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Self-medication and its associated factors in Amdanga block of West Bengal 西孟加拉邦Amdanga区块的自我用药及其相关因素
IF 0.4 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-31 DOI: 10.47203/ijch.2022.v34i04.008
Sucheta Bhattacharyya, Sayeli Mitra, Swagatendra Narayan Basu, Inba Raja Alagesan, Rivu Basu
Background: The WHO defines the use of medications without prior medical consultation regarding indication, dosage and duration of treatment as self-medication. The practice is a global problem. Aims and Objectives: The study was conducted to describe the care seeking behavior of rural self-medicators living in Amdanga Block of West Bengal and to assess the belief in medicines by the self-medicators. Material & Methods: A descriptive cross-sectional study was conducted by interviewing with a pretested semi-structured questionnaire on 665 self-medicators out of 1740 adults who were interviewed in 80 villages of Amdanga Block, West Bengal. A three-stage sampling method was used to reach the study population. A three month recall on self-medication practice was considered operationalizing the “pull” and “push” factors of self-medicators using a Pshycho-social framework. The variables were Socio-demographic factors, Care Seeking Behaviors, Health System related factors, Belief in Medicines according to the framework. Results: The prevalence of self-medication was found to be 38.2%. 63% of the study subjects were female and 56.3% had a literacy status of middle school and above. 54.4% relied on their old prescription for self-medication. 68.7% had an initial choice to consult a doctor but later self-medicated of whom 53.2% changed their choice due to monetary and transport issues while 38.5% thought of self-medication considering their disease was mild in nature. Conclusion: Awareness and health education can link rural subjects with primary care facility and right decisions on care can be provided.
背景:世界卫生组织将未经事先医学咨询的药物使用定义为自我用药,包括适应症、剂量和治疗持续时间。这种做法是一个全球性问题。目的和目的:本研究旨在描述生活在西孟加拉邦Amdanga街区的农村自我医疗者的寻求护理行为,并评估自我医疗者对药物的信仰。材料与方法:采用预测试的半结构化问卷对西孟加拉邦Amdanga街区80个村庄的1740名成年人中的665名自我治疗者进行了描述性横断面研究。采用三阶段抽样方法对研究人群进行调查。一项为期三个月的自我药物实践回顾被认为是使用Pshycho社会框架来操作自我药物治疗者的“拉动”和“推动”因素。根据该框架,变量为社会人口统计学因素、寻求护理行为、卫生系统相关因素、对药物的信念。结果:自我用药的发生率为38.2%,63%的研究对象为女性,56.3%的研究对象具有中学及以上文化水平。54.4%的患者依靠老处方进行自我治疗。68.7%的人最初选择咨询医生,但后来自行服药,其中53.2%的人因金钱和交通问题而改变了选择,38.5%的人考虑到他们的疾病性质轻微而考虑自行服药。结论:意识和健康教育可以将农村受试者与初级保健设施联系起来,并可以提供正确的护理决策。
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引用次数: 0
Study on low birth weight and its associated factors among newborns delivered in a tertiary care hospital of Banda district, Uttar Pradesh 北方邦班达区一家三级护理医院分娩新生儿低出生体重及其相关因素的研究
IF 0.4 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-31 DOI: 10.47203/ijch.2022.v34i04.014
M. Maroof, L. Singh, S. Barman, N. Kumar, S. Barman, M. Yadav
Background: Low birth weight is associated with higher morbidity and mortality including impaired growth and development, malnutrition etc. Worldwide, one- fifth of newborns delivered are low birth weight. Aims & objectives: To estimate frequency of low birth weight & its associated factors among newborns delivered in a tertiary care hospital. Materials & Methods: A cross sectional analysis of 290 newborns delivered in tertiary care hospital, Banda, Uttar Pradesh during period of 15th February 2021 to 31st December 2021 was done for estimating low birth weight frequency & its associated factors including child characteristics, mother characteristics & father characteristics using data from medical record section of hospital. Frequency, percentages, mean, standard deviation, chi square test & independent t- test was used. P value <0.05 was considered significant. Results: 91 out of 290 newborns delivered were low birth weight (27.9%, 95% CI- 23.1%- 33.4%). The following factors were shown to have a significant association with low birth weight: education of mother (p=0.04), education of father (p=0.03), occupation of father (p=0.02), and duration of pregnancy (p<0.001). Conclusion: This study demonstrated that education of mother, education of father, occupation of father, and duration of pregnancy had significant association with low birth weight frequency that suggests that improving literacy status can help in decreasing burden of low birth weight apart from other factors.
背景:低出生体重与高发病率和死亡率相关,包括生长发育受损、营养不良等。在世界范围内,五分之一的新生儿出生时体重过轻。目的和目的:估计在三级保健医院分娩的新生儿中低出生体重的频率及其相关因素。材料与方法:对2021年2月15日至2021年12月31日期间在北方邦班达三级保健医院出生的290名新生儿进行横断面分析,利用医院病历部门的数据估计低出生体重频率及其相关因素,包括儿童特征、母亲特征和父亲特征。采用频率、百分比、均值、标准差、卡方检验和独立t检验。P值<0.05被认为是显著的。结果:290例新生儿中有91例低出生体重(27.9%,95% CI- 23.1%- 33.4%)。母亲受教育程度(p=0.04)、父亲受教育程度(p=0.03)、父亲职业(p=0.02)、怀孕时间(p<0.001)与低出生体重有显著相关性。结论:母亲的受教育程度、父亲的受教育程度、父亲的职业和怀孕时间与低出生体重发生率有显著相关,这表明除其他因素外,提高文化水平有助于减轻低出生体重的负担。
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引用次数: 0
Quantifying the mobile phone usage and gauging the perception about its harmful effects among the Otorhinolaryngologists in India- A questionnaire-based pan India survey 印度耳鼻喉科医生对手机使用的量化和对其有害影响的认知——一项基于问卷的全印度调查
IF 0.4 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-31 DOI: 10.47203/ijch.2022.v34i04.017
Prem Anand, Saurabh Varshney, Sumit Angral, K. K. Sasanka, Pratima Gupta, Sudip Bhattacharya
Introduction-There is a definitive risk to human health because of mobile phones. The awareness towards mobile phones emitted electromagnetic radiation is of paramount importance to prevent health risks and possible negative health disorders. Aim and objectives-The aim of the survey is to assess the awareness of mobile phone radiation and its harmful effects on the body and the mobile phone usage trend among Otorhinolaryngologists from India. Methodology-The present survey aimed to obtain baseline data on cell phone usage and radiation awareness among a relatively homogenous cohort of Otorhinolaryngologists from India. This is a cross-sectional online survey assessing awareness of Mobile Phone radiation through a custom-made questionnaire devised by the authors which consisted of four parts: 1. Demographic details, 2. Mobile phone usage trend, 3. Knowledge of mobile phone radiation 4. Awareness of health hazards produced by mobile phone radiation. Results- The total number (n) of otorhinolaryngologists to whom the questionnaire was sent was 6336 of which 259 of them responded which formed the sample size of our study. Thus, the response rate of the survey was 4%. A total of 259 Otorhinolaryngologists participated in the study. The mean age of the population involved in the survey is 41.7810.32 years. The male-female ratio of the survey is 161:98 respectively. There were 172 private and 87 government ENT practitioners in the survey. MS otorhinolaryngology was the most common qualification of the study with 223 doctors having the degree, 20 having DNB, and 7 of them having completed DLO. The mean years of medical practice after postgraduation of the Otorhinolaryngologists participating in the questionnaire are 13.537.38 years. The major contributors to the survey were private ENT consultants with a count of 110, followed by Senior Residents 58, Assistant Professor 39, Professor 29, Associate professor 10, and Additional professor 13. It was evident from the questionnaire that 242 of the respondents were right-handed and 204 of the study population used their right ear for talking over the phone, it was also cross-checked by giving a miss call to them in close vicinity. The mean years of exposure to mobile phone usage by Otorhinolaryngologists are 15.01 5.75. A maximum of 153 surgeons were using mobile phones for 11-20 yrs. The average hours of daily mobile phone usage were 373 minutes. A highest of 101 Otorhinolaryngologists using mobile phones for >4 Hrs. Surprisingly through the questionnaire we came to know that a total of 60 doctors among the 250 use the phone daily for an average of more than 10 Hrs, which is 24% of the study population surveyed. Questions 15-24 were purposed to bring the awareness knowledge of the respondents towards electromagnetic radiation of the cellular phones and it can be arbitrarily said that a score of 5 or more means that the person is aware. The average of the correct responses to each of the 10 questions given by
引言手机对人类健康有着明确的风险。对手机发射电磁辐射的认识对于预防健康风险和可能的负面健康障碍至关重要。目的和目的本调查旨在评估印度耳鼻喉科医生对手机辐射及其对身体有害影响的认识以及手机使用趋势。方法本调查旨在获得印度相对同质的耳鼻喉科医生的手机使用和辐射意识的基线数据。这是一项横断面在线调查,通过作者设计的定制问卷评估对手机辐射的认识,问卷由四部分组成:1。人口统计详细信息,2。手机使用趋势,3。手机辐射知识4。了解手机辐射对健康的危害。结果-接受问卷调查的耳鼻喉科医生总数为6336人,其中259人做出了回应,这构成了我们研究的样本量。因此,调查的回应率为4%。共有259名耳鼻喉科医生参与了这项研究。参与调查的人口平均年龄为41.7810.32岁。调查的男女比例分别为161:98。调查中有172名私人和87名政府耳鼻喉科医生。MS耳鼻喉科是该研究中最常见的资格,223名医生拥有该学位,20名医生拥有DNB,其中7人完成了DLO。参与问卷调查的耳鼻喉科医生毕业后平均行医年限为13.537.38年。调查的主要参与者是私人耳鼻喉科顾问,共有110人,其次是58岁的老年住院医生、39岁的助理教授、29岁的教授、10岁的副教授和13岁的额外教授。从调查问卷中可以明显看出,242名受访者是右撇子,204名研究人群使用右耳打电话,还通过在附近给他们打未接电话进行了交叉检查。耳鼻喉科医生接触手机的平均年数为15.01 5.75。最多有153名外科医生使用手机长达11-20年。平均每天使用手机的时间为373分钟。101名耳鼻喉科医生中使用手机超过4小时的人数最多。令人惊讶的是,通过问卷调查,我们发现250名医生中,共有60名医生平均每天使用手机超过10小时,占调查研究人群的24%。问题15-24的目的是让受访者了解手机的电磁辐射,可以任意地说,得分为5分或5分以上意味着此人有意识。耳鼻喉科医生对10个问题的平均正确回答为5.97±1.66。同样,问题25至35评估了对手机辐射产生的健康危害的认识。耳鼻喉科医生的平均正确反应为6.30±1.87。
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引用次数: 0
Prevalence of Hepatitis B and Hepatitis C Virus Infection in Patients with Advanced Renal Failure: A Tertiary Care Centre Study from North Indian Population 晚期肾衰竭患者乙型肝炎和丙型肝炎病毒感染的流行:北印度人口三级保健中心研究
IF 0.4 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-31 DOI: 10.47203/ijch.2022.v34i04.003
S. Rungta, S. Kumar, S. Tripathy, S. Pandey, Kamlendra Verma, Ghulam Akhtar, S. Swaroop, A. Deep
Abstract: Viral hepatitis (Hepatitis B Virus (HBV) & Hepatitis C Virus (HCV)) related liver disease is a leading cause of morbidity and mortality especially in the patients with advanced renal failure who are treated with dialysis, and this is due to high number of blood transfusion sessions and/or cross contamination from the dialysis circuits. Aims & Objectives: This study aimed to determine the prevalence of HBV and HCV infections in patients with advanced renal failure (ARF). Materials & Methods: A cross-sectional study was done in joint collaboration of Department of Nephrology and Department of Gastroenterology, KGMU, Lucknow, from June 2018 to June 2020 among, CRF patients. Clinical data such as age, gender, duration of dialysis; number of transfusions, Serum sample was collected from each patient. Serological markers for HBV and HCV were determined with ELISA by using commercial diagnostic kits. HCV-RNA and HBV-DNA were determined quantitatively by polymerase chain reaction (PCR) assay. Results: A total 934 patients with advanced renal failure attended the nephrology OPD. Out of 934 patients, 65 (6.96%) patients screened positive for HBV/HCV infection. The results of this study also showed that the prevalence of viral hepatitis infection in the haemodialysis (HD) and without HD patients is 8.25% and 6.3% respectively. Conclusion: It has been found that viral infections, particularly HBV and HCV infections are common in advanced renal failure patients who are on HD.
摘要:病毒性肝炎(乙型肝炎病毒(HBV)和丙型肝炎病毒(HCV))相关的肝脏疾病是导致发病率和死亡率的主要原因,特别是在接受透析治疗的晚期肾衰竭患者中,这是由于大量输血和/或透析回路的交叉污染。目的和目的:本研究旨在确定晚期肾衰竭(ARF)患者中HBV和HCV感染的患病率。材料与方法:2018年6月至2020年6月,在勒克瑙KGMU肾内科和消化内科的联合合作下,对CRF患者进行了横断面研究。年龄、性别、透析时间等临床资料;每例患者均采集血清样本。采用商用诊断试剂盒,采用ELISA法检测HBV和HCV血清标志物。采用聚合酶链反应(PCR)法定量检测HCV-RNA和HBV-DNA。结果:934例晚期肾功能衰竭患者就诊于肾内科门诊。在934例患者中,65例(6.96%)患者筛查为HBV/HCV感染阳性。本研究结果还显示,血液透析(HD)患者和非HD患者的病毒性肝炎感染率分别为8.25%和6.3%。结论:发现病毒感染,特别是HBV和HCV感染在HD治疗的晚期肾衰竭患者中很常见。
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引用次数: 0
Power of Millets- Critical for addressing Ecological, Agrarian, and Emerging health crisis in Punjab 小米的力量——解决旁遮普生态、农业和新兴健康危机的关键
IF 0.4 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-31 DOI: 10.47203/ijch.2022.v34i04.022
J. Thakur, H. Kaur, Chaitanya Devesh Singh Thakur
The state of Punjab is facing a major threat of ecological, agrarian as well as emerging health crisis. Continuously depleting water tables due to unregulated use of irrigation water and increased cultivation of water-thirsty, varieties of rice are posing major threat to water availability in the state. Indiscriminate use of chemicals in farming leading to soil infertility, polluted surface waters and air pollution are contributing to ecological catastrophe and eventually leading to many health problems in the population. Hence there is need to focus on environmentally friendly, economically viable and health benefitting solutions. Millets as climate change compliant crops score highly over other grains in terms of marginal growing conditions and high nutritional value are proposed as a solution for emerging challenges in Punjab.
旁遮普邦正面临生态、农业和新出现的健康危机的重大威胁。由于不受管制地使用灌溉用水和越来越多地种植缺水的水稻,地下水位不断枯竭,这对该邦的水资源供应构成了重大威胁。在农业中滥用化学品导致土壤不孕症、地表水污染和空气污染,这些都助长了生态灾难,并最终导致人口中的许多健康问题。因此,有必要把重点放在环境友好、经济可行和有益于健康的解决办法上。小米作为适应气候变化的作物,在边际生长条件和高营养价值方面比其他谷物得分高,被提议作为旁遮普新出现的挑战的解决方案。
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引用次数: 0
A Systematic review of factors affecting compliance toward oral iron-folic acid supplementation among pregnant women in India. 影响印度孕妇口服铁叶酸补充依从性因素的系统综述。
IF 0.4 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-31 DOI: 10.47203/ijch.2022.v34i04.002
Areeba Khanam, Kashish Vohra, Thejas Achary MG, Anjusha Ranjith, Harshiti Bharti, Rupam Ghosh, Ravneet Kaur, K. Yadav
Background: Iron-folic acid deficiency is the most common complication during pregnancy. Iron deficiency is responsible for various health complications among pregnant women. Compliance with IFA supplementation is variable across India several factors are associated with compliance with IFA supplementation. Objective: The objective of this systematic review is to assess the factors affecting compliance toward oral iron-folic acid supplementation among pregnant women in India. Methods: The primary search was carried out using PubMed, Google scholar, the WHO website, and Research Gate which provide access to full?text research articles from January 2012 to 25th January 2022 published data were searched. Result: A total of 74 studies were identified, and 20 were included in this review. Out of the 20 studies, sixteen were cross-sectional, two mixed methods, and two randomized control trials. knowledge of IFA, education, socioeconomic status, the timing of registration and number of antenatal visits, type of family, and age of the pregnant women were the factors that affect the compliance of IFA supplementation. Conclusion: Knowledge of iron-folic acid supplementation, Timing of registration and number of Antenatal Care visits, educational level of the pregnant women, and age of the pregnant women were factors associated with the compliance of IFA supplementation among pregnant women in India.
背景:铁叶酸缺乏是妊娠期最常见的并发症。缺铁是造成孕妇各种健康并发症的原因。印度各地对IFA补充剂的依从性各不相同,几个因素与IFA补充剂依从性有关。目的:本系统综述的目的是评估影响印度孕妇口服铁叶酸补充剂依从性的因素。方法:使用PubMed、Google学者、世界卫生组织网站和提供完整?检索2012年1月至2022年1月25日发表的文本研究文章的数据。结果:共确定了74项研究,其中20项纳入本综述。在20项研究中,16项是横断面研究,两项是混合方法,两项为随机对照试验。IFA知识、教育程度、社会经济地位、登记时间和产前检查次数、家庭类型和孕妇年龄是影响补充IFA依从性的因素。结论:补充铁叶酸的知识、登记时间和产前护理就诊次数、孕妇的教育水平和孕妇的年龄是影响印度孕妇补充IFA依从性的因素。
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引用次数: 0
A study on Instinctive Feelings, Perceived Stressors and Factors that helped in reducing Stress during COVID 19 pandemic among Health Care Workers 医护人员在2019冠状病毒病大流行期间的本能感觉、感知压力源和有助于减轻压力的因素的研究
IF 0.4 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-31 DOI: 10.47203/ijch.2022.v34i04.020
Ashish Chaudhari, N. Solanki, Parul Sharma, P. Patel
Background: Healthcare workers at the forefront of the battle against COVID 19 are not only putting their own health and lives at risk but are also fighting to keep their own worries and emotional stress at bay. Aim & Objective: To evaluate emotions, perceived stressors, and factors that helped in reducing stress of healthcare workers who worked during a COVID19 pandemic. Settings and Design: This cross sectional study was conducted among Health Care staff involved in COVID 19 duty in tertiary care hospital of Gujarat. Methods and Material: Google form link was shared though what’s up and mail. The questionnaire was completed online. Consent for voluntarily participation was also obtained through online Google form. Statistical analysis used: Data was entered and analysed through Microsoft Excel 2010. Results: Total 106 participants responded to the questionnaire. It was extremely stressful for health care workers to see their colleagues getting infection, as well as the fear that they could transmit the disease to their families or friends. Main factors that helped to reduce the stress were positive attitude from colleagues, improvement of patients conditions and availability of protective equipment. Conclusions: Personal safety, the protection of family members and unpredictability of pandemic were the main concerns. Hospitals should prioritise stress monitoring for health care workers and provide targeted psychological guidance for HCWs during the pandemic.
背景:处于抗击新冠肺炎疫情最前线的医护人员不仅将自己的健康和生命置于危险之中,还努力控制自己的担忧和情绪压力。目的和目的:评估在新冠肺炎疫情期间工作的医护人员的情绪、感知压力源和有助于减轻压力的因素。设置和设计:这项横断面研究是在古吉拉特邦三级护理医院参与COVID 19工作的医护人员中进行的。方法和材料:谷歌表格链接是通过什么是共享和邮件。问卷是在网上完成的。自愿参与的同意书也通过在线谷歌表格获得。使用的统计分析:数据通过Microsoft Excel 2010输入和分析。结果:共有106名参与者对问卷做出了回应。医护人员看到同事感染,以及担心他们会将疾病传染给家人或朋友,压力非常大。帮助减轻压力的主要因素是同事的积极态度、患者状况的改善和防护设备的可用性。结论:人身安全、对家庭成员的保护和疫情的不可预测性是主要问题。医院应优先对医护人员进行压力监测,并在疫情期间为医务人员提供有针对性的心理指导。
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引用次数: 0
Descriptive analysis of sleep quality and its determinants among rural population of coastal Karnataka 卡纳塔克邦沿海农村人口睡眠质量及其决定因素的描述性分析
IF 0.4 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-31 DOI: 10.47203/ijch.2022.v34i04.019
Saranya Sivanesan, Chythra R Rao, S. Mallya, Uttam Kumar, A. Kamath
Background: A good quality of sleep helps to maintain mood, memory and cognitive performance. Aim & Objective: To assess quality of sleep and its determinants among rural adults. Settings and Design: A community based cross sectional study was carried out in rural field practice area of a medical college Methods and Material: Pittsburg sleep quality index scale was used to assess quality of sleep. Semi-structured questionnaire was used to collect information from participants. Anthropometric and blood pressure measurements were taken. Statistical analysis used: Chi-square test was used to find out association between poor sleep and specific morbidities. Univariate and multivariate logistic regression was done to assess predictors of poor sleep. Results: Among the 614 study subjects, 60.3% had good sleep. Presence of morbidity was significantly associated with poor sleep [AOR=1.48; 95%CI=1.05-2.08]. Presence of a dark room, taking a bath or having milk before bed time were top reasons cited to be facilitating good sleep. Presence of mosquitoes, having young children or adolescent at home and vital events in last one year were reported to hinder good sleep. Conclusions: A sizeable proportion of rural adults have poor sleep. Presence of morbidity was a significant predictor of poor sleep.
背景:良好的睡眠质量有助于保持情绪、记忆力和认知能力。目的与目的:了解农村成年人的睡眠质量及其影响因素。背景与设计:在某医学院农村实习区进行基于社区的横断面研究。方法与材料:采用匹兹堡睡眠质量指数量表评估睡眠质量。采用半结构化问卷收集参与者信息。进行了人体测量和血压测量。采用统计学分析:采用卡方检验找出睡眠质量差与特定疾病的关系。采用单因素和多因素逻辑回归来评估睡眠质量差的预测因素。结果:在614名研究对象中,60.3%的人睡眠良好。发病与睡眠质量差有显著相关性[AOR=1.48;95% ci = 1.05 - -2.08)。睡觉前呆在黑暗的房间里、洗澡或喝牛奶是促进良好睡眠的主要原因。据报告,蚊虫的存在、家中有年幼的儿童或青少年以及过去一年内发生的重大事件阻碍了良好的睡眠。结论:相当大比例的农村成年人睡眠不足。发病率的存在是睡眠质量差的重要预测因素。
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引用次数: 0
Developing public health capacities of Frontline Public Health Workforce in Uttarakhand 发展北阿坎德邦一线公共卫生工作人员的公共卫生能力
IF 0.4 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-09-30 DOI: 10.47203/ijch.2022.v34i03.025
Pankaj Singh, Amrita Gupta, A. Tripathi, M. Dhuria, P. Aggarwal
Recent COVID-19 pandemic has highlighted the importance of increase in the ability of public health workforce to detect and respond to the public health threats. For timely implementation of an adequate response and mitigation measure, the standardized and sustainable capacity building programme for frontline public health workforce is the need of hour. National Center for Disease Control (NCDC), Ministry of Health and Family Welfare, in partnership with U.S. Centers for Disease Control and Prevention (CDC), developed a three-month in-service Basic Epidemiology Training programme. This is a tailor-made programme for frontline public health workforce to strengthen epidemiological skills. This training was a practical interactive approach to field epidemiology for three months on the job training for frontline public health workforce that addressed the critical skills needed to conduct surveillance effectively at the local level while focusing on improving disease detection, reporting and feedback. The training also demonstrated the role of learning model in form of interaction between the mentor and the mentees. The importance of handhold support given by the mentors to the mentees in quality outbreak investigations and documentation.
最近的COVID-19大流行凸显了提高公共卫生人力发现和应对公共卫生威胁的能力的重要性。为了及时实施适当的应对和缓解措施,需要为一线公共卫生工作人员制定标准化和可持续的能力建设方案。卫生和家庭福利部国家疾病控制中心与美国疾病控制和预防中心合作,制定了为期三个月的在职流行病学基础培训方案。这是为一线公共卫生工作人员量身定制的方案,旨在加强流行病学技能。这是一项为期3个月的现场流行病学实际互动方法,对一线公共卫生工作人员进行在职培训,解决在地方一级有效开展监测所需的关键技能,同时注重改进疾病检测、报告和反馈。培训还以导师与学员互动的形式展示了学习模式的作用。导师在高质量的疫情调查和记录方面给予学员的支持的重要性。
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引用次数: 0
Awareness about pictorial warnings on tobacco products and its impact on tobacco consumers in coastal Karnataka 卡纳塔克邦沿海地区对烟草制品图片警告的认识及其对烟草消费者的影响
IF 0.4 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-09-30 DOI: 10.47203/ijch.2022.v34i03.011
Naveenkumar Havale, P. M. Naik, H. Kalappa, Malatesh Undi, Manjula Naik, Shyamsundar Shreedhar
Background: Tobacco use is a major risk factor for many chronic diseases, including cancer. India revised the pictorial warnings on all tobacco products in 2018, but its impact on tobacco consumers after the revision is less studied. Aim and Objective: To assess the awareness of the revised pictorial warnings on tobacco products and the impact of it on tobacco consumers in a coastal town. Methods: This cross-sectional study was conducted from 1st to 31st March 2021 among 185 adult tobacco consumers in a coastal town in Karnataka after obtaining ethical clearance and informed consent. The data was analysed using SPSS version 16.0 by descriptive statistics, Chi-square, Fisher’s exact test and binary logistic regression analysis. Results: Majority (95.7%) were males and 96.2% had seen the pictorial warning on the tobacco products. The commonly consumed tobacco products were panmasala (44.9%), gutka (38.9%), cigarette (31.4%) and bidi (15.1%). The mean age of initiation of consuming tobacco products was 24.8 years and mean duration of the habit was 17 years. Conclusions: A majority (96.2%) have seen the pictorial warnings on the tobacco products and significant predictors for reducing tobacco consumption were those who inferred the pictorial warnings as tobacco is injurious to health and cancerous.
背景:烟草使用是包括癌症在内的许多慢性疾病的主要危险因素。印度于2018年修订了所有烟草制品的图片警告,但修订后对烟草消费者的影响研究较少。目的与目的:评估某沿海城镇烟草制品图片警示修订的认知度及其对烟草消费者的影响。方法:本横断面研究于2021年3月1日至31日在获得伦理许可和知情同意后,对卡纳塔克邦一个沿海城镇的185名成年烟草消费者进行了研究。采用SPSS 16.0版对数据进行描述性统计、卡方检验、Fisher精确检验和二元logistic回归分析。结果:男性占绝大多数(95.7%),96.2%的人见过烟草制品的图片警示。常见的消费烟草产品为panmasala(44.9%)、gutka(38.9%)、卷烟(31.4%)和bidi(15.1%)。开始消费烟草制品的平均年龄为24.8岁,吸烟习惯的平均持续时间为17岁。结论:大多数人(96.2%)看过烟草制品上的图片警语,认为烟草有害健康和致癌的人是减少烟草消费的重要预测因素。
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Indian Journal of Community Health
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