Malaysian Family Physician最新文献_第3页

Prevalence of sexual and reproductive health issues among school-going adolescents in Hulu Langat District, Malaysia: Findings from the Borang Saringan Status Kesihatan Remaja - A cross-sectional study. 马来西亚Hulu Langat地区在校青少年的性和生殖健康问题患病率：来自Borang Saringan Status Kesihatan Remaja的调查结果-一项横断面研究。

IF 1.2

Malaysian Family Physician Pub Date : 2026-05-25 eCollection Date: 2026-01-01 DOI: 10.51866/oa.1003

Sokhandan Fadakar Maryem, Hung Chiun Lau, Ahmad Firdaus, Nur Azana Roslan, Nor Faiza Mohd Tohit

{"title":"Prevalence of sexual and reproductive health issues among school-going adolescents in Hulu Langat District, Malaysia: Findings from the Borang Saringan Status Kesihatan Remaja - A cross-sectional study.","authors":"Sokhandan Fadakar Maryem, Hung Chiun Lau, Ahmad Firdaus, Nur Azana Roslan, Nor Faiza Mohd Tohit","doi":"10.51866/oa.1003","DOIUrl":"10.51866/oa.1003","url":null,"abstract":"Introduction: Adolescents face complex challenges in sexual and reproductive health (SRH), yet local data remain limited, especially in Malaysia. This study aimed to examine the prevalence of SRH-related behaviours among school-going adolescents in Hulu Langat District, using data from Borang Saringan Status Kesihatan (BSSK) Remaja, a nationally utilised adolescent health status screening tool in Malaysia.Methods: A retrospective cross-sectional study was conducted using completed BSSK Remaja forms from 1 January to 31 December 2023. Data were extracted from Components A (sociodemographics) and F (SRH) for 1158 adolescents aged 10-19 years who attended clinics and schools within the operational zones of Klinik Kesihatan Bandar Tun Hussein Onn, Klinik Kesihatan Ampang and Klinik Kesihatan Batu 9. Stratified random sampling was employed, and descriptive analysis was conducted using SPSS v27.Results: The sample included 532 (45.9%) males and 626 (54.1%) females. Early adolescents (10-14 years) comprised 53.8% of the participants. The majority were Malay (56.8%), followed by Chinese (35.8%) and Indian (6.2%). Approximately 11.5% reported having a romantic partner. The SRH behaviours reported included pornography use (5.3%), masturbation (1.1%) and history of sexual activity (0.2%).Conclusion: The prevalence of sexual activity and masturbation among adolescents in Hulu Langat District was low, while pornography exposure and romantic relationships were more frequently reported, based on BSSK Remaja findings. These findings highlight the importance of improving confidentiality and clarity in SRH data collection. Updating the BSSK Remaja or adopting anonymous screening methods may improve reporting accuracy and better inform adolescent health interventions.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"23"},"PeriodicalIF":1.2,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13242594/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148206467","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

Metaphoric medicine: A retrospective clinical audit of glycaemic outcomes associated with an analogy-based consultation framework for insulin-treated type 2 diabetes mellitus. 隐喻医学：与基于类比的胰岛素治疗2型糖尿病咨询框架相关的血糖结局的回顾性临床审计。

IF 1.2

Malaysian Family Physician Pub Date : 2026-05-24 eCollection Date: 2026-01-01 DOI: 10.51866/oa.1119

Muhammad Hanif Omar, Zainal Fitri Zakaria, Wan Nusairi Wan Mohd Nasruddin, Muzawani Mokhlis

{"title":"Metaphoric medicine: A retrospective clinical audit of glycaemic outcomes associated with an analogy-based consultation framework for insulin-treated type 2 diabetes mellitus.","authors":"Muhammad Hanif Omar, Zainal Fitri Zakaria, Wan Nusairi Wan Mohd Nasruddin, Muzawani Mokhlis","doi":"10.51866/oa.1119","DOIUrl":"10.51866/oa.1119","url":null,"abstract":"Introduction: Poor glycaemic control among patients with insulin-treated type 2 diabetes mellitus (T2DM) in Malaysia remains a major challenge despite increased insulin use. Patient education is limited by complex medical explanations and lack of standardised consultation protocols. Methods: We conducted a retrospective clinical audit of patients with T2DM attending a structured self-monitoring of blood glucose (SMBG) clinic from January to July 2023. Patients on insulin with glycated haemoglobin (HbA1c) levels of >8.5% were consecutively enrolled into a multicomponent care package comprising the Metaphoric Medicine Practical Roadmap for Insulin Management Essentials (M2-PRIME) consultation framework, an analogy-based educational tool employing the 'garbage and lorry' metaphor as well as structured 6-week follow-ups, SMBG review and insulin dose adjustment. The primary outcomes were changes in HbA1c and fasting blood sugar (FBS) levels at 6 months.Results: Eighty-nine patients completed follow-up (mean age=57.2 years; women=57.5%). The mean baseline HbA1c and FBS levels were 11.88% (±1.84) and 12.54 mmol/L (±6.32), respectively. After 6 months, the HbA1c level decreased by 1.57% (95% CI=1.14, 2.00; P<0.001) and the FBS level by 3.32 mmol/L (95% CI=2.21, 4.44; P<0.001). The HbA1c and FBS levels improved in 63 (70.8%) and 59 (66.3%) patients, respectively.Conclusion: Consultations incorporating the M2-PRIME were associated with clinically meaningful pre-post reductions in HbA1c and FBS levels among poorly controlled insulin-treated T2DM cases. However, without a control group, the independent contribution of the M2-PRIME cannot be isolated from concurrent insulin intensification and structured follow-up. These findings are preliminary and hypothesis-generating. A prospective randomised controlled trial is warranted.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"29"},"PeriodicalIF":1.2,"publicationDate":"2026-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13242595/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148206549","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

Prevalence, predictors, barriers and facilitators of self-monitoring of blood glucose in patients with type 2 diabetes: A multicentre cross-sectional study. 2型糖尿病患者血糖自我监测的患病率、预测因素、障碍和促进因素：一项多中心横断面研究

IF 1.2

Malaysian Family Physician Pub Date : 2026-05-18 eCollection Date: 2026-01-01 DOI: 10.51866/oa.1058

Mervyn Eng Han Ong, Xian Goo Yong, Kasturi Mahalinggam, Yee Ling Tan, Noor Asyila Ismail, Marni Raihana Yusof, Priyadarshini Ramachandran, Hooi Min Lim

{"title":"Prevalence, predictors, barriers and facilitators of self-monitoring of blood glucose in patients with type 2 diabetes: A multicentre cross-sectional study.","authors":"Mervyn Eng Han Ong, Xian Goo Yong, Kasturi Mahalinggam, Yee Ling Tan, Noor Asyila Ismail, Marni Raihana Yusof, Priyadarshini Ramachandran, Hooi Min Lim","doi":"10.51866/oa.1058","DOIUrl":"10.51866/oa.1058","url":null,"abstract":"Introduction: Self-monitoring of blood glucose (SMBG) is vital for diabetes self-care, but its uptake in Malaysia remains low. This study aimed to determine the prevalence, predictors, barriers and facilitators of SMBG among patients with type 2 diabetes in Malaysian primary care settings.Methods: A cross-sectional study was conducted from May to September 2024 across five urban, suburban and rural primary care clinics. Participants completed a validated questionnaire on sociodemographic characteristics, clinical characteristics and SMBG practices. Multivariable logistic regression was conducted to identify the predictors of SMBG.Results: Among the 396 participants (mean age=53.6±10.9 years), the prevalence of SMBG was 59.3%. The participants aged 50-59 years (adjusted odds ratio [AOR]=2.80, 95% confidence interval [CI] = 1.03-7.62, P=0.045) and 60-69 years (AOR=3.43, 95% CI=1.25-9.38, P=0.017) were more likely to perform SMBG than those aged ≥70 years. Insulin use was strongly associated with SMBG (A0R=7.02, 95% CI=2.44-20.19, P<0.001), whereas the presence of diabetes complications was negatively associated with SMBG (A0R=0.57, 95% CI=0.33-0.98, P=0.043). The major barriers were the cost of test strips and lancets (59.6%) and frustration with high glucose readings (82.8%), while the facilitators included personal motivation (68.9%), family support (79.1%) and belief in the importance of SMBG (86.9%).Conclusion: The prevalence of SMBG is moderate but suboptimal. Enhancing structured diabetes education and addressing financial barriers are essential to improve SMBG practice and glycaemic control.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"30"},"PeriodicalIF":1.2,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13242596/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148206477","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

Prevalence and associated factors of low resilience among public primary healthcare workers in Kuala Lumpur: A cross-sectional study. 吉隆坡公共初级卫生保健工作者的患病率及其相关因素：一项横断面研究。

IF 1.2

Malaysian Family Physician Pub Date : 2026-05-18 eCollection Date: 2026-01-01 DOI: 10.51866/oa.944

Azidah Abdul Kadir, Kaniswari Munusamy, Aida Syaqilla Bee Mohd Yusoff, Shahirul Farhanim Abd Rahman, Anesh Govindnair, Peiyi Hong, Suhaiza Samsudin

{"title":"Prevalence and associated factors of low resilience among public primary healthcare workers in Kuala Lumpur: A cross-sectional study.","authors":"Azidah Abdul Kadir, Kaniswari Munusamy, Aida Syaqilla Bee Mohd Yusoff, Shahirul Farhanim Abd Rahman, Anesh Govindnair, Peiyi Hong, Suhaiza Samsudin","doi":"10.51866/oa.944","DOIUrl":"10.51866/oa.944","url":null,"abstract":"Introduction: Primary healthcare systems face many challenges, making it imperative to assess the resilience of primary healthcare workers (HCWs). This study aimed to uncover the prevalence and associated factors of low resilience among HCWs in W.P Kuala Lumpur.Methods: A cross-sectional study was conducted among 430 HCWs in public primary healthcare facilities in W.P Kuala Lumpur. A sociodemographic questionnaire, the Patient Health Questionnaire-9, the General Anxiety Disorder-7 and the 25-item Wagnild-Young Resilience Scale were administered.Results: Four hundred thirty HCWs were approached, among whom 415 were included in the analysis (response rate=96.5%). The prevalence of low resilience was 31.6%. Female sex (odds ratio [OR]=1.87; 95% Confidence Interval [CI] =1.05-3.32), ≤10 years of work experience (OR=1.94; 95% CI=1.20-3.16) and depression (OR=2.53; 95% CI=1.46-4.41) were associated with low resilience.Conclusion: The high prevalence of low resilience among primary HCWs is a critical concern. Factors such as being a woman, having limited work experience and experiencing depression are associated with low resilience. It is imperative to identify and implement targeted interventions to promote resilience among HCWs effectively.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"31"},"PeriodicalIF":1.2,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13242593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148206546","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

When the print got small. 当指纹变小的时候。

Malaysian Family Physician Pub Date : 2026-05-01 eCollection Date: 2026-01-01 DOI: 10.51866/mol.1137

Mohamed-Syarif Mohamed-Yassin

引用次数: 0

Translating the 2023 Malaysian Heart Failure Clinical Practice Guidelines (5th Edition) into primary care practice. 将2023马来西亚心力衰竭临床实践指南（第5版）翻译为初级保健实践。

IF 1.2

Malaysian Family Physician Pub Date : 2026-04-28 eCollection Date: 2026-01-01 DOI: 10.51866/cpg.1108

Say Yee Loo, Ping Foo Wong, Tiong Lim Low, Yean Yee Loke, Lee Boon Kiew, Mohd Shawal Faizal Mohamad

{"title":"Translating the 2023 Malaysian Heart Failure Clinical Practice Guidelines (5th Edition) into primary care practice.","authors":"Say Yee Loo, Ping Foo Wong, Tiong Lim Low, Yean Yee Loke, Lee Boon Kiew, Mohd Shawal Faizal Mohamad","doi":"10.51866/cpg.1108","DOIUrl":"10.51866/cpg.1108","url":null,"abstract":"Heart failure (HF) is a major public health concern in Malaysia, with increasing prevalence and significant morbidity and mortality. The 2023 Malaysian HF Clinical Practice Guidelines (CPGs) (5th Edition) provide updated, evidence-based recommendations tailored for local practice, particularly in primary care, where long-term management often occurs. Compared with international guidelines, the Malaysian CPGs adopt age-specific natriuretic peptide (NP) thresholds to improve diagnostic specificity while acknowledging that diagnosis may still depend primarily on clinical assessment supported by electrocardiogram (ECG) and chest radiography in resource-limited settings. This article provides a narrative educational review that summarises the core recommendations of the Malaysian HF CPGs, compares them with international guidelines and illustrates their application in primary care through two case vignettes representing different HF classifications. We aim to provide practical application of Malaysian CPG recommendations in primary care, emphasising the need for primary care physicians to initiate foundational HF therapies early and titrate them to target or maximally tolerated doses while ensuring their continuation in the long term to prevent relapse and preserve ventricular function. In addition, the availability of NP testing, diastology studies and structured titration protocols in primary care would strengthen early diagnosis and systematic optimisation of therapy, ultimately improving outcomes for patients with HF.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"24"},"PeriodicalIF":1.2,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13198731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148017886","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

Maternal knowledge, education, and attitudes as determinants in preventing stunting: A case study from a rural area in South Sumatra. 母亲的知识、教育和态度是预防发育迟缓的决定因素：来自南苏门答腊岛农村地区的案例研究

IF 1.2

Malaysian Family Physician Pub Date : 2026-04-28 eCollection Date: 2026-01-01 DOI: 10.51866/oa.817

Nur Alam Fajar, Nura Malahayati, Muhammad Cholil Munadi, Iche Andriyani Liberty, Esti Sri Ananingsih

{"title":"Maternal knowledge, education, and attitudes as determinants in preventing stunting: A case study from a rural area in South Sumatra.","authors":"Nur Alam Fajar, Nura Malahayati, Muhammad Cholil Munadi, Iche Andriyani Liberty, Esti Sri Ananingsih","doi":"10.51866/oa.817","DOIUrl":"10.51866/oa.817","url":null,"abstract":"Introduction: Stunting represents a critical global health challenge, particularly in low- and middle-income countries, due to its impact on child development and long-term economic productivity. Despite national efforts in Indonesia, stunting remains prevalent and necessitates localised studies to address this issue. This study aimed to examine factors associated with stunting in rural South Sumatra, Indonesia.Methods: A cross-sectional study involving 348 respondents was conducted across 11 villages in Musi Rawas Regency, South Sumatra. Data were analysed using logistic regression to identify the dominant risk factors.Results: Maternal knowledge during pregnancy was significantly associated with stunting prevention, with mothers having lower knowledge showing higher odds of poor preventive practices (OR=1.663; 95% CI=1.149-1.857; P=0.007). Postnatal maternal knowledge also remained a significant predictor (OR=1.479; 95% CI=1.036-2.112; P=0.031). In contrast, maternal attitudes during pregnancy (P=0.356) and after childbirth (P=0.109) were not significantly associated and were not retained as predictors in the final model.Conclusion: Maternal knowledge, education, and attitudes are pivotal in preventing stunting. Targeted interventions aimed at improving maternal education, awareness and attitudes are essential to mitigating stunting in rural South Sumatra.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"18"},"PeriodicalIF":1.2,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13198730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148017921","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

Response to: 'Acute stroke requires sophisticated and demanding management to achieve an optimal outcome'. 回应：“急性中风需要复杂和苛刻的管理来达到最佳结果”。

IF 1.2

Malaysian Family Physician Pub Date : 2026-04-21 eCollection Date: 2026-01-01 DOI: 10.51866/lte.1110

Afiza Hanun Ahmad Hamid, Nor Shahrina Mohd Zawawi, Mohd Fairuz Ali

引用次数: 0

Acute stroke requires sophisticated and demanding management to achieve an optimal outcome. 急性中风需要复杂和苛刻的管理，以达到最佳的结果。

IF 1.2

Malaysian Family Physician Pub Date : 2026-04-21 eCollection Date: 2026-01-01 DOI: 10.51866/lte.879

Sounira Mehri, Josef Finsterer

引用次数: 0

Uptake rate of influenza vaccines and its associated factors among patients with asthma or chronic obstructive pulmonary disease in Klang Valley: A health belief model study. 巴生谷哮喘或慢性阻塞性肺病患者流感疫苗接种率及其相关因素：一项健康信念模型研究

IF 1.2

Malaysian Family Physician Pub Date : 2026-04-09 eCollection Date: 2026-01-01 DOI: 10.51866/oa.758

Ainul Basyirah Mohd Azizi, Ahmad Nazmi Zaini, Aidi Zaharudin, Bavani Poobalan, Choh Ken Yee, Seng Fah Tong, Maizatullifah Miskan

{"title":"Uptake rate of influenza vaccines and its associated factors among patients with asthma or chronic obstructive pulmonary disease in Klang Valley: A health belief model study.","authors":"Ainul Basyirah Mohd Azizi, Ahmad Nazmi Zaini, Aidi Zaharudin, Bavani Poobalan, Choh Ken Yee, Seng Fah Tong, Maizatullifah Miskan","doi":"10.51866/oa.758","DOIUrl":"10.51866/oa.758","url":null,"abstract":"Introduction: Influenza is a significant cause of morbidity among patients with asthma and chronic obstructive pulmonary disease (COPD). In Malaysia, the Ministry of Health recently updated the national formulary to include influenza vaccination for senior citizens aged 60 years and above with at least one chronic illness, effective from 18 February 2025. However, the uptake rate of influenza vaccination among patients with asthma and COPD remains unclear. This study aimed to determine the association between sociodemographic factors, health belief model components and influenza vaccine uptake among patients with asthma or COPD in Klang Valley.Methods: A cross-sectional survey was conducted among 200 adults with asthma or COPD attending follow-up at five primary care clinics in Klang Valley. Sociodemographic data, vaccination history and vaccination beliefs were recorded using a questionnaire based on the health belief model. Data were examined using univariate and multivariate analyses.Results: A total of 200 patients participated. The influenza vaccine uptake rate was 24.0%. The employed patients were significantly more likely to be vaccinated (odds ratio [OR] =3.68; 95% confidence interval [CI] = 1.09-12.38; P=0.036). Stronger cues to action increased uptake (OR = 4.04; 95% CI = 1.94-8.40; P = 0.001), with healthcare provider recommendation being the main contributing factor. Higher perceived barriers reduced uptake (OR = 0.41; 95% CI = 0.18-0.93; P = 0.032), particularly concerns regarding vaccine side effects.Conclusion: Influenza vaccine uptake among high-risk patients in Malaysia is low. Employment, healthcare provider recommendations and perceived barriers strongly influence vaccination behaviour.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"17"},"PeriodicalIF":1.2,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13198729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148017976","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