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PubMed1991

Student perceptions of mistreatment and harassment during medical school. A survey of ten United States schools.

Senior students at 10 medical schools in the United States responded to a questionnaire that asked how often, if ever, they perceived themselves being mistreated or harassed during the course of their medical education. Results show that perceived mistreatment most often took the form of public humiliation (86.7%), although someone else taking credit for one's work (53.5%), being threatened with unfair grades (34.8%), and threatened with physical harm (26.4%) were also reported. Students also reported high rates of sexual harassment (55%) and pervasive negative comments about entering a career in medicine (91%). Residents and attending physicians were cited most frequently as sources of this mistreatment. With the exception of more reports of sexual harassment from women students, perceived mistreatment did not differ significantly across variables such as age, sex, religion, marital status, or having a physician parent. Scores from the 10 schools also did not vary significantly, although the presence of a larger percentage of women in the class appeared to increase overall reports of mistreatment from both sexes.

Attitude↗
PubMed1990

Morbidity and mortality of acute myocardial infarction in and around Aligarh.

A 6-year retrospective study of 341 cases of acute myocardial infarction admitted to JN Medical College Hospital, Aligarh in respect of the incidence, complications and mortality in relation to age, sex, religion, smoking habit occupation and risk factors was made. The incidence was found to be 9 per 1000 hospital admissions. Maximum number of cases was in the age group of 51-60 years and male to female ratio was 7:1. There was no significant difference in incidence and mortality between Hindus and Muslims of both sexes. Highest incidence was noted among sedentary workers and smokers. Hypercholesterolaemia was found in only 17.01% cases, the rest having normal serum cholesterol levels. Hypertension and diabetes mellitus were associated in 24.05% and 12.32% cases respectively. Cardiac complications were noted in 43.4% of patients, the commonest being cardiac failure. Overall in-hospital mortality was observed to be 11.41% of which 79.49% had cardiac complications. Diabetics had significantly (p less than 0.05) higher mortality rate (21.43%) as compared to non-diabetics. Smokers had higher mortality rate compared to non-smokers (p less than 0.01). Although those with hypertension and with hypercholesterolaemia had higher mortality, the results were not statistically significant. The average day of expiry after acute myocardial infarction was 3.82 days during hospital stay.

Adult↗
PubMed1992

Dietary fats and inflammatory bowel disease in Asians.

Chemically processed, hydrogenated fats, such as margarine, have been implicated in the aetiology of inflammatory bowel disease. Toxic by-products may occur in their production or during frying and cooking. A survey of dietary oil usage was conducted among Asians in Leicester, comparing inflammatory bowel disease patients with healthy controls. Two groups were comparable for age, sex, religion, place of birth, number of years spent in Britain and vegetarian status. There were no significant differences in actual oils used between healthy controls and patients with ulcerative colitis or Crohn's disease (chi 2 = 0.142 and 1.803 respectively, p greater than 0.50). However patients with Crohn's disease were found to recycle their cooking oil significantly more often than age and sex-matched colitics (p less than 0.05) and particularly age and sex-matched controls (p less than 0.01). A similar study needs to be conducted in India where the incidence of inflammatory bowel disease is low. If this difference is confirmed a programme of health education in cooking habits could lower the incidence of Crohn's disease.

Dietary Fats↗
PubMed2003

Sexual behaviour of adolescents in Nigeria: cross sectional survey of secondary school students.

OBJECTIVES: To determine whether family structure (polygamous or monogamous) is associated with sexual activity among school students in Nigeria. DESIGN: Cross sectional school survey with a two stage, clustered sampling design. PARTICIPANTS: 4218 students aged 12-21 years attending 39 schools in Plateau state, Nigeria. Responses from 2705 students were included in the analysis. MAIN OUTCOME MEASURE: Report of ever having had sexual intercourse. Variables of interest included sexual history, age, sex, religion, family polygamy, educational level of parents, having a dead parent, and sense of connectedness to parents and school. RESULTS: Overall 909 students (34%) reported ever having had sexual intercourse, and 1119 (41%) reported a polygamous family structure. Sexual activity was more common among students from polygamous families (42% of students) than monogamous families (28%) (chi2=64.23; P<0.0001). Variables independently associated with sexual activity were male sex (adjusted odds ratio 2.52 (95% confidence interval 2.05 to 3.12)), older age (1.62 (1.24 to 2.14)), lower sense of connectedness with parents (1.87 (1.48 to 2.38)), having a dead parent (1.59 (1.27 to 2.00)), family polygamy (1.58 (1.29 to 1.92)), lower sense of connectedness with school (1.25 (1.09 to 1.44)), and lower educational level of parents (1.14 (1.05 to 1.24)). Multistep logistic regression analysis showed that the effect of polygamy on sexual activity was reduced by 27% by whether students were married and 22% by a history of forced sex. CONCLUSIONS: Secondary school students in Nigeria from a polygamous family structure are more likely to have engaged in sexual activity than students from a monogamous family structure. This effect is partly explained by a higher likelihood of marriage during adolescence and forced sex. Students' sense of connectedness to their parents and school, regardless of family structure, decreases the likelihood of sexual activity, and fostering this sense may help reduce risky sexual behaviour among Nigerian youth.

Adolescent↗
PubMed2003

Interpreting past religious discrimination today.

Much of modern western law now presupposes opposition to discrimination based on race, religion, sex, national origin, and other factors. However, ancient religious Scriptures may have sanctioned certain types of discrimination. Whether those who are inclined to accept literal interpretations of their Scriptures will condone certain forms of discrimination could be evaluated to contrast the effects of modernization versus religious indoctrination on various kinds of prejudice.

Civil Rights↗
PubMed2001

Epidemiology of undernutrition.

OBJECTIVE: The present study was undertaken to find out the magnitude of the problem of under nutrition among the children under 5 years of age and also to identify the important factors influencing the nutritional status of the children. METHODS: 30 cluster sampling technique had been applied in the study. A total of 600 children below five years of age were covered. Twenty under five children from each cluster were chosen for the study which was carried out during January to February '97. As per IAP criteria a total of 60.29% children were undernourished and 3.92% were severely undernourished. According to NCHS standard 46.57% & 6.86% children had weight below-2SD and -3SD respectively. RESULTS: A statistically significant relationship was found between the different age groups and nutritional status of under 5 children. Severe degree of malnutrition had highest prevalence under two years of age. The influence of variables like age, sex, religion, literacy status of parents and morbidity of the children were significantly associated with malnutrition. CONCLUSION: Practice of exclusive breast feeding, introduction of timely complementary feeding, education for maintaining personal hygiene, proper implementation of UIP immunization, periodic deworming, standard case management of diarrhoea and ARI as well as continuation of feeding during illness may reduce malnutrition of under-five children.

Age Distribution↗
PubMed1986

Factors affecting hospitalization for selected diseases in Israel.

Hospitalization rates in Israel for five communicable and four noncommunicable diseases were computed according to age, sex, religion, origin, and place of residence. Higher rates for communicable diseases were generally found for all males and for Oriental Jews and Jews living in rural areas. Higher rates were also found for settlements inhabited by low socioeconomic populations. With few exceptions, hospitalization rates for Arabs were higher for both communicable and noncommunicable diseases, but rates for rural Arab populations were very low. These findings suggest that in a society such as Israel's, with a well-developed medical care delivery system, improvement in the health status of less privileged groups will depend more on health education than on the addition of resources to the health delivery system.

Age Factors↗
PubMed1992

Schistosomiasis and the social patterning of infection.

Social, cultural, behavioural and economic factors interact with local environmental and ecological factors to produce extraordinary variation in the epidemiology of schistosomiasis, including with respect to prevalence and intensity of infection and the potential for control. This article reviews the literature on schistosomiasis infection, primarily derived from African studies, to identify its major social themes. Research has demonstrated a strong link between economic development strategies, where irrigation has been introduced to boost agricultural production, and the increased transmission of infection. Water-contact studies have provided the fullest and most detailed descriptions of social risk factors, and have isolated age, sex, religion and occupation as primary risk factors. However, fuller explorations of the social and cultural context of infection have yet to be undertaken. The social context of water-related behaviour and patterns of water use within communities and households, the intersection of social and economic activities, and the significance that people give to these activities, remains poorly explored, and although research papers concerned with community-based interventions refer to poor community understanding of the cause, prevention and treatment of the disease, this domain has also received little scholarly attention. Finally, economic studies have focused primarily on working capacity, and extrapolated these findings to generalize about the impact that this might have on productivity, but have yet to address either household or community costs of schistosomiasis infection.

Africa↗
PubMed1988

Accord No. 000244, 30 June 1988.

This Accord publishes in the Registro Oficial the text of the Andean Instrument on Labour Migration, adopted by the National Congress of Ecuador on 24 June 1987. Under the Instrument, member countries are not to impede the entry and departure of migrant workers who have been contracted in conformity with the Instrument and the immigration laws of the country of immigration. Migrant workers are not to be discriminated against on the basis of race, sex, religion, or nationality and are to have, in general, the same rights of workers of the country of immigration. Workers and their families are also to have the same rights as nationals to education, housing, health care, and social security. Further provisions of the Instrument set forth specific rules with respect to temporary workers, border workers, and undocumented workers.

Americas↗
PubMed2003

Normal peak expiratory flow rate in urban and rural children.

OBJECTIVE: To establish a reference value of peak expiratory flow rates (PEFR) of normal boys and girls of urban and rural areas aged 6 to 15 years from Kamataka, South India and compare with other studies. METHODS: Twelve schools from urban and rural areas were selected to participate in the study. The permission was taken from the principal and the parents of the students from I to IX standards. A total of 6568 students participated in the study from 1994 to 1999. Among them 1091 children, were excluded from the study, who had respiratory symptoms and low peak expiratory flow rates who responded well to Salbutamol inhalation therapy in a spacer of 750 ml in volume. RESULT: A total of 5477 normal children were selected for the study. 2838 (51.8%) were boys; 2639 (48.2%) were girls. 4817 (87.9%) were from urban area and 660 (12.1%) were from rural areas. PEFR values correlated best with height, there was no difference in sexes, religion and urban/rural children.

Adolescent↗
PubMed1980

Some aspects of Yoruba traditional healers and their practice.

156 traditional healers/midwives randomly selected from all over the Yoruba-speaking areas of Nigeria were studied. Sociological data (age, sex, religion, educational status) and other details of their personal and job histories were documented. The results showed, amongst other things, that 72.4% of the 156 herbalists interviewed were more than 40 years old. The study also revealed that all traditional healers/midwives are trained before they start to practise and that people from all walks of life, irrespective of their educational and socio-economic status, illiterates, literates, students, traders, top professionals, nurses, doctors and clergymen consult traditional healers for diverse reasons. Some herbalists specialize, others are general practitioners. More than 50% of the herbalists earn enough from their practice for their upkeep. Patients pay for their treatment in cash or in kind. 125 (80%) of the herbalists were willing to cooperate with western-trained doctors if this is suggested. The results of this study were compared and contrasted with the practice of traditional medicine in other parts of Nigeria and other countries of the world where similar practices are still in vogue.

Adolescent↗
PubMed1995

Traditional healers in Tanzania: sociocultural profile and three short portraits.

Traditional healers are an important part of African societies, but unfortunately the knowledge of the extent and character of traditional healing and the people involved in the practice is limited and impressionistic. They are frequently ignored in studies of user/provider patterns, although they cover the health needs of a substantial proportion of the population. For future health planning it is necessary to know what the reasons are that even in big cities, where western health care services are available, traditional healers flourish, and even compete with each other for certain aspects. The aim of this study was to investigate certain aspects of the profession of traditional healing in general in different areas in Tanzania in order to get an idea about the kind of traditional medical services which are available, and about the people who provide such services. For this reason traditional healers were interviewed with a semi-structured questionnaire in different rural and urban places: in the Kilombero valley (Kilombero/Ulanga district), on the main island of Ukerewe (Ukerewe District), and in the region near Bukoba town (Bukoba District), and in the settlement of Dar es Salaam (largest city of Tanzania). The results of the study show that traditional healers are a very heterogeneous group of persons not having much in common relating to their religion, sex and level of education. The traditional practice is very often taken over from a family member, but also other reasons for becoming a healer, like initiation through ancestor spirits, are very frequently given. More than 50% of the respondents practice full time. These full time practitioners are mainly found among men and in the younger age group. Treatment of in-patients, who can stay in special patient-houses, is offered by half of the traditional healers. Divination used as a diagnostic tool was found mainly among men. Referral of patients to the hospital was mentioned by almost all respondents in cases where they failed with their own treatment or when they knew that the patient would be better treated in the hospital or dispensary.

Adult↗
PubMed2006

Patterns of alcohol use between genders: a cross-cultural evaluation.

INTRODUCTION: Alcohol use by men and women is very much influenced by social habits and customs. Cultural peculiarities and biological differences between the sexes require more focused and standardized studies. The objective was to systematize information on patterns of alcohol use between the sexes. METHOD: A literary review (1972-2004) identified 96 publications (Lilacs, Scielo, Medline) and some related books. RESULTS AND CONCLUSIONS: Men drank more and presented more problems (legal, family, social, clinical, traumas and mortality) associated with alcohol use; the consequences of alcohol use in developing countries with low death rates is even higher. Women can face more discrimination by using alcohol as well as worse health problems when they abuse drinking (liver, pancreas, and central and peripheral nervous system problems, psychiatric comorbidity, etc.); sexual abuse is more commonly associated with women than discussing the different responses to treatment. As for social roles/responsibilities exercised by women, there are indications that marriage, employment, and children have a good influence, discouraging alcohol use, while divorce, unemployment, and no children contribute to higher consumption. For both sexes, religion was a protective factor for alcohol use; acculturation was a strong influence in the pattern of alcohol use, and alcohol worsened the evolution of existing psychiatric disorders.

Adolescent↗
PubMed1998

Risk factors for development of dehydration in children aged under five who have acute watery diarrhoea: a case-control study.

OBJECTIVE: To identify factors for development of dehydration in under five year olds with acute watery diarrhoea. DESIGN: Hospital based unmatched case-control study. SETTING: Diarrhoea Treatment Unit, Government Medical College Hospital, Nagpur, India. PARTICIPANTS: The study included 387 cases of diarrhoea having severe or moderate dehydration and 387 controls suffering from diarrhea with mild or no dehydration. RISK FACTORS: The study included infancy, female sex, religion, residing in urban slums or rural area, under nutrition, cessation of breast feeding during diarrhoeal episode, fluid intake decrease/stopped during diarrhoea, ORS not received, home available funds (HAF) not received, both ORS and HAF not received, non-washing of hands by mother before preparation of food, after defaecation, after disposal of faeces, history of measles in the previous six months, frequency of stools > 8/d, frequency of vomiting more than twice per day and temperature more than 99 degrees F, as risk factors for development of dehydration. STATISTICAL ANALYSIS: Univariate analysis included OR, 95% CI for OR and Chi-square test. Multivariate analysis was carried out by unconditional multiple logistic regression (MLR). RESULTS: This study identified the significance of infancy, religion, severe undernutrition, non-washing of hands by mother before preparation of food, frequency of stool > 8/d, frequency of vomiting > 2/d, history of measles in previous six months, withdrawal of breast feeding during diarrhoea, withdrawal of fluids during diarrhoea and not giving ORS, HAF or both during diarrhoea, in the outcome of development of moderate or severe dehydration. CONCLUSIONS: Timely intervention in the preventable risk factors included in this study may prevent the development of moderate or severe dehydration in the children suffering form acute watery diarrhoea.

Case-Control Studies↗
PubMed2000

Teenage motherhood and infant mortality in Bangladesh: maternal age-dependent effect of parity one.

Nuptiality norms in rural Bangladesh favour birth during the teenage years. An appreciable proportion of teenage births are, in fact, second births. This study examines the relationship between teenage fertility and high infant mortality. It is hypothesized that if physiological immaturity is responsible, then the younger the mother, the higher would be the mortality risk, and the effect of mother's 'teenage' on mortality in infancy, particularly in the neonatal period, would be higher for the second than the first births. Vital events recorded by the longitudinal demographic surveillance system in Matlab, Bangladesh, in 1990-92 were used. Logistic regression was used to estimate the effects on early and late neonatal (0-3 days and 4-28 days respectively) and post-neonatal mortality of the following variables: mother's age at birth, parity, education and religion, sex of the child, household economic status and exposure to a health intervention programme. The younger the mother, the higher were the odds of her child dying as a neonate, and the odds were higher for second children than first children of teenage mothers. First-born children were at higher odds of dying in infancy than second births if mothers were in their twenties. Unfavourable mother's socioeconomic conditions were weakly, but significantly, associated with higher odds of dying during late neonatal and post-neonatal periods. The results suggest that physical immaturity may be of major importance in determining the relationship between teenage fertility and high neonatal mortality.

Adolescent↗
PubMed1992

A survey of the intestinal helminths of refugees in Juba, Sudan.

A parasitological survey of refugees based in Juba, Sudan, involving 241 faecal samples, revealed that 66% of the population harboured intestinal helminths. The most commonly found infection was hookworm (36%), followed by Schistosoma mansoni (26%), Strongyloides stercoralis (20%), Hymenolepis nana (11%), Ascaris lumbricoides (1.2%), Trichuris trichiura (0.8%) and Taenia sp. (0.4%). Many of the specimens (42%) harboured a single infection, 21% had double, 2% triple and 1% quadruple infections. Parasite prevalences and intensities were analysed in relation to age, sex, religion and occupation: females (70%) were found to be more infected than males (64%); Muslims (50%) were less infected than Christians (68%) and agriculturalists (90%) were the most infected occupational group.

Adolescent↗
PubMed1996

Lifestyle and risk of stomach cancer: a hospital-based case-control study.

BACKGROUND: Stomach cancer (SC) is the most frequent cancer among males and third most common cancer among females in Madras, India. The incidence rate of SC is higher in Southern India compared to Northern India. METHODS: A hospital-based case-control study on 388 incident cases of SC was carried out in Madras as part of a multicentre study in India to identify the risk factors for SC. Cases were matched to cancer controls based on age (+/- 5 years), sex, religion and mother tongue. Categorical variables for income group, level of education and area of residence were included in all models to control for confounding. RESULTS: Smokers had a twofold risk of SC (95% confidence interval [CI] = 1.25-3.78) compared to non smokers and the risk seen among current smokers (odds ratio [OR] = 2.5; 95% CI: 1.36-4.44) was significantly different from that seen among exsmokers (OR = 1.5; 95% CI: 0.67-3.54). The risk among those who smoke bidi (OR = 3.2; 95% CI: 1.80-5.67) was higher than that seen among cigarette (OR = 2.0; 95% CI: 1.07-3.58) and chutta (OR = 2.4; 95% CI: 1.18-4.93) smokers. Significant dose response relationships were observed with age began smoking bidi (P < 0.001) and with lifetime exposure to bidi (P < 0.001), cigarette (P < 0.01) and chutta (P < 0.05) smoking. The habits of drinking alcohol and chewing did not emerge as risk factors. An interaction effect was not seen between the lifestyle habits. Attributable risk (AR) for smoking among exsmokers was 33% and current smokers 60%. Population AR for smoking was 31%. CONCLUSION: Smoking tobacco is an independent risk factor for SC.

Adult↗
PubMed1979

A survey of clinical practice in music therapy. Part 1: The institutions in which music therapists work and personal data.

In the spring of 1978, 1,064 questionnaires were mailed to registered music therapists working in clinical settings. Part 1 of this paper reports on the types of institutions in which music therapists work, who employs them, and the salaries they earn. This section also deals with age, sex, religion, job satisfaction, job security, types of handicapped persons with whom music therapists prefer to work, work experience, and longevity.

Attitude of Health Personnel↗