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Determination and Evaluation of Sense of Coherence in Women in Semi-urban Nepal: A part of the Heart-health Associated Research, Dissemination, and Intervention in the Community (HARDIC) Trial.
Department of Nursing and Reproductive, Perinatal and Sexual Health, School of Health Sciences, University of Skövde, Skövde (SWE); School of Health and Welfare, Jönköping University, Jönköping (SWE) .
Department of Community Medicine, Kathmandu Medical College, Sinamangal, Kathmandu (NPL).
Department of Community Medicine, Kathmandu Medical College, Kathmandu, Sinamangal (NPL).
Department of Public Health, School of Health Sciences, University of Skövde, Skövde (SWE); Department of Public Health, University of Turku, Turku (FIN).
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2021 (English)In: Kathmandu University Medical Journal, ISSN 1812-2027, E-ISSN 1812-2078, Vol. 19, no 73, p. 69-75Article in journal (Refereed) Published
Abstract [en]

Sense of coherence (SOC) is a core concept of salutogenesis which relates to individuals' overall life orientation. Stronger SOC associates with better coping strategies, better health, and better quality of life. Although the SOC-questionnaire is validated in many cultures and languages, it has not, to date, been applied in Nepal. Objective To determine and evaluate women's SOC before and after a health education intervention. Method This study was conducted as a part of the Heart-health Associated Research, Dissemination, and Intervention in the Community in the semi-urban JhaukhelDuwakot Health Demographic Surveillance Site in Nepal. Jhaukhel and Duwakot were selected as the control and intervention areas, respectively. Participants were women with children aged 1-7 years. Eight hundred and fifty-seven women before and 1,268 women after the health education intervention participated in the study. The statistical analysis was carried out with chi-square tests and one-way uni-variate ANOVA. Result Women's total SOC mean values at baseline were 51.1-57.4 and at follow up 54.4-54.9 in the intervention and control area, respectively. At baseline, SOC was significantly weaker in the intervention area compared to the control area (p < 0.001). At followup three months later, SOC was significantly stronger in the intervention area than in the control area (p < 0.001). Conclusion Nepalese women had weaker SOC than women in high-income countries, but comparable to neighboring country India with similar cultural features. Empowerment of women through community participation and health education strengthened SOC. The SOC-13-questionnaire in its Nepali version is recommended to be further evaluated.

Place, publisher, year, edition, pages
2021. Vol. 19, no 73, p. 69-75
Keywords [en]
Health education; Health promotion; Non-communicable disease; Quality of life; Sense of coherence
National Category
Public Health, Global Health, Social Medicine and Epidemiology Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
URN: urn:nbn:se:hv:diva-17888PubMedID: 34812161Scopus ID: 2-s2.0-85110696122OAI: oai:DiVA.org:hv-17888DiVA, id: diva2:1622507
Available from: 2021-12-22 Created: 2021-12-22 Last updated: 2024-01-19

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Ekström-Bergström, AnetteAreskoug Josefsson, Kristina

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