{"title":"Self-Efficacy and Perceived Barriers as Determinants of Breast Self-Examination Among Female Nonmedical Students of the University of Ghana","authors":"I. M. Boafo, Peace Mamle Tetteh","doi":"10.1177/0272684X19885501","DOIUrl":"https://doi.org/10.1177/0272684X19885501","url":null,"abstract":"Breast cancer mortality in sub-Saharan Africa is comparatively high largely because of low levels of knowledge and late presentation at hospitals. Breast self-examination (BSE) provides an important way of early detection of breast cancer, particularly for resource constrained countries. This study therefore examined the factors which influence the performance of BSE among female undergraduate nonmedical students of the University of Ghana. A cross-sectional survey was conducted between April and May 2018. It involved 308 students drawn from the University of Ghana. The instrument was based on the Health Belief Model and the Breast Cancer Knowledge questionnaires. The results suggest that about a quarter (23.4%) of the participants performed BSE at least once every month, despite 75.3% believing that checking the breast every month helps in early detection of breast cancer. As expected, those who had ever performed BSE had higher knowledge of breast cancer (M = 6.722, standard deviation [SD] = 2.090) compared with those who had never performed BSE (M = 4.850, SD = 1.982), p = . 000. Similarly, they perceived barriers to performing BSE to be lower (M = 17.900, SD = 5.733) compared with nonperformers (M = 19.850, SD = 6.976), p < .05. Results of logistic regression analysis indicated that knowledge level, self-efficacy, and level at the university were statistically significant predictors of BSE. Educational and training programs that focus on equipping women with the skill to perform BSE are therefore recommended.","PeriodicalId":54184,"journal":{"name":"International Quarterly of Community Health Education","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0272684X19885501","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42513663","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}
A. Gubrium, Sarah E. Lowe, Henry Douglas, L. Scott, D. Buchanan
{"title":"Participant Engagement and Ethical Digital Storytelling: The MOCHA Moving Forward Study","authors":"A. Gubrium, Sarah E. Lowe, Henry Douglas, L. Scott, D. Buchanan","doi":"10.1177/0272684X19862931","DOIUrl":"https://doi.org/10.1177/0272684X19862931","url":null,"abstract":"African-American men continue to bear a disproportionate share of the burden of health disparities, in general, and chronic diseases, in particular. The Men of Color Health Awareness (MOCHA) Moving Forward study seeks to determine the effectiveness of an innovative, community-driven program to improve the health and quality of life of low-income African-American men between the ages of 35 to 70 years by reducing identified social risk factors for chronic disease for these men. The project uses digital storytelling (DST) to encourage African-American men to tell their stories, especially related to stress, gender role stereotypes, and mental and physical health and well-being. Thirty-six men were recruited to participate in one of four DST workshops, which resulted in each participant creating a 2- to 3-minute digital story. In this article, we describe and analyze three salient ethical dilemmas that arose in conducting the Men of Color Health Awareness Moving Forward study DST workshops with African-American men. The dilemmas can be traced to the distinct purposes for which DST can be used, data collection or intervention development, and the trade-offs between protecting and patronizing participants. We discuss potential ways to resolve or circumvent the identified issues.","PeriodicalId":54184,"journal":{"name":"International Quarterly of Community Health Education","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0272684X19862931","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45921306","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}
Margaret J Henning, Joseph M Zulu, Charles Michelo, Stephanie Simmons Zuilkowski, Candace Hubner
{"title":"Adolescent Mothers' Experiences With Community Health Assistants in Rural Zambia.","authors":"Margaret J Henning, Joseph M Zulu, Charles Michelo, Stephanie Simmons Zuilkowski, Candace Hubner","doi":"10.1177/0272684X19896737","DOIUrl":"https://doi.org/10.1177/0272684X19896737","url":null,"abstract":"<p><p>Adolescent health demands specific attention because adolescents have the lowest levels of health-care coverage of any age-group globally. The main objective as addressed in this article was to explore the lived experience of adolescent mothers and the services provided to them by community health assistants (CHAs) in rural Zambia. Because the number of adolescent mothers in rural Zambia is so high, it is even more critical to describe the lived experiences of health care among these young women with particular emphasis on primary health care as delivered by CHAs in rural Zambia. We used a mixed-methods design to address our research questions. Data were collected from nine focus groups, which were conducted with young mothers from four provinces and 10 districts (<i>n</i> = 60). To support our effort to better understand the delivery of maternal and child health care in rural Zambia, key informant interviews were conducted with adolescent mothers (<i>n</i> = 12). We also conducted surveys (<i>n</i> = 44) and one-on-one interviews (<i>n</i> = 22) with CHAs. To the best of our knowledge, this is the largest study focused on the intersection of adolescents, maternal child health, and CHA delivery of care in Zambia. The results of our study suggest opportunities for change to operational practices within the rural health-care setting and the need to develop structured and age-appropriate services that focus on adolescents. This work addresses the gap in research for adolescents in health care in rural Zambia and brings attention to the unique health-care needs of adolescent mothers within the rural health-care setting.</p>","PeriodicalId":54184,"journal":{"name":"International Quarterly of Community Health Education","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0272684X19896737","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37489665","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":"Knowledge of School-Going Adolescents About the Oral Effects of Tobacco Usage in Ibadan, Southwest Nigeria.","authors":"Folake B Lawal, Omotayo F Fagbule","doi":"10.1177/0272684X19896730","DOIUrl":"https://doi.org/10.1177/0272684X19896730","url":null,"abstract":"<p><strong>Background: </strong>The individual knowledge of the effects of tobacco usage on health plays an important role in its uptake. Tobacco consumption usually starts during adolescence, and lack of knowledge about the oral problems of tobacco usage probably plays a role in it.</p><p><strong>Aim: </strong>To determine the knowledge of adolescents about the effect of tobacco usage on oral health.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 1,465 adolescents aged 12 to 20 years who attended senior secondary schools in a major city in Nigeria. Data were obtained through a semistructured questionnaire. Data obtained were analyzed with SPSS.</p><p><strong>Results: </strong>The mean age of respondents was 15.2 (±1.4) years. Only 40 (2.7%) of them used tobacco at the time of study and 992 (67.7%) said that tobacco usage has effect(s) on oral health. The main effects mentioned were mouth odor: 338 (34.1%); teeth discoloration: 297 (29.9%); tooth decay: 138 (13.9%); damage to teeth: 72 (7.3%); lip discoloration: 39 (3.9%); and oral cancer: 11 (1.1%). It was found that female respondents (72.1%, odds ratio = 1.4, confidence interval = 1.1-1.7, <i>p </i>=<i> </i>.005); those aged 12 to 15 years (73.6%, odds ratio = 2.0, confidence interval = 1.6-2.5, <i>p</i> < .001); and children of skilled workers (73.4%, odds ratio = 1.9, confidence interval = 1.2-3.0, <i>p </i>=<i> </i>.008) were more likely to mention that tobacco has adverse effect(s) on oral health.</p><p><strong>Conclusion: </strong>Although two thirds of the students knew that tobacco usage has effects on oral health, there were gross inadequacies in the knowledge and misconceptions about those effects.</p>","PeriodicalId":54184,"journal":{"name":"International Quarterly of Community Health Education","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0272684X19896730","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37481241","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}
Arvind Babu R Santosh, James R Collins, Thaon Jones, Michael Brache, Milagros Toro, Sona Tumanyan, Christine Walters, Sharon White, Augusto Elias-Boneta
{"title":"The SmoCar Study: A Caribbean-Based Multicenter Study on the Prevalence and Disparities Linked to Smoking and Gingival Health.","authors":"Arvind Babu R Santosh, James R Collins, Thaon Jones, Michael Brache, Milagros Toro, Sona Tumanyan, Christine Walters, Sharon White, Augusto Elias-Boneta","doi":"10.1177/0272684X19895901","DOIUrl":"https://doi.org/10.1177/0272684X19895901","url":null,"abstract":"<p><p>The aim of the SmoCar (Smoking in the Caribbean) study was to estimate the prevalence of smoking and the disparities in the smoking practices of three regions in the Caribbean: Jamaica, Dominican Republic, and Puerto Rico. The secondary objective was to assess the prevalence and severity of gingivitis in relation to the smoking practices. The study population comprised 1,847 (weighted <i>N</i> = 1,830) individuals (18 years and older) who were volunteer participants from the capitals of Jamaica, Dominican Republic, and Puerto Rico. A structured interview was used to assess the participants' smoking behaviors. The gingival index was used to determine the extent of gingival inflammation. Polytomous regression was used to estimate the adjusted odds ratios (aORs) for smoking status (current, past, or never), according to risk factors (sex, age-group, education, marital status, tooth-brushing frequency, and city of residence). Logistic regression models were used to assess the associations between different smoking status variables and mild to moderate/severe gingivitis. The majority of the participants were never-smokers, with current smokers being found most commonly in Kingston (33.22%), followed by San Juan (12.76%) and Santo Domingo (8.8%). Both current (aOR = 2.22, 95% confidence interval [1.45, 3.40]) and past (aOR = 1.87, 95% confidence interval [1.19, 2.93]) smoking (vs. never smoking) was strongly associated with severe gingivitis. Smoking was the most prevalent in Jamaicans and the least prevalent in Dominicans. The study population of current smokers was found to have a fourfold increased risk of severe gingivitis and a twofold increased risk of moderate gingivitis.</p>","PeriodicalId":54184,"journal":{"name":"International Quarterly of Community Health Education","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0272684X19895901","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37481242","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}
A. Nayak, A. D'Souza, A. Bhat, Arati P Rao, A. Acharya
{"title":"Role of Early Referral and Surgical Intervention in Brachial Plexus Birth Palsy: Awareness Among Obstetricians and Pediatricians in a Teaching Hospital","authors":"A. Nayak, A. D'Souza, A. Bhat, Arati P Rao, A. Acharya","doi":"10.1177/0272684X19883523","DOIUrl":"https://doi.org/10.1177/0272684X19883523","url":null,"abstract":"A cross-sectional study was conducted using a validated and standardized questionnaire answered by willing pediatricians and obstetricians at our university teaching hospitals. Nearly two thirds of the pediatricians (62.8%) and three fourths of the obstetricians (73.6%) continued to accept the terminology of obstetric brachial plexus birth palsy which is a misnomer; 32.6% of pediatricians felt that they were unaware of the current trends in its management. Parental reluctance (23.5%) and inadequate knowledge in current approaches among surgeons and pediatricians (41.2%) were suggested as chief causes for the delay in their adequate referral and management using surgical exploration, nerve grafting, and nerve transfer. The delayed presentations of birth brachial plexus injuries with missed opportunity for optimum treatment can be partly attributed to inadequate information available on definitive guidelines in its management among the stakeholders including parents, primary care physicians, and surgeons.","PeriodicalId":54184,"journal":{"name":"International Quarterly of Community Health Education","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0272684X19883523","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47388116","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}
Robert H Feldman, Alfonso Villalobos, Roberto Rodriguez
{"title":"Promoting Smoking Cessation in Costa Rica: A Focus Group Study of Smokers and Ex-Smokers.","authors":"Robert H Feldman, Alfonso Villalobos, Roberto Rodriguez","doi":"10.1177/0272684X19896722","DOIUrl":"https://doi.org/10.1177/0272684X19896722","url":null,"abstract":"<p><p>In developing worksite smoking cessation programs in Costa Rica, it is necessary to gain an understanding of smokers and ex-smokers. For smokers, it was necessary to know the barriers to quitting and what they thought may help them. For ex-smokers, we wanted to identify the main factors that helped them to successfully quit. Two separate focus groups were conducted of smokers (<i>n</i> = 6) and ex-smokers (<i>n</i> = 9) who worked at the Department of Justice. Results indicated that the key factors for both ex-smokers and smokers were social factors-family and coworkers. Participants viewed family support as fundamental to successful quitting. Smokers mentioned that the Justice Department could help them stop smoking by eliciting the support of ex-smoking coworkers. Major barriers to quitting were workplace stress and the presence of other smokers. In conclusion, family members and ex-smoking coworkers can play an important role in worksite smoking cessation programs in Costa Rica.</p>","PeriodicalId":54184,"journal":{"name":"International Quarterly of Community Health Education","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0272684X19896722","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37481239","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}
Halimah Awang, Nik Ainoon Nik Osman, Norma Mansor, Nur Fakhrina Ab Rashid, Tan Lih Yoong
{"title":"Factors Associated With How Long People Would Like to Live.","authors":"Halimah Awang, Nik Ainoon Nik Osman, Norma Mansor, Nur Fakhrina Ab Rashid, Tan Lih Yoong","doi":"10.1177/0272684X19896733","DOIUrl":"https://doi.org/10.1177/0272684X19896733","url":null,"abstract":"<p><p>This article examined the factors of how long people would like to live involving 462 respondents aged 40 years and older in Malaysia. Data collected through an online self-administered survey indicated that 75% of the respondents would like to live at least 80 years and on average most people would like to live 81 years. Rural respondents, those who agreed that they have a loving family, those who agreed that they want to continue working for as long as they can, respondents who believed that they will not need long-term care at 65 years and older, and those who may consider living in an assisted living facility were more likely to want to live at least 80 years compared with respondents who did not agree. Efforts should be targeted at promoting healthy lifestyle and providing more employment opportunities for older persons.</p>","PeriodicalId":54184,"journal":{"name":"International Quarterly of Community Health Education","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0272684X19896733","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37491197","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":"Ergonomic Principles as an Adjunct to the Profession of Biokinetics","authors":"M. Burger, T. Ellapen, Y. Paul, G. Strydom","doi":"10.1177/0272684X19885493","DOIUrl":"https://doi.org/10.1177/0272684X19885493","url":null,"abstract":"Work-related injuries date back to antiquity. Attempts to resolve these work-related challenges have, inter alia, led to the establishment of the professions of Ergonomics, Occupational Therapy, Physiotherapy, Occupational Hygiene, and Biokinetics. The objective of this article is to illustrate the value of Ergonomic principles as an adjunct to the profession of Biokinetics. Insofar as Ergonomics addresses the physical and environmental risks which predispose and precipitate injuries, the profession of Ergonomics is primarily concerned with the practice of eradicating work-related challenges that impede human–machine interfacing, and which adversely influence work productivity and employee health. While Occupational Therapy and Biokinetics, by rehabilitating work-related injuries, assist in improving working conditions, little is known about the exact interface between the professions of Ergonomics and Biokinetics. The Google Scholar database was consulted in order to determine the relationship between Ergonomics and Biokinetics. The key words used were ergonomics and biokinetics and lead to the identification of 545 records, none of which pertained to the aforementioned subject. A subsequent search was conducted using the key words work-related musculoskeletal injuries and biokinetics. This search identified 925 records, the number of which were reduced to 42 (4.76%) after the exclusion of patents (n = 24), citations (n = 3), and nonbiokinetic work-related injury research (n = 856). Given that many work-related injuries are managed through the use of biokinetic rehabilitation, knowledge of the physical ergonomic risk factors at play will afford biokineticists an enhanced understanding of the etiology of work-related injuries, thereby helping to improve the vigor of the rehabilitation.","PeriodicalId":54184,"journal":{"name":"International Quarterly of Community Health Education","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0272684X19885493","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44013857","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":"A Short-Duration Combined Exercise and Education Program to Improve Physical Function and Social Engagement in Community-Dwelling Elderly Adults.","authors":"Satoshi Yamamoto, Daisuke Ishii, Akira Noguchi, Kenya Tanamachi, Yoshitaka Okamoto, Yuka Takasaki, Kazuhiro Miyata, Yoshihiko Fujita, Hiroshi Kishimoto, Kazushi Hotta, Koichi Iwai, Yutaka Kohno","doi":"10.1177/0272684X19896732","DOIUrl":"https://doi.org/10.1177/0272684X19896732","url":null,"abstract":"<p><p>Exercise is a key intervention for improving older adults' physical function and life expectancy. Here, we investigated a short-term intervention program designed to improve the physical functioning of elderly adults in a community-dwelling setting. We examined the effect of a 5-week combined exercise and education program on the physical function, social engagement, mobility performance, and fear of falling in 42 subjects older than 65 years. Eleven subjects dropped out. There was significant improvement in the 30-second chair stand test (<i>p</i> < .001) and timed up-and-go test (<i>p</i> < .001) between the baseline and the last session. At the end of the intervention, the subjects' social engagement was significantly higher than at baseline (<i>p</i> = .022), but this improvement was not maintained in the follow-up assessment. These results suggest that a combined exercise and education program can improve the physical function and social engagement of elderly individuals living in a community dwelling.</p>","PeriodicalId":54184,"journal":{"name":"International Quarterly of Community Health Education","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0272684X19896732","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37481240","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}