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Turkish J. of Public Health     Open Access  
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Turkish Journal of Public Health
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Print) 1304-1088 - ISSN (Online) 1304-1088
Published by HALK SAĞLIĞI UZMANLARI DERNEĞİ Homepage  [1 journal]
  • A Comparative Study on the knowledge and attitude of COVID-19 among Urban
           and Rural populations of Bangladesh

    • Authors: Md. Kamal Hossain RİPON; Noor Muhammad KHAN, A E M Adnan KHAN, Rana AHMED, Safia AFRİN, Md Abu SAYEED, Md. Mizanur Rahman MOGHAL
      Abstract: Objective: This study is aimed to identify the awareness and behavioral perspective on COVID-19 between urban and rural people of Bangladesh during the period of outbreak. Methods: A community-based cross-sectional descriptive study was conducted in 30 districts of Bangladesh, where 322 participants from urban and 312 from rural area. Participants were selected through convenience sampling. Results: Rural people are found to be much more inter connected to receive information from neighbor. Regarding the incubation periods and the general symptoms, knowledge differs significantly from urban to rural. Even their precautionary and transmission knowledge is found to associate in most of the cases. During this outbreak, urban people significantly increase their religious habits and also believe that there will some major change of life after outbreak. Conclusion: The descriptive study reflected that health education program needed to aware about COVID-19 in both urban and rural in Bangladesh that helps in formulating and executing communication and outbreak management.
      PubDate: Fri, 01 Apr 2022 00:00:00 +030
  • The effect of measures taken during the COVID-19 pandemic on air
           pollution: A East Mediterranean example from Turkey

    • Authors: Burak METE; Onur ACAR, Ceren KANAT, Esra DOĞAN
      Abstract: Objective: Air pollution is both an environmental and a social problem, as it leads to a multitude of adverse effects on human health, ecosystems, the built environment and the climate. Air pollutants are emitted from anthropogenic and natural sources. This study aimed to examine the effects of the measures taken during the COVID-19 pandemic on air pollution in the province of Adana in Turkey. Methods: The data related to the measurements of air pollution parameters were obtained from the Mediterranean Station of the National Air Quality Monitoring Network provided by the Ministry of Environment and Urbanization. The parameters were recorded on a daily basis between March 1st and May 1st in 2019 and 2020. The effects of measures that limited human movements like curfews, travel bans, etc. due to the COVID-19 pandemic on air pollution parameters were examined. Results: A significant decrease was found in the parameters of SO2, CO, NOx, NO, NO2 and O3, except PM10, in 2020 when compared to 2019. The measures taken due to the COVID-19 pandemic were observed to result in a decrease of 0.35% in PM10, 23.6% in SO2, 84% in CO, 46.5% in NOx, 34.5% in NO, 63.1% in NO2 and 68.4% in O3 concentrations. It was found that a significant part of the emissions that caused air pollution had originated from human activities. Conclusion: It was observed that the measures that reduced human movements had a significant effect on air pollution.
      PubDate: Fri, 01 Apr 2022 00:00:00 +030
  • Physical inactivity among university employees and the associated factors

    • Authors: Asuman OKUR; Leyla KARAOĞLU
      Abstract: Objective: There is lack of knowledge on the physical activity levels of university employees, who are large in population and differ in job roles. The study aims to determine the inactivity level and related factors in university employees. Methods: In this cross-sectional study, metabolic equivalent(MET) and sitting time were calculated by applying the “İnternatinal Physical Activity Questionnaire-IPAQ” to 348 staff selected by stratified random sampling method in Rize. Physical activity level was classified as “inactive, moderately active and active”. The height and body weights of the employees were measured. Required ethical and administrative permissions were obtained. Chi-square and logistic regression tests were used in statistical analysis. Results: Of the university employees, 63.5% are men, 85.9% are academic staff, 30.7% are health workers. The mean age is 35.6±0.4 years. Of the employees, 38.5% were found to be inactive, 48.3% were moderately active and %13.2 active. The primary independent variables associated with inactivity were being older than 35 years (OR=2.78), being obese (OR=2.37), being a healthcare worker (OR=2.63), not exercising regularly (OR=2.35), not using an exercise device at home (OR=2.30). Average sitting time was 6 hours/day. The most frequently reported obstacles for physical activity are lack of time (50.6%) and lack of energy (22.4%). Of the employees, 53.7% rated institutional support for physical activity as insufficient at all. Conclusion: Physical inactivity is common among university employees in Rize. Inactivity is associated with personal and professional characteristics. Removal of barriers and increasing the enabling resources are recommended assuming the university employees as high-risk population.
      PubDate: Fri, 01 Apr 2022 00:00:00 +030
  • Depression prevalance and related risk factors among high school students
           in Silivri district of Istanbul

    • Authors: Gülver GÜLEN; Ethem ERGİNÖZ, Cemal KOÇAK
      Abstract: Objective: The aim of this study is to determine the prevalence and related risk factors of possible depression for high school students in Silivri, and to emphasize the importance in terms of public health. Methods: This cross-sectional study conducted with 680 high school students. Data was collected by performing a questionnaire between November 2017-January 2018. “Beck Depression Inventory” and “Sociodemographic Data Form” consist of 34 questions were applied to students. Results: Possible depression ratio was 33.2%, (95% CI= 29,7-36,8) mean BDI score was 13.3. Women were 3.0 times more likely to be at risk of possible depression than men. Possible depression was more common in the nine and eleventh grade students, those whose parents living separately , those with extended and dispersed families . Similarly, possible depression was more common in those who had physical activity 0-1 days a week, without regular hobby, with sleep disorder, did not sleep as long as recommended hours, skip meal, did not have breakfast at home in school days, with chronic disease, with regular medication, with history of depression, with chronic/mental illness in family history. Conclusion: Gender, class, family type, physical activity, sleep duration, skipping meals, presence of chronic disease in family were important factors to predict possible depression. Assessment of depression prevalence and associated factors is important for improving adolescent health and protective mental health. Precautions should be taken to prevent psychiatric disorders in adolescents, such diseases should be screened in schools, and students should be directed to psychologist/psychiatrist when necessary.
      PubDate: Fri, 01 Apr 2022 00:00:00 +030
  • The Seasonal and Demographic Trends of National HPV Screening Program in
           City of Niğde: The Effects of COVID 19 Pandemic

    • Authors: Pınar ERDOĞAN; Fulya AKKAYA
      Abstract: Objective: Worldwide applied national HPV screening programmes are the most efficient, reliable and cost-effective method in prevention of cervical cancer by detecting persistent HPV infection before the formation of precancerous lesions. The aim of this study is to investigate the effects of COVID-19 pandemic on HPV screening program in Niğde. Additionally, the HPV screening rates, screening statistics based on districts, yearly screening rates, HPV prevelance and the distribution of HPV genotypes are targeted. Methods: This is a descriptive study. The medical records of women who underwent HPV screening between January 2017 – June 2021 were retrospectively evaluated. Results: The 629 (%5,51) of the 11430 cervical swab samples were positive and 10765 (94,18%) were negative for HPV. The most frequent type was HPV 16 with a rate of 17%. Only 15,66% of the target population was screened during the study period. The screening rate was significantly lower in 2020 due to COVID-19 pandemic (p=0,001). Additionally, the seasonal rhythm demolished by the pandemic. Conclusion: Restrictions due to COVID-19 pandemic negatively affected screening programs as in every aspect of social life. The results reveal that although HPV positivity rate is higher, the screening rates are far below than the geographical regional mean for city of Niğde. This forces the need of an immediate action plan. Especially, condensation of screening between September and May seems like an appropriate strategy. Finally, constituting individualized city plans after investigating and evaluating district-based and monthly screening rates for each city would help to increase the performance of screening programs.
      PubDate: Fri, 01 Apr 2022 00:00:00 +030
  • A new training approach for vaccinators:Cascade plus training

    • Authors: Zafer ÖZTEK; Angela KYDD
      Abstract: Effective training of staff plays a major role in reaching and sustaining immunization goals. Training and updating health staff is the responsibility of all governments and immunization related organizations. The critical issue is finding the most efficient and effective way of providing initial and continuous training. Cascade training is thought to be one of the best methods. However, several researches showed that besides its advantages the classical cascade training approach has some disadvantages. A cascade training strategy is not an inappropriate choice, but the problems are initiated from inappropriate planning and implementation of it. Therefore, in order to have better trained health staff with high performance, rather than thinking of an alternative training strategy, the governments have to consider alternative ways of increasing the quality of the classical cascade training strategy. If the cascade training strategy is well planned, carried out by blending appropriate teaching techniques and is well monitored/supervised during the implementation phase it can be an effective strategy for training the health care staff and managers. In order to differentiate this understanding from the classical cascade approach, the authors propose the “Cascade-Plus Training” model, which is defined as “a well-planned and implemented cascade training strategy with an understanding of a holistic approach to the topic of training, which is practice oriented, flexible, delivered via multiple evidence based training-techniques, supported with effective supervision, monitoring, process evaluation and problem solving deliveries.”
      PubDate: Fri, 01 Apr 2022 00:00:00 +030
  • Evaluation of COVID-19 related myths on websites in terms of infodemia: A
           content analysis

    • Authors: Selva Dilan GÖLBAŞI; Selma METİNTAS, Muhammed Fatih ÖNSÜZ
      Abstract: Objective: Examining websites is critical to combat infodemia at the central of the COVID-19 response. It is aimed to examine the information circulating in digital media about the 10 myth subjects tackled in the COVID-19 pandemic within the spectrum of information irregularity. Methods: It is cross-sectional descriptive research conducted by examining public internet pages that can be accessed through the Google search engine. Necessary ethical and administrative permissions were obtained. In this study, 200 websites were examined in the time range of November 16th-22nd, 2020. Results: In 83 (41.5%) of the websites was found at least an example of information irregularities. The highest number of examples of information irregularities (21.2%) were found on the “supplement” topic (p
      PubDate: Fri, 01 Apr 2022 00:00:00 +030
  • SARS-CoV-2 seroprevalence in health care workers in a third level hospital
           in Turkey

    • Authors: Erhan ESER; Sebnem SENOL, Sinem AKÇALI, Talat ECEMİŞ, Pınar DÜNDAR, Kübra ÇİÇEK, Damla AKMAN, Ecem TÜZÜN, Gülsüm ŞANLI ERKEKOĞLU, Zeynep BURAN, Zeynep ÖZTÜRK, Ferya KARADAĞ
      Abstract: Objective: The aim of this study is to investigate the previous four months (March-July 2020) SARS-CoV-2 infection rate, seroprevalence and the variables affecting these in HCWs in a university hospital. Methods: The present study is a SARS-CoV-2 seroprevalence study on HCWs working in a tertiary hospital during the first stage (March-July 2020) of the outbreak in Turkey. The presence of IgM and IgG antibodies against the spike structure of the virus was investigated by the chemiluminescent enzyme immunoassay (CLIA) method using the commercial antibody kit (COV2T, Siemens®, Tarrytown, NY, US). Participants’ socio-demographic characteristics, health status, lifestyle, risky occupational and social and personal protective equipment (PPE) usage were independent variables of the study. Chi-square test and Fisher’s exact test were used in univariate analyzes, and accepted type 1 error value was 0.05. The analyzes were made using the SPSS 23.0 package program. Results: 1177 out of a total of 1702 health workers participated in the study. Participation rate was 69.1% . The mean age of the study group was 35.3 ± 9.8 and 62.7% were females. SARS-CoV-2 infection rate detected by nucleic acid amplification test (NAAT-PCR) or antibody test (Elisa) was (18/1177) 1.5%; The seroprevalence of SARS-CoV-2 was 1.01%. 17% of the entire SARS-CoV-2 cases were asymptomatic. The highest infection prevalence was significantly higher in auxiliary health workers (3.7%) compared to other groups. The presence of symptoms HCW’s and their family members that did not exist before in the last 15 days, being overweight or obese and consulting as contacted person in survelliance unit were significantly related to having SARS-CoV-2 infection (p
      PubDate: Fri, 01 Apr 2022 00:00:00 +030
  • The role of attitudes towards menopause and psychological symptoms of
           women in climacteric period: Denizli sample

    • Authors: Nesrin YAĞCI; Şule ŞİMŞEK, Aybike ŞENEL
      Abstract: Objective: to inveatigate the attitudes towards menopause and the role of psychological symptoms of women in climacteric period. Methods: The descriptive, cross-sectional study was carried out with 473 (35-64 years) female participants living in Denizli Province Merkez Efendi district. After recording the demographic and obstetric information, participants’ attitudes towards menopause, depression, anxiety and stress levels were evaluated with the Attitude towards Menopause Scale (ATMS), the Beck Depression Inventory (BDI), the Beck Anxiety Inventory (BAI), and the Perceived Stress Scale (PSS), respectively. Results: Mean ATMS score were 36.55 ± 11.63. The ATMS scores of women who have been educated for more than 8 years (p = 0.034), regular exercise habits (p = 0.004), not entered menopause (p = 0.039), are actively working (p =0.016) and never given birth (p =0.016) were high. Psychological symptom scores of women with a negative attitude towards menopause were higher than those with a positive attitude (p
      PubDate: Fri, 01 Apr 2022 00:00:00 +030
  • Evaluation of the working posture and upper extremity musculoskeletal
           complaints among dentistry students

    • Authors: Nurcan ALTAŞ; Zeynep ÇUKUROVA, Erdem Veli UZUN
      Abstract: Objective: The prevalence of musculoskeletal disorders (MSDs) among dentists is high and adversely affects the quality of life. In this study, we aimed to evaluate musculoskeletal complaints, working postures, and the risk of MSDs among dentistry students across different departments. Methods: 180 dentistry students were divided into six groups according to their departments. For evaluation of the musculoskeletal complaints, we used the standardized Nordic musculoskeletal disorders questionnaire. The working postures and the potentiality of MSDs were evaluated using the ‘Rapid Upper Limb Assessment’ (RULA). Results: We found that 92.8% of the students had musculoskeletal pain during the last 12 months, and the highest prevalence of symptoms was reported for the neck (68.3%) and the upper back (62.2%). The mean RULA score of the students was 5.02 ± 1.31, indicating a high risk of MSDs. The highest RULA mean score was in the pedodontics group. Conclusion: Our study found a high prevalence of musculoskeletal complaints and high RULA scores among all the dentistry students. Therefore, ergonomic solutions should be developed to regulate their working postures according to the relevant department to prevent future disorders and if necessary, students should encourage to seek professional medical help.
      PubDate: Fri, 01 Apr 2022 00:00:00 +030
  • Turkish validity and reliability of multidimensional health locus of
           control scale form b

    • Authors: Aysun GÜZEL; Sevgi TURAN, Sarp ÜNER
      Abstract: Objective: The purpose of this study was to determine the validity and reliability of B Form of the Multidimensional Health Locus of Control Scale (MHLC) in Turkish. Methods: The research is an epidemiological research in methodological type and covers three separate data groups defined as Sample 1 (individuals in the 20-69 age group in the general public), Sample 2 (university students aged 18 and over) and Sample 3 (individuals with chronic diseases between the ages of 18-65). Research data were collected between 2016-2019 and for three samples separately. Sample size was determined as 275 for Sample 1, 360 for Sample 2, 275 for Sample 3. The sample determined in the study is the quota sampling method, which is among the improbable sampling methods. The SPSS and LISREL programs was used for statistical analysis. Results: The Cronbach’s Alpha values of the sub-dimension scores of the MHLC Scale Form B were determined the highest as 0.63 and the lowest as 0.02 for Sample 1, Sample 2, and Sample 3. In the confirmatory factor analysis of MHLC Scale Form B model were analysed for Sample 1, p < 0.05, χ²/df = 2.6, RMSEA = 0.07, SRMR = 0.08, GFI = 0.87; for Sample 2, p < 0.05, χ²/df = 2.9, RMSEA = 0.07, SRMR = 0.08, GFI = 0.89; for Sample 3 p < 0.05, χ²/df = 7.9, RMSEA = 0.16, SRMR = 0.14, GFI = 0.69. Conclusion: The Turkish version of MHLC Scale Form B was not accepted as valid and reliable.
      PubDate: Fri, 01 Apr 2022 00:00:00 +030
  • Glycemic control status according to HbA1c data of primary care center
           laboratory and related factors in Hatay

    • Authors: Cansu KARABİBER; Nazan SAVAŞ
      Abstract: Objective: HbA1c is a blood parameter showing glycemic control, risk of diabetic complications and diabetic care quality. In this study, it was aimed to evaluate the relationship between sociodemographic characteristics, blood lipid profile and renal function markers by determining the HbA1c status in 18≤ year old individuals whose HbA1c was examined in Family Health Units (FHU) in Hatay. Methods: In a cross-sectional study, Hba1c, triglyceride, total cholesterol, high density lipoprotein (HDL), low density lipoprotein (LDL), urea and creatinine data were evaluated retrospectively in individuals aged 18≤ (n=22943) between October-December 2017 at the Hatay Primary Care Center Laboratory. Laboratory reference values were used in the evaluation and ≥6.5% HbA1c was accepted as bad glycemic control. In statistical analysis; HbA1c dependent variable, district, nationality, gender, age and other laboratory data were taken as independent variables. Descriptive statistics, chi-square and Mann Whitney-U tests were used. p
      PubDate: Fri, 01 Apr 2022 00:00:00 +030
  • Evaluation of family health centers’ location: A metropolitan
           district example

    • Authors: Sinan BULUT
      Abstract: Objective: In this study, it was aimed to determine the locations of family health centers in a metropolitan district and to determine the equilibrium in the distribution of these centers. Methods: Locations of 64 family health centers in 124 neighborhoods in the district considered in the study were determined and physical area widths with 0.5 km, 1 km and 5 km radii were drawn by mapping according to the selocations. In the study, the distribution of family health centers accordingto the area and population of the neighborhood was analyzed. Results: There were 124 family healthc enters in 55 neighborhoods in the research. 9 of these neighborhoods have 2 family health centers while 46 have 1 family health centers. Whenwelook at the marking and the 0.5 km physical area, it wasseen that the physical area of 16 family health centers did not intersect with an other family health centers, but the 0.5 km radius area of 49 family health centerss intersected with one or more family health centers. When looking at the blue areas with a diameter of 10 km, it is seen that approximately 15% of the total family health centers and 17% of the total population are located in one area, while approximately 83% of the population and approximately 85% of the family health centers are located in the other region. Conclusion: It has beenobserved that the places where family health centers are not equally accessible for all.
      PubDate: Fri, 01 Apr 2022 00:00:00 +030
  • Gender perception and affecting factors: Example of Mardin

    • Authors: Sema ÇİFÇİ; Günay SAKA, Ayşe AKIN
      Abstract: Objective: The aim was to determine the perception levels and affecting factors on the gender roles of individuals who are between the ages of 20 and 65 in Mardin, a province in southeastern Turkey. Methods: In the study, the sampling was calculated as 1055 people in the range of 20-65, 990 people were contacted, and a questionnaire that consisted of 2 parts was applied face to face. There was a Socio-Demographic Characteristics form in the first part, and a “Gender Perception Scale” in the second part. The score obtained from the scale is in the range of 25-125, and high scores indicate a positive perception of gender. Results: The mean age of the individuals was 33.27 ± 10.70, 67.2% were female, and 15.4% were illiterate. A total of 56.7% of individuals had arranged marriages, and 1.6% were married through the “bride exchange” tradition. The rate of individuals who married one of their relatives was 36.3%. The mean scale score of the individuals who were included in the study was 79.34 ± 15.32. Factors such as working status, being a woman, being single, being young, being born in a city, having a good economic situation, and having a high level of education of individuals and their families affect gender perception positively, while having children, being related to spouses, living in rural areas. being etc. factors affect negatively. Conclusion: The mean gender perception score was found to be lower compared to similar studies. Various socio-demographic factors affect the perception levels of individuals. Studies should be conducted to improve gender perception in cooperation with public institutions, civil society, and media institutions considering the socioeconomic and cultural conditions of the area.
      PubDate: Fri, 01 Apr 2022 00:00:00 +030
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Heriot-Watt University
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