BackgroundLow birth weight (LBW) continues to be the primary cause of infant morbidity and mortality.ObjectiveThis study was undertaken to identify the predictors of LBW in Nigeria.DesignThe data for this study was extracted from the 2013 Nigeria Demographic and Health Survey conducted by the National Population Commission. Several questionnaires were used in the survey, some covering questions on pregnancy characteristics. The inclusion criteria include mothers who gave birth to a child 5 years before the interview and aged 15–49 years who were either permanent residents or visitors present in the household on the night before the survey conducted. The birth weight of the infants was recorded from written records from the hospital cards or the mothers’ recall.ResultsThe prevalence of LBW in this study was 7.3%. Multiple logistic regression analysis showed an adjusted significant odds ratio for mothers from North West region (aOR 10.67; 95% CI [5.83–19.5]), twin pregnancy (aOR 5.11; 95% CI [3.11–8.39]), primiparous mother (aOR 2.08; 95% CI [1.15–3.77]), maternal weight of less than 70 kg (aOR 1.92; 95% CI [1.32–2.78]), and manual paternal employment (aOR 1.91; 95% CI [1.08–3.37]).ConclusionsThe risk factors for LBW identified in this study are modifiable. In order to reduce this menace in Nigeria, holistic approaches such as health education, maternal nutrition, improvement in socio-economic indices, and increasing the quality and quantity of the antenatal care services are of paramount importance.

Background: In welfare institutions, it is essential to address the health-related needs of adolescent populations who often engage in sexual activities. This study examines the association between individual and interpersonal factors concerning sexual risk behaviour (SRB) among adolescents in welfare institutions in Malaysia. Methods: Data were derived from a cross-sectional study of 1082 adolescents in 22 welfare institutions located across Peninsular Malaysia in 2009. Using supervised self-administered questionnaires, adolescents were asked to assess their self-esteem and to complete questions on pubertal onset, substance use, family structure, family connectedness, parental monitoring, and peer pressure. SRB was measured through scoring of five items: sexual initiation, age of sexual debut, number of sexual partners, condom use, and sex with high-risk partners. Multivariate logistic regression analysis was used to examine the various predictors of sexual risk behaviour. Results: The study showed that 55.1% (95%CI = 52.0-58.2) of the total sample was observed to practice sexual risk behaviours. Smoking was the strongest predictor of SRB among male adolescents (OR = 10.3, 95%CI = 1.25-83.9). Among females, high family connectedness (OR = 3.13, 95%CI = 1.64-5.95) seemed to predict the behaviour. Conclusion: There were clear gender differences in predicting SRB. Thus, a gender-specific sexual and reproductive health intervention for institutionalised adolescents is recommended.

Breast cancer is the most common cause of deaths and the most frequently diagnosed cancer among women worldwide. This study aimed to determine the prevalence of breast cancer screening, specifically on clinical breast examination, and the predictors of its uptake among women in Malaysia. A cross-sectional study was carried out in five selected districts whereby women aged between 20 to 64 years old, from a total of 1000 households were interviewed. A total of 1192 women responded to the survey of which 53.3% reported had ever done clinical breast examination. Significant associations with clinical breast examination were noted for income and distance from the hospital. These factors should be considered in developing interventions aimed at promoting clinical breast examination. In particular, healthcare providers should be proactive in raising awareness about clinical breast examination among women in Malaysia.

Objective: Internet-based health promotion offers a promising approach to fostering healthy sexual behaviour among adolescents. The objective of this study was to identify the potential of an Internet-based programme to improve sexual and reproductive health (SRH) knowledge among Malaysian young people. Design: A pre-test/post-test design was used to study the potential of the Malaysian Care for Adolescent Project (MyCAP) website for online SRH education. Created by health professionals, the SRH module provides detailed and accurate information about the male and female reproductive systems, the stages of adolescent development, puberty (bodily development, menstruation and wet dreams), teenage pregnancy, sexually transmitted infections (STIs) and social situations such as avoiding premarital sex. Setting: A total of 209 young adolescents aged 12 years were recruited from a school in Lembah Pantai, Kuala Lumpur. Method: Students were randomly assigned to either an Internet-based or a conventional method group. The Internet-based intervention group consisted of 101 young people (50 boys and 51 girls), while the conventional method group consisted of 108 participants (62 boys and 46 girls). Results: Using the Internet-based method, there was an increase of 3.88 in the mean knowledge score of participants from pre- to post-intervention. The Internet-based method had a greater eta-squared score of 0.59 compared to the conventional method, which had an eta-squared score of 0.41 ( p < .001). Conclusion: The results revealed that the Internet-based method significantly improved adolescents’ knowledge of SRH. Since the majority of students have access to the Internet, using online learning could provide an alternative educational method for teaching SRH.

BackgroundWorldwide, international retirement migration is growing in its popularity and Japanese retirees choose Malaysia as their most preferred destination. This study examines the pertinent issues related to healthcare services as experienced by Japanese retirees in this country.Methods and resultsFrom January to March 2015, we conducted focus group discussions with 30 Japanese retirees who live in Kuala Lumpur and Ipoh. Guided by the social-ecological model, we discovered seven pertinent themes: ‘language barriers’,’healthcare decisions’, ‘medical check-ups’,‘healthcare insurance’, ‘nursing and palliative care’, ‘trust and distrust of healthcare services’, and ‘word-of-mouth information’.DiscussionWe identified seven pertinent issues related to healthcare services among Japanese retirees in Malaysia, of which four are especially important. These issues are explained as integrated themes within the social-ecological model. Language barriers prohibit them from having difficulty accessing to healthcare in Malaysia, but lack of will to improve their language skills exist among them. For that reason, they rely heavily on word-of-mouth information when seeking for healthcare. As a consequence, some develop feelings of trust and distrust of healthcare services. In addition, we have identified the needs for provide nursing and palliative care among Japanese retirees in Malaysia.ConclusionBased on the magnitude of the discussion, we concluded that there are four crucial healthcare issues among Japanese retirees; ‘language barriers’, ‘trust and distrust of healthcare services’, ‘word-of-mouth information’ and ‘nursing and palliative care’. We propose that further dialogue by healthcare stakeholders should be carried out to improve further the healthcare service provisions for Japanese retirees in Malaysia.