ORCID Profile
0000-0002-1014-6949
Current Organisation
University of Liverpool
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Publisher: Hindawi Limited
Date: 2018
DOI: 10.1155/2018/9285195
Abstract: Diabetes mellitus (DM) increases the risk of developing pulmonary tuberculosis (TB) disease. Therefore, pulmonary TB screening among DM patients is essential. This study aimed to identify factors associated with participation of DM type II patients in pulmonary TB screening using chest X-ray. This was a cross-sectional analytic study and was part of TB-DM screening study in Denpasar, Bali, Indonesia. The s le consisted of 365 DM type II patients selected by quota s ling among DM type II patients joining the screening program from January until March 2016 in 11 public health centres in Denpasar. Data were collected via structured interviews. The contributing factors were determined by modified Poisson regression test for cross-sectional data. From the findings, less than half (45.48%) of DM type II patients participated in chest X-ray examination for TB. Factors associated with participation in pulmonary TB screening were having a higher educational level [APR = 1.34, 95% CI (1.07–1.67)], having family member who developed pulmonary TB disease [APR = 1.47, 95% CI (1.12–1.93)], the travel time to referral hospital for screening being ≤ 15 minutes [APR = 1.6, 95% CI (1.26–2.03)], having health insurance [APR = 2.69, 95% CI (1.10–6.56)], and receiving good support from health provider [APR = 1.35, 95% CI (1.06–1.70)]. Therefore, training for health provider on providing counselling, involvement of family members in screening process, and improving the health insurance coverage and referral system are worth considering.
Publisher: American Psychological Association (APA)
Date: 07-2023
DOI: 10.1037/HEA0001284
Publisher: Elsevier BV
Date: 09-2022
DOI: 10.1016/J.ENVRES.2022.113187
Abstract: This study assessed the associations between changes in exposure to green space quality, heavy traffic conditions, and asthma symptoms among children. 10-year cohort data of 9589 children, retrieved from the Longitudinal Study of Australian Children, were analysed. Caregiver-reported neighbourhood green space quality, heavy traffic conditions, and asthma symptoms were measured biennially. Group-based trajectory mixture models were used to develop trajectory groups, denoting different patterns of, or changes in, exposure to green space quality, heavy traffic conditions, and asthma symptoms across childhood. Multilevel multinomial logistic regression was used to identify factors associated with trajectory group membership and examine the confounders-adjusted associations between trajectory groups of green space quality, heavy traffic conditions, and asthma symptoms. Four trajectory groups for each green space quality and heavy traffic conditions, and five trajectory groups for asthma symptoms were developed. Children in less disadvantaged areas were more likely to be in trajectory groups with exposure to quality green space, but less likely to be exposed to heavy neighbourhood traffic. Living in more remote areas was associated with the decreased likelihood to be in groups with exposure to both quality green space and heavy traffic conditions over time. Accumulation of exposure to quality green space across childhood was not found to be protective against asthma symptoms. However, children whose caregiver perceptions of heavy traffic conditions trended from low to moderate levels or were consistently in high levels across childhood had a higher likelihood to be in trajectory groups with a higher risk of asthma symptoms. Exposure to quality green space was not associated with the reduced risk of asthma symptoms. The accumulation of exposure to heavy traffic conditions increased the likelihood of asthma symptoms among children. Reducing the presence of heavy traffic in neighbourhoods might reduce the risk of childhood asthma.
Publisher: Office of Academic Resources, Chulalongkorn University - DIGITAL COMMONS JOURNALS
Date: 11-03-2019
Abstract: Due to the gender norms in Indonesia, married women are vulnerable to domestic violence perpetrated by their husband. With a paucity of studies on this issue, the purpose of this paper is to explore the vulnerability to domestic physical violence among married women in Indonesia by measuring the acceptance of being beaten by their husband and factors associated with married women’s approvals were also identified. Secondary data analysis of three rounds of Indonesia Demographic and Health Survey in 2002/2003, 2007 and 2012 was performed. Data were analyzed descriptively to reveal the trend of women’s acceptance and binary logistic regression was applied to identify determinants. Women’s acceptance of wife beating in some circumstances experienced an increase during 2002–2012. Determinants varied by type of beating justification. Overall, determinants fell into three groups of women’s, husband’s and household’s characteristics. This study helps to identify determinants of women’s vulnerability to domestic physical violence and suggests some substantial approaches to address this pressing issue.
Publisher: Elsevier BV
Date: 12-2020
Publisher: Elsevier BV
Date: 05-2021
Publisher: Informa UK Limited
Date: 05-10-2020
DOI: 10.1080/13548506.2020.1826546
Abstract: Bullying victimisation among adolescents is globally recognised as an important predictor for several adverse health and behavioural outcomes. Due to a paucity of studies in Indonesia, this study aimed to identify the adverse health and behavioural outcomes due to bullying victimisation among school-going adolescents and investigate the possible moderation by age and sex. This was an analysis of the second Global School-based Student Health Survey data of Indonesia conducted in 2015. The eligible s les were 9,601 adolescent students. The main independent variable was bullying victimisation status, while the dependent variables consisted of mental health problems, substance use, and other risk behaviours. Binary logistic regression controlling for some confounders was applied to identify the associations among sex-merged and sex-separated s les. Furthermore, adjusted margin probabilities of having adverse outcomes were calculated by bullying victimisation frequency and age. This study found that nearly 2 out of 10 adolescent students were bullied in the last 30 days. Bullying victimisation was associated with the odds of all adverse health and behavioural outcomes that include loneliness, anxiety, suicidal ideation, smoking cigarettes, alcohol use, truancy, physical fight, and sedentary behaviour. The associations were slightly larger among female than male students for some of the outcomes. The odds of these adverse outcomes increased with the rising frequency of bullying and by age. The findings suggest that bullying victimisation was associated with a number of adverse health and behavioural outcomes among Indonesian adolescent students. Implementation of anti-bullying interventions among students right from a young age is essential to prevent unexpected adverse outcomes and its detrimental consequences.
Publisher: Walter de Gruyter GmbH
Date: 29-11-2018
Abstract: Adolescent sexual and reproductive health problems remain a public health concern in Indonesia. An increase of premarital sex as well as early sexual debut among adolescents without any protection leads to a high risk of adverse sexual and reproductive health consequences. This study aimed to assess condom use prevalence and identify its determinants among male adolescents who are sexually active in Indonesia. This was a cross-sectional study using secondary data from the Adolescent Reproductive Health component of the Indonesia Demographic and Health Survey (IDHS) 2012. The s le for this study was 1341 sexually active male adolescents aged 15–24 years old. Data were analyzed descriptively and using binary logistic regression for bivariate and multivariate analysis. This study found that condom use prevalence among male adolescents at first and last sex accounted for 25.0% and 27.4%, respectively. Determinants of condom use varied by time of sexual intercourse. Knowledge of sexual and reproductive health and obtaining information about condoms were consistently related to condom use at first and last sexual encounter. Meanwhile, residential type, age at first sex, and sexual partner were significant determinants of condom use at sexual debut whilst educational level was only associated with condom use at last sex. As the level of protected sex among male adolescents was very low, providing comprehensive sexuality education (CSE) is suggested in order to develop the capacity among adolescents in making informed decisions and preventing unsafe sex.
Publisher: Center for Open Science
Date: 11-04-2023
Abstract: Background: We test a novel ‘weight scarring’ hypothesis which suggests that past obesity leaves a ‘scar’ on current psychological well-being and this psychological scarring leads to meaningful health consequences. Across two nationally representative studies, we tested whether past obesity forecasts current psychological outcomes and whether these psychological consequences explain why obesity is associated with subsequent early mortality. Methods and Findings: Data were from the National Health and Nutrition Examination Survey (NHANES) (n=29,047) and the Health and Retirement Study (HRS) (n=11,998). Past obesity was defined based on maximum lifetime weight in NHANES and the highest weight from past study waves in the HRS. Current depressive symptoms in both studies and an index of impaired psychological well-being combining 10 psychological measures in the HRS were analysed. We found that past obesity was associated with greater depressive symptoms after controlling for current weight status and in analyses limited to those who were no longer classified as having obesity in NHANES (β = 0.17 95% CI: 0.13, 0.22) and HRS (β = 0.20 95% CI: 0.08, 0.31). In the HRS, past obesity predicted a range of current negative psychological outcomes, including an index of impaired psychological well-being (β = 0.16 95% CI: 0.05, 0.27). Past obesity predicted early mortality in both NHANES and HRS (HR = 1.31 95% CI: 1.16, 1.48 and HR = 1.34 95% CI: 1.20, 1.50, respectively). Depressive symptoms and impaired psychological well-being partly mediated the association between past obesity and the risk of premature mortality.Conclusions: Our findings suggest that past obesity may be psychologically ‘scarring’ and that the psychological legacy of past obesity is associated with raised mortality risk. Ensuring people with obesity receive psychological support even after experiencing weight loss may now be important.
Publisher: Wiley
Date: 28-07-2023
DOI: 10.1002/EAT.24031
Abstract: We assessed perceptions of recently proposed UK obesity policies (mandatory calorie labeling, banning of advertisements of unhealthy food and drinks online and before 9 pm on TV, and banning “buy one get one free” deals for unhealthy food and drinks) in people with an eating disorder (ED) and other mental health conditions. A total of 1273 participants with a self‐reported lifetime mental health condition ( N = 583 with an ED) completed an online survey in September–November 2022. Multinomial logistic regression was used to examine support for and potential adverse effects of policies in participants with and without an ED. A qualitative analysis of the potential effects of the policy on current ED symptoms was also conducted to better understand how and why policies may be damaging or beneficial. Participants with an ED had a lower level of support for the implementation of the calorie labeling policy compared to those without an ED (43% vs. 58%). Half of the participants with an ED (55%) reported that labeling may worsen their ED symptoms. Qualitative data indicated perceived potential harm (e.g., a gateway to relapse, negative effects on mood) and perceived benefits (e.g., feeling informed and reassured) of calorie labeling in participants with an ED. No differences in support or perceived harms of the other two policies were observed between participants with versus without an ED. Future studies are warranted to explore the potential effects of calorie labeling and how to mitigate negative impacts on people with an ED. This research is the first to assess the perceptions of UK obesity‐related policies in people with an ED and other mental health conditions. Participants with an ED (vs. without) were more likely to disagree with the government implementing the calorie labeling policy. These findings highlight the potentially harmful effects of calorie labeling in people with an ED and the need for future research to understand how to mitigate negative impacts.
Publisher: Informa UK Limited
Date: 24-03-2021
Publisher: Center for Open Science
Date: 15-04-2023
Abstract: Objective: Obesity is associated with a range of negative psychological conditions that may also affect physiological health. Across two studies, we tested whether a range of psychological measures explain why obesity is prospectively associated with physiological dysregulation, measured via clinical indicators of cardiovascular, immune system, and metabolic function. Methods: We used comparable 4-year follow-up representative longitudinal data of UK and US older adults (≥ 50 years) from the English Longitudinal Study of Ageing (ELSA) (2008/2009–2012/2013) (Study 1 n= 6,250) and the Health and Retirement Study (HRS) (2008/2010–2012/2014) (Study 2 n=9,664). Fourteen and 21 psychological measures (e.g., depressive symptoms, life satisfaction, weight stigma, positive affect) were tested as candidate mediators in Studies 1 and 2, respectively. Results: Obesity predicted physiological dysregulation at follow-up across both studies. In Study 1, only weight stigma (measured between baseline and follow-up) explained 37% of the association between obesity and physiological dysregulation. In Study 2, only changes in weight stigma from baseline to follow-up (not baseline weight stigma) explained 13% of the effect of obesity on future physiological dysregulation. Mediation by weight stigma in both studies was partially attenuated when changes in body mass index (BMI) from baseline to follow-up were controlled for. No other psychological measures explained the association between obesity and physiological dysregulation in either study. Conclusion: The prospective association between obesity and physiological dysregulation was largely not explained by psychological factors. However, experiencing weight stigma is associated with increased weight gain and this process may explain obesity-related declines in physiological health.
Publisher: The Korean Academy of Family Medicine
Date: 20-07-2021
DOI: 10.4082/KJFM.20.0059
Abstract: Background: Sedentary behavior is associated with several adverse health outcomes. Data on factors that influence sedentary behavior are lacking in Bhutan. This study examined factors associated with increased sedentary behavior in Bhutan, with a focus on exploring sex differences.Methods: Data of 2,796 adults from the nationally representative 2014 Bhutan STEP-wise surveillance (STEPS) survey were analyzed. Factors associated with sedentary behavior were identified using backward elimination multiple logistic regression analysis, disaggregated by sex. The analysis accounted for the complex survey design used in the primary survey.Results: The overall prevalence of sedentary behavior was 8.2%, with a higher proportion among women than men (10.3% vs. 4.9%). In the full s le, female sex, being single, high education and income, urban residence, inadequate physical activity, and high blood sugar were associated with increased odds of sedentary behavior. Among females, those who had high education and income, were single, physically less active, and urban residents were more likely to be sedentary. Self-employment was related to reduced odds of sedentary behavior among women and in the overall s le population. In males, being single, higher education level, and urban residence were associated with sedentariness.Conclusion: The findings suggest that interventions targeting females, especially those who are physically less active and from higher socioeconomic groups, urban residents, and those with hyperglycemia can potentially help reduce sedentary behavior and avert the associated detrimental impacts.
Publisher: Informa UK Limited
Date: 14-10-2021
Publisher: Frontiers Media SA
Date: 30-04-2020
Publisher: Walter de Gruyter GmbH
Date: 06-2019
Abstract: Suicide among young people is growing as a public health threat worldwide. With a paucity of studies on this issue in Indonesia, this study aimed to identify factors associated with suicidal behaviors (suicidal ideation and suicide attempt) among Indonesian adolescents. This was a cross-sectional study using secondary data analysis from the Global School-based Student Health Survey (GSHS) of Indonesia in 2015. The s les were 8634 school-going adolescents aged 13–18 years old. The data analysis consisted of univariate, bivariate and multivariate analysis. The chi-square (χ 2 ) test was employed to identify proportion differences of suicidal behaviors by independent variables whereas multiple logistic regression was used to develop models for factors associated with suicidal ideation and suicide attempt. This study found that 4.75% and 2.46% reported for having suicidal ideation and suicide attempt in the last 12 months, respectively. The effects of intrapersonal factors (sex, age, loneliness, anxiety, current use of tobacco and alcohol) and interpersonal factors (physically attacked, bullying victimization, having no close friends, parental understanding and having sexual intercourse) varied by suicidal behavior and sex. Therefore, developing comprehensive approaches for prevention of mental health problems, including suicidal behaviors in the school setting is essential by asking for a collaboration of schools, parents, public health centers (PHCs), related stakeholders and non-governmental organizations (NGOs).
Publisher: Yayasan Aliansi Cendekiawan Indonesia Thailand
Date: 28-02-2019
DOI: 10.35898/GHMJ-31284
Abstract: Background: Adolescent sexual and reproductive health (SRH) problems remain an important public health issue in many developing countries, such as Indonesia. Therefore, assessing SRH knowledge, attitude, and behavior among adolescents are worth considering for public health intervention purpose in order to reduce their vulnerability to SRH problems. Aims: This study aimed to assess SRH knowledge, attitude, and behavior among adolescent students in Denpasar, Bali, Indonesia.Methods: This was a cross-sectional school-based study conducted in Denpasar, Bali, Indonesia from July to September 2016. This study applied multi-stage random s ling to recruit 1,200 students out of 24 junior, senior, and vocational high schools. Variables in this study consisted of socio-demographic characteristics, knowledge, attitude, and behavior related to SRH. Data were analyzed using descriptive analysis and cross-tabulation to identify proportion differences.Results: Regarding knowledge on SRH, students had less knowledge on a reproductive process (10.1%) and reproductive risk (11.4%), but half of them knew about the sexually transmitted infections (STIs) and HIV& AIDS (55.6%) and almost all had sufficient knowledge on puberty (90.7%). Meanwhile, few students argued that several sexual behaviors can be performed before getting married, such as kissing and hugging (48.9%), petting and oral sex (18.7%) and sexual intercourse (vaginal sex) (13.8%). Out of 1,200 adolescent students, 880 (73.3%) reported for have ever been in dating with someone. Among adolescent dating, few students reported for an experience of petting (14.3%), oral sex (9.8%), vaginal sex (6.5%), and anal sex (2.6%).Conclusion: Adolescent students in Denpasar, Bali, had a low level of sufficient knowledge in some SRH aspects, a few students reported for permissive attitude and performed premarital sexual behaviors. Therefore, providing comprehensive sexuality education (CSE) is worth considering to improve knowledge and appropriate skills in order to prevent risky sexual behavior among adolescents. Keywords: Sexual and reproductive health, adolescents, students, knowledge, attitude, sexual behavior.
Publisher: Yayasan Aliansi Cendekiawan Indonesia Thailand
Date: 30-06-2019
DOI: 10.35898/GHMJ-32292
Abstract: Background: Married men who are male clients of sex workers play an important role as “bridge population” of HIV infection from the concentrated epidemic population to the general population. This study aimed to investigate the protected sex with last paid sexual partner among currently married men in Indonesia. Method: A nationally representative population-based survey, 2012 Indonesia Demographic and Health Survey (IDHS) which covered 33 provinces in Indonesia was applied in this study. Out of 9,306 currently married men, 510 records of married men who reported for ever paying someone for having sex were eligible for this study. A dependent variable was protected sex (i.e. condom use) at last sex with a paid sexual partner whilst independent variables consisted of socio-demographic factors, spousal communication on HIV prevention, knowledge of HIV prevention, and attitude of condom use. Binary logistic regression was applied for bivariate and multivariate analysis.Results: Prevalence of condom use with a paid sexual partner at last sex among currently married men was 27.86% [95%CI=23.89-32.20]. Based on multivariate analysis, married men were less likely to use a condom with a paid sexual partner if they aged ≥ 40 years old (OR=0.48 95%CI=0.30-0.76) versus those aged 40 years old and worked in some sectors: clerical (OR=0.22 95%CI=0.08-0.61), sales (OR=0.40 95%CI=0.17-0.95), agricultural/self-employed (0.32 95%CI=0.13-0.75), skilled manual (OR=0.38 95%CI=0.18-0.79) compared to those working in professional/technical/engineering sectors. However, those who were from poorer (OR=2.28 95%CI=1.08-4.82) and richest household (OR=3.08 95%CI=1.32-7.20) were more likely to perform protected sex compared to the poorest ones. In addition, the likelihood of protected sex also increased when married men had spousal communication on HIV prevention (OR=1.84 %CI=1.17-2.90), knew that using condoms can reduce HIV infection (OR=2.15 95%CI=1.14-4.08) and had a positive attitude of using condoms can protect against diseases (OR=3.05 95%CI=1.14-8.16). Conclusion: Interventional approaches for increasing protected sex among married men as clients of sex workers should be integrated with existing HIV program among other key affected populations (e.g., FSWs) at sex workers’ workplaces setting through providing HIV-related information, ensuring uninterrupted stocks of condoms, and enforcing condom use regulation.
Publisher: Office of Academic Resources, Chulalongkorn University - DIGITAL COMMONS JOURNALS
Date: 25-09-2020
Abstract: The differences in the distribution of factors associated with under-five mortality (UFM) can help explain the rural-urban inequities in UFM. The determinants contributing to UFM in rural and urban areas have not been previously explored in Bhutan. This study examined the factors associated with UFM in rural and urban Bhutan and the role of the factors in explaining UFM disparity. The dataset of 6,398 single births (4,999 in rural and 1,399 in urban areas) from the 2012 Bhutan National Health Survey was analyzed. Logistic regression analysis accounting for the complex survey design was performed to investigate the determinants. The UFM rate was 2.75 times higher in rural than in urban Bhutan. In rural communities, children of younger mothers, born in households without safe sanitation and electricity, and central and eastern regions had increased UFM odds. Whereas, children born to working mothers and educated fathers, and born in households with non-working household heads had lower UFM odds in urban areas. A higher number of births and smaller household size was associated with an increased UFM odds irrespective of rural-urban residence. Environmental factors were attributable for the largest portion of rural UFM disadvantage. This study helps to understand the rural-urban differences in the factors influencing UFM in Bhutan. The findings suggest that policies aimed to improve environmental and socioeconomic conditions, women empowerment, and those aimed to enhance health utilization can help reduce the rural-urban child survival disparity and accelerate the achievement of the Sustainable Development Goal target.
Publisher: Center for Open Science
Date: 11-04-2023
Abstract: Objective: We assessed perceptions of recently proposed UK obesity-related public health policies (mandatory calorie labelling, banning of advertisements of unhealthy food and drinks online and before 9 pm on TV, and banning “buy one get one free” deals for unhealthy food and drinks) in people with an eating disorder (ED) and other mental health conditions. Method: 1,273 participants with a self-reported mental health condition (N=583 with an ED) completed an online survey in September – November 2022. Multinomial logistic regression was used to examine support for and potential adverse effects of policies in participants with and without an ED. Qualitative analysis of potential effects of the policy on current ED symptoms was also conducted to better understand how and why policies may be damaging or beneficial.Results: Participants with an ED tended to support all obesity policies, but were less likely to support the implementation of the calorie labelling policy (43% of ED participants supported vs. 58% of non-ED participants). Half of the participants with an ED (55%) reported that labelling may worsen their ED symptoms. Qualitative data indicated perceived potential harm (e.g., a gateway to relapse, negative effects on mood) and perceived benefits (e.g., feeling informed and reassured) of calorie labelling in participants with an ED. No differences in support or perceived harms of the other two policies were observed between participants with vs. without an ED.Discussion: Future studies are warranted to understand how to mitigate the potential harmful effects of calorie labelling in people with an ED.
Publisher: MDPI AG
Date: 07-05-2020
DOI: 10.3390/TROPICALMED5020073
Abstract: Indirect female sex workers (FSWs), a type of FSW working under the cover of entertainment enterprises (e.g., karaoke lounge, bar, etc.), remain as an important key population for HIV transmission, signaling the need of appropriate interventions targeting HIV-related behaviors. This study aimed to investigate the association between social capital and HIV testing uptake. A cross-sectional study was conducted among 200 indirect FSWs in Denpasar, Bali. The dependent variable was HIV testing uptake in the last six months preceding the survey. The main independent variables were social capital constructs: social cohesion (perceived peer support and trust) and social participation. Variables of socio-demographic characteristics were controlled in this study to adjust the influence of social capital. Binary logistic regression was performed. The prevalence of HIV testing in the last six months was 72.50%. The multivariate analysis showed that only peer support from the social capital constructs was associated with HIV testing uptake. Indirect FSWs who perceived a high level of support within FSWs networks were 2.98-times (95% CI = 1.43–6.24) more likely to report for HIV testing. Meanwhile, perceived trust and social participation did not show significant associations in relation to HIV testing uptake. As social cohesion (support) within FSWs’ relationships can play an important role in HIV testing uptake, existing HIV prevention programs should consider support enhancement to develop a sense of belonging and solidarity.
Publisher: MDPI AG
Date: 29-09-2022
Abstract: This cross-sectional study aimed to identify caregiver burden and its determinants in the informal caregivers of older patients with dementia (PWDs) aged ≥ 60 years in Java, Indonesia. Data were collected from 207 caregivers of older PWDs using self-administered questionnaires. The dependent variable was caregiver subjective burden, assessed using the Zarit Burden Interview (ZBI). The independent variables included the socio-demographic characteristics of PWDs and caregivers, the caregiver’s perceived social support, and the behavioural and psychological symptoms of dementia (BPSD). Linear regression with a stepwise elimination method was used to identify the factors associated with caregiver burden. This study found that four factors were associated with the caregiver burden, such as the gender of PWDs, the educational level of caregivers, social support, and BPSD (R-squared = 27.78%). Higher burden was reported among the caregivers of female PWDs (β = 5.58 95%CI = 2.16 8.99) and PWDs with higher scores of BPSD (β = 0.34 95%CI = 0.25 0.43). Meanwhile, the caregivers with higher perceived social support (β = −0.26 95%CI = −0.42 −0.10) and who completed high school education and above (β = −6.41 95%CI = −10.07 −2.74) tended to have lower scores of subjective burden. These findings suggest that BPSD management and maintaining the resources of support may provide an opportunity to minimise caregiver burden and improve the quality of life of caregivers and PWDs.
Publisher: Elsevier BV
Date: 06-2022
DOI: 10.1016/J.ENVPOL.2022.119075
Abstract: Accumulating exposure to quality green space over time is posited to influence child health, yet longitudinal studies are scarce. This study aimed to examine the associations between trajectories of perceived green space quality and child health-related outcomes. We used data from 1874 childrenin the B-cohort of the Longitudinal Study of Australian Children who participated in the Child Health Checkpoint module at 11-12 years. Data on caregiver perceived green space quality measured biennially was assessed using discrete trajectory mixture models to group children by contrasting distributions in green space quality over time. Examination of associations between trajectory groups of perceived green space quality and child biomarkers (i.e., albumin-to-creatinine ratio, total, cholesterol, total triglycerides, and glucose), physical health and behavioural assessments (i.e., anthropometric measurements, blood pressure, sedentary behaviour, physical activity, sleep, aerobic work capacity, and general wellbeing), and health care use were assessed using multilevel models, adjusted for sociodemographic variables. Four perceived green space quality trajectories were identified: "decreasing quality from high to moderate" "increasing quality from low to high" "consistently high quality" "consistently low quality". Compared with consistently low levels of quality green space, adjusted models indicated consistently high-quality green space was associated with lower total triglycerides (β -0.13 95%CI -0.25, -0.01). Lower odds of hospital admission was observed among children who accumulated quality green space over time (OR 0.45 95%CI 0.23, 0.87). These associations were observed in boys only in sex-stratified analyses. Moreover, boys accumulating quality green space through time tended to have lower diastolic blood pressure (β -2.76 95%CI -5.17, -0.35) and girls who experienced loss in quality green space tended to have a higher percentage of body fat (β 2.81 95%CI 0.43, 5.20). Accumulating quality green space over time is important for various aspects of child health, with contrasting benefits by sex.
Publisher: Elsevier BV
Date: 04-2023
Publisher: Informa UK Limited
Date: 09-07-2020
DOI: 10.1080/09540121.2019.1640851
Abstract: A cross-sectional study was conducted among indirect FSWs (a type of FSWs who provide sex services under the cover of entertainment or recreational enterprises) in Denpasar, Bali from August to October 2017 to investigate factors associated with protected sex with clients using the Health Belief Model (HBM) framework. The protected sex as a dependent variable was identified through self-reported consistency in using condoms with clients in the last month. Independent variables consisted of six HBM constructs and three main groups of modifying factors (personal, sex work, and interventional factors). Binary logistic regression was employed to identify the determinants. The prevalence of protected sex with clients in last month was 50.17% (95%CI = 41.50-80.83). Indirect FSWs were more likely to use condoms consistently if they completed senior high school or higher. Meanwhile, those working in a karaoke lounge, bar, or café were less likely to have protected sex than those in a massage parlour, spa, or beauty salon. Based on HBM, an increase of one-score of these following constructs increased likelihood of protected sex: perceived susceptibility, self-efficacy, and cues to action. Low protected sex among indirect FSWs indicates the need for public health interventions at in idual, interpersonal, and institutional level.
Publisher: Center for Open Science
Date: 20-08-2023
Abstract: Background: This study examined the role of psychological well-being measures in explaining the associations between obesity and risk of non-communicable diseases (NCDs: hypertension, heart disease, stroke, diabetes, arthritis, cancer, and memory-related disease) in older adults. Methods: Data were from the English Longitudinal Study of Ageing (ELSA), UK (baseline: Wave 4 – 2008/2009 n = 8,127) and the Health and Retirement Study (HRS), US (baseline: Waves 9 and 10 – 2008/2010 n = 12,477) with up to 10-year follow-up period in each study. Objective body mass index was used to define obesity. A range of well-being related psychological measures (e.g., depressive symptoms, life satisfaction) was available in ELSA (n = 7) and HRS (n = 15), and an index of overall psychological distress was developed separately in each study by combining select psychological measures. Health outcomes or NCDs were from a self-reported doctor diagnosis and/or other assessments (e.g., biomarker data) in both studies and in ELSA, NCDs from linked hospital admissions data were examined. Longitudinal associations between obesity status, psychological measures, and NCDs were examined using Cox proportional hazard models (in idual NCDs) and Poisson regression (a cumulative number of NCDs). Mediation by psychological measures was assessed using causal mediation analysis. Results: Obesity was consistently associated with an increased prospective risk of hypertension, heart disease, diabetes, arthritis, and a cumulative number of NCDs in both ELSA and HRS. Overall greater psychological distress and some in idual psychological measures were associated with an increased prospective risk of heart disease, stroke, arthritis, memory-related disease, and a cumulative number of NCDs across studies. Findings from mediation analyses showed that neither the index of psychological distress nor any in idual psychological measures explained (mediated) why obesity increased the risk of developing NCDs in both studies. Conclusion: Obesity and impaired psychological well-being independently and additively increase the risk of developing NCDs.
Publisher: Institute for Population and Social Research
Date: 25-01-2021
Abstract: This study examined the bio-demographic, socioeconomic, environmental, and health-related determinants of infant mortality in the Kingdom of Bhutan. The nationally representative dataset of the 2012 National Health Survey (NHS), Ministry of Health of Bhutan, was used. Cox proportional hazards regression from survival analysis, accounting for the complex study design of the NHS, was performed using a stepwise approach to identify the determinants associated with infant mortality. The weighted infant mortality rate from November 2009 to October 2011 was 34 per 1,000 live births. Children born to uneducated mothers (aHR=2.27 95%CI=1.16-4.47) and mothers who experienced domestic violence during pregnancy (aHR=4.24 95%CI=1.45-12.41) were more likely to die before reaching their first birthday. Those infants born in households that used solid fuel were 2.16 times (95%CI=1.21-3.85) more likely to die than their counterparts. Relative to those born in the central region, children born in western (aHR=6.13 95%CI=2.84-13.20) and the eastern (aHR=5.13 95%CI=2.81-9.35) regions had a greater risk of dying. The results showed that education, domestic violence experience, solid fuel use, and region of residence are the key determinants of infant mortality in Bhutan. Policies that facilitate education and empowerment of women, prevent domestic violence, reduce solid fuel use, and equitable regional socioeconomic development policies may help accelerate the reduction of child mortality.
Publisher: Yayasan Aliansi Cendekiawan Indonesia Thailand
Date: 31-10-2018
DOI: 10.35898/GHMJ-23273
Abstract: Background: Diarrhea among under-five children remains a major public health problem in developing countries, such as Myanmar. Its complications contribute to the worse health outcomes as well as increase the child mortality in Myanmar. Hlaing Thar Yar was recognized as a township with the highest incidence of diarrhea in Yangon region. Aims: This study aimed to identify the association of mother’s knowledge on diarrhea with the diarrheal disease among under-five children in Hlaing Thar Yar Township, Yangon, Myanmar. Methods: This was a cross-sectional study by collecting primary data in the Hlaing Thar Yar Township of Yangon, Myanmar from November to December 2016. About 277 records of mothers and their under-five children have been collected through multistage random s ling. A dependent variable in this study was the occurrence of diarrhea among under-five children whilst independent variables consisted of socio-demographic characteristics of parents and five domains of mother’s knowledge on diarrhea. Data were analyzed by using univariate, bivariate and multivariate analysis. Results: This study found that a half (53.43%) of under-five children suffered diarrhea within two weeks prior to the survey. Based on multivariate analysis by controlling all socio-demographic factors, two out of five domains of mother’s knowledge showed significant association. An increased one score of mother’s knowledge on causes and prevention of diarrhea contributed to decrease the likelihood of diarrheal disease by 37% (OR=0.63 95%CI=0.44-0.90) and 27% (OR=0.73 95%CI=0.54-0.99), respectively. Conclusions: This study confirmed that the knowledge of mothers on causes and prevention of diarrhea appears to have important effects on the occurrence of diarrhea among the under-five children. Therefore, health promotion program with an emphasis on providing information related to diarrhea causes and prevention is worth to enhance mother’s knowledge and their ability to prevent diarrhea among under-five children in Hlaing Thar Yar Township, Yangon.
Publisher: Elsevier BV
Date: 04-2021
Publisher: Universitas Airlangga
Date: 30-01-2022
DOI: 10.20473/JBE.V10I12022.1-10
Abstract: Background: Bullying victimization has been found to be associated with suicidal behaviors among adolescents. However, there is a lack of studies examining the mediating pathways. Purpose: This study aims to investigate psychological distress as a candidate mediator to the association between bullying victimization and suicidal behaviors. Methods: This was a cross-sectional study involving 10,883 records of school-going adolescents, retrieved from the 2015 Indonesia Global School-based Student Health Survey (IGSHS). The primary independent variable was the experience of being bullied in the last 30 days. In contrast, the dependent variable was any suicidal behaviors (i.e., suicidal ideation, planning, or attempt) reported in the last 12 months. Psychological distress as a candidate mediator was measured as loneliness, anxiety-induced sleep disturbance (in the past 12 months), and a combination of both measures – psychological distress. Causal mediation analysis with single mediation models was used to investigate the mediation using psychological distress measures by adjusting for potential confounders. Results: This study found conceivable pathways linking bullying victimization to suicidal behaviors through all measures of psychological distress with statistically significant Natural Indirect Effect (NIE): loneliness (aOR=1.17 95%CI=1.11-1.27), anxiety-induced sleep disturbance (aOR=1.16 95%CI=1.10-1.27), and psychological distress (aOR=1.21 95%CI=1.15-1.31). The proportions mediated by loneliness, anxiety-induced sleep disturbance, and psychological distress accounted for 24.58%, 23.03%, 29.27%, respectively. Findings also suggest that the mediation by all measures of psychological distress persisted among both genders, with higher proportions mediated reported among boys. Conclusion: Psychological distress mediated the associations between bullying victimization and suicidal behaviors among Indonesian adolescents.
Publisher: Springer Science and Business Media LLC
Date: 30-05-2022
DOI: 10.1038/S41366-022-01148-6
Abstract: No studies appear to examine potential associations between changes in built environments across childhood and the developmental trajectories of child weight status. Examine the developmental trajectories of child weight status with respect to changes in childhood exposure to the built environments. This study used data of 9589 children with biennial follow-up (2004–2016), retrieved from the Longitudinal Study of Australian Children. Changes in objectively-measured child weight status (i.e., body mass index-BMI, waist circumference) were investigated in relation to changes in seven built environments (i.e., neighbourhood safety green space quality footpaths and street conditions public transport shopping facilities basic services and local traffic) subjectively reported by caregivers. Group-based discrete trajectory mixture models were used to classify children according to their developmental trajectories of built environments and weight status. Multilevel multinomial logistic regression was employed to examine associations between built environments and child weight status adjusted for confounding. Two, four, and six trajectory groups were developed for built environment variables. Three groups namely “moderate”, “high”, and “extreme increase” were generated for each BMI and waist circumference. Findings from multilevel analyses indicated that growing up in neighbourhoods that are considered highly safe, with better quality of green space nearby, and in areas with low local traffic over time are protective against unhealthy weight increase in childhood. Meanwhile, living with better access to shopping facilities and basic services was associated with an unhealthy increase in BMI and/or waist circumference. No clear associations appeared between the quality of footpath and street conditions, access to public transport, and child weight status. Built environments might act either as a risk or protective factor of an unhealthy increase in child weight status. Enabling health-promoting neighbourhoods (i.e., highly safe, quality green space nearby, low local traffic) is important to support a healthy weight trajectory across childhood.
Publisher: Center for Open Science
Date: 16-02-2023
Abstract: We tested psychosocial resources in explaining the development of socioeconomic inequalities in self-rated health and memory over six years of follow-up in the English Longitudinal Study of Ageing. Self-rated health and memory declined more in the least affluent participants than in the wealthy. Psychosocial resources (a collection of measured psychological and social resources) explained 30% and 54% of socioeconomic inequalities in self-rated health and memory, respectively. Psychological components (e.g., depressive symptoms, eudemonic well-being) largely explained socioeconomic inequalities in both self-rated health and memory. Psychosocial pathways in explaining the development of health inequalities in later life warrant further testing.
Publisher: Institute for Population and Social Research
Date: 14-06-2022
Abstract: There is a paucity of studies investigating the spatial pattern and factors associated with the prevalence of tuberculosis (TB) in Java. This study aimed to identify spatial autocorrelation, clusters, and factors associated with TB prevalence in Java using district- or city-level data. This was an ecological study using data from 118 districts or cities across six provinces in Java. Spatial analyses (i.e., Global Moran’s I, Local Indicator Spatial Autocorrelation [LISA], and Geographically Weighted Regression [GWR]) were used. This study found positive spatial autocorrelation of TB prevalence in Java (Global Moran’s I = .45, p = .001). Statistically significant high-high clusters (p .05) were identified in some districts within the capital city of Jakarta, Banten, and West Java provinces. The GWR model with the Bi-square Kernel weighting function was selected as the best model to predict the prevalence of TB (R2 = 37.50%, AIC = -59.94%). Findings from the GWR model indicate that the average number of years in education, the percentages of households with floor space per capita 8 m2 and reporting easy access to health care facilities were associated with the prevalence of TB in some districts within West and Central Java provinces. Therefore, considering district differences in factors associated with TB prevalence, locally-focused interventions are worth considering.
Publisher: Andalas Journal of Public Health
Date: 20-11-2017
DOI: 10.24893/JKMA.11.2.75-83.2017
Abstract: The earlier age for dating among teenagers has an impact to increase the chance of sexual behavior. This study aimed to identify the factors related to sexual behavior among teenager dating in Denpasar City. This study was observational analytic with cross-sectional approach. S le size was 880 students dating with s ling technique using nonprobability s ling. This study showed the proportion of teenager who had risky sexual behavior was 22,1%. Factors related to risky sexual behavior among teenager dating were aged years old (OR=3,0 95%CI=1,9-4,8 p ,001), male (OR=3,0 95%CI=2,2-4,2 p ,001), education level of senior high school compared to junior high school (OR=3,9 95%CI =2,4-6,2 p ,001), education level of vocational high school compared to junior high school (OR=2,4 95%CI =1,5-3,9 p=0,001), private school (OR=2,2 95%CI=1,6-3,1 p ,001), never accessed to health reproductive information (OR=2,0 95%CI =1,3-3,0 p=0,001), accessed to pornography content (OR=4,1 95%CI=2,8-6,1 p ,001), lack of knowledge (OR=1,7 95%CI=1,2-2,4 p=0,006), and lack of attitude (OR=3,1 95%CI=2,2-4,5 p ,001). There were relationship between age, sex, educational level, school status, the access of health reproductive information, the access to pornography content, knowledge, and attitude toward risky sexual behavior. Giving information comprehensively regarding reproductive and sexual health is essential approach through involving active participation from parents and teachers.
Publisher: Informa UK Limited
Date: 30-09-2019
Publisher: Yayasan Aliansi Cendekiawan Indonesia Thailand
Date: 31-10-2019
DOI: 10.35898/GHMJ-33451
Publisher: Office of Academic Resources, Chulalongkorn University - DIGITAL COMMONS JOURNALS
Date: 07-01-2021
Abstract: This paper is to examine the factors associated with partner violence (IPV) in Bhutan. The nationally representative National Health Survey data conducted in 2012 was used. The survey included 12,210 women aged 15–75 years. Multiple logistic regression accounting for complex survey design was performed to assess the possible association of the putative factors with physical, sexual, psychological and any IPV experienced in the past 12 months before the survey. Alcohol consumption, quarrelling habits and extramarital relationships of husbands artners were associated with the experience of all types and any IPV. Women performing household chores had increased odds of sexual and any IPV, and those whose husbands had low education levels were more likely to experience physical IPV. Women living in households with members had reduced odds of physical and any IPV. Women married to older husbands artners were less likely to be psychologically abused. Women from poorer wealth quintiles and who married before reaching 18 years of age also had greater odds of any IPV. Poor relationship quality, alcohol use, household size, low education, early marriage, poor wealth status and husband’s age were factors associated with one or more types of IPV in Bhutan. Interventions to reduce alcohol use, transform social norms, promote healthy relationships and enhance female empowerment through socio-economic programs may help prevent IPV.
Publisher: Elsevier BV
Date: 09-2021
Publisher: Fakultas Kesehatan Masyarakat Universitas Hasanuddin
Date: 23-09-2017
Abstract: Status RSUP Sanglah sebagai rumah sakit pendidikan akan menimbulkan dinamika persepsi terhadap kualitas pelayanan baik dari sisi pasien maupun staf RSUP Sanglah karena proses pendidikan peserta didik kedokteran (dokter koas dan dokter residen) yang akan berhubungan langsung dengan pasien. Tujuan dari penelitian ini, yaitu untuk mengukur dan mengidentifikasi faktor yang terkait dengan tingkat kepuasan staf RSUP Sanglah terhadap pelayanan kesehatan yang diberikan peserta didik kedokteran. Metode penelitian ini, yaitu observasional deskriptif dengan rancangan cross-sectional study. S el dalam penelitian ini, yaitu staf RSUP Sanglah di 19 ruangan yang menjadi lokasi dokter residen dan koas memberikan pelayanan dengan jumlah s el sebanyak 382 orang dan di- pilih secara total s ling. Hasil penelitian menunjukkan tingkat kepuasan staf terhadap layanan yang diberikan oleh peserta didik kedokteran, yaitu sebesar 3,790 (SD=0,403) dari minimal 1 (sangat tidak puas) dan maksimal 5 (sangat puas). Seluruh item pernyataan dimensi kepuasan staf menunjukkan proporsi respon positif yang lebih besar, terutama pada dimensi benefit atau manfaat yang dirasakan, tetapi terdapat cukup besarnya respon negatif pada item pernyataan confidence, dengan item terendah yaitu pengisian rekam medik. Secara umum staf RSUP Sanglah menyatakan puas terhadap layanan yang diberikan oleh peserta didik kedokteran, walaupun masih ditemukan respon negatif, yaitu pada kelengkapan pengisian rekam medis.
Publisher: Springer Science and Business Media LLC
Date: 17-01-2022
DOI: 10.1007/S00127-021-02186-7
Abstract: This study aimed to investigate prosocial behaviour-those behaviours that benefit others or enhance relationships with others-as a mediator of the associations between green space quality and child health-related outcomes (physical activity, mental health, and health-related quality of life (HRQOL)). This study involved data from 4983 children with 10-year follow-up (2004-2014) retrieved from the Longitudinal Study of Australian Children. Green space quality (the exposure), prosocial behaviour (the candidate mediator), and child health-related outcomes were assessed biennially based on caregiver reports. Causal mediation analysis was used, with four mediation models developed for each outcome. Mediation by prosocial behaviour appeared in the late childhood mediation model with higher mediation proportions reported compared to models of earlier and middle childhood. Prosocial behaviour had moderate mediation consistency for the association between green space quality and physical activity enjoyment, but no mediation was evident for other physical activity variables. Prosocial behaviour had low mediation consistency for child mental health (internalising and externalising subscales). Similarly, low mediation consistency of prosocial behaviour was also evident for all HRQOL variables, such as physical, emotional, social, school functioning, psychosocial health, and total quality of life (QOL). Prosocial behaviour partially mediated the association between green space quality and child health-related outcomes (physical activity enjoyment, mental health, and HRQOL). Improving the quality of neighbourhood green space that supports the development of prosocial behaviour may result in better child health-related outcomes. Other physical activity variables might not specifically relate to social interactions, and therefore, no mediation by prosocial behaviour was apparent.
Publisher: Cambridge University Press (CUP)
Date: 02-11-2022
DOI: 10.1017/S0021932022000426
Abstract: This study aimed to investigate gender differences in social environmental factors of psychological distress among Indonesian adolescents. This was a cross-sectional study using the data from the 2015 Indonesia Global School-based Student Health Survey. Binary logistic regression was used to assess the influences of main independent variables – social environmental factors (i.e., peer support, having close friends, bullying victimisation, physical fight, physical attack, parental supervision, connectedness, bonding), demographic characteristics, and health-related behaviours on the measures of psychological distress (loneliness, anxiety-induced sleep disturbance, and a combination of both measures as psychological distress). The prevalence of psychological distress measured as loneliness, anxiety-induced sleep disturbance, and combined psychological distress was 6.12%, 4.52%, and 8.04%, respectively. Findings from multivariate analyses indicated that bullying victimisation, physical attack, experience of hunger (a proxy of socioeconomic status), and sedentary behaviour were associated with all measures of psychological distress. Meanwhile, age, gender, drug use, parental connectedness and bonding, and having no close friends were correlates of one or two measures of psychological distress. Based on gender-stratified analyses, experience of hunger, sedentary behaviour, bullying victimisation, and having no close friends were consistently associated with measures of psychological distress among both girls and boys. In addition, the influence of some social environmental factors, such as parental connectedness, peer support, and physical attack, were more salient among girls. The findings suggest that social environmental factors, demographic characteristics, and health-related behaviours were associated with psychological distress, and the associations appeared to differ by gender. Interventions that include improving positive social environmental factors (e.g., reducing interpersonal violence, encouraging positive relationships with parents and peers) and promoting healthy behaviours (e.g., less sedentary behaviour, preventing substance use) might help reduce the risk of psychological distress among Indonesian adolescents.
Publisher: MDPI AG
Date: 24-02-2023
Abstract: Data on factors influencing multiple sexual partners that can inform cost-effective interventions are limited in Bhutan. This study examined factors associated with multiple sexual partners among adolescents. We analyzed the data of 7437 school-going adolescents from the 2016 Bhutan Global School-based Student Health Survey. Multivariable logistic regression stratified by sex was conducted. The prevalence of sex with multiple partners was 7.39%, with a much higher prevalence among males than females. In the overall s le, males, those years of age, who smoked, consumed alcohol, used drugs, exhibited truancy, and were unmonitored by parents, had higher odds of having sex with multiple partners. In both males and females, being years old, smoking, and drug use were associated with having multiple sexual partners. Alcohol use and truancy were significant only among males, whereas a lack of parental monitoring was significant only among females. The findings suggest that reducing substance use and enhancing parental support, and targeting males and older adolescents may yield larger gains.
Publisher: Elsevier BV
Date: 11-2022
DOI: 10.1016/J.SCITOTENV.2022.157521
Abstract: Persistent loneliness troubles people across the life span, with prevalence as high as 61 % in some groups. Urban greening may help to reduce the population health impacts of loneliness and its concomitants, such as hopelessness and despair. However, the literature lacks both a critical appraisal of extant evidence and a conceptual model to explain how green space would work as a structural intervention. Both are needed to guide decision making and further research. We conducted a systematic review of quantitative studies testing associations between green space and loneliness, searching seven databases. Twenty two studies were identified by 25/01/2022. Most of the studies were conducted in high-income countries and fifteen (68 %) had cross-sectional designs. Green space was measured inconsistently using either objective or subjective indicators. Few studies examined specific green space types or qualities. The majority of studies measured general loneliness (e.g. using the UCLA loneliness scale). Different types of loneliness (social, emotional, existential) were not analysed. Of 132 associations, 88 (66.6 %) indicated potential protection from green space against loneliness, with 44 (33.3 %) reaching statistical significance (p < 0.05). We integrated these findings with evidence from qualitative studies to elaborate and extend the existing pathway domain model linking green space and health. These elaborations and extensions acknowledge the following: (a) different types of green space have implications for different types of loneliness (b) multilevel circumstances influence the likelihood a person will benefit or suffer harm from green space (c) personal, relational, and collective processes operate within different domains of pathways linking green space with loneliness and its concomitants (d) loneliness and its concomitants are explicitly positioned as mediators within the broader causal system that links green space with health and wellbeing. This review and model provide guidance for decision making and further epidemiological research on green space and loneliness.
Location: United Kingdom of Great Britain and Northern Ireland
No related grants have been discovered for I Gusti Ngurah Edi Putra.