Factors Associated with Knowledge and Awareness of Stroke Among the Jordanian Population: A Cross-Sectional Study

Background and objective: Stroke is the second leading cause of death in Jordan and over the world. Knowledge and awareness towards stroke play a crucial role in the management and prevention of its complications. This study aims to assess the knowledge and awareness about stroke among the Jordanian population and determine factors associated with stroke awareness. Methods: This cross-sectional study through a web-based anonymous questionnaire that needed 10 minutes to be completed. It examined sociodemographic characteristics and recognition of the risk factors, warning signs, stroke consequences, and early response to stroke symptoms. Logistic regression analysis identified the factors associated with poor knowledge of stroke. Results: A total of 573 Jordanian adults participated in this study. The participant's ability to identify at least one early symptom of stroke and the proper response to the symptoms were significantly correlated with the educational level (OR of 3.4 and 2.5, respectively). At least one consequence of stroke was significantly associated with different demographic factors such as gender, socioeconomic income, females versus males and those with medium income versus low income had significantly higher odds (OR of 6.6 and 4.1, respectively). Conclusion: This study revealed a good knowledge and awareness level about stroke among Jordanians correlated mainly with their educational level. Therefore, new strategies should be considered to decrease the prevalence of stroke in Jordan, including the need for engagement in enhanced awareness campaigns.

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Knowledge of Palestinian women about cervical cancer warning signs: a national cross- sectional study

BMC Public Health ◽

10.1186/s12889-021-11792-8 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Mohamedraed Elshami ◽

Ibrahim Al-Slaibi ◽

Hanan Abukmail ◽

Mohammed Alser ◽

Afnan Radaydeh ◽

...

Keyword(s):

Cervical Cancer ◽

Gaza Strip ◽

Cross Sectional Study ◽

Warning Signs ◽

Good Knowledge ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Palestinian Women ◽

The Gaza Strip

Abstract Background Timely presentation and diagnosis of cervical cancer (CC) are crucial to decrease its mortality especially in low- and middle-income countries like Palestine. This study aimed to evaluate the knowledge of Palestinian women about CC warning signs and determine the factors associated with good knowledge. Methods This was a national cross-sectional study conducted between July 2019 and March 2020 in Palestine. Stratified convenience sampling was used to recruit adult women from hospitals, primary healthcare centers, and public spaces of 11 governorates. A translated-into-Arabic version of the validated CC awareness measure (CeCAM) was used to assess women’s knowledge of 12 CC warning signs. Results Of 8086 approached, 7223 participants completed the CeCAM (response rate = 89.3%). A total of 7058 questionnaires were included in the analysis: 2655 from the Gaza Strip and 4403 from the West Bank and Jerusalem (WBJ). The median age [interquartile range] for all participants was 34.0 [24.0, 42.0] years. Participants recruited from the WBJ were older, getting higher monthly income, and having more chronic diseases than those recruited from the Gaza Strip. The most frequently identified warning sign was ‘vaginal bleeding after menopause’ (n = 5028, 71.2%) followed by ‘extreme generalized fatigue’ (n = 4601, 65.2%) and ‘unexplained weight loss’ (n = 4578, 64.9%). Only 1934 participants (27.4%) demonstrated good knowledge of CC warning signs. Participants from the Gaza Strip were slightly more likely than participants from the WBJ to have a good level of knowledge. Factors associated with having good knowledge included having a bachelor or postgraduate degree, being married, divorced, or widowed as well as knowing someone with cancer. Conclusion The overall awareness of CC warning signs was low. Educational interventions are needed to increase Palestinian women’s awareness of CC warning signs.

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Prevalence and Factors Associated with Walking and Bicycling for Transport Among Young Adults in Two Low-Income Localities of Bogotá, Colombia

Journal of Physical Activity and Health ◽

10.1123/jpah.2.4.445 ◽

2005 ◽

Vol 2 (4) ◽

pp. 445-459 ◽

Cited By ~ 23

Author(s):

Luis F. Gómez ◽

Olga L. Sarmiento ◽

Diego I. Lucumí ◽

Gladys Espinosa ◽

Roberto Forero ◽

...

Keyword(s):

Physical Activity ◽

Developing Countries ◽

Young Adults ◽

Low Income ◽

Leisure Time ◽

College Education ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated

Background:Utilitarian physical activity confers health benefits, but little is known about experiences in developing countries. The objective was to examine the prevalence and factors associated with walking and bicycling for transport in adults from Bogotá.Methods:A cross-sectional study including 1464 adults age 18 to 29 y during the year 2002.Results:16.7% reported bicycling for at least 10 min during the last week and 71.7% reported walking for at least 90 min during the last week. Bicycling was more likely among adults living in Tunjuelito (flat terrain), who use the “ciclovía” (car-roads for recreational bicycling on holidays/Sundays) or reporting physical activity during leisure-time and less likely among women, or adults with college education. Walking was more likely among adults reporting physical activity during leisure time and less likely among housewives/househusbands or those living in Tunjuelito.Conclusion:Programs that promote walking or bicycling in Bogotá should consider differences in individual and environmental factors.

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Prevalence and factors associated with alcohol consumption among persons with diabetes in Kampala, Uganda: A cross sectional study

10.21203/rs.3.rs-127159/v1 ◽

2020 ◽

Author(s):

MAKI SIFA ◽

JONH BOSCO ISUNJU ◽

DAVID KAISHUSHA ◽

FISTON MUNEZA ◽

SYLVESTER SSEMANDA ◽

...

Keyword(s):

Alcohol Consumption ◽

Low Income ◽

Cross Sectional Study ◽

World Health ◽

Low Income Countries ◽

Diabetic Patients ◽

Sectional Study ◽

Cross Sectional ◽

Significance Level ◽

Factors Associated

Abstract BackgroundThe prevalence of Diabetes has been rising more rapidly in middle and low-income countries. In Africa, World Health Organization projections anticipate Diabetes Mellitus to be the seventh leading cause of death in 2030. Alcohol consumption intervene mainly in diabetes evolution, in such a way that it can interfere with self-care behaviors which are important determinants of diabetes prognosis. In this study, we evaluate factors associated with alcohol consumption among persons with Diabetes in Kampala so as to inform management policies and improve comprehensive diabetes care.MethodologyA cross-sectional study was conducted systematically among 290 adults with diabetes, attending diabetic clinics at Mulago National Referral hospital and St Francis hospital Nsambya. Data was entered and analyzed in the EPI-INFO version 7 and STATA 13 software. Modified Poisson regression was used to identify factors associated with alcohol consumption among persons with diabetes. All tests were two-sided and the significance level for all the analyses was set to p < 0.05.Results23.45% of persons with Diabetes are taking alcohol [95%CI: 18.9–28.7%]. Of these, 11.3% [95%CI: 8.1–15.6%] consumed alcohol hazardously last year due to stress (58.8%). Divorced, separated and Widow patients (Adj PR: 0.42, 95% CI: 0.21–0.83), Protestant (Adj PR: 0.44, 95%CI: 0.24–0.82); Muslim (Adj PR: 0.30%CI: 0.14–0.62); and Pentecostal (Adj PR: 0.32, 95%CI: 0.15–0.65) were less likely to consume alcohol. Diabetic patients who spend more than five years with diabetes were more likely to consume alcohol (Adj PR: 1.90, 95%CI: 1.25–2.88)ConclusionThe prevalence of alcohol consumption among persons with Diabetes in Kampala is high. The majority of persons with Diabetes consume alcohol hazardously due to stress. Having spent less than five years with diabetes, being widow, Protestant, Muslim and Pentecostal are associated with less consumption of alcohol. Regular screening for stress must be done among persons with Diabetes and affected individuals should be supported to reduce their stress. Sensitization message regarding alcohol consumption among persons with Diabetes should be targeting never married patients and patients who have spent more than five years with diabetes; also religion should be considered as an important avenue for health education in the community.

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Prevalence and factors associated with hypertension among adults in rural Sylhet district of Bangladesh: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2018-026722 ◽

2019 ◽

Vol 9 (10) ◽

pp. e026722 ◽

Cited By ~ 3

Author(s):

Rasheda Khanam ◽

Salahuddin Ahmed ◽

Sayedur Rahman ◽

Gulam Muhammed Al Kibria ◽

Jafar Raza Rizvi Syed ◽

...

Keyword(s):

Risk Factors ◽

Blood Pressure ◽

Low Income ◽

Antihypertensive Drugs ◽

Cross Sectional Study ◽

Communicable Diseases ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Males And Females

ObjectivesLow-income and middle-income countries are undergoing epidemiological transition, however, progression is varied. Bangladesh is simultaneously experiencing continuing burden of communicable diseases and emerging burden of non-communicable diseases (NCDs). For effective use of limited resources, an increased understanding of the shifting burden and better characterisation of risk factors of NCDs, including hypertension is needed. This study provides data on prevalence and factors associated with hypertension among males and females 35 years and older in rural Bangladesh.MethodsThis is a population-based cross-sectional study conducted in Zakiganj and Kanaighat subdistricts of Sylhet district of Bangladesh. Blood pressure was measured and data on risk factors were collected using STEPS instrument from 864 males and 946 females aged 35 years and older between August 2017 and January 2018. Individuals with systolic blood pressure of ≥140 mm Hg or diastolic blood pressure of ≥90 mm Hg or taking antihypertensive drugs were considered hypertensive. Bivariate and multivariate analyses were performed to identify factors associated with hypertension.ResultsThe prevalence of hypertension was 18.8% (95% CI 16.3 to 21.5) and 18.7% (95% CI 16.3 to 21.3) in adult males and females, respectively. Among those who were hypertensive, the prevalence of controlled, uncontrolled and unaware/newly identified hypertension was 23.5%, 25.9% and 50.6%, respectively among males and 38.4%, 22.6% and 39.0%, respectively among females. Another 22.7% males and 17.8% females had prehypertension. Increasing age and higher waist circumference (≥90 cm for males and ≥80 cm for females) were positively associated with hypertension both in males (OR 4.0, 95% CI 2.5 to 6.4) and females (OR 2.8, 95% CI 2.0 to 4.1).ConclusionsIn view of the high burden of hypertension and prehypertension, a context-specific scalable public health programme including behaviour change communications, particularly to increase physical activity and consumption of healthy diet, as well as identification and management of hypertension needs to be developed and implemented.

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Prevalence and factors associated with alcohol consumption among persons with diabetes in Kampala, Uganda: a cross sectional study

BMC Public Health ◽

10.1186/s12889-021-10761-5 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Maki Sifa Salama ◽

Jonh Bosco Isunju ◽

Salama Kaishusha David ◽

Fiston Muneza ◽

Sylvester Ssemanda ◽

...

Keyword(s):

Alcohol Consumption ◽

Low Income ◽

Cross Sectional Study ◽

World Health ◽

Low Income Countries ◽

Diabetic Patients ◽

Sectional Study ◽

Cross Sectional ◽

Significance Level ◽

Factors Associated

Abstract Background The prevalence of diabetes has been rising increasing rapidly in middle- and low-income countries. In Africa, the World Health Organization projections anticipate diabetes mellitus to be the seventh leading cause of death in by 2030. Alcohol consumption influences diabetes evolution, in such a way that it can interfere with self-care behaviours which are important determinants of diabetes prognosis. In this study, we evaluated factors associated with alcohol consumption among persons with diabetes in Kampala to inform management policies and improve comprehensive diabetes care. Methodology A cross-sectional study was conducted systematically among 290 adults with diabetes, attending diabetic clinics at Mulago National Referral Hospital and St Francis Hospital Nsambya. Data were entered and analysed in Epi-Info version 7 and STATA 13 software. Modified Poisson regression was used to identify factors associated with alcohol consumption among persons with diabetes. All tests were two-sided and the significance level for all analyses was set to p < 0.05. Results The prevalence of alcohol consumption among persons with diabetes was 23.45% [95% CI: 18.9–28.7%]. Divorced, separated and widowed patients (Adj PR: 0.42, 95% CI: 0.21–0.83); and Protestant (Adj PR: 0.44, 95% CI: 0.24–0.82); Muslim (Adj PR: 0.30, 95% CI: 0.14–0.62); and Pentecostal (Adj PR: 0.32, 95% CI: 0.15–0.65) patients were less likely to consume alcohol. Diabetic patients who had a diabetes duration greater than 5 years were more likely to consume alcohol (Adj PR: 1.90, 95% CI: 1.25–2.88). Conclusion Approximately one-quarter of participants consumed alcohol. However being catholic, never being married and having diabetes for more than 5 years predisposed persons with diabetes to alcohol consumption. Sensitization messages regarding alcohol consumption among persons with diabetes should be target patients who have never been married and those who have spent more than 5 years with diabetes; religion should also be considered as an important venue for health education in the community.

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Parental Knowledge, Attitudes, and Practices Regarding Antibiotic Use: A Cross-Sectional Study in Bangladesh

Infection Control and Hospital Epidemiology ◽

10.1017/ice.2020.954 ◽

2020 ◽

Vol 41 (S1) ◽

pp. s342-s342

Author(s):

Golam Dostogir Harun ◽

Romel Haider ◽

Imdadul Haque ◽

Alauddin Chowdhury ◽

Saiful Islam

Keyword(s):

Low Income ◽

Parental Attitudes ◽

Parental Knowledge ◽

Antibiotic Use ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Attitudes And Practices ◽

Awareness Campaigns ◽

Knowledge Attitudes And Practices

Background: Antibiotics play a vital role in reducing the morbidity and mortality associated with common infectious among children aged <5 years. Objective: We assessed the parental knowledge, attitudes, and practices regarding antibiotic use among a low-income urban population in Bangladesh. Methods: A cross-sectional study was conducted among the parents of 516 low-income urban children aged <5 years in Bangladesh from February 2018 to April 2019. A semi-structured questionnaire was developed and administrated to explore parental knowledge, attitudes, and practice regarding antibiotic use. A logistic regression analysis and Spearman rank-order correlation was used to compare and evaluate possible associations regarding parental KAP on antibiotic use. Results: The mean age of the participants was 26.65 years (SD, 6.38) and average monthly income was US$195.00. Most respondents (437 of 516) were women. One-third of the participants had no formal education, and 64% had only 5 years of education. We categorized the knowledge, attitudes, and practice regarding antibiotic use into 3 categories: poor, moderate, and good. More than half (52%) of these parents had poor knowledge of antibiotic use, and 32% had moderate knowledge of antibiotic use. Overall, 55% of parental attitudes were moderate and 70% of antibiotic practices were moderate. However, only 16% respondents had good knowledge, 14% had good attitudes, and 14% had good practices regarding antibiotic use for their children. The study revealed that 41% of parents thought that their child could be treated with antibiotics without advice from a qualified doctor, and 71% of parents thought that a child with flu-like symptoms got better faster if antibiotics were used. Also, 54% thought that the antibiotics could be stopped as soon as the symptoms disappeared. In this study, only 40% of parents completed the full dose of antibiotics. Monthly family income (P = .005), father’s profession (P = .003), and parents’ education were significantly associated with antibiotic use to treat the child. Conclusions: Most participants’ knowledge, attitude, and practices regarding rational antibiotic usage was very poor. Awareness campaigns and implementation of education on how to purchase, use, and sell antibiotics is crucial to optimum the use of antibiotics in Bangladesh.Funding: NoneDisclosures: None

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Women’s knowledge of and attitudes toward cervical cancer and cervical cancer screening in Zanzibar, Tanzania: a cross-sectional study

10.21203/rs.2.14008/v2 ◽

2020 ◽

Author(s):

Qiao Weng ◽

Jie Jiang ◽

Fatma Mrisho Haji ◽

Lamlet Hassan Nondo ◽

Huaijun Zhou

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Cervical Cancer Screening ◽

Educational Level ◽

Family Income ◽

Cross Sectional Study ◽

Warning Signs ◽

Sectional Study ◽

Cross Sectional ◽

Previous Disease

Abstract Background: Cervical cancer is the most common cancer and the leading cause of cancer death among women in Tanzania. Knowledge of and willingness to receive a cervical cancer screening are important determinants of prevention. This study aimed to describe women's awareness of cervical cancer and to explore the attitudes toward, acceptability of and barriers to cervical cancer screening (CCS) in Zanzibar. Methods: A cross-sectional study was conducted from March to June 2018 involving 1483 women from 10 districts in Zanzibar who responded to questionnaires concerning their general demo-graphic characteristics, screening willingness and awareness of cervical cancer. Chi-square tests, analysis of variance (ANOVA) and stepwise multiple regression were conducted using STATA 15.1 software. Results: The average total knowledge score (TKS) was 7.84±5.32 on a 23-point scale. Educational level and family income were positively correlated with the TKS. Previous schistosomiasis history and family genetic disease history were strong predictors of screening willingness. Women were less likely to be screened freely if they had 7 or more deliveries and were unaware of any previous family tumor history. Age and educational level were negatively associated non-free screening willingness, while family income was positively associated; being divorced/widowed or single and being unaware of any previous family tumor history were predictors of screening reluctance, while previous disease history was a strong predictor of non-free screening willingness. Fear of screening and inconvenience were the primary concerns among the Zanzibari interviewees. Compared to the 20-49 age group, more women in the less than 20 and 50 or more age groups thought cervical cancer screening was not necessary. The highest rate of cognitive accuracy in regard to cervical cancer warning signs and risk factors was only 37.76%. Conclusions: The findings revealed that knowledge of cervical cancer was poor. Educational level, family income and awareness of previous disease history were significant influencing factors of screening uptake. Specific awareness programs to increase knowledge of cervical cancer and screening willingness should be designed and implemented in the public without delay, especially for younger and elderly women. Keywords: Knowledge, Cervical cancer, Screening, Zanzibar

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Experience of fatigue and related factors among HIV-infected adults attending ART clinic in Ethiopia; a cross-sectional study

10.21203/rs.3.rs-36302/v1 ◽

2020 ◽

Author(s):

Moges Baye ◽

Berihu Fisseha ◽

Mulugeta Bayisa Chala ◽

Solomon Mekonnen Abebe ◽

Balamurugan Janakiraman

Keyword(s):

Weight Loss ◽

Low Income ◽

Health Care Professionals ◽

Cross Sectional Study ◽

People Living With Hiv ◽

Sectional Study ◽

Related Factors ◽

Cross Sectional ◽

Factors Associated ◽

Living With Hiv

Abstract Background: Fatigue is one of the most common bothersome HIV-related morbidity. The HIV prevalence in Ethiopia is heterogeneous by sex, geographic areas, and population groups. In Ethiopia, there is a need to estimate the burden of fatigue among HIV/Acquired Immune Deficiency Syndrome (AIDS) adults to gain regional insight into this disabling symptom.Method: An institutional-based cross-sectional study was conducted among 392 HIV/AIDS patients attending an antiretroviral therapy clinic at the University of Gondar Hospital, Ethiopia using a systematic random sampling technique. Data were collected using a structured questionnaire, nine-item version Fatigue Severity Scale (FSS), and PHQ-9 (Patients Health Questionnaire 9). Logistic regression model was used to identify factors associated with the reported presence of fatigue.Result: The mean age of the participants was 40.5 ± 8.5 years. The prevalence of HIV-related fatigue was 53.3% and about 66% of HIV-infected women experienced fatigue. The factors associated with fatigue experience were; female gender (AOR: 0.196, 95%CI; 0.05, 0.92), being married (AOR: 0.13, 95% CI 0.23, 0.7), low income (AOR: 12.3, 95% CI 2.5, 60.15), unemployed (AOR: 3.9, 95%CI (1.02, 14.739), parity (AOR: 7.99, 95% CI 1.66, 38.41), being anemia (AOR: 13.34, 95% CI 2.74, 65.01), mild weight loss (AOR: 4.9 95% CI 4.33, 19.5) and moderate weight loss (AOR: 5.5 95% CI 3.11, 21.3), respectively.Conclusion: The findings of this study revealed that experiencing fatigue is quite high among adults living with HIV. It is important for health care professionals and people living with HIV to understand; the possible causes of fatigue, remedies, and ways to reclaim energy. The predisposing factors and complications that cause fatigue should be aggressively diagnosed and treated by the clinicians.

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Women’s knowledge of and attitudes toward cervical cancer and cervical cancer screening in Zanzibar, Tanzania: a cross-sectional study

10.21203/rs.2.14008/v3 ◽

2020 ◽

Author(s):

Qiao Weng ◽

Jie Jiang ◽

Fatma Mrisho Haji ◽

Lamlet Hassan Nondo ◽

Huaijun Zhou

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Cervical Cancer Screening ◽

Educational Level ◽

Family Income ◽

Cross Sectional Study ◽

Warning Signs ◽

Sectional Study ◽

Cross Sectional ◽

Previous Disease

Abstract Background: Cervical cancer is the most common cancer and the leading cause of cancer death among women in Tanzania. Knowledge of and willingness to receive a cervical cancer screening are important determinants of prevention. This study aimed to describe women's awareness of cervical cancer and to explore the attitudes toward, acceptability of and barriers to cervical cancer screening (CCS) in Zanzibar. Methods: A cross-sectional study was conducted from March to June 2018 involving 1483 women from 10 districts in Zanzibar who responded to questionnaires concerning their general demo-graphic characteristics, screening willingness and awareness of cervical cancer. Chi-square tests, analysis of variance (ANOVA) and stepwise multiple regression were conducted using STATA 15.1 software. Results: The average total knowledge score (TKS) was 7.84±5.32 on a 23-point scale. Educational level and family income were positively correlated with the TKS. Previous schistosomiasis history and family genetic disease history were strong predictors of screening willingness. Women were less likely to be screened freely if they had 7 or more deliveries and were unaware of any previous family tumor history. Age and educational level were negatively associated non-free screening willingness, while family income was positively associated; being divorced/widowed or single and being unaware of any previous family tumor history were predictors of screening reluctance, while previous disease history was a strong predictor of non-free screening willingness. Fear of screening and inconvenience were the primary concerns among the Zanzibari interviewees. Compared to the 20-49 age group, more women in the less than 20 and 50 or more age groups thought cervical cancer screening was not necessary. The highest rate of cognitive accuracy in regard to cervical cancer warning signs and risk factors was only 37.76%. Conclusions: The findings revealed that knowledge of cervical cancer was poor. Educational level, family income and awareness of previous disease history were significant influencing factors of screening uptake. Specific awareness programs to increase knowledge of cervical cancer and screening willingness should be designed and implemented in the public without delay, especially for younger and elderly women. Keywords: Knowledge, Cervical cancer, Screening, Zanzibar

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