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Cigarette Smoking and Attitudes Concerning Its Control among healthcare workers in Enugu, South-East, Nigeria

Health 2016年第11期8卷 1049-1058页

作者： I. B. Omotowo E. O. Ndibuagu U. Ezeoke Department of Community Medicine College of Medicine University of Nigeria Enugu Campus Enugu Nigeria Department of Community Medicine & Primary Health Care Enugu State University College of Medicine Enugu Nigeria

Introduction: Cigarette smoking is an established risk factor for many diseases, and according to World Health Organization, health care workers can influence positively or negatively the smoking habits of the community. Objective: The purpose of the study was to investigate the prevalence of cigarette smoking and attitudes regarding its control among healthcare workers in Enugu, South-East Nigeria. Methods: This cross sectional study was conducted among 369 healthcare providers randomly selected in primary, secondary and tertiary health facilities. Data were collected using a self reported questionnaire on cigarette smoking, and were analysed using SPSS Version 21, and statistical significance of association between variables was assessed using chi-square test at p healthcare workers was 21.1% with (95% confidence interval 17.3 - 25.6), currently smoking was 6.5% with (95% confidence interval 5.8 - 7.4), while life time prevalence among physicians was 31.7% with (95% ci 28.8 - 33.6). The highest smoking rate was among the internists 72.7% in the physicians group. More smokers significantly agreed that the followings should be banned: cigarette sales (X2 = 22.134, df = 6, P = 0.003), advertising cigarettes (X2 = 42.532, df = 28, P = 0.040), cigarettes smoking in restaurants (X2 = 42.560, df = 20, P = 0.001), and smoking in all enclosed places (X2 = 33.257, df = 20, P = 0.025), but not statistically significant for health professionals to serve as role models (X2 = 24.420, df = 8, P = 0.086). Conclusion: Our results showed high percentage of cigarette smoki

关键词： Prevalence Smoking healthcare workers

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Violence study of healthcare workers and systems in the Caribbean:ViSHWaS-Caribbean study

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World Journal of Methodology 2024年第3期14卷 106-118页

作者： Reshon Hadmon Daniella Myriam Pierre Akshat Banga Jacques W Clerville Hans Mautong Precious Akinsanya Rajat Das Gupta Sama Soliman Tolupe M Hunjah Bamidele A Hunjah Hafeez Hamza Ruman Khurshid Qasba Faisal A Nawaz Salim Surani Rahul Kashyap Department of Medicine St.George University School of MedicineGrenada FZ818West Indies Department of Research Global Remote Research Scholar ProgramSt PaulMN 55101United States Department of Public Health Cuny Graduate School of Public Health and Health PolicyNew YorkNY 10027United States Department of Internal Medicine Sawai Man Singh Medical CollegeJaipur 302004India School of Public Health Georgia State UniversityAtlantaGA 30302United States Department of Sociology and Demography School of HealthUniversidad de Especialidades Espiritu SantoSamborondon 092301Ecuador Department of Medicine Holy Name Medical CenterTeaneckNJ 07666United States Department of Epidemiology and Biostatistics University of South CarolinaColumbiaSC 29208United States Department of Medicine Pavlov First State Medical University of St PetersburgSankt-Peterburg 197022Russia Department of Medicine University of SuffolkIpswich IP41QJUnited Kingdom Department of Medicine Unicaf University of ZambiaLusaka 20842Zambia Department of Pharmacy School of PharmacyGirne 99428Cyprus Department of Medicine Sher-i-KashmirInstitute of Medical ScienceSrinagar 190011India Department of Psychiatry Al Amal Psychiatric HospitalEmirates Health ServicesDubaiUnited Arab Emirates Department of Medicine and Pharmacology Texas A and M UniversityCollege StationTX 77843United States Anesthesiology and Critical Care Mayo ClinicRochesterMN 55905United States Department of Research Wellspan HealthYorkPA 17403United States

BACKGROUND Violence against healthcare workers(HCWs)in the Caribbean continues to prevail yet remains *** aim is to determine the cause,traits,and consequences of violence on HCWs in the *** To determine the cause,traits,and consequences of violence on HCWs in the *** This research adopted an online cross-sectional survey approach,spanning over eight weeks(between June 6th and August 9th,2022).The survey was generated using Research Electronic Data Capture forms and followed a snowballing strategy to contact individuals using emails,social media,text messages,*** regression analysis was performed to evaluate the variables that influence violence,including gender,age,years of experience,institution type,and night shift *** The survey was completed by 225 *** comprised 61%.Over 51%of respondents belonged to the 21 to 35 age ***(n=61),Haiti(n=50),and Grenada(n=31)had the most *** HCWs(49%)worked for government academic institutions,followed by community hospitals(23%).Medical students(32%),followed by attending physicians(22%),and others(16%)comprised the most common cadre of *** 39%of the participants reported experiencing violence themselves,and 18%reported violence against colleague(s).Verbal violence(48%),emotional abuse(24%),and physical misconduct(14%)were the most common types of *** 63%of respondents identified patients or their relatives as the most frequent *** logistic regression analyses demonstrated that female gender(OR=2.08;95%CI:1.16-3.76,P=0.014)and higher frequency of night shifts(OR=2.22;95%CI:1.08-4.58,P=0.030)were associated with significantly higher odds of experiencing *** than 50%of HCWs felt less motivated and had decreased job satisfaction post-violent *** A large proportion of HCWS in the Caribbean are exposed to violence,yet the phenomenon remains *** a result,HCWs’job s

关键词： ViSHWaS healthcare workers Violence Survey Workplace violence Caribbean Cross-sectional study

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Exploring Gaps in healthcare workers Knowledge, Attitude, Perception and Practice of COVID-19 Prevention and Control in Rivers State Nigeria

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Advances in Infectious Diseases 2021年第2期11卷 140-155页

作者： Golden Owhonda Ifeoma Nwadiuto Omosivie Maduka Datonye Alasia Charles Tobin-West Nyarawo Ekanem Chinenye Okafor Esther Azi Vetty Agala Chibianotu Ojimah John Nwolim Paul Doris Nria Ayo-Maria Olofinuka Ifeoma Ndekwu Chikezie Opara Chris Newsom Department of Public Health and Disease Control Rivers State Ministry of Health Port Harcourt Nigeria Rivers State Public Health Emergency Operations Centre Port Harcourt Nigeria Department of Preventive and Social Medicine University of Port Harcourt Port Harcourt Nigeria Department of Internal Medicine University of Port Harcourt Port Harcourt Nigeria Department of Disease Control Rivers State Primary Health Care Management Board Port Harcourt Nigeria World Health Organization Rivers State Field Office Port Harcourt Nigeria Department of Community Medicine Rivers State University Port Harcourt Nigeria Rivers State Hospital Management Board Port Harcourt Nigeria Stakeholder Democracy Network Port Harcourt Nigeria

Background Knowledge, attitude, perception, and practice of Covid-19 prevention affect the effectiveness of healthcare workers in the pandemic response. This study assessed gaps in awareness, knowledge, attitude, perception, and practice of Covid-19 prevention among healthcare workers in Rivers State, Nigeria. Methods This was a descriptive cross-sectional survey carried out six weeks into Rivers State response that commenced on February 20, 2020, in the 23 Local Government Areas (LGAs). State Disease Surveillance and Notification Officers used multistage sampling to recruit 555 healthcare workers for the survey. A self-designed structured interviewer-administered questionnaire built into the Open Data Kit application for android phones was used for data collection. Descriptive data analysis was done, and outputs presented as frequency and percentages. Results There was a total of 372 (67.0%) female respondents. Majority of study participants had tertiary education 453 (81.6%). The mean age of study participants was 40.6 years (Standard Deviation = 7.8 years). Furthermore, 285 (51.4%) were Community Health workers, and had over ten years practicing experience 393 (70.8%). Most healthcare workers 554 (99.8%) had heard about Covid-19, through radio 539 (97.1%), and television 445 (80.2%) yet 213 (38.4%) respondents did not know that it is caused by a virus. Most respondents 415 (74.8%) had good knowledge about Covid-19. However, only 148 (26.7%) would refer suspected cases to a facility and only 365 (65.8%) respondents demonstrated the correct hand washing technique. Conclusion There are some gaps in health worker knowledge, attitude, perception, and practice of Covid-19 prevention. Interventions to bridge these gaps are needed for effective containment of this pandemic.

关键词： Knowledge Attitude Perception Practice healthcare workers Covid-19

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Evolution of Acquired Humoral Immunity after Full Vaccination against SARS-CoV-2. IgG Levels in healthcare workers at 6 and 9 Months

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World Journal of Vaccines 2023年第2期13卷 13-32页

作者： Victoria Delicado-Useros Esther Navarro-Rodenas Indalecio-M Sánchez-Onrubia Carmen Ortega-Martínez Antonia Alfaro-Espín Juan-D Pérez-Serra Francisco García-Alcaraz Julia Lozano-Serra Lorena Robles-Fonseca Teresa Pérez-Domenech Nursing Faculty Castilla-La Mancha University Nursing & Society Research Group Albacete Spain Emergency Department General Hospital Almansa Spain Emergency Department General Hospital Albacete Spain Nursing Faculty Nursing & Society Research Group Universidad de Castilla-La Mancha Albacete Spain Emergency Department Son Espasses Universitary Hospital Palma de Mallorca Spain Departament of Clinical Microbiology in Albacete General Hospital Albacete Spain

Background: The COVID-19 pandemic continues to be a major worldwide health problem. The present study aims to contribute to surveillance of the immune and clinical response of vaccines to SARS-CoV-2. Methods: Observational medication study on acquired immunity and effectiveness of vaccines. Population: 620 workers in the health service of Almansa (Spain). Representative sample of 150 individuals. Sociodemographic, clinical, and epidemiological data and samples were recorded to determine anti-SARS-CoV-2 serum IgG levels 6 and 9 months after vaccination with Pfizer. Results: Mean age 46.45 years;76% women;85.1% working in a hospital. 19.3% had had COVID-19 in the year prior to vaccination. 96.7% were fully vaccinated with Pfizer/BioNTech. At 6 months, 100% seropositivity and mean IgG levels of 3017.2 AU/ml. Significant variations in IgG levels in individuals with prior COVID-19 infection and smokers. At 9 months, 99.3% remained seropositive;2.8% infected after vaccination. The repeated measures analysis showed a difference in means of 669.0 AU/ml (significant decrease in IgG levels of 28.9%). Conclusion: Antibody levels remained positive 6 and 9 months after vaccination, although IgG levels were found to decay.

关键词： Acquired Immunity SARS-CoV-2 Vaccine IgG level healthcare workers COVID-19 Incidence Rate

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Prevalence of Occupational Injury and Knowledge of Post-Exposure Prophylaxis Accessibility among healthcare workers in Mogadishu, Somalia

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Occupational Diseases and Environmental Medicine 2024年第3期12卷 172-198页

作者： Yonis Abdullahi Ahmed Anshur Abdishakur Mohamud Sheik Miski Abdullahi Roble Abdullahi Mohamed Yasin Abdullahi Ali Mohamed Fardowso Ali Mohamud Abdimalik Dahir Abdi Ikran Abdullahi Isse Warda Adan Ibrahim Mohamed Jimale Adan Ugbad Ahmed Daud Ahmed Aweis Abdullahi Mohamed Hassan Fujeyra College of Medicine and Health Science Abrar University Mogadishu Somalia Directorate of Health-Banadir Regional Administration Mogadishu Somalia Mogadishu Somali Trkiye Training and Research Hospital Mogadishu Somalia Department Faculty of Medicine and Surgery Zamzam University of Science and Technology Mogadishu Somalia Banadir Maternity and Childhood Hospital Mogadishu Somalia Department Faculty of Medicine and Surgery Banadir University Mogadishu Somalia Faculty of Medicine & Surgery Somali National University Mogadishu Somalia

Introduction: healthcare workers in Mogadishu, Somalia face significant occupational injury risks, particularly needle stick injuries, with 61.1% reporting incidents. This poses a serious threat to their health, leading to infections such as hepatitis B, hepatitis C, and HIV. Despite the high prevalence of injuries, awareness of Post-Exposure Prophylaxis (PEP) accessibility is relatively high, with 84.0% of respondents aware of it. However, there are gaps in knowledge and implementation, as evidenced by variations in availability of PEP. Improving workplace safety measures, providing comprehensive training on injury prevention and PEP protocols, and ensuring consistent availability of PEP in healthcare facilities are crucial steps to safeguard the well-being of healthcare workers in Mogadishu, Somalia. Methods: A cross-sectional study was conducted among hospital workers in Mogadishu, Somalia, focusing on professionals from various healthcare facilities. The study targeted nurses, doctors, laboratory personnel, and pharmacists. Purposive sampling was employed, resulting in a sample size of 383 calculated using Fisher’s sample size formula. Data were collected using coded questionnaires entered into Microsoft Excel 2019 and analyzed with SPSS software to generate frequencies and proportions, presented through frequency tables and pie figures. Results: The study in Mogadishu, Somalia, examined the prevalence of occupational injuries and knowledge of Post-Exposure Prophylaxis (PEP) accessibility among healthcare workers. Findings indicate a high prevalence of injuries, with 61.1% reporting incidents, predominantly needle stick injuries (60.6%). Despite the majority seeking prompt medical attention (72.0%), work-related illnesses affected 53.2% of respondents, notably work-related stress (59.5%). While most received training on injury and illness prevention (68.9%), gaps exist in PEP awareness, with 16.0% unaware of it. Nonetheless, 84.0% were aware, predominantly throu

关键词： Prevalence of Occupational Injury Post-Exposure Prophylaxis (PEP) Accessibility healthcare workers Needle Stick Injuries Infections (Hepatitis B Hepatitis C HIV) Awareness Knowledge Workplace Safety PEP Availability Blood-Borne Diseases Personal Protective Equipment (PPE) HIV PEP (Post-Exposure Prophylaxis)

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Assessment of Knowledge, Attitude and Practices among healthcare workers in a Tertiary Care Hospital on Needle Stick Injury

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Advances in Infectious Diseases 2024年第2期14卷 487-495页

作者： Komal Kanani Sangita Rajdev Summaiya Mullan Department of Microbiology Government Medical College & New Civil Hospital Surat India

Purpose: Needle-stick injury (NSI) is one of the most potential occupational hazards for healthcare workers because of the transmission of blood-borne pathogens. As per recent data, around 30 lakh healthcare workers sustain Needle stick injuries each year. This study was conducted to assess healthcare workers’ knowledge, attitude and practices regarding needle stick injury. Materials & Methods: A cross-sectional study was conducted in a Tertiary Care Hospital over the period of 3 months. The study population consisted of Intern Doctors, Post Graduate resident Doctors, Staff Nurses, laboratory technicians of Government Medical College and New Civil Hospital, Surat (n = 300). The data were collected using a self-administered questionnaire via the means of Google Forms. Questionnaire was made with prior review literature. The data obtained were entered and analysed in Microsoft Excel. Results: The prevalence of NSI in our study was 46%, with a higher prevalence among the PG residents (72%). Overall scores regarding knowledge and attitude were better in PG residents (knowledge score > 7 in 71% and Attitude Score > 7 in 68% of PG Residents). Even though the PG residents scored highest in the knowledge category, the majority of them suffered needle stick injuries as a result of poor practice scores. Among those who had NSI (n = 139/300), 70% of study participants had superficial injuries, only 9% reported the incident, 18% got medical attention within 2 hours of the incident, and 7% followed up to recheck their viral markers status. Most incidents of NSI were due to hypodermic needles while recapping needles. Conclusion: Exposure to needle stick injuries and their underreporting remains a common problem. It is imperative that healthcare workers receive regular training on the proper handling of sharp objects. We can also draw the conclusion that preventing NSIs requires putting knowledge into practice.

关键词： Needle Stick Injury Knowledge Attitude Practice healthcare workers

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Analysis of Hand Hygiene Knowledge,Compliance,and Influencing Factors Among Psychiatric healthcare workers

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Journal of Clinical and Nursing Research 2024年第7期8卷 134-139页

作者： Weidong Liu Li Xiang Guangzhou Municipal Civil Affairs Bureau Psychiatric Hospital Guangzhou 510430Guangdong ProvinceChina

Objective:To evaluate the knowledge,compliance,and influencing factors of hand hygiene among psychiatric healthcare ***:68 healthcare workers who worked in the Department of Psychiatry between September 2023 and May 2024 were selected to assess their knowledge of hand hygiene and compliance by questionnaire as well as to analyze their influencing ***:Knowledge of hand hygiene among healthcare workers was less than 90%,and doctors’knowledge was lower than that of nurses(Phealthcare workers’compliance with hand hygiene was lower than 80%,and the adherence of doctors was lower than that of nurses(Phealthcare workers’compliance with hand hygiene,with Phealthcare workers’knowledge of hand hygiene as well as compliance with it is low,and there are various factors affecting it,so targeted training is required to strengthen their hand hygiene implementation.

关键词： Psychiatry healthcare workers Hand hygiene Knowledge Compliance

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Prevalence and Factors Associated with Low Back Pain among healthcare workers in Two Hospitals in Yaoundé-Cameroon: A Cross-Sectional Study

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Open Journal of Rheumatology and Autoimmune Diseases 2024年第3期14卷 89-107页

作者： Brian Gweha Ahmadou Musa Jingi Baudelaire Fojo Talongong Claude Tayou Madeleine Singwé-Ngandeu Department of Clinical Sciences Faculty of Health Sciences The University of Bamenda Bamenda Cameroon Faculty of Medicine and Biomedical Sciences The University of Yaound Yaound Cameroon The Rheumatology Unit The Yaound Central Hospital Yaound Cameroon The Hematology Laboratory The Yaound University Teaching Hospital Yaound Cameroon

Background: Low back pain (LBP) is a very common health problem amongst the general population and a major cause of disability that affects work performance and well-being. healthcare workers (HCWs) are especially at risk of developing LBP because of physical and emotional factors. Little is known about the burden of LBP in Cameroon. Objective: To determine the prevalence of low back pain and identify its associated factors among healthcare workers. Methods: A cross-sectional study using a self-administered questionnaire was conducted among healthcare workers in the Yaound Central Hospital and the Yaound University Teaching Hospital. The questionnaire collected data regarding recent, past year and lifetime occurrences of LBP, socio-demographics and work conditions. Data were analysed using IBM Statistical Package for Social Sciences (SPSS) version 26. Results: A total number of 268 HCWs participated in the study, including 197 (73.5%) females and 71 (26.5%) males. The mean age of the study participants was 40.60 8.38 years (extremes of 20 and 65 years). The lifetime, annual, and point prevalences of LBP among the participants were 67.5% (CI: 61.6 - 73.1), 61.5% (CI: 55.6 - 67.1) and 35.7% (CI: 29.7 - 41.5) respectively. Multivariate analysis confirmed a moderate stress level, a sedentary lifestyle, working in the medicine and specialities department, lifting heavy objects and bending to work as associated factors to LBP. Most sufferers had a minimal functional disability (65.7%) while 34.3% had a moderate to severe disability. Conclusions: healthcare providers have a considerably high prevalence of low back pain. Factors associated with LBP found in this study were similar to those widely recognized in the literature. A substantial proportion of healthcare providers are suffering from functional disability associated with low back pain, affecting their social and work lives. There is a need for multilevel interventions to prevent and control low back pain in this hi

关键词： Prevalence Associated Factors Low Back Pain healthcare workers Yaoundé

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Occupational Exposure of healthcare workers during COVID-19 Field Surveillance Activities in South India: A Cross-Sectional Qualitative Study

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Open Journal of Epidemiology 2021年第4期11卷 446-456页

作者： Surya Srinivasan Shailaja Tetali Public Health Foundation of India (Indian Institute of Public Health) Hyderabad India

Context: Health Care workers (HCWs) involved in field-level activities are exposed to COVID-19 which puts them under physical and psychological stress. Aim: The objective of this study was to understand the perception of the health care workers regarding their occupational exposure to COVID-19, including the safety measures used during field surveillance activities. Settings and Design: This cross-sectional study was conducted from June 2020 to July 2020 among the health care workers involved in COVID-19 field containment activities in two south Indian states—Telangana and Tamil Nadu. Methods and Material: Respondents were purposively sampled based on their involvement in the COVID-19 field level activities. Sixteen In-Depth Interviewees (IDIs) were conducted telephonically with medical officers, district epidemiologists, community health workers, sanitary workers, emergency medical technicians, and ambulance coordinators. Statistical Analysis Used: IDIs were analyzed using manual thematic analysis. Results: Seven themes and sub-themes emerged: awareness and training, occupational exposure to COVID-19 and duration, safety measures, occupational burnout, social stigma, psychological violence, and facilitating factors. Respondents felt a high level of occupational exposure to COVID-19 in addition to increased workload and stress due to fear of infection, shortage of workforce, denial of week off, psychological violence, and social stigma which affected them deeply. Support from supervisors and family, and measures ensuring the safety of women were facilitating factors to cope with the situation. Conclusions: It is important to safeguard the general and mental health of field-level health workers involved in COVID-19 activities, to keep their morale high during the continuing pandemic.

关键词： Occupational Exposure COVID-19 Field Surveillance healthcare workers

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Psychological Distress amongst healthcare workers in Douala

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Occupational Diseases and Environmental Medicine 2024年第4期12卷 349-362页

作者： Owona Manga Léon Jules Eyoum Christian Bita Fouda André Arsène Ndjiengwe François Errero Djietcheu Tan-Ho Myriam Mor Ndiaye Faculty of Medicine and Pharmaceutical Sciences The University of Douala Douala Cameroon Laquintinie Hospital Douala Cameroon Cheick Anta Diop University Dakar Senegal

Introduction: Psychological distress can affect every worker’s mental health or working ability, and specifically the healthcare workers. It is essential to prevent and treat it in order to anticipate predictable consequences. The aim of this study was to investigate the epidemiological characteristics of psychological distress among the healthcare workers in the city of Douala. Material and Methods: This cross-sectional study was carried out during the 1st semester of 2023 in two reference hospitals of the city of Douala. All volunteer staff from the targeted hospitals were involved. We collected data using a mixed questionnaire that included the working conditions, as of the socioprofessional and psychological characteristics of the healthcare workers. We measured the level of psychological distress using the Kessler scale. Analysis was performed using the Chi-2 test and multivariate analysis. Threshold value was & = 5%, p Results: The participation rate was 86.3%. Women (81.7%) and nurses (77.6%) predominated in the sample. The mean age was 35.38 ± 8.9 years, and individuals in their thirties accounted for 46.79% of the sample. The prevalence of psychological distress was 19.5%. The psychological distress was categorized as mild (48.72%), moderate (18.46%) or severe (32.82%). Risk factors for psychological distress included being of the catholic faith (OR = 3.6, p = 0.04), poor sleep quality (OR = 3.9, p = 0.001) and long working hours (OR = 2.2, p = 0.002). Overtime was the only protective factor identified (OR = 0.6, p = 0.04). Conclusion: Nearly 1 out of 5 healthcare workers suffered from psychological distress exacerbated by poor working and living conditions. There is an urgent need to improve their working conditions to prevent the development of more severe consequences.

关键词： Psychological Distress healthcare workers Hospitals Douala

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