Publications by authors named "Nagah Selim"

16 Publications

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Perceived Barriers to Colorectal Cancer Screening among Eligible Adults in Qatar and the Associated Factors: A Cross- Sectional Study

Asian Pac J Cancer Prev 2021 01 1;22(1):45-51. Epub 2021 Jan 1.

Department of Family and Community Medicine, Primary Health Care Corporation, Doha, Qatar.

Background: In Qatar, colorectal cancer (CRC) is the second most common cancer and is projected to be more than triple by 2035. Therefore, CRC periodic screening is vitally important because early detection will improve the success of treatment. In 2016, Qatar established a population-based screening program for CRC targetting average-risk adults. This study aimed to determine the perceived barriers to undergo CRC screening in eligible adults in Qatar and the associated factors.

Methods: This was a cross-sectional study of individuals aged 50-74 years who have been never screened, across six primary health centers between September 2018 and January 2019. A non-probability sampling method was used to recruit participants. Participants were interviewed using a structured questionnaire. Descriptive and analytic statistics were applied.

Results: A total of 188 individuals participated in the study. The mean age of the participants was 58.3 (SD ±6.4) years. Most participants were females (54.5%) and non-Qatari Arabs (54.3%). The top five reported barriers to CRC screening were: not at risk due to absence of symptoms (60.6%), not at risk due to absence of family history (55.1%), not at risk due to adopting a healthy lifestyle (52.7%), lack of time (41%), and lack of reminders by healthcare workers (39.4%). Bivariate analyses identified statistically significant associations between certain barriers and female gender, nationality, and educational level (primary school and below).

Conclusion: The present study identified several barriers to undergoing CRC screening among eligible adults in Qatar. Such results provide a basis for tailoring of future educational campaigns that are relevant, specific, and appealing to such a cohort.
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http://dx.doi.org/10.31557/APJCP.2021.22.1.45DOI Listing
January 2021

Prevalence and trends of transfusion transmissible infections among blood donors in the State of Qatar, 2013-2017.

BMC Infect Dis 2020 Aug 20;20(1):617. Epub 2020 Aug 20.

Gastroenterology and Hepatology Department- Hamad Medical Corporation, Doha, Qatar.

Background: Millions of lives around the world are being saved annually through blood transfusion. However, blood transfusion is among the essential vehicles for transmitting infections. The overall prevalence of Transfusion Transmissible Infections among blood donors differs around the world, reflecting the variation in the prevalence of these infections. This study aims to assess the prevalence and trends of Transfusion Transmissible Infections among blood donors in Qatar.

Methods: This is a cross-sectional study utilizing donation records of 5 years from January 2013 to December 2017. We included in the study results for all screening and confirmatory tests for Hepatitis B Virus, Hepatitis C Virus, Human T-lymphotropic Virus-I/II, Syphilis and Malaria.

Results: Among the 190,509 donations received at the donation centre during the study period, about 91% of donations were received from males and 9% from females. The overall positivity rate for all tests was 1.87, 2.23, 1.78, 2.31, 2.67% for the years 2013 through 2017, with an increasing yearly trend by 6% each year. The overall positivity rates for Hepatitis C Virus, Human T-lymphotropic Virus-I/II, Hepatitis B Virus, Syphilis and Malaria (2013-2017) were 0.60, 0.18, 0.30, 0.43 and 0.20%, respectively.

Conclusion: The overall positivity rate of all tests combined for the Transfusion Transmissible Infections demonstrated a gradually increasing trend from 2013 to 2017. However, the trend for each infection (Hepatitis C Virus, Hepatitis B Virus, Syphilis and Malaria) was fluctuating except for Human T-lymphotropic Virus-I/II, which was increasing. Supporting the development of effective prevention and control strategies requires further comprehensive investigations for better estimation of the burden of these infections.
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http://dx.doi.org/10.1186/s12879-020-05344-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7441652PMC
August 2020

Colorectal cancer awareness and its predictors among adults aged 50-74 years attending primary healthcare in the State of Qatar: a cross-sectional study.

BMJ Open 2020 07 7;10(7):e035651. Epub 2020 Jul 7.

Department of Workforce Training, Primary Health Care Corporation, Doha, Qatar.

Objective: The current study aimed to assess the awareness of colorectal cancer (CRC) symptoms and risk factors among the at-risk population visiting the primary healthcare (PHC) centres in Qatar. The secondary objective was to assess the differences in awareness among population subgroups.

Design: A cross-sectional study design was employed.

Setting: The study was conducted across six PHC centres in Qatar.

Participants: Patients, or their accompanying people, aged 50-74 years and Arabic or English speakers, were recruited from the main waiting areas of the selected PHC centres.

Data Collection And Analysis: Participants were interviewed using the validated Bowel/Colorectal Cancer Awareness Measure questionnaire. A non-probability convenient sampling technique was applied to recruit participants. Descriptive and analytic statistics were used when appropriate. A multivariate linear regression model was constructed to identify the independent predictors of CRC awareness.

Results: The study includes 448 participants (response rate=87%). The mean age of the participants was 58.48 years (SD ±6.37). The mean awareness score among the participants was 3.63/9 (SD ±2.7) for CRC symptoms and 5.43/11 (SD ±3.3) for CRC risk factors. The overall mean awareness score was 9.03/20 (SD ±5.5). Multivariate linear regression identified the female gender (2.52 (95% CI 1.15 to 3.88)), non-Qatari Arab (2.91 (95% CI 1.64 to 4.18)) or non-Arab nationalities (1.76 (95% CI 0.28 to 3.24)), and tertiary education (4.10 (95% CI 2.55 to 5.66)) as independent predictors of higher CRC awareness.

Conclusion: In general, the awareness of CRC symptoms and risk factors was low among the at-risk population in Qatar. Specifically, the regression analysis showed men, Qataris, and those with no formal education had low awareness of CRC symptoms and risk factors. Such results emphasise the importance of tailoring future educational campaigns that are relevant, specific and appealing to such cohort.
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http://dx.doi.org/10.1136/bmjopen-2019-035651DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7342467PMC
July 2020

Assessment of Nurses' Practice and Potential Barriers Regarding the Medical Waste Management at Hamad Medical Corporation in Qatar: A Cross‑Sectional Study.

Cureus 2020 May 25;12(5):e8281. Epub 2020 May 25.

Community Medicine, Primary Health Care Corporation, Doha, QAT.

Background The improper management of wastes generated in healthcare facilities can severely affect the health of caregivers, patients, and members of the community. Medical waste management can be achieved with the cooperation of all workers and patients; however, nursing personnel plays a significant role in the whole process Therefore, nurses need to be well equipped with skills and practices in managing medical waste. This will result in the reduction of risks and hazards to their health. This study is done to assess the practice of nursing professionals regarding waste management across Hamad Medical Corporation (HMC) hospitals in Doha and to identify the potential barriers toward medical waste management Methods An analytical cross‑sectional study conducted at four governmental hospitals in Doha city; Hamad General Hospital (HGH), Women's Hospital (WH), Rumiallalh Hospital (RH), and Al-Amal hospital. A stratified proportionate random sampling method was employed to recruit 420 nurses. Results The response rate among nurses was 82.3%, with most of them being females and non-Qatari. Overall, the correct practice of color-coding of different waste categories among nurses was 92.8%. Unavoidable exposure was identified by 60.3% of nurses as a barrier to waste management, and nurses working at the intensive care unit reported it at the highest percentage (67.2%) Conclusions The majority of nurses showed correct practice and could correctly match the color-coding of different waste categories. Unavoidable exposure and excessive production of waste were the most reported barriers. Excessive production of waste and unavoidable exposure should be further evaluated by quantifying medical waste and addressing appropriate control strategies tackling the identified barriers.
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http://dx.doi.org/10.7759/cureus.8281DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7317135PMC
May 2020

The Balanced Scorecard as a Performance Management Tool in the Healthcare Sector - The Case of the Medical Commission Department at the Ministry of Public Health, Qatar.

Cureus 2019 Jul 29;11(7):e5262. Epub 2019 Jul 29.

Public Health and Preventive Medicine, Cairo University School of Medicine, Cairo, EGY.

Background The balanced scorecard (BSC) system provides the basis for developing and executing a good strategy and successfully managing change at the institutional level. Moreover, developing a BSC performance system at the Medical Commission Department (MCD) in Qatar will enable stakeholders to approach their organization and work in a more strategic manner. Methods A descriptive cross-sectional survey was conducted to determine the need of employees at the MCD for the BSC, as a performance management tool, to attain the organizational objectives. Thus, a simple random sample was employed to enroll 199 participants. Also, a self-administered validated English and Arabic survey tool was employed to collect socio-demographic characteristics and encompassed 20 questions on the needs assessment for BSC. Results The response rate was high (97.5%) while the scoring indicates difficulty in successfully executing the MCD strategy and meeting the needs of their customers. The results showed a medium score of need to implement the BSC (score =59.9±9.7). The BSC needs score was strongly associated with the item "Our employees have a solid understanding of the mission, vision, and strategy" and it was higher among nationals as well as those with a higher level of education. Conclusion The BSC system provides the basis for properly executing a strategy and successfully managing change in an organization. Thus, building a BSC performance system at the MCD will enable employees to think in a more strategic way about their organization and their work. It will also bring change in the way things are done, as new policies and procedures will be developed and be implemented accordingly.
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http://dx.doi.org/10.7759/cureus.5262DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6764650PMC
July 2019

Knowledge and Practice of Emergency Physicians Regarding Food-borne Disease Surveillance at Hamad General Hospital in Qatar.

Cureus 2019 Jun 18;11(6):e4934. Epub 2019 Jun 18.

Preventive Medicine, Cairo University School of Medicine, Cairo, EGY.

Introduction According to the World Health Organization (WHO), foodborne diseases (FBD's) have become a global health issue. In Qatar, foodborne diseases are among the top ten events reported to the Ministry of Public Health. Efforts to enhance FBD surveillance cannot succeed without involving the emergency department (ED), which is typically the first point of contact for the FBD victims with the healthcare system. Therefore, we aimed to explore the knowledge and practices of emergency physicians regarding stool sample collection as part of FBD surveillance efforts in Qatar. Methods A cross-sectional study was conducted at the ED of Hamad General Hospital (HGH) between July 22 and September 12 of 2018. The enrolled participants were invited to participate in an online survey at the "QSurvey" platform. The data was analyzed using Microsoft Excel (Version 2016). Descriptive statistics such as frequency tables, proportions, and percentages were applied as appropriate. Results A total of 65 responses (response rate: 29.27%) were received within the duration of the study. Most participants were specialists (45%), graduated between 2000 and 2013 (64%), and worked for one year or more at HGH-Hamad Medical Corporation (95%). Regarding their knowledge of FBD surveillance, most participants (80%) reported that a stool culture is a necessary laboratory investigation for patients with acute bloody diarrhea and fever. Also, a large percentage of physicians identified salmonella (75%), Clostridium difficile (70%), and E.coli O157:H7 (70%) as pathogens of nationally notifiable diseases. Regarding the respondents' practice towards FBD surveillance, almost three-quarters of the physicians (72%) who encountered a patient with acute diarrhea did not order a stool culture. Subsequently, about two-thirds (62%) of the participants who requested a stool culture reported not following up on the results of such request. Regarding the history taken from patients with acute diarrhea, a large percentage of respondents reported asking about the patient's travel history (100%), presence of any sick contacts (93.6%), and presence of any associated symptoms (abdominal pain, fever, bloody stool) as well as other details. Conclusion The current research identified several gaps regarding the knowledge and practice of emergency physicians towards the surveillance of foodborne disease. Such results serve as a basis for future research and intervention strategies to augment surveillance activities related to food-borne diseases in the State of Qatar.
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http://dx.doi.org/10.7759/cureus.4934DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6695229PMC
June 2019

Knowledge and intake of folic acid among teachers of childbearing age in the State of Qatar: a cross-sectional study.

BMJ Open 2019 04 24;9(4):e025005. Epub 2019 Apr 24.

Family & Community Medicine, Primary Health Care Corporation, Qatar, Doha, Qatar.

Objectives: To assess the knowledge and intake of folic acid among teachers of childbearing age and to identify barriers to folic acid intake.

Setting: Governmental schools, which included 14 primary models, 29 primary, 14 preparatory and 16 secondary schools. The proportion of teachers in each stratum was then determined, and a stratified random sampling design had been used with proportional allocation.

Study Design: Cross-sectional study PARTICIPANTS: A total of 406 non-pregnant teachers of childbearing age enrolled in the study. A validated questionnaire in the Arabic language was used.

Results: The overall response rate was 98%. About 34.6% reported the optimal period in which they should take folic acid, 28.3% reported the correct intake duration and only 29.5% could name food rich in folic acid. Friends and healthcare providers were the main sources of information for the participants; however, 44% said that they did not receive enough information from their healthcare providers.

Conclusion: There is a lack of knowledge and poor intake of folic acid among the participants. In particular, they lacked information about the appropriate time to start folic acid supplementations, the duration of intake and the folic acid-rich food. The most common reason being the limited advice given by their healthcare providers.Awareness campaigns are recommended to emphasise the role of healthcare providers in counselling women about the proper use of folic acid before pregnancy.
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http://dx.doi.org/10.1136/bmjopen-2018-025005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6501982PMC
April 2019

Tobacco use among adolescents in Qatar: Findings from Global Youth Tobacco Surveys 2004-2013.

Tob Prev Cessat 2019 13;5:10. Epub 2019 Mar 13.

Public Health and Preventive Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt.

Introduction: Tobacco use has become a global health concern. Almost a third of the adolescents of the Eastern Mediterranean Region (EMR) have reported tobacco use and the percentage is expected to rise in the future, making tobacco consumption a main public health issue among students, 13-15 years old, in the region's countries. We aimed to conduct an analysis of the previous Global Youth Tobacco Surveys (GYTS) in Qatar to detect any significant changes that might inform decision makers on planning policies and interventions accordingly.

Methods: This study presents a retrospective data analysis, based on three GYTS conducted in Qatar during 2004, 2007, and 2013. All analyses were weighted to account for the complex survey design and for differential non-response at school, class and student levels, with the exception of the analysis of sociodemographic characteristics. The differences between the proportions were tested by Pearson's chi-squared test. Data were analyzed using the statistical software SPSS (Statistical Package for Social Sciences), version 21.0 (Chicago, IL). A p-value <0.05 was considered to be significant.

Results: There was an overall increase in the prevalence of smoking, the accessibility, and the availability of cigarettes. Additionally, the percentage of participants who desired to stop smoking decreased between 2004 and 2013, while that of students who reported was highest in 2013.

Conclusions: Despite the effort made by the local authorities in Qatar to reverse the spread or limit the growing tobacco epidemic, there is a need for multidisciplinary interventions through tobacco prevention and control programs targeting youths.
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http://dx.doi.org/10.18332/tpc/105110DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7205052PMC
March 2019

Evaluation of the Completeness and Timeliness of National Malaria Surveillance System in Qatar, 2016.

Cureus 2018 Jun 21;10(6):e2851. Epub 2018 Jun 21.

Health Protection and Communicable Disease Control, Ministry of Public Health, Doha, QAT.

Background The high influx of migrant workers from malaria-endemic countries along with the presence of a malaria vector in Qatar has raised the alarm of the possible reintroduction of local transmission. Meanwhile, the Qatar Malaria Surveillance System aims to detect any local malaria transmission as well as to monitor trends in imported cases. Aim Evaluating the attributes of the Malaria Surveillance System in Qatar will help identify any gaps necessitating rectification. Method The completeness and timeliness of the malaria surveillance system were determined. The direct method was used to determine completeness. Timeliness was evaluated by calculating the time lag between the onset of disease and notification receipt by the surveillance team (T) or diagnosis (T1) and between the diagnosis and receipt of notification by the surveillance team (T2). Results The overall external completeness of Malaria surveillance system was yielded at 47% (219/493). The most frequently reported data fields were found to be age, gender, and nationality with a percentage of 99% or more. However, the least reported data components were found to be lab results, types of samples, sample collection, and travel destinations with percentages of 59%, 58%, 56%, and 41%, respectively.The overall median time lags was six days for T, four days for T1, and two days for T2. Conclusion Our study has identified several merits and areas of improvement in the National Malaria Surveillance System in Qatar. The attributes of evaluation, completeness and timeliness, need more quality improvement. Evaluation of other surveillance system attributes is highly recommended.
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http://dx.doi.org/10.7759/cureus.2851DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6104895PMC
June 2018

Iron deficiency, its epidemiological features and feeding practices among infants aged 12 months in Qatar: a cross-sectional study.

BMJ Open 2018 05 9;8(5):e020271. Epub 2018 May 9.

Family and Community Medicine, Primary Health Care Corporation, Doha, Qatar.

Objectives: To estimate the magnitude of anaemia, iron deficiency (ID), iron deficiency anaemia (IDA) and to explore epidemiological features of ID and feeding practices among infants aged 12 months in Qatar.

Setting: Well baby clinics in 14 randomly selected primary healthcare centres covering all geographical areas on the national level.

Participants: Three hundred and six (163 male and 143 female) infants of all nationalities were enrolled. Mothers were asked to complete a predesigned interview questionnaire and infants were blood tested for anaemia, ID and IDA.

Outcome Measures: Cut-off point used to diagnose anaemia was haemoglobin <11.1 g/dL, and to diagnose ID, serum ferritin <6 ug/L with normal C reactive protein.

Results: Prevalence of anaemia was 23.5%, ID was 9.2% and IDA was 7.8%. ID was more prevalent among non-Qatari infants compared with Qatari (10.9% vs1.7%, p0.029), more prevalent among infants born to housewives and to families of low income (p≤0.05). With regard to feeding practice, ID was higher in infants who continued breastfeeding until the age of 1 year and among those who never took infant formula milk (p≤0.05). Mothers who received infant feeding counselling had less ID occurrence among their infants compared with their counterparts who did not receive such counselling (4.2%vs13.4%, p=0.005).

Conclusion: Although ID and IDA among infants in Qatar are less prevalent compared with many developing countries, still further efforts are needed for improvement towards more developed countries. Efforts should be contextualised and should target the key epidemiological features with special emphasis on infant feeding and infant feeding counselling to mothers.
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http://dx.doi.org/10.1136/bmjopen-2017-020271DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5942447PMC
May 2018

The Baby-friendly Hospital Initiative and Qatar, 2016.

J Taibah Univ Med Sci 2018 Jun 29;13(3):309-310. Epub 2018 Mar 29.

Obstetrics and Gynaecology Department, Hamad Medical Corporation, Doha, Qatar.

Breastfeeding instills countless benefits that extend beyond the infant and child to the entire nation. One of the global targets set by the WHO to improve maternal, infant, and young child nutrition is to increase the rate of exclusive breast-feeding "in the first 6 months" up to at least 50% by 2025. Thus, as a global endeavor to promote and sustain breastfeeding, the WHO and UNICEF launched the Baby-friendly Hospital Initiative (BFHI) 1 year after the Innocenti Declaration of 1990. Regarding the State of Qatar, there was a 34% rate of early initiation of breastfeeding "within the first hour of birth" and a 29% rate of exclusive breastfeeding between 2010 and 2015. In Qatar during 2016, many obstacles in achieving the aforementioned global target remained. In addition, there are still no hospitals with a BFHI accreditation.
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http://dx.doi.org/10.1016/j.jtumed.2018.03.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6695021PMC
June 2018

Qatar steps up to Global Health security: a reflection on the joint external evaluation, 2016.

Glob Health Res Policy 2017 18;2:30. Epub 2017 Oct 18.

Primary Health Care Corporation, Doha, Qatar.

Since the commencement of the International Health Regulations in 2007, global public health security has been faced with numerous emerging and ongoing events. Moreover, the Joint External Evaluation is a voluntary tool developed in compliance with the Global Health Security Agenda that represents the high responsibility of international health community towards the increased incidence of emerging and re-emerging diseases. Against this background, between 29th May and 2nd June 2016, a team of World Health Organization consultants arrived to the State of Qatar to assess, in collaboration with national experts, the country's capacity to prevent, detect, and rapidly respond to threats of public health aspect. They identified areas of strength, weakness, and recommendations for improving national health security of Qatar in anticipation of the 2022 FIFA World Cup event. Qatar has demonstrated a leading role in the region through its commitment to International Health Regulations (2005) and population health. Similarly, the Qatar was the first Arab state and seventh volunteering country globally to undergo the Joint External evaluation process. In this review, we highlighted Qatar's achievements and shortcomings of International Health Regulations' core capacities to inform healthcare professionals and the scientific community about the country's contribution toward global health security.
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http://dx.doi.org/10.1186/s41256-017-0050-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5683357PMC
October 2017

Perceptions and practice of physicians and pharmacists regarding antibiotic misuse at primary health centres in Qatar: A cross-sectional study.

J Taibah Univ Med Sci 2018 Feb 20;13(1):77-82. Epub 2017 Nov 20.

Faculty of Medicine, Cairo University, Egypt.

Objectives: The inappropriate use of antibiotics is a critical global health issue. The lack of antimicrobial stewardship exposes the community to unwarranted medication and contributes to the development of antimicrobial resistance. This study evaluated the perceptions and practice of physicians and pharmacists at primary healthcare centres of Qatar with respect to antibiotic misuse.

Methods: In this cross-sectional study, we recruited 226 physicians and 82 pharmacists in primary health care centres. A multistage cluster sampling technique was used for data collection. Separate self-administered questionnaires were administered to physicians and pharmacists.

Results: Response rates for physicians and pharmacists were 97.8% and 100%, respectively. Both physicians (90.7%) and pharmacists (87.8%) perceived antibiotic misuse as a major public health issue. To prevent antibiotic misuse, most physicians and pharmacists reported a focus on patient education as well as good practices in their work.

Conclusion: This study provides novel evidence on the perceptions and practices of health professionals concerning antibiotic prescription in primary healthcare settings of Qatar.
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http://dx.doi.org/10.1016/j.jtumed.2017.09.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6694943PMC
February 2018

Assessing health beliefs about osteoporosis among women attending primary health care centres in Qatar.

J Taibah Univ Med Sci 2017 Aug 5;12(4):349-355. Epub 2017 Jan 5.

Public Health and Preventive Medicine Department, Cairo University, Egypt.

Objective: Osteoporosis is a global health problem, and its prevalence is rapidly increasing worldwide. Misconceptions about osteoporosis and the lack of preventive measures among women are still common, emphasizing the need for primary prevention at an early age. The process of planning an effective osteoporosis prevention programme requires sufficient information about women's osteoporosis health beliefs. The objective of this study is to assess the health beliefs of 20-44 year-old Arab women about osteoporosis at primary health care centres in the State of Qatar.

Methods: The researchers utilized a cross-sectional study design, where cluster sampling with proportionate allocation was employed to enrol 766 eligible women who were interviewed using a structured Arabic questionnaire.

Results: The majority of the participating women showed lower perceived susceptibility to osteoporosis (71.7%) but higher perceived benefits of preventive practices (91.7%).

Conclusion: Despite lower perception of susceptibility to osteoporosis, women were highly motivated to take care of their health and believed in the benefits of a calcium-rich diet and regular exercise. The integration of osteoporosis prevention into women's health programmes at the primary health care level, as well as physical activity and nutritional programs, are recommended.
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http://dx.doi.org/10.1016/j.jtumed.2016.11.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6695000PMC
August 2017

Breastfeeding practice and determinants among Arab mothers in Qatar.

Saudi Med J 2012 Apr;33(4):436-43

Service Development and Planning Department, Primary Health Care Corporation, PO Box 55772, Doha, Qatar.

Objective: To assess the breastfeeding practices of Arab mothers by measuring breastfeeding indicators, and to identify the related determinants that affect maternal practices in Qatar.

Methods: Using interview administered questionnaires, we carried out this cross-sectional study with cluster sampling of 770 Arab mothers of children below 24 months of age attending primary health care centers in Qatar from June to October 2009.

Results: Early initiation of breastfeeding was found in 57%, exclusive breastfeeding under 6 months in 18.9%, and continued breastfeeding at one year in 49.9% of mothers. Children ever breastfed comprised 97.9%, continued breastfeeding at 2 years old comprised 45.4%, and predominant breastfeeding 11.9%. The proportion of children who were appropriately breastfed was 29%. The `rooming in` rate was 43.9%. Receiving breast milk substitutes, exposure to advertisements for artificial teats, and employment status showed a significant relation with both early initiation and exclusive breastfeeding. On demand feeding was related to exclusive breastfeeding, and `rooming in` and mode of delivery was related to early initiation.

Conclusion: Breastfeeding practice among Arab mothers in Qatar is not at an acceptable level. Core indicators, optional indicators, and health facility indicators for breastfeeding practice are not at the desired World Health Organization recommended levels.
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April 2012