Perceptions and Knowledge about Cervical Cancer among Women Living with HIV in Parakou in 2017
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Abstract
Background: Cervical cancer (CC) is the fourth most common cancer in women and those living with HIV have a six times higher risk of cervical cancer compared to those without. The objective of this study was to assess knowledge and perceptions about cervical cancer in women living with HIV/AIDS (WLWHIV) in the municipality of Parakou in Benin. Methods: This was an analytical cross-sectional study conducted among WLWHIV monitored on antiretrovira (ARV) therapy (ART) centers in Parakou. Study participants were selected by systematic random sampling technique. Data collection took place from September 5, 2017 to November 6, 2017. Log-binomial regression was used to identify associated factors. Results: A total of 167 women were recruited into the study. The median age was 35 years [Interquartile range: 41.50 - 30.00]. More than half of the women had no perception of the cause of CC. Only 12.6% of women believed in the preventive capacity of early screening of CC. Among women, 15.6% knew that it can be prevented, but only 9.6% had heard of HPV and 4.8% knew that HPV vaccination is an effective means of preventing CC. The factors associated with the low level of knowledge were the age at first sexual intercourse (≤24 years), the ART follow-up site (private health structure) and the fact of not having visited a maternity hospital in the last 12 months preceding the sur vey. Conclusion: The perceptions and knowledge about cervical cancer in the population of women living with HIV and monitored on ART in Parakou were inadequate and disproportionate to their vulnerability to this cancer. In order to avoid a double burden on these women, their ART centers must integrate cervical cancer prevention interventions into ART initiation services.
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Luc Béhanzin,
Elfried Salanon,
Maurice Agonnoudé,
David Houéto,
Thierry Adoukonou,
Luc Valère Codjo Brun,
Ella Goma Matsétsé,
Benjamin Hounkpatin,
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The Epidemiology of Recurrent Violence and Its Relationship with Sentence Time in the Romanian Juvenile Prison System: A Two-Year Cohort Study
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Abstract
Background: Research suggests that a small number of persistent violent of fenders are responsible for a majority of prison violence and tend to behave violently to a disproportionate amount. However, literature on patterns of violence in juvenile prisoners is limited. Method: In order to explore how sub jects engage in violence while incarcerated in the juvenile prison system, the authors will examine both proximal and distal predictors of violent behavior among juveniles in custody. This study adds to the current empirical research by longitudinally examining dynamic risk factors of recurrent violent behavior across a population of juvenile prisoners (Mage = 16.21; 94.8% male) in custody in the Romanian juvenile justice system, starting from their entry date until the end of the follow-up period (Me = 2 years). Results: Results from a series of repeated aggressive events survival analyses show evidence of a long-term deleterious association between pre-incarceration risk factors and poor developmental trajectory associated with violence. Adherence to destructive conduct in prison was consistently influenced by low ability to cope with the prison environment, although education level and family factors also mattered. Implications for prison professionals and forensic practitioners are presented. Conclusion: Recurring aggressive behavior is frequent for individuals who experience complex adverse experiences during childhood, suggesting that screening youths upon their admission into juvenile justice set tings should include an assessment of their basic self-regulation needs. A greater focus on longitudinal studies may help improve the screening process and also follow the progress of each juvenile to warrant the efficacy of preventive programs in self-harm, according to their emerging needs.
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Carmen-Valeria Baias,
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Perceptions and Knowledge about Cervical Cancer among Women Living with HIV in Parakou in 2017
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Abstract
"Background: Cervical cancer (CC) is the fourth most common cancer in women and those living with HIV have a six times higher risk of cervical cancer compared to those without. The objective of this study was to assess knowledge and perceptions about cervical cancer in women living with HIV/AIDS (WLWHIV) in the municipality of Parakou in Benin. Methods: This was an analytical cross-sectional study conducted among WLWHIV monitored on antiretroviral (ARV) therapy (ART) centers in Parakou. Study participants were selected by systematic random sampling technique. Data collection took place from September 5, 2017 to November 6, 2017. Log-binomial regression was used to identify associated factors. Results: A total of 167 women were recruited into the study. The median age was 35 years [Interquartile range: 41.50 - 30.00]. More than half of the women had no perception of the cause of CC. Only 12.6% of women believed in the preventive capacity of early screening of CC. Among women, 15.6% knew that it can be prevented, but only 9.6% had heard of HPV and 4.8% knew that HPV vaccination is an effective means of preventing CC. The factors associated with the low level of knowledge were the age at first sexual intercourse (≤24 years), the ART follow-up site (private health structure) and the fact of not having visited a maternity hospital in the last 12 months preceding the sur vey. Conclusion: The perceptions and knowledge about cervical cancer in the population of women living with HIV and monitored on ART in Parakou were inadequate and disproportionate to their vulnerability to this cancer. In order to avoid a double burden on these women, their ART centers must integrate cervical cancer prevention interventions into ART initiation services.
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Luc Behanzin,
Elfried Salanon,
Maurice Agonnoudé,
David Houéto,
Thierry Adoukonou,
Luc Valère Codjo Brun,
Marie-Claire Assomption Oloufoudi Balle Pognon,
Ella Goma Matsétsé,
Benjamin Hounkpatin,
Marie Thérèse Akélé Akpo,
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Fibromyalgia of Women Who Gave Birth and Pregnancy Outcome Parameters
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Abstract
Fibromyalgia syndrome (FS) is a common chronic disease characterized by widespread musculoskeletal pain in certain anatomic locations. Even though Fibromyalgia’s prevalence and common symptoms in pregnant women are known, many issues related to the consequences of mother’s fibromyalgia on pregnancy outcome have not been enough explored. The aim of this study is to highlight the relationship between fibromyalgia of women who gave birth and pregnancy outcome parameters like child delivery ways and newborn health. A first preliminary epidemiology study was thus carried out in the Bingerville general hospital. Our results showed that fibromyalgia was preva lent in women who gave birth as among 271 women who gave birth, 48.03% have fibromyalgia. A high frequency of women with fibromyalgia delivered by caesarian section (79.7%). Apgar score indicated that newborns of the study have a good vitality as the score is higher than or equal to 7 for the majority of newborns. A large number of newborns were apparently in good health (160/184) compared to unhealthy newborns (24/184). We saw that a large frequency of unhealthy newborns were born from women with fibromyalgia (14/24; 58.3%) while a low proportion of apparently in good health newborns were born from women with fibromyalgia. Healthy newborns have not been observed. All together, these data highlight the prevalence of fibromyalgia in women who gave birth and a relationship between fibromyalgia of mother, delivery modality and newborn health. However, in the situation of newborns’ health, the link was not direct.
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Maïmouna Coura Koné,
Koffi Kouakou,
Yapi Ahoua,
Nabé Alphonse Kambiré,
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