American journal of public health research最新文献

{"title":"Modification of Dietary Habits for Prevention of Gout in Japanese People: Gout and Macronutrient Intake","authors":"Takashi Koguchi","doi":"10.11648/J.AJHR.20210905.13","DOIUrl":"https://doi.org/10.11648/J.AJHR.20210905.13","url":null,"abstract":"In Japan, most of gout patients are adults, and the prevalence of gout has increased markedly since the 1960s. This phenomenon is thought to be attributed to the westernization of the Japanese diet since 1955. Monitoring the intake of nutrients and foods in Japanese people is essential in the prevention of gout. The objective of this article is to propose a preventive method for gout through the evaluation of recent dietary habits in Japanese people. In this article, the author suggests what macronutrient intake is important for the prevention of gout in Japanese people referencing the results of clinical research reported. The author used the data of the Comprehensive Survey of Living Conditions in Japan for the number of gout patients (1986-2016) and the data of the National Health and Nutrition Survey in Japan (1946-2017) for the intake of macronutrients. The relationship between the number of gout patients and macronutrient intake in Japanese people was examined. Modification of macronutrient intake for the prevention of gout in Japanese people (especially adults) is suggested as follows: energy-providing nutrient balance (percentages of proteins, fats, and carbohydrates in total energy intake) should be within the range of the tentative dietary goal for preventing lifestyle-related diseases (DG); reduce fat (especially animal fat) intake and maintain the mean ratio of energy intake from saturated fatty acids in total energy intake (Saturated fatty acids/Energy) within the range of the tentative dietary goal for preventing lifestyle-related diseases (DG); limiting or decreasing intake of fat (especially animal fat); replacement of saturated fatty acids (e.g., dairy fats, meat fat) with mono- and polyunsaturated fatty acids (especially n-3 polyunsaturated fatty acids) (e.g., macadamia nuts, almonds, peanuts and peanut butter, olive oil, canola oil, avocados); avoidance of excessive intake of saturated fatty acids and cholesterol; pay attention to sucrose and fructose intake; increase intake of dietary fiber; and maintenance of good hydration.","PeriodicalId":90785,"journal":{"name":"American journal of public health research","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85988497","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":"Modification of Dietary Habits for Prevention of Gout in Japanese People: Gout and the Japanese Diet","authors":"Takashi Koguchi","doi":"10.11648/J.AJHR.20210905.12","DOIUrl":"https://doi.org/10.11648/J.AJHR.20210905.12","url":null,"abstract":"Gout is the most common form of inflammatory arthritis, and it is characterized by the deposition of monosodium urate crystals that form in the presence of increased uric acid concentrations. A high serum uric acid concentration (hyperuricemia) is frequently associated with gout. The burden of gout has increased between 1990 and 2017 globally. In Japan, most of gout patients are adults, and the number of gout patients are higher in men than in women. The prevalence of gout has increased markedly since the 1960s. The Japanese Society of Gout and Uric & Nucleic Acids has stated that an increase in hyperuricemia and gout patients is attributed to changes in environmental factors (e.g., purine intake, fructose intake, meat and visceral intake, alcohol consumption, strenuous muscle exercise, stress, obesity) rather than genetic factors. The Japanese economy revived to pre-World War II levels around 1955 and the eating habits in 1960s became stable. The menu of Japanese food has been rapidly expanded with a variety of dishes due to the westernization of meals from 1955 to 1965. Compared to the Japanese diet in 1950, in the Japanese diet in 2016, consumption of rice and potatoes decreased, whereas intake of wheat, legumes, seeds and nuts, seaweed, vegetables, fruit, meat, seafood, eggs, milk and dairy products, oils and fats, seasoning and spices increased. This phenomenon is thought to be attributed to the westernization of the Japanese diet since 1955. Recognizing changes in the Japanese diet are important for dietary habits modification to prevent gout in Japanese people. The objective of this article is to propose a preventive method for gout through the evaluation of recent dietary habits in Japanese people. This article suggests that changes in the Japanese diet are possible to be one of the factors contributing to the increase in the number of gout patients in Japan.","PeriodicalId":90785,"journal":{"name":"American journal of public health research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82317776","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":"Modification of Dietary Habits for Prevention of Gout in Japanese People: Gout and Micronutrient Intake or Alcohol Consumption","authors":"Takashi Koguchi","doi":"10.11648/J.AJHR.20210905.14","DOIUrl":"https://doi.org/10.11648/J.AJHR.20210905.14","url":null,"abstract":"In Japan, most of gout patients are adults, and the prevalence of gout has increased markedly since the 1960s. This phenomenon is thought to be attributed to the westernization of the Japanese diet since 1955. Monitoring the intake of nutrients and foods in Japanese people is essential in the prevention of gout. The objective of this article is to propose a preventive method for gout through the evaluation of recent dietary habits in Japanese people. In this article, the author suggests the importance of micronutrient (vitamin and mineral) intake and alcohol consumption for prevention of gout in Japanese people referencing the results of clinical research reported. The author used the data of the Comprehensive Survey of Living Conditions in Japan for the number of gout patients (1986-2016) and the data of the National Health and Nutrition Survey in Japan (1946-2017) for the intake of micronutrients. The relationship between the number of gout patients and micronutrient intake in Japanese people was examined. Modification of micronutrient intake for the prevention of gout in Japanese people (especially adults) is suggested as follows: limiting or decreasing salt intake; increase intake of vitamin A, vitamin B1, vitamin B2, vitamin B6, calcium, potassium, magnesium, and zinc; and limiting alcohol consumption.","PeriodicalId":90785,"journal":{"name":"American journal of public health research","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90564426","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":"Modification of Dietary Habits for Prevention of Gout in Japanese People: Gout and Food Intake","authors":"Takashi Koguchi","doi":"10.11648/J.AJHR.20210905.15","DOIUrl":"https://doi.org/10.11648/J.AJHR.20210905.15","url":null,"abstract":"In Japan, most of gout patients are adults, and the prevalence of gout has increased markedly since the 1960s. This phenomenon is thought to be attributed to the westernization of the Japanese diet since 1955. Monitoring the intake of nutrients and foods in Japanese people is essential in the prevention of gout. The objective of this article is to propose a preventive method for gout through the evaluation of recent dietary habits in Japanese people. In this article, the author shows the relationship between the number of gout patients and food intake in Japanese people and suggests modification of food intake for the prevention of gout in Japanese people referencing the results of clinical research reported. The author used the data of the Comprehensive Survey of Living Conditions in Japan for the number of gout patients (1986-2016) and the data of the National Health and Nutrition Survey in Japan (1946-2017) for the intake of foods. The relationship between the number of gout patients and food intake in Japanese people was examined. Modification of food intake for the prevention of gout is suggested as follows: limiting the intake of meat, organ meats high in purine content (e.g., liver, kidney), confectioneries (sugary foods including desserts and sweets), and sugar-sweetened beverages; limiting alcohol beverage consumption; limiting or decreasing intake of oils and fats, and seasonings and condiments (soy paste, soy sauce, and sauce); encourage intake of fiber-rich foods (e.g., cereals, whole grains, high-fiber bread), eggs, milk and dairy products (especially low-fat dairy products), legumes, seeds and nuts, fruit, vegetables, and coffee. The above dietary habits for the prevention of gout with proper choices of foods may also play a helpful role in the prevention of gout.","PeriodicalId":90785,"journal":{"name":"American journal of public health research","volume":"360 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80222690","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":"Experiences and Perceptions on Transitioning from Pediatric to Adult Care Among Patients with Sickle Cell Disease in an NYC Hospital","authors":"Sharfun Ara, Collette M. Brown","doi":"10.12691/ajphr-9-5-6","DOIUrl":"https://doi.org/10.12691/ajphr-9-5-6","url":null,"abstract":"Sickle Cell Disease (SCD) is a genetic disease and a major global public health concern. The transition process from pediatric to adult care is complicated and frustrating for many patients and physicians. This qualitative, phenomenological study explored the perceptions and experiences of Physicians-In-Training (PIT) and young adult patients regarding the transition process from pediatric to adult care. A total of 12 participants (four pediatric PIT and eight young adult patients with SCD) from a hospital in New York City participated in the study. Data were collected through semi-structured interviews, which were audio-recorded, transcribed, and hand-coded into themes. The findings revealed that young adults with SCD had negative experiences and perceptions throughout the transition process. Inadequate information about the transition, poor relationships with adult providers, and long waiting times in the ER reduced the quality of care of patients with SCD. Social support during the transition process came mainly from their parents. Young adults believed that there should be a better relationship with the adult providers, and that patients with SCD and the adult clinical team should be educated about the transition process. Seventy-five percent (75%) of the PIT mentioned that transition to adult care usually starts at age 21; however, they believed that the transition process should start at age 15. They lacked knowledge about the transition process and support services for patients with SCD. They also reported hesitation of pediatric patients to transfer to adult care. They expressed concern that young adults might not be adherent to their medications and schedule their appointments when needed. The transition process should include adequate preparation, patient education, social support, communication between pediatric and adult settings, and a relationship between patients and adult providers.","PeriodicalId":90785,"journal":{"name":"American journal of public health research","volume":"70 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77156978","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":"Survivors of Covid-19: Testing, Symptoms, Severity, and Post-Exposure Conditions among New Yorkers","authors":"Collette M. Brown, Latoya Callender, P. Nwakeze, D. M. Dyke, D. Forde, Ronette A. Campbell, J. Wilcox, Phronie Jackson, S. Barrow","doi":"10.12691/AJPHR-9-5-5","DOIUrl":"https://doi.org/10.12691/AJPHR-9-5-5","url":null,"abstract":"The novel Coronavirus Disease 2019 (COVID-19) is a pandemic of great public health and clinical concern due to its high rate of infectivity, and subsequent morbidity and mortality. The objectives of the study were to 1) assess individual experiences with testing and symptoms of COVID-19 infection; 2) determine the extent to which individuals experienced COVID-19 post-exposure symptoms; and 3) determine if an association exists between pre-existing conditions and severity of COVID-19 symptoms with post-exposure symptoms. One hundred and twenty-one (N= 121) New York State residents who had COVID-19 symptoms and were tested positive for the virus participated in this study. The survey was created in Qualtrics, and the link was posted online (Facebook, Twitter, Snap Chat), and sent to New Yorkers via email and WhatsApp to gather data. Data were exported from Excel spreadsheet to Statistical Package for the Social Sciences (SPSS), version 25, where Chi-Square tests were conducted. Results indicated that most of the participants were between ages 18-35 (54.5%), African Americans (50.4%), non- Hispanic (65%), female (69.4%), had less than a college degree (51%), and made an income in 2019 of less than $55,000 per year (62%). Eighty-seven (approximately 73%) of the participants reported that getting access to testing was easy/very easy. More than one-half reported that they experienced fatigue (66.9%), lack of energy (61.2%), headache (57.9%), muscle ache (53.7%), cough (50.4%), and loss of smell (50.4%) while infected with COVID-19. Participants who experienced symptoms described their most bothersome symptom as severe (37%), followed by mild (33%), and moderate (27%). There was a statistically significant relationship between severity of symptoms and post-exposure problems experienced by participants (X2 = 13.69; df = 2; p = .001); as well as between pre-existing conditions and post-exposure problems experienced by participants (X2 = 10.53; df = 1; p = .001). Information from this study could benefit public health practitioners and clinicians by improving their knowledge about COVID-19 and its impacts on survivors.","PeriodicalId":90785,"journal":{"name":"American journal of public health research","volume":"7 1","pages":"215-221"},"PeriodicalIF":0.0,"publicationDate":"2021-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84276755","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":"Sleep Patterns, Physical Activity Levels and Dietary Intake of University Students in Southwestern Nigeria: Changes During COVID-19 Pandemic","authors":"M. Olodu, A. Adeomi, Abdulkareem Babalola Murtala, Joy Adurapemi Odedele, Eunice Othuke Oboreh","doi":"10.12691/AJPHR-9-5-4","DOIUrl":"https://doi.org/10.12691/AJPHR-9-5-4","url":null,"abstract":"Background: Evidence shows that independent of the pandemic, the university students already exhibit poor sleep patterns, low physical activity and sub-optimal dietary intake. The restrictive measures imposed to curb the disease spread are likely to influence these modifiable factors. This study seeks to assess the influence of COVID-19 on sleep patterns, physical activity level and dietary intake of university students in Southwestern Nigeria. Methods: A total sample size of 396 undergraduates were selected using a multi-stage sampling technique. A semi-structured self-administered questionnaire, which had three sections, was used to elicit information. Sleep patterns were assessed with questions adapted from Pittsburgh Sleep Quality Index (PSQI). Physical activity was assessed using items from the International Physical Activity Questionnaire (IPAQ)-Short Forms (SF), and dietary intake was assessed using items from the PLife COVID-19 questionnaire. Results: Most of the students had increased sleep-wake time (60.4%), Sleep duration (62%) and at least eight hours of sleep/day (55.1%). A majority (85.3%) had a low physical activity level, and their diet remains unchanged except for water (48.7%), fruit (43%) and dietary supplements (32.6%), which increased slightly. A majority (84.8%) had a worsened dietary intake. Statistically significant relationships exist between sleep quantity, physical activity and dietary intake (p<0.05). Conclusion: The COVID-19 pandemic positively influences the sleep quantity of university students. However, it further compounded the low physical activity and unhealthy dietary intake. A sustainable measure to curtail the spread of a virus, with minimal interference in physical activity and dietary intake of this vulnerable group, should be considered in future pandemics.","PeriodicalId":90785,"journal":{"name":"American journal of public health research","volume":"47 4 1","pages":"207-214"},"PeriodicalIF":0.0,"publicationDate":"2021-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86571304","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":"Compassionate Care: Correlation and Predictors of Nurses’ and Patients’ Opinions","authors":"H. Hassan, Aziza Abozid, Abeer Elmghwry, E. M. Ibrahim","doi":"10.12691/AJPHR-9-6-2","DOIUrl":"https://doi.org/10.12691/AJPHR-9-6-2","url":null,"abstract":"Background: Compassion has also been defined as acknowledgment and engagement with one's own suffer and the suffering of others, together with a deep commitment to work towards alleviating and preventing that suffering. This definition highlights two psychological components of compassion that provide a direction for the therapy. Aim: This study aims to evaluate the correlation and predictors of nurses’ and patients’ opinions about compassion in Beni-Suef city. Design: A descriptive cross-sectional design was used in conducting the study. Setting: This research was conducted at Beni-Suef University Hospital, General Hospital, as well as Continuing/Long-term care and Home Health Care (HHC) services. Sample: 140 nurses being employed in the current health care facility for at least one year were eligible for inclusion in the study sample and all elderly (140) patients receiving care in the above-mentioned settings. Tools: Two tools have been used to gather data; 1) Structured questionnaire interview sheet included data related to socio-demographic characteristics for nurses and patients. 2) Compassionate Care Scale. Results: Statistically significant moderate positive correlations were identified among nurses’ scores of compassionate care attitude, practice, and confidence. Nurses’ scores of compassionate care confidence and practice had statistically significant weak positive correlations with their qualification, and negative correlations with their age and experience. The unmarried status of the nurse was the only statistically significant independent negative predictor of the compassionate care attitude score. A strong statistically significant negative correlation between patients’ scores of opinions about patient expectations and nurses’ attitude toward compassionate care (r=-0.900). Conclusion: The study findings concluded a strongest correlation between the scores of nurse competence and caring attributes. A strong statistically significant negative correlation between patients’ scores of opinions about patient expectations and nurses’ attitude toward compassionate care was found. Recommendations: Replication of this study on a large representative probability sample is highly recommended to achieve more generalization of the results for further research. The impact of such training interventions on elderly patients’ opinions about compassionate care should also be investigated.","PeriodicalId":90785,"journal":{"name":"American journal of public health research","volume":"97 1","pages":"234-243"},"PeriodicalIF":0.0,"publicationDate":"2021-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86353800","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":"Insights into Inconsistent Infant Safe Sleep Practices among African American Caregivers","authors":"Malliga Jambulingam, M. Alston, Ariel Hunt, David Thomas, Y. Bronner","doi":"10.12691/ajphr-9-5-3","DOIUrl":"https://doi.org/10.12691/ajphr-9-5-3","url":null,"abstract":"Background: After the 1994 national “Safe Sleep Campaign,” acceptance of infant sleep practices was followed by a significant reduction in the national SIDS death rate. Interestingly, SIDS deaths of African American (AA) infants has remained comparatively high --creating an incidence rate disparity. The elusive question is “why?” Understanding the basis of infant safe sleep practices by given AA caregivers is therefore important to effectively address inconsistency surrounding the “ABCs” of safe sleep practices. Objective: To understand the knowledge base, attitudes, circumstances, and current behavioral patterns surrounding infant safe sleep practices among given AA caregivers. Methods: A purposive sampling strategy, including 31 participants from three targeted Baltimore communities, was employed. Knowledge and attitudes of caregivers were assessed using a Focus Group questionnaire to draw participant responses about why ABC strategies for safe sleep were not consistently followed. Caregivers’ practices of infant placement for sleep were first assessed by having them demonstrate their routine using a life-size doll in a crib which purposefully contained other items. All group conversations were audio-recorded and transcribed. Collected data were analyzed using Atlasti and by two researchers. Results: A substantial percentage of the AA caregivers of these communities did not fully understand safety-based and anatomical rationale for placing infants alone and on their backs for sleep. Many expressed fears that the baby might choke, the goal of getting maximum sleep for baby and caretaker, while some sought easy monitoring ability. Conclusion: Understanding the misgivings, circumstances, and fears are instrumental for imagining and supplementing existing safe sleep practice recommendations. Continued Town Hall forums that include practical demonstrations, along with meaningful discussions with educational tools, inclusive of Q & A follow-up should be developed to reduce fears and misconceptions to best increase consistent practice of placing infants alone in supine reduce the risk of SRID.","PeriodicalId":90785,"journal":{"name":"American journal of public health research","volume":"59 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85733589","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":"General Perception of Illness and Gender Differences in Health Seeking Behaviour amongst Kom People of Boyo Division in Cameroon during the COVID 19 Pandemic","authors":"Kenneth Yongabi Anchang, Uwakwe Promise Chinedu, Bernadette Ateghang, Obasi Chidera","doi":"10.12691/AJPHR-9-5-2","DOIUrl":"https://doi.org/10.12691/AJPHR-9-5-2","url":null,"abstract":"Background: Individual responses to health are influenced by an array of issues, ranging from personal traits, such as beliefs, to elements acquired through education and the socioeconomic environment. Individual responses to health became intensified during the COVID 19 pandemic in Cameroon. Health-seeking behavior is an important indicator of how health services are used and how they can modify the health outcomes of populations. This study aimed to evaluate the perception of illness and health-seeking behavior amongst the indigenous Kom people in Njinikom Sub Division, Cameroon within the COVID 19 pandemic era Cameroon to help facilitate this process of making health care choices within a brewing COVID 19 pandemic. Methods: A cross-sectional study was carried out by trained interviewers (five nurses), during which a total of 400 people (55.7% female) aged 18-60 years were chosen using multistage random sampling and interviewed after obtaining their informed consent. Data on the respondent's socio-demographic structures and patterns of illness and health-seeking behaviors in their last illness were collected using structured questionnaires. The study statistic used was Chi-square (X2), with a significant level (α) set at 0.05. Four components of community engagement were considered in the study, namely; (1) social support, (2) individual motivation, (3) service utilization, and (4) community acceptance. Results: The study revealed malaria as the most common disease (51%), followed by typhoid fever (21%). Results showed that women are more likely to seek health than males. The differences explained above were significant (X2 = 8.771, P = 0.003). A significant relationship was also observed between gender and health-seeking with an effect size of 0.148 (P = 0.003), as well as between level of education and health-seeking (X2 = 49.422, P < 0.001). There was no significant relationship between religion and health-seeking (X2 = 6.383, P = 0.076), as well as between occupation and health-seeking (X2 = 44.476, P < 0.001). Conclusion: Health-seeking behavior in Njinikom includes a high rate of self-medication and use of traditional medicine, due to the misconception of disease and the costs of health services. Even among respondents who prefer orthodox medicine, the principal reasons for its use were comparisons to traditional medicine, usually with a bad perceptional concept of it. Better health outcomes will be achieved if practical health literacy and promotional programs are developed that take into account the special needs of the community members and their living environment.","PeriodicalId":90785,"journal":{"name":"American journal of public health research","volume":"34 1","pages":"189-200"},"PeriodicalIF":0.0,"publicationDate":"2021-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89387054","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}