C. Kouta

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Ioannis N Grigoriadis

Bilkent University

David Seamon

Kansas State University

Pietro Saitta

University of Messina

Marco Annoni

Consiglio Nazionale delle Ricerche (CNR)

Philip C Hébert

University of Toronto

Viacheslav Kuleshov

Stockholm University

Maria Sironi

University of Padova

Mete Özsezer

Eastern Mediterranean University

Filiz Dığıroğlu

Marmara University

Thomas Pettigrew

University of California, Santa Cruz

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Papers by C. Kouta

Development of area-level census-based indices of socioeconomic deprivation: review

European Journal of Public Health, 2016

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Understanding Femicide from a Cultural and Ecological Perspective

Papadopoulos I, Kalokerinou A, Kouta C (2011): Transcultural Nursing and Cultural Competence for Health Care Professionals (In Greek). Paschalides Medical Books, Athens. ISBN 978-960-489-136-8 (357 pages) (In Greek)

Additional file 1 of Social gradient in health-related quality of life among urban middle-age residents in Limassol, Cyprus: research article

Additional file 1.

“Place standard” depicts social gradient in the neighbourhood environment in Cyprus

European Journal of Public Health

Background Census data, GIS, surveys and audits are used to profile “place”, each with shortcomin... more Background Census data, GIS, surveys and audits are used to profile “place”, each with shortcomings. There are several “neighbourhood environment” tools, including the “Place Standard” a policy and advocacy tool developed in Scotland. “Place” is not a strong feature in the public health agenda in Cyprus. Methods In an internet survey under the auspices of the Cyprus Healthy Cities Office, participants rated 14 features of their neighborhood environment. Exploratory factor, cluster and regression analysis were used to explore the dimensionality of the concept, neighborhood profiles and differences according to individual and area-level characteristics. Results With the exception of safety (M = 4.4, SD = 1.7 on a 1: large to 7: little improvement), 492 participants (mean age 42, 50% residents for >10 years) from 266 postcodes (33% islandwide) did not rate other features favourably, with lowest scores for “influence and sense of control”. A clear dimensionality of Built, Physical, S...

eDelphi survey to shape the content of a digital resource to enhance parental health literacy

European Journal of Public Health

Background Information-seeking on the internet is very prevalent, in contrast to low attendance o... more Background Information-seeking on the internet is very prevalent, in contrast to low attendance of antenatal classes. In addition to varying quality, few digital resources are developed using participatory research approaches. Methods Antenatal learning needs were explored in a modified Delphi survey among the professional community and parents-to-be/new parents. A list of 174 topics was developed using the Nominal Group Technique among antenatal educators and representatives of local professional associations. In an online survey, the relative importance of each was rated on a 5-point scale by the wider professional community and general public. Topics rated by ≥ 80% as at least “very important” or by ≥ 50% as “essential” by either group were shortlisted and re-rated by delegates of the annual Midwifery conference. Analysis 193 health professionals (77.7% midwives) and 275 mothers-to-be/new mothers (56.4% attendance of antenatal classes) participated in the online survey. Based on ...

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Citizens’ perceptions of the health-related neighbourhood environment in Limassol, Cyprus

European Journal of Public Health

Background “Place” can impact on health and quality of life. There is a growing interest in neigh... more Background “Place” can impact on health and quality of life. There is a growing interest in neighbourhood audits. In the context of developing the CyNOTes audit tool, a residents’ perception of the neighbourhood environment survey was performed. Methods A systematic random sample of ten adult residents (N = 150) across a stratified sample of fifteen neighbourhoods according to educational attainment as per census data responded to the “Place Standard” tool which assesses 14 aspects of the physical, built and social neighbourhood environment. Neighbourhoods were also audited using the 126-item CyNOTes. Results Three in four participants were home owners and lived in the neighbourhood for over 10 years. With the exception of “identity and sense of belonging” (M = 5.8, SD = 2.0) and “opportunities for social interaction” (M = 5.3, SD = 2.1), physical and built aspects of the environment were rated close to the middle point on a scale 1: large to 7: little room for improvement. “Parks, ...

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1012 Health related quality of life of mothers of children with cancer: The role of social support and social capital

European Journal of Cancer

The association of vitamin D with allergy and lung function in asthmatic and healthy adolescents<subtitle>Ourania Kolokotroni</subtitle>

European Journal of Public Health, 2015

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European Journal of Public Health, 2015

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Health-related quality of life in mothers with children with cancer: a systematic review<subtitle>Christiana Nicolaou</subtitle>

European Journal of Public Health, 2016

A systematic review of training interventions addressing sexual violence against marginalized at-risk groups of women

Health Education Research, 2015

Women from marginalized groups working in occupations such as domestic work are at increased risk... more Women from marginalized groups working in occupations such as domestic work are at increased risk for sexual violence. Scarce evidence exists about training interventions targeting such groups. The article aims to identify community and workplace-based training interventions aiming to increase capacity among marginalized at-risk women to deal with sexual violence. A systematic review was applied. Inclusion criteria were English language published between 2003 and 2013; reporting on delivery and/or evaluation; focusing on any form of sexual violence; delivered to professionals, affected or at-risk women; targeting migrant, at-risk women or domestic workers. Data were extracted on the setting, content, evaluation process and target population. Four studies which focused on prevention or responding to sexual violence were included. One study provided sexual violence training to vulnerable female and one provided a HIV prevention intervention to marginalized women. Learning objectives included increasing knowledge around issues of sexual violence and/or gender and human rights, prevention and response strategies. Two studies aimed to train trainers. All studies conducted an outcome evaluation and two a process evaluation. It seems there is a gap on participatory empowerment training for marginalized women. Community train-the-trainer interventions are imperative to protect themselves and deal with the risk of sexual violence.

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Date rape among Cypriot female college students: an explorative study

Global Health Promotion, 2013

This study examined the prevalence and reporting of date rape among female college students (aged... more This study examined the prevalence and reporting of date rape among female college students (aged 18-24) in Cyprus and assessed the students' attitudes and awareness regarding date rape. In addition, the study examined how date rape is perceived among representatives of related private and governmental organizations in Cyprus. This is part of a larger multi-country study. This paper will focus only on the results pertaining to Cyprus. The study was coordinated by the Mediterranean Institute of Gender Studies. This study used quantitative and qualitative methods. In total, 476 female college students responded to an anonymous questionnaire, two focus group discussions were carried out, and five key-informant interviews with relevant institutional representatives were conducted. The results of the study indicated that unwanted sexual experiences and sexual violence, including date rape, do exist among young Cypriot women. Specifically, 1.3% of the research participants reported experiencing an attempted rape by their date, and 1.9 % of the study participants reported being raped on a date. Often this was caused by their boyfriend, friend or sexual partner (54.2%). The results of the qualitative study showed that young female Cypriots agreed that many women give in to psychological pressure because they feel guilty about letting the other person down or because they 'didn't satisfy him' or fear they might lose him. Despite the explorative nature of the study, it is significant as research on date rape in Cyprus is almost nonexistent. The authors anticipate that the results of the study will be useful to other researchers and policy-makers involved in this area of research.

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Sexuality, sexual and reproductive health: an exploration of the knowledge, attitudes and beliefs of the Greek-Cypriot adolescents

Promotion & Education, 2008

This study examines the knowledge, attitudes and beliefs of Greek-Cypriot adolescents regarding s... more This study examines the knowledge, attitudes and beliefs of Greek-Cypriot adolescents regarding sexuality, sexual and reproductive health in Cyprus. This is the first study in Cyprus that focuses on these issues. During the study, a survey was administered to a random sample of third grade students ( N = 697, Mean age = 14 ± 1 years, 48% males). Descriptive and comparative statistics were primarily used for the data analysis. The results indicated that young Greek-Cypriots have limited knowledge on sexual health issues and that there are gender differences regarding role expectations of sexuality. Thus, in the promotion of healthy sexuality and sexual behaviours among youth, practitioners should include gender and cultural perspectives. Qualitative research is needed to explore in depth how young Greek-Cypriots feel about sexuality and sexual and reproductive health. (Promot Educ, 2008; 15 (4): pp. 24-31)

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Small-Area Mapping of Premature Mortality and its Association with Area Socio-Economic Characteristics on the Small Island of Cyprus

International Journal of Epidemiology

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Maternity clinic practices and exclusive breastfeeding in Cyprus: BrEaST start in life study

European Journal of Public Health

Individuals with lower childhood SES were more likely to suffer poor sleep quality during old age... more

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Perceived social and workplace support among breastfeeding mothers in Cyprus

European Journal of Public Health

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Obstacles to compassion-giving among nursing and midwifery managers: an international study

AIM To explore nursing and midwifery managers' views regarding obstacles to compassion-giving... more AIM To explore nursing and midwifery managers' views regarding obstacles to compassion-giving across country cultures. BACKGROUND The benefit of compassionate leadership is being advocated, but despite the fact that health care is invariably conducted within culturally diverse workplaces, the interconnection of culture, compassion and leadership is rarely addressed. Furthermore, evidence on how cultural factors hinder the expression of compassion among nursing and midwifery managers is lacking. METHODS Cross-sectional, exploratory, international online survey involving 1 217 participants from 17 countries. Managers' responses on open-ended questions related to barriers for providing compassion were entered and thematically analysed through NVivo. RESULTS Three key themes related to compassion-giving obstacles emerged across countries: 1. related to the managers' personal characteristics and experiences; 2. system-related; and 3. staff-related. CONCLUSIONS Obstacles to co...

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Objective and subjective assessment of the neighborhood health environment, Limassol, Cyprus

European Journal of Public Health

Background While neighborhood audit tools are commonly assessed for inter- and intra-rater reliab... more Background While neighborhood audit tools are commonly assessed for inter- and intra-rater reliability, validity and relevance are not always demonstrated. Methods A stratified random sample of 45 neighbourhoods in Limassol were audited with the 150-item Cyprus Neighborhood Observational Tool for urban environments (CyNOTes). Ratings were correlated with census indicators of socioeconomic disadvantage. The extent to which residents' neighborhood assessment (Place Standard, N = 444) and self-rated quality of life (SF-36 in second sample N = 450) differed across neighborhoods classified according to domain were explored in mixed random effect models. Results CyNOTes items are organized in 9 domains (internal consistency=0.5-0.9) with a 3-factor higher structure. In seven, a stepwise pattern of lower mean ratings was observed across increasing socioeconomic disadvantage, for domains rated generally high across neighborhoods (e.g. lack of physical disorder) and low (e.g. outdoor spa...

The greek version of the professional quality of life (ProQoL) scale version 5

European Heart Journal

Background The Professional Quality of Life (ProQoL) scale is one of the most widely measures of ... more Background The Professional Quality of Life (ProQoL) scale is one of the most widely measures of compassion satisfaction and fatigue used, despite there is not much of published evidence to support its validity. The ProQoL scale assesses multiple domains of work experiences; compassion satisfaction, burnout and secondary traumatic stress. Our aim was to examine the psychometric properties of the Greek version of the ProQoL scale version 5 (Gr-ProQoL-5). Method A methodological study was contacted in order to assess the construct validity and reliability of the Gr-ProQoL-5. For that reason, 264 questionnaires were administrated by Greek-Cypriot healthcare professionals (HPs). Confirmatory factor analysis (CFA) and Exploratory factor analysis (EFA) were conducted to examine the relationship between the three Gr-ProQoL-5 dimensions (compassion satisfaction, burnout and secondary traumatic stress). Cronbach's a was calculated as well. Results CFA for Gr-ProQOL-5, did not confirm the...

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Development of area-level census-based indices of socioeconomic deprivation: review

European Journal of Public Health, 2016

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Understanding Femicide from a Cultural and Ecological Perspective