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Factors affecting stress among high school students in Phitsanulok Province, Thailand 影响泰国碧仙洛省高中生压力的因素
Q4 Medicine Pub Date : 2023-01-19 DOI: 10.55131/jphd/2023/210200
Wanna Wicheansun, A. Songthap
This cross-sectional study aimed to determine the factors affecting stress in high school students. The sample participants were 365 high school students in Phitsanulok Province selected by stratified random sampling. Data were collected by a self-administered questionnaire consisting of 6 parts: 1) socio-demographic characteristics; 2) lifestyle factors; 3) disease prevention motivation; 4) social support; 5) stress prevention behaviors, and 6) stress. Frequency, percentage, mean, standard deviation, and binary logistic regression were used for data analysis. All significance levels were set at 0.05. The results showed that 72.9% of the sample participants were female and 75.10% had stress. Female students were more likely to experience stress than male students (ORadj = 1.902; 95%CI: 1.117 - 3.241). Excessive expenses possibly caused stress (ORadj = 3.618, 95%CI = 1.031-12.694). The students with intermediate resilience faced greater stress than those with extraordinary strength (ORadj = 3.198; 95%CI: 1.957 – 5.224). The sample participants who received mild and average social support tended to experience greater stress than those with higher levels of social support (ORadj = 4.762, 95%CI = 1.012-22.412, OR = 2.036, 95%CI = 1.155-3.589). This study suggests that related institutes strengthen living skills and improve social support for high school students to prevent severe stress.
本研究旨在探讨高中生压力的影响因素。采用分层随机抽样的方法,选取彭世洛省365名高中生作为样本。采用自填问卷收集数据,问卷包括6个部分:1)社会人口学特征;2)生活方式因素;3)疾病预防动机;4)社会支持;5)压力预防行为;6)压力。采用频率、百分比、均值、标准差和二元logistic回归进行数据分析。所有显著性水平均设为0.05。结果显示,72.9%的样本参与者为女性,75.10%的样本参与者有压力。女生比男生更容易感受到压力(ORadj = 1.902;95%ci: 1.117 - 3.241)。过度消费可能造成压力(ORadj = 3.618, 95%CI = 1.031-12.694)。中等韧性学生面临的压力大于超常韧性学生(ORadj = 3.198;95%ci: 1.957 - 5.224)。接受轻度和中等社会支持的被试比接受高水平社会支持的被试更容易感受到压力(ORadj = 4.762, 95%CI = 1.012-22.412, OR = 2.036, 95%CI = 1.155-3.589)。本研究建议相关机构加强高中生的生活技能及改善社会支持,以预防严重的压力。
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引用次数: 0
Changes in the pattern of eating habit and physical activity during the pandemic of COVID-19 in Malaysia: data from COMET-G international multi-country study 2019冠状病毒病大流行期间马来西亚饮食习惯和身体活动模式的变化:来自COMET-G国际多国研究的数据
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.55131/jphd/2023/210112
S. Razali, Nurul Azreen Hashim, S. J. Anne, N. Raduan, D. Tukhvatullina, D. Smirnova, K. Fountoulakis
Lockdown during the COVID-19 pandemic had led to lifestyle changes among Malaysians. These changes were due to people being confined to work and study at home and stress due to the risk of COVID-19 transmission. Our study aimed to observe changes in the patterns of eating habits and physical activity during the pandemic of COVID-19 in Malaysia and look for the associations with sociodemographic factors, people living together, living conditions and mental health status. This study was an online cross-sectional survey among 963 participants who completed self-administrated questionnaires on socio-demography, Likert scales on eating habits and physical activity and the Center for Epidemiologic Studies Depression Scale for mental health status. The data were analyzed using descriptive statistics, one-way ANOVA, Pearson correlations and independent t tests. Marital status has a significant association with the frequency and intensity of physical workouts during this pandemic and lockdown, changes in eating amount, and changes in body weight (p<0.001). Employment had a significant association with all components of eating habits and physical activities except the level of physical activity affected by the pandemic (p<0.001). Those with normal mental health status found exercise to be helpful in preventing anxiety, practicing healthy eating, and having more changes in body weight, compared to those who were depressed (p<0.001). There was a significant difference in how the vulnerable group practiced healthy eating compared to the non-vulnerable group (p<0.001). The vulnerable group had significant changes in eating amount and body weight (p<0.001). In conclusion, the COVID-19 pandemic has brought changes in eating habits and body weight which were also influenced by sociodemographic factors and mental health status.
新冠肺炎大流行期间的封锁导致马来西亚人的生活方式发生了变化。这些变化是由于人们被限制在家中工作和学习,以及由于COVID-19传播风险而产生的压力。我们的研究旨在观察2019冠状病毒病大流行期间马来西亚饮食习惯和体育活动模式的变化,并寻找与社会人口因素、共同生活人群、生活条件和心理健康状况的关联。这项研究对963名参与者进行了在线横断面调查,他们完成了社会人口学方面的自我管理问卷,饮食习惯和体育活动方面的李克特量表,以及精神健康状况方面的流行病学研究中心抑郁量表。采用描述性统计、单因素方差分析、Pearson相关和独立t检验对数据进行分析。在本次大流行和封锁期间,婚姻状况与体育锻炼的频率和强度、饮食量的变化和体重的变化有显著关联(p<0.001)。就业与饮食习惯和身体活动的所有组成部分都有显著关联,但受大流行影响的身体活动水平除外(p<0.001)。心理健康状况正常的人发现,与抑郁的人相比,锻炼有助于预防焦虑、养成健康的饮食习惯、体重变化更大(p<0.001)。与非弱势组相比,弱势组在如何实践健康饮食方面存在显著差异(p<0.001)。易患组进食量和体重变化显著(p<0.001)。综上所述,新冠肺炎大流行带来了饮食习惯和体重的变化,这些变化也受到社会人口因素和心理健康状况的影响。
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引用次数: 0
Dance-based interventions on balance and falls in the elderly in order to health promotion: a literature review 以舞蹈为基础的老年人平衡和跌倒干预以促进健康:文献综述
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.55131/jphd/2023/2101120
F. Bahramian, Seyed Abolfaz, Mousavi -, M. Aslani, Bahareh Ahmadinejad, Hamideh Bayati, Alireza Jalali
A balance disorder is one of the most common disorders in older people that leads to falls and endangers the health of the elderly. Falls can result in both physical injuries and psychological problems. Many economic burdens are also imposed on individuals, their families, and the community. One way to increase balance, decrease falls, and thereby enhance the health of the elderly is through dance-based therapies. This study aims to review articles using different dance-based interventions such as yoga, Pilates, tai chi and aerobics on balance improvement and fall prevention in elderly individuals. This narrative review was performed using narrative synthesis. An extensive literature search was performed in databases of Science Direct, Google Scholar, PubMed, and ISI Web of Knowledge using OR, AND, and NOT operators and the selected keywords. Only studies written in English and published in journals between 2010 and May 2022 were used for this purpose. The articles chosen in this study were those that have studied the effect of dance-based interventions on balance and fall prevention in the elderly. Studies that involved other disabilities that upset the balance and caused falls and that examined the effect of other interventions on balance and falls in these people were also excluded from the study. Finally, 22 articles were selected from the final evaluation. Yoga, Tai Chi, Aerobics, and Pilates were among the dance-based interventions examined in these trials. The results of this study demonstrated that all dance-based interventions could enhance balance and hence decrease falls in the elderly. Older people may also benefit more from longer training sessions and more intense activity. We can conclude that these interventions can help older adults improve their balance and decrease their risk of falling. Consequently, they might be viewed as promoting this population's health.
平衡障碍是老年人最常见的疾病之一,它会导致跌倒,危及老年人的健康。跌倒会造成身体伤害和心理问题。许多经济负担也强加给个人、他们的家庭和社区。增加平衡,减少跌倒,从而增强老年人健康的一种方法是通过舞蹈疗法。本研究旨在回顾使用不同舞蹈干预的文章,如瑜伽、普拉提、太极和有氧运动,以改善老年人的平衡和预防跌倒。这种叙事回顾是用叙事综合的方法进行的。在Science Direct、Google Scholar、PubMed和ISI Web of Knowledge的数据库中使用OR、and和NOT运算符和选定的关键词进行了广泛的文献检索。只有在2010年至2022年5月期间用英语撰写并发表在期刊上的研究才被用于此目的。本研究中选择的文章是那些研究了以舞蹈为基础的干预对老年人平衡和预防跌倒的影响的文章。涉及其他残疾的研究扰乱了平衡并导致跌倒,以及检查了其他干预措施对这些人的平衡和跌倒的影响,也被排除在研究之外。最终从最终评审中选出22篇文章。在这些试验中,瑜伽、太极、有氧运动和普拉提都是基于舞蹈的干预措施。这项研究的结果表明,所有以舞蹈为基础的干预措施都可以增强平衡,从而减少老年人的跌倒。老年人也可能从更长的训练课程和更激烈的活动中获益更多。我们可以得出结论,这些干预措施可以帮助老年人提高他们的平衡能力,降低他们摔倒的风险。因此,它们可能被视为促进了这一人口的健康。
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引用次数: 0
COVID-19 vaccines-related adverse events and associated factors reported among adult Egyptians 埃及成年人中报告的COVID-19疫苗相关不良事件及相关因素
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.55131/jphd/2023/210104
E. Ghazawy, A. Ewis, D. M. Khalil, S. Alkilany, Shaymaa Nafady, Hana Ewis, Momen Z. Mohammed, M. Abdelrehim
COVID-19 vaccine recipients are more likely to experience post-vaccination adverse events, which are considered the source of concerns about vaccine safety. This study aims to describe the utilization of COVID-19 vaccines and the associated adverse events and their possible predictors among adult Egyptians. An online cross-sectional study was designed to collect data through a Google Form questionnaire in November 2021. Adults who received at least one dose of the COVID-19 vaccine were asked to report their experience with vaccination and associated adverse events. A total of 853 participants were included in the study after receiving Sinopharm/Sinovac (63%), AstraZeneca (27%), Pfizer-BioNTech (4.8%), and other vaccines (5.2%). Around 50% of participants thought that COVID-19 vaccines were safe, 30.8% advised others with vaccination, and 68.3% reported post-vaccination adverse events. The most commonly encountered adverse symptoms were injection site pain (82.5%), fatigue (67.4%), flu-like symptoms (59.6%), and bone and muscle pains (59.6%). Most adverse events were less likely reported by Sinopharm/Sinovac recipients than recipients of other vaccines. The significant predictors for reporting adverse events were female gender, the first dose of vaccination, and vaccine type (AstraZeneca versus Sinopharm/Sinovac) with multivariable-adjusted OR (95% CI) = 1.85 (1.34-2.54); 2.01 (1.24–3.25), and 3.86 (2.54–5.86). Findings revealed that adverse events of COVID-19 vaccines are common. Sinopharm/Sinovac recipients were reported to have lesser adverse events than other recipients. However, serious reactions were rare which ensures the safety of all vaccine types among the adult Egyptian population.
COVID-19疫苗接种者更有可能出现疫苗接种后不良事件,这被认为是疫苗安全性问题的根源。本研究旨在描述埃及成年人COVID-19疫苗的使用情况、相关不良事件及其可能的预测因素。一项在线横断面研究旨在于2021年11月通过谷歌表单问卷收集数据。接受至少一剂COVID-19疫苗的成年人被要求报告他们的疫苗接种经历和相关不良事件。共有853名受试者在接受了国药/科兴(63%)、阿斯利康(27%)、辉瑞- biontech(4.8%)和其他疫苗(5.2%)后纳入研究。约50%的参与者认为COVID-19疫苗是安全的,30.8%的参与者建议他人接种疫苗,68.3%的参与者报告了疫苗接种后的不良事件。最常见的不良症状是注射部位疼痛(82.5%)、疲劳(67.4%)、流感样症状(59.6%)和骨骼和肌肉疼痛(59.6%)。大多数不良事件由国药/科兴疫苗接种者报告的可能性低于其他疫苗接种者。不良事件报告的显著预测因子为女性性别、首次接种疫苗剂量和疫苗类型(阿斯利康vs国药/科兴),多变量校正OR (95% CI) = 1.85 (1.34-2.54);2.01(1.24-3.25)和3.86(2.54-5.86)。调查结果显示,COVID-19疫苗的不良事件很常见。据报道,与其他接受者相比,国药/科兴接受者的不良事件较少。然而,严重的反应很少,这确保了所有类型的疫苗在埃及成年人口中的安全性。
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引用次数: 0
Practices, knowledge, and attitude toward dispensing antibiotics without a prescription in Iraqi pharmacies 做法、知识和态度在伊拉克药房分发抗生素没有处方
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.55131/jphd/2023/210102
A. M. A. Alridha, Karrar Al-Gburi, S. Abbood, Alaa Yasir, Dhuha Hussam
Dispensing antibiotics without a prescription (DAWRx) is a potential threat to global public health and can lead to antimicrobial abuse and resistance development. Further research is required to examine the characteristics of DAWRx practice in Iraq. This study aimed to investigate the practices of DAWRx in Iraqi community pharmacies. A semi-structured, validated, pilot-tested online questionnaire was used to conduct a descriptive cross-sectional study in March 2020 among the members of the Iraqi Pharmacist Syndicate. The questionnaire contained five sections: demographics, antibiotic dispensing knowledge, and the prevalence, sources, and characteristic features of DAWRx practices. The results are presented using descriptive statistics and significant associations were reported. A total of 403 respondents completed the questionnaire and, of them, 363 were analyzed. Despite having a satisfactory knowledge of dispensing (64.7%), the practice of DAWRx was prevalent (98.3%). DAWRx was reported based on the pharmacies’ recommendation (30.58%) and patients’ request for antibiotics. Adults and pediatric patients received antibiotics from pharmacies for various conditions. Injectable antibiotics were also dispensed without a prescription (mainly ceftriaxone, n = 51/72). Moreover, the prevalence and the daily number of antibiotics dispensed were significantly associated with sex, pharmacy attitude toward DAWRx, and DAWRx upon patients’ request. A significant association was noted between the knowledge of dispensing inquiries and the prevalence of and attitude toward DAWRx (p < 0.05). Impactful intervention strategies based on patterns identified in this study should be developed to improve antibiotic dispensing in community pharmacies and safeguard public health from the adverse effects of antimicrobial resistance.
无处方分发抗生素(DAWRx)是对全球公共卫生的潜在威胁,并可能导致抗菌素滥用和耐药性的发展。需要进一步研究以审查伊拉克DAWRx做法的特点。本研究旨在调查DAWRx在伊拉克社区药房的做法。2020年3月,在伊拉克药剂师辛迪加成员中使用了一份半结构化、经过验证、试点测试的在线问卷,进行了一项描述性横断面研究。调查问卷包含五个部分:人口统计、抗生素配药知识、DAWRx做法的流行程度、来源和特征。结果是用描述性统计和显著关联的报告。共有403名受访者完成了问卷调查,其中363人被分析。尽管有令人满意的配药知识(64.7%),但DAWRx的做法很普遍(98.3%)。报告的DAWRx是基于药房推荐(30.58%)和患者对抗生素的要求。成人和儿童患者在各种情况下从药店获得抗生素。注射用抗生素也无处方配发(以头孢曲松为主,51/72)。此外,抗菌药物的使用率和每日配用抗生素的数量与性别、药房对DAWRx的态度、应患者要求使用DAWRx有显著相关。配药咨询知识与DAWRx患病率及态度之间存在显著相关性(p < 0.05)。应根据本研究确定的模式制定有效的干预策略,以改善社区药房的抗生素分配,并保护公众健康免受抗生素耐药性的不利影响。
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引用次数: 0
Levels and risk factors associated with depression, anxiety, and stress among COVID-19 infected adults after hospital discharge in a Southern Province of Thailand 泰国南部一个省COVID-19感染成人出院后抑郁、焦虑和压力的相关水平和风险因素
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.55131/jphd/2023/210106
Charuai Suwanbamrung, Pathamaporn Pongtalung, Le Thanh Thao Trang, D. H. Phu, Truong Thanh Nam
The long-term effects on the mental health of people living with COVID-19 are emerging as a global threat to public health. This study aimed to determine the levels and risk factors associated with depression, anxiety and stress (DAS) among COVID-19 infected adults discharged from a hospital in a high-risk area in Thailand. A cross-sectional study was performed with 512 participants aged 18 years and above who had been infected with COVID-19 and discharged between 3 and 12 months in Hat Yai District, Songkhla Province, Thailand during March, 2022. A structured questionnaire was used to collect the data based on the short version of the Depression, Anxiety, and Stress Scale – 21 Items (DASS-21) with a content validity index of 0.89 and Cronbach’s alpha coefficient of 0.86. Demographic information, medical history, and the present health status of each participant were also collected. Almost all the respondents had severe depression (62.7%), extremely severe anxiety (82.6%), and moderate and severe stress (45.3% and 41.0%, respectively). There was a positive correlation between depression and stress among COVID-19 survivors (R = 0.155, p < 0.001). Factors associated with depression were a medical history of pulmonary disease (β = 1.443, p = 0.042) and higher education status (β = 1.067, p < 0.001), whereas lower body mass index (BMI) (β = 0.455, p < 0.001) and lower monthly income (β = 1.067, p < 0.001) were associated with stress. Participants who were tested for COVID-19 for travel, study, job, and examination application (all β > 0.575, all p = 0.001), and lower BMI (all β > 0.601, all p < 0.011) were also associated with anxiety. The findings of our study could provide baseline information for follow-up intervention initiatives to prevent long-term effects of COVID-19.
COVID-19对患者心理健康的长期影响正在成为对全球公共卫生的威胁。本研究旨在确定泰国高风险地区一家医院出院的COVID-19感染成人中与抑郁、焦虑和压力(DAS)相关的水平和风险因素。对2022年3月期间在泰国宋卡省Hat Yai区感染COVID-19并在3至12个月内出院的512名18岁及以上的参与者进行了横断面研究。采用结构化问卷收集数据,采用内容效度指数为0.89,Cronbach’s alpha系数为0.86的短版《抑郁、焦虑和压力量表-21项》(DASS-21)。还收集了每个参与者的人口统计信息、病史和目前的健康状况。几乎所有的被调查者都有重度抑郁(62.7%)、极重度焦虑(82.6%)和中重度压力(45.3%和41.0%)。COVID-19幸存者的抑郁与压力呈正相关(R = 0.155, p < 0.001)。与抑郁相关的因素为肺部疾病史(β = 1.443, p = 0.042)和高学历(β = 1.067, p < 0.001),而与压力相关的因素为较低的体重指数(BMI) (β = 0.455, p < 0.001)和较低的月收入(β = 1.067, p < 0.001)。在旅行、学习、工作和考试申请中检测COVID-19的参与者(所有β >为0.575,所有p = 0.001)和较低的BMI(所有β >为0.601,所有p < 0.011)也与焦虑有关。我们的研究结果可以为后续干预措施提供基线信息,以防止COVID-19的长期影响。
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引用次数: 1
Effects of integrated interventions on the brain’s ability of elderly people with mild cognitive impairment 综合干预对轻度认知障碍老年人脑功能的影响
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.55131/jphd/2023/210115
Patcharaporn Wongarsa, Yuttachai Chaiyasit, Jutharat Saowaphan, Narumol Muthawan
The goal of the quasi-experimental study was to examine the effects of integrated interventions on the brain’s ability of elderly people with mild cognitive impairment (MCI). Six weeks of integrated interventions consisted of promoting physical activities, brain training, and group activities, which were developed for the experimental group. The Montreal Cognitive Assessment Thai Version (MoCA-Thai Version) was used for evaluating the brain’s ability of the elderly people. The data were analyzed by using frequency, percentage, mean, standard deviation, Chi-square, dependent t-test, and independent t-test. The study's findings showed that the experimental group's average MoCA-Thai Version test score increased after finishing the program (p < 0.01). Additionally, the experimental group's average MoCA-Thai Version test score was significantly (p < 0.01) higher than the control group. Therefore, elderly people with MCI should be encouraged to engage in physical activities, brain training, and group activities through the integrated program for promoting the brain’s ability.
准实验研究的目的是检查综合干预对轻度认知障碍(MCI)老年人大脑能力的影响。为期六周的综合干预包括促进体育活动,大脑训练和小组活动,这些都是为实验组开发的。采用蒙特利尔认知评估泰版(MoCA-Thai Version)评估老年人的大脑能力。采用频率、百分比、均值、标准差、卡方、相关t检验和独立t检验对数据进行分析。研究结果显示,实验组的MoCA-Thai版本测试平均分数在完成课程后有所提高(p < 0.01)。此外,实验组的MoCA-Thai版本平均得分显著高于对照组(p < 0.01)。因此,应鼓励患有轻度认知障碍的老年人通过促进大脑能力的综合计划进行体育活动,大脑训练和团体活动。
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引用次数: 0
Performance motivation and Dhammanamai health literacy according to Thai traditional medicine among village health volunteers in Uthaithani province 乌泰他尼省乡村卫生志愿者泰国传统医学的绩效动机和Dhammanamai健康素养
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.55131/jphd/2023/210114
Wirinya Mueangchang, Taweewun Srisookkum, P. Srivichai, N. Munkong, Jirawan Chonpratin
This cross-sectional study aimed to explain levels of Dhammanamai health literacy, investigate relevant factors, and identify the predicting factors of Dhammanamai health literacy according to Thai traditional medicine among village health volunteers (VHVs). The reliability and validity from 390 VHVs were selected by proportional multi-stage sampling. Data were collected through a questionnaire from March - May 2022 in Uthaithani Province, Thailand. Data were analyzed through descriptive analysis, Mann Whitney U test, Kruskal–Wallis test and logistic regression. The results of the study showed that most of the VHVs had adequate levels of Dhammanamai health literacy ( X ̅= 61.22, SD. = 13.87), while gender (p = 0.023), occupation (p = 0.026), monthly income (p = 0.004), ability to use a smartphone/computer (p = 0.029), recognition of volunteer roles and duties (p < 0.001), performance motivation (p < 0.001), and social support (p < 0.001) were significantly related to Dhammanamai health literacy. The predicting factors that influenced Dhammanamai health literacy among VHVs were as follows: 1) performance motivation (OR= 1.175, CI=1.055–1.309); 2) age (OR= 1.041, CI=1.012–1.071); 3) occupation (OR= 1.878, CI=1.179–2.990). A very strong variable was performance motivation. In combination, all these factors could predict the Dhammanamai health literacy of the VHVs at 20.7%. We recommend interventions on performance motivation, age, and occupation with the organization of a program to promote Dhammanamai health literacy for VHVs to be ready to perform their duties in the community, including the provision of knowledge to the public.
本横断面研究旨在解释乡村卫生志愿者(VHVs)的Dhammanamai健康素养水平,探讨相关因素,并根据泰国传统医学确定Dhammanamai健康素养的预测因素。采用多阶段比例抽样的方法对390台vhv的信度和效度进行了筛选。数据于2022年3月至5月在泰国乌泰他尼省通过问卷收集。数据分析采用描述性分析、Mann Whitney U检验、Kruskal-Wallis检验和logistic回归。研究结果显示,大多数vhv具有足够的Dhammanamai健康素养水平(X′s = 61.22, SD)。性别(p = 0.023)、职业(p = 0.026)、月收入(p = 0.004)、使用智能手机/电脑的能力(p = 0.029)、对志愿者角色和职责的认识(p < 0.001)、绩效动机(p < 0.001)和社会支持(p < 0.001)与Dhammanamai健康素养显著相关。影响vhv Dhammanamai健康素养的预测因素为:1)绩效动机(OR= 1.175, CI=1.055 ~ 1.309);2)年龄(OR= 1.041, CI= 1.012-1.071);3)职业(OR= 1.878, CI=1.179 ~ 2.990)。一个非常重要的变量是绩效动机。综合所有这些因素,可以预测VHVs的Dhammanamai健康素养为20.7%。我们建议对表现动机、年龄和职业进行干预,组织一个项目,促进vhv的Dhammanamai健康素养,使他们准备好在社区履行职责,包括向公众提供知识。
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引用次数: 0
Health determinant factors associated with smoking behaviour of older adults in Thailand 与泰国老年人吸烟行为相关的健康决定因素
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.55131/jphd/2023/210103
Supachai Yanarueng, W. Laohasiriwong, Surachai Phimha, Nuttapol Yotha, Saranya Phanyotha, Chanaporn Pinsuwan, Nopparat Senahad, N. Nilnate, Amphawan Nonthamat, Nakarin Prasit
The health burden caused by smoking behaviour among older adults is an uncontrollable problem worldwide. In particular, the trend of smoking among the aging population is rapidly growing. It affects individuals, families, economies, and societies. Changes in health determinants influence the smoking behaviour of older adults who require health promotion so that they can take care of themselves. This cross-sectional study was performed using secondary data from the National Statistical Office of Thailand: Report of a survey of older adults in Thailand in 2017. The present study aimed to examine the health determinant factors associated with smoking behaviour of older adults in Thailand. Data were collected from 32,030 older adults using a structured questionnaire. Multi-level analysis was performed to identify the health determinants of smoking behaviour of older adults in Thailand by controlling the effect of other covariates. The results were presented as adjusted odds ratio (AOR) and 95 % confidence intervals (CI). Among the 32,030 older adults, 15.11% of the respondents were smokers. Factors associated with smoking behaviour of older adults in Thailand were male sex (AOR: 6.36, 95% CI: 5.80–6.94, P-value < 0.001), younger age (AOR: 4.35, 95% CI: 3.59–5.25, P-value < 0.001), currently working status (AOR: 1.40, 95% CI: 1.23–1.59, P-value < 0.001), very good physical health (AOR: 2.64, 95% CI:2.05-3.40, -value < 0.001), alcohol consumption (AOR: 7.06, 95% CI: 6.44–7.43, P-value < 0.001), and participation in group/club activities in the community (AOR: 1.17, 95% CI: 1.08–1.28, P-value < 0.001). There were significant differences in the risk of smoking among the older adults according to their health conditions and socialisation levels. This outcome reinforces the need to be alert for and respond to sex-related differences in the risk pattern and protective factors for smoking in older adults. Thus, it is critical to establish and implement an active and effective tobacco control program to protect the health of older adults, particularly considering Thailand's measures towards chronic disease prevention and increased life expectancy.
老年人吸烟行为造成的健康负担在世界范围内是一个无法控制的问题。特别是,老龄人口中吸烟的趋势正在迅速增长。它影响个人、家庭、经济和社会。健康决定因素的变化影响老年人的吸烟行为,他们需要促进健康,以便能够照顾自己。这项横断面研究使用了泰国国家统计局的二手数据:2017年泰国老年人调查报告。本研究旨在研究与泰国老年人吸烟行为相关的健康决定因素。数据通过结构化问卷从32,030名老年人中收集。通过控制其他协变量的影响,进行了多层次分析,以确定泰国老年人吸烟行为的健康决定因素。结果以调整优势比(AOR)和95%置信区间(CI)表示。在32,030名老年人中,15.11%的受访者是吸烟者。与泰国老年人吸烟行为相关的因素有男性(AOR: 6.36, 95% CI: 5.80-6.94, p值< 0.001)、年龄较小(AOR: 4.35, 95% CI: 3.59-5.25, p值< 0.001)、目前的工作状态(AOR: 1.40, 95% CI: 1.23-1.59, p值< 0.001)、身体健康状况非常好(AOR: 2.64, 95% CI:2.05-3.40, p值< 0.001)、饮酒(AOR: 7.06, 95% CI: 6.44-7.43, p值< 0.001)、参加社区团体/俱乐部活动(AOR: 1.17, 95% CI: 1.17)。1.08 ~ 1.28, p值< 0.001)。老年人吸烟的风险因其健康状况和社交水平的不同而有显著差异。这一结果加强了对老年人吸烟风险模式和保护因素的性别相关差异的警惕和应对的必要性。因此,必须制定和实施积极有效的烟草控制方案,以保护老年人的健康,特别是考虑到泰国为预防慢性病和延长预期寿命所采取的措施。
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引用次数: 1
Evaluation of health-seeking behaviour among older people during the COVID-19 pandemic in Bali and Yogyakarta, Indonesia 对印度尼西亚巴厘岛和日惹市2019冠状病毒病大流行期间老年人求医行为的评估
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.55131/jphd/2023/210109
N. W. Suriastini, Bondan Sikoki, R. Umaroh, Dani Alfah, Endra Dwi Mulyanto, Naryanta -, Amalia Rifana Widiastuti, Kusmaintan Widya Lestari
The COVID-19 pandemic poses the highest risk to older people with comorbidities, as the rapid spread of the virus reduces the community's access to formal healthcare facilities. This leads to the search for medical alternatives from several informal health sources. Therefore, this study aims to evaluate healthcare-seeking behaviour (HSB) among older people during the COVID-19 pandemic. It also aims to determine the factors influencing this behaviour. Data were obtained from Older People Community-Based Study in Bali and Yogyakarta province, Indonesia, between December 2020 and March 2021, using a phone survey technique. These were analyzed using bivariate (Chi-square test) and multivariate (logistic regression) analyses, to examine the association between the binary outcome of HSB types and explanatory factors. The result showed that 58.3% of the 1241 participants were female, as most were elementary graduates (31.5%) with the average age being 69 years old. During the pandemic period, 49.8% sought medical care at formal health facilities, with a 36% reduction observed in the visitations to formal wellness centres, compared to the pre-pandemic interval. In the multivariate logistic regression, some positive and significant factors were found to influence HSB in visiting formal health facilities. These factors included higher education level/university (AOR=2.04, p<0.05), unemployed status (AOR=1.36, p<0.05), unhealthy lifestyle (AOR=2.53, p<0.001), chronic hypertension disease (AOR=1.78, p<0.001), diabetes (AOR=3.73, p<0.001), and lung disorder (AOR=2.76, p<0.01). In addition, the proportion of inappropriate HSB was relatively high, leading to the necessity to apply the following alternative healthcare techniques, (1) Telephone consultation with professional clinicians, and (2) Provision of village-level care agents, to help monitor older persons' medical conditions during a health crisis.
COVID-19大流行对患有合并症的老年人构成最大风险,因为该病毒的迅速传播减少了社区获得正规卫生保健设施的机会。这导致人们从几个非正式的保健来源寻找医疗替代品。因此,本研究旨在评估COVID-19大流行期间老年人的就医行为(HSB)。它还旨在确定影响这种行为的因素。数据来自2020年12月至2021年3月期间在印度尼西亚巴厘岛和日惹省进行的老年人社区研究,采用电话调查技术。使用双变量(卡方检验)和多变量(逻辑回归)分析来检验HSB类型的二元结局与解释因素之间的关联。结果显示,1241名参与者中58.3%为女性,其中大部分是小学毕业生(31.5%),平均年龄为69岁。在大流行期间,49.8%的人在正规卫生设施寻求医疗服务,到正规保健中心就诊的人数与大流行前相比减少了36%。多因素logistic回归分析发现,在正规卫生机构就诊的人群中,存在影响HSB的正向显著因素。影响因素包括高等教育程度/大学(AOR=2.04, p<0.05)、失业状况(AOR=1.36, p<0.05)、生活方式不健康(AOR=2.53, p<0.001)、慢性高血压(AOR=1.78, p<0.001)、糖尿病(AOR=3.73, p<0.001)、肺部疾病(AOR=2.76, p<0.01)。此外,不适当健康状况的比例相对较高,导致有必要采用以下替代保健技术:(1)与专业临床医生进行电话咨询;(2)提供村级护理代理,以帮助监测老年人在健康危机期间的医疗状况。
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引用次数: 0
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Journal of Public Health and Development
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