Advances in Public Health最新文献

{"title":"Validating the Staff Satisfaction Index and the Happy Career for In-Service Firefighters","authors":"R. Ismail, Noruzi Mohammad, Ashrul Riezal Asbar, Ismail Abdul Ghani, Thurasamy Ramayah","doi":"10.1155/2022/6467011","DOIUrl":"https://doi.org/10.1155/2022/6467011","url":null,"abstract":"This study aims at validating the Staff Satisfaction Index (SSI) and the Happy Career (HC) scale for in-service firefighters. The SSI consists of two dimensions, namely, protection against hazards at work and welfare, with 16 subdimensions. A total of 6970 data points were collected via the Internet. Both dimensions of the SSI were regressed on the HC scale using partial least square structural equation modelling. The dimensions satisfied all measurements and structural model assessments. Protection against hazards at work (β = 0.370, \u0000 \u0000 p\u0000 <\u0000 0.001\u0000 \u0000 ) and welfare (β = 0.375, \u0000 \u0000 p\u0000 <\u0000 0.001\u0000 \u0000 ) explained 46.6% of the happiness variance. Both dimensions displayed small-to-medium effect sizes and relevance to predicting happiness (Q2 = 0.339). Implications of the findings are discussed further.","PeriodicalId":30619,"journal":{"name":"Advances in Public Health","volume":"17 1","pages":""},"PeriodicalIF":4.1,"publicationDate":"2022-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73724643","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":"Community-Based Health Insurance Utilization and Its Associated Factors among Rural Households in Akaki District, Oromia, Ethiopia, 2021","authors":"Amenti Teka Geferso, Sisay Begashaw Sharo","doi":"10.1155/2022/9280269","DOIUrl":"https://doi.org/10.1155/2022/9280269","url":null,"abstract":"Background. Community-based health insurance is widely recognized as the most effective way to achieve universal health coverage (UHC) with adequate financial protection against healthcare costs, to promote equal access to high-quality healthcare, increase financial security, and enhance social cohesion and solidarity. Objective. The objective of this study was to determine community-based health insurance utilization and its associated factors among rural households in Akaki District, Oromia special zone surrounding Finfinnee, Oromia, Ethiopia, in May 2021. Methods and Materials. A community based cross-sectional study was conducted on 600 households in May 2021. A multistage sampling technique was used to select households. Data were collected using pretested and standardized questionnaires entered into Epi Info version 7.2.4 and analyzed using SPSS version 26. Bivariate and multivariate logistic regressions were computed to identify the factors associated with community-based health insurance utilization. A \u0000 \u0000 P\u0000 \u0000 value <0.05 with 95% CI was used as a cut-off point to declare the level of statistical significance. Results. The magnitude of community-based health insurance (CBHI) utilization was 398 (66.3%) (95% CI: 0.63, 0.70). In the multivariate logistic regression analysis, the odds of CBHI utilization for males were 2 times higher (AOR = 1.629; 95% CI: 1.063, 2.497) compared to female-headed households; household family size <5 was 3 times higher (AOR = 2.99; 95% CI: 1.987, 4.139) compared to household family size >5; farmer was 4 times higher (AOR = 3.763; 95% CI: 1.371, 10.327) compared to other occupational status; household income <30,000 ETB was 2 times higher (AOR = 2.474; 95% CI: 1.514, 4.043) compared to the household income of 30000 ETB, and all these were factors significantly associated with CBHI utilization. Conclusion. The magnitude of CBHI utilization was low (66.3%) compared to the HSTP II target (80%) and other studies. The results of the study showed that age, sex, household family size, household income, and trustworthiness were among the factors significantly associated with community-based health insurance utilization.","PeriodicalId":30619,"journal":{"name":"Advances in Public Health","volume":"45 1","pages":""},"PeriodicalIF":4.1,"publicationDate":"2022-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75951322","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":"Prevalence and Factors Associated with Low Birth Weight and Preterm Delivery in the Ho Municipality of Ghana","authors":"W. Axame, F. Binka, M. Kweku","doi":"10.1155/2022/3955869","DOIUrl":"https://doi.org/10.1155/2022/3955869","url":null,"abstract":"Background. Low birth weight and preterm delivery are birth outcomes that can predict newborns’ survival, development, and long-term health outcomes. This study assessed the prevalence and factors associated with low birth weight and preterm delivery in the Ho Municipality of Ghana. Methods. This retrospective, cross-sectional study analysed data from 680 birth records between October and December 2018. Univariate and multivariate logistic regression models predicted low birth weight and preterm delivery factors. Results. The prevalence of low birth weight and preterm delivery was 12.9% and 14.1%, respectively. Increasing maternal age (AOR: 0.52; 95% CI: 0.28–0.98), multiparity (AOR: 0.54; 95% CI: 0.30–0.94) and increasing doses of sulphadoxine-pyrimethamine (AOR: 0.43; 95% CI: 0.22–0.84) significantly reduced the odds of low birth weight. However, caesarean section (AOR: 1.94; 95% CI: 0.1.16–3.27) and hypertension (AOR: 2.06; 95% CI: 1.27–03.33) significantly increased the likelihood of low birth weight. An increasing number of antenatal care visits (AOR: 0.38; 95% CI: 0.18–0.80) and doses of sulphadoxine-pyrimethamine (AOR: 0.43; 95% CI: 0.19–0.97) were significantly associated with decreased odds of preterm delivery, while caesarean section increased the odds of preterm delivery by two folds (AOR: 2.14; 95% CI: 1.15–3.99). Conclusion. This study shows that maternal age, parity, number of antenatal care visits, hypertension, SP/IPTp, and caesarean section were independently associated with low birth weight and preterm delivery. Education and interventions should be prioritised as vitally important on these factors to reduce the risk and complications associated with these birth outcomes.","PeriodicalId":30619,"journal":{"name":"Advances in Public Health","volume":"30 1","pages":""},"PeriodicalIF":4.1,"publicationDate":"2022-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77115106","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":"Assessment of Cytotoxicity and Genotoxicity Potential of Effluents from Bahir Dar Tannery Using Allium cepa","authors":"Tayachew Admas, Bizuayehu Kerisew","doi":"10.1155/2022/5519304","DOIUrl":"https://doi.org/10.1155/2022/5519304","url":null,"abstract":"Tannery effluent plays a significant role in increasing pollution in the environment; in particular, it contains toxic heavy metals which cause toxic effects on plant genetic materials. Among tannery effluent chemicals, chromium and lead have cytotoxicity and genotoxicity potentials on Allium cepa. This investigation was undertaken to assess the physicochemical properties of tannery wastewater and their effect on the genetic materials of A. cepa. Effluent’s physicochemical characteristics were investigated using digital instruments for direct measurement and standard methods of atomic absorption spectrophotometer colorimetric analysis. A series of six onion bulbs were grown in 0%, 20%, 40%, 60%, 80%, and 100% concentrations of wastewater (v/v) ratio, and root tips from each onion bulb were cut and processed for analysis by aceto-orcein squash technique. Most of effluent components were above the discharge limit standards set by Federal Environmental Protection Agency and Ethiopian Environmental Protection Authority. The cytotoxicity effect on the root growth showed a significant reduction at high concentration. Simple regression analysis showed that the results of mitotic index were statistically significant (P < 0.05) in different concentrations. A decrease in mitotic index with increasing concentration of the effluent was observed. The effluent had induced chromosomal abnormalities such as laggard, fragmentation, stickiness, bridge, micronucleus, and binucleated and morphologically changed nuclei in A. cepa root cells among others. The results showed that cytotoxicity, genotoxicity, and chromosomal aberrations were induced by the tannery effluent. Industries shall think of biological waste treatment methods.","PeriodicalId":30619,"journal":{"name":"Advances in Public Health","volume":"20 1","pages":""},"PeriodicalIF":4.1,"publicationDate":"2022-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90496992","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":"Factors Associated with Problematic Alcohol Consumption among Adults in Putalibazar Municipality of Syangja District, Nepal","authors":"Rajeev Nepal, J. Priyanka, P. Chhetri, Suruchi Godar, P. Timsina, Saroj Doranga","doi":"10.1155/2022/7588153","DOIUrl":"https://doi.org/10.1155/2022/7588153","url":null,"abstract":"Background. According to the WHO STEPS survey 2013 in Nepal, 17% of the surveyed population had consumed alcohol within the last 30 days. Alcohol consumption in Nepal is socially and culturally accepted in many ethnic groups. The purpose of this study was to determine various factors associated with problematic alcohol consumption among adults in Putalibazar Municipality of Syangja district. Methods. A community-based cross-sectional study was conducted between September 2020 and January 2021 among 300 adults between ages of 18–64 years in Putalibazar Municipality of Syangja district of Nepal. Using a pretested semistructure questionnaire, a face-to-face interview was performed for collecting the data. An Alcohol Use Disorder Identification Test (AUDIT) developed by the World Health Organization (WHO) was used as a guiding tool to determine the audit-risk level category among adults according to their drinking status. Respondents with scores 0–7 in AUDIT scores were considered as nonproblematic drinkers, while respondents scoring 8–40 in the AUDIT scores were considered as problematic drinkers. Bivariate and multivariable analysis was performed to find out the association between dependent and independent variables. Variables which were found statistically significant at 95% CI (\u0000 \u0000 p\u0000 \u0000  ≤ 0.05) during bivariate analysis were further analyzed using the logistic regression model in multivariable analysis to identify determinants associated with problematic alcohol consumption among adults. Results. The mean age of participants was 36.72 years with a ±10.81 standard deviation. A total of 56.3% of adults were problematic drinkers. The multivariable regression analysis model identified adults within the age group of 25–34 years and 35–44 years along with males significantly associated with problematic alcohol consumption. Adults within the age group of 25–34 years and 35–44 years were 7.4 times (AOR = 7.4, CI: 1.97–27.60) and 5.7 times (AOR = 5.7, CI: 1.58–20.56) more likely to be problematic drinkers than their counterparts who were from the age group of 55–64 years. Males were 6.9 times more likely to be (AOR = 6.9, CI: 3.35–14.26) problematic drinkers than females. Conclusion. Problematic alcohol consumption among males was common and significantly associated within the age group of 25–34 years and 35–44 years. This study concerns the need for policy makers to launch awareness programs and community-based interventional programs considering identified factors associated with excessive drinking.","PeriodicalId":30619,"journal":{"name":"Advances in Public Health","volume":"44 1","pages":""},"PeriodicalIF":4.1,"publicationDate":"2022-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83016746","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":"Pentazocine Misuse among Sickle Cell Disease Patients and The Role of Lack of Enforcement of Opioid Dispensing Regulations by Community Pharmacies: A Descriptive Observational Study","authors":"O. Nnachi, C. Akpa, F. O. Nwani, Oghenevwogaga Obukohwo Edenya","doi":"10.1155/2022/3877882","DOIUrl":"https://doi.org/10.1155/2022/3877882","url":null,"abstract":"Introduction. Sickle cell disease (SCD) is a chronic disease characterized by debilitating bone pains which commonly necessitate the use of analgesic drugs including opioids and psychotropic substances such as pentazocine which are controlled medicines in Nigeria. Opioid misuse including dependence and addiction is an increasing trend among SCD patients, and it has serious adverse implications on their social, economic, and physical well-being. The role of lack of implementation of existent regulation on the dispensing of opioids by pharmacies has not been adequately investigated. Objective. The primary objective of this study is to define the sociodemographic and clinical implications of pentazocine misuse among patients with SCD and to describe the contributions of lack of enforcement of opioid dispensing regulations to this menace. Materials and Methods. The study was a descriptive observational study. A 29-item pretested and prevalidated questionnaire was administered to 21 SCD patients with an established history of pentazocine misuse and addiction to establish their demographics, details of opioid use, and their clinical effects. Nine community pharmacies were interviewed to ascertain their knowledge of controlled medicines and their compliance to existent regulations on the dispensation of opioids. Results. The median (interquartile range) age of the SCD subjects was 24 years. The majority of subjects (14, 66.7%) had tertiary education. Fifteen (71.4%) of them had a history of pentazocine misuse for over two years. All subjects source pentazocine injection from local pharmacies and patent medicine shops without prescription, while 19.0% get home deliveries. Seventeen (80.9%) of the SCD subjects desired to discontinue the habit; however, inadequate medical support was reported to contribute to their inability to overcome this practice in 14 (54.3%) patients. Most of the local pharmacies/drug shop proprietors are aware of drug laws guiding controlled medicines in Nigeria. However, about 77.9% of pharmacies interviewed retail pentazocine without prescription. A lack of enforcement by the state and federal taskforce was reported to contribute to this practice. Conclusion. Pentazocine misuse is a serious problem in patients with SCD. Inadequate medical support and lack of enforcement of regulations on dispensing opioids by community pharmacies are contributors to this menace.","PeriodicalId":30619,"journal":{"name":"Advances in Public Health","volume":"12 1","pages":""},"PeriodicalIF":4.1,"publicationDate":"2022-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79844279","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":"Maternal and Child Health Services in Rural Settings of The Gambia: Contextual Determinants of Postnatal Care from Mothers’ Perspectives—A Community-Based Analytical Cross-Sectional Study","authors":"Bakary Kinteh, A. Barrow, Musa Nget, Ebrima S. Touray, Jainaba Touray, S. Kinteh, Mansour Badjie, Solomon P. S. Jatta","doi":"10.1155/2022/3558676","DOIUrl":"https://doi.org/10.1155/2022/3558676","url":null,"abstract":"Background. Maternal and child health in The Gambia is a trending public health burden. The postnatal period is critical and vital to the lives and health of the maternal mothers and their newborns, and pieces of evidence deduced that a majority of maternal and newborn deaths occur during this period. Hence, this research aimed to assess the prevalence and determinants of postnatal care utilization across women in rural Gambia. Methods. A community-based cross-sectional design was conducted in January 2020, with 265 women of childbearing age were recruited from the selected households in rural communities across the Upper River Region (URR), Gambia, using multistage sampling technique. A structured-interview questionnaire was developed to elicit contextual sociodemographic characteristics regarding the use of postnatal care. Percentages, chi-square/Fisher’s exact test for variables with \u0000 \u0000 p\u0000 \u0000 value ≤0.15 were considered for inclusion into the logistic regression model. The significance level was set at \u0000 \u0000 p\u0000 <\u0000 0.05\u0000 \u0000 . The adjusted odds ratios (aOR) with 95% confidence interval (CI) were computed to declare significance. Results. The study revealed that 90% of women utilize postnatal care (PNC) services in the rural settings of URR, Gambia. Factors such as women’s occupation, location, number of pregnancies, attending in last pregnancy, current uptake of family planning, and complication(s) in last labor were found to be associated with PNC utilization. Women who attended antenatal care (ANC) services in their last pregnancy were 10.8 times (aOR = 10.795, 95% CI: 1.025–113.694), current users of FP were 10.7 times (aOR = 10.708, 95% CI: 1.379–83.152), women’s number of pregnancies increases by a factor of 4.6 times (aOR = 4.649, 95% CI: 1.518–14.243) more likely to utilize PNC while women’s number of children alive were less likely by 76.1% (aOR = 0.239, 95% CI: 0.071–0.810) as compared to those who were not utilizing PNC services. Conclusion. The findings showed that attending ANC services, current uptake of FP, women’s number of pregnancies, and number of children alive were associated with PNC. Strengthening women empowerment and designing responsive ANC programs especially for rural women to improve PNC services are required.","PeriodicalId":30619,"journal":{"name":"Advances in Public Health","volume":"46 1","pages":""},"PeriodicalIF":4.1,"publicationDate":"2022-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82827931","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":"Assessment of Factors Affecting Time to Recovery from COVID-19: A Retrospective Study in Ethiopia","authors":"A. M. Dessie, Sefineh Fenta Feleke, D. Anley, Rahel Mulatie Anteneh, Zelalem Animut Demissie","doi":"10.1155/2022/7182517","DOIUrl":"https://doi.org/10.1155/2022/7182517","url":null,"abstract":"Background. The average duration of recovery from COVID-19 and influencing factors, which would help inform optimal control strategies, remain unclear. Moreover, studies regarding this issue are limited in Ethiopia, and no region-wise studies were conducted. Hence, this study aimed to investigate the median recovery time from COVID-19, and its predictors among patients admitted to Amhara regional state COVID-19 treatment centers, Ethiopia. Methods. A facility-based retrospective follow-up study was conducted at Amhara regional state COVID-19 treatment centers from 13 March 2020 through 30 March 2021. Data were entered using EpiData version 3.1, and STATA version 14 was used for analysis. A Kaplan–Meier curve was used to estimate survival time, and the Cox regression model was fitted to identify independent predictors. P value with 95% CI for the hazard ratio was used for testing the significance at alpha 0.05. Results. Six hundred twenty-two cases followed, and 540 observations developed an event at the end of the follow-up. The median time to recovery was 11 days with an interquartile range of 9–14 days. Most of the patients were recovered from COVID-19 between days seven and fourteen. In the first six days of admission, only 4.2% of cases had recovered, but by day 14, 73.8% had recovered. Patients without comorbid illness/s were faster to recover than their counterparts (AHR = 1.44 : 95% CI: 1.10, 1.91) and those who have signs and symptoms on admission (AHR = 0.42 : 95% CI: 0.30, 0.60) and old-aged (AHR = 0.988;95% CI: 0.982, 0.994) took longer to recover. Conclusion. In conclusion, a relatively short median recovery time was found in this study. Significant predictors for delayed recovery from COVID-19 were older age, presence of symptoms at admission, and having at least one comorbid condition. These factors should be placed under consideration while developing a strategy for quarantining and treating COVID-19 patients.","PeriodicalId":30619,"journal":{"name":"Advances in Public Health","volume":"40 1","pages":""},"PeriodicalIF":4.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75529956","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":"Assessment of Availability and Quality of Emergency Obstetric and Newborn Care Service in Southwestern Oromia, Ethiopia, 2017","authors":"Dejene Edosa","doi":"10.1155/2021/5566567","DOIUrl":"https://doi.org/10.1155/2021/5566567","url":null,"abstract":"Background. Emergency obstetrics and newborn care (EmONC) is an important lifesaving function which can avert the death of women facing obstetrics-related complications. It is a cost-effective, significant intervention to decrease maternal and neonatal morbidity and mortality in poor resource settings, including Ethiopia. Objective. The aim of this study was to assess the availability and quality of the EmONC services in southwestern Oromia, Ethiopia, in 2017. Methods. An institutional-based cross-sectional study was implemented from April to May 2017. Data were collected using checklists and questionnaires developed from different studies. Data were analyzed using EPI-info and exported to SPSS version 20 for further analysis. Each descriptive statistic was summarized using frequency, percentage, and tables for categorical variables. Results. Despite the fact that the overall coverage of fully functioning basic emergency obstetric and newborn care (BEmONC) facilities was greater than 5 per 500,000 people, nearly one-fourth (25.64%) provided less than expected signal functions, indicating that these facilities were nonfunctional. There were only 0.24 comprehensive emergency obstetric and newborn care (CEmONC) facilities per 500,000 people. The result of this study also revealed that the quality of EmONC facilities in all health-care settings was poor. Conclusion and Recommendation. There were gaps in performance signal functions as well as the availability and quality of EmONC in the study area. Availability and quality of EmONC necessitate improvements through enhancing health-care providers’ skills by training and mentoring as well as enabling facilities accessible for utilization of EmONC. Further research is needed to identify factors that could be barriers to the performance quality and coverage of EmONC services.","PeriodicalId":30619,"journal":{"name":"Advances in Public Health","volume":"27 1","pages":""},"PeriodicalIF":4.1,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83318424","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":"Congestive Heart Failure Patients’ Pulse Rate Progression and Time to Death at Debre Tabor Referral Hospital, Ethiopia","authors":"A. Belay, Denekew Bitew Belay, Shewayiref Geremew Gebremichael, Setegn Byabil Agegn","doi":"10.1155/2021/9550628","DOIUrl":"https://doi.org/10.1155/2021/9550628","url":null,"abstract":"Background. Heart failure is a progressive condition marked by worsening symptoms such as shortness of breath, coughing, exhaustion and lethargy, fluid retention with swelling of the legs and abdomen, and a reduced ability to exercise. As a result, this study aims to use a joint model application to determine the joint risk factors of longitudinal change in pulse rate and time to death of congestive heart failure patients and their association admitted to a hospital. Methods. A retrospective study was undertaken on congestive heart failure patients admitted to the Debre Tabor Referral Hospital from January 2016 to December 2019. A statistical joint modeling strategy was employed to match the repeated biomarker pulse rate and a survival outcome at the same time. A total of 271 patients with congestive heart failure were chosen. Data were analyzed with R statistical software via joineRML. Results. According to the findings, the association between longitudinal changes in pulse rate and time to death in heart failure patients is statistically significant. Sex, residence, left ventricular injection fraction, New York Heart Association class, and diabetes mellitus were all found to be significant risk factors for congestive heart failure patients’ short survival time to death. Age, sex, residence, hypertension, left ventricular injection fraction, congestive heart failure, diabetes mellitus, tuberculosis, and etiology were all significant contributors in pulse rate progression. Conclusion. The computed association parameters revealed subject-specific values. The subject-specific linear time slope of PR measurement was positively related to the hazard rate of time to death of CHF patients in the study area. To reduce the risk level of CHF, health professionals, governmental organizations, and nongovernmental organizations must promote and allocate a suitable amount of budget for the treatment of CHF patients.","PeriodicalId":30619,"journal":{"name":"Advances in Public Health","volume":"65 1","pages":""},"PeriodicalIF":4.1,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89250941","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}