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1.
Sci Total Environ ; 699: 134404, 2020 Jan 10.
Artigo em Inglês | MEDLINE | ID: mdl-31678877

RESUMO

The climate change phenomenon has been occurring in every part of the world, including Malaysia. In particular, changes such as rising temperature, sea level rise, and unstable rain pattern are proven to affect the socio-economic routine of the community. Hence, it is necessary to learn how to adapt to it, especially those who heavily rely on nature stability. The present study examined the adaptation towards climate change among islanders in Malaysia. In addition, the current research was performed quantitatively using a developed questionnaire as the main data collection tool. In this case, a total of 400 islanders were selected as the respondents through a multi-stage sampling technique. The results revealed that the respondents recorded a moderate to high mean score for adaptation aspects namely awareness, dependency and structure. Accordingly, a number of recommendations that were highlighted can be utilized as a basis to develop community adaptation policy that is in line with the islanders' need, ability, and interests.


Assuntos
Mudança Climática , Aclimatação , Adaptação Fisiológica , Malásia , Chuva , Inquéritos e Questionários , Temperatura Ambiente
2.
BMJ Open ; 8(7): e024000, 2018 07 30.
Artigo em Inglês | MEDLINE | ID: mdl-30061449

RESUMO

INTRODUCTION: Hypertension is a leading contributor to the global burden of disease. While safe and effective treatment exists, blood pressure control is poor in many countries, often reflecting barriers at the levels of health systems and services as well as at the broader level of patients' sociocultural contexts. This study examines how these interact to facilitate or hinder hypertension control, taking into account characteristics of service provision components and social contexts. METHODS AND ANALYSIS: The study, set in Malaysia and the Philippines, builds on two systematic reviews of barriers to effective hypertension management. People with hypertension (pre-existing and newly diagnosed) will be identified in poor households in 24-30 communities per country. Quantitative and qualitative methods will be used to examine their experiences of and pathways into seeking and obtaining care. These include two waves of household surveys of 20-25 participants per community 12-18 months apart, microcosting exercises to assess the cost of illness (including costs due to health seeking activities and inability to work (5 per community)), preliminary and follow-up in-depth interviews and digital diaries with hypertensive adults over the course of a year (40 per country, employing an innovative mobile phone technology), focus group discussions with study participants and structured assessments of health facilities (including formal and informal providers). ETHICS AND DISSEMINATION: Ethical approval has been granted by the Observational Research Ethics Committee at the London School of Hygiene and Tropical Medicine and the Research Ethics Boards at the Universiti Putra Malaysia and the University of the Philippines Manila. The project team will disseminate findings and engage with a wide range of stakeholders to promote uptake and impact. Alongside publications in high-impact journals, dissemination activities include a comprehensive stakeholder analysis, engagement with traditional and social media and 'digital stories' coproduced with research participants.


Assuntos
Efeitos Psicossociais da Doença , Hipertensão/diagnóstico , Hipertensão/terapia , Aceitação pelo Paciente de Cuidados de Saúde , Estudos de Coortes , Assistência à Saúde , Grupos Focais , Humanos , Estudos Longitudinais , Malásia , Filipinas , Estudos Prospectivos , Pesquisa Qualitativa
3.
PLoS One ; 11(3): e0150741, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26974837

RESUMO

The main aim of this study is to identify the quality of life (QoL) among communities residing near the Tembeling, Pahang and Muar Rivers in Malaysia. This quantitative study used a constructed questionnaire as main tool to collect data on the QoL of river communities. A total of 240 villagers were selected as respondents. The results indicated that the dimensions of settlement, safety, involvement and social relationships, as well as education scored highest, while dimensions of physical environment, financial and job security yielded moderate scores. Dimensions of infrastructure facilities yielded a low mean score. Recommendations are provided, in the hope that our results may be useful for strategies that could enhance QoL of these river communities.


Assuntos
Qualidade de Vida , Rios , População Rural , Adolescente , Adulto , Feminino , Humanos , Malásia , Masculino , Fatores Socioeconômicos
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