Yazar "Atak, Muhammed" seçeneğine göre listele
Listeleniyor 1 - 11 / 11
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe Assessment of childhood vaccination hesitancy among syrian parents under temporary protection(2024) Koçak, Elif Nur; Pirdal, Betül Zehra; Yüce, Servet; Atak, Muhammed; Koçak Alkan, Hatice; Aksoy, Mihriban; Bayramlar, Osman FarukBackground and Aim: Vaccination programs become increasingly crucial during migratory movements driven by conflict and other disruptions. This study aims to determine the prevalence of childhood vaccination hesitancy among Syrian parents under temporary protection and identify areas for targeted interventions. Method: A total of 227 Syrian parents attending three Immigrant Health Centers in Sultangazi were assessed using the Arabic version of the Parent Attitude about Childhood Vaccines (PACV) survey, conducted between October and December 2023. Results: The prevalence of vaccine hesitancy among these parents was found to be 10.6%. An inverse correlation was observed between maternal education level and vaccine hesitancy, indicating that higher education levels were associated with lower levels of hesitancy. Conclusion: The observed rate of vaccine hesitancy among Syrian parents under temporary protection underscores the urgent need for targeted interventions. Tailored vaccination strategies for immigrant populations are essential to improve immunization rates and ensure the health and well-being of these communities.Öğe Assessment of frailty, daily life activities, and nutrition of elderly immigrants: A household based cross-sectional study(2024) De?er, Mehmet Sait; Sezerol, Mehmet Akif; Atak, MuhammedWith the global migrant population on the rise, it's imperative to focus on the health status of more vulnerable groups within these communities. The elderly immigrants face myriad physical and psychosocial challenges that significantly impact their health and quality of life. This study aims to investigate the nutrition, daily life activities, and clinical frailty status of elderly immigrants residing in Türkiye. A cross-sectional design was employed in the Sultanbeyli District, focusing on Syrian immigrants aged 65 and over. Participants were surveyed face-to-face by interpreters proficient in Arabic. The questionnaire comprised sociodemographic details, health status, and scales like Katz Daily Life Activities, Clinical Frailty, and Mini Nutritional Assessment. The data analysis was executed using SPSS 22. Continuous variables were presented as mean?±?standard deviation (SD) and median, while categorical ones were expressed in numbers and percentages (%). A significance level of P <.05 was considered for the analyses. The average age of the participants was determined as 71.64?±?6.20 years. In the study group, 49.7% were female, 75.5% were younger than 75 years old, 47.7% had less than primary school education, 56.3% were married, 42.4% had a low income level, and 56.9% lived in the same household with 5 or more people. Among the participants in the study group, 47% had walking and balance problems, 29.1% had a history of falls in the last year, 10.6% were disabled, 69.5% complained of pain, 82.8% had a chronic illness, and 43% had polypharmacy. The median value of the KATZ Daily Living Activities scale was 6, the mean score of the Clinical Frailty Score scale was 3.25?±?1.25, and the mean score of the Mini Nutritional Assessment scale was 12.40?±?2.15. Among immigrant elderly individuals, 88.1% were able to sustain their lives independently, 13.9% were clinically frail, and 3.3% were at risk of malnutrition. Factors such as age, level of education, socioeconomic status, marital status, number of cohabitants in the household, BMI, neurological problems, walking-balance disorders, disability, and presence of chronic diseases are associated with daily life activities, frailty, and malnutrition status. It is believed that broader field research with greater participation would be beneficial for evaluating the nutritional status of immigrant elderly individuals.Öğe Attitudes and practices against COVID-19 vaccines in Turkiye(Kare Publishing, 2022) Ataç, Ömer; Elmaslar, Barış; Yavuz, Emin Faruk; Yurdabak, Fatih Eren; Kaya, Furkan; Aktaş, Şamil; Atak, Muhammed; Hayran, OsmanOBJECTIVE: Vaccination is the primary way to mitigate the COVID-19 pandemic. Vaccine hesitancy and refusal are one of the most important challenges against to reach herd immunity. The aim of this study is to examine the reasons for not get-ting vaccinated and the attitudes toward vaccines by people in Turkiye, who were not vaccinated, even though a COVID-19 vaccine was available for them.METHODS: This cross-sectional study is conducted in Eyupsultan district of Istanbul. The study population is 12,540. A questionnaire consisted of three sections as sociodemographic characteristics, attitudes toward COVID-19 vaccines, and Vaccination Attitudes Examination (VAX) scale was used. Among the sample size, participation rate is 69.4%.RESULTS: About 50.2% of the participants (n=259) are male, 80.3% are married, 13.1% are university graduates, and 44.0% are working in a job. About 32.8% of the participants have COVID-19 history. About 34.4% of the participants stat-ed that they would be vaccinated against COVID-19. Although those who define themselves as vaccine refuser are 5.4%, those who still refuse to be vaccinated for COVID-19 are 20.1%. In addition to this, those who are hesitant about COVID-19 vaccines are 45.6%. The most frequently preferred vaccine is comirnaty (41.7%). About 13.1% of the participants stated that "if we had a domestic COVID-19 vaccine, I would have it." The most common sources of information about vaccines are television with 78.4%, and health workers are in the last place with 14.7%. "Concerns about side effects" are the most frequently cited (85.9%) reason for not vaccinating. The mean score of the VAX scale is 42.34 +/- 10.93, and the "mistrust of vaccine benefit" is higher among primary school graduates than other educational status groups (p=0.001).CONCLUSION: Anti-vaccination attitudes have increased with the COVID-19 vaccines during pandemic. Our study is valu-able in terms of examining the reasons of individuals who have not gotten vaccinated even though they had no access prob-lems. Prominent concerns of the population should be approached seriously. Otherwise, vaccine hesitancy can be a decisive factor that would prevent the success of the struggle against pandemic.Öğe COVID-19 pandemic and psychological fatigue in Turkey(SAGE Publications Ltd, 2021) Morgül, Ebru; Bener, Abdulbari; Atak, Muhammed; Akyel, Salih; Aktaş, Selman; Bhugra, Dinesh; Ventriglio, Antonio; Jordan, Timothy R.Aim: The aim of this study was to investigate the association between the COVID-19 pandemic and psychological fatigue as a mental health issue among the population of Istanbul, Turkey. Participants and methods: This is a cross-sectional study conducted in Istanbul, Turkey, between March and June 2020, where a total of 4,700 persons were approached and 3,672 (78%) of participants (64.4% males and 35.6% females ) completed the Knowledge Attitude Practices (KAP) and Fatigue Assessment Scale (FAS) questionnaires. Results: In this study, 64.1% of participants were categorized as psychologically fatigued and 35.9% as normal. There was a significant difference between fatigued and normal participants with respect to age, educational level, occupational status, place of residence and number of family members (p < .001). Other differences related to knowledge of COVID-19 were symptoms, treatment, ways of spreading (p < .001), prevention by avoiding crowded places (p =.008) and isolation (p =.002). For attitudinal items, normal participants generally showed more positive attitudes than the fatigued in believing that COVID-19 will finally be controlled, satisfaction with preventive measures taken by the authorities, reporting suspected cases with symptoms and trusting that Turkey can overcome the COVID-19 pandemic (p < .001). Multivariate stepwise regression analysis indicated that level of education, avoiding going to crowded places, eye, nose and mouth organs are sensitive organs to the virus, keeping physical distance due to epidemic affect by COVID-19 virus, isolation and treatment of people reduce the spread of COVID-19 virus and 14-days period of time, COVID-19 is mainly transmitted through contact with the respiratory droplets of an infected person, occupational status, health education programme needed and antibody treatment variables were significantly associated with fatigue after adjusting for age, gender and income variables. Conclusion: The current study provides valuable information for policymakers and mental health professionals worldwide regarding associations between the mental health of individuals and the ongoing outbreak, COVID-19.Öğe Factors associated with the prevalence of postpartum anxiety disorder and depression in Syrian Migrant women living in Turkey: A cross-sectional study(MDPI, 2023) Atak, Muhammed; Sezerol, Mehmet Akif; Değer, Mehmet Sait; Kurubal, HamzaThe global migration trend has brought attention to the mental health of immigrant populations, especially postpartum women. The prevalence of postpartum anxiety and depression among these populations remains a growing concern. This study aimed to explore the factors associated with postpartum anxiety and depression among immigrant women, with a special emphasis on Syrian migrants in Turkey. A cross-sectional design was employed, enrolling postpartum women who visited the Strengthened Migrant Health Center in Istanbul between July and December 2022. Data were collected using a three-part questionnaire comprising sociodemographic details and scores from the Edinburgh Postpartum Depression Scale (EPDS) and Beck Anxiety Scale (BAI). The average age of participants was 25.73 years. The mean EPDS and BAI scores were low at 1.27 and 3.85, respectively. Notably, 97.1% of women scored below the EPDS cut-off point of 13. EPDS scores showed a significant relationship between income levels and COVID-19 vaccination status, while BAI scores were significantly associated with educational levels. There was an inverse correlation between EPDS scores and the number of cohabitants in a household. The observed low rates of postpartum depression and anxiety could be attributed to the accessible health services and psychosocial support for immigrants in Turkey. It would be useful to conduct multicenter and comprehensive epidemiological studies on migrant puerperas.Öğe Family physicians overestimate diagnosis probabilities regardless of the test results(Frontiers Media SA, 2024) Ataç, Ömer; Küçükali, Hüseyin; Tokaç Farımaz, Ayşe Zülal; Palteki, Ayşe Seval; Çavdar, Sabanur; Aslan, Melek Nur; Atak, Muhammed; Sezerol, Mehmet Akif; Taşçı, Yusuf; Hayran, OsmanIntroduction: As useful tools for clinical decision-making, diagnostic tests require careful interpretation in order to prevent underdiagnosis, overdiagnosis or misdiagnosis. The aim of this study was to explore primary care practitioners’ understanding and interpretation of the probability of disease before and after test results for six common clinical scenarios. Methods: This cross-sectional study was conducted with 414 family physicians who were working at primary care in Istanbul via face-to-face interviews held between November 2021 and March 2022. The participants were asked to estimate the probability of diagnosis in six clinical scenarios provided to them. Clinical scenarios were about three cancer screening cases (breast, cervical and colorectal), and three infectious disease cases (pneumonia, urinary tract infection, and COVID-19). For each scenario participants estimated the probability of the diagnosis before application of a diagnostic test, after a positive test result, and after a negative test result. Their estimates were compared with the true answers derived from relevant guidelines. Results: For all scenarios, physicians’ estimates were significantly higher than the scientific evidence range. The minimum overestimation was positive test result for COVID-19 and maximum was pre-test case for cervical cancer. In the hypothetical control question for prevalence and test accuracy, physicians estimated disease probability as 95.0% for a positive test result and 5.0% for a negative test result while the correct answers were 2.0 and 0%, respectively (p < 0.001). Discussion: Comparing the scientific evidence, overestimation in all diagnostic scenarios, regardless of if the disease is an acute infection or a cancer, may indicate that the probabilistic approach is not conducted by the family physicians. To prevent inaccurate interpretation of the tests that may lead to incorrect or unnecessary treatments with adverse consequences, evidence-based decision-making capacity must be strengthened.Öğe Lessons to be learned: The knowledge, attitudes, and practices of Turkish people towards the COVID-19 pandemic(Wolters Kluwer Medknow Publications, 2022) Bener, Abdulbari; Atak, Muhammed; Morgul, Ebru; Barışık, Cem CahitBackground: The world experienced the greatest pandemic of the 21 st century with the emergence of a new and readily transmissible the coronavirus disease. Understanding knowledge, attitudes, and practices (KAP) of the public towards the pandemic is an essential part of developing effective preventive strategies. Aim: The objective of this study was to investigate the knowledge, attitudes, and practices (KAP) concerning the coronavirus (COVID-19) among population in Istanbul. Methods: This is a cross-sectional and multi-stage, stratified random sampling based on multi-center population of Istanbul. A total of 5,414 persons were contacted and 4361 participants (80.5%) gave consent. The data were analyzed using descriptive and multiple regression analyses. Results: There were significant differences between low education and high educational level with respect to age groups, gender, occupation, income, residence, number of rooms and family members (P < 0.001). Responses concerning knowledge of COVID-19 indicated that subjects with high education level were significantly higher regarding knowledge of the signs and symptoms of COVID-19 and methods of detecting COVID-19 respectively. Majority of the participants consider COVID-19 risk is higher than AIDS or Cancer (75.8% of low education vs. 67.2% of high education level (P < 0.001). Multivariate stepwise regression analysis revealed that monthly income status (P < 0.001), appropriate method of detecting COVID-19 (P < 0.001), occupational status (P < 0.001), medical mask prevent against COVID-19 (P < 0.001), eating or contacting wild animals (P < 0.001), isolation and treatment of people reduce risk (P < 0.001), isolation 14 days (P < 0.001), avoid going to crowded places such as train-metro, bus, restaurants and shopping (P = 0.003), COVID-19 spreads via-respiratory droplets (P = 0.004), afraid of travel (P = 0.026) were significantly associated with COVID-19 knowledge. Conclusions: The current study results revealed that the educational level and occupation especially sedentary are correlated positively with knowledge, attitude and practices. This finding is not surprising since higher education levels and professional status are associated with good KAP in most epidemic diseases including COVID-19. Nevertheless, the recent experience with COVID-19 has provided lessons on strategy and policy making.Öğe Prevalence of depression, anxiety, and associated factors in immigrant pregnant women in Türkiye: A cross-sectional study(Lippincott Williams and Wilkins, 2023) Atak, Muhammed; Sezerol, Mehmet Akif; Koçak, Elif Nur; De?er, Mehmet Sait; Kurubal, HamzaThe prevalence of depression and anxiety in pregnant women is increasing and this is more important in migrants who are in the vulnerable group. The aim of this study was to evaluate the prevalence of depression and anxiety in Syrian immigrant pregnant women admitted to a Migrant Health Center and the associated factors. The study is a cross-sectional study. A questionnaire prepared using sociodemographic characteristics and the Beck depression and anxiety inventories in Arabic was applied to the participants. The study was conducted with immigrant pregnant women who applied to the Migrant Health Center between July 8, 2022, and December 31, 2022. The study was conducted through health workers who speak Arabic and had received training on the subject beforehand. The mean age of the research group was 26.67?±?5.98 years. Of the participants, 73.0 percent (%) had primary education or less, 95.0% had low income, 87.2% had 3 or less children and 98.5% described their health status as good or very good. The mean Beck anxiety inventory score of the participants was found to be 4.65?±?3.17. The mean Beck depression inventory score was found to be 4.48?±?2.53. Smoking and first pregnancy status were found to be associated with anxiety, whereas smoking and history of delivery beyond 42 weeks were found to be associated with depression (P .05). Anxiety and depression levels of immigrant pregnant women were found to be very low. Minimal anxiety was found in 99.3% of the immigrant pregnant women and 97.1% had no symptoms of depression. It is thought that effective psychosocial support activities for immigrant pregnant women should be carried out in a way to cover the entire target group.Öğe Rational drug and antibiotic use status, e-health literacy in Syrian immigrants and related factors: A cross-sectional study(Multidisciplinary Digital Publishing Institute (MDPI), 2023) Değer, Mehmet Sait; Sezerol, Mehmet Akif; Atak, MuhammedRational drug use is a pivotal concept linked with morbidity and mortality. Immigration plays a significant role as a determinant affecting individuals’ health-related attitudes, behaviors, and the pursuit of health services. Within this context, the study was initiated to assess the factors influencing health literacy and rational drug use among Syrian immigrants in Istanbul. A cross-sectional study was undertaken on 542 Syrian adults utilizing a three-part questionnaire encompassing sociodemographics, rational drug use, and the e-health literacy scale (eHEALS). With an average age of 39.19 ± 13.10 years, a majority of participants believed medications should solely be doctor-prescribed (97%) and opposed keeping antibiotics at home (93.7%). Yet, 62.5% thought excessive herbal medicine use was harmless. The mean eHEALS score stood at 20.57 ± 7.26, and factors like age, marital status, income, and duration of stay in Turkey influenced e-health literacy. Associations were seen between low e-health literacy and being female, being older, having a lower education level, and regular medication use. Syrian immigrants displayed proper knowledge concerning antibiotics yet exhibited gaps in their understanding of general drug usage, treatment adherence, and herbal medicines. Approximately 80.3% had limited health literacy, pointing to the need for targeted interventions for enhanced health and societal assimilation.Öğe Sağlık öğrencilerinde aşı tereddüdü(Hayat Sağlık ve Sosyal Hizmetler Vakfı, 2021) Çetin, Ali Osman; Şaşmaz, Asiye; Kurtuluş, Dilara; Badur, İsa; Balkan, İlker İnanç; Owiw, Mohannad; Öge, Ali Emre; Atak, Muhammed; Duman, Alparslan; Altunel, Ayşe Nur; Akkoyun, Meryem; Korkmaz, Beyza; Çelik, Ahmet Ali; Özdilek, Yusuf İhsan; Keleş, Huzeyfe; Az, Adem; Ankaralı, HandanAmaç: Bu çalışmada İstanbul’da sağlık alanında (tıp, diş hekimliği, eczacılık, hemşirelik, ebelik, fizik tedavi ve rehabilitasyon, diyetisyenlik, odyoloji, sağlık yönetimi) yükseköğrenim görmekte olan öğrencilerin aşı tereddüdü düzeyini, dağılımını ve öğrenim yılına göre değişimini ortaya koymak amaçlanmıştır. Yöntem: Çalışmamız bir anket çalışmasıydı ve belirlenen fakülte ve bölümlerde kayıtlı (T.C. Ölçme, Seçme ve Yerleştirme Merkezi 2019 verilerine göre) 17.488 üniversite öğrencisinin %10’una ulaşmak hedeflendi. Anket Google Formlar® platformunda çevrimiçi olarak gerçekleştirildi. Bulgular: Çalışma toplam 1559 öğrenci içerdi. Öğrencilerin %15,1’i “Gerekli durumlarda (riskli maruziyet, rutin korunma) kendinize tereddüt etmeden aşı yaptırabiliyor musunuz?” sorusuna “Hayır” yanıtını verdi. Bu oranın öğrenim yılı arttıkça azaldığı görüldü (?2=21,523; p<0,001). Aşı tereddüdü tıp (%9,2) ve ebelik (%11,2) öğrencilerinde en düşük, fizik tedavi (%31,3) ve odyoloji (%30,4) öğrencilerinde ise en yüksek düzeydeydi. Aşı tereddüdü düzeyi eğitim düzeyine göre anlamlı farklılık gösterdi (?2=63,034; p<0,001); öğrenim yılı arttıkça aşılara duyulan güven artmaktaydı. Ancak öğrencilerin %78,6’sının grip aşısına dair tereddütleri olduğu ve bunun öğrenim yılı ile anlamlı biçimde değişmediği (p=0,053) görüldü. Kızamık ve suçiçeği aşıları ile ilgili tereddütlerin başlıca nedeni “hastalığı geçirmenin aşı olmaktan daha koruyucu” olduğu düşüncesi; hepatit B, tetanos ve kuduz aşıları ile ilgili tereddütlerin başlıca nedeni ise “yan etkilerden duyulan kaygı” idi. Sonuç: Sağlık çalışanları arasındaki aşı tereddüdü toplumun aşılanma tutumu üzerinde oldukça etkilidir. Öğrenim yılı arttıkça azalmakla birlikte, sağlık öğrencilerinde aşı tereddüdü düzeyi yüksek görünmektedir. Bu tereddütlerin yükseköğretim sırasında belirlenip doğru bilgilendirmeyle giderilmesi son derece önemlidir. Sağlık yükseköğretimindeki içerik ve yöntemler bu gözle yeniden değerlendirilmelidir.Öğe The impact of COVID-19 pandemic on mental health of health care workers(Edizioni Minerva Medica, 2022) Bener, Abdulbari; Atak, Muhammed; Kurtuluş, Dilara; Koyuncu, Oğuzhan; Barışık, Cem Cahit; Bhugra, Dinesh; Ventriglio, AntonioBackground: this study investigated the impact of cOViD-19 on professional (hcWs) health care workers’ mental health and the prevalence of depression, anxiety, fear and stress related to their workload. METHODS: This is a cross-sectional survey including 1,554 male and female participants aged 20-65 years in Turkey who completed the 21-item Depression, anxiety, stress scale (Dass-21), Burnout and Fear of cOViD-19 scale (FcV-19s). Bivariate and multivariate regression analyses were performed. RESULTS: Significant differences were found between two groups defined as HCWs-frontline and non-frontline, in the following characteristics: (P=0.013), gender (P<0.001), education (P<0.001), occupational status (P<.001), income (P=0.003), working-years experience (P<0.001), number hospital rooms assigned (P=0.024), number of persons living with (P=0.024), and smoking habits (P=0.018). The findings showed that the prevalence of depression anxiety and stress was significantly higher among the frontline workers when compared to non-frontline ones (all P?0.018). They also reported significantly higher scores of fear of COVID-19 for all items (P<0.001). The mean scores of burnout items were significantly higher among frontline-HCWs as well as all items regarding the COVID-19 (P<0.001). The multivariate stepwise regression analysis confirmed Predictors for depression were: feeling the burnout (physical / mental exhaustion), feeling emotionally exhausted from work, clammy hand, number of years of work experience, fear of family members catching infection, can’t sleep because the risk of getting cOViD-19. Meanwhile, hardworking, number of years at work, feeling depressed and burnout (physical / mental exhaustion) form current COVID-19 work, were all considered main risk factors for anxiety. CONCLUSIONS: The findings of this study determined that fear and burnout related COVID-19 were significantly associated with high scores of depression, anxiety, and stress among frontline-hcWs, which requires immediate action and support.
