Early implanon discontinuation and associated factors among women ever used implanon in Mettu district, Oromia regional state, southwest Ethiopia, 2021

Abstract Background Implanon is an effective form of long-acting reversible contraceptive used to prevent conception with a clinical failure rate of less than one per 100 users. However, in sub-Saharan countries the utilization of implanon was very low. Regardless of low utilization; its early discontinuation is very common in most developing countries including Ethiopia. Objectives To assess the prevalence of early implanon discontinuation and associated factors among women ever used implanon in Mettu district. Methods A community based cross-sectional study design was conducted from October 11 to December 4, 2020 G C. A total of 430 women were included in the study by systematic random sampling technique. Data were entered into epi data version 3.1 and analyzed by SPSS version 25.0. Descriptive analysis was computed to describe descriptive results. Logistics regression was computed to see the relative effect of factors on the outcome variable. Adjusted odds ratio was calculated with 95% confidence intervals to show strength of association and p-value < 0.05 was used to declare statistical significance. The finding of the study was presented using narrations, tables and chart. Result The total proportion of early implanon discontinuation among 430 mothers was 19.3%. Women who did not counseled about the presence of alternatives methods [AOR = 2.28: 95% CI (1.22–4.26)], women who experienced dizziness after insertion of implanon [AOR = 1.90: 95% CI (1.06–3.43)] and being having menstrual disturbance after insertion of implanon [AOR = 2.17: 95% CI (1.16–4.08)] were significantly associated with early implanon discontinuation. Women who were counseled about the advantage of implanon [AOR: 0.49: 95% CI (0.28–0.87)] were protective from early implanon discontinuation. Conclusion and recommendation Early implanon discontinuation among mothers was found to be high. Hence, effective counseling on advantages and side effects of implanon and proper management of the side effects should be made to increase implanon retention.

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Patient satisfaction and associated factors among psychiatry outpatients of St Paulo’s Hospital, Ethiopia

General Psychiatry ◽

10.1136/gpsych-2019-100120 ◽

2020 ◽

Vol 33 (1) ◽

pp. e100120

Author(s):

Kebebew Wogi Goben ◽

Endalamaw Salelew Abegaz ◽

Samuel Tolesa Abdi

Keyword(s):

Patient Satisfaction ◽

Associated Factors ◽

Addis Ababa ◽

Mental Healthcare ◽

Sampling Technique ◽

Good Health ◽

Cross Sectional Study ◽

P Value ◽

Cross Sectional ◽

Male Sex

BackgroundPatient satisfaction with mental healthcare service is recognised as an important integral part of measuring the outcomes and performance of clinical service delivery. It is not well studied in Ethiopia. Therefore, it is essential to improve service in the future.AimsTo assess patient satisfaction and associated factors among psychiatry outpatients at St. Paulo’s Hospital Millennium Medical College, Addis Ababa, Ethiopia.MethodsAn institutional-based cross-sectional study was conducted with consecutive sampling technique from May to June 2018. Data were collected using a Client Satisfaction Questionnaire (CSQ-8). Both bivariate and multivariate ordinal logistic regression analyses were used. Variables with p value <0.05 at multivariate analysis were considered statistically significant.ResultsA total of 589 participants were enrolled with a response rate of 98.2%. In regard to the magnitude of patient satisfaction, 50.3% (95% CI 46.0 to 54.2) were highly satisfied, 31.0% (95% CI 27.2 to 34.8) were satisfied, and 18.7% (95% CI 15.4 to 22.1) were dissatisfied. Male sex (adjusted OR (AOR) 2.30, 95% CI 1.57 to 3.36), inability to read and write (AOR 2.23, 95% CI 1.10 to 4.66), being unemployed (AOR 1.69, 95% CI 1.15 to 2.47), obtaining services for free (AOR 1.57, 95% CI 1.11 to 2.22), and availability of medication (AOR 1.62, 95% CI 1.13 to 2.23) were significantly associated with patient satisfaction.ConclusionsThe study showed that further improvements in patient satisfaction are required. Male sex, inability to read and write, being unemployed, obtaining services free of charge, and availability of medication were significantly associated with patient satisfaction. More than half of the participants were dissatisfied with the waiting time to receive services. The provision of services within a reasonable timeframe and meeting patient expectations are helpful for good health outcomes.

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Prevalence and factors associated to depression among Debrebirhan University students: a cross-sectional study

10.21203/rs.3.rs-776940/v1 ◽

2021 ◽

Author(s):

(MD

Keyword(s):

University Students ◽

Associated Factors ◽

Sampling Technique ◽

Cross Sectional Study ◽

Considerable Proportion ◽

P Value ◽

Sectional Study ◽

Cross Sectional ◽

Prevalence Of Depression ◽

Debre Birhan

Abstract Background: Undiagnosed depression among university students has an adverse effect on the wellbeing and academic performance of students. This study aimed to assess the prevalence of depression and associated factors among Debre Birhan university students. Methodology: Institutional based cross-sectional study design is conducted in Debre Birhan University from April to June 2013 E.C. Three hundred sixty nine students participated in this study which was selected by simple random sampling technique. Data were collected by using a self-administered PHQ-9 standard depression questionnaire. First the data was entered into in Epidata 3.1 and then was exported to SPSS version 20 for analysis. Associated factors were identified using binary logistic regression and variables with a p-value < 0.05 were declared as statistically significant factors with the outcome variables. Result: All of the study subjects were between ages 18 and 33 with a mean age of 22.65 9 ± 2.78. The overall prevalence of depression is 17.1%. Among this according to PHQ-9 scores cut scores, 161(43.6 %) scored as normal (0–4), 145(39.3%) scored as mild (5–9), 53(14.4%) scored as moderate (10–14), 4(1.1%) scored as moderately severe (15–19) and 6(1.6%) students scored as sever (> 20). In multivariate analysis being female AOR = 9.28[3.47–24.81], academic year AOR = 0.236[0.059–0.936], smoking 26.3[9.33–74.1] and alcohol use AOR of 2.62[0.95–7.21] are significantly associated with depression. Conclusion and recommendation: This study found a considerable proportion of undergraduate students with depression. Higher institutions need to pay special attention to students especially those who are female, junior students, smokers and alcohol users.

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Prevalence of alcohol use and associated factors among Dilla University Students, Dilla Town, Southern Ethiopia. 2018

10.21203/rs.3.rs-20021/v1 ◽

2020 ◽

Author(s):

Yigrem Ali Chekole

Keyword(s):

Alcohol Use ◽

Undergraduate Students ◽

Associated Factors ◽

Sampling Technique ◽

Cross Sectional Study ◽

Southern Ethiopia ◽

P Value ◽

Cross Sectional ◽

Level Of Significance ◽

The University

Abstract Introduction Compared to other deadly communicable diseases, Psychoactive Substance use is among the leading cause of death. Repeated use linked to addiction, dependence and predisposition for criminal and antisocial behaviors. Even though drug use in Africa relatively is short; however the abuse of drug in Africa is escalating rapidly. Substances use is also one of the most burning and growing public health problems in Ethiopia, as in many developing countries; alcohol is the most frequently used substance. Objective To Assess the Prevalence of alcohol Use and Associated factors among Dilla University undergraduate students in Southern Ethiopia. 2018. Methods An Institution based cross -sectional study was conducted at Dilla University among undergraduate regular students from January-February. Systematic random sampling technique was used to get a total of 803 samples of students from each year and department of the university. The collected data was coded, entered in to EPI-INFO version7.1 and analyzed by using SPSS version 20. Crude and adjusted OR were analyzed using logistic regression and the level of significance of association was determined at P- value <0.05. Result A total of 803 participants were interviewed with a response rate of 91.7%. Among the Participants, alcohol use was found to be 67.6%. (41.8%; n=336). Being 4 th year students (AOR =2.66, 95% CI: 1.64, 4.31), having friends who use substance (AOR=1.53, 95% CI: 1.09, 2.1), being Khat user (AOR= 1.48, 95% CI: 1.05, 2.09) and being Cigarette smoker (AOR=1.76, 95% CI: 1.09, 2.84) were found to be significantly associated with alcohol use. Conclusion Half of the participants found to have alcohol use. Therefore, early prevention, detection and alleviating of alcohol use should be implemented among students in the university.

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Experience of Perceived Stress and Associated Factors during COVID 19 Lockdown among Hoteliers of Pokhara, Nepal

Asian Journal of Research in Infectious Diseases ◽

10.9734/ajrid/2021/v8i330241 ◽

2021 ◽

pp. 31-41

Author(s):

Akriti Kafle ◽

Maginsh Dahal ◽

Sudip Khanal ◽

Kushalata Baral ◽

Sirjana Pandit Pahari ◽

...

Keyword(s):

Perceived Stress ◽

Associated Factors ◽

Descriptive Analysis ◽

Cross Sectional Study ◽

Economic Problem ◽

Bivariate Analysis ◽

P Value ◽

Psychological Consequences ◽

Cross Sectional ◽

Significance Level

It is great time to know the psychological consequences and know how hoteliers are coping to it because of Covid19 lockdown. Thus we tried to access prevalence of perceived stress and associated factors among hoteliers of Nepal. A hotel based quantitative descriptive cross-sectional study was done using a structured questionnaire cum interview schedule. The data was recorded in Microsoft Excel sheet, and was analyzed using Statistical Package for Social Sciences version 23. A descriptive analysis was done using mean, frequency, percentage and standard deviation. Bivariate analysis was done using Mann-whitney U test and Kruskal Wallis test as the data were non-normal. Significance level was observed at p-value less than 0.05. There was significant relation between stress score and variables like age, gender, marital status, smoking, alcohol, bread winner, sound sleep, family conflict, too many responsibilities, pay loans, pay rent of hotel, other source of income, paying salary, happy with government, lockdown only solution, economic problem and social problems. (p -value <0.05) Male had significantly higher stress than female. Similarly married participants showed significantly higher stress than unmarried. Stress level has been increased among the hoteliers of Nepal due to covid19 lockdown and has affected the tourism sector very badly.

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Prevalence and associated factors of antenatal depression among women attending antenatal care follow up at Michu Clinic in Ayder Comprehensive Specialized Hospital, Mekelle, Tigray, Ethiopia 2019.

10.21203/rs.3.rs-22003/v1 ◽

2020 ◽

Author(s):

Birhane Gebrehiwot Beyene ◽

Gebrewahd Bezabhy Gebremichael ◽

Abreha Tsegay Gebreselassie

Keyword(s):

Antenatal Care ◽

Associated Factors ◽

Depressive Disorders ◽

Sampling Technique ◽

Antenatal Depression ◽

Cross Sectional Study ◽

Limited Attention ◽

P Value ◽

Cross Sectional ◽

Specialized Hospital

Abstract Background Antenatal depression is a serious mental health problem that can negatively affect the lives of women. Depressive disorders are not only common and chronic among women throughout the world but also the principal source of disability. The scarce information and limited attention to the problem might aggravate the consequence of the problem and can limit the intervention to be taken. So the purpose of the study is to determine the prevalence and associated factors of antenatal depression among women. Methods An institutional based cross sectional study was conducted by systemic random sampling technique among 203 pregnant women following Antenatal care at Michu clinic in Ayder Comprehensive Specialized Hospital from March to June 2019. An interviewer administered Beck Depression Inventory (II) questionnaire was used to assess individual’s depression condition after consent obtained from participants. Data was entered and analyzed by using statically package for social science version 22. Then bivariate regression with p-value ≤0.25 was entered in to multivariate regression with p-value

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Prevalence of depression and its association with parental neglect among adolescents at governmental high schools of Aksum town, Tigray, Ethiopia, 2019: A cross sectional study

10.21203/rs.2.17823/v1 ◽

2019 ◽

Author(s):

Enguday Tirfeneh ◽

Mengesha Srah

Keyword(s):

High Schools ◽

Statistical Significance ◽

Sampling Technique ◽

Cross Sectional Study ◽

Mental Illnesses ◽

P Value ◽

Sectional Study ◽

Cross Sectional ◽

Parental Neglect ◽

Prevalence Of Depression

Abstract Background depression is one of the most serious and prevalent mental illnesses that can result in serious disability and ending life by committing suicide and homicide. The risks of having depression are substantially higher in persons who have parental neglect when compared to the general population.Objective To detect prevalence of depression and its association with parental neglect among adolescents in governmental high schools at Aksum town, Tigray, Ethiopia 2019Method A facility based cross-sectional study was conducted from January 1-30/2019 at Aksum town high schools. Public health questionnaire was used in this study to detect Depression. Study participants were selected using simple random sampling technique. Data was collected with face to face interview. Data was analyzed using statistical package for social science version 22. Bivariate and multivariate logistic regressions were used to see the association between depression and parental neglect. Adjusted Odds ratio at a p-value <0.05 with 95% confidence interval was taken to declare statistical significance of variables.

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Knowledge of prevention of COVID-19 among the general people in Bangladesh: A cross-sectional study in Rajshahi district

PLoS ONE ◽

10.1371/journal.pone.0243410 ◽

2020 ◽

Vol 15 (12) ◽

pp. e0243410

Author(s):

Md. Masud Rana ◽

Md. Reazul Karim ◽

Md. Abdul Wadood ◽

Md. Mahbubul Kabir ◽

Md. Mahidul Alam ◽

...

Keyword(s):

Family Income ◽

Preventive Measures ◽

Nuclear Family ◽

Statistical Significance ◽

Sampling Technique ◽

Cross Sectional Study ◽

P Value ◽

Sectional Study ◽

Cross Sectional ◽

The Government

Background Until now, no vaccine or effective drug is available for the control, prevention, and treatment of COVID-19. Preventive measures are the only ways to be protected from the disease and knowledge of the people about the preventive measures is a vital matter. Objectives The aim of the study was to assess the knowledge of the general people in Rajshahi district, Bangladesh regarding the COVID-19 preventive measures. Methodology This cross sectional study was conducted from March 10 to April 25, 2020. Data were collected with a semi-structured questionnaire from 436 adult respondents selected by using a mixed sampling technique. Frequency analysis, chi-square test, and logistic regression model were utilized in this study. SPSS (IBM, Version 22) was used for data analysis. 95% confidence interval and p-value = 0.05 were accepted for statistical significance. Results Only 21.6% of the respondents had good knowledge of the COVID-19 preventive measures. The highest 67.2% of them knew that washing hands with soap could prevent the disease, but contrarily, the highest 72.5% did not know that avoidance of touching mouth, nose, and eyes without washing hands was a preventive measure. Only 28.4% and 36.9% of the respondents knew that maintaining physical distancing and avoiding mass gatherings were measures of prevention of COVID-19 respectively. The younger age (≤25 years), low family income (≤15,000 Bangladeshi Taka (BDT), occupation others than business and service, and nuclear family had the lower odds of having no/less knowledge about the preventive measures. Conclusions The knowledge level of the general people regarding prevention of COVID-19 was alarmingly low in Bangladesh. The government of Bangladesh, health policy makers and donor agencies should consider the findings and take immediate steps for improving knowledge of the public about prevention of the disease.

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Patients’ Adherence to Anti-diabetic Medications and Associated Factors in Mizan-Tepi University Teaching Hospital: A Cross-Sectional Study

INQUIRY The Journal of Health Care Organization Provision and Financing ◽

10.1177/00469580211067477 ◽

2021 ◽

Vol 58 ◽

pp. 004695802110674

Author(s):

Jafer Siraj ◽

Turi Abateka ◽

Oliyad Kebede

Keyword(s):

Side Effects ◽

Drug Use ◽

Associated Factors ◽

Cross Sectional Study ◽

University Teaching ◽

P Value ◽

Diabetic Patients ◽

Sectional Study ◽

Monthly Income ◽

Cross Sectional

Introduction: A number of medications have been demonstrated to lower blood glucose. However, current-day management has failed to achieve and maintain the optimal glycemic level for diabetic patients. Patients’ non-adherence is among the most contributing factors. Therefore, the aim of this study was to explore the prevalence of non-adherence to anti-diabetic medications and associated factors. Methods: A hospital based cross-sectional study was conducted from November 2020 to January 2021. A systematic random sampling technique was used. Data were collected by structured questionnaire adapted from different literatures. Then, data were entered into SPSS version 25 and analyzed. To determine the association of dependent and independent variables, multiple logistic regression was done. P-value <.05 was considered statistically significant. Results: A total of 275 study participants were interviewed with a response rate of 100%. From this 53.8% were females, 59.3% were in the age group of 41-60 years, 35.3% were college/university graduates and 79.3% were not using social drugs. One hundred eighty-seven (68%) of them were adherent to their anti-diabetic medication. Factors found to be significantly associated with anti-diabetic medication adherence were age >60 years (AOR = .276, 95% CI = .124-.611) attending higher education (AOR = 6.203, 95% CI = 1.775-21.93), retired (AOR = 7.771, 95% CI = 1.458-41.427), housewife (AOR = 7.023, 95% CI = 1.485-33.215), average monthly income 1001birr-2000 birr (AOR = .246, 95% CI = .067-.911) and social drug use (AOR = 3.695, 95% CI = 1.599-8.542). Forgetfulness, not affording, side effects, misunderstanding of instructions, and poly-pharmacy were identified reasons for non-adherence. Conclusions and Recommendations: Patients’ adherence to anti-diabetic medications in the current study is sub-optimal. Age, monthly income, level of education, occupational status, and social drug use were associated with adherence. Forgetfulness, not affording, and side effects were reasons identified to contribute to non-adherence. Therefore, adherence counseling, use of alarms, and the way to mitigate non-affordability, including anti-diabetic medications into a program drug should be considered.

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Prevalence of Antipsychotic Polypharmacy and Associated Factors among Outpatients with Schizophrenia Attending Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia

Psychiatry Journal ◽

10.1155/2016/6191074 ◽

2016 ◽

Vol 2016 ◽

pp. 1-6 ◽

Cited By ~ 3

Author(s):

Siranesh Tesfaye ◽

Nigussie Debencho ◽

Teresa Kisi ◽

Minale Tareke

Keyword(s):

Substance Use ◽

Side Effects ◽

Associated Factors ◽

Psychiatric Hospitalization ◽

Addis Ababa ◽

Sampling Technique ◽

Cross Sectional Study ◽

Duration Of Treatment ◽

Cross Sectional ◽

Drug Adverse Effects

Background.Despite recommendations by guidelines to avoid combinations of antipsychotics unless after multiple trials of antipsychotic monotherapy, it is quite a common practice to use combinations. This practice leads to unnecessary expenses and exposes the patient to severe drug adverse effects.Methods. An institution based cross-sectional study was conducted from April to May 2014. Systematic random sampling technique was used to select 423 study subjects. Logistic regression analysis was conducted to identify associated factors of antipsychotic polypharmacy among schizophrenia outpatients.Result. The overall prevalence of antipsychotic polypharmacy was found to be 28.2%. Extra pyramidal side effects (AOR = 2.80; 95% CI: 1.38, 5.71), repeated psychiatric hospitalization (AOR = 2.83; 95% CI: 1.45, 5.50), history of substance use (AOR = 2.82; 95% CI: 1.36, 5.88), longer duration of treatment (AOR = 2.10; 95% CI: 1.14, 3.87), and drug nonadherence (AOR = 1.84; 95% CI: 1.14, 2.98) were found to be significantly associated with antipsychotic polypharmacy.Conclusion. Prevalence of antipsychotic polypharmacy was found to be high among the current study participants. Individuals who had extra pyramidal side effects, admission, substance use, duration of treatment, and drug nonadherence were associated with antipsychotic polypharmacy.

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MICROBIAL CONTAMINATION

The Professional Medical Journal ◽

10.29309/tpmj/18.4456 ◽

2018 ◽

Vol 25 (11) ◽

Author(s):

Naveed Mansoori ◽

Imran Bakar ◽

Naveen Shahid ◽

Syed Muhammad Mubeen

Keyword(s):

General Population ◽

Bacterial Growth ◽

Descriptive Analysis ◽

Sampling Technique ◽

Daily Basis ◽

Cross Sectional Study ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

Bacterial Contaminants

Introduction: Toothbrushes play an essential role in oral hygiene and is commonlypracticed on daily basis to clean the oral cavity. It can serve as a reservoir for microorganismsin healthy and infected person. Objectives: To isolate the bacterial contaminants on usedtoothbrushes and to compare the type of bacterial growth in capped and uncapped toothbrushesamong general population of Karachi. Study Design: Cross-sectional study. Setting: Study wasconducted among general population of Karachi. Hamdard College of Medicine and Dentistry,Hamdard University, Karachi. Period: February to September 2014. Methodology: Usingconvenient sampling technique, data was collected from subjects of different socioeconomicstatus. Toothbrushes for culture was collected under standard precautions to observe asepticconditions. Descriptive analysis was done for all independent variables using SPSS version20. The frequency of various bacterial contaminants on used toothbrushes were determinedand chi square test was used to observe the association of bacterial growth among cappedand uncapped toothbrushes. P-value <0.05 was considered statistically significant. Results:Out of the total 106, 51 (48.1%) were female and 55 (51.9%) male participants. Substantialnumber of toothbrushes 91 (85.8%) were found to have bacterial contamination. Majority ofthe participants (82.1%) were between 19 . 59 years of age, intermediate or above (61.3%),monthly income rupees . 20000 (46%), using same brush >3 months (50.0%), brushing teethtwice a day (62.3%) and keeping toothbrushes uncapped were (66.0%). Statistically significant(P<0.05) difference was found between capped and uncapped toothbrushes and presenceof Klebsiella and Pseudomonas. Conclusion: The study concluded that used toothbrushesare significantly contaminated with bacteria which may cause serious health problems amongindividuals and families.

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