Heba Mamdouh - Academia.edu (original) (raw)

Papers by Heba Mamdouh

Healthcare

Background: Non-communicable diseases (NCDs) are the leading causes of death worldwide. In the UA... more Background: Non-communicable diseases (NCDs) are the leading causes of death worldwide. In the UAE, NCDs account for nearly 77% of all deaths. There is limited empirical research on this topic in the UAE. We aimed to examine the association of non-communicable diseases and the sociodemographic characteristics among the adult population of Dubai. Methods: The study used secondary data from the Dubai Household Health Survey (DHHS), 2019. DHHS is a cross-sectional complex design, stratified by geographic area, and uses multistage probability sampling. In this survey, 2247 families were interviewed and only adults aged 18+ were included for the analysis. The quasi-binomial distribution was used to identify the socio-demographic characteristics association with NCDs. Results: The prevalence of NCDs among the adult population of Dubai was 15.01%. Individuals aged 60+, local Arabs (Emirati), divorced and widowed individuals, and individuals who were not currently working reported NCDs more...

Journal of Diabetes, Metabolic Disorders & Control

Asian Journal of Medicine and Health

Background: The world has endured a high burden of mortality and morbidity due to Covid-19 over t... more Background: The world has endured a high burden of mortality and morbidity due to Covid-19 over the last year. There may be factors that account for differences in mortality rates. The Gulf Corporation Council (GCC) countries share similar cultural identities, socioeconomic conditions, population structure and display similar health-status composition of their population. There is a demand for data on the differentials of the COVID-19 pandemic across all countries. This statistical analysis primarily compared the crude mortality rates, and estimates the relative risk of COVID-19 death rates across the GCC countries using longitudinal study design. Methods: This statistical analysis used downloaded data from Our World in Data, which was last updated on November 19, 2020. We computed COVID-19 crude mortality rates for the GCC countries individually. We estimated COVID-19 death rates for the GCC countries and compared them to the reference largest country Saudi Arabia. To adjust for mo...

Journal of High Institute of Public Health

BioMed Research International, 2017

The objectives of this study were to estimate the burden of diabetes and to explore the adverse p... more The objectives of this study were to estimate the burden of diabetes and to explore the adverse pregnancy outcomes associated with pregestational diabetes mellitus (pre-GDM) and gestational diabetes mellitus (GDM) among the Saudi pregnant population. In this subcohort, we compared the maternal and the neonatal outcomes of diabetic women with pre-GDM and GDM to the outcomes of nondiabetic mothers who delivered during the same period. From the total cohort, 9723 women participated in this study. Of the participants, 24.2% had GDM, 4.3% had pre-GDM, and 6951 were nondiabetic. After adjustment for confounders, women with GDM had increased odds of delivering a macrosomic baby (OR: 1.6; 95% CI: 1.2–2.1). Women with pre-GDM were more likely to deliver by Cesarean section (OR: 1.65; CI: 1.32–2.07) and to have preterm delivery < 37 weeks (OR: 2.1; CI: 1.5–2.8). Neonates of mothers with pre-GDM were at increased risk of being stillbirth (OR: 3.66; CI: 1.98–6.72), at increased risk of admis...

In many parts of the world, adolescents are poorly informed about their health, bodies, sexuality... more In many parts of the world, adolescents are poorly informed about their health, bodies, sexuality, and physical well-being. Adolescent girls in particular are often kept from learning about sexuality and repro-ductive health (SRH) issues because of cultural and religious sensitivities. This is particularly true in Egypt, where adolescents are often reluctant to ask for SRH information from adults in their families, communities, or in professional settings. 1 International studies show that parents are among the preferred sources of SRH education for adoles-cents around the world, and improving the quality of communication between parents and adolescents can protect adolescents from risky behavior. 2 This working paper presents key findings from a study conducted in Egypt in the spring of 2011 on the frequency and quality of communication about SRH issues between mothers and adolescent daughters. The findings suggest that communication between mothers and daughters and knowledge abou...

One-third of Egyptian women have been physically abused by their husbands, according to the 2005 ... more One-third of Egyptian women have been physically abused by their husbands, according to the 2005 Egypt Demographic and Health Survey; and 7 percent said they are beaten "often." These women mostly suffered silently and did not seek help (see Figure 1). 1 Violence against women is a costly and pervasive public health problem and a violation of human rights. It is often referred to as "gender-based vio-lence" because it stems from women's subordinate status in the family and society. The abuse can take many forms (see Box 1, page 2). Violence against women, whether perpetrated by husbands or others, and whether it happens inside or outside the home, undermines women's health and well-being. It can also have far-reaching and long-term consequences for the women's children and for society. 2 Today, patriarchal norms continue to relegate many Egyptian women to a subordinate position relative to men, providing fertile ground for men's abusive and damagi...

Eastern Mediterranean health journal = La revue de santé de la Méditerranée orientale = al-Majallah al-ṣiḥḥīyah li-sharq al-mutawassiṭ, 2012

We conducted a cross-sectional survey to determine the prevalence of, and factors affecting, spou... more We conducted a cross-sectional survey to determine the prevalence of, and factors affecting, spousal violence among 3271 ever-married women attending 12 randomly selected family health centres in Alexandria Governorate. More than three-quarters of the participants (77%) reported experiencing spousal violence during their marital life. Emotional violence was the most common type reported (71.0%), followed by physical (50.3%), economic (40.8%) and sexual (37.1%) violence. The study confirms the high prevalence of spousal violence across all socioeconomic strata. Logistic regression analysis indicated large family size, divorce or separation, low educational attainment of husband, smoking habit and drug use in husband, husband's psychological status and history of exposure to physical violence during adolescence were associated with spousal violence. This high rate of spousal violence highlights the urgent need for government and civil society to address the issue, which hinders pr...

Journal of Family and Community Medicine, 2014

European Journal of Cancer, 2011

Advances in understanding the epidemiology of endometriosis have lagged behind other diseases bec... more Advances in understanding the epidemiology of endometriosis have lagged behind other diseases because of methodological problems related to disease definition and control selection. To identify possible risk factors associated with the development of endometriosis among a sample of Egyptian women. A case-control study was conducted in the University Maternity Hospital and some private hospitals in Alexandria. The sample included 110 cases recently diagnosed with endometriosis and 220 hospital-based, age-matched controls. Using the logistic regression analysis, nulligravidae were four times more likely to develop endometriosis than gravid women [adjusted odds ratio (AOR)=4.0, 95% confidence interval (CI) (2.2-7.6)]. Short cycles were associated with approximately six times increase in risk of endometriosis [AOR=6.1, 95% CI (2.9-12.8)]. Women with irregular cycles were three times more likely to develop endometriosis than women with regular cycles [AOR=3.5, 95% CI (1.89-6.71)]. Similarly, women with a history of irritable bowel syndrome were twice as likely to develop endometriosis [AOR=1.9, 95% CI (1.03-3.87)]. Women who had one or more relatives with endometriosis were 1.2 times more likely to develop endometriosis [AOR=1.2, 95% CI (1.19-1.43)]. Nulliparous and women reporting short and irregular cycles were at a significantly increased risk of developing endometriosis. A weak association between reported family history of endometriosis and history of irritable bowel syndrome and the development of endometriosis was also observed. Designing and implementing health education programs about endometriosis and its related risk factors should be a priority to ensure early diagnosis of the disease.

BMJ open, Jan 11, 2017

To investigate the impact of maternal age on pregnancy outcomes with special emphasis on adolesce... more To investigate the impact of maternal age on pregnancy outcomes with special emphasis on adolescents and older mothers and to investigate the differences in demographic profile between adolescents and older mothers. This study is a secondary analysis of pregnancy outcomes of women in Riyadh Mother and Baby cohort study according to maternal age. The study population was grouped according to maternal age into five subgroups; <20, 20-29, 30-34, 35-39 and 40+years. The age group 20-29 years was considered as a reference group. Investigation of maternal age impact on maternal and neonatal outcomes was conducted with adjustment of confounders using regression models. All mothers were married when conceived with the index pregnancy. Young mothers were less likely to be illiterate, more likely to achieve higher education and be employed compared with mothers ≥ 40 years. Compared with the reference group, adolescents were more likely to have vaginal delivery (and least likely to deliver ...

Schlüsselwörter Brustkrebs · Brustselbstuntersuchung · Brust-Bewusstsein · Wissen · Ägypten Zusam... more Schlüsselwörter Brustkrebs · Brustselbstuntersuchung · Brust-Bewusstsein · Wissen · Ägypten Zusammenfassung Hintergrund: Brustkrebs (BC) ist die am häufigsten auf-tretende Krebsart bei Frauen in Ägypten. Ziel dieser Studie war die Bestimmung der Wirksamkeit eines Gesundheitserziehungsprogramms zur Erhöhung der Kenntnisse im Zusammenhang mit BC, dessen Risiko-faktoren und einigen BC-bezogenen präventiven Ver-haltensweisen bei Frauen, die in einem städtischen Slum-Gebiet in Alexandria leben. Patienten und Metho-den: Eine Prä-/post-Test-Interventionsstudie wurde während der Jahre 2009–2010 bei einer Stichprobe von 30-bis 65-jährigen Frauen (n = 486), die in einem Ar-menviertel in Alexandria, Ägypten leben, durchgeführt. 20 Sitzungen zur Gesundheitserziehung wurden durch-geführt, um die Frauen über BC-Risikofaktoren und ei-nige vorbeugende Verhaltensweisen aufzuklären. Zuvor ausgebildete Krankenschwestern trainierten die Frauen der Stichprobe in Brustselbstuntersuchung (BSE). Das Wissen und die Meinung der Frauen über BC sowie ihre Praxis der BSE wurden vor der Intervention und 3 Mo-nate danach bewertet. Ergebnisse: Die Ergebnisse zei-gen eine signifikante Zunahme in den Kenntnissen in Bezug auf BC und eine höhere Meinung in Bezug auf einige BC-Risikofaktoren. Nach der Intervention wurde eine deutliche Steigerung in der Praxis der BSE beob-achtet. Schlussfolgerung: Diese Studie bestätigt die Wirksamkeit von Interventionsprogrammen zur Verbes-serung der Kenntnisse über Risikofaktoren, BC und die Praxis der BSE auch in einer Gruppe von Frauen mit niedrigem Alphabetisierungsgrad, die in einer benach-teiligten Gemeinde leben. Keywords Breast cancer · Breast self-examination · Breast awareness · Knowledge · Egypt Summary Background: Breast Cancer (BC) is the most frequently occurring cancer among Egyptian women. This study aimed to determine the effectiveness of a health education program on raising the knowledge related to BC, its risk factors, and some related preventive practices among women living in an urban slum area in Alexan-dria. Patients and Methods: A pre-/post-test interven-tional study was conducted during 2009–2010 on a random sample of women aged 30–65 years (n = 486) living in a slum area in Alexandria, Egypt. 20 health education sessions were carried out to educate the women on BC risk factors and some preventive practices. Previously trained nurses educated the sampled women on breast self-examination (BSE). The women's knowledge and opinion about BC and their practice of BSE were evaluated before and 3 months after the intervention. Results: The findings indicated a significant increase in the mean knowledge score regarding BC and the mean opinion score regarding some BC risk factors. A significant increase in the practice of BSE was observed post intervention. Conclusion: This study confirms the effectiveness of intervention programs in improving the knowledge about BC risk factors and practice of BSE even in a group of women with a low literacy rate living in a slum area.