H. D. Kusumawardani, A. Laksono, Taufik Hidayat, Sri Supadmi, Leny Latifah, Sri Sulasmi, H. Ashar, Muhammad Arif Musoddaq
Background: The Maluku region encompasses thousands of islands. The study analyzed factors related to stunting among children under two years old in the Maluku Region of Indonesia. Study Design: A cross-sectional study. Methods: This cross-sectional study examined 4764 children under two years. In addition to nutritional status (stature), the study analyzed ten independent variables (province, residence, maternal age, marital status, maternal education, employment, wealth, children’s age, gender, and early initiation of breastfeeding [EIBF]). Finally, the contribution of various factors to stunting was examined using logistic regression. Results: Children in Maluku province were 1.13 times more likely than those in North Maluku province to become stunted. In addition, children aged 12-13 months were 4.09 times more likely than<12 months, and boys were 1.87 times more likely than girls to have the patterns of stunting. Children in rural areas were 1.10 times more likely to become stunted than those in urban areas (95% confidence interval: 1.06, 1.14). Divorced/widowed mothers were 1.88 times more likely than married mothers. Mothers of all education levels were more likely than those without formal education, and unemployed mothers were 1.07 times more likely than employed mothers to have stunted children. The possibility of becoming stunted was lower when the children were wealthier. Conclusion: Nine variables were related to stunted incidence, including province, residence, maternal age, marital status, maternal education, employment, wealth, children’s age, and gender.
{"title":"Stunting Among Children Under Two Years in the Islands Areas: A Cross-sectional Study of the Maluku Region in Indonesia, 2021","authors":"H. D. Kusumawardani, A. Laksono, Taufik Hidayat, Sri Supadmi, Leny Latifah, Sri Sulasmi, H. Ashar, Muhammad Arif Musoddaq","doi":"10.34172/jrhs.2023.132","DOIUrl":"https://doi.org/10.34172/jrhs.2023.132","url":null,"abstract":"Background: The Maluku region encompasses thousands of islands. The study analyzed factors related to stunting among children under two years old in the Maluku Region of Indonesia. Study Design: A cross-sectional study. Methods: This cross-sectional study examined 4764 children under two years. In addition to nutritional status (stature), the study analyzed ten independent variables (province, residence, maternal age, marital status, maternal education, employment, wealth, children’s age, gender, and early initiation of breastfeeding [EIBF]). Finally, the contribution of various factors to stunting was examined using logistic regression. Results: Children in Maluku province were 1.13 times more likely than those in North Maluku province to become stunted. In addition, children aged 12-13 months were 4.09 times more likely than<12 months, and boys were 1.87 times more likely than girls to have the patterns of stunting. Children in rural areas were 1.10 times more likely to become stunted than those in urban areas (95% confidence interval: 1.06, 1.14). Divorced/widowed mothers were 1.88 times more likely than married mothers. Mothers of all education levels were more likely than those without formal education, and unemployed mothers were 1.07 times more likely than employed mothers to have stunted children. The possibility of becoming stunted was lower when the children were wealthier. Conclusion: Nine variables were related to stunted incidence, including province, residence, maternal age, marital status, maternal education, employment, wealth, children’s age, and gender.","PeriodicalId":17164,"journal":{"name":"Journal of research in health sciences","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139142426","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: Health literacy (HL) plays a crucial role in the adolescent’s behavior. Inadequate HL can contribute to engaging in risky alcohol consumption, but little is known about this relationship among medical students. We aimed to investigate the relationship between HL and alcohol use among Chinese medical students. Study Design: A cross-sectional design. Methods: This research was conducted on 1146 medical students in Hubei province, China. The data were collected using a web-based online questionnaire. Multiple logistic regression was applied to investigate factors related to alcohol use. Results: Approximately 45.3% of medical students were drinkers, about 11.5% were hazardous drinkers, and 33.8% were low-risk drinkers; furthermore, about 49.3% of them reported lower levels of HL. In both the low-risk and hazardous drinking groups, the subjects who had low levels of all six dimensions of HL were more likely to use alcohol after adjusting for other covariates, including cognitive skill (adjORfor low-risk=3.50; 95% CI: 2.41, 5.07, adjORhazardous=2.07; 95% CI: 1.22, 3.51), access skill (adjORfor low-risk=2.11; 95% CI: 1.46, 3.05, adjORhazardous=2.40; 95% CI: 1.37, 4.19), communication skill (adjORfor low-risk=1.72; 95% CI: 1.20, 2.47, adjORhazardous=2.21; 95% CI: 1.22, 4.00), self-management skill (adjORfor low-risk=1.73; 95% CI: 1.15, 2.59, adjORhazardous=4.01; 95% CI: 1.91, 8.44), media skill (adjORfor low-risk=1.50; 95% CI: 1.01, 2.23, adjORhazardous=4.68; 95% CI: 2.15, 10.17), and decision skill (adjORfor low-risk=2.12; 95% CI: 1.49, 3.00, adjORhazardous=2.25; 95% CI: 1.35, 3.74). Conclusion: Inadequate HL plays an important role in increasing alcohol use. Thus, prevention and intervention strategies should be based on improving medical students’ HL.
{"title":"The Relation of Social-ecological Factors and Health Literacy to Medical Students’ Alcohol Use Behavior in Hubei Province, China","authors":"Meihua Yin, Suneerat Yangyuen, Thidarat Somdee","doi":"10.34172/jrhs.2023.134","DOIUrl":"https://doi.org/10.34172/jrhs.2023.134","url":null,"abstract":"Background: Health literacy (HL) plays a crucial role in the adolescent’s behavior. Inadequate HL can contribute to engaging in risky alcohol consumption, but little is known about this relationship among medical students. We aimed to investigate the relationship between HL and alcohol use among Chinese medical students. Study Design: A cross-sectional design. Methods: This research was conducted on 1146 medical students in Hubei province, China. The data were collected using a web-based online questionnaire. Multiple logistic regression was applied to investigate factors related to alcohol use. Results: Approximately 45.3% of medical students were drinkers, about 11.5% were hazardous drinkers, and 33.8% were low-risk drinkers; furthermore, about 49.3% of them reported lower levels of HL. In both the low-risk and hazardous drinking groups, the subjects who had low levels of all six dimensions of HL were more likely to use alcohol after adjusting for other covariates, including cognitive skill (adjORfor low-risk=3.50; 95% CI: 2.41, 5.07, adjORhazardous=2.07; 95% CI: 1.22, 3.51), access skill (adjORfor low-risk=2.11; 95% CI: 1.46, 3.05, adjORhazardous=2.40; 95% CI: 1.37, 4.19), communication skill (adjORfor low-risk=1.72; 95% CI: 1.20, 2.47, adjORhazardous=2.21; 95% CI: 1.22, 4.00), self-management skill (adjORfor low-risk=1.73; 95% CI: 1.15, 2.59, adjORhazardous=4.01; 95% CI: 1.91, 8.44), media skill (adjORfor low-risk=1.50; 95% CI: 1.01, 2.23, adjORhazardous=4.68; 95% CI: 2.15, 10.17), and decision skill (adjORfor low-risk=2.12; 95% CI: 1.49, 3.00, adjORhazardous=2.25; 95% CI: 1.35, 3.74). Conclusion: Inadequate HL plays an important role in increasing alcohol use. Thus, prevention and intervention strategies should be based on improving medical students’ HL.","PeriodicalId":17164,"journal":{"name":"Journal of research in health sciences","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139143960","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}
M. Rasouli, Shahram Darvishzadehdaledari, Zeynab Alizadeh, Ghobad Moradi, Fatemeh Gholami, Ako Mahmoudian
Background: According to the findings from observational studies and clinical trials assessing the effect of vitamin D supplements on cardiovascular diseases (CVDs), there are still contradictory results. This systematic review aimed to assess the effect of vitamin D supplements on CVDs considering cohort studies and clinical trials. Study Design: A systematic review. Methods: MEDLINE/PubMed, Science Direct, Embase, and Cochrane Library databases were reviewed by two reviewers independently until 2022. The study effect is risk ratio (RR) and 95% confidence interval (CI) according to Mantel Haenszel’s random-effects model. Then, Stata version 14 was used for statistical analysis. Results: In clinical trial studies, the incidence of CVDs among the vitamin D-consuming group was not significantly different from that in the placebo group (RR: 0.99, 95% CI: 0.95-1.03; P=0.77; I 2=0%). CVD mortality was also not significantly different between the two groups (RR: 0.97, 95% CI: 0.90-1.05; P=0.72; I2=0%). In cohort studies, circulating 25 (OH) D increased the risk of CVD incidence by 31% (RR: 1.31, 95% CI: 1.19-1.45) and CVD mortality by 37% (RR: 1.37, 95% CI: 1.17-1.61). Conclusion: According to current evidence from clinical trials, vitamin D supplementation should not be recommended for CVD prevention. However, there is a direct association between vitamin D deficiency and the incidence of CVDs as well as its mortality. According to the results of clinical trial studies carrying higher levels of scientific evidence, it can be concluded that vitamin D supplementation does not exert a significant effect on the incidence, mortality, and reduction of CVDs.
背景：根据观察性研究和临床试验的结果，评估维生素 D 补充剂对心血管疾病（CVDs）的影响仍然存在相互矛盾的结果。本系统综述旨在通过队列研究和临床试验评估维生素 D 补充剂对心血管疾病的影响。研究设计：系统综述。研究方法：MEDLINE/PubMed由两名审稿人独立审查 MEDLINE/PubMed、Science Direct、Embase 和 Cochrane Library 数据库，直至 2022 年。根据 Mantel Haenszel 随机效应模型，研究效果为风险比（RR）和 95% 置信区间（CI）。然后使用 Stata 14 版本进行统计分析。结果在临床试验研究中，维生素 D 摄入组与安慰剂组的心血管疾病发病率无显著差异（RR：0.99，95% CI：0.95-1.03；P=0.77；I 2=0%）。两组之间的心血管疾病死亡率也无明显差异（RR：0.97，95% CI：0.90-1.05；P=0.72；I2=0%）。在队列研究中，循环 25 (OH) D 使心血管疾病发病风险增加 31%（RR：1.31，95% CI：1.19-1.45），使心血管疾病死亡率增加 37%（RR：1.37，95% CI：1.17-1.61）。结论根据目前的临床试验证据，不应建议将补充维生素 D 用于预防心血管疾病。然而，维生素 D 缺乏与心血管疾病的发病率和死亡率有直接关系。根据科学证据水平较高的临床试验研究结果，可以得出结论，补充维生素 D 对心血管疾病的发病率、死亡率和减少心血管疾病的发生率并无显著影响。
{"title":"Vitamin D Supplementation and Cardiovascular Disease Risks in More Than 134000 Individuals in 29 Randomized Clinical Trials and 157000 Individuals in 30 Prospective Cohort Studies: An Updated Systematic Review and Meta-analysis","authors":"M. Rasouli, Shahram Darvishzadehdaledari, Zeynab Alizadeh, Ghobad Moradi, Fatemeh Gholami, Ako Mahmoudian","doi":"10.34172/jrhs.2023.129","DOIUrl":"https://doi.org/10.34172/jrhs.2023.129","url":null,"abstract":"Background: According to the findings from observational studies and clinical trials assessing the effect of vitamin D supplements on cardiovascular diseases (CVDs), there are still contradictory results. This systematic review aimed to assess the effect of vitamin D supplements on CVDs considering cohort studies and clinical trials. Study Design: A systematic review. Methods: MEDLINE/PubMed, Science Direct, Embase, and Cochrane Library databases were reviewed by two reviewers independently until 2022. The study effect is risk ratio (RR) and 95% confidence interval (CI) according to Mantel Haenszel’s random-effects model. Then, Stata version 14 was used for statistical analysis. Results: In clinical trial studies, the incidence of CVDs among the vitamin D-consuming group was not significantly different from that in the placebo group (RR: 0.99, 95% CI: 0.95-1.03; P=0.77; I 2=0%). CVD mortality was also not significantly different between the two groups (RR: 0.97, 95% CI: 0.90-1.05; P=0.72; I2=0%). In cohort studies, circulating 25 (OH) D increased the risk of CVD incidence by 31% (RR: 1.31, 95% CI: 1.19-1.45) and CVD mortality by 37% (RR: 1.37, 95% CI: 1.17-1.61). Conclusion: According to current evidence from clinical trials, vitamin D supplementation should not be recommended for CVD prevention. However, there is a direct association between vitamin D deficiency and the incidence of CVDs as well as its mortality. According to the results of clinical trial studies carrying higher levels of scientific evidence, it can be concluded that vitamin D supplementation does not exert a significant effect on the incidence, mortality, and reduction of CVDs.","PeriodicalId":17164,"journal":{"name":"Journal of research in health sciences","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139145169","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}
Shima Hossaini, Fariba Keramat, Zahra Cheraghi, Bushra Zareie, A. Doosti-Irani
Background: Different vaccines have so far been developed and approved to cope with COVID-19 in the world. The aim of this updated network meta-analysis (NMA) was to compare and rank all available vaccines in terms of efficacy and complications simultaneously. Study Design: A systematic review. Methods: Three major international databases, including Web of Science, Medline via PubMed, and Scopus, were searched through September 2023. The transitivity assumption was evaluated qualitatively in terms of epidemiologic effect modifiers. The exposure of interest in this study was receiving any available COVID-19 vaccine, and the primary outcome of interest was the incidence of symptomatic COVID-19. In this NMA, the relative risk of symptomatic COVID-19 was used to summarize the efficacy of vaccines in preventing COVID-19. The data were analyzed using the frequentist-based approach, and the results were reported using a random-effects model. Finally, the vaccines were ranked using a P-score. Results: In total, 34 randomized controlled trials (RCTs) met the eligibility criteria for this systematic review and NMA out of 3682 retrieved references. Based on the results of the NMA, mRNA-1273 was the most effective vaccine in preventing COVID-19 and demonstrated the highest P-score (0.93). The relative risk (RR) for mRNA-1273 versus placebo was 0.07 (95% confidence interval [CI]: 0.03, 0.17). The second and third-ranked vaccines were BNT-162b2 (RR=0.08; 95% CI: 0.04, 0.15; P-score=0.93) and Gam-COVID-Vac (0.09; 95% CI: 0.03, 0.25; 0.88). Conclusion: Based on the results of this NMA, it seems that all available vaccines were effective in COVID-19 prevention. However, the top three ranked vaccines were mRNA-1273, BNT-162b2, and Gam-COVID-Vac, respectively.
{"title":"Comparing the Efficacy and Adverse Events of Available COVID-19 Vaccines Through Randomized Controlled Trials: Updated Systematic Review and Network Meta-analysis","authors":"Shima Hossaini, Fariba Keramat, Zahra Cheraghi, Bushra Zareie, A. Doosti-Irani","doi":"10.34172/jrhs.2023.128","DOIUrl":"https://doi.org/10.34172/jrhs.2023.128","url":null,"abstract":"Background: Different vaccines have so far been developed and approved to cope with COVID-19 in the world. The aim of this updated network meta-analysis (NMA) was to compare and rank all available vaccines in terms of efficacy and complications simultaneously. Study Design: A systematic review. Methods: Three major international databases, including Web of Science, Medline via PubMed, and Scopus, were searched through September 2023. The transitivity assumption was evaluated qualitatively in terms of epidemiologic effect modifiers. The exposure of interest in this study was receiving any available COVID-19 vaccine, and the primary outcome of interest was the incidence of symptomatic COVID-19. In this NMA, the relative risk of symptomatic COVID-19 was used to summarize the efficacy of vaccines in preventing COVID-19. The data were analyzed using the frequentist-based approach, and the results were reported using a random-effects model. Finally, the vaccines were ranked using a P-score. Results: In total, 34 randomized controlled trials (RCTs) met the eligibility criteria for this systematic review and NMA out of 3682 retrieved references. Based on the results of the NMA, mRNA-1273 was the most effective vaccine in preventing COVID-19 and demonstrated the highest P-score (0.93). The relative risk (RR) for mRNA-1273 versus placebo was 0.07 (95% confidence interval [CI]: 0.03, 0.17). The second and third-ranked vaccines were BNT-162b2 (RR=0.08; 95% CI: 0.04, 0.15; P-score=0.93) and Gam-COVID-Vac (0.09; 95% CI: 0.03, 0.25; 0.88). Conclusion: Based on the results of this NMA, it seems that all available vaccines were effective in COVID-19 prevention. However, the top three ranked vaccines were mRNA-1273, BNT-162b2, and Gam-COVID-Vac, respectively.","PeriodicalId":17164,"journal":{"name":"Journal of research in health sciences","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139147714","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}
Pub Date : 2023-11-01DOI: 10.32598/jrh.13.6.2083.9
Ameneh Marzban, Payam Emami, Shandiz Moslehi
The COVID-19 pandemic has impacted positively and negatively a variety of industries, including the food industry [1-3]. Meanwhile, the food industry is more affected by this disease compared to other industries because of its wide relationship with the household and the community. Various places, such as restaurants, coffee shops, hotels, and schools were either closed during this period or did not provide services same as in the past. As a result, many blows were inflicted on such industries. The demand for food by households decreased during this period and caused a part of the food market to be lost [4]. Global average prices for a variety of food products increased by 2% to 9% with half of the tracked goods rising by 7% or more [5].
{"title":"Investigating the Impacts of COVID-19 on the Food Industry","authors":"Ameneh Marzban, Payam Emami, Shandiz Moslehi","doi":"10.32598/jrh.13.6.2083.9","DOIUrl":"https://doi.org/10.32598/jrh.13.6.2083.9","url":null,"abstract":"The COVID-19 pandemic has impacted positively and negatively a variety of industries, including the food industry [1-3]. Meanwhile, the food industry is more affected by this disease compared to other industries because of its wide relationship with the household and the community. Various places, such as restaurants, coffee shops, hotels, and schools were either closed during this period or did not provide services same as in the past. As a result, many blows were inflicted on such industries. The demand for food by households decreased during this period and caused a part of the food market to be lost [4]. Global average prices for a variety of food products increased by 2% to 9% with half of the tracked goods rising by 7% or more [5].","PeriodicalId":17164,"journal":{"name":"Journal of research in health sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135272553","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: Increasing the desire to have children is an important priority of the healthcare systems, which requires targeted planning. This paper describes the development of an intervention program using an intervention mapping approach (IMA) to increase the childbearing desires. Methods: From July to November 2022, the steps of the IMA process were completed. Starting with needs assessment, in this stage, we conducted a literature review, created focus groups, and conducted interviews with local stakeholders; meanwhile, the program objectives and the target audience were determined. Then, the road map for targeted interventions was prepared. Results: The needs assessment completed questionnaires (n=1288), the literature review, 3 focus groups (n=25 participants), in addition to interviews (n=30 participants) indicated that the most effective factors in the parents’ childbearing low desires were concern about the future of their children, economic problems, low parenting skills, and low skills to interact with their spouse. According to the PRECEDE-PROCEED model awareness, attitude, and self-efficacy were categorized as determinants at the individual level, perceived subjective norm at the family level, and organizational changes at the social level based on the results of the needs assessment. The findings from each step of the process informed successive steps. Conclusion: The IMA is a control-oriented, systematic, participation-based technique to design and implement targeted and ongoing health promotion programs.
{"title":"Practical Steps in Designing Intervention to Increase Childbearing Desires: An Intervention Mapping Approach","authors":"Fatemeh Darabi, Sevil Momeni Shabani, Afrouz Mardi, Nazila Nejhaddadgar","doi":"10.32598/jrh.13.6.821.1","DOIUrl":"https://doi.org/10.32598/jrh.13.6.821.1","url":null,"abstract":"Background: Increasing the desire to have children is an important priority of the healthcare systems, which requires targeted planning. This paper describes the development of an intervention program using an intervention mapping approach (IMA) to increase the childbearing desires. Methods: From July to November 2022, the steps of the IMA process were completed. Starting with needs assessment, in this stage, we conducted a literature review, created focus groups, and conducted interviews with local stakeholders; meanwhile, the program objectives and the target audience were determined. Then, the road map for targeted interventions was prepared. Results: The needs assessment completed questionnaires (n=1288), the literature review, 3 focus groups (n=25 participants), in addition to interviews (n=30 participants) indicated that the most effective factors in the parents’ childbearing low desires were concern about the future of their children, economic problems, low parenting skills, and low skills to interact with their spouse. According to the PRECEDE-PROCEED model awareness, attitude, and self-efficacy were categorized as determinants at the individual level, perceived subjective norm at the family level, and organizational changes at the social level based on the results of the needs assessment. The findings from each step of the process informed successive steps. Conclusion: The IMA is a control-oriented, systematic, participation-based technique to design and implement targeted and ongoing health promotion programs.","PeriodicalId":17164,"journal":{"name":"Journal of research in health sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135325925","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: Food waste is a severe problem, and Indonesia is the world’s second-largest producer of food waste. A limited waste management system will decrease environmental quality, such as air, water, and soil pollution. So far, the waste management system is limited to reducing waste generation. The life cycle assessment is a method to analyze environmental aspects or environmental impacts at all stages in a resource’s life cycle, from the initial process of raw materials to disposal. This study aims to analyze the environmental impact and provide waste management policies to obtain sustainable household waste management and environmental sustainability. Methods: The study design used in this research is cross-sectional by conducting direct observations and interviews at the Waste Bank. Interviews were conducted to identify more in-depth findings about waste management problems and the characteristics of respondents and waste characteristics. Observations were made to calculate waste generation that refers to Indonesian national standard methods of sample collection and measurement of urban waste generation and composition (SNI 19-3694-1994.) The sampling technique was carried out by the total sampling method, resulting in 100 households. Results: The research results with organic waste processing with the black soldier fly method. This method impacts global warming, acidification, eutrophication, and ozone depletion. Of the four elements that produce the most negligible impact is the impact of global warming of 0.281 kg CO2 eq compared to the other effects. Conclusion: BSF processing can reduce environmental impacts, especially global warming. Meanwhile, education affects people’s behavior in generating food waste; therefore, there are policy recommendations for Waste Bank stakeholders in processing food waste.
背景:食物浪费是一个严重的问题，印度尼西亚是世界上第二大食物浪费生产国。一个有限的废物管理系统将降低环境质量，如空气、水和土壤污染。到目前为止，废物管理系统仅限于减少废物的产生。生命周期评价是在资源生命周期的各个阶段，从原材料的初始加工到处置，分析环境因素或环境影响的一种方法。本研究旨在分析其对环境的影响，并提供废物管理政策，以获得可持续的生活废物管理和环境可持续性。方法:本研究采用横断面研究设计，在废物银行进行直接观察和访谈。我们进行了访谈，以确定有关废物管理问题、受访者特征和废物特征的更深入的调查结果。通过观察计算废弃物产生量，参照印度尼西亚城市废弃物产生量和成分的样本收集和测量国家标准方法(SNI 19-3694-1994)。抽样技术采用总抽样法，共抽样100户。结果:研究结果与有机废物黑兵蝇法处理有关。这种方法影响全球变暖、酸化、富营养化和臭氧消耗。在产生最可忽略影响的四个因素中，与其他影响相比，全球变暖的影响为0.281 kg CO2当量。结论:BSF加工可以减少对环境的影响，尤其是对全球变暖的影响。同时，教育影响人们产生食物浪费的行为;因此，我们为废物银行的利益相关者提供了处理食物垃圾的政策建议。
{"title":"Sustainability Life Cycle Assessment of Household Food Waste Management in Urban Areas","authors":"Devi Angeliana Kusumaningtiar, Gisely Vionalita, Prita Dhyani Swamilaksita","doi":"10.32598/jrh.13.6.2255.1","DOIUrl":"https://doi.org/10.32598/jrh.13.6.2255.1","url":null,"abstract":"Background: Food waste is a severe problem, and Indonesia is the world’s second-largest producer of food waste. A limited waste management system will decrease environmental quality, such as air, water, and soil pollution. So far, the waste management system is limited to reducing waste generation. The life cycle assessment is a method to analyze environmental aspects or environmental impacts at all stages in a resource’s life cycle, from the initial process of raw materials to disposal. This study aims to analyze the environmental impact and provide waste management policies to obtain sustainable household waste management and environmental sustainability. Methods: The study design used in this research is cross-sectional by conducting direct observations and interviews at the Waste Bank. Interviews were conducted to identify more in-depth findings about waste management problems and the characteristics of respondents and waste characteristics. Observations were made to calculate waste generation that refers to Indonesian national standard methods of sample collection and measurement of urban waste generation and composition (SNI 19-3694-1994.) The sampling technique was carried out by the total sampling method, resulting in 100 households. Results: The research results with organic waste processing with the black soldier fly method. This method impacts global warming, acidification, eutrophication, and ozone depletion. Of the four elements that produce the most negligible impact is the impact of global warming of 0.281 kg CO2 eq compared to the other effects. Conclusion: BSF processing can reduce environmental impacts, especially global warming. Meanwhile, education affects people’s behavior in generating food waste; therefore, there are policy recommendations for Waste Bank stakeholders in processing food waste.","PeriodicalId":17164,"journal":{"name":"Journal of research in health sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135326068","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: Difficulty regulating emotion has been identified as a trans-diagnostic factor common to various psychiatric diagnoses and behavior problems. This study aims to implement emotion regulation training techniques on adolescents with a disruptive mood disorder, emphasizing the irritability, alexithymia, and interpersonal issues in adolescents with disruptive mood dysregulation disorder. Methods: This quasi-experimental research used a pre-test and post-test design on 30 disruptive mood disorders in Tehran City, Iran, from 2022 to 2023. The participants were selected via simple purposive sampling. They were randomly assigned to two 15-member groups (experimental and control). The intervention group received self-regulation training over two months through eight 90-min group therapy sessions, whereas the control group received no treatment. The data were collected using the Barratt impulsiveness scale (BIS-11), Toronto alexithymia scale (TAS-20), and the inventory of interpersonal problems short-version. The data were analyzed by the SPSS software, version 25, and the multivariate analysis of covariance. Results: As indicated by the results, a significant difference was detected between the groups in terms of irritability (F=26.45, P=0.001, η=0.695), alexithymia (F=38.91, P=0.001, η=0.781), and interpersonal problems (F=31.27, P=0.001, η=0.734). Moreover, according to the alexithymia’s largest effect size (0.781), emotion regulation training had more effect on alexithymia. Conclusion: Based on the results, emotion regulation training can be implemented effectively in clinics and psychological treatment centers. Also, because of using emotion regulation training, it is possible to improve these people’s psychological characteristics and social relations. It is also suggested that relevant organizations train specialists and school counselors accordingly.
{"title":"Emotion Regulation Training on Irritability, Alexithymia, and Interpersonal Problems of Adolescents With Disruptive Mood Dysregulation Disorder","authors":"Masoumeh Falah Neudehi, Farnaz Rezaei, Ameneh Bozorgi Kazerooni, Zahra Ebadi","doi":"10.32598/jrh.13.6.2202.1","DOIUrl":"https://doi.org/10.32598/jrh.13.6.2202.1","url":null,"abstract":"Background: Difficulty regulating emotion has been identified as a trans-diagnostic factor common to various psychiatric diagnoses and behavior problems. This study aims to implement emotion regulation training techniques on adolescents with a disruptive mood disorder, emphasizing the irritability, alexithymia, and interpersonal issues in adolescents with disruptive mood dysregulation disorder. Methods: This quasi-experimental research used a pre-test and post-test design on 30 disruptive mood disorders in Tehran City, Iran, from 2022 to 2023. The participants were selected via simple purposive sampling. They were randomly assigned to two 15-member groups (experimental and control). The intervention group received self-regulation training over two months through eight 90-min group therapy sessions, whereas the control group received no treatment. The data were collected using the Barratt impulsiveness scale (BIS-11), Toronto alexithymia scale (TAS-20), and the inventory of interpersonal problems short-version. The data were analyzed by the SPSS software, version 25, and the multivariate analysis of covariance. Results: As indicated by the results, a significant difference was detected between the groups in terms of irritability (F=26.45, P=0.001, η=0.695), alexithymia (F=38.91, P=0.001, η=0.781), and interpersonal problems (F=31.27, P=0.001, η=0.734). Moreover, according to the alexithymia’s largest effect size (0.781), emotion regulation training had more effect on alexithymia. Conclusion: Based on the results, emotion regulation training can be implemented effectively in clinics and psychological treatment centers. Also, because of using emotion regulation training, it is possible to improve these people’s psychological characteristics and social relations. It is also suggested that relevant organizations train specialists and school counselors accordingly.","PeriodicalId":17164,"journal":{"name":"Journal of research in health sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135272406","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}
Fatemeh Ghardashi, Roya Akbarzadeh, Roghayeh Zardosht, Mohammad Hossein Zadeh Hesari
Background: The prevalence of type 2 diabetes is a global health challenge that requires continuous care. Non-pharmaceutical interventions in controlling and treating type 2 diabetes can be less costly and have fewer complications. Accordingly, this study identifies non-pharmaceutical interventions in controlling and treating type 2 diabetes through systematic review. Methods: This study is a systematic review of the papers published in non-pharmaceutical interventions to control and treat type 2 diabetes. The authors have used the standard guideline of systematic review (PRISMA). A total of 41 papers were selected from 529 full-text articles published between 2014 and 2020. The search included the electronic data banks, including Medline, Science Direct, Embase, Scopus, Cochrane Library, and the Google Scholar search engine. Results: Non-pharmaceutical interventions were classified into four categories: Lifestyle, treatment devices, traditional treatment, and education. The results showed that lifestyle modification is the most effective non-pharmaceutical intervention for treating type 2 diabetes. Conclusion: Study findings show that applying non-pharmaceutical interventions effectively controls and prevents type-2 diabetes complications. Education is a part that needs to be given more attention.
{"title":"Investigating Education as the Key to Success in Non-pharmacological Interventions in the Control and Treatment of Type 2 Diabetes: A Systematic Review","authors":"Fatemeh Ghardashi, Roya Akbarzadeh, Roghayeh Zardosht, Mohammad Hossein Zadeh Hesari","doi":"10.32598/jrh.13.6.2219","DOIUrl":"https://doi.org/10.32598/jrh.13.6.2219","url":null,"abstract":"Background: The prevalence of type 2 diabetes is a global health challenge that requires continuous care. Non-pharmaceutical interventions in controlling and treating type 2 diabetes can be less costly and have fewer complications. Accordingly, this study identifies non-pharmaceutical interventions in controlling and treating type 2 diabetes through systematic review. Methods: This study is a systematic review of the papers published in non-pharmaceutical interventions to control and treat type 2 diabetes. The authors have used the standard guideline of systematic review (PRISMA). A total of 41 papers were selected from 529 full-text articles published between 2014 and 2020. The search included the electronic data banks, including Medline, Science Direct, Embase, Scopus, Cochrane Library, and the Google Scholar search engine. Results: Non-pharmaceutical interventions were classified into four categories: Lifestyle, treatment devices, traditional treatment, and education. The results showed that lifestyle modification is the most effective non-pharmaceutical intervention for treating type 2 diabetes. Conclusion: Study findings show that applying non-pharmaceutical interventions effectively controls and prevents type-2 diabetes complications. Education is a part that needs to be given more attention.","PeriodicalId":17164,"journal":{"name":"Journal of research in health sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135272559","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}
Pub Date : 2023-11-01DOI: 10.32598/jrh.13.6.2183.3
Satriya Pranata, Shu-Fang Vivienne Wu, Yunie Armiyati, Khoiriyah Khoiriyah, Lin Chun Shing, Ju-Han Liu
Background: A precision healthcare approach is needed in the context of the healthcare system, especially as an effort to improve the self-management activities of diabetes patients. Accordingly, this study explores the perception of the possibility of implementing a precision healthcare program in hospitals through interviews with policymakers and health professionals. Methods: The purposive sampling via one-on-one, in-depth semi-structural interviews was conducted to collect the data in this study. The data saturation was achieved after interviewing 17 policymakers and health professionals in the selected hospitals. The participants discussed the possibility of a program being implemented in Indonesia and the challenges to implementing the program, as well as discovering the solutions. The narratives were analyzed by the Colaizzi phenomenological analytic method. Results: The three themes that were identified to illustrate the perception of the possibility of implementing precision health care programs at hospitals in Indonesia were as follows: 1) Precision health care for diabetes related to genetics, big data, and patient preference; 2) Barriers to implementing precision health care in Indonesian hospitals; and 3) The implementation of precision health care succeeded step by step. Conclusion: More time is needed to implement Indonesia’s precision healthcare concept. It requires time; however, applying the concept has great potential to be developed in reducing the risk of complications caused by diabetes mellitus in the future.
{"title":"Implementing Precision Health Care Program at Hospitals in Indonesia","authors":"Satriya Pranata, Shu-Fang Vivienne Wu, Yunie Armiyati, Khoiriyah Khoiriyah, Lin Chun Shing, Ju-Han Liu","doi":"10.32598/jrh.13.6.2183.3","DOIUrl":"https://doi.org/10.32598/jrh.13.6.2183.3","url":null,"abstract":"Background: A precision healthcare approach is needed in the context of the healthcare system, especially as an effort to improve the self-management activities of diabetes patients. Accordingly, this study explores the perception of the possibility of implementing a precision healthcare program in hospitals through interviews with policymakers and health professionals. Methods: The purposive sampling via one-on-one, in-depth semi-structural interviews was conducted to collect the data in this study. The data saturation was achieved after interviewing 17 policymakers and health professionals in the selected hospitals. The participants discussed the possibility of a program being implemented in Indonesia and the challenges to implementing the program, as well as discovering the solutions. The narratives were analyzed by the Colaizzi phenomenological analytic method. Results: The three themes that were identified to illustrate the perception of the possibility of implementing precision health care programs at hospitals in Indonesia were as follows: 1) Precision health care for diabetes related to genetics, big data, and patient preference; 2) Barriers to implementing precision health care in Indonesian hospitals; and 3) The implementation of precision health care succeeded step by step. Conclusion: More time is needed to implement Indonesia’s precision healthcare concept. It requires time; however, applying the concept has great potential to be developed in reducing the risk of complications caused by diabetes mellitus in the future.","PeriodicalId":17164,"journal":{"name":"Journal of research in health sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135325827","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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