scholarly journals DISCREPANCIES IN BELIEF, BEHAVIOR AND KNOWLEDGE TOWARDS TOBACCO CONSUMPTION

2020 ◽  
Vol 1 (1) ◽  
pp. 50-61

Aim and objective: Tobacco consumption is a leading cause of death, associated with significant health hazards and comprising millions of lives worldwide. India is the third-largest consumer of tobacco in the world; in-spite of adequate control measures taken by the government to cease tobacco consumption. The objective of this review is to highlight the discrepancies in belief, behavior, and knowledge towards tobacco consumption in India. The study also aims to specify factors influencing trends of tobacco consumption and to associate the extent of their influence based on the user’s perception concerning the quality of life. Study design: Review of the literature. Methods: Authors undertook a literature search in the electronic databases EMBASE, Medline, and Scopus with regard to associated disease burden and factors influencing tobacco consumption. Results: According to the review, sociodemographic, economic, personal, environmental, and healthy life indicators are the most influential variables affecting tobacco consumption. This highlights the need for revisiting the tobacco control laws in India, addressing the existing barriers to have significant impacts on the tobacco picture of the country. Although at state-levels, a certain extent of success has been achieved; in-tranquil, national-level non-prioritization of tobaccocontrol still exists. The possible reason might be a lack of awareness about health hazards owing to tobacco use. Conclusion: This dictates to improve health outcomes among individuals by including effective interventions. In all, its mandate to map the current issue of harm reduction framework through research, education, awareness, and implementation of policies for improved quality of life and health.

Author(s):  
Akkhaporn Kokkhangplu ◽  
Kanokkarn Kaewnuch

This research aimed to investigate factors affecting the quality of life (QOL) among people involved in community-based tourism (CBT). Data were collected based on the populations residing in the tourism-community areas in each region of Thailand totaling 200 subjects to complete data analysis using multiple regression analysis. The result found that factors influencing the QOL in CBT are found in various elements of Thailand. Furthermore, the main priority is public administration that is considered the most influencing factor concerning QOL among people in CBT followed by economic factors, technological and external actors, in ranked order. The implication of this study was to motivate the community to obtain QOL because managing public administration requires the government to integrate strategic planning and implement policies to resolve the existing inequality in communities. Additionally, the government’s administrative structure in each area would be improved and made more appropriate in the context of the area in each community. Economic aspects in the community comprise creating work, increasing income for people and accessing several funding sources. In the technology section, public and private sectors are considered possessing the capability to establish technological access for the community. The aspect of external actors must be managed through regulations and laws created by the community generating awareness for community members including regulations and compliance to achieve sustainable QOL in the community.


Author(s):  
A. Babirad

Cerebrovascular diseases are a problem of the world today, and according to the forecast, the problem of the near future arises. The main risk factors for the development of ischemic disorders of the cerebral circulation include oblique and aging, arterial hypertension, smoking, diabetes mellitus and heart disease. An effective strategy for the prevention of cerebrovascular events is based on the implementation of large-scale risk control measures, including the use of antiagregant and anticoagulant therapy, invasive interventions such as atheromectomy, angioplasty and stenting. In this connection, the efforts of neurologists, cardiologists, angiosurgery, endocrinologists and other specialists are the basis for achieving an acceptable clinical outcome. A review of the SF-36 method for assessing the quality of life in patients with the effects of transient ischemic stroke is presented. The assessment of quality of life is recognized in world medical practice and research, an indicator that is also used to assess the quality of the health system and in general sociological research.


Author(s):  
Wei Yu ◽  
Jie Tong ◽  
Xirong Sun ◽  
Fazhan Chen ◽  
Jie Zhang ◽  
...  

Background: Factors related to medication adherence in patients with schizophrenia have always been key to the treatment and rehabilitation of these patients. However, the treatment modes in different countries are not the same, and there is no research on the factors influencing medication adherence under different mental health service modes. Objectives: The purpose of this study was to explore medication adherence and its influencing factors in patients with schizophrenia in the Chinese institutional environment. Methods: We conducted a cross-sectional study of hospitalized persons living with schizophrenia from November 2018 to January 2019. A systematic sampling method was used to select 217 hospitalized persons living with schizophrenia. The Medication Adherence Rating Scale (MARS), Positive and Negative Syndrome Scale (PANSS), General Self-Efficacy Scale (GSES), Schizophrenia Quality of Life Scale (SQLS), and Scale of Social Skills for Psychiatric Inpatients (SSPI) were used to explore medication compliance and its influencing factors in the Chinese institutional environment. Results: The descriptive analysis and ANOVA showed that there were no significant differences in medication adherence when assessed by demographic characteristics such as sex, marital status, and education level (p > 0.05). A correlation analysis showed that there was no significant correlation between medication adherence and mental symptoms (p > 0.05) but that there was a positive correlation with self-efficacy, quality of life, and activities of daily living (p < 0.01). The linear regression analysis showed that self-efficacy, psychosocial factors, symptoms/side effects, and activities of daily living had significant effects on medication adherence (F = 30.210, p < 0.001). Conclusions: Our findings show that the self-efficacy, quality of life, and social function of patients with schizophrenia are important self-factors influencing medication adherence in the Chinese institutional environment.


BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e039517
Author(s):  
Gaurav Jyani ◽  
Shankar Prinja ◽  
Sitanshu Sekhar Kar ◽  
Mayur Trivedi ◽  
Binod Patro ◽  
...  

IntroductionQuality-adjusted life year (QALY) has been recommended by the government as preferred outcome measure for Health Technology Assessment (HTA) in India. As country-specific health-related quality of life tariff values are essential for accurate measurement of QALYs, the government of India has commissioned the present study. The aim of this paper is to describe the methods for the Development of an EQ-5D Value set for India using an Extended design (DEVINE) Study. Additionally, this study aspires to establish if the design of 10-time trade-off (TTO) blocks is enough to generate valid value sets.Methods and analysisA cross-sectional survey using the EuroQol Group’s Valuation Technology (EQ-VT) will be undertaken in a sample of 2700 respondents selected from six different states of India using a multistage stratified random sampling technique. The participants will be interviewed using computer-assisted personal interviewing technique. The TTO valuation will be done using 10 composite TTO (c-TTO) tasks and 7 discrete choice experiment (DCE) tasks. Hybrid modelling approach using both c-TTO and DCE data to estimate the potential value set will be applied. Values of all 3125 health states will be predicted using both the conventional EQ-VT design of 10 blocks of 10 TTO tasks, and an extended design of 18 blocks of 10 TTO tasks. The potential added value of the eight additional blocks in overall validity will be tested. The study will deliver value set for India and assess the adequacy of existing 10-blocks design to be able to correctly predict the values of all 3125 health states.Ethics and disseminationThe ethical approval has been obtained from Institutional Ethics Committee of PGIMER, Chandigarh, India. The anonymised EQ-5D-5L value set will be available for general use and in the HTAs commissioned by India’s central HTA Agency.


2011 ◽  
Vol 3 (1) ◽  
pp. 82-90 ◽  
Author(s):  
Vasiliki MATZIOU ◽  
Konstantinos TSOUMAKAS ◽  
Efrosyni VLAHIOTI ◽  
Leukothea CHRYSICOPOULOU ◽  
Petros GALANIS ◽  
...  

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