Osong Public Health and Research Perspectives

Volume 7(5); October 2016

Editorial

Fallen Flowers: Hae-Wol Cho, Chaeshin Chu; Osong Public Health Res Perspect. 2016;7(5):279-280. Published online October 31, 2016; DOI: https://doi.org/10.1016/j.phrp.2016.09.002

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Original Articles

How do Sexual Identity, and Coming Out Affect Stress, Depression, and Suicidal Ideation and Attempts Among Men Who Have Sex With Men in South Korea?: Byonghee Cho, Aeree Sohn; Osong Public Health Res Perspect. 2016;7(5):281-288. Published online October 31, 2016; DOI: https://doi.org/10.1016/j.phrp.2016.09.001

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Abstract PDF

Objectives
This study investigated the status of sexual identity, perceived stigma, stress, depression, and suicidal ideation and attempts. It also examined how sexual identity and “coming out” affect stress, depression, and suicidal ideation and attempts.
Methods
Suicidal ideation, psychological health status, and health-related behaviors were assessed using the Internet to maximize the confidentiality of the participants, men who have sex with men (MSM). The data were collected from a total of 873 MSM aged between 19 years and 59 years in 2014.
Results
Only 20.9% of the MSM had come out (18.0% voluntarily and 2.9% by others). The prevalences of perceived stress and depression among MSM were 46.7% and 42.7%, respectively, compared with 20.1% and 7.4% among general men. Approximately 32% of the MSM reported any suicidal ideation, and 3.3% had attempted suicide in the past year. The likelihood of suicidal ideation was significantly associated with being age 30–39 years [odds ratio (OR) = 1.8], high school or less (OR = 1.6), having been outed (OR = 5.2), feeling stressed (OR = 1.8), and feeling depressed (OR = 12.4) after sociodemographic factors and other perceptions were controlled for.
Conclusion
The present study provides evidence that MSM are at an elevated risk for suicidal ideation and attempts with high stress and depression. Some risk factors were specific to being gay or bisexual in a hostile environment.

Citations

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Stress of being outed to parents, LGBTQ family support, and depressive symptoms among sexual and gender diverse youth
Peter S. McCauley, Alexander J. Del Farno, Antonia E. Caba, Benton M. Renley, Shaylynne Shuler, Lisa A. Eaton, Ryan J. Watson
Journal of Research on Adolescence.2024;[Epub] CrossRef
High Interest in the Use of mHealth Platform for HIV Prevention among Men Who Have Sex with Men in Nepal
Kamal Gautam, Kiran Paudel, Ali Ahmed, Manisha Dhakal, Jeffrey A Wickersham, Krishna C Poudel, Sherry Pagoto, Bibhav Acharya, Keshab Deuba, Pablo K Valente, Roman Shrestha
Journal of Community Health.2024; 49(4): 575. CrossRef
Health of Korean sexual and gender minorities: a narrative review of quantitative studies
Heesung So, Ssirai Kim, Sun Young Lee
The Ewha Medical Journal.2024;[Epub] CrossRef
Age Differences in the Associations Between Outness and Suicidality Among LGBTQ+ Youth
Brian A. Feinstein, Ethan H. Mereish, Mary Rose Mamey, Cindy J. Chang, Jeremy T. Goldbach
Archives of Suicide Research.2023; 27(2): 734. CrossRef
Psychological Status of Men Who Have Sex with Men during COVID-19: An Online Cross-Sectional Study in Western China
Bing Lin, Jiaxiu Liu, Wei He, Haiying Pan, Xiaoni Zhong
International Journal of Environmental Research an.2023; 20(2): 1333. CrossRef
Social capital, perceived stress, and mental health of men who have sex with men in China: A cross-sectional study
Xiaoyue Zhang, Ying Zhou, Kaili Zhang
Frontiers in Psychology.2023;[Epub] CrossRef
HIV-related stigma, depression and suicidal ideation among HIV-positive MSM in China: a moderated mediation model
Jiaqi Fu, Xu Chen, Zhenwei Dai, Yiman Huang, Weijun Xiao, Hao Wang, Mingyu Si, Yijin Wu, Ling Zhang, Shu Jing, Xin Liu, Fei Yu, Guodong Mi, Xiao-You Su
BMC Public Health.2023;[Epub] CrossRef
Trends in Human Immunodeficiency Virus-Related Knowledge and Stigma among Men Who Have Sex with Men in the Republic of Korea from 2012 to 2022
Aeree Sohn
Healthcare.2023; 11(24): 3135. CrossRef
HIV-Related Stigma, Sexual Identity, and Depressive Symptoms Among MSM Living With HIV in China: A Moderated Mediation Modeling Analysis
Tianyue Mi, Guanghua Lan, Xueying Yang, Xiaoming Li, Shan Qiao, Zhiyong Shen, Yuejiao Zhou
American Journal of Men's Health.2022;[Epub] CrossRef
Sexual Minority Stigma, Sexual Orientation Concealment, Social Support and Depressive Symptoms Among Men Who have Sex with Men in China: A Moderated Mediation Modeling Analysis
Changmian Ding, Xiangfan Chen, Wei Wang, Bin Yu, Huimin Yang, Xiaoyan Li, Shumin Deng, Hong Yan, Shiyue Li
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TRANSNATIONAL INTEREST CONVERGENCE AND GLOBAL KOREA AT THE EDGE OF RACE AND QUEER EXPERIENCES
Patrick S. Thomsen
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Is Perceived Stigma in Clinical Settings Associated With Poor Health Status Among New York City’s Residents of Color?
Prabal De, Alexis Pozen, Henna Budhwani
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Comparison of depression and anxiety between HIV-negative men who have sex with men and women (MSMW) and men who have sex with men only (MSMO): a cross-sectional study in Western China
Ying Hu, Xiao-ni Zhong, Bin Peng, Yan Zhang, Hao Liang, Jiang-hong Dai, Juying Zhang, Xiao-hua Zhong, Ai-long Huang
BMJ Open.2019; 9(1): e023498. CrossRef
Transgender Women's Experiences with Stigma, Trauma, and Attempted Suicide in the Dominican Republic
Henna Budhwani, Kristine R. Hearld, Adrienne N. Milner, Rebecca Charow, Elaine M. McGlaughlin, Mayra Rodriguez‐Lauzurique, Santo Rosario, Robert Paulino‐Ramirez
Suicide and Life-Threatening Behavior.2018; 48(6): 788. CrossRef
The Reciprocal Relationship between Suicidality and Stigma
Bernardo Carpiniello, Federica Pinna
Frontiers in Psychiatry.2017;[Epub] CrossRef
Fallen Flowers
Hae-Wol Cho, Chaeshin Chu
Osong Public Health and Research Perspectives.2016; 7(5): 279. CrossRef

Relationship Between Water Intake and Metabolic/Heart Diseases: Based on Korean National Health and Nutrition Examination Survey: Soobin Jang, Chunhoo Cheon, Bo-Hyoung Jang, Sunju Park, So-Mi Oh, Yong-Cheol Shin, Seong-Gyu Ko; Osong Public Health Res Perspect. 2016;7(5):289-295. Published online October 31, 2016; DOI: https://doi.org/10.1016/j.phrp.2016.08.007

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Abstract PDF

Objectives
The aim of this study was to identify the correlation between adequate water intake and the prevalence of metabolic/heart diseases.
Methods
We analyzed the data from the 2012 Korea National Health and Nutrition Examination Survey. All participants were divided into Group Above Adequate Intake (n = 736) and Group Below Adequate Intake (n = 4,819) according to water intake. The thresholds were 1.8 L for men and 1.4 L for women based on the World Health Organization report findings. Logistic regression analyses were performed to verify the correlation between water intake and prevalence of hypertension, diabetes mellitus, dyslipidemia, myocardial infarction, and angina pectoris.
Results
There were significant differences between the two groups in terms of the following variables: age, smoking, alcohol, stress, dietary supplements, body weight, physical activity, total calorie intake, water intakes from food, and sodium intake. Participants in Group Above Adequate Intake showed a higher prevalence of hypertension [odds ratio (OR) = 1.22; 95% confidence interval (CI), 0.58–2.55], diabetes mellitus (OR = 1.38; 95% CI, 0.51–3.73), angina pectoris (OR = 0.94; 95% CI, 0.47–1.86), and myocardial infarction (OR = 5.36; 95% CI, 0.67–43.20) than those in Group Below Adequate Intake, whereas the latter showed a slightly higher prevalence of dyslipidemia (OR = 2.25; 95% CI, 0.88–57.84) than the former.
Conclusion
There was no statistically significant association between water intake and any of the metabolic/heart diseases. However, further studies on water intake are needed to confirm our findings.

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Carbonated Beverage, Fruit Drink, and Water Consumption and Risk of Acute Stroke: the INTERSTROKE Case-Control Study
Andrew Smyth, Graeme J. Hankey, Albertino Damasceno, Helle Klingenberg Iversen, Shahram Oveisgharan, Fawaz Alhussain, Peter Langhorne, Dennis Xavier, Patricio Lopez Jaramillo, Aytekin Oguz, Clodagh McDermott, Anna Czlonkowska, Fernando Lanas, Danuta Rygle
Journal of Stroke.2024; 26(3): 391. CrossRef
Low daily water intake profile—is it a contributor to disease?
Lawrence E Armstrong, Michael F Bergeron, Colleen X Muñoz, Stavros A Kavouras
Nutrition and Health.2024; 30(3): 435. CrossRef
Association between Water Intake and Abdominal Obesity: The Korea National Health and Nutrition Examination Survey 2019–2021
Yun-Ji Kim, Si Nae Oh, Eun-Kyung Kong, Eun-Seong Seon
Korean Journal of Family Medicine.2024;[Epub] CrossRef
Water intake and risk of type 2 diabetes: A systematic review and meta-analysis of observational studies
Nasim Janbozorgi, Ramesh Allipour, Kurosh Djafarian, Sakineh Shab-Bidar, Mostafa Badeli, Maryam Safabakhsh
Diabetes & Metabolic Syndrome: Clinical Research &.2021; 15(4): 102156. CrossRef
Changes in feed consumption and water intake among broiler chickens subjected to melatonin treatment during the hot-dry season
Victor Olusegun Sinkalu, Joseph Olusegun Ayo, Joseph Olajide Hambolu, Alexander Babatunde Adelaiye, Friday Ocheja Zakari, Tagang Aluwong
Tropical Animal Health and Production.2020; 52(2): 717. CrossRef
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Gyusang Han, Eunju Yang
Journal of the East Asian Society of Dietary Life.2018; 28(4): 258. CrossRef
Water intake from foods and beverages and risk of mortality from CVD: the Japan Collaborative Cohort (JACC) Study
Renzhe Cui, Hiroyasu Iso, Ehab S Eshak, Koutatsu Maruyama, Akiko Tamakoshi
Public Health Nutrition.2018; 21(16): 3011. CrossRef

Identification of Klebsiella pneumoniae Carbapenemase-producing Klebsiella oxytoca in Clinical Isolates in Tehran Hospitals, Iran by Chromogenic Medium and Molecular Methods: Majid Validi, Mohammad Mehdi Soltan Dallal, Masoumeh Douraghi, Jalil Fallah Mehrabadi, Abbas Rahimi Foroushani; Osong Public Health Res Perspect. 2016;7(5):301-306. Published online October 31, 2016; DOI: https://doi.org/10.1016/j.phrp.2016.08.006

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Abstract PDF

Objectives
Production of carbapenemase, especially Klebsiella pneumoniae carbapenemases (KPC), is one of the antibiotic resistance mechanisms of Enterobacteriaceae such as Klebsiella oxytoca. This study aimed to investigate and identify KPC-producing K. oxytoca isolates using molecular and phenotypic methods.
Methods
A total of 75 isolates of K. oxytoca were isolated from various clinical samples, and were verified as K. oxytoca after performing standard microbiological tests and using a polymerase chain reaction (PCR) method. An antibiotic susceptibility test was performed using a disc diffusion method according to the Clinical and Laboratory Standards Institute guidelines. CHROMagar KPC chromogenic culture media was used to examine and confirm the production of the carbapenemase enzyme in K. oxytoca isolates; in addition, PCR was used to evaluate the presence of bla_KPC gene in K. oxytoca strains.
Results
Of a total of 75 K. oxytoca isolates, one multidrug resistant strain was isolated from the urine of a hospitalized woman. This strain was examined to assess its ability to produce carbapenemase enzyme; it produced a colony with a blue metallic color on the CHROMagar KPC chromogenic culture media. In addition, the bla_KPC gene was confirmed by PCR. After sequencing, it was confirmed and deposited in GenBank.
Conclusion
To date, many cases of KPC-producing Enterobacteriaceae, in particular K. pneumoniae, have been reported in different countries; there are also some reports on the identification of KPC-producing K. oxytoca. Therefore, to prevent the outbreak of nosocomial infections, the early detection, control, and prevention of the spread of these strains are of great importance.

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Jing Yang, Haiyan Long, Ya Hu, Yu Feng, Alan McNally, Zhiyong Zong
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Meijiao Wu, Youxue Wu, Cheng Liu, Yachen Tian, Shuiqin Fang, Hao Yang, Bin Li, Qing Liu
Aquaculture.2021; 539: 736563. CrossRef
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Molecular typing of cytotoxin-producing Klebsiella oxytoca isolates by 16S-23S internal transcribed spacer PCR
M.M. Soltan Dallal, M. Validi, M. Douraghi, B. Bakhshi
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Farshad Kakian, Behnam Zamzad, Abolfazl Gholipour, Kiarash Zamanzad
Journal of Shahrekord University of Medical Scienc.2019; 21(2): 80. CrossRef
Evaluation the cytotoxic effect of cytotoxin-producing Klebsiella oxytoca isolates on the HEp-2 cell line by MTT assay
Mohammad Mehdi Soltan-Dallal, Majid Validi, Masoumeh Douraghi, Jalil Fallah-Mehrabadi, Leila Lormohammadi
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Outbreak by Hypermucoviscous Klebsiella pneumoniae ST11 Isolates with Carbapenem Resistance in a Tertiary Hospital in China
Lingling Zhan, Shanshan Wang, Yinjuan Guo, Ye Jin, Jingjing Duan, Zhihao Hao, Jingnan Lv, Xiuqin Qi, Longhua Hu, Liang Chen, Barry N. Kreiswirth, Rong Zhang, Jingye Pan, Liangxing Wang, Fangyou Yu
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Plasmid-Mediated Quinolone-Resistance (qnr) Genes in Clinical Isolates of Escherichia coli Collected from Several Hospitals of Qazvin and Zanjan Provinces, Iran: Maryam Rezazadeh, Hamid Baghchesaraei, Amir Peymani; Osong Public Health Res Perspect. 2016;7(5):307-312. Published online October 31, 2016; DOI: https://doi.org/10.1016/j.phrp.2016.08.003

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Abstract PDF

Objectives
Escherichia coli is regarded as the most important etiological agent of urinary tract infections. Fluoroquinolones are routinely used in the treatment of these infections; however, in recent years, a growing rate of resistance to these drugs has been reported globally. The aims of this study were to detect plasmid-mediated qnrA, qnrB, and qnrS genes among the quinolone-nonsusceptible E. coli isolates and to investigate their clonal relatedness in Qazvin and Zanjan Provinces, Iran.
Methods
A total of 200 clinical isolates of E. coli were collected from hospitalized patients. The bacterial isolates were identified through standard laboratory protocols and further confirmed using API 20E test strips. Antimicrobial susceptibility was determined by the standard disk diffusion method. Polymerase chain reaction (PCR) and sequencing were used for detecting qnrA, qnrB, and qnrS genes and the clonal relatedness of qnr-positive isolates was evaluated by enterobacterial repetitive intergenic consensus-PCR (ERIC-PCR) method.
Results
In total, 136 (68%) isolates were nonsusceptible to quinolone compounds, among which 45 (33.1%) and 71 (52.2%) isolates showed high- and low-level quinolone resistance, respectively. Of the 136 isolates, four (2.9%) isolates were positive for the qnrS1 gene. The results from ERIC-PCR revealed that two (50%) cases of qnr-positive isolates were related genetically.
Conclusion
Our study results were indicative of the presence of low frequency of qnr genes among the clinical isolates of E. coli in Qazvin and Zanjan Provinces, which emphasizes the need for establishing tactful policies associated with infection-control measures in our hospital settings.

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Comparing Two Methods of Cryotherapy and Intense Pulsed Light with Triamcinolone Injection in the Treatment of Keloid and Hypertrophic Scars: A Clinical Trial: Simin Shamsi Meymandi, Mahmood Moosazadeh, Azadeh Rezazadeh; Osong Public Health Res Perspect. 2016;7(5):313-319. Published online October 31, 2016; DOI: https://doi.org/10.1016/j.phrp.2016.08.005

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Abstract PDF

Objectives
Keloid and hypertrophic scars are abnormal manifestations of wounds that occur following skin injuries in the form of local proliferation of fibroblasts and increased production of collagen. There are several ways to cure these scars; treatment must be selected based on the nature of the scars. In this clinical trial, two methods—cryotherapy and intense pulsed light (IPL)—are compared in the treatment of scars, and the results are presented in terms of improvement level, complications, and patient satisfaction.
Methods
This clinical trial was conducted in southeastern Iran. The intervention group included scars that underwent the IPL method and the control group, which consisted of scars that were subjected to cryotherapy. In both methods, intralesional corticosteroid injection was administered. To select samples, the easy sampling method was used. To determine the expected outcomes, the criteria determined in the Vancouver scar scale were used. Data were analyzed using the Mix Model, chi-square test, and t test.
Results
In this study, 166 samples of keloid and hypertrophic scars were cured using two methods (Cryotherapy, 83; IPL, 83). The recovery rate was higher in the Cryotherapy group than in the IPL group (p > 0.05), and the incidence of complications was also higher in the Cryotherapy group (14.5% vs. 12%). Moreover, patients were more satisfied, although not significantly so, with the cryotherapy method (p = 0.09).
Conclusion
Both methods were highly successful in curing scars; participants were totally satisfied with both methods.

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Tuberculosis Notification Completeness and Timeliness in the Republic of Korea During 2012–2014: Hae-Young Kang, Hyosoon Yoo, Wonseo Park, Unyeong Go, Eunkyeong Jeong, Ki-Suck Jung, Hyunjin Son; Osong Public Health Res Perspect. 2016;7(5):320-326. Published online October 31, 2016; DOI: https://doi.org/10.1016/j.phrp.2016.08.002

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Abstract PDF

Objectives
Completeness and timeliness are key attributes of accurate disease surveillance. This study aimed to evaluate the completeness and timeliness of tuberculosis (TB) notification in the Republic of Korea, by comparing notification data from the Korean National Tuberculosis Surveillance System and reimbursement data from the National Health Insurance.
Methods
We evaluated reimbursement data from 103,075 cases (2012–2014) and surveillance data from 215,055 cases (2011–2015); cases were matched using Resident Registration Numbers. Completeness was evaluated using notifications that were reported within 365 days of the corresponding insurance claim. Timeliness was evaluated using the delay between starting TB treatment and the corresponding notification. Multivariate logistic regression analysis was used to analyze factors that affected completeness (e.g., sex, age, institution type, and nationality).
Results
The completeness values were 90.0% in 2012 (33,094/36,775), 93.0% in 2013 (31,445/33,803), and 94.0% in 2014 (30,537/32,497). The rates of notification within 7 days of the corresponding claim were 81.6% in 2012 (27,323/33,489), 79.8% in 2013 (25,469/31,905), and 80.4% in 2014 (24,891/30,978). Increases over time were observed in the sex-, age-, institution type-, and nationality-specific analyses. Multivariate analyses revealed that completeness was affected by institution type [hospitals: odds ratio (OR) = 1.82, p < 0.001; general hospitals: OR = 4.18, p < 0.001] and nationality (native Korean status: OR = 1.48, p < 0.001).
Conclusion
Notification completeness exhibited a 4.0% increase during 2012–2014 in Korea, and institution type and nationality significantly affected the completeness of TB notifications.

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Hongjo Choi, Jeongha Mok, Young Ae Kang, Dawoon Jeong, Hee-Yeon Kang, Hee Jin Kim, Hee-Sun Kim, Doosoo Jeon
Yonsei Medical Journal.2024;[Epub] CrossRef
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Ji Yoon Baek, Sayada Zartasha Kazmi, Hyunmin Lee, Yerin Hwang, So Jin Park, Myung-Hee Shin, Jayoun Lee, Hongjo Choi, Aesun Shin
Journal of Korean Medical Science.2024;[Epub] CrossRef
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Min Jee Kim, Ye-Jee Kim, Daehyun Jeong, Seonok Kim, Seokchan Hong, Sang Hyoung Park, Kyung-Wook Jo
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Retreatment after loss to follow-up reduces mortality in patients with multidrug/rifampicin-resistant tuberculosis
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Honghyok Kim, Sarah Yu, Hongjo Choi
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Jinsoo Min, Hyung Woo Kim, Helen R Stagg, Marc Lipman, Molebogeng X Rangaka, Jun-Pyo Myong, Hyeon Woo Yim, Jeong Uk Lim, Yunhee Lee, Hyeon-Kyoung Koo, Sung-Soon Lee, Jae Seuk Park, Kyung Sook Cho, Ju Sang Kim
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Tuberculosis and Respiratory Diseases.2020; 83(3): 218. CrossRef
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Hyeon-Kyoung Koo, Jinsoo Min, Hyung Woo Kim, Joosun Lee, Ju Sang Kim, Jae Seuk Park, Sung-Soon Lee
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AIDS Awareness: Indispensible Prerequisite Among Fishermen Population: Swapna B. Shetty, Darshan D. Divakar, M.H.N. Dalati, Sajith Vellappally, Sukumaran Anil, Marey A. Alshehry, Baher Felemban, Al S. Mamdouh, Obaid A. Alshahrani; Osong Public Health Res Perspect. 2016;7(5):327-333. Published online October 31, 2016; DOI: https://doi.org/10.1016/j.phrp.2016.09.003

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Abstract PDF

Objectives
Fishermen are among the most vulnerable groups for human immunodeficiency virus (HIV)/AIDS with reported high prevalence. Poor knowledge base has been evidenced by a few studies. The present study was conducted to assess the knowledge regarding HIV/AIDS among fishermen of the Kutch coast, Gujarat, India.
Methods
A descriptive cross-sectional study was conducted among 950 fishermen of the Kutch coast, in the months of January–February 2015. Knowledge of HIV/AIDS of fishermen was assessed using structured interview schedules with 12 questions. The information on socio-demographic characteristics was also obtained. Chi-square test and multivariate logistic regression analysis were used for statistical analysis. The confidence level and level of significance were fixed at 95% and 5%, respectively.
Results
A major proportion of participants (57.2%) had no access to any potential source of information and had never heard about HIV/AIDS (65.1%). Some of them were aware of modes of transmission of AIDS but only a few of them knew about the methods of prevention. Only 23.1% of participants were observed with appropriate knowledge regarding HIV/AIDS. Bivariate and multivariate analysis revealed significant variation in the proportion of participants with appropriate knowledge with age and educational status.
Conclusion
Overall, the knowledge of the fishermen community in the present study was evidenced to be poor creating an alarming situation demanding educative interventions as a part of AIDS control programs.

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Alinne Élida Gonçalves Alves Tabosa, Aline Silva Ferreira, Natália Millena da Silva, Débora Dolores Souza da Silva Nascimento, Leslie Raphael de Moura Ferraz, José Yago Rodrigues Silva, Severino Alves Junior, Rosali Maria Ferreira da Silva, Larissa Araúj
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Prevalence of HIV infection and uptake of HIV/AIDS services among fisherfolk in landing Islands of Lake Victoria, north western Tanzania
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A Case–control Study on the Relationship between Mycoplasma genitalium Infection in Women with Normal Pregnancy and Spontaneous Abortion using Polymerase Chain Reaction: Rashid Ramazanzadeh, Mazaher Khodabandehloo, Fariba Farhadifar, Samaneh Rouhi, Amjad Ahmadi, Shaho Menbari, Fariba Fallahi, Reza Mirnejad; Osong Public Health Res Perspect. 2016;7(5):334-338. Published online October 31, 2016; DOI: https://doi.org/10.1016/j.phrp.2016.07.001

3,587 View
26 Download
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Abstract PDF

Objectives
Mycoplasma genitalium infections are suggested as causes of a number of pathological outcomes in pregnant women. The aim of this study was to evaluate the frequency of M. genitalium infections among pregnant women and its association with spontaneous abortion.
Methods
In this case–control study we included 109 women with spontaneous abortion with a gestational age of 10–20 weeks (patients), and 109 women with normal pregnancy with a gestational age of 20–37 weeks (controls) in Sanandaj, Iran. Using specific primers and extracted DNA from endocervical swabs, a polymerase chain reaction was conducted for the detection of M. genitalium infection in both groups.
Results
The frequency of M. genitalium infection in patient and control groups was one (0.91%) and three (2.75%), respectively. In both control and patient groups using Fisher test, no association between mycoplasma infection and spontaneous abortion was seen.
Conclusion
M. genitalium may be positive in the genital tract of some pregnant women but was not associated with spontaneous abortion. Further powerful studies with larger sample sizes are needed for the determination of a possible role of M. genitalium in pregnancy outcomes and spontaneous abortion.

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Hojjat Rokni, Amjad Ahmadi, Yousef Moradi, Bijan Nouri, Daem Roshani
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Khadijeh Moridi, Mohammad Hemmaty, Amir Azimian, Mohammad Hosein Fallah, Hamid Khaneghahi Abyaneh, Kiarash Ghazvini
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