Browsing by Author "Hung, Chia-Chun"

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Adherence among HIV-positive injection drug users undergoing methadone treatment in Taiwan
(2020-07-02) Chao, En; Hung, Chia-Chun; Lin, Ching-Po; Ku, Yi-Chien J; Ain, Qurat U; Metzger, David S; Lee, Tony S
Abstract Aims The study aims were to investigate adherence to methadone maintenance treatment (MMT) and to identify associated clinical factors in patients who inject drugs diagnosed with human immunodeficiency virus (HIV) infection in Taiwan. Methods Data were from the National Health Surveillance System on HIV and the National Drug Treatment System on MMT. HIV-positive people who inject drugs (HIVPWID) were defined as the study population. Information obtained included age, sex, education, marital status, employment, methadone dose, and date of diagnosis of HIV infection. Adherence was defined as taking methadone for the past 90, 180 and 365 days, then categorized as high (> 90%), moderate (51 to 90%), or low (<=50%) adherent respectively. Results Of 1641 HIVPWID registered in the datasets from 2007 to 2012, 961 (58.56%) had received MMT. For HIVPWID evaluated at 90 days (n = 951), 271 (28.5%), 382 (40.2%), and 298 (31.3%) were classified as high, moderate, and low adherent respectively. For HIVPWID evaluated at 180 days (n = 936), 190 (20.3%), 349 (37.3%), and 397 (42.4%) were classified as high, moderate, and low adherent respectively. For HIVPWID evaluated at 365 days (n = 919), 133 (14.5%), 271 (29.5%), and 515 (56.0%) were classified as high, moderate, and low adherent respectively. After controlling for sociodemographics, results showed that methadone dose, location of MMT clinic, and date of HIV diagnosis were significantly associated with MMT adherence. Conclusions Study findings underscore the importance to MMT adherence of methadone dosage, early diagnosis of patient’s HIV infection, and area of patient residence.
Anxiety symptoms and preventive measures during the COVID-19 outbreak in Taiwan
(2020-07-16) Wong, Li P; Hung, Chia-Chun; Alias, Haridah; Lee, Tony S
Abstract Background It is hypothesized that anxiety and behavioral responses are intense at the beginning of an epidemic. The objective of this study was to investigate anxiety symptoms and use of preventive measures against COVID-19. The study also compared the association between preventive measures and anxiety symptoms during the week immediately preceding the study and those symptoms and measures at the beginning of the outbreak. Methods A cross-sectional population survey using an online questionnaire commenced on 14 February 2020. The study participants were residents of Taiwan ages 20 to 70 years. The 6-item state version of the State–Trait Anxiety Inventory (STAI-6) was used to assess anxiety symptoms. The questions about preventive measures asked participants about their personal protection, cough etiquette, contact precautions, voluntary quarantine, and prompt reporting. Multivariable logistic regression was used to determine the factors influencing an increase in the preventive measures scores. Results Of a total of 3555 completed responses, a total of 52.1% (95% confidence interval [CI] 50.4–53.7) of the respondents reported moderate to severe levels of anxiety symptoms in the past week, whereas 48.8% (95%CI 47.2–50.5) reported moderate to severe anxiety symptoms at the beginning of the outbreak. With a higher score indicating greater anxiety, the median scores for anxiety symptoms in the past week and at the beginning of the outbreak were 46.7 (IQR [interquartile range] 36.7–53.3) and 43.3 (IQR 36.7–53.3), respectively. The median scores for the preventive measures taken in the past week and at the beginning of the outbreak were 26.0 (IQR 21.0–30.0) and 24.0 (IQR 19.0–28.0), respectively, out of a maximum score of 36. In the multivariable analysis, an increased anxiety symptom score from the beginning of the outbreak to the past week (adjusted OR = 7.38, 95%CI 6.28–8.66) was a strongly significant determinant of an increased preventive measures score in the past week compared with the score at the beginning of the outbreak. Conclusions Anxiety and preventive measures scores were high and increased with the epidemic rate. Higher anxiety was associated with an increased use of preventive measures against COVID-19.
運動介入在高齡者正念與主觀幸福感之研究
(2021) 洪佳君; Hung, Chia-Chun
本研究目的為探討高齡者藉由運動介入後對其健康行為、正念與主觀幸福感所產生之影響情形，以跨理論模式為理論基礎，分析高齡者在不同運動階段以八段錦作為運動介入，探討八段錦對高齡者之正念與主觀幸福感之影響。研究工具共分五個部分，分別為正念量表、主觀幸福感量表、人口統計變項、健康行為調查及質性訪談。研究對象為65歲以上之高齡者，共招募60位研究參與者。資料處理與分析以IBM SPSS 23.0進行資料建檔與統計分析，包括有描述性統計、內部一致性信度分析、相依樣本t檢定與二因子混合設計進行相關分析。研究結果：一、研究參與者在前、後測的正念程度差異分析並無顯著差異；二、研究參與者在前、後測的主觀幸福感差異分析並無顯著差異；三、不同前後測和性別的研究參與者在正念程度並無顯著交互作用；四、不同前後測和性別的研究參與者在主觀幸福感並無顯著交互作用；五、研究參與者在運動介入後的歷程與轉變共同點為更健康、更快樂。最後，藉由研究分析結果提供給從事高齡者運動健康促進人員及未來研究之參考。