ALBANIAN MEDICAL JOURNAL SUPPLEMENTParticipation of adolescents <strong>in</strong> physical activity <strong>in</strong><strong>Albania</strong> <strong>in</strong> 2009Rud<strong>in</strong>a Çumashi 1 , Rovena Daja 11Institute of Public Health, Tirana, <strong>Albania</strong>.Aim: of the Youth Risk Behavior SurveillanceSystem among adolescents was to monitor six(priority) categories of health risk behaviors amongyouth <strong>in</strong> <strong>Albania</strong>. One of these categories was theparticipation of adolescents <strong>in</strong> physical activity.Methods: This was a quantitative study withparticipation of high school students, aged 16-18years. The sample size was 3200 students, drawn ona multistage cluster sampl<strong>in</strong>g technique withprobability proportional to size (for the 12 districtsof <strong>Albania</strong>). The <strong>in</strong>strument of the study was astandardized questionnaire adapted from the Centerfor Disease Control and Prevention, USA. The dataanalysis was conducted <strong>in</strong> SPSS.Results: About 40% of the students did notperform any physical activity dur<strong>in</strong>g a week, while37% reported to have had physical activities with aduration of 30 m<strong>in</strong>utes without sweat<strong>in</strong>g or hav<strong>in</strong>gdifficulties <strong>in</strong> breath<strong>in</strong>g 1-2 days per week. 23% ofstudents have performed a physical activity of 20m<strong>in</strong>utes which had made them sweat<strong>in</strong>g <strong>in</strong> 3 ormore days per week (37.5% male and 12.9% femalestudents). About 70% of students participated <strong>in</strong> anhour of physical education and 8% of them <strong>in</strong> twoor more hours. 37% of the students had watchedTV for 3-4 hours per day.Conclusion: Participation of the adolescents <strong>in</strong>physical activities has decreased over the years <strong>in</strong><strong>Albania</strong>. There is an urgent need for activepromotion of physical activity, efficient healtheducation, and greater focus on health education <strong>in</strong>school curricula, as well as <strong>in</strong>volvement of healthprofessionals <strong>in</strong> promotional campaigns related toyouth participation <strong>in</strong> different physical activities.Keywords: adolescent, sedentarylifestyle, physical activity.90 ALBANIAN MEDICAL JOURNAL SUPPLEMENT
INTERNATIONAL PUBLIC HEALTH CONFERENCE IN TIRANA, ALBANIAMental Health Counsel<strong>in</strong>gRedona Dudushi 1 , Roland Bani 1 , Marjeta Dervishi 1 , El<strong>in</strong>a Mukaj 1 ,Flora Balla 1 , Blerta Xhani 11Institute of Public Health, Tirana, <strong>Albania</strong>.Mental health is a <strong>in</strong>tegral part of our overall life.Mental Health Counsel<strong>in</strong>g has to do with manyaspects of our lives <strong>in</strong>clud<strong>in</strong>g: how we feel aboutourselves, how we feel about others, how we areable to meet the demands of life. Mental healthcounsel<strong>in</strong>g has been <strong>in</strong> practice for a considerabletime <strong>in</strong> various forms, and has often been a functionof religious or other community organizations <strong>in</strong>tenton support<strong>in</strong>g the overall health and prosperity ofcitizens.The mental health counsel<strong>in</strong>g has the goal ofestablishment <strong>in</strong>dividuals balance between all aspectsof life (social, physical, spiritual and emotional).Counsel<strong>in</strong>g helps to br<strong>in</strong>g change and clarity <strong>in</strong>thought, emotion, and <strong>in</strong> behavior. The counsel<strong>in</strong>g<strong>in</strong> itself has different goals as facilitat<strong>in</strong>g behavioralchange, enhanc<strong>in</strong>g ones cop<strong>in</strong>g skills, promot<strong>in</strong>gdecision mak<strong>in</strong>g, and improv<strong>in</strong>g relationships. Themental health counsel<strong>in</strong>g has important role <strong>in</strong>treatment of persons liv<strong>in</strong>g with HIV/ AIDS.The Counsel<strong>in</strong>g process is becom<strong>in</strong>g a core element<strong>in</strong> a holistic model of health care, <strong>in</strong> whichpsychological issues are recognized as <strong>in</strong>tegral topatient management. HIV counsel<strong>in</strong>g has two majorobjectives: the prevention of HIV transmission andthe support of those affected directly and <strong>in</strong>directlyby HIV/AIDS. It is important that HIV counsel<strong>in</strong>gshould have these dual aims because the spread ofHIV can be prevented by changes <strong>in</strong> behavior. Thecounsel<strong>in</strong>g has a particular contribution <strong>in</strong> that itenables frank discussion of sensitive aspects of a<strong>in</strong>dividuals life. Also, when patients know that theyhave HIV <strong>in</strong>fection they may suffer greatpsychosocial and psychological stresses through afear of rejection, social stigma, disease progression,and the uncerta<strong>in</strong>ties associated with futuremanagement of HIV. Good cl<strong>in</strong>ical managementrequires that such issues be managed with consistencyand professionalism, and counsel<strong>in</strong>g can bothm<strong>in</strong>imize morbidity and reduce its occurrence. Avery important <strong>in</strong>dicator to gauge the specific soundHIV/AIDS rema<strong>in</strong>s a number of voluntary test<strong>in</strong>gfor HIV.Function<strong>in</strong>g of voluntary counsel<strong>in</strong>g and test<strong>in</strong>gcenters <strong>in</strong> each prefecture currently allows <strong>Albania</strong>to perform test<strong>in</strong>g <strong>in</strong> these prefectures. Around2137 voluntary tests are carried out on voluntarycounsel<strong>in</strong>g and test<strong>in</strong>g centers <strong>in</strong> Tirana and <strong>in</strong> allregions of the country, a figure that has undergonea slight <strong>in</strong>crease compared to last year, when the1677 voluntary tests were conducted. Empower<strong>in</strong>gthese centers should be an ongo<strong>in</strong>g process.Keywords: counsel<strong>in</strong>g, HIV / A IDS, mental health.ALBANIAN MEDICAL JOURNAL SUPPLEMENT91