scholarly journals Antibiotic misuse among children with diarrhea in China: results from a national survey

PeerJ ◽  
2016 ◽  
Vol 4 ◽  
pp. e2668 ◽  
Author(s):  
Ruili Li ◽  
Feng Xiao ◽  
Xiaoguo Zheng ◽  
Huimin Yang ◽  
Lihong Wang ◽  
...  
Keyword(s):  
Public Health ◽  
Logistic Regression ◽  
Urban Areas ◽  
Health Knowledge ◽  
Reference Group ◽  
Average Rate ◽  
High Rate ◽  
Cluster Sampling ◽  
Multilevel Logistic Regression ◽  
Cross Sectional

BackgroundAntibiotic resistance is one of the world’s biggest public health issues, and the situation in China is particularly grave. The objective of this study is to investigate the antibiotics usage pattern among Chinese children and provide further insight in developing strategies for promoting public health education.MethodsThis is a cross-sectional study, in the study, participants are from 53,665 guardians of children aged 0–6 years, who were recruited with multistage stratified random cluster sampling in 2013/2014 from 46 community health centers in 14 provinces across China Mainland. Children’s guardians completed surveys on their previous experience on using antibiotics in treating diarrhea of their children without a prescription from any pediatrician. Odds ratios (ORs) and 95% confidential intervals (CIs) for the association between antibiotic use and its predictors were estimated using multilevel logistic regression models, with antibiotic rational use group as a reference group.ResultsThe prevalence of antibiotic misuse among children with diarrhea in the eastern, middle and western areas of China and associations between antibiotic misuse and its predictors were studied. The average rate of antibiotic misuse is 35.12%. Multilevel logistic regression revealed that living in urban areas (OR = 0.79 (0.76, 0.83)), female children (OR = 0.92 (0.88, 0.96)), guardians having higher education (OR = 0.60 (0.55, 0.66)), being raised by parents (OR = 0.90 (0.85, 0.94)), guardians having basic health knowledge (OR = 0.82 (0.79, 0.86)) are protective factors and children’s age (1–3 years OR = 1.62 (1.54, 1.71)); 4–6 years OR = 1.90 (1.77, 2.03)) is a risk factor of antibiotic misuse among children aged 0–6 years with diarrhea in China.ConclusionsOur findings confirmed that there has been a high rate of antibiotic misuse without a prescription in children with diarrhea in China, which requires considerable attention. Suitable regulations and interventions are needed to solve this problem.

scholarly journals Socioeconomic disparities and the distribution of HIV in Cameroon: a multilevel logistic regression analysis

2020 ◽  
Author(s):  
Zhongshang Yuan ◽  
Weiqiang Lin ◽  
Marlvin Anemey Tewara ◽  
Liu Yunxia ◽  
Helen Binang Barong ◽  
...  
Keyword(s):  
Public Health ◽  
Logistic Regression ◽  
Regression Model ◽  
Socioeconomic Factors ◽  
Urban Areas ◽  
Regional Distribution ◽  
Socioeconomic Disparities ◽  
Multilevel Logistic Regression ◽  
Multilevel Regression ◽  
The Relationship

Abstract Background: There have been controversial debates on the relationship between socioeconomic status and the distribution of HIV in Cameroon. We aim to illustrate the vulnerability of socioeconomic disparities and the risk of getting HIV for public health interventions. Methods: Descriptive statistics was conducted to quantify the socioeconomic gradients of HIV. A Multilevel logistic regression model was used to study the relationship between socioeconomic factors and HIV. The effect of the factors was presented as odds ratios (OR), with 95% confidence intervals (CIs). P-value less than 0.05 was considered to be statistically significant. We further mapped HIV prevalence in ArcGIS to visualize the regional distribution of HIV.Results: HIV was significantly associated with age (p<0.001), sex (p<0.001) and varies significantly by geographic region (p<0.001), level of education (p=0.001), wealth status (p<0.001), religion (p=0.042), ethnicity (p<0.001) and residence (p=0.001). HIV positive participants were more likely to be women, people with higher educational level, live in urban areas, practice the protestant religious belief, belong to the ethnicity of Kako/Meka/Pygmy and distributed in the East, South, and Yaoundé regions. Age, sex, region, education level, and ethnicity were significantly associated with the odds of having HIV from the multilevel regression model. Conclusion: Our finding recommends for novel intervention programs that will target the various socioeconomic factors associated with the odds of having HIV for proper public health management of the disease in Cameroon.

Effect of Behavior on the Utilization of KIA Books in Pregnant Women at the Lawe Sumur Public Public Health Center, Lawe Sumur Sub District, Aceh Tenggara District

2021 ◽  
Vol 1 (1) ◽  
pp. 1-8
Author(s):  
Wahyuni Wahyuni ◽  
Khoirotun Najihah ◽  
Marcella Chatarina
Keyword(s):  
Public Health ◽  
Logistic Regression ◽  
Pregnant Women ◽  
Health Center ◽  
Effective Means ◽  
P Value ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Public Health Center ◽  
Knowledge Variable

The KIA Handbook is a simple but effective means of communicating and recording the health of pregnant women as an information, education, and communication. According to data from Lawe Sumur Aceh Tenggara Public Health Center, there were 118 pregnant women where they had received the KIA book. The purpose of this study is to determine how they use the KIA books for the pregnant women at Lawe Sumur Public Public Health Center, Lawe Sumur Sub District, Aceh Tenggara District. This type of research is an analytic survey with a cross sectional design. Research location at Public Public Health Center Lawe Sumur. This study was held on October 2020. The research population is all of the pregnant woman reach 118 woman in Lawe Sumur Public Health Center territory. The sampling technique with cluster sampling for 54 people. The Data Analysis by using univariat, bivariat using chu-square test, and multivariate using multiple logistic regression test. The results of the research with logistic regression showed the p-value for the knowledge variable (p = 0.008) with the Exp (B) = 9,100, the attitude (p = 0.021) with the Exp (B) value = 0.021 and the action (p = 0.187) with the Exp (B) = 2.979. The conclusion of this study is that there is a significant effect of knowledge and attitudes on the use of the KIA handbook and there is no significant effect on the use of the KIA handbook. It is advisable for pregnant women to comply with ANC visits and to use the KIA handbook.

scholarly journals Review on Public Health Services among School-Going Adolescents in Kerala

2020 ◽  
Vol 07 (02) ◽  
pp. 23-27
Author(s):  
Lucy George ◽  
Keyword(s):  
Public Health ◽  
Health Services ◽  
Urban Areas ◽  
Health Knowledge ◽  
Public Health Services ◽  
Cross Sectional ◽  
The Public ◽  
Cooked Food ◽  
Mental Health Knowledge ◽  
Supplementary Nutrition

Background: Global investment in adolescent health is crucial. Adolescents aged 10-19 years constitute around one sixth of the world’s population, account for 6% of the global burden of disease and injury, and suffer over 1.2 million deaths each year. India is home to 253 million adolescents, accounting for 20.9% of the country’s population. Methods: The study was cross sectional and implemented in government and government aided schools in central Kerala, Pathanamthitta district. Study assessed the public health services availed in the type of schools. Total 869 schools going adolescent selected from class 5th to 12th standard and the age group between 10-18 years across the 20 schools among government and government aided school in rural, urban and semi-urban areas. Selected random sample of 50 respondents in each classes and self-administrated questionnaire were distributed. Result: Public health services provided by schools to the adolescents were studied and it was revealed that 86.8 % of adolescents were provided with iron tablets, 91.7% de-worming completed. School authorities were not engaging students in anaemia education and less than half 44.6%. 27.9% had their blood test done last five years. Two-third of the students 59.1% said that there were timely health visits by the health professionals. On account of supplementary nutrition 48.2% agreed on proper supply of cooked food within the school, Moreover 70% girls said anthropometric measurements were taken during health visits. Conclusion: The study found the need to improve adolescent public health services periodic health check-up, strengthening the school monitoring system to ensure the health, nutrition and wellbeing in largely to the aided and governments schools. Priority has to be given for improving mental health, knowledge about contraception and school retention.

scholarly journals Analysis of Antenatal Care Visit at the Work Area of Kilasah Health Centre Serang City in 2019

2021 ◽  
Vol 1 (3) ◽  
pp. 214-218
Author(s):  
Shinta Novelia ◽  
Rukmaini ◽  
Mulliawati Tohir
Keyword(s):  
Public Health ◽  
Antenatal Care ◽  
Health Center ◽  
Health Knowledge ◽  
Health Centre ◽  
Cross Sectional Study ◽  
High Rate ◽  
Cross Sectional ◽  
Study Approach ◽  
Work Area

Background: Maternal mortality rate (MMR) in Indonesia was 359/100,000 live births, while in Banten Province it reaches 264 cases. The high rate of maternal and infant mortality is partly due to the frequency of irregular pregnancy check-ups. This is a problem because not all pregnant women check their pregnancy regularly so that abnormalities that arise in pregnancy cannot be detected as early as possible. Objective: This study aimed to analyze factors related to antenatal care (ANC) visits in the Kilasah Health Center Work Area Serang City in 2019. Methodology: The research method used was correlation research with a cross sectional study approach. The research sample was 91 midwives in the Work Area of ​​the Kilasah Health Center, Serang City. Results: From the results of the study, it was known that factors related to ANC visits in the Kilasah Health Center Work Area include knowledge (p = 0.023), education (p = 0.000), and family support (p = 0.004). Conclusions and Suggestions:. It is hoped that the the Health Centre more intensive in providing health education, so that public health knowledge will increase and there will be changes in public health behavior towards the better.

scholarly journals Community Knowledge and Behavior About COVID-19 and Their Attitude Toward Public Policies Implemented Against This Pandemic in the Northwest of Iran

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Sedigheh Salavati ◽  
Hamid Shokri ◽  
Asghar Tanomand ◽  
Maryam Shirvani ◽  
Ali Soleimani ◽  
...  
Keyword(s):  
Health Behaviors ◽  
Urban Areas ◽  
Health Knowledge ◽  
Public Policies ◽  
Pearson Correlation ◽  
Physical Distance ◽  
Cross Sectional ◽  
Northwest Of Iran ◽  
High Risk Situation ◽  
And Behavior

Background: The awareness of people’s health knowledge and behavior on COVID-19 has helped guide education and health promotion policies, and examination of people’s opinions on governance measures against this disease will guide policymakers in making more decisions and responsiveness. Objectives: This study aimed to investigate people’s knowledge and behaviors toward COVID-19 and their views on adopted public policies against this disease in Maragheh, a city in the Northwest of Iran. Methods: This study was a cross-sectional, analytical study that was done in urban areas of Maragheh from 13 November to 20 December 2020. The sample size was estimated at 672 participants, and the sampling method was stratified random. The data collection instrument was a researcher-made questionnaire that consisted of four sections: demographic information, health behaviors, respondent’s knowledge of COVID-19, and their viewpoints on adopted public policies against this disease and was shared online. The one-way ANOVA, Pearson correlation, and multiple regression were used to analyze data with SPSS version 23. Results: The mean scores of people’s knowledge (6.42 ± 1.2) out of 9 and health behaviors (34.8 ± 3.9) of 36 were moderate. The majority of respondents had high levels of knowledge and also behavior about keeping the physical distance (98.5%) and proper handwashing (97.9%). Knowledge (β = 0.23) and male (β = -0.27) were the predictors of health behaviors (p < 0.001, F = 12.47). The investigation of myths on COVID-19 indicated that 17% and 41.1% of the respondents believed that alcohol consumption and using garlic and herbal drinks are effective in the prevention and 57.7% of them believed that holding the breath for 10 seconds is a sign of being healthy. People’s views on the COVID-19 control policies were assessed to be at the medium level (48.2 ± 7.5) of 65. The most effective policies against COVID-19 from the people’s opinions consisted of lockdown policies (96.4%), schools’ closure (95.9%), and constraints on intercity trips (91.3%). Conclusions: It seems necessary to strengthen measures on health knowledge promotion and implementation of health education interventions on protective behaviors of COVID-19 in such a way that right beliefs are replaced with wrong ones. Based on positive public opinions on Lockdown interventions, re-applying these policies is recommended to get the cities out of the high-risk situation.

scholarly journals Data-Driven Decision Making and Proactive Citizen–Scientist Communication: A Cross-Sectional Study on COVID-19 Vaccination Adherence

Vaccines ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1384
Author(s):  
Emil Syundyukov ◽  
Martins Mednis ◽  
Linda Zaharenko ◽  
Eva Pildegovica ◽  
Ieva Danovska ◽  
...  
Keyword(s):  
Public Health ◽  
Logistic Regression ◽  
Exploratory Study ◽  
Large Scale ◽  
Severe Disease ◽  
Data Driven ◽  
Personal Factors ◽  
Cross Sectional ◽  
Digital Platform ◽  
Factors Associated

Due to the severe impact of COVID-19 on public health, rollout of the vaccines must be large-scale. Current solutions are not intended to promote an active collaboration between communities and public health researchers. We aimed to develop a digital platform for communication between scientists and the general population, and to use it for an exploratory study on factors associated with vaccination readiness. The digital platform was developed in Latvia and was equipped with dynamic consent management. During a period of six weeks 467 participants were enrolled in the population-based cross-sectional exploratory study using this platform. We assessed demographics, COVID-19-related behavioral and personal factors, and reasons for vaccination. Logistic regression models adjusted for the level of education, anxiety, factors affecting the motivation to vaccinate, and risk of infection/severe disease were built to investigate their association with vaccination readiness. In the fully adjusted multiple logistic regression model, factors associated with vaccination readiness were anxiety (odds ratio, OR = 3.09 [95% confidence interval 1.88; 5.09]), feelings of social responsibility (OR = 1.61 [1.16; 2.22]), and trust in pharmaceutical companies (OR = 1.53 [1.03; 2.27]). The assessment of a large number of participants in a six-week period show the potential of a digital platform to create a data-driven dialogue on vaccination readiness.

scholarly journals Syrian mothers, why to accept or to refuse HPV vaccine for their teen girls

2018 ◽  
Vol 1 (1) ◽  
pp. 7-13
Author(s):  
Mohammed Al Saad ◽  
Saad Ahmed Ali Jadoo
Keyword(s):  
Logistic Regression ◽  
Regression Analysis ◽  
Logistic Regression Analysis ◽  
Hpv Vaccine ◽  
Multiple Logistic Regression Analysis ◽  
Univariate Analysis ◽  
Cluster Sampling ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Gynecological Examination

Background: Cervical cancer (CC) ranks the eighth most frequent cancer among Syrian women with crude incidence rates 1.4 per 100, 000 populations per year. This study aimed to test the acceptance of the human papillomavirus (HPV) vaccine among mothers of schoolgirls in sixth-grade class. Methods: A cross-sectional survey was conducted through a structured and self-administrated questionnaire. A total of 400 Syrian mothers of schoolgirls were selected randomly by the cluster sampling method in Aleppo city, Syria, in 2011. Significant variables from univariate analysis were included in an enter technique multiple logistic regression analysis. Results: The response rate was 86%. If the vaccine was free, 282 (81.7%) mothers would accept the vaccine for themselves and 236 (68.4%) for their daughters, respectively. However, the acceptance rate grossly decreased to 24.6% and 15.1%, respectively, if the vaccine was not provided free. The high cost of the HPV vaccine and lack of knowledge were the significant barriers for mothers' acceptance of the HPV vaccine. Protection of daughters and the trust with health authority were the main encouraging reasons to accept the HPV vaccine. Findings from logistic regression analysis revealed that the employed mothers (odds ratio = 2.4; 95% CI: 1.3–4.4), with a positive history of gynecological examination (OR = 2.1; 95% CI: 1.6–2.9) and having sound knowledge (OR = 2.4; 95% CI: 1.0–5.7) are independent factors related to the acceptance of the HPV vaccine for their daughters. Conclusion: The results from this study suggest that mothers from different cultural backgrounds, including Syrian mothers, are holding different beliefs on privacy and health that may affect their willingness to accept the HPV vaccine.

scholarly journals Factors associated with hypertension in Pakistan: A systematic review and meta-analysis

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0246085
Author(s):  
Muhammad Riaz ◽  
Ghazala Shah ◽  
Muhammad Asif ◽  
Asma Shah ◽  
Kaustubh Adhikari ◽  
...  
Keyword(s):  
Public Health ◽  
Urban Areas ◽  
Health Workers ◽  
Health Concern ◽  
Case Control Studies ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Negatively Associated ◽  
Factors Associated ◽  
Health Related

Background High blood pressure is an important public health concern and the leading risk factor for global mortality and morbidity. To assess the implications of this condition, we aimed to review the existing literature and study the factors that are significantly associated with hypertension in the Pakistani population. Methods We conducted several electronic searches in PubMed, ISI Web of Science, PsycINFO, EMBASE, Scopus, Elsevier, and manually searched the citations of published articles on hypertension from May 2019 to August 2019. We included all studies that examined factors associated with hypertension regardless of the study design. To assess the quality of the research, we used the Newcastle-Ottawa Quality Assessment Scale. We also conducted meta-analyses using the DerSimonian & Laird random-effects model to collate results from at least three studies. Results We included 30 cross-sectional and 7 case-control studies (99,391 participants country-wide) in this review and found 13 (35.1%) to be high-quality studies. We identified 5 socio-demographic, 3 lifestyle, 3 health-related, and 4 psychological variables that were significantly associated with hypertension. Adults aged between 30–60 years who were married, living in urban areas with high incomes, used tobacco, had a family history of hypertension, and had comorbidities (overweight, obesity, diabetes, anxiety, stress, and anger management issues) were positively associated with hypertension. On the other hand, individuals having high education levels, normal physical activity, and unrestricted salt in their diet were negatively associated with hypertension. Conclusion We found several socio-demographic, lifestyle, health-related, and psychological factors that were significantly (positively and negatively) associated with hypertension. Our findings may help physicians and public health workers to identify high-risk groups and recommend appropriate prevention strategies. Further research is warranted to investigate these factors rigorously and collate global evidence on the same.

scholarly journals Hypertension among Young Adults in the Shopping Malls of Kathmandu

2013 ◽  
Vol 9 (1) ◽  
pp. 33-36 ◽  
Author(s):  
S Shakya ◽  
M Timilsina ◽  
K Timilsina ◽  
M Lamsal ◽  
S Dhakal ◽  
...  
Keyword(s):  
Public Health ◽  
Blood Pressure ◽  
Urban Areas ◽  
Cross Sectional Study ◽  
Shopping Malls ◽  
Cross Sectional ◽  
Health Challenge ◽  
Study Population ◽  
Public Health Challenge ◽  
And Control

Background Hypertension is a major public health challenge in the world. Developing countries share the major burden of it. Unlike thought before, hypertension is increasing among poor, young and women. Methods It was a cross sectional study carried out in The Hypertension Screening and Awareness Program conducted in the shopping malls at the heart of Kathmandu on the occasion of World Hypertension Day 2012 by Shahid Gangalal National Heart Center, Kathmandu. The blood pressure was measured according to World Heart Organization’s guideline by registered nurses. There were total 486 participants with the mean age of 29.51±10.77years. Majority of the participants were male (67.1%). Most of the participants were less or equal to 40 years (84.6%). Mean systolic blood pressure was 112.3±14.69mmHg and mean diastolic blood pressure was 75.09±11.89 mmHg. Average mean blood pressure was 87.41±12.28mmHg in the study population. Results Despite majority of participants were at young age, prevalence of hypertension was 23.7%, pre-hypertension was 30% and 46.3% had ideal blood pressure according to JNC-7 Classification. Prevalence of hypertension was higher among male (30.39% vs. 10%). Almost two third of the hypertensive subjects were less or equal to 40 years (64.35%). Awareness, treatment and control of hypertension were 39.13%, 18.26% and 7.38% respectively. Conclusion In conclusion, Hypertension is an emerging public health challenge in urban areas of Nepal. Most importantly, it may be increasing among young population. Moreover, awareness, treatment and control rates are not satisfactory. DOI: http://dx.doi.org/10.3126/njh.v9i1.8346 Nepalese Heart Journal Vol.9(1) 2012 pp.33-36

scholarly journals Disparities in use of telehealth at the onset of the COVID-19 public health emergency

2020 ◽  
pp. 1357633X2096389
Author(s):  
Robert P Pierce ◽  
James J Stevermer
Keyword(s):  
Public Health ◽  
Urban Areas ◽  
Public Health Emergency ◽  
Insurance Status ◽  
Rural Residence ◽  
Cross Sectional ◽  
Face To Face ◽  
Time Period ◽  
Audio Video ◽  
Sectional Analysis

Introduction The coronavirus disease 2019 (COVID-19) pandemic resulted in an unprecedented expansion in telehealth, but little is known about differential use of telehealth according to demographics, rurality, or insurance status. Methods We performed a cross-sectional analysis of 7742 family medicine encounters at a single USA institution in the initial month of the COVID-19 public health emergency (PHE). We compared the demographics of those using telehealth during the PHE to those with face-to-face visits during the same time period; we also compared the demographics of those using full audio-video to those using audio-only. Results The likelihood of any telehealth visit in the first 30 days of telehealth expansion was higher for women, those age 65 years and older, self-pay patients, and those with Medicaid and Medicare as primary payers. The likelihood of a telehealth visit was reduced for rural residence and Black or other races. Among all telehealth visits, the likelihood of a full audio-video telehealth visit was reduced for patients who were older, Black, from urban areas, or who were self-pay, Medicaid, or Medicare payer status. Discussion Significant disparities exist in telehealth use during the COVID-19 PHE by age, race, residence and payer.

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