Correlates of household waste management in Ghana: implications for public health.

Household waste management is a challenge in Accra, Ghana, due to increasing urbanization and unscrupulous dumping of garbage. The aim of this study was to determine the correlates of household waste management as well as their implications for public health. The study employed a descriptive, cross-sectional design with self-administered questionnaires to assess household waste management in Accra, Ghana. The study was conducted from September 1, 2019 to February 28, 2020. Our findings showed that rubber waste types were the most generated (26%) among respondents in their various households, followed by tin (19%) and plastic (16%). Majority (50.5%) of the respondents disposed of waste collected in public bins. However, about half of the respondents dumped waste through illegal or unauthorized means. About three out of four respondents (72.9%) indicated that improper management of garbage could affect the health of household members while 81.1% reported willing to participate in waste management in their neighborhoods. Females were more likely to be willing to participate in waste management compared to their male counterparts (p = 0.001). It is recommended that stakeholders and policy makers should focus on education for the citizenry on waste management behaviors. In addition, they should have increased access to waste collection services; since the public health implication of dumping anywhere could cause flooding, choke gutters, and lead to epidemic of cholera and vector borne diseases like malaria and dysentery.

An Assessment of Public Knowledge and Potential Health Impacts of Global Warming in Ghana.

Global warming is a serious threat to human existence. The relatively higher level of global warming in recent times poses higher health risks to humans, both directly and indirectly. The aim of the study was to investigate public knowledge of global warming and its effects on human health. A nationally representative survey of Ghanaian adults (N = 1130) was conducted from November 1, 2018 to February 28, 2019. Results show that 84.4% of the respondents understood the meaning of global warming. Respondents' perceived causes of global warming include natural processes, deforestation, act of the gods, burning of fossil fuel, and carbon dioxide (CO2) emission from vehicles and industries. The majority of the respondents (83.4%) indicated that global warming has an impact on human health, while 8.5% indicated that it does not. Majority (78.6%) of the respondents are willing to support efforts to reduce the intensity of global warming. Television (19.1%) and social media (18.6%) were the leading preferred methods for receipt of global warming information. These findings provide useful insights for policy directions. The Government of Ghana and other stakeholders in health should develop a communication strategy to increase and sustain publicity and education of the citizenry on global warming.

Knowledge, Attitude, and Adaptation to Climate Change in Ghana.

Climate change is a serious challenge to human existence. It threatens efforts towards the attainment of sustainable development goals and aggravates conditions that lead to health inequities and inequalities for vulnerable populations. The study aimed to investigate knowledge and adaptation to climate change among people in Ghana. A nationally representative survey of Ghanaian adults (N = 674) was conducted from August 1, 2019, to December 31, 2019. Results showed that 43.9% of the respondents understood the meaning of climate change. Respondents perceived the causes of climate change to include burning of fossil fuel, deforestation, natural events such as ocean currents, carbon emission from vehicles and industries, agricultural emissions of nitrous oxide from fertilizers, and an act of God. About 53.1% and 41% of the male and female respondents, respectively, had an encounter with climate change-induced natural disasters. About two out of five respondents (43%) were either afraid or confused about climate change. Distilled or maintained public drainage from waste (30.2%) and clearing drains (25.6%) was the leading adaptation strategies towards climate change-induced natural disasters. Training (30.1%), national radio (27.7%), and television (19.1%) were the preferred leading methods for receipt of global warming information. These findings provide useful insights for policy directions. The government of Ghana and other stakeholders should develop a communication strategy to increase and sustain publicity and education on climate change to the citizenry.

Food Safety Practices among Postnatal Mothers in Western Ghana.

Food safety has become a global issue due to the morbidity and mortality associated with it, particularly in developing countries. The objective of this community-based study is to examine food safety practices and its associated factors among postnatal mothers in the Western Region of Ghana. A cross-sectional survey study was conducted from August 1 2019 to January 31, 2020 from which data was obtained from the postnatal mothers (N = 300). The data was analysed using SPSS v.23. The findings suggest that majority (86%) of the respondents exhibited good food handling practices. Also, 66.3% and 91.7% of the respondents exhibited good food preparation and proper storage practices, respectively. Results also revealed that the odds of performing good handling practice among respondents within the age group of 36-45 years were five times higher compared to those within the age group of 18-25 years [OR = 4.92 (95% CI: 1.44-16.86), p = 0.011]. Moreover, respondents who had tertiary education qualifications were more likely to have proper food handling practices compared to those with primary education [OR = 0.27 (95% CI: 0.09-0.71), p = 0.009]. These findings provide useful insights for policy directions. The government of Ghana and other stakeholders should develop a communication strategy to increase and sustain publicity and education on food safety particularly to postnatal mothers and the citizenry in general.

Preventive behaviors, beliefs, and anxieties in relation to the swine flu outbreak among college students aged 18-24 years.

AIM: The objective of this study was to assess beliefs, misconception, and anxiety in relation to swine flu outbreak and whether perception of the outbreak predicted changes in behavior. SUBJECT AND METHODS: In November 2009, we conducted an Internet-based cross-sectional survey of college students aged 18-24 years in a Midwestern State in the USA. We collected information on swine flu knowledge, perception on immunization safety, perceived efficacy of recommended behavior, changed behavior, and anxiety. RESULTS: Of the 236 respondents, 83.1% had some anxiety about swine flu, 64.8% believed avoiding crowded places was preventive, 33.5% believed the 2009 swine flu vaccine was safe, and 36.9% showed interest in receiving the vaccine. Misconceptions about swine flu contagion via eating cooked pork, water sources, and insect bites were common. Respondents were unaware of transmissions via contaminated objects and droplets. Only 42.6% were satisfied with governmental efforts. Women were more likely to wash hands frequently than men (odds ratio 2.80, p < 0.001). CONCLUSION: There is a gap in swine flu knowledge, minimal risk reduction, increased amount of anxiety, and skepticism about swine flu vaccine safety. These gaps warrant serious attention to inform the public about specific actions regarding swine flu.

Stroke prevention: awareness of risk factors for stroke among African American residents in the Mississippi delta region.

BACKGROUND: Compared to whites, African Americans have almost a 2-fold increased risk of first-ever stroke. Our study sought to determine awareness of stroke risk factors and management, symptoms, and risk reduction strategies in African Americans in Mississippi, which is part of the "stroke belt. METHODS: We conducted a cross-sectional survey of African Americans aged 18 to 74. We collected information on awareness, sources of information, stroke risk behavior, diabetes, and hypertension prevalence: and risk reduction relating to nonsmoking, exercise, and knowledge about ideal targets of blood pressure, body mass index, total blood cholesterol, and blood sugar. RESULTS: The percentage of respondents who identified 1, 2, 3, 4, and 5 warning signs were 21.8%, 11.7%, 15.4%, 10.1%, and 23.9%, respectively; and 17% could not identify any sign. The most factors identified were sudden numbness in the face, arm, or leg, and trouble speaking. Lifestyle factors and their role in stroke were not known to respondents. Specifically, 52.7%, 56.4%, 53.2%, 38.3%, and 28.7% failed to mention lack of physical activity, excessive alcohol consumption, diabetes, smoking, and high cholesterol, respectively, as factors that can contribute to stroke. CONCLUSION: There is need to improve knowledge of stroke, risk reduction, and appropriate stroke response. Family, friends, and African Americans churches should be utilized to deliver stroke and other health information.

HIV/AIDS and African American men: urban-rural differentials in sexual behavior, HIV knowledge, and attitude towards condoms use.

OBJECTIVES: We assessed the differences and similarities in knowledge, attitude, beliefs, myths, and misconceptions; and the various high-risk behavioral factors that influence the rate of infectivity of human immunodeficiency virus (HIV)/AIDS among African American men in urban and rural communities of Mississippi. METHODS: A cross-sectional sample survey was conducted on 466 African American men in 2 sites between 2005 and 2007. With the main outcome variables of knowledge, attitude/feelings, behavior/practices, and potentials for behavior change, we administered a 64-item, ethnically sensitive, gender-specific instrument to the subjects via a person-to-person interview. RESULTS: Of the 466 respondents (urban, 33%; rural, 67%), 70%, 14.4%, and 16.6%, respectively, were heterosexual, bisexual, and men who have sex with men (MSM). The number of the respondents' sexual partners in the previous 12 months were: 1 to 2 (54%), 3 to 4 (25.7%), and 5 or more (20.2%). Statistically significant differences were observed between the 2 populations on HIV knowledge (p < .001), HIV/sexually transmitted infection testing history (p < .001), sexual partners (p = .038), unprotected sexual intercourse with drug users (p < .001), unprotected casual sex (p < .001), intercourse in an open relationship or marriage (p < .001), and communication with potential sex partners regarding sexual limits prior to intercourse (p = .027). CONCLUSIONS: Although the level of HIV/AIDS knowledge and education were lower among urban than rural respondents, subjects' negative overall beliefs, attitude/feelings, behavior and potentials for behavioral change did not differ significantly among the African American men in the 2 communities.

Correlates of misperceptions in HIV knowledge and attitude towards People Living With HIV/AIDS (PLWHAs) among in-school and out-of-school adolescents in Ghana.

BACKGROUND: A quarter century into the HIV pandemic, knowledge about sexual transmission and sharing of needles remain high just as misperceptions relating to casual contact. OBJECTIVES: To assess HIV knowledge, misperceptions, and attitude towards people living with HIV/AIDS (PLWHAs) among adolescents. METHODS: A cross sectional quantitative and qualitative study was conducted among adolescents aged 10-19 (n = 483; mean age, 16.6) in the Ashanti region of Ghana. RESULTS: Knowledge score ranged 0 to 38 (mean = 26.64; sd +/- 6.74). To prevent AIDS, 78.1% mentioned sexual abstinence, condom use (72.7%), fidelity to partner (72.5%), not sharing needles (76.4%), and reducing sexual partners (56.7%). Statistically significant associations were found in high misperception scores and having negative attitude towards PLWHAs (0.001 < p < 0.009). Out-of-school adolescents were less likely to be willing to take care of HIV/AIDS relatives (p = 0.004); allow PLWHAs conceal their status (p < 0.001); allow PLWHAs to work with others (p = 0.007); more likely to let PLWHAs have less healthcare (p = 0.026); and indicate that PLWHAs should be isolated (p < 0.001). CONCLUSION: Out-of-school adolescents constitute hard-to-reach population and mechanisms should be developed to reach them to reduce misperceptions which may fuel stigma and discrimination.

Sexual behavior and attitude toward condoms among unmarried in-school and out-of-school adolescents in a high-HIV prevalence region in Ghana.

Among adolescents in Africa and in the rest of the world, unprotected sexual intercourse is the primary cause of HIV transmission. There is limited information on population based study of adolescents who are not-in-school. A quantitative and qualitative study was conducted among adolescents aged 10-19 (n = 483, mean age = 16.6) in the Ashanti region of Ghana on sexual behavior, condom use, and peer norms regarding sexuality. Age of sexual debut was younger for those in-school. However, out-of-school adolescents were more likely to ever have sexual intercourse (72.2% vs. 27.8%) and use condoms (83.6% vs. 16.4%) compared to their in-school counterparts. Religious affiliation was associated with being less sexually active. Statistically significant differences occurred for condom use and increased sexual activity with age. There is the need for programs to increase condom use. Adolescents in Ghana represent a vulnerable population and concerted efforts must be made to reach them.