scholarly journals Women’s Perception of and Readiness to Adopt a Sustainable Healthy Diet: A Cross-sectional Survey in Enugu City, Nigeria

Author(s):  
Daniel Chukwuemeka Ogbuabor ◽  
Alphonsus Ogbonna Ogbuabor

Abstract Background: Perceived benefit of and readiness to adopt sustainable healthy diets (SHDs) is under-investigated in low-resource countries. We assessed women’s perceived benefit of and readiness to adopt SHDs and their associated factors in Enugu Metropolis, Nigeria. Methods: A household cross-sectional survey of childbearing women (n = 450) was conducted in January and February 2021 using a questionnaire assessing food choice motives, perceived benefit, and readiness to adopt SHDs. Readiness to adopt SHDs was grouped into pre-contemplation and contemplation (PC/C), preparation and relapse (P/R), and action and maintenance (A/M). Results: About 79% and 60% of women have high perception and adopted SHDs respectively. Perceived benefit of SHD was associated with younger age (β = -0.20, ρ < 0.05), low education (β = -0.19, ρ < 0.05), and poor wealth quintile (β = -0.57, ρ < 0.001). PC/C was predicted by low perceived benefit (OR = 10.07, 95% CI: 4.78-21.22, ρ < 0.001), low education (OR = 2.51, 95% CI: 1.25-5.04, ρ = 0.010), and taste (OR = 3.96, 95% CI: 1.61-9.75, ρ = 0.003). PR was predicted by low perceived benefit (OR = 3.92, 95% CI: 1.99-7.73, ρ < 0.001), low education (OR = 1.82, 95% CI: 1.00-3.29, ρ = 0.049). A/M was related to younger age (OR = 0.48, 95% CI: 0.27-0.84, ρ = 0.010, PR), and health (OR = 0.14, 95% CI: 0.06-0.36, ρ < 0.001, PC/C) and (OR = 0.17, 95% CI: 0.08-0.35, ρ < 0.001, P/R). Conclusions: Adoption of SHDs need to improve in Enugu, Nigeria. We identified the factors that should inform dietary guidelines and campaigns to increase women's adoption of SHDs.

2021 ◽  
Author(s):  
Daniel Chukwuemeka Ogbuabor ◽  
Alphonsus Ogbonna Ogbuabor

Abstract Background Perceived benefit of and readiness to adopt sustainable healthy diets (SHDs) is under-investigated in low-resource countries. We assessed women’s perceived benefit of and readiness to adopt SHDs and their associated factors in Enugu Metropolis, Nigeria. Methods A household cross-sectional survey of childbearing women (n = 450) was conducted in January and February 2021 using a questionnaire assessing food choice motives, perceived benefit, and readiness to adopt SHDs. Readiness to adopt SHDs was grouped into pre-contemplation and contemplation (PC/C), preparation and relapse (P/R), and action and maintenance (A/M). Results About 79% and 60% of women have high perception and adopted SHDs respectively. Perceived benefit of SHD was associated with younger age (β = -0.20, ρ < 0.05), low education (β = -0.19, ρ < 0.05), and poor wealth quintile (β = -0.57, ρ < 0.001). PC/C was predicted by low perceived benefit (OR = 10.07, 95% CI: 4.78-21.22, ρ < 0.001), low education (OR = 2.51, 95% CI: 1.25-5.04, ρ = 0.010), and taste (OR = 3.96, 95% CI: 1.61-9.75, ρ = 0.003). PR was predicted by low perceived benefit (OR = 3.92, 95% CI: 1.99-7.73, ρ < 0.001), low education (OR = 1.82, 95% CI: 1.00-3.29, ρ = 0.049). A/M was related to younger age (OR = 0.48, 95% CI: 0.27-0.84, ρ = 0.010, PR), and health (OR = 0.14, 95% CI: 0.06-0.36, ρ < 0.001, PC/C) and (OR = 0.17, 95% CI: 0.08-0.35, ρ < 0.001, P/R). Conclusions Adoption of SHDs need to improve in Enugu, Nigeria. We identified the factors that should inform dietary guidelines and campaigns to increase women's adoption of SHDs.


2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Małgorzata Bronikowska ◽  
Michał Bronikowski ◽  
Agata Glapa ◽  
Bartosz Prabucki

SummaryStudy aim: the purpose of the present study was to investigate the potential of traditional games as a method of increasing the physical activity (PA) of women following mastectomy. A cross-sectional survey during the 20th ONCO Games was conducted and the sample included data from women divided into two groups: up to 50 years old (n = 26) and over 50 years old (n = 86).Material and methods: PA was assessed using a questionnaire, and the number of steps taking during 30-minute periods was measured using pedometers during each of the games. Exertion was evaluated using Borg’s Scale.Results: there was no difference in levels of coherence between the age groups. The group of younger women were statistically more active (M = 3.34 days/week) than the older group (M = 2.77 days/week). All the games were evaluated to be of light intensity, with ringo perceived as being statistically more fatiguing in the over 50 age group. The highest number of steps was performed during the game of ring-net-ball (M = 1903 steps/30 min) in both age groups, with older women performing statistically more steps. Similar situations were observed in the cases of pétanque and speedminton. In ringo, the situation was reversed. The lowest number of steps was recorded in pétanque in the younger age group (M = 296 steps/30 min).Conclusion: this study indicates that in the rehabilitation and recovery process after mastectomy, traditional games could be a bridging link between exercising and sports as they provide not just activity but also a unique and valuable social context.


2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Wafaa Y. Abdel Wahed ◽  
Safaa K. Hassan ◽  
Randa Eldessouki

Malnutrition is an increasing health problem among children in developing countries. We assessed the level of malnutrition and associated factors among school children in a rural setting in Fayoum Governorate, Egypt. A school based cross-sectional survey was conducted on children (6–17 years) in Manshit El Gamal village in Tamia district of Fayoum Governorate. Weight, height, and age data were used to calculatez-scores of the three nutritional indicators using WHO anthroPlus. Sociodemographics and lifestyles Data were collected. Prevalence of stunting, underweight, and wasting was 34.2%, 3.4%, and 0.9%, respectively, while obesity was 14.9%. Prevalence of obesity was significantly higher in younger age group of 6–9 years in comparison with older age and was higher in males versus females in 10–13-year-age group. Increasing age, reduced poultry consumption, and escaping breakfast were associated factors for stunting with OR (95% CI) 1.27 (1.17–1.37), 2.19 (1.4–3.4), and 2.3 (1.07–5.03). Younger age and regular employment of the father were factors associated with obesity (OR = 0.753; 0.688–0.824 and OR = 2.217; 1.4–3.5). Malnutrition is highly prevalent in Fayoum in line with the national prevalence and associated with age, gender, regularity of father’s employment, and dietary factors.


2016 ◽  
Vol 60 (2) ◽  
Author(s):  
Iwona Teul ◽  
Katarzyna Kliś ◽  
Krzysztof Jarzębak ◽  
Iwona Wronka

Introduction: Menstrual disorders generally affect the daily activities of females, and menstrual pain is a common gynaecological complaint in westernized societies. The aim of the study was to determine the prevalence of, and the factors related to, menstrual pain in young, healthy women.Material and methods: Data from 600 university students were obtained during the cross sectional survey. Students were asked to complete an anonymous questionnaire. Information on the women’s socioeconomic status, age at menarche, and menstrual cycle characteristics: i.e. the length and regularity of cycles, the duration of menstrual flow, and the occurrence of menstrual pain, headache and back pain during the cycles were asked about. Each person’s height, weight and waist circumference were measured, and the following indices: BMI, WHR, and WHtR were calculated.Results: 29.8% of the surveyed students reported the occurrence of moderate pain during menstruation, and 21.7% reported the occurrence of severe menstrual pain. Significant differences were observed in the prevalence of menstrual pain with relation to age at menarche and the amount and distribution of adipose tissue. Menstrual pain was more prevalent among women who experienced menarche at a younger age. Among overweight and obese students, as well as among students with abdominal obesity, menstrual pain was more frequent than among those with correct weight and correct waist circumference. Moreover, psychological stress was associated with menstrual pain.Conclusion: The results of this study show that a significant percentage of young women complain of menstrual pain. Menstrual pain is associated with early age at menarche, obesity and abdominal obesity.


2020 ◽  
Author(s):  
Prem Shankar Mishra ◽  
Pradeep Kumar ◽  
Shobhit Srivast

Abstract Introduction Although India has made significant progress in institutional delivery after the implementation of the National Rural Health Mission under which the Janani Suraksha Yojana (JSY) is a sub-programme which played a vital role in the increase of institutional delivery in public facilities. Therefore, this paper aims to provide an understanding of the JSY coverage at the district level in India. Further, it tries to carve out the factors responsible for the regional disparity of JSY coverage at district levels. Methods The study used the National Family Health Survey data, which is a cross-sectional survey conducted in 2015-16, India. The sample size of this study was148,145 women aged 15-49 years who gave last birth in the institution during five years preceding the survey. Bivariate and multivariate regression analysis was used to fulfill the study objectives. Additionally, Moran’s I statistics and bivariate Local Indicator for Spatial Association (LISA) maps were used to understand spatial dependence and clustering of JSY coverage. Ordinary least square, spatial lag and spatial error models were used to examine the correlates of JSY utilization.Results The value of spatial-autocorrelation for JSY was 0.71 which depicts the high dependence of the JSY coverage over districts of India. The overall coverage of JSY in India is 36.4% and it highly varied across different regions, districts, and even socioeconomic groups. The spatial error model depicts that if in a district the women with no schooling status increase by 10% then the benefits of JSY get increased by 2.3%. Similarly, if in a district the women from poor wealth quintile, it increases by 10% the benefits of JSY also increased by 4.6%. However, the coverage of JSY made greater imperative to understand it due to its clustering among districts of specific states only.Conclusion It is well reflected in the EAGs states in terms of spatial-inequality in service coverage. There is a need to universalize the JSY programme at a very individual level. And, it is required to revisit the policy strategy and the implementation plans at regional or district levels.


2020 ◽  
Author(s):  
Shama Razzaq ◽  
Saleem Jessani ◽  
Sumera Aziz Ali ◽  
Zahid Abbsai ◽  
Sarah Saleem

Abstract Background: Increasing population growth and uneven distribution of scarce resources is a hurdle for country’s economic growth. Hence, we aim to determine desire to limit child bearing and factors associated with limiting child bearing among currently married women aged 15 to 49 years residing in squatter settlements of Karachi, Pakistan. Methods:A multistage cluster, cross sectional survey was conducted in randomly selected households of urban squatter settlements of Karachi. A total of 4,485 married, non-pregnant, were interviewed using a structured questionnaire and adapted Operational framework of “Pullum 1980” to determine potential factors associated with limiting family size. Outcome of interest was defined as a desire to limit childbearing among married women of reproductive age group. Multivariable regression was performed using SPSS version 13.0. Results:The median age of participants was 30 years (IQR 25-35 years) and the median number of living children was 3 (IQR 2-4). Of 4485 women, 2109 (47%) expressed desire to limit childbearing in future. Multivariable logistic regression showed that women of 18 to 27 years and 28 to 37 years (AOR 0.25, 95% CI: 0.19-0.39 and AOR 0.39, 95% CI: 0.22-0.47 respectively), illiterate (AOR 0.34, 95% CI: 0.21-0.53), and low wealth quintile (AOR 0.41, 95% CI: 0.25-0.57), not using any contraceptive method (AOR 0.53, 95% CI: 0.44 to 0.63), sons less than daughters (AOR 0.74, 95% CI: 0.62-0.87), were less likely to limit childbearing. Women who practiced autonomy (AOR 1.25, 95% CI: 1.08-1.41) and perceived ideal family size as ≤ 2 children (AOR 2.62, 95% CI: 2.07-3.32) were more likely to limit childbearing.Conclusion:Age, education, low wealth quintile, having sons, autonomy and usage of contraceptives were determining factors of women’s desire for limiting childbearing. Behavior modification strategies should be devised to modify fertility intentions among women to increase contraceptive use and fertility decline.


2021 ◽  
Author(s):  
Allyson P. Bear ◽  
Wendy L. Bennett ◽  
Joanne Katz ◽  
Kyu Han Lee ◽  
Atique Iqbal Chowdhury ◽  
...  

Abstract Background: Health care systems in limited resource settings may not meet the needs of pregnant women where the burden of diabetes and hypertension is rapidly increasing. We described screening and diagnosis of diabetes or hypertension among recently pregnant women in rural Bangladesh and the antenatal care received.Methods: We asked recently pregnant women about ever having been screened for or diagnosed with hypertension or diabetes and their antenatal care-seeking experiences in a cross-sectional survey in the Baliakandi, Bangladesh. We used chi-squared tests and logistic regression to test the associations between self-reported coverage of hypertension and diabetes screening, diagnoses, and elements of antenatal care by age, wealth, educational attainment, and gravidity. Results: Among 4,692 respondents, 97% reported having been screened and 10% of screened women reported a diagnosis of hypertension. Women 30–39 years of age (aOR 3.02, 95% CI 2.00, 4.56) or in the top wealth quintile (aOR 1.70, 95% CI 1.18, 2.44) were more likely to be diagnosed with hypertension compared to reference groups. Any hypertension diagnosis was associated with reporting four or more antenatal care contacts (44% vs. 35%, p < 0.01), blood pressure measurements (85% vs. 79%, p < 0.01), and urine (71% vs. 61%, p < 0.01) tests conducted during antenatal care visits.For diabetes, 46% of respondents reported having been screened and 3% of screened women reported a diagnosis. Women 30–39 years of age were more likely to be diagnosed with diabetes (aOR 8.19, 95% CI 1.74, 38.48) compared to the reference group. Any diabetes diagnosis was associate with reporting four or more antenatal care contacts (48% vs. 36%, p = 0.04) and having blood testing during pregnancy (83% vs. 66%, p < 0.01). However, the frequency and quality of antenatal care was below the national guidelines among all groups.Conclusion: Focused efforts to ensure that women receive the recommended number of antenatal care contacts, coupled with improved compliance with antenatal care guidelines (including universal screening for diabetes at 24–28 weeks of pregnancy), would improve awareness of hypertension and diabetes among women in Bangladesh.


2019 ◽  
Vol 35 (4) ◽  
pp. 385-400
Author(s):  
Preeti Sunderaraman ◽  
Sarah Ho ◽  
Silvia Chapman ◽  
Jillian L Joyce ◽  
Leigh Colvin ◽  
...  

Abstract Objective Internet use and mobile devices permeate every aspect of our lives and are changing our financial habits. Assessment of financial decision-making (FDM) has not yet caught up to apparent changes in financial behavior. To modernize assessment methods and create current and comprehensive FDM frameworks, we first need to establish the most commonly used and most preferred methods of performing specific financial activities. Method Cross-sectional survey data were collected using an online platform and offline approaches (in person and by mail) (N = 234). The frequency of using technological (e.g., laptop) and non-technological (e.g., in-person banking) means of completing seven financial activities was assessed first, including Depositing checks, Reviewing bank statements, Keeping track of money spent, Transferring funds, Withdrawing cash, Paying bills, and Purchasing products online. Second, preference for technological versus non-technological methods was assessed. Finally, linear regression models examined associations between demographics and preference for technological methods for each financial activity. Results The majority of respondents (77% online, 74% offline) used technology to perform various financial activities and preferred technological to non-technological methods for completing five out of the six financial activities. Increased preference for technological methods was associated with younger age for all the financial activities, and higher education was associated with reviewing bank statement and transferring funds. Conclusions Our survey findings provide empirical evidence for the changing nature of our financial habits. We discuss the implications of this change for researchers, clinicians, and the individuals themselves and emphasize the importance of modernizing FDM tools.


2014 ◽  
Vol 143 (2) ◽  
pp. 258-266 ◽  
Author(s):  
R. S. REMIS ◽  
L. KANG ◽  
L. CALZAVARA ◽  
Q. PAN ◽  
J. LIU ◽  
...  

SUMMARYIn 2009, we examined HIV and sexually transmitted infections (STIs) in 750 female sex workers (FSWs) in Shanghai using a cross-sectional survey. Participants (mean age 27 years) were interviewed and tested for HIV and selected STIs. Prevalence was: HIV 0·13%, chlamydia 14·7%, gonorrhoea 3·5% and syphilis 1·3%. In a demographic multivariate model, younger age, higher income and originating from provinces other than Zhejiang and Shanghai were independently associated with STI. In a social and sexual behavioural model, women working in small venues with fewer clients per week, use of drugs, and higher price charged per sex act indicated a greater risk for STI. Although HIV appears rare in Shanghai FSWs, chlamydial infection is common, especially in women aged <25 years (prevalence 19·6%). Since STI and HIV share similar risk factors, preventive intervention measures should be implemented immediately based on the venues and characteristics of FSWs to prevent future spread of HIV.


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