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https://www.readbyqxmd.com/read/28550462/a-case-control-study-of-the-risk-factors-for-obstetric-fistula-in-tigray-ethiopia
#1
L Lewis Wall, Shewaye Belay, Tesfahun Haregot, Jonathan Dukes, Eyoel Berhan, Melaku Abreha
INTRODUCTION AND HYPOTHESIS: We tested the null hypothesis that there were no differences between patients with obstetric fistula and parous controls without fistula. METHODS: A unmatched case-control study was carried out comparing 75 women with a history of obstetric fistula with 150 parous controls with no history of fistula. Height and weight were measured for each participant, along with basic socio-demographic and obstetric information. Descriptive statistics were calculated and differences between the groups were analyzed using Student's t test, Mann-Whitney U test where appropriate, and Chi-squared or Fisher's exact test, along with backward stepwise logistic regression analyses to detect predictors of obstetric fistula...
May 26, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28545331/socio-demographic-inequalities-in-hiv-testing-behaviour-and-hiv-prevalence-among-older-adults-in-rural-tanzania-2013
#2
Angelina Mtowa, Annette A M Gerritsen, Sally Mtenga, Mary Mwangome, Eveline Geubbels
Most HIV research in Sub-Saharan Africa (SSA) ignores persons aged 50 years and above, though a few studies have reported a high HIV prevalence among older people. This study aimed to estimate socio-demographic inequalities in HIV testing behaviour and HIV prevalence among adults aged 50+ years, living in Ifakara town, Tanzania. This cross-sectional study used data from the baseline measurement of the Ifakara MZIMA cohort study in 2012/13. Consenting participants were interviewed and tested for HIV. Associations between HIV testing behaviour and HIV prevalence with socio-demographic indicators were explored with multivariable logistic regression...
May 25, 2017: AIDS Care
https://www.readbyqxmd.com/read/28537851/family-characteristics-and-structure-as-determinants-of-sexual-abuse-among-female-secondary-school-students-in-nigeria-a-brief-report
#3
Chigozirim Nlewem, Olukemi K Amodu
Child sexual abuse is associated with factors that enhance the vulnerability of the child, raising physical and mental health complications in adulthood. Three hundred and fifty students participated in this cross-sectional study. Important determinants of sexual abuse were parents not living together, not living with parents, family type, and current parents' marital status (p < 0.05). Respondents living with both parents were two times less likely to experience sexual abuse (OR = 0.5, CI: 0.3, 0.9) than respondents living with their guardians...
May 2017: Journal of Child Sexual Abuse
https://www.readbyqxmd.com/read/28534110/the-impact-of-disability-in-survivors-of-critical-illness
#4
Carol L Hodgson, Andrew A Udy, Michael Bailey, Jonathan Barrett, Rinaldo Bellomo, Tracey Bucknall, Belinda J Gabbe, Alisa M Higgins, Theodore J Iwashyna, Julian Hunt-Smith, Lynne J Murray, Paul S Myles, Jennie Ponsford, David Pilcher, Craig Walker, Meredith Young, D J Cooper
PURPOSE: To use the World Health Organisation's International Classification of Functioning to measure disability following critical illness using patient-reported outcomes. METHODS: A prospective, multicentre cohort study conducted in five metropolitan intensive care units (ICU). Participants were adults who had been admitted to the ICU, received more than 24 h of mechanical ventilation and survived to hospital discharge. The primary outcome was measurement of disability using the World Health Organisation's Disability Assessment Schedule 2...
May 22, 2017: Intensive Care Medicine
https://www.readbyqxmd.com/read/28532412/trends-in-healthcare-expenditure-in-united-states-adults-with-chronic-kidney-disease-2002-2011
#5
Mukoso N Ozieh, Kinfe G Bishu, Clara E Dismuke, Leonard E Egede
BACKGROUND: This study examines trends in healthcare expenditure in adults with chronic kidney disease (CKD) and other kidney diseases (OKD) in the U.S. from 2002 to 2011. METHODS: One hundred and eighty-seven thousand, three hundred and fourty-one adults aged ≥18 from the Medical Expenditure Panel Survey (MEPS) Household Component were analyzed. CKD and OKD were based on ICD-9 or CCC codes. A novel two-part model was used to estimate the likelihood of any healthcare use and total expenditures...
May 22, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28526049/psychological-status-and-quality-of-life-among-primary-caregivers-of-individuals-with-mental-illness-a-hospital-based-study
#6
Anitha Jeyagurunathan, Vathsala Sagayadevan, Edimansyah Abdin, YunJue Zhang, Sherilyn Chang, Saleha Shafie, Restria Fauziana Abdul Rahman, Janhavi Ajit Vaingankar, Siow Ann Chong, Mythily Subramaniam
BACKGROUND: This study aimed to explore the psychological status and quality of life among primary caregivers of individuals suffering from various mental illnesses including early psychosis, chronic schizophrenia, depressive disorders, anxiety disorders and dementia. METHODS: A total of 350 primary caregivers with relatives seeking treatment at a tertiary psychiatric hospital were recruited for this study. Socio-demographic data was obtained and the brief version of the World Health Organisation Quality of Life instrument was used to assess caregiver's quality of life (QOL)...
May 19, 2017: Health and Quality of Life Outcomes
https://www.readbyqxmd.com/read/28525611/adverse-childhood-experiences-and-higher-level-functional-limitations-among-older-japanese-people-results-from-the-jages-study
#7
Airi Amemiya, Takeo Fujiwara, Hiroshi Murayama, Yukako Tani, Katsunori Kondo
Background.: A life-course perspective is essential in understanding the determinants of higher-level functional limitations. We examine the impact of adverse childhood experiences (ACEs) on higher-level functional limitations in older people. Methods.: Data were from the Japan Gerontological Evaluation Study 2013, a population-based cohort of independent people aged 65 years or older across Japan (n = 19,220). ACEs before the age of 18 were assessed in terms of seven adversities: parental death, parental divorce, parental mental illness, family violence, physical abuse, psychological neglect, and psychological abuse...
May 19, 2017: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
https://www.readbyqxmd.com/read/28523944/commercial-sexual-behaviors-among-male-rural-to-urban-migrants-in-western-china-implications-for-hiv-prevention
#8
Wenwei Li, Junjun Jiang, Jinming Su, Bingyu Liang, Wei Deng, Jiegang Huang, Bo Qin, Halmurat Upur, Chaohui Zhong, Qianqiu Wang, Qian Wang, Ning Zang, Yanyan Liao, Sirun Meng, Li Ye, Hao Liang
Rural-to-urban migrants are at high risk of HIV infection. The goal of this survey was to explore the commercial sexual behavior and condom use among male rural-to-urban migrants in western China. A cross-sectional survey on male rural-to-urban migrants in western China was conducted. Among all the subjects surveyed, 140 (7.4%) had commercial sexual behavior, which is associated with being aged older than 24 years, being of Han or other ethnic minorities, being divorced, separated, or widowed, having experienced drug abuse, having had heterosexual behavior, having had casual sexual partners, having had sex with a homosexual, and being from Xinjiang...
May 1, 2017: Asia-Pacific Journal of Public Health
https://www.readbyqxmd.com/read/28521725/hiv-and-syphilis-prevalence-and-associated-risks-in-the-cameroonian-armed-forces
#9
Michael Grillo, Bonnie Robin Tran, Ubald Tamoufe, Cyrille F Djoko, Karen Saylors, Kelly Woodland, Ltc Wangmene, Caroline Macera
BACKGROUND: Continued surveillance of the HIV epidemic is critical to monitor changes in trends and risk behaviors. A 2005 study in the Cameroonian Armed Forces (CAF) found an HIV prevalence of 11.3% among male and female service members. The purpose of the current study is to determine the 5-year change in the HIV prevalence, estimate the prevalence of syphilis, and examine factors associated with infection in the CAF. METHODS: Participants were male and female service members 18 years of age or older who were stationed at one of the 10 military garrisons selected for participation...
May 16, 2017: Current HIV Research
https://www.readbyqxmd.com/read/28520674/relationship-stability-after-traumatic-brain-injury-among-veterans-and-service-members-a-va-tbi-model-systems-study
#10
Lillian Flores Stevens, Yanna Lapis, Xinyu Tang, Angelle M Sander, Laura E Dreer, Flora M Hammond, Jeffrey S Kreutzer, Therese M OʼNeil-Pirozzi, Risa Nakase-Richardson
OBJECTIVE: To explore stability of relationships and predictors of change in relationship status 2 years following TBI/polytrauma. SETTING: Five Department of Veterans Affairs Polytrauma Rehabilitation Centers (VA PRCs). PARTICIPANTS: A total of 357 active duty service members and Veterans enrolled in the Veterans Affairs Polytrauma Rehabilitation Centers Traumatic Brain Injury Model Systems database with complete marital status information at 2 years postinjury...
May 17, 2017: Journal of Head Trauma Rehabilitation
https://www.readbyqxmd.com/read/28517969/prevalence-and-determinants-of-depression-among-patients-under-the-care-of-traditional-health-practitioners-in-a-kenyan-setting-policy-implications
#11
Christine W Musyimi, Victoria N Mutiso, Abednego M Musau, Lydia K Matoke, David M Ndetei
In Kenya, there is paucity of information on depression among traditional health practitioner (THP) patients, particularly in rural areas. The aim of this study was to estimate prevalence and identify determinants of major depressive disorder (MDD) among patients of THP in rural Kenya using the World Health Organization (WHO) Mental Health Gap Action Programme Intervention Guideline (mhGAP-IG). All adult patients seeking care from trained THPs (either traditional healers such as diviners and herbalists or faith healers, who use treatments such as prayers, laying hands on patients, or providing holy water and ash to their patients) over a period of 3 months (September 2014 to November 2014) were screened for depression using mhGAP-IG and their sociodemographic characteristics recorded...
January 1, 2017: Transcultural Psychiatry
https://www.readbyqxmd.com/read/28513793/social-inequalities-in-the-prevalence-of-common-mental-disorders-in-adults-a-population-based-study-in-southern-brazil
#12
Ramona Sant'Ana Maggi de Moraes, Diego Augusto Santos Silva, Walter Ferreira de Oliveira, Marco Aurélio Peres
Objective: This study aimed to investigate the prevalence and factors associated with Common Mental Disorders (CMD) in adults in a capital city in Southern Brazil. Methods: Population-based survey conducted on 1,720 adults aged 20 - 59 years from Florianópolis, Southern Brazil. The CMD were investigated through the Self-Reporting Questionnaire (SRQ-20). The independent variables were demographic, socioeconomic, health-related behaviors, health conditions and use of health services...
January 2017: Revista Brasileira de Epidemiologia, Brazilian Journal of Epidemiology
https://www.readbyqxmd.com/read/28512582/factors-affecting-utilization-of-voluntary-hiv-counseling-and-testing-services-among-teachers-in-awi-zone-northwest-ethiopia
#13
Woudneh Gereme Desta, Mulusew Alemneh Sinishaw, Kelemu Dessie Bizuneh
HIV/AIDS affects the basic educational sector which is the most productive segment of the population and vital to the creation of human capital. The loss of skilled and experienced teachers due to the problem is increasingly compromising the provision of quality education in most African countries. The study was proposed to determine the magnitude of VCT utilization and assess contributing factors that affect VCT service utilization among secondary school teachers in Awi Zone. A cross-sectional study design was conducted among 588 participants in 2014...
2017: AIDS Research and Treatment
https://www.readbyqxmd.com/read/28509520/dental-pain-and-its-determinants-in-an-adult-population-in-tehran-iran-urban-heart-2
#14
Z Momeni, A Pakdaman, M Asadi-Lari, M R Vaez-Mahdavi, A R Shamshiri, H Hessari
OBJECTIVE: To assess the prevalence of dental pain in the past year among adults in Tehran-Iran, and its determinants. BASIC RESEARCH DESIGN: Cross-sectional population study. PARTICIPANTS: A sample of 20,322 adults (18-64 years old). METHODS: A questionnaire survey was conducted across the 22 districts using the multi-stage random sampling method. Data were analysed applying the complex samples method. Multiple logistic regression analysis was used to adjust the effects of other variables on the outcome variable as dental pain in the past year...
September 2016: Community Dental Health
https://www.readbyqxmd.com/read/28508707/maternal-union-instability-and-childhood-mortality-risk-in-the-global-south-2010-14
#15
Laurie F DeRose, Andrés Salazar-Arango, Paúl Corcuera García, Montserrat Gas-Aixendri, Reynaldo Rivera
Efforts to improve child survival in lower-income countries typically focus on fundamental factors such as economic resources and infrastructure provision, even though research from post-industrial countries confirms that family instability has important health consequences. We tested the association between maternal union instability and children's mortality risk in Africa, Latin America and the Caribbean, and Asia using children's actual experience of mortality (discrete-time probit hazard models) as well as their experience of untreated morbidity (probit regression)...
May 16, 2017: Population Studies
https://www.readbyqxmd.com/read/28506309/social-isolation-and-cancer-management-advanced-rectal-cancer-with-patient-delay-following-the-2011-triple-disaster-in-fukushima-japan-a-case-report
#16
Akihiko Ozaki, Claire Leppold, Toyoaki Sawano, Masaharu Tsubokura, Manabu Tsukada, Tetsuya Tanimoto, Masahiro Kami, Hiromichi Ohira
BACKGROUND: Little is known about the effects of social isolation in the elderly on their process of gaining health information and seeking health care. CASE PRESENTATION: In March 2011, Fukushima, Japan experienced an earthquake, tsunami, and nuclear disaster, also known as Japan's triple disaster. In June 2016, an 80-year-old Japanese man, who lived alone after divorce at the age of 42, presented to our hospital with bloody stools and dizziness. Although his bloody stools initially occurred in May 2015, a year earlier, he did not pursue the possibility of malignancy...
May 16, 2017: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/28506265/determinants-of-poor-utilization-of-antenatal-care-services-among-recently-delivered-women-in-rwanda-a-population-based-study
#17
Akashi Andrew Rurangirwa, Ingrid Mogren, Laetitia Nyirazinyoye, Joseph Ntaganira, Gunilla Krantz
BACKGROUND: In Rwanda, a majority of pregnant women visit antenatal care (ANC) services, however not to the extent that is recommended. Association between socio-demographic or psychosocial factors and poor utilization of antenatal care services (≤2 visits during the course of pregnancy irrespective of the timing) among recently pregnant women in Rwanda were investigated. METHODS: This population-based, cross sectional study included 921 women who gave birth within the past 13 months...
May 15, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28500741/mouth-examination-performance-by-children-s-parents-and-by-adolescents-in-fanconi-anemia
#18
Allana Pivovar, Camila Pinheiro Furquim, Carmem Bonfim, Cassius Carvalho Torres-Pereira
BACKGROUND: Fanconi anemia (FA) is a rare genetic syndrome characterized by increased risk of developing malignant neoplasms, particularly oral squamous cell carcinoma. This study aims to ascertain the extent to which adolescents and guardians/parents of children with FA are aware of their oral cancer risks and assess their ability to perform mouth examination (ME). PROCEDURE: A cross-sectional study was conducted among patients with FA (between 6 and 16 years) and their parents...
May 13, 2017: Pediatric Blood & Cancer
https://www.readbyqxmd.com/read/28497988/till-porn-do-us-part-a-longitudinal-examination-of-pornography-use-and-divorce
#19
Samuel L Perry, Cyrus Schleifer
As pornography use becomes more commonplace in the United States, and increasingly so among younger cohorts, a growing literature is considering its potential connection to key social and cultural institutions. The current study examined the relationship between pornography use and one such institution: marriage. We drew on three-wave longitudinal data from 2006 to 2014 General Social Survey panel studies to determine whether married Americans' pornography use predicted their likelihood of divorce over time and under what social conditions...
May 12, 2017: Journal of Sex Research
https://www.readbyqxmd.com/read/28493266/prevalence-determinants-and-impacts-of-khat-chewing-among-professional-drivers-in-southwestern-saudi-arabia
#20
Nabil J Awadalla, Hassan A Suwaydi
The objective of this study was to assess the prevalence and determinants of khat chewing, and explore its social, economic and work impacts and examine its relation with road traffic accidents (RTA) among professional drivers in Jazan region, Saudi Arabia. A cross-sectional study was conducted on 215 drivers recruited from transport stations in Jazan region by random cluster sampling. An interview questionnaire was utilized for data collection, and 47.4% of drivers were currently khat chewers. Using a logistic regression, the independent predictors of khat chewing were being a citizen of Saudi Arabia, divorced or widowed, working for less than 4 hours/day, and a non-seatbelt user...
May 1, 2017: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
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