Lafi Munira
College of Public Health Sciences, Chulalongkorn University

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Knowledge, attitude, and practice towards anemia prevention among female students in Indonesia: a mixed method study Lafi Munira; Pramon Viwattanakulvanid
International Journal of Evaluation and Research in Education (IJERE) Vol 13, No 1: February 2024
Publisher : Institute of Advanced Engineering and Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijere.v13i1.25750

Abstract

Based on the Indonesian national health survey in 2018, the prevalence of anemia in young women aged 15-34 was 48.9%. This study aimed to examine the influence of knowledge and attitude on anemia prevention practice and to identify reasons for not practicing anemia prevention among female high school students in Banjarmasin municipality, Indonesia. A mixed method sequential explanatory was applied for this study. The respondents are 350 female high school students from three senior high schools, chosen purposively for a cross-sectional study and followed by focus group discussion with 15 students and in-depth interviews with three teachers and four health workers. The results revealed that 254 (72.6%) female students had poor practice, 147 (42.0%) had poor attitude, and 169 (48.3 %) had poor knowledge related to iron deficiency anemia (IDA) prevention. Female students in the older age group (17-18 years old) (adjusted odds ratio/AOR 1.88, 95% CI 1.12, 3.16), studying at vocational school (AOR 1.85, 95% CI 1.05, 3.27), good knowledge (AOR 2.52, 95% CI 1.49, 4.26) were significant predictors on iron deficiency anemia (IDA) prevention. The qualitative findings found that the reasons for not practicing anemia prevention include poor knowledge about anemia practice prevention, dislike of iron tablets, and ineffective anemia education program due to poor coordination and communication between health workers and teachers. Effective anemia education programs at schools are needed to enhance students' knowledge related to anemia prevention.
Factors Associated with Adverse Events Related to Topical Whitening Products Used among College Female Students in Sudan Suha Gafar Mohamedkhair; Lafi Munira; Ahmed Mohammed Alamin; Pramon Viwattanakulvanid
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 1 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i1.17927

Abstract

This study aimed to explore the factors associated with adverse events related to topical whitening products used and to explore the reasons for using topical whitening products among female students in Sudan. A cross-sectional study was conducted from September to October 2023 in Sudan. The Medicine and Pharmacy programs were purposively selected as the study area. The total sample size was 208 participants. The self-administered questionnaire was constructed with a total of seventeen questions. For data analysis, we performed descriptive statistics analysis, bivariate analysis with simple logistic regression, and multivariable analysis with binary logistic regression presenting with adjusted odds ratio (AOR) and  95% confidence interval (95% CI). The results imply that students with middle household income were 93% less likely to get adverse events compared to those students with low household income with p-value = 0.030 (AOR: 0.07, 95% CI: 0.06 ,0.77). Students who have tested the topical whitening products before using them were 99.9% less likely to get adverse events compared to those who do not test, with p-value = <0.001 (AOR: 0.001, 95% CI: 0.001,0.00). Students who shared whitening products with family/friends were 89% less likely to get adverse events than those who do not share with p-value = 0.009 (AOR: 0.11, 95% CI: 0.021, 0.57). Furthermore, students who used whitening products with added water or other agents to whitening products were 95% less likely to get adverse events compared to those who did not use with p-value = 0.038 (AOR: 0.05, 95% CI:0.02, 0.84). The top two reasons respondents for using topical whitening products were acne (26.9%) and for beautification (24.5%). The study suggested the local government and health sectors should educate and raise the awareness of the safety of whitening products use among female students.Keywords: Adverse events, female students, Sudan, Whitening topical products