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Effect of brief training program on first aid knowledge and practice among students aged 13-15 years: a pre-post-test study 简短培训计划对13-15岁学生急救知识和实践的影响:一项前-后研究
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.55131/jphd/2023/210119
Asmaa Al-Maietah, Hala Obeidat, H. Al-Oran
School health services are almost neglected due to minimized awareness concerning common health problems and first aid management. This study aims at evaluating the effect of a brief training program on improving knowledge and practices targeting first aid among students aged 13–15 years. With the use of the pretest-posttest design, this quasi-experimental study has been employed. One hundred and ten school students (13–15 years old) in three randomly selected schools have been allocated to a 4- session experimental condition. The dependent variables of this study are knowledge and practice evaluated at the baseline (pretest) and post-intervention. The analysis has yielded that respondents have sufficient knowledge after receiving the training program targeting first aid compared to the baseline. Additionally, the findings indicate that respondents have sufficient practice with first-aid post-intervention compared to the pretest. This study has also provided additional evidence that a 4-session training program is predictive of positive outcomes in improving knowledge and practice targeting future school students. Besides, this study has empirically supported the effectiveness and feasibility of the training program in improving knowledge and practice.
由于对常见健康问题和急救管理的认识不足,学校卫生服务几乎被忽视。本研究旨在评估一个简短的急救培训计划对提高13-15岁学生急救知识和实践的效果。本研究采用准实验设计,采用前测后测设计。随机选择三所学校的110名13-15岁的学生进行了4期的实验。本研究的因变量是在基线(测试前)和干预后评估的知识和实践。与基线相比,分析得出受访者在接受针对急救的培训计划后具有足够的知识。此外,研究结果表明,与前测相比,被调查者在干预后有足够的急救实践。本研究还提供了额外的证据,表明一个为期4期的培训计划可以预测未来学校学生在提高知识和实践方面的积极结果。此外,本研究实证支持了培训计划在提高知识和实践方面的有效性和可行性。
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引用次数: 0
Determinants for receiving the seasonal influenza vaccine during the COVID-19 pandemic in the United Arab Emirates 阿拉伯联合酋长国2019冠状病毒病大流行期间接种季节性流感疫苗的决定因素
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.55131/jphd/2023/210110
Nada Al Marzooqi, Laila AlJasmi, Badreya AlShehhi, Sawsan Alnahas, Mohamed Badi Hassan, Mohamed Zahran, M. Khalil
Influenza is considered a major health problem in the whole world today. Vaccination is an effective way to prevent infection and decrease mortality of lots of infectious diseases like influenza. The current COVID 19 pandemic has imposed a risk of coinfection by both SARS-CoV-2 and influenza virus. The concern is that a more severe influenza season will overwhelm already strained health systems. This study aims at exploring the attitudes and beliefs related to vaccine uptake, and to identify the underlying barriers to the intention to get vaccinated. This is a cross sectional study. An anonymous electronic questionnaire was distributed. The questionnaire includes questions based on the context of the Health Belief Model. Chi-square test and regression analysis were applied to test the association between variables and the intention to vaccinate. A total of 7574 participants were included in the study. Females represented 57% of the respondents. Those who were 35-44 years, male, Emirati national, retired, married, graduates and with a previous history of taking the influenza vaccine were significantly associated with higher intentions to vaccinate. The perceived benefits, susceptibility and severity of the disease were motivators for taking the vaccine. Psychological and physical barriers were significantly affecting the intention to vaccinate. Protecting the family and community and recommendations by health care providers were the most important cues for action. Physical and psychological barriers to influenza vaccine uptake need to be addressed and tackled. The current study calls for attention to the importance of the role of health care providers’ recommendations for getting vaccinated.
流感被认为是当今世界的一个主要健康问题。接种疫苗是预防流感等传染病感染和降低死亡率的有效途径。当前的COVID - 19大流行带来了SARS-CoV-2和流感病毒共同感染的风险。令人担忧的是,一个更严重的流感季节将使本已紧张的卫生系统不堪重负。本研究旨在探讨与疫苗接种有关的态度和信念,并确定接种疫苗意图的潜在障碍。这是一项横断面研究。分发了一份匿名电子问卷。问卷包括基于健康信念模型背景的问题。采用卡方检验和回归分析检验各变量与接种意愿之间的相关性。共有7574名参与者参与了这项研究。女性占受访者的57%。35-44岁、男性、阿联酋国民、退休、已婚、大学毕业生和既往接种流感疫苗史的人与更高的接种意愿显著相关。可感知的益处、易感性和疾病的严重程度是接种疫苗的动机。心理和生理障碍严重影响了接种疫苗的意愿。保护家庭和社区以及卫生保健提供者的建议是采取行动的最重要线索。需要处理和解决流感疫苗接种的生理和心理障碍。目前的研究呼吁关注卫生保健提供者对接种疫苗的建议的重要性。
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引用次数: 0
Factors influencing parents’ behaviours to promote early childhood development of 1–3-year-old children with delayed language development in Thailand 泰国1 - 3岁语言发展迟缓儿童父母行为促进早期发展的影响因素
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.55131/jphd/2023/210111
Wanrichada Kittitongsophon, Artittaya Wangwonsin, Wutthichai Jariya
Children with delayed language development are long-term problems. The purpose of this study was to investigate behaviours and factors influencing parents’ behaviours to promote the language development of 1-3 years old children with delayed language in the 2nd Health Service Region in Thailand. The questionnaire consisted of 5 parts, 1) personal characteristics, 2) knowledge aspects, 3) perception aspects, 4) support reception aspects and 5) behaviours to promote language development. Researchers collected the data from 537 participants. Data were analyzed with descriptive statistics and multiple regression analysis. Results of the study showed that the participants’ overall behaviour to promote language development was at the high level (94.41%). The most frequent practice in general behaviour was observing children’s gestures to communicate understanding (64.25%); in receptive language it was training children to follow simple instructions (97.21%); and in expressive language it was giving chances for children to make utterances (94.59%). The factors influencing parents’ behaviours to promote language development of 1-3-year-old children with delayed language development at the statistical significance level of 0.05 were the main caregiver, support from communities and social networks, perceived self-efficacy in language development promotion, ages of caregivers, genders of caregivers, support from families, support from the health service units, occupation as government or state enterprise officers, perceived barriers in language development promotion, and grandparents as caregivers. For recommendations, many factors can affect parents’ behaviours to promote the language development of 1-3-year-old children with delayed language development. Therefore, the health service units should study methods that should be appropriate to promote early childhood with delayed language development.
语言发育迟缓的儿童是长期的问题。本研究旨在探讨泰国第二卫生服务区1-3岁语言迟缓儿童的行为及其影响因素。问卷由5个部分组成,1)个人特征,2)知识方面,3)感知方面,4)支持接受方面,5)促进语言发展的行为。研究人员收集了537名参与者的数据。对资料进行描述性统计和多元回归分析。研究结果显示,参与者促进语言发展的整体行为处于较高水平(94.41%)。一般行为中最常见的做法是观察儿童的手势以沟通理解(64.25%);在接受性语言方面,主要是训练儿童遵循简单指令(97.21%);在表达性语言方面,给予儿童发声的机会(94.59%)。影响1-3岁语言发展迟缓儿童父母促进语言发展行为的因素有:主要照顾者、社区和社会网络的支持、语言发展促进自我效能感、照顾者年龄、照顾者性别、家庭支持、卫生服务单位支持、政府或国企官员职业、语言发展障碍,以及祖父母作为照顾者。建议有很多因素可以影响父母的行为来促进1-3岁语言发育迟缓儿童的语言发展。因此,卫生服务单位应研究适合幼儿语言发育迟缓的方法。
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引用次数: 0
Knowledge, perceptions and attitude of women about cervical cancer and its screening in Iyin Ekiti, Ekiti State, Nigeria 尼日利亚埃基蒂州伊尹埃基蒂妇女对宫颈癌及其筛查的知识、观念和态度
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.55131/jphd/2023/210116
E. Amu, P. Ajayi, O. Solomon, O. Odu
In Nigeria, cervical cancer is a leading cause of morbidity and mortality among women. This study was conducted to determine women’s knowledge, perceptions and attitude to cervical cancer and its screening services in Iyin-Ekiti, South-Western Nigeria. A community-based, cross-sectional study was used. An interviewer-administered, semi-structured questionnaire was used to elicit information from 397 women of reproductive age who were recruited using the multistage sampling technique. SPSS version 20 was used for statistical analysis at univariate and bivariate levels. The level of statistical significance was set at p-value ≤ 0.05. Only 182 (45.8%) respondents were aware of cervical cancer. Among those aware, 78 (42.9%) had poor knowledge, and 85 (46.7%) had both poor perception and negative attitude toward cervical cancer screening. Age (p=0.001), marital status (p=0.001), ethnicity (p=0.001), religion (p=0.04), employment status (p=0.001), monthly income (p=0.001) and educational status (p=0.005) were associated with knowledge of cervical cancer. Religion (p=0.004) and monthly income (p=0.001) were associated with attitudes to cervical cancer screening. The study concluded that there is a huge gap in awareness level and knowledge level, with about half of the respondents showing poor perception and attitude towards cervical cancer and its screening among women of reproductive age group in this region. Community-based health education about cervical cancer and social mobilization for its screening is urgently required among women of reproductive age.
在尼日利亚,子宫颈癌是妇女发病和死亡的主要原因。本研究旨在确定尼日利亚西南部Iyin-Ekiti地区妇女对宫颈癌及其筛查服务的知识、认知和态度。采用以社区为基础的横断面研究。采用多阶段抽样技术对397名育龄妇女进行了半结构化问卷调查。采用SPSS version 20进行单变量和双变量水平的统计分析。p值≤0.05,差异有统计学意义。只有182名受访者(45.8%)知道子宫颈癌。在知道的受访者中,78人(42.9%)对子宫颈癌筛查不甚了解,85人(46.7%)对子宫颈癌筛查既不了解又持否定态度。年龄(p=0.001)、婚姻状况(p=0.001)、种族(p=0.001)、宗教信仰(p=0.04)、就业状况(p=0.001)、月收入(p=0.001)、教育程度(p=0.005)与宫颈癌知识相关。宗教信仰(p=0.004)和月收入(p=0.001)与宫颈癌筛查态度有关。该研究的结论是,在认识水平和知识水平方面存在巨大差距,大约一半的受访者对该地区育龄妇女的宫颈癌及其筛查表现出较差的认识和态度。迫切需要在育龄妇女中开展以社区为基础的宫颈癌健康教育和动员社会进行宫颈癌筛查。
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引用次数: 0
Parental and children’s health behavior stemming from the Thai national health recommendations in Bangkok 父母和儿童的健康行为源于曼谷的泰国国家健康建议
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.55131/jphd/2023/210105
Kwansuda Cherdchoongarm
Non-communicable diseases (NCDs) have an impact on treatment costs and economic prosperity. Ten National Health Recommendations (NHRs) were announced by the Thai government in 1996 to promote the good health of children, adolescents, and the general public. Although regular practice of these recommendations should promote good health, the data from the Ministry of Health in 2015 shows that Thai children moderately following the NHR have higher health risk behaviors, potentially leading to obesity; a continually growing threat to Thai children, as well as increasing the risk of Type 2 diabetes and NCDs in adults. This research aims to study the promotion of good health by parents of students in primary schools in Bangkok under the NHRs and the relating factors. This study uses both quantitative and qualitative methods. The quantitative method is descriptive-comparative research conducted on the health promotion behavior of parents and children in three groups. These consist of schools under the Office of the Basic Education Commission (OBEC), the Bangkok Metropolitan Administration (BMA), and the Office of the Private Education Commission (OPEC). Multi-stage and stratified sampling are used to select 1,043 participants from eight schools in Bangkok, while the statistical analysis is conducted by one-way ANOVA. The qualitative method uses in-depth interviews with 12 parents and six school directors. According to the results, the health behavior of parents and students from the three schools showed statistically significant differences at the 0.05 level. In terms of health promotion, students with higher scores relating to NHRs on the questionnaire had parents with better health behavior than those with lower scores. The NHRs are used to organize knowledge-sharing sessions in schools.
非传染性疾病对治疗费用和经济繁荣产生影响。泰国政府于1996年宣布了十项国家健康建议,以促进儿童、青少年和一般公众的良好健康。尽管这些建议的常规做法应该促进身体健康,但卫生部2015年的数据显示,适度遵循NHR的泰国儿童有更高的健康风险行为,可能导致肥胖;这对泰国儿童的威胁不断增加,同时也增加了成人患2型糖尿病和非传染性疾病的风险。本研究旨在研究曼谷地区在国家健康政策下小学生家长对健康的促进及相关因素。本研究采用定量和定性相结合的方法。定量方法是对三组家长和儿童的健康促进行为进行描述性比较研究。这些学校由基础教育委员会办公室(OBEC)、曼谷市政府(BMA)和私立教育委员会办公室(OPEC)下属的学校组成。采用多阶段分层抽样方法,从曼谷8所学校抽取1043名参与者,统计分析采用单因素方差分析。定性研究方法是对12名家长和6名学校负责人进行深度访谈。结果显示,三所学校的家长和学生的健康行为差异在0.05水平上有统计学意义。在健康促进方面,问卷NHRs得分高的学生,其父母的健康行为优于得分低的学生。国家人权中心用于在学校组织知识分享会议。
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引用次数: 0
Identifying the Factors Affecting Preventive Behavior against Covid-19 Transmission in East Java Indonesia 确定影响印度尼西亚东爪哇预防Covid-19传播行为的因素
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.55131/jphd/2023/210118
Prima Soultoni Akbar, Reny Nugraheni, Santy Irene Putri, Artha Budi Susila Duarsa
WHO recommends washing hands frequently, staying away from crowds, maintaining a safe distance, wearing masks, applying cough and sneeze ethics, as well as keeping the sick isolated and quarantining those in close contact to prevent Covid-19 transmission. The efforts to prevent the transmission of new cases during the adaptation to the new habits with the implementation of strict health protocols need massive enforcement. It was an analytic observational study with a cross-sectional approach. The study was conducted in East Java with 1,564 participants involved by simple random sampling technique. The dependent variable was preventive behavior against Covid-19 transmission. The independent variables included attitudes, knowledge, family support, and health worker support. The data were collected by using a questionnaire and analyzed with multiple linear regression. The study demonstrated that attitudes (B= 0.07, SE= 0.04, p= 0.034), knowledge (B= 0.08, SE= 0.04, p= 0.050), family support (B= 0.12, SE= 0.05, p= 0.012), and health workers support (B= 0.37, SE= 0.03, p<0.001) increase the preventive behavior against Covid-19 transmission. The value of R2 = 0.388, marked that the variables of knowledge, family support, and health worker support simultaneously pose an influence of 38.8% on preventive behavior against Covid-19 transmission. While the remaining 61.2% was influenced by other variables not examined.
世卫组织建议经常洗手,远离人群,保持安全距离,戴口罩,遵守咳嗽和打喷嚏的道德规范,以及对病人进行隔离,并对密切接触者进行隔离,以防止Covid-19传播。在适应新习惯的过程中,为防止新病例的传播而实施严格的卫生规程,需要大规模执法。这是一项采用横断面方法的分析性观察研究。该研究在东爪哇进行,采用简单随机抽样技术,共有1564名参与者参与。因变量是对Covid-19传播的预防行为。自变量包括态度、知识、家庭支持和卫生工作者支持。采用问卷调查法收集数据,采用多元线性回归分析。研究表明,态度(B= 0.07, SE= 0.04, p= 0.034)、知识(B= 0.08, SE= 0.04, p= 0.050)、家庭支持(B= 0.12, SE= 0.05, p= 0.012)和卫生工作者支持(B= 0.37, SE= 0.03, p<0.001)提高了对Covid-19传播的预防行为。R2 = 0.388,表明知识、家庭支持和卫生工作者支持同时对Covid-19传播的预防行为产生38.8%的影响。而剩下的61.2%受到其他未检查变量的影响。
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引用次数: 0
The effect of altered physical activity on hypertension: a longitudinal study in Indonesia 改变身体活动对高血压的影响:印度尼西亚的一项纵向研究
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.55131/jphd/2023/210117
Kholisotul Hikmah, H. -, A. Adisasmita, Woro Riyadina, Dewi Kristanti
A higher level of physical activity is widely recommended for the prevention of several Non-Communicable Diseases (NCDs), such as diabetes and cardiovascular disease, and leads to a reduction of blood pressure in resistant hypertension as well. This study aimed to measure the estimated effect of altered physical activity on hypertension over the course of three years of observation. This longitudinal study was conducted on 3109 adults at baseline using The Cohort Study of NCDs Risk Factors. The investigation was conducted through interviews, self-reports and observations. Data were analyzed using the Generalized Estimating Equation. The results show that the highest proportion of hypertension based on observation time occurred among those with low physical activity and experienced a delta change of less than 100 MET-min/week, which was 24% at the third follow-up. The risk of hypertension was higher among those with low physical activity and unchanged in the second (RR=1,642; 0,922 – 8,224) and third years of follow-up (RR=3,607; 95% CI: 0,923 – 7,993) compared to those who had moderate-vigorous activity. A longer follow-up period led to higher risk estimation. Given the significant impact of inactivity, regular physical activity should therefore be recommended for all individuals at risk of hypertension, including office workers. A firm policy is needed to encourage workplace physical activity breaks, in both government and private sectors.
人们广泛建议提高身体活动水平,以预防糖尿病和心血管疾病等几种非传染性疾病,并可降低顽固性高血压患者的血压。这项研究旨在测量在三年的观察过程中改变身体活动对高血压的估计影响。这项纵向研究采用非传染性疾病危险因素队列研究对3109名成年人进行了基线研究。调查通过访谈、自我报告和观察进行。采用广义估计方程对数据进行分析。结果显示,基于观察时间的高血压比例最高的发生在体力活动较少的人群中,delta变化小于100 MET-min/周,第三次随访时为24%。低体力活动量的高血压风险较高,第二组没有变化(RR=1,642;0,922 - 8,224)和第三年随访(RR=3,607;95% CI: 0.923 - 7993),与中度剧烈运动的患者相比。随访时间越长,风险估计越高。鉴于不运动的重大影响,因此应建议所有有高血压风险的个体,包括办公室工作人员,定期进行体育锻炼。政府和私营部门都需要一项坚定的政策来鼓励工作场所的体力活动休息时间。
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引用次数: 0
Level of depression and its associated factors among the frontline physicians of Bangladesh during the COVID-19 outbreak COVID-19疫情期间孟加拉国一线医生的抑郁水平及其相关因素
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.55131/jphd/2023/210108
Faojia Sultana, P. Mondal, MD Enayetullah Anqur, Md Sazid Imtiaz, Ashik Mohammad Amanullah, S. Shimul
The COVID-19 pandemic has exposed the frontline physicians to a greater risk of getting infected, tremendous workload, and drastic changes in their work environment, leading to an increased prevalence of depression among doctors from many countries, including Bangladesh. The aim of this study was to examine the association of various personal, professional and psychosocial factors with different degrees of depressive symptoms among the frontline doctors of Bangladesh working during the COVID-19 pandemic. An online, cross-sectional survey was conducted for that purpose and data were collected from 312 doctors working in Bangladeshi hospitals using a self-administered survey questionnaire inclusive of a validated tool (Patient Health Questionnaire-9). Among the participants, around half were of age 30-34 years (51.3%), 81.8% worked in public hospitals and 70.5% did not have any comorbidity. Regarding workplace conditions, 77% of the doctors reported a perceived shortage of healthcare providers at their workplace, while 95% reported a perceived shortage of equipment, most commonly N95 masks (49%), gowns (35%), eye-protective shields (35%). A total of 199 (63.8%) participants received formal training since the beginning of the pandemic. According to the response from PHQ-9 questionnaire, 17 (5%) participants reported having no depression, while 18 (6%), 18 (6%), 25 (8%), and 234 (75%) reported having mild, moderate, moderately severe, and severe depression. Findings from multiple logistic regression showed the odds of moderate-to-severe depression to be higher among physicians with comorbidities (OR:7.47, CI: 1.27-43.89, P: 0.026) and those who felt extremely worried from looking at negative news on social/mass media (aOR: 15.180, CI:1.98-116.683, P: 0.009). To preserve and promote the psychological well-being of Bangladeshi doctors, it is, therefore, crucial to take these identified sources and risk factors of depression under sincere consideration by the responsible authorities and appropriate measures should be designed to remove these sources of depression to better support the physicians of the country.
新冠肺炎大流行使一线医生面临更大的感染风险、巨大的工作量和工作环境的巨大变化,导致包括孟加拉国在内的许多国家的医生抑郁症患病率上升。本研究的目的是研究在COVID-19大流行期间工作的孟加拉国一线医生中各种个人、专业和社会心理因素与不同程度抑郁症状的关系。为此目的进行了一项在线横断面调查,并使用包含有效工具的自我管理调查问卷(患者健康问卷-9)从在孟加拉国医院工作的312名医生那里收集了数据。其中约一半(51.3%)年龄在30-34岁之间,81.8%在公立医院工作,70.5%没有任何合并症。关于工作场所条件,77%的医生报告说他们的工作场所缺乏医疗保健提供者,而95%的医生报告说他们缺乏设备,最常见的是N95口罩(49%)、防护服(35%)和护眼罩(35%)。自大流行开始以来,共有199名参与者(63.8%)接受了正式培训。根据PHQ-9问卷的回答,17人(5%)报告无抑郁,18人(6%)、18人(6%)、25人(8%)、234人(75%)报告有轻度、中度、中重度和重度抑郁。多重逻辑回归结果显示,有合共病的医生(OR:7.47, CI: 1.27-43.89, P: 0.026)和因看到社交/大众媒体上的负面新闻而感到极度焦虑的医生(aOR: 15.180, CI:1.98-116.683, P: 0.009)患中度至重度抑郁症的几率更高。因此,为了维护和促进孟加拉国医生的心理健康,主管当局必须认真考虑这些已确定的抑郁症来源和风险因素,并应制定适当措施消除这些抑郁症来源,以更好地支持该国的医生。
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引用次数: 0
Adolescent sexual risk behaviors and participation in structured leisure activities (SLA): Role of socio-demographic characteristics and school-related behaviors 青少年性风险行为与结构化休闲活动的参与:社会人口特征和学校相关行为的作用
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.55131/jphd/2023/210101
M. Belošević
Adolescence is the transitional period between childhood and adulthood during which many physical, cognitive, social and emotional changes take place, characterized by an increasing interest in romantic and sexual relationships. During adolescence, young people enter into their first sexual partnerships. This may involve behaviors referred to as sexual risk behaviors. The aim of this study was to gain insight into the prevalence of sexual risk behaviors and to determine whether socio-demographic characteristics and school-related behaviors contribute to sexual risk behaviors among adolescents, independent of participation in SLA. The study was conducted from April to June 2021 in Croatia. The sample consisted only of students who reported having had sexual intercourse (N=702; 28.6%). Participants were between 14 and 21 years (46.3% female). Logistic analyses were conducted. The results of this study showed that socio-demographic characteristics make only a limited contribution to the sexual risk behaviors studied. However, it is evident that school-related behaviors are associated with sexual risk behaviors among adolescents, with slight differences depending on their participation in SLA. That is, better grades are a protective factor for sexual risk behavior for both those who do not participate in SLA and those who do, while intentionally skipping school is a risk factor for sexual risk behavior only for those who do participate in SLA. Even though the results show that some school-related behaviors are predictors of sexual risk behavior, it is not enough to implement preventive interventions only in school or leisure settings. It is important to intervene in all areas that influence adolescent development, because a comprehensive preventive approach that addresses all areas can have a greater impact on adolescent development. Therefore, it is necessary to plan comprehensive, evidence-based interventions targeting individuals and their environments, including SLA, to prevent sexual risk behaviors among adolescents.
青春期是童年和成年之间的过渡时期,在此期间发生许多身体、认知、社会和情感变化,其特点是对恋爱和性关系的兴趣日益浓厚。在青春期,年轻人开始他们的第一次性伴侣关系。这可能涉及被称为性危险行为的行为。本研究的目的是深入了解性危险行为的普遍性,并确定社会人口特征和学校相关行为是否会影响青少年的性危险行为,而不依赖于参与第二语言习得。该研究于2021年4月至6月在克罗地亚进行。样本仅包括报告有过性行为的学生(N=702;28.6%)。参与者年龄在14至21岁之间(46.3%为女性)。进行了Logistic分析。本研究结果表明,社会人口特征对所研究的性危险行为的贡献有限。然而,很明显,学校相关行为与青少年的性风险行为相关,并且在参与二语习得过程中存在细微差异。也就是说,更好的成绩对那些不参加SLA的人和参加SLA的人来说都是性风险行为的保护因素,而故意逃学只对那些参加SLA的人来说是性风险行为的风险因素。尽管结果表明,一些与学校有关的行为是性风险行为的预测因素,但仅在学校或休闲环境中实施预防干预是不够的。必须在影响青少年发展的所有领域进行干预,因为针对所有领域的全面预防办法可以对青少年发展产生更大的影响。因此,有必要制定针对个体及其环境(包括SLA)的综合循证干预措施,以预防青少年的性危险行为。
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引用次数: 0
The effect of sanitation risk on toddler stunting incident with geographically weighted regression approach in Malang Regency, Indonesia 用地理加权回归方法研究印尼玛琅县卫生风险对幼儿发育迟缓事件的影响
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.55131/jphd/2023/210107
Muhamad Anismuslim, H. Pramoedyo, S. Andarini, Sudarto -
Stunting is a fundamental problem in Indonesia's human development. The risk factors for stunting are very complex, including inadequate environmental sanitation. This study aims to analyze and map the influence of spatially correlated sanitation risk on the incidence of stunting toddlers in Malang Regency, Indonesia. Data collection was carried out by interviewing respondents using questionnaires, counting stunting toddlers, and observing environmental sanitation objects. Determination of respondents was done purposively with the following stages. First, at the village level, 75 sites were selected based on the following criteria: population density; poverty level; the presence of streams, drainage or irrigation canals; and flood vulnerability. Furthermore, in each village, 40 respondents were selected based on the following criteria: women aged between 18 to 65 years, came from poor families and had a child (or children). When the number of respondents who were willing to participate is less than 40 people in each village, they were replaced by other respondents based on recommendations from village officials. A total of 3000 respondents have participated in this study. The selected respondents include wives, dependent married women or widows. The spatial analysis approach was carried out using the Geographically Weighted Regression (GWR) method. Based on the results of the analysis of the spatial effect of the GWR model, the Sanitation Risk Factors that significantly affected the incidence of stunting in Malang Regency were; Environmental Drainage (greywater), Solid Waste, and Domestic Wastewater (black water). Clean and Healthy Lifestyles and Water Sources have less effect on sanitation risk. This study recommends government and public interventions to improve environmental sanitation including integrated waste management, improvement of drainage infrastructure, construction of standardized toilets, and carrying out health promotion efforts with education to increase public awareness.
发育迟缓是印尼人类发展的一个根本问题。发育迟缓的风险因素非常复杂,包括环境卫生条件不足。本研究旨在分析和绘制空间相关卫生风险对印度尼西亚玛琅县幼儿发育迟缓发生率的影响。数据收集是通过使用问卷采访受访者、计算发育迟缓的幼儿数量和观察环境卫生对象来进行的。调查对象的确定是有目的的,分为以下几个阶段。首先,在村一级,根据下列标准选择了75个场址:人口密度;贫困水平;有溪流、排水沟或灌溉渠;以及洪水的脆弱性。此外,在每个村庄,根据以下标准选择40名受访者:年龄在18至65岁之间、来自贫困家庭并有一个(或多个)孩子的妇女。当每个村愿意参与的回答者少于40人时,根据村干部的推荐,由其他回答者代替。共有3000名受访者参与了这项研究。选定的调查对象包括妻子、受抚养的已婚妇女或寡妇。空间分析方法采用地理加权回归(GWR)方法。根据GWR模型的空间效应分析结果,对麻郎县发育迟缓发生率有显著影响的卫生风险因素有:环境排水(灰水)、固体废物和生活污水(黑水)。清洁和健康的生活方式和水源对卫生风险的影响较小。本研究建议政府和公众采取干预措施,改善环境卫生,包括综合废物管理、改善排水基础设施、建造标准化厕所,以及开展健康促进工作,提高公众意识。
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Journal of Public Health and Development
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