Suchergebnisse

Community health is an emerging and growing discipline of public health and it focuses on the physical, social, and mental well-being of the people of specific districts. This interdisciplinary field brings together aspects of health care, economics, environment, and people interaction. This handbook is a comprehensive reference on public health for higher education students, scholars, practitioners, and policymakers of health care. There are five key thematic sections in the book: perspectives in public health; community health in practise; planning, built, and social environment and community health; digital and mobile health; and,towards sustainable health in the community. Each theme explores the leading research and trends. This book aims to help achieve the shared goal of healthier communities and quality of life for the residents. This collaborative work should be a very useful handbook to health professionals and government bodies in the planning of initiatives to improve population health, prevent chronic diseases, control infectious diseases and outbreaks, and prepare for natural disasters. This handbook integrates research and practise of public health in the community.

Background/objective: The Active Healthy Kids 2018 Hong Kong Report Card provides ev idence-based assessment across 12 indicators of physical activity behaviors, sleep, and related community and government initiatives for children and youth. Methods: The systematic development process provided by the Active Healthy Kids Global Alliance was used. The best available data from the past 10 years were reviewed by a panel of experts. According to predefined benchmarks, letter grades were assigned to 12 indicators (Overall Physical Activity, Organized Sport Participation, Active Play, Active Transportation, Sedentary Behaviors, Physical Fitness, Sleep, Family, School, Community and Environment, Government, and Obesity). Results: Three of the five activity behaviors received C- or C grades: Overall Physical Activity (C-), Sedentary Behaviors (C-), and Organized Sport Participation (C). Active Transportation was graded B þ . Same to the 2016 Hong Kong Report Card, Active Play could not be graded. School and Government were graded C. Family and Community and Environment was graded D- and B, respectively. Three new indicators were added after the 2016 Report Card and they were graded from C- (Sleep) to D (Physical Fitness) or D- (Obesity). Conclusions: Children and youth in Hong Kong have low physical activity and physical fitness levels and high sedentary behaviors despite a generally favorable community environment. A high prevalence of obesity and low levels of family support warrant more public health action. Researchers should address the surveillance gap in active play and peer support.

Background: The Hong Kong Government released a Reference Framework (RF-HT) for Hypertension Care for Adults in Primary Care Settings since 2010. No studies have evaluated its adoption by primary care physicians (PCPs) since its release. Aim: We aimed to evaluate the level of PCPs' adoption of the RF-HT and the potential barriers of its use in family practice. Design and setting: A cross-sectional study was conducted by a self-administered validated survey among all PCPs in Hong Kong through various means. Methods: We assessed the level of and factors associated with its adoption by multivariate logistic regression modelling. Result: A total of 3,857 invitation episodes were sent to 2,297 PCPs in 2014–2015. We received 383 completed questionnaires. The average score of adoption was 3.43 out of 4.00, and 47.5% of PCPs highly adopted RF-HT in their daily consultations. Male practitioners (adjusted odds ratio [aOR] = 0.524, 95% CI = 0.290–0.948, p = 0.033) and PCPs of public sector (aOR = 0.524, 95% CI = 0.292–0.940, p = 0.030) were significantly less likely to adopt the RF-HT. PCPs with higher training completion or being academic fellow are more likely to adopt RF-HT than those who were "nil to basic training completion" (aOR = 0.479, 95% CI = 0.269–0.853, p = 0.012) or "higher trainee" (aOR = 0.302, 95% CI = 0.093–0.979, p = 0.046). Three most-supported suggestions on RF-HT improvement were simplification of RF-HT, provision of pocket version and promoting in patients. Conclusion: Among PCP respondents, the adoption level of the RF-HT was high. These findings also highlighted some factors associated with its adoption that could inform targeted interventions for enhancing its use in clinical practice.