1.Local understandings and first aid responses to burn injuries: A phenomenological study in an urban Indonesian community.
Hardin LA RAMBA ; Yarwin YARI ; Ulfa Nur ROHMAH ; Fitri Diana ASTUTI ; Fransiska Anita Ekawati Rahayu SA’PANG ; Indra Gilang PAMUNGKAS ; Kristoforus MARSELINUS
Acta Medica Philippina 2026;60(8):107-114
BACKGROUND
Burn injuries remain a significant global public health problem, causing substantial morbidity, mortality, and economic burden, particularly in low- and middle-income countries where nearly 90% of cases occur. Despite the importance of timely and appropriate first aid in reducing complications, community responses to burn injuries in many settings continue to rely on traditional or non-evidence-based practices.
OBJECTIVESThis qualitative phenomenological study explored community-based knowledge and responses related to the causes and first aid of burn injuries.
METHODSThe study involved ten (10) purposively selected informants residing in South Mangga Dua Urban Village, Central Jakarta, Indonesia. Data collection methods included semi-structured interviews, direct observations, and focus group discussions (FGDs). Thematic analysis was used.
RESULTSThree (3) core domains were identified: (1) community perceptions of burn causes and classifications, (2) indigenous first aid practices used in domestic settings, and (3) sources of knowledge and information pathways related to burn first aid. Participants commonly attributed burns to incidents involving fire, hot liquids, and electrical faults. Their understanding of burn severity was limited to superficial assessments, with little awareness of clinical classifications. First aid responses were largely based on traditional practices such as the application of toothpaste, honey, or aloe vera, while evidencebased practices like using running water were rarely mentioned. Notably, most participants relied on familial teachings and informal community experiences as their primary sources of knowledge, with limited exposure to health professionals or verified media content.
CONCLUSIONCommunity knowledge is culturally rooted but misaligned with medical standards, potentially leading to unsafe practices. Culturally sensitive health education integrating traditional beliefs and accurate information is essential to improve outcomes in burn injury management.
Wounds And Injuries ; Residence Characteristics ; Public Health ; Mortality ; Insemination, Artificial, Heterologous ; Income ; Financial Stress ; Burns ; Health Education ; Attitude ; First Aid ; Medicine ; Health Communication ; Urban Population
2.Local understandings and first aid responses to burn injuries: A phenomenological study in an urban Indonesian community.
Hardin LA RAMBA ; Yarwin YARI ; Ulfa Nur ROHMAH ; Fitri Diana ASTUTI ; Fransiska Anita Ekawati Rahayu SA’PANG ; Indra Gilang PAMUNGKAS ; Kristoforus MARSELINUS
Acta Medica Philippina 2026;60(8):107-114
BACKGROUND
Burn injuries remain a significant global public health problem, causing substantial morbidity, mortality, and economic burden, particularly in low- and middle-income countries where nearly 90% of cases occur. Despite the importance of timely and appropriate first aid in reducing complications, community responses to burn injuries in many settings continue to rely on traditional or non-evidence-based practices.
OBJECTIVESThis qualitative phenomenological study explored community-based knowledge and responses related to the causes and first aid of burn injuries.
METHODSThe study involved ten (10) purposively selected informants residing in South Mangga Dua Urban Village, Central Jakarta, Indonesia. Data collection methods included semi-structured interviews, direct observations, and focus group discussions (FGDs). Thematic analysis was used.
RESULTSThree (3) core domains were identified: (1) community perceptions of burn causes and classifications, (2) indigenous first aid practices used in domestic settings, and (3) sources of knowledge and information pathways related to burn first aid. Participants commonly attributed burns to incidents involving fire, hot liquids, and electrical faults. Their understanding of burn severity was limited to superficial assessments, with little awareness of clinical classifications. First aid responses were largely based on traditional practices such as the application of toothpaste, honey, or aloe vera, while evidencebased practices like using running water were rarely mentioned. Notably, most participants relied on familial teachings and informal community experiences as their primary sources of knowledge, with limited exposure to health professionals or verified media content.
CONCLUSIONCommunity knowledge is culturally rooted but misaligned with medical standards, potentially leading to unsafe practices. Culturally sensitive health education integrating traditional beliefs and accurate information is essential to improve outcomes in burn injury management.
Wounds And Injuries ; Residence Characteristics ; Public Health ; Mortality ; Insemination, Artificial, Heterologous ; Income ; Financial Stress ; Burns ; Health Education ; Attitude ; First Aid ; Medicine ; Health Communication ; Urban Population
3.Effectiveness of customized training programs on knowledge, attitudes, and practices (KAP) related to antimicrobial resistance (AMR) among food handlers in the greater Manila area, Philippines: A quasi-experimental study.
Geraldine B. Dayrit ; Kathyleen S. Nogrado ; Regine O. Mendiola ; John Robert Carabeo Medina ; Fresthel Monica M. Climacosa
Acta Medica Philippina 2026;60(5):80-91
BACKGROUND AND OBJECTIVES
Antimicrobial resistance (AMR) constitutes an escalating global public health menace, intensified by the excessive utilization of antibiotics in human healthcare and agriculture. In the Philippines, the extensive misuse of antimicrobials in food production, especially in chicken, swine, aquaculture, and agriculture exacerbate AMR, presenting considerable threats to public health. Since the transmission of AMR is closely linked to food safety, food handlers play a critical role in mitigating its spread. This study evaluates the knowledge, attitude, and practices (KAP) of food handlers in the Greater Manila Area concerning AMR and the utilization of antimicrobials.
METHODSThis quasi-experimental study involved developing and implementing a customized training program based on pre-training KAP questionnaires, featuring specialized training materials for fruits and vegetables sellers, meat handlers, seafood vendors, and street food vendors. The training, conducted in partnership with government entities and industry specialists, emphasized AMR awareness, food safety rules, and optimal procedures for reducing AMR hazards.
RESULTSThe results showed statistically significant differences in pre- and post-intervention mean percentage scores in the participants’ knowledge, attitudes, and practices about food handling and AMR. There was also substantial improvement observed across all four occupational groups as post-test scores increased in comparison to their baseline scores.
CONCLUSIONThis study underscores the pivotal role of food handlers in combating AMR and stresses the necessity for a training program that is focused on AMR education within food safety initiatives. The training program should be customized, for example, according to the length of experience of the food handler, to either provide basic food safety measures or to improve and upgrade the acquired baseline knowledge and skills related to food safety. This particular study showed the importance of providing food handlers with essential knowledge and skills on food safety and proper food handling to aid in the mitigation of AMR transmission.
Human ; Food Safety ; Knowledge ; Attitude
4.Relationship of Filipino MSUD children’s nutrient intake, nutritional status, and leucine level and caregiver's nutrition knowledge, attitudes, and practices.
Marife D. Sevilla ; Cecile Leah T. Bayaga ; Maria Sofia V. Amarra ; Ebner Bon G. Maceda ; Francisco N. De Los Reyes ; Leniza de Castro-Hamoy
Acta Medica Philippina 2026;60(5):92-108
BACKGROUND AND OBJECTIVES
Diet compliance is critical in managing Maple Syrup Urine Disease (MSUD) to prevent physiological and neurological damage. However, there is a lack of studies looking at factors critical to diet compliance. This study determined the caregivers’ nutrition knowledge, attitudes, and feeding practices (KAP); and its relationship to Filipino MSUD children’s leucine level, nutritional status, and nutrient intake.
METHODSA cross-sectional, sequential explanatory research approach using survey was utilized. Data tools were questionnaires and food records.
RESULTSThe participants were 20 caregivers and 21 MSUD children (aged 6 to 83 months). Caregivers had moderately high feeding practices and knowledge scores and had positive attitudes towards providing adequate nutritional care; still, they were struggling with diet compliance.
Their nutrition knowledge was related to their attitude (p-value: 0.021), feeding practices (p-value: 0.037), and their children’s weight-for-age (p-value: 0.036). Furthermore, knowledge and feeding practices were related to the children’s natural-protein status (p-value: 0.043 and 0.006, respectively). The caregivers’ sex was related to the children’s leucine (p-value=0.010), those with female caregivers had lower leucine by 470 μmol/L on average. Moreover, children with good leucine control belonged to higher-income households (p-value=0.049).
CONCLUSIONWith caregiver's nutrition knowledge having been possibly associated with the children’s weight-forage, and their knowledge and feeding practices with the children's natural protein status, as well as knowledge positively affecting both attitude and feeding practice, interventions for improving all caregivers’ nutrition knowledge and feeding practices are recommended. Additionally, with caregivers’ sex and income having been found to be related to metabolic control, it is suggested that strategies to better manage these barriers be carried out. These may include improving support for male caregivers, with children under their care having higher leucine than those cared for by their female counterparts. Added provisions may likewise be planned for further reducing the impact of income-related barriers.
Human ; Caregivers ; Attitude ; Maple Syrup Urine Disease ; Child ; Children
5.Knowledge, attitude, and practices on sunscreen use among acne vulgaris patients: A cross-sectional study in the National Capital Region and Region 4A
Florence Ruiz-buenaventura ; Cheryl Anne Cera-dizon ; Catherine Denise Consunji Gloria
Journal of the Philippine Medical Association 2025;103(2):1-15
BACKGROUND
Acne patients often use medications, either over the counter or prescribed by dermatologists, to manage their condition. Dermatologists frequently include sunscreens as part of these treatment plans alongside acne medications. This research aims to determine the level of knowledge, attitudes, and practices regarding sunscreen use among respondents who are confirmed acne patients and have been prescribed sunscre-en as part of their treatment regimen.
OBJECTIVEThis research examines the current knowledge, attitudes, and practices of acne patients regarding sunscreen use as part of their acne t reatment regimen, considering demographic factors. The knowledge, attitudes, and practices of the respondents will be compared across different age groups, genders, and employment statuses.
METHODSThis study purposefully collected data from patients with active acne on the use of sunscreens alongside acne medications. The sample included males and females aged 18-27, 28-40, and 40+ residing in either the National Capital Region or the CALABARZON Region, with 105 respondents in each group. Data was gathered using a validated Knowledge, Attitudes, and Practices (KAP) questionnaire, consisting of 30 questions that had undergone reliability testing via Cronbach's alpha. Responses were recorded on a 3-point Likert scale to model the interaction of KAP variables. The research material was distributed through Google Forms in June 2024. Data analysis was conducted using R, specifically the psych package, and the Kruskal-Wallis test was applied to compare groups, determining if significant differences existed among them. This test was incorporated within RStudio.
RESULTSFindings indicated that respondents generally demonstrated a high level of understanding regarding the importance of sunscreen when used alongside acne treatments, particularly acknowledging its role in preventing acne scarring and reducing skin sensitivity caused by treatment products. Additionally, attitudes toward sunscreen use were largely positive, with respondents rejecting common misconceptions about sunscreen. However, actual sunscreen application practices were moderate, with adherence levels varying across the sample. Significant differences in sunscreen use were observed based on employment status, gender, and age.
CONCLUSIONAcne patients in this study had a high level of knowledge and a positive attitude on the use of sunscreen together with their acne medications. consistency in sunscreen application was moderate. unemployed respondents were more receptive to external influences regarding sunscreen use. Female respondents were more informed and proactive than male respondents. Younger respondents were more influenced by social networks. This research highlights the need for continued education on the benefits of sunscreen use to be able to achieve an effective acne vulgaris management.
Human ; Knowledge ; Attitude ; Acne Vulgaris ; Sunscreen ; Sunscreening Agents
6.Knowledge and attitude of Filipino caregivers of patients with dementia admitted for other health issues in a tertiary hospital in Metro Manila: A descriptive cross-sectional study
Raymond U. Tan ; Grace O. Orteza
Acta Medica Philippina 2025;59(8):65-76
BACKGROUND AND OBJECTIVES
The demographic background, level of knowledge, and attitude of caregivers are pillars of care in dementia. Family and non-family members take on this role. Studies have been done on their knowledge and attitude, but none have focused on them during hospitalization, wherein greater stress is imposed on both the caregiver and the patient. This study aims to determine the profiles, and its association with knowledge, and attitudes of caregivers of hospitalized patients with dementia in a tertiary hospital in Metro Manila.
METHODSA single-center descriptive cross-sectional design using Demographic profile Questionnaire, Alzheimer’s Disease Knowledge Scale (ADKS), and Dementia Attitude Scale (DAS) were used on Filipino caregivers of inpatients with dementia in Metro Manila. Simple and multivariable linear regression were used to assess demographic factors in relation to the attitude and knowledge of the caregivers.
RESULTSEighteen females with a mean age of 49 (SD=8) years old participated. Ten participants completed college. Six (33.3%) of the respondents were family members, five (27.8%) were occupational caregivers, four (22.2%) were house-helps, and two (11.1%) were nurses. Majority (66%) had 3-10-year duration of caregiving. Mean score of knowledge scale is 21.17 out of 30. Age, education, caregiver role, and attitude were positively associated with knowledge. The mean score for attitude level is 119.83 out of 140. Age, education, duration, caregiving role, patient’s age, and knowledge were positively associated with attitude; with education being statistically significant (p=0.046).
CONCLUSIONCaregivers exhibited reasonable knowledge for such caregivers to carry out their duties on inpatients with dementia at an adequate level, with several factors correlating positively, indicating areas for improvement. Their attitude scores revealed positive disposition; with education emerging as statistically significant. Continuing education and targeted interventions can further enhance quality of caregiving.
Dementia ; Caregiver Burden ; Attitude ; Knowledge ; Philippines
7.Mental health awareness and stigmatization: A cross-sectional study of knowledge, attitudes, and perceptions among medical students at a Philippine medical school
Christine R. Sy ; Jose Ronilo G. Juangco
Health Sciences Journal 2025;14(1):36-42
INTRODUCTION
Mental health plays a crucial role in overall well-being, yet stigma and misconceptions persist, even among future healthcare professionals. This study assessed medical students’ knowledge, attitudes, and perceptions (KAP) regarding mental health and explored their association with sociodemographic characteristics.
METHODSWe conducted an analytical cross-sectional study among 270 medical students at a private Philippine university from September to October 2023. Participants completed a validated questionnaire. Descriptive statistics, Spearman’s correlation, and odds ratios were calculated.
RESULTSMost respondents exhibited high knowledge (80.7%), positive attitudes (90.4%), and favorable perceptions (95.6%) toward mental health. Students who had not interacted with individuals with mental illness were 2.87 times more likely to display negative attitudes (OR = 2.87, 95% CI: 1.19–6.90, p = 0.015). Attitude and perception showed a moderate positive correlation (r = 0.409, p < 0.001), while knowledge and perception demonstrated a weak negative correlation (r = -0.129, p = 0.034).
CONCLUSIONThese medical students generally possessed good knowledge, positive attitudes, and perceptions regarding mental health. Academic progression and real-life exposure positively influence attitudes, highlighting the need for experiential learning to reduce stigma and promote empathy in medical training.
Human ; Mental Health ; Knowledge ; Attitude ; Perception ; Philippines
8.Needlestick injuries among obstetrician-gynecologist trainees: Knowledge, attitudes, and practices
Philippine Journal of Obstetrics and Gynecology 2025;49(2):98-105
INTRODUCTION
Needlestick injury is a major healthcare hazard. The burden of the problem is difficult to estimate due to underreporting by healthcare workers.
OBJECTIVESTo gain insight into the level of knowledge and perception, attitude and practices of obstetrician-gynecologist (OB-GYN) residents and subspecialty fellows-in-training in a tertiary hospital on blood-borne diseases from needle stick injuries and postexposure prophylaxis.
MATERIALS AND METHODSA cross-sectional study among all residents and fellows in training of the Department of Obstetrics and Gynecology of a tertiary hospital was conducted in December 2017. The explanatory sequential mixed method approach of data collection was utilized using a self-administered original pilot-tested questionnaire and focused group discussion.
RESULTSEighty-four OB-GYN s in training took part in the study. The prevalence of needle stick injury was 80.95%, but only about half of the incidents were reported. There was no statistically significant difference in the knowledge and attitudes toward management and policies on needlestick injuries between fellows and residents. The fellows appeared to be more frequently compliant with practices to prevent and manage needle stick injuries compared to the residents. There is weak but statistically significant positive relationship between the respondents’ knowledge and practice scores.
CONCLUSIONSAlthough the respondents have very good knowledge, adherence to the practices to prevent and manage needlestick injuries is low.
Human ; Female ; Attitude ; Blood-borne Pathogens ; Knowledge ; Needlestick Injuries ; Sharps Injuries
9.Knowledge, attitude, and practice regarding topical corticosteroids among Filipino patients with psoriasis at a tertiary hospital: A cross-sectional study
Jonnie Rose Louise Romero Wee ; Kara Melissa Torres Culala ; Elizabeth Amelia V. Tianco
Journal of the Philippine Dermatological Society 2025;34(1):3-10
BACKGROUND
Psoriasis is an increasingly prevalent chronic disease commonly treated with topical corticosteroids (TCS), although these agents are often misused. There is a need to explore the factors influencing nonadherence to TCS among patients with psoriasis in the Philippines. This study aimed to determine the knowledge, attitude, and practice (KAP) regarding TCS among Filipino patients with psoriasis.
MATERIALS AND METHODSA cross-sectional survey was conducted on 76 Filipino patients with psoriasis at a tertiary hospital using a constructed validated questionnaire.
RESULTSPatient scores clustered at the upper end of the distribution, indicating a generally good level of KAP regarding TCS. Increasing age was associated with a lower level of knowledge, while female respondents had a higher level of knowledge. Higher knowledge levels were associated with better patient attitude, and better patient attitude was associated with better practice.
CONCLUSIONPredictors of correct KAP regarding TCS are less likely influenced by sociodemographic and clinical factors; rather, these three domains significantly correlate with each other. Physicians can utilize these interrelationships by educating patients regarding their topical treatment to yield more positive attitudes regarding its efficacy and minimize their fear of side effects, which can motivate them to adhere to prescribed therapy.
Human ; Attitude ; Knowledge ; Psoriasis
10.Knowledge, attitude, and practices of bikers on ultraviolet index in relation to sun protection: Development of a validated questionnaire and cross-sectional study
Gail Josephine Fabres Boco ; Bernardita Ortiz Policarpio ; Angelica Ibañ ; ez Guzman-hernandez
Journal of the Philippine Dermatological Society 2025;34(1):11-18
BACKGROUND
Skin cancer is the most common cancer in fair-skinned populations. Ultraviolet (UV) radiation exposure is the most common and important modifiable risk factor. It is the target of most prevention strategies for cutaneous malignancies. Currently, data on knowledge, attitude, and practices (KAPs) of bikers on UV index in relation to sun protection are unavailable.
OBJECTIVESThe objectives of this study were to develop a validated questionnaire, determine the demographic characteristics of bikers, and describe their KAPs on UV index in relation to sun protection.
METHODOLOGYThe study was conducted among bikers at the outpatient department of a tertiary hospital, through a self-administered questionnaire. Patients included were occupational and/or recreational bikers, aged 18 years old and above, belonging to both sexes, biking at least 15 min per day, who were able to understand written English or Filipino. Exclusion criteria included bikers who have skin cancer.
RESULTSOne hundred and twenty-eight bikers were able to answer the validated questionnaire, with mostly male respondents, college graduates, with internet or social media as the source of information for knowledge on sun exposure and sun protection. One hundred and two of them know that forecasts of UV index from weather app on the phone are free and readily available. However, only 59 of them check the UV index regularly as a guide for sun protection.
CONCLUSIONForecasts of UV index raise the awareness and alert the public to the need for sun protection to reduce skin cancer risk and modify health promotion and primary prevention strategies.
Human ; Index ; Knowledge ; Attitude


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