Displaying publications 81 - 100 of 101 in total

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  1. Mohd Rohaizat Hassan, Mohd Hafiz Yahya, Normala Basiron, Zairizam Zakaria, Mohd Rizam Abdul Rahman, Hazlina Mohd Miskam, et al.
    Int J Public Health Res, 2017;7(2):836-844.
    MyJurnal
    Introduction A study was conducted to determine the level of mothers' perception on children with cleft deformity and its associated factors
    Methods This was a cross sectional study involving 110 mothers with children attending the Plastic And Reconstructive Surgery Clinic. Data was gathered from a face to face interview based on a questionnaire that assesses the level of perception and its associated factors. The level of perception was evaluated from a scoring method and divided into four domains namely psychosocial, care management, treatment and education.
    Results The level of perception was high in all four domains ranged from 62% for treatment and 80% for education. Factors that were significantly associated with the level of perception were ethnicity, religion, type of cleft deformity and level of information.
    Conclusions Information regarding cleft deformity must be tailored toward mothers’ personal characteristics and type of cleft deformity to improve mothers' perception on this problem.
    Study site: Plastic And Reconstructive Surgery Clinic, Hospital Kuala Lumpur, Malaysia
  2. Mosa'ad Mohaideen, Aref Yousuf, Azimatun Noor Aizuddin
    Int J Public Health Res, 2017;7(2):852-859.
    MyJurnal
    Introduction The quality of education is one of the controversial topics and vital issues that
    requires more emphases from researchers due to the current challenges in
    education at the university level. Involvement and participation from the
    studentis essential to implement quality assurance and to reach for academic
    accreditation. The aim of this study is to assess knowledge, attitudes, and
    practices (KAP) of students towards TQM in education and its influencing
    factorsatHigh Institute of Health Sciences (HIHS) in Sana'a, Yemen.
    Methods A cross-sectional study using a self-administered questionnaire was
    conducted in 2016. A total of 208 students from second and third study levels
    in HIHS had participated from 268 students were observed (study
    population). Descriptive statistics, chi-square, and one-way ANOVA were
    used to determine the association between students’ KAP towards TQM in
    education with its influencing factors.
    Results Mean age of the students were 22.44(SD±2.027) year old. Majority of HIHS
    students were male 135 (64.9%) and 108 (51.9%) were from the third
    studying level. The highest students' KAP scores were 53.4%, 65.4%, and
    41.3% for good knowledge, good attitudes, and moderate practices
    respectively. Education Department was found to be significantly associated
    with students' knowledge and practices with p
  3. Diana Maha, Zaleha Md Isa, Azmi Mohd Tamil, Mohd Ihsani Mahmood, Fatimah Othman, Rashidah Ambak
    Int J Public Health Res, 2017;7(2):860-870.
    MyJurnal
    Introduction The most effective and affordable public health strategy to prevent
    hypertension, stroke and renal disease is by reducing daily salt consumption.
    Therefore, this study aims to determine the association of knowledge, attitude
    and practice on salt diet intake and to identify foods contributing to high
    sodium intake.
    Methods Secondary data analysis was performed on MySalt 2016 data. It was
    conducted from November 2015 until January 2016 which involving Ministry
    of Health Staff worked at 16 study sites in Malaysia. Salt intake was
    measured using 24 hours urinary sodium excretion. Food frequency
    questionnaire was used to determine the sodium sources. Knowledge, attitude
    and practice of salt intake were assessed using a validated questionnaire
    adapted from WHO. Demographic data and anthropometric measures also
    were collected. Sodium levels of more than 2400mg/day was categorised as
    high sodium intake. Data were analysed using SPSS software version 21.
    Results The mean sodium intake estimated by 24 hours urinary sodium excretion was
    2853.23 + 1275.8 mg/day. Food groups namely rice/noodles (33.8%),
    sauces/seasoning (20.6%), meat and poultry (12.6%) and fish/seafoods
    (9.3%) were the major contributors of dietary sodium. In multiple logistic
    regression analysis, being a male (aOR=2.83, 95% CI 2.02 – 3.96) and obese
    (aOR=6.78, 95% CI 1.98 – 23.18) were significantly associated with high
    urinary sodium excretions. In addition, those who were unsure that high salt
    intake can cause hypertension (aOR=1.24, 95% CI 0.65 – 2.36), those who
    think that they consumed too much salt (aOR=2.10, 95% CI 1.13 – 3.87) and
    those who only use salt rather than other spices for cooking (aOR=2.07, 95%
    CI 1.29 – 3.30) were significantly associated with high urinary sodium
    excretion.
    Conclusions This study showed that the main sources of sodium among Malay healthcare
    staff is cooked food. Poor knowledge and practice towards reducing salt
    consumption among them contributes to the high sodium consumption. The
    practice of healthy eating among them together with continuous awareness
    campaign is essential in order to educate them to minimize sodium
    consumption and to practice healthy eating.
  4. Rozita Zakaria, Lim, Ming Tsuey, Norsiah Ali, Nurainul Hana Shamsuddin, Norseha Isnin, Siti Hafsah Abdul Halim, et al.
    Int J Public Health Res, 2017;7(2):871-877.
    MyJurnal
    Introduction: Congenital malformations (CM) comprise a wide range of abnormalities of body structure or function that are present at birth and are of prenatal origin. It has contributed to a significant proportion of infant morbidity and mortality. The aims of this study were to determine the extent and investigate the relationship between CM and its associated demographic variables.
    Methods: Data was extracted from Ministry of Health (MOH) database compiled from the reports on Stillbirth & Under 5 Mortality from year 2013 to 2014.
    Results Out of 9,827 child death, 2,840 (28.9%) were classified under CM as defined under ICD-10 classification. Majority of those with CMs died at neonatal stage (62.7%) and among mothers aged between 20 to 35 years old (67.3%). The mean age of mothers among CM children was 30.8±6.5 years old. Approximately 5.8%, 6.7% and 3.3 % of total CM were neural tube defects, heart defects and hydrops fetalis respectively. The prevalence of CM in males was 15% higher than females. The difference were evident between CM and age of death of children under 5 years old (p<0.001) as well as between CM and maternal age groups (p<0.001).
    Conclusions: CM is responsible for 28.9% of total causes of child death with higher occurrence of malformation in males. A significantly higher risk of CMs among mother aged between 20 to 35 years old was observed. This emphasises the importance of raising awareness and the need to strengthen appropriate response for surveillance and prevention program of common CM in Malaysia.
    Keywords: Congenital malformations - Child death - Neonatal - Neural tube defects - ICD-10.
  5. Hasnor Hadi Asim, Normawati Ahmad, Abu Bakar Rahman, Nik Mansor Ibrahim, Mohd Nasir Abdullah, Md Sabtuah Royali, et al.
    Int J Public Health Res, 2017;7(2):807-813.
    MyJurnal
    Introduction Tong Nibong is a Bidayuh village located at Sarawak Kalimantan border.
    Since the year 2004 to 2009, a total of 537 cases of malaria were recorded in
    Serian District of which 14 cases were reported from Kampung Tong
    Nibong. Community empowerment programme for malaria infection
    prevention showed tremendous improvement in implementation. This
    intervention study aims to gauge the effectiveness of community
    empowerment approach in malaria elimination programme in Kampung Tong
    Nibong Serian.
    Methods An intervention study was conducted with pre and post data collection. Data
    was collected using validated questionnaire by face to face interview.
    Universal sampling method was used to select respondents from head of
    household and post data was collected after intervention activities were
    carried out within a year of study period.
    Results The study showed significant difference on level of knowledge of
    respondents on vector of malaria between pre and post data with a P < 0.05.
    There was significant difference between pre and post data on practices on
    control and prevention of malaria with a P < 0.05. The same goes to level of
    positive attitude of respondents towards malaria control.
    Conclusions In conclusion, the study can be considered successful because there is
    significant difference in knowledge, attitude and practice among the
    respondents between pre and post data. This indicates that community
    empowerment (voluntary participation) measures can be implemented in high
    risk or endemic areas where malaria is a persistent problem to the community
    and health institutions faces many limiting factors.
  6. Norlen Mohame, Lokman Hakim, S., Thahirahtul Asma Zakaria, Anis Salwa Kamarudin, Ahmad Riadz Mazeli, Sirajuddin Hashim
    Int J Public Health Res, 2017;7(2):814-828.
    MyJurnal
    Introduction: Most health advisories related to outdoor physical activity during haze are general in nature. The advisories normally advise everyone to reduce or limit prolonged exertion or heavy exertion without mentioning the acceptable duration for performing outdoor physical activity causing difficulty for public to decide to stop or cancel a particular outdoor or sport event. The aim of this paper is to determine the acceptable duration for performing outdoor physical activity pattern during haze based on API level.

    Methods: Health risk assessment approach that comprises of hazard identification, exposure assessment, dose-response, and risk characterization steps was used to determine the potential inhaled dose and risk associated with performing the physical activity during haze. We have considered many factors that include time spent for physical activity patterns for Malaysian adult, age and physical intensity-specific inhalation rate (m3/min), and the indoor/outdoor ratio of PM10. A hypothetical exposure scenario of PM10 was created using the breakpoints of PM10 concentration for the calculation of respective API levels during haze.

    Results: The association between physical activity pattern, API level and risk quotient were presented in the form of risk radar diagram. Based on the 50th percentile inhalation rate, all prolonged exertion and heavy exertion should be avoided when API reach >201 (very unhealthy) and >175 (unhealthy) respectively. Below the said API, the duration for performing prolonged exertion and heavy exertion should be reduced according to the API level. When API reaches 140, high intensity physical activity should be limited to < 90 minutes. A football match which requires 90 minutes, should be postponed of cancelled if API > 140. Whereas, for the same API level, prolonged exertion (moderate intensity physical activity) should be limited to 4 hours.

    Conclusions: Reducing the physical activity is an effective strategy to lower the dose of inhaled pollutants and reduce the health risk during poor air quality. Based on the assessment, taking into account the uncertainty of risk assessment methodology, we proposed all prolonged exertion should be avoided when API reach very unhealthy status (>201). Below the said API level, outdoor physical activity should be reduced according to the level of API respectively. The recommendation is not applicable for the sensitive groups. The computed risk radar provide a valuable guide for the public to organize or considering postponing an outdoor event during haze.
  7. Idayu Badilla Idris
    Int J Public Health Res, 2017;7(2):829-835.
    MyJurnal
    Emotional and behavioural problems among children have been increasing in many western as
    well as the eastern countries. Although the problem has been given attention and priority in
    terms of early detection, many children with early symptoms of emotional and behavioural
    problems has still not been detected at the early stages. This phenomenon is worrying as mental
    health problems were shown to be stable in the long run and if left undetected it may manifest
    into various problems in adulthood. This paper explores the issues on emotional and
    behavioural problems in terms of its definition, prevalence, aetiology, long term consequences
    and treatment. It also explores on mental health problems in a non-western country, i.e.
    Malaysia including its prevalence and intervention strategies which has been carried out in
    overcoming this worrying issue. Finally this review paper stresses the importance of providing
    a well-designed epidemiological study in Malaysia in assessing the current prevalence of
    emotional and behavioural problems in young children and adolescent
  8. Zulkifli Harun, Saharuddin Ahmad
    Int J Public Health Res, 2018;8(1):878-874.
    MyJurnal
    Introduction: Premature ejaculation (PE) is an important sexual problem among men attending health clinic. Impacts of this condition towards quality of life still require further exploration. Aims of the study is to determine the proportion and determinants for PE and its impact on Quality of Life (QOL) among men attending a public health clinic in Kuantan
    Methods: A cross-sectional study involving 290 respondents was conducted at a public health clinic over the period of five months (Nov 2015-March 2016). A validated self-administrated questionnaire that consisted of sociodemographic questionnaire, clinical characteristics, premature ejaculation diagnostic tool (PEDT) and WHO quality of life (WHOQOL-BREF) were used.
    Results: The proportion of PE was 33.9% with PE 18.1% (49/271) and probable PE 15.8% (43/271). Multivariate analysis showed that level of education (p=0.002, OR 3.281/95% CI 1.183, 9.101) and hypertension (p=0.047, OR 1.788/95% CI 1.008, 3.170) were the only significant predictors for PE after controlling self-reported erectile dysfunction, pulmonary and neurological disorder. PE patients had lower median scores QOL in all four domain namely physical health, psychological, social relationship, environment (all domains with p<0.001).
    Conclusions: The proportion of men diagnosed with premature ejaculation in this study is high and possibly associated with level of education and hypertension. Men with PE had lower quality of life in domains of physical health, psychological, social relationship and environment. Hence, it is
    recommended for PE screening among male attendees to primary health clinic especially those with hypertension and moderate level of education.
    Keywords Premature ejaculation - Quality of life - Sexual dysfunction.
    Study site: Klinik Kesihatan Jaya Gading, Kuantan, Pahang, Malaysia
  9. Norfazilah Ahmad, Mohd Rohaizat Hassan, Incham Manggat, Mohd Rizam Abdul Rahman, Hazlina Mohd Miskam, Sazman Wahab, et al.
    Int J Public Health Res, 2018;8(1):913-923.
    MyJurnal
    Introduction The Acquired Immuno Deficiency Syndrome (AIDS) is caused by Human Immunodeficiency Virus (HIV) infection and a disease with high morbidity and mortality.Young mothers are sub-populations that are at high risk for HIV through sexual activity. In addition, information on the level of knowledge, attitude and practice among young mothers in Malaysia regarding HIV/AIDS prevention is still limited.Therefore, the objective of this study is to examine the level of knowledge, attitudes and practices towards the prevention of HIV/AIDS among young mothers and the factors that influence them.
    Methods A cross-sectional study was conducted at a tertiary hospital in a city center among 147 young mothers aged 18-30 years old at the Post Natal and Obstetrics and Gynecology Ward (O & G). Data collection was conducted in April-November 2014 and the respondents' selection was based on simple random sampling. A questionnaire containing validated instruments was used in this study. Approval for conducting research has been obtained from the UKM Research Ethics Committee before the data collection procedure is implemented.
    Results Majority of the young mothers have good knowledge (78.8%) and practice (71.2%) towards HIV/AIDS prevention. While more than half of them (56.7%) have positive attitude towards the prevention of HIV/AIDS. Living in the urban area and being married are significantly associated with having good knowledge and positive attitude towards HIV/AIDS prevention. While, mothers who are 5 years older compared to the younger ones and being married are significantly associated with having good practice towards HIV/AIDS prevention.
    Conclusions The level of knowledge, attitudes and practices as well as the associated factors could be the baseline to formulate health intervention to prevent HIV/AIDS among this vulnerable group.
  10. Nor Dalila Marican, Rozita Hod, Nadiah Wan-Arfah, Azmi Hassan
    Int J Public Health Res, 2018;8(1):933-938.
    MyJurnal
    Introduction Non-specific low back pain is one of the most common physical ailments
    affecting millions of people worldwide. This condition constitutes a
    significant public health problem and was listed as a prevalent health
    complaint in most societies. Even though there are many anecdotal claims
    for reflexology in the treatment of various conditions such as a migraine,
    arthritis and multiple sclerosis, but very little clinical evidence exists for
    reflexology on the management of low back pain per se. This study aims to
    evaluate the effects of foot reflexology therapy as an adjunctive treatment to
    the Malaysian low back pain standard care in relieving pain and promoting
    health-related quality of life among people with non-specific low back pain.
    Methods This is a parallel randomized controlled trial with pre and post-treatment
    study design. The study setting for the intervention located at Penawar
    Reflexology Center, Kuala Terengganu, Malaysia. A total of 100
    participants with non-specific low back pain will be allocated to one of two
    groups, using a randomization computer program of Research Randomizer.
    The control group will receive low back pain standard care, while the
    intervention group will receive standard care plus eight sessions of foot
    reflexology therapy. The pain intensity and health-related quality of life
    scores will be measured using Visual Analogue Scale and Euro-quality of
    life scale respectively in both groups. The study was approved by the
    Human Research Ethics Committee of University Sultan Zainal Abidin
    (UHREC/2016/2/011). The study protocol was registered at
    ClinicalTrials.gov, with the ID number of NCT02887430.
    Measurements Outcome measures will be undertaken at pre-intervention (week 1), postintervention
    (week 6) and follow-up (week 10).
    Conclusions This will be the first trial to compare the foot reflexology therapy with
    control group among people who medically diagnosed with non-specific low
    back pain in Malaysia. The result of this study will contribute to better
    management of this population, especially for Malaysia healthcare setting.
  11. Edmund Yu, Wei Chang, Narwani Hussin, Marliana Abd Rahim, Sreevali, Muthuvadivelu, Chan, Wai Seong
    Int J Public Health Res, 2018;8(1):907-912.
    MyJurnal
    Introduction There is an increasing trend of obesity in children and adolescent globally.
    The objectives of this study were to identify the prevalence of overweight
    and obesity among students from secondary schools and to determine the
    mean random blood sugar (RBS) for the overweight and obese students.
    Methods This was a cross sectional study. Two secondary schools that were scheduled
    for visit by the School Health Team, Taiping in July 2016 were included. A
    standardized data collection sheet was used to collect the data. Overweight
    and obesity were defined based on WHO 2007 reference for BMI-for-age
    criteria. Random blood glucose was checked for overweight and obese
    students.
    Results A total of 184 school students consented and participated. 128 (69.6%) were
    female and 90 (48.9%) were Malays. The mean weight and height were 56.21
    kg and 1.61 m respectively with BMI of 21.49 kg/m2
    . Overall, the prevalence
    of obese and overweight were 12.5% and 10.9% respectively. Among the 4
    BMI groups, there were no significant difference found in sex (p=0.849) and
    races (p=0.536). However, there was significant difference (p=0.042) in
    mean RBS for obese and overweight students between races. RBS readings
    among overweight and obese students were within normal range with mean
    of 5.95 (0.67) mmol/l (range between 4.60 – 7.70 mmol/l).
    Conclusions The overall prevalence of overweight and obesity were comparable with
    other studies done in Malaysia. Nevertheless, there was no prevalence of
    Type II diabetes mellitus among them.
  12. Mohd Rizal Abdul Manaf, Ahmad Fareed Abdul Rahman Aniza Ismail, Sharifa Ezat Wan Puteh, Azimatunnoor Aizuddin
    Int J Public Health Res, 2018;8(1):950-955.
    MyJurnal
    Introduction The availability of obesity specific quality of life measurement tool is limited. The Malay version of Impact of Weight on Quality of Life-Lite is an obesity specific quality of life questionnaire which has been translated for use in Malaysia. The aim of this study is to evaluate the validity and reliability of this questionnaire to measure quality of life among different body mass index (BMI) groups.
    Methods One hundred and twenty subjects with different BMI categories who attended an outpatient government clinic were recruited for this study. The translated Malay version of IWQOL-Lite was used to assess the impact of weight on quality of life of respondents. Content validity, criterion validity and construct validity were used to assess the questionnaire validity while internal consistencies and test-retest reliability were used to assess the questionnaire reliability.
    Results The Malay version of IWQOL-Lite showed good psychometric properties. The content validity was agreed upon by expert panels. The mean score of all IWQOL-Lite domains were able to discriminate between different BMI groups. Good internal consistency was demonstrated by Cronbach alpha of 0.936. Test-retest reliability ranged from 0.828 to 0.932. The physical function score (IWQOL-Lite) correlated positively with Physical Component Summary of Short Form-36 questionnaire. Exploratory factor analysis found that the questions loaded on their respective five domains.
    Conclusions The results suggested that the Malay version of IWQOL-Lite is a valid and reliable tool to measure quality of life among obese and overweight subjects in Malaysia.
  13. Afifah Idris, Rosnah Ismail
    Int J Public Health Res, 2018;8(1):885-893.
    MyJurnal
    Introduction Married couples often do influence each other’s emotions and behaviors. The
    effect of this interpersonal marriage relationship on emotional job demands
    and job performance toward work-family conflict (WFC) is still under
    research. This article aims to determine the effects of married couple’s job
    factors (emotional job demands and job performance) on wife’s WFC.
    Methods A total of 120 dyads in private sectors were recruited via private invitations
    to social gatherings. Packets of self-administered questionnaires were given
    included emotional domain of Demand-Induced Strain Compensation,
    Spielberger Trait Anger Scale, work-family conflict and job performance
    measures. Dyadic analysis using Actor-Partner Interdependence Model was
    used.
    Results The emotional demand of wife significantly contribute higher effect (ES=
    0.34 (95%CI: 0.23, 0.45); p
  14. Norfazilah Ahmad, Siti Norbayah Yusof, Nurmawati Ahmad, Zaleha Md Nor, Juhaida Mohd Noor, Hasanain Faisal Ghazi, et al.
    Int J Public Health Res, 2018;8(1):924-932.
    MyJurnal
    Introduction Tuberculosis (TB) is a major global health challenge especially in low- and
    middle-income countries reflects improper, delayed or missed diagnosis.
    Contact screening should be utilized both as an efficient and effective
    targeted approach to intensify TB case finding.
    Methods Through a comprehensive systematic literature review of online database,
    this paper aims at providing an insight into the current practice of TB contact
    screening and to provide evidence based practice for formulation of
    appropriate policies in low- and middle-income countries. There are 24
    articles included in this review from studies published from 2005 to 2014.
    Results Findings in literature varies substantially. Generally, contact screening is
    better intensified with clear operational guidelines, adequate training, include
    close contact outside household as appropriate and follow up at least for 1
    year. Prioritizing high risk close contacts is helpful in resource limited
    setting. Tuberculin skin test is still of value as screening tool and intensified
    case finding must be accompanied with effective management protocol.
    Prophylaxis treatment is recommended especially for children especially less
    than 5 years old, unvaccinated, malnourished, living with person having HIV
    and close contact with MDR-TB.
    Conclusions Policy recommendations in improving TB management must incorporate
    complementary strategies to enhance case finding, effective management
    protocol for follow up or prophylaxis treatment, training for public health
    capacity and concerted dedication from various stakeholders
  15. Sam, Froze Jiee, Razitasham Safii, Helmy Hazmi
    Int J Public Health Res, 2018;8(2):956-964.
    MyJurnal
    Introduction Antenatal care is widely acknowledged as an effective tool to prevent adverse outcomes in pregnant women and their children. In Malaysia, early entry to antenatal care refers to a first visit within the 12th week of gestation. Delayed access to antenatal care has not been extensively studied in Malaysia, whereas several studies have reported a high prevalence of late antenatal booking in developing countries. The objective of this study was to determine the factors and barriers associated with late antenatal booking and the level of knowledge about the timing of antenatal booking among women of childbearing age in the Lundu District of Sarawak.
    Methods This was a cross-sectional study among 284 pregnant women in all five Maternal and Child Health (MCH) Clinics of Lundu.
    Results The prevalence of late antenatal booking in Lundu was 28.2%. Unmarried women were more likely to book their pregnancy late compared to married women. The prevalence of late antenatal booking was also higher among unemployed women than those who were employed. Respondents without their own income also tended to book their pregnancy later than those who had their own income. Significantly, a high percentage of late antenatal booking was also reported among those who never utilize any contraceptive method, did not plan their pregnancy, those without a history of past medical illness or complications in a previous pregnancy and among those who have a problem with their marriage certificate. Those who booked their pregnancy beyond the 12th week of gestation were also reported to have a lower level of knowledge about the need for an antenatal booking, as compared to those who started their antenatal care early.
    Conclusions Unplanned pregnancy, marriage certificate issues, an absence of past medical illness and past obstetric complications were significant predictors of late antenatal booking. Correct and appropriate information relating to antenatal care should be delivered to the public. Health education and advocacy are vital to promote the importance of early antenatal booking to achieve the goal of safe motherhood.
    Study site: Maternal and Child Health Clinics, Lundu, Sarawak, Malaysia
  16. Lim, Kuang Kuay, Chan, Ying Ying, Nur Azna Mahmud, Hasimah Ismail, Tan, Beng Chin, Chua, Boon Kee, et al.
    Int J Public Health Res, 2018;8(2):980-986.
    MyJurnal
    Introduction Iodine deficiency disorders (IDD) during pregnancy may impair the
    neurological development of the fetus. The aim of this study is to determine
    the iodine status among pregnant women (PW) in Sarawak after introduction
    of mandatory universal salt iodisation (USI) for seven years.
    Methods A total of 508 first trimester PW attending government Maternal and Child
    Health Care clinics in all 11 divisions in Sarawak between 1st April and 15th
    June 2015 were recruited. Urine samples were obtained and analysed for
    urinary iodine concentration (UIC) using the modified Sandell-Kolthoff
    reaction method. For pregnant women, an adequate iodine intake was defined
    as a median UIC between 150-249 µg/L according to the
    WHO/UNICEF/ICCIDD’s criterion. For further analyses, the 11 divisions
    were then combined into 3 regions, namely Northern (Miri, Bintulu,
    Limbang), Central (Kapit, Mukah, Sibu, Sarikei, Betong) and Southern (Kota
    Samarahan, Kuching, Sri Aman).
    Results The median UIC of the PW in Sarawak was 105.6 µg/L, indicating iodine
    deficiency. A total of 330 (65.0%) PW had UIC
  17. Natrah Rani, Faiz Daud, Hamidah Alias
    Int J Public Health Res, 2018;8(2):988-997.
    MyJurnal
    Introduction. The care of children with leukemia requires a high degree of observation and attention to ensure that the recommended treatment by the specialists is well implemented. This could somehow affect the social functionality, increase stress, anxiety and depression among caregivers of children with leukemia. Thus, this cross-sectional study was conducted to examine the prevalence and factors influencing stress, depression and anxiety among caregivers of
    children with leukemia.
    Methods. Number of sample is 54 respondents. Data were measured using the Bahasa Malaysia version of DASS-21 which was validated in previous study.
    Results The results showed that prevalence of low level stress among caregivers to children with leukemia was 88.9% while prevalence of high level stress was 11.1%. The prevalence of low level anxiety was 90.7% and the prevalence of
    high level anxiety was 9.3%. The prevalence of low level depression was 96.3% and the prevalence of high level depression was 3.7%. There were several factors that significantly influenced the stress and depression among
    the caregivers (p <0.05). Among the factors associated with stress status were the religion of caregivers and gender of the patients (p <0.05). Factors associated with depression status were the sex of caregivers and the relationship between caregivers and family members (p <0.05).
    Conclusions. In conclusion, socio demographic factors and the relationship between caregivers and family members affect stress and depression among caregivers while factors of knowledge-level do not affect stress, anxiety and depression among caregivers. Strategies are needed to help reduce stress, anxiety and depression among caregivers of children with leukemia.
    Keywords: Stress - Anxiety - Depression - Caregivers - Children with leukemia.
  18. Mohd Shafik Abd Majid, Fadzrul Hafiz Johani, Wan Rosmawati Wan Ismail, Diyana Mohd Mokhtar, Qistina Mohd Ghazali, Norfazilah Ahmad, et al.
    Int J Public Health Res, 2018;8(2):1005-1024.
    MyJurnal
    Introduction Strongyloides stercoralis is an intestinal helminth that infects humans
    through contact with soil containing the larvae.
    Methods A systematic search was performed for relevant titles, abstract and keywords
    in database from Cochrane Library, PLOS One, PubMed and several other
    sources in October 2017 based on PICO strategy. Out of 511 papers that were
    evaluated for possible inclusion, final assessment for eligibility has yielded a
    total of 17 papers to be included which were found suitable for analysis
    covering period from 2012 till 2016.
    Results A major challenge of giving an overview of prevalence data for S. stercoralis
    lies in the low sensitivity of diagnostic method used which resulted in very
    low prevalence in certain countries. Cambodia and Laos presented with high
    prevalence ranging from 17.4% to 45.9% by using high sensitivity of
    diagnostic methods. The current prevalence situation of S. stercoralis in
    Southeast Asia still have wide gaps remains due to several reasons.
    Conclusions The information we have today only scratches the surface which cannot truly
    reflect the true burden of S. stercoralis in Southeast Asia The main risk factor
    is personal hygiene practices especially amongst males.
  19. Safurah Khairul Fadzil, Marhanis Salihah Omar, Noorlaili Mohd Tohit
    Int J Public Health Res, 2018;8(2):998-105.
    MyJurnal
    Introduction The use of dietary supplements had risen over the years among chronic
    disease patients with most of it were of patients' own initiative. This study
    aimed to describe the supplements use, assess the knowledge and attitude
    towards supplements and its interaction with prescribed medication, and
    determine whether knowledge and attitude towards supplements could
    influence treatment adherence in chronic disease patients.
    Methods A cross-sectional study was conducted among chronic disease patients in
    Universiti Kebangsaan Malaysia Medical Center, Kuala Lumpur from
    September to November 2016 upon their written informed consent. This
    study consists of a collection of validated instruments that measured the use
    of dietary supplements and its reason; the knowledge and attitude on dietary
    supplements and supplements-drug interaction and medication adherence.
    Results A total number of 250 respondents were interviewed and 72.4% was found to
    use supplements of own initiatives. Most of the respondents were using
    supplements to maintain health (78.8%), prevent health problems (72.4%)
    and improve overall health (63.2%). It was found that respondents'
    knowledge on supplement-drug interactions were not at the satisfactory level.
    The treatment adherence was found not to be associated with knowledge and
    attitude towards supplements nor numbers of supplements use.
    Conclusions Chronic disease patients mainly knew on the purpose of supplements for
    health and wellness, but had less knowledge on supplement-drug interactions,
    warranting patients' education on that particular field.
  20. Siti Nor Mat, Norzaher Ismail, Syafiq Taib, Hasanain Faisal Ghazi, Zahir Izuan Azhar, Mohammad Saffree Jeffre, et al.
    Int J Public Health Res, 2018;8(2):1006-1014.
    MyJurnal
    Introduction Pneumococcal disease causes considerable morbidity and mortality,
    including among adults. Adult pneumococcal vaccines help to prevent these
    burdens, yet, they are underutilized. Our objective is to systematically collect
    and summarize the available evidence on the potential factors that lead to
    pneumococcal vaccination acceptance among of adult community.
    Methods A systematic literature search was conducted involving studies published
    from January 1999 to December 2015. The studies were identified by
    searching electronic resources (PubMed/MEDLINE and Pro Quest database)
    and manual searches of references. The keywords “vaccine/ immunization”,
    “uptake/ coverage”, “determinant/ factor”, and “Streptococcus pneumoniae/
    pneumococcus/ pneumococcal” were used. Final studies result and data were
    reviewed by two independent authors. Disagreement was resolved through
    discussion and consensus.
    Results A total of 171 studies were identified, only 17 studies were included in final
    discussion with 10 domains identified in the paper. 7 studies (41%) had
    reported that the provider domain, patients’ perception and
    socio-demographic factor have had the most effect on the pneumococcal
    vaccination acceptance rate. In addition, only 18% (3) of reviewed papers had
    highlighted that socio-economic was a factor influenced the pneumococcal
    vaccination acceptance while 24% (4 studies) were attributed to the comorbid
    domains.
    Conclusions Healthcare provider and patients’ perception about pneumococcal vaccination
    for adult population are significant domains which influence the acceptance
    towards vaccination. Strong recommendations from healthcare provider for
    pneumococcal vaccination would be an important step to increase vaccination
    acceptance among the population.
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