International Journal of Public Health Science (IJPHS)
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Supportive work environment for people with Down syndrome in Malaysia: a cross-sectional study
Get PDFUnderstanding organizational culture, knowledge of employment rights, and positive attitudes towards people with disabilities is crucial for creating inclusive workplaces. This Malaysian study compared the perspectives of employers, employees, and community members with disabilities using a cross-sectional design and convenience sampling of 595 respondents. Data on demographics, organizational culture, legislative knowledge, and attitudes were collected via a validated survey and analyzed using descriptive statistics, one-way analysis of variance (ANOVA), and multiple linear regression in JAMOVI and SPSS, with a p-value<.05 indicating significance. The study found a moderately supportive organizational culture for employing people with disabilities, with the highest scores in supportive work environments and inclusive culture. Employers and employees perceived greater top management commitment and inclusivity than community members with Down syndrome. Legislative knowledge and positive attitudes significantly shaped perceptions of a supportive and inclusive workplace. Muslim participants reported greater support and disability-accommodating human resource (HR) practices than those of other religions. The findings underscore the need for targeted training and awareness programs on disability rights to enhance inclusivity among all stakeholders in Malaysia
Depression, social support and management preferences among Ghanaian post-stroke patients: a case study
Get PDFPost-stroke depression (PSD) significantly impacts the lives of cerebrovascular accident (CVA) survivors, yet tailored support systems and management preferences remain under-researched, particularly in specific healthcare settings. This study assessed the experience of depressive symptoms among CVA survivors, the support systems available to them, and their preferred management methods at the Ledzokuku-Krowor Municipal Assembly (LEKMA) Hospital in Ghana. Utilizing the descriptive case study design, 50 CVA patients were surveyed using a self-structured questionnaire and the Centre for Epidemiological Studies Depression Scale Revised (CESD R-20). Data were analyzed with Microsoft Excel and STATA version 17. Chi-square test of association was used to measure the severity of depression and specific demographic groups. Results indicated a high prevalence of depression (86%), with 10% experiencing moderate and 76% severe depression. Marital status significantly correlated with post-stroke depression (PSD) severity. Primary support sources included spouses/partners and children, providing various forms of support such as physical assistance, emotional well-being, and financial aid. Preferred management options were pharmacology and psychotherapy, driven by the desire for quick symptom relief and concerns over medication side effects and costs. These findings highlight the critical need for enhanced support systems and responsive management strategies to include depression for CVA survivors
Cross-lagged panel insights into health, social, and economic in life satisfaction
Get PDFThis study examines life satisfaction in older Thai adults as shaped by dynamic interactions among health, social, and economic factors. Most prior research-both globally and in Thailand-has relied on cross-sectional designs, limiting understanding of cross-lagged relationships. Closing this gap led to the following research objectives: i) assess the stability of health, social, and economic factors and life satisfaction, ii) examine reciprocal and temporal relationships among these domains, and iii) explore age-related variations. Data were drawn from Wave III and IV of the Health, Aging, and Retirement in Thailand (HART) survey (n = 561) and analyzed using cross-lagged structural equation modeling. The findings demonstrated stability in social activity, physical health, mental health, and life satisfaction in both waves. Cross-lagged effects revealed reciprocal and temporal relationships, where mental health influenced future physical health, and life satisfaction impacted subsequent mental well-being. Age-specific differences emerged, with stronger effects in middle-aged adults, where life satisfaction had a greater effect on future mental health, and mental health more strongly influenced physical health over time. Among those aged 60 and older, physical health exhibited the highest stability, while life satisfaction and mental health effects weakened, suggesting age-related shifts in well-being
Spatial analysis and forecasting map of diarrhea incidents in Banjar District
Get PDFDiarrhea is a common disease in the community and can be fatal if treatment is delayed. Banjar District has recorded the highest prevalence of diarrhea in South Kalimantan for the past few years, making it one of the causes of death in toddlers. This study aims to conduct spatial analysis using Moran's I index and local indicators of spatial association (LISA). Diarrhea case predictions are made using the multiplicative decomposition time series method. The data used in this study are diarrhea case data from 20 sub-districts in Banjar District during the period 2016-2022. Although no global autocorrelation was found in Banjar District, there were two sub-districts that showed local autocorrelation. The prediction results show a decreasing trend in diarrhea cases in most sub-districts. Health interventions can be focused on areas with high risk, such as hotspot areas and areas predicted not to experience a decrease in diarrhea cases
SEaM mobile card game and animated video for increasing knowledge and attitudes of early marriage prevention
Get PDFAn international problem that might jeopardize the lives, futures, and well-being of adolescents is early marriage. A couple who marries before the age of eighteen is considered an early marriage. Knowledge and attitudes towards early marriage are among the variables that can impact its incidence. This study aimed to determine the effect of using the SEaM Mobile Card Game and animated videos on increasing the knowledge and attitudes of adolescents about early marriage prevention. The research design is a quasi-experiment with a non-equivalent approach (pre-test and post-test) control group design. The sample amounted to 148 respondents. The instruments used in this study were knowledge questionnaires on early marriage prevention, attitude questionnaires on early marriage prevention and usefulness, ease of use, ease of learning, and satisfaction (USE) questionnaires. The research data were analyzed using Wilcoxon and Mann Whitney with a significance level of p<0.05. The results of this study were that there was a significant difference in adolescent knowledge about early marriage prevention in the SEaM Mobile Card Game group and animated videos after education (p=0.013) and there was a significant difference in adolescents' attitudes toward early marriage prevention in the SEaM Mobile Card Game group and animated videos after education (p=0.000)
A meta-analysis of long-term COVID-19 symptoms
Get PDFThis meta–analysis examines the far–reaching effects of long COVID (LC), highlighting the need for welfare strategies emphasizing the Parity of Esteem. The analysis of clinical studies reveals the prevalence of LC across various demographic factors, including age, gender, infection type, and severity. The findings highlight persistent pulmonary impairments that result in post-COVID pulmonary fibrosis (PCPF), long-term cardiovascular symptoms, gastrointestinal issues, dermatological concerns, and neuropsychiatric outcomes. These effects continue beyond the acute phase of COVID-19, affecting both symptomatic and asymptomatic people. The study emphasizes that LC is not only a physical ailment but also has a significant impact on mental health, necessitating a holistic approach to healthcare. Psychological and emotional distress among LC patients necessitates empathetic support. This study concludes by emphasizing the significance of LC and advocating for data-driven healthcare policies and assistance programs to address the unique challenges encountered by COVID-19 survivors. For managing the long-term effects of LC on both physical and mental health, an unwavering commitment to parity of esteem is crucial
Health consideration in food consumption: impacts of education level and custom rules adherence
Get PDFIndividual attributes, such as educational background, may influence the degree of health consideration in food consumption. The local social norms may affect the same consideration in the collective level. Represented by education level and the custom rules adherence in food choosing behavior, this study aimed to examine how knowledge influences health consideration in food consumption and how the local social norms moderate this association in a multicultural enriched society. By utilizing the Bayesian Mindsponge Framework (BMF) as a conceptual framework, this study analyzed a dataset of 710 urban residents in Indonesia. There was a negative association between education level and health consideration in food consumption in which the custom rules adherence in food choosing behavior moderated against this negative association. For those with a low level of custom-based food consumption, their health consideration is lower as they have higher education level. However, the opposite trend which is a more intuitive positive association was found in those who consume more custom-based food. Socio-cultural factors have a complex impact on food choosing behavior among Indonesian urban residents. Therefore, governmental policies in the health promotion campaign of healthy-nutritious food should incorporate socio-cultural aspects with a deeper understanding of the human mind’s information processing
An analysis of the maternal health referral system: a case study of the BAKSOKUDA system in Central Lombok, Indonesia
Get PDFMaternal mortality remains a critical concern in Central Lombok, with over 50% of maternal deaths in hospitals involving cases referred through the BAKSOKUDA referral system. This suggests potential failures within the referral process, raising concerns about systemic issues compromising maternal health emergencies. This research uses a qualitative case study methodology to investigate the BAKSOKUDA system, aiming to identify the challenges contributing to high maternal mortality and provide insights for improving healthcare outcomes. Data were collected through semi-structured interviews with eleven participants: midwives, doctors, nurses, and a hospital manager. Thematic analysis identified several critical issues: communication breakdowns, inconsistent adherence to protocols, difficulties in securing family cooperation, inadequate infrastructure, and lack of community support for blood donation. These findings highlight four interrelated components—human resources, the professional environment, patients and families, and community support—as central to effective maternal health systems. To address these challenges, the study recommends enhancing communication and protocol adherence, providing comprehensive midwife training, promoting cultural sensitivity, and addressing systemic issues like ambulance availability. Strategic planning, resource allocation, and regional coordination are essential to improving infrastructure and ensuring effective referrals. The findings stress the need for a holistic approach, continuous improvement, and active community engagement to optimize maternal care
Changing perceptions on menstrual practices in Southern Bangladesh: a cross-generational study
Get PDFMenstruation, a natural biological process, remains deeply intertwined with women's lives but is surrounded by superstitions and stigmas, posing health risks. This study explores generational shifts in menstrual perceptions, focusing on women's knowledge, rituals, social stigmas, and the evolving sources of socialization. Using a phenomenological approach, interviews were conducted with women from 25 households, spanning three generations. Thematic analysis has been used to analyze the data. Findings revealed that while the first and second generations understood menstruation primarily as a sign of fertility and bodily maturity, the third generation recognized it as a hormonal process. Hygiene practices also varied, with older generations relying on cloths and holy water for pain relief, whereas younger women opted for sanitary pads and were more aware of the dangers of unhygienic practices. Additionally, the study highlighted prevalent misconceptions and stigmas among the first and second generations, while the third generation was more informed, open, and vocal about menstruation. The process of socialization around menstruation has also evolved; earlier generations mainly learned from their mothers, with little involvement from male family members. In contrast, the third generation gained knowledge from both parents and media, reflecting a significant shift in the cultural dialogue surrounding menstruation
The effect of family resilience intervention program for caregivers of schizophrenia patient
Get PDFCaregivers with schizophrenia face physical, psychological, and financial burdens. Although existing research supports the efficacy of interventions to improve the mental health and wellbeing of caregivers living with schizophrenia patients, there are a number of limitations to the existing evidence. This study aims to assess the effectiveness of a family resilience intervention program for caregivers with schizophrenia using a randomized controlled trial in Central Java, Indonesia. This is a non-blinded study with two parallel arms and an active control group. The intervention group received a combination of face-to-face and interactive online delivery strategies for six weeks. The conner–davidson resilience scale and McMasters family assessment device (FAD) were used to measure study outcomes. The study uses repeated measures analysis of variance, Cohen' d test, and general estimate equations to analyze the data. The study involved over 230 caregivers and found that the family resilience intervention program significantly improved resilience and family functioning scores after the intervention. The study also revealed a moderate effect size on resilience and family functioning. The study suggests that primary healthcare centers should be involved in early detection and monitoring of psychosocial issues within families to maintain and improve their mental health