Displaying publications 61 - 80 of 92 in total

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  1. Vikneswaran Sabramani, Halim Ismail, Asrul Abdul Wahab
    Int J Public Health Res, 2015;5(2):584-591.
    MyJurnal
    Introduction Helminthiasis is a common parasitic condition particularly among children in
    rural areas in developing countries where poor hygiene standard is practiced.
    The study aimed to determine the prevalence of helminthiasis among Indian
    preschoolers in urban areas in Penang and its associated factors.

    Methods A total of 194 urban Indian preschoolers aged 4 to 6 years old were selected
    randomly from 11 kindergartens in the state of Penang for this cross sectional
    study. Data collection was carried out in 2 phases. First, microscopic stool
    examinations were done to examine the presence of helminths. Second, self
    administered questionnaires which inquired about human, environment and
    socioeconomic factors were completed by the parents/guardians.

    Results The overall prevalence of helminthiasis was 7.2% and the most frequently
    encountered infective agent was Ascaris lumbricoides (57.1%) and followed
    by the tapeworms (42.86%). The logistic regression indicated that habitual
    thumb sucking (AOR= 5.6. 95%CI: 1.73-18.39) and families owning
    domestic pets (AOR= 3.2; 95%CI: 1.03-10.14) were the significant
    contributing factors to helminthiasis among the Indian pre-schoolers in urban
    Penang. Although the prevalence of helminth infection among the urban
    Indian preschoolers is lower than rural area, it is still a public health concern.
    Children habitual thumb sucking and rearing domestic pets at home were the
    significant contributing factors in helminthiasis.

    Conclusion Prevention strategy should focus on health education and promotion among
    adults and children, awareness on domestic animal hygiene and maintaining
    good environmental sanitation. Multi agency collaboration is clearly
    essential, especially between state health, education and veterinary
    departments in curbing this disease.
  2. How, Vivien, Zailina Hashim, Dzolkhifli Omar
    Int J Public Health Res, 2015;5(2):592-596.
    MyJurnal
    Introduction This paper aims to investigate the potential pesticide dermal contamination
    among the agricultural community by observing the microenvironmental and
    macroactivity interaction between farm children and adult farmer.

    Methods A 24 hours timeline activity was observed and recorded in the agricultural
    farming village, Kuala Selangor. In this study, 2 homes were monitored for 2
    days following a pesticide application. A total of 2 adult farmers and 5
    children (7-10 year old) were recruited to participate in this study. Twentyfour
    hour videotape segments and time-activity diaries were collected during
    the study.

    Results The microenvironment and macroactivity interaction were modelled in this
    study. By considering only the potential dermal exposure pathway, the
    different biological vulnerability and exposure pattern to pesticides were
    observed. Finding showed a greater extent of interaction between human and
    its environment, where adult farmers are the main contributor of
    environmental contaminants, and children is one of the vulnerable receivers
    of the contaminants’ residuals from the environment.

    Conclusion The daily activities and behaviors practiced by the agricultural community
    were among the contributing factors which help to highlight the pesticide
    dermal contamination pathway in the farming village. This study
    recommends the necessary to consider the microenvironment and
    macroactivity of the target community when assess their exposure levels to
    the environment contaminants.
  3. Norlen Mohamed, Lokman Hakim Sulaiman, Thahirahtul Asma Zakaria, Anis Salwa Kamarudin, Daud Abdul Rahim
    Int J Public Health Res, 2016;6(1):685-694.
    MyJurnal
    Introduction During haze, at what level should Air Pollutant Index (API) showed, public
    or private school be closed is not without controversy and is very much
    debated. Therefore, the aim of this paper is to objectively quantify the
    potential inhaled dose of PM10 associated with exposure at school and home
    microenvironments during haze. The result of the health risk assessment will
    be used to propose the API level for closing the school during haze episode.

    Methods A hypothetical haze exposure scenario was created using the breakpoints of
    PM10 concentration for calculation of API and respective inhaled dose during
    haze. To determine the potential inhaled dose, we have considered many
    factors that include time spent for specific physical intensity at school and
    home microenvironments, age-specific and physical intensity-specific
    inhalation rate (m3/min), and the indoor/outdoor ratio of PM10. To calculate
    risk quotient (RQ), the inhaled dose was compared with the health reference
    dose computed based on the concentration of PM10 in the Malaysian
    Ambient Air Quality Standard.

    Results When considering the specific exposure at each microenvironment (school
    and home), the potential inhaled dose of PM10 was substantially lower when
    school is closed for both primary and secondary school. The calculated risk
    quotient (RQ) indicates that primary school children are likely to be affected
    at slightly lower PM10 concentration (equivalent to API of 197) as compared
    to secondary school children. Short duration of high physical activity
    intensity during school breaks has contributed to a large proportion of inhaled
    dose among school children indicating the important to avoid physical
    activities during haze.

    Conclusion Based on the assessment, taking into account the uncertainty of risk
    assessment methodology, we proposed school to be closed when API reach
    190 for both primary and secondary schools. These findings and
    recommendations are only valid for naturally ventilated school and applicable
    in the context of the current API calculation system and the existing
    Recommended Air Quality Guideline values in Malaysia.
  4. Abdulrahman Al Aizary, Faiz Daud
    Int J Public Health Res, 2016;6(1):700-706.
    MyJurnal
    Introduction Prolonged mechanical ventilation among cardiac surgery patient has been
    found to be correlated with negative clinical outcome and increased
    healthcare resources utilization. Prolonged mechanical ventilation (PMV)
    was defined as the accumulative duration of 24 hours or more of
    postoperative endotracheal intubation starting from transfer of the patient to
    cardiac ICU. This study is aimed to identify the risk factors preoperative,
    intra operative and postoperative for prolonged ventilation among cardiac
    patients in AL-Thawra Modern General Hospital (TMGH).

    Methods Observational study design was conducted during a two-month period (from
    1 August 2014 to 30 September 2014). It was among 70 patients who were
    admitted to cardiac surgery intensive care unit in Al-Thawra Modern General
    Hospital and selected by convenient sampling. The soci-demographic
    characteristic and clinical patient data were collected using short
    questionnaire developed by researcher. All patients had the same anesthetic
    and postoperative management. Statistical analysis was performed with SPSS
    version 20 and using bivariate analysis and multivariate logistic regression.
    The p-value of < 0.05 was found to be statistically significant.

    Results Incidence of prolonged mechanical ventilator post cardiac surgery was 37.1%
    (26/70) through bivariate analysis, multivariate logistic regression. Low
    Ejection fraction of Left Ventricle was inversely related to mechanical
    ventilation time (AOR= 0.872) with 95% confidence interval [0.790 - 0.963],
    hemodynamic instability were associated with prolonged mechanical
    ventilation time (AOR=16.35) with 95% confidence interval [2.558 -
    104.556].

    Conclusion Low ejection fraction of Left Ventricle and Hemodynamic Instability post
    operation were identified risk factors for prolonged mechanical ventilation
    post cardiac surgery.
  5. Nor Azian Mohd Zaki, Norhafizah Sahril, Mohd Azahadi Omar, Muhammad Hasnan Ahmad, Azli Baharudin, Noor Safiza Mohd Nor
    Int J Public Health Res, 2016;6(1):670-676.
    MyJurnal
    Introduction Physical activity assessment in children is the first step in assessing the
    relationship between activity and health, as well as the determinants of
    childhood physical activity and changes in activity level.Physical Activity
    Questionnaire for Older Children (PAQ-C) is self- administered
    questionnaire to assess physical activity among older children. The objective
    of this study was to determine the validity and reliability of Physical Activity
    Questionnaire for Older Children in Malay language PAQ-C (M).

    Methods The validation study was done among 73 students aged 10 to 17 years old.
    The PAQ-C was translated into Malay language using forward and backward
    translation. The evaluation of the psychometric properties included internal
    consistency, test-retest reliability and criterion validity. Reliability of PAQ-C
    (M) was determined using Cronbach alpha and intra-class correlation
    coefficient (ICC). The PAQ-C (M) was administered twice in one week
    interval to assess test-retest reliability. Criterion validity was assessed
    between PAQ-C (M) and 3 Day Physical Activity Recall (3DPAR).

    Results The internal consistency of PAQ-C (M) assessment calculated in this study
    was α = 0.75 and α = 0.77 for assessments one and two, respectively. The
    ICC between individual items of PAQ-C (M) was 0.59 to 0.91, indicating
    moderate to good correlation. The Spearmen correlation coefficient between
    PAQ-C (M) and 3DPARwas acceptable (r=0.60, p
  6. Hasimah Ismail, Mohd Azahadi Omar, Tahir Aris, Rashidah Ambak, Mohammad Fadhli Mohd Yusoff, Lim, Kuang Kuay, et al.
    Int J Public Health Res, 2016;6(1):677-684.
    MyJurnal
    Introduction The prevalence of Type 2 diabetes mellitus (T2DM) is increasing worldwide
    and many of these affected individuals remain unidentified. Undiagnosed
    T2DM may impose substantial public health implications because these
    individuals remain untreated and at risk for complications. The objective of
    this study was to determine the national prevalence of undiagnosed T2DM
    and to identify the associated risk factors.

    Methods A nationwide cross-sectional study was conducted involving 17,783
    respondents. Two-stage stratified sampling design was used to select a
    representative sample of the Malaysian adult population. Structured
    validated questionnaires with face to face interviews were used to obtain
    data. Respondents, who claimed that they were not having diabetes, were
    then asked to perform a fasting blood glucose finger-prick test by Accutrend
    GC machine.

    Results The prevalence of undiagnosed T2DM was 8.9% (n=1587). The highest
    percentage of undiagnosed T2DM was found among males (10.2%), 55-59
    years old (13.4%), highest education attainers of primary school (11.1%),
    Indians (10.3%), married (10.3%), working (8.9%) and living in the urban
    areas (9.2%). Multivariate analyses showed that factors associated with
    undiagnosed T2DM were gender, age group, ethnicity, marital status, obesity
    and hypertension.

    Conclusion This study found an increasing trend of undiagnosed T2DM in Malaysia
    compared to 2006. This finding is alarming as risk factors associated with
    undiagnosed diabetes were related to most of the socio-demographic factors
    studied. Therefore, early diabetic screening is crucial especially among adults
    aged 30 and above to prevent more serious complications of this disease.
  7. Norsham Shamsuddin, Syed Zulkifli Syed Zakaria, Rahman Jamal, Poh, Bee Koon, Mohd Ismail Noor
    Int J Public Health Res, 2015;5(2):643-653.
    MyJurnal
    Introduction Validation of instruments is essential when assessing physical activity (PA).
    The aim of this study was to validate a Malay language version of the
    International Physical Activity Questionnaire (IPAQ-M) against Actical
    accelerometer and to determine its reliability and validity.

    Methods A total of 90 Malay adults aged 35-65 years old participating in The
    Malaysian Cohort project were recruited for this study. The IPAQ-M is
    comprised of 12 items, covering vigorous, moderate, walking, sitting and
    sleeping activities, and was administered on two occasions (Day 1 and Day 9)
    by interviewing the participants. Participants wore the Actical accelerometer
    for seven consecutive days between the two interview sessions.

    Results Validity tests showed that time spent in moderate-vigorous physical activity
    (MVPA) (min wk-1) from IPAQ-M was significantly correlated with MVPA
    from accelerometer (=0.32, p
  8. Ahmad Ali Zainuddin, Mala A. Manickam, Azli Baharudin, Rusidah Selamat, Kee, Chee Cheong, Noor Ani Ahmad, et al.
    Int J Public Health Res, 2016;6(1):661-669.
    MyJurnal
    Introduction Overweight and obesity is a major public health problem in Malaysia. This
    study aims to determine the prevalence of overweight and obesity among the
    Malaysian adult population and their association with socio-demographic
    characteristics (gender, ethnic, and age groups).

    Methods A total of 17,257 adults aged 18 years and older (8,252 men, 9,005 women)
    were assessed for BMI status, with a response rate of 97.8%, through a
    household survey from the National Health and Morbidity Survey (NHMS),
    conducted in all states of Malaysia in 2011.

    Results All socio-demographic factors were consistently associated with higher
    chance of being overweight (except gender and location) and obesity (except
    location and household income). The identified risk of overweight were
    Indian (aOR: 1.8, 95% CI: 1.2-2.8), aged 50-59 years (aOR: 2.8, 95% CI:
    2.0-3.9), widower (aOR: 1.6, 95% CI: 1.3-2.0), subject with secondary
    education (aOR: 1.2, 95% CI: 1.0-1.4), Homemaker/unpaid worker (aOR:
    1.3, 95% CI: 1.1-1.4), and with high household income group (aOR: 1.3, 95%
    CI: 1.2-1.6). The identified risk of obesity were women (aOR: 1.4, 95% CI:
    1.2-1.6), Indian (aOR: 1.7, 95% CI: 0.9-3.2), aged 30-39 years (aOR: 3.6,
    95% CI: 2.4-5.5), widower (aOR: 1.2, 95% CI: 0.9-1.6), subjects with
    primary education (aOR: 1.2, 95% CI: 0.9-1.6), Homemaker/unpaid worker
    (aOR: 1.3, 95% CI: 1.1-1.6), and with middle household income group (aOR:
    1.3, 95% CI: 1.2-1.6).

    Conclusions Our data indicate a high prevalence of overweight and obesity in the
    population. Several sociodemographic characteristics are associated with
    both overweight and obesity. This study highlights the serious problem of
    overweight and obesity among Malaysia adults. Documentation of these
    problems may lead to research and policy agendas that will contribute both to
    our understanding and to the reduction of these problems.
  9. Lim, Kuang Kuay, Jambai Endu, Chan, Ying Ying, Teh, Chien Huey, Hasimah Ismail, Lim, Kuang Hock, et al.
    Int J Public Health Res, 2015;5(2):631-636.
    MyJurnal
    Introduction Following the reveal of borderline iodine sufficiency among the Sarawakians
    from the 2008 National Iodine Deficiency Disorders (IDDs) survey, a
    mandatory universal salt iodization (USI) was implemented in Sarawak
    thereafter. This study aimed to determine the current status of USI in
    Sarawak after a 3-year implementation of USI from 2008 to 2011.

    Methods The IDD survey was conducted between Jun 2011 to July 2011 involving six
    districts in Sarawak (Sarikei, Mukah, Kapit, Sibu, Bintulu and Miri). The
    schools were selected via multistage proportionate-to-population size
    sampling technique and the children were randomly selected via systematic
    sampling. A total of 19 schools and 661 children were recruited into the
    survey. Thyroid size was determined by palpation and was and graded
    according to the classification of the World Health Organization (grade 0-2).
    The iodine excretion level in spot morning urine was measured using inhouse
    microplate method. The urinary iodine concentration (UIC) values
    were compared by Kruskal-Wallis test and Chi-square tests were used to
    compare categorical variables.

    Results A total of 610 school children were participated in the study (92.3%). The
    TGR of grade 1 and 2 was found to be 0.3% (n = 2). Overall the median UIC
    level was 154.2 (IQR, 92.7 - 229.8) μg/L, with the highest median UIC been
    observed in Sarikei [178.0 (IQR, 117.6 - 308.9) μg/L], followed by Mukah
    [174.8 (IQR, 99.0 - 224.3) μg/L)], Miri [158.6 (IQR, 92.3 - 235.4) μg/L],
    Sibu [147.0 (IQR, 89.8 - 221.4) μg/L], Bintulu [142.3 (IQR, 52.8 - 245.1)
    μg/L] and Kapit [131.0 (IQR, 88.6 - 201.9) μg/L]. One in every ten child was
    of iodine deficient (UIC < 50μg/L) while a third of the child (32%) were of
    adequate level of UIC.

    Conclusion The present findings indicate that the mandatory USI successfully improves
    the iodine level of children in Sarawak. However, regular and proper
    monitoring of the UIC level in the communities is needed to prevent
    excessive iodine intake.
  10. Fariza Fadzil, Khadijah Shamsuddin, Sharifa Ezat Wan Puteh, Shuhaila Ahmad, Noor Shaheeran Abdul Hayi, Azah Abdul Samad, et al.
    Int J Public Health Res, 2015;5(2):637-642.
    MyJurnal
    Introduction In maternal healthcare, pre-pregnancy weight is used to predict pregnancy
    outcomes. Since no recorded data on pre-pregnancy weight, perceived weight
    is used alternatively. This study examines the relationship between perceived
    and actual weight among non-pregnant urban Malaysian women of
    childbearing age and identifies differences in perceived and actual weight by
    selected socio-demographic characteristics.

    Methods A cross-sectional study was conducted between April and June 2013 among
    urban Malaysian women attending public health clinics in the Klang Valley.
    Information on height, perceived current weight and time when their weight
    was last taken were obtained and actual weight was the average of two
    measurements (TANITA-HD-323-digital-scale). Socio-demographic data
    collected were age, ethnicity, education level, marital and employment status
    and total household income.

    Results Mean age of 371 women in this study was 28.81±5.65, 82.2% were Malays,
    62.8% had tertiary education, over 75% were married and employed, with
    more than half from middle-income households. Overall, the mean perceived
    and actual weight was 59.29±11.59 and 59.20±11.90 respectively. Pearson‟s
    Correlation test showed a very strong positive correlation between perceived
    and actual weight (r=0.957;p
  11. Suzaily Wahab, Shamsul Azhar Shah, Soo, Tze Hui, Siti Juliana Hussin, Mohd Fekri Ahmat Nazri, Izzatul Izzanis Abd Hamid, et al.
    Int J Public Health Res, 2015;5(1):531-537.
    MyJurnal
    Introduction Anxiety and depression were known to bring detrimental outcome in patients
    with ischemic heart disease (IHD). Notwithstanding their high prevalence
    and catastrophic impact, anxiety and depression were unrecognized and
    untreated. The aim of this study was to determine the prevalence of anxiety
    and depression among IHD patients and the association of this condition with
    clinical and selected demographic factors.

    Methods This was a cross-sectional study on 100 IHD patients admitted to medical
    ward in UKMMC. Patients diagnosed to have IHD were randomly assessed
    using Hospital Anxiety and Depression Scale (HADS) and Perceived Social
    Support (PSS) Questionnaire. Socio-demographic data were obtained by
    direct interview. Fifteen percent of IHD patients in this sample were noted to
    have anxiety, fourteen percent noted to have depression while thirty two
    percent was noted to have both anxiety and depression. Patients’ age group
    and the duration of illness were found to have significant association with
    anxiety. Socio-demographic data were obtained by direct interview.

    Results Fifteen percent of IHD patients in this sample were noted to have anxiety,
    fourteen percent noted to have depression while thirty two percent was noted
    to have both anxiety and depression. Patients’ age group and the duration of
    illness were found to have significant association with anxiety. The other
    clinical and selected demographic factors such as gender, race, marital status,
    education level, occupation, co-existing medical illness and social support
    were not found to be significantly associated with anxiety or depression
    among the IHD patients.

    Conclusions In conclusion, proper assessment of anxiety and depression in IHD patients,
    with special attention to patients’ age and duration of illness should be
    carried out routinely to help avert detrimental consequences.
  12. Sukhvinder Singh Sandhu, Noor Hassim Ismail, Krishna Gopal Rampal
    Int J Public Health Res, 2015;5(1):543-548.
    MyJurnal
    Introduction Physical activity reduces risk of non-communicable diseases. Physical
    activity prevalence is low due to barriers to physical activity. This study was
    conducted to translate the Barrier to Physical Activity (BPA) questionnaire
    into Malay and assess the reliability and validity of the translated version
    among nurses.

    Methods The Malay version of BPA was developed after translating the English
    version of BPA through back to back translation process. The Malay BPA
    was distributed among 306 volunteered nurses from 5 government hospitals
    in Selangor state. Factor analysis, Cronbach’s alpha test and test – retest
    reliability was conducted to determine psychometric properties of BPA.

    Results Chronbach’s alpha coefficient was 0.79 for perceived benefits items and 0.51
    for perceived barrier items (overall was 0.73). The ICC was 0.88 (95% CI:
    0.78-0.93) for test-retest testing after 7 days. Two factors components were
    yielded through exploratory factor analysis with eigenvalues of 3.9 and 2.0
    respectively. Both the factors accounts for 31.4 % of the variance. Factor 1
    included 14 items and explained 19.9% of the variance. Factor 2 consisted of
    5 items and explained 11.5% of variance. CFA yielded two factor structures
    with acceptable goodness of fit indices [x2/df = 23.99; GFI = 0.82, SRMR =
    0.09; PNFI = 0.49 and RMSEA = 0.10 (90%CI = 0.09-0.11)].

    Conclusions The Malay version of BPA had demonstrated satisfactory level of validity
    and reliability to assess barriers to physical activity. Therefore, this
    questionnaire is valid in assessing barriers to physical activity among
    working population.
  13. Ameen Saleh Saleh Sherah, Mohd Hasni Jaafar
    Int J Public Health Res, 2015;5(2):597-605.
    MyJurnal
    Introduction An Analysis of a Survey Questionnaire on health care workers’ knowledge
    and practices regarding of infection control and complains them to apply
    universal precautions. Health care workers are at substantial risk of acquiring
    blood borne pathogen infections through exposure to blood or other products
    of patients. To assess of infection control among health care workers in
    Sana'a healthcare centers, Yemen.

    Methods A cross-sectional study was conducted in the health center to assess
    knowledge and practices regarding of infection control among 237 health
    workers in Sana,a city. A structured self-administered questionnaires were
    used and data was analyzed using SPSS version 20 and the associations were
    tested with chi-square, with p-value of < 0.05.

    Results The health care workers in public centers ware (51.1%) and (48.9%) of them
    works in private centers. One hundred and seventeen (49.4%) respondents
    had poor infection control knowledge, 113 (43.5%) had fair knowledge, and
    17 (7.2%) had good knowledge. The knowledge was significantly associated
    with type of center (P < 0.018), such that the public center had the highest
    proportion with poor knowledge. And nurses and midwife having the highest
    proportion with fair knowledge of infection control. Eight (3.4%) respondents
    had a poor practice of universal precautions, 93 (39.2%) had fair practice, and
    136 (57.4%) good practice. The practice was significantly associated with the
    profession, level of education and work experience (P < 0.001), (P < 0.006),
    (P < 0.001) respectively, and nurses and midwives as the profession with the
    highest proportion with good practice.

    Conclusion We conclude that the practices and knowledge of universal precautions were
    low and that's need for intensive programmes to educate health care workers
    on various aspects of standard precautions and infection control programmes
    and policies.
  14. Sanaz Aazami, Khadijah Shamsuddin, Syaqirah Akmal
    Int J Public Health Res, 2015;5(2):606-612.
    MyJurnal
    Introduction Family satisfaction is referred to the extent in which family members feel
    happy and fulfilled with each other. However, there has been lack of
    evidences on the family satisfaction scale within the Malaysian context.
    Therefore, the aim of this study was to assess validity of the Malay version of
    the Olson’s Family Satisfaction Scale. This is to allow Malaysian researchers
    to bring family satisfaction in line with the different field of studies.

    Methods This study was conducted among 567 Malaysian working women. Data were
    collected using self-administrated questionnaires. This study conducted
    exploratory and confirmatory factor analysis, convergent validity and internal
    consistency using Cronbach’s alpha.

    Results The findings of this study support the uni-dimensionality of the Malay
    version of the family satisfaction scale. The 10 items of the scale account for
    68.1% of the total variance and the un-rotated factor loadings ranged from
    0.76 to 0.87. Confirmatory factor analysis was run and supported the
    structure of family satisfaction scale. The results of confirmatory factor
    analysis using AMOS 21 in the current study reported the following indices:
    RMSEA= 0.06, CFI= 0.94, NFI= 0.94, TLI= 0.93. The convergent validity
    (average variance extracted= 0.65) and the internal consistency (Cronbach’s
    alpha= 0.94) of this construct were adequately supported.

    Conclusions The findings support the factor structure, convergent validity and the internal
    consistency of the examined construct. Therefore, Malay version of the
    family satisfaction scale is a valid and reliable instrument among Malaysian
    working women.
  15. Norfazillah Ab Manan, Rozita Hod, Hanizah Mohd Yusoff, Mazrura Sahani, Rosnah Ismail, Wan Rozita Wan Mahiyuddin
    Int J Public Health Res, 2016;6(1):707-712.
    MyJurnal
    Air pollution has been widely known to have an influence on health of the general population.
    Air pollution can result from natural causes, human activities and transboundary air pollution.
    Weather and climate play crucial role in determining the pattern of air quality. In recent years,
    air pollution and recurrent episodes of haze has become a major concern in Malaysia.
    Surveillance data on concentrations of main air pollutants such as carbon dioxide, (CO2),
    Nitrogen Dioxide (NO2), Ozone (O3), sulphur dioxide (SO2) and particulate matter (PM10)
    were found to be higher during the haze days and this may have an impact on health of the
    community as reflected by an increase in hospital admissions particularly the respiratory and
    cardiovascular diseases.
  16. Zahir Izuan Azhar, Shamsul Azhar Shah, Tan, Susan, M.K., Syed Sharizman Syed Abdul Rahim
    Int J Public Health Res, 2016;6(1):713-718.
    MyJurnal
    Introduction The risk factors associated with mental health among adolescents are usually
    described by researchers at an individual level. Neighbourhood factors and
    health have opened a new insight into the field of epidemiology. The aim of
    this study was to assess the reliability and validity of a newly developed
    Neighbourhood Factors on Mental Health Questionnaire among Malaysian
    adolescents.

    Methods A cross-sectional study was conducted in four secondary schools in Kuala
    Lumpur, Malaysia using a newly developed questionnaire which comprised
    of two main domains and seven items. Exploratory factor analysis and
    Cronbach‟s alpha were used to measure the instrument‟s construct validity
    and reliability.

    Results A total of 106 adolescents participated in this research. The majority of
    adolescents were 13 years old (40.6%), female (55.7%), Malays (68.9%),
    have parents who only studied until secondary school (66.0%) and lived in
    flats (32.1%). Bartlett‟s Test of Sphericity was significant (Chi-square =
    258.361, p
  17. Fateh Addin Nejm Addin Al-Emad, Zaleha Md. Isa
    Int J Public Health Res, 2017;7(1):783-790.
    MyJurnal
    The aim of the study was to assess the knowledge and attitude of secondary school students in Sana'a Yemen related to exposure to second-hand smoking.
  18. Narwani Hussin, Hafizah Jumat, Mabelle Wong, Liau Siow Yen, Jeremy Robert Jinuin Jimin, Beh Boon Cong, et al.
    Int J Public Health Res, 2017;7(1):757-764.
    MyJurnal
    Rheumatic heart disease is still endemic in developing countries and among the indigenous population in developed countries. However, there is no comprehensive data on rheumatic heart disease patients in Malaysia. The Cardiology Department of Queen Elizabeth ll Hospital (QEH ll), Sabah started this hospital-based registry in 2010. The objective of this analysis was to report the demographic profile, severity of disease, types of valve involvement and the practice of secondary prophylaxis among these patients.
  19. Kamal Kenny, Zoharah Omar, El Sheila Kanavathi, Priya Madhavan
    Int J Public Health Res, 2017;7(1):765-773.
    MyJurnal
    Health care systems play a vital role in providing health services and in optimising the population’s health of each nation. The Malaysian health care system primarily consists of the public and private health services. One of the prominent private health care services offered in the General Practitioner’s (GP) Clinic. Despite the prominent role GPs play in the health care system in this country, little is known about their practices, the issues and challenges faced by GPs in this country. The objective of this study was to describe the current GP practice operations in Malaysia in terms of its general operations, financial expenditure and revenue, market competitiveness and laboratory services offered by the clinics.
  20. Muhammad Adil Zainal Abidin, Hayati Kadi @ Shahar, Rosliza Abdul Manaf
    Int J Public Health Res, 2017;7(1):774-782.
    MyJurnal
    Smoking is one of the addiction problems that needs an effective intervention. Smoking cessation studies have shown the promising result, but the central issue was to prevent relapse. A retrospective cohort study was conducted at Quit Smoking Clinic in Klinik Kesihatan Tanglin, Kuala Lumpur to determine the outcome and predictors of smoking cessation.
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