scholarly journals Physical fighting among adolescents in eastern Ethiopia: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Agumasie Semahegn ◽  
Yadeta Dessie ◽  
Nega Assefa ◽  
Chelsey R. Canavan ◽  
Yemane Berhane ◽  
...  

Abstract Background Physical fights have been a common health problem among adolescents, and approximately a million adolescents’ lives are lost due to violence-related incidents worldwide. There is a lack of information on the burden of adolescents’ physical fights in eastern Ethiopia. Hence, the study aims to estimate the magnitude and assess factors associated with physical attacks and fighting among adolescents in eastern Ethiopia. Methods A community-based cross-sectional study was conducted among 2424 adolescents in eastern Ethiopia in 2016. Simple random sampling was used to recruit study participants. Data were collected by trained interviewers using a structured questionnaire developed by the Africa Research, Implementation Science and Education (ARISE) network and adapted from the World Health Organization Global school-based student health survey. Descriptive statistics, binary and multivariable logistic regression were performed. Statistical associations were determined using adjusted odds ratio (AOR) at 95% Confidence Intervals (95% CIs) and P-value < 0.05. Results Prevalence of physical attacks and physical fights was 5.8%, and 26.4%, respectively. Adolescents who attended school (AOR 0.4, 95% CI: 0.2–0.9) and who chewed Khat (AOR 0.4, 95% CI: 0.2–0.8) were less likely to experience physical attacks. Male adolescents were two times more likely to engage in physical fights than female adolescents (AOR 2.4, 95% CI: 1.8–3.2). In-school adolescents who attended secondary (AOR 0.4, 95% CI: 0.2–0.7) or tertiary level of education (AOR 0.2, 95% CI: 0.1–0.7) were less likely to participate in physical fighting than those with primary level education. Adolescents who had ever engaged in physical work to earn money for food or drink were 1.9 times more likely to be physically attacked compared to those who had not (AOR 1.9, 95% CI: 1.0–3.5). Conclusion Physical attacks and fights were found to be common experiences of adolescents in eastern Ethiopia. Future research and programs should emphasize preventive health programs for reducing violence and promoting school enrolment and retention.

2021 ◽  
Author(s):  
Agumasie Semahegn ◽  
Yadeta Dessie ◽  
Nega Assefa ◽  
Chelsey Canavan ◽  
Yemane Berhane ◽  
...  

Abstract Objective: To assess the magnitude and factors associated with physical attack and fighting among adolescents in Eastern Ethiopia.Methods: A community-based cross-sectional study was conducted among 2,424 adolescents in eastern Ethiopia in 2016. Random sampling was used to recruit study participants. Data were collected by trained interviewers using an adapted, structured questionnaire. Descriptive statistics, binary and multivariable logistic regression were performed. Statistical associations were determined using adjusted odds ratio (AOR) at 95% Confidence Intervals (95% CIs) and P-value<0.05. Results: Prevalence of physical attack and physical fights was 5.8%, and 26.4%, respectively. Adolescents who attended school (AOR 0.4, 95% CI 0.2-0.9) and who chewed Khat (AOR 0.4, 95% CI 0.2-0.8) were less likely to experience physical attack. Male adolescents were two times more likely to engage in physical fights than female adolescents (AOR 2.4; 95% CI 1.8-3.2). In-school adolescents who attended secondary (AOR 0.4, 95% CI 0.2-0.7) or tertiary level of education (AOR 0.2, 95% CI 0.1-0.7) were less likely to participate in physical-fighting than those with primary level education. Adolescents who had ever engaged in physical work to earn money for food or drink were 1.9 times more likely to be physically attacked compared to those who had not (AOR 1.9, 95% CI 1.0-3.5).Conclusion: Physical attacks and fights were found to be common experiences of adolescents in eastern Ethiopia. Future research and programs should emphasize preventive health programs for reducing violence and promoting school enrolment and retention.


2021 ◽  
pp. 275-285
Author(s):  
Nursyamsi ◽  
Yusriani ◽  
Andi Asrina

Menurut World Health Organization (WHO, 2019) anemia merupakan suatu kondisi dimana sel darah merah berkurang sehingga kapasitas pengangkutan oksigen tidak cukup untuk memenuhi kebutuhan fisiologis tubuh. Penelitiaan ini bertujuan untuk mengetahui hubungan komunikasi petugas kesehatan dengan perilaku ibu hamil dalam mencegah anemia di Puskesmas Tanjonge. Metode penelitian yang digunakan adalah survey analitik dengan menggunakan pendekatan cross sectional study. Pengambilan sampel dengan metode simple random sampling, dengan jumlah sampel sebanyak 84 responden. Metode analisa data menggunakan tabel distribusi frekuensi dengan uji kolerasi chi square. Komunikasi tidak efektif disebabkan karena kurangnya syarat komunikasi agar menjadi efektif seperti beberapa pertanyaan terkait Channel (saluran media yang digunakan), Capability of audience (pertanyaan terkait sejauh mana kempuan ibu hamil setelah informasi telah diberikan) serta beberapa pertanyaan lain yang menyangkut syarat komuniikasi efektif lainnya seperti salah satu pertanyaan terkait Credibility (perkenalan petugas kesehatan kepada ibu hamil), dan terkait Content (isi materi) yang masih kurang. Pengetahuan dilihat dari sampai dimana ibu hamil mampu mengingat, memahami, menerapkan, menganalisis, mengevaluasi/menilai dan mencipta. Dari hasil observasi beberapa jawaban pertanyaan  ibu hamil tentang kamampuan terkait ranah kognitif sebagai pengetahuan cukup masih didapati kurang karena kemampuan dalam mengingat informasi terkait masalah makanan penghambat penyerapan zat besi, faktor penyebab anemia serta jenis sumber makanan zat besi, dan pengaruh kurang baik anemia terhadap anak masih kurang. Dari hasil penelitian dapat disimpulkan bahwa Ada hubungan antara komunikasi petugas kesehatan dengan Pengetahuan ibu hamil dalam mencegah anemia.  


2020 ◽  
Vol 15 ◽  
Author(s):  
Solomon Hambisa ◽  
Rediet Feleke ◽  
Ameha Zewudie ◽  
Mohammed Yimam

Background:: Rational drug use comprises aspects of prescribing, dispensing and patient use of medicines for different health problems. This study is aimed to assess drug prescribing practice based on the world health organization prescribing indicators in Mizan-Tepi University teaching hospital. Methods:: An institutional based retrospective cross sectional study was conducted to evaluate prescribing practices in Mizan-Tepi University teaching hospital. Data were collected based on World health organization drug use indicators using prescription papers. 600 prescriptions dispensed through the general outpatient pharmacy of the hospital were collected by systematic random sampling method from prescriptions written for a 1-year time in Mizan-Tepi University teaching hospital. Results:: The present study found that the average number of drugs per prescription was 2.04 ± 0.87 in Mizan-Tepi University teaching hospital with a range between 1 and 5. Prescribing by generic name was 97.6 % and 47.8% of prescriptions contained antibiotics in the hospital. 27.7% of prescriptions contained at least one injectable medication in Mizan-Tepi University teaching hospital. From prescribed drugs, 96.7% of them were prescribed from Ethiopian essential drug list. Conclusion:: Present study indicated that the average number of drugs prescribed per encounter, the percentage of generic prescribing and prescribing from the EDL were close to optimal value. However, the percentage of encounters with antibiotics and injections prescribed were found be very high. Thus, the study highlights some improvements in prescribing habits, particularly by focusing on the inappropriate consumption of antibiotics and injections.


2021 ◽  
Vol 8 ◽  
pp. 2333794X2199915
Author(s):  
Haymanot Mezmur ◽  
Nega Assefa ◽  
Tadesse Alemayehu

Background: According to the World Health Organization, teenage pregnancies are high-risk due to increased risks of fetal and infant morbidity and mortality. This study compares adverse fetal outcomes between teen and adult pregnant women from rural Eastern Ethiopia. Methods: Institutional-based cross-sectional study was conducted among women visiting maternity units from surrounding rural areas. A total of 481 teenagers (13-19 years old) and 481 adults (20-34 years old) women with a singleton pregnancy were included in the study. Two hospitals and 3 health centers were selected in Eastern Hararghe Zone, Eastern Ethiopia. Comparative analysis was carried out using the log-binomial regression model to identify factors associated with adverse fetal outcomes in both categories. The results are reported in adjusted prevalence ratios with 95% confidence intervals. Results: High proportion of adverse fetal outcome was observed among teenage women than adult (34.9% vs 21%). Statistically significant difference ( P < .05) in the proportion of low birth weight (21.1% vs 9.3%), preterm birth (18.7% vs 10.6%), APGAR score at 5th minute (9.3% vs 4%) were found in teenagers compared to adult women. Antenatal care attendance (APR = 0.44; 95% CI: 0.23, 0.86); eclampsia (APR = 1.96; 95% CI: 1.26, 3.06); pre-eclampsia (APR = 1.73; 95% CI: 1.12, 2.67); and wealth index (rich) (APR = 0.55; 95% CI: 0.32, 0.94) were significantly associated with adverse fetal outcomes among the teenage women. Whereas intimate partner violence (APR = 2.22; 95% CI: 1.26, 3.90); preeclampsia (APR = 3.05; 95% CI: 1.61, 5.69); antepartum hemorrhage (APR = 2.77; 95% CI: 1.73, 4.46); and hyperemesis gravderm (APR = 1.75; 95% CI: 1.09, 2.79) were significantly associated with adverse fatal outcomes among the adult women. Conclusion: teenage pregnancy is associated with a high rate of adverse fetal outcomes. Early identification and treatment of problems during antenatal follow-up should be the mainstay to avert the massive adverse fetal effects.


2016 ◽  
Vol 26 (3) ◽  
pp. 341
Author(s):  
Marcella Evangelista Melo ◽  
Giovanna Lima Miguéis ◽  
Mikaela Silva Almeida ◽  
Tatiane Dalamaria ◽  
Wagner De Jesus Pinto ◽  
...  

Introduction: In the diagnosis of overweight and obesity based on body mass index in children and adolescents, several national and international anthropometric references are recommended. However, there is a divergence in the estimated prevalence of overweight and obesity among the references. Objective: To identify the prevalence of overweight and obesity and to analyse the magnitude of agreement among the three references. Methods: A cross-sectional study with 975 students from the early grades of elementary school. The prevalence of overweight and obesity were estimated according to the criteria of the World Health Organization (WHO), the International Obesity Task Force (IOTF) and Conde and Monteiro. The Kappa weighted index was calculated to assess the agreement magnitude among the three references. Results: The highest prevalence of overweight and obesity was estimated by the Conde and Monteiro and WHO references, respectively. Overall, the IOTF revealed lower a magnitude of prevalence than the two other references. The agreement among the references identified by the Kappa index had a range of 0.66 to 0.94. Conclusion: Despite the satisfactory agreement among the three references, this research highlighted the differing magnitudes of the prevalence of overweight and obesity. This fact limits the ability to make comparisons among populations and impairs the development of overweight and obesity prevention actions.


PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0262619
Author(s):  
Seifu Awgchew Mamo ◽  
Girum Sebsibie Teshome ◽  
Tewodros Tesfaye ◽  
Abel Tibebu Goshu

Introduction Perinatal asphyxia continues to be a significant clinical concern around the world as the consequences can be devastating. World Health Organization data indicates perinatal asphyxia is encountered amongst 6–10 newborns per 1000 live full-term birth, and the figures are higher for low and middle-income countries. Nevertheless, studies on the prevalence of asphyxia and the extent of the problem in poorly resourced southern Ethiopian regions are limited. This study aimed to determine the magnitude of perinatal asphyxia and its associated factors. Methods A retrospective cross-sectional study design was used from March to April 2020. Data was collected from charts of neonates who were admitted to NICU from January 2016 to December 31, 2019. Result The review of 311 neonates’ medical records revealed that 41.2% of the neonates experienced perinatal asphyxia. Preeclampsia during pregnancy (AOR = 6.2, 95%CI:3.1–12.3), antepartum hemorrhage (AOR = 4.5, 95%CI:2.3–8.6), gestational diabetes mellitus (AOR = 4.2, 95%CI:1.9–9.2), premature rupture of membrane (AOR = 2.5, 95%CI:1.33–4.7) fetal distress (AOR = 3,95%CI:1.3–7.0) and meconium-stained amniotic fluid (AOR = 7.7, 95%CI: 3.1–19.3) were the associated factors. Conclusion Substantial percentages of neonates encounter perinatal asphyxia, causing significant morbidity and mortality. Focus on early identification and timely treatment of perinatal asphyxia in hospitals should, therefore, be given priority.


2021 ◽  
Vol 3 (1) ◽  
pp. 52-58
Author(s):  
Muhammad Thabran Talib ◽  
Satriani Albar

Pemberian imunisasi dapat dilihat dari banyaknya balita yang meninggal akibat penyakit dapat dicegah dengan imunisasi. Data World Health Organization menunjukkan bahwa satiap tahun, setidaknya 1,7 juta anak meninggal karena penyakit yang dapat dicegah dengan vaksin yang sudah tersedia. Penelitian ini bertujuan untuk menganalisis faktor pemberian imunisasi dasar lengkap antara pengetahuan dan sikap ibu tentang imunisasi. Penelitian Puskesmas Tamalate Makassar. Populasi adalah ibu yang memiliki anak usia imunisasi di Puskesmas Tamalate Makassar dengan jumlah sampel 122 orang. Data sekunder dari laporan tahunan imunisasi yang ada di Puskesmas Tamalate Makassar, data primer dengan pembagian kuisioner yang diisi responden. Analisa data dilakukan yaitu analisa Univariat dan analisa bivariat. Penelitian ini dilaksanakan pada Nopember-Desember 2019. Dengan jenis penelitian Desain dengan Cross Sectional Study. Hasil penelitian analisa univariat, pengetahuan baik 107(87,7%) responden dan pengetahuan responden yang kurang 15(12,2%) responden. Sedangkan sikap baik 115(94,2%) responden, sedangkan sikap yang kurang 7(5,7%) responden. Analisis bivariat menunjukkan Ada hubungan yang bermakna antara tingkat pengetahuan dengan pemberian imunisasi dasar lengkap pada bayi yaitu p: 0,002 dan ada hubungan yang bermakna antara sikap dengan pemberian imunisasi dasar lengkap pada bayi yaitu p: 0,038. Saran yaitu upaya peningkatan pembinaan dan pendidikan tentang pentingnya pemberian imunisasi secara lengkap pada bayi.


2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Ari Widyaningsih ◽  
Isfaizah Isfaizah

Salah satu penyakit tidak menular yang banyak ditemukan pada masyarakat saat ini salah satunya adalah hipertensi yang diawali pre-hipertensi. World Health Organization (WHO) mencatat pada tahun 2012 sedikitnya 839 juta kasus hipertensi, diperkirakan menjadi 1,15 milyar pada tahun 2025 atau sekitar 29% dari total penduduk dunia, dimana penderitanya lebih banyak pada wanita (30%) dibanding pria (29%).  Beberapa faktor risiko lain juga berkontribusi terhadap kenaikan tekanan darah pada wanita, diantaranya riwayat hipertensi, karakteristik seseorang (usia, jenis kelamin, ras), gaya hidup yang di dalamnya termasuk pola konsumsi lemak dan garam tinggi, makan secara berlebihan hingga mengakibatkan obesitas, kebiasaan merokok dan minum alkohol, kurang konsumsi sayuran dan buah, aktivitas fisik, pekerjaan, kualitas tidur, konsumsi kopi, stress, penggunaan alat kontrasepsi hormonal, status gizi dan obesitas sentral.  Perubahan tekanan darah tinggi dapat terjadi pada 5% pemakaian kontrasepsi hormonal. Tekanan darah akan meningkat secara bertahap dan tidak akan menetap. Wanita yang memakai kontrasepsi selama 5 tahun atau lebih, frekuensi perubahan tekanan darah tinggi meningkat 2 sampai 3 kali dari pada tidak memakai alat kontrasepsi hormonal. Resiko terjadinya tekanan darah tinggi akan meningkat dengan bertambahnya umur, lama pemakaian kontrasepsi dan bertambahnya berat badan.  Berdasarkan uraian di atas, peneliti tertarik melakukkan penelitian tentang.  Faktor – faktor yang Berhubungan dengan Kejadian Hipertensi pada Akseptor KB Suntik.  Penelitian ini merupakan analitik korelasi dengan pendekatan cross-sectional study dengan teknik pengambilan sampel accidental sampling dan uji chi square pada analisa datanya.


2019 ◽  
Vol 1 (1) ◽  
pp. 26-28
Author(s):  
Reni Fitriani ◽  
Agni Laili Perdani ◽  
Lia Juniarni

Background: Transgender is no longer classify a mental health illness from World Health Organization (WHO). The number of this community up to 3.9 million or 1.6% from Indonesia citizen. Transgender face social discrimination and stigma toward themselves as a result from community and family rejection. This condition could affected their process of self-acceptance and self-concept.Purpose: This study aimed to describe the self-acceptance and the self-concept among transgender in Indonesia    Methods: A cross-sectional study was conducted in transgender community at Srikandi Pamungkas, Lembang. This study used a convinience sampling and 30 respondents agreed to participate. Data was collected using self-questionnaire and consist of 52 item questions with.Results: This study showed that the total of transgender with good self-acceptance is 17 (56.7%) and good self-concept is 16 (53.3%)Conclusion: Most of the transgender in the transgender community had good self-acceptance and good self-concept from the support system in community environment.


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