Osong Public Health and Research Perspectives

Volume 10(6); December 2019

Editorial

One Bite Away: Hae-Wol Cho; Osong Public Health Res Perspect. 2019;10(6):325-326. Published online December 31, 2019; DOI: https://doi.org/10.24171/j.phrp.2019.10.6.01

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Original Articles

Prevalence and Associated Factors of Hypertension Subtypes Among the Adult Population in Nepal: Evidence from Demographic and Health Survey Data: Rajat Das Gupta, Animesh Talukdar, Shams Shabab Haider, Mohammad Rifat Haider; Osong Public Health Res Perspect. 2019;10(6):327-336. Published online December 31, 2019; DOI: https://doi.org/10.24171/j.phrp.2019.10.6.02; Correction in: Osong Public Health Res Perspect 2022;13(1):80

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Abstract PDF

Objectives

This study aims to determine the prevalence, and associated factors of undiagnosed hypertension [Systolic Diastolic Hypertension (SDH), Isolated Systolic Hypertension (ISH) and Isolated Diastolic Hypertension (IDH)] in the Nepalese adult population.

Methods

Nepal Demographic and Health Survey 2016 data from adults (≥ 18 years) was used in this study. The final weighted sample size was 13,393. Blood pressure (BP) was measured 3 times and the average of the second and third measurement was reported. SDH (systolic BP (SBP) ≥ 140 mmHg and diastolic BP (DBP) ≥ 90 mmHg), ISH (SBP ≥ 140 mmHg and DBP < 90 mmHg), and IDH (SBP < 140 mmHg and DBP ≥ 90 mmHg) were measured. Multilevel logistic regression analyses were conducted to find the association between the independent variables and the covariates.

Results

The prevalence of SDH, IDH and ISH were 8.1%, 7.5%, and 3.3% respectively. The odds of having SDH and ISH increased with old age. However, the odds of having IDH decreased with increasing age. Females has lower odds of having SDH and IDH compared with male participants. Individuals that had been married, resided in Province 4 (p < 0.05) or 5 (p < 0.01) were statistically significantly associated with having IDH. Being overweight or obese was statistically significantly associated with all 3 HTN subtypes (p < 0.001).

Conclusion

The necessary steps should be taken so that public health promotion programs in Nepal may prevent and control undiagnosed hypertension.

Citations

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Hypertension subtypes at high altitude in Peru: Analysis of the Demographic and Family Health Survey 2016–2019
Brando Ortiz-Saavedra, Elizbet S. Montes-Madariaga, Oscar Moreno-Loaiza, Carlos J. Toro-Huamanchumo, Esteban Ortiz-Prado
PLOS ONE.2024; 19(4): e0300457. CrossRef
Structural And Functional State Of Various Zones Of Skin Microcirculation In Men With Isolated Diastolic Hypertension
Andrei I. Korolev, Andrei A. Fedorovich, Aleksander Yu. Gorshkov, Valida A. Dadaeva, Mikhail G. Chaschin, Anna V. Strelkova, Ksenia V. Omelyanenko, Maria A. Mikhailova, Oxana M. Drapkina
Russian Open Medical Journal.2024;[Epub] CrossRef
Isolated diastolic hypertension and cardiovascular outcomes across different diagnostic guidelines: a systematic review and meta-analysis
Abhimanyu Agarwal, Mohamed A. Mostafa, Muhammad Imtiaz Ahmad, Elsayed Z. Soliman
The Egyptian Heart Journal.2024;[Epub] CrossRef
Correction to “Prevalence and Associated Factors of Hypertension Subtypes Among the Adult Population in Nepal: Evidence from Demographic and Health Survey Data” [Osong Public Health Res Perspect 2019;10(6):327–36]
Rajat Das Gupta, Animesh Talukder, Shams Shabab Haider, Mohammad Rifat Haider
Osong Public Health and Research Perspectives.2022; 13(1): 80. CrossRef
Is Isolated Diastolic Hypertension an Important Phenotype?
Cesar A. Romero, Aldo H. Tabares, Marcelo Orias
Current Cardiology Reports.2021;[Epub] CrossRef
Relationship between cigarette smoking and blood pressure in adults in Nepal: A population-based cross-sectional study
Renqiao Lan, Max K. Bulsara, Prakash Dev Pant, Hilary Jane Wallace, Palash Chandra Banik
PLOS Global Public Health.2021; 1(11): e0000045. CrossRef

Distribution of Pathogenic Vibrio Species in the Coastal Seawater of South Korea (2017–2018): Seung Hun Lee, Hee Jung Lee, Go Eun Myung, Eun Jin Choi, In A Kim, Young Il Jeong, Gi Jun Park, Sang Moon Soh; Osong Public Health Res Perspect. 2019;10(6):337-342. Published online December 31, 2019; DOI: https://doi.org/10.24171/j.phrp.2019.10.6.03

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Abstract PDF

Objectives

Pathogenic Vibrio species are widely distributed in warm estuarine and coastal environments, and can infect humans through the consumption of raw or mishandled contaminated seafood and seawater. For this reason, the distribution of these bacteria in South Korea was investigated.

Methods

Seawater samples were collected from 145 coastal area points in the aquatic environment in which Vibrio species live. Environmental data (i.e., water temperature, salinity, turbidity, and atmospheric temperature) was collected which may help predict the distribution of the species (data not shown). Seawater samples were filtered, and incubated overnight in alkaline peptone water, at 37°C. Using species-specific polymerase chain reaction methods, screening tests were performed for the hlyA, ctxA, vvhA, and tlh genes. Clones of pathogenic Vibrio species were isolated using 3 selective plating media.

Results

In 2017, total seawater isolation rates for Vibrio vulnificus, Vibrio cholerae (non-pathogenic, non-O1, non-O139 serogroups), and Vibrio parahaemolyticus were 15.82%, 13.18%, 65.80%, respectively. However, in 2018 isolation rates for each were 21.81%, 19.40%, and 70.05%, respectively.

Conclusion

The isolation rates of pathogenic Vibrio species positively correlated with the temperature of seawater and atmosphere, but negatively correlated with salinity and turbidity. From 2017 to 2018, the most frequent seawater-isolated Vibrio species were V. parahaemolyticus (68.10 %), V. vulnificus (16.54%), and non-toxigenic V. cholerae (19.58%). Comprehensive monitoring, prevention, and control efforts are needed to protect the public from pathogenic Vibrio species.

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Esti Harpeni, Alim Isnansetyo, Indah Istiqomah, Murwantoko
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Pedro Henrique Marques, Thais Cristina Vilela Rodrigues, Eduardo Horta Santos, Lucas Bleicher, Flavia Figueira Aburjaile, Flaviano S. Martins, Carlo Jose Freire Oliveira, Vasco Azevedo, Sandeep Tiwari, Siomar Soares
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Nested Spatial and Temporal Modeling of Environmental Conditions Associated With Genetic Markers of Vibrio parahaemolyticus in Washington State Pacific Oysters
Brendan Fries, Benjamin J. K. Davis, Anne E. Corrigan, Angelo DePaola, Frank C. Curriero
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Shahbaz Raza, Sangki Choi, Minjeong Lee, Jingyeong Shin, Heejong Son, Jinhua Wang, Young Mo Kim
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An Assay Combining Droplet Digital PCR With Propidium Monoazide Treatment for the Accurate Detection of Live Cells of Vibrio vulnificus in Plasma Samples
Ling Hu, Yidong Fu, Shun Zhang, Zhilei Pan, Jiang Xia, Peng Zhu, Jing Guo
Frontiers in Microbiology.2022;[Epub] CrossRef
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Qiancheng Gao, Xiaowan Ma, Zhichao Wang, Haisheng Chen, Yu Luo, Bi Wu, Shanni Qi, Miaozhen Lin, Jing Tian, Ying Qiao, Hans-Peter Grossart, Wei Xu, Lixing Huang
Marine Pollution Bulletin.2022; 184: 114112. CrossRef
Molecular Epidemiology of Antimicrobial Resistance and Virulence Profiles of Escherichia coli, Salmonella spp., and Vibrio spp. Isolated from Coastal Seawater for Aquaculture
Saharuetai Jeamsripong, Varangkana Thaotumpitak, Saran Anuntawirun, Nawaphorn Roongrojmongkhon, Edward R. Atwill, Woranich Hinthong
Antibiotics.2022; 11(12): 1688. CrossRef
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Saharuetai Jeamsripong, Varangkana Thaotumpitak, Saran Anuntawirun, Nawaphorn Roongrojmongkhon, Edward R. Atwill
Water.2022; 14(23): 3838. CrossRef
Predictive models for the effect of environmental factors on the abundance of Vibrio parahaemolyticus in oyster farms in Taiwan using extreme gradient boosting
Nodali Ndraha, Hsin-I Hsiao, Yi-Zeng Hsieh, Abani K. Pradhan
Food Control.2021; 130: 108353. CrossRef
Prevalence, detection of virulence genes and antimicrobial susceptibility of pathogen Vibrio species isolated from different types of seafood samples at “La Nueva Viga” market in Mexico City
Ana Karen Álvarez-Contreras, Elsa Irma Quiñones-Ramírez, Carlos Vázquez-Salinas
Antonie van Leeuwenhoek.2021; 114(9): 1417. CrossRef

An Investigation into Chronic Conditions and Diseases in Minors to Determine the Socioeconomic Status, Medical Use and Expenditure According to Data from the Korea Health Panel, 2015: Jong-Hoon Moon; Osong Public Health Res Perspect. 2019;10(6):343-350. Published online December 31, 2019; DOI: https://doi.org/10.24171/j.phrp.2019.10.6.04

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Abstract PDF

Objectives

This study compared the socioeconomic status, medical use and expenditures for infants (1–5 years), juveniles (6–12 years), and adolescents (13–19 years) with a chronic condition or disease to determine factors affecting health spending.

Methods

Data from 3,677 minors (< 20 years old, without disabilities) were extracted from the Korea Health Panel (2015) database.

Results

Minors with chronic conditions or diseases were older (juveniles, and adolescents; p < 0.001), and included a higher proportion of Medicaid recipients (p = 0.004), a higher use of hospital outpatient care (p < 0.001), and higher medical expenditure (p < 0.001) compared to minors without chronic conditions or diseases. Boys were more likely to have a chronic condition or disease than girls (p = 0.036). Adolescents and juveniles were more likely than infants to have a chronic condition or disease (p = 0.001). Medicaid recipients were more likely to have a chronic condition or disease than those who were not Medicaid recipients (p = 0.008). Minors who had been hospital outpatients were more likely to have a chronic condition or disease, compared with minors who had not been an outpatient (p = 0.001). Having a chronic condition or disease, was a factor increasing medical expenditure (p = 0.001). Medical expenditure was higher in infants than in juveniles and adolescents (p = 0.001). Infants had higher rates of medical use when compared with juveniles and adolescents (p = 0.001).

Conclusion

These findings suggest that systematic health care management for minors with chronic conditions or diseases, is needed.

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Household income and maternal education in early childhood and activity-limiting chronic health conditions in late childhood: findings from birth cohort studies from six countries
Nicholas James Spencer, Johnny Ludvigsson, Yueyue You, Kate Francis, Yara Abu Awad, Wolfgang Markham, Tomas Faresjö, Jeremy Goldhaber-Fiebert, Pär Andersson White, Hein Raat, Fiona Mensah, Lise Gauvin, Jennifer J McGrath
Journal of Epidemiology and Community Health.2022; 76(11): 939. CrossRef

Annual Fluctuation in Chigger Mite Populations and Orientia Tsutsugamushi Infections in Scrub Typhus Endemic Regions of South Korea: Seong Yoon Kim, Byoungchul Gill, Bong Gu Song, Hyuk Chu, Won Il Park, Hee Il Lee, E-hyun Shin, Shin-Hyeong Cho, Jong Yul Roh; Osong Public Health Res Perspect. 2019;10(6):351-358. Published online December 31, 2019; DOI: https://doi.org/10.24171/j.phrp.2019.10.6.05

9,504 View
234 Download
11 Crossref

Abstract PDF

Objectives

Chigger mites are vectors for scrub typhus. This study evaluated the annual fluctuations in chigger mite populations and Orientia tsutsugamushi infections in South Korea.

Methods

During 2006 and 2007, chigger mites were collected monthly from wild rodents in 4 scrub typhus endemic regions of South Korea. The chigger mites were classified based on morphological characteristics, and analyzed using nested PCR for the detection of Orientia tsutsugamushi.

Results

During the surveillance period, the overall trapping rate for wild rodents was 10.8%. In total, 17,457 chigger mites (representing 5 genera and 15 species) were collected, and the average chigger index (representing the number of chigger mites per rodent), was 31.7. The monthly chigger index was consistently high (> 30) in Spring (March to April) and Autumn (October to November). The mite species included Leptotrombidium pallidum (43.5%), L. orientale (18.9%), L. scutellare (18.1%), L. palpale (10.6%), and L. zetum (3.6%). L. scutellare and L. palpale populations, were relatively higher in Autumn. Monthly O. tsutsugamushi infection rates in wild rodents (average: 4.8%) and chigger mites (average: 0.7%) peaked in Spring and Autumn.

Conclusion

The findings demonstrated a bimodal pattern of the incidence of O. tsutsugamushi infections. Higher infection rates were observed in both wild rodents and chigger mites, in Spring and Autumn. However, this did not reflect the unimodal incidence of scrub typhus in Autumn. Further studies are needed to identify factors, such as human behavior and harvesting in Autumn that may explain this discordance.

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Changes in seasonality and sex ratio of scrub typhus: a case study of South Korea from 2003 to 2019 based on wavelet transform analysis
Jeehyun Kim, Penelope Vounatsou, Byung Chul Chun
BMC Infectious Diseases.2024;[Epub] CrossRef
Habitat Type-Based Assemblage and Distribution Prediction of Small Mammals and Chigger Mites (Acari: Trombiculidae) in Chuncheon City, Republic of Korea
Kiyoon Kim, Jusun Hwang, Kyungmin Kim, Kwangbae Yoon, Daehyun Oh, Yungchul Park
Animals.2024; 14(23): 3433. CrossRef
Orientia, Rickettsia, and the microbiome in rodent attached chiggers in North Carolina, USA
Elise A. Richardson, Reuben Garshong, Kaiying Chen, Dac Crossley, Bryan S. Mclean, Gideon Wasserberg, Charles S. Apperson, R. Michael Roe, Loganathan Ponnusamy, Roman R. Ganta
PLOS ONE.2024; 19(12): e0311698. CrossRef
Eco-epidemiology of rodent-associated trombiculid mites and infection with Orientia spp. in Southern Chile
María Carolina Silva de la Fuente, Caricia Pérez, Constanza Martínez-Valdebenito, Ruth Pérez, Cecilia Vial, Alexandr Stekolnikov, Katia Abarca, Thomas Weitzel, Gerardo Acosta-Jamett, Jessica N. Ricaldi
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Comparison of Chiggers (Acari: Trombiculidae, Leeuwenhoekiidae) on Two Sibling Mouse Species, Apodemus draco and A. ilex (Rodentia: Muridae), in Southwest China
Yu Guo, Xian-Guo Guo, Wen-Yu Song, Yan Lv, Peng-Wu Yin, Dao-Chao Jin
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Epidemiological characteristics of cases with scrub typhus and their correlation with chigger mite occurrence (2019–2021): A focus on case occupation and activity locations
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Prevalence of chigger mites and Orientia tsutsugamushi strains in northern regions of Gangwon-do, Korea
Soojin Kim, In Yong Lee, Sezim Monoldorova, Jiro Kim, Jang Hoon Seo, Tai-Soon Yong, Bo Young Jeon
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Yu Guo, Xian‐Guo Guo, Pei‐Ying Peng, Yan Lv, Rong Xiang, Wen‐Yu Song, Xiao‐Bin Huang
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Seroprevalence and Genotypic Characterization of Orientia tsutsugamushi in Febrile Pediatric Patients Admitted in Tertiary Care Hospital of Chennai, South India
Rajagopal Murali, Sivasambo Kalpana, Panneerselvam Satheeshkumar, Prabu Dhandapani
Journal of Pure and Applied Microbiology.2023; 17(4): 2232. CrossRef
Infestation and seasonal fluctuation of chigger mites on the Southeast Asian house rat (Rattus brunneusculus) in southern Yunnan Province, China
Yan Lv, Xianguo Guo, Daochao Jin, Wenyu Song, Peiying Peng, Hao Lin, Rong Fan, Chengfu Zhao, Zhiwei Zhang, Keyu Mao, Tijun Qian, Wenge Dong, Zhihua Yang
International Journal for Parasitology: Parasites .2021; 14: 141. CrossRef
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Min-Goo Seo, Bong-Goo Song, Tae-Kyu Kim, Byung-Eon Noh, Hak Seon Lee, Wook-Gyo Lee, Hee Il Lee
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Study of the Relationship Between Self-Efficacy, General Health and Burnout Among Iranian Health Workers: Mohammad Amiri, Hassan Vahedi, Seyed Reza Mirhoseini, Ahmad Reza Eghtesadi, Ahmad Khosravi; Osong Public Health Res Perspect. 2019;10(6):359-367. Published online December 31, 2019; DOI: https://doi.org/10.24171/j.phrp.2019.10.6.06

7,798 View
182 Download
13 Crossref

Abstract PDF

Objectives

To evaluate the relationship between self-efficacy, general health and burnout of the staff at Shahroud University of Medical Sciences.

Methods

In 2015, 249 staff at Shahroud University of Medical Sciences (from a total reference population of 520 staff members) were selected through stratified random sampling. To collect the data, Sherer self-efficacy Scale, General Health Questionnaire and Maslach Burnout Inventory were used. The collected data were analyzed through ANOVA, Pearson correlation and Chi-square tests using SPSS 16. The relationship between self-efficacy, general health and burnout (latent factors) were studied using structural equation modeling with Stata 14.

Results

The mean age of participants was 36.97 ± 7.60 years, and the mean number of years work experience was 12.29 ± 7.57. The mean scores of general health, self-efficacy and burnout were 28.24 ± 11.14, 62.30 ± 9.21 and 81.67 ± 22.18, respectively. The results of the study showed a statistically significant relationship between self-efficacy and general health which equals −0.32. A statistically significant relationship also existed between burnout scores and general health scores (beta = 0.78).

Conclusion

The results showed that high self-efficacy improves the general health of employees at the Shahroud University of Medical Sciences and reduces burnout. Special attention should be paid to self-efficacy in the prevention of burnout.

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Healthcare Workers’ General Health and Its Relation with Anxiety, Anger, and Posttraumatic Stress Disorder during COVID-19 Outbreak in Southeast Iran
Alireza Malakoutikhah, Leila Ahmadi Lari, Pooya Baharloo, Rasmieh Al-Amer, Mohamed Alnaiem, Hossein Khaluei, Mahlagha Dehghan, Lut Tamam
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Investigating the Anxiety Caused by COVID-19 and its Relationship with the Self-efficacy and General Health in Iranian Nurses
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Prevalence of Burnout Among Health Workers in Iran: A Systematic Review and Meta-analysis
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Mohammad Amiri, Elham Sadeghi, Ayda Parvane, Ahmad Khosravi
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Association between Job Burnout and the General Health of Healthcare Professionals during the Pandemic of COVID-19, Kermanshah, Iran (2022)
Shadi Askari, Nooshin Salimi, Ehsan Bakhshi
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Health-promoting lifestyle and its determining factors among students of public and private universities in Iran
Mohammad Amiri, Mehdi Raei, Elham Sadeghi, Leila Keikavoosi-Arani, Ahmad Khosravi
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The relations between mental well-being and burnout in medical staff during the COVID-19 pandemic: A network analysis
Chen Chen, Fengzhan Li, Chang Liu, Kuiliang Li, Qun Yang, Lei Ren
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Heewon Kim, L. D. Mattson, Dacheng Zhang, Hee Jung Cho
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Wenhong Cheng, Fang Zhang, Zhen Liu, Hao Zhang, Yifan Lyu, Hao Xu, Yingqi Hua, Jiarong Gu, Zhi Yang, Jun Liu
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Na Hu, Ying Li, Su-Shuang He, Lei-Lei Wang, Yan-Yan Wei, Lu Yin, Jing-Xu Chen
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Investigation of Health-Promoting Lifestyle and its Determinants Among Students of Medical Sciences in Iran
Mohammad Amiri, Ahmad Khosravi, Niloofar Aboozarzadeh, Leila Khojasteh, Zakieh Sadeghi, Mehdi Raei
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A Study on the Physical Activities, Mental Health, and Health-Related Quality of Life of Osteoarthritis Patients: Deok-Ju Kim; Osong Public Health Res Perspect. 2019;10(6):368-375. Published online December 31, 2019; DOI: https://doi.org/10.24171/j.phrp.2019.10.6.07

7,402 View
253 Download
4 Crossref

Abstract PDF

Objectives

The purpose of this study was to investigate the physical activities, mental health, and health-related quality of life (HRQOL) of osteoarthritis patients.

Methods

This study was conducted using data from the first year of the 7^th Korea National Health and Nutritional Examination Survey. There were 8,150 participants included in the survey, and 665 participants had been diagnosed with osteoarthritis. This study analyzed the measurements of physical activities, depression, and HRQOL in participants with osteoarthritis.

Results

The mean age of the participants was 67 ± 9.9 years and 83.1% were female. Participants rarely engaged in work-related physical activity, and engaged in leisure-related physical activities infrequently. Most of the participants (85.9%) did not do regular exercise, but 1/3 of the participants walked for over 10 minutes a day. “Pain/discomfort” had the least impact upon HRQOL, and among the depression subcategories, “difficult to sleep and tiredness” had the most impact. Multiple logistic regression analysis showed that an adverse HRQOL score was statistically significantly associated with “location changes/physical activities” (p < 0. 01), “depression” (p < 0.001) and “age” (p < 0.001).

Conclusion

Exercise programs should be in place which are manageable in everyday life for the elderly (> 65 years). Changes in daily routine so that patients become more active, should be supported by the family and community, together with assistance in managing psychological problems such as depression.

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Ananya Ravi, Elisabeth C. DeMarco, Sarah Gebauer, Michael P. Poirier, Leslie J. Hinyard
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Impact of Dengue Surveillance Workers on Community Participation and Satisfaction of Dengue Virus Control Measures in Semarang Municipality, Indonesia: A Policy Breakthrough in Public Health Action: Sayono Sayono, Widoyono Widoyono, Didik Sumanto, Rokhani Rokhani; Osong Public Health Res Perspect. 2019;10(6):376-384. Published online December 31, 2019; DOI: https://doi.org/10.24171/j.phrp.2019.10.6.08

7,285 View
109 Download
6 Crossref

Abstract PDF

Objectives

The aim of this study was to assess community participation in Dengue virus control measures, and community satisfaction in the Dengue surveillance workers (DSWs) performance in Semarang municipality after 3 years of empowerment.

Methods

A cross-sectional survey involved 1,018 selected participants from 12 groups of social roles in 141 villages in Semarang municipality, Indonesia. A direct interview was performed using a structured questionnaire to evaluate the acceptance, and satisfaction of the community towards the DSWs. The data were analyzed descriptively.

Results

The majority of the members of the community considered that the DSWs play an important role in reducing Dengue cases, and vectors of the Dengue virus, as well as increasing the community participation in Dengue control measures. The survey showed that DSWs performance, attitudes, and abilities regarding their main tasks were perceived to be good.

Conclusion

Overall, people in Semarang municipality were satisfied with the performance of the DSWs, and considered them important enough to be maintained and strengthened in the future so that Dengue could be controlled. This new policy needs to be disseminated to other regions that may encounter the problems associated with Dengue virus.

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BIO Web of Conferences.2024; 133: 00028. CrossRef
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María Martínez, Victor Mijares, Nancy Moreno, Luis Pérez-Ybarra, Flor de María Herrera
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The Key Associated Factor of the Emergence of the Dengue Vector in Peri-Urban and Rural Settlements
Ayu Dewi Wiyata, Wahyu Handoyo, Sayono Sayono
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World Dengue Day: A call for action
Nattachai Srisawat, Usa Thisyakorn, Zulkifli Ismail, Kamran Rafiq, Duane J. Gubler, Hannah E. Clapham
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Mediation Effects of Basic Psychological Needs Between Autonomy Support from Healthcare Providers and Self-Management Among Cancer Survivors: Eun-Jung Bae, Yun-Hee Kim; Osong Public Health Res Perspect. 2019;10(6):385-393. Published online December 31, 2019; DOI: https://doi.org/10.24171/j.phrp.2019.10.6.09

6,748 View
192 Download
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Abstract PDF

Objectives

This study examined the mediating effects of basic psychological needs between patient autonomy support from healthcare providers, and self-management among cancer survivors.

Methods

This study collected data from 148 cancer patients who had visited D hospitals in B city, Korea. A structured questionnaire was distributed to determine patient characteristics, healthcare provider autonomy support, basic psychological needs, and self-management. Data were analyzed using descriptive statistics, Pearson’s correlation coefficient, and regression analysis that implemented Baron and Kenny’s method for mediation were used for analyses.

Results

Self-management was significantly correlated with the level of healthcare provider autonomy support (r = 0.38, p < 0.001), autonomy (r = 0.40, p < 0.001), competence (r = 0.25, p = 0.002), and relatedness (r = 0.32, p < 0.001). Furthermore, autonomy (β = 0.30, p < 0.001) and relatedness (β = 0.22, p = 0.008) had partial mediating effects on the relationship between healthcare provider autonomy support and self-management (Z = 3.13, p = 0.002 and Z = 2.29, p = 0.022, respectively).

Conclusion

Autonomy and relatedness mediated the impact of healthcare provider autonomy support for self-management among cancer survivors. This suggests that strategies for enhancing autonomy and relatedness should be considered when developing self-management interventions for cancer survivor patients.

Citations

Citations to this article as recorded by

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Estimation of the Size of Dengue and Zika Infection Among Korean Travelers to Southeast Asia and Latin America, 2016–2017: Chaeshin Chu, Een Suk Shin; Osong Public Health Res Perspect. 2019;10(6):394-398. Published online December 31, 2019; DOI: https://doi.org/10.24171/j.phrp.2019.10.6.10

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Abstract PDF: Objectives
To estimate the number and risk of imported infections resulting from people visiting Asian and Latin American countries.
Methods
The dataset of visitors to 5 Asian countries with dengue were analyzed for 2016 and 2017, and in the Philippines, Thailand and Vietnam, imported cases of zika virus infection were also reported. For zika virus, a single imported case was reported from Brazil in 2016, and 2 imported cases reported from the Maldives in 2017. To understand the transmissibility in 5 Southeast Asian countries, the estimate of the force of infection, i.e., the hazard of infection per year and the average duration of travel has been extracted. Outbound travel numbers were retrieved from the World Tourism Organization, including business travelers.
Results
The incidence of imported dengue in 2016 was estimated at 7.46, 15.00, 2.14, 4.73 and 2.40 per 100,000 travelers visiting Philippines, Indonesia, Thailand, Malaysia and Vietnam, respectively. Similarly, 2.55, 1.65, 1.53, 1.86 and 1.70 per 100,000 travelers in 2017, respectively. It was estimated that there were 60.1 infections (range: from 16.8 to 150.7 infections) with zika virus in Brazil, 2016, and 345.6 infections (range: from 85.4 to 425.5 infections) with zika virus in the Maldives, 2017.
Conclusion
This study emphasizes that dengue and zika virus infections are mild in their nature, and a substantial number of infections may go undetected. An appropriate risk assessment of zika virus infection must use the estimated total size of infections.

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