Health-related Training Research Articles

Knowledge and Preventive Practice of Urinary Tract Infection among Bangladeshi Female Ready-made Garments Worker

Ready-made garments (RMG) are Bangladesh’s largest export earner sector, with 800,000 workers, including two-thirds of females. Female RMG workers suffer from various illnesses, including urinary tract infections (UTI), but data is scars related it in Bangladesh. Therefore, the study aimed to evaluate the knowledge and preventive practice of UTI among female RMG workers. Method: This cross-section survey was conducted to evaluate the knowledge and preventive practice of UTI among female RMG workers. Using convenient sampling technique, we collected 351 data between February to April 2021 from two RMG. Data were analysed by using Statistical Package Social Science (SPSS) software version 23. Descriptive statistics was conducted using frequencies and proportions. Chi-square test was used to determine the association between dependent and independent variables. Linear regression and Pearson co-relation was used to determine the association between knowledge and practice. Results: Of 351 participants, 22% had good knowledge and 33% were in good practice. The study found a statistically significant correlation between knowledge level of UTI and participants’ age, education, residence, family size, parents’ education and occupation (p<0.05). Similarly, participants’ education, marital status, residence, family size, parents’ education and occupation were significantly correlated with practice level of female RMG workers towards UTI (p<0.05). Furthermore, participants who received health-related training had good knowledge and practice of UTI. Conclusion: Female RMG workers’ sociodemographic variables were significantly correlated with their knowledge and practice of UTI. Training on health-related issues was significantly associated with good knowledge and practice of UTI. It’s urgent to keep female RMG workers aware of health-related issues and easily accessible health care. EWMCJ Vol. 12, No. 1&2, January-July 2024: 50-59

Smartphones: A Catalyst for Tobacco Control Training in India

The tobacco crisis confronting low- and middle-income countries (LMICs) requires scale-up of effective tobacco control programs, such as Tobacco Free Teachers-Tobacco Free Society (TFT-TFS). We previously demonstrated the efficacy of TFT-TFS in increasing tobacco use cessation among teachers and schools’ adoption of tobacco control policies in Bihar, India. To scale TFT-TFS, we are now pioneering a smartphone-based mobile learning strategy to train principals (or their designees) in Madhya Pradesh to implement and monitor TFT-TFS in schools. Research underscores the transformative potential of mobile learning: a flexible, scalable, and cost-effective alternative to in-person training methods. Our study is a unique opportunity to test a training approach that could have implications for wider and more efficient delivery of other public health programs. The strategic use of gamification and digital storytelling enhances the TFT-TFS mobile training app. Gamification mechanics—including points, leaderboards, and digital badging—foster a dynamic learning environment to enhance learning outcomes. This approach propels continuous participant engagement toward understanding and implementation of TFT-TFS’s six monthly themes and four program components. The TFT-TFS smartphone training program weaves in elements of Indian culture, notably the symbolic use of colors and kites. The Indian kite festival celebrates communal harmony through healthy competition. Similarly, the app employs the idea of school kites, which are divided into six blank segments corresponding to the TFT-TFS monthly themes. Participants navigate each module, engaging with animated videos, digital assessments, and interactive activities. Upon a principal’s successful completion of each monthly theme’s program components, the school’s kite receives a new color, unlocking the subsequent theme. The TFT-TFS smartphone training showcases a unique interactive mobile learning application that integrates gamification and tests how to scale up an effective tobacco control program in schools in India and other LMICs. The TFT-TFS smartphone-based training app may also have relevance to other public health-related training efforts in resource-constrained areas.

Workplace mental health promotion in a large state organization: Perceived needs, expected effects, neglected side effects

Background Work ability and mental health in the workplace is increasingly promoted in terms of workplace health management. In order to select suitable interventions at work in a concrete context, employees and managers of a large state organization (science and development sector) were asked about perceived needs, desired effects and possible side effects of health promotion interventions. Methods 13 semi-structured interviews with managers and three focus group interviews with employees (N = 20) were conducted in autumn 2020 by a behavior therapist in training. The evaluation was carried out by a qualitative content analysis of the interview transcripts according to a deductive procedure and was checked by two independent raters. Results Most frequently, need was expressed for individual case counselling by a health expert due to the diversity of work-related problems. Managers would like to see more health-related leadership training, and a review of the various communication channels of their organization. Expected positive effects are increased self-efficacy, higher person-job-fits and reduced absenteeism. Side effects were mentioned, such as confusion of health management activities with therapy, or sensitization effects when speaking too much about mental health in mentally healthy teams. Lack of competence with the topic of mental health was mentioned as a reason for non-participation in mental health promotion activities. Conclusions The role of managers in relation to mental health needs to be more defined. Side effects related to mental health activities should be considered in evaluations. Selection of health interventions should depend on the concrete needs of the organization.

A 2-Day Postpartum CBT-Based Training for Nurses.

Public health nurses (PHNs) are often a first point of contact for postpartum individuals seeking mental health support, but report limited training related to mental health. To determine whether a two-day cognitive behavioral therapy (CBT)-based training program focused on postpartum maternal mental health can improve PHN perceptions of their ability to deliver CBT techniques, their confidence working with distressed clients, and with managing client resistance to treatment recommendations. A convenience sample of 45 PHNs working in the Family Health Division of Niagara Region Public Health in Ontario, Canada were assessed before and after they received a two-day CBT-based training program. Before attending training, PHNs reported their current professional position, years of experience working in public health, and any previous mental health training. Their confidence in delivering CBT techniques, working with distressed clients, and with managing client resistance to treatment recommendations was assessed pre- and post-training. Participants also rated their satisfaction with the training. Statistically significant improvements were seen in confidence using CBT techniques, and in supporting and managing distressed or resistant clients. The two-day training was highly rated overall by participants. Medium to large effect sizes were found for changes in confidence-related questions. Providing PHNs with brief CBT-based mental health-related training can increase their confidence in this aspect of their practice, and could potentially improve the quality of care they provide.

Healthcare professionals' willingness to utilize a mobile health application for adverse drug reaction reporting in a limited resource setting: An input for digital health, 2023

BackgroundAdverse drug reactions (ADRs) are a significant public health concern, particularly in limited resource settings where underreporting is prevalent due to various challenges. Mobile health applications (mHealth apps) offer a promising solution to enhance pharmacovigilance by facilitating easier and more efficient ADR reporting. However, despite the increasing availability and use of mHealth apps, there is a lack of evidence on healthcare professionals' willingness to adopt them for ADR reporting in resource-constrained environments. Therefore, this study aimed to assess the willingness of healthcare professionals in Ethiopia to utilize mobile health applications for adverse drug reaction reporting and identify associated factors. MethodsWe carried out a cross-sectional study involving 422 healthcare professionals working in institutional settings. We gathered data through a pretested questionnaire that participants completed themselves. We inputted the data using Epi Data V.4.6 and analyzed it using SPSS V.26. Our analysis involved conducting multivariable logistic regression to identify the factors influencing the likelihood of healthcare professionals using mobile applications to report adverse drug reactions. ResultsThe study involved 389 healthcare professionals. Approximately 301 (77.4 %) of them expressed willingness to utilize mobile applications for reporting adverse drug reactions. The willingness to utilize mobile applications was significantly associated with the type of mobile phone (smart: AOR 3.56; 95 % CI 2.15–5.67), basic computer training (AOR 4.43; 95 % CI 2.27–8.64), mobile health-related training (AOR 1.96; 95 % CI 1.01–3.79), attitude (AOR 4.01; 95 % CI 2.19–7.35), perceived ease of use (AOR 2.91; 95 % CI 1.59–5.23), and perceived usefulness (AOR 2.10; 95 % CI 1.15–3.85). ConclusionsOverall, there was a high proportion of healthcare professionals willing to use mobile devices for reporting drug adverse reactions. Their willingness correlated with factors such as the type of mobile phone, perceived ease of use, attitude, training, and perceived usefulness of mobile applications. With the increasing use of smartphones, motivation among healthcare professionals is rising. Basic computer and mHealth-related training are crucial for enhancing the acceptability of such applications and should be incorporated into future implementations. Taking these factors into account could offer insights into the design and implementation of mobile applications for adverse drug reactions in Ethiopia.

Research Ethics in Training Curricula of Cameroon Health Training Institutions: A Cross-Sectional Study.

Introduction The quality of protection for research participants in Africa is still marked by the lack of trained actors in this area. The study was conducted to assess the availability of health research ethics in the curricula of health-related sciences training institutions in Cameroon. Methods The study involved a cross-sectional analysis to describe the training curricula on research ethics in health training institutions in Cameroon. Data were collected using a structured questionnaire that was administered face to face to the heads of institutions in late 2020. Results Twenty-one health training institutions were identified, and 18 (85.71%) participated. Health research ethics courses were present in the curricula of 16 (88.88%) of the institutions. Lectures were either a standalone module or part of a module in 14 (77.78%) institutions. The three first topics covered in the courses were the fundamental principles of ethics, the role of the ethics committee in the protection of research participants, and respect for research participants. A total of 14 (77.78%) institutions declared ethical clearance mandatory before the implementation of students' thesis protocols. Eight (50.00%) training institutions declared having at least one qualified lecturer to deliver training in research ethics evaluation. The organization of the training of lecturers in delivering lectures on research ethics was declared to be the main assistance needed. Conclusions The delivery of research ethics education in Cameroon's healthcare institutions is still limited by the fact that it does not cover all eligible populations, is not standardized, and does not yet promote the practice of requiring all student protocols to undergo preethical review prior to implementation. These points should be taken into account by the authorities in charge.

A systematic review of midwives' training needs in perinatal mental health and related interventions.

Midwives may be key stakeholders to improve perinatal mental healthcare (PMHC). Three systematic reviews considered midwives' educational needs in perinatal mental health (PMH) or related interventions with a focus on depression or anxiety. This systematic review aims to review: 1) midwives' educational/training needs in PMH; 2) the training programs in PMH and their effectiveness in improving PMHC. We searched six electronic databases using a search strategy designed by a biomedical information specialist. Inclusion criteria were: (1) focus on midwives; (2) reporting on training needs in PMH, perinatal mental health problems or related conditions or training programs; (3) using quantitative, qualitative or mixed-methods design. We used the Mixed Methods Appraisal Tool for study quality. Of 4969 articles screened, 66 papers met eligibility criteria (47 on knowledge, skills or attitudes and 19 on training programs). Study quality was low to moderate in most studies. We found that midwives' understanding of their role in PMHC (e.g. finding meaning in opening discussions about PMH; perception that screening, referral and support is part of their routine clinical duties) is determinant. Training programs had positive effects on proximal outcomes (e.g. knowledge) and contrasted effects on distal outcomes (e.g. number of referrals). This review generated novel insights to inform initial and continuous education curriculums on PMH (e.g. focus on midwives' understanding on their role in PMHC or content on person-centered care). The protocol is registered on PROSPERO (CRD42021285926).

A roadmap beyond dispensing for educating and training community pharmacists on key mental health competencies: A mixed-methods national study

BackgroundIncluding pharmacists in collaborative mental healthcare models has yielded positive results. Establishing processes to enhance pharmacists' mental health care capabilities is crucial for addressing the increasing burden and improving access to mental health services. ObjectivesThis study evaluated community pharmacists' mental health competencies and analyzed associated factors using a rigorous international framework. Additionally, it sought to identify pharmacists' training needs and support requirements as the first stop in creating a roadmap for enhancing mental healthcare through community pharmacies. MethodsA large-scale national study employing a mixed-methods approach was conducted with community pharmacists in United Arab Emirates. Semi-structured individual interviews and a cross-sectional survey were conducted. Pharmacists' core competencies were assessed using the Core Mental Health Competencies Framework for all Pharmacy Professionals. Generalized linear models were utilized to identify predictors of pharmacists' competency levels. Thematic analysis was used to analyze qualitative data. ResultsIn total 650 community pharmacists completed the survey (93.7% response rate). Eight pharmacists participated in semi-structured interviews. Nearly two-thirds (63.7%) received general communication skills training, while training in motivational interviewing (44.7%), shared decision-making (37.2%), and mental illness stereotyping/stigma (23.9%) were less common. Pharmacists reported lower perceived competence in their relationship with multidisciplinary teams (M = 3.02, SD = 0.89), stigma recognition (M = 3.02, SD = 1.04), and identifying mental health crises and aiding in the person's safety (M = 3.01, SD = 1.05). Poor communication skills (p < 0.001) and working in pharmacies that do not stock psychotropic medications (p = 0.023) were associated with lower perceived competence. Qualitative analysis identified training needs in various domains, including attitudes, values, and beliefs about mental health; relationships with multidisciplinary teams; communication skills; pharmaceutical knowledge; and personal and service development. ConclusionsMental health-related training is needed for community pharmacists. Addressing these needs through an intentional roadmap approach will enable pharmacists to better engage with patients with mental illness and increase access to care.

Social Health Insurance Policy of Nepal: Issue of Equity and Equality

The Government of Nepal implemented a social health insurance program (SHIP) in 2016 to achieve Universal Health Coverage. The objective of this paper is to obtain the opinion of the respondents towards the existing premium rate that has been charged to the members of the social health insurance program. The study followed a cross-sectional descriptive study designed. Information was collected from 360 households using the purposive sampling method. The sample was selected among the households who were interested in buying SHIP within a year but till they have not purchased the health insurance policy. A structured questionnaire was used to collect the opinions of the respondents and Chi Square was used to examine the association between the variables. The study concludes that the opinion of respondents towards the equity of premium for SHI is significantly associated with education and profession but not associated with gender, age, caste, health-related training, life insurance policy, agriculture insurance policy, and commercial health insurance. The majority of respondents opined that the premium should be based on the income of the household, as opposed to being equal among those with disparate incomes. The majority of respondents concurred that the current practice of imposing equal premiums on families having dissimilar incomes is unfair.

Development and initial validation of a sexual and gender minority competency-based survey for health service professionals.

Sexual and gender minority (SGM) individuals endure a number of health disparities, such as higher rates of violence, mental health conditions, and medical concerns. These disparities are exacerbated by the fact that SGM individuals face stigmatizing health care provider and system-related experiences. The primary purpose of this study was to quantify health service providers' SGM health competency by developing a measure, namely the Health Care Competency Assessment Form-Sexual and Gender Minority Patients (HCAF-SGM). Further, we examined correlates of SGM health competency based on leading theories of prejudice, primarily the dual process model of prejudice and social identity theory. The study comprised two phases: item development and pilot testing, followed by a primary online survey administration with several health care professionals and training organizations (N = 155). Study findings supported a one-factor HCAF-SGM score, suggesting that health care providers view their competency regarding SGM individuals in a holistic manner, without differentiating between knowledge, attitude, and skill. The measure was found to be negatively associated with right-wing authoritarianism and positively correlated with specific social identities most salient to the topic of SGM health (i.e., health care professional and SGM). The HCAF-SGM shows promise as a reliable and valid assessment of perceived provider health care competency. Implications for SGM health-related measurement, clinical supervision, and training are discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Do Biometric Analyses and Empathy Training Predict the Development of Empathy?

Many healthcare education programs recognize the importance of empathy in professional practice and, consequently, include empathy training in their curricula. Unfortunately, the literature has not yet demonstrated that empathy training consistently yields greater levels of empathy. This may partly stem from the fact that empathy is frequently measured using (valid and reliable) self-reported scales. These instruments provide a “snapshot” of a respondent’s empathy but provide minimal information about the development of empathy. Applying biometric analyses within the context of empathy training permits collecting additional data that may provide a more developmental evaluation of empathy training. This study empirically examines whether biometric measures are statistically significant predictors of empathy when employed within the context of health-related empathy training. We find that empathy training does not significantly impact self-reported levels of cognitive or affective empathy as measured. However, biometric information collected from individuals who completed empathy training does significantly predict affective (but not cognitive) empathy.

Community-Based Qualitative Study to Identify Challenges in Implementing Health Promoting Schools Framework in Government Schools of Khordha District, Odisha, India.

The WHO asserts every school should be a Health Promoting School (HPS) and laid a framework. The WHO is constantly working on expanding the number of schools modelled on it. The status of the level of health promotion needs to be explored to understand the local issues to identify key priority areas for policy making towards positive health. The study aims to explore the challenges in implementing the HPS framework in Government-run schools in Odisha. Method: A qualitative study was conducted with grounded theory using an inductive approach. In-depth interview was done among nine teachers from six government schools in the Khordha district who were selected through purposive sampling. A semi-structured open-ended interview was conducted using an interview guide among school science teachers and principals (n=9) regarding the challenges in implementing the HPS framework. Codes were generated from the transcript using the inductive approach from the WHO-HPS framework. Thematic analysis by Braun and Clarke model was using Quirkos software. Five themes with 12 codes were identified with the transcript. The respondents had little knowledge about the WHO-HPS framework. Their perception of health promotion was restricted to organizing health camps for school children. The themes were School health policy (inconsistent teachers recruitment policy, partial implementation of tobacco-free schools, outdated science syllabus),Coordination with the local community, Healthy school needs (lack of interactive and repetitive health-related training for school teachers, first aid box in schools and lack of supplementation of micronutrients like WIFS), Sanitation (inadequate funding for maintenance of sanitation) and an emerging issue of increased use of social media were reported in our findings. Conclusion: Our findings suggest that implementation of health-promoting schools requires imparting the skills to teachers by orientation and expanding the existing health services, backed with adequate funding and a firm policy commitment at the state level.

AWARENESS OF THE RELATIONSHIP BETWEEN SYSTEMIC AND PERIODONTAL DISEASES AMONG PHYSICIANS AND DENTISTS IN GUJARAT: A CROSSSECTIONAL STUDY.

Background &amp; Objective: An association between oral conditions such as periodontal diseases and systemic conditions is noted. As such, periodontal disease is associated with an increased risk of systemic illnesses such as cardiovascular disease, diabetes, adverse pregnancy outcome and stroke. Keeping this in view, the present survey was designed to evaluate the acquaintance, orientation and behaviour of general medical practitioners; concerning the effects of periodontal disease on systemic health. Materials and Methods: A typed questionnaire carrying sets of questions was distributed among general dental practitioners and non-dental practitioners of Gujarat government and private set ups. Questionnaire was developed to assess the acquaintance, orientation and behaviour of doctors towards periodontal disease. Results: Dental practitioners have knowledge regarding the inter-relationship of periodontal disease and systemic conditions. And most of the non-dental practitioners have knowledge regarding the inter-relationship of periodontal disease and diabetes mellitus. However, majority of them do not know about the potential effect of periodontal disease on other organ systems. Conclusion: General medical practitioners have inadequate knowledge regarding inter-relationship. Hence, oral health related training should be an integral part of the medical curriculum

Effectiveness of multi-disciplinary structured training program on mentoring and mental well-being for officers and instructors in the Indian Air Force.

The military environment is characterized by unpredictable situations, intensive training, demanding workload, and job-associated stressors, which make it highly stressful. Mentorship and mental well-being training could be beneficial to both officers and the new adolescent recruits of the Indian Air Force (IAF). This study aimed at evaluating the effect of a multi-disciplinary structured training on mentoring and mental well-being among officers and instructors in the IAF. Seventy IAF officers/instructors underwent a week-long multi-disciplinary structured training program, which was conducted at a tertiary care neuro-psychiatric hospital in South India. A quasi-experimental design with a single-group pre- and post-test was adopted. Outcome measures included a) knowledge on mentorship and mental health and b) self-perceived competence in addressing mental health distress. Post training, there was a statistically significant improvement in scores on mentorship/mental health knowledge and a significant increase in self-perceived competence in addressing mental distress. Mentorship and mental well-being training for officers and instructors in the IAF improved mental health knowledge and self-perceived competence. Therefore, administration of regular and in-depth structured mental health-related training interventions could be beneficial not only to the officers but also to the new recruits/mentees in the IAF.

Exploring interindividual differences in fasting and postprandial insulin sensitivity adaptations in response to sprint interval exercise training

ABSTRACT Previous studies have concluded that wide variance in changes in insulin sensitivity markers following exercise training demonstrates heterogeneity in individual trainability. However, these studies frequently don’t account for technical, biological, and random within-subject measurement error. We used the standard deviation of individual responses (SDIR) to determine whether interindividual variability in trainability exists for fasting and postprandial insulin sensitivity outcomes following low-volume sprint interval training (SIT). We pooled data from 63 untrained participants who completed 6 weeks of SIT (n = 49; VO2max: 35 (7) mL⋅kg−1⋅min−1) or acted as no-intervention controls (n = 14; VO2max: 34 (6) mL⋅kg−1⋅min−1). Fasting and oral glucose tolerance test (OGTT)-derived measures of insulin sensitivity were measured pre- and post-intervention. SDIR values were positive and exceeded a small effect size threshold for changes in fasting glucose (SDIR = 0.27 [95%CI 0.07,0.38] mmol⋅L−1), 2-h OGTT glucose (SDIR = 0.89 [0.22,1.23] mmol⋅L−1), glucose area-under-the-curve (SDIR = 66.4 [−81.5,124.3] mmol⋅L−1⋅120min−1) and The Cederholm Index (SDIR = 7.2 [−16.0,19.0] mg⋅l2⋅mmol−1⋅mU−1⋅min−1), suggesting meaningful individual responses to SIT, whilst SDIR values were negative for fasting insulin, fasting insulin resistance and insulin AUC. For all variables, the 95% CIs were wide and/or crossed zero, highlighting uncertainty about the existence of true interindividual differences in exercise trainability. Only 2–22% of participants could be classified as responders or non-responders with more than 95% certainty. Our findings demonstrate it cannot be assumed that variation in changes in insulin sensitivity following SIT is attributable to inherent differences in trainability, and reiterate the importance of accounting for technical, biological, and random error when examining heterogeneity in health-related training adaptations. Highlights This study tested whether true interindividual variability exists for changes in insulin sensitivity and glyceamic control following 6-weeks of low volume sprint interval training (SIT). The high level of technical, biological, and random error associated with repeated measurements of insulin sensitivity and glycaemic control, means we can neither confidently conclude that there is evidence of true interindividual differences in the trainability of these outcomes following SIT, nor confidently identify responders or non-responders for such parameters. Researchers contrasting responders vs. non-responders for a given parameter, either to understand mechanisms of adaptation and/or develop physiological/genetic/epigenetic predictors of response, need to be aware that identification of responders and non-responders with sufficient certainty may not be achievable for parameters with a high level of technical, biological, and random error.

Need for a competency-based approach for the Public Health Workforce training: the ISS proposal

Abstract Issue The COVID-19 pandemic acted as a catalyst for a reconsidering health care professional workforce (HCPW) competency needed to face future public health challenges, in line with the recent WHO “Global Competency and Outcomes Framework for UHC” document. In this context, in the Italian G20 Presidency framework, the Italian National Institute of Health (ISS), launched a program named “Laboratorium” - recognised in the G20 Declarations of Ministers of Health and Leaders - aimed to the development of training tools suitable for distance learning in whatever context they are placed. Description of the problem Common competencies and needs of the HCPW have to be fulfilled through cross-sectional and multilevel training, to overcome the current emergency and be able to face future challenges. The aim is to provide a modular educational approach that is finalized to actively involve the participant: health professionals step in their training pathway according to their knowledge gaps, identify their specific learning objectives and, through a problem-based learning approach, acquire the proper skills for their function and tasks. Results We propose a two-tiered approach to training: the development of competence based courses oriented to active learning. A pilot course on Epidemic Intelligence design according to this model is ready to be released. At the same time, a repository of everything available on the web systematically selected from authorised sources by a scientific committee was created to support the training objective. It is characterised by a detailed multilevel tagging that allows an effective modularisation to reach only the content useful for its user. Lessons Accessibility to health-related training materials is a required necessity at every level of HCPW. Profiles within healthcare are increasingly heterogeneous and there is a need to focus on disseminating tools that can provide knowledge to address different healthcare scenarios and common purposes. Key messages • Future public health challenges underline a need for a competencies-based learning approach in Healthcare Workforce training. • Italian National Institute of Health propose two methods within the ‘Laboratorium’ project to enable this type of learning: specifically designed courses and a structured document repository.

Assessment of health-related behaviours in women practising judo and ju-jitsu

Background. The aim of this study was to assess the health-related behaviour of women practising judo and ju-jitsu in comparison with others (active and physically inactive). Material and methods. The study involved 414 women aged 18 to 30. For comparison purposes, they were divided into three groups. Group 1 (n=56) were women practising judo or ju-jitsu. Group 2 (n=166) were persons practising other types of regular physical activity and Group 3 (n=192) included those who did not engage in organized physical activity of any kind. The study used the Juczynski Health-Related Behaviours Inventory and the authors’ own survey. Results. The studied judo and ju-jitsu athletes were characterized by a high or average level of health behaviours (on average 85.87). The total score of the intensity of health behaviours achieved by amateur athletes practising combat sports and martial arts was higher than the results of the other groups (p&lt;0.01). Conclusion. Women practising martial arts were characterized by a high overall index of health behaviours – they more often paid attention to correct eating habits and preventive health behaviours, among others. This may testify to the intellectualization of athletic and health-related training and the transfer of desired behaviours to everyday life.

Percepción del estilo parental y calidad de vida relacionada con la salud entre adolescentes

The interaction between health-related quality of life and parenting styles can give rise to perceptions that influence behaviour in adolescents. It is thought to affect key el- ements in the emotional development of stu- dents at a very important stage. Therefore, the aim of this study was to explore the re- lationship between health-related quality of life and perceived parental educational style as a function of parental gender. A total of 253 adolescents aged 11 and 18 years were selected from secondary schools in a region of south-eastern Spain. The Scale of Norms and Demands Children’s Version (ENE-H by its Spanish acronym) and the Short Form-36 Health Survey (SF-36) were used. This was a quantitative research project and data mining was used for data analysis. The results showed that the inductive parenting style is related to physical role, emotional problems, vitality, emotional well-being, pain and general health. We also observed that the rigid style is neg- atively related to physical role, vitality, emo- tional well-being, social functioning, pain and general health. Finally, the indulgent style is negatively related to pain. The findings shed light on the need to provide health-related training programmes that consider family characteristics.

Social Networks and Reproductive Healthcare-Seeking Behaviour of Garo and Mandai Women in Bangladesh

The reproductive healthcare system is meagre in the ethnic communities of Bangladesh. Notwithstanding the availability of studies on the healthcare-seeking behaviour of ethnic groups in Bangladesh, studies explicitly focused on the social networks of ethnic women, and their likely influences on reproductive health in this context are rare. We analyse how social networks impact ethnic women’s reproductive healthcare-seeking behaviour in Bangladesh. A total of 205 married ethnic—Garo and Mandai—women were selected purposively from Madhupur Upazila in the Tangail district. Data were collected through face-to-face interviews using a structured interview schedule. Descriptive statistics show that the average score of reproductive healthcare-seeking behaviour of Garo and Mandai women is low (40 out of 70), and the average network size of that women is slightly small (2.58). Results from hierarchical multiple regression models show that, next to years of schooling, reproductive health-related training and membership status, network size is positively related, while reproductive health constraints are negatively related, and ethnicity is not statistically associated with reproductive healthcare-seeking behaviour of Garo and Mandai women. This study reveals that social networks of ethnic women may improve their reproductive healthcare-seeking behaviour in Bangladesh. Hence, the policy recommendation is that social network agents are more equipped with reproductive health-related knowledge and information.

Stakeholder perspectives in New York State on reproductive health and pregnancy intention screening in primary care: A qualitative study

ObjectiveTo assess New York State stakeholders’ perspectives regarding providing reproductive health services in primary care settings, including asking patients about pregnancy intentions and providing long-acting reversible contraception (LARC). Study designWe conducted semistructured key-informant interviews (n = 22) with stakeholders representing diverse sectors, including primary care (family medicine) and specialty (obstetrician/gynecologist) physicians, health educators/promoters, advocates, and public health/health care professionals. Grounded theory methodology informed sampling and thematic analysis within and across sectors. ResultsKey informants across sectors supported integrating reproductive health services into primary care. Pregnancy intention screening was considered appropriate yet required improved measures. Such screening was viewed as fostering childbearing discussions and counseling for contraception/preconception health that could benefit patients while also requiring attention to concerns from the patient (e.g., potential for coercion, access barriers) and health care systems (e.g., buy-in, training) contexts. Three themes related to LARC included provider bias, knowledge and training, counseling and patient education, and logistics/financial situation, which were differentially emphasized by stakeholder sector; providers expressed greater concern regarding training, bias, and logistical considerations, whereas health educators and advocates focused on patient education and autonomous decision-making. Similarly, awareness of reproductive justice principles varied by sector. ConclusionThere is consensus among informants from the 5 sectors for expanding reproductive health services in primary care. This will require reproductive health-related training for providers, organizational buy-in, and system protocol changes, including unbiased contraceptive counseling of all methods, specifically balancing discussion of LARC effectiveness with information regarding side effects. Incorporating reproductive justice principles may increase informed patient decision-making and reproductive autonomy. ImplicationsExpanding reproductive health services in primary care requires provider training and protocols for patient-centered care, including unbiased provision of all contraceptive options. The reproductive justice framework offers the possibility of addressing diverse stakeholders’ concerns for both preconception and contraceptive care with patient decision-making at the forefront.