African journal of reproductive health最新文献

LGBTI is an umbrella concept created by abbreviating the initials of the concepts lesbian, gay, bisexual, transgender and intersex. This study aims to investigate midwives' knowledge, attitudes and opinions towards LGBTI individuals. The sample of the study consisted of 264 midwives working in Turkey between January and March 2023. An information form consisting of questions about socio-demographic characteristics and LGBTI and the "Homosexuality Attitude Scale" was used to collect data.The average age of the midwives in the study was 28 ± 7.25 years, 82.6% of the midwives said they heard about LGBTI from the internet and social media, 37.1% said LGBTI individuals were very sensitive and vulnerable, 36.7% said being LGBTI was a psychological problem, 59.8% said they may have difficulty in educating LGBTI individuals, and 28.4% said there were LGBTI individuals in their circle of friends. The average score of the midwives on the Homosexual Attitude Scale was 165.56±2.14. In this study, it was decided that the attitudes of the midwives participating in the study towards homosexuals were negative and that they did not have enough information about LGBTI.

LGBTI est un concept générique créé en abrégeant les initiales des concepts lesbienne, gay, bisexuel, transgenre et intersexe. Cette étude vise à étudier les connaissances, les attitudes et les opinions des sages-femmes à l’égard des personnes LGBTI. L'échantillon de l'étude était composé de 264 sages-femmes travaillant en Turquie entre janvier et mars 2023. Un formulaire d'information composé de questions sur les caractéristiques sociodémographiques et LGBTI et l'« Échelle d'attitude envers l'homosexualité » ont été utilisés pour collecter les données. L'âge moyen des sages-femmes participant à l'étude était de 28 ± 7,25 ans, 82,6 % des sages-femmes ont déclaré avoir entendu parler des personnes LGBTI sur Internet et les réseaux sociaux, 37,1 % ont déclaré que les personnes LGBTI étaient très sensibles et vulnérables, 36,7 % ont déclaré qu'être LGBTI était un problème psychologique, 59,8 % ont déclaré qu'elles pouvaient avoir des difficultés à éduquer les personnes LGBTI et 28,4 % ont déclaré qu'il y avait des personnes LGBTI dans leur cercle d'amis. Le score moyen des sages-femmes sur l’échelle d’attitude homosexuelle était de 165,56 ± 2,14.nDans cette étude, il a été décidé que les attitudes des sages-femmes participant à l’étude envers les homosexuels étaient négatives et qu’elles n’avaient pas suffisamment d’informations sur les LGBTI.

This study aims to determine the relationship between weight-related self-stigma and sexual function in obese women with type 2 diabetes. This is a descriptive correlational study. The study reached 236 women through social media between December 2023 and April 2024. In data collection, a descriptive information form, the Weight Self-Stigma Questionnaire (WSSQ), and the Female Sexual Function Inventory (FSFI). The mean total score of the women on the Weight Self-Stigma Questionnaire was 32.78±10.00 and the mean total score on the Female Sexual Function Inventory was 22.38±4.08. Sexual dysfunction was identified in 70.8% of the women. We found that women with type 2 diabetes exhibited high levels of weight-related self-stigma and sexual dysfunction. Additionally, the findings indicated a negative correlation between self-devaluation and fear of enacted stigma and lubrication and sexual pain. However, self-stigma about weight and sexual dysfunction were not significantly related. It is recommended to determine the prevalence of weight bias and sexual dysfunctions among obese women with diabetes, and to provide adequate support by health professionals, in order to prevent negative effects on their mental health and sexual functions.

With over 200 million people, 50% of Nigeria's population comprises women of reproductive age (15-49 years), making Sexual Reproductive Health and Rights (SRHR) invaluable in achieving SDGs 3 and 5 on health and well-being and gender equality, respectively. Although Nigeria's reproductive health indices have improved over the past two decades, some critical gaps must be closed. We examined SRHR trends in Nigeria using the Nigerian DHS data sets spanning 2003-2018. Key indicators examined included contraceptive prevalence, skilled assistance during delivery, child marriage, and female genital mutilation prevalence. Reducing maternal mortality rates, closing the quality and availability data gaps, equitably increasing the needed healthcare workforce, and systematically integrating a gender lens into programming remain key priority areas for action. Implementation research through gender transformative approaches is highly relevant in identifying, testing, and scaling effective and culturally appropriate interventions.

Stigma is a psychological issue prevalent among patients with infertility. We employed qualitative research methods to explore the experiences of Chinese women with infertility-related stigma in the context of their cultural environment. We selected twelve participants who underwent infertility treatment at The First Affiliated Hospital of Gannan Medical University between March and April of 2024. Data collection involved semi-structured in-depth interviews, which we analyzed using Colaizzi's phenomenological seven-step analysis method. We identified ten subthemes across three main themes: emotional responses to stigma (anxiety, guilt, and feelings of inferiority), sources of stigma (self-stigma, family stigma, and societal stigma), and coping strategies (concealment, social withdrawal, spousal support, and optimistic coping). These findings highlight the pervasive effects of the stigma experienced by female patients with infertility in China. Targeted interventions should be developed to address and alleviate stigma and associated challenges for these patients.

The use of sexual and reproductive health (SRH) services by adolescents needs urgent attention worldwide, with a view to improving their health and wellbeing. The aim of the study is to examine and describe the factors that influence the access to, and utilisation of, SRH services by adolescents in primary healthcare facilities in Rundu District, Kavango East Region, Namibia. A qualitative approach with an explorative strategy was used, with data collected via semi-structured interviews. A convenience sampling technique was used to select 15 nurse respondents. Each interview was audio-recorded before being transcribed verbatim, and thematic analysis was used to analyse the data. Two themes emerged: factors influencing access to, and utilisation of, SRH services; and strategies to improve the access to, and utilisation of, SRH services among adolescents. The study's findings showed that the factors include a lack of comprehensive SRH services in many healthcare facilities; cultural factors; distance to health facility; insufficient information about the services provided; stigma; nurses' attitudes; and lack of privacy. The results from this study could assist the Ministry of Health and Social Services and its stakeholders to create strategies to address the factors influencing access to, and utilisation of, SRH services.

The impetus to write this editorial came from a commentary written by the late Professor Jonathan Mann and Deborah Maine in 19851 , the mentors and advocates of this journal, when they asked the question "where is the M in MCH?" That editorial arose from the global tendency at the time to ignore programming and policies on maternal health but rather to concentrate on child health despite the global joint composition of maternal and child health as a critical determinant outcome. The editorial led to the re-ordering of policies, research, and programs to focus on maternal health, especially in low-income countries where the paradigm had been largely exclusive.

This study investigates the safety of non-surgical periodontal treatment during long-term low-dose aspirin therapy in patients with chronic periodontitis and gynaecological conditions, focusing on bleeding risk and coagulation function. Patients received low-dose aspirin (100 mg/d) and were divided into a medication continuation group (observation) and a cessation group (control), with 41 patients each. Key periodontal parameters (plaque index, probing depth, attachment loss) and coagulation indices (activated partial thromboplastin time, prothrombin time, thrombin time, prothrombin activity) were assessed post-treatment. Results showed no significant difference in coagulation indices and bleeding scores between the groups (P > 0.05). Grade 3 bleeding incidents were slightly higher in the observation group but not statistically significant. The observation group's maximum platelet aggregation rate was significantly lower (P < 0.0001), with no significant differences in activated partial thromboplastin time, prothrombin time, thrombin time, or prothrombin activity. The findings suggest that non-surgical periodontal treatment is safe for these patients under long-term low-dose aspirin therapy, with limited increased bleeding risk.

The objective of this was to investigate the effect of esketamine as a postoperative analgesia in women undergoing caesarean section. A total of 134 patients were divided into two groups: 112 received esketamine and 22 received dezocine, based on their voluntary choice of analgesic drugs for patient-controlled intravenous analgesia (PCIA). The postoperative analgesic effects were compared between the two groups. The results showed that the visual analogue scale (VAS) scores at 12 and 24 hours post-operation were significantly lower in the esketamine group than in the dezocine group (P<0.05). Additionally, the time to first anal exhaust was earlier in the esketamine group (P<0.05), while there were no significant differences in the time to first ambulation or urination between the two groups (P>0.05). There was no significant difference in adverse reactions between the groups (P>0.05). The Edinburgh postnatal depression scale (EPDS) scores at 1 and 3 days after surgery were significantly higher than the preoperative scores in both groups (P<0.05); however, the EPDS scores were significantly lower in the esketamine group compared to the Dezocine group (P<0.05). We conclude that esketamine provides effective postoperative pain relief in women undergoing caesarean section patients without increasing adverse reactions, while it promotes recovery and reduces postpartum depression.

The physical and mental health of the general people was seriously endangered by the advent of coronavirus pandemic (COVID-19). The purpose of this study was to assess the psychological well-being of people during the pandemic using stressors related to COVID-19 that produce dread, obsessions, and anxiety, ultimately leading to a scenario of collective trauma. This study adopted a qualitative methodology that focuses on a thorough justification of the events. It made use of a focused ethnographic design, a kind of ethnography that gathers information about a particular social phenomenon in a specific cultural setting from a variety of sources. Statistics were gathered in the Pakistani province of Punjab city of Faisalabad. We used the purposive random selection strategy to pick our interlocutors. 321 in-depth interviews and three online focus groups were done by us (FGDs). Although qualitative data was sorted into themes for additional research analysis, quantitative data was run via Excel to produce frequency distribution. It was investigated how trauma stresses might cause emotional discomfort such as boredom, loneliness propensity, future anxiety, and financial instability. Social media's COVID-19-related impact on mental and psychological health was detrimental. Using the explorative study approach, all these trauma determinants are investigated.

This study aims to determine the Turkish validity and reliability of the questionnaire for the detection of invisible violence against women. This methodological study was conducted online with 221 single women with an intimate partner and 277 married women. The scale was confirmed that the 23-item scale had 5 sub-scales. Fit indices were found χ2/sd=2.202, TLI=.900, RMSEA=.074, SRMR =.0571, AGFI=.800, GFI=.850, IFI=.903, CFI=.902 and df= 214 in single women who had an intimate partner. Fit indices were found χ2/sd=2.212, TLI=.901, RMSEA=.066, SRMR=.0582, AGFI=.827, GFI=.864, IFI=.916, CFI=.915 and df=216 in married women. The scale Cronbach's alpha coefficient was found to be 0.93 for the whole scale. And also the reliability of scale showed that it has excellent Cronbach's alpha coefficient of 0.84, 0.83, 0.86, 0.74 and 0.72 for the subscales of crisis, utilitarian, coercive, ambivalent and benevolent sexist behaviors respectively. The Turkish version of the questionnaire for the detection of invisible violence against women is a valid and reliable measurement tool for married/single women who have an intimate partner.