Kesmas: National Public Health Journal
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Occupational Stress among Academicians between Two Selected Universities in Malaysia and Indonesia During the COVID-19 Pandemic: A Comparative Study
No full textOccupational stress has become a major concern for both employees and employers globally. Stress leads to a loss of interest among workers as well as unproductive and valueless outputs if not managed well. The education sector is one work setting dominated by stress. This comparative cross-sectional study aimed to determine the levels of depression, anxiety, and stress among academicians as well as their work-related stressors and coping strategies between a selected public university in Malaysia and a private university in Indonesia. A total of 82 academicians from universities in Malaysia and 52 from Indonesia were recruited using convenience sampling. Data was collected using a validated self-reported questionnaire via Google Forms. The prevalence of depression, anxiety, and stress among Malaysian academicians was 19.5%, 29.5%, and 12.2%, respectively. In contrast, the prevalence of depression, anxiety, and stress among Indonesian academicians was 15.7%, 33.3%, and 9.8%. Career development, research, teaching, and interpersonal relationships significantly contributed to stress at both universities (p-value<0.05). Participants from both universities reported using active coping, planning, venting, self-distraction, positive reframing, acceptance, and religion as coping strategies. In conclusion, determining depression, anxiety, and stress prevalence; major work-related stressors; and coping strategies are essential to maintaining the safety, health, and well-being of academicians, which eventually can encourage university administrators to provide support in enhancing their quality of life
Role of Partner and Health Workers on Modern Contraceptive Use Among Married/In-union Women in Uzbekistan
Full text linkMany factors contribute to the declining total fertility rate, including family planning programs. The successful implementation of the family planning method might be influenced by how the decision to choose a contraceptive method was made. This study aimed to examine the correlation between family planning decision makers and modern contraceptive use among married/in-union women of reproductive age in Uzbekistan. The 2021-2022 Multiple Indicator Cluster Survey was used by selecting only married/in-union women of reproductive age of 15 to 49 years, totaling 2,794 eligible samples. The modern family planning use variables were divided into not using, using Long-Acting Contraceptives (LAC), and Short-Acting Contraceptives (SAC). The univariate, bivariate(Chi-square and ANOVA), and multinomial logistic regression were performed. Family planning decision-makers from both women and husbands/partners, health workers, or others were significantly associated with modern contraceptive use for SAC and LAC, respectively. The type of family planning methods was significantly influenced by decision-makers. Spouses, family members, and health workers need to implicate women to decide the most applicable contraceptive method
Development of Pandemic Burnout Inventory for Health Personnel
Full text linkThe COVID-19 pandemic has increased the workload of health personnel in Indonesia, and the risk of burnout has thus doubled. Several instruments exist to assess burnout, but none have been specifically developed for health personnel during the COVID-19 pandemic. Therefore, to close this gap, developing a Pandemic Burnout Inventory for health personnel is important. This study used mixed methods with a sequential exploratory design at five COVID-19 referral hospitals. A total of 30 informants were employed in the qualitative phase, selected using an intensity sampling approach, and 731 respondents in the quantitative phase were obtained in field trials and online questionnaires. Finally, a Pandemic Burnout Inventory was formed with 14 items. The content validity, based on expert judgment, showed very good results. The assessment of item discrimination and construct validity showed good results. The concurrent validity and reliability of the instrument showed fairly good results. In general, the Pandemic Burnout Inventory meets the criteria for a good instrument according to psychometrics: it is objective, standard, valid, and practical. Health care institutions can use this instrument to evaluate and prevent the deterioration of the mental health condition of health personnel handling COVID-19 or similar health crises
Comparison of Prevalence and Associated Factors of Multisystem Health Symptoms Among Workers in the Gas Station Area, Thailand
No full textThis cross-sectional study aimed to compare the prevalence of multisystem health symptoms (MHS) of workers in gas station areas before and after their employment and examine the factors affecting the MHS of workers. Data were collected by an interview questionnaire from 200 workers inside and outside refueling areas at eight gas stations in Rayong Province, Thailand. This study found that employees had a statistically significant increase in the prevalence of current MHS in comparison to before starting work (p-value<0.05), with 31.5%. Working overtime for more than 6 hours per week led to respiratory symptoms (OR = 2.63, 95% CI = 1.14–6.07) and psychological symptoms (OR = 2.69, 95% CI = 1.12–6.49). Wearing respiratory protective equipment for less than three hours affected ear/throat/nose systems (OR = 4.26, 95% CI = 1.43–12.65). Petrol refueling resulted in liver (OR = 2.32, 95% CI = 1.4–12.65) and eye symptoms (OR = 2.57, 95% CI = 1.10–5.39). Therefore, gas station owners should set up enclosed rooms to reduce the duration of fuel exposure, and workers should wear personal protective equipment when refueling or near the dispenser
The Effect of Fluid Overload Control Program on Knowledge and Behavior Among Caregivers of End-Stage Renal Disease Patients on Hemodialysis
Full text linkEnd-stage renal disease (ESRD) is a pressing health issue, and patients on hemodialysis frequently grapple with fluid overload. In Chiang Mai, Thailand, from September to November 2022, this study was conducted to assess the impact of an educational program on the knowledge and behavior of caregivers managing fluid overload in ESRD patients. Using a quasi-intervention design, participants were categorized into two groups: the intervention group, which underwent the educational intervention, and the control group, which continued with standard care. The educational content was grounded in existing studies and insights from healthcare professionals, caregivers, and patients. Post-intervention results revealed a significant enhancement in the knowledge and behavior of caregivers in the intervention group regarding fluid overload control compared to the control group (p-value<0.05). This study emphasizes the potential benefits of structured and evidence-based educational initiatives in equipping caregivers with the tools they need to better manage fluid balance, ultimately leading to improved patient outcomes
Government or Donor: The Budget for HIV/AIDS Control and Financial Commitment in Bandung City, Indonesia
Full text linkThe number of HIV/AIDS cases in Indonesia has steadily increased since 1987. West Java Province, especially Bandung City, had the highest HIV/AIDS cases among other districts/cities in 2016. Some stakeholders' interventions overlap with others, leading to inefficient use of the limited government budget and flattening international donor funding. This study aimed to estimate the HIV/AIDS budget in Bandung City and then segregate the share of the budget by funding source and objectives. This study was a part of the Priority Setting Involving Stakeholder Using Multiple Criteria (PRISMA) project in 2017 to prioritize HIV/AIDS interventions knowing that Bandung City had the highest HIV/AIDS cases. Data from several institutions and relevant budget allocations were obtained before (2016) and after (2018-2019) the PRISMA project. HIV/AIDS control programs in Bandung City largely depend on international funding: 49% in 2016 (~USD208,898), 85% in 2018 (~USD386,132), and 71% in 2019 (~USD389,943) for a total of ~USD1,433,216. The largest budget was allocated to core interventions, with prevention dominating the budget since 2018. The budget allocated for prevention increased significantly from 2016-2019, most likely under the influence of the PRISMA project
Dietary Changes Among Normal and High Blood Pressure Adolescents During the COVID-19 Pandemic
Full text linkThe COVID-19 pandemic has significantly impacted adolescents' unhealthy eating habits and sedentary lifestyles, leading to an increase in blood pressure and obesity rate. High blood pressure among adolescents is an early indicator of adult hypertension, but this condition has received less attention recently. Therefore, this study aimed to determine the differences in dietary changes among high school students with normal and high blood pressure before and during the COVID-19 pandemic in West Lampung District, Indonesia. A cross-sectional design was used, and the sample population consisted of 167 students aged 14-19 years. The results showed that 43 participants had elevated blood pressure and stage 1 hypertension, accounting for 25.7% of the total population. Among these participants, 14 (32.6%) were found to be overweight and obese. Based on the results, students with high blood pressure were less likely to improve their dietary choices during the COVID-19 pandemic than those with normal blood pressure
COVID-19 Prevention in People Living with HIV/AIDS: Entering the Endemic Phase
Full text linkThe mortality and severity risks due to COVID-19 infection are higher in people living with HIV/AIDS (PLWHA) than those with no such condition. This study aimed to analyze the relationship between health literacy, social support, and the health belief model in PLWHA in preventing COVID-19 from entering the endemic phase. An analytic observational study with a cross-sectional design was conducted in October 2021 among 94 PLWHA selected by purposive sampling in Kupang City, Indonesia. The bivariate data analysis used the Chi-square, and the multivariate data analysis used the binomial logistic regression test. The results showed that 88.3% of the participants had poor COVID-19 literacy, 67% had low emotional support, and 71.3% had poor COVID-19 prevention behavior. The results of the multivariate analysis showed that the factors with the strongest association, COVID-19 literacy (95% CI = 1.71–108.55; PR = 4.15)and emotional support (95% CI= 1.01–53.81; PR = 2.35), improve COVID-19 prevention behavior. Implementing communication, information, education, and policy strategies is important to improve literacy and emotional support to prevent COVID-19 from entering the endemic phase among PLWHA
Healthy Lifestyle Behaviors and Sociodemographic Characteristics Among Medical Students in Indonesia During the New Normal Era: A Cross-Sectional Study
No full textThis study aimed to identify medical students’ healthy lifestyle behaviors during the new normal era and to determine its relationship with sociodemographic factors, bearing in mind that, as future physicians and health role models, medical students play an important role in adopting and promoting healthy lifestyle behaviors to reduce the risk of future health problems as well as optimize communities’ health status. This cross-sectional study was conducted at the School of Medicine and Health Sciences of Universitas Katolik Indonesia Atma Jaya, with 111 medical students selected through stratified random sampling. Data were collected using sociodemographic characteristics (sex, residence, year of study, and participation in health promotion training) and the Health-Promoting Lifestyle Profile-II (HPLP-II) questionnaire and analyzed using descriptive and bivariate analyses. The results showed a moderate total HPLP-II score (2.46± 0.37). Interpersonal relations had the highest mean score, and health responsibility had the lowest. A significant difference in the total HPLP-II scores was identified between students participating in health promotion training and those who did not (p-value = 0.049). Further study is needed to explore other factors influencing healthy lifestyle behaviors among medical students
Rehabilitation Management to Improve Respiratory Function in Severe and Critical COVID-19 Survivors: A Literature Review
No full textPost-acute COVID-19 symptoms impact the quality of life, and pulmonary rehabilitation is recommended. This study explored the implementation, outcomes, and barriers of such programs for severe and critical COVID-19 survivors, focusing on improving respiratory function. Articles search was conducted from October to November 2021 through Google Scholar and PubMed databases. Pulmonary rehabilitation programs in severe and critical cases of COVID-19 survivors have a similar purpose in other respiratory cases. Pulmonary rehabilitation programs, including breathing, resistance, stretching, cardiorespiratory endurance exercises, respiratory physiotherapy, relaxation techniques, and education, significantly improved lung function and reduced symptoms. No studies exploring barriers to pulmonary rehabilitation were found. In conclusion, pulmonary rehabilitation programs for COVID-19 survivors with severe and critical cases have improved respiratory functions