作者：
dadras, omidUniv Bergen
Dept Global Publ Hlth & Primary Care Arstadveien 17 N-5009 Bergen Norway Univ Turku
Res Ctr Child Psychiat Turku Finland
Background Adolescents face numerous challenges that influence their sexual behaviors. Among these, bullying victimization is a critical yet understudied factor that may impact engagement in unprotected sex. This stud...
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Background Adolescents face numerous challenges that influence their sexual behaviors. Among these, bullying victimization is a critical yet understudied factor that may impact engagement in unprotected sex. This study investigated the correlates of condom use among school-going Thai adolescents, with a main focus on bullying victimization. Methods This study is a secondary analysis of the Global School-based Student Health Survey (GSHS) conducted in 2021 among a nationally representative sample of students in grades 7-12 in Thailand. The analysis included all the sexually active students with condom use in the last sex as the main outcome variable. Bivariate binary logistic regression analysis was used to examine the odds of using condom across various explanatory variables. Additional adjusted logistic regression models were constructed to examine the association between bullying experiences and condom use while controlling for the potential confounding effect of other explanatory variables. Results Among sexually active participants, 416 (69%) reported using condoms in their last sex and more than half of them reported bullying experiences. Besides bullying, this study identifies several factors such as older age (< 14) and higher grades that were associated with lower use of condoms. Additionally, other psychosocial factors such as suicidal ideation and attempts as well as physical violence, and lack of close friends decrease the odds of condom use. Substance use, particularly marijuana and amphetamine/methamphetamine, was also associated with lower condom use. Although all types of bullying experiences were associated with lower condom use in bivariate analyses, the association remained significant only for bullying at school in the adjusted model (AOR = 0.39, 95% CI: 0.18-0.86). Conclusion The findings emphasize a holistic approach to addressing bullying, particularly within schools, and promoting protected sexual behaviors among school-going adolescents throu
PurposeThis study aimed to investigate the prevalence and sociodemographic determinants of major depressive disorder (MDD) and generalized anxiety disorder (GAD) among Mozambican youth aged 15-24 years, as well as the...
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PurposeThis study aimed to investigate the prevalence and sociodemographic determinants of major depressive disorder (MDD) and generalized anxiety disorder (GAD) among Mozambican youth aged 15-24 years, as well as their help-seeking *** from 8,154 youth participants in the 2022-23 Mozambique Demographic Health Survey were analyzed. MDD and GAD were assessed using the PHQ-9 and GAD-7 scales, respectively. Univariate and multivariate logistic regression analyses were conducted to examine associations between sociodemographic factors and mental health outcomes and health-seeking *** prevalence of MDD and GAD among Mozambican youth was 7.5% for each condition. However, only 9.3% of those with either MDD or GAD sought help for their symptoms, primarily from family and friends. Females had significantly higher odds of experiencing both MDD and GAD but lower help-seeking behavior as compared to males. Unemployment, lower household wealth, and being single were associated with higher odds of both disorders and lower odds of help-seeking behaviors. Higher education increased the odds of GAD and help-seeking behaviors. Significant regional variations were observed, with conflict-affected regions including Cabo Delgado, Nampula, and Zambezia showing the highest prevalence of MDD and *** study reveals substantial mental health challenges among Mozambican youth, with notable disparities across sociodemographic groups and regions. The low rates of help-seeking behavior underscore the need for targeted interventions to improve mental health awareness and access to services for socio-demographically vulnerable youth.
BackgroundInitiating breastfeeding immediately within the first hour following birth has positive effects on the mother's and newborn's health and wellbeing. Little is known about the early initiation of breas...
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BackgroundInitiating breastfeeding immediately within the first hour following birth has positive effects on the mother's and newborn's health and wellbeing. Little is known about the early initiation of breastfeeding and associated factors in Afghanistan. In this study, we addressed this research *** used data from the Afghanistan Multiple Indicator Cluster Survey (MICS) 2022-23. Data were analysed from 11,992 ever-married women, aged 15-49 years, who delivered a live child in the last 2 years before the survey. The outcome was early initiation of breastfeeding and defined as initiating breastfeeding within the first hour of birth. A logistic regression model was used to identify factors associated with early initiation of *** of 11,992 women, 46.9% initiated breastfeeding within the first hour of birth. The likelihood of early initiation of breastfeeding was greater in women with secondary or higher education (AOR 1.44 [95% CI 1.26, 1.63]), in women belonging to the second wealth quintile (AOR 1.17 [95% CI 1.04, 1.31]), in women who had access to media (AOR 1.15 [95% CI 1.03, 1.29]), and in women who had mobile phones (AOR 1.25 [95% CI 1.15, 1.37]). The likelihood was lower in women who gave birth at home (AOR 0.60 [95% CI 0.55, 0.66]), at private hospitals or clinics (AOR 0.65 [95% CI 0.56, 0.76]), as compared to women who gave birth at public clinics or hospitals, and in women living in rural areas (AOR 0.88 [95% CI 0.78, 0.95]). Women who had C-section for their latest live birth (AOR 0.26 [95% CI 0.21, 0.32]), and women who had very small-sized babies (AOR 0.89 [95% CI 0.79, 0.99]) were less likely to report early initiation of *** nearly half of Afghan women delaying breastfeeding beyond the first hour of birth, targeted health policies and interventions are crucial. Addressing key socioeconomic and healthcare disparities through education, equitable access to maternal care, and community-based awareness
BackgroundThe optimum use of antenatal care (ANC) services can reduce pregnancy-related complications and deaths. However, there is limited information on the quality of ANC services in Afghanistan. This study aimed t...
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BackgroundThe optimum use of antenatal care (ANC) services can reduce pregnancy-related complications and deaths. However, there is limited information on the quality of ANC services in Afghanistan. This study aimed to assess the quality of ANC services and examine the influence of sociodemographic factors on the quality of ANC services received by pregnant women in *** study analyzed the data from the 2022-23 Afghanistan Multiple Indicators Cluster Survey (MICS), including 9,243 ever-married women aged 15-49 years who had given birth two years prior to the survey. ANC quality was classified as "good" if a woman had at least four ANC visits, initiated ANC during the first trimester, and received all four essential ANC services. Binary logistic regression was employed to examine the likelihood of receiving good-quality ANC across various sociodemographic *** 6.2% of women received good-quality ANC. Factors significantly associated with receiving good-quality ANC included woman's secondary (AOR:1.87, 95%CI: 1.33-2.63) and higher education levels (AOR: 1.75, 95%CI: 1.01-3.03), household head's higher education level (AOR:1.63, 95%CI: 1.11-2.40), and wealth status (1.71, 2.26, 1.92, and 1.97 higher odds of receiving good-quality ANC for 2nd, 3rd, 4th, and 5th as compared to 1st quintiles of wealth, respectively).ConclusionThe low utilization of good-quality ANC among women in Afghanistan, particularly among those at lower wealth status, with low education levels, underscores the need for targeted interventions to improve access and utilization of antenatal care services.
BackgroundMaternal health remains a critical public health concern in Ghana, with significant disparities in healthcare access between rural and urban areas. Women in rural regions face a higher risk of maternal morta...
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BackgroundMaternal health remains a critical public health concern in Ghana, with significant disparities in healthcare access between rural and urban areas. Women in rural regions face a higher risk of maternal mortality, preterm births, and pregnancy complications due to limited health care services. Migration patterns further exacerbate these issues by disrupting access to essential reproductive and maternal services. While some women travel specifically for medical care and later returned, others migrate due to family-related *** study investigates the association between migration patterns and access to reproductive and maternal healthcare services among Ghanaian women aged *** from the 2022 Ghana Demographic Health Survey was used for this study. Bivariate and multivariable logistic regression models were used to investigate the association between migration patterns and access to reproductive and maternal healthcare *** was no significant association between the migration stream and unmet family planning needs in both unadjusted and adjusted logistic models. The odds of adequate antenatal care were higher among rural to urban, urban to urban, and urban non-migrants than rural non-migrants. In the adjusted model, however, it only remained significant for rural to urban migrants. The odds of institutional delivery were significantly higher among rural to urban and urban to rural migrants than rural non-migrants. However, in the adjusted model, the odds of institutional delivery only remained significant for urban to urban, rural to urban, and urban *** patterns are associated with access to reproductive and maternity healthcare in Ghana. Women who migrate from urban to urban areas experience the most significant improvement in accessing antenatal care and institutional delivery services. Regardless of migration history, urban residents have better access than rural non-migrants. To improve ma
Background: Heroin-assisted treatment (HAT) is an evidence-based treatment option for opioid use disorder (OUD), available in a limited number of countries. Norway implemented a 5-year HAT project in 2022, aiming to a...
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Background: Heroin-assisted treatment (HAT) is an evidence-based treatment option for opioid use disorder (OUD), available in a limited number of countries. Norway implemented a 5-year HAT project in 2022, aiming to assess its effectiveness and its potential integration into the country's OUD treatment system. This study describes and compares patients' baseline characteristics from the Oslo and Bergen HAT clinics, providing a comprehensive picture of the unique population and the real-world application of HAT. Methods: This cross-sectional study examines the baseline characteristics of consenting HAT patients within the first 2 years of operation (n = 86). Self-reported questionnaires gathered sociodemographics, previous treatment experiences, self-reported crime, and substance use, as well as motivations and expectations for treatment. Comparisons between the clinics were carried out using t-tests, Mann-Whitney U tests, Chi-square, and Fisher's exact test. Results: The majority of the patients were enrolled at the Oslo clinic (76%) and were male (80%). At admission, the average age was 45.9, with a significantly younger group in Bergen (42.5 vs 47.3, P < .05). While no patients reported being unhoused, 17% noted unstable housing within the preceding month. Unemployment was prevalent (91%) alongside previous treatment experiences (95%), with a median of 2 prior medication types. In the 3 months preceding HAT initiation, 78% of patients reported being victims of crime, and 44% committed at least one crime. Over their lifetime, 2 in 5 participants (41%) had experienced an unwanted overdose and 43% had shared syringes and equipment. Conclusion: This study reveals a cohort experiencing societal marginalization, including unstable housing, unsatisfactory prior OUD treatment, high-risk behaviors, and frequent interactions with criminal activities, predominantly as victims. While the Oslo and Bergen clinics serve a similar patient profile, notable differences emerged in t
Medical education is considered the backbone of future health systems. However, Afghanistan's medical education system is ill-equipped to deliver quality education in the medical training institutions. This articl...
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Medical education is considered the backbone of future health systems. However, Afghanistan's medical education system is ill-equipped to deliver quality education in the medical training institutions. This article provides insights into existing challenges in the Afghan medical education system. These challenges include infrastructural constraints, substandard recruitment practices, poor learning environment, limited access to updated learning educational resources, shortage of skilled and qualified lecturers, inaccessibility to modern technology, and financial difficulties. This calls for strengthening the Afghan medical education system, highlighting the importance of creating a national policy framework to enhance education quality and ensure academic institutions' sustainability.
BackgroundUndernutrition among children is a public health concern in most low and middle-income countries (LMICs) and is associated with poor child growth and development. Knowledge about child feeding practices is n...
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BackgroundUndernutrition among children is a public health concern in most low and middle-income countries (LMICs) and is associated with poor child growth and development. Knowledge about child feeding practices is needed for nutritional policies and programs. Hence, this study assessed the status of minimum acceptable diet (MAD) and its associated factors among children aged 6-23 months in *** cross-sectional study was based on a secondary dataset of the 2022-2023 Afghanistan Multiple Indicator Cluster Survey (MICS 2022-23). Complete data from 7,876 children aged 6-23 months were analysed. The outcome variable was MAD and was defined according to the WHO and UNICEF recommendations and indicators for young child feeding practices. Bivariate and multivariate binary logistic regression analyses were used to identify factors associated with *** 7.3% of children aged 6-23 months were fed with the recommended MAD. The likelihood of receiving MAD was higher in children aged 13-18 months [adjusted odds ratio (AOR) 2.01 (95%CI: 1.63-2.48)] and 19-23 months [2.11 (95%CI: 1.68-2.66)], in children belonging to households with higher wealth status [1.39 (95%CI: 1.04-1.87), 2.06 (95%CI: 1.51-2.82), and 3.07 (95%CI: 2.14-4.40) for the 3rd, 4th, and 5th quintile of wealth status, respectively], and in children living in rural areas [1.56 (95%CI: 1.21-2.01)]. On the other hand, the maternal age group 30-39 years [0.79 (95%CI: 0.64-0.96)] and non-institutional delivery [0.67 (95%CI: 0.54-0.83)] were associated with reduced odds of *** study revealed that a small percentage (7.3%) of children received MAD in Afghanistan. This emphasizes the need for policies and interventions aimed at the improvement of child feeding practices to ultimately lead to better child nutrition and health in Afghanistan.
Background This study aimed to explore the relationship between women's empowerment and utilization of maternity care for married Afghan women aged 15-49 y in Afghanistan, assessing the convergence validity of the...
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Background This study aimed to explore the relationship between women's empowerment and utilization of maternity care for married Afghan women aged 15-49 y in Afghanistan, assessing the convergence validity of the Survey-based Women's Empowerment Index in Afghanistan (SWEI-A).Methods The study used data from the 2015 Afghanistan Demographic Health Survey to examine the association of different domains of women's empowerment with the utilization of maternity care using multilevel Poisson regression at both individual and community *** The utilization of maternity services was considerably higher among women with high scores compared with those with low scores in almost all domains of the SWEI-A, except for property owning, in which women with high scores appeared to have lower rates of utilization of such services compared with those with low scores. At the community level, those communities with high participation of women in the labor force were less likely to have adequate antenatal care (ANC), institutional delivery and postnatal care (PNC). Individual-level literacy was associated with higher utilization of ANC, institutional delivery and PNC, contrary to community-level *** Except for property owning, the high score in almost all other domains was associated with higher utilization of maternity care, which indicates an acceptable level of convergence validity for the developed index (i.e. the SWEI-A) in measuring women's empowerment among married Afghan women aged 15-49 y.
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