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Knowledge, Attitudes and Socio-Demographic Factors Associated with Malesâ Involvement in Fertility Treatment in Ghana 加纳男性参与生育治疗相关的知识、态度和社会人口因素
Pub Date : 2021-01-01 DOI: 10.35248/2167-0420.21.10.522
Aggrey Priscilla Aba, Akohene Mensah Kofi, B. Kwasi, Twum Peter, O. Perditer, Otupiri Easmon
Background: Infertility in developing countries often raises distinct and complex issues as compared to developed countries. Infertility affects an estimated 15% of couples globally with several socio-cultural implications. Many studies have reported that, males have poor health seeking behaviour when it comes to infertility treatment as they do not involvement themselves strongly due to varied factors. Therefore, this paper sets the pace by exploring how knowledge level, attitudes of men and their socio-demographic backgrounds influence their involvement in infertility treatment in Ghana. The paper was underpinned by the ancient Social Learning Theory which is still instrumental in modern social science research. Methods: The study adopted a quantitative approach using a cross-sectional study design. The study population was married men selected using a simple random sampling technique from 8 clustered demarcation to obtain 423 respondents using the formula N=z2pq/d2. A structured questionnaire was administered and data were analysed using STATA 15. Statistical significance for all testing was set as p<0.05 with 95CI. Result: The study found that, the mean age for the participants was 38.35 ± 0.48 and 92.67% were involved in monogamous marriage. Again, 57.45% had secondary/vocational education, 97.40% active employment with greater number of them earning less than GHC 600. It was noted that 84.16% of respondents agreed that, female partners are always the cause of childlessness in an infertile relationship. Misconceptions on infertility being caused by witchcraft, curses, or other supernatural powers were also noted (58.39%). It was also found that, married men in polygamous marriages were 6 times more likely to be involved in a fertility treatment than married men in monogamous marriages (Adjusted OR=6.210, 95%CI=3.153-7.232). Moreover, married men with primary and tertiary education were 0.517 less likely (Adjusted OR=0.517, 95%CI=0.319-0.819) and 0.597 less likely (Adjusted OR=0.597, 95%CI=0.153-0.732) to be involved in fertility treatment respectively as compared to those with secondary education. Again, married men who were employed were 3 times more likely (Adjusted OR=3.331, 95%CI=2.193-3.304) to be involved in infertility treatment as compared with those who are self-employed. Moslems were 4 times more likely (Adjusted OR=4.036, 95%CI=1.420-4.304) to be involved in infertility treatment as compared to Christians. Finally, traditionalists were 0.331 less likely (Adjusted OR=0.331, 95%CI=0.193-0.364) to be involved in infertility treatment as compared to Christians. Conclusion: The study concludes that, fertility declines with age coupled with factors such as the consumption of excessive alcohol, use of anabolic steroids, untreated sexually transmitted diseases, excessive stress, and among others. Also, the general attitudes of men towards infertility treatment were good as majority of them perceive infertility treatment to be the
背景:与发达国家相比,发展中国家的不孕症经常引起独特而复杂的问题。不孕症影响全球约15%的夫妇,并具有若干社会文化影响。许多研究报告称,在不孕不育治疗方面,男性的健康寻求行为不佳,因为他们由于各种因素而没有积极参与。因此,本文通过探索加纳男性的知识水平、态度及其社会人口背景如何影响他们参与不孕症治疗来确定步伐。这篇论文以古代社会学习理论为基础,这一理论在现代社会科学研究中仍有重要作用。方法:本研究采用定量方法,采用横断面研究设计。研究人群为已婚男性,采用简单随机抽样技术,从8个聚类划分中抽取423名受访者,使用公式N=z2pq/d2。采用结构化问卷,并使用STATA 15对数据进行分析。所有检验的统计学意义设为p<0.05, ci为95CI。结果:调查对象的平均年龄为38.35±0.48岁,实行一夫一妻制的占92.67%。同样,57.45%的人接受过中等/职业教育,97.40%的人积极就业,其中大部分人的收入低于600港币。调查发现,84.16%的受访者认为,在不孕关系中,女性伴侣总是导致无子女的原因。误解不孕是由巫术、诅咒或其他超自然力量引起的(58.39%)。研究还发现,一夫多妻婚姻的已婚男性接受生育治疗的可能性是一夫一妻婚姻的已婚男性的6倍(调整后OR=6.210, 95%CI=3.153-7.232)。此外,受过初等教育和高等教育的已婚男性参与生育治疗的可能性分别比受过中等教育的男性低0.517(调整后OR=0.517, 95%CI=0.319-0.819)和0.597(调整后OR=0.597, 95%CI=0.153-0.732)。同样,已婚在职男性参与不孕不育治疗的可能性是自雇男性的3倍(调整后OR= 3.3331, 95%CI=2.193-3.304)。穆斯林参与不孕症治疗的可能性是基督徒的4倍(调整后OR=4.036, 95%CI=1.420-4.304)。最后,与基督徒相比,传统主义者参与不孕症治疗的可能性低0.331(调整OR=0.331, 95%CI=0.193-0.364)。结论:研究得出的结论是,生育率随着年龄的增长而下降,这与过度饮酒、使用合成代谢类固醇、未经治疗的性传播疾病、过度压力等因素有关。此外,男性对不孕症治疗的总体态度是好的,因为他们中的大多数人认为不孕症治疗是夫妻双方的责任。然而,实现这一目标的能力受到男性的社会人口因素的积极影响,如婚姻类型、教育水平、就业状况和对不育问题的宗教倾向。建议:该研究建议,男性应与妻子一起寻求不孕症治疗,这样可以完全由夫妇管理。同样,加纳国家健康保险计划(NHIS)应涵盖不孕症治疗,并应管制私人生育治疗中心的收费,以防止它们收取过高的费用。此外,地区医院的社区保健单位应举办有关不孕症和生育问题的教育论坛,以提高公众的认识。
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引用次数: 0
Level of Knowledge and Preventive Practices against Covid-19 Pandemic Infection among Pregnant Women Visiting Serbo Health Center, Jimma Town South West Ethiopia 到访埃塞俄比亚西南部吉马镇塞尔维亚卫生中心的孕妇对Covid-19大流行感染的知识水平和预防措施
Pub Date : 2021-01-01 DOI: 10.35248/2167-0420.21.10.510
Daniel Aboma, Solomon Gurmu
Background: Covid-19 infection may predispose pregnant women to higher risks of severe disease and poorer neonatal outcome. Novel-corona virus is currently a pandemic and public health emergency of international concern, stated globally by the World Health Organization (WHO). Ethiopia has become one of the affected countries as of October 15, 2020. However, the level of knowledge and preventive practice against Covid-19 infection among pregnant women visiting health facilities. Objective: This study aimed to determine the level of knowledge and preventive practices against Covid-19 pandemic infection among pregnant women visiting Serbo health center, Jimma town southwest Ethiopia. Material and Methods: A cross-sectional study was conducted on 232 sampled visitors, from 20–28 October 2020. Consecutive sampling was used to recruit the participants. The study tools were adapted from WHO resources. The data were analysed using statistical package software for social science version 23.0. Descriptive statistics were used to describe the level of knowledge and preventive practices. Results: Of the 232 respondents, 198(83.0%) knew the main clinical symptoms. 68.5% knew that older people who have chronic illnesses was at high risk of developing a severe form of Covid-19 disease. About 73.3% knew that the virus spread via respiratory droplets of infected people. Only 55(23.7) %) knew that children and young adults had to involve preventive measures. Overall, 63.1% of the visitors had high knowledge. The majority, 170(68.8%), felt self-efficacious to control Covid-19. 207(83.3%) believed that Covid-19 pandemic is a stigmatized disease. Frequent hand washing (73.7%) and avoidance of shaking hands (53.0%) were the dominant practices. Conclusions: The status of knowledge and desirable practices were not sufficient enough to combat this rapidly spreading virus. Risk communication and public education efforts should focus on building an appropriate level of knowledge.
背景:Covid-19感染可能使孕妇易患严重疾病和新生儿预后较差。新冠病毒目前是世界卫生组织(世卫组织)在全球范围内宣布的大流行和国际关注的突发公共卫生事件。截至2020年10月15日,埃塞俄比亚已成为受影响国家之一。然而,前往卫生机构的孕妇对Covid-19感染的知识和预防措施水平。目的:本研究旨在了解在埃塞俄比亚西南部吉马镇塞尔维亚卫生中心就诊的孕妇对Covid-19大流行感染的知识水平和预防措施。材料和方法:2020年10月20日至28日,对232名抽样游客进行了横断面研究。采用连续抽样的方法招募参与者。研究工具改编自世卫组织的资源。采用社会科学23.0版统计软件包软件对数据进行分析。描述性统计用于描述知识水平和预防措施。结果:232名被调查者中,有198人(83.0%)知道主要临床症状。68.5%的人知道患有慢性疾病的老年人患Covid-19严重疾病的风险很高。约73.3%的人知道病毒通过感染者的呼吸道飞沫传播。只有55人(23.7%)知道儿童和青年必须采取预防措施。总体而言,63.1%的访客知识水平较高。大多数人(170人)(68.8%)认为自己能够控制新冠肺炎。207人(83.3%)认为新冠肺炎大流行是一种污名化疾病。经常洗手(73.7%)和避免握手(53.0%)是主要的习惯。结论:知识状况和理想做法不足以对抗这种迅速传播的病毒。风险宣传和公众教育工作应侧重于建立适当水平的知识。
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引用次数: 4
Magnitude of Low Birth Weight and Associated Factors among Women who gave Birth in Public Hospitals of Harari Regional State, Eastern Ethiopia 埃塞俄比亚东部哈拉里州公立医院分娩妇女的低出生体重程度及相关因素
Pub Date : 2021-01-01 DOI: 10.35248/2167-0420.21.10.534
Mohammednur Abdo Komicha, G. Egata, Meyrema Abdo, Mohammed Abdurke Kure, K. Roba
Background: Low birth weight remains a public health challenge in developing worlds. Globally, low birth weight is associated with an increased risk of early neonatal mortality and morbidity. The primary causes of low birth weight are related to maternal risk factors. For instance; maternal under nutrition, maternal anemia, and hypertensive disorders of pregnancy are associated with low birth weight. Although it remains one of the top challenges of adverse birth outcome, predictors of low birth weight are rarely Eastern studied in Ethiopia. To the best knowledge of the researchers, the magnitude of low birth weight is not studied in this study area. Therefore, this study was aimed to assess the magnitude of low birth weight and associated factors among women who gave birth in public Hospitals of Harari Regional state, Eastern Ethiopia. Methods: A facility-based cross-sectional study was conducted among 403 women who deliverd in public hospitals of Harari Regional State, Eastern Ethiopia from February 10th to March 20th, 2019. A systematic sampling technique was used to select study participants. Data were collected using pretested structured interviews administered questionnaires. The collected data were entered into Epi-data version 3.1, and exported to SPSS (IBM version 22) for statistical analysis. Descriptive statistics were carried out using frequency tables, proportion and summary measures. Multivariable analysis was done to identify the true effects of predictor variables on the outcome variable after controlling for possible confounders. Statistical significance was declared at p-value <0.05. Result: Overall, the magnitude of low birth weight was 23.3% [( 95% CI (19.0, 28.0)]. In final model of multivariable analysis; unplanned pregnancy [AOR=4.7;95%CI (2.4, 8.9)], maternal mid upper arm circumference less than 23cm[AOR=3.5;95%CI (1.8, 6.0)], substance use in current pregnancy[AOR=5.0; 95%CI(2.5, 10.0)], maternal anemia [AOR=2.3; 95%CI (1.2, 4.4)], a history of hyperemesis in current pregnancy[AOR=4.5,95 % CI =2.3, 9.0)] and having no history of antenatal care follow-up in current pregnancy [AOR=5.4; 95 % CI =2.5, 12.9)] were statistically associated with low birth weight. The conclusion: The magnitude of low birth weight was relatively high in this study area compared to national and global targets. Therefore, efforts should be emphasized on ensuring women’s nutritional status during pregnancy, and creating awareness on the potential risks of substance use for unborn fetus. Health information dissemination on the utilization of ANC service is also very crucial to improve the birth weight of newborn babies. Keywords: Low birth weight, associated factors, predictors, Eastern Ethiopia
背景:低出生体重仍然是发展中国家面临的一项公共卫生挑战。在全球范围内,低出生体重与新生儿早期死亡和发病风险增加有关。低出生体重的主要原因与产妇的危险因素有关。例如;产妇营养不良、产妇贫血和妊娠期高血压疾病与低出生体重有关。尽管它仍然是不良出生结果的最大挑战之一,但埃塞俄比亚很少对低出生体重的预测因素进行研究。据研究人员所知,本研究领域并未研究低出生体重的程度。因此,本研究旨在评估在埃塞俄比亚东部哈拉里州公立医院分娩的妇女中低出生体重的严重程度及其相关因素。方法:对2019年2月10日至3月20日在埃塞俄比亚东部哈拉里州公立医院分娩的403名妇女进行基于医院的横断面研究。采用系统抽样技术选择研究参与者。数据收集使用预先测试的结构化访谈管理问卷。收集的数据输入Epi-data 3.1版本,导出到SPSS (IBM version 22)进行统计分析。描述性统计采用频率表、比例法和汇总法。在控制了可能的混杂因素后,进行多变量分析以确定预测变量对结果变量的真实影响。p值<0.05,差异有统计学意义。结果:总体而言,低出生体重的程度为23.3% [95% CI(19.0, 28.0)]。最后对模型进行多变量分析;非计划妊娠[AOR=4.7;95%CI(2.4, 8.9)],产妇上臂中围小于23cm[AOR=3.5;95%CI(1.8, 6.0)],妊娠期药物使用[AOR=5.0];95%CI(2.5, 10.0)],母体贫血[AOR=2.3;95%CI(1.2, 4.4)],妊娠期有剧吐史[AOR=4.5, 95%CI =2.3, 9.0)],妊娠期无产前保健随访史[AOR=5.4];95% CI =2.5, 12.9)]与低出生体重相关。结论:与国家和全球目标相比,该研究地区低出生体重的程度相对较高。因此,应努力确保妇女在怀孕期间的营养状况,并提高对药物使用对未出生胎儿的潜在风险的认识。宣传利用产前保健服务的卫生信息对改善新生儿出生体重也非常重要。关键词:低出生体重,相关因素,预测因素,埃塞俄比亚东部
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引用次数: 2
Determinant of Potential Barriers of Maternal Health Care Utilization in Rural Area in Lemo: South Region of Ethiopia 埃塞俄比亚南部莱莫地区农村地区孕产妇保健利用潜在障碍的决定因素
Pub Date : 2021-01-01 DOI: 10.35248/2167-0420.21.10.513
Markos Abiso Erango, Degefe Godebo
Background: Maternal health refers to the health of women during pregnancy, childbirth, and the postpartum period. Maternal utilization is the property of attending a health centre during the ANC period. Complications of pregnancy and childbirth are a leading cause of maternal morbidities and mortalities in developing countries due to non-attending of maternal health care service utilization in the health centre. Objective: This paper aims to analysis potential barriers for maternal health care utilization in a rural area and to identify associated factors among mothers in the rural districts. Methods: A Primary data were collected from 309 women’s those gave birth from June 2017 to June 2019 in 35 lemo districts south region of Ethiopia. A stratified simple random sampling technique was used to select the respondents s from a total of 1415 birth gave women’s. The data was collected with a designed questionnaire and using interviewing the mother who gave birth in the study. Maternal health care service utilization was considered as a response variable in this study and it can be categorized as (0=utilized and 1=not utilized). A logistic regression model with a Bayesian approach was used to handle the data using both SPSS version 20 and Open BUGS version 3.2.3 software. Results: This study revealed that the probability of not use maternal health care services in the study area was 41.5%. Age women, Maternal education, Husband education, Occupation of women, Occupation of Husband, counselling, transportation access, distance from the health centre, number of children in a family, and religion are major potential barriers influencing maternal health care service utilization in the study areas.
背景:产妇保健是指妇女在怀孕、分娩和产后期间的健康。在非洲人国民大会期间,产妇利用是到保健中心就诊的财产。妊娠和分娩并发症是发展中国家产妇发病和死亡的主要原因,原因是没有在保健中心使用产妇保健服务。目的:本文旨在分析农村地区孕产妇保健利用的潜在障碍,并确定农村地区母亲的相关因素。方法:收集了埃塞俄比亚南部35个莱莫地区2017年6月至2019年6月分娩的309名妇女的初步数据。采用分层简单随机抽样的方法,从1415名分娩妇女中抽取调查对象。数据是通过设计问卷和采访研究中分娩的母亲收集的。本研究将孕产妇保健服务利用情况作为响应变量,分为(0=利用,1=未利用)。采用SPSS version 20和Open BUGS version 3.2.3软件,采用贝叶斯方法建立logistic回归模型对数据进行处理。结果:研究区未使用孕产妇保健服务的概率为41.5%。在研究地区,年龄妇女、产妇教育、丈夫教育、妇女职业、丈夫职业、咨询、交通便利、与保健中心的距离、家庭子女人数和宗教是影响产妇保健服务利用的主要潜在障碍。
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引用次数: 0
A Review on COVID-19: The Epidemiology, Transmission, Impact on Pregnancy and Reproductive Health and Its Prevention COVID-19的流行病学、传播、对妊娠和生殖健康的影响及其预防研究综述
Pub Date : 2021-01-01 DOI: 10.35248/2167-0420.21.10.514
Nighat Wadood, Abdulhakim Umar Toro, Ayush Madan
At the end of 2019, a novel coronavirus was identified as the cause of a cluster of pneumonia cases in Wuhan, a city in the Hubei Province of China. This results in an epidemic throughout China, followed by an increasing number of cases in other countries throughout the world. Currently, containment and mitigation measures have intensified and disease-modifying pharmacologic compounds and vaccines are being developed, COVID-19 continues to spread. The 2019 novel coronavirus (2019-nCoV/SARS-CoV-2) was shown to be a Beta-coronavirus (lineage B) closely related to SARS-CoV and SARS-related bat coronaviruses, and it has been reported to share a common receptor with SARS-CoV (ACE-2)At the time of this writing, the full magnitude of the public health impact poses a great threat to all humankind. More than 12 million patients have been infected globally and 564, 623 have died as of 10th July 2020. In this review, we highlight epidemiology, transmission, impact on pregnancy and reproductive health and future directions to control the spread of this fatal disease.
2019年底,一种新型冠状病毒被确定为中国湖北省武汉市聚集性肺炎病例的病因。这导致了整个中国的流行病,随后世界其他国家的病例越来越多。目前,控制和缓解措施已经加强,正在开发改善疾病的药物化合物和疫苗,COVID-19继续传播。2019年新型冠状病毒(2019- ncov /SARS-CoV-2)被证明是一种β冠状病毒(B谱系),与SARS-CoV和sars相关的蝙蝠冠状病毒密切相关,据报道,它与SARS-CoV (ACE-2)有共同的受体。在撰写本文时,公共卫生影响的全部程度对全人类构成了巨大威胁。截至2020年7月10日,全球已有1200多万患者感染,566423人死亡。在这篇综述中,我们重点介绍了流行病学、传播、对妊娠和生殖健康的影响以及控制这种致命疾病传播的未来方向。
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引用次数: 1
Social Media Addiction and Associated Factors among Madda Walabu University Students, Southeast Ethiopia 埃塞俄比亚东南部玛达瓦拉布大学学生的社交媒体成瘾及其相关因素
Pub Date : 2021-01-01 DOI: 10.35248/2167-0420.21.10.536
Tilahun Ermeko, A. Lette, Muhaba Abadir, Abeba Dargie, Andinet Alemayehu, ShambelAlemu, Ebrahim Mohamed
Social media is a relatively new technology, and little studies have been conducted on its addiction and associated factors. It has become popular among college and university students of young population. Social media is addictive specially using it for chatting is very attractive and addictive. Once you sign in to this public site, you may follow others’ comments, gossip, and get in touch with the whole society or world. You can’t stop when you want since you are controlled. The present study is designed to evaluate social media addiction and associated factors among university students. An institutional based cross-sectional study was conducted from April 11 - 30 /2017. A simple random sampling method was conducted to recruit the study participants. Data was collected by using pre-tasted, structured and self-administered questioner and analyzed using SPSS version 20 statistical software. A total of 149(99.3%) of respondents were reported as social media users. From this figure the majority 104(69.8%) of participants used Facebook. From the total users about 32(21.3%) of students were addicted. Variables such as being male, young in age (18-22 years), and excessive use of social media per day significantly associated with higher odds of addiction. Therefore, students should limit and use appropriately the social media through self-regulation.
社交媒体是一项相对较新的技术,对其成瘾及其相关因素的研究很少。它在年轻的大学生中很受欢迎。社交媒体是上瘾的,尤其是用它聊天是非常有吸引力和上瘾的。一旦你登录到这个公共网站,你就可以关注别人的评论、八卦,与整个社会或世界保持联系。你不能在你想停下来的时候停下来,因为你被控制了。本研究旨在评估大学生社交媒体成瘾及其相关因素。一项基于机构的横断面研究于2017年4月11日至30日进行。采用简单的随机抽样方法招募研究参与者。采用预尝式、结构化、自填式问卷收集数据,采用SPSS 20版统计软件进行分析。共有149人(99.3%)被报告为社交媒体用户。从这个数据来看,104人(69.8%)的参与者使用Facebook。在所有使用者中,约有32名(21.3%)学生成瘾。男性、年龄年轻(18-22岁)以及每天过度使用社交媒体等变量与成瘾的可能性显著相关。因此,学生应该通过自我调节,适当限制和使用社交媒体。
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引用次数: 0
What is the Average Week-by-Week Miscarriage Rate?: An Overview 每周的平均流产率是多少?:概述
Pub Date : 2021-01-01 DOI: 10.35248/2167-0420.21.10.554
Rakesh Agarwal
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引用次数: 0
Clinical Study of Ectopic Pregnancy in Nepal 尼泊尔异位妊娠的临床研究
Pub Date : 2021-01-01 DOI: 10.35248/2167-0420.21.10.524
K. Sherchan
Introduction: Ectopic pregnancy is a global problem yet many women are unaware of this condition. In a low- income country like Nepal, women don’t seek timely antenatal care so early diagnosis of ectopic pregnancy becomes a challenge in our setting. Ectopic pregnancy if left untreated can result in maternal morbidity and mortality. Objective: The study was carried out to find out the incidence of ectopic pregnancy as well as to elucidate risk factors in such women which will help in identifying the high risk groups and making them aware about the condition. Methods: This hospital based observational study was carried out retrospectively between May 1, 2019 to April 30, 2020 in Gandaki Medical College. All confirmed 33 cases of ectopic pregnancy were included in the study. The total number of deliveries during this period was obtained from the labor ward registers. Data were analyzed usingdescriptive statistics. Results: In the present study, the incidence of ectopic pregnancy was 1.5%. Most ectopic pregnancies were in the age group 21-25 years and 31-35 years with 81.8% women being multiparous. 36.36% of ectopic pregnancies had gestational age of more than 8 weeks. Use of emergency pills and medical abortion were the most common identifiable risk factors. In 15.15% of patients, no cause was identified. The most common symptom was abdominal pain which was present in 100% of patients followed by amenorrhea(72.7%) and vaginal bleeding (45.4%). 97% of ectopic pregnancies were located in fallopian tube, ampulla being more common. Tubal rupture and hemoperitoneum were present in 75.75% of patients which were managed successfully by radical surgery. Conclusion: The incidence of ectopic pregnancy is on the rise due to various contributing factors. Timely detection and intervention can help to prevent maternal catastrophe. Hence knowledge regarding risk factors is necessary when we are counselling women about ectopic pregnancy. Keywords: Ectopic, Incidence, Maternal Mortality, Risk Factors, Symptoms
宫外孕是一个全球性的问题,但许多妇女没有意识到这种情况。在像尼泊尔这样的低收入国家,妇女不寻求及时的产前护理,因此宫外孕的早期诊断在我们的环境中成为一个挑战。如果不及时治疗,异位妊娠可导致产妇发病率和死亡率。目的:了解异位妊娠的发生率,探讨异位妊娠的危险因素,有助于识别高危人群,提高对异位妊娠的认识。方法:回顾性分析2019年5月1日至2020年4月30日在甘达基医学院进行的以医院为基础的观察性研究。所有确诊的33例异位妊娠纳入研究。在此期间的分娩总数是从分娩病房登记中获得的。数据分析采用描述性统计。结果:本研究中异位妊娠的发生率为1.5%。异位妊娠多发生在21-25岁和31-35岁年龄组,其中81.8%为多胎。36.36%的异位妊娠胎龄大于8周。使用紧急避孕药和药物流产是最常见的可识别风险因素。15.15%的患者病因不明。最常见的症状是腹痛,100%的患者出现腹痛,其次是闭经(72.7%)和阴道出血(45.4%)。97%的异位妊娠发生在输卵管,壶腹更常见。经根治性手术成功治疗的患者中,有75.75%出现输卵管破裂和腹腔积血。结论:由于多种因素的影响,异位妊娠的发生率呈上升趋势。及时发现和干预有助于预防产妇灾难。因此,当我们就异位妊娠向妇女提供咨询时,了解风险因素是必要的。关键词:异位,发病率,产妇死亡率,危险因素,症状
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引用次数: 0
Predictor of Breast Self-Examination and Breast Cancer Risk Perception among Female Students of WCU, Using Health Belief Model 基于健康信念模型的武汉大学女生乳房自我检查与乳腺癌风险认知的预测因子
Pub Date : 2021-01-01 DOI: 10.35248/2167-0420.21.10.517
L. Woiloro, Belay Erchafo Lubego, T. Arficho, Tagesse Sedoro Diramo, Dawit Sullamo Erjino
Background: Breast Self-Examination (BSE) is a primary screening technique to detect breast abnormalities. By performing regular breast self-examination, women would become familiar with their breasts condition so as to enable them to detect any changes from time to time. BSE must be routinely performed by an individual female from young. This is because breast cancer can be developed at the very age of twenty. This study was aimed to assess the predictor of breast self-examination and breast cancer risk perception among female students of WCU, by using health belief model. Methods: Cross-sectional study was conducted in Wachamo University female students, Hossana, Ethiopia. Data collection tool is an anonymous valid and reliable questionnaire, which acquired information about the factors affecting predictor of breast self-examination and breast cancer risk perception. The data was entered in Epi data V-3.1 and analysed using SPSS version 21. Binary logistic regression analysis was also employed to examine association between dependent and independent variables. P-value of <0.05 was considered as cut off point for significance. Results: A total of 441 study subjects participated in this study making response rate of 99.3 % with mean age of the study population was 21 years. 98 % of the participants were single and 38% were protestant religion followers. Most of them 92.3% ever heard about breast cancer and 43.3% of the participants ever heard about BSE. The main source of information on breast cancer and BSE were media 74.1%. The overall knowledge of the students about breast self-examination was 61%. Good knowledge on BSE and breast cancer risk perception 5.01[2.13, 11.18], facing of breast discomfort 3.04[1.07, 9], family history of breast cancer 6.32[1.08, 14.95], high perceived susceptibility 2.5[1.2, 6.09], high perceived severity were 3.3[1.01, 8.65]) were independent predictors of breast self-examination among female Wachemo University students. Conclusions and Recommendation: In this study breast self-examination among female Wachemo University students so comes to be 39.2% which is lower than other studies even if there is some similar figures were there. Intervenes should have to be needed by designing and carrying out to enhance the skills and efficacy of the female students regarding self-examinations of their breasts. Governmental organization should have to scale up breast screening service as one of the packages from youth friendly service because it’s long-term consequence serious.
背景:乳腺自我检查(BSE)是发现乳腺异常的主要筛查技术。通过定期进行乳房自我检查,妇女会熟悉自己的乳房状况,使她们能够不时发现任何变化。疯牛病必须由个体雌性从幼年开始例行性地进行。这是因为乳腺癌可以在20岁时发展。本研究旨在运用健康信念模型,评估WCU女学生乳房自我检查与乳腺癌风险认知的预测因子。方法:对埃塞俄比亚霍萨纳瓦查莫大学女学生进行横断面研究。数据收集工具为匿名、有效、可靠的问卷调查,获取影响乳房自检预测因子和乳腺癌风险认知的因素信息。数据录入Epi data V-3.1,使用SPSS 21版进行分析。采用二元logistic回归分析检验因变量与自变量之间的相关性。p值<0.05为显著性截断点。结果:共纳入441名研究对象,有效率为99.3%,研究人群平均年龄21岁。98%的参与者是单身,38%是新教信徒。其中92.3%的人听说过乳腺癌,43.3%的人听说过疯牛病。乳腺癌和疯牛病的主要信息来源为媒体74.1%。学生对乳房自检的总体知晓率为61%。Wachemo大学女生乳腺自检的独立预测因素为:对BSE有良好的了解、乳腺癌风险认知5.01[2.13,11.18]、面对乳房不适3.04[1.07,9]、乳腺癌家族史6.32[1.08,14.95]、高感知易感性2.5[1.2,6.09]、高感知严重程度3.3[1.01,8.65]。结论与建议:在本研究中,Wachemo大学女生乳房自我检查的比例为39.2%,尽管有类似的数据,但低于其他研究。应该通过设计和实施干预措施来提高女学生自我检查乳房的技能和效能。政府机构应该扩大乳房筛查服务,将其作为青少年友好服务的一部分,因为它的长期后果是严重的。
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引用次数: 1
Evaluating Statistical Numeracy of Women Who Follow Breast Cancer Screening 评估接受乳腺癌筛查的妇女的统计计算能力
Pub Date : 2021-01-01 DOI: 10.35248/2167-0420.21.10.526
Magdalini Bakola, K. Tsilidis, H. Harissis
Objective: To assess statistical numeracy with a new specialized questionnaire in women who follow breast cancer screening programs. Methods: A cross-sectional study of women who follow breast cancer screening in the University Hospital of Ioannina, Greece. We have created a new tool to evaluate women statistical numeracy by using 11 basic concepts, which compose the statistical numeracy spectrum and are related with breast cancer screening programs. Content validity and reliability tests have been performed. Our sample consisted of 202 women, who took part in the study in the form of an interview. Results: A lack in statistical numeracy was observed, as the percentages of correct answers for the majority of the 11 concepts ranged from 6.9% to 53%. Percentages appear to be the concept that is more easily understood with correct answers equal to 53%. Visual presentation of medical information showed a significant improvement in women understanding, as 89.4% of them gave a correct answer. Conclusions: Women who follow breast cancer screening programs face great difficulty in understanding basic medical statistical numeracy concepts. These concepts have great importance in women’s informed decision making. The vast majority of women may make wrong decisions regarding screening programs due to the misconception of medical information. Visual presentation of the medical information could improve the misconception problem. Keywords: Breast cancer screening, Statistical numeracy, Women, Women decision making, Women misconception, Informed decision making
目的:用一种新的专门问卷评估接受乳腺癌筛查的妇女的统计计算能力。方法:对在希腊约阿尼纳大学医院接受乳腺癌筛查的妇女进行横断面研究。我们创造了一个新的工具,通过使用11个基本概念来评估女性的统计计算能力,这些概念构成了统计计算能力谱,并与乳腺癌筛查项目有关。进行了内容效度和信度检验。我们的样本包括202名女性,她们以访谈的形式参与了这项研究。结果:11个概念中,大多数概念的正确率在6.9%到53%之间,统计计算能力不足。百分比似乎是更容易理解的概念,正确答案等于53%。在医学信息的视觉呈现上,女性的理解力明显提高,89.4%的女性给出了正确的答案。结论:接受乳腺癌筛查项目的妇女在理解基本医学统计计算概念方面面临很大困难。这些概念对妇女的知情决策非常重要。由于对医学信息的误解,绝大多数女性可能会对筛查项目做出错误的决定。医学信息的可视化呈现可以改善误解问题。关键词:乳腺癌筛查,统计计算,女性,女性决策,女性误解,知情决策
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引用次数: 0
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Journal of women's health care and management
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