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“I believe in science and in all vaccines:” Older adult and the intention for a vaccine against COVID-19 “我相信科学和所有疫苗:”老年人和新冠肺炎疫苗的意图
Q1 Social Sciences Pub Date : 2022-07-01 DOI: 10.4103/shb.shb_17_22
M. Nascimento, Allysson Nunes, Luciano Juchem
Introduction: To investigate the intention of older Brazilian adults to receive the COVID-19 vaccine, to find out their perception of the older adults' fragility to the virus, and to know their opinion on the progress of the national immunization plan against COVID-19. Methods: An exploratory qualitative study was carried out through semi-structured telephone calls with 32 participants (aged 60–89), between February and March 2021. Data were analyzed thematically, emerging three major themes. Results: Most participants expressed concern about the vulnerability of their immune system to the coronavirus, and dissatisfaction with the organization of the national immunization plan. Strong criticism was leveled at the leadership of the President of the Republic due to his resistance to vaccination and encouraging the use of hydroxychloroquine. Conclusion: The vast majority of respondents reported an intention to receive the vaccine. The short time for the production of vaccines generated distrust with its effectiveness. All expressed dissatisfaction with the organization of the national immunization plan, and agreed that after the pandemic, their lives and the world will no longer be as before.
前言:调查巴西老年人接种COVID-19疫苗的意愿,了解他们对老年人对病毒脆弱性的看法,并了解他们对国家COVID-19免疫计划进展的看法。方法:在2021年2月至3月期间,通过半结构化电话对32名参与者(60-89岁)进行了探索性定性研究。对数据进行了主题分析,发现了三个主要主题。结果:大多数与会者对自身免疫系统对冠状病毒的脆弱性表示担忧,并对国家免疫计划的组织表示不满。由于共和国总统拒绝接种疫苗并鼓励使用羟氯喹,他的领导受到强烈批评。结论:绝大多数答复者报告有意接种疫苗。疫苗生产时间短,对其有效性产生了不信任。所有人都对国家免疫计划的组织表示不满,并一致认为,大流行过后,他们的生活和世界将不再是以前的样子。
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引用次数: 6
The effect of resilience indicators on the job stress level among nurses: A predictor study 心理弹性指标对护士工作压力水平影响的预测研究
Q1 Social Sciences Pub Date : 2022-07-01 DOI: 10.4103/shb.shb_4_22
Payam Rashnuodi, M. Nourollahi-Darabad, D. Afshari, G. Shirali, A. Amiri, Ehsan Rotkhali, Zohreh Shabgard
Introduction: Resilience is one of the competencies that enable nurses to adapt to stressful risk factors at work and demonstrate a healthy and stable psychological performance. The present study aimed to investigate the predictive role of resilience on job stress among Iranian nurses. Methods: The current cross-sectional study was conducted in Ahvaz, Iran, with participation of 200 nurses in May 2019. Participants were recruited via stratified random sampling. The resilience indicators and job stress data were collected by the Connor–Davidson Resilience Scale and OSIPOW Job Stress Questionnaire. Results: The results showed a significant negative correlation between resilience and job stress (r = −0.824, P < 0.05). Similarly, a significant linear regression existed between job stress and resilience (β = −0.824, P < 0.05) in such a way that resilience predicted 67.9% of the job stress variance in the participants (R2 = 0.679). In addition, it was revealed that the multi-aspect model could significantly predict job stress based on linear resilience indicators (P < 0.05). Conclusion: The results indicated that resilience indicators have a significant relationship with job stress, and this relationship can be used to predict changes in job stress based on resilience. Therefore, it is strongly recommended that resilience improvement programs should be developed and implemented for nurses.
简介:弹性是一种能力,使护士能够适应工作中的压力风险因素,并表现出健康和稳定的心理表现。本研究旨在探讨心理弹性对伊朗护士工作压力的预测作用。方法:目前的横断面研究于2019年5月在伊朗阿瓦士进行,有200名护士参与。参与者采用分层随机抽样方式招募。采用Connor-Davidson弹性量表和OSIPOW工作压力问卷收集弹性指标和工作压力数据。结果:心理弹性与工作压力呈显著负相关(r = - 0.824, P < 0.05)。同样,工作压力与心理弹性之间也存在显著的线性回归(β = - 0.824, P < 0.05),心理弹性预测了67.9%的工作压力方差(R2 = 0.679)。此外,基于线性弹性指标的多面向模型能够显著预测工作压力(P < 0.05)。结论:心理弹性指标与工作压力之间存在显著的相关关系,这种关系可用于预测基于心理弹性的工作压力变化。因此,强烈建议为护士制定和实施弹性改善计划。
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引用次数: 3
Brief resilience interventions for mental health among college students: Randomized controlled trial 大学生心理健康的短期弹性干预:随机对照试验
Q1 Social Sciences Pub Date : 2022-07-01 DOI: 10.4103/shb.shb_28_22
Shabnam Kadian, J. Joseph, Sat Pal, Rajeshwari Devi
Introduction: The resilience interventions have the potential to enhance the protective factors to prevent mental health problems in young adolescents. The present study evaluated the feasibility of brief resilience interventions in a sample of college students. Methods: The present randomized controlled study was conducted among 220 college students and the study protocol was registered in the Clinical Trials Registry of India (Ref.No.CTRI/2021/04/032716). The participants were randomly allocated to two groups: (i) A brief resilience intervention program group and (ii) a resilience self-help pamphlet group. The brief resilience intervention program is based on positive psychology and consists of two sessions, delivered on a 2-week interval period. The outcome measures were changes in the scores of the Brief Resilient Coping Scale (BRCS), Perceived Stress Scale, and Patient Health Questionnaire-4. Results: The mean age of the participants was 19.31 years (standard deviation – 1.17) and both the study groups were comparable during baseline (P > 0.05). At the 1-month follow-up, there was a slight increase in the mean BRCS scores of the brief resilience intervention group (15.57 vs. 15.87) as compared to the resilience self-help pamphlet group (16.15 vs. 15.79). There was no evidence that brief resilience intervention was superior to the self-help booklet in any of the outcome measures (P > 0.05). Conclusion: Brief resilience interventions have the potential to promote resilience and coping skills among college-going students in this setting. The integration of brief resilience interventions among college-based cohorts would appear to be an appropriate strategy for building protective factors to bolster resilience.
引言:弹性干预有可能增强青少年心理健康问题的保护因素。本研究以大学生为样本,评估短期弹性干预的可行性。方法:本研究在220名大学生中进行随机对照研究,研究方案已在印度临床试验登记处注册(参考文献号:ctri /2021/04/032716)。参与者被随机分为两组:(i)一个简短的弹性干预计划组和(ii)一个弹性自助小册子组。这个简短的恢复力干预项目是基于积极心理学的,包括两个疗程,每隔两周进行一次。结果测量为简短弹性应对量表(BRCS)、感知压力量表和患者健康问卷-4得分的变化。结果:参与者的平均年龄为19.31岁(标准差- 1.17),两个研究组在基线时具有可比性(P < 0.05)。在1个月的随访中,与弹性自助手册组(16.15比15.79)相比,短暂弹性干预组的BRCS平均得分略有增加(15.57比15.87)。没有证据表明短期恢复力干预在任何结果测量中都优于自助手册(P < 0.05)。结论:在此背景下,简短的心理弹性干预有可能提高大学生的心理弹性和应对技能。在以大学为基础的队列中整合短暂的恢复力干预措施似乎是建立保护因素以增强恢复力的适当策略。
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引用次数: 5
A theory-based educational intervention to promote behavior change and physical activity participation in middle-aged women: A randomized controlled trial 以理论为基础的教育干预促进中年妇女行为改变和体育活动参与:一项随机对照试验
Q1 Social Sciences Pub Date : 2022-07-01 DOI: 10.4103/shb.shb_35_22
H. Joveini, Zeinab Malaijerdi, N. Sharifi, R. Borghabani, M. Hashemian
Introduction: Promoting physical activity (PA) behavior by education can help people to create and maintain an active lifestyle until old age. This study aimed to design and evaluate a theory-based educational intervention to promote behavior change and PA in middle-aged women. Methods: This randomized controlled trial was conducted on 73 middle-aged women in Jovein, Iran, from January to November 2018. A researcher-made questionnaire based on the volition phase constructs of the Health Action Process Approach (HAPA) model was used. Randomly, one health base and one health house were assigned to the intervention group and one health base and one health house were assigned to the control group, and the participants were randomly selected from these centers. Both the groups completed the questionnaires before, immediately after, and 3 months after the educational intervention. The educational intervention was held in three 60-min sessions among three groups of approximately 17 participants. PA maintenance was measured 6 months after the intervention. Results: Immediately and 3 months after the intervention, the mean scores of all the volition phase constructs significantly increased in the intervention group compared to the control group (P < 0.05). Three and 6 months after the intervention, the number of people who had at least 150 min of moderate PA per week was significantly higher in the intervention group compared to the control group (P < 0.05). Conclusion: The educational intervention based on the volition phase constructs of the HAPA increased PA intention and facilitated the transition from an inactive lifestyle to an active lifestyle among middle-aged women.
引言:通过教育促进体育活动(PA)行为可以帮助人们创造并保持积极的生活方式,直到老年。本研究旨在设计和评估一种基于理论的教育干预措施,以促进中年妇女的行为改变和PA。方法:本随机对照试验于2018年1月至11月在伊朗乔韦恩对73名中年妇女进行。研究人员根据健康行动过程方法(HAPA)模型的意志阶段结构进行了问卷调查。随机将一个卫生基地和一个卫生院分配给干预组,将一个健康基地和一家卫生院分配到对照组,参与者从这些中心随机选择。两组分别在教育干预前、干预后和干预后3个月完成问卷调查。教育干预分三组进行,每组约17人,每次60分钟。干预后6个月测量PA维持情况。结果:干预后即刻和3个月,干预组所有意志阶段结构的平均得分均显著高于对照组(P<0.05),干预组每周至少有150分钟中度PA的人数明显高于对照组(P<0.05)。
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引用次数: 1
Stress and burden among caregivers of persons with bipolar affective disorder during the COVID-19 pandemic in India 新冠肺炎大流行期间印度双相情感障碍患者护理人员的压力和负担
Q1 Social Sciences Pub Date : 2022-04-01 DOI: 10.4103/shb.shb_158_21
P. Sandya, Kannappa V. Shetty, J. Jaise, S. Manikappa, N. Pai
Introduction: Bipolar affective disorder (BPAD) is a severe mental illness causing significant problems in the lives of individuals with the disorder and those who care for them as well are. Most of the time people with mental illness are taken care of by mental health professionals, while little priority is given to their caregivers. There are numerous studies in India attempting to understand the impact of illness on caregivers and the problems faced by the caregivers of persons with BPAD. Methods: The study aimed to assess the family caregivers' stress and burden among caregivers of persons with BPAD at a tertiary care center in Dharwad, India. Descriptive research design and simple random sampling was used for recruiting 50 samples. Apart from sociodemographic schedule, burden assessment scale and perceived stress scale (PSS) were used for data collection. Results: The mean age of caregivers was 44.76 years. The average duration of illness of the patients was 9.80 years and their mean annual income was 35,500 rupees reported in the study. The mean score of impact of wellbeing subscale was higher (11.34) when compared with other sub scales of the burden assessment scale, and the overall score of burden assessment scale (31.82) indicated high levels of burden. PSS mean was 21.44, indicating high stress levels. Conclusion: The study concludes that burden and perceived stress were elevated among the caregivers of people with BPAD during the COVID-19 pandemic.
引言:双相情感障碍(BPAD)是一种严重的精神疾病,会给患有该障碍的人和照顾他们的人的生活带来重大问题。大多数时候,精神疾病患者由心理健康专业人员照顾,而他们的照顾者几乎没有得到优先考虑。印度有许多研究试图了解疾病对照顾者的影响以及BPAD患者照顾者面临的问题。方法:本研究旨在评估印度达尔瓦德一家三级护理中心BPAD患者的家庭护理人员的压力和负担。采用描述性研究设计和简单随机抽样方法招募50名样本。除了社会人口统计表外,还使用了负担评估量表和感知压力量表(PSS)进行数据收集。结果:护理人员的平均年龄为44.76岁。研究报告称,这些患者的平均患病时间为9.80年,平均年收入为35500卢比。与负担评估量表的其他子量表相比,幸福感影响分量表的平均得分更高(11.34),负担评估量量表的总分(31.82)表明负担水平较高。PSS平均值为21.44,表明高应激水平。结论:研究得出结论,在新冠肺炎大流行期间,BPAD患者的护理人员的负担和感知压力升高。
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引用次数: 8
Social stigma and discrimination in Coronavirus Disease-2019 survivors and its changing trend: A longitudinal study at tertiary care center Gujarat, India 2019冠状病毒病幸存者的社会耻辱和歧视及其变化趋势:印度古吉拉特邦三级医疗中心的纵向研究
Q1 Social Sciences Pub Date : 2022-04-01 DOI: 10.4103/shb.shb_12_22
R. Sangma, Parveen Kumar, L. Nerli, Abhijit Khanna, D. Vasavada, D. Tiwari
Introduction: World Health Organization declared coronavirus disease-2019 (COVID-19) as global pandemic on March 20, 2020. Highly contagious nature of this new virus and high propensity for human-to-human transmission led to various challenges, one of them is stigma and discrimination. This led to ill-treatment, devaluation of affected individuals, termination of employment, abandonment, and physical violence. The current study attempts to assess the magnitude of social stigma and discrimination among COVID-19 survivors. Methods: Longitudinal study was conducted among COVID-19 survivors from June 2020 to February 2021 at tertiary care center, Jamnagar, Gujarat, India. Participants were contacted through telephone, interview was conducted at 1 and 6 months, using pro forma containing demographic details, “Stigma questionnaire” and “Discrimination questionnaire.” Results: A total of 420 participants of age 18–60 years participated in the study. Participants experienced personalized stigma had concerns regarding disclosure of illness and public attitudes. Discrimination at their respective workplace was also observed. Stigma was statistically significant related to gender and geographical area (F = 3.879, P < 0.05, R2 = 0.45), while discrimination statistically significant related to geographical area (F = 2.407, P < 0.05, R2 = 0.028). The stigma and discrimination was still prevalent after 6 months; however, there was a reduction in overall stigmatization which was statistically significant (P < 0.05). Conclusion: The large cohort of participants faced significant social stigma and discrimination in terms of personalized stigma, negative self-image, and workplace discrimination. Increasing awareness, knowledge about illness, and availability of treatment facilities can contribute in lowering the stigma.
2020年3月20日,世界卫生组织宣布2019冠状病毒病(COVID-19)为全球大流行。这种新病毒的高度传染性和人与人之间传播的高度倾向导致了各种挑战,其中之一是耻辱和歧视。这导致了虐待、受影响个人的贬值、终止就业、遗弃和身体暴力。目前的研究试图评估COVID-19幸存者中社会耻辱和歧视的程度。方法:对2020年6月至2021年2月在印度古吉拉特邦贾姆讷格尔三级保健中心的COVID-19幸存者进行了纵向研究。通过电话与参与者联系,在1个月和6个月时进行访谈,使用包含人口学详细信息的形式问卷,“耻辱问卷”和“歧视问卷”。结果:共有420名年龄在18-60岁的参与者参与了这项研究。经历过个性化耻辱的参与者对疾病的披露和公众态度感到担忧。在她们各自的工作场所也发现了歧视现象。耻辱感与性别、地理区域相关(F = 3.879, P < 0.05, R2 = 0.45),歧视与地理区域相关(F = 2.407, P < 0.05, R2 = 0.028)。6个月后,耻辱感和歧视仍然普遍存在;然而,总体污名化有所减少,有统计学意义(P < 0.05)。结论:大量受试者在个性化污名、消极自我形象和工作场所歧视方面面临显著的社会污名和歧视。提高对疾病的认识和知识以及治疗设施的可用性有助于降低耻辱感。
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引用次数: 18
Suicidal ideation and associated factors among clients of primary care and religious care centers in Thailand 泰国初级保健和宗教护理中心病人的自杀意念及其相关因素
Q1 Social Sciences Pub Date : 2022-04-01 DOI: 10.4103/shb.shb_101_21
K. Peltzer, S. Pengpid
Introduction: Suicidal ideation is a public health concern. The percentage of prevalence of suicidal ideation found among attendees of primary and religious care centers in Thailand is unclear. The aim of this study was to evaluate suicidal ideation and associated factors among clients of primary care and religious care centers in Thailand. Methods: In a cross-sectional interview survey, 1214 consecutively sampled adult clients from three religious and three primary care centers participated in the study in 2018–2019. They completed information on suicidal ideation, social and demographic factors, chronic conditions, and mental and substance use disorders. Logistic regression was used to assess predictors of suicidal ideation. Results: One in ten clients (10.0%) reported suicidal ideation. The prevalence of suicidal ideation was higher in clients attending religious compared to primary care, but the difference was not significant. In adjusted logistic regression analysis, depressive disorder (adjusted odds ratio [AOR]: 3.49, 3.49, 95% confidence interval [CI]: 1.86–6.56), anxiety disorder (AOR: 6.03, 95% CI: 2.82–12.95), somatization disorder (AOR: 2.03, 95% CI: 1.17–3.53), cancer (AOR: 2.56, 95% CI: 1.02–6.50), and sore joints (AOR: 2.24: 95% CI: 1.16–4.31) were positive associated with suicidal ideation, while secondary education (AOR: 0.39, 95% CI: 0.20–0.77), employed (AOR: 0.52, 95% CI: 0.32–0.85), and high social support (AOR: 0.28, 95% CI: 0.13–0.56) were negatively associated with suicidal ideation. Conclusion: The prevalence of suicidal ideation was higher in clients attending religious care compared to primary care, but the difference was not significant. Factors associated with suicidal ideation include sociodemographic factors, mental disorders, and chronic conditions.
自杀意念是一个公共卫生问题。在泰国的初级和宗教护理中心的参与者中发现的自杀意念患病率的百分比尚不清楚。本研究的目的是评估泰国初级保健和宗教护理中心的病人的自杀意念及其相关因素。方法:采用横断面访谈法,于2018-2019年连续抽取来自三家宗教中心和三家初级保健中心的1214名成年客户参与研究。他们填写了有关自杀意念、社会和人口因素、慢性病以及精神和物质使用障碍的信息。采用Logistic回归评估自杀意念的预测因子。结果:1 / 10的患者(10.0%)报告有自杀意念。与初级护理相比,参加宗教护理的病人自杀意念患病率较高,但差异不显著。在调整后的logistic回归分析中,抑郁症(调整优势比[AOR]: 3.49, 3.49, 95%可信区间[CI]: 1.86-6.56)、焦虑症(AOR: 6.03, 95% CI: 2.82-12.95)、躯体化障碍(AOR: 2.03, 95% CI: 1.17-3.53)、癌症(AOR: 2.56, 95% CI: 1.02-6.50)和关节痛(AOR: 2.24: 95% CI: 1.16-4.31)与自杀意念呈正相关,而中等教育(AOR: 0.39, 95% CI: 0.20-0.77)、就业(AOR: 0.52, 95% CI: 0.52)与自杀意念呈正相关。0.32-0.85),高社会支持(AOR: 0.28, 95% CI: 0.13-0.56)与自杀意念呈负相关。结论:宗教照护的自杀意念发生率高于初级照护,但差异不显著。与自杀意念相关的因素包括社会人口因素、精神障碍和慢性疾病。
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引用次数: 0
Comparison of the performance of machine learning-based algorithms for predicting depression and anxiety among University Students in Bangladesh: A result of the first wave of the COVID-19 pandemic 基于机器学习的算法预测孟加拉国大学生抑郁和焦虑的性能比较:第一波新冠肺炎大流行的结果
Q1 Social Sciences Pub Date : 2022-04-01 DOI: 10.4103/shb.shb_38_22
M. Nayan, M. Uddin, M. Hossain, M. Alam, M. Zinnia, Iqramul Haq, Md Rahman, Rejwana Ria, Md Haq Methun
Introduction: The purpose of this research was to predict mental illness among university students using various machine learning (ML) algorithms. Methods: A structured questionnaire-based online survey was conducted on 2121 university students (private and public) living in Bangladesh. After obtaining informed consent, the participants completed a web-based survey examining sociodemographic variables and behavioral tests (including the Patient Health Questionnaire (PHQ-9) scale and the Generalized Anxiety Disorder Assessment-7 scale). This study applied six well-known ML algorithms, namely logistic regression, random forest (RF), support vector machine (SVM), linear discriminate analysis, K-nearest neighbors, Naïve Bayes, and which were used to predict mental illness among university students from Dhaka city in Bangladesh. Results: Of the 2121 eligible respondents, 45% were male and 55% were female, and approximately 76.9% were 21–25 years old. The prevalence of severe depression and severe anxiety was higher for women than for men. Based on various performance parameters, the results of the accuracy assessment showed that RF outperformed other models for the prediction of depression (89% accuracy), while SVM provided the best result than other models for the prediction of anxiety (91.49% accuracy). Conclusion: Based on these findings, we recommend that the RF algorithm and the SVM algorithm were more moderate than any other ML algorithm used in this study to predict the mental health status of university students in Bangladesh (depression and anxiety, respectively). Finally, this study proposes to apply RF and SVM classification when the prediction of mental illness status is the core interest.
本研究的目的是使用各种机器学习(ML)算法来预测大学生的精神疾病。方法:对居住在孟加拉国的2121名大学生(私立和公立)进行结构化的在线问卷调查。在获得知情同意后,参与者完成了一项基于网络的调查,检查社会人口统计学变量和行为测试(包括患者健康问卷(PHQ-9)量表和广泛性焦虑障碍评估-7量表)。本研究采用logistic回归、随机森林(RF)、支持向量机(SVM)、线性判别分析、k近邻、Naïve贝叶斯等六种著名的机器学习算法,对孟加拉国达卡市大学生的精神疾病进行预测。结果:在符合条件的2121名受访者中,男性占45%,女性占55%,年龄在21-25岁之间的约占76.9%。女性患严重抑郁和严重焦虑的比例高于男性。综合各性能参数,准确度评估结果显示,RF预测抑郁的准确度优于其他模型(89%),而SVM预测焦虑的准确度优于其他模型(91.49%)。结论:基于这些发现,我们建议RF算法和SVM算法比本研究中使用的任何其他ML算法在预测孟加拉国大学生心理健康状况(分别为抑郁和焦虑)方面更为温和。最后,本研究提出将射频和支持向量机分类应用于精神疾病状态的预测。
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引用次数: 16
Count regression model to predict spousal harms in Tamil Nadu 计数回归模型预测泰米尔纳德邦的配偶伤害
Q1 Social Sciences Pub Date : 2022-04-01 DOI: 10.4103/shb.shb_171_21
Elizabeth Varghese, Adhin Bhaskar, C. Ponnuraja
Introduction: Violence against women is becoming more prevalent over the world, particularly in India. Assessing the causes of violence in community will aid in planning supports for victims. This study aimed to compare the performance of various regression models for count data and focused on choosing appropriate count regression model to identify factors related with the number of domestic violence experienced by young married women. Methods: Data for this study were retrieved from “The Youth in India: Situation and Needs Study.” The current study took the data of 1495 married women in Tamil Nadu. Factors associated with physical violence considered for the study were place of residence, age of husband and wife, education of husband and wife, dowry, miscarriage, abortion, and marriage type. Ordinary least square, Poisson regression, and negative binomial regression models were fitted for the data, and the best fitted model was identified using Akaike information criterion (AIC) and Bayesian information criterion (BIC). Results: Proportion of married women who have perpetrated any forms of physical violence was 30.8%. Among the fitted models, negative binomial regression model (AIC = 3020.621, BIC = 3079.030) was found to be the best model to predict violence. Significant factors identified were type of residence, marriage type, education of wife and spouse, miscarriage, and abortion. Conclusion: To tackle this public health issue, multisectoral approaches such as boosting literacy, raising awareness about legal assistance, and monitoring victims of violence at primary health facilities should be implemented. Comprehensive model testing is highly suggested for determining the best acceptable analytic model when dependent variable being studied comprises count data.
引言:对妇女的暴力行为在世界各地越来越普遍,特别是在印度。评估社区暴力的原因将有助于规划对受害者的支持。本研究旨在比较各种回归模型对计数数据的表现,并重点选择合适的计数回归模型来确定与年轻已婚妇女遭受家庭暴力次数相关的因素。方法:本研究的数据来自“印度青年:情况和需求研究”。本研究采用了泰米尔纳德邦1495名已婚女性的数据。研究中考虑的与身体暴力相关的因素包括居住地、夫妻年龄、夫妻教育、嫁妆、流产、堕胎和婚姻类型。对数据拟合了普通最小二乘、泊松回归和负二项回归模型,并使用Akaike信息准则(AIC)和贝叶斯信息准则(BIC)确定了最佳拟合模型。结果:已婚妇女实施过任何形式的身体暴力的比例为30.8%。在拟合的模型中,负二项回归模型(AIC=302.621,BIC=3079.030)是预测暴力的最佳模型。确定的重要因素包括居住类型、婚姻类型、妻子和配偶的教育程度、流产和堕胎。结论:为了解决这一公共卫生问题,应采取多部门方法,如提高识字率、提高对法律援助的认识以及在初级卫生设施监测暴力受害者。当研究的因变量包括计数数据时,强烈建议进行综合模型测试,以确定最佳可接受的分析模型。
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引用次数: 0
Knowledge, attitude, and belief of health-care workers toward COVID-19 Vaccine at a tertiary care center in India 印度一家三级医疗中心医护人员对COVID-19疫苗的知识、态度和信念
Q1 Social Sciences Pub Date : 2022-04-01 DOI: 10.4103/shb.shb_20_21
Ilesh Kotecha, D. Vasavada, Parveen Kumar, L. Nerli, D. Tiwari, Dipesh V. Parmar
Introduction: India approved the “Covishield” vaccine for emergency use and began the first vaccination drive from January 16, 2021. As the new coronavirus disease-2019 (COVID-19) vaccine was developed within a short period, public acceptance for this new vaccine remains uncertain. Vaccine hesitancy remains an important challenge in the immunization against COVID-19. The aim of the current study was to assess different hesitancies, attitude, and beliefs about COVID-19 vaccine among health-care workers. Methods: A cross-sectional study was carried out among health-care professionals from 5th to January 15, just before the commencement of the first vaccination drive. All the participants were requested to fill out semi-structured pro forma containing following sections: (1) demographic details and (2) attitude and belief questionnaire. Following this, a lecture of around 45–60 min was conducted by trained professionals comprising of an education module. After the educational session, participants' willingness to take the vaccine was reassessed. Results: Totally, 598 participants participated in the study. Of these, 47% participants were not willing to take the vaccine. Participants with age <35 years, experience <5 years, and working in rural areas have statistically significant unwillingness to take vaccine, on Chi-square test. Getting sick from vaccine, contracting the disease after vaccination, fear of adverse effect, uncertain efficacy, and death due to vaccine are concerns related to vaccination hesitancy. After the educational session, 82% of the participants were willing to take the vaccine. Conclusion: Inadequate knowledge about vaccine contributed significantly to denial for vaccination. Educational program was effective in addressing the concerns of participants about vaccination, improving vaccine usage and hence control of the COVID-19 pandemic.
导语:印度批准紧急使用“Covishield”疫苗,并于2021年1月16日开始首次疫苗接种活动。由于新型冠状病毒病-2019 (COVID-19)疫苗是在短时间内开发出来的,因此公众对这种新疫苗的接受程度仍不确定。疫苗犹豫仍然是COVID-19免疫工作中的一个重要挑战。本研究的目的是评估卫生保健工作者对COVID-19疫苗的不同犹豫、态度和信念。方法:从1月5日至1月15日,在第一次疫苗接种活动开始之前,对卫生保健专业人员进行了横断面研究。所有参与者都被要求填写半结构化的形式表格,包括以下部分:(1)人口统计细节;(2)态度和信念问卷。随后,由训练有素的专业人员进行了约45-60分钟的讲座,其中包括一个教育模块。教育课程结束后,对参与者接种疫苗的意愿进行了重新评估。结果:共有598名参与者参与了这项研究。其中,47%的参与者不愿意接种疫苗。经卡方检验,年龄<35岁、经验<5年、在农村工作的受试者不愿接种疫苗有统计学意义。因接种疫苗而生病、接种后感染疾病、担心不良反应、不确定效果、因接种疫苗而死亡等是与疫苗接种犹豫有关的问题。教育课程结束后,82%的参与者愿意接种疫苗。结论:疫苗知识不足是拒绝接种疫苗的重要原因。教育项目有效地解决了参与者对疫苗接种的担忧,改善了疫苗的使用,从而控制了COVID-19大流行。
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引用次数: 20
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Asian Journal of Social Health and Behavior
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