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Evaluation of binge drinking behavior among working-age populations in Thailand using GIS: A national survey in 2017 使用GIS评估泰国工作年龄人口的酗酒行为:2017年的一项全国调查
Q4 Medicine Pub Date : 2023-04-24 DOI: 10.55131/jphd/2023/210212
Nakarin Prasit, W. Laohasiriwong, Surachai Phimha, Prachak Bouphan, Nopparat Senahad, Nuttapol Yotha, Ampawan Nonthamat, Supat Kongsrima, Pittaya Thummawongsa
This study identifies the prevalence of binge drinking behaviour and the statistical relationship between local patterns and binge drinking behaviour among the working-age population in Thailand. This study was conducted using The Smoking and Drinking Behaviour Survey 2017 data set from the National Statistical Office of Thailand. Local Indicators of Spatial Association (LISA) were used to identify the spatial autocorrelation between surrounding areas, with binge drinking behaviour among the working-age population in Thailand. Findings showed that among the 61,708 participants, 11.47% engaged in binge drinking behaviour. There was aspatial global autocorrelation between the surrounding areas and binge drinking behaviour among the working-age population, with a Moran’s I value of 0.579. The LISA analysis indicated nine hotspots or high–high clusters. In Thailand, there is a cultural context that encourages risky behaviour such as drinking alcohol beyond the standards set by law. Therefore, to manage this problem efficiently and effectively, the public and private sectors and related agencies should raise awareness about the health effects of binge drinking and promote health literacy to local residents while engaging all sectors in managing alcohol behaviour in all areas. This type of approach is sustainable and can have long-term effects on society.
本研究确定了泰国工作年龄人口中酗酒行为的流行程度以及当地模式与酗酒行为之间的统计关系。本研究使用泰国国家统计局2017年吸烟和饮酒行为调查数据集进行。利用空间关联的本地指标(LISA)来确定泰国工作年龄人口中酗酒行为与周边地区之间的空间自相关性。调查结果显示,在61708名参与者中,11.47%的人有酗酒行为。周边地区与工作年龄人口酗酒行为之间存在空间上的全球自相关,Moran’s I值为0.579。LISA分析显示了9个热点或高-高集群。在泰国,有一种文化背景鼓励冒险行为,如超越法律规定的标准饮酒。因此,为了高效和有效地管理这一问题,公共和私营部门及相关机构应提高对酗酒对健康影响的认识,向当地居民宣传卫生知识,同时让所有部门参与管理所有领域的酗酒行为。这种方法是可持续的,可以对社会产生长期影响。
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引用次数: 1
An analysis of risk factors for Multidrug Resistant Tuberculosis (MDR-TB): a hospital-based study 耐多药结核病(MDR-TB)危险因素分析:一项基于医院的研究
Q4 Medicine Pub Date : 2023-04-24 DOI: 10.55131/jphd/2023/210208
S. Wahyuningsih, A. Zulkifli, A. Arsin, Ansariadi -, Sudirman Nasir, Masyita Muis, Andi Agus Mumang
Multidrug Resistant Tuberculosis (MDR-TB) is the world's most serious problem and one of the leading causes of death. Because of its difficult diagnosis, high rates of treatment failure, and death, MDR-TB is a new challenge in TB control programs. The study aims to identify and analyze the risk factors of Multidrug Resistant Tuberculosis (MDR-TB). The study used a case control study design and was conducted at the Labuang Baji Hospital in Makassar City, Indonesia. The sample was 140 people consisting of 70 in the case group and 70 in the control group. Purposive sampling was used to collect the data. Data were analyzed using STATA program with Multiple Logistic Regression. Significant risk factors of Multidrug Resistant Tuberculosis (MDR-TB) were duration of treatment (OR= 5.655 [Cl 95%: 2.507-12.999]; p<0.001), previous treatment history (OR= 4.833 [Cl 95%: 2.092-11.525]; p<0.001), PMO factor (OR= 3.106 [Cl 95%: 1.227-8.338]; p=0.008), compliance with drugs (OR= 10.961 [Cl 95%: 4.640-26.40]; p<0.001), drug side effects (OR=2.521 [Cl 95%: 1.070-6.126]; p=0.020) and protective factor is the complexity of drug regimen (OR= 0.329 [Cl 95%: 0.136-0.768]; p=0.005). It can be concluded that compliance with drugs is a dominant risk factor for MDR-TB. Improved TB control programs by monitoring the treatment of patients who experienced treatment failure (dropout) probably will increase treatment adherence and cut off MDR-TB transmission.
耐多药结核病(MDR-TB)是世界上最严重的问题,也是主要死亡原因之一。由于耐多药结核病诊断困难、治疗失败率高和死亡率高,耐多药结核病是结核病控制规划中的一个新挑战。该研究旨在识别和分析耐多药结核病(MDR-TB)的危险因素。该研究采用病例对照研究设计,在印度尼西亚望加锡市的Labuang Baji医院进行。样本为140人,其中70人为病例组,70人为对照组。采用有目的的抽样方法收集数据。数据分析采用STATA程序和多元逻辑回归。耐多药结核病(MDR-TB)的重要危险因素为治疗时间(OR= 5.655 [Cl 95%: 2.507-12.999];p<0.001)、既往治疗史(OR= 4.833 [Cl 95%: 2.092-11.525];p<0.001), PMO因素(OR= 3.106 [Cl 95%: 1.227-8.338];p=0.008)、药物依从性(OR= 10.961 [Cl 95%: 4.640 ~ 26.40];p<0.001),药物副作用(OR=2.521 [Cl 95%: 1.070-6.126];p=0.020),保护因素为用药方案的复杂性(OR= 0.329 [Cl 95%: 0.136 ~ 0.768];p = 0.005)。可以得出结论,药物依从性是耐多药结核病的主要危险因素。通过监测治疗失败(退出)患者的治疗情况来改进结核病控制规划,可能会增加治疗依从性并切断耐多药结核病的传播。
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引用次数: 0
Demographic and clinical characteristics of COVID-19 patients in the least developed province Balochistan of Pakistan – an observational descriptive study 巴基斯坦最不发达省份俾路支省COVID-19患者的人口统计学和临床特征——一项观察性描述性研究
Q4 Medicine Pub Date : 2023-04-24 DOI: 10.55131/jphd/2023/210209
adia Sabir, N. Sabir, Nadia Banaras, Afrose Liaquat, M. Khan
This study was designed to determine the epidemiological and clinical attributes of COVID-19 patients in the least developed province of Balochistan, Pakistan. The information was obtained from the daily situation report by the Health Department, Government of Balochistan, Pakistan. We investigated the reports of 4177 patients confirmed by RT-PCR tests. Demographic, epidemiological and risk factors data along with comorbidities and clinical signs were recorded. Out of 4500 suspected cases, 4177 cases were directed for the confirmation of COVID-19. A sum of 2177 patients was confirmed to have COVID-19 and 2000 individuals tested negative for the illness. Out of 4177 patients, 2000 patients recovered but 177 patients died because of COVID-19. In current statistics, most males were affected by COVID-19 as 3243 (77.69%) were males and 934 (22.36%) were females. A total of 90.81% of individuals had fever, 88.97% had a cough, 81% had body throbs, and 89.66% had a sore throat. Shortness of breath was observed in 97.06% and 44.09 % had comorbidity. Multiple logistic regression analysis showed that the outcome of patients was associated with gender and symptoms. The district Quetta had the maximum number of COVID-19 cases and deaths. COVID-19 cases and case casualty proportion are low in Balochistan. Whether this is because of failure to do more tests is still to be discovered. Males and individuals of older age are more impacted, and fatalities were higher in cases with co-morbid conditions. Balochistan has a feeble medical care framework and many asymptomatic cases, and needs more rigid screening activities.
本研究旨在确定巴基斯坦最不发达省份俾路支省COVID-19患者的流行病学和临床特征。这些资料来自巴基斯坦俾路支省政府卫生部的每日情况报告。我们调查了经RT-PCR检测证实的4177例患者的报告。记录人口统计学、流行病学和危险因素数据以及合并症和临床症状。在4500例疑似病例中,4177例被指定为新冠肺炎确诊病例。共有2177名患者被确诊为COVID-19, 2000人的检测结果为阴性。在4177名患者中,有2000人康复,但有177人因新冠肺炎死亡。目前统计中,男性感染病例最多,男性3243例(77.69%),女性934例(22.36%)。90.81%的人有发热,88.97%的人有咳嗽,81%的人有身体悸动,89.66%的人有喉咙痛。97.06%的患者出现呼吸短促,44.09%的患者有合并症。多元logistic回归分析显示,患者的预后与性别和症状相关。奎达地区的COVID-19病例和死亡人数最多。俾路支省新冠肺炎病例和病例伤亡率较低。这是否因为没有做更多的测试,还有待发现。男性和年龄较大的人受到的影响更大,在有合并症的情况下,死亡率更高。俾路支省医疗体系薄弱,无症状病例多,需要更严格的筛查活动。
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引用次数: 0
Development of a capacity-building program for older adults on health management and promotion for older adults in urban communities, Bangkok Metropolis 制定老年人健康管理能力建设方案,促进曼谷都市社区老年人健康
Q4 Medicine Pub Date : 2023-04-07 DOI: 10.55131/jphd/2023/210206
Benyapa Muksiritipanun, Duangrat Kaveenuntachai, Theerapon Phungdee, Khemika Rojtangkom
Development of a capacity-building program for older adults in health management and promotion is necessary for readiness for the complete-aged society in Thailand. Little is known about programs that reinforce older adults' capacities in health management and promotion in urban communities. This research and development design aimed to develop and determine the effects of a capacity-building program on health management and promotion for older adults in urban communities. A program was held in two sections totaling 90 hours, including coursework and practical sections. This program covered health education, chronic condition management, and health promotion for older adults. The program was evaluated for appropriateness and feasibility by five experts. Forty-four older adults met the criteria and were selected by simple random sampling from nine communities. Data were collected using questionnaires at baseline, post-intervention, and a 1-month follow-up after the end of the intervention. The instruments used for data collection included a demographic questionnaire, a self-assessment on the capacity of older adults, and a self-assessment competency questionnaire on health management and promotion. Descriptive statistics and paired sample t-test were used for the data analysis. After the intervention, the findings showed that the mean score of the capacity of older adults was significantly higher than before receiving the intervention (38.61 ± 4.03, p <.001). When comparing each dimension, the results found the mean scores for knowledge, attitude, and capacity for health management and promotion of older adults to be 11.77 ± 1.79, p <.001, 4.09 ± .39, p <.001, 3.72 ± .057, p <.001, respectively. The one-month follow-up revealed that most older adults had a moderate (53.3%) and high (46.5%) level of health management and promotion competency. This study indicates that the capacity-building program for older adults is effective and needs to be implemented in urban communities.
制定老年人健康管理和促进能力建设方案是必要的,以便为泰国完全老龄化社会做好准备。人们对在城市社区加强老年人健康管理和促进能力的项目知之甚少。本研究和开发设计旨在开发和确定能力建设项目对城市社区老年人健康管理和促进的影响。该项目分为两个部分,共90小时,包括课程和实践部分。该方案包括健康教育、慢性病管理和老年人健康促进。5位专家对该方案的适宜性和可行性进行了评估。通过简单随机抽样,从9个社区中选出44名符合标准的老年人。在基线、干预后和干预结束后1个月的随访中使用问卷收集数据。用于收集数据的工具包括人口调查问卷、老年人能力自我评估问卷和健康管理和促进能力自我评估问卷。数据分析采用描述性统计和配对样本t检验。结果显示,干预后老年人生活能力得分均值显著高于干预前(38.61±4.03,p < 0.001)。各维度比较结果显示,老年人健康管理与促进知识、态度、能力的平均得分为11.77±1.79,p <。0.001, 4.09±0.39,p <。0.001, 3.72±0.057,p <。001年,分别。1个月的随访显示,大多数老年人具有中等(53.3%)和较高(46.5%)的健康管理和促进能力。该研究表明,老年人能力建设项目是有效的,需要在城市社区实施。
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引用次数: 0
The effect of telemedicine plus application on the covid-19 patients’ quality of life 远程医疗加应用对新冠肺炎患者生活质量的影响
Q4 Medicine Pub Date : 2023-04-07 DOI: 10.55131/jphd/2023/210205
Anis Laela Megasari, Masbahah -, Darmawan Lahru Riatma, Rizka Adela Fatsena
The covid-19 pandemic affects human life quality. The consultations between patients and health workers are carried out online using telemedicine to stop transmission. This research aimed to assign the effect of the Telemedicine Plus application on the Covid-19 patients’ quality of life. The study method was quasi-experimental with the pretest-posttest nonequivalent control group design. The participants were 60 patients who were confirmed positive for Covid-19 in the Ngoresan Region, Surakarta City. The sampling technique used was purposive sampling. There were two types of subject criteria: the intervention group, given the Telemedicine Plus application and the control group, given standard therapy. The life quality of the Covid-19 patients was rated using the Short-Form 36 (SF 36) questionnaire. Participants who applied the Telemedicine Plus application experienced an increase in average life quality scores from 39.70 to 50.93, while respondents who received a standard therapy also experienced an increase from 39.93 to 41.67. The independent t-test indicated <0.001 (<0.05) for a p-value. It points out that there is a difference in life quality between the intervention group and the control group significantly. The Telemedicine Plus application improves the Covid-19 patients’ life quality more than patients who receive standard therapy.
covid-19大流行影响了人类的生活质量。患者和卫生工作者之间的咨询是利用远程医疗在线进行的,以阻止传播。本研究旨在确定远程医疗Plus应用程序对新冠肺炎患者生活质量的影响。研究方法为准实验,采用前测后测非等效对照组设计。参与者是苏拉arta市Ngoresan地区确诊为Covid-19阳性的60名患者。使用的抽样技术是有目的的抽样。有两种类型的受试者标准:干预组,给予远程医疗Plus应用,对照组,给予标准治疗。采用SF 36问卷对新冠肺炎患者的生活质量进行评分。使用远程医疗Plus应用程序的参与者的平均生活质量得分从39.70提高到50.93,而接受标准治疗的受访者的平均生活质量得分也从39.93提高到41.67。独立t检验显示p值<0.001(<0.05)。指出干预组与对照组在生活质量上存在显著差异。远程医疗Plus应用程序比接受标准治疗的患者更能改善Covid-19患者的生活质量。
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引用次数: 0
Education using instagram on knowledge, attitudes and eating habits as prevention of anemia in adolescent girls in Makassa 利用instagram宣传知识、态度和饮食习惯,预防望加萨少女贫血
Q4 Medicine Pub Date : 2023-04-07 DOI: 10.55131/jphd/2023/210207
Hernianti -, C. -, N. Jafar, R. Indriasari, A. Zulkifli, H. Amqam
26.8% and at the age 0f 15-24 years is 30.2%. Government initiatives to prevent anemia by dispensing iron supplements without teaching have left adolescent girls with little knowledge of anemia, necessitating substantial informative efforts through social media. Instagram is less popular than Whatsapp as a tool for educating adolescent girls about anemia. The purpose of this study is to compare the effects of WhatsApp and Instagram as instructional media on knowledge, attitudes, and eating patterns among adolescent girls in order to prevent anemia. This study employed a control group and a pre-test post-test quasi-experimental design. In this study, participants (n = 60) were split into two groups: the intervention group (n = 30) used Instagram at Junior High School 30 Makassar, while the control group (n = 30) used WhatsApp at Junor High School 14 Makassar. A general questionnaire and a food frequency questionnaire were used to collect the data, which was then analyzed using the repeated ANOVA test to compare each group's results before and after the intervention and the unpaired t-test to compare the Instagram group to the WhatsApp group. The findings indicated that the Instagram group's knowledge (61.50+82.67 vs 82.67+11.651), attitude (81.93+8.682 vs 89.23+6.683), and eating behaviors (467.10+197.269 vs 486.45+212.911) had different values before and after the intervention. In the WhatsApp group, these differences were 54.17+10.093 vs. 60.83+13.714 for knowledge, 73.20+10.179 vs. 83.40+13.255 for attitude, and 553.10+204.985 vs. 518.28+161.929 for eating habits. With a p-value of 0.05, there were differences between the WhatsApp and Instagram groups in terms of knowledge (0.000), attitude (0.000), and eating habits (0.002). Therefore, this study's conclusion is that educating adolescents using Instagram as a medium is more effective in improving their knowledge, attitudes, and eating habits.
26.8%, 15-24岁为30.2%。政府在没有教学的情况下通过发放铁补充剂来预防贫血的举措,使青春期女孩对贫血知之甚少,因此需要通过社交媒体进行大量的宣传工作。作为教育青春期女孩关于贫血的工具,Instagram不如Whatsapp受欢迎。本研究的目的是比较WhatsApp和Instagram作为教学媒体对青春期女孩预防贫血的知识、态度和饮食模式的影响。本研究采用对照组和前测后测准实验设计。在本研究中,参与者(n = 60)被分为两组:干预组(n = 30)在望加锡第30初中使用Instagram,对照组(n = 30)在望加锡第14初中使用WhatsApp。使用一般问卷和食物频率问卷收集数据,然后使用重复方差分析检验比较各组干预前后的结果,并使用非配对t检验比较Instagram组和WhatsApp组。研究结果显示,Instagram组的知识(61.50+82.67 vs 82.67+11.651)、态度(81.93+8.682 vs 89.23+6.683)、饮食行为(467.10+197.269 vs 486.45+212.911)在干预前后有不同的数值。在WhatsApp群组中,知识差异为54.17+10.093 vs. 60.83+13.714,态度差异为73.20+10.179 vs. 83.40+13.255,饮食习惯差异为553.10+204.985 vs. 518.28+161.929。WhatsApp组和Instagram组在知识(0.000)、态度(0.000)和饮食习惯(0.002)方面存在差异,p值为0.05。因此,本研究的结论是,使用Instagram作为媒介对青少年进行教育,可以更有效地提高他们的知识、态度和饮食习惯。
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引用次数: 1
Factors associated with burnout syndrome: a cross-sectional study among nurse anesthetists in Indonesia 倦怠综合征相关因素:印度尼西亚护士麻醉师的横断面研究
Q4 Medicine Pub Date : 2023-04-04 DOI: 10.55131/jphd/2023/210202
P. P.A., Swarjana I.K, Sastamidhyani N.P.AJ, A. I.N
Burnout syndrome is a very common psychological problem experienced by health workers in hospitals, including doctors, anesthesiologists, and nurse anesthetists. Burnout syndrome has a serious impact on health workers' performance and the quality of services provided to patients. This study aims to determine the factors associated with burnout syndrome among nurse anesthetists in Indonesia. A cross-sectional study was conducted in Indonesia involving 405 respondents selected using cluster sampling. A questionnaire was employed for data collection. Univariate analysis (frequency and proportion) was used to measure burnout, and bivariate analysis (chi-square) and multivariate analysis (multiple logistic regression) were used to determine the factors associated with burnout syndrome. This study found that the majority of respondents had experienced low levels of burnout, particularly burnout for emotional exhaustion (EE) at 76.8% and depersonalization (DP) at 64.2%. However, a high level of personal accomplishment (PA) was reported by only 53.1% of subjects. Furthermore, workload factors (AOR: 3.75) and social support (AOR: 0.52) were significantly associated with EE. The factors of workload (AOR: 2.27), social support (AOR: 0.59) and reward (AOR: 1.66) were significantly related to DP. Social support factors (AOR: 2.84) and interpersonal relationships (AOR: 2.28) were significantly associated with PA. This study concludes that the majority of nurse anesthetists reported burnout. Therefore, workplaces need to perform occupational health surveillance for early detection of burnout and health promotion programs to prevent burnout among nurse anesthetists.
倦怠综合征是医院卫生工作者(包括医生、麻醉师和麻醉师护士)经历的一种非常常见的心理问题。职业倦怠综合症严重影响卫生工作者的工作表现和向患者提供的服务质量。本研究旨在探讨印尼麻醉师护士倦怠症候群的相关因素。在印度尼西亚进行了一项横断面研究,采用整群抽样选择了405名受访者。采用问卷调查的方式收集数据。采用单因素分析(频率和比例)测量倦怠,采用双因素分析(卡方分析)和多因素分析(多元逻辑回归)确定倦怠综合征的相关因素。本研究发现,大多数受访者经历过低水平的倦怠,尤其是情绪耗竭(EE)的76.8%和人格解体(DP)的64.2%。然而,只有53.1%的受试者报告了高水平的个人成就感。此外,工作负荷因素(AOR: 3.75)和社会支持(AOR: 0.52)与情感表达显著相关。工作负荷(AOR: 2.27)、社会支持(AOR: 0.59)和奖励(AOR: 1.66)对DP有显著影响。社会支持因素(AOR: 2.84)和人际关系(AOR: 2.28)与心理行为有显著相关。本研究的结论是,大多数麻醉护士报告过劳。因此,工作场所需要进行职业健康监测,早期发现职业倦怠和健康促进计划,以防止护士麻醉师的职业倦怠。
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引用次数: 0
Survival of COVID-19 among the Iranian population before and after the Delta variant spread Delta变体传播前后伊朗人群中COVID-19的存活率
Q4 Medicine Pub Date : 2023-04-04 DOI: 10.55131/jphd/2023/210201
Mahmood Reza Masoudi, Reza Sadeghi, M. Amiri
COVID-19 has been considered the most important issue in the last two years. Some characteristics and factors can play a pivotal role in the survival time and mortality of COVID-19 patients. The Delta variant was one of the most important variants of COVID-19. This study aimed to investigate the risk factors of COVID-19 survival before and after the spread of the Delta variant. In this historical cohort study, 6,117 hospitalized patients with positive COVID-19 PCR tests between January and September 2021 participated. Some characteristics such as age, sex, death by COVID-19, and presence/absence of some comorbidities were registered for the patients. Log-rank test and Cox proportional hazards model were done to check the effect of the potential risk factors on the survival of COVID-19 patients by considering the onset of symptoms to death as the time variable. The mean age of patients was 47.29 (SD=18.70). 53% of patients were female, 4.6% were admitted to the ICU, and 3.6% died from COVID-19. Age (HR=9.81, p<.001), cardiovascular disease (HR=2.86, p<.001), chronic kidney disease (HR=6.21, p<.001), diabetes (HR=2.16, p=0.002), hypertension (HR=2.67, p<.001), ICU admission (HR=12.92, p<.001), pO2<93% (HR=6.75, p<.001), and intubation (HR=21.54, P<.001) were risk factors that were influential on the survival of COVD-19 patients before the spread of the Delta variant. Although the effect of some variables changed after the spread of the Delta variant, some of them, like chronic kidney disease and hypertension were no longer significant. Although the effect of some comorbidities was significant only in the crude models, they were not influential in the adjusted model. Conversely, in the presence of other risk factors, especially age, most of the comorbidities were not significant in the adjusted model. Older age, ICU admission, intubation, and pO2<93% are the most important variables which played a pivotal role in the survival of individuals infected by COVID-19.
在过去两年中,COVID-19被认为是最重要的问题。一些特征和因素可能对COVID-19患者的生存时间和死亡率起关键作用。Delta变体是COVID-19最重要的变体之一。本研究旨在探讨Delta变异传播前后COVID-19生存的危险因素。在这项历史队列研究中,2021年1月至9月期间,6117名COVID-19 PCR检测阳性的住院患者参与了研究。登记患者的年龄、性别、COVID-19死亡情况、是否存在合并症等特征。以症状出现至死亡为时间变量,采用Log-rank检验和Cox比例风险模型检验潜在危险因素对COVID-19患者生存的影响。患者平均年龄47.29岁(SD=18.70)。53%的患者为女性,4.6%的患者入住ICU, 3.6%的患者死于COVID-19。年龄(HR=9.81, p< 0.001)、心血管疾病(HR=2.86, p< 0.001)、慢性肾脏疾病(HR=6.21, p< 0.001)、糖尿病(HR=2.16, p=0.002)、高血压(HR=2.67, p< 0.001)、入住ICU (HR=12.92, p< 0.001)、pO2<93% (HR=6.75, p< 0.001)、插管(HR=21.54, p< 0.001)是影响Delta变异传播前covid -19患者生存的危险因素。虽然在Delta变异传播后,一些变量的影响发生了变化,但其中一些变量,如慢性肾病和高血压,不再显著。虽然一些合并症的影响仅在原始模型中显著,但它们在调整模型中没有影响。相反,在存在其他危险因素,特别是年龄的情况下,大多数合并症在调整后的模型中不显著。年龄、是否入住ICU、是否插管、pO2<93%是影响COVID-19感染者生存的最重要变量。
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引用次数: 0
A determination of the influence of birth control among minority women in thailand: a qualitative study 控制生育对泰国少数民族妇女影响的确定:一项定性研究
Q4 Medicine Pub Date : 2023-04-04 DOI: 10.55131/jphd/2023/210204
Piyaporn Sitkulanan, Kunnikar Chaisitsanguan, Prakaipetch Winaiprasert, Amporn Krutwong
Contraception information and services are the basis of the health and human rights of everyone. Young girls who become pregnant are at greater risk for problems arising from early child deliveries. Contraception in older women likewise results in increased risk. It was found from the particulars of contraception use that the male partner has a great deal of influence, and that the same is true of the perspectives and experiences of the people surrounding his partner, the expectations of her family and her desire for more children. In Thailand, there are ethnic groups of numerous tribes, among whom are the Karen, who make up the largest of any such group. The Karens have a low rate of contraception use and low incomes with reduced resources. Thus, family planning is an important key in reducing their population growth and the impact on their economy, environment and development. The purpose of this study was to explore the determining influence of contraception among minority women in Thailand in the form of descriptive qualitative research. Data were analyzed using Colaizzi's method. The research showed that the use of contraceptive services by Karen women was restricted by the culture, beliefs and social conditions characteristic of their ethnic origin. The husband and extended family influenced their contraceptive decisions. The prevailing belief was that contraception is the duty of women. Some women used herbs for contraception. They had difficulty communicating when receiving contraceptive services. Karen people have little income; so they cannot afford expenses related to contraceptive services requiring them to pay for travel costs. Furthermore, the road conditions make the trip awfully difficult, and their houses are situated far from the hospitals. In conclusion, determining the influence of birth control among minority women in Thailand must be based on their beliefs, society and ability to access health services.
避孕信息和服务是每个人健康和人权的基础。怀孕的年轻女孩因早产而出现问题的风险更大。老年妇女避孕同样会导致风险增加。从使用避孕措施的具体情况来看,男性伴侣有很大的影响力,其伴侣周围人的观点和经历、其家庭的期望以及她想要更多孩子的愿望也有很大的影响力。在泰国,有许多部落组成的少数民族,其中克伦人是最大的部落。克伦族的避孕药具使用率低,收入低,资源少。因此,计划生育是减少其人口增长及其对其经济、环境和发展的影响的一个重要关键。本研究的目的是以描述性定性研究的形式探讨避孕对泰国少数民族妇女的决定性影响。数据分析采用Colaizzi的方法。研究表明,克伦族妇女使用避孕服务受到其民族出身的文化、信仰和社会条件的限制。丈夫和大家庭影响了她们的避孕决定。当时普遍认为避孕是妇女的责任。有些妇女用草药避孕。她们在接受避孕服务时沟通困难。克伦人收入很少;因此,她们负担不起与避孕服务相关的费用,而这些费用需要她们支付旅行费用。此外,道路状况使旅行非常困难,他们的房子离医院很远。最后,确定节育对泰国少数民族妇女的影响必须基于她们的信仰、社会和获得保健服务的能力。
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引用次数: 0
Association between excessive smartphone use and perceived health consequences among rural university students in Northern Thailand 泰国北部农村大学生过度使用智能手机与感知健康后果之间的关系
Q4 Medicine Pub Date : 2023-04-04 DOI: 10.55131/jphd/2023/210203
Nattapon Pansakun, Supakan Kantow, Tatsanee Chaiya, Punyisa Pudpong, Kamon Charoenthararak
Mobile phone usage has increased dramatically in recent years. University students, in particular, are among the most prolific smartphone users. This research aimed to determine the association between excessive smartphone use and perceived health consequences of such use among rural university students majoring in various fields. The cross-sectional design was used to conduct the study among first-year undergraduate students recruited using the convenient sampling procedure. The questionnaire consisted of three sections: participants’ demographics, excessive smartphone use, and perceptions of health consequences. Data were analyzed using bivariate and multiple linear regression analysis. A total of 590 responses completed the questionnaire. The results showed that 79.2% of the participants were female and the mean age was 18.8 ± 0.6 years. The original sample comprised students belonging to Humanities and Social Sciences; HSS (59.3%), Science and Technology; ST (25.3%), and Health Sciences; HS (15.4%) fields. The level of excessive smartphone use of these students was moderate (49.3%), high (49.0%), and low (1.7%). Over half of them demonstrated the perceived health consequences at a moderate level (76.1%) and a high level (22.0%); only a minority indicated a low level (1.9%). Linear regression analysis showed that excessive smartphone use was positively and significantly associated with the perceptions of health consequences among rural university students (p-value < 0.001). Other variables such as body mass index, father’s occupation, and fields of study were related to the perceived health consequences among rural university students (p-value < 0.05). According to the outcomes of this research, it is recommended that intervention be made to encourage and support appropriate smartphone usage behaviors.
近年来,移动电话的使用急剧增加。尤其是大学生,他们是使用智能手机最多的群体之一。本研究旨在确定在不同专业的农村大学生中过度使用智能手机与这种使用的感知健康后果之间的关系。本研究采用横断面设计,采用方便抽样方法,在本科一年级学生中进行研究。调查问卷由三个部分组成:参与者的人口统计数据、过度使用智能手机和对健康后果的看法。数据采用双变量和多元线性回归分析。共有590名受访者完成了问卷调查。结果显示,79.2%的参与者为女性,平均年龄为18.8±0.6岁。原始样本包括人文社会科学专业的学生;HSS(59.3%),科学技术;科学技术(25.3%)和健康科学;HS(15.4%)领域。这些学生过度使用智能手机的程度为中等(49.3%)、高(49.0%)和低(1.7%)。超过一半的人表现出中等水平(76.1%)和高水平(22.0%)的健康后果;只有少数人表示低水平(1.9%)。线性回归分析显示,农村大学生过度使用智能手机与健康后果认知呈正相关(p值< 0.001)。其他变量如体重指数、父亲职业、学习领域与农村大学生感知健康后果相关(p值< 0.05)。根据本研究的结果,建议采取干预措施,鼓励和支持适当的智能手机使用行为。
{"title":"Association between excessive smartphone use and perceived health consequences among rural university students in Northern Thailand","authors":"Nattapon Pansakun, Supakan Kantow, Tatsanee Chaiya, Punyisa Pudpong, Kamon Charoenthararak","doi":"10.55131/jphd/2023/210203","DOIUrl":"https://doi.org/10.55131/jphd/2023/210203","url":null,"abstract":"Mobile phone usage has increased dramatically in recent years. University students, in particular, are among the most prolific smartphone users. This research aimed to determine the association between excessive smartphone use and perceived health consequences of such use among rural university students majoring in various fields. The cross-sectional design was used to conduct the study among first-year undergraduate students recruited using the convenient sampling procedure. The questionnaire consisted of three sections: participants’ demographics, excessive smartphone use, and perceptions of health consequences. Data were analyzed using bivariate and multiple linear regression analysis. A total of 590 responses completed the questionnaire. The results showed that 79.2% of the participants were female and the mean age was 18.8 ± 0.6 years. The original sample comprised students belonging to Humanities and Social Sciences; HSS (59.3%), Science and Technology; ST (25.3%), and Health Sciences; HS (15.4%) fields. The level of excessive smartphone use of these students was moderate (49.3%), high (49.0%), and low (1.7%). Over half of them demonstrated the perceived health consequences at a moderate level (76.1%) and a high level (22.0%); only a minority indicated a low level (1.9%). Linear regression analysis showed that excessive smartphone use was positively and significantly associated with the perceptions of health consequences among rural university students (p-value < 0.001). Other variables such as body mass index, father’s occupation, and fields of study were related to the perceived health consequences among rural university students (p-value < 0.05). According to the outcomes of this research, it is recommended that intervention be made to encourage and support appropriate smartphone usage behaviors.","PeriodicalId":36393,"journal":{"name":"Journal of Public Health and Development","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79659785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Journal of Public Health and Development
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