Journal of the College of Community Physicians of Sri Lanka最新文献

{"title":"Psychometric properties of the Sinhala version of the Bandura’s exercise selfefficacy scale in women","authors":"Deshani Herath, A. Kasturiratne","doi":"10.4038/jccpsl.v30i1.8621","DOIUrl":"https://doi.org/10.4038/jccpsl.v30i1.8621","url":null,"abstract":"Introduction: Engaging in regular exercise as part of a healthy lifestyle has shown an array of health benefits for many decades. Building confidence in maintaining an exercise routine is e ssential for success. To support individuals interested in exercise, the availability of appropriate measurement tools is vital.  Bandura's Exercise Self-Efficacy Scale (ESE) is an 18-item brief measure that assesses confidence in exercising regularly and is a valuable tool for measuring exercise beliefs. Objectives: To translate and adapt the Banduras ESE scale into Sinhala language and examine its psychometric properties Methods: Data were collected from 225 women who were aged ≥ 18 years and had an interest in or a reason to watch their weight, in Panadura Medical Officer Health (MOH) Area, Sri Lanka.  They were recruited using a purposive sampling method. Standard forward-backward translation was performed to translate  the English version of ESE. The construct validity was tested using exploratory factor analysis. Reliability of the scale was determined by Cronbach’s alpha. Data were analysed using SPSS version 22.0. Results: Through exploratory factor analysis, 18-item ESE scale sho wed three factors with eigenvalues ranging from 1.392 to 9.409. The three-factor model explained 70.59% of total variance of the model. All the items in the scale were retained. The reliability of internal consistency, as assessed by Cronbach’s alpha, indicated interpersonal, competing and internal sub factors as 0.92, 0.91 and 0.89 respectively, which were above the thr eshold level of 0.7. Conclusions & Recommendations: The Sinhala translation of ESE  is a reliable and valid scale to assess the level of self-efficacy for exercise among Sinhala-speaking adult women in Sri Lanka.","PeriodicalId":120205,"journal":{"name":"Journal of the College of Community Physicians of Sri Lanka","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140671866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Children under attack: trends and patterns of sexual offences against children in India","authors":"Vishal Tikhute","doi":"10.4038/jccpsl.v30i1.8639","DOIUrl":"https://doi.org/10.4038/jccpsl.v30i1.8639","url":null,"abstract":"Introduction: Recently, the United Nations declared November 18  as the World Day for the Prevention of and Healing from Child Sexual Exploitation, Abuse, and Violence. Despite sexua l offences against children being frequently reported in Indian media, scientific studies analysing the annual trends and re gional patterns of these crimes are scarce in India. Objectives: To describe annual trends and regional patterns of sexual crimes against children (CAC) in India Methods: National Crimes Record Bureau (NCRB) data on sexual c rimes for years 2014-2021 were analysed to describe annual trends and regional patterns of sexual offences against childr en in India. Results: An incremental trend in sexual offences was reported dur ing the 2014-2021 period. Sexual offences had the highest crime rate in 2021 (12.1%). There was a continuous increase in sexual offences in each succeeding year during the 2014-2021 period. The highest year-over-year increase was reported in 2017 (142%). The proportion of sexual offences in all CAC increased from 10% in 2014 to 36% in 2021. A higher num ber of cases were reported among girls (mean=25112; SD=5371) than boys (mean=241; SD=47). In 2021, Delhi had the  highest crime rate for all CAC, while Andaman and Nicobar Islands had the highest crime rate for sexual offences. Conclusions & Recommendations: Despite the legal framework av ailable to protect children, there is still an increase in sexual offences against children in India. Regional patterns suggest  a diverse distribution of sexual offences across India. A higher concentration of sexual offences was reported on remote, g eographically smaller Indian islands as well as on the densely populated mainland of India. Interventions aimed at providi ng knowledge about reporting sexual offences, altering community attitudes, and encouraging a safe and healthy childhood a re recommended.","PeriodicalId":120205,"journal":{"name":"Journal of the College of Community Physicians of Sri Lanka","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140668053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sri Lanka's strategic response to the recent measles outbreak through Measles Special Immunization Campaign","authors":"S. Ginige","doi":"10.4038/jccpsl.v30i1.8710","DOIUrl":"https://doi.org/10.4038/jccpsl.v30i1.8710","url":null,"abstract":"No abstract available","PeriodicalId":120205,"journal":{"name":"Journal of the College of Community Physicians of Sri Lanka","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140668800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions in using teleconsultation during the COVID-19 Pandemic in Chennai, South India","authors":"Angeline Grace, Swetha Naik, Rashmi Gour, Umadevi Ramachandran, S. Pandian","doi":"10.4038/jccpsl.v30i1.8643","DOIUrl":"https://doi.org/10.4038/jccpsl.v30i1.8643","url":null,"abstract":"Introduction: People were reluctant to go to hospitals for consul tation, treatment and follow-up during the COVID-19 pandemic. However, the availability of advanced technologies s uch as teleconsultation enabled individuals to continue receiving healthcare, contact physicians about their symptoms and  receive treatment. There has not been much research conducted in Tamil Nadu to evaluate how individuals feel about us ing teleconsultation to receive healthcare. It is crucial to evaluate the quality of medical care and patients' satisfaction with te leconsultation services. Objectives: To ascertain attitudes towards using teleconsultation a nd to describe the quality of healthcare delivered this way during the COVID-19 epidemic in Tamil Nadu, South India Methods: The participants in this study were inhabitants of Chennai , Tamil Nadu who were at least 18 years old and received at least one teleconsultation during the COVID-19 epidemic. An onl ine, self-administered survey form that was distributed over multiple social media channels was used to gather data. Results: About 61.2% of the 405 study participants were males. Th e average age of respondents was 34.6 years (SD=11.4). Almost 95.6% concurred that teleconsultation services have made it  simpler to seek healthcare throughout the pandemic. The majority (92.1%) were satisfied with the standard of teleconsult ation-delivered medical care. In comparison to direct consultation, 54.3% disagreed to preferring teleconsultation to save  money and time. Only 52% of the 92.6% of participants who were instructed to attend a follow-up consultation had done s o. 90% of respondents said they would still prefer to speak with doctors directly in the future. Conclusions & Recommendations: Although teleconsultation servi ces, in the opinion of many participants, improved access to healthcare during the epidemic, they still prefer to consult healthc are professionals directly in the future. Teleconsultation serves as an effective alternative to direct consultation especially in t imes of globally emerging infections.","PeriodicalId":120205,"journal":{"name":"Journal of the College of Community Physicians of Sri Lanka","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140671963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of an intervention package to reduce occupational stress among secondary school teachers: a cluster randomized study","authors":"B. Denuwara, N. Gunawardena, M. Dayabandara, D. Samaranayake","doi":"10.4038/jccpsl.v30i1.8618","DOIUrl":"https://doi.org/10.4038/jccpsl.v30i1.8618","url":null,"abstract":"Introduction: Prevalence of occupational stress (OS) among seconda ry teachers in the district of Colombo, Sri Lanka was found to be 83.4% in 2017, indicating the need for an intervention t o prevent its effects. Objectives: To evaluate the effectiveness of an intervention to reduc e OS among secondary teachers in Sinhala medium government schools in the district of Colombo Methods: A cluster randomized trial (SLCTR/2019/017) used cluster s of 10 secondary schools in Colombo District, which were assigned randomly to intervention and control arms; each ar m had 300 teachers. A package of nine-sessions of cognitive behavioural (CB) and relaxation technique-based activities  designed through evidence generated in a systematic review was delivered as interactive group sessions over a period of si x months. Effectiveness of the intervention in reducing OS was assessed after four weeks using multivariate Generalized E stimating Equation analysis. Reducing psychological distress and adopting healthy lifestyles were assessed as secondary out comes of the intervention. Results: Intervention was significantly effective in reducing OS  (OR=0.3; 95% CI=0.2, 0.5), psychological distress (OR=0.03; 95% CI=0.01, 0.07) and smoking (OR=0.09; 95% CI= 0.01, 0.7) among the teachers. It also significantly increased the knowledge about OS (OR=0.6; 95% CI=0.5, 0.7), hea lthiness of diet (OR=0.3; 95% CI=0.2, 0.4), level of adequate physical activity (OR=3.2; 95% CI=2.1, 4.9) and effecti ve coping of OS (OR=0.2; 95% CI=0.17, 0.3). The relative risk reduction (RRR) of OS with the intervention remained at  22.6%, the absolute risk reduction (ARR) was 19.4% and the number needed to treat (NNT) was five. Conclusions & Recommendations: The intervention package wa s highly effective to reduce OS among secondary teachers and is recommended to be incorporated to the basic training  of teachers or implemented through the school health programme.","PeriodicalId":120205,"journal":{"name":"Journal of the College of Community Physicians of Sri Lanka","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140669665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge, attitude and practices of preventive measures in leptospirosis among farmers in a lower-middle income country: evidence from a divisional health area of Sri Lanka","authors":"Chiranthi Dhanasinghe, Deepa Gamage","doi":"10.4038/jccpsl.v30i1.8593","DOIUrl":"https://doi.org/10.4038/jccpsl.v30i1.8593","url":null,"abstract":"Introduction: Sri Lanka continues to have a high case burden of  leptospirosis despite rigorous preventive activities undertaken, with significant morbidity and mortality among econom ically active age groups. Hence, it is time to evaluate the knowledge, attitude and practices on preventive measures am ong high-risk groups to generate evidence needed to design new interventions. Objectives: To describe the knowledge, attitude and practices of pre ventive measures in leptospirosis among farmers Methods: A community-based cross-sectional study was conducted a mong 426 farmers in Pelmadulla Medical Officer of Health (MOH) Area. Taking one farmer community as a cluster, seve n clusters were chosen using cluster sampling method out of the 28 farmer communities registered. Data were coll ected using a pre-tested interviewer-administered questionnaire. The knowledge, attitude and practice scores were calc ulated based on a scoring system prepared with expert inputs. Results: The response rate of the study was 97%. The sample  mainly consisted of 40-59 years (n=227; 53.2%), predominantly of males 91.1% (n=388) and majority (69.7%) had se condary education. It was evident that 81.9% (n=349) of the study sample had satisfactory knowledge with a mean of 7.88 ( SD=1.38) while 72.8% (n=310) of the study sample had a good attitude with a mean of 7.54 (SD=1.578). Only 16.4% (n= 70) of the study sample had good practice-scores on leptospirosis preventive measures with a mean of 12.03 (SD=2.8). Conclusions & Recommendations: Knowledge and attitudes on lept ospirosis prevention were satisfactory among farmers, though practices were poor. Behavioural modification-focused aware ness programs for changing the practice of preventive measures need to be planned to address the identified gaps in knowl edge and attitude.","PeriodicalId":120205,"journal":{"name":"Journal of the College of Community Physicians of Sri Lanka","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140668822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Polypharmacy in the elderly: finding the right balance","authors":"Mandar Chandrachood","doi":"10.4038/jccpsl.v30i1.8654","DOIUrl":"https://doi.org/10.4038/jccpsl.v30i1.8654","url":null,"abstract":"No abstract available","PeriodicalId":120205,"journal":{"name":"Journal of the College of Community Physicians of Sri Lanka","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140668497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived strengths, weaknesses, opportunities and threats related to the utilization of oral health services among pre-conceptive married women before their first pregnancy in Kalutara District","authors":"Hewage Dona Vindya Gayathri, Nilantha Ratnayake","doi":"10.4038/jccpsl.v30i1.8638","DOIUrl":"https://doi.org/10.4038/jccpsl.v30i1.8638","url":null,"abstract":"Introduction: Utilization of oral health services during pre-conce ptive period is important for a woman to accomplish a healthy oral environment prior to her pregnancy. Objectives: To describe the perceived strengths, weaknesses, oppor tunities and threats (SWOT) related to the utilization of oral health services among pre-conceptive married women before the ir first pregnancy in Kalutara District Methods: In-depth interviews among pre-conceptive married wome n before their first pregnancy in Kalutara District were conducted using semi-structured interview guide. Purposive sampli ng method was used to select 18 study participants. Data were analysed manually using the thematic analysis method. The i nductive method was used to identify and generate codes and themes from the data itself. The theoretical perspective of qua litative data analysis carried out in this study was the ‘grounded theory approach’. Results: Identified strength was knowledge on benefits of oral health  for the pregnancy and quality of life of women. Identified weaknesses were lack of motivation regarding oral health care seeki ng, lack of awareness that the pre-conception period is a crucial period for the oral health promotion among married women, f ear for dental treatment, myths related to the oral health and barriers related to attending dental clinics due to personal-level  factors. Identified opportunities were availability of oral health component in the Healthcare for Newly Wedded Programme  (HNWP), provision of the oral health education by the medical officer of health (MOH) office staff at the HNWP session s, help and guidance from the MOH office staff at the HNWP sessions to clarify oral health related issues, satisfactory pro vision of the government dental services, dental clinics in the MOH office premises and favourable working hours of the priva te dental clinics. Identified threats were barriers related to attending dental clinics due to service-related factors and lack of  information regarding the oral health component of the HNWP from peer groups. Conclusions & Recommendations: Perceived SWOT related to t he oral health services among pre-conceptive married women were identified. These findings will be important to the poli cy makers and service providers to plan an effective oral health service for married women before their first pregnancy.","PeriodicalId":120205,"journal":{"name":"Journal of the College of Community Physicians of Sri Lanka","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140669634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Revisiting measles in Sri Lanka: an epidemiological overview","authors":"A. Liyanapathirana","doi":"10.4038/jccpsl.v30i1.8712","DOIUrl":"https://doi.org/10.4038/jccpsl.v30i1.8712","url":null,"abstract":"No abstract available","PeriodicalId":120205,"journal":{"name":"Journal of the College of Community Physicians of Sri Lanka","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140668243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk factors of preterm birth in Sri Lanka: case-control study","authors":"D. Peiris, K. Jayaratne, R. Seneviratne","doi":"10.4038/jccpsl.v29i2.8616","DOIUrl":"https://doi.org/10.4038/jccpsl.v29i2.8616","url":null,"abstract":"Introduction: Preterm birth is a major challenge as a contributor to neonatal and child mortality in low- and middle-income countries (LMIC). Many countries toil to prevent and care for preterm babies. Country-specific solid data on risk factors of preterm births are crucial to formulate preventive strategies. Objectives: To determine the antenatal risk factors of preterm births in Sri Lanka Methods: An unmatched case-control study was conducted in seven Government hospitals with obstetric and neonatal care facilities in Colombo District in Sri Lanka. Live-born, spontaneous or provider-initiated, 374 preterm babies (<37 & >24 weeks of gestation) as cases and live-born 374 term babies as controls were recruited from mothers who had a dating scan before 22 weeks. A risk factor profile worked out by extensive literature search and consultation of experts was subjected to multivariable analysis to identify risk factors. Results: Risk factors identified were: multiple pregnancy (adjusted odds ratio (aOR)=10.57; 95% CI: 3.48, 32.08); bleeding/spotting during pregnancy (aOR=3.51; 95% CI: 1.77, 6.98), past preterm birth (aOR= 2.83; 95% CI: 1.09, 7.36), recent stressful life event (aOR=2.62; 95% CI: 1.43, 4.81), higher gravidity (aOR=2.58; 95% CI: 1.35, 4.9), dissatisfaction with self-assessed own health (aOR=2.54; 95% CI: 1.52, 4.22), pregnancy induced hypertension (aOR=2.25; 95% CI: 1.16, 4.38), no antenatal dental assessment (aOR=2.16; 95% CI: 1.23, 3.81), unsatisfactory oral hygiene (aOR=2.01; 95% CI: 1.33, 3.04), long standing hours during 3rd trimester (aOR=1.91; 95% CI: 1.24, 2.94) and cooking using firewood (aOR=1.51; 95% CI: 1.01, 2.25). Sexual abstinence (aOR=0.46; 95% CI: 0.26, 0.81) was a protective factor. Conclusions & Recommendations: Modifiable and unmodifiable factors for preterm births were identified. Special care during pregnancy and early admission is recommended for multiple pregnancy, those had spotting during pregnancy and those had past preterm delivery. Avoiding stress during pregnancy and emphasizing oral hygiene are recommended.","PeriodicalId":120205,"journal":{"name":"Journal of the College of Community Physicians of Sri Lanka","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115352998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}