scholarly journals Sexuality and associated risk factors in pregnant women

2020 ◽  
Vol 73 (suppl 4) ◽  
Author(s):  
Paula Renata Amorim Lessa Soares ◽  
Cinthia Gondim Pereira Calou ◽  
Samila Gomes Ribeiro ◽  
Priscila de Souza Aquino ◽  
Paulo Cesar de Almeida ◽  
...  
Keyword(s):  
Public Health ◽  
Sexual Dysfunction ◽  
Health Service ◽  
Sexual Function ◽  
Health System ◽  
Pregnant Women ◽  
Low Income ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
The Public

ABSTRACT Objectives: to assess the sexual function of pregnant women and the influence of sociodemographic, obstetric, and behavioral factors on sexual dysfunction. Methods: cross-sectional study conducted with 141 pregnant women attended by the Single Health System and 120 by one private service, totaling 261 participants. A questionnaire containing sociodemographic, obstetric, and behavioral variables was applied, as well as the Female Sexual Function Index instrument, which was used to assess sexual function. Associations between variables and sexual dysfunction were made using the chi-square test, considering a statistically significant result when p < 0.05. Results: among the participants, 32.1% had sexual dysfunction, and the variables “age”, “income” and “type of health service” had an influence on sexual dysfunction. The prevalence of pregnant women was between 21 and 30 years old (p < 0.001), with an income between 1 and 2 minimum wages (p = 0.048) and used the public health system network (p = 0.000). Conclusions: the factors associated with sexual dysfunction are “young pregnant women”, “low income” and “attended in the public health service”.

scholarly journals Retrospective study of the distribution of doctors in municipalities of extreme poverty in Brazil

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
B L O Luizeti ◽  
E M M Massuda ◽  
L F G Garcia
Keyword(s):  
Public Health ◽  
Health System ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Extreme Poverty ◽  
The Public ◽  
The North ◽  
Unified Health System ◽  
Shortage Of Doctors ◽  
Demographic Distribution

Abstract In view of the national scenario of scarcity of material and human resources in public health in Brazil, the survey verified the demographics of doctors who attend the Unified Health System (SUS) in municipalities of extreme poverty. An observational, analytical and cross-sectional study was carried out, based on secondary quantitative data from the Department of Informatics of the SUS using the TABNET of December 2019. The care networks variable was restricted to infer the number of physicians who attend the SUS in extreme poverty municipalities in Brazil. Municipalities of extreme poverty are those that at least 20% of the population have a household income of up to 145 reais per capita monthly. In Brazil, there are 1526 municipalities in extreme poverty, 27.4% of the country's total municipalities. 14,907 doctors linked to SUS work in this condition, 3.19% of the total of these professionals in Brazil. There is still disproportion between regions: North concentrates 11.2% of the municipalities in extreme poverty and 8.61% of the total number of doctors; Northeast, with 61.33% of these municipalities, for 61.5% of doctors; Southeast, with 15.46% of the municipalities in this condition, has 20.6% of doctors; South concentrates 10.87% of the municipalities under discussion with 5.61% of doctors and the Midwest, with 4.87% of these municipalities, has 3.54% of doctors. Between 2009 and 2018, there was a 39% increase in the number of doctors in these locations, however, for 2019, there was a decrease of 3.89%. The medical demographic distribution in Brazil is uneven, especially in the North. There is also the vulnerability of this population in view of the observed reduction in the number of professionals between 2018 and 2019 in municipalities of extreme poverty, for political reasons. It is evident the need to restructure the health system to guarantee access to health for this population, through the attraction and fixation of doctors in needy regions in Brazil. Key messages Shortage of doctors in extreme poverty municipalities reinforces the health vulnerability of the population in Brazil. The uneven medical demography in Brazil requires restructuring in the public health system.

Prevalence of sexual dysfunction and related factors in Iranian pregnant women during the COVID-19 pandemic

2020 ◽  
Vol 16 ◽  
Author(s):  
Azam Mohammadi ◽  
Fatemeh Effati-Daryani ◽  
Somayeh Zarei ◽  
Sakineh Ghasemi Yngyknd ◽  
Elnaz Hemmati ◽  
...  
Keyword(s):  
Sexual Dysfunction ◽  
Marital Satisfaction ◽  
Sexual Function ◽  
Pregnant Women ◽  
Cross Sectional Study ◽  
Function Score ◽  
Related Factors ◽  
Cross Sectional ◽  
Modifying Factors ◽  
Treatment And Prevention

Background: With the global prevalence of COVID-19, general fear has increased along with misinformation and rumors that could affect a pregnant woman's psyche, and her sexual function. Objective: This study was conducted to determine the prevalence of sexual dysfunction and related factors in pregnant women during the COVID-19 pandemic. Methods: This cross-sectional study was performed on 205 pregnant women. Data collection tools included a sociodemographic characteristics questionnaire and the FSFI, both of which were completed online. Results: The mean (SD) of the overall score of sexual function was 21.54 (8.37), and 80% of participants suffered from sexual dysfunction. The results of the adjusted general linear model showed that the variables of spouse's age and occupation, place of residence, and marital satisfaction were significantly statistically correlated with sexual function score. In women whose husbands were under 30 years of age compared with those over 35 years of age, in women living in their parents' homes compared to those living in private homes, and in women with high or extremely high marital satisfaction compared to moderate satisfaction, the sexual function score was higher. Conversely, women whose husbands were blue-collar workers had lower sexual function scores than those whose husbands were white-collar workers. Conclusion: It is necessary to consider socio-demographic factors in the treatment and prevention of this sexual function disorders. It is recommended that the appropriate solutions be provided and implemented by the relevant authorities, taking into account the effective modifying factors, in order to further improve this dimension of married life.

scholarly journals Sexual Function in Pregnant Women in the Public Health System

2019 ◽  
Vol 09 (06) ◽  
pp. 764-774 ◽  
Author(s):  
Cândice Cezimbra Miranda ◽  
Amanda Vilaverde Perez ◽  
Bruno Ribeiro Bossardi ◽  
Luiza Cabreira Brust ◽  
Fernanda Santos Grossi ◽  
...  
Keyword(s):  
Public Health ◽  
Sexual Function ◽  
Health System ◽  
Pregnant Women ◽  
Public Health System ◽  
The Public

scholarly journals Periodontitis in individuals with diabetes treated in the public health system of Belo Horizonte, Brazil

2010 ◽  
Vol 13 (1) ◽  
pp. 118-125 ◽  
Author(s):  
Aline Mendes Silva ◽  
Andréa Maria Duarte Vargas ◽  
Efigênia Ferreira e Ferreira ◽  
Mauro Henrique Nogueira Guimarães de Abreu
Keyword(s):  
Public Health ◽  
Health System ◽  
Public Health System ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Clinical Attachment Loss ◽  
Cross Sectional ◽  
The Public ◽  
Patients With Diabetes ◽  
Belo Horizonte

OBJECTIVE: The aim of the present study was to investigate the prevalence of periodontitis among individuals with diabetes who use the public health system in the city of Belo Horizonte-Minas Gerais, Brazil, and the association of this condition with socioeconomic, behavioral and clinical variables. METHODS: A cross-sectional study was carried out on a calculated sample of 300 individuals with diabetes. Periodontitis was defined as clinical attachment loss (CAL) > 3 mm in two or more non-adjacent teeth or those that exhibited CAL > 5 mm in 30.0% of teeth. All subjects were over 30 years of age and underwent a periodontal examination. Socioeconomic and behavioral characteristics as well as medical history and dental history were obtained from a structured interview. Multivariate analysis was conducted using Poisson regression. RESULTS: Among the individuals with diabetes, 6.7% exhibited good periodontal health, 68.0% exhibited gingivitis and 25.3% exhibited periodontitis. The following variables were associated with periodontitis after adjustment: male (PR 1.67 95% CI 1.12, 2.49), individuals with diabetes for more than eight years (PR 1.63 95% CI 1.63, 2.38), smokers (PR 1.71 95% CI 1.10, 2.65); individuals with more than 12 missing teeth (PR 2.67 95% CI 1.73, 4.15) CONCLUSIONS: Multiple determinants are associated with the prevalence of periodontitis among patients with diabetes.

scholarly journals The Severity of Malaria and Toxoplasmosis Co-Infections among Pregnant Women in Yaounde, Cameroon

2021 ◽  
pp. 22-32
Author(s):  
Judith Lum Ndamukong-Nyanga ◽  
Kitio Falone Linda ◽  
Signi Todjom Chysine Lucile ◽  
Demanou Teubow Dolly-Misper
Keyword(s):  
Public Health ◽  
Pregnant Women ◽  
Severe Malaria ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
Sub Saharan Africa ◽  
Cross Sectional ◽  
The Public ◽  
Significant Difference ◽  
The Difference

Malaria and toxoplasmosis are two diseases caused by parasites of the same phylum (Apicomplexa). They have severe consequences on the health of pregnant women and their unborn babies. As such, they are of importance for the public health, especially in Sub-Saharan Africa and Cameroon. The aim of this study was to evaluate the severity of toxoplasmosis among malaria-positive pregnant women attending the Biyam-Assi District Hospital. It was a cross-sectional study that took place from May to November 2019 involving 232 pregnant women who voluntarily accepted to take part in the study. Demographic data was collected using structured questionnaires and blood was collectd by finger prick. Thick blood films were prepared for the detection of malaria and the Giemsa-stained slides were read microscopically. A drop of blood was used for the detection of toxoplasmosis using the  chromatographic cassette (Rapid Diagnostic Test) and the results were read after 15 minutes. The data obtained was analysed using SPSS version 24. The results showed that the prevalence of toxoplasmosis was 22.84 %. This prevalence didn’t depend on the trimester of pregnancy (P = 0. 08). The prevalence of malaria was 38.9%. No significant difference was observed for either the prevalence or severity of malaria over the three trimesters of pregnancy (p = 0.60 and p = 0.9 respectively). The prevalence of co-infection with malaria and toxoplasmosis was 9.05%. Women without toxoplasmosis were more prone to severe malaria (20.29 %) than their counterparts who had toxoplasmosis (4.78 %) and the difference between these two groups was statistically significant (p = 0.02). The severity of toxoplasmosis was not influenced by the presence of Plasmodium (p = 0. 20). It was concluded that the occurrence and severity of toxoplasmosis in pregnant women does not depend on their malaria serological status. However, the presence of severe malaria in pregnant women depends on their toxoplasmosis status. Indeed, women already infected with T. gondii are less susceptible to malaria than their counterparts who are negative for toxoplasmosis. These findings suggest that T. gondii in a person confers some form of reistance to infections with Plasmodium. It was recommended that the Public Health Ministry in Cameroon could include screening for toxoplasmosis among the routine test for pregnant women in order to improve on the health of mother and baby.

VP49 Brazilian Consumer Willingness To Pay For Dengue Vaccine (CYD-TDV)

2017 ◽  
Vol 33 (S1) ◽  
pp. 170-171
Author(s):  
Isabella Godói ◽  
André Santos ◽  
Edna Reis ◽  
Livia Pires de Lemos ◽  
Cristina Brandão ◽  
...  
Keyword(s):  
Public Health ◽  
Willingness To Pay ◽  
Health System ◽  
Public Health System ◽  
Cross Sectional Study ◽  
Pharmaceutical Products ◽  
Dengue Vaccine ◽  
Cross Sectional ◽  
The Public ◽  
Belo Horizonte

INTRODUCTION:Dengue virus is a serious global health problem with an estimated 3.97 billion people at risk for infection worldwide. In December 2015, the first vaccine (CYD-TDV) for dengue prevention was approved in Brazil, developed by Sanofi Pasteur (1). However, given that the vaccine will potentially be paid via the public health system, information is needed regarding consumers willingness to pay for the dengue vaccine in the country, as well as discussions related to the possible inclusion of this vaccine into the public health system at prices suggested by the manufacturer. This was the objective of this research.METHODS:We conducted a cross-sectional study with residents of Greater Belo Horizonte, Minas Gerais, about their willingness to pay for the CYD-TDV vaccine. Respondents had to be over 18 years and not currently have the disease although they may have had dengue in the past (2,3).RESULTS:Five-hundred and seven individuals were interviewed, who were mostly female (62.4 percent), had completed high school (62.2 percent), were working (74.4 percent), had private health insurance (64.5 percent) and did not have dengue (67.4 percent). The maximum median value of consumers willingness to pay for the CYD-TDV vaccine, assuming vaccine efficacy against virologically-confirmed symptomatic dengue illness of approximately 60 percent, is USD33.61 (BRL120.00) for the complete 3-course schedule and USD11.20 (BRL40.00) per dose. At the price currently being assessed by the Brazil's regulatory chamber of pharmaceutical products market (CMED) for Dengvaxia® for three doses, only 17 percent of the population expressed a willingness to pay for the vaccine at this price.CONCLUSIONS:Brazil is currently one of the largest markets for dengue vaccine in the world and the price established is a key issue. The manufacturer should asses the possibility of lowering its price in Brazil to reach a larger audience among the Brazilian population, especially as other public health activities to control the disease will continue.

Sexual function evaluation in Brazilian women accessing a public health service: an observational cross-sectional study

2020 ◽  
pp. 1-11
Author(s):  
Flávia Fagundes Ferreira ◽  
Valentina Lucia La Rosa ◽  
Maryellen Nepomuceno Benites ◽  
Taís Marques Cerentini ◽  
Cislaine Machado de Souza ◽  
...  
Keyword(s):  
Public Health ◽  
Health Service ◽  
Sexual Function ◽  
Public Health Service ◽  
Cross Sectional Study ◽  
Function Evaluation ◽  
Sectional Study ◽  
Cross Sectional

Sexual satisfaction in pregnancy: a cross section study in Japan

2019 ◽  
Vol 7 (2) ◽  
pp. 81-93
Author(s):  
Yunhee Iba ◽  
Ya-Ping Onozuka
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Function ◽  
Pregnant Women ◽  
Sexual Satisfaction ◽  
Antenatal Clinic ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Female Sexual Function ◽  
Cross Sectional ◽  
Wide Range

Sexuality is one of the most important quality of life issues for both men and women. Sexual dysfunction is a highly prevalent women's sexual response is characterized as highly variable and influenced by a wide range of determinants, including physiologic, psychosocial, and contextual factors. The aim of this study was to assess the sexual satisfaction in pregnant women. This was a cross-sectional study involving 685 Japanese pregnant women aging between17-43 years, who were recruited from January 01, 2012 – January 01, 2014 at the antenatal clinic of Jichi Medical University Hospital. The Female Sexual Function Index (FSFI) questionnaire was used to assess sexual function. Overall, 284/685, 41.45% of the 685 pregnant women were at risk for sexual dysfunction symptoms (FSFI scores ≤26); this rate was significantly higher among pregnant women in 3rd trimester (187/254, 73%; P<0.05). Furthermore, our present study showed that the 3rd trimester of pregnancy had lower mean scores in sexual satisfaction, desire, lubrication, orgasm, arousal and dyspareunia than 1st and 2nd trimester. According to these results, pregnant women in the third trimester of pregnancy have lower female sexual function scores than 2nd and 1st trimester of pregnancy.

scholarly journals Swine flu awareness in pregnancy

2020 ◽  
Vol 9 (5) ◽  
pp. 1981
Author(s):  
Nilesh Doshi ◽  
Aditi J. Upadhye ◽  
Jayshree J. Upadhye
Keyword(s):  
Public Health ◽  
Pregnant Women ◽  
Close Contact ◽  
Swine Influenza ◽  
Uttar Pradesh ◽  
Cross Sectional Study ◽  
Swine Flu ◽  
Cross Sectional ◽  
The Public ◽  
Precautionary Measures

Background: Swine influenza outbreaks are common in pigs year-round and infection in humans is a result of close contact with infected animals. Understanding the perception of the public and their potential resources would help public health agencies in developing educational programs to increase the awareness of the public. The objective of this study was to assess the knowledge, attitude and practices on different aspects of swine flu.Methods: A cross-sectional study of 100 pregnant women was conducted at Varun Arjun Medical College, Banthara, Shahjahanpur, Uttar Pradesh, India to test their knowledge, attitudes, and use of precautionary measures against influenza infection.Results: In this study, 98 (98%) of pregnant women were aware of swine flu infection, 85 (85%) of pregnant women knew that swine flu is due to viral infection while 65 (65%) of pregnant women were aware that swine flu infection spreads through air while sneezing and coughing. In this study, 95 (96%) of pregnant women knew fever as symptom of swine flu, 83 (83%) of pregnant women knew cough and cold as symptoms while 64 (64%) of pregnant women knew headache and body ache as symptoms. 94 (94%) of pregnant women were aware that vaccination against swine flu can prevent swine flu infection. 80 (80%) of pregnant women knew that covering mouth and nose while coughing and sneezing can prevent spread of swine flu infection while 52 (52%) of pregnant women knew that frequent hand washing helps in preventing spread of swine flu infection. 76 (76%) of pregnant women received vaccination against swine flu while 24 (24%) of pregnant women did not receive vaccination against swine flu.Conclusions: Learning more about the knowledge, attitudes, and behaviors of the public during swine flu and other infectious disease outbreak can be crucial to improve efforts by public health officials and clinicians.

scholarly journals Panic and Trust during COVID-19: A Cross-Sectional Study on Immigrants in South Korea

Healthcare ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 199
Author(s):  
Myeong Sook Yoon ◽  
Israel Fisseha Feyissa ◽  
So-Won Suk
Keyword(s):  
Public Health ◽  
South Korea ◽  
Pearson Correlation ◽  
Cross Sectional Study ◽  
Native Community ◽  
Cross Sectional ◽  
The Public ◽  
Marginalized Groups ◽  
Local Media ◽  
Effective Public Health

In the COVID-19 pandemic, marginalized groups like migrants are disproportionately affected. As panic, fear of neglect, and mistrusting institutions in these groups are presumed to be apparent, their detachment to health services still needs to be investigated. This study comparatively analyzed the level of panic and trust between South Koreans and immigrants who are living within highly affected areas of South Korea. Mann–Whitney-U-Test and Pearson correlation showed panic is more pronounced in the Korean group while having a similar panic display pattern with the immigrants. The immigrant group appears to highly trust the Korean health system, health institutions, local media, and the local native community. Beyond conventional expectations, participant’s average panic score showed a statistically significant positive correlation with items of the trust scale, indicating a level of individual reliance amid the pandemic panic. Thus, ascertaining institutional trust and matured citizenry are identified as factors for effective public health outcomes. During such a pandemic, this study also reminded the public health needs of immigrants as secondary citizens, and presumptions of immigrants’ mistrust in such settings might not always be true.

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