scholarly journals Factors Influencing Childhood Immunization Defaulters in Sabah, Malaysia

2020 ◽  
Vol 11 (1) ◽  
Author(s):  
Shamsul Azhar S ◽  
Nirmal K ◽  
Nazarudin S ◽  
Rohaizat H ◽  
Azimatun Noor A ◽  
...  
Keyword(s):  
Family Size ◽  
Employment Status ◽  
Multivariable Analysis ◽  
Cross Sectional Study ◽  
Maternal Child Health ◽  
Childhood Immunization ◽  
Cross Sectional ◽  
Family Mobility ◽  
Bivariable Analysis ◽  
Associated Risk Factors

Introduction: The purpose of this study was to determine the prevalence of defaulters of immunization, and their associated risk factors among children age 12 to 24 months. Materials and Methods: A cross-sectional study was conducted in all government's maternal child health clinics in District of Kota Kinabalu, Sabah. Data was collected using a standardised questionnaire from July to November 2006. Results: The prevalence rate for defaulting immunization was 16.8% from the 315 respondents. Bivariable analysis showed various significant factors associated with defaulters such as mother’s employment status, family mobility, transportation and cost. Nonetheless, multivariable analysis showed only mother’s age, mother employment status and family size were the significant predictors for defaulting immunization. Immunization that had the highest rate of defaulters was DPT–OPV booster dose (56.6%), followed by MMR immunization (43.4 %) and DPT-Hib/OPV and Hep B third dose (37.7%).Conclusion: Employed mothers with bigger family size should be more closely monitored and advised to reduce the chance of defaulting on the immunization. Health promotion activities also should focus to these groups of mothers.

scholarly journals The familiarity of parents-teenagers and depressed high school adolescents in the city of Yogyakarta

2016 ◽  
Vol 32 (10) ◽  
pp. 379
Author(s):  
Febriani Emilda ◽  
Carla Machira ◽  
Abdul Wahab
Keyword(s):  
High School ◽  
Multivariable Analysis ◽  
Female Gender ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Parental Employment ◽  
Bivariable Analysis ◽  
Status Data ◽  
Yogyakarta City

Familiarity of teens-parents and high school teenagers with incidence of depression in Yogyakarta CityPurposeThis study aimed to determine the differences in the incidence of depression in high school teenagers who are familiar and not familiar with their parents in Yogyakarta City.MethodsThis research was a cross-sectional study, involving 200 high school teenagers in Yogyakarta city and conducted in five high schools in Yogyakarta city. The independent variable was familiarity of parent-teens, the dependent variable was teenager depression and external variables were gender, parental employment status, and socioeconomic status. Data analysis included univariable, and bivariable analysis with Chi-square tests, to determine the strength of the relationship between independent and dependent variable and multivariable analysis with logistic regression tests.ResultsBivariable analysis showed a significant correlation between familiarity of parent-teens with teenagers’ depression. Teenagers who were not familiar with their parents were potentially 3.7 times more likely to get depressed than teenagers who were familiar with their parents. Multivariable analysis showed that there was a significant relationship between parental familiarity with teenagers’ depression when controlled for the variable of gender. Teenagers who are not familiar with their parents and female gender have 7.6 times greater potential to become depressed than teenagers who are familiar with their parents and male gender.ConclusionThe incidence of depression in high school teenagers who are not familiar with their parents was higher than teenagers who are familiar with their parents.

scholarly journals Determinants of Under-Five Child Mortality in Ethiopia: Analysis Using Ethiopian Demographic Health Survey, 2016

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Addisalem Tebeje Zewudie ◽  
Abebaw Addis Gelagay ◽  
Engidaw Fentahun Enyew
Keyword(s):  
Birth Order ◽  
Child Mortality ◽  
Family Size ◽  
Multivariable Analysis ◽  
Cross Sectional Study ◽  
Multiple Birth ◽  
Cross Sectional ◽  
Under Five ◽  
Logistic Analysis ◽  
Multivariable Analyses

Background. Under-five mortality rate is a leading indicator of the level of child health and the overall development in countries which indicate the quality of life of a given population, as measured by life expectancy. Objectives. To identify and analyze factors that may have a significant influence on under-five mortality in Ethiopia. Methods. A national representative cross-sectional study and a quantitative study were conducted among 18,008 households selected based on 2016 EDHS data. The analysis was done using SPSS version 20 statistical software. Both bivariate and multivariable analyses were employed. In multivariable analysis, p value less than 0.05 was considered statistically significant and odds ratio with 95% CI (confidence interval) was used to assess the determinants of under-five child mortality. Results. A total of 10,641 children were included in the study with a 99.0% response rate. The U5CM for being a rural resident (AOR=1.802, 95% CI: 1.251, 2.595), not breastfeeding (AOR=2.956, 95% CI: 2.490, 3.511), having multiple birth (AOR=4.755, 95% CI: 3.440, 6.572), male gender (AOR=1.363, 95% CI: 1.153, 1.612), having first birth order (AOR=1.592, 95% CI: 1.275, 1.992), and having family size six and above (AOR=2.187, 95% CI: 1.769, 2.707). The increment of family size increases the risk of U5CM.Conclusion. Multivariate logistic analysis reflected that place of residence, mothers’ educational level, religion, current breastfeeding status, type of birth, sex of child, birth order, and family size were found to be significant predictors of under-five child mortality. So, government policy, nongovernmental organizations, and all concerned bodies should be focused on the major determinants of under-five child mortality and put in a lot more effort to reduce under-five child mortality, and health intervention policies should be revised.

scholarly journals Initiation time of weaning and associated factors among mothers of children aged less than 2 years in Aksum town, Tigray, Ethiopia: A cross sectional study, July 2018

2019 ◽  
Author(s):  
Beriha Welay Knfu ◽  
Mekuria Kasa ◽  
Haftom Gebrehiwot Msgna ◽  
Birhane Hailu Gebrezgi ◽  
Tesfay Hailu Welu ◽  
...  
Keyword(s):  
Return To Work ◽  
Family Size ◽  
Associated Factors ◽  
Multivariable Analysis ◽  
Cross Sectional Study ◽  
Early Initiation ◽  
Initiation Time ◽  
Sectional Study ◽  
Cross Sectional ◽  
Poor Knowledge

Abstract Abstract Background: Weaning is the period of time when infants introduce food different from breast milk in their diet, together with a gradual reduction of the intake of milk. It is estimated that 6% of under-five child mortality every year can be reduced through age appropriate infant feeding. Ethiopian demographic health survey 2016 declared that 21% of children consuming foods by age 4-5 months. Few Studies done in Ethiopia describe initiation time of weaning. Objective: To assess initiation time of weaning and associated factors among mothers of children aged less than 2 years in Aksum Town 2017/18. Methods: Community based cross-sectional study was conducted from December to May 2017/18 among 358 mothers of children. Simple random sampling technique was used to select from the five kebeles. Data was entered to Epi info version 7 and transported to SPSS version 22. Logistic regressions were used to identify the predictors of initiation time of weaning. Variables with P value <0.05 with 95% CI in the multivariable analysis were taken for declaring level of significance. The analyzed data were presented using texts, tables, graphs and charts. Result: In this study prevalence of early initiation of weaning was 38% (CI=33.0, 43.0). Mothers of children aged less than 2 years having poor knowledge on initiation of weaning Adjusted Odds Ratio ((AOR) =2.08, 95% CI=1.12, 3.90), mothers who were not received formal advice from health professionals on initiation of weaning (AOR =1.93, 95% CI=1.17, 3.16), mothers who return to work during post postpartum period (AOR= 3.32, CI=1.99, 5.54) and had family size of four and above (AOR= 2.53 ,95% CI=1.46, 4.39) were significantly associated factors with early initiation time of weaning. Conclusion: In this study prevalence of early initiation of weaning was high. Having poor knowledge, not received formal weaning advice, return to work and have family size of four and above were significantly associated factors with early initiation of weaning. Hence, Formal weaning advice should be given to mothers of children at health institutions during their prenatal care service regarding to initiation time of weaning. Key words: Initiation of weaning, early weaning, timely weaning

scholarly journals Prevalence of Depression amongst Caregivers of Stroke Patients Attending Hospital Universiti Sains Malaysia

2018 ◽  
Vol 17 (2) ◽  
Author(s):  
Azwanis Bnti Abdul Hadi ◽  
Hafizah Binti Pasi ◽  
Nivin Essam Eldin Abd Alla Yousef
Keyword(s):  
Risk Factors ◽  
Primary Care Clinic ◽  
Cross Sectional Study ◽  
Stroke Patients ◽  
Cross Sectional ◽  
Care Clinic ◽  
Prevalence Of Depression ◽  
Patient Health ◽  
Bivariable Analysis ◽  
Associated Risk Factors

Introduction: Caregiving for stroke patients is a challenging task both emotionally and physically. Studies have shown that caregiving can affect caregivers’ wellbeing that could lead to depression. Objective: This study was carried out to determine the prevalence and associated risk factors of depression amongst caregivers of stroke patients attending Hospital Universiti Sains Malaysia (HUSM) in Kelantan over a 6 month period. Methodology: This is a cross sectional study at the primary care clinic in HUSM over a period of 6 months. A total of 116 caregivers of medically documented stroke patients who fulfilled the inclusion and exclusion criteria were recruited via convenience sampling. The brief patient health questionnaire (PHQ-9) were used to assess their depression. Descriptive statistics and bivariable analysis was used using SPSS version 23.Results: 63.8% of the caregivers of stroke patients are depressed. Caregiver’s burden, ethnicity and patient’s ethnicity were found to be significant associated risk factors for depression.Conclusion: Screening for depression in caregivers especially those with risk factors must be carried out in the clinic in order to detect and intervene early. Coping mechanisms especially in the religious aspect should be elicited in future studies.

scholarly journals Pola asuh ibu dan peran teman sebaya pada perilaku pacaran remaja

2017 ◽  
Vol 33 (4) ◽  
pp. 161
Author(s):  
Novi Berliana ◽  
Sumarni Sumarni ◽  
Idei Khurnia Swasti
Keyword(s):  
Courtship Behavior ◽  
Multivariable Analysis ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Male Adolescents ◽  
Bivariable Analysis ◽  
Relationship Of ◽  
The Relationship

Maternal pattern and the role of peers in high school youth dating behavior in JambiPurposeThe purpose of this paper was to determine the relationship between parental parenting and the role of peers with youth dating behavior in Jambi. MethodA cross-sectional study was conducted involving 281 students of SMAN 4 and SMAN 11 in Jambi who were or have been dating. Data were analyzed using univariate, bivariate with chi square tests, and multivariate with logistic regression tests.Results281 respondents, 113 (72.44%) of the majority of male adolescents behaved in risky courtship. Bivariable analysis found that there was a significant correlation between the role of peers and teenage dating behavior, while the relationship of mother pattern with teenage dating behavior was found to be insignificant. Multivariable analysis, obtained the result that the role of peers is the dominant variable associated with youth dating behavior with OR 2.74 times (95%, CI = 1.61-4.67). ConclusionThis study contributes to the knowledge that a poor peer role for adolescents has a risk to behave in risky dating and mother's parenting does not have a meaningful relationship with youth courtship behavior.

scholarly journals Magnitude of spontaneous preterm birth and its associated factors among preterm birth in NICU wards in Asella Teaching and Referral Hospital, Asella, Oromia, Ethiopia

2021 ◽  
Vol 49 (8) ◽  
pp. 030006052110346
Author(s):  
Techane Sisay Tuji ◽  
Addisu Dabi Wake ◽  
Gezahegn Badeg Adere ◽  
Aselefu Beka Wedajo ◽  
Batu Dekeba Obole ◽  
...  
Keyword(s):  
Risk Factors ◽  
Preterm Birth ◽  
Healthcare Providers ◽  
Preterm Births ◽  
Cross Sectional Study ◽  
Spontaneous Preterm Birth ◽  
Related Factors ◽  
Cross Sectional ◽  
Bivariate Logistic Regression ◽  
Associated Risk Factors

Objective To assess the prevalence of spontaneous preterm births and to identify the associated risk factors. Methods This single-centre cross-sectional study enrolled women that experienced a preterm birth as registered on the neonatal log-book between 30 December 2019 and 30 December 2020. A pre-tested structured checklist was used to collect data (sociodemographic characteristics; obstetric-related factors; medical history; and pregnancy-related factors). Bivariate logistic regression analyses were applied to identify factors associated with spontaneous preterm birth. A multivariate model identified significant independent risk factors. Results A total of 310 patients participated in the study. The prevalence of spontaneous preterm birth in this population was 67.1% (208 of 310; 95% confidence interval [CI] 61.5, 71.9). Patients without a partner (adjusted odds ratio [AOR] = 1.470, 95% CI 1.23, 4.42), patients residing in a rural area (AOR = 2.51, 95% CI 1.123, 5.513) and those with a history of PIH during their current pregnancy (AOR = 0.104, 95% CI 0.053, 0.014) were significantly more likely to have a spontaneous preterm birth. Conclusion The prevalence of spontaneous preterm birth in in this study was high. Healthcare providers and all stakeholders should focus on screening pregnant women at the risk of spontaneous preterm birth.

scholarly journals Prevalence of dysmenorrhoea, associated risk factors and its relationship with academic performance among graduating female university students in Ethiopia: a cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e043814
Author(s):  
Mesfin Tadese ◽  
Andargachew Kassa ◽  
Abebaw Abeje Muluneh ◽  
Girma Altaye
Keyword(s):  
Risk Factors ◽  
Academic Performance ◽  
University Students ◽  
Cross Sectional Study ◽  
Secondary Outcome ◽  
Sectional Study ◽  
Cross Sectional ◽  
Grade Point ◽  
Significant Difference ◽  
Associated Risk Factors

ObjectivesThe study aimed to provide an association between dysmenorrhoea and academic performance among university students in Ethiopia. Further, the study attempts to determine the prevalence and associated risk factors of dysmenorrhoea.Design and methodInstitution-based cross-sectional study was conducted from 1 April to 28 April 2019. A semistructured and pretested self-administered questionnaire was used to collect data. Binary logistic regression analysis and one-way analysis of variance were performed to model dysmenorrhoea and academic performance, respectively.Setting and participantsEthiopia (2019: n=647 female university students).OutcomesThe primary outcome is dysmenorrhoea, which has been defined as painful menses that prevents normal activity and requires medication. The self-reported cumulative grade point average of students was used as a proxy measure of academic performance, which is the secondary outcome.ResultsThe prevalence of dysmenorrhoea was 317 (51.5%). The educational status of father (adjusted OR (AOR) (95% CI) 2.64 (1.04 to 6.66)), chocolate consumption (AOR (95% CI) 3.39 (95% 1.28 to 8.93)), daily breakfast intake (<5 days/week) (AOR (95% CI) 0.63 (0.42 to 0.95)), irregular menstrual cycle AOR (95% CI) 2.34 (1.55 to 3.54)) and positive family history of dysmenorrhoea AOR (95% CI) 3.29 (2.25 to 4.81)) had statistically significant association with dysmenorrhoea. There was no statistically significant difference in academic performance among students with and without dysmenorrhoea (F (3611)=1.276, p=0.28)).ConclusionsDysmenorrhoea was a common health problem among graduating University students. However, it has no statistically significant impact on academic performance. Reproductive health officers should educate and undermine the negative academic consequences of dysmenorrhoea to reduce the physical and psychological stress that happens to females and their families.

scholarly journals AB0898-HPR WICH FACTORS ARE RELATED TO PAINFUL EXPERIENCE IN PATIENTS AFFECTED BY CHRONIC INFLAMMATORY RHEUMATIC DISEASE DURING THE COVID-19 PANDEMIC?

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1472.2-1472
Author(s):  
T. El Joumani ◽  
H. Rkain ◽  
T. Fatima Zahrae ◽  
H. Kenza ◽  
R. Abouqal ◽  
...  
Keyword(s):  
Psychological Impact ◽  
Multivariable Analysis ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Quality Of Sleep ◽  
Cross Sectional ◽  
Therapeutic Adherence ◽  
Factors Associated ◽  
Painful Experience

Objectives:To evaluate the effect of containment, during the Covid-19 pandemic, on the pain of patients with CIRD, and to analyze the factors associated with the experience of pain.Methods:A cross-sectional study was conducted among patients with rheumatic diseases using a questionnaire providing information on patients and disease characteristics. Impact of COVID-19 on This is a cross-sectional study that consecutively includedPatients were asked to assess the global pain which they had experienced before and during the containment period, using a single Visual Analogue Scale (VAS) ranging from 0 (no pain) to 10 (greatest pain).Statistical Analysis System IBM SPSS Statistics V20.0.0 was used to analyze the study data.We performed univariate then multivariate analysis to search any related factors to pain perception during to quarantines. Qualitative values were analyzed by the chi2 test. Quantitative values were analyzed by the Student test when the measures were normally distributed or by nonparametric test (Mann–Whitney U) when the measures were not normally distributed (Kolmogorov–Smirnov test was used to test normality).Results:Among the 350 patients who answered to the questionnaire online, rheumatoid arthritis represented 62.3%, spondyloarthropathy 34.3% and undifferentiated CIRD 3.4%.Pain experience caused by the CIRD during the containment was reported by 79.1% of patients.The level of pain, using the VAS of Pain increased significantly during the COVID-19 pandemic (4,6 ± 2,8 and 5,4 ± 3 before and during the containment; p<0.001).In multivariate analysis, the factors implicated in pain were the negative impact of Coronavirus on access to rheumatologic care, discontinuation of therapeutic adherence, the disturbed quality of sleep and the negative psychological impact (table 1).Table 1: Summarize multivariable analysis of factors associated with painful experience related to CIRD during containement.Table 1.Multivariable analysis of factors associated with painful experience related to CIRD during containementPImpact on monitoring0.05Impact on therapeutic adherence<0.001Quality of sleep disturbed0.001Negative psychological impact0.02Conclusion:This survey showed the that the COVID-19 pandemic have incresed painful experience in CIRD patients. Factors influencing painful experience should be taken into account to help patients to cope with their chronic rheumatism and this global health crisis.Disclosure of Interests:None declared

scholarly journals Occurrence, associated risk factors, and treatment of surgical site infections in Pakistan

2020 ◽  
Vol 18 ◽  
pp. 205873922096054
Author(s):  
Faiz Ullah Khan ◽  
Yu Fang ◽  
Zakir Khan ◽  
Farman Ullah Khan ◽  
Zafar Iqbal Malik ◽  
...  
Keyword(s):  
Risk Factors ◽  
Transurethral Resection ◽  
Surgical Site Infections ◽  
Exploratory Laparotomy ◽  
Cross Sectional Study ◽  
Surgical Patients ◽  
Related Factors ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Associated Risk Factors

Globally, surgical site infections are one of the common infections which lead to a large amount of mortality and morbidity in postsurgical care. The risk for surgical site infection is multidimensional which includes mainly; patient, surgery, and hospital-related factors. This study is aimed to determine the burden of SSIs along with contributed risk factors. A prospective observational cross-sectional study was conducted in one of the largest public-sector hospitals in Pakistan. A total of 412 patients were recruited in the study with full consent and monitored for 30 days after surgery with direct and indirect surveillance. Overall, in seven different surgical procedures the incidence (29.8%) rate of SSI was observed; in appendectomy ( n = 17, 4.1%), exploratory laparotomy ( n = 51, 12.6%), laparoscopic cholecystectomy ( n = 12, 2.90%), mesh repair ( n = 17, 4.01%), thyroidectomy (5, 1.2%), transurethral resection of the prostate ( n = 11, 2.6%), and transurethral resection of the bladder (10, 2.4%). The average SSI rate in every single procedure was about 18 (4.27%) per surgical procedure out of 123 (29.85%) SSI cases. Types of SSI identified were superficial, deep incisional and organ/space ( n = 76, 18.4%, n = 23, 5.5%, and n = 24, 5.7%). Incidence of SSIs during admission, at readmission, and post-surveillance cases were ( n = 50, 12.1%, n = 25, 6.0% and n = 48, 11.6%). Associated risk factors found contributed to the incidence of SSI ( p < 0.05). Pre-operative ( n = 348, 84.5%) and 6 (1.5%) surgical patients did not received the post-operative antibiotics. The P. aeruginosa ( n = 15, 12.1%) and S. aureus (13, 10.5%). Cefoperazone and sulbactam were the most prescribed antibiotics. Associated risk factors and treatment outcomes of surgical patients have a direct association with the incidence of SSI. Hospital-based antimicrobial stewardship, implementation of surgical guidelines, patient care, and education are needed to develop at wards level in hospitals.

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