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Tunis Med ; 93(8-9): 516-22, 2015.
Artigo em Francês | MEDLINE | ID: mdl-26815516


BACKGROUND: Violence against women in the marriage is now recognized as a violation of human rights and as a major problem of public health. AIM: The objectives of this study were to estimate the prevalence, specify the typology and to determine associated factors with violence against women in the marriage. METHODS: It was a cross-sectional study carried on 197 married women recruited in family planning center of Monastir, by means of a questionnaire containing some sociodemographic characteristics of the consultant and her spouse and the Woman Abuse Screening Tool to estimate the violence in the marriage Results : The lifetime prevalence of violence against women in the marriage was 56.9%. The most common form of violence was psychological (56.9%), followed by economic violence (41.1%), physical violence (32%) and sexual violence (10.6%). The combination of at least two forms of violence was reported by 84% of victims. The precarious professional status of consultant and her spouse, spouse's alcoholism, the number of children upper for three were the main factors associated with violence in marriage. CONCLUSION: These results justify the implement of screening and support programs for women victims of violence in marriage.

Violência Doméstica/estatística & dados numéricos , Adulto , Alcoolismo/complicações , Instituições de Assistência Ambulatorial , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Ocupações , Inquéritos e Questionários , Tunísia , Adulto Jovem
Sante Publique ; 22(2): 201-11, 2010.
Artigo em Francês | MEDLINE | ID: mdl-20598186


The objectives of this study were to identify the diseases diagnosed in children under the age of nineteen years old in primary health care centers, and to determine those that have required referral to a specialist for treatment. It is a descriptive study conducted in 92.5% of primary health care centers in the region, and the survey was conducted from two perspectives and levels of analysis. The first focused on a timescale of study, three weeks per season per district. The second focused on assessing medical records. The statistical unit used was the medical consultation. The coding of diagnosis and referrals was done according to the International Classification of Primary Car (ICPC2). The consultations of children under the age of 19 years old accounted for 6629, which is equal to 42.5% of the total number of consultations (including all ages and gender combined). Respiratory disease was by far pre-dominant with 62.5%, followed by digestive and skin disorders respectively in 10.4% and 9.1% of cases. Among the 6629 consultations, 270 of them (representing 4.1%) have needed a reference for specialist treatment or care. More referrals were made for males (57.4%) than females (42.6%) (p=0.015). In most of the cases referred (83%), they could be divided and categorized according to the ICPC2 chapters of classification; 21.9% for respiratory, 16.7% for digestive, 12.6% for both eye and skin, 10.4% for musculoskeletal, 4.8% for urology and 4.1% for ear. The interest of this study is not only epidemiological, but also it has interest as a pedagogical contribution to support and guide the choice of themes for medical training and to provide comparable types of data to be shared between regions and countries.

Nível de Saúde , Atenção Primária à Saúde , Encaminhamento e Consulta/estatística & dados numéricos , Adolescente , Criança , Pré-Escolar , Feminino , Inquéritos Epidemiológicos , Humanos , Lactente , Masculino , Tunísia
Pan Afr Med J ; 3: 11, 2009 Nov 02.
Artigo em Inglês | MEDLINE | ID: mdl-21532720


BACKGROUND: Primary health care is one of the most important pillars of the Tunisian health care system. However, very little information is available regarding the specificities of general practice and the patterns of morbidity encountered. METHODS: We conducted a descriptive study from June 2002 to May 2003 in 85 primary health centres in Sousse during 12 randomly selected weeks in order to describe the variability of the morbidity in all seasons; (3 weeks were randomly selected in each season). Each working day of selected weeks, a systematic sample of patients was identified in each health centre by taking every fifth registered patient. There were 16,271 consultations. The International Classification of Primary Care (ICPC-2) was used to code recorded data of the consultation. RESULTS: There were 24,882 reasons for encounter, a total of 18,097 problems managed by general practitioners (GPs), and 40,190 interventions. There was a predominance of females (62%) and a relatively young population attending the primary health care settings as 50% was aged less than 25 years. According to ICPC-2 chapters, we found that respiratory diseases were the main problems managed in primary health care (43%), followed by digestive (10.1%), locomotive (8.9%), cardiovascular affections (8.7%) and skin diseases (8.4%). These five conditions alone constituted about 80% of the total cases. However, genital conditions for both males and females (1%) as well as psychological and social problems (0.85%) were rarely managed in primary care. CONCLUSION: The findings will be useful in helping to revise the educational curriculum of medical studies as required in general practice and to plan relevant vocational training for GPs. They will also be important for health policy makers in Tunisia.

Tunis Med ; 86(1): 68-74, 2008 Jan.
Artigo em Francês | MEDLINE | ID: mdl-19472704


BACKGROUND: It has been demonstrated that the prognosis of the end-stage renal diseases have been changed after the introduction of dialysis modalities (haemodialysis and peritoneal dialysis). Technical progress, have increased life duration of these patients; however, some health concerns persist to be frequent, such as physical alteration and psychological disturbances. AIM: This study aimed to evaluate the patients' quality of life of those who are treated by haemodialysis and peritoneal dialysis in Kairouan Gouvernorate. METHODS: It is a descriptive study that included the whole 134 dialysed patients who are taken care of in the four dialysis unites using the KQQOL-SF questionnaire for quality of life assessment. RESULTS: Demographic characteristics showed that 71% of the study population were illetrate, and 50% were jobless. The mean distance of home-dialysis unit was 47 km and the mean duration of dialysis care was 27 months. Therefore, 36.2% of patients have been dialysed twice a week and 87.1% were aneamic. The mean quality of life score was 55.1. With reference to Lean standard value of 66.7 on the SF-36 scale, a deterioration of the quality of life was found in 75.2% of cases. Disorders were noted more deeply in the physical component (49.2 +/- 16.4) than on mental component (60.9 +/- 10.3). The mean of renal component score was 62.7 +/- 12.9. Statistical analysis found that quality of life alteration was correlated to the following: female patients, elderly people, low socioeconomic status, presence of comorbidity, aneamia, and low rate of albuminemia. CONCLUSION: The results could be used as a needs assessment study in order to improve the quality of life of dialysed patients. This needs the implementation of a quality improvement programme that should include the biological and psychosocial aspects in dialysis care.

Qualidade de Vida , Diálise Renal/psicologia , Adulto , Fatores Etários , Anemia/epidemiologia , Comorbidade , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores Sexuais , Fatores Socioeconômicos , Tunísia/epidemiologia