John E Ehiri

Interests

Research

HIV/AIDS; Global Infectious Disease Control; Behavioral Interventions

Teaching

Global Health; Global Reproductive, Maternal, Newborn, and Child health; Program Planning and Evaluation; Evidence-Based Methods; Policy Analysis

Courses

Scholarly Contributions

Journals/Publications

• Alaofè, H., Hounkpatin, W. A., Djrolo, F., Ehiri, J., & Rosales, C. (2021). Knowledge, attitude, practice and associated factors among patients with type 2 diabetes in Cotonou, Southern Benin. BMC public health, 21(1), 339.
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  Type 2 diabetes (T2D) is becoming an epidemic with significant disability and premature death in Sub-Saharan Africa, including Benin. However, little is known about the level of knowledge, attitude, and practice (KAP) necessary for diabetic patients to enhance therapeutic outcomes and prevent diabetes complications. The study aimed to assess patients' KAP levels and identify the factors associated in Cotonou, southern Benin.
• Alaofè, H., Yeo, S., Okechukwu, A., Magrath, P., Amoussa Hounkpatin, W., Ehiri, J., & Rosales, C. (2021). Cultural Considerations for the Adaptation of a Diabetes Self-Management Education Program in Cotonou, Benin: Lessons Learned from a Qualitative Study. International journal of environmental research and public health, 18(16).
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  : Type 2 diabetes (T2D) poses a disproportionate burden on Benin, West Africa. However, no diabetes intervention has yet been developed for Benin's contexts. This study aimed to explore specific cultural beliefs, attitudes, behaviors, and environmental factors to help adapt a diabetes self-management program to patients with T2D from Cotonou, in southern Benin. : Qualitative data were collected through focus group discussions (FDGs) involving 32 patients with T2D, 16 academic partners, and 12 community partners. The FDGs were audio-recorded, transcribed verbatim from French to English, and then analyzed thematically with MAXQDA 2020. : Healthy food was challenging to obtain due to costs, seasonality, and distance from markets. Other issues discussed were fruits and vegetables as commodities for the poor, perceptions and stigmas surrounding the disease, and the financial burden of medical equipment and treatment. Information about local food selections and recipes as well as social support, particularly for physical activity, were identified, among other needs. When adapting the curriculum, gender dynamics and spirituality were suggested. : The study demonstrates the need for culturally sensitive interventions and a motivation-based approach to health (spiritual and emotional support). It also lays the groundwork for addressing T2D contextually in Benin and similar sub-Saharan African countries.
• Chebet, J. J., Ehiri, J. E., McClelland, D. J., Taren, D., & Hakim, I. A. (2021). Effect of d-limonene and its derivatives on breast cancer in human trials: a scoping review and narrative synthesis. BMC cancer, 21(1), 902.
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  D-limonene and its derivatives have demonstrated potential chemopreventive and anticancer activity in preclinical and clinical studies. The aim of this scoping review was to assess and critically appraise current literature on the effect of these bioactive citrus peel compounds on breast cancer in human trials and to identify knowledge gaps for exploration in future studies.
• Ejemot-Nwadiaro, R. I., Ehiri, J. E., Arikpo, D., Meremikwu, M. M., & Critchley, J. A. (2021). Hand-washing promotion for preventing diarrhoea. The Cochrane database of systematic reviews, 12, CD004265.
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  Diarrhoea accounts for 1.8 million deaths in children in low- and middle-income countries (LMICs). One of the identified strategies to prevent diarrhoea is hand washing.
• Kram, N. A., Yesufu, V., Lott, B., Palmer, K. N., Balogun, M., & Ehiri, J. (2021). 'Making the most of our situation': a qualitative study reporting health providers' perspectives on the challenges of implementing the prevention of mother-to-child transmission of HIV services in Lagos, Nigeria. BMJ open, 11(10), e046263.
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  To investigate the challenges of, and opportunities for, effective delivery of prevention of mother-to-child transmission (PMTCT) services from the perspectives of primary healthcare providers in Lagos, Nigeria.
• Lott, B. E., Halkiyo, A., Kassa, D. W., Kebede, T., Dedefo, A., Ehiri, J., Madhivanan, P., Carvajal, S., & Soliman, A. (2021). Health workers' perspectives on barriers and facilitators to implementing a new national cervical cancer screening program in Ethiopia. BMC women's health, 21(1), 185.
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  Cervical cancer disproportionately affects women in sub-Saharan Africa, compared with other world regions. In Ethiopia, a National Cancer Control Plan published in 2015, outlines an ambitious strategy to reduce the incidence and mortality of cervical cancer. This strategy includes widespread screening using visual inspection with acetic acid (VIA). As the national screening program has rolled out, there has been limited inquiry of provider experiences. This study aims to describe cancer control experts' perspectives regarding the cancer control strategy and implementation of VIA.
• Parra, K. L., Alaofe, H. S., Ehiri, J. E., Nuño, V. L., Mazariegos, M., Garcia, B., Martinez, E., Junkins, A., & Jolly, P. (2021). Prevalence and Determinants of Underweight, Overweight, and Obesity: A Cross-Sectional Study of Sociodemographic, Dietary, and Lifestyle Factors Among Adolescent Girls in Jutiapa, Guatemala. Food and nutrition bulletin, 42(4), 502-519.
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  As the incidence of overweight continues to increase among children and adolescents in Guatemala, underweight remains a prominent health problem. However, the prevalence of overweight or underweight and associated risk factors has not been investigated among adolescent girls.
• Peterson, R. L., Butler, E. A., Ehiri, J. E., Fain, M. J., & Carvajal, S. C. (2021). Mechanisms of Racial Disparities in Cognitive Aging: An Examination of Material and Psychosocial Well-Being. The journals of gerontology. Series B, Psychological sciences and social sciences, 76(3), 574-582.
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  We tested the hypothesis that education's effect on cognitive aging operates in part through measures of material and psychosocial well-being.
• Riggs, S. L., Thomson, C. A., Jacobs, E., Cutshaw, C. A., & Ehiri, J. E. (2021). Hispanic Ethnicity and Cervical Cancer Precursors Among Low-Income Women in Arizona. International journal of women's health, 13, 929-937.
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  In the United States, Hispanics are more likely to be diagnosed with cervical cancer compared to Non-Hispanic Whites. Annually, 250,000 to 1 million women are diagnosed with a precursor to CC. The aim of this study was to assess whether Hispanics have a higher prevalence of cervical dysplasia compared to Non-Hispanics Whites among a population of low-income women.