1
|
Lemuel AM, Usman IM, Kasozi KI, Alghamdi S, Aigbogun EO, Archibong V, Ssebuufu R, Kabanyoro A, Ifie JE, Swase DT, Ssempijja F, Ayuba JT, Matama K, Onohuean H, Kembabazi S, Henry R, Odoma S, Yusuf H, Afodun AM, Assaggaf HM, Kairania E, Aslam A, Okon O, El-Saber Batiha G, Welburn SC. COVID-19-Related Mental Health Burdens: Impact of Educational Level and Relationship Status Among Low-Income Earners of Western Uganda. Front Public Health 2021; 9:739270. [PMID: 34900896 PMCID: PMC8663024 DOI: 10.3389/fpubh.2021.739270] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2021] [Accepted: 09/30/2021] [Indexed: 12/02/2022] Open
Abstract
Objective: The study aimed to investigate the relationship between mental health with the level of education, relationship status, and awareness on mental health among low-income earners in Western Uganda. Methods: This was a cross-sectional descriptive study carried out among 253 participants. Anxiety, anger, and depression were assessed using a modified generalized anxiety disorder (GAD-7), Spielberger's State-Trait Anger Expression Inventory-2, and Beck Depression Inventory item tools, respectively. Results: The majority of our respondents were male (n = 150/253, 59.3), had a secondary level of education (104/253, 41.1), and were single (137/253, 54.2). No formal education and primary education (r2 = 47.4% and 6.4%, respectively) had a negative correlation with awareness of mental health care. In addition, no formal education had a positive correlation with anger and depression (r2 = 1.9% and 0.3%, respectively). Singleness in this study had a negative correlation with awareness of mental health care, anger, and depression (r2 = 1.9, 0.8, and 0.3%, respectively), and a positive correlation with anxiety (r2 = 3.9%). Conclusion: It is evident that education and relationship status influenced awareness on mental health care and mental health state among low-income earners in Western Uganda during the first COVID-19 lockdown. Therefore, policymakers should strengthen social transformation through the proper engagement of low-income earners in this COVID-19 era.
Collapse
Affiliation(s)
- Ann Monima Lemuel
- Faculty of Biomedical Sciences, Kampala International University Western Campus, Bushenyi, Uganda
| | - Ibe Michael Usman
- Faculty of Biomedical Sciences, Kampala International University Western Campus, Bushenyi, Uganda
| | - Keneth Iceland Kasozi
- Infection Medicine, Deanery of Biomedical Sciences, College of Medicine and Veterinary Medicine, The University of Edinburgh, Edinburgh, United Kingdom.,School of Medicine, Kabale University, Kabale, Uganda
| | - Saad Alghamdi
- Department of Laboratory Medicine, Faculty of Applied Medical Sciences, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Eric Osamudiamwen Aigbogun
- Department of Public Health Science, Faculty of Science and Technology, Cavendish University, Kampala, Uganda
| | - Victor Archibong
- Faculty of Biomedical Sciences, Kampala International University Western Campus, Bushenyi, Uganda
| | | | - Annet Kabanyoro
- School of Nursing, Kampala International University Teaching Hospital, Bushenyi, Uganda
| | - Josiah Eseoghene Ifie
- Faculty of Biomedical Sciences, Kampala International University Western Campus, Bushenyi, Uganda
| | - Dominic Terkimbi Swase
- Faculty of Biomedical Sciences, Kampala International University Western Campus, Bushenyi, Uganda
| | - Fred Ssempijja
- Faculty of Biomedical Sciences, Kampala International University Western Campus, Bushenyi, Uganda
| | - John Tabakwot Ayuba
- Faculty of Biomedical Sciences, Kampala International University Western Campus, Bushenyi, Uganda
| | - Kevin Matama
- Department of Pharmacology and Toxicology, School of Pharmacy, Kampala International University Western Campus, Kampala, Uganda
| | - Hope Onohuean
- Biopharmaceutics Unit, Department of Pharmacology and Toxicology, School of Pharmacy, Kampala International University, Kampala, Uganda
| | - Stellamaris Kembabazi
- Faculty of Biomedical Sciences, Kampala International University Western Campus, Bushenyi, Uganda
| | - Rachael Henry
- Department of Human Anatomy, College of Medicine and Health Science, Ahmadu Bello University, Zaria, Nigeria
| | - Said Odoma
- Department of Pharmacology and Toxicology, International University, Kampala, Uganda.,Department of Pharmacology, College of Health Sciences, Kogi State University, Anyigba, Nigeria
| | - Helen Yusuf
- Department of Human Anatomy, College of Medicine and Health Science, Ahmadu Bello University, Zaria, Nigeria
| | - Adam Moyosore Afodun
- Department of Anatomy and Cell Biology, Faculty of Health Sciences, Busitema University, Tororo, Uganda
| | - Hamza M Assaggaf
- Department of Laboratory Medicine, Faculty of Applied Medical Sciences, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Emmanuel Kairania
- Department of Anatomy and Cell Biology, Faculty of Health Sciences, Busitema University, Tororo, Uganda
| | - Akhmed Aslam
- Department of Laboratory Medicine, Faculty of Applied Medical Sciences, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Owoisinke Okon
- Department of Public Health, University of Calabar, Calabar, Nigeria
| | - Gaber El-Saber Batiha
- Department of Pharmacology and Therapeutics, Faculty of Veterinary Medicine, Damanhour University, Damanhour, Egypt
| | - Susan Christina Welburn
- Infection Medicine, Deanery of Biomedical Sciences, College of Medicine and Veterinary Medicine, The University of Edinburgh, Edinburgh, United Kingdom.,Zhejiang University-University of Edinburgh Institute, Zhejiang University School of Medicine, Zhejiang University, Haining, China
| |
Collapse
|
2
|
Kasozi KI, Otim EO, Ninsiima HI, Zirintunda G, Tamale A, Ekou J, Musoke GH, Muyinda R, Matama K, Mujinya R, Matovu H, Ssempijja F, Eze ED, Atino M, Udechukwu B, Kayima R, Etiang P, Ayikobua ET, Kembabazi S, Usman IM, Sulaiman SO, Natabo PC, Kyeyune GN, Batiha GES, Otim O. An analysis of heavy metals contamination and estimating the daily intakes of vegetables from Uganda. Toxicology Research and Application 2021. [DOI: 10.1177/2397847320985255] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023] Open
Abstract
Background: Environmental contamination with elevated levels of copper (Cu), cobalt (Co), iron (Fe), zinc (Zn), lead (Pb), chromium (Cr6+), cadmium (Cd), and nickel (Ni)—all states of which are found in Uganda—raises health risk to the public. Pb, Cr6+, Cd, and Ni for instance are generally considered nonessential to cellular functions, notwithstanding the importance of the oxidative state of the metals in bioavailability. As such, we aimed in this study (i) to evaluate heavy metal concentrations in four vegetables from a typical open-air market in Uganda, (ii) to assess the safety of consuming these vegetables against the World Health Organization (WHO) recommended limits of heavy metals consumption, and (iii) to formulate a model of estimated daily intake (EDI) among consumers in the country. Methods: This was a cross-sectional study conducted in five georeferenced markets of Bushenyi district in January 2020. Amaranthus, cabbages, scarlet eggplants, and tomatoes were collected from open markets, processed, and analyzed by atomic absorption spectrometry. Modeled EDI, principal component (PCA) and cluster analysis (CA) were conducted to identify relationships in the samples. Results: The levels of essential elements in the four vegetables were found to fall from Co > Cu > Fe > Zn. Those of non-essential metals were significantly higher and followed the pattern Cd > Cr > Pb > Ni. The highest EDI values were those of Cu in scarlet eggplants, Zn in amaranthus, Fe in amaranthus, Co in amaranthus, Pb in cabbages, total Cr in scarlet eggplant, Cd in cabbages and tomatoes, and Ni in cabbages. In comparison to international limits, EDIs for Zn, Cu, Co and Fe were low while Ni in cabbages were high. PCA showed high variations in scarlet eggplant and amaranthus. The study vegetables were found to be related with each other, not according to the location of the markets from where they were obtained, but according to their species by CA. Conclusion: The presence of non-essential elements above WHO limits raises policy challenges for the consumption and marketing of vegetables in the study area. Furthermore, low EDIs of essential elements in the vegetables create demand for nutritious foods to promote healthy communities.
Collapse
Affiliation(s)
- Keneth Iceland Kasozi
- Faculty of Agriculture and Animal Sciences, Busitema University Arapai Campus, Soroti, Uganda
- School of Medicine, Kabale University, Kabale, Uganda
| | - Eric Oloya Otim
- College of Engineering and Sciences, Purdue University Northwest, Hammond, IN, USA
| | | | - Gerald Zirintunda
- Faculty of Agriculture and Animal Sciences, Busitema University Arapai Campus, Soroti, Uganda
| | - Andrew Tamale
- Department of Wildlife Resources, School of Veterinary Medicine, College of Veterinary Medicine and Biosecurity, Makerere University, Kampala, Uganda
| | - Justin Ekou
- Faculty of Agriculture and Animal Sciences, Busitema University Arapai Campus, Soroti, Uganda
| | - Grace Henry Musoke
- Faculty of Science and Technology, Cavendish University, Kampala, Uganda
| | - Robert Muyinda
- Faculty of Agriculture and Animal Sciences, Busitema University Arapai Campus, Soroti, Uganda
| | - Kevin Matama
- School of Pharmacy, Kampala International University Western Campus, Bushenyi, Uganda
| | - Regan Mujinya
- Faculty of Biomedical Sciences, Kampala International University Western Campus, Bushenyi, Uganda
| | - Henry Matovu
- Faculty of Agriculture and Animal Sciences, Busitema University Arapai Campus, Soroti, Uganda
| | - Fred Ssempijja
- Faculty of Biomedical Sciences, Kampala International University Western Campus, Bushenyi, Uganda
| | | | - Mauryn Atino
- School of Pharmacy, Kampala International University Western Campus, Bushenyi, Uganda
| | - Bede Udechukwu
- School of Pharmacy, Kampala International University Western Campus, Bushenyi, Uganda
| | - Ronald Kayima
- School of Pharmacy, Kampala International University Western Campus, Bushenyi, Uganda
| | - Patrick Etiang
- Faculty of Agriculture and Animal Sciences, Busitema University Arapai Campus, Soroti, Uganda
| | | | - Stellamaris Kembabazi
- Faculty of Biomedical Sciences, Kampala International University Western Campus, Bushenyi, Uganda
| | - Ibe Michael Usman
- Faculty of Biomedical Sciences, Kampala International University Western Campus, Bushenyi, Uganda
| | - Sheu Oluwadare Sulaiman
- Faculty of Biomedical Sciences, Kampala International University Western Campus, Bushenyi, Uganda
- Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Minas Gerais, Brazil
| | - Phyllis Candy Natabo
- Faculty of Biomedical Sciences, Kampala International University Western Campus, Bushenyi, Uganda
| | - Grace Nambatya Kyeyune
- Directorate of Research, Natural Chemotherapeutics Research Institute, Ministry of Health, Kampala, Uganda
| | - Gaber El-Saber Batiha
- Department of Pharmacology and Therapeutics, Faculty of Veterinary Medicine, Damanhour University, Damanhour, AlBeheira, Egypt
| | - Ochan Otim
- Department of Humanities and Sciences, University of California – Los Angeles, CA, USA
- Department of Chemistry, Faculty of Science, Gulu University, Gulu, Uganda
| |
Collapse
|
3
|
Kasozi KI, Welburn SC, Batiha GES, Marraiki N, Nalumenya DP, Namayanja M, Matama K, Zalwango KK, Matovu W, Zirintunda G, Ekou J, Kembabazi S, Mugasa CM, Kitibwa A, Tayebwa DS, Musinguzi SP, Mahero M, Ssengendo I, Nanteza A, Matovu E, MacLeod ET. Molecular epidemiology of anaplasmosis in small ruminants along a human-livestock-wildlife interface in Uganda. Heliyon 2020; 7:e05688. [PMID: 33437885 PMCID: PMC7788096 DOI: 10.1016/j.heliyon.2020.e05688] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2020] [Revised: 09/28/2020] [Accepted: 12/04/2020] [Indexed: 12/14/2022] Open
Abstract
Background Information as regards the epidemiology of the Anaplasmataceae in small ruminants in several low- and middle-income countries is scarce. Methods In this study a total of 712 DNA samples collected from small ruminants were analyzed for Anaplasmataceae and Anaplasma ovis using the 16S rRNA and MSP4 genes respectively. Infection risk was assessed by location, sex and age of the animals and qGIS® was used to construct spatial maps. Results The prevalence of Anaplasmataceae spp was 89.1% (95% CI: 77.5–95.9) and 79.1% (95% CI: 75.9–82.1) in ovines and caprines respectively (RR = 1.1, 95% CI: 1.0–1.3); higher than those previously reported in other eastern African countries. The prevalence of A. ovis was 26.1% and 25.4% for both ovines and caprines respectively with ovines showing significantly higher levels of infection than caprines (P < 0.05). The risk of Anaplasma ovis infections was not affected by age (OR = 1.2, 95% CI: 0.9–1.7) or sex (OR = 1.1, 95% CI: 0.6–2.0). Small ruminants located at the forest edge (<0.3 km) showed higher A. ovis prevalence than those found inland with infections present in the midland regions associated with increased agricultural activity. Conclusion Anaplasma ovis remains a major challenge for small ruminant husbandry in Uganda and infections are under-reported. Policy efforts to prioritize management of Anaplasmataceae for small ruminant health would promote livestock productivity in vulnerable communities, improving livelihoods and ecosystem health.
Collapse
Affiliation(s)
- Keneth Iceland Kasozi
- Infection Medicine, Deanery of Biomedical Sciences, College of Medicine and Veterinary Medicine, The University of Edinburgh, 1 George Square, Edinburgh EH8 9JZ, United Kingdom
- Department of Animal Production and Management, Faculty of Agriculture and Agricultural Sciences, Busitema University Arapai Campus, Box 203 Soroti, Uganda
- School of Medicine, Kabale University, Box 317 Kabale, Uganda
- Corresponding author.
| | - Susan Christina Welburn
- Infection Medicine, Deanery of Biomedical Sciences, College of Medicine and Veterinary Medicine, The University of Edinburgh, 1 George Square, Edinburgh EH8 9JZ, United Kingdom
- Zhejiang University-University of Edinburgh Institute, Zhejiang University School of Medicine, International Campus, 718 East Haizhou Road, Haining 314400, China
| | - Gaber El-Saber Batiha
- Department of Pharmacology and Therapeutics, Faculty of Veterinary Medicine, Damanhour University, Damanhour 22511, AlBeheira, Egypt
| | - Najat Marraiki
- Department of Botany and Microbiology, College of Science, King Saud University, Riyadh 11451, Saudi Arabia
| | - David Paul Nalumenya
- College of Veterinary Medicine Animal Resources and Biosecurity, Makerere University, Box 7062 Kampala, Uganda
| | - Monica Namayanja
- College of Veterinary Medicine Animal Resources and Biosecurity, Makerere University, Box 7062 Kampala, Uganda
| | - Kevin Matama
- Kampala International University Western Campus, Box 71 Bushenyi, Uganda
| | - Kelly Katenta Zalwango
- College of Veterinary Medicine Animal Resources and Biosecurity, Makerere University, Box 7062 Kampala, Uganda
| | - Wycliff Matovu
- College of Veterinary Medicine Animal Resources and Biosecurity, Makerere University, Box 7062 Kampala, Uganda
| | - Gerald Zirintunda
- Department of Animal Production and Management, Faculty of Agriculture and Agricultural Sciences, Busitema University Arapai Campus, Box 203 Soroti, Uganda
| | - Justine Ekou
- Department of Animal Production and Management, Faculty of Agriculture and Agricultural Sciences, Busitema University Arapai Campus, Box 203 Soroti, Uganda
| | | | - Claire Mack Mugasa
- College of Veterinary Medicine Animal Resources and Biosecurity, Makerere University, Box 7062 Kampala, Uganda
| | - Annah Kitibwa
- College of Veterinary Medicine Animal Resources and Biosecurity, Makerere University, Box 7062 Kampala, Uganda
| | - Dickson Stuart Tayebwa
- College of Veterinary Medicine Animal Resources and Biosecurity, Makerere University, Box 7062 Kampala, Uganda
| | - Simon Peter Musinguzi
- Faculty of Agriculture and Environmental Sciences, Kabale University, Box 315 Kabale, Uganda
| | - Michael Mahero
- Department of Veterinary Population Medicine, College of Veterinary Medicine, University of Minnesota, USA
| | - Ibrahim Ssengendo
- Kampala International University Western Campus, Box 71 Bushenyi, Uganda
| | - Anne Nanteza
- College of Veterinary Medicine Animal Resources and Biosecurity, Makerere University, Box 7062 Kampala, Uganda
| | - Enock Matovu
- College of Veterinary Medicine Animal Resources and Biosecurity, Makerere University, Box 7062 Kampala, Uganda
| | - Ewan Thomas MacLeod
- Infection Medicine, Deanery of Biomedical Sciences, College of Medicine and Veterinary Medicine, The University of Edinburgh, 1 George Square, Edinburgh EH8 9JZ, United Kingdom
| |
Collapse
|
4
|
Usman IM, Ssempijja F, Ssebuufu R, Lemuel AM, Archibong VB, Ayikobua ET, Aruwa JO, Kembabazi S, Kegoye ES, Ayuba JT, Okeniran OS, Echoru I, Adeoye A, Mujinya R, Nankya V, Kasozi KI. Community Drivers Affecting Adherence to WHO Guidelines Against COVID-19 Amongst Rural Ugandan Market Vendors. Front Public Health 2020; 8:340. [PMID: 32733839 PMCID: PMC7357280 DOI: 10.3389/fpubh.2020.00340] [Citation(s) in RCA: 29] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2020] [Accepted: 06/17/2020] [Indexed: 11/23/2022] Open
Abstract
Background: Market vendors occupy a strategic position in the fight against the spread of SARS CoV-2 in rural Uganda. To successfully contain the spread of the virus, special attention needs to be given to this set of people by assessing the type of information, source of information, and practices they inculcate as regards adherence to WHO guidelines in the fight against COVID-19 in Uganda. The study aimed to assess the role of information sources, education level, and phone internet connectivity in influencing COVID-19 knowledge among the rural market vendors; and the relationship existing between knowledge, attitude, and practices among them. Methods: The study was a descriptive cross-sectional study among rural market vendors (n = 248) in southwestern Uganda. Information was collected using a questionnaire and descriptively presented as frequency and percentages. Results: The study showed that the majority of the rural market vendors had sufficient information regarding COVID-19 with the majority being female individuals and have attained a secondary level of education, The general percentage score for knowledge, attitude, and practices were (75.57, 82.6, and 76.50% respectively). There was a positive correlation between attitude and practices (r = 0.17, p = 0.007), as well as their knowledge with practices (r = 0.29, p < 0.001). The majority of the people in the population did not have their phones connected to the internet (OR = 1.96, 95%CI: 1.16-3.31, P = 0.01). The majority of people received their information regarding COVID-19 from one source (radio) (OR = 1.55). Conclusion: Where and how the rural market vendors get their information and education level are vital in breaking COVID 19 infection circle in line with WHO guidelines. Therefore, sources of information and education level played a key role in molding their knowledge and practices. However, the level of knowledge on COVID 19 among our respondents was not linked with phone internet connectivity.
Collapse
Affiliation(s)
- Ibe Michael Usman
- Faculty of Biomedicals Sciences, Kampala International University Western Campus, Bushenyi, Uganda
| | - Fred Ssempijja
- Faculty of Biomedicals Sciences, Kampala International University Western Campus, Bushenyi, Uganda
| | - Robinson Ssebuufu
- Faculty of Clinical Medicine and Dentistry, Kampala International University Teaching Hospital, Bushenyi, Uganda
| | - Ann Monima Lemuel
- Faculty of Biomedicals Sciences, Kampala International University Western Campus, Bushenyi, Uganda
| | - Victor Bassey Archibong
- Faculty of Biomedicals Sciences, Kampala International University Western Campus, Bushenyi, Uganda
| | | | - Joshua Ojodale Aruwa
- Faculty of Biomedicals Sciences, Kampala International University Western Campus, Bushenyi, Uganda
| | - Stellamaris Kembabazi
- Faculty of Biomedicals Sciences, Kampala International University Western Campus, Bushenyi, Uganda
| | - Eric Simidi Kegoye
- Faculty of Biomedicals Sciences, Kampala International University Western Campus, Bushenyi, Uganda
| | - John Tabakwot Ayuba
- Faculty of Biomedicals Sciences, Kampala International University Western Campus, Bushenyi, Uganda
| | - Olatayo Segun Okeniran
- Faculty of Biomedicals Sciences, Kampala International University Western Campus, Bushenyi, Uganda
| | - Isaac Echoru
- School of Medicine, Kabale University, Kabale, Uganda
| | - Azeez Adeoye
- Faculty of Biomedicals Sciences, Kampala International University Western Campus, Bushenyi, Uganda
| | - Regan Mujinya
- Faculty of Biomedicals Sciences, Kampala International University Western Campus, Bushenyi, Uganda
| | - Viola Nankya
- School of Nursing, Kampala International University Teaching Hospital, Bushenyi, Uganda
| | - Keneth Iceland Kasozi
- Faculty of Biomedicals Sciences, Kampala International University Western Campus, Bushenyi, Uganda
- Infection Medicine, Deanery of Biomedical Sciences, College of Medicine and Veterinary Medicine, The University of Edinburgh, Edinburgh, United Kingdom
| |
Collapse
|