Displaying publications 41 - 60 of 83 in total

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  1. Juhan N, Abd Razak N, Zubairi YZ, Khattak MN, Naing NN
    Iran J Public Health, 2013 Sep;42(9):980-7.
    PMID: 26175969
    BACKGROUND: Cervical cancer is the third most common cancer among women in Malaysia. The objective of this study was to estimate the effect of explanatory variables on survival time of cervical cancer patients receiving treatment at a hospital in Malaysia.

    METHODS: In this retrospective record review study, cervical cancer data obtained from Hospital UniversitiSains Malaysia (HUSM) was analysed. The data comprises of 120 patients who had been diagnosed as cervical cancer between 1(st) July 1995 and 30(th) June 2007, and obtained treatment from the hospital. The outcome variable was survival time (in months) from cervical cancer diagnosis to death. A stratified Weibull model was applied to study the effect of explanatory variable on survival time when there was time-dependent covariate in the model.

    RESULTS: Stage of disease and metastases were important prognostic variables. However, metastasis had been stratified because this variable did not satisfy the proportional hazard assumption. In without metastasis stratum, patients who were diagnosed at stage III & IV are at 2.30 times the risk of death as those in stage I & II. Meanwhile, in with metastasis stratum, patients in stage III & IV group had 3.53 times the hazard faced by patients in stage I & II.

    CONCLUSION: The prognosis of cervical cancer patients was dependent upon the stage at diagnosis, after the stratification of the metastasis variable. A poorer prognosis on survival was observed for patients in stage III & IV than those in stage I & II.

  2. Seghatoleslam T, Habil H, Hatim A, Rashid R, Ardakan A, Esmaeili Motlaq F
    Iran J Public Health, 2015 Jan;44(1):22-7.
    PMID: 26060772
    Religion is one of the protective factors that facilities positive outcomes by preventing individuals from engaging in addictive substance. A recent study has confirmed that religion inhibits drug addiction. The concept of psychospiritual therapy was to introduce drug addiction. Therefore, of the various methods of psychotherapy, the usage of Taqwa (piety) emerged as an applicable method of Islamic spiritual therapy. This study was conducted in Malaysia as a Muslim country and focuses on Islamic recommendations and its relation to spiritual therapy.
  3. Hosseini F, Adha N, Zainol R, Isahak M, Nemati N
    Iran J Public Health, 2014 Oct;43(10):1324-34.
    PMID: 26060694
    The main objective was to find association between basal cortisol and neighborhood-level stress. Systematic searches, including electronic and hand searches, were conducted. The most recent date of the search was July 26, 2013. Primary observational studies included if they considered stress related outcomes in the neighborhood context. Using the EndNote X7 advanced search option; the authors examined the abstracts and titles of the 18,092 articles to exclude obviously irrelevant studies, gray literature, discussion papers, reviews and, studies with no complete data. Two authors independently extracted data from the original reports into pre-designed data extraction forms based on the Data Extraction Template of the Cochrane Consumer and Communication Review Group (CCCRG). Ten studies with a total of 2,134 participants were synthesized and analyzed. Two studies out of ten received expanded meta-analysis. The overall effect size (95% CI) for cortisol level for residents in neighborhoods with lower stress compared to inhabitants from higher was 0.12 (0.01, 0.23). This review is demonstrating a link between psychosocial or physical stress and cortisol obtained from saliva. However, living in high disorder neighborhoods results in higher level of cortisol. This represents a biological indicator of psychosocial/physical stress exposure (i.e., neighborhood disorder) that reflects variances in stress exposure levels.
  4. Mondal MN, Shitan M
    Iran J Public Health, 2013 Dec;42(12):1354-62.
    PMID: 26060637
    BACKGROUND: This study is concerned with understanding the impact of demographic changes, socioeconomic inequalities, and the availability of health factors on life expectancy (LE) in the low and lower middle income countries.

    METHODS: The cross-country data were collected from 91 countries from the United Nations agencies in 2012. LE is the response variable with demographics (total fertility rate, and adolescent fertility rate), socioeconomic status (mean year of schooling, and gross national income per capita), and health factors (physician density, and HIV prevalence rate) are as the three main predictors. Stepwise multiple regression analysis is used to extract the main factors.

    RESULTS: The necessity of more healthcare resources and higher levels of socioeconomic advantages are more likely to increase LE. On the other hand, demographic changes and health factors are more likely to increase LE by way of de-cease fertility rates and disease prevalence.

    CONCLUSION: These findings suggest that international efforts should aim at increasing LE, especially in the low income countries through the elimination of HIV prevalence, adolescent fertility, and illiteracy.

  5. Mohd Mutalip SS, Mohamed R
    Iran J Public Health, 2012;41(7):34-9.
    PMID: 23113207
    BACKGROUND: Introduction to sexual education in schools was suggested by the Malaysian government as one of the effort taken in the aim to reduce the sexual-related social problems among Malaysian teenagers nowadays. This study was proposed in the aim to determine the rate of acceptance among adolescents on the implementation of sexual education in schools.

    METHODS: This study was conducted using questionnaires distributed to 152 pre-degree students in Faculty of Pharmacy, Universiti Teknologi MARA (UiTM), Kampus Puncak Alam, Selangor, Malaysia. Obtained data were statistically analyzed.

    RESULTS: Almost half (49.3%) of the respondents agreed that sexual education might help to overcome the social illness among school teenagers. Besides, a large number (77.6%) of respondents also agreed that this module should be incorporated with other core subjects compare to the feedback received on the implementation of this module on its own (28.9%).

    CONCLUSION: These results have provided some insight towards the perception of sexual education among the teenagers. Since most of the respondents agreed with this idea, so it might be a sign that the implementation of sexual education is almost accepted by the adolescents.

  6. Sarwar AA, Manaf NA, Omar A
    Iran J Public Health, 2012;41(8):1-7.
    PMID: 23113218
    BACKGROUND: The need for better healthcare has grown significantly in recent years. In addition, the rising healthcare costs in the U.S. and in many European countries have forced many patients to seek medical treatment abroad, which has created the demand for medical tourism. With little yet known as to the perception of a medical tourist's destination selection, this study aims to explore medical tourist's perception in selecting their destination while going for medical treatment.

    METHODS: Realizing the current need to examine closely the perception of medical tourists, this study had conducted a secondary study to collect data for assessing and identification of the key factors on patient's perception and destination selection criteria.

    RESULTS: The result confirms the existence of a very strong relationship between cost, service quality, treatment types and availability and marketing impact on the perception of the medical tourists' in selecting their medical tourism destination.

    CONCLUSION: This study offers support for the proposed conceptual model and an empirical basis for comparison in future research.

  7. Moy F, Chang E, Kee K
    Iran J Public Health, 2011 Dec;40(4):44-53.
    PMID: 23113102
    BACKGROUND: Reduced handgrip strength is an aging process that significantly influences the living activities of elderly. It is linked to premature mortality, disability and other health complications among elderly. Therefore, we aim to determine the associated predictors with handgrip strength among the free living elderly in Malaysia.

    METHODS: This was a cross sectional study conducted in a rural state in Malaysia. A total of 434 elderly individuals performed handgrip assessment. Socio-demographic characteristics, medical conditions, occupational history, functional ability (ADL) and depression (GDS) were enquired. Anthropometric measurements (weight and height) were also obtained.

    RESULTS: Majority of the respondents were Malays with mean age of 67.9 ± 6.3 years. Maximum handgrip strength of males and females were 28.8±9.2 kg and 18.9±6.9 kg respectively (P<0.05). The aborigines had significantly lower handgrip strength (P<0.05) compared to Malays, Chinese and Indians. Handgrip strength was positively correlated (P<0.05) with weight, height and ADL, while negatively associated (P<0.05) with GDS for both gender. In the multivariate linear regression analysis; weight, height and race significantly predicted handgrip strength among both male and female elderly after adjustment for all potential confounders. However, GDS and ADL were only found to significantly predict handgrip strength among the male elderly; while age was only significant among the females.

    CONCLUSION: Our sample population has significantly lower handgrip strength than the Western counterpart. Weight, height and race significantly predict handgrip strength among both male and female elderly. GDS, ADL are only found to be significant in males while age was only significant among the females.

  8. Zakerian S, Subramaniam I
    Iran J Public Health, 2011;40(1):72-9.
    PMID: 23113058
    BACKGROUND: With computers rapidly carving a niche in virtually every nook and crevice of today's fast-paced society, musculoskeletal disorders are becoming more prevalent among computer users, which comprise a wide spectrum of the Malaysian population, including office workers. While extant literature depicts extensive research on musculoskeletal disorders in general, the five dimensions of psychosocial work factors (job demands, job contentment, job control, computer-related problems and social interaction) attributed to work-related musculoskeletal disorders have been neglected. This study examines the aforementioned elements in detail, pertaining to their relationship with musculoskeletal disorders, focusing in particular, on 120 office workers at Malaysian public sector organizations, whose jobs require intensive computer usage.

    METHODS: Research was conducted between March and July 2009 in public service organizations in Malaysia. This study was conducted via a survey utilizing self-complete questionnaires and diary. The relationship between psychosocial work factors and musculoskeletal discomfort was ascertained through regression analyses, which revealed that some factors were more important than others were.

    RESULTS: The results indicate a significant relationship among psychosocial work factors and musculoskeletal discomfort among computer users. Several of these factors such as job control, computer-related problem and social interaction of psychosocial work factors are found to be more important than others in musculoskeletal discomfort.

    CONCLUSION: With computer usage on the rise among users, the prevalence of musculoskeletal discomfort could lead to unnecessary disabilities, hence, the vital need for greater attention to be given on this aspect in the work place, to alleviate to some extent, potential problems in future.

  9. Sarwar A, Yong Gun Fie D, Mhd Sarif S, Nikhshemi SR
    Iran J Public Health, 2016 May;45(5):688-9.
    PMID: 27398342
  10. Hamid S, Faith F, Jaafar Z, Abdul Ghani N, Yusop FD
    Iran J Public Health, 2023 Feb;52(2):230-242.
    PMID: 37089153 DOI: 10.18502/ijph.v52i2.11877
    BACKGROUND: Emerging technology research focusing on promoting healthy lifestyles for the middle-aged and elderly is paramount in recent literature. However, limited evidence is available for the middle-aged population. This paper reviews how emerging technologies can help in promoting a healthy lifestyle for the middle-aged and elderly.

    METHODS: A scoping literature review method was employed. Articles were extracted from online databases published within 2010-2021. Overall, 3,152 articles related to the topic were obtained and 2979 articles were archived via different search procedures. Moreover, 173 articles that met the inclusion criteria underwent qualitative synthesize for conclusive inferences.

    RESULTS: Most studies focused on people aged 60 and up, leaving the middle-aged population under-studied and unprepared to age. Older adults have high technology anxiety and resistance to change. Limited studies are available to support technology-based healthy lifestyle promotion for middle-aged people. The emerging technologies that are useful in promoting healthy lifestyle behavior among middle-aged people include: robotics, virtual reality, wearables, artificial intelligence, smart textiles, as well as centralized health information systems.

    CONCLUSION: This review sets as a pace-setter for future research on how emerging technologies can aid in the development of healthy lifestyles for the middle-aged and elderly population, allowing them to live a quality life as they age.

  11. Amir SM, Idris IB, Said ZM, Yusoff HM, Manaf MRA
    Iran J Public Health, 2023 Jun;52(6):1108-1120.
    PMID: 37484154 DOI: 10.18502/ijph.v52i6.12952
    BACKGROUND: This study reviewed cervical cancer policies implemented in developing countries that adhered to WHO standards. Despite long being known as a preventable disease, cervical cancer is still one of the leading causes of mortality among women. Nine out of ten cervical cancer deaths occurred in less-developed countries, suggesting that the preventive and control approaches in these countries might differ from those in developed nations.

    METHODS: Cervical cancer policies in six developing countries from each WHO region were selected while related data from the Cervical Cancer Country Profiles 2021 by WHO were retrieved for comparison.

    RESULTS: The cervical cancer policies that were included in this review were from Malaysia, Thailand, Iran, Kenya, Argentina, and Ukraine. According to the latest guidelines on the management of cervical cancers, WHO recommendations have been elaborated on primary, secondary, and tertiary prevention. A comparison of policies among these selected countries showed variation in each level of prevention. The cancer burden in each country was also found to determine the progression of cervical cancer prevention and policy controls in these countries.

    CONCLUSION: This review emphasizes the dissimilarities of cervical cancer policies in six developing countries compared to recommendations by the WHO. Identifying these discrepancies could help policymakers in developing nations to recognize the pressing issues surrounding cervical cancer prevention and establish more effective prevention and control approaches.

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