Suchergebnisse

Introduction: Visual experience has a substantial effect on how individuals construct a template of their own bodies in space. Whether the absence of total or partial visual exposure in individuals of both genders allows the buffering of harmful effects has yet to be tested. This study examined the role of vision among congenitally blind and later blind subjects for the expression of body esteem and sociocultural attitudes toward appearance. Methods: Participants comprised 101 subjects, 53 sighted and 48 visually impaired men and women. For the purpose of the study, we took into consideration congenitally blind, late blind, and typically sighted individuals. The Sociocultural Attitudes toward Appearance Questionnaire-3 (SATAQ-3) and the Body-Esteem Scale Questionnaire (BESQ) were used as measures. Results: Although congenitally blind, late blind, and typically sighted individuals showed similar awareness of media content and beauty ideals, typically sighted women displayed higher pressure to conform and had higher levels of social comparison. Congenitally blind women placed less emphasis on mass media as an influential aspect of their body perception and showed reduced internalization of beauty ideals and higher levels of body esteem. Moreover, men with visual impairments considered siblings and family to be the most influential information sources for their own body perception, while showing reduced levels of athlete internalization. Discussion: In this research, it was identified that the absence of sight influences an individual's body image beyond its physical, metric representation. Susceptibility to detrimental messages linked to sociocultural standards of attractiveness is interiorized by individuals with and without visual impairments, regardless of their gender. Implications for Practitioners: Further studies on body esteem and sociocultural pressures could enable practitioners to better understand how to support individuals with visual impairments in coping with an unhealthy social environment and with feelings of unhappiness related to their appearance.

Cette etude vise a montrer en quoi la culture inflechit la sante des femmes et des enfants et de quelle facon il serait possible d'ameliorer la sante sans pour cela l'opposer a la culture. En raison du manque d'information sanitaire, il a fallu mener une enquete epidemiologique sur la fecondite, la mortalite infanto-juvenile et d'autres indicateurs de sante, chez les Bijago de Guinee-Bissau. Dans l'analyse epidemiologique, ont ete utilisees comme variables independantes le lieu de residence et l'appartenance ethnique. En parallele, une etude ethnologique de la societe bijago, portant notamment sur les questions qui concernent la maternite a ete conduite. (DÜI-Hff)

International audience ; Aim: In order to integrate malaria Intermittent Preventive Treatment in infants (IPTi) into the Ghana national immunization programme, there was the need to evaluate the feasibility of IPTi by assessing the intervention operational issues including its implementation costs, and its cost effectiveness. Study Design: Cross-sectional study. Place and Duration of Study: Upper East Region, Ghana, between July 2007 and July 2009 Methods: We calculated the costs of administrating IPTi during vaccination sessions; the costs of programme implementation during the first year of implementation (start-up costs) and in routine years (recurrent costs). For the purposes of cost-effectiveness analysis, all economic costs (including financial and opportunity costs) and the net cost were estimated. To estimate the cost effectiveness ratios of IPTi, the aggregate cost of providing the intervention for a reference target population of 1,000 infants was divided by its health outcome. Sensitivity analyses were carried out to understand the results robustness. Results: IPTi gross costs in start up and in routine years were estimated at 70.66 cents and 29.72 cents per dose, or $2.0 and $0.87 per infant, respectively. The gross cost per DALY saved was estimated at $3.49 and the net cost of IPTi for 1,000 infants was $-3,416.38 in the routine years rending IPTi a highly cost saving intervention. Sensitivity analyses showed that the cost per DALY saved never went up more than $4.50 maintaining the intervention still highly cost effective. Conclusion: IPTi in Ghana is a highly and robust cost effective intervention. The intervention is cost-saving and should be scaled up nationally to save children's health and economic capital.

International audience ; Aim: In order to integrate malaria Intermittent Preventive Treatment in infants (IPTi) into the Ghana national immunization programme, there was the need to evaluate the feasibility of IPTi by assessing the intervention operational issues including its implementation costs, and its cost effectiveness. Study Design: Cross-sectional study. Place and Duration of Study: Upper East Region, Ghana, between July 2007 and July 2009 Methods: We calculated the costs of administrating IPTi during vaccination sessions; the costs of programme implementation during the first year of implementation (start-up costs) and in routine years (recurrent costs). For the purposes of cost-effectiveness analysis, all economic costs (including financial and opportunity costs) and the net cost were estimated. To estimate the cost effectiveness ratios of IPTi, the aggregate cost of providing the intervention for a reference target population of 1,000 infants was divided by its health outcome. Sensitivity analyses were carried out to understand the results robustness. Results: IPTi gross costs in start up and in routine years were estimated at 70.66 cents and 29.72 cents per dose, or $2.0 and $0.87 per infant, respectively. The gross cost per DALY saved was estimated at $3.49 and the net cost of IPTi for 1,000 infants was $-3,416.38 in the routine years rending IPTi a highly cost saving intervention. Sensitivity analyses showed that the cost per DALY saved never went up more than $4.50 maintaining the intervention still highly cost effective. Conclusion: IPTi in Ghana is a highly and robust cost effective intervention. The intervention is cost-saving and should be scaled up nationally to save children's health and economic capital.