Turkish Journal of Public Health最新文献

{"title":"Mersin ilinde görev yapan hekimlerin meslek örgütüyle ilişkileri ve beklentileri","authors":"A. Kurt, Gülçin Yapıcı, Tayyar Şaşmaz, Metin Uzabacı, Aksel Tol, İ.Hakkı Bozgedik, Gülizar Öztürk","doi":"10.20518/TJPH.173063","DOIUrl":"https://doi.org/10.20518/TJPH.173063","url":null,"abstract":"Amac : Bu calismada; Mersin Ilinde gorev yapan hekimlerin meslek orgutu olan tabip odasi ile iliskilerinin boyutu ve odadan beklentilerinin degerlendirilmesi amaclanmistir. Yontem : Kesitsel tipteki bu calismada Mersin Ilinde gorev yapan toplam 1875 hekim evren olarak kabul edildi, ornek olarak 550 hekimin calismaya alinmasi hedeflendi. Calismaya alinacak hekimler; gorev yeri, kurum, unvan ve cinsiyet oranina gore agirliklandirilarak tabakali sistematik ornekleme yontemi ile belirlendi. Veriler Kasim-Aralik 2009 tarihlerinde anket formu kullanilarak toplandi. Verilerin ozetlenmesinde tanimlayici istatistikler ve degiskenlerin karsilastirilmasinda Ki-kare testi kullanildi. Bulgular : Hekimlerin %69.1’i erkek, %82.5’i evli, %80.9’u kamu saglik kurumlarinda calisiyor, %37.6’si pratisyen hekim olarak gorev yapiyordu. Hekimlerin ortalama gorev suresi 17.4±9.6 (1–52) yildi. Hekimlerin %77.1’i tabip odasina uye, %31.5’i son bir yilda tabip odasi calismalarina katilmis ve %26.7’si bugunden sonraki surecte tabip odasi calismalarinda gorev almak istiyordu. Erkek, evli, ozel sektorde calisan, uzman olan, gorev suresi 30 yildan fazla olan ve calisma kosullarinin iyilestirilmesini bekleyen hekimlerin diger gruplara gore tabip odasina daha fazla uye olduklari saptandi. Son bir yilda arastirma gorevlileri tabip odasi calismalarina daha az katilmisti. Hekimlerin tabip odasindan ilk siradaki beklentisi; calisma kosullarinin iyilestirilmesiydi. Sonuc : Mersin’de dort hekimden birisinin tabip odasina uye olmamasi, ucte ikisinin oda calismalarina katilmamasi ve bugunden sonra da katilmayi dusunmemesi, hekimlerin orgutlu yasamin gereklerini yeterince yerine getirmedigini ve meslek orgutlerine cok fazla sahip cikmadigini dusundurmektedir. Tabip odalari uyelerinin odaya yaklasimi ne olursa olsun, kurulus amaclari ve uyelerinin beklentileri cercevesinde daha fazla caba gostermelidir. Anahtar Kelimeler: Calisma yasami, hekim, tabip odasi The involvement of physicians in their professional organization and their expectations, Mersin Objective : This study aims to assess the level of involvement of physicians in the Medical Chamber and their expectations from the Chamber in Mersin. Method : In this cross-sectional study, target population comprises a total of 1875 physicians working in Mersin. The sample consisted of 550 physicians. The participants were determined using stratified systematic sampling on the basis of place of duty, institution, and gender. The data were collected during November and December 2009, using a questionnaire. Descriptive statistics and the Chi-Square test were used in analysis. Results : Of all participants, 69.1% were male, 82.5% were married. 80.9% were working in public institutions, and 37.6% were working as general practitioner. The mean duration of working years of the physicians was 17.4±9.6 (1-52). 77.1% of the physicians were member of the Mersin Medical Chamber, 31.5% had participated in the activities of the Chamber over the last year","PeriodicalId":30432,"journal":{"name":"Turkish Journal of Public Health","volume":"9 1","pages":"174-182"},"PeriodicalIF":0.0,"publicationDate":"2015-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67661859","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":"Evli erkeklerde eşlerine yönelik şiddet ve ilişkili etmenler/Spouse violence and related factors in married men","authors":"Guljan Dönmez, H. Şimşek, T. Günay","doi":"10.20518/TJPH.173011","DOIUrl":"https://doi.org/10.20518/TJPH.173011","url":null,"abstract":"Amac: Arastirmanin amaci 25-49 yas arasi evli erkeklerde eslerine yonelik siddet uygulama durumunun, turlerinin ve etkileyen etmenlerin belirlenmesidir. Yontem: Kesitsel tipteki calismanin evreni, Izmir’in Konak Ilcesi’nde bulunan Esentepe Saglik Ocagi Bolgesi’nde yasayan 25-49 yas arasi 2615 evli erkektir. Sistematik ornekleme yontemi ile secilen 254 kisiye ulasilmistir. Bagimli degisken olan siddet varligi “Yeniden Gozden Gecirilen Catisma Taktikleri Olcegi” (The Revised Conflict Tactics Scales=CTS 2) ile belirlenmistir. Bagimsiz degiskenler erkege ve esine iliskin sosyodemografik degiskenler, evlilige ve aileye, saglik durumuna, cinsel yasama iliskin ozelliklerdir. Veri t Testi, Ki-kare, Lojistik Regresyon Analizi ile cozumlenmistir. Bulgular: Ese yonelik psikolojik siddet sikligi %93, fiziksel siddet %37.5, ekonomik siddet %34.4, cinsel siddet %3.9 olarak saptanmistir. Psikolojik siddete maruziyet, ortaokul ve uzeri ogrenimli kadinlarda anlamli olarak daha fazladir. Erkeklerin issiz olmasi ya da duzensiz islerde calismasi, haftada birkac kez ya da her gun alkol kullanmasi, istenmeyen gebelik varligi, kadinin 25-34 yas grubunda olmasi fiziksel siddette belirleyici etmenler olarak saptanmistir. Sonuc: Esleri tarafindan kadina yonelik olarak uygulanan psikolojik siddet sikligi beklenenden cok yuksek bulunmustur. Uc erkekten biri ekonomik ve fiziksel siddet uygulamaktadir. Cinsel siddet dusuk saptanmasina karsin sorunun daha buyuk boyutlarda olabilecegi dusunulmektedir. Anahtar Kelimeler: Aile ici siddet, toplumsal cinsiyet, kadin sagligi Spouse violence and related factors in married men Objective :The purpose of this study is to examine the presence, patterns and related factors of spouse violence among 25-49 years old men. Methods: The cross-sectional study was conducted in the Esentepe Health Centre district which is affiliated to the Konak District Health Directorate. The study group was composed of 2,615 married men, aged between 25 to 49 years. It was planned to reach a group size of 254 participants that would be selected by systematic sampling.The dependent variable was the presence of violence and this was defined by the Revised Conflict Tactics Scales (CTS). Independent variables were sociodemographic variables of man and wife and features of marriage, family, health conditions and sexual activity Chi-square test, t test and logistic regression were used for statistical analyses. Results: The frequency of psychological, economic, physical and sexual violence toward wife was estimated to be 93%, 34.4%, 37.5% and 3.9%, respectively. Associated factors for physical violence determined by a logistic regression analysis were unemployment or irregular employment, alcohol consumption, daily or several times per week, presence of an undesired pregnancy and the age of the woman between 25-34 years. Conclusion: The results of the study showed that psychological abuse was more frequent than expected. One third of the men apply economic and physic","PeriodicalId":30432,"journal":{"name":"Turkish Journal of Public Health","volume":"24 1","pages":"151-159"},"PeriodicalIF":0.0,"publicationDate":"2015-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67661455","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":"Edirne’de süpürge üretimi çalışanlarında SO2 etkisinin değerlendirilmesi - 2012/Evaluation of SO2 effetcs among workers of the broom-making business in Edirne-2012","authors":"Ufuk Berberoğlu, Erhan Tabakoğlu, Deniz Motör","doi":"10.20518/TJPH.173018","DOIUrl":"https://doi.org/10.20518/TJPH.173018","url":null,"abstract":"Ozet Amac: Isyeri ortam havasinda bulunan SO 2 , calisanlarin ozellikle solunum sistemini etkileyen bir gazdir. Bu arastirma, Edirne’de supurge uretiminde calisanlarin, islemede kullanilan SO 2 den etkilenme durumlarini degerlendirmek amaclanmistir. Yontem: Arastirma 2012 Ocak-Şubat aylarinda Edirne’de gerceklestirilmistir. Olusturulan veri toplama formu ile supurgeciler sitesinde calisan 25 kisiden ve konfeksiyon isinde calisan 25 kisiden veri toplanmistir. Demografik bilgiler, solunum sistemi oyku-fizik muayeneleri ve solunum fonksiyon testleri sonucunda elde edilen veriler arastirmacilar tarafindan hazirlanan veri formuna kaydedilmistir. Kukurt dioksit kullanilarak, isleme ve sarartma isleminin yapildigi odalarin ic ortam havasinda ise, GasAlertMicro 5 marka cihaz ile SO 2 duzeyi olculmustur. Bulgular: SO 2 ’ye maruz kalan ve kalmayan gruplarin yas ortalamalari (sirasiyla 47.6±1.2, 45.2±3.4) ve sigara kullanma oranlari (%64, %64) benzer idi (p>0.05). SO 2 ’ye maruz kalanlarda balgam (%32 ve %16, p 0.05) ve patolojik solunum sesi varligi (% 12 ve % 12, p>0.05) benzer bulunmustur. Calisanlarda, solunum fonksiyon testlerinden FEV 1 , FVC, FEV 1 /FVC, MEF (FEF 25-75% ) degerleri, kontrol grubuna gore anlamli olarak dusuk bulunmustur (hepsi icin p 0.05). Differences in sputum levels (32% and 16%, p 0.05) and pathological respiratory sounds ratios (12% and 12%, p>0.05) were similar. Spirometry findings including FEV 1 , FVC, FEV 1 /FVC and MEF (FEF 25-75% ) were significantly lower for the workers than the control group (p<0.05). Conclusion: SO 2 room gas amounts were higher than both WHO and National Institute for Occupational Safety and Health (NIOSH) standards. SO 2 gas amounts higher than the standards are harmful especially for the respiratory system of the workers. Workers in this industry should be warned of the potential risks and should be educated. Workers of the complex using SO 2 should use masks during working hours and rooms should have efficient air-conditioning. Key Words: Indoor air, SO 2 , sweeper workers, pulmonary function test","PeriodicalId":30432,"journal":{"name":"Turkish Journal of Public Health","volume":"11 1","pages":"111-117"},"PeriodicalIF":0.0,"publicationDate":"2015-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67661754","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":"Tobacco control activities in Turkey /Türkiye’de tütün kontrolü uygulamaları","authors":"Nazmi Bilir, H. Özcebe","doi":"10.20518/TJPH.173019","DOIUrl":"https://doi.org/10.20518/TJPH.173019","url":null,"abstract":"Dunya genelinde her yil alti milyon kisinin olumune yol acan tutun kullanimi cok onemli bir halk sagligi sorunu olarak kabul edilmektedir. Bununla birlikte 2003 yilinda Dunya Saglik Orgutunun 56. Genel Kurulunda kabul edilen ve ilk uluslararasi tutun kontrolu antlasmasi olan Tutun Kontrolu Cerceve Sozlesmesi (DSO TKCS) icinde yer alan etkili tutun kontrolu onlemlerinin uygulanmasi ile milyonlarca kisinin olumu onlenebilir. DSO TKCS paralelinde belirlenen etkili tutun kontrolu stratejileri 2008 yilinda MPOWER Paketi icinde tanimlanmistir. Turkiye’de 1996 yilinda yururluge giren ilk tutun kontrolu yasasi ile bir cok kapali olan kamusal alanda sigara kullanimi yasaklanmistir. Yasanin kapsaminin 2008 yilinda genisletilmesi ile Turkiye “tam sigara dumansiz ulke” olmustur. Son 15-20 yil icerisinde Turkiye’de tutun kontrolu bakimindan onemli basarilar saglanmistir: Tutun kullanim sikligi belirgin olarak azalmis (erkeklerde %63’ten %41’e ve kadinlarda %24’ten %13’e), kapali ortam hava kalitesi duzelmis (PM2,5 partikul duzeylerinde %90’lara varan azalma), ikram isletmelerinde calisanlarin saglik yakinmalari azalmis (restoranlarda calisan garsonlarda burun akintisi, goz yasarmasi veya oksuruk gibi yakinmalarda azalma) ve tutun dumanina bagli kalp ve solunum sistemi ile ilgili akut saglik etkilerinde azalma. Turkiye MPOWER Paketinde yer alan alti onlemi basarili sekilde uygulayan dunyadaki tek ulkedir ve DSO tarafindan diger ulkelere ornek olarak gosterilmektedir. Ancak, sigara kullaniminin yuksek olmasi ve kapali alanlarda sigara yasaginin uygulanmasindaki ihlaller nedeniyle halen Turkiye’de yapilmasi gerekenler vardir","PeriodicalId":30432,"journal":{"name":"Turkish Journal of Public Health","volume":"11 1","pages":"96-103"},"PeriodicalIF":0.0,"publicationDate":"2015-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67661764","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":"Halk Sağlığı bakışıyla Toxoplasma gondii/Toxoplasma gondii With Public Health’s Perspective","authors":"Sibel Cevizci, Coşkun Bakar","doi":"10.20518/TJPH.173076","DOIUrl":"https://doi.org/10.20518/TJPH.173076","url":null,"abstract":"Toksoplazmoz dunyada en yaygin zoonoz hastaliklardan birisidir. Son yillarda yapilan calismalar, farkli saglik sorunlarinin ortaya cikisinda da etkenin sorumlu olabilecegi yonundedir. Toksoplazmoz gibi zoonoz hastaliklarin azaltilmasinda, kontrolunde ve bu hastaliklara karsi korunmada her ulkenin ve her bolgenin sosyo-kulturel yapisi gozonune alinarak cig et-sebze-meyve tuketimi, el hijyeni, hayvan besleme aliskanliklarini gozden gecirecek, tip ve veteriner bilimlerinin ortak calismalarini iceren tek saglik anlayisina ihtiyac vardir. Bu yazida, Dunyada ve Turkiye’de bircok bolgede onemli fakat bir o kadar da goz ardi edilen Toxoplasma gondii epidemiyolojisi ile ilgili guncel bilgilerin sunulmasi ve enfeksiyondan korunma ve kontrolde onemli olan koruyucu halk sagligi yaklasimlarinin paylasilmasi amaclanmistir.","PeriodicalId":30432,"journal":{"name":"Turkish Journal of Public Health","volume":"11 1","pages":"45-58"},"PeriodicalIF":0.0,"publicationDate":"2015-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67661646","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":"Türkiye’de kan basıncı düzeylerindeki değişim/Changes in the prevalence of hypertension in Turkey","authors":"Özlem Pekel, H. Arik, Melih Kaan Sözmen, Belgin Ünal, Sibel Kalaça","doi":"10.20518/TJPH.173079","DOIUrl":"https://doi.org/10.20518/TJPH.173079","url":null,"abstract":"Ozet Amac: Koroner kalp hastaligi icin bilinen degistirilebilir risk etmenlerinden birisi de yuksek kan basincidir. Yuksek kan basinci sikliginin izlenmesi, koroner kalp hastaligi riskinin ve sikliginin belirlenmesi acisindan onemlidir Bu calismada Turkiye’de kan basinci ile ilgili verisi olan toplum tabanli calismalar sistematik olarak incelenmis ve eriskinlerde kan basinci duzeylerinin yillar icindeki degisimi degerlendirilerek gelecek yillar icin cikarimlarda bulunulmasi amaclanmistir. Yontem: Calismada uluslararasi ve ulusal elektronik veritabanlari taranmistir. Medline veritabaninda “blood pressure or hypertension and Turkey” anahtar sozcukleri ile toplam 2073 makaleye ulasilmistir. Bu arastirmalarin 14 tanesinin toplum tabanli oldugu, hipertansiyon prevalansi icerdigi saptanmistir. Ulakbim veritabani taramasinda “hipertansiyon” anahtar sozcugu ile 1184 makaleye ulasilmis ve bunlardan 5 tanesinin toplum tabanli oldugu saptanmistir. Yuksek Ogretim Kurulu tez merkezi veritabani taramasinda “hipertansiyon” anahtar sozcugu ile toplam 933 onaylanmis teze ulasilmis ve 22 tanesinin toplum tabanli oldugu sonucuna varilmistir. Sonuc olarak kan basinci ve hipertansiyon sikligi icin 19 calisma degerlendirmeye alinmistir. Yasa ve cinsiyete gore hipertansiyon sikligi ve ortalamalari verilmis olan ve hipertansiyon tanimi birbirine benzeyen TURDEP 1-2 (1998-2010) ve PATENT (2003) calismalari Turkiye’de yillara gore hipertansiyon sikligindaki degisimi incelemek icin istatistiksel degerlendirmeye alinmistir. Microsoft Excel programinda olusturulan regresyon esitlikleri kullanilarak 2015 yilina kadar olan donemdeki beklenen sikliklar hesaplanmistir. Bulgular: Incelenen calismalarda hipertansiyon sikligi erkeklerde %28.4-%49.0, kadinlarda ise %38.0-%59.0 arasinda degismektedir. 1997-2010 yillari arasinda hipertansiyon sikligi 30 yas uzeri kadinlarda 1997’den 2010 yilina kadar yillik %0.7 oraninda, erkeklerde yillik %0.2 oraninda azalma gostermistir. 1997-2010 yillari arasinda 30 yas uzeri kadinlarda sistolik kan basinci ortalamasi 1997’den 2010 yilina kadar yillik %0.3 oraninda, erkeklerde yillik %0.08 oraninda azalma gostermistir. Sonuc: Turkiye’de hipertansiyon sikliginin kadinlarda daha yuksek oldugu ve azalmanin daha fazla olmasina karsin toplamda sikligin yine erkeklere gore daha yuksek oldugu gorulmektedir. Bu konuda toplanan veri kapsayicilik, siklik bakimindan yetersiz gorulmektedir. Turkiye’de hipertansiyon sikligi ve sistolik kan basinci ortalamalari kadinlarda ve dusuk bir oranda da olsa erkeklerde azalma egilimindedir. Var olan calismalarin sonuclarina gore bu azalma egiliminin kontrol programlari ile hizlanacagi dusunulmektedir. Hipertansiyon sikliginin yillar icindeki degisimini degerlendirmek icin ulusal boyutta, karsilastirilabilir yontemlere dayanan ve belli aralarla tekrarlanan calismalara gereksinim vardir. Anahtar Kelimeler: Yuksek kan basinci sikligi, sistematik derleme, regresyon Abstract Objective: Hypertension is one of the well known r","PeriodicalId":30432,"journal":{"name":"Turkish Journal of Public Health","volume":"11 1","pages":"129-148"},"PeriodicalIF":0.0,"publicationDate":"2015-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67661737","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":"Mevsimlik Tarım İşçisi Gençlerin Sağlıklı Yaşam Bilgi ve Davranışlarına Akran Eğitiminin Etkisi/The Effect of Peer Education on the Healthy-Life Knowledge and Behavior of Young Seasonal Farmworkers","authors":"Z. Şimşek, Evin Kirmizitoprak","doi":"10.20518/tjph.173072","DOIUrl":"https://doi.org/10.20518/tjph.173072","url":null,"abstract":"Objective: To evaluate the effects of peer education on young seasonal farmworkers’ healthy life knowledge and behavior related to living arrangement, pesticide use, and reproductive - sexual health. Method : In this controlled-experimental design study, two settlements with similar characteristics were selected experiment and control group. Twenty six youths from experimental area were selected and trained as peer educator. One-hundred young people from among the 650 in that neighborhood that received training were randomly selected and compared with the control group, which consisted of 125 youths. For data collection, a questionnaire developed by the authors was used. The questionnaires were applied in face-to-face interview. A total of 113 young people were reached in the intervention group (response rate 90%), and 118 young people were reached in the control group (response rate 94%). It was used t-test, chi-square and analyses of variance for statistical analyses. Findings : No significant differences were detected between the intervention and control groups with regards to age, gender, duration of work as farmworkers or level of education (p>0.05). The difference between the total scores of the intervention and control groups (respectively;50.8±8.6- 27.2±9.1) and the scores of sub domains were significant (p<0.05). In addition, the frequency of use of iodized salt, vaccination, hand-washing, breast self examination and testicular self examination was significantly higher in the intervention group. Conclusion : The peer education model could be of use in the development of healthy life skills among young seasonal farmworkers.","PeriodicalId":30432,"journal":{"name":"Turkish Journal of Public Health","volume":"11 1","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2015-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67662024","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":"Akdeniz Üniversitesi’nde taşeron sağlık işçilerinin işçi sağlığı ve iş güvenliği durum tespiti/Due diligence of occupational health and safety of subcontractor health workers in Akdeniz University","authors":"M. C. Izgi, Hafize Öztürk Türkmen","doi":"10.20518/TJPH.173012","DOIUrl":"https://doi.org/10.20518/TJPH.173012","url":null,"abstract":"Amac: Neoliberal politikalarin Turkiye’deki yansimalarindan biri olan Saglikta Donusum Projesi taseronlasmayi iceren bir programdir. Saglikta taseronlasma, calisanin sagligini ve urettigi hizmetin niteligi nedeniyle toplum sagligini etkilemektedir. Calismanin amaci, bir universite hastanesinde taseronlasma sonrasi calisanlarin isci sagligi ve is guvenligi acisindan durumlarini degerlendirmek, konuya yonelik farkindalik yaratmak ve genis capli calismalarin planlanip gerekli onlemlerin alinmasina katki saglamaktir. Yontem: Akdeniz Universitesi Hastanesi’nde taseron olarak calisan 1175 isciden, meslek gruplari temel alinarak tanimlayici arastirmanin 153 kisilik ornegi belirlenmis ve arastirmaya katilmayi kabul eden 128 calisana iki bolumden olusan anket uygulanmistir. Anketin ilk bolumunde sosyodemografik veriler ve arastirmaya iliskin acik uclu sorular, ikinci bolumunde ise besli Likert tipi soru kokleri yer almaktadir. Bulgular: Katilimcilarin %62.5’i is oncesi saglik risk egitimi almadigini, %82.8’i riskler konusunda isveren tarafindan bilgilendirilmedigini, %85.2’si asi yapilmadigini, %57.0’si koruyucu donanimin yetersiz oldugunu, %73.4’u yaptiklari isin saglik riski yarattigini, %71.1’i taseron calismanin sagligi olumsuz etkiledigini, %94.6’si kadrolu calismanin guvenceli oldugunu belirtmislerdir. Sonuc: Calisma ortaminin saglik risklerinden arindirilmasi, is guvencesinin saglanmasi ve saglik hizmet uretiminde insan haklarinin yasama gecirilmesi icin taseronlasmaya son verilmesi gerekir. Anahtar Kelimeler : Taseronlasma, saglik hakki, isci sagligi, is guvenligi Due diligence of occupational health and safety of subcontractor health workers in Akdeniz University Objective : The Health Transformation Project, one of the outcomes of neo-liberal policies, includes subcontracting Subcontracting in the health sector affects the health of individual workers, and due to the quality of the service it produces, it also affects the health of the community. The purpose of the present study is to evaluate the effect of subcontracting on health and safety of workers in university hospitals that serve as centers of science, education and research, and further to raise awareness of the effects of subcontracting, to plan large scale studies and considerthe precautions that need to be taken. Methods : The sample group of the quantitative research was determined by considering work groups as a basis and choosing 153 workers from 1175 subcontractors working in Akdeniz University Hospital. The survey consisting of 2 sections were applied to 128 workers who agreed to participate in the research. In the first section of the survey there are open-ended questions related to research and socio demographic data, in the second section there are five-point Likert type questions. Results : 62.5% of the participants stated that they had not had any health risk education before they started to work, 82.8% stated that they were not informed by the employer about the potential ","PeriodicalId":30432,"journal":{"name":"Turkish Journal of Public Health","volume":"10 1","pages":"160-173"},"PeriodicalIF":0.0,"publicationDate":"2015-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67661465","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 a scale for assessing medical students' attitudes to the social dimensions of health and preventive services","authors":"M. Çiçeklioğlu, Z. Öcek, Ş. Taner, M. Türk, F. Tanık, Kivanc Yuksel","doi":"10.20518/TJPH.173068","DOIUrl":"https://doi.org/10.20518/TJPH.173068","url":null,"abstract":"Abstract Objective : The purpose of this study was an evaluation of the reliability and validity of a scale for medical students’ attitudes towards the social dimensions of health and preventive services. Method : 255 (72.9%) out of 350 fourth-year and 304 (83.9%) out of 83.9% of 362 sixth-year students in Ege University Medical Faculty participated the study at the beginning of the 2005-2006 academic-year. The reliability and validity of the scale, which was developed by the researchers, were assessed by Cronbach-alpha coefficients  and factor-analysis. Results: Three factors emerged (the importance of preventive services; the importance of the social dimensions of health; responsibilities in  preventive services) from the factor analysis. These factors explained 48.4% of the total variance. Cronbach alpha value was 0.77. Conclusion: The scale developed and evaluated in this study is a reliable, valid and practicable tool which can be used in the assessment of medical students’ attitudes. Key Words: Undergraduate medical education, attitude of medical students, preventive health services, social dimension of health, validity Ogrencilerin Sagligin Sosyal Boyutu ve Koruyucu Hizmetler ile Ilgili Tutumlarini Belirleyen Bir Olcegin Degerlendirilmesi Ozet Amac: Bu calismanin amaci tip ogrencilerinin sagligin sosyal boyutu ve koruyucu hizmetler ile ilgili tutumlarini belirlemeye yonelik bir olcegin guvenilirlik ve gecerliliginin belirlenmesidir. Yontem: Calismaya 2005-2006 ogrenim yilinin basinda  dorduncu sinifta olan 350 ogrencinin 255’i (% 72.9) ve altinci sinif olan 362 ogrencinin 304’u (% 83.9) katilmistir. Arastiricilar tarafindan gelistirilmis olan olcegin guvenilirlik ve gecerliligi Cronbach-alpha degeri ve faktor analizi araciligi ile degerlendirilmistir. Bulgular: Faktor analizi sonucunda uc tema belirlenmistir (koruyucu hizmetlerin onemi, sagligin sosyal boyutunun onemi, koruyucu hizmetlerde sorumluluklar). Faktorler toplam varyansin % 48.4’unu aciklamis, Cronbach-alpha degeri 0.77 olarak bulunmustur. Sonuc: Bu calismada gelistirilen ve degerlendirilen olcek tip ogrencilerinin tutumlarinin olculmesi amaciyla kullanilabilecek, guvenilir, gecerli ve pratik bir aractir. Anahtar Kelimeler: Mezuniyet oncesi tip egitimi, tip ogrencilerinin tutumlari, koruyucu saglik hizmetleri, sagligin sosyal boyutu, gecerlilik","PeriodicalId":30432,"journal":{"name":"Turkish Journal of Public Health","volume":"10 1","pages":"86-92"},"PeriodicalIF":0.0,"publicationDate":"2015-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67661942","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":"Kamu Hastane Birlikleri Hakkında Kanun Tasarısı ve Hakkaniyet","authors":"Alpaslan Türkkan","doi":"10.20518/TJPH.173055","DOIUrl":"https://doi.org/10.20518/TJPH.173055","url":null,"abstract":"Saglikta Donusum Programi kapsaminda Saglik Bakanligi’ni yeniden yapilandirarak 2. ve 3. basamak saglik hizmetlerini duzenlemeye yonelik Kamu Hastane Birlikleri Yasa Tasarisi, TBMM Genel Kurulu’nda gorusulmeyi beklemektedir. Tasari ilk hazirlandigi 2007 yilindan itibaren saglik ortaminin onemli gundem maddesidir. Makale, yasa tasarisinin ic celiskilerini tasarida belirtilen hakkaniyet ilkesi uzerinden tartismayi amaclamaktadir. Birligin en ust karar organi olan yonetim kurulu uyelerinin belirlenmesinde hakkaniyet, temsiliyet ve katilimcilik goz ardi edilmistir. Isleyise yonelik hakkaniyet ile ortusmeyen uygulamalar dikkat cekicidir. Birliklerin para odakli olarak sunacaklari hizmetler basta yoksullar olmak uzere tum toplumu etkileyecektir. Tasarinin yasalasmadan once tum yonleri ile tartisilmasi, katilimin saglanarak toplumsal uzlasinin gerceklestirilmesi zorunludur","PeriodicalId":30432,"journal":{"name":"Turkish Journal of Public Health","volume":"9 1","pages":"58-66"},"PeriodicalIF":0.0,"publicationDate":"2015-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67661669","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}