<p>&nbsp / </p> <p align="left">Oral ulcers and oral thrush could be indicative of serious illnesses such as oral cancer, HIV and other sexually transmitted infections (STIs), among others. There are many different health care workers that can be approached for advice and/or treatment for oral ulcers and oral thrush (sometimes referred to as mouth sores by patients), including pharmacists. In fact, the mild and intermittent nature of oral ulcers and oral thrush may most likely lead the patient to present to a pharmacist for immediate treatment. In addition, certain aspects of access are exempt at a pharmacy such as long queues and waiting times, the need to make an appointment and the cost for consultation. Thus pharmacies may serve as a reservoir of undetected cases of oral cancer, HIV and other STIs. <b><font face="Times New Roman">Aim</font></b><font face="TimesNewRomanPSMT" size="3"><font face="TimesNewRomanPSMT" size="3"><font face="Times New Roman">: To determine how community pharmacists in the Western Cape manage </font>oral ulcers and oral thrush.</font></font></p>

This thesis tries to explore the effects of socio-economic status, gender and generation of Turkish migrants living in Berlin on their participation into transnational social fields established between Berlin and Turkey. In addition to this, evaluating transnational approaches used in international migration studies critically and acquiring a critical transnational perspective in the context of global capitalism are also in the interest areas of this study. This study is based on a qualitative field research conducted with 30 Turkish migrants in Berlin in 2006. This study maintains that, as well as global restructuring of global capitalism, new technological advances and nation state policies, migrants&rsquo / socio-economic status, gender and generation differences are vital elements to understand the way and content of transnational social fields in daily life of migrants. This study concludes that, apart from being liberatory, nation- state- based inequalities are reproduced in transnational social fields in macro and micro levels as dependent on migrants&rsquo / socio economic status, gender and generation differences.

PHYSICAL ACTIVITY BEHAVIORS AND NEIGHBORHOOD WALKABILITY PERCEPTIONS OF TURKISH WOMEN IN LOW AND HIGH SOCIO-ECONOMIC ENVIRONMENTS Yildirim, G&uuml / lsen M.S., Department of Physical Education and Sports Supervisor: Assoc. Prof. Dr. Mustafa Levent nce September 2010, 65 pages The purposes of this study were to compare (a) the physical activity (PA) levels, (b) exercise stages of change levels and (c) neighborhood walkability perceptions of Turkish women who are living in Low and High socio-economic (SES) environments. Initially, Low SES and High SES neighborhoods in Ankara were identified by using the classification of Turkish Statistical Institute. Participants were randomly selected 394 women (Low SES=188, High SES=206) between the ages of 18-65 living in these neighborhoods. For data collection, International Physical Activity Questionnaire-Short Form (IPAQ) / Physical Activity Stages of Change Questionnaire (PASCQ), and Neighborhood Environment Walkability Scale- Abbreviated (NEWS-A) were used. Descriptive statistics, nonparametric statistical methods (Mann Whitney U test, Pearson chi-square test) and MANOVA were used for the data analysis. According to the IPAQ results, there was no significant difference in walking and vigorous levels by women&rsquo / s neighborhood SES (p&gt / 0.05). However / moderate and total PA level of women living in High SES neighborhoods were significantly higher than the related levels of women living in Low SES neighborhoods (p&lt / 0.05). The results on exercise stages of change levels indicated that the women in Low SES neighborhoods had a higher percentage at precontemplation stage than those of women in High SES neighborhoods (p&lt / 0.05). On he other hand, a higher percentage of women in High SES neighborhoods were at maintenance stage (p&lt / 0.05). NEWS-A results revealed that there were significant differences in women&rsquo / s neighborhood walkability perception by their neighborhood SES, Wilk&rsquo / s = .33, F (8,382) = 97.57, p &lt / .05, 2 = .67. According to further univariate analyses, there were significant differences in all NEWS-A subscales by neighborhood SES in favor of High SES neighborhood, except for the &ldquo / pedestrian/traffic safety&rdquo / subscale (p&lt / 0.05). There were no significant difference in pedestrian/traffic safety scale by neighborhood SES (p&gt / 0.05). In conclusion, women who live in Low SES neighborhood have a higher risk of physical inactivity.Moreover, perceptions of neighborhood environment for the promotion and support of PA were lower in Low SES neighborhood residents as compared to their High SES neighborhood counterparts. Intervention programs for women living in these areas should be provided by considering their PA level, exercise stages of change level and neighborhood walkability perceptions.

<p>&nbsp / </p> <p align="left">Oral ulcers and oral thrush could be indicative of serious illnesses such as oral cancer, HIV and other sexually transmitted infections (STIs), among others. There are many different health care workers that can be approached for advice and/or treatment for oral ulcers and oral thrush (sometimes referred to as mouth sores by patients), including pharmacists. In fact, the mild and intermittent nature of oral ulcers and oral thrush may most likely lead the patient to present to a pharmacist for immediate treatment. In addition, certain aspects of access are exempt at a pharmacy such as long queues and waiting times, the need to make an appointment and the cost for consultation. Thus pharmacies may serve as a reservoir of undetected cases of oral cancer, HIV and other STIs. <b><font face="Times New Roman">Aim</font></b><font face="TimesNewRomanPSMT" size="3"><font face="TimesNewRomanPSMT" size="3"><font face="Times New Roman">: To determine how community pharmacists in the Western Cape manage </font>oral ulcers and oral thrush.</font></font></p>

Background The debate regarding the lower age limit for mammography service screening is old and lively; a product in part of the lower breast cancer risk in younger ages as well as the limited data available for studies of the younger age group. Recently the idea of inviting only high risk groups has gained momentum, however high risk might not be equivalent to greater benefit from screening. Therefore, there is a need for information on effectiveness of screening as it relates to young women and to specific risk groups. To this end, this thesis evaluates mammography screening for the age group – 40 to 49 year old women – in terms of breast cancer mortality reduction in total and in subgroups based on breast cancer risk factors. Overdiagnosis of mammography screening is also evaluated for women 40 to 49 years old. In addition, this thesis presents a statistical method to estimate this effectiveness and to test for differences in effectiveness between subgroups adjusted for non-compliance and contamination. Methods The studies of this thesis are based on data from the Screening of Young Women (SCRY) database. The SCRY database consists of detailed information on diagnosis, death, screening exposure and risk factors for breast cancer cases and population size by year (between 1986 and 2005) and municipality for women in Sweden between 40 and 49 years old. The material was divided into a study group consisting of the counties that invited women in the age group 40-49 years to mammography screening, and a contemporaneous control group consisting of the counties that did not. Effectiveness was estimated in terms of rate ratios for two different exposures (invitation to and participation in screening), and overdiagnosis for subsequent screening was estimated adjusting for lead time bias. Defining a reference period enabled adjustment for possible underlying differences in breast cancer mortality and incidence. A statistical model for adjusting for non-compliance and contamination in randomised controlled trials was further developed to allow for adjustment in cohort studies using a Poisson model with log-linear structure for exposure and background risk. Results During the study period (1986-2005), there were 619 and 1205 breast cancer deaths and 6047 and 7790 breast cancer cases in the study group and the control groups, respectively. For women between 40 and 49 years old, the breast cancer mortality reduction was estimated at 26% [95% CI, 17 to 34%] for invited to screening and 29% [95% CI, 20 to 38%] for attending screening. The RR estimates for the high-risk groups based on the risk factors parity, age at birth of first child, and socio-economic status were equal to or higher than that of the low risk groups. The new statistical method showed that the decrease in effectiveness with parity was not a statistically significant trend. The overdiagnosis from subsequent screening for 40 to 49 year old women was estimated at 1% [95 % CI, -6 to 8 %] (i.e., not statistically significant). Conclusion Subgroup specific effectiveness was also estimated. The relative effectiveness of screening for breast cancer with mammography for women age 40 to 49 years appears to be comparable to that for older women. These findings and the fact that there was no statistically significant overdiagnosis from subsequent screening speak for inviting women 40 to 49 years old to screening. High-risk screening for nulliparous women aged 40 to 49 years, for example, might be an alternative in countries where population-based screening for all women between 40 and 49 years old is not possible. However, the matter of risk factors and the effect of their combinations is complex and risk group screening presents ethical and practical difficulties. The new statistical model is a useful tool for analysing cohorts with exposed and non-exposed populations where non-compliance and contamination is a potential source of bias.

Background and objectives: Childhood sexual abuse (CSA) is a substantial public health and human rights problem, as well as a growing concern in sub-Saharan Africa (SSA). It has both short and long term effects on girls: physical and psychological, including negative sexual outcomes. Up to one-third of adolescent girls report their first sexual experience as being forced. Despite growing evidence supporting a link between contextual factors and violence, no studies have investigated the connection between CSA and contextual factors. It is therefore important to identify the extent of CSA and understand factors associated with it in SSA in order to develop interventions aimed to address the scale of the problem. Aim: The overall aim of this thesis is to assess the individual and contextual factors associated with CSA. In addition, the thesis aims to quantify the magnitude of CSA and describe the factors associated with CSA among women from SSA (Study I). This thesis also examines the independent contribution of individual and community socio-economic status on CSA (Study II). Moreover, it scrutinises the effect of social disorganisation on CSA (Study III) and explores the relationship between CSA and sexual risk behaviours as well as potential mediators (Study IV). Methods: This thesis used the Demographic and Health Survey (DHS) datasets conducted between 2006 and 2008 from six SSA countries. The thesis used multiple logistic regression models to describe and explore factors associated with CSA among 69,977 women (Study I).  It used multivariable multilevel logistic regression analysis to explore the effect of contextual level variables (neighbourhood socio-economic status) on CSA among 6,351 girls (Study II). Neighbourhood socio-economic status was operationalized with a principal component analysis using the proportion of respondents who were unemployed, illiterates, living below poverty level and rural residents. Study III applied multivariable multilevel logistic regression analysis on 6,351 girls and considered five measures of social disorganisation at the community level: neighbourhood poverty, female-headed households, residential mobility, place of residence, population density, and ethnic diversity. In study IV, 12,800 women from the Nigerian DHS were used. Structural equation modelling was applied using a two-step approach. The first step used a confirmatory factor analysis to develop an acceptable measurement model while the second step involved modifying the measurement model to represent the postulated causal model framework. Results: In study I, the reported prevalence of CSA ranged from 0.3% in Liberia to 4.3% in Zambia when the prevalence was based on all respondents aged between 15 and 49 years and who were present during the survey. None of the socio-economic factors were associated with CSA. In study II, where the data was restricted to permanent residents aged between 15 and 18 years, the prevalence ranged between 1.04% in Liberia to 5.8% in Zambia. At the individual level, there was no significant association between CSA and wealth status while at the community level, there was no significant association between CSA and socio-economic position. However, 22% of the variation in CSA was attributed to the community level factors. In study III, there was significant variation in the odds of reporting CSA across the communities, with community level factors accounting for 18% of the variation. In addition, respondents from communities with a high family disruption rate were 57% more likely to have reported sexual abuse in childhood. Study IV showed that there was a significant association between CSA and sexual risk behaviours and the association was mediated by alcohol and cigarette use. Conclusions: The study provides evidence that adolescents in the same community were subjected to common contextual influences. It also highlighted the significance of mediators in the relationship between CSA and sexual risk behaviours. It is therefore important that effective preventive strategies are developed and implemented that will cut across all socio-economic spheres in a context that both permits and encourages disclosure as well as identifying predisposing circumstances for recurrence.

This study was designed to identify ninth grade students&amp / #8217 / misconceptions about static electricity concept and to determine relationship among students&amp / #8217 / gender, socio-economic status, interest, experience with students&amp / #8217 / misconceptions about static electricity. For this study, Static Electricity Concept Test (SECT) and Socio-Economic Status, Interest and Experience Questionnaire about Static Electricity (SESIEQ) were developed to assess students&amp / #8217 / misconceptions related to static electricity and their socio-economic status, interest and experience about static electricity, respectively. This study was carried out during 2002-2003 spring semester with 1260 ninth grade students from 9 Anatolian and regular high schools in &Ccedil / ankaya and Mamak districts of Ankara. Findings of the concept test indicated that many students had misconceptions about static electricity. Negative and significant relationships among students&amp / #8217 / gender, socio-economic status, interest, experience and misconception scores were found. The difference between misconception scores of male and female students was significant in favor of males. However, when the data were analyzed using ANCOVA while controlling students&amp / #8217 / socio-economic status, interest in static electricity and experience about static electricity, no difference was observed between the misconception scores of male and female students.

Low-skilled, low socio-economic status, young, co-resident, working fathers: Their experience of fatherhood Using open-ended interview techniques, 23 low-skilled, low socio-economic status fathers aged 20-29 were interviewed about their experience of fatherhood. All participants were in unskilled jobs and all lived with and supported their partners and child/children. This population of fathers is generally overlooked by researchers. Because they take responsibility for some of society’s most vulnerable families and children, understanding how they conceive of their role as fathers can promote the welfare of those families and children. Participants were recruited by casual connections, snowballing and advertisement. The interviews explored the participants' experience of fatherhood and their reasons for being active and committed family members. Focus was given to how they made sense of fatherhood in terms of their life course. Participants had two interviews, the first generic and the second idiographic. Interviews were tape-recorded and later transcribed. A social constructionist approach was used: transcripts were analysed by identifying and examining the primary domains in which participants experienced fatherhood. Participants spoke of fatherhood as an affective activity, the primary object of good fatherhood being to maintain an emotional bond with one’s children. Being a good father was thought to involve eschewing deleterious family practices such as those which had marred their own childhoods. In this regard, participants saw themselves as repairing their family-of-origin's dysfunctional style. Providing was described as a core feature of fatherhood – subsidiary to, but corollary on, being an emotionally-engaged father. Good fathers were described as committed providers, albeit participants did not consider their own limited earning capacity to compromise their fatherhood. Obtaining a job and providing for one’s family was one of the ‘pro-socializing’ effects of fatherhood. Participants considered fatherhood to not only improve but to also redeem their lives, giving a purpose and focus they had lacked prior to their becoming parents. Being a good father also involved being a good partner. For many of the participants, this involved adopting non-gendered roles in the home. The sharing of housework and childcare improved home life by reducing the partner's workload. Those who failed to adopt the gender-neutral stance acknowledged this as a personal shortcoming that they planned to remedy. Fatherhood for these 23 interviewees was one of the few means by which they could obtain social value and status as adults. They lacked access to financial resources, education or supportive family connections, but fatherhood was a domain in which they could present themselves as significant members of society. It also provided a network of emotional relationships which promoted their sense of self-worth and their social and emotional wellbeing.

Thesis (M. Ed.)--University of Hong Kong, 1995. / Includes bibliographical references (leaves 115-125).

Thesis (M.Ed.)--University of Hong Kong, 1995. / Includes bibliographical references (leave 115-125). Also available in print.