Sensitivity of major chronic diseases and patients of different ages to the collapse of the healthcare system during the COVID-19 pandemic in China Ayub Qamar, Liu Hui Medicine.2024; 103(48): e40730. CrossRef
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Ye Rim Chang, Kyoung Min Kim, Hyo Joung Kim, Dong Hun Kim, Jeonsang Kim, Dongsub Noh, Dae Sung Ma, Jeongseok Yun, Jung-Ho Yun, Seok Won Lee, Seok Ho Choi, Yoonjung Heo, Sung Wook Chang
Osong Public Health Res Perspect 2020;11(6):345-350. Published online December 22, 2020
<sec>
<b>Objectives</b>
<p>As a protective measure to slow down the transmission of coronavirus disease 2019 in Korea, social distancing was implemented from February 29<sup>th</sup>, 2020. This study aimed to evaluate the prevalence of domestic incidents and intentional injury during March 2020 when social distancing was in effect.</p></sec>
<sec>
<b>Methods</b>
<p>There were 12,638 patients who visited the Level 1 trauma center of Chungnam province with injuries from domestic incidents, familial discord, and intentional injury. The prevalence of injuries during March 2020 was compared with the average of the previous 5 years, and the average for every March between 2015 and 2019.</p></sec>
<sec>
<b>Results</b>
<p>The prevalence of domestic incidents in March 2020 was significantly higher than the 5-year average, and the average for every March from 2015 to 2019 (<italic>p</italic> < 0.001). Familial discord (<italic>p</italic> = 0.002) and intentional injury (<italic>p</italic> = 0.031) were more frequently observed in March 2020. Adolescents showed a markedly higher level of intentional injury in March 2020 than in both the 5-year average (<italic>p</italic> = 0.031), and average for every March over the previous 5 years (<italic>p</italic> = 0.037).</p></sec>
<sec>
<b>Conclusion</b>
<p>The prevalence of domestic incidents and intentional injury were significantly higher during the period of social distancing in Korea. There is a need for social consensus, better policies, and psychological support services, especially if faced with a second or third wave of coronavirus disease.</p></sec>
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Osong Public Health Res Perspect 2020;11(6):351-364. Published online December 22, 2020
<sec>
<b>Objectives</b>
<p>To assess the prevalence of noncommunicable disease (NCD) risk factors and the factors associated with the coexistence of multiple risk factors (≥ 2 risk factors) among adolescent boys and girls in Bangladesh.</p></sec>
<sec>
<b>Methods</b>
<p>Data on selected NCD risk factors collected from face to face interviews of 4,907 boys and 4,865 girls in the national Nutrition Surveillance round 2018–2019, was used. Descriptive analysis and multivariable logistic regression were performed.</p></sec>
<sec>
<b>Results</b>
<p>The prevalence of insufficient fruit and vegetable intake, inadequate physical activity, tobacco use, and being overweight/obese was 90.72%, 29.03%, 4.57%, and 6.04%, respectively among boys; and 94.32%, 50.33%, 0.43%, and 8.03%, respectively among girls. Multiple risk factors were present among 34.87% of boys and 51.74% of girls. Younger age (<italic>p</italic> < 0.001), non-slum urban (<italic>p</italic> < 0.001) and slum residence (<italic>p</italic> < 0.001), higher paternal education (<italic>p</italic> = 0.001), and depression (<italic>p</italic> < 0.001) were associated with the coexistence of multiple risk factors in both boys and girls. Additionally, higher maternal education (<italic>p</italic> < 0.001) and richest wealth quintile (<italic>p</italic> = 0.023) were associated with the coexistence of multiple risk factors in girls.</p></sec>
<sec>
<b>Conclusion</b>
<p>The government should integrate specific services into the existing health and non-health programs which are aimed at reducing the burden of NCD risk factors.</p></sec>
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<sec>
<b>Objectives</b>
<p>This study aimed to identify differences in drinking norms, heavy drinking, and motives between types of drinkers (abstainers, solitary, and social drinkers) in a representative sample of Korean adults.</p></sec>
<sec>
<b>Methods</b>
<p>An online survey of people registered on the electoral roll were randomly invited to be part of the “National Korean Drinking Culture Study” conducted in 2018 (<italic>n</italic> = 3,015). Participants included 1,532 men and 1,469 women aged 19–60 years. Questions included the number of times they drank in the last month, what they drank, and the volume drank. The amount of pure alcohol consumed was calculated. Drinking norms, motives, and types were determined in the survey questions.</p></sec>
<sec>
<b>Results</b>
<p>Solitary drinkers were more likely to be divorced or separated, less educated, and marginally employed. Solitary drinking peaked in those in their 30s (18.5%) and social drinkers in their 50s (68.1%). Solitary drinkers drank more frequently compared with social drinkers (6.1 vs. 3.6 times per month, <italic>p</italic> < 0.001), and consumed a significantly larger quantity of alcohol (69.5 g vs. 46.8 g per week). Solitary drinkers were more accepting of drinking-related behaviors in diverse situations compared with social drinkers. The regression analysis revealed that personal drinking motives were the most important factor influencing the frequency and quantity of alcohol consumption in both solitary and social drinking.</p></sec>
<sec>
<b>Conclusion</b>
<p>Solitary drinkers may be more vulnerable to alcohol abuse than social drinkers.</p></sec>
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<sec>
<b>Objectives</b>
<p>This study aimed to assess medication use in pregnant women in Malaysia by measuring use, knowledge, awareness, and beliefs about medications.</p></sec>
<sec>
<b>Methods</b>
<p>This was an observational, cross-sectional study involving a total of 447 pregnant women who attended the Obstetrics and Gynecology Clinic, Hospital Kuala Lumpur (HKL), Malaysia. A validated, self-administered questionnaire was used to collect participant data.</p></sec>
<sec>
<b>Results</b>
<p>Most of pregnant women had taken medication during pregnancy and more than half of them (52.8%) showed a poor level of knowledge about the medication use during pregnancy. Eighty-three percent had a poor level of awareness and 56.5% had negative beliefs. Age and education level were significantly associated with the level of knowledge regarding medication use during pregnancy. Multiparous pregnant women, and pregnant women from rural areas were observed to have a higher level of awareness compared with those who lived in urban areas. Use of medication during pregnancy was determined to be significantly associated with education level, and race.</p></sec>
<sec>
<b>Conclusion</b>
<p>Although there was prevalent use of medication among pregnant women, many had negative beliefs, and insufficient knowledge and awareness about the risks of taking medication during pregnancy. Several sociodemographic characteristics were significantly associated with the use (race and education level), level of knowledge (age and education level), awareness (parity and place of residence), and beliefs (race, education level, and occupation status) towards medication use during pregnancy.</p></sec>
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<p>The importance of effective communication cannot be overestimated during a pandemic. The Korea Disease Control and Prevention Agency national 1339 hotline has been in operation since the Middle East respiratory syndrome coronavirus outbreak in 2016. The hotline is open 24 hours a day, 7 days a week, 365 days a year, and provides accurate, reliable information based upon the Korea Disease Control and Prevention Agency guidelines in response to queries. During the coronavirus disease 2019 (COVID-19) pandemic, the 1339 hotline received callers’ questions about symptoms and the implications of their actions regarding the epidemic. Through the 1339 hotline, callers received the up-to-date information that enabled them to protect themselves as well as others from COVID-19. This public service may have influenced on reduced risk of virus transmission in Korea.</p>
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