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Rezali MS, Mohamad Anuar MF, Abd Razak MA, Chong ZL, Shaharudin AB, Kassim MSA, Mohamed Daud MA, Ismail SB, Said ZM. Prevalence and associated factors of moderate to severe erectile dysfunction among adult men in Malaysia. Sci Rep 2023; 13:21483. [PMID: 38057375 PMCID: PMC10700487 DOI: 10.1038/s41598-023-48778-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2023] [Accepted: 11/30/2023] [Indexed: 12/08/2023] Open
Abstract
Erectile dysfunction (ED) is a pervasive problem among men, often shrouded in silence and stigma. This manuscript analysed the National Health and Morbidity Survey 2019 data to identify the prevalence of moderate to severe ED among men aged 18 and above in Malaysia and describe its associated factors. Self-administered questionnaire on ED utilised a locally validated International Index of Erectile Function. Variables on sociodemographics, risky lifestyles and comorbidities were obtained via an interviewer-administered questionnaire. The prevalence was determined using complex sampling analysis, and logistic regression was used to determine the associated factors of ED. A sample of 2403 men aged ≥ 18 participated, with a moderate to severe ED prevalence was 31.6% (95% CI 28.8, 34.6). The mean (± SD) of the total score of IIEF-5 for overall respondents was 18.16 (± 4.13). Multiple logistic regression analysis revealed a significant association between moderate to severe ED among men aged 60 years and above, single or divorcee, men without formal, primary, and secondary education, non-government employees, unemployed, and retiree, as well as physically inactive men. Focused public health interventions are necessary to improve education in sexual health, increase health promotion programs, and promote healthy ageing across the population.
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Affiliation(s)
- Muhammad Solihin Rezali
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, No.1, Jalan Setia Murni U13/52, Seksyen U13, Setia Alam, 40170, Shah Alam, Selangor, Malaysia.
| | - Mohamad Fuad Mohamad Anuar
- Biostatistic and Repository Data, National Institutes of Health, Ministry of Health Malaysia, Shah Alam, Malaysia
| | - Mohamad Aznuddin Abd Razak
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, No.1, Jalan Setia Murni U13/52, Seksyen U13, Setia Alam, 40170, Shah Alam, Selangor, Malaysia
| | - Zhuo Lin Chong
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, No.1, Jalan Setia Murni U13/52, Seksyen U13, Setia Alam, 40170, Shah Alam, Selangor, Malaysia
| | - Azli Baharudin Shaharudin
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, No.1, Jalan Setia Murni U13/52, Seksyen U13, Setia Alam, 40170, Shah Alam, Selangor, Malaysia
| | - Mohd Shaiful Azlan Kassim
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, No.1, Jalan Setia Murni U13/52, Seksyen U13, Setia Alam, 40170, Shah Alam, Selangor, Malaysia
| | | | - Shaiful Bahari Ismail
- Department of Family Medicine, School of Medical Sciences, Universiti Sains Malaysia, Gelugor, Malaysia
| | - Zakiah Mohd Said
- Adult Health Sector, Family Health Development Division, Ministry of Health Malaysia, Shah Alam, Malaysia
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Liew SH, Razak MAA, Kassim MSA, Ahmad NA, Tan L. Suicide attempt among Malaysian school-going adolescents: relationship with bullying. BMC Public Health 2023; 23:2165. [PMID: 37932717 PMCID: PMC10626749 DOI: 10.1186/s12889-023-17019-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2023] [Accepted: 10/19/2023] [Indexed: 11/08/2023] Open
Abstract
BACKGROUND According to World Health Organization (WHO), the fourth leading cause of death among adolescents aged 15 -19 years is suicide. The National Health and Morbidity Survey (NHMS) 2017 reported that suicidal attempts among school adolescents increased from 6.8%-6.9% as compared to NHMS 2012. Suicide attempts can cause significant negative impacts on health, social and economic status. Bullying is one of the factors for adolescent suicide attempts, and its relationship to suicidality in adolescents has been shown in numerous research. OBJECTIVES This study examined the relationship between suicide attempts and bullying among school adolescents in Malaysia. METHODS Data from the Malaysia NHMS 2017, a nationwide study that adopted a two-stage cluster sampling design, were analysed. The survey used a self-administered questionnaire in bilingual language adapted from GSHS developed by WHO. Participants were secondary school students aged 13 -17 in all states. Descriptive and multiple logistic regression analyses were performed using IBM SPSS version 28. RESULTS A total of 27,497 school adolescents participated in the study. Results showed that 6.9% of school adolescents had attempted suicide. There was 16.2% of adolescents being bullied. Multiple logistic regression revealed that students who were bullied were more likely to have suicide attempts (aOR 4.827, 95% CI: 4.143, 5.624) P < 0.001. DISCUSSION/CONCLUSION This study revealed that bullying is associated with suicide attempts among school adolescents in Malaysia. The respective authority should consider and plan effective measures to curb bullying among school adolescents.
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Affiliation(s)
- Siaw Hun Liew
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Shah Alam, Malaysia.
| | - Mohamad Aznuddin Abd Razak
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Shah Alam, Malaysia
| | - Mohd Shaiful Azlan Kassim
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Shah Alam, Malaysia
| | - Noor Ani Ahmad
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Shah Alam, Malaysia
| | - LeeAnn Tan
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Shah Alam, Malaysia
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Khalil MKN, Abd Razak MA, Tahir FA, Sahril N, Shahein NA, Rezali MS, Adnan MAA, Liew SH, Ab Wahab N, Shamsuddin N, Kassim MSA. Prevalence and Risk Factors of Anaemia among Orang Asli Children in Malaysia: A Scoping Review. Nutrients 2023; 15:nu15061493. [PMID: 36986223 PMCID: PMC10053598 DOI: 10.3390/nu15061493] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Revised: 03/08/2023] [Accepted: 03/15/2023] [Indexed: 03/30/2023] Open
Abstract
BACKGROUND Anaemia continues to be a global public health burden affecting all age groups, particularly children. Indigenous people, including the Orang Asli (OA) population in Malaysia, are at risk of anaemia due to the vast disparities in social determinants of health in their population compared to the non-indigenous population. OBJECTIVES This review aimed to identify the prevalence and risk factors of anaemia among OA children in Malaysia and analyse the knowledge gaps. METHODS A systematic search was conducted in PubMed, Cochrane Library, Scopus and Google Scholar databases. This review followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR) guidelines. RESULTS This review identified six studies involving the participation of OA children from eight subtribes residing in Peninsular Malaysia. The overall prevalence of anaemia among OA children ranged from 21.6 to 80.0%, with iron deficiency anaemia prevalence at 34.0%. The risk factors of anaemia among OA children reported from one study in this review were being younger than ten years old children (AOR 2.11 (95% CI 1.23, 3.63)) and moderate to heavy Ascaris infections (AOR 2.05 (95% CI 1.12, 3.76)). There was no data from OA children from certain age groups and subtribes. Additionally, there is a paucity of data on risk factors for anaemia among OA children from the currently available evidence. CONCLUSION The prevalence of anaemia among OA children poses a moderate to severe public health concern. Therefore, more comprehensive studies in the future are needed to address the gaps identified in this review, primarily regarding anaemia risk factors. This data would encourage policymakers in devising effective national prevention strategies to improve morbidity and mortality among OA children in the future.
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Affiliation(s)
| | - Mohamad Aznuddin Abd Razak
- Centre for Family Health Research, Institute for Public Health, Ministry of Health, Shah Alam 40170, Malaysia
| | - Fatin Athirah Tahir
- Centre for Family Health Research, Institute for Public Health, Ministry of Health, Shah Alam 40170, Malaysia
| | - Norhafizah Sahril
- Centre for Family Health Research, Institute for Public Health, Ministry of Health, Shah Alam 40170, Malaysia
| | - Nik Adilah Shahein
- Centre for Family Health Research, Institute for Public Health, Ministry of Health, Shah Alam 40170, Malaysia
| | - Muhammad Solihin Rezali
- Centre for Family Health Research, Institute for Public Health, Ministry of Health, Shah Alam 40170, Malaysia
| | - Muhammad Azri Adam Adnan
- Centre for Family Health Research, Institute for Public Health, Ministry of Health, Shah Alam 40170, Malaysia
| | - Siaw Hun Liew
- Centre for Family Health Research, Institute for Public Health, Ministry of Health, Shah Alam 40170, Malaysia
| | - Nor'ain Ab Wahab
- Centre for Family Health Research, Institute for Public Health, Ministry of Health, Shah Alam 40170, Malaysia
| | - Norliza Shamsuddin
- Centre for Family Health Research, Institute for Public Health, Ministry of Health, Shah Alam 40170, Malaysia
| | - Mohd Shaiful Azlan Kassim
- Centre for Family Health Research, Institute for Public Health, Ministry of Health, Shah Alam 40170, Malaysia
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Sahril N, Chan YM, Chan YY, Ahmad NA, Kassim MSA, Shahein NA, Rezali MS, Abd Razak MA, Tahir FA, Ab Wahab N, Shamsuddin N, Adnan MAA, Khalil MKN, Liew SH. Poor Self-Rated Health and Associated Factors among Older Persons in Malaysia: A Population-Based Study. Int J Environ Res Public Health 2023; 20:ijerph20054342. [PMID: 36901351 PMCID: PMC10002035 DOI: 10.3390/ijerph20054342] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Revised: 02/22/2023] [Accepted: 02/23/2023] [Indexed: 05/31/2023]
Abstract
OBJECTIVE This study aims to determine the prevalence of poor self-rated health (SRH) in Malaysia and its association with sociodemographic characteristics, lifestyle behavior, chronic diseases, depression, and functional limitations in activities of daily living (ADLs) among older persons. DESIGN Cross-sectional. Setting, participants, and outcome measures: We used data from the National Health and Morbidity Survey 2018, a nationwide community-based study. This study was conducted using a two-stage stratified cluster sampling design. Older persons were defined as persons aged 60 years and above. SRH was assessed using the question "How do you rate your general health?" and the answers were "very good", "good", "moderate", "not good", and "very bad". SRH was then grouped into two categories; "Good" (very good and good) and "Poor" (moderate, not good, and very bad). Descriptive and logistic regression analyses were conducted using SPSS version 25.0. RESULTS The prevalence of poor SRH among older persons was 32.6%. Poor SRH was significantly related to physical inactivity, depression, and limitations in activities of daily living (ADLs). Multiple logistic regression revealed that poor SRH was positively associated with those who had depression (aOR 2.92, 95% CI:2.01,4.24), limitations in ADLs (aOR 1.82, 95% CI: 1.31, 2.54), low individual income (aOR 1.66, 95% CI:1.22, 2.26), physical inactivity (aOR 1.40, 95% CI:1.08, 1.82), and hypertension (aOR 1.23, 95% CI:1.02, 1.49). CONCLUSIONS Older persons with depression, limitations in ADLs, low income, physical inactivity, and hypertension were significantly associated with poor SRH. These findings provide information to aid health personnel and policymakers in the development and implementation of health promotion and disease prevention programs, as well as adequate evidence in planning different levels of care for the older population.
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Adnan MAA, Kassim MSA, Sahril H, Abd Razak MA. Prevalence and Predictors of Anxiety Among Stable Hospitalized COVID-19 Patients in Malaysia.. [DOI: 10.20944/preprints202210.0409.v1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]
Abstract
The COVID-19 pandemic creates anxiety among hospitalised SARS-CoV-2 patients. Therefore, this study aims to determine the prevalence of anxiety and its associated factors among stable inpatient COVID-19 patients in Malaysia. A cross-sectional study was conducted using a web-based online survey involving 401 patients from Malaysia's leading COVID-19 hospitals from 15th April until 30th June 2020 who were chosen using quota sampling. General Anxiety Disorders 7 items (GAD-7), Coping Orientation to Problems Experienced Inventory (Brief-COPE) and Socio-demographic profile questionnaire were used. Descriptive analysis and multiple logistic regression were performed using SPSS v23 to determine the prevalence of anxiety and its associated factors. The results showed that prevalence of anxiety was 7.0%. Multiple logistic regression analysis revealed that female (p < 0.05), fear of infection (p < 0.05), lack of information (p < 0.05), maladaptive coping mechanism of behavioural disengagement (p < 0.001) and self-blame (p < 0.001) were significantly associated with anxiety. Whereas adaptive coping mechanisms via instrumental support (p < 0.001) was a significant protective predictor of anxiety. COVID-19 infection has had a significant influence on the mental health of patients. Findings in our study provides baseline findings on prevalence of anxiety among stabilized COVID-19 inpatient in Malaysia. Despite the relative low prevalence, the data has the potential to improve the present mental health monitoring system and the deployment of suitable treatments in dealing with similar circumstances
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Chan YY, Sahril N, Rezali MS, Kuang Kuay L, Baharudin A, Abd Razak MA, Azlan Kassim MS, Mohd Yusoff MF, Omar MA, Ahmad NA. Self-Reported Modifiable Risk Factors of Cardiovascular Disease among Older Adults in Malaysia: A Cross-Sectional Study of Prevalence and Clustering. Int J Environ Res Public Health 2021; 18:ijerph18157941. [PMID: 34360235 PMCID: PMC8345577 DOI: 10.3390/ijerph18157941] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/05/2021] [Revised: 07/16/2021] [Accepted: 07/19/2021] [Indexed: 12/23/2022]
Abstract
The co-occurrence of multiple modifiable risk factors increases the risk of cardiovascular disease (CVD) morbidity or mortality. This study examines the prevalence and clustering of self-reported modifiable CVD risk factors among older adults in Malaysia. A total of 7117 adults aged ≥50 years participated in the National Health and Morbidity Survey (NHMS) 2018: Elderly Health, a community-based cross-sectional survey. Data were collected using a standardized structured questionnaire. Multivariable logistic regression was used to determine the factors associated with the clustering of self-reported modifiable CVD risk factors. The prevalence of self-reported diabetes, hypertension, hypercholesterolemia, overweight/obesity, and current smoking was 23.3%, 42.2%, 35.6%, 58.4%, and 17.5%, respectively. Overall, the prevalence of clustering of ≥1, ≥2, and ≥3 modifiable CVD risk factors was 83.3%, 75.4%, and 62.6%, respectively. Multivariable logistic regression analysis showed that men, 60–69 age group, urban dwellers, having no formal education, unemployed/retirees/homemakers, and being physically inactive were independently associated with self-reported modifiable CVD risk factors clustering. There are also ethnic differences in self-reported modifiable CVD risk factors clustering. Our findings underscore the necessity of targeted interventions and integrated strategies for early detection and treatment of modifiable CVD risk factors among older adults, considering age, sex, ethnicity, and socioeconomic status.
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Affiliation(s)
- Ying Ying Chan
- Centre for Family Health Research, Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, Shah Alam 40170, Malaysia; (N.S.); (M.S.R.); (M.A.A.R.); (M.S.A.K.)
- Correspondence:
| | - Norhafizah Sahril
- Centre for Family Health Research, Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, Shah Alam 40170, Malaysia; (N.S.); (M.S.R.); (M.A.A.R.); (M.S.A.K.)
| | - Muhammad Solihin Rezali
- Centre for Family Health Research, Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, Shah Alam 40170, Malaysia; (N.S.); (M.S.R.); (M.A.A.R.); (M.S.A.K.)
| | - Lim Kuang Kuay
- Centre for Occupational Health Research, Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, Shah Alam 40170, Malaysia;
| | - Azli Baharudin
- Centre for Nutrition Epidemiology Research, Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, Shah Alam 40170, Malaysia;
| | - Mohamad Aznuddin Abd Razak
- Centre for Family Health Research, Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, Shah Alam 40170, Malaysia; (N.S.); (M.S.R.); (M.A.A.R.); (M.S.A.K.)
| | - Mohd Shaiful Azlan Kassim
- Centre for Family Health Research, Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, Shah Alam 40170, Malaysia; (N.S.); (M.S.R.); (M.A.A.R.); (M.S.A.K.)
| | - Muhammad Fadhli Mohd Yusoff
- Centre for Non-Communicable Diseases Research, Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, Shah Alam 40170, Malaysia;
| | - Mohd Azahadi Omar
- Sector for Biostatistics & Data Repository, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, Shah Alam 40170, Malaysia;
| | - Noor Ani Ahmad
- Director Office, Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, Shah Alam 40170, Malaysia;
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Kuay LK, Chin TB, Ying CY, Hussain H, Mahmud NA, Kassim MSA, Harith AA, Man CS, Salleh R, Aris T. Pregnant Women Are Iodine Deficient While School-Aged Children Demonstrate Adequate Iodine Status in Sarawak, Malaysia. Food Nutr Bull 2021; 42:406-413. [PMID: 34024187 DOI: 10.1177/03795721211002079] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND A mandatory universal salt iodization (USI) has been implemented in Sarawak, Malaysia since 2008. OBJECTIVES The aim of this study is to assess the current iodine status among school-aged children (SAC) and pregnant women (PW) after 10 years of USI implementation in Sarawak. METHODS This cross-sectional survey among school-aged children and pregnant women was conducted between July and October 2018 in Sarawak. The multistage proportionate to population size sampling technique was used to select 30 schools and 30 maternal and child health care clinics. A total of 1200 children aged 8 to 10 years and 750 first-trimester pregnant women were randomly selected to participate in the study. Iodine excretion level in urine was determined according to the World Health Organization classification. RESULTS A total of 988 children and 677 PW participated in the study with a response rate of 82.3% and 90.2%, respectively. The overall median urinary iodine concentration (UIC) level among the children was 126.0 μg/L (interquartile range [IQR], 71.0-200.9 μg/L) and classified as adequate iodine status. The median UIC among PW was 123.9 μg/L (IQR, 56.5-192.1μg/L) indicating inadequate iodine status. CONCLUSION The present findings indicate that despite adequate iodine status in children, the majority of PW still showed inadequate iodine status. Thus, comprehensive monitoring of the iodine deficiency disorder problem among PW is warranted.
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Affiliation(s)
- Lim Kuang Kuay
- Institute for Public Health, 106269Ministry of Health, Malaysia
| | - Tan Beng Chin
- 91000Sarawak State Health Department, Ministry of Health, Malaysia
| | - Chan Ying Ying
- Institute for Public Health, 106269Ministry of Health, Malaysia
| | - Husniza Hussain
- 60608Institute for Medical Research, Ministry of Health, Malaysia
| | - Nur Azna Mahmud
- Institute for Public Health, 106269Ministry of Health, Malaysia
| | | | | | - Cheong Siew Man
- Institute for Public Health, 106269Ministry of Health, Malaysia
| | - Ruhaya Salleh
- Institute for Public Health, 106269Ministry of Health, Malaysia
| | - Tahir Aris
- Institute for Public Health, 106269Ministry of Health, Malaysia
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Taufik Ramli MH, Lodz NA, Abdul Aziz FA, Maw Pin T, Alias N, Abdul Mutalip MH, Sahril N, Kassim MSA, Mat Rifin H, Muhammad EN. Relationship between urinary incontinence and quality of life of older persons in Malaysia. Geriatr Gerontol Int 2020; 20 Suppl 2:38-42. [DOI: 10.1111/ggi.14028] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2020] [Revised: 07/08/2020] [Accepted: 07/22/2020] [Indexed: 11/28/2022]
Affiliation(s)
- Muhd H Taufik Ramli
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia Selangor Malaysia
| | - Noor Aliza Lodz
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia Selangor Malaysia
| | - Fazly Azry Abdul Aziz
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia Selangor Malaysia
| | - Tan Maw Pin
- Department of Medicine, Faculty of Medicine University of Malaya Kuala Lumpur Malaysia
| | - Nazirah Alias
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia Selangor Malaysia
| | - Mohd Hatta Abdul Mutalip
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia Selangor Malaysia
| | - Norhafizah Sahril
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia Selangor Malaysia
| | - Mohd Shaiful Azlan Kassim
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia Selangor Malaysia
| | - Halizah Mat Rifin
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia Selangor Malaysia
| | - Eida Nurhadzira Muhammad
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia Selangor Malaysia
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Ahmad NA, Lin CZ, Abd Rahman S, bin Ghazali MH, Nadzari EE, Zakiman Z, Redzuan S, Md Taib S, Kassim MSA, Wan Mohamed Noor WN. First Local Transmission Cluster of COVID-19 in Malaysia: Public Health Response. Int J Travel Med Glob Health 2020. [DOI: 10.34172/ijtmgh.2020.21] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Introduction: Rapid public health response is important in controlling the transmission of coronavirus disease 2019 (COVID-19). In this study, we described the public health response taken by the Ministry of Health of Malaysia in managing the first local transmission cluster of COVID-19 related to mass-gathering and inter-state traveling to celebrate a festival. Methods: We summarized strategies implemented by the Malaysia Crisis Preparedness and Response Centre (CPRC) in managing the first local transmission of COVID-19. We collected information related to the epidemiological investigation of this cluster and described the inter-state network in managing the outbreak. Results: This first local transmission of COVID-19 in Malaysia had a history of contact with her older brother, the index case, who was the first Malaysian imported case. Only two positive cases were detected out of 59 contacts traced from the index case. Close contacts with infected person/s, inter-state movement, and public/family gatherings were identified as the sources of transmission. A large number of contacts were traced from inter-state traveling, and family gatherings during the festive season, and health consultations and treatment. Conclusion: Close contacts from inter-state movement and public/family gatherings were identified as the source of transmission. Family or public gatherings during festivals or religious events should be prohibited or controlled in COVID-19 prevalent areas. A structured surveillance system with rapid contact tracing is significant in controlling the transmission of COVID-19 in the community.
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Affiliation(s)
- Noor Ani Ahmad
- Institute for Public Health, Ministry of Health Malaysia, 40170 Shah Alam, Selangor, Malaysia
| | - Chong Zhuo Lin
- Institute for Public Health, Ministry of Health Malaysia, 40170 Shah Alam, Selangor, Malaysia
| | - Sunita Abd Rahman
- Crisis Preparedness and Response Centre (CPRC), Kedah State Health Department, Ministry of Health Malaysia, 05400 Alor Setar, Kedah, Malaysia
| | - Muhammad Haikal bin Ghazali
- Crisis Preparedness and Response Centre (CPRC), Selangor State Health Department, 40100 Shah Alam, Selangor, Malaysia
| | - Ezy Eriyani Nadzari
- Kuala Muda District Health Office, Ministry of Health Malaysia, 08000 Sg Petani, Kedah, Malaysia
| | - Zazarida Zakiman
- Petaling District Health Office, Petaling Jaya, Selangor, Malaysia
| | - Suziana Redzuan
- Kuala Muda District Health Office, Ministry of Health Malaysia, 08000 Sg Petani, Kedah, Malaysia
| | - Salina Md Taib
- Petaling District Health Office, Petaling Jaya, Selangor, Malaysia
| | | | - Wan Noraini Wan Mohamed Noor
- National Crisis Preparedness and Response Centre (CPRC), Disease Control Division, Minsitry of Health Malaysia, 62590 WP Putrajaya, Malaysia
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Kassim MSA, Ismail R, Mohd Yusoff H, Ismail NH. How do academicians cope with occupational stressors to alleviate burnout? The experience of a research university. JPMH 2019. [DOI: 10.1108/jpmh-03-2019-0032] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
University academicians are struggling to engage in teaching, supervision, research and publication. The purpose of this paper is to determine how academicians cope with the various burdens of academia work stressors to overcome burnout.
Design/methodology/approach
A cross-sectional study was conducted from January to July 2017. In total, 327 research university academicians were selected using a proportional stratified randomized sampling. Validated measures were used to collect data on perceived work stressors (teaching, research, interpersonal conflicts and career development), coping strategies (adaptive and maladaptive coping) and perceived burnout (emotional exhaustion (EE), depersonalization and personal accomplishment (PA)). The data were gathered via computer assisted self-interviewing (CASI). The research statistical model was tested by two-steps of assessment replicating covariance-based structural equation modeling (CB-SEM) with bootstrapping procedure to generalize the sample to the hypothesized model.
Findings
Overall data fit the hypothesized model well (CMIN/df=1.788, GFI=0.833, CFI=0.921, TLI=0.916, RMSEA=0.047) with various degree of explanatory value for EE, depersonalization and PA were 60, 49 and 22 percent, respectively. Academicians were resilient against the burden of teaching. However, they did adopt coping mechanisms to overcome research challenges and interpersonal conflicts. The effects of research and interpersonal conflicts on tri-dimensional burnout mediated by maladaptive coping (f2 effect size=0.37) had a larger effect than interpersonal conflicts toward burnout mediated by adaptive coping (f2 effect size=0.02).
Practical implications
Academicians adopt maladaptive coping for research and interpersonal conflicts to suppress burnout. An integrative approach at both organization and individual levels is crucial to enhance appropriate coping mechanism to curb with burnout among the academicians of a research university.
Originality/value
This is the first study in Malaysia which uniquely estimate the effects of academician’s work stressors toward burnout with introducing coping strategies as mediators toward work stressors and burnout relationship which has been analyzed via CB-SEM.
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Kassim MSA, Manaf MRA, Nor NSM, Ambak R. Effects of Lifestyle Intervention towards Obesity and Blood Pressure among Housewives in Klang Valley: A Quasi-Experimental Study. Malays J Med Sci 2017; 24:83-91. [PMID: 29379390 DOI: 10.21315/mjms2017.24.6.10] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2017] [Accepted: 09/19/2017] [Indexed: 10/18/2022] Open
Abstract
Background The obesity rate in Malaysia is the highest in Asia. Half its population is obese or overweight. The present study aims to determine the effects of lifestyle intervention on weight loss and blood pressure among Malaysian overweight and obese housewives in Klang Valley. Methods A quasi-experimental study with 328 obese and overweight low socio- economic status housewives aged 18-59 years old who met the screening criteria participated in the study. They were recruited into an intervention group (N = 169) or control group (N = 159). The intervention group received a lifestyle intervention consisting of a diet, physical activity and self-monitoring behavior package. The control group (delayed intervention group) received a women's health seminar package. Both groups were followed up for six months. Weight, body mass index (BMI), and blood pressure were evaluated both pre- and post-intervention. Results A total of 124 participants from the intervention group and 93 participants from the control group completed the study. Mean weight loss was 1.13 ± 2.70 kg (P < 0.05) in the intervention group and 0.97 ± 2.60 kg (P < 0.05) in the control group. Systolic blood pressure (SBP) reductions in the intervention group were 5.84 ± 18.10 mmHg (P < 0.05). The control group showed reduction in SBP 6.04 ± 14.52 mmHg (P < 0.05). Both group had non-significant DBP reduction. Multivariate analysis via General Linear Model Repeated Measures observed no significant differences in terms of parameter changes with time in both groups for all parameters. Conclusions The results indicate that the lifestyle interventions in this study resulted in modest weight loss and thus decreased BMI and blood pressure (SBP) within six months of intervention.
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Affiliation(s)
- Mohd Shaiful Azlan Kassim
- Department of Community Health, University Kebangsaan Malaysia Medical Centre, Jalan Yaakub Latif, Bandar Tun Razak, 56000 Kuala Lumpur, Malaysia
| | - Mohd Rizal Abdul Manaf
- Department of Community Health, University Kebangsaan Malaysia Medical Centre, Jalan Yaakub Latif, Bandar Tun Razak, 56000 Kuala Lumpur, Malaysia
| | | | - Rashidah Ambak
- Institute for Public Health, Jalan Bangsar, 59000 Kuala Lumpur, Malaysia
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