Physicians' preparedness for pre-exposure prophylaxis: results of an online survey in Belgium

Sexual Health ◽  
2018 ◽  
Vol 15 (6) ◽  
pp. 606 ◽  
Author(s):  
Thijs Reyniers ◽  
Bea Vuylsteke ◽  
Benoit Pirotte ◽  
Elske Hoornenborg ◽  
Janneke P. Bil ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Primary Care Physicians ◽  
Online Survey ◽  
Scale Up ◽  
Binary Logistic Regression ◽  
Multivariable Logistic Regression Analysis ◽  
Cross Sectional ◽  
Exposure Prophylaxis ◽  
Knowledge And Acceptance

Background Physicians have a crucial role in the implementation and scale up of pre-exposure prophylaxis (PrEP). The objective of this study is to examine Belgian physicians’ PrEP knowledge, concerns, acceptance and their willingness to prescribe PrEP. Methods: A cross-sectional online survey was conducted between March and June 2016. Dissemination targeted Belgian primary care physicians (PCPs) and HIV specialists. Sociodemographic characteristics, experience with HIV and PrEP, self-assessed PrEP knowledge, concerns about PrEP, and PrEP acceptance were stratified according to professional background. Associations with willingness to prescribe PrEP were examined using univariable and multivariable binary logistic regression analyses. Results: In total, 333 completed surveys were included in the analysis. Sixty-two physicians (18.6%) scored their knowledge of PrEP to be good, 263 (79.0%) had an accepting attitude towards PrEP and 198 (59.5%) were willing to prescribe PrEP if approved in Belgium. HIV specialists consistently reported having better knowledge of PrEP, less concerns and a more accepting attitude towards PrEP than PCPs. In multivariable logistic regression analysis, higher PrEP knowledge (OR 2.4; 95%CI: 1.0–5.7) and higher PrEP acceptance (OR: 3.8; 95%CI: 2.1–6.8) remained significantly associated with the willingness to prescribe PrEP. Conclusions: HIV specialists are better prepared to provide PrEP than PCPs in Belgium. Interventions to improve PrEP knowledge and acceptance among all providers are needed. The role of PCPs could be very important in optimising the rollout of PrEP, but additional training and guidelines will be needed.

Prevalence and Determinants of Fertility Desire Among HIV-positive Women in Rwanda in the Context of Improved Life Expectancy: A Statistical Analysis of Cross-Sectional Data

2020 ◽  
Author(s):  
François Niragire ◽  
Celestin Ndikumana ◽  
Marie Gaudence Nyirahabimana ◽  
Dieudonne Uwizeye
Keyword(s):  
Logistic Regression ◽  
Scale Up ◽  
Reproductive Age ◽  
Hiv Positive ◽  
Multivariable Logistic Regression Analysis ◽  
People Living With Hiv ◽  
Fertility Desire ◽  
Cross Sectional ◽  
Multivariable Logistic Regression ◽  
Hiv Positive Women

Abstract Background: The knowledge of the key determinants of fertility desire among people living with HIV/AIDS is crucial for the design of efficient maternal and child health care programs. However, such determinants are not well understood in the context of a successful scale-up of antiretroviral therapy in Rwanda. The present study aim was to assess fertility desire among HIV- positive women and its determinants in Rwanda.Methods: Data were extracted from the 2015 Rwanda demographic health survey (RDHS) for 243 HIV-positive women of reproductive age. Univariate and multivariable based variable selection as well as multivariable logistic regression analysis were conducted. Results: The prevalence of desire to have another child in HIV-positive women was as high as 40.7%. Multivariable logistic regression analyses showed that the woman’s age, number of her living children, woman’s employment status, and having a co-wife are significant determinants of fertility desire among HIV- positive women in Rwanda. Women younger than 25 years, with no living child, who were unemployed or who had at least a co-wife were associated with greater odds of desire to have another child in the future than other HIV- positive women.. Conclusion: There is a need to devise integrated programs and services that are tailored to support HIV-positive women in planning their fertility, and controlling HIV transmission to their prospective children. Efficient policy and fertility interventions among WLHA in Rwanda should target young women, especially those living with partners and have fewer children than they prefer.

scholarly journals Musculoskeletal Symptoms among Radiologists in Saudi Arabia: A Multi-Center Cross-Sectional Study

2019 ◽  
Author(s):  
Malak Al Shammari ◽  
Ali Hassan ◽  
Omran Al Dandan ◽  
Mohammed Al Qadeeb ◽  
Dalal Bubshait
Keyword(s):  
Logistic Regression ◽  
Saudi Arabia ◽  
Regression Analysis ◽  
Logistic Regression Analysis ◽  
Online Survey ◽  
Medical Images ◽  
Musculoskeletal Symptoms ◽  
Multivariable Logistic Regression Analysis ◽  
Cross Sectional ◽  
Computed Tomography Images

Abstract Background : Musculoskeletal disorders account for the majority of work-related illnesses resulting in a significant economic burden on society. Computer users are subject to unique repetitive strains, predisposing them to musculoskeletal symptoms. In the digitalized field of radiology, radiologists tend to spend long hours interpreting medical images on computers. This study aimed to determine the prevalence of musculoskeletal symptoms among radiologists in Saudi Arabia and to the factors that contribute to these symptoms. Methods : An online survey was sent to radiologists practicing in hospitals in the Eastern Province of Saudi Arabia. The survey addressed demographic characteristics, workload, and workstation environments, and included an evaluation of musculoskeletal symptoms using the Nordic Musculoskeletal Questionnaire. Results were analyzed descriptively using the Chi-square test and logistic regression analysis. Results : The survey was completed by 198 participants (111 men and 87 women). Most participants were aged below 40 years. The proportions of radiology residents, specialists, and consultants who completed the survey were 40.9%, 27.3%, and 27.3%, respectively. Most participants spent 7-9 hours per day reviewing medical images. In total, 140 (70.7%) participants had experienced musculoskeletal symptoms in the week preceding the survey, whereas 176 (88.9%) participants reported having symptoms in the last 12 months preceding the survey. The normal daily activities of 15.2%, 14.6%, and 14.6% of survey participants were restricted in the last 12 months, due to neck, lower back, and shoulder pain respectively. Significant contributing factors for musculoskeletal symptoms included age, sex, number of hours spent reviewing medical images, and the type of medical images predominantly reviewed. A multivariable logistic regression analysis revealed that radiologists who spent most of their time performing ultrasound scanning or reviewing computed tomography images were at higher risk of developing musculoskeletal symptoms. Conclusions : Musculoskeletal symptoms are common among radiologists. The high prevalence rate among our study participants indicates the need for preventive actions, such as increasing awareness of this issue among practicing radiologists, educating practitioners about the adverse effects of prolonged sitting, and providing training to ensure proper ergonomic practices.

scholarly journals Musculoskeletal Symptoms among Radiologists in Saudi Arabia: A Multi-Center Cross-Sectional Study

2019 ◽  
Author(s):  
Malak Al Shammari ◽  
Ali Hassan ◽  
Omran Al Dandan ◽  
Mohammed Al Qadeeb ◽  
Dalal Bubshait
Keyword(s):  
Logistic Regression ◽  
Saudi Arabia ◽  
Regression Analysis ◽  
Logistic Regression Analysis ◽  
Online Survey ◽  
Medical Images ◽  
Musculoskeletal Symptoms ◽  
Multivariable Logistic Regression Analysis ◽  
Cross Sectional ◽  
Computed Tomography Images

Abstract Background : Musculoskeletal disorders account for the majority of work-related illnesses resulting in a significant economic burden on society. Computer users are subject to unique repetitive strains, predisposing them to musculoskeletal symptoms. In the digitalized field of radiology, radiologists tend to spend long hours interpreting medical images on computers. This study aimed to determine the prevalence of musculoskeletal symptoms among radiologists in Saudi Arabia and to the factors that contribute to these symptoms. Methods : An online survey was sent to radiologists practicing in hospitals in the Eastern Province of Saudi Arabia. The survey addressed demographic characteristics, workload, and workstation environments, and included an evaluation of musculoskeletal symptoms using the Nordic Musculoskeletal Questionnaire. Results were analyzed descriptively using the Chi-square test and logistic regression analysis. Results : The survey was completed by 198 participants (111 men and 87 women). Most participants were aged below 40 years. The proportions of radiology residents, specialists, and consultants who completed the survey were 40.9%, 27.3%, and 27.3%, respectively. Most participants spent 7-9 hours per day reviewing medical images. In total, 140 (70.7%) participants had experienced musculoskeletal symptoms in the week preceding the survey, whereas 176 (88.9%) participants reported having symptoms in the last 12 months preceding the survey. The normal daily activities of 15.2%, 14.6%, and 14.6% of survey participants were restricted in the last 12 months, due to neck, lower back, and shoulder pain respectively. Significant contributing factors for musculoskeletal symptoms included age, sex, number of hours spent reviewing medical images, and the type of medical images predominantly reviewed. A multivariable logistic regression analysis revealed that radiologists who spent most of their time performing ultrasound scanning or reviewing computed tomography images were at higher risk of developing musculoskeletal symptoms. Conclusions : Musculoskeletal symptoms are common among radiologists. The high prevalence rate among our study participants indicates the need for preventive actions, such as increasing awareness of this issue among practicing radiologists, educating practitioners about the adverse effects of prolonged sitting, and providing training to ensure proper ergonomic practices.

scholarly journals Willingness to Use Electronic Medical Record (EMR) System in Healthcare Facilities of Bahir Dar City, Northwest Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Birhanu Berihun ◽  
Desta Debalkie Atnafu ◽  
Getachew Sitotaw
Keyword(s):  
Logistic Regression ◽  
Health Professionals ◽  
Digital Health ◽  
Scale Up ◽  
Multivariable Logistic Regression Analysis ◽  
Bahir Dar ◽  
Management Support ◽  
Cross Sectional ◽  
Major Barrier ◽  
Willingness To Use

Background. Globally, electronic information and communication technology has been applied and much expanded in the healthcare industry. However, in developing counties including Ethiopia, EMR system adoption and utilization for medical practice are still inconsistent, and healthcare institutions which started utilization currently have also failed to sustain. A desirable readiness of healthcare experts is mandatory to expand digital health service delivery. Thus, this study is aimed at estimating the proportion of the willingness of professionals in Bahir Dar city to use EMR and at identifying factors associated with this proportion. Methods. An institution-based cross-sectional study was conducted from September 1 to October 30, 2019, among 634 health professionals. Respondents were selected using a simple random sampling method. Data were entered into EpiData version 3.1 and exported to SPSS version 23 for further analysis. Descriptive statistics were computed to describe study variables and presented using tables. Willingness to use the EMR system was computed. Bivariable and multivariable binary logistic regression models were fitted to identify the associated factors. The odds ratio with 95% confidence interval was used to measure the strength of association. Results. A total of 616 health professionals participated in the study with a response rate of 97%. The proportion of willingness to use the EMR system was 85.9%. Among health professionals who were not willing to use EMR, lack of access to EMR training (73.4%) was a major barrier to the willingness to use EMR. A multivariable logistic regression analysis showed that those health professionals who had good computer skill (AOR=2.5; 95% CI: 1.3-4.6), good knowledge on EMR (AOR=2.1; 95% CI: 1-4.4), gotten EMR training (AOR=3.8; 95% CI: 1.7-8.1), EMR guideline access (AOR=2.8; 95% CI: 1.4-5.6), and management support (AOR=2.6; 95% CI: 1.4-4.8) were more likely willing to use the EMR system. Conclusions. Majority of the professionals were willing to use the EMR system. EMR program should involve computer illiterate, less knowledgeable, those unable to access EMR guidelines, and managerially unsupported professionals. Enhancing health professionals’ attitude and contextualizing EMR training in the healthcare curricula are highly recommended to scale up EMR use.

Methods of Radiology Reports Generation and Patterns of Associated Musculoskeletal Symptoms: A Cross-Sectional Multi-Center Study

2020 ◽  
Author(s):  
Omran Al Dandan ◽  
Ali Hassan ◽  
Hind Alsaif ◽  
Malak Al Shammari ◽  
Danya Gari ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Regression Analysis ◽  
Logistic Regression Analysis ◽  
Online Survey ◽  
Musculoskeletal Symptoms ◽  
Multivariable Logistic Regression Analysis ◽  
Chi Square ◽  
Cross Sectional ◽  
Radiology Reports ◽  
Multi Center Study

Abstract Objectives This study aimed to investigate the association between the methods used to generate radiology reports and the prevalence of musculoskeletal symptoms among radiologists. Additionally, we investigated the factors associated with the use of such methods. Methods An online survey was sent to radiologists practicing in hospitals in the Eastern Province of Saudi Arabia. The survey addressed demographic characteristics, work environment, and methods used to generate radiology reports and included an evaluation of musculoskeletal symptoms using the Nordic Musculoskeletal Questionnaire. Results were analyzed descriptively using the Chi-square test and logistic regression analysis. Results The survey was completed by 198 radiologists (111 men and 87 women), including residents (40.9%), specialists (27.3%), and consultants (31.8%). Most participants (71.2%) were aged below 40 years. In total, 140 (70.7%) participants had experienced musculoskeletal symptoms in the week preceding the survey. The most popular method used to generate radiology reports was typing using a keyboard, with 64.1% of participants using this method, followed by a handheld dictation device (49.5%). Radiologists with limited years of practice more frequently generated reports via keyboard typing, particularly those with <1-year of experience (35.8%). A multivariable logistic regression analysis revealed that radiologists who used handheld dictation devices were at higher risk of developing musculoskeletal symptoms. Conclusions Musculoskeletal symptoms are common among radiologists. Radiologists who use handheld dictation devices were particularly likely to report experiencing musculoskeletal symptoms. These devices were less commonly used among radiologists with fewer years of experience.

scholarly journals COVID-19 health awareness among the United Arab Emirates population

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0255408
Author(s):  
Balsam Qubais Saeed ◽  
Iffat Elbarazi ◽  
Mai Barakat ◽  
Ahmed Omer Adrees ◽  
Kubais Saeed Fahady
Keyword(s):  
Logistic Regression ◽  
United Arab Emirates ◽  
Online Survey ◽  
Binary Logistic Regression ◽  
P Value ◽  
Binary Logistic Regression Analysis ◽  
College Level ◽  
Cross Sectional ◽  
Correct Score ◽  
Level Of Knowledge

In response to the global COVID-19 epidemic, the United Arab Emirates (UAE) government is taking precautionary action to mitigate the spread of the virus. The aim of this study was to evaluate the knowledge and practices toward COVID-19 among the general public in the UAE during the current outbreak. A cross-sectional online survey of 1356 respondents in the UAE was conducted during the epidemic outbreak between 9th to 24th June-2020. The questionnaire consisted of three sections: Socio-demographic, knowledge, practices. Independent-samples t-test, one-way analysis of variance (ANOVA), chi-square and binary logistic regression was used. A p-value of (p < 0.05) was considered statistically significant. The total correct score of knowledge and practice questions was high 85% and 90%, respectively. Male’s sex, other marital status, and illiterate/primary educational levels had a lower level of knowledge and practices than others. Participants aged 18–29 had little higher knowledge than other ages but had a lower level in practices, people who live in Abu Dhabi had better knowledge and practices than other emirates, employed people had a lower level of knowledge but higher in practices. Binary logistic regression analysis presented that females, 18–29 years, and married participants significantly associated with a higher score of knowledge, while female, over 30 years old, the martial status of singles, college-level and higher, unemployed, were significantly associated with high mean practices score. This study provided a full screening of the knowledge and practices among a sample of residents in The UAE toward COVID-19, continuing to implement the health education programs pursued by the UAE is highly important to maintain the appropriate level of awareness among the public.

scholarly journals Parenting Culture on The Role of Father in Prevention of Stunting in Toddler

2020 ◽  
Vol 1 (2) ◽  
pp. 81-90
Author(s):  
Luluk Fauziyah Januarti ◽  
Ariska Putri Hidayathillah
Keyword(s):  
Logistic Regression ◽  
Binary Logistic Regression ◽  
Cluster Sampling ◽  
Transcultural Nursing ◽  
Cross Sectional ◽  
The Family ◽  
Endogenous Variables ◽  
Research Population ◽  
Logistic Regression Test

Introduction: Prevention of stunting in toddler is one of the roles of fathers in protecting against danger. However, most fathers still play a passive role in this regard. Madura culture sees the role of father only as head of families and breadwinner in the family. The purpose of the research is to analyze the effect of parenting culture on the role of fathers in prevention of stunting in toddler. Methods: The research design is observational with cross sectional approach. Exogenous variables are parenting culture while the endogenous variables are the role of fathers and prevention of stunting in toddler. The research population is 230 fathers with a sample of 132 fathers using the cluster sampling method. The research instrument used is a research questionnaire. This research uses statistical test Binary Logistic Regression. Results: The results of the research with the Binary Logistic Regression test showed that the role of father significantly affected the prevention of stunting with the result of sig 0.001 <α 0.05. Parenting culture significantly influences the prevention of stunting in toddler with the result of sig 0.019 <α 0.05. This shows that the role of father will increase the prevention of stunting in toddler, parenting culture will increase the role of father and parenting culture will increase prevention of stunting in toddlers. Conclusion: Parenting culture is beneficial for father in increasing their roles in preventing stunting in toddlers and it is important for nurses to understand their culture before understanding transcultural nursing applied to society.

scholarly journals A Cross-Sectional Online Survey of HIV Pre-Exposure Prophylaxis Adoption Among Primary Care Physicians

2016 ◽  
Vol 32 (1) ◽  
pp. 62-70 ◽  
Author(s):  
Oni J. Blackstock ◽  
Brent A. Moore ◽  
Gail V. Berkenblit ◽  
Sarah K. Calabrese ◽  
Chinazo O. Cunningham ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Online Survey ◽  
Cross Sectional ◽  
Exposure Prophylaxis

scholarly journals COVID-19 Preventive Practices among Bus Station Workers in Ethiopia

2021 ◽  
Author(s):  
Mebrahtu Eyasu ◽  
Yoseph Worku ◽  
Berhan Ababaw ◽  
Yifru Berhan
Keyword(s):  
Logistic Regression ◽  
Binary Logistic Regression ◽  
Good Knowledge ◽  
Multivariable Logistic Regression Analysis ◽  
African Countries ◽  
Cross Sectional ◽  
Poor Knowledge ◽  
Preventive Practices ◽  
Bus Station ◽  
Cross Sectional Design

As of May 19, 2021, Ethiopia was among the five African countries most affected by COVID-19. A cross-sectional design was used to assess the level of knowledge, perceptions, and practices of bus station workers about COVID-19 between August 25 and September 17, 2020. Face-to-face interviewer-administered questionnaires were used. To identify the factors associated with the dependent variables, simple and multiple binary logistic regression analyses were used. A P value < 0.05 was considered significant. Data were analyzed using SPSS version 20 software. In this study, 427 workers from three bus stations participated. Approximately 84.5%, 84.8%, and 81.3% of the workers had good knowledge, positive perceptions, and good practices, respectively. Multivariable logistic regression analysis showed that workers with a monthly income of 3,001 to 4,000 birr were about four times more likely to have poor knowledge compared with higher income workers. Those workers with poor knowledge were 2.4 times, and security workers were 3.7 times, more likely to have poor practices compared with workers with good knowledge and drivers, respectively. In conclusion, workers used in security and those who had poor knowledge regarding COVID-19 failed to exhibit effective preventative practices against the virus.

scholarly journals Willingness to work during initial lockdown due to COVID-19 pandemic: Study based on an online survey among physicians of Bangladesh

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0245885
Author(s):  
Md. Abdur Rafi ◽  
M. Tasdik Hasan ◽  
Dewan Tasnia Azad ◽  
Syeda Fatema Alam ◽  
Vivek Podder ◽  
...  
Keyword(s):  
Online Survey ◽  
National Health System ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Safety Measures ◽  
Logistic Regression Models ◽  
Care Workers ◽  
Younger Age

Background During the catastrophic situation of the COVID-19 pandemic, the role of the health care workers (HCWs) is the most crucial, and their absenteeism, whether due to inability or unwillingness, becomes a major concern for the national health system. Hence, the present study aimed to determine the willingness and its associated factors to work during the COVID-19 pandemic among the physicians of Bangladesh. Methods This was a cross-sectional study conducted from April 21 to May 10, 2020, using an online survey among the Bangladeshi physicians living in the country. Both univariate and multivariable binary logistic regression models were used to determine the predictors of the willingness of the physicians to work during the COVID-19 pandemic. Results More than 69% physicians reported that they were willing to work during the COVID-19 pandemic, 8.9% reported that they were not willing, while 21.4% of participants were not sure about their willingness. Younger age, having experience of treating patients during previous pandemics, working in the emergency departments and high self-reported compliance to the recommended PPE were important predictors of being willing to work during COVID-19 pandemic. Concern for family and risk of transmitting the infection to family members were most commonly reported as major barriers of working during the pandemic (30%) followed by having comorbidities (25%), lack of adequate safety measures (25%), fear of being infected (12.2%), not involved in clinical practice (12.5%) etc. Conclusions Though the majority of the physicians were willing to work during the COVID-19 pandemic, sufficient supply of PPE, support to maintain recommended quarantine and isolation policy after risky hospital duty along with adequate and effective training can increase their willingness to continue their sacred duty during this crucial pandemic.

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