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    Individual and intimate-partner factors associated with cervical cancer screening in Central Uganda

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    Intimate-partner factors have a significant effect on the uptake of services that affect maternal reproductive health outcomes. There is limited research on intimate-partner factors associated with cervical cancer screening. Therefore, this article examines the intimate-partner correlates of cervical cancer screening among married women in Central Uganda. We conducted a cross-sectional survey in Wakiso and Nakasongola districts in Central Uganda. A total of 656 married women aged 25–49 participated in the study. Frequency distributions for descriptive statistics and Pearson chi-squared tests were done to identify the association of selected individual explanatory variables and intimate-partner factors with cervical cancer screening. Finally, multivariable complementary log-log regressions were used to estimate intimate-partner factors associated with women’s cervical cancer screening uptake in Central Uganda. About 2 in 10 (20%) of the participants had been screened for cervical cancer. The following characteristics when examined separately in relation to the uptake of cervical cancer screening service and were significant: woman’s age, education attainment, occupation, wealth index, parity, male partner’s age, and male partner’s emotional support. After adjusting for independent factors, cervical cancer screening was significantly associated with women who had; attained secondary (AOR = 2.19; CI 1.18–4.06) compared to none/ primary education, and received partner’s emotional support (AOR = 30.06; CI 13.44–67.20) compared to those who did not receive partner’s emotional support. In Central Uganda, cervical cancer screening among married women was significantly associated with women’s education, and partner’s emotional support. These factors point to the importance of intimate-partner factors. Therefore, more effort should be directed at encouraging men’s participation. This should be supplemented with empowering women through education to increase uptake of screening services

    Predictors of cervical cancer prevention practices among women in Uganda

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    A thesis submitted to the Directorate of Research and Graduate Training for the award of the degree of Doctor of Philosophy in Population Studies of Makerere UniversityThe uptake of cervical cancer (CC) preventive measures that have proven to be effective in averting the disease burden elsewhere is low in Uganda; a country with high CC burden. Identification of factors associated with comprehensive knowledge about the disease and uptake of preventive measures is important for design and implementation of appropriate interventions. In Uganda, these factors have not been adequately investigated. The main objective of the study was to establish predictors of uptake of CC preventive measures in Uganda. Secondary data from 2016 Uganda Demographic and Health Survey were analyzed to assess the predictors of Human Papilloma Virus (HPV) vaccination among 6,093 girls age 10 – 14 years nested within 686 villages/ cells in Uganda. Primary data for 845 women age 25–49 years and 503 girls age 10-17 years were collected through a cross-sectional survey from Central Uganda; a region where cervical prevention interventions are relatively accessible. Data were analyzed using STATA 16.0 software at univariate level using frequencies, bivariate level using chi squared tests and at multivariate level using; binary logistic, complementary log-log and hierarchical multivariate regression analyses. The majority of the girls had not been vaccinated in Uganda (78%) and Central Uganda (60.6 %). Only 1 in 5 (20%) of the women had ever screened for cervical cancer in Central Uganda. In Uganda, the likelihood of having been vaccinated against HPV was higher among girls who were; age 11, 12 and 13 compared to 10 years, schooling, living in households with <9 members, and in the middle compared to the poorest wealth quintile. In Central Uganda, the likelihood of having been vaccinated against HPV was higher among girls who were; resident in urban compared to rural areas, schooling, second birth order, in rich compared to the poor wealth quintile, and daughters to mothers age 30-39 compared to 25-29 years. The likelihood of having high knowledge about cervical cancer and its prevention in central Uganda was higher among women who were; age 30-34 and 45-49 compared to ≤ 29 years, had attained secondary and above education compared to non-educated, in the middle and rich compared to poor wealth index, and farmers compared to professionals. The likelihood of having ever screened was higher among women who; were in the rich compared to poor wealth quintile, had attained secondary and post-secondary education compared to non-educated, were married to farmers compared to non-employed, and women who had received compared to those who didn’t receive spousal screening emotional support. Age, social economic status, male partner support, and knowledge about the disease were the most important predictors of cervical cancer prevention uptake. Strategies aimed at reaching younger, out of school girls, and those in the poor wealth quintile should be adapted and implemented to enhance vaccination uptake. Health workers should integrate cervical cancer screening in their health education interventions, encourage men’s participation through community education, and women should be empowered through education to increase uptake of cancer screening in Uganda

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed

    Variations on the Author

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    “Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship

    Appropriate Similarity Measures for Author Cocitation Analysis

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    We provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis

    Dispelling the Myths Behind First-author Citation Counts

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    We conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more sophisticated methods

    Author Index

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    Factors associated with HPV vaccination uptake in Central Uganda

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    The burden of cervical cancer in Uganda is high yet uptake of HPV vaccination is low. Identification of child and mother factors associated with HPV vaccination are important for targeted interventions however, this problem has not been well investigated. The aim of the study was to determine the prevalence of HPV vaccine uptake and associated factors among the10 to 17-year-old girls in Central Uganda four years after rolling out the vaccine in the country. The cross-sectional survey was done in Wakiso and Nakasongola districts in Central Uganda. A total of 503 girls participated in the study. Logistic regression analyses were done to establish the relationship between vaccination status and socio-demographic characteristics of the girls and their mothers. HPV vaccination uptake was generally low (39.4%) in central Uganda and significantly associated with; mothers’ education attainment, HPV knowledge, mothers’ age, religion, wealth index, type of residence, birth order and schooling status. There were reduced odds of HPV vaccination among Pentecostal girls [OR=0.44; (95% CI: 0.21-0.90), p=0.025)] and rural dwelling girls [OR=0.24 (95% CI: 0.16-0.37), P=0.016)]. The likelihood of vaccination was higher among girls; of birth order three [OR=2.45 (95% CI: 1.25-4.82), P=0.029)], who were schooling  [OR=2.73 (95% CI: 1.12-6.63), P=0.027)], with high wealth index  [OR= 2.31 (95% CI: 1.12-4.76), P=0.024)], living with mothers with high HPV knowledge [OR= 2.26 (95% CI: 1.41-3.61), P=0.001)], and whose mothers were aged 30-39 years [OR= 2.44 (95% CI: 1.07-5.59), P=0.034)]. Both child and mother characteristics showed a marked impact on HPV vaccination. Strategies like creation of awareness should target girls: in rural areas, not schooling, with lower social economic status, living with women below 29 years, of lower birth orders, and living with less knowledgeable women; and involving religious leaders in programs should be embraced in order to achieve high vaccination uptake

    koamabayili/VECTRON-author-checklist: VECTRON author checklist

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    We have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used
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