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Biomedical subjects

H Palti

Publications and source records attributed to H Palti.

At least 19 recordsLinked to original sources
PubMed2002

Bullying in Jerusalem schools: victims and perpetrators.

The objectives of this study were to determine the prevalence of bullying among adolescents studying in Jerusalem schools and to identify the characteristics of its victims and perpetrators. Pupils in the 8th and 10th grade (ages 14-16 y) in 11 schools in Jerusalem (n=1182) anonymously completed the World Health Organization questionnaire from the 'Health Behavior in School Children' study. Bullying others or being bullied at least once in the last term was reported. The independent variables studied were socio-demographic characteristics, and personal and school-related factors. Bullying was reported by 57.1% of boys and 27.0% of girls, and being bullied by 50.3% of boys and 39.5% of girls. The factors associated with bullying others were lack of support from teachers for both genders and poor mental health among boys. Variables related to social exclusion among girls and social isolation among boys were associated with being bullied. Health professionals should be active in all levels of prevention to deal with this problem that affects the health and well-being of so many children and adolescents.

Adolescent↗
PubMed2001

Five decades of trends in anemia in Israeli infants: implications for food fortification policy.

OBJECTIVE: To describe the secular trends in the prevalence rates of iron-deficiency anemia (IDA) in infants in Israel, identify population group differences and assess the effectiveness of the 1985 Public Health directives on iron supplementation and avoidance of cow's milk in the first year of life. DESIGN: A systematic analysis of published and unpublished cross-sectional studies. METHODS: IDA rates in 1-y-old infants between 1946 and 1997 were assessed from published papers and reports. Rates for Arab infants were available from 1984. Data on routine hemoglobin tests on 1-y-old infants for Arabs and Jews separately were obtained from four health districts for the period 1987 to 1997. Analyses were done for the periods prior to and following the Public Health directives. RESULTS: The prevalence of IDA in Jewish infants declined from 68% in 1946 to 50% in 1985 at an average annual rate of -1.43%. Following the iron supplementation directives, the average annual rate of decline increased to -4.0% and reached a prevalence of about 11% in 1996. IDA rates in Arab infants declined by an annual average of -3.7%, and were consistently almost twice as high as for Jewish infants. CONCLUSIONS: Despite the contribution of the iron supplementation program to the reduction in TDA, the persistently high rates indicate inadequate iron content in the diet. This emphasizes the important role of a national food fortification program, using staple foods commonly consumed.

Anemia, Iron-Deficiency↗
PubMed2000

Fighting among Jerusalem adolescents: personal and school-related factors.

PURPOSE: To study the prevalence of physical fighting among youth and its association with personal and school-related factors. METHODS: Pupils in the 8th and 10th grades (n = 1182, ages 13-16 years) in 11 Jerusalem secular and religious schools anonymously completed the World Health Organization questionnaire from the Health Behavior in School Children study. The unit of analysis was defined as the number of times the student was involved in physical fighting during the past year. The independent variables studied were sociodemographic characteristics, personal, and school-related factors including teachers, peers, and family. RESULTS: Fighting at least once was reported by 76% of boys and 26% of girls; 6% of boys who were involved in fights at least once and 16% more than once required medical treatment. For boys, bullying others, poor health and mental health score, and perception of teachers that the pupil was a below-average student significantly increased the odds ratio (OR) for fighting more than once in the past year. Among girls, poor mental health, poor parental support on school matters, bullying, and being bullied by others increased the OR for fighting. CONCLUSIONS: Fighting is a highly prevalent behavior among adolescents irrespective of their socioeconomic background. Determinants differ by gender, and intervention programs should focus on the gender-specific determinants.

Adolescent↗
PubMed2000

Anemia in infancy.

Explore the source record for details and available documents.

Anemia, Iron-Deficiency↗
PubMed1999

Attitudes and practices of Israeli physicians toward adolescent health care: a national survey.

PURPOSE: To assess practices and attitudes of Israeli physicians with regard to adolescent health. METHODS: Questionnaires were sent to a sample of 1050 Israeli physicians specializing in pediatrics (P) family practice (FP), and internal medicine (IM). They were requested to report their experience, perceived skills, and desire for further training regarding 16 adolescent health items grouped under four topics: medical, sexuality, risk behavior, and psychosocial problems. A scoring system was applied to assess their report. Attitudes toward confidentiality in the same topics were also surveyed. RESULTS: Questionnaires were received from 306 (29%) physicians, of whom 42% were P, 35% were FP, and 29% were IM. The majority (96%) of respondents included adolescents in their practice, and adolescents comprised 33%, 17%, and 11% of the registered patient population of the P, FP, and IM, respectively. The mean scores for practice, perceived skills, and desire for further training were generally low. Analysis of variance revealed significant differences among the three physicians groups in all surveyed topics, resulting from the low scores of the IM group. A diversity regarding confidentiality was noted, in that younger FP were most willing to keep health issues confidential. CONCLUSIONS: Physicians in Israel have limited experience and perceive themselves to be underskilled in dealing with adolescent health issues. Training programs in adolescent health need to be developed to meet the needs of physicians in Israel.

Adolescent↗
PubMed1997

GAPS (AMA Guidelines for Adolescent Preventive Services). Where are the gaps?

The AMA Guidelines for Adolescent Preventive Services (GAPS): Recommendations and Rationale is a major breakthrough in the evolution of preventive health services in general and of adolescent preventive services in particular. GAPS is a comprehensive guide for adolescent health professionals that contains several pioneering elements. These elements include (1) providing a framework for the organization and content of "well-adolescent care," (2) offering guidance for parents and families as an essential part of adolescent health care, and (3) dealing with a wide range of adolescent health problems, with an appropriate focus on the behavioral, emotional, and developmental aspects.

Adolescent↗
PubMed1997

Reported health concerns of Israeli high school students--differences by age and sex.

Health concerns of high school students in the 10th grade and again in the 12th grade were studied. The students filled out an anonymous questionnaire that included a list of 73 concerns. At both ages their main concerns were reportedly related to school. Concerns relating to army service ranked high particularly in the 12th grade, among both sexes. Concerns relating to sexual relations were frequent among boys at both ages, whereas concerns about mood and loneliness were more frequent among girls. Reports on physical concerns were frequently related to height among the younger boys and weight and diet among girls of both ages. Concerns were grouped into 6 domains. In each of them, except for sexuality, girls had more concerns. A significant decline in the number of concerns was noted from the first to the second survey, indicating a partial resolution of the issues central to adolescent development. Knowledge about concerns of adolescents may help health care providers in counseling and health education program planning.

Adaptation, Psychological↗
PubMed1996

Exposure to missile attacks: the impact of the Persian Gulf War on physical health behaviours and psychological distress in high and low risk areas in Israel.

The purpose of this study was to compare residents of an area (Tel-Aviv), which was severely afflicted by SCUD missiles during the Persian Gulf War (high risk region), to residents of a low-risk region (Jerusalem) in terms of: (a) changes in physical health, in use of medical or psychological services, and in health behaviours during the period of the war compared to the preceding month; (b) levels of psychological distress (somatization and anxiety) during the war; (c) characteristics of persons at highest risk for psychological distress. Respondents were randomly chosen and interviewed by telephone (N = 545 in Tel-Aviv, N = 406 in Jerusalem). The respondents in both regions reported significant yet similar deterioration in physical health status, and an increase in detrimental health behaviours during the Gulf War. Tel-Aviv residents had significantly higher levels of psychological distress as compared to residents of Jerusalem: in somatization 18 vs 12% respectively (OR = 2.44, CI = 1.39-4.28), in anxiety 34 vs 26% respectively (OR = 1.62, CI = 1.1-2.42). In addition to place of residence, age, ethnicity, religiosity and self-assessed health were identified as characteristics of persons at greater risk for psychological distress.

Adaptation, Psychological↗
PubMed1996

Time trends of child development in a Jerusalem community.

The study of the Development Quotient (DQ-according to the Brunet-Lezine test) of two-year-olds living in a geographically defined area in Western Jerusalem was carried out for the birth cohorts of 1971 to 1989 (n = 4314). An 'Early Stimulation' programme was implemented from 1975 through the Mother and Child Health Clinic. The stimulation programme provided mothers with skills to enhance the development of their children through social interaction, play and verbal stimulation from birth to two years of age. The mean DQ at 2 years old increased significantly from 104.6 (SD = 9.8) for the 1972 cohort to 108.9 (SD = 9.1) for those born in 1989. Coordination and posture subscores followed the trends of the total DQ while the trends in language development were less marked. There is indication that children whose mothers had 9-11 years of schooling benefited more than other children. Better achievement on the developmental test as expressed in the mean DQ was probably related to changing socio-demographic characteristics of the population, and the implementation of the 'Early Stimulation' programme. The widening gap of the DQ after an initial decrease among children whose mothers had < or = 8 years of schooling and those in higher educational groups during the 80s may have been caused by the fact that the latter are a very disadvantaged group of families compared with the rest of the population.

Analysis of Variance↗
PubMed1995

Weight concerns and dieting behaviors among high school girls in Israel.

PURPOSE: The purpose of this study was to determine the prevalence of weight concerns and dieting behaviors among Israeli adolescent females, to compare the results with those found in other countries and with previous studies in Israel, and to compare the different ethnic groups within the study population. METHODS: The study population included 341 tenth grade girls, mostly native-born, from three public high schools in Jerusalem, Israel. Girls completed a questionnaire, and anthropometric measures were taken within their respective schools. RESULTS: Seventeen percent of the population was obese, however a much larger percentage expressed dissatisfaction with their body weights and shapes. Dieting for weight loss was common with 74% reporting past dieting and 47% reporting present dieting. No differences were found between the girls whose families originated in different countries. However mothers' weight concerns, as perceived by their daughters, did differ with higher concerns among the mothers who had come from Europe/America or who were born in Israel, than among those from North Africa or the Middle East. CONCLUSIONS: Comparisons with earlier studies in Israel indicate a large increase in weight concerns and dieting behaviors, with prevalence rates similar to those reported in Western countries. The finding that among the girls, these maladaptive attitudes and behaviors crossed ethnic boundaries, suggests that adolescent girls have been acculturated into the dominant culture in which a strong emphasis is placed on thinness. The results suggest the need for educational programs and for further studies on different cultural and religious groups within Israel.

Adolescent↗
PubMed1995

Concerns and risk behaviors and the association between them among high-school students in Jerusalem.

PURPOSE: To study the distribution, prevalence, determinants, and association between the health, social, and environmental concerns and risk behaviors of high school students in Jerusalem in order to provide a better basis for preventive and health promotion services. METHODS: 1078 tenth grade high school students, 15-16 years old answered an anonymous questionnaire including, perceived concerns and risk behaviors, (e.g., smoking, alcohol, drugs, and sexual activity). Concerns were grouped into six domains. RESULTS: The most frequently reported concerns related to school, weight, coping with aggression, fatigue, war, enlistment into army, and relationships with peers. Girls had more concerns in the domains of self-image, anxiety, and relationships with peers (p < .05). Adolescents with mothers who had less education had significantly more concerns in the domains of anxiety and relationships with peers and adults (p < .05). Forty-seven percent engaged in at least one risk behavior (boys 63% and girls 34%). The Guttman scalogram indicated the following sequence of risk behaviors: alcohol, cigarettes, sex, and drugs. There were statistically significant associations between concerns and risk behaviors in the domains of anxiety, sex, and relationships with adults and peers. CONCLUSION: Many adolescent concerns are universal, although the ranking and prevalence may vary based on different regional and population characteristics (e.g., in this population a high rate of concerns relating to aggression and war were identified). The results support the need to develop prevention and health promotion programs relating to the concerns and risk behaviors in the school and community, and individual counseling programs in primary care settings.

Adolescent↗
PubMed1995

A school-linked health service for adolescents in Jerusalem.

This paper describes the Adolescent Health Service (AHS) and its multidisciplinary, school-linked, community-based adolescent health clinic located in a western neighborhood of Jerusalem. Files of the first 134 adolescents who completed or discontinued treatment in the clinic during the first two years of operation were reviewed for demographic data, referral source, number of visits, health concerns and clinical impressions. The clinic population included Jewish Jerusalem residents, ages 12-18, 75% of whom were female. Most referrals came from schools. The average number of visits per patient was five (range 1-20). The most frequent presenting concerns as well as the most frequent clinical impressions were in the psychosocial and nutritional domains. Concordance between presenting concern and clinical impression was 61% (k = 0.47). Health problems of Israeli high school students attending the clinic mainly were psychosocial and nutritional. The school-linked health service applied a comprehensive approach to the biopsychosocial needs of adolescents, not addressed at other health services.

Adolescent↗
PubMed1995

Injury prevention program in primary care: process evaluation and surveillance.

OBJECTIVES: To carry out process evaluation and surveillance in a community oriented primary care program for injury prevention among children 0-2 years old (n = 306). SETTING: Mother and child health clinic in a defined area of Western Jerusalem. METHODS: An injury prevention program was integrated into the routines of the mother and child health clinic. The program consisted of injury surveillance and counselling using a developmental approach, regarding car safety and the prevention of falls, burns, suffocation, poisonings, cuts, drowning, and electrocution. Process evaluation and surveillance were based on records integrated into the child's personal file in the clinic. RESULTS: Process evaluation indicated that counselling coverage was 73% in the 0-5 month age group and decreased to 48% in the second year of life. The mean number of topics discussed with the parents was 6.6 (out of nine) for the 0-5 months age group, 13.6 (out of 18) for the 6-11 month group, and 15.7 (out of 18) for those 1-2 years old. Injury surveillance activities were complete for 66% of the children, incomplete in 32%, and not done in 2%. CONCLUSIONS: The results indicate that it is feasible to integrate an injury prevention program into primary care, and that process evaluation is important in detecting problems and improving performance of the program's activities.

Accident Prevention↗
PubMed1995

Symptom clusters among young adolescents.

This study examines recurrent psychosomatic symptoms and symptom clusters among 5th and 6th grade Israeli school children. A questionnaire which asked about the frequency of eight psychosomatic and eight organic complaints was administered to 259 students. The most frequently reported psychosomatic complaints were abdominal pain, experienced often by 21%, and headache, experienced often by 20% of the pupils. There were statistically significant differences between the sexes, girls having a higher prevalence than boys for eight of the symptoms, and with more girls than boys reporting more than one symptom in each category: 23% of the students had more than one psychosomatic symptom and 16% had more than one organic symptom. Multiple psychosomatic complaints were common, with 28% of those with back or limb pain and 27% of those suffering from "bad mood" reporting an additional three to five complaints. Abdominal pain and headache were each reported as an accompanying complaint in more than 40% of cases for almost every other psychosomatic complaint. The significance of these symptom clusters needs to be explored further as they may have important implications as markers for psychosocial stress.

Child↗
PubMed1994

Do infant and early childhood tests predict intelligence quotients better than maternal characteristics?

The sensitivity, specificity, and predictive values of infant and early childhood testing for subsequent intelligence tests at 3 and 5 years of age were assessed and compared to the sensitivity, specificity, and predictive value of maternal education for the same. The study was based on prospective surveillance of a population of infants attending the Maternal and Child services in western Jerusalem. The sensitivity, specificity, and predictive value of the 9- and 24-month tests were low, thus leading to labeling of false positives and inadequate detection of those with developmental delay. Maternal education was shown to be the single best predictor for intellectual performance on the 3- and 5-year test in the above analysis, as well as in a multivariate model where the 9- and 24-month tests, maternal education, origin, birth order, and sex were introduced as independent variables. It is recommended to take a detailed history, listen to parents' complaints, and use developmental testing selectively for children suspected to have problems, and not to apply developmental tests as a routine for all children in well-child care.

Child↗
PubMed1994

Cardiovascular risk factors by ethnic group and menstrual status among 13- and 14-year-old Israeli schoolchildren.

BACKGROUND: Ethnic differences in cardiovascular risk factors have been demonstrated previously among Israeli children and adolescents. This study examines the prevalence of selected risk factors and risk factor clusters among 13- and 14-year old Israeli schoolchildren according to ethnic origin and other demographic variables, and takes into account the unique contribution of menstrual status of the girls to risk factor differences. METHODS: Demographic and menstrual status (for the girls) data were obtained for 299 West Jerusalem eighth grade students. Height, weight, and blood pressure were measured, and blood was obtained for total cholesterol, high density cholesterol (HDL), and triglyceride measurements. Differences in mean Body Mass Index (BMI), blood pressure, and lipids, as well as in the percentage of children with specific risk factors or total number of risk factors were tested for among the various demographic and menstrual status groups. RESULTS: BMI was statistically significantly greater among females (20.2 kg/m2) than among males (19.46 kg/m2), (p = .04) and among menstruating females (21.1 kg/m2) compared with non-menstruating females (17.9 kg/m2), (p = .000). Mean systolic blood pressure was higher among menstruating (109.8 mmHg) than non-menstruating (105.9 mmHg) females (p = .09). Statistically nonsignificant differences in mean systolic blood pressure and total cholesterol were found according to paternal country of origin. According to defined cutoff points, 8.7% of the students had elevated BMI, 2.8% had elevated systolic or diastolic blood pressure, and 13.0% had elevated total cholesterol. 17.5% of the students had one cardiovascular risk factor and 3.1% had two risk factors. CONCLUSIONS: The data demonstrate a high prevalence of cardiovascular risk factors without statistically significant ethnic differences in this population. Menstrual status exerted a unique effect upon BMI and systolic blood pressure. Pubertal status should be considered in the assessment of risk factors in early adolescents. Total-community-oriented intervention is recommended for this population.

Adolescent↗