Subjects -> HEALTH AND SAFETY (Total: 1478 journals)
    - CIVIL DEFENSE (22 journals)
    - DRUG ABUSE AND ALCOHOLISM (87 journals)
    - HEALTH AND SAFETY (700 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (358 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (112 journals)
    - PHYSICAL FITNESS AND HYGIENE (117 journals)
    - WOMEN'S HEALTH (82 journals)

HEALTH AND SAFETY (700 journals)            First | 1 2 3 4     

Showing 201 - 203 of 203 Journals sorted alphabetically
Health Policy OPEN     Open Access  
Health Promotion International     Hybrid Journal   (Followers: 23)
Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals     Full-text available via subscription   (Followers: 7)
Health Promotion Practice     Hybrid Journal   (Followers: 15)
Health Prospect     Open Access  
Health Psychology     Full-text available via subscription   (Followers: 58)
Health Psychology Bulletin     Open Access   (Followers: 1)
Health Psychology Research     Open Access   (Followers: 21)
Health Psychology Review     Hybrid Journal   (Followers: 46)
Health Research Policy and Systems     Open Access   (Followers: 15)
Health SA Gesondheid     Open Access   (Followers: 2)
Health Science Reports     Open Access   (Followers: 1)
Health Sciences and Disease     Open Access   (Followers: 1)
Health Security     Hybrid Journal   (Followers: 1)
Health Services Insights     Open Access   (Followers: 1)
Health Systems     Hybrid Journal   (Followers: 6)
Health Systems & Reform     Open Access   (Followers: 2)
Health Voices     Full-text available via subscription  
Health, Culture and Society     Open Access   (Followers: 13)
Health, Risk & Society     Hybrid Journal   (Followers: 11)
Health, Safety and Environment     Open Access   (Followers: 34)
Healthcare     Open Access   (Followers: 2)
Healthcare Quarterly     Full-text available via subscription   (Followers: 9)
Healthcare Technology Letters     Open Access  
HERD : Health Environments Research & Design Journal     Full-text available via subscription   (Followers: 1)
Highland Medical Research Journal     Full-text available via subscription  
Hispanic Health Care International     Full-text available via subscription  
Histoire, médecine et santé     Open Access   (Followers: 1)
Home Health Care Services Quarterly     Hybrid Journal   (Followers: 5)
Hong Kong Journal of Social Work, The     Hybrid Journal   (Followers: 3)
Horizonte Medico     Open Access  
Horizonte Sanitario     Open Access  
Hua Hin Sook Jai Klai Kangwon Journal     Open Access  
Human Nutrition & Metabolism     Open Access   (Followers: 2)
IEEE Journal of Translational Engineering in Health and Medicine     Open Access   (Followers: 5)
IISE Transactions on Occupational Ergonomics and Human Factors     Hybrid Journal  
IJS Global Health     Open Access  
Implementation Science     Open Access   (Followers: 20)
Implementation Science Communications     Open Access   (Followers: 4)
IMTU Medical Journal     Full-text available via subscription  
Indian Journal of Health Sciences and Biomedical Research KLEU     Open Access   (Followers: 2)
Indian Journal of Youth and Adolescent Health     Open Access  
Indonesian Journal for Health Sciences     Open Access   (Followers: 1)
Indonesian Journal of Public Health     Open Access  
Infodir : Revista de Información científica para la Dirección en Salud     Open Access  
interactive Journal of Medical Research     Open Access  
International Archives of Health Sciences     Open Access  
International Health     Hybrid Journal   (Followers: 5)
International Health Trends and Perspectives     Open Access  
International Journal for Equity in Health     Open Access   (Followers: 10)
International Journal for Quality in Health Care     Hybrid Journal   (Followers: 40)
International Journal of Applied Behavioral Sciences     Open Access   (Followers: 1)
International Journal of Behavioural and Healthcare Research     Hybrid Journal   (Followers: 8)
International Journal of Child Development and Mental Health     Open Access   (Followers: 2)
International Journal of Circumpolar Health     Open Access   (Followers: 2)
International Journal of Community Medicine and Public Health     Open Access   (Followers: 3)
International Journal of E-Health and Medical Communications     Full-text available via subscription   (Followers: 2)
International Journal of Environmental Research and Public Health     Open Access   (Followers: 22)
International Journal of Evidence-Based Healthcare     Hybrid Journal   (Followers: 8)
International Journal of Food Safety, Nutrition and Public Health     Hybrid Journal   (Followers: 20)
International Journal of Growth and Development     Open Access   (Followers: 1)
International Journal of Health & Allied Sciences     Open Access   (Followers: 3)
International Journal of Health Care Quality Assurance     Hybrid Journal   (Followers: 14)
International Journal of Health Economics and Management     Hybrid Journal   (Followers: 10)
International Journal of Health Geographics     Open Access   (Followers: 7)
International Journal of Health Policy and Management     Open Access   (Followers: 11)
International Journal of Health Professions     Open Access   (Followers: 3)
International Journal of Health Promotion and Education     Hybrid Journal   (Followers: 11)
International Journal of Health Research     Open Access   (Followers: 4)
International Journal of Health Sciences     Open Access  
International Journal of Health Sciences Education     Open Access   (Followers: 2)
International Journal of Health Services     Full-text available via subscription   (Followers: 7)
International Journal of Health System and Disaster Management     Open Access   (Followers: 4)
International Journal of Healthcare     Open Access  
International Journal of Healthcare Delivery Reform Initiatives     Full-text available via subscription   (Followers: 1)
International Journal of Healthcare Information Systems and Informatics     Hybrid Journal   (Followers: 6)
International Journal of Healthcare Management     Hybrid Journal   (Followers: 14)
International Journal of Healthcare Policy     Hybrid Journal   (Followers: 1)
International Journal of Hygiene and Environmental Health     Hybrid Journal   (Followers: 7)
International Journal of Indigenous Health     Open Access   (Followers: 4)
International Journal of Kinesiology in Higher Education     Hybrid Journal  
International Journal of MCH and AIDS     Open Access  
International Journal of Medicine and Health Development     Open Access   (Followers: 3)
International Journal of Mens Social and Community Health     Open Access  
International Journal of Mental Health     Full-text available via subscription   (Followers: 23)
International Journal of Practice-based Learning in Health and Social Care     Open Access   (Followers: 1)
International Journal of Prevention and Treatment     Open Access   (Followers: 1)
International Journal of Public Health Research and Management     Hybrid Journal   (Followers: 5)
International Journal of Public Health Science     Open Access   (Followers: 6)
International Journal of Scientific Reports     Open Access   (Followers: 3)
International Journal of Sexual Health     Hybrid Journal   (Followers: 3)
International Journal of Social Welfare     Hybrid Journal   (Followers: 18)
International Journal of Spa and Wellness     Hybrid Journal  
International Journal of Telerehabilitation     Open Access   (Followers: 1)
International Journal of Yoga : Philosophy, Psychology and Parapsychology     Open Access   (Followers: 6)
International Research in Children's Literature     Hybrid Journal   (Followers: 4)
Internationale Revue Fur Soziale Sicherheit     Hybrid Journal   (Followers: 1)
InterScientia     Open Access  
Investigaciones Andina     Open Access  
Iranian Journal of Health and Environment     Open Access  
Iranian Journal of Public Health     Open Access  
Israel Journal of Health Policy Research     Open Access  
İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi     Open Access  
JAMA Health Forum     Open Access  
JBI Evidence Implementation     Full-text available via subscription   (Followers: 2)
JBI Evidence Synthesis     Hybrid Journal   (Followers: 5)
Jeugd en Co     Hybrid Journal  
JGZ Tijdschrift voor jeugdgezondheidszorg     Hybrid Journal   (Followers: 2)
JMIR Human Factors     Open Access   (Followers: 3)
JMIR Public Health and Surveillance     Open Access  
JMIR Serious Games     Open Access   (Followers: 8)
Jornal Brasileiro de TeleSSaúde     Open Access  
Jornal de Ciências da Saúde do Hospital Universitário da Universidade Federal do Piauí     Open Access   (Followers: 3)
Journal Health NPEPS     Open Access  
Journal of Advances in Environmental Health Research     Open Access   (Followers: 2)
Journal Of Allied Health     Full-text available via subscription   (Followers: 7)
Journal of Behavior, Health & Social Issues     Open Access   (Followers: 8)
Journal of Behavioral Addictions     Open Access   (Followers: 5)
Journal of Behavioral Health Services & Research     Hybrid Journal   (Followers: 15)
Journal of Biology, Agriculture and Healthcare     Open Access   (Followers: 2)
Journal of Charoenkrung Pracharak Hospital     Open Access  
Journal of Child Sexual Abuse     Hybrid Journal   (Followers: 61)
Journal of Communication in Healthcare     Hybrid Journal   (Followers: 3)
Journal of Community Health     Hybrid Journal   (Followers: 9)
Journal of Community Medicine and Primary Health Care     Open Access   (Followers: 4)
Journal of Consumer Health on the Internet     Hybrid Journal   (Followers: 4)
Journal of Creativity in Mental Health     Hybrid Journal   (Followers: 13)
Journal of Developing Areas     Full-text available via subscription   (Followers: 5)
Journal of Development Effectiveness     Hybrid Journal   (Followers: 5)
Journal of Dr. NTR University of Health Sciences     Open Access  
Journal of Earth, Environment and Health Sciences     Open Access   (Followers: 2)
Journal of Eating Disorders     Open Access   (Followers: 13)
Journal of Education and Health Promotion     Open Access   (Followers: 4)
Journal of Environment Pollution and Human Health     Open Access   (Followers: 3)
Journal of Epidemiology & Community Health     Hybrid Journal   (Followers: 64)
Journal of Epidemiology and Public Health     Open Access   (Followers: 4)
Journal of Ergonomics     Open Access   (Followers: 8)
Journal of Evolution and Health : An Ancestral Health Society Publication     Open Access  
Journal of Exercise & Organ Cross Talk     Open Access   (Followers: 3)
Journal of Exercise Science & Fitness     Open Access   (Followers: 24)
Journal of Family & Consumer Sciences     Full-text available via subscription  
Journal of Family Medicine and Primary Care     Open Access   (Followers: 11)
Journal of Family Social Work     Hybrid Journal   (Followers: 12)
Journal of Family Strengths     Open Access   (Followers: 3)
Journal of Fasting and Health     Open Access   (Followers: 1)
Journal of Global Health     Open Access   (Followers: 2)
Journal of Health and Social Behavior     Hybrid Journal   (Followers: 27)
Journal of Health Care Chaplaincy     Hybrid Journal   (Followers: 3)
Journal of Health Design     Open Access   (Followers: 1)
Journal of Health Disparities Research and Practice     Open Access   (Followers: 2)
Journal of Health Economics and Outcomes Research     Open Access   (Followers: 1)
Journal of Health Policy and Management     Open Access   (Followers: 2)
Journal of Health Promotion     Open Access   (Followers: 1)
Journal of Health Psychology     Hybrid Journal   (Followers: 56)
Journal of Health Research     Open Access  
Journal of Health Research and Reviews     Open Access  
Journal of Health Science     Open Access   (Followers: 3)
Journal of Health Science and Alternative Medicine     Open Access   (Followers: 1)
Journal of Health Science and Community Public Health     Open Access  
Journal of Health Science and Medical Research     Open Access  
Journal of Health Science and Prevention     Open Access  
Journal of Health Science Research     Open Access  
Journal of health sciences     Open Access  
Journal of Health Sciences     Open Access  
Journal of Health Sciences and Medicine     Open Access  
Journal of Health Sciences and Surveillance System     Open Access  
Journal of Health Sciences Scholarship     Open Access  
Journal of Health Service Psychology     Full-text available via subscription   (Followers: 1)
Journal of Health Services and Education     Open Access  
Journal of Health, Population and Nutrition     Open Access   (Followers: 12)
Journal of Healthcare Informatics Research     Hybrid Journal   (Followers: 2)
Journal of Healthcare Risk Management     Hybrid Journal   (Followers: 10)
Journal of Human Health     Open Access   (Followers: 1)
Journal of Human Trafficking     Open Access   (Followers: 29)
Journal of Ideas in Health     Open Access   (Followers: 1)
Journal of Immigrant and Minority Health     Hybrid Journal   (Followers: 8)
Journal of Industrial Safety Engineering     Full-text available via subscription   (Followers: 6)
Journal of Infection and Public Health     Open Access   (Followers: 4)
Journal of Integrated Care     Hybrid Journal   (Followers: 18)
Journal of Integrated Health Sciences     Open Access   (Followers: 3)
Journal of Interprofessional Education & Practice     Full-text available via subscription   (Followers: 4)
Journal of Law and Health     Open Access   (Followers: 7)
Journal of Manmohan Memorial Institute of Health Sciences     Open Access  
Journal of Medical and Health Studies     Open Access   (Followers: 2)
Journal of Mental Health Counseling     Full-text available via subscription   (Followers: 8)
Journal of Multidisciplinary Healthcare     Open Access   (Followers: 5)
Journal of Multidisciplinary Research in Healthcare     Open Access   (Followers: 2)
Journal of Muslim Mental Health     Open Access   (Followers: 6)
Journal of Nanotheranostics     Open Access  
Journal of Nursing & Interprofessional Leadership in Quality & Safety     Open Access   (Followers: 5)
Journal of Occupational Health     Open Access   (Followers: 1)
Journal of Occupational Health Psychology     Full-text available via subscription   (Followers: 39)
Journal of Occupational Science     Hybrid Journal   (Followers: 27)
Journal of Oral Health and Craniofacial Science     Open Access  
Journal of Patan Academy of Health Sciences     Open Access  
Journal of Prevention and Health Promotion     Full-text available via subscription  
Journal of Preventive Medicine and Public Health     Open Access   (Followers: 1)
Journal of Primary Prevention     Hybrid Journal   (Followers: 7)
Journal of Psychosexual Health     Open Access  
Journal of Public Child Welfare     Hybrid Journal   (Followers: 8)

  First | 1 2 3 4     

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Journal of Health Research
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Print) 0857-4421 - ISSN (Online) 2586-940X
Published by Emerald Homepage  [360 journals]
  • A qualitative study of the stigmatization and coping mechanisms among
           pregnant teenagers living with HIV in Thailand

    • Authors: Supalak Phonphithak , Narin Hiransuthikul , Penchan Pradubmook Sherer , Sasithorn Bureechai
      Abstract: This aim of this study was to explore the experiences of stigmatization and coping mechanisms during pregnancy among pregnant women who are living with HIV in Thailand. The secondary objective was to determine factors contributing to stigma during motherhood among HIV-infected women as well as explore how they cope with the discrimination from society. Qualitative data were collected using in-depth interviews to obtain different versions of stigmatized experience from 16 pregnant women living with HIV on stigmatization and coping mechanisms. There were 5 pregnant adolescents living with HIV and 11 adult pregnant women living with HIV. The content analysis was used to examine patterns of stigmatizations and attributed factors. Personal stigma was found among pregnant women living with HIV regardless of age. HIV status disclosure was the crucial barrier of accessing to care for people experiencing stigmatizations. Personal stigma associated with higher HIV status was not disclosed. Interestingly, all teenage mothers who participated in this study disclosed their HIV-status to their family. People who have social support especially from family and significant others are found to be able to cope and get through the difficulties better than those who lack those social support. This study yields outcomes similar to several other studies that have been conducted either in Thailand or other countries. This study found that family support was crucial in reducing HIV stigma. Furthermore, HIV-infected pregnant female adults were more afraid to disclose their HIV status to their husbands, other family members and their work colleagues.
      Citation: Journal of Health Research
      PubDate: 2021-08-24
      DOI: 10.1108/JHR-02-2021-0121
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Effectiveness of an oral hygiene promoting program for elementary school
           students using a smartphone endomicroscope in Thailand

    • Authors: Jintana Sarayuthpitak , Sarinya Rodpipat , Sanong Ekgasit , Dean M. Ravizza
      Abstract: The purpose of this paper is to examine the effectiveness of oral hygiene promoting program (OHPP) using a smartphone endomicroscope among students in elementary schools in Bangkok, Thailand, to enable their oral hygiene maintenance and to compare oral health outcomes in the intervention program between the experimental and control groups. This is a quasi-experimental research study consisting of two groups, a pretest, a posttest and a follow-up design. The student sample consisted of 59 fifth graders who matched the study criteria on medium and low levels of teeth brushing skills. There were 29 experimental group participants who completed the six-week OHPP using a smartphone endomicroscope. Another 30 participants formed the control group involved in the ordinary oral health education program. The comparison data for oral health behaviors (knowledge, attitude and practice (KAP)) and oral hygiene were statistically analyzed by using multivariate analysis of variance (MANOVA). Results indicated that the experimental group exhibited higher oral health behaviors regarding KAPs and oral hygiene related to teeth cleanliness and gum health than the control group in the postexperimental and follow-up phases. However, there were no statistically significant differences between the two groups with regard to tongue cleanliness. The students maintain their own oral hygiene due to a provision of activities related to KAP concerns. The instrument helped the students to find tooth decay and dental plaque associated with teeth cleanliness after brushing their teeth.
      Citation: Journal of Health Research
      PubDate: 2021-08-17
      DOI: 10.1108/JHR-12-2020-0657
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • A mixed-method systematic review of text-based telehealth interventions in
           eating disorder management

    • Authors: Xiaoyun Zhou , Matthew Bambling , Sisira Edirippulige
      Abstract: Eating disorders (EDs) is a major health condition affecting 9% of the global population and 10% of those with EDs lost their lives as a result. Text-based telehealth interventions (TTIs) seem to provide a low-cost and convenient treatment option; however, the evidence is scarce. This study aimed to synthesize evidence relating to the use of TTIs for the management of EDs. Five databases were searched published between January 2020 and May 2019. The authors used keywords relating to telehealth and EDs. The authors used Joanna Briggs Institute's (JBI's) critical appraisal instrument to assess the methodology quality of included studies. Fifteen studies were included in this mix-method systematic review and assessed for methodology quality. Email, web-based texting, text-messaging and online chat room were used as mode for deliver healthcare for patients with EDs. In the treatment phase, all studies (nine studies; n = 860 participants) showed effectiveness (for RCTs) and usefulness (for non-RCT studies). In the aftercare phase (six studies; n = 364 participants), the results regarding the effectiveness of TTIs were mixed. Two studies showed effectiveness whilst four studies did not find statistically significant change of ED outcomes. The qualities of these studies varied; firstly, 66% (n = 10) of the studies were non-randomized studies (e.g. single-arm trial, case report) with small samples. Moreover, one-fourth (n = 4) of the studies did not use validated instruments or indicate the instrument. Also, half (n = 7) of the studies used TTIs as adjunct to face-to-face treatment or bigger online treatment, it is hard to make conclusion that the changes were due to TTIs' effect. In addition, follow-up rate is not satisfactory, thus results should be interpreted cautiously. TTIs seem to be promising for management of EDs, particularly in the treatment phase. This provides an important treatment option for health practitioners and people with EDs as an alternative or in adjunct with face-to-face services. This is the first review to synthesis the use of TTIs for ED management.
      Citation: Journal of Health Research
      PubDate: 2021-08-10
      DOI: 10.1108/JHR-03-2021-0179
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Effects of statewide stay-at-home orders on COVID-19 cases and deaths in
           the central USA

    • Authors: Gary W. Reinbold
      Abstract: This study seeks to determine the effects of stay-at-home orders in Spring 2020 on COVID-19 cases and deaths in the Central USA by comparing counties and health service areas that were and that were not subject to statewide orders. This study estimates the effects of statewide stay-at-home orders on new COVID-19 cases and deaths within 19 central states, of which 14 had stay-at-home orders. It uses synthetic control analysis and nearest neighbor matching to estimate the effects at two geographic levels: counties and health service areas. Statewide stay-at-home orders significantly reduced the number of new COVID-19 cases in the Central USA starting about three weeks after their effective dates; during the fourth week after their effective dates, the orders reduced the number of new cases per capita by 31%–57%. Statewide stay-at-home orders did not reduce the number of new COVID-19 deaths in the Central USA. The main purpose of stay-at-home orders in Spring 2020 was to “flatten the curve” so that hospitalizations would not exceed capacity. It is likely that stay-at-home orders in the Central USA reduced hospitalizations to some extent, although the effect on hospitalizations was likely smaller than the effect on cases. This is the first study of stay-at-home orders in the USA to limit the population to a group of interior states. All coastal states had statewide stay-at-home orders and comparing coastal states with orders to interior states without them may be problematic.
      Citation: Journal of Health Research
      PubDate: 2021-08-05
      DOI: 10.1108/JHR-03-2021-0186
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Effect of aromatherapy on the pain of arteriovenous fistula puncture in
           patients on hemodialysis: a systematic review

    • Authors: Ayşegül Yıldız , Seda Şahan
      Abstract: This study aims to determine the effect of aromatherapy used in reducing the pain caused by fistula puncture in hemodialysis patients. In this study, the effect of aromatherapy application on fistula puncture was analyzed and carried out by scanning the relevant literature. The literature review was conducted between August and October 2020. While reviewing the literature, the authors used “aromatherapy,” “pain,” “fistula,” “puncture,” “hemodialysis” keywords and various combinations of these; moreover, Google scientist, Pubmed, Cochrane, ScienceDirect, Web of Science, Medline and Ovid databases and studies, which were conducted in the last 10 years were reviewed. As a result of the literature review, 1183 studies were reached and seven of them were included in the study by taking the inclusion criteria into account. The randomized controlled studies are six studies and nonrandomized controlled experimental 1 study were added to the scope of the study and seven studies were included in the sample. In these studies, personal information forms developed by the researchers as data collection tools and the VAS scale, Numerical pain rating, the numeric rating scale were used to evaluate pain. It has been determined that aromatherapy application in hemodialysis patients has positive effects on reducing pain due to puncture fistula intervention. This study provides reduction or elimination of fistula needle insertion pain in hemodialysis patients.
      Citation: Journal of Health Research
      PubDate: 2021-08-05
      DOI: 10.1108/JHR-05-2021-0280
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Sociodemographic and body image measures associated with overall and
           domain-specific physical activity among a group of Malaysian university
           undergraduates

    • Authors: Rosnah Sutan , Kamilah Muhammad Amir , Azmi Mohd Tamil
      Abstract: This study aims to determine the prevalence of overall and work, transport and leisure domain physical activity (PA) and their associated factors among Malaysian university undergraduates. This is an online cross-sectional study, which gathered data on sociodemographic parameters, PA and body image. Global Physical Activity Questionnaire (GPAQ) was used to collect data on PA while Multidimensional Body-Self Relation Questionnaire-Appearance Scale (MBSRQ-AS) for body image constructs. Three faculties were chosen through stratified random sampling where all its undergraduates were invited. A total of 898 students responded, of which 718 were accepted for analysis. Prevalence of overall work, transport and leisure domain PA among the students was 82.2%, 47.8%, 36.1% and 51.4% respectively. Overall PA was associated with male students (adjusted odds ratio [AOR]: 1.840, 95% confidence interval [CI]: 1.182–2.865); work PA was associated with the Malay race (AOR: 1.728, 95% CI: 1.240–2.409) and having part-time jobs (AOR: 3.098, 95% CI: 1.680–5.714); transport PA was associated with medical faculty (AOR: 1.677, 95% CI: 1.214–2.317) and leisure PA was associated with male students (AOR: 3.836, 95% CI: 2.746–5.360) and high overweight preoccupation (AOR: 1.486, 95% CI: 1.089–2.028). Self-reported variables may be subjected to overestimation and bias. Distributions of PA and its associated factors may be used as guidance for health promotions catering to university students. Factors affecting PA among the youth are correlated with social life events. Focus on domain-specific PA in association with body image measures may add values to existing PA studies, which is lacking in Malaysia.
      Citation: Journal of Health Research
      PubDate: 2021-07-08
      DOI: 10.1108/JHR-01-2021-0015
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • A causal model of functional status among persons with liver cirrhosis
           from four public hospitals in Thailand

    • Authors: Surachai Maninet , Yupin Aungsuroch , Chanokporn Jitpanya
      Abstract: The purpose of this study is to develop and test the causal relationships between alcohol consumption, social support, illness perception, fatigue and functional status among persons with liver cirrhosis. The hypothesized model was developed based on the theory of unpleasant symptoms. A cross-sectional study was conducted among 400 persons with liver cirrhosis by stratified random sampling. Data were collected at outpatient departments from four public hospitals across three regions in Thailand. Six self-report questionnaires were utilized to collect data from March to August 2020. The developed model was verified via a structural equation modeling analysis. The proposed model fit with the empirical data considering from χ2/df = 2.397 (p = 0.061), root mean square error of approximation (RMSEA) = 0.056, comparative fit index (CFI) = 0.985, Tucker–Lewis index (TLI) = 0.981, and standardized root mean square residual (SRMR) = 0.048. The model explained 71.30% of the total variance in functional status. Social support was the most influential factor affecting functional status both directly and indirectly through illness perception. Illness perception had a negative direct effect on functional status and a positive indirect effect on functional status through fatigue. Fatigue had a negative direct effect on functional status. Alcohol consumption was found as the lowest influential factor affecting functional status. This is the first study that explores the characteristics of functional status among persons with liver cirrhosis comprehensively. A causal relationship among various variables found in this study would shed light as important fundamental data for developing interventions to enhance functional status among this population.
      Citation: Journal of Health Research
      PubDate: 2021-07-05
      DOI: 10.1108/JHR-11-2020-0558
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Coverage and correlates of health insurance in the north-eastern states of
           India

    • Authors: Moirangthem Hemanta Meitei , Haobijam Bonny Singh
      Abstract: The paper aims to analyze the coverage of health insurance and its correlates in the north-eastern region of India. The study accessed the raw data of the National Family Health Survey (NFHS-4) (2015–16), which was an extensive, multiround survey conducted in a representative sample of households throughout India, which included socioeconomic, demographic and information on coverage of health insurance of any member of the household. The multivariate analysis of logistic regression was adopted to find the correlates of health insurance for all the eight (8) north-eastern states of India. The results observed that among the north-eastern states, the coverage of health insurance was highest in Arunachal Pradesh (59%) followed by Tripura (58%), Mizoram (47%) surpassing the all India level of 27%, whereas the lowest was in Manipur (4%) followed by Nagaland (6%) and Assam (10%). The multivariate analysis of logistic regression found that the socioeconomic and demographic factors, households with a bank account and below poverty line (BPL) cardholders played a significant role in the coverage of health insurance in the north-eastern states of India. The study focuses only on the coverage and correlates of health insurance. Further evaluation studies on each scheme of the social health insurance are needed for proper assessment of the health insurance schemes in the region. There has been evidence around the world (South Korea, Taiwan and Thailand) that health insurance could be a protective shield from the entrapment into poverty due to high health expenditure. The NFHS-4 put up the finding that in the north-eastern part of India, the coverage of health insurance had been low. This implied that the region could fall into poverty due to high medical expenses on health. Taking account of multiple health insurance providers, risk pooling and consolidation of health insurance providers have become the need of the hour. The study is different from other studies of health insurance since it covered all the eight (8) north-eastern states of India, which are ethnically, culturally and historically distinct from the rest of India in general and within the region and states in particular and examines the impact of each of the independent variables with the dependent variables. The study has shown that the variation in health insurance coverage associated with socioeconomic and other household-level demographic attributes (although not very strong).
      Citation: Journal of Health Research
      PubDate: 2021-06-28
      DOI: 10.1108/JHR-07-2020-0282
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • A tale of dual-approach construct validation and reliability testing for a
           infection awareness knowledge questionnaire

    • Authors: Chin Mun Wong , Mohd Rohaizat Hassan , Rozita Hod , Sharifa Ezat Wan Puteh , Sazaly Abu Bakar
      Abstract: This study aims to validate the English version of a WHO-adapted questionnaire: Zika infection awareness/knowledge questionnaire using a unique dual-approach validation model. A cross-sectional pilot study of 30 adult respondents in Malaysia completed the self-administered questionnaire on knowledge and perception to Zika infection. Construct validity was assessed by exploratory factor analysis (EFA) of SPSS and Rasch partial credit. Reliability is tested using pKR20 and Cronbach’s alpha. Knowledge construct was unidimensional, good model fit, easy to endorse and well discriminative. Five-rating Likert scale for perception domain was appropriate. Knowledge domain should be separated into 6 level of difficulties. Perception domain should remain as one construct. Knowledge domain was highly reliability (pKR20 = 0.96), perception domain was fairly reliable (Cronbach’s alpha = 0.641). Respondent's ability to answer knowledge domain and perception domain were separated into 3 and 4 levels. Small sample size may affect factor analysis. The questionnaire has good psychometric properties to measure the knowledge and perception of Zika infection among Malaysian community. The questionnaire helped to gauge knowledge and perception of the general community in Malaysia to aid preparation of health education tool for Zika infection. This paper validated questionnaire with two biostatistical software programs in bidirectional approach – items difficulty and respondents' ability – is the first field test of WHO questionnaire among general population in Southeast Asia.
      Citation: Journal of Health Research
      PubDate: 2021-06-25
      DOI: 10.1108/JHR-08-2020-0332
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Early marriage and spousal age difference: predictors of preconception
           health of young married women in Delhi, India

    • Authors: Shantanu Sharma , Faiyaz Akhtar , Rajesh Kumar Singh , Sunil Mehra
      Abstract: This study aims to assess the associations of early marriage and spousal age difference (independent of early marriage) with reproductive and sexual health and autonomy in decision-making among married women before conception. The present study was a part of a three-year community intervention to improve the preconception health of young married women (20–35 years) in the West Delhi district of India. The six key outcomes assessed were: knowledge of reproductive health, discussions related to sexual health, history of anemia, use of contraceptives by women, frequency of consumption of meals per day and the autonomy in decision-making for household expenditures. Unadjusted and adjusted logistic regression models were used to explore the associations between the two key predictors (early marriage or spousal age difference), sociodemographic variables and six outcomes. The results were expressed as odds ratio (OR) and 95% confidence interval (CI). A total of 2,324 women, enrolled from four wards in the district using cluster-based sampling, were interviewed. Around 17% of women were married by the exact age of 18, and 20% were elder or just one year younger than their husbands. Women who were married early had low reproductive health knowledge (OR (95% CI): 0.48 (0.38–0.60)) and a lower probability of expressing autonomy (OR (95% CI): 0.78 (0.62–0.97)). However, women older than men or younger by just one year in the married relationship had higher reproductive health knowledge (OR (95% CI): 1.25 (1.01–1.54)) than women younger than men more than two years. Under the umbrella of the preconception care domain, frontline workers should emphasize counseling girls and young women to marry late and delay the first pregnancy.
      Citation: Journal of Health Research
      PubDate: 2021-06-24
      DOI: 10.1108/JHR-01-2021-0062
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Women's empowerment and practice of maternal healthcare facilities in
           Bangladesh: a trend analysis

    • Authors: Foyez Ahmmed
      Abstract: This study aims to explore whether there is an association between women's empowerment and the utilization of maternal healthcare facilities. This study considered four indices for measuring women's empowerment – labor force participation index (LFPI), decision-making power index (DMPI), attitude toward partner’s violence index (ATPVI) and knowledge level index (KLI) – and three healthcare facilities – number of antenatal visits, delivery with healthcare facilities and postnatal checkup after delivery. Data extracted for this study were from the Bangladesh Demographic and Health Survey 2011 and 2014. A chi-square test was used for bivariate analysis, and a three-level logistic regression model was applied for multivariate analysis. An increment was observed in the practice of all considered healthcare facilities, and the percentage of highly empowered women in DMPI decreased from 2011 to 2014. This study found that higher empowerment of women in DMPI, KLI and ATPVI significantly (p-value 
      Citation: Journal of Health Research
      PubDate: 2021-06-24
      DOI: 10.1108/JHR-11-2020-0559
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • A model of participatory learning process for management of environmental
           health impacts in industrial communities area

    • Authors: Supawadee Komonkanjanakul , Rachanont Supapongpichate
      Abstract: The purpose of this paper is to implementing environmental education concepts to manage environmental health impacts by letting the people in the community learn through the participatory learning process. The participatory action research (PAR) and the environmental education concept were conducted in managing the learning process for the people in Map Kha Sub-district, Rayong province. The purposive sampling technique and the stakeholder analysis were used to derive the informants of this study. They are those people living or working in the Mab Kha Sub-district area at least 2 years, aged more than 20 years old, and were willing to participate in all steps of the study. A total of 30 informants were divided into three groups as follows: The Key Informants, The Casual Informants and The General Informants. Data collection employed workshops with three techniques – Participatory Rural Appraisal (PRA), Future Search Conference (FSC) and Appreciation Influence Control (AIC) – to organize cooperative learning processes to managing environmental health impacts. The Content Analysis was utilized in this study through the categorization, grouping, analysis, interpretation and systemization of data. The study period was from June 2014 to December 2015. The study found that most people are concerned and aware of the environmental pollution problems affecting the health in the areas and need to solve such problems. They are also prepared for various problems. However, they face the problems on that they still lack of the chance to be informed about the information on the pollution problems and lack of the chance to participate. For the participatory learning process used to manage the environmental health impacts in the industrial community, it is found that the people and the leading network partners perform well through the knowledge building process on the environmental pollution problems and the planning and evaluation lead to desired behavior of people and industrial community to manage environmental health impacts. The study results emphasized that the participatory learning process of the network associates was the critical key in forming the community power to manage the environmental health impacts. Therefore, the learning process should be easy, not complicated, take a short time and be friendly that will make the community understand the problem and help protect the environment systematically.
      Citation: Journal of Health Research
      PubDate: 2021-06-22
      DOI: 10.1108/JHR-07-2020-0277
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Development of a Thai gaming disorder scale for children and adolescents

    • Authors: Wimonrat Wanpen , Pinyo Itsarapong , Sankamon Gornnum , Jintana Yunibhand
      Abstract: This study aimed to develop the Thai gaming disorder scale (T-GDS) in children and adolescents to serve medical staff and investigate the effectiveness of the scale. This is a research and development study. In total, 217 participants were children and adolescents between 8–18 years, then classified into four groups according to Children's Global Assessment Scale (CGAS). The T-GDS was developed; its content validity was then investigated by three experts. Mock assessment was conducted on 15 individuals replicating the actual sample group before the assessment was tested on the sample group by two medical staff. The quality of the scale is assessed through reliability, validity and cut-off point analysis. Exploratory factor analysis (EFA) extracted four components with 18 items meeting the criteria and have Cronbach's alpha of 0.95. The analysis of ROC curve, to determine the cut-off point, associated the mild game addiction group with T-GDS score = 14; moderate group score = 28; and severe group score = 42. Investigation of cut-off point by practitioners is vital to compare whether it aligns with the point determined by doctors in game addiction diagnosis. Future research should select critical item in order to reduce the number of questions and construct validity should be examined using confirmatory factor analysis. This paper provides a comprehensive insight regarding severity of game addiction based on related criteria. As a result, treatment appropriate for each type of severity could be enhanced.
      Citation: Journal of Health Research
      PubDate: 2021-06-18
      DOI: 10.1108/JHR-10-2020-0462
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • The requirements of developing programs for the management of
           non-communicable diseases in Iran based on the CIPP model: a qualitative
           study

    • Authors: Leila Vali , Fatemeh Ataollahi , Mohammadreza Amiresmaili , Nouzar Nakhaee , Maryam Okhovati
      Abstract: One of the priorities of the health system is community health promotion. In this regards, proper development of programs and plans is needed to create a responsive system which leads to health promotion. The aim of this study was to identify the requirements for developing non-communicable disease (NCDs) programs based on CIPP (context, input, process and product) model. This is a qualitative study. Data were collected through semi-structured interviews with 40 experienced informants in the field of NCDs. The interviewees were selected bases on pre-determined criteria which then were completed by snowball sampling. Analysis was carried out using a content analysis approach that led to identifying program development requirements in four dimensions of context, input, process and product. Twenty-nine requirements of developing program were categorized in four domains of context, input, process and product. These requirements comprised of pilot studies, the existence of appropriate needs assessment, evidence-based programs, promoting organizational culture, adequacy of resources, identification of stakeholders and comprehensive cooperation and existence of an appropriate evaluation system. Since this study was performed through a qualitative method, it is possible, some prerequisites of program development may not be encountered. But the extreme effort has been made to perceive diversity and different aspects. The first study was in the field of appropriate requirements for program development in the context of a centralized health system in a developing country.
      Citation: Journal of Health Research
      PubDate: 2021-06-18
      DOI: 10.1108/JHR-11-2020-0546
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Symptoms related to air pollution, mask-wearing and associated factors: a
           cross-sectional study among OPD pollution clinic patients in Bangkok,
           Thailand

    • Authors: Supakorn Tultrairatana , Phenphop Phansuea
      Abstract: The purpose of this article was to investigate the relationship between symptoms related to air pollution, mask-wearing, mask choices and related factors. A cross-sectional study among outpatient department (OPD) pollution clinic patients at Nopparat Rajathanee Hospital (PCNRH) during 2019 in Bangkok, Thailand. The most common symptom after exposure to air pollution that affects treatment in the OPD is respiratory symptoms. A total of 45.7% (107/234) of the population wears a mask, 55.1% (59/107) of the population that wears a mask wears a surgical mask, and only 10.3% (11/107) of them wear an N95 mask. Mask-wearing and air quality index (AQI) onset were associated with the respiratory symptoms group, whereas wearing an N95 mask or surgical mask was found to be a protective factor for the occurrence of respiratory symptoms (adjusted OR = 0.065, 95% CI: 0.014–0.306, p = 0.001 and adjusted OR = 0.154, 95% CI: 0.058–0.404, p 
      Citation: Journal of Health Research
      PubDate: 2021-06-18
      DOI: 10.1108/JHR-11-2020-0548
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Artificial intelligence in overcoming rifampicin resistant-screening
           challenges in Indonesia: a qualitative study on the user experience of
           CUHAS-ROBUST

    • Authors: Bumi Herman , Wandee Sirichokchatchawan , Chanin Nantasenamat , Sathirakorn Pongpanich
      Abstract: The Chulalongkorn-Hasanuddin Rifampicin-Resistant Tuberculosis Screening Tool (CUHAS-ROBUST) is an artificial intelligence–based (AI–based) application for rifampicin-resistant tuberculosis (RR-TB) screening. This study aims to elaborate on the drug-resistant TB (DR-TB) problem and the impact of CUHAS-ROBUST implementation on RR-TB screening. A qualitative approach with content analysis was performed from September 2020 to October 2020. Medical staff from the primary care center were invited online for application trials and in-depth video call interviews. Transcripts were derived as a data source. An inductive thematic data saturation technique was conducted. Descriptive data of participants, user experience and the impact on the health service were summarized A total of 33 participants were selected from eight major islands in Indonesia. The findings show that DR-TB is a new threat, and its diagnosis faces obstacles particularly prolonged waiting time and inevitable delayed treatment. Despite overcoming the RR-TB screening problems with fast prediction, the dubious screening performance, and the reliability of data collection for input parameters were the main concerns of CUHAS-ROBUST. Nevertheless, this application increases the confidence in decision-making, promotes medical procedure compliance, active surveillance and enhancing a low-cost screening approach. The CUHAS-ROBUST achieved its purpose as a tool for clinical decision-making in RR-TB screening. Moreover, this study demonstrates AI roles in enhancing health-care quality and boost public health efforts against tuberculosis.
      Citation: Journal of Health Research
      PubDate: 2021-06-15
      DOI: 10.1108/JHR-11-2020-0535
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Effect of an online psychological support group on patients with COVID-19
           in a Thai field hospital: a real world study

    • Authors: Tiraya Lerthattasilp , Lampu Kosulwit , Muthita Phanasathit , Winitra Nuallaong , Pairath Tapanadechopone , Chommakorn Thanetnit , Thammanard Charernboon
      Abstract: The purpose of this study is to evaluate the effectiveness of an online psychological support group on patients with coronavirus disease 2019 (COVID-19) in a Thai field hospital. A prospective controlled trial was conducted at a Thai field hospital and included patients with confirmed COVID-19 who were over the age of 18 and able to use an online communication application. Patients were free to decide whether to participate in the online group. The group provided a space for participants to communicate with each other and a mental health service team. The everyday activities were designed to enable group support via texting or livestreaming through the LINE application. Psychoeducation via video clips or articles regarding stress management were provided. Outcomes were measured by an online self-reported questionnaire based on the twenty-one-item Depression, Anxiety and Stress Scale (DASS-21) on the first and fourteenth day of admission to the field hospital. Forty-six patients participated in this study. Forty participants completed the secondary assessment, with 21 in the intervention group and 19 in the control group. From multilevel mixed-effects regression analysis, adjusted for gender, age and education, participation in the intervention group significantly decreased total DASS scores and anxiety subdomain scores compared to those in the control group (p = 0.038 and 0.008). The online psychological support group offered benefits for patients with COVID-19 who were isolated in the field hospital. It could be an effective alternative measure to distribute psychological care during a pandemic situation. However, a small sample size was a limitation of this study.
      Citation: Journal of Health Research
      PubDate: 2021-06-14
      DOI: 10.1108/JHR-01-2021-0044
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Obesity and mental health issues among healthcare workers: a
           cross-sectional study in Sabah, Malaysia

    • Authors: Narinderjeet Kaur Dadar Singh , Jiann Lin Loo , Azlan Ming Naing Ko , Syed Shajee Husain , Jiloris Frederick Dony , Syed Abdul Rahim Syed Sharizman
      Abstract: This study aims to determine the prevalence of obesity and its relationship with mental health issues among healthcare workers in Kota Kinabalu District Health Office, Sabah Borneo and its associating factors. This cross-sectional study was conducted among 387 healthcare workers working in the Kota Kinabalu District Health Office, Sabah. Sociodemographic data and anthropometric measurements were collected and DASS 21 questionnaire was used to assess mental health status. The prevalence of obesity among healthcare workers was 29%, which is significantly associated with years of service (p = 0.016) and abnormal depression subscale scores (p = 0.012) at univariate analysis. The percentage of abnormal subscale score for depression, anxiety and stress was 16, 26 and 12%, respectively. Multivariable logistic regression revealed that more than five years of service years (OR 2.23, 95%CI 1.16–4.28) and high depressive subscale score (OR 2.09, 95%CI 1.18–3.71) were both significantly associated with obesity. This study has affirmed the link between physical and mental health. Policies that tackle both issues should be put in place to promote wellness among healthcare workers.
      Citation: Journal of Health Research
      PubDate: 2021-06-14
      DOI: 10.1108/JHR-07-2020-0269
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • The intention to prevent sexual risk behaviors among the youth in Yangon,
           Myanmar

    • Authors: Ann Jirapongsuwan , Sithu Swe , Arpaporn Powwattana
      Abstract: The purpose of this paper is to investigate the intention to prevent sexual risk behaviors and associated factors among the youth in Yangon, Myanmar. A cross-sectional descriptive research was undertaken among 192 youths. Participants included the youth residing in the study area and participated in the youth development program. Bivariate and multivariate logistic regressions were applied to identify an association. The findings indicated that the proportion of a high level of intention to prevent sexual risk behaviors was 53.6%. The factors associated with the intention to prevent sexual risk behaviors were: belief strength on sexual risk behaviors (aOR = 2.84; 95% CI: 1.06–7.26), normative belief on the prevention of sexual risk behaviors (aOR = 2.03; 95% CI: 3.03–6.23), motivation to comply with preventing sexual risk behaviors (aOR = 4.72; 95% CI: 3.11–6.23), decision-making (aOR = 2.46; 95% CI: 2.22–5.41) and negotiation (aOR = 6.3; 95% CI: 2.37–10.23) The study was a cross-sectional study and cannot establish causal relationships. These results can be a guideline for implementation for the youth but may limit the generalization of results to other age groups in Myanmar. Findings can be used as a local and national public health guideline for developing interventions to prevent sexual risk behaviors. Sexual risk behavior is considered taboo and puts Myanmar youths at risk of health and social problems. It is important for prevention efforts to determine factors related to sexual intentions to prevent the consequence of these problems.
      Citation: Journal of Health Research
      PubDate: 2021-06-14
      DOI: 10.1108/JHR-12-2020-0618
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Healthcare utilisation: a mixed-method study among tea garden workers in
           Indian context

    • Authors: Sonalee Rajput , Sibasis Hense , K.R. Thankappan
      Abstract: The study examined the utilisation patterns of healthcare services among tea garden workers and analysed the factors influencing utilisation in an Indian context. The authors employed a mixed-method approach and an explanatory sequential design for the study. A survey was conducted in the beginning followed by in-depth interviews in a north-eastern state of India (Assam). Andersen health behaviour model was used to explore the factors influencing healthcare utilisation. The sample size for the survey and in-depth interviews were 300 and 19, respectively, recruited employing multistage random and purposive sampling techniques. Out of 300 workers surveyed, 169 (56.3%) were females, 257 (85.7%) were married, 77 (25.7%) were illiterates and 229 (76.3%) had monthly household income less than 100 US$. The survey also found that 47.3% and 15.3% had non-communicable and communicable disease respectively. Most of the workers (67.3%) utilised government facilities, and close to one third (28.7%) utilised tea garden hospitals. About 63.3% had health insurance, but a majority (78.9%) did not use it previously. The analyses of interviews explored the need, enabling, predisposing factors under three important themes influencing utilisation of healthcare services among the workers. The study generates evidence to strengthen the Indian Plantation Labour Act, 1951 for tea garden worker's welfare protection and warrants transition from colonial-era policies to contemporary industry realities in order to improve their living, employment, nutritional and health conditions. The research adds to the existing literature on overall healthcare services utilisation (including coverage and utilisation of health insurance) among blue collar workers who usually lack access to healthcare facilities and explores important factors that determine utilisation in the Indian context.
      Citation: Journal of Health Research
      PubDate: 2021-06-11
      DOI: 10.1108/JHR-02-2021-0101
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Knowledge and attitude among outpatient women visiting a healthcare center
           in northern Iran regarding breast self-examination: a cross-sectional
           study

    • Authors: Amir Ahmadzadeh Amiri , Mohammadreza Haghshenas , Ali Ahmadzadeh Amiri , Fatemeh Daneshvar
      Abstract: Breast cancer is one of the most prevalent malignancies worldwide. This study aimed to compare the level of knowledge and attitude of females regarding Breast cancer and to determine the role of knowledge, attitude and barriers in performing regular self-examination. Non-physician females aged 18 years old or above were enrolled in this cross-sectional study in two groups of usual clients and healthcare staff from January 2018 to January 2019 from a healthcare center in Sari, a major city in the northern district of Iran. A questionnaire was used to score the participants’ knowledge and attitude levels using questions about the participants' knowledge and attitude towards Breast cancer along with their status on Breast self-examination and barriers. Mean scores were used for statistical analysis using SPSS V25. p 
      Citation: Journal of Health Research
      PubDate: 2021-06-11
      DOI: 10.1108/JHR-09-2020-0419
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Sleep quality, daytime sleepiness and daytime functioning among Thai
           obstructive sleep apnea patients receiving continuous positive airway
           pressure therapy

    • Authors: Theerakorn Theerakittikul , Jindarat Chaiard , Jirawan Deeluea
      Abstract: The purpose is to assess the effectiveness of continuous positive airway pressure (CPAP) treatment on sleep quality, daytime sleepiness and daytime functioning among Thai obstructive sleep apnea (OSA) patients. A repeated measures clinical intervention design was implemented. Participants were 50 patients first time diagnosed with OSA and prescribed CPAP treatment. The intervention composed of CPAP health education, and follow-up evaluation. Data on CPAP adherence were downloaded from Smartcards of the CPAP device. The Thai PSQI, ESS and FSAQ-10 questionnaires were administered at baseline, 1-month, and 3-months. Descriptive statistics and repeated measure analysis with multilevel mixed-effects modeling approach were used. Thirty-nine participants completed the study. Approximately 53% (n = 25) and 71.1% (n = 27) of the patients adhered to CPAP treatment by the end of the 1- and 3-months, respectively. After controlling for patients’ adherence, at 1-month follow-up, the intervention improved quality of sleep (β = −2.65, 95% CI = −1.60, −4.13), daytime functioning (β = 3.24, 95% CI = 1.87, 4.61) and decreased daytime sleepiness (β = −3.29, 95% CI = −1.85, −4.73). At 3 months, the intervention still improved quality of sleep (β = −3.53, 95% CI = −2.05, −5.01), and daytime functioning (β = 4.34, 95% CI = 2.76, 5.92), and decreased daytime sleepiness (β = −4.82, 95% CI = −3.16, −6.49). Adherence to CPAP treatment is effective in improving sleep quality, daytime functioning and reducing daytime sleepiness. Patient-oriented strategies for enhancing CPAP adherence should be developed and implemented as a standard care in sleep clinics.
      Citation: Journal of Health Research
      PubDate: 2021-06-08
      DOI: 10.1108/JHR-07-2020-0260
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Prescribing pattern of proton pump inhibitors among patients visiting the
           outpatient general medicine clinic in a tertiary care teaching hospital in
           Nepal

    • Authors: Bijaya Basyal , Nirmal Raj Marasine , Sabina Sankhi , Rajendra Lamichhane , Bipashwi Nath Uprety
      Abstract: The purpose of this study is to evaluate the prescribing pattern of proton pump inhibitors (PPIs) in patients visiting the outpatient general medical clinic in a Tertiary Care Teaching Hospital. A hospital-based cross-sectional study was conducted in 419 patients aged ≥18 years, visiting the outpatient general medicine clinic of a tertiary hospital and prescribed with at least one PPI, from July to September 2016 using a purposive sampling technique. Descriptive statistics were performed using IBM-SPSS 20.0 (IBM Corporation, Armonk, NY, USA). Patients were mostly less than 30 years (30.78%) and female (58.95%). Pantoprazole was the most frequently prescribed PPIs (57.04%). The majority of PPIs were prescribed for acid peptic disorder (APD) (33.65%), followed by non-steroidal anti-inflammatory drugs (NSAIDs) prophylaxis (30.79%). Most of the PPIs were prescribed for twice-daily administration (68.26%). Nearly one-fourth (21.72%) of the patients presented with at least one additional medical condition, and almost all (99%) patients were receiving at least one additional drug along with PPIs. The study suggests that PPIs are frequently prescribed and their use has been extended to other conditions that in fact do not require acid anti-secretory therapy. Result has highlighted the need for an interdisciplinary collaboration between pharmacists and medical professionals for the rational use of PPIs and promotion of PPIs prescription from the National List of Essential Medicines.
      Citation: Journal of Health Research
      PubDate: 2021-06-08
      DOI: 10.1108/JHR-09-2020-0420
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Malaysian Enhanced Movement Control Order (EMCO): a unique and impactful
           approach to combating pandemic COVID-19

    • Authors: Mohd Rohaizat Hassan , Mohd Nizam Subahir , Linayanti Rosli , Shaharom Nor Azian Che Mat Din , Nor Zaher Ismail , Nor Hana Ahmad Bahuri , Farha Ibrahim , Naffisah Othman , Zulfikri Abas , Azmawati Mohammed Nawi
      Abstract: The paper highlights the process-handling during the Enhanced Movement Control Order (EMCO) in combating pandemic COVID-19 in Malaysia. Malaysia first issued an EMCO following a cluster that involved a religious gathering. The EMCO was issued to lockdown the area, undertake screening, treat positive cases and quarantine their close contacts. Active case detection and mass sampling were the main activities involving the population in both zones. One hundred ninety-three confirmed COVID-19 cases were identified from the total population of 2,599. Of these cases, 99.5% were Malaysians, 31.7% were aged >60 years and all four deaths (Case Fatality Rate, 2.1%) were elderly people with comorbidities. One hundred and one cases (52.3%) were asymptomatic, of which 77 (77%) were detected during mass sampling. The risk factors contributing to the outbreak were contacts that had attended the religious gathering, regular mosque congregants, wedding ceremony attendees and close household contacts. Malaysia implemented an effective measure in the form of the EMCO to contain the COVID-19 outbreak, where the last cases were reported 16 days before the EMCO was lifted. The residents’ compliance and inter-agency cooperation were essential elements to the success of the EMCO. A targeted approach using an EMCO should be implemented in a future pandemic.
      Citation: Journal of Health Research
      PubDate: 2021-06-04
      DOI: 10.1108/JHR-01-2021-0037
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Development of a child-rearing promotion of sexual abstinence scale
           (CPSAS) in Thai female adolescents at two Thai universities

    • Authors: La-Ongdao Wannarit , Waraporn Chaiyawat , Jintana Yunibhand
      Abstract: Child-rearing promoting sexual abstinence has strongly predicted sexual abstinence in Thai female adolescents, and it requires a valid and reliable measurement. However, no such instrument exists. This study aimed to develop a child-rearing promotion of sexual abstinence scale (CPSAS) and assess its validity and reliability. The scale development consisted of two phases; scale construction and psychometric testing. Phase I included item generation extracted from a literature review and existing measurements. Items were reviewed by five-panel experts and were then selected by considering an inter-item correlation, corrected item-total correlation, factor loading and communality value from the exploratory factor analysis (n = 299). Phase II involved confirmatory factor analysis (CFA) for construct validity and scale reliability (n = 300). The CPSAS, first, contained 25 items with four dimensions; assuring daughter to recognize parental love, teaching daughter sexual abstinence, convincing daughter to recognize parent's expectations of sexual abstinence and encouraging daughter sexual abstinence. Two items were then deleted after the experts reviewed, and six items were removed after item analysis. The CPSAS finally contained 17 items with a 4-point Likert scale. Psychometric testing provided acceptable results. CFA reported the fit indices; χ2 = 98.06 p = 0.083, df = 80, χ2/df ratio = 1.220, CFI = 0.996, TLI = 0.992, RMSEA = 0.027 and SRMR = 0.030. The standardized factor loadings were 0.499 to 0.908 (p 
      Citation: Journal of Health Research
      PubDate: 2021-06-04
      DOI: 10.1108/JHR-07-2020-0243
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Comparison of mental burden across different types of cancer patients in
           Nepal: a special focus on cervical cancer patients

    • Authors: Soumi Roy Chowdhury , Alok K. Bohara , Jeffrey Drope
      Abstract: The purpose of the study is to assess the differential impact of gender and cancer sites on mental burden across different types of cancer and control patients. The paper is based on a primary survey undertaken in 2015–2016 of 600 cancer and 200 control patients across five hospitals of Nepal. The data was analyzed using propensity score matching methods and treatment effect weighting estimators. The authors find that of all the types of patients covered under this study, cervical cancer patients suffered from a greater intensity of anxiety and lack of functional wellbeing. On an average, all other female, male cancer patients, and control patients experience significantly lower intensity of mental burden in the range of 1.83, 2.63 and 3.31, respectively when compared to patients of cervical cancer. The results are robust across all the four treatment effect estimators and through all the measures of mental burden. The implications of suffering from cervical cancer, as a unique gynecological cancer was studied in-depth. An effect size analysis pointed out to the dysfunctional familial relationship as additional causes of concern for cervical cancer patients. An important finding that emerged is that female cancer patients especially those who have cervical cancer should be given special attention because they appear to be the most vulnerable group. Further work is needed to delineate the reasons behind a cervical cancer patient facing higher amount of stress.
      Citation: Journal of Health Research
      PubDate: 2021-06-02
      DOI: 10.1108/JHR-01-2021-0034
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • The impact of resiliency on mental health and quality of life among older
           adults in Thailand

    • Authors: Paul Ratanasiripong , Nop Ratanasiripong , Monpanee Khamwong , Sarinya Jingmark , Ploenpit Thaniwattananon , Pennapa Pisaipan , Ladda Sanseeha , Nongnaphat Rungnoei , Wallapa Songprakun , Asawinee Tonkuriman , Suchart Bunyapakorn
      Abstract: The aim of this study was to examine the impact of resiliency and associated factors on the mental health and quality of life among older adults in Thailand. This cross-sectional study was conducted with 1,800 older adults (M = 69.3, SD = 7.2) from nine provinces across all regions of Thailand. Each participant completed an anonymous paper-based survey that included demographic data, work activities, health behaviors, social support, Connor-Davidson Resilience Scale (CD-RISC), Depression, Anxiety, Stress Scale (DASS) and World Health Organization Quality of Life Assessment for Older Adults (WHOQOL-OLD). Through hierarchical multiple regression, resiliency, social support, exercise and work hours per week were found to be significant predictors of mental health: depression (F (6, 520) = 19.38, p 
      Citation: Journal of Health Research
      PubDate: 2021-06-02
      DOI: 10.1108/JHR-02-2021-0099
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • A causal model for health-related quality of life among Thai adolescents
           with congenital heart disease

    • Authors: Sathima Suratham , Tassanee Prasopkittikun , Arunrat Srichantaranit , Nopporn Vongsirimas
      Abstract: The objective of this study was to examine the causal relationships among sex, social support, disease severity, symptoms, physical activity, general health perception and health-related quality of life (HRQOL) in Thai adolescents with congenital heart disease (CHD). A cross-sectional study was conducted using convenience sampling to recruit 200 Thai adolescents with CHD aged between 13 and18 years from four tertiary university hospitals in Bangkok. Interview method and self-administered questionnaires were used for data collection held between November 2018 and February 2019. Data were analyzed using path analysis to test the hypothesized model of the relationships. The causal model of HRQOL revealed a good fit with the data. This model of relationship could explain 48% of the variances in HRQOL. Only direct effects of disease severity, symptoms and social support on HRQOL were found while indirect effects were not. Due to the lack of study focusing on factors influencing HRQOL in Thai adolescents with CHD, this empirical study provides the evidence in Thai literature. The modifiable influencing factors for HRQOL found in this study can be manipulated through psycho-educational intervention given to the adolescents and significant others, especially parents, to help increase quality of life in adolescents with CHD.
      Citation: Journal of Health Research
      PubDate: 2021-05-31
      DOI: 10.1108/JHR-11-2020-0520
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Factors influencing caregivers' uncertainty of children undergoing cardiac
           surgery in Bangkok, Thailand

    • Authors: Kunnara Maneekunwong , Arunrat Srichantaranit , Wanlaya Thampanichawat
      Abstract: This study aims to determine the factors influencing caregivers' uncertainty about children undergoing cardiac surgery in a tertiary hospital in Bangkok, Thailand. A correlational predictive study was conducted among 75 caregivers of children from infancy to fifteen years old who were undergoing first time cardiac surgery in a tertiary hospital in Bangkok, Thailand. Four questionnaires were inquired to evaluate caregivers' uncertainty about the illness, and influential factors included (1) perception of the severity of the illness, (2) credible authority of health-care providers and (3) information and emotional support. The descriptive statistics, Pearson correlation coefficient and multiple regression analysis were used to analyze the data and influential factors. The significant influential factors affecting caregivers' uncertainty were (1) perception of the severity of the illness (β = 0.413, p 
      Citation: Journal of Health Research
      PubDate: 2021-05-28
      DOI: 10.1108/JHR-01-2021-0008
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Building a resilient public health system for international migrant
           workers: a case study and policy brief for COVID-19 and beyond

    • Authors: Chanapong Rojanaworarit , Sarah El Bouzaidi
      Abstract: This article analyzes deficiencies in public health services for international migrant workers (IMWs) during the COVID-19 pandemic and provides a policy brief for improvement of the public health system. A COVID-19 outbreak that initially clustered in IMWs and further contributed to the resurgence of the disease across Thailand in December 2020 was analyzed to address the deficiencies in public health services based on the framework of the 10 Essential Public Health Services (EPHS). The EPHS framework was also applied to develop policy options and recommendations in the subsequent policy brief. This outbreak unveiled unique challenges that make IMWs more vulnerable to COVID-19. The public health system, challenged by the COVID-19 outbreak among IMWs, manifested deficiencies in the planning and implementation of all essential services. Delayed detection of the outbreak along with the lack of policy accommodating undocumented IMWs and the lack of equitable access to testing and treatment for COVID-19 resulted in the transmission of the disease that harmed the public at large. The comprehensive analysis of the deficiencies in public health services for IMWs enabled a clear description of problems that could be further prioritized by relevant stakeholders. The policy brief provides policymakers with evidence-based recommendations for improving public health services for IMWs during the COVID-19 pandemic and beyond.
      Citation: Journal of Health Research
      PubDate: 2021-05-28
      DOI: 10.1108/JHR-01-2021-0035
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Effects of a mobile health diabetes self-management program on HbA1C,
           self-management and patient satisfaction in adults with uncontrolled type
           2 diabetes: a randomized controlled trial

    • Authors: Chontira Riangkam , Aurawamon Sriyuktasuth , Kanaungnit Pongthavornkamol , Worapan Kusakunniran , Apiradee Sriwijitkamol
      Abstract: This study aimed to examine the effects of a three-month mobile health diabetes self-management program (MHDSMP) on glycemic control, diabetes self-management (DSM) behaviors and patient satisfaction in adults with uncontrolled type 2 diabetes (T2DM) in Thailand. This was a three-arm, parallel-group, randomized controlled trial among 129 adults with uncontrolled T2DM who attended the medical outpatient department in a medical center. The participants were randomly assigned to the three study groups (n = 43 per group), including MHDSMP, telephone follow-up (TF) and usual care (UC). MHDSMP encompassed four components, including DSM engagement, DSM mobile application, motivational text messages and telephone coaching. Outcomes were evaluated at three-month end-of-study by using HbA1C and response to the Summary of Diabetes Self-Care Activities (SDSCA) and the Client Satisfaction Questionnaire (CSQ-8). Data were analyzed by using descriptive statistics and multivariate analysis of covariance (MANCOVA). The findings revealed that at the end-of-study, HbA1C decreased from 7.80 to 7.17% (p 
      Citation: Journal of Health Research
      PubDate: 2021-05-28
      DOI: 10.1108/JHR-02-2021-0126
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Adverse maternal outcomes associated with Cesarean deliveries and their
           determinants: hospital based cross sectional, mixed- methods study

    • Authors: Mulugeta Meles Dibabi , Alemu Tamiso Debiso , Kaleb Mayisso Rodamo
      Abstract: The purpose of this study was to examine adverse outcomes associated with cesarean deliveries and to assess potential confounding factors. A hospital-based cross-sectional study was conducted from September 1−30, 2019 using mixed methods of data collection. Multistage sampling was used to draw the eligible study participants. The sample size was calculated using the single population proportion formula. A systematic random sampling technique was used to draw the sample size. 180 original medical records were excluded because of having missed information, leaving 1,618 women as the study population. We used the questionnaire adapted from the Ethiopian Demographic and Health Survey to collect quantitative data and analyzed using SPSS version 22, while thematic analysis for qualitative measures was used to generate themes regarding associated perspectives of participants from a community. More than 383 women delivered by cesarean section. 20% of the mothers with the mean age at birth of 26.1 ± 4.8 experienced adverse outcomes. Adjusted odds ratio (AOR) was used to measure the association of determinants and was 2.95 (95% CI 1.19–7.29) for nonuse of antenatal care, 3.18 (95% CI 1.43–6.94) for nonuse of prophylaxis, 4.28 (95% CI 1.58−11.61) for history of medical illness and 7.09 (95% CI 1.19−45.59) for use of substandard operation set up compared with their counterparts. Strengths of the study include the finding of the study are reliably reported in mixed study methods examining hospital-based institutional and personal risk factors and exploring the whole community's perspectives. However, the important limitations of the study indicate that the study poses a number of challenges related to studying design, therefore there was not sufficient evidence of causality to draw conclusions from the findings. In addition, the study was conducted at a single hospital so that it is not convenient to generalize the findings of the study for setting different in social and economic status. Based on the findings, attention has been drawn to healthcare personnel to provide training and consultation services for pregnant women and for health care administration to ensure standard set up for operation.
      Citation: Journal of Health Research
      PubDate: 2021-05-26
      DOI: 10.1108/JHR-09-2020-0396
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • The prevalence and risk factors of musculoskeletal disorders among
           subcontracted hospital cleaners in Thailand

    • Authors: Thanaphum Laithaisong , Wichai Aekplakorn , Paibul Suriyawongpaisal , Chanunporn Tupthai , Chathaya Wongrathanandha
      Abstract: This research aimed to explore the prevalence of musculoskeletal disorders (MSDs) and related factors among subcontracted cleaners in a teaching hospital in Thailand. A cross-sectional study was conducted of 393 subcontracted cleaners in a teaching hospital, from May to June 2020. Face-to-face interviews were carried out using a standard questionnaire, consisting of four parts: (1) participant characteristics, (2) stress test, (3) work characteristics and (4) standardized Nordic questionnaire, Thai version, for MSDs outcome. Multiple logistic regression analyses were performed to determine the association between MSDs and related factors. The prevalence of MSDs was 81.9%, involving mostly the lower back (57.7%), followed by the shoulder (52.6%). Factors significantly associated with MSDs were as follows: male gender (OR = 3.06, 95% CI [1.19, 7.87]), severe stress (OR = 2.72, 95% CI [1.13, 6.54]), history of injuries (OR = 4.37, 95% CI [1.27, 15.11]), mopping posture (OR = 2.81, 95% CI [1.43, 5.50]) and task duration (OR = 1.90, 95% CI [1.01, 3.57] for 2–4 h and OR = 3.39, 95% CI [1.17, 9.86] for more than 4 h). Sick leave due to MSDs was associated with history of injuries, Thai nationality and having another part-time job. The study findings about MSDs in terms of prevalence and related factors contributed to limited pool of the knowledge among subcontracted hospital cleaners in Thailand and middle-income country settings. With growing popularity in outsourcing cleaning services among hospitals in these countries, the study findings could raise a concern and inform policymakers and hospital administrators the importance of the magnitude and risk factors for MSDs necessitating design of preventive strategies.
      Citation: Journal of Health Research
      PubDate: 2021-05-25
      DOI: 10.1108/JHR-01-2021-0040
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Perceptions, knowledge and self-defense behaviors regarding COVID-19 among
           employees at Rajamangala University of Technology Thanyaburi, Thailand

    • Authors: Issara Siramaneerat
      Abstract: This research aims to study self-defense behaviors from coronavirus disease 2019 (COVID-19) and to investigate factors affecting the prevention and control behavior of COVID-19 among personnel at Rajamangala University of Technology Thanyaburi. The sample was 405 personnel of Rajamangala University of Technology Thanyaburi. The sample was calculated by using the Yamane formula at a confidence level of 95. The researcher collected the data between July 1 and 15, 2020. Questionnaire items were developed following the health belief model (HBM). The questionnaire contains basic information, knowledge of COVID-19, perception of COVID-19 and COVID-19 preventive behaviors. Data were analyzed by descriptive statistics, correlation coefficients and multiple regression analysis at the statistical significance level of 0.05. The results showed that the sample had an average knowledge about COVID-19 of 8.93, the perceived of risk and severity of COVID-19 was presented average of 4.22 and 3.48. The perceived of benefits and barriers of COVID-19 showed average of 4.31 and 2.72 and mean of COVID-19 prevention and control behaviors was 2.41. The multiple regression analysis showed that the model can explain the various self-defense behaviors from COVID-19 of 11.30%. Perception of the benefits of COVID-19 had a statistically significant effect on self-defense behaviors from COVID-19 at the level 0.05 (Beta = 0.232, 95% CI: 1.233–3.395, p 
      Citation: Journal of Health Research
      PubDate: 2021-05-25
      DOI: 10.1108/JHR-09-2020-0426
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Diminishing traditional methods and inaccessible modern healthcare: the
           dilemma of tribal health in India

    • Authors: Dandub Palzor Negi , E.P. Abdul Azeez
      Abstract: This paper critically examines the state of tribal health in India by analyzing the accessibility and availability of traditional medicine and modern healthcare. This essay is the product of an extensive review of the literature and authors' personal experience in working with the tribal communities. The traditional medicinal practices once very prevalent among the tribal communities are diminishing due to various socio-economic, environmental and political factors. Modern healthcare in India's tribal region is characterized by a lack of availability, accessibility and affordability. As a result of the diminishing traditional practices and inaccessible modern healthcare provisions, tribal communities depend on quacks and magico-religious practices. This essay advocates for urgent policy interventions to integrate traditional medicine and modern healthcare practices to address critical tribal health issues. Preservation of traditional medicinal knowledge-base and improving research in the field have the potential to address the health of tribal communities and of others. The accessibility and availability of modern healthcare facilities in tribal regions should be improved to ensure better health outcomes.
      Citation: Journal of Health Research
      PubDate: 2021-05-21
      DOI: 10.1108/JHR-01-2021-0001
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Transtheoretical model on the self-care behavior of hypertension patients:
           a systematic review

    • Authors: Hasriani , Elly Lilianty Sjattar , Rosyidah Arafat
      Abstract: This review aims to describe the effectiveness of education with the transtheoretical model (TTM)-based on the self-care behavior of hypertension patients. A systematic literature search was carried out on four databases: PubMed, Science Direct, Cochrane and Grey literature to identify studies reported in English which were published in the last ten years. The literature search was conducted from November 13 to December 10, 2020. Based on the six studies that have been analyzed, TTM is effective in changing the stage of change and behavior of hypertension patients. These behavioral changes have an impact on the patient's controlled blood pressure. Various types of TTM-based educational interventions can be used, but the tailored behavior intervention is the most appropriate one with a minimum intervention duration of six months. Educational intervention is carried out through combine counseling and education using electronic media. This review presents the effectiveness of transtheoretical-based health education in changing the self-care behavior of hypertension patients accompanied by evidence-based on its implementation. There is a high and unclear risk of bias on several items influence this systematic outcome. Nevertheless, this review can still provide an overview of the effectiveness of education based on the TTM in hypertension patients about the quality results of the reviewed studies.
      Citation: Journal of Health Research
      PubDate: 2021-05-18
      DOI: 10.1108/JHR-01-2021-0053
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Travel distance to flu and COVID-19 vaccination sites for people with
           disabilities and age 65 and older, Chicago metropolitan area

    • Authors: Aida Rosalia Guhlincozzi , Aynaz Lotfata
      Abstract: Having easy access to the flu and COVID-19 vaccination sites may be important for controlling the spread of the infection. Chicago implemented a broad strategy of opening COVID-19 vaccination locations across the city in a variety of locations. We defined access as having vaccinations within one mile. Data came from the American Community Survey (ACS), Centers for Disease Control and Prevention (CDC), Social Vulnerability Index (SVI), Illinois Department of Public Health (IDPH) and the Chicago Data Portal. We calculated the street-network distance from the population-weighted centroid of census tracts to the nearest vaccination sites before, during and post COVID-19 pandemic. We compared the demographics of census tracts within one mile to those greater than one mile during each period. People age 65 and above and with disabilities saw significant decreases in flu vaccination site access to locations within one mile of their census tract in 2020–2021 compared to 2018–2019. The COVID-19 vaccination sites mimic these flu vaccination site patterns, suggesting a severe lack of geographic access for a group likely to experience limited mobility. Results combining instances of both flu and COVID-19 vaccination sites suggest that making COVID-19 vaccination sites available at flu shot site locations would significantly reduce the number of people with limited mobility lacking geographic access. Policymakers should explore how this expanded network of vaccination locations could facilitate permanent improvements to access to vaccination sites for people with disabilities.
      Citation: Journal of Health Research
      PubDate: 2021-05-13
      DOI: 10.1108/JHR-03-2021-0196
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Selected factors related to behavior control by executive function in Thai
           preschool children with epilepsy

    • Authors: Pawanrat Panjatharakul , Rutja Phuphaibul , Suporn Wongvatunyu , Anannit Visudtibhan
      Abstract: This descriptive correlational study describes behavior control by executive function (EF) and explores the relationship among age at seizure onset, duration of epilepsy, seizure frequency, number of antiepileptic drugs (AEDs), family income, the caregiver's education, home environment and behavior control by EF in preschool children with epilepsy. The purposive sample was 69 caregivers of preschool children with epilepsy. Data were collected in two medical centers in Bangkok from June 2019 to February 2020. The research instruments constituted: (1) a sociodemographic and medical information form for children with epilepsy and the caregiver; (2) early childhood-home observation for the measurement of the environment (EC-HOME) inventory and (3) the behavior rating inventory of executive function-preschool version® (BRIEF-P). The data were analyzed using Pearson's product-moment correlation and Spearman's Rho correlation. Most of the participants had quite high scores on home environment (mean = 44.35) and mildly elevated levels of EF deficit (mean = 61.04). The duration of epilepsy and the number of AEDs were positively correlated with behavior control by EF. Family income was negatively associated with behavior control by EF. However, age at seizure onset, seizure frequency, the caregiver's education and home environment had no association with behavior control by EF. Preschool children with epilepsy have poor behavioral control by EF. Consequently, healthcare providers should promote interventions in children to control seizures and to decrease the factors that impact the development of EF.
      Citation: Journal of Health Research
      PubDate: 2021-05-13
      DOI: 10.1108/JHR-12-2020-0602
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Development of multi-component counseling program for enhancing resilience
           among Thai caregivers of older persons with dementia

    • Authors: Thidajit Maneewat , Somrat Lertmaharit , Sookjaroen Tangwongchai , Phenphop Phansuea
      Abstract: The purpose of this study was to develop a multi-component counseling program and examine the short-term effects of an 8-session program. This present study was a research and development of a multi-component counseling program for enhancing resilience. The concept of resilience was reviewed based on a synthesis of existing research, together with an exploration of qualitative data derived from an interview with ten caregivers of older persons with dementia. Six domains of resilience were identified: physical, relationships, emotional, moral, cognitive and spiritual; which were then used to develop the eight-week program. The program was examined by a panel of three experts for content validity, which yielded an index of 0.87. The program was then tried out with 60 caregivers recruited and assigned 30 caregivers in the intervention and control group. The Caregiver’s Resilience Scale (CRS) was used by trained nurses to evaluate the program and data were analyzed using repeated measures ANOVA. The results indicated that the resilience scores of the participants in the intervention group were statistically significantly higher than those of the control group at one month after program participation and at the follow-up three months later (p 
      Citation: Journal of Health Research
      PubDate: 2021-05-12
      DOI: 10.1108/JHR-08-2020-0367
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Colorimetric pad for low-concentration formaldehyde monitoring in indoor
           air

    • Authors: Watcharaporn Wongsakoonkan , Sumate Pengpumkiat , Vorakamol Boonyayothin , Chaiyanun Tangtong , Wisanti Laohaudomchok , Wantanee Phanprasit
      Abstract: The purpose of this study was to develop an accurate, selective, low-cost and user-friendly colorimetric pad to detect formaldehyde at low concentration. 1-phenyl-1,3-butanedione, a reactive chemical, was selected to develop the colorimetric pad for indoor air formaldehyde measurement. Silica nanoparticle impregnated with the reactive chemical was coated on the cellulose filter surface to increase the reactive site. A certified formaldehyde permeation tube was used to generate six varied concentrations between 0.01 and 0.10 ppm in a test chamber. The color intensity on the pads was measured using an image processing program to produce a formaldehyde concentration reading chart. The colorimetric pad was tested for optimum reaction time, accuracy, precision, stability, selectivity and shelf life. The color of the pads changed from white to yellow and the color intensity varied with the concentrations and appeared to be stable after exposure to formaldehyde for 8 hours. At room temperature, the stability of the pad was 7 days, and shelf life was 120 days. The accuracy, precision and bias of the pad were 12.38%, 0.032 and 6.0%, respectively. Carbonyl compounds, benzene and toluene did not interfere with the reading of this developed colorimetric pad. The developed colorimetric pad meets NIOSH's criteria for an overall accuracy of ±25%, bias = 10%. They were accurate at low concentrations, user-friendly and had low cost compared to an electronic direct reading instrument (cost of chemicals and materials was 21.50 Bath or 0.69 USD per piece) so that favorable for the use of general people for health protection.
      Citation: Journal of Health Research
      PubDate: 2021-04-30
      DOI: 10.1108/JHR-09-2020-0428
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Self-harm and suicidal ideation during the COVID-19 outbreak in Lebanon: a
           preliminary study

    • Authors: Ismael Maatouk , Moubadda Assi , Rusi Jaspal
      Abstract: This cross-sectional study focuses on the social psychological correlates of self-harm and suicidal ideation during the COVID-19 (coronavirus disease 2019) outbreak in Lebanon, which is a country characterized by political and economic instability. A convenience sample of 191 Lebanese individuals completed measures of length of being in lockdown, fear of COVID-19, job insecurity, political trust, self-harm and suicidal ideation. Data were analyzed using independent samples t-tests and multiple regression. Fear of COVID-19 was associated with neither self-harm nor suicidal ideation. Males and people with lower income reported higher suicidal ideation than females and those with higher income, respectively, and religiosity was inversely associated with suicidal ideation. People who reported self-harm generally exhibited lower political trust than those who did not report self-harm. Beyond the fear of COVID-19, the socioeconomic sequelae of COVID-19 (especially the economic fallout and declining political trust), which are accentuated in already economically and politically unstable societies, may precipitate poor mental health and maladaptive coping strategies in Lebanon. There is a need to ensure adequate access to mental health services to the general population amid the COVID-19 outbreak in Lebanon. This study provides novel insight into the risk factors for self-harm and suicidal ideation in Lebanon during the COVID-19 pandemic.
      Citation: Journal of Health Research
      PubDate: 2021-04-29
      DOI: 10.1108/JHR-01-2021-0029
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Association of work performance with absenteeism and presenteeism among
           support workers in a medical school hospital, Thailand

    • Authors: Jirachat Tangchareonsamut , Chathaya Wongrathanandha , Siriluk Khamsee , Wichai Aekplakorn
      Abstract: The aim of the study is to determine the prevalence of absenteeism and presenteeism and explore their association with work performance among support workers in a medical school hospital in Thailand. A cross-sectional study was conducted among 1,102 support workers in the Faculty of Medicine Ramathibodi Hospital, Mahidol University, in June–August 2020. The World Health Organization Health and Work Performance Questionnaire (HPQ) was used to assess absenteeism, presenteeism, work performance and related factors. Multiple logistic regression was used to examine the association between current work performance and absenteeism and presenteeism in the past year. A total of 505 (45.8%) support workers completed the self-report questionnaire. Prevalence of sickness absence, non-sickness absence and presenteeism in the past year was 54.2%, 81.4% and 48.1%, respectively. Sickness absence and presenteeism in the past year were significantly associated with increased odds of poor work performance: (OR 3.05, 95% CI: 1.24–7.49) and (OR 5.12, 95% CI: 2.25–11.64), respectively. Support workers with high levels of stress and burnout were 3.89 (95% CI: 1.56–9.68) and 2.66 (95% CI: 1.50–4.72) times more likely to report poor work performance. Sickness absence and presenteeism are associated with poor work performance in hospital support workers. Other factors such as stress and burnout also contribute to poor work performance, and interaction among these factors needs further research. To improve productivity, hospital administrators might consider intervention programs to enhance work performance among workers with sickness absence and presenteeism.
      Citation: Journal of Health Research
      PubDate: 2021-04-29
      DOI: 10.1108/JHR-01-2021-0045
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Health disparities among older women in India during the COVID-19 pandemic

    • Authors: Aditi Tomar , Md Mahbub Hossain
      Abstract: Older women in India continually experience disparities in health. The legally enforced lockdown in India has impacted both physical and psychosocial well-being of the populace. Amid the restrictions on mobility during the lockdown, older adults are presented with challenges such as impaired access to healthcare services, nonavailability of attendants and prolonged social isolation. Due to these challenges, disparities related to gender and age may considerably widen. The potential health threats may particularly afflict older women, who bear a disproportionate threat to illnesses, compared to their male counterparts. This commentary explores how health threats among older Indian women may have worsened during the lockdown. The authors also propose recommendations for expanding health and social care to older women in India. Approaches aimed at strengthening gerontological social work must be duly adopted, especially during the ongoing pandemic. Public institutions and development partners should utilize and if needed, overhaul existing resources and policies to adequately serve this marginalized group. Older women, especially those residing in unbearable circumstances, should be identified and brought under comprehensive care coverage within the social landscape. This article proposes recommendations to foster gerontological social work among older Indian women.
      Citation: Journal of Health Research
      PubDate: 2021-04-29
      DOI: 10.1108/JHR-01-2021-0065
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Workplace violence among healthcare workers in the emergency departments
           in Malaysia

    • Authors: Mohammad Nafis Sahiran , Halimatus Sakdiah Minhat , Suhainizam Muhamad Saliluddin
      Abstract: This study was conducted to determine the percentage and associated factors of workplace violence (WPV) among healthcare workers (HCW) working in the Emergency Departments (ED). A cross-sectional study was conducted among 231 HCW using proportionate stratified random sampling. A validated and reliable self-administered questionnaire was distributed among respondents who fulfilled the eligibility criteria. Only Malaysians with a minimum employment of six months in the ED were included. The data was analysed through Multiple Logistic Regression using International Business Machines Statistical Package for Social Sciences software version 24 to determine the association between the independent variables and WPV. Significance level was set at 0.05 (p = 0.05) at 95% confidence interval (CI). The percentage of WPV was 38%, of which 88.9% were psychological violence and were mostly perpetrated by combinations of perpetrator types (51.9%). Those aged 40 years and below, with low job support, and working in a secondary hospital have 5.4 (AOR = 5.366, 95% CI: 1.51–19.05), 2.9 (AOR = 2.871, 95% CI: 1.44–5.73) and 2.7 (AOR = 2.737, 95% CI: 1.50–5.01) times higher odds, respectively, of experiencing WPV. The findings revealed a relatively high percentage of WPV among the HCW working at the ED with those of younger age with low job support and working in secondary hospitals being more at risk. Early interventions to reduce WPV are necessary in targeting those with identified risks.
      Citation: Journal of Health Research
      PubDate: 2021-04-29
      DOI: 10.1108/JHR-06-2020-0205
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Perceptions of childhood vaccination practices among beneficiaries and
           healthcare service providers in slums under the national immunization
           program of India: a qualitative study

    • Authors: Sanjeev Singh , Damodar Sahu , Ashish Agrawal , Meeta Dhaval Vashi
      Abstract: A qualitative study can help in understanding the unpolluted perspectives of key stakeholders involved in the vaccination practices and can explore vital factors that could influence vaccination-related behaviors and their utilization. This study aims to document the perceptions of caretakers, community members and healthcare service providers related to childhood vaccination practices in slums under the national immunization program (NIP) of India. This was a qualitative community-based cross-sectional study. Focus group discussions with caretakers, community members and healthcare service providers were used to build a holistic, detailed description and analysis of the factors associated with childhood vaccination practices within its real-world context. Lack of awareness, fear of adverse events following immunization, inappropriate timing of vaccination sessions, loss of daily earnings, migration, lack of good behavior of health staffs, shortage of logistics and vaccines, limited resources and infrastructures and high expectations of beneficiaries were some of the vital barriers impacting vaccination practices in slums. Though this study provides significant good information on the indicators that can be considered to improve the vaccination practices in any slum settings, it has is also a limitations too due to its setting. Therefore, one needs to be cautious while generalizing these results to other settings like rural. In addition, Though we believe that these strategies could be useful in any setting, it is also important to tailor these observations them as per the need of the society and the population. Also, this is a self-reported qualitative study and therefore the perspectives reported in this study need to be taken with caution. Further, low vaccination, poor awareness, compromised healthcare services, high expectations could be considered as a stigma/fear among the responders and therefore there is always a chance of underreporting. Thus, it would be important in future to conduct a study involving a broader group of people in society and to establish factors associated with the vaccination coverage. that can help in improvement of vaccination. Initiatives such as regular interactions at different levels, effective communication including reminders, behavior interventions, the continued supply of vaccines and logistics, additional resources for the vaccination program, incentives and recognition, extended sessions and people-friendly healthcare delivery system could be helpful to strengthen the routine vaccination practices in slums.
      Citation: Journal of Health Research
      PubDate: 2021-04-29
      DOI: 10.1108/JHR-06-2020-0211
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Evaluation of head and neck cancer knowledge among the at-risk population
           of Karachi, Pakistan: a cross-sectional survey

    • Authors: Zainab Mohsin , Arisha Faiq , Tahira Naqvi , Sameen Rehman , Saffia Imtiaz Ahmed , Khadija Farrukh , Faiza Siddiqui , Arifa Ali Asghar , Murk Lakhani
      Abstract: The purpose of this study was to assess the knowledge of head and neck cancers (HNCs), their risk factors, signs and symptoms among the general public of Karachi, Pakistan. Initially, 503 individuals were approached for data collection, out of which 404 fit the inclusion criteria (response rate = 80.03%). Nonprobability convenience sampling was utilized to select participants who fell under the age group of 15–60 years, barring the fields of Bachelor of Medicine and Bachelors of Surgery (MBBS) and Bachelors of Dentistry (BDS). Knowledge was evaluated by a 9-item questionnaire, the scores of which yielded the following interpretations: No (0), low (1–3), moderate (4–6) and high (7–9) knowledge. Of the 404 participants who completed the questionnaire, 357 (88.4%) participants claimed to be aware of HNC. The HNC knowledge scores had a statistical relevance with socioeconomic status (p = 
      Citation: Journal of Health Research
      PubDate: 2021-04-29
      DOI: 10.1108/JHR-06-2020-0221
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Developing an interpersonal communication material for primary health-care
           workers for the prevention and control of noncommunicable diseases:
           experience from a case in Manila, Philippines

    • Authors: Jonathan P. Guevarra , Yves Miel H. Zuñiga , Deinzel R. Uezono , John Juliard L. Go , Carmela N. Granada , Dolores T. Manese
      Abstract: The purpose of this study is to describe the systematic process in developing an interpersonal communication material for the prevention and control of noncommunicable diseases (NCDs) in the City of Manila, Philippines. The systematic process in the development of an interpersonal communication material is presented. The seven steps in the process included mapping of available health communication materials, needs identification, development of the material, pretesting, finalization, printing/production and orientation on the use of the material. The process followed an iterative, multistakeholder approach in order to ensure that all important insights are obtained and that the final material is contextualized, easily communicated and culturally appropriate. It is important to consider context and culture on top of the methodology in order to ensure development of appropriate interpersonal communication material. It is also important that the experience of the primary health-care workers on the use of the interpersonal communication material is properly documented for future reference, through both quantitative and qualitative evaluations. The seven-step systematic process utilized can be used as a model in developing health communication materials in the field of health promotion and education.
      Citation: Journal of Health Research
      PubDate: 2021-04-29
      DOI: 10.1108/JHR-07-2020-0283
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Accidental falls and associated factors among the elderly in Thailand: a
           national cross-sectional study in 2007, 2011, 2014 and 2017

    • Authors: Pattaraporn Khongboon , Jiraporn Kespichayawatt
      Abstract: This study assesses the prevalence of accidental falls in Thailand's older adult population and the contingent influences surrounding this prevalence. Data were drawn from the Cross-Sectional National Surveys of Older Persons in Thailand, pooling of four survey datasets which took place in 2007, 2011, 2014 and 2017. Stratified two-stage sampling was employed. Interviews were conducted with sample sizes of 11,370, 11,061, 13,775 and 12,457 senior citizens, aged 60 and above, in the respective survey years. Further investigation was conducted on subjects who reported to be of good health and without any disability, yet experienced accidental falls. The prevalence of accidental falls was examined, and variable aspects concerning fall risk were assessed with probability-weighted multiple logistic regression. The average prevalence of accidental falls from the four surveys was 4.7%. Significant risk factors identified were advanced age, being female, living in a rural residence, having worked in the previous 7 days, lack of/excessive exercise, alcohol consumption, smoking and having an outdoor lavatory. Accidental falls tend to increase among community-dwelling seniors aged 60 and above. Falls increase with age and are more common among the women in that demographic. Findings suggest the need for government and local agencies to consider tailoring some public health approaches to the prevention of accidental falls. This study also highlights the necessity of proper work environment maintenance to prevent these falls.
      Citation: Journal of Health Research
      PubDate: 2021-04-29
      DOI: 10.1108/JHR-07-2020-0308
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Vulnerability toward the development of diabetes mellitus type 2 among
           adults from a rural community of West Bengal, India

    • Authors: Shibaji Gupta , Arup Chakraborty
      Abstract: India has over half a million diabetics, with many others at risk. The Indian Diabetes Risk Score (IDRS) is a simple and validated tool used for mass screening of diabetes mellitus type 2 at the community level. This study assessed the vulnerability of developing diabetes in adults of a rural community of West Bengal using the IDRS and finds out the relationship of the risk of developing diabetes with socioclinical variables. Multi-stage sampling was employed to select one eligible nondiabetic adult from selected families residing in the rural field practice area of a medical college in West Bengal. They were interviewed with a predesigned and pretested data collection schedule and examined. Among 197 participants, 83.8% were female, 51.8% were illiterate and 57.4% came from Class IV of Prasad's socioeconomic scale. Of participants, 22.8% had existing known morbidities, and 23.9% had some form of substance addiction. In total, 46.8% of the participants on whom the IDRS could be applied (n = 175) were at high risk of developing diabetes (Score = 60). Gender and existing comorbidities significantly predicted a high risk of diabetes. A large proportion of the Indian population yet to be diagnosed with diabetes are at a high risk of having the disease. Early detection of the disease can help curtail its complications and reduce its clinical, social and economic burden. Mass screening tools like the IDRS thus become a very important tool in India's attempts to fight diabetes.
      Citation: Journal of Health Research
      PubDate: 2021-04-29
      DOI: 10.1108/JHR-08-2020-0320
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Healthy aging in India: evidence from a panel study

    • Authors: C.V. Irshad , Umakant Dash
      Abstract: Recent public health policy emphasizes the achievement of healthy aging as average life expectancy increases worldwide. Evidence for healthy aging from low- and middle-income countries (LMIC) is limited. The purpose of this paper is to assess the prospects of healthy aging and its associated factors in the Indian context. The study was based on a national-level panel survey, the Indian Human Development Survey (IHDS) conducted in 2004-05 and 2011-12. The analytical sample consists of 10,218 elderly individuals who were 60 years old and above at the baseline. Change in health status was assessed based on disability and disease incidence at the follow-up. A generalized estimating equation (GEE) model was performed to assess health status change. Increasing age was a risk factor for all dimensions of health outcomes. Elderly from the lowest wealth quintiles were more likely to lose health due to short-term morbidity, whereas the highest wealth quintiles were more likely to lose health due to long-term and multi-morbidity, indicating evidence for the presence of the “disease of affluence”. Social capital, such as living in a joint family acted as a protective factor against health risks. With the results showing the evidence of the “disease of affluence” and “disease of poverty” in different health outcomes, there should be a health policy focus that copes with undergoing epidemiological transition. It is also important to pay attention to health-protecting factors such as social and familial support to achieve healthy aging.
      Citation: Journal of Health Research
      PubDate: 2021-04-29
      DOI: 10.1108/JHR-09-2020-0395
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Integrating maternal and child health data into the Iraqi Kurdistan health
           information system

    • Authors: Haveen H. Alsilefanee , Sivar A. Qadir , Shahla O. Salih , Luma H. Alhanabadi , Leonardo Emberti Gialloreti , Stefania Moramarco
      Abstract: The purpose of this study is to present the workflow on the integration of Maternal and Child Health Care Services (MCHCS) into the electronic Health Information System of the Iraqi Kurdistan (KRG-HIS). As part of the cooperation between the University of Rome Tor Vergata-Italy and the Iraqi Kurdistan Ministry of Health, six PhD positions were granted for Iraqi students to create a local team of experts with the aim of supporting the scaling-up of the KRG-HIS. After specific training, the team then trained the staff members of the health centers, met health authorities and analyzed the local scenario to ensure that the KRG-HIS could be better tailored to regional needs. In 2019, the integration of MCHCS into the KRG-HIS was one of the main areas of research. Health data collection was mostly paper-based, which made vital statistics and evaluation of outcomes difficult to measure. More than 15,000 paper-files from the Duhok Obstetrics and Gynaecology Hospital were retrieved from storage. Then data entered in the KRG-HIS. Theoretical and practical training sessions were conducted for local staff members, with 183 health operators already having been trained. Daily supervision of the online system and field visits were ensured. There is a need to support health authorities in improving data collection on MCHCS, ensuring the future self-sufficiency of the HIS. Key to the process is the creation of a specialized team of local experts with the objective of “training the trainers”.
      Citation: Journal of Health Research
      PubDate: 2021-04-29
      DOI: 10.1108/JHR-11-2020-0542
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Family planning use among young mothers in the peri-urban area of Osun
           State, Nigeria: the influence of spousal communication and attitude

    • Authors: Obasanjo Afolabi Bolarinwa , Akintayo Taiwo Olaniyan , Balsam Qubais Saeed , Olalekan Seun Olagunju
      Abstract: The purpose of this study is to examine the influence of spousal communication and attitude toward family planning (FP) use among young mothers in the peri-urban area of Osun State, Nigeria. The study was limited to a primary cross-sectional dataset collected among 420 young mothers between the ages of 15 and 30 years residing in the peri-urban area of Osun State, Nigeria. The distribution of the use of FP across the socio-demographic, spousal communication and attitude was described, and multivariate logistic regression was used to assess FP use likelihood. The results were presented as crude odds ratios (cOR) and adjusted odds ratios (aOR) with their corresponding 95% confidence intervals. Statistical significance was set at p-value 
      Citation: Journal of Health Research
      PubDate: 2021-04-29
      DOI: 10.1108/JHR-11-2020-0574
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • The impact of COVID-19 on patients with stroke: an integrative review

    • Authors: Suebsarn Ruksakulpiwat
      Abstract: This review aims to evaluate the evidence of the impact of COVID-19 on patients with stroke. The author carried out a review following the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) for a review article. PubMed, the Web of Science and CINAHL Plus Full Text were searched from January 2019 to October 2020. Twenty-three studies were included in the final review, incorporating a total of 9,819 stroke patients. The most commonly reported effects of COVID-19 on patients with stroke were delayed stroke treatment (n = 14 studies), thrombotic, blood and immune system complications (n = 8), increased risk of stroke severity and disability (n = 6), increased mortality (n = 8), elevated D-dimer levels (n = 4), comorbidity and acute respiratory distress syndrome (ARDS) (n = 6) and prolonged hospitalization (n = 4). COVID-19 has affected patients with stroke in various ways, either directly or indirectly, prior to admission or in hospital. The findings should help guide further investigation of the long-term impact of COVID-19 on patients with stroke and help to establish proper guidelines for the provision of efficient treatment for affected patients.
      Citation: Journal of Health Research
      PubDate: 2021-04-29
      DOI: 10.1108/JHR-12-2020-0615
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Comparison of hypertensive outcomes after the implementation of
           self-management program for older adults with uncontrolled hypertension in
           Krabi, Thailand: a quasi-experimental study

    • Authors: Saowaluck Sukpattanasrikul , Supreeda Monkong , Sirirat Leelacharas , Orapitchaya Krairit , Chukiat Viwatwongkasem
      Abstract: This study aims to examine the effects of a self-management program (SMP) on self-care behavior, blood pressure and quality of life among older adults with uncontrolled hypertension. A quasi-experimental design with repeated measures was conducted in two primary care units in Krabi, Thailand. One hundred and fifty-six older adults with uncontrolled hypertension were selected based on the inclusion criteria and divided into experimental and control groups with 78 participants in each. The experimental group received the SMP, including the intervention related to the self-management process (from the 1st to 4th weeks) and a follow-up phase (from the 5th to 16th weeks). The control group received standard care. The outcomes were measured over time, including self-care behavior (baseline, 4th and 16th weeks), blood pressure (baseline, 4th, 8th, 12th and 16th weeks) and quality of life (baseline and 16th week). The generalized estimating equations showed that the SMP, compared with the control group, statistically significantly improved self-care behavior (p 
      Citation: Journal of Health Research
      PubDate: 2021-04-29
      DOI: 10.1108/JHR-12-2020-0626
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Effect of hydration with oral water on nonstress test in a hospital,
           Turkey: a randomized controlled trial

    • Authors: Yeter Şener , Hüseyin Aksoy , Mürüvvet Başer
      Abstract: The aim of this study was to assess the effect of hydration with oral water on non-stress test (NST). The study was conducted as single-blinded and randomized controlled. Healthy and outpatient 32- to 40-week pregnant women who were aged 19 and older were included in the study. Intervention group pregnant women (n = 66) drank 500 ccs of water before the NST, and no attempt was made to the control group (n = 66). The NST parameters of the groups with fetal heart rate (FHR), variability, acceleration, deceleration, reactivity and nonreactivity were evaluated. Both groups were found to be similar in terms of their descriptive characteristics and variables related to pregnancy (p > 0.05). The median FHR was 130.0 in the intervention group, 140.0 in the control group (p 
      Citation: Journal of Health Research
      PubDate: 2021-04-12
      DOI: 10.1108/JHR-12-2020-0647
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Construct validity and measurement invariance of the Asian Family
           Characteristics Scale in the Thai population

    • Authors: Thipnapa Huansuriya , Piyakrita Kruahiran , Suppanut Sriutaisuk , Ramli Musa
      Abstract: The purpose of this paper was to establish the psychometric properties of the Asian Family Characteristics Scale (AFCS) in the Thai population. The 30-item AFCS originally developed in the Malay language was translated into Thai. Thai (n = 384) and Malay (n = 500) participants in Study 1 responded to the AFCS in their respective languages. The data were subjected to a confirmatory factor analysis with a measurement invariance test. In Study 2, Thai participants (n = 495) filled out the AFCS and Chulalongkorn Family Index, International Personality Item Pool-NEO, Self-Compassion Scale, Depression, Anxiety, and Stress Scale (DASS-21) and Satisfaction with Life Scale. Study 1 showed that the measurement model of the Thai AFCS fit the data from the Thai population. The measurement invariance test confirmed that the structure and meaning of the AFCS are equivalent across the Thai and Malay samples. Study 2 demonstrated the AFCS's convergent validity by showing that the AFCS score had a positive correlation with the Chulalongkorn Family Inventory, self-compassion, agreeableness, conscientiousness, satisfaction with life and a negative correlation with neuroticism, depression, anxiety and stress. The AFCS's discriminant validity was supported by nonsignificant correlations with extraversion and openness to experience. This paper is an attempt to develop a family characteristic measure specifically for the Asian population. The results provide empirical evidence for measurement invariance and validity of the scale in another Asian language, enhancing its cross-cultural generalizability.
      Citation: Journal of Health Research
      PubDate: 2021-04-09
      DOI: 10.1108/JHR-06-2020-0219
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Impact of psychosocial factors on academic performance of nursing students
           in Thailand

    • Authors: Paul Ratanasiripong , Chiachih DC Wang , Nop Ratanasiripong , Suda Hanklang , Duangrat Kathalae , Pornlert Chumchai
      Abstract: The purpose of this study is to investigate the psychosocial factors that impact the academic performance of nursing students. A cross-sectional study was conducted with 767 nursing students from three nursing colleges in Thailand. Instruments included Counseling Center Assessment for Psychological Symptoms and Rosenberg Self-Esteem Scale. Path model analyses with the maximum likelihood method were utilized to examine the proposed model. Model fit was estimated using multiple indexes, including chi-square/df ratio (χ2/df), comparative fit index (CFI), Tucker-Lewis index (TLI) and the root mean square error of approximation (RMSEA). Results indicated that family distress, emotional negativity, self-esteem and substance use were factors that related to nursing students' academic performance. Findings of path analyses indicated that the model demonstrated good fit: χ2 (2, N = 767) = 3.11, p = 0.48; χ2/df = 1.56; CFI = 1.00; TLI = 0.99; RMSEA = 0.027, (90% CI = [0.000, 0.082], PCLOSE = 0.68). While prior research has examined some facets leading to academic success for nursing students, psychosocial factors have not received adequate attention. This study presents a model of family and individual psychosocial factors that impact academic performance of nursing students along with recommendations to help improve their well-being.
      Citation: Journal of Health Research
      PubDate: 2021-03-31
      DOI: 10.1108/JHR-07-2020-0242
      Issue No: Vol. ahead-of-print , No. ahead-of-print (2021)
       
  • Factors associated with mothers' knowledge of children with congenital
           heart disease in Bangkok, Thailand

    • Authors: Malatree Khouenkoup , Arunrat Srichantaranit , Wanida Sanasuttipun
      Abstract: This study aimed to determine mothers' knowledge of children with congenital heart disease (CHD) and to examine the relationship between types of CHD, the duration of treatments, the perception of the severity of illness and the mothers' knowledge. A correlation study was conducted among 84 mothers of children (from infancy to six years old) with CHD who had attended pediatric cardiology clinics and pediatric units in three tertiary hospitals in Bangkok, Thailand. The two questionnaires aimed to evaluate the mothers' knowledge and perceptions of the severity of illness. Descriptive statistics, Spearman's rank-order correlation and Fisher's exact test were used to analyze the data. Knowledge levels of mothers of children with CHD were at a high level with a mean score of 34.79 (SD = 8.23), but the knowledge domain of preventing complications was at a low level with a mean score of 14.95 (SD = 5.28). The types of CHD and the perceptions of illness were not correlated with the mothers' knowledge, but the duration of treatments was significantly correlated (r = 0.271, p 
      Citation: Journal of Health Research
      PubDate: 2021-05-20
      DOI: 10.1108/JHR-10-2020-0486
      Issue No: Vol. 36 , No. 3 (2021)
       
  • Systems and mechanisms to develop health volunteers to improve the health
           of the immigrant workforce in four Thailand provinces

    • Authors: Preecha Suvarnathong , Teeradej Chai-Aroon , Uthaithip Jiawiwatkul , Pasakorn Intoo-Marn
      Abstract: The purpose of this study was to investigate the provincial-level systems and mechanisms to develop health volunteers to improve the health of the immigrant workforce in Thailand. This qualitative study obtained data from document research, in-depth interviews with 58 people involved at policy and provincial levels working to develop health volunteers to improve the health of the immigrant workforce. Data were collected from May–October 2017; then the content of the conceptual framework was analyzed, the research objectives were examined and summary and induction analysis interpreted data from documents, observations and interviews. Thailand has four systems for developing health volunteers to improve the health of the immigrant workforce: recruitment, training and knowledge management, welfare and motivational and financial and other supportive resources. Development is driven through the mechanisms of the Provincial Public Health Office with Non Governmental Organizations (NGOs) and network partners. The health volunteer development exhibits two patterns: developing migrant workers to become migrant health volunteers and developing village health volunteers to perform health care for the immigrant workforce. All development patterns mainly rely upon the regular operating budget, which is often inadequate. Frequently, some provinces make attempts to seek other funding sources. In fact, health volunteer development is subjected to local authorities of the four provinces whose systems and mechanisms of development differ from one another. The findings from this study could help develop health volunteers to significantly improve the health of the immigrant workforce in the Thai health service system.
      Citation: Journal of Health Research
      PubDate: 2021-04-09
      DOI: 10.1108/JHR-10-2020-0451
      Issue No: Vol. 36 , No. 3 (2021)
       
  • Readmission after hospitalization for heart failure in elderly patients in
           Chapidze Emergency Cardiology Center, Georgia

    • Authors: Tengiz Verulava , Revaz Jorbenadze , Ana Lordkipanidze , Ana Gongadze , Michael Tsverava , Manana Donjashvili
      Abstract: Heart Failure (HF) is one of the leading mortality causes in elderly people. The purpose of this study is to assess readmission rates and reasons in elderly patients with HF. The authors explored medical records of elderly patients with HF (75 years and more) at Chapidze Emergency Cardiology Center (Georgia) from 2015 to 2019. The authors analyzed the structure of the cardiovascular diseases and readmission rates of hospitalized patients with HF (I50, I50.0 I50.1). A multivariate logistic regression model was used to identify factors, associated with readmission for any reason during 6–9 months after the initial hospitalization for HF. The major complication of cardiovascular diseases in elderly patients is HF (68.6%). Hospitalization rates due to HF in elderly patients have increased in recent years, which is associated with the population aging process. This trend will be most likely continue. Despite significant improvements in HF treatment, readmission rates are still high. HF is the most commonly revealed cause of readmission (48% of all readmissions). About 6–9 months after the primary hospitalization due to HF, readmission for any reason was 60%. Patients had concomitant diseases, including hypertension (43%), myocardial infarction (14%), diabetes (36%) and stroke (8%), affecting the readmission rate. HF remains an important problem in public health. During HF-associated hospitalizations, both cardiac and non-cardiac conditions should be addressed, which has the potential for health problems and disease progression. Some readmissions may be prevented by the proper selection of medicines and monitoring.
      Citation: Journal of Health Research
      PubDate: 2021-04-09
      DOI: 10.1108/JHR-07-2020-0294
      Issue No: Vol. 36 , No. 3 (2021)
       
  • Exploring the reasons and factors influencing the choice of home delivery
           of births in rural Bangladesh: a community-based cross-sectional study

    • Authors: M. Mazharul Islam , Mohammed Shahjahan
      Abstract: The aim of this study was to explore the reasons for preferring home as a birth delivery place and identify the socio-economic and cultural factors influencing the choice of delivery place in rural Bangladesh. The data for the study come from a community-based cross-sectional study conducted among 464 mothers in a rural sub-district of Bangladesh in 2019. Respondents were selected randomly from the frame listing all mothers with inclusion criteria, using a two-stage cluster sampling design. Data were collected through a face-to-face interview. Both descriptive and inferential statistics and logistic regression models were used for data analysis. The results indicate a very high rate (58%) of home delivery. About 20% mothers never received ANC visit. Preference for home delivery was high (63%). Mothers with no education, aged 30 and above, multi-parity, low wealth status, lack of knowledge about institutional delivery, no or
      Citation: Journal of Health Research
      PubDate: 2021-04-07
      DOI: 10.1108/JHR-07-2020-0284
      Issue No: Vol. 36 , No. 3 (2021)
       
  • Significant factors associated with malaria spread in Thailand: a
           cross-sectional study

    • Authors: Patcharaporn Krainara , Pongchai Dumrongrojwatthana , Pattarasinee Bhattarakosol
      Abstract: This paper aims to uncover new factors that influence the spread of malaria. The historical data related to malaria were collected from government agencies. Later, the data were cleaned and standardized before passing through the analysis process. To obtain the simplicity of these numerous factors, the first procedure involved in executing the factor analysis where factors' groups related to malaria distribution were determined. Therefore, machine learning was deployed, and the confusion matrices are computed. The results from machine learning techniques were further analyzed with logistic regression to study the relationship of variables affecting malaria distribution. This research can detect 28 new noteworthy factors. With all the defined factors, the logistics model tree was constructed. The precision and recall of this tree are 78% and 82.1%, respectively. However, when considering the significance of all 28 factors under the logistic regression technique using forward stepwise, the indispensable factors have been found as the number of houses without electricity (houses), number of irrigation canals (canals), number of shallow wells (places) and number of migrated persons (persons). However, all 28 factors must be included to obtain high accuracy in the logistics model tree. This paper may lead to highly-efficient government development plans, including proper financial management for malaria control sections. Consequently, the spread of malaria can be reduced naturally.
      Citation: Journal of Health Research
      PubDate: 2021-04-06
      DOI: 10.1108/JHR-11-2020-0575
      Issue No: Vol. 36 , No. 3 (2021)
       
  • Preferences of participating in diabetes screening programs for postpartum
           women with gestational diabetes mellitus in a university hospital in
           Turkey

    • Authors: Azime Karakoc Kumsar , Feride Taskin Yilmaz , Gulbahtiyar Demirel
      Abstract: The aim of this study is to determine the preferences to participate in diabetes screening program of women with gestational diabetes mellitus (GDM) in postpartum period. The data of retrospective and descriptive study were collected using “Individual Identification Form” and “Information Form for the Screening of Diabetes in the Postpartum Period” from 151 women in referred to obstetrics and gynecology clinic of a university hospital in Turkey. Only 21.9% of women had diabetes screening in postpartum period and 21.2% of the participants were diagnosed with type 2 diabetes. It was determined that the participants mostly participated in screening because of the diabetes history in their family (30.3%). Women who had diabetes screening in postpartum period had lower level of education than those who did not and their level of knowledge about the screening in postpartum and the history of abortion were higher (p 
      Citation: Journal of Health Research
      PubDate: 2021-04-06
      DOI: 10.1108/JHR-08-2020-0372
      Issue No: Vol. 36 , No. 3 (2021)
       
  • Effect of lactose intolerance severity on food intake and quality of life
           in adults with lactose intolerance in Turkey

    • Authors: Gökçen Garipoğlu , Nesli Ersoy , Mustafa Gülşen , Taner Özgürtaş
      Abstract: Lactose intolerance is lactose digestive disorder due to lactase enzyme deficiency. This can affect the quality of life by restricting the intake of certain foods. The aim of this study is to show the lactose intolerance to the restriction in food intake and quality of life. This study was conducted with adults aged 18–60 years. A survey was used to gather information on the demographic characteristics of the patients and their symptoms related to lactose intolerance. In addition, the Visual Analog Scale was administered to identify common symptoms and the World Health Organization Quality of Life (WHOQOL)-Bref Quality of Life Scale to determine their quality of life. The average quality of life subscale scores was 56.25 ± 14.06 for physical, 58.29 ± 11.72 for mental, 63.28 ± 21.35 for social and 62.36 ± 16.37 for environmental. When VAS scores obtained for the common digestive system symptoms in lactose intolerance were compared with Quality of Life scores; it was found that physical life quality scores decreased (r = −0.239, p = 0.030) as the complaints of diarrhea increased and physical and environmental life quality decreased (r = −0.316, p = 0.004/r = −0.277, p = 0.012, respectively) as abdominal pain increased. People reduce dairy consumption due to digestive system complaints. Therefore, it is important to inform the people about the effects of lactose intolerance because discomfort caused by intolerance can affect nutrient intake and lower the quality of life.
      Citation: Journal of Health Research
      PubDate: 2021-04-02
      DOI: 10.1108/JHR-12-2020-0617
      Issue No: Vol. 36 , No. 3 (2021)
       
  • Predictors of recycling behavior: a survey-based study in the city of
           Sharjah, United Arab Emirates

    • Authors: Suhib AlHaj Ali , Lutfi Kawaf , Islam Masadeh , Zaineh Saffarini , Reem Abdullah , Hiba Barqawi
      Abstract: Sharjah is the United Arab Emirates' (UAE) third largest city and third highest waste producer (9.9% of ˜26 million in 2012). A total of about ˜$1bn has been invested into programs pursuing zero-landfill waste by 100% recycling. Besides infrastructure, assessing knowledge, attitudes and practices (KAP) are needed for effective waste management. The purpose of this study is to examine recycling KAP in Sharjah. A cross-sectional study, using pilot-tested questionnaires, was conducted among public venues during March and April 2016. A total of 400 residents (18–55 years) were selected via convenience sampling. SPSS-22 was used for analysis. Mean age [28 years (±9.4)] with 56.5% females. Knowledge level [51.8% (±18.1)]; students reported the highest (53.7%, p = 0.007, 95% CI [51.4–56.1]). 22.9% knew recycling benefits, 31.2% knew how to correctly prepare items. Attitude level 92.6% (±16.5); 51.1% and 46.8% would recycle more with a financial reward or penalty, respectively. 70.4% reported practicing recycling; 16.0% always recycle. Logistic regression model indicated knowledge (OR = 1.013, 95% CI [1.001–1.025]) and attitude (OR = 1.014, 95% CI [1.001–1.028]) as the only significant predictors of recycling practice. This is the first study measuring recycling KAP in the UAE. Results could be starting points for improved local waste management and subsequently reduced public health concerns.
      Citation: Journal of Health Research
      PubDate: 2021-04-02
      DOI: 10.1108/JHR-09-2020-0431
      Issue No: Vol. 36 , No. 3 (2021)
       
  • Building health system responsiveness to noncommunicable diseases for
           Gweru District adults, Zimbabwe: a case study

    • Authors: Blender Muzvondiwa , Roy Batterham
      Abstract: Gweru District, Zimbabwe faces a major challenge of noncommunicable diseases (NCDs). Globally, health systems have not responded successfully to problems in prevention and management of NCDs. Despite numerous initiatives, reorienting health services has been slow in many countries. Gweru District has similar challenges. The purpose of this paper is to explore what the health systems in Zimbabwe have done, and are doing to respond to increasing numbers of NCD cases in adults in the nation, especially in the district of Gweru The study employed a descriptive narrative review of the academic and grey literature, supplemented by semi-structured key informant interviews with 14 health care staff and 30 adults living with a disease or caring for an adult with a disease in Gweru District. Respondents identified many limitations to the response in Gweru. Respondents said that screening and diagnosis cease to be helpful when it is difficult securing medications. Nearly all community respondents reported not understanding why they are not freed of the diseases, showing poor understanding of NCDs. The escalating costs and scarcity of medications have led people to lose trust in services. Government and NGO activities include diagnosis and screening, provision of health education and some medication. Health personnel mentioned gaps in transport, medication shortages, poor equipment and poor community engagement. Suggestions include: training of nurses for a greater role in screening and management of NCDs, greater resourcing, outreach activities/satellite clinics and better integration of diverse NCD policies. This research offers an understanding of NCD strategies and their limitations from the bottom-up, lived experience perspective of local health care workers and community members.
      Citation: Journal of Health Research
      PubDate: 2021-03-30
      DOI: 10.1108/JHR-07-2020-0248
      Issue No: Vol. 36 , No. 3 (2021)
       
  • The effect of testicular cancer and testicular self-examination on
           knowledge, attitude and health beliefs in university students in Turkey

    • Authors: Bilsev Demir , Hilal Türkben Polat
      Abstract: This research was planned and applied as a descriptive study in order to determine the knowledge, attitudes and behaviors about testicular cancer (TC) and testicular self-examination (TSE) of male students who receiving health education. This descriptive and cross-sectional study was conducted between May and August 2019 with male students. Early diagnosis of TC is quite important in terms of prognosis of the disease. The data were collected by using the questionnaire prepared by the researchers in accordance with the literature and the Turkish version of health belief model scale (HBMS) for TSE. The data were analyzed by number, percentage, mean and standard deviation and t test. TSE HBMS, it was observed that the mean score of susceptibility subscale was 11.23 ± 3.73, the mean score of seriousness subscale was 28.20 ± 7.66, the mean score of benefit subscale was 21.57 ± 5.90, the mean score of the barriers subscale was 22.74 ± 5.16, the mean score of self-efficacy subscale was 9.91 ± 3.13 and the mean score of the health motivation subscale was 8.92 ± 2.84. There was a statistically significant relationship between having heard of TC and health motivation (p 
      Citation: Journal of Health Research
      PubDate: 2021-03-26
      DOI: 10.1108/JHR-05-2020-0185
      Issue No: Vol. 36 , No. 3 (2021)
       
  • Development and validation of a scale for measuring hospital service
           quality: a dyadic approach

    • Authors: Raghav Upadhyai , Neha Upadhyai , Arvind Kumar Jain , Gaurav Chopra , Hiranmoy Roy , Vimal Pant
      Abstract: This study integrates the providers' perspective as well as the patient's perspective in developing and validating a scale to measure hospital service quality in multispecialty hospitals. An exploratory sequential mixed-method approach was used in this study. The strategies used included a thematic literature review, semi-structured interviews, modified Delphi and confirmatory factor analysis. The reliability coefficient of 41 item scale was 0.963 with each attribute, that is, pivotal, core and peripheral, having a Cronbach's alpha of 0.907, 0.91 and 0.891, with scale content validity (S-CVI Ave) of 0.9151. The composite reliability scores of all constructs were greater than 0.7, with an Average Variance Explained (AVE) of all items greater than 0.5. The instrument can be used to measure the difference between what service providers believe customers expect and customers’ actual needs and expectations. The scale can be used to measure the difference between what is delivered (as perceived by the provider) and what customers perceive they have received (because they are unable to accurately evaluate service quality). The dyadic approach of administering this questionnaire in measuring hospital service quality will lead to the identification of a knowledge gap and a perception gap in delivering hospital service quality.
      Citation: Journal of Health Research
      PubDate: 2021-03-22
      DOI: 10.1108/JHR-08-2020-0329
      Issue No: Vol. 36 , No. 3 (2021)
       
  • Unsuccessful treatment outcome and associated factors among smear-positive
           pulmonary tuberculosis patients in Kepong district, Kuala Lumpur, Malaysia
           

    • Authors: Fadly Syah Arsad , Noor Hassim Ismail
      Abstract: The purpose of this study was to assess tuberculosis (TB) treatment outcomes among new smear-positive pulmonary tuberculosis (PTB) patients and identify the risk factors of unsuccessful treatment outcomes in Kepong district, Kuala Lumpur, Malaysia. A retrospective cohort study was conducted using registry-based data from the Tuberculosis Information System (TBIS) between 2014 and 2018. Simple random sampling was used to select 734 males and 380 females from the TBIS registry. Smear-positive PTB patient's sociodemographic, clinical and behavioral characteristics were extracted and analyzed. Logistic regression was used to find the possible independent risk factors for unsuccessful treatment outcomes. The treatment success rate was 77.20% (n = 860) which was still below the target set by the WHO (>90%). In total, 254 patients showed an unsuccessful treatment outcome: 106 died, 99 defaulted, 47 not evaluated and 2 showed treatment failure. Unsuccessful treatment outcome was significantly associated with older age, male gender, non-citizen, unemployment and being HIV positive. The study focuses on all these contributing factors of unsuccessful treatment outcome for a better risk assessment and stratification of TB patients and identify effective surveillance and management strategies to strengthen the control programs of tuberculosis in Kepong district.
      Citation: Journal of Health Research
      PubDate: 2021-03-19
      DOI: 10.1108/JHR-10-2020-0478
      Issue No: Vol. 36 , No. 3 (2021)
       
  • Quit rates and predictors of smoking abstinence in Thai Buddhist monks
           with noncommunicable diseases

    • Authors: Wiwat Laochai , Sunida Preechawong
      Abstract: The purpose of this study is to calculate the smoking quit rate and to examine the factors influencing smoking abstinence among Thai Buddhist monks with noncommunicable diseases (NCDs). This was a cross-sectional study of 136 Buddhist monks with NCDs purposively sampled from the Priest Hospital. The participants were between 20 and 59 years of age, smoked at least one cigarette a day and received cessation advice from nurses or other health professionals. The dependent variable was self-reported 7-day point-prevalence smoking abstinence assessment at a three-month follow-up. Independent variables were age, schooling level, nicotine dependence, intention to quit, physical activity and perceived self-efficacy in quitting cessation. Logistic regression was performed to evaluate the factors influencing smoking cessation. 50 of the 136 Thai Buddhist monks (36.8%) reported the 7-day point prevalence abstinence at a three-month follow-up. About two-thirds of the participants indicated health concern as the motivation to quit smoking. Perceived self-efficacy of abstinence (odds ratio 1.04; 95% confidence interval 1.014–1.074) and intention to quit smoking (odds ratio 1.34; 95% confidence interval 1.129–1.599) were significant predictors of abstinence. This is the first study of its kind to investigate the predictors of smoking cessation in Thai Buddhist monks with NCDs. The findings will be of help to healthcare counselors seeking to motivate monks to quit smoking.
      Citation: Journal of Health Research
      PubDate: 2021-03-16
      DOI: 10.1108/JHR-08-2020-0336
      Issue No: Vol. 36 , No. 3 (2021)
       
  • Chronic health conditions, healthcare experience and life satisfaction
           among immigrant and native-born women in Canada

    • Authors: Yiyan Li , Siyu Ru
      Abstract: To compare chronic health status, utilization of healthcare services and life satisfaction among immigrant women and their Canadian counterparts. A secondary analysis of national data from the Canadian Community Health Survey (CCHS), 2015–2016 was conducted. The survey data included 109,659 cases. Given the research question, only female cases were selected, which resulted in a final sample of 52,560 cases. Data analysis was conducted using multiple methods, including logistic regression and linear regression. Recent and established immigrant women were healthier than native-born Canadian women. While the Healthy Immigrant Effect (HIE) was evident among immigrant women, some characteristics related to ethnic origin and/or unhealthy dietary habits may deteriorate immigrant women's health in the long term. Immigrant women and non-immigrant women with chronic illnesses were both more likely to increase their use of the healthcare system. Notably, the present study did not find evidence that immigrant women under-utilized Canada's healthcare system. However, the findings showed that chronic health issues were more likely to decrease women's life satisfaction. This analysis contributes to the understanding of immigrant women's acculturation by comparing types of chronic illnesses, healthcare visits, and life satisfaction between immigrant women and their Canadian counterparts.
      Citation: Journal of Health Research
      PubDate: 2021-03-16
      DOI: 10.1108/JHR-06-2020-0189
      Issue No: Vol. 36 , No. 3 (2021)
       
  • Prevalence and risk factors of hepatitis B virus infection among medical
           laboratory science students in a Ghanaian tertiary institution

    • Authors: Philip Apraku Tawiah , Albert Abaka-Yawson , Emmanuel Sintim Effah , Kingsley Arhin-Wiredu , Kwabena Oppong
      Abstract: This study aimed to determine the prevalence and risk factors of hepatitis B virus (HBV) infection among medical laboratory science students (MLSSs) in the University of Health and Allied Sciences (UHAS), Ghana. A cross-sectional study design was employed to recruit a total of 178 students into the study. A self-administered questionnaire was used to gather relevant information on risk factors, and a hepatitis B diagnostic test kit was used to test for HBV infection. Descriptive, chi-square test, bivariate and multiple logistic regression statistical analysis were computed. Significance was observed at p 
      Citation: Journal of Health Research
      PubDate: 2021-03-11
      DOI: 10.1108/JHR-06-2020-0191
      Issue No: Vol. 36 , No. 3 (2021)
       
  • Help-seeking for mental health concerns: review of Indian research and
           emergent insights

    • Authors: Prachi Bhavesh Sanghvi , Seema Mehrotra
      Abstract: The purpose of this review was to examine Indian research on help-seeking for mental health problems in adults. Original Indian research studies on help-seeking for mental health, published from the year 2001−2019 were searched on PubMed, EBSCO, ProQuest and OVID using a set of relevant keywords. After applying exclusion criteria, 52 relevant research studies were identified. The reviewed studies spanned a variety of themes such as barriers and facilitators to help-seeking, sources of help-seeking, causal attributions as well as other correlates of help-seeking, process of help-seeking and interventions to increase help-seeking. The majority of these studies were carried out in general community samples or treatment-seeking samples. Very few studies incorporated non-treatment seeking distressed samples. There is a severe dearth of studies on interventions to improve help-seeking. Studies indicate multiple barriers to seeking professional help and highlight that mere knowledge about illness and availability of professional services may be insufficient to minimize delays in professional help-seeking. Help-seeking in the Indian context is often a family-based decision-making process. Multi-pronged help-seeking interventions that include components aimed at reducing barriers experienced by non-treatment seeking distressed persons and empowering informal support providers with knowledge and skills for encouraging professional help-seeking in their significant others may be useful.
      Citation: Journal of Health Research
      PubDate: 2021-03-10
      DOI: 10.1108/JHR-02-2020-0040
      Issue No: Vol. 36 , No. 3 (2021)
       
  • Lessons learnt from CBR practice at Hua Don Primary Health Care, Thailand

    • Authors: Phaksachiphon Khanthong , Chatchadapon Chaiyasat , Chayada Danuwong
      Abstract: The purpose of this study is to determine the capacity map of professional learning community (PLC) practicing community-based research (CBR) in Ubon Ratchathani Rajabhat University, Thailand, and the implementation of the lessons learnt from the process and essential skills at Hua Don Primary Health Care (PHC). Participatory action research (PAR) design was conducted in two phases, one on campus and the other in the PHC. For gathering and validating the data, the snowball sampling technique, focus group, in-depth interviews and the triangulation method were used. The PLC capacity map from the first phase provided the essential skills of CBR and the second phase revealed lessons learnt from the implementation in the Hua Don PHC. The shortcut in researching a new target area by a collaboration of the community leader and village health volunteers was prominent. The results could be interpreted in creating collaboration in health care with a new community. The capacity map is a practical guideline for a beginner or CBR novice researcher, and the lessons learnt help the implementation in the health field, particularly in PHC, succeed smoothly.
      Citation: Journal of Health Research
      PubDate: 2021-02-11
      DOI: 10.1108/JHR-07-2020-0297
      Issue No: Vol. 36 , No. 3 (2021)
       
  • Mental health and burnout among teachers in Thailand

    • Authors: Paul Ratanasiripong , Nop T Ratanasiripong , Worawon Nungdanjark , Yada Thongthammarat , Shiho Toyama
      Abstract: This study investigated factors that impacted the mental health and burnout among kindergarten, primary and secondary school teachers in Thailand and presented a comprehensive intervention program to improve their wellbeing. This cross-sectional survey study included 267 teachers from five public schools in Thailand. The survey instruments included the Depression, Anxiety and Stress Scale and the Maslach Burnout Inventory for Educators Survey, along with data on demographics, health behaviors, finances, professional work, relationships and resilience. For teacher mental health, results indicated that family economics status, relationship quality and resilience were significant predictors of depression (R2 = 0.19); family economics status, classroom size and resilience significantly predicted anxiety (R2 = 0.13); family economics status, gender, sleep and resilience significantly predicted stress (R2 = 0.20). For teacher burnout, relationship quality and age were significant predictors of emotional exhaustion (R2 = 0.15); relationship quality and drinking significantly predicted depersonalization (R2 = 0.06); resilience and number of teaching hours significantly predicted personal accomplishment (R2 = 0.28). Besides providing an in-depth examination of mental health and burnout among teachers, this is the first study in Thailand to propose a comprehensive Teacher Wellness Program. This program recommends personal and professional development plans that public health personnel and school administrators could utilize to improve mental health and reduce burnout among teachers.
      Citation: Journal of Health Research
      PubDate: 2021-01-13
      DOI: 10.1108/JHR-05-2020-0181
      Issue No: Vol. 36 , No. 3 (2021)
       
 
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