The effect of education based on PEN-3 cultural model on students' menstrual health behaviors: a mixed method study

2021 ◽  
Author(s):  
Neda Mohammadinia ◽  
Mohammad Ali Rezaei ◽  
Mohammad Ali Morowatisharifabad ◽  
Nastaran Heydarikhayat
Keyword(s):  
Health Behaviors ◽  
Mixed Method ◽  
Cultural Context ◽  
Group Discussion ◽  
Cultural Beliefs ◽  
Intervention Group ◽  
Cultural Model ◽  
Cultural Roots ◽  
Menstrual Health ◽  
And Behavior

Abstract Menstruation is a natural process in girls, but sometimes it is accompanied by beliefs and behaviors with cultural roots that result in poor health consequences; this study aimed to consider perceptions of individual, families and community to current cultural beliefs, and to determine the effect of education based on the PEN-3 cultural model on students' menstrual health behaviors in Iran. Study had a mixed method design. In the qualitative phase, data were collected from students, their mothers and teachers through focused group discussion and in-depth interviews. In the quantitative phase, training was done in four 2-h sessions for intervention group. The data were collected immediately and 2 months after the training by a questionnaire and they were analyzed by Friedman and Wilcoxon non-parametric tests. Training was effective on all of the model structures and significantly increased mean score of the health behavior after training and 2 months later by 8.74 and 13.86, respectively, in intervention group (P<0.05). The perception and behavior of the others and access to sanitary services and products, especially cultural factors affect girls’' menstrual health behaviors, therefore, it is necessary to design the health plans regarding each of these factors, and the cultural context of each community.

Openness and Self-enhancement are predictors of cultural and economic beliefs: an analysis of European countries across 15 years

2019 ◽  
Author(s):  
Gabriela Czarnek ◽  
Małgorzata Kossowska
Keyword(s):  
Cultural Context ◽  
Cultural Beliefs ◽  
European Social Survey ◽  
European Countries ◽  
Political Beliefs ◽  
Economic Beliefs ◽  
Nationally Representative ◽  
Self Transcendence ◽  
Using Data ◽  
The Relationship

In this study, we investigate the relationship between values and political beliefs and how it varies as a function of cultural context and time. In particular, we analyzed the effects of Conservation vs. Openness to change and Self-transcendence vs. Self-enhancement for cultural and economic political beliefs using data from nationally representative samples of citizens from 34 European countries from eight rounds of the European Social Survey (data spans the 2002–2016 period). We found that the effects of values on political beliefs are moderated by the Western vs. Eastern cultural context and that there is a modest round-to-round variation in the effects of values on beliefs. The relationship between Openness and cultural beliefs was negative and largely consistent across the Western and Eastern countries. Similarly, the effects of Self-enhancement were positive across these Western and Eastern countries. In contrast, the effects of Openness on economic beliefs were positive for the Eastern countries but largely weak and inconsistent for the Western countries. Finally, the effects of Self-enhancement on cultural beliefs are weak for both cultural contexts.

scholarly journals Assessing Knowledge and Perceptions About Cancer Among American Indians of the Zuni Pueblo, NM

2021 ◽  
Author(s):  
Safia Safi ◽  
Donica Ghahate ◽  
Jeanette Bobelu ◽  
Andrew L. Sussman ◽  
Joseph Rodman ◽  
...  
Keyword(s):  
Cancer Screening ◽  
Focus Group ◽  
Cancer Risk ◽  
Focus Groups ◽  
Community Health ◽  
American Indians ◽  
Cultural Context ◽  
Cultural Beliefs ◽  
Cancer Information ◽  
Zuni Pueblo

AbstractAmerican Indians (AIs) in New Mexico have lower cancer screening rates compared to other populations and are more likely to be diagnosed with cancer at an advanced stage of the disease as reported by Li et al. (Archives of Internal Medicine 163(1):49–56, 2003). AIs also have the lowest 5-year cancer survival rates compared to any ethnic/racial group in the USA as reported by Clegg et al. (Arch Intern Med 162:1985–1993, 2002) and Edwards et al. (Cancer 97:1407–1427, 2005). Numerous barriers such as cultural beliefs, fear, fatalism, mistrust, stigma, and lack of culturally appropriate interventions could contribute to low cancer screening rates as reported by Daley et al. (J Health Dispar Res Pract 5(2), 2012); Filippi et al. (J Prim Care Community Health 4(3):160–166, 2013); James et al. (Prev Chronic Dis 10:E170, 2013); and Schumacher et al. (Cancer Causes Control 19(7):725–737, 2008). Trained Community Health Representatives (CHRs) from the Zuni Pueblo and native Zuni undergraduate students led six 1-h focus group sessions using a structured focus group guide with probes. The focus groups were conducted among 51 participants from different age groups (20–29 years, n = 19; 30–49 years, n = 17; and 50 years and older, n = 15) stratified by sex. Focus groups were conducted in both English and Shiwi (Zuni) languages. Sessions were audio recorded, and team members took notes. CHRs transcribed the notes and audio recordings, and created a codebook for qualitative data analysis. In the focus groups, participants provided Zuni-specific cultural context, opinion, and experience regarding (1) general knowledge about cancer, (2) cancer risk, (3) cancer risk reduction, (4) personal experiences with cancer, and (5) culturally competent delivery of cancer information and resources. Understanding the perceptions of cancer within the Zuni Pueblo is an essential component in the development of interventional/preventative measures and improvement of current care. Ultimately, this information will provide a basis for the next steps in culturally sensitive cancer care for the Zuni Pueblo.

Nurse Practitioner Students’ Perceptions on Delivering Culturally Congruent Care to Vulnerable Mexican Immigrants: A Qualitative Study

2021 ◽  
pp. 154041532110204
Author(s):  
Linda S. Eanes ◽  
Carolina Huerta ◽  
Lilia Azeneth Fuentes ◽  
Beatriz Bautista
Keyword(s):  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Race And Ethnicity ◽  
Mexican Immigrants ◽  
Group Discussion ◽  
Cultural Beliefs ◽  
Cultural Influences ◽  
Therapeutic Communication ◽  
Culturally Congruent ◽  
Nurse Practitioner Students

Increasingly, nurse practitioners serve as vanguards in providing primary health care to vulnerable Mexican immigrants. The aims of this study were to explore the lived experiences of nurse practitioner students in caring for Mexican immigrant patients and to capture their meaning of cultural influences deemed essential to the delivery of culturally congruent care. An exploratory descriptive design was employed. Purposive sampling was used to select 17 nurse practitioner students who volunteered to complete a semistructured face-to-face audio-taped interview and follow-up focus group discussion. Constant comparison was utilized to analyze data. From this process, four distinct themes emerged: Culturally congruent care extends beyond race and ethnicity, understands the importance of therapeutic communication, accepts complementary and alternative medical modalities, and recognizes the importance of eating patterns, food choices, and perceptions of ideal weight and health. These findings build on our understanding of key evidence–based cultural beliefs and practices that are important in delivering culturally congruent care to this subgroup.

scholarly journals Impact of a Nurse-Led Health Promotion Intervention in an Aging Population: Results From a Quasi-Experimental Study on the “Community Health Consultation Offices for Seniors”

2018 ◽  
Vol 32 (1-2) ◽  
pp. 83-94 ◽  
Author(s):  
Anne Esther Marcus-Varwijk ◽  
Lilian L. Peters ◽  
Tommy L. S. Visscher ◽  
Carolien H. M. Smits ◽  
Adelita V. Ranchor ◽  
...  
Keyword(s):  
Older People ◽  
Community Health ◽  
Group Discussion ◽  
Intervention Group ◽  
Community Dwelling ◽  
Similar Data ◽  
Care Needs ◽  
Health Consultation ◽  
Health Related ◽  
Quasi Experimental

Objective: The study evaluated the nurse-led intervention “ Community Health Consultation Offices for Seniors (CHCO)” on health-related and care needs–related outcomes in community-dwelling older people (⩾60 years). Method: With a quasi-experimental design, the CHCO intervention was evaluated on health-related and care needs–related outcomes after 1-year follow-up. Older people who received the intervention were frail, overweight, or were smoking. The comparison group received care as usual. In both groups, similar data were collected on health status, falls and fractures, and care needs. In the intervention group, additional data were collected on biometric measures and health-related behavior. Results: The intervention group and the care-as-usual group included 403 seniors and 984 seniors, respectively. Health-related outcomes, behaviors, and biometric measures, remained stable. After 1 year, care needs increased for both groups, but at a lower rate for the care-as-usual group. Discussion: The CHCO intervention showed no significant improvement on health-related outcomes or stability in care needs–related outcomes.

scholarly journals Community Knowledge and Behavior About COVID-19 and Their Attitude Toward Public Policies Implemented Against This Pandemic in the Northwest of Iran

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Sedigheh Salavati ◽  
Hamid Shokri ◽  
Asghar Tanomand ◽  
Maryam Shirvani ◽  
Ali Soleimani ◽  
...  
Keyword(s):  
Health Behaviors ◽  
Urban Areas ◽  
Health Knowledge ◽  
Public Policies ◽  
Pearson Correlation ◽  
Physical Distance ◽  
Cross Sectional ◽  
Northwest Of Iran ◽  
High Risk Situation ◽  
And Behavior

Background: The awareness of people’s health knowledge and behavior on COVID-19 has helped guide education and health promotion policies, and examination of people’s opinions on governance measures against this disease will guide policymakers in making more decisions and responsiveness. Objectives: This study aimed to investigate people’s knowledge and behaviors toward COVID-19 and their views on adopted public policies against this disease in Maragheh, a city in the Northwest of Iran. Methods: This study was a cross-sectional, analytical study that was done in urban areas of Maragheh from 13 November to 20 December 2020. The sample size was estimated at 672 participants, and the sampling method was stratified random. The data collection instrument was a researcher-made questionnaire that consisted of four sections: demographic information, health behaviors, respondent’s knowledge of COVID-19, and their viewpoints on adopted public policies against this disease and was shared online. The one-way ANOVA, Pearson correlation, and multiple regression were used to analyze data with SPSS version 23. Results: The mean scores of people’s knowledge (6.42 ± 1.2) out of 9 and health behaviors (34.8 ± 3.9) of 36 were moderate. The majority of respondents had high levels of knowledge and also behavior about keeping the physical distance (98.5%) and proper handwashing (97.9%). Knowledge (β = 0.23) and male (β = -0.27) were the predictors of health behaviors (p < 0.001, F = 12.47). The investigation of myths on COVID-19 indicated that 17% and 41.1% of the respondents believed that alcohol consumption and using garlic and herbal drinks are effective in the prevention and 57.7% of them believed that holding the breath for 10 seconds is a sign of being healthy. People’s views on the COVID-19 control policies were assessed to be at the medium level (48.2 ± 7.5) of 65. The most effective policies against COVID-19 from the people’s opinions consisted of lockdown policies (96.4%), schools’ closure (95.9%), and constraints on intercity trips (91.3%). Conclusions: It seems necessary to strengthen measures on health knowledge promotion and implementation of health education interventions on protective behaviors of COVID-19 in such a way that right beliefs are replaced with wrong ones. Based on positive public opinions on Lockdown interventions, re-applying these policies is recommended to get the cities out of the high-risk situation.

scholarly journals The Effectiveness of Health Literacy Based Educational Intervention on Nutritional Outcomes of Elderly

Salmand ◽  
2020 ◽  
Vol 15 (3) ◽  
pp. 324-337
Author(s):  
Amin Mirzaei ◽  
◽  
Ali Ramezankhani ◽  
Parisa Taheri Tanjani ◽  
Mohtasham Ghaffari ◽  
...  
Keyword(s):  
Health Literacy ◽  
Educational Intervention ◽  
Intervention Group ◽  
The Elderly ◽  
Control Groups ◽  
Adequate Health Literacy ◽  
The Mean ◽  
Elderly Nutrition ◽  
And Behavior ◽  
Inadequate Health Literacy

Objectives: Health literacy is one of the most important social determinants of elderly health. This study aimed to determine the effectiveness of the educational intervention on knowledge, attitude, and nutritional behaviors of the elderly with adequate health literacy and inadequate health literacy. Methods & Materials: An experimental study was conducted with 192 people 60 years and older in Ilam Province, Iran, from May to September 2016. The elderly were assigned into four groups (48 subjects in each group), including two intervention groups with adequate and inadequate health literacy and two control groups with sufficient and insufficient health literacy. The elderly nutrition education program consisted of four lecture sessions with questions and answers, along with an elderly nutrition manual for the intervention group. The level of health literacy among the elderly was assessed using functional health literacy in adults. The level of knowledge, attitude, and nutritional behaviors was assessed using a researcher-made questionnaire in two stages before and two months after the educational intervention. The SPSS V. 21 was used for data analysis. Descriptive statistics and the Chi-square, paired t test, and Fisher exact test were used for data analysis. Results: The Mean±SD age of the men was 61.24±2.38 years, and the mean±SD age of women was 61.35±2.45 years. The majority of men with adequate health literacy were men (84.37%), while the proportion of men and women in those with inadequate health literacy was almost the same. All participants with adequate health literacy and 89.58% of those with inadequate health literacy were married. After the educational intervention, the mean scores of knowledge, attitude, and behavior in the intervention group with adequate health literacy increased significantly (P≤0.013, P≤0.015, and P<0.001, respectively). In the intervention group with inadequate health literacy, only the knowledge mean score after the intervention showed a significant increase (P≤0.035). However, there was no significant change in the mean scores of knowledge, attitude, and behavior in both control groups (P>0.05). Conclusion: According to the study Results, the effectiveness of the educational intervention in relation to nutrition of the elderly is significantly influenced by the level of health literacy.

scholarly journals REPRESENTASI PEREMPUAN JAWA DALAM SERAT WULANG PUTRI: ANALISIS WACANA KRITIS

2019 ◽  
Vol 9 (3) ◽  
pp. 213
Author(s):  
Atin Fitriana
Keyword(s):  
Discourse Analysis ◽  
Critical Discourse Analysis ◽  
Cultural Context ◽  
Point Of View ◽  
Woman Writer ◽  
Critical Discourse ◽  
And Behavior ◽  
Attitudes And Behavior ◽  
The Ideal

<p>The Javanese culture has a specific perspective on the ideal figure of women. This perspective is generally manifested in the classical texts, for example, in Serat Wulang Putri Adisara. Written by Nyi Adisara. Serat Wulang Putri contains the teachings for royal daughters in living their life as Javanese women based on Javanese teachings. In this manuscript, the readers can see the women figure portrayed from the perspective of a woman writer. This paper discusses the ideal women’s discourse in Serat Wulang Putri using the approach of critical discourse analysis from van Dijk. The analysis is conducted by considering the text’s microstructure, macrostructure, and cultural context. Through the analysis, we can see the ideal discourse of Javanese women based on Serat Wulang Putri. Furthermore, the text discusses women as figures who must pay attention to their attitudes and behavior, and can control their hearts, minds, and feelings. In this case, the author uses the male point of view to describe the characteristics of ideal Javanese women. Javanese women are also described as a weak figure and must obey what men command or expect from them.</p>

scholarly journals The effectiveness of nutrition education for care takers at Al-Sabah children hospital in patient therapeutic feeding center, Juba South Sudan.

2020 ◽  
Vol 5 (3) ◽  
Author(s):  
John Bosco Alumai
Keyword(s):  
Nutrition Education ◽  
Mixed Method ◽  
Qualitative Data ◽  
Group Discussion ◽  
South Sudan ◽  
Transfer Of Knowledge ◽  
Cross Sectional ◽  
Cross Sectional Design ◽  
Feeding Center ◽  
Successful Transfer

 AbstractBackgroundA key part of treating and preventing malnutrition is the provision of effective nutrition education to the clients and caretakers so that they can self-manage their nutrition needs even after discharge from the hospital. For effective nutrition education, three factors are paramount; The successful transfer of knowledge and skills, client motivation to act on the acquired skills and knowledge and ensuring that the patient is able to understand and put to practice the educational messages given.MethodsThe study used cross sectional design with mixed method of data collection that involved 83 caretakers of admitted SAM children at Al-Sabah children hospital ITC, Sample size was determined using Cochran 1975, interviewer administered questionnaires and focus group discussion guide were the tools used in collecting data.Data set was generated using EPI info and analyzed using SPSS version 21, the analyzed descriptive data was triangulated with the qualitative data collected using FGD.Results The majority of the caretakers were female 78 (94%) of which 68 (81.9%) were mothers to the children that were admitted. Only 8 (9.6%) of the respondents were found to have attained effective nutrition education and majority of the respondents were found not to be recalling the information they were given during the education session.ConclusionAs per the guidelines adapted by the ministry of health republic of South Sudan, the nutrition education sessions conducted was found not be effective as most of the clients could not even recall the information given. 

scholarly journals The Influence of Knowledge, Attitudes and Behavior of Cleaning Officers with the Number of Mosquito Larvae in the Water Reservoir Punti Kayu Palembang City

2021 ◽  
Vol 5 (3) ◽  
pp. 286-294
Author(s):  
Aldi Alfian ◽  
Chairil Anwar ◽  
Iche Andriyani Liberty
Keyword(s):  
Aedes Albopictus ◽  
Mixed Method ◽  
Water Reservoir ◽  
Mosquito Larvae ◽  
Density Level ◽  
Mixed Method Research ◽  
Water Reservoirs ◽  
Nature Park ◽  
And Behavior ◽  
Attitudes And Behavior

A B S T R A C TBackground Mosquito was one of the animals that can transmit deadly diseases.Information about water reservoirs as their habitat as well as human knowledge,attitudes and behavior factors are considered important to help eradicate mosquito.This study aims to determine the effect of knowledge, attitudes and behavior ofcleaners on the number of mosquito larvae in water reservoirs in Palembang.Methods This research was mixed method research (quantitative and qualitative) inthe field and laboratory. The research samples were all mosquito larvae andcontainers found. The research respondents were all cleaning services. Data werecollected by interviewing and filling in questionnaires, observing water reservoirsand identifying the types of mosquito larvae in microscope. Results A total of 40containers were found in Punti Kayu Nature Park. There were 8 containers that wereindoors (20%) and 32 containers were outdoors (80%) with 17 containers containedlarvae. Of all the containers that were positive for larvae, 6 were filled with clearwater and 11 were filled with turbid water. The number of larvae found were 358larvae outdoors and 82 larvae indoor with a total of 440 mosquito larvae with thegenus Culex spp. and Aedes albopictus species. The index of mosquito larvae wereobtained FLI (Free Larva index)=66,67%, HI (House Index)=33,33%, CI (ContainerIndex)=16,67%, BI (Breteau Index)=33.33% from the 3 buildings examined. Fromthese results, it was obtained DF (density figure) or density level of 5. There were 40containers that could be habitats for Culex spp. and Aedes albopictus. ConclusionThe knowledge, attitude and behavior of the cleaning services were good. Thenumber of mosquito larvae could be influenced by the frequency of cleaning and thelack of knowledge of the cleaning services.

scholarly journals Development Strategy in Bio-Geophysic Ecological Area of Mandeh Tourism to Meet Asean Economic Community (MEA)

2017 ◽  
Vol 1 (1) ◽  
pp. 50
Author(s):  
Alexander Syam
Keyword(s):  
Qualitative Research ◽  
Development Strategy ◽  
Mixed Method ◽  
Group Discussion ◽  
Tourism Development ◽  
Qualitative And Quantitative ◽  
Research Activities ◽  
Asean Economic Community ◽  
Development Alternatives ◽  
Hierarchy Process

The purpose of this study is to determine and analyze Mandeh tourism development strategy and to formulate Development Alternatives using FGD (Focus Group Discussion) and AHP (Analytical Hierarchy Process). The type of this study is Mixed Method which is research that combines or integrates qualitative and quantitative Method to be used together in research activities in order to obtain more comprehensive, valid, reliable, and objective data. However, in this study is more weighted on qualitative research and quantitative data to support qualitative research. So, based on the results of FGD and AHP there are four main priorities strategy in dealing MEA: 1) tourism development of art, culture and religion, 2) tourism product’s development of natural wonder, 3) development of underwater tourism, 4) providing socialization to meet MEA.

Sign in / Sign up

Export Citation Format

Share Document