scholarly journals FACTORS INFLUENCING HIV KNOWLEDGE AMONG WOMEN OF CHILDBEARING AGE IN SOUTH SUMATRA, INDONESIA

2020 ◽  
Vol 20 (1) ◽  
pp. 150-159
Author(s):  
Najmah ◽  
Indah Purnama Sari ◽  
Tri Novia Kumalasari ◽  
Sharyn Graham Davies

This study aims to provide detailed information on the role of the following social determinants (i.e. education, occupation, place of residence, marital and economic status) in the acquisition of HIV knowledge among women of childbearing age (15-49 years old). The study uses secondary data from the 2012 Indonesian Demographic and Health Survey (IDHS). The IDHS used a quantitative analytical approach with a cross-sectional study design and multi-stage stratified sampling. The sample included 1,335 women aged 15 to 49 years old living in South Sumatra Province, Indonesia. Descriptive analysis, ANOVA, and t-test and multiple logistic regressions were performed in this study. The results show one out of two women have little HIV knowledge. The more highly educated women were positively associated with a greater degree of knowledge related to comprehensive knowledge related to HIV (AOR: 3.7, 2.2-6.2, p.<0.05), HIV prevention (AOR:16.6, 1.8-153.9, p <0.05), transmission from mother to child (AOR:11.1, 3.3-36.9, p <0.05), HIV misconceptions (AOR:5.1, 1.1-23.1, p <0.05) and HIV services (AOR:5.7, 2.8-11.4, p < 0.05). In addition, the women lived in urban areas had more knowledge related to HIV prevention and transmission (AOR: 3.36, 1.8-6.2, p <0.05), and knowledge about mother-to-child of HIV transmission (AOR: 3.2, 1.8-5.5, p <0.05) compared to those who lived in rural areas. To conclude, education level was found to be the dominant factor associated with knowledge of HIV across all categories of knowledge after controlling by other determinants, age, marital status, working status and residence. HIV awareness and comprehensive HIV information among women who are considered to be in a low-risk group for HIV infection should be integrated with formal education as well as in maternal health services, particularly in rural areas.

Nutrients ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 2961
Author(s):  
Nafissatou Cisse Egbuonye ◽  
Ariun Ishdorj ◽  
E.L.J. McKyer ◽  
Rahma Mkuu

Malnutrition is a major public health concern in Niger. The stunting rate in children in Niger is over 50%, one of the highest in the world. The purpose of this cross-sectional study was to examine children’s dietary diversity (CDD) and the maternal factors that impact CDD. A total of 1265 mother–child pairs were analyzed. Descriptive analysis was conducted to present maternal and child characteristics. To compare the mean scores of CDD in relation to the region, an independent sample t-test was conducted. A one-way ANOVA test was conducted to evaluate the CDD score by different age groups. A linear regression model was estimated to identify household, maternal and child factors that affect the CDD score. Our results indicate that most of the participants of our survey resided in rural areas and the majority (80.7%) of the mothers had no education. Factors such as region, children’s age, woman’s empowerment, vitamin A intake and wealth index were significant predictors of CDD (p < 0.05). The children residing in rural areas were more likely to have lower CDD scores (p < 0.05) than the children in urban areas, therefore becoming more susceptible to malnutrition.


2020 ◽  
Author(s):  
Elena Flores-Guillen ◽  
Itandehui Castro-Quezada ◽  
Hector Ochoa ◽  
Rosario Garcia-Miranda ◽  
Miguel Cruz ◽  
...  

Objectives: The objective of this study was to determine the prevalence of cardiovascular risk factors among different sociodemographic and geographic areas of adolescents from indigenous areas of Chiapas, Mexico. Design: A cross-sectional study. Setting: Communities in the Totzil - Tseltal and Selva region of Chiapas, Mexico, were studied. Urban and rural areas of high marginalization according to the Human Development Index. Participants: 253 adolescents were studied, of which 48.2% were girls and 51.8% were boys. Primary and secondary outcome measures: a descriptive analysis of the quantitative variables was performed through central tendency and dispersion measures. Prevalence of cardiovascular risk factors and 95% confidence intervals (95% CI), stratified by sex, geographic area (rural/urban), schooling and ethnicity of mothers were estimated. Results: the predominant risk factor in the study population was low HDL-c (51%). Higher prevalences of abdominal obesity and high triglycerides in girls were found and abnormal diastolic blood pressure in boys was identified. In urban areas were found greater prevalences of overweight/obesity and of insulin resistance while abnormal blood pressure levels were more prevalent in rural areas. Differences were found in the educational levels and ethnicity of the adolescents' mothers. Prevalence of metabolic syndrome was 10% according to NCEP-ATPIII. Conclusions: In this study, sociodemographic and geographical disparities were found in cardiovascular risk factors. Prevalence of risk factors was high, affecting mostly girls and urban population. Thus, there is a great need to promote healthy lifestyles and health, social and economic interventions to prevent chronic diseases in adulthood.


2019 ◽  
pp. 088626051988819
Author(s):  
Sanni Yaya ◽  
Alzahra Hudani ◽  
Amos Buh ◽  
Ghose Bishwajit

Intimate partner violence (IPV) among married women of childbearing age can significantly enhance their risk of adverse health outcomes such as injury and disability, depression and anxiety, unwanted pregnancies, premature labor, complications with delivery, and perinatal and neonatal mortality. The objective of this study was to examine the prevalence and individual and societal factors associated with IPV among Egyptian women. Cross-sectional data on 12,205 ever-married women between the ages of 15 to 49 years were collected from the Egypt Demographic and Health Survey (EDHS). Data from the 2005 and 2014 EDHS were pooled and analyzed. Self-reported responses on violence by husbands were classified into physical, sexual, and emotional violence. The factors of association were quantified using logistic regression methods. The prevalence of experiencing any form of violence among ever-married women in Egypt was 29.4%. Overall, women reported experiencing physical, emotional, and sexual violence at 26.7%, 17.8%, and 4.6%, respectively. Women in the age group of 25 to 29 years had the highest odds (odds ratio [OR] = 1.539, 95% confidence interval [CI] = [1.327, 1.785]) of suffering from any form of IPV. Women residing in urban areas (OR = 1.149, 95% CI = [1.046, 1.262]), having only a primary-level education (OR = 1.756, 95% CI = [1.543, 1.999]), being followers of Islam (OR = 1.713, 95% CI = [1.379, 2.126]), and having husbands with no education (OR = 1.422, 95% CI = [1.263, 1.601]) reported having higher odds of experiencing any form of IPV. Nearly one third of married women of childbearing age are exposed to IPV of any form in Egypt. IPV intervention programs should pay special attention to the socioeconomically vulnerable segments of the population and promote educational status among men and women to curb the occurrence of IPV.


2020 ◽  
Author(s):  
Roméo Karl IMBOUMY-LIMOUKOU ◽  
Sydney MAGHENDJI-NZONDO ◽  
Pater Noster SIR-ONDO-ENGUIER ◽  
Julie Niemczura ◽  
Nathalie Pernelle TSAFACK TEGOMO ◽  
...  

Abstract Background: There is little information on the social perception of malaria and the use of preventative measures in Gabon, especially in rural areas. Adequate knowledge of malaria prevention and control can help in reducing the burden of malaria among vulnerable groups, particularly pregnant women and children aged under 5 years old living in malaria endemic settings. This study was designed to assess the prevalence of malaria and the knowledge and attitude towards this disease in households in the Nyanga Province. Methods: A cross-sectional study was conducted to assess malaria knowledge, prevention practices and prevalence of the infection in five departments of the Nyanga Province. Malaria infection was confirmed using rapid diagnostic tests. A questionnaire was administered randomly to 535 households during a two weeks period in March 2018. Overall, the respondents’ socio-demographic characteristics, knowledge on malaria, malaria prevention practices and malaria prevalence were evaluated and compared across the five departments. Results: Data was collected on 1,307 participants were included in this study, 631 women of childbearing age (including 61 pregnant women) and 676 children. Practically the entire (97.7%) interviewed population had already heard about malaria and attributed the cause of malaria to a mosquito bite (95.7%). This survey revealed that the bed net coverage rate was 73.3%. The study observed an average malaria parasite prevalence of 13.9%. All departments of Nyanga province had significant level of malaria infection except for the Mayumba department where no plasmodial infection was found. The overall prevalence of the plasmodial infection was significantly higher in children and pregnant women compared to adults in the cities of Tchibanga and Moabi. Conclusion: Malaria is highly prevalent in the province of Nyanga. Our findings show that children under five and pregnant women are more vulnerable to malaria in this area of the country. This study reveals that respondents have a high knowledge of mode of transmission, malaria symptoms and preventive measures. Despite this high level of knowledge of the disease and its preventive measures, the incidence of malaria remains relatively high in this rural community highlighting the need for continuous strategic interventions particularly health awareness and educational programs


Parasite ◽  
2020 ◽  
Vol 27 ◽  
pp. 59
Author(s):  
Alin Gabriel Mihu ◽  
Cornel Balta ◽  
Daniela Teodora Marti ◽  
Ana Alexandra Paduraru ◽  
Maria Alina Lupu ◽  
...  

Toxoplasmosis is an important worldwide zoonosis caused by the protozoan parasite Toxoplasma gondii. This parasitic infection is often asymptomatic in immunocompetent people. However, if the infection occurs in pregnant women, it can have serious consequences for the foetus. In this study, we evaluated the seroprevalence of T. gondii in women of childbearing age in Arad County, Western Romania. Serum samples from 2626 women were analysed using a Siemens ADVIA Centaur XP Immunoassay System. Toxoplasma gondii IgG antibodies were demonstrated in 1081 women (41%) and prevalence tended to increase with age, from 32% in women aged 15–19 years to 62% in women aged 40–45 years. There was a higher prevalence in rural areas (46%) than in urban areas (36%). This study provides new data on T. gondii seroprevalence in women of childbearing age from Western Romania.


Author(s):  
Xuan Thi Thanh Le ◽  
Phuong Thi Ngoc Nguyen ◽  
Toan Thi Thanh Do ◽  
Thang Huu Nguyen ◽  
Huong Thi Le ◽  
...  

The intention to pay for human papillomavirus (HPV) vaccination among women of childbearing age in Vietnam, where cervical cancer remains a significant public health concern, has been mostly lacking. To examine this issue, we conducted a cross-sectional study of 807 pregnant women in an urban and a rural district (Dong Da and Ba Vi) of Hanoi, Vietnam. The vast percentage of our respondents expressed a firm intention to vaccinate, especially women in rural areas (over 90.0%). However, on being informed of the current price of the HPV vaccine, their intention to vaccinate dropped to about one-fifth of overall respondents, i.e., only 4.4% of women in rural areas. It was also observed that the initial intention to get the HPV vaccination among women in the rural district was about ten times higher than that of women living in the metropolitan district. Those participants who had greater knowledge of cervical cancer and HPV vaccinations also had a significantly higher intention to vaccinate. Our findings underscore the need to develop a well-designed vaccination program in Vietnam and other countries in a similar situation to increase the adoption of HPV vaccination.


2020 ◽  
Vol 20 (4) ◽  
pp. 1933-42
Author(s):  
Situ Muhunzi ◽  
James Samwel Ngocho ◽  
Amasha Mwanamsangu ◽  
Leah Sanga ◽  
Hellen Hiza ◽  
...  

Introduction: The objective was to determine the prevalence, predictors and reasons for home delivery amongst women of childbearing age in Dodoma, Tanzania. Methods: A cross-sectional study was conducted amongst women living in Dodoma Municipality. Data were collected using adapted questionnaires and analysed using SPPS version 23. A multivariable logistic regression model was used to assess the independent predictors of home delivery. Results: A total of 425 women of childbearing age were enrolled in this study. The mean (± SD) age of the participants was 28.7 (±7.1) years. The prevalence of home delivery was 35.5% (n=150, 95% CI 30.9 – 40.2). Women with secondary school and above had 93% less odds of home delivery than women who had no education (AOR=0.0795% CI: 0.03-0.18). Women who lived in rural areas (AOR=3.49, 95% CI: 2.12-5.75), and women living more than 5km from health facilities (AOR=2.67, 95% CI: 1.65-4.37) had higher odds of home delivery. The main reasons for home delivery were transportation cost, and long distance to the nearest health facilities. Conclusion: In this population, the prevalence of home delivery remained to be high. To address this more collaborative mul- tisectoral effort like strengthening health education and strengthening maternity waiting homes are needed. Keywords: Women, home delivery, prevalence, factors, Tanzania.


2020 ◽  
Author(s):  
Roméo Karl IMBOUMY-LIMOUKOU ◽  
Sydney MAGHENDJI-NZONDO ◽  
Pater Noster SIR-ONDO-ENGUIER ◽  
Nathalie Pernelle TSAFACK TEGOMO ◽  
Alain Prince OKOUGA ◽  
...  

Abstract Background: There is little information on the social perception of malaria and the use of preventative measures in Gabon, especially in rural areas. Adequate knowledge of malaria prevention and control can help in reducing the burden of malaria among vulnerable groups, particularly pregnant women and children aged under 5 years old living in malaria endemic settings. This study was designed to assess the prevalence of malaria and the knowledge and attitude towards this disease in households in the Nyanga Province. Methods: A cross-sectional study was conducted to assess malaria knowledge, prevention practices and prevalence of the infection in five departments of the Nyanga Province. Malaria infection was confirmed using rapid diagnostic tests. A questionnaire was administered randomly to 535 households during a two weeks period in March 2018. Overall, the respondents’ socio-demographic characteristics, knowledge on malaria, malaria prevention practices and malaria prevalence were evaluated and compared across the five departments. Results: Data was collected on 1,307 participants were included in this study, 631 women of childbearing age (including 61 pregnant women) and 676 children. Practically the entire (97.7%) interviewed population had already heard about malaria and attributed the cause of malaria to a mosquito bite (95.7%). This survey revealed that the bed net coverage rate was 73.3%. The study observed an average malaria parasite prevalence of 13.9%. All departments of Nyanga province had significant level of malaria infection except for the Mayumba department where no plasmodial infection was found. The overall prevalence of the plasmodial infection was significantly higher in children and pregnant women compared to adults in the cities of Tchibanga and Moabi. Conclusion: Malaria is highly prevalent in the province of Nyanga. Our findings show that children under five and pregnant women are more vulnerable to malaria in this area of the country. This study reveals that respondents have a high knowledge of mode of transmission, malaria symptoms and preventive measures. Despite this high level of knowledge of the disease and its preventive measures, the incidence of malaria remains relatively high in this rural community highlighting the need for continuous strategic interventions particularly health awareness and educational programs


Author(s):  
Toan Thanh Thi Do ◽  
Anh Ngoc Nguyen ◽  
Xuan Thanh Thi Le ◽  
Ann Pongsakul ◽  
Quang Nhat Nguyen ◽  
...  

Despite the availability of effective and safe rubella vaccines for women of childbearing age, prevention and control of congenital rubella syndrome in children remains challenging in Vietnam. In order to examine this issue, we conducted a cross-sectional study, examining the current coverage of rubella vaccination before pregnancy among 807 pregnant women and women with children under 12 months of age in urban and rural districts, Dong Da and Ba Vi, in Hanoi, Vietnam. In this population, we observed an alarming non-compliance rate with rubella vaccination before pregnancy in both localities. Among the 82.0% of participants who remained unvaccinated against this contagious viral infection, 95.8% of them were in Ba Vi district, compared to 68.0% in Dong Da district (p < 0.001). Besides the differences in age, number of children, education levels, primary occupations and monthly incomes among the participants between the two districts, other reasons for noncompliance with rubella vaccination includeddisinterest in rubella vaccination, the high cost and long distance to vaccination sites as well as unawareness of vaccination locations. In addition to addressing the unique socio-economicchallenges behind one’s accessibility to vaccination services in urban and rural areas, our study supports a continued effort in ensuring proper access to and education about pre-pregnancy vaccines and vaccination among women of childbearing age in order to achieve and sustain sufficient immunization coverage of rubella and other vaccine-preventable diseases in both settings.


2021 ◽  
Vol 16 (3) ◽  
Author(s):  
Ummi Kalsum ◽  
Renny Listiawaty ◽  
Dato Noor Aziah Mohd Awal

The occurrence of unwanted pregnancy (UP) among women of childbearing age (WCA) has been reported to be increasing in various regions, however, this incidence has not been assessed among the adolescents of 15-19 years age group, in Jambi City. The factors influencing this occurrence includes individual, family, and environmental determinants. This study aimed to determine the prevalence of UP among WCA (15-19 years) in Jambi Province. A cross-sectional design was used, while the participants (307 women aged 15-19 years) were selected in Jambi City and West Tanjung Jabung District, using the Multistage Random Sampling. The analytical method used was the Multiple Logistic Regression of alpha 5%. The results showed that the prevalence of UP among WCA (age 15-19 years) was 1.6%, compared to 50% of those that were married. The dominant factor of UP includes the use of contraceptives with an adjusted-odds ratio of 74.5 (95% CI = 3.58-1,549.02), while the control used were the job of WCA, knowledge, dating behaviour, accesses to information media and health facilities, as well as family education. Therefore, it is suggested that creative, innovative, informative promotions, and education were needed via the social media. Besides, the optimization and strengthening of the Gen-Re go to school program should be carried out, as well as synergizing the cross-sectoral activities, government, private sector, and the community (especially parents).


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