Factors influencing the acceptance of cervical cancer screening among civil servants in Delta State Secretariat

Background: Cervical cancer is one of the top two cancers affecting Nigerian women. This has created impetus to investigate the situation. This third of a four-part series seeks to evaluate perception, acceptance and psychosocial factors of cervical screening among women who are gainfully employed in the State’s civil service within Delta State Secretariat.Methods: Based on cross-sectional descriptive survey using a structured questionnaire and ‘N=285’ participants. Statistical analysis assessed percentage proportions of respondents; as well as absolute and relative frequencies of the factors associated with acceptance of screening. Chi-squared analysis was based on no/yes response to have done cervical screening.Results: About 10% of respondents have undergone cervical screening. 16% of the lowest income earners have done the screening, compared to 8% and 10% of the mid income and high income group, respectively. Nature of work implying time constraints was an absolute factor. Knowledge of what cervical cancer is; the causes; how to detect and prevent it are significantly associated (p <0.01), while accessibility, fear of adverse effect and attitude of healthcare workers were significant psychosocial factors (p 0.01).Conclusions: This report affirms nature of work and accessibility as two of four major factors influencing acceptance of cervical screening among working class women in Delta State secretariat. It is hereby suggested to expound sites of cervical service programs.

Factors influencing the acceptance of HPV vaccine among civil servants in Delta State Secretariat

Background: The importance of cervical screening and HPV vaccination cannot be overemphasized. Yet, the level of uptake of HPV vaccination has never been evaluated among Secretariat personnel in Delta State of Nigeria. This part-of-four piece of study aimed to identify the barriers to the acceptance of HPV vaccination in Delta State, Nigeria.Methods: A cross-sectional, descriptive survey method was adopted using a structured questionnaire. 285 participants were included. The structured questionnaire included questions on acceptance of HPV vaccination and the factors influencing acceptability. Statistical analysis included percentage proportions of respondents. Absolute and relative frequencies of the factors were also determined. Chi-squared analysis was performed based on dichotomy of participants based on yes/no response to being vaccinated.Results: Less than 8% of respondents have completed the HPV vaccination program. Low income earners have accepted the vaccination more than the high income group (p <0.003). Nature of work implying time constraints was an absolute factor. Accessibility is one of four factors that were significantly associated (p <0.002).Conclusions: Given the observation on nature of work and associated implication of time constraints and also inaccessibility as potentially major factors; it suffices to suggest that acceptance of HPV vaccination may be improved by expounding the days and sites of vaccination programs to be closer to the offices and scheduled around lunch-break times.

Salud mental y naturaleza del trabajo: cuando las demandas emocionales resultan inevitables / Mental health and nature of work: when the emotional demands becomes inevitable

ANTECEDENTES: el trabajo en servicios y particularmente el trabajo que involucra asistencia a personas se caracteriza por altas demandas emocionales. OBJETIVO: describir las demandas emocionales y efectos en la salud mental de trabajadores de una institución pública en Chile cuyo trabajo es particularmente demandante en el uso de las emociones. MÉTODO: con un diseño transversal, se aplicó una encuesta al 77% de los funcionarios para analizar las demandas emocionales del trabajo y un screening de distrés y síntomas depresivos. Se describen las prevalencias y las diferencias de éstas en función de algunas dimensiones sociodemográficas y laborales. Posteriormente se analiza la asociación entre la exposición a las demandas emocionales y la chance de presentar síntomas depresivos o distrés elevado. RESULTADOS: las prevalencias encontradas son mayores a las de la población general tanto en el reporte de demandas emocionales del trabajo como en los resultados de salud mental. CONCLUSIÓN: se comprueba la hipótesis de que la índole de la tarea que expone a altas demandas emocionales tiene efectos negativos en la salud mental. Dado lo anterior, la preocupación por la salud mental de personas que se desempeñan en trabajos de esta naturaleza debe ser un tema prioritario y, en consecuencia, se requieren medidas diligentes para prevenir la aparición de problemas de salud mental...

BACKGROUND: work in services and particularly work that involves assisting persons is characterized by high emotional demands. OBJECTIVE: To describe the emotional demands and effects on the mental health of workers at a public institution in Chile whose work is particularly demanding in the use of emotions. METHOD: In a cross-sectional design, a survey was applied to 77% of the institution's staff. The survey included an emotional demands scale and a screening of distress and depressive symptoms. Prevalences and differences based on several demographic and work-related dimensions were described. The association between exposure to emotional demands and the likelihood of having depressive symptoms or high distress were reported. RESULTS: Higher prevalences were found than those reported in the general population for both the emotional demands of the work and the mental health outcomes reported. CONCLUSION: the hypothesis that the nature of the work that presents high emotional demands has negative effects on mental health. Hence, concerns about the mental health of people who work in these types of jobs should be a priority, and therefore, diligent measures are necessary to prevent the onset of mental health problems in these settings...

ANTECEDENTES: o trabalho em serviços e especialmente o trabalho que envolve assistência a pessoas caracteriza-se pelas altas demandas emocionais. OBJETIVO: descrever as demandas emocionais e seus efeitos na saúde mental de trabalhadores de uma instituição pública no Chile, cujo trabalho é particularmente intenso no que diz respeito ao emprego das emoções. MÉTODO: com desenho de corte transversal, aplicou-se um questionário a 77% dos funcionários da empresa, visando analisar as demandas emocionais do trabalho, assim como um screening de distress e sintomas depressivos. Descrevem-se as prevalências e as diferenças observadas em função de algumas dimensões sociodemográficas e funcionais. Posteriormente, se analisa a associação entre a exposição às demandas emocionais e a possibilidade de apresentar sintomas depressivos ou distress elevado. RESULTADOS: as prevalências encontradas são mais acentuadas que na população em geral, tanto no que diz respeito às demandas emocionais do trabalho como nos resultados relativos a saúde mental. CONCLUSÃO: corrobora-se a hipótese de que a natureza da tarefa que expõe a elevadas demandas emocionais tem efeitos negativos na saúde mental. Assim, a preocupação pela saúde mental de pessoas que desenvolvem trabalhos dessa natureza deve ser um tema prioritário e, como consequência, requerem-se medidas urgentes para prevenir o surgimento de problemas de saúde mental...