Journal articles on the topic 'Rural health Malaysia'

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1

Ariff, Kamil Mohamed, and Teng Cheong Lieng. "RURAL HEALTH CARE IN MALAYSIA." Australian Journal of Rural Health 10, no. 2 (April 2002): 99–103. http://dx.doi.org/10.1111/j.1440-1584.2002.tb00017.x.

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Che Abdul Rahim, Norsyamlina, Mohamad Hasnan Ahmad, Cheong Siew Man, Ahmad Ali Zainuddin, Wan Shakira Rodzlan Hasani, Shubash Shander Ganapathy, and Noor Ani Ahmad. "Factors Influencing the Levels of Awareness on Malaysian Healthy Plate Concept among Rural Adults in Malaysia." International Journal of Environmental Research and Public Health 19, no. 10 (May 21, 2022): 6257. http://dx.doi.org/10.3390/ijerph19106257.

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Malaysian Healthy Plate was launched in 2017 as a vital component of the Malaysian Ministry of Health’s “Quarter-Quarter-Half” program. It is predicted that this concept will bring positive change to the citizen’s dietary habits; however, the residents in rural areas may experience less exposure to this campaign, or lack of understanding to the concept of Malaysian Healthy Plate. Hence, this study aims to assess factors affecting the campaign’s awareness among the rural population in Malaysia. The National Health and Morbidity Survey (NHMS) 2019 focused on Non-Communicable Diseases (NCDs). Data collection was carried out from July to September 2019. Questionnaires that pertained to awareness, knowledge, and practice were included in this nationwide survey. Data collected from adults in rural areas aged 18 years old and above were used as respondents for the statistical analysis. Complex sample multiple logistic regression analysis was conducted to determine the association between the independent variables and awareness of the Malaysian Healthy Plate concept. About four fifths (83.2%) of rural adults in Malaysia were unaware of the Malaysian Healthy Plate concept after three years of implementation. The unawareness was significantly higher in males (91.3%), adults aged above 60 years old (91.8%), adults of others ethnicity (88.5%), those without formal education (95.2%), widows/widowers/divorcees (88.1%), retirees/adults who were not working (88.4%), and household income at the bottom 40% (B40) (85.0%). Unawareness of this concept was significantly associated with male gender (aOR = 4.12; 95% CI: 3.06–5.56); age, 40–59 years (aOR = 1.46; 95% CI:1.08–1.97); without formal education (aOR = 3.47; 95% CI:1.34–9.01); working in private sector (aOR = 2.75; 95% CI: 1.59–4.77); self-employed (aOR = 2.78; 95% CI: 1.58–4.87); retirees (aOR = 2.32; 95% CI: 1.23–4.36); and unpaid workers (aOR = 2.61; 95% CI: 1.51–4.51). Awareness of the Malaysian Healthy Plate concept is associated with rural adults being males, with older age, with lower socio-economic status, without partner, and without job. This study suggests that a more effective strategy is needed to increase the awareness of the Malaysian Healthy Plate concept among rural adults.
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Mohd Noh, Sarah Nurain, Suhana Jawahir, Yeung R’ong Tan, Iqbal Ab Rahim, and Ee Hong Tan. "The Health-Seeking Behavior among Malaysian Adults in Urban and Rural Areas Who Reported Sickness: Findings from the National Health and Morbidity Survey (NHMS) 2019." International Journal of Environmental Research and Public Health 19, no. 6 (March 8, 2022): 3193. http://dx.doi.org/10.3390/ijerph19063193.

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Understanding care-seeking behavior among urban and rural populations can help to support the planning and implementation of appropriate measures to improve health in the community. This study aims to determine the factors associated with the health-seeking behavior among Malaysian adults in urban and rural areas who reported sickness. This study used data of Malaysian adults aged 18 years and over from the National Health and Morbidity Survey 2019; a cross-sectional, national household survey that targeted all non-institutionalized residents in Malaysia. Respondent’s characteristics and health-seeking behavior were described using complex sample descriptive statistics. Multivariable logistic regression analysis was conducted to examine the association between potential factors (sociodemographic characteristics, enabling, and health need) and health-seeking behaviors (seeking treatment from healthcare practitioners and self-medication). A total of 10,484 respondents, estimated to represent 18.9 million Malaysian adults aged 18 years and over, were included in the analysis. Prevalence of seeking treatment from healthcare practitioners and self-medication among Malaysian adults with self-reported sickness were 57.3% and 23.3%, respectively. Self-reported sickness among both the urban and rural populations who rated their health as poor to very poor was more likely to seek treatment than those who rated good to excellent. However, among the urban population, those who rated their health as poor to very poor were less likely to self-medicate. Among the urban population, government employees were more likely to seek treatment, and being without formal education significantly increased the likelihood to self-medicate. Among the rural population, those with at least one long-term condition were more likely to seek treatment than those with none. Understanding the factors which influence health-seeking behavior among the urban and rural population could close the gaps in healthcare utilization among the population in Malaysia.
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Maung, Theingi Maung, Sherly Deborah, Harini Narayanam, Kevin Fernandez, and Usha Kumari. "Morbidity and health seeking behavior among the rural Population, Malaysia." Asian Journal of Medical Sciences 11, no. 3 (May 1, 2020): 1–5. http://dx.doi.org/10.3126/ajms.v11i3.27747.

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Background: Health seeking behavior is defined as any deed that an individual tackles to perceive themselves to have a health issue or to be sick for the endeavor of discovering a suitable countermeasure. Delays in seeking health care are usually associated with an increase in the mortality rate and the perk of early treatment and control are also acknowledged. Aims and Objective: The present study aimed at finding the morbidity and health seeking behavior among the rural population, Malaysia. Materials and Methods: A community survey was carried out in the rural area of Kedah State and the sample size was 114. A structured questionnaire was used and the data were collected by face to face interview method. Results: Majority of the residents (71.9%) were apparently healthy while 28.1% were diagnosed with illness. Top three common diseases were hypertension (53.1%), diabetes (34.4%) and heart disease (6.3%). About 81.3% of them were taking their medications regularly whereas18.7% were not compliant. Among those with illnesses,31.3% of the respondents were using traditional medicine. About half of the respondents felt that they need not get check-ups and this becomes the major barrier to health care. It was followed by long wait,lack of doctors and mass media. The source of health information was mainly from health staff followed by mass media, friends and campaigns. Conclusion: Based on the study we can conclude that improving health literacy through intensive awareness campaigns and mass media and providing access to technology may create more health awareness and healthconsciousness in individuals and encourage them to lead a healthy lifestyle. Increasing the number of health care professionals and health care centers will motivate the individuals to monitor their diseases and treatment to improve the quality of life.
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Brackstone, Ken, Roy R. Marzo, Rafidah Bahari, Michael G. Head, Mark E. Patalinghug, and Tin T. Su. "COVID-19 vaccine hesitancy and confidence in the Philippines and Malaysia: A cross-sectional study of sociodemographic factors and digital health literacy." PLOS Global Public Health 2, no. 10 (October 19, 2022): e0000742. http://dx.doi.org/10.1371/journal.pgph.0000742.

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With the emergence of the highly transmissible Omicron variant, large-scale vaccination coverage is crucial to the national and global pandemic response, especially in populous Southeast Asian countries such as the Philippines and Malaysia where new information is often received digitally. The main aims of this research were to determine levels of hesitancy and confidence in COVID-19 vaccines among general adults in the Philippines and Malaysia, and to identify individual, behavioural, or environmental predictors significantly associated with these outcomes. Data from an internet-based cross-sectional survey of 2558 participants from the Philippines (N = 1002) and Malaysia (N = 1556) were analysed. Results showed that Filipino (56.6%) participants exhibited higher COVID-19 hesitancy than Malaysians (22.9%; p < 0.001). However, there were no significant differences in ratings of confidence between Filipino (45.9%) and Malaysian (49.2%) participants (p = 0.105). Predictors associated with vaccine hesitancy among Filipino participants included women (OR, 1.50, 95% CI, 1.03–1.83; p = 0.030) and rural dwellers (OR, 1.44, 95% CI, 1.07–1.94; p = 0.016). Among Malaysian participants, vaccine hesitancy was associated with women (OR, 1.50, 95% CI, 1.14–1.99; p = 0.004), social media use (OR, 11.76, 95% CI, 5.71–24.19; p < 0.001), and online information-seeking behaviours (OR, 2.48, 95% CI, 1.72–3.58; p < 0.001). Predictors associated with vaccine confidence among Filipino participants included subjective social status (OR, 1.13, 95% CI, 1.54–1.22; p < 0.001), whereas vaccine confidence among Malaysian participants was associated with higher education (OR, 1.30, 95% CI, 1.03–1.66; p < 0.028) and negatively associated with rural dwellers (OR, 0.64, 95% CI, 0.47–0.87; p = 0.005) and online information-seeking behaviours (OR, 0.42, 95% CI, 0.31–0.57; p < 0.001). Efforts should focus on creating effective interventions to decrease vaccination hesitancy, increase confidence, and bolster the uptake of COVID-19 vaccination, particularly in light of the Dengvaxia crisis in the Philippines.
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Mohan, Devi, Tin Tin Su, Michael Donnelly, Wilfred Mok Kok Hoe, Désirée Schliemann, Min Min Tan, Daniel Reidpath, Nur Aishah Taib, and Pascale Allotey. "Breast Cancer Screening in Semi-Rural Malaysia: Utilisation and Barriers." International Journal of Environmental Research and Public Health 18, no. 23 (November 23, 2021): 12293. http://dx.doi.org/10.3390/ijerph182312293.

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Breast cancer (BC) is the commonest cancer in Malaysia. Delayed diagnosis is a significant cause of BC mortality in the country. Early diagnosis and screening are vital strategies in mortality reduction. This study assessed the level of utilisation and barriers for breast self-examination (BSE), clinical breast examination (CBE) and mammogram in a semi-rural population in Malaysia and compared these across the different ethnic groups. This cross-sectional study was conducted among women aged 40 years and above, embedded within a health and demographic surveillance site (HDSS) in Segamat, Malaysia. Trained data collectors collected data on screening and barriers during home visits. Study participants (n = 250) were aged 59.4 ± 10.9 years and represented Malaysia’s three major ethnic groups. Practice of regular BSE, CBE uptake (ever) and mammogram (ever) was 23.2%, 36% and 22.4%, respectively. Regular BSE practice was highest in the Malay ethnic group and least among the Chinese. Regular CBE was very low in all ethnic groups (<5%). Mammogram uptake was highest among Chinese (34.4%), followed by Indians (30.4%) and Malays (16.6%). After adjusting for other socio-demographic variables, Malay ethnicity was positively associated with regular BSE (adjusted OR = 5.26, 95% CI 2.05, 13.50) and negatively associated with having had a mammogram (adjusted OR = 0.3, 95% CI 0.15, 0.57). Lower education was negatively associated (adjusted OR = 0.36, 95% CI 0.17, 0.74) with mammogram attendance (ever). Emotional and financial barriers were the most reported types of barriers, specifically, fear of diagnosis (74.8%), cost of diagnosis (69.6%) and fear of losing a breast (66.4%). Malay women more commonly reported most barriers compared to other ethnic groups. Screening uptake was low among semi-rural women in Malaysia. Implementing culturally appropriate interventions that consider ethnic differences is crucial to empowering women to engage in BC screening initiatives in these communities.
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7

Leeves, Gareth, and Ireneous Soyiri. "Does More Education Always Lead to Better Health? Evidence from Rural Malaysia." BioMed Research International 2015 (2015): 1–9. http://dx.doi.org/10.1155/2015/539212.

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Background. Education is usually associated with improvement in health; there is evidence that this may not be the case if education is not fully utilised at work. This study examines the relationship between education level, occupation, and health outcomes of individuals in rural Malaysia.Results. The study finds that the incidence of chronic diseases and high blood pressure are higher for tertiary educated individuals in agriculture and construction occupations. This brings these individuals into more frequent contact with the health system. These occupations are marked with generally lower levels of education and contain fewer individuals with higher levels of education.Conclusions. Education is not always associated with better health outcomes. In certain occupations, greater education seems related to increased chronic disease and contact with the health system, which is the case for workers in agriculture in rural Malaysia. Agriculture is the largest sector of employment in rural Malaysia but with relatively few educated individuals. For the maintenance and sustainability of productivity in this key rural industry, health monitoring and job enrichment policies should be encouraged by government agencies to be part of the agenda for employers in these sectors.
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Azami, Nor Azila Muhammad, Meng Ling Moi, Sharifah Azura Salleh, Hui-min Neoh, Mohd Arman Kamaruddin, Nazihah Abdul Jalal, Norliza Ismail, Tomohiko Takasaki, Ichiro Kurane, and Rahman Jamal. "Dengue epidemic in Malaysia: urban versus rural comparison of dengue immunoglobulin G seroprevalence among Malaysian adults aged 35–74 years." Transactions of The Royal Society of Tropical Medicine and Hygiene 114, no. 11 (July 31, 2020): 798–811. http://dx.doi.org/10.1093/trstmh/traa056.

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Abstract Background A periodic serosurvey of dengue seroprevalence is vital to determine the prevalence of dengue in countries where this disease is endemic. This study aimed to determine the prevalence of dengue immunoglobulin G (IgG) seropositivity among healthy Malaysian adults living in urban and rural areas. Methods A total of 2598 serum samples (1417 urban samples, 1181 rural samples) were randomly collected from adults ages 35–74 y. The presence of the dengue IgG antibody and neutralising antibodies to dengue virus (DENV) 1–4 was determined using enzyme-linked immunosorbent assay and the plaque reduction neutralisation test assay, respectively. Results The prevalence of dengue IgG seropositivity was 85.39% in urban areas and 83.48% in rural areas. The seropositivity increased with every 10-y increase in age. Ethnicity was associated with dengue seropositivity in urban areas but not in rural areas. The factors associated with dengue seropositivity were sex and working outdoors. In dengue IgG-positive serum samples, 98.39% of the samples had neutralising antibodies against DENV3, but only 70.97% of them had neutralising antibodies against DENV4. Conclusion The high seroprevalence of dengue found in urban and rural areas suggests that both urban and rural communities are vital for establishing and sustaining DENV transmission in Malaysia.
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Shah, Shamsul Azhar, Nazarudin Safian, Saharuddin Ahmad, Wan Abdul Hannan Wan Ibadullah, Zulkefley bin Mohammad, Siti Rohani Nurumal, Juliana Mansor, Mohd Fairuz Addnan, and Yugo Shobugawa. "Factors Associated with Happiness among Malaysian Elderly." International Journal of Environmental Research and Public Health 18, no. 7 (April 6, 2021): 3831. http://dx.doi.org/10.3390/ijerph18073831.

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Happiness is an essential component to experience healthy ageing. Hence, understanding the factors that contribute to happiness is important. This study aimed to determine the factors associated with happiness among the elderly population in Malaysia. In this study, 1204 respondents were recruited from urban and rural areas in Selangor. A face-to-face interview was conducted using the Bahasa Malaysia version of the Japan Gerontological Evaluation Study questionnaire. The inclusion criteria include Malaysians who are 60-years old and above and can converse in the Malaysian language. Those who encounter less than seven scores for the Abbreviated Mental Test were excluded from the study. Among the 1204 respondents, 953 (79.2%) were happy. Sociodemographic characteristics showed that being a men, age of 60 to 74 years, and living in urban areas were significantly associated with happiness. A logistic regression model showed that locality (aOR 1.61), income category (Bottom 40% aOR 0.49; Middle-class group 40% aOR 1.40), social engagement (active aOR 1.77; less active aOR 1.25), receiving emotional support (aOR 2.11) and handgrip strength (aOR 1.02) were significantly associated with happiness. Thus, ensuring the elderly population in receiving emotional support and active social engagement among them can enhance their happiness level.
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Fadzil, S. M., and M. F. Rashid. "A design framework for SMEs resilience in Malaysia." IOP Conference Series: Earth and Environmental Science 1082, no. 1 (September 1, 2022): 012006. http://dx.doi.org/10.1088/1755-1315/1082/1/012006.

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Abstract Over a years SMEs in Malaysia have had a significant impact on city growth by producing successful entrepreneurs as well as enhancing the competitiveness and efficiency of the business market. In Malaysia, the government and the private sectors are important entities in attracting potential entrepreneurs to venture into SMEs, especially among rural entrepreneurs. The contribution of the SME sector is very significant to the country’s business market growth by producing successful entrepreneurs through their involvement in this sector throughout the years. However, the challenges of global market uncertainty due to the protracted health crisis that has struck the world’s business market, including Malaysia, particularly the small and medium enterprises (SMEs). Hence, this paper aims to identify the factors for SMEs’ resilience in facing the business market challenges in Malaysia. Besides that, this paper also provides an overview of the business market challenges Malaysian SMEs entrepreneurs in terms of movement restrictions, business operation, revenue uncertainty, people’s purchasing power and others. Finally, this paper recommends an appropriate framework that integrates the factors for SMEs’ resilience with the identified business market challenges in Malaysia.
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Dass, Sarat, Romano Ngui, Balvinder Singh Gill, Yoke Fun Chan, Wan Yusoff Wan Sulaiman, Yvonne Ai Lian Lim, Rose Nani Mudin, Chee Kheong Chong, Lokman Hakim Sulaiman, and I.-Ching Sam. "Spatiotemporal spread of chikungunya virus in Sarawak, Malaysia." Transactions of The Royal Society of Tropical Medicine and Hygiene 115, no. 8 (March 30, 2021): 922–31. http://dx.doi.org/10.1093/trstmh/trab053.

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Abstract Background We studied the spatiotemporal spread of a chikungunya virus (CHIKV) outbreak in Sarawak state, Malaysia, during 2009–2010. Methods The residential addresses of 3054 notified CHIKV cases in 2009–2010 were georeferenced onto a base map of Sarawak with spatial data of rivers and roads using R software. The spatiotemporal spread was determined and clusters were detected using the space-time scan statistic with SaTScan. Results Overall CHIKV incidence was 127 per 100 000 population (range, 0–1125 within districts). The average speed of spread was 70.1 km/wk, with a peak of 228 cases/wk and the basic reproduction number (R0) was 3.1. The highest age-specific incidence rate was 228 per 100 000 in adults aged 50–54 y. Significantly more cases (79.4%) lived in rural areas compared with the general population (46.2%, p&lt;0.0001). Five CHIKV clusters were detected. Likely spread was mostly by road, but a fifth of rural cases were spread by river travel. Conclusions CHIKV initially spread quickly in rural areas mainly via roads, with lesser involvement of urban areas. Delayed spread occurred via river networks to more isolated areas in the rural interior. Understanding the patterns and timings of arboviral outbreak spread may allow targeted vector control measures at key transport hubs or in large transport vehicles.
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Ab Rahman, Jamalludin, Muhammad Fadhli Mohd Yusoff, Mohamad Haniki Nik Mohamed, Balkish Mahadir Naidu, Kuang Hock Lim, Guat Hiong Tee, Maria Safura Mohamad, et al. "The Prevalence of E-Cigarette Use Among Adults in Malaysia." Asia Pacific Journal of Public Health 31, no. 7_suppl (March 17, 2019): 9S—21S. http://dx.doi.org/10.1177/1010539519834735.

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Electronic cigarettes (e-cigarettes) are a new method for the consumption of nicotine. A nationwide survey among 4288 Malaysian adults was conducted in 2016 to measure the prevalence and to describe the population characteristics of e-cigarette users. A complex sampling design was used, and data were collected using a face-to-face questionnaire. The overall prevalence of current, ever, former, and dual users of e-cigarettes in Malaysia were 3.2% (95% confidence interval [CI] = 2.5-4.1), 11.9% (95% CI = 10.5-13.5), 8.6% (95% CI = 7.5-9.8), and 2.3% (95% CI = 1.8-3.1), respectively. The prevalence of all type of e-cigarette use was higher in urban than in rural areas. Current e-cigarette users were likely to be younger, males, and with higher education level. Among current e-cigarette users, 74% (95% CI = 64-82) also smoked conventional cigarettes (dual user). E-cigarette use is prevalent in Malaysia. It is common among younger adults, males, and cigarette smokers.
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Mamun, Abdullah Al, Muhammad Khalilur Rahman, Uma Thevi Munikrishnan, and P. Yukthamarani Permarupan. "Predicting the Intention and Purchase of Health Insurance Among Malaysian Working Adults." SAGE Open 11, no. 4 (October 2021): 215824402110613. http://dx.doi.org/10.1177/21582440211061373.

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This study explored the effects of insurance literacy, perceived usefulness, attitude toward health insurance, subjective norm, and perceived behavioral control on the intention to purchase and the actual purchase of health insurance among working adults in Malaysia. This quantitative study adopted the cross-sectional design with data gathered from 1,308 working adults through a Google form link shared in social media. Upon analysis, the outcomes revealed that insurance literacy, perceived usefulness, attitude toward health insurance, subjective norm, and perceived behavioral control exerted a significantly positive effect on the intention to purchase health insurance. Intention to purchase health insurance exhibited a significantly positive impact on actual purchase of health insurance. Empirically, intention to purchase health insurance yielded a significantly positive mediating effect. Based on the multi-group analysis (MGA), the perceived behavioral control was significantly stronger among rural respondents than urban respondents, as well as among respondents with a bachelor degree than those with secondary school certificate. Referring to the retrieved empirical outputs, financial and health management policymakers, as well as insurance companies in Malaysia should concentrate more on the positive attributes of health insurance in order to improve the attitude of Malaysian working adults toward insurance and insurance literacy.
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EVANS, NATALIE, PASCALE ALLOTEY, JOANNA D. IMELDA, DANIEL D. REIDPATH, and ROBERT POOL. "Social support and care arrangements of older people living alone in rural Malaysia." Ageing and Society 38, no. 10 (May 9, 2017): 2061–81. http://dx.doi.org/10.1017/s0144686x17000472.

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ABSTRACTMalaysia has an ageing population and an increasing number of older people who live alone. This study explores the social support and care arrangements of older people living alone in rural Malaysia. The study took a qualitative approach: semi-structured interviews were conducted with a purposive sample of Malay (N = 20) and Chinese (N = 20) Malaysians aged over 65. Five cross-cutting themes were identified through a thematic analysis: degrees of aloneness; relationships and social support; barriers to social support; and future illness, care and death. All participants said they lived alone; living arrangements, however, were often complex. For Malays, most support came from nearby adult children and relatives, whereas Chinese participants, who less frequently had adult children living locally, emphasised support from friends and neighbours. Emigrant adult children's assistance was mostly informational and financial, instrumental assistance was either substituted for money, or provided solely during periods of ill-health. Physical decline, limited telephone use, inadequate transportation and fears of crime were barriers to social support. Participants avoided thinking or talking about future care needs. These findings have implications for Malaysian old age policy, which is currently focused on supporting families to care for older relatives. Child migration and a growing preference for a period of independent living in old age may require policies and resources directed at older people as individuals to support their own efforts to remain independent, active and age ‘in place’.
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Yusoff, N. S., M. F. Rashid, and N. A. Halim. "The Impact of Covid-19 Pandemic Towards Socioeconomic Wellbeing of Rural Community in Malaysia." IOP Conference Series: Earth and Environmental Science 1064, no. 1 (July 1, 2022): 012054. http://dx.doi.org/10.1088/1755-1315/1064/1/012054.

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Abstract The Covid-19 pandemic has impacted the socio-economic well-being of people either in urban or rural areas. The Covid-19 cases and fatalities that concentrated in major urban areas in Malaysia. However, as the pandemic progressed, the rural community faced health vulnerability due to the Covid-19 pandemic threat. Among the significant impacts of the Covid-19 pandemic are income generation, economic activity work, and health vulnerability, especially the rural community involved in rural economic activities such as agriculture and fishery. Therefore, this paper aims to investigate the impact of the Covid-19 pandemic on the socio-economic well-being of rural communities in Malaysia. The case study selection is in Mersing, Pontian and Batu Pahat involving three villages using GIS mapping. The methodology used is quantitative research through a household survey conducted using 182 heads of households based on the economic and social dimensions. The finding reveals that most of the target group experienced a decline in income generation, economic activity restriction, and education issues. Furthermore, there are also decreasing in the economically active population (age 15-60) in the village. As a result, this study is essential in formulating a post-Covid-19 recovery plan regarding socio-economic well-being impacts and the revival of rural community well-being in Malaysia through Geographic Information Systems (GIS) mapping.
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Mohd. Yusof, Seri Chempaka, Azhar Mohamad, Normazlin Ismail, Mohd Fauzi Haris, Ruzaimi Haron, Rasif Mohd. Zain, and Mohd Hafiz Abdul Nasir. "MUSHROOM TEA PRODUCTION TRAINING PACKAGE IN CAPACITY BUILDING PROGRAM TO INCREASE SMALL MEDIUM INDUSTRY (SME) ENTREPRENEURS IN RURAL AREA." International Journal of Entrepreneurship and Management Practices 2, no. 7 (September 18, 2019): 80–92. http://dx.doi.org/10.35631/ijemp.27009.

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Volvariella tea is an innovative beverage of Malaysian Nuclear Agency that produced using Volvariella volvacea mushrooms with the unique taste, aroma and has certain properties for health. This tea can be taken by everyone regardless of age and can be added to other beverages as a source of nutrients, vitamins, and others to improve health. Currently, there have been efforts to grow mushrooms including Volvariella volvacea mushrooms based on the demand for diversity in dishes and awareness of the nutrients by taking mushrooms in daily meals. These mushrooms have a short shelf life after harvesting time and need to be sold in fresh state and cannot be stored in the chiller for a longer time. Due to the vast volume of mushrooms obtained after harvest time, new products such as Volvariella tea is needed to be produced from these mushrooms to avoid any loss because of rotten mushrooms. Malaysian Nuclear Agency has collaborated with Malaysian Innovation Foundation (Yayasan Inovasi Malaysia) and PUSPANITA Nuclear Malaysia (The Association of Wives and Women Civil Servants Malaysia – Malaysian Nuclear Agency) to carry out the project - MSI 17110: Mushroom Tea Production Training Package in Capacity Building Program to Increase Small Medium Industry (SME) Entrepreneurs in Rural Area using MOSTI Social Innovation Fund (MSI). This project was carried out for 6 months in 2018 by transferring the production technology of Volvariella Tea to the community in the village of Rembang Panas, Juasseh, Kuala Pilah, Negeri Sembilan. A total of 25 participants consisted of farmers and rubber tappers were attended series of training on Volvariella volvacea mushrooms cultivation using selected strain seedling produced by Malaysian Nuclear Agency, intensive practical training on production of Volvariella tea and online marketing. Volvariella tea was processed via the drying technique, packed in individual sachet and irradiated for the decontamination process. The participants have managed to set up a company named as Syarikat Rembang Panas Jaya Outlet to carry out the production of Volvariella Tea, other downstream products and conducted the business of the Volvariella Tea products. A total of 125 people has benefited as the impact of the project. With these efforts, the product introduced can be used by the community to generate additional income by mass-producing and selling activities through online marketing.
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Lee, L. K., C. Y. C. Paul, C. W. Kam, and K. Jagmohni. "Smoking among Secondary School Students in Negeri Sembilan, Malaysia." Asia Pacific Journal of Public Health 17, no. 2 (July 2005): 130–36. http://dx.doi.org/10.1177/101053950501700212.

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This study was done to determine the prevalence of smoking and factors influencing cigarette smoking among secondary school students in Negeri Sembilan, Malaysia. This is a cross-sectional school survey conducted on 4500 adolescent students based on a structured questionnaire. Data was collected using the supervised self administered questionnaire the Youth Risk Behaviour Surveillance in the Malaysian National Language Bahasa Malaysia. The prevalence of smoking among the students was 14.0%. About a third of the students (37.8%) started smoking at 13 to 14 years of age. The prevalence of smoking among the male students was higher (26.6%) compared to the female students (3.1 %). Adolescent smoking was associated with (1) sociodemographic factors (age, ethnicity, rural/urban status); (2) environmental factors (parental smoking, staying with parents); (3) behavioural factors (playing truant and risk-taking behaviours such as physical fighting, drug use, alcohol use, sexual activity, lack of seatbelt use, riding with a drunk driver); (4) lifestyle behaviours (being on diet and lack of exercise); (5) personal factors (feeling sad and suicidal behaviours). In conclusion, smoking is a major problem among Malaysian adolescents. Certain groups of adolescents tend to be at higher risk of smoking. This problem should be curbed early by targeting these groups of high risk adolescents. Asia Pac J Public Health 2005; 17(2): 130-136.
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Roslan, Farisah Adriana, and Mohamed Asmy Mohd Thas Thaker. "Developing Ijarah-Sustainable and Responsible Investment Sukuk (I-SRIS) Framework for the Development of Health Infrastructure in East Malaysia." Al Qasimia University Journal of Islamic Economics 2, no. 2 (December 21, 2022): 211–22. http://dx.doi.org/10.52747/aqujie.2.2.165.

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There is still a part of Malaysia that still does not have the privilege to access all the healthcare benefits offered by the Malaysia government. Therefore, there is a demanding need to find alternative model that could help in funding to build the health facilities in East Malaysia. This study will propose a framework using an innovative sukuk model that could help in financing the development of health facilities. This research is using a secondary research method, which adopts desk research. Literature from the past research on the issue of financing health services and accessibility to health facilities in rural areas especially in East Malaysia are critically analyzed to establish the new proposed framework. This paper is developing an Ijarah- Sustainable and Responsible Investment Sukuk (I-SRIS) Framework as a source to financing the development of health infrastructure and facilities in East Malaysia. This study will provide some insights for the government, regulators, health administrators, corporations and policymakers about the alternatives to fund and develop health facilities.
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Sim Ong, Fon, and David R. Phillips. "Older Consumers in Malaysia." International Journal of Ageing and Later Life 2, no. 1 (July 9, 2007): 85–117. http://dx.doi.org/10.3384/ijal.1652-8670.072185.

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The main objective of this study was to understand the concerns and problems faced by older people in an industrializing middle-income country, Malaysia, in their process of acquiring products to meet their everyday needs. Respondents aged 55 and over were interviewed in eight states throughout Peninsular Malaysia providing 1356 usable questionnaires; two-thirds from urban and one-third from rural areas. Education, health status, and life satisfaction were recorded. Service patronage behaviour was examined for four main categories of commonly-sought consumer goods: groceries, health supplements, apparel, eating outlets, plus selected services (public transport, vacation packages and financial services). The findings showed that older adults in Malaysia are rather discerning consumers. Many respondents are price conscious and have developed consumer attitudes with regard to attitude of staff and assistance rendered. Many display a good ability to discriminate and to select, especially on the basis of price and durability of products and many appear to be acting as effectively as consumers in any other age group.
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Cheah, Yong Kang, Chien Huey Teh, and Hock Kuang Lim. "Sociodemographic Differences in Smoking Knowledge in Malaysia." Journal of Drug Issues 49, no. 2 (January 2, 2019): 355–68. http://dx.doi.org/10.1177/0022042618821195.

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The objective of the present study is to examine the sociodemographic determinants of amount of smoking knowledge in Malaysia. Data are obtained from the Global Adult Tobacco Survey (GATS). The GATS uses a multistage stratified sampling. A total of 4,153 respondents are used for analyses. The effects of sociodemographic factors on smoking knowledge are examined using a negative binomial regression. Age, wealth index, education, ethnicity, house locality, and smoking behavior are significantly associated with smoking knowledge. In particular, there are negative relationships between smoking knowledge and higher wealth index, less-educated individuals, Chinese, rural dwellers, and smokers. The present study concludes that sociodemographic factors play an important role in determining smoking knowledge. Hence, as an intervention measure directed toward improving the knowledge of smoking among Malaysian population, effective policies should pay special attention to individuals who are likely to have poor information on smoking.
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Azmawati, Mohd N., Abdul H. Siti Hazariah, Azhar S. Shamsul, Ahmad Norfazilah, Noor A. Azimatun, and Hod Rozita. "Risk taking behaviour among urban and rural adolescents in two selected districts in Malaysia." South African Family Practice 57, no. 3 (May 1, 2015): 6. http://dx.doi.org/10.4102/safp.v57i3.4049.

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Background: Risk taking behaviour refers to the tendency to engage in behaviours that have the potential to be harmful or dangerous, which has become a major concern and is rated as one of the public health issues that need special attention. The objective of the study was to compare the prevalence of risk taking behaviour and its associated factors among urban and rural adolescents.Methods: A comparative cross-sectional study was conducted among 306 adolescents by multistage sampling from two selected schools with involvement of their parents.Results: The prevalence of risk taking behaviours was 81.7% in the urban and 83.7% in the rural area ( p = 0.650). Parental background factors such as parent’s education level, marital status, health status, and income were unrelated with risk taking behaviour among adolescents. The multiple logistic regression test showed that being a male (AOR = 4.55, 95% CI = 2.28–9.07), inadequate number of bedrooms (AOR = 11.54, 95% CI = 1.48–89.75), and presence of family conflict (AOR = 3.64, 95% CI = 1.49–8.89) were the predictors among adolescents for risk taking behaviour in rural areas.Conclusion: The absence of a balanced healthy family and conducive environment would lead to a negative influence towards adolescent behaviour, which may affect both the individual and community.
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Shehu, Sani, and Prof Dr Mohd Afandi Salleh. "CONTRIBUTING FACTORS TO MALAYSIAN SUSTAINABILITY ON PALM OIL." Asian People Journal (APJ) 3, no. 1 (April 30, 2020): 110–21. http://dx.doi.org/10.37231/apj.2020.3.1.165.

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Oil palm production serves as a leading sector which contributed a lot to the development of Malaysian economy as a great driving force for the country’s agro-industry. About a century ago, when the oil palm plantation was formed, its contribution was 71% to the national agricultural land bank. Malaysia has also received global recognition for resources allocation among its citizens and poverty alleviation within the country. Palm oil has risen as a global strategic commodity, it rose as the main source of income, which generates revenue, promotes economic development and alleviates poverty. palm oil contributed considerably to the economic growth of Malaysia through employment chances in rural areas, improvement of infrastructure which includes education, health facilities, generation of revenues for workers and the government. It raises governmental credits and training schemes and flourishes development of the agricultural sector. The primary objective of this paper is to show the contributing factors to Malaysian sustainability on palm oil, the research is qualitative in nature, it has adopted document analysis, the finds of the paper are the contributing factors towards Malaysian sustainability on palm oil.
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Noor, Mohd Ismail. "The nutrition and health transition in Malaysia." Public Health Nutrition 5, no. 1a (February 2002): 191–95. http://dx.doi.org/10.1079/phn2001293.

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AbstractThe accelerated phase of industrialisation and urbanisation in recent decades has inevitably brought about changes in the lifestyle of Malaysians. Changes in dietary habits and sedentary lifestyles are known to be associated with changes in health and increased prevalence of chronic diseases in the population. The objective of this paper is to provide a better understanding of the link between demographic variables and food consumption patterns related to the nutrition transition in Malaysia. This review uses various reports and publications from several ministries and selected local studies. The statistics compiled over the last two decades have shown that as the population achieves affluence, intakes of calories, fats and sugars increase, which may account for the substantial increase in food importation bills over the same period. Similarly, the rapid growth of the fast food industry during the last decade has added another dimension to the change in food consumption patterns of Malaysians. With the exception of a study on adolescents, the prevalences of overweight and obesity in children and adults are not strictly comparable due to the difference in body mass index (BMI) cut-off points in children and the study protocol in adults, and hence should not be misinterpreted as trends. The recent recommendation to lower the BMI cut-off points for Asians would only increase the magnitude of the existing prevalence among adults. The need to promote healthy nutrition for the population must be pursued vigorously, as the escalation of nutrition-related chronic degenerative diseases – once an urban phenomenon – has now spread to the rural population at an alarming rate. This paper indicates that the problem is real and needs urgent attention because it may be just the tip of the iceberg.
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Hassan, Mohd Azren, Nur Atiqah Anuar Zabidi, Hidayati Ramli, Adam Aruldewan S. Muthuveeran, and Yusfida Ayu Abdullah. "The Impact of Movement Control Order on Rural Livelihood in Malaysia." Journal of International Business, Economics and Entrepreneurship 6, no. 2 (December 29, 2021): 55. http://dx.doi.org/10.24191/jibe.v6i2.16679.

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In 2020, the spread of Coronavirus (COVID-19) had a global impact on normal daily life. The Government of Malaysia officially declared the Movement Control Order (MCO), an official national lockdown, to reduce the virus’s spread. In the face of the unprecedented global health pandemic, Malaysia had struggled to protect its citizens’ welfare and livelihoods, particularly in the hardest-hit rural areas. Therefore, this study uses the sustainable livelihood approach (SLA) focusing on the aspect of financial assets and government intervention to enhance understanding on the vulnerability in rural area’s livelihood. Pasir Puteh, Kelantan was identified as the rural area for this study. The analysis was performed on a questionnaire survey based on convenience sampling of 62 respondents. Cross table analysis and a correlation test were used to examine the livelihood of the rural area concerning the financial assets, government intervention and vulnerability. The findings indicated that the MCO had a substantial impact on the rural area regarding the vulnerability toward the financial assets, such as employment status, job loss, increasing living costs, and an insufficient response to rural economic challenges. At the same time, there is no substantial government intervention in the welfare of rural areas. According to the results, the study concluded that the government should set up training courses to assist in the long-term recovery of rural areas due to the enforced lockdown, which has adversely affected rural livelihoods.
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A, Pathman, Aziah BD, Zahiruddin WM, Mohd S, Sukeri S, Tengku TJ, Hamat RA, et al. "Knowledge, Attitudes, Practices and Health Beliefs toward Leptospirosis among Urban and Rural Communities in Northeastern Malaysia." International Journal of Environmental Research and Public Health 15, no. 11 (November 1, 2018): 2425. http://dx.doi.org/10.3390/ijerph15112425.

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Background: Leptospirosis is a zoonotic disease with a worldwide distribution, especially in developing countries such as Malaysia. This study was designed to explore the knowledge, attitudes, beliefs and practices (KABP) toward leptospirosis among the communities in northeastern Malaysia and to determine the sociodemographic factors associated with the KABP toward leptospirosis. A cross-sectional study using a stratified sampling method was conducted among 214 individuals in four locales in northeastern Malaysia. Methods: A cross-sectional study was conducted among 214 respondents in northeastern Malaysia using a multi-stage stratified random sampling method. The study population was divided into two groups based on geographical locations: urban and rural. All data were entered and analyzed using the IBM Statistics for Social Sciences (SPSS) version 22.0 software for Windows (IBM, Armonk, NY, USA). The continuous variables were presented using mean and standard deviation (SD), whereas the categorical variables were described using frequency and percentage. Multiple logistic regression was performed to determine the associated factors for good KABP toward leptospirosis among the respondents. Results: It was found that 52.8% of respondents had good knowledge, 84.6% had positive attitudes, 59.8% had positive beliefs, and 53.7% had satisfactory practices. There were no significant sociodemographic factors associated with knowledge and practice, except for educational status, which was significant in the attitude and belief domains. Those with higher education exhibited better attitudes (Odds Ratio (OR) 3.329; 95% Coefficient Interval (CI): 1.140, 9.723; p = 0.028) and beliefs (OR 3.748; 95% CI: 1.485, 9.459; p = 0.005). The communities in northeastern Malaysia generally have good knowledge and a high level of positive attitude; however, this attitude cannot be transformed into practice as the number of people with satisfactory practice habits is much lower compared to those with positive attitudes. As for the belief domain, the communities must have positive beliefs to perceive the threat of the disease. Conclusions: Our current health program on preventing leptospirosis is good in creating awareness and a positive attitude among the communities, but is not sufficient in promoting satisfactory practice habits. In conclusion, more attention needs to be paid to promoting satisfactory practice habits among the communities, as they already possess good knowledge and positive attitudes and beliefs.
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Mohd Dzulkhairi Mohd Rani, Muslimah Ithnin, Nadeeya ‘Ayn Umaisara Mohamad Nor, Norsham Juliana, Nadia Mohd Effendy, Sahar Azmani, Khadijah Hasanah Abang Abdullah, Muhammad Shamsir Mohd Aris, and Izuddin Fahmy Abu. "Comparison of health-seeking behaviour between urban and rural malay population of negeri sembilan, malaysia." International Journal of Research in Pharmaceutical Sciences 10, no. 4 (November 14, 2019): 3608–15. http://dx.doi.org/10.26452/ijrps.v10i4.1742.

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There is a growing interest on researches related to health-seeking behaviours. However, there are minimal studies in Malaysia which focus on this issue. This paper aimed to determine the health-seeking behaviours among the Malay population and its association based on the localities of the urban and rural population. To achieve this purpose, a cross-sectional survey was conducted using face-to-face interview method. A total of 480 respondents participated in this survey with the majority (57.7%) of them were from a rural area. Among all the subjects, 4.9% and 5.4% of urban and rural participants respectively, did not seek treatment when they were sick. The reasons being are they chose to ignore the pain (80%), time-consumption (8%), and they do not believe in modern treatments (8%). A higher number of rural participants chose public healthcare facilities compared to urban (82.3% vs 72.6%, p<0.001), whereas a higher number of urban participants chose private healthcare facilities in contrast to rural participants (25.3% vs 16.4%, p<0.001). For participants with chronic diseases, 5.3% did not go for follow-up, 91.2% rely on healthcare staffs for information on the diseases, and 18.9% took traditional or supplementary medicine. Majority of the participants are in agreement that the accessibility to public healthcare facilities in terms of distance, transportation and operational time, as well as the services to get treatments, were good. Overall, majority of the respondents prefer to seek treatments from public healthcare facilities followed by private facilities and pharmacies. However, there is a small number of participants who did not seek for treatments, including those with chronic diseases. Further studies shall be conducted to explore the barriers to seeking treatments in this population.
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2022, Malaysia Stroke Conference. "MALAYSIA STROKE CONFERENCE 2022 4." Journal Of Cardiovascular, Neurovascular & Stroke 4, no. 4 (December 31, 2022): 46–53. http://dx.doi.org/10.32896/cvns.v4n4.46-53.

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1. BALANCE TRAINING TO IMPROVE HAND FUNCTION IN STROKE: A SCOPING REVIEW 2. CHALLENGES IN DELIVERING TELE-REHABILITATION FOR RURAL COMMUNITIES IN MALAYSIA 3. INTERNATIONAL CLASSIFICATION OF FUNCTIONING, DISABILITY AND HEALTH AS PREDICTORS FOR PATIENT OUTCOME 4. PREDICTORS OF POST STROKE UNFAVORABLE FUNCTIONAL OUTCOMES AMONG PATIENTS WITH HYPERGLYCEMIA DURING ACUTE ISCHEMIC STROKE 5. THERAPIST'S ROLE IN THERAPEUTIC ALLIANCE FOR THE PATIENTS’ ENGAGEMENT IN STROKE REHABILITATION 6. COVID-19 VACCINATION, INFECTION, AND RISK OF STROKE IN MALAYSIA 7. EFFECTIVENESS OF VOCATIONAL REHABILITATION AUGMENTED WITH COGNITIVE REMEDIATION THERAPY FOR STROKE SURVIVORS WITH COGNITIVE IMPAIRMENTS IN IMPROVING WORK READINESS: A RANDOMISED CONTROLLED TRIAL 8. DEVELOPING A MALAY LANGUAGE EXECUTIVE FUNCTION ASSESSMENT: A SURVEY WITH SPEECH-LANGUAGE PATHOLOGISTS IN MALAYSIA (Non-clinical study)
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Chew, Chun Ming, and K. M. David Ng. "Feasibility of solar-powered ultrafiltration membrane water treatment systems for rural water supply in Malaysia." Water Supply 19, no. 6 (March 22, 2019): 1758–66. http://dx.doi.org/10.2166/ws.2019.050.

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Abstract According to the World Bank's collection of development indicators, in 2017 approximately 25% of Malaysia's population were living in rural villages. Some of these villages are currently without electricity from the national grid and public piped water supply. In this study, a solar-powered ultrafiltration membrane water treatment system was installed at a rural village in Perak, Malaysia, to identify its feasibility. The ultrafiltration system was evaluated and compared with a conventional sand/media filtration water treatment system at the same location. Various aspects of both systems such as operational parameters, life-cycle cost and carbon emissions have been analyzed under this study. The distinct advantages of the ultrafiltration system include better filtrate turbidity quality (below 0.4 NTU), and lower operational cost and carbon emission. By utilizing a cross-flow filtration operation mode, the UF system does not require a daily intermittent backwash sequence, unlike the conventional system, to further simplify the daily operational routine. Accessibility of clean water supply for all has been heavily emphasized by the United Nations General Assembly (under sustainable development goal number 6) to ensure public health. This comprehensive study highlights the feasibilities of solar-powered ultrafiltration membrane water treatment systems for rural villages in Malaysia.
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Liew, K. B., and M. Lepesteur. "Performance of the rural health improvement scheme in reducing the incidence of waterborne diseases in rural Sarawak, Malaysia." Transactions of the Royal Society of Tropical Medicine and Hygiene 100, no. 10 (October 2006): 949–55. http://dx.doi.org/10.1016/j.trstmh.2005.11.018.

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Marthammuthu, Thaneswaran, Farizah Mohd Hairi, Wan Yuen Choo, Nur Afiqah Mohd Salleh, and Noran Naqiah Hairi. "A Qualitative Investigation on the Roles of Social Support on Physical Activity Behaviour among the Rural-Dwelling Older Women in Malaysia." International Journal of Environmental Research and Public Health 18, no. 18 (September 12, 2021): 9609. http://dx.doi.org/10.3390/ijerph18189609.

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Despite many health benefits of physical activities, both physically and mentally, the majority of the older women in the rural areas of Malaysia are showing a low prevalence of physical activities. Understanding the roles of social support to improve physical activities is imperative to promote active and healthy ageing among the rural-dwelling older women in Malaysia. Hence, this qualitative study adopted an inductive design using 17 in-depth interviews to understand the role of social support on physical activity behaviour among the rural community-dwelling older woman in Kuala Pilah District, Negeri Sembilan, Malaysia from December 2019 to January 2020. Three categories of themes were identified in this study. Firstly, adaptive social support in terms of informational, companionship and emotional supports reported enhancing physical activity levels among older women. Secondly, the absence of help and assistance from the social network asserts independence and triggers the older women to perform the activities by themselves, thus engage in physically active lifestyles. Thirdly, lacking social support demotivate older women to be engaged in physical activities. In particular, loss of companionship support, poor acceptance or appraisal support, logistic issues to attend exercise programmes and neighbourhood safety and security issues were among the main barriers of physical activities reported by the older women. The main findings of this study shed some light on the exigency of strengthening social support from the social network to engage the older women in physical activities. The roles of social media, effective patient-doctor communication and interventions targeting the spouses and family members must be strengthened to create a supportive atmosphere to enhance physical activity levels among older women.
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Foo, L. C., N. Mahmud, and N. Satgunasingam. "Eliminating iodine deficiency in rural Sarawak, Malaysia: the relevance of water iodization." American Journal of Public Health 88, no. 4 (April 1998): 680–81. http://dx.doi.org/10.2105/ajph.88.4.680.

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Ramoo, K., Noran N. Hairi, A. Yahya, W. Y. Choo, F. Mohd Hairi, D. Peramalah, S. Kandiben, et al. "Longitudinal Association between Sarcopenia and Cognitive Impairment among Older Adults in Rural Malaysia." International Journal of Environmental Research and Public Health 19, no. 8 (April 14, 2022): 4723. http://dx.doi.org/10.3390/ijerph19084723.

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Sarcopenia is a condition that is highly prevalent among older adults. This condition is linked to numerous adverse health outcomes, including cognitive impairment that impairs healthy ageing. While sarcopenia and cognitive impairment may share a common pathway, limited longitudinal studies exist to show the relationship between these two conditions. Therefore, this study aimed to examine the longitudinal association between sarcopenia and cognitive impairment. This is a cohort study among older adults residing in Kuala Pilah District, Negeri Sembilan, Malaysia. There were 2404 respondents at the baseline and 1946 respondents at one-year follow-up. Cognitive impairment was determined using Mini-mental State Examination scores. Sarcopenia was identified using the Asian Working Group for Sarcopenia 2019 criteria, gait speed was measured using a 4-meter gait test, handgrip strength was assessed using Jamar handheld dynamometer, and appendicular skeletal muscle mass was measured using bioelectrical impedance analysis. Generalized estimating equation (GEE) was used to determine the longitudinal association between sarcopenia and cognitive impairment, presented as relative risk (RR) and its 95% confidence interval. The prevalence of sarcopenia was 5.0% (95% CI 4.00–5.90), and severe sarcopenia was 3.60% (95% CI 2.84–4.31). Upon adjusting for covariates, older adults with sarcopenia have an 80 per cent increased risk of cognitive impairment compared to those without (RR 1.80; 95% CI 1.18–2.75). Similarly, severe sarcopenia was found to significantly increase the risk of cognitive impairment by 101 per cent in the adjusted model (RR 2.01; 95% CI 1.24–3.27). Our study showed that sarcopenia, severe sarcopenia, low physical activity, depressive symptoms, hearing impairment and chronic pain were associated with a higher risk of cognitive impairment among community-dwelling older adults. Therefore, early intervention to prevent sarcopenia, depressive symptoms, hearing impairment, chronic pain, and higher physical activity among older adults is recommended.
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Ithnin, Muslimah, Nadeeya’Ayn Umaisara Mohamad Nor, Norsham Juliana, Nadia Mohd Effendy, and Mohd Dzulkhairi Mohd Rani. "HEALTH SEEKING BEHAVIOUR AMONG ADULT ORANG ASLI (INDIGENOUS PEOPLES) FROM RURAL NEGERI SEMBILAN, MALAYSIA: A MIXED-METHODS STUDY." Malaysian Journal of Public Health Medicine 21, no. 2 (August 28, 2021): 348–58. http://dx.doi.org/10.37268/mjphm/vol.21/no.2/art.1045.

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Globally, the minority indigenous peoples have a lower health status when compared with national populations. The Orang Asli who are indigenous peoples of Peninsular Malaysia, also poses a significant challenge towards the handling of diseases. The present study sought to synthesise a coherent explanation of health-seeking behaviour among Orang Asli using a mixed-method research approach. A cross-sectional survey was conducted among 324 adult Orang Asli living in the rural district of Jelebu, in the Peninsular Malaysian state of Negeri Sembilan who conformed to the inclusion criteria. Then, 16 participants were interviewed to obtain an in-depth insight regarding their health-seeking behaviour. The findings showed that the majority of the Orang Asli utilized modern healthcare facilities and the respondents reported that the accessibility, services and medicines provided by the government were excellent. Meanwhile, 40.7% of the respondents relied on both traditional and modern treatments. The key determinants of the modern health-seeking behaviours among the Orang Asli in this study were satisfaction on modern health, barriers in getting health services, acceptance and attitude, and traditional medicine utilisation. Government, institutions and healthcare facilities have a role in ensuring that the vulnerable Orang Asli population is not left behind in receiving essential information on diseases associated with chronic and infectious diseases, including the current COVID-19 pandemic, as their action of seeking treatment remains complex and multi-layered.
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Al-Delaimy, Ahmed K., Hesham M. Al-Mekhlafi, Nabil A. Nasr, Hany Sady, Wahib M. Atroosh, Mohammed Nashiry, Tengku S. Anuar, Norhayati Moktar, Yvonne A. L. Lim, and Rohela Mahmud. "Epidemiology of Intestinal Polyparasitism among Orang Asli School Children in Rural Malaysia." PLoS Neglected Tropical Diseases 8, no. 8 (August 21, 2014): e3074. http://dx.doi.org/10.1371/journal.pntd.0003074.

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Khan, T. F. Toufeeq, S. Mahendra Raj, and R. Visvanathan. "Spectrum of Cholangitis in a Rural Setting in North-Eastern Peninsular Malaysia." Tropical Doctor 23, no. 3 (July 1993): 117–18. http://dx.doi.org/10.1177/004947559302300308.

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San San Oo, Myat Moe Thwe Aung, CHARAN KISHOR SHETTY, Mohd Salami Ibrahim, Nyi Nyi Naing, Yuzana Binti Mohd Yusop, Azmi Hassan, and Intan Suhana Munira Mat Azmi and Safiya Amaran. "ASSOCIATION BETWEEN KNOWLEDGE, ATTITUDE, AND PRACTICE ABOUT DIETARY FIBRE INTAKE AND TYPE 2 DIABETES AMONG RURAL PEOPLE IN TERENGGANU, MALAYSIA." Malaysian Journal of Public Health Medicine 21, no. 2 (August 28, 2021): 338–47. http://dx.doi.org/10.37268/mjphm/vol.21/no.2/art.1039.

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Awareness of the dietary fibre intake (DF) and its importance in prevention and management of type 2 diabetes mellitus (T2DM) among rural people is seldom reported in Malaysia. This study aimed to determine the knowledge, attitude, and practice (KAP) of DF intake and their association with type 2 diabetes mellitus (T2DM) among rural people in Terengganu, Malaysia. A community-based cross-sectional study was carried out among the households in Kampung Jati, Kuala Nerus, Terengganu, Malaysia from 29th December 2019 until 20th February 2020. The village has 524 houses, the data was collected from all available and eligible subjects in each household by completed socio-demographic, validated KAP on DF intake questionnaire, as well as a 24-hour dietary recall using a self-administered questionnaire. In our study of 396 respondents, 208 (52.5%) were men. The mean age of participants was 37.85 (15.13). Most of the subjects were Malay 384 (97.0%), employed 207 (52.3%) and 274 (69.2%) attained high level of education (from tertiary school level). However, only 170 (42.9%) had a high family income which was of >RM 3860 per month. Out of 396 respondents, 157 (39.6%) of them had family history of diabetes mellitus. Respondents had moderate knowledge (39.1%), positive attitude (88.1%) and good practice (59.3%) scores towards DF intake. Among the respondents, only 39.1% of total respondents knew the nationally recommended amount of daily fibre intake which is of 20-30 grams per day. With multivariable analysis using multiple logistic regression, the analysis results revealed that age (adjusted OR: 1.11, 95% CI: 1.08, 1.15; p <0.001), having family history of T2DM (adjusted OR: 6.81, 95% CI: 2.75, 16.84; p <0.001) and having total attitude scores (adjusted OR: 0.84, 95% CI: 0.76, 0.93; p <0.001) were found to be adjusted significant associated factors of T2DM among the respondents after controlling confounders. Public health authorities should raise awareness on health benefit of consuming dietary fibre to promote an increase in consumption which can help in prevention and management of chronic diseases among rural population of Malaysia.
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Zin, Thant, Than Myint, Daw KS Naing, Kyaw Htay, Aye Aye Wynn, Tin SabaiAung, Awang Setia Bin Musleh, and Fredie Robinson. "A study on health-related quality of life and comorbidity among elderly population in rural Sabah, Malaysia." South East Asia Journal of Public Health 5, no. 2 (July 25, 2016): 35–42. http://dx.doi.org/10.3329/seajph.v5i2.28311.

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Ageing is a global phenomenon. In Malaysia, a projected model estimated that the number of elderly would be 3.4 million in 2020 which is more than 10% of the population. A cross-sectional study targeted the elderly population of three villages in rural Sabah, Malaysia aimed to investigate the health-related quality of life, comorbidity, and the socio-demographic profile amongst the elderly in the community. Participants (60 years and above) were selected for face-to-face interviews using health-related quality of life questionnaires (SF-36). SPSS 21 was used for statistical analyses. Results showed that mean (sd) of age; 67.71 (6.95) years. Five common co-morbidities were hypertension (67%), bone and joint pain (63%), gastric pain (67%), poor vision (58%), and hearing problems (33%). The highest HRQoL score was social functioning (67.96) whereas the lowest HRQoL score is role limitation due to emotional problems (30.54). There is a significant relationship between HRQoL domains and socio-demographic factors (gender, marital status, membership in association), and health condition (co-morbidities and access to healthcare, bone and joint pain or arthritis and treatment, hearing impairment and treatment) which indicated need for health and social support like participating in association and access to health care for rural elderly in future programme. We recommend a further study to compare elderly HRQoL in rural, urban and institutional settings for future health-care planning.South East Asia Journal of Public Health Vol.5(2) 2015: 35-42
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Ahmad, Mohamad Hasnan, Ruhaya Salleh, Cheong Siew Man, Munawara Pardi, Norsyamlina Che Abdul Rahim, Norhafizah Shahril, Mohd Hatta Abdul Mutalib, Suzana Shahar, and Noor Ani Ahmad. "Malnutrition among the Elderly in Malaysia and Its Associated Factors: Findings from the National Health and Morbidity Survey 2018." Journal of Nutrition and Metabolism 2021 (April 12, 2021): 1–8. http://dx.doi.org/10.1155/2021/6639935.

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Background. Malaysia is predicted to become an ageing population by 2035. Malnutrition among the elderly is one of growing concern. This study aims to identify the prevalence of malnutrition and its associated factors among the elderly in Malaysia. Methods. Data from the National Health and Morbidity Survey (NHMS) 2018 was analysed. This survey applied a multistage stratified cluster sampling design to ensure national representativeness. Malnutrition was identified using a validated Mini Nutrition Assessment-Short Form (MNA-SF). Variables on sociodemographic, health status, and dietary practices were also obtained. The complex sampling analysis was used to determine the prevalence and associated factors of at-risk or malnutrition among the elderly. Result. A total of 3,977 elderly completed the MNA-SF. The prevalence of malnutrition and at-risk of malnutrition was 7.3% and 23.5%, respectively. Complex sample multiple logistic regression found that the elderly who lived in a rural area, with no formal or primary level of education, had depression, Instrumental Activity of Daily Living (IADL) dependency, and low quality of life (QoL), were underweight, and had food insecurity and inadequate plain water intake were at a significant risk of malnutrition (malnutrition and at-risk), while Chinese, Bumiputra Sarawak, and BMI more than 25 kgm−2 were found to be protective. Conclusions. Currently, three out of ten elderly in Malaysia were at-risk or malnutrition. The elderly in a rural area, low education level, depression, IADL dependency, low QoL, underweight, food insecurity, and inadequate plain water intake were at risk of malnutrition in Malaysia. The multiagency approach is needed to tackle the issue of malnutrition among the elderly by considering all predictors identified from this study.
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Mohd Rohaizat Hassan, Mohd Fadhli Samsuri, Shamsul Azhar Shah, Nazarudin Safian, Zulkifli Md Zainuddin, and Hasanain Faisal Ghazi. "PREVALENCE OF PREMATURE EJACULATION AND ERECTILE DYSFUNCTION AND THEIR ASSOCIATED FACTORS AMONG URBAN AND RURAL POPULATION OF MALAYSIA." Malaysian Journal of Public Health Medicine 17, no. 3 (December 22, 2017): 86–96. http://dx.doi.org/10.37268/mjphm/vol.17/no.3/art.224.

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The purpose of this study was to determine the prevalence and factors associated with of Premature Ejaculation &Erectile Dysfunctionamong Malaysian men. A cross-sectional study was conducted in urban and rural areas using standardized and validated self-administered questionnaires. A total of 319 samples were recruited for PE screening. The overall prevalence of PE was 31.7% with 20.7% and 40.8% for urban and rural area respectively. Depression, anxiety and frequent masturbation were significantly associated with PE. While For ED, infrequent sexual intercourse was the sole factor significantly associated with ED.PE and ED were highly prevalent in both urban and rural areas; with several significant preventable associated factors.
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Yap, Ching Seng, Fidella Nga Huong Tiew, Alpha Anak Ngadan, and Poh Ling Ho. "Information needs and information seeking behaviour of rural dwellers in Sarawak, Malaysia." Malaysian Journal of Library & Information Science 25, no. 2 (September 9, 2020): 77–94. http://dx.doi.org/10.22452/mjlis.vol25no2.5.

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This research aims to investigate the information needs and information seeking behaviour of the rural dwellers in Sarawak focusing on identifying their information needs; examining their use of information sources; assessing their perception of quality and accessibility of the information sources; and determining the barriers to information seeking. An interviewer-administered questionnaire survey is adopted for data collection, from the rural dwellers, covering broadly the northern, central, and southern regions of Sarawak. This study covers a broader range of information needs (12 types) and use of information sources (20 sources) of the rural dwellers in Sarawak. Using a quota sampling technique based on geographical region, data are collected from 130 respondents in each region, a total of 390 respondents. This paper reports the research findings using descriptive statistical analysis. The rural dwellers have the highest needs in the area of religion, health and medical, as well as entertainment, leisure, and sports. They have the lowest needs for information about social welfare, politics, and general/state election. The popularity of digital sources such as the Internet, social media, and mobile applications have become the main source of information seeking of the rural dwellers, with the traditional sources such as television, radio, and newspapers are still being widely used. When the perception of information source quality and accessibility is high, the frequency of using the source for information seeking is also high. Poor infrastructure and limited financial ability are cited as the main barriers to information seeking among the rural dwellers.
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Sherina, M. S., L. Rampal, and A. Mustaqim. "Factors Associated with Chronic Illness among the Elderly in a Rural Community in Malaysia." Asia Pacific Journal of Public Health 16, no. 2 (July 2004): 109–14. http://dx.doi.org/10.1177/101053950401600206.

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Chronic illness is one of the major causes of mortality and morbidity among the elderly. To determine the prevalence and factors associated with chronic illness among the elderly in a rural community setting. A cross sectional study design was used. Stratified proportionate cluster sampling method was used to select respondents in Mukim Sepang, Sepang, Selangor, Malaysia. Out of 263 elderly residents (6.2% of the total population), 223 agreed to participate in the study giving a response rate of 84.8%. The prevalence of chronic illness among the elderly in Mukim Sepang was 60.1 %. Out of 223 respondents,134 were diagnosed as having chronic illness such as hypertension, diabetes mellitus, ischaemic heart disease, bronchial asthma or gout. Chronic illness was found to be significantly associated with functional dependence among the elderly (χ2=6.863, df=1, p<0.05). The prevalence of chronic illness among the elderly in the rural community is very high. Problems facing this age-group should be addressed comprehensively in order to formulate appropriate programmes for the health care of the elderly. Asia Pac J Public Health 2004; 16(2): 109-114.
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Md Isa, Zaleha, Noor Hassim Ismail, Rosnah Ismail, Azmi Mohd Tamil, Mohd Hasni Ja’afar, Nafiza Mat Nasir, Maizatullifah Miskan, Najihah Zainol Abidin, Nurul Hafiza Ab Razak, and Khairul Hazdi Yusof. "Assessing Factors Associated with Non-Fatal Injuries from Road Traffic Accidents among Malaysian Adults: A Cross-Sectional Analysis of the PURE Malaysia Study." International Journal of Environmental Research and Public Health 19, no. 14 (July 6, 2022): 8246. http://dx.doi.org/10.3390/ijerph19148246.

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Non-fatal injuries (NFIs) due to road traffic accidents (RTAs) are a public health problem worldwide that significantly impacts the population morbidity and healthcare costs. As the demands for vehicles in developing countries, such as Malaysia, is increasing annually, the present study aims to determine the prevalence and factors associated with NFIs due to RTAs among Malaysia’s adult population. Methods: This was a cross-sectional study involving 15,321 participants from the Prospective Urban and Rural Epidemiological (PURE) study conducted in Malaysia. Participants reported whether they had experienced an NFI that limited their normal activities within the past 12 months. Data on risk factors for NFIs were elicited. Multiple logistic regression models were fitted to identify the associated factors. Results: Overall, 863 participants (5.6% of 15,321) reported at least 1 NFI in the past 12 months, with 303 caused by RTAs (35.1%), 270 caused by falls (31.3%) and 290 attributed to other causes (33.6%). The factors associated with higher odds of sustaining an NFI due to an RTA were being male (adjusted odd ratio (AOR) 2.08; 95% CI 1.33–3.26), having a primary (2.52; 1.40–4.55) or secondary (2.64; 1.55–4.49) level of education, being overweight to obese (1.40; 1.01–1.94), being currently employed (2.03; 1.31–3.13) and not practicing a noon nap/siesta (1.38; 1.01–1.89). Conclusions: The occurrence of NFIs due to RTAs is highly preventable with strategic planning aimed at reducing the risk of RTAs among the Malaysian population. Interventions focusing on protecting road users, especially those who drive two-wheelers, with proactive road safety awareness and literacy campaigns, combined with strict enforcement of the existing traffic laws and behavioural modifications, may reduce the risk of NFIs following RTAs.
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Ling, Miaw Yn Jane, Wan Shakira Rodzlan Hasani, Muhammad Fadhli Mohd Yusoff, Hamizatul Akmal Abd Hamid, Kuang Hock Lim, Guat Hiong Tee, Nizam Baharom, et al. "Cigarette Smoking Among Secondary School-Going Male Adolescents in Malaysia: Findings From the National Health and Morbidity Survey 2017." Asia Pacific Journal of Public Health 31, no. 8_suppl (September 19, 2019): 80S—87S. http://dx.doi.org/10.1177/1010539519874948.

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Smoking is a learned behavior during adolescence, and it is found predominantly among male adolescents in Malaysia. Our study aimed to investigate the prevalence and predictive factors of current cigarette smoking among school-going male adolescents in Malaysia. Data were derived from the National Health and Morbidity Survey: Adolescent Health Survey 2017, a cross-sectional study that utilized a 2-stage stratified cluster sampling to select a nationally representative sample of school-going adolescents in Malaysia (n = 27 497). Multiple logistic regression analysis was performed to identify factors associated with current cigarette smoking among male adolescents in Malaysia. Male adolescents aged 16 to 17 years (adjusted odds ratio [AOR] = 1.55; 95% confidence interval [CI] = 1.41-1.70), current illicit drug users (AOR = 8.14; 95% CI = 6.37-10.41), current alcohol users (AOR = 1.92; 95% CI = 1.65-2.23), those from rural schools (AOR = 1.60; 95% CI = 1.46-1.76), those whose parents were widowed/divorced/separated (AOR = 1.37; 95% CI = 1.21-1.55), and those whose parents/guardians were tobacco product users (AOR = 3.47; 95% CI = 2.33-5.16) were more likely to be current cigarette smokers. Tobacco control strategies should be aimed at both adolescents at risk and at promoting parental smoking cessation.
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Fernandez, Kevin, Kailash C. Kharkwal, Tahmina Afrose, Nasrin Habib, and Supraya Das. "Individual’s awareness of healthy lifestyle: A cross sectional study of a rural community in Kedah, Malaysia." Journal of Biomedical Sciences 6, no. 2 (December 23, 2019): 12–18. http://dx.doi.org/10.3126/jbs.v6i2.26812.

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Background: Healthy lifestyle practices play a key role in disease prevention and control of any chronic illness and disability. This study aims to identify the role of individual’s awareness towards a healthy life and well-being in a rural community Material and methods: This descriptive cross-sectional study was conducted by using structured questionnaire at a village, Kedah state, Malaysia on 2018. Results: The study revealed that among 120 respondents the mean ±SD age of respondents was 24±16.32 years. All the respondents were Muslim. The mean±SD weight of respondents was 66.07±14.353 kilogram. Study revealed that no participant reported drinking alcohol within the last month. 91 (76.6%) of the respondents were non-smoker. 42(35%) respondents reported daily consumption of fruits. 86 (71.67 %) respondents reported moderate to vigorous physical activities for 30 minutes per day. Regarding co-morbidity status, 60 (49.9%) was not suffering from any form of illness during the study period. This study found the significant association between the BMI and smoking habit with co-morbidity (p<0.000). Conclusion: Majority of the participants of this study was health conscious and had positive health-related behaviour. The effective behavioral changes less likely to happen unless the individual’s awareness and motivation towards a healthy life is decreased.
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Kan, S. P., H. L. Guyatt, and D. A. P. Bundy. "Geohelminth infection of children from rural plantations and urban slums in Malaysia." Transactions of the Royal Society of Tropical Medicine and Hygiene 83, no. 6 (November 1989): 817–20. http://dx.doi.org/10.1016/0035-9203(89)90342-8.

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46

Rathakrishnan, Balan, Melissa Edora Sanu, Azizi Yahaya, Soon Singh Bikar Singh, and Mohammad Rahim Kamaluddin. "Emotional Intelligence and Psychological Well-Being of Rural Poor School Students In Sabah, Malaysia." Psympathic : Jurnal Ilmiah Psikologi 6, no. 1 (June 30, 2019): 65–72. http://dx.doi.org/10.15575/psy.v6i1.4082.

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Mental health disorders are major causes of disability to those affected, their families and the wider society. Absence of mental illness, or ambitiously, the presence of psychological well-being is key to the optimal functioning of individuals, for them to lead fuller lives and essential for them to contribute actively to society. Some studies have explored the links between psychological well-being and emotional intelligence. However, no such study has focussed on rural, and more often than not, poor students. Our study looked at the effects of emotional intelligence on the psychological well-being of rural poor students in Sabah, Malaysia. It was a cross-sectional study of 430 students. We found that 73% and 90% of the rural students rated their emotional intelligence and psychological well-being as moderate respectively. Regression analysis showed that emotional intelligence could predict one’s psychological well-being. We suggest further research into the differences between school students and school dropouts, and between urban and rural poor students.
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Nikmat, Azlina Wati, Mohd Ariff Fadzil, and Sakinah Idris. "Self-perceived Anxiety Symptoms and its Associated Factors among Type 2 Diabetic Patients in Rural Communities of Malaysia." Journal of Clinical and Health Sciences 1, no. 2 (December 31, 2016): 11. http://dx.doi.org/10.24191/jchs.v2i1.5859.

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Introduction: Little is known about anxiety symptoms among diabetic patients, especially among those who are living in rural areas in Malaysia. Thus, the aim of this paper is to investigate the prevalence of anxiety among diabetic patients and factors associated with anxiety in rural communities in Malaysia. Methods: A cross-sectional study involving 464 diabetes mellitus patients in rural health districts and outpatient clinics in Malaysia was conducted. Each participant was interviewed using the Hospital Anxiety and Depression Scale. Results: Respondents consisted of 193 (41.6%) males and 271 (58.4%) females. The mean age of participants was 59.65 ± 10.16 years and the mean duration of diabetes mellitus was 6.9 ± 6.3 years. Results indicate that 15% of the participants have anxiety symptoms. Multiple logistic regression analysis revealed that patients with history of ischemic heart disease and depression and those who were underweight have higher anxiety scores with adjusted OR 5.06 (95% CI 1.79 to 14.27), 27.71 (95% CI 14.23 to 53.98) and 14.6 (95% CI 2.49 to 84.82), respectively. Conclusions: This study suggests that although the prevalence of anxiety among diabetics is low, primary care physician should be trained to identify high risk patients and to manage their condition in order to improve the clinical outcome.
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Thangiah, Govindamal, Mas Ayu Said, Hazreen Abdul Majid, Daniel Reidpath, and Tin Tin Su. "Income Inequality in Quality of Life among Rural Communities in Malaysia: A Case for Immediate Policy Consideration." International Journal of Environmental Research and Public Health 17, no. 23 (November 24, 2020): 8731. http://dx.doi.org/10.3390/ijerph17238731.

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Quality of life (QOL) is a proxy of health and social well-being. Hence, it is vital to assess QOL as it informs the strategies of policymakers to enhance the living conditions in communities. Rural areas in emerging economies are underserved in terms of modern facilities and technologies, which impact QOL. To address this, this study investigated whether income played a role in the QOL of rural residents within emerging economies using a large survey of Malaysian adults above 18 years old. The study extracted data from a sample of 18,607 respondents of a health and demographic surveillance system survey. A generalized linear model was used to estimate the impact of three income groups, the bottom 40%, middle 40% and top 20%, on perceived QOL, controlling for sociodemographic, chronic disease co-morbidities and mental health status. Results of the study showed a statistically significant association between income and the physical, psychological, social and environmental QOL domains. Using the bottom 40% as a reference category, the middle 40% and top 20% income groups showed a significant and positive association across the four domains of QOL. Hence, intervention programs are necessary to escalate the income levels of rural communities, especially the bottom 40%, to uplift perceived QOL among rural residents.
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Hasan, Hasazli, and Md Mizanur Rahman. "Willingness to Pay for the National Health Insurance Scheme: A Cross-sectional study in Sarawak, Malaysia." Bangladesh Journal of Medical Science 21, no. 3 (May 21, 2022): 577–89. http://dx.doi.org/10.3329/bjms.v21i3.59571.

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Introduction: Globally, the cost of healthcare continues to rise due to demographic changes of the ageing population, the rise of non-communicable diseases (NCD) prevalence, advances in medical technologies, and innovations. Malaysia is also not an exception, where the total health expenditure has risen from MYR 8.55 billion to MYR 57.36 from 1997 to 2017. With the ongoing debate on the tax-based public healthcare system’s long-term sustainability, several scholars have called to introduce national health insurance in the country. The current study has contributed to the understanding of willingness to pay (WTP) among the Malaysian population. However, there is a gap of knowledge regarding WTP in the rural area of Sarawak. Methods: A cross-sectional study was conducted in rural areas of Sarawak involving 45 villages from 6 rural districts that represent the North, Central and Southern regions. Through an interviewer-administered questionnaire, the instrument consisted of demographic profile, presence of underlying disease, social capital, wealth index, and willingness to pay for national health insurance scheme (NHIS) through iterative bidding method of CVM. Three regression analysis (binary logistic, multinomial logistic, negative binomial logistic) were computed to identify statistically significant factors across these three analyses. Results: The total number of respondents was 1208. The amount that participants willing to pay for NHIS was higher. However, the proportion of participants willing to participate was lower when compared to similar previous studies. On an average, the respondents were willing to pay MYR 40.84 (SD 35.36) per month for NHIS premium. Factors favouring their willingness to pay were smaller family size, presence of underlying diseases, a strong level of empowerment, weaker group and network connection, low social cohesion and inclusion, and finally, low perception of violence and conflicts. These were identified as factors that were found to be significant across three statistical analyses. Conclusion: Hence, the government needs to consider the differences in terms of geographical location (Peninsular, Sabah and Sarawak) and socio-demographic characteristics when considering the deployment of NHIS nationwide. Furthermore, communication with the local communities, organisation and group is very important to improve rural communities’ participation. Steps have to be taken to avoid adverse selection, considering that ill individuals were more likely willing to join thana healthier person. Bangladesh Journal of Medical Science Vol. 21 No. 03 July’22 Page: 577-589
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Schreiber, Jenny. "Biomedicine as Global Assemblage: The Malay Muslim Account of Total Brain Failure." Die Welt des Islams 55, no. 3-4 (November 26, 2015): 312–47. http://dx.doi.org/10.1163/15700607-05534p04.

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The rather rare condition of total brain failure, commonly referred to as “brain death”, has become emblematic of the possible conflicts between scientific and religious, modernising and traditional, and academic and popular views on death and dying. To capture those heterogeneous and often contradictory discourses on total brain failure in one particular context, that of Malay Muslims in Malaysia, I make use of the analytical construct “global assemblage”, a concept that grasps well the complexity of discourses and practices pertaining to biomedicine. The article delineates how the global assemblage of total brain failure has played out in Malaysia, based on ethnographic fieldwork. It reveals that representatives from the Malaysian Ministry of Health and Muslim clergy from JAKIM, the federal Department for Islamic Development, and the State Mufti Departments accepted the established, albeit disputed biomedical notion of total brain failure in order to establish death and remove “viable” organs for transplant purposes. In contrast, the rural Malay Muslim community surveyed here does not accept the notion of total brain failure, sticking rather to their hitherto held, traditional perception of death, stemming from an era before ventilation became a standard procedure at critical care units. The opinions of such communities are, I argue, excluded from the national discourse on total brain failure in Malaysia.
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