scholarly journals Contribution of livestock marketing chains and role played by stakeholders’ knowledge, attitude and practice in spreading cystic hydatidosis to Busia Town, Kenya, 2018

2019 ◽  
Author(s):  
Henry Joash Ogutu ◽  
Maurice Owiny ◽  
Bernard Bett ◽  
Christina Otieno
Keyword(s):  
Public Health ◽  
Close Contact ◽  
P Value ◽  
Cross Sectional ◽  
Livestock Marketing ◽  
Cystic Hydatidosis ◽  
Pastoral Communities ◽  
Communication Campaigns ◽  
Marketing Chains ◽  
Abattoir Workers

AbstractBackgroundCystic hydatidosis (CH), a neglected parasitic zoonosis, is endemic in many parts of Kenya and could be spread along livestock marketing chains. Poor knowledge, attitude and practices (KAP) enables this spread in remote areas with inadequate public health services. We estimated prevalence, identified possible origin of CH to Busia, Kenya and assessed KAP among cattle owners and abattoir workers.Methods and Principal FindingsWe conducted a cross-sectional study on slaughtered livestock and interviewed their owners and abattoir workers in Busia in May–June 2018. We used visual observation, palpation and incision to identify cysts. Polymerase chain reaction (PCR) was used for confirmatory diagnosis. Epi Info 7 was used to calculate descriptive and associative statistics. Of 302 carcasses inspected, cysts were visualized in nine (2.98%, 95% Confidence Interval (CI): 1.46–5.78). Fourteen samples were collected and 13 (92.86%) were positive on PCR (sensitivity=92%, specificity=95%). All carcasses with cysts were from West Pokot County, which borders Busia to the north. We interviewed 310 participants: 260 were males (83.87%, 95% CI: 79.19 – 87.69); median age was 41 years (range=21-69). Dogs were kept by 221 (71.99%, 95% CI: 66.55 – 76.87), of which 83 (37.56%, 95% CI: 28.33 – 48.52) improperly disposed of dog faeces. Home slaughtering was practiced by 196 (63.23%, 95% CI: 58.78-69.80), of which 115 (58.67%, 95% CI: 51.44-65.64) were not inspected and 85 (43.37%, 95% CI: 36.32-50.62) fed raw organs to dogs. Adequate knowledge was associated with butcher ownership (P-value = 0.002), age ≥35 years (P-value = 0.002) and higher literacy level (P-value <0.001).Conclusions and SignificanceThere is non-negligible risk of CH in Busia communities which might worsen with time given that the county is connected to endemic areas through livestock trade. Poor KAP by the people on the disease calls for need to implement information, education and communication campaigns to improve KAP on CH in the area.Author summaryCystic hydatidosis is a globally neglected parasitic zoonosis which is endemic in many parts of the world including Kenya. It is majorly a problem among pastoral communities where there is close contact between human, livestock and dogs. Busia County, in Western Kenya is part of a livestock marketing chain between Kenya and Uganda. Animals from high endemic regions in Uganda and Kenya can easily spread the parasite to Busia through improper disposal of their infested organs. Non-pastoral communities like Busia may not have much cumulative experience about the disease though their practices may contribute to the perpetuation of the parasite in their environment. The parasite is gradually spreading to new areas and it is very important to the public health players in Kenya to take action so as to prevent further spread of this disease. Findings from this study show that the disease is no longer limited to pastoral communities only. There is need for the implementation of information, education and communication campaigns to improve the knowledge, attitude and practices of Busia community and other non-endemic regions on the disease.

The relationship betweenparityand the incident of perinealruptures on women’s physiological maternity

2019 ◽  
Vol 1 (2) ◽  
Author(s):  
Evi Rosita ◽  
Siti Nurnaningrum
Keyword(s):  
Public Health ◽  
Health Center ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Midwifery Care ◽  
Public Health Center ◽  
Record Data ◽  
The Relationship ◽  
Very High

There are about 2.8 million incident of perineal rupture in maternal physiological labor. In 2050,it is estimated that the incidence of perineal rupture can be 6.3 million if it is not accompanied by a good midwifery care. In 2016, in Trawas, there was (89%) perineal rupture in primiparas and (57%) perineal rupture in multiparas. Perineal rupture incidences due to parity were still very high. This study aims to analyze the relationship between parity and the incidence of perineal rupture . It is quantitative studyusing a cross sectional approach, by using analysis of physiological maternity women  medical record data from January to April 2017 of 130 peoplein Trawas Public Health Center, Mojokerto Regency.The dataanalysis used was Chi - Square , indicated by p value = 0,000 with ɑ = 0,05. It means that the value of p <ɑ, so H1 is accepted. It can be concluded that there is a relationship between parity and the incidence of perineal rupture on physiological maternity women in Trawas Public Health Center,Mojokerto Regency. Midwives can apply collaboration with patients and their families to have physical and psychologicalpreparation with an alternative of hypnobirthing methods.

Digital Health Engagement in the US Population: Insights From the 2018 Health Information National Trends Survey

2021 ◽  
pp. e1-e4
Author(s):  
Chelsea L. Ratcliff ◽  
Melinda Krakow ◽  
Alexandra Greenberg-Worisek ◽  
Bradford W. Hesse
Keyword(s):  
Public Health ◽  
Health Information ◽  
Health Care Providers ◽  
Digital Health ◽  
Smart Device ◽  
P Value ◽  
Care Providers ◽  
Cross Sectional ◽  
The Us ◽  
National Trends

Objectives. To examine prevalence and predictors of digital health engagement among the US population. Methods. We analyzed nationally representative cross-sectional data on 7 digital health engagement behaviors, as well as demographic and socioeconomic predictors, from the Health Information National Trends Survey (HINTS 5, cycle 2, collected in 2018; n = 2698–3504). We fitted multivariable logistic regression models using weighted survey responses to generate population estimates. Results. Digitally seeking health information (70.14%) was relatively common, whereas using health apps (39.53%) and using a digital device to track health metrics (35.37%) or health goal progress (38.99%) were less common. Digitally communicating with one’s health care providers (35.58%) was moderate, whereas sharing health data with providers (17.20%) and sharing health information on social media (14.02%) were uncommon. Being female, younger than 65 years, a college graduate, and a smart device owner positively predicted several digital health engagement behaviors (odds ratio range = 0.09–4.21; P value range < .001–.03). Conclusions. Many public health goals depend on a digitally engaged populace. These data highlight potential barriers to 7 key digital engagement behaviors that could be targeted for intervention. (Am J Public Health. Published online ahead of print May 20, 2021: e1–e4. https://doi.org/10.2105/AJPH.2021.306282 )

HUBUNGAN TINGKAT PENGETAHUAN MENGENAI DIET HIPERTENSI TERHADAP KEJADIAN HIPERTENSI PADA LANSIA DI PUSKESMAS BALOI PERMAI BATAM KOTA

2020 ◽  
Vol 9 (1) ◽  
pp. 50-60
Author(s):  
Brain Guntoro ◽  
Kasih Purwati
Keyword(s):  
Public Health ◽  
Health Center ◽  
The Elderly ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Public Health Center ◽  
Chi Square Test ◽  
History Of ◽  
Level Of Knowledge

Hypertension is one of the number one causes of death and disability in the world. Hypertension contributes nearly 9.4 million deaths from cardiovascular disease each year. Hypertension can cause undesirable effects, it needs good handling, one of them is by doing a hypertension diet. To carry out a hypertension diet requires knowledge, lack of knowledge can increase risk factors for hypertension. This study aims to determine the relationship of the level of knowledge about hypertension diet to the incidence of hypertension in the elderly at the Baloi Permai Public Health Center Batam City. This research method is an analytic observational with a cross-sectional approach conducted at the Baloi Permai Public Health Center Batam City 2018. Sampling technique is a total sampling with a sample of 64 people in 2018 determined by inclusion and exclusion criteria. The results of the study were analyzed with frequency distribution and then tested with the Chi-square test. Based on the results of this study indicate that of the 64 respondents found elderly who have a good level of knowledge are 41 people (64.1%), 48 people (75.0%) have an age range between 60-70 years. 27 people (42.2%) elderly have the last high school education and 40 people (62.5%) have jobs as entrepreneurs. Elderly people who have normal blood pressure are 40 people (62.5%), and those affected by hypertension are 24 people (37.5%). The elderly who have a family history of hypertension is 21 people (32.8%) and those who do not have a history of hypertension are 43 people (67.2%). Chi-Square Test analysis results show the significance value p = 0.009. This number is significant because the p-value is smaller than the significance level (α) ≤ 5% (0.05), so H0 is rejected and Ha is accepted. Therefore it can be concluded that there is a significant relationship about the level of knowledge about the hypertension diet to the incidence of hypertension in the elderly. From the results of this study it was concluded that there was a relationship between the level of knowledge about the hypertension diet and the incidence of hypertension in the elderly at the Baloi Permai Public Health Center Batam City in 2016.

scholarly journals Analisis faktor kejadian wasting pada anak balita 12-59 bulan di Puskesmas Bulili Kota Palu: Studi cross sectional

2021 ◽  
Vol 6 (2) ◽  
pp. 111
Author(s):  
Hepti Muliyati ◽  
Menis Mbali ◽  
Hadidja Bando ◽  
Riana Pangestu Utami ◽  
Opyn Mananta
Keyword(s):  
Public Health ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Public Health Problem ◽  
Sampling Technique ◽  
P Value ◽  
Fisher Exact Test ◽  
Important Public Health Problem ◽  
Cross Sectional ◽  
Exact Test

Wasting on children is an important public health problem because of its considerable impact on their health and growth. This problem could lead to iron deficiency which could induce infection disease and probably lower a child’s intelligence as a long-term effect. This study aimed to analyze factors related to wasting on 12-59 months children in Bulili Public Health Center (PHC), Palu City. The analytical descriptive study designed with a cross-sectional approach was applied in this study. One hundred and twenty-one subject was selected from 283 children with purposive sampling technique. Data were analyzed with chi-square and Fisher exact test with significant (p < 0,05). The result showed that most children with low birth weight experienced wasting with a p-value = 0,000. Most of the children from higher-income families did not experience wasting with a p-value = 0,004. Most children who didn’t receive breastfeeding milk did not experience wasting with a p-value = 0,958. This study concluded a correlation between low birth weight and income to wasting, but breastfeeding practice was not related.

scholarly journals Analisis Hubungan Sikap dan Pengetahuan Keluarga dengan Penerapan Program Indonesia Sehat dengan Pendekatan Keluarga

2020 ◽  
Vol 5 (1) ◽  
pp. 13
Author(s):  
Ifon Driposwana Putra ◽  
Ulfa Hasana
Keyword(s):  
Public Health ◽  
The Other ◽  
Bivariate Analysis ◽  
P Value ◽  
Cross Sectional ◽  
Family Approach ◽  
Low Degree ◽  
The Government ◽  
The Relationship ◽  
Improve Health

<p><em>The government has proclaimed Healthy Indonesia Program with Family Approach (PIS-PK), aiming to improve health level of its people; howeverthe implementation is far from satisfying and not equally distributed so that there is still a low degree of public health. This study aims to analyze the relationship between attitudes and family knowledge with the adoption of the Healthy Indonesia Program with a family approach in Pekanbaru. The type of research is descriptive correlation with cross sectional approach. The sample in this study was 100 families. The result of bivariate analysis showed that there was a significant correlation between family’s attitudes toward PIS-PK, with p value of 0.018. On the other hand, it also showed that there was no significant correlation between family’s knowledge toward PIS-PK, with p value only 0.159. It is hoped that this study can be used as leaning materials, references for health officers, as well as suggestions regarding the implementation of PIS-PK</em></p><p><em><em>Pemerintah telah membuat Program Indonesia Sehat melalui penedekatan keluarga (PIS-PK) dengan tujuan agar meningkatnya derajat kesehatan masyarakat, namun dalam penerapannya masih belum maksimal dan merata sehingga masih terdapat derajat kesehatan masyarakat yang masih rendah. Penelitian ini bertujuan untuk menganalisis hubungan sikap dan pengetahuan keluarga dengan penerapan Program Indonesia Sehat dengan pendekatan keluarga di Pekanbaru. Jenis penelitian desktiptif korelasi dengan pendekatan cross sectional. Sampel dalam penelitian ini adalah 100 Keluarga. Hasil analisis bivariat didapatkan bahwa ada hubungan yang signifikan antara sikap keluarga dengan penerapan PIS-PKmdengan p value adalah 0,018. Didapatkan juga bahwa tidak ada hubungan yang signifikan antara pengetahuan keluarga dengan penerapan PIS-PK dengan nilai p value adalah 0,159. Hasil penelitian ini dapat dijadikan bahan ajar dan menjadi acuan oleh petugas kesehatan serta menjadi masukan untuk dalam penerapan PIS-PK</em></em></p>

scholarly journals Noncommunicable Disease Service Utilization among Expatriate Patients in Thailand: An Analysis of Hospital Service Data, 2014–2018

2021 ◽  
Vol 18 (18) ◽  
pp. 9721
Author(s):  
Anon Khunakorncharatphong ◽  
Nareerut Pudpong ◽  
Rapeepong Suphanchaimat ◽  
Sataporn Julchoo ◽  
Mathudara Phaiyarom ◽  
...  
Keyword(s):  
Public Health ◽  
Service Utilization ◽  
Well Being ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Noncommunicable Disease ◽  
Noncommunicable Diseases ◽  
P Value ◽  
Health Coverage ◽  
Cross Sectional

Global morbidity associated with noncommunicable diseases (NCDs) has increased over the years. In Thailand, NCDs are among the most prevalent of all health problems, and affect both Thai citizens and non-Thai residents, such as expatriates. Key barriers to NCD health service utilization among expatriates include cultural and language differences. This study aimed to describe the situation and factors associated with NCD service utilizations among expatriate patients in Thailand. We employed a cross-sectional study design and used the service records of public hospitals from the Ministry of Public Health (MOPH) during the fiscal years 2014–2018. The focus of this study was on expatriates or those who had stayed in Thailand for at least three months. The results showed that, after 2014, there was an increasing trend in NCD service utilizations among expatriate patients for both outpatient (OP) and inpatient (IP) care. For OP care, Cambodia, Laos PDR, Myanmar, and Vietnam (CLMV) expatriates had fewer odds of NCD service utilization, relative to non-CLMV expatriates (p-value < 0.001). For IP care, males tended to have greater odds of NCD service utilization compared with females (AdjOR = 1.35, 95% CI = 1.05–1.74, p-value = 0.019). Increasing age showed a significant association with NCD service utilization. In addition, there was a growing trend of the NCD prevalence amongst expatriate patients. This issue points to a need for prompt public health actions if Thailand aims to have all people on its soil protected with universal health coverage for their well-being, as stipulated in the Sustainable Development Goals. Future studies that aim to collect primary evidence of expatriates at the household level should be conducted. Additional research on other societal factors that may help provide a better insight into access to healthcare for NCDs, such as socioeconomic status, beliefs, and attitudes, should be conducted.

scholarly journals Hubungan Kesiapan Keluarga Menerima Klien Dengan Gangguan Jiwa Terhadap Angka Kekambuhan Pada Klien Gangguan Jiwa Di Poliklinik Rumah Sakit Jiwa Sambang Lihum Tahun 2018

2019 ◽  
Vol 10 (2) ◽  
pp. 745-457
Author(s):  
Muhammad Saputra
Keyword(s):  
Public Health ◽  
Health Care ◽  
Mental Disorders ◽  
P Value ◽  
Mental Impairment ◽  
Cross Sectional ◽  
Spearman Rank ◽  
The Family ◽  
Family Readiness ◽  
To Receive

Latar belakang : Gangguan jiwa merupakan salah satu masalah kesehatan masyarakat di Indonesia. Klien gangguan jiwa dicirikan dengan siklus kekambuhan yang mencapai 60-75% dari keseluruhan penderita. Kekambuhan klien masih tinggi dapat dipengaruhi faktor kesiapan keluarga dalam menerima klien gangguan jiwa.Tujuan Penelitian : Penelitian ini bertujuan untuk mengetahui hubungan kesiapan keluarga menerima klien dengan gangguan jiwa terhadap angka kekambuhan pada klien gangguan jiwa di Poliklinik Rumah Sakit Jiwa Sambang LihumMetode penelitian :  analitik dengan rancangan cross sectional. Populasi adalah seluruh keluarga (keluarga inti) klien gangguan jiwa di Poliklinik Rumah Sakit Jiwa Sambang Lihum yang berjumlah 1.751 orang. Sampel sebagian dari populasi sebanyak 97 orang dengan teknik pengambilan puposive sampling. Analisis data melalui uji Spearman Rank dengan tingkat kepercayaan 95%.Hasil penelitian Didapatkan keluarga klien gangguan jiwa sebagian besar siap dalam menerima klien gangguan jiwa sebanyak 77 orang (79,4%) dan angka kekambuhan klien gangguan jiwa sebagian besar kategori sedang sebanyak 65 orang (67%). Ada hubungan kesiapan keluarga dalam menerima klien dengan angka kekambuhan pada klien gangguan jiwa di Poliklinik Rumah Sakit Jiwa Sambang Lihum Provinsi Kalimantan Selatan (p value = 0,000; r = 0,744).Saran : rumah sakit hendaknya memberikan sosialisasi misalnya melalui kegiatan peningkatan home visite kepada keluarga pasien untuk meningkatkan kesiapan keluarga untuk menerima klien. Kata Kunci : Angka Kekambuhan, Kesiapan Menerima Klien.Background : Mental disorders is one of the problems of public health in Indonesia. The mental impairment client is characterized by a relapse cycle that reaches 60-75% of the sufferer. Client relapse is still high can be influenced by family readiness factor in receiving the client's mental disorders.Research objectives : PEnelitian aims to know the family readiness relationship to receive clients with a mental impairment on the number of relapse in Mental disorders in the clinic of mental illness in Sambang LihumResearch method :       cross sectional analytic. Population is the whole family (core family) of the clients of mental disorders in the polyclinic of the Sambang Lihum psychiatric hospital amounting to 1,751 people. Samples of a portion of the population of 97 people    with        puposive    samplingtechniques. Analysis of data by Test  Spearman Rank    with a trust rate of 95%.The results obtained by the family of mental disorders clients are mostly ready in receiving clients of mental disorders as much as 77 people (79.4%) and the number of mental impairment clients of most categories is currently 65 people (67%). There is a family readiness relationship in accepting clients with a number of relapse on the client's mental disorder in the clinic of health care Sambang Lihum South Kalimantan Province (P  value  = 0.000; r = 0.744).Suggestion : RHospital should provide socialization e.g. through  home visite   Improvement activities to the patient family to improve the family readiness to receive clients. Keywords: number of relapse, readiness of accepting clients

scholarly journals The Relationship Of The Utilization Of Sanitation Clinic With The Prevention Of Upper Respiratory Tract Infection Disease In Majasem Public Health Center Working Area Cirebon City 2019

2019 ◽  
Vol 6 (2) ◽  
pp. 22-26
Author(s):  
Dina Aulya Wahab ◽  
Mitha Erlisya Puspandhani ◽  
Shella Febiana
Keyword(s):  
Public Health ◽  
Respiratory Tract ◽  
Personal Hygiene ◽  
P Value ◽  
Upper Respiratory Tract ◽  
Cross Sectional ◽  
Indirect Contact ◽  
Public Health Office ◽  
Upper Respiratory ◽  
Tract Infections

Utilization of clinical sanitation is where people use clinical sanitation room and follow activity in clinical saanitation. Efforts to prevent diseases of the upper respiratory tract, namely to prevent direct or indirect contact with patients with upper respiratory tract infections and using PPE, maintaining environmental cleanliness, maintaining personal hygiene with clean and healthy living behaviors in the household order. Depend on data of Public Health Office Cirebon at 2018, achievement program clinical sanitation just reach clinical sanitation is 30%, number of ISPA cases reach number 26.142 people. This research uses correlation descriptive, approach with cross sectional. Population is all of people in Puskesmas Working Area Cirebon as much 2.506 people. Sample technic which use is purposiv sampling technic as much 97 people. Instrumen which uses this research is questionare. Result of research shows 97 responden total responden which utilize clinical sanitation as much 88 responden or 90,7% more than which not utilize clinical sanitation as much 9,3%. P value which is got as bis as 0,00 and smller of value a = 0,05. This result shows that there is relation utilization of clinical sanitation which prevent ISPA disease in Puskesmas Working Area Majasem Cirebon.  Be expected that the agency more improve clinical sanitation program and educate the public related importance to maintain environmental health.

scholarly journals Seroprevalence of human Brucellosis and associated risk factors among high-risk occupations in Mbeya Region of Tanzania

2020 ◽  
Vol 6 (1) ◽  
pp. 1 ◽  
Author(s):  
Frederick D. Sagamiko ◽  
Ruth L. Mfune ◽  
Bernard M. Hang’ombe ◽  
Esron D. Karimuribo ◽  
Alfred M. Mwanza ◽  
...  
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Statistical Significance ◽  
Raw Milk ◽  
Enzyme Linked Immunosorbent Assay ◽  
Human Brucellosis ◽  
P Value ◽  
Cross Sectional ◽  
Occupationally Exposed ◽  
Associated Risk Factors

Background: Brucellosis is a bacterial zoonotic disease of public health and economic importance. A cross-sectional study was conducted in Mbeya region between November 2015 and January 2016 to investigate the seroprevalence of human brucellosis and identify associated risk factors among individuals in risky occupations. Methods: A total of 425 humans from six occupational categories were serially tested for Brucella antibodies using the Rose Bengal Plate Test (RBPT) and competitive Enzyme Linked Immunosorbent Assay (c-ELISA), for screening and confirmation, respectively. A questionnaire survey was also administered to participants to collect epidemiological data. Results: The overall seroprevalence among the occupationally exposed individuals was 1.41% (95% CI: 00.64-3.12). Seroprevalence was higher among butcher men 5.6% (95% CI: 1.68-5.26), herds men 1.35% (95% CI: 0.18-9.02); and abattoir workers 1.1% (95% CI: 0.26-4.22) although there was no statistical significance. (P value = .18). Seroprevalence was also higher among men (1.8%) compared to females (0%) (P value = .19). and also, among those aged < 11 years (2.5%). Individuals who consumed raw milk had a higher seroprevalence (1.56%) compared to those who drunk boiled milk while seropositivity was 0.88% among those who assisted animals during parturition (P value = .49). Butcher men were at higher risk of exposure compared to other occupational categories. Our findings show the presence of brucellosis in occupationally exposed individuals in Mbeya region.Conclusion: There is need to sensitize the concerned professions in order to reduce the risk of acquiring Brucella infections from animals and animal products This also calls for public health awareness about the disease, and implementation of measures to prevent further spread of brucellosis within and outside the study area.

Factors Affecting Sexual Lifestyle Of Students In School Of Public Health Of Cenderawasih University, Jayapura

2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Sherly Novita Mamoribo
Keyword(s):  
Public Health ◽  
Reproductive Health ◽  
Sexual Activity ◽  
Quantitative Research ◽  
Maternal Education ◽  
Leisure Activities ◽  
Simple Random Sampling ◽  
Bivariate Analysis ◽  
P Value ◽  
Cross Sectional

<p class="no0020spacing"><span class="no0020spacingchar">Teenagers are human resource assets and the foundation of successful generation in the future.Every year, there are increasing number of adolescents who have sex before marriage impacted to the increasing of STD, young maternal mortality, abortion on unintended pregnancy, school dropouts, cancer, infertility and sterility.This study aimed to analyze several variables that affect sexual lifestyle in adolescents.</span>A <span class="no0020spacingchar">Quantitative research with <em>cross sectional</em> approach was used.The selected population groups were teenagers mid to late teens who arestudy in Faculty of Public Health Uncen Jayapura, 254 respondents were selected by <em>simple random sampling.</em>Data were collected using questionnaires, bivariate analysis using <em>chi-square</em> test while multivariate analysis using logistic regression.Research showed that 49.2% did risky sexual lifestyle.The bivariate test showed a significant relationship between the sex (p value 0.000), age (p value 0.000), father's education (p value 0.001), maternal education (p value 0.004), mother's occupation (0.000), knowledge of reproductive health ( 0.000), adolescent attitude toward sexuality (p value 0.002), attitude toward friend’s sexuality (p value 0.000), leisure activities (p value 0.000), and the act of a friend’s sexual activity (p value 0.000).Variables that influence adolescent sexual lifestyle is gender (OR = 0.3), age (OR = 0.2), knowledge about sexuality and contraception reproductive health (OR = 5.4), leisure activities (OR = 0, 3) and the actions of peers (OR = 7.4).The dominant factors that influence adolescent sexual lifestyle is the act of a friend who has a friend in which teenagers who did risky sexual activity 7.4 times higher odds of having risky sexual lifestyle than those who have friends that did not perform sexual activities.</span></p>

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