{"title":"Proceedings of the 22nd International Conference of Public Health Sciences","authors":"","doi":"10.56808/2586-940x.1049","DOIUrl":"https://doi.org/10.56808/2586-940x.1049","url":null,"abstract":"","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43039936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background : To prevent hypertension and long-term risk of cardiovascular events, older adults with prehypertension have to adhere to preventive behaviors. Little is known about the experience of adherence to preventive behavior among older adults with prehypertension. Method : A constructivist grounded theory approach was used to develop a model explaining the process of adherence to preventive behavior among older adults with prehypertension living in Thailand. Participants were recruited using purposive and theoretical samplings from two primary health care units in Western Thailand. Semi-structured interviews were conducted with 26 participants. All interview data collection was recorded, transcribed, and analyzed simultaneously. Initial and focused coding, as well as constant comparison, were used to analyze the data. Results : ‘ Living healthier ’ appeared as a core category describing the process of adherence. Three categories were identi fi ed in the process of adherence: (1) recognizing the danger, (2) fi tting self-care strategies, and (3) managing for the long -term. Creating connectedness to live longer seemed to intercede adherence behavior. Conclusion : Adherence emerges from experiential learning when participants realized preventive behavior as the life source of living longer. These fi ndings may help in the design of nursing interventions to increase trust in preventive behavior adherence and enhance awareness of prehypertension and its possible consequences. Family intervention in promoting adherence to preventive behavior among older adults with prehypertension should be developed as a desire to live longer with family is forceful.
{"title":"Living healthier: a grounded theory of older adult with prehypertension","authors":"J. Seesawang, Pulawit Thongtang","doi":"10.56808/2586-940x.1031","DOIUrl":"https://doi.org/10.56808/2586-940x.1031","url":null,"abstract":"Background : To prevent hypertension and long-term risk of cardiovascular events, older adults with prehypertension have to adhere to preventive behaviors. Little is known about the experience of adherence to preventive behavior among older adults with prehypertension. Method : A constructivist grounded theory approach was used to develop a model explaining the process of adherence to preventive behavior among older adults with prehypertension living in Thailand. Participants were recruited using purposive and theoretical samplings from two primary health care units in Western Thailand. Semi-structured interviews were conducted with 26 participants. All interview data collection was recorded, transcribed, and analyzed simultaneously. Initial and focused coding, as well as constant comparison, were used to analyze the data. Results : ‘ Living healthier ’ appeared as a core category describing the process of adherence. Three categories were identi fi ed in the process of adherence: (1) recognizing the danger, (2) fi tting self-care strategies, and (3) managing for the long -term. Creating connectedness to live longer seemed to intercede adherence behavior. Conclusion : Adherence emerges from experiential learning when participants realized preventive behavior as the life source of living longer. These fi ndings may help in the design of nursing interventions to increase trust in preventive behavior adherence and enhance awareness of prehypertension and its possible consequences. Family intervention in promoting adherence to preventive behavior among older adults with prehypertension should be developed as a desire to live longer with family is forceful.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42219072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background : There are limited studies examining the effectiveness of Mindful Sport Performance Enhancement (MSPE) on dispositional fl ow enhancement in the recreational population. This is the fi rst empirical evaluation of an online 4-week MSPE designed to enhance dispositional fl ow in Chinese recreational runners. Method : In this mixed-method study, a convergent design approach was adopted to examine the acceptability and effectiveness of the 4-week online MSPE in Chinese recreational runners (N ¼ 41). The quantitative strand was designed with a single-group pre-test and post-test model in which the dispositional fl ow was assessed at 2 time points (i.e., pre and post) using the Chinese Dispositional Flow Scale e 2 (DFS-2). After fi nishing the 4-week long online sessions, semi-structured interviews (N ¼ 15) were conducted, and a re fl exive thematic analysis (re fl exive TA) was utilized to analyze qualitative data. Results : Chinese recreational runners ’ dispositional fl ow signi fi cantly increased after four weeks online training compared to the baseline (d ¼ 0.53, 95% CI for d ¼ (0.30, 0.75)). This fi nding was substantiated by the positive experiences shared by participants highlighting the acceptability and effectiveness of the online mindfulness training. Conclusion : This study evaluated a 4-week online MSPE on dispositional fl ow enhancement in Chinese recreational runners. The quantitative and qualitative fi ndings provided evidence for its acceptability and effectiveness in the Chinese context.
{"title":"Online Dispositional Flow Enhancement Training for Chinese Recreational Runners: A Single-Group Mixed-method Evaluation","authors":"Lijuan Yang, Rajitha Menon","doi":"10.56808/2586-940x.1032","DOIUrl":"https://doi.org/10.56808/2586-940x.1032","url":null,"abstract":"Background : There are limited studies examining the effectiveness of Mindful Sport Performance Enhancement (MSPE) on dispositional fl ow enhancement in the recreational population. This is the fi rst empirical evaluation of an online 4-week MSPE designed to enhance dispositional fl ow in Chinese recreational runners. Method : In this mixed-method study, a convergent design approach was adopted to examine the acceptability and effectiveness of the 4-week online MSPE in Chinese recreational runners (N ¼ 41). The quantitative strand was designed with a single-group pre-test and post-test model in which the dispositional fl ow was assessed at 2 time points (i.e., pre and post) using the Chinese Dispositional Flow Scale e 2 (DFS-2). After fi nishing the 4-week long online sessions, semi-structured interviews (N ¼ 15) were conducted, and a re fl exive thematic analysis (re fl exive TA) was utilized to analyze qualitative data. Results : Chinese recreational runners ’ dispositional fl ow signi fi cantly increased after four weeks online training compared to the baseline (d ¼ 0.53, 95% CI for d ¼ (0.30, 0.75)). This fi nding was substantiated by the positive experiences shared by participants highlighting the acceptability and effectiveness of the online mindfulness training. Conclusion : This study evaluated a 4-week online MSPE on dispositional fl ow enhancement in Chinese recreational runners. The quantitative and qualitative fi ndings provided evidence for its acceptability and effectiveness in the Chinese context.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48108793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Towannang, Aurawamon Sriyuktasuth, Doungrut Wattanakitkrileart, T. Kanjanabuch
Background : Hand hygiene (HH) is an effective strategy to prevent infections. This study aimed to explore the association between HH behavior among peritoneal dialysis (PD) patients or caregivers and PD-related infection. Method : A single-center, cross-sectional study was conducted among PD patients and primary caregivers of totally-dependent PD patients. Data were collected through a participant information form and three different questionnaires about knowledge of HH, facilities for HH, and HH behavior. Documentation of PD-related infections were obtained from patients ’ medical records during the last 12 months. Descriptive statistics and binary logistic regression were used to analyze the data. Results : A total of 254 participants, including 181 PD patients (71%) and 73 caregivers (29%), were studied. The overall mean score for HH behavior was at a ‘ good ’ level (3.7 ± 0.3). Nearly half of the participants (46%) had a PD-related infection. In the binary logistic regression analysis, ‘ improper ’ hand and fi ngernail hygiene (OR 1.72, 95% CI: 1.04 e 2.84), ‘ improper ’ hand-washing steps (OR 1.68, 95% CI: 1.02 e 2.80), and ‘ improper ’ hand-washing during PD procedures (OR 2.32, 95% CI: 1.20 e 4.50) were signi fi cantly associated with PD-related infection. Conclusion : ‘ Improper ’ HH behavior is associated with increased risk of PD-related infection. Our fi ndings serve as input to develop ef fi cient training and retraining programs for Thai PD patients and primary caregivers to improve their HH behavior and reduce risks of PD-related infection. Further investigation of training and retraining programs and of hand-washing techniques for PD is warranted.
背景：手部卫生（HH）是预防感染的有效策略。本研究旨在探讨腹膜透析（PD）患者或护理人员的HH行为与PD相关感染之间的关系。方法：对帕金森病患者和完全依赖性帕金森病患者的主要照顾者进行单中心横断面研究。数据是通过参与者信息表和三份不同的关于HH知识、HH设施和HH行为的问卷收集的。PD相关感染的记录来自过去12个月患者的医疗记录。采用描述性统计和二元逻辑回归对数据进行分析。结果：共有254名参与者接受了研究，其中包括181名帕金森病患者（71%）和73名护理人员（29%）。HH行为的总体平均得分处于“良好”水平（3.7±0.3）。近一半的参与者（46%）患有PD相关感染。在二元逻辑回归分析中，“不适当”的手和指甲卫生（OR 1.72，95%CI:1.04 e 2.84）、“不适当的”洗手步骤（OR 1.68，95%CI:1.02 e 2.80）和PD过程中的“不恰当”洗手（OR 2.32，95%CI:12.20 e 4.50）与PD相关感染显著相关。结论：“不当”HH行为与PD相关感染的风险增加有关。我们的研究结果为泰国帕金森病患者和主要护理人员制定有效的培训和再培训计划提供了投入，以改善他们的HH行为，降低帕金森病相关感染的风险。有必要对PD的培训和再培训计划以及洗手技术进行进一步调查。
{"title":"Hand Hygiene Behaviors Associated With Peritoneal Dialysis-Related Infection","authors":"P. Towannang, Aurawamon Sriyuktasuth, Doungrut Wattanakitkrileart, T. Kanjanabuch","doi":"10.56808/2586-940x.1028","DOIUrl":"https://doi.org/10.56808/2586-940x.1028","url":null,"abstract":"Background : Hand hygiene (HH) is an effective strategy to prevent infections. This study aimed to explore the association between HH behavior among peritoneal dialysis (PD) patients or caregivers and PD-related infection. Method : A single-center, cross-sectional study was conducted among PD patients and primary caregivers of totally-dependent PD patients. Data were collected through a participant information form and three different questionnaires about knowledge of HH, facilities for HH, and HH behavior. Documentation of PD-related infections were obtained from patients ’ medical records during the last 12 months. Descriptive statistics and binary logistic regression were used to analyze the data. Results : A total of 254 participants, including 181 PD patients (71%) and 73 caregivers (29%), were studied. The overall mean score for HH behavior was at a ‘ good ’ level (3.7 ± 0.3). Nearly half of the participants (46%) had a PD-related infection. In the binary logistic regression analysis, ‘ improper ’ hand and fi ngernail hygiene (OR 1.72, 95% CI: 1.04 e 2.84), ‘ improper ’ hand-washing steps (OR 1.68, 95% CI: 1.02 e 2.80), and ‘ improper ’ hand-washing during PD procedures (OR 2.32, 95% CI: 1.20 e 4.50) were signi fi cantly associated with PD-related infection. Conclusion : ‘ Improper ’ HH behavior is associated with increased risk of PD-related infection. Our fi ndings serve as input to develop ef fi cient training and retraining programs for Thai PD patients and primary caregivers to improve their HH behavior and reduce risks of PD-related infection. Further investigation of training and retraining programs and of hand-washing techniques for PD is warranted.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47182092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Suwimon Rojnawee, Chollada Jongsomjitt, J. Yunibhand
Background : Automatic instant messaging systems are currently a well-known smoking reduction tool for public health. However, smokers ’ engagement is lacking, as many prefer to communicate with experts during the quitting period so they can receive advice on dealing with the consequences of nicotine abstinence. Therefore, this study aimed to assess the effectiveness of an interactive text messaging service at the Thailand National Quitline. Method : The study was conducted as a randomized controlled trial. A total of 314 smokers were eligible, 153 of whom were randomly assigned to receive two-way short messages encouraging them to quit smoking. After the date of quitting, ThaiBulkSMS (SMS gateway provider) sent out 49 messages to them over 6 months. The remaining 161 participants received traditional counseling to quit smoking for approximately 30 min. Data were analyzed by descriptive statistics, a chi-squared test, and the Friedman test. Results : Both groups were similar in terms of their descriptive characteristics and variables related to smoking (p > 0.05). The continuous abstinence rate (CAR) of the participants in the counseling group was signi fi cantly greater than that of participants in the SMS group at 3 and 6 months (43.5% vs 38.6%; 34.2% vs 28.1%; p < .05). Moreover, we found a statistically signi fi cant difference in the CAR at 3 and 6 months between the two groups at the .05 level (x2-Friedman ¼ 1.34; p < .05). Conclusion : The “ interactive text message service ” is an innovative intervention for Thai smokers who want to quit smoking.
背景:自动即时通讯系统目前是一种众所周知的公共卫生减少吸烟的工具。然而，吸烟者的参与度是缺乏的，因为许多人更喜欢在戒烟期间与专家沟通，这样他们就可以得到有关处理尼古丁戒断后果的建议。因此，本研究旨在评估泰国国家戒烟热线互动短信服务的有效性。方法:采用随机对照试验。共有314名吸烟者符合条件，其中153人被随机分配收到鼓励他们戒烟的双向短信。在戒烟后的6个月内，ThaiBulkSMS(短信网关提供商)向他们发送了49条短信。其余161名参与者接受传统的戒烟咨询，约30分钟。数据通过描述性统计、卡方检验和弗里德曼检验进行分析。结果:两组在吸烟相关的描述性特征和变量方面相似(p < 0.05)。在3个月和6个月时，咨询组参与者的持续戒断率(CAR)显著高于短信组参与者(43.5% vs 38.6%;34.2% vs 28.1%;P < 0.05)。此外，我们发现两组在3个月和6个月时的CAR差异具有统计学意义，差异为0.05 (x2-Friedman¼1.34;P < 0.05)。结论:“互动短信服务”是一种创新的干预泰国吸烟者想要戒烟。
{"title":"Effectiveness of interactive text message service at the Thailand National Quitline: a randomized controlled trial","authors":"Suwimon Rojnawee, Chollada Jongsomjitt, J. Yunibhand","doi":"10.56808/2586-940x.1027","DOIUrl":"https://doi.org/10.56808/2586-940x.1027","url":null,"abstract":"Background : Automatic instant messaging systems are currently a well-known smoking reduction tool for public health. However, smokers ’ engagement is lacking, as many prefer to communicate with experts during the quitting period so they can receive advice on dealing with the consequences of nicotine abstinence. Therefore, this study aimed to assess the effectiveness of an interactive text messaging service at the Thailand National Quitline. Method : The study was conducted as a randomized controlled trial. A total of 314 smokers were eligible, 153 of whom were randomly assigned to receive two-way short messages encouraging them to quit smoking. After the date of quitting, ThaiBulkSMS (SMS gateway provider) sent out 49 messages to them over 6 months. The remaining 161 participants received traditional counseling to quit smoking for approximately 30 min. Data were analyzed by descriptive statistics, a chi-squared test, and the Friedman test. Results : Both groups were similar in terms of their descriptive characteristics and variables related to smoking (p > 0.05). The continuous abstinence rate (CAR) of the participants in the counseling group was signi fi cantly greater than that of participants in the SMS group at 3 and 6 months (43.5% vs 38.6%; 34.2% vs 28.1%; p < .05). Moreover, we found a statistically signi fi cant difference in the CAR at 3 and 6 months between the two groups at the .05 level (x2-Friedman ¼ 1.34; p < .05). Conclusion : The “ interactive text message service ” is an innovative intervention for Thai smokers who want to quit smoking.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43906194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abubakar Yakubu Abbani, Y. Sawangdee, O. Omisakin, Maretalinia Maretalinia
Background : A large proportion of women in the northern region of Nigeria do not utilise antenatal care (ANC) services. As a result, the region has the worst maternal and child health indicators. This study aims to identify the socio-demographic determinants of the non-utilisation of ANC services by pregnant women to provide evidence for policy-makers to base decisions towards addressing the problem. Methods : Data from the 2018 Nigeria Demographic and Health Survey was used with a sample of 14,421 women with a pregnancy history. Descriptive, bivariate, and hierarchical regression analyses were applied to the data using STATA software version 15. Results : It was found that 32% of women in the northern region of Nigeria did not utilise ANC services during their most recent pregnancies. Factors at the individual (age, education, religion, ethnicity, parity, pregnancy intention, history of pregnancy termination, and media exposure), household (wealth index, husband ' s education, and autonomy in healthcare decision), and community (place and state of residence) levels were signi fi cant determinants of non-uti-lisation of ANC services by pregnant women in the region. Conclusion : Policymakers should aim to develop programmes that target Muslim women, those from Hausa and Fulani ethnic groups, and those who reside in rural areas, to increase the uptake of ANC services.
{"title":"Socio-Demographic Determinants of Non-Utilisation of Antenatal Care Services by Women in the Northern Region of Nigeria","authors":"Abubakar Yakubu Abbani, Y. Sawangdee, O. Omisakin, Maretalinia Maretalinia","doi":"10.56808/2586-940x.1043","DOIUrl":"https://doi.org/10.56808/2586-940x.1043","url":null,"abstract":"Background : A large proportion of women in the northern region of Nigeria do not utilise antenatal care (ANC) services. As a result, the region has the worst maternal and child health indicators. This study aims to identify the socio-demographic determinants of the non-utilisation of ANC services by pregnant women to provide evidence for policy-makers to base decisions towards addressing the problem. Methods : Data from the 2018 Nigeria Demographic and Health Survey was used with a sample of 14,421 women with a pregnancy history. Descriptive, bivariate, and hierarchical regression analyses were applied to the data using STATA software version 15. Results : It was found that 32% of women in the northern region of Nigeria did not utilise ANC services during their most recent pregnancies. Factors at the individual (age, education, religion, ethnicity, parity, pregnancy intention, history of pregnancy termination, and media exposure), household (wealth index, husband ' s education, and autonomy in healthcare decision), and community (place and state of residence) levels were signi fi cant determinants of non-uti-lisation of ANC services by pregnant women in the region. Conclusion : Policymakers should aim to develop programmes that target Muslim women, those from Hausa and Fulani ethnic groups, and those who reside in rural areas, to increase the uptake of ANC services.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42274933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. Olaoye, Fatiregun Akinola, K. Myrissa, E. Kelaiditi, Aniebet Ekong, Tsemaye Jacdonmi, Famokun Gboyega, Stephen Fagbemi
Background : Reporting of adverse events following immunization (AEFI) is not the sole responsibility of health workers providing routine immunization services, but also of health workers providing clinical treatments and working in other health units. This study aimed to assess health workers ’ level of knowledge as well as reporting attitudes and practices on AEFI in Ondo State, Nigeria. Methods : A cross-sectional survey using a convenience sampling method was used to recruit Primary Health Care workers in four Local Government Areas (LGAs). A self-reported questionnaire was adapted from a previous study and used to assess knowledge, attitudes, and practices on AEFI. Results : A total of 178 participants were recruited for this study. However, 158 respondents provided complete data and were included in the fi nal statistical analysis. Overall, 64.6% (n ¼ 102) respondents had good knowledge, 96.2% (n ¼ 152) had positive attitudes, and 57.0% (n ¼ 90) had good practices on AEFI. Respondents ’ age group, direct involvement in routine immunization, and duration of practice were signi fi cantly associated with knowledge (p < 0.005). There was a signi fi cant relationship between knowledge, gender, and AEFI practices (p < 0.005). Conclusions : Although respondents in this study had good knowledge, positive attitudes, and good practices towards AEFI surveillance and reporting, this study also revealed some critical gaps in the categorization of serious AEFIs and in the timeliness of reporting of AEFI cases. Frequent training of health workers, supportive supervision, and on-the-job mentoring of health workers are recommended to ultimately improve the AEFI surveillance system.
{"title":"Health workers’ knowledge, attitudes, and practices on reporting adverse events following immunization (AEFI) in Nigeria: a cross-sectional study","authors":"I. Olaoye, Fatiregun Akinola, K. Myrissa, E. Kelaiditi, Aniebet Ekong, Tsemaye Jacdonmi, Famokun Gboyega, Stephen Fagbemi","doi":"10.56808/2586-940x.1030","DOIUrl":"https://doi.org/10.56808/2586-940x.1030","url":null,"abstract":"Background : Reporting of adverse events following immunization (AEFI) is not the sole responsibility of health workers providing routine immunization services, but also of health workers providing clinical treatments and working in other health units. This study aimed to assess health workers ’ level of knowledge as well as reporting attitudes and practices on AEFI in Ondo State, Nigeria. Methods : A cross-sectional survey using a convenience sampling method was used to recruit Primary Health Care workers in four Local Government Areas (LGAs). A self-reported questionnaire was adapted from a previous study and used to assess knowledge, attitudes, and practices on AEFI. Results : A total of 178 participants were recruited for this study. However, 158 respondents provided complete data and were included in the fi nal statistical analysis. Overall, 64.6% (n ¼ 102) respondents had good knowledge, 96.2% (n ¼ 152) had positive attitudes, and 57.0% (n ¼ 90) had good practices on AEFI. Respondents ’ age group, direct involvement in routine immunization, and duration of practice were signi fi cantly associated with knowledge (p < 0.005). There was a signi fi cant relationship between knowledge, gender, and AEFI practices (p < 0.005). Conclusions : Although respondents in this study had good knowledge, positive attitudes, and good practices towards AEFI surveillance and reporting, this study also revealed some critical gaps in the categorization of serious AEFIs and in the timeliness of reporting of AEFI cases. Frequent training of health workers, supportive supervision, and on-the-job mentoring of health workers are recommended to ultimately improve the AEFI surveillance system.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44640413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background : Homelessness is a growing concern since it affects many individuals worldwide. Homeless people are vulnerable to health problems but tend to underutilise health services. Despite being a worldwide concern, there is little research on health issues and healthcare utilisation among homeless people in Malaysia. Methodology : Three databases were used to search for relevant articles: Scopus, Web of Science, and PubMed. Studies published between 2011 and 2021 that examined the health problems and health service utilisation among homeless adults in Malaysia were considered. Manual searches in reference lists and grey literature were also performed to add reports. Data were extracted manually. The authors conducted a descriptive analysis and narrative synthesis. Results : A total of seven articles ful fi lled the pre-determined inclusion and exclusion criteria. Three themes emerged from the studies: health problems, healthcare service utilisation, and associated factors of healthcare services utilisation. Of the seven articles, reported health problems included drug abuse, alcohol abuse, HIV-positive status, mental health problems, oral health, and other chronic diseases. All included articles reported none to under-utilised health care services. The associated factors of health care utilisations were fi nancial issues, low levels of self-care awareness, feeling embarrassed, low health literacy, and poor social support. Conclusion : Evidence shows that the homeless suffer from a range of health problems. Poor health care utilisations among the homeless are a signi fi cant issue, with several associated factors contributing to that worrying scenario. Future studies among homeless people are needed to provide more information, especially about their health care utilisations. In addition, effective multi-agency interventions are required to address health vulnerabilities.
背景：无家可归问题日益引起人们的关注，因为它影响着世界各地的许多人。无家可归的人容易受到健康问题的影响，但往往没有充分利用医疗服务。尽管这是全世界关注的问题，但对马来西亚无家可归者的健康问题和医疗保健利用率的研究很少。方法：使用三个数据库搜索相关文章：Scopus、Web of Science和PubMed。2011年至2021年间发表的研究考察了马来西亚无家可归成年人的健康问题和医疗服务利用情况。还对参考文献列表和灰色文献进行了手动搜索，以添加报告。数据是手动提取的。作者进行了描述性分析和叙述性综合。结果：共有7篇文章符合预先确定的纳入和排除标准。研究中出现了三个主题：健康问题、医疗服务利用率和医疗服务利用的相关因素。在这七篇文章中，报告的健康问题包括药物滥用、酗酒、艾滋病毒阳性状况、心理健康问题、口腔健康和其他慢性病。所有纳入的文章都没有向使用不足的医疗服务机构报告。医疗保健使用的相关因素是财务问题、自我保健意识水平低、感到尴尬、健康知识水平低和社会支持差。结论：有证据表明，无家可归者有一系列的健康问题。无家可归者的医疗保健利用率低是一个重大问题，有几个相关因素导致了这种令人担忧的情况。未来需要对无家可归者进行研究，以提供更多信息，特别是关于他们的医疗保健利用情况。此外，还需要有效的多机构干预措施来解决健康脆弱性问题。
{"title":"Health Problems, Healthcare Service Utilisation and its Associated Factors Among the Homeless In Malaysia: A Systematic Review","authors":"Fadly Syah Arsad, R. Hod, M. A. Abdul Manaf","doi":"10.56808/2586-940x.1029","DOIUrl":"https://doi.org/10.56808/2586-940x.1029","url":null,"abstract":"Background : Homelessness is a growing concern since it affects many individuals worldwide. Homeless people are vulnerable to health problems but tend to underutilise health services. Despite being a worldwide concern, there is little research on health issues and healthcare utilisation among homeless people in Malaysia. Methodology : Three databases were used to search for relevant articles: Scopus, Web of Science, and PubMed. Studies published between 2011 and 2021 that examined the health problems and health service utilisation among homeless adults in Malaysia were considered. Manual searches in reference lists and grey literature were also performed to add reports. Data were extracted manually. The authors conducted a descriptive analysis and narrative synthesis. Results : A total of seven articles ful fi lled the pre-determined inclusion and exclusion criteria. Three themes emerged from the studies: health problems, healthcare service utilisation, and associated factors of healthcare services utilisation. Of the seven articles, reported health problems included drug abuse, alcohol abuse, HIV-positive status, mental health problems, oral health, and other chronic diseases. All included articles reported none to under-utilised health care services. The associated factors of health care utilisations were fi nancial issues, low levels of self-care awareness, feeling embarrassed, low health literacy, and poor social support. Conclusion : Evidence shows that the homeless suffer from a range of health problems. Poor health care utilisations among the homeless are a signi fi cant issue, with several associated factors contributing to that worrying scenario. Future studies among homeless people are needed to provide more information, especially about their health care utilisations. In addition, effective multi-agency interventions are required to address health vulnerabilities.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49200704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yuparat Odglun, K. Sranacharoenpong, Nattvara Nirdnoy
Background : Lifestyle intervention is effective in preventing type 2 diabetes mellitus (T2DM). The ef fi cacy of intervention components across different sociocultural settings is relevant for real world implementation. Thus, this study aimed to evaluate the effectiveness of a culturally tailored diabetes prevention program (CTDPP) for at-risk Muslim people in Thailand. Methods : The CTDPP was developed and culturally adapted based on formative research. Participants at risk for diabetes were recruited and randomly assigned to either the intervention group (n ¼ 60) or the control group (n ¼ 59). Study group subjects participated in the CTDPP for 3 months. Control group subjects received only routine self-care recommendations for preventing diabetes. All participants were assessed for diabetes prevention knowledge and health outcomes at baseline and follow-up. Results : At the 12th week, the intervention group and control group showed that diabetes prevention knowledge improved from baseline (p < 0.05). The score for knowledge was signi fi cantly higher in the intervention group than in control group. Other health outcomes demonstrated signi fi cant within-group improvements only in the intervention group, but not in the control group. Changes in participants ’ HbA 1 c levels were not signi fi cant for within-group and between-group comparisons at baseline and 12 weeks. Adjusting for covariates at baseline, our ANCOVA analysis showed that differences in weight, body mass index, and waist circumference between the intervention and control groups were signi fi cant (p < 0.01). Conclusion : This diabetes prevention program integrating Thai-Muslim culture and driven by community health leaders was successful. Our program empowered at-risk people with diabetes prevention knowledge.
{"title":"Effect of the culturally tailored diabetes prevention program for at-risk Thai Muslim people in semi-urban areas","authors":"Yuparat Odglun, K. Sranacharoenpong, Nattvara Nirdnoy","doi":"10.56808/2586-940x.1026","DOIUrl":"https://doi.org/10.56808/2586-940x.1026","url":null,"abstract":"Background : Lifestyle intervention is effective in preventing type 2 diabetes mellitus (T2DM). The ef fi cacy of intervention components across different sociocultural settings is relevant for real world implementation. Thus, this study aimed to evaluate the effectiveness of a culturally tailored diabetes prevention program (CTDPP) for at-risk Muslim people in Thailand. Methods : The CTDPP was developed and culturally adapted based on formative research. Participants at risk for diabetes were recruited and randomly assigned to either the intervention group (n ¼ 60) or the control group (n ¼ 59). Study group subjects participated in the CTDPP for 3 months. Control group subjects received only routine self-care recommendations for preventing diabetes. All participants were assessed for diabetes prevention knowledge and health outcomes at baseline and follow-up. Results : At the 12th week, the intervention group and control group showed that diabetes prevention knowledge improved from baseline (p < 0.05). The score for knowledge was signi fi cantly higher in the intervention group than in control group. Other health outcomes demonstrated signi fi cant within-group improvements only in the intervention group, but not in the control group. Changes in participants ’ HbA 1 c levels were not signi fi cant for within-group and between-group comparisons at baseline and 12 weeks. Adjusting for covariates at baseline, our ANCOVA analysis showed that differences in weight, body mass index, and waist circumference between the intervention and control groups were signi fi cant (p < 0.01). Conclusion : This diabetes prevention program integrating Thai-Muslim culture and driven by community health leaders was successful. Our program empowered at-risk people with diabetes prevention knowledge.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49527398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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