Margaret M. Brennan, Sarah Whitmee, C. Braneon, Nienke Meinsma, R. Green
Background: Climate change is the greatest threat to global health in the 21 st century. Rising sea levels are one particularly concerning manifestation of this and many of the world ’ s largest cities are vulnerable to sea level rise (SLR). Thus, urban climate adaptation and mitigation policies are increasingly important to protect population health. Objectives: This study aimed to determine whether being at risk of SLR was associated with city-level climate action. It also aimed to assess the wider drivers of climate action in cities, in order to guide ongoing efforts to motivate climate action, assess public health preparedness and identify research gaps. Methods: This is an ecological cross-sectional study using secondary data from CDP, the Urban Climate Change Research Network (UCCRN), World Bank, United Nations Cities and EM-DAT (Emergency Events Database). The study population consisted of 517 cities who participated in CDP ’ s 2019 Cities Survey. Multivariable logistic regression was utilized to assess the relationship between risk of SLR and city-level climate action, and secondly, to assess the wider determinants of city-level climate action. Results: There was evidence of crude associations between risk of SLR and three outcome variables representing city-level climate action. However, after adjusting for confounding variables, these crude associations disappeared. World region, national income status and urban population were shown to be stronger predictors of city-level climate action. Conclusion: It is concerning for population health that there is no association demonstrated between risk of SLR and climate action. This could indicate a lack of awareness of the risks posed by SLR within urban governance. To fulfil their health protection responsibilities, it is essential that public health professionals take a leading role in advocating for climate action.
{"title":"Sea Level Rise and City-Level Climate Action","authors":"Margaret M. Brennan, Sarah Whitmee, C. Braneon, Nienke Meinsma, R. Green","doi":"10.21601/ejeph/12046","DOIUrl":"https://doi.org/10.21601/ejeph/12046","url":null,"abstract":"Background: Climate change is the greatest threat to global health in the 21 st century. Rising sea levels are one particularly concerning manifestation of this and many of the world ’ s largest cities are vulnerable to sea level rise (SLR). Thus, urban climate adaptation and mitigation policies are increasingly important to protect population health. Objectives: This study aimed to determine whether being at risk of SLR was associated with city-level climate action. It also aimed to assess the wider drivers of climate action in cities, in order to guide ongoing efforts to motivate climate action, assess public health preparedness and identify research gaps. Methods: This is an ecological cross-sectional study using secondary data from CDP, the Urban Climate Change Research Network (UCCRN), World Bank, United Nations Cities and EM-DAT (Emergency Events Database). The study population consisted of 517 cities who participated in CDP ’ s 2019 Cities Survey. Multivariable logistic regression was utilized to assess the relationship between risk of SLR and city-level climate action, and secondly, to assess the wider determinants of city-level climate action. Results: There was evidence of crude associations between risk of SLR and three outcome variables representing city-level climate action. However, after adjusting for confounding variables, these crude associations disappeared. World region, national income status and urban population were shown to be stronger predictors of city-level climate action. Conclusion: It is concerning for population health that there is no association demonstrated between risk of SLR and climate action. This could indicate a lack of awareness of the risks posed by SLR within urban governance. To fulfil their health protection responsibilities, it is essential that public health professionals take a leading role in advocating for climate action.","PeriodicalId":72973,"journal":{"name":"European journal of environment and public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43600003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Assessment of Factors Influencing Non-Communicable Diseases Literacy Levels in Vihiga County – A Qualitative Cross-Sectional Study. ABSTRACT Background: Health outcomes are closely influenced by health literacy levels. In most cases, lower health literacy levels have been found to be related to higher prevalence and incidence of non-communicable diseases (NCDs) – including cardiovascular and cerebrovascular diseases, cancer, diabetes, hypertension, and other chronic respiratory diseases. Despite this wealth of knowledge on the relationship between literacy levels and NCDs, most previous studies have been on the incidence and the prevalence of NCDs. Aims: This study therefore sought to assess the factors influencing non-communicable diseases literacy levels, Vihiga County (Kenya). Methodology: The study used a qualitative cross-sectional study design to collect data through though questionnaires and interview guides administered through focused group discussions and key informant interviews. A sample size of 55 respondents was used in this study – mostly the IPAB project (Improving Priority and Budget Allocation to NCDs in Vihiga County) beneficiaries. The data collected from this study was coded using Microsoft excel version 25 and analyzed using statistical packages for social sciences (SPSS version 25) and inductive data analysis (IDA) for the qualitative data collected was analyzed through traditional significance test. Results: The study reported that community health programs and initiatives on NCDs, patient support groups, culture and misinformation influence NCD literacy levels. The study findings indicate that culture and misinformation, patient support groups, and community health programmes and initiatives are three key components that need to be considered when improving NCDs literacy levels. Conclusion: The study also concludes that IPAB project helped boost the resident ’ s knowledge and understanding of NCDs. The findings of this study offer critical insights to Vihiga County Government to tailor their NCDs advocacy programs to fit local context thereby enhancing the knowledge and understanding on NCDs.
{"title":"Assessment of Factors Influencing Non-Communicable Diseases Literacy Levels in Vihiga County–A Qualitative Cross-Sectional Study","authors":"S. Ogweno, Kevin Oduor","doi":"10.21601/ejeph/12021","DOIUrl":"https://doi.org/10.21601/ejeph/12021","url":null,"abstract":"Assessment of Factors Influencing Non-Communicable Diseases Literacy Levels in Vihiga County – A Qualitative Cross-Sectional Study. ABSTRACT Background: Health outcomes are closely influenced by health literacy levels. In most cases, lower health literacy levels have been found to be related to higher prevalence and incidence of non-communicable diseases (NCDs) – including cardiovascular and cerebrovascular diseases, cancer, diabetes, hypertension, and other chronic respiratory diseases. Despite this wealth of knowledge on the relationship between literacy levels and NCDs, most previous studies have been on the incidence and the prevalence of NCDs. Aims: This study therefore sought to assess the factors influencing non-communicable diseases literacy levels, Vihiga County (Kenya). Methodology: The study used a qualitative cross-sectional study design to collect data through though questionnaires and interview guides administered through focused group discussions and key informant interviews. A sample size of 55 respondents was used in this study – mostly the IPAB project (Improving Priority and Budget Allocation to NCDs in Vihiga County) beneficiaries. The data collected from this study was coded using Microsoft excel version 25 and analyzed using statistical packages for social sciences (SPSS version 25) and inductive data analysis (IDA) for the qualitative data collected was analyzed through traditional significance test. Results: The study reported that community health programs and initiatives on NCDs, patient support groups, culture and misinformation influence NCD literacy levels. The study findings indicate that culture and misinformation, patient support groups, and community health programmes and initiatives are three key components that need to be considered when improving NCDs literacy levels. Conclusion: The study also concludes that IPAB project helped boost the resident ’ s knowledge and understanding of NCDs. The findings of this study offer critical insights to Vihiga County Government to tailor their NCDs advocacy programs to fit local context thereby enhancing the knowledge and understanding on NCDs.","PeriodicalId":72973,"journal":{"name":"European journal of environment and public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44491767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: In Arab countries , genetic blood disorders are common and account for a major proportion of physical and mental disability. Premarital screening is one of the most successful programs in the United Arab Emirates for reducing such high prevalence. Aim: To assess the attitudes of the university students towards premarital screening program. Method: A cross-sectional descriptive study was conducted at Ras Al Khaimah Medical and Health Sciences University during the period from February to June 2020. A self-administered questionnaire was distributed to 265 students using systematic random sample technique. The questionnaire comprised of two parts: students ’ demographic data and students ’ attitude about premarital screening program. Results: The study findings revealed that the majority of participants agreed that premarital screening program prevents disease transmission to their offspring and ensures their partner ’ s health. A fair number believed that if any diseases appeared on one of the couples has to be treated and rehabilitated before marriage. Most of them believed that to get married with incompatible result is a wrong decision. Conclusion: Majority of the participants have a satisfactory attitude about premarital screening program. On the other hand, targeted educational programs regarding the importance of premarital screening program are strongly suggested to eliminate all factors that may impair the program success.
{"title":"University Students Attitude Towards the National Premarital Screening Program of UAE","authors":"R. A. Abd El-Kader, Latifa Mohamed Saleh","doi":"10.21601/ejeph/12022","DOIUrl":"https://doi.org/10.21601/ejeph/12022","url":null,"abstract":"Background: In Arab countries , genetic blood disorders are common and account for a major proportion of physical and mental disability. Premarital screening is one of the most successful programs in the United Arab Emirates for reducing such high prevalence. Aim: To assess the attitudes of the university students towards premarital screening program. Method: A cross-sectional descriptive study was conducted at Ras Al Khaimah Medical and Health Sciences University during the period from February to June 2020. A self-administered questionnaire was distributed to 265 students using systematic random sample technique. The questionnaire comprised of two parts: students ’ demographic data and students ’ attitude about premarital screening program. Results: The study findings revealed that the majority of participants agreed that premarital screening program prevents disease transmission to their offspring and ensures their partner ’ s health. A fair number believed that if any diseases appeared on one of the couples has to be treated and rehabilitated before marriage. Most of them believed that to get married with incompatible result is a wrong decision. Conclusion: Majority of the participants have a satisfactory attitude about premarital screening program. On the other hand, targeted educational programs regarding the importance of premarital screening program are strongly suggested to eliminate all factors that may impair the program success.","PeriodicalId":72973,"journal":{"name":"European journal of environment and public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49644693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Tozun, Irem Zengi, Bilal Can Kart, Ezgi Ugur, Melike Cumen, Safak Kalender, Mert Dikmeoglu, Simge Seker, Omer Aydin
Introduction: In disaster-prone countries, preparedness is a very important factor in reducing the damages of disaster. The aim of this study is to determine the disaster preparedness knowledge level of a university ’ s medical students and to evaluate the relationships between possible related factors and disaster preparedness knowledge. Material and Method: This study is a cross-sectional study. The subject of research is measuring the level of disaster preparedness knowledge. The working period in which the online survey is applied is December 1-December 31, 2020. It was aimed to participate that attend the first and second grades of the medical faculty studying in the main campus of a University in Turkey. In order to compare the knowledge level of disaster preparedness among medical students, it was planned to include other faculty students as a control group. In the study, 75 medical students and 20 students from other faculties participated. A high score indicates good disaster preparedness. Chi-square, Mann Whitney U, and Kruskal Wallis were used in the statistical analyses. Results: The median value for disaster preparedness level score for all participants was 51.0 (min: 23.0; max: 63.0). Disaster preparedness knowledge level median score (54.0 [29.0-63.0]) was higher in women than men (48.5 [23.0-62.0]) (p<0.05). The median score of disaster preparedness knowledge level (53.0 [23.0-63.0]) of the second and upper grade was higher than the median score (49.0 [29.0-62.0]) of the first-year students (p<0.05). The median score of disaster preparedness knowledge level (55.0 [34.0-62.0]) was higher than the others (49.0 [23.0-63.0]) in those living in the city where their family resides (p<0.05). Conclusion: It can be said that the level of disaster preparedness for all participants is good. It is recommended to conduct a similar study in a larger study group.
{"title":"Assessment of Disaster Preparedness Level of Medical Students of a University, Turkey","authors":"M. Tozun, Irem Zengi, Bilal Can Kart, Ezgi Ugur, Melike Cumen, Safak Kalender, Mert Dikmeoglu, Simge Seker, Omer Aydin","doi":"10.21601/ejeph/11834","DOIUrl":"https://doi.org/10.21601/ejeph/11834","url":null,"abstract":"Introduction: In disaster-prone countries, preparedness is a very important factor in reducing the damages of disaster. The aim of this study is to determine the disaster preparedness knowledge level of a university ’ s medical students and to evaluate the relationships between possible related factors and disaster preparedness knowledge. Material and Method: This study is a cross-sectional study. The subject of research is measuring the level of disaster preparedness knowledge. The working period in which the online survey is applied is December 1-December 31, 2020. It was aimed to participate that attend the first and second grades of the medical faculty studying in the main campus of a University in Turkey. In order to compare the knowledge level of disaster preparedness among medical students, it was planned to include other faculty students as a control group. In the study, 75 medical students and 20 students from other faculties participated. A high score indicates good disaster preparedness. Chi-square, Mann Whitney U, and Kruskal Wallis were used in the statistical analyses. Results: The median value for disaster preparedness level score for all participants was 51.0 (min: 23.0; max: 63.0). Disaster preparedness knowledge level median score (54.0 [29.0-63.0]) was higher in women than men (48.5 [23.0-62.0]) (p<0.05). The median score of disaster preparedness knowledge level (53.0 [23.0-63.0]) of the second and upper grade was higher than the median score (49.0 [29.0-62.0]) of the first-year students (p<0.05). The median score of disaster preparedness knowledge level (55.0 [34.0-62.0]) was higher than the others (49.0 [23.0-63.0]) in those living in the city where their family resides (p<0.05). Conclusion: It can be said that the level of disaster preparedness for all participants is good. It is recommended to conduct a similar study in a larger study group.","PeriodicalId":72973,"journal":{"name":"European journal of environment and public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47691128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Accepted: 8 Feb. 2022 Xenophobia can be defined as negative prejudice towards strangers. It can also be defined as the hatred of foreigners. Psychological resilience is an independent source of resistance and a personality-based tendency to mitigate and overcome the effects of a stressful life. Psychological resilience has three dimensions; commitment, control, and challenge. A review of xenophobia, in terms of psychological resilience, has not been examined yet. This study examines the xenophobic opinions and attitudes of Turkish citizens living in Istanbul against more than 4 million immigrants with various legal status in Turkey in terms of psychological resilience. As a result of the study, it was observed that psychological resilience did not function as resistance against xenophobia. This result is obtained since two of the three factors representing psychological resilience strengthen the xenophobia.
{"title":"A Quantitative Research on the Xenophobia Examination in Terms of Psychological Resilience: Case of Istanbul","authors":"Ahmed Taha Arifoglu, Orhan Koçak","doi":"10.21601/ejeph/11803","DOIUrl":"https://doi.org/10.21601/ejeph/11803","url":null,"abstract":"Accepted: 8 Feb. 2022 Xenophobia can be defined as negative prejudice towards strangers. It can also be defined as the hatred of foreigners. Psychological resilience is an independent source of resistance and a personality-based tendency to mitigate and overcome the effects of a stressful life. Psychological resilience has three dimensions; commitment, control, and challenge. A review of xenophobia, in terms of psychological resilience, has not been examined yet. This study examines the xenophobic opinions and attitudes of Turkish citizens living in Istanbul against more than 4 million immigrants with various legal status in Turkey in terms of psychological resilience. As a result of the study, it was observed that psychological resilience did not function as resistance against xenophobia. This result is obtained since two of the three factors representing psychological resilience strengthen the xenophobia.","PeriodicalId":72973,"journal":{"name":"European journal of environment and public health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68371818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Accepted: 3 Feb. 2022 The research was aimed at eliminating Vibrio cholerae from raw sewage collected from home spills of Chegutu, Zimbabwe. An experimental approach was used in which homogenized raw sewage, inoculated with Chlorella vulgaris culture was distributed equally into three tanks and left to stand for three weeks. Samples were extracted from the three tanks and tested for the presence of Vibrio cholerae and physico-chemical parameters once in seven days. Results showed a continuous decrease in the quantities of Vibrio cholerae as well as physico-chemical parameters. Vibrio cholerae was totally eliminated from the sewage within 21 days. Chlorella vulgaris can be used as a bioremediation agent to eliminate the Vibrio cholerae from sewage. The research recommends that the prototype designed from this research could be used at a large scale in the elimination of Vibrio cholerae in Municipal raw sewage.
{"title":"Elimination of Vibrio Cholerae from Raw Sewage Using Chlorella Vulgaris: A Case of Chegutu Waste Reticulation, Zimbabwe","authors":"J. Mukaro, Hope Rukawo","doi":"10.21601/ejeph/11724","DOIUrl":"https://doi.org/10.21601/ejeph/11724","url":null,"abstract":"Accepted: 3 Feb. 2022 The research was aimed at eliminating Vibrio cholerae from raw sewage collected from home spills of Chegutu, Zimbabwe. An experimental approach was used in which homogenized raw sewage, inoculated with Chlorella vulgaris culture was distributed equally into three tanks and left to stand for three weeks. Samples were extracted from the three tanks and tested for the presence of Vibrio cholerae and physico-chemical parameters once in seven days. Results showed a continuous decrease in the quantities of Vibrio cholerae as well as physico-chemical parameters. Vibrio cholerae was totally eliminated from the sewage within 21 days. Chlorella vulgaris can be used as a bioremediation agent to eliminate the Vibrio cholerae from sewage. The research recommends that the prototype designed from this research could be used at a large scale in the elimination of Vibrio cholerae in Municipal raw sewage.","PeriodicalId":72973,"journal":{"name":"European journal of environment and public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42038863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Casey J Mace Firebaugh, Tishra Beeson, Stephanie M. Morgan, Amie Wojtyna, Hannah Lascano, M. Madlem
{"title":"Mental Distress Associated with Air Quality Vulnerability During COVID-19","authors":"Casey J Mace Firebaugh, Tishra Beeson, Stephanie M. Morgan, Amie Wojtyna, Hannah Lascano, M. Madlem","doi":"10.21601/ejeph/11674","DOIUrl":"https://doi.org/10.21601/ejeph/11674","url":null,"abstract":"","PeriodicalId":72973,"journal":{"name":"European journal of environment and public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42003860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Kordoutis, Aspasia Pizga, E. Karatzanos, S. Tsikrika, V. Gioni, I. Vasileiadis, S. Nanas
Patients with cardiovascular diseases face difficulty to adhere to non-pharmaceutical treatment recommendations and consequently face an increased recurrence rate, re-hospitalizations and poor quality of life. Our review of the literature over the past decade aims to be a useful tool to the enlightening of health care providers and health educators about the interventions that enhance treatment adherence to lifestyle modification. PubMed, PsycLIT, Cochrane Library, Scopus, CINAhl, PSYinfo, Web of Science, and Central databases were searched to identify articles published within the decade 2011-2021 and 42 studies met the criteria for inclusion. Our study revealed many different approaches to inconsistency in life style prescriptions focusing mainly on psychological and social factors. Interventions like increasing of knowledge, joining cardiac rehabilitation programs, development of a therapeutic alliance, behavioral techniques that reinforce self-efficacy and motivation, use of technology as reminder and creating a support network are not only effective but also low-cost programs that will play a decisive role in treatment effectiveness. Improving treatment adherence to lifestyle recommendations requires a multidimensial approach by an interdisciplinary team of health professionals. Investing in interventions that improve attitudes, beliefs, readiness and self-care, can prove to be very rewarding for patients, health and economics. The present literature review will assist health professionals and educators create experiential educational and behavioral programs that promote the adoption of healthy behavior and help maintain adherence over time. Future research is required for identifying the most effective interventions based on different lifestyles practices and cultural factors.
心血管疾病患者难以遵守非药物治疗建议,因此面临复发率增加、再次住院和生活质量差的问题。我们对过去十年的文献进行了回顾,旨在成为一个有用的工具,以启发医疗保健提供者和健康教育工作者关于提高对生活方式改变的治疗依从性的干预措施。检索PubMed、PsycLIT、Cochrane Library、Scopus、CINAhl、PSYinfo、Web of Science和Central数据库,以确定2011-2021年间发表的文章,42项研究符合纳入标准。我们的研究揭示了许多不同的方法来解决生活方式处方的不一致性,主要集中在心理和社会因素上。增加知识、加入心脏康复计划、发展治疗联盟、增强自我效能和动机的行为技术、使用技术作为提醒和创建支持网络等干预措施不仅有效,而且成本低,将对治疗效果起决定性作用。提高对生活方式建议的治疗依从性需要一个跨学科的健康专业团队采取多学科的方法。事实证明,投资于改善态度、信念、准备状态和自我护理的干预措施对患者、健康和经济都是非常有益的。目前的文献综述将帮助卫生专业人员和教育工作者创建体验式的教育和行为计划,促进健康行为的采用,并有助于随着时间的推移保持依从性。未来需要进行研究,根据不同的生活方式和文化因素确定最有效的干预措施。
{"title":"Psychosocial Interventions to Enhance Treatment Adherence to Lifestyle Changes in Cardiovascular Disease: A Review of the Literature 2011-2021","authors":"P. Kordoutis, Aspasia Pizga, E. Karatzanos, S. Tsikrika, V. Gioni, I. Vasileiadis, S. Nanas","doi":"10.21601/ejeph/11582","DOIUrl":"https://doi.org/10.21601/ejeph/11582","url":null,"abstract":"Patients with cardiovascular diseases face difficulty to adhere to non-pharmaceutical treatment recommendations and consequently face an increased recurrence rate, re-hospitalizations and poor quality of life. Our review of the literature over the past decade aims to be a useful tool to the enlightening of health care providers and health educators about the interventions that enhance treatment adherence to lifestyle modification. PubMed, PsycLIT, Cochrane Library, Scopus, CINAhl, PSYinfo, Web of Science, and Central databases were searched to identify articles published within the decade 2011-2021 and 42 studies met the criteria for inclusion. Our study revealed many different approaches to inconsistency in life style prescriptions focusing mainly on psychological and social factors. Interventions like increasing of knowledge, joining cardiac rehabilitation programs, development of a therapeutic alliance, behavioral techniques that reinforce self-efficacy and motivation, use of technology as reminder and creating a support network are not only effective but also low-cost programs that will play a decisive role in treatment effectiveness. Improving treatment adherence to lifestyle recommendations requires a multidimensial approach by an interdisciplinary team of health professionals. Investing in interventions that improve attitudes, beliefs, readiness and self-care, can prove to be very rewarding for patients, health and economics. The present literature review will assist health professionals and educators create experiential educational and behavioral programs that promote the adoption of healthy behavior and help maintain adherence over time. Future research is required for identifying the most effective interventions based on different lifestyles practices and cultural factors.","PeriodicalId":72973,"journal":{"name":"European journal of environment and public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45067009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Robert Kamwela, Chidera Gabriel Obi, L. Fozeu, E. Ezaka, Chisom Ochonma
1 Department of Parasitology and Entomology, Nnamdi Azikiwe University, Awka, NIGERIA 2 Bafmen Sub-Divisional Hospital, Northwest Region, CAMEROON 3 Department of Medical Laboratory Technology, College of Health Technology, Adamawa, NIGERIA 4 Department of Economics, University of Malawi, Zomba, MALAWI 5 Institute of Development Policy and Management, University of Antwerp, Antwerp, BELGIUM *Corresponding Author: robertkamwela@gmail.com
{"title":"Knowledge, Attitudes, Practices, and Misconceptions towards COVID-19 among Sub-Sahara Africans","authors":"Robert Kamwela, Chidera Gabriel Obi, L. Fozeu, E. Ezaka, Chisom Ochonma","doi":"10.21601/ejeph/11559","DOIUrl":"https://doi.org/10.21601/ejeph/11559","url":null,"abstract":"1 Department of Parasitology and Entomology, Nnamdi Azikiwe University, Awka, NIGERIA 2 Bafmen Sub-Divisional Hospital, Northwest Region, CAMEROON 3 Department of Medical Laboratory Technology, College of Health Technology, Adamawa, NIGERIA 4 Department of Economics, University of Malawi, Zomba, MALAWI 5 Institute of Development Policy and Management, University of Antwerp, Antwerp, BELGIUM *Corresponding Author: robertkamwela@gmail.com","PeriodicalId":72973,"journal":{"name":"European journal of environment and public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42498480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
of Factors that Determine Medical Practice Styles Using the Analytic Hierarchy Process. The medical profession has maintained its importance throughout human history. Communication between physician and patient is one of the most important issues that determine the success of the medical profession. In this success, physician behaviors and styles play a determining role in the practice of medicine. The aim of this study is to determine the factor weights affecting the practice styles in medicine and to prioritize them. The Analytic Hierarchy Process (AHP) is used in the study. The AHP technique is helpful for the decision maker as it prioritizes the factors based on their weights using a pairwise comparison matrix. The factor comparison data are obtained from a total of 22 clinician specialist physicians. According to the results of the application, the factors determining the practice style are Professional Experience (31.9%), Medical Education (21.8%), Patient and Disease (18.2%), Personality (11.5%), Institution (8.8%), and Family and Social Environment (7.8%), respectively. The concept of medical styles aimed to contribute to the development of the physicians ’ own styles and to create awareness. It is expected to contribute to medical education and professional development.
{"title":"Prioritization of Factors that Determine Medical Practice Styles Using the Analytic Hierarchy Process","authors":"G. Ağaç, S. Bostan, S. Sahinoz","doi":"10.21601/ejeph/11558","DOIUrl":"https://doi.org/10.21601/ejeph/11558","url":null,"abstract":"of Factors that Determine Medical Practice Styles Using the Analytic Hierarchy Process. The medical profession has maintained its importance throughout human history. Communication between physician and patient is one of the most important issues that determine the success of the medical profession. In this success, physician behaviors and styles play a determining role in the practice of medicine. The aim of this study is to determine the factor weights affecting the practice styles in medicine and to prioritize them. The Analytic Hierarchy Process (AHP) is used in the study. The AHP technique is helpful for the decision maker as it prioritizes the factors based on their weights using a pairwise comparison matrix. The factor comparison data are obtained from a total of 22 clinician specialist physicians. According to the results of the application, the factors determining the practice style are Professional Experience (31.9%), Medical Education (21.8%), Patient and Disease (18.2%), Personality (11.5%), Institution (8.8%), and Family and Social Environment (7.8%), respectively. The concept of medical styles aimed to contribute to the development of the physicians ’ own styles and to create awareness. It is expected to contribute to medical education and professional development.","PeriodicalId":72973,"journal":{"name":"European journal of environment and public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47599925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}