[show abstract][hide abstract] ABSTRACT: zet Amaç: EUROHIS (WHOQOL-8.Tr) Türkçe sürümünün Türk toplumundaki Psikometrik özelliklerinin gösterilmesi. Yöntem: EUROHIS (Avrupa Sağlık Etki Ölçeği) WHOQOL ölçeğinden belirli maddelerin seçilmesiyle oluşturulmuş 8 maddelik bir indeks yaşam kalietsi ölçeğidir. Toplam skor maddelerin toplamı ya da ortalaması alınarak hesaplanır. Psikometrik değerlendirmeler Manisa kent merkezinde yarı kentsel bölgede toplumu temsil eden 616 kişilik bir örnek üzerinde yapılmıştır. Tanımlayıcı göstergelerde tavan ve taban etkileri, güvenilirlik çözümlemelerinde iç tutarlılık (Cronbach alfa ile) kullanılmıştır. Geçerlilik çözümlemelerinde yapısal geçerlilik ve ölçüt (kriter) geçerliliği yaklaşımı uygulanmıştır. Yapısal geçerlilik, Açıklayıcı Faktör Analizi (AFA), Doğrulayıcı Faktör Analizi (DFA), Birleşim Ayrışım Geçerliliği ve Bilinen Gruplar yöntemi ile sınanmıştır. Birleşim Ayrışım geçerliliği için WHO5 (D.S.Ö. genel duygudurum kısa formu) ve EQ-5D kullanılmıştır. Bilinen grup değişkenleri yaş, cinsiyet, gelir algısı, sosyal sınıf ve yaşanılan bölgedir. Ölçüt geçerliliği için geçen yıla göre sağlık durumu değişikliği, kronik hastalık varlığı ve sağlık hizmetlerine ulaşabilirlik kullanılmıştır. Bulgular: Araştırma örneğinin %54.5'i kadın, (yaş 38.3±12.3, ortancası 36.0) %61.3'ü gecekonduda yaşamakta, %59.3'ü okuryazar ya da ilkokul mezunu, %39.3'ünün geliri giderinden azdır. Yanıtlayıcıların %26.5'i sağlık durumları geçen yıla göre daha kötü, %17.4'ü ise daha iyidir. EUROHIS indeks ortalama skoru 3.46±1.60'dir. Ölçek skorunun taban ve tavan etkisi çok düşük (<%1), iç tutarlılığı çok iyidir (α=0.85). Kronik hastalığı olmayanlar; geçen yıla göre sağlık durumunu daha iyi olarak algılayanlar ve sağlık hizmetlerine ulaşabilenler "anlamlı olarak daha yüksek" skorlar almışlardır (p<0.001). DFA'ne göre tek faktörlü çözümlemede CFI=0.90 ve RMSEA=0.18 olduğu; İki faktörlü (birinci faktör: soru no 1, 7, 8 – ikinci faktör: soru no 2, 3, 4, 5, 6) çözümlemede ise uyum göstergelerinin CFI=0.95 ve RMSEA=0.13 olduğu saptanmıştır. EUROHIS ile WHO5 (r=0.64) ve EQ5D (r=0.44) arasında anlamlı korelasyonlar saptanmıştır. a Prof. Dr., Celal Bayar ÜTF. Halk Sağlığı AD.
[show abstract][hide abstract] ABSTRACT: To determine the psychometric properties of the Turkish version of the World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-Old).
The Turkish version of the WHOQOL-OLD was administered to 527 older (> 65 years) adults living in urban, suburban, and rural areas of Manisa Province, Turkey. The WHOQOL-OLD module consists of 24 items assigned to 6 facets (sen------sory abilities, autonomy, past, present and future activities, so-cial participation, death and dying, and intimacy) and is a supplementary module of WHOQOL-BREF. The WHOQOL-BREF and GDS-30 were also administered to the participants. A confirmatory approach was used during reliability and validity analysis. SPSS v.10.0 and LISREL v.8.54 were used for analysis.
Mean age of the participants was 71.06 +/- 5.20 years and the overall WHOQOL-OLD score was 56.02 +/- 11.86. In all, 54.5% of the participants were female and 60.5% reported to be in poor health. Both ceiling and floor effects of the WHOQOL-OLD were satisfactory (< 0.05%). Alpha values for the facets and overall scale (range: 0.68-0.88) (> 0.70), and item total correlations and overall scale success were satisfactory. As a measure of the construct validity of the scale, confirmatory factor analysis showed very high CFI values (range: 0.936-0.999) for each of the domains. Convergence of WHOQOL-OLD facet scores on WHOQOL-BREF domains and WHOQOL-OLD were very fine in general.
The psychometric properties of the Turkish version of the WHOQOL-OLD were acceptable, indicating that the scale is reliable and valid for use with older Turkish adults (> 65 years).
Turk psikiyatri dergisi = Turkish journal of psychiatry 01/2010; 21(1):37-48. · 0.43 Impact Factor
[show abstract][hide abstract] ABSTRACT: A school-based survey was performed in 1346 adolescents aged 15-18 years to determine the relationship between "overweight" and hypertension among adolescents in a western city in Turkey with a low prevalence of "overweight".
The data were collected by a self administered questionnaire. Weight and height of adolescents were measured. US CDC pediatric anthropometric reference data were used to establish the body mass index (BMI) percentile. "At risk of overweight" (BMI-for-age and sex >or=85th, and <95th percentile) and "overweight" (BMI-for-age and sex >or=95th percentile) were defined. Hypertension (systolic and/or diastolic blood pressure that is >or=95th percentile for sex, age and height percentile) was defined according to the 4th Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents (2004). The Chi-square test, Chi-square test for trend and logistic regression models were used for analysis.
Overall, prevalence of "at risk of overweight" and "overweight" were found to be 10.7% and 3.2%, respectively. About 3.5% of the adolescents were hypertensive. After adjustment for sex and age, income, family history of hypertension, the factors positively associated with hypertension were "at risk for overweight" (Odds Ratio [OR] =5.09, 95% CI: 2.57-10.07) and "overweight" (OR=7.60, 95% CI: 2.90-19.89).
The results of this study confirm low hypertension risk among adolescents in Manisa, which may be attributed to the low prevalence of "overweight". The relatively low cardiovascular disease risk factor profile of these adolescents needs to be encouraged through adulthood. Thus, a school program of health promotion should be established to prevent the epidemics of cardiovascular diseases in our region.
Anadolu kardiyoloji dergisi: AKD = the Anatolian journal of cardiology 12/2009; 9(6):450-6. · 0.72 Impact Factor
[show abstract][hide abstract] ABSTRACT: There are few health-related quality of life (HRQOL) instruments available that have been validated for use with Turkish children. The Kid-KINDL is a generic measure of children's (8-12 years) HRQOL, which contains 24 categorical items that assess 6 dimensions (physical well-being, emotional well-being, self-esteem, family, friends, and school). The Kid-KINDL is available in many languages. Following an elaborate translation procedure and cognitive focus group interviews, the Kid-KINDL was adopted into Turkish. This paper describes the psychometric properties of the new Turkish Kid-KINDL.
In total, 1918 children aged 8-12 years at a school in Manisa completed the Kid-KINDL. A confirmatory approach was used for validity and reliability analysis. Using the Multi-trait/Multi-item analysis program (MAP) item-internal consistency and item-discriminant validity were calculated to confirm the instrument's structure. Likert scaling assumptions were tested and confirmatory factor analysis (CFA) was applied as well. After modification of 2 unsatisfactory items the Kid-KINDL was administered to a different group of 84 randomly selected children and the analyses were repeated.
Cronbach's alpha was 0.35-0.78 before and 0.54-0.78 after the scales was modified. MAP-scaling success was 60%-100% before and 90%-100% after the modification. CFA confirmed the Kid-KINDL structure for the original version (RMSEA = 0.077) was less than the modified version (RMSEA = 0.059), although for the latter the sample was rather small. Floor effects were negligible, and ceiling effects reached 19%.
The results indicate that the Turkish Kid-KINDL was a reliable and factorially valid assessment of the children's HRQOL. The modifications made to the 2 unsatisfactory items increased the psychometric quality of the scale.
Turk psikiyatri dergisi = Turkish journal of psychiatry 02/2008; 19(4):409-17. · 0.43 Impact Factor
[show abstract][hide abstract] ABSTRACT: Onychomycosis in childhood is reported to be unusual. The aim of this study was to determine the prevalence of onychomycosis in primary school children and to make comparison between different socioeconomic status in the rural and urban areas of the city. Hand and foot nails of 23235 children aged 7-14 were examined. Onychomycosis was suspected and nail scrapings for mycological examination were taken in 116 of them. Hyphae or spores were seen in 41 (0.18%) by direct microscopic examination, and mycological cultures were positive in 24 (0.1%) of them. Toenails were affected in all of the fungal culture positive cases. Trichosporon spp, Trichophyton rubrum, Candida albicans and Candida glabrata grew in 11, 6, 5 and 2 of the cultures respectively. Onychomycosis prevalence was significantly higher in the children living in the rural areas (p = 0.016) [Odds ratio = 3.43 (%95 CI 1.11<OR<11.84)], and onychomycosis was more frequent in boys than girls (p = 0.001) [(Odds ratio = 5.85 (1.66<OR<24.61)].
[show abstract][hide abstract] ABSTRACT: The purpose of this study was to demonstrate the relationship between body weight and HRQOL in a representative sample of nonpregnant women in reproductive age period. The data of this cross-sectional study was extracted from a survey: Manisa Demographic and Health Survey (MDHS) conducted in Manisa city in 2000. The study population of MDHS is a representative sample of 1602 reproductive (15-49) age women. World Health Organization Quality of Life Questionnaire abbreviated version (WHOQOL-BREF), which was composed of four domain factors (physical, psychological, social relations and the environment), was used to assess HRQOL. Each of four domains had a possible score ranged between 0 (poor HRQOL) and 20 (excellent HRQOL). The mean age of the women was 35.29+/- 8.19 years. Among them, 35.8 % had normal weight (BMI 18.5 to 24.9), 32.3 % were overweight (BMI 25.0 to 29.9) while 31.9 % were moderate and 3.4% were morbidly obese. After adjusting for age, level of education and co-morbid illnesses, subjects with a BMI higher than normal value, had significantly lower HRQOL scores, compared to normal-weight individuals on each of the domains, except for the environmental domain. Our results suggested that the body weight alone could negatively affect HRQOL. In other words, obesity not only increased the risk of morbidity and mortality, but also affected the perceived health and life quality negatively. In conclusion, in addition to age, socioeconomic status and co-morbid illnesses, body weight should also be controlled in studies examining HRQOL.
Asia Pacific Journal of Clinical Nutrition 02/2006; 15(4):508-15. · 1.06 Impact Factor