Abstract:
BACKGROUND:Mastitis constitutes an important risk factor in HIV vertical transmission. Very little, however, is known on how women in sub-Saharan Africa conceptualise health problems related to breastfeeding, such as mastitis, and how they act when sick. We aimed at filling this gap in knowledge, by documenting the indigenous nosography of mastitis, health seeking behaviour, and remedies for prophylaxis and treatment in rural sub-Saharan Africa. METHODS:The study was conducted in the Nouna Health District, rural Burkina Faso. We employed a combination of in-depth individual interviews and focus group discussions reaching both women and guérisseuers. All material was transcribed, translated, and analysed inductively, applying data and analyst triangulation. RESULTS:Respondents perceived breast problems related to lactation to be highly prevalent and described a sequence of symptoms which resembles the biomedical understanding of pathologies related to breastfeeding, ranging from breast engorgement (stasis) to inflammation (mastitis) and infection (breast abscess). The aetiology of disease, however, differed from biomedical notions as both women and guerisseurs distinguished between "natural" and "unnatural" causes of health problems related to breastfeeding. To prevent and treat such pathologies, women used a combination of traditional and biomedical therapies, depending on the perceived cause of illness. In general, however, a marked preference for traditional systems of care was observed. CONCLUSION:Health problems related to breastfeeding are perceived to be very common in rural Burkina Faso. Further epidemiological research to assess the actual prevalence of such pathologies is urgently needed to inform the design of adequate control measures, especially given the impact of mastitis on HIV vertical transmission. Our investigation into local illness concepts and health care seeking behaviour is useful to ensure that such measures be culturally sensitive. Further research into the efficacy of local customs and traditional healing methods and their effect on viral load in breast milk is also urgently needed.
journal_name
BMC Public Healthjournal_title
BMC public healthauthors
De Allegri M,Sarker M,Hofmann J,Sanon M,Böhler Tdoi
10.1186/1471-2458-7-22subject
Has Abstractpub_date
2007-02-23 00:00:00pages
22issn
1471-2458pii
1471-2458-7-22journal_volume
7pub_type
杂志文章abstract:BACKGROUND:This study aimed to examine the short- and long term (cost-) effectiveness of Family Group Conferencing (FGC) compared to care as usual (CAU) in terms of improved child safety, empowerment and social support. METHODS:A subgroup of a larger randomized controlled trial, comprising 69 families in child welfare...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-018-5770-5
更新日期:2018-07-09 00:00:00
abstract:BACKGROUND:Smoking rates remain unacceptably high among individuals who are socially disadvantaged. Social and community service organisations (SCSO) are increasingly interested in providing smoking cessation support to clients, however little is known about the best way to assist disadvantaged smokers to quit in this ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-11-493
更新日期:2011-06-24 00:00:00
abstract:BACKGROUND:Several studies have demonstrated an association between the exposure to indoor air pollution (IAP) and childhood asthma. Evidence is suggesting that several air pollutants may contribute to both exacerbation and development of asthma, but some uncertainty remains concerning the specific causative role of IA...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-435
更新日期:2012-06-13 00:00:00
abstract:BACKGROUND:Effects of dietary factors, such as adherence to Mediterranean diet, multivitamin-multimineral supplements use and alcohol consumption on mammographic breast density, an important biomarker of breast cancer risk, are not sufficiently consistent to elaborate preventive recommendations. This study aims to inve...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-203
更新日期:2013-03-07 00:00:00
abstract:BACKGROUND:Area deprivation is a known determinant of health. It is also known that area deprivation is associated with lower impact health promotion. It is less well known, however, whether deprived areas are less responsive to health promotion, or whether they are less exposed. Using data from a national, school-base...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-473
更新日期:2010-08-10 00:00:00
abstract:BACKGROUND:By 2050, sub-Saharan Africa's (SSA) urban population is expected to grow from 414 million to over 1.2 billion. This growth will likely increase challenges to municipalities attempting to provide access to water supply and sanitation (WS&S). This study aims to characterize trends in access to WS&S in SSA citi...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-208
更新日期:2014-02-28 00:00:00
abstract:BACKGROUND:To date, there is scant literature that examines the recess context concurrent with, but separate from, levels of physical activity. The primary purpose of the current study was to examine how recess quality impacted physical activity levels, and how this was moderated by gender. A secondary purpose was to e...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-08849-5
更新日期:2020-05-27 00:00:00
abstract:BACKGROUND:The Service Availability and Readiness Assessment surveys generate data on the readiness of health facility services. We constructed a readiness index related to malaria services and determined the association between health facility malaria readiness and malaria mortality in children under the age of 5 year...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09994-7
更新日期:2021-01-05 00:00:00
abstract:BACKGROUND:Longitudinal studies assessing the long-term association between alcohol intake and depression are scarce. The type of beverage may also be important. Therefore we aimed to prospectively evaluate the influence of alcohol intake on incident depression in a Mediterranean cohort. METHODS:We assessed 13,619 uni...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-954
更新日期:2012-11-07 00:00:00
abstract:BACKGROUND:Tuberculosis (TB) is a major public health problem that accounts for almost half a million human immunodeficiency virus (HIV) associated deaths. Provision of isoniazid preventive therapy (IPT) is one of the public health interventions for the prevention of TB in HIV infected individuals. However, in Ethiopia...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-1719-0
更新日期:2015-04-10 00:00:00
abstract:BACKGROUND:Few studies to date have explored the relationship between the built environment and physical activity specifically in rural settings. The Ontario Public Health Standards policies mandate that health units in Ontario address the built environment; however, it is unclear how public health practitioners are in...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-1786-2
更新日期:2015-05-03 00:00:00
abstract:BACKGROUND:Few population-based studies of Arab American health behaviors and outcomes exist outside of Michigan. We aimed to provide prevalence estimates of health behaviors and outcomes for Arab Americans and compare them to non-Hispanic Whites in California. METHODS:We used data from the 2003-2016 California Health...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-7233-z
更新日期:2019-07-08 00:00:00
abstract:BACKGROUND:Gestational diabetes increases risk for type 2 diabetes seven-fold, creating a large public health burden in a young population. In the US, there are no large registries for tracking postpartum diabetes screening among women in under-resourced communities who face challenges with access to care after pregnan...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-6475-0
更新日期:2019-02-04 00:00:00
abstract:BACKGROUND:There is a current paucity of data on the health behaviour of non-selected populations in Central Europe. Data on health behaviour were collected as part of the EMIL study which investigated the prevalence of infection with Echinococcus multilocularis and other medical conditions in an urban German populatio...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-6-233
更新日期:2006-09-18 00:00:00
abstract:BACKGROUND:In July 2011, the Malawi national HIV program implemented the integrated antiretroviral therapy (ART) and prevention of mother-to-child transmission (PMTCT) guidelines. Among the principle goals of the guidelines were increasing ART uptake among TB/HIV co-infected patients and treating TB/HIV patients with a...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-183
更新日期:2014-02-20 00:00:00
abstract:BACKGROUND:One strategy available to public health officials during a pandemic is physician recommendations for isolation of infected individuals. This study was undertaken during the height of the Australian pandemic (H1N1) 2009 outbreak to measure self-reported willingness to comply with physician recommendations to ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-138
更新日期:2010-03-16 00:00:00
abstract:BACKGROUND:The prevalence of Helicobacter pylori infection varies in relation to geography, ethnicity and socioeconomic factors. Available data on the prevalence of Helicobacter pylori infection in Uganda are not representative of the general population. We sought to describe the epidemiology of this infection in pregn...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-915
更新日期:2014-09-04 00:00:00
abstract:BACKGROUND:An essential element in the process of "aging well" is the concept of Active Aging (AA). To propose an operational definition of Active Aging, the present study seeks to develop a new measurement tool through an ecological approach. The aim is to recognize significant indicators that play a role in assessing...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-10036-5
更新日期:2021-01-03 00:00:00
abstract:BACKGROUND:Several studies have simultaneously examined physical activity (PA) and cardiorespiratory fitness (CRF) with metabolic syndrome (MS). However, the independent roles of both PA and CRF with MS are less firmly established. The combined contributions of PA and CRF with MS are less studied, particularly among Ch...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-614
更新日期:2013-06-27 00:00:00
abstract:BACKGROUND:The prevalence of short stature (SS) and underweight in Jordan on a national level is unknown. This study aimed to investigate, on a national level, the prevalence of short stature (SS), underweight, overweight, and obesity among school aged children in Jordan. METHODS:This cross-sectional study was conduct...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-3687-4
更新日期:2016-10-03 00:00:00
abstract:BACKGROUND:Parents are widely recognized as playing a central role in the development of child behaviors such as physical activity. As there is little agreement as to the dimensions of physical activity-related parenting practices that should be measured or how they should be operationalized, this study engaged experts...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4487-1
更新日期:2017-06-14 00:00:00
abstract:BACKGROUND:Cycling is a popular recreational activity and a common transportation option; however, cycling-related injuries can be fatal. There are few studies of cycling fatalities in Canada and none in a region as sparsely populated as Alberta. METHODS:A chart review was conducted of cyclists involved in fatal crash...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-2476-9
更新日期:2015-11-17 00:00:00
abstract:BACKGROUND:Globally syphilis is an important yet preventable cause of stillbirth, neonatal mortality and morbidity. OBJECTIVES:This review sought to estimate the effect of detection and treatment of active syphilis in pregnancy with at least 2.4 MU benzathine penicillin (or equivalent) on syphilis-related stillbirths ...
journal_title:BMC public health
pub_type: 杂志文章,meta分析,评审
doi:10.1186/1471-2458-11-S3-S9
更新日期:2011-04-13 00:00:00
abstract:BACKGROUND:A dearth of knowledge exists regarding how multiple health behavior changes made within an exercise prescription programme can improve health parameters. This study aimed to analyse the impact of changing diet and increasing exercise on health improvements among exercise prescription patients. METHODS:In 20...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-5152-z
更新日期:2018-02-08 00:00:00
abstract:BACKGROUND:A growing body of evidence suggest an association between physical activity levels and students psychological well-being. A number of research studies have evaluated playground interventions that aim to increase physical activity levels, decrease conflict and bullying, and improve students behaviour. The HAP...
journal_title:BMC public health
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1186/s12889-017-4445-y
更新日期:2017-05-26 00:00:00
abstract:BACKGROUND:Diagnostic self-tests are becoming increasingly available. Since the pros and cons of self-testing are unclear and neutral information on self-testing is lacking, two decision aids (DAs) on self-testing for cholesterol and diabetes were developed to support consumers in making an informed choice that is in l...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2458-14-921
更新日期:2014-09-06 00:00:00
abstract:BACKGROUND:This study describes exposure levels of bakery and pastry apprentices to flour dust, a known risk factor of occupational asthma. METHODS:Questionnaires on work activity were completed by 286 students. Among them, 34 performed a series of two personal exposure measurements using a PM2.5 and PM10 personal sam...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-7-311
更新日期:2007-11-01 00:00:00
abstract:BACKGROUND:It is widely believed that corporate actors exert substantial influence on the making of public health policy, including in the alcohol field. However, the industry is far from being monolithic, comprising a range of producers and retailers with varying and diverse interests. With a focus on contemporary deb...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-483
更新日期:2012-06-26 00:00:00
abstract:BACKGROUND:The relationship between socioeconomic position and obesity has been clearly established, however, the extent to which specific behavioural factors mediate this relationship is less clear. This study aimed to ascertain the contribution of specific dietary elements and leisure-time physical activity (LTPA) to...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-1214
更新日期:2013-12-21 00:00:00
abstract:BACKGROUND:Although the number of smokers has declined in the last decade, smoking is still a major health problem among youngsters and adolescents. For this reason, there is a need for effective smoking prevention programmes targeting primary school children. A web-based computer-tailored feedback programme may be an ...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2458-12-277
更新日期:2012-06-11 00:00:00