scholarly journals Marital Rape and its Social Demographic Factors Associated with Gynecological Problems in Kirtipur

2014 ◽  
Vol 9 (2) ◽  
pp. 64-69 ◽  
Author(s):  
T M Shakya ◽  
G Dangal ◽  
A K Poudyal

Aims: This study aimed to find association of marital rape with gynecological problems and socio-demographic factors, which helped to explore possible underlying issues and to provide appropriate services to the women. Methods: A cross sectional quantitative study was carried out. Three hundred sixty two married women who came to the health care centres of Public Health Concern Trust (phect-NEPAL) for any kind of health services were enrolled for the study. Data was collected through semi structured interview questionnaire. Bivariate analysis and multiple binary logistic regression analysis were applied to identify the factors associated gynecological problems and marital rape. Results: The study revealed that out of 362 women, 194 (53.6%) experienced marital rape either everyday or sometime.  Out of 362 women, 48.6% (194) were suffered from gynecological problems. Women who had undergone rape had 2.32 times more likely to experience gynecological problems than those who did not (OR 2.3, 95% CI 1.52-3.55).  Marital rape was found statistical significantly associated (p-value < 0.05) with economic condition, interspousal communication, and difference among interspousal sexual desire, husband’s violent nature, husband's dominant attitude, husband’s alcohol intake and gynecological problem. Conclusions: Marital rape was associated with existence of gynecological problem in the wife. Therefore, women with gynecological problems should also be explored for marital rape and counseling and service should be provided. DOI: http://dx.doi.org/10.3126/njog.v9i2.11767   

2021 ◽  
Author(s):  
Zelalem Mekuria ◽  
Abdu Mengesha ◽  
Girma Seyoum

Abstract Background: Uterovaginal prolapse (UVP) is a major women’s health concern throughout the world. Globally, 2-20% of all women are affected by UVP. The mean prevalence of pelvic organ prolapse in developing countries is 19.7%. The prevalence of UVP in Ethiopia is 18.55% among all gynecological operations. UVP is a source of severe morbidity and psychological upheaval to the patient, who is often socially withdrawn and stigmatized. UVP negatively affects socioeconomic and reproductive activity of affected women. It is, therefore, of interest to study its prevalence and factors associated with the condition.Methodology: Institution-based retrospective cross-sectional study was conducted in selected Addis Ababa city governmental hospitals and the medical record charts of women admitted in the respective gynecology wards were reviewed. The medical records included in this study were those from March 2017 to February 2019 G.C. and 400 records of admitted women were randomly selected. The data were analyzed using SPSS version 24 statistical package. Bivariate and multivariate logistic regression analyses were carried out to determine factors associated with UVP. A p-value < 0.05 was considered as significant.Result: Out of the3,949 admitted women, the prevalence of UVP was 12.8%. The leading determinants of UVP were menopause (OR = 2.611 (at 95 % CI: 1.531, 3.838), age > 40 years (OR = 2.143 (at 95 % CI:1.496, 6.602), parity of > 4 (OR = 4.201 (at 95 % CI 1.652, 10.685), age at first delivery of < 20 years old (OR = 7.988(2.682, 23.792) and home delivery (OR = 1.380 (at 95 % CI:1.212, 2.572). Conclusion: The prevalence of UVP in this study was relatively high. The major risk factors of UVP were menopause, having > 4 deliveries, age > 40 years, age at first delivery < 20 years old and home delivery. Therefore, the findings of this investigation, especially identification of risk factors of UVP, could serve as a basis for taking steps for preventing or reducing the prevalence of UVP and related complications.


2021 ◽  
Vol 7 (2) ◽  
pp. 170-175
Author(s):  
Hardianti Mukkadas ◽  
I Made Cristian B ◽  
Wa Ode Salma

Pregnant women who experience chronic energy deficiency (KEK) tend to give birth to LBW babies and have a greater risk of death. Objective: This study was to analyze the factors associated with the incidence of KEK in pregnant women. Methods: The study was conducted for 2 months, in 2020 at Anggaberi Health Center and Soropia Health Center in Konawe district. Design: cross sectional, quantitative data collection and secondary data. The research sample was pregnant women who were registered in the maternal cohort data, which were taken randomly as many as 115 people. Univariate data analysis was carried out descriptively to see the distribution of the values ​​of the causal factors, bivariate analysis was carried out to analyze the relationship between the causal factors and the incidence of KEK through statistics, namely Chi-square test and cross tabulation with a significance value of 0.05. The results of the study found that the factors associated with the incidence of KEK were age (p-value = 0.000), education level (p-value = 0.000), employment status (p-value = 0.000), and pregnancy weight (p-value = 0.000 ). The incidence of KEK is more likely in mothers who have characteristics such as age < 20 years and > 35 years, low education, not working and low pregnant weight. Therefore, it is hoped that an increase in food security at the family level can be socialized through providing information to preconception women through counseling, flip-charts and posters.


Author(s):  
Yusmaharani Yusmaharani

 One of the program to improve the health of pregnant women is by holding Class of pregnant women, it’smeans to learn together about the health of pregnant women. In 2015 from 20 public health centers in Pekanbaru there are only 3.7 percent of pregnant women's classes, which should reach 80 percent of pregnant women's classes. This happens because many classes of pregnant women are formed by public health center but no mothers are participating in the class. This study aims to determine the factors associated with the utilization of the class of pregnant women. The design of this study is cross sectional with a large sample of 211 people. Sampling method used systematically random sampling. Data analysis was done by univariat and bivariate. The resultsr research was obtained by mothers who do not use the class of pregnant women as much as 163 people (77 percent). The result of bivariate analysis showed that P value less than 0,001 (OR: 10,6, C.I.95 percent: 3,864 to 29,124) meaning that there is a significant correlation between Support by Husband and Utilization of Maternal Class. The conclusion in this research that there is a relationship between support by husband with the utilization of pregnant mother class. Keyword:Support by Husben, Utilization, Pregnant.


Author(s):  
Yuni Kurniati Yuni Kurniati

ABSTRACT Abnormal leucorrhea discharge is characterized by whitish discharge in large quantities. In addition, the mucus is white yellowish or greenwish and has a pungent odor and is very itchy and painful. The purpose of this study was to determine the factors associated with the incidence af abnormal leucorrhea discharge in young gils in the class X SMA Sandika Sukajadi Banyuasin Year 2014. This study uses the total populatoin of the cross-sectional approach. The population in this study are all young women inthe class X SMA Sandika Sukajadi Banyuasin Year 2014. This research was conducted in January-March 2014. Samples were taken from the entire population. Analysis using statistical  test Chi- Square. Results of univariate analysis, showed that respondents abnormal leucorrhea discharge as much as 10 respondents (33,3%) was smaller than that of respondents who are not abnormal leucorrhea discharge as much as 20 respondents (66,7%). That respondents with good knowledge of 7 respondents (23,3%) smaller compared with poor knowledge of as many as 23 respondents (76,7%). Which uses as much pantyliner 9 respondents (30%) smaller compared with those who did not use a pantyliner as many as 21 respondents (70%). Feminine hygiene and tthe use of a total of 14 respondens (46,7%) smaller comappred with those who did not use feminine hygine as much as 16 respondents ( 53,3%). So the bivariate analysis showed no significant relationship between knowledge of the occurence of abnormal leucrrheal dicharge with a p value = 0,002, no significant association between the use pantyliner eith abnormal leucorrhea discharge even with p value = 0,0002. And there is a relationshp between the incidence of female cleaners abnormal leucorrhea discharge with a p value = 0,001. Advice for health personnel to seek and improve health health education about abnormal leucorrhea discharge.     ABSTRAK Keputihan Abnormal adalah keputihan yang tandai dengan  keluarnya lendir dalam jumlah banyak, berwarna putih kekuningan sampai kehijauan dan memiliki bau yang sangat menyengat yang disertai rasa gatal dan nyeri pada daerah kewanitaan. Tujuan Penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan kejadian keputihan abnormal pada remaja putri dikelas X SMA Sandika Sukajadi Banyuasin Tahun 2014. Penelitian ini menggunakan metode total populasi dengan pendekatan cross-sectional. Populasi dalam penelitian ini yaitu semua remaja putri dikelas X SMA Sandika Sukajadi Banyuasin Tahun 2014. Penelitian ini dilakukan pada bulan Januari – Maret 2014. Sampel penelitian diambil dari seluruh populasi. Analisis data menggunakan uji statistik Chi – Square. Hasil analisis univariat, menunjukkan bahwa responden yang keputihan abnormal sebanyak 10 responden (33,3%) lebih kecil di banding dengan responden yang tidak keputihan abnormal sebanyak 20 responden (66,7%). bahwa responden dengan  pengetahuan baik sebanyak 7 reponden (23,3%) lebih kecil di banding dengan pengetahuan yang kurang baik sebanyak 23 responden (76,7%). yang menggunaan pantyliner sebanyak 9 reponden (30%) lebih kecil di banding dengan responden yang tidak menggunakan pantyliner sebanyak 21 responden (70%). dan yang menggunakan pembersih kewanitaan sebanyak 14 reponden (46,7%) lebih kecil di banding dengan responden yang tidak menggunakan pembersih kewanitaan sebanyak 16 responden (53,3%). sehingga analisis bivariat menunjukkan ada hubungan yang bermakna antara pengetahuan dengan kejadian keputihan abnormal dengan P value = 0,002, ada hubungan yang bermakna antara penggunaan pantyliner dengan kejadian keputihan abnormal dengan P value = 0,002.dan ada hubungan antara penggunaan pembersih kewanitaan dengan kejadian keputihan abnormal dengan P value= 0,001 .Saran bagi tenaga kesehatan untuk mengupayakan dan meningkatkan penyuluhan kesehatan tentang keputihan abnormal.  


BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e027070 ◽  
Author(s):  
Coralie Galland-Decker ◽  
Pedro Marques-Vidal ◽  
Peter Vollenweider

ObjectiveTo assess the prevalence and factors associated with fatigue in the general population.DesignPopulation-based, cross-sectional survey performed between May 2014 and April 2017.SettingGeneral population of the city of Lausanne, Switzerland.Participants2848 participants (53.2% women, age range 45–86 years).Primary outcome measurePrevalence of fatigue the previous week, defined as a score of ≥4 using the Fatigue Severity Scale.ResultsThe prevalence of fatigue was 21.9% (95% CI 20.4% to 23.4%) in the total sample. On bivariate analysis, participants with fatigue were younger, had a higher body mass index, a lower handgrip strength and lower ferritin levels. Participants with fatigue were more frequently women, had a lower educational level, presented more frequently with clinical insomnia, diabetes, anaemia, depression and low thyroid stimulating hormone (TSH) values, had a higher consumption of antihistamines, antidepressants and hypnotics, and rated more frequently their health as bad or very bad. Multivariable analysis showed that obesity (OR 1.40 (95% CI 1.03 to 1.91)), insomnia categories (p value for trend <0.001), depression (OR 3.26 (95% CI 2.38 to 4.46)), anaemia (OR 1.70 (95% CI 1.00 to 2.89)) and low self-rated health status (p value for trend <0.001) were positively associated with fatigue, while older age (p value for trend 0.002) was negatively associated with fatigue. Conversely, no association was found for diabetes, TSH levels, antihistamines or hypnotics.ConclusionIn a population-based sample aged 45–86, fatigue was present in one out of five subjects. Regarding clinical factors, sleep disturbances such as insomnia and sleep apnoea should be assessed first, followed by depression. Regarding biological factors, anaemia should be ruled out, while screening for hypothyroidism is not recommended as a first step. Sleep complaints and fatigue in older subjects are not due to ageing and should prompt identification of the underlying cause.


Author(s):  
Chanda Mog ◽  
Arundhati Roy ◽  
Paramita Choudhuri

Background: India is endemic for rabies accounting for 36% of the world death. Low awareness of the need to seek health care after a dog bite claims the lives of more than 55,000 people each year, mostly Asia and Arica. The objective of the study was to estimate the level of knowledge about rabies among adult population in urban area and also to find out the factors associated with level of knowledge.Methods: The cross sectional study was carried out among 200 adult population of Agartala Municipal Corporation area for a period of one month and study subjects were selected by using multistage sampling technique. A predesigned, pretested, structured interview schedule was used for data collection. Data were analyzed by SPSS version 20. Chi-square and Fisher's exact was used to find out the factors associated with level of knowledge and p value <0.5 considered as a significant.Results: The present study showed that mean age of the respondents was 45.23±14.7 years. Among them 54.5% were female, 32% home maker and 39% had completed graduation. Out of 200 respondents, 167 respondents were heard about the term ‘Rabies’ i.e., 83.5% and 33 respondent’s i.e., 16.5% never heard about the term ‘Rabies’ but only 20.5% subjects knew correctly that rabies was caused by virus. In our study, adequate knowledge on rabies was found 40% and only one factor i.e., literacy (p=0.002) was found significantly associated with level of knowledge.Conclusions: The study findings indicate that still there is need to be increase adequate level of knowledge about rabies among adult residents in urban area.


2018 ◽  
Vol 6 (2) ◽  
Author(s):  
Mamat Lukman ◽  
Ferdinan Sihombing ◽  
Lia Meilianingsih

Death is something definite. Awareness about the certainty of the coming death raises different responses depending on each person, including the elderly. Differences in social background, beliefs, and life experiences have shaped their respective levels of spirituality elderly, but the elderly still be experiencing anxiety to face the death. Not infrequently the death anxiety felt excessively, causing symptoms that can be observed.This study aimed to analyze the factors associated with death anxiety in elderly Batak tribe who live in Bandung, which includes the quality of life, life satisfaction, and culture.The study employed a descriptive correlational design, particularly cross-sectional design. There were 98 elderly who served as participants. The samples were chosen by using accidental sampling methods and criteria for inclusion. The data were analyzed by using Chi-square and binary logistic regression.The results showed that there was correlation between life satisfaction, and culture with death anxiety in elderly Batak tribe who live in Bandung (the two of factors has p value < 0.001 each) and with the binary logistic regression analysis of the factors known that the satisfaction of life is the most dominant factor that associated with death anxiety with OR value of 0.122. Community nurses need to pay attention to the improvement of satisfaction of life of the elderly.The conclusion this research is High satisfaction of life of elderly people have an impact on reducing the risk of death anxiety in elderly people, without forgetting other factors.


2021 ◽  
Vol 4 (5) ◽  
pp. 01-07
Author(s):  
Yollanda Vonitania ◽  
Yulizawati Yulizawati ◽  
Fitrisia Amelin

In Indonesia target of exclusive breastfeeding is 80% and this target is very difficult to accomplish. The scope of exclusive breastfeeding in West Sumatera (75%), in Padang (70.7%) and in the work area of Andalas Health Center (55.17%). This study aim is to determine factors associated with exclusive breastfeeding in the work area of ​​Andalas Health Center. This type of study is analytic with cross sectional design.The participant of this study is 90 mothers who have infants 6-12 months in the work area of Andalas Health Center. Sampling was proportional random sampling. Data collected using questionnaires. Data analysis using univariate and bivariate with chi square test and significant if p value < 0,05. The study showed exclusive breastfeeding (21,1%), mother have a good knowledge (48.9%), secondary education (51.1%) , unemployed (65.6%), not having breast problem (51.1%), and interested in infant formula promotion (57.8%). The results of bivariate analysis showed a significant relationship between education (p=0.048) and breast problems (p=0,000) and no significant relationship between work (p=0.98) with exclusive breastfeeding. There is a tendency all mothers who have less knowledge and interested in infant formula promotion to not exclusive breastfeeding From the result of this study it can be conclude there is a significant relationship between education, and breast problems with exclusive breastfeeding, no significant relationship between work and exclusive breastfeeding, there is a tendency all mothers who have less knowledge and interested in infant formula promotion to not exclusive breastfeeding. For the next research can add other variables, for health workers to more diligent give counseling and for the community to follow more counseling.


JKEP ◽  
2019 ◽  
Vol 4 (1) ◽  
pp. 1-11
Author(s):  
Dita Sulistyowati

Stimulation of growth and development in children including pre-school age children is very important to do by parents and families. This is done to stimulate the ability and growth and development of children to grow and develop optimally in accordance with the stages of development. Many factors affect parents in providing growth and development stimulus in pre-school age children. One of them is the involvement of fathers in childcare. The purpose of this study was to obtain a picture of the factors that influence parents in providing stimulation of preschool children growth and development. The research design used was descriptive research with cross-sectional study. Data analysis using component analysis with univariate and bivariate analysis. The results showed that the father's involvement variable influences the provision of growth and growth stimulation in pre-school children (p value = 0.001), and OR = 10.978 which means that respondents who have father involvement in good stimulation have an opportunity for mothers 10.9 times better in doing growth and growth stimulation on their children compared to respondents who had less father involvement in stimulation. The involvement or role of fathers in the stimulation of growth and development becomes an important aspect for children's development.


2021 ◽  
Author(s):  
Hin Chung Eddy Fung ◽  
Hung Wong ◽  
Siu Wai Chiu ◽  
Jerome Ho Lam Hui ◽  
Hon Ming Lam ◽  
...  

Abstract To investigate the risk factors associated with bedbug infestations among Hong Kong households, self-reported questionnaires in Chinese were distributed online between June 2019 to July 2020. The questionnaire collected data on participants’ sociodemographics, history of bedbug infestation, and housing situation. Among the 663 participants who completed the questionnaire, 422 (63.7%) have experienced bedbug infestations in the past year, they were concentrated around the Kowloon region. Weighted bivariate and multivariate binary logistic regression were performed to identify the statistically significant (p-value <0.05) factors associated with bedbug infestations. Bivariate analysis shows a positive correlation between the number of reported dilapidated housing features and bedbug infestation. For multivariate analysis, those aged 45-64 (OR=2.53, 95% CI 1.30-4.91), have primary education or below (OR=9.43, 95% CI 3.12-28.44), and monthly household income ≤HKD30,000 (OR=1.69, 95% CI 1.15-2.5) were more likely to have bedbug infestation compared to their respective reference groups, i.e., ≥65, tertiary education, and >HKD30,000; housing risk factors identified are living in subdivided flats (OR=16.53, 95% CI 1.01-269.72), crowded household (OR=1.55, 95% CI 1.06-2.28), having second-hand furniture (OR=2.97, 95% CI 1.16-7.58), housing cleanliness issues (OR=2.66, 95% CI 1.13-6.25), and presence of bedbugs in neighbouring residential units (OR=3.32, 95% CI 1.57-7.04) or on the streets (OR=1.9, 95% CI 1.12-3.23). This study has identified lower income, lower education level, crowded household, living in subdivided flats, and certain dilapidated housing features to be risk factors of bedbug infestations; efforts and policies should prioritise vulnerable groups and focus on addressing the housing risk factors identified in this study.


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