Journal of Health Research最新文献_第8页

A Qualitative Analysis of Emergency Medical Services (EMS) Personnel Experiences and Perceptions Responding to Drug Overdoses in the United States (US) During the COVID-19 Pandemic. 新冠肺炎大流行期间美国紧急医疗服务人员对药物过量反应的经验和认知的定性分析

IF 1.7

Journal of Health Research Pub Date : 2023-01-01 Epub Date: 2023-01-20 DOI: 10.56808/2586-940x.1045

Nae Y Won, Joseph J Palamar, Stephen A Mike, Nicole D Fitzgerald, Linda B Cottler

{"title":"A Qualitative Analysis of Emergency Medical Services (EMS) Personnel Experiences and Perceptions Responding to Drug Overdoses in the United States (US) During the COVID-19 Pandemic.","authors":"Nae Y Won, Joseph J Palamar, Stephen A Mike, Nicole D Fitzgerald, Linda B Cottler","doi":"10.56808/2586-940x.1045","DOIUrl":"10.56808/2586-940x.1045","url":null,"abstract":"Summary: Background: The purpose of this work was to describe the experiences of EMS personnel in responding to drug overdose-related calls and the impact the pandemic has had to help better inform current response and treatment efforts.Methods: Semi-structured interviews were conducted with 99 EMS personnel across 18 areas throughout the United States that were designated as Early Warning Network sentinel sites by the National Institute on Drug Abuse-funded National Drug Early Warning System. Participants were asked about topics including the potential burdens from the pandemic and the opioid crisis. We coded the interview responses and identified themes through qualitative analysis. Multiple cycles of descriptive coding, recoding, subcoding, pattern-coding, and thematic coding of responses were conducted.Results: Responses were categorized into the following themes: 1) being over-worked from increased call volume; 2) increased risk for personal harm when responding to patients; 3) compassion fatigue due to long hours and repeat calls for the same people; 4) conflicting perceptions of the utility of naloxone; 5) the need for better treatment options to respond to opioid crisis on top of COVID-19.Conclusions: The burden of the substance use disorder (SUD) crisis on EMS personnel has been compounded by the COVID-19 pandemic. These reports from EMS personnel throughout the US can help inform policy and procedures to better protect the mental health of EMS personnel and to ensure better care for patients with SUD. These experiences and recommendations may be of use for other countries as substance use and COVID-19 are global health issues.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10751031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49187805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Iranian Health Transformation Plan in Physiotherapy Services: Comparison of Household Based Financial Outcomes 伊朗物理治疗服务中的健康转型计划:基于家庭的财务结果比较

IF 1.7

Journal of Health Research Pub Date : 2022-09-09 DOI: 10.56808/2586-940x.1012

Seyedeh Mitra Hosseini Malekroudi, Z. Mohtasham-Amiri, Enayatollah Homaie Rad

{"title":"Iranian Health Transformation Plan in Physiotherapy Services: Comparison of Household Based Financial Outcomes","authors":"Seyedeh Mitra Hosseini Malekroudi, Z. Mohtasham-Amiri, Enayatollah Homaie Rad","doi":"10.56808/2586-940x.1012","DOIUrl":"https://doi.org/10.56808/2586-940x.1012","url":null,"abstract":"Background : Physiotherapy services are important because they help disabled patients to return to work and other social activities. High out-of-pocket payments of physiotherapy services are one of the major barriers to the utilization of these services. In 2014 a reform named the Health Transformation Plan (HTP) was implemented in Iran aimed at improving Universal Health Coverage of Iranians. This paper researched the effects of HTP on the ﬁ nancial outcomes of physiotherapy services. Method : Data of the Iranian Household Income and Expenditures Survey (IHIES) before and after HTP was used in this study. Out of Pocket payments, utilization of physiotherapy services, and facing catastrophic expenditures were compared using a propensity score matching estimator. Inequity indices were compared using concentration indices and curves. Result : Out-of-pocket payments did not change signi ﬁ cantly after the plan, however, utilization of physiotherapy services decreased signi ﬁ cantly (coef ﬁ cient ¼ ¡ 0.00188, P-value ¼ 0.032). Inequity in out-of-pocket payments improved signi ﬁ cantly after HTP (P-value ¼ 0.000), however, inequity in the utilization of services become worse in favor of the rich (P-value ¼ 0.000) and the percentage of households facing catastrophic health expenditures did not change signi ﬁ cantly (P-value ¼ 0.407). Conclusion : The health transformation plan, one year after its implementation, did not achieve its goals in terms of utilization and out-of-pocket payments and their inequity in physiotherapy services.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42178328","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}

引用次数: 0

Factors Influencing Sexuality, Gender and Norms of Adolescent: A Cross-Sectional Study Among Adolescent in Indonesia 影响青少年性、性别和规范的因素：印度尼西亚青少年的横断面研究

IF 1.7

Journal of Health Research Pub Date : 2022-08-04 DOI: 10.56808/2586-940x.1007

Tantut Susanto, Tirta Amerta Isworo, D. Rokhmah

{"title":"Factors Influencing Sexuality, Gender and Norms of Adolescent: A Cross-Sectional Study Among Adolescent in Indonesia","authors":"Tantut Susanto, Tirta Amerta Isworo, D. Rokhmah","doi":"10.56808/2586-940x.1007","DOIUrl":"https://doi.org/10.56808/2586-940x.1007","url":null,"abstract":"Background : The current study explored the factors related to the sexuality, gender, and norms among Indonesian adolescents via structural equation modelling. Method : A cross-sectional design was performed among 394 adolescents from August to October 2020 in East Java of Indonesia. A self-administered questionnaire measured factors that in ﬂ uenced sexuality, gender, and norms of adolescents. We used smart PLS ( Partial Least Squares ) to analyze the data. Results : Two correlations emerge among independent variables, namely sociodemographic of adolescent and knowledge of reproductive health (RH) and human immunode ﬁ ciency virus (HIV) (p < 0.001) and sociodemographic of parents and family structure and function of RH (p < 0.001). Sociodemographic of parents (p ¼ 0.003), knowledge of RH and HIV (p ¼ 0.012), and family structure and function of RH (p ¼ 0.006) were directly related to sexuality, gender, and norms of adolescent. Sociodemographic of adolescents (p ¼ 0.031) and parents (p ¼ 0.024) were indirectly related to the sexuality, gender, and norms of adolescent through knowledge of RH and HIV. Our model explains 39.9% of the variance in sexuality, gender, and norms of adolescents. Conclusion : Factors that in ﬂ uence sexuality, gender, and norms of the adolescent should be explored during puberty to maintain positive attitudes towards sexuality, gender, and norms. Furthermore, there needs to be comprehensive education on sexuality, gender, and norms to promote gender equality and to tackle harmful stereotypical attitudes. The education can be tailored to lead to increase positive perceptions of sexuality, gender, and norms among adolescents","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43282929","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}

引用次数: 0

Prevalence And Correlates Of Post-traumatic Stress Disorders (PTSD) Among The Military In A Low-income Country 低收入国家军人中创伤后应激障碍(PTSD)的患病率及其相关因素

IF 1.7

Journal of Health Research Pub Date : 2022-08-04 DOI: 10.56808/2586-940x.1015

S. Ibrahim, M. Akindele, U. Useh

引用次数: 0

Depression and Related Factors among Health Science Students in Da Nang, Vietnam: A Cross-Sectional Study 越南岘港健康科学学生抑郁及其相关因素:一项横断面研究

IF 1.7

Journal of Health Research Pub Date : 2022-08-04 DOI: 10.56808/2586-940x.1005

Ngoc Thi Nhu Hoang, Ann Jirapongsuwan, S. Siri

{"title":"Depression and Related Factors among Health Science Students in Da Nang, Vietnam: A Cross-Sectional Study","authors":"Ngoc Thi Nhu Hoang, Ann Jirapongsuwan, S. Siri","doi":"10.56808/2586-940x.1005","DOIUrl":"https://doi.org/10.56808/2586-940x.1005","url":null,"abstract":"Background : This paper aimed to investigate the prevalence of depression and related factors among health science students in Da Nang, Vietnam. Method : A cross-sectional study was undertaken among 401 undergraduate students. Depression was measured using the Centre for Epidemiological Studies Short Depression Scale. Bivariate and multivariate logistic regression was applied to identify any associations. Results : Findings indicated that the prevalence of depression among students was 41.6%. Factors associated with the depression were studying in second year (aOR ¼ 3.15, 95%CI: 1.24 e 7.99), studying in third year (aOR ¼ 2.60, 95%CI: 1.056 e 6.42), poor health status (aOR ¼ 2.57, 95%CI: 1.54 e 4.29), low and moderate parents ’ relationships (aOR ¼ 12.41, 95%CI: 2.83 e 54.56 and aOR ¼ 5.71, 95%CI: 2.99 e 10.87) and high and moderate academic expectations (aOR ¼ 9.45, 95% CI: 4.13 e 21.66 and aOR ¼ 3.16, 95%CI: 1.68 e 5.95). Conclusion : Depression puts Vietnamese university students at risk of health and social problems. Prevention efforts are important to determine factors related to depression and prevent the consequence of those problems.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46978693","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}

引用次数: 0

How area health management leads to improved equity in health: a scoping review 地区卫生管理如何提高卫生公平性：范围界定综述

IF 1.7

Journal of Health Research Pub Date : 2022-08-04 DOI: 10.56808/2586-940x.1010

Methinee Intarates, T. Dhippayom, N. Upakdee, V. Leesmidt, Jain Weraphong, M. Bangpan

{"title":"How area health management leads to improved equity in health: a scoping review","authors":"Methinee Intarates, T. Dhippayom, N. Upakdee, V. Leesmidt, Jain Weraphong, M. Bangpan","doi":"10.56808/2586-940x.1010","DOIUrl":"https://doi.org/10.56808/2586-940x.1010","url":null,"abstract":"Background : The scoping review of published studies aims to explore what practices and processes can improve equity (horizontal and vertical) in countries that adopted Area Health Management (AHM) utilizing the “ Six Building Blocks Plus ” (SBBP) concept. Method : An electronic search was conducted from the inception to January 27, 2021, from 6 databases (Embase, Social Sciences, Web of Science, PubMed, CINAHL, and WHO) and the gray literature. The inclusion criteria were AH, SBBP, and equity. Data extraction was using a standardized data collection form. Results : This scoping review includes 63 full-text studies. SBBP are identical in the horizontal and vertical equity. However, the majority of SBBP were health service delivery, leadership & governance, and health workforce. The result showed the practice and process to improve health equity were related to a health service delivery (HSD). Conclusion : The included study showed horizontal and vertical equity. The equity measurement focused on utilization. AHM utilizing SBBP was mostly showed in HSD, HWF, leadership & governance. This review indicates that HSD could improve equity or cooperate with other SBBP by increasing healthcare accessibility and utilization. The demographic factor that affected equity is ethnicity. Therefore, HSD in area health was crucial in enhancing health promotion equity in different areas, speci ﬁ c diseases, and target patients.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46440234","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}

引用次数: 0

Menstrual irregularities, hormonal imbalance and obesity in adolescent girls in Hyderabad, Sindh, Pakistan: An observational study 巴基斯坦信德省海得拉巴市青春期女孩月经异常、激素失衡和肥胖：一项观察性研究

IF 1.7

Journal of Health Research Pub Date : 2022-08-04 DOI: 10.56808/2586-940x.1013

Meharun-nissa Khaskheli, R. Durrani, S. Baloch, Aneela Sheeba Baloch, Syed Ghulam Sarwar Shah

{"title":"Menstrual irregularities, hormonal imbalance and obesity in adolescent girls in Hyderabad, Sindh, Pakistan: An observational study","authors":"Meharun-nissa Khaskheli, R. Durrani, S. Baloch, Aneela Sheeba Baloch, Syed Ghulam Sarwar Shah","doi":"10.56808/2586-940x.1013","DOIUrl":"https://doi.org/10.56808/2586-940x.1013","url":null,"abstract":"Background : Obesity in young girls adversely affects reproductive health later in life and it is a serious public health issue. The objective was to study the association of obesity with menstrual irregularities and hormonal imbalance in teenage and adolescent girls. Method : Participants comprised a convenience sample of 12 e 19 years old girls (N ¼ 83). The study was conducted in outpatient clinics at a university hospital. Data were collected through medical history by interview, physical examination and blood tests. Data were analysed using frequencies, descriptive statistics, Chi Squared tests of Independence and Binary Logistic Regression. Results : The median age was 16 years (mean 15.9, SD 2.2) and the median BMI was 31.14 (mean 32.04, SD 4.51). Most of the girls were obese (95.2%) and some had a family history of obesity (33.7%), diabetes (28.9%) and cardiovascular disease (20.5%). Clinical presentations included secondary amenorrhea (34.9%), heavy and irregular periods (22.9%) and oligomenorrhea (16.9%). Girls with a polycystic ovary (54.2%, n ¼ 45) had a reversed follicle stimulating hormone (FSH) / luteinizing hormone (LH) ratio (OR 11.33, 95% CI 2.98, 43.04, p < 0.001), an upper limit or raised fasting insulin (OR 7.20, 95% CI 2.33, 22.22, p < 0.001), a raised testosterone (OR ¼ 5.16, 95% CI 1.56, 17.11, p ¼ 0.007 and a disturbed lipid pro ﬁ le (OR 5.67, 95% CI 1.72, 18.73, p ¼ 0.004). Obesity was not statistically signi ﬁ cantly associated with either polycystic ovary syndrome (PCOS) or any of the measured hormone levels. Conclusion : Adolescent girls presenting with obesity, menstrual irregularities and hormonal imbalance may suggest manifestation of PCOS, which needs early investigation and proper management.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44541973","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}

引用次数: 0

Factors that influence individual and community behavioural change regarding environmental health 影响个人和社区在环境卫生方面行为改变的因素

IF 1.7

Journal of Health Research Pub Date : 2022-08-04 DOI: 10.56808/2586-940x.1008

O. K. Bishoge, A. K. Aremu, D. D. Ajayi, S. Mfinanga

引用次数: 0

Predictors of Intention to Stay as Perceived by Nurses Working at Community Hospitals, Ministry of Public Health, Thailand 泰国公共卫生部社区医院护士对住院意向的预测

IF 1.7

Journal of Health Research Pub Date : 2022-08-04 DOI: 10.56808/2586-940x.1014

Rata Srisa-art, J. Yunibhand, C. Jitpanya, A. Oumtanee

{"title":"Predictors of Intention to Stay as Perceived by Nurses Working at Community Hospitals, Ministry of Public Health, Thailand","authors":"Rata Srisa-art, J. Yunibhand, C. Jitpanya, A. Oumtanee","doi":"10.56808/2586-940x.1014","DOIUrl":"https://doi.org/10.56808/2586-940x.1014","url":null,"abstract":"Background : To understand how nurses perceive the intention to stay in the profession (ITSP) is a priority concern to combat the nursing shortage crisis. In Thailand, few studies have investigated and clari ﬁ ed ITSP in community hospitals (CHs). The purpose of this study is to examine and identify the predictors of ITSP at CHs functioning under the Ministry of Public Health, Thailand. Method : A cross-sectional study was conducted in 47 CHs in 8 different provinces, utilizing multi-stage sampling. A total of 955 participants completed a set of e-questionnaires to measure personal factors, managerial characteristics (MCs), work characteristics (WCs), and the relationship of different factors with ITSP. Descriptive statistics, Pearson ' s correlation ( r ), and multiple regression analysis were undertaken. Results : The study showed a moderate level of ITSP ( M ¼ 3.38, SD ¼ 0.70). The nurses ’ characteristics did not have a statistically signi ﬁ cant association with ITSP. Overall, the MCs were positively correlated to ITSP ( r ¼ 0.379, p < 0.05). Similarly, overall WCs were positively associated with ITSP ( r ¼ 0.370, p < 0.05). Some domains of MCs and WCs were signi ﬁ cant in ﬂ uences upon ITSP. Human capital, work happiness, autonomy, skill variety, and work-life balance together accounted for 21.4% of the variance in ITSP. Conclusion : ITSP was affected by human capital, work happiness, autonomy, skilled variety, and work-life balance. Notably, nursing administrators and policymakers should develop strategies to support nurses in CHs that strengthen their career prospects to persuade them to stay in the profession longer.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48366576","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}

引用次数: 0

Acculturation Strategies of the Recent Wave of Indonesian Migrants in Thailand 近期印尼移民潮在泰国的文化适应策略

IF 1.7

Journal of Health Research Pub Date : 2022-08-04 DOI: 10.56808/2586-940x.1000

Muhammad Zamal Nasution, R. Sciortino, S. Niyomsilpa, S. Punpuing

{"title":"Acculturation Strategies of the Recent Wave of Indonesian Migrants in Thailand","authors":"Muhammad Zamal Nasution, R. Sciortino, S. Niyomsilpa, S. Punpuing","doi":"10.56808/2586-940x.1000","DOIUrl":"https://doi.org/10.56808/2586-940x.1000","url":null,"abstract":"Background : The rapid increase of Indonesian migrants to Thailand in the last two decades due to greater regional integration, transport connectivity, and internationalization of education. Different religion, socio-culture, and other sociodemographic factors might affect their adaptation to the Thai society. Method : A mixed-method design was employed for data collection. The quantitative data were derived from an online survey of 268 respondents, while the qualitative data came from literature review, in-depth interviews, focus group discussion, and direct observation. Results : Indonesian migrants tended to opt for an integration strategy and to a lesser extent a separation strategy, with assimilation and marginalization ranking lowest in the acculturation scale. Association test of socio-economic characteristics and acculturation strategies further showed conforming results with minimum variation. Qualitative ﬁ ndings broadly con ﬁ rmed the overall preference for integration as the majority of Indonesian migrants, composed of students and professionals, is well-adapted to Thai society, despite religion and language differences. A minority composed of Indonesian housewives were more inclined toward separation when not engaged in entrepreneurial activities. Not surprisingly, the small number of Indonesian women in mixed marriages with a Thai national living in relatively isolated rural areas were more assimilated in Thai society. A counterintuitive association of assimilation and margin-alization was further noted, which requires further research for a more complete explanation. Conclusion : The dominant acculturation strategy of Indonesian migrants in Thailand is integration, followed by separation. Several sociodemographic factors, including education and occupation, in ﬂ uence these strategies.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42150990","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}

引用次数: 0