WHO South-East Asia journal of public health最新文献_第8页

Economic burden of type 2 diabetes mellitus management: Epidemiological determinants from a coastal community of Southern India 2型糖尿病管理的经济负担:来自印度南部沿海社区的流行病学决定因素

WHO South-East Asia journal of public health Pub Date : 2021-07-01 DOI: 10.4103/WHO-SEAJPH.WHO-SEAJPH_20_21

K. Eshwari, V. Kamath, C. Rao, A. Kamath

{"title":"Economic burden of type 2 diabetes mellitus management: Epidemiological determinants from a coastal community of Southern India","authors":"K. Eshwari, V. Kamath, C. Rao, A. Kamath","doi":"10.4103/WHO-SEAJPH.WHO-SEAJPH_20_21","DOIUrl":"https://doi.org/10.4103/WHO-SEAJPH.WHO-SEAJPH_20_21","url":null,"abstract":"Expenditure on diabetes mellitus is increasing worldwide and is determined by multiple factors and knowledge about these factors may help to improve patient management and reduce health-care cost. The present study aims to determine the factors influencing the expenditure incurred by patients with type 2 diabetes mellitus (T2DM). A cross-sectional survey was conducted among 809 patients with T2DM from a coastal community in Southern India. Expenditure incurred for the management of T2DM in the previous year was collected using a predesigned survey tool. Duration of disease, source of diabetes care, presence of comorbidities, hospitalization, and adherence to medications were studied as potential cost predictors. Age, gender, education, occupation, and socioeconomic status as key determinants were evaluated. Expenditure incurred by patients with T2DM was estimated to be INR 5041 (2516–11,224) annually while the presence of comorbidities led to higher expenditure, INR 9133 (4034–19,053). Medication and hospitalization were the major drivers of direct cost. Subjects visiting private health facilities had a higher median cost with respect to diabetes-related care. Advancing age, male gender, high socioeconomic status, higher literacy, and longer duration of diabetes were identified as significant independent predictors of cost on multivariate analysis. The high cost of diabetes supports the need for strengthening public and private primary care facilities to provide standard care for diabetes.","PeriodicalId":37393,"journal":{"name":"WHO South-East Asia journal of public health","volume":"48 1","pages":"84 - 89"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87370189","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: 2

A review on foodborne disease outbreaks in Bhutan 不丹食源性疾病暴发情况综述

WHO South-East Asia journal of public health Pub Date : 2021-07-01 DOI: 10.4103/WHO-SEAJPH.WHO-SEAJPH_117_21

Vishal Chhetri, H. Pokhrel, T. Dorji

{"title":"A review on foodborne disease outbreaks in Bhutan","authors":"Vishal Chhetri, H. Pokhrel, T. Dorji","doi":"10.4103/WHO-SEAJPH.WHO-SEAJPH_117_21","DOIUrl":"https://doi.org/10.4103/WHO-SEAJPH.WHO-SEAJPH_117_21","url":null,"abstract":"Foodborne diseases (FBDs) are a public health threat that can result in loss of lives and are a hurdle to socioeconomic development. The Foodborne Disease Burden Epidemiology Reference Group estimated that the annual burden of FBDs in the South-East Asia Region was more than 150 million illnesses, causing about 175,000 deaths. This review paper aims to compile evidence from the published articles and gray literatures on food-related disease outbreaks in Bhutan. Information was generated from the annual health bulletin published by the Ministry of Health and data from the National Early Warning Alert Response Surveillance and Information System hosted by Royal Centre for Disease Control. The laboratory confirmation rate of FBD investigation outbreaks increased from 25.5% (2012–2018) to 91.7% in 2020, as per the National Food Safety Indicator (FSI). At least 0.15% of the total population had suffered FBD from 2015 to 2020, and the baseline report shows that most of the FBD events occurred during hot and wet seasons (June and August). The common pathogen causing FBD was Salmonella species accounting for 42.9% of cases, followed by Shigella species (21.4%). Most of the FBD events were reported in schools (46.5%). The frequency of the reported FBD outbreaks had increased from 8 events in 2015 to 15 events in 2017 and 10 events in 2018. The study confirms the improved surveillance for FBDs in Bhutan and highlights the need to raise public awareness on food safety.","PeriodicalId":37393,"journal":{"name":"WHO South-East Asia journal of public health","volume":"299 1","pages":"101 - 104"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77335600","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: 3

Epidemiology of geriatric syndromes among older people residing in six old-age homes of Delhi-NCR 居住在德里- ncr六个养老院的老年人中老年综合征的流行病学

WHO South-East Asia journal of public health Pub Date : 2021-07-01 DOI: 10.4103/WHO-SEAJPH.WHO-SEAJPH_344_20

Vijay Kumar, P. Chatterjee, D. Kumar, M. Khan, Kamal Bandhu Kr Kalanidhi, K. Pushpamma

{"title":"Epidemiology of geriatric syndromes among older people residing in six old-age homes of Delhi-NCR","authors":"Vijay Kumar, P. Chatterjee, D. Kumar, M. Khan, Kamal Bandhu Kr Kalanidhi, K. Pushpamma","doi":"10.4103/WHO-SEAJPH.WHO-SEAJPH_344_20","DOIUrl":"https://doi.org/10.4103/WHO-SEAJPH.WHO-SEAJPH_344_20","url":null,"abstract":"Introduction: The frequency of geriatric syndromes (GSs) such as cognitive impairment (CI), depression, and malnutrition among older people residing in old-age homes (OAHs) of Delhi-National Capital Territory Region (NCR) has not been reported. The availability of such data determines the quality of health care. The present study aims to assess the frequency of GS among residents of six OAHs in Delhi-NCR. Materials and Methods: The study was carried out after obtaining informed written consent from all participants. The team comprising doctors, physiotherapists, and nurses visited the OAHs and assessed GSs using a psychometrically validated screening tool ICT-BRIEF 30. Other standard tools such as Snellen's chart, whisper voice test, mini nutritional assessment, time up and go test score, Mini-Cog, and geriatric depression scale 5 were used to assess vision, hearing, nutrition, mobility, cognition, and mood, respectively. Results: Out of 131 participants, low vision was observed in 69.47%, hearing impairment in 20.61%, malnutrition in 12.9%, risk of fall in 18.32%, CI in 46.56%, and depression in 62.59% of the participants. Hearing impairment was found to be significantly associated with quality of life and cognition. Conclusion: The present study from Delhi showed high frequency of vision impairment, CI, frailty, depression, and malnutrition in older people residing in OAHs. 20% of the participants had functional loss due to various reasons. Hence, the owner/caretaker of OAHs of Delhi/NCR needs to be proactive in screening the residents for various GSs to provide quality care to the residents.","PeriodicalId":37393,"journal":{"name":"WHO South-East Asia journal of public health","volume":"125 7 1","pages":"77 - 83"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80507068","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

Free sugar intake and dietary sources among adult population in Brunei: The national health and nutritional status survey 文莱成人的游离糖摄入量和膳食来源:全国健康和营养状况调查

WHO South-East Asia journal of public health Pub Date : 2021-07-01 DOI: 10.4103/WHO-SEAJPH.WHO_SEAJPH_275_20

N. Hamdani, Haji Haji Kamis, H. Rahman

{"title":"Free sugar intake and dietary sources among adult population in Brunei: The national health and nutritional status survey","authors":"N. Hamdani, Haji Haji Kamis, H. Rahman","doi":"10.4103/WHO-SEAJPH.WHO_SEAJPH_275_20","DOIUrl":"https://doi.org/10.4103/WHO-SEAJPH.WHO_SEAJPH_275_20","url":null,"abstract":"High sugar consumption is associated with increased risk of noncommunicable diseases. This study identifies the dietary sources of free sugars and explores association of sugar intake with related factors among adult population in Brunei. Data from the National Health and Nutritional Status Survey 2010, of 1559 adult residents of Brunei, aged 18–75 years, were extracted and analyzed. The results revealed that mean daily free sugar intake was 55.5 g/day (standard deviation [SD] -51.4), contributing to 14.5% of total energy intake. The prevalence of free sugar intake of <10% and 5% among the adult population was 60.1% (95% confidence interval [CI]: 57.6, 62.5) and 82.6% (95% CI: 80.6, 84.4), respectively. Free sugar from sugar-sweetened beverages was sourced from beverages prepared with sugar (17.9%), cordial and syrup (15.1%), and carbonated drinks (14.6%). Free sugar consumption was significantly higher in men (66.6 g/day, SD – 61.2) than women (46.2 g/day, SD – 39.1) (P < 0.001). Younger participants had significantly higher free sugar intake and percentage of energy from free sugar compared to older participants. This study provides justification for addressing sugar intake as a component of strengthening nutrition policy in Brunei.","PeriodicalId":37393,"journal":{"name":"WHO South-East Asia journal of public health","volume":"62 1","pages":"90 - 94"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81307871","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

Cardiac rehabilitation: Need to meet global targets through local innovation 心脏康复:需要通过本地创新来满足全球目标

WHO South-East Asia journal of public health Pub Date : 2021-07-01 DOI: 10.4103/2224-3151.344478

S. Yadav, A. Roy

引用次数: 0

Prevalence, serotype distribution, and antimicrobial susceptibility profile of Streptococcus pneumoniae among patients with acute respiratory tract infection 急性呼吸道感染患者肺炎链球菌的患病率、血清型分布及抗菌药物敏感性分析

WHO South-East Asia journal of public health Pub Date : 2021-07-01 DOI: 10.4103/WHO-SEAJPH.WHO-SEAJPH_58_21

D. Safari, N. Widhidewi, W. Paramaiswari, Anak Lila Paramasatiari, H.F. Maharani Putri, I. A. Asih Ratnadi, I. Agus Sastrawan

{"title":"Prevalence, serotype distribution, and antimicrobial susceptibility profile of Streptococcus pneumoniae among patients with acute respiratory tract infection","authors":"D. Safari, N. Widhidewi, W. Paramaiswari, Anak Lila Paramasatiari, H.F. Maharani Putri, I. A. Asih Ratnadi, I. Agus Sastrawan","doi":"10.4103/WHO-SEAJPH.WHO-SEAJPH_58_21","DOIUrl":"https://doi.org/10.4103/WHO-SEAJPH.WHO-SEAJPH_58_21","url":null,"abstract":"We investigated the nasopharyngeal (NP) carriage and antimicrobial susceptibility profile of Streptococcus pneumoniae among adults and children with acute respiratory tract infection (ARTI). NP swabs were collected from ARTI patients in Tabanan, Bali, Indonesia, in 2017. Serotyping of S. pneumoniae and antibiotic susceptibility profile were performed by multiplex sequential PCR and the disk diffusion method, respectively. Out of 200 ARTI patients, S. pneumoniae strains were carried by 22.6% and 2.4% of children (36/159) and adults (1/41), respectively. Serotype 6A/6B was the most common serotype among cultured strains (21%) followed by 19F (18%) and 14 (8%). Most isolates were susceptible to chloramphenicol (87%), followed by clindamycin (74%), erythromycin (72%), sulfamethoxazole-trimethoprim (59%), and tetracycline (44%). This finding provides baseline information on the serotype distribution of S. pneumoniae carriage among ARTI patients in Indonesia.","PeriodicalId":37393,"journal":{"name":"WHO South-East Asia journal of public health","volume":"13 1","pages":"66 - 69"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78759803","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: 1

Factors associated with anxiety and depression among chronic obstructive pulmonary disease outpatients in Ho Chi Minh City, Vietnam 越南胡志明市慢性阻塞性肺疾病门诊患者的焦虑和抑郁相关因素

WHO South-East Asia journal of public health Pub Date : 2021-07-01 DOI: 10.4103/WHO-SEAJPH.WHO_SEAJPH_149_21

Nhung Quynh Nguyen, Van Ngoc Huynh, Q. To, K. To

{"title":"Factors associated with anxiety and depression among chronic obstructive pulmonary disease outpatients in Ho Chi Minh City, Vietnam","authors":"Nhung Quynh Nguyen, Van Ngoc Huynh, Q. To, K. To","doi":"10.4103/WHO-SEAJPH.WHO_SEAJPH_149_21","DOIUrl":"https://doi.org/10.4103/WHO-SEAJPH.WHO_SEAJPH_149_21","url":null,"abstract":"This study investigates the prevalence of and associated factors with depression and anxiety among chronic obstructive pulmonary disease (COPD) outpatients at Pham Ngoc Thach Hospital, Ho Chi Minh City, Vietnam. A cross-sectional study was conducted between March and May 2020 at the hospital's outpatient department. Those aged ≥18 years, diagnosed with COPD and undergoing COPD treatment, were eligible. The Hospital Anxiety and Depression Scale was used to measure depression and anxiety. Dyspnea was assessed using the modified Medical Research Council (mMRC) dyspnea scale. Among 392 patients, 381 (97%) participated in the study. The number of patients with depression and anxiety was 33.1% and 21.3%, respectively. Compared to men, women were more likely to experience depression (adjusted odds ratio [aOR] = 2.12, 95% confidence interval [CI] = 1.06–4.24) and anxiety (aOR = 4.11, 95% CI = 1.90–8.87). Those not having caregivers were more likely to experience depression (aOR = 3.03, 95% CI = 1.27–7.20) and anxiety (aOR = 3.47, 95% CI = 1.26–9.60). Having mMRC dyspnea scale ≥2 was associated with higher odds of experiencing depression (aOR = 5.94, 95% CI = 3.63–9.72) and anxiety (aOR = 6.78, 95% CI = 3.48–13.18). Those not adhering to medication treatment (aOR = 2.32, 95% CI = 1.15–4.70) and having comorbidity (aOR = 2.02, 95% CI = 1.10–3.73) were more likely to experience anxiety. Routine screening of COPD patients for depression and anxiety is necessary so that early interventions could be provided.","PeriodicalId":37393,"journal":{"name":"WHO South-East Asia journal of public health","volume":"37 1","pages":"95 - 100"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83545729","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

Emergency alert for philippine education! Exploring the negative impact of prolonged cancellation of in-person schooling 菲律宾教育紧急警报!探讨长期取消面对面教育的负面影响

WHO South-East Asia journal of public health Pub Date : 2021-07-01 DOI: 10.4103/WHO-SEAJPH.WHO_SEAJPH_233_21

Dalmacito A. Cordero

引用次数: 0

Availability and delivery of cardiac rehabilitation in South-East Asia: How does it compare globally? 东南亚心脏康复的可得性和交付:与全球相比如何?

WHO South-East Asia journal of public health Pub Date : 2021-07-01 DOI: 10.4103/WHO-SEAJPH.WHO-SEAJPH_62_21

Mohiul Chowdhury, Fiorella A Heald, K. Turk-Adawi, M. Supervia, A. Babu, B. Radi, S. Grace

{"title":"Availability and delivery of cardiac rehabilitation in South-East Asia: How does it compare globally?","authors":"Mohiul Chowdhury, Fiorella A Heald, K. Turk-Adawi, M. Supervia, A. Babu, B. Radi, S. Grace","doi":"10.4103/WHO-SEAJPH.WHO-SEAJPH_62_21","DOIUrl":"https://doi.org/10.4103/WHO-SEAJPH.WHO-SEAJPH_62_21","url":null,"abstract":"Background: The aims of this study were to establish cardiac rehabilitation (CR) availability and density, as well as the nature of programs in South-East Asian Region (SEAR) countries, and to compare this with other regions globally. Methods: In 2016/2017, the International Council of Cardiovascular Prevention and Rehabilitation engaged cardiac associations to facilitate program identification globally. An online survey was administered to identify programs using REDCap, assessing capacity and characteristics. CR density was computed using Global Burden of Disease study annual ischemic heart disease (IHD) incidence estimates. The program audit was updated in 2020. Results: CR was available in 6/11 (54.5%) SEAR countries. Data were collected in 5 countries (83.3% country response); 32/69 (68.1% response rate from 2016/2017) programs completed the survey. These data were compared to 1082 (32.1%) programs in 93/111 (83.3%) countries with CR. Across SEAR countries, there was only one CR spot per 283 IHD patients (vs. 12 globally), with an unmet regional need of 4,258,968 spots annually. Most programs were in tertiary care centers (n = 25, 78.1%; vs. 46.1% globally, P < 0.001). Most were funded privately (n = 17, 56.7%; vs. 17.9%, P < 0.001), and 22 (73.3%) patients were paying out of pocket (vs. 36.2% globally; P < 0.001). The mean number of staff on the multidisciplinary teams was 5.5 ± 3.0 (vs. 5.9 ± 2.8 globally P = 0.268), offering 8.6 ± 1.7/11 core components (consistent with other countries) over 16.8 ± 12.6 h (vs. 36.2 ± 53.3 globally, P = 0.01). Conclusion: Funded CR capacity must be augmented in SEAR. Where available, services were consistent with guidelines, and other regions of the globe, despite programs being shorter than other regions.","PeriodicalId":37393,"journal":{"name":"WHO South-East Asia journal of public health","volume":"383 1","pages":"57 - 65"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75522689","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

Perceptions of barriers to addressing pharmaceutical stockout in timor-leste 对解决东帝汶药品短缺问题障碍的认识

WHO South-East Asia journal of public health Pub Date : 2021-07-01 DOI: 10.4103/WHO-SEAJPH.WHO_SEAJPH_54_21

Lourenço Camnahas, E. Willis, P. Dettwiller, J. Shipman

{"title":"Perceptions of barriers to addressing pharmaceutical stockout in timor-leste","authors":"Lourenço Camnahas, E. Willis, P. Dettwiller, J. Shipman","doi":"10.4103/WHO-SEAJPH.WHO_SEAJPH_54_21","DOIUrl":"https://doi.org/10.4103/WHO-SEAJPH.WHO_SEAJPH_54_21","url":null,"abstract":"Background: Since 2005, stockout of pharmaceuticals has been a constant issue at all health services in Timor-Leste (TL). Aim: This study identifies factors that contribute to the ongoing pharmaceutical stockout as perceived by various stakeholders. Methods: A mixed-method approach was implemented, including face-to-face interviews with 46 Timorese health professionals involved in the pharmaceutical supply chain, along with documentational review and analysis. The field study was conducted in four locations (Dili, Liquiça, Aileu, and Ermera) from July to October 2018. This paper draws on qualitative accounts of participants' perceptions, which were investigated through an interview schedule in the Tetum language, with transcripts translated into English for analysis. Results: The responses gathered were consistent among various groups of employees. Perceptions of stakeholder views on factors contributing to pharmaceutical stockout were identified. These included issues such as poor coordination, failure to adhere to policy guidelines, significant difficulties, and lack of knowledge with inventory management, quantification, forecasting, and budgetary constraints. A weak logistic management information system and a lack of capacity in inventory management resulted in a lack of reliable data. Other factors, such as political intervention, work ethics and lack of basic infrastructure, such as internet connectivity, were also reported by participants. Conclusion: The findings highlighted that there are multiple factors contributing to the ongoing pharmaceutical stockout. This may be addressed by implementing more culturally appropriate education and training on forecasting methods.","PeriodicalId":37393,"journal":{"name":"WHO South-East Asia journal of public health","volume":"63 1","pages":"70 - 76"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82700782","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