Page 73 - JOURNAL OF HEALTH MANAGEMENT SUPPLEMENT: SEPTEMBER 2021

SEPTEMBER 2021, SUPPLEMENT, JOURNAL OF HEALTH MANAGEMENT
SEPTEMBER 2021, SUPPLEMENT, JOURNAL OF HEALTH MANAGEMENT
e-­‐poster
BM108 e-poster
PH017
Abstract Category: Biomedical Science
Abstract Category: Public Health
Islamic Fasting Approach on Weight Loss Intervention – Experience Through the Lens of Participants
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Johari, M. Z. , Sulaiman, N. S. , Abdullah, S. R. , Khalil, M. K. N. , Wan Mohd Zin, R. M. , Mohd Yunus, S.
Factors Associated with Oral Healthcare Utilisation Among Non-­‐Malaysian Adults in Malaysia
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N. N. , Kamaruddin, H. , Norshamsul, N. I. , Azizul, N. H.
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Yeung, R'O. T. , Jawahir, S. , Ab Rahim, I. , Amer Nordin, A. , Mohd Noh, S. N. , Manual, A. , Jabrullah
1 Centre for Health Communications and Informatics Research, Institute for Health Behaviour Research, National
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Ab Hamid Ab Hamid, J. , Abdul Mutalib, N. E.
Institutes of Health
2 1 Nutrition, Metabolism & Cardiovascular Research Centre, Institute for Medical Research, National Institutes of
Centre for Health Equity Research, Institute for Health Systems Research, National Institutes of Health,
Health
Ministry of Health Malaysia
Introduction
Introduction
Weight loss is a natural process of weight management in life but the process and effectiveness varies
There is limited research regarding oral healthcare utilisation among non-­‐Malaysians in Malaysia.
from individual to individual. This study attempts to assess the effectiveness of an Islamic approach of
This study aimed to determine the prevalence of oral healthcare utilisation and identify factors
the sunnah fasting (Mondays and Thursday) combined with healthy plating as part of a weight loss
associated with oral healthcare utilisation among non-­‐Malaysian adults in Malaysia.
intervention through the views of the participants.
Method
Method
This study was a secondary data analysis of non-­‐Malaysian adults (18 years and over) from the
This qualitative study takes on exploratory approach in obtaining feedback from selected participants
National Health and Morbidity Survey 2019. Characteristics of respondents who utilised oral
of the intervention. Four groups of participants (two successful and two unsuccessful) were invited in
healthcare were described using complex sample descriptive statistics. Logistic regression analysis
separate Focus Group Discussions (FGD) to give their experiential feedback after completing the
was performed to examine the association between the dependent (oral healthcare utilisation in the
intervention. FGDs were recorded verbatim and transcribed. Data was blind and axial coded before
last 12 months) and independent (respondent characteristics) variables.1
thematically analyzed.
Result
Result
Only 7.79% (n=717) of non-­‐Malaysian adults in Malaysia reported oral healthcare utilisation.
In total 21 participants were interviewed. Four themes emerged -­‐ efficacy towards intervention,
Majority of those who utilised oral healthcare were urban dwellers (10.28%), those with tertiary
barriers and facilitators to success, support and sustainability. Participants who were success attributed
education (21.53%), and those with oral health problem(s) within the last 2 weeks (29.62%). Urban
having a strong support system at home or at work and the sense of competitiveness as the main key
dwellers (OR = 8.85, 95% CI = 2.74, 28.62), working individuals (OR = 3.48, 95% CI = 1.13, 10.70), and
to who were successful. Similarly, the same attributes are also the reason to those who did not
succeed in losing the prescribed weight. Most suffered difficulty of at least one month to adapt to the
those with oral health problem(s) (OR = 9.73, 95% CI = 3.17, 29.84) were more likely to utilise oral
healthcare. The model was considered fit based on the area under the curve of more than 0.6
intervention. Sporadically in both groups stated the intervention is sustainable for a long period.
(0.8372).
Individual motivation plays a strong role in the success or failure in weight loss.
Discussion
Discussion
Islamic fasting is perceived to be a viable intervention to weight loss and its success is driven both by
The prevalence of oral healthcare utilisation among non-­‐Malaysian adults in Malaysia is low
individual motivation and a strong support system to be sustainable.
compared to the overall utilisation by adults in Malaysia (13.2%). The factors associated with greater
likelihood of oral healthcare utilisation among non-­‐Malaysians in this study
Keywords: weight loss, Islamic fasting, qualitative, effectiveness, sustainability could be attributed to
the higher density of oral healthcare facilities in the urban areas, the fact that most non-­‐Malaysians
settle in Malaysia for work purposes, and the greater need to address symptoms of oral health
problem(s). Understanding factors associated with oral healthcare utilisation among non-­‐Malaysians
could help formulate effective interventions and reduce health inequities.

Keywords: Dental health services, dental care, immigrants, adult, Malaysia

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