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Customer-Care Initiatives of Service Providers and the Uptake of Breast and Cervical Cancer Screening Services in Mutare, Zimbabwe 津巴布韦穆塔雷服务提供商的客户关怀举措与乳腺癌和宫颈癌筛查服务的接受率
Pub Date : 2024-05-10 DOI: 10.11648/j.sjph.20241203.11
T. Kureya, Alex Mushonga, Thomas Masese, Maxwell Mhlanga, Munyaradza Mukuzunga
Social marketing globally promotes social mobilization to increase uptake of recommended health services. The Ministry of Health and Child Care in Zimbabwe markets breast and cervical cancer screening for reproductive-age women. Despite efforts, uptake remains low, particularly in Mutare district. To address this, an analytical cross-sectional study was conducted in Dangamvura suburb to explore the relationship between service providers' customer-care initiatives and screening uptake. Qualitative and quantitative data was collected via interviews with 96 women aged 18 to 49, randomly selected from Dangamvura Poly-Clinic departments. Of these women, 13.5% were screened for breast cancer, 30.3% for cervical cancer, and 78.8% expressed intent to screen. 90.3% had accurate knowledge of breast and cervical cancer, but only 30.3% could identify screening sites. Among those screened, 75.8% intended to retest. Primary motivations for screening included a desire for health status knowledge (39.2%) and reproductive system issues (32.1%). Main barriers for non-screened women were lack of motivation (56%) and fear of positive results (16.7%). Logistic regression indicated protective factors for screening uptake: history of reproductive issues (AOR: 9.0678, p: 0.0029), prior breast cancer screening (AOR: 21.4347, p: 0.0006), and age 31 to 49 (AOR: 0.1754, p: 0.0066). Overall, uptake was low, influenced by customer factors (age, reproductive issues, prior breast cancer screening) and cost factors (perceived wait times, screening duration, perceived costs). Future interventions aimed at improving uptake of screening services should be tailored to address fears, misconceptions, and lack of motivation to screen among women of reproductive age.
在全球范围内,社会营销促进社会动员,以增加对推荐医疗服务的接受。津巴布韦卫生和儿童保育部为育龄妇女推广乳腺癌和宫颈癌筛查。尽管做出了努力,但接受率仍然很低,尤其是在穆塔雷地区。针对这一问题,我们在 Dangamvura 郊区开展了一项横断面分析研究,以探讨服务提供商的客户关怀措施与筛查接受率之间的关系。研究人员通过访谈收集了定性和定量数据,访谈对象是从 Dangamvura 综合医院各科室随机抽取的 96 名 18 至 49 岁的女性。在这些妇女中,13.5%接受了乳腺癌筛查,30.3%接受了宫颈癌筛查,78.8%表示有意接受筛查。90.3%的人对乳腺癌和宫颈癌有准确的了解,但只有 30.3%的人能够确定筛查地点。在接受筛查的人群中,75.8%的人打算再次接受筛查。筛查的主要动机包括希望了解健康状况(39.2%)和生殖系统问题(32.1%)。未接受筛查妇女的主要障碍是缺乏动机(56%)和害怕阳性结果(16.7%)。逻辑回归显示了接受筛查的保护因素:有生殖系统问题史(AOR:9.0678,P:0.0029)、曾接受过乳腺癌筛查(AOR:21.4347,P:0.0006)和年龄在 31 至 49 岁之间(AOR:0.1754,P:0.0066)。总体而言,受客户因素(年龄、生育问题、之前接受过乳腺癌筛查)和成本因素(认为的等待时间、筛查持续时间、认为的成本)的影响,接受率较低。未来旨在提高筛查服务接受率的干预措施应针对育龄妇女的恐惧、误解和缺乏筛查动力等问题。
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引用次数: 0
Evaluation of Obstacles to Low Coverage of Routine Vitamin A Supplementation in 2021 in the Guédiawaye Health District in Dakar, Senegal 塞内加尔达喀尔 Guédiawaye 卫生区 2021 年常规维生素 A 补充剂覆盖率低的障碍评估
Pub Date : 2024-04-02 DOI: 10.11648/j.sjph.20241202.13
M. Camara, M. Ba, Yoro Diallo, Ibrahima Fall, O. Bassoum, M. Diongue, J. Tine, N. Sougou, M. Leye, Adama Faye, Ibrahima Seck
Introduction: Micronutrient deficiencies, particularly the most serious deficiencies of iron, vitamin A and iodine, are a major public health problem in developing countries. Vitamin A deficiency is one of the most common nutritional deficiencies and one of the most serious, as it greatly increases the risk of death and predisposes to numerous infectious diseases. Routine vitamin A supplementation in children aged between 6 and 59 months is the strategy used in Senegal to combat micronutrient deficiencies. The aim of this study is therefore to assess the obstacles to the low coverage of routine vitamin A supplementation (VAS) in the Guédiawaye district of Dakar in 2022. Methodology: This is a descriptive and analytical cross-sectional study using a quantitative and qualitative method. The cluster sampling method was chosen for the quantitative study. The study population consisted of all mothers/caregivers of children aged 06 to 59 months, providers, and community stakeholders. Results: The practice of supplementation was statistically related to the level of education of those surveyed (p=0.00), communication by health workers (p=0.001) and community stakeholders (P=0.003). Knowledge of the benefits on child growth (p=0.003), the fight against blindness (0.017), the strengthening of the immune system (p=0.001) and the fight against infections (p=0.002) are statistically linked to the practice of VAS. Non-supplementation with vitamin A was 2.3 times higher among children aged over 24 months (p= 0.016); 3.1 times higher among uneducated women (P=0.001) and 3 times higher (0.001) among women who had received no information about VAS. The qualitative results show that a number of reasons were given, including lack of familiarity with the schedule, forgetting to keep appointments at different times, stopping the vaccination cycle and household chores. Conclusion: the obstacles to vitamin A supplementation in Guédiawaye are mainly linked to a lack of knowledge about vitamin A and the non-existence of a proper VAS communication strategy. Hence the need to step up communication with the public.
导言:微量营养素缺乏症,尤其是最严重的铁、维生素 A 和碘缺乏症,是发展中国家的一个主要公共卫生问题。维生素 A 缺乏症是最常见的营养缺乏症之一,也是最严重的营养缺乏症之一,因为它会大大增加死亡风险,并容易引发多种传染病。在塞内加尔,为 6 至 59 个月大的儿童常规补充维生素 A 是应对微量营养素缺乏症的策略。因此,本研究旨在评估 2022 年达喀尔盖迪亚瓦耶区常规维生素 A 补充剂(VAS)覆盖率低的障碍。研究方法:这是一项描述性和分析性横断面研究,采用定量和定性方法。定量研究选择了分组抽样法。研究对象包括所有 6 至 59 个月儿童的母亲/照顾者、提供者和社区利益相关者。研究结果据统计,添加辅食的做法与受调查者的教育水平(P=0.00)、卫生工作者的沟通(P=0.001)和社区利益相关者(P=0.003)有关。对儿童生长益处(P=0.003)、防盲(0.017)、增强免疫系统(P=0.001)和抗感染(P=0.002)的了解在统计学上与补充维生素AS的做法有关。24 个月以上儿童不补充维生素 A 的比例高出 2.3 倍(P= 0.016);未受过教育的妇女高出 3.1 倍(P=0.001);未收到关于维生素 AAS 信息的妇女高出 3 倍(0.001)。定性结果显示,妇女提出的原因很多,包括不熟悉时间表、忘记在不同时间预约、停止接种周期和家务。结论:盖迪亚韦耶地区维生素 A 补充的障碍主要与缺乏对维生素 A 的了解和没有适当的 VAS 宣传策略有关。因此,有必要加强与公众的沟通。
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引用次数: 0
Prevalence of Alcohol Consumption in Mozambique: Analysis Based on Household Budget Survey (IOF 2022) 莫桑比克的酒精消费流行率:基于家庭预算调查的分析(IOF 2022)
Pub Date : 2024-04-02 DOI: 10.11648/j.sjph.20241202.12
Sandre Macia, C. Filimone, A. Humulane
Worldwide the excessive consumption of alcohol in 2016 was considered as responsible for 5% of deaths and more than 200 illnesses and injuries. There are several studies conducted around the world to understand the prevalence of alcohol consumption. However, in Mozambique, there are few studies conducted to determine the prevalence of alcohol consumption, as well as, to characterize the consumers, using data from nationally representative surveys. The current study, identify the prevalence of alcohol consumption in Mozambique, according to socio-demographic characteristics of population using data from the Household Budget Survey (IOF 2022) carried out by the National Statistics Institute in 2022. The analysis of data was based in descriptive statistics. The study results revel that the prevalence of alcohol consumption in Mozambique is 24.6%, higher among men (27%), compared to woman (23%). The prevalence is high among people between 18 - 65 years old (26%) and people with higher education (34%). Around 17% of teenagers, between 15 and 17 years old, in both sexes, purchased and consumed alcoholic beverages, despite the prohibition of Mozambican legislation. The provinces of Tete (37.2%), Maputo (32.3%) and Zambézia (30.3%) have the highest prevalence of alcoholic beverages consumption and the province of Niassa (3.7%) has the lowest prevalence. Beer (46%) is the most consumed alcoholic beverage in Mozambique, followed by traditional alcoholic beverages (44%).
2016年,全世界有5%的人因过度饮酒而死亡,200多人因过度饮酒而患病和受伤。世界各地开展了多项研究,以了解酒精消费的普遍程度。然而,在莫桑比克,很少有研究利用具有全国代表性的调查数据来确定酒精消费的普遍程度以及消费者的特征。本研究利用国家统计局 2022 年开展的家庭预算调查(IOF 2022)数据,根据人口的社会人口特征确定莫桑比克的酒精消费流行率。数据分析以描述性统计为基础。研究结果显示,莫桑比克的饮酒率为 24.6%,男性(27%)高于女性(23%)。18-65岁人群(26%)和受过高等教育人群(34%)的饮酒率较高。尽管莫桑比克法律明令禁止,但仍有约 17% 的 15 至 17 岁男女青少年购买和饮用含酒精饮料。太特省(37.2%)、马普托省(32.3%)和赞贝西亚省(30.3%)的酒精饮料消费率最高,尼亚萨省(3.7%)最低。啤酒(46%)是莫桑比克消费最多的酒精饮料,其次是传统酒精饮料(44%)。
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引用次数: 0
Evaluation of Health Challenges Among Pregnant Women Visiting Paiko Town Clinic and Model Clinic for Antenatal: A Case Study Paiko Paikoro Local Government Niger State 评估前往派科镇诊所和示范诊所进行产前检查的孕妇面临的健康挑战:尼日尔州派科-派科罗地方政府案例研究
Pub Date : 2024-03-19 DOI: 10.11648/j.sjph.20241202.11
Jamil Hassan Abdulkareem, Fatima Zahra Abubakar Otaru, Yusuf Yahya Miya, Ajayi Philomena Hope, Abdulmalik Abdulraman
The study aims to assess the health challenges pregnant women are facing in Paiko, Paikoro Local Government and the study went further to compare pregnant women attending antenatal clinics in two healthcare clinic facilities in Paiko with the view to ascertain their health challenges and taking into consideration of age variation. However, few women have medical conditions that emerge during pregnancy, and different women have medical issues before they become pregnant, that could prompt intricacies. It is vital for women to get medical services previously and during pregnancy to diminish the danger of pregnancy entanglements. The type of study conducted in the two clinics in Paiko was a descriptive cross-sectional study. This study was conducted to describe the patterns of health challenges occurring in pregnant women in the study area. A stratified sampling technique was used in this study conducted within the two clinics among the pregnant women in Paiko, Paikoro local government however the tools for the collection of data are questionnaires and interviewers (face-to-face interviews). Data were collected from the two clinics using the techniques mentioned above. The questionnaires were administered to the pregnant women from the two clinics and observations were made from the study population. Data collected were through primary and secondary means, which is questionnaire and interview. The pregnant women were sensitized about the information in the survey template in other to enlighten then about the survey study plan and the required data from them. Result: The findings revealed major health challenges that pregnant women face was High Blood Pressure, Ulcer, and Malaria etc.
这项研究旨在评估派科洛地方政府派科市孕妇面临的健康挑战,并进一步比较派科市两家医疗保健诊所的产前检查情况,以确定孕妇面临的健康挑战,同时考虑到年龄差异。然而,少数妇女在怀孕期间会出现一些健康问题,而不同妇女在怀孕前也会出现一些健康问题,这可能会引发一些错综复杂的问题。因此,妇女在怀孕前和怀孕期间接受医疗服务以减少妊娠并发症的危险至关重要。在派科的两家诊所进行的研究属于描述性横断面研究。这项研究旨在描述研究地区孕妇所面临的健康挑战的模式。本研究采用分层抽样技术,在派科罗地方政府派科的两家诊所内对孕妇进行抽样,但收集数据的工具是问卷和访谈者(面对面访谈)。使用上述技术从两家诊所收集数据。对两家诊所的孕妇进行了问卷调查,并对研究对象进行了观察。数据收集通过主要和次要途径,即问卷调查和访谈。为了让孕妇了解调查研究计划和所需数据,还向她们宣传了调查模板中的信息。结果调查结果显示,孕妇面临的主要健康挑战是高血压、溃疡和疟疾等。
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引用次数: 0
Heterogenous Association Between Mortality and Environmental Factors 死亡率与环境因素之间的异质性关联
Pub Date : 2024-03-13 DOI: 10.11648/j.sjph.20241201.12
Andrew Ju
The global environment has changed rapidly since the Industrial Revolution. Human emissions of heat-trapping greenhouse gases have warmed our earth, leading to more climate extremes. Human activities have also caused air pollution and, thus, worse air quality. Warmer climates and polluted air pose severe risks to human health. This paper focuses on temperature and air pollution as the primary environmental factors and studies their relationship with mortality across different ethnicity and age groups in the U.S. from 2001 to 2021. The main research methods employed in this paper are correlation analysis and least-square regressions. This paper finds that, on average, environmental factors are moderately and positively related to total deaths at a statistically significant level. Such a positive relationship still holds when I further investigate how the environment is associated with mortality by each individual cause. Moreover, heterogeneity in the relationship is identified among different races. In particular, temperature seems to have a larger impact on the Native Hawaiian/Pacific Islander and Black populations. At the same time, air pollution is observed to have a very strong association with the mortality of the Asian population, Pacific Islanders, and Hawaiian Natives. Finally, age disparities are not that significant. One finding worth pointing out is that children and teenagers (Age 1-14) appear to be more susceptible to air pollution than other age groups.
自工业革命以来,全球环境发生了迅速变化。人类排放的致热温室气体使地球变暖,导致气候更加极端。人类活动还造成了空气污染,从而导致空气质量恶化。气候变暖和空气污染严重危害人类健康。本文重点关注温度和空气污染这两个主要环境因素,并研究它们与 2001 年至 2021 年美国不同种族和年龄组的死亡率之间的关系。本文采用的主要研究方法是相关分析和最小二乘法回归。本文发现,平均而言,环境因素与总死亡人数呈中度正相关,且在统计上具有显著性。当我进一步研究环境与各种原因导致的死亡率之间的关系时,这种正相关关系依然存在。此外,不同种族之间的关系也存在差异。特别是,温度似乎对夏威夷原住民/太平洋岛民和黑人的影响更大。与此同时,空气污染与亚裔、太平洋岛民和夏威夷原住民的死亡率有非常密切的关系。最后,年龄差异并不明显。值得指出的是,儿童和青少年(1-14 岁)似乎比其他年龄组更容易受到空气污染的影响。
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引用次数: 0
Factors Associated with Screening of Spouses of HIV-Positive Pregnant Women in Three Prenatal Consultation Centers in Bangui 与班吉三家产前咨询中心对艾滋病毒呈阳性孕妇的配偶进行筛查有关的因素
Pub Date : 2023-12-11 DOI: 10.11648/j.sjph.20231106.13
Diemer Saint Calvaire Henri, Longo Jean de Dieu, Woromogo Sylvain Honore, Doyama-Woza Rodrigue Herman, Fandema Emmanuel, Gresenguet Gerard
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引用次数: 0
Prevalence and Factors Associated with Goiter Among Women of Reproductive Age Group in Adiyo Woreda, Kaffa Zone, South-West Ethiopia 埃塞俄比亚西南部卡法区 Adiyo Woreda 育龄妇女甲状腺肿大患病率及相关因素
Pub Date : 2023-11-21 DOI: 10.11648/j.sjph.20231106.12
Getachew Hailemariam Tsegaye, Legesse Tadesse Wodajo, Ismael Kalayu Sitotaw, Biruk Legesse Tadesse
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引用次数: 0
Prevalence and Predictors of Substance Use Among Senior High School Students: An Institution-Based Cross-Sectional Study in Ghana 高中生使用药物的流行率和预测因素:加纳基于机构的横断面研究
Pub Date : 2023-11-09 DOI: 10.11648/j.sjph.20231106.11
Kizito Aidam, Emefa Awo Adawudu
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引用次数: 0
Survey Report on the Return Visits of Drug Addicts Released from Compulsory Isolation 强制隔离戒毒人员回访调查报告
Pub Date : 2023-06-06 DOI: 10.11648/j.sjph.20231103.15
Mengjun Shi, Zhang Qiuni, Tingting Liu
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引用次数: 0
期刊
Science Journal of Public Health
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