AIM: The life of a student may be affected by different stressors in both the internal and external environment. Although people from all walks of life experience stress on daily basis, students are more likely to experience stressful situations because of their academic requirements. To identify stressors among nursing students in Ghana. METHODS: A cross-sectional survey was conducted among 400 students sampled from first year to fourth year students. Students were included in the study if they are above 18 years, nursing students and have been registered by the university for the 2019/2020 academic year. RESULTS: A majority of the students (73.0%) perceived themselves to be stressed with academic-related work and cognitive, behavioural and emotional symptoms were highly prevalent among the students. Students enrolled in the regular programme were 0.09 times (p < .0001) less likely stressed than those in the modular stream of the training programme and female students compared to their male counterparts were 2.18 times (p < .0001) more likely feeling stressed. CONCLUSION: The students with high cognitive symptoms also show high emotional and behavioural symptoms and vice versa. Nursing training institutions may consider further studies to investigate the impact of stress on academic performances and identify appropriate support students. Cite this article as: Anaman-Torgbor, J. A., Tarkang, E., Adedia, D., Maxwell Attah, O., Evans, A., & Sabina, N. (2021). Academic-related stress among Ghanaian nursing students. Florence Nightingale Journal of Nursing, 29(3), 263-270.

This study develops an objective rainfall pattern assessment through Markov chain analysis using daily rainfall data from 1980 to 2010, a period of 30 years, for five cities or towns along the south eastern coastal belt of Ghana; Cape Coast, Accra, Akuse, Akatsi and Keta. Transition matrices were computed for each town and each month using the conditional probability of rain or no rain on a particular day given that it rained or did not rain on the previous day. The steady state transition matrices and the steady state probability vectors were also computed for each town and each month. It was found that, the rainy or dry season pattern observed using the monthly steady state rainfall vectors tended to reflect the monthly rainfall time series trajectory. Overall, the probability of rain on any day was low to average: Keta 0.227, Akuse 0.382, Accra 0.467, Cape Coast, 0.50 and Akatsi 0.50. In particular, for Accra, the rainy season was observed to be in the months of May to June and September to October. We also determined that the probability of rainfall generally tended to increase from east to west along the south eastern coast of Ghana.

Breast cancer is the number one cause of cancer death in women globally. According to the Global cancer registry, there were 2.3 million new cases of breast cancer diagnosed in 2020 worldwide, accounting for 25% of all cancer cases in women. The data on the cost burden of breast cancer on households is limited in Ghana, it is therefore imperative that it is estimated to ensure effective planning and provision of adequate resources for breast cancer treatment. This cost-of-illness study estimates the household treatment cost of breast cancer and the cost coping strategies used by patients. This cost-of-illness study was conducted at the surgical unit (Surgical unit 2) of the Korle Bu Teaching Hospital (KBTH), with 74 randomly selected patients and their accompanying caregiver(s). Data was collected using structured questionnaire on direct, indirect and intangible costs incurred and coping strategies used by patients and their households. The results are presented in descriptive and analytic cost statistics. Most of the patients were aged 40–69 years and were married with moderate education levels. Nearly 57% of patients earn an income of USD 370 or less per month. The average household expenditure was USD 990.40 (medical cost: USD 789.78; non-medical cost: USD 150.73; and indirect cost: USD 50). The publicly provided mechanism was the most utilized cost coping strategy. The direct, indirect and intangible costs associated with breast cancer treatment had significant financial and psychological implications on patients and their households. Moreover, poorer families are more likely to use the publicly provided strategies to cope with the increasing cost of breast cancer treatment.

Background and Objectives. Chronic hepatitis B and C infections are capable of progressing to liver cirrhosis and hepatocellular carcinoma. Globally, it has been estimated that over 2 billion and 170 million people are living with hepatitis B and C infections, respectively. Ghana remains one of the highly endemic countries challenged by the continuous spread of these viral agents in Africa. This study was aimed at determining the seroprevalence and trend of Hepatitis B and C coinfections among blood donors in Saboba District of the Northern Region of Ghana. Methods. A five‐year hospital‐based retrospective study was carried out among 8605 blood donors comprising 8517 males and 88 females using data on blood donors from Saboba Assemblies of God Hospital located in the Saboba District in the Northern Region of Ghana from 2013 to 2017. Blood bank records on HBV and HCV potential blood donors who visited the hospital to donate blood were retrieved. Donor demographic details, i.e., age and gender, were also recovered. Donors who were registered to the hospital but were not residents of the Northern Region were excluded from the study. Donors with incomplete records were also excluded from the study. The data was managed using Microsoft Excel spreadsheet 2016 and analysed using GraphPad Prism statistical software. Results. The overall prevalence of asymptomatic viral hepatitis B and C infections in the general adult population was 9.59% (95% CI: 9.00‐10.20) and 12.71% (95% CI: 12.00‐13.40), respectively, with an HBV/HCV coinfection rate of 2.23% (95% CI: 1.90‐2.60). The number of donors generally declined with advancement in years from 2038 (23.68%) since 2013 to as low as 1169 (13.59%) in 2016, except for 2017 where a sharp increase of 1926 (22.38%) was observed. The first and second highest proportions of donors fell within the age categories of 20‐29 (51.53% (4434)) and 30‐39 (32.90% (2831)) respectively. The seroprevalence rate of HBV, HCV, and HBV/HCV coinfection rates were generally higher among the female group than those observed among the male category. The year‐to‐year variation in HBV, HCV, and HBV/HCV infections was statistically significant. The highest year‐to‐year HBV seropositivity rate was 11.48% in the year 2013, while that for HCV and HBV/HCV coinfection was 16.24% and 5.85%, respectively, both documented in the year 2014. HBV and HBV/HCV coinfection rates were highest among donors aged <20 years old, while HCV seroprevalence was highest among donors aged 50‐59 years old. Significantly higher odds of HBV/HCV coinfection (OR = 5.2; 95% CI:3.3‐8.1) was observed in the 2014 compared to the year 2013. Donors aged <20years were at higher risks of HBV and HBV/HCV coinfection rates compared to the other age groups. Conclusion. The seroprevalence of HBV and HCV among donors in the Saboba District of the Northern Region of Ghana is endemic. The HBV/HCV coinfection rate also raises serious concern owing to its high prevalence rate among the younger age. Intensive public health education coupled with mobile screening and mass vaccination of seronegative individuals is advised so as to help curb further spread of the infection and in effect help safeguard the health status of potential donors in the district.

Obesity is a risk factor for different chronic conditions. Over the years, obesity has become a pandemic and it is therefore important that effective diagnostic tools are developed. Obesity is a measure of adiposity and it has become increasingly evident that anthropometric measures such as body mass index (BMI) used to estimate adiposity are inadequate. This study therefore examined the ability of different anthropometric measurements to diagnose obesity within a cross-section of Ghanaian women. We obtained anthropometric measurements and used that to generate derived measures of adiposity such as body adiposity index (BAI) and conicity index. Furthermore we also measured adiposity using a bioimpedance analyser. Associations between these measurements and percentage body fat (%BF) were drawn in order to determine the suitability of the various measures to predict obesity. The prevalence of obesity was determined using both %BF and BMI. BMI, Waist and hip circumference and visceral fat (VF) were positively correlated with % BF whereas skeletal muscle mass was negatively correlated. Prevalence of obesity was 16% and 31.6% using BMI and %BF respectively. Receiver operating characteristic (ROC) analysis showed that these differences in prevalence was due to BMI based misclassification of persons who have obesity as overweight. Similar, shortfalls were observed for the other anthropometric measurements using ROC. No single measure investigated could adequately predict obesity as an accumulation of fat using current established cut-off points within our study population. Large scale epidemiological studies are therefore needed to define appropriate population based cut-off points if anthropometric measurements are to be employed in diagnosing obesity within a particular population.