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Impact of livestock interventions on maternal and child nutrition outcomes in Africa: A systematic review and meta-analysis protocol. 畜牧业干预措施对非洲母婴营养结果的影响:系统回顾和荟萃分析协议。
Q2 Multidisciplinary Pub Date : 2021-10-01 eCollection Date: 2021-01-01 DOI: 10.12688/aasopenres.13150.2
Josphat Muema, Julius Oyugi, Zipporah Bukania, Mutono Nyamai, Christine Jost, Tewoldeberhan Daniel, Joseph Njuguna, Samuel Mwangi Thumbi

The challenge of undernutrition (stunting and wasting) still remains a major health concern in children below 5 years of age in Africa, with the continent accounting for more than one third of all stunted children and more than one quarter of all wasted children globally. Despite the growing evidence on the role of agriculture interventions in improving nutrition, empirical evidence on the impact of livestock intervention on nutrition in Africa is scant. This review is aimed at determining whether livestock interventions are effective in reducing undernutrition in children below five years of age and in pregnant and lactating women in Africa. The review will be conducted according to PRISMA guidelines. Major electronic databases will be searched and complemented with grey and non-indexed literature from google and google scholar, and expert consultation for additional articles and reports. PICO criteria will be used while employing search strategies including MeSH, Boolean search operators and truncation/wildcard symbol to narrow or broaden the search. Articles on effect of livestock interventions on maternal and child nutrition conducted in Africa that meet the set inclusion criteria will be included in the review after critical appraisal by two independent reviewers. A standardized form will be used to extract data from included studies. The extracted data will be summarized and synthesized both qualitatively and quantitatively and key outcomes presented. Evidence generated from the systematic review and meta-analysis will be important for guiding nutrition sensitive livestock interventions and policies on nutrition programming, specifically on how to leverage on livestock interventions to reduce the burden of undernutrition.

营养不良(发育迟缓和消瘦)仍然是非洲 5 岁以下儿童的主要健康问题,非洲大陆的发育迟缓儿童占全球总数的三分之一以上,消瘦儿童占全球总数的四分之一以上。尽管越来越多的证据表明农业干预措施在改善营养方面的作用,但有关畜牧业干预措施对非洲营养影响的实证证据却很少。本综述旨在确定畜牧业干预措施是否能有效减少非洲五岁以下儿童以及孕妇和哺乳期妇女的营养不良状况。综述将根据 PRISMA 指南进行。将搜索主要的电子数据库,并辅以谷歌和谷歌学者的灰色和非索引文献,以及专家咨询以获取更多文章和报告。将使用 PICO 标准,同时采用 MeSH、布尔搜索运算符和截断/通配符等搜索策略来缩小或扩大搜索范围。在非洲进行的有关畜牧业干预对母婴营养影响的文章,如果符合既定的纳入标准,将由两名独立评审员进行严格评审后纳入综述。将使用标准表格从纳入的研究中提取数据。将对提取的数据进行定性和定量总结和归纳,并介绍主要结果。系统综述和荟萃分析所产生的证据将对指导营养敏感的畜牧业干预措施和营养计划政策,特别是如何利用畜牧业干预措施减轻营养不良的负担具有重要意义。
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引用次数: 0
Optimization of extraction conditions for polyphenols from the stem bark of Funtumia elastica (Funtum) utilizing response surface methodology 利用响应面法优化弹性木耳茎皮中多酚的提取条件
Q2 Multidisciplinary Pub Date : 2021-09-10 DOI: 10.12688/aasopenres.13284.1
Theophilus Fadjare Frempong, Nathaniel Owusu Boadi, Mercy Badu
Background: The recovery of phenolic compounds is seen as an arduous task because phenolic compounds are available as free aglycones, as sugar or ester conjugates, or as polymers with several monomeric components. Furthermore, phenolic compounds do not disperse evenly and may be connected to cell walls, carbohydrates, or proteins. This study looks at the optimization of factors that affect the efficiency for the extraction of phenolic compounds from the stem-bark of Funtumia elastica. Methods: Five independent variables (solvent concentration, time, the temperature, solid-liquid ratio, and pH) of the extraction process were selected. Single factor analysis as well as the response surface method was used to evaluate the impact of the selected factors on the total phenolic content. The effect of the extraction factors on the phenolic content was statistically significant (p <0.05). For the response surface method, a five/factor, five/level central composite design used, and a fitted second-order polynomial regression model equation was used to show how the extraction parameters affected the total phenolic recovery. Results: The predicted value (R² of 0.5917) agreed with the adjusted value (R² of 0.7707). The residuals for response predictions were less than 5%. The optimal factors for the extraction were ethanol concentration of 75.99% v/v, extraction time of 193.86 minutes, temperature of 63.66°C, pH of 5.62, and solid-liquid ratio of 1:21.12 g/mL. Actual overall content of the phenolic compounds was validated at 82.83 ± 3.335 mg gallic acid equivalent (GAE) /g weight of extract, which agreed with the predicted response of 89.467 mg GAE/g of the dried extract under the optimal factors. Conclusions: The rich phenolic content of stem-bark of Funtumia elastica points to its potential as a functional medicinal product to alleviate diseases caused by oxidative stress such as asthma, breathing disorders, inflammation, and cardiovascular diseases.
背景:酚类化合物的回收被认为是一项艰巨的任务,因为酚类化合物可以作为游离苷元、糖或酯缀合物或具有几种单体组分的聚合物。此外,酚类化合物分散不均匀,可能与细胞壁、碳水化合物或蛋白质相连。本研究对影响弹性土茎皮中酚类化合物提取效率的因素进行了优化。方法:选取提取过程中溶剂浓度、时间、温度、料液比、pH五个自变量。采用单因素分析和响应面法评价了各因素对总酚含量的影响。各提取因素对其酚类物质含量的影响有统计学意义(p <0.05)。响应面法采用五因子五水平中心复合设计,拟合二阶多项式回归模型方程,考察提取参数对总酚回收率的影响。结果:预测值(R²为0.5917)与调整值(R²为0.7707)吻合。反应预测的残差小于5%。最佳提取条件为:乙醇浓度75.99% v/v,提取时间193.86 min,提取温度63.66℃,pH 5.62,料液比1:21.12 g/mL。实际总酚类化合物含量为82.83±3.335 mg没食子酸当量(GAE) /g重量,与最优条件下干燥浸膏的预测值89.467 mg GAE/g一致。结论:弹性木茎皮富含酚类物质,具有缓解哮喘、呼吸障碍、炎症、心血管疾病等氧化应激引起的疾病的功能药用潜力。
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引用次数: 18
Barriers and facilitators to health insurance enrolment among people working in the informal sector in Morogoro, Tanzania 坦桑尼亚莫罗戈罗非正规部门工作人员参加医疗保险的障碍和促进因素
Q2 Multidisciplinary Pub Date : 2021-09-01 DOI: 10.12688/aasopenres.13289.1
Elisante Abraham, C. Gray, A. Fagbamigbe, F. Tediosi, Brianna Otesinky, J. Haafkens, G. Mhalu, Sally Mtenga
Background: Health insurance is a crucial pathway towards the achievement of universal health coverage. In Tanzania, health-financing reforms are underway to speed up universal health coverage in the informal sector. Despite improved Community Health Fund (iCHF) rollout, iCHF enrolment remains a challenge in the informal sector. This study aimed to explore the perspectives of local women food vendors (LWFV) and Bodaboda (motorcycle taxi) drivers on factors that challenge and facilitate their enrolment in iCHF. Methods: A qualitative study was conducted in Morogoro Municipality through in-depth interviews with LWFV (n=24) and Bodaboda drivers (n=26), and two focus group discussions with LWFV (n=8) and Bodaboda drivers (n=8). Theory of planned behaviour (TPB) constructs (attitude, subjective norms, and perceived control) provided a framework for the study and informed a thematic analysis focusing on the barriers and facilitators of iCHF enrolment. Results: The views of LWFV and Bodaboda drivers on factors that influence iCHF enrolment converged. Three main barriers emerged: lack of knowledge about the iCHF (attitude); negative views from friends and families (subjective norms); and inability to overcome challenges, such as the quality and range of health services available to iCHF members and iCHF not being accepted at non-government facilities (perceived control). A number of facilitators were identified, including opinions that enrolling to iCHF made good financial sense (attitude), encouragement from already-enrolled friends and relatives (subjective norms) and the belief that enrolment payment is affordable (perceived control). Conclusions: Results suggest that positive attitudes supported by perceived control and encouragement from significant others could potentially motivate LWFV and Bodaboda drivers to enroll in iCHF. However, more targeted information about the scheme is needed for individuals in the informal sector. There is also a need to ensure that quality health services are available, including coverage for non-communicable diseases (NCDs), and that non-government facilities accept iCHF.
背景:健康保险是实现全民健康覆盖的重要途径。坦桑尼亚正在进行卫生筹资改革,以加快非正规部门的全民健康覆盖。尽管改进了社区卫生基金的推出,但在非正规部门,社区卫生基金的注册仍然是一个挑战。本研究旨在探讨当地女性食品摊贩(LWFV)和摩托车出租车(Bodaboda)司机对挑战和促进她们参加iCHF的因素的看法。方法:在莫罗戈罗市进行定性研究,对LWFV (n=24)和Bodaboda司机(n=26)进行深度访谈,并与LWFV (n=8)和Bodaboda司机(n=8)进行两次焦点小组讨论。计划行为理论(TPB)结构(态度、主观规范和感知控制)为研究提供了框架,并为关注iCHF入学障碍和促进因素的专题分析提供了依据。结果:LWFV和Bodaboda驱动因素对影响icf入学率的因素的看法趋于一致。出现了三个主要障碍:缺乏对iCHF的了解(态度);来自朋友和家人的负面看法(主观规范);以及无法克服挑战,例如向卫生保健联合会成员提供的保健服务的质量和范围,以及卫生保健联合会不被非政府机构接受(被认为是控制)。我们确定了一些促成因素,包括认为参加iCHF在经济上是有意义的观点(态度),已经参加iCHF的朋友和亲戚的鼓励(主观规范),以及相信学费是负担得起的(感知控制)。结论:结果表明,在感知控制和重要他人鼓励的支持下,积极的态度可能会激励LWFV和Bodaboda司机参加iCHF。但是,需要为非正规部门的个人提供有关该计划的更有针对性的信息。还需要确保提供高质量的保健服务,包括非传染性疾病的保险,并确保非政府机构接受卫生保健基金。
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引用次数: 1
Trends and correlates of girl-child marriage in 11 West African countries: evidence from recent Demographic and Health Surveys 西非11个国家女童婚姻的趋势和相关性:来自最近人口和健康调查的证据
Q2 Multidisciplinary Pub Date : 2021-09-01 DOI: 10.2139/ssrn.3537080
A. Fatusi, S. Adedini, J. W. Mobolaji
Background: West Africa historically has a high prevalence of girl-child marriage and requires substantial reduction to meet the United Nation’s Sustainable Development Goals (SDG) target of ending child marriage by 2030, but current data on progress is sparce. We aimed to determine the trend in child marriage in West Africa and assess the influence of selected socio-demographic factors. Methods: We analysed data on women aged 18-24 years from the two most recent Demographic and Health Surveys (conducted between 2006 and 2014) for 11 West African countries to determine the prevalence and trend of girl-child marriage. Multivariable logistic regression analysis was used to assess the relationship between girl-child marriage and selected socio-demographic factors. Results: The prevalence of child marriage in West Africa is 41.5%. An overall decrease of 4.6% (annual rate of 0.01%) was recorded over a seven-year inter-survey period. Three countries (Cote d’Ivoire, Nigeria, and Niger) recorded increased prevalence while the rate was unchanged in Burkina Faso, and the other six countries had reduced prevalence between the last two surveys. Sierra Leone recorded the highest decrease in prevalence (22%) and an annual reduction rate of 0.04%; Cote d’Ivore had the highest increase (65.3%). In virtually all countries, rural residence, low education, poor household economic status and non-Christian religious affiliation were significantly associated with higher odds of girl-child marriage. Conclusions: The prevalence of girl-child marriage remains high in West Africa and the trend shows very slow progress. While substantial inter-country variations exist in overall rate and trend of child marriage, the rate of progress is inadequate across all countries.
背景:从历史上看,西非的女童童婚率很高,需要大幅减少,才能实现联合国可持续发展目标(SDG)到2030年结束童婚的目标,但目前的进展数据很少。我们旨在确定西非童婚的趋势,并评估选定的社会人口因素的影响。方法:我们分析了最近对11个西非国家进行的两次人口与健康调查(2006年至2014年)中18-24岁女性的数据,以确定女童婚姻的流行率和趋势。多变量逻辑回归分析用于评估女童婚姻与所选社会人口因素之间的关系。结果:西非的童婚患病率为41.5%。在七年的调查期间,总体下降了4.6%(年下降率为0.01%)。三个国家(科特迪瓦、尼日利亚和尼日尔)的发病率有所上升,而布基纳法索的发病率没有变化,其他六个国家的发病率在最近两次调查之间有所下降。塞拉利昂的发病率下降幅度最大(22%),年下降率为0.04%;科特迪瓦的增长率最高(65.3%)。在几乎所有国家,农村居住、教育程度低、家庭经济状况差和非基督教宗教信仰都与女童结婚的几率较高显著相关。结论:西非女童结婚率仍然很高,而且这一趋势进展非常缓慢。尽管各国间童婚的总体比率和趋势存在很大差异,但所有国家的进展速度都不够。
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引用次数: 3
Trends and correlates of girl-child marriage in 11 West African countries: evidence from recent Demographic and Health Surveys. 11个西非国家女童婚姻的趋势和相关关系:来自最近人口与健康调查的证据。
Q2 Multidisciplinary Pub Date : 2021-09-01 eCollection Date: 2021-01-01 DOI: 10.12688/aasopenres.13248.2
Adesegun O Fatusi, Sunday A Adedini, Jacob Wale Mobolaji

Background: West Africa historically has a high prevalence of girl-child marriage and requires substantial reduction to meet the United Nation's Sustainable Development Goals (SDG) target of ending child marriage by 2030, but current data on progress is sparce. We aimed to determine the trend in child marriage in West Africa and assess the influence of selected socio-demographic factors. Methods: We analysed data on women aged 18-24 years from the two most recent Demographic and Health Surveys (conducted between 2006 and 2014) for 11 West African countries to determine the prevalence and trend of girl-child marriage. Multivariable logistic regression analysis was used to assess the relationship between girl-child marriage and selected socio-demographic factors. Results: The prevalence of child marriage in West Africa is 41.5%. An overall decrease of 4.6% (annual rate of 0.01%) was recorded over a seven-year inter-survey period. Three countries (Cote d'Ivoire, Nigeria, and Niger) recorded increased prevalence while the rate was unchanged in Burkina Faso, and the other six countries had reduced prevalence between the last two surveys. Sierra Leone recorded the highest decrease in prevalence (22%) and an annual reduction rate of 0.04%; Cote d'Ivore had the highest increase (65.3%). In virtually all countries, rural residence, low education, poor household economic status and non-Christian religious affiliation were significantly associated with higher odds of girl-child marriage. Conclusions: The prevalence of girl-child marriage remains high in West Africa and the trend shows very slow progress. While substantial inter-country variations exist in overall rate and trend of child marriage, the rate of progress is inadequate across all countries.

背景:西非的女童婚率历来很高,要实现联合国可持续发展目标(SDG)到2030年消除童婚的具体目标,就需要大幅降低女童婚率,但目前有关进展的数据很少。我们的目的是确定西非童婚的趋势,并评估选定的社会人口因素的影响。方法:我们分析了11个西非国家最近两次人口与健康调查(2006年至2014年期间进行)中18-24岁妇女的数据,以确定女童婚姻的流行程度和趋势。采用多变量logistic回归分析来评估女童婚姻与选定的社会人口因素之间的关系。结果:西非地区童婚率为41.5%。在七年的间隔调查期间,整体下降4.6%(年增长率为0.01%)。三个国家(科特迪瓦、尼日利亚和尼日尔)的患病率有所上升,而布基纳法索的患病率没有变化,其他六个国家在最近两次调查期间的患病率有所下降。塞拉利昂的患病率下降幅度最大(22%),年降幅为0.04%;科特迪瓦的增长率最高(65.3%)。几乎在所有国家,农村居住、教育程度低、贫穷的家庭经济地位和非基督教宗教信仰都与女童结婚的高几率显著相关。结论:西非女童婚的流行率仍然很高,而且这一趋势进展缓慢。虽然童婚的总体比率和趋势在各国之间存在很大差异,但所有国家的进展速度都不够。
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引用次数: 0
Synthesis of bismuth oxyhalide (BiOBr zI (1- z)) solid solutions for photodegradation of methylene dye. 氧化卤化铋(BiOBr zI (1- z))固溶体光降解亚甲基染料的合成。
Q2 Multidisciplinary Pub Date : 2021-08-23 DOI: 10.12688/aasopenres.13249.1
Robert O. Gembo, O. Aoyi, Stephen Majoni, A. Etale, Sebusi Odisitse, Cecil K. King'ondu
Background: The removal of textile wastes is a priority due to their mutagenic and carcinogenic properties.  In this study, bismuth oxyhalide was used in the removal of methylene blue (MB) which is a textile waste. The main objective of this study was to develop and investigate the applicability of a bismuth oxyhalide (BiOBr zI (1-z)) solid solutions in the photodegradation of MB under solar and ultraviolet (UV) light irradiation. Methods: Bismuth oxyhalide (BiOBr zI (1-z)) (0 ≤ z ≤ 1) materials were successfully prepared through the hydrothermal method. Brunauer-Emmett-Teller (BET), transmission electron microscope (TEM), X-ray diffractometer (XRD), and scanning electron microscope (SEM) were used to determine the surface area, microstructure, crystal structure, and morphology of the resultant products. The photocatalytic performance of BiOBr zI (1-z) materials was examined through methylene blue (MB) degradation under UV light and solar irradiation. Results: The XRD showed that BiOBr zI (1-z) materials crystallized into a tetragonal crystal structure with (102) peak slightly shifting to lower diffraction angle with an increase in the amount of iodide (I -). BiOBr 0.6I 0.4 materials showed a point of zero charge of 5.29 and presented the highest photocatalytic activity in the removal of MB with 99% and 88% efficiency under solar and UV irradiation, respectively. The kinetics studies of MB removal by BiOBr zI (1-z) materials showed that the degradation process followed nonlinear pseudo-first-order model indicating that the removal of MB depends on the population of the adsorption sites. Trapping experiments confirmed that photogenerated holes (h +) and superoxide radicals ( •O 2 -) are the key species responsible for the degradation of MB. Conclusions : This study shows that bismuth oxyhalide materials are very active in the degradation of methylene blue dye using sunlight and thus they have great potential in safeguarding public health and the environment from the dye's degradation standpoint. Moreover, the experimental results agree with nonlinear fitting.
背景:由于纺织废料具有致突变和致癌性,因此对其进行处理是当务之急。研究了氧化卤化铋对纺织废渣亚甲基蓝(MB)的脱除作用。本研究的主要目的是开发和研究氧化卤化铋(BiOBr zI (1-z))固溶体在太阳和紫外线(UV)光照射下光降解MB的适用性。方法:采用水热法制备氧化卤化铋(BiOBr zI (1-z))(0≤z≤1)材料。采用布鲁诺尔-埃米特-泰勒(BET)、透射电子显微镜(TEM)、x射线衍射仪(XRD)和扫描电子显微镜(SEM)对所得产物的表面积、微观结构、晶体结构和形貌进行了测定。在紫外光和太阳照射下,通过亚甲基蓝(MB)降解研究了BiOBr zI (1-z)材料的光催化性能。结果:XRD结果表明,BiOBr zI (1-z)材料随着碘化物(I -)用量的增加而结晶成四方晶结构,(102)峰向低衍射角微移。BiOBr 0.6I 0.4材料在太阳和紫外线照射下的零电荷点为5.29,光催化去除MB的效率最高,分别为99%和88%。BiOBr zI (1-z)材料去除MB的动力学研究表明,降解过程遵循非线性伪一阶模型,表明MB的去除取决于吸附位点的居群。捕集实验证实,光生空穴(h +)和超氧自由基(•o2 -)是降解MB的关键物质。结论:本研究表明,氧化卤化铋材料在利用阳光降解亚甲基蓝染料中具有很强的活性,从染料降解的角度来看,氧化卤化铋材料在保护公众健康和环境方面具有很大的潜力。实验结果与非线性拟合吻合。
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引用次数: 2
Enablers of gender equitable scientific career progression in Sub-Saharan Africa: Insights from the DELTAS Africa Initiative 撒哈拉以南非洲性别平等科学职业发展的推动者:来自三角洲非洲倡议的见解
Q2 Multidisciplinary Pub Date : 2021-08-16 DOI: 10.12688/aasopenres.13243.1
M. Liani, I. Nyamongo, J. Pulford, R. Tolhurst
Background: This paper present findings on current strategies utilised within selected Developing Excellence in Leadership, Training and Science in Africa’ (DELTAS Africa) consortia to promote gender equitable scientific career progression for researchers, as well as participants’ recommendations for change. Findings are drawn from a wider research study nested within this health-based scientific research capacity strengthening initiative that was aimed at gaining an in-depth understanding of the barriers and enablers of gender equitable scientific career progression for researchers in Sub-Saharan Africa.  Methods: We adopted an exploratory qualitative cross-sectional study design. The main method of data collection was in-depth interviews (IDIs) with trainees/research fellows at various career stages affiliated to three purposively selected DELTAS Africa Research Consortia. In addition, key informant interviews (KIIs) with consortia research leaders/directors, co-investigators, and management team were also conducted to corroborate information gathered from the IDIs, and to provide additional insights on the enabling factors/actions and policy processes that were currently in place or proposed to enhance gender equitable career progression. In total, fifty-eight IDIs (32 female and 26 male) and twenty KIIs (4 female and 16 male) were conducted. Interviews were carried out between May and December 2018 in English. Data were analysed inductively based on emergent themes, and aligned to the developed integrated conceptual framework. Results: Three overarching themes were identified. First: micro level efforts - individual coping mechanisms and familial level support. Second: Meso level efforts -existing enabling mechanisms at the institutional level. Third: proposed solutions for positive change towards enhancing gender equitable career progression at micro, meso and macro levels.  Conclusions: These findings have implications for future research capacity strengthening programming, including DELTAS Africa II initiative (2021-2025); they provide valuable insights on potential strategies and actions aiming to narrow gender inequities in scientific career progression in the context of sub-Saharan African research institutions.
背景:本文介绍了在非洲选定的“发展卓越领导力、培训和科学”(DELTAS Africa)联盟中使用的当前战略的发现,以促进研究人员的性别平等科学职业发展,以及参与者对变革的建议。研究结果来自这一以健康为基础的科学研究能力加强倡议内的一项更广泛的研究,该倡议旨在深入了解撒哈拉以南非洲研究人员性别平等的科学职业发展的障碍和促进因素。方法:采用探索性定性横断面研究设计。收集数据的主要方法是与有目的选定的三个三角洲地区非洲研究联盟所属的处于不同职业阶段的受训人员/研究员进行深入访谈。此外,还与财团研究负责人/主任、联合调查人员和管理团队进行了关键信息提供者访谈(KIIs),以证实从IDIs收集的信息,并就目前或拟议的促进性别平等职业发展的有利因素/行动和政策程序提供更多见解。总共进行了58次idi(32名女性和26名男性)和20次kii(4名女性和16名男性)。访谈于2018年5月至12月期间以英语进行。根据新兴主题对数据进行归纳分析,并与已开发的综合概念框架保持一致。结果:确定了三个总体主题。第一:微观层面的努力——个人应对机制和家庭层面的支持。第二:中观层面的努力,即机构层面现有的赋能机制。第三:提出在微观、中观和宏观层面促进性别平等职业发展的积极变革的解决办法。结论:这些发现对未来的研究能力加强规划具有启示意义,包括三角洲地区非洲II倡议(2021-2025);它们为在撒哈拉以南非洲研究机构的背景下缩小科学职业发展中的性别不平等的潜在战略和行动提供了宝贵的见解。
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引用次数: 0
An ecological study on the association between early childhood caries and intimate partner violence in 20 low- and middle-income countries: 2007-2017. 2007-2017年,20个低收入和中等收入国家儿童早期龋齿与亲密伴侣暴力之间关系的生态学研究。
Q2 Multidisciplinary Pub Date : 2021-07-26 eCollection Date: 2021-01-01 DOI: 10.12688/aasopenres.13237.3
Morenike Oluwatoyin Folayan, Mary O Obiyan, Maha El Tantawi, Arthur Kemoli, Ola B Al-Batayneh, Balgis Gaffar, Robert J Schroth

Background: Women are the worst affected by intimate partner violence (IPV), and this impacts negatively on the health of the children they care for. This study aimed to determine the associations between IPV and the prevalence of early childhood caries (ECC) in 3-5-year-olds. Methods: This was an ecological study using IPV (physical, sexual, emotional) data extracted from the Demographic Health Survey of 20 low- and middle-income countries and ECC data for 3-5-year-olds of the same countries for the period 2007-2017. Linear regression analysis was used to assess the relationship between the percentage of 3-5-year-olds with ECC (outcome variable) and IPV indicators (physical, sexual, emotional). The model was adjusted for the country's gross national income and the percentage of women with secondary or higher education. Partial eta squared (ηp 2), regression coefficients, confidence intervals and p-values were calculated. Results: Data on ECC in 3-5-year-olds and IPV were available for six low-income-countries, 10 lower-middle-income-countries and four upper-middle-income-countries. The most prevalent form of IPV was physical violence (10.09%). The Democratic Republic of Congo had the highest prevalence of physical violence (45.8%), sexual violence (25.4%), and ECC (80.0%). The strongest association was between the prevalence of ECC and emotional violence (ηp 2=0.01), followed by physical violence (ηp 2=0.005), and sexual violence (ηp 2=0.003). For every 1% higher prevalence of emotional violence, there was 0.28% higher prevalence of ECC, and for every 1% higher percentage of physical violence, there was 0.21% higher prevalence of ECC. On the contrary, for every 1% higher prevalence of sexual violence, there was 0.35% lower prevalence of ECC prevalence. Conclusions: Emotional and sexual violence where the two types of IPV associated with the prevalence of ECC. The associations were minor and the directions of their effects were difference. These findings need to be studied further.

背景:妇女受亲密伴侣暴力的影响最严重,这对她们所照顾的儿童的健康产生不利影响。本研究旨在确定IPV与3-5岁儿童早期龋齿(ECC)患病率之间的关系。方法:这是一项生态学研究,使用了从20个低收入和中等收入国家的人口健康调查中提取的IPV(身体、性、情感)数据和2007-2017年同一国家3-5岁儿童的ECC数据。采用线性回归分析评估3-5岁儿童ECC(结果变量)百分比与IPV指标(身体、性、情感)之间的关系。该模型根据该国的国民总收入和受过中等或高等教育的妇女百分比进行了调整。计算偏方差(ηp 2)、回归系数、置信区间和p值。结果:有6个低收入国家、10个中低收入国家和4个中高收入国家的3-5岁儿童ECC和IPV数据。最常见的IPV形式是身体暴力(10.09%)。在刚果民主共和国,身体暴力(45.8%)、性暴力(25.4%)和ECC(80.0%)的发生率最高。心理暴力发生率与情绪暴力的相关性最强(ηp 2=0.01),其次为身体暴力(ηp 2=0.005)和性暴力(ηp 2=0.003)。情感暴力的患病率每增加1%,ECC的患病率就会增加0.28%;身体暴力的患病率每增加1%,ECC的患病率就会增加0.21%。相反,性暴力发生率每升高1%,ECC患病率就会降低0.35%。结论:情感暴力和性暴力中两种类型的IPV与ECC患病率相关。相关性较小,影响方向也有差异。这些发现需要进一步研究。
{"title":"An ecological study on the association between early childhood caries and intimate partner violence in 20 low- and middle-income countries: 2007-2017.","authors":"Morenike Oluwatoyin Folayan,&nbsp;Mary O Obiyan,&nbsp;Maha El Tantawi,&nbsp;Arthur Kemoli,&nbsp;Ola B Al-Batayneh,&nbsp;Balgis Gaffar,&nbsp;Robert J Schroth","doi":"10.12688/aasopenres.13237.3","DOIUrl":"https://doi.org/10.12688/aasopenres.13237.3","url":null,"abstract":"<p><p><b>Background:</b> Women are the worst affected by intimate partner violence (IPV), and this impacts negatively on the health of the children they care for. This study aimed to determine the associations between IPV and the prevalence of early childhood caries (ECC) in 3-5-year-olds. <b>Methods:</b> This was an ecological study using IPV (physical, sexual, emotional) data extracted from the Demographic Health Survey of 20 low- and middle-income countries and ECC data for 3-5-year-olds of the same countries for the period 2007-2017. Linear regression analysis was used to assess the relationship between the percentage of 3-5-year-olds with ECC (outcome variable) and IPV indicators (physical, sexual, emotional). The model was adjusted for the country's gross national income and the percentage of women with secondary or higher education. Partial eta squared (ηp <sup>2</sup>), regression coefficients, confidence intervals and p-values were calculated. <b>Results:</b> Data on ECC in 3-5-year-olds and IPV were available for six low-income-countries, 10 lower-middle-income-countries and four upper-middle-income-countries. The most prevalent form of IPV was physical violence (10.09%). The Democratic Republic of Congo had the highest prevalence of physical violence (45.8%), sexual violence (25.4%), and ECC (80.0%). The strongest association was between the prevalence of ECC and emotional violence (ηp <sup>2</sup>=0.01), followed by physical violence (ηp <sup>2</sup>=0.005), and sexual violence (ηp <sup>2</sup>=0.003). For every 1% higher prevalence of emotional violence, there was 0.28% higher prevalence of ECC, and for every 1% higher percentage of physical violence, there was 0.21% higher prevalence of ECC. On the contrary, for every 1% higher prevalence of sexual violence, there was 0.35% lower prevalence of ECC prevalence. <b>Conclusions:</b> Emotional and sexual violence where the two types of IPV associated with the prevalence of ECC. The associations were minor and the directions of their effects were difference. These findings need to be studied further.</p>","PeriodicalId":34179,"journal":{"name":"AAS Open Research","volume":" ","pages":"39"},"PeriodicalIF":0.0,"publicationDate":"2021-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9648360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40486146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Double burden of malnutrition among school-aged children and adolescents: evidence from a community-based cross-sectional survey in two Nigerian States. 学龄儿童和青少年营养不良的双重负担:来自尼日利亚两个州基于社区的横断面调查的证据。
Q2 Multidisciplinary Pub Date : 2021-07-21 eCollection Date: 2021-01-01 DOI: 10.12688/aasopenres.13257.1
Adeleye Adeomi, Adesegun Fatusi, Kerstin Klipstein-Grobusch

Background: Double burden of malnutrition (DBM) is the co-existence of overweight/obesity and undernutrition. Rising prevalence rates of childhood overweight/obesity in Nigeria have been reported, whilst undernutrition continues to be prevalent. This study aimed to estimate the prevalence and distribution of underweight, stunting, thinness, overweight/obesity, and DBM among school-aged children and adolescents in two Nigerian States. Methods: This was a community-based cross-sectional study carried out in Osun and Gombe States. A total of 1,200 children aged 6 - 19 years were recruited using multi-stage sampling technique. Weight, height and data on demographic, socio-economic, household/family characteristics of the children were collected using structured interviewer administered questionnaires. Nutritional status was calculated using the WHO 2007 reference values using BMI-for-age (thinness, overweight/obesity), height-for-age (stunting) and weight-for-age (underweight). DBM was described at the population and individual levels. Results: The mean age of the respondents was 11.6 ± 3.8 years. The overall prevalence rate of stunting was 34.9%, underweight was 13.5%, thinness was 10.3% and overweight/obese was 11.4% and 4.0% had individual level DBM, which typifies the DBM at individual and population levels. These rates differed significantly across demographic, socio-economic and household/family characteristics (p < 0.05). Gombe State, which is in the Northern part of Nigeria, had significantly higher burden of stunted, underweight and thin children than Osun State, while Osun State, in the Southern part of Nigeria, had a significantly higher burden of overweight/obesity. Conclusions: The study found evidence of DBM both at population and individual levels. The overall prevalence rates of stunting, underweight, thinness and overweight/obesity in this study were high, and they differed significantly across the demographic, socio-economic and household/family characteristics. There is the need for government and all other stakeholders to design nutritional educational programmes that will target both under- and over-nutrition among older children in the different contexts.

背景:营养不良双重负担(DBM)是超重/肥胖和营养不良的共存。据报道,尼日利亚儿童超重/肥胖的流行率不断上升,而营养不良仍然普遍存在。本研究旨在估计尼日利亚两个州学龄儿童和青少年中体重不足、发育迟缓、消瘦、超重/肥胖和DBM的患病率和分布。方法:这是一项在奥松州和贡贝州开展的以社区为基础的横断面研究。采用多阶段抽样方法,共招募了1200名6 - 19岁的儿童。儿童的体重、身高和人口统计、社会经济、家庭/家庭特征数据采用结构化访谈问卷收集。营养状况采用世卫组织2007年参考值计算,参考值采用年龄bmi(瘦、超重/肥胖)、年龄身高(发育迟缓)和年龄体重(体重不足)。DBM在种群和个体水平上进行了描述。结果:调查对象平均年龄11.6±3.8岁。总体发育迟缓患病率为34.9%,体重不足患病率为13.5%,消瘦患病率为10.3%,超重/肥胖患病率为11.4%,肥胖率为4.0%,具有个体水平和群体水平DBM的典型特征。这些比率在人口统计学、社会经济和家庭/家庭特征方面差异显著(p < 0.05)。位于尼日利亚北部的贡贝州的发育迟缓、体重不足和瘦弱儿童的负担明显高于奥孙州,而位于尼日利亚南部的奥孙州的超重/肥胖负担则明显高于奥孙州。结论:该研究在群体和个体水平上都发现了DBM的证据。本研究中发育迟缓、体重不足、消瘦和超重/肥胖的总体患病率较高,且在人口统计学、社会经济和家庭/家庭特征方面存在显著差异。政府和所有其他利益相关者有必要设计营养教育方案,针对不同情况下年龄较大的儿童营养不足和营养过剩的问题。
{"title":"Double burden of malnutrition among school-aged children and adolescents: evidence from a community-based cross-sectional survey in two Nigerian States.","authors":"Adeleye Adeomi,&nbsp;Adesegun Fatusi,&nbsp;Kerstin Klipstein-Grobusch","doi":"10.12688/aasopenres.13257.1","DOIUrl":"https://doi.org/10.12688/aasopenres.13257.1","url":null,"abstract":"<p><p><b>Background:</b> Double burden of malnutrition (DBM) is the co-existence of overweight/obesity and undernutrition. Rising prevalence rates of childhood overweight/obesity in Nigeria have been reported, whilst undernutrition continues to be prevalent. This study aimed to estimate the prevalence and distribution of underweight, stunting, thinness, overweight/obesity, and DBM among school-aged children and adolescents in two Nigerian States. <b>Methods:</b> This was a community-based cross-sectional study carried out in Osun and Gombe States. A total of 1,200 children aged 6 - 19 years were recruited using multi-stage sampling technique. Weight, height and data on demographic, socio-economic, household/family characteristics of the children were collected using structured interviewer administered questionnaires. Nutritional status was calculated using the WHO 2007 reference values using BMI-for-age (thinness, overweight/obesity), height-for-age (stunting) and weight-for-age (underweight). DBM was described at the population and individual levels. <b>Results:</b> The mean age of the respondents was 11.6 ± 3.8 years. The overall prevalence rate of stunting was 34.9%, underweight was 13.5%, thinness was 10.3% and overweight/obese was 11.4% and 4.0% had individual level DBM, which typifies the DBM at individual and population levels. These rates differed significantly across demographic, socio-economic and household/family characteristics (p < 0.05). Gombe State, which is in the Northern part of Nigeria, had significantly higher burden of stunted, underweight and thin children than Osun State, while Osun State, in the Southern part of Nigeria, had a significantly higher burden of overweight/obesity. <b>Conclusions:</b> The study found evidence of DBM both at population and individual levels. The overall prevalence rates of stunting, underweight, thinness and overweight/obesity in this study were high, and they differed significantly across the demographic, socio-economic and household/family characteristics. There is the need for government and all other stakeholders to design nutritional educational programmes that will target both under- and over-nutrition among older children in the different contexts.</p>","PeriodicalId":34179,"journal":{"name":"AAS Open Research","volume":" ","pages":"38"},"PeriodicalIF":0.0,"publicationDate":"2021-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8546731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39734391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 10
Community-level influences on women’s experience of intimate partner violence and modern contraceptive use in Nigeria: a multilevel analysis of nationally representative survey 社区层面对尼日利亚妇女遭受亲密伴侣暴力和使用现代避孕药具的影响:对全国代表性调查的多层次分析
Q2 Multidisciplinary Pub Date : 2021-07-16 DOI: 10.12688/AASOPENRES.13247.1
S. Adedini, Ololade G. Adewole, F. Oyinlola, O. Fayehun
Background: Modern contraceptives (MC) are important strategies for reducing unwanted pregnancies, unsafe abortion and maternal mortality, but MC remains low at 18% in Nigeria. Similarly, while there is increasing prevalence of intimate partner violence (IPV) in Nigeria, its effects on contraceptive use remain unclear. This study examined the influence of IPV on MC use, while adjusting for individual- and community-level confounders. Methods: The study utilized 2018 Nigeria Demographic and Health Survey data. We performed multilevel binary logistic regression analysis on 24,973 married women aged 15-49, who were sexually active and were not pregnant at the time of the survey. Results: Findings show that use of MC was higher among married women who reported experience of IPV than those without IPV exposure. After adjusting for individual-level and contextual factors, the odds of using MC was significantly higher among women who experienced any form of IPV (OR: 1.61, 95% CI: 1.17-2.21, p<0.005) compared to those who reported no IPV experience. Around one-quarter of the total variance in contraceptive use with respect to the different types of IPV could be explained at the community level. Conclusion: The study provides empirical evidence that there is significant community effect on IPV exposure and women’s contraceptive uptake. Attention must therefore be given to the context-specific social and gender norms that affect women’s sexual and reproductive health in Nigeria.
背景:现代避孕药具是减少意外怀孕、不安全堕胎和孕产妇死亡率的重要策略,但尼日利亚的避孕药具仍低至18%。同样,尽管亲密伴侣暴力在尼日利亚越来越普遍,但其对避孕药具使用的影响仍不清楚。本研究考察了IPV对MC使用的影响,同时对个人和社区水平的混杂因素进行了调整。方法:该研究利用了2018年尼日利亚人口与健康调查数据。我们对24973名15-49岁的已婚女性进行了多水平二元逻辑回归分析,这些女性在调查时性活跃且未怀孕。结果:研究结果表明,报告有IPV经历的已婚女性比未接触IPV的已婚女性使用MC的比例更高。在调整了个人水平和背景因素后,与没有IPV经历的女性相比,经历过任何形式IPV的女性使用MC的几率显著更高(OR:1.61,95%CI:1.17-2.21,p<0.005)。关于不同类型的IPV,避孕药具使用的总差异约有四分之一可以在社区一级解释。结论:该研究提供了经验证据,表明IPV暴露和女性避孕药具摄入存在显著的社区效应。因此,必须注意影响尼日利亚妇女性健康和生殖健康的具体社会和性别规范。
{"title":"Community-level influences on women’s experience of intimate partner violence and modern contraceptive use in Nigeria: a multilevel analysis of nationally representative survey","authors":"S. Adedini, Ololade G. Adewole, F. Oyinlola, O. Fayehun","doi":"10.12688/AASOPENRES.13247.1","DOIUrl":"https://doi.org/10.12688/AASOPENRES.13247.1","url":null,"abstract":"Background: Modern contraceptives (MC) are important strategies for reducing unwanted pregnancies, unsafe abortion and maternal mortality, but MC remains low at 18% in Nigeria. Similarly, while there is increasing prevalence of intimate partner violence (IPV) in Nigeria, its effects on contraceptive use remain unclear. This study examined the influence of IPV on MC use, while adjusting for individual- and community-level confounders. Methods: The study utilized 2018 Nigeria Demographic and Health Survey data. We performed multilevel binary logistic regression analysis on 24,973 married women aged 15-49, who were sexually active and were not pregnant at the time of the survey. Results: Findings show that use of MC was higher among married women who reported experience of IPV than those without IPV exposure. After adjusting for individual-level and contextual factors, the odds of using MC was significantly higher among women who experienced any form of IPV (OR: 1.61, 95% CI: 1.17-2.21, p<0.005) compared to those who reported no IPV experience. Around one-quarter of the total variance in contraceptive use with respect to the different types of IPV could be explained at the community level. Conclusion: The study provides empirical evidence that there is significant community effect on IPV exposure and women’s contraceptive uptake. Attention must therefore be given to the context-specific social and gender norms that affect women’s sexual and reproductive health in Nigeria.","PeriodicalId":34179,"journal":{"name":"AAS Open Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47969442","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}
引用次数: 1
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