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2022

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Articles 19951 - 19980 of 23779

Full-Text Articles in Medicine and Health Sciences

Congenital Anomaly Epidemiological Correlates Of Δ8thc Across Usa 2003–16: Panel Regression And Causal Inferential Study, Albert Stuart Reece, Gary Kenneth Hulse Jan 2022

Congenital Anomaly Epidemiological Correlates Of Δ8thc Across Usa 2003–16: Panel Regression And Causal Inferential Study, Albert Stuart Reece, Gary Kenneth Hulse

Research outputs 2022 to 2026

Δ8-Tetrahydrocannabinol (Δ8THC) is marketed in many US states as ‘legal weed’. Concerns exist relating to class-wide genotoxic cannabinoid effects. We conducted an epidemiological investigation of Δ8THC-related genotoxicity expressed as 57 congenital anomaly (CA) rates (CARs) in the USA. CARs were taken from the Centers for Disease Control, Atlanta, Georgia. Drug exposure data were taken from the National Survey of Drug Use and Health, with a response rate of 74.1%. Ethnicity and income data were taken from the US Census Bureau. National cannabinoid exposure was taken from Drug Enforcement Agency publications and multiplied by state cannabis use data to derive state-based …

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European Epidemiological Patterns Of Cannabis- And Substance-Related Congenital Cardiovascular Anomalies: Geospatiotemporal And Causal Inferential Study, Albert Stuart Reece, Gary Kenneth Hulse Jan 2022

European Epidemiological Patterns Of Cannabis- And Substance-Related Congenital Cardiovascular Anomalies: Geospatiotemporal And Causal Inferential Study, Albert Stuart Reece, Gary Kenneth Hulse

Research outputs 2022 to 2026

As prenatal and community cannabis exposures have recently been linked with congenital heart disease (CHD), it was of interest to explore these associations in Europe in a causal framework and space-time context. Congenital anomaly data from Eurocat, drug-use data from the European Monitoring Centre for Drugs and Drug Addiction, and income from the World Bank. Countries with rising daily cannabis use had in general higher congenital anomaly rates over time than those without (time: status interaction: β-Est. = 0.0267, P = 0.0059). At inverse probability-weighted panel regression, cannabis terms were positive and significant for CHD, severe CHD, atrial septal defect, …

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Protective Factors Against Self-Harm And Suicidality Among Australian Indigenous Adolescents: A Strengths-Based Analysis Of The Longitudinal Study Of Indigenous Children, Irteja Islam, Lisa Sharwood, Verity Chadwick, Tuguy Esgin, Alexandra Martiniuk Jan 2022

Protective Factors Against Self-Harm And Suicidality Among Australian Indigenous Adolescents: A Strengths-Based Analysis Of The Longitudinal Study Of Indigenous Children, Irteja Islam, Lisa Sharwood, Verity Chadwick, Tuguy Esgin, Alexandra Martiniuk

Research outputs 2022 to 2026

Background: Understanding and encouraging social and emotional well-being (SEWB) among Indigenous adolescents is vital in countering the impacts of colonisation and intergenerational trauma. As self-harm and suicidality are considered markers of poor SEWB among Indigenous communities, we aimed to identify the individual-level and community-level factors protecting Indigenous adolescents from self-harm and suicidality. Methods: Data came from Footprints in Time—The Longitudinal Study of Indigenous Children (waves 10 and 11), conducted among Indigenous families across Australia. A strengths-based analysis fitted multilevel logistic regression to explore associations with factors proposed as protective against self-reported self-harm and suicidality among Indigenous adolescents. Results: Our study …

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The Tragedy Of Caspian: C. S. Lewis And His Trauma, Chandler Hanton Jan 2022

The Tragedy Of Caspian: C. S. Lewis And His Trauma, Chandler Hanton

College of Graduate Studies: Theses & Dissertations

This thesis reconsiders C.S.Lewis’ The Chronicles of Narnia as a type of scriptotherapy that enabled Lewis to process and come to terms with a life full of serious and significant traumatic events. Trauma theory offers a vehicle for us to consider the alignments and connections between Lewis himself and his fictional creation, Caspian. In the specifics of both characterization and incident, Lewis mirrors the events and relationships that instilled and healed the trauma in his own life. In situating Caspian as his alter-ego, Lewis allowed his writing to function as a gender-specific therapeutic process for addressing the effects of his …

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Factors Associated With Intention To Disclose Concussive Symptoms In Active Duty Soldiers, Carly Beck Jan 2022

Factors Associated With Intention To Disclose Concussive Symptoms In Active Duty Soldiers, Carly Beck

College of Graduate Studies: Theses & Dissertations

Background: Concussion disclosure is a heavily researched topic, and while previous literature has explored predictors of concussion disclosure in numerous populations, research within the active duty Soldier population is limited. This study further explored predictors of concussion disclosure to a medical professional or leadership in the active duty Solider population through the lens of the Theory of Planned Behavior. Methods: A cross-sectional electronic survey was distributed to 181 active duty Soldiers. Descriptive statistics were used to report frequency of high intention to disclose concussive symptoms among demographics, and a multivariate regression model was used to assess significant predictors of intention …

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A Virtual Camp For Adolescents With Developmental Disabilities During The Covid-19 Pandemic: Changes In Physical Activity, Function, And Psychosocial Health, Sarah Creveling Jan 2022

A Virtual Camp For Adolescents With Developmental Disabilities During The Covid-19 Pandemic: Changes In Physical Activity, Function, And Psychosocial Health, Sarah Creveling

College of Graduate Studies: Theses & Dissertations

Adolescents with developmental disabilities (DD) have low levels of physical activity (PA), are more likely to be overweight or obese, and are at an increased risk of developing secondary conditions compared to their typically developing peers. Participation in PA has been linked to a myriad of benefits including improvements in psychosocial health, decreased risk of developing secondary conditions, and opportunities for socialization. Summer camps provide opportunities for adolescents with DD to participate in meaningful activities while being physically active during the summer months when school is out and there is a change in routines, skill and learning loss is a …

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Dissect The Case, Kaitlyn L. Buzard Do, Kaitlyn Dalsey Do, Lisa E.A. Dwyer-Joyce Md, Nicole Chiapetta Do, James Ross Md, Facp Jan 2022

Dissect The Case, Kaitlyn L. Buzard Do, Kaitlyn Dalsey Do, Lisa E.A. Dwyer-Joyce Md, Nicole Chiapetta Do, James Ross Md, Facp

Department of Medicine

No abstract provided.

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A Curious Case Of Intractable Hepatic Encephalopathy, Timothy Graziano Do, Michael Li Md, Amanda Jacubowsky Do, Arjan Ahluwalia Md, Ross Myers Md Jan 2022

A Curious Case Of Intractable Hepatic Encephalopathy, Timothy Graziano Do, Michael Li Md, Amanda Jacubowsky Do, Arjan Ahluwalia Md, Ross Myers Md

Department of Medicine

No abstract provided.

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Case Of Complement-Mediated Atypical Hemolytic Uremic Syndrome, Merissa Misiura Md, Martin Delatorre Do, Alisha Hossain Do, Yasmeen Khaskia Md, Daniel Schwed-Lustgarten Md Jan 2022

Case Of Complement-Mediated Atypical Hemolytic Uremic Syndrome, Merissa Misiura Md, Martin Delatorre Do, Alisha Hossain Do, Yasmeen Khaskia Md, Daniel Schwed-Lustgarten Md

Department of Medicine

No abstract provided.

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Autoimmune Hemolytic Anemia And Pure Red Cell Aplasia Associated With Immunotherapy, Merissa Misiura Md, Martin Delatorre Do, Natalie Chlus Md, Alisha Hossain Do, Muhammad A. Rizvi Md, Suresh G. Nair Md Jan 2022

Autoimmune Hemolytic Anemia And Pure Red Cell Aplasia Associated With Immunotherapy, Merissa Misiura Md, Martin Delatorre Do, Natalie Chlus Md, Alisha Hossain Do, Muhammad A. Rizvi Md, Suresh G. Nair Md

Department of Medicine

No abstract provided.

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The Effect And Outcomes Of Hcq Alone And In Combination With Anti-Depressants On Qtc, Kourtney Rudzinski Do, Zaina Shahid Md, Yasin Kanakrieh Do, Saloni Goyal Do, James Ross Md, Facp, Kyle Shaak Mph Jan 2022

The Effect And Outcomes Of Hcq Alone And In Combination With Anti-Depressants On Qtc, Kourtney Rudzinski Do, Zaina Shahid Md, Yasin Kanakrieh Do, Saloni Goyal Do, James Ross Md, Facp, Kyle Shaak Mph

Department of Medicine

No abstract provided.

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Examining Associations Between Prone Position And Hospital Outcomes During The Covid-19 Pandemic, Sidney M. Stoddard Pt, Dpt, Daniel Sawyer Pt, Dpt, Michael Pechulis Dpt, Julie M. Skrzat Pt Dpt Phd Ccs, Mark Fuse, Amanda Fox, Elizabeth A. Wetzler, Mary Loose Pt, Ryan Vetter Ms-Otr/L, Kaitlyn Musco Md, Christopher Lenivy Do, Shae Duka Bs Jan 2022

Examining Associations Between Prone Position And Hospital Outcomes During The Covid-19 Pandemic, Sidney M. Stoddard Pt, Dpt, Daniel Sawyer Pt, Dpt, Michael Pechulis Dpt, Julie M. Skrzat Pt Dpt Phd Ccs, Mark Fuse, Amanda Fox, Elizabeth A. Wetzler, Mary Loose Pt, Ryan Vetter Ms-Otr/L, Kaitlyn Musco Md, Christopher Lenivy Do, Shae Duka Bs

Department of Medicine

No abstract provided.

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Case Report Describing Mobility Progression Of A “Happy Hypoxic” Covid-19 Patient Requiring Prolonged Non-Invasive Fio2>60%, Courtney Stanlaw Pt, Dpt, James K. Miller Jan 2022

Case Report Describing Mobility Progression Of A “Happy Hypoxic” Covid-19 Patient Requiring Prolonged Non-Invasive Fio2>60%, Courtney Stanlaw Pt, Dpt, James K. Miller

Department of Medicine

No abstract provided.

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Alternative Scheduling Framework To Decrease Waitlist And Improve Patient Satisfaction In Outpatient Pediatric Rehab, Shelley Spence, Kimberly Fritts Dpt Jan 2022

Alternative Scheduling Framework To Decrease Waitlist And Improve Patient Satisfaction In Outpatient Pediatric Rehab, Shelley Spence, Kimberly Fritts Dpt

Department of Medicine

No abstract provided.

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Development Of An Occupational Therapy Pathway For Individuals Diagnosed With Covid-19 In The Acute Care Setting, Allison Hoffman, Danielle Accordino, Lauren Reightler Jan 2022

Development Of An Occupational Therapy Pathway For Individuals Diagnosed With Covid-19 In The Acute Care Setting, Allison Hoffman, Danielle Accordino, Lauren Reightler

Department of Medicine

No abstract provided.

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A Case Of Massive Hemoptysis Due To Pulmonary Aspergilloma, Sonali Bishnoi, Ashley Vojtek Do, Clarissa Hayes, Gregory Karamian, C. Gerard Petersen Jan 2022

A Case Of Massive Hemoptysis Due To Pulmonary Aspergilloma, Sonali Bishnoi, Ashley Vojtek Do, Clarissa Hayes, Gregory Karamian, C. Gerard Petersen

Department of Medicine

No abstract provided.

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Progress In Protein Structure Prediction: An Xai Perspective, Yosef E. Granillo, Badri Adhikari Jan 2022

Progress In Protein Structure Prediction: An Xai Perspective, Yosef E. Granillo, Badri Adhikari

Undergraduate Research Symposium

The full extent of the impact of deep learning models on structural biology will depend on their ability to provide novel biological insights. The field of structure prediction, where deep learning has produced miraculously accurate results, is at a critical stage of benefiting from the methods in interpretable deep learning. The exact mechanisms by which advanced computational models learn to interpret protein shapes and functions during their training remain largely unclear. These questions underscore the need for further research, as understanding these mechanisms is crucial for researchers to trust the predictions of these models. However, interpretable machine learning is ripening …

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A Preoperative Intervention To Improve Glycemic Control In Surgical Patients With Diabetes, Kelsey L. Boyd Jan 2022

A Preoperative Intervention To Improve Glycemic Control In Surgical Patients With Diabetes, Kelsey L. Boyd

Graduate Theses, Dissertations, and Problem Reports (ETD)

Perioperative hyperglycemia is reported in 20-40% of patients undergoing general surgery and is an independent risk factor for negative surgical outcomes. Patients with diabetes presenting to a local community hospital are at risk for negative surgical outcomes due to the lack of strategies to prevent perioperative hyperglycemia. This project aimed to implement and evaluate the usefulness of succinct diabetes education for preoperative total joint surgical patients with diabetes. The intervention was a nurse-led, face-to-face diabetes education session provided to total joint surgical patients with diabetes during a preoperative evaluation appointment, compared to usual care (no preoperative diabetes education). This project …

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Examining The Spatial Relationship Between Maternal Morbidity, Access To Health Care, And Community Characteristics In West Virginia, Sarah E. Woolard Jan 2022

Examining The Spatial Relationship Between Maternal Morbidity, Access To Health Care, And Community Characteristics In West Virginia, Sarah E. Woolard

Graduate Theses, Dissertations, and Problem Reports (ETD)

Maternal-related morbidity rates in the United States have risen almost three fold since the early 1990’s. Issues related to rurality, socioeconomic disparities, and pre-existing health conditions increase the risk of poor pregnancy outcomes and introduce barriers to accessing advanced maternal health care. West Virginia (WV) has higher maternal morbidity rates than many other states in the United States (US), and is considered to be driven by all 55 counties being classified as Appalachian, possessing the highest prenatal smoking rate in the US, and having disparities in access to health care. Despite this, no previous studies have evaluated maternal morbidity in …

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Risk Factors Of Malnutrition In Children Under 5 In Nigeria, Itanwan James Jan 2022

Risk Factors Of Malnutrition In Children Under 5 In Nigeria, Itanwan James

Walden Dissertations and Doctoral Studies

Malnutrition in children under 5 years remains an important public health challenge as it spurs child mortality and morbidity in developing countries, including Nigeria. The purpose of this quantitative cross-sectional study was to explore the risk factors of malnutrition in children under 5 years of age in Akwa Ibom State, Nigeria. Socioecological and health belief models were applied to examine risk factors of malnutrition among these children. This study used a secondary dataset of 1,235 participants obtained from Akwa Ibom State Demographic and Health Survey database. Pearson’s chi-square test and binary logistic regression were adopted for the analyses. The results …

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End-Of-Life Education For Long-Term Care Nurses, Naquita Altidor Jacques Jan 2022

End-Of-Life Education For Long-Term Care Nurses, Naquita Altidor Jacques

Walden Dissertations and Doctoral Studies

Long-term care (LTC) nurses play a crucial role in preserving the quality of life of terminally ill patients. However, many identify deficits in skills, education, and training for end-of-life (EOL) care. The objective of this project was to educate LTC nurses caring for individuals reaching the end of their lives on EOL care. The practice-oriented question concerned whether an evidence-based educational program improved nurses’ knowledge related to EOL care and confidence in caring for EOL patients and families. The End-of-Life Nursing Education Consortium's evidence-based educational module was used to provide the content. Rosswurm and Larrabee’s model for change to evidence-based …

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Risk Factors Of Infant Mortality Among Sub-Saharan Immigrants In The United States, Roland Lankah Jan 2022

Risk Factors Of Infant Mortality Among Sub-Saharan Immigrants In The United States, Roland Lankah

Walden Dissertations and Doctoral Studies

While prepregnancy body mass index (BMI), gestational weight gain (GWG), and birthplace have been suggested to play a key role in predicting infant mortality outcomes, they have not been thoroughly investigated across all races/ethnicities. The purpose of this study was to examine the associations between prepregnancy BMI, GWG, birthplace as independent variables, and infant mortality as the outcome variable within the United States Sub-Saharan African Immigrants (SSAI). A quantitative cross-sectional study design grounded in the biopsychosocial model was used. Data were extracted from the 2017-2018 natality-linked birth/infant death file from the Centers for Disease Control and Prevention Wonder Database. It …

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Effects Of Covid-19 On Maternal And Child Health In Haiti, Abbi M. Lee Jan 2022

Effects Of Covid-19 On Maternal And Child Health In Haiti, Abbi M. Lee

Walden Dissertations and Doctoral Studies

Haiti has a history of natural disasters that have played a part in the country’s weak infrastructure, poor quality health care, and short life expectancy. The purpose of this qualitative case study was to understand the experiences of health care professionals providing prenatal, perinatal, and postpartum health care services before and during the COVID-19 pandemic in Haiti to gain an understanding of the gaps in disaster response in reproductive health care. The theoretical bases for this study were community resilience theory and reproductive justice theory. Data were collected from interviews with 10 health care professionals working in Haiti providing reproductive …

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Hospital Ownership And Type As Predictors Of 30-Day Psychiatric Readmissions And Follow-Up, Zacquia Mckinley Jan 2022

Hospital Ownership And Type As Predictors Of 30-Day Psychiatric Readmissions And Follow-Up, Zacquia Mckinley

Walden Dissertations and Doctoral Studies

Studies have suggested that differences in hospital ownership structures impact the rates of 30-day hospital readmission and 30-day hospital follow-up in patients with psychiatric diagnoses. The purpose of this quantitative study was to examine the relationship between hospital ownership, hospital type, rates of 30-day psychiatric readmission, and rates of 30-day follow-up for psychiatric patients. This study drew on Donabedian's conceptual model of hospital quality assessment and used ANOVA testing for the four research questions concerning whether there is a significant relationship between 1) hospital ownership and inpatient psychiatric patient readmission within 30 days of discharge, 2) hospital type, and inpatient …

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Experiences Of Individuals With Opioid Use Disorder In Medication Assisted Treatment Programs, Lynda M. Maxfield Jan 2022

Experiences Of Individuals With Opioid Use Disorder In Medication Assisted Treatment Programs, Lynda M. Maxfield

Walden Dissertations and Doctoral Studies

AbstractOpioid use accounts for many deaths each day in the United States. Although research has shown that retention in medication assisted treatment (MAT) programs increases quality of life for those individuals with opioid use disorder (OUD) and decreases premature death, there has been limited research on the perspectives of individuals with OUD in MAT programs and why they remained in or left the programs. The purpose of this qualitative phenomenological study, guided by Merleau-Ponty’s theory of perception, was to explore the lived experiences of those with OUD treated in a MAT program. An algorithm type interview was conducted to ask …

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Educating Nurses On The Progression Of Chronic Kidney Disease, Andrea Georgia Mignott Jan 2022

Educating Nurses On The Progression Of Chronic Kidney Disease, Andrea Georgia Mignott

Walden Dissertations and Doctoral Studies

AbstractThe increasing prevalence and incidence of chronic kidney disease (CKD) is a major healthcare burden in developed and developing countries. A gap in nursing practice was identified in a teaching and referral hospital located in Jamaica. Nurses in the organization lacked requisite knowledge and current evidence-based practice guidelines on CKD and therefore could not teach patients diagnosed with CKD. The purpose of this project was to educate nurses regarding the progression of CKD, with the aim of slowing the disease process. This Doctor of Nursing Practice project explored whether educating nurses on the progression of CKD would increase their knowledge …

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Socioeconomic And Health Impact Of Opioid Overuse On Working-Age Population In Minnesota, Colette Ngum Ngwa Jan 2022

Socioeconomic And Health Impact Of Opioid Overuse On Working-Age Population In Minnesota, Colette Ngum Ngwa

Walden Dissertations and Doctoral Studies

Abstract The United States faces numerous challenges associated with the ongoing opioid crisis. Although the opioid epidemic is complex, opioid overuse affects users’ health and has a far-reaching impact on socioeconomic well-being. This study employed a quantitative cross-sectional design using secondary data from a 2018 national survey of working-age individuals ages 18 to 45. Multivariate regression analysis was used to examine the associations between opioid overuse and socioeconomic status, health status, and perceived need for substance abuse treatment. The addiction career concept and chronic illness model theory were used to analyze these correlations. The findings indicated that people with higher …

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The Relationship Between Housing/Living Arrangement And Admission To Drug Treatment Centers In Virginia, Odessa Ochoa Jan 2022

The Relationship Between Housing/Living Arrangement And Admission To Drug Treatment Centers In Virginia, Odessa Ochoa

Walden Dissertations and Doctoral Studies

Homeless veterans with substance use disorders are among the most vulnerable and inaccessible populations in Virginia, which is evident by the lack of state and local resources. This cross-sectional study was conducted to present a retrospective assessment of the Treatment Episode Data Set (TEDS) to develop an understanding of the impact of housing arrangements on admission to long-term drug treatment centers among veterans in Virginia. To guide the study, the socioecological model was selected as the theoretical framework to better examine and understand the relationship between housing/living arrangement and admission to drug treatment centers among Virginia veterans. The aim of …

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Experiences Of Women In Sierra Leone Relating To Accessing Breast Cancer Treatment, Anne Neville Jan 2022

Experiences Of Women In Sierra Leone Relating To Accessing Breast Cancer Treatment, Anne Neville

Walden Dissertations and Doctoral Studies

There has been a lack of consistent access to breast cancer care and treatment for women in developing countries, especially in Sierra Leone. Limited access to breast cancer care and treatment is a significant problem for women diagnosed in the later stages of the disease. The purpose of this research was to understand the experiences of women diagnosed with different stages of breast cancer, how they went about accessing breast cancer care and treatment, and how those experiences can be used to improve access to breast cancer treatment in Sierra Leone. Andersen and Newman’s healthcare utilization model guided the study’s …

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The Experience And Perception Of Contraceptive Use Among Teenage Girls Living In Lagos, Nigeria, Kikelomo Omotoso Jan 2022

The Experience And Perception Of Contraceptive Use Among Teenage Girls Living In Lagos, Nigeria, Kikelomo Omotoso

Walden Dissertations and Doctoral Studies

AbstractThere is a low level of contraceptive use among Nigerian teenagers, leading to unwanted pregnancies and subsequently unsafe abortions. Sexual activities among teenagers in Lagos, Nigeria, are a major public health problem. The principal factors leading to this health problem are poverty, peer pressure among university students leading to involvement in the sex trade, and early marriage in some cultures. There are myths and perceptions about the use of contraception in society, especially concerning the use of condoms, which Nigerian teenagers believe do not make intercourse interesting or satisfying; these ideas can lead to unwanted pregnancies, sexually transmitted infections (STIs), …

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