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Building On Success in Tobacco Control: A Roadmap Towards Tobacco-Free Oman (Perspective Review) 在烟草控制成功的基础上再接再厉:阿曼无烟路线图(远景审查)
Pub Date : 2023-09-16 DOI: 10.14302/issn.2641-4538.jphi-23-4635
Salma R. AlKalbani, Paul Kavanagh
Tobacco use remains a leading cause of harm to public health. Despite nearly two decades of ratifying the WHO Framework Convention on Tobacco Control (FCTC), Oman is still striving to achieve the best practice approach in different FCTC measures. Current epidemiological data shows that the prevalence of tobacco use among adults in Oman is steadily increasing with time. This review highlights the progress that has been made in the various FCTC measures, as well as how Oman has the possibility to attain the best practice approach in the various FCTC measures, and even go beyond that by implementing policies that have the potential to achieve a tobacco-free Oman by 2040.
烟草使用仍然是危害公众健康的一个主要原因。尽管批准《世卫组织烟草控制框架公约》已有近二十年的时间,阿曼仍在努力在《烟草控制框架公约》的不同措施中实现最佳做法。目前的流行病学数据显示,随着时间的推移,阿曼成年人中烟草使用的流行率正在稳步上升。本次审查强调了在《烟草控制框架公约》各项措施方面取得的进展,以及阿曼如何有可能在《烟草控制框架公约》各项措施中实现最佳做法,甚至通过实施有可能在2040年之前实现无烟草的政策而超越这一目标。
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引用次数: 0
Self-Efficacy And Smoking Cessation: A Mixed Method Study Among Adult Smokers In Fiji 自我效能和戒烟:斐济成年吸烟者的混合方法研究
Pub Date : 2023-09-08 DOI: 10.14302/issn.2641-4538.jphi-23-4729
Masoud Mohammadnezhad, Mondha Kengganpanich, Sabiha Khan, Litia Makutu, Tamara Mangum
Introduction Smokers usually lack confidence to quit smoking due to previous unsuccessful attempts. This study aimed to assess self-efficacy and quitting smoking among current adult smokers in Suva, Fiji. Methods This study applied a mixed method design among current adult smokers who attended three randomly selected healthcare centers in Suva, Fiji between 1st May to 31st July 2020. A self-administered questionnaire was used to collect quantitative information on smoking and smoking cessation, self-efficacy, and stage of smoking. A semi-structured, open-ended questionnaire was used to guide the interviews. Qualitative data was transcribed and thematic analysis was applied to identify the common themes. Results Four hundred sixty-four smokers participated in the quantitative study, with a mean age of 32.7 (SD=12.1). Only 16.6% of participants were at the stage of “Preparation” and 4.95% of them were at the stage of “Action”, according to the stage of change model. Majority of participants (43.1%) had low self-efficacy to quit smoking. Thirty-five smokers participated in in-depth interviews, with majority (48.57%) in the age group of 18-24. Two themes were identified including “Determinants of self-efficacy” and “Factors affecting quit smoking”. Conclusions This study showed that adult smokers had low confidence to quit smoking. Developing a tailored intervention using models such as Transtheoretical Model (TTM) and stage of change may help smokers to quit smoking in Fiji.
由于以前的戒烟失败,吸烟者通常缺乏戒烟的信心。本研究旨在评估斐济苏瓦成年吸烟者的自我效能感和戒烟情况。本研究采用混合方法设计,对2020年5月1日至7月31日期间在斐济苏瓦随机选择的三个医疗中心就诊的成年吸烟者进行研究。一份自我管理的问卷用于收集有关吸烟和戒烟、自我效能和吸烟阶段的定量信息。采用半结构化开放式问卷来指导访谈。对定性数据进行转录,并应用主题分析来确定共同主题。结果464名吸烟者参与了定量研究,平均年龄32.7岁(SD=12.1)。根据变化阶段模型,只有16.6%的参与者处于“准备”阶段,4.95%的参与者处于“行动”阶段。大多数参与者(43.1%)的戒烟自我效能感较低。35名吸烟者参与了深度访谈,其中大多数(48.57%)年龄在18-24岁之间。研究确定了两个主题,包括“自我效能的决定因素”和“影响戒烟的因素”。结论本研究显示成年吸烟者对戒烟的信心较低。利用跨理论模型(TTM)和变化阶段等模型制定量身定制的干预措施可能有助于斐济的吸烟者戒烟。
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引用次数: 0
Questioning Success in Pediatric Hodgkin Lymphoma 质疑儿童霍奇金淋巴瘤的成功
Pub Date : 2022-12-09 DOI: 10.14302/issn.2641-4538.jphi-22-4369
P. Zubizarreta
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引用次数: 0
The Risk of Oropharyngeal Cancer from E-Cigarette Use: An Urgent Public Health Concern 使用电子烟导致口咽癌的风险:一个紧迫的公共卫生问题
Pub Date : 2022-11-04 DOI: 10.14302/issn.2641-4538.jphi-22-4335
Cameron Y. S. Lee DMD MD PHD MPH MSEd, Cameron Y. S. Lee DMD MD PHD MPH MSEd, Cameron Y. S. Lee DMD MD PHD MPH MSEd, Jon B. Suzuki DDS PHD MBA
It is estimated that over 47 million people use tobacco products, mostly in the form of combustible (smokable) tobacco cigarettes. Thirteen to 50% of smokers also use electronic cigarettes (also known as e-cigarettes or vaping). Use of tobacco is the primary preventable cause of death and risk factor for lung, head, neck, and oropharyngeal cancer. Electronic cigarettes are a $10 billion dollar industry and has the potential to surpass the tobacco cigarette market. E-cigarette use is a public health concern because of the health issues of vaping and the limited amount of scientific research to support the safety of e-cigarette use.The authors of this paper want to create awareness that use of e-cigarettes is not a safer alternative to smoking tobacco cigarettes as e-cigarettes contain known carcinogens that may lead to development of oropharyngeal cancer.
据估计,超过4700万人使用烟草制品,主要是以可燃(可吸烟)烟草香烟的形式。13%至50%的吸烟者也使用电子烟(也称为电子烟或电子烟)。使用烟草是可预防的主要死亡原因,也是癌症肺、头、颈和口咽的危险因素。电子烟是一个价值100亿美元的行业,有潜力超越烟草烟市场。电子烟的使用是一个公众健康问题,因为电子烟的健康问题和支持电子烟使用安全性的科学研究数量有限。这篇论文的作者希望提高人们的认识,即使用电子烟并不是吸烟的更安全的替代品,因为电子烟含有已知的致癌物,可能导致口咽癌症的发展。
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引用次数: 0
An Assessment of The Knowledge, Risk Perception and Attitudes of Healthcare Workers in A Tertiary Health Facility in Southwest Nigeria to The Covid 19 Pandemic 尼日利亚西南部一家三级卫生机构医护人员对新冠肺炎19大流行的知识、风险认知和态度评估
Pub Date : 2022-10-18 DOI: 10.14302/issn.2641-4538.jphi-22-4294
M. Adeniyi, KO Olasehinde, T. Olajide, B. Aderukuola, G. Popoola, W. Adegbiji
AimCovid 19 is a pandemic that has ravaged the world resulting in thousands of deaths. This study aims to assess the knowledge, risk perception, and attitude of health care workers (HCWs) to the pandemic.MethodologyThis was a hospital based descriptive cross sectional study conducted among health care workers who were staff of the hospital. Data collected includes socio demographic characteristics, data on knowledge, risk perception and attitude.ResultsA total of 288 HCWs participated in the study. Participants had good knowledge at 95.6%, major source of knowledge includes internet/social media 68.8%, radio 34.6% and television 28.3%. About 92.6% of the respondents also had positive attitude while 89.75 of the respondents had a positive risk perception.ConclusionOverall, there was a high level of knowledge, high positive attitude and a high risk perception in the study. Consequently, to ensure that this high level is maintained, there is need for continuous health education and promotion
AimCovid 19是一场肆虐全球的流行病,导致数千人死亡。本研究旨在评估医护人员对疫情的知识、风险认知和态度。方法这是一项基于医院的描述性横断面研究,在医院工作人员中进行。收集的数据包括社会人口特征、知识数据、风险感知和态度。结果共有288名HCW参与了研究。参与者有95.6%的良好知识,主要知识来源包括互联网/社交媒体68.8%、广播34.6%和电视28.3%。约92.6%的受访者也有积极的态度,89.75%的受访者有积极的风险感知。结论总体而言,本研究具有较高的知识水平、较高的积极态度和较高的风险感知。因此,为了确保保持这一高水平,需要不断进行健康教育和宣传
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引用次数: 0
Quality of Maternal & Newborns Health indicators in Western Province of Rwanda 卢旺达西部省孕产妇和新生儿健康指标的质量
Pub Date : 2022-10-02 DOI: 10.14302/issn.2641-4538.jphi-22-4313
E. Rutayisire, Mathieu Niyonkuru
Data quality is defined as a measure of data status that fulfills the following elements: accuracy, completeness, consistency, reliability, and if the data is current. The World Health Organization (WHO) reported that only 40% of all countries have an adequate system to collect information on birth and deaths. Even though the system is there, vital registration systems are inaccurate and incomplete in developing countries. In Rwanda, maternal health related data was over-reported more than other indicators. These are the main reasons for conducting the study to investigate the data quality of four maternal and newborn health indicators reported by Rwandan Western Province health centers. This concurrent-mixed method study included 61 data managers and 12 key informants. Routine data quality assessment tool and structured interview guide were used to collect data. Descriptive statistics were used to get proportion of respondents’ socio-demographic characteristics. The analysis was done for assessing median of data quality index. The results show that 55.7% of data managers were male while 58.3% of responsible of maternity were female. Majority (58.9%) of participants was in age’s category from 33-42, 61.6% have A1 education level and 53.4% have experience less than five years. Data quality index of one out of four (25%) MNH indicators was found below 95% accepted by WHO. The main reasons for insufiscient quality of data are lack of data validation meetings (57.5%) and incompleteness of reporting tools (36.4%). Monthly data validation meetings chaired by HC leaders are important to contribute to high-quality data in healthcare settings. Supportive supervisions done in data quality and management have to be organized in a supportive, and educative way.
数据质量被定义为满足以下要素的数据状态的衡量标准:准确性、完整性、一致性、可靠性,以及数据是否是最新的。世界卫生组织(世界卫生组织)报告说,只有40%的国家有足够的系统来收集出生和死亡信息。尽管有这一制度,但发展中国家的人口动态登记制度是不准确和不完整的。在卢旺达,与其他指标相比,与孕产妇健康相关的数据被高估了。这些是进行研究以调查卢旺达西部省卫生中心报告的四项孕产妇和新生儿健康指标的数据质量的主要原因。这项同时进行的混合方法研究包括61名数据管理员和12名关键信息员。使用常规数据质量评估工具和结构化访谈指南收集数据。描述性统计用于获得受访者社会人口特征的比例。进行分析是为了评估数据质量指数的中位数。结果显示,55.7%的数据管理者是男性,58.3%的产妇负责人是女性。大多数(58.9%)参与者属于33-42岁的年龄段,61.6%的参与者具有A1教育水平,53.4%的参与者经验不足五年。四分之一(25%)MNH指标的数据质量指数低于世界卫生组织接受的95%。数据质量不高的主要原因是缺乏数据验证会议(57.5%)和报告工具不完整(36.4%)。HC领导人主持的每月数据验证会议对于在医疗环境中提供高质量数据非常重要。数据质量和管理方面的支持性监督必须以支持性和教育性的方式组织起来。
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引用次数: 0
Users Perception and Factors Affecting Data Quality in Nyarugenge Public Health Facility, Rwanda 卢旺达尼亚鲁热格公共卫生设施的用户感知和影响数据质量的因素
Pub Date : 2022-09-12 DOI: 10.14302/issn.2641-4538.jphi-22-4280
B. Habimana, E. Rutayisire
The study evaluated the users' opinions on data quality and related characteristics in ten public-health institutions of Nyarugenge district. A study used a cross-sectional design, data was collected through quantitative (n=150) methodology while qualitative data was obtained using interviews (n=20) and focus group talks (n=3). A checklist was utilized to examine the completeness, accuracy, and timeliness of data quality aspects. Collected quantitative data was analyzed through logistic regression by SPSS to examine the association of variables, while qualitative data was analyzed using the summative content analysis (SCA) to summarize the key themes. A 95 percent confidence level, Odds Ratio (AOR) were used to establish the strength of correlation among study variables, while a p-value of less than (p<0.05) was utilized to identify the variables which were statistically significant associated to HMIS data quality. The study finding showed that the majority (53.0%) was female while, 33 years was an average age, the majority of health practitioner (52.7%) had an A1 diploma. Approximately 90.6% of respondents have a positive perceptions on the system usage. Limited ability and a lack of relevant technology equipment such as computers and the internet have been cited as the challenges while using the system. Factors such as training AOR:2.62(95% CI:1.45, supervision AOR:1.81(95% CI:1.02, AOR:2.50(95% CI:0.85 for education background, works-experience AOR:1.60(95% CI:090 are factors associated with data quality. Maintaining, supportive supervision, regular training and refresher courses should be regularly offered to public health professionals to improve their knowledge in order to maximize the use of health information.
本研究评价了尼亚若热格区10个公共卫生机构用户对数据质量及相关特征的意见。本研究采用横断面设计,通过定量(n=150)方法收集数据,通过访谈(n=20)和焦点小组谈话(n=3)获得定性数据。使用检查表检查数据质量方面的完整性、准确性和及时性。收集到的定量数据通过SPSS进行逻辑回归分析,检验变量之间的关联,而定性数据使用总结性内容分析(SCA)进行分析,总结关键主题。采用95%置信水平的优势比(Odds Ratio, AOR)来确定研究变量之间的相关性强度,而采用小于(p<0.05)的p值来确定与HMIS数据质量有统计学意义的变量。研究结果表明,大多数(53.0%)为女性,平均年龄为33岁,大多数(52.7%)卫生从业人员拥有A1文凭。约90.6%的受访者对系统的使用持正面看法。有限的能力和缺乏相关的技术设备,如电脑和互联网被认为是使用该系统的挑战。培训AOR:2.62(95% CI:1.45)、监督AOR:1.81(95% CI:1.02)、AOR:2.50(95% CI:0.85)、工作经验AOR:1.60(95% CI:090)等因素是与数据质量相关的因素。应定期向公共卫生专业人员提供维护、支持性监督、定期培训和进修课程,以提高他们的知识,最大限度地利用卫生信息。
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引用次数: 0
Knowledge and Attitudes of Heath Care Providers towards induced abortion in the City of Kigali 基加利市卫生保健提供者对人工流产的认识和态度
Pub Date : 2022-08-10 DOI: 10.14302/issn.2641-4538.jphi-22-4245
E. Rutayisire, Monica Mochama, Connie Mureithi, Jeanine Ndayizeye, Jeanine Ndayizeye
This study investigated the healthcare provider’s knowledge and attitudes towards induced abortion in Rwanda. A total of 152 healthcare providers from six public hospitals in Kigali city participated in this study. Questionnaires were used to record data on demographics, level of knowledge and attitudes towards abortion law then be cleaned, coded and entered into Excel sheet. Then all data were exported into SPSS version 22 for final cleaning and analysis. The study findings revealed that 54.6% were female, 56.0% were single, and 73% participants said that they attended formal training on abortion care. The study findings revealed that 23.70% healthcare providers had poor knowledge towards legal abortion law, and 57.20% had positive attitude with regards to induced abortion law. The findings revealed that religion and formal training on abortion care were among the factors which were strongly influencing attitudes of health care providers towards induced abortion where protestants were unlikely to have positive attitude with regards to induced abortion (AOR=0.277; 95% CI=0.027-0.377; P=<0.001) compared to participants belonged to catholic religion and participants who were not trained were unlikely to have positive attitude with regards to induced abortion (AOR=0.696; 95% CI=0.056-0.721; P=0.048) compared to trained respondents. It concludes that marital status, category of caregiver, religion, formal training on abortion and level of knowledge were the main risk factors of level of attitude towards induced abortion. More training about induced abortion are highly needed among health care providers to increase related knowledge as well as to eliminate negative attitude towards induced abortion.
这项研究调查了卢旺达医疗保健提供者对人工流产的知识和态度。来自基加利市六家公立医院的152名医疗保健提供者参与了这项研究。问卷用于记录人口统计数据、对堕胎法的知识水平和态度,然后进行清理、编码并输入Excel表。然后将所有数据导出到SPSS 22版本中进行最终清理和分析。研究结果显示,54.6%是女性,56.0%是单身,73%的参与者表示他们参加了堕胎护理的正式培训。研究结果显示,23.70%的医疗保健提供者对合法堕胎法知之甚少,57.20%的人对人工流产法持积极态度。研究结果显示,宗教和堕胎护理方面的正式培训是强烈影响医疗保健提供者对人工流产态度的因素之一,与天主教参与者和与受过培训的受访者相比,未受过培训的人不太可能对人工流产持积极态度(AOR=0.696;95%CI=0.056-0.721;P=0.048)。其结论是,婚姻状况、照顾者类别、宗教、堕胎方面的正规培训和知识水平是影响对人工流产态度水平的主要风险因素。医疗保健提供者迫切需要更多关于人工流产的培训,以增加相关知识并消除对人工流产的负面态度。
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引用次数: 0
Biological Effects of High Radiofrequency Radiation on Wistar Rats: A Literature Review 高频辐射对Wistar大鼠的生物学效应:文献综述
Pub Date : 2022-06-23 DOI: 10.14302/issn.2641-4538.jphi-22-4197
Timothy A Attah, Benjamin Ayantunji, A. Adamu, Ameh Omede, Jeffree Leleji, Solomon Hussiani, John-Paul Enemali, Zainab Ibrahim Suleiman, Charity Dumbiri, Ishaya Bwala, Caleb Polok
Aim and ObjectiveDespite the growing concerns about the relationship between exposure to radiofrequency radiation (RFR) and detrimental health effects due to the changes in biological processes of experimental animals, there is still ongoing debate on the significance of these findings in causing significant public health problems with the growing advancement in internet technology. The aim of this study is to review existing literature on the effects of high RFR on wistar rats.MethodA search was conducted on Google scholar and PubMed to identify relevant peer-reviewed articles to be included into the review. Studies eligible for inclusion included free full text articles on wistar rats exposed to ≥ 2.45GHz RFR conducted in the past 5 years. Studies included in this review were written or transcribed in English language. From 286 titles, 36 eligible studies were included in the review and assessed for quality using the Strengthening the Report of Observational Studies in Epidemiology – Veterinary Extension (STROBE-Vet) quality assessment tool.ResultsStudies included in this review generally had good quality (>60%) based on the STROBE-Vet assessment. This review identified numerous biological changes in wistar rats exposed to high RFR including variations in biochemical, cholinergic, genetic, histopathologic, psychological, optical, and dermatological parameters. In this review, studies identified variations in protein and liver enzymes while high RFR was found to induce oxidative stress and cellular damage of exposed wistar rats compared to the unexposed groups. This was seen in the changes in protein, lipids, enzymatic and non-enzymatic antioxidants. Studies also identified changes in expression of genes and neurotransmitters with imbalance in hormones. In addition, this review identified structural changes of cells, tissues and organs indicative of apoptosis, damage and death. Exposed rats were identified to have behavioral changes indicative of anxiety and memory decline while studies identified optical and dermatologic changes in exposed rats compared to the unexposed.ConclusionWith numerous biological changes identified in wistar rats exposed to high RFR, there is an increasing risk of detrimental health events giving the advancement in internet technology and limited regulations to control exposures to RFR. Therefore, studies should be conducted to identify strategies to mitigate human exposure to RFR while policies are developed and enforced to protect human health.
目的和目的尽管人们越来越担心暴露于射频辐射(RFR)与实验动物生物过程变化造成的有害健康影响之间的关系,但随着互联网技术的不断进步,这些发现在造成重大公共卫生问题方面的意义仍在争论中。本研究的目的是回顾关于高RFR对wistar大鼠影响的现有文献。方法在谷歌学者和PubMed上进行搜索,以确定将被纳入综述的相关同行评审文章。符合入选条件的研究包括在过去5年中对暴露于≥2.45GHz RFR的wistar大鼠进行的免费全文文章。这篇综述中包含的研究是用英语书写或转录的。在286个标题中,36项符合条件的研究被纳入审查,并使用加强流行病学观察研究报告-兽医推广(STROBE Vet)质量评估工具进行质量评估。结果根据STROBE兽医评估,纳入本综述的研究总体质量良好(>60%)。这篇综述确定了暴露于高RFR的wistar大鼠的许多生物学变化,包括生化、胆碱能、遗传、组织病理学、心理、光学和皮肤学参数的变化。在这篇综述中,研究确定了蛋白质和肝酶的变化,同时发现与未暴露组相比,高RFR可诱导暴露的wistar大鼠的氧化应激和细胞损伤。这体现在蛋白质、脂质、酶和非酶抗氧化剂的变化中。研究还发现,基因和神经递质的表达变化与激素失衡有关。此外,这篇综述还确定了细胞、组织和器官的结构变化,表明细胞凋亡、损伤和死亡。暴露大鼠的行为变化表明焦虑和记忆力下降,而研究发现,与未暴露大鼠相比,暴露大鼠在光学和皮肤学方面发生了变化。结论在暴露于高RFR的wistar大鼠中发现了许多生物学变化,随着互联网技术的进步和控制RFR暴露的法规的限制,有害健康事件的风险增加。因此,在制定和执行保护人类健康的政策的同时,应进行研究,以确定减少人类接触RFR的策略。
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引用次数: 1
Reproductive Health Knowledge and Services Utilization among Rural Adolescents in Rwamagana District, Rwanda 卢旺达鲁马加纳地区农村青少年生殖健康知识和服务利用情况
Pub Date : 2022-05-23 DOI: 10.14302/issn.2641-4538.jphi-22-4185
E. Rutayisire, Monica Mochama, Patricie Mukandagano
This study aims to assess reproductive health knowledge and services utilization among adolescents from Rwamagana District. A community based cross-sectional study was carried out in Rwamagana district. A sample of 392 adolescent aged 15-19 participated in the study. Simple random sampling was used to select respondents. Data was collected by using a questionnaire adopted from previous studies. Data was checked for completeness, cleaned, coded and entered into excel sheet, and then exported to SPSS version 22.0 for further analysis. Frequencies and percentage was used to summarize descriptive statistics. To determine the association between different factors associated with reproductive health knowledge and services utilization, a logistic regression model was employed. Ethical clearance was obtained from the Ethical committee of Mount Kenya University. It was observed that the majority of adolescents in Rwamagana District knew the sign of maturity. Overall the majority of adolescents 91.8% in Rwamagana District had good knowledge about reproductive health services. The majority of adolescents in Rwamagana District (66.8%) had ever utilized reproductive health services at health facility. It was observed that adolescents who live with their parents were more likely to use reproductive health services compared to those who do not live with parents (aOR=2.161, 95%CI: 1.162-4.021, p=0.015). Moderate reproductive health services utilization was observed among adolescents. There is a need to increase adolescent’s awareness on the available services at health facilities.
本研究的目的是评估鲁马马加纳区青少年的生殖健康知识和服务利用情况。在卢马加纳区进行了一项以社区为基础的横断面研究。392名15-19岁的青少年参与了这项研究。采用简单随机抽样的方式选择调查对象。数据是通过使用以前研究中采用的问卷收集的。对数据进行完整性检查、清理、编码并录入excel表格,导出到SPSS 22.0进行进一步分析。使用频率和百分比来总结描述性统计。为了确定生殖健康知识与服务利用相关因素之间的关系,采用logistic回归模型。获得了肯尼亚山大学伦理委员会的伦理许可。人们注意到,卢瓦马加纳区的大多数青少年都知道成熟的标志。总体而言,卢马马加纳区的大多数青少年(91.8%)对生殖健康服务有良好的了解。卢马马加纳县的大多数青少年(66.8%)曾在保健机构使用过生殖健康服务。结果表明,与父母同住的青少年比不与父母同住的青少年更有可能使用生殖健康服务(aOR=2.161, 95%CI: 1.162-4.021, p=0.015)。青少年对生殖健康服务的利用程度适中。有必要提高青少年对保健设施提供的服务的认识。
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引用次数: 1
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Journal of public health international
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