scholarly journals Patients' Preferences in Selecting Family Physician in Primary Health Centers: A Qualitative-Quantitative Approach

2020 ◽  
Author(s):  
Farnaz Khatami ◽  
Mohammad Shariati ◽  
Leila Khedmat ◽  
Maryam Bahmani
Keyword(s):  
Age Groups ◽  
Implementation Process ◽  
Medical Specialty ◽  
Underlying Disease ◽  
Population Based ◽  
Validity And Reliability ◽  
Related Factors ◽  
Factors Affecting ◽  
Fellow Citizen ◽  
Selection Factors

Abstract Background The role of family physicians (FPs) in the metropolitan area is critical in identifying risk factors for diseaseprevention/controland health promotioninvarious age groups. Understanding people's preferences and interests in choosing a FP can be an effective and fundamental step in the success of this program. In this study factors affecting the FP selection by Iranian people referred to health centersin the most populous areas in the south of Tehran were assessed and ranked.Methods Asequential mixed-method (qualitative-quantitative) triangulation approach was designed with three subject groups of people, physicians, and health officials.The Framework method was used to analyze interviews transcribed verbatim. After implementing an iterative thematic process, a 26-item quantitative questionnaire with high validity and reliability was draftedto evaluatethe different factors.A convenient sampling method was usedto select 400 subjectson a population-based scale to quantitatively rank the most critical selection factors.Results The selection factors were divided into six centralized codes, including FPs' ethics,individual, professional and performance factors;patients underlying disease and individual health, and disease-related factors;clinic-office’s location and management factors;democracyfactors;economic factors; andsocial factors. After filling out the questionnaires,the most important factors in selecting FP were aspecialistdegree in family medicine (FM), performing accurate examinations, taking correct biography, and spending enough time to visit by the doctor, respectively. However, the parameters such as being a fellow-citizen, being same gender, and physician's appearance were of the least importance.Conclusion There is a necessity to expand the new medical specialty in FM because it was considered as the first people's priority. The clinical andadministrative healthcare systems should schedule the entire implementation process to oversee the doctor's professional commitment and setting the visit times of FP.

scholarly journals Effects of self-reported hearing or vision impairment on depressive symptoms: a population-based longitudinal study

2018 ◽  
Vol 28 (03) ◽  
pp. 343-355 ◽  
Author(s):  
J. H. Han ◽  
H. J. Lee ◽  
J. Jung ◽  
E.-C. Park
Keyword(s):  
Depressive Symptoms ◽  
Longitudinal Study ◽  
Hearing Impairment ◽  
Age Groups ◽  
Estimating Equation ◽  
Population Based ◽  
Vision Impairment ◽  
Sensory Impairment ◽  
Related Factors ◽  
Dual Sensory Impairment

Aims.The aims of this study were to investigate the effects of either hearing, vision or dual sensory impairment on depressive symptoms and to identify subgroups that are vulnerable and significantly affected.Methods.Data from the 2006–2014 Korean Longitudinal Study of Aging (KLoSA) were used and a total of 5832 individuals were included in this study. Depressive symptoms were assessed using the Center for Epidemiologic Studies Depression (CES-D10) scale. Sensory impairment was assessed according to the levels of self-reported hearing or vision, which were categorised as either good (excellent, very good or good) or poor (fair or poor). The changes in hearing or vision from records of previous survey were investigated. Changes from good to poor, which indicates new onset, were defined as hearing impairment or vision impairment. Interactions of changes in hearing and vision were considered in the analysis. Dual sensory impairment was indicated when hearing impairment and vision impairment both developed at the same time. Demographic, socioeconomic and health-related factors were considered as potential confounders and were adjusted for in the generalised estimating equation model.Results.Individuals with hearing impairment demonstrated significantly more severe depressive symptoms [β = 0.434, standard errors (s.e.) = 0.097, p < 0.001] than those who had good hearing. Those with vision impairment also showed significantly elevated depressive symptoms (β = 0.253, s.e. = 0.058, p < 0.001) than those with good vision. When the interactions between hearing and vision were considered, participants with dual sensory impairment showed significantly more severe depressive symptoms (β = 0.768, s.e. = 0.197, p < 0.001) than those with good hearing and vision. The effect of a single and dual sensory impairment on depressive symptoms was significant in both sexes and across age groups, except for vision impairment in male participants.Conclusions.Hearing, vision and dual sensory impairment are significantly associated with depressive symptoms. Our results suggest that treatment or rehabilitation of either hearing or vision impairment would help prevent depression.

Treating the Elderly Patient with Acute Myelogenous Leukemia

Hematology ◽  
2010 ◽  
Vol 2010 (1) ◽  
pp. 62-69 ◽  
Author(s):  
Selina M. Luger
Keyword(s):  
Elderly Patient ◽  
Acute Myelogenous Leukemia ◽  
Intensive Therapy ◽  
Age Groups ◽  
The Elderly ◽  
Population Based ◽  
Myelogenous Leukemia ◽  
Best Interest ◽  
Related Factors ◽  
Acute Myelogenous

Abstract Decisions regarding the optimal treatment of acute myelogenous leukemia in the elderly patient requires the consideration of multiple factors. Population-based studies have demonstrated that, for all age groups, aggressive therapy results in improved survival and quality of life when compared with palliative care. The optimal induction and postremission regimen for older patients has yet to be determined. Furthermore, not all patients are candidates for such therapy. Consideration of patient and disease-related factors can help to determine the appropriateness of intensive therapy in a given patient. For those patients for whom aggressive induction therapy does not seem to be in their best interest, novel agents are being investigated that will hopefully address the issues of induction death and early relapse associated with these patient populations.

scholarly journals A population-based retrospective study of the spread of COVID-19 from Wuhan to Henan province, China

2020 ◽  
Author(s):  
Fei Li ◽  
Xufei Du ◽  
Xinwei Geng ◽  
Min Zhang ◽  
Yun Zhao ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Age Groups ◽  
Population Based ◽  
Henan Province ◽  
Related Factors ◽  
News Reports ◽  
Epidemic Area ◽  
History Of ◽  
And Control ◽  
Time Information

Abstract The epidemic of COVID-19 has now spread globally and affected over 110 countries. As of Mar 10th, using publicly available data and official news reports in Henan province, we tracked a total of 1272 cases and a retrospective study was conducted to investigate the related factors in COVID-19 spread and control. We confirmed 554 primary patients had travel or residential history of Wuhan in the recent 2 weeks. Secondary cases accounted for 77.9% (141/181) among all the patients aged 61 or older, in whom contacted with unconfirmed returnees from Wuhan was responsible for 27.0% (38/141). The median incubate period is 7 (IQR, 4-10) days by analyzing time information in 469 cases. For 442 patients with discharge dates, the duration from onset to cure is 19 (IQR, 15-23) days. The time from onset to seeking care at a hospital varied in age groups, and differed between primary and secondary cases. Patients visiting different hospitals affected the time from seeking care to cure. Thus, our results showed the spread of COVID-19 and factors associated with outcomes of patients in Henan province, which helps to understand the epidemiological features outside of the epidemic area and control the disease in other regions and countries.

scholarly journals Socio-economic and psychological correlates of suicidality among Hong Kong working-age adults: results from a population-based survey

2006 ◽  
Vol 36 (12) ◽  
pp. 1759-1767 ◽  
Author(s):  
KA Y. LIU ◽  
ERIC Y. H. CHEN ◽  
CECILIA L. W. CHAN ◽  
DOMINIC T. S. LEE ◽  
Y. W. LAW ◽  
...  
Keyword(s):  
Hong Kong ◽  
Suicidal Ideation ◽  
Suicidal Behaviour ◽  
Age Groups ◽  
Population Based ◽  
Related Factors ◽  
Reasons For Living ◽  
Psychological Correlates ◽  
Working Age ◽  
Population Based Survey

Background. The global toll of suicide is estimated to be one million lives per year, which exceeded the number of deaths by homicide and war combined. A key step to suicide prevention is to prevent less serious suicidal behaviour to preclude more lethal outcomes. Although 61% of the world's suicides take place in Asia and the suicide rates among middle age groups have been increasing since the economic crisis in many Asian countries, population-based studies of suicidal behaviour among working-age adults in non-western communities are scarce.Method. Data from a population-based survey with 2015 participants were used to estimate the prevalence of suicidal ideation and behaviour among the working-age population in Hong Kong, and to study the associated socio-economic and psychological correlates. We focused particularly on potential modulating factors between life-event-related factors and suicidal ideation.Results. Six per cent of the Hong Kong population aged 20–59 years considered suicide in the past year, while 1·4% attempted suicide. Hopelessness, reasons for living, and reluctance to seek help from family and friends had direct association with past-year suicidal ideation. Reasons for living were found to moderate the effect of perceived stress on suicidal ideation.Conclusions. Suicidality is a multi-faceted problem that calls for a multi-sectored, multi-layered approach to prevention. Prevention programmes can work on modulating factors such as reasons for living to reduce suicidal risk in working-age adults.

scholarly journals Which dimensions of food-related lifestyle are likely to be associated with obesity in Italy?

2013 ◽  
Vol 17 (3) ◽  
pp. 607-613 ◽  
Author(s):  
Anna Saba ◽  
Elena Cupellaro ◽  
Marco Vassallo
Keyword(s):  
Age Groups ◽  
Italian Population ◽  
Nutritional Content ◽  
Related Factors ◽  
Factors Affecting ◽  
Targeted Interventions ◽  
Independent Variables ◽  
Information Measures ◽  
Cultural Variables ◽  
Food Shopping

AbstractObjectiveTo compare obesev. non-obese consumers in terms of their general food-related lifestyles and to explore possible food-related factors affecting obesity in Italy.DesignThe data were collected using a self-completion questionnaire. Data included sociodemographic information, measures of the Food-Related Lifestyle scale (FRL) and self-reported weight and height. A logistic regression model was fitted for the sample with obesity as the dependent variable and sociodemographic characteristics and FRL dimensions as the independent variables.SettingThe survey was carried out in Italy between October and November 2010.SubjectsOne thousand respondents were recruited with equal quotas for menv. women. The sample was representative of the Italian population in term of age groups and geographic areas. The participants were over 18 years of age and were solely or jointly responsible for the family's food shopping.ResultsOur analyses revealed that sociodemographic, economic and cultural variables affect the increasing rate of obesity in Italy. Obese respondents appeared to find more enjoyment from shopping and interest in cooking compared with non-obese ones. Moreover, they were more likely to find self-fulfilment in foods. However, obese respondents appeared to be less interested in the nutritional content of foods, suggesting their weak involvement in nutritional aspects when they eat. In fact, the obese respondents gave preference to snacks over meals.ConclusionsThe outcome of the study would suggest that in targeted interventions for public health purposes in order to address obesity, attention should be placed on the role that food plays in obese consumers’ lives.

scholarly journals Awareness and Related Factors of Dyslipidemia in Menopausal Women in Korea

Healthcare ◽  
2022 ◽  
Vol 10 (1) ◽  
pp. 112
Author(s):  
Jeonghee Jeong ◽  
Mijin Kim
Keyword(s):  
Selection Criteria ◽  
Subjective Health ◽  
Underlying Disease ◽  
First Year ◽  
Related Factors ◽  
Factors Affecting ◽  
Health And Nutrition ◽  
Menopausal Women ◽  
Complex Sample ◽  
Control And Prevention

This study aims to identify the awareness of dyslipidemia and the factors affecting it in menopausal women to prevent cardiovascular disease, a major cause of female mortality. This study used data from 2019, the first year of the eighth (2019–2021) Korea National Health and Nutrition Examination Survey conducted by the Korea Disease Control and Prevention Agency. A total of 975 women fulfilled the selection criteria. Dyslipidemia awareness and the related factors were analyzed with SPSS 26.0 complex sample software. Only 27.3% of menopausal women over age 40 with dyslipidemia were aware of the condition. Factors affecting their awareness level were age, subjective health awareness, body mass index, and underlying disease. The prevalence of dyslipidemia in menopausal women was high, but their awareness was significantly low. This finding confirms the need for measures to improve dyslipidemia awareness to prevent cardiovascular diseases in menopausal women.

scholarly journals SPEECH PROSODIC PORTRAIT OF AMERICANS OF VATIOUS AGES

2020 ◽  
Author(s):  
Nataliia Koval ◽  
Keyword(s):  
Speech Production ◽  
English Language ◽  
Comparative Method ◽  
Age Groups ◽  
Integrated Approach ◽  
Social Situations ◽  
Related Factors ◽  
Factors Affecting ◽  
Temporal Features ◽  
Internal Relationship

The present study is an experimental phonetic analysis of the Americans’ prosodic characteristics depending on different ages, the experimental part of which is devoted to consideration of melodic peculiarities of American speech. The research topic is determined by the fact that the influence of personally related factors, namely the age of a person, on the process of speech production hasn’t received a sufficiently complete consideration during previous studies, since it did not constitute a subject of special studying. This research correlates with sociophonetics, which studies phonetic characteristics of human speech behavior in various social groups and social situations. The choice of the American variant of the English language as the research material is explained by the greatest prevalence of this variant in the world community. The aim of the study is to identify the most frequent melodic configurations and temporal features of Americans’ speech representing four age groups (adolescence, youth, maturity, old age), as well as in determining the internal relationship between the prosody of sounding speech and the main stages of personality’s development and socialization. The subject of the study can be defined as the dynamics of change melodic and temporal design of Americans’ speech in depending on the age of the speaker. A comprehensive research method combining a theoretical-analytical method, an audit, a comparative method and a method for correlating data obtained during the experiment, as well as their linguistic interpretation, is applied in the work in full. The main conclusion of our study is the confirmation of the fact that for each age there is its own specificity of prosodic formulation of an utterance, which is expressed in a certain set of melodic features typical for the speech of representatives of a particular age group. We can state that the dynamics of prosodic changes in a person’s speech throughout his life does indeed take place, and it is due to biological, psychological and social factors. Human personality is a complex unity of the above-mentioned components, which are in a constant interaction and have a direct impact on the individual’s speech behavior. Consequently, the study of the process of speech production and the identification of its specifics at a certain stage of a person’s life is possible only with an integrated approach to the study of personality, taking into account all the variety of factors affecting it.

scholarly journals Factors Affecting Successful Implementation of Poverty Alleviation Policy in Sri Lanka

2017 ◽  
Vol 7 (4) ◽  
pp. 278
Author(s):  
P. I Anuradha ◽  
R. Lalitha S. Fernando
Keyword(s):  
Sri Lanka ◽  
Poverty Alleviation ◽  
Quantitative Research ◽  
Implementation Process ◽  
Primary Data ◽  
Successful Implementation ◽  
Validity And Reliability ◽  
Factors Affecting ◽  
Policy Measures ◽  
The Many

Poverty is a critical and social issue in the developing world. Various policy measures have been taken by the countries for reducing this issue. Similarly, Sri Lanka has been taken many initiatives. But the incidence of poverty has not come down as expected. For an example, the Poverty Head Count Ratio in rural sector was 29.4% in 1990 and 24.7 % in 2012 (Census and Statistic Department in Sri Lanka). Among the many reasons for failure of these, poor implementation is imperative. In this context, this paper carries out an empirical study to identify the factors affecting successful implementation of poverty alleviation policy. Quantitative research method was used and primary data was gathered from 71 officers attached with the implementation process at the national, district, and divisional levels. A structured questionnaire was used with interviews for the data collection. Reliability analysis and factor analysis were undertaken to ensure the validity and reliability of the data. Correlation and regression analysis was undertaken in identifying the factors. The test result found that capability, disposition, number of people involved in the implementation, past experience of the implementing officers are significantly affecting on successful implementation of the policy. Based on the findings, policy measures are suggested for improving the policy implementation.

scholarly journals A Population-Based Surveillance Study on the Epidemiology of Hepatitis C in Estonia

Medicina ◽  
2018 ◽  
Vol 54 (1) ◽  
pp. 9 ◽  
Author(s):  
Kairi Mansberg ◽  
Karin Kull ◽  
Riina Salupere ◽  
Tiina Prükk ◽  
Benno Margus ◽  
...  
Keyword(s):  
Risk Factors ◽  
Hepatitis C ◽  
Age Groups ◽  
Epidemiological Data ◽  
Population Based ◽  
High Rate ◽  
Genotype Distribution ◽  
Genotype 3 ◽  
Related Factors ◽  
Common Risk Factors

Background and objective: The hepatitis C virus (HCV)-infected patients serve as a reservoir for transmission of the disease to others and are at risk of developing chronic hepatitis C, cirrhosis, and hepatocellular carcinoma. Although the epidemiological data of high rate HCV infection have been obtained in many countries, such data are insufficient in Estonia. Therefore, the aim of the study was to analyze country-specific data on HCV patients. Materials and methods: Data about age, gender, diagnosis, possible risk factors, coinfections, HCV genotypes, liver fibrosis stages and extrahepatic manifestations were collected from 518 patients. Results: The most common risk factors for hepatitis C were injection drug use and tattooing in the 30–39 and 40–49 year age groups, and blood transfusion in the 50–59 and 60–69 year age groups. The other risk factors established were profession-related factors and sexual contact. The prevailing viral genotype among the HCV infected patients was genotype 1 (69% of the patients) followed by genotype 3 (25%). Genotypes 1 and 3 correlated with blood transfusions before 1994, drug injections and tattooing. Conclusions: Our study provides the best representation of genotype distribution across Estonia. As a result of the study, valuable data has been collected on hepatitis C patients in Estonia.

Maturation of odour identification ability and related factors in children

2021 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
E. Mori ◽  
R. Sekine ◽  
Y. Tsurumoto ◽  
R. Sakurai ◽  
M. Tei ◽  
...  
Keyword(s):  
Statistical Analysis ◽  
Age Groups ◽  
Japanese Children ◽  
Related Factors ◽  
Factors Affecting ◽  
Social Lives ◽  
The Family ◽  
Olfactory Identification ◽  
Identification Test ◽  
At Home

Background: Olfaction plays an important role in our daily and social lives, both as adults and as children. This study assessed whether the ability to identify odours increases with age, as well as the ability in various age groups and the factors involved. Methods: The survey was performed in 2017 on 697 Japanese children (366 girls and 331 boys) aged 6–18 years who lived in Tsunan, Niigata Prefecture, Japan by using the ‘Open Essence’, a card-type odour identification test. We collected information regarding age, sex, and physical characteristic. We also inquired whether participants had siblings or if members of the family smoked, and whether they had conversations about odour at home. Statistical analysis was performed to evaluate the factors affecting odour identification abilities. Results: The results showed that the odour identification abilities of children increase with age, and children who have daily conversations about odours at home have better odour identification abilities. Conclusions: Odour identification ability increases with age. In addition, our findings suggest that conversation may positively affect odour identification. Hence, it is important for children to be exposed to an environment where they develop an interest in smells for better growth of their olfactory identification ability.

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