectively.Conclusion: The findings of this study could help guide management and comprehensive care for sexual violence victims. It is expected that it will be able to obtain accurate basic data on the victim status and damage characteristics by the subtype classification of victims of sexual violence. Especially, it is thought that it will contribute more to the establishment of policies, laws, systems, and social services according to the characteristics of the group, by more closely analyzing the rape cases targeted by the disabled and the youth who are social weak. Additionally, it is expected that sexual violence victims will be able to systematically manage the occurrence and progress of problems related to sexual violence by objectively assessing and following up risk factors, physical diseases, and psychiatric sequelae.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"120 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124165222","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}
Pub Date : 2017-10-31DOI: 10.4172/2325-9795.1000284
I. Lancrajan, I. Lisencu, Laurentiu Ignat, Rares Trisca, I. Topor, M. Coman, F. Mocean
Objective: The objective of this study is to assess the attitudes and knowledge of cervical cancer screening among women in rural and urban areas of Romania.Study design: We conducted a descriptive, transversal study on 639 women from Romania, between January and June 2015. For statistical data analysis, R for Data Analysis and Graphics version 3.2.1 was used.Results: The probability of the women getting screened for cervical cancer is 3.18 (95% CI 2.1 - 4.84) times higher for women living in the urban area than those living in the rural area, p<0.00. The probability of the women from the urban area knowing about this vaccine is 1.55 times (95% CI 1.02 - 2.36) higher in comparison to women living in the rural area, p<0.05. Women’s attitudes towards preventing cervical cancer by introducing sexual education courses in schools, the chance of them agreeing with this statement is 2.31 times (95% CI 1.04 - 4.91) higher for women living in the urban area, compared to those living in the rural area, p<0.05.Conclusions: Women from urban areas have more knowledge of prevention of cervical cancer as compared to women from rural areas. This study brings new evidence which can represent the basis for prevention campaigns, prevention programs and evidencebased public policies in order to reduce the burden of cervical cancer.
目的:本研究的目的是评估罗马尼亚农村和城市地区妇女对宫颈癌筛查的态度和知识。研究设计:我们在2015年1月至6月期间对来自罗马尼亚的639名女性进行了一项描述性横向研究。统计数据分析使用R For data analysis and Graphics版本3.2.1。结果:城市妇女宫颈癌筛查的概率是农村妇女的3.18倍(95% CI 2.1 ~ 4.84)， p<0.00。城市地区妇女知晓该疫苗的概率是农村地区妇女的1.55倍(95% CI 1.02 - 2.36)， p<0.05。对于在学校引入性教育课程来预防宫颈癌，城市妇女同意这一说法的几率是农村妇女的2.31倍(95% CI 1.04 - 4.91)， p<0.05。结论:城市妇女对宫颈癌预防知识的掌握程度高于农村妇女。本研究提供了新的证据，可为预防运动、预防规划和循证公共政策提供依据，以减轻宫颈癌的负担。
{"title":"Evaluation of Attitudes and Knowledge on Cervical Cancer among Women from Rural and Urban Areas of Romania","authors":"I. Lancrajan, I. Lisencu, Laurentiu Ignat, Rares Trisca, I. Topor, M. Coman, F. Mocean","doi":"10.4172/2325-9795.1000284","DOIUrl":"https://doi.org/10.4172/2325-9795.1000284","url":null,"abstract":"Objective: The objective of this study is to assess the attitudes and knowledge of cervical cancer screening among women in rural and urban areas of Romania.Study design: We conducted a descriptive, transversal study on 639 women from Romania, between January and June 2015. For statistical data analysis, R for Data Analysis and Graphics version 3.2.1 was used.Results: The probability of the women getting screened for cervical cancer is 3.18 (95% CI 2.1 - 4.84) times higher for women living in the urban area than those living in the rural area, p<0.00. The probability of the women from the urban area knowing about this vaccine is 1.55 times (95% CI 1.02 - 2.36) higher in comparison to women living in the rural area, p<0.05. Women’s attitudes towards preventing cervical cancer by introducing sexual education courses in schools, the chance of them agreeing with this statement is 2.31 times (95% CI 1.04 - 4.91) higher for women living in the urban area, compared to those living in the rural area, p<0.05.Conclusions: Women from urban areas have more knowledge of prevention of cervical cancer as compared to women from rural areas. This study brings new evidence which can represent the basis for prevention campaigns, prevention programs and evidencebased public policies in order to reduce the burden of cervical cancer.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132214036","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}
Pub Date : 2017-10-31DOI: 10.4172/2325-9795.1000286
A. Islam
Background: The growth and size of Bangladesh’s population over the next few decades will largely depend on the reproductive habits of young people because half of the population of the country is aged below 25 years. However, a systematic study on the contraceptive behaviour of this sub-group of population is lessevident. Therefore, this study aimed at exploring the determinants of using modern contraceptives among currently married fecund non-pregnant young women in Bangladesh.Methods: This study utilized a cross-sectional data (n=3,744) extracted from the Bangladesh Demographic and Health Survey 2011. Differences in the use of modern contraceptives by sociodemographic characteristics were assessed by χ2 analyses. Binary logistic regression was used to identify the determinants of modern contraceptive use among fecund young women. Results: This study observed that six out of ten women used modern contraceptives. Getting FP methods from FP workers and husband-wife joint participation in decision making about healthcare issues and other familial activities increase the likelihood of using modern contraceptives. Regional variation is also another keyfactor that influences contraceptive use.Conclusions: Because husband-wife joint participation in decision making increases the likelihood of using contraceptives, government should focus on developing negotiation skills in young women by creating educational and employment opportunities. Reproductive and sex education should be introduced in schools toprepare the young for healthy and responsible living.
{"title":"Association between Modern Contraceptive Use and Socio- Demographic Factors among Fecund Young Women in Bangladesh","authors":"A. Islam","doi":"10.4172/2325-9795.1000286","DOIUrl":"https://doi.org/10.4172/2325-9795.1000286","url":null,"abstract":"Background: The growth and size of Bangladesh’s population over the next few decades will largely depend on the reproductive habits of young people because half of the population of the country is aged below 25 years. However, a systematic study on the contraceptive behaviour of this sub-group of population is lessevident. Therefore, this study aimed at exploring the determinants of using modern contraceptives among currently married fecund non-pregnant young women in Bangladesh.Methods: This study utilized a cross-sectional data (n=3,744) extracted from the Bangladesh Demographic and Health Survey 2011. Differences in the use of modern contraceptives by sociodemographic characteristics were assessed by χ2 analyses. Binary logistic regression was used to identify the determinants of modern contraceptive use among fecund young women. Results: This study observed that six out of ten women used modern contraceptives. Getting FP methods from FP workers and husband-wife joint participation in decision making about healthcare issues and other familial activities increase the likelihood of using modern contraceptives. Regional variation is also another keyfactor that influences contraceptive use.Conclusions: Because husband-wife joint participation in decision making increases the likelihood of using contraceptives, government should focus on developing negotiation skills in young women by creating educational and employment opportunities. Reproductive and sex education should be introduced in schools toprepare the young for healthy and responsible living.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129418644","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}
Pub Date : 2017-10-31DOI: 10.4172/2325-9795.1000282
Brittany M. Bernardo, Julie Dean-McMahon, E. Hade, M. Ruffin, E. Paskett
Background: Women who do not receive appropriate follow-up after an abnormal Pap test are at risk for cervical cancer. This study aims to examine predictors of follow-up for abnormal Pap results among Appalachian women. Methods: Women (n=283) with an abnormal Pap test at participating clinics in Appalachia were selected for participation. Medical records were abstracted to determine follow-up. Multivariable logistic regression models were utilized to determine correlates of any follow-up, guideline follow-up and timely guideline follow-up.Results: Following an abnormal result, 201 (71.0%) women received any follow-up, 171 (60.4%) received follow-up within guidelines, and 122 (43.1%) received timely guideline follow-up. Multivariable logistic regression models revealed that no recent alcohol use was associated with higher odds of any follow-up (aOR= 2.15, 95% CI [1.10-4.20]) or guideline follow-up (aOR=2.15, CI [1.19-3.90]). Women who attended private clinics had higher odds of any follow-up compared to women who attended other clinics (aOR= 2.82, 95% CI [1.43-5.56]). Women who reported ever smoking had higher odds of any follow-up (aOR= 2.61, CI [1.37- 4.99]) compared to never smokers, and women with less than a high school education had higher odds of timely guideline follow-up (aOR=2.32, CI [1.07-5.06]).Conclusions: Many Appalachian women with an abnormal Pap test fail to receive timely follow-up. Individual level factors, such as education, alcohol use, smoking status, as well as clinic type may be associated with obtaining follow-up among Appalachian women. These results may aid in designing interventions to target those at risk for failure to follow-up after an abnormal Pap test.
{"title":"Follow-Up Behavior after Abnormal Pap test Results in Ohio Appalachia","authors":"Brittany M. Bernardo, Julie Dean-McMahon, E. Hade, M. Ruffin, E. Paskett","doi":"10.4172/2325-9795.1000282","DOIUrl":"https://doi.org/10.4172/2325-9795.1000282","url":null,"abstract":"Background: Women who do not receive appropriate follow-up after an abnormal Pap test are at risk for cervical cancer. This study aims to examine predictors of follow-up for abnormal Pap results among Appalachian women. Methods: Women (n=283) with an abnormal Pap test at participating clinics in Appalachia were selected for participation. Medical records were abstracted to determine follow-up. Multivariable logistic regression models were utilized to determine correlates of any follow-up, guideline follow-up and timely guideline follow-up.Results: Following an abnormal result, 201 (71.0%) women received any follow-up, 171 (60.4%) received follow-up within guidelines, and 122 (43.1%) received timely guideline follow-up. Multivariable logistic regression models revealed that no recent alcohol use was associated with higher odds of any follow-up (aOR= 2.15, 95% CI [1.10-4.20]) or guideline follow-up (aOR=2.15, CI [1.19-3.90]). Women who attended private clinics had higher odds of any follow-up compared to women who attended other clinics (aOR= 2.82, 95% CI [1.43-5.56]). Women who reported ever smoking had higher odds of any follow-up (aOR= 2.61, CI [1.37- 4.99]) compared to never smokers, and women with less than a high school education had higher odds of timely guideline follow-up (aOR=2.32, CI [1.07-5.06]).Conclusions: Many Appalachian women with an abnormal Pap test fail to receive timely follow-up. Individual level factors, such as education, alcohol use, smoking status, as well as clinic type may be associated with obtaining follow-up among Appalachian women. These results may aid in designing interventions to target those at risk for failure to follow-up after an abnormal Pap test.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134276646","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}
Pub Date : 2017-08-31DOI: 10.4172/2325-9795.1000275
E. Gomaa
Objective: The goal of this study is to evaluate the impact of obesity on stress urinary incontinence symptoms and quality of life among Egyptian women. Design: Cross-sectional study. Setting: Ain Shams Maternity teaching hospital (Urogynecology Department). Patients and methods: 100 women consented to participate in this study. Clinical details were noted and urodynamic studies were carried out. Body mass index [BMI] was defined as normal (
{"title":"Urinary Incontinence in Obese Women: A Cross Sectional Case Finding Study","authors":"E. Gomaa","doi":"10.4172/2325-9795.1000275","DOIUrl":"https://doi.org/10.4172/2325-9795.1000275","url":null,"abstract":"Objective: The goal of this study is to evaluate the impact of obesity on stress urinary incontinence symptoms and quality of life among Egyptian women. Design: Cross-sectional study. Setting: Ain Shams Maternity teaching hospital (Urogynecology Department). Patients and methods: 100 women consented to participate in this study. Clinical details were noted and urodynamic studies were carried out. Body mass index [BMI] was defined as normal (","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"2007 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125621713","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}
Pub Date : 2017-08-31DOI: 10.4172/2325-9795.1000276
Shu-He Huang, A. Barnard, K. Wang, S. Sheu, Hsien-Hsien Chiang
Background: Modern medical care for women with highrisk pregnancy to prevent preterm birth is termed hospitalized tocolysis. The medical care and clinical treatments include tocolytic administration, uterine contractions monitoring and restricted bed rest to prolong gestation and prevent premature birth. Methods: The aim of this study was to explore the lived experiences of Taiwanese women who underwent hospitalized tocolysis, the suffering they endured and their coping strategies within the context of modern medical technology. This research adopted an interpretive phenomenology research design and used in-depth interviews to gain narrative information from ten women who had undergone hospitalized tocolysis in a teaching hospital in the Taipei area. Major findings: Three major themes were identified: suffering associated with hospitalized tocolysis, self-directed actions of tocolysis, and self-soothing to relieve their suffering. Conclusions: The women with high-risk pregnancy and hospitalized tocolysis likely experienced the body as an object who underwent the surveillance and control of a modern medical system, they showed the perseverance of being a mother and then they developed self-care techniques to keep themselves and their unborn babies well.
{"title":"To contain the suffering of keeping the baby gestation: A qualitative study of the experiences of women with hospitalized tocolysis","authors":"Shu-He Huang, A. Barnard, K. Wang, S. Sheu, Hsien-Hsien Chiang","doi":"10.4172/2325-9795.1000276","DOIUrl":"https://doi.org/10.4172/2325-9795.1000276","url":null,"abstract":"Background: Modern medical care for women with highrisk pregnancy to prevent preterm birth is termed hospitalized tocolysis. The medical care and clinical treatments include tocolytic administration, uterine contractions monitoring and restricted bed rest to prolong gestation and prevent premature birth. Methods: The aim of this study was to explore the lived experiences of Taiwanese women who underwent hospitalized tocolysis, the suffering they endured and their coping strategies within the context of modern medical technology. This research adopted an interpretive phenomenology research design and used in-depth interviews to gain narrative information from ten women who had undergone hospitalized tocolysis in a teaching hospital in the Taipei area. Major findings: Three major themes were identified: suffering associated with hospitalized tocolysis, self-directed actions of tocolysis, and self-soothing to relieve their suffering. \u0000Conclusions: The women with high-risk pregnancy and hospitalized tocolysis likely experienced the body as an object who underwent the surveillance and control of a modern medical system, they showed the perseverance of being a mother and then they developed self-care techniques to keep themselves and their unborn babies well.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"2017 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129475851","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}
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