scholarly journals The Influence of Between and Within-group Variance on Recurrent Miscarriage in Ghana

2020 ◽  
Author(s):  
Batholomew Chireh ◽  
Samuel Kwaku Essien ◽  
Kidest Getu Melese
Keyword(s):  
Public Health ◽  
Fixed Effects ◽  
Recurrent Miscarriage ◽  
Secondary Analysis ◽  
Public Health Problem ◽  
First Trimester ◽  
Fixed Effects Model ◽  
Cross Sectional ◽  
Mixed Effect ◽  
Regional Cluster

Abstract Background: Recurrent miscarriage is a spontaneous loss of two or more pregnancies. It is a major global reproductive public health problem and the least researched in Ghana. There is an urgent need to move from more individualized and genetic risk factors that may be culturally inappropriate to assess and explore the influence of socio-ecological or contextual factors on recurrent miscarriage in Ghana. This study explored the between and within-group variance of zonal, regional, cluster, and household as well as the influence of selected socio-demographic characteristics on recurrent miscarriage.Methods: We conducted a secondary analysis of the 2017 cross-sectional demographic health survey data (25,062 women) in their reproductive ages (15-49 years) in Ghana. Data were collected from zones (3), regions (10), clusters (900), and households (27000). A logistic regression: Mixed effect model was used. Random effects were used to estimate the between and within groups differences in recurrent miscarriage. The fixed effects of selected socio-demographic variables were also assessed.Results: We found that cluster differences in recurrent miscarriage risk were more prominent compared to zonal, regional, and household. There was higher variability in recurrent miscarriage among women in the same household, cluster, and region compared to those from different households in the same cluster or those from different clusters in the same region and household. In the fixed-effects model, the odds of recurrent miscarriage were 1.54 times (95% CI=1.16-2.03) higher among urban dwellers than rural dwellers. Increasing maternal age was significantly associated with recurrent miscarriage (p=0.0001). There was a direction association between educational level and recurrent miscarriage. Insignificant protective factors of partner support and access to first-trimester antenatal care visits were also found.Conclusion: Differences in recurrent miscarriage risk exist at the contextual level and should be the focus of public health prevention efforts. Our key finding highlights the need to contextualize and localize recurrent miscarriage risk reduction efforts if interventions to reduce recurrent miscarriage in women with a history of unexplained pregnancy loss are to be successful in Ghana.

scholarly journals Overt acts of perceived discrimination reported by British working-age adults with and without disability

2019 ◽  
Author(s):  
Eric Emerson ◽  
Allison Milner ◽  
Zoe Aitken ◽  
Lauren Krnjacki ◽  
Cathy Vaughan ◽  
...  
Keyword(s):  
Public Health ◽  
Negative Impact ◽  
Policy Research ◽  
Secondary Analysis ◽  
People With Disabilities ◽  
Public Health Problem ◽  
Health Staff ◽  
Cross Sectional ◽  
Increased Risk ◽  
The Uk

Abstract Background Exposure to discrimination can have a negative impact on health. There is little robust evidence on the prevalence of exposure of people with disabilities to discrimination, the sources and nature of discrimination they face, and the personal and contextual factors associated with increased risk of exposure. Methods Secondary analysis of de-identified cross-sectional data from the three waves of the UK’s ‘Life Opportunities Survey’. Results In the UK (i) adults with disabilities were over three times more likely than their peers to be exposed to discrimination, (ii) the two most common sources of discrimination were strangers in the street and health staff and (iii) discrimination was more likely to be reported by participants who were younger, more highly educated, who were unemployed or economically inactive, who reported financial stress or material hardship and who had impairments associated with hearing, memory/speaking, dexterity, behavioural/mental health, intellectual/learning difficulties and breathing. Conclusions Discrimination faced by people with disabilities is an under-recognised public health problem that is likely to contribute to disability-based health inequities. Public health policy, research and practice needs to concentrate efforts on developing programs that reduce discrimination experienced by people with disabilities.

scholarly journals Abuse of psychoactive substances by young people aged 15-24 in Serbia

2021 ◽  
Vol 50 (1) ◽  
pp. 17-30
Author(s):  
Tanja Milićević ◽  
Ana Marinković ◽  
Snežana Radovanović ◽  
Danijela Gračić ◽  
Sanja Krulj ◽  
...  
Keyword(s):  
Public Health ◽  
Young People ◽  
Secondary Analysis ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Alcoholic Beverages ◽  
Global Public Health ◽  
Psychoactive Substances ◽  
Cross Sectional ◽  
The Republic

Introduction/Aim: The abuse of psychoactive substances among young people is a significant global public health problem. The aim of the study was to examine the prevalence of psychoactive substances use among adolescents in Republic of Serbia. Methods: In this secondary analysis of data, we used data from the Serbian national survey of population health from 2013, which was conducted by the Ministry of Health of the Republic of Serbia and Institute of Public Health of Serbia. This cross-sectional study, which was conducted on a representative sample of the population of Serbia, included 1722 respondents aged 15 to 24 years (49% of women and 51% of men). Results: Out of the total number of young people aged 15-24, ⅓ of them declared themselves on the issue of cigarette consumption in the following way: 52.1% consumed cigarettes daily and 20.8% occasionally. Among the respondents, 41.3% were exposed to the indoor tobacco smoke for 1 hour or more daily, while 49.4% were concerned about the harmful effects of smoking on their health. Only a third said that they had never consumed alcohol or had only taken a few sips of alcohol in their lifetime. Men smoked slightly more often (52.2%) and consumed alcohol more often (every day or almost every day 0.7%, 5-6 days a week 0.7%, 3-4 days a week 4.5%, 1-2 days a week 15.7%, as well as 2-3 days a month 16.8%) than women (0.3%; 0.2%; 1.7%; 7.8%; 12%). About ¼ adolescents used 6 or more alcoholic beverages 1-3 days a month for the last 12 months. During the last 12 months, the respondents most often consumed painkillers (20.2%), sedatives (1.7%) and sleeping AIDS (2.3%) on their own initiative. There were 0.7% of users of illicit psychoactive substances (cannabis, cocaine, and glue). Conclusion: The results of the study of psychoactive substances abuse among young people in Serbia point to the necessity to work on the prevention of risky behavior.

Socio-demographic and Clinical Characteristics of Patient with Thyroid Cancer

2020 ◽  
Vol 11 (1) ◽  
pp. 54-58
Author(s):  
AKM Farhad Hossain ◽  
Md Mahmudur Rahman Siddiqui ◽  
Sayada Fatema Khatun
Keyword(s):  
Public Health ◽  
Thyroid Cancer ◽  
Clinical Characteristics ◽  
Family Income ◽  
Ethical Issues ◽  
Endocrine System ◽  
Public Health Problem ◽  
Follicular Carcinoma ◽  
Public Health Issue ◽  
Cross Sectional

Background: Thyroid cancer is the most common malignant disease in endocrine system. It is an emerging public health issue associated with burden on the family, community and the nation. The aim of this study is to determine the socio-demographic and clinical characteristics of patient with thyroid cancer attending in tertiary hospital. Methods: This cross sectional study was conducted among 246 thyroid cancer patients in two tertiary hospitals of Dhaka city from 01 July 2018 to 30 June 2019. The subjects were selected purposively following specific selection criteria and maintaining ethical issues. Data were collected by face to face interview using a semi-structured questionnaire and checklist. Data were analyzed by the statistical package for the social science (SPSS) version 23. Results: This study revealed that majority (74.4%) of respondents was female, married (72%), housewife (61.4%), rural respondent (41.1%) and had primary education (69%). Mean (± SD) age of the respondent was 37.85(±12.20) years (Range 14-70 years) and mean (± SD) monthly family income was Tk. 17681(±10602). Out of 246 cases, 204 (82.9%) was papillary and 42 (17.1%) was follicular carcinoma. Various clinical presentations included visible neck swelling in 225 (91.5%), swollen lymph node in 103 (41.9%), pain 90 (36.6%), Difficulties in swallowing 87 (35.4%), Hoarseness of voice in 141 (57.3%), cough along with swelling 47(19.1%), Difficulties in breathing due to swelling in 13(5.3%) of the patients. Conclusion: Incidence of thyroid cancer has increased worldwide specially in female patients in 3rd and 4th decades of life. As thyroid cancer is a growing public health problem in Bangladesh, proper screening and early diagnostic facilities at all level should be available to measure its actual burden in the country. Anwer Khan Modern Medical College Journal Vol. 11, No. 1: Jan 2020, P 54-58

scholarly journals Fueling the Covid-19 pandemic: summer school holidays and incidence rates in German districts

2021 ◽  
Author(s):  
Thomas Plümper ◽  
Eric Neumayer
Keyword(s):  
Public Health ◽  
Fixed Effects ◽  
Summer School ◽  
Incidence Rates ◽  
Contact Tracing ◽  
Robert Koch Institute ◽  
Cross Sectional ◽  
Holiday Period ◽  
Health Authorities ◽  
Public Health Authorities

AbstractBackgroundThe Robert-Koch-Institute reports that during the summer holiday period a foreign country is stated as the most likely place of infection for an average of 27 and a maximum of 49% of new SARS-CoV-2 infections in Germany.MethodsCross-sectional study on observational data. In Germany, summer school holidays are coordinated between states and spread out over 13 weeks. Employing a dynamic model with district fixed effects, we analyze the association between these holidays and weekly incidence rates across 401 German districts.ResultsWe find effects of the holiday period of around 45% of the average district incidence rates in Germany during their respective final week of holidays and the 2 weeks after holidays end. Western states tend to experience stronger effects than Eastern states. We also find statistically significant interaction effects of school holidays with per capita taxable income and the share of foreign residents in a district’s population.ConclusionsOur results suggest that changed behavior during the holiday season accelerated the pandemic and made it considerably more difficult for public health authorities to contain the spread of the virus by means of contact tracing. Germany’s public health authorities did not prepare adequately for this acceleration.

scholarly journals Obstetric Violence in Spain (Part III): Healthcare Professionals, Times and Areas

2021 ◽  
Vol 18 (7) ◽  
pp. 3359
Author(s):  
Desirée Mena-Tudela ◽  
Susana Iglesias-Casás ◽  
Víctor Manuel González-Chordá ◽  
María Jesús Valero-Chillerón ◽  
Laura Andreu-Pejó ◽  
...  
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Informed Consent ◽  
Healthcare Professionals ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Lack Of Information ◽  
Obstetric Violence

Background: Obstetric violence is a worldwide public health problem, which seems greater in Spain. As no studies were found that identify the most representative healthcare professionals, times, and areas involved in obstetric violence, the objective of this work was to study at what time of maternity, with which professionals, and in what areas women identified obstetric violence. Methods: This descriptive, retrospective, and cross-sectional study was performed from January 2018 to June 2019. The main variables were the area (hospital, primary care, both), the time (pregnancy, birth, puerperium), and the professionals attending to women. Results: Our sample comprised 17,541 participants. The area identified with the most obstetric violence for the different studied variables was hospitals. Women identified more obstetric violence at time of birth. Findings such as lack of information and informed consent (74.2%), and criticism of infantile behavior and treatment (87.6%), stood out. The main identified healthcare professionals were midwives and gynecologists, and “other” professionals repeatedly appeared. Conclusions: Having identified the professionals, times, and areas of most obstetric violence in Spain, it seems necessary to reflect on not only the Spanish National Health System’s structure and management but also on healthcare professionals’ training.

scholarly journals Prevalence and Associated Factors of Anemia among Muslim Students, Nakhon Si Thammarat, Thailand: A Cross-Sectional Study

2021 ◽  
Vol 58 ◽  
pp. 004695802110134
Author(s):  
Chutima Rattanawan ◽  
Suraiya Cheloh ◽  
Asma Maimahad ◽  
Malatee Tayeh
Keyword(s):  
Public Health ◽  
Associated Factors ◽  
Public Health Problem ◽  
Economic Factor ◽  
Cross Sectional Study ◽  
School Age ◽  
Global Public Health ◽  
Related Factors ◽  
Cross Sectional ◽  
Prevalence Of Anemia

Anemia is a global public health problem. The prevalence of anemia among different ages, genders or ethnic groups must be clarified in order to solve problems. This study proposed to determine the prevalence and factors related to anemia among the Muslim school-age population in Nakhon Si Thammarat, Thailand. Socio-demographic and anthropometric data were collected by a structured questionnaire. Blood samples were collected from 200 school-age subjects. The thalassemia screening was performed with KKU-OF and KKU-DCIP reagents. The prevalence of anemia in this study was 36.5%, divided into males and females, 33.3% and 39.1%, respectively. The means of Hb, Hct, MCV, MCH, and MCHC in the anemic group were significantly lower. The positive results for KKU-OF or KKU-DCIP or both were 15.0%, 2.5%, and 1.0%, respectively. The result of positive OF test was a significantly independent factor for anemia. The number of family members was 5 to 7 and more than 7 persons are related factors for anemia in this study. In summary, the contribution of thalassemia and socio-economic factor are associated factors to anemia in this population. These findings should be addressed in public health strategies for the control of anemia of school-aged Muslims in the region.

scholarly journals Prevalence of Overweight and Obesity in Children and Adolescents from the Age Range of 2 to 19 Years Old in Brazil

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Janaina R. Niehues ◽  
Ana Inês Gonzales ◽  
Robson R. Lemos ◽  
Poliana Penasso Bezerra ◽  
Patrícia Haas
Keyword(s):  
Public Health ◽  
Children And Adolescents ◽  
National Level ◽  
Public Health Problem ◽  
Overweight And Obesity ◽  
Obese Children ◽  
Cross Sectional ◽  
Juvenile Obesity ◽  
Age Range ◽  
Obesity In Children

Introduction. Infant juvenile obesity is currently a worldwide public health problem and it is increasing at alarming rate in the Brazilian population, showing its relevance in terms of public health.Objectives. Determine the prevalence of overweight and obesity in children and adolescents between 2 and 19 years old in different regions of Brazil.Methods. The following electronic databases were searched (from September through November 2013): Medline (PubMed), LILACS, and SciELO, using the descriptors and Boolean operators (obesity) and (overweight) and (child) and (prevalence) and (Brazil). Prospective and/or cross-sectional designs studies were found regarding the prevalence of overweight and obese children and adolescents in the five regions of Brazil.Results. A total of 191 scientific articles were found of which 17 met all inclusion criteria. A higher prevalence of overweight was found in the south (25.7%) and north (28.8%) of the country, and obesity in the southeast (15.4%) and south (10.4%).Conclusions. The scope of the studies was mostly based on municipal coverage, which resulted in limitations for conclusive analysis, showing the need for further studies of prevalence at the national level, with emphasis on public health in obese children and adolescents throughout the Brazilian territory.

scholarly journals Analisis faktor kejadian wasting pada anak balita 12-59 bulan di Puskesmas Bulili Kota Palu: Studi cross sectional

2021 ◽  
Vol 6 (2) ◽  
pp. 111
Author(s):  
Hepti Muliyati ◽  
Menis Mbali ◽  
Hadidja Bando ◽  
Riana Pangestu Utami ◽  
Opyn Mananta
Keyword(s):  
Public Health ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Public Health Problem ◽  
Sampling Technique ◽  
P Value ◽  
Fisher Exact Test ◽  
Important Public Health Problem ◽  
Cross Sectional ◽  
Exact Test

Wasting on children is an important public health problem because of its considerable impact on their health and growth. This problem could lead to iron deficiency which could induce infection disease and probably lower a child’s intelligence as a long-term effect. This study aimed to analyze factors related to wasting on 12-59 months children in Bulili Public Health Center (PHC), Palu City. The analytical descriptive study designed with a cross-sectional approach was applied in this study. One hundred and twenty-one subject was selected from 283 children with purposive sampling technique. Data were analyzed with chi-square and Fisher exact test with significant (p < 0,05). The result showed that most children with low birth weight experienced wasting with a p-value = 0,000. Most of the children from higher-income families did not experience wasting with a p-value = 0,004. Most children who didn’t receive breastfeeding milk did not experience wasting with a p-value = 0,958. This study concluded a correlation between low birth weight and income to wasting, but breastfeeding practice was not related.

scholarly journals Hair loss in children in rural population

2019 ◽  
Vol 5 (1) ◽  
pp. 13
Author(s):  
Vimala Manne ◽  
D. Subhash Reddy
Keyword(s):  
Public Health ◽  
School Children ◽  
Tinea Capitis ◽  
Action Plan ◽  
Public Health Problem ◽  
Trichophyton Mentagrophytes ◽  
Public Health Action ◽  
Cross Sectional ◽  
Microsporum Ferrugineum ◽  
Causative Agents

<p class="abstract"><strong>Background:</strong> Among children worldwide, dermatophyte infections are most common constituting a public health problem. The aim of the study is to determine the prevalence and causative agents of tinea capitis in school children attending primary school located in Hyderabad and to perform an analysis of risk factors associated with tinea capitis as the etiological factor.</p><p class="abstract"><strong>Methods:</strong> This is a school based, cross sectional, prospective study which was conducted in July 2015. This study was conducted in a school located near Hyderabad.<strong></strong></p><p class="abstract"><strong>Results:</strong> Out of 600 school children, 298 boys and 302 girls, 100 were diagnosed with a tinea capitis infection after clinical and microbiological examination, with an estimated prevalence rate of 15.0%. The most prevalent dermatophytes isolation in tinea capitis in children were <em>Trichophyton verucosum</em> (90), <em>Trichophyton tonsurans</em> (30), <em>Trichophyton mentagrophytes</em> (28), <em>Microsporum audiouium</em> (15), <em>Trichophyton soudanese</em> (9), <em>Trichophyton violaceum</em> (5), <em>Microsporum ferrugineum</em> (3), <em>Trichophyton schoenleineii</em> (3), <em>Microsporum gallinae</em> (2) and culture negative and KOH positive (10).</p><p class="abstract"><strong>Conclusions:</strong> This study concluded that the findings suggest that the practices resulting in entrenchment of dermatophyte infections and fungal infection. The promotion of public health action plan based on self hygiene education, which aimed to counteract the epidemiological burden specifically, and it should play an pivotal role in reduction of the prevalence in future of this common infection.</p>

scholarly journals Relationship Between Hand-washing Habit and Toilet Use with Diarrhea Incidence in Children Under Five Years

2017 ◽  
Vol 5 (1) ◽  
pp. 95
Author(s):  
Nikmatur Rohmah ◽  
Fariani Syahrul
Keyword(s):  
Public Health ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Hand Washing ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
Children Under Five ◽  
Under Five ◽  
Before And After

Diarrhea is still a public health problem in the world and the mostly occur in children under five years. At the moment the number of diarrhea-caused mortality was 3.8 per 1000 per year by 3.2 episodes per year in children under five years. This research aims to analyze the association between hand-washing habits and toilet use with the incidence of diarrhea in children under five years. This is an observational analytic with cross sectional study. Population of the research was a children's mother took her children to the public health center of Sekardangan Sidoarjo Subdistrict. The number of samples taken as many as 58 mother of children under five years. Data collection was done with interviews to parents of children and the observations of the toilets. Technique of data analysis using chi-square test or Fisher's exact test. On the results of the research there is a significant association the habit of hand washing (p = 0.006) and toilet use(p = 0.014) with the incidenceof diarrhea in children under five years. Conclusions of the research is the habit of hand washing and toilet use had a significant association with the incidenceof diarrhea in children under five years. Advice that can be given to the mother of a children under five years is to wash the hands before and after defecating and before preparing food for children. Keywords: diarrhea, hand washing, toilet use, observational, children under five years

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