Browsing by Author "Deveci, S"
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Item Psychometric Properties of the Turkish Version of the World Health Organization Quality of Life Instrument for People with Intellectual and Physical Disabilities (WHOQOL-DIS-TR)Eser, E; Aydemir, Ö; Cengiz Özyurt, B; Akar, A; Deveci, S; Eser, S; Ayik, CObjective: The aim of this paper is to present the validity and reliability of the Turkish version of the add-on module for the WHOQOL measures of quality of life for use with adults having physical or intellectual disabilities known as the WHOQOL-DIS. Methods: Data were collected from 150 Intellectual Disabled (ID) and 157 Physically Disabled (PD) persons in Turkey (Izmir) participating center of the global WHOQOL-DIS project. WHOQOL-DIS module is consisted of 12 disability specific items in addition to 26 generic items of WHOQOL-Bref. The proposed factorial structure (3 factors) of WHOQOL-DIS global study used in the psychometric analyses of the Turkish versions of WHOQOL-DIS. Reliability analyses and construct validity was tested via CFA analyses and convergent and discriminant validity analyses were assessed in relation to SWLS and WHODAS-II respectively. Results: Cronbach alpha values of the WHOQOL-DIS factors were as follows for ID and PD samples respectively: Factor 1 (Discrimination and support)= 0.54 and 0.64; Factor 2 (Independence)= 0.78 and 0.79; Factor 3 (Community participation)= 0.88 and 0.83. CFI and RMSEA values were 0.98 and 0.065 for ID sample and 0.98 ve 0.064 for PD sample respectively. Convergent-discriminant validities were satisfactory for all factors in PD group (r= 0.27 -0.62) whereas Factor 1 was not found discriminative in the ID group (r= 0.09 -0.10). Conclusion: Psychometric properties provided satisfactory evidence of reliability and validity of the Turkish version of WHOQOL-DIS. Nevertheless the results of Factor 1 (Discrimination and support) in ID persons should be interpreted with caution.Item Effect of Social Class and Social Security on Access to Healthcare in Manisa: A Research for InequalitiesNesanir, N; Dinç, G; Cambaz, S; Baysan, P; Serifhan, M; Deveci, S; Pala, T; Özcan, CObjective: In the following study, effect of social class and social security on reaching diagnostic and therapeutic health care services in Manisa is evaluated in both out-patient and in-patient basis. Material and Methods: The households were determined in proportion to targeting populations in health care facilities (health houses) by using cluster sampling method and 11284 people representing the population in Manisa city center (n:232760) was included in the study. The data was collected by pollsters using face to face technique. Crude risks were calculated in different social classes and in those with or without social security for history of health problems and access to diagnostic and therapeutic health care services on outpatient and the inpatient basis. Multivariable risks were revised in accordance with age, sex and chronic health problems. Results: In comparison to unemployed population, the health problems in last 15 days was 1.79 (1.17-2.75) times more common in upper social class and similar figures were also seen in middle social class and lower social class, being 1.51 (1.10 -2.06) and 1.44 (1.04-2.00), respectively. Moreover, reaching to diagnostic\theraupetic health care services in last 15 days was 1.73(1.08-1.46) times more common in upper social class and this value was 1.46 (1.03-2.06) in middle social class and 1.53 (1.07-2.20) in lower social class. The revised risks of having diagnostic and therapeutic health care were similar in different social classes. In comparison to those without any social security, it was found that those with social security reported having health problems 1.58 (1.17-2.13) times more, and this was also true for out-patient diagnostic\therapeutic medical care being 2.57 (1.75-3.78) and inpatient being 3.37 (2.11-5.40) times more. Conclusion: There are inequalities against those being unemployed and those without social securities with respect to accessing to health care services.Item Should a booster dose be administered in children after mass immunization for hepatitis B?Tosun, S; Deveci, S; Kaplan, Y; Kasirga, EBackground: Hepatitis B virus infection is a global health problem and vaccine-preventable disease, but the duration of the effects of HBV vaccination in infants is unknown. Objectives: The aim of this trial, which comprised children who had received 3 doses as part of the universal HBV immunization program and no additional doses, was to investigate anti-HBs titers and HBsAg status after 9 years. Patients and Methods: We performed a descriptive, cross-sectional field research study. The study sample, based on sociodemographics and minimum seroprevalence, was analyzed based on 10.00% +/- 1.50 (95% confidence interval) (1150 individuals); trial was realized in a total of 1279 children (623 females and 656 males). Anti-HBs titers were measured by micro-EIA (Dia Sorin-Italy); titers <10 lU/mL were negative, 10-49 IU/mL were low-positive, and >50 IU/mL were high-positive. For anti-HBs titers below protective levels, HBsAg was measured by micro-EIA. Results: In approximately half of the children (48.5% in those living in semiurban areas and 42.3% in urban areas), antibody titers were below protective levels. Conclusions: Mass HBV vaccination, which was implemented in Turkey in 1998, significantly decreases HBsAg positivity in childhood. Nevertheless, it might be necessary to administer a booster dose after 8-9 years in children, especially those in low socioeconomic areas or in whom irregular/insufficient immunization is suspected. (C) 2011 Kowsar M.P.Co. All rights reserved.Item Investigation of Tetanus Antitoxin Titer Levels in People Over Forty Years of AgeTosun, S; Deveci, S; Yücetürk, M; Dönmez, AB; Kaplan, YObjective: Tetanus is a disease that can be prevented with vaccination, but protective antitoxin titers decrease to undetectable levels with old age. The aim of this study is to evaluate tetanus antitoxin levels in individuals over 40 years of age and to investigate the vaccination and physical injury status via survey. Material and Methods: A total of 361 participants, 178 men and 183 women, were enrolled in the study and blood was drawn from each participant to measure tetanus antibody level by enzyme immunoassay (ETA) method. Results: Tetanus antibodies were undetectable in 55 male (30.9%) and 71 female patients (38.8%) at the end of the study. It was determined that tetanus antitoxin levels significantly decrease with age in both women and men especially after 50 years of age which is accepted as the limit age in which antibody is likely to be negative. Conclusion: In adult age group, booster vaccination for tetanus is recommended every 10 years in developing and developed countries, but this recommendation can not be put into practice as anticipated. Similarly in our country, vaccination of adult age group is not common and tetanus vaccine is not generally administered at every ten years. The results of this study show that one dose of tetanus vaccine should be administered at least to individuals over 50 years of age, and individuals who do not recall their vaccination history should be taken into a three-dose vaccination program.Item Validity and Reliability of the COVID-19 Knowledge, Attitude and Behavior ScaleDeveci, S; Cevik, C; Baydur, H; Onsuz, F; Tosun, S; Ergor, ABackground: The aim of this research is to develop a scale that will evaluate the knowledge, attitudes and behaviors of employees about COVID-19 and to test its validity and reliability. Methodology: The methodological type of research was used between August-November 2020, under observation in organized industrial zones. Information was collected from a total of 543 employees. Confirmatory factor analysis and correlation analysis were performed for the value, item-total correlations and construct validity. SPSS 25.0 (IBM Inc., Armonk, NY, USA), Jasp 0.14 (University of Amsterdam) and Lisrel 9.1(Scientific Software International, Inc., Chapel Hill, NC, USA) programs were used in the analysis. Results: 83.1% of the participants in the study are male, the average age is 37.4 +/- 8.0, 76.1% are married, and 49.4% are high school graduates. The Cronbach alpha value of the COVID-19 information part is 0.86 in total, the contamination information dimension is 0.71 and the protection information dimension is 0.84. The COVID-19 attitude section consists of four sub-dimensions and 13 items classified within the framework of the health belief model. In summary, the goodness of fit values for the knowledge, attitude and behavior sections, respectively, are: RMSEA values 0.05, 0.03 and 0.04; CFI values 0.98, 0.98 and 0.99; GFI values 0.97, 0.97 and 0.99. Conclusions: It has been determined that the internal consistency of the COVID-19 knowledge, attitude and behavior scale conducted on employees is high and compatible, and its validity findings are sufficient. The scale is recommended as an applicable tool to measure COVID-19 knowledge, attitudes and behaviors.Item A Matter of Psychological Safety: Commitment and Mental Health in Turkish Immigrant Employees in GermanyUlusoy, N; Mölders, C; Fischer, S; Bayur, H; Deveci, S; Demiral, Y; Rössler, WImmigration entails the risk of feeling disconnected in the receiving society, in both everyday life and the workplace. This may affect the way immigrant employees relate to their job and their workplace. In this article, we investigate the affective commitment of Turkish immigrant employees in Germany (TG) and their subsequent work engagement, mental health, and turnover intention. Specifically, we compared TG (n = 201) to both German employees in Germany (GG; n = 1,406) and Turkish employees in Turkey (TT; n = 362). Our results show that the effect of immigration background on mental health, work engagement, and turnover through affective commitment depends on the level of perceived psychological safety at the workplace, specifically in terms of an open and inclusive work climate. The results suggest that psychological safety is particularly helpful in enhancing immigrant employees' positive attitudes toward the workplace. Our study provides new insights on the well-being of immigrant employees, specifically TG, and the different needs of diverse workforces. Given our findings, future studies should explore more deeply the positive influences that psychological safety has on minority groups and their workplace attitudes.