ORCID Profile
0000-0001-7929-0685
Current Organisations
Local Government Service
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Queen's University
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Publisher: Informa UK Limited
Date: 19-09-2023
Publisher: Cambridge University Press (CUP)
Date: 22-05-2023
DOI: 10.1017/S002193202300007X
Abstract: There is a demonstrated link between intimate partner violence (IPV) and pregnancy termination, and this association has received much attention in developed settings. Despite the high prevalence of IPV in Papua New Guinea (PNG), little is known about the association between these experiences and pregnancy termination. This study examined the association between IPV and pregnancy termination in PNG. The present study used population-based data from the PNG’s first Demographic and Health Survey (DHS) conducted in 2016–2018. The analysis involved women aged 15–49 years who were in intimate unions (married or co-habiting). We used binary logistic regression modelling to analyse the association between IPV and pregnancy termination. Results were reported as crude odds ratios (cOR) and adjusted odds ratios (aOR) with 95% confidence intervals (CIs). Overall, 6.3% of women involved in this study had ever terminated a pregnancy, and 6 in 10 women (61.5%) reported having experienced IPV in the last 12 months preceding the survey. Of those women who experienced IPV, 7.4% had ever terminated a pregnancy. Women who had experienced IPV had a 1.75 higher odds of reporting pregnancy termination (cOR: 1.75 95% CI: 1.29–2.37) than women who did not experience IPV. After controlling for theoretically and empirically relevant socio-demographic and economic factors, IPV remained a strong and significant determinant of pregnancy termination (aOR: 1.67, 95% CI: 1.22–2.30). The strong association between IPV and pregnancy termination among women in intimate unions in PNG calls for targeted policies and interventions that address the high prevalence of IPV. The provision of comprehensive sexual reproductive health, public education, and awareness creation on the consequences of IPV, regular assessment, and referral to appropriate services for IPV may reduce the incidence of pregnancy termination in PNG.
Publisher: Springer Science and Business Media LLC
Date: 07-06-2019
Publisher: Springer Science and Business Media LLC
Date: 27-05-2019
Publisher: Springer Science and Business Media LLC
Date: 24-04-2023
DOI: 10.1186/S13690-023-01063-W
Abstract: In sub-Saharan African context, effect of system, institutional and client-level factors on formal healthcare utilisation among older adults with low income, especially those under a social protection scheme (called Livelihood Empowerment against Poverty [LEAP] programme) is least explored in the literature. However, an adequate understanding of how these factors contribute to formal healthcare utilisation among older adults who are classified as poor (in terms of low income) is important to inform health policy decisions. The aim of this study, therefore, was to examine the contributions of system, institutional and client-level factors in formal healthcare utilisation among older adults with low income under the LEAP programme in Ghana. Data associated with this study were obtained from an Ageing, Health, Lifestyle and Health Services survey conducted between 1 and 20 June 2018 ( N = 200) in the Atwima Nwabiagya Municipal and Atwima Nwabiagya North District of Ghana. Multivariable logistic regressions were used to determine system, institutional and client-level factors associated with formal healthcare utilisation among older adults with low income under the LEAP programme in Ghana. The significance of the test was set at a probability value of 0.05 or below. The study revealed that participants who relied on the LEAP programme and/or health insurance subscription to cater for their healthcare expenses (AOR: 11.934, CI: 1.151-123.777), those whose family/caregivers decided on when and where to use formal healthcare (AOR:12.409 CI: 2.198–70.076) and those who did not encounter communication problem with healthcare providers (AOR: 1.358 CI: 1.074–3.737) were significantly more likely to utilise formal healthcare services compared with their counterparts. The study further found that participants who perceived the attitude of healthcare providers as poor (AOR: 0.889 CI: 0.24–0.931) and those who spent 20–40 minutes at the healthcare facility were significantly less likely to utilise formal healthcare services compared with their counterparts (AOR: 0.070 CI: 0.006–0.195). Our findings suggest that reducing waiting time at healthcare facilities, improving social protection and/or health insurance schemes, improving patient-doctor communication and promoting attitudinal change programmes (such as orientations and supportive supervision) for healthcare providers may help to facilitate the use of needed formal healthcare services by older adults with low income in Ghana.
Publisher: Wiley
Date: 21-07-2022
DOI: 10.1111/IJSW.12551
Abstract: This study explored the effect of access to financial services on rural older adults' health services utilisation. A cross‐sectional survey design was adopted to gather data ( N = 310 mean age = 66.13 years and standard deviation [SD] = 24.72) in selected rural communities in Ghana. We applied endogenous treatment Poisson regression (ETPR), an econometrics model that accounts for self‐selection bias, to estimate the association between access to financial services and the use of health services. Findings revealed that education, internet use, club membership, employment status, proximity to financial institution (FI) and regional location were associated with access to financial services. Importantly, access to financial services was associated with increased health services use. The study results suggest that access to financial services may help increase the use of health services among rural older adults in Ghana.
Publisher: Springer Science and Business Media LLC
Date: 12-05-2022
DOI: 10.1186/S13690-022-00889-0
Abstract: Justification of intimate partner violence (IPV) has several implications, including reduced likelihood of help-seeking, increased experiences episodes of partner abuses, and poor health status and outcomes. However, in Papua New Guinea (PNG), where IPV is among the highest globally, little is known about factors influencing IPV justification among women in union. This study aimed at examining the prevalence of IPV justification and associated factors among women in union in PNG. Data from the nationally representative cross-sectional demographic and health survey conducted among women aged 15–49 years during 2016–2018 in PNG were used. In all 9,943 women aged 15–49 years who were married or cohabiting during the survey were included. Bivariate and multivariate logistic regressions were performed and the results reported as crude odds ratios (cOR) and adjusted odds ratios (aOR) with 95% confidence intervals (CI). Overall, almost 7 in 10 women (68.9%, 95%CI:68.0–69.9) justified IPV. Multiple regression analysis revealed that co-habitation (aOR: 1.33, 95%CI: 1.17–1.50, p 0.001), polygyny (aOR: 1.36, 95%CI: 1.20–1.53, p 0.001), exposure to television (aOR: 1.24, 95%CI: 1.08–1.42, p = 0.002) and richer wealth status (aOR: 1.19, 95%CI: 1.01–1.40, p = 0.035), significantly increased the odds of justifying IPV. We found significantly lower odds of IPV justification among women aged 45–49 years (aOR: 0.53, 95%CI: 0.37–0.77, p = 0.001) and those with higher level of education (aOR: 0.56, 95%CI: 0.42–0.74, p 0.001). The prevalence of IPV justification was high among women in union in PNG. Women’s justification of IPV was associated with socio-demographic and economic factors. Our findings call for appropriate strategies including public education and empowerment programmes that target IPV in PNG. Moreover, strategies and interventions to address IPV justification should target the women’s socio-economic and demographic contexts that influence IPV justification.
Publisher: Springer Science and Business Media LLC
Date: 29-03-2022
DOI: 10.1186/S12889-022-13003-4
Abstract: Intimate partner sexual violence (IPSV) is a prevalent public health problem affecting millions of people each year globally, particularly in developing countries like Papua New Guinea (PNG). Although over two-thirds of women in PNG are estimated to experience some form of sexual violence in their lifetime, empirical evidence is limited on the association between IPSV and cigarette smoking. Thus, the present study aims to examine the prevalence of IPSV and its association with cigarette smoking among women in union in PNG. This cross-sectional study used data from the first demographic and health survey of PNG conducted between 2016 and 2018. A total of 9,943 women aged 15–49 years in intimate unions were included in this study. We estimated the relative risk of smoking cigarette using modified Poisson regression models with a robust variance and 95% confidence intervals. The rates of IPSV and current cigarette smoking were 25.9% and 26.8%, respectively. The modified Poisson regression results showed that IPSV was significantly associated with an elevated risk for cigarette smoking. Women with IPSV history were more likely to smoke cigarette relative to their counterparts with no IPSV history (RR: 1.33, 95% CI: 1.18–1.50) in the absence of covariates. After controlling for demographic, social and economic factors, the association between IPSV and cigarette smoking remained statistically significant (RR: 1.24, 95% CI: 1.08–1.42). The rates of IPSV and cigarette smoking among women in union in PNG in the current study were relatively high. Irrespective of erse demographic, social and economic factors, IPSV was still significantly associated with cigarette smoking among women in union in PNG. The findings presented call the attention of policy-makers and relevant authorities in PNG to an important association that needs to be addressed. Counseling, awareness creation, service provision and program design on IPSV are urgently required to minimize cigarette smoking and IPSV among women in union in PNG.
Publisher: Elsevier BV
Date: 07-2023
Publisher: Public Library of Science (PLoS)
Date: 12-2022
DOI: 10.1371/JOURNAL.PONE.0278373
Abstract: Cigarette smoking during breastfeeding is reported to contribute to significant changes in the composition of breast milk not only by reducing its protective features but also affecting infants’ response to breastfeeding and breast milk. However, studies on the prevalence of cigarette smoking and associated factors during breastfeeding are limited in Papua New Guinea (PNG). This study estimates the prevalence of cigarette smoking and its association with demographic and economic factors among breastfeeding women in PNG. We used weighted survey data from the 2016–2018 PNG Demographic and Health Survey (PNGDHS). A weighted s le of 3,822 women who were breastfeeding during the survey were included in the study. The outcome variable in the present study is current cigarette smoking. A multiple logistic regression analysis was used to estimate the association between current cigarette smoking status and socio-demographic and economic variables of breastfeeding women. The regression analysis results were reported using adjusted odds ratios (aOR) with their respective 95% confidence intervals (CIs). From the weighted s le, the prevalence of cigarette smoking among breastfeeding women was 21.9% of which 60.8% smoked daily. The mean number of cigarettes smoked in the last 24 hours preceding the survey was 6.05(SD = 5.99). Multiple logistic regression analysis revealed that breastfeeding women who were from the Momase (aOR: 2.337, CI: 1.786–3.058, p .001) and Highlands (AOR: 1.589, CI: 1.213–2.082, p = 0.001), had no religious affiliation (aOR: 3.665, CI: 1.235–10.877, p = 0.019), and households with daughters as household heads (aOR: 1.901, CI: 1.231–2.935, p = 0.004) and being in more than one union (aOR: 2.374, CI: 1.805–3.123, p .001) were significantly more likely to smoke cigarette compared to women from southern region, those affiliated to Anglican church, those with husband as household heads, and being in one union respectively. Cigarette smoking among breastfeeding women in PNG is relatively high, and region of residence, religion, relationship to household head, and the number of unions remain independent predictors. Interventions should target the in idual socio-economic and cultural contexts within which breastfeeding occurs.
Publisher: Springer Science and Business Media LLC
Date: 28-05-2019
Publisher: Public Library of Science (PLoS)
Date: 07-12-2022
DOI: 10.1371/JOURNAL.PGPH.0000863
Abstract: The present study examined the association between housing conditions and long-term care needs of older adults in Ghana. We used data from 4,920 adults aged ≥50 years that participated in the World Health Organisation’s (WHO) Study on adult health and AGEing Ghana Wave 1. Housing conditions were assessed with drinking water, sanitation, cooking conditions and building materials, and long-term care needs were based on WHO Disability Assessment Schedule 2.0. Multivariable logistic regressions modelled the effect of housing conditions on long-term care needs. After full adjustment for all available potential confounders, older adults living in households with unimproved cooking conditions had higher odds of reporting long-term care needs (OR = 6.87, 95%CI: 5.04–9.37) compared to those in improved cooking condition households. Moreover, those in households with unimproved housing materials (OR = 1.27, 95%CI: 1.01–1.72) and those in unimproved sanitation households (OR = 1.26, 95%CI: 1.05–1.54) were more likely to experience long-term care needs after respectively controlling for demographic and health-related covariates. Poor housing conditions are risk factors of long-term care needs in Ghana. Efforts to improve housing conditions may benefit older age functional abilities and unmet long-term care needs.
Location: Ghana
No related grants have been discovered for WILLIAMS AGYEMANG-DUAH.