EUROPEAN JOURNAL OF ENVIRONMENT AND PUBLIC HEALTH

Keyword: behavior

5 results found.

Research Article
Prevalence of HIV and Syphilis and Related Risk Behaviors Among Female Sex Workers in the Democratic Republic of the Congo
European Journal of Environment and Public Health, 2022, 6(2), em0114, https://doi.org/10.21601/ejeph/12179
ABSTRACT: Objectives: Examine the prevalence of HIV and syphilis and related risk behaviors among female sex workers (FSW) in the Congo.
Methods: A cross-sectional study of 400 FSW was carried in Kinshasa from April to July 2021 using time location sampling approach. A structured questionnaire was used to collect information on sociodemographic characteristics, sexual behavior, mode of HIV transmission, and drug use. Rapid tests for HIV and syphilis were administered. Logistic regression identified the factors associated with the risk of developing HIV infection.
Results: The prevalence of HIV and syphilis was 7.2% (n=29) and 11.5% (n= 46), respectively. The mean age of the participants was 21 years. Over half of them (53.2%) had the first intercourse between 7 and 15 years of age; 62.5% initiated commercial sex between 16 and 20 years of age. The average number of paying clients the week preceding the survey was 17.6 with SD±12.0. The average number of non-paying clients during the same period was 5.5 with SD±2.0. Most of the participants (95.8%) reported using condom during their last sexual encounter with a paying client compared to 29% with a non-paying client.
Multiple logistic regression analysis showed that being diagnosed with syphilis [OR: 7.34; 95%; CI: 3.12, 17.29] and ever been married [2.28; 95%; CI: 0.96, 5.41] were associated with HIV infection. Consumption of a locally brewed alcohol (lotoko) [OR: 2.23; 95% CI: 0.91, 5.45] was marginally associated with the risk of HIV infection.
Conclusion: The high prevalence of HIV and syphilis in this marginalized group is a matter of great public health concern. More effective interventions are needed to address the vulnerability to HIV among FS.
Review Article
Psychosocial Interventions to Enhance Treatment Adherence to Lifestyle Changes in Cardiovascular Disease: A Review of the Literature 2011-2021
European Journal of Environment and Public Health, 2022, 6(1), em0102, https://doi.org/10.21601/ejeph/11582
ABSTRACT: Patients with cardiovascular diseases face difficulty to adhere to non-pharmaceutical treatment recommendations and consequently face an increased recurrence rate, re-hospitalizations and poor quality of life. Our review of the literature over the past decade aims to be a useful tool to the enlightening of health care providers and health educators about the interventions that enhance treatment adherence to lifestyle modification. PubMed, PsycLIT, Cochrane Library, Scopus, CINAhl, PSYinfo, Web of Science, and Central databases were searched to identify articles published within the decade 2011-2021 and 42 studies met the criteria for inclusion. Our study revealed many different approaches to inconsistency in life style prescriptions focusing mainly on psychological and social factors. Interventions like increasing of knowledge, joining cardiac rehabilitation programs, development of a therapeutic alliance, behavioral techniques that reinforce self-efficacy and motivation, use of technology as reminder and creating a support network are not only effective but also low-cost programs that will play a decisive role in treatment effectiveness. Improving treatment adherence to lifestyle recommendations requires a multidimensial approach by an interdisciplinary team of health professionals. Investing in interventions that improve attitudes, beliefs, readiness and self-care, can prove to be very rewarding for patients, health and economics. The present literature review will assist health professionals and educators create experiential educational and behavioral programs that promote the adoption of healthy behavior and help maintain adherence over time. Future research is required for identifying the most effective interventions based on different lifestyles practices and cultural factors.
Research Article
Prioritization of Factors that Determine Medical Practice Styles Using the Analytic Hierarchy Process
European Journal of Environment and Public Health, 2022, 6(1), em0100, https://doi.org/10.21601/ejeph/11558
ABSTRACT: The medical profession has maintained its importance throughout human history. Communication between physician and patient is one of the most important issues that determine the success of the medical profession. In this success, physician behaviors and styles play a determining role in the practice of medicine. The aim of this study is to determine the factor weights affecting the practice styles in medicine and to prioritize them. The Analytic Hierarchy Process (AHP) is used in the study. The AHP technique is helpful for the decision maker as it prioritizes the factors based on their weights using a pairwise comparison matrix. The factor comparison data are obtained from a total of 22 clinician specialist physicians. According to the results of the application, the factors determining the practice style are Professional Experience (31.9%), Medical Education (21.8%), Patient and Disease (18.2%), Personality (11.5%), Institution (8.8%), and Family and Social Environment (7.8%), respectively. The concept of medical styles aimed to contribute to the development of the physicians’ own styles and to create awareness. It is expected to contribute to medical education and professional development.
Research Article
HIV Prevalence and Related Risk Behaviors among Men Who Have Sex with Men in Kinshasa, the Democratic Republic of the Congo
European Journal of Environment and Public Health, 2020, 4(1), em0034, https://doi.org/10.29333/ejeph/5975
ABSTRACT: The purpose of this study was to determine the prevalence of HIV and syphilis and examine the HIV-related behaviors among men who have sex with other men (MSM) in Kinshasa, Congo. A modified snowball sampling was used to recruit the participants. The results showed that among the 401 men studied, 23.7% and 11.2% were infected with HIV and syphilis, respectively. HIV risk behaviors were rampant in this population. In the last 6 months preceding the survey, 83.3% of MSM reported receptive anal sex (RAS) with an average of 7 sexual partners. As high as 37.7% of MSM did not use condoms during the last RAS. About 65.9% (n = 249) reported drinking alcohol before sex. Logistic regression model indicated that being diagnosed with syphilis and not using lubricant were associated with positive HIV test. High-risk behaviors coupled with high prevalence of HIV among MSM underscore the need for the National HIV Control program to design new interventions to prevent HIV transmission from the MSM community into the general population.
Research Article
So Much More Than a Job: A Psychoanalytic Exploration of Healthcare Work
European Journal of Environment and Public Health, 2017, 1(2), 09, https://doi.org/10.20897/ejeph/81156
ABSTRACT: This paper explores the utility of psychoanalysis for understanding the underlying meaning of healthcare work. At times deeply fulfilling, while at other times demanding and thankless, the provision of healthcare takes a unique toll on the psyche. Psychoanalysis is particularly suited for highlighting the paradoxical character of healthcare work because of its focus on the unconscious, emotional and irrational aspects of psychic life. Exploring the latent meaning of healthcare work, as well as the complex interplay between work and worker, allows for deeper insight into contemporary issues of healthcare management and organization.