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Prevalence and related factors of possible sarcopenia among Thai community-dwelling older adults 泰国社区老年人肌肉减少症的患病率及相关因素
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.55131/jphd/2023/210113
Pariyakorn Sanguankittiphan, Kavin Thinkhamrop, P. Limpawattana, M. Kelly
Sarcopenia is a geriatric syndrome that increases the risk of fall-related injury. Low muscle strength with or without reduced physical performance is used to identify possible sarcopenia, or those at risk of sarcopenia. To date, there is limited evidence available regarding the situation of sarcopenia risk among Thai older adults. Our study evaluated the prevalence of possible sarcopenia and determined the related factors among Thai community-dwelling older adults. Information about socio-demography, chewing difficulty, and food consumption was collected by interview as well as anthropometric measurements. Possible sarcopenia was defined using the recommendation of the 2019 Asian Working Group for Sarcopenia (AWGS) consensus. Factors that were related to possible sarcopenia were examined using multiple logistic regression, presented as adjusted odds ratios (AOR) and their 95% confidence intervals (CI). Participants were randomly selected using multi-stage sampling from population registers provided by local village health staff in selected sub-districts of Khon Kaen province. Among 510 older adults, the mean age was 69.1 (SD = 6.7) years, 67.3% were women, and 29.2% of them had chewing difficulty. The overall prevalence of possible sarcopenia was 32.2%. Women with high waist circumference (WC) had a higher rate of possible sarcopenia than men (25.9% and 10.5%, respectively). Factors relating to possible sarcopenia were chewing difficulty (AOR = 2.10; 95% CI: 1.36-3.22; p-value = 0.001), low mid-upper arm circumference or MUAC (AOR = 6.51; 95% CI: 3.40-12.47; p-value < 0.001), and normal waist circumference or WC (AOR = 2.14; 95% CI: 1.35-3.39; p-value = 0.001). Possible sarcopenia was prevalent among Thai community-dwelling older adults. Chewing difficulty, low MUAC, and normal WC were related to possible sarcopenia. Dietary and exercise modifications in this population are therefore a good target for lessening the occurrence of possible sarcopenia.
肌肉减少症是一种老年综合症,会增加跌倒相关损伤的风险。低肌肉力量伴或不伴运动能力下降被用来识别可能的肌肉减少症或有肌肉减少症风险的人。迄今为止,关于泰国老年人肌肉减少症风险的证据有限。我们的研究评估了泰国社区老年人中可能的肌肉减少症患病率,并确定了相关因素。通过访谈和人体测量收集有关社会人口学、咀嚼困难和食物消耗的信息。可能的肌少症是根据2019年亚洲肌少症工作组(AWGS)共识的建议定义的。使用多元逻辑回归检查与可能的肌肉减少症相关的因素,以校正优势比(AOR)及其95%置信区间(CI)表示。参与者是通过多阶段抽样从孔庆省选定街道的当地村卫生工作人员提供的人口登记册中随机选择的。510例老年人中,平均年龄69.1岁(SD = 6.7), 67.3%为女性,29.2%有咀嚼困难。可能的肌肉减少症的总患病率为32.2%。高腰围(WC)的女性患肌肉减少症的可能性高于男性(分别为25.9%和10.5%)。与可能的肌肉减少症相关的因素有咀嚼困难(AOR = 2.10;95% ci: 1.36-3.22;p值= 0.001)、低中上臂围或MUAC (AOR = 6.51;95% ci: 3.40-12.47;p值< 0.001),正常腰围或WC (AOR = 2.14;95% ci: 1.35-3.39;p值= 0.001)。可能的肌肉减少症在泰国社区居住的老年人中普遍存在。咀嚼困难、低MUAC和正常WC与可能的肌少症有关。因此,在这一人群中,饮食和运动的改变是减少可能发生的肌肉减少症的一个很好的目标。
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引用次数: 0
Sociodemographic predictors for smoking persistence among young males in Indonesia 印度尼西亚年轻男性吸烟持续的社会人口学预测因素
Q4 Medicine Pub Date : 2022-09-09 DOI: 10.55131/jphd/2022/200314
V. Widyaningsih, Y. Mashuri, Septyan Dwi Nugroho, Nurussyifa Afiana Zaen, Sumardiyono -, A. Probandari
The prevalence and burden of non-communicable diseases (NCDs) in Indonesia are increasing. One major risk factor for NCDs is smoking. Thus, this study assessed sociodemographic predictors of smoking persistence among young males in Indonesia, who are at high risk for smoking and NCDs. We analysed the Indonesian Demographic and Health Survey (IDHS) conducted in 2017, a nationally representative survey in 34 provinces of Indonesia. We included data from 9957 young males aged 15-24 who had tried smoking and were interviewed by the IDHS enumerators for their smoking patterns and sociodemographic characteristics. Logistic regression analyses were used to assess the predictors of smoking persistency. Our analyses uncovered that those who started smoking at high-school age, lived in rural areas, had an occupation, and had lower education levels, had higher odds of smoking persistence than other young males. The use of internet, also increased the odds of smoking persistence, while those reading newspapers had lower odds of smoking persistence. Regarding household characteristics, young males who came from poor households, whose household heads were smokers or not married, also had higher odds of smoking. In conclusion, this study also showed the significance of several individual variables and household sociodemographic factors related to smoking persistence. Based on our findings, we recommend the need for intervention that aims not only at large-scale policy to ban smoking and educational campaigns through the internet but also specific educational intervention targeting families, particularly poor families with active smokers. The educational campaign is also needed to target the younger population, who are at higher risk for smoking persistence if they start smoking earlier.
印度尼西亚的非传染性疾病患病率和负担正在增加。非传染性疾病的一个主要风险因素是吸烟。因此,本研究评估了印度尼西亚吸烟和非传染性疾病高风险的年轻男性吸烟持久性的社会人口学预测因素。我们分析了2017年进行的印度尼西亚人口与健康调查(IDHS),这是一项在印度尼西亚34个省进行的具有全国代表性的调查。我们纳入了9957名年龄在15-24岁之间曾尝试吸烟的年轻男性的数据,并由IDHS的统计员对他们的吸烟模式和社会人口学特征进行了采访。采用Logistic回归分析评估吸烟持久性的预测因素。我们的分析发现,那些在高中年龄开始吸烟,居住在农村地区,有职业,受教育程度较低的人比其他年轻男性吸烟的几率更高。使用互联网也增加了吸烟持续的几率,而阅读报纸的人吸烟持续的几率较低。在家庭特征方面,来自贫困家庭、户主吸烟或未婚的年轻男性吸烟的几率也更高。综上所述,本研究还显示了与吸烟持久性相关的几个个体变量和家庭社会人口因素的显著性。根据我们的研究结果,我们建议需要进行干预,不仅针对大规模的禁烟政策和通过互联网开展的教育活动,还针对家庭,特别是有活跃吸烟者的贫困家庭进行具体的教育干预。教育运动也需要针对年轻人群,如果他们开始吸烟的时间越早,持续吸烟的风险就越大。
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引用次数: 0
Identification of influencing components on water scarcity management performance for sustainability in limited water resource area: a review 确定有限水资源地区水资源短缺管理绩效的影响因素以促进可持续性:综述
Q4 Medicine Pub Date : 2022-09-09 DOI: 10.55131/jphd/2022/200321
Supatchaya Chuanpongpanich, T. Tingsanchali, Songsak Pattrawutichai, B. Wichaidist, C. Suksaroj
Water management by policy makers is based on multi-perspective information. In the case of water, scarcity causes public health, economic, and ecosystem problems because of the lack of safe water when the demand exceeds its availability. This study identified the influencing components of water scarcity management performance by systematic review methods based on two English full-text databases: Scopus and ScienceDirect from 2012 to 2022. A total of 22 studies were selected from 850 records by using the inclusion criteria and performance evaluation by the scoring rubric method. Moreover, the article quality was assessed using a critical appraisal tool by the Joanna Briggs Institute (JBI) critical appraisal checklist method. The result of this review revealed that the main influencing components of water scarcity management are related to the availability of water quantity and demand. Water availability is associated with the hydrological cycle which has uncertainty due to climate change. While the demand components depend on water use, population, industry and urbanization. Most of the studies in the literature review considered only water balance of water availability and demand. Such an approach is insufficient to achieve water security for sustainable development goals. Additional components including environmental components such as water quality degradation should be considered as these components can reduce the availability of freshwater resources. From an economic point of view, the benefit of water utilization should be prioritized in scarce water management in consideration of fairness in water rights. It is also essential to consider the contribution to socio-economic aspects from stakeholder meetings and participation.
决策者的水资源管理是基于多角度的信息。就水而言,由于需求超过供应而缺乏安全用水,因此缺水会造成公共卫生、经济和生态系统问题。本研究以2012 - 2022年的Scopus和ScienceDirect两个英文全文数据库为基础,采用系统评价方法,确定了水资源短缺管理绩效的影响因素。采用纳入标准,采用评分准则法进行绩效评价,从850篇文献中筛选出22篇研究。此外,文章质量是通过乔安娜布里格斯研究所(JBI)关键评估清单方法的关键评估工具进行评估的。结果表明,水资源短缺管理的主要影响因素与水量和需求的可得性有关。水的可用性与水文循环有关,而水文循环由于气候变化而具有不确定性。而需求部分取决于用水、人口、工业和城市化。文献综述中的大多数研究只考虑水的可利用性和需要量的水平衡。这种做法不足以实现水安全以促进可持续发展目标。应考虑包括水质退化等环境因素在内的其他因素,因为这些因素会减少淡水资源的供应。从经济角度看,在稀缺水资源管理中应考虑到水权的公平性,优先考虑水资源利用的效益。还必须考虑利益攸关方会议和参与对社会经济方面的贡献。
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引用次数: 1
Effects of poor water, sanitation, and hygiene on child health in Godawari Municipality, Lalitpur, Nepal, with special reference to diarrheal disease and nutritional status: a cohort study 尼泊尔拉利特普尔戈达瓦里市水、环境卫生和个人卫生状况差对儿童健康的影响,特别涉及腹泻疾病和营养状况:一项队列研究
Q4 Medicine Pub Date : 2022-09-09 DOI: 10.55131/jphd/2022/200313
M. V. Shrestha, B. Choulagai, A. Vaidya, S. Khanal, S. Adhikari, B. Pradhan
Malnutrition is one of the global burdens of disease affecting children under-five in the developing world and has a bidirectional relation with diarrhea. This study aimed to determine the water, sanitation, and hygiene (WASH) effects on diarrhea and to assess its relationship with the nutritional status among exposed and non-exposed children under the age of five years. A prospective cohort of 434 children under-five was recruited and followed up for 12 months in Lalitpur. Socio-demographic, clinical, and anthropometric measurements of the participants were recorded using the World Health Organization (WHO) AnthroPlus. The observed incidence of diarrheal illness was 1.81 episodes per child/year (95% Confifence Interval (CI):1.75–1.87). Among poor WASH exposures, 63 (29.2%) children had diarrhea and among non-exposures, 59 (27.1%) had diarrhea. A total of 183 children (42.2%) had linear growth retardation (stunted), and 270 (62.2%) were malnourished. Hazards of diarrhea among exposed groups were 1.235 (95% CI: 0.785-1.943) times higher than in non-exposed groups. Based on the findings, it is recommended that the government and health organizations should plan Safe WASH activities or interventions for local communities. Moreover, they should encourage social support and promote behavioral change for adopting safe WASH practices.
营养不良是影响发展中国家五岁以下儿童的全球疾病负担之一,与腹泻有双向关系。本研究旨在确定水、环境卫生和个人卫生(WASH)对腹泻的影响,并评估其与5岁以下暴露和未暴露儿童营养状况的关系。在拉利特普尔招募了434名5岁以下儿童,并对他们进行了为期12个月的随访。使用世界卫生组织(WHO) AnthroPlus记录了参与者的社会人口学、临床和人体测量数据。观察到的腹泻发病率为每名儿童1.81次/年(95%可信区间(CI): 1.75-1.87)。在不良的WASH暴露中,63名(29.2%)儿童出现腹泻,而在非暴露中,59名(27.1%)儿童出现腹泻。183名儿童(42.2%)发育迟缓,270名儿童(62.2%)营养不良。暴露组腹泻的危险性是未暴露组的1.235倍(95% CI: 0.785-1.943)。根据调查结果,建议政府和卫生组织为当地社区规划安全的讲卫生活动或干预措施。此外,它们应鼓励社会支持并促进行为改变,以采用安全的讲卫生做法。
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引用次数: 0
The effect of Montessori program in the elderly with dementia: a literature review 蒙台梭利项目对老年痴呆患者的影响:文献综述
Q4 Medicine Pub Date : 2022-09-09 DOI: 10.55131/jphd/2022/200320
S. Mousavi, M. Aslani, Robabeh Mohammadi, E. Bahramian, Sonia Zehtab, F. Bahramian, Alireza Jalali
The elderly population of the world is growing fast. The aging phenomenon causes changes in the body’s systems, leading to mental and emotional disorders. Dementia is established as one of the most important challenges associated with the aging process. In this respect, the Montessori-based cognitive rehabilitation program is an increasingly popular choice in dementia care. Therefore, we decided to conduct a review study on the effect of Montessori therapy on different psychological aspects of the elderly with dementia. This narrative review was performed using narrative synthesis. An extensive literature search was performed in databases of ScienceDirect, Google Scholar, PubMed, and ISI Web of Knowledge using OR, AND, and NOT operators and the selected keywords. Only studies published in journals between March 2010 and March 2022 were used for this purpose. The articles chosen in this study were those that have studied the effect of a Montessori-based cognitive rehabilitation program on the elderly with dementia. Studies that involved the Montessori program on other neurological disorders were excluded. Finally, 32 articles were selected from the final evaluation. It can be concluded that the Montessori program effectively reduces anxiety, destructive behavior, and agitation, increases pleasure, hope, optimism, job satisfaction, social skills, and cognitive function, and improves the quality of life and feeding capacity.
世界老年人口增长迅速。这种衰老现象会引起身体系统的变化,导致精神和情绪紊乱。痴呆症被认为是与衰老过程相关的最重要的挑战之一。在这方面,以蒙台梭利为基础的认知康复计划是痴呆症护理中越来越受欢迎的选择。因此,我们决定对蒙台梭利治疗对老年痴呆患者不同心理方面的影响进行回顾性研究。这种叙事回顾是用叙事综合的方法进行的。在ScienceDirect、Google Scholar、PubMed和ISI Web of Knowledge数据库中使用OR、and和NOT运算符和选定的关键词进行广泛的文献检索。仅在2010年3月至2022年3月期间发表的研究被用于此目的。本研究中选择的文章是那些研究了蒙台梭利认知康复计划对老年痴呆症患者的影响的文章。涉及其他神经系统疾病的蒙台梭利项目的研究被排除在外。最终从最终评审中选出32篇文章。可以得出结论,蒙特梭利课程有效地减少了焦虑、破坏性行为和躁动,增加了快乐、希望、乐观、工作满意度、社交技能和认知功能,并提高了生活质量和喂养能力。
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引用次数: 0
Mediation effects of individuals’ sexual quality of life on the relationship between sexual quality of life of partners and its predictors: a path analysis 个体性生活质量对伴侣性生活质量及其预测因子关系的中介作用:路径分析
Q4 Medicine Pub Date : 2022-09-09 DOI: 10.55131/jphd/2022/200307
Huseini Alidu, D. Adedia, N. Amidu, A. Luuse, A. Koryo-Dabrah, A. T. Bawah, N. K. Kortei, Ezekiel N. N. Nortey
Sexual function and the sexual quality of life of an individual could be influenced by several factors. Sexual dysfunction could affect the sexual quality of life of the individual and, possibly, have an impact on their partners. Treatments that improve sexual function among individuals tend to improve the sexual quality of life of their partners. This study explored the mechanism by which an individual’s sexual quality of life mediates the relationship between factors, such as age, sexual dysfunction, perception of IELT, and the partner’s sexual quality of life. Path analysis was used to determine if this effect was via direct or indirect mechanisms. Outpatients attending the Maamobi and Tema General Hospitals, as well as their partners, were recruited for this study. A total of 130 males and their partners, as well as 116 females and their partners, were recruited. The GRISS was used to evaluate the sexual function of participants. The sexual quality of life questionnaire was used to evaluate participants and their partners. Ageing in both sexes had a direct effect on the sexual quality of life of their partners. Ageing also indirectly compromises the sexual quality of life of male partners. Impotence indirectly affects the sexual quality of life of female partners. Vaginismus indirectly affected the sexual quality of life of their male partners. Among the male participants, avoidance of sexual activity had both direct and indirect effects on the sexual quality of life of their female partners. Avoidance of sexual activity by female participants only had an indirect effect on the sexual quality of life of the male partners. Ageing in both sexes, directly compromises the sexual quality of life of their partners.
一个人的性功能和性生活质量可能受到几个因素的影响。性功能障碍会影响个人的性生活质量,并可能对他们的伴侣产生影响。改善个人性功能的治疗往往会改善其伴侣的性生活质量。本研究探讨了个体的性生活质量在年龄、性功能障碍、雅思认知和伴侣性生活质量等因素之间的中介作用机制。通径分析用于确定这种影响是通过直接还是间接机制产生的。这项研究招募了Maamobi和Tema综合医院的门诊病人以及他们的伴侣。总共招募了130名男性和他们的伴侣,以及116名女性和他们的伴侣。GRISS用于评估参与者的性功能。通过性生活质量问卷对参与者及其伴侣进行评估。男女双方的衰老都对其伴侣的性生活质量有直接影响。老龄化还会间接影响男性伴侣的性生活质量。阳痿间接影响女性伴侣的性生活质量。阴道痉挛间接影响男性伴侣的性生活质量。在男性参与者中,避免性活动对其女性伴侣的性生活质量有直接和间接的影响。女性参与者回避性活动对男性伴侣的性生活质量只有间接影响。无论男女,年龄的增长都会直接影响他们伴侣的性生活质量。
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引用次数: 0
Health and agrochemical use experiences of agricultural workers with high serum cholinesterase levels in Northeastern Thailand 泰国东北部血清胆碱酯酶水平高的农业工人的健康和农用化学品使用经验
Q4 Medicine Pub Date : 2022-09-09 DOI: 10.55131/jphd/2022/200322
Onuma Kaewkerd, Supavadee Thiengtham, Anantasak Panput, Chinnakorn Dankasai, Pipatpong Kempanya, Charoenchai Muenhor
In developing countries, agrochemicals are frequently used, resulting in direct and indirect chemical exposure as well as a variety of health concerns. Although agrochemical safety education is essential to promoting protective behavior among agricultural workers, there is a gap in the body of evidence concerning experience with agrochemical use and practice, which is critical for developing and improving educational interventions, so they are more effective and acceptable to the workers' culture and lifestyle. This phenomenology study included twenty agricultural workers with high serum cholinesterase levels in two Thai rural communities. Data from semi-structured interviews were transcribed verbatim and analyzed by using Colaizzi's 7-step data analysis, which is mentioned in the data analysis part. Five themes and three subthemes emerged in relation to agrochemical use and health: (i) long-term chemical exposure; (ii) no need to be concerned about health after chemical exposure; (iii) insufficient chemical protection knowledge and practices; (iv) difficulties in adhering to the agrochemical exposure prevention regimen; and (v) government policy and the growth of the organic products market are important components of chemical use reduction. Based on the findings, the workers lacked awareness regarding protective behaviors, because they did not notice any abnormal changes in their health. We, therefore, recommend that they undergo annual checkups for monitoring their SChE levels, which should be provided by the local government. In addition, agrochemical use is influenced by socioeconomic and political factors. Thus, a health education program for agricultural workers should involve a multidimensional and community-engaged training program that would promote the safe handling of chemicals through contextually appropriate interventions.
在发展中国家,经常使用农用化学品,导致直接和间接接触化学品以及各种健康问题。虽然农用化学品安全教育对促进农业工人的保护行为至关重要,但在农用化学品使用和实践经验方面的证据体系存在空白,这对于制定和改进教育干预措施至关重要,因此它们更有效,更能被工人的文化和生活方式所接受。本现象学研究包括泰国两个农村社区20名血清胆碱酯酶水平高的农业工人。对半结构化访谈的数据进行逐字抄录,并使用Colaizzi的7步数据分析方法进行分析,这在数据分析部分已经提到。出现了与农用化学品使用和健康有关的五个主题和三个分主题:(一)长期化学品接触;(ii)接触化学品后无需担心健康;(iii)化学品防护知识和操作不足;(四)难以遵守农用化学品接触预防方案;(5)政府政策和有机产品市场的增长是减少化学品使用的重要组成部分。根据调查结果,工人们缺乏保护行为的意识,因为他们没有注意到自己健康的任何异常变化。因此,我们建议他们每年接受检查,以监测他们的SChE水平,这些检查应由当地政府提供。此外,农用化学品的使用还受到社会经济和政治因素的影响。因此,农业工人的健康教育方案应包括一个多层面和社区参与的培训方案,通过适合具体情况的干预措施促进化学品的安全处理。
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引用次数: 0
Pre-diagnosis and pre-treatment attritions among presumptive MDR/RR-TB patients in Chonburi province, Thailand, 2015-2017 2015-2017年泰国春武里省MDR/RR-TB推定患者的诊断前和治疗前损耗
Q4 Medicine Pub Date : 2022-09-09 DOI: 10.55131/jphd/2022/200305
H. Tantipong, Yupares Payaprom
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引用次数: 0
Awareness and knowledge of environmental health among secondary school students from Mtwara town in Tanzania 坦桑尼亚姆特瓦拉镇中学生对环境卫生的认识和知识
Q4 Medicine Pub Date : 2022-09-09 DOI: 10.55131/jphd/2022/200301
O. K. Bishoge, A. K. Aremu, D. D. Ajayi, S. Mfinanga
Students are provided with education, including environmental health education that they develop throughout their lives and the education empowers them to become active participants in the transformation of their communities. Therefore, this study aimed to examine awareness and knowledge about environmental health issues among secondary school students from Mtwara town in Tanzania. A questionnaire survey was used to collect data. Pearson's chi-square and Pearson correlation (R) tests were used to determine whether there was a statistically significant difference between the gender and study variables. A greater proportion of students had awareness and knowledge of infectious diseases (99.8% vs. 97.1%, p=0.004, X2=9.529, OR 1.028, 95% CI 1.005 – 1.051) and non-communicable diseases (98.1% vs. 95%, p=0.031, X2 = 5.370, OR 1.033, 95% CI 1.001 – 1.067). However, awareness of the term school water, sanitation and hygiene (SWASH) was very low among all students, with no statistically significant difference (26.1% vs. 25.5%, p = 0.927). Girls had more understanding of global warming (91.7% vs. 86.2%, p=0.033) and good ventilation prevented the spread of cough and mucus (62.1% vs. 54%, p=0.041) than male students. While no statistically significant difference between students' awareness and knowledge of pollution was observed (99.5% vs. 97.9%, p=0.104), there was a higher proportion of noise and land pollution awareness among students. Female students had higher awareness of noise pollution (70.2% vs. 56.9%, p=0.001) and land pollution (86.1% vs. 78.2%, p=0.010) than their peers. The results of this study add more knowledge to the existing information on students' awareness and knowledge of environmental health problems. The study recommends that programs to disseminate information related to environmental health should be maintained to sustain high student awareness and knowledge of environmental health.
向学生提供教育,包括他们在一生中发展的环境卫生教育,这种教育使他们能够积极参与社区的变革。因此,本研究旨在调查坦桑尼亚Mtwara镇中学生对环境健康问题的认识和知识。采用问卷调查的方式收集数据。采用Pearson卡方检验和Pearson相关(R)检验确定性别与研究变量之间是否存在统计学差异。学生对传染病(99.8%比97.1%,p=0.004, X2=9.529, OR 1.028, 95% CI 1.005 ~ 1.051)和非传染性疾病(98.1%比95%,p=0.031, X2= 5.370, OR 1.033, 95% CI 1.001 ~ 1.067)的认知和知识比例较高。然而,所有学生对学校水、环境卫生和个人卫生(SWASH)一词的认识非常低,差异无统计学意义(26.1%比25.5%,p = 0.927)。女生对全球变暖的认识(91.7%比86.2%,p=0.033)和良好的通气对咳嗽和粘液传播的影响(62.1%比54%,p=0.041)高于男生。学生对污染的认知和知识没有统计学差异(99.5% vs. 97.9%, p=0.104),但学生对噪音和土地污染的认知比例更高。女生对噪声污染(70.2% vs. 56.9%, p=0.001)和土地污染(86.1% vs. 78.2%, p=0.010)的知晓率均高于同龄人。本研究的结果为现有的学生环境健康问题的意识和知识提供了更多的信息。该研究建议,应继续推行有关环境健康的信息传播计划,以保持学生对环境健康的高度认识和知识。
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引用次数: 0
Investigating stress, depression, and anxiety levels in students at medical universities in southeastern Iran during the covid-19 epidemic in 2020 调查2020年新冠肺炎疫情期间伊朗东南部医科大学学生的压力、抑郁和焦虑水平
Q4 Medicine Pub Date : 2022-09-09 DOI: 10.55131/jphd/2022/200315
M. Yazdanpanah, A. Iranpour, Gholamabbas Nekoonam, Somayeh Alizadeh
Psychological problems in the general public and among students become common following the epidemic of infectious diseases such as Covid-19. This study investigated the rates of stress, anxiety, and depression and the factors affecting them during the epidemic of Covid-19 disease in students at medical universities in southeastern Iran. This cross-sectional study was conducted in 2020. A total of 390 students were selected through convenience sampling from medical universities in south-eastern Iran (Kerman, Bandar Abbas, Zahedan, and Birjand) as a sample size. The instrument used in this study was a DASS-21 questionnaire to measure depression, anxiety, and stress. Data were analyzed using SPSS16 software. The mean age of participants was 21.73±4.03. The mean scores for depression, anxiety, and stress were 13.95 ± 10.23, 11.38 ± 08.92, and 19.15 ± 09.67, respectively. Overall, 62.56% of students suffered from depression, 62.82% from anxiety, and 62.56% from stress. Among the demographic variables, age and education had a significant relationship with all three subscales (p <0.001), and marital status had a significant relationship with the levels of anxiety and stress. The Covid-19 epidemic was recognized as a reason for higher rates of depression, stress, and anxiety in students at medical universities in southeastern Iran. Appropriate planning during an epidemic of infectious diseases for prevention and treatment interventions in the field of mental health promotion for medical students seems necessary.
随着新冠肺炎等传染病的流行,公众和学生的心理问题变得普遍。本研究调查了伊朗东南部医科大学学生在新冠肺炎流行期间的压力、焦虑和抑郁率及其影响因素。这项横断面研究是在2020年进行的。通过方便抽样,从伊朗东南部的医科大学(克尔曼、阿巴斯港、扎黑丹和Birjand)中选出390名学生作为样本量。本研究采用das -21问卷来测量抑郁、焦虑和压力。采用SPSS16软件对数据进行分析。参与者平均年龄21.73±4.03岁。抑郁、焦虑和应激的平均得分分别为13.95±10.23、11.38±08.92和19.15±09.67。总体而言,62.56%的学生患有抑郁症,62.82%患有焦虑,62.56%患有压力。在人口统计变量中,年龄和教育程度与所有三个分量表都有显著关系(p <0.001),婚姻状况与焦虑和压力水平有显著关系。新冠肺炎疫情被认为是伊朗东南部医科大学学生抑郁、压力和焦虑率较高的一个原因。在传染病流行期间,对医学生心理健康促进领域的预防和治疗干预措施进行适当规划似乎是必要的。
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Journal of Public Health and Development
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