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Modeling of Risk Factors of Childhood Stunting Cases in Malang Regency using Geographically Weighted Regression (GWR) 使用地理加权回归(GWR)对马朗县儿童发育迟缓病例的危险因素建模
Q3 Nursing Pub Date : 2023-06-21 DOI: 10.2174/18749445-v16-e230420-2022-165
Muhamad Anismuslim, H. Pramoedyo, S. Andarini, .. Sudarto
Stunting is one of the fundamental problems in Indonesia's human development, with complex risk factors such as inadequate environmental sanitation. This study aims to conduct an analysis and mapping of spatially correlated sanitation risks on the prevalence of stunting among toddlers in Malang Regency, Indonesia. The field observations were conducted in 390 villages of urban and rural areas in Malang Regency. The secondary data of weighing toddlers in 2020 were collected from Malang Regency Health Office. The data included the identity of the residents and the history of the toddlers, while data from monthly program reports were collected from the Central Bureau of Statistics of Malang Regency. Furthermore, the study applied one and eight variables of Y and X. The Y variable was the number of stunting case toddlers, while X included the percentage of access to safe drinking water, percentage of access to permanent hygienic latrines, the topography of the region, percentage of Integrated Healthy Centre access, percentage of Exclusive Breastfeeding, Population density, ODF (Open Defecation Free) village and percentage of Integrated Healthy Centre Empowerment. Modeling the case of childhood stunting with the spatial regression method using Geographically Weighted Regression can be considered a sound approach. The result showed that the distribution model of risk factors causing toddler stunting showed a spatial autocorrelation tendency with a clustered pattern in the area. The risk factors that were found to be spatially correlated with the incidence of stunting in children under five years of age in Malang district included access to proper drinking water (X1), access to latrines (X2), access to integrated health services (X3), exclusive breastfeeding coverage (X4), regional topography (X5), population density (X6), and empowerment of integrated health services (X8). However, the ODF (X7) did not show any correlation with stunting cases in the area. Spatial diversity and geographic variation affect the distribution pattern of risk factors causing stunting in Malang Regency. Therefore, stunting control with specific and sensitive interventions should be based on regional and local characteristics.
眩晕是印度尼西亚人类发展的根本问题之一,有着环境卫生不足等复杂的风险因素。本研究旨在对印度尼西亚马朗县幼儿发育迟缓患病率的空间相关卫生风险进行分析和绘图。实地观察在马朗县的390个城乡村庄进行。2020年幼儿称重的二次数据来自马朗县卫生办公室。这些数据包括居民的身份和学步儿童的历史,而每月项目报告的数据是从马朗县中央统计局收集的。此外,该研究应用了Y和X中的一个和八个变量。Y变量是发育迟缓幼儿的数量,而X包括获得安全饮用水的百分比、获得永久卫生厕所的百分比、该地区的地形、获得综合健康中心的百分比、纯母乳喂养的百分比、人口密度,ODF(开放式无排便)村和综合健康中心赋权百分比。使用地理加权回归的空间回归方法对儿童发育迟缓的情况进行建模可以被认为是一种合理的方法。结果表明,导致幼儿发育迟缓的危险因素分布模型在该地区呈现出空间自相关趋势,呈聚类模式。发现与马朗区五岁以下儿童发育迟缓发生率在空间上相关的风险因素包括获得适当的饮用水(X1)、使用厕所(X2)、获得综合卫生服务(X3)、纯母乳喂养覆盖率(X4)、区域地形(X5)、人口密度(X6),以及赋予综合保健服务权力(X8)。然而,ODF(X7)与该地区发育迟缓病例没有任何相关性。空间多样性和地理变异影响马朗县发育迟缓危险因素的分布格局。因此,应根据区域和地方特点,采取具体和敏感的干预措施来控制发育迟缓。
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引用次数: 1
The Difference in Mouthwash Side Effects of Persica and Chlorhexidine for Preventing Ventilator-induced Pneumonia among Patients Admitted to the Intensive Care Unit 百思嘉漱口水与氯己定预防重症监护室患者呼吸机所致肺炎的副作用差异
Q3 Nursing Pub Date : 2023-06-21 DOI: 10.2174/18749445-v16-e230607-2022-134
F. H. Kiabi, A. Baradari, Alieh Zamani Kiasari, Mahdi Shahheidari
Pneumonia is a common cause of morbidity and mortality in ICU patients under mechanical ventilation. In recent years the use of herbal mouthwashes, due to antimicrobial effects and fewer side effects, has been studied in reducing the incidence of ventilator-associated pneumonia (VAP). In this study, the effect of Persica mouthwash in the prevention of VAP in ICU patients was compared with chlorhexidine. This study is a double-blind, randomized clinical trial among ICU patients under mechanical ventilation. Fifty patients were divided into two groups, the control group used 10 ml Chlorhexidine 2.0%, and the intervention group used 10cc Persica as a mouthwash. The incidence of pneumonia, mortality, length of hospital stays, mechanical ventilation duration, CPIS (Clinical Pulmonary Infection Score), and SOFA (sequential organ failure assessment) score and complications were evaluated among the two groups. The incidence of pneumonia, mortality, SOFA score, and CPIS in the two groups were not significantly different. Length of stay in the ICU and mechanical ventilation duration were also not significantly different in the two groups, p>0.05. Side effects with chlorhexidine were significantly more often than Persica (44% vs. 8%) p=0.008. The incidence of early pneumonia in patients with no baseline pneumonia did not differ with Persica and Chlorhexidine mouthwash. At the same time, the incidence of side effects caused by the use of Persica was significantly less. RCT2017022032676N1.
肺炎是ICU机械通气患者发病和死亡的常见原因。近年来,由于抗菌作用和较少的副作用,使用草药漱口水在减少呼吸机相关性肺炎(VAP)发生率方面得到了研究。本研究比较了柏西漱口水与氯己定预防ICU患者VAP的效果。本研究是一项双盲、随机的ICU患者机械通气临床试验。50例患者分为两组,对照组使用2.0%氯己定10 ml,干预组使用10cc百思卡漱口水。观察两组患者肺炎发生率、死亡率、住院时间、机械通气时间、临床肺部感染评分(CPIS)、序贯器官衰竭评分(SOFA)及并发症。两组肺炎发生率、死亡率、SOFA评分、CPIS无显著差异。两组患者ICU住院时间和机械通气时间差异无统计学意义(p < 0.05)。氯己定的副作用发生率明显高于柏西卡(44% vs. 8%) p=0.008。无基线肺炎患者早期肺炎的发生率与百思嘉漱口水和氯己定漱口水没有差异。同时,因使用柏西卡引起的不良反应发生率明显降低。RCT2017022032676N1。
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引用次数: 0
Early Marriage and its Association with the Socioeconomic and Sociocultural Factors of Women in Sudan: A Predictive Model 苏丹妇女早婚及其与社会经济和社会文化因素的关系:一个预测模型
Q3 Nursing Pub Date : 2023-06-21 DOI: 10.2174/18749445-v16-e230505-2022-167
A. Abdallah, Mohammed Omar Musa Mohammed, A. Mohamed
Early marriage is spreading in Sudan, like in most African countries. Early marriage is defined as any marriage that happens before the age of 18. Early marriage is a human rights violation and has a huge negative effect, especially on girls. The aim of this study was to assess the prevalence and determinants of socioeconomic and sociocultural factors associated with women's early marriage in Gezira state in Sudan. The study depended on primary data from Gezira state (2021). The study adopted the questionnaire as a tool for data collection. The questionnaire was designed to collect data on variables related the early marriage. The descriptive statistics, chi-square test, and logistic regression model were used to analyze the collected data. The results revealed that the prevalence of early marriage among females in Gezira state was 54.9%, the prevalence of early marriage among rural areas was 57.3%, and there was a significant association between early marriage and unemployment. The result of the logistic regression model showed that there was a significant relationship between early marriage and the factors such as area, wealth index quantile, unemployment, and exposure to media. Whereas the model found an insignificant association between early marriage and the factors such as low financial condition leading to early marriage, early marriage is one of the signs of urbanization, immigrant cultures support early marriage, establishing a good maternal relationship between the child and the mother. Early marriage is widespread in Gezira state, and it is associated with socioeconomic and sociocultural factors.
与大多数非洲国家一样,早婚现象在苏丹蔓延。早婚是指18岁之前发生的任何婚姻。早婚是对人权的侵犯,具有巨大的负面影响,尤其是对女孩。本研究的目的是评估苏丹格济拉州与妇女早婚相关的社会经济和社会文化因素的流行率和决定因素。这项研究依赖于Gezira州(2021年)的原始数据。该研究采用了调查表作为数据收集工具。该问卷旨在收集与早婚相关的变量的数据。采用描述性统计、卡方检验和逻辑回归模型对收集的数据进行分析。结果显示,格济拉州女性早婚率为54.9%,农村早婚率为57.3%,早婚与失业之间存在显著关联。logistic回归模型的结果表明,早婚与地区、财富指数分位数、失业率和媒体曝光率等因素之间存在显著关系。尽管该模型发现早婚与导致早婚的低经济状况等因素之间的关联并不显著,但早婚是城市化的标志之一,移民文化支持早婚,在孩子和母亲之间建立了良好的母亲关系。早婚在格济拉州很普遍,它与社会经济和社会文化因素有关。
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引用次数: 0
Health Tourism Prevalence among Western Balkans Citizens During the COVID-19 Pandemic Period COVID-19大流行期间西巴尔干公民健康旅游流行情况
Q3 Nursing Pub Date : 2023-05-12 DOI: 10.2174/18749445-v16-e230510-2022-187
Drita Maljichi, Bernard Tahirbegolli, Driton Maljichi, Iliriana Alloqi Tahirbegolli, Troy E. Spier, Ahmed Kulanić, Irida Agolli Nasufi, Milica Kovač-Orlandić
Background: This study seeks to evaluate the prevalence of and the association between receiving medical care abroad and the level of trust that citizens from the Western Balkans—Albania, Bosnia and Herzegovina, Kosovo and Montenegro—have in their healthcare systems. Methods: The study is cross-sectional and was carried out during three months (July 25-October 30, 2021) through a self-reported questionnaire administered through the Google Forms platform. The study included approximately two-thousand citizens (N=2,356) aged eighteen (18) to seventy (70). Results: More than one-third (37.2%) of respondents stated that they or a relative had received healthcare services abroad during the last twelve (12) months. Citizens of Montenegro had the highest prevalence of receiving healthcare services abroad at 43.8%, followed by those from Bosnia and Herzegovina at 39%. No statistically significant difference was found in the level of trust in the healthcare system in the country between those who received healthcare services abroad (4.41±2.88) (out of 10) and those who did not (4.48±2.81) (t= -0.587, p=0.557). Conclusion: We ultimately conclude that more than one-third of the participants in our study have traveled abroad for healthcare purposes, with females, those living in urban areas, and those who have previously had a negative healthcare experience in their home country all being more likely to rely on health tourism.
背景:本研究旨在评估在国外接受医疗护理的流行程度和来自西巴尔干-阿尔巴尼亚、波斯尼亚和黑塞哥维那、科索沃和黑山的公民对其医疗保健系统的信任程度之间的关系。方法:该研究是横断面的,为期三个月(2021年7月25日至10月30日),通过谷歌表单平台进行自我报告问卷。这项研究包括了大约2000名年龄在18岁到70岁之间的公民(N= 2356)。结果:超过三分之一(37.2%)的受访者表示,他们或亲属在过去12个月内曾在国外接受过医疗保健服务。黑山公民在国外接受保健服务的比例最高,为43.8%,其次是波斯尼亚和黑塞哥维那,为39%。接受过国外医疗服务的人对国内医疗系统的信任程度(4.41±2.88)(满分10分)与未接受过国外医疗服务的人(4.48±2.81)(t= -0.587, p=0.557)差异无统计学意义。结论:我们最终得出的结论是,在我们的研究中,超过三分之一的参与者以医疗保健为目的出国旅行,其中女性,生活在城市地区的人,以及以前在本国有负面医疗保健经历的人都更有可能依赖健康旅游。
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引用次数: 0
Clean Water, Housing Condition, and Diarrhea among Children under Five Years Old in Indonesia: Partial Least Square-Structural Equation Modeling (PLS-SEM) 印度尼西亚5岁以下儿童的清洁水、住房条件和腹泻:偏最小二乘结构方程模型(PLS-SEM)
Q3 Nursing Pub Date : 2023-05-09 DOI: 10.2174/18749445-v16-e230505-2022-109
I. Siramaneerat, F. Agushybana
Diarrhea is still a challenging health problem for children under five years of age in Indonesia. This study aimed to analyze the effect, either direct or indirect, of child characteristics, family characteristics, drinking water sources and housing conditions on diarrhea in Indonesia. Children under five years old were selected from the total samples used in the Indonesia Demography and Health Survey (IDHS)in 2017. The research samples accounted for 17,263 children chosen for further investigation. Multiple regression logistics and PLS-SEM tests were employed to analyze the relationship between the independent and dependent variables. The logistic analysis yielded results that family wealth, toilet, walls, floor of the house, and location of the houses significantly influenced the access to clean water sources. Moreover, child’s gender, age, family wealth, floor of the house, and location were significantly associated with the prevalence of diarrhea. Obtained from Partial Least Square-Structural Equation Modeling (PLS-SEM) analysis, results found that wealth had the highest path coefficient of 0.324, indicating a high effect on diarrhea rates. The contribution of the residence to housing (β = 0.035) and water (β = 0.204) to diarrhea incidence was of positive significance, while water and diarrhea were statistically negative in contributing to diarrhea incidence (β =-0.019). In addition, residence and wealth on water and diarrhea had a partial mediator effect (β = -0.004 and -0.004, respectively). Our findings suggest that the accessibility to clean water source was an intervening variable that plays an important role in diarrhea cases in Indonesia. Besides, wealth and residence influenced the prevalence of diarrhea.
腹泻仍然是印度尼西亚五岁以下儿童的一个具有挑战性的健康问题。本研究旨在分析印度尼西亚儿童特征、家庭特征、饮用水源和住房条件对腹泻的直接或间接影响。从2017年印尼人口与健康调查(IDHS)使用的总样本中选择五岁以下儿童。研究样本中有17263名儿童被选中进行进一步调查。采用多元回归物流和PLS-SEM检验来分析自变量和因变量之间的关系。逻辑分析得出的结果是,家庭财富、厕所、墙壁、房屋地板和房屋位置显著影响清洁水源的获取。此外,儿童的性别、年龄、家庭财富、楼层和所在地与腹泻的患病率显著相关。通过偏最小二乘结构方程建模(PLS-SEM)分析发现,财富的通径系数最高,为0.324,表明财富对腹泻率的影响很大。住宅对住房(β=0.035)和水(β=0.204)对腹泻发生率的贡献具有正显著性,而水和腹泻对腹泻发病率的贡献在统计学上是负的(β=-0.019)。此外,住宅和财富对水和腹泻的贡献具有部分介导效应(β分别为-0.004和-0.004)。我们的研究结果表明,清洁水源的可及性是一个干预变量,在印度尼西亚腹泻病例中起着重要作用。此外,财富和居住地也影响了腹泻的患病率。
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引用次数: 0
Strengthening Communication: A Strategy to Increase Community Satisfaction in Stunting Services in Indonesia 加强沟通:提高印尼社区对特技服务满意度的策略
Q3 Nursing Pub Date : 2023-05-08 DOI: 10.2174/18749445-v16-2306070-2022-184
Hasan Sazali, T. Utami, Chuzaimah Batubara, Noor Azizah, S. Susilawati, Muhammad Irwan Padli Nasution, Muhammad Syukri Albani Nasution, Seva Maya Sari, Rafnitul Hasanah Harahap
The Indonesian government has prioritized stunting management programs, but until 2022 the prevalence of stunting is still high. The purpose of this research is to develop a strategy to increase community satisfaction with stunting services oriented toward strengthening communication. This is a cross-sectional design research with data collected from a sample population of 298 mothers who have stunted children through a survey and analyzed using path analysis with SEM-PLS. The result showed that communication affects stunting service facilities and sanitation management with a P-value of 0.000, respectively. Communication does not directly affect stunting service satisfaction, it is moderated by the variables of facilities and sanitation, which play a role in strengthening or weakening the effect of stunting service satisfaction. An essential factor that can be used to produce optimal stunting service satisfaction is strengthening communication. Strengthening communication between regional institutions at the Regency level synergistically supports the provision of the required facilities, thereby increasing community satisfaction. Furthermore, strengthening cross-sectoral communication synergistically in managing environmental sanitation supports stunting service programs. This research contributes to the government's emphasis on stunting service policies to strengthen communication between service providers and cross-sectoral communication.
印尼政府已将发育迟缓管理项目列为优先事项,但直到2022年,发育迟缓的流行率仍然很高。这项研究的目的是制定一项战略,以提高社区对旨在加强沟通的阻碍服务的满意度。这是一项横断面设计研究,通过调查从298名发育迟缓儿童的母亲样本中收集数据,并使用SEM-PLS路径分析进行分析。结果表明,沟通对发育迟缓的服务设施和卫生管理的影响分别为0.000。沟通并不直接影响阻碍服务满意度,而是受到设施和卫生变量的调节,这些变量在加强或削弱阻碍服务满意度的作用中发挥作用。可以用来产生最佳阻碍服务满意度的一个重要因素是加强沟通。加强区域机构之间在行政一级的沟通,协同支持提供所需的设施,从而提高社区满意度。此外,在管理环境卫生方面协同加强跨部门沟通有助于阻碍服务项目。这项研究有助于政府强调阻碍服务政策,以加强服务提供商之间的沟通和跨部门沟通。
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引用次数: 0
The Correlation between Age, Fat Intake, and Visceral Fat and Body Mass Index at the Gym 年龄、脂肪摄入量、内脏脂肪与健身房体重指数的相关性
Q3 Nursing Pub Date : 2023-04-28 DOI: 10.2174/18749445-v16-230427-2023-31
Sunarto Kadir, Yasir Mokodompis
This study aimed to investigate the correlation between age, fat intake, visceral fat, and body mass index (BMI) of gym members. A cross-sectional approach was employed with a sample of 87 respondents. Primary data were obtained from three different gyms, while secondary data was obtained from gym owners. A questionnaire was used as the research instrument, and the Chi Square test was used for data analysis. The majority of respondents had a higher fat intake than recommended, and most had high levels of visceral fat. In terms of BMI, the majority were classified as either overweight or obese. Bivariate analysis showed significant correlations between age, fat intake, and visceral fat with BMI among gym members. This study found that age, fat intake, and visceral fat were significantly correlated with BMI among gym members. The findings suggest the importance of promoting healthy dietary habits and exercise among gym members, particularly those older or with high visceral fat levels.
本研究旨在调查健身房成员的年龄、脂肪摄入量、内脏脂肪和体重指数(BMI)之间的相关性。采用横断面方法对87名受访者进行抽样调查。主要数据来自三个不同的健身房,而次要数据来自健身房所有者。以问卷调查为研究工具,采用卡方检验进行数据分析。大多数受访者的脂肪摄入量高于建议,大多数人的内脏脂肪含量也很高。就BMI而言,大多数人被归类为超重或肥胖。双变量分析显示,健身房成员的年龄、脂肪摄入量和内脏脂肪与BMI之间存在显著相关性。这项研究发现,年龄、脂肪摄入量和内脏脂肪与健身房成员的BMI显著相关。研究结果表明,在健身房成员中,特别是那些年龄较大或内脏脂肪水平较高的人,促进健康饮食习惯和锻炼的重要性。
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引用次数: 0
Nutritional Status, Anemia and Eating Behavior among Children with Elevated Blood Lead Levels in a Primary Health Care of Peru 秘鲁初级保健机构血铅水平升高儿童的营养状况、贫血和饮食行为
Q3 Nursing Pub Date : 2023-04-27 DOI: 10.2174/18749445-v16-230403-2022-197
J. Morales, Elizabeth María Yovera-Sandoval, Marlene Raquel Basilio-Rojas
Malnutrition, anemia, and lead exposure are important public health problems. To assess nutritional status, anemia, and eating habits and their relationship to elevated blood lead levels in children. Descriptive study conducted with data from children evaluated in a district of Callao, Peru. The variables studied were: nutritional status, based on anthropometric measurements; anemia, determined by blood hemoglobin concentration; dietary habits, evaluated by the 24-hour dietary recall method and food consumption frequency; and blood lead, determined by LeadCare II analyzer. A total of 425 children participated, with a median age of 6 years (IQR=5; Q3=9, Q1=4), 52.2% (n=222) were female and 71.3% (n=303) had blood lead level (BLL) ≥5μg/dL. Among children with BLL ≥5 μg/dL, 11.6% (n=35) presented poor nutritional status, 9.9% (n=30) had anemia, and 63% (n=191) had inadequate eating habits. Of the children with inadequate eating habits, 17.4% (n=47) had poor nutritional status and 15.9% (n=43) had anemia, compared to children with adequate eating habits (p<0.001). In children with BLL ≥5 μg/dL, the children's median hemoglobin, body weight, and height were 12.2 g/dL, 21.6 Kg, and 114.8 cm, respectively; while in those with Pb levels <5 μg/dL it was 12.5 g/dL, 29 Kg and 126.55 cm, respectively (p<0.05). Nutritional status, anemia, and eating habits did not differ according to BLL; however, lower median hemoglobin, weight, and height were found in children with elevated lead levels. Children with subnormal nutritional status and children with anemia presented a shorter time to reach elevated blood lead levels.
营养不良、贫血和铅暴露是重要的公共卫生问题。评估儿童的营养状况、贫血和饮食习惯及其与血铅水平升高的关系。一项描述性研究,使用来自秘鲁卡劳一个地区的儿童评估数据。研究的变量包括:基于人体测量的营养状况;贫血,由血红蛋白浓度决定;饮食习惯,通过24小时饮食回忆法和食物消费频率进行评估;以及通过LeadCare II分析仪测定的血铅。共有425名儿童参与,中位年龄为6岁(IQR=5;Q3=9,Q1=4),52.2%(n=222)为女性,71.3%(n=303)血铅水平≥5μg/dL。在BLL≥5μg/dL的儿童中,11.6%(n=35)的儿童营养状况不佳,9.9%(n=30)的儿童患有贫血,63%(n=191)的儿童饮食习惯不良。在饮食习惯不良的儿童中,与饮食习惯良好的儿童相比,17.4%(n=47)的儿童营养状况不佳,15.9%(n=43)的儿童患有贫血(p<0.001);而Pb水平<5μg/dL的患者分别为12.5 g/dL、29 Kg和126.55 cm(p<0.05)。不同BLL的营养状况、贫血和饮食习惯没有差异;然而,在铅水平升高的儿童中,血红蛋白、体重和身高的中位数较低。营养状况低于正常水平的儿童和贫血儿童血铅水平升高的时间更短。
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引用次数: 0
Health Tourism Prevalence among Western Balkans Citizens During the COVID-19 Pandemic Period COVID-19大流行期间西巴尔干公民健康旅游流行情况
Q3 Nursing Pub Date : 2023-04-20 DOI: 10.2174/18749445-v16-e230420-2022-187
Drita Maljichi, Bernard Tahirbegolli, Driton Maljichi, Iliriana Alloqi Tahirbegolli, Troy E. Spier, Ahmed Kulanić, Irida Agolli Nasufi, Milica Kovač-Orlandić
This study seeks to evaluate the prevalence of and the association between receiving medical care abroad and the level of trust that citizens from the Western Balkans—Albania, Bosnia and Herzegovina, Kosovo and Montenegro—have in their healthcare systems. The study is cross-sectional and was carried out during three months (July 25-October 30, 2021) through a self-reported questionnaire administered through the Google Forms platform. The study included approximately two-thousand citizens (N=2,356) aged eighteen (18) to seventy (70). More than one-third (37.2%) of respondents stated that they or a relative had received healthcare services abroad during the last twelve (12) months. Citizens of Montenegro had the highest prevalence of receiving healthcare services abroad at 43.8%, followed by those from Bosnia and Herzegovina at 39%. No statistically significant difference was found in the level of trust in the healthcare system in the country between those who received healthcare services abroad (4.41±2.88) (out of 10) and those who did not (4.48±2.81) (t= -0.587, p=0.557). We ultimately conclude that more than one-third of the participants in our study have traveled abroad for healthcare purposes, with females, those living in urban areas, and those who have previously had a negative healthcare experience in their home country all being more likely to rely on health tourism.
本研究旨在评估在国外接受医疗服务的普遍程度和西巴尔干公民(阿尔巴尼亚、波斯尼亚和黑塞哥维那、科索沃和黑山)对其医疗保健系统的信任程度之间的关系。该研究是横断面的,为期三个月(2021年7月25日至10月30日),通过谷歌Forms平台进行自我报告问卷。这项研究包括了大约2000名年龄在18岁到70岁之间的公民(N= 2356)。超过三分之一(37.2%)的答复者表示,他们或亲属在过去十二(12)个月内曾在国外接受医疗保健服务。黑山公民在国外接受保健服务的比例最高,为43.8%,其次是波斯尼亚和黑塞哥维那,为39%。接受过国外医疗服务的人对国内医疗系统的信任程度(4.41±2.88)(满分10分)与未接受过国外医疗服务的人(4.48±2.81)(t= -0.587, p=0.557)差异无统计学意义。我们最终得出的结论是,在我们的研究中,超过三分之一的参与者为了医疗保健目的出国旅行,女性、生活在城市地区的人,以及以前在本国有过负面医疗保健经历的人,都更有可能依赖健康旅游。
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引用次数: 0
Factors Influencing the Preference for Homes as the Location for Long-term Care in the Japanese Population 日本人选择家庭作为长期照护地点的影响因素
Q3 Nursing Pub Date : 2023-04-19 DOI: 10.2174/18749445-v16-e230419-2022-178
Shigekazu Ukawa, Yusuke Kato, Yonggeun Lee, K. Ohara, Kazuhiko Mori
In this cross-sectional study, we aimed to investigate the factors for preferring homes as the location to receive long-term care in community-dwelling populations. A total of 4,113 individuals with a response rate of 36.7% from four areas in Japan were analyzed. All information was obtained from a questionnaire survey conducted in 2019. We used negative binominal regression modeling with adjustments for areas to calculate the prevalence ratios (PRs) and 95% confidence intervals (CIs) for the preference of long-term home care about factors. All missing values were input using multiple imputations. The results show that the prevalence of preferring homes as the location for receiving long-term care was 73.4%. Being employed (PR: 1.04; 95% CI: 1.00–1.09), living with others (PR: 1.12; 95% CI: 1.05–1.19), feeling satisfied with the environment of nursing care in residential areas (PR: 1.05; 95% CI: 1.00–1.10), feeling satisfied with the natural surroundings in the community (PR: 1.18; 95% CI: 1.07–1.31), the presence of people in the community who can be consulted about problems (PR: 1.05; 95% CI: 1.00–1.10), and the presence of close friends in the community (PR: 1.09; 95% CI: 1.03–1.15) were significantly associated with the preference for long-term home care. We suggest that municipalities should consider these social and interpersonal associations to support older residents’ preference of receiving home care services.
在这项横断面研究中,我们旨在调查在社区居住人群中,选择家庭作为长期护理地点的因素。对来自日本四个地区的4113名应答率为36.7%的患者进行了分析。所有信息均来自2019年进行的问卷调查。我们使用负二项回归模型,并对区域进行调整,以计算长期家庭护理偏好因素的患病率(PR)和95%置信区间(CI)。所有缺失的值都是通过多次输入输入的。结果显示,选择家庭作为接受长期护理的地点的患病率为73.4%。有工作(PR:1.04;95%CI:1.00-1.09),与他人一起生活(PR:1.12;95%CI:1.05-1.19),对居住区的护理环境感到满意(PR:1.05;95%CI:11.00-1.10),对社区自然环境感到满意(PR:1.18;95%CI:1.07-1.31)、社区中有人可以咨询问题(PR:1.05;95%CI:1.00-1.10)以及社区中有亲密朋友(PR:1.09;95%CI:10.03-1.15)与长期家庭护理的偏好显著相关。我们建议市政当局应考虑这些社会和人际关系,以支持老年居民接受家庭护理服务的偏好。
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Open Public Health Journal
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