scholarly journals Predisposing and enabling factors associated with public denture service utilization among older Thai people: a cross-sectional population-based study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Nareudee Limpuangthip ◽  
Supaboon Purnaveja ◽  
Tewarit Somkotra
Keyword(s):  
Service Utilization ◽  
Sex Education ◽  
Community Support ◽  
Health Behaviours ◽  
Care Utilization ◽  
Bivariate Analysis ◽  
Enabling Factors ◽  
Cross Sectional ◽  
Thai People ◽  
The Government

Abstract Backgrounds Tooth loss is one of the major oral health problems among older Thai people. However, there is the existence of socioeconomic-related inequalities in dental service utilization, especially denture service. The aim of this study was to assess the determinants associated with inequalities in denture service utilization among older Thai people using the Andersen Behavioural model. Method This cross-sectional study involved secondary data analysis of the 2014 survey of older Thai people (N = 38,695). The dependent variable was a public denture service utilization over the past 5 years. Determinants were classified as predisposing and enabling factors. Predisposing variables included age, sex, education, economic condition and dependency status. Enabling variables included working status, health behaviours, health care utilization experience and social/community support. Data were analysed by using bivariate and multivariable analyses at α = 0.05. For bivariate analysis, chi-square test was used to determine the association between dependent and each independent variable. Then, all variables were incorporated into a multivariable binary logistic regression. Results The odds of denture service utilization were significantly higher for individuals who were older, female, and had a higher educational level and health-promoting behaviors. A positive dose-response relationship was demonstrated between denture service utilization and increased quartile of household assets. Conclusions Predisposing variables had a greater impact than enabling variables in denture service utilization among older Thai people. Despite free public denture service, socioeconomic-related inequalities persist. The government needs to reduce socioeconomic disparities to improve denture treatment inequality.

Analisis Faktor Determinan Pelaksanaan Inisiasi Menyusu Dini Oleh Bidan Di Rumah Sakit Umum Anutapura Palu

2018 ◽  
Vol 1 (1) ◽  
pp. 34
Author(s):  
Ni Nyoman Novita ◽  
Gusman Arsyad
Keyword(s):  
Emergency Room ◽  
Peer Support ◽  
Statistical Tests ◽  
Bivariate Analysis ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Implementation Processes ◽  
Chi Square Test ◽  
The Government

Implementation of IMD in hospitals has decreased from the previous year and has not reached the target set by the government. Some IMD implementation processes have not been carried out according to applicable standards. So that babies do not get an IMD in accordance with existing SOPs. The purpose of this study was to determine the determinant factors associated with the implementation of the IMD by midwives in the Midwifery and Maternity Room Emergency Room (IGD) at the Anutapura General Hospital in Palu. This research method is analytical with cross sectional approach. The population of this study was that all midwives in the obstetrics emergency room and maternity room at Anutapura Palu Hospital were 37 respondents. The sample in this study is total sampling. The analysis used was univariate, and bivariate analysis using the chi square test with a confidence level of 95% (α = 0.05). The results of statistical tests on variable knowledge of midwives with the implementation of IMD p value: 0.018 (p value <0.05). APN training with the implementation of IMD p value: 0.697 (p value> 0.05). length of work with the implementation of IMD p value: 0.029 (p value <0.05). and peer support with the implementation of IMD p value: 0.007 (p value <0.05). Conclusions there is a relationship between knowledge, length of work, peer support with the implementation of the IMD, and training factors that have nothing to do with IMD implementation. The strongest factor in the relationship is peer support. It is recommended that the Anutarapura Palu Hospital be able to motivate midwives so that they can further enhance their role in the implementation and provide support to their colleagues so that the implementation of the IMD can be carried out in accordance with applicable standards.Keywords: Knowledge, APN Training, Duration of work, Implementation of IMD

scholarly journals Circadian misalignment is associated with a high cardiovascular risk among shift workers: is this an opportunity for prevention in occupational settings?

2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
S Gamboa Madeira ◽  
C Reis ◽  
T Paiva ◽  
T Roenneberg
Keyword(s):  
Relative Risk ◽  
Sex Education ◽  
Shift Work ◽  
Bivariate Analysis ◽  
Work Schedules ◽  
Cvd Risk ◽  
Cross Sectional ◽  
Great Opportunity ◽  
Circadian Misalignment ◽  
Social Jetlag

Abstract Funding Acknowledgements Type of funding sources: Public grant(s) – EU funding. Main funding source(s): Fundação para a Ciência e Tecnologia (FCT) and Fundo Social Europeu (FSE) Introduction Atypical work schedules encompass more than 20% of the European workforce. The link between shift work and cardiovascular disease (CVD) has been extensively studied being lifestyle behaviours, sleep disruption and circadian misalignment the key mechanisms involved. Social Jetlag (SJL) has been proposed as a proxy for circadian misalignment in epidemiological studies, once it takes into account  individual’s chronotype and working schedules. Therefore we hypothesize that, among  workers under fixed atypical work schedules, those with a greater SJL have a higher CVD risk. Methods A cross-sectional observational study was conducted among blue-collar workers of one retail company. Fixed working schedules were early morning, late evening, and night work. Sociodemographic, occupational, lifestyle and sleep data were collected through questionnaire. SJL was quantified by the difference for mid-sleep points on work- and free-days. Even though SJL is a continuous variable, 3 categories have been used (≤2h; 2-4h; ≥4h). Blood pressure (BP) and the total cholesterol (TC) were assessed. The CVD risk was estimated according to the relative risk SCORE chart. A relative risk≥3 was considered "high CVD risk". Descriptive statistics and bivariate analysis according to the CVD risk (high vs other) was performed. The relationship between SJL and high CVD risk was analysed through logistic binary regression using generalized linear models adjusted for age, sex, education, Body Mass Index, consumptions, sleep duration and quality plus work schedule and seniority. Results Of the 301 workers, 56.1% were male with a mean age of 33.0 ± 9.4years. Average SJL was 1:57 ± 1:38hours with the majority of workers experiencing ≤2h (59.4%) and 8% (n = 24) more than 4h. Less than a half had hypercholesterolemia (48.8%), overweight (37.9%)or hypertensive values (10.6%), however 50.5% were currently smokers. We found a significant trend for hypertension (p = 0.006) and smoking prevalence (p = 0.043) among ordinal SJL categories. A relative "high CVD risk" was found in 20.3% of the sample (n = 61). These workers were significantly older (p &lt; 0.001), less educated (p = 0.003) and slept less hours on workdays (p = 0.021). In the multiple regression analysis, SJL was an independent risk factor for a "high CVD risk" (p = 0.029).The odds of having a "high CVD risk" increased almost thirty per cent  per each additional hour of SJL (OR = 1.29; 95% CI:1.03-1.63), even after adjusting for sociodemographic, lifestyle, sleep and working features. Conclusions We found compelling evidence that a greater SJL was associated with a bigger chance of high CVD risk. From this innovative perspective, the focus is not just on the working schedule itself but also on the worker’s chronotype. These findings suggest that interventions aimed to reduce Social Jetlag, especially in extreme chronotypes and working schedules, poses a great opportunity to minimize the cardiovascular health impact of shift work.

Prevalence and risk factors of anaemia among men: A study based on Empowered Action Group states, India

2021 ◽  
pp. 026010602098234
Author(s):  
Pradeep Kumar ◽  
Himani Sharma ◽  
Kamalesh Kumar Patel
Keyword(s):  
Family Health ◽  
Public Health Problem ◽  
Binary Logistic Regression ◽  
Bivariate Analysis ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Action Group ◽  
Nationally Representative ◽  
The Government ◽  
Eag States

Background: Despite various programmes initiated by the Government of India, the nutritional indicators are not encouraging, as several problems like undernutrition, malnutrition and anaemia – still persist in the country, especially in the Empowered Action Group (EAG) states. Aim: Because of the dearth of studies regarding anaemia among men in India, the present study aimed to determine its prevalence in this population in the EAG states and to analyse its geographical and socio-demographic determinants. Methods: The study utilized nationally representative, cross-sectional survey data from round 4 of the National Family Health Survey conducted in 2015–16. Bivariate analysis along with binary logistic regression were performed to assess the predictors of anaemia among men in the EAG states. Results: Around a quarter of the men in the EAG states suffered from anaemia. A similar high-prevalence pattern was observed across the EAG states. Wherein, Bihar and Jharkhand had the highest prevalence of anaemia while Uttarakhand showed the lowest. Age, place of residence, marital status and caste were positively associated with the likelihood of anaemia among men in the EAG states. Conclusions: Focusing on the EAG states, this study considered the severity of anaemia as a public health problem among men. Strategies to reduce the burden of anaemia among this population are needed. The government should formulate programmes targeting anaemia specifically, and improving the nutritional status among men in general in the EAG states.

scholarly journals Distribution of health anxiety in a general adult population and associations with demographic and social network characteristics

2020 ◽  
pp. 1-8
Author(s):  
Anja Davis Norbye ◽  
Birgit Abelsen ◽  
Olav Helge Førde ◽  
Unni Ringberg
Keyword(s):  
Exponential Distribution ◽  
Sex Education ◽  
Household Income ◽  
Adult Population ◽  
Health Anxiety ◽  
Care Utilization ◽  
Cross Sectional ◽  
Increased Risk ◽  
General Adult Population

Abstract Background Health anxiety (HA) is associated with increased risk of disability, increased health care utilization and reduced quality of life. However, there is no consensus on which factors are important for the level of HA. The aim of this study was to explore the distribution of HA in a general adult population and to investigate whether demographic and social factors were associated with HA. Methods This study used cross-sectional data from the seventh Tromsø study. A total of 18 064 participants aged 40 years or older were included in the analysis. The six-item Whiteley Index (WI-6) with a 5-point Likert scale was used to measure HA. Sociodemographic factors included age, sex, education, household income, quality of friendship and participation in an organized activity. Results HA showed an exponential distribution among the participants with a median score of 2 points out of 24 points. In total, 75% had a total score of 5 points or less, whereas 1% had a score >14 points. Education, household income, quality of friendship and participation in organized activity were significantly associated with HA. The variable quality of friendship demonstrated the strongest association with HA. Conclusion Our study showed an exponential distribution of HA in a general adult population. There was no evident cut-off point to distinguish participants with severe HA based on their WI-6 score, indicating the importance of analysing HA as a complex, continuous construct. HA demonstrated strong associations with quality of friendship and participation in an organized activity.

scholarly journals Analisis Hubungan Sikap dan Pengetahuan Keluarga dengan Penerapan Program Indonesia Sehat dengan Pendekatan Keluarga

2020 ◽  
Vol 5 (1) ◽  
pp. 13
Author(s):  
Ifon Driposwana Putra ◽  
Ulfa Hasana
Keyword(s):  
Public Health ◽  
The Other ◽  
Bivariate Analysis ◽  
P Value ◽  
Cross Sectional ◽  
Family Approach ◽  
Low Degree ◽  
The Government ◽  
The Relationship ◽  
Improve Health

<p><em>The government has proclaimed Healthy Indonesia Program with Family Approach (PIS-PK), aiming to improve health level of its people; howeverthe implementation is far from satisfying and not equally distributed so that there is still a low degree of public health. This study aims to analyze the relationship between attitudes and family knowledge with the adoption of the Healthy Indonesia Program with a family approach in Pekanbaru. The type of research is descriptive correlation with cross sectional approach. The sample in this study was 100 families. The result of bivariate analysis showed that there was a significant correlation between family’s attitudes toward PIS-PK, with p value of 0.018. On the other hand, it also showed that there was no significant correlation between family’s knowledge toward PIS-PK, with p value only 0.159. It is hoped that this study can be used as leaning materials, references for health officers, as well as suggestions regarding the implementation of PIS-PK</em></p><p><em><em>Pemerintah telah membuat Program Indonesia Sehat melalui penedekatan keluarga (PIS-PK) dengan tujuan agar meningkatnya derajat kesehatan masyarakat, namun dalam penerapannya masih belum maksimal dan merata sehingga masih terdapat derajat kesehatan masyarakat yang masih rendah. Penelitian ini bertujuan untuk menganalisis hubungan sikap dan pengetahuan keluarga dengan penerapan Program Indonesia Sehat dengan pendekatan keluarga di Pekanbaru. Jenis penelitian desktiptif korelasi dengan pendekatan cross sectional. Sampel dalam penelitian ini adalah 100 Keluarga. Hasil analisis bivariat didapatkan bahwa ada hubungan yang signifikan antara sikap keluarga dengan penerapan PIS-PKmdengan p value adalah 0,018. Didapatkan juga bahwa tidak ada hubungan yang signifikan antara pengetahuan keluarga dengan penerapan PIS-PK dengan nilai p value adalah 0,159. Hasil penelitian ini dapat dijadikan bahan ajar dan menjadi acuan oleh petugas kesehatan serta menjadi masukan untuk dalam penerapan PIS-PK</em></em></p>

A State-Level Examination of School Nurses’ Perceptions of Condom Availability Accompanied by Sex Education

2019 ◽  
Vol 36 (5) ◽  
pp. 386-393
Author(s):  
Sharla Smith ◽  
Joey M. Platt ◽  
Daniel Clifford ◽  
Michael Preston ◽  
Catherine Satterwhite ◽  
...  
Keyword(s):  
Sex Education ◽  
Community Support ◽  
State Level ◽  
Cross Sectional Study ◽  
School Nurses ◽  
Cross Sectional ◽  
High Risk Sexual Behavior ◽  
Unintended Pregnancies ◽  
Condom Availability ◽  
Nurses Perceptions

School nurses are often sources of health-care support for teens with sexually transmitted infections (STIs) and unintended pregnancies. However, providing prevention (e.g., condoms) and teaching technical skills (e.g., condom use) needed to reduce high-risk sexual behavior may require a change in perceptions and policies. This study used a cross-sectional study design to assess nurses’ perceptions of condom availability accompanied by sex education programs among high school nurses ( n = 87) in Kansas. Results showed that school nurses in this study supported condom availability, were comfortable providing condoms, and felt condom availability was within the scope of their job but were less likely to provide condoms because of external barriers. Common barriers include administration, parents, cost, community support, and policies. School nurses, by virtue of their access to the majority of Kansas’ adolescents, have the potential to provide sex education and tools such as condoms, so young people can prevent STIs and unintended pregnancies.

scholarly journals The Role of the Former combatants’ reintegration on promotion of inclusion and equity in Mt. Elgon region, Kenya

2018 ◽  
Vol 6 (08) ◽  
Author(s):  
Lydiah Wamocha
Keyword(s):  
Community Support ◽  
Three Dimensions ◽  
Religious Leaders ◽  
Cross Sectional ◽  
Social Reintegration ◽  
Post Conflict ◽  
County Commissioners ◽  
The Government ◽  
Peace Committee

The social reintegration of former combatants is the most important aspect of the disarmament, demobilization and reintegration (DDR) process. Post conflict societies are marked by their past traumas long after the interest of most outsiders has ebbed. Reintegration understood in this context, speaks to societal transformation, which both takes time and is prone to setbacks long after peace has formally been declared. The purpose of the study was to investigate the role of reintegration of former combatants on promotion of inclusion and equity. The objective of the study was to explain the role of the former combatants’ reintegration on promotion of inclusion and equity in Mt. Elgon region. The desistance theory was used in the study. The study used the cross sectional descriptive survey design. The population of the study comprised former combatants, Sub County Commissioners, peace committee members, religious leaders and NGOs. The respondents comprised former combatants, sub county commissioners and peace committee members, religious leaders and NGOs. The stratified and purposive random sampling technique was used to select a sample of 150 former combatants, Three Sub County commissioners and 16 peace committee members, five religious leaders and Four NGO members. Data was collected by use of questionnaires, interviews and Focus Group discussion. In order to ascertain validity, the questionnaires and interview schedules were given to experts who matched all the items with the research questions to ascertain whether the instruments would measure all that it is supposed to measure. The reliability of the instruments was determined through test retest of the instruments. Data was analyzed by use of descriptive statistics of frequencies and percentages. Data from in-depth interviews was audio taped and transcribed. The transcripts were then organized into themes and categories as they emerged from the field. The findings of the study were presented descriptively. The findings of the study showed that: in the context of social reintegration the three dimensions of family and community; sustainable employment; and civic responsibilities should be given proper attention: to achieve the goal of reintegration there should be a major shift in the contemporary DDR approach by moving from the insertion approach towards a social reintegration one; community support is essential for the successful reintegration of former combatants  and the sustainable social and economic reintegration of former combatants should be the ultimate objective of disarmament and demobilization and reintegration (DDR). Consequently, the study recommends that the government should budget for and give priority to the reintegration programmes so that they are fully completed instead of leaving them at the reinsertion stage; the communities take the lead in proposing community- based solutions for the issues identified.

scholarly journals The Relationship between Sex Education and Sexual Behaviour in Adolescents

2021 ◽  
Vol 21 (2) ◽  
pp. 110-116
Author(s):  
Nofi Susanti ◽  
Reinpal Falefi ◽  
Tri Bayu Purnama
Keyword(s):  
Social Media ◽  
Logistic Regression ◽  
Sexual Behavior ◽  
Sex Education ◽  
Sampling Technique ◽  
Bivariate Analysis ◽  
Limited Information ◽  
Adolescent Sexual Behavior ◽  
Cross Sectional ◽  
The Relationship

Adolescent sexual behavior remains a global problem with high reports of cases of adolescents behaving freely. The lack of knowledge about sexuality is caused by limited information, services, and advocacy. There has not been a reproductive health curriculum for adolescents in schools. Therefore, this study aims to determine the relationship between sex education and sexual behavior in adolescents. This research is a quantitative study with a cross-sectional design. The sampling was taken using a total sampling technique. The sample included all students of class X and XI, with a total of 102 people. The research instrument used a questionnaire. Data were analyzed using chi-square and multiple logistic regression. Bivariate analysis results showed that there was a relationship between sex education by parents, teachers, peers, and social media and sexual behavior. The results of multivariate analysis with logistic regression tests showed that sex education provided by parents was the most substantial relationship with sexual behavior. The study concluded that parents, teachers, and social media were associated with sex education. Extensive sex education from other trusted information could reduce pre-marital sexual activity among adolescents.  Elaborating on external factors would implicate a good attitude and behavior in students.

scholarly journals Reproductive health problems and their awareness among adolescent girls: a clinical study

2019 ◽  
Vol 8 (10) ◽  
pp. 3870
Author(s):  
Sumedha Sharma ◽  
Puja Sharma
Keyword(s):  
Public Schools ◽  
Reproductive Health ◽  
Sex Education ◽  
Adolescent Girls ◽  
Access To Health Care ◽  
Population Group ◽  
Age At Menarche ◽  
Cross Sectional ◽  
The Government ◽  
Tract Infections

Background: The adolescent girls constitute a heterogeneous group who are at risk of various reproductive and gynecological problems. A number of health schemes are already aimed at targeting the needs of this special population. This study was aimed at identifying the special needs of this population group in respect of medical and reproductive health so as to provide a feedback for ongoing health schemes.Methods: This study was a cross sectional analytical study conducted among adolescent girls attending various government and public schools in Lucknow city and adolescent girls presenting to Gynecology OPD of Queen Mary’s Hospital for various complaints in a span of one year from June 2007 to June 2008. After taking consent, the girls were subjected to a questionnaire consisting of epidemiological parameters and questions regarding menstruation, pregnancy, birth spacing, contraception, abortion, RTI/STD, sex education. This data was later analysed. Those presenting to the OPD of Queen Mary Hospital were subjected to further examination and tests depending on their complaints.Results: A total of 1127 adolescent girls in the age group of 10-19 consented and were included in the study. Awareness regarding the contraceptive methods available was present in only 57.8%. 14% (164) girls were aware of reproductive tract infections and sexually transmitted diseases. However, 61% (687) girls were aware about HIV/AIDS in particular. The mean age at menarche was 11.9±1.0 years. 21.5% had some menstrual problem. There were 34 cases of teenage pregnancy.Conclusions: Our study revealed substantial lacunae in the knowledge and attitude of young adolescent girls towards reproductive and sexual health. Despite various targeted health programs from the government, there is a still a need to further our efforts to improve access to health care and adopt methods to improve awareness regarding the health issues of adolescents.

scholarly journals The Extent of Child Trafficking and National Response in Ethiopia: A Quantitative Study

2021 ◽  
Vol 10 ◽  
pp. 1542-1554
Author(s):  
Aden Tolla ◽  
Shanta Singh
Keyword(s):  
Quantitative Research ◽  
Sampling Technique ◽  
Bivariate Analysis ◽  
Research Approach ◽  
Child Victims ◽  
Clear Understanding ◽  
Cross Sectional ◽  
Child Trafficking ◽  
Rights Of The Child ◽  
The Government

This article analyzes the extent of child trafficking from a quantitative standpoint. The quantitative research approach was adopted in this study, supported by the application of cross-sectional exploratory and descriptive research design, which was used to address the extent of child trafficking in Ethiopia. A total of 636 household respondents were selected by systematic random sampling technique to fulfil the adopted quantitative survey. Data analysis was carried out using Statistical Package for Social Sciences (SPSS) version 24.0 statistical software packages. Adapt Quantitative-Logistic Regression, Bivariate analysis, Multivariate analysis, and Cross-tabulation of extent and factors of child trafficking were thoroughly quantified. The extent of child trafficking from the total result in the study area is about 128 children had been trafficked from the total of 636 households and that means the extent of child trafficking is about 20.1 percent in East Este Woreda and Debre Tabor woreda in or 1 child from 5 children had been trafficked. It recommended, the research is needed to identify the extent of child victims and vulnerable of trafficking in the study area to combat the problem. On the other hand, for a clear understanding of the International Conventions and Treaties (such as fully translating Rights of the Child and all ratified conventions), the publication should be translated to Amharic and Oromifa version (local language) in the official Negarit Gazeta of Ethiopia, so that everyone could understand and seek to implement their right easily. Information gup is a disadvantage for the nation, the government should use different programs on television and radio to address the issue.

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