Effects of an AIDS education program on the knowledge, attitudes and practices of low income black and Latina women

Schistosomiasis control requires multisectoral approaches including praziquantel treatment, access to safe water, sanitation and hygiene, and health education. Community input can help ensure health education programs are culturally appropriate to effectively direct protective behavior change. This study reports on the three-stage development of an education program for Malagasy children, with an impact evaluation on their knowledge, attitudes, and practices (KAP) related to intestinal schistosomiasis. A cross-sectional study took place in 2017 with follow-up in 2018 in the hard-to-reach Marolambo district, Madagascar. A novel schistosomiasis education program (SEP) was designed in collaboration with researchers, stakeholders, and local community and included cartoon books, games, songs, puzzles, and blackboard lessons, costing $10 USD per school. KAP questionnaires were completed by 286 children pre-SEP and 273 children post-SEP in 2017, and by 385 and 337 children pre-SEP and post-SEP, respectively, in 2018. Improvements were observed in responses to all questions between pre- and post-education answers in 2017 (53–77%, P < 0.0001) and 2018 (72–98%, P < 0.0001) and in the pre-education answers between years (53–72%, P < 0.0001). Praziquantel mass drug administration attendance improved, rising from 64% to 91% (P < 0.0001), alongside improved latrine use, from 89% to 96% (P = 0.005). This community-consulted and -engaged SEP resulted in substantial improvements in children’s understanding of schistosomiasis, with improvements in praziquantel uptake and latrine use. Socioculturally tailored education programs can help gain schistosomiasis control. Continued investment in SEP will help promote the future well-being of children through increased participation in control and treatment activities.

Download Full-text

How Does the Family Influence Adolescent Eating Habits in Terms of Knowledge, Attitudes and Practices? A Global Systematic Review of Qualitative Studies

Nutrients ◽

10.3390/nu13113717 ◽

2021 ◽

Vol 13 (11) ◽

pp. 3717

Author(s):

Kiki S. N. Liu ◽

Julie Y. Chen ◽

Michelle Y. C. Ng ◽

Maegan H. Y. Yeung ◽

Laura E. Bedford ◽

...

Keyword(s):

Parenting Style ◽

Healthy Eating ◽

Low Income ◽

Parenting Practices ◽

Parental Education ◽

Eating Habits ◽

Qualitative Studies ◽

Family Influences ◽

Attitudes And Practices ◽

Knowledge Attitudes And Practices

Promoting healthy eating habits can prevent adolescent obesity in which family may play a significant role. This review synthesized findings from qualitative studies to identify family barriers and facilitators of adolescent healthy eating in terms of knowledge, attitudes, and practices (KAP). A literature search of four databases was completed on 31 July 2020; qualitative studies that explored family factors of adolescent (aged 10 to 19 years) eating habits were included. A total of 48 studies were identified, with the majority being from North America and sampled from a single source. Ten themes on how family influences adolescent dietary KAP were found: Knowledge—(1) parental education, (2) parenting style, and (3) family illness experience; Attitudes—(4) family health, (5) cultivation of preference, and (6) family motivation; Practices—(7) home meals and food availability, (8) time and cost, (9) parenting style, and (10) parental practical knowledge and attitudes. This review highlights five parental characteristics underlying food parenting practices which affect adolescents’ KAP on healthy eating. Adolescents with working parents and who are living in low-income families are more vulnerable to unhealthy eating. There is a need to explore cultural-specific family influences on adolescents’ KAP, especially regarding attitudes and food choices in Asian families.

Download Full-text

Antibiotic knowledge, attitudes and practices: new insights from cross-sectional rural health behaviour surveys in low-income and middle-income South-East Asia

BMJ Open ◽

10.1136/bmjopen-2018-028224 ◽

2019 ◽

Vol 9 (8) ◽

pp. e028224 ◽

Cited By ~ 11

Author(s):

Marco J Haenssgen ◽

Nutcha Charoenboon ◽

Giacomo Zanello ◽

Mayfong Mayxay ◽

Felix Reed-Tsochas ◽

...

Keyword(s):

Rural Health ◽

Health Behaviour ◽

Low Income ◽

Rural Population ◽

Healthcare Providers ◽

Cross Sectional ◽

Middle Income ◽

Attitudes And Practices ◽

Education And Awareness ◽

Knowledge Attitudes And Practices

IntroductionLow-income and middle-income countries (LMICs) are crucial in the global response to antimicrobial resistance (AMR), but diverse health systems, healthcare practices and cultural conceptions of medicine can complicate global education and awareness-raising campaigns. Social research can help understand LMIC contexts but remains under-represented in AMR research.ObjectiveTo (1) Describe antibiotic-related knowledge, attitudes and practices of the general population in two LMICs. (2) Assess the role of antibiotic-related knowledge and attitudes on antibiotic access from different types of healthcare providers.DesignObservational study: cross-sectional rural health behaviour survey, representative of the population level.SettingGeneral rural population in Chiang Rai (Thailand) and Salavan (Lao PDR), surveyed between November 2017 and May 2018.Participants2141 adult members (≥18 years) of the general rural population, representing 712 000 villagers.Outcome measuresAntibiotic-related knowledge, attitudes and practices across sites and healthcare access channels.FindingsVillagers were aware of antibiotics (Chiang Rai: 95.7%; Salavan: 86.4%; p<0.001) and drug resistance (Chiang Rai: 74.8%; Salavan: 62.5%; p<0.001), but the usage of technical concepts for antibiotics was dwarfed by local expressions like ‘anti-inflammatory medicine’ in Chiang Rai (87.6%; 95% CI 84.9% to 90.0%) and ‘ampi’ in Salavan (75.6%; 95% CI 71.4% to 79.4%). Multivariate linear regression suggested that attitudes against over-the-counter antibiotics were linked to 0.12 additional antibiotic use episodes from public healthcare providers in Chiang Rai (95% CI 0.01 to 0.23) and 0.53 in Salavan (95% CI 0.16 to 0.90).ConclusionsLocally specific conceptions and counterintuitive practices around antimicrobials can complicate AMR communication efforts and entail unforeseen consequences. Overcoming ‘knowledge deficits’ alone will therefore be insufficient for global AMR behaviour change. We call for an expansion of behavioural AMR strategies towards ‘AMR-sensitive interventions’ that address context-specific upstream drivers of antimicrobial use (eg, unemployment insurance) and complement education and awareness campaigns.Trial registration numberClinicaltrials.gov identifier NCT03241316.

Download Full-text

Prevalence of intestinal parasites versus knowledge, attitudes, and practices of inhabitants of low-income communities of Campos dos Goytacazes, Rio de Janeiro State, Brazil

Parasitology Research ◽

10.1007/s00436-010-1861-7 ◽

2010 ◽

Vol 107 (2) ◽

pp. 295-307 ◽

Cited By ~ 15

Author(s):

Antonio Henrique A. de Moraes Neto ◽

Adriana P. M. F. Pereira ◽

Maria de Fátima L. Alencar ◽

Paulo R. B. Souza-Júnior ◽

Rodrigo C. Dias ◽

...

Keyword(s):

Low Income ◽

Rio De Janeiro ◽

Intestinal Parasites ◽

Attitudes And Practices ◽

Knowledge Attitudes And Practices ◽

Janeiro State

Download Full-text

Parental Knowledge, Attitudes and Practices in Early Childhood Development among Low Income Urban Parents

Universal Journal of Public Health ◽

10.13189/ujph.2019.070504 ◽

2019 ◽

Vol 7 (5) ◽

pp. 214-226

Author(s):

Taslima Begum

Keyword(s):

Early Childhood ◽

Low Income ◽

Early Childhood Development ◽

Parental Knowledge ◽

Childhood Development ◽

Attitudes And Practices ◽

Urban Parents ◽

Knowledge Attitudes And Practices

Download Full-text

Knowledge, attitudes, and practices of cervical cancer prevention and pap smears in two low-income communities in Lima, Peru

BMC Women s Health ◽

10.1186/s12905-021-01291-8 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Thomas T. Miles ◽

Amy R. Riley-Powell ◽

Gwenyth O. Lee ◽

Esther E. Gotlieb ◽

Gabriela C. Barth ◽

...

Keyword(s):

Cervical Cancer ◽

Cancer Prevention ◽

Low Income ◽

Pap Smear ◽

Hpv Infection ◽

Cervical Cancer Prevention ◽

Infection Prevalence ◽

Pap Smears ◽

Attitudes And Practices ◽

Knowledge Attitudes And Practices

Abstract Background Cervical cancer is a leading cause of death among Peruvian women. Barriers at multiple levels impact effective screening and treatment, including a lack of knowledge about cervical cancer and how regular screening can reduce morbidity and mortality through earlier detection. The aim of this study is to assess knowledge, attitudes, and practices regarding cervical cancer and its prevention in the peri-urban communities of Oasis and Pampas in southern Lima, Peru that can be used to inform future campaigns about cervical cancer prevention. Methods A cross-sectional survey that included several open-ended questions was administered to women in Pampas and Oasis between 2015 and 2016 to evaluate the knowledge, attitudes, and practices regarding cervical cancer and Pap smears. Results In total, 224 women were interviewed. Knowledge about cervical cancer and Pap smears was high, and attitudes were predominantly positive among most participants. Most participants knew how often they should get Pap smears (89.7%), when to begin seeking screening (74.6%), knew the price of a Pap smear (61.9%), and felt Pap smears were important for their health (70.1%). About one third (29.5%) of premenopausal women reported receiving a Pap smear in the last year. However, open ended questions revealed some knowledge gaps around Pap smears, as well as some stigma associated to Human Papilloma Virus (HPV) infection. Conclusion Although knowledge of cervical cancer prevention was generally high and perceptions were positive among women in peri-urban Peruvian communities, our findings revealed there is a need for education on HPV infection prevalence among sexually active individuals to reduce stigma. Future research should focus on exploring experiences with follow-up and treatment associated with abnormal Pap smears, as well as perspectives from health authorities and professionals about barriers in the early detection and treatment process for cervical cancer.

Download Full-text

Effect of School Nutrition Education Program on Nutritional Practices

Kesmas National Public Health Journal ◽

10.21109/kesmas.v15i3.3258 ◽

2020 ◽

Vol 15 (3) ◽

Author(s):

Syilga Cahya Gemily ◽

Sandra Fikawati ◽

Ahmad Syafiq

Keyword(s):

Nutrition Education ◽

School Children ◽

Education Program ◽

Elementary School Children ◽

Plant Protein ◽

Attitudes And Practices ◽

Nutrition Practices ◽

Nutrition Education Program ◽

Knowledge Attitudes And Practices ◽

Nutrition Practice

Gerakan Nusantara is a nutrition education program that aims to change the nutrition knowledge, attitudes, and practices of elementary school children in Indonesia. The program was implemented in 2015–2018 in Jakarta, Bandung, Surabaya, Makassar, Medan, Yogyakarta, Pontianak, East Nusa Tenggara, Pekanbaru, Padang, Jambi, and Sorong. The present study sought to determine the effects of Gerakan Nusantara on the nutrition practices of school-aged children and describe the extent of changes in each nutrition practice component covered by the program. This study used secondary data on Nutrition and Health Knowledge, Attitudes, and Practices studies collected from students participating in the program and involved 6132 school children. The seven nutrition practice components studied were consumption of staple foods, plant protein, animal protein, vegetables, and fruits; milk drinking; and exercise. Significant improvements in fruit consumption and exercise were noted in 2015; all variables improved in 2016; significant changes in the consumption of staple food and plant protein and exercise were recorded in 2017; and significant improvements in the consumption of vegetables, plant protein, and animal protein and milk drinking were noted in 2018. Significant differences in nutrition practices before and after program implementation were noted in each year. Overall, the results demonstrated that Gerakan Nusantara successfully improved the nutrition practices of elementary school children.

Download Full-text

A Model Health-Related Elementary Physical Education Program for Saipan: Teachers' Knowledge, Attitudes, and Practices

10.22371/05.2002.010 ◽

2002 ◽

Author(s):

◽

Kurt Barnes

Keyword(s):

Physical Education ◽

Education Program ◽

Attitudes And Practices ◽

Elementary Physical Education ◽

Health Related ◽

Knowledge Attitudes And Practices

Download Full-text

Parental Knowledge, Attitudes, and Practices Regarding Antibiotic Use: A Cross-Sectional Study in Bangladesh

Infection Control and Hospital Epidemiology ◽

10.1017/ice.2020.954 ◽

2020 ◽

Vol 41 (S1) ◽

pp. s342-s342

Author(s):

Golam Dostogir Harun ◽

Romel Haider ◽

Imdadul Haque ◽

Alauddin Chowdhury ◽

Saiful Islam

Keyword(s):

Low Income ◽

Parental Attitudes ◽

Parental Knowledge ◽

Antibiotic Use ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Attitudes And Practices ◽

Awareness Campaigns ◽

Knowledge Attitudes And Practices

Background: Antibiotics play a vital role in reducing the morbidity and mortality associated with common infectious among children aged <5 years. Objective: We assessed the parental knowledge, attitudes, and practices regarding antibiotic use among a low-income urban population in Bangladesh. Methods: A cross-sectional study was conducted among the parents of 516 low-income urban children aged <5 years in Bangladesh from February 2018 to April 2019. A semi-structured questionnaire was developed and administrated to explore parental knowledge, attitudes, and practice regarding antibiotic use. A logistic regression analysis and Spearman rank-order correlation was used to compare and evaluate possible associations regarding parental KAP on antibiotic use. Results: The mean age of the participants was 26.65 years (SD, 6.38) and average monthly income was US$195.00. Most respondents (437 of 516) were women. One-third of the participants had no formal education, and 64% had only 5 years of education. We categorized the knowledge, attitudes, and practice regarding antibiotic use into 3 categories: poor, moderate, and good. More than half (52%) of these parents had poor knowledge of antibiotic use, and 32% had moderate knowledge of antibiotic use. Overall, 55% of parental attitudes were moderate and 70% of antibiotic practices were moderate. However, only 16% respondents had good knowledge, 14% had good attitudes, and 14% had good practices regarding antibiotic use for their children. The study revealed that 41% of parents thought that their child could be treated with antibiotics without advice from a qualified doctor, and 71% of parents thought that a child with flu-like symptoms got better faster if antibiotics were used. Also, 54% thought that the antibiotics could be stopped as soon as the symptoms disappeared. In this study, only 40% of parents completed the full dose of antibiotics. Monthly family income (P = .005), father’s profession (P = .003), and parents’ education were significantly associated with antibiotic use to treat the child. Conclusions: Most participants’ knowledge, attitude, and practices regarding rational antibiotic usage was very poor. Awareness campaigns and implementation of education on how to purchase, use, and sell antibiotics is crucial to optimum the use of antibiotics in Bangladesh.Funding: NoneDisclosures: None

Download Full-text