Masters of Public Health - see Magister Public Health / Dental fluorosis is an endemic condition in a number of regions of South Africa, varying in degree of affliction according to the drinking water fluoride concentration in the area. Objective: While a number of South African studies have reported on the relationship between fluorosis and fluoride concentration in the drinking water, the purpose of this study was to determine perceptions of dental fluorosis in the Central Karoo District of the Western Cape. Methods: Learners aged 12-15 years and who had been lifelong residents in their respective areas were selected from schools in Leeu Gamka, Merweville, Nelspoort and Murraysburg. All the children meeting the inclusion criteria were included realising a total sample of 189. Drinking water fluoride concentration of each town was determined and concomitant fluorosis affliction was assessed. An interviewer administered questionnaire was used to determine respondents’ self-rated perceptions of fluorosis as well as their responses to a set of statements on clinically defined fluorosis. To this end four photographs, each depicting a different degree of fluorosis: (No fluorosis; Mild fluorosis; Moderate fluorosis; Severe fluorosis) were shown to the respondents. Results: In Leeu Gamka, with the highest fluoride concentration ([F] = 1.62ppm), 82% of respondents were aware of fluorosis stains as opposed to 6%-20% awareness in Merweville ([F] = 0.68), Nelspoort ([F] = 0.70) and Murraysburg ([F] = 0.56). Two thirds of respondents in Leeu Gamka found the appearance of their teeth embarrassing compared to only 2%-10% in the other 3 areas. The majority of respondents in Leeu Gamka (82%) indicated that they would want to remove the fluorosis spots with only 4%-20% in the lower fluoride areas. Two thirds (67%) of the Leeu Gamka respondents were teased compared to 2%-6% in the other areas. Most of the respondents have not tried to do anything to the appearance of the teeth, even in the higher fluoride area of Leeu Gamka. The average response varied little for all the photographs across the geographic areas (the minimum and maximum scores varied between 4.00 and 5.00) and reflected a greater tendency towards strongly disagreeing with the statement on aesthetics-even for the photographs depicting no fluorosis and mild fluorosis. The average response varied between 1 and 2 among all four geographic regions showing a tendency to “agree” and “strongly agree” to the statement on embarrassment. The average response to the statement on neglect varied little for all the photographs across the geographic areas as the minimum and maximum average response scores varied between 1.36 and 2.39 (agree and strongly agree). The response to the statement on disadvantage varied little for all the four photographs across the geographic areas (minimum=1.00, maximum=2.07) and reflected a greater tendency toward strongly agreeing and agreeing with the statement. Conclusion: The respondents from the higher fluoride area were more aware of dental fluorosis, had a greater perception of embarrassment and the strongest desire to remove the fluorosis staining. There was little variation in the average response to the statements on clinically defined fluorosis across the geographic areas. The learners erroneously believed that dental fluorosis was due to neglect, which is an indication that many learners are not aware of the cause of dental fluorosis in their community. The general consensus of the communities was that fluorosis was judged with feelings of negativity (embarrassment and a disadvantage for the child into adulthood).

The current study is part of a broader study called the Women’s Reproductive Health Survey (WRHS) which aimed to examine various aspects of women’s life experiences. This study examined the moderating effect of rurality on several factors of healthcare in a sample of women between the ages of 18 and 50. Self-rated health (SRH) was hypothesized to predict healthcare satisfaction, healthcare adherence, and medical mistrust. Furthermore, rurality was hypothesized to weaken the relationships between SRH and healthcare satisfaction and adherence; it was further hypothesized to exacerbate the relationship between SRH and medical mistrust. A survey containing a single-item measure of SRH and rurality, a seven-item measure of medical mistrust, and an exploratory measure of both healthcare satisfaction and adherence, was uploaded to the Internet forum Redditt. Participants received informed consent and monetary compensation for their time. Bivariate correlations and moderation analysis was conducted on the resulting data. Self-rated health was found to be a significant predictor of healthcare satisfaction, healthcare adherence, and medical mistrust. Rurality was a nonsignificant moderator. Healthcare systems may consider enhancing patient portfolios with a measure of SRH. This may have implications for improved quality of care and health outcomes. Limitations within the study included the participant demographics, which were mostly White and of a high socioeconomic status, as well as the broader survey from which this study originated. Future studies may consider comparing populations from a high socioeconomic status to populations from a low socioeconomic status.

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Individuals are affected by different biases and heuristics in different ways. This dissertation explores the two of these (underdog bias and self-rated performance) and their relationship with personal risk propensity in the South African investment professional community. To measure risk propensity in investment professionals, a new instrument was developed. This was tested against a risk measurement scale based on the original work in prospect theory. Both risk propensity measures found similar and comparable results in the investment professionals, and similar results when compared to other studies that studied risk propensity in a more general population and risk tolerance in investment professionals in Europe. Similarly, self-rated performance had comparable results to other studies on overconfidence bias and the better than average effect. Investment professionals, on average, think that they are better than their average peer. Underdog bias, or the headwinds/tailwinds asymmetry, had an unexpected result where the investment professionals felt they did not suffer from stronger headwinds and barriers compared to their peers. This was an unexpected result and may show that the South African investment industry feel more grateful than others to be where they are or, the sample may have triggered the boundary condition of underdog bias where individuals feel their personalised benefits more than their shared headwinds. Further testing is required in the same population as well as similar populations to confirm the boundary condition. The three constructs were tested to understand the relationship between them. In each of the three cases, there was no significant relationship between any of the constructs. The results were different to what was expected and, subject to further testing, may have found a blind spot in investment professionals where they believe that what when they are doing something they consider to be right, they do not perceive the increased risks associated with the action. These blind spots have an impact on how risk is managed investment firms and needs to be monitored to protect the overall firm. / Mini Dissertation (MBA)--University of Pretoria, 2018. / Gordon Institute of Business Science (GIBS) / MBA / Unrestricted

Bullying can have a negative impact on children’s development andmental health. Studentswith disabilities aremore likely to be targeted for bullying than studentswithout disabilities. In particu- lar, studies have shown that studentswith disabilities are at greater risk of bullying than students without disabilities. In addition, childrenwithdisabilities have higher riskof lowsubjective health. Results showed that therewere significant differences in the dependent variables among four dif- ferent groups of bullying participants (disabled victims, victimswithout disabilities, non victims with disabilitiesandnon-victimswithoutdisabilities).Non-disabledstudentswhowere not bullied had the highest level of subjective health,while the subjective health of disabled students who are not bullied is higher than that of disabled students who are bullied and non-disabled students who are bullied. Thismeans that as the risk of exposure to bullying increases, the subjective health of childrenwith disabilitieswillbefurther lower.Childrenwithdisabilities alone have higher life satisfaction than those with disabilities who and bullied and have higher life satisfaction than those bullied without disabilities. And childrenwithdisabilities aremore likely to report somatic and psychological symptoms than childrenwithout disabilities.Children who were bullied reportedmore somatic symptoms than childrenwho were not bullied. Therefore, schools should establish student violence prevention interventions to reduce peer victimization regardless of students’ disabilities.

Background: Oral health disparities exist in the USA. However, little is known of the relationship between oral health disparity and citizenship. The aims of this study were: (i) to describe the differences in self-rated oral health (SROH) between adult American citizens and non-citizens (>20 years of age); and (ii) to test whether factors such as frequency of dentist visits and socio-economic status (SES) are differently associated with SROH in these two groups. Methods: The data used in this study were drawn from the National Health and Nutrition Examination Survey conducted in 2011–2012. Weighted logistic regression models were used to detect the strengths of the association between a series of predictors and SROH. Results: More non-citizens (59.54%) than their citizen peers (26.24%) rated their oral health as fair/bad. All factors analysed in this study were differently associated with SROH based on citizenship. More specifically, natural characteristics, such as ethnicity and age, were significantly associated with SROH among non-citizens, and SES was significantly associated with American citizens. Among non-citizens, Hispanic, Non-Hispanic Black and Asian subjects were more likely than Non-Hispanic White subjects to report their oral health as being ‘good’. Family poverty level, education and the frequency of dentist visits were significantly associated with SROH among citizens. Conclusion: The findings of this study indicate that American immigrants report their oral health across most dimensions as being worse than do American citizens. Each explanatory factor may have a different strength of association with SROH in immigrants and citizens, which implies that different steps should be taken within these groups to reduce disparities in oral health.

This study examines the role of mother's health and socioeconomic status on daughter's self-rated health using data spanning three decades from the National Longitudinal Surveys of Mature Women and Young Women (N = 1,848 matched mother-daughter pairs; 1,201 White and 647 African American). Using nested growth curve models, we investigated whether mother's self-rated health affected the daughter's self-rated health and whether socioeconomic status mediated this relationship. Mother's health significantly influenced daughters' self-rated health, but the findings were mediated by mother's socioeconomic status. African American daughters reported lower self-rated health and experienced more decline over time compared with White daughters, accounting for mother's and daughter's covariates. Our findings reveal maternal health and resources as a significant predictor of daughters' self-rated health and confirm the role of socioeconomic status and racial disparities over time.

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