Akgün Yeşiltepe, Mihriban Ulucan, Ayşenur Akan, Hafize Öztürk Can
{"title":"Sexually transmitted diseases-related knowledge levels of midwifery students studying at two different universities: A comparative study.","authors":"Akgün Yeşiltepe, Mihriban Ulucan, Ayşenur Akan, Hafize Öztürk Can","doi":"10.29063/ajrh2025/v29i7.5","DOIUrl":"10.29063/ajrh2025/v29i7.5","url":null,"abstract":"<p><p>This study aimed to compare the knowledge levels of midwifery students from two universities in eastern and western Turkey regarding sexually transmitted diseases (STDs). A descriptive, comparative study was conducted with midwifery students from both regions.The average score on the STD Knowledge Test was 14.49±3.83. Students from the western university scored 14.63±3.60, while those from the eastern university scored 13.98±4.58. Among western university students, knowledge scores were significantly associated with factors such as year of study, place of residence, and prior sexual health education. For eastern university students, significant factors included age, year of study, social security status, and university-based sexual health education (p<0.05). It is recommended that educational programs be strengthened to enhance students' knowledge and improve access to accurate, reliable information.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 7","pages":"48-58"},"PeriodicalIF":1.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144726485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Gender theory and female homicide victimization: A cross-national analysis 2000-2019.","authors":"Jiming Wang","doi":"10.29063/ajrh2025/v29i7.8","DOIUrl":"10.29063/ajrh2025/v29i7.8","url":null,"abstract":"<p><p>This study examines the association between gender inequality and female homicide victimization using cross-national panel datasets from the WHO Mortality Database. While the \"Ameliorative Hypothesis\" and \"Backlash Hypothesis\" exhibit strong explanatory power, their contradictory conclusions caution against unidimensional analytical frameworks, underscoring the need for typologizing gender inequality. Through multidimensional analysis of economic income, political status, labor participation, and educational attainment, results reveal that economic gender equality correlates with increased female homicide victimization rates, while political gender equality demonstrates mitigating effects. No significant associations were observed for labor participation and educational attainment dimensions. Social environment indicators also show differential impacts on victimization rates. These findings highlight the multifaceted nature of female homicide victimization determinants, necessitating context specific legal and policy interventions for women's rights protection.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 7","pages":"83-93"},"PeriodicalIF":1.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144726480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yue Li, Hongyun Wang, Jun Yang, Huiyan Wang, Jiujun Peng, Ying Hong
{"title":"Triage accuracy of a six-gene methylation detection for high-risk HPV-positive Chinese women.","authors":"Yue Li, Hongyun Wang, Jun Yang, Huiyan Wang, Jiujun Peng, Ying Hong","doi":"10.29063/ajrh2025/v29i7.13","DOIUrl":"10.29063/ajrh2025/v29i7.13","url":null,"abstract":"<p><p>This study aimed to evaluate the triage accuracy of a six-gene methylation detection test in high-risk human papillomavirus-positive women in China. A total of 369 cervical exfoliated cell samples were collected from high-risk human papillomavirus-positive women undergoing cervical cancer screening at Nanjing Drum Tower Hospital from October 2018 to August 2019. The methylation status of six gene was assessed using real-time methylation-specific polymerase chain reaction. The triage accuracy for cervical intraepithelial neoplasia grade 2 and 3 was compared with that of a commercial methylation kit, cervical cytology, and human papillomavirus types 16/18 tests using receiver operating characteristic curves. Additionally, the effectiveness of the six-gene test for triaging cervical intraepithelial neoplasia grade 2+ and 3+ was validated in 215 samples collected between January and November 2020 and compared with p16/Ki-67 dual-staining cytology. The results demonstrated a significant increase in the positive methylation rate with the severity of cervical intraepithelial neoplasia (P<0.001). This six-gene methylation pattern holds promise for improving triage accuracy in cervical cancer screening for high-risk human papillomavirus-positive women.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 7","pages":"137-147"},"PeriodicalIF":1.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144726487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aman Khan, Bai Ren Ding, Muhammad S Khan, Essebe Njoh H Épiphanie
{"title":"Exploring the intersection of tradition and modernity: Parents' perspectives on co-education in Khyber Pakhtunkhwa, Pakistan.","authors":"Aman Khan, Bai Ren Ding, Muhammad S Khan, Essebe Njoh H Épiphanie","doi":"10.29063/ajrh2025/v29i7.9","DOIUrl":"10.29063/ajrh2025/v29i7.9","url":null,"abstract":"<p><p>This study examines the socioeconomic and cultural factors that influence parental perspectives on co-education in Khyber Pakhtunkhwa, a province in Pakistan renowned for its diversity and cultural richness. The primary objective was to investigate the impact of various socioeconomic statuses, cultural norms, and societal expectations on parents' educational choices for their children. We gathered information from a group of 220 parents in the Mardan District using structured questionnaires and a research method that describes and looks for connections. We selected the parents through several rounds of random sampling. Furthermore, we used chi-square and gamma analysis to assess relationships between key variables in the data. The study reveals a significant correlation between parents' socioeconomic status and education choices. Families with higher financial resources and educational backgrounds tend to favor co-educational systems, recognizing their benefits in social skills and career readiness. In contrast, individuals from lower socioeconomic backgrounds tend to favor single-gender education. The study highlights significant differences attributed to financial constraints and cultural factors and recommends engaging the community, providing financial assistance for co-education enrollment, and enhancing school safety and gender equality. It also emphasizes the importance of addressing parental concerns about co-education.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 7","pages":"94-106"},"PeriodicalIF":1.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144726478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Factors influencing the desire to limit childbearing among in-union women in selected Southern African countries: A pooled analysis.","authors":"Zama P Nkosi, Mluleki Tsawe","doi":"10.29063/ajrh2025/v29i7.2","DOIUrl":"10.29063/ajrh2025/v29i7.2","url":null,"abstract":"<p><p>High fertility strains national resources, making it crucial to understand factors influencing women's desire to limit childbearing. This study examined the socio-demographic factors associated with in-union women's desire to limit childbearing using Demographic and Health Survey data from Angola, Lesotho, Malawi, Namibia, South Africa, Zambia, and Zimbabwe. A weighted sample of 47669 women aged 15-49 was analysed using binary logistic regression. Overall, 39.4% of women desired to limit childbearing. Key associated factors included age, level of education, employment status, age at first birth, age at first marriage, ideal number of children, number of living children, contraceptive use, household wealth, and place of residence. Older women, those with secondary or higher education, those whose ideal number of children was one child, and those with six or more living children were more likely to express a desire to limit childbearing. These findings highlight the need for targeted reproductive health policies and interventions tailored to women's reproductive preferences in Southern Africa.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 7","pages":"13 26"},"PeriodicalIF":1.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144726479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect and mechanism of local radiotherapy combined with immune checkpoint inhibitor in the treatment of metastatic triple negative breast cancer.","authors":"Qiong Lu, Fei Wang, Lei Yu, Ping Lv","doi":"10.29063/ajrh2025/v29i7.3","DOIUrl":"10.29063/ajrh2025/v29i7.3","url":null,"abstract":"<p><p>Triple negative breast cancer is highly sensitive to immunotherapy due to its high PD-L1 expression; however, many patients exhibit poor response or develop resistance. This study evaluates the efficacy and mechanism of local radiotherapy combined with PD 1/PD-L1 inhibitors in metastatic triple negative breast cancer treatment. A retrospective analysis of 40 patients divided into a combination group (local radiotherapy + PD-1/PD-L1 inhibitor) and a single-agent group (PD-1/PD-L1 inhibitor) was conducted. Clinical efficacy, progression-free survival, immune cytokine levels (Tumor necrosis factor-α, Interleukin-1, and Interleukin-8), and adverse effects were compared. Results showed that the combination therapy significantly improved clinical outcomes and prolonged progression-free survival without increasing toxicity. Patients receiving local radiotherapy and PD-1/PD-L1 inhibitors exhibited reduced immune cytokines, with no significant post-treatment increase in Tumor necrosis factor-α, Interleukin-1, and Interleukin-8 levels. These findings suggest that local radiotherapy enhances the effectiveness of PD-1/PD-L1 inhibitors in TNBC treatment without raising the risk of adverse effects.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 7","pages":"27-35"},"PeriodicalIF":1.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144726475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Gender-based violence against young women: A comparative analysis of cross-sectional surveys of 11 sub-Saharan African countries.","authors":"Kazeem A Sunmola, Sunday A Adedini","doi":"10.29063/ajrh2025/v29i7.7","DOIUrl":"10.29063/ajrh2025/v29i7.7","url":null,"abstract":"<p><p>Despite several national and international strategic efforts against gender-based violence, the problem persists, particularly in sub Saharan Africa (SSA), where thirty percent of women report the experiences of physical or sexual violence in their lifetime. The objective of this study was to determine the prevalence and determinants of gender-based violence among young women aged 15 24 in eleven sub-Saharan African (SSA) countries. A total of 68,186 young women aged 15-24 were pooled from the Demographic and Health Surveys (DHS) data of eleven SSA countries on the basis of availability of nationally representative and comparable data within the last five years, from 2017/2018 and 2021. The results showed that the proportion of young women aged 15-24 who ever experienced physical violence was highest (10%) in Zambia while Senegal had the lowest proportion (0.7%). Again, the highest proportion (15%) of young women in Liberia had ever experienced any sexual violence by their husbands or partners while the least (4%) was found in Senegal. Furthermore, adherents of Islam were 57% less likely (AOR=0.43, C.I: 0.34-0.53) to experience physical violence than their Christian counterparts. Women who reside in rural areas were 14% less likely (AOR=0.86, C.I: 0.76-0.96) to experience physical violence than urban residents. Young women in polygynous unions were 1.6 times more likely (AOR=1.55, C.I: 1.26-1.92) to experience sexual violence than those in monogamous relationships. We conclude that enhancing the poor socioeconomic status of young women, particularly those with no formal education and women in polygynous unions is fundamental to eradicating gender-based violence against young women in sub-Saharan Africa.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 7","pages":"70-82"},"PeriodicalIF":1.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144726481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mpox surge in West Africa: Unmet maternal health needs.","authors":"Anne Baber Wallis","doi":"10.29063/ajrh2025/v29i7.1","DOIUrl":"10.29063/ajrh2025/v29i7.1","url":null,"abstract":"<p><p>In the first half of 2025, mpox (formerly known as monkeypox) cases in West Africa appear to have multiplied, straining already-fragile health systems, diverting resources, and raising questions about maternal health implications. In 2024, the World Health Organization (WHO) deemed mpox infections a public health emergency of international concern.1 With global donor funds at a low due to the withdrawal of the US from the World Health Organization (WHO), a scratched US Agency for International Development (USAID), and US Centers for Disease Control and Prevention (CDC) cutbacks, it is an inopportune time for new outbreaks.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 7","pages":"9-12"},"PeriodicalIF":1.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144726482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anastasia I Isika, Afiong O Oku, Izuchukwu F Obi, Angela Oyo-Ita
{"title":"Client satisfaction with the quality of maternal healthcare services among immunization clinic attendees in selected primary healthcare facilities in Cross River State, Nigeria: a rural - urban comparison.","authors":"Anastasia I Isika, Afiong O Oku, Izuchukwu F Obi, Angela Oyo-Ita","doi":"10.29063/ajrh2025/v29i6.12","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i6.12","url":null,"abstract":"<p><p>The increasing number of maternal deaths is a major global health concern. Most causes of these deaths are preventable through provision of quality maternal healthcare services (MHS). Client satisfaction has been recognized as an important indicator of healthcare quality. This study aimed to compare client satisfaction with MHS in selected rural and urban health facilities in Cross River State. A cross-sectional comparative study conducted among 466 mothers accessing immunization services recruited using a systematic sampling technique. Data was collected using an interviewer-administered questionnaire and analysed using SPSS version 25, employing bivariate analysis at (p<0.05). The overall mean age of respondents was 26.51±5.8 years. A significantly higher proportion of clients in the urban (92.2%) compared to the rural (81.5%) were satisfied with MHS (p=0.001). Clients' satisfaction level were significantly higher in the urban compared to the rural, (input: 56.4% rural, 76.1% urban, process: 85.8% rural, 93.7% urban; outcome: 96.2% rural, 100% urban). At bivariate analysis, only marital status was found to be associated with MHS satisfaction and among married women residing in urban setting. Therefore, interventions targeting improvement across all domains in the rural and input domain in the urban facilities is strongly recommended.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 6","pages":"129-140"},"PeriodicalIF":0.7,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144504483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Context and reasons of preference for use of traditional birth attendant care in Indonesia and Ethiopia.","authors":"Sudirman Nasir","doi":"10.29063/ajrh2025/v29i6.4","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i6.4","url":null,"abstract":"<p><p>Despite progress achieved in improving maternal health in Indonesia and Ethiopia, both countries still have high maternal deaths. To address this key issue, the Indonesian and Ethiopian governments prioritise health facility childbirth and discourage the use of Traditional Birth Attendant (TBA) care. The study aims to explore context and reasons of preference to use TBA care in Indonesia and Ethiopia. Employing a qualitative approach, 110 semi-structured interviews (SSIs) and 7 focus group discussions (FGDs) in Cianjur and Southwest Sumba (Indonesia), as well as 44 SSIs and 14 FGDs in Sidama (Ethiopia) were conducted. Study participants included mothers, TBAs, community health providers, men within those communities and village leaders. The study found that preference for TBA care persists in the study sites within both countries. TBAs' cultural, psychological and geographical proximity, TBAs' wide-ranging and culturally deep-rooted services are important context and reasons of the preference for utilising TBA care. Improving health system cultural sensitiveness and strengthening partnership between formal health workers and TBAs have potential to enhance maternal health in both countries.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 6","pages":"40-57"},"PeriodicalIF":0.7,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144504487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}