scholarly journals Acceptable health and ageing: results of a cross-sectional study from Hungary

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Márta Péntek ◽  
Job van Exel ◽  
László Gulácsi ◽  
Valentin Brodszky ◽  
Zsombor Zrubka ◽  
...  
Keyword(s):  
The Netherlands ◽  
Online Survey ◽  
Linear Regression Analysis ◽  
Age Groups ◽  
Self Care ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Health States ◽  
Cross Sectional ◽  
Descriptive System

Abstract Background We aimed to investigate the acceptability of imperfect health states in relation to age in Hungary and analyse its determinants. Results are contrasted to age-matched actual population health scores and to findings from a previous study in The Netherlands. Methods A cross-sectional online survey was performed. The same survey questions were applied as in a previous study in The Netherlands in order to enable inter-country comparisons. The descriptive system of the EQ-5D-3L health status questionnaire was used to assess the acceptability of moderate and severe health problems at ages from 30 to 80 by 10-year age-groups. Descriptive statistics were performed and linear regression analysis was used to investigate the determinants of acceptability. Results Altogether 9281 (female 32.8%) were involved with mean age 36.0 years and EQ-5D-3L index score of 0.852 (SD 0.177). Acceptability of health problems increased with age, differed per health domain and with severity of the problems. Except for ‘Self-care’, moderate health problems were acceptable by the majority from age 70 and acceptability scores were lower than EQ-5D-3L population norms from that age. The lowest average acceptability age was found in the ‘Anxiety/depression’ and dimension the highest in the ‘Self-care’ dimension. Respondents’ age, current health, and lifestyle were significant determinants (R2: 0.041–0.130). With a few minor exceptions in some health dimensions, acceptability levels and patterns were strikingly similar to the Dutch findings. Conclusion In Hungary, acceptability of health problems increases with age and the majority found severe problems never acceptable. Views on acceptability of health problems seem to be fairly generalizable across European countries with different health and economic indicators.

scholarly journals A cross-sectional study on morbidity status among school going adolescents in Thiruvallur district, Tamil Nadu

2019 ◽  
Vol 6 (12) ◽  
pp. 5201
Author(s):  
Sathish Dev D. ◽  
Sugantha Valli M. ◽  
Gnana Sezhian M. ◽  
Suganya E.
Keyword(s):  
Tamil Nadu ◽  
Gastrointestinal Disease ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Wide Range ◽  
Tract Infections

Background: Adolescents represent about 21.8 percent of India’s population. Various health risks with potentially life-threatening consequences become prominent in this age group. This study was undertaken with the objective to determine the morbidity profile of school going adolescents in Tamil Nadu.Methods: This descriptive, cross sectional study was planned and conducted from January 2016 to August 2017. The study population included 987 adolescent boys and girls aged between 10 to 19 years studying in high and higher secondary Government schools of Thiruvallur district of Tamil Nadu. Semi-structured questionnaire was used as data collection tool.Results: The mean age groups of this school going adolescent are 14.2 yrs. In the present study 583 (59%) of the study participants were affected by one or more morbidity condition. Among them, 395 (67.7%) were in the age group 10-14 years and 188 (32.2%) in the age group 15-19 years. 122 (21%) and 461 (79.1%) of male and female were affected respectively. In the present study, fever (21%) was the commonest reported morbidity followed by acute respiratory infection (15.7%) and acute gastrointestinal disease (13. 4%).Conclusions: This study shows that adolescents are prone to a wide range of morbidity conditions. Apart from respiratory and gastro intestinal diseases, reproductive tract infections and sexual health problems are important morbidities affecting this age group. There is strong need to sensitize health care practitioners at all levels, in both government and private sectors towards health problems in adolescent age groups.

Are Dutch Hospitals Prepared for Chemical, Biological, or Radionuclear Incidents? A Survey Study

2017 ◽  
Vol 32 (5) ◽  
pp. 483-491 ◽  
Author(s):  
Luc J.M. Mortelmans ◽  
Menno I. Gaakeer ◽  
Greet Dieltiens ◽  
Kurt Anseeuw ◽  
Marc B. Sabbe
Keyword(s):  
At Risk ◽  
The Netherlands ◽  
Online Survey ◽  
Radiation Detection ◽  
Cross Sectional Study ◽  
Survey Study ◽  
Publication Type ◽  
Cross Sectional ◽  
Hospital Preparedness ◽  
High Doses

AbstractIntroductionBeing one of Europe’s most densely populated countries, and having multiple nuclear installations, a heavy petrochemical industry, and terrorist targets, the Netherlands is at-risk for chemical, biological, or radionuclear (CBRN) incidents. Recent world and continental events show that this threat is real and that authorities may be underprepared.HypothesisThe hypothesis of this study is that Dutch hospitals are underprepared to deal with these incidents.MethodsA descriptive, cross-sectional study was performed. All 93 Dutch hospitals with an emergency department (ED) were sent a link to an online survey on different aspects of CBRN preparedness. Besides specific hospital information, information was obtained on the hospital’s disaster planning; risk perception; and availability of decontamination units, personal protective equipment (PPE), antidotes, radiation detection, infectiologists, isolation measures, and staff training.ResultsResponse rate was 67%. Sixty-two percent of participating hospitals were estimated to be at-risk for CBRN incidents. Only 40% had decontamination facilities and 32% had appropriate PPE available for triage and decontamination teams. Atropine was available in high doses in all hospitals, but specific antidotes that could be used for treating victims of CBRN incidents, such as hydroxycobolamine, thiosulphate, Prussian blue, Diethylenetriaminepentaacetic acid (DTPA), or pralidoxime, were less frequently available (74%, 65%, 18%, 14%, and 42%, respectively). Six percent of hospitals had radioactive detection equipment with an alarm function and 22.5% had a nuclear specialist available 24/7 in case of disasters. Infectiologists were continuously available in 60% of the hospitals. Collective isolation facilities were present in 15% of the hospitals.Conclusion:There is a serious lack of hospital preparedness for CBRN incidents in The Netherlands.MortelmansLJM, GaakeerMI, DieltiensG, AnseeuwK, SabbeMB. Are Dutch hospitals prepared for chemical, biological, or radionuclear incidents? A survey study. Prehosp Disaster Med. 2017;32(5):483–491.

scholarly journals Knowledge and Practices during the COVID-19 Outbreak in the Middle East: A Cross-Sectional Study

2021 ◽  
Vol 18 (9) ◽  
pp. 4699
Author(s):  
Abdallah Y. Naser ◽  
Eman Zmaily Dahmash ◽  
Zahra Khalil Alsairafi ◽  
Hassan Alwafi ◽  
Hamad Alyami ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Disease Transmission ◽  
Online Survey ◽  
Middle Eastern ◽  
Linear Regression Analysis ◽  
Multiple Linear Regression Analysis ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Scale Scores

Objectives: This study aimed to assess the knowledge and practices of the general public in the Middle Eastern countries during the COVID-19 pandemic. Methods: A cross-sectional study using an online survey was conducted between the 19th of March and the 6th of April 2020 in three Middle Eastern countries (Jordan, Saudi Arabia, and Kuwait) to explore the knowledge and practices of the Middle Eastern population regarding COVID-19. A previously developed questionnaire was adapted and used for this study. Multiple linear regression analysis was used to identify predictors of COVID-19 knowledge. Results: A total of 1208 participants (members of the public) participated from the three countries (Jordan = 389, Saudi Arabia = 433, and Kuwait = 386). The majority of participants (n = 810, 67.2%) were females aged 30 to 49 years (n = 501, 41.5%). Participants had moderate overall COVID-19 knowledge, with a mean (SD) score of 7.93 (±1.72) out of 12 (66.1%). Participants had better knowledge about disease prevention and control (83.0%), whereas the lowest sub-scale scores were for questions about disease transmission routes (43.3%). High education level was an important predictor of greater COVID-19 knowledge scores (p < 0.01). Conclusions: Further public education is needed to address the relatively low level of education regarding the transmission of COVID-19 in the Middle Eastern countries. Policymakers are recommended to develop informative COVID-19 related campaigns that specifically target young people (university students), unemployed individuals, and those with lower levels of education.

scholarly journals Assessment of Knowledge, Attitude and Practice on Malaria Prevention Among Students of Hamelmalo Agricultural College

2020 ◽  
Author(s):  
Minassie Mengisteab Araia ◽  
Amanuel Hadgu Mebrahtu ◽  
Ghenet Weldegerghish
Keyword(s):  
Public Health ◽  
Age Groups ◽  
Malaria Prevention ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Health Seeking ◽  
Cross Sectional ◽  
Attitude And Practice ◽  
Agricultural College ◽  
Seeking Behavior

Abstract Background: Malaria is one of the most severe public health problems worldwide with 300 to 500 million cases and about one million deaths reported annually. In Eritrea, malaria is one of the major public health problems, particularly in Gash Barka zone which bears more than 60% of the burden. Objective: To assess the knowledge, attitude, practice and misconceptions as well as association among knowledge of most vulnerable population and practice of the respondents on utilization of ITN with their demographic characteristics. Methods: A cross-sectional study was conducted to assess KAP of Hamelmalo Agriculture College students in November 2016. Data was analyzed by SPSS version 20 and Stata version 13. Results: (99.3%) of respondents were aware of the existence of malaria as a disease. With regard to the malaria symptoms, fever was the most frequently reported by participant accounts 99.7%. 70.1% of respondents said they went to health facility if they get sick. Majority (85.1%) of the respondents owned ITN but only 69.2% slept last night in ITN. 228 (77.55%) perceive malaria as serious diseases only if it remains untreated however, 13 (4.42%) as an ordinary disease. Some misconceptions were found on the assessment of the students on factors associated with malaria infection and health seeking behavior. The predictors of ITN utilization was found to be age 20 (OR18.49, (CI 1.227-278.87) (P=0.035) and being resident of Zoba Debub (OR 0.094, (CI, 0.014-0.607)) (0.013) or Zoba Gash Barka (OR 0.027(CI, 0.02-0.258) (P=0.002). The association between age of respondent and level of knowledge was found to be statistically significant with OR ranging from 3.9 up to 37.5 for the differ age groups.Conclusion: The student of Hamelmalo Agricultural College has a fair knowledge, which is above 60% of the mean score and 50% on attitude and practice which is hard to accept, because we were proposing to get more than 50%. So there are still areas that need to be addressed, since the students are likely to influence the behavior of their parents addressing the existing misconception is important.

scholarly journals Jordanian ostomates' health problems and self-care ability to manage their intestinal ostomy: a cross-sectional study

2020 ◽  
Vol 25 (8) ◽  
pp. 679-696
Author(s):  
Rami A Elshatarat ◽  
Inas A Ebeid ◽  
Khadega A Elhenawy ◽  
Zyad T Saleh ◽  
Ahmad H Abu Raddaha ◽  
...  
Keyword(s):  
Self Care ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Sectional Study ◽  
Cross Sectional ◽  
General Anxiety Disorder ◽  
General Anxiety ◽  
Questionnaire Score ◽  
Patient Health ◽  
And Training

Background Ostomates have several physical, psychological and social health problems. These problems negatively impact the ostomates' quality of life. Aims This study aims to identify Jordanian ostomates' health problems and their self-care ability to manage their ostomies. Methods This is a cross-sectional study. A convenience sampling method was used to recruit 168 Jordanian patients with intestinal ostomies. A self-report questionnaire was used to collect the data. Results On average, the participants’ physiological ostomy-related problem scores were 8.76 ± 2.37 (out of 13 problems) and the total score of self-care ability to manage their ostomies was 16.56 ± 2.62 (out of 24). About 22% of the participants had ‘moderately severe’ to ‘severe’ depression (nine-item Patient Health Questionnaire score ≥15) and 33.9% had ‘moderate’ to ‘severe’ anxiety (seven-item General Anxiety Disorder questionnaire score ≥10). About half of the participants had exposure to teaching and/or training about ostomy care. About 85% of participants were willing to attend health education and training programmes about ostomy care. There was a significant correlation between high ostomates’ self-care ability to manage their ostomies and a low number of physiological health problems ( r = −0.67, p = 0.04), a low depression (Patient Health Questionnaire 9) score ( r = −0.54, p = 0.039) and a low anxiety (seven-item General Anxiety Disorder questionnaire) score ( r = −0.71, p < 0.027). Conclusions Health teaching and training about intestinal ostomy management, psychosocial support, follow-up assessment and treatment for ostomy-related problems are recommended for all ostomates.

scholarly journals Health Literacy but Not Frailty Predict Self-Care Behaviors in Patients with Heart Failure

2018 ◽  
Vol 15 (11) ◽  
pp. 2474 ◽  
Author(s):  
Youn-Jung Son ◽  
Dae Shim ◽  
Eun Seo ◽  
Eun Seo
Keyword(s):  
Heart Failure ◽  
Health Literacy ◽  
Chronic Diseases ◽  
Linear Regression Analysis ◽  
Self Care ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Educational Backgrounds ◽  
Key Factor ◽  
The Impact

Heart failure (HF) is a chronic condition requiring continuous self-care. Health literacy is increasingly recognized as a key factor of self-care behaviors in patients with chronic diseases. Recently, frailty in chronic diseases has also been associated with self-care behaviors. However, relationships among health literacy, frailty, and self-care in the HF population are not well understood. Therefore, this cross-sectional study aimed to identify the impact of health literacy and frailty on self-care behaviors in patients with HF. Data were collected from 281 adults attending a cardiovascular outpatient clinic in Korea. Health literacy, frailty, and self-care behaviors were measured using Korean-validated instruments. The mean scores of health literacy and self-care behaviors were 8.89 (±3.44) and 31.49 (±5.38), respectively. The prevalence of frailty was around 26.3%. Health literacy was significantly associated with frailty and self-care behaviors. In a hierarchical linear regression analysis, health literacy was a significant determinant of self-care behaviors after adjusting for confounding variables, but frailty was not. Educational level was also a significant predictor of self-care behaviors. Our main findings showed that health literacy can facilitate improvements in HF self-care behaviors. Healthcare professionals should assess patients’ health literacy and educational backgrounds when designing self-management programs.

scholarly journals Gender Differences in the Association between Frailty, Cognitive Impairment, and Self-Care Behaviors Among Older Adults with Atrial Fibrillation

2019 ◽  
Vol 16 (13) ◽  
pp. 2387 ◽  
Author(s):  
Youn-Jung Son ◽  
Kyounghoon Lee ◽  
Bo-Hwan Kim
Keyword(s):  
Atrial Fibrillation ◽  
Older Adults ◽  
Cognitive Impairment ◽  
Older Patients ◽  
Linear Regression Analysis ◽  
Self Care ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Care Plans ◽  
Individualized Care

Atrial fibrillation (AF), common in older adults, increases the risk of heart failure, stroke, and all-cause mortality. Self-care behaviors help avoid adverse events in older patients with AF. However, while frailty and cognitive impairment can contribute to poor self-care behaviors, few studies have explored these relationships in older adults with AF. This cross-sectional study aims to determine associations between frailty, cognitive impairment, and self-care behaviors among older adults with AF by gender. A total of 298 patients with AF aged 60 and over were assessed with a self-reported questionnaire consisting of the Korean version of the FRAIL scale, modified mini-mental state examination, and self-care scale for AF. Prevalence of frailty and prefrailty in men and women was around 11% and 48.4% and 28% and 47.4%, respectively. According to the hierarchical linear regression analysis, in men, prefrailty (β = −2.874, p = 0.013) and frailty (β = −7.698, p < 0.001) were associated with self-care behaviors; in women, frailty (β = −5.476, p = 0.003), and cognitive impairment (β = −3.350, p = 0.044) were associated with self-care behaviors. Developing individualized care plans will require periodic screening of older patients with AF to determine their frailty status and cognitive function.

scholarly journals Examining differences in out-of-hours primary care use in Belgium and the Netherlands: a cross-sectional study

2019 ◽  
Vol 29 (6) ◽  
pp. 1018-1024 ◽  
Author(s):  
Marleen Smits ◽  
Annelies Colliers ◽  
Tessa Jansen ◽  
Roy Remmen ◽  
Stephaan Bartholomeeusen ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practitioner ◽  
The Netherlands ◽  
Health Problem ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Electronic Health Record Data ◽  
Cross Sectional ◽  
Out Of Hours ◽  
Organizational Differences

AbstractBackgroundThe organizational model of out-of-hours primary care is likely to affect healthcare use. We aimed to examine differences in the use of general practitioner cooperatives for out-of-hours care in the Netherlands and Belgium (Flanders) and explore if these are related to organizational differences.MethodsA cross-sectional observational study using routine electronic health record data of the year 2016 from 77 general practitioner cooperatives in the Netherlands and 5 general practitioner cooperatives in Belgium (Flanders). Patient age, gender and health problem were analyzed using descriptive statistics.ResultsThe number of consultations per 1000 residents was 2.3 times higher in the Netherlands than in Belgium. Excluding telephone consultations, which are not possible in Belgium, the number of consultations was 1.4 times higher. In Belgium, the top 10 of health problems was mainly related to infections, while in the Netherlands there were a larger variety of health problems. In addition, the health problem codes in the Dutch top 10 were more often symptoms, while the codes in the Belgian top 10 were more often diagnoses. In both countries, a relatively large percentage of GPC patients were young children and female patients.ConclusionDifferences in the use of general practitioner cooperatives seem to be related to the gatekeeping role of general practitioners in the Netherlands and to organizational differences such as telephone triage, medical advice by telephone, financial thresholds and number of years of experience with the system. The information can benefit policy decisions about the organization of out-of-hours primary care.

scholarly journals Associations among Solo Dining, Self-Determined Solitude, and Depression in South Korean University Students: A Cross-Sectional Study

2021 ◽  
Vol 18 (14) ◽  
pp. 7392
Author(s):  
Sunjoo Jang ◽  
Haeyoung Lee ◽  
Seunghye Choi
Keyword(s):  
Mental Health ◽  
University Students ◽  
Social Connectedness ◽  
Online Survey ◽  
Mental Health Problems ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Physical And Mental Health ◽  
Cross Sectional ◽  
South Korean

Although solo dining motivated by self-determined solitude can be a positive and healthy experience for individuals, solo dining that is not motivated by self-determined solitude can trigger physical and mental health problems. This study examined the associations among solo dining, self-determined solitude, and depression in university students. Accordingly, an online survey was conducted on 372 university students. The results show that students who live alone, those in poor health, and those with more frequent solo dining experiences had higher depression scores than others. Whereas satisfaction with solo dining was high when voluntary solitude was high, female students displayed higher depression scores when they had low self-determined solitude or high non-self-determined solitude, and when they had a higher frequency of eating lunch alone, compared to their male counterparts. University undergraduates who live and dine alone, owing to non-self-determined solitude, are highly vulnerable to mental health problems, including depression. Hence, interventions that foster social connectedness and entail the identification of factors accounting for students’ non-self-determined solitude should be developed.

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