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All Journal International Journal of Integrated Health Sciences Paediatrica Indonesiana
Ajeng, Rudy Ngau
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Health Professions Medicine & Pharmacology

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Determinants of rheumatic heart disease: findings from qualitative research approach Ajeng, Rudy Ngau; Rahman, Mohammod Mizanur; Said, Asri Bin; Adenan, Abang Safuan Bin; Ameenudeen, Mohamed; Kim Choo, Greta Miranda Goh; Siddiq, Muhammad; Gahamat, Mohamed Faiz
Paediatrica Indonesiana Vol. 63 No. 6 (2023): November 2023
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi63.6.2023.483-91

Abstract

Background Rheumatic heart disease (RHD) is an autoimmune heart disease following unresolved or untreated Acute Rheumatic Fever (ARF), which results in irreversible valve damage and heart failure. Strategies for managing RHD could be planned to understand the disease determinants in local settings. Objective To explore the determinants of RHD among the family with an RHD case. Methods The study was a qualitative design using a grounded theory approach after in-depth interviews with respondents from families with RHD patients. Analysis was conducted after the scripts were finalized. Initial, intermediate, and advanced codings were performed. Ten respondents agreed to participate and completed the qualitative data collection process. Results The analysis yielded two theme categories of what could have led to RHD among respondents due to internal and external causes. Internal causes were considered factors that could be managed or manipulated to improve an individual and family’s capacity. In contrast, external causes were considered factors that could not be managed or manipulated to improve an individual’s capacity or family. Therefore, these factors were considered beyond their control. Conclusion This study explored RHD determinants according to the patients’ and their families’ perspectives. A holistic approach can be applied to managing RHD by considering these factors.
Intention to Consume Alcohol among Dayak Adolescents in Sarawak: An Application of Theory of Planned Behavior Gahamat, Mohd Faiz; Rahman, Md Mizanur; Safii, Razitasham; Daud, Muhammad Siddiq; Ajeng, Rudy Ngau
International Journal of Integrated Health Sciences Vol 11, No 2 (2023)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/ijihs.v11n2.3353

Abstract

Objectives: To explore the application of a model that integrates various factors that influence Dayak adolescents' intentions to consume alcohol in Sarawak, Malaysia.Methods: A cross-sectional quantitative study was conducted from September 2019 to February 2022. Through multistage stratified cluster sampling, 12 districts were selected from 12 divisions. Respondents were selected randomly and were interviewed using a questionnaire.Results: Structural equation modeling was used to test the Theory of Planned Behavior (TPB) and explore the relationship between various variables and respondents' intention to consume alcohol. The findings suggest that attitude (β=.22, p<.001), subjective norm (β = .33, p < .001), and perceived behavior control (β =−.41, p<.001) influenced the intention to consume alcohol. In contrast, alcohol consumption was associated with intention (β=.15, p < .001), attitude (β=.20, p<.001), and perceived behavior control (β=−.32, p<.001).Conclusion: The findings demonstrated that the TPB model can be used to explore various variables that influence the intention to consume alcohol among Dayak adolescents, with attitude, subjective norm, and perceived behavior control as the variable influencing the intention. This highlights the need for paying attention to those variables when developing age-appropriate strategies that address various social levels to curb alcohol consumption. Given the concerning rates of risky drinking and dependency, school-based health initiatives and focused screening for Dayak adolescents are crucial.
Co-Authors Adenan, Abang Safuan Bin Ameenudeen, Mohamed Daud, Muhammad Siddiq Gahamat, Mohamed Faiz Gahamat, Mohd Faiz Kim Choo, Greta Miranda Goh Muhammad Siddiq, Muhammad Rahman, Md Mizanur Rahman, Mohammod Mizanur Safii, Razitasham Said, Asri Bin