Health beliefs of midwives about HIV/AIDS protection and the barriers to reducing risk of infection

2011 ◽  
Vol 24 (2) ◽  
pp. 106-117 ◽  
Author(s):  
Masoumeh Simbar ◽  
Marzieh Shayan‐Menesh ◽  
Fatemeh Nahidi ◽  
Ali‐Reza Akbar‐Zadeh

PurposeUsing a health belief model (HBM), this study aims to assess the knowledge, attitudes and practices of Iranian midwives in relation to HIV/AIDS protection behavior and to determine the needs of interventional programs for promotion of the behavior among midwives of maternity care units.Design/methodology/approachThis was a cross‐sectional study in five selected hospitals in Isfahan. All 58 midwifery personnel of maternity wards of these hospitals participated in the study. Tools for data collection were a checklist to assess midwives' practice and a questionnaire to assess knowledge, attitude, and the HBM of midwives about HIV/AIDS‐protection methods.FindingsA total of 58 midwifery personnel with average working experience of 10.92±7.98 years were assessed in the study and with a high knowledge, positive attitude and moderate practice about HIV/AIDS protection methods. The midwives perceived two main barriers, which impacted on their self‐efficacy and their protection behavior. These barriers were the emergency conditions of the work and the low availability of protective equipment.Originality/valueHIV/AIDS protection behavior and HBM of midwives can be promoted by overcoming management barriers such as inadequate midwifery personnel in emergency conditions and insufficient protective equipment. The behavior also needs to be promoted by educational interventions which focus on improving midwives' perceived risk of HIV/AIDS infection.

2016 ◽  
Vol 13 (1) ◽  
pp. 91-97 ◽  
Author(s):  
Daniel Whibley ◽  
Ross MacDonald ◽  
Gary J. Macfarlane ◽  
Gareth T. Jones

AbstractBackgroundMusculoskeletal pain in the distal upper limb is common and is a cause of disability and healthcare consultation. At the time of presentation individuals reporting similar pain severities may report different levels of related disability. The biopsychosocial model proposes that health beliefs may help explain this difference. The aim of this cross-sectional study was to identify underlying constructs of health belief in those referred to physiotherapy with pain in the distal upper limb and investigate whether these constructs moderated the relationship between pain severity and extent of disability.MethodHealth beliefs were assessed using an instrument included in a questionnaire completed before randomisation to the Arm Pain Trial (ISRCTN79085082). Ordinal responses to statements about health beliefs were used to generate a polychoric correlation matrix. The output from this matrix was then used for Exploratory Factor Analysis to determine underlying constructs. The moderating influence of the identified health belief constructs was then tested using interaction terms in linear regression models.Results476 trial participants contributed data, age range 18–85 (mean 48.8, SD 13.7), 54% female. Five health belief constructs were identified: beliefs about hereditary factors, beliefs about movement and pain, beliefs about locus of control, beliefs about the role of lifecourse/lifestyle factors, and beliefs about prognosis. The only health belief construct found to moderate the pain-disability relationship was beliefs about prognosis, with greater pessimism resulting in higher levels of disability at mild-to-moderate levels of pain severity (B –0.17,95% CI –0.30, –0.036).ConclusionThis exploratory cross-sectional study identified five constructs of health belief from responses to a previously used set of statements investigating fear avoidance and illness beliefs in a clinical population with pain in the distal upper limb. Of these constructs, beliefs about prognosis were found to moderate the relationship between pain and disability.ImplicationsAt the time of referral to physiotherapy it may be beneficial to assess patients’ perception of prognosis. For those with higher than expected disability for the presenting level of pain, and pessimism about prognosis, focused reassurance may play an important part in initial consultation. Longitudinal study is required to support the findings from this study and investigate whether a causal relationship exists. Future investigations should confirm the health belief constructs proposed.


2021 ◽  
Vol 12 ◽  
Author(s):  
Adelina Mihaela Ştefănuţ ◽  
Mona Vintilă ◽  
Mihaela Tomiţă ◽  
Eugenia Treglia ◽  
Monica Alina Lungu ◽  
...  

The aim of this study is to investigate whether Health Belief Model constructs, personal resources, vaccination history and health anxiety exert an influence on vaccination intention. To achieve this end, we carried out a cross-sectional study of 432 people drawn from a convenience sample who answered an online questionnaire. Multiple logistical regressions showed that perception of the severity of the disease, of the benefits of being vaccinated, of barriers, and of cues to action, along with the freeness and accessibility of the vaccine and general vaccination history, are significant predictors regarding vaccination intention.


2019 ◽  
Author(s):  
Mashael K Alshaikh ◽  
Juren P. Baldove ◽  
Salman Rawaf

Abstract Background Cardiovascular disease (CVD), a major worldwide public health issue, is of significant concern as several studies confirm the high prevalence of CVD risk in Saudi women. However, limited has focused on how these risks are affected by health beliefs and socioeconomic variables. The Health Belief Model was used to compare Saudi women’s perceived health beliefs with their calculated Framingham Risk Score (FRS) to determine their risk for a future CVD event and the influence of socio-economic variables on the prevalence of CVD risk.Methods A cross-sectional study was conducted on women attending the primary care clinics in a university hospital in Riyadh, Saudi Arabia. A non-random convenience sample was selected of adult women without pre-existing CVD. Health belief and sociodemographic data were collected, and FRS calculated.Results A total of 503 Saudi females participated, the majority of whom significantly underestimated their actual risk of CVD as measured by their individual FRS. 43.4% had a high CVD risk but a low perception of susceptibility. 63.5% understood the severity of CVD, while 75.2% had a low to moderate perception of the benefits of healthy behaviours. 86.7% did not know how to perform CVD risk-reducing exercises, and 65.9 % stated that they did not have access to exercise facilities. Pearson correlations suggest a weak linear relationship between the FRS and the subscales of each health belief. However, there was a significant relationship between the Framingham scores across income, marital status, education and occupational status categories (p<= 0.001) in Chi-Square tests. Significant differences were found when comparing perceived benefits of healthy behaviours with marital status; perceived severity and benefits with the level of education; perceived severity and benefits with occupation; and perceived severity and benefits with financial income. Conclusions This study is the first in Saudi Arabia to examine the correlation between health beliefs, calculated CVD risk, and socioeconomic variables among Saudi women. Education and income were vital elements affecting their CVD risk and health beliefs, and these have implications for public health policy-making.


Author(s):  
Nagapraveen Veerapu ◽  
Philip Ravi Kumar Baer ◽  
Meghana Kudumula

Background: Increased globalization, urbanization, improvements in science and technology, information technology made life style changes; prone to increased risk of non communicable diseases. Beliefs about hypertension determine behaviour of the hypertensive people towards hypertension and its complications. Health beliefs about hypertension can be studied by health belief model. The objectives were to know the socio-demographic characteristics and to quantify the health beliefs among elderly hypertensive people in the light of Health belief model.Methods: A cross sectional study was done for a period of 6 months from January 2018 to June 2018 among people aged 50 years and above who were hypertensives in Khammam urban locality. Randomly 160 people were selected for the study. Data was collected by using a semi-structured questionnaire. Analysis will be done using proportions.Results: The average number of years the individuals known to have hypertension was 6.38 years. The current systolic blood pressure in most of the elderly was in between 140-149 mm of Hg. The current diastolic BP in most of the elderly was 81-90 mm of Hg was followed by less than 80 mm of Hg. In the study, health beliefs were quantified. More than half of elderly had perceived threat of hypertension (54.6%). The health beliefs of perceived benefits were 44%. Perceived threats of barriers were 62.7%.Conclusions: The information obtained will be useful for planning the health education or health promotion programs based on the needs and deficiencies of the people.


2014 ◽  
Vol 8 (04) ◽  
pp. 424-429 ◽  
Author(s):  
Tatyana Belkina ◽  
Abdullah Al Warafi ◽  
Elhassan Hussein Eltom ◽  
Nigora Tadjieva ◽  
Ales Kubena ◽  
...  

Introduction: Inappropriate use of antibiotics has resulted in a dramatic increase of antimicrobial resistance in developing countries. We examined knowledge, attitudes, and practices of antibiotic use in three Asian countries. Methodology: A nationwide cross-sectional study of teachers in large cities of Yemen, Saudi Arabia, and Uzbekistan was conducted. A random sample of 1,200 teachers was selected in each country. Data were collected through a questionnaire-based survey and then analyzed using descriptive and multivariate statistical methods. Results: The prevalence of non-prescription antibiotic use ranged from 48% in Saudi Arabia to 78% in Yemen and Uzbekistan. Pharmacies were the main source of non-prescribed antibiotics. The most common reasons for antibiotic use were cough (40%) and influenza (34%). Forty-nine percent of respondents discontinued antibiotics when they felt better. Although awareness of the dangers of antibiotic use correlated inversely with self-medication, understanding of the appropriate use of antibiotics was limited. Conclusions: The prevalence of antibiotic self-medication in the educated adult population in the studied countries was found to be alarmingly high. Effective strategies involving regulatory enforcement prohibiting sales of antibiotics without prescription should be implemented along with educational interventions for health professionals and the public.


Author(s):  
Pedro Ferreira ◽  
Hugo Barbosa

Purpose This paper aims to contribute to the understanding of what influences consumers’ choice of mandatory prescribed drugs, by looking with more detail to the substitution of branded drugs by generics. Specifically, this research looks at three factors that can influence this decision, namely, participative decision-making, perceived risk and price consciousness, within the recent changes introduced in the Portuguese pharmaceutical market by new legislation. Design/methodology/approach A cross-sectional study was conducted, using a self-administered questionnaire, to survey a sample of consumers/patients that visited a doctor and were prescribed some kind of drug. Data were treated using factor analysis for dimensionality reduction purposes and regression analysis to test the main hypothesis. Findings The results show that participative decision-making has no impact on purchase decision of generics, while perceived risk and price consciousness show a predictive power regarding purchase intention of generic drugs. Research limitations/implications Although the results are only applicable to the Portuguese context, it draws important conclusions regarding consumers’ behaviour when choosing between branded and generic drugs. Practical implications Knowing what influences consumers’ choices of generic drugs contributes to tune marketing strategies and actions. For public institutions, this paper offers insights on how to adapt public policies. Originality/value This paper is valuable because it is the first to look at the Portuguese pharmaceutical market from a consumer behaviour perspective since new legislation was set up.


2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Zhongliang Zhou ◽  
Dantong Zhao ◽  
Huarui Zhang ◽  
Chi Shen ◽  
Dan Cao ◽  
...  

Abstract Background There is an increasing trend on the practices of parental self-medication with antibiotics (PSMA) around world, accelerating the antibiotic abuse. This study aims to examine the nationality differences in the practices of PSMA and knowledge, attitudes and practices (KAP) toward antibiotic use, and understand the practices of PSMA among parents of various nationalities in China. Methods A cross-sectional study based on a structured questionnaire survey was conducted in Xi’an, Shaanxi Province, China, from September 2018 to October 2018. A total of 299 respondents participated in. The practices of PSMA (a dichotomous variable) and KAP toward antibiotic use (a continuous variable) served as dependent variables. Participant’s nationality was regarded as the independent variable. Binary logistic regression and ordinary least square regression were employed to examine the association between parent’s nationality and the practices of PSMA, and KAP toward antibiotic use, respectively. Results 121 (40.88%) Chinese, 100 (33.76%) other Asians and 75 (25.34%) Occidentals were included in final analysis, with a sample size of 296. Chinese were more likely to practice PSMA (OR = 7.070; 95% CI 1.315, 38.01), with worse knowledge (Coef. = − 0.549; 95% CI − 1.021, − 0.078), attitudes (Coef. = − 3.069; 95% CI − 4.182, − 1.956) and practices (Coef. = − 1.976; 95% CI − 3.162, − 0.790) toward antibiotic use, compared to their Occidental counterparts. The main reasons for the practices of PSMA were enough previous medication experience (80.49%) and same ailments with no need to see a doctor (39.02%), with common symptoms such as fever (60.98%) and cough (58.54%). Purchasing antibiotics at pharmacies (92.08%) and using leftover antibiotics (26.83%) were usual approaches. Conclusions The study highlights the gaps in the practices of PSMA and KAP toward antibiotic use among parents of different nationalities. The access to obtain antibiotics from pharmacies reflects the pharmacists’ unaware of laws on prescription of antibiotics, fierce competition in the pharmacy market, and the government’s lax supervision in China. It suggests the need to improve pharmacists’ training, enforce current legislations on pharmacy market regarding the sale of antibiotics, and provide practical and effective educational interventions for residents about antibiotic use.


2020 ◽  
Author(s):  
Rezarta Lalo ◽  
Gjergji Theodhosi ◽  
Alberta Breshanaj

Abstract Previous researchers have found that young university students can have a high level of knowledge about HIV/AIDS (Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome), but they are still not utilizing the existing HIV prevention methods. There is therefore a need to determine which factors and barriers influence the use of existing HIV screening and prevention methods among students of the University of Vlora in Albania. This descriptive cross-sectional study included as a target population 710 students, randomly selected. A structured, self-administered questionnaire was used for data collection. A regression analysis was used to assess the relationship between variables. The results showed that 69% of the students felt ofended if their partner requested to use a condom. 78% of the students with sexual experience didn’t used Voluntary Counseling and Testing services. The fear of stigmatization was one of the barriers to VCT uptake (p<0.0001, OR=1.779). These data will be useful in designing and improving HIV/AIDS prevention programs in Albania. Key words: Barriers, Health beliefs, HIV/AIDS, Screening, Sexual Health, Student.


2019 ◽  
Vol 8 (5) ◽  
pp. 10 ◽  
Author(s):  
Dennis Rosenberg ◽  
Rita Mano ◽  
Gustavo S Mesch

Women use the Internet more for health purposes than men, probably due to their gender socialization as caregivers. Indeed, women’s use of social media for health is not a one-time occurrence but is expected to continue for a long time to come. Hence, it is important to understand women’s future intention to use social media for health purposes. This study integrated health empowerment, health beliefs and digital inequality perspectives to explain this intention among Jewish female social media users (N = 94). The data were collected through a telephone survey. The results indicated that searching for health information on social media and cues to action are consistent predictors of women’s intention to use social media for health purposes. With the exception of marital status, no effect of socio-demographic variables was found. Health empowerment approach and health belief model are, therefore, the best predictors of future intention to use social media for health. Women should be encouraged by their communities to expand their experience with social media, since it may serve as a source of health empowerment. In addition, they must be encouraged to be more attentive to internal or external stimuli in maintaining or changing their health behavior.


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