Medical & Health Sciences

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Research Papers/Topics Medical & Health Sciences

Social adjustment of Kenyan orphaned grandchildren, perceived caregiving stresses and discipline strategies used by their fostering grandmothers

Abstract/Overview The aim of the thesis was to examine whether experienced stress, adjustment of orphans and discipline strategies used by 328 grandmothers were linked to disruptions in life courses that occurs when children are orphaned and elderly caregivers are required to assume extensive parenting roles. For comparative purposes, 113 partially responsible grandmothers and 115 biological mothers were also included in the sample. Study I examined factors contributing to elevated levels of...

Boys’ and girls’ relational and physical aggression in nine countries

Abstract/Overview Distinguishing between relational and physical aggression has become a key feature of many developmental studies in North America and Western Europe, but very little information is available on relational and physical aggression in more diverse cultural contexts. This study examined the factor structure of, associations between, and gender differences in relational and physical aggression in China, Colombia, Italy, Jordan, Kenya, the Philippines, Sweden, Thailand, and the U...

Corporal punishment, maternal warmth, and child adjustment: A longitudinal study in eight countries

Abstract/Overview Two key tasks facing parents across cultures are managing children’s behaviors (and misbehaviors) and conveying love and affection. Previous research has found that corporal punishment generally is related to worse child adjustment, whereas parental warmth is related to better child adjustment. This study examined whether the association between corporal punishment and child adjustment problems (anxiety and aggression) is moderated by maternal warmth in a diverse set of c...

Household income predicts trajectories of child internalizing and externalizing behavior in high-, middle-, and low-income countries

Abstract/Overview This study examined longitudinal links between household income and parents’ education and children’s trajectories of internalizing and externalizing behaviors from age 8 to 10 reported by mothers, fathers, and children. Longitudinal data from 1,190 families in 11 cultural groups in eight countries (Colombia, Italy, Jordan, Kenya, Philippines, Sweden, Thailand, and United States) were included. Multigroup structural equation models revealed that household income, but no...

Children as caregivers of older relatives living with HIV and AIDS in Nyang'oma division of western Kenya

Abstract/Overview There is growing debate about the situations of children who care for a relative with HIV-related illness, especially in developing countries with high HIV prevalence. In particular, there is inadequate information on the long-term consequences of children taking on this caregiving role. The article reanalyses data collected between January and November 2006 in a rural setting in western Kenya where 19 children caring for a total of 15 people living with HIV or AIDS (PLHIV)...

Around the world, adolescence is a time of heightened sensation seeking and immature self‐regulation

Abstract/Overview The dual systems model of adolescent risk-taking portrays the period as one characterized by a combination of heightened sensation seeking and still-maturing self- regulation, but most tests of this model have been conducted in the United States or Western Europe. In the present study, these propositions are tested in an international sample of more than 5000 individuals between ages 10 and 30 years from 11 countries in Africa, Asia, Europe and the Americas, using a multi-m...

Child maltreatment in Kenya, Zambia, and the Netherlands: A cross-cultural comparison of prevalence, psychopathological sequelae, and mediation by PTSS

Abstract/Overview Child maltreatment is a global phenomenon affecting a significant number of the world’s children. The purpose of this study was to compare the prevalence of self-reported childhood maltreatment among university students in Kenya, Zambia, and The Netherlands. We also sought to compare the psychopathological sequelae of child maltreatment in the three samples. In addition, we sought to find out whether PTSS mediated the association between child maltreatment and the psychop...

Maternal psychological distress and appraisal of parenting experience predict social-emotional development of Kenyan infants

Abstract/Overview This study investigated whether higher maternal psychological distress, lower provision of psychosocial stimulation and a negative appraisal of parenting experience were associated with lower cognitive, motor, social-emotional and adaptive behaviour development in children under 3 years of age in Kenya. A cross-sectional design was used, with 81 caregiver–child dyads recruited through convenience sampling. The mean age of these infants was 8.5 months (SD = 5.6 months, ran...

Consistent condom utilization and associated factors among sex workers attending Family Guidance Association confidential clinic, Dire Dawa city, Eastern Ethiopia

Abstract: Condoms continue to be an essential and effective tool in the prevention packages for HIV, other STIs and unplanned pregnancy Sexually transmitted diseases are the most serious and widespread public health problem. The most vulnerable demographic groups, particularly female sex workers, engage in risky sexual activities, and have more HIV/AIDS than the general population as a result of having several partners and inconsistent condom use. Moreover, available data concerning consiste...

UPTAKE OF COMMUNITY BASED HEALTH INSURANCE AND ITS EFFECT ON HOUSEHOLD HEALTH EXPENDITURE IN HARAMAYA AND KERSA DISTRICTS IN EASTERN HARARGHE, ETHIOPIA

Abstract: The purpose of this study was to examine the determinant of household uptake in community-based health insurance and the effect of uptake in community-based health insurance on household health expenditure in Haramaya and Kersa District. The study used cross-sectional survey research design and quantitative approach. A survey was conducted by using 360 structured close-ended questionnaires distributed equally to community-based health insurance adopters and non adopters in the dist...

Incidence and Extent of Substance Abuse among Secondary School Students in Nairobi Province, Kenya: Implications for Specialized Intervention

Abstract Substance abuse has become a major challenge in secondary schools in Kenya. A study carried out in Kenya observed that 20% of adolescents aged between 12 and 22 years smoke cigarettes, 9% smoke bhang while 23% drink commercial beer and spirits. This is the age in which most youths are in schools and colleges. The aim of this study was to find out the incidence and extent of drug abuse among secondary school students in Nairobi Province, Kenya. This information is useful in developin...

Influence of Khat (Miraa) on Primary School Dropout Among Boys in Meru County, Kenya

Abstract Despite introduction of Kenya’s Free Primary Education in2003 to achieve Universal Primary Education (MDG2), primary school boys’ enrolment in Kangetais declining while dropout rates are increasing. This study investigated the influence of Khat (Catha edulis) on the boys’ dropout rates. A cross-sectional design was used to collect data from 210 randomly selected dropouts and 10 primary school head teachers. Content validity of the teachers’ questionnaire and boys’ intervie...

Influence of Khat (Miraa) on Primary School Dropout Among Boys in Meru County, Kenya

Abstract Despite introduction of Kenya’s Free Primary Education in 2003 to achieve Universal Primary Education (MDG2), primary school boys’ enrolment in Kangeta is declining while dropout rates are increasing. This study investigated the influence of Khat (Catha edulis) on the boys’ dropout rates. A cross-sectional design was used to collect data from 210 randomly selected dropouts and 10 primary school head teachers. Content validity of the teachers’ questionnaire and boys’ interv...

TYPHOID AND CHOLERA CHRONICLES: THEIR DUAL EFFECT ON LIFE EXPECTANCY IN DELTA STATE, NIGERIA

This study investigates Typhoid and Cholera Chronicles: their dual effect on Life Expectancy in Delta state, Nigeria. The Cost of Illness Theory serves as the theoretical framework for this study. Data for the research were primarily gathered through questionnaires administered to 345 respondents. Logistic regression models analyzed using Statistical Package for Social Science (SPSS) v23 were employed to test the relationship between the predictors: namely Typhoid (TYR), and Cholera (CHR)...

Pro- and anti-inflammatory cytokines mediate the progression of severe anemia in malaria-infected children: A prospective study

Background Severe Plasmodium falciparum malarial anemia is still the principal cause of death in children in underdeveloped countries. An imbalance between proinflammatory and anti-inflammatory cytokines is associated with malaria progression. This study evaluated circulating levels of selected inflammatory cytokines among malaria-infected children in Ghana. Methods This case-control study was conducted at Tamale Teaching Hospital, Ghana. One hundred and twenty children with malaria and 60 ...


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