scholarly journals A descriptive study of zoonotic disease risk at the human-wildlife interface in a biodiversity hot spot in South Western Uganda

2021 ◽  
Vol 15 (1) ◽  
pp. e0008633
Author(s):  
Shamilah Namusisi ◽  
Michael Mahero ◽  
Dominic Travis ◽  
Katherine Pelican ◽  
Cheryl Robertson ◽  
...  
Keyword(s):  
Disease Risk ◽  
Hot Spot ◽  
Well Being ◽  
Zoonotic Disease ◽  
The Body ◽  
Sub Saharan Africa ◽  
Forest Fragments ◽  
Cross Sectional ◽  
Medicinal Uses ◽  
High Dependency

Zoonotic diseases pose a significant health challenge at the human–wildlife interface, especially in Sub-Saharan Africa where ecosystem services contribute significantly to local livelihoods and individual well-being. In Uganda, the fragmented forests of Hoima district, form part of a “biodiversity and emerging infectious disease hotspot” composed of communities with high dependency on this wildlife protected areas, unaware of the associated health risks. We conducted a cross-sectional mixed methods study from March to May 2017 and interviewed 370 respondents, using a semi-structured questionnaire from eight villages neighbouring forest fragments in Hoima District, Uganda. Additionally, a total of ten (10) focus group discussions (FGDs) consisting of 6–10 men or women were conducted to further explore the drivers of hunting and perception of zoonotic disease risks at community level. Qualitative and quantitative data were analysed using content analysis and STATA version 12 respectively. We found twenty-nine percent (29.0%, CI: 24.4–33.9) of respondents were engaged in hunting of wildlife such as chimpanzee (Pan troglodytes) and 45.8% (CI: 40.6–51.0), cane rats (Thryonomyidae spp). Acquisition of animal protein was among the main reasons why communities hunt (55.3%, CI: 50.1–60.4), followed by “cultural” and “medicinal” uses of wildlife and or its parts (22.7%, CI: 18.6–27.4). Results further revealed that hunting and bushmeat consumption is persistent for other perceived reasons like; bushmeat strengthens the body, helps mothers recover faster after delivery, boosts one’s immunity and hunting is exercise for the body. However, respondents reported falling sick after consumption of bushmeat at least once (7.9%, CI: 5.3–11.1), with 5.3% (CI: 2.60–9.60) reporting similar symptoms among some family members. Generally, few respondents (37.0%, CI: 32.1–42.2) were aware of diseases transmissible from wildlife to humans, although 88.7% (CI: 85.0–92.0) had heard of Ebola or Marburg without context. Hunting non-human primate poses a health risk compared to edible rats (cane rats) and wild ruminants (cOR = 0.4, 95% CI = 0.1–0.9) and (cOR = 0.7, 95% CI = 0.2–2.1) respectively. Study suggests some of the pathways for zoonotic disease spillover to humans exist at interface areas driven by livelihoods, nutrition and cultural needs. This study offers opportunities for a comprehensive risk communication and health education strategy for communities living at the interface of wildlife and human interactions.

scholarly journals Wealth Inequality as a Predictor of Subjective Health, Happiness and Life Satisfaction among Nepalese Women

2018 ◽  
Vol 15 (12) ◽  
pp. 2836 ◽  
Author(s):  
Zhifei He ◽  
Zhaohui Cheng ◽  
Ghose Bishwajit ◽  
Dongsheng Zou
Keyword(s):  
Economic Status ◽  
Wealth Inequality ◽  
Well Being ◽  
Developed Countries ◽  
Subjective Health ◽  
Household Wealth ◽  
The Body ◽  
Status Report ◽  
Wealth Status ◽  
Cross Sectional

Socioeconomic status has shown to be associated with subjective health, well-being, satisfaction with overall life and estimation of happiness. The body of research concerning the question of whether higher economic status leads to better health and well-being are mostly from developed countries. The present study was therefore conducted among women in Nepal with an aim to investigate whether household wealth status is associated with satisfaction about (1) self-reported health, (2) happiness, and (3) life overall. Methods: Subjects were 5226 Nepalese women aged between 15 and 24 years. Cross-sectional data were extracted from round 5 of the Nepal Multiple Indicator Cluster Survey (NMICS), conducted in 2014, and analyzed using chi-square tests of association, bivariate and multivariable regression methods. Results: Wealth status was significantly associated with satisfaction about health, estimation of happiness and satisfaction. Compared with women in the poorest households, the odds of positive estimation about overall happiness were respectively 30% higher for poorer (p < 0.0001; 95% CI = 1.653–3.190), 80% higher for middle (p = 0.001; 95% CI = 1.294–2.522), 64% higher for richer (p = 0.006; 95% CI = 1.155–2.326), and 40% higher for richest households. The odds of reporting satisfaction about life were respectively 97% higher for poorer (p < 0.0001; 95% CI = 1.680–2.317), 41% higher for middle (p < 0.0001; 95% CI = 1.165–1.715), 62% higher for richer (p < 0.0001; 95% CI = 1.313–2.003), and 31% higher for richest households (p = 0.043; 95% CI = 1.008–1.700). Conclusion: Our results conclude that women in households with lower wealth status report poorer subjective health, quality of life and happiness. However, the findings need to be interpreted in light of the existing sociocultural conditions mediating the role of household wealth status on women’s lives.

scholarly journals A Correlative Study Between Personality Traits and the Preference of Site Selection in Cosmetic Treatment

2021 ◽  
Vol 12 ◽  
Author(s):  
Huan Qian ◽  
Yuxiao Ling ◽  
Chen Wang ◽  
Cameron Lenahan ◽  
Mengwen Zhang ◽  
...  
Keyword(s):  
Personality Traits ◽  
Cosmetic Surgery ◽  
Treatment Options ◽  
Well Being ◽  
The Body ◽  
Eysenck Personality Questionnaire ◽  
Body Parts ◽  
Personality Profiles ◽  
Cross Sectional ◽  
Face Contour

Background: Cosmetic treatment was closely associated with beauty seekers' psychological well-being. Patients who seek cosmetic surgery often show anxiety. Nevertheless, not much is known regarding how personality traits relate to the selection of body parts that receive cosmetic treatment.Aims: This study aims to investigate the correlation between personality traits and various selection sites for cosmetic treatment via Eysenck Personality Questionnaire (EPQ).Methods: A cross-sectional approach was adopted to randomly recruited patients from a general hospital planning to undergo cosmetic treatments. All respondents completed the EPQ and provided their demographic information. The EPQ involves four scales: the extraversion (E), neuroticism (N), psychoticism (P), and lying scales (L). Psychological scales were evaluated to verify that people who selected different body sites for cosmetic intervention possessed different personality portraits.Results: A total of 426 patients with an average age of 32.14 ± 8.06 were enrolled. Among them, 384 were females, accounting for more than 90% of patients. Five treatment sites were analyzed, including the body, eye, face contour, nose, and skin. Comparatively, patients with neuroticism were more likely to undergo and demand rhinoplasty (OR 1.15, 95% CI 1.07–1.24, P &lt; 0.001). Face contour treatment was commonly associated with extraversion (OR 1.05, 95% CI 1.00–1.11, P = 0.044), psychoticism (OR 1.13, CI 1.03–1.25, P = 0.013), and neuroticism (OR 1.05, CI 1.01–1.10, P = 0.019).Conclusions: This novel study attempted to determine the personality profiles of beauty seekers. The corresponding assessments may provide references for clinical treatment options and enhance postoperative satisfaction for both practitioners and patients.

Soil-transmitted helminthiasis among mothers and their pre-school children on Unguja Island, Zanzibar with emphasis upon ascariasis

Parasitology ◽  
2008 ◽  
Vol 135 (12) ◽  
pp. 1447-1455 ◽  
Author(s):  
J. R. STOTHARD ◽  
E. IMISON ◽  
M. D. FRENCH ◽  
J. C. SOUSA-FIGUEIREDO ◽  
I. S. KHAMIS ◽  
...  
Keyword(s):  
Child Health ◽  
School Children ◽  
Negative Relationship ◽  
Well Being ◽  
Sub Saharan Africa ◽  
Cross Sectional ◽  
The North ◽  
Sub Saharan ◽  
And Child Health ◽  
Soil Transmitted Helminthiasis

SUMMARYSoil-transmitted helminthiasis (STH) is a scourge to the health and well-being of infants and pre-schoolchildren throughout many parts of sub-Saharan Africa. To improve maternal and child health, regular de-worming is recommended and often delivered from mother and child health (MCH) clinics, yet there have been few studies monitoring the progress and impact of interventions on local levels of disease. A cross-sectional parasitological survey, supplemented with questionnaires, was therefore conducted across 10 Ungujan villages examining mothers (n=322) and their pre-school children (n=359). Within children, mean prevalence of ascariasis, trichuriasis and hookworm was 8·6% (95% CI 5·5–11·8), 18·9% (95% CI 14·5–23·4) and 1·7% (95% CI 0·2–3·5) while in mothers mean prevalence was 6·7% (95% CI 3·7–9·7), 11·9% (95% CI 8·0–15·8) and 1·9% (95% CI 0·2–3·5), respectively. There was, however, significant spatial heterogeneity of STH by village, 2 villages having much elevated levels of infection, although general access to anthelminthics and utilization of village MCH clinics was good. Levels of parasite aggregation (k) were determined and a multilevel logistic regression model identified access to a household latrine [OR=0·56 (95% CI 0·32–0·99)] and having an infected household member [OR=3·72 (95% CI 2·22–6·26)] as observed risk factors. To further investigate worm burdens of Ascaris lumbricoides, adult worms were expelled using Combantrin® and measured. A negative relationship between mean worm burden and mean worm mass was found. Villages in the north of Unguja represent locations where there is elevated prevalence of both ascariasis and trichuriasis and it appears that local factors are particularly favourable for transmission of these helminths. From a perspective of control, in such locations, intervention efforts should be stepped up and greater efforts placed upon improving household sanitation.

scholarly journals Evaluation of the Stress Phasei In Students of tThe Health Area

2018 ◽  
Vol 45 (1) ◽  
Author(s):  
Danielle Lemes Dutra ◽  
André Abrantes Rosique ◽  
Asaphe Lemes Dutra ◽  
Sarah Da Silva Candido ◽  
Cynthia Kallás Bachur
Keyword(s):  
Medical Students ◽  
Well Being ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
The Body ◽  
São Paulo ◽  
Cross Sectional ◽  
Stress Symptoms ◽  
Health Area ◽  
De Medicina

Stress is a general wear and tear of the body, being responsible for changes in the state of health and well-being of the individual. The present study had as objective apply an Inventory of Stress Symptoms among both medical and physiotherapy students, compare and identify the stage of stress they encounter. This is a descriptive and cross-sectional study. The sample consisted of students of the 4th year of both Medicine and Physiotherapy courses from Universidade de Franca- São Paulo, volunteers, regardless of sex or ethnicity. An inventory of Stress Symptoms I.S.S. Lipp to characterize the stress phase of students. A total of 70 students participated in the study, 25 of which were physiotherapists, 22 male and 48 female, 21.92 ± 1.57 years old, and 45 medical students, with a mean age of 24, 87 + 4.26 years. In both courses, the sample analyzed showed a predominance in the Resistance phase, corresponding to a score of 4.26 in relation to medical students and 1.57 in physiotherapy. Based on the data from the present study, it was possible to identify that the students of the health area are in a predominantly Exhaustion phase, according to the Lipp inventory. Avaliação da Fase de Estresse em Estudantes da Área da Saúde O estresse é causado pelas alterações psicofisiológicas que ocorrem quando o indivíduo é forçado a enfrentar situações que o irritem. O presente estudo teve como objetivo aplicar um Inventário de Sintomas de estresse entre estudantes de medicina e fisioterapia, comparar e identificar a fase de estresse que eles se encontram. Trata-se de um estudo de caráter descritivo e transversal. A amostra foi composta por estudantes do 4º ano do curso de Medicina e de Fisioterapia da Universidade de Franca- São Paulo, voluntários,sem distinção de sexo ou etnia. Foi aplicado um Inventário de Sintomas de estresse I.S.S. Lipp para caracterizar a fase do estresse dos estudantes. Participaram deste estudo70 estudantes, 25 do curso de Fisioterapia, com idade 21,92 + 1,57 anos e 45 estudantes do curso de medicina, com idade média de 24,87 + 4,26 anos. A amostra analisada apresenta, em ambos os cursos, uma predominância na fase de Resistência, correspondendo um escore de 4,26 em relação aos estudantes de Medicina e 1,57 aos de Fisioterapia. Com base nos resultados dos dados do presente estudo, foi possível identificar que os estudantes da área de saúde encontram-se em uma fase predominantemente de Exaustão segundo o inventário de Lipp.

scholarly journals Malnutrition and associated factors among adults starting on antiretroviral therapy at PASADA Hospital in Temeke District, Tanzania

2018 ◽  
Vol 20 (2) ◽  
Author(s):  
Titus K. Kabalimu ◽  
Edson Sungwa ◽  
Warles C. Lwabukuna
Keyword(s):  
Nutritional Assessment ◽  
The Body ◽  
Sub Saharan Africa ◽  
Severe Malnutrition ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Cd4 Cell Count ◽  
Art Initiation ◽  
Sub Saharan ◽  
Hiv Aids

Background: Malnutrition is known to play a significant role in HIV/AIDS progression. Severe malnutrition has been previously found to be associated with early mortality among people living with HIV/AIDS (PLHIV) undergoing anti-retroviral therapy (ART) in Sub-Saharan Africa. The objective of this study was to determine the prevalence and factors associated with malnutrition among adult PLHIV attending care and treatment centre (CTC) in Temeke District, Tanzania.Methods: The cross-sectional descriptive study involved consecutive eligible patients attending the CTC for initiating in ART, between January and April, 2014. All participants who agreed to sign a consent form were enrolled. The participants had undergone baseline workup for ART initiation (by CTC), which included blood tests for liver and renal function tests, and CD4+ cell count, using calibrated instruments and standard techniques. In all patients the weight and height were measured to calculate the body mass index (BMI), denoting the nutritional status. This parameter was recorded in the study instrument together with the CD4+ count for each patient. A structured questionnaire was used to obtain more information, namely demographic and lifestyle data.Results:  A total of 125 patients were included in this study. The prevalence of malnutrition among participants was 19.4%.  Those with severe malnutrition comprised of 9%. Significant association was noted between malnutrition and irregular income (OR= 3.8, CI: 1.2-11.5) and also inability to get at least two meals a day (OR= 3.4, CI: 1.2-9.2).  Severe malnutrition was significantly associated with the CD4+ counts of <200 cells/mm(OR =7.6; CI: 1.7-34.6).Conclusion: About 19% of participants were malnourished at the time of initiation of ART and among them 9% were severely malnourished. The most important risks for malnutrition were found to be irregular income and inability to get adequate feeding. This calls for routine nutritional assessment at CTCs prior to initiation of ART so as to identify those who need immediate intervention, including those with severe malnutrition.

scholarly journals Prevalence of overweight and obesity in Mozambique in 2005 and 2015

2019 ◽  
Vol 22 (17) ◽  
pp. 3118-3126 ◽  
Author(s):  
Filipa Fontes ◽  
Albertino Damasceno ◽  
Neusa Jessen ◽  
António Prista ◽  
Carla Silva-Matos ◽  
...  
Keyword(s):  
Abdominal Obesity ◽  
Urban Areas ◽  
Disease Risk ◽  
Urban Women ◽  
Cross Sectional Study ◽  
Overweight And Obesity ◽  
Sub Saharan Africa ◽  
Age Group ◽  
Cross Sectional ◽  
Significant Difference

AbstractObjective:The ongoing demographic, nutritional and epidemiological transitions in sub-Saharan Africa highlight the importance of monitoring overweight and obesity. We aimed to assess the prevalence of overweight and obesity in Mozambique in 2014/2015 and compare the estimates with those obtained in 2005.Design:Cross-sectional study conducted in 2014/2015, following the WHO Stepwise Approach to Chronic Disease Risk Factor Surveillance (STEPS). Prevalence estimates with 95 % CI were computed for different categories of BMI and abdominal obesity, along with age-, education- and income-adjusted OR. The age-standardized prevalence in the age group 25–64 years was compared with results from a STEPS survey conducted in 2005.Setting:Mozambique.Participants:Representative sample of the population aged 18–64 years (n 2595).Results:Between 2005 and 2014/2015, the prevalence of overweight and obesity increased from 18·3 to 30·5 % (P < 0·001) in women and from 11·7 to 18·2 % (P < 0·001) in men. Abdominal obesity increased among women (from 9·4 to 20·4 %, P < 0·001), but there was no significant difference among men (1·5 v. 2·1 %, P = 0·395). In 2014/2015, the prevalence of overweight and obesity was more than twofold higher in urban areas and in women; in the age group 18–24 years, it was highest in urban women and lowest in rural men.Conclusions:In Mozambique, there was a steep increase in the prevalence of overweight and obesity among adults between 2005 and 2014/2015. Overweight and obesity are more prevalent in urban areas and among women, already affecting one in five urban women aged 18–24 years.

Is health behavior among university students determined by actual body shape or by body image? A European study

Work ◽  
2021 ◽  
pp. 1-8
Author(s):  
Maria Piedade Brandão ◽  
Annettte Quinto Romani ◽  
Frantitsek Sudzina ◽  
Inger Glavind Bo ◽  
Bent Egberg Mikkelsen
Keyword(s):  
Body Image ◽  
Well Being ◽  
Self Esteem ◽  
Health Risk Behaviors ◽  
Cross Sectional Study ◽  
The Body ◽  
Image Perception ◽  
Cross Sectional ◽  
European Universities ◽  
The Future

BACKGROUND: Appropriate body image self-perceptions provide a good help to increase the feeling of personal well-being, thus having an important impact on health. Universities, having an important role in shaping of the future workers, represent an important setting to approach health issues. OBJECTIVE: This study determined to what extent different types of students in higher education (four categories of students were created: “self-secure”, “perfect”, “destructive” and “apologetic”) are likely to adopt different health risk behaviors. METHODS: A cross-sectional study in a sample of students from five European Universities in the 2016/2017 academic year was conducted. Based on the combination of body image perception and body mass index, four types of students were identified: “self-secure” (overweight students with a good self-esteem); “perfect” (underweight students with a good self-esteem); “destructive” (overweight students with a poor self-esteem); “apologetic” (underweight students with a poor self-esteem). RESULTS: The study reveals that the defined types of students differed in terms of risk behavior. When the control was included, the “self-secure” student type had a reduced likelihood of being on a diet (22.3%) and physically active (17.8%) than other students (p <  0.001). CONCLUSIONS: The results of this paper raise concerns about the future because the body dissatisfaction of the college student could be a big impact in long term whether at collective, personally or even professionally.

scholarly journals Prevalence and factors associated with intestinal parasites among food handlers in Medebay Zana District, north West Tigray, northern Ethiopia

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Kebrom Regassa ◽  
Kiros Tedla ◽  
Gessessew Bugssa ◽  
Gebretsadkan Gebrekirstos ◽  
Hailay Gebreyesus ◽  
...  
Keyword(s):  
Intestinal Parasites ◽  
Statistical Significance ◽  
The Body ◽  
Sub Saharan Africa ◽  
Food Handler ◽  
Local Health ◽  
Northern Ethiopia ◽  
Food Handlers ◽  
Cross Sectional ◽  
North West

Abstract Introduction Intestinal parasites are amongst the major public health challenges facing Sub-Saharan Africa. The aim of the study was to determine the prevalence of intestinal parasites and its associated factors among food handlers in Medebay Zana District, Tigray, Ethiopia. Methods A cross-sectional study was conducted among 401 food handler individuals selected by systematic random sampling. Binary and multivariable logistic regression was used to determine the possible association between the independent variable and outcome variables. Statistical significance was declared at p-value < 0.05 with a 95% confidence interval. Result The prevalence of intestinal parasites was 33.2% within this sample. The dominant parasite was Entamoeba coli 50(37.4%), followed by Entamoeba histolytica/dispar 24(18%), Entamoeba hartmanni 18(13.5), Giardia lamblia 17(12.8%), Schistosoma mansoni 8(6%), Hymenolepis nana 7(5.3%), Entervious vermicularies 6(4.5%) and Taenia species 3(2.5%). Conclusion This study revealed a high prevalence of intestinal parasites among food handlers for a range of intestinal parasites. The significant predictors were the source of water, washing hands before food preparation, washing hands with soap and water after visiting the toilet, shower installation at the workplace, washing the body regularly and eating raw vegetables and raw meat. Hence, local health planners should implement appropriate interventional measures for the novel risk factors to mitigate the problem.

scholarly journals Sadness and Other Health Complaints among Swedish Adolescents: A Cross-Sectional Study

2021 ◽  
Vol 18 (8) ◽  
pp. 3999
Author(s):  
Tide Garnow ◽  
Eva-Lena Einberg ◽  
Anna-Karin Edberg ◽  
Pernilla Garmy
Keyword(s):  
Well Being ◽  
Cross Sectional Study ◽  
The Body ◽  
Public Health Issue ◽  
Future Research ◽  
Health Complaints ◽  
Global Public Health ◽  
Cross Sectional ◽  
Cross Sectional Design ◽  
The Relationship

Health complaints are increasing among adolescents and are recognized as a global public health issue. Health complaints are an indicator for subjective ill-being, but little is known about the relationship between sadness and other health complaints. The aim of this study was to investigate sadness and other health complaints among Swedish adolescents. A survey with a cross-sectional design was completed by adolescents (n = 1489, 15–17 years old) in the south of Sweden. A logistic regression analysis was used to analyze the relationship between sadness and other health complaints. The result show that sadness and other health complaints were common among adolescents, and sadness was related to health complaints (headache (OR: 1.58), sleeping difficulties (OR: 2.00), reduced appetite (OR: 1.43), tension (OR: 2.44), and concentration difficulties (OR: 2.75)). When adolescents express sadness or other health complaints it is important to reflect on what these complaints are an expression of, and take into account the body as physical and psychological intertwined. This might entail person-centered support that hopefully leads to an improvement in adolescents’ well-being. Future research that profoundly highlights adolescents’ existential health is needed.

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