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Sreedharan Geetha Sajith,Yen-Li Goh,Joshua Marcus Wee 대한가정의학회 2017 Korean Journal of Family Medicine Vol.38 No.6
Background: Studies worldwide indicate that people with intellectual disability have high risks of physical andmental morbidities, and poor quality of health care. This study was aimed at determining general practitioners’perceptions on barriers in clinical assessment and training needs with regard to the healthcare of communitydwellingpeople with intellectual disability. Methods: A survey questionnaire was developed specifically for the study through focus group discussions and aliterature review. The study was conducted as a cross-sectional anonymous survey of private general practitionerspracticing in Singapore. The survey contained questions on their experience and training needs in assessing andtreating patients with intellectual disability. Results: Forty-nine of the 272 questionnaires sent out were returned. The respondents were predominantly malegeneral practitioners working in “solo” practices. For most general practitioners, the proportion of patients with intellectualdisability ranged from 1% to 5%. Nearly 90% of general practitioners identified problems in communicatingwith such patients as an important barrier that affected the quality of assessment of their health conditions. Other barriers identified were behavioral issues and sensory impairments. Only one-third of the general practitionerswere confident that they had sufficient knowledge of physical and mental health conditions related to patientswith intellectual disability. Three-fourths of the general practitioners believed that further training in this areawould be beneficial. Conclusion: Appropriate interventions to address barriers in assessment and management of patients with intellectualdisability with further training for general practitioners may improve the standard of healthcare provided tothis population group.
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Hock, Lim Kuang,Ghazali, Sumarni Mohamad,Cheong, Kee Chee,Kuay, Lim Kuang,Li, Lim Hui,Huey, Teh Chien,Ying, Chan Ying,Yen, Yeo Lay,Ching, Fiona Goh Swee,Yi, Khoo Yi,Lin, Chong Zhuo,Ibrahim, Normala,Mu Asian Pacific Journal of Cancer Prevention 2014 Asian Pacific journal of cancer prevention Vol.15 No.10
Intention to smoke is a valid and reliable factor for predicting future smoking habits among adolescents. This factor, however, has received inadequate attention in Malaysia. The present paper elaborates the prevalence and factors associated with intent to initiate or to cease smoking, among adolescent nonsmokers and smokers in Kota Tinggi, Johor, Malaysia. A total of 2,300 secondary school students aged 13-16 years were selected through a two-stage stratified sampling method. A set of standardized questionnaires was used to assess the smoking behavior among adolescents and the inter-personal and intra-personal factors associated with smoking intention (intention to initiate smoking or to cease smoking). Multivariable logistic regression was used to identify factors related to smoking intention. The prevalence of intention to smoke in the future or to cease smoking among non-smoking adolescents and current smokers were 10.7% and 61.7% respectively. Having friends who smoke, social influence, and poor knowledge about the ill effects on health due to smoking showed significant relationships with intention to smoke in the future among non-smokers. Conversely, perceived lower prevalence of smoking among peers, weak contributory social influence, and greater awareness of the ill effects of smoking are factors associated with the intention to cease smoking sometime in the future. The study found that prevalence of intention to initiate smoking is low among non-smokers while the majority of current smokers intended to cease smoking in the future. Existing anti-smoking programmes that integrate the factors that have been identified in the current study should be put in motion to reduce the prevalence of intention to initiate smoking and increase the intention to cease smoking among adolescents.
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