• 제목/요약/키워드: Community Health Assessment

검색결과 671건 처리시간 0.031초

Feasibility of Household Surveys for Population Risk Assessment of Cancer and Cancer Registration Support

  • Habib, Omran S;Hussain, Riyadh Abdul-Ameer
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권sup3호
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    • pp.213-218
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    • 2016
  • Cancer is a major health problem in the Arab region including Iraq. An adequate database is essential for effective cancer control strategies. Such a database may be provided through cancer registration but supportive household surveys may be useful. This article reports selected results on the feasibility of household surveys to support and validate cancer registration in Basrah governorate - southern Iraq. A large scale multi-stage cluster sample household survey was carried out in Basrah during 2013. It covered 6,999 households and involved gathering data on demographic characteristics and both incident cancer cases and cancer-related deaths among members of these households during a three-year recall period (2010-2012). The data obtained yielded an average annual incidence rate of 91 per 100,000 population (age-standardized incidence rate of 148.8 /100,000) and cancer specific mortality rate of 68 per 100,000 population (age-standardized mortality rate of 126.3/100,000). The results showed an overall pattern of cancer similar to that reported according to cancer registration but the household survey results were consistently higher than those of the cancer registration by a margin of approximately 20- 30% with respect to incident cancer and about 70 % with respect to cancer-specific mortality. Household surveys on cancer, while costly and time consuming, are a very useful additional source of information on cancer at the population level. They can be performed for specific purposes with effective resource mobilization.

The Impact of Nutrition Education on Adolescents: Its Effect on Student′s Knoeledge Attitudes and Behaviors

  • Jang, Hyun-Sook
    • Journal of Community Nutrition
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    • 제3권1호
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    • pp.30-35
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    • 2001
  • The purpose of this study was to determine the effect of nutrition instruction using a curriculum guide on nutrition knowledge attitudes and food behaviors of students in a junior high school home economics course. We used three instruments co collect data: a nutrition knowledge test, a food and attitude instrument containing four scales, and a two-part food behavior assessment form A quasi-Solomon four -groups experimental design was used One experimental group was pretested taught nutrition via the curriculum, and posttested A Second experimental group which was not pretested was taught nutrition via the curriculum and posttested One control group was pretested and posttested and a second control group was only posttested Neither control group receive food and nutrition instruction until after the study was complete The results indicate that the experimental group had significantly improved knowledge scores and improved attitude scores on the scale entitled Eating New Foods Nutriton Affects Health Caring about Nutrition Significant changes were observe in posttest scores on the food behavior assessment form Key findings useful in understanding the impact of education on adolescent food choices were that 1) study participants nutrition knowledge improved 2) their attitudes toward nutrition became more positive 3) their intention to include more high-nutrient foods in their diet increased significantly.

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현지 기술 조사활동을 통한 중국의 미병 정책 및 의료서비스 최신 동향 보고 (Current Trend of Mibyeong Health Policy and Service in China through Investigation Activity of Mibyeong Technology -Report of China Technology Research Group-)

  • 이재철;김동수;장은수
    • 대한예방한의학회지
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    • 제17권1호
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    • pp.137-147
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    • 2013
  • Objectives : This study aims to report current trend of Mibyeong health policy and service in China from interview of China Technology Research Group. Methods : China Technology Research Group visited Guanganmen hospital, Yanhuang Dongfang Company, Xinjingzhen health center, and Shanghai Shuguang hospital. With an interpreter, We had interviews about Mibyeong health service and policy trend, medical instrument, and research issue. Results :Mibyeong health service was performed based on KY3H system and collaboration with traditional Chinese medicine hospital. Mibyeong health service consists of diagnosis with nine constitutional type, health guide and preventive treatment. Community health center also provide Mibyeong health service, with cooperative treatment of traditional Chinese medicine and western medicine. China's Mibyeong health policy is established by Top-down decision, even though there is not enough evidence for providing health service to consumer. Through constitutional diagnosis, examinations, and treatment, huge data have been stacked; however, assessment and research based on these data are not processed well. Cooperative treatment of traditional Chinese medicine and western medicine is widely provided to patients, and their works are relatively well classified. Conclusions : China plays leading role in Mibyeong service and it seems to be developed more than Korea's. Further study is necessary to establish Mibyeong policy and health service in Korea.

119구급대원의 외상사건 경험, 외상후 스트레스와 건강증진 프로그램 요구도와의 관계 (The Relationships among Experiences of Traumatic Events, Post-traumatic Stress and the Needs for Health Promotion Programs of 119 Paramedics)

  • 강미숙;김영임;근효근
    • 지역사회간호학회지
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    • 제28권4호
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    • pp.524-536
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    • 2017
  • Purpose: This study aims to examine the relationships among experiences of traumatic events, post-traumatic stress (PTS), and the needs for health promotion programs of 119 paramedics. Methods: Experiences of traumatic events, PTS, and needs for health promotion programs were measured using a structured questionnaire. The subjects were 193 paramedics in Jeju Island. Data were analyzed using descriptive statistics, t-test and $x^2$ test. Results: The most experienced event out of the 16 different traumatic events was 'retrieve a suicide's body.' A high-risk classification of PTS was observed in 36.2% of the subjects. The rates of experiences were higher than those of the actual needs for all 26 health promotion programs. The programs reported as highly needed by respondents were stress management (75.5%) followed by exercise (74.6%) and PTS management (72.5%). Subjects with longer career periods, a fire sergeant, perceived obesity, numerous experiences of traumatic events, and in the PTS risk group had a higher need for a stress management program. Conclusion: These findings indicate that a significant number of 119 paramedics experienced PTS. They also show that onsite strategic management is strongly required. In addition, implementation of health promotion programs based on the needs of 119 paramedics is highly needed.

Factors Associated With Coverage in Community-directed Treatment With Ivermectin for Onchocerciasis Control in Savanah and Forest Areas in Central African Republic: A Cross-sectional Study

  • Sylvain Honore Woromogo;Stephanie Inesse Garoua-Adjou;Ange Donatien Ngouyombo;Rodrigue Herman Doyama-Woza;Henri Saint Calvaire Diemer;Jean de Dieu Longo
    • Journal of Preventive Medicine and Public Health
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    • 제57권5호
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    • pp.490-498
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    • 2024
  • Objectives: The aim of this study was to identify factors associated with coverage in community-directed treatment with ivermectin for onchocerciasis control in savannah and forest areas in the Central African Republic. Methods: A cross-sectional study was conducted in 2 districts where onchocerciasis is endemic. We employed a pretested and validated questionnaire that included questions about the socio-demographic characteristics of the respondents and variables relevant to coverage assessment. Multivariate logistic regression analyses were performed to identify the associations between surveyed mass drug administration (MDA) coverage and the variables considered, while accounting for potential confounding factors. A p-value <0.05 was considered statistically significant. Results: At the district level, the MDA program achieved a reach of 87.29% (95% confidence interval [CI], 86.03 to 88.55) in Bossangoa and 61.74% (95% CI, 59.56 to 63.92) in Kemo, compared to the reported rates of 90.02% and 91.70%, respectively. Women in both Bossangoa and Kemo were 1.28 times more likely to have taken ivermectin than men (95% CI, 1.12 to 1.47; p=0.008; 95% CI, 1.09 to 2.00; p=0.041, respectively). The age groups of 5-14, 15-24, and 25-34 were statistically associated with better distribution coverage in both districts. Individuals with knowledge of onchocerciasis were more likely to receive ivermectin compared to those without knowledge, with adjusted odds ratios of 1.41 (95% CI, 1.11 to 2.01; p=0.030) and 3.19 (95% CI, 2.91 to 4.08; p=0.001), respectively. Conclusions: The authors recommend implementing measures to improve MDA coverage in future campaigns. These measures should include allocating sufficient time for MDA activities, providing health education, and mobilising the entire population.

미생물 위해성 평가 방법을 이용한 살모넬라 발생수 추정 (Estimation of the Number of Salmonellosis Using Microbial Risk Assessment Methodology)

  • 최은영;박경진
    • 한국지역사회생활과학회지
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    • 제15권2호
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    • pp.167-177
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    • 2004
  • 미생물 위해성 평가 방법론을 이용하여 살모넬라 발생 수를 추정하고, 기존의 연구 결과와 비교하여 그 활용 가능성에 대해 알아보았다. 살모넬라균의 오염수준은 국내에 발표된 각종 문헌(1997∼2000)과 관련 기관의 모니터링 자료(1999∼2001)를 수집하여 추정하였고, 식품 섭취 량은 2001 국민건강영양조사, 용량-반응 모델은 외국에서 발표된 연구 결과를 이용하였다. 각 변수를 시뮬레이션을 통해 추정한 결과 1년 동안 국내에서 발생 가능한 살모넬라 환자 수는 753,368명으로 나타났는데, 이는 보고된 환자수의 약 115배로 WHO의 추정배수보다는 낮은 결과를 보였다. 이상의 결과를 볼 때, 미생물 위해성 평가 방법은 식중독 발생 환자 수를 추정하고 식중독 관리에 있어서의 우선순위를 결정하는 데 이용이 가능한 것으로 보인다. 그러나 아직까지 검증 방법이 확립되어 있지 않고, 식중독균의 오염농도, 식품 섭취량, 용량-반응 관계, 유통ㆍ보관ㆍ조리 등의 실태에 관한 연구가 좀더 필요할 것으로 생각된다.

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전국 권역별 짠맛에 대한 미각판정과 짜게 먹는 식태도 및 식행동 비교 (A Comparison of Salty Taste Assessments and Dietary Attitudes and Dietary Behaviors Associated with High-Salt Diets in Four Regions in Korea)

  • 김현희;정윤영;이연경
    • 대한지역사회영양학회지
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    • 제17권1호
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    • pp.38-48
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    • 2012
  • The purpose of this study was to compare regional differences in salty taste assessments, nutrition knowledge, dietary attitudes and dietary behaviors associated with high-salt diets in four national regions in Korea (Region 1: Seoul, Sokcho, Region 2: Buyeo, Jecheon, Gong Ju, Region 3: Daegu, Gyeongsan, Region 4: Jeon Ju). Subjects were 860 persons who participated in sodium reduction campaign. The result of the salty taste assessment by region was not significantly different. The nutrition knowledge score of subjects in Region 1 was the highest. Dietary attitude scores that showed preference for high-salt diets of Region 2 and Region 4 subjects were higher than those of Regions 1 and 3 subjects (p < 0.001). Dietary behavior scores were not significantly different among regions. The correlation between sodium intake and salty taste assessment was significant (p < 0.01). Older subjects who had high blood pressure levels and lower nutrition knowledge were more likely to have high sodium intakes. Even though the salty taste assessment and dietary behavior scores by region were not significantly different, the salty taste assessment scores had a significant negative correlation with nutrition knowledge and had a significant positive correlation with dietary attitude and dietary behavior in terms of preference for high-salt diets. Therefore, nationwide education regarding salt intake reduction and health and a campaign to encourage favorable attitudes and behavioral changes regarding consumption of a no-salt / low-salt diet is needed.

재가노인의 건강문제와 보건ㆍ복지 서비스 지원 실태에 관한 연구 (Health Problems and Support from the Health & Welfare Service in the Elderly at Home)

  • 유인영
    • 대한간호학회지
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    • 제34권1호
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    • pp.111-122
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    • 2004
  • Purpose: This study was conducted to identify health problems and support received from the health and welfare service using MDS-HC(Minimun Data Set for Home Care) in the aged living at home. Method: Eighty-one elderly persons were selected from those listed in community-welfare service centers in Seoul and Kyunggi Province between December 2002 and January 2003. Result: Eleven health problems per elderly person on average were identified, and the frequent care needs were in order: preventive health measure, health promotion, visual function, depression & anxiety, communication disorders, social function, pain, environmental assessment, oral health, cognition and falls. The number of health problems by the level of ADL was ‘ADL 1(Independence)’ 9.87, ‘ADL 2(Partial independence)’ 12.78, ‘ADL 3(Dependence)’ 13.73. Utilization of formal health & welfare services among the elderly was ‘meals on wheels’ 40.7%, ‘home helper’ 38.2%, ‘visiting of social welfare worker’ 21.0%, ‘physical therapy’ 19.6%, ‘day care center’ 12.3%, ‘volunteer's service’ 9.9%, ‘home visiting care’ 3.7%, ‘occupational therapy’ 3.7%, and ‘speech therapy’ 2.5%. Conclusion: The results suggest that using the MDS-HC 2.0 is applicable to help decide criteria for both health and welfare service supplied to the elderly.

농촌지역 노인의 저작능력과 영양섭취상태와의 관련성 (The Relationship between Chewing Ability and Nutritional Intake Status in the Elderly of Rural Community)

  • 권진희;이성국;이희경;김규종
    • 대한지역사회영양학회지
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    • 제3권4호
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    • pp.583-593
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    • 1998
  • This study aims to examine the relationship between chewing ability and nutritional intake status in the rural elderly. The subjects were 150 rural-dwelling elderly persons(68 males and 82 females) aged 65 years and over in Sungju-Gun, Kyunfsangpookdo. The respondents were interviewed using the questionnaires and measurments taken from a 24-hour recall method from February to April in 1998. Fifty-nine subjects(39.3%) were classified with normal chewing ability and sixty-four subjects(42.7%) could carry out all of the 10 ADL items by themselves. In addition, the group who were able to chew had more teeth and significantly higher ADL scores than the other group(p<0.01), whereas DMF value was significantly lower(p<0.001). The subjects with normal chewing ability also had higher of intakes of energy, protein, fat, carbohydrates, dietary fiber, salt, potassium, niacin, thiamin and riboflavin than in the unable group(p<0.05). As far as daily food intakes were concerned, considerable differences were revealed in the levels of grain and products and vegetables consumed depending on chewing ability(p<0.001). The results of the stepwise and vegetables consumed depending on chewing ability daily living activities and health self-assessment(p<0.05) were the most significant factors for energy intake status.

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