Unintentional falls among children in rural Ghana and associated factors: a cluster-randomized, population-based household survey

Abstract Introduction Childhood burns are a leading cause of injury in low- and middle-income countries. Many childhood burns can be prevented by modifications in the household environment and targeted education. Therefore, we aimed to determine the incidence of childhood burn injuries and describe the prevalence of potentially modifiable household risk factors. Methods We performed a population-based, cluster-randomized, household survey of 358 households in a rural district in Ghana. From the district, 6 of 11 community clusters were randomly selected. Within these clusters, a census of all households with a caregiver of at least one child < 5 years of age was conducted. Caregivers were interviewed regarding childhood burn injury (CBI) within the past 6 months and potentially modifiable household risk factors. Results Of the 358 households sampled, most households lived in completed structures they owned (67%, 95% CI 61.9–71.6%). The adjusted annual incidence of childhood burn injury was 7.9%. The median age of burn injury was 3 years. The most common etiology of CBI was flame burn (53%, 95% CI 36.8–67.7%). Increasing year of age (AOR 0.92, 95% CI 0.84–1.01) and households with an older sibling ³12 years (AOR 0.53, 95% CI 0.24–1.17) were weakly associated with lower odds of CBI. The majority of households (84%, 95% CI 80.5–88%) used an open fire with firewood as fuel arrangement for cooking. In most households there was not a separate room used as a kitchen (90%, 95% CI 86–92.4%) and the stove/cooking arrangement height was within reach of children under five (< 1 meter; 96%, 95% CI 94.6–97%). Female gender (AOR 1.37, 95% CI 0.71–2.64), outdoor cooking arrangement (AOR 1.05, 95% CI 0.42–2.62) and an increased number of children under caregiver supervision (≥5 children; AOR 1.32, 95%CI 0.42–2.62) were not predictive of CBI. Conclusions Burns are a common cause of childhood injury in rural Ghana. There may be opportunities to reduce the risk of burn injuries in rural settings by supporting the transition to safer cooking arrangements, child barrier apparatuses (e.g. playpens that separate children from cooking arrangements), and/or health promotion initiatives. Given the high incidence of childhood burn injuries, strategic burn-related healthcare capacity development is also required to limit preventable death and disability. Applicability of Research to Practice These findings, which differ somewhat from similar studies in other LMIC communities, suggest that there is not a one-size-fits-all solution for the prevention of childhood burn injuries. Community-specific and contextually relevant interventions that aim to prevent childhood burn injuries can be identified by results from population-based surveys of injury epidemiology and potentially modifiable risk factors.

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Prevalence of alcohol abuse and associated factors in a population-based study

Revista de Saúde Pública ◽

10.1590/s0034-89102006005000032 ◽

2007 ◽

Vol 41 (4) ◽

pp. 502-509 ◽

Cited By ~ 42

Author(s):

Marilisa Berti de Azevedo Barros ◽

Neury José Botega ◽

Paulo Dalgalarrondo ◽

Letícia Marín-León ◽

Helenice Bosco de Oliveira

Keyword(s):

Drug Use ◽

Alcohol Abuse ◽

Associated Factors ◽

Illicit Drug ◽

Household Survey ◽

Illicit Drug Use ◽

Population Based ◽

Self Report ◽

Southeastern Brazil ◽

Odds Ratios

OBJECTIVE: To estimate the prevalence of alcohol abuse/dependence and identify associated factors among demographic, family, socioeconomic and mental health variables. METHODS: A household survey was carried out in the urban area of Campinas, southeastern Brazil, in 2003. A total of 515 subjects, aged 14 years or more were randomly selected using a stratified cluster sample. The Self-Report Questionnaire and the Alcohol Use Disorder Identification Test were used in the interview. Prevalences were calculated, and univariate and multivariate logistic analyses performed by estimating odds ratios and 95% confidence intervals. RESULTS: The estimated prevalence of alcohol abuse/dependence was 13.1% (95% CI: 8.4;19.9) in men and 4.1% (95% CI: 1.9;8.6) in women. In the final multiple logistic regression model, alcohol abuse/dependence was significantly associated with age, income, schooling, religion and illicit drug use. The adjusted odds ratios were significantly higher in following variables: income between 2,501 and 10,000 dollars (OR=10.29); income above 10,000 dollars (OR=10.20); less than 12 years of schooling (OR=13.42); no religion (OR=9.16) or religion other than Evangelical (OR=4.77); and illicit drug use during lifetime (OR=4.47). Alcohol abuse and dependence patterns were different according to age group. CONCLUSIONS: There is a significantly high prevalence of alcohol abuse/dependence in this population. The knowledge of factors associated with alcohol abuse, and differences in consumption patterns should be taken into account in the development of harm reduction strategies.

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Socio-economic differences in the uptake of HIV testing and associated factors in South Africa

BMC Public Health ◽

10.1186/s12889-021-11583-1 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Sean Jooste ◽

Musawenkosi Mabaso ◽

Myra Taylor ◽

Alicia North ◽

Yolande Shean ◽

...

Keyword(s):

South Africa ◽

Hiv Testing ◽

Urban Areas ◽

Associated Factors ◽

Economic Status ◽

Household Survey ◽

Population Based ◽

Low Ses ◽

Cross Sectional ◽

Testing Uptake

Abstract Background Improved understanding of barriers to HIV testing is important for reaching the first of the UNAIDS 90–90-90 targets, which states that 90% of HIV positive individuals ought to know their HIV status. This study examined socio-economic status (SES) differences in HIV testing uptake and associated factors among youth and adults 15 years and older in South Africa. Methods This study used data from a national cross-sectional, population-based household survey conducted in 2017 using a multi-stage sampling design. A composite SES score was created using multiple correspondence analyses of household assets; households were classified into wealth quintiles and dichotomised into low SES/poorest (lowest 3 quintiles) and high SES/less-poor (highest 2 quintiles). Bivariate and multivariate logistic regression models were used to examine factors associated with the uptake of HIV testing in low and high SES households. Results HIV testing uptake was 73.8 and 76.7% among low and high SES households, respectively, both of which were below the first 90 targets. Among both low and high SES households, increased HIV testing uptake was significantly associated with females than males. The decreased likelihood was significantly associated with residing in rural formal areas than urban areas, those with no education or low levels of educational attainment and alcohol drinkers among low SES households. Whites and Indians/Asians had a decreased likelihood than Black Africans in high SES households. Conclusions HIV testing interventions should target males, residents in rural formal areas, those with no or low education and those that consume alcohol in low SES households, including Whites and Indians/Asians from high SES households in order to bridge socio-economic disparities in the uptake of HIV testing. This should entail expanding HIV testing beyond traditional centres for voluntary counselling and testing through outreach efforts, including mobile testing and home-based testing.

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Hunger and Its Associated Factors in the Western Brazilian Amazon: a Population-based Study

10.21203/rs.3.rs-1127849/v1 ◽

2021 ◽

Author(s):

Mayline Menezes Da Mata ◽

José Anael Neves ◽

Maria Angélica Tavares de Medeiros

Keyword(s):

Food Insecurity ◽

Associated Factors ◽

Family Income ◽

Prevalence Ratio ◽

Household Survey ◽

Brazilian Amazon ◽

Population Based ◽

Under Five ◽

The North ◽

Heads Of Household

Abstract Background Hunger affects millions of people worldwide. In the current pandemic scenario of coronavirus disease 2019 (COVID-19) Brazil experienced an epidemic peak of hunger, amplifying existing prepandemic vulnerabilities, mainly in the North Region of the country. The aim of the present study was to investigate the prevalence of food insecurity and its associated factors in homes with children under five years of age in an urban area of a municipality of the Western Brazilian Amazon. Methods A household survey was conducted with a probabilistic sample of 557 children and their families. Food insecurity (FI) was determined using the Brazilian Food Insecurity Scale. Associations between variables were analysed based on the prevalence ratio (PR) and respective 95% confidence intervals (CI) calculated through multiple Poisson regression analysis. Variables with a P value <0.05 after adjustments were considered significantly associated with the outcome. Results A prevalence of 76.5% (CI: 1.36-2.67) food insecurity was found among the families in the study; 42.9% had moderate (CI: 1.31-2.83) and severe (CI: 1.10-1.83) food insecurity. Moderate and severe FI were associated with low family income (P=0.00), participation in governmental income transfer programs (P=0.01), and heads of household with less than seven years of schooling (P=0.02). Moreover, substantial frequencies of height deficit and being overweight were found among the children. Conclusions The high prevalence of hunger and food insecurity and its associated factors reflects the context of geographic isolation and social exclusion in which these families live, suggesting that a substantial portion of the population under five years of age had experienced episodes of hunger in the 90 days prior to the survey. The prevalence of height deficit and being overweight among the children reveals a scenario of epidemiological/nutritional polarization, requiring the formulation of specific public policies for this population.

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Prevalence of sexual dysfunction and its associated factors in women aged 40-65 years with 11 years or more of formal education: a population-based household survey

Clinics ◽

10.1590/s1807-59322008000600012 ◽

2008 ◽

Vol 63 (6) ◽

Cited By ~ 25

Author(s):

Ana L. R. Valadares ◽

Aarão M. Pinto-Neto ◽

Maria J. Osis ◽

Maria H. Sousa ◽

Lúcia Costa-Paiva ◽

...

Keyword(s):

Sexual Dysfunction ◽

Associated Factors ◽

Formal Education ◽

Household Survey ◽

Population Based

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Burden of Sexually Transmitted Infections (STI) in Rural and Peri-Urban KwaZulu-Natal, South Africa: Findings from a Population-Based Household Survey

SSRN Electronic Journal ◽

10.2139/ssrn.3487816 ◽

2019 ◽

Author(s):

Ayesha Kharsany ◽

Lyle R. McKinnon ◽

Lara Lewis ◽

Cherie Cawood ◽

David Khanyile ◽

...

Keyword(s):

South Africa ◽

Sexually Transmitted Infections ◽

Household Survey ◽

Population Based ◽

Sexually Transmitted ◽

Kwazulu Natal

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Suicidal ideation and associated factors among school-going adolescents in rural Ghana

Current Psychology ◽

10.1007/s12144-021-01378-3 ◽

2021 ◽

Author(s):

Emmanuel Nii-Boye Quarshie ◽

Samuel Kofi Odame

Keyword(s):

Suicidal Ideation ◽

Associated Factors ◽

Attempted Suicide ◽

Sub Saharan Africa ◽

Rural Adolescents ◽

African Countries ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Rural Ghana ◽

Sub Saharan

AbstractSuicidal ideation is a critical risk for attempted suicide and eventual suicide. Little is known about suicidal ideation among rural adolescents in most sub-Saharan African countries. We aimed to estimate the 12-month prevalence of suicidal ideation and to describe some of the common and gender-specific associated factors among in-school adolescents in rural Ghana. We conducted a cross-sectional survey involving a random sample of 1101 in-school adolescents aged 10–19 years in a rural district in Eastern Ghana. The Suicidal Behavior Questionnaire-Revised was used to assess suicidal ideation. Overall, 25.1% participants (95% CI = 22.5–27.7), representing 28.3% females (95% CI = 24.7–32.2) and 21.5% males (95% CI = 18.0–25.2) reported suicidal ideation during the previous 12 months. Females who experienced personal and interpersonal adversities mainly outside the family context were likely to report suicidal ideation, while suicidal ideation among males was associated with conflict with parents. Regardless of gender, adolescents who reported exposure to a friend’s attempted suicide were about two times more likely to report suicidal ideation. The prevalence of suicidal ideation among adolescents in rural Ghana compares with in-school estimates from other countries within sub-Saharan Africa, but also underscores the need for targeted and universal prevention programmes and intervention efforts to mitigate the potential transition from suicidal ideations to suicidal attempts and eventual deaths by suicide among rural adolescents.

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