Perception Of Health Condition Research Articles

Analysis of Contribution Assistance Recipients' Utilization of National Health Insurance Participants

Background: Contribution Assistance coverage for National Health Insurance Participants Participation among recipients is greater than that of non-participants, but the use of health services by National Health Insurance PBI participants in Indonesia remains relatively low. This study aims to determine in 2021 which factors influence the utilization of health services by National Health Insurance PBI group participants in Jambi City. Methods: This study is a quantitative cross-sectional investigation. The sample consisted of 106 random samples collected using the technique of accidental sampling. In this study, the independent variables were education, occupation, knowledge, attitudes, perceptions of health conditions, affordability, and information, while the dependent variable was health service utilization. Respondents filled out questionnaires to generate data. The data analysis consisted of univariate and bivariate (chi-square) tests. Result: This study's findings indicate that the majority of respondents, 61.3%, do not utilize health services. Knowledge (0.000), attitudes (0.003), perception of health conditions (0.012), and information are associated with the utilization of health services, according to this study's statistical analyses (0.000). In addition, there is no correlation between education (0.147), occupation (0.295), affordability (0.787), and the utilization of health services among National Health Insurance (JKN) PBI group participants. Conclusion: There is a correlation between knowledge, attitudes, perceptions of health conditions, and information and the utilization of health services by National Health Insurance for the PBI Group participants in Jambi City.

Study on the Utilization of National Health Insurance Participants for Contribution Assistance Recipients Jambi City

The coverage of JKN PBI participation is higher than that of non-PBI participants, but the utilization of health services by JKN PBI participants in Indonesia is still relatively low. This study aims to determine what factors are related to the utilization of health services for PBI group National Health Insurance (JKN) participants in Jambi City. This study is a quantitative study using a cross sectional approach. The sample amounted to 106 samples with a sampling technique using accidental sampling. The independent variables in this study were education, occupation, knowledge, attitudes, perceptions of health conditions, affordability and information, while the dependent variable was the utilization of health services. Data were obtained by filling out questionnaires by respondents. Data analysis was performed using univariate and bivariate (chi-square) tests. The results of this study indicate that most of the 61.3% of respondents do not use health services. Based on statistical tests in this study indicate that factors related to the utilization of health services are knowledge (0.000), attitudes (0.003), perception of health conditions (0.012), and information (0.000). And there is no relationship between education (0.147), occupation (0.295) and affordability (0.787) with the utilization of health services for participants of the National Health Insurance (JKN) PBI group. There is a relationship between the variables of knowledge, attitudes, perceptions of health conditions and information with the utilization of health services for the participants of the National Health Insurance for the PBI Group in Jambi City.

I don't have to be terribly mobile do I?: a qualitative study on attitudes and beliefs about CR in heart failure

Abstract Funding Acknowledgements Type of funding sources: Private grant(s) and/or Sponsorship. Main funding source(s): British Heart Foundation Background Factors affecting uptake of cardiac rehabilitation (CR) have been well researched in the post myocardial infarction population (1). However this is less well studied in people with chronic heart failure (CHF), who have poor engagement with this evidence based intervention (2). This qualitative study is part of a larger mixed methods study aimed at developing an intervention to improve uptake of CR by people with CHF. Purpose To investigate the influences of patient attitudes and beliefs on the uptake of CR in people with chronic heart failure. Methods An interpretive descriptive approach was taken (3). A purposive sample of participants from a tertiary hospital were recruited (at least 6 weeks post discharge from acute admission for heart failure) with representation according to gender, age and CR status. Semi-structured telephone interviews explored the reasons for accepting or rejecting an offer to participate in CR. Interviews were audio-recorded, transcribed verbatim and analysed using thematic analysis (4). Analysis was validated by blinded collaborator coding and discussions in order to reach consensus of themes/ sub-themes. Results 15 participant interviews were analysed. 9 were male, ages ranged from 56 to 86 years, 8 had accepted referral to CR. Four themes were generated (Table 1 and 2) 1. Beliefs and expectations of CR: focused on participants’ understanding of what CR is and how it can benefit them. Subthemes included lack of knowledge of content or purpose of CR, focus on exercise component of the programme, uncertainty about tailoring to individual capability and needs, recognition of broader aspects of CR programme, alignment with perceived need to increase activity level/exercise. 2. Perception of health condition: focused on the relationship between participants approach to their health condition and how they perceived the need for regular exercise/activity. Subthemes include symptom burden, 'recovery' from CHF, 'chronicity' of condition, adapting to cope, no need for improving functional capacity. 3. Perception of self: focused on intrapersonal factors that impact the decision to take up CR. Subthemes include need for motivation to exercise, need to please others, social being, self-reliance and locus of control. 4. External factors: Subthemes included timing of offer, choice of CR format. Conclusions Study participants tended to view CR as a means of symptom management through exercise. They felt symptoms were influenced by medical management and passage of time (recovery) and those who had no improvement in symptoms had adapted their life to accommodate limitations to their functional ability (chronicity). CR was engaged in either to further improve symptoms or to make a change to the status quo. Considering both the point in the disease trajectory and the symptom burden of people with chronic heart failure may enable more targeted interventions to improve uptake of CR in this population.

What public health interventions do people in Canada prefer to fund? A discrete choice experiment

ObjectiveTo assess public support of tailored and targeted public health interventions for marginalized communities.MethodsWe conducted a discrete choice experiment using a web-based survey advertised to Facebook and Instagram users living in Canada, aged > 16. Participants were asked to choose between funding two hypothetical public health programs. Each program was described by its purpose; expected increase in life expectancy; and target audience. Demographically weighted generalized linear mixed-effects models were constructed to identify program factors associated with program selection.ResultsParticipants completed up to 8 discrete choice comparison exercises each resulting in 23,889 exercises were completed by 3054 participants. Selected programs were less likely to focus on prevention (vs. treatment). For each 1-year increase in the marginal years of life gained, there was a 15% increase in the odds of a program being selected. Interventions tailored to marginalized communities or targeting stigmatized health conditions were less likely to be selected compared to interventions targeted to the general population or targeting chronic health conditions. Noteworthy exceptions included an increased preference for interventions aligning with the perceived needs or cultural expectations for marginalized communities.ConclusionsStigmatizing perceptions of health conditions and key populations likely influence public health programming preferences of Canadians.Public health implicationsInformational campaigns highlighting disparities experienced by marginalized populations may improve support for targeted and tailored interventions.

Relationship Between Immunity Level and Quality of Life among Housewives Living with HIV (Cross-sectional Study in Central Borneo, Indonesia)

Background: In Central Kalimantan Province, housewives constitute the second largest group of people with HIV (+) (19.4%) after the private group. Most of them (61.4%) reported on the poor quality of life, especially in the domain of psychology due to frustration and poverty. In its management, the intervention program has not fully integrated the life quality of people with HIV toward the accepted treatment model because of the lack of information about the case. Therefore, the particular study aims to find out the relationship between quality of life and the level of immunity of housewives with HIV (+), which expect to have benefited the development of a program for managing ODHA in Central Kalimantan Province. Method: Cross-sectional study approach used in the research where the population is a housewife with HIV (+) who lives in Central Kalimantan Province. The purposive sampling technique used to select the sample with criteria of the subjects have a CD4 > 200 cell/µL and are excluded when experiencing psychiatric disorders and/or dying. There were 54 people as the sample. Data were analyzed bivariate using chi-square test and multivariate analysis with logistic regression. Result and conclusion :The results of statistical tests showed no significant relationship between quality of life and the level of immunity of participants in the physical domain (p = .2.071); psychological domain (p = 0.610); social domain (p = 0.595); environmental domain (p = 0.393); perception of health conditions (p = 0.317) and; perception of quality of life (p = 2.140).It needs further assessment toward the total number of CD4 before starting ART, treatment adherence, disease history and lifestyle of the participants. And, interventions can improve the quality of life and increase the immunity of participants

Perception of Health Conditions and Test Availability as Predictors of Adults' Mental Health during the COVID-19 Pandemic: A Survey Study of Adults in Malaysia.

Research identifying adults’ mental health during the coronavirus disease 2019 (COVID-19) pandemic relies solely on demographic predictors without examining adults’ health condition as a potential predictor. This study aims to examine individuals’ perception of health conditions and test availability as potential predictors of mental health—insomnia, anxiety, depression, and distress—during the COVID-19 pandemic. An online survey of 669 adults in Malaysia was conducted during 2–8 May 2020, six weeks after the Movement Control Order (MCO) was issued. We found adults’ perception of health conditions had curvilinear relationships (horizontally reversed J-shaped) with insomnia, anxiety, depression, and distress. Perceived test availability for COVID-19 also had curvilinear relationships (horizontally reversed J-shaped) with anxiety and depression. Younger adults reported worse mental health, but people from various religions and ethnic groups did not differ significantly in reported mental health. The results indicated that adults with worse health conditions had more mental health problems, and the worse degree deepened for unhealthy people. Perceived test availability negatively predicted anxiety and depression, especially for adults perceiving COVID-19 test unavailability. The significant predictions of perceived health condition and perceived COVID-19 test availability suggest a new direction for the literature to identify the psychiatric risk factors directly from health-related variables during a pandemic.

Huzurevinde Yaşayan Bireyler Arasında Uyum Güçlüğü ile Ölüm Kaygısı ve Depresyon Arasındaki İlişki

Objective: This study aims to investigate the relation of adaptation difficulty to death anxiety and depression among individuals living in a nursing home. Material and Methods: The study was conducted with 62 individuals living in a nursing home. Data were collected using the Personal Information Form, the Assessment Scale of Adaptation Difficulty for the Elderly (There were four sub dimensions of interest: role and self-actualisation, interdependence, physiological status, and self-concept), the Death Anxiety Scale, and the Death Depression Scale. Results: The mean Assessment Scale of Adaptation Difficulty for the Elderly, the Death Anxiety Scale and the Death Depression Scale scores were 0.83±0.41, 8.61±2.97 and 9.45±4.25, respectively. There was a weak negative correlation between physiological states and the self-concept scores of the Death Anxiety Scale and the Assessment Scale of Adaptation Difficulty for the Elderly subscales. There were statistically significant differences between the Death Anxiety Scale total scores by gender and educational status, between the Death Anxiety Scale total scores by age, and between the Assessment Scale of Adaptation Difficulty for the Elderly total scores based on gender, educational status, perception of health condition, and ability to perform daily activities (p<0.05). Conclusion: Adaptation in terms of role and self-actualisation were generally negative, while death anxiety and depression were moderate. Death anxiety was most associated with physiological states and self-concepts. Specifically, death anxiety was therefore higher in males and people educated up to high-school and above levels, whereas death depression was higher in those aged from 58 to 70 years.

Üçüncü trimester gebelerde yaşam kalitesi ve etkileyen faktörler

Purpose: The aim of this study was to determine the factors affecting the quality of life pregnant women during the third trimester of pregnancy. Materials and Methods: The study group of this cross-sectional research comprise of the pregnant women resident in a province center in Central Anatolia. 12 neighborhoods were chosen using simple random sampling method and the pregnancy registries of the selected neighborhoods available in Family Health Centers were used. The study was performed via home visits and the research sample consisted of 742 pregnant women. “Personal Information Form” and “Quality of Life Scale” were used for data collection. Results: The physical, psychological, social and environmental field scores of the pregnant women were respectively 13.8 ± 2.5; 14.5 ± 2.3; 14.6 ± 2.8 and 14.8 ± 2.2. 13.1%, 15.9%, 10.4% and 17.4% of the pregnant women were found to have low physical, psychological, social and environmental domain quality of life sub-dimensions, respectively. Conclusion: During the third trimester of pregnancy, life qualities of pregnant women are affected by their perception of health condition, educational level, the number of gestations and deliveries they have undergone, their perception of fiscal situation, and their preparedness for parenthood.

Weight Stigma in Healthcare Settings in the United Kingdom: A Review

Due to weight stigma, obese and overweight individuals are stereotyped, rejected and victimised by the public. The pervasion of this discrimination in healthcare settings is concerning given that the healthcare setting plays a crucial role in influencing health and shaping perception of health conditions. Without adequate support and little public attention, obese individuals are primarily left on their own to deal with ongoing prejudice unless addressed through vigorous research and strategic interventions at individual, interpersonal, organisational and community levels, and through policy implementation.

The ability of older adults to use customized online medical databases to improve their health-related knowledge

IntroductionPatient compliance with medical advice and recommended treatment depends on perception of health condition, medical knowledge, attitude, and self-efficacy. This study investigated how use of customized online medical databases, intended to improve knowledge in a variety of relevant medical topics, influenced senior adults’ perceptions. MethodSeventy-nine older adults in residence homes completed a computerized, tablet-based questionnaire, with medical scenarios and related questions. Following an intervention, control group participants answered questions without online help while an experimental group received internet links that directed them to customized, online medical databases. ResultsMedical knowledge and test scores among the experimental group significantly improved from pre- to post-intervention (p<0.0001) and was higher in comparison with the control group (p<0.0001). No significant change occurred in the control group. ConclusionOlder adults improved their knowledge in desired medical topic areas using customized online medical databases. The study demonstrated how such databases help solve health-related questions among older adult population members, and that older patients appear willing to consider technology usage in information acquisition.

The perception of health condition and radiation among elderly evacuees four years after the Fukushima Nuclear Disaster

The perception of health condition and radiation among elderly evacuees four years after the Fukushima Nuclear Disaster

EVALUATION OF LIFE QUALITY IN PATIENTS WITH HAEMOPHILIA

There is an increasing concern for the evaluation of individual experience and perception of health condition by the cronic patients. World Health Organization Quality of Life (WHOQOL-100) is one of the most beneficial instruments for assessment of life quality in haemophilic patients. The aim of the study is evaluation of life quality in haemophilic patients admitted in the Medical Center of Evaluation and Rehabilitation ‘‘Cristian Serban’’, Buzias, and Pediatric Clinic Children’s Hospital ’’Luis Turcanu’’, Timisoara, Romania.

Median nerve conduction impairment in patients with diabetes and its impact on patients’ perception of health condition: a quantitative study

IntroductionImpaired mobility and compromised manual dexterity leading to difficulties with the activities of daily living (ADL) are an inherent part of the clinical picture in diabetes. Hand function in diabetes is influenced by a variety of pathologies: the median nerve, the most important nerve of the hand, can suffer from metabolic disturbances, ischemia and/or entrapment neuropathies. The resulting deterioration in functional capacity is likely to have significant consequences for the ability to perform ADL, influencing adjustment to diabetes and affecting quality of life. The aim of the present study was to examine the influence of hand function as measured by median motor nerve conduction on quality of life, taking into account various aspects of functioning in patients with diabetes, including activities of daily living, psychological status and acceptance of illness.Patients and methodsSeventy one hospital patients with diabetes participated in the study. Electrophysiological recordings of conductance in the median nerve were obtained for both hands and the relationship between hand function and functional status (BI), depression and anxiety (HADS), adjustment to illness (AIS) and their effect on quality of life (SF-36v2 and QLI) was studied.ResultsDamage to the median nerve of the left hand was associated with significant differences in functioning in the physical, but not the mental component of the SF-36v2, p = 0.03 and in functional status (p = 0.006). QOL was associated with depression, patient age, acceptance of illness, functional ability and to a small, but significant extent with median nerve damage to the right hand on the measure of conduction velocities (R2 =0.726).ConclusionsNerve conductance studies demonstrated a small, but significant effect of hand function on quality of life. Impairment of the median nerve in the left hand was associated with functional difficulties in the activities of daily living and a diminished quality of life in the area of physical functioning. No dependencies of this kind were found for the right hand, which may reflect the greater compensatory capacity of the right hand resulting from improved efficiency due to practice.

Poverty determinants of acute respiratory infections among Mapuche indigenous peoples in Chile's Ninth Region of Araucania, using GIS and spatial statistics to identify health disparities

BackgroundThis research concerns Araucanía, often called the Ninth Region, the poorest region of Chile where inequalities are most extreme. Araucanía hasn't enjoyed the economic success Chile achieved when the country returned to democracy in 1990. The Ninth Region also has the largest ethnic Mapuche population, located in rural areas and attached to small agricultural properties. Written and oral histories of diseases have been the most frequently used methods to explore the links between an ancestral population's perception of health conditions and their deprived environments. With census data and hospital records, it is now possible to incorporate statistical data about the links between poverty and disease among ethnic communities and compare results with non-Mapuche population.Data sourcesHospital discharge records from Health Services North N = 24,126 patients, year 2003, and 7 hospitals), Health Services South (N = 81,780 patients and 25 hospitals); CAS-2/Family records (N = 527,539 individuals, 439 neighborhoods, 32 Comunas).MethodsGiven the over-dispersion of data and the clustered nature of observations, we used the global Moran's I and General G Gettis-Ord procedures to test spatial dependence. These tests confirmed the clusters of disease and the need to use spatial regression within a General Linear Mixed Model perspective.ResultsHealth outcomes indicate significantly higher morbidity rates for the Mapuche compared to non-Mapuche in both age groups < 5 and 15–44, respectively; for the groups 70–79 and 80 + years of age, this trend is reversed. Mortality rates, however, are higher among Mapuches than non-Mapuches for the entire Ninth Region and for all age groups. Mortality caused by respiratory infections is higher among Mapuches than non-Mapuches in all age-groups. A major finding is the link between poverty and respiratory infections.ConclusionPoverty is significantly associated with respiratory infections in the population of Chile's Ninth Region. High deprivation areas are associated with poverty, and poverty is a predictor of respiratory infections. Mapuches are at higher risk of deaths caused by respiratory infections in all age groups. Exponential and spherical spatial correlation models were tested to estimate the previous association and were compared with non-spatial Poisson, concluding that significant spatial variability was present in the data.

Factores asociados a mal estado de salud percibido o a mala calidad de vida en personas mayores de 65 años

Nowadays, in the developed countries, a long lifespan is no longer the exception to the rule, however there are still many people who even today do not manage to age with a good quality of life. The objectives of this study are, first of all, to contribute to a better knowledge of the main factors which have an impact on the quality of life and the perceived health condition of those over age 65 and, secondly, to determine what advantages and disadvantages involved in each one of the tools for gauging health and quality of life as compared to the other two tools employed. Based on 911 home surveys of non-institutionalized individuals over age 65, a multivariate analysis was made using Logistic regression, relating the results obtained in the Nottingham Health Profile (NHP), the EuroQol and the Self Perceived Health Status to the socio-demographic characteristics, the level of economic resources, the degree of social-family support, the physical and mental health condition and the functional capacity. The main factors related to the perception of a poor health condition and a poor quality of life in the EuroQol and the NHP are anxiety disorders (Odds Ratio ranging from 1.8(IC:1.2-2.8) for mobility and 7.9(IC:4.5-13.9) for Profile*11111), depressive disorders (OR:1.8(IC:1.3-2.6) for pain/discomfort-3.3(IC:2.1-5.1) for social isolation), lack of exercise (OR:1.4 (IC:1-2.1) for anxiety/depression -3.9(IC:2.5-6.2) for everyday activities), dependence for basic everyday living activities (OR:0.5(IC:0.3-0.9) for emotional reaction -4.8(IC:3-7.6) for everyday activities) and dependence for the instrumental daily living activities (OR:1.5(IC:1.1-2.1) for Analog Visual Scale c < 70-7.1(IC:2.9-17.2) for personal care). Mental health and functioning capacity are the factors which have the greatest bearing on the perception of health condition and quality of life of individuals over age 65. Given that the three tools used have led to similar results, the EuroQol has advantages to offer due to its short length, including an overall evaluation by dimensions.

A Study on Quality of Life and Related Factors of Ostomates

【This is a descriptive study on quality of life(QOL) and related factors of ostomates to provide a basic data for development of nursing interventions. The subjects were 110 ostomates who were members of the Daegu or Daejon branches of the Korean Ostomy Association. Data collection was performed between March 1st and April 6th, 1998. Measurements of QOL, self-care, family support, self-esteem, and hope were used as the study tools. Data were analyzed with the SAS program by using t-test, ANOVA Pearson correlation and stepwise multiple regression. The results are as follows : 1) The score on the QOL scale ranged from 97 to 226 with a mean of 164.53( $\pm$ 28.29). 2) The score of QOL on the general and ostomate-related characteristics showed significant differences according to monthly income, monthly participation in ostomate meetings, combined treatments after operation, types of evacuation management, problems of ostomy, help in caring for the ostomy, length of time since ostomate surgery, and presence or absence of readmission after discharge. 3) There were significant positive correlations between quality of life and other factors : self-esteem(r＝0.7107, P＜0.001), hope(r＝0.6584, P＜0.001) family support(r＝0.6191, P＜0.001), perception of health condition(r＝0.6017, P＜0.001), and self-care (r＝0.2286, P＜0.05). 4) The variables that affected the quality of life of the subjects were self-esteem, level of family support, perception of health condition, monthly participation in ostomate meetings, combined treatments after operation, monthly income, level of hope, and age in that order. The variance of quality of life was $R^2$ ＝77.20 percent by calculating the sum of those variables. In conclusion, it is necessary for nursing intervention to promote self-esteem, family support, and hope in the care of ostomates in order to improve QOL.】

Relative importance of after-effects, environment and socio-economic factors on the social integration of stroke victims.

This research is about the social integration of victims of a cerebrovascular accident. The objective is to evaluate the relative importance of physical after-effects, socio-economic characteristics, social and environmental factors on the degree of social integration subsequently achieved. This is a longitudinal evaluation with three data collections from an initial sample of 129 persons from the Quebec City area, Canada. Individual functional autonomy increases significantly while in institution and during the six months following discharge. At the time of discharge, 72.9% return to a normal home. A regression analysis shows that the determining factors relating to homecoming are motor functions and autonomy, personal perception of health conditions, proximity of children and relatives, relatively low age, regular presence of another person in the home, and proximity of friends. An important decrease in the practice of many activities occurs six months after homecoming: paid work, housework, management of personal affairs, and leisure activities. Absence of serious motor and language after-effects, a high level of perceived health condition, accessible facilities, proximity of relatives, and the ownership of a car are the factors most strongly associated with continued practice of these activities. Social contacts are more frequent than for comparable populations as far as children and relatives are concerned, but they are less frequent with friends. Proximity is a key factor. A quarter of the sample experiences problems relating to psychological well-being.