Factors That Protect Children From Community Violence: Applying the INSPIRE Model to a Sample of South African Children

2020 ◽  
pp. 088626051989842
Author(s):  
N. Suzanne Falconer ◽  
Marisa Casale ◽  
Caroline Kuo ◽  
Beverly J. Nyberg ◽  
Susan D. Hillis ◽  
...  
Keyword(s):  
South Africa ◽  
Community Violence ◽  
Low Income ◽  
Interpersonal Violence ◽  
Social Protection ◽  
Integrated Approach ◽  
World Health ◽  
Young Carers ◽  
Access To Treatment ◽  
Cross Sectional

Community violence is a prevalent form of interpersonal violence in South Africa for children living in low-income areas. Trauma arising from violence exposure is of concern in contexts where access to treatment is often unattainable. As simultaneous multisectoral strategies show higher potential to counter interpersonal violence than single interventions, the World Health Organization with partners created INSPIRE. INSPIRE takes an integrated approach coordinated across formal and informal settings of civil and private society. Responding to research paucity on methods that counter community violence in LMIC settings, this study employed a cross-sectional correlational design consisting of a sample of 2,477 children aged 10 to 17 years from the Young Carers 2009–2010 study conducted in a low-income, HIV-endemic province of South Africa highly affected by community violence. Multiple logistic regressions assessed individual and dose associations between four INSPIRE-based violence prevention strategies—positive parenting, basic necessities, formal social support, and school structural support—and direct and indirect community violence outcomes. Three strategies had significant associations with community violence outcomes: necessities (direct p < .001; adjusted odds ratio [AOR] = .57; indirect p < .01; AOR = .62), formal support (direct p < .05; AOR = .83; indirect p < .05; AOR = .73), and school support (direct p < .001; AOR = .53; indirect p < .001; AOR = .49). Combined interventions in direct and indirect community violence analyses demonstrated that children reporting a higher number of strategies were less likely to have experienced community violence. This outcome extends the results of longitudinal studies in South Africa highlighting social protection with care as a means to overcome structural deprivation strains, thereby reducing the likelihood of children’s exposure to community violence. Moreover, these findings uphold the INSPIRE model as an effective cross-sectoral approach to prevent and reduce the community violence that children experience.

scholarly journals Prevalence of zinc deficiency among primary school children in a poor peri-urban informal settlement in South Africa

2010 ◽  
Vol 15 (1) ◽  
Author(s):  
Folake O. Samuel ◽  
Abdulkadir A. Egal ◽  
Wilna H. Oldewage-Theron ◽  
Carin E. Napier ◽  
Christine S. Venter
Keyword(s):  
Social Sciences ◽  
South Africa ◽  
Zinc Deficiency ◽  
Informal Settlement ◽  
Serum Zinc ◽  
Primary School Children ◽  
World Health ◽  
Food Sources ◽  
Cross Sectional ◽  
The Mean

This cross-sectional study assessed the risk of zinc deficiency in randomly selected children, aged between 7 and 11 years, living in a poor, peri-urban informal settlement in South Africa. Dietary intake of 149 respondents was evaluated by 24-hour recall and quantitative food frequency questionnaires. Anthropometric and biochemical indices of a subset of 113 were determined. Descriptive statistics, analysis of variance and Pearson correlations were computed using the Statistical Package for Social Sciences, version 14.0. Anthropometric data were analysed using the World Health Organization Anthro plus version 1.0.2 statistical software. Dietary data were analysed with FoodFinder® version 3. The mean age of the children was 9.0±1.1 years. Few zinc-rich sources appeared in the diet that was predominantly plant-based. Mean dietary zinc intake was 4.6±2.2 mg/day. The mean value of serum zinc was 66.4±21.5 µg/dL, with 46% of the children having values less than the 70 µg/dL cut-off. The findings indicate a high risk of zinc deficiency and suboptimal zinc status for the majority of this study population of children, possibly as a result of low consumption of food sources with high bioavailability of zinc, which invariably is a direct consequence of poverty and food insecurity.OpsommingDie doel van hierdie dwarsdeursnitstudie was die bepaling van die risiko van ’n sinktekort in ’n ewekansige steekproef van 7 tot 11 jaar-oue kinders, woonagtig in ’n arm, voorstedelike informele woonbuurt in Suid Afrika. Dieetinnames van 149 respondente is geëvalueer deur 24-uur herroep en kwantitatiewe voedselfrekwensie vraelyste. Antropometriese en biochemiese indikatore van ’n kleiner steekproef van 113 is ook bepaal. Beskrywende statistiek, analise van variansie en Pearsonkorrelasies is bepaal deur die Statistical Package for Social Sciences, uitgawe 14.0. Antropometriese data is geanaliseer deur die statistiese program, Anthro plus, uitgawe 1.0.2, van die Wêreld Gesondheid Organisasie. Dieetdata is met behulp van FoodFinder® uitgawe 3 geanaliseer. Die gemiddelde ouderdom van die kinders was 9.0±1.1 jaar. Min sinkryke voedselbronne is in die hoofsaaklik plantryke dieet waargeneem. Die gemiddelde sinkinname was 4.6±2.2 mg/dag en die gemiddelde serumsinkwaarde was 66.4±21.5 µg/dL, met 46% van die kinders se waardes onder die 70 µg/dL afsnypunt. Die bevindings dui op ’n hoë risiko vir sinktekort en suboptimale sinkstatus vir die meerderheid van hierdie kinders, moontlik as gevolg van die swak inname van voedselbronne met hoë biobeskikbare sink, wat gewoonlik ’n direkte gevolg van armoede en huishoudelike voedsel insekuriteit is.

Primary caregivers’s provision of a healthy diet in a resource constrained environment in South Africa.

2019 ◽  
Author(s):  
Melissa Judith Brown ◽  
Nicolette Roman
Keyword(s):  
South Africa ◽  
Healthy Eating ◽  
Low Income ◽  
Primary Caregivers ◽  
Opportunity To Learn ◽  
Healthy Diet ◽  
Clear Understanding ◽  
Framework Analysis ◽  
Cross Sectional ◽  
Thematic Framework

Abstract Background: Primary caregivers are frequently hearing mixed messages about healthy eating therefore, making it essential for these caregivers to have a clear understanding of what healthy eating is. The lack of understanding of what constituents healthy and nutritionally dense eating has not been investigated in low income families South Africa. Methods: A qualitative, cross-sectional study involving 10 in-depth interviews. Participants were purposefully selected. Data was analyzed manually using the thematic framework analysis method. The data was analyzed by means of thematic framework analysis Results: Primary caregivers struggled to provide daily access to food for their children, and at times would turn to family and friends for assistance in meal provision either through actual food or short-term financial assistance. For caregivers, limited resources impacted the ability of being able to provide a healthy diet. However, it was indicated that while shopping, caregivers looked for foods that were stated to be healthy and low in fat as well as for vitamins. These items were only accessible if they were cheap. Unemployment of fathers as well as absent fathers placed a great burden on mothers and grandmothers in the study group as this meant they needed to provide the nutritional, financial, emotional and physical care of the family. Conclusion: Primary caregivers’ food choices were based on the availability of resources, the cost, as well as access to quality food in the surrounding areas. It was also limited to what they were able to carry. Based on the reflection of primary caregivers, it was indicated that the consumption of processed foods and refined carbohydrates was high, while that of fruits and vegetables was low. Primary caregivers wanted the opportunity to learn about what a healthy diet is and how to be able to provide one for their family with their limited financial resources.

scholarly journals Disease burden and associated risk factors for metabolic syndrome among adults in Ethiopia

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Samrawit Solomon ◽  
Wudeneh Mulugeta
Keyword(s):  
Risk Factors ◽  
Metabolic Syndrome ◽  
Low Income ◽  
Disease Burden ◽  
Addis Ababa ◽  
Treatment Strategies ◽  
Density Lipoprotein ◽  
World Health ◽  
Low Income Countries ◽  
Cross Sectional

Abstract Background Metabolic Syndrome (MetS) and Non-communicable diseases (NCDs) are alarmingly increasing in low-income countries. Yet, very limited is known about the prevalence and risk factors associated with MetS in Ethiopia. Methods A cross-sectional study was conducted among adult outpatients (N = 325) at St. Paul’s Hospital Millennium Medical College in Addis Ababa, Ethiopia. The study was conducted in accordance with STEPwise approach of the World Health Organization. MetS was defined using modified National Cholesterol Education Program’s Adult Treatment Panel III criteria. Univariate and multivariate analyses were performed. Results The overall prevalence of MetS was 20.3%. Among the 325 participants, 76.9% had at least one MetS components. Reduced high-density lipoprotein cholesterol was the most common MetS component at 48.6%, followed by elevated blood pressure at 36.3%, and elevated fasting glucose at 32.6%. Older age (odds ratio [OR] = 4.15; 95% confidence interval [CI] = 1.43–12.04), Amhara ethnicity (OR = 2.36; 95%CI = 1.14–4.88), overweight status (OR = 2.21; 95%CI = 1.03–4.71), higher income (OR = 3.31; 95%CI = 1.11–9.84) and higher education levels (OR = 2.19; 95%CI = 1.05–4.59) were risk factors for MetS. Conclusion The disease burden of MetS among Ethiopians is high, and is associated with age, weight, income, education and ethnicity. Comprehensive screening and assessment of MetS is needed along with effective preventive and treatment strategies in low-income countries, such as Ethiopia.

scholarly journals Epidemiological study of burns registered in Fatemi hospital in Ardabil, 2016

2018 ◽  
Vol 6 (7) ◽  
pp. 2200 ◽  
Author(s):  
Anahita Zakeri ◽  
Firouz Amani ◽  
Vahid Abbasi
Keyword(s):  
Epidemiological Study ◽  
Low Income ◽  
Interpersonal Violence ◽  
Traffic Accidents ◽  
Low Income Countries ◽  
Age Group ◽  
Cross Sectional ◽  
Control And Prevention ◽  
Urban Rural ◽  
And Control

Background: Burns after traffic accidents, falls and interpersonal violence are the fourth most commonly damaged worldwide. Annually more than 11 million people suffered to sever burns that most of them need for interventions and according WHO statistics, yearly more than 300000 people die from fire-related burns and most of them occurred in low income countries. The aim of this study was Epidemiological study of burns registered in Fatemi hospital in Ardabil, 2016.Methods: This cross-sectional descriptive study has been done on 200 burns registered in burn unit of Fatemi hospital in 2016. Information included age, sex, residence place (urban-rural), marital status, time and area of burn, percent and degree of burn, cause and mechanism of burn, hospitalized time and result of treatment completed by a checklist and analyzed by statistical methods in SPSS version 19.Results: Of all patients, 118 (59%) were male, 62.5% rural and 50% single. Most of burns occurred in age group less than 10 with 33%. The most common cause of burns was hot liquids with 51.5%. Most of cases had burn in degree 2 (71%) and 53.5% of cases hospitalized five days in hospital. 93.5% of patients improved and discharged.Conclusions: Results showed that most of burns in this study occurred in age group less than 10 year. So, that it is necessary to prevent these events in future by taking the necessary measures and control and prevention by families.

scholarly journals Tobacco Use and Associated Risk Factors in Burkina Faso: Results from a Population-Based Cross-Sectional Survey.

2019 ◽  
Author(s):  
Bruno Bonnechère ◽  
Cissé Kadari ◽  
Millogo Tiéba ◽  
Ouédraogo H. Gautier ◽  
Garanet Franck ◽  
...  
Keyword(s):  
Risk Factors ◽  
Alcohol Consumption ◽  
Burkina Faso ◽  
Tobacco Use ◽  
Low Income ◽  
Associated Factors ◽  
World Health ◽  
Low Income Countries ◽  
Cross Sectional Survey ◽  
Cross Sectional

Abstract Tobacco is a leading preventable cause of non-communicable diseases (NCDs). Studies characterizing the prevalence of tobacco use in low-income countries are lacking. This study describes the prevalence of tobacco use in Burkina Faso and its associated factors. Methods : Data from the 2013 Burkina Faso World Health Organization (WHO) Stepwise approach to Surveillance (STEPS) were analyzed. The prevalence of any tobacco product use, cigarette smoking, and other tobacco use was calculated. Logistic regression analyses identified factors associated with tobacco use. Overall, 4,691 people were included in this analysis. Results: The prevalence of any tobacco use was 19.8% (95% CI: 18.4–21.2). Tobacco use was higher for men (29.2% [27.0–31.5]) than women (11.8% [10.3–13.4]). The prevalence of smoked tobacco was 11.3% (10.3–12.4), with a significantly higher prevalence among men (24.5% [22.1–27.0]) than women (0.1% [0.01–0.3]). The overall prevalence of other tobacco use was 8.9% (7.4–10.7), with lower values for men (5.6% [4.1–7.2]) compared to women (11.7% [9.4–14.1]). Tobacco smoking among men was significantly associated with an increased age and alcohol consumption. The analysis of risk factors for other tobacco use stratified by gender showed that age, education, residence, and alcohol consumption were significantly associated with consumption for women, and age and alcohol consumption for men. Conclusion: Tobacco use is common in Burkina Faso. To effectively reduce tobacco use in Burkina Faso, a comprehensive tobacco control program should consider associated factors, such as gender, age, and alcohol consumption.

scholarly journals Migration status and prevalence of diabetes and hypertension in Gauteng province, South Africa: effect modification by demographic and socioeconomic characteristics—a cross-sectional population-based study

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e027427
Author(s):  
Melitah Motlhale ◽  
Jabulani Ronnie Ncayiyana
Keyword(s):  
South Africa ◽  
Low Income ◽  
Effect Modification ◽  
Sub Saharan Africa ◽  
Gauteng Province ◽  
Cross Sectional ◽  
Migration Status ◽  
Socioeconomic Characteristics ◽  
Internal Migrant ◽  
Ward Level

IntroductionEvidence from low-income and middle-income countries suggests that migration status has an impact on health. However, little is known about the effect that migration status has on morbidity in sub-Saharan Africa. The aim of this study is to investigate the association between migration status and hypertension and diabetes and to assess whether the association was modified by demographic and socioeconomic characteristics.MethodsA Quality ofLife survey conducted in 2015 collected data on migration status and morbidity from a sample of 28 007 adults in 508 administrative wards in Gauteng province (GP). Migration status was divided into three groups: non-migrant if born in Gauteng province, internal migrant if born in other South African provinces, and external migrant if born outside of South Africa. Diabetes and hypertension were defined based on self-reported clinical diagnosis. We applied a recently developed original, stepwise-multilevel logistic regression of discriminatory accuracy to investigate the association between migration status and hypertension and diabetes. Potential effect modification by age, sex, race, socioeconomic status (SES) and ward-level deprivation on the association between migration status and morbidities was tested.ResultsMigrants have lower prevalence of diabetes and hypertension. In multilevel models, migrants had lower odds of reporting hypertension than internal migrants (OR=0.86; 95% CI 0.78 to 0.95) and external migrant (OR=0.60; 95% CI 0.49 to 0.75). Being a migrant was also associated with lower diabetes prevalence than being an internal migrant (OR=0.84; 95% CI 0.75 to 0.94) and external migrant (OR=0.53; 95% CI 0.41 to 0.68). Age, race and SES were significant effect modifiers of the association between migration status and morbidities. There was also substantial residual between-ward variance in hypertension and diabetes with median OR of 1.61 and 1.24, respectively.ConclusionsMigration status is associated with prevalence of two non-communicable conditions. The association was modified by age, race and SES. Ward-level effects also explain differences in association.

scholarly journals Economic inequality as a source of interpersonal violence: Evidence from sub-Saharan Africa and South Africa

2015 ◽  
Vol 18 (1) ◽  
pp. 45-57 ◽  
Author(s):  
Geoff Harris ◽  
Claire Vermaak
Keyword(s):  
South Africa ◽  
Interpersonal Violence ◽  
Close Association ◽  
Sub Saharan Africa ◽  
Cross Sectional ◽  
Homicide Rates ◽  
Cent Increase ◽  
Sub Saharan ◽  
Sectional Analysis ◽  
Measures Of Inequality

This article examines whether the close association of income inequality and violence identified for high income countries applies also to sub-Saharan Africa and, in particular, to South Africa. Cross sectional analysis across sub-Saharan countries provided no evidence of such an association. However, using homicide rates and several measures of inequality across South Africa’s 52 districts does provide evidence of a significant positive relationship between homicide rates and expenditure inequality. A one per cent increase in inequality is associated with an increase in the homicide rate of 2.3 to 2.5 per cent. This relationship remains significant after controlling for other characteristics of the district.

scholarly journals Diversity in the Factors Associated with ADL-Related Disability among Older People in Six Middle-Income Countries: A Cross-Country Comparison

2019 ◽  
Vol 16 (8) ◽  
pp. 1341 ◽  
Author(s):  
Septi Kurnia Lestari ◽  
Nawi Ng ◽  
Paul Kowal ◽  
Ailiana Santosa
Keyword(s):  
South Africa ◽  
Older People ◽  
Health Behaviours ◽  
World Health ◽  
Adult Health ◽  
Cross Sectional ◽  
Middle Income ◽  
Factors Associated ◽  
Middle Income Countries ◽  
Adl Disability

The low- and middle-income countries (LMICs) are experiencing rapid population ageing, yet knowledge about disability among older populations in these countries is scarce. This study aims to identify the prevalence and factors associated with disability among people aged 50 years and over in six LMICs. Cross-sectional data from the World Health Organization (WHO) Study on global AGEing and adult health Wave 1 (2007–2010) in China, Ghana, India, Mexico, the Russian Federation, and South Africa was used. Multivariable logistic regression analyses were undertaken to examine the association between sociodemographic factors, health behaviours, chronic conditions, and activities of daily living (ADL) disability. The prevalence of disability among older adults ranged from 16.2% in China to 55.7% in India. Older age, multimorbidity, and depression were the most common factors related to disability in all six countries. Gender was significant in China (OR = 1.14, 95% CI: 1.01–1.29), Ghana (OR = 1.22, 95% CI: 1.01–1.48) and India (OR = 1.65, 95% CI: 1.37–1.99). Having no access to social capital was significantly associated with ADL disability in China (OR = 2.57, 95% CI: 1.54–4.31) and South Africa (OR = 4.11, 95% CI: 1.79–9.43). Prevalence data is valuable in these six ageing countries, with important evidence on mitigating factors for each. Identifying determinants associated with ADL disability among older people in LMICs can inform how to best implement health prevention programmes considering different country-specific factors.

scholarly journals Tobacco use and associated risk factors in Burkina Faso: results from a population-based cross-sectional survey

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Bruno Bonnechère ◽  
Kadari Cissé ◽  
Tiéba Millogo ◽  
Gautier H. Ouédraogo ◽  
Franck Garanet ◽  
...  
Keyword(s):  
Risk Factors ◽  
Alcohol Consumption ◽  
Burkina Faso ◽  
Tobacco Use ◽  
Low Income ◽  
Associated Factors ◽  
World Health ◽  
Low Income Countries ◽  
Cross Sectional Survey ◽  
Cross Sectional

Abstract Background Tobacco is a leading preventable cause of non-communicable diseases (NCDs). Studies characterizing the prevalence of tobacco use in low-income countries are lacking. This study describes the prevalence of tobacco use in Burkina Faso and its associated factors. Methods Data from the 2013 Burkina Faso World Health Organization (WHO) Stepwise approach to Surveillance (STEPS) were analyzed. The prevalence of any tobacco product use, cigarette smoking, and other tobacco use was calculated. Logistic regression analyses identified factors associated with tobacco use. Overall, 4691 people were included in this analysis. Results The prevalence of any tobacco use was 19.8% (95% CI: 18.4–21.2). Tobacco use was higher for men (29.2% [27.0–31.5]) than women (11.8% [10.3–13.4]). The prevalence of smoked tobacco was 11.3% (10.3–12.4), with a significantly higher prevalence among men (24.5% [22.1–27.0]) than women (0.1% [0.01–0.3]). The overall prevalence of other tobacco use was 8.9% (7.4–10.7), with lower values for men (5.6% [4.1–7.2]) compared to women (11.7% [9.4–14.1]). Tobacco smoking among men was significantly associated with an increased age and alcohol consumption. The analysis of risk factors for other tobacco use stratified by gender showed that age, education, residence, and alcohol consumption were significantly associated with consumption for women, and age and alcohol consumption for men. Conclusion Tobacco use is common in Burkina Faso. To effectively reduce tobacco use in Burkina Faso, a comprehensive tobacco control program should consider associated factors, such as gender, age, and alcohol consumption.

scholarly journals Antibiotic Use in Poultry Production in Grenada

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Lindonne Glasgow ◽  
Martin Forde ◽  
Darren Brow ◽  
Catherine Mahoney ◽  
Stephanie Fletcher ◽  
...  
Keyword(s):  
Low Income ◽  
Antibiotic Use ◽  
Cross Sectional Study ◽  
World Health ◽  
Low Income Countries ◽  
Poultry Production ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Health Organization ◽  
High Level

Objective. Research is often lacking in low-income countries to substantiate the regulation of antibiotics in poultry production. Nonregulation of antibiotics in food animal industries has implications for human health. This study was conducted to provide an understanding of farmers’ knowledge, attitudes, and practices regarding the use of antibiotics in poultry production in Grenada. Method. A cross-sectional study was conducted in August-September, 2016, surveying 30 poultry farmers each having 500 or more chickens grown for commercial purposes. Results. More than 1000 birds were kept on 18 (60.0%) farms. Antibiotics were used on the majority of farms (25, 83.3%). More than half of the respondents, 19 (63.3%), stated they were only somewhat aware of issues related to the use of antibiotics and the majority, 21 (70.0%), were also unable to define antimicrobial resistance. There was inconsistency in the farmers’ knowledge about how and when to use antibiotics. There was also a high level of noncompliance with manufacturers’ recommendations for use of antibiotics. The respondents were not aware of local programs to monitor antibiotic use or manage antibiotic resistance in the poultry industry. Conclusion. Generally, the farmers’ knowledge and practices were inconsistent with recommendations by the World Health Organization for antibiotic stewardship. While low-income countries, such as Grenada, are challenged with the lack of resources to undertake research and implement responsive actions, this research highlights the need for some immediate measures of remedy, such as education of farmers and monitoring procurement and use of antibiotics, to reduce risk to public health.

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