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Journal of preventive medicine and hygiene最新文献

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The role of statistical significance testing in public law and health risk assessment. 统计学显著性检验在公法和健康风险评估中的作用。
Pub Date : 2022-04-26 DOI: 10.15167/2421-4248/jpmh2022.63.1.2394
Tommaso Filippini, Silvio Roberto Vinceti

Following a fundamental statement made in 2016 by the American Statistical Associations and broad and consistent changes in data analysis and interpretation methodology in public health and other sciences, statistical significance/null hypothesis testing is being increasingly criticized and abandoned in the reporting and interpretation of the results of biomedical research. This shift in favor of a more comprehensive and non-dichotomous approach in the assessment of causal relationships may have a major impact on human health risk assessment. It is interesting to see, however, that authoritative opinions by the Supreme Court of the United States and European regulatory agencies have somehow anticipated this tide of criticism of statistical significance testing, thus providing additional support to its demise. Current methodological evidence further warrants abandoning this approach in both the biomedical and public law contexts, in favor of a more comprehensive and flexible method of assessing the effects of toxicological exposure on human and environmental health.

2016年,美国统计协会发表了一项基本声明,公共卫生和其他科学的数据分析和解释方法发生了广泛而一致的变化,统计显著性/零假设检验在生物医学研究结果的报告和解释中受到了越来越多的批评和抛弃。这种倾向于在因果关系评估中采用更全面、非二分法的方法的转变可能会对人类健康风险评估产生重大影响。然而,有趣的是,美国最高法院和欧洲监管机构的权威意见在某种程度上预见到了对统计显著性测试的批评浪潮,从而为其消亡提供了额外的支持。目前的方法学证据进一步证明,在生物医学和公法背景下都有理由放弃这种方法,转而采用更全面、更灵活的方法来评估毒理学暴露对人类和环境健康的影响。
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引用次数: 2
Using intervention mapping approach to finding socio-cognitive determinants of diabetes preventive behaviors. 使用干预映射方法寻找糖尿病预防行为的社会认知决定因素。
Pub Date : 2019-09-30 eCollection Date: 2019-09-01 DOI: 10.15167/2421-4248/jpmh2019.60.3.1159
M Mirzaei-Alavijeh, T A Jouybari, F Jalilian, M E Motlagh, F Jalilian

Introduction: Diabetes is one of the most common chronic illnesses with complications. The objective of this study was to determine socio-cognitive determinants of diabetes preventive behaviors among sample of at risk group based on intervention mapping approach (IM) in Kermanshah, the west of Iran.

Methods: This cross-sectional study conducted among a total of 200 male and female aged more than 30 years old referred to health centers that randomly selected to participate voluntarily, during 2018. Participants filled out a self-report questionnaire. Data were analyzed by SPSS version 16 using bivariate correlations and linear regression at 95% significant level.

Results: The mean age of respondents was 38.4 years [95% CI: 37.3, 39.4], ranged from 30 to 56 years. Socio-cognitive determinants were accounted for 40% of the variation in diabetes prevention behaviors F = 35.559, P < 0.001. As well as, perceived self-efficacy, perceived severity, and perceived barrier were the most influential predictors on diabetes preventive behaviors.

Conclusions: It seems that planning health promotion programs to reduce barrier to perform diabetes preventive behaviors and increase confidence towards ability to perform preventive behaviors, and seriousness about sides effect of diabetes may be usefulness of the results in order to promotion of diabetes preventive behaviors among at risk group.

引言:糖尿病是最常见的慢性疾病之一,并伴有并发症。本研究的目的是基于干预映射方法(IM),在伊朗西部克尔曼沙赫的高危人群样本中确定糖尿病预防行为的社会认知决定因素。方法:这项横断面研究在2018年期间对200名30岁以上的男性和女性进行,他们被随机选择自愿参加健康中心。参与者填写了一份自我报告问卷。数据通过SPSS版本16进行分析,使用双变量相关性和95%显著水平的线性回归。结果:受访者的平均年龄为38.4岁[95%CI:37.3,39.4],范围为30-56岁。社会认知决定因素占糖尿病预防行为变异的40%F=35.559,P<0.001。此外,感知自我效能感、感知严重程度和感知障碍是影响糖尿病预防行为的最重要因素。结论:制定健康促进计划,减少糖尿病预防行为的障碍,提高对糖尿病预防行为能力的信心,以及对糖尿病副作用的重视,可能是在高危人群中促进糖尿病预防行为有用的结果。
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引用次数: 3
Assessment of oral hygiene trends among dental patients in relation to chronic medical conditions by dental students. A cross-sectional study. 牙科学生评估牙科患者与慢性疾病相关的口腔卫生趋势。横断面研究。
Pub Date : 2019-06-28 eCollection Date: 2019-06-01 DOI: 10.15167/2421-4248/jpmh2019.60.2.1098
M M Farghaly, A S Badran, K Keraa

Introduction: There is a lack of information about knowledge, attitude and behavior regarding oral hygiene and dietary habits of adult patients attending dental clinical settings. Hypertension, diabetes, obesity and caries are increasing among different populations, resulting in the deterioration of the quality of life related to oral and general health.

Objectives: To involve second year dental students in assessing oral health knowledge, attitude, behavior, dietary habits and general health of dental patients, and screening for blood pressure, blood glucose level and obesity.

Participants and methods: A convenient sample of 652 adult subjects participated in the study. They were screened, and involved in an interviewer - led questionnaire, led by the students over the period of two successive academic years (2013-2014 and 2014-2015).

Results: Subjects with high blood pressure and /or blood glucose levels were more likely to disagree regarding the presence of a relation between general health and dental health [(correlation coefficient (r) = - 0.159, probability value P < 0.001) (correlation coefficient (r) = - 0.257, probability value P < 0.001) respectively]. Subjects with high BMI were less aware of the importance of using the tooth brush in prevention of gingival inflammation. The overall students' satisfaction score was 71.5%. The practical part of the research had the highest satisfaction score (83.7%).

Conclusions: There is scarcity of data regarding dental healthcare knowledge and attitudes in dental clinical settings. Additional clinical training for dental students would increase their willingness to play a preventive and educational role in the oral care of patients.

引言:缺乏关于牙科临床环境中成年患者口腔卫生和饮食习惯的知识、态度和行为的信息。高血压、糖尿病、肥胖和龋齿在不同人群中不断增加,导致与口腔和一般健康相关的生活质量恶化。目的:让牙科二年级学生参与评估牙科患者的口腔健康知识、态度、行为、饮食习惯和总体健康,并筛查血压、血糖水平和肥胖。参与者和方法:652名成年受试者参加了这项研究。他们接受了筛选,并参与了由面试官主导的问卷调查,结果:高血压和/或血糖水平高的受试者更有可能对一般健康和牙齿健康之间的关系存在分歧[(相关系数(r)=-0.159,概率值P<0.001)分别为-0.257、概率值P<0.001)。BMI高的受试者较少意识到使用牙刷预防牙龈炎症的重要性。学生的总体满意度得分为71.5%。研究的实践部分的满意度得分最高(83.7%)。结论:缺乏关于牙科临床环境中牙科保健知识和态度的数据。对牙科学生进行额外的临床培训将提高他们在患者口腔护理中发挥预防和教育作用的意愿。
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引用次数: 1
[The universal influenza vaccination in children with Vaxigrip Tetra® in Italy: an evaluation of Health Technology Assessment]. [意大利Vaxigrip Tetra®儿童通用流感疫苗接种:卫生技术评估评估]。
Pub Date : 2018-05-30 eCollection Date: 2018-05-01
Sara Boccalini, Angela Bechini, Maddalena Innocenti, Gino Sartor, Federico Manzi, Paolo Bonanni, Donatella Panatto, Piero Luigi Lai, Francesca Zangrillo, Emanuela Rizzitelli, Mariasilvia Iovine, Daniela Amicizia, Chiara Bini, Andrea Marcellusi, Francesco Saverio Mennini, Alessandro Rinaldi, Francesca Trippi, Anna Maria Ferriero, Giovanni Checcucci Lisi
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引用次数: 0
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Journal of preventive medicine and hygiene
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