Search Results (48)

Background: Iron deficiency anemia (IDA) is a significant global health problem affecting close to 2 billion people worldwide. The prevalence of IDA is higher among children younger than five years and women of reproductive age, indicating an intergenerational correlation between maternal and child anemia. This study aims to analyze the association between maternal and child anemia in The Gambia. Methods: A nationally representative dataset comprising 3249 children under the age of five, obtained from The Gambia Demographic and Health Survey (2019–2020), was utilized for empirical analyses. Multivariate linear regression models were employed to assess the association between maternal and child anemia. The multivariate models were adjusted for various confounding variables, including birth order, age, and the gender of the child, as well as maternal education, religion, wealth quintiles, rural residence, and region-fixed effects. Results: Fifty-three percent of children and 52% of mothers are anemic. Children from poorer households show a higher rate of anemia compared to those from wealthier households. Maternal anemia was significantly associated with the anemia status of the children. Children born to anemic mothers were 13.5% more likely to be also anemic (p < 0.001). The correlation coefficient between mother and child hemoglobin levels is 0.165 (p < 0.001). The correlation coefficient between maternal and child anemia is higher among the bottom three wealth quintiles than the top two wealth quintiles. Conclusions: The significant intergenerational association between maternal and child anemia status highlights the need for targeted, multi-pronged strategies to combat the adverse impacts of anemia. Maternal anemia, in general, appears to influence childhood anemia beyond just the pregnancy period. Shared socioeconomic environment, dietary patterns, and exposure to infections likely contribute to this intergenerational association. Full article

The consumption of contaminated water contributes to the global burden of diarrhea and other water-borne diseases, especially among young children. While decentralized solar water disinfection treatment systems (hereafter SODIS) remain a viable option to have safe drinking water, our understanding of the effects of household water treatment before use on willingness to accept and adopt a SODIS is limited. In this study, a complementary log-log regression analysis of the compositional and contextual factors that systematically vary with willingness to accept and adopt a SODIS in the Sawla-Tuna-Kalba (STK) district of Ghana was carried out. Based on our findings, a greater proportion of households (97%) are willing to accept and adopt a SODIS. Compositional and contextual factors such as age, marital status, education, religion, and geographical location significantly contribute to households’ willingness to accept and adopt a SODIS in the STK district of Ghana. Households that treat their water before use (66%, p < 0.05) are more likely to accept and adopt a SODIS compared to those that do not treat their water before use. The findings, therefore, suggest that scaling up SODIS in the STK district is sacrosanct and highlight the necessity to analyse compositional and contextual factors influencing willingness to accept and adopt SODIS. Our findings will inform policies and programs aimed at implementing SODIS in the study area to improve the health of communities that rely on poor-quality drinking water sources. Full article

Many women justify intimate partner violence (IPV), resulting in adverse health outcomes. This study investigates the relationship between household ownership of information and communication technologies (ICTs), along with the frequency of listening to the radio and watching television with women’s attitudes towards IPV in Bangladesh. The cross-sectional study analyzed a weighted sample of 20,032 women and used a multivariable logistic regression analysis to determine the association between predictor variables and outcome variables. The results showed that 19.47% of women justified wife beating for at least one reason. We found that household ownership of computers (AOR = 0.73 [95% CI = 0.57, 0.95]), women in households with three ICTs (AOR = 0.67 [95% CI = 0.47, 0.96]), and women who watched television at least once a week (AOR = 0.85 [95% CI = 0.74, 0.97]) were associated with decreased odds of justifying wife beating for at least one reason after adjustment for the frequency of reading newspaper or magazine, age, wealth, education, religion, and type of place of residence. The study suggests that not all ICTs affect women’s attitudes toward IPV equally. Computers and television were more influential than other ICTs. This finding suggests that awareness-building and educational programs targeted towards women via computer and television may deliver better outcomes about gender norms. Full article

Despite the availability of COVID-19 vaccines, Nigeria still faces significant COVID-19 vaccine hesitancy, with only 60.7% of the eligible population fully vaccinated as of 20 March 2023. Our study, part of a community-based effort to improve knowledge and uptake of the COVID-19 vaccine in the Gwagwalada Area Council of Abuja, the Federal Capital Territory (FCT) of Nigeria, utilized the WHO’s Behavioral and Social Drivers (BeSDs)-of-vaccination framework to examine the drivers of COVID-19 vaccination among eligible adults. This was a mixed-method study with focus group discussions (FGDs) and in-depth interviews (IDIs) involving 40 purposively sampled participants. We triangulate qualitative findings with data from a household survey of 1512 eligible adults identified using a two-stage systematic cluster sampling approach. All data were collected from the 1–18 November 2022. The household survey showed 46% COVID-19 vaccine uptake, with Pearson chi-square and Fisher’s exact test showing significant associations between vaccine uptake and gender, religion, and education. Multivariate logistic regression showed that confidence in vaccine safety, knowing vaccination sites and family/friends’ endorsement of COVID-19 vaccination were the strongest items associated with vaccine uptake in the thinking-and-feeling, practical-issue, and social-process domains, respectively. Multiple items measuring these domains aligned with BeSD priority question, demonstrating the robustness of the pared-down framework. Qualitative data corroborated these findings. To address vaccine hesitancy and increase uptake, community-driven approaches to improve trust in vaccine safety and benefits and promote positive vaccination norms are needed. In addition, service delivery strategies to make vaccination services easily accessible and identifiable should be developed and tailored to community needs. Full article

Research on ecosystem services (ES) has become central to landscape planning, framing the relationship between people and nature. In Sub-Saharan regions, local communities rely heavily on wetlands for various ES. For the first time, we assessed perceptions of ES provided by these wetlands, focusing on marshes, peatlands, swamps, and inland valleys/floodplains in eastern DR Congo. Fieldwork combined with a survey of 510 households, using both open-ended and 35 direct questions, evaluated perceptions of wetland ecosystem services (WESs). The most frequently reported WES were provisioning (38%) and regulating (24%), while supporting (22%) and cultural (16%) were less mentioned. These perceptions varied across wetland types and among communities based on gender, religion, seniority in wetland use, land tenure, and educational level. Rural communities had a deep relationship with nature, shaped by cultural, economic, and geographical factors. Wetlands are viewed positively as sources of goods but also negatively as sources of diseases. A structural equation model (SEM) helped in identifying four latent variables—livelihood, knowledge, personal, and geographical factors—driving WES perceptions. These findings are relevant for developing wetland management policies and suggest including community engagement and collaboration in wetland restoration and regulatory frameworks. Full article

This study focuses on the relationship between mixed religions and family donations in China as the object of analysis, where individual donations are primarily in the form of family contributions. Although there is considerable research on the relationship between religion and individual donations, the academic community has yet to clarify the connection between mixed religions and family donations. Based on the large-scale survey data from the 2020 China Family Panel Studies, this study employs econometric models such as probit and tobit models to examine the relationship. To mitigate endogeneity and enhance the robustness of the conclusions, this research also conducts instrumental variable analysis and robustness analysis. The study finds that the influence of mixed religions on family donations is greater than that of non-mixed religions, but this influence is more pronounced in families with higher donation levels. Heterogeneity analysis reveals that mixed religions have a greater impact on donations in families headed by individuals aged 41–59, females, those with no religious affiliation, residents of urban areas, and families in the western and northeastern regions. Furthermore, the impact of mixed religions on family donations is higher only when there is a combination of one or three religions. Additional analysis indicates that households with lower educational attainment, non-Party members, individuals suffering from illnesses, and unmarried females are more likely to choose mixed religions. Full article

Background: More than a quarter of children who are affected by severe acute undernutrition reside in Sub-Saharan Africa. Incorrect feeding practices have a negative impact on a child’s health in both the short and the long term, and the interval from conception to two years is the most critical for the development of undernutrition-related complications. These first 1000 days of life also represent an “opportunity window” for early interventions, hence, having a clear insight into dietary habits and the determinants of diet quality is fundamental to improving nutritional counseling practices. Objectives: To investigate incorrect feeding practices, dietary diversity determinants and nutritional status in children aged 6–23 months. Methods: Prospective quali-quantitative observational study conducted at the Missionary Catholic Hospital of Chiulo (Angola) from March to April 2023. Results: Of 250 children, global acute malnutrition affected 25.2% and was associated with starting complementary feeding at <4 months of age (p = 0.007) and not achieving the minimum meal frequency (p < 0.0001). Minimum dietary diversity was found in 11.2%, minimum meal frequency was experienced by 72.8%, and the minimum acceptable diet was found in 11.2% of participants. The minimum dietary diversity was reached only by households with access to food from five or more major food groups (p = 0.007) or the money to buy food from five or more major food groups (p = 0.008) and was higher in households where the householder had a higher educational level (p = 0.002). Regarding the determinants linked to family traditions and beliefs, the main religion-associated beliefs concerned the impurity of pork (n = 25) and fish (n = 8), while eggs (n = 19) and cow milk (n = 8) were the main food types that were deemed harmful for children. Conclusions: Although some factors (economic and religious) may be difficult to overcome, other factors linked to erroneous beliefs (dangerous foods) or incorrect feeding practices (early weaning and an incorrect frequency of meals) can be targeted, to improve the effectiveness of nutritional counseling practices. Full article

Livelihood encompasses the resources and capabilities that individuals and households utilize to ensure their survival and to enhance their well-being. This study examined the impact of the Bole Lemi Industry Park on livelihood systems in Addis Ababa, Ethiopia. It focused on how the establishment of the industrial park affected the livelihoods of displaced communities. A survey was conducted on 379 household heads who were displaced by the industrial park, ensuring representation across various factors such as gender, marital status, education level, ethnic group, and religion. Descriptive statistics, including frequency counts, mean values, standard deviations, and percentages, were used to analyze the data. Multiple linear regression models were employed to investigate how socioeconomic variables predicted the household heads’ annual income before and after the establishment of the park. The findings revealed that 84% of the household heads said that the BLIP has hurt their livelihoods. The majority of respondents (69%) became jobless as a result of the BLIP. Another 16% transitioned to urban lifestyles, while 7.3% shifted to semi-agrarian and 5.6% to trade and services. This study identified the balance gap between industrial development and the interests of local farming communities, and how it failed to ensure sustainable livelihoods. It is recommended that development projects in Addis Ababa prioritize the affected communities by offering compensation, support for resettlement, and opportunities for livelihood diversification. Taking a comprehensive and participatory approach to industrial park development is crucial for achieving sustainable and equitable economic growth while safeguarding the well-being of local communities. Full article

Since Voas and Crockett (2005), a consensus has emerged in the sociology of religions on the fact that secularization is largely due to a cohort effect. That is, each birth cohort is less religious than the previous one. We use data from the Swiss Household Panel (SHP), a multi-thematic survey based on a random sample representative of the general population since 1999, to understand what is the cohort effect in Switzerland on three indicators of religiosity: religious affiliation, frequency of religious service attendance, and personal prayer, taking into account the socio-demographic characteristics of individuals, which could interfere with cohort, period, or age effects. A first general observation can be drawn from the SHP: for the three religious indicators, a cohort effect is a key factor in explaining the decline of religiosity. Each birth cohort is less religious on all three indicators, that is, younger individuals are less affiliated, practice less often, and pray less than the older cohort. More subtly, we also observe an effect of age or life cycle, especially on the practice, and a period effect on the religious disaffiliation of individuals. Each birth cohort shows a more religious profile of individuals at the start of the cohort than at the end. There is, therefore, an initial movement of distancing from religion by birth cohorts, but this is further accentuated by a period effect for disaffiliation and sometimes accelerated and, at other times, slightly contained by a life-cycle effect. Full article

Deworming medication utilization is a useful strategy to reduce the burden of anemia among pregnant women. Yet, we know very little about the prevalence and correlates of deworming medication utilization among pregnant women in sub-Saharan Africa, including Benin. To address this void in the literature, we used the 2017–2018 Benin Demographic and Health Survey and applied logistic regression analysis to explore the demographic, socioeconomic, and healthcare factors associated with deworming medication utilization in Benin. We found that deworming medication coverage was 65% at the national level. We observed that women aged 35–49 years were less likely to use deworming medication compared to those aged 15–24 years (OR = 0.79, p < 0.01). Compared to Christian women, Muslim women (OR = 0.70, p < 0.01) and women of other religions (OR = 0.51, p < 0.01) were also less likely to use deworming medication. Moreover, women with lower levels of education and household wealth, as well as unemployed women, were less likely to use deworming medication in comparison to their educated, richer, and employed counterparts. Women who visited ANC fewer than eight times were also less likely to use deworming medication compared to their counterparts who did so eight times or more (OR = 0.65, p < 0.001). Based on these findings, we discussed several implications for policymakers. Full article

Children’s feeding patterns and health outcomes are important determinants of any country’s food and nutrition security status. This study assessed the household food security and feeding patterns of preschoolers in Niger State, Nigeria. A cross-sectional descriptive design and a multi-stage sampling technique were employed to analyze 450 preschool children from selected local government areas. Household food security was measured using the HFIAS nine-item questionnaire, and feeding patterns were evaluated using the qualitative food frequency questionnaire (FFQ). The mean age of the preschoolers was 3.71 ± 0.80 years. A majority (61.30%) of the children consumed cereal-based products, while fruits and vegetables were the least consumed (16.40%). More than half (59.80%) of the preschoolers met their minimum dietary diversity. Almost all (98.80%) of the children were from food-insecure households, with 40.3% being severely food insecure. Parity, religion, and having a breadwinner and source of potable water were significantly associated with the adequacy of minimum dietary diversity (MDD) among the preschoolers (F value = 5.528, p ≤ 0.05). The contribution of poor feeding patterns and household food insecurity to the overall health outcome of preschoolers cannot be overlooked. Hence, nations must prioritize improving the availability, accessibility, and utilization of food to better meet the nutritional needs of preschool children. Full article

This study aimed to examine the prevalence of underweight and determine the sociodemographic and household environmental correlates of underweight among women of reproductive age in Nepal. This study also compared the time trends in the prevalence of underweight with the trends in the prevalence of overweight and obesity. This cross-sectional study was a secondary data analysis of the nationally representative population-based Nepal Demographic and Health Surveys (NDHSs). Firstly, the time trends of the prevalence of underweight (body mass index (BMI) < 18.5 kg/m²) among women aged 15–49 years were examined at five-year intervals, from the 1996, 2001, 2006, 2011, and 2016 NDHSs (n = 33,507). Secondly, the sociodemographic and household environmental correlates of underweight were examined from the latest NDHS 2016 (n = 6165). Univariable and multivariable logistic regression analyses were performed to examine the sociodemographic and household environmental correlates of underweight. From 1996 to 2016, the prevalence of underweight decreased from 25.3% (95% confidence interval (CI) 23.8%, 26.8%) to 16.9% (95%CI 16.0%, 17.8%), while the prevalence of overweight and obesity increased from 1.6% (95%CI 1.2%, 2.1%) to 15.6% (95%CI 14.7%, 16.5%) and 0.2% (95%CI 0.1%, 0.4%) to 4.1% (95%CI 3.6%, 4.6%), respectively. Sociodemographic factors, such as age, educational status, marital status, wealth index, and religion, were independently associated with the risk of underweight. Similarly, household environmental factors, such as province of residence, ecological zone, type of toilet facility, and household possessions, including television and mobile phone, were independently associated with the risk of underweight. Despite the declining trends, the prevalence of underweight among Nepalese women remains a public health challenge. Understanding the key sociodemographic and household environmental correlates of underweight may assist in streamlining the content of health promotion campaigns to address undernutrition and potentially mitigate adverse health outcomes. Full article

(1) Background: Malaria heavily affects the Democratic Republic of the Congo (DRC) despite the use of effective drugs. Poor adherence to malaria treatment may contribute to this problem. (2) Methods: In one rural and one urban health area in each of the 11 former provinces of the DRC, all households with a case of malaria in the 15 days preceding the survey were selected and the patients or caregivers were interviewed. Adherence to malaria treatment was assessed by self-declaration about its completion. Logistic regression was used to assess predictors. (3) Results: 1732 households participated. Quinine was the most used drug; adherence to artesunate–amodiaquine was the lowest and the main reason for treatment discontinuation was adverse reactions. Predictors of adherence were residence in an urban area, university education, catholic religion, and adoption of recommended behaviour towards a malaria case. Adherence was significantly lower for responders who obtained information on antimalarials from Community Health Workers (CHW). (4) Conclusions: Usage of recommended drugs and adherence to malaria treatment need to be promoted, especially in rural areas, and CHW involvement needs to be improved. Awareness messages need to be made accessible and comprehensible to poorly educated populations and churches need to be involved. Full article

This paper investigates the Chinese rural household food waste issue from the unique perspective of religious beliefs based on 1380 samples in 26 provinces in mainland China. By using the count regression approach model, it is found that about 2.30% of the home meal is wasted on average for Chinese rural households. The empirical results reveal that religion has a significantly negative impact on residents’ food wastage, and religious rural households waste less food than their counterparts. Taking into account the possible omission of variables and selection bias, the above conclusion is still valid. Additionally, male household heads, small household size, young families, bad food storage conditions, and the poorer convenience of buying foods are positively related to the higher food waste rate in rural China. Thus, the study provides evidence that religiosity plays a positive role in reducing food waste in rural China. As most of the world’s population is religious to some extent, the finding may also apply to other countries or regions, and it implies that religion and sustainable food consumption are closely related. Full article

Tuberculosis remains one of the major causes of morbidity and mortality in Equatorial Guinea, with an estimated incidence of 280 per 100,000 inhabitants, an estimated mortality rate of 96 per 100,000 inhabitants, and a treatment non-adherence rate of 21.4%. This study aimed to identify the factors associated to TB-related knowledge, attitudes, and stigma in order to design community intervention strategies that could improve TB diagnostic and treatment adherence in Equatorial Guinea. A nationwide cross-sectional survey of 770 household caregivers was conducted in Equatorial Guinea about TB knowledge, attitudes, and practices. Knowledge, attitude, and stigma scores were calculated through correct answers and the median was used as cut-off. Associated factors were analyzed calculating prevalence ratio (PR) and a 95% confidence interval (95% CI) through Poisson regression with robust variance. The percentage of women was 53.0% and median age was 46 years (IQR: 33–60). The percentage of caregivers with high TB related knowledge was 34.9%, with a bad attitude (52.5%) and low stigma (40.4%). A greater probability of having good knowledge was observed in those 45 years old or less (PR: 1.3, 95% CI: 1.1–1.6), those with higher education level (PR: 1.4, 95% CI: 1.1–1.8) and higher wealth (PR: 1.4, 95% CI: 1.0–2.0), while sex (PR = 0.8, 95% CI: 0.6–0.9), religion (PR = 1.4, 95% CI: 1.0–1.8), and good knowledge (PR = 1.4, 95% CI: 1.2–1.7) were associated with good attitudes. Wage employment (PR = 95% CI: 1.2–1.4), feeling well informed (PR = 0.7, 95% CI: 0.6–0.8), having good TB knowledge (PR = 1.3, 95% CI: 1.1–1.7), and some sources of information were associated with having lower TB-related stigma. This study found that a high percentage of caregivers in Equatorial Guinea lack important knowledge about TB disease and have bad attitudes and high TB-related stigma. Given the epidemiological situation of TB in the country, it is urgent to improve TB knowledge and awareness among Equatorial Guinea’s general population. Full article