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Climatic variations and the incidence of dengue fever in Bandung, Indonesia 印度尼西亚万隆的气候变化和登革热发病率
Q4 Medicine Pub Date : 2023-09-28 DOI: 10.55131/jphd/2023/210317
Agung Sutriyawan, Martini Martini, Dwi Sutiningsih, Mateus Sakundarno Adi
Indonesia is a country endemic to dengue fever—and Bandung is one of the cities in Indonesia that is endemic to dengue fever. There have been efforts to control mosquitoes, one of which is by eradicating their nests, but this step has not optimally reduced the incidence of cases. The increase in cases is thought to have been caused by climatic variations. This study aimed to analyze the relationship between climatic variations (temperature, humidity, and rainfall) and the incidence of dengue hemorrhagic fever (DHF). This study used a correlation design and was carried out in Bandung. This study used secondary data. The samples were taken from data on the number of DHD patients from 2016 to 2021 recorded at the Health Office of Bandung, as well as temperature, humidity, and rainfall data from the Central Bureau of Statistics of Bandung from 2016 to 2021. The correlation between variables was assessed using the person correlation test. Climatic variations that are significantly correlated with the incidence of dengue hemorrhagic fever (DHF) are minimum temperature (p=0.020, and r=-0.658), maximum temperature (p=0.006, and r=-0.739), minimum humidity (p=0.000, and r=0.825), and rainfall (p=0.037, and r=0.605). The increase in the incidence of dengue hemorrhagic fever (DHF) is caused by climatic variations (temperature, humidity, and rainfall). Therefore, it is recommended that mosquito control and DHF surveillance program should be strengthened during the season following the rainy (wet) season.
印度尼西亚是登革热流行的国家,万隆是印度尼西亚登革热流行的城市之一。人们一直在努力控制蚊子,其中之一是消灭它们的巢穴,但这一步骤并没有以最佳方式减少病例的发生。病例的增加被认为是由气候变化引起的。本研究旨在分析气候变化(温度、湿度和降雨量)与登革热出血热(DHF)发病率的关系。本研究采用相关设计,并在万隆进行。本研究使用的是二手数据。样本采集自2016 - 2021年万隆市卫生局记录的DHD患者人数数据,以及2016 - 2021年万隆市中央统计局记录的温度、湿度和降雨量数据。使用人相关检验评估变量之间的相关性。与登革热出血热(DHF)发病率显著相关的气候变化有最低气温(p=0.020, r=-0.658)、最高气温(p=0.006, r=-0.739)、最低湿度(p=0.000, r=0.825)和降雨量(p=0.037, r=0.605)。登革热出血热(DHF)发病率的增加是由气候变化(温度、湿度和降雨)引起的。因此,建议在雨季后加强蚊虫控制和登革出血热监测。
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引用次数: 0
Depression, anxiety, and stress among health college students during covid-19 outbreak and online education 新冠肺炎疫情和在线教育期间健康院校学生的抑郁、焦虑和压力
Q4 Medicine Pub Date : 2023-09-22 DOI: 10.55131/jphd/2023/2103115
Nailis Syifa, Nurul Purborini, Hidajah Rachmawati, Firasti Agung Nugrahening Sumadi, Izbikavik Muhammad
Covid-19 pandemic has an impact to the changing educational system, raising the mental health issues, including college students’ psychology. This study explores demographic and knowledge about Covid-19 associated with college student’s depression, anxiety, and stress in online classes during outbreak. We undertook a cross-sectional study by using questionnaires to explore demographic characteristics and knowledge about Covid-19 among college students during the online classes. Mental health was assessed using DASS-42. The logistic regression used to investigate the association between demographic characteristics and knowledge about Covid-19 with mental health among college students. The prevalence of depression among 599 college students was 27.5%, meanwhile the prevalence of anxiety and stress were 44.6% and 21.29%, respectively. Based on the logistic regression, being in second year (OR = .43), having friends who got infected with Covid-19 (OR=.36), and feeling worried for delaying school (OR=.40) was significantly negatively correlated with depression, whereas having difficulties in adaptation of online class (OR=1.78) was significantly positively correlated with depression. The early identification of depression, anxiety, and stress among college students is pivotal and relevant related factors should be considered when developing preventive programs, particularly during online classes.
新冠肺炎疫情对不断变化的教育体系产生了影响,引发了包括大学生心理在内的心理健康问题。本研究探讨了疫情期间在线课程中与大学生抑郁、焦虑和压力相关的Covid-19人口统计学和知识。我们通过问卷调查的方式进行了横断面研究,以了解在线课程中大学生的人口统计学特征和对Covid-19的了解。采用das -42进行心理健康评估。采用logistic回归方法调查大学生人口统计学特征、新冠肺炎知识与心理健康之间的关系。599名大学生抑郁患病率为27.5%,焦虑和压力患病率分别为44.6%和21.29%。经logistic回归分析,二年级(OR= 0.43)、有感染新冠病毒的朋友(OR= 0.36)、担心推迟上学(OR= 0.40)与抑郁呈显著负相关,网络课堂适应困难(OR=1.78)与抑郁呈显著正相关。早期识别大学生的抑郁、焦虑和压力是关键,在制定预防方案时应考虑相关因素,特别是在在线课程中。
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引用次数: 0
The role of health locus of control, health literacy and people attitudes regarding coronavirus (COVID-19) vaccination 健康控制点、健康素养和人们对冠状病毒(COVID-19)疫苗接种态度的作用
Q4 Medicine Pub Date : 2023-09-19 DOI: 10.55131/jphd/2023/210313
Mahdi Moshki, Ali Mohammad Mokhtari, Farnaz Sheibani, Mitra Dogonchi
Vaccination is of great importance for public health, and widespread acceptance of vaccination may help control the Coronavirus disease 2019 (COVID-19) epidemic more effectively. In order to vaccinate a wide range of people, it is vital to know their views and the factors influencing their behavior. This study was designed to characterize people’s views regarding corona virus (COVID-19) vaccination, health locus of control, and health literacy in Iran. This cross-sectional study included 384 people aged 18 to 60 years who attended comprehensive health service centers (Public centers). People were included in the study by stratified random sampling. The tool for data collection was a questionnaire that included demographic questions, questions to examine people’s views on corona virus vaccination, and standard questionnaire items on health locus of control and health literacy. The collected data were entered into SPSS 20 and analyzed with descriptive and analytical tests (Spearman’s correlation coefficient and logistic regression model). The average age of the participants was 33.35 ± 11.38 years. Most people (57.9%) were married and had some level of higher education (60.4%). Most people (86.2%) had a history of receiving the vaccine and had a positive attitude towards vaccination. On average, 41.8% of people had sufficient health literacy. Women had a more positive attitude towards vaccination (P>0.001). Also, health literacy in basic skills was found to have a significant positive relationship with internal health locus of control (P>0.001). Logistic regression analysis showed that the variables, including attitude (OR=1.092, P=0.001), internal health locus of control (OR=1.072, P=0.001), and health literacy (OR=1.25, P=0.001) were predictors of receiving the vaccine. Considering that health literacy improves people’s positive attitude towards vaccines and plays a key role in adopting healthy behaviors, the present findings emphasize that programs organized for the general public should include a strategy to promote health literacy.
疫苗接种对公共卫生至关重要,广泛接受疫苗接种可能有助于更有效地控制2019冠状病毒病(COVID-19)的流行。为了给更广泛的人群接种疫苗,了解他们的观点和影响他们行为的因素是至关重要的。本研究旨在描述伊朗民众对冠状病毒(COVID-19)疫苗接种、健康控制点和健康素养的看法。本横断面研究包括384名18至60岁在综合卫生服务中心(公共中心)就诊的人。研究人员采用分层随机抽样的方法。收集数据的工具是一份问卷,其中包括人口统计问题、调查人们对冠状病毒疫苗接种看法的问题,以及关于健康控制点和卫生素养的标准问卷项目。将收集到的数据输入SPSS 20,采用描述性检验和分析性检验(Spearman相关系数和logistic回归模型)进行分析。参与者平均年龄为33.35±11.38岁。大多数人(57.9%)已婚,受过一定程度的高等教育(60.4%)。大多数人(86.2%)有接种史,对接种持积极态度。平均而言,41.8%的人具备足够的卫生知识。妇女对疫苗接种的态度更为积极(P>0.001)。此外,基本技能的健康素养与内部健康控制点之间存在显著的正相关关系(P>0.001)。Logistic回归分析显示,态度(OR=1.092, P=0.001)、内部健康控制点(OR=1.072, P=0.001)和健康素养(OR=1.25, P=0.001)是预测接种疫苗的因素。考虑到健康素养提高了人们对疫苗的积极态度,并在采取健康行为方面发挥了关键作用,目前的研究结果强调,为公众组织的项目应包括促进健康素养的战略。
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引用次数: 0
Factors influencing the risks of depression among urban elderly people in Phitsanulok Province, Thailand 影响泰国平世洛府城市老年人抑郁风险的因素
Q4 Medicine Pub Date : 2023-09-19 DOI: 10.55131/jphd/2023/210314
Kridanai Srijai, Pramote Wongsawat
Depression poses a significant and widespread issue in numerous countries and is capable of inflicting severe hardships if left untreated. However, there remains limited understanding regarding the influential factors contributing to the risk of depression among elderly individuals residing in urban areas of Thailand. Thus, this study employed a cross-sectional descriptive research approach. The research involved 735 elderly participants residing in urban regions of Phitsanulok Province, Thailand, selected through stratified sampling. Data collection included interviews, with subsequent analysis incorporating percentage calculations, means, standard deviation, and binary logistic regression analysis. Findings revealed several risk factors associated with depression among urban elderly individuals, encompassing single status, dietary inadequacy, a close relative with the history of depression, low self-esteem, and low social support. Collectively, these factors predict a 57.90% risk of depression among urban elderly individuals, with a predictive accuracy rate of 97.40%. The study outcomes provide relevant agencies with valuable insights for monitoring and safeguarding urban elderly populations against the risk of depression, with potential applications in other contexts as deemed appropriate.
抑郁症在许多国家都是一个重大而普遍的问题,如果不加以治疗,可能会造成严重的困难。然而,对于导致泰国城市地区老年人患抑郁症风险的影响因素的了解仍然有限。因此,本研究采用横断面描述性研究方法。本研究采用分层抽样的方法,选取了居住在泰国平世洛省城市地区的735名老年人。数据收集包括访谈,随后的分析包括百分比计算、平均值、标准差和二元逻辑回归分析。研究结果揭示了与城市老年人抑郁症相关的几个危险因素,包括单身状态、饮食不足、有抑郁症史的近亲、低自尊和低社会支持。总体而言,这些因素预测城市老年人抑郁风险为57.90%,预测准确率为97.40%。研究结果为相关机构提供了有价值的见解,以监测和保护城市老年人免受抑郁症的风险,并在其他适当的情况下具有潜在的应用前景。
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引用次数: 0
The Effectiveness of the Enhanced Recovery after Cesarean Surgery (ERACS) method on patients’ pain levels and satisfaction in hospitals: a quasi-experimental posttest design 剖宫产术后增强恢复(ERACS)方法对医院患者疼痛水平和满意度的影响:准实验后测设计
Q4 Medicine Pub Date : 2023-09-11 DOI: 10.55131/jphd/2023/210309
Fithriani Sri Utami, Elsye Maria Rosa
Enhanced Recovery after Cesarean Surgery (ERACS) is an evidence-based, interdisciplinary method used before, during, and after surgery. The purpose of this study is to determine the effectiveness of ERACS on patients’ pain levels and satisfaction during their hospital stay. This research is expected to be a consideration for the development of hospital midwifery services in the future. This study adopted quantitative research methodology with a quasi-experimental posttest design only approach. The sampling technique used was purposive sampling. There were two types of subject criteria: the intervention group with ERACS and control groups of mothers who had conventional Cesarean sections (C-sections). A total of 140 respondents were divided into the control and experimental groups, with 70 respondents each. Pain levels were measured using the visual analog scale (VAS). Patient satisfaction data were collected using a pretested questionnaire and analyzed using IBM-SPSS version 22 statistics. There was a significant difference between pain levels at rest 24 h after C-section (p < 0.001) and at movement 24 h post-C-section (p < 0.001) in the control group compared to the experimental group. The ERACS method has been shown to be effective in reducing pain levels at rest and at movement in patients 24 h after C-section (p < 0.001). There was no significant difference between ERACS and non-ERACS patient satisfaction, but the customer satisfaction index (CSI) indicated that the patients were very satisfied. The ERACS method has been shown to be effective in reducing pain levels in C-section patients. This study also proved that the ERACS patients were very satisfied, based on the CSI results. Therefore, the ERACS method must be used and improved to enhance hospital midwifery services.
剖宫产术后增强恢复(ERACS)是一种以证据为基础的跨学科方法,应用于手术前、手术中和手术后。本研究的目的是确定ERACS对患者住院期间疼痛水平和满意度的有效性。本研究可望为未来医院助产服务的发展提供参考。本研究采用准实验后测设计的定量研究方法。使用的抽样技术是有目的的抽样。有两种受试者标准:采用ERACS的干预组和采用常规剖宫产术的对照组。140名受访者被分为对照组和实验组,每组70名受访者。采用视觉模拟量表(VAS)测量疼痛水平。采用预测问卷收集患者满意度数据,并使用IBM-SPSS version 22进行统计分析。剖宫产后24 h休息时疼痛程度差异有统计学意义(p <0.001)和术后24 h运动时(p <0.001),对照组与实验组比较差异有统计学意义。ERACS方法已被证明可有效降低患者在剖腹产后24小时休息和活动时的疼痛水平(p <0.001)。患者满意度与非患者满意度无显著差异,但患者满意度指数(CSI)显示患者非常满意。ERACS方法已被证明在减少剖腹产患者的疼痛水平方面是有效的。本研究在CSI结果的基础上也证明了ERACS患者非常满意。因此,必须使用和改进ERACS方法来提高医院助产服务。
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引用次数: 0
Health literacy and coronavirus disease 2019 prevention behaviors of village health volunteers in Samut Songkhram Province, Thailand 泰国萨穆宋卡拉姆省乡村卫生志愿者健康素养与2019冠状病毒病预防行为
Q4 Medicine Pub Date : 2023-09-01 DOI: 10.55131/jphd/2023/210305
Tossapon Chamnankit, P. Ong-Artborirak, W. Boonchieng, Niwat Songsin, Wanwimon Mekwimon Kingkaew, Sureewan Siladlao, Kanokporn Somsorn
Village health volunteers (VHVs) play crucial leadership roles in promoting health behavior changes including searching for, controlling, and preventing the spread of COVID-19 within their communities. This cross-sectional study investigated the association between health literacy and COVID-19 prevention behaviors of 425 VHVs in Samut Songkhram Province, Thailand, who were selected using a multistage sampling method. Data were collected through a self-administered questionnaire and analyzed using Pearson correlation coefficient and linear regression analysis to determine correlations. Results revealed that most participants demonstrated good overall health literacy (63.3%), with COVID-19 prevention behaviors at a high level (53.6%). A positive correlation was observed between overall health literacy and COVID-19 prevention behavior (r = 0.103, p-value < 0.05). After adjusting for age in years, the overall health literacy score was found to be significantly related to the COVID-19 prevention behavior score (Beta = 0.146). These findings can be utilized to further enhance health literacy among VHVs in Samut Songkhram Province, Thailand and serve as a guideline to promote effective disease prevention behaviors within local communities.
村卫生志愿者在促进健康行为改变,包括寻找、控制和预防COVID-19在社区内的传播方面发挥着至关重要的领导作用。本横断面研究调查了泰国Samut Songkhram省425名vhv的健康素养与COVID-19预防行为之间的关系,这些人是采用多阶段抽样方法选择的。采用自填问卷收集资料,运用Pearson相关系数和线性回归分析确定相关性。结果显示,大多数参与者表现出良好的整体健康素养(63.3%),COVID-19预防行为处于较高水平(53.6%)。整体健康素养与COVID-19预防行为呈正相关(r = 0.103, p值< 0.05)。在调整年龄(以年为单位)后,发现整体健康素养得分与COVID-19预防行为得分显著相关(Beta = 0.146)。这些发现可用于进一步提高泰国Samut Songkhram省vhv的健康素养,并可作为在当地社区促进有效疾病预防行为的指南。
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引用次数: 0
Clinical information associated with bacterial culture proven Burkholderia pseudomallei among melioiodosis patients in Buriram province 与细菌培养相关的临床信息证实,在布里拉姆省的鼻疽病患者中存在假马利氏伯克氏菌
Q4 Medicine Pub Date : 2023-09-01 DOI: 10.55131/jphd/2023/210303
Worrayot Darasawang
Indirect hemagglutination assay (IHA) is a general rapid diagnosis procedure in melioidosis patients combined with clinical information. The Burkholderia pseudomallei culture technique requires prolonged time before getting culture results. Related factors of bacterial culture proven melioidosis and the appropriate cut-off point for IHA are unfashionable and need to be updated. A cross-sectional study was conducted among melioidosis patients using data reported in the medical records. Univariable analysis was performed by Chi-square test and Student T-test as appropriate. Multivariable logistic regression was finally used to identify the contributing factors to bacterial culture proven cases. The results were shown as adjusted odds ratio (AdjOR) and 95%CI. Validity domains, sensitivity, specificity, predictive values, and likelihood ratios at each cut-off point for IHA were demonstrated. The results revealed that after adjustment for abdominal pain symptoms, diabetes mellitus (DM)(p-value < 0.001) and dyspnea symptoms (p-value = 0.025) were the associated factors of bacterial culture proven cases. The IHA titer > 1: 10240 provided the highest positive and negative predictive values, 30% and 69% respectively. Both positive and negative likelihood ratios of this cut-off point were also accounted for as 0.95 and 1.003, respectively. Health personnel should perform melioidosis diagnosis by the use of clinical information and an appropriate cut-off point for IHA, especially in diabetic patients who have dyspnea.
间接血凝试验(IHA)是结合临床资料对类鼻疽患者进行快速诊断的常用方法。假马利氏伯克霍尔德菌培养技术需要较长的时间才能得到培养结果。细菌培养证实类鼻疽的相关因素和IHA的适当分界点是过时的,需要更新。在类鼻疽患者中进行了一项横断面研究,使用了医疗记录中的数据。单变量分析酌情采用卡方检验和学生t检验。最后使用多变量逻辑回归来确定细菌培养证实病例的影响因素。结果显示为校正优势比(AdjOR)和95%CI。证明了IHA的有效性域、敏感性、特异性、预测值和每个截断点的似然比。结果显示,调整腹痛症状后,糖尿病(DM)(p值< 0.001)和呼吸困难症状(p值= 0.025)是细菌培养证实病例的相关因素。IHA滴度bb0.1: 10240的阳性预测值和阴性预测值最高,分别为30%和69%。该截断点的正似然比和负似然比也分别为0.95和1.003。卫生人员应利用临床信息和适当的IHA分界点进行类鼻疽病诊断,特别是对有呼吸困难的糖尿病患者。
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引用次数: 0
Cyberbullying behaviors among youth during COVID-19 pandemic in Thailand: a cross-sectional online survey 2019冠状病毒病大流行期间泰国青少年的网络欺凌行为:一项横断面在线调查
Q4 Medicine Pub Date : 2023-09-01 DOI: 10.55131/jphd/2023/210307
aowanee Thongnopakun, Mereerat Manwong, Karunpong Phattaramarut, Sawitree Visanuyothin, Yuvadee Rodjarkpai, Chaiyanan Muanphetch, N. Junnual, Worarat Magteppong
Cyberbullying prevalence was increasing among youth during the COVID-19 pandemic. This cross-sectional study aimed to explore the factors associated with cyberbullying behaviors among youth during the COVID-19 pandemic in Thailand. In total, 720 youths participated in this study, and an online questionnaire was used. The quantitative data were analyzed using descriptive statistics, and to determine the relationship of each factor with cyberbullying behaviors, univariate analysis was utilized (e.g., an independent t-test, Pearson’s correlation coefficient, and one-way ANOVA). If a factor had a p-value less than 0.20, this factor was introduced into the multiple linear regression analysis. This study defines cyberbullying as aggression from a perpetrator who intends to make victims suffer and feel ashamed, unpleasant, and hurt through the use of digital technologies via mobile phones and the internet. The significant factors associated with cybervictimization were analyzed via multiple linear regression analysis. It was found that being female, having a very good family relationship, using the internet in leisure time, having social support, and cyberbullying-aggression perpetration experience were significantly associated with cyberbullying. These factors could be used to predict cybervictimization in 34.8% of cases. The main influencing factor was cyberbullying-aggression perpetration experience (β = 0.500). Social support was a significant protective factor against cybervictimization. Future research should focus on preventing cybervictimization by enhancing youth digital literacy.
在2019冠状病毒病大流行期间,青少年中的网络欺凌患病率呈上升趋势。本横断面研究旨在探讨泰国2019冠状病毒病大流行期间青少年网络欺凌行为的相关因素。共有720名青少年参与了这项研究,并使用了在线问卷。定量数据采用描述性统计进行分析,并采用单因素分析(如独立t检验、Pearson相关系数、单因素方差分析)确定各因素与网络欺凌行为的关系。如果某一因素的p值小于0.20,则将该因素引入多元线性回归分析。这项研究将网络欺凌定义为犯罪者通过使用手机和互联网等数字技术使受害者遭受痛苦、感到羞耻、不愉快和伤害的侵略行为。通过多元线性回归分析网络受害的相关因素。研究发现,女性、家庭关系良好、闲暇时间使用互联网、拥有社会支持、网络欺凌-攻击行为经历与网络欺凌显著相关。在34.8%的案例中,这些因素可以用来预测网络受害者。主要影响因素为网络欺凌-攻击犯罪经历(β = 0.500)。社会支持是防止网络受害的重要保护因素。未来的研究应侧重于通过提高青少年的数字素养来预防网络受害者。
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引用次数: 0
Predictors of depressive symptoms among people with type 2 diabetes mellitus in Indonesia: a cross-sectional study 印度尼西亚2型糖尿病患者抑郁症状的预测因素:一项横断面研究
Q4 Medicine Pub Date : 2023-09-01 DOI: 10.55131/jphd/2023/210304
Akhmad Azmiardi, Joko Tri Atmojo, Aris Widiyanto, Rejo Rejo, Nova Rahma Widyaningrum, Catur Setyorini, Siti Maesaroh, Rina Tri Handayani, Lilik Hanifah, T. Yuniarti
Working conditions and quality of work life reflect a person’s overall quality of life and well study to date has investigated the factors contributing to depressive symptoms in people with type 2 DM in Indonesia. This study aimed to investigate the predictors of depressive symptoms among people with type 2 DM in Indonesia. This was a cross‐sectional study using secondary data from the Indonesian family life survey 5 (IFLS-5). A total of 774 respondents with type 2 DM were selected for this study. The dependent variable was depressive symptoms while the independent variables were demographics, economic status, smoking, duration of diabetes, chronic conditions, self-rated health, and physical function. The center for epidemiologic studies depression scale was used to measure depressive symptoms. The data were analyzed with multivariate logistic regression. The results showed that 70.70% of respondents had depressive symptoms. The risk of experiencing depressive symptoms decreased with age ≥ 50 years (AOR= 0.40; 95%CI 0.25 to 0.64; p<0.001) and good self-rated health (AOR= 0.54; 95%CI= 0.35 to 0.81; p= 0.003). Otherwise, the risk of experiencing depressive symptoms increased with a higher level of education (AOR= 1.78; 95%CI= 1.02 to 3.12; p= 0.042) and with chronic conditions (AOR= 1.64; 95%CI= 1.07 to 2.51; p= 0.023). Depressive symptoms were significantly associated with personal health conditions including older age, level of education, self-rated health and chronic conditions. Individual and community level strategies that can improve personal health conditions can be further studied to address depressive symptoms in type 2 DM patients.
工作条件和工作生活质量反映了一个人的整体生活质量,迄今为止,在印度尼西亚有很多研究调查了导致2型糖尿病患者抑郁症状的因素。本研究旨在调查印度尼西亚2型糖尿病患者抑郁症状的预测因素。这是一项横断面研究,使用印度尼西亚家庭生活调查5 (IFLS-5)的二手数据。本研究共选取774名2型糖尿病患者。因变量为抑郁症状,自变量为人口统计学、经济状况、吸烟、糖尿病病程、慢性病、自评健康和身体功能。采用流行病学研究中心抑郁量表测量抑郁症状。采用多元逻辑回归对数据进行分析。结果显示,70.70%的被调查者有抑郁症状。年龄≥50岁时出现抑郁症状的风险降低(AOR= 0.40;95%置信区间为0.25 ~ 0.64;p<0.001)和良好的自我评价健康(AOR= 0.54;95%CI= 0.35 ~ 0.81;p = 0.003)。否则,经历抑郁症状的风险随着教育水平的提高而增加(AOR= 1.78;95%CI= 1.02 ~ 3.12;p= 0.042)和慢性疾病(AOR= 1.64;95%CI= 1.07 ~ 2.51;p = 0.023)。抑郁症状与个人健康状况显著相关,包括年龄、教育水平、自评健康状况和慢性疾病。个体和社区层面的改善个人健康状况的策略可以进一步研究,以解决2型糖尿病患者的抑郁症状。
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引用次数: 0
Determinants of the willingness to receive the COVID-19 vaccination among students of Pattimura University, Indonesia 印度尼西亚帕蒂穆拉大学学生接受COVID-19疫苗接种意愿的决定因素
Q4 Medicine Pub Date : 2023-09-01 DOI: 10.55131/jphd/2023/210306
A. Pratama, C. Titaley, A. Manuputty, Maxwell Landri Vers Malakauseya, Y. Taihuttu, B. J. Que, Ryan Rachman Nugraha, K. Mutyara, C. Kartasasmita
High coverage of COVID-19 vaccination is claimed to be the most effective intervention to prevent the transmission of coronavirus disease. This study aimed to analyze the factors associated with willingness to accept COVID-19 vaccination among students of the Universitas Pattimura, Ambon, Indonesia. This cross-sectional study collected information using an online questionnaire distributed to students at Universitas Pattimura in January 2021, when the COVID-19 vaccination program was initiated in Indonesia. Guided by the Health Belief Model, potential predictors in this analysis were categorized as follows: (1) sociodemographic characteristics; (2) predisposing factors; (3) perceived susceptibility; (4) perceived benefits; and (5) perceived barriers. Data were analyzed using multivariate logistic regression analysis. We found that only 42.1% of the students were willing to receive the COVID-19 vaccine. The odds of students’ willingness to receive COVID-19 vaccination decreased by 52% in students who did not perceive themselves to be at risk of contracting COVID-19 (adjusted odds ratio [aOR]=0.48, 95% confidence interval [CI]: 0.34–0.68). The odds also decreased by 97% in those who strongly disagreed that the COVID-19 vaccine was safe and effective (aOR=0.03, 95% CI: 0.01–0.08), and by 45% in those who were neutral towards the statement if COVID-19 vaccination is the solution to end the pandemic (aOR=0.55, 95% CI: 0.36–0.84). However, the odds of willingness to receive COVID-19 vaccination increased by 53% in students showing neutrality toward fear of needles (aOR=1.53, 95% CI: 1.04–2.25). The odds of willingness to receive COVID-19 vaccination in students who were neutral towards the side effects of vaccination were >3 times higher than those who were concerned about the side effects of vaccination (aOR=4.05, 95% CI: 2.61–6.26). Health promotion strategies should be accompanied by efforts to reduce the harmful effects of rumors that may hinder students’ willingness to participate in COVID-19 vaccination programs.
高覆盖率的COVID-19疫苗接种被认为是预防冠状病毒疾病传播的最有效干预措施。本研究旨在分析印度尼西亚安汶市帕蒂穆拉大学学生接受COVID-19疫苗接种意愿的相关因素。这项横断面研究于2021年1月在印度尼西亚启动COVID-19疫苗接种计划时向帕蒂穆拉大学的学生分发了一份在线问卷,收集了信息。在健康信念模型的指导下,本分析的潜在预测因子包括:(1)社会人口统计学特征;(2)诱发因素;(3)感知易感性;(4)感知利益;(5)感知障碍。数据采用多元逻辑回归分析。我们发现,只有42.1%的学生愿意接种新冠病毒疫苗。在不认为自己有感染COVID-19风险的学生中,学生愿意接种COVID-19疫苗的几率降低了52%(调整后的优势比[aOR]=0.48, 95%可信区间[CI]: 0.34-0.68)。那些强烈不同意COVID-19疫苗安全有效的人的赔率也下降了97% (aOR=0.03, 95% CI: 0.01-0.08),而那些对COVID-19疫苗接种是结束大流行的解决方案持中立态度的人的赔率下降了45% (aOR=0.55, 95% CI: 0.36-0.84)。然而,在对针头恐惧中性的学生中,愿意接种COVID-19疫苗的几率增加了53% (aOR=1.53, 95% CI: 1.04-2.25)。对疫苗副作用无反应的学生愿意接种新冠肺炎疫苗的几率比担心疫苗副作用的学生高3倍以上(aOR=4.05, 95% CI: 2.61 ~ 6.26)。健康促进战略应伴随着努力减少谣言的有害影响,这些谣言可能会阻碍学生参与COVID-19疫苗接种计划的意愿。
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Journal of Public Health and Development
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