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    Evaluation of the Relationship Between Childhood Maltreatments and Cancer Using the Case-Control Research Method
    (OrtadogŸu Reklam Tanitim Yayincilik Turizm Egitim Insaat Sanayi ve Ticaret A.S., 2023) Eriş, B.; Şimşek, Z.
    Objective: Childhood mental traumas are one of the most frequent and an important social environment factors that negatively affect the growth and development of children. The aim of this study is to examine the relation between childhood maltreatments and cancer. Material and Methods: In this case-control study, the sample of the study consists of 63 adult patients with cancer were treated at the hospital and 89 adults who were admitted to the same hospital with similar gender, education, and economic status and were not diagnosed with cancer. Socio-demographic information form and Childhood Trauma Questionnaire Short Form were used in data collection. In the analysis of normally distributed data, t-test, analysis of variance, and odds ratio (OR), which is a measure of effect size, were used. Results: Approximately 51% of the participants were female and 49% were male. Gender, income, education and age distribution were similar in the case-control groups (p>0.05). Emotional abuse, emotional neglect, and physical neglect were associated with having cancer (respectively OR=2.48, 1.86, 3.42), all mentioned maltreatment types were increased odds of having cancer. Physical abuse and sexual abuse mean scores did not differ significantly between the case-control groups (p>0.05). The rate of receiving psychological support was 12.7%. Conclusion: The results of the study showed that the importance of individual and community-based studies to prevent childhood maltreatment, development of early warning systems, and the need for trauma-sensitive approaches in the cancer treatment process. Copyright © 2023 by Türkiye Klinikleri. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
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    Health Risks Management Program in Schools: An Operational Study in Türkiye
    (MDPI, 2023) Atak, M.; Önal, A.E.; Şimşek, Z.; İşsever, H.
    This study was carried out to improve the quality of school health services with the operational epidemiology method. The study aimed to describe the current status of the School Health Protection and Improvement Program (SHPIP), the difficulties experienced during its implementation, to develop evidence-based solution methods, and to test the proposed solutions, in a district with a population of 400,513, 20.4% of which is of school age between the ages of 5–19. The “Health Risk Management Program at Schools”, which consists of the stages of putting the results into practice by sharing the results with the relevant parties, wasdeveloped. In this study, a cross-sectional research design was employed using questionnaire forms, while qualitative data were collected through the use of the phenomenological analysis method, specifically through the conduct of focus group interviews. SHPIP year-end evaluation forms of 191 schools were reviewed retrospectively, questionnaires were applied to 554 school staff and 146 family health center staff between 21 October 2019 and 21 November 2019 using the probabilistic sampling (simple random) method, and semi-structured focus group interviews were conducted with 10 school health study executives. The most common health risks in schools and the risks identified during the execution of school health services were identified. In order to eliminate the lack of in-service training, training modules for “School Health Management Teams” were developed and impact analyses were conducted. After the intervention, a significant difference was found in the compliance of schools with SHPIP, and the application of all components of the school health program increased from 10.0% to 65.6% (p < 0.05). The program has been integrated into the “School Health Protection and Improvement Program” (SHPIP) with the decisions of the District School Health Board and District Hygiene Council. © 2023 by the authors.