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Post-Flood Impact on the Quality of Life of Victims in East Coast Malaysia 洪水过后对马来西亚东海岸灾民生活质量的影响
Pub Date : 2021-01-01 DOI: 10.17576/ijphr.1101.2021.01
A. Mohammed Nawi, Sharifa Ezat Wan Puteh, R. Hod, Idayu Badilla Idris, I. Ahmad, Q. Mohd Ghazali
Objective: This study aimed to evaluate the quality of life among flood victims exposed at three worst districts in Pahang, Malaysia. Methods: Semi-guided questionnaires were distributed randomly to a total of 602 flood victims. Quality of life (QOL) was measured using WHO Quality of Life-BREF (WHOQOL-BREF), which were assessed based on four domains, i.e. physical activity, psychological, social relationships and environment. Results: Victims of the flood had a poorer quality of life in all the domains especially physical (59.0%) and psychological (53.3%) domain. The impact of the flood on QOL was higher among women, those who reside in the urban area, the elderlies and persons with high education and income. Conclusion: Flood event has reduced the QOL of victims. The impact of flood has been found to be mitigated over the time and relief efforts. Interventions aimed to reduce these concerns in acute post-flood areas are essential to minimize poor QOL among the affected victims. Keywords: Flood, WHOQOL-BREF, Malaysia, victim, QOL, urban
目的:本研究旨在评估马来西亚彭亨三个洪灾最严重地区洪灾灾民的生活质量。方法:对602名灾民随机发放半引导问卷。采用WHO Quality of life - bref (WHOQOL-BREF)对生活质量(QOL)进行测量,该指标基于身体活动、心理、社会关系和环境四个方面进行评估。结果:洪涝灾民在各领域的生活质量均较差,其中身体(59.0%)和心理(53.3%)的生活质量较差。洪水对生活质量的影响在妇女、城市居民、老年人和高学历、高收入人群中较高。结论:洪水事件降低了患者的生活质量。人们发现,随着时间的推移和救灾努力,洪水的影响正在减轻。在严重的灾后地区,旨在减少这些担忧的干预措施对于尽量减少受影响受害者的不良生活质量至关重要。关键词:洪水,WHOQOL-BREF,马来西亚,受害者,生活质量,城市
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引用次数: 1
Recent updates in the therapeutic management of patients with co-infection of COVID-19 with other seasonal epidemics prone disease COVID-19合并感染其他季节性流行易发疾病患者治疗管理的最新进展
Pub Date : 2020-10-31 DOI: 10.17511/ijphr.2020.i05.01
D Sharad Gedam, M. Verma
Recent updates in the therapeutic management of patients with coinfection of COVID-19 with other seasonal epidemics prone disease Gedam D.1*, Verma M.2 DOI: https://doi.org/10.17511/ijphr.2020.i05.01 1* D. Sharad Gedam, Associate Professor, Department of Pediatrics, ABV Government Medical College (GMC), Associated Hospital, Vidisha, Madhya Pradesh, India. 2 Mamta Verma, Associate Professor, College of Nursing, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.
新冠肺炎与其他季节性流行性疾病合并感染患者治疗管理的最新更新Gedam D.1*,Verma M.2 DOI:https://doi.org/10.17511/ijphr.2020.i05.011*D.Sharad Gedam,印度中央邦Vidisha联合医院ABV政府医学院儿科副教授。2 Mamta Verma,印度中央邦博帕尔全印度医学科学研究所护理学院副教授。
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引用次数: 0
The prevalence of physical activity among MBBS students in a medical college in Kerala 喀拉拉邦一所医学院MBBS学生体育活动的流行率
Pub Date : 2020-08-31 DOI: 10.17511/ijphr.2020.i04.01
Vismaya Joy, J. Vincent
Background: The healthy lifestyle of medical students could facilitate the formation of healthy physicians who is more likely to give effective preventive counseling to their patients. Therefore, there is compelling evidence that the health of doctors matters, and the doctors’ own physical activity practices influence their clinical attitudes towards physical activity. Aim and objectives: To assess the prevalence of physical activity and its determinants and also to find out the barriers of physical activity among MBBS students in a medical college in Kerala. Methods: A cross-sectional study was conducted amongst 180 undergraduate medical students. Data was obtained from students using the Global Physical Activity Questionnaire (GPAQ) by WHO and Metabolic Equivalents (METs) were used to express the intensity of physical activities. Results: Of the total 180 students, 128 (71.1%) were found as physically active, and 52 (28.9%) as physically inactive. Among the physically active students, 98 (54.44%) and 30 (16.66%) showed moderate and high levels of physical activity respectively. The mean MET minutes per week attained by the study population in recreational activities is more compared to work and transport. Conclusion: Of the 180 students, average MET scores attained by males and females in the 3 domains of physical activity showed significant difference highlighting the need to promote more activities among females.
背景:医学生的健康生活方式有助于形成健康的医生,他们更有可能为患者提供有效的预防性咨询。因此,有令人信服的证据表明,医生的健康很重要,医生自己的体育活动实践影响了他们对体育活动的临床态度。目的和目的:评估喀拉拉邦一所医学院MBBS学生体育活动的普遍性及其决定因素,并找出体育活动的障碍。方法:对180名医科大学生进行横断面调查。使用世界卫生组织的全球体力活动问卷(GPAQ)从学生中获得数据,并使用代谢当量(METs)来表示体力活动的强度。结果:在总共180名学生中,128名(71.1%)被发现有体育活动,52名(28.9%)被发现没有体育活动。在体育活动的学生中,98名(54.44%)和30名(16.66%)分别表现出中等和高水平的体育活动。与工作和交通相比,研究人群在娱乐活动中每周获得的平均MET分钟数更多。结论:在180名学生中,男性和女性在3个体育活动领域的平均MET得分存在显著差异,这突出了女性需要促进更多的体育活动。
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引用次数: 8
Universal Vaccination Guidelines and status during the Corona Era 科罗纳时代的通用疫苗接种指南和现状
Pub Date : 2020-06-30 DOI: 10.17511/ijphr.2020.i03.01
D Sharad Gedam, M. Verma
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引用次数: 0
Socio-demographic determinants of Iron and folic acid (IFA) consumption by females during their antenatal period delivering in a tertiary care hospital of Haryana 哈里亚纳邦一家三级护理医院分娩的女性产前铁和叶酸(IFA)消费的社会人口学决定因素
Pub Date : 2020-04-30 DOI: 10.17511/ijphr.2020.i02.01
B. Vashisht, H. Bhardwaj, M. Chauhan, Anvesha Anvesha, Jaiprakash Jaiprakash
Introduction: In India, the major causes of maternal mortality are hemorrhage (26%) and anemia (19%). According to NFHS -4 data, 53% of women are anemic, this situation further worsens when these anemic women come into the antenatal phase, as there is haemodilution during pregnancy. In Haryana, only 32.5% (NFHS-4, India- 30.3%) mothers had taken 100 IFA tablets during her pregnancy. IFA tablets are being provided free of cost during antenatal visits/checkups but even then its consumption is low whose reasons need to be found out. Aim and objectives: To find out the socio-demographic factors affecting Iron and Folic acid consumption among recently delivered women. Material and methods: A cross-sectional study was carried out from April 2017- April 2018 among 500 pregnant females who recently delivered at PGIMS Rohtak. A simple random sampling technique was followed. An interview schedule was used for data collection and data were analyzed using SPSS. A Chi-square test was applied. Results: Out of 500 study subjects, the majority (70.4%) belonged to rural area.97.4% of them were Hindus, 81.4% were literate, 77.2% were unemployed, only 26.4% belonged to below poverty line. 80% of subjects were anemic and only 38.2% of study subjects consumed 100 or more IFA tablets. A significant (p≤ 0.05) association was found between IFA consumption and age, education, and occupation. The influence of caste, family type, socio-economic status, and religion was not statistically significant (p>0.05). Conclusion: Women and their family members need to be educated regarding the consumption of IFA tablets and their role in pregnancy.
引言:在印度,产妇死亡的主要原因是出血(26%)和贫血(19%)。根据NFHS-4的数据,53%的女性患有贫血,当这些贫血的女性进入产前阶段时,这种情况会进一步恶化,因为怀孕期间会出现血液稀释。在哈里亚纳邦,只有32.5%(NFHS-4,印度30.3%)的母亲在怀孕期间服用了100片IFA。IFA片剂在产前检查/检查期间免费提供,但即便如此,其消费量也很低,原因尚待查明。目的和目的:了解影响近期分娩妇女铁和叶酸消费的社会人口因素。材料和方法:2017年4月至2018年4月,对500名最近在PGIMS Rohtak分娩的孕妇进行了横断面研究。采用简单的随机抽样技术。采用访谈时间表进行数据收集,并使用SPSS对数据进行分析。采用卡方检验。结果:在500名研究对象中,大多数(70.4%)属于农村地区,其中97.4%是印度教徒,81.4%是识字者,77.2%是失业者,只有26.4%属于贫困线以下。80%的受试者贫血,只有38.2%的研究受试者服用了100片或更多的IFA片剂。IFA消费与年龄、教育程度和职业之间存在显著相关性(p≤0.05)。种姓、家庭类型、社会经济地位和宗教的影响没有统计学意义(p>0.05)。结论:妇女及其家庭成员需要接受关于IFA药片消费及其在怀孕中的作用的教育。
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引用次数: 0
Misdiagnosis of non-malaria febrile infectious diseases as malaria in Nigeria: consequences and priority actions 尼日利亚将非疟疾发热性传染病误诊为疟疾:后果和优先行动
Pub Date : 2020-02-15 DOI: 10.17511/IJPHR.2020.I01.03
Ipadeola Abiodun Feyikemi
Fever means a body temperature that is above normal. It is the most common symptom people seeking health care present with at health facilities. There are many etiologies of fever but the most common is infection (viral, bacterial, fungal or protozoan) and malaria is the most commonly incriminated in tropical countries including Nigeria. This is due to the endemicity of the disease in these regions, yet ‘endemicity’ is not synonymous with ‘will have malaria’. Malaria keep being over diagnosed in fever cases in these regions while other etiologies of fever are being overlooked and un-investigated resulting in poor patient outcome amongst other public health issues such as antimalarial resistance and patient mismanagement. Other non-malaria infectious diseases commonly misdiagnosed as malaria include bacterial sepsis, arbovirus infection, otitis media in children and so on. Studies have revealed that a lot of febrile patients are being misdiagnosed as having malaria and are being treated with an antimalarial drug they do not need. Factors responsible for this misdiagnosis include lack of awareness/bias, lack of fever management policy, human resource for health challenge and outdated/cumbersome diagnostic tools. Consequences of misdiagnosis include resistance to expensively researched antimalarial drugs, economic loss, prolonged suffering of patient, risk of death and risk of epidemic outbreak. The way out includes awareness that all fever cases are not malaria, implementation of fever management policy, research to establish other etiologies of fever in Nigeria other than malaria, testing for other etiologies of fever alongside malaria and use of better diagnostic tools for fever diagnosis.
发烧是指体温高于正常值。这是人们在卫生机构寻求医疗保健时最常见的症状。发烧的病因有很多,但最常见的是感染(病毒、细菌、真菌或原生动物),疟疾在包括尼日利亚在内的热带国家最常见。这是由于该疾病在这些地区的地方性,但“地方性”并不是“将患疟疾”的同义词。在这些地区的发烧病例中,疟疾一直被过度诊断,而发烧的其他病因却被忽视和未经调查,导致患者预后不佳,以及其他公共卫生问题,如抗疟耐药性和患者管理不善。其他通常被误诊为疟疾的非疟疾传染病包括细菌性败血症、虫媒病毒感染、儿童中耳炎等。研究表明,许多发热患者被误诊为患有疟疾,正在接受他们不需要的抗疟药物治疗。造成这种误诊的因素包括缺乏意识/偏见、缺乏发烧管理政策、应对健康挑战的人力资源以及过时/笨重的诊断工具。误诊的后果包括对昂贵研究的抗疟药物的耐药性、经济损失、患者的长期痛苦、死亡风险和流行病爆发的风险。解决办法包括认识到所有发烧病例都不是疟疾,实施发烧管理政策,研究确定尼日利亚除疟疾以外的其他发烧病因,与疟疾一起检测发烧的其他病因,以及使用更好的诊断工具进行发烧诊断。
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引用次数: 1
Nutritional assessment of under five children in a rural belt of southern Rajasthan,India 印度拉贾斯坦邦南部农村地区五岁以下儿童的营养评估
Pub Date : 2019-12-31 DOI: 10.17511/ijphr.2019.i6.03
L. Kumar, N. Mangal, K. Varghese, Tara Chand Salvi, Prem Prakash Salvi, Vijaypal Singh Udawat
Introduction: Despite the importance given by WHO and its member countries, malnutrition of children continued to be a serious problem world-wide, especially in developing countries like India. The uneven magnitude of this problem across Indian states reveals the need for ascertaining the magnitude of malnutrition. Aims & Objectives: The present study is aimed to ascertain the magnitude and the factors affecting the malnutrition across tribal and non-tribal communities in a rural belt of southern Rajasthan. Materials & Methods: The cross-sectional study carried out during March 2018 to February 2019 covering 200 households each from the two communities included 334 and 295 under five children respectively. These children were grouped as normal, moderate and severe classes with respect to underweight, stunting and Body Mass Index as per WHO standards. The proportion of children falling in these classes across two communities were tested using SND test. The factors affecting the problem were ascertined using Chi-square test. Results: The magnitude of moderately and severely underweight children was 32.63% and 7.49% in tribal and 24.41% and 4.41% in non-tribal communities. With respect to stunting and Body Mass Index, 64.37% and 63.47% in tribal and 73.22% and 73.90% in non-tribal were found normal. The factors like household income and mother’s literacy were found strongly associated with malnutrition. The magnitude of calorie intake differed significantly across communities with higher variability among tribal children. Conclusion: Nutrition, health education and good access, and utilization of healthcare with separate strategic intervention for tribal and non-tribal children can be very effective interventions to overcome the burden of malnutrition.
简介:尽管世界卫生组织及其成员国给予了重视,但儿童营养不良仍然是世界范围内的一个严重问题,特别是在印度等发展中国家。印度各州之间这一问题的严重程度参差不齐,这表明有必要确定营养不良的严重程度。目的和目的:本研究旨在确定拉贾斯坦邦南部农村地带部落和非部落社区营养不良的程度和影响因素。材料与方法:2018年3月至2019年2月期间进行的横断面研究涵盖了两个社区的200户家庭,分别包括334名和295名五岁以下儿童。根据世界卫生组织标准,这些儿童在体重不足、发育迟缓和体重指数方面分为正常、中度和重度。使用SND测试对两个社区中这些班级的儿童比例进行了测试。采用卡方检验对影响该问题的因素进行了验证。结果:部落社区中度和重度体重不足儿童的数量级分别为32.63%和7.49%,非部落社区为24.41%和4.41%。在发育迟缓和体重指数方面,部落64.37%和63.47%,非部落73.22%和73.90%正常。研究发现,家庭收入和母亲识字率等因素与营养不良密切相关。不同社区的卡路里摄入量差异很大,部落儿童的差异更大。结论:营养、健康教育和良好的医疗保健机会,以及对部落和非部落儿童进行单独的战略干预,是克服营养不良负担的非常有效的干预措施。
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引用次数: 1
A community-based study: Prevalence of diabetes mellitus and its complications in rural population of Moradabad district, Uttar Pradesh, India 一项基于社区的研究:印度北方邦莫拉达巴德地区农村人口糖尿病及其并发症的患病率
Pub Date : 2019-12-31 DOI: 10.17511/ijphr.2019.i6.04
P. Dubey, Bajrang Lal Bhantia, S. Yadav
Background: In last two-decade prevalence of Diabetes Mellitus in India is increasing at higher rate and currently India is the Diabetic Capital of the World. Reliable and informative epidemiological evidence is vital to quantify impacts and predictors of disease and to facilitate formulation of prevention and control strategies. In North India particularly Uttar Pradesh the area specific data regarding diabetes mellitus is scarce. Objectives: Prevalence of Type-II Diabetes Mellitus and its associated risk factors in rural population of the Moradabad district. Materials and Methods: A Cross-sectional, community-based study was conducted from October 2016 to October 2017 among adults in the age group of 30 year and above residing in Moradabad rural area. A two-stage stratified random sampling technique was adopted to achieve the desired sample size. In first stage, one ward was randomly selected from each group and in second stage; one village was selected randomly from each of the two wards. Result: The prevalence of Diabetes Mellitus was found to be 10.7%, it was 17.8% among males and 14.8% among females. 4.6% were newly diagnosed while the remaining 6.1% were known diabetics. In the present study statistically, significant association is observed between prevalence of diabetes mellitus with age, socioeconomic class, BMI. A significant correlation was found between diabetic retinopathy and diabetic nephropathy. Conclusion: There is a need for continuous screening program and lifestyle modifications to timely detect and intervene in the pathogenesis of diabetes mellitus. Behaviour change communication strategy should take a vital role in improving lifestyle of the community as most of these risk factors are modifiable.
背景:在过去的二十年中,印度的糖尿病患病率正在以较高的速度增长,目前印度是世界糖尿病之都。可靠和信息丰富的流行病学证据对于量化疾病的影响和预测因素以及促进制定预防和控制战略至关重要。在印度北部,特别是北方邦,该地区关于糖尿病的具体数据很少。目的:莫拉达巴德地区农村人口ii型糖尿病患病率及其相关危险因素。材料与方法:2016年10月至2017年10月,在莫拉达巴德农村地区30岁及以上的成年人中进行了一项基于社区的横断面研究。采用两阶段分层随机抽样技术,以达到所需的样本量。第一阶段,每组随机抽取1个病区,第二阶段;从两个区中随机抽取一个村庄。结果:糖尿病患病率为10.7%,其中男性为17.8%,女性为14.8%。4.6%是新诊断的,其余6.1%是已知的糖尿病患者。在本研究中,糖尿病患病率与年龄、社会经济阶层、身体质量指数有显著相关性。糖尿病视网膜病变与糖尿病肾病有显著相关性。结论:糖尿病的发病机制需要持续的筛查和生活方式的改变,以及时发现和干预。行为改变沟通策略应该在改善社区生活方式方面发挥至关重要的作用,因为大多数这些风险因素是可以改变的。
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引用次数: 1
A descriptive study to assess the prevalence of overweight and obesity by calculating BMI (Body Mass Index) among women at selected community area of Bhopal, Madhya Pradesh, India 通过计算印度中央邦博帕尔选定社区女性的BMI(身体质量指数)来评估超重和肥胖患病率的描述性研究
Pub Date : 2019-12-31 DOI: 10.17511/ijphr.2019.i6.01
Dr.Vandana Pakhide
Background: Obesity and overweight have become a global epidemic now. Overweight and obesity are the fifth leading risks of death of adults globally every year. Obesity is defined as abnormal or excessive fat accumulation that may impair health. Obesity can occur at any age and generally increased with age. Women generally have higher rate of obesity than men. As the most developing nation, India is struggling to eradicate the problem of under nutrition and anaemia. Meanwhile the country already witnessed the overweight and obesity problem. India has more than 30 million obese people, and the number is increasing rapidly.The main aim of this study to assess the prevalence of overweight and obesity among women by calculating BMI (Body Mass Index). Methods: A descriptive study design was used to assess the prevalence of overweight and obesity by calculating BMI among women at selected community area of Bhopal. Sample size 100 was selected by using convenient sampling technique and who met the inclusive criteria. Results: out of 100 samples 30(30%) women are underweight, 15(15%) women’s having normal body weight, 37(37%) women overweight and 18(18%) are obese. Conclusion: Prevalence of overweight was high as compared to obesity in community area; the history of any other illness and history of any other medications was strongly associated with obesity. Obesity is the main cause of chronic illness and risk of being obese is increasing in women, so this study will help to find out the prevalence and contributing factors about obesity so that problem will be addressed and making general public aware to reduce the risk factors.
背景:肥胖和超重现在已经成为一种全球性的流行病。超重和肥胖是每年全球成年人死亡的第五大风险。肥胖被定义为可能损害健康的异常或过度的脂肪积累。肥胖可以发生在任何年龄,并且通常随着年龄的增长而增加。女性的肥胖率通常高于男性。作为发展中国家,印度正在努力消除营养不良和贫血问题。与此同时,这个国家已经见证了超重和肥胖问题。印度有3000多万肥胖人口,而且这个数字还在迅速增长。本研究的主要目的是通过计算身体质量指数(BMI)来评估女性超重和肥胖的患病率。方法:采用描述性研究设计,通过计算博帕尔选定社区地区妇女的BMI来评估超重和肥胖的患病率。样本量为100,采用方便抽样技术,符合纳入标准。结果:在100个样本中,30(30%)名女性体重过轻,15(15%)名女性体重正常,37(37%)名女性超重,18(18%)名女性肥胖。结论:社区超重患病率高于肥胖;任何其他疾病史和任何其他药物史都与肥胖密切相关。肥胖是慢性疾病的主要原因,女性肥胖的风险正在增加,因此这项研究将有助于找出肥胖的患病率和影响因素,从而解决问题,并使公众意识到减少风险因素。
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引用次数: 0
Climate change and health beliefs, knowledge, and educational needs among disaster providers. 灾害提供者之间的气候变化与健康信念、知识和教育需求。
Sue Anne Bell, Megan Czerwinski, Jennifer Horowitz, Theodore J Iwashyna, Mona Sarfaty

Introduction: Climate change has been called the greatest public health threat of our time. Increasing morbidity and mortality is expected to continue as climate-associated disasters become more prevalent. Disaster health professionals are on the front lines of addressing these health sequalae, making the need to assess their knowledge of climate change and health and their perceived need for a policy response critically important.

Objective: The purpose of this study is to examine the knowledge, opinions, and educational needs of disaster health providers surrounding climate change and health.

Methods: A web-based questionnaire assessing disaster health professionals' attitudes and knowledge on the health effects of climate change and associated policy recommendations was administered to a sample of disaster health professionals.

Results: Among the study's 150 participants, 95% responded affirmatively that climate change exists and is largely caused by humans. Two-thirds (67%) indicated climate change affects their patient's health and 93% indicated climate change will continue to affect patients in the future. Respondents also believed climate change will impact vulnerable populations such as children under four years old (75%), the elderly (72%) and those living in poverty (71%). Three-quarters (76%) indicated educating patients about climate change and its association with health outcomes should be integrated into health professions education.

Conclusion: Disaster health professionals need access to education on climate-change related health impacts, materials for patients and relevant policy information. This research provides evidence from front-line disaster and emergency health professionals that can inform policy on climate change and health.

气候变化被称为我们这个时代最大的公共健康威胁。随着与气候有关的灾害变得更加普遍,发病率和死亡率预计将继续增加。灾害卫生专业人员处于处理这些健康后果的第一线,因此评估他们对气候变化和健康的知识以及他们对政策应对的感知需求至关重要。目的:本研究的目的是调查灾害卫生服务提供者关于气候变化与健康的知识、意见和教育需求。方法:通过一份基于网络的问卷调查,评估灾害卫生专业人员对气候变化对健康的影响和相关政策建议的态度和知识。结果:在这项研究的150名参与者中,95%的人肯定地认为气候变化确实存在,而且主要是由人类造成的。三分之二(67%)的医生表示气候变化会影响患者的健康,93%的医生表示气候变化将在未来继续影响患者。受访者还认为,气候变化将影响弱势群体,如四岁以下儿童(75%)、老年人(72%)和贫困人口(71%)。四分之三(76%)的受访者表示,应将对患者进行关于气候变化及其与健康结果的关联的教育纳入卫生专业教育。结论:灾害卫生专业人员需要获得有关气候变化相关健康影响的教育、患者材料和相关政策信息。这项研究提供了来自一线灾害和紧急卫生专业人员的证据,可以为气候变化和卫生政策提供信息。
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引用次数: 0
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International journal of public health research
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