Hong Kong Medical Journal最新文献_第2页

Adapting selected international paediatric asthma guidelines for use in Hong Kong. 调整国际儿童哮喘指南以供香港使用。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2025-04-01 DOI: 10.12809/hkmj2310782

K L Hon, D K K Ng, W K Chiu, A K C Leung, D H Chen, W H Leung

引用次数: 0

Multimodal imaging of a left anterior descending artery fistula with a dissecting interventricular septal aneurysm: a case report. 左前降支瘘合并夹层性室间隔动脉瘤的多模态成像：1例报告。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2025-04-01 DOI: 10.12809/hkmj2411970

D Xie, G Yang, C Li, H Li, X Hao, Y Zhang, M Xie, Y Xu

引用次数: 0

Mask-wearing intention after the removal of the mandatory mask-wearing requirement in Hong Kong: application of the protection motivation theory and the theory of planned behaviour. 香港取消强制戴口罩规定后的戴口罩意向：保护动机理论和计划行为理论的应用。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2025-04-01 Epub Date: 2025-04-07 DOI: 10.12809/hkmj2311274

T K C Ng, B Y F Fong, V T S Law, P Tavitiyaman, W K Chiu

{"title":"Mask-wearing intention after the removal of the mandatory mask-wearing requirement in Hong Kong: application of the protection motivation theory and the theory of planned behaviour.","authors":"T K C Ng, B Y F Fong, V T S Law, P Tavitiyaman, W K Chiu","doi":"10.12809/hkmj2311274","DOIUrl":"10.12809/hkmj2311274","url":null,"abstract":"Introduction: The mandatory mask-wearing requirement, which had been in place for nearly 1000 days in Hong Kong, was lifted on 1 March 2023. Little is known about the intention to continue wearing a mask after the removal of the mandate in the city. This study aimed to examine predictors of mask-wearing intention after the mandate was lifted, using the protection motivation theory (PMT) and the theory of planned behaviour (TPB).Methods: A conceptual model was developed to depict the relationships between the constructs of PMT and TPB in predicting continued mask-wearing intention after the removal of the mandate. A cross-sectional study was conducted using an online questionnaire from 8 to 20 March 2023. Partial least squares structural equation modelling was utilised to examine relationships between the constructs.Results: In total, 483 responses were included in the data analysis. Perceived severity (β=0.089; P=0.017), perceived self-efficacy (β=0.253; P<0.001), subjective norms (β=0.289; P<0.001), and attitude (β=0.325; P<0.001) had significant positive effects on the intention to continue wearing a mask. In contrast, the perceived reward of maladaptive behaviours had a significant negative effect on mask-wearing intention (β=-0.071; P=0.012). Perceived vulnerability, perceived response efficacy, perceived response cost, and perceived behavioural control were not significantly associated with mask-wearing intention.Conclusion: The findings indicate that attitude towards continued mask-wearing was the strongest predictor of mask-wearing intention, followed by subjective norms and perceived self-efficacy. Insights from this study may inform public health policymaking regarding mask-wearing practices in future health crises.","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":"119-129"},"PeriodicalIF":3.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Willingness to pay and preferences for mindfulness-based interventions among patients with chronic low back pain in the Hong Kong public healthcare sector. 香港公共医疗部门慢性腰痛患者对正念干预的支付意愿和偏好

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2025-04-01 Epub Date: 2025-04-14 DOI: 10.12809/hkmj2311445

M Zhu, P K H Mo, K Wang, H H M Lo, Y K Choi, S W Law, R W S Sit

{"title":"Willingness to pay and preferences for mindfulness-based interventions among patients with chronic low back pain in the Hong Kong public healthcare sector.","authors":"M Zhu, P K H Mo, K Wang, H H M Lo, Y K Choi, S W Law, R W S Sit","doi":"10.12809/hkmj2311445","DOIUrl":"https://doi.org/10.12809/hkmj2311445","url":null,"abstract":"Introduction: Low back pain (LBP) is a leading cause of disability worldwide. Mindfulness-based interventions (MBIs) are effective for LBP management when combined with medication and physical therapy. An understanding of patients' willingness to pay (WTP) and preferences is needed to integrate MBIs into standard LBP care. We examined WTP and preferences for MBIs, as well as associated factors, among patients with chronic LBP in the Hong Kong public healthcare sector.Methods: A cross-sectional survey was conducted in two Hong Kong public hospitals. We used the payment card method to assess patients' WTP for MBIs and performed a discrete choice experiment to examine patients' preferences for MBIs. Tobit regression was utilised to analyse factors associated with WTP for MBIs. Patients' relative preferences for MBIs were estimated through a mixed logit model.Results: Mean WTP for an eight-session course of MBIs was HK$258.75±508.11. Higher pain scores, monthly family income >HK$30 000, high school education, higher treatment expenses, and stronger belief in MBIs were associated with greater WTP. Patients were more likely to choose MBIs with lower costs, greater improvements in pain relief and the ability to perform daily activities, and a face-to-face delivery mode.Conclusion: Patients with chronic LBP exhibited low WTP for MBIs. Strategies to improve education and awareness may enhance WTP; affordability and accessibility should be considered for individuals from diverse socio-economic backgrounds. The identified preferences provide insights for designing MBIs that align with patient needs. These findings offer valuable methodological references for other healthcare evaluations.","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":"31 2","pages":"108-118"},"PeriodicalIF":3.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Migrant workers' well-being after the rampant sweep of the Omicron wave in Hong Kong. 欧米克隆浪潮席卷香港后，农民工的福祉。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2025-04-01 Epub Date: 2025-04-09 DOI: 10.12809/hkmj2411475

K K Y Lai, H Qiu, E L Y Wong

{"title":"Migrant workers' well-being after the rampant sweep of the Omicron wave in Hong Kong.","authors":"K K Y Lai, H Qiu, E L Y Wong","doi":"10.12809/hkmj2411475","DOIUrl":"10.12809/hkmj2411475","url":null,"abstract":"Introduction: The impact of the coronavirus disease 2019 pandemic has rendered migrant workers a vulnerable population susceptible to psychological distress. This cross-sectional study aimed to estimate the prevalence of anxiety and examine associations of perceived social support and working conditions with anxiety among Filipina domestic workers (FDWs) after the peak of the Omicron wave in Hong Kong.Methods: In total, 370 female FDWs were recruited through convenience sampling in Central, Hong Kong, during holiday gatherings from June to August 2022; social normalcy had begun to return during this period after the peak of the Omicron pandemic. Anxiety levels were assessed using the Generalised Anxiety Disorder-7 (GAD-7) scale. Perceived social support and working conditions were measured using validated instruments. Socio-demographic characteristics and health-related information were recorded for consideration as covariates.Results: The estimated prevalence of anxiety (GAD-7 score ≥10) was 8.6% (95% confidence interval [CI]=5.8%-11.5%). Multivariable logistic regression demonstrated that greater satisfaction with compensation and salary (adjusted odds ratio [aOR]=0.825, 95% CI=0.728-0.935), increased free time and rest periods (aOR=0.878, 95% CI=0.780-0.987), and higher satisfaction with value orientation (aOR=0.887, 95% CI=0.796-0.989) were associated with lower anxiety risk.Conclusion: Migrant workers constitute a vital workforce but are often neglected in preventive care. Based on these findings, preventive measures such as labour protection, compensation for overtime work, adequate rest periods, and improved working conditions are crucial in mitigating anxiety. This study highlights key areas for policy refinement and governmental support to enhance migrant workers' well-being.","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":"130-138"},"PeriodicalIF":3.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spread of 'space oil drug' (etomidate) abuse in Hong Kong and consequent emergency department presentations. 滥用“太空油药”（依托咪酯）在香港的蔓延及其引致的急诊科报告。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2025-04-01 Epub Date: 2025-04-08 DOI: 10.12809/hkmj2412728

I N K Wong, C K Chan, M L Tse

引用次数: 0

Anaemia and iron deficiency in advanced prostate cancer: revisiting a common morbidity. 贫血和缺铁在晚期前列腺癌：重访一个常见的发病率。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2025-04-01 Epub Date: 2025-04-08 DOI: 10.12809/hkmj2411653

C H M Wong, I C H Ko, D K W Leung, H C Chan, K M Li, Y S Chan, F C H Wong, P K F Chiu, J Y C Teoh, C F Ng

引用次数: 0

The vital role of doctors in shaping health and community in Hong Kong: a call for nomination of interviewees. 医生在塑造香港健康和社会的重要角色：呼吁提名受访者。