Factors associated with difficulty accessing health care for infants in Canada: mothers’ reports from the cross-sectional Maternity Experiences Survey

OBJECTIVE: to analyze the factors associated with the underreporting on the part of nurses within Primary Health Care of abuse against children and adolescents.METHOD: cross-sectional study with 616 nurses. A questionnaire addressed socio-demographic data, profession, instrumentation and knowledge on the topic, identification and reporting of abuse cases. Bivariate and multivariate logistic regression was used.RESULTS: female nurses, aged between 21 and 32 years old, not married, with five or more years since graduation, with graduate studies, and working for five or more years in PHC predominated. The final regression model showed that factors such as working for five or more years, having a reporting form within the PHC unit, and believing that reporting within Primary Health Care is an advantage, facilitate reporting.CONCLUSION: the study's results may, in addition to sensitizing nurses, support management professionals in establishing strategies intended to produce compliance with reporting as a legal device that ensures the rights of children and adolescents.

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Investigation of some factors associated with utilization of maternal health care services by adolescent mothers in Tanzania

Tanzania Journal of Science ◽

10.4314/tjs.v47i2.39 ◽

2021 ◽

Vol 47 (2) ◽

pp. 847-861

Author(s):

Elia Magwaja ◽

Jacqueline Minja ◽

Majige Selemani Budeba ◽

Rocky R.J. Akarro

Keyword(s):

Health Care ◽

Logistic Regression ◽

Maternal Health ◽

Health Facility ◽

Adolescent Mothers ◽

Maternal Health Care ◽

Adolescent Mother ◽

Cross Sectional ◽

Safe Delivery ◽

Factors Associated

This study examined some factors associated with the utilization of maternal health care servicesby adolescent mothers (15-19 years) in Tanzania in order to provide advice accordingly. The studyused cross-sectional study of adolescent mothers aged 15-19 years using Demographic HealthSurvey and Malaria indicator Survey 2015/16 data. The dependent variables were number ofantenatal care visits, the place where an adolescent mother delivered and post-natal checkup(adolescent mother’s health checking after being discharged or after a home delivery). Theindependent variables were birth order, education level of a mother, marital status of a mother,media exposure, wealth index, distance to health facility. Multiple binary logistic regression wasused to examine an association between each dependent variable and their respective independentvariables. Data was analyzed using IBM SPSS statistics and STATA. This study used 550adolescent mothers in the analysis. Majority of the adolescent mothers had less than four AntenatalCare (ANC) visits (53.5%), while 68.5% of adolescent mothers delivered at a health facility.Adolescent mothers with two or more children had less odds of having at least four ANCscompared to those with one child, whereas adolescent mothers with at least secondary educationhad greater odds of delivering at a health facility compared to those who had no education.Adolescent mothers who had at least four antenatal care visits and those who are married hadgreater odds of checking their health after being discharged compared to adolescent mothers whohad less than 4 ANCs and single adolescent mothers. It was advised that provision of maternaleducation to young girls on the importance of safe delivery and health checking after delivery isvery important to reduce adolescent maternal morbidity and mortality in the country. Keywords: Adolescent; Maternal Health; Logistic regression; Chi-square

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Factors Associated With Psychotropic Medication Use in Individuals in Brazilian Primary Health Care Units: A Descriptive, Cross-Sectional Study

Journal of Psychosocial Nursing and Mental Health Services ◽

10.3928/02793695-20170301-05 ◽

2017 ◽

Vol 55 (3) ◽

pp. 38-45

Author(s):

Paulo Celso Prado Telles Filho ◽

Tatiana Longo Borges ◽

Assis do Carmo Pereira ◽

Kelly Graziani Giacchero Vedana ◽

Rebecca O. Shasanmi ◽

...

Keyword(s):

Health Care ◽

Primary Health Care ◽

Psychotropic Medication ◽

Medication Use ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Primary Health

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Completion and Factors Associated with Maternity Continuum of Care among Mothers Who Gave Birth in the Last One Year in Enemay District, Northwest Ethiopia

Journal of Pregnancy ◽

10.1155/2020/7019676 ◽

2020 ◽

Vol 2020 ◽

pp. 1-9

Author(s):

Anguach Shitie ◽

Nega Assefa ◽

Merga Dhressa ◽

Tenagework Dilnessa

Keyword(s):

Health Care ◽

Multivariable Analysis ◽

Continuum Of Care ◽

Northwest Ethiopia ◽

Cross Sectional ◽

Health Care Decision ◽

Factors Associated ◽

One Year ◽

Care Decision ◽

The Continuum

Background. Ethiopia still suffers high levels of neonatal and maternal mortality, so the maternity continuum of care is a continuous framework for the delivery of maternal care from pregnancy to the postnatal period. Skilled care during pregnancy, childbirth, and the postpartum period is an important intervention in reducing maternal and neonatal morbidity and mortality. But in Ethiopia, there are limited studies on the completion of the maternity continuum of care, so this study will help to suggest interventions in order to reduce the dropout of the maternity continuum of care. Objective. To assess the completion of the maternity continuum of care and factors associated with it among mothers who gave birth in the last one year in Enemay District, Northwest Ethiopia. Method and Materials. A community-based cross-sectional study was conducted from February 25 to March 10, 2019, on 651 women who gave birth in the last one year. The data were collected by a face-to-face interview through pretested and structured questionnaires. Binary logistic regression was used to identify predictors of the completion of the maternity continuum of care. Variables with a P value < 0.05 in multivariable analysis were declared as statistically significant associated factors. Results. This study revealed that about 45% (95% CI: 40.9%, 48.8%) of respondents completed the continuum of care. Women with secondary education (AOR=6, 95% CI: 2.26, 16.6), women whose occupation is farming (AOR=0.18, 95%, CI: 0.1, 0.32), women who have autonomy in health care decision (AOR=4, 95% CI: 2.26, 7.2), women who have exposure to media (AOR=1.97, 95% CI: 1.2, 3.27), women with wanted pregnancies (AOR=3.33, 95% CI: 1.87, 5.9), para five and above women (AOR=2.85, 95% CI: 1.28, 6.3), and women whose husbands are employed (AOR=4.97, 95% CI: 1.16, 21.2) were significantly associated with the completion of the maternity continuum of care. Conclusions and Recommendation. This study showed that less than half of the participants had achieved the continuum of care and education level, and both respondents and their husband’s occupation, parity, autonomy in health care decision, exposure to the mass media, and wantedness of pregnancy were associated with the completion of the maternity continuum of care; therefore, working on enhancing the capacity of women’s autonomy in health care and decision-making and preventing unintended pregnancy helps to improve the completion of the maternity continuum of care.

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Prenatal evaluation in primary care in Northeast Brazil

Revista de Saúde Pública ◽

10.11606/s1518-8787.2019053001024 ◽

2019 ◽

Vol 53 ◽

pp. 43 ◽

Cited By ~ 1

Author(s):

Esther Pereira da Silva ◽

Antônio Flaudiano Bem Leite ◽

Roberto Teixeira Lima ◽

Mônica Maria Osório

Keyword(s):

Health Care ◽

Primary Health Care ◽

Prenatal Care ◽

Health Care Professionals ◽

Cross Sectional Study ◽

Educational Strategies ◽

Cross Sectional ◽

Factors Associated ◽

Primary Health ◽

Logistic Regression Method

OBJECTIVE: To characterize prenatal care and verify possible factors associated with its adequacy. METHODS: This is a cross-sectional study based on interviews with health care professionals and consultations on official documents of women attending prenatal of the primary health care in the city of João Pessoa, capital of Paraíba, in the Northeast region of Brazil. Prenatal care was evaluated by an index with criteria referring to aspects of structure, process and outcome, denominated IPR/Prenatal. The multivariate logistic regression method revealed that demographic, socioeconomic, reproductive and maternal morbidity variables were possible determinants for prenatal adequacy. RESULTS: The survey involved 130 services and 1,625 primary health care patients. Prenatal care was adequate in approximately 23% of the cases. Low prevalence of referral to maternity, educational strategies and examinations were observed. The analysis showed that nonadolescent women (OR = 1,390), with a longer period of schooling (OR = 1.750), higher per capita income (OR = 1,870) and primiparous women (OR = 1,230) were more likely to have an adequate prenatal. CONCLUSIONS: Prenatal care, when evaluated by broader criteria, showed a low percentage of adequacy. Strategies should be developed to ensure the referral to the maternity where the birth will take place and health education activities and examinations to provide adequate prenatal care in the municipality under study. In addition, factors associated with adequacy must be considered by managers and health professionals.

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Stress perception and associated factors among healthcare students

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.594 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

M Dardouri ◽

M Mallouli ◽

S Chelbi ◽

M Ben Rejeb

Keyword(s):

Health Care ◽

Associated Factors ◽

High Stress ◽

Stress Perception ◽

Cross Sectional ◽

Factors Associated ◽

Healthcare Students ◽

The World ◽

Exogenous Factors ◽

High Level

Abstract Introduction Stress and its deleterious effects are currently a major topic in public health. Health care studies can be very stressful as they pose a challenge for students around the world. The aim of this study was to assess stress perception among healthcare students and to identify its associated factors. Methods A descriptive cross-sectional study was carried out over a five-month period (January-May 2017) among healthcare students at the Higher School of Health Sciences, University of Sousse (Tunisia), during the 2016/2017 academic year. The socio-demographic and health status data have been collected using a pre-established data collection sheet. Stress perception was assessed by the French version of the Perceived Stress Scale with 10 items (PSS-10). Factors associated with stress were examined using ANOVA and T-student tests. Results A total of 237 students participated in the study with a response rate of 64.40%. The average age was 20.57±1.05 with a female predominance of 90.7%. The mean of the PSS-10 total score was 31.37±4.406. A rate of 89% of cases had a perceived high-stress score. Factors associated with stress were social status (p = 0.005), housing (p = 0.01), hometown (p = 0.03), presence of a diagnosed health condition (p = 0.02), presence of eating disorder (p = 0.04), presence of sleeping disorder (p = 0.004). Conclusions This study reported that healthcare students had a high level of stress associated with endogenous and exogenous factors. Stress management strategies must be included in the educational curriculum in healthcare schools. Key messages Health care studies pose a challenge for students around the world. Healthcare students had a high level of stress associated with endogenous and exogenous factors.

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