Browsing by Author "Hewlett, S."
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Item Bond strength of luting cements to core foundation materials(Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995), 2010-03) Hewlett, S.; Wadenya, R.O.; Mante, F.K.PURPOSE: The purpose was to compare the shear bond strength of luting cements to foundation materials and to determine the effect of storage in lactate buffer solution. MATERIALS AND METHODS: Disks that were 8 mm in diameter and 2-mm thick were fabricated from foundation substrates: amalgam, composite resin, resin-modified glass ionomer, and glass ionomer (n = 20). Cylinders that were 2 mm in diameter and 4 mm in length of resin luting cement, resin-modified glass ionomer luting cement, and a glass ionomer luting cement were bonded to the foundation substrate materials. Shear bond strength of each foundation substrate material/cement pair was determined with a universal testing machine after 24 hours. A second set of specimens was tested after storage in a 0.01M lactate buffer solution for 24 hours. A three-way analysis of variance followed by pair-wise comparisons was performed to compare bond strengths (P < .05). RESULTS: The resin cement provided the highest (P < .05) bond strengths to amalgam, composite resin, and resin-modified glass ionomer foundation materials while the glass ionomer cement showed the lowest bond strength (P < .05) to composite resin and glass ionomer foundation restoration materials. After immersion in a 0.01M lactate buffer solution, the shear bond strength of all the material combinations was significantly lower (P < .05) than nonimmersed specimens, except the bonds between composite resin foundation and resin luting cement, which significantly increased (P < .05) in strength. CONCLUSION: The resin cement had the highest bond strength to most foundation substrates investigated. The highest bond was observed between the composite resin foundation and resin cement. This bond was also the most durable on immersion in lactic acid.Item Gender disparities of chronic musculoskeletal disorder burden in the elderly Ghanaian population: study on global ageing and adult health (SAGE WAVE 1)(BMC Musculoskeletal Disorders, 2015-08) Nakua, E.K.; Otupiri, E.; Dzomeku, V.M.; Owusu-Dabo, E.; Agyei-Baffour, P.; Yawson, A.E.; Folson, G.; Hewlett, S.BACKGROUND: Traditionally, non-communicable diseases including musculoskeletal disorders have not been a priority in low-and-middle income countries. The main aim of this paper is to assess age and gender specific burden by estimating the current prevalence of musculoskeletal disorders and associated risk factors in the elderly Ghanaian population. METHODS: Between May 2007 and June 2008, the World Health Organization conducted a nationwide study on AGEing (SAGE) and Adult Health in Ghana. The study employed a multistage cluster sampling strategy to identify participants by stratifying the population by age and setting. A structured questionnaire was used for data collection. A Poisson regression model was fitted with robust error variance. Prevalence estimates took into account the complex survey design and sampling weights. Statistical significance was considered at p ≤ 0.05 significance level. Statistical analysis was performed with STATA version 11.2. RESULTS: The prevalence rates of chronic back pain and chronic arthritis/joints pain were higher in women than men. The overall crude prevalence's rates were 28.2 and 10.7% for chronic back pain and chronic arthritis/joints pain respectively. Substantial differences existed between men and women in terms of socio-economic status, education level and occupational status. Women with primary education had a chronic back pain prevalence of 36.2% (95% CI; 29.2, 43.3) and chronic arthritis/joints pain prevalence of 15.8% (95% CI; 11.1, 20.6) while their male counterparts had prevalence rates of 29.0% (95% CI; 23.4, 34.5) and 9.8% (95% CI; 6.4, 13.2) respectively. Residence (rural and urban) did not appear to influence the prevalence of chronic back pain and arthritis/joints pain. CONCLUSION: Our findings suggest the existence of sex differences in chronic back pain and chronic arthritis/joint pain in the elderly population in Ghana after adjustment for demographic and socio-economic factors. It indicates the existence of inequalities in health between elderly men and women with women suffering more from chronic back pain and chronic arthritis/joints pain.Item Prevalence of loss of all teeth (Edentulism) and associated factors in older adults in China, Ghana, India, Mexico, Russia and South Africa(International Journal of Environmental Research and Public Health, 2014-10) Peltzer, K.; Hewlett, S.; Yawson, A.E.; Moynihan, P.; Preet, R.; Wu, F.; Guo, G.; Arokiasamy, P.; Snodgrass, J.J.; Chatterji, S.; Engelstad, M.E.; Kowal, P.Little information exists about the loss of all one’s teeth (edentulism) among older adults in low- and middle-income countries. This study examines the prevalence of edentulism and associated factors among older adults in a cross-sectional study across six such countries. Data from the World Health Organization (WHO’s) Study on global AGEing and adult health (SAGE) Wave 1 was used for this study with adults aged 50-plus from China (N = 13,367), Ghana (N = 4724), India (N = 7150), Mexico (N = 2315), Russian Federation (N = 3938) and South Africa (N = 3840). Multivariate regression was used to assess predictors of edentulism. The overall prevalence of edentulism was 11.7% in the six countries, with India, Mexico, and Russia has higher prevalence rates (16.3%-21.7%) than China, Ghana, and South Africa (3.0%-9.0%). In multivariate logistic analysis sociodemographic factors (older age, lower education), chronic conditions (arthritis, asthma), health risk behaviour (former daily tobacco use, inadequate fruits and vegetable consumption) and other health related variables (functional disability and low social cohesion) were associated with edentulism. The national estimates and identified factors associated with edentulism among older adults across the six countries helps to identify areas for further exploration and targets for intervention. © 2014 by the authors; licensee MDPI, Basel, Switzerland.Item Tobacco use in older adults in Ghana: Sociodemographic characteristics, health risks and subjective wellbeing(BMC Public Health, 2013) Yawson, A.E.; Baddoo, A.; Hagan-Seneadza, N.A.; Calys-Tagoe, B.; Hewlett, S.; Dako-Gyeke, P.; Mensah, G.; Minicuci, N.; Naidoo, N.; Chatterji, S.; Kowal, P.; Biritwum, R.Background: Tobacco use over the life-course threatens to increase disease burden in older adulthood, including lower income countries like Ghana. This paper describes demographic, socioeconomic, health risks and life satisfaction indices related to tobacco use among older adults in Ghana. Methods. This work was based on the World Health Organization's multi-country Study on global AGEing and adult health (SAGE), conducted in six countries including Ghana. Wave one of SAGE in Ghana was conducted in 2007-2008 as collaboration between WHO and the University of Ghana Medical School through the Department of Community Health. A nationally representative sample of 4305 older adults aged 50 years and above were interviewed. Associations between tobacco consumption and sociodemographic, socioeconomic, health risk and life satisfaction were evaluated using chi-square and odds ratio (OR). Logistic regression analyses, adjusted for age, sex and other variables, were conducted to determine predictors of tobacco consumption in older persons. Results: Overall prevalence of current daily smokers among older adults in Ghana was 7.6%. Tobacco use (i.e. ever used tobacco) was associated with older males, (AOR = 1.10, CI 1.05-1.15), older adults residing in rural locations (AOR = 1.37, CI 1.083-1.724), and older adults who used alcohol (AOR = 1.13, CI 0.230-2.418). Tobacco use was also associated (although not statistically significant per p-values) with increased self-reporting of angina, arthritis, asthma, chronic lung disease, depression, diabetes, hypertension, and stroke. Older adults who used tobacco and with increased health risks, tended to be without health insurance (AOR = 1.41, CI 1.111-1.787). Satisfaction with life and daily living was much lower for those who use tobacco. Regional differences existed in tobacco use; the three northern regions (Upper East, Northern and Upper West) had higher proportions of tobacco use among older adults in the country. Quitting tobacco use was higher in the 70+ years age group, in women, among urban residents and in those with at least secondary education. Quitting tobacco use also increased with increasing income levels. Conclusions: Tobacco use among older adults in Ghana was associated with older men living in rural locations, chronic ill-health and reduced life satisfaction. A high proportion of older adults have stopped using tobacco, demonstrating the possibilities for effective public health interventions. Health risk reduction strategies through targeted anti-smoking health campaigns, improvement in access to health and social protection (such as health insurance) will reduce health risks among older persons who use tobacco. © 2013 Yawson et al.; licensee BioMed Central Ltd.Item Tobacco use in older adults in Ghana: sociodemographic characteristics, health risks and subjective wellbeing(2013-10-20) Yawson, A.E.; Baddoo, A.; Hagan-Seneadza, N.A; Calys-Tagoe, B.; Hewlett, S.; Dako-Gyeke, P.; Mensah, G.; Minicuci, N.; Naidoo, N.; Chatterji, S.; Kowal, P.; Biritwum, R.Abstract Background Tobacco use over the life-course threatens to increase disease burden in older adulthood, including lower income countries like Ghana. This paper describes demographic, socioeconomic, health risks and life satisfaction indices related to tobacco use among older adults in Ghana. Methods This work was based on the World Health Organization’s multi-country Study on global AGEing and adult health (SAGE), conducted in six countries including Ghana. Wave one of SAGE in Ghana was conducted in 2007-2008 as collaboration between WHO and the University of Ghana Medical School through the Department of Community Health. A nationally representative sample of 4305 older adults aged 50 years and above were interviewed. Associations between tobacco consumption and sociodemographic, socioeconomic, health risk and life satisfaction were evaluated using chi-square and odds ratio (OR). Logistic regression analyses, adjusted for age, sex and other variables, were conducted to determine predictors of tobacco consumption in older persons. Results Overall prevalence of current daily smokers among older adults in Ghana was 7.6%. Tobacco use (i.e. ever used tobacco) was associated with older males, (AOR = 1.10, CI 1.05-1.15), older adults residing in rural locations (AOR = 1.37, CI 1.083-1.724), and older adults who used alcohol (AOR = 1.13, CI 0.230-2.418). Tobacco use was also associated (although not statistically significant per p-values) with increased self-reporting of angina, arthritis, asthma, chronic lung disease, depression, diabetes, hypertension, and stroke. Older adults who used tobacco and with increased health risks, tended to be without health insurance (AOR = 1.41, CI 1.111-1.787). Satisfaction with life and daily living was much lower for those who use tobacco. Regional differences existed in tobacco use; the three northern regions (Upper East, Northern and Upper West) had higher proportions of tobacco use among older adults in the country. Quitting tobacco use was higher in the 70+ years age group, in women, among urban residents and in those with at least secondary education. Quitting tobacco use also increased with increasing income levels. Conclusions Tobacco use among older adults in Ghana was associated with older men living in rural locations, chronic ill-health and reduced life satisfaction. A high proportion of older adults have stopped using tobacco, demonstrating the possibilities for effective public health interventions. Health risk reduction strategies through targeted anti-smoking health campaigns, improvement in access to health and social protection (such as health insurance) will reduce health risks among older persons who use tobacco.Item Understanding the causes of breast cancer treatment delays at a teaching hospital in Ghana(JHP, 2021) Sanuade, O.A.; Ayettey, H.; Hewlett, S.; Dedey, F.; Wu, L.; Akingbola, T.; Ogedegbe, G.; Aikins, A.D.Poor outcomes for breast cancer in Ghana have been attributed to late presentation of symptoms at biomedical facilities. This study explored factors accounting for delays in initiation of breast cancer treatment at the Korle-Bu Teaching Hospital in Accra. Focus group discussions were conducted with 20 women with breast cancer. A theory-driven thematic analysis identified three multilevel factors influencing treatment seeking delays: (1) patient (e.g. misinterpretation of symptoms, fear), (2) healthcare provider (e.g. negative attitudes) and (3) health systems (e.g. shortage of medicines). Addressing treatment delays will require multilevel interventions, including culturally congruent education, psychosocial counselling/support and strengthening health systems.Item Understanding the causes of breast cancer treatment delays at a teaching hospital in Ghana(Journal of Health Psychology, 2018-11) Sanuade, O.A.; Ayettey, H.; Hewlett, S.; Dedey, F.; Wu, L.; Akingbola, T.; Ogedegbe, G.; De-Graft Aikins, A.Poor outcomes for breast cancer in Ghana have been attributed to late presentation of symptoms at biomedical facilities. This study explored factors accounting for delays in initiation of breast cancer treatment at the Korle-Bu Teaching Hospital in Accra. Focus group discussions were conducted with 20 women with breast cancer. A theory-driven thematic analysis identified three multilevel factors influencing treatment seeking delays: (1) patient (e.g. misinterpretation of symptoms, fear), (2) healthcare provider (e.g. negative attitudes) and (3) health systems (e.g. shortage of medicines). Addressing treatment delays will require multilevel interventions, including culturally congruent education, psychosocial counselling/support and strengthening health systems.