494 research outputs found
sj-doc-1-smo-10.1177_20503121241238147 – Supplemental material for Prevalence and correlates of diabetes and impaired fasting glucose among adults in Afghanistan: Insights from a national survey
No full textSupplemental material, sj-doc-1-smo-10.1177_20503121241238147 for Prevalence and correlates of diabetes and impaired fasting glucose among adults in Afghanistan: Insights from a national survey by Omid Dadras, Anita Nyaboke Ongosi and Chia-Wen Wang in SAGE Open Medicine</p
Self-protective behaviors of Thai village health volunteers in community engagement during a COVID-19 outbreak: interpretation using the health belief model
Get PDFBackground: Village health volunteers (VHVs) engaging in community-based COVID-19 prevention and control measures played a key role in mitigating effects of the COVID-19 pandemic in Thailand. We conducted a cross-sectional questionnaire survey study to investigate factors affecting VHVs’ COVID-19 self-protective behaviors and social distancing in Songkhla Province during the first COVID-19 outbreak. Such information may help to understand how to support VHVs in future pandemics. Methods: A total of 152 VHVs from 13 sub-districts participated in the study, completing a 54-item questionnaire based on the Health Belief Model (HBM). The questionnaire included items assessing susceptibility, severity, benefits, barriers, self-efficacy, social distancing, and self-protective behavior. Stepwise multiple regression analysis determined which aspects of the HBM could explain VHVs’ self-protective behavior. Results: The VHV population sampled broadly reflected the main demographic characteristics of the local population, although VHVs were predominantly female. Self-protective behavior was significantly associated with VHVs’ role (higher perceived compliance for village leaders than non-leaders) but not with other demographic characteristics. Most VHVs reported high levels of self-efficacy (80.5%), adherence to social distancing measures (70.9%), and engagement in self-protective behavior (72.8%) against COVID-19. However, compliance with hand hygiene appeared to be suboptimal, suggesting room for improvement. Self-efficacy and perceived social distancing showed strong and moderate correlations with self-protective behavior against COVID-19 (r = 0.917, β = 0.819; and r = 0.561, β = 0.173 respectively; p < 0.001). The final HBM-based regression model accounted for 87.2% of the variance in VHVs’ self-protective behavior. Conclusions: This study highlights the importance of VHVs’ self-efficacy for achieving self-protective behavior during a COVID-19 outbreak, and suggests that self-efficacy may help to overcome barriers that might otherwise hinder behaviors to mitigate against COVID-19. Policies that support self-efficacy should be implemented in any future pandemic, and steps to support VHVs with hand hygiene compliance and empower non-leaders to increase their self-protective behavior may also be helpful. Whilst the HBM provided a useful framework for interpretation, the final model was driven mainly by self-efficacy.</p
Time, torture and Manus island: an interview with Behrouz Boochani and Omid Tofigian
Get PDFFormer asylum seeker detainee and journalist Behrouz Boochani (author of No Friend but the Mountains) and his collaborator Omid Tofighian speak about the experience of indefinite incarceration on Australia’s Manus Island and the psychological toll of waiting. They compare this form of detention to prison and the existential impact to torture. This Kyriarchal System, they argue, strips the individual of identity and humanity and they explain how such a system can perhaps be better questioned through the poetic fiction that Boochani has used in his path-breaking narrative than to appeal to dry rational facts and figures
Predictor of smoking cessation among school-going adolescents in Indonesia: a secondary analysis based on the transtheoretical model of behavioral change
No full textIntroductionThis study elucidates the complex journey of adolescents toward smoking cessation, investigating the association of relevant demographic factors, advertising, promotion, anti-cigarette messages, and individual knowledge and attitudes with being in different smoking cessation stages.MethodsUtilizing data from the 2019 Indonesia Global Youth Tobacco Survey, this secondary analysis included adolescents who reported ever smoking. The Transtheoretical Model (TTM) guided the categorization of the outcome variable into three smoking cessation stages based on the responses to two questions related to the intention and timing of the smoking cessation. This included contemplation, action, and maintenance stages. Multinomial logistic regression analyzed the associations between each independent variable and being in each stage of smoking cessation. The study comprised 3596 Indonesian adolescents from grades 7-12, of which 2484 responded to two questions related to intention and timing of smoking cessation and were included in regression analysis.ResultsFindings indicate that males and those aged ≥16 were predominantly in contemplation phase. Early smoking initiation, usage of other tobacco products, and exposure to various forms of smoke increased the likelihood of being in contemplation and action phases. Parental smoking, school smoking exposure, and second-hand smoke were significant contemplation phase predictors. Exposure to tobacco advertising was linked to an increased likelihood of being in contemplation and action phases, whereas anti-cigarette messages showed no significant impact. Awareness of cigarette and second-hand smoke harms reduced the odds of being in the contemplation phase, while enjoying smoking and willingness to accept cigarettes from friends increased the odds of being in contemplation and action phases rather than in maintenance phase.ConclusionAddressing age, gender, cultural influences, environmental factors, and attitudes towards smoking through tailored interventions is vital for aiding smoking cessation in Indonesian adolescents. Strengthened tobacco control in schools and public places is recommended to bolster these efforts. Longitudinal studies are required to explore the evolving patterns of smoking cessation behaviors over time, enhancing our understanding of the factors influencing sustained cessation
Prevalence and correlates of sexual intercourse under influence of alcohol among Thai adolescents: Lessons from a nationwide school-based survey
Get PDFObjectives
Having sex under the influence of alcohol is a risky behavior and this study explored its prevalence and correlates among school-going Thai adolescents.
Methods
The data from the 2021 Thailand Global School-based Student Health Survey (GSHS), including a nationally representative sample of students in grades 7–12th, was used to extract the relevant variables including demographic, psychosocial, substance use, and risky sex behaviors. Logistic regression was used to assess the odds of engaging in sex while intoxicated across the independent variables while accounting for age and sex differences.
Results
Approximately 30.45 % of respondents reported alcohol intoxication and 37.75 % reported engaging in sexual intercourse while intoxicated at least once. Older adolescents (>14 years), males, and those in 11 and 12 grades were more likely to engage in sexual intercourse while intoxicated. Psychosocial factors such as loneliness and anxiety-induced insomnia were associated with increased likelihood, particularly among females. Substance use, including marijuana and amphetamine use, as well as cigarette smoking, correlated with higher odds of engaging in sexual intercourse while intoxicated. Both genders who engaged in sex while intoxicated reported having multiple sexual partners, with males more likely to use condoms.
Conclusions
The intricate relationship between poor mental health, substance use, and risky sex behaviors along with their association with sex under alcohol influence emphasizes the need for a holistic approach to address the common risk factors and implement effective school-based screening strategies to identify the risk groups, educate them, and prevent the burden of risky sex under alcohol intoxication.publishedVersio
イランに住むアフガニスタン女性における適切な出産前ケアに対する障壁と関連要因に関する研究：ミクストメソッド研究
Get PDF京都大学新制・課程博士博士(社会健康医学)甲第23119号社医博第115号新制||社医||11(附属図書館)京都大学大学院医学研究科社会健康医学系専攻(主査)教授 近藤 尚己, 教授 万代 昌紀, 教授 川上 浩司学位規則第4条第1項該当Doctor of Public HealthKyoto UniversityDFA
3D Printing of Composite Organic Semiconductor Microdevices for Biosensors and Organic Bioelectronics
No full textBioelectronic devices aim to alleviate symptoms or return function to patients suffering from neural disorders / injuries. Choice of functional material and employment of advanced fabrication techniques constitute key elements in ultimate success of these devices. As an alternative to traditional metallic platforms, organic electroactive materials have garnered tremendous attention in neural devices. Consequently, the emerging field of organic bioelectronics has sought to interface the organic-based devices with the soft and ion-dominated neural tissue. Organic semiconductor materials (OSs), i.e. conjugated polymers, have emerged as one of the ideal candidates for neural interfaces, owing to their biocompatibility, soft mechanical properties, and mixed electronic / ionic conductivity.
This thesis is primarily focused on development of soft and conductive micron-scale platforms for applications in organic bioelectronics and biosensors. In the course of the projects, much attention has been devoted towards design of microelectronic devices, employing advanced fabrication techniques, and formulation of composite biomaterials based on two common OSs; poly(3,4-ethylenedioxythiophene) and polypyrrole.
The theme of research projects falls into two main categories: 1. Soft and bioactive platforms for neural regeneration, and 2. 3D-printed conductive microelectronic devices for organic bioelectronics and biosensors. In the first category, we have developed a micro-patterning technique and have created various profiles of laminin gradients on surface of OS thin films, which can be potentially employed for neural regeneration. The second category deals with design, fabrication and characterization of 3D-printed microelectronic devices. First, we have explored 3D printing of soft, conductive, and bioactive microstructures via direct laser writing, also known as multi-photon polymerization lithography (MPL). We have formulated conductive photosensitive inks, and fabrication and characterization of microelectronic devices such as hybrid neural microelectrodes, bioactive microstructures and high-performance glucose biosensors have been successfully demonstrated. We also report on development of an in-house 3D printing technique for fabrication of OS microdevices based on in-situ electrochemical polymerization. Microelectronic devices, bioactive structures and glucose biosensors have been fabricated using this technique. Overall, we envision that these microelectronic devices and platforms pave the way towards development of next-generation neural interfaces for organic bioelectronics and biosensing applications.Biomedical Engineering, Department o
Correlates of condom use among school-going Thai adolescents: the critical role of bullying victimizations
Get PDFBackgroundAdolescents face numerous challenges that influence their sexual behaviors. Among these, bullying victimization is a critical yet understudied factor that may impact engagement in unprotected sex. This study investigated the correlates of condom use among school-going Thai adolescents, with a main focus on bullying victimization.MethodsThis study is a secondary analysis of the Global School-based Student Health Survey (GSHS) conducted in 2021 among a nationally representative sample of students in grades 7–12 in Thailand. The analysis included all the sexually active students with condom use in the last sex as the main outcome variable. Bivariate binary logistic regression analysis was used to examine the odds of using condom across various explanatory variables. Additional adjusted logistic regression models were constructed to examine the association between bullying experiences and condom use while controlling for the potential confounding effect of other explanatory variables.ResultsAmong sexually active participants, 416 (69%) reported using condoms in their last sex and more than half of them reported bullying experiences. Besides bullying, this study identifies several factors such as older age (ConclusionThe findings emphasize a holistic approach to addressing bullying, particularly within schools, and promoting protected sexual behaviors among school-going adolescents through early anti-bullying interventions and incorporating tailored sex education into school curricula, and at Thai schools.</div
Suicide Attempt and Its Correlates Among School-Going Argentinian Adolescents with Suicidal Thoughts: Insights from a National Survey
Get PDFA combination of personal, psychological, and environmental factors contributes to the risk of suicide attempts among those with suicidal thoughts and warrants further research. The study explored the associations of demographic, psychosocial, and behavioral factors with suicide attempts among a nationally representative of school-going Argentinian adolescents who have suicidal thoughts. The study analyzed the data from the Argentina Global School-based Students Survey 2018. The sample was restricted to adolescents with suicidal thoughts. The chi-square test was used to examine the association, and logistic regression determined the odds of suicide attempts across risk factors including demographic factors, psychosocial and environmental risks, as well as substance use and risk sex behaviors. In total, 11,962 (21.46%) of school-going Argentinian adolescents had suicidal thoughts, of whom 6033 (51.67%) had suicide attempts at least once in the last 12 months. Findings indicated that female adolescents had higher odds of attempts, paralleling global trends, while grade differences suggested a transitional phase’s significance. Among those with suicidal thoughts, psychosocial factors like loneliness, bullying, and school absenteeism played pivotal roles in enhancing the odds of suicide attempts. In addition, substance use, notably marijuana, amphetamines, alcohol, and early initiation were associated with a heightened risk of suicide attempts. Risky sexual behaviors, like early activity and multiple partners, were also associated with a higher likelihood of suicide attempts in suicide ideators. Emphasizing preventive measures targeting adolescents, particularly within school settings, is crucial for reducing suicide attempts among those experiencing suicidal thoughts.publishedVersio
Predictors of Suicidal Thoughts and Attempts among School-Going Thai Adolescents: A Sex-Specific Structural Equation Modelling Analysis
Get PDFAdolescent suicide is a growing public health concern in Thailand. Identifying predictors of suicidal behaviors is essential for targeted prevention strategies. Using Structural Equation Modeling, this study explores the predictors of suicidal thoughts and attempts among a sample of 5657 Thai adolescents in grades 7–12, typically representing the age group 13–17 years, with nearly equal proportions of males (47%) and females (53%) participants. Data from the Thailand Global School-based Student Health Survey (GSHS) 2021 were analyzed. Explanatory Factor Analysis (EFA) identified key constructs, followed by SEM stratified by sex to examine relationships between constructs and suicidal behaviors. Reliability and validity were assessed using Cronbach’s α and SEM fit indices. EFA identified five constructs: current substance use, history of violence, experiences of bullying, parental awareness, and poor mental health. SEM revealed poor mental health as a significant predictor for both sexes. Substance use, experiences of bullying, and a history of violence predicted suicidal behaviors in females. Parental vigilance was only a protective factor for males. The findings underscore the importance of gender-specific interventions and comprehensive mental health support to address the unique vulnerabilities of Thai adolescents, reducing suicidal thoughts and attempts.publishedVersio
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