Alcohol consumption and reproductive health risks in rural Central Kenya

Objective: The goal of the current study is to explore the perceived reproductive health risks associated with alcoholism from the perspective of rural communities in Kenya where abuse of illicit liquor especially among men has become an epidemic. Methods: Data for the study were gathered qualitatively through focus groups among community members and in-depth interviews with opinion leaders and key informants who were selected through a snowball method. All recorded data were analyzed through constructivist and interpretive techniques, which started with a line-by-line examination of transcripts for identification of emerging themes. Results: Rural communities are aware of the lethal nature of the illicit liquor and the severe reproductive health problems associated with it among male consumers. Alcoholism also affects women’s sexual and reproductive needs and is attributed to risky sexual behaviors in alcohol-discordant relationships, which puts them at a higher risk of HIV infection. Conclusions: Results indicate a need to address alcoholism in rural Kenya as a public health problem focusing on education and understanding of the long-term health consequences. Addressing the impact on male reproductive health is crucial because it impacts the wider community. Given the complex relationship between alcohol abuse and HIV/AIDS, it is also important for prevention interventions to target married women and non-alcohol consumers. Furthermore, engaging communities will ensure development of culture- and gender-specific interventions. Such engagement requires facilitation of health practitioners for development of meaningful community-based initiatives

Gender empowerment through ICTs: potential and challenges for women in the Caribbean

Information communication technologies (ICTs) have been promoted as tools for national development and for gender empowerment in many developing countries. In the Caribbean, governments, non-governmental organizations and training institutes play a key role in ensuring access to ICTs among women. Gender empowerment is equated to access to information and technology but there are several concerns related ICT access and their effective use among women that are not adequately addressed. This study addresses these issues as well as social, cultural, economic and other factors that challenge women’s access and use of communication technology. The study recommends further research in policy development to focus on identifies challenges and strategies that will ensure women’s participation in their own empowerment through ICTs

Using the Community-Based Participatory Research (CBPR) Approach in Childhood Obesity Prevention

Childhood and adolescent obesity has increased drastically in the past 30 years. While this is troubling, there is also evidence of large disparities among certain ethnic groups such as African American and Hispanic children and adolescents. The Community-Based Participatory Research (CBPR) Model emphasizes a collaborative, co-learning, mutually beneficial, and community-partnered approach to research. Unique aspects of this model include viewing community members as equal partners in non-hierarchical teams, working together in a strengths-based, action oriented research process. This review consists of an investigation of the CBPR approach, its important tenets, and why such an approach may be more effective for childhood and adolescent obesity intervention program development, especially in stratified communities

Ignite-Sparking Youth to Create Healthy Communities: A Protocol for a Community-Centered Effort for the Prevention of Adolescent Obesity

Objective: To observe outcomes of a community-centered approach to identifying behavioral and environmental factors that influence overweight and obesity in 6th-8th grade youth in selected lowincome, racial/ethnic communities. Design: Five-year, tri-state, quasi-experimental design with environmental assessments and a questionnaire measuring nutrition and physical activity knowledge and behavior conducted in all communities at pre and post. Setting: Low-income, minority communities targeting 6th-8th grade youth. Participants: One experimental and one control communities will be selected via each state’s Cooperative Extension network through an application and review process with the random selection of participating communities. Intervention(s): Academic institutions will work with community leaders to establish and help support community committees tasked to plan, implement and evaluate one nutrition and one physical activity intervention. Main Outcome Measure(s): Assess environmental changes associated with increased intake and variety of fruits and vegetables; decreased intake of foods high in solid fats and added sugars; and an increase in physical activity among 6th-8th grade youth. Analysis: Baseline and post environmental data and pre and post questionnaire data will be analyzed using t-tests, chi-square, and ANOVA with a p < 0.05 to establish statistical significance

An Examination of Factors Associated With Self-Efficacy for Food Choice and Healthy Eating among Low-Income Adolescents in Three U.S. States

Citation: Muturi NW, Kidd T, Khan T, Kattelmann K, Zies S, Lindshield E and Adhikari K (2016) An Examination of Factors Associated With Self-Efficacy for Food Choice and Healthy Eating among Low-Income Adolescents in Three U.S. States. Front. Commun. 1:6. doi: 10.3389/fcomm.2016.00006Background: Self-efficacy is a crucial component in effective health communication and health promotion interventions and serves as a moderator for behavior change. Although awareness and risk perception are important in the behavior change process, self-efficacy gives people the necessary confidence in their ability to engage in advocated health behaviors. In addressing childhood obesity, self-efficacy plays a crucial role in dietary decisions. Informed by the social cognitive theory, this study examines the personal and environmental factors that determine self-efficacy for healthy food choices and healthy eating among adolescents in low-income communities

Engaging Communities to Enhance Physical Activity among Urban Youth

As part of a USDA multi-year grant, this project has used community-based participatory strategies to help overcome barriers to eating more fruits and vegetables and increasing physical activity, and ultimately sparking youth to create healthy communities for a lifetime. The project supports teams of community and school partners in limited income neighborhoods. Obesity is a multifaceted, complex problem, but a sedentary lifestyle is a major contributor to this national health issue. Approximately one-third of children nationwide are overweight or obese; and minority children and those with a low socioeconomic status have the highest prevalence rates. Urban youth have been shown to be less physically active than rural youth. Supportive physical activity environments (understood as the geography, observations, and perceptions of features such as recreational facilities, sidewalks, bike lanes, traffic patterns, etc.) have been positively associated with adolescent physical activity behaviors within urban settings. As part of a socio-ecological intervention to improve physical activity behavior, the Physical Activity Resource Assessment (PARA), the Active Neighborhood Checklist (ANC), and focus groups to assess the physical activity influences within an urban middle school and surrounding community were completed. The assessments suggested that lack of parks, lack of walkability in the streets, perceptions of crime, lack of school programs, and parental and peer influences were all barriers to physical activity opportunities. The ANC, PARA and focus groups each added valuable information for program planning to improve adolescent physical activity behavior. From our initial experiences, environmental audits and focus groups are relatively easy to conduct by Extension professionals, working in partnership with a school and community team, and support a socio-ecological approach to improving physical activity with an urban setting.AUTHOR AFFILIATION: Susan Zies, Educator, The Ohio State University Extension, [email protected] (Corresponding Author); Tandalayo Kidd, Extension Specialist, Kansas State University Extension; Kendra Kattelmann, Professor, South Dakota State University; Dan Remley, Field Specialist, Food, Nutrition and Wellness, The Ohio State University Extension; Erika Lindshield, Extension Associate/Project Coordinator, Kansas State University; Nancy Muturi, Professor, Kansas State University; Koushik Adhikari, Assistant Professor, University of Georgia; Beth Stefura, Educator, The Ohio State University Extension; Marcia Jess, Program Coordinator, The Ohio State University Extension; Shannon Smith, Program Assistant, The Ohio State University Extension.A physical activity environmental assessment using the Physical Activity Resource Assessment and the Active Neighborhood Checklist instruments was completed as part of a United States Department of Agriculture grant targeting obesity in sixth- to eighth-grade students in an urban middle school. The assessments provided baseline data about the physical environments such as recreational facilities, sidewalk, bike lanes, and traffic patterns, in the neighborhood around the urban middle school identified in the project. Focus groups were conducted with adults and with youth to determine perceptions of physical activity in the neighborhood. The focus group data added valuable insight beyond the physical activity environmental assessment. Crime was a major concern among focus group participants as well as lack of non-competitive physical activity opportunities

Malaria in Africa: Vector Species' Niche Models and Relative Risk Maps

A central theoretical goal of epidemiology is the construction of spatial models of disease prevalence and risk, including maps for the potential spread of infectious disease. We provide three continent-wide maps representing the relative risk of malaria in Africa based on ecological niche models of vector species and risk analysis at a spatial resolution of 1 arc-minute (9 185 275 cells of approximately 4 sq km). Using a maximum entropy method we construct niche models for 10 malaria vector species based on species occurrence records since 1980, 19 climatic variables, altitude, and land cover data (in 14 classes). For seven vectors (Anopheles coustani, A. funestus, A. melas, A. merus, A. moucheti, A. nili, and A. paludis) these are the first published niche models. We predict that Central Africa has poor habitat for both A. arabiensis and A. gambiae, and that A. quadriannulatus and A. arabiensis have restricted habitats in Southern Africa as claimed by field experts in criticism of previous models. The results of the niche models are incorporated into three relative risk models which assume different ecological interactions between vector species. The “additive” model assumes no interaction; the “minimax” model assumes maximum relative risk due to any vector in a cell; and the “competitive exclusion” model assumes the relative risk that arises from the most suitable vector for a cell. All models include variable anthrophilicity of vectors and spatial variation in human population density. Relative risk maps are produced from these models. All models predict that human population density is the critical factor determining malaria risk. Our method of constructing relative risk maps is equally general. We discuss the limits of the relative risk maps reported here, and the additional data that are required for their improvement. The protocol developed here can be used for any other vector-borne disease

Faith-Based Initiatives in Response to HIV/AIDS in Jamaica

HIV/AIDS continues to advance relentlessly in the developing countries with the Caribbean ranking second to sub-Saharan Africa in rates of infection. Using the social influence theory that recognizes the role of opinion leaders in social and behavioral change, this study examines the contributions of faith-based organizations (FBOs) in addressing the HIV/AIDS epidemic in Jamaica. Through data gathered qualitatively from FBO members and persons living with HIV/AIDS (PLWHA), this article demonstrates that religion plays a crucial role in the Jamaican culture and that religious leaders have the potential to address the widespread HIV/AIDS epidemic in their communities. Many of them have established programs that provide social, psychological, and physical support and have collaborated with health organizations to initiate health educational programs that seek to impact understanding to motivate behavioral change. This FBO integrative approach complements mass media public awareness HIV/AIDS campaigns but is hampered by HIV/AIDS-related stigma, socio-cultural and religious beliefs, the lack of HIV/AIDS policies, and the inadequate capacity among religious leaders to address the epidemic. This article recommends further research on strategies to incorporate spirituality into health communication interventions, as well as on the overall impact of the FBO approach to HIV/AIDS prevention in the Caribbean region

Gender, ICTs and health in the Caribbean

This chapter explores access and use of ICTs in the Caribbean, paying special attention to their role in the promotion of gender and health issues in the region, and specifically in Jamaica. In Jamaica progress in the use of ICTs is visibly more advanced than in the other countries. The Jamaican government has fully supported this progress financially and technically, implementing policies to support the application and use of ICTs in national development. Jamaica has set the tone for the other Caribbean countries, particularly Trinidad and Tobago, Barbados and Guyana where ICT policies and IT strategic plans are currently in place. The chapter largely focuses on the internet because of its widespread influence

Communication for HIV/AIDS Prevention in Kenya: Social-Cultural Considerations

The acquired immune deficiency syndrome (AIDS) epidemic is spreading fast in Africa in spite of the various efforts and resources put in place to prevent it. In Kenya, reproductive health programs have used the mass media and other communication interventions to inform and educate the public about the disease and to promote behavior change and healthy sexual practices. This effort has led to a discrepancy between awareness and behavioral change among people of reproductive age. In this article I examine the discrepancy in Kenya from a communications perspective addressing social cultural and related factors contributing to the lack of change in behavior and sexual practices. I draw on the theoretical framework of Grunig’s model of excellence in communication, the importance of understanding and relationship building between programs and their stakeholders. Data were gathered qualitatively using focus groups and in-depth interviews among men and women in rural Kenya. Key findings indicate that although awareness of sexually transmitted diseases (STDs) including human immunodeficiency virus (HIV)/AIDS is high in Kenya, a majority of the population, particularly those in the rural communities, lack understanding of the communicated messages. They also lack the knowledge of other ways of transmitting HIV particularly among those not sexually involved. Cultural beliefs, values, norms, and myths have played a role in the rapidly increasing epidemic in the rural communities and yet HIV/AIDS communication programs have not addressed these factors adequately. I conclude that successful behavior change communication must include strategies that focus on increasing understanding of the communicated messages and understanding of the audience through application of appropriate methodologies. Building a relationship with the audience or stakeholders through dialogues and two-way symmetrical communication contributes toward this understanding and the maintenance of the newly adopted behaviors and practices