Browsing by Author "Huang, K.Y."
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Item Cardiovascular disease prevention in Ghana: Feasibility of a faith-based organizational approach(Bulletin of the World Health Organization, 2011-09) Abanilla, P.K.A.; Huang, K.Y.; Shinners, D; Levy, A.; Ayernor, K.; Aikins, A.G.; Ogedegbe, O.Objective: To examine the feasibility of using community health workers (CHWs) to implement cardiovascular disease (CVD) prevention programmes within faith-based organizations in Accra, Ghana. Methods: Faith-based organization capacity, human resources, health programme sustainability/barriers and community members' knowledge were evaluated. Data on these aspects were gathered through a mixed method design consisting of in-depth interviews and focus groups with 25 church leaders and health committee members from five churches, and of a survey of 167 adult congregants from two churches. Findings: The delivery of a CVD prevention programme in faith-based organizations by CHWs is feasible. Many faith-based organizations already provide health programmes for congregants and involve non-health professionals in their health-care activities, and most congregants have a basic knowledge of CVD. Yet despite the feasibility of the proposed approach to CVD prevention through faith-based organizations, sociocultural and health-care barriers such as poverty, limited human and economic resources and limited access to health care could hinder programme implementation. Conclusion: The barriers to implementation identified in this study need to be considered when defining CVD prevention programme policy and planning.Item Parental Wellbeing, Parenting and Child Development in Ghanaian Families with Young Children(Child Psychiatry and Human Development, 2018-09) Huang, K.Y.; Bornheimer, L.A.; Dankyi, E.; De-Graft Aikins, A.Approximately one-third of early childhood pupils in Ghana are struggling with meeting basic behavioral and developmental milestones, but little is known about mechanisms or factors that contribute to poor early childhood development. With a lack of developmental research to guide intervention or education program and policy planning, this study aimed to address these research gaps by examining a developmental mechanism for early childhood development. We tested a mediational mechanism model that examined the influence of parental wellbeing on parenting and children's development. Two hundred and sixty-two Ghanaian parents whose children attended early childhood classes (nursery to 3rd grade) were recruited. Data were gathered through parent interviews and Structural Equation Modeling was utilized to examine pathways of the model. Results support the mediational model that Ghanaian parents' depression was associated with less optimal parenting, and in turn greater child externalizing behavioral problems. This study adds new evidence of cross cultural consistency in early childhood development.Item Psychotic-like experiences and adverse life events in young people. Does gender matter(Child and Adolescent Mental Health, 2023) Adjorlolo, S.; Awortwe, V.; Anum, A.; Huang, K.Y.; Mamah, D.Background: Psychotic-like experiences (PLEs) and adverse life events (ALEs) are highly prevalent in sub Saharan Africa where gendered practices are also common. There is, however, a paucity of data on how the relationship between PLEs and life adversities is influenced by gender. The current study addressed this gap. Method: Data were collected from 1886 school-based young people (1174 females) in Ghana, West Africa using a cross-sectional survey methodology and analyzed using Chi-square, independent t-test, Pearson corre lation, and multivariate regression. Results: The results showed that victimization experiences, school stress and having a family member with mental illness were significantly associated with PLEs in both males and females. In contrast, substance misuse and experiences of head trauma correlated significantly with PLEs in females only. Conclusion: Life adversities constitute major risk factors for PLEs among school-based young people in Ghana, who could benefit from gender neutral and gender-sensitive intervention programming to remediate the effects of life adversities on PLEs.Item Psychotic-like experiences and adverse life events in young people. Does gender matter?(Child and Adolescent Mental Health, 2023) Adjorlolo, S.; Awortwe, V.; Anum, A.; Huang, K.Y.; Mamah, D.Background: Psychotic-like experiences (PLEs) and adverse life events (ALEs) are highly prevalent in sub Saharan Africa where gendered practices are also common. There is, however, a paucity of data on how the relationship between PLEs and life adversities is influenced by gender. The current study addressed this gap. Method: Data were collected from 1886 school-based young people (1174 females) in Ghana, West Africa using a cross-sectional survey methodology and analyzed using Chi-square, independent t-test, Pearson corre lation, and multivariate regression. Results: The results showed that victimization experiences, school stress and having a family member with mental illness were significantly associated with PLEs in both males and females. In contrast, substance misuse and experiences of head trauma correlated significantly with PLEs in females only. Conclusion: Life adversities constitute major risk factors for PLEs among school-based young people in Ghana, who could benefit from gender neutral and gender-sensitive intervention programming to remediate the effects of life adversities on PLEs.Item Psychotic-like experiences and adverse life events in young people. Does gender matter?(Child and Adolescent Mental Health, 2023) Adjorlolo, S.; Awortwe, V.; Anum, A.; Huang, K.Y.; Mamah, D.Background: Psychotic-like experiences (PLEs) and adverse life events (ALEs) are highly prevalent in sub Saharan Africa where gendered practices are also common. There is, however, a paucity of data on how the relationship between PLEs and life adversities is influenced by gender. The current study addressed this gap. Method: Data were collected from 1886 school-based young people (1174 females) in Ghana, West Africa using a cross-sectional survey methodology and analyzed using Chi-square, independent t-test, Pearson corre lation, and multivariate regression. Results: The results showed that victimization experiences, school stress and having a family member with mental illness were significantly associated with PLEs in both males and females. In contrast, substance misuse and experiences of head trauma correlated significantly with PLEs in females only. Conclusion: Life adversities constitute major risk factors for PLEs among school-based young people in Ghana, who could benefit from gender neutral and gender-sensitive intervention programming to remediate the effects of life adversities on PLEs.Item Psychotic-like experiences and adverse life events in young people. Does gender matter?(Child and Adolescent Mental Health, 2023) Adjorlolo, S.; Awortwe, V.; Anum, A.; Huang, K.Y.; Mamah, D.Background: Psychotic-like experiences (PLEs) and adverse life events (ALEs) are highly prevalent in sub Saharan Africa where gendered practices are also common. There is, however, a paucity of data on how the relationship between PLEs and life adversities is influenced by gender. The current study addressed this gap. Method: Data were collected from 1886 school-based young people (1174 females) in Ghana, West Africa using a cross-sectional survey methodology and analyzed using Chi-square, independent t-test, Pearson corre lation, and multivariate regression. Results: The results showed that victimization experiences, school stress and having a family member with mental illness were significantly associated with PLEs in both males and females. In contrast, substance misuse and experiences of head trauma correlated significantly with PLEs in females only. Conclusion: Life adversities constitute major risk factors for PLEs among school-based young people in Ghana, who could benefit from gender neutral and gender-sensitive intervention programming to remediate the effects of life adversities on PLEs.