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Women's empowerment and practice of maternal healthcare facilities in Bangladesh: a trend analysis 孟加拉国妇女赋权和孕产妇保健设施的实践:趋势分析
IF 1.7 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2021-06-24 DOI: 10.1108/jhr-11-2020-0559
F. Ahmmed
PurposeThis study aims to explore whether there is an association between women's empowerment and the utilization of maternal healthcare facilities.Design/methodology/approachThis study considered four indices for measuring women's empowerment – labor force participation index (LFPI), decision-making power index (DMPI), attitude toward partner’s violence index (ATPVI) and knowledge level index (KLI) – and three healthcare facilities – number of antenatal visits, delivery with healthcare facilities and postnatal checkup after delivery. Data extracted for this study were from the Bangladesh Demographic and Health Survey 2011 and 2014. A chi-square test was used for bivariate analysis, and a three-level logistic regression model was applied for multivariate analysis.FindingsAn increment was observed in the practice of all considered healthcare facilities, and the percentage of highly empowered women in DMPI decreased from 2011 to 2014. This study found that higher empowerment of women in DMPI, KLI and ATPVI significantly (p-value < 0.05) increases the utilization of healthcare facilities. High empowerment of mothers in LFPI was found negatively associated with facility delivery and positively associated with the postnatal checkup.Originality/valueWomen's empowerment was found significantly associated with the utilization of maternal healthcare facilities. This study is seeking the attention of corresponding authority to come up with a more effective intervention program to empower women to utilize maternal healthcare facilities.
目的本研究旨在探讨妇女赋权与孕产妇保健设施利用之间是否存在关联。这项研究考虑了衡量妇女赋权的四个指标——劳动力参与指数(LFPI)、决策权指数(DMPI)、对伴侣暴力的态度指数(ATPVI)和知识水平指数(KLI)——以及三个保健设施——产前检查次数、在保健设施分娩次数和产后检查次数。本研究提取的数据来自2011年和2014年孟加拉国人口与健康调查。双因素分析采用卡方检验,多因素分析采用三水平logistic回归模型。发现在所有考虑的保健设施中,实践中观察到有增长,从2011年到2014年,在DMPI中获得高度授权的妇女的百分比有所下降。本研究发现,女性在DMPI、KLI和ATPVI方面的赋权程度越高,对医疗设施的利用率就越高(p值< 0.05)。在LFPI中,母亲的高赋权与设施分娩呈负相关,与产后检查呈正相关。独创性/价值妇女的赋权与产妇保健设施的利用密切相关。本研究正寻求有关当局的关注,以提出一个更有效的干预方案,使妇女能够利用孕产妇保健设施。
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引用次数: 5
A model of participatory learning process for management of environmental health impacts in industrial communities area 工业社区环境健康影响管理参与式学习过程模式
IF 1.7 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2021-06-22 DOI: 10.1108/jhr-07-2020-0277
Supawadee Komonkanjanakul, Rachanont Supapongpichate
PurposeThe purpose of this paper is to implementing environmental education concepts to manage environmental health impacts by letting the people in the community learn through the participatory learning process.Design/methodology/approachThe participatory action research (PAR) and the environmental education concept were conducted in managing the learning process for the people in Map Kha Sub-district, Rayong province. The purposive sampling technique and the stakeholder analysis were used to derive the informants of this study. They are those people living or working in the Mab Kha Sub-district area at least 2 years, aged more than 20 years old, and were willing to participate in all steps of the study. A total of 30 informants were divided into three groups as follows: The Key Informants, The Casual Informants and The General Informants. Data collection employed workshops with three techniques – Participatory Rural Appraisal (PRA), Future Search Conference (FSC) and Appreciation Influence Control (AIC) – to organize cooperative learning processes to managing environmental health impacts. The Content Analysis was utilized in this study through the categorization, grouping, analysis, interpretation and systemization of data. The study period was from June 2014 to December 2015.FindingsThe study found that most people are concerned and aware of the environmental pollution problems affecting the health in the areas and need to solve such problems. They are also prepared for various problems. However, they face the problems on that they still lack of the chance to be informed about the information on the pollution problems and lack of the chance to participate. For the participatory learning process used to manage the environmental health impacts in the industrial community, it is found that the people and the leading network partners perform well through the knowledge building process on the environmental pollution problems and the planning and evaluation lead to desired behavior of people and industrial community to manage environmental health impacts.Originality/valueThe study results emphasized that the participatory learning process of the network associates was the critical key in forming the community power to manage the environmental health impacts. Therefore, the learning process should be easy, not complicated, take a short time and be friendly that will make the community understand the problem and help protect the environment systematically.
目的本论文的目的是通过让社区中的人们通过参与式学习过程来实施环境教育理念,以管理对环境健康的影响。设计/方法/方法参与式行动研究(标准杆数)和环境教育概念是在罗勇省Map Kha Sub-district为人们管理学习过程中进行的。采用目的性抽样技术和利益相关者分析得出本研究的信息来源。他们是那些在Mab Kha街道地区生活或工作至少2岁、年龄超过20岁并愿意参与研究的所有步骤的人。共有30名举报人被分为三组:主要举报人、临时举报人和一般举报人。数据收集采用了三种技术的研讨会——参与式农村评估(PRA)、未来搜索会议(FSC)和评估影响控制(AIC)——来组织合作学习过程,以管理环境健康影响。本研究采用内容分析法对数据进行分类、分组、分析、解释和系统化。研究期间为2014年6月至2015年12月。研究发现,大多数人都关心并意识到影响该地区健康的环境污染问题,需要解决这些问题。他们也为各种问题做好了准备。然而,他们面对的问题是,他们仍然没有机会了解有关污染问题的信息,也没有机会参与。对于用于管理工业社区环境健康影响的参与式学习过程,研究发现,人们和主要的网络合作伙伴在环境污染问题的知识构建过程中表现良好,规划和评估导致人们和工业社区管理环境健康影响的期望行为。原创性/价值研究结果强调,网络伙伴的参与性学习过程是形成社区管理环境健康影响的关键。因此,学习过程应该简单、不复杂、耗时短、友好,这将使社区了解问题,并有助于系统地保护环境。
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引用次数: 0
Development of a Thai gaming disorder scale for children and adolescents 泰国儿童和青少年游戏障碍量表的编制
IF 1.7 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2021-06-18 DOI: 10.1108/jhr-10-2020-0462
Wimonrat Wanpen, Pinyo Itsarapong, Sankamon Gornnum, J. Yunibhand
PurposeThis study aimed to develop the Thai gaming disorder scale (T-GDS) in children and adolescents to serve medical staff and investigate the effectiveness of the scale.Design/methodology/approachThis is a research and development study. In total, 217 participants were children and adolescents between 8–18 years, then classified into four groups according to Children's Global Assessment Scale (CGAS). The T-GDS was developed; its content validity was then investigated by three experts. Mock assessment was conducted on 15 individuals replicating the actual sample group before the assessment was tested on the sample group by two medical staff. The quality of the scale is assessed through reliability, validity and cut-off point analysis.FindingsExploratory factor analysis (EFA) extracted four components with 18 items meeting the criteria and have Cronbach's alpha of 0.95. The analysis of ROC curve, to determine the cut-off point, associated the mild game addiction group with T-GDS score = 14; moderate group score = 28; and severe group score = 42.Research limitations/implicationsInvestigation of cut-off point by practitioners is vital to compare whether it aligns with the point determined by doctors in game addiction diagnosis. Future research should select critical item in order to reduce the number of questions and construct validity should be examined using confirmatory factor analysis.Originality/valueThis paper provides a comprehensive insight regarding severity of game addiction based on related criteria. As a result, treatment appropriate for each type of severity could be enhanced.
目的编制泰式儿童青少年游戏障碍量表(T-GDS),以供医务人员使用,并探讨量表的有效性。设计/方法/方法这是一项研究与开发研究。共有217名参与者是8-18岁的儿童和青少年,然后根据儿童全球评估量表(CGAS)分为四组。开发了T-GDS;然后由三位专家对其内容效度进行了调查。在由两名医务人员对样本组进行评估之前,对15人进行模拟评估,复制实际样本组。通过信度、效度和截止点分析来评价量表的质量。发现探索性因子分析(EFA)提取了4个成分,其中18个项目符合标准,Cronbach’s alpha为0.95。分析ROC曲线,确定分界点,将轻度游戏成瘾组与T-GDS评分= 14相关联;中度组评分= 28;重度组得分= 42。研究局限/启示:从业者对截断点的调查对于比较它是否与医生在游戏成瘾诊断中确定的点一致至关重要。未来的研究应选择关键项目,以减少问题的数量,并采用验证性因子分析来检验结构的效度。原创性/价值本文基于相关标准对游戏成瘾的严重程度进行了全面的分析。因此,可以加强适合每种严重程度的治疗。
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引用次数: 0
The requirements of developing programs for the management of non-communicable diseases in Iran based on the CIPP model: a qualitative study 基于CIPP模型制定伊朗非传染性疾病管理方案的要求:一项定性研究
IF 1.7 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2021-06-18 DOI: 10.1108/jhr-11-2020-0546
L. Vali, F. Ataollahi, M. Amiresmaili, N. Nakhaee, M. Okhovati
PurposeOne of the priorities of the health system is community health promotion. In this regards, proper development of programs and plans is needed to create a responsive system which leads to health promotion. The aim of this study was to identify the requirements for developing non-communicable disease (NCDs) programs based on CIPP (context, input, process and product) model.Design/methodology/approachThis is a qualitative study. Data were collected through semi-structured interviews with 40 experienced informants in the field of NCDs. The interviewees were selected bases on pre-determined criteria which then were completed by snowball sampling. Analysis was carried out using a content analysis approach that led to identifying program development requirements in four dimensions of context, input, process and product.FindingsTwenty-nine requirements of developing program were categorized in four domains of context, input, process and product. These requirements comprised of pilot studies, the existence of appropriate needs assessment, evidence-based programs, promoting organizational culture, adequacy of resources, identification of stakeholders and comprehensive cooperation and existence of an appropriate evaluation system.Research limitations/implicationsSince this study was performed through a qualitative method, it is possible, some prerequisites of program development may not be encountered. But the extreme effort has been made to perceive diversity and different aspects.Originality/valueThe first study was in the field of appropriate requirements for program development in the context of a centralized health system in a developing country.
目的卫生系统的重点之一是促进社区健康。在这方面,需要适当制定方案和计划,以建立一个能够促进健康的反应系统。本研究的目的是确定基于CIPP(情境、投入、过程和产品)模型制定非传染性疾病(NCDs)规划的要求。这是一项定性研究。通过与40名非传染性疾病领域经验丰富的线人进行半结构化访谈收集数据。受访者是根据预先确定的标准选择的,然后通过滚雪球抽样完成。分析使用内容分析方法进行,该方法在上下文、输入、过程和产品四个维度上识别程序开发需求。开发项目的29个需求被分为上下文、输入、过程和产品四个领域。这些要求包括试点研究、存在适当的需求评估、基于证据的方案、促进组织文化、资源充足、确定利益相关者和全面合作以及存在适当的评估系统。研究局限性/意义由于本研究是通过定性方法进行的,因此可能没有遇到程序开发的一些先决条件。但是,人们已经付出了极大的努力来感知多样性和不同的方面。原创性/价值第一项研究是在发展中国家集中卫生系统背景下规划发展的适当需求领域。
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引用次数: 1
Symptoms related to air pollution, mask-wearing and associated factors: a cross-sectional study among OPD pollution clinic patients in Bangkok, Thailand 与空气污染、戴口罩和相关因素相关的症状:泰国曼谷门诊部污染门诊患者的横断面研究
IF 1.7 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2021-06-18 DOI: 10.1108/jhr-11-2020-0548
Supakorn Tultrairatana, Phenphop Phansuea
PurposeThe purpose of this article was to investigate the relationship between symptoms related to air pollution, mask-wearing, mask choices and related factors.Design/methodology/approachA cross-sectional study among outpatient department (OPD) pollution clinic patients at Nopparat Rajathanee Hospital (PCNRH) during 2019 in Bangkok, Thailand.FindingsThe most common symptom after exposure to air pollution that affects treatment in the OPD is respiratory symptoms. A total of 45.7% (107/234) of the population wears a mask, 55.1% (59/107) of the population that wears a mask wears a surgical mask, and only 10.3% (11/107) of them wear an N95 mask. Mask-wearing and air quality index (AQI) onset were associated with the respiratory symptoms group, whereas wearing an N95 mask or surgical mask was found to be a protective factor for the occurrence of respiratory symptoms (adjusted OR = 0.065, 95% CI: 0.014–0.306, p = 0.001 and adjusted OR = 0.154, 95% CI: 0.058–0.404, p < 0.001, respectively). Therefore, the best practice in the face of air pollution, while the resolution needs a long period, is to wear a mask. In this study, the results showed that the best type of mask to prevent respiratory symptoms from air pollution is the N95, followed by the surgical mask; cloth masks are not recommended to use to protect against respiratory symptoms from air pollution.Research limitations/implicationsWearing an N95 and a surgical mask can help reduce respiratory symptoms. Hence, in addition to establishing hospital measures, cooperation from local and government agencies is necessary to effectively and jointly build a national health public policy framework.Originality/value1. This study provides evidence of a correlation between symptoms associated with air pollution and related factors, in-hospital visits in Bangkok, Thailand. 2. In this study, wearing an N95 mask and a surgical mask were found to be a protective factor for the occurrence of respiratory symptoms.
目的探讨空气污染相关症状与口罩佩戴、口罩选择及相关因素的关系。设计/方法/方法对2019年泰国曼谷Nopparat Rajathanee医院(PCNRH)门诊部(OPD)污染门诊患者进行了横断面研究。研究结果暴露于空气污染后影响门诊治疗的最常见症状是呼吸道症状。共有45.7%(107/234)的人戴口罩,55.1%(59/107)的人戴外科口罩,只有10.3%(11/107)的人戴N95口罩。佩戴口罩和空气质量指数(AQI)与呼吸道症状组相关,而佩戴N95口罩或外科口罩是呼吸道症状发生的保护因素(调整后的or = 0.065, 95% CI: 0.014-0.306, p = 0.001;调整后的or = 0.154, 95% CI: 0.058-0.404, p < 0.001)。因此,面对空气污染,在需要长时间解决的同时,最好的做法是戴上口罩。本研究结果显示,预防空气污染呼吸道症状的最佳口罩类型为N95,其次为医用口罩;不建议使用布口罩来防止空气污染引起的呼吸道症状。研究局限性/启示使用N95和外科口罩可以帮助减轻呼吸道症状。因此,除了制定医院措施外,还需要地方和政府机构的合作,有效地共同建立一个国家卫生公共政策框架。本研究在泰国曼谷提供空气污染症状与相关因素之间的相关性的证据。本研究发现,佩戴N95口罩和外科口罩是呼吸道症状发生的保护因素。
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引用次数: 0
Artificial intelligence in overcoming rifampicin resistant-screening challenges in Indonesia: a qualitative study on the user experience of CUHAS-ROBUST 人工智能在印度尼西亚克服利福平耐药性筛查挑战:对CUHAS-ROBUST用户体验的定性研究
IF 1.7 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2021-06-15 DOI: 10.1108/jhr-11-2020-0535
B. Herman, Wandee Sirichokchatchawan, C. Nantasenamat, S. Pongpanich
PurposeThe Chulalongkorn-Hasanuddin Rifampicin-Resistant Tuberculosis Screening Tool (CUHAS-ROBUST) is an artificial intelligence–based (AI–based) application for rifampicin-resistant tuberculosis (RR-TB) screening. This study aims to elaborate on the drug-resistant TB (DR-TB) problem and the impact of CUHAS-ROBUST implementation on RR-TB screening.Design/methodology/approachA qualitative approach with content analysis was performed from September 2020 to October 2020. Medical staff from the primary care center were invited online for application trials and in-depth video call interviews. Transcripts were derived as a data source. An inductive thematic data saturation technique was conducted. Descriptive data of participants, user experience and the impact on the health service were summarizedFindingsA total of 33 participants were selected from eight major islands in Indonesia. The findings show that DR-TB is a new threat, and its diagnosis faces obstacles particularly prolonged waiting time and inevitable delayed treatment. Despite overcoming the RR-TB screening problems with fast prediction, the dubious screening performance, and the reliability of data collection for input parameters were the main concerns of CUHAS-ROBUST. Nevertheless, this application increases the confidence in decision-making, promotes medical procedure compliance, active surveillance and enhancing a low-cost screening approach.Originality/valueThe CUHAS-ROBUST achieved its purpose as a tool for clinical decision-making in RR-TB screening. Moreover, this study demonstrates AI roles in enhancing health-care quality and boost public health efforts against tuberculosis.
目的Chulalongkorn-Hasanuddin利福平耐药结核病筛查工具(CUHAS-ROBUST)是一种基于人工智能(ai)的利福平耐药结核病(RR-TB)筛查应用。本研究旨在阐述耐药结核病(DR-TB)问题以及CUHAS-ROBUST实施对耐药结核病筛查的影响。设计/方法/方法2020年9月至2020年10月采用定性方法和内容分析。邀请初级保健中心的医务人员在线进行应用试验和深入的视频电话访谈。转录本被派生为数据源。提出了一种归纳主题数据饱和技术。总结了参与者、用户体验和对保健服务的影响的描述性数据。调查结果从印度尼西亚的8个主要岛屿共选择了33名参与者。研究结果表明,耐药结核病是一种新的威胁,其诊断面临障碍,特别是等待时间延长和不可避免的治疗延误。尽管通过快速预测克服了RR-TB筛查问题,但筛选性能可疑以及输入参数数据收集的可靠性是CUHAS-ROBUST的主要关注点。然而,这种应用增加了对决策的信心,促进了医疗程序的遵守,积极监测和加强了低成本的筛查方法。CUHAS-ROBUST实现了其作为RR-TB筛查临床决策工具的目的。此外,本研究还证明了人工智能在提高卫生保健质量和促进公共卫生工作防治结核病方面的作用。
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引用次数: 2
The intention to prevent sexual risk behaviors among the youth in Yangon, Myanmar 旨在防止缅甸仰光青少年的性危险行为
IF 1.7 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2021-06-14 DOI: 10.1108/jhr-12-2020-0618
Ann Jirapongsuwan, Sithu Swe, Arpaporn Powwattana
PurposeThe purpose of this paper is to investigate the intention to prevent sexual risk behaviors and associated factors among the youth in Yangon, Myanmar.Design/methodology/approachA cross-sectional descriptive research was undertaken among 192 youths. Participants included the youth residing in the study area and participated in the youth development program. Bivariate and multivariate logistic regressions were applied to identify an association.FindingsThe findings indicated that the proportion of a high level of intention to prevent sexual risk behaviors was 53.6%. The factors associated with the intention to prevent sexual risk behaviors were: belief strength on sexual risk behaviors (aOR = 2.84; 95% CI: 1.06–7.26), normative belief on the prevention of sexual risk behaviors (aOR = 2.03; 95% CI: 3.03–6.23), motivation to comply with preventing sexual risk behaviors (aOR = 4.72; 95% CI: 3.11–6.23), decision-making (aOR = 2.46; 95% CI: 2.22–5.41) and negotiation (aOR = 6.3; 95% CI: 2.37–10.23)Research limitations/implicationsThe study was a cross-sectional study and cannot establish causal relationships. These results can be a guideline for implementation for the youth but may limit the generalization of results to other age groups in Myanmar.Practical implicationsFindings can be used as a local and national public health guideline for developing interventions to prevent sexual risk behaviors.Originality/valueSexual risk behavior is considered taboo and puts Myanmar youths at risk of health and social problems. It is important for prevention efforts to determine factors related to sexual intentions to prevent the consequence of these problems.
目的调查缅甸仰光地区青少年预防性危险行为的意愿及其相关因素。设计/方法/方法对192名青年进行了横断面描述性研究。参与者包括居住在研究区域并参与青少年发展计划的青少年。应用双变量和多变量逻辑回归来确定关联。结果调查结果显示,对性危险行为有高度预防意愿的比例为53.6%。与预防性危险行为意愿相关的因素有:对性危险行为的信念强度(aOR = 2.84;95% CI: 1.06-7.26),对预防性危险行为的规范性信念(aOR = 2.03;95% CI: 3.03-6.23),遵守预防性危险行为的动机(aOR = 4.72;95% CI: 3.11-6.23),决策(aOR = 2.46;95% CI: 2.22-5.41)和协商(aOR = 6.3;(95% CI: 2.37-10.23)研究局限性/意义本研究为横断面研究,不能建立因果关系。这些结果可以作为青年实施的指导方针,但可能会限制结果在缅甸其他年龄组的推广。研究结果可作为地方和国家制定预防性危险行为干预措施的公共卫生指南。独创性/价值观性冒险行为被认为是禁忌,使缅甸青年面临健康和社会问题的风险。对于预防工作来说,确定与性意图有关的因素以防止这些问题的后果非常重要。
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引用次数: 0
Effect of an online psychological support group on patients with COVID-19 in a Thai field hospital: a real world study 在线心理支持小组对泰国野战医院COVID-19患者的影响:一项真实世界的研究
IF 1.7 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2021-06-14 DOI: 10.1108/JHR-01-2021-0044
T. Lerthattasilp, Lampu Kosulwit, M. Phanasathit, Winitra Nuallaong, P. Tapanadechopone, Chommakorn Thanetnit, T. Charernboon
PurposeThe purpose of this study is to evaluate the effectiveness of an online psychological support group on patients with coronavirus disease 2019 (COVID-19) in a Thai field hospital.Design/methodology/approachA prospective controlled trial was conducted at a Thai field hospital and included patients with confirmed COVID-19 who were over the age of 18 and able to use an online communication application. Patients were free to decide whether to participate in the online group. The group provided a space for participants to communicate with each other and a mental health service team. The everyday activities were designed to enable group support via texting or livestreaming through the LINE application. Psychoeducation via video clips or articles regarding stress management were provided. Outcomes were measured by an online self-reported questionnaire based on the twenty-one-item Depression, Anxiety and Stress Scale (DASS-21) on the first and fourteenth day of admission to the field hospital.FindingsForty-six patients participated in this study. Forty participants completed the secondary assessment, with 21 in the intervention group and 19 in the control group. From multilevel mixed-effects regression analysis, adjusted for gender, age and education, participation in the intervention group significantly decreased total DASS scores and anxiety subdomain scores compared to those in the control group (p = 0.038 and 0.008).Originality/valueThe online psychological support group offered benefits for patients with COVID-19 who were isolated in the field hospital. It could be an effective alternative measure to distribute psychological care during a pandemic situation. However, a small sample size was a limitation of this study.
目的评价泰国某野战医院在线心理支持小组对2019冠状病毒病(COVID-19)患者的治疗效果。设计/方法/方法在泰国一家野战医院进行了一项前瞻性对照试验,纳入了年龄在18岁以上且能够使用在线通信应用程序的确诊COVID-19患者。患者可以自由决定是否参加在线小组。该小组为参与者提供了一个相互交流的空间和一个心理健康服务团队。日常活动的设计是为了通过LINE应用程序发送短信或进行直播来实现群体支持。通过视频剪辑或有关压力管理的文章提供心理教育。结果通过基于21项抑郁、焦虑和压力量表(DASS-21)的在线自我报告问卷在进入野战医院的第一天和第14天进行测量。结果46例患者参与了本研究。40名参与者完成了第二次评估,干预组21名,对照组19名。从多水平混合效应回归分析,调整性别,年龄和教育程度,干预组的参与显著降低总DASS得分和焦虑子域得分与对照组相比(p = 0.038和0.008)。创意/价值在线心理支持小组为在野战医院隔离的COVID-19患者提供福利。这可能是在大流行情况下分发心理护理的有效替代措施。然而,小样本量是本研究的局限性。
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引用次数: 1
Obesity and mental health issues among healthcare workers: a cross-sectional study in Sabah, Malaysia 保健工作者的肥胖和心理健康问题:马来西亚沙巴的一项横断面研究
IF 1.7 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2021-06-14 DOI: 10.1108/jhr-07-2020-0269
Narinderjeet Kaur Dadar Singh, J. Loo, Azlan Ming Naing Ko, S. Husain, J. Dony, Syed Abdul Rahim Syed Sharizman
PurposeThis study aims to determine the prevalence of obesity and its relationship with mental health issues among healthcare workers in Kota Kinabalu District Health Office, Sabah Borneo and its associating factors.Design/methodology/approachThis cross-sectional study was conducted among 387 healthcare workers working in the Kota Kinabalu District Health Office, Sabah. Sociodemographic data and anthropometric measurements were collected and DASS 21 questionnaire was used to assess mental health status.FindingsThe prevalence of obesity among healthcare workers was 29%, which is significantly associated with years of service (p = 0.016) and abnormal depression subscale scores (p = 0.012) at univariate analysis. The percentage of abnormal subscale score for depression, anxiety and stress was 16, 26 and 12%, respectively. Multivariable logistic regression revealed that more than five years of service years (OR 2.23, 95%CI 1.16–4.28) and high depressive subscale score (OR 2.09, 95%CI 1.18–3.71) were both significantly associated with obesity.Originality/valueThis study has affirmed the link between physical and mental health. Policies that tackle both issues should be put in place to promote wellness among healthcare workers.
目的:本研究旨在确定沙巴州婆罗洲哥打京那巴鲁地区卫生办事处保健工作者的肥胖患病率及其与心理健康问题的关系及其相关因素。设计/方法/方法这项横断面研究是在沙巴州哥打京那巴鲁地区卫生办事处工作的387名卫生保健工作者中进行的。收集社会人口学数据和人体测量数据,采用DASS 21问卷评估心理健康状况。结果:在单变量分析中,医护人员的肥胖患病率为29%,这与服务年数(p = 0.016)和异常抑郁分量表得分(p = 0.012)显著相关。抑郁、焦虑、压力三项亚量表得分异常比例分别为16%、26%和12%。多变量logistic回归显示,服役5年以上(OR 2.23, 95%CI 1.16-4.28)和高抑郁亚量表评分(OR 2.09, 95%CI 1.18-3.71)与肥胖均有显著相关。独创性/价值这项研究证实了身心健康之间的联系。应制定解决这两个问题的政策,以促进卫生保健工作者的健康。
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引用次数: 2
Knowledge and attitude among outpatient women visiting a healthcare center in northern Iran regarding breast self-examination: a cross-sectional study 访问伊朗北部医疗中心的门诊女性对乳房自检的知识和态度:一项横断面研究
IF 1.7 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2021-06-11 DOI: 10.1108/jhr-09-2020-0419
Amir Ahmadzadeh Amiri, M. Haghshenas, Ali Ahmadzadeh Amiri, F. Daneshvar
PurposeBreast cancer is one of the most prevalent malignancies worldwide. This study aimed to compare the level of knowledge and attitude of females regarding Breast cancer and to determine the role of knowledge, attitude and barriers in performing regular self-examination.Design/methodology/approachNon-physician females aged 18 years old or above were enrolled in this cross-sectional study in two groups of usual clients and healthcare staff from January 2018 to January 2019 from a healthcare center in Sari, a major city in the northern district of Iran. A questionnaire was used to score the participants’ knowledge and attitude levels using questions about the participants' knowledge and attitude towards Breast cancer along with their status on Breast self-examination and barriers. Mean scores were used for statistical analysis using SPSS V25. p < 0.05 was considered significant.FindingsA final dataset of 279 females were collected. A significant difference in the knowledge and attitude regarding breast cancer was found between the two study groups (p < 0.001). The practice of BSE was significantly lower in the usual clients compared to non-physician healthcare staff (p < 0.001). The most frequent barriers for not performing a regular BSE were fear of finding a mass in usual clients (17.8%) and lack of confidence in healthcare staff (3.8%).Research limitations/implicationsLimitations include single-centered sample selection.Practical implicationsGiven the importance of early detection in breast cancer prevention and the general taboo regarding breast cancer screening methods in certain parts of the world, leading to poor results in early detection and prevention, the authors believe that it is of superior importance to address and promote positive attitudes in general population towards breast self-examination.Originality/valueGiven the importance of early detection in breast cancer prevention, and the general taboo regarding breast cancer screening methods in certain parts of the world, leading to poor results in early detection and prevention, the authors believe that it is of superior importance to address and promote positive attitudes in general population toward breast self-examination. The authors of this study believe that the manuscript represents honest and original work.
目的乳腺癌是世界范围内最常见的恶性肿瘤之一。本研究旨在比较女性对乳腺癌的知识和态度水平,并确定知识、态度和障碍在定期自我检查中的作用。设计/方法/方法:2018年1月至2019年1月,在伊朗北部主要城市萨里的一家医疗中心,18岁或以上的非医生女性在两组常规客户和医疗保健人员中参加了这项横断面研究。采用问卷调查的方式对参与者的乳腺癌知识和态度以及乳房自我检查和障碍状况进行评分。均分采用SPSS V25进行统计分析。P < 0.05被认为是显著的。收集了279名女性的最终数据集。两组患者对乳腺癌的认知和态度差异有统计学意义(p < 0.001)。与非医师医疗保健人员相比,普通客户患疯牛病的几率显著降低(p < 0.001)。不进行常规疯牛病的最常见障碍是害怕在常规客户中发现肿块(17.8%)和对医护人员缺乏信心(3.8%)。研究局限性/启示局限性包括单中心样本选择。鉴于早期发现对乳腺癌预防的重要性,以及世界上某些地区对乳腺癌筛查方法的普遍禁忌,导致早期发现和预防效果不佳,作者认为,解决和促进普通人群对乳房自我检查的积极态度至关重要。独创性/价值鉴于早期发现对乳腺癌预防的重要性,以及世界上某些地区对乳腺癌筛查方法的普遍禁忌,导致早期发现和预防效果不佳,作者认为,解决和促进普通人群对乳房自我检查的积极态度至关重要。这项研究的作者认为,手稿代表了诚实和原创的工作。
{"title":"Knowledge and attitude among outpatient women visiting a healthcare center in northern Iran regarding breast self-examination: a cross-sectional study","authors":"Amir Ahmadzadeh Amiri, M. Haghshenas, Ali Ahmadzadeh Amiri, F. Daneshvar","doi":"10.1108/jhr-09-2020-0419","DOIUrl":"https://doi.org/10.1108/jhr-09-2020-0419","url":null,"abstract":"PurposeBreast cancer is one of the most prevalent malignancies worldwide. This study aimed to compare the level of knowledge and attitude of females regarding Breast cancer and to determine the role of knowledge, attitude and barriers in performing regular self-examination.Design/methodology/approachNon-physician females aged 18 years old or above were enrolled in this cross-sectional study in two groups of usual clients and healthcare staff from January 2018 to January 2019 from a healthcare center in Sari, a major city in the northern district of Iran. A questionnaire was used to score the participants’ knowledge and attitude levels using questions about the participants' knowledge and attitude towards Breast cancer along with their status on Breast self-examination and barriers. Mean scores were used for statistical analysis using SPSS V25. p < 0.05 was considered significant.FindingsA final dataset of 279 females were collected. A significant difference in the knowledge and attitude regarding breast cancer was found between the two study groups (p < 0.001). The practice of BSE was significantly lower in the usual clients compared to non-physician healthcare staff (p < 0.001). The most frequent barriers for not performing a regular BSE were fear of finding a mass in usual clients (17.8%) and lack of confidence in healthcare staff (3.8%).Research limitations/implicationsLimitations include single-centered sample selection.Practical implicationsGiven the importance of early detection in breast cancer prevention and the general taboo regarding breast cancer screening methods in certain parts of the world, leading to poor results in early detection and prevention, the authors believe that it is of superior importance to address and promote positive attitudes in general population towards breast self-examination.Originality/valueGiven the importance of early detection in breast cancer prevention, and the general taboo regarding breast cancer screening methods in certain parts of the world, leading to poor results in early detection and prevention, the authors believe that it is of superior importance to address and promote positive attitudes in general population toward breast self-examination. The authors of this study believe that the manuscript represents honest and original work.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2021-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48250368","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}
引用次数: 1
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Journal of Health Research
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