Dissertations / Theses on the topic 'Health surveys'

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1

Chapin, Beth. "Central Minnesota health profile." Online version, 2003. http://www.uwstout.edu/lib/thesis/2003/2003chapine.pdf.

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2

Mwela, Chipo Misondzi. "Knowledge, attitude and practices of district health personnel about nutrition surveillance programme in Zambia." Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&amp.

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This study was aimed at identifying factors that are associated with the implementation of the nutrition surveillance programme in Zambia. The objective of the study was to determine the knowledge, attitude and practice of district level health personnel about nutrition surveillance.
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3

Wenemark, Marika. "The respondent’s perspective in health-related surveys." Doctoral thesis, Linköpings universitet, Socialmedicin och folkhälsovetenskap, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-60183.

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Declining response rates are threatening the usefulness of and confidence in survey data. Survey practitioners have therefore studied why nonrespondents refuse to respond and have tried to counter the declining response rates by intensified follow-up methods. Such efforts sometimes yield negative reactions among respondents. This thesis focuses on the respondent’s perspective in self-administered health-related surveys. The aim was to investigate positive and negative aspects that respondents experience when participating in surveys, to study factors that could increase motivation and to study possibilities to increase response rates in a way that promotes data quality as well as positive experiences among respondents. Self-Determination Theory is a motivation theory that was used as a theoretical framework. Paper I is a study regarding two self-administered health questionnaires among patients in 20 intervention groups in 18 Swedish hospitals. Paper II is a qualitative analysis of data from telephone interviews with respondents to a self-administered health-related survey of the population in the county of Östergötland. Paper III is a randomized experiment in a self-administered survey of a random sample of parents in the municipality of Stockholm. Paper IV is an experimental study concerning a self-administered health questionnaire in a random sample of the general adult population in the county of Östergötland. The results from paper I show that questionnaire length and ease of response were not crucial arguments in choosing between two health questionnaires for use in routine health care. Instead, the most common motives for the choice concerned aspects of the questions’ comprehensiveness and ability to describe the health condition. Respondent satisfaction as described by respondents in paper II includes being able to give correct and truthful information as well as reflection and new insights from the questions. Respondent burden includes experiences of being manipulated or controlled by the researcher as well as worry, anxiety or sadness caused by the questions. Experiences of satisfaction and burden differed depending on the respondents’ primary motive for participating in surveys. The findings of paper III illustrate that the use of lottery tickets as incentives to parents may be less valuable or even harmful as a means of increasing response rates. In paper IV a survey design inspired by Self-Determination Theory yielded higher satisfaction among respondents and improved response rates with similar or better data quality compared with a standard design. Focusing on the respondents’ perspective provided important new knowledge. The results show a broad spectrum of positive as well as negative aspects of survey participation. The results support Self-Determination Theory as a useful theoretical framework for studying motivation in survey research and an interesting additional source to provide ideas on how to design surveys with the potential to motivate respondents. The results suggest that it is possible to improve response rates in a way that promotes data quality as well as positive experiences among the respondents.
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4

Jones, Judith Ann. "Oral health and quality of life." Thesis, Boston University, 2002. https://hdl.handle.net/2144/37813.

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Thesis(D.Sc.D.)--Boston University, Henry M. Goldman School of Dental Medicine, 2002.
Includes bibliographical references (leaves 161-166).
Purpose: To describe the testing of oral health outcomes measures. Methods: This is a cross-sectional study of clinical and self-reported oral health in two samples of veterans: 538 users of Department of Veterans Affairs (VA) outpatient medical clinics (VHS) and 278 veterans from VA’s Dental Longitudinal Study (DLS). Clinical data incIuded number of teeth, tooth mobility, periodontal treatment need, an index of root caries, coronaI caries, oral mucosal status and denture stability and retention. Health-related quality of life (HRQOL) was measured by the Veterans SF-36. Oral-specific heaith-related quaIity of life (OQOL) measures included the single item seIf-report of oral health (OH1), the Oral Health Impact Profile (OHIP), the Geriatric (General) Oral Health Assessment Instrument (GOHAI), the D-E-N-T-A-L, a screening measure of need for care and the Oral Health Quality of Life (OHQOL) measure. Results: Self-reported oral problems are significant burdens on the health and function of users of VA outpatient care. Self-reported oral health, as measured by the GOHAI, is associated with the general well-being of users of VA care. VA patients have worse clinical and self-reported oral health than community dwelling men of similar age. Clinically determined need for dental care was universai in the VHS and present in two-thirds of the DLS. The OH1 and the DENTAL are useful in identifying who needs dental care in the combined population. Criterion and construct validity of self-reported measures of oraI heaIth (OH1, OHIP, GOHAI) are supported by their associations with selected sociodemographic, behavioral and dental conditions in users of VA care. Validity is further supported by the association with recency of dental care and reason for last visit in the VHS. Conclusions: VA outpatients have significant oral health needs as measured by self-report and clinical measures. Users of VA care have worse oral health than the general population. The OH1 and the DENTAL can help identify veterans who are in need of dental care. Longitudinal studies are needed to evaluate the impact of oral health care on general health and well-being and to estimate the resources needed to meet the needs of veterans eligible for care in VA.
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5

Selikowitz, Harry-Sam. "Oral health and immigrants a study of the oral health and oral health behavior in groups of Vietnamese refugees and Pakistani immigrants in Norway /." [Oslo] : University of Oslo, 1987. http://books.google.com/books?id=QwlqAAAAMAAJ.

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6

Bjertness, Espen. "A multidimensional study of dental health in urban Norwegian adults." Oslo : Dept. of Operative Dentistry, Dental Faculty, University of Oslo, 1990. http://catalog.hathitrust.org/api/volumes/oclc/22775459.html.

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7

Channon, Andrew Richard. "Birth weight data in 15 demographic and health surveys." Thesis, University of Southampton, 2007. https://eprints.soton.ac.uk/378836/.

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8

Songpaisan, Yupin. "Community oral health care projects in Thailand." Malmö, Sweden : Dept. of Cariology, Faculty of Odontology, Lund University, 1994. http://books.google.com/books?id=ZAxqAAAAMAAJ.

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9

Paunio, Päivi. "Dental health habits in early childhood." Turku : Turun yliopisto, 1993. http://catalog.hathitrust.org/api/volumes/oclc/29573655.html.

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10

Koopu, Pauline Irihaere, and n/a. "Kia pakari mai nga niho : oral health outcomes, self-report oral health measures and oral health service utilisation among Maori and non-Maori." University of Otago. School of Dentistry, 2005. http://adt.otago.ac.nz./public/adt-NZDU20070502.152634.

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Health is determined by the past as well as the present; the health status of indigenous peoples has been strongly influnced by the experience of colonisation and their subsequent efforts to participate as minorities in contemporary society while retaining their own ethnic and cultural identities. Colonial journays may have led to innovation and adaptation for Maori, but they have also created pain and suffering from which full recovery has yet to be felt (Durie, 2001). The oral health area can be described as having considerable and unacceptable disparities between Maori and non-Maori (Broughton 1995; Thomson, Ayers and Broughton 2003). Few reports have been conducted concerning Maori and patterns of oral health service utilisation, however a lower service utilisation among Maori than non-Maori has been noted (TPK 1996; Broughton and Koopu 1996). Overall, Maori oral health is largely unknown due to a paucity of appropriate research. This research aims to provide new information by describing Maori oral health outcomes over the life course, within a Kaupapa Maori Research (KMR) methodology. In general, the basic tenets presented for KMR are: (1) to prioritise Maori - from the margin to the centre; (2) to be Maori controlled - by Maori, for Maori; (3) to reject �victim-blame� theories; and (4) to be a step towards action and change in order to improve Maori oral health outcomes. The aims of this research are to: 1. Describe the occurrence of caris at ages 5, 15, 18 and 26 and periodontal disease at age 26 years for Maori. 2. Describe self-reported oral health, self-reported dental aesthetics and oral health service utilisation among Maori at ages 5, 15, 18 and 26. 3. Compare the above oral health characteristics between Maori and non-Maori . 4. Investigate the determinants of any differences in oral health outcomes between Māori and non-Maori using a KMR methodology. The investigation involves a secondary analysis of data from the Dunedin multidisciplinary Health and Development study (DMHDS). The existing data-set was statistically analysed using SPSS (SPSS Inc, Chicago, USA). Descriptive statistics were generated. The levels of statistical significance were set at P< 0.05. Chi-square tests were used to compare proportions and independent sample t-tests or ANOVA were used for comparing means. A summary of the Maori/non-Maori analysis shows that, for a cohort of New Zealanders followed over their life-course, the oral health features of caries prevalence, caries severity, and periodonal disease prevalence are higher among Maori compared to non-Maori. In particular, it appears that while Maori females did not always have the highest prevalence of dental caries, this group most often had a higher dmfs/DMFS for dental caries, compared to non-Maori. As adolescents and adults, self-reported results of oral health and dental appearance indicate that Maori males were more likely to report below average oral health and below average dental appearance, when compared to non-Maori. However, at age 26, non-Maori males made up the highest proportion of episodic users of oral health services. This study has a number of health implications: these relate specifically to the management of dental caries, the access to oral health services, and Maori oral health and the elimination of disparities. These are multi-levelled and have implications for health services across the continuum of care from child to adult services; they also have public health implications that involve preventive measures and the broader determinants of health; and involve KMR principles than can be applied to oral health interventions and dental health research in general. Dental diseases and oral health outcomes, such as dental anxiety and episodic use of services, are a common problem in a cohort of New Zealanders with results demonstrating ethnic disparities between Maori and on-Maori. As an area of dentistry that has had very little research in New Zealand, the findings of this study provide important information with which to help plan for population needs. The KMR approach prioritises Maori and specifically seeks to address Maori oral health needs and the elimination of disparities in oral health outcomes. While the issues that are raised may be seen as the more difficult to address, they are also more likely to achieve oral health gains for Maori and contribute to the elimination of disparities.
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11

Yuen, Chun-kit Ken. "The knowledge, attitude and practice survey on hepatocellular carcinoma surveillance." Click to view the E-thesis via HKUTO, 2009. http://sunzi.lib.hku.hk/hkuto/record/B42998153.

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12

Liu, Yip-mei. "Sero-prevalence of hepatitis A, B, C and D viruses in Hong Kong." Hong Kong : University of Hong Kong, 2002. http://sunzi.lib.hku.hk/hkuto/record.jsp?B25176535.

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13

Wong, Kin-yoke. "Income distribution on the district level and individual self-reported health in Hong Kong : a multi-level analysis /." Hong Kong : University of Hong Kong, 2002. http://sunzi.lib.hku.hk/hkuto/record.jsp?B25100956.

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14

Liu, Chi-pun. "Informal care patterns and health of the elderly in Hong Kong /." Hong Kong : University of Hong Kong, 1999. http://sunzi.lib.hku.hk/hkuto/record.jsp?B21021132.

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15

John, Mike Torsten. "Oral health-related quality of life in Germany /." Thesis, Connect to this title online; UW restricted, 2002. http://hdl.handle.net/1773/10866.

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McGee, Margaret Ann. "Health care outcomes evaluation of total hip arthroplasty patients : comparison of patient and doctor derived data /." Title page, contents and abstract only, 1999. http://web4.library.adelaide.edu.au/theses/09MPM/09mpmm145.pdf.

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17

Lancaster, Gillian. "The use of socio-economic indices in assessing risk factors for ill-health." Thesis, Lancaster University, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.246129.

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Pang, Har-ling Harry. "A study of oral health-related quality of life during adolescence." Click to view the E-thesis via HKUTO, 2008. http://sunzi.lib.hku.hk/hkuto/record/B42182098.

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19

Choi, Wai-yee Susanne. "Social support and positive mental health of adolescents in Hong Kong /." Hong Kong : University of Hong Kong, 1997. http://sunzi.lib.hku.hk/hkuto/record.jsp?B19470873.

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Cheung, Man-sze. "Grandmotherhood : a study of role behaviours, significance and mental health /." Click to view the E-thesis via HKUTO, 1987. http://sunzi.lib.hku.hk/hkuto/record/B42128274.

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21

Yuen, Chun-kit Ken, and 袁駿傑. "The knowledge, attitude and practice survey on hepatocellular carcinoma surveillance." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2009. http://hub.hku.hk/bib/B42998153.

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Manesh, Alireza Olyaee. "Accuracy and usefulness of child illness data in demographic and health surveys." Thesis, University of York, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.442420.

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23

Heistaro, Sami. "Trends and determinants of subjective health : analyses from the national FINRISK surveys." Helsinki : University of Helsinki, 2002. http://ethesis.helsinki.fi/julkaisut/laa/kansa/vk/heistaro/.

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Li, Chien. "The development of an instrument for measuring perceived current health status of people in the communities of Southern China & Hong Kong /." [Hong Kong : University of Hong Kong], 1993. http://sunzi.lib.hku.hk/hkuto/record.jsp?B13554189.

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Kwan, Elizabeth Lim, and 關林惠英. "Oral health status of 13 and 15 year-old secondary school children in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1992. http://hub.hku.hk/bib/B3862834X.

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Sou, Son-chio Sammy, and 蘇信超. "The oral epidemiology of 45-64 year-old Chinese residents of a housingestate in Hong Kong: periodontal healthstatus." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1988. http://hub.hku.hk/bib/B38628284.

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Vincenti, Mary Ann. "The association of food intake and perceived health status /." Access Digital Full Text version, 1990. http://pocketknowledge.tc.columbia.edu/home.php/bybib/10938795.

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Thesis (Ed.D.)--Teachers College, Columbia University.
Typescript; issued also on microfilm. Sponsor: Joan Gussow. Dissertation Committee: Isobel Contento. Includes bibliographical references (leaves 125-131).
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Suominen-Taipale, Anna Liisa. "Demand for oral health care services in adult Finns." Turku : Turun Yliopisto, 2000. http://catalog.hathitrust.org/api/volumes/oclc/45710669.html.

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Frankenmolen, Franciscus Wilhelmus Antonius. "Orale gezondlheid en zelfgorg van Nederlandse adolescenten Oral health and selfcare of Dutch adolescents /." Nijmegen : Stichting Tandheelkundige Illustratie, 1990. http://books.google.com/books?id=aAhqAAAAMAAJ.

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Hill, Rebecca Jaye. "The utility of the propensity score in enhancing comparisons across multiple years of surveys." Diss., The University of Arizona, 2003. http://hdl.handle.net/10150/289975.

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The primary aim of the study was to determine if the propensity score data analytic procedure was sufficient to remove the sampling bias that was thought to be present in a large multiple-year smoking prevalence survey. The survey under examination was the Adult Tobacco Survey (ATS) administered in the state of Arizona in 1996, 1999, and 2002 by the Tobacco Education and Prevention Program. Information provided by the ATS is used to obtain estimates of smoking prevalence and determine attitudes and beliefs about smoking. In an attempt to obtain more relevant information, the ATS was revised between the 1999 and 2002 survey administrations; questions were added or removed, the order in which questions were presented was modified, and question wording was altered. In addition, slight changes in research protocol throughout the years had resulted in different sampling procedures and inclusion/exclusion criteria. It was suspected that these differences between the survey years had resulted in sampling bias or selection error. In an attempt to control for the sampling bias, two propensity score analyses were conducted that examine differences between survey years as well as differences due to variations in the surveys. It was anticipated that examining participants that had been stratified and matched using the calculated propensity scores would facilitate the comparison of groups that were originally nonequivalent. After stratifying and matching the participants, the two propensity analyses resulted in statewide prevalence estimates that were similar for the three years and revealed a steady decline in smoking prevalence. Based upon the results obtained with this investigation, it was concluded that the propensity score performs adequately to remove sampling bias in large multiple-year surveys.
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Yuan, Jian-Min. "A prospective cohort study of morbidity and mortality among middle-aged men in Shanghai, China." access full-text online access from Digital Dissertation Consortium, 1996. http://libweb.cityu.edu.hk/cgi-bin/er/db/ddcdiss.pl?9636387.

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Bado, Aristide Romaric. "Health inequalities of children in sub-Saharan Africa from 1990 to 2010 : comparative analysis using data from Health and Demographic Surveys." University of the Western Cape, 2016. http://hdl.handle.net/11394/5227.

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Philosophiae Doctor - PhD
This study is based on the assumption that the under-five mortality rate, in recent decades, has declined, particularly in developing countries. However, all the social strata across many countries do not seem to benefit from this reduction of mortality - and mortality remains abnormally high among children especially those from underprivileged social strata. This research is, therefore, a holistic approach to analyse and quantify the inequalities of health among children under five in sub-Saharan Africa over the last two decades (1990-2010). The research sought to investigate the trend and determinants of health inequalities of under-five years (mortality and morbidity) in sub-Saharan Africa (SSA) from 1990 to 2010. An essential point has been devoted to the decomposition of effects and analysis of the contribution of the factors explaining these inequalities. The data used in the study come from Demographic and Heath Surveys (DHS) done between 1990 and 2015 in sub-Saharan Africa countries. In order to analyse the inequalities in trends of mortality and morbidity of children, different selected countries that have conducted at least three DHS during the 1990-2010 period. Several statistical methods were used for data analysis. There were four chapters which is prepared with an article style. For the first paper titled "Decomposing Inequalities in Under- Five Mortality in Selected African Countries", concentration index (CI) and Generalised Linear Model (GLM) with a logit link were used to analyse and measure under 5 mortality inequalities and the associated factors. This paper has been published in the Iranian Journal of Public Health. For the second paper titled "Determinants of Under-Five Mortality in Burkina Faso: A Concentration Dimension". The study used logistics regression and Oaxaca-Blinder decomposition method for the binary outcome to analyse data was involved. For data analysis of the third paper titled "Women Education, Health Inequalities in Under-Five Mortality in sub-Saharan Africa, 1990 – 2013", logistic regression and Bius's decomposition method were used to examine the effect of mother's education level on childhood mortality. In the fourth paper titled "Trends and Risk Factors for Childhood Diarrheal in sub-Saharan Countries (1990-2010): Assessing the Neighbourhood Inequalities", a multilevel logistic regression modelling was used to determine the fixed and random effects of the risk factors associated with the diarrheal morbidity. The work carried out during this on-going thesis helps to understand the magnitude of inequalities in under-five mortality in sub-Saharan countries. The findings showed that the contributing factors of inequalities of child mortality were birth order, maternal age, parity and household size. With regards to the relationship between mother's education level and inequalities in mortality of children under-five in sub-Saharan Africa, findings showed that children of mothers who did not attend school have a higher rate of death compared to those who had been to school. However, we have observed that the inequalities have narrowed over time. The results showed the risk factors of diarrheal morbidity varied from one country to another, but the main factors included: child's age, the size of the child at birth, the quality of the main floor material, mother's education and her occupation, type of toilet, and place of residence. In conclusion, the results of this study show that inequalities in under-five mortality are still important among different social strata in sub-Saharan Africa countries. It is then urgent to take actions to save the lives of children in disadvantaged social strata.
National Research Foundation
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33

Nordstrom, Goran. "Oral health and dietary habits in an elderly city population a report from the Umeå longitudinal study /." Umeå, Sweden : Dept. of Prosthetic Dentistry and Geriatric Medicine, 1995. http://catalog.hathitrust.org/api/volumes/oclc/35846862.html.

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34

Rahmqvist, Mikael. "Health and health care monitoring in a period of considerable social change : surveys of a Swedish population during the 1990s /." Linköping : Univ, 2003. http://www.bibl.liu.se/liupubl/disp/disp2004/health4s.pdf.

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35

Morton, Wendy Lynn. "An analysis of problems encountered in the preparation of a regional health and hospital study in British Columbia." Thesis, University of British Columbia, 1985. http://hdl.handle.net/2429/24870.

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In 1982/83, the author, in the role of consultant to the firm of Thompson Berwick Pratt and Partners, Architects and Planners, Vancouver, conducted a regional health needs study In the interior of British Columbia for the Board of the Thompson-Nicola Regional Hospital District (TNRHD). The completed report entitled, The Thompson-Nicola Regional Hospital District Health and Hospital Study has subsequently been tabled as a public document. This planning thesis is concerned with the processes of conducting the study which was more complex than originally envisaged. The narrative describes the planning model developed by the consultants to fit the terms of reference which were, in brief, to assess existing local health service needs and the supply and distribution of health resources in the region, and to project future requirements through 1991. In attempting to develop the model it was realized that the Thompson-Nicola Regional Hospital Board had limited powers to initiate a study for all health and hospital providers in the region. The Board's planning mandate was limited by statute, and this limitation is explored. Co-operation among local providers was achieved through persuasion. The Ministry of Health (MOH) had funded 60 per cent of the project, thereby indicating to local groups that it supported the Board's planning approach. The Ministry of Health's concern for rational planning has already been expressed in other ways (e.g. The British Columbia Hospital Role and Funding Studies) although planning is still ad hoc rather than part of a clear Ministry policy. The lack of integration among providers made it difficult to determine need and demand for health services in the region. There were specific problems of definition of need, and specific and recurrent problems of data collection and analysis because of the large number of independent data resource groups involved. Problems in selecting and applying models of analysis were also experienced. Nevertheless, a model of health services needs and resource requirements was constructed.
Medicine, Faculty of
Population and Public Health (SPPH), School of
Graduate
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Ochola, Omondi Charles. "Fertility and migration in Kenya : a study using the Kenya demographic and health surveys." Thesis, University of Liverpool, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.263876.

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Dzidzai, Gonçalves Sandra. "Birth spacing and child mortality in Mozambique : evidence from two demographic and health surveys." Master's thesis, University of Cape Town, 2008. http://hdl.handle.net/11427/5900.

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Includes bibliographical references (leaves 132-142).
This research examines child mortality risk associated with short preceding birth intervals in Mozambique in quinquennial periods between 1978 to 1998 using data from the 1997 and 2003 DHS. A log rate model for piecewise constant rates is applied. The piecewise hazard function assumes a constant hazard rate of child mortality in each 6 month category of the preceding birth interval. The negative binomial regression model is applied to account for the overdispersion present in the Poisson model.
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Schultz, Susan E. "An exploration of the socioeconomic status--health status gradient in Ontario, results from the 1990 and 1996 Ontario health surveys." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/MQ58756.pdf.

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Mothorpe, Christopher A. "Impact of the subprime mortgage crisis on community health." Thesis, Atlanta, Ga. : Georgia Institute of Technology, 2008. http://hdl.handle.net/1853/22546.

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Bruhn, Hanne. "Factors affecting performance on a respondent-generated quality of life measure an evaluation of the SEIQoL-DW /." Thesis, Available from the University of Aberdeen Library and Historic Collections Digital Resources, 2008. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?application=DIGITOOL-3&owner=resourcediscovery&custom_att_2=simple_viewer&pid=25036.

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Simpson, Deon. "Explaining the trends in breastfeeding behaviours in Great Britain : findings from the Infant Feeding Surveys, 1985 to 2010." Thesis, University of Oxford, 2017. https://ora.ox.ac.uk/objects/uuid:1430e0fb-5344-46f4-a608-4cb4e47c91ae.

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Available data from the quinquennial Infant Feeding Surveys (IFS) show that breastfeeding rates in Great Britain (GB) rose steadily between 1985 and 2010. However, the rates of breastfeeding continuation and exclusivity remain relatively low, and there is evidence that breastfeeding in public may still be considered unacceptable by many in GB. To date, no study has examined the reasons behind the increase in breastfeeding rates between 1985 and 2010, and the factors which influence women's practice of breastfeeding in public in GB remain under-researched. Therefore, this DPhil research aimed to investigate whether the increase in breastfeeding rates in the first six weeks after childbirth in GB between 1985 and 2010 were driven by changes in the distribution of population characteristics, or changes in the differences in breastfeeding behaviours between subgroups of women. It also aimed to investigate the factors which influenced the practice of breastfeeding in public in GB in 1995 to 2010. Data from the IFS surveys in 1985 to 2010 were analysed to, firstly, describe and summarise the distribution of selected explanatory factors among the childbearing population of GB from 1985 to 2010. This was followed by an estimation of the independent effects of these explanatory factors on breastfeeding initiation, breastfeeding continuation at one week and at six weeks, and breastfeeding in public, in each survey year. There was an assessment of the changes over time in the effects of each factor on breastfeeding initiation, and on breastfeeding continuation at one week and at six weeks. This was followed by an examination of the extent to which changes in the distribution of factors among the childbearing population contributed to the increase in breastfeeding rates in the first six weeks in GB between 1985 and 2010. This DPhil research found no evidence of changes in the effects of factors on breastfeeding in the first six weeks between 1985 and 2010. This suggests that breastfeeding behaviours had not improved over time. At the same time, there were increases in the distribution of those factors which positively influence breastfeeding, suggesting that the increase in breastfeeding rates in the first six weeks between 1985 and 2010 were indeed attributable to population changes rather than improved breastfeeding behaviours. Additionally, breastfeeding in public was seemingly most influenced by women's perceptions of the normality and acceptability of breastfeeding in GB. There is a clear need for more equitable interventions to target the needs and perceptions of those women in GB who remain characteristically less likely to breastfeed.
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Usrey, Kelly Marie. "Complementary and alternativve medicine in genetic counseling." Oklahoma City : [s.n.], 2010.

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43

Tao, Wei. "Using the Score-based Testlet Method to Handle Local Item Dependence." Thesis, Boston College, 2008. http://hdl.handle.net/2345/1363.

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Thesis advisor: Larry H. Ludlow
Item Response Theory (IRT) is a contemporary measurement technique which has been used widely to model testing data and survey data. To apply IRT models, several assumptions have to be satisfied. Local item independence is a key assumption directly related to the estimation process. Many studies have been conducted to examine the impact of local item dependence (LID) on test statistics and parameter estimates in large-scale assessments. However, in the heath care field where IRT is experiencing greater popularity, few studies have been conducted to study LID specifically. LID in the health care field bears some unique characteristics which deserve separate analysis. In health care surveys, it is common to see several items that are phrased in a similar structure or items that have a hierarchical order of difficulties. Therefore, a Guttman scaling pattern, or a deterministic response pattern, is observed among those items. The purposes of this study are to detect whether the Guttman scaling pattern among a subset of items exhibit local dependence, whether such dependence has any impact on test statistics, and whether these effects differ when different IRT models are employed. The score-based approach - forming locally dependent dichotomous items into a polytomous testlet - is used to accommodate LID. Results from this dissertation suggest that the Guttman scaling pattern among a subset of items does exhibit moderate- to high-degree of LID. However, the impact of this special LID is minimal on internal reliability estimates and on the unidimensional data structure. Regardless of which models are employed, the dichotomously-scored person ability estimates are highly correlated with the polytomously-scored person ability estimates. However, the impact of this special LID on test information differs between Rasch models and non-Rasch models. Specifically, when only Rasch models are involved, test information derived from the LID-laden data is underestimated for non-extreme scores; whereas, when non-Rasch models are used, the opposite finding is reached –that is, LID tends to overestimate test information
Thesis (PhD) — Boston College, 2008
Submitted to: Boston College. Lynch School of Education
Discipline: Educational Research, Measurement, and Evaluation
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44

Yamanouchi, Tomoko. "Factors Associated with Worsened or Improved Mental Health in the Great East Japan Earthquake survivors." Kyoto University, 2018. http://hdl.handle.net/2433/232480.

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45

Dasgupta, Rajaram. "Nutritional planning in India." New Delhi : Navrang, 1989. http://books.google.com/books?id=jKvgAAAAMAAJ.

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46

Kerber, Katherine J. "The continuum of care of maternal, newborn and child health : coverage, co-coverage and equity analysis from demographic and health surveys." Master's thesis, University of Cape Town, 2007. http://hdl.handle.net/11427/7441.

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Includes bibliographical references (p. 54-60).
The continuum of care for maternal, newborn and child health (MNCH) has recently been highlighted as a systematic approach to integrating health service provision throughout the life-cycle and across levels of service delivery. The continuum provides a framework for delivering high-impact interventions organised in health service packages to deliver high quality reproductive, maternal, newborn and child care services, ensuring appropriate linkages between family and community care, outreach and outpatient services and clinical and the first level facility and the hospital. This study, using data from Demographic and Health Surveys from eight African countries, provides an analysis of the coverage and co-coverage of four essential MNCH packages along the continuum of care, with a particular focus on inequalities in the distribution of services. The analysis of coverage of antenatal care, skilled attendance at childbirth, postnatal care and immunisation packages reveals key gaps, especially during childbirth and the postnatal period. Coverage is especially low for women and children from the poorest households in these countries, with coverage among the richest quintile up to 6 times higher than the poorest quintile. Nigeria emerges as the country with the lowest coverage overall and the largest gap between rich and poor while Malawi has the highest coverage and the most equitable coverage of services Continuity of care between these important packages increases health system efficiency as well as user and provider satisfaction. Co-coverage along the continuum of care was analysed to determine which mothers, newborns and children received all four care packages. While at least three quarters in Nigeria and up to 99% of mothers, newborns and children in Malawi and Tanzania receive at least one package of care, less than half received all four packages. There is greater variation in co-coverage between countries and within countries among the richest and poorest households compared to coverage of single packages alone. The richest quintile in Malawi is twice as likely to receive all four packages compared to the poorest quintile whereas in Nigeria the difference between richest and poorest is 13 fold. The purpose of applying these measures should be seen not as an end in itself but as a tool to describe current patterns and distribution of services and to advance improvements in the continuum of care. This research highlights the importance of integrating MNCH packages in different contexts as well as further improvements in data collection in order to effectively guide and monitor progress towards universal coverage of packages along the continuum of care to save the lives of women and children. Addressing issues of exclusion among families from the poorest households and establishing effective links between these packages is crucial to improving overall coverage. The postnatal period in particular is a notable gap that lacks a systematic package in all these countries. In the meantime, available information can be used to improve MNCH integration and service delivery along the continuum of care in order to reach the highest number of women, newborns and children with effective care.
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47

Xu, Fang, and 徐方. "Self-rated health, chronic diseases and health service utilisation in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2015. http://hdl.handle.net/10722/212607.

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Introduction Self-rated health (SRH) is a widely used indicator of health service utilisation and reflects self-perceived objective health condition. Poorer non-comparative SRH was shown to be related to higher inpatient and outpatient utilisation in Western and elderly populations. Little is known about how healthcare utilisation relates to SRH in non-Western settings, such as Hong Kong and in adult populations. The association of age- and time- comparative SRH with healthcare utilisation is also unclear. This study aimed to assess the association of three types of SRH (non-, age- and time- comparative SRH) with inpatient and outpatient utilisation in Hong Kong‟s general populaion. Methods Data were derived from 2011 Thematic Household Survey (THS), covering 23,892 non-institutional residents aged 20 and above. The study adopts Andersen‟s Behavioral Model of Health Service Use for the analytical framework. Healthcare utilisation was measured by inpatient use during the past year and outpatient use (including General Outpatient Clinic (GOPC) and Specialist Outpatient Clinic (SOPC)) during the past month, in terms of ever-use and the amount of use (bed-days and number of outpatient visits). SRH was measured with a 5-point Likert Scale: non-comparative SRH from “Excellent” to “Poor”; age- and time- comparative from “much worse” to “much better”. Logistic regression and zero-truncated negative binomial/ Poisson regression were applied to examine the association of SRH and chronic diseases with healthcare utilisation in the public and private sector separately as per the Andersen behavioral model. Results “Fair/ poor” non-comparative SRH was associated with higher inpatient and outpatient utilisation. The association was not significant for hospital bed-days. Similarly, age-comparative SRH was associated with inpatient (except private bed-days) and outpatient utilisation (except the number of SOPC visits). “Worse/ much worse” time-comparative SRH was associated with higher healthcare utilisation, but the relationship was less clear for private hospitalisation. The presence of cancer, cardiovascular diseases, diabetes, lower respiratory diseases, and musculoskeletal diseases were associated with higher healthcare utilisation, with stronger association observed for ever-use than the amount of use. The relationships between musculoskeletal diseases and inpatient utilisation, between cardiovascular diseases and diabetes and the number of private outpatient visits, and between lower respiratory diseases and GOPC utillisation were not significant. Conclusions The present study suggests SRH to be a useful health indicator of health service utilisation. All three SRH measures were associated with health service utilisation and no marked differences were observed between different measures. Poorer SRH were strongly related to higher public inpatient utilisation, with stronger association observed for ever hospitalisation than bed-days. Poorer SRH measures were also related to higher outpatient uilisation in both sectors during the past month. All the selected chronic conditions were related to increased healthcare use. The associations were less clear for hospital bed-days and the private sector. Future studies should focus on the predictive validity of SRH on future healthcare utilisation.
published_or_final_version
Public Health
Master
Master of Philosophy
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48

Liu, Kwong-shing. "Oral health related quality of life, dental status and expectation of Hong Kong elderly." View the Table of Contents & Abstract, 2001. http://sunzi.lib.hku.hk/hkuto/record/B36847458.

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49

Sou, Son-chio Sammy. "The oral epidemiology of 45-64 year-old Chinese residents of a housing estate in Hong Kong periodontal health status /." [Hong Kong : Department of Periodontology and Public Health, University of Hong Kong], 1988. http://sunzi.lib.hku.hk/HKUTO/record/B38628284.

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50

Leskinen, R. (Riitta). "Late-life functional capacity and health among Finnish war veterans:Veteran Project 1992 and 2004 surveys." Doctoral thesis, Oulun yliopisto, 2015. http://urn.fi/urn:isbn:9789526208671.

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Abstract Becoming involved in war is an experience that has the potential to shape later-life health. The aim of the present study was to explore Finnish Second World War veterans’ health status and the determinants of self-rated health (SRH) and functional capacity, especially the ability to walk, and to identify risk factors and their combinations that predict late-life mortality among veterans. The study population comprised Finnish Second World War veterans who participated in the Veteran 1992 and Veteran 2004 Project surveys. In 1992, a postal questionnaire was sent to all 242,720 war veterans living in Finland. The follow-up survey, the Veteran 2004 Project, was conducted with a randomized sample of veterans who participated in the Veteran 1992 Project. The total number of participants in the baseline survey was 177,989 men and 48,745 women, and in the follow-up survey, 4,348 men and 651 women. The response rate was high in both surveys: 93% in 1992 and 87% in 2004. All analyses were conducted separately for men without disability, men with disability and women. In a cross-sectional study, SRH and functional capacity was found to be better among 80–84-year-old Finnish war veterans in 2004 compared with 1992, although the prevalence of many diseases increased during the follow-up. Among the 4,999 veterans who participated in both surveys, the majority rated their health as improved or unchanged during the follow-up. Walking difficulties and cardiovascular (CVD), musculoskeletal and neurological diseases were found to be predictors of declined SRH. When exploring functional capacity among veterans, neurological and musculoskeletal diseases, but especially walking difficulties, predicted veterans’ future functional impairment as many as 12 years in advance, and worsening of these conditions was associated with impaired activities of daily living. During an average 9.9-year follow-up, walking difficulties alone or together with multimorbidity and/or with a third risk factor was the most important risk factor for total and for CVD mortality among all veteran groups. In conclusion, the majority of veterans rated their SRH as improved or unchanged during the follow-up. The importance of walking difficulties as a determinant of SRH and functional capacity and as a predictor of mortality was confirmed
Tiivistelmä Tutkimuksen tarkoituksena oli arvioida suomalaisten toisen maailmansodan veteraanien terveydentilaa ja tutkia, mitkä tekijät vaikuttavat veteraanien itsearvioituun terveyteen ja toimintakykyyn (erityisesti kävelykykyyn) sekä tunnistaa ne riskitekijät ja tekijäyhdistelmät, jotka ennustavat kuolleisuutta. Tutkimuspopulaationa käytettiin Veteraaniprojekti 1992 ja Veteraaniprojekti 2004 -tutkimuksiin osallistuneita veteraaneja. Vuonna 1992 kysely lähetettiin postitse jokaiselle Suomessa tuolloin asuneelle 242 720 veteraanille. Seurantatutkimukseen valittiin 5 750 veteraanin satunnaisotos vuoden 1992 tutkimukseen osallistuneista. Veteraaniprojekti 1992 -tutkimukseen osallistui 177 989 miestä ja 48 745 naista ja seurantatutkimukseen 4 348 miestä ja 651 naista. Osallistumisprosentti oli 93 % (1992) ja 87 % (2004). Analyysit tehtiin erikseen veteraanimiehille joilla ei ollut invaliditeettia, invalidimiehille ja naisille. Poikkileikkaustutkimuksessa tarkasteltiin 80–84-vuotiaiden veteraanien terveyttä ja toimintakykyä vuosina 1992 ja 2004. Vuonna 2004 veteraanit arvioivat terveytensä ja toimintakykynsä paremmiksi kuin samanikäiset veteraanit vuonna 1992, vaikka monet sairaudet yleistyivät seuranta-aikana. Suurin osa molempiin kyselyihin vastanneista 4 999 veteraanista arvioi terveytensä joko parantuneen tai pysyneen ennallaan seuranta-aikana. Veteraanien kokemat kävelyvaikeudet, sydän- ja verisuonisairaudet, tuki-ja liikuntaelinsairaudet sekä neurologiset sairaudet ennustivat itsearvioidun terveyden heikkenemistä. Sydän- ja verisuonisairauksia lukuun ottamatta edellä mainitut tekijät ennustivat myös toimintakyvyn laskua jopa 12 vuotta etukäteen. Myös kävelykyvyn heikkeneminen ja sairauksien paheneminen seuranta-aikana ennustivat toimintakyvyn laskua. Kävelyvaikeudet joko yksin tai yhdessä multimorbiditeetin ja/tai jonkin kolmannen riskitekijän kanssa oli tärkein sekä kokonaiskuolleisuutta että sydän- ja verisuonitautikuolleisuutta ennustava tekijä kaikissa veteraaniryhmissä keskimäärin 9,9 vuoden seuranta-aikana. Yhteenvetona voidaan todeta, että enemmistö tutkimukseen osallistuneista veteraaneista arvioi terveytensä joko parantuneen tai pysyneen ennallaan seuranta-aikana. Koetut kävelyvaikeudet ovat erittäin tärkeä itsearvioitua terveyttä, toimintakykyä ja kuolleisuutta ennustava tekijä
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