scholarly journals Reproductive Health Disparities

2011 ◽  
Vol 9 (1) ◽  
pp. 36-42 ◽  
Author(s):  
Stephen C. Chang ◽  
Juliane K. Nguyen ◽  
Nina L Nguyen ◽  
Roger L. Leu ◽  
Darren W. Kong ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Papanicolaou Test ◽  
Cross Sectional ◽  
Web Based ◽  
Pap Tests ◽  
Pap Screening ◽  
Asian Pacific Islander ◽  
Asian Pacific

A Papanicolaou test is the most effective procedure for detecting cervical cancer. Unfortunately, many young Asian Pacific Islander (API) college women are unaware of this procedure and do not take precaution against cervical cancer. This paper reports disaggregated data on Pap knowledge and screening rates of female students at a four-year university and suggests recommendations to healthcare providers to improve Pap screening rates. Using a communitybased participatory research (CBPR) approach, a cross-sectional study was administered using a web-based anonymous survey (N=618). The survey results indicated that participants who were least likely to know about Pap tests were 18-21 years old, API, uninsured, and not in a committed relationship. Slightly more than half (52%) of API females received a screening compared to 82.4% of white females. The most influential people for Pap screening were doctors (43%) and the least influential people were mothers (18.8%) and friends (7.8%). This study expands the literature on Pap knowledge and screenings among API college students and provides culturally appropriate recommendations to improve screening rates.

scholarly journals Cross-Cultural Validation of the English Chronic Pain Myth Scale in Emergency Nurses

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Geraldine Martorella ◽  
Anaïs Lacasse ◽  
Michelle Kostic ◽  
Glenna Schluck
Keyword(s):  
Chronic Pain ◽  
Construct Validity ◽  
Internal Structure ◽  
Healthcare Providers ◽  
The United States ◽  
Cross Sectional Study ◽  
Emergency Nurses ◽  
Cross Sectional ◽  
Web Based ◽  
Acceptable Reliability

Background. Utilization of the emergency department (ED) by patients seeking relief from chronic pain (CP) has increased. These patients often face stigmatization, and the ED is no exception. The French-Canadian Chronic Pain Myth Scale (CPMS) was developed to evaluate common societal misconceptions about CP including among healthcare providers. To our knowledge, no tool of this nature is available in English. Objectives. This study thus aimed at determining to what extent a new English adaptation of the CPMS could provide valid scores among US emergency nurses. The internal consistency, construct validity, and internal structure of the translated scale were thus examined. Methods. After careful translation of the scale, the English CPMS was administered to 482 emergency nurses and its validity was explored through a web-based cross-sectional study. Results. Acceptable reliability α>0.7 was reported for the first and third subscales. The second subscale’s reliability coefficient was below the cutoff (α=0.67) but is still considered adequate. As expected, statistically significant differences were found between nurses suffering from CP vs nurses not suffering from CP, supporting the construct validity of the scale. After exploratory factor analysis, similar internal structure was found supporting the 3-factorial nature of the original CPMS. Conclusion. Our results provide support for the preliminary validity of the English CPMS to measure knowledge, beliefs, and attitudes towards CP among emergency nurses in the United States.

scholarly journals Knowledge, attitude and practices of biomedicine students on the papanicolaou exam

2021 ◽  
Vol 37 ◽  
pp. e37025
Author(s):  
Camila Aparecida Pinheiro Landim Almeida ◽  
Amanda Dias Oliveira ◽  
Lorena Mayra Alves Araújo ◽  
Antonio Luiz Gomes Júnior ◽  
Herica Emilia Félix de Carvalho ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Pap Smear ◽  
Public Health Problem ◽  
Education Institution ◽  
Cross Sectional Study ◽  
Papanicolaou Test ◽  
Early Screening ◽  
Cross Sectional ◽  
Adequate Knowledge ◽  
Knowledge And Attitude

Cervical cancer is the second type of cancer that most affects women, considered a serious public health problem, however it can be detected and treated early through the Pap smear. This research aimed to analyze the knowledge, attitude and practices of biomedicine students on the Pap smear. A cross-sectional study on Knowledge, Attitude and Practice (KAP), applied with 108 students, was carried out at a Higher Education Institution in Teresina, Piauí, Brazil. The data were collected through the months of February and March of 2018 with the application of a questionnaire. Statistical analysis was descriptive in terms of absolute and relative frequencies. Knowledge 72 (66.6%) and attitude 76 (70.3%) presented adequate levels regarding the examination. As for the practice, the percentage of suitability was of 37 academics (34.2%) relatively not adequate. It was concluded that the students had adequate knowledge and attitude, but an inadequate practice, and the Papanicolaou test is required for the early screening and prevention of cervical cancer.

scholarly journals Healthcare Professionals and Telehealth Usability During COVID-19

2021 ◽  
Author(s):  
Jing Xu ◽  
Hanadi Hamadi ◽  
Kristen Hicks-Roof ◽  
Robert Zeglin ◽  
Chloe Bailey ◽  
...  
Keyword(s):  
Health Professionals ◽  
Healthcare Professionals ◽  
Work Group ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Health Providers ◽  
Cross Sectional ◽  
Web Based ◽  
Health Group ◽  
Mixed Regression

Objective: During the Coronavirus Disease 2019 (COVID-19) pandemic, many other health providers needed to rapidly adopt telehealth services to ensure continuity of patient care, without the opportunity to extensively evaluate the usability of the adopted technology. Therefore, this study aims to examine health professionals’ telehealth usability during COVID-19 in Florida. Design: This cross-sectional study employed the Telehealth Usability Questionnaire (TUQ) to licensed healthcare providers in Florida in June 2020. Setting and Participants: A total of 399,660 selected health professionals with Florida licensure were recruited from open-access Florida healthcare to participate in a Qualtrics web-based survey. A total of 1868 health professionals completed the survey. Multiple linear and mixed regression models were applied to analyze the overall and subdomain scores from TUQ. Main outcome measures: Telehealth Usability. Results: The analysis of overall TUQ score showed younger, female healthcare professionals, and participants who reported an increase of telehealth usage during pandemic had a significantly higher overall TUQ score. Compared with the score from physicians and nurses, the scores from the mental health group and social work group were significantly higher, while the score rehabilitation group was significantly lower. Analysis of the subdomain scores were consistent with the overall scores. Conclusion:  The findings from this study indicate that the health professionals’ telehealth usability is related to age, gender, and the change of telehealth usage during the COVID-19 pandemic. While pandemics represent only one possible impetus for the healthcare system to swiftly switch to telehealth platforms, each profession should consider providing adequate resources to accommodate the need for change.

scholarly journals Childbirth Educators’ Role Regarding Pregnant Women and Cervical Cancer Prevention

2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Olufunmiso Oyetunde Asamu ◽  
Hadi Danawi
Keyword(s):  
Cervical Cancer ◽  
Pregnant Women ◽  
Early Pregnancy ◽  
Odds Ratio ◽  
Healthcare Providers ◽  
Secondary Data ◽  
The United States ◽  
Cross Sectional Study ◽  
Cervical Cancer Prevention ◽  
Cross Sectional

Childbirth educators play an important role in educating pregnant women regarding their health. They bridge the gap between pregnant women and healthcare providers. A paucity of information exists on the benefits that pregnant women derive from interactions with childbirth educators regarding early cervical cancer detection. The purpose of our cross-sectional study was to investigate the association among education during early pregnancy offered by the childbirth educators, access to childbirth educators, availability of childbirth educators in the United States and survival from cervical cancer. Secondary data from the Surveillance, Epidemiology, and End Results (SEER) on 520,153 women were analyzed using logistic regression. Childbirth education delivered by childbirth educators during early pregnancy was associated with significantly fewer cervical cancer deaths (odds ratio = .917, <em>CI</em> = .896–.939, <em>P</em> = .000). Women with late-stage diagnosis had an increased likelihood of dying when diagnosed with cervical cancer (odds ratio = 1.043, <em>CI </em>= 1.042– 1.044, <em>P</em> = .000). Childbirth educators are effective at increasing awareness of cervical cancer among women in the early stages of pregnancy; this can improve survival and lead to positive social change.

scholarly journals Antioxidant and inflammatory potential of diet among women at risk of cervical cancer: findings from a cross-sectional study in Italy

2021 ◽  
pp. 1-23
Author(s):  
Andrea Maugeri ◽  
Martina Barchitta ◽  
Roberta Magnano San Lio ◽  
Aurora Scalisi ◽  
Antonella Agodi
Keyword(s):  
Cervical Cancer ◽  
Smoking Status ◽  
Intraepithelial Neoplasia ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Papanicolaou Test ◽  
Cross Sectional ◽  
Inflammatory Index ◽  
Hpv Status ◽  
Increased Risk

Abstract Objective To evaluate the association of Composite Dietary Antioxidant Index (CDAI) and Dietary Inflammatory Index (DII) with the prevalence of high-grade cervical intraepithelial neoplasia (CIN). Design A cross-sectional study was conducted on women with abnormal Papanicolaou test, who underwent high-risk HPV screening and histological test through colposcopy. Dietary data were collected using a Food Frequency Questionnaire and used to assess both CDAI and DII. Setting Women were recruited from 2012 to 2015 at the Cervical Cancer Screening Unit of the “Azienda Sanitaria Provinciale” of Catania (Italy). Participants The study included 539 women with a mean age of 40.2 years, who were classified as cases (n=127 with CIN2 or more severe lesions) and controls (n= 412 with normal cervical epithelium or CIN1). Results Although we observed a lower proportion of HPV-positive women among those with higher CDAI (p<0.001), the index was not associated with the diagnosis of CIN2 or more severe lesions. By contrast, women with medium or high DII showed higher odds to be diagnosed with CIN2 or more severe lesions than those with low DII (OR=2.15; 95%CI=1.11–4.17; p=0.024 and OR=3.14; 95%CI=1.50–6.56; p=0.002, respectively), after adjusting for age, HPV status, educational level, body mass index, smoking status, parity, use of oral contraceptives and supplements. Conclusions Our findings suggested that a pro-inflammatory diet might be associated with an increased risk of CIN2 and more severe lesions. However, further prospective studies should be encouraged to support this evidence.

Awareness of the preventive measures against Covid -19 spread among small shop owners

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 1144-1150
Author(s):  
Muralidharan V A ◽  
Gheena S
Keyword(s):  
Infectious Disease ◽  
Data Analysis ◽  
Preventive Measures ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Positive Perception ◽  
Cross Sectional ◽  
Web Based ◽  
Small Shop ◽  
Structured Questionnaire

Covid -19 is an infectious disease caused by the newly discovered strain of coronavirus. As there is no vaccine discovered, the only way to prevent the spread is through following the practice of social isolation. But prolonged isolation may also lead to psychological stress and problems. The objective of the survey was to assess the knowledge and awareness of preventive measures against Covid 19 amongst small shop owners. A web-based cross-sectional study was conducted amongst the small shop owners.  A structured questionnaire comprising 15-17 questions had been put forth to assess the Covid 19 related knowledge and perception. The shopkeepers were contacted telephonically and responses recorded. The data analysis was performed using IBM SPSS statistics. Although the majority of the population had a positive perception about the preventive measures against the Covid spread, 36% of the shopkeepers were not aware of the preventive measures against the Covid spread. This study found optimal knowledge and perception of the preventive measures against Covid spread among the shopkeepers but misinformation and misunderstanding still prevailing. The shopkeepers are crucial in the prevention of the spread of Covid 19 and educating them might aid us in the fight against Covid- 19. 

COVID-19: knowledge, awareness and perceived stress among Jordanian healthcare providers (Preprint)

2020 ◽  
Author(s):  
Emad Aborajooh ◽  
Mohammed Qussay Al-Sabbagh ◽  
Baraa Mafrachi ◽  
Muhammad Yassin ◽  
Rami Dwairi ◽  
...  
Keyword(s):  
Social Media ◽  
Psychological Stress ◽  
Health Care Providers ◽  
Best Practice ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Cross Sectional ◽  
Ordinal Logistic Regression Analysis ◽  
Source Of Information

UNSTRUCTURED We aimed to measure levels of knowledge, awareness, and stress about COVID-19 among health care providers (HCP) in Jordan. This was a cross-sectional study on 397 HCPs that utilized an internet-based questionnaire to evaluate knowledge about COVID-19, availability of personal protective equipment (PEE), future perception, and psychological distress. Ordinal logistic regression analysis was used to evaluate factors associated with knowledge and psychological stress. Overall, 24.4% and 21.2% of the participants showed excellent knowledge and poor knowledge, respectively. Social media (61.7%) was the most commonly used source of information. Being female (β= 0.521, 95% CI 0.049 to 0.992), physician (β=1.421, 95% CI 0.849 to 1.992), or using literature to gain knowledge (β= 1.161, 95% CI 0.657 to 1.664) were positive predictors of higher knowledge. While having higher stress (β= -0.854, 95% CI -1.488 to -0.221) and using social media (β= -0.434, 95% CI -0.865 to -0.003) or conventional media (β= -0.884, 95% CI -1.358 to -0.409) for information were negative predictors of knowledge levels. HCPs are advised to use the literature as a source of information about the virus, its transmission, and the best practice. PPEs should be secured for HCPs to the psychological stress associated with treating COVID-19 patients.

A focus on postpartum depression among Jordanian mothers

2021 ◽  
pp. 002076402110001
Author(s):  
Esra’ O Taybeh
Keyword(s):  
Social Support ◽  
Postpartum Depression ◽  
Marital Conflict ◽  
Multivariate Logistic Regression Analysis ◽  
Depression Scale ◽  
Negative Attitude ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Web Based ◽  
Unplanned Pregnancies

Background: The magnitude of postpartum depression in Jordan is under documented, and little is known about its potential sociodemographic and clinical correlates. Purpose: The aim of this study was to explore the prevalence and risk factors associated with postpartum depression among Jordanian mothers in the first 18 months after delivery. Method: This descriptive cross-sectional study was carried out from April to June 2020 in Jordan. A web-based survey was used for recruiting eligible participants. An Arabic version of the validated self-administered Edinburgh Postnatal Depression Scale questionnaire was used to measure postpartum depression with a cut-off score of ⩾12 which indicates probable depression. Results: A total of 1,071 Jordanian women participated in the study. Of those, 567 women had postpartum depression (52.9%). Multivariate logistic regression analysis revealed that postpartum depression was significantly associated with marital conflict (OR: 4.91; 95% CI: 2.36–10.20), negative attitude from the pregnancy (OR: 0.67; 95% CI: 0.45–0.99), unplanned pregnancies (OR: 1.73; 95% CI: 1.16–2.60), lack of social support (OR: 1.93; 95% CI: 1.12–3.32), time from last delivery (OR: 0.99; 95% CI: 0.98–1.00), insomnia (OR: 0.53; 95% CI: 0.35–0.82), and depression during the pregnancy (OR: 0.51; 95% CI: 0.33–0.78). Most of the participants (65.7%) sought social support to avoid, reduce, or treat postpartum depression. Conclusions: Postpartum depression among Jordanian women was the highest in comparison to that of women in other countries in the region. Therefore, screening for the presence of depressive symptoms should be implemented during regular pregnancy care visits. Social support should be encouraged in order to avoid, reduce, or treat postpartum depression.

scholarly journals Survey-Based Analysis of Current Trends for Prescribing Gastrointestinal Protectants among Small-Animal General Practitioners in Portugal

2021 ◽  
Vol 8 (5) ◽  
pp. 70
Author(s):  
Rita Baptista ◽  
Ryane Englar ◽  
Berta São Braz ◽  
Rodolfo Oliveira Leal
Keyword(s):  
General Practitioners ◽  
Healthcare Providers ◽  
Small Animal ◽  
Cross Sectional Study ◽  
Online Forums ◽  
Educational Strategies ◽  
Cross Sectional ◽  
Current Trends ◽  
Therapeutic Value

In both human and veterinary healthcare, gastrointestinal protectants (GIPs) are considered a staple of clinical practice in that they are prescribed by general practitioners (GPs) and specialists alike. Concerning GIP use, overprescription of proton pump inhibitors (PPIs) has become a growing concern among human healthcare providers. This trend has also been documented within veterinary practice, prompting the American College of Veterinary Internal Medicine (ACVIM) to publish a consensus statement in 2018 concerning evidence-based indications for GIP use. This observational cross-sectional study evaluated self-reported prescribing protocols among Portuguese GPs to determine whether there is adherence to the consensus guidelines. Respondents were Portuguese GPs recruited by social media posts in veterinarian online forums. Data were collected from 124 respondents concerning their GIPs of choice and their rationales for prescribing them. Data were mined for prescription patterns and protocols. Among GIPs, PPIs were prescribed more often. Rationales for use included gastrointestinal ulceration and erosion (GUE), prophylactic management of nonerosive gastritis, pancreatitis, reflux esophagitis, and steroid-induced ulceration. Once-daily administration of PPIs was the most frequent dosing regime among respondents. Ninety-six percent of PPI prescribers advocated that the drug be administered either shortly before or at mealtime. Forty-nine percent of respondents supported long-term use of PPIs. Fifty-nine percent of respondents acknowledged discontinuing PPIs abruptly. This study supports that Portuguese GPs commonly prescribe GIPs in accordance with ACVIM recommendations to medically manage GUE. However, misuse of GIPs does occur, and they have been prescribed where their therapeutic value is debatable. Educational strategies should target GPs in an effort to reduce GIP misuse.

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