International Journal of Health, Medicine and Nursing Practice最新文献

{"title":"Association between APOL 1 Risk Genotypes and Left Ventricular Hypertrophy among Sub-Saharan Africans in Trypanosoma Brucei Gambiense Endemic Rural Area","authors":"D. Mupepe, N. B. Buila, Hippolyte N. Situakibanza, P. Ekulu, Marie-Noelle N.L. Wameso, A. Nkoy, Exode S. Nsimba, Victoire A. Bikoumou, Kevin L. Karume, Jean Marie N. Kayembe, L. V. D. Heuvel, Elena Levtchenko, E. V. Kintoki, Benjamin M. Longo, Dieudonné N Mumba, Jean René M’Buyamba Kabangu","doi":"10.47941/ijhmnp.1948","DOIUrl":"https://doi.org/10.47941/ijhmnp.1948","url":null,"abstract":"Purpose. The relationship between APOL1 variants and cardiovascular disease remains controversial, thus, this study assessed the association between APOL1 high-risk genotypes and left ventricular hypertrophy (LVH) among sub-Saharan African in T.b. gambiense endemic area. \u0000Methodology. We enrolled 238 subjects living in the region of Masimanimba, an endemic area of T.b.gambiense HAT. We evaluated the association between LVH on echocardiography and the status of APOL1 genes in participants with or without HAT. APOL1 high-risk genotype (HRG) was defined as the presence of two risk variants (G1/G1, G2/G2, or G1/G2), and a low-risk genotype (LRG) with the presence of 0 or 1 single variant. Student’s and Pearson's Chi2 tests or Fisher’s exact test were used to compare means and proportions. The Wilcoxon/Mann–Whitney test was used to compare medians. A multivariate logistic regression model was used to identify independent determinants of LVH. Odds ratios were provided with their 95% confidence intervals (Cis). Statistical significance was set at p < 0.05, based on 2-tailed test. \u0000Findings.  The prevalence of LVH (31.5%) increased with age and was similar in HAT-infected and non-infected subjects (29.8% vs. 32.6%; p=0.376). The trend of a greater left ventricular mass in participants with LVH carrying APOL1 HRG compared to those with LRG was not statistically significant (141g/m2 vs. 125 g/m2; p = 0.253). The frequency of HRG among participants with LVH was similar between HAT-infected and non-infected (15.8% vs. 9.1%; p = 0.806). Age ≥ 38 years [OR 2.5 (95% CI: 1.4-4.5), p = 0.001], hypertension [OR 2.4 (95% CI: 1.1-5.3), p = 0.034], WHR > 0.5 [OR 2.0 (95% CI: 1.0-3.6), p = 0.018] and CKD [OR 1.7 (95% CI: 1.0-3.0), p = 0.049] were associated with LVH. In multivariable logistic regression analysis age ≥ 38 years was the only independent determinant of LVH [ORa 2.0 (95% CI: 1.1-3.8), p = 0.020]. \u0000Unique contribution to theory, practice and policy. An assessment of cardiovascular risk is essential for individuals with LVH carrying APOL1 HRG in order to benefit from early and appropriate medical intervention. Further larger prospective follow-up survey is required to assess the incidence of LVH in individuals with APOL1 HRG variants.","PeriodicalId":441176,"journal":{"name":"International Journal of Health, Medicine and Nursing Practice","volume":"5 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141267534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of the Level of Adherence to Hazardous Waste Management Policy Frameworks among Health Workers in Private Hospitals in Nairobi County - Kenya","authors":"Constantyne Chepchirchir, Ben Ngoye","doi":"10.47941/ijhmnp.1908","DOIUrl":"https://doi.org/10.47941/ijhmnp.1908","url":null,"abstract":"Purpose: This study, therefore, sought to assess the level of adherence to hazardous waste management guidelines among healthcare workers in private hospitals in Nairobi County. From the population of 900 healthcare workers from 4 levels 4 facilities, random sampling was applied to identify the 90 respondents. \u0000Methodology: Data analysis and reporting was done using appropriate quantitative methods. \u0000Findings: The findings from this study show that the level of adherence to hazardous waste management policies among healthcare workers in private level four hospitals in Nairobi County is low. Despite the high level of awareness by the health workers on the important measures of collection, segregation, treatment, transportation and disposal of waste, the level of performance on the same is low. This is greatly attributable to negligence and unfavorable attitude towards healthcare waste management practices among healthcare workers. \u0000Unique contribution to theory, policy and practice: Based on the study findings, we would recommend the improvement of adherence of hazardous waste management efficiency. ","PeriodicalId":441176,"journal":{"name":"International Journal of Health, Medicine and Nursing Practice","volume":"117 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141126588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determination of Gestational Age using Crown-Rump Length and its Associated Maternal Correlates in Igbos Living in Nnewi: An Ultrasound Study.","authors":"Chukwunwendu Aloysius Franklin Okeke, U. Ukoha","doi":"10.47941/ijhmnp.1735","DOIUrl":"https://doi.org/10.47941/ijhmnp.1735","url":null,"abstract":"Purpose: The objective was to determine the accuracy of gestational age measured by CRL in fetuses of black women and also to identify the maternal factors affecting this accuracy in determining the gestational age by CRL measurement in fetuses of black women. \u0000Methodology: This prospective cross-sectional study was conducted in Life and Trinity Specialist hospitals both in Nnewi, South-East, Nigeria. The gestational ages of the fetuses by CRL were determined using Siemens 2D ultrasound scan within 14 weeks and the accuracy compared with the gestational ages obtained from the Last Menstrual Period (LMP). Factors affecting the accuracy of CRL in determining the gestational age in women like the maternal heights and ages were measured. The ultrasound scan was done by a consultant in the department of Obstetrics. Analysis was done using SPSS Package version [20]. Regression analysis was used to compare dependent ad independent variables. Paired t-test was carried out on gestation period by LMP and gestation period by CRL to know if the mean difference between the gestation period by LMP and gestation period by CRL is significant. Multiple correlation analysis was used to ascertain the degree of relationship between maternal weight and age and gestational age by LMP and CRL. \u0000Findings: The result showed that two hundred and sixty-­five women met the inclusion criteria but two were lost to follow up and two hundred and sixty-three were used finally for analysis. The accuracy of ultrasound scan in estimating the gestational age using CRL is within one week in majority of the cases. Maternal height, weight and age are poorly correlated to age of the fetus using the CRL. The fetuses of black women showed a marginal increase in length at gestational age below eight weeks but afterwards this difference is not pronounced. In conclusion, the accuracy of CRL in determining the gestational age is within one week in majority of cases. The maternal height and age are poorly correlated to the CRL of the fetus and thus to the gestational age. \u0000Unique Contributor to Theory, Policy and Practice: Ultrasound scan incorporated with growth chart for fetuses of white women can be equally used to ascertain the gestational ages of fetuses of black women with insignificant difference","PeriodicalId":441176,"journal":{"name":"International Journal of Health, Medicine and Nursing Practice","volume":"2 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140227995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Antibiotic Self Medication Patterns: A Cross-Sectional Study among Patients in Multiple Hospitals","authors":"Aswad Shahid, Mahrukh Nazeer, Aqdas Adeel Khan, Ghulam Murtaza, Ali Hamza, Hafiza Rakhshan Urooj, Muhammad Usama","doi":"10.47941/ijhmnp.1729","DOIUrl":"https://doi.org/10.47941/ijhmnp.1729","url":null,"abstract":"Purpose: The purpose of this study is to explore the multifaceted impact of self-medication with antibiotics, delving into its implications for public health. The potential repercussions of self-medication extend beyond individual well-being. This study investigates the broader consequences, including the wastage of crucial healthcare resources, the development of antibiotic resistance, adverse reactions, delays in seeking appropriate medical care, and the exacerbation of common illnesses. By understanding the complexities surrounding self-medication, particularly with antibiotics, we aim to contribute valuable insights to inform public health strategies, medical interventions, and educational campaigns. \u0000The research seeks to identify patterns, motivations, and behaviors associated with self-medication, shedding light on the factors that drive individuals to bypass professional medical advice. With a focus on antibiotics, a class of drugs critical for treating bacterial infections, the study aims to highlight the potential risks and challenges posed by unsupervised antibiotic use. \u0000Methodology: This cross-sectional study, conducted from September 13 to September 25, 2022, investigates self-medication with antibiotics among 300 patients from five hospitals. Employing a confidential 20-question questionnaire administered through face-to-face interviews, the research aims to understand prevalence and patterns of self-medication. Quantitative data analysis utilizes parametric Z-tests through SPSS Software (version 21). Ethical considerations include obtaining approval, ensuring informed consent, and maintaining confidentiality. Limitations include potential selection and recall bias associated with convenience sampling and self-reported data, respectively. \u0000Findings: Among the 300 participants, 47% were male, and 53% were female. The majority were adults aged between 20 to 40 years, with 64% from Rawalpindi. Over 50% of participants had matriculation or higher education. Ninety-seven percent of people had used antibiotics at least once in their life, with 63% practicing self-medication. Notably, 49% self-medicated 1-5 times in the past year. The primary reasons for self-medication included convenience (47%), personal experience (34%), and previous doctor's prescriptions (32%). Only 36% completed the prescribed antibiotic course. A significant percentage (71%) never changed the dosage of antibiotics, while 22% sometimes altered the dosage. Switching antibiotics during the course occurred in 21% of cases, primarily because the initial treatment was ineffective. Additionally, 51% of participants believed they could successfully treat common infections with antibiotics. Most participants (63%) stopped taking antibiotics if they experienced side effects during the course. A majority (62%) did not complete the antibiotic course after early symptom relief. Regarding dosage, 74% of participants believed that larger antibiotic doses did not guarantee quicker","PeriodicalId":441176,"journal":{"name":"International Journal of Health, Medicine and Nursing Practice","volume":"93 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140242571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"APOL 1 Risk Genotype is associated with Albuminuria in Sub-Saharan African without Hypertension: A Case Study of Trypanosoma Brucei Gambiense Endemic Area","authors":"D. Mupepe, P. Bayauli, N. B. Buila, H. N. Situakibanza, P. Ekulu, Marie-Noelle N.L. Wameso, A. Nkoy, Armand P. Okamba, V. A. Bikoumou, Kevin L. Karume, Lambertus P. Van den Heuvel, Elena N. Levtchenko, Dieudonné N Mumba, Jean René M’Buyamba Kabangu","doi":"10.47941/ijhmnp.1723","DOIUrl":"https://doi.org/10.47941/ijhmnp.1723","url":null,"abstract":"Purpose. An association between APOL1 risk genotypes (HRG) and hypertension has been reported in African Americans with chronic kidney diseases (CKD). However, such data from African populations living in a Human African Trypanosomiasis (HAT) endemic area remain limited.This study assessed the association between APOL1 high-risk genotypes (HRG) and hypertension among sub-Saharan African in T.b. gambiense endemic area. \u0000Methodology. This cross-sectional study enrolled 94 HAT-infected and 144 non–infected participants in Masimanimba, the Democratic Republic of the Congo, from April 2019 to April 2021. We evaluated the association between APOL1 HRG and hypertension in HAT-infected and non–infected participants. APOL1 HRG was defined as the presence of two risk variants (G1/G1, G2/G2, or G1/G2), and a low-risk genotype (LRG) with the presence of 0 or 1 single variant. The elevated albuminuria was defined as urinary albumin/creatinine ratio ≥ 30 mg/g. Student’s and Pearson's Chi2 tests or Fisher’s exact test were used to compare means and proportions. The Wilcoxon/Mann–Whitney test was used to compare medians. A multivariate logistic regression model was used to identify independent determinants of hypertension. Odds ratios were provided with their 95% confidence intervals (Cis). Statistical significance was set at p < 0.05, based on 2-tailed test. \u0000Findings. APOL1 sequence analysis revealed that 3 of 21 (14.3%) hypertensive participants carried HRG (G1G1) and 7 of 103 (6.8%) non-hypertensive carried HRG (G1G1, G2G2, and G1G2) (p=0.371). The frequency of APOL1 HRG among hypertensive participants was 14.3% in both HAT- infected and uninfected individuals. Ten of 21 (47.6%) hypertensive individuals with elevated albuminuria had a higher incidence of CKD (100% vs.  0%; p < 0.001) and HRG (30% vs. 0%; p = 0.09) than 11 (52.3%) without albuminuria who carried LRG. Of 103 non-hypertensive subjects, 43 (41.7%) with elevated albuminuria had a higher frequency of HRG (16.3% vs. 0%; p = 0.002) and CKD (100% vs. 1.7%; p<0.001) compared with 60 of 103 (58.3%) without albuminuria who carried LRG. \u0000Unique contributor to theory, policy and practice:  APOL1 HRG was associated with albuminuria and CKD, regardless of the hypertension status in T.b. gambiense HAT endemic area. However, further prospective cohort studies are required to confirm these results. The High-risk subjects will benefit from early preventive measures in low-income countries.","PeriodicalId":441176,"journal":{"name":"International Journal of Health, Medicine and Nursing Practice","volume":"132 47","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140251405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Ophtascan Screening in Lubumbashi. Pilot Study on Screening for Cancer and Type 2 Diabetes","authors":"Désiré Kamba Banza, R. Lukamba, Simon Henry Opio-Emuna, Cilundika Phillippe, Amani Chuma, Jean-Paul Mande Ngoy, Dophra Nkulu Ngoy, A. Mwembo, O. Luboya","doi":"10.47941/ijhmnp.1705","DOIUrl":"https://doi.org/10.47941/ijhmnp.1705","url":null,"abstract":"Purpose: Screening and early treatment are the best strategy for controlling cancer and type 2 diabetes (T2DM). Based on artificial intelligence, new software Ophtascan allows the early detection of the following cancers: cervix, endometrium, breast, prostate, lung as well as type 2 diabetes, from the image of the eyes. The objectives of this study were to test the reliability of the test in the detection of type 2 diabetes and to present the prevalence of oncological pathologies detected. \u0000Methodology: screening was carried out in two stages: a technical test of the program and mass screening at the University Clinics of Lubumbashi and the Sendwe Hospital of Lubumbashi among volunteers from April 2023 to July 2023. \u0000Findings: Of the 98 volunteers screened including 32 men and 66 women, the risk of the following cancers was detected by Ophtascan: in men, 12.5%, 28% and 6% respectively for the prostate, lung (pre-cancer) and lung while in women we had 1.5%, 6%, 3%, 4.5% and 3% respectively for cervix (pre-cancer), cervical cancer, endometrial, breast (pre- cancer) and breast. This cancer screening trial was not accompanied by clinical confirmation of detected diseases due high cost and practical problems. T2DM trial was accompanied by lab blood test for confirmation of results. Proved sensitiviy of Ophtascan for T2DM achieved 91% within blind clinical trial and 100% within technical trial, and 72% of screened people did not suspect they had this disease, detected by Ophtascan. \u0000Unique Contribution to theory, Policy and Practice: Ophtascan is feasible in our environment and seems to have high reliability for the detection of type 2 diabetes as screening tool. Ophtascan certainly detected most of the targeted cancers, but the low number of cases does not allow solid conclusions to be drawn. The difficulty of validation for all types of cancer mentioned above due to its high cost for patients, we propose to carry out a new pilot research project which will focus on cervical cancer, for which early treatment is possible at a low cost in our environment.","PeriodicalId":441176,"journal":{"name":"International Journal of Health, Medicine and Nursing Practice","volume":"12 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140425870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges in the Adoption of Mobile Money Services by Mobile Phone Users in Lusaka, Zambia.","authors":"Andrew Mweemba Nyika","doi":"10.47941/ijhmnp.1684","DOIUrl":"https://doi.org/10.47941/ijhmnp.1684","url":null,"abstract":"Purpose: This study investigates mobile money adoption in Lusaka, Zambia, utilizing a mixed-methods approach. \u0000Methodology: The study employs a mixed-methods approach to explore mobile money adoption in Lusaka, Zambia. \u0000Findings: The study uncovers several key findings regarding mobile money adoption in Lusaka, Zambia. Convenience, ease of use, and perceived security emerge as primary motivators for adoption. Conversely, lack of understanding, perceived risk, and a preference for traditional banking methods are identified as major deterrents. Interestingly, cultural factors, such as religious beliefs, play a minimal role in adoption decisions. Demographic factors, including age, education level, and income, exhibit a complex interplay with adoption rates, with younger, more educated, and higher-income individuals generally more inclined to use mobile money. \u0000Unique Contribution to Theory, Practice, and Policy: The study's findings contribute to both theory and practice in the field of mobile money adoption. They highlight the predominance of practical considerations over cultural factors in technology adoption, suggesting the need for enhanced adoption models that go beyond traditional socio-economic determinants. Additionally, the study identifies technological discomfort as a significant deterrent to adoption, indicating a need for improved digital literacy and user-friendly interfaces. Furthermore, an awareness-confidence paradox is revealed, wherein increased awareness of cyber scams negatively impacts trust in mobile money security. This suggests the importance of balancing risk education with strong security reassurances. Fee perception also emerges as a hurdle, with over 60% of respondents perceiving fees as unfair, underscoring the importance of educating users on the value proposition of mobile money services. Overall, the study offers valuable insights for strategic product and service development, regulatory and policy formulation, and initiatives aimed at advancing financial inclusion and promoting economic growth in similar urban and semi-rural settings.","PeriodicalId":441176,"journal":{"name":"International Journal of Health, Medicine and Nursing Practice","volume":"47 29","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139961423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Educational Intervention Based on Health Belief Model for Improving Breast Self – Examination behavior Among Rural Women in Hai Duong, Vietnam: A random Control Trial","authors":"Hang Thi Nguyen, Tung Le Thanh, Viet Tran Van, Huong Truong Thi Thu, Hung Pham Van","doi":"10.47941/ijhmnp.1676","DOIUrl":"https://doi.org/10.47941/ijhmnp.1676","url":null,"abstract":"Purpose: The goal of this study was to assess the effect of an educational intervention on breast self-examination (BES) behavior based on a Health Belief Model among Vietnamese women living in some rural areas of Hai Duong province. \u0000Methodology: A random control trial study was conducted in two rural communes in Hai Duong province, Vietnam. Among 204 women participating in the study, they were allocated randomly into an experimental group (n=99) and a control group (n=105). An educational intervention was developed based on the Health Belief Model. An improving breast self-examination behavior of participants was assessed through doing BSE or not, frequency of BSE, and how to perform BSE. \u0000Findings: At baseline, there were no differences between the two groups about general characteristics and breast self-examination percentage.  After 3 months of the intervention, breast self-examination behavior including the rate of patients doing BSE, frequency of BSE, and performing BSE with good results in the intervention group were higher than those of the control group. (p<0.05). \u0000Unique Contribution to Theory, Policy and Practice: Research results indicated that an educational program based on the Health Belief Model can improve breast self-examination behavior among rural women. Therefore, the educational intervention program based on the Health Belief Model should be expanded to women living in other rural areas of Vietnam.","PeriodicalId":441176,"journal":{"name":"International Journal of Health, Medicine and Nursing Practice","volume":"38 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139845282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Educational Intervention Based on Health Belief Model for Improving Breast Self – Examination behavior Among Rural Women in Hai Duong, Vietnam: A random Control Trial","authors":"Hang Thi Nguyen, Tung Le Thanh, Viet Tran Van, Huong Truong Thi Thu, Hung Pham Van","doi":"10.47941/ijhmnp.1676","DOIUrl":"https://doi.org/10.47941/ijhmnp.1676","url":null,"abstract":"Purpose: The goal of this study was to assess the effect of an educational intervention on breast self-examination (BES) behavior based on a Health Belief Model among Vietnamese women living in some rural areas of Hai Duong province. \u0000Methodology: A random control trial study was conducted in two rural communes in Hai Duong province, Vietnam. Among 204 women participating in the study, they were allocated randomly into an experimental group (n=99) and a control group (n=105). An educational intervention was developed based on the Health Belief Model. An improving breast self-examination behavior of participants was assessed through doing BSE or not, frequency of BSE, and how to perform BSE. \u0000Findings: At baseline, there were no differences between the two groups about general characteristics and breast self-examination percentage.  After 3 months of the intervention, breast self-examination behavior including the rate of patients doing BSE, frequency of BSE, and performing BSE with good results in the intervention group were higher than those of the control group. (p<0.05). \u0000Unique Contribution to Theory, Policy and Practice: Research results indicated that an educational program based on the Health Belief Model can improve breast self-examination behavior among rural women. Therefore, the educational intervention program based on the Health Belief Model should be expanded to women living in other rural areas of Vietnam.","PeriodicalId":441176,"journal":{"name":"International Journal of Health, Medicine and Nursing Practice","volume":"101 50","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139785703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breast Self-Examination Practice and Associated Factors among Rural Women in Hai Duong Province, Viet Nam: A Cross-Sectional Study","authors":"Hang Thi Nguyen, Tung Le Thanh, Viet Tran Van, Huong Truong Thi Thu, Hung Pham Van","doi":"10.47941/ijhmnp.1675","DOIUrl":"https://doi.org/10.47941/ijhmnp.1675","url":null,"abstract":"Purpose: The purpose of this study was to identify the practice level of breast self-examination among rural women, and some factors related to this level of research participants. \u0000Methodology: A cross-sectional descriptive study was conducted on 309 women living in some rural areas of Hai Duong province, Vietnam from January to June 2022. Data were analyzed by SPSS 20.0 software, and a Chi-square test was used to determine factors related to some demographic characteristics and breast self-examination practices of rural women. \u0000Findings: The study results show that 70.6% of rural women have never performed breast self-examination, in addition, 15.9% practiced every once a month. For evaluation of breast self-examination practice through direct observation shows that only 17.5% of women practice at level with passed. Family history of breast cancer and monthly income of rural women were related to the level of breast self-examination practice (p<0.05). \u0000Unique Contribution to Theory, Policy, and Practice: The percentage of rural women practicing breast self-examination following steps by steps correctly was low. Therefore, conducting an educational program to guide breast self-examination practice is necessary for rural women to help them proactively screen and early detect breast-related diseases, especially breast cancer.","PeriodicalId":441176,"journal":{"name":"International Journal of Health, Medicine and Nursing Practice","volume":"117 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139785753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}