scholarly journals Predicting Cervical Screening and HPV Vaccination Attendance of Roma Women in Hungary: Community Nurse Contribution is Key

2020 ◽  
Author(s):  
Miklós Zrínyi ◽  
Annamária Pakai ◽  
Réka Mihály-Vajda ◽  
Zsuzsanna Kívés Horváthné ◽  
Adrienn Siket Újváriné ◽  
...  
Keyword(s):  
Cervical Screening ◽  
Hpv Vaccination ◽  
Total Sample ◽  
Community Nurse ◽  
Cross Sectional ◽  
Bivariate Logistic Regression ◽  
Hpv Screening ◽  
Screening Attendance ◽  
Roma Women

Abstract Background: HPV screening/vaccination has been observed lower for ethic minorities. Understanding factors that predict and can improve attendance is therefore key. Hence, the aim was to identify causes, especially concerning the quality of the patient-provider relationship, that predict past HPV screening and vaccination turnout of Roma women in Hungary.Methods: Cross-sectional research design with self-developed, culturally sensitive questionnaire. A female Roma sample of 500 potential participants was randomly selected from census register. Community nurses contacted participants and distributed surveys. Surveys were mailed-in by participants. Bivariate logistic regression was used to predict former participation in HPV screening/vaccination.Results: Of the total sample, 17.4% of women attended at least one cervical screening and HPV vaccination in the past. Past negative screening experience was negatively correlated to community nurses and positively to physicians. The odds of past attendance were 4.5 times greater if ‘no negative earlier experience’ occurred, 3.3 times likelier if community nurse performed screening/immunization and 1.6 times more probable if respondent felt ‘no shame’. Evaluating the screening/vaccination process painful, being only financially motivated and attendance involving a lot of travel decreased the odds of ‘no show’ by 50%, 40% and 41%, respectively.Conclusions: When considering the ratio of past cervical screening attendance, we conclude that our female Roma sample did not behave differently from the general population. We saw no evidence that racial mistreatment made any contribution to explaining cervical screening participation. Past positive screening experience and the quality of patient-provider relationship increased the odds of participation the most. Cancer of friends, pain, financial motivation and travel distance decreased odds of participation to a lesser extent. In order to improve future screening and immunization, community nurses should play more central and advanced role in the organization and implementation of such services specifically targeting Roma populations.

PHYSICAL, SOCIAL ACTIVITIES AND QUALITY OF LIFE OF THE ELDERLY LIVING IN TRUONG AN WARD, HUE CITY IN 2016

2019 ◽  
pp. 55-62
Author(s):  
Vuong Diem Khanh Doan ◽  
Ngoc Minh Chau Ho ◽  
Thi Van Ngo ◽  
Thi Bao Nga Phan ◽  
Thi Hong Phan Nguyen
Keyword(s):  
Quality Of Life ◽  
The Elderly ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Physical Activities ◽  
Social Activities ◽  
Sectional Study ◽  
Cross Sectional ◽  
Elderly Living

Background: Vietnam is entering the stage of aging population; as a result, the quality of life (QOL) of the elderly is really a matter of concern. There is a great deal of research on the quality of life of the elderly while Vietnam witnesses a lack of research on this topic, especially on how physical and social activities have impact on QOL of the elderly. Objectives: (1) To describe the situation of participation in physical, social activities and QOL of the elderly residing in Truong An Ward, Hue city. (2) To examine the association between physical, social activities and QOL among participants. Methodology: This study used cross-sectional study design. A total sample of 420 people aged 60 and above in Truong An Ward, Hue city were interviewd. The SF36 was used to measure the QOL of participants. Results: Percentage of the elderly taking part in physical activity were 66%. 49% reported having the habit of taking part in social activities. The majority of the elderly get their QOL level in three health fields, namely physical, mental and general health at above average. (56.0, 60.7 and 60.8 respectively). There were significant associations between physical activities, social activities and QOL among participants. Conclusion: The percentage of the elderly taking part in physical and social activities were still low. Besides, QOL of the elderly at the research location was not really high. It’s important to encourage the elderly taking part in physical and social activities to improve their quality of life. Key words: Physical activities, social activities, QOL, the elderly

scholarly journals HUBUNGAN PERILAKU MASYARAKAT DALAM PEMBERANTASAN SARANG NYAMUK DAN FAKTOR LINGKUNGAN DENGAN KEJADIAN DEMAM BERDARAH DENGUE DI WILAYAH PUSKESMAS I DENPASAR SELATAN DAN PUSKESMAS I DENPASAR TIMUR

2016 ◽  
Vol 10 (1) ◽  
pp. 17
Author(s):  
Dwi Jata ◽  
Nyoman Adi Putra ◽  
I.B.G. Pujaastawa
Keyword(s):  
Public Health ◽  
Health Center ◽  
Sampling Method ◽  
Hemorrhagic Fever ◽  
Total Sample ◽  
Cross Sectional ◽  
Public Health Center ◽  
Community Behavior ◽  
Service Need

Dengue hemorrhagic fever (DHF) is one of diseases that causes health problems in Indonesia and oftenly creates extraordinary events with great death. The purpose of this research is to discover relationship community behavior in mosquito nesting eradication and environmental factors with DHF incidence in 1st Public Health Center Denpasar Selatan and 1st Public Health Center Denpasar Timur. The research design used is observational, cross-sectional. Total sample of 82 households. Sampling was done in proportion sampling method. Results of the analysis of environmental variables associated with DHF incidence in 1st Public Health Center Denpasar Selatan: occupant density (p = 0.02), mobility (p = 0.01), the habit of hanging clothes (p = 0.04). 1st Public Health Center Denpasar Timur: mobility (p = 0.00), clogged water ditches (p = 0.00), containers water existance (p = 0.03), the habit of hanging clothes (p = 0.00). Knowledge, attitude and actions in 1st Public Health Center Denpasar Selatan and 1st Public Health Center Denpasar Timur statistically correlated with DHF incidence. As conclusion of the research results, in 1st Public Health Center Denpasar Selatan and 1st Public Health Center Denpasar Timur, that is mobility, the habit of hanging clothes, knowledge, attitude and actions strongly related with DHF incidence, while that is clogged water ditches, containers water existance and occupant density has no relation with DHF incidence. Public Health Center need to intensify health promotion, improves the quality of MNE (PSN), and the Provincial Health Service need to support Public Health Center on setting policies which necessary.

scholarly journals Gambaran Kebutuhan Orangtua Dengan Bayi Yang Sakit Kritis di RSUD Prof.dr. Margono Soekarjo Purwokerto

2019 ◽  
Vol 11 (02) ◽  
pp. 64-76
Author(s):  
ADIRATNA SEKAR SIWI
Keyword(s):  
Care Setting ◽  
Quality Care ◽  
Total Sample ◽  
Descriptive Study ◽  
Psychological Problem ◽  
Family Needs ◽  
High Quality ◽  
Cross Sectional ◽  
Consecutive Sampling

Patient’s parent is an essential part of holistically care treatment, especially when the patients are still too young to responsible for their own. Nurse have to understand regarding parents need to deliver high quality care for patients and their family. Parents’ needs during accompanying their children could be very specific and unique. The knowledge regarding this issue is crucial to increase the quality of care and prevent parents’ psychological problem. This is a descriptive study with cross sectional approach. Total sample in this study are respondent who are chosen by using consecutive sampling. The NICU Family Needs Inventory (NFNI) was used in this study. This study shows that the parents’ needs during accompanying their children in critical care setting are need for closeness with their children, Certainty regarding patient condition, comfort, information, and the needs of support.

Prevalence and genotype distribution of HPV infection among 214,715 women from Southern China, 2012-2018: baseline measures prior to mass HPV vaccination

2020 ◽  
Author(s):  
Lipei Luo ◽  
Ping He ◽  
qiaotu liu ◽  
Yanghua jiang ◽  
Yang-nan Zhang ◽  
...  
Keyword(s):  
Young Women ◽  
Southern China ◽  
Cervical Screening ◽  
Hpv Vaccination ◽  
Hpv Infection ◽  
Cross Sectional Study ◽  
Genotype Distribution ◽  
Cross Sectional ◽  
Hpv Prevalence ◽  
Hpv Genotypes

Abstract Background: The epidemiology on the human papillomavirus (HPV) among females in Southern China is not well-established. Baseline data on the prevalence of HPV infection in China prior to mass prophylactic HPV vaccination would be useful. Thus, this study aimed to determine the type-specific HPV prevalence and distribution among females from Southern China prior to mass HPV vaccination. Methods: A retrospective cross-sectional study employing 214,715 women attending ChenZhou NO.1 People’s Hospital for cervical screening during 2012-2018 was conducted prior to widespread HPV vaccination. HPV genotype was detected using nucleic acid molecular diversion hybridization tests. The overall prevalence, age-specific prevalence, type distribution, and annual trend were analyzed. Results: The overall HPV prevalence was 18.71% (95% confidence interval [CI], 18.55%-18.88%) among Southern China females. During 2012–2018, the prevalence of HPV infection showed a downward tendency, from 21.63% (95% CI, 21.07%-22.20%) in 2012 to 18.75% (95% CI, 18.35%-19.16%) in 2018. Age-specific HPV distribution displayed a peak at young women aged less than 21 years (33.11%, 95% CI, 31.13%-35.15%), 20.07% (95% CI, 19.70%-20.44%) among women aged 21-30 years, 17.29% (95% CI, 17.01%-17.57%) among women aged 31-40 years, 17.23% (95% CI, 16.95%-17.51%) among women aged 41-50 years, 21.65% (95% CI, 21.11%-22.20%) among women aged 51-60 years, and 25.95% (95% CI, 24.86%-27.07%) among women aged over 60 years. Of the 21 subtypes identified, the most three prevalent high-risk HPV (HR-HPV) genotypes were HPV52 (5.12%; 95% CI, 21.11%-22.20%), -16 (2.96%; 95% CI, 2.89%-3.03%), and -58 (2.51%; 95% CI, 2.44%-2.58%); the predominant low-risk HPV (LR-HPV) genotypes were HPV81 (1.86%; 95%CI, 1.80%-1.92%) and -6 (0.69%; 95% CI, 0.66%-0.73%) respectively. Incidence of HR-HPV only, LR-HPV only and mixed LR- and HR-HPV were 15.17%, 2.07% and 1.47% respectively. Besides, single HPV infection accounted for 77.30% of all positive cases in this study.Conclusions: This study highlights 1) a high prevalence of HPV infection among females with a decreasing tendency towards 2012-2018, especially for young women under the age of 21 prior to mass HPV vaccination; 2) HPV52, -16 and -58 were the predominant HPV genotypes, suggesting potential use of HPV vaccine covering these HPV genotypes in Southern China.

scholarly journals Quality of life of people with diabetes mellitus

2019 ◽  
Vol 53 ◽  
Author(s):  
Isabela Fernandes de Aguiar Tonetto ◽  
Marcelo Henrique Barbosa Baptista ◽  
Danielle dos Santos Gomides ◽  
Ana Emilia Pace
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Tertiary Care ◽  
Total Sample ◽  
Cross Sectional ◽  
System Method ◽  
Tertiary Healthcare ◽  
Perception Of Quality ◽  
Insulin Use

ABSTRACT Objective: To analyze the quality of life of people with type 2 diabetes mellitus in the three levels of the healthcare system. Method: A quantitative, cross-sectional and descriptive study carried out in primary, secondary and tertiary healthcare units with individuals in outpatient care. The validated Diabetes-39 instrument was used to evaluate quality of life. Results: The sample consisted of 53 people. There was a decreasing tendency in the quality of life impairment from the primary to the tertiary care levels. In the total sample, there were differences between domains of quality of life with the variables gender, insulin use and occupation, greater perception of quality of life impairment and disease severity in people with higher rates of glycated hemoglobin. Conclusion: Quality of life tends to worse as the disease worsens. The results suggest that quality of life is related to sociodemographic and clinical variables, therefore, these should be considered in the care.

scholarly journals Factors influencing the acceptance of HPV vaccine among civil servants in Delta State Secretariat

2019 ◽  
Vol 8 (4) ◽  
pp. 1227
Author(s):  
Uchechukwuka Nnemdi Okwe ◽  
Helen Chime ◽  
Ezekiel Uba Nwose
Keyword(s):  
Low Income ◽  
Cervical Screening ◽  
Hpv Vaccination ◽  
Time Constraints ◽  
Survey Method ◽  
High Income Group ◽  
Cross Sectional ◽  
Vaccination Programs ◽  
Factors Influencing ◽  
Structured Questionnaire

Background: The importance of cervical screening and HPV vaccination cannot be overemphasized. Yet, the level of uptake of HPV vaccination has never been evaluated among Secretariat personnel in Delta State of Nigeria. This part-of-four piece of study aimed to identify the barriers to the acceptance of HPV vaccination in Delta State, Nigeria.Methods: A cross-sectional, descriptive survey method was adopted using a structured questionnaire. 285 participants were included. The structured questionnaire included questions on acceptance of HPV vaccination and the factors influencing acceptability. Statistical analysis included percentage proportions of respondents. Absolute and relative frequencies of the factors were also determined. Chi-squared analysis was performed based on dichotomy of participants based on yes/no response to being vaccinated.Results: Less than 8% of respondents have completed the HPV vaccination program. Low income earners have accepted the vaccination more than the high income group (p <0.003). Nature of work implying time constraints was an absolute factor. Accessibility is one of four factors that were significantly associated (p <0.002).Conclusions: Given the observation on nature of work and associated implication of time constraints and also inaccessibility as potentially major factors; it suffices to suggest that acceptance of HPV vaccination may be improved by expounding the days and sites of vaccination programs to be closer to the offices and scheduled around lunch-break times.

Levels of anxiety and distress following receipt of positive screening tests in Australia’s HPV-based cervical screening programme: a cross-sectional survey

2020 ◽  
Vol 96 (3) ◽  
pp. 166-172 ◽  
Author(s):  
Rachael Helen Dodd ◽  
Olivia Mac ◽  
Julia M L Brotherton ◽  
Erin Cvejic ◽  
Kirsten J McCaffery
Keyword(s):  
Online Survey ◽  
Screening Program ◽  
Cervical Screening ◽  
Screening Tests ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
General Distress ◽  
Hpv Test ◽  
Hpv Screening ◽  
Test Result

ObjectiveFrom December 2017, the Australian National Cervical Screening Program commenced 5 yearly primary human papillomavirus (HPV) screening; one of the first high-income countries to implement primary HPV screening. This study aimed to examine the psychosocial impact of self-reporting testing HPV positive in a sample of women screened since the renewal of the programme.MethodsWomen in Australia aged 25–74 years who reported participating in cervical screening since December 2017 were recruited through an online market research company to complete a cross-sectional survey. The primary outcomes were anxiety and general distress.Results1004 women completed the online survey; 80.9% reported testing HPV negative (HPV−), 6.5% reported testing HPV positive (HPV+) and 12.9% did not know/remember their test result. Women who reported testing HPV+ had significantly poorer psychological outcomes on a range of measures. Those who reported testing HPV+ had higher anxiety scores (53.03 vs 43.58 out of 80, p<0.001), showed more general distress (3.94 vs 2.52 out of 12, p=0.004), concern about their test result (5.02 vs 2.37, p<0.001), expressed greater distress about their test result (7.06 vs 4.74, p<0.001) and cancer worry (quite or very worried 35.4% vs 11.6%, p<0.001) than women who reported testing HPV−. Concern regarding test results was also significantly higher in women who did not know/remember their test result (3.20 vs 2.37, p<0.001) compared with women who reported testing HPV−. Women who reported testing HPV+ had greater knowledge of HPV (9.25 vs 6.62, p<0.001) and HPV testing (2.44 vs 1.30, p<0.001) than women who reported testing HPV−.ConclusionsReceipt of an HPV+ test result was associated with high levels of anxiety and distress, which reached clinical significance. Further work is needed to understand whether distress and concern could be reduced by ensuring all women receive high-quality standardised information with their results or by other interventions.

scholarly journals FREE TRANSPORTATION SERVICE RECIPIENTS MAY HAVE BETTER QUALITY OF LIFE BUT STILL LACK IN IMPROVING HEALTH

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S175-S176
Author(s):  
Machiko R Tomita
Keyword(s):  
Quality Of Life ◽  
Well Being ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Grocery Stores ◽  
Cross Sectional ◽  
Transportation Services ◽  
Transportation Service ◽  
And Function

Abstract This study aimed to determine if service recipients (SRs) of free transportation services experience better quality of life, health, and function compared to pre-service recipients (PSRs). We conducted a cross-sectional study using personal interviews with 43 PSRs and 30 SRs belonged to a volunteer organization. Outcome measures were Older People’s Quality of Life (QoL), Center for Epidemiology Study-Depression, and Instrumental Activities of Daily Living (IADL). Total sample (N=73) had a mean age of 78.5 years and mostly female (86.3%). The majority of PSRs wanted to go to Drs’ offices (74.4%) and Grocery stores (60.5%), followed by Drug stores (44.2%), when the service becomes available. The figures were substantially smaller among SR (40.0%, 30%, and 13.3%, respectively). In PSRs, 67.4% expected to improve health once they start receiving the service, and 70. 0% of SRs said it did with the service. Using independent t-tests, SRs were significantly better in depression (p&lt;.001), IADL (p=0.29) and most QoL items (life overall, social relationship, home and neighborhood, psychological and emotional well-being and leisure and activities; p=.047-p=.001), except for perceived health and finance. SRs (100%) were very satisfied with the service and drivers, but 80% of SRs said they wished to use more driving services than the allowable four times per month maximum. This limitation was due to the insufficient number of volunteers compared to a large number of people in need. Availability of more volunteer drivers will likely improve SRs health. Effective approaches to increase the number of driving volunteers are necessary.

scholarly journals HUBUNGAN PENGGUNAAN KONTRASEPSI PIL KB KOMBINASI DENGAN PERUBAHAN SIKLUS MENSTRUASI DI PUSKESMAS SONDER KECAMATAN SONDER KABUPATEN MINAHASA

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Sefti Rompas ◽  
Michael Karundeng
Keyword(s):  
Menstrual Cycle ◽  
Hormonal Contraception ◽  
Total Sample ◽  
Reproductive Hormones ◽  
Chi Square ◽  
Cross Sectional ◽  
Uterine Mucosa ◽  
Social Environmental ◽  
Social Environmental Factors

Abstract : Menstruastion is change in body fisiology in human body with view circumstances and being influence by reproductive hormones or is being said blood flowing out, mucus and debrissel from uterine mucosa accompanied by release endometrium periodically and cycle with beginning in 14 day after ovulation. Menstrual periodic is a relevant indicator of reproductive health and changes in the menstrual cycle can effect a woman quality of life.And then, abnormal menstrual cycle can interfere woman reproductive health.As for the factors that influence changes in the menstrual cycle not only biological factors and social environmental factors but also influence by contraception. The choice of the contraception cannot be generalized because it depends on the character and deedsof individual. Pill end injection contraception is hormonal contraception. The purpose of research is to find out is there are relationship between use of contraception pil with the change on menstruation cycle. The design is quantitative Dedskriptif with cross sectional approach. The sample is taken with total sampling technic, with total sample is 40 respondents. The result statisyic chi square obtained p = 0,001. The Conclusion there is relationship between use contraception combinastion pil with change in menstruastion cycle at puskesmas sonder county minshasa.Keywords : combination Pil, change menstruastion cycle.Abstrak : Menstruasi atau haid adalah perubahan fisiologis dalam tubuh wanita yang secara berkala terjadi dan dipengaruhi oleh hormon reproduksi, atau disebut juga pengeluaran darah, mukus, dan debrissel dari mukosa uterus disertai pelepasan (deskuamasi) endometrium secara periodik dan siklik, yang dimulai sekitar 14 hari setelah ovulasi. Siklus menstruasi dianggap sebagai indijator yang relevan dari kesehatan reproduksi, dan perubahan pada siklus menstruasi dapat mempengaruhi kualitas hidup wanita. Dengan demikian siklus menstruasi yang tidak normal dapat mengganggu kesehatan reproduksi wanita. Adapun faktor yang mempengaruhi perubahan pada siklus menstruasi tidak hanya faktor biologis dan faktor lingkungan sosial tetapi juga dipengaruhi oleh alat kontrasepsi. Pemilihan kontrasepsi tidak dapat disamaratakan karena tergantung karakter dan keperluan individu tersebut. KB suntik dan pil KB merupakan kontrasepsi hormonal Tujuan penelitian ini untuk mengetahui Apakah ada hubungan penggunaan kontrasepsi pil Kombinasi dengan perubahan siklus menstruasi di Puskesmas Sonder. Desain penelitian ini menggunakan jenis penelitian deskriptif kuantitatif dengan pendekatan cross sectional. Sampel diambil dengan Teknik pengambilan total sampling dengan jumlah sampel sebanyak 40 responden. Hasil penelitian statstic uji Chi-Square didapatkan p = 0.001. Kesimpulan terdapat hubungan antara penggunaan kontrasepsi pil KB dengan perubahan siklus menstruasi di Puskesmas Sonder.Kata Kunci : Pil Kombinasi,Perubahan Siklus Menstruasi

scholarly journals Socioeconomic Inequalities in Oral Health-Related Quality of Life among Brazilians: A Cross-Sectional Study

2019 ◽  
Vol 7 (2) ◽  
pp. 39
Author(s):  
Fabíola Bof de Andrade ◽  
Flavia Drumond Andrade
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Negative Impact ◽  
Age Groups ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Socioeconomic Inequalities ◽  
Cross Sectional ◽  
Related Quality

Objective: Assess the magnitude of the socioeconomic inequalities related to the impact of oral health on quality of life among adults and elderly individuals. Methods: This was a cross-sectional study with data from the most recent oral health survey from the state of Minas Gerais, Brazil. The sample included data on 2288 individuals—1159 adults in the 35–44 age group and 1129 adults in the 65–74 age group. Socioeconomic inequalities in Oral Impacts on Daily Performance ratings were measured using two inequality measures: the slope index of inequality (SII) and the relative index of inequality (RII). Results: The prevalence of negative impact of oral health on quality of life was 42.2% for the total sample, 44.9% among adults and 37.5% among elderly individuals. Significant absolute and relative income inequalities were found for the total sample (SII −27.8; RII 0.52) and both age groups (adults: SII −32.4; RII 0.49; elderly: SII −18.3; RI 0.63), meaning that individuals in the lowest income level had the highest prevalence of negative impacts. Regarding schooling, no significant differences were observed among the elderly. Conclusion: There were significant socioeconomic inequalities related to the negative impact of oral health-related quality of life in Brazil among both age groups.

Sign in / Sign up

Export Citation Format

Share Document