Adherence to Primary Prevention and Skin Self-Examination Practices by Spanish Melanoma Patients

Dermatology ◽  
2021 ◽  
pp. 1-7
Author(s):  
Irene Torrecilla-Martínez ◽  
Esperanza Manrique-Silva ◽  
Victor Traves ◽  
Celia Requena ◽  
Eduardo Nagore
Keyword(s):  
Primary Prevention ◽  
Cutaneous Melanoma ◽  
Public Health Problem ◽  
Global Public Health ◽  
Prevention Measures ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
History Of ◽  
High Level ◽  
Self Examination

<b><i>Background:</i></b> The incidence of cutaneous melanoma, an important global public health problem, has been increasing over the last several decades. <b><i>Objectives:</i></b> In order to decrease melanoma-related mortality, ways to communicate and implement the correct methods for conducting primary and secondary prevention measures (such as early detection via self-examination) should be investigated. <b><i>Materials and Methods:</i></b> An observational, cross-sectional, retrospective study consisting of 409 patients diagnosed with cutaneous melanoma was conducted. An online questionnaire was created to evaluate knowledge levels, attitudes, and adherence to primary preventive measures and to skin self-examination practices. <b><i>Results:</i></b> The results revealed that even when 43% of the patients perform cutaneous self-examinations, only half of them fully followed the recommendations. Patients aged &#x3c;45 years, female, with a I–II phototype, with an intermediate/high level of education, and with a history of NMSC were more likely to have an adequate degree of knowledge. Moreover, patients aged &#x3c;45 years and with an adequate degree of knowledge more frequently showed an adequate adherence to the primary prevention measures. Finally, patients aged 45–60 years and with an adequate degree of knowledge presented a good adherence to the self-skin examination measures. <b><i>Limitations:</i></b> Possible limitations of this study were memory bias through the influence of age within the study population, and bias due to a greater proportion of subjects with a high education level. <b><i>Conclusion:</i></b> Within the population of patients with melanoma, a high percentage of patients do not rigorously follow the recommended prevention measures. Our study highlights the need to implement awareness in this population to improve the prevention of cutaneous cancer.

scholarly journals Investigation of Awareness and Anxiety Levels of Pregnant Women During Pandemic Process. A Multi-Centric Descriptive Cross-Sectional Survey Study in Istanbul, Turkey

2020 ◽  
Author(s):  
Rabia Merve Palalioglu ◽  
Ozan Karadeniz ◽  
Gokce Ipek Aytok ◽  
Batuhan Palalioglu ◽  
Gizem Nur Koyan ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Demographic Data ◽  
Psychological Impact ◽  
Public Health Problem ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Patients With Diabetes ◽  
History Of ◽  
High Level

Abstract Background:COVID-19 pandemic is an important and urgent public health problem. It is currently unknown that how pregnant women deal with the Coronavirus disease and its results. The aim of this study is to evaluate the psychological impact of the coronavirus pandemic on pregnant women and to determine whether pregnant women have sufficient knowledge and awareness for a healthy antenatal process.Methods: This prospective study was conducted at two centers. Regardless of the gestational age, a questionnaire was distributed to 1003 pregnant women in total, from 51 original questions that investigate the pregnant women’s demographic data, history of contact with COVID-19-positive patients, knowledge and concerns about COVID-19, precautions. 526 participants were included in the study. The questionnaire was delivered using the QR code method. The questionnaires were answered online by participants via SurveyMonkey in order to minimize contamination due to the pandemic.Results: The period when anxiety was highest was the 2nd trimester, whereas women in the 1st trimester had the lowest level of anxiety. High levels of awareness were observed in patients with heart disease, but patients with diabetes mellitus had a high level of anxiety. There was a statistically significant correlation between anxiety and awareness scores of the coronavirus disease.Conclusion:It is important to maintain the mental and physical health of pregnant women, who are in a more delicate condition than other individuals in the society. In this regard, healthcare professionals have important duties such as taking necessary precautions and explaining the seriousness of the situation to pregnant women.

scholarly journals AWARENESS AND BELIEF REGARDING BREAST CANCER AMONG WOMEN LIVING IN SELANGOR, MALAYSIA

2020 ◽  
Vol 20 (1) ◽  
pp. 30-39
Author(s):  
Hasanain Ghazi ◽  
Mohammed Abdalqader ◽  
Mohammed Faez Baobaid ◽  
Tiba Nezar Hasan ◽  
Povaneshwari Maratha Pillai ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Demographic History ◽  
Educational Background ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Validated Questionnaire ◽  
History Of ◽  
High Level ◽  
Self Examination

Breast cancer is one of the leading causes of mortality among women. The aim of the current study was to assess the factors affecting awareness and beliefs regarding breast cancer, among women living in the state of Selangor, Malaysia. A cross-sectional study was conducted among women living in Selangor aged 18 to 65 years old, with a total of 483 participants. A validated questionnaire regarding awareness and belief was used. The questionnaires consist of 25 questions comprising of socio-demographic, history of other diseases, awareness and belief. The prevalence of poor awareness among women was 63.4%. while the poor level of belief was 84.7%. There was a significant association between awareness and educational background, family history of breast cancer (P=0.001, P=0.032) respectively. The association between awareness and belief was significant (P=0.02). As a conclusion: There is a high level of poor belief and poor awareness among women in Selangor, Malaysia regarding breast cancer. Source of information such as the internet plays a major role in breast cancer prevention, and the majority of them do not know the technique of breast self-examination. More health promotion is needed to target general population through big campaign of awareness.  

scholarly journals Analisis Faktor Sosiodemografi yang Mempengaruhi Perilaku Pencegahan Transmisi Covid-19

2021 ◽  
Vol 7 (1) ◽  
pp. 53
Author(s):  
Santy Irene Putri ◽  
Karlinda Karlinda
Keyword(s):  
Sex Education ◽  
Employment Status ◽  
Sampling Technique ◽  
Sociodemographic Factors ◽  
Prevention Measures ◽  
Research Subjects ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Prevention Behavior ◽  
High Level

Covid-19 is a new type of coronavirus that has not been previously identified in humans. Covid-19 epidemic spread far more quickly than before all over the world. Therefore, massive preventive measures are needed to reduce the spread of Covid-19. This study aimed to analyze sociodemographic factors that influence prevention behavior of Covid-19 transmission. This was a quantitative study with cross-sectional design. This study located in NTT, West Kalimantan and East Java. The time of study was in June 2020. The sample of 96 subjects were selected by stratified random sampling technique. The dependent variable is the prevention behavior of Covid-19 transmission. Independent variables are sociodemographic include age, sex, education, and employment status. The data were collected by using an online questionnaire. The data were analyzed by using multivariate analysis. The prevention behavior of Covid-19 transmission were influenced by age (b = 0.31, 95% CI = 0.02 to 0.59, p = 0.036), education (b = 2.16, 95% CI = 0.15 to 4.17, p = 0.036), and employment status (b = 2.24, 95% CI = 0.59 to 3.90, p = 0.008). Gender (b = -0.45, CI 95% = -3.64 to 2.74, p = 0.781) had no effect on the prevention behavior of Covid-19 transmission. From the results of this study, it was found that research subjects with a more mature age, high level of education, and higher employment status could take Covid-19 prevention measures well. However, in this study, the results also showed that the gender of men and women did not influence Covid-19 prevention behavior. It is interesting to study the effect of each independent variable (age, education, occupation and sex) on the dependent variable (Covid-19 transmission prevention behavior).

Comparison of Non-radiographic Axial Spondyloarthritis and Ankylosing Spondyltis from a Single Rheumatology Hospital in Morocco

2020 ◽  
Vol 16 (3) ◽  
pp. 240-244 ◽  
Author(s):  
Nessrine Akasbi ◽  
Siar Nihad ◽  
Zoukal Sofia ◽  
El Kohen Khadija ◽  
Harzy Taoufik
Keyword(s):  
Disease Burden ◽  
Axial Spondyloarthritis ◽  
Univariate Analysis ◽  
Cross Sectional Study ◽  
Low Back ◽  
New Classification ◽  
Cross Sectional ◽  
Asas Criteria ◽  
History Of ◽  
High Level

Background: According to the new classification criteria developed by The Assessment of SpondyloArthritis International Society, patients with axial spondyloarthritis (axSpA) can be classified in 2 subgroups: Patients with radiographic axial spondyloarthritis: ankylosing spondylitis patients (AS) and those with non-radiographic axial spondyloarthritis (nr-axSpA). Objective: The aim of the present study is to describe and discuss the differences and similarities between the two subgroups. Patients and Methods: A cross-sectional study was conducted in a single rheumatology hospital in Morocco. These included patients diagnosed as having axial spondyloarthritis according to ASAS criteria 2010, during a period of 6 years. The AS and the nr-axSpA subgroups were compared for the various axSpA-related variables. Results: Of the 277 patients with a diagnosis of axial SpA who were included in this study, 160 had AS and 117 had nr-axSpA. AS and nr-ax-SpA shared a similar age at diagnosis, similar prevalence of low back pain, lumbar stiffness, extra-articular manifestations, BASDAI and BASFI. In the multivariate analysis, AS patients were mainly male with cervical stiffness, enthesitis, coxitis and high level of ESR (erythrocyte sedimentation rate). The females generally had a family history of SpA and arthritis and were associated to the nr-axSpA form in the univariate analysis. Conclusion: This was the first study to characterise patients with AS and nr-axSpA in Morocco. Consistent with other studies published, this study showed that patients with nr-axSpA and patients with AS shared a comparable degree of disease burden.

Perceived Experiences of Community Violence Among Adolescents: A School Survey From Rio de Janeiro, Brazil

2021 ◽  
pp. 088626052110051
Author(s):  
Claudia L. de Moraes ◽  
Érika B. dos Santos ◽  
Michael E. Reichenheim ◽  
Stella R. Taquette ◽  
Luciane Stochero ◽  
...  
Keyword(s):  
Public Schools ◽  
Community Violence ◽  
Rio De Janeiro ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Global Public Health ◽  
Cross Sectional ◽  
Interpersonal Aggression ◽  
Adolescent Students ◽  
Management Actions

Community violence (CV) is a global public health problem due to its high frequency and severe consequences. Although CV is one of the leading causes of death among adolescents, little is known about the everyday CV situations that do not lead to death. This study aimed to estimate the frequency of exposure to and involvement in CV situations among adolescent students from public and private schools in the city of Rio de Janeiro, Brazil. This was a cross-sectional study of 693 individuals in their second year of high school selected through stratified multistage random sampling. Information about their exposure to and involvement in CV was collected through a self-completed multidimensional questionnaire in the classrooms. For approximately 30% of the adolescents, someone close to them had been murdered, and 40% had already seen the corpse of a victim of homicide. Seventeen percent reported having been directly involved in CV situations. Approximately 38%, 13%, and 25% had been victims of robberies, interpersonal aggression, and death threats to either themselves or their relatives, respectively. Many of these situations occurred more than once. In general, CV was more frequently reported by boys and by those who did not live with both parents. Adolescents from higher economic classes experienced more interpersonal aggression and felt a greater need to carry a gun. Those who belonged to the lower economic classes and studied in public schools were more exposed to lethal violence than other students. The results call attention to the very high percentage of adolescent students that are involved in CV situations as well as to the differences in violence rates among population subgroups. Such findings should be considered when planning CV prevention and management actions in schools and other socialization spaces for adolescents.

scholarly journals COVID-19 Vaccine Acceptance in Azuay Province, Ecuador: A Cross-Sectional Online Survey

Vaccines ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 678
Author(s):  
Julio Jaramillo-Monge ◽  
Michael Obimpeh ◽  
Bernardo Vega ◽  
David Acurio ◽  
Annelies Boven ◽  
...  
Keyword(s):  
Rural Areas ◽  
Online Survey ◽  
Vaccination Campaign ◽  
Postgraduate Education ◽  
Effective Vaccine ◽  
Cross Sectional ◽  
Lower Education Level ◽  
Vaccination Acceptance ◽  
History Of ◽  
High Level

We investigated the COVID-19 vaccination acceptance level in Azuay province, Ecuador through an online survey from 12th to 26th February (before the start of the COVID-19 vaccination campaign in Ecuador). Overall, 1219 respondents participated in the survey. The mean age was 32 ± 13 years; 693 participants (57%) were female. In total, 1109 (91%) of the participants indicated they were willing to be vaccinated with a COVID-19 vaccine, if the vaccine is at least 95% effective; 835 (68.5%) if it is 90% effective and 493 (40.5%) if it is 70% effective; 676 (55.5%) participants indicated they feared side effects and 237 (19.4%) thought the vaccine was not effective. Older age, having had a postgraduate education, a history of a negative COVID-19 test, a high level of worry of contracting COVID-19, believing that COVID-19 infection can be prevented with a vaccine and understanding there is currently an effective vaccine against COVID-19 were associated with higher vaccination acceptance. A vaccination education campaign will be needed to increase the knowledge of Ecuadorians about the COVID-19 vaccine and to increase their trust in the vaccine. People with a lower education level and living in rural areas may need to be targeted during such a campaign.

Psychological, Structural, Social and Economic Determinants of Suicide Attempt: Risk Assessment and Decision Making Strategies

2021 ◽  
pp. 003022282110034
Author(s):  
Azam Farmani ◽  
Mojtaba Rahimianbougar ◽  
Yousef Mohammadi ◽  
Hossein Faramarzi ◽  
Siamak Khodarahimi ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Suicide Attempt ◽  
Suicide Attempts ◽  
Psychological Services ◽  
Cross Sectional ◽  
Economic Determinants ◽  
History Of ◽  
Cross Sectional Design ◽  
High Level ◽  
Risk Assessment And Management

The aim of this research was to conduct a risk assessment and management of psychological, structural, social and economic determinants (PSSED) in a suicide attempt. The sample consisted of 353 individuals who had a recorded history of suicidal attempt; and 20 professional individuals by purposive sampling method within a descriptive cross-sectional design. Worksheets for RAM and AHP were used for data collection in this study. The rate of suicide attempt was 7.21 per 100,000 population in this study. Analysis showed that depression and mental disorders; personality disorders; family problems; socio-cultural and economic problems; lack of awareness; and low level of education have a high level of risk for suicide attempts. Psychiatric and psychological services; awareness and knowledge of life skills; medical services to dysfunctional families; development of community-based planning for PSSED of suicide; and employment and entrepreneurship services may lower suicide attempt risk.

scholarly journals Prevalence and Associated Factors of Anemia among Muslim Students, Nakhon Si Thammarat, Thailand: A Cross-Sectional Study

2021 ◽  
Vol 58 ◽  
pp. 004695802110134
Author(s):  
Chutima Rattanawan ◽  
Suraiya Cheloh ◽  
Asma Maimahad ◽  
Malatee Tayeh
Keyword(s):  
Public Health ◽  
Associated Factors ◽  
Public Health Problem ◽  
Economic Factor ◽  
Cross Sectional Study ◽  
School Age ◽  
Global Public Health ◽  
Related Factors ◽  
Cross Sectional ◽  
Prevalence Of Anemia

Anemia is a global public health problem. The prevalence of anemia among different ages, genders or ethnic groups must be clarified in order to solve problems. This study proposed to determine the prevalence and factors related to anemia among the Muslim school-age population in Nakhon Si Thammarat, Thailand. Socio-demographic and anthropometric data were collected by a structured questionnaire. Blood samples were collected from 200 school-age subjects. The thalassemia screening was performed with KKU-OF and KKU-DCIP reagents. The prevalence of anemia in this study was 36.5%, divided into males and females, 33.3% and 39.1%, respectively. The means of Hb, Hct, MCV, MCH, and MCHC in the anemic group were significantly lower. The positive results for KKU-OF or KKU-DCIP or both were 15.0%, 2.5%, and 1.0%, respectively. The result of positive OF test was a significantly independent factor for anemia. The number of family members was 5 to 7 and more than 7 persons are related factors for anemia in this study. In summary, the contribution of thalassemia and socio-economic factor are associated factors to anemia in this population. These findings should be addressed in public health strategies for the control of anemia of school-aged Muslims in the region.

scholarly journals Patient health engagement model: explaining citizens noncompliance and maladaptive behaviors

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
G Graffigna ◽  
S Barello ◽  
L Palamenghi ◽  
M Savarese ◽  
G Castellini
Keyword(s):  
Healthcare Services ◽  
Cross Sectional Study ◽  
Health Prevention ◽  
Prevention Measures ◽  
Cross Sectional ◽  
Health Authorities ◽  
Patient Health ◽  
Public Health Authorities ◽  
High Level ◽  
Restrictive Measures

Abstract Background At the end of February 2020 a new case was diagnosed with COVID-19 in north Italy, suddenly followed by new cases. Italian health authorities decided to enforce restrictive measures. Northern areas of Italy were identified as “red areas” to slow down the epidemic and its impact on the healthcare system. From this perspective, the COVID-19 epidemic in Italy constitutes a testing ground for the assessment of the ability of consumers to cope with this health risk. Methods A cross-sectional study on a representative sample of 1000 Italian citizens was conducted over the period 27 February- 5 March exploring the following hypotheses: 1) less engaged individuals are more concerned for the health emergency and feel more vulnerable; 2) less engaged have higher probability to develop negative attitudes and dysfunctional behaviors. Results only the 16% the interviewees presented a high level of engagement. Lower levels of engagement were measured in the southern parts of Italy (not yet touched by the epidemics at the time of data collection). People with lowers levels of engagement reported higher fears for the contagion and sense of vulnerability. Furthermore, they showed the lower levels of trust in the Public Health Authorities, in medical research and in vaccines. Finally, they appeared more dismissive in their preventive behaviors and more disorganized in the fruition of the healthcare services. Conclusions A psychological analysis of processes of attitudinal and role change in the direction of becoming more engaged in health prevention is worthy in order to forecast potential dysfunctional reactions to restrictive health prevention measures and to orient personalized education initiatives to consumers with different level of engagement. Key messages Profiling based on the levels of health engagement is important in order to plan more effective healthcare measures during epidemics. Targeted educational initiatives should take into account citizens' engagement profiles.

scholarly journals Knowledge and vaccination status on hepatitis B among the students of Patuakhali Science and Technology University, Bangladesh

2018 ◽  
Vol 5 (11) ◽  
pp. 4715
Author(s):  
M. Sabbir Ahmed ◽  
M. Wahidur Rahman ◽  
Fahmida Fayeza ◽  
Tarana Sharmin
Keyword(s):  
Hepatitis B Virus ◽  
Blood Transfusion ◽  
Hepatitis B ◽  
Public Health Problem ◽  
Causative Factor ◽  
Vaccination Status ◽  
Global Public Health ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
B Virus

Background: Hepatitis B virus (HBV) infection is a serious global public health problem as well as in Bangladesh. The most common liver disease in Bangladesh is viral hepatitis. Bangladesh is an intermediate endemic zone for hepatitis B virus infection. Research shows that about 10 million people in Bangladesh have been suffering from hepatitis B.Methods: The research was a cross-sectional survey and appropriate statistical formula was used to select 341 respondents randomly. The data were collected through a pre-designed, pre-structured questionnaire, which was distributed among the students. All the data was analysed using Microsoft Excel 2013.Results: Most of the respondent 95% knew about hepatitis B and about 87% knew that it is a viral infection. About 69% students respond that hepatitis B can increase liver cancer. Among the respondents, 76% supported that hepatitis B can be transmitted by blood transfusion. Most of the students 82% supported blood transfusion as a causative factor and 67% informed that jaundice is the major sign and symptoms of hepatitis B. More than half of the students 53% reported that they were vaccinated for hepatitis B. The major reasons for not taking vaccination were lack of free time and lack of feeling of necessity for vaccination.Conclusions: The overall knowledge and vaccination status on hepatitis B virus was not satisfactory. Different types of seminars and campaigns on hepatitis B, arranged by university will help to increase the student’s level of knowledge on hepatitis B.

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