W. Miller, Brian N. Griffith, Timothy J. Bikman, Cameron Meyer
Background Appalachia is one of the unhealthiest regions in the United States due to poor disease prevention behaviors. Objective Determine if self-perceived health of rural Appalachians is related to participation in disease prevention behaviors. Methods Rural Appalachian adults (n=437) were surveyed regarding their self-perceived health and disease prevention behaviors. Healthy behaviors included: moderate (≥ 90 min/wk) and vigorous (≥ 45 min/wk) physical activity, sugared drink consumption (≤ 1 sugared drink/d), smoking (non-smoker), alcohol consumption (≤ 1 drink/d), blood pressure (≤ 120/80 mm Hg), and fast food consumption (≤ 1 time/wk). Participants were grouped where healthy = (self-health rating > 5 on a 0-10 scale), BMI < 25, and blood pressure (≤ 120/80 mm Hg). Jaccard Binary Similarity (JBS) coefficients and Russell and Rao (RR) dichotomy coefficients determined the association and predictability of self-health ratings and disease prevention behaviors. T-tests determined group differences in the number of disease prevention behaviors. Results Individuals who reported being healthy had high JBS coefficients for having healthy sugared drink consumption (0.552), not smoking (0.704), low alcohol consumption (0.742), and low fast food consumption (0.481). RR results were similar to JBS results. Not smoking and low alcohol consumption were highly correlated (r=0.87). Those with a good health perception practiced more disease prevention behaviors (mean±SEM, 2.84±0.06) than those with a poor health perception (2.19±0.10, p<0.001). Good health perceptions were not strongly related to obesity and inactivity. Conclusions Appalachians are not indifferent about their health. However, Appalachians may not understand how inactivity and obesity relate to disease.
阿巴拉契亚地区是美国最不健康的地区之一，因为那里的疾病预防行为很差。目的了解农村阿巴拉契亚人自我感知健康状况与疾病预防行为的参与是否相关。方法对437名阿巴拉契亚农村成年人进行自我健康认知和疾病预防行为调查。健康行为包括:中度(≥90分钟/周)和剧烈(≥45分钟/周)体力活动、含糖饮料(≤1杯/天)、吸烟(非吸烟者)、饮酒(≤1杯/天)、血压(≤120/80 mm Hg)和快餐(≤1次/周)。参与者被分组为健康=(自我健康评分为> -10)，BMI < 25，血压(≤120/80毫米汞柱)。JBS系数和RR二分类系数决定了自我健康评分与疾病预防行为的相关性和可预测性。t检验确定了预防疾病行为数量的组间差异。结果健康个体在健康含糖饮料消费(0.552)、不吸烟(0.704)、低酒精消费(0.742)和低快餐消费(0.481)方面具有较高的JBS系数。RR结果与JBS结果相似。不吸烟与低饮酒高度相关(r=0.87)。健康感知良好者的疾病预防行为(均值±SEM, 2.84±0.06)多于健康感知不佳者(2.19±0.10,p<0.001)。良好的健康观念与肥胖和缺乏运动没有强烈的联系。结论阿巴拉契亚人对自己的健康并非漠不关心。然而，阿巴拉契亚人可能不明白缺乏运动和肥胖与疾病之间的关系。
{"title":"Misconceptions about health and disease prevention behaviors of rural Appalachian Americans","authors":"W. Miller, Brian N. Griffith, Timothy J. Bikman, Cameron Meyer","doi":"10.14419/IJM.V2I2.3572","DOIUrl":"https://doi.org/10.14419/IJM.V2I2.3572","url":null,"abstract":"Background Appalachia is one of the unhealthiest regions in the United States due to poor disease prevention behaviors. Objective Determine if self-perceived health of rural Appalachians is related to participation in disease prevention behaviors. Methods Rural Appalachian adults (n=437) were surveyed regarding their self-perceived health and disease prevention behaviors. Healthy behaviors included: moderate (≥ 90 min/wk) and vigorous (≥ 45 min/wk) physical activity, sugared drink consumption (≤ 1 sugared drink/d), smoking (non-smoker), alcohol consumption (≤ 1 drink/d), blood pressure (≤ 120/80 mm Hg), and fast food consumption (≤ 1 time/wk). Participants were grouped where healthy = (self-health rating > 5 on a 0-10 scale), BMI < 25, and blood pressure (≤ 120/80 mm Hg). Jaccard Binary Similarity (JBS) coefficients and Russell and Rao (RR) dichotomy coefficients determined the association and predictability of self-health ratings and disease prevention behaviors. T-tests determined group differences in the number of disease prevention behaviors. Results Individuals who reported being healthy had high JBS coefficients for having healthy sugared drink consumption (0.552), not smoking (0.704), low alcohol consumption (0.742), and low fast food consumption (0.481). RR results were similar to JBS results. Not smoking and low alcohol consumption were highly correlated (r=0.87). Those with a good health perception practiced more disease prevention behaviors (mean±SEM, 2.84±0.06) than those with a poor health perception (2.19±0.10, p<0.001). Good health perceptions were not strongly related to obesity and inactivity. Conclusions Appalachians are not indifferent about their health. However, Appalachians may not understand how inactivity and obesity relate to disease.","PeriodicalId":91290,"journal":{"name":"International journal of medicine","volume":"2 1","pages":"71 - 75"},"PeriodicalIF":0.0,"publicationDate":"2014-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66958149","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 The cooperation of patients and their acceptance to involve medical students in their care is vital to clinical education. OBJECTIVE To explore the attitudes of patients towards medical students at University charity teaching hospital, and to explore the determinants of those attitudes. METHODS This cross-sectional study was conducted at University charity teaching hospital affiliated to University of Medical Sciences and Technology (UMST). Four hundred and thirty-two patients were interviewed between January and December 2013 using a structured questionnaire. RESULTS Four hundred and thirty-two patients had responded to all questions they were asked. Of the patients interviewed, 95.2% approved the presence of medical students during the medical consultation. 79.8% of the patients agreed to be examined by students in the presence of a doctor, while 33.5% gave agreement even in the absence of a doctor. More than half of the patients think that it is important that students examine patients as part of their training and 18 % of them were not sure about the importance of clinical examination. CONCLUSION The study concluded overall positive attitudes to the medical students' involvement by patients. Patients preferred lower number of students to be involved; however, few were aware of their rights.
{"title":"Patients' Attitude towards Undergraduate Medical Students at University Charity Teaching Hospital in Sudan.","authors":"A. Alawad, F. Younis","doi":"10.14419/IJM.V2I1.2264","DOIUrl":"https://doi.org/10.14419/IJM.V2I1.2264","url":null,"abstract":"BACKGROUND\u0000The cooperation of patients and their acceptance to involve medical students in their care is vital to clinical education.\u0000\u0000\u0000OBJECTIVE\u0000To explore the attitudes of patients towards medical students at University charity teaching hospital, and to explore the determinants of those attitudes.\u0000\u0000\u0000METHODS\u0000This cross-sectional study was conducted at University charity teaching hospital affiliated to University of Medical Sciences and Technology (UMST). Four hundred and thirty-two patients were interviewed between January and December 2013 using a structured questionnaire.\u0000\u0000\u0000RESULTS\u0000Four hundred and thirty-two patients had responded to all questions they were asked. Of the patients interviewed, 95.2% approved the presence of medical students during the medical consultation. 79.8% of the patients agreed to be examined by students in the presence of a doctor, while 33.5% gave agreement even in the absence of a doctor. More than half of the patients think that it is important that students examine patients as part of their training and 18 % of them were not sure about the importance of clinical examination.\u0000\u0000\u0000CONCLUSION\u0000The study concluded overall positive attitudes to the medical students' involvement by patients. Patients preferred lower number of students to be involved; however, few were aware of their rights.","PeriodicalId":91290,"journal":{"name":"International journal of medicine","volume":"2 1 1","pages":"28-31"},"PeriodicalIF":0.0,"publicationDate":"2014-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.14419/IJM.V2I1.2264","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66957969","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}
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