Browsing by Author "Zaami, M."
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Item Effect of COVID-19 on antenatal care: experiences of medical professionals in the Netherlands(Reproductive Health, 2023) Gamberini, C.; Angeli, F.; Zaami, M.; et al.Background COVID-19 has greatly affected the delivery of all health care services globally. Antenatal care is one area of care that has been impacted, despite the fact that attending antenatal check-ups is essential for pregnant women and cannot be postponed. Little is known about how exactly ANC provision has changed in the Netherlands, or how the changes have impacted midwives and gynaecologists providing those services. Methods This study used a qualitative research design to investigate changes in individual and national practice fol‑ lowing the onset of the COVID-19 pandemic. The study involved a document analysis of protocols and guidelines for ANC provision to evaluate how those changed following the onset of the COVID-19 pandemic and semi-structured interviews with ANC care providers (i.e., gynaecologists and midwives). Results Guidance was issued by multiple organizations, during the pandemic, on how to approach the risk of infec‑ tion in pregnant women, recommending several changes to ANC to protect both pregnant women and ANC providers. Both midwives and gynaecologists reported changes in their practice. With less face-to-face consultations hap‑ penning, digital technologies became critical in the care of pregnant women. Shorter and fewer visits were reported, with midwifery practices adjusting their guidelines further than hospitals. Challenges, with high workloads and lack of personal protective equipment were discussed. Conclusions The COVID-19 pandemic has had an immense impact on the health care system. This impact has had both negative and positive effects on the provision of ANC in the Netherlands. It is important to learn from the cur‑ rent COVID-19 pandemic and adapt ANC, as well as health care systems as a whole, to be better prepared for future health crises and ensure continuous provision of good quality care.Item Examining the association between prescription opioid misuse and suicidal behaviors among adolescent high school students in the United States(Journal of Psychiatric Research, 2019-03) Baiden, P.; Graaf, G.; Zaami, M.; Acolatse, C.K.; Adeku, Y.Although some studies have examined the association between prescription opioid misuse and mental health outcomes, few studies have examined the effects of prescription opioid misuse on suicidal behaviors among adolescents. The objective of this study was to examine the association between prescription opioid misuse and suicidal ideation, suicide plan, and suicide attempt among adolescents. Data for this study came from the 2017 Youth Risk Behavior Surveillance System. A sample of 8,830 adolescents aged 14-18 years (50.9% female) were analyzed using logistic regression with suicidal ideation, suicide plan, and suicide attempt as outcome variables and prescription opioid misuse as the main explanatory variable. Of the 8,830 adolescents, 13.3% ever misused prescription opioids; 17.7% experienced suicidal ideation, 13.3% made a suicide plan, and 6.5% attempted suicide during the past 12 months. In the multivariate logistic regression models, adolescent students who misused prescription opioids were 1.50 times more likely to have experienced suicidal ideation, 1.44 times more likely to have made a suicide plan, and 1.58 times more likely to have attempted suicide during the past 12 months when compared to their counterparts who did not misuse prescription opioids. Other significant predictors of suicidal behaviors include sexual minority, history of sexual assault, traditional bullying and cyberbullying victimization, feeling sad or hopeless, cigarette smoking, and illicit drug use. The findings of the present study demonstrate the harmful effects of prescription opioid misuse and its association with suicidal behaviors among adolescents.Item Help-Seeking Behaviors of Male Survivors of Intimate Partner Violence in Kenya(SAGE, 2021) Tenkorang, E.Y.; Zaami, M.; Kimuna, S.; Owusu, A.Y.; Rohn, E.Very few studies examine the help-seeking behaviors of male survivors of intimate partner violence (IPV) in Kenya or sub-Saharan Africa more generally. Using nationally representative cross-sectional data from 1,458 male survivors and multinomial logit models, we examined what influences men’s decision to seek help after experiencing IPV. Results show the majority of male survivors did not seek help. Those who did so turned to informal rather than formal sources. The severity of physical violence was the most robust and consistent predictor of help-seeking. Male survivors of severe physical abuse had higher odds of seeking help from informal support networks than not seeking help. Compared to the uneducated, highly educated men were significantly more likely to seek help from formal support networks than to not seek help at all. Sensitization programs are required to educate male survivors of IPV on available sources of support. In particular, barriers to help seeking must be removed to encourage male survivors to find support.Item Intimate Partner Violence and Health Outcomes Among Women Living With HIV/AIDS in Ghana: A Cross-Sectional Study(Health Education & Behavior, 2023) Tenkorang, E.Y.; Owusu, A.Y.; Zaami, M.; Langmagne, S.; Gyan, S.Intimate partner violence (IPV) is known to have negative health consequences for victims. For women living with HIV/ AIDS, whose health may be compromised, exposure to IPV can be devastating. Yet few (if any) studies have explored the health implications of exposure to IPV among HIV-positive women. We begin to fill this gap by examining the effects of various dimensions of IPV (physical, sexual, psychological/emotional, and economic) on the cardiovascular, psychosocial, and sexual reproductive health outcomes of HIV-positive women in Ghana. Data were collected from a cross-section of 538 HIV-positive women aged 18 years and older in the Lower Manya Krobo District in the Eastern Region. We used logit models to explore relationships between IPV and health. The findings indicate high prevalence of IPV in our sample: physical violence (61%), sexual violence (50.9%), emotional/psychological violence (79.6%), and economic violence (66.8%). Generally, participants with experiences of IPV reported cardiovascular health problems, unwanted pregnancies and pregnancy loss, and poor psychosocial health. Our findings suggest the importance of screening for IPV as part of HIV care in Ghana.Item Religious Diversity through the Life Trajectories of Northern Migrants in Madina, Accra(Merian Institute for Advances Studies in Africa (MIASA), 2023) Zaami, M.In this paper, I explore the interrelatedness of individual migration and religious conversion stories, both temporal and permanent. Through two contrastive case studies, I analyze the role of migration in religious diversity among Christians, Muslims, and practitioners of African Religious Traditions in Accra’s urban settings. I illustrate how the life trajectories of Aisha and Solomon provide some critical and insightful perspectives on how migration and urban settings intersect in shaping individual social actors’ lived religious experiences in a multi-religious field and help them navigate between different familial and societal demands, as well as how individuals’ upbringings can impact religious diversity.