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28,296 Article Results

Correlation between jet lag syndrome and air travel fatigue

10.11591/ijphs.v14i3.25992
Khaerul Amri , Imelda Avia , Azis Fahruji
Long-distance air travel causes travelers to experience travel fatigue. Jet lag syndrome is one of the factors that exacerbate fatigue from air travel. Fatigue can seriously impact travelers with a history of illness. Health emergencies resulting from travel fatigue can even lead to death. A cross-sectional study was conducted to identify the relationship between jet lag syndrome and air travel fatigue. The 117 people who had traveled in the past year had jet lag syndrome and did not meet the exclusion criteria were selected. The questionnaires used the circadian type inventory and the fatigue scale, and validity and reliability were tested. Multiple logistic regression was performed to determine the variables influencing air travel fatigue. The relationship between jet lag syndrome and air travel fatigue was analyzed using Chi-square analysis. Results of the study identified that 53.8% of respondents experienced severe fatigue, and 54.7% experienced severe jet lag syndrome. Jet lag syndrome correlated with air travel fatigue significantly (p = 0.001). Respondents with severe jet lag syndrome experienced severe fatigue. The findings from this study emphasize that addressing jet lag syndrome is necessary to reduce air travel fatigue for overall health.
Volume: 14
Issue: 3
Page: 1532-1539
Publish at: 2025-09-01

Inclusion of children with autism in a mainstreamed school: a case study analysis

10.11591/ijphs.v14i3.25217
Finita Glory Roy , Friggita Johnson
Inclusion of children with autism in mainstream schools is essential for fostering social integration and equitable education; however, significant challenges persist in implementation worldwide. This study investigates inclusion practices for children with autism in a mainstream school, focusing on barriers and enablers in creating an inclusive educational environment. Using a qualitative case study design, data were collected from 16 participants, including one principal, eight teachers, three special educators, and four parents, selected through purposive sampling. Semi-structured interviews, classroom observations, and analysis of school policies and documents provided comprehensive insights, analysed through thematic analysis with triangulation to ensure robustness. Findings revealed critical challenges, such as limited resources, inadequate teacher preparedness, and social stigma, while highlighting effective practices like individualized education plans (IEPs), peer mentoring, and collaborative approaches to IEP development. The study underscores the importance of policy reforms, targeted teacher training, and greater community involvement to support sustainable inclusion. These findings offer actionable recommendations for improving inclusive practices and creating supportive learning environments for children with autism, advancing the broader agenda of inclusive education.
Volume: 14
Issue: 3
Page: 1601-1610
Publish at: 2025-09-01

Factors associated with physical activity time among adolescents in Ho Chi Minh City, Vietnam

10.11591/ijphs.v14i3.25877
Vinh Quang Phung , Vien Truong Nguyen , Ngoc-Trinh Thi Nguyen , Dang Ngoc Tran , Phong Duy Nguyen , Hong Kim Tang
Previous studies on factors associated with physical activity among adolescents in Ho Chi Minh City have lacked a specific framework. This study aimed to assess factors associated with moderate and vigorous physical activity time among Ho Chi Minh City’s adolescents. We used the Health Belief Model to develop a more comprehensive survey. This cross sectional study, conducted from January to May 2023, analyzed data from 301 students. Variables were measured using a self-management questionnaire with three sections: socioeconomics, physical activity, and the Health Belief Model. This study found that adolescents spent an average of 54.7 minutes per day engaging in moderate to vigorous physical activity. This duration was independently associated with convenience (Coefficient = 5.49; p = 0.002), self-efficacy (Coefficient = 5.63; p<0.001), having an exercise companion (Coefficient = 16.98; p<0.001), and the perception that more than 60 minutes of daily activity is needed (Coefficient = 16.82; p<0.001). The Health Belief Model has the potential to explain the time spent in moderate to vigorous physical activity among adolescents in Ho Chi Minh City. Self-efficacy, convenience, companionship, and perceptions of appropriate physical activity duration should be considered when developing intervention programs.
Volume: 14
Issue: 3
Page: 1313-1322
Publish at: 2025-09-01

Factor associated with physical activity level among secondary boarding school students in Selangor, Malaysia

10.11591/ijphs.v14i3.25782
Ahmad ‘Afifu’d-din Hisamuddin , Hazizi Abu Saad
This cross-sectional study aimed to assess the prevalence and factors associated with physical activity among secondary boarding school students. Data were collected using a self-administered questionnaire that captured socio-demographic information, physical activity levels, sedentary behavior, social support (from family and peers), and psychological factors (depression, anxiety, and stress). Anthropometric measurements, including height and weight, were obtained using a SECA217 stadiometer and a Tanita weighing scale, with body mass index (BMI)-for-age subsequently calculated. A total of 181 participants were included in the study. The results indicated that the majority of students met the recommended physical activity guidelines. Approximately two-thirds of participants were classified as having a normal BMI, while the majority exhibited high levels of sedentary behavior. Regarding social support, only one-fifth of students reported receiving adequate family support, while half of the students reported adequate peer support. Psychological assessments revealed that one-third of participants exhibited normal depressive symptoms, whereas nearly half exhibited symptoms of anxiety and stress. Significant associations were identified between physical activity levels and several factors, including age, gender, family support, peer support, and stress. In conclusion, while most secondary boarding school students in this study met the recommended daily amount of physical activity, high levels of sedentary behavior and varying levels of social support and psychological distress highlight areas that warrant further intervention.
Volume: 14
Issue: 3
Page: 1428-1435
Publish at: 2025-09-01

Stunting among toddlers in poor Indonesian households

10.11591/ijphs.v14i3.25738
Sarni Rante Allo Bela , Mona Safitri Fatiah , Yane Tambing , Agung Dwi Laksono , Ratna Dwi Wulandari , Hastin Dyah Kusumawardani , Taufiq Hidayat
Poverty has a significant impact on stunting in children under the age of five from low-income families, accounting for around 18.4% of stunting cases in Indonesia. The goal of this study was to look into the factors that may contribute to the prevalence of stunting among children under the age of five from low-income families in Indonesia. The study used a cross-sectional design and data from the 2022 Indonesian National Nutrition Status Survey to evaluate approximately 112,574 children. The data was analyzed at the multivariate level in binary logistics using SPSS 26 software. The data revealed that around 24.8% of disadvantaged households in Indonesia experienced stunting, with a variety of variables impacting its frequency. These included residence variables (AOR:1.08 and 95% CI:1.08-1.09), maternal age (AOR: 1.28 with 95% CI: 1.21-1.25), education level (AOR: 1.02 and 95% CI: 1.01-1.03), marital status (AOR:1.02 with 95% CI: 1.01-1.03), Antenatal Care (ANC) (AOR:1.45 with 95% CI: 1.44-1.47), age of the child (AOR:3.29 with 95% CI: 3.27-3.31), and the sex of the infant (AOR:3.29 with 95% CI: 3.27-3.21). Seven characteristics have been identified as predictors of stunting in children under the age of five in disadvantaged Indonesian homes. Expanding targeted programs for low-income families is critical for increasing their income through comprehensive entrepreneurship training and social assistance activities.
Volume: 14
Issue: 3
Page: 1441-1451
Publish at: 2025-09-01

Chronic strains, self-efficacy, and mental health: a cross-sectional study among university students in Bangladesh

10.11591/ijphs.v14i3.26125
Rashed Hossain , Rasheda Irshad Nasir
Chronic strains, arise from daily activities, can affect mental healthcare of individuals across various professions, including students. However, how chronic strains affect mental health of students is poorly understood so far for students. We aim to identify the most prevalent chronic strains and examine the effects of chronic strains on mental health conditions adjusted for socio-demographic variables. A total of 393 students were included in the study. They were interviewed through a structured questionnaire between April 6 and May 28, 2023. The outcome variable considered were mental health measured through 14-item questions. The prime explanatory variable was chronic strains. Multivariable linear regressions were used to the relationships of chronic strains, self-efficacy, and socio-demographic characteristics with mental health conditions. We found that 16.7% of participants reported low levels of chronic strains, 66.4% reported moderate levels and 18.3% reported high levels. ‘Tension for future career’ emerged as the most significant source of stress that led chronic strains. Chronic strains and self-efficacy were found to be significant determinants of different mental health conditions. These findings suggest that institutions should focus on improving students’ psychological well-being to mitigate the impact of chronic strains.
Volume: 14
Issue: 3
Page: 1459-1467
Publish at: 2025-09-01

Relationship between shift work and the risk of colorectal cancer among Moroccan women

10.11591/ijphs.v14i3.25572
Hamza Elbaylek , Soumia Ammor
Colorectal cancer (CRC) is a public health problem worldwide, and also in Morocco, with 7.9% of new cancer cases. Dietary factors have been linked to CRC risk; however, several modifiable risk factors have not been studied in Morocco. This study aimed to explore the association between shift work and the risk of colorectal cancer among Moroccan women. A case-control study was conducted at CHU Mohamed VI Marrakech, involving 165 cases and 165 controls. Data were collected using a self-administered questionnaire. For general characteristics, we used the Chi-square test for categorical variables and student’s t-test or Mann-Whitney U for continuous variables to select confounding factors, we ran logistic regression analysis to estimate odds ratios and 95% confidence intervals. Findings from our study show an increased risk of CRC for rotating shift workers ORb:1.74 (95% CI:1.05-2.91) (p-value = 0.01). When stratified by tumor location, night shift work was correlated with an increased risk of rectal cancer, while stratified by age, rotating shift work was also correlated with an increased risk of CRC among those aged 45 to 65 years ORb: 2.18 (95% CI:1.03-4.79) (p-value = 0.048). Findings from this study may be helpful for future research in Morocco and North African countries.
Volume: 14
Issue: 3
Page: 1109-1118
Publish at: 2025-09-01

Depression, social support and management preferences among Ghanaian post-stroke patients: a case study

10.11591/ijphs.v14i3.25490
Lily Yarney , Joseph Nii Otinkorang , Herman Nuake Kofi Agboh
Post-stroke depression (PSD) significantly impacts the lives of cerebrovascular accident (CVA) survivors, yet tailored support systems and management preferences remain under-researched, particularly in specific healthcare settings. This study assessed the experience of depressive symptoms among CVA survivors, the support systems available to them, and their preferred management methods at the Ledzokuku-Krowor Municipal Assembly (LEKMA) Hospital in Ghana. Utilizing the descriptive case study design, 50 CVA patients were surveyed using a self-structured questionnaire and the Centre for Epidemiological Studies Depression Scale Revised (CESD R-20). Data were analyzed with Microsoft Excel and STATA version 17. Chi-square test of association was used to measure the severity of depression and specific demographic groups. Results indicated a high prevalence of depression (86%), with 10% experiencing moderate and 76% severe depression. Marital status significantly correlated with post-stroke depression (PSD) severity. Primary support sources included spouses/partners and children, providing various forms of support such as physical assistance, emotional well-being, and financial aid. Preferred management options were pharmacology and psychotherapy, driven by the desire for quick symptom relief and concerns over medication side effects and costs. These findings highlight the critical need for enhanced support systems and responsive management strategies to include depression for CVA survivors.
Volume: 14
Issue: 3
Page: 1552-1560
Publish at: 2025-09-01

Philippine traditional herbal remedies for hypertension

10.11591/ijphs.v14i3.25625
Meliza Parba , Cesar G. Demayo
Certain areas of the Philippines continue to rely on traditional non-pharmacological approaches, such as herbal medicine, for hypertension treatment, a significant public health problem globally. Therefore, a systematic review of plants used in the Philippines to treat hypertension, based on the PRISMA flow diagram, was carried out. Relevant ethnobotanical studies were retrieved from databases such as Google Scholar, ScienceDirect, and PubMed. Following the eligibility screening, 36 ethnobotanical studies were included. The majority of the studies included in this review came from Region XIII (CARAGA), Region VI (Western Visayas), and Region X (Northern Mindanao). The most prevalent plant family and species were Poaceae (12 species) and Cymbopogon citratus (DC.) Stapf. (16 citations), respectively. Leaves were the most common plant parts utilized while decoction was the most frequently mentioned mode of preparation. Oral administration was the most widely used form of administration. This review highlights medicinal plants with potential antihypertensive properties. It underscores the need to conduct a systematic review of their pharmacological properties to determine which have been scientifically validated and are most effective against hypertension.
Volume: 14
Issue: 3
Page: 1585-1594
Publish at: 2025-09-01

Social media and social capital as risk of voluntary counseling and testing for human immunodeficiency virus

10.11591/ijphs.v14i3.25799
Eny Qurniyawati , Jayanti Dian Eka Sari , Farah Fadhillah , Yeshita Alifia Yuvianti , Prima Kartika , Nayla Mohamed Gomaa Nasr
Teenagers are more susceptible to contracting human immunodeficiency virus (HIV). Of the 34 provinces in Indonesia, East Java continues to have the highest rate of new HIV diagnoses. One tactic for HIV prevention and control is voluntary counseling and testing (VCT). The purpose of this study is to examine the risk factors associated with the uptake of VCT for HIV among adolescents in the general population of East Java. A cross-sectional study design, a quantitative technique, and an observational methodology are all used in this research. 329 individuals in total, selected at random, took part in this study. The prevalence ratio (PR) with a 95% confidence interval was examined in order to determine the level of risk. Out of all the parameters that were found, social media access (PR = 10.133; 95%CI 1.293 - 79.422) and social capital (PR = 10.741; 95% 3.240 - 35.601) were found to have a substantial impact on VCT for HIV. Thus, it's critical to enhance social capital and implement educational initiatives on VCT for HIV using social media in order to improve teenagers' favorable perceptions of the treatment.
Volume: 14
Issue: 3
Page: 1171-1178
Publish at: 2025-09-01

Sexual health and well-being during antenatal care: addressing global gaps in healthcare provision

10.11591/ijphs.v14i3.25983
Kabiru Abubakar Gulma , Abubakar Isa Musa
This paper highlights the importance of addressing sexual health and well-being in antenatal care, which goes beyond the absence of reproductive disease to include physical, mental, and social aspects. Central to sexual health is the quality of the relationship between expectant parents, which can influence the future well-being of both the parents and their child. Despite this, current antenatal care often fails to address sexual health due to healthcare providers' lack of training and fears of offending patients when discussing intimate issues. The paper suggests that antenatal care might be viewed as an inadequate environment to handle such sensitive matters—due to time constraints and perceived intrusiveness, it could be an optimal time for discussions, as parents-to-be are particularly attuned to relationship health during pregnancy. The paper also focuses on adolescent mothers as a globally neglected group in terms of sexual health support during pregnancy, despite the significant role they play in ensuring intergenerational well-being. The broader healthcare system, however, continues to treat sexual health and well-being as taboo subjects, leaving a gap in global antenatal services. As research underscores the importance of a strong parental relationship for the socio-emotional development of the child, the paper advocates for integrating sexual health into antenatal care to enhance both parental well-being and child development. However, this area remains underexplored in many parts of the world due to cultural sensitivities and limited healthcare infrastructure.
Volume: 14
Issue: 3
Page: 1357-1366
Publish at: 2025-09-01

Epidemiology of tuberculosis in Morocco: diagnosis, treatment, quality of life, and associated factors

10.11591/ijphs.v14i3.26185
Youssef El Bahi , Soukaina Loulidi , Mohamed Loukid , Samia Rkha
Tuberculosis remains a major public health challenge worldwide, despite significant advances in treatment and prevention. In Morocco, 30,000 cases of tuberculosis are recorded each year. In the Marrakech-Safi region, the incidence reaches 50 cases per 100,000 inhabitants. The aim of this research was to assess the effectiveness of current diagnostic and treatment, and to measure the impact of tuberculosis on patients' quality of life. A cross sectional study was carried out on a sample of 480 tuberculosis patients. The results showed that low education levels (53.86%) and high unemployment (40.8%) were prevalent. More than 51% of patients do not have health insurance. High housing density was correlated with increased prevalence, and diabetes was frequent (40.19%). 27.50% used medicinal plants, and 13.11% interrupted medication due to long treatment duration. Males were more symptom-free (p<0.000). Males had more severe symptoms than females such as sputum (163 vs. 58 cases), weight loss (224 vs. 131 cases), cough (184 vs. 86 cases), and hemoptysis (70 vs. 27 cases). Urban residents showed significant differences in tuberculosis types (p = 0.034). Occupation and prior treatment influenced tuberculosis distribution and extrapulmonary tuberculosis prevalence (p = 0.000). 21.46% were permanently affected in their social life. Higher education level and non-smoking was linked to better health (p = 0.016; p = 0.002). These results contribute to a better management of diagnostic, treatment, and prevention strategies adapted to tuberculosis patients by strengthen health education and promote rapid access to specialist care.
Volume: 14
Issue: 3
Page: 1160-1170
Publish at: 2025-09-01

Knowledge and practices of nurses regarding prevention of hepatitis B and C viral infection: findings from a single center cross-sectional study in Bangladesh

10.11591/ijphs.v14i3.25824
Rahima Parvin , Md. Abdul Jabbar , Hafiza Sultana , Mohammad Meshbahur Rahman , Most Rownak Zahan Rimu , Rafaat Choudhury
The study aimed to evaluate the nurses’ levels of knowledge and practices in preventing hepatitis B and C viral infections in tertiary level hospitals. A cross-sectional study was conducted among 119 nurses in tertiary level hospital by simple random sampling technique. Data were collected by face to-face interview with semi-structured questionnaire and analysis involved the frequency distribution tables, bar diagrams, and proportion (z-tests). The analysis revealed that most of the nurses fell within the 25-34 age groups, and predominantly held a diploma in nursing. Analysis indicated that 95.79% demonstrated good knowledge, whereas 70.59% exposed good practices. Proportion tests revealed significant associations between demographic factors and knowledge/practice levels. Higher educated nurses (poor knowledge, good knowledge: 13.0%, 87.0%; p = 0.021) and those in older age groups (poor practice, good practice: 36.8%, 63.2%; p = 0.002) displayed significantly better knowledge and practices. This study highlights good knowledge among nurses concerning the prevention of hepatitis B and C infections; significant variation exists in the application of preventive practices. Training programs are recommended to bridge the gap between knowledge and practice.
Volume: 14
Issue: 3
Page: 1294-1303
Publish at: 2025-09-01

Factors impacting high-level mobility in traumatic brain injury: a scoping review

10.11591/ijphs.v14i3.25261
Syazlin Azmi , Nor Azlin Mohd Nordin , Alia Alghwiri , Haidzir Manaf
High-level mobility is crucial for improving quality of life and ensuring active participation in daily routines and community engagement. Therefore, this scoping review explored the available evidence on factors impacting high-level mobility among traumatic brain injury (TBI) individuals and the outcome measures used to evaluate high-level mobility. Following the preferred reporting items for Systematic Reviews and Meta-analyses Extension for Scoping Reviews (PRISMA-ScR) guidelines, five databases were searched: Scopus, Web of Science, Cochrane Library, Science Direct, and PubMed, yielding 109 articles, with eight meeting eligibility criteria. The keywords used in the search strategies were: traumatic brain injury, TBI, brain trauma, traumatic encephalopathy, and high-level mobility. This review revealed that the High-Level Mobility Assessment Tool (HiMAT) was identified as the most commonly used outcome measure for assessing high-level mobility. The key factors that may influence the outcome of high level mobility in people with TBI are age, sex, mechanism of injury, duration of post-traumatic amnesia, and individual endurance. The associations between individuals’ factors and outcomes in TBI studies exhibit significant variation. This can be attributed to several factors, including the diverse characteristics of TBI samples, different neurological recovery rates, methodological differences, timing of assessments, interactions between factors, and potential moderators.
Volume: 14
Issue: 3
Page: 1189-1200
Publish at: 2025-09-01

Enhancing trust and privacy in iot ecosystems with the distributed trust and privacy consensus framework

10.11591/ijeecs.v39.i3.pp1990-2000
Sushma Priyadarashini , Anuradha T
In the contemporary digital landscape, the proliferation of wireless sensor networks (WSNs) and the internet of things (IoT) has revolutionized the way we interact with the physical world, offering unprecedented opportunities for automation and data-driven decision-making. However, this rapid expansion has also introduced significant challenges in terms of ensuring network security, maintaining user privacy, and establishing trust among devices. To address these critical issues, this paper introduces the distributed trust and privacy consensus framework (DTPCF), a novel methodology designed to strengthen trust and privacy within IoT ecosystems through a consensus-based approach. The DTPCF pioneers a distributed mechanism for trust management that evaluates and establishes the reliability of nodes democratically and transparently, thereby enhancing the robustness and scalability of IoT systems against malicious activities. Moreover, the framework integrates privacy preservation directly into the consensus process, employing state-of-the-art cryptographic techniques and protocols to protect sensitive data during transmission and decision-making phases. Through empirical analysis, the efficacy of the DTPCF is validated across various operational scenarios, demonstrating its effectiveness in enhancing network security, privacy, and trust. Performance metrics such as throughput, energy consumption, and node-level security are meticulously evaluated, providing comprehensive insights into the framework's capabilities and potential for real-world implementation.
Volume: 39
Issue: 3
Page: 1990-2000
Publish at: 2025-09-01
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