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  1. Fulltext Quality of life (QOL) and its associated factors among rungus elderly population in the rural areas of Kudat, Sabah
    Seow, Shi Yin, Jeremy Ling, Siew Wei, Teh, Khang Wei, Wong, Kwong Hui, Irene Oh, Huai En, Chan, Zhi Wei, et al.
    Borneo Journal of Medical Sciences, 2017;11(1):42-55.
    MyJurnal
    Aging population will be an inevitable phenomenon around the globe. This study aimed to
    assess the quality of life and its associated factors among the elderly population in rural areas of
    Kudat, Sabah. A community based cross-sectional study was conducted among elderly aged 60 and
    above living in Tambuluran Area of Kudat. Quality of life was assessed using WHOQOL-BREF
    questionnaires. Socio-demographic data of the elderly, perceived morbidities and utilization of health
    services were collected. Independent sample t-test was used for data analysis. A total of 165
    respondents participated in this study with a mean age of 71.42±6.50. The mean WHOQOL-BREF
    score was 65.20 ±11.49. Mean scores for physical and psychological domains were lower than
    average. Age, marital status, educational level and perceived morbidity were associated significantly
    with QOL. In conclusion, QOL was generally average among elderly in rural areas of Kudat.
    Therefore, interventions should place emphasis on physical and psychological aspects of life among
    these aged population.
  2. Young breast cancer and the influence of ethnicity in Sandakan: A 3-year retrospective cross-sectional study
    Wong WJ, Zainudin SP, Koo YH, Ho KY, Lee ZJ, Wong KH
    Asia Pac J Clin Oncol, 2021 Jun 29.
    PMID: 34185957 DOI: 10.1111/ajco.13596
    INTRODUCTION: Breast cancer (BC) is the most common cancer in Malaysia, with incidence increasing with age. There have been demonstrated differences in age of presentation and tumour biology when comparing ethnicities. Twenty percent of Caucasian women present before 50 years old, but almost 50% of Southeast Asian (SEA) women present before 50. However, BC in Indigenous sub-groups has not yet been studied. Sandakan is a city in Sabah with a large Indigenous population. Current nationwide screening guidelines are based on the U.S. Preventive Task Force 2009 Guidelines, which may not represent our population. We aim to examine the age of incidence for our local population, for local screening recommendations.

    METHOD: Retrospective cross-sectional study, including all consecutive cases of epithelial invasive tumours, from January 2016 to December 2018. Other histological types were excluded. Univariate and multivariate analyses were performed.

    RESULT: A total of 115 breast tumours were identified. Ten tumours were excluded (five ductal carcinoma in situ, four phyllodes, and one sarcoma), leaving a study population of 105 patients. Median age of presentation was 53 years (min 30; max 97). A total of 41.9% presented before the age of 50. Patients of Indigenous ethnic origins were 11 years younger at presentation than non-Indigenous women. Tumour grade was more likely to be higher among Indigenous women.

    CONCLUSION: Median age of presentation of BC in Sandakan matches regional data; however, patients of Indigenous ethnic groups present even earlier. Screening guidelines should consider the growing evidence of young BC in SEA.

  3. Fulltext The risk factors and associated co-morbidities of obesity among adults in northern borneo
    Wong, Kwong Hui, Hanisah Mohd Siddiq, Nur Fadzlina Abu Seman, Krisnaah, Padmanathan, Mohd Amiruddin Mohd Kassim, Geveney, Yukin, et al.
    Borneo Journal of Medical Sciences, 2017;11(1):56-67.
    MyJurnal
    Obesity is a prevailing health issue and has been recognized as a threat in public health worldwide.
    Rural setting is no longer a barrier to the epidemic of obesity as previously thought. This crosssectional
    study aimed to determine the risk factors and associated co-morbidities of obesity among
    adults aged 18 and above in rural community of Kudat, Sabah. 28.2% of respondents were found to be
    obese with female predominance (54.9%). Older age, formally educated, ever-drinkers and high
    systolic blood pressure were associated with obesity. Various forms of interventions should also
    involve the rural area to close the disparity of health.
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