Background: Data on diabetes mellitus in general population in Benin is scarce. This study aimed therefore to assess prevalence and risk factors of diabetes mellitus in Benin. Methods: The study consisted of a cross-s...Background: Data on diabetes mellitus in general population in Benin is scarce. This study aimed therefore to assess prevalence and risk factors of diabetes mellitus in Benin. Methods: The study consisted of a cross-sectional survey, using the World Health Organisation (WHO)’s instrument for stepwise surveillance (STEPS) of non-communicable diseases risk factors. A five-stage random sample of 25 to 64 years old male and female adults living in Benin participated in structured interviews and their size, weight and blood pressure were measured according to standardized procedures. Glycaemia was measured using ACCUTREND? test strips for capillary blood glucose. Prevalence and means were computed with their 95% confidence interval and standard error respectively, taking into account the sampling design. Prevalence was compared by Khi2 and means by Student’s t test. Univariate and multivariate logistic regressions were performed to identify socio-demographic diabetes’s risk factors. Results: A total of 3772 adults participated in the study. The average age of respondents was 44.2 years. Overall, 68.3% of subjects were illiterate, 82.4% lived in rural areas, 82.57% were self-employed, 20% overweight, 7.51% obese and the prevalence of hypertension was 29.5 p.100. The prevalence of diabetes mellitus was 1.4 p.100 [CI95% = (0.94:2.05)]. This prevalence was higher in men than in women (2.1% vs. 0.8%, p = 0.0031). This prevalence was higher in urban areas than in rural areas. The Littoral department had the highest prevalence (3.4%), followed by the Collines department (2.7%), Donga (2.4%) and Borgou (2.3%). As many as 49.3% of subjects diagnosed with diabetes mellitus were not aware of their status. The age group of 56 - 64 years had the highest risk [OR = 6.6, IC95% = (1.6;22.4)]. The risk of diabetes was higher in people living in urban areas than in people living in rural areas [OR = 3.04 CI95% = (1.6;6.0)]. After controlling for confounding factors, risk factors of diabetes were gender, men being more at risk than women (p = 0.002) age from 55 to 64 years (p = 0.009), overweight (p < 0.0001) and obesity (p = 0.002). Conclusion: Our findings suggested that diabetes mellitus was common in Benin. The prevalence of diabetes is more likely to increase in regard to the nutritional transitions (diet) and the accelerating urbanization of Benin. Communication campaigns for behavioral change are needed to slow down or even reverse this trend.展开更多
Group discussion teaching technique for small groups and encouragement of critical but constructive and creative thinking for finding new and efficient solutions can lead to provision of better health and medical serv...Group discussion teaching technique for small groups and encouragement of critical but constructive and creative thinking for finding new and efficient solutions can lead to provision of better health and medical services that is defined in clinical setting, as the clinical psychology finds a way for curing and education. The present study was conducted with the aim to compare the effects of creative group teaching and educational booklet on interpersonal skills of midwives in a clinical setting. The present study was conducted on 97 midwifery graduates working in hospitals in Kerman Province, in two groups of educational booklet (49 midwives) and educational workshop (48 midwives) who participated in a 3-day creative teaching workshop in summer 2015. Creative problem-solving teaching intervention group was taught through educational workshop method, including small group and team working, group discussion and mini lectures. Midwifery 1 intervention group was provided with an educational booklet validated by professors of Nursing and Midwifery School for independent and individual study by midwives working in Kerman Province hospitals. The two groups were matched in terms of personal details. Hospitals were randomly selected, and midwives were selected by quota sampling. Interpersonal communication skills of both groups were assessed before and after intervention, and two months later using Interpersonal Communication Skills Test. The results obtained were analyzed in SPSS-16 using descriptive statistics, including frequency and percentage, mean and standard deviation, and inferential statistics including U-Mann-Whitney, paired t, independent t, repeated measures ANOVA tests at significance level of P P P P P < 0.001). Both teaching methods improved midwives’ interpersonal communication skills. Therefore, standardized educational booklets which produce cost-effective similar results are recommended.展开更多
文摘Background: Data on diabetes mellitus in general population in Benin is scarce. This study aimed therefore to assess prevalence and risk factors of diabetes mellitus in Benin. Methods: The study consisted of a cross-sectional survey, using the World Health Organisation (WHO)’s instrument for stepwise surveillance (STEPS) of non-communicable diseases risk factors. A five-stage random sample of 25 to 64 years old male and female adults living in Benin participated in structured interviews and their size, weight and blood pressure were measured according to standardized procedures. Glycaemia was measured using ACCUTREND? test strips for capillary blood glucose. Prevalence and means were computed with their 95% confidence interval and standard error respectively, taking into account the sampling design. Prevalence was compared by Khi2 and means by Student’s t test. Univariate and multivariate logistic regressions were performed to identify socio-demographic diabetes’s risk factors. Results: A total of 3772 adults participated in the study. The average age of respondents was 44.2 years. Overall, 68.3% of subjects were illiterate, 82.4% lived in rural areas, 82.57% were self-employed, 20% overweight, 7.51% obese and the prevalence of hypertension was 29.5 p.100. The prevalence of diabetes mellitus was 1.4 p.100 [CI95% = (0.94:2.05)]. This prevalence was higher in men than in women (2.1% vs. 0.8%, p = 0.0031). This prevalence was higher in urban areas than in rural areas. The Littoral department had the highest prevalence (3.4%), followed by the Collines department (2.7%), Donga (2.4%) and Borgou (2.3%). As many as 49.3% of subjects diagnosed with diabetes mellitus were not aware of their status. The age group of 56 - 64 years had the highest risk [OR = 6.6, IC95% = (1.6;22.4)]. The risk of diabetes was higher in people living in urban areas than in people living in rural areas [OR = 3.04 CI95% = (1.6;6.0)]. After controlling for confounding factors, risk factors of diabetes were gender, men being more at risk than women (p = 0.002) age from 55 to 64 years (p = 0.009), overweight (p < 0.0001) and obesity (p = 0.002). Conclusion: Our findings suggested that diabetes mellitus was common in Benin. The prevalence of diabetes is more likely to increase in regard to the nutritional transitions (diet) and the accelerating urbanization of Benin. Communication campaigns for behavioral change are needed to slow down or even reverse this trend.
文摘Group discussion teaching technique for small groups and encouragement of critical but constructive and creative thinking for finding new and efficient solutions can lead to provision of better health and medical services that is defined in clinical setting, as the clinical psychology finds a way for curing and education. The present study was conducted with the aim to compare the effects of creative group teaching and educational booklet on interpersonal skills of midwives in a clinical setting. The present study was conducted on 97 midwifery graduates working in hospitals in Kerman Province, in two groups of educational booklet (49 midwives) and educational workshop (48 midwives) who participated in a 3-day creative teaching workshop in summer 2015. Creative problem-solving teaching intervention group was taught through educational workshop method, including small group and team working, group discussion and mini lectures. Midwifery 1 intervention group was provided with an educational booklet validated by professors of Nursing and Midwifery School for independent and individual study by midwives working in Kerman Province hospitals. The two groups were matched in terms of personal details. Hospitals were randomly selected, and midwives were selected by quota sampling. Interpersonal communication skills of both groups were assessed before and after intervention, and two months later using Interpersonal Communication Skills Test. The results obtained were analyzed in SPSS-16 using descriptive statistics, including frequency and percentage, mean and standard deviation, and inferential statistics including U-Mann-Whitney, paired t, independent t, repeated measures ANOVA tests at significance level of P P P P P < 0.001). Both teaching methods improved midwives’ interpersonal communication skills. Therefore, standardized educational booklets which produce cost-effective similar results are recommended.
