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Religion and “Zero-Dose” Vaccination Status in Children Aged 12 to 23 Months in Benin and Togo: “Evidence of Demographic and Health Survey and Multiple Indicator Cluster Surveys”

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Open Journal of Epidemiology 2023年第4期13卷 306-327页

作者： Nyulelen Toyi Mangbassim Alphonse Kpozehouen Jacques Zinsou Saizonou Nicolas Gaffan aissata ba sidibe Marie Therese Guigui Yaovi Temfan Toke Dadja Essoya Landoh Assima-Essodom Kalao Department of Epidemiology and Biostatistics Regional Institute of Public Health of Ouidah University of Abomey-Calavi Ouidah Benin Health Policy and Systems Department Regional Institute of Public Health of Ouidah University of Abomey-Calavi Ouidah Benin UNICEF Country Office of Togo Lome Togo World Health Organization Country Office of Togo Lome Togo Ministry of Health Public Hygiene and Universal Access to Care Lome Togo

Introduction: The relationship between religion and health has been a topic of interest in the past, and in recent years it has become increasingly visible in the social, behavioural, and health sciences. This work aims to study the influence of religion on the “zero-dose” vaccination status of children aged 12 - 23 months in Benin and Togo. Methods: This was a cross-sectional study which consisted in carrying out secondary analyzes using the databases of the most recent editions of the Demographic and Health Surveys in Benin and the Multiple Indicator Cluster Surveys (MICS) in Togo. We extracted data concerning the vaccination status (“1 = zero-dose”, “0 = vaccinated”) of the children, the religious affiliation of the head of the household or the mother and other variables related to the child, the mother, the household and the environment. By means of a logistic regression, the adjusted effect of the religious affiliation of the head of the household or of the mother on the vaccination status at “zero-dose” was determined. Results: A total of 2430 and 933 children were respectively included in the study on behalf of Benin and Togo. The prevalence of “zero-dose” vaccination status in children aged 12 - 23 months was 33.91% (95% CI = 31.67 - 36.23) in Benin and this prevalence was 26.88% (95% CI = 23.50 - 30.55) in Togo. In Benin, there is no evidence in favour of the influence of the religious affiliation of the mother on the “zero-dose” vaccination status of children. In Togo, children living in households whose head was Muslim (ORa = 3.44;95% CI = 1.29 - 9.13) were more likely to be “zero-dose” than those coming from households run by individuals with no religious beliefs. Conclusion: Further research is needed to understand the basis for the excess risk of “zero-dose” vaccination status in children that appears to be associated with the Muslim religion.

关键词： Vaccination “Zero-Dose” Children Religion Evidence DHS MICS Benin Togo

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Ultrasound in Ti-Rads Classification of Thyroid Nodules at the Marie Curie Medical Clinic

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Open Journal of Medical Imaging 2024年第3期14卷 114-122页

作者： Traore Ousmane Diakité Siaka sidibe Drissa Mansa N’Diaye Mamadou Diallo aissata bagayoko Ousmane Lansenou Camara Nagnoumague Coulibaly Modibo Cisse Issa Dembele Mamadou sidibe Assan Traore Keita Adama Diaman Department of Radiology and Medical Imaging The Marie Curie Medical Clinic Bamako Mali Department of Radiology and Medical Imaging The Point G University Hospital Center Bamako Mali Teaching Researcher at the Faculty of Medicine and Odontostomatology The University of Sciences and Technologies of Bamako/USSTB Bamako Mali Department of Radiology and Medical Imaging The Health Center of the Military Camp Bamako Mali Medical Office Didinitata Bamako Mali

Introduction: A thyroid nodule is a localized hypertrophy within the thyroid parenchyma. The aim of our study was to study the benefit of ultrasound in the Ti-rads classification of thyroid nodules. Methodology: This was a prospective study with a descriptive aim, with prospective collection, which took place over a period of 17 months at the “Marie Curie” medical clinic. The ultrasound machine used was a Voluson E8 from 2011 and the examinations were carried out by two radiologists and two experienced sonographers. The parameters studied were sociodemographic data;clinical data and ultrasound aspects of the Ti-rads classification in the management of nodules. Results: We collected 235 patients out of 738 patients referred to the service for a cervical ultrasound, i.e. a frequency of 31.84% of cases. There was a female predominance with 95.7% of cases and a sex ratio of 0.04. The average age of our patients was 50 years. We found on cervical ultrasound: Isthmo-lobar glandular hyperplasia in 99 patients, i.e. a frequency of 42.1%. The Ti-rads 3 classification was the most represented in 69.4% of cases. The benignity criterion represented 85.6% of cases in our patients and the malignancy criterion represented 14.4% of cases. Conclusion: The precise description of a thyroid nodule provided by ultrasound (Ti-rads) is essential in the management of nodules.

关键词： Ultrasound Thyroid Nodules Ti-Rads “Marie Curie” Medical Clinic

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Religion and “Zero-Dose” Vaccination Status in Children Aged 12 to 23 Months in Benin and Togo: “Evidence of Demographic and Health Survey and Multiple Indicator Cluster Surveys”

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Open Journal of Epidemiology（流行病学期刊） 2023年第4期

作者： Nyulelen Toyi Mangbassim Alphonse Kpozehouen Jacques Zinsou Saizonou Nicolas Gaffan aissata ba sidibe Marie Therese Guigui Yaovi Temfan Toke Dadja Essoya Landoh Assima-Essodom Kalao

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马里和塞内加尔已婚妇女对计划生育方法的知识、态度及与其实践相关影响因素的研究

马里和塞内加尔已婚妇女对计划生育方法的知识、态度及与其实践相...

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作者： aissata Mahamadou sidibe 浙江大学

学位级别：硕士

研究目的本研究旨在调查马里和塞内加尔妇女对避孕药具使用的知识、态度和做法,探讨影响其使用避孕方法的主要因素,特别是妇女想要的儿童数量,从而为更适当的计划生育干预措施提供证据基础。研究方法本研究于2018年期间,通过方便抽样... 详细信息

研究目的本研究旨在调查马里和塞内加尔妇女对避孕药具使用的知识、态度和做法,探讨影响其使用避孕方法的主要因素,特别是妇女想要的儿童数量,从而为更适当的计划生育干预措施提供证据基础。研究方法本研究于2018年期间,通过方便抽样方法,在马里南部和塞内加尔抽取16-50岁的育龄妇女602名,采用结构化问卷进行调查。由于此两国识字率低,部分调查使用了现场结构化访谈。研究结果马里的298名受访者和塞内加尔的304名受访者完成了问卷调查或结构化访谈。这两个国家的大多数受访者（马里为77.9%,塞内加尔为85.9%）都了解计划生育方法,且都对计划生育持积极态度。受访者认为,丈夫的压力是他们想要更多孩子的主要原因（50.3%的马里样本和45.4%的塞内加尔样本）。在塞内加尔和马里的调查对象中,使用现代避孕药具主要和“是否与丈夫讨论过避孕有关”（马里样本OR=5.595%,可信区间2.9-10.7,p＜0.001;塞内加尔样本OR=27.895%,可信区间13.1-59.2,p＜0.001）。研究结论尽管马里和塞内加尔的受访者都了解计划生育并对计划生育持积极态度,但在生育率较高的这两个国家,计划生育方法的使用率仍然较低。而一些社会和文化因素导致两国之间存有差异。其中,丈夫参与计划生育似乎是影响计划生育运用的重要因素之一。

关键词：计划生育避孕马里塞内加尔

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