This study deals with the distribution of heavy metals in soils around one of the most important industries in Kingston, Jamaica i.e. the Carib Cement factory at Rockfort. The dust emitted from the Caribbean Cement Co...This study deals with the distribution of heavy metals in soils around one of the most important industries in Kingston, Jamaica i.e. the Carib Cement factory at Rockfort. The dust emitted from the Caribbean Cement Company Limited (Carib Cement), located in Rockfort, Kingston, gets deposited in course of time over the soil, leaves and forms a grey cover on the surrounding soils. Geochemical analysis of the top soil, collected from the present study area has been undertaken to assess the impact of the dust emitted from the cement factory and its effect on the surrounding ecosystem. A total of seventeen top soil samples of 0-10 cm depth were collected from the close vicinity of the Rockfort and the Harbour view area and analysed by INAA, AAS, XRF for major, minor and trace elements. Results show that the top soils of the study area are enriched in Pb, Zn, Cr, Cd, V, Pb, and Hg which are released into the air from the cement kilns. Results show that the soils are enriched in Ca with a maximum value of 18% followed by Al, Fe and Na. Heavy metals in the soils of the study area shows relatively high concentrations of zinc with a maximum of 132 ppm followed by Cr (57) ppm and Pb (32) ppm. Maximum concentrations were found in soils sampled at a distance of 2-3 m from the cement factory as opposed to samples collected much further ie from the Harbour View area. High concentrations of the heavy metals in the soils near the cement factory as opposed to those further away can be due to the emissions from the factory. A significant contribution can also come from traffic emissions as the study area is located along one of the busiest street of Kingston, Jamaica.展开更多
For years, the hotel industry has been a dominant contributor in many economies by employing thousands of people and generating huge revenue annually and is currently the fastest growing economic sector in the world. ...For years, the hotel industry has been a dominant contributor in many economies by employing thousands of people and generating huge revenue annually and is currently the fastest growing economic sector in the world. This incredible success is largely attributed to the adoption of information and communication technology (ICT). Research has demonstrated that ICT adoption is a key influencing factor in enhancing hotel performance at both the strategic and operational levels. However, there is an appeal in the literature for more studies to evaluate the relationship between ICT adoption and hotel performance in developing countries. As a result, this conceptual paper is proposing a research model to evaluate the impact of ICT adoption on the performance of Jamaican hotels. It is hoped that future research will validate the proposed research model, which by extension can provide useful insights to hotel managers regarding the ICT services with the greatest influence on hotel performance.展开更多
Objectives: The aim of the current study is to examine the health status of elderly in rural, peri-urban and urban areas of residence in Ja-maica, and to propose a model to predict the social determinants of poor heal...Objectives: The aim of the current study is to examine the health status of elderly in rural, peri-urban and urban areas of residence in Ja-maica, and to propose a model to predict the social determinants of poor health status of elderly Jamaicans with at least one chronic disease. Methods: A sub-sample of 287 re-spondents 60 years and older was extracted from a larger nationally cross-sectional survey of 6783 respondents. The stratified multistage probability sampling technique was used to draw the survey respondents. A self-adminis-tered questionnaire was used to collect the data from the sample. Descriptive statistics were used to examine the demographic characteris-tics of the sample;chi-square was used to in-vestigate non-metric variables, and logistic re-gression was the multivariate technique chosen to determine predictors of poor health status. Results: Almost thirty six percent of the sam-ples had poor health status. Majority (43.2%) of the sample reported hypertension, 25.4% dia-betes mellitus and 13.2% rheumatoid arthritis. Only 35.4% of those who indicated that they had at least one chronic illness reported poor health status and there was a statistical relation be-tween health status and area of residence [χ2 (df = 4) = 11.569, P = 0.021, n = 287]. Rural residents reported the highest poor health status (44.2%) compared to other town (27.3%) and urban area residents (23.7%). Conclusions: Majority of the respondents in the sample had good health, and those with poor health status were more likely to report having hypertension followed by dia-betes mellitus and rheumatoid arthritis. Poor health status was more prevalent among those of lower economic status in rural areas who re- ported greater medical health care expenditure. The prevalence of chronic diseases and levels of disability in older people can be reduced with appropriate health promotion and strategies to prevent non-communicable diseases.展开更多
The purpose of the current study was to model the health insurance coverage of Jamaicans;and to identify the determinants, strength and predictive power of the model in order to aid clinicians and other health practit...The purpose of the current study was to model the health insurance coverage of Jamaicans;and to identify the determinants, strength and predictive power of the model in order to aid clinicians and other health practitioners in understanding those who have health insurance coverage. This study utilized secondary data taken from the dataset of the Jamaica Survey of Living Conditions which was collected between July and October 2002. It was a nationally representative stratified random sample survey of 25,018 respondents, with 50.7% females and 49.3% males. The data was collected by way of a self-administered questionnaire. The non-response rate for the survey was 29.7% with 20.5% not responding to particular questions, 9.0% not participating in the survey and another 0.2% being rejected due to data cleaning. The current research extracted 16,118 people 15 years and older from the survey sample of 25,018 respondents in order to model the determinants of private health insurance coverage in Jamaica. Data were stored, retrieved and analyzed using SPSS for Windows 15.0. A p-value of less than 0.05 was used to establish statistical significance. Descriptive analysis was used to provide baseline information on the sample, and cross-tabulations were used to examine some non-metric variables. Logistic regression was used to identify, determine and establish those factors that influence private health insurance coverage in Jamaica. This study found that approximately 12% of Jamaicans had private health insurance coverage, of which the least health insurance was owned by rural residents (7.5%). Using logistic regression, the findings revealed that twelve variables emerged as statistically significant determinants of health insurance coverage in this sample. These variables are social standing (two weal- thiest quintile: OR = 1.68, 95% CI = 1.23 – 2.30), income (OR = 1.00, 95%CI = 1.00 – 1.00), durable goods (OR = 1.16, 95% CI = 1.12 – 1.19), marital status (married: OR = 1.97, 95% CI = 1.61 – 2.42), area of residence (Peri-urban: OR = 1.45, 95% CI = 1.199 – 1.75;urban: OR = 1.83, 95% CI = 1.40 – 2.40), education (secondary: OR = 1.57, 95% CI = 1.20 – 2.06;tertiary: OR = 9.03, 95% CI = 6.47 – 12.59), social support (OR = 0.64, 95% CI = 0.53 – 0.76), crowding (OR = 1.14, 95% CI = 1.02 – 1.28), psychological conditions (negative affective: OR = 0.97, 95% CI = 0.94 – 1.00;positive affective: OR = 1.11, 95% CI = 1.06 – 1.16), number of males in household (OR = 0.85, 95% CI = 0.77 – 0.93), living arrangements (OR = 0.62, 95% CI = 0.41 – 0.92) and retirement benefits (OR = 1.55, 95% CI = 1.03 – 2.35). This study highlighted the need to address preventative care for the wealthiest, rural residents and the fact that social support is crucial to health care, as well as the fact that medical care costs are borne by the extended family and other social groups in which the individual is (or was) a member, which explains the low demand for health insurance in Jamaica. Private health care in Jamaica is substantially determined by affordability and education rather than illness, and it is a poor measure of the health care- seeking behaviour of Jamaicans.展开更多
AIM: To determine the vision-related quality-of-life of glaucoma patients and the association between clinical and socioeconomic factors, and vision-related quality-of-life.METHODS: This was a cross-sectional study. C...AIM: To determine the vision-related quality-of-life of glaucoma patients and the association between clinical and socioeconomic factors, and vision-related quality-of-life.METHODS: This was a cross-sectional study. Consecutive patients with glaucoma were interviewed using a modified 25-item National Eye Institute Visual Function Questionnaire(VFQ-25) by a single interviewer. Statistical analysis was done to find associations between patient variables and vision-related quality-of-life scores. Confidentiality and anonymity were maintained.RESULTS: Ninety-six participants were recruited in the study. There were 44 males and the mean age for males and females was 65.7 and 69.5y, respectively. The mean composite score was 71.2(with a maximum possible score of 100), with the highest mean score in the colour vision subscale(89.8) and the lowest mean score in the driving subscale(34.0). Worse visual acuity(P<0.001), longer duration of glaucoma(P<0.001) and higher number of glaucoma medications(P<0.001) were associated with a worse composite score. Female participants and those who lived in urban areas had significantly better scores than male participants(P=0.002) and those who lived in rural areas(P=0.017), respectively.CONCLUSION: The vision-related quality-of-life in Jamaican glaucoma patients is comparable to that of glaucoma patients in the Barbados Eye Study and other international studies using the VFQ-25 questionnaire. Worse quality-of-life scores are associated with poorer visual acuity, longer duration of glaucoma, more glaucoma medications, and sociodemographic factors such as male gender and rural residence.展开更多
Background: In the Caribbean in particular Ja-maica, no study has been done to examine married respondents in order to understand reasons for their greater health status. The ob-jectives of the current study are: 1) e...Background: In the Caribbean in particular Ja-maica, no study has been done to examine married respondents in order to understand reasons for their greater health status. The ob-jectives of the current study are: 1) examine the sociodemographic characteristics of married people in Jamaica;2) evaluate self-rated health status of married people in Jamaica;3) deter-mine factors that account for good health status of married people and 4) provide public health practitioners with empirical studies that can be used to formulate policies for men in particular non-married men in Jamaica. Materials and me- thods: Stratified random sampling technique was used to select 6,783 respondents. It was a nationally representative sample. Logistic re-gression analysis was used to ascertain the correlates of health status. Results: The mean age for women in marriage in Jamaica was 6 years lower than that of men. The correlates of good health status (including moderate health) of respondents in descending order were self- reported illness (OR = 0.12, 95%CI = 0.01- 0.17);age (OR = 0.94, 95%CI = 0.93-0.96);income (OR = 1.32, 95%CI = 1.05-1.66) and sex of respon-dents (Or = 1.14-2.32)—χ2(df = 4) = 383.2, P < 0.05. The four variables accounted for 44.4% of the explanatory power of the model;with self-reported illness accounting for 32.5% of the explanatory power. Conclusion: Marriage pro-vides greater access to more socioeconomic resources for its participants as well as increase men’s unwillingness to visit medical care prac-titioners.展开更多
This study deals with the distribution of heavy metals in soils around one of the most important industries in Kingston, Jamaica?i.e.?the Carib Cement factory at Rockfort. The dust emitted from the Caribbean Cement Co...This study deals with the distribution of heavy metals in soils around one of the most important industries in Kingston, Jamaica?i.e.?the Carib Cement factory at Rockfort. The dust emitted from the Caribbean Cement Company Limited (Carib Cement), located in Rockfort, Kingston, gets deposited in course of time over the soil, leaves and forms a grey cover on the surrounding soils. Geochemical analysis of the top soil, collected from the present study area has been undertaken to assess the impact of the dust emitted from the cement factory and its effect on the surrounding ecosystem. A total of seventeen top soil samples of 0-10 cm depth were collected from the close vicinity of the Rockfort and the Harbour view area and analysed by INAA, AAS, XRF for major, minor and trace elements. Results show that the top soils of the study area are enriched in Pb, Zn, Cr, Cd, V, Pb, and Hg which are released into the air from the cement kilns. Results show that the soils are enriched in Ca with a maximum value of 18% followed by Al, Fe and Na. Heavy metals in the soils of the study area shows relatively high concentrations of zinc with a maximum of 132 ppm followed by Cr (57) ppm and Pb (32) ppm. Maximum concentrations were found in soils sampled at a distance of 2-3?m from the cement factory as opposed to samples collected much further ie from the Harbour View area. High concentrations of the heavy metals in the soils near the cement factory as opposed to those further away can be due to the emissions from the factory. A significant contribution can also come from traffic emissions as the study area is located along one of the busiest street of Kingston, Jamaica.展开更多
The Jamaican primary dry season extends from November-April with the driest period being January-March each year. Examination of the rainfall records over several decades reveal months that experienced a sharp increas...The Jamaican primary dry season extends from November-April with the driest period being January-March each year. Examination of the rainfall records over several decades reveal months that experienced a sharp increase in rainfall while sometimes they are drier than normal. During this dry season, some of the weather systems that impact the island significantly are cold fronts, highs pressure systems and troughs that migrate from the mainland USA. Major Sudden Stratospheric Warmings (SSW) occur routinely north of 60°N and severely impact weather over the North American continent. The islands of the Greater Antilles also experience inclement weather during this period as weather systems migrate southwards and impact the Caribbean. Severe winter weather due to the increase frequency and intensity of storms related to SSW events over North America is important to the Jamaican economy as tourists escape harsh winters by travelling to the island. Predicting the variability of rainfall during the primary dry season is therefore important as it has significant implications for event planning, tourism and agriculture. Cosmic-ray Muon flux has been found to be positively correlated with the atmospheric effective temperature used to indicate the occurrence of SSW events. Current research investigates the relationship between cosmic-ray Muon flux, SSW events and primary dry season rainfall. Our findings suggest that a significant change in rainfall occur over Jamaica during the primary dry season on average 29 days after the central date or on average 15 days after the SSW events end. Our study also suggests apparent similarities in the behaviour of cosmic-ray Muon flux over Jamaica to those when major SSW occurs at high latitudes. We therefore argue that the Muon detectors at low latitudes have practical use with respect to identifying SSWs and merits further study.展开更多
Health literature in the Caribbean, and in particular Jamaica, has continued to use objective indices such as mortality and morbidity to examine children’s health. The current study uses subjective indices such as pa...Health literature in the Caribbean, and in particular Jamaica, has continued to use objective indices such as mortality and morbidity to examine children’s health. The current study uses subjective indices such as parent-reported health conditions and health status to evaluate the health of children instead of traditional objective indices. The study seeks 1) to examine the health and health care-seeking behaviour of the sample from the parents’ viewpoints;and 2) to compute the mean age of the sample with a particular illness and describe whether there is an epidemiological shift in these conditions. Two nationally representative cross-sectional surveys were used for this study (2002 and 2007). The sample for the current study is 3,062 respondents aged less than 5 years. For 2002, the study extracted a sample of 2,448 under 5 year olds from the national survey of 25,018 respondents, and 614 under 5 year olds were extracted from the 2007 survey of 6,728 respondents. Parents-reported information was used to measure issues on children under 5 years old. In 2007, 43.4% of the sample had very good health status;46.7% good health status;2.5% poor health and 0.3% very poor health status. Almost 15% of children had illnesses in 2002, and 6% more had illnesses in 2007 over 2002. In 2002, the percentage of the sample with particular chronic illnesses was: diabetes mellitus (0.6%);hypertension (0.3%) and arthritis (0.3%). However, none was recorded in 2007. The mean age of children less than 5 years old with acute health conditions (i.e. diarrhoea, respiratory diseases and influenza) increased over 2002. In 2007, 43.4% of children less than 5 years old had very good health status;46.7% good health status;7.1% fair health status;2.5% poor and 0.3% very poor health status. The association between health status and parent- reported illness was –x2 (df = 4) = 57.494, P< 0.001-with the relationship being a weak one, correlation coefficient=0.297. A cross-tabulation between health status and parent-reported diagnosed illness found that a significant statistical correlation existed between the two variables –x2 (df = 16) = 26.621, P < 0.05, cc = 0.422, – with the association being a moderate one, correlation coefficient = 0.422. A cross tabulation between health status and health care- seeking behaviour found a significant statistical association between the two variables –x2 (df = 4) = 10.513, P < 0.033-with the correlation being a weak one-correlation coefficient = 0.281. Rural children had the least health status. The health disparity that existed between rural and urban less than 5 year olds showed that this will not be removed simply because of the abolition of health care utilization fees.展开更多
Health care workers are responsible for the execution of the health policy of a nation, yet little if any empirical evidence is there on health, lifestyle, health choices, and health conditions of health care workers ...Health care workers are responsible for the execution of the health policy of a nation, yet little if any empirical evidence is there on health, lifestyle, health choices, and health conditions of health care workers in the rural parish of Hanover, Jamaica. The current study examines health, lifestyle and health behaviour among health professional in Hanover. The current study has a sample of 212 respondents. A 26- item questionnaire was used to collect the data. Data from the questionnaires were coded and entered into a micro-computer and analysis done using SPSS for Widows Version 15.0 soft- ware. The Chi-square test was used to test association between non-metric variables. A p-value &amp;amp;lt;0.05 (two-tailed) was selected to indicate statistical significance. It was found that 16.0% of respondents had diabetes mellitus (2.8% of males compared to 19.8% females);22.6% had hypertension (25.5% of female and 12.8% of males);0.5% breast cancer;0.5% stomach cancer;1.9% enlarged heart;and 0.5% ischemic heart disease. Forty-three percentage points of the sample was overweight, 33.5% obese and 24.1% had a normal weight. Over 15% of nurses and doctors were obese compared to 38% of ancillary staffers. Twenty percentage points of respondents consume alcohol on a regular basis;15.6% do no regular physical exercise, 42.4% add sweetening to their hot beverages, and 4.7% were smokers. There is a need for public health practitioners to formulate a health intervention programme that will target people in Hanover, but also specific groups such as doctors, nurses, administrative, ancillary staffers and technical staffers.展开更多
The species Hibiscus sabdadariffa L. is originally from Africa. It has been distributed all over the world as an ornamental plant and it is consumed in several ways as infusion, salad dressings, marmalades, etc. Howev...The species Hibiscus sabdadariffa L. is originally from Africa. It has been distributed all over the world as an ornamental plant and it is consumed in several ways as infusion, salad dressings, marmalades, etc. However, its medical benefits are rarely studied. In this paper we present results from a clinical assay demonstrating the influence of hibiscus effects, presented as dry extracts in gel caps, on a general blood lipidic profile (LDL and HDL Cholesterol and triglycerides). We recruited 20 volunteers, 45 to 64 years old with the compromise of not changing food habits. They were divided into two groups;one of them received two 500 mg hibiscus dry gel caps treatment, three times a day for two months and the other group received same doses of placebo (Fructose) for the same period. Results showed a blood lipidic concentration reduction in those patients under hibiscus treatment statistically different (p 0.05) as compared to control patients.展开更多
文摘This study deals with the distribution of heavy metals in soils around one of the most important industries in Kingston, Jamaica i.e. the Carib Cement factory at Rockfort. The dust emitted from the Caribbean Cement Company Limited (Carib Cement), located in Rockfort, Kingston, gets deposited in course of time over the soil, leaves and forms a grey cover on the surrounding soils. Geochemical analysis of the top soil, collected from the present study area has been undertaken to assess the impact of the dust emitted from the cement factory and its effect on the surrounding ecosystem. A total of seventeen top soil samples of 0-10 cm depth were collected from the close vicinity of the Rockfort and the Harbour view area and analysed by INAA, AAS, XRF for major, minor and trace elements. Results show that the top soils of the study area are enriched in Pb, Zn, Cr, Cd, V, Pb, and Hg which are released into the air from the cement kilns. Results show that the soils are enriched in Ca with a maximum value of 18% followed by Al, Fe and Na. Heavy metals in the soils of the study area shows relatively high concentrations of zinc with a maximum of 132 ppm followed by Cr (57) ppm and Pb (32) ppm. Maximum concentrations were found in soils sampled at a distance of 2-3 m from the cement factory as opposed to samples collected much further ie from the Harbour View area. High concentrations of the heavy metals in the soils near the cement factory as opposed to those further away can be due to the emissions from the factory. A significant contribution can also come from traffic emissions as the study area is located along one of the busiest street of Kingston, Jamaica.
文摘For years, the hotel industry has been a dominant contributor in many economies by employing thousands of people and generating huge revenue annually and is currently the fastest growing economic sector in the world. This incredible success is largely attributed to the adoption of information and communication technology (ICT). Research has demonstrated that ICT adoption is a key influencing factor in enhancing hotel performance at both the strategic and operational levels. However, there is an appeal in the literature for more studies to evaluate the relationship between ICT adoption and hotel performance in developing countries. As a result, this conceptual paper is proposing a research model to evaluate the impact of ICT adoption on the performance of Jamaican hotels. It is hoped that future research will validate the proposed research model, which by extension can provide useful insights to hotel managers regarding the ICT services with the greatest influence on hotel performance.
文摘Objectives: The aim of the current study is to examine the health status of elderly in rural, peri-urban and urban areas of residence in Ja-maica, and to propose a model to predict the social determinants of poor health status of elderly Jamaicans with at least one chronic disease. Methods: A sub-sample of 287 re-spondents 60 years and older was extracted from a larger nationally cross-sectional survey of 6783 respondents. The stratified multistage probability sampling technique was used to draw the survey respondents. A self-adminis-tered questionnaire was used to collect the data from the sample. Descriptive statistics were used to examine the demographic characteris-tics of the sample;chi-square was used to in-vestigate non-metric variables, and logistic re-gression was the multivariate technique chosen to determine predictors of poor health status. Results: Almost thirty six percent of the sam-ples had poor health status. Majority (43.2%) of the sample reported hypertension, 25.4% dia-betes mellitus and 13.2% rheumatoid arthritis. Only 35.4% of those who indicated that they had at least one chronic illness reported poor health status and there was a statistical relation be-tween health status and area of residence [χ2 (df = 4) = 11.569, P = 0.021, n = 287]. Rural residents reported the highest poor health status (44.2%) compared to other town (27.3%) and urban area residents (23.7%). Conclusions: Majority of the respondents in the sample had good health, and those with poor health status were more likely to report having hypertension followed by dia-betes mellitus and rheumatoid arthritis. Poor health status was more prevalent among those of lower economic status in rural areas who re- ported greater medical health care expenditure. The prevalence of chronic diseases and levels of disability in older people can be reduced with appropriate health promotion and strategies to prevent non-communicable diseases.
文摘The purpose of the current study was to model the health insurance coverage of Jamaicans;and to identify the determinants, strength and predictive power of the model in order to aid clinicians and other health practitioners in understanding those who have health insurance coverage. This study utilized secondary data taken from the dataset of the Jamaica Survey of Living Conditions which was collected between July and October 2002. It was a nationally representative stratified random sample survey of 25,018 respondents, with 50.7% females and 49.3% males. The data was collected by way of a self-administered questionnaire. The non-response rate for the survey was 29.7% with 20.5% not responding to particular questions, 9.0% not participating in the survey and another 0.2% being rejected due to data cleaning. The current research extracted 16,118 people 15 years and older from the survey sample of 25,018 respondents in order to model the determinants of private health insurance coverage in Jamaica. Data were stored, retrieved and analyzed using SPSS for Windows 15.0. A p-value of less than 0.05 was used to establish statistical significance. Descriptive analysis was used to provide baseline information on the sample, and cross-tabulations were used to examine some non-metric variables. Logistic regression was used to identify, determine and establish those factors that influence private health insurance coverage in Jamaica. This study found that approximately 12% of Jamaicans had private health insurance coverage, of which the least health insurance was owned by rural residents (7.5%). Using logistic regression, the findings revealed that twelve variables emerged as statistically significant determinants of health insurance coverage in this sample. These variables are social standing (two weal- thiest quintile: OR = 1.68, 95% CI = 1.23 – 2.30), income (OR = 1.00, 95%CI = 1.00 – 1.00), durable goods (OR = 1.16, 95% CI = 1.12 – 1.19), marital status (married: OR = 1.97, 95% CI = 1.61 – 2.42), area of residence (Peri-urban: OR = 1.45, 95% CI = 1.199 – 1.75;urban: OR = 1.83, 95% CI = 1.40 – 2.40), education (secondary: OR = 1.57, 95% CI = 1.20 – 2.06;tertiary: OR = 9.03, 95% CI = 6.47 – 12.59), social support (OR = 0.64, 95% CI = 0.53 – 0.76), crowding (OR = 1.14, 95% CI = 1.02 – 1.28), psychological conditions (negative affective: OR = 0.97, 95% CI = 0.94 – 1.00;positive affective: OR = 1.11, 95% CI = 1.06 – 1.16), number of males in household (OR = 0.85, 95% CI = 0.77 – 0.93), living arrangements (OR = 0.62, 95% CI = 0.41 – 0.92) and retirement benefits (OR = 1.55, 95% CI = 1.03 – 2.35). This study highlighted the need to address preventative care for the wealthiest, rural residents and the fact that social support is crucial to health care, as well as the fact that medical care costs are borne by the extended family and other social groups in which the individual is (or was) a member, which explains the low demand for health insurance in Jamaica. Private health care in Jamaica is substantially determined by affordability and education rather than illness, and it is a poor measure of the health care- seeking behaviour of Jamaicans.
文摘AIM: To determine the vision-related quality-of-life of glaucoma patients and the association between clinical and socioeconomic factors, and vision-related quality-of-life.METHODS: This was a cross-sectional study. Consecutive patients with glaucoma were interviewed using a modified 25-item National Eye Institute Visual Function Questionnaire(VFQ-25) by a single interviewer. Statistical analysis was done to find associations between patient variables and vision-related quality-of-life scores. Confidentiality and anonymity were maintained.RESULTS: Ninety-six participants were recruited in the study. There were 44 males and the mean age for males and females was 65.7 and 69.5y, respectively. The mean composite score was 71.2(with a maximum possible score of 100), with the highest mean score in the colour vision subscale(89.8) and the lowest mean score in the driving subscale(34.0). Worse visual acuity(P<0.001), longer duration of glaucoma(P<0.001) and higher number of glaucoma medications(P<0.001) were associated with a worse composite score. Female participants and those who lived in urban areas had significantly better scores than male participants(P=0.002) and those who lived in rural areas(P=0.017), respectively.CONCLUSION: The vision-related quality-of-life in Jamaican glaucoma patients is comparable to that of glaucoma patients in the Barbados Eye Study and other international studies using the VFQ-25 questionnaire. Worse quality-of-life scores are associated with poorer visual acuity, longer duration of glaucoma, more glaucoma medications, and sociodemographic factors such as male gender and rural residence.
文摘Background: In the Caribbean in particular Ja-maica, no study has been done to examine married respondents in order to understand reasons for their greater health status. The ob-jectives of the current study are: 1) examine the sociodemographic characteristics of married people in Jamaica;2) evaluate self-rated health status of married people in Jamaica;3) deter-mine factors that account for good health status of married people and 4) provide public health practitioners with empirical studies that can be used to formulate policies for men in particular non-married men in Jamaica. Materials and me- thods: Stratified random sampling technique was used to select 6,783 respondents. It was a nationally representative sample. Logistic re-gression analysis was used to ascertain the correlates of health status. Results: The mean age for women in marriage in Jamaica was 6 years lower than that of men. The correlates of good health status (including moderate health) of respondents in descending order were self- reported illness (OR = 0.12, 95%CI = 0.01- 0.17);age (OR = 0.94, 95%CI = 0.93-0.96);income (OR = 1.32, 95%CI = 1.05-1.66) and sex of respon-dents (Or = 1.14-2.32)—χ2(df = 4) = 383.2, P < 0.05. The four variables accounted for 44.4% of the explanatory power of the model;with self-reported illness accounting for 32.5% of the explanatory power. Conclusion: Marriage pro-vides greater access to more socioeconomic resources for its participants as well as increase men’s unwillingness to visit medical care prac-titioners.
文摘This study deals with the distribution of heavy metals in soils around one of the most important industries in Kingston, Jamaica?i.e.?the Carib Cement factory at Rockfort. The dust emitted from the Caribbean Cement Company Limited (Carib Cement), located in Rockfort, Kingston, gets deposited in course of time over the soil, leaves and forms a grey cover on the surrounding soils. Geochemical analysis of the top soil, collected from the present study area has been undertaken to assess the impact of the dust emitted from the cement factory and its effect on the surrounding ecosystem. A total of seventeen top soil samples of 0-10 cm depth were collected from the close vicinity of the Rockfort and the Harbour view area and analysed by INAA, AAS, XRF for major, minor and trace elements. Results show that the top soils of the study area are enriched in Pb, Zn, Cr, Cd, V, Pb, and Hg which are released into the air from the cement kilns. Results show that the soils are enriched in Ca with a maximum value of 18% followed by Al, Fe and Na. Heavy metals in the soils of the study area shows relatively high concentrations of zinc with a maximum of 132 ppm followed by Cr (57) ppm and Pb (32) ppm. Maximum concentrations were found in soils sampled at a distance of 2-3?m from the cement factory as opposed to samples collected much further ie from the Harbour View area. High concentrations of the heavy metals in the soils near the cement factory as opposed to those further away can be due to the emissions from the factory. A significant contribution can also come from traffic emissions as the study area is located along one of the busiest street of Kingston, Jamaica.
文摘The Jamaican primary dry season extends from November-April with the driest period being January-March each year. Examination of the rainfall records over several decades reveal months that experienced a sharp increase in rainfall while sometimes they are drier than normal. During this dry season, some of the weather systems that impact the island significantly are cold fronts, highs pressure systems and troughs that migrate from the mainland USA. Major Sudden Stratospheric Warmings (SSW) occur routinely north of 60°N and severely impact weather over the North American continent. The islands of the Greater Antilles also experience inclement weather during this period as weather systems migrate southwards and impact the Caribbean. Severe winter weather due to the increase frequency and intensity of storms related to SSW events over North America is important to the Jamaican economy as tourists escape harsh winters by travelling to the island. Predicting the variability of rainfall during the primary dry season is therefore important as it has significant implications for event planning, tourism and agriculture. Cosmic-ray Muon flux has been found to be positively correlated with the atmospheric effective temperature used to indicate the occurrence of SSW events. Current research investigates the relationship between cosmic-ray Muon flux, SSW events and primary dry season rainfall. Our findings suggest that a significant change in rainfall occur over Jamaica during the primary dry season on average 29 days after the central date or on average 15 days after the SSW events end. Our study also suggests apparent similarities in the behaviour of cosmic-ray Muon flux over Jamaica to those when major SSW occurs at high latitudes. We therefore argue that the Muon detectors at low latitudes have practical use with respect to identifying SSWs and merits further study.
文摘Health literature in the Caribbean, and in particular Jamaica, has continued to use objective indices such as mortality and morbidity to examine children’s health. The current study uses subjective indices such as parent-reported health conditions and health status to evaluate the health of children instead of traditional objective indices. The study seeks 1) to examine the health and health care-seeking behaviour of the sample from the parents’ viewpoints;and 2) to compute the mean age of the sample with a particular illness and describe whether there is an epidemiological shift in these conditions. Two nationally representative cross-sectional surveys were used for this study (2002 and 2007). The sample for the current study is 3,062 respondents aged less than 5 years. For 2002, the study extracted a sample of 2,448 under 5 year olds from the national survey of 25,018 respondents, and 614 under 5 year olds were extracted from the 2007 survey of 6,728 respondents. Parents-reported information was used to measure issues on children under 5 years old. In 2007, 43.4% of the sample had very good health status;46.7% good health status;2.5% poor health and 0.3% very poor health status. Almost 15% of children had illnesses in 2002, and 6% more had illnesses in 2007 over 2002. In 2002, the percentage of the sample with particular chronic illnesses was: diabetes mellitus (0.6%);hypertension (0.3%) and arthritis (0.3%). However, none was recorded in 2007. The mean age of children less than 5 years old with acute health conditions (i.e. diarrhoea, respiratory diseases and influenza) increased over 2002. In 2007, 43.4% of children less than 5 years old had very good health status;46.7% good health status;7.1% fair health status;2.5% poor and 0.3% very poor health status. The association between health status and parent- reported illness was –x2 (df = 4) = 57.494, P< 0.001-with the relationship being a weak one, correlation coefficient=0.297. A cross-tabulation between health status and parent-reported diagnosed illness found that a significant statistical correlation existed between the two variables –x2 (df = 16) = 26.621, P < 0.05, cc = 0.422, – with the association being a moderate one, correlation coefficient = 0.422. A cross tabulation between health status and health care- seeking behaviour found a significant statistical association between the two variables –x2 (df = 4) = 10.513, P < 0.033-with the correlation being a weak one-correlation coefficient = 0.281. Rural children had the least health status. The health disparity that existed between rural and urban less than 5 year olds showed that this will not be removed simply because of the abolition of health care utilization fees.
文摘Health care workers are responsible for the execution of the health policy of a nation, yet little if any empirical evidence is there on health, lifestyle, health choices, and health conditions of health care workers in the rural parish of Hanover, Jamaica. The current study examines health, lifestyle and health behaviour among health professional in Hanover. The current study has a sample of 212 respondents. A 26- item questionnaire was used to collect the data. Data from the questionnaires were coded and entered into a micro-computer and analysis done using SPSS for Widows Version 15.0 soft- ware. The Chi-square test was used to test association between non-metric variables. A p-value &amp;amp;lt;0.05 (two-tailed) was selected to indicate statistical significance. It was found that 16.0% of respondents had diabetes mellitus (2.8% of males compared to 19.8% females);22.6% had hypertension (25.5% of female and 12.8% of males);0.5% breast cancer;0.5% stomach cancer;1.9% enlarged heart;and 0.5% ischemic heart disease. Forty-three percentage points of the sample was overweight, 33.5% obese and 24.1% had a normal weight. Over 15% of nurses and doctors were obese compared to 38% of ancillary staffers. Twenty percentage points of respondents consume alcohol on a regular basis;15.6% do no regular physical exercise, 42.4% add sweetening to their hot beverages, and 4.7% were smokers. There is a need for public health practitioners to formulate a health intervention programme that will target people in Hanover, but also specific groups such as doctors, nurses, administrative, ancillary staffers and technical staffers.
文摘The species Hibiscus sabdadariffa L. is originally from Africa. It has been distributed all over the world as an ornamental plant and it is consumed in several ways as infusion, salad dressings, marmalades, etc. However, its medical benefits are rarely studied. In this paper we present results from a clinical assay demonstrating the influence of hibiscus effects, presented as dry extracts in gel caps, on a general blood lipidic profile (LDL and HDL Cholesterol and triglycerides). We recruited 20 volunteers, 45 to 64 years old with the compromise of not changing food habits. They were divided into two groups;one of them received two 500 mg hibiscus dry gel caps treatment, three times a day for two months and the other group received same doses of placebo (Fructose) for the same period. Results showed a blood lipidic concentration reduction in those patients under hibiscus treatment statistically different (p 0.05) as compared to control patients.