MyMedR

Displaying publications 201 - 220 of 1243 in total

Abstract:

Sort:

Fulltext Knowledge and awareness regarding osteoporosis among multi ethnic people attending the orthopaedic clinic at Universiti Kebangsaan Malaysia Medical Centre

Zaris SNABSM, Ahmad MSB, Mohamed SZB, Shuid ANB, Mohamed INB, Mokhtar SAB

Malaysian Journal of Public Health Medicine, 2016;16(3):166-175.

Malaysia is a multi-ethnic country with an osteoporosis prevalence of 24.1% in 2005. Only few study reported on osteoporosis awareness. Aim of this study was to investigate the awareness and knowledge regarding osteoporosis among persons attending orthopaedic clinic at Universiti Kebangsaan Malaysia (UKM) Medical Centre, Kuala Lumpur. A total of 368 participants (male and female) aged 20 years old or older, was assessed using the Osteoporosis Questionnaire (OPQ). The mean total OPQ score was 1.7 (SD ± 3.08; range -5 to 9; maximum possible score 20). Subjects with family history of osteoporosis and high education level were found to have significantly higher OPQ scores (p<0.05). However, there was no significant difference (p>0.05) with respect to different age groups, gender, ethnicities, and menopausal status. The main source of osteoporosis knowledge was magazine/newspaper (45.9%). An overall low score indicates that new strategies to increase awareness of osteoporosis among the public is urgently required.

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Knowledge of osteoporosis among primary care doctors in Malaysia. [Abstract]

Das Gupta E, Goh EML, Gun SC, Hussein H, Shahril NS, Yeap SS

APLAR Journal of Rheumatology, 2006;9 Suppl 1:A53.

Background: In the ageing population, osteoporosis (OP) is becoming an increasingly common medical condition. Effective interventions are available that should enable clinicians to limit the magnitude of the burden but this will require the proper knowledge of OP and its management. Objective: To explore family physicians' perceptions of OP and to identify their educational needs in this area.
Method: Self administered questionnaires about OP knowledge and management were distributed to attendees of Rheumatology Workshops for primary care physicians between March and November 2005, in Malaysia.
Results: A total of 134 primary care physicians participated in this survey comprising 53% private practitioners, 44% government doctors, 2.2% from academic institutions and 0.7% not stated. The majority 73 (54.4%) had practiced for more than 10 years, 29 (21.6%) under 5 years and 32 (23.9%) between 5 and 10 years. 127 (94.4%) of them saw patients with osteoporosis. Those who had qualified for over 10 years were more likely to treat OP (p = 0.012). 82% felt that osteoporosis was under-diagnosed whereas 14.9% thought it was over diagnosed. This was not related to specialty or years qualified. Regarding the reasons for under-diagnosis of osteoporosis, 71% stated that they had no access to DXA screening, 74% had no access to heel ultrasound, 66% felt the disease was asymptomatic, 37% felt that investigations were costly and only 11% perceived the problem as a lack of referral for specialist opinion. Majority of respondents recognized the risk factors for OP such as increasing age (93%), post menopausal state (90%), positive family history (70%) and a previous low trauma fracture (65%). 7% were not sure how to further investigate a case of OP. For all categories of bone density, under 50% would advise changes in life-style measures. For osteopenia, 65.7% recommended calcium, 54.5% activated vitamin D products. For OP, 79.1% would use bisphosphonates, 50% calcium. In established OP, 80.6% would use bisphosphonates, 44% calcium. Usage of HRT and SERMs ranged between 20% and 30% in all categories. 63% were aware of the Malaysian Clinical Practice Guidelines on Osteoporosis. 22% would not refer to a specialist, whereas 50.4% would refer severe cases only. Almost all (98%) requested for further continuing medical education on OP.
Conclusions: In this study, the majority of primary care physicians had a reasonable working knowledge of the management of OP. However, 71% had no access to DXA. Therefore, awareness needs to be supplemented by adequate facilities to further improve the management of OP in the community.

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Fulltext HIV/AIDS knowledge level among undergraduate health science students in a private university, Malaysia

Amin S, Awang Z

Malaysian Journal of Medical Research, 2017;1(1):1-7.
MyJurnal

Globally, the spread of HIV/AIDS is a major public health challenge because of its pandemic magnitudes. Despite the fact that people of any age are susceptible to HIV, the younger population is more susceptible to be infected because of their lifestyle choices. The purpose of this study was to assess the extent of HIV/AIDS knowledge level among health science undergraduate university students as they play a primary role within the health care system of a country. A cross-sectional study was conducted by using a semi structured, self-administered, especially design questionnaire. Out of total one hundred fifty undergraduate university students, there were 96 males (64%) and 54 females (36%) with the age ranging from 19-25 years. All the students were able to write the acronym of HIV (100%) and AIDS (100%). Common routes of transmission and prevention measure were known by majority of the students. Students stated correctly regarding HIV/AIDS transmission from mother to child through pregnancy (18.02%), delivery (15.31%) and breast feeding (11.30%) which was very low level of knowledge. Most of the medical, dental and physiotherapy students had correct knowledge on high risk populace for HIV/AIDS; like singles, intravenous drug user, multiple sex partners and commercial sexual partner. Regarding the preventive measure as hand washing, use of facial mask and sexual abstinent was correctly mentioned by only 31.34%, 34.02% and 28.01% total students respectively. However other safety measure like condom use, effectiveness of condom use, screening of blood was widely known by the students. However, regarding the knowledge on treatment issue of HIV/AIDS, majority of the students (85.30%) correctly knew that HIV/AIDS was not curable, whereas only 15.31% and 20.01% correctly knew that the treatment was very expensive and available respectively. So, this study focus the educational endeavors that could be broadened to emphasis on its general knowledge on HIV/AIDS.
Study site: Medical, Dental and Physiotherapy Faculties at a private university college in Malaysia.

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Fulltext Development of parallel scales to measure HIV related stigma in Sabah

Ei KS, Shoesmith WD

Borneo Journal of Medical Sciences, 2016;10(1):19-29.
MyJurnal

In this study parallel scales were constructed to use to measure the levels of HIV-related stigma towards people living with HIV (PLHIV) in populations with different backgrounds in Sabah. The study also explored the components of stigma within the population. We found that there were three principle components of HIV related stigma: “Interpersonal distancing,” “Shame and blame,” and “Positive opinions about PLHIV”. The scales constructed showed adequate internal consistency (Cronbach’s Alpha of 0.69 to 0.85) in all samples. The medical students and people with more knowledge about HIV had significantly lower levels of all three factors of personal stigma. Regarding HIV-related knowledge, the non-medical university students and the rural community group were found to have poor knowledge of HIV transmission and prevention. This scale can be used by researchers or public health officials who wish to study HIV related stigma or to evaluate the impact of stigma interventions in the local context.
Study site: Universiti Malaysia Sabah; Rural Medical Education Centre, Sikuati, Kudat, Sabah, Malaysia

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Community pharmacists' knowledge, attitudes and practices towards oral healthcare and its management: A systematic review

Rajiah K, Lim WK, Madeline Teoh PL, Binti Mas'od MA, Lim WY, Poh Chou LL, et al.

Int J Clin Pract, 2021 Sep;75(9):e14096.
PMID: 33619786 DOI: 10.1111/ijcp.14096

BACKGROUND: Community pharmacists play a significant part in providing oral healthcare advice as there are significant connections between oral healthcare and body system healthcare.
OBJECTIVE: To systematically review the literature regarding the knowledge, attitudes and practice of community pharmacists in managing oral healthcare problems.
METHODS: A systematic review was conducted through Scopus, PubMed and Google Scholar databases. Studies regarding knowledge, attitudes and practice of management of dental care by community pharmacists between 1990 and 2019 were included.
RESULTS: Forest plot was performed to access knowledge, attitudes and practice of community pharmacist on oral healthcare. The results showed there were 44% of community pharmacists have a lack of knowledge on oral healthcare to provide an appropriate recommendation to patients with dental problems. Eighty-eight per cent of community pharmacists were willing to improve their knowledge of oral healthcare. There were 86% of them recognised that their role was significant in oral health. However, there were 59% of community pharmacists who had poor attitude in providing oral health information.
CONCLUSIONS: Community pharmacists were lacking knowledge on oral health mainly because of paucity in providing appropriate training courses. This has led to poor practices towards oral healthcare as they were unable to provide suitable products recommendations to the patients. This has led the community pharmacists into lack of attitudes in providing oral health information. However, most of the community pharmacists were conscious of their role in the oral healthcare system and were willing to improve their knowledge of oral healthcare.

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Fulltext Vaccine hesitancy and the resurgence of vaccine preventable diseases: the way forward for Malaysia, a Southeast Asian country

Wong LP, Wong PF, AbuBakar S

Hum Vaccin Immunother, 2020 07 02;16(7):1511-1520.
PMID: 31977285 DOI: 10.1080/21645515.2019.1706935

This study engaged health professionals in in-depth, semi-structured interviews to explore their opinions concerning the issues surrounding vaccine hesitancy in Malaysia and strategies to improve vaccination to stamp the rise of vaccine preventable diseases (VPDs). Opinions on how to address the resurgence of VPDs in the era of increasing vaccine hesitancy were obtained. Eight health professionals, including geriatricians, pediatricians, microbiologists, public health specialists, and family medicine specialists were interviewed. The influence of anti-vaccination propaganda, past-experience of adverse event following immunization (AEFI), perceived religious prohibition, a belief that traditional complementary and alternative medicine (TCAM) use is safer, pseudoscience beliefs, and anti-vaccine conspiracy theories were identified as reasons for refusing to vaccinate. The interplay of social, cultural and religious perspectives in influencing perceived religious prohibition, pseudoscience beliefs, and the use of TCAM contributing to vaccine refusal was found. Five broad themes emerged from the health professionals regarding strategies to address vaccine hesitancy, including establishing an electronic vaccination registry, increasing public awareness initiatives, providing feedback to the public on the findings of AEFI, training of front-line healthcare providers, and banning the dissemination of anti-vaccine information via social media. With regards to identifying strategies to address the resurgence of VPDs, mandatory vaccination received mixed opinions; many viewed supplementary immunization activity and the prevention of travel and migration of unvaccinated individuals as being necessary. In conclusion, the present study identified unique local cultural, traditional and religious beliefs that could contribute to vaccine hesitancy in addition to issues surrounding vaccination refusal similarly faced by other countries around the world. This information are important for the formulation of targeted intervention strategies to stamp vaccine hesitancy in Malaysia which are also a useful guide for other countries especially in the Southeast Asia region facing similar vaccine hesitancy issues.

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Knowledge and practice of burn first aid among parents of under-age children

Halil MF, Ibrahim NM, Ahmad ZNBS, Che Hasan MK

Enferm Clin, 2021 04;31 Suppl 2:S100-S104.
PMID: 33849139 DOI: 10.1016/j.enfcli.2020.09.008

The objective of this study is to assess the level of knowledge and practice of burn first aid management among parents. A cross-sectional study was conducted among parents of under-age children in the Taman Desa Darul Naim area of Pasir Tumbuh, in Kelantan, Malaysia, using an adapted survey from Davies et al. Out of 80 respondents, 46.3% showed minimal knowledge of burn first aid, 47.5% had moderate knowledge, and 6.3% extensive knowledge. There was a significant relationship between the demographic data and the knowledge of burn first aid for gender (p=0.02), but no significant relationship between the level of knowledge and level of education (p=0.29) or age (p=0.09). The findings indicate that the level of knowledge of burn first aid is limited. Education for parents of under-age children, including demonstrations of burn first aid, is needed to promote safe action and prevent further injury in the community.

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Knowledge and practice on medication adherence among Type II diabetes mellitus patients

Jamaludin TSS, Mohammad NM, Hassan M, Nurumal MS

Enferm Clin, 2021 04;31 Suppl 2:S372-S376.
PMID: 33849203 DOI: 10.1016/j.enfcli.2020.09.028

This study aimed to survey the level of knowledge and practice on medication adherence among Type II diabetes mellitus (DM) patients. A cross-sectional study was conducted with a total of 220 DM patients by using a convenience sampling method. It was found that 64.5% of studied participants have a high level of knowledge with good practice toward medication adherence. There was a significant association between sociodemographic characteristics with the level of knowledge and practice toward medication adherence. This study finding provides information to health care providers to improve their patient's care by playing their important role in promoting the importance of knowledge on medication adherence for a better quality of life to the DM patients. Not only a physician but also the nurse could enhance health education for their patient on medication adherence during the follow-up appointment.

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Fulltext Who are the women wishing to opt for contraception?

Mushtaq K, Ashraf M, Thaver IH

J Pak Med Assoc, 2020 Dec;70(12(B)):2460-2463.
PMID: 33475564 DOI: 10.47391/JPMA.770

This descriptive cross-sectional research study was conducted to determine the characteristics of the women who intend to use a modern family planning method. For this 154 women were selected in a small village and faceto- face interviews were conducted. The findings indicate that 86 (56%) women intended to use a contraceptive method. The regression model showed that women who had the knowledge about different methods, those who had previously ever used family planning method and those who had never used any traditional method are more likely to adopt modern contraceptive methods.

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Osteoporosis knowledge and practice among Malaysian university students

Chan CY, Subramaniam S, Ravintharan K, Ima-Nirwana S, Chin KY

J Pak Med Assoc, 2021 Feb;71(Suppl 2)(2):S30-S36.
PMID: 33785938

OBJECTIVE: This study aimed to investigate osteoporosis knowledge and bone health practices among students of a Malaysian public university.
Methods: A cross-sectional study was conducted amongst university students from a Malaysian's public university. A total of 228 students responded to a self-administered questionnaire consisting of items evaluating knowledge and practices of osteoporosis.
RESULTS: The students showed a moderate level of osteoporosis awareness with a score of 63.3%. Male subjects had higher awareness scores of osteoporosis complications compared to female subjects (p= 0.010). Malay (p= 0.002) and Chinese (p= 0.005) had higher levels of osteoporosis awareness compared to Indian students. Coffee and alcohol intakes were significantly different between the sexes (p= 0.013) and the ethnic groups (p= 0.029). Most of the subjects in our study were minimally active (43.9%).
CONCLUSIONS: The students had a reasonable levels of knowledge about osteoporosis, but their health activities to avoid osteoporosis were insufficient. This illustrates the need for educational programmes to improve students' knowledge and awareness for successful osteoporosis prevention.

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Fulltext Knowledge, Attitudes, and Perceptions Associated With Antimicrobial Stewardship Among Veterinary Students: A Multi-Country Survey From Nigeria, South Africa, and Sudan

Fasina FO, LeRoux-Pullen L, Smith P, Debusho LK, Shittu A, Jajere SM, et al.

Front Public Health, 2020;8:517964.
PMID: 33194938 DOI: 10.3389/fpubh.2020.517964

In African countries, antimicrobial resistance (AMR) issue remains pertinent. Despite this, little efforts have been made to assess the future veterinary prescribers on their knowledge, attitudes and practices (KAP) related to antimicrobial usage. This multi-country survey attempts to explore the KAP of future veterinarians on stewardship of antimicrobial and identify knowledge gaps. Eight veterinary schools participated from Nigeria, Sudan and South Africa. Data regarding perceptions and knowledge were analyzed using Chi-square χ2 test, Spearman's (Rho) Rank order correlation and factor analysis using principal component factoring extraction method. Fifty-two percent of the study participants were final year veterinary students, respectively, and majority (77.2%) had no previous knowledge of biomedical sciences. Majority age were 22-27 years (24.7 ± 2.8) 79% and multiple career fields post-graduation were preferred. Overall, poor perceptions and knowledge of antimicrobial stewardship were observed with variations among countries and only 36.3% (n = 123) of the students were confident in their ability to choose the ideal antimicrobial agents for a specific patient/group of animals. The majority of the final year students were confident of their knowledge regarding AMR (68%), making of Gram staining (69.2%) and in choosing the most ideal route for administering a specific antimicrobial (74.7%). The final year students had significantly (p < 0.05) higher confidence level for knowledge compared with the pre-final year students. Tetracyclines, penicillins, and sulphonamides represent the three most abused veterinary antimicrobials with similar ranking across countries. South African (69.7 ± 20.5) and Sudanese (68.1 ± 15.4) had significantly (p < 0.0001) higher mean scores compared to the Nigerian students (44.3 ± 6.8) in the student's ability to correctly match some specific antimicrobials against their classes but Nigerian students performed better in ranking antimicrobials. This survey revealed poor to average knowledge of antimicrobial stewardship among veterinary students with significant knowledge gaps across the countries. It is recommended that the relevant regulatory and standardization authorities should make concerted efforts and interventions to regularly review curricula to ensure the delivery of targeted formative and normative training, and improved lectures on antimicrobial usage and stewardship in order to improve the awareness and behaviors of future prescribers. The identified knowledge gaps of veterinary medical students on antimicrobial stewardship must be bridge to safeguard the future.

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Relationships between Media Exposure and Knowledge, Attitude, and Practice on HIV/AIDS: A Cross Sectional Survey of Adolescent Islamiyya Girls in Nigeria

Muhammad Hamid A, Tamam E, Nizam Bin Osman M

Health Commun, 2020 04;35(4):419-429.
PMID: 30700145 DOI: 10.1080/10410236.2018.1564960

Exposure to HIV/AIDS media among adolescents in sub-Saharan Africa was reported as low in the early 2000s, but now given developments in technology and program appeal, there emerges a need for reassessment. Given that communication, particularly through the media plays a major role in stemming the spread of the epidemic, this study examines the HIV/AIDS media exposure, knowledge, attitude, and practice (KAP) of adolescent Islamiyya girls in northern Nigeria as a predominantly Muslim society. The objectives of the study were to (1) identify the girls' major sources of information on HIV/AIDS; (2) assess their exposure to HIV/AIDS media and their HIV/AIDS knowledge, attitude and practice; and (3) verify relationships between media exposure and HIV/AIDS KAP. Based on the Advertising Research Foundation's Hierarchy of Effects model, hypotheses were posed to test the relationships. A questionnaire survey was administered on a randomly selected sample of 500 Islamiyya girls in Bauchi, Nigeria, from an estimated population of 35,000. Results were analyzed using descriptive statistics and partial least squares structural equation modeling. The results showed media exposure is not a significant predictor of HIV/AIDS practice, but it is a significant predictor of HIV/AIDS knowledge. And HIV/AIDS knowledge significantly predicted both HIV/AIDS attitude and practice. HIV/AIDS attitude also significantly predicted HIV/AIDS practice. It is thus concluded that among Nigerian adolescent girls, exposure to HIV/AIDS media is a necessary but not a sufficient predictor of HIV/AIDS KAP.

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Fulltext Effectiveness of a Novel Smartphone Health Education Intervention in Enhancing Knowledge, Attitudes, and Practices for the Prevention of Respiratory Tract Infections Among Private Hajj Pilgrims From Malaysia

Goni MD, Naing NN, Hasan H, Wan-Arfah N, Deris ZZ, Arifin WN, et al.

Front Public Health, 2021;9:594204.
PMID: 34277530 DOI: 10.3389/fpubh.2021.594204

This study was aimed to develop and evaluate the efficacy of a health education program for increasing knowledge, changing attitudes, and promoting prevention practices to reduce the incidence of RTIs among Malaysian Hajj pilgrims. A quasi-experimental study was done among 130 Hajj pilgrims attending Hajj orientation course organized by a private Hajj tour companies. Hajj pilgrims assigned to intervention group (n = 65) and control group (n = 65). Data were collected baseline and after return from Hajj using a validated questionnaire. Mixed design repeated measure ANOVA was used to analyse the effect of group, time, and group-time interaction on the dependent variables. There was a significant improvement in knowledge, attitude and practice scores in the intervention group compared to the control group. Based on the findings of the interaction of time and group, there was a significant statistical difference for post intervention for knowledge (p = 0.005), attitude (p = 0.041), and practice (p = 0.002). The newly-established health education intervention smartphone application was effective in improving KAP toward RTIs prevention among pilgrims.

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Fulltext Oral health knowledge among healthcare professionals and their challenges in dealing with patients’ oral health problems

Dzulqarnain Ahmad Iskandar Shah, Nursabrina Roslan, Khairun ‘Izzah Zamansari, Tuan Nur Athirah Tuan Mohd Rahimi, Shahida Mohd-Said, Haslina Rani, et al.

Jurnal Sains Kesihatan Malaysia, 2020;18(2):39-47.
MyJurnal

The important role of non-dental healthcare professionals (HCPs) in promoting oral health is well-accepted and has received increased attention in recent years. However, greater efforts are needed to train them in ensuring better competency in delivering this role. The aim of the present study is to assess oral health and care knowledge among HCPs by further exploring possible challenges faced by them in managing oral health problems, particularly in regard to patients in a public primary healthcare clinic. In the case of the current research, a focus group discussion was carried out with ten HCPs who are directly involved with patients from different units within the health clinics. In particular, the questions developed for the focus group discussion were divided into two parts: (1) knowledge on oral health and its link to general health, and (2) issues and challenges faced by HCPs in handling patients with oral health problems in their daily routine. The session was recorded on a digital audio tape, the responses were then transcribed, followed by the grouping of the scripts which were then qualitatively analysed. The results revealed that majority of the participants appeared to have good knowledge of general and basic oral health; however, only very few of them were aware of the relationship between oral health problems with systemic conditions. Meanwhile, one of the main challenges faced by HCPs in handling patients with oral health problems is their limited knowledge of oral health problems. Specifically, the main challenges refer to the management of medically compromised patient requiring dental treatment as well as the difficulty in changing the mindset of patients regarding oral health issues, especially in terms of seeking dental treatment. In conclusion, it has been clearly observed that HCPs involved in the present study have good knowledge of general health and oral health but limited knowledge related to oral health to systemic health. Furthermore, they tend to face numerous challenges when dealing with patients, especially due to their limited knowledge of oral health facts and drug prescription for oral problems. Therefore, there is an urgent need of additional training for both HCPs and dental teams for the purpose of enabling both parties to provide coordinated and comprehensive service to patients with oral health problems at the primary healthcare clinics.
Keywords: Interprofessional collaboration; care coordination; multidisciplinary; oral health knowledge; healthcare professionals

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Fulltext Familiarity, perception, and reasons for electronic-cigarette experimentation among the general public in Malaysia: Preliminary insight

Elkalmi RM, Bhagavathul AS, Ya'u A, Al-Dubai SA, Elsayed TM, Ahmad A, et al.

J Pharm Bioallied Sci, 2016 Jul-Sep;8(3):240-7.
PMID: 27413354 DOI: 10.4103/0975-7406.180768

OBJECTIVES: The objectives of this study were to assess the general public views and familiarity toward electronic cigarette (e-cigarette) in Kuantan, Malaysia.
METHODOLOGY: A total of 277 Kuantan people were involved in this study. The questionnaire was distributed at random in shops, businesses, and public places in Kuantan. Statistical analysis was performed using SPSS (version 17.0).
RESULTS: From 400 participants, a total number of 277 (160, 57.7% men and 117, 42.4% women) respondents completed the questionnaire. The mean age was 26.89 ± 9.8 years old. The majority of the study participants were male (57.7%), Malay (83.8%), Muslims (83.8%), singles (69%), and employed (75.8%), with about 83 (29.9%) of the respondents were smokers. The prevalence of e-cigarettes smokers was found to be only 1.4% (n = 4). About one-third of the respondents (n = 72, 26%) have tried e-cigarette before. Job status was significantly associated with smoking e-cigarette among the population (P = 0.02). Main factors for a person to start e-cigarette smoking were curiosity (37.5%) and cheaper price (40.8%). Majority of respondents agreed that e-cigarette would not affect health as normal cigarette, and that variety of flavors contribute to better enjoyment (51.6% and 66.7%, respectively).
CONCLUSION: The results of the current study demonstrate that the prevalence of e-cigarettes smoking and its popularity, familiarity, and knowledge are still insufficient among Kuantan population. Further studies should be done to tackle this problem before it getting worse.
KEYWORDS: Electronic-cigarette; Malaysia; experimentation; perception; prevalence
Comment in: Farsalinos KE, Le Houezec J. Electronic cigarette experimentation in the Malaysian city of Kuantan: Was there an association with the smoking status? J Pharm Bioallied Sci. 2016 Oct-Dec;8(4):347-348

Matched MeSH terms: Health Knowledge, Attitudes, Practice
E-cigarette users' attitudes on the banning of sales of nicotine e-liquid, its implication on e-cigarette use behaviours and alternative sources of nicotine e-liquid

Wong LP, Alias H, Agha Mohammadi N, Ghadimi A, Hoe VCW

J Community Health, 2017 Dec;42(6):1225-1232.
PMID: 28589268 DOI: 10.1007/s10900-017-0374-z

The banning of sales of nicotine e-liquid in e-cigarette shops has been implemented in several states in Malaysia. The distribution of nicotine e-liquid can only be allowed by licensed pharmacies or registered medical practitioners. This study aimed to evaluate e-cigarette users' responses to the control policy in a cross-sectional survey of 851 e-cigarette users by utilizing a self-report questionnaire that assessed (1) attitudes on regulation policy of e-cigarette banning; (2) e-cigarette use behaviors; and (3) sources of e-liquid after the regulation policy has been implemented. Participants from the state of Selangor where the banning policy was implemented were surveyed. The majority (95.8%) opposed the banning and believed e-cigarettes should be sold to anyone aged 18 years or above as with tobacco cigarettes, only a minority believed that nicotine e-liquid should only be available for sale over the counter in pharmacy stores (14.6%) and in clinics with a doctor's prescription (11.8%). The majority (44.2%) reported that they would continue their e-cigarette use as before the banning policy, while 20% plan to completely stop e-cigarette usage without replacing it with any alternatives. The vast majority (87.9%) was still able to obtained nicotine e-liquid from e-cigarette shops in spite of the ban and the second most common source was from online purchase (63.1%). The sales of nicotine e-liquid from black-market were evidenced as many reported obtaining zero nicotine e-liquid from the black market (54.4%). Self- or home-made (30.8%) nicotine e-liquid was also reported. Majority of respondents that self-made e-liquid were from the average monthly income group (below MYR3000). Obtaining nicotine from the pharmacy was least preferred (21.4%). Provision of professional advice to nicotine e-liquid users along with the ban may lessen the likelihood of users switching to tobacco cigarettes or other nicotine alternatives. Banning of sales of nicotine e-liquid in e-cigarette shops resulted in a boom in the black market supplying nicotine e-liquid and, self- or home-made nicotine e-liquid. Enforcing regulations and monitoring black market sales is warranted. Efforts to educate e-cigarette users of the danger of sourcing nicotine e-liquid from the black market and self- or home-made nicotine e-liquid are essential.

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Fulltext Impact of disease disclosure in paediatric patients with human immunodeficiency virus (HIV) in Hospital Tuanku Fauziah, Malaysia: a qualitative study

Karniza Khalid, Haslizawati Hashim, Mazura Ishak, Maznah Ibrahim

Malaysian Journal of Paediatrics and Child Health, 2017;23(2):0-0.
MyJurnal

Progression to AIDS is more rapid in HIV-infected children. Objective: Our study aimed to investigate the effect of HIV status disclosure in children in terms of their perception of the illness, knowledge on their disease and medications and the overall impact on their quality of life.
Methods: A qualitative study was conducted from 1st June 2017 till 8th September 2017 involving face-to-face interviews with HIV-positive children receiving combination anti-retroviral therapy (cART) under paediatric HIV clinic follow-up, Hospital Tuanku Fauziah, Kangar, Perlis. Transcribed interview dialogues were subsequently coded for analysis.
Results: Data were collected from 6 out of 8 HIV-positive children on cART in Hospital Tuanku Fauziah, Perlis. Participants’ mean age was 12.2 years (standard deviation [SD] 2.11); 3 with disease disclosure. Disease-disclosed participants with ironically poor knowledge on their disease emerged as the key theme in the study. Disease-disclosed participants were also noted to be more withdrawn with very few friends, if any. Disease disclosure status did not affect the patients’ knowledge and compliance to medication.
Conclusion: Assessment of patients’ understanding after disease-disclosure session is crucial to encourage therapy adherence and prevention of future transmission. Re-appraisal of the healthcare policy with regards to holistic management of children living with HIV is warranted to attain positive social and developmental goal throughout their lives.

Study site: paediatric HIV clinic follow-up, Hospital Tuanku Fauziah, Kangar, Perlis

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Fulltext Predictors for inadequate knowledge and negative attitude towards childhood immunization among parents in Hulu Langat, Selangor, Malaysia

Che Abdullah A, Nor Afiah MZ, Rosliza AM

Malaysian Journal of Public Health Medicine, 2018;18(1):0-0.
MyJurnal

Vaccine hesitancy among parents has led to re-emergence of vaccine preventable diseases. In Malaysia, measles cases had increased by three times in 2015 compared to previous year. Immunization coverage has always been above 95% since 2009. However, in 2014, Mumps-Measles-Rubella (MMR) coverage has a significant drop to 93.4%. The aim of the study was to identify predictors for inadequate knowledge and negative attitude towards childhood immunization among parents in Hulu Langat, Selangor. A cross sectional study design was conducted from January to July 2016 with 760 respondents. Respondents were selected by cluster random sampling and a validated self-administered questionnaire was used. The majority of respondents were female (70%), Malay (87%), employed (92%) and parents with tertiary education (99.7%). In this study, 12.8% parents have an inadequate knowledge on childhood immunization and 47.6% parents have a negative attitude towards childhood immunization. The predictors for inadequate knowledge on childhood immunizations were last child’s age of 2 years old or more (AOR=1.413 95% CI 0.28-0.69); parents without tertiary education (AOR=2.02 95% CI 1.15-3.54); parents without educational exposure on childhood immunization (AOR=2.87 95% CI 1.59-5.18) and parents who obtained information on childhood immunization from non-healthcare provider (AOR=2.66 95% CI 1.50-4.70). Predictors for negative attitude on childhood immunizations were being male (AOR=1.44 95% CI 1.04-2.01); parents without tertiary education (AOR=1.67 95% CI 1.04-2.68); household income of less than RM5000 (AOR=1.85 95% CI 1.28-2.67) and unsatisfactory religious belief (AOR=2.76 95% CI 2.03-3.75). Therefore, these predictors should be considered in any health intervention on childhood immunizations for parents in Malaysia.

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Fulltext Standard precautions: revisiting the knowledge and practice among emergency department staff in northeastern Malaysia

Hashairi F, Fauzi CH, Chew KS, Nik Hisamuddin NAR

The Malaysian Journal of Nursing, 2013;4(3):42-45.

Background: Standard Precaution (SP) is a very important health issue that has not been well-emphasized. The outcome of not following the SP is a serious problem that can lead to the blood-borne infection.
Methods: A set of self-administered anonymous questionnaire were given to all healthcare personnel in 4 selected Emergency Department (ED), hospital in Kelantan to assess the knowledge and practice of standard precaution.
Results: Almost half of the healthcare personnel were having a good knowledge 115 (57.8%) and good practice 156 (78.4%) towards SP. For those who did not comply with SP, complained oflackoftime as the main reason (38.5%) followed by interference with their work (29.2% ). There was no significant difference between presence of Emergency Physician or not in ED with the compliance towards SP.
Conclusion: Though majority of the healthcare personnel in ED possessed a good level of knowledge and practice towards SP, the staff compliance should be revised regularly wherever necessary to improve the precautions.
Keywords: Standard precaution, Emergency Department, Malaysian Nurse

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Fulltext Understanding of obesity among registered nurse

Mohd Ardzi R, Shariff N, Omar NZ, Ramli N, Md Isa KA

The Malaysian Journal of Nursing, 2014;6(1):38-43.

This study sought to investigate understanding of obesity among registered nurse e-PJJ student semester 9 UiTM in Puncak Alam, in Selangor, Malaysia. A survey research design was used for the study. 100 nurses were randomly selected from 130 nurses in e-PJJ student semester 9. Study of this population was done by systematic sampling. The target groups for this study are matrons, sisters and staff nurses. 100% nurses showed understanding of obesity. Eating habits of the nurses contributed to this obesity. It was recommended among others, that nurses should practice theoretical knowledge base and the need to more opportunities for physical activities at hospital sites was emphasized.
Keywords: Obesity, Registered Nurses, Knowledge and attitude

Matched MeSH terms: Health Knowledge, Attitudes, Practice

Filters

Please provide feedback to Administrator (afdal@afpm.org.my)

External Links