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International Quarterly of Community Health Education

Patricia Anafi, Wisdom K Mprah, Allen M Jackson, Janelle J Jacobson, Christopher M Torres, Brent M Crow, Kathleen M O'Rourke
In 2008, the government of Ghana implemented a national user fee maternal care exemption policy through the National Health Insurance Scheme to improve financial access to maternal health services and reduce maternal as well as perinatal deaths. Although evidence shows that there has been some success with this initiative, there are still issues relating to cost of care to beneficiaries of the initiative. A qualitative study, comprising 12 focus group discussions and 6 interviews, was conducted with 90 women in six selected urban neighborhoods in Accra, Ghana, to examine users' perspectives regarding the implementation of this policy initiative...
January 1, 2018: International Quarterly of Community Health Education
Adekunle D Alabi, Olalekan A Oke, Babatunde O Adedokun, Tamramat I Runsewe-Abiodun
A large proportion of Nigerian adolescents are sexually active and the country has one of the highest HIV prevalence among youths globally. This study was done to assess the perception and practice of HIV/AIDS counseling and testing (HCT) among secondary school adolescents in a rural community in Southwest Nigeria. A cross-sectional descriptive study was carried out using multistage sampling method. The results showed that despite high level of HCT awareness, majority of the adolescents (62.9%) had negative attitude toward it...
January 1, 2018: International Quarterly of Community Health Education
Mathieu Gourlan, Monica Takito, Céline Lambert, Bruno Fregeac, Natalie Alméras, Olivier Coste, Bruno Pereira, Florence Cousson-Gélie
This pilot study pursued three objectives: to assess the effect of a 1-month multilevel intervention on the PA of children, to assess the impact of the intervention on the theory of planned behavior (TPB) variables, and to evaluate the extent to which the impact of the intervention on PA and TPB variables varied according to personal (i.e., gender and age) and situational (i.e., class and school) moderating variables. Children were aged 7 to 11 years ( n = 306). Analyses revealed a significant increase of PA practice and TPB variables ( ps < ...
January 1, 2018: International Quarterly of Community Health Education
Meseret Ayalew, Mateb Tafere, Yohannes Asmare
This study was conducted to examine the prevalence, trends, and consequences of substance use among university students. The prevalence of substance use, the trends of substance use, and the differences among sociodemographic variables in the experiences of substance use as well as the consequences of substance use among university students were assessed in this study. Using stratified sampling method, 1,156 students were chosen. Descriptive statistics, chi-square, one-way analysis of variance, and Pearson correlation coefficient were used for data analysis...
January 1, 2018: International Quarterly of Community Health Education
S S Asa, A Titilayo, J A Kupoluyi
Marital status, from the perspective of men (and especially sexually active men), as a potential factor that influences contraceptive use for the purposes of fertility control, has received little consideration in the scientific literature. This study thus assesses contraceptive use among sexually active men occupying different marital statuses. The study employed the 2013 Nigeria Demographic and Health Survey dataset. Using a total sample of 11,476 weighted sexually active men, the study revealed that 30% of the sampled population were currently using contraceptives, with condom as the dominant method (65...
January 1, 2018: International Quarterly of Community Health Education
Kaji Tamanna Keya, Benjamin Bellows, Ubaidur Rob, Charlotte Warren
To test a statistically significant change in delivery by medically trained providers following introduction of a demand-side financing voucher, a population-based quasi-experimental study was undertaken, with 3,300 mothers in 2010 and 3,334 mothers at follow-up in 2012 in government-implemented voucher program and control areas. Results found that voucher program was significantly associated with increased public health facility use (difference-in-differences (DID) 13.9) and significantly increased delivery complication management care (DID 13...
January 1, 2018: International Quarterly of Community Health Education
Mohammad Bagherniya, Manoj Sharma, Firoozeh Mostafavi Darani, Mohammad Reza Maracy, Mohammad Safarian, Ramesh Allipour Birgani, Vida Bitarafan, Seyed Ali Keshavarz
Background Nowadays childhood obesity has become one the most challenging issue which is considered as a principle public health problem all around the world. This study was conducted with the aim of evaluating the impact of a 7-month school-based nutrition education intervention using social cognitive theory (SCT) to prevent obesity among overweight and obese adolescent girls. Method In this cluster randomized community trial after choosing schools, a total of 172 overweight and obese girl students participated in the study (87 in the intervention and 85 in the control group)...
January 1, 2018: International Quarterly of Community Health Education
Su-I Hou, Ling Jie Liu
This study examined cancer knowledge between church-going younger versus older Chinese adults. Hou's 8-item validated cancer screening knowledge test (CSKT) and a new 14-item cancer warning signs test (CWST) were used to assess objective knowledge. Subjective knowledge was measured by one overall 5-point Likert scale item. A total of 372 Taiwanese and Chinese Americans from nine churches participated. Although there were no significant differences by age on either the CSKT scores (younger = 5.89 vs. older = 5...
January 1, 2018: International Quarterly of Community Health Education
James J Annesi
Background Results of behavioral weight-loss treatments vary widely, with mostly unsuccessful outcomes beyond the short term. Women with obesity participating in a new cognitive-behavioral weight-loss treatment were assessed on their responses to psychological targets. Methods Groups of responders ( n = 43) and nonresponders ( n = 48) were established post hoc. Results Age, race/ethnicity, education, income, body composition, physical activity, and eating behaviors at baseline were not discriminated between responders and nonresponders...
January 1, 2018: International Quarterly of Community Health Education
Linda Larkey, Lizbeth Del Toro-Mejías, Gloria DiFulvio, Aline Gubrium
Digital storytelling workshops are increasingly being used to capture lived experiences and develop/disseminate health promotion messages for vulnerable and marginalized populations. Thirty female Latina teens of varied sexual/parity status produced digital stories of significant life experiences in a group context and then viewed and evaluated them using the Narrative Quality Assessment Tool. This tool was used to examine participants' experience of emotional engagement and identification with each story as well as a single-item indicator of desire to "do something in my community" related to the story...
April 2018: International Quarterly of Community Health Education
Sareh Bakouei, Fatemeh Bakouei, Shabnam Omidvar, Afsaneh Bakhtiari
Health-promoting behaviors are one of the main determinative components of health in the prevention of many diseases. This cross-sectional study aimed to determine health-promoting behaviors and their relationship to sociodemographic variables on 330 women of reproductive age admitted to the selected primary health-care centers in Qom city (one of the biggest cities in Iran) from March 2016 to July 2016. Data were collected using the health-promoting lifestyle profile II (HPLP-II) questionnaire and the sociodemographic characteristics and also were analyzed by one-way analysis of variance, with post hoc (if necessary), and multivariable linear regression...
October 2017: International Quarterly of Community Health Education
Sarah N Cox, Kathryn E Guidera, Molly J Simon, Bareng Aletta Sanny Nonyane, William Brieger, Maria Susanna Bornman, Philippus Stephanus Kruger
Malaria is preventable and treatable, yet remains the most prevalent parasitic endemic disease in Africa. This article analyzes prospective observational data from the Malaria Awareness Program (MAP), an interactive malaria education initiative led by home-based care workers to improve participant knowledge of malaria as a precursor to increased uptake of malaria control interventions in the Vhembe District, Limpopo, South Africa. Between 2012 and 2016, 1,330 individuals participated in MAP. MAP's effectiveness was measured through pre- and post-participation surveys assessing knowledge in malaria transmission, symptoms, prevention, and treatment...
January 1, 2017: International Quarterly of Community Health Education
Catherine A Wickham, Elena T Carbone
FuelUp&Go! is a technology-driven food literacy program consisting of six in-person skill building sessions as well as fitness trackers, text messages, and a companion website. A community-based participatory research approach was used with adolescents who were recruited to participate in a Kid Council. Qualitative data were collected about the use of surveys, program activities, recipes, technology and text messages, and music and incentives. Changes suggested by Kid Councilmembers informed the design and development of a pilot program...
January 1, 2017: International Quarterly of Community Health Education
Olubunmi Olusola Bankole, Folake Barakat Lawal, Abimbola Balogun
Introduction Nomads move from one settlement to another, thus it has been difficult to have adequate documentation about their oral health and that of their children. Aim To investigate the perception and practices of nomadic Fulani women toward their children's oral health. Methodology A cross-sectional study was conducted among 197 Fulani women using a structured interviewer administered questionnaire. Results Perceived causes of tooth decay included tooth germs/worms (23.9%) and sugar (5.1%), and 32.0%, 15...
January 1, 2017: International Quarterly of Community Health Education
Gretchen A Hoffman, Jacee McLellan, Vanessa Hoogendoorn, Andrew W Beck
The safety and efficacy of electroconvulsive therapy (ECT) are well established, yet efforts to educate the public about ECT advancements are lagging. The purpose of this study was to experimentally examine the impact of a brief educational intervention on public knowledge of, and attitudes toward, ECT. Participants ( n = 91) from a private liberal arts university in the upper Midwestern region of the United States were randomly assigned to either an educational intervention or a control group. The educational intervention group read a brief informational pamphlet about ECT...
January 1, 2017: International Quarterly of Community Health Education
Sarah R Blackstone, Ucheoma Nwaozuru, Juliet Iwelunmor
This study systematically explored the barriers and facilitators to routine antenatal HIV testing from the perspective of pregnant women in sub-Saharan Africa during the implementation period of the Millennium Development Goals. Articles published between 2000 and 2015 were selected after reviewing the title, abstract, and references. Twenty-seven studies published in 11 African countries were eligible for the current study and reviewed. The most common barriers identified include communication with male partners, patient convenience and accessibility, health system and health-care provider issues, fear of disclosure, HIV-related stigma, the burden of other responsibilities at home, and the perception of antenatal care as a "woman's job...
January 1, 2017: International Quarterly of Community Health Education
Mary Nolan
Objectives To ascertain the knowledge of young people aged 16 to 19 of early brain development and their attitudes towards the care of babies and preschool children. Design Cross-sectional, school- and college-based survey including all sixth form students present on the days of data collection. The survey instrument comprised forced-choice questions in four sections: Demographics, Perceptions and Understanding of Early Childhood Development, Parental Behaviors to Support Early Brain development, and Resource Needs and Usage...
January 1, 2017: International Quarterly of Community Health Education
Akinlolu G Omisore, Richard O Adesoji, Emmanuel A Abioye-Kuteyi
OBJECTIVES: To examine interprofessional rivalry (IPR) between doctors and other health workers and their understanding of its effects. INTRODUCTION: IPR in Nigeria's health system is a burgeoning issue with apparent adverse effects. The most profound rivalry appears to be between doctors and other health workers. METHODS: A descriptive cross-sectional study involving 120 health workers (24 doctors and 96 other health workers) at the State Specialist Hospital, Okitipupa, Ondo State, Nigeria...
January 1, 2017: International Quarterly of Community Health Education
Fadwa Alhalaiqa, Omar Al Omari, Abdul-Monim Batiha, Mohammed ALBashtawy, Rami Masa'Deh, Suhair Al-Ghabeesh, Ibraheem Bashayreh
People with epilepsy face stigma which arguably causes more suffering than the disease itself. The purpose of this study is to compare the knowledge and attitudes of nursing with nonnursing Jordanian university students toward epilepsy. A cross-sectional comparative, quantitative study was conducted. A newly structured questionnaire was developed to collect related data. The results revealed that there were 145(30.5%) nursing students and 331 (69.5%) nonnursing students with mean age of the participants was 22...
January 1, 2017: International Quarterly of Community Health Education
Diane Marie M St George, Margarita Chukhina, Mark A Kaelin
Objective The purpose of this study was to evaluate the outcomes of a workshop which was designed to prepare teachers to teach epidemiology to middle and high school students. Methods The workshop introduced the fundamental enduring understandings of epidemiology as well as a pedagogical framework for teaching it. Using an online questionnaire and telephone interviews, we assessed post-workshop outcomes. Results The majority (80%) of workshop alumni had taught epidemiology with the most common approach (52%) being the inclusion of epidemiologic concepts into other courses...
January 1, 2017: International Quarterly of Community Health Education
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