加纳儿童的教育状况和对非传染性疾病的认识。

Educational status and beliefs regarding non-communicable diseases among children in Ghana.

机构信息

Regional Institute for Population Studies, University of Ghana, Legon, Accra, Ghana.

Department of Public Administration and Health Services Management, University of Ghana Business School, Legon, Accra, Ghana.

出版信息

BMC Public Health. 2018 Mar 5;18(1):313. doi: 10.1186/s12889-018-5211-5.

DOI:10.1186/s12889-018-5211-5

PMID:29506518

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5836396/

Abstract

BACKGROUND

Increasing prevalence of non-communicable diseases (NCDs) has been observed in Ghana as in other developing countries. Past research focused on NCDs among adults. Recent researches, however, provide evidence on NCDs among children in many countries, including Ghana. Beliefs about the cause of NCDs among children may be determined by the socioeconomic status of parents and care givers. This paper examines the relationship between educational status of parents and/or care givers of children with NCDs on admission and their beliefs regarding NCDs among children.

METHODS

A total of 225 parents and/or care givers of children with NCDS hospitalized in seven hospitals in three regions (Greater Accra, Ashanti and Volta) were selected for the study. Statistical techniques, including the chi-square and multinomial logistic regression, were used for the data analysis.

RESULTS

Educational status is a predictor of care giver's belief about whether enemies can cause NCDs among children or not. This is the only belief with which all the educational categories have significant relationship. Also, post-secondary/polytechnic (p-value =0.029) and university (p-value = 0.009) levels of education are both predictors of care givers being undecided about the belief that NCDs among children can be caused by enemies, when background characteristics are controlled for. Significant relationship is found between only some educational categories regarding the other types of beliefs and NCDs among children. For example, those with Middle/Juniour Secondary School (JSS)/Juniour High School (JHS) education are significantly undecided about the belief that the sin of parents can cause NCDs among children.

CONCLUSIONS

Education is more of a predictor of the belief that enemies can cause NCDs among children than the other types of beliefs. Some categories of ethnicity, residential status and age have significant relationship with the beliefs when background characteristics of the parents and/or care givers were controlled for.

摘要

背景

与其他发展中国家一样，加纳也观察到非传染性疾病（NCD）的患病率不断上升。过去的研究主要集中在成年人的 NCD 上。然而，最近的研究为包括加纳在内的许多国家的儿童 NCD 提供了证据。儿童 NCD 病因的信念可能取决于父母和照顾者的社会经济地位。本文研究了儿童 NCD 住院患者父母和/或照顾者的受教育程度与他们对儿童 NCD 的信念之间的关系。

方法

共选择了来自加纳三个地区（大阿克拉、阿散蒂和沃尔特）的 7 家医院的 225 名儿童 NCD 住院患者的父母和/或照顾者参与研究。采用卡方检验和多项逻辑回归等统计技术进行数据分析。

结果

教育程度是照顾者对敌人是否会导致儿童 NCD 这一信念的预测因素。这是唯一与所有教育类别都有显著关系的信念。此外，在控制背景特征的情况下，中学后/理工学院（p 值=0.029）和大学（p 值=0.009）教育水平均能预测照顾者对儿童 NCD 可由敌人引起的信念持不确定态度。仅在与儿童 NCD 相关的其他类型信念中，发现了一些教育类别的显著关系。例如，具有中等/初级中学（JSS）/初级高中（JHS）教育背景的人对父母的罪恶会导致儿童 NCD 这一信念表示不确定。