• Title/Summary/Keyword: social determinants

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Assessing Breast Cancer Risk among Iranian Women Using the Gail Model

  • Khazaee-Pool, Maryam;Majlessi, Fereshteh;Nedjat, Saharnaz;Montazeri, Ali;Janani, leila;Pashaei, Tahereh
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.8
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    • pp.3759-3762
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    • 2016
  • Background: Breast cancer risk assessment is a helpful method for estimating development of breast cancer at the population level. Materials and Methods: In this cross-sectional study, participants consisted of a group of 3,847 volunteers ($mean{\pm}SD$ age: $463{\pm}7.59$ years) in a convenience sample of women referred to health centers affiliated to Tehran University of Medical Sciences in Tehran, Iran. The risk of breast cancer was estimated by applying the National Cancer Institute's online version of the Gail Risk Assessment Tool. Results: Some 24.9% of women reported having one first-degree female relative with breast cancer, with 8.05% of them having two or more first-degree relatives with breast cancer. The mean five-year risk of breast cancer for all participants was $1.61{\pm}0.73%$, and 9.36% of them had a five-year risk of breast cancer >1.66%. The mean lifetime risk of breast cancer was $11.7{\pm}3.91%$. Conclusions: The Gail model is useful for assessing probability of breast cancer in Iranian women. Based on the their breast cancer risk, women may decide to accept further screening services.

Global Health Competencies for Undergraduate Nursing Students in Korea (간호교육자가 인지한 국내 간호학생들을 위한 국제보건 핵심역량)

  • Lee, Hyeonkyeong;Kim, Hee Soon;Cho, Eunhee;Kim, Sanghee;Kim, Junghee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.21 no.4
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    • pp.561-573
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    • 2015
  • Purpose: The purpose of this study was to identify essential global health competencies for undergraduate nursing students in Korea. Methods: This study used a mixed methods design including an online survey with a convenient sample of 223 nursing educators, followed by an expert discussion with four nursing educators with expertise in global health. The global health competency was measured using the Global Health Competencies for Nurses in the America, which consists of 30 competencies in 6 domains. Each competency was measured by a 4-point Likert Scale, with at least 80% of 3 or 4 point scores indicating consensus that competency was considered essential for undergraduate nursing students. Results: Nursing educators most strongly agreed the competencies of the Social and Environmental Determinants of Health domain as essential global health competencies for nursing students. A total of 21 items in 5 out of 6 competency domains were initially identified with at least 80% agreement. Finally, the experts decided on 24 global health competencies through the revision and integration of several competencies. Conclusion: The findings indicate that nursing educators perceived that nursing students need to be prepared for responding to emerging global health needs. The proposed list of global health competencies can provide guidance to develop a framework for integrating global health into undergraduate nursing curriculums.

Analysis of employee's characteristic using data visualization (데이터 시각화를 이용한 취업자 특성분석)

  • Cho, Jang Sik
    • Journal of the Korean Data and Information Science Society
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    • v.25 no.4
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    • pp.727-736
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    • 2014
  • The fundamental concerns of this paper are to analyze the effects of some characteristics on the employment of new college graduated students in viewpoint of data visualization. We use individual and department characteristic data of K-university graduated students in 2010. We apply multiple correspondence analysis, decision tree analysis, association rules and social network analysis for data visualization. The results of the analysis are summarized as follows. First, an analysis of the determinants of employment shows that GPA, department category, age and number of majors, recruiting time affect the employment rate. Second, higher GPA and natural category of department positively affect the employment rate. Finally, low age, single major and early recruiting time also positively affect the employment rate.

Factors Affecting Information Protection Efforts for Preventing Deviant Behavior of Adolescent in Cyber Space (사이버 일탈행위 예방을 위한 개인 정보보호 노력의 영향요인 연구)

  • Um, Myoungyong;Park, Jin-Hee;Kim, Mi-Ryang
    • The Journal of Korean Association of Computer Education
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    • v.8 no.5
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    • pp.31-41
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    • 2005
  • The purpose of this study is to identify the determinants of planned behavior of adolescent, toward information security and cyber crime prevention. A survey methodology was used to investigate a proposed model of influence, and regression analysis was used to analyze the results. The hypothesized model was largely supported by this analysis, and the overall results indicate that the intention to actively participate in information security and cyber crime prevention is mostly influenced by the fear for cyber crime and the perceived usefulness of information security and cyber crime prevention activity. In addition, it was found that the perceived easy of use for information-security related ICT skill, fear for cyber crime, and social norm for information security influence the level of usefulness, but that the prior experience with information leaking was statistically insignificant factor to the level of usefulness and fear for crime. Useful suggestions for promoting information security and cyber crime prevention are also provided.

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Determinants of Participation in Environment-Friendly Agricultural Production Organization - Focusing on Chungnam Area - (친환경농업 생산조직 참여결정 요인분석 - 충남지역을 중심으로 -)

  • Seo, Hwan-Seok;Hwang, Jae-Hyun
    • Korean Journal of Organic Agriculture
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    • v.27 no.3
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    • pp.271-288
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    • 2019
  • It has continuously promoted to scale up the agricultural management body in order to cope with the market-opening pressure such as the UR negotiation, the DDA negotiation, and more conclusions of FTAs and to enhance the competitiveness of our agriculture. This study evaluated the factors associated with production organization participation centered on environmentally-friendly agriculture farmers in order to improve the production efficiency of environmentally-friendly agriculture in the aspect of production. In order to achieve this objective, this study evaluated the factors that contributed to participating in an organization using the bivariate probit model focusing on environmentally-friendly agriculture farmers in Chungnam. This study examined the validity and reliability of the study model through exploratory factor analysis. The results of factor analyses identified four factors: "distribution", "production", "organization operation", and "social capital". The results of the bivariate probit model showed that distribution significantly affected production activities and distribution, organization operation, agricultural income, and gender significantly influenced sale activities. Environmentally-friendly production organization had not been able to provide the productive support that was needed for local farmers to produce environmentally-friendly agricultural products in a region. Additionally, farming education did not provide the information needed by the farmers. Although producers had a network within a production organization, it was operated mainly for administrators. Therefore, participants felt somewhat lacking. This study identified the level of organization of producer organizations in Chungnam area, where environmentally-friendly agriculture is well activated. This study suggested implications for future production organization participation by evaluating factors affecting participation quantitatively.

Relationships of Colorectal Cancer with Dietary Factors and Public Health Indicators: an Ecological Study

  • Abbastabar, Hedayat;Roustazadeh, Abazar;Alizadeh, Ali;Hamidifard, Parvin;Valipour, Mehrdad;Valipour, Ali Asghar
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.9
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    • pp.3991-3995
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    • 2015
  • Background: Colorectal cancer (CRC) is the third most common cancer in Iranian women and fifth in men. The aims of this study were to investigate the relation of dietary factors and public health indicators to its development. Materials and Methods: The required information (2001-2006) about risk factors was obtained from the Non-Communicable Disease Surveillance Centre (NCDSC) of Iran. Risk factor data (RFD) from 89,404 individuals (15-64 years old) were gathered by questionnaire and laboratory examinations through a cross sectional study in all provinces by systematic clustering sampling method. CRC incidence segregated by age and gender was obtained from Cancer Registry Ministry of Health (CRMH) of Iran. First, correlation coefficients were used for data analysis and then multiple regression analysis was performed to control for confounding factors. Results: Colorectal cancer incidence showed a positive relationship with diabetes mellitus, hypertension, lacking or low physical activity, high education, high intake of dairy products, and non-consumption of vegetables and fruits. Conclusions: We concluded that many dietary factors and public health indicators have positive relationships with CRC and might therefore be targets of preliminary prevention. However, since this is an ecological study limited by potential ecological fallacy the results must be interpreted with caution.

The study on determinants for changing employment positions among dental hygienists (치과위생사의 이직결정에 영향을 미치는 요인에 관한 연구)

  • Jung, Yun-Hoa
    • Journal of Korean society of Dental Hygiene
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    • v.3 no.2
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    • pp.183-196
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    • 2003
  • Purpose: This study sought to identify factors associated with dental hygienists' decisions to leave one dental office and commence practice in another. In addition to, the reasons dental hygienists stay in the profession were investigated. Demographic descriptors, including education level, marital status and age, and employment setting were also examined. Methods: Currently practicing dental hygienists in Korea were surveyed from March to May 2003. Data were collected through a questionnaire. The survey collected information concerning the 461 respondents' personal characteristics and reasons associated with changing positions and staying. Data were analyzed using frequency distributions, independent t-tests and chi-square analyses. All statistical analyses were conducted using the Statistical Package for Social Scientists(SPSS v.10, Chicago, Illinois). Results: The primary reasons for taking up another employment were found to be better offer, inadequate salary and personal conflict with dentist. Secondary reasons stated for changing their job revealed additional factors including inadequate salary, better offer, and lack of benefits. The primary influence in deciding to remaining in the practice of dental hygiene was self-development. Family responsibility, safe environment and professional collaboration were also important factors in deciding to remain in workforce. Conclusion: The position changes of dental hygienists are primarily influenced by better offer. Inadequate salary and conflict with dentist were also important factors in deciding to change employment positions. The findings suggest that dental hygienists who remain in the workforce are positively influenced mainly by self-development. Employers of dental hygienists should be aware of these factors in employing process. If more hygienists could remain longer in their positions, the manpower situation would be affected positively.

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A Case Study on the Students' Attitude toward User-Created Contents in Discretionary Classes of Elementary School (UCC 활용교육에 관한 학습자 태도 연구 - 초등학교 재량교육 사례를 중심으로 -)

  • Choi, Soo-Myung;Yoo, Young-Soon;Kim, Tae-Ung
    • The Journal of Korean Association of Computer Education
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    • v.14 no.4
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    • pp.21-31
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    • 2011
  • User-created content(UCC) is on the rapid increase both in terms of quantity and the quality of sharing and enjoying each others. However, not much research has been done on school's adoption of this innovative contents for educational purposes. The aim of this case study is to identify the determinants of students' attitude toward using UCC in elementary school classes. This study employs the perceived educational value, ease of use, social influence, fun, computer self-efficacy, cooperativity and concentration as the antecedents of attitude, and collected 246 survey responses from 5th and 6th grade students. The results indicate that the perceived educational value, ease of use and socal influence have significant impact on the attitude toward using UCC. It was also found that the cooperativity, fun and ease of use determine the level of perceived educational value, and that the computer self-efficacy, fun and concentration influence the perceived ease of use. Some useful suggestions, concerning the utilizing UCC for educational purpose in elementary school classes, are also presented.

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Reliability and Validity of an Iranian Version of the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire for Patients with Multiple Myeloma: the EORTC QLQ-MY20

  • Ahmadzadeh, Ahmad;Yekaninejad, Mir Saeed;Saffari, Mohsen;Pakpour, Amir H;Aaronson, Neil K
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.1
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    • pp.255-259
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    • 2016
  • Background: Reliable and validated instruments are needed in order to study the quality of life in myeloma patients. This study aimed to translate and explore the psychometric properties of the European Organisation for Research and Treatment of Cancer (EORTC) myeloma module (QLQ-MY20) in Iranian patients. Materials and Methods: Two hundred and fifteen patients with multiple myeloma (MM) were recruited from Imam Khomeini Hospital, Tehran. A standard forward-backward translation procedure was implemented. Participating patients were asked to complete the EORTC QLQ-C30 and the QLQ-MY20 three times, at study entry, after two weeks, and again after three months. Data were tested for the range of measurement, internal consistency, test-retest reliability, known group comparison, responsiveness and factor structure. Results: Mean age of the patients was 60.7 years. No floor and ceiling effects were seen for the QLQ-MY20. Cronbach's ${\alpha}$ was greater than 0.80 for all three multi-item scales (ranging from 0.82 to 0.93). All four scales had test-retest reliability of 0.85 or greater. Results of the confirmatory factor analysis that the hypothesized 3-scale measurement model of the QLQ-MY20. Moreover, the Persian version for the QLQ-MY20 differentiated between subgroups of the patients in terms of beta-2 microglobulin, fracture and performance status. The responsiveness of the QLQ-MY20 to change over time was confirmed within 3 months. Conclusions: the results of our study indicate that our Iranian version of the QLQ-MY20 is a feasible, reliable and valid questionnaire for assessing the condition-specific quality of life of patients with MM.

Estimating the Completeness of Lung Cancer Registry in Ardabil, Iran with a Three-Source Capture-Recapture Method

  • Khodadost, Mahmoud;Mosavi-Jarrahi, Alireza;Hashemian, Seyed Sepehr;Sarvi, Fatemeh;Maajani, Khadije;Moradpour, Farhad;Khatibi, Seyed Reza;Amini, Hossein
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.sup3
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    • pp.225-229
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    • 2016
  • Cancer registration is an important component of a comprehensive cancer control program, providing timely data and information for research and administrative use. Capture-recapture methods have been used as tools to investigate completeness of cancer registry data. This study aimed to estimate the completeness of lung cancer cases registered in Ardabil Population Based Cancer Registry (APBCR) with a three-source capture-recapture method. Data for all new cases of lung cancer reported by three sources (pathology reports, death certificates, and medical records) to APBCR for 2006 and 2008 were obtained. Duplicate cases shared among the three sources were identified based on similarity of first name, last name and father's names. A log-linear model was used to estimate number of missed cases and to control for dependency among sources. A total of 218 new cases of lung cancer was reported by three sources after removing duplicates. The estimated completeness calculated by log-linear method was 26.4 for 2006 and 27.1 for 2008. The completeness differed according to gender. In men, the completeness was 26.0% for 2006 and 28.1 for 2008. In women, the completeness was 36.5% for 2006 and 46.9 for 2008. In conclusion, none of the three sources can be considered as a reliable source for accurate cancer incidence estimation.