Journal of Preventive Medicine and Public Health最新文献_第2页

Association Between Basic Immunization Status and Stunting in Toddlers Aged 12-59 Months in Indonesia. 印度尼西亚12至59个月幼儿基本免疫状况与发育迟缓之间的关系

IF 2.8

Journal of Preventive Medicine and Public Health Pub Date : 2025-05-01 Epub Date: 2025-01-30 DOI: 10.3961/jpmph.24.230

Eka Desi Purwanti, Siti Masitoh, Sudarto Ronoatmodjo

{"title":"Association Between Basic Immunization Status and Stunting in Toddlers Aged 12-59 Months in Indonesia.","authors":"Eka Desi Purwanti, Siti Masitoh, Sudarto Ronoatmodjo","doi":"10.3961/jpmph.24.230","DOIUrl":"10.3961/jpmph.24.230","url":null,"abstract":"Objectives: Immunization has been identified as a specific nutrition-related intervention to address the direct causes of stunting. This study examines the association between basic immunization status and stunting among toddlers in Indonesia.Methods: We conducted a cross-sectional analysis using data from the 2021 Study of Indonesia's Nutritional Status. A total of 70 267 toddlers, aged 12 months to 59 months, were examined. Cox regression was employed to calculate adjusted prevalence ratios (aPRs) with their 95% confidence intervals (CIs).Results: The prevalence of stunting among children aged 12 months to 59 months in Indonesia was 23.1%, while 74.9% of children under 5 years old had complete basic immunization status. Multivariable analysis revealed a statistically significant association between basic immunization status and the incidence of stunting. Relative to toddlers with complete basic immunization, those with incomplete (partial) immunization were at a 1.18 times higher risk of stunting (aPR, 1.18; 95% CI, 1.15 to 1.22). Furthermore, toddlers who had not been immunized at all faced an even greater stunting risk (aPR, 1.27; 95% CI, 1.17 to 1.37). This association persisted after adjusting for variables such as maternal education, economic status, and the child's birth weight.Conclusions: Basic immunization status influences the incidence of stunting in toddlers aged 12 months to 59 months. Thus, parents must ensure that their children's immunizations are completed according to the recommended schedule. Additionally, it is crucial to increase parental awareness regarding health service utilization, disease prevention, and the nutritional needs of toddlers.","PeriodicalId":16893,"journal":{"name":"Journal of Preventive Medicine and Public Health","volume":" ","pages":"298-306"},"PeriodicalIF":2.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143122829","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

Enhancing TNM Stage Completeness Using the SEER Summary Stage. 利用SEER总结阶段增强TNM阶段的完整性。

IF 2.8

Journal of Preventive Medicine and Public Health Pub Date : 2025-04-23 DOI: 10.3961/jpmph.25.099

Chang Kyun Choi, Mina Suh, Kyu-Won Jung, E Hwa Yun

{"title":"Enhancing TNM Stage Completeness Using the SEER Summary Stage.","authors":"Chang Kyun Choi, Mina Suh, Kyu-Won Jung, E Hwa Yun","doi":"10.3961/jpmph.25.099","DOIUrl":"https://doi.org/10.3961/jpmph.25.099","url":null,"abstract":"Objectives: Accurate and complete cancer staging is essential for effective prognosis and treatment planning. This study investigated the feasibility of enhancing the completeness of tumor-node-metastasis (TNM) staging by integrating Surveillance, Epidemiology, and End Results (SEER) Summary Stage data.Methods: We analyzed data from 5 cancer types (stomach, colorectum, liver, lung, and breast) in South Korea (2012-2017). The study assessed the impact of supplementing missing TNM information with SEER Summary Stage data on both staging completeness and 5-year relative survival rates.Results: The study included 173,061 stomach cancer, 159,199 colorectal cancer, 89,639 liver cancer, 137,103 lung cancer, and 110,286 breast cancer patients. The percentage of missing TNM stage data varied by cancer type, ranging from 65.1% (breast cancer) to 93.0% (liver cancer). Supplementation significantly reduced missing values-most notably in stomach cancer, where missing data dropped by 50.6 percentage points, followed by liver (21.5 percentage points) and breast cancers (13.6 percentage points). For stomach cancer, supplementation led to a 3.6 percentage point decrease in stage I survival rates, whereas liver cancer exhibited the most pronounced changes, with stage IV survival rates declining from 17.7% to 7.9%.Conclusions: Integrating SEER Summary Stage data enhances TNM staging completeness. However, further evaluation incorporating treatment information is essential.","PeriodicalId":16893,"journal":{"name":"Journal of Preventive Medicine and Public Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143972959","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

Sleep Disturbances in Early Pregnancy and the Risk of Preeclampsia: Qazvin Maternal and Neonatal Metabolic Outcomes Study (QMNMS). 妊娠早期睡眠障碍和子痫前期风险：Qazvin孕产妇和新生儿代谢结局研究（QMNMS）。

IF 2.8

Journal of Preventive Medicine and Public Health Pub Date : 2025-04-21 DOI: 10.3961/jpmph.24.698

Sima Hashemipour, Fatemeh Lalooha, Milad Badri, Leila Modarresnia, Amirabbas Ghasemi, Sara Esmaeili Kelishomi, Sarah Mirzaeei Chopani, Seyyed Hamidreza Ghafelehbashi, Mahnaz Abbasi, Sepideh Kolaji

{"title":"Sleep Disturbances in Early Pregnancy and the Risk of Preeclampsia: Qazvin Maternal and Neonatal Metabolic Outcomes Study (QMNMS).","authors":"Sima Hashemipour, Fatemeh Lalooha, Milad Badri, Leila Modarresnia, Amirabbas Ghasemi, Sara Esmaeili Kelishomi, Sarah Mirzaeei Chopani, Seyyed Hamidreza Ghafelehbashi, Mahnaz Abbasi, Sepideh Kolaji","doi":"10.3961/jpmph.24.698","DOIUrl":"https://doi.org/10.3961/jpmph.24.698","url":null,"abstract":"Objectives: The association between sleep disturbances and hypertension has been reported in numerous studies. However, prospective cohort data on the role of sleep disturbances in the development of preeclampsia remain limited.Methods: This prospective cohort study was conducted on pregnant women with a in Iran. Sleep quality was assessed at the first prenatal visit (gestational age ≤14 weeks) using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Multivariate logistic regression was run to investigate the independent role of sleep abnormalities in the development of preeclampsia.Results: The final analysis was performed on 576 participants, of whom 3.5% developed preeclampsia. In the univariate analysis, short sleep duration (< 6 hours) and prolonged sleep latency was associated with a 5.5-time and 3.5-times higher risk of developing preeclampsia (95% CI: 1.5-20.9, P=0.011, and 95% CI:1.2-10.1, P=0.019, respectively). Considering the total PSQI score, fairly bad or very bad sleep quality was a risk factor for developing preeclampsia, with a relative risk of 4.9 in the univariate analysis (95% CI: 1.4-17.8, P=0.014). In the fully adjusted model, short sleep duration and prolonged sleep latency were associated with 7.2 and 4.5 times higher risk of preeclampsia, respectivey (95% CI: 1.6-33.1, P=0.011 and 95% CI:1.4-14.6, P=0.012, respectively). In this model, pregnant women with fairly bad or very bad sleep quality had 5.9 times higher risk of preeclampsia development ( 95% CI: 1.5-22.8, P=0.011).Conclusions: This cohort study demonstrated the role of short sleep duration and prolonged sleep latency as the main components of poor sleep quality in the development of preeclampsia.","PeriodicalId":16893,"journal":{"name":"Journal of Preventive Medicine and Public Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024868","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

Are Nonstandard Work Schedules Related to Sleep Difficulty and Health-related Quality of Life? An Examination of Gender Differences. 不标准的工作安排与睡眠困难和健康相关的生活质量有关吗？性别差异的检验。

IF 2.8

Journal of Preventive Medicine and Public Health Pub Date : 2025-04-15 DOI: 10.3961/jpmph.24.378

Seowoo Park, Ji Sun Park, Moo Hyuk Lee, Young Kyung Do

{"title":"Are Nonstandard Work Schedules Related to Sleep Difficulty and Health-related Quality of Life? An Examination of Gender Differences.","authors":"Seowoo Park, Ji Sun Park, Moo Hyuk Lee, Young Kyung Do","doi":"10.3961/jpmph.24.378","DOIUrl":"https://doi.org/10.3961/jpmph.24.378","url":null,"abstract":"Objectives: The rise of flexible and diverse work schedules has become increasingly common in modern society. This study aims to investigate whether nonstandard work schedules are related to sleep difficulty and other aspects of health-related quality of life (HRQOL) in South Korea, with special attention to gender differences.Methods: Data from the 2019 and 2021 National Health and Nutrition Examination Survey (Phase 8) were used, with a final sample consisting of 6,735 participants. Ordinal logistic regression analysis was performed on sleep difficulty and the other seven items of the Health-related Quality of Life Instrument with 8 items (HINT-8) to examine associations with work schedules. Linear regression analysis was also conducted using the HINT-8 index as a composite measure.Results: Nonstandard work schedules were associated with a higher likelihood of sleep disturbances compared to the standard daytime work schedule. In particular, the negative impact of the night work schedule on sleep was greater for female workers than for male workers. Females working under the night work schedule were 12.2 percentage points more likely to report severe sleep difficulty than females under the day work schedule (9.6%). Additionally, the working, happiness, and vitality items of the HINT-8 were negatively associated with the night work schedule, whereas the other HINT-8 items and the HINT-8 index did not exhibit similar results.Conclusions: Nonstandard work schedules are associated with increased sleep difficulty, particularly among women, and negatively affect several aspects of HRQOL, including vitality, happiness, and work performance. Given their rising prevalence and adverse impact on workers' sleep, health, well-being, as well as workplace safety and performance, nonstandard work schedules should be recognized as a significant public health concern.","PeriodicalId":16893,"journal":{"name":"Journal of Preventive Medicine and Public Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015660","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

Prognostic Scoring Model for the Transition from Acute to Chronic Non-specific Low Back Pain in Primary Health Care Units. 初级卫生保健单位从急性到慢性非特异性腰痛过渡的预后评分模型。

IF 2.8

Journal of Preventive Medicine and Public Health Pub Date : 2025-04-12 DOI: 10.3961/jpmph.24.581

Djoko Kuswanto, Riva Satya Radiansyah, Dwinka Syafira Eljatin, Muhammad Nazhif Haykal, Rumman Karimah, Ratri Dwi Indriani, Zain Budi Syulthoni, Erna Furaidah, Andiva Satrio Rinaldi, Hafira Nushifa Putri, Jessica Felina Adi, Anak Agung Bagus Wirayuda

{"title":"Prognostic Scoring Model for the Transition from Acute to Chronic Non-specific Low Back Pain in Primary Health Care Units.","authors":"Djoko Kuswanto, Riva Satya Radiansyah, Dwinka Syafira Eljatin, Muhammad Nazhif Haykal, Rumman Karimah, Ratri Dwi Indriani, Zain Budi Syulthoni, Erna Furaidah, Andiva Satrio Rinaldi, Hafira Nushifa Putri, Jessica Felina Adi, Anak Agung Bagus Wirayuda","doi":"10.3961/jpmph.24.581","DOIUrl":"https://doi.org/10.3961/jpmph.24.581","url":null,"abstract":"Objectives: Non-specific low back pain (NSLBP) is a prevalent health issue that can progress from acute to chronic, resulting in prolonged disability and diminished quality of life. This study aimed to develop a prognostic scoring model to predict the transition from acute to chronic NSLBP in primary care settings.Methods: This prospective cohort study enrolled 112 adults with acute NSLBP from primary health care units in Indonesia. Participants were assessed at baseline and at a 3-month follow-up visit. Bivariate and multivariable analyses were conducted to identify significant predictors of chronicity. A scoring system was then developed based on the final logistic regression model.Results: Three factors were found to be significant predictors of the transition to chronic NSLBP: age above 30 years, low education level, and moderate to severe pain intensity. The prognostic scoring model demonstrated good discrimination, with an area under the receiver operating characteristic curve of 0.705, 70.8% sensitivity, and 62.5% specificity at the optimal cut-off score of 2.5.Conclusions: This simple prognostic scoring model can help clinicians identify patients at high risk of developing chronic NSLBP. Early identification of at-risk patients could guide targeted interventions to prevent chronicity. Further validation in diverse populations is necessary to confirm the broader applicability of this model.","PeriodicalId":16893,"journal":{"name":"Journal of Preventive Medicine and Public Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020707","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

The Relationship Between Park Access and Quality and Various Health Metrics in a Metropolitan Area in South Carolina Using the CDC PLACES Dataset. 使用CDC地点数据集研究南卡罗来纳大都市地区公园通道与质量和各种健康指标之间的关系。

IF 2.8

Journal of Preventive Medicine and Public Health Pub Date : 2025-03-01 Epub Date: 2024-12-13 DOI: 10.3961/jpmph.24.325

Jenna Pellizzari, Farnaz Hesam Shariati, Andrew T Kaczynski

{"title":"The Relationship Between Park Access and Quality and Various Health Metrics in a Metropolitan Area in South Carolina Using the CDC PLACES Dataset.","authors":"Jenna Pellizzari, Farnaz Hesam Shariati, Andrew T Kaczynski","doi":"10.3961/jpmph.24.325","DOIUrl":"10.3961/jpmph.24.325","url":null,"abstract":"Objectives: Limited access to high-quality green spaces could contribute to growing rates of chronic diseases and unhealthy behaviors. Public parks provide numerous benefits for population well-being. However, past research has shown mixed results regarding the association between proximal parks and residents' physical and mental health. This study examined the relationship between diverse elements of park access and quality and multiple health outcomes.Methods: Seventy-three unique parks within 70 census tracts in 4 cities in South Carolina were analyzed. Data about 7 aspects of park quality (transportation access, facility availability, facility quality, amenity availability, park aesthetics, park quality concerns, neighborhood quality concerns) were collected via on-site observations using the Community Park Audit Tool. Health data for each tract (obesity, no leisure time physical activity, high blood pressure, coronary heart disease, high cholesterol, diabetes, depression, poor mental health) were collected from the CDC PLACES dataset. Linear regression analyses examined the association between 10 park access and quality metrics and 8 health metrics, controlling for socio-demographic characteristics.Results: All associations were in the unexpected direction except 1 relationship involving mental health. Specifically, positive associations were found between the number of parks and obesity, the number of parks and no leisure time physical activity, transportation access and obesity, and transportation access and high blood pressure. As concerns about neighborhood quality increased, poor mental health status worsened.Conclusions: This study provides valuable information for public health professionals and researchers. Further research is needed to expand on and elucidate these findings.","PeriodicalId":16893,"journal":{"name":"Journal of Preventive Medicine and Public Health","volume":" ","pages":"208-217"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11986597/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143122733","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

The Impact of Student-led Community Health Screenings on Clients' Health Knowledge and Outcomes: A Qualitative Study in New Zealand. 以学生为主导的社区健康筛查对客户健康知识和结果的影响：一项定性研究。

IF 2.8

Journal of Preventive Medicine and Public Health Pub Date : 2025-03-01 Epub Date: 2024-11-28 DOI: 10.3961/jpmph.24.366

JiaRong Yap, Wendy Wenming Zhai, Cindy Seunghee Pak, Sharon Brownie

{"title":"The Impact of Student-led Community Health Screenings on Clients' Health Knowledge and Outcomes: A Qualitative Study in New Zealand.","authors":"JiaRong Yap, Wendy Wenming Zhai, Cindy Seunghee Pak, Sharon Brownie","doi":"10.3961/jpmph.24.366","DOIUrl":"10.3961/jpmph.24.366","url":null,"abstract":"Objectives: This study investigated the impact of community health screenings (CHS) on the Asian community, focussing on the role of a student-led health and wellness centre in promoting and improving health outcomes. The CHS is a collaboration between Te Kotahi Oranga | Health and Wellness Centre and The Asian Network Incorporated, offering free health screenings to Asian migrants in the Waikato region, New Zealand.Methods: Employing a qualitative approach, we interviewed clients who participated in the CHS to determine their perceptions regarding the effectiveness of the programme, its influence on their health knowledge and actions, and their overall satisfaction with the service. The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist was used to report the study.Results: Data analysis utilising reflexive thematic analysis yielded 5 themes: satisfaction and appreciation for the free health screening; strengthened commitment to better personal health; barriers and challenges in accessing public healthcare services; improved knowledge and awareness of health risks; and provision of more health screening tests and health seminars. The findings highlight the significance of culturally tailored health initiatives in addressing healthcare disparities, emphasising the need for innovative strategies to ensure continuity of care and support for underserved populations.Conclusions: This research contributes to the understanding of how student-led health interventions can enhance public health efforts and improve health outcomes in Asian and migrant communities.","PeriodicalId":16893,"journal":{"name":"Journal of Preventive Medicine and Public Health","volume":" ","pages":"167-176"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11986595/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142784690","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

Predictors of Quality of Life Among Older Residents in Rural and Urban Areas in Indonesia: An Approach Using the International Classification of Functioning, Disability, and Health. 印度尼西亚农村和城市地区老年居民生活质量的预测因素：一种使用国际功能、残疾和健康分类的方法。

IF 2.8

Journal of Preventive Medicine and Public Health Pub Date : 2025-03-01 Epub Date: 2024-11-29 DOI: 10.3961/jpmph.24.423

Dwi Rosella Komalasari, Chutima Jalayondeja, Wattana Jalayondeja, Yusuf Alam Romadon

{"title":"Predictors of Quality of Life Among Older Residents in Rural and Urban Areas in Indonesia: An Approach Using the International Classification of Functioning, Disability, and Health.","authors":"Dwi Rosella Komalasari, Chutima Jalayondeja, Wattana Jalayondeja, Yusuf Alam Romadon","doi":"10.3961/jpmph.24.423","DOIUrl":"10.3961/jpmph.24.423","url":null,"abstract":"Objectives: The International Classification of Functioning, Disability, and Health (ICF) model provides a comprehensive framework for understanding health and quality of life (QoL) in older adults in both rural and urban settings, each presenting unique advantages and challenges. This study aimed to explore the relationship between factors based on the ICF model and QoL among older residents of these areas.Methods: A cross-sectional study was conducted, involving 286 older adults aged 60 years or older from rural and urban areas of Surakarta, Central Java, Indonesia. The WHOQoL-BREF was utilized to assess QoL. The co-factors included personal factors, impairments, and activity limitations.Results: Multiple linear regression analysis indicated that cardiovascular endurance was the strongest significant factor associated with QoL in rural areas (B=0.027, standard error [SE]=0.013, p=0.050). In urban areas, gender emerged as the most significant factor influencing QoL (B=-13.447, SE=2.360, p<0.001), followed by hemoglobin level (B=-1.842, SE=0.744, p=0.015), age (B=-0.822, SE=0.217, p<0.001), and cognitive function (B=0.396, SE=0.162, p=0.016).Conclusions: Efforts to improve QoL for older adults in rural areas should focus on enhance physical performance through exercise. In urban areas, the maintenance of QoL is influenced by personal factors. It is crucial to address physical performance through exercise to enhance QoL in rural settings. Meanwhile, focusing on mental health, financial security, and social connections is recommended to improve QoL for older adults in urban areas.","PeriodicalId":16893,"journal":{"name":"Journal of Preventive Medicine and Public Health","volume":" ","pages":"199-207"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11986578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786076","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

IF 2.8

Journal of Preventive Medicine and Public Health Pub Date : 2025-03-01 Epub Date: 2024-11-20 DOI: 10.3961/jpmph.24.374

Yeni Farida, Anna Wahyuni Widayanti, Tri Murti Andayani, Probosuseno Probosuseno

{"title":"Medication-related Burden and Experience With Medications in Indonesian Older Adults With Chronic Diseases: A Mixed-method Study.","authors":"Yeni Farida, Anna Wahyuni Widayanti, Tri Murti Andayani, Probosuseno Probosuseno","doi":"10.3961/jpmph.24.374","DOIUrl":"10.3961/jpmph.24.374","url":null,"abstract":"Objectives: This study explored the specific medication-related burdens experienced by older adults with chronic disease and the contributing factors.Methods: An exploratory mixed-method study was conducted at a teaching hospital in Surakarta City, Central Java, Indonesia. Combining the Indonesian version of the Living with Medicine Questionnaire (LMQ) and semi-structured interviews allowed for a comprehensive understanding of the medication-related burden. Differences in LMQ scores related to patient characteristics were analyzed using the t-test, F-test, or other alternatives. Quantitative and qualitative data triangulation was used to derive trustworthy and dependable results.Results: The overall LMQ mean score was 90.4 (n=129), indicating a moderate burden. The average LMQ scores varied significantly based on the number of medications, treatment duration, and the presence of cardiovascular disease (CVD), diabetes mellitus (DM) and stroke. The qualitative study found 3 themes in the chronic medication use of older adults: experiences, challenges, and motivation. Despite their limited understanding of a medication's name and indication, some patients managed their medications based on the physical look and packaging of the medication. The study also found that patient motivation and familial support could effectively counteract the fatigue and dissatisfaction associated with taking medication.Conclusions: Older adults with chronic diseases faced medication-related burdens associated with the presence of CVD, DM, stroke, a treatment duration >5 years, and the use of >10 medications. Effective communication with healthcare professionals is required to understand patients' needs and concerns, thereby helping manage the challenges of medication-related burdens.","PeriodicalId":16893,"journal":{"name":"Journal of Preventive Medicine and Public Health","volume":" ","pages":"188-198"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11986575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786063","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

Health Effects of Heavy Metal Exposure Among E-waste Workers and Community-dwelling Adults in Thailand: A Cross-sectional Study. 泰国电子废物工人和社区居住成年人重金属暴露对健康的影响：一项横断面研究。

IF 2.8

Journal of Preventive Medicine and Public Health Pub Date : 2025-03-01 Epub Date: 2024-11-21 DOI: 10.3961/jpmph.24.415

Chonyitree Sangwijit, Parichat Ong-Artborirak, Warangkana Naksen, Kraiwuth Kallawicha, Pallop Siewchaisakul

{"title":"Health Effects of Heavy Metal Exposure Among E-waste Workers and Community-dwelling Adults in Thailand: A Cross-sectional Study.","authors":"Chonyitree Sangwijit, Parichat Ong-Artborirak, Warangkana Naksen, Kraiwuth Kallawicha, Pallop Siewchaisakul","doi":"10.3961/jpmph.24.415","DOIUrl":"10.3961/jpmph.24.415","url":null,"abstract":"Objectives: Global concern is increasing about the health effects of electronic waste (e-waste). This study examines the health impacts of heavy metal (HM) exposure among e-waste workers (EWWs) and community-dwelling adults (CDAs) in Northeastern Thailand and identifies factors associated with adverse health outcomes.Methods: A cross-sectional study was conducted of 164 EWWs and 164 CDAs. A survey was employed to collect data on participant characteristics, symptoms, anxiety, depression, and sleep quality. Urine samples were analyzed for lead (Pb) and cadmium (Cd) levels using atomic absorption spectrometry. Multiple logistic regression analysis was used to identify factors impacting health.Results: Across all participants, urinary Pb and Cd levels ranged from 5.30 µg/g to 29.50 µg/g creatinine and from 0.60 µg/g to 4.00 µg/g creatinine, respectively. The most frequently reported health issues pertained to musculoskeletal disorders (MSDs) at 38.70%, central nervous system (CNS) issues at 36.60%, and skin disorders at 31.10%. Multivariable analysis indicated that the presence of MSDs was significantly associated with exposure to Pb and Cd. Poor sleep quality (PSQ) was significantly linked to CNS problems, while body mass index was significantly related to skin disorders. Factors including primary education level or below, smoking, cleaning the house more than 3 times weekly, and PSQ were significantly linked to depression. Anxiety was significantly associated with PSQ.Conclusions: Environmental exposure to Pb and Cd can have adverse health impacts in the form of MSDs. Depression and anxiety are common conditions among CDAs. Public health officials should monitor HM exposure and mental health within the community.","PeriodicalId":16893,"journal":{"name":"Journal of Preventive Medicine and Public Health","volume":" ","pages":"156-166"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11986577/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786045","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