Improve Health Education Research Articles

Association of lifestyle factors with menstrual problems and its treatment-seeking behavior among adolescent girls

BackgroundLifestyle factors such as obesity, exercise, smoking, alcohol drinking, physical activity, and stress are related to menstrual problems among adolescents. Therefore, this study examines the association of lifestyle factors with menstrual problems among adolescent girls. Furthermore, the study also seeks to examine treatment-seeking behaviour for menstrual problems among adolescent girls. MethodsSecondary data analysis was performed on cross-sectional survey data obtained from the Understanding the Lives of Adolescents and Young Adults (UDAYA) project survey. The sample size for this study was 12,707 adolescents girls aged 10–19 years. There are two outcome variables, i.e., menstrual problem and its treatment-seeking behaviour. The study employed the heckprobit selection model, which is a two-equation model. ResultsAbout 11% of adolescent girls suffered from menstrual problems, and among them, nearly one-third of adolescent girls sought treatment. The study noticed that menstrual problems were higher among adolescents who had severe depressive symptoms [β: 0.53; CI: 0.36, 0.70], were using substance [β: 0.03; CI: −0.24, 0.29], and were not involved in physical activity [β: 0.06; CI: −0.03, 0.15]. Adolescent girls from the richest wealth quintile were less likely to report menstrual problems [β: −0.15; CI: −0.32,-0.04], however, were 0.45 times significantly more likely to seek treatment for menstrual problems [β: 0.45; CI: 0.12, 0.78] than poorest adolescent girls. ConclusionsThere is a need to focus on improving health education on puberty and menstruation that may further improve the treatment-seeking for menstrual problems among adolescent girls, specifically in rural areas.

Hubungan Tingkat pengetahuan dan Sikap dengan Praktik Pencegahan COVID-19 pada Masyarakat Pengguna Internet di Kota Semarang

Background: The city of Semarang was ranked first in the highest confirmed case of COVID-19 in Central Java. Various control efforts have been made to stop the spread of this disease through government regulations and behavioral interventions in the community that depend on the compliance of the community itself. This study aims to analyze the level of health literacy, level of knowledge, attitudes and prevention practices related to COVID-19 in the general public of Semarang City.Methods: This study uses an observational analytic method with a cross-sectional approach which is carried out on the people of Semarang City. Data was collected through a google form questionnaire which was distributed online through social media from October 12 to November 9, 2020 and managed to collect 407 respondents from 16 sub-districts in Semarang City. The questionnaire consists of 42 questions covering the level of knowledge, attitudes and practices of prevention against COVID-19. Data were analyzed by univariate and bivariate with Chi-square statistical analysis.Result: The knowledge of internet users in Semarang City regarding COVID-19 was mostly good (50.1%), the attitudes and practices of preventing COVID-19 were also mostly good (56.5% and 50.6%). There was a significant relationship between the level of knowledge about COVID-19 and COVID-19 prevention practices (p-value=0,001). There was a relationship between attitudes related to COVID-19 and COVID-19 prevention practices (p-value=0.001).Conclusion : There is a relationship between the level of knowledge and attitudes towards COVID-19 prevention practices in the internet user community in Semarang City. Improved health education is needed to improve literacy and prevention practices for COVID-19.

DETERMINANT OF EXCLUSIVE BREASTFEEDING AMONG MOTHERS ATTENDING MASAKA REGIONAL REFERRAL HOSPITAL. MASAKA-UGANDA

Introduction:World health organization (WHO) and United Nations international childrens fund (UNICEF) recommend all mothers should initiate breastfeeding immediately with the first hours of delivery, thereafter mothers are encouraged to breastfeed their children for at least six months of life before introducing any form of complementary feeding. it is on this global call to promote meeting up with the target set by UNICEF in 2025, a study was conducted in Uganda to assess the determinant of exclusive breastfeeding among breastfeeding mothers attending Masaka regional referral hospital. Methodology:The study was a descriptive cross-sectional study conducted on 220 consenting breastfeeding mothers. The data from the survey was statistically analyzed using SPSS vs 26 and information was presented in frequency tables, bar, and pie charts. Results:This study showed that the majority of the 220 participants were between the age of 26-30years, 81 (36.8%) with 194 (88.2%) were married and 94 (42.7%) had secondary education. It also showed that 56 (25.5%) did ANC visits more than four times with the majority 151 (68.6%) delivered by spontaneous vaginal delivery. 172 (78.2%) delivered at health facility and stayed at the facility for about 1-2 days. 100% of all babies were healthy and did not report any congenital malformations and 213 (96.8%) have never been admitted for malnutrition. The prevalence of EBF was 65.9%. Variables such as Age of the child, the weight of the child, mothers employment, educational status, and religion were statistically significant at P < 0.005. Conclusions:This study showed that the rate of exclusive breastfeeding among mothers attending Masaka regional referral hospital was generally above the expected target by WHA 2025.Hence strategies of improving health education about the benefits of exclusive breastfeeding to the mother and child should be in place.It is recommended that rigorous interventions can build on this study to achieve the WHO recommendation of all infants should be breastfed exclusively 100%.

“I don’t think marijuana counts as a drug”: Drug & alcohol use amongst South Sudanese youth in Australia

Aims: To understand alcohol and other drug (AOD) use and its impact among South Sudanese youth in Melbourne, Australia. Methods: This qualitative exploratory study was underpinned by the psychosocial conceptual framework. We undertook semi-structured interviews with 23 South Sudanese youth aged 14-21 years to explore attitudes and potential harms of AOD use. We also undertook focus groups with these participants and a focus group of 11 South Sudanese community elders and parents. Feedback on results was obtained through two forums with community members. The data collected were analyzed using thematic analysis. Results: The participants revealed that AOD use was common, specifically the use of cannabis. The participants believed that there was a lack of basic understanding of the potential harm of cannabis use. The results also highlighted that the community was unaware how the use of drugs and alcohol can contribute and exacerbate poor mental health. Cannabis was a regular drug of choice used by young South Sudanese in this study. It was used daily as a coping mechanism both for stress and for undiagnosed mental health. Conclusion: The results of this study indicate increased potential harm for South Sudanese youth from AOD use. Of concern was a lack of diagnosis and treatment for mental health wellbeing due to the beliefs around AOD use. Without targeted interventions this has significant implications for the South Sudanese community and the young people affected. The significance of these findings may assist in the delivery of AOD treatment and improve health education for refugee youth.

The Relationship between Iron Intake and Anemia in Elementary School Children in the Working Area of the Air Beliti Public Health Center, Musi Rawas Regency

Anemia is a health problem that often occurs in school-age children. Low iron intake is the most common cause of anemia in children. Anemia has an impact on physical growth disorders and decreased body resistance. The purpose of this study was to analyze the relationship between iron intake and the incidence of anemia in schoolchildren. This research is an analytic observational study with a cross-sectional design. The Hb examination was carried out to find out the anemia while the iron intake data was assessed by observation on a 24-hour dietary recall. The sample in this study was 80 elementary school children, with a simple random sampling method at five schools in the working area of Air Beliti Public Health Center. The HB examination result showed that 51.2% of respondents had anemia, while the dietary recall showed that 26.2% of children had insufficient iron intake. The statistical test showed that 81.0% of children with insufficient iron intake suffered from anemia. There was a significant relationship between iron intake and the incidence of anemia in elementary school-aged children in the working area of Air Beliti Public Health Center, Musi Rawas Regency (p=0,004; OR=6.198). Based on the results of the study, it can be concluded that there is a significant relationship between iron intake and the incidence of anemia in schoolchildren. Children with low iron intake are 6.198 times more likely to suffer from anemia. Therefore, it is recommended for parents to maintain a balanced nutritional and iron-rich food intake to prevent the incidence of anemia in children. As for the public health center to improve health education and socialization for parents regarding balanced nutrition and foods containing iron for schoolchildren.

Knowledge, Practice and Attitude towards Foot Ulcers and Foot Care among Adults Living with Diabetes in Tobago: A Qualitative Study.

Globally, the prevalence of diabetes has risen significantly by 62% over the last ten years. A complication of unmanaged diabetes is diabetic foot ulcer (DFU), which adversely affects the quality of life of individuals with diabetes and inflicts a huge economic burden on the family, government, and health care services. However, this complication is preventable with adequate patient knowledge and practice regarding DFU and foot care. The present study was aimed at assessing the knowledge, attitude, and practice of adults with diabetes on foot ulcers and foot care in Tobago using a qualitative exploratory design. Purposeful sampling technique was used to recruit 20 participants from the lifestyle and diabetes foot clinics of Scarborough Health Centre, Tobago. Telephone interviews were conducted with the use of a semi-structured interview guide. The data obtained from participants were analyzed using thematic content analysis. Four major themes, namely foot ulcer problems, participants’ knowledge on DFU, knowledge on foot care, and practice and attitude of foot care, emerged from the study. The findings from the study revealed that the majority of participants had poor knowledge regarding DFU but exhibited awareness about foot care, especially on foot cleaning and inspection, preventing irritation after washing, appropriate footwear, and not walking barefooted. The participants had good attitudes and practices of foot care despite their poor knowledge of DFU. However, participants reported inadequate health education on DFU and foot care from healthcare personnel. There should be improved health education, information, and communication on DFU and foot care centred and tailored to the understanding of people living with diabetes. This will prevent DFU and reduce the mortality arising from this complication, which is a major target of the sustainable development goals (SDG) in mitigating the burden of non-communicable diseases (NCD) such as diabetes.

Risk Factors Associated with Early Detection of Cervical Cancer by the IVA Method in Women of Childbearing Age In the City of Ternate

Background : Cervical cancer is one of the main problems in women's health in the world, including Indonesia. According to the 2018 Global Cancer Observatory from the World Health Organization (WHO), the most common cancer cases in Indonesia are breast cancer, which is 58,256 cases or 16.7% of the total 348,809 cancer cases. Cervical cancer (neck of the womb) is the second most common type of cancer in Indonesia, with 32,469 cases or 9.3% of the total cases. Objective: To determine the risk factors associated with early detection of cervical cancer using Visual Inspection with Acetic Acid (IVA) ) in women of childbearing age in the Work Area of the Ternate City Health Center for Siko Treatment. Methods: This research is a quantitative analytic study with a cross sectional design. Data collection was carried out from December 2020 to January 2021. The population was all patients who underwent examinations at the Maternal and Child Health Polyclinic (KIA) at the Siko Care Health Center in Ternate City as many as 227 patients and a sample of 145 female patients of childbearing age from January to September 2020. Techniques sampling is simple random sampling. Data analysis used univariate and bivariate with chi-square test. The research variable consists of the dependent variable, namely early detection of cervical cancer, while the independent variables are knowledge, husband's support, access to information and culture. Results: Shows that age (46.9%), knowledge of VIA (50.3%), attitude (55.2%), husband's support (52.4%), access to information (62.1%), culture (51.7%), Support Officer (48.3%), early detection of cervical cancer IVA method (55.2%), while the bivariate results include: Age (0.000, OR=19,011; CI=8.095-44,647), knowledge (0.001; OR=2.86; CI=1.563-18.367), attitude (0.000; OR=215.524 CI=53,456-868.955), husband's support (0.002; OR=1.448 CI=1.688-11.933), access to information (0.000; OR=2,294; CI=1,574-15,976), culture (0,003; OR=2,202 CI=1,648-10,717), health worker support (0,000; OR=27,111 CI;11,023-66,680). Conclusion: There is a relationship between knowledge, husband's support, access to information and culture with early detection of cervical cancer against the IVA method. Based on the results of the study, it is recommended that the relevant agencies, namely the Siko Health Center, always improve health education to the community, especially mothers and husbands regarding early detection of cervical cancer through various media tools including leaflets, posters, flipcharts and other media. Through this counseling, it is hoped that the community will be more interested and understand the material presented more quickly

Malaria Infection Prevalence and Haematological Profiles of Nursery and Primary School Children in Fegge, Onitsha, Anambra State-Nigeria

A study on malaria infection prevalence and haematological profiles of nursery and primary school pupils aged 0 – 14 years old was conducted in three selected primary schools in Fegge, Onitsha South Local Government Area, Anambra State. Three hundred and sixty (360) pupils were randomly selected from the schools and 2ml of venous blood was collected by venipuncture. Thick and thin blood films were made and stained with Field’s stain A and B. Haematological profiles such as Haemoglobin, White Blood Cell Count, Mean Corpuscular Haemoglobin (Hb) Concentration and Erythrocyte Sedimentation Rate were determined using the anticoagulated blood samples. Of the 360 blood samples examined, 342 (95.0%) comprising 170 (47.22%) males and 172 (47.78%) females were positive for Plasmodium falciparum across the three primary schools. Differences in malaria prevalence among the schools and gender was not statistically significant (P>0.05). Pupils within the age group 3 - 5 and 6 - 8 years recorded the highest infection rate of 118 (96.72%) and 102 (96.22%) respectively which was not statistically significant (P>0.05). The highest percentage of the pupils 10 (55.6%) with heavy malaria intensity had their haemoglobin levels within the lower normal range of 11.0 – 11.9g/dl. There were significant and no significant differences in the haematological profiles of the pupils – Haemoglobin and Packed Cell Volume (P<0.05) indicating mild anaemia, while White Blood Cell Counts (P>0.05) indicates mild leukopenia and for Erythrocyte Sedimentation Rate (P>0.05). The study showed that malaria is holoendemic in Fegge area of Onitsha and poses a significant health problem for the children in the study area. Improved health education in the schools on preventive measures for malaria transmission including integrated vector control to reduce vector-man is recommended.

Determinan Kejadian Stunting pada Balita


 
 
 
 Determinant of stunting incident in Saronggi Subdistrict, Sumenep Regency. The prevalence of stunting of toddlers in East Java is higher than the average prevalence at the national level of 32.8%. In 2020, the Health Office of East Java Province mentioned that the prevalence of stunting in SumenepRegency reached 170 toddlers spread across 14 villages. The highest prevalence of stunting was found in NongGunongSubdistrict which reached 6.02% and in SaronggiSubdistrict which reached 4.05%.This study aims to analyze the influence of maternal pregnancy history, nutritional status of children, parenting patterns, maternal knowledge and history of exclusive breastfeeding to stunting.This research is analytical research with case-control design. The samples used were 30 mothers with toddler cases and 30 mothers with control toddlers.Maternal pregnancy history, child nutrition status, parenting patterns, maternal knowledge and exclusive breastfeeding have a significant influence on stunting incidents in Saronggi Subdistrict, Sumenep Regency.Mothers must meet the intake of good nutrition, provide exclusive breastfeeding and good parenting patterns and health officials must improve health education programs, especially about stunting so that maternal knowledge can be improved and stunting problems can be addressed immediately.
 
 
 

Knowledge, attitudes, and practices towards dengue prevention among primary school children with and without experience of previous dengue infection in southern Thailand

To develop more effective intervention strategies against dengue, it is necessary to identify determinants of knowledge, attitudes, and practices (KAP), which may be influenced by the dengue experiences of the population at risk. The aim of this study was to assess and compare KAP regarding dengue prevention between Thai primary school children with and without experiences of dengue. A cross-sectional study was conducted among children between ages 8 and 13, attending the 50 public primary schools in Kanchanadit district, between October and November 2019. A 32-item questionnaire was used to collect children's socio-demographic characteristics (4 items), health information (2 items), knowledge (10 items), attitudes (7 items), and practices (9 items) towards dengue prevention, which required 30 min to complete. The KAP between groups was then statistically compared, to identify possible causes of observed differences. Of 1979 children, 15.6% self-reported that they had been infected with dengue, while 84.4% had no history of the disease. Most children indicated that they obtained dengue-related information from primary school teachers (73.6%) and their parents (68.5%). No statistically significant differences in mean KAP scores were observed between children with and without dengue experiences (P > 0.05). When KAP scores were categorized as good or poor levels, based on an 80% cut-off, 12.3% of all children had good dengue-related knowledge, 41.6% had good attitudes, and 25.9% reported good preventive practices. Dengue experience was significantly and positively associated with exercising good preventive practices (odds ratio [OR] = 1.34, 95% confidence interval [CI]: 1.03–1.75, P = 0.031). There were significant positive correlations between attitudes and practices in both children with and without dengue experiences (P < 0.001). To enhance KAP towards dengue prevention, further efforts are needed to increase routine dengue health education programs for primary school students who have and have not experienced dengue, and to improve health education programs within communities, especially to assist guardians with the dissemination of dengue literature.

Assessment of Clinical Indications for Caesarean Section in Mosul City Hospitals: A Cross-Sectional Study

Background: Caesarean section is traditionally done when a vaginal delivery would put the mother or fetus's life at risk. Knowing the indications of the caesarean section will help to have an impression of this common type of the obstetric procedures. The aim of the current study was to examine the indications of caesarean sections which are undertaken in Mosul city hospitals. Methods: A cross-sectional study was done at eight hospitals in Mosul city and a sample of 671 women who were delivered by caesarean section was included in this study. The necessary agreement was obtained from all the participants in the sample. Study period: the study was done during the period from 15th November 2019 to 15th April 2020. The information was taken by direct interview with the women who were delivered by caesarean section and from their hospital case sheets. Results: Primary caesarean section was reported in 45.2% of cases followed by previous two or more CS in 32.3% and those with previous one caesarean section with other causes 22.5% with a very highly statistically significant difference (P=0.001). Fetal distress was the indication for primary caesarean section in one-quarter of cases 25.4% with a very highly statistically significant difference (P=0.000) from other causes. Maternal request constituted 11.5% of indications among the participant women and it constituted one-quarter of causes among women with previous one caesarean section (P=0.000). Conclusions and recommendations: Primary caesarean section constituted the highest number among caesarean section indications in the current study, followed by previous two or more caesarean section and then previous caesarean section with other causes. Fetal distress was the highest indication in primary caesarean section cases. The study recommends to improve health education to the mother about the risk of caesarean section and possibility of normal delivery after primary caesarean section.

Current status and associated risk factors of intestinal parasitic infections among primary school children in Al Qurain district, Sharkia governorate

ABSTRACT Background: Intestinal Parasitic Infections (IPIs) are major public health problems, mainly affecting school children. One of the sustainable development goals of the United Nations is to control the transmission of IPIs and the modification of possible risk factors. Objectives: To estimate the frequency and risk factors of intestinal parasitic infections among primary school children in Al Qurain district, Sharkia Governorate. Methods: a cross-sectional study was conducted on 320 primary school children. Participants’ data regarding socio-demographic characteristics, behavioral health habits, and complaints assessment questions were collected via semi-structured questionnaire. Stool samples were collected from students by the aid of their mothers and examined in the family medicine center. Results: The study revealed that one third (35%) of studied children had a parasitic infection. The highest percentage (44.4%) of infected children had E.histolytica.Children aged 9-12 years, with low mothers’ and fathers’ education, large family size, and low social class are more likely to had IPIs. The study found a statistically significant association between all behavioral health habits, all clinical manifestations, and parasitic infection. Conclusion: The results of the study reflect a relatively high prevalence rate of parasitic infections demands improved health education on regular hand washing, usage of toilet paper, washing fruits and vegetables, not eating outdoors, and avoid walking barefoot. Keywords: Hand washing, Rural, Stool analysis, Urban.

The Rates and the Determinants of Hypertension According to the 2017 Definition of Hypertension by ACC/AHA and 2014 Evidence-Based Guidelines Among Population Aged ≥40 Years Old

Background:In November 2017, the American College of Cardiology/American Heart Association (ACC/AHA) updated their definition of hypertension from 140/90 mm Hg to 130/80 mm Hg.Objectives:We sought to assess the situation of hypertension and the impact of applying the new threshold to a geographically and ethnically diverse population.Methods:We analyzed selected data on 237,142 participants aged ≥40 who had blood pressure taken for the 2014 China National Stroke Screening and Prevention Project. Choropleth maps and logistic regression analyses were performed to estimate the prevalence, geographical distribution and risk factors of hypertension using both 2017 ACC/AHA guidelines and 2014 evidence-based guidelines.Results:The present cross-sectional study showed the age- and sex-standardized prevalence of hypertension was 37.08% and 58.52%, respectively, according to 2014 evidence-based guidelines and 2017 ACC/AHA guidelines. The distribution of hypertension and risk factors changed little between guidelines, with data showing a high prevalence of hypertension around Bohai Gulf and in south central coastal areas using either definition. The age- and sex-standardized prevalence of newly labeled as hypertensive was 21.44%. Interestingly, the high prevalence region of newly labeled as hypertensive was found in the north China.Conclusion:The prevalence of hypertension increased significantly on 2017 ACC/AHA guidelines compared to the prevalence when using 2014 evidence-based guidelines, with high prevalence areas of newly labeled as hypertensive now seen mainly in north China. There need to be correspondingly robust efforts to improve health education, health management, and behavioral and lifestyle interventions in the north.

Impact of Nursing Activity Group Model on Health Education of Patients with Drugs

Objective: To assess impact of nursing activity group model on health education of patients with drugs. Methods: This study is a retrospective study, that we collected the data before and after the establishment of the nursing action group, and evaluated the effect of establishing the nursing action group by comparing the data. We performed this study in a general tertiary hospital from January 2019 to December 2020. There were 2 stages in the study. At stage 1 (January 2019 - December 2019), we carried out common nursing model in daily work. At stage 2 (July 2020 - December 2020), we implemented usual measures and the countermeasures of nursing activity group themed at improving health education of drug. Using the assessment of medication compliance, satisfaction of patient and drug cognition of patients, we compared the changes of patients’ health education before and after the interventions to evaluate the effect of nursing activity group model. Result: Most of assessments were significant difference between two group, that health education of gastroenterology drugs of nurse and training on drug using on nurses had significant improvement after carry out nursing activity group model. In patients’ assessment of medication compliance and satisfaction, there was only a small increase in patient satisfaction by carrying out nursing activity group model, but patients were observed to be improved significantly during carrying out nursing activity group. Conclusion: Nursing activity group model can improve medication compliance of patients, satisfaction of patients, and drug cognition of nurses.

High prevalence of intestinal parasite infestations among stunted and control children aged 2 to 5 years old in two neighborhoods of Antananarivo, Madagascar.

This study aimed to compare the prevalence of intestinal parasite infestations (IPIs) in stunted children, compared to control children, in Ankasina and Andranomanalina Isotry (two disadvantaged neighborhoods of Antananarivo, Madagascar), to characterize associated risk factors and to compare IPI detection by real-time PCR and standard microscopy techniques. Fecal samples were collected from a total of 410 children (171 stunted and 239 control) aged 2-5 years. A single stool sample per subject was examined by simple merthiolate-iodine-formaldehyde (MIF), Kato-Katz smear and real-time PCR techniques. A total of 96.3% of the children were infested with at least one intestinal parasite. The most prevalent parasites were Giardia intestinalis (79.5%), Ascaris lumbricoides (68.3%) and Trichuris trichiura (68.0%). For all parasites studied, real-time PCR showed higher detection rates compared to microscopy (G. intestinalis [77.6% (n = 318) versus 20.9% (n = 86)], Entamoeba histolytica [15.8% (n = 65) versus 1.9% (n = 8)] and A. lumbricoides [64.1% (n = 263) versus 50.7% (n = 208)]). Among the different variables assessed in the study, age of 4 to 5 years (AOR = 4.61; 95% CI, (1.35-15.77)) and primary and secondary educational level of the mother (AOR = 12.59; 95% CI, (2.76-57.47); AOR = 9.17; 95% CI, (2.12-39.71), respectively) were significantly associated with IPIs. Children drinking untreated water was associated with infestation with G. intestinalis (AOR = 1.85; 95% CI, (1.1-3.09)) and E. histolytica (AOR = 1.9; 95% CI, (1.07-3.38)). E. histolytica was also associated with moderately stunted children (AOR = 0.37; 95% CI, 0.2-0.71). Similarly, children aged between 4 and 5 years (AOR = 3.2; 95% CI (2.04-5.01)) and living on noncemented soil types (AOR = 1.85; 95% CI, (1.18-2.09)) were associated with T. trichiura infestation. The prevalence of IPIs is substantial in the studied areas in both stunted and control children, despite the large-scale drug administration of antiparasitic drugs in the country. This high prevalence of IPIs warrants further investigation. Improved health education, environmental sanitation and quality of water sources should be provided.

The Description of Knowledge about Antenatal Care in Village X Bandung Regency in 2019

The lack of maternal Antenatal care visit is one of the determinants that cause maternal mortality rates in Indonesia. Antenatal care is care for pregnant women during pregnancy, starting from conception to the birth of the fetus. The purpose of this study was to study the Antenatal Care Knowledge Overview in Village X Bandung Regency in 2019. The design of this study was quantitative descriptive with 74 postpartum mothers respondents. Data were collected using a knowledge questionnaire. The results obtained from the knowledge of Antenatal Care in Village X Bandung Regency in 2019 were high knowledge of Antenatal Care (73%) and low knowledge of 27%. The conclusion of the study showed respondents who had high knowledge of ANC was more than 73% compared to those who had low knowledge of 27%. Health workers need to improve health education for mothers with high gestational age and home visits.

Association of maternal body mass index with intellectual disability risk

ObjectivesThe study aimed to investigate the association between maternal body mass index (BMI) in early pregnancy and children’s intellectual disability (ID) risk in the absence of chromosomal disorders, neurofibromatosis and...

Dichos & Diabetes: Literary Devices Used by Mexican-Origin Males to Share Their Perspectives on Type 2 Diabetes and Health

ABSTRACT The medical literature emphasizes the increasing role of cultural c onsiderations for improved health education among Latinos. Research in Latino culture reveals the inherent function of figurative language devices, such as dichos, in individual expression and cultural norm transmission. Increased understanding of dichos may provide unique insight into the dynamic relationship between collective cultural knowledge and individual health perceptions. Dichos related to health and diabetes among Latinos, however, remain entirely unexplored. The present study represents a secondary qualitative analysis of the perspectives on diabetes and health of Mexican-origin males that identified inadequate understanding of disease processes and cultural customs as barriers to health. Spanish language transcriptions from the original study were content analyzed by two Latino researchers fluent in English and Spanish to identify the use of dichos by the participants to convey their perspectives on health and diabetes. The results reveal four major categorizations of dichos: religiosity, familism, formation, and individuality. Findings from this study provide insight on the utility of dichos for the identification of health-related perspectives. Dichos may also serve clinicians and health educators as culturally relevant vehicles of communication for encouraging and transformative health discussions. Future diabetes interventions should incorporate dichos to explore quantifiable outcomes of culturally tailored programs.

HUBUNGAN PENGETAHUAN DAN PENDIDIKAN AKSEPTOR KB TERHADAP KEPATUHAN KONSUMSI KB PIL DI BPM CH. MALA PALEMBANG

Compliance with the consumption of contraceptive pills is the extent to which the patient's behavior is in accordance with the provisions given by health personnel Birth control pills must be taken every day. The failure of acceptors of birth control pills can be caused by the lack of compliance of acceptors in taking the Pill. The aim of this study was to determine the relationship between knowledge and education of family planning acceptors on compliance with the use of birth control pills in BPM CH. Mala Palembang in 2017. The design of this research is quantitative research using analytical survey method with cross sectional design. The population in this study were all family planning pill acceptors who came to BPM CH. Mala Palembang, namely 46 people. The number of samples in this study is the entire population, namely 46 people. Based on the results of univariate analysis who have good knowledge of 28 people (60.9%) while those who have less knowledge are 18 people (39.1%) and the Chi Square statistical test, it turns out that p value = 0.006 &lt;0.05. (OR) = 7,333. The results of the univariate analysis that 29 people (63%) had higher education, 17 people (37%) had low education and the Chi Square statistical test, it was found that p value = 0.002 &lt;0.05. Odds Ratio (OR) = 9.2. This shows that there is a significant relationship between knowledge and education on adherence to the consumption of birth control pills. Suggestions in this study are expected that health workers can improve health education about how to take birth control pills, what will happen if you forget to take birth control pills and how to overcome them if you forget to take birth control pills.

Validation of an educational game to promote cardiovascular health in children.

The aim of this study was to validate the content and appearance of an educational game for children aged 7 to 10 years, focusing mainly on cardiovascular health promotion. The study used methodological research, with a quantitative approach. The validation process included the participation of 17 specialists in children and/or cardiovascular health. A concordance index of at least 0.80 was considered for content validation and 0.75 for the appearance of the proposed educational material. The proposal of the educational game was considered valid, through some suggestions, in view of the purpose of sensitizing children in relation to the promotion of cardiovascular health while still in childhood. As a relevant factor in the use of games as strategies to improve health education, we emphasize that the participant is the active agent and the protagonist of the health-disease process.