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Adherence to Taking Medication for Pulmonary Tuberculosis Patients is Associated with Role of Medication Supervisors and Family Support 肺结核患者服药依从性与用药督导和家庭支持的关系
IF 0.7 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-04-29 DOI: 10.35308/j-kesmas.v10i1.7386
Novalya Irma Putri, Danvil Nabela, Safrizal Safrizal, Sufyan Anwar
Tuberculosis (TB) remains a public health issue worldwide, affecting all age groups, despite being a preventable and curable disease. This study investigated the relationship between medication supervisors (RMS) and family support in medication adherence in pulmonary TB patients. This study is an observational type using a case-control design. The research was conducted in the working area of the Johan Pahlawan Community Health Center, West Aceh Regency, Aceh Province, in 2022. A total of 34 participants were recruited using the purposive sampling technique, with 17 participants in each group, i.e., the case group (non-adherent) and the control group (adherent). To minimise bias, matching was performed based on the participants' sex between the case and control groups. The chi-square test was used to test the hypothesis or to answer the research question, and the analysis was performed using computer software. The results showed that the p-value for the RMS and family support with medication adherence was <0.05, indicating a significant relationship. Thus, it can be concluded that RMS and family support significantly influence medication adherence among pulmonary TB patients.
尽管结核病是一种可预防和可治愈的疾病,但它仍然是全世界的一个公共卫生问题,影响到所有年龄组。本研究旨在探讨结核病患者服药依从性中用药监护人员(RMS)与家庭支持的关系。本研究为观察型,采用病例对照设计。该研究于2022年在亚齐省西亚齐县Johan Pahlawan社区卫生中心的工作区域进行。采用有目的抽样技术共招募34名参与者,每组17名参与者,即病例组(非依从)和对照组(依从)。为了最大限度地减少偏差,在病例组和对照组之间根据参与者的性别进行匹配。使用卡方检验来检验假设或回答研究问题,并使用计算机软件进行分析。结果显示,RMS与家庭支持与药物依从性的p值<0.05,关系显著。由此可见,RMS和家庭支持显著影响肺结核患者的药物依从性。
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引用次数: 0
The Relationship of Knowledge and Attitudes of Traders with Traditional Market Sanitation Hygiene 商贩知识态度与传统市场环境卫生的关系
IF 0.7 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-04-26 DOI: 10.35308/j-kesmas.v10i1.7381
D. Fera, Danvil Nabela, Sri Wahyuni Muchsin, K. Kiswanto, Wardah Iskandar, M. I. Fahlevi
Hygiene sanitation of the traditional market environment with conditions of ignorance of market traders must be clean from garbage, dirt in trading facilities and around the market and do not use personal protective equipment, various public health problems can occur if traders do not know and are not aware to maintain the cleanliness of market environment sanitation. The purpose of this study was to determine the relationship between knowledge and attitudes of traders with hygiene, sanitation, environment, traditional markets in Kota Fajar Village, North Kluert District, South Aceh Regency. Type of quantitative research with Cross Sectional design. The study was conducted on June 5-18, 2022 with a sample of 74 traders using a simple Random Sampling technique Data collection using questionnaires. Data analysis using univariate and bivariate analysis with chi-square test. The level of knowledge of market traders in maintaining the sanitary hygiene of the market environment was partly obtained by the results that 11 respondents 64.7% had poor knowledge with poor sanitary hygiene. Negative attitudes of 13 respondents 17.6% with poor sanitary hygiene . Based on statistical tests using chi-square, there is a relationship between the knowledge (P value 0.000) and attitude (P value 0.000) of market traders by maintaining the sanitary hygiene of the traditional market environment. It is expected that market traders will know and be aware of maintaining the cleanliness of facilities including personal protective equipment
传统市场环境的卫生卫生条件与市场经营者的无知必须清除垃圾,污垢在交易设施和市场周围,不使用个人防护装备,各种公共卫生问题可能会发生,如果经营者不知道和不知道保持市场环境卫生的清洁。本研究的目的是确定南亚齐县北Kluert区Kota Fajar村商人的知识和态度与卫生、环境、环境和传统市场之间的关系。横断面设计的定量研究类型。该研究于2022年6月5日至18日进行,采用简单的随机抽样技术,对74名交易员进行了抽样调查。数据分析采用单因素分析和双因素分析,采用卡方检验。调查结果显示,11名受访者(64.7%)对市场环境的卫生知识较差,并有较差的卫生知识。13名受访者态度消极,17.6%的人卫生习惯差。通过卡方统计检验,市场交易者通过保持传统市场环境卫生,其知识(P值0.000)与态度(P值0.000)之间存在相关关系。预期街市经营者会知道并留意保持设施清洁,包括个人防护装备
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引用次数: 0
Phytochemical Screening and Blood Glucose Level Effects of Bhee Fruit Extract (Melastoma sp) on Diabetic Mice 槟榔果提取物对糖尿病小鼠的植物化学筛选及血糖水平的影响
IF 0.7 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-04-20 DOI: 10.35308/j-kesmas.v10i1.7366
R. Rinawati, Sri Wahyuni Muhsin, Widia Sari, Afwa Hayuningtyas, Suci Eka Putri, Lili Eky Nursia, Siti Maisyaroh Fitri Siregar
Diabetes is a non-communicable disease among the highest causes of death worldwide, including in Indonesia. Factors that cause diabetes include pancreatic β-cell damage, genetic factors, and an unhealthy lifestyle. Diabetes is characterized by high blood glucose levels (hyperglycemia) beyond normal limits. Hyperglycaemia can be treated using synthetic chemical drugs or insulin therapy, which has adverse long-term effects. The community believes herbal medicine is an alternative diabetes treatment. Melastoma sp is a plant that has the potential as an antidiabetic agent. This study aimed to determine the effectiveness of ethanol extract of Bhee fruit (Melastoma sp) on blood glucose levels of diabetic mice. This study is a laboratory experiment using laboratory animals. The mice were divided into seven treatment groups with three replicates: KN (normal control), KP (treatment control), KD (diabetes control), KO (drug control), P1 (treatment dose of 100 mg/kgBB extract), P2 (treatment dose of 200 mg/kgBB extract), and P3 (treatment dose of 400 mg/kgBB extract). The study's results, the administration of doses of ethanol extract of the fruit 100, 200, and 300 mg /kgBB for 14 days reduced glucose levels in diabetic mice. However, they could not exceed the ability metformin at a dose of 500 mg/kgBB.
糖尿病是非传染性疾病,是全世界包括印度尼西亚在内的最高死因之一。导致糖尿病的因素包括胰腺β细胞损伤、遗传因素和不健康的生活方式。糖尿病的特征是超过正常范围的高血糖水平(高血糖)。高血糖可以使用合成化学药物或胰岛素治疗,但有不良的长期影响。该社区认为草药是治疗糖尿病的另一种方法。牡丹是一种具有潜在抗糖尿病作用的植物。本研究旨在探讨槟榔醇提物(Melastoma sp)对糖尿病小鼠血糖的影响。本研究是一项使用实验动物的实验室实验。将小鼠分为7个处理组,每组设3个重复:KN(正常对照组)、KP(治疗对照组)、KD(糖尿病对照组)、KO(药物对照组)、P1 (100 mg/kgBB提取物处理剂量)、P2 (200 mg/kgBB提取物处理剂量)、P3 (400 mg/kgBB提取物处理剂量)。研究结果显示,连续14天服用100mg /kgBB、200mg /kgBB和300mg /kgBB的乙醇提取物,降低了糖尿病小鼠的葡萄糖水平。然而,在500mg /kgBB的剂量下,它们不能超过二甲双胍的能力。
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引用次数: 0
Problem-Solving Cycle Analysis in Finance Department of Hospital 医院财务部问题解决周期分析
IF 0.7 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-04-20 DOI: 10.35308/j-kesmas.v10i1.6936
Meirina Darmastuti, B. Hartono
One of the factors in the success of a hospital is the extent to which the finance department can effectively manage funds. Financial reports prepared by applicable regulations can evaluate the hospital’s financial performance and become a tool in strategic decision-making. This research is a qualitative descriptive study using action research, the method, and problem-solving cycle analysis, which consists of five steps: situation analysis and problem identification, prioritization of problems and goals, analysis of the causes of problems, determination of alternative problem-solving, and plans of action. Research data were taken from interviews, review of annual financial reports, and minimum financial service standard reports: cost recovery, speed of information about hospitalization bills, and timeliness of preparing financial reports. This study aims to identify and solve problems in the finance department of the Bogor Islamic Hospital so that it can improve the performance and competitiveness of the hospital in a timely and cost-effective manner. Through the analysis of the problem-solving cycle, it was found that the priority problem was the analysis of incomplete financial statements. Then found the causes and alternative solutions to problems from human factors, money, materials, machines, methods, markets, and the environment. A plan of action has been made to resolve the finance department's priority problem, including creating a guidebook of financial reports, counseling to increase motivation to learn, and training for finance department employees. These solutions are expected to be promptly implemented and beneficial for the growth and development of the Bogor Islamic Hospital, especially the hospital’s finance department.
医院成功的因素之一是财务部门能在多大程度上有效地管理资金。根据相关法规编制的财务报告可以评估医院的财务绩效,并成为战略决策的工具。本研究是一项定性描述性研究,使用行动研究、方法和问题解决周期分析,包括五个步骤:情况分析和问题识别、问题和目标的优先级、问题原因分析、确定替代问题解决方案和行动计划。研究数据取自访谈、年度财务报告审查和最低财务服务标准报告:成本回收、住院账单信息的速度和编制财务报告的及时性。本研究旨在发现并解决茂物伊斯兰医院财务部门存在的问题,使其能够及时、高性价比地提高医院的绩效和竞争力。通过对问题解决周期的分析,发现首要问题是对不完整财务报表的分析。然后从人为因素、资金、材料、机器、方法、市场和环境等方面找出问题的原因和解决方案。为解决财务部门的优先问题,制定了一项行动计划,包括制作财务报告指南,提供咨询以提高学习动机,以及对财务部门员工进行培训。预计这些解决方案将迅速实施,并有利于茂物伊斯兰医院,特别是医院财务部门的成长和发展。
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引用次数: 0
Exploring the Relationship Between Immunization and Stunting: Understanding the Impact of Vaccinations on Child Growth and Development 探索免疫与发育迟缓之间的关系:了解疫苗接种对儿童生长发育的影响
IF 0.7 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-04-18 DOI: 10.35308/j-kesmas.v10i1.7364
Itza Mulyani, Khairunnas Khairunnas, Hanif Muchdatul Ayunda, A. Syafiq, A. Ahmad, Teuku Muliadi
The study aimed to investigate the relationship between stunting and completeness of immunization among children under five years old in Indonesia. The study used a cross-sectional design with a quantitative approach, utilizing secondary data from the Indonesian Family Life Study (IFLS) V big data in 2014. The sample consisted of children aged 12-59 months from 13 provinces in Indonesia, representing 83% of the total population. Data were analyzed using SPSS and STATA programs. Statistical analysis was performed to determine the association between immunization status and stunting. The results showed a significant statistical relationship (p-value <0.05) between immunization status and stunting occurrence among children aged 12-59 months in Indonesia, with a p-value of 0.001 and a PR value of 1.2 (95% CI: 1.14-1.6). Children who receive incomplete immunization have a 1.2 times greater risk of stunting compared to those who receive complete immunization. The study concluded that completeness of immunization is associated with stunting among children under five years old in Indonesia. Therefore, it is essential to ensure complete immunization coverage to prevent stunting in this population.
该研究旨在调查印度尼西亚五岁以下儿童发育迟缓与免疫接种完成之间的关系。该研究采用了定量方法的横截面设计,利用了2014年印度尼西亚家庭生活研究(IFLS) V大数据的二手数据。样本包括来自印度尼西亚13个省的12-59个月大的儿童,占总人口的83%。采用SPSS和STATA软件对数据进行分析。进行统计分析以确定免疫状况与发育迟缓之间的关系。结果显示,印度尼西亚12-59月龄儿童免疫接种状况与发育迟缓发生率之间存在显著的统计学关系(p值<0.05),p值为0.001,PR值为1.2 (95% CI: 1.14-1.6)。与接受完全免疫接种的儿童相比,接受不完全免疫接种的儿童发育迟缓的风险要高1.2倍。该研究得出结论,印度尼西亚五岁以下儿童的发育迟缓与免疫接种的完整性有关。因此,必须确保完全免疫覆盖,以防止这一人群发育迟缓。
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引用次数: 0
The Relationship between BPJS Patient Satisfaction Level and Service Quality in Hospitals 医院BPJS患者满意度与服务质量的关系
IF 0.7 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-04-18 DOI: 10.35308/j-kesmas.v10i1.7279
Muslih Dahlan, B. Widjanarko, S. Jati
Hospital is a health service institution that provides comprehensive personal health services, including medical services, medical rehabilitation and maintenance services. These services are carried out through the emergency department, outpatient unit and inpatient unit. Specialists and subspecialist doctors in hospitals provide outpatient services. By reviewing published works in 10 journals from 2015 to 2022, we examine the relationship between BPJS patient satisfaction level and service quality with the keywords service satisfaction journal search, BPJS, and Hospitals. The analytical tool used was PICO. The results of the study found that based on satisfaction indicators, there were seven dissatisfied journals (66.7%) on all the hands described (Tangibility, Reliability, Responsiveness, Assurance and Empathy) from 9 journals (90%) dissatisfied with BPJS services in hospitals. Patient satisfaction will impact the quality of service in a hospital.
医院是提供综合个人健康服务的卫生服务机构,包括医疗服务、医疗康复和维护服务。这些服务通过急诊科、门诊部和住院部提供。医院的专科医生和专科医生提供门诊服务。通过对2015 - 2022年10种期刊发表论文的梳理,以服务满意度期刊检索、BPJS、医院为关键词,研究了BPJS患者满意度与服务质量的关系。分析工具为PICO。研究结果发现,从满意度指标来看,对医院BPJS服务不满意的9家期刊(90%)中,有7家期刊(66.7%)对其所描述的所有方面(有形性、可靠性、响应性、保证性和移情性)不满意。病人的满意度会影响医院的服务质量。
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引用次数: 0
Effect of Germination on Antioxidant Activity of Peanut Sprouts (Arachis Hypogaea) 发芽对花生芽抗氧化活性的影响
IF 0.7 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-04-16 DOI: 10.35308/j-kesmas.v10i1.7198
Afwa Hayuningtyas, Suci Eka Putri, R. Rinawati, Khairunnas Khairunnas, M. Marniati
Peanuts (Arachis hypogaea L.) are plant-based foods that are abundantly available in Indonesia which also have high economic value and are an essential source of protein for many people. In Aceh, peanuts are one of the leading commodities, especially in the districts of Pidie, West Aceh, Aceh Jaya, Nagan Raya, Southwest Aceh and South Aceh. Apart from being rich in protein, it also contains fibre, antioxidants, and other good health components. During germination, proteins, starches, and lipids are metabolised by enzymes. These components are used as building blocks for growth and as a source of energy for respiration. Germination has the advantage of increasing several levels of nutrients, eliminating oligosaccharides that cause flatulence, and increasing several types of vitamins. Previous research reported that soybean germination significantly increased isoflavone levels and antioxidant activity of fresh tempeh flour produced. In this study, the antioxidant activity of peanut sprouts was identified using the DPPH (2,2-diphenyl-1-picryl-hydrazine-hydrate) radical scavenging method in three different germination times. The result shows that the most optimal percentage of antioxidant activity is the 48-hour treatment (88.24%). It also shows that the germination treatment can increase the per cent of antioxidant activity compared to peanuts without germination. 
花生(arachhis hypogaea L.)是一种植物性食物,在印度尼西亚储量丰富,具有很高的经济价值,是许多人必需的蛋白质来源。在亚齐,花生是主要商品之一,特别是在皮迪、西亚齐、亚齐查亚、纳甘拉亚、亚齐西南部和亚齐南部地区。除了富含蛋白质外,它还含有纤维、抗氧化剂和其他有益健康的成分。在发芽过程中,蛋白质、淀粉和脂质被酶代谢。这些成分被用作生长的基石和呼吸的能量来源。发芽的好处是增加了几种营养水平,消除了引起肠胃胀气的低聚糖,增加了几种维生素。以前的研究报道,大豆发芽显著提高了新鲜豆豉粉的异黄酮含量和抗氧化活性。本研究采用DPPH(2,2-二苯基-1-苦味基-水合肼)自由基清除法对花生芽在3种不同萌发时间的抗氧化活性进行了鉴定。结果表明,处理48 h时,其抗氧化活性最高(88.24%)。与未发芽的花生相比,发芽处理能使花生抗氧化活性提高百分之百。
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引用次数: 0
Job Satisfaction Model of Primary Health Care Midwives Based on Indonesian Workforce Research in the Health Sector 基于印尼卫生部门劳动力研究的初级卫生保健助产士工作满意度模型
IF 0.7 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-02-27 DOI: 10.21109/kesmas.v18i1.6355
Mieska Despitasari, A. Bachtiar, H. Hendarwan, B. Besral, Y. Yuniar
Promotive, preventive, curative, and rehabilitative efforts that are comprehensive, integrated, and sustainable are employed to enhance the health state of the global population. Within this context, however, the quality of primary health care depends on job satisfaction, which leads to the happiness of human resources in the health sector. Therefore, this study aimed to analyze and formulate a job satisfaction model among primary health care midwives in Indonesia. This study was an advanced secondary data analysis of a cross-sectional study conducted in 2017 by the National Institute of Health Research and Development, Ministry of Health of the Republic of Indonesia. A total of 87,341 midwives from all 9,669 primary health cares in Indonesia participated in this study. Data were collected by distributing the Minnesota Satisfaction Questionnaire, elaborating on the satisfaction level and relevant contributing factors. The prefilled Likert scale questionnaire was analyzed using logistic regression. The findings suggested a model indicating that motivation, work area (region), history of salary delay, and training received were important for their job satisfaction, whereas the motivation aspect contributed the most. Therefore, the local and central governments must consider these factors in the human resource policymaking process.
采用全面、综合和可持续的促进、预防、治疗和康复努力来改善全球人口的健康状况。然而,在这种情况下,初级卫生保健的质量取决于工作满意度,这会使卫生部门的人力资源感到幸福。因此,本研究旨在分析和制定印度尼西亚初级卫生保健助产士的工作满意度模型。这项研究是对印度尼西亚共和国卫生部国家卫生研究与发展研究所2017年进行的一项横断面研究的高级二次数据分析。来自印度尼西亚9669个初级保健机构的87341名助产士参与了这项研究。通过分发明尼苏达州满意度问卷收集数据,详细说明满意度水平和相关影响因素。采用逻辑回归法对预先填写的Likert量表进行分析。研究结果表明,一个模型表明,动机、工作领域(地区)、薪资延迟史和接受的培训对他们的工作满意度很重要,而动机方面的贡献最大。因此,地方和中央政府在人力资源决策过程中必须考虑这些因素。
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引用次数: 0
Developing a New Tool for Early Detection of the Nutritional and Health Risk Factors of Urban Workers’ Productivity 开发一种早期检测城市工人生产力营养和健康风险因素的新工具
IF 0.7 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-02-27 DOI: 10.21109/kesmas.v18i1.6359
Hildagardis Meliyani Erista Nai, Arimbi Karunia Estri, Christina Ririn Widianti
Nutrition and health play vital roles in work productivity. This study aimed to develop a risk self-assessment tool called Early Detection of the Nutritional and Health Risk Factors on the productivity of urban workers. This study was conducted in two stages: 1) the development of the tool to determine the nutritional and health risk factors that affect productivity based on literature reviews and scoring systems and 2) the testing of validity and reliability. Finally, the tool contained 63 items, including 28 items on nutritional risk factors and 35 on health risk factors. The validity of the tool was assessed using the content validity index (CVI): item-level CVI (I-CVI) and scale-level CVI (S-CVI), and face validity index (FVI) and reliability using Cronbach’s alpha coefficient. Preliminary versions of this tool showed a high content validity (I-CVI = 1.00; S-CVI based on the average method = 1). The face validity index among urban workers was at least 0.90, and the overall Cronbach’s alpha coefficient was 0.70. The tool developed is acceptable, but revisions are still needed, and sample sizes must be increased.
营养和健康在工作效率方面发挥着至关重要的作用。本研究旨在开发一种风险自我评估工具,称为对城市工人生产力的营养和健康风险因素的早期检测。这项研究分两个阶段进行:1)开发工具,根据文献综述和评分系统确定影响生产力的营养和健康风险因素;2)测试有效性和可靠性。最后,该工具包含63个项目,其中28个项目涉及营养风险因素,35个项目涉及健康风险因素。该工具的有效性使用内容有效性指数(CVI)进行评估:项目级CVI(I-CVI)和量表级CVI。该工具的初步版本显示出较高的内容有效性(I-CVI=1.00;基于平均方法的S-CVI=1)。城市工人的面部有效性指数至少为0.90,总体克朗巴赫α系数为0.70。开发的工具是可以接受的,但仍需要修订,并且必须增加样本量。
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引用次数: 0
Oxidative Stress Levels of Fine Particulate Matter (PM2.5) and Urinary Glutathione of Microbus Drivers 微生物驾驶员细颗粒物(PM2.5)和尿谷胱甘肽的氧化应激水平
IF 0.7 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-02-27 DOI: 10.21109/kesmas.v18i1.6289
Purnama Sidebang, A. Kusumayati, Budi Haryanto
Urinary glutathione levels are known to be an early indicator of oxidative stress in travelers. This study analyzed the association between particulate matter (PM2.5) exposure on the road and urine glutathione levels in Jakarta’s microbus drivers. This cross-sectional study involved 96 microbuses (one of Jakarta’s public transportations) drivers of nine routes in Kampung Melayu Bus Station, Jakarta, Indonesia. An anthropometric assessment and a structured questionnaire were employed. Along with the participants driving on the road, real-time personal equipment measuring PM2.5 exposure concentrations was used. Total glutathione levels were measured using a colorimetric method. A correlation test and linear regression analysis were used to examine the effect of PM2.5 exposure on total glutathione levels. The average PM2.5 exposure concentration was 90.9±1.8 μg/m3, with a maximum concentration of 114.7 μg/m3. The average urinary glutathione level was 1.3±0.5 μM. The regression analysis showed that PM2.5 was associated with urinary glutathione levels after controlling for body mass index and smoking status. To conclude, the drivers experience exposure to an extremely high level of PM2.5 that could influence the glutathione levels.
众所周知,尿谷胱甘肽水平是旅行者氧化应激的早期指标。这项研究分析了雅加达微型公共汽车司机在道路上暴露的颗粒物(PM2.5)与尿液谷胱甘肽水平之间的关系。这项横断面研究涉及印度尼西亚雅加达Kampung Melayu巴士站九条路线的96名微型巴士(雅加达的公共交通工具之一)司机。采用人体测量评估和结构化问卷。除了在路上开车的参与者,还使用了实时测量PM2.5暴露浓度的个人设备。使用比色法测量总谷胱甘肽水平。采用相关性检验和线性回归分析来检验PM2.5暴露对总谷胱甘肽水平的影响。PM2.5平均暴露浓度为90.9±1.8微克/立方米,最大浓度为114.7微克/立方米。尿谷胱甘肽平均水平为1.3±0.5μ。回归分析表明,在控制了体重指数和吸烟状况后,PM2.5与尿谷胱甘肽水平有关。总之,驾驶员会接触到极高水平的PM2.5,这可能会影响谷胱甘肽水平。
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引用次数: 0
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Kesmas-National Public Health Journal
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