Pub Date : 2023-07-10DOI: 10.32789/publichealth.2022.1002
B. Flinders, Katelyn Gilb
The Department of Health and Human Services began administering a Teen Pregnancy Prevention (TPP) program through what is now the Office of Population Affairs in 2010 (DHHS, 2021). Via replication of approved, evidence-based programs, sexual education was administered to teens across the country with the goals of preventing teen pregnancies and sexually transmitted infections (DHHS, 2021). One funded program delivered the TPP curriculum in community-based settings across southwestern Ohio for four years, using undergraduate nursing students as facilitators. The program served 1,642 females, ages 15-19. The objectives were to gather data on baseline knowledge, attitudes, behaviors, intentions, and perceptions related to sexual health in a target population and examine trends in knowledge at 12-months post-intervention. Identical surveys were distributed at baseline and 12 months post-intervention. Survey questions from the original instruments were assigned to one of nine categories for a more focused exploration of critical topics. Teens’ perceptions of risk did not align with the risky behaviors reported. Healthcare providers must work to find ways to address feelings of invincibility in teens before other educational efforts may be effective. Implications for Nursing: Ongoing evaluation of target populations is necessary to ensure effective programming. Keywords: Teen pregnancy prevention, sexually transmitted infection, women’s health, sex education
2010年,美国卫生与公众服务部(Department of Health and Human Services)开始通过现在的人口事务办公室(Office of Population Affairs)管理预防青少年怀孕(TPP)项目(DHHS, 2021)。通过复制经批准的循证项目,对全国青少年进行性教育,目标是防止青少年怀孕和性传播感染(DHHS, 2021)。一个资助项目在俄亥俄州西南部以社区为基础的环境中提供TPP课程,为期四年,使用本科护理学生作为辅导员。该项目服务了1642名年龄在15-19岁的女性。目的是收集目标人群中与性健康有关的基线知识、态度、行为、意图和观念的数据,并检查干预后12个月的知识趋势。在基线和干预后12个月进行相同的调查。原始工具中的调查问题被分配到九个类别中的一个,以便对关键主题进行更集中的探索。青少年对风险的认知与报告的危险行为并不一致。在其他教育努力发挥作用之前,医疗保健提供者必须努力找到解决青少年无敌感的方法。对护理的影响:对目标人群的持续评估是必要的,以确保有效的规划。关键词:青少年预防怀孕,性传播感染,妇女健康,性教育
{"title":"Teenage Pregnancy Prevention: An Observational Study","authors":"B. Flinders, Katelyn Gilb","doi":"10.32789/publichealth.2022.1002","DOIUrl":"https://doi.org/10.32789/publichealth.2022.1002","url":null,"abstract":"The Department of Health and Human Services began administering a Teen Pregnancy Prevention (TPP) program through what is now the Office of Population Affairs in 2010 (DHHS, 2021). Via replication of approved, evidence-based programs, sexual education was administered to teens across the country with the goals of preventing teen pregnancies and sexually transmitted infections (DHHS, 2021). One funded program delivered the TPP curriculum in community-based settings across southwestern Ohio for four years, using undergraduate nursing students as facilitators. The program served 1,642 females, ages 15-19. The objectives were to gather data on baseline knowledge, attitudes, behaviors, intentions, and perceptions related to sexual health in a target population and examine trends in knowledge at 12-months post-intervention. Identical surveys were distributed at baseline and 12 months post-intervention. Survey questions from the original instruments were assigned to one of nine categories for a more focused exploration of critical topics. Teens’ perceptions of risk did not align with the risky behaviors reported. Healthcare providers must work to find ways to address feelings of invincibility in teens before other educational efforts may be effective. Implications for Nursing: Ongoing evaluation of target populations is necessary to ensure effective programming. Keywords: Teen pregnancy prevention, sexually transmitted infection, women’s health, sex education","PeriodicalId":438075,"journal":{"name":"Conference Proceedings of the 4th International Conference on Public Health and Well-being","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116140042","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 : 2023-07-10DOI: 10.32789/publichealth.2022.1009
Subha R, Mrinmoy Roy
One of the most effective ways to ensure a child’s health and survival is breastfeeding. Colostrum feeding, positioning, and attachment play an important role in breastfeeding whereas poor breastfeeding technique leads to premature discontinuation of breastfeeding, poor milk transfer, Breast engorgement and the absence of colostrum during feeding might lead to an increase in the risk of infection. The current study aimed to assess positioning and attachment during breastfeeding among postnatal mothers, create awareness of colostrum feeding, and identify the factors associated with improper positioning and poor attachment. A Hospital-based mixed-methods study was conducted in August 2022 and September 2022 for 2 months in a tertiary hospital in Karur District, Tamil Nadu. In the quantitative phase, 114 Postnatal mothers breastfeeding techniques were continuously observed based on the World Health Organization’s Baby-friendly hospital initiative, and Infant and young child feeding (IYCF) criteria were adopted and grades were given. In the qualitative phase, 40 staff nurses and 12 pediatricians were selected to state the action points to improve poor breastfeeding practices. The mean rank and Kendall’s Concordance coefficient were used to calculate the data. Around 20.5% and 21.4% of Postnatal mothers demonstrated improper positioning and poor attachment, respectively. Primipara mothers, less than 15-day-old infants, and failure to receive breastfeeding counseling were associated with poor breastfeeding practices. They deserve more attention, support, and direction for effective breastfeeding. Awareness of colostrum feeding should be created through poster displays, and its importance should be stressed by healthcare workers to postnatal mothers. The action points need to be prioritized and implemented to achieve a baby friendly hospital in the district. Keywords: positioning, attachment, breastfeeding, colostrum, postnatal
{"title":"Breastfeeding Practices: Positioning, Attachment, and Awareness of Colostrum Feeding among Postnatal Mothers: A Hospital-Based Mixed Methods Study","authors":"Subha R, Mrinmoy Roy","doi":"10.32789/publichealth.2022.1009","DOIUrl":"https://doi.org/10.32789/publichealth.2022.1009","url":null,"abstract":"One of the most effective ways to ensure a child’s health and survival is breastfeeding. Colostrum feeding, positioning, and attachment play an important role in breastfeeding whereas poor breastfeeding technique leads to premature discontinuation of breastfeeding, poor milk transfer, Breast engorgement and the absence of colostrum during feeding might lead to an increase in the risk of infection. The current study aimed to assess positioning and attachment during breastfeeding among postnatal mothers, create awareness of colostrum feeding, and identify the factors associated with improper positioning and poor attachment. A Hospital-based mixed-methods study was conducted in August 2022 and September 2022 for 2 months in a tertiary hospital in Karur District, Tamil Nadu. In the quantitative phase, 114 Postnatal mothers breastfeeding techniques were continuously observed based on the World Health Organization’s Baby-friendly hospital initiative, and Infant and young child feeding (IYCF) criteria were adopted and grades were given. In the qualitative phase, 40 staff nurses and 12 pediatricians were selected to state the action points to improve poor breastfeeding practices. The mean rank and Kendall’s Concordance coefficient were used to calculate the data. Around 20.5% and 21.4% of Postnatal mothers demonstrated improper positioning and poor attachment, respectively. Primipara mothers, less than 15-day-old infants, and failure to receive breastfeeding counseling were associated with poor breastfeeding practices. They deserve more attention, support, and direction for effective breastfeeding. Awareness of colostrum feeding should be created through poster displays, and its importance should be stressed by healthcare workers to postnatal mothers. The action points need to be prioritized and implemented to achieve a baby friendly hospital in the district. Keywords: positioning, attachment, breastfeeding, colostrum, postnatal","PeriodicalId":438075,"journal":{"name":"Conference Proceedings of the 4th International Conference on Public Health and Well-being","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125850645","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}