scholarly journals Perceptions of men on community and their uptake of health services on experiencing domestic violence; a cross sectional study from Kisumu County, Western Kenya

Author(s):  
Elizabeth A. Odemba

<p><strong>Background: </strong>The quality of life can be impacted negatively by domestic violence among partners. The community plays a major role in what they perceive could motivate or harbor health seeking services by men on experiencing domestic violence. Little is however known of men’s perceptions on community in relation to men’s health seeking. Therefore, this study was designed to assess the men’s perceptions on community and their uptake of health services on experiencing domestic violence in Kisumu.</p><p><strong>Methods: </strong>A cross sectional study design of 438 participants was used. The study was conducted from July 2019 to September 2019 using self-administered questionnaires. Basic socio-demographic characteristics were collected and participants’ community perceptions and their uptake of health services on experiencing domestic violence were investigated. Descriptive statistics were computed to characterize the study population with frequency distribution tables used to show distribution of respondents by key variables, expressed as counts and corresponding percentages.</p><p><strong>Results: </strong>Respondents who participated in the study were 398 (90.8%). Descriptive statistics analysis showed that 58.3% of the respondents perceived shame, fear and embarrassment from the communities as barriers to seeking health services.</p><p><strong>Conclusions: </strong>Health services offered to men should be target oriented with interventions in place to ensure men are well managed and advised on the importance of health seeking in the face of domestic violence. The results from this study calls for advocacy on the importance of community awareness in relation to health seeking especially by men on experiencing domestic violence to aid in improving their life.</p>

2017 ◽  
Vol 3 (3) ◽  
pp. 324-327
Author(s):  
Sonal Yadav ◽  
Anuj Jhakar ◽  
Priyanka Sharma ◽  
Samar Hossain ◽  
Vandna Sen

Objective: To study the socio-demographic profile of street children in Jaipur city, Rajasthan. Setting and Design: Cross-sectional study. Material and Method: Children between 5-15 years residing on the streets of Jaipur city were the study population. Result: Majority of the street children (74.5%) were in 9 to 13 years of age group followed by 5-9 years (13.5%) and 13-15 years (12.0%). 91.0% of street children were males. 65.3% street children were from nuclear family. Out of 400 street children 45.8% had left home to earn money followed by 21.0% and 11.8% street children who left home due to domestic violence and to avoid parental restrictions respectively. Peer pressure was cited as reason by only 4.8% street children. Conclusion: During the study it was also observed that approximately half of the street children i.e. 45.8% had left home to earn money 21.0% had left home due to domestic violence and 11.8% street children had left, to avoid parental restrictions. Death of the father and mother were the reasons to leave their homes for 5.8% and 4.8% street children respectively.


Author(s):  
Gulifeiya Abuduxike ◽  
Özen Aşut ◽  
Songül Acar Vaizoğlu ◽  
Sanda Cali

Background: Understanding health-seeking behaviors and determining factors help governments to adequately allocate and manage existing health resources. The aim of the study was to examine the health-seeking behaviors of people in using public and private health facilities and to assess the factors that influence healthcare utilization in Northern Cyprus. Methods: A cross-sectional study was conducted in 2 polyclinics among 507 people using a structured intervieweradministered questionnaire. Health-seeking behaviors were measured using four indicators including routine medical check-ups, preferences of healthcare facilities, admission while having health problems, and refusal of health services while ill. Descriptive statistics and multivariable logistic regression analyses were done to explore factors influencing the use of health services. Results: About 77.3% of the participants reported to have visited health centers while they had any health problems. More than half (51.7%) of them had a routine medical check-up during the previous year, while 12.2% of them had refused to seek healthcare when they felt ill during the last five years. Of all, 39.1% of them reported preferring private health services. Current smokers (adjusted odds ratio [AOR]=1.92, 95% CI: 1.17-3.14), having chronic diseases (AOR=2.05, 95% CI: 1.95-2.16), having poor perceptions on health (AOR=2.33; 95% CI: 1.563.48), and spending less on health during the last three months (AOR=2.08, 95% CI: 1.43- 3.01) had about twice the odds of having routine checkups. Higher education (AOR=1.87, 95% CI: 1.38-2.55) was shown to be a positive predictor for the health-seeking behaviors, whereas having self-care problems (AOR=0.18, 95% CI: 0.08-0.40) and having a moderate-income (AOR=0.68, 95% CI: 0.57-0.81) were inversely associated with seeking healthcare. Conclusion: The utilization of public and private health sectors revealed evident disparities in the socio-economic characteristics of participants. The health-seeking behaviors were determined by need factors including chronic disease status and having poor health perception and also by enabling factors such as education, income, insurance status and ability to pay by oneself. These findings highlight the need for further nationwide studies and provide evidence for specific strategies to reduce the socioeconomic inequalities in the use of healthcare services.


2020 ◽  
Vol 1 (02) ◽  
pp. 51-56
Author(s):  
Shaur Sarfaraz ◽  
Mohsina Hamid Gore ◽  
Marium Abbas Askari ◽  
Shayan Imran ◽  
Zohaib Khurshid ◽  
...  

Abstract Objectives The aim of this study was to assess the knowledge, attitude, and practices of ergonomics among dental graduates in Karachi. Materials and Methods A descriptive cross-sectional study was conducted at Altamash Institute of Dental Medicine from December 2019 to April 2020. The study was performed among 174 dental graduates (house officers) in Karachi, using a modified, validated, closed-ended questionnaire. For statistical analysis, SPSS software (version 21) was used for descriptive statistics such as percentages and frequencies. The tests applied were independent t-test and Pearson’s correlation to compare and check the correlation between the variables. The p-value used was ≤ 0.05. Results Among 200 dental graduates, only 174 responses were analyzed in SPSS version 21. Females (78.2%) were more in number than males (21.8%), with most of them aged >23 years (59.1%). Of the study population, 78.7% graduates worked 4 to 6 hours per day, and more than half of the graduates (58%) did not do physical exercise outside work. Furthermore, we found that the majority of responders had a fair knowledge of ergonomic principles, where a total of 134 (77%) dental graduates had a positive attitude towards its implementation, however this was not reflected in their practices as 128 (73.6%) graduates has poor practices related to ergonomics. It was also found that knowledge and practices of ergonomics had a weak but significant correlation (r = 0.263, p = 0.001). Moreover, males were more positive about implementing and practicing ergonomics then females with a significant association (p = 0.001). Conclusions A majority of the dental graduates (house officers) in this present study had a reasonable knowledge of ergonomics and its principles also showed positivity but an only small number of them practiced dental ergonomics. This study recommends the need for including dental ergonomics in the academic curriculum of clinical years of both dental undergraduate and postgraduate studies and also conducts workshops to develop faculty to reinforce its importance.


2017 ◽  
Vol 56 (6) ◽  
pp. 325
Author(s):  
Surya Jayanti Kadek ◽  
Dewi Kumara Wati Ketut ◽  
Karyana Putu Gede

Background About 60% of individuals with atopic dermatitis (AD) develop their first manifestation during infancy. Cow’s milk (CM) exposure is considered to be a risk factor for AD.Objective To evaluate for an association between cow’s milk exposure and atopic dermatitis in infants > 6 months of age.  Methods This cross-sectional study consisted of subjects from a previous study and new subjects recruited in order to meet the minimum required number of subjects. Our study population comprised 120 infants, born between 1 February and 30 November, 2012 in Sanglah Hospital, Denpasar. Subjects were divided into CM and non-CM groups and analyzed for their risk of AD. Subjects were included to CM group if they were fed with cow’s milk/formula  and included to non-CM group if they were breastfeed exclusively in the first six months of life. Other possible risk factors were assessed by multivariate analysis. Results One hundred twenty subjects were enrolled and analyzed (59 in the CM and 61 in the non-CM groups). The prevalence of AD was 30%. Multiple logistic regression analysis revealed a significant association between CM exposure and AD, with odds ratio (OR) 2.37 (95%CI 1.036 to 5.420; P=0.04). In addition, maternal diet including eggs and/or cow’s milk during the breastfeeding period was significantly associated with AD in infants (OR 3.18; 95%CI 1.073 to 9.427; P=0.04).Conclusion Cow’s milk exposure is significantly associated with atopic dermatitis in infants  > six months of age. 


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Abeer Alharbi ◽  
Joharah Alzuwaed ◽  
Hind Qasem

Abstract Background The Ministry of Health in Saudi Arabia is expanding the country’s telemedicine services by using advanced technology in health services. In doing so, an e-health application (app), Seha, was introduced in 2018 that allows individuals to have face-to-face visual medical consultations with their doctors on their smartphones. Objective This study evaluated the effectiveness of the app in improving healthcare delivery by ensuring patient satisfaction with the care given, increasing access to care, and improving efficiency in the healthcare system. Methods A cross-sectional study design was used to assess the perceptions of users of the Seha app and non-users who continued with traditional health services. The data were collected using an online survey via Google Forms between June 2020 and September 2020. Independent t tests and chi-square (χ2) tests were conducted to answer the research questions. Results There was a significant difference between users and non-users in terms of ease of access to health services (t =  − 9.38, p < 0.05), with app users having a higher mean score (4.19 ± 0.91) than non-users (3.41 ± 1.00); satisfaction with health services (t =  − 6.33, p < 0.05), with users having a higher mean score (3.96 ± 0.91) than non-users (3.45 ± 0.94); and efficiency (only one visit needed for treatment) (t =  − 3.20, p < 0.05), with users having a higher mean score (3.71 ± 0.93) than non-users (3.45 ± 0.93). There were significant associations between the use of the Seha app and age (χ2 = 8.79, p < 0.05), gender (χ2 = 22.19, p < 0.05), region (χ2 = 19.74, p < 0.05), and occupation (χ2 = 22.05, p < 0.05). There were significant relationships between the three items (on access, satisfaction, and efficiency) and experiencing technical issues (t = 4.47, t = 8.11, and t = 3.24, respectively, p < 0.05), with users who faced technical problems having significantly lower mean scores for all three items. Conclusion This study provided evidence that the Seha app improved the delivery of healthcare in Saudi Arabia. Users of the app had a better health experience in terms of their perceived ease of access to healthcare services; their satisfaction with healthcare services; and the efficiency of the system, measured by the number of required doctor visits. Other factors that appeared to influence the use of the app included age, gender, usual source of care, and technical difficulties.


2019 ◽  
Vol 69 (687) ◽  
pp. e675-e681 ◽  
Author(s):  
Stephanie Tierney ◽  
Geoff Wong ◽  
Kamal R Mahtani

BackgroundCare navigation is an avenue to link patients to activities or organisations that can help address non-medical needs affecting health and wellbeing. An understanding of how care navigation is being implemented across primary care is lacking.AimTo determine how ‘care navigation’ is interpreted and currently implemented by clinical commissioning groups (CCGs).Design and settingA cross-sectional study involving CCGs in England.MethodA questionnaire was sent to all CCGs inviting them to comment on who provided care navigation, the type of patients for whom care navigation was provided, how individuals were referred, and whether services were being evaluated. Responses were summarised using descriptive statistics.ResultsThe authors received usable responses from 83% of CCGs (n = 162), and of these >90% (n = 147) had some form of care navigation running in their area. A total of 75 different titles were used to describe the role. Most services were open to all adult patients, though particular groups may have been targeted; for example, people who are older and those with long-term conditions. Referrals tended to be made by a professional, or people were identified by a receptionist when they presented to a surgery. Evaluation of care navigation services was limited.ConclusionThere is a policy steer to engaging patients in social prescribing, using some form of care navigator to help with this. Results from this study highlight that, although this type of role is being provided, its implementation is heterogeneous. This could make comparison and the pooling of data on care navigation difficult. It may also leave patients unsure about what care navigation is about and how it could help them.


Author(s):  
Priyanka Sharma ◽  
Anita Khokhar

Abstract Background: There has been a reported increase in cases of domestic violence during the coronavirus disease (COVID-19) pandemic, however systematic research data is still unavailable. This study was conducted to find out domestic violence prevalence and coping strategies among married adults during lockdown due to COVID-19 in India. Methodology: A cross-sectional study was conducted among married men and women in the month of April 2020. Data regarding socio-demographic profile, domestic violence and coping strategies employed during lockdown was collected thorough google forms. 97.9% forms were completely filled by the respondents. Descriptive analysis was done. Results: Out of 94 study participants, about 7.4% (n=7) had faced domestic violence during lockdown. Out of these 7 participants, about 85.7% (n=6) reported increased frequency of domestic violence during lockdown. About half of the victims chose to ignore it (57.1%, n=4) or used yoga/meditation (42.9%, n=3) to cope. Conclusion: With about 7.4% study participants facing domestic violence during lockdown, it is necessary to study its detailed epidemiology in pandemics so that interventions like helpline numbers, screening of patients during tele-consultation, etc. which can be delivered even during lockdown with the help of healthcare and frontline workers could be devised to address this problem.


The Lancet ◽  
2012 ◽  
Vol 379 (9818) ◽  
pp. 805-814 ◽  
Author(s):  
Qun Meng ◽  
Ling Xu ◽  
Yaoguang Zhang ◽  
Juncheng Qian ◽  
Min Cai ◽  
...  

2021 ◽  
Author(s):  
Yousef Khader ◽  
Ahmad Bawaneh ◽  
Zaid Al-Hamdan

BACKGROUND The Syrian conflict started in 2011 and resulted ever since in a large displacement of Syrians. Conflict-related violence coupled with displacement related stressors such as poverty, poor access to health services, loss of family support and discrimination had a significant impact on the mental health and psychosocial wellbeing of Syrian refugee OBJECTIVE This study aimed to identify the perceived symptoms of severe distress and impaired functioning, identify coping mechanisms and identify the barriers to access mental health services among Syrian refugees and Jordanian adults. METHODS This cross-sectional study study took place in 14 randomly selected sites in Jordan where Syrian refugees are concentered and from Za’tari refugee camp. A toolkit for humanitarian settings was used for data collection. RESULTS Of the 1424 participants, 43.4% had distress; 38.9% among host population, 57.0% among refugees in urban communities, and 23.0% among refugees in camp (p <0.005). Overall, finding comfort in faith and spiritual beliefs was the most common coping mechanism reported by those who perceived to be experiencing distress. CONCLUSIONS A significant proportion of Syrian refugees had distress symptoms. It is recommended to incorporate mental health services into broad-based community settings, such as schools, primary prevention or case management programs.


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