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Original Articles
Empowering Rural Housewives in Iran: Utilizing the Transtheoretical Model to Increase Physical Activity
Mahboobe Borhani, Zakieh Sadat Hosseini, Najme Shahabodin, Ali Mehri, Mohadese Kiani, Marzieh Abedi
J Prev Med Public Health. 2024;57(2):167-175.   Published online January 31, 2024
DOI: https://doi.org/10.3961/jpmph.23.457
  • 6,112 View
  • 37 Download
AbstractAbstract AbstractSummary PDF
Objectives
Rural housewives are integral to household management and family care, yet their sedentary lifestyles present significant health risks. This study used the transtheoretical model (TTM) to investigate strategies that encourage and maintain regular exercise habits among rural housewives.
Methods
A semi-experimental study was conducted in 2021 with 114 housewives aged 30 to 59 who attended rural health centers in Gorgan, Iran. Participants were randomly assigned to 1 of 2 groups. Data collection involved a validated questionnaire that gathered demographic information and constructs of the TTM. The intervention group participated in a comprehensive educational program, which included four 60-minute sessions. Data were collected again 6 months post-intervention and analyzed using descriptive and inferential statistics in SPSS version 21.
Results
The study encompassed women with an average age of 39.75±6.05 years, the majority of whom had educational levels below a diploma, and over 90% were married. We observed strong correlations between the processes of change, self-efficacy, and decisional balance. At the outset, there were no significant differences in demographics or model structures between the 2 groups. However, 6 months post-intervention, the intervention group exhibited statistically significant differences in the mean scores of model structures, stages of change, and body mass index (<>p<0.05).
Conclusions
This study highlights the importance of physical activity training for rural housewives. The findings suggest that the educational intervention, which utilized the TTM, significantly impacted the participants’ model structures and their stages of change.
Summary
Key Message
The study aimed to investigate strategies for promoting and sustaining regular exercise habits among rural housewives using the transtheoretical model (TTM). A semi-experimental study was conducted with 114 housewives aged 30 to 59 in Iran. The intervention group received a comprehensive educational program, and after 6 months, they exhibited significant differences in model structures, stages of change, and body mass index compared to the control group. These findings underscore the importance of physical activity training for rural housewives and suggest that the educational intervention utilizing the TTM substantially impacted the participants' model structures and stages of change.
A Peer-support Mini-counseling Model to Improve Treatment in HIV-positive Pregnant Women in Kupang City, East Nusa Tenggara, Indonesia
Artha Camellia, Plamularsih Swandari, Gusni Rahma, Tuti Parwati Merati, I Made Bakta, Dyah Pradnyaparamita Duarsa
J Prev Med Public Health. 2023;56(3):238-247.   Published online April 11, 2023
DOI: https://doi.org/10.3961/jpmph.22.516
  • 1,617 View
  • 110 Download
  • 2 Crossref
AbstractAbstract PDF
Objectives
Low adherence to antiretroviral (ARV) therapy in pregnant women with human immunodeficiency virus (HIV) increases the risk of virus transmission from mother to newborn. Increasing mothers’ knowledge and motivation to access treatment has been identified as a critical factor in prevention. Therefore, this research aimed to explore barriers and enablers in accessing HIV care and treatment services.
Methods
This research was the first phase of a mixed-method analysis conducted in Kupang, a remote city in East Nusa Tenggara Province, Indonesia. Samples were taken by purposive sampling of 17 people interviewed, consisting of 6 mothers with HIV, 5 peer facilitators, and 6 health workers. Data were collected through semi-structured interviews, focus group discussions, observations, and document review. Inductive thematic analysis was also performed. The existing data were grouped into several themes, then relationships and linkages were drawn from each group of informants.
Results
Barriers to accessing care and treatment were lack of knowledge about the benefits of ARV; stigma from within and the surrounding environment; difficulty in accessing services due to distance, time, and cost; completeness of administration; drugs’ side effects; and the quality of health workers and HIV services.
Conclusions
There was a need for a structured and integrated model of peer support to improve ARV uptake and treatment in pregnant women with HIV. This research identified needs including mini-counseling sessions designed to address psychosocial barriers as an integrated approach to support antenatal care that can effectively assist HIV-positive pregnant women in improving treatment adherence.
Summary

Citations

Citations to this article as recorded by  
  • Letter to the Editor: Supporting the Sick and the Vulnerable
    Fides A. del Castillo
    Journal of Preventive Medicine and Public Health.2023; 56(4): 392.     CrossRef
  • Author Response: Supporting the Sick and the Vulnerable
    Artha Camellia, Gusni Rahma
    Journal of Preventive Medicine and Public Health.2023; 56(4): 394.     CrossRef
Brief Report
How Well Do U.S. Primary Care and Obstetrics and Gynecology Clinicians Screen for Pregnancy Complications at Well Woman Visits? A Retrospective Cohort Study
Eli D. Medvescek, Sorana Raiciulescu, Andrew S. Thagard, Katerina Shvartsman
J Prev Med Public Health. 2023;56(2):190-195.   Published online March 15, 2023
DOI: https://doi.org/10.3961/jpmph.22.492
  • 1,306 View
  • 57 Download
AbstractAbstract PDF
Objectives
Pregnancy complications, including pre-eclampsia, gestational diabetes (GDM), and perinatal mood and anxiety disorders (PMADs), impact long-term health. We compared the frequency of screening documentation for pregnancy complications versus a general medical history at well woman visits between providers in primary care and obstetrics and gynecology.
Methods
We conducted a retrospective cohort study of subjects with at least 1 prior birth who presented for a well woman visit in 2019-2020. Charts were reviewed for documentation of a general medical history (hypertension, diabetes, and mood disorders) versus screening for comparable obstetric complications (pre-eclampsia, GDM, and PMADs). The results were compared using the McNemar and chi-square tests as appropriate.
Results
In total, 472 encounters were identified, and 137 met the inclusion criteria. Across specialties, clinicians were significantly more likely to document general medical conditions than pregnancy complications, including hypertensive disorders (odds ratio [OR], 2.45; 95% confidence interval [CI], 1.18 to 5.48), diabetes (OR, 7.67; 95% CI, 3.27 to 22.0), and mood disorders (OR, 10.5; 95% CI, 3.81 to 40.3). Obstetrics and gynecology providers were more likely to document any pregnancy history (OR, 4.50; 95% CI, 1.24 to 16.27); however, they were not significantly more likely to screen for relevant obstetric complications (OR, 2.49; 95% CI, 0.90 to 6.89). Overall, the rate of pregnancy complication documentation was low in primary care and obstetrics and gynecology clinics (8.8 and 19.0%, respectively).
Conclusions
Obstetrics and gynecology providers more frequently documented a pregnancy history than those in primary care; however, the rate was low across specialties, and providers reported screening for clinically relevant complications less frequently than for general medical conditions.
Summary
Original Article
Antenatal Care Services and Incidence of Low Birth Weight: A Comparison of Demographic and Health Surveys in 4 ASEAN Countries
Miftahul Arsyi, Besral Besral, Milla Herdayati, Revati Phalkey
J Prev Med Public Health. 2022;55(6):559-567.   Published online November 13, 2022
DOI: https://doi.org/10.3961/jpmph.22.316
  • 3,182 View
  • 157 Download
  • 2 Web of Science
  • 3 Crossref
AbstractAbstract PDFSupplementary Material
Objectives
This study aimed to assess the effect of complete coverage and content of available antenatal care (ANC) on the incidence of low birth weight (LBW) in 4 countries belonging to the Association of Southeast Asian Nations (ASEAN).
Methods
Measures of complete coverage and content of ANC services included the frequency of ANC visits and the seven service components (blood pressure measurement, iron supplementation, tetanus toxoid immunization, explanations of pregnancy complications, urine sample test, blood sample test, and weight measurement). The complete coverage and content of ANC services were assessed as high if more than 4 ANC visits and all seven components were delivered. Multivariable logistic regression with complex survey designs was conducted using Demographic Health Survey data from the 4 ASEAN countries in question from 2014 to 2017.
Results
The proportion of LBW infants was higher in the Philippines (13.8%) than in Indonesia (6.7%), Cambodia (6.7%), or Myanmar (7.5%). Poor ANC services were associated with a 1.30 times higher incidence of LBW than a high level of complete coverage and content of ANC services (adjusted odds ratio [aOR], 1.30; 95% confidence interval [CI], 1.11 to 1.52). In addition, the risk of LBW was higher in the Philippines than in other countries (aOR, 2.25; 95% CI, 2.01 to 2.51) after adjusting for mothers’ demographic/socioeconomic factors, health behaviors, and other factors.
Conclusions
In sum, complete coverage and content of ANC services were significantly associated with the incidence of LBW in Indonesia, Cambodia, and Myanmar. The Philippines did not show statistically significant results for this relationship, but had a higher risk of LBW with poor ANC.
Summary

Citations

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  • Synergistic associations of antenatal care visits and iron-folic acid supplementation with low birth weight: a pooled analysis of national surveys from six south Asian countries
    Vishnu Khanal, Sangita Bista, Shiva Raj Mishra
    BMC Public Health.2024;[Epub]     CrossRef
  • Effect of the enhancing nutrition and antenatal infection treatment (ENAT) intervention on birth weight in Ethiopia: a cluster randomized controlled trial
    Y Mekonnen, E Wolde, A Bekele, Z Mehari, S Abebe, T Hagos, Y Tadesse, T Taye, G Asire, T Nigatu, S Kumar, S Girma, M Salasibew
    BMC Pregnancy and Childbirth.2023;[Epub]     CrossRef
  • Compliance with the World Health Organization’s 2016 prenatal care contact recommendation reduces the incidence rate of adverse birth outcomes among pregnant women in northern Ghana
    Leticia Achangebe Akum, Eunice Amina Offei, Mary Rachael Kpordoxah, Daudi Yeboah, Abdul-Nasir Issah, Michael Boah, Sanjoy Kumer Dey
    PLOS ONE.2023; 18(6): e0285621.     CrossRef
Brief Report
Effects of Forest Therapy on Psychological Improvement in Middle-aged Women in Korea
Bum-Jin Park, Won-Sop Shin, Chang-Seob Shin, Poung-Sik Yeon, Chung-Yeub Chung, Si-Hyung Lee, Dong-Jun Kim, Youn-Hee Kim, Chang-Eun Park
J Prev Med Public Health. 2022;55(5):492-497.   Published online September 20, 2022
DOI: https://doi.org/10.3961/jpmph.22.086
  • 2,542 View
  • 122 Download
  • 1 Web of Science
  • 2 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Objectives
Women experience more stress in middle age than in other periods of their lives. Therefore, health management programs that enable middle-aged women to cope with and manage stress are needed. This study investigated the psychological effects of a meditation-focused forest therapy program among 53 middle-aged women living in urban areas in Korea.
Methods
Participants were divided into 2 groups: one group underwent the program for 3 days in a forest, followed by 3 days in an urban environment, and the other group underwent the program for 3 days in the urban environment, followed by 3 days in the forest. The psychological effects of the forest therapy program were evaluated using the Profile of Mood States-Brief (POMS-B). Differences in mood state before and after the program conducted in the forest (experimental group) and in the urban environment (control group) were evaluated using the paired-samples t-test.
Results
The program in the forest significantly reduced tension, depression, anger, fatigue, and confusion among the domains of the POMS-B. The program in the urban area significantly reduced tension, but not depression, anger, fatigue, or confusion.
Conclusions
Meditation-focused forest therapy programs are expected to contribute to promoting psychological health and enhancing the quality of life of middle-aged women.
Summary
Korean summary
중년 여성이 건강을 관리할 수 있는 프로그램이 필요하다. 이 연구는 명상 중심의 산림치유 프로그램이 중년 여성의 심리적 건강 증진에 효과적인지 검증하기 위해 프로그램 시행 전후에 참가자의 기분상태(POMS-B)를 측정하여 비교하였다. 결과에 의하면 긴장, 우울, 분노, 피곤, 혼돈이 통계적으로 유의하게 감소하였다.

Citations

Citations to this article as recorded by  
  • Effect of Anti-Aging Standard Forest Healing Program With Multiple Visits to a Forest Facility on Cognition in Older Age Patients
    Jinseok Park, Sheng-Min Wang, Dong Woo Kang, Beom Lee, Hojin Choi
    Dementia and Neurocognitive Disorders.2024; 23(1): 44.     CrossRef
  • The Impact of Forest Therapy Programs on Stress Reduction: A Systematic Review
    Yawei Zhang, Lu Feng, Wenjie Duan
    Forests.2023; 14(9): 1851.     CrossRef
Original Articles
Women’s Empowerment Facilitates Complete Immunization in Indonesian Children: A Cross-sectional Study
Gede Benny Setia Wirawan, Ni Luh Zallila Gustina, Putu Harrista Indra Pramana, Made Yuliantari Dwi Astiti, Jovvita Jonathan, Fitriana Melinda, Teo Wijaya
J Prev Med Public Health. 2022;55(2):193-204.   Published online March 8, 2022
DOI: https://doi.org/10.3961/jpmph.21.592
  • 3,006 View
  • 109 Download
  • 1 Web of Science
  • 1 Crossref
AbstractAbstract PDF
Objectives
The primary objective of this study was to examine the effect of women’s empowerment on the immunization of Indonesian children. The secondary objective was to examine the effect of wealth as a factor modifying this association.
Methods
We utilized data from the 2017 Indonesian Demographic and Health Survey (IDHS). The subjects were married women with children aged 12-23 months (n=3532). Complete immunization was defined using the 2017 IDHS definition. Multiple components of women’s empowerment were measured: enabling resources, decision-making involvement, and attitude toward intimate partner violence. The primary analysis was conducted using binomial logistic regression. Model 1 represented only the indicators of women’s empowerment and model 2 controlled for socio-demographic variables. Subgroup analyses were conducted for each wealth group.
Results
The primary analysis using model 1 identified several empowerment indicators that facilitated complete immunization. The analysis using model 2 found that maternal education and involvement in decision-making processes facilitated complete immunization in children. Subgroup analyses identified that wealth had a modifying effect. The indicators of women’s empowerment were strong determinants of complete immunization in lower wealth quintiles but insignificant in middle-income and higher-income quintiles.
Conclusions
To our knowledge, this study is the first to explore women’s empowerment as a determinant of child immunization in Indonesia. The results indicate that women’s empowerment must be considered in Indonesia’s child immunization program. Women’s empowerment was not found to be a determinant in higher wealth quintiles, which led us to rethink the conceptual framework of the effect of women’s empowerment on health outcomes.
Summary

Citations

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  • Health Beliefs and Socioeconomic Determinants of COVID-19 Booster Vaccine Acceptance: An Indonesian Cross-Sectional Study
    Gede Benny Setia Wirawan, Ngakan Putu Anom Harjana, Nur Wulan Nugrahani, Pande Putu Januraga
    Vaccines.2022; 10(5): 724.     CrossRef
The Effect of an Empowerment Program on the Health-promoting Behaviors of Iranian Women Workers: A Randomized Controlled Trial
Fatemeh Noori, Zahra Behboodimoghadam, Shima Haghani, Shahzad Pashaeypoor
J Prev Med Public Health. 2021;54(4):275-283.   Published online June 24, 2021
DOI: https://doi.org/10.3961/jpmph.21.088
  • 3,160 View
  • 117 Download
  • 1 Crossref
AbstractAbstract PDF
Objectives
The workplace is an ideal place for encouraging health-promoting behaviors. Therefore, the aim of the present study was to determine the effect of an empowerment program on the health-promoting behaviors of women workers.
Methods
This randomized clinical trial was conducted with 80 women workers employed at a food packaging facility in 2020. The subjects were selected using convenience sampling and were classified into intervention and control groups using block randomization. An empowerment program for women workers was conducted across 6 sessions based on an empowerment model. Data collection tools included a demographic questionnaire and the Health Promoting Lifestyle Profile-II, which participants completed both before the program and 8 weeks after the last session. Data analysis was performed in SPSS version 16 using descriptive analysis and inferential statistics.
Results
There were no significant differences between the 2 groups in various health-promoting behaviors before the program. However, the intervention group’s scores for nutrition (34.92±1.09 vs. 27.87±4.23), physical activity (24.40±2.94 vs. 17.40±5.03), stress management (26.35±2.60 vs. 23.05±4.27), spiritual growth (34.02±3.00 vs. 30.22±5.40), interpersonal relationships (30.82±2.38 vs. 27.60±4.61), and health responsibility (31.60±2.71 vs. 28.22±4.59) were significantly higher than the control group’s 8 weeks after the program had ended. Moreover, there was a significant difference in the total score of health-promoting behaviors for the intervention group compared to the control group (179.00±9.22 vs. 151.42±20.25, p=0.001).
Conclusions
An empowerment program for women workers led to significant improvements in the health-promoting behaviors of the participants. Similar programs can ultimately improve women’s health in the workplace.
Summary

Citations

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  • Effectiveness of Multicomponent Interventions and Physical Activity in the Workplace to Reduce Obesity: A Systematic Review and Meta-Analysis
    M. Rocío Jiménez-Mérida, Manuel Vaquero-Abellán, José M. Alcaide-Leyva, Vanesa Cantón-Habas, Elena Raya-Cano, Manuel Romero-Saldaña
    Healthcare.2023; 11(8): 1160.     CrossRef
Associations of Handgrip Strength and Handgrip Strength Asymmetry With Depression in the Elderly in Korea: A Cross-sectional Study
Kyungduk Hurh, Yoonsik Park, Gyu Ri Kim, Sung-In Jang, Eun-Cheol Park
J Prev Med Public Health. 2021;54(1):63-72.   Published online December 30, 2020
DOI: https://doi.org/10.3961/jpmph.20.315
  • 3,899 View
  • 153 Download
  • 13 Web of Science
  • 13 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Objectives
Recent studies have suggested that assessing handgrip strength (HGS) asymmetry together with HGS may be helpful for evaluating problems in geriatric patients. This study aimed to identify whether HGS asymmetry, weakness, or both were associated with depression in Korean older adults.
Methods
This study included 4274 subjects from the sixth and seventh Korea National Health and Nutrition Examination Survey. Depression was measured using the Patient Health Questionnaire-9. The maximum HGS of the dominant hand was used as a representative value. HGS symmetry was categorized by the ratio of the HGS of the dominant hand to that of non-dominant hand. The odds ratio (OR) for depression was calculated according to the HGS and its symmetry.
Results
In total, 240 (12.5%) men and 534 (22.7%) women had depression. HGS or HGS asymmetry showed no statistically significant associations with depression in elderly men. Elevated odds of depression were observed in elderly women with low HGS (OR, 1.93; 95% confidence interval [CI], 1.33 to 2.81) or prominent HGS asymmetry (OR, 1.46; 95% CI, 1.02 to 2.08). There was a positive additive interaction between asymmetric HGS and weakness, as women with low and prominently asymmetric HGS showed higher odds of depression (OR, 3.77; 95% CI, 2.16 to 6.59) than women with high and symmetric HGS.
Conclusions
Depression in elderly Korean women was associated with both low and asymmetric HGS. Our findings support the potential value of HGS asymmetry as an indicator of HGS.
Summary
Korean summary
본 연구에서는 국민건강영양조사 자료를 이용하여, 국내 60세 이상 노인 인구에서 악력 저하 및 양손 악력의 비대칭과 우울증 유병과의 상관관계를 분석하였다. 분석 결과 60세 이상 여성에서 악력 저하 및 양손 악력의 비대칭이 우울증 유병과 관련이 있었으며, 악력 저하와 비대칭이 동반된 경우에는 우울증 유병에 대하여 상가작용이 존재하였다. 이는 향후 노인의 악력 측정 시, 양손 악력의 비대칭에 대하여도 주목할 필요가 있음을 시사한다.

Citations

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  • Risk factors associated with weak and asymmetric handgrip strength in older Chinese adults
    Minghui Weng, Jianlin Pu, Binyou Wang, Yilin Wang
    American Journal of Human Biology.2024;[Epub]     CrossRef
  • Handgrip strength asymmetry cut points to identify slow gait speed in six low- and middle-income countries: A cross-sectional analysis with 12,669 older adults
    Pedro Pugliesi Abdalla, Lucimere Bohn, Emerson Sebastião, André Pereira dos Santos, Marcio Fernando Tasinafo Junior, Leonardo Santos Lopes da Silva, Thiago Cândido Alves, Euripedes Barsanulfo Gonçalves Gomide, Ana Claudia Rossini Venturini, Jorge Mota, Da
    Archives of Gerontology and Geriatrics.2023; 106: 104869.     CrossRef
  • Association between vitamin K intake and depressive symptoms in US adults: Data from the National Health and Nutrition Examination Survey (NHANES) 2013–2018
    Yuyi Zhang, Weiliang Tan, Xiaolan Xi, Hui Yang, Ke Zhang, Shengnan Li, Xuefen Chen, Hui Zuo
    Frontiers in Nutrition.2023;[Epub]     CrossRef
  • Preoperative low handgrip strength (HGS) with HGS asymmetry is associated with adverse outcomes among older adults with gastric cancer
    Xueyi Miao, Lingyu Ding, Jinling Lu, Hanfei Zhu, Kang Zhao, Xinyi Xu, Shuqin Zhu, Li Chen, Jieman Hu, Qin Xu
    Journal of Geriatric Oncology.2023; 14(7): 101583.     CrossRef
  • Low handgrip strength with or without asymmetry is associated with elevated all‐cause mortality risk in older Chinese males
    Duanfang Cai, Hongli Zhang, Yilin Wang
    Geriatrics & Gerontology International.2023; 23(9): 692.     CrossRef
  • Associations of handgrip weakness and asymmetry with new-onset stroke in Chinese middle-aged and older adults: a cohort study
    Yuying Zhang, Weiqing Chen, Bing Cao, Li Lin, Jinghua Li, Vivian Yawei Guo
    Frontiers in Public Health.2023;[Epub]     CrossRef
  • The relationship between low handgrip strength with or without asymmetry and fall risk among middle-aged and older males in China: evidence from the China Health and Retirement Longitudinal Study
    Yilin Wang, Yalian Huang, Xiaoyan Chen
    Postgraduate Medical Journal.2023; 99(1178): 1246.     CrossRef
  • Short sleeping duration is associated with a higher risk of asymmetric handgrip strength among older Chinese males: a cross-sectional study evidence from the China health and retirement longitudinal study
    Yilin Wang, Mei Li, Xiaoyan Chen
    Frontiers in Public Health.2023;[Epub]     CrossRef
  • Associations of Handgrip Asymmetry With Impaired Health-Related Quality of Life Among Older Adults in South Korea: A Cross-Sectional Study Using National Survey Data
    Jihyun Baek, Yunmi Kim, Hyun-Young Kim
    Asia Pacific Journal of Public Health.2022; 34(6-7): 649.     CrossRef
  • Association between changes in handgrip strength and depression in Korean adults: a longitudinal panel study
    Hyunkyu Kim, Wonjeong Jeong, Seung Hoon Kim, Yu Shin Park, Sung-In Jang, Eun-Cheol Park
    Scientific Reports.2022;[Epub]     CrossRef
  • Muscle Strength Moderates the Relationship between Nutritional Health Risk and Depression in Korean Older Adults
    Jeonghyeon Kim, Seamon Kang, Haeryun Hong, Hyunsik Kang, Ju-Hyoung Kim, Sang-Koo Woo
    Nutrients.2022; 14(3): 665.     CrossRef
  • Depressive symptoms and physical function among the elderly in nursing homes during the COVID-19 pandemic in China: A cross-sectional study
    Lunan Gao, Jinhong Yang, Jiang Liu, Tingting Xin, Yuxiu Liu
    Medicine.2022; 101(47): e31929.     CrossRef
  • Association between handgrip strength asymmetry and falls in elderly Koreans: A nationwide population-based cross-sectional study
    Young Joo Go, Duk Chul Lee, Hye Jun Lee
    Archives of Gerontology and Geriatrics.2021; 96: 104470.     CrossRef
Perspective
Group Antenatal Care: A Paradigm Shift to Explore for Positive Impacts in Resource-poor Settings
Bhanu Pratap Singh Gaur, Jyothi Vasudevan, Bhabani Pegu
J Prev Med Public Health. 2021;54(1):81-84.   Published online December 8, 2020
DOI: https://doi.org/10.3961/jpmph.20.349
  • 3,374 View
  • 125 Download
  • 2 Web of Science
  • 2 Crossref
AbstractAbstract PDF
The delivery of high-quality antenatal care is a perennial global concern for improving maternal and neonatal outcomes. Antenatal care is currently provided mainly on a one-to-one basis, but growing evidence has emerged to support the effectiveness of group antenatal care. Providing care in a small group gives expectant mothers the opportunity to have discussions with their peers about certain issues and concerns that are unique to them and to form a support system that will improve the quality and utilization of antenatal care services. The aim of this article is to promote group antenatal care as a means to increase utilization of healthcare.
Summary

Citations

Citations to this article as recorded by  
  • Improving health literacy through group antenatal care: results from a cluster randomized controlled trial in Ghana
    Jody R. Lori, Vida Ami Kukula, Liya Liu, Veronica E.A. Apetorgbor, Bidisha Ghosh, Elizabeth Awini, Nancy Lockhart, Georgina Amankwah, Ruth Zielinski, Cheryl A. Moyer, John Williams
    BMC Pregnancy and Childbirth.2024;[Epub]     CrossRef
  • Adolescents’ experiences with group antenatal care: Insights from a mixed‐methods study in Senegal
    Ashley Vandermorris, Britt McKinnon, Mohamadou Sall, Adrian Witol, Mahamadou Traoré, Fatma Lamesse‐Diedhiou, Diego G. Bassani
    Tropical Medicine & International Health.2021; 26(12): 1700.     CrossRef
Original Articles
Role of Information and Communication Technology and Women’s Empowerment in Contraceptive Discontinuation in Indonesia
Omas Bulan Samosir, Ayke Soraya Kiting, Flora Aninditya
J Prev Med Public Health. 2020;53(2):117-125.   Published online February 12, 2020
DOI: https://doi.org/10.3961/jpmph.19.300
  • 4,534 View
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  • 6 Crossref
AbstractAbstract PDF
Objectives
This study investigated the role of information and communication technology and women’s empowerment in contraceptive discontinuation in Indonesia.
Methods
The study used data from the 2017 Indonesia Demographic and Health Survey and monthly contraceptive calendar data. A Gompertz proportional hazards model was used for analysis.
Results
The 12-month contraceptive discontinuation rate was higher among women who had used the Internet in the past year, women who were mobile phone owners, and women who reported having fully participated in household decision-making than among their counterparts. These factors significantly impacted the risk of contraceptive discontinuation in Indonesia, even after controlling for contraceptive method, age, parity, contraceptive intent, education, work status, place of residence, and wealth status.
Conclusions
After adjustment for the control variables, a higher risk of contraceptive discontinuation was associated with having used the Internet in the past year, owning a mobile phone, and not participating in household decision-making. Higher contraceptive discontinuation risk was also associated with using contraceptive pills, older age, lower parity, intent of spacing births, more education, current unemployment, and rural residence, and the risk was also significantly higher for those in the lowest household wealth quintile than for those in the fourth household wealth quintile. The association of contraceptive discontinuation with the use of modern information and communication technology and relatively disempowerment in household decision-making may imply that information regarding family planning and contraception should be conveyed via social media as part of setting up an eHealth system. This must include a strong communication strategy to empower and educate women in contraceptive decision-making.
Summary

Citations

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  • Contraceptive switch and abandonment among women using the pill, condoms and injectables in Brazil
    Christiane Borges do Nascimento Chofakian, Ana Luiza Vilela Borges
    The European Journal of Contraception & Reproductive Health Care.2024; 29(1): 15.     CrossRef
  • Prevalence of discontinuation of contraceptives due to failure among women aged 14 to 49 years in Uganda: a nation wide cross-sectional survey
    Ruth Ketty Kisuza, Saviour Kicaber, Derrick Bary Abila, Felix Bongomin, Christopher Orach Garimoi
    Contraception and Reproductive Medicine.2023;[Epub]     CrossRef
  • The Nexus between Economic Features and Contraceptive Switching in Indonesia
    Wilson Rajagukguk, Fajar Lamhot Gultom, Muhammad Alfarabi
    Balkan Journal of Interdisciplinary Research.2023; 9(3): 33.     CrossRef
  • Predicting COVID-19 health behaviour initiation, consistency, interruptions and discontinuation among social media users in Nigeria
    Eke Kalu Oyeoku, Felix Olajide Talabi, David Oloyede, Aiyesimoju Ayodeji Boluwatife, Verlumun Celestine Gever, Ibe Ebere
    Health Promotion International.2022;[Epub]     CrossRef
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    Salima Meherali, Komal Abdul Rahim, Sandra Campbell, Zohra S. Lassi
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Factors Affecting Breast Self-examination Behavior Among Female Healthcare Workers in Iran: The Role of Social Support Theory
saeed bashirian, Majid Barati, Leila Moaddab Shoar, Younes Mohammadi, Mitra Dogonchi
J Prev Med Public Health. 2019;52(4):224-233.   Published online June 26, 2019
DOI: https://doi.org/10.3961/jpmph.18.277
  • 7,868 View
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AbstractAbstract PDFSupplementary Material
Objectives
In women, breast cancer is the most common cancer and the leading cause of cancer death. Screening tests are the basis for early diagnosis. In Iranian women, the mortality rate of breast cancer is high due to insufficient screening examinations and delayed visits for care. Therefore, this study aimed to determine the factors affecting breast self-examinations among Iranian women employed in medical careers.
Methods
This cross-sectional study included 501 women working in the medical professions at Hamadan University of Medical Sciences in western Iran in 2018. The subjects were selected by stratified random sampling. Data were collected using a researcher-developed, self-report questionnaire that contained demographic information and questions based on protection motivation theory and social support theory. Descriptive data analysis was conducted using SPSS version 23 and model fitting with PLS version 2.
Results
The mean age of the participants was 37.1±8.3 years, and most of the women (80.4%) were married. Most women had a bachelor’s degree (67.5%). The findings of this study showed that the coping appraisal construct was a predictor of protection motivation (β=0.380, p<0.05), and protection motivation (β=0.604, p<0.05) was a predictor of breast self-examination behavior. Additionally, social support theory (β=0.202, p<0.05) had a significant positive effect on breast self-examination behavior.
Conclusions
The frequency of practicing self-examinations among women employees in the medical sector was low; considering the influence of social support as a factor promoting screening, it is necessary to pay attention to influential people in women’s lives when designing educational interventions.
Summary

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Factors Associated With Stillbirth Among Pregnant Women in Nepal
Mahesh Bhusal, Nirmal Gautam, Apiradee Lim, Phattrawan Tongkumchum
J Prev Med Public Health. 2019;52(3):154-160.   Published online April 24, 2019
DOI: https://doi.org/10.3961/jpmph.18.270
  • 5,813 View
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AbstractAbstract PDF
Objectives
Stillbirth is a common adverse pregnancy outcome that represents a distressing and traumatic event for women and their partners. The aim of this study was to identify factors associated with stillbirth in ever-pregnant women in Nepal.
Methods
This study utilized the individual women’s dataset from the Nepal Demographic and Health Survey, conducted in 2016. The dependent variable of interest was whether women had at least 1 stillbirth during their lifetime. The associations between independent variables and the dependent variable of the study were analyzed using a multiple logistic regression model.
Results
Among 8918 ever-pregnant women aged 15-49 years, 488 had experienced at least 1 stillbirth during their lifetime, representing 5.5% of the total. After adjusting each factor for the confounding effects of other factors, maternal age, maternal education, place of residence, and sub-region remained significantly associated with having experienced stillbirth.
Conclusions
Stillbirth continues to be a major problem among women, especially those with higher maternal age, those who are illiterate, and residents of certain geographical regions. To minimize stillbirth in Nepal, plans and policies should be focused on women with low education levels and residents of rural areas, especially in the western mountain and far-western hill regions.
Summary

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Concordance in the Health Behaviors of Couples by Age: A Cross-sectional Study
Seungmin Jeong, Sung-Il Cho
J Prev Med Public Health. 2018;51(1):6-14.   Published online November 27, 2017
DOI: https://doi.org/10.3961/jpmph.17.137
  • 10,179 View
  • 251 Download
  • 11 Crossref
AbstractAbstract PDFSupplementary Material
Objectives
To investigate concordance in the health behaviors of women and their partners according to age and to investigate whether there was a stronger correlation between the health behaviors of housewives and those of their partners than between the health behaviors of non-housewives and those of their partners.
Methods
We used data obtained from women participants in the 2015 Korea Community Health Survey who were living with their partners. The outcome variables were 4 health behaviors: smoking, drinking, eating salty food, and physical activity. The main independent variables were the partners’ corresponding health behaviors. We categorized age into 4 groups (19-29, 30-49, 50-64, and ≥ 65 years) and utilized multivariate logistic regression analysis, stratifying by age group. Another logistic regression analysis was stratified by whether the participant identified as a housewife.
Results
Data from 64 971 women older than 18 years of age were analyzed. Of the 4 health behaviors, the risk of smoking (adjusted odds ratio [aOR], 4.65; 95% confidence interval [CI], 3.93 to 5.49) was highest when the participant’s partner was also a smoker. Similar results were found for an inactive lifestyle (aOR, 2.56; 95% CI, 2.45 to 2.66), eating salty food (aOR, 2.48; 95% CI, 2.36 to 2.62); and excessive drinking (aOR, 1.89; 95% CI, 1.80 to 1.98). In comparison to non-housewives, housewives had higher odds of eating salty food.
Conclusions
The health behaviors of women were positively correlated with those of their partners. The magnitude of the concordance differed by age group.
Summary

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Trends in Gender-based Health Inequality in a Transitional Society: A Historical Analysis of South Korea
Heeran Chun, Sung-Il Cho, Young-Ho Khang, Minah Kang, Il-Ho Kim
J Prev Med Public Health. 2012;45(2):113-121.   Published online March 31, 2012
DOI: https://doi.org/10.3961/jpmph.2012.45.2.113
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AbstractAbstract PDF
Objectives

This study examined the trends in gender disparity in the self-rated health of people aged 25 to 64 in South Korea, a rapidly changing society, with specific attention to socio-structural inequality.

Methods

Representative sample data were obtained from six successive, nationwide Social Statistics Surveys of the Korean National Statistical Office performed during 1992 to 2010.

Results

The results showed a convergent trend in poor self-rated health between genders since 1992, with a sharper decline in gender disparity observed in younger adults (aged 25 to 44) than in older adults (aged 45 to 64). The diminishing gender gap seemed to be attributable to an increase in women's educational attainment levels and to their higher status in the labor market.

Conclusions

The study indicated the importance of equitable social opportunities for both genders for understanding the historical trends in the gender gap in the self-reported health data from South Korea.

Summary

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English Abstract
The Association Between Apolipoprotein E Genotype and Lipid Profiles in Healthy Woman Workers.
Kieun Moon, Sook Hee Sung, Youn Koun Chang, Il Keun Park, Yun Mi Paek, Soo Geun Kim, Tae In Choi, Young Woo Jin
J Prev Med Public Health. 2010;43(3):213-221.
DOI: https://doi.org/10.3961/jpmph.2010.43.3.213
  • 4,842 View
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AbstractAbstract PDF
OBJECTIVES
Plasma lipid profiles and Apolipoprotein E (ApoE) are established risk factors for cardiovascular disease (CVD). The knowledge of lipid profile may estimate the potential victims of cardiovascular disease before its initiation and progression and offers the opportunity for primary prevention. The most common ApoE polymorphism has been found to influence plasma lipid concentrations and its correlation with CVD has been extensively investigated in the last decade. METHODS: The ApoE polymorphism and its influence on plasma lipid were investigated in healthy woman workers. The information on confounding factors was obtained through a self-administered questionnaire and ApoE polymorphism was investigated using PCR. RESULTS: The relative frequencies of alleles E2, E3 and E4 for the study population (n=305) were 0.127, 0.750 and 0.121, respectively. ApoE polymorphism was associated with variations in plasma HDL-cholesterol lipid profile. In order to estimate the independent effects of alleles E2 and E4, as compared with E3, on lipid profile, multiple regression was performed after adjustment for confounding variables such as age, BMI, blood pressure, education status, insulin, fasting glucose, HOMA-IR, menopause. ApoE2 had a negative association with HDL cholesterol and ApoE4 had a positive association with LDL cholesterol. CONCLUSIONS: This study identified that the ApoE and CVD risk factors contribute to the lipid profiles, similar to other studies. The analysis including dietary intake and other gene in further studies may help to identify clear effects on lipid profiles as risk factor for CVD.
Summary

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JPMPH : Journal of Preventive Medicine and Public Health