Factors predicting menstrual irregularity among university students in Ho Chi Minh City, Vietnam: A cross-sectional study.

Background: University students often face menstrual irregularities, particularly among healthcare students, due to rigorous study environments, such as night duties resembling professional staff responsibilities. Objective: This study aimed to examine the prevalence of and factors predicting menstrual irregularities among female students in Ho Chi Minh City, Vietnam. Methods: A cross-sectional study was conducted from April to July 2023 at the University of Medicine and Pharmacy at Ho Chi Minh City (UMP). Data were collected using self-administered questionnaires comprising sections on personal background, menstrual cycles, sleep duration, and academic stress. Descriptive statistics and multiple logistic regression were employed for data analysis. Results: Approximately 48.3% of participants experienced menstrual irregularities. Overweight or obese students were more likely to experience irregularities compared to those of normal weight (AOR = 7.56, 95% CI = 1.34, 80.8). Nursing majors (including nursing, midwifery, and anesthesia resuscitation nursing) showed a higher likelihood of irregularities compared to other majors (AOR = 2.5, 95% CI = 1.35, 4.13). Conclusion: This study highlights a significant prevalence of menstrual irregularities among female students. Interventions in nursing education should focus on promoting healthy lifestyles and regular physical activity to manage weight and mitigate menstrual irregularities.

Prevalence of exclusive breastfeeding for the first six months of an infant's life and associated factors in a low-middle income country.

BACKGROUND: Although breastfeeding is practiced by 98% of mothers in Vietnam, infant breastfeeding behaviors remain far from World Health Organization recommendations and continues to decline. This study aims to explore the prevalence and factors associated with exclusive breastfeeding in the first six months of an infant's life. METHODS: A cross-sectional study utilized a self-administered maternal questionnaire to collect data on 1072 Vietnamese mothers who brought infants aged between 6 and 30 months to a community health centre (CHC) for routine vaccination. Data collection was conducted from March to May 2021 in two cities in Central and North Vietnam. In order to measure exclusive breastfeeding, we asked mothers to recall (yes / no), if the child had received breast milk, formula, colostrum milk powder, water, vitamin / medicine, fruit juice / honey, and complementary foods aged under six months. RESULTS: In the first six months, 14.2% of mothers exclusively breastfed their infants. Multivariable logistic regression analysis demonstrated a significant association between exclusive infant breastfeeding and the highest maternal education level (university or postgraduate) (adjusted odds ratio (aOR) 2.55; 95% confidence interval (CI) 1.10, 5.91); male infants (aOR 1.72; 95% CI 1.11, 2.68); duration of skin-to-skin contact greater than 90 min (aOR 7.69; 95% CI 1.95, 30.38); receiving first breastfeeding during skin-to-skin contact (aOR 2.31; 95% CI 1.30, 4.10); completely feeding infant directly at the breast (aOR 1.65; 95% CI 1.00, 2.71) and exclusive breastfeeding intention during pregnancy (aOR 2.48; 95% CI 1.53, 4.00). When compared with mothers who were prenatally exposed to infant formula advertising classified as "often", the prevalence of exclusive infant breastfeeding was higher in mothers who classified their prenatal exposure to infant formula advertising as "sometimes" (aOR 2.15; 95% CI 1.13, 4.10), and "seldom" (aOR 2.58; 95% CI 1.25, 5.36). CONCLUSION: The prevalence of mothers who practiced exclusive infant breastfeeding during the first six months in Vietnam was low. Infants should receive early maternal-infant skin-to-skin contact greater than 90 min and complete first breastfeeding during skin-to-skin contact. Further, mothers should be protected against infant formula advertisements to maximise the likelihood of exclusive breastfeeding during the child's infancy.

The interactive effect of the season and estuary position on the concentration of persistent organic pollutants in water and sediment from the Cua Dai estuary in Vietnam.

The current study was conducted in the Cua Dai estuary, Vietnam, (1) to assess the status of persistent organic pollutants (POPs) and (2) to examine the interactive effect of season and estuary position on the concentration of the pollutants in surface water and sediment. Fifty-two water and sediment samples were taken in the dry and rainy seasons from inner- and outer-estuary positions to analyze for six POPs, including hexachlorocyclohexane isomers (HCHs), dichlorodiphenyltrichloroethane and its metabolites (DDTs), heptachlor, aldrin, dieldrin, and polychlorinated biphenyl (PCBs). The averaged concentrations of the respective POPs in water samples were 0.07, 0.1, 0.01, 0.03, 0.001, and 0.2 µg L-1 and in sediment samples were 2.6, 3.1, 0.9, 0.2, 0.2, and 121 µg kg-1. Of the six POPs examined, the concentration of DDTs in sediment samples and PCBs in water samples was significantly affected by the interactive effect of the two examined factors. The concentrations of HCHs, DDTs, heptachlor, and aldrin in water samples and of HCHs in sediment samples were significantly higher in the rainy season than in the dry season. Sediment samples collected from the inner position had a significantly higher concentration of HCHs and PCBs than in the outer position. Some mechanisms possibly influenced the varying POP concentration could include (1) greater riverine discharge in the rainy season and (2) the sea dilution effect in the outer position. Therefore, the concentration of the individual examined POPs in water and sediment in the Cua Dai estuary significantly depended on either the season, estuary position, or their combination.