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Factors Associated with Depression among Type 2 Diabetes Mellitus Patients at a Tertiary Hospital during the COVID-19 Pandemic 新冠肺炎大流行期间一家三级医院2型糖尿病患者抑郁的相关因素
IF 0.7 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-11-30 DOI: 10.21109/kesmas.v17i4.6301
M. I. Mokoagow, Dian Pitawati, Ditya Nona Arisandy, N. Magfira, Pratiwi Indah Palupi, J. Nasarudin, M. Epriliawati, I. A. Kshanti
Diabetes mellitus is a metabolic disorder characterized by chronic hyperglycemia that can cause various complications, economic burdens, and psychosocial issues that eventually lead to depression. This study aimed to describe the prevalence of depression among type 2 diabetes mellitus patients in the Internal Medicine Outpatient Clinic of a South Jakarta tertiary hospital during the COVID-19 pandemic. This cross-sectional study was conducted from May to July 2021. The data were collected consecutively from 100 patients aged 18 years or older who came for regular consultation. The instrument used for determining depression is Beck Depression Inventory-II. The prevalence of depression, a correlation between depression and participants' characteristics, and multivariate analysis for risk factors were determined. The results showed that the prevalence of mild to severe depression based on the BDI-II classification was 17%. Screening showed mild to severe depression predominantly in females above 60 years old, with higher levels of education, obesity grade I, individuals with one or more comorbidities, and those who had diabetes for more than ten years. In this study, having one or more comorbidities was associated with an increased risk of depression in people with diabetes.
糖尿病是一种以慢性高血糖为特征的代谢紊乱,可引起各种并发症、经济负担和最终导致抑郁症的社会心理问题。本研究旨在描述2019冠状病毒病大流行期间南雅加达三级医院内科门诊2型糖尿病患者的抑郁患病率。这项横断面研究于2021年5月至7月进行。这些数据是从100名18岁及以上的定期就诊的患者中连续收集的。用于确定抑郁症的仪器是贝克抑郁症量表- ii。确定了抑郁症的患病率、抑郁症与参与者特征之间的相关性以及危险因素的多变量分析。结果显示,根据BDI-II分类,轻度至重度抑郁症患病率为17%。筛查显示,轻至重度抑郁症主要发生在60岁以上、受教育程度较高、肥胖I级、有一种或多种合并症、糖尿病10年以上的女性中。在这项研究中,患有一种或多种合并症与糖尿病患者患抑郁症的风险增加有关。
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引用次数: 0
Breastfeeding Duration More than 18 Months Possibly Lowers the Risk of Language Development Delay in Children Aged 18–35 Months 母乳喂养时间超过18个月可能降低18 - 35个月儿童语言发育迟缓的风险
IF 0.7 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-11-30 DOI: 10.21109/kesmas.v17i4.6218
A. Faradilah, Andi Musafir Rusyaidi, S. Jalaluddin, Ary I Savitri
Studies have demonstrated the benefits of breastfeeding (BF) on children’s cognitive function and language development. However, most cognitive and language tools used in these studies have limited ability to identify children’s language development delays. The Language Development Survey (LDS) is expected to provide detailed information on children’s language development. This study aimed to examine the association between BF duration and children’s LDS. A questionnaire was administered to 286 BF mothers to obtain information on their BF duration, and LDS was employed to assess children’s language development. Language delays were detected in 91 (31.8%) children (LDS-vocabulary) and 35.7% children (LDS-phrase). This study also found that children who were breastfed for ≤6 months and 7–18 months had an adjusted OR (AOR) of 0.86 of LDS-vocabulary, and 0.8 of LDS-phrase, whereas children who were breastfed for >18 months had AOR’s LDS-vocabulary of 0.57 and LDS-phrase of 0.46. This study found no significant association between BF duration and LDS score. Nevertheless, BF duration of >18 months possibly lowers the risk of children’s language development delay. More studies are required to investigate this observation’s relationship with children’s language development.
研究表明母乳喂养对儿童的认知功能和语言发展有好处。然而,这些研究中使用的大多数认知和语言工具在识别儿童语言发展延迟方面的能力有限。语言发展调查(LDS)预计将提供有关儿童语言发展的详细信息。本研究旨在探讨BF持续时间与儿童LDS之间的关系。对286名BF母亲进行了问卷调查,以获得BF持续时间的信息,并使用LDS评估儿童的语言发展。在91名(31.8%)儿童(LDS词汇)和35.7%儿童(LDS短语)中检测到语言延迟。本研究还发现,母乳喂养≤6个月和7-18个月的儿童LDS词汇的调整OR(AOR)为0.86,LDS短语的调整OR为0.8,而母乳喂养>18个月儿童的LDS词汇的AOR为0.57,LDS短语为0.46。本研究未发现BF持续时间与LDS评分之间存在显著相关性。然而,BF持续时间>18个月可能会降低儿童语言发育迟缓的风险。需要更多的研究来调查这一观察结果与儿童语言发展的关系。
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引用次数: 0
Cognitive Function in Type 2 Diabetes Mellitus Patients Taking Metformin and Metformin-Sulfonylurea 二甲双胍和二甲双胍磺酰脲对2型糖尿病患者认知功能的影响
IF 0.7 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-11-30 DOI: 10.21109/kesmas.v17i4.6303
Abu Rachman, R. Sauriasari, N. F. Syafhan, P. Prawiroharjo, H. W. Risni
The most prescribed antidiabetic drugs in Indonesian primary health care are metformin or a combination of metformin and sulfonylurea. Studies on metformin have shown various impacts on cognitive decline in patients with type 2 diabetes mellitus, whereas sulfonylurea has been shown to reduce this impact. This study aimed to compare the impacts of metformin and metformin-sulfonylurea on cognitive function and determine what factors affected it. This cross-sectional study was conducted at Pasar Minggu Primary Health Care involving 142 type 2 diabetes mellitus patients taking metformin or metformin-sulfonylurea for > 6 months and aged > 36 years. Cognitive function was assessed using the validated Montreal Cognitive Assessment Indonesian version. The effects of metformin and metformin-sulfonylurea on cognitive decline showed no significant difference, even after controlling for covariates (aOR = 1.096; 95% CI = 0.523–2.297; p-value = 0.808). Multivariate analysis showed age (OR = 4.131; 95% CI = 1.271–13.428; p-value = 0.018) and education (OR = 2.746; 95% CI = 1.196–6.305; p-value = 0.017) affected cognitive function. Since a lower education and older age are likely to cause cognitive decline, health professionals are encouraged to work with public health experts to address these risk factors for cognitive function.
印尼初级卫生保健中处方最多的抗糖尿病药物是二甲双胍或二甲双胍和磺酰脲的组合。二甲双胍的研究表明,二甲双胍对2型糖尿病患者认知能力下降有多种影响,而磺酰脲类药物已被证明可以减少这种影响。本研究旨在比较二甲双胍和二甲双胍磺酰脲对认知功能的影响,并确定影响认知功能的因素。本横断面研究在帕萨明古初级卫生保健中心进行,涉及142名服用二甲双胍或二甲双胍磺酰尿素超过6个月且年龄超过36岁的2型糖尿病患者。认知功能使用经验证的蒙特利尔认知评估印尼版进行评估。即使在控制协变量后,二甲双胍和二甲双胍磺酰脲对认知能力下降的影响也没有显著差异(aOR=1.096;95%CI=0.523-2.297;p值=0.808)。多变量分析显示,年龄(OR=4.31;95%CI=1.271-13.428;p值=0.018)和教育程度(OR=2.746;95%CI=1.196-6.305;p值0.017)影响认知功能。由于教育程度较低和年龄较大可能导致认知能力下降,因此鼓励卫生专业人员与公共卫生专家合作,解决认知功能的这些风险因素。
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引用次数: 0
SO2 Concentration and the Occurrence of Acute Respiratory Infection in Children Under Five SO2浓度与5岁以下儿童急性呼吸道感染发生的关系
IF 0.7 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-11-30 DOI: 10.21109/kesmas.v17i4.6290
Puji Amrih Lestari, Budi Haryanto
Jakarta is the capital city of Indonesia, with 10.7 million inhabitants with poor air quality as of 2020. Higher levels of pollution often come with an increase in the number of health risks and pneumonia cases. This study aimed to determine the association between SO2 concentration and the occurrence of acute respiratory infection in children under five. An ecological time series design was implemented during the study by utilizing secondary data of SO2 concentrations and ARI from the Indonesian Agency for Meteorological, Climatological, and Geophysics, the Special Capital Region of Jakarta Environmental, and Health Office. Statistical correlation tests were performed to analyze the association between SO2 concentration and ARI prevalence in five administrative cities in Jakarta from 2018-2021 based on the rainy and dry seasons. The average concentration of SO2 was 18.06–20.89 μg/m3. There was no significant correlation between SO2 concentration and the occurrence of ARI in children under five in Jakarta in 2018–2021, with a weak relationship (r = 0.24). It seems that children under five in Jakarta spent their time indoors rather than outdoors, so they were exposed to fewer transportation emissions.
雅加达是印度尼西亚的首都,截至2020年,有1070万居民的空气质量很差。污染水平的提高往往伴随着健康风险和肺炎病例的增加。本研究旨在确定SO2浓度与5岁以下儿童急性呼吸道感染发生的关系。在研究期间,利用印度尼西亚气象、气候和地球物理局、雅加达特别首都区环境和卫生办公室提供的二氧化硫浓度和ARI的二次数据,实施了生态时间序列设计。基于雨季和旱季,采用统计相关检验分析2018-2021年雅加达5个行政城市SO2浓度与急性呼吸道感染的相关性。SO2平均浓度为18.06 ~ 20.89 μg/m3。雅加达2018-2021年SO2浓度与5岁以下儿童急性呼吸道感染发生率无显著相关,呈弱相关(r = 0.24)。雅加达五岁以下的儿童似乎在室内而不是户外度过,因此他们接触到的交通排放物较少。
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引用次数: 0
Quality of Life of Hypertensive Patients Undergoing Chronic Disease Management Program during the COVID-19 Pandemic 新冠肺炎大流行期间接受慢性病管理项目的高血压患者的生活质量
IF 0.7 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-11-30 DOI: 10.21109/kesmas.v17i4.6224
W. Lolo, G. Citraningtyas, D. Mpila, H. Wijaya, Sandeep Poddar
The COVID-19 pandemic has restricted some common activities for hypertensive patients undergoing the Chronic Disease Management Program/Program Pengelolaan Penyakit Kronis in primary health care, decreasing the quality of life. This study aimed to measure the quality of life of hypertensive patients undergoing the Chronic Disease Management Program at primary health care of Manado City, North Sulawesi Province, Indonesia, during the COVID-19 pandemic and determine the factors influencing hypertension such as sex, age, education, employment status, monthly income and duration of hypertension. This cross-sectional study was carried out on 150 hypertensive patients randomly sampled at primary health care from June to September 2021. The data were analyzed using the Mann-Whitney test. The quality of life of non-complicated hypertensive patients was higher than those with complications. The utility value and the visual analog scale of hypertensive patients with and without complications were 0.808±0.13 and 80.2±8.16 and 0.761±0.17 and 75.1±7.56, respectively. The results showed that most hypertensive patients, with or without complications, had a good quality of life.
新冠肺炎大流行限制了接受慢性病管理计划/Pengelolaan Penyakit Kronis计划的高血压患者在初级卫生保健中的一些常见活动,降低了生活质量。本研究旨在测量新冠肺炎大流行期间在印度尼西亚北苏拉威西省马纳多市初级卫生保健中心接受慢性病管理项目的高血压患者的生活质量,并确定影响高血压的因素,如性别、年龄、教育程度、就业状况、月收入和高血压持续时间。这项横断面研究是对2021年6月至9月在初级卫生保健机构随机抽取的150名高血压患者进行的。使用Mann-Whitney检验对数据进行分析。非复杂性高血压患者的生活质量高于有并发症的患者。有和无并发症的高血压患者的效用值和视觉模拟量表分别为0.808±0.13和80.2±8.16,0.761±0.17和75.1±7.56。结果表明,大多数高血压患者,无论是否有并发症,都有良好的生活质量。
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引用次数: 1
The Potential of Private Health Insurance Ownership Based on the 2018-2020 National Socioeconomic Survey Data 基于2018-2020年全国社会经济调查数据的私人健康保险所有权潜力
IF 0.7 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-11-30 DOI: 10.21109/kesmas.v17i4.6214
Arief Rosyid Hasan, A. Bachtiar, C. Candi
In 2014, the Indonesian Government introduced a social security program in the health sector. However, Indonesia’s out-of-pocket expenses remain high due to a lack of public interest in National Health Insurance services. Financing expensive health services with high out-of-pocket expenses has the potential to cause poverty. Private health insurance is considered a solution to this problem. This study aimed to determine the socioeconomic factors of private health insurance ownership and its potential in Indonesia. This study used secondary data from the 2018, 2019, and 2020 National Socioeconomic Surveys. Logistic regression analysis showed that the variables related to private health insurance ownership were age, sex, education, economic status, employment status, marital status, household status, and location of residence. The most dominant variable in 2018 was per capita expenditure (economic status), while education was the most dominant variable in 2019 and 2020. The result of this study can be used to formulate a strategy for increasing participation in private health insurance. The socioeconomic health sector should use this information to target specific markets for private health insurance.
2014年,印度尼西亚政府在卫生部门推出了一项社会保障方案。然而,由于公众对国民健康保险服务缺乏兴趣,印度尼西亚的自付费用仍然很高。用高昂的自付费用资助昂贵的医疗服务有可能导致贫困。私人健康保险被认为是解决这个问题的一个办法。本研究旨在确定印度尼西亚私人健康保险所有权的社会经济因素及其潜力。这项研究使用了2018年、2019年和2020年全国社会经济调查的二次数据。Logistic回归分析表明,与私人医疗保险所有权相关的变量为年龄、性别、教育程度、经济状况、就业状况、婚姻状况、家庭状况和居住地。2018年最主要的变量是人均支出(经济状况),而2019年和2020年教育是最主要的变数。这项研究的结果可用于制定增加私人医疗保险参与度的战略。社会经济卫生部门应利用这些信息瞄准私人医疗保险的特定市场。
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引用次数: 1
Impact of Instrumental Support from Family on Medication Adherence among Tuberculosis Patients: A Cross-Sectional Study 家庭辅助支持对结核病患者服药依从性的影响:一项横断面研究
IF 0.7 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-11-30 DOI: 10.21109/kesmas.v17i4.5927
A. Y. Nursasi, Mega Hasanul Huda, Syifa Widya Rahmasari
Instrumental support is concrete and tangible, for instance, helping to provide food or accompanying patients to health care facilities. However, its impact on medication adherence among tuberculosis patients in Indonesia needs to be explored. This study aimed to examine the impact of instrumental support from family on tuberculosis patients’ adherence to medication in Bogor City, West Java Province, Indonesia. A cross-sectional study involving 106 participants with an age average of 39.7 (SD = 14.9) was conducted in 12 primary health care (PHC). The independent variables (age, sex, education, employment status, wealth index, and the distance between home and PHC) of instrumental support from family was assessed using MMAS-8. In contrast, the dependent variable of medication adherence was assessed using a self-reported instrument. Multivariate binary logistic regression was used in the analysis and indicated that participants receiving family support were more likely to adhere to medication protocol (95% CI = 1.1–6.3; p-value = 0.029). Instrumental support from family was associated with medication adherence among tuberculosis patients in Bogor City, West Java Province, Indonesia. It is necessary to design further comprehensive interventions in the community setting to encourage the family to support tuberculosis patients following medication protocol.
工具性支持是具体和有形的,例如,帮助提供食物或陪同病人到卫生保健机构。然而,它对印度尼西亚结核病患者服药依从性的影响需要探索。本研究旨在调查来自家庭的辅助支持对印度尼西亚西爪哇省茂物市结核病患者坚持服药的影响。在12个初级卫生保健(PHC)进行了一项横断面研究,涉及106名平均年龄为39.7岁(SD = 14.9)的参与者。采用MMAS-8评估家庭工具支持的自变量(年龄、性别、受教育程度、就业状况、财富指数、家与初级保健中心的距离)。相反,药物依从性的因变量使用自我报告的工具进行评估。多变量二元logistic回归分析表明,接受家庭支持的参与者更有可能坚持服药方案(95% CI = 1.1-6.3;p值= 0.029)。来自家庭的工具性支持与印度尼西亚西爪哇省茂物市结核病患者的药物依从性有关。有必要在社区环境中设计进一步的综合干预措施,鼓励家庭支持遵循药物治疗方案的结核病患者。
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引用次数: 0
Medication Adherence and Self-Management Practices among Type 2 Diabetes Mellitus Patients in Jeli District, Kelantan, Malaysia 马来西亚吉兰丹Jeli区2型糖尿病患者的药物依从性和自我管理实践
IF 0.7 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-11-30 DOI: 10.21109/kesmas.v17i4.6216
Marzuki Bin Muhammad, F. Yasmin, Alabed Ali A. Alabed, Bibi Florina Abdullah, Sandeep Poddar
This study was carried out to investigate the level of medication adherence and diabetic knowledge among type 2 diabetes mellitus patients in Jeli District, Kelantan, Malaysia. This cross-sectional study was done from February to July 2019 by giving a questionnaire to 150 type 2 diabetes mellitus patients aged 40-80 years at three primary health cares in Jeli District, Kelantan, Malaysia. The quantitative descriptive method was used in this study. The findings of this study revealed that knowledge was significantly related to poor adherence. When sex, history of diabetes, and education were accounted for, patients with low diabetic knowledge had an odds ratio of 4.53 for poor adherence compared to those with high knowledge (adj 95% CI (1.92-10.69), p-value = 0.001). To achieve the goal of regulating diabetes management in primary health care, a clinical supervision program should be implemented to improve staff competence in diabetes management and to empower patients through self-management.
本研究旨在调查马来西亚吉兰丹Jeli区2型糖尿病患者的药物依从性和糖尿病知识水平。这项横断面研究于2019年2月至7月进行,对马来西亚吉兰丹Jeli区三家初级卫生保健机构的150名40-80岁的2型糖尿病患者进行了问卷调查。本研究采用定量描述的方法。这项研究的结果表明,知识与依从性差显著相关。当考虑到性别、糖尿病史和教育程度时,与知识水平高的患者相比,糖尿病知识水平低的患者依从性差的优势比为4.53(adj.95%CI(1.92-10.69),p值=0.001)。为了实现在初级卫生保健中调节糖尿病管理的目标,应实施临床监督计划,以提高员工在糖尿病管理方面的能力,并通过自我管理赋予患者权力。
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引用次数: 0
Factors Influencing Handwriting Development among Preschool Children: A Systematic Review 影响学龄前儿童书写发展的因素:系统回顾
IF 0.7 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-11-30 DOI: 10.21109/kesmas.v17i4.6209
Zati Izny Achymy, Masne Kadar, Nor Afifi Razaob, Farahiyah Wan Yunus
Handwriting development is essential for academic performance, yet the research on the factors contributing to it is scant. This systematic review aimed to provide a comprehensive overview of the factors contributing to handwriting development among preschool children that may benefit public health knowledge, especially among teachers, parents, and therapists. A systematic search was conducted using four databases: PubMed, ERIC, CINAHL, and Google Scholar. During the preliminary search, 565 relevant studies were found. Screening, review selection, and characterization were performed based on the inclusion and exclusion criteria. The inclusion criteria included preschool children, quantitative, written in English, and published in January 2012 – January 2022. The exclusion criteria were studies involving children with specific diagnoses. A consensus agreement was obtained, and ten studies were eventually selected for the comprehensive review. Executive function, letter knowledge, motor skills, and writing surface were identified. These factors indicated that handwriting was not an independent process, as its acquisition involved numerous components. This systematic review confirmed that executive function, letter knowledge, motor skills, and writing surface influenced handwriting development. More randomized controlled trials should be conducted to provide more conclusive and exhaustive evidence.
书写能力的发展对学习成绩至关重要,但对其影响因素的研究却很少。本系统综述旨在全面概述影响学龄前儿童书写发展的因素,这可能有利于公共卫生知识,特别是教师、家长和治疗师。使用PubMed、ERIC、CINAHL和b谷歌Scholar四个数据库进行系统检索。在初步检索中,共发现565项相关研究。根据纳入和排除标准进行筛选、综述选择和特征描述。纳入标准为学龄前儿童,定量,英文书写,出版时间为2012年1月至2022年1月。排除标准是涉及有特殊诊断的儿童的研究。获得了一致的意见,最终选择了10项研究进行综合评价。执行功能、字母知识、运动技能和书写面被确定。这些因素表明,手写不是一个独立的过程,因为它的获得涉及许多组成部分。这一系统综述证实了执行功能、字母知识、运动技能和书写表面影响笔迹的发展。应该进行更多的随机对照试验,以提供更确凿和详尽的证据。
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引用次数: 1
Analysis of Hypertension Risk Behavior 高血压危险行为分析
IF 0.7 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-10-31 DOI: 10.35308/j-kesmas.v9i2.6101
Siti Maisyaroh Fitri Siregar, Adelina Irmayani Lubis
Hypertension is not only experienced in old age but in the last decade shows data on hypertension experienced by adults and even adolescents. The risk factors for hypertension do not result in the incidence of hypertension in a fast period, but a long/latent, so adolescents who behave at risk of hypertension are feared to contribute to increasing the incidence of hypertension in the young adult and old adult age groups. The purpose of this study is to identify and analyze risky behaviors in adolescents. The method used in this study is a quantitative design with a cross-sectional design. The sample of this study was late adolescence.The results showed that adolescents who consumed salt more than 1 tablespoon per day 81.2%, often smoked 80.1%, ate fatty 59.2%, never physical activity 70.2%, never consumed vegetables 48.9%, consumed junkfood 80.1%, and had a history of hypertension 33.3%. Conclusion of 7 variables as risky behavior 3 measurable variables are often carried out by adolescents, namely smoking, not doing physical activity, and never consuming vegetables. Health promotion of hypertension prevention needs to be instilled early so that adolescents behavior has good hypertension prevention behavior
高血压不仅发生在老年,而且在过去十年中显示了成年人甚至青少年的高血压数据。高血压的危险因素不是导致高血压的快速发病,而是长期/潜伏发病,因此青少年有高血压危险的行为可能会增加青壮年和老年人群的高血压发病率。本研究的目的是识别和分析青少年的危险行为。本研究采用的方法是定量设计和横断面设计。这项研究的样本是青少年晚期。结果显示,每天盐摄入量超过1汤匙的青少年占81.2%,经常吸烟的青少年占80.1%,吃高脂肪食物的青少年占59.2%,从不运动的青少年占70.2%,从不吃蔬菜的青少年占48.9%,吃垃圾食品的青少年占80.1%,有高血压史的青少年占33.3%。7个变量作为危险行为的结论3个可测量的变量是青少年经常进行的,即吸烟,不做体育活动,从不吃蔬菜。高血压预防的健康促进需要及早灌输,使青少年行为具有良好的高血压预防行为
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引用次数: 0
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Kesmas-National Public Health Journal
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