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Alma D. Guerrero|Jie Chen|Moira Inkelas|Hector P. Rodríguez|Alexander N. Ortega
Racial and Ethnic Disparities in Pediatric Experiences of Family-Centered Care
2,010
Families USA|University of California, Los Angeles|College of Staten Island|Families USA|University of California, Los Angeles|College of Staten Island|Families USA|University of California, Los Angeles|College of Staten Island|Families USA|University of California, Los Angeles|College of Staten Island|Families USA|University of California, Los Angeles|College of Staten Island
background previous studies examined racial ethnic disparities receipt familycentered care among children special health care needs health plan enrollees extent disparities general pediatric population remains unclear objective examine racial ethnic disparities receipt familycentered care among general population us children methods linked data medical expenditure panel survey national health interview survey 20032006 used study 4 familycentered care items overall composite measure familycentered care adjusted models examined extent child characteristics socioeconomic access care factors explained racial ethnic disparities provision familycentered care results black children similar experiences white children overall familycentered care 4 components familycentered care models adjust child characteristics socioeconomic factors contrast differences dimensions overall familycentered care white children latino children irrespective interview language persist multivariate adjustment conclusions future research examine extent latinowhite differences receipt familycentered care narrowed programs policies geared improving parental education health literacy quality provider communication quality improvement strategies health care systems
https://doi.org/10.17795/nmsjournal29655
Ahsan M. Arozullah|Shoou Yih D. Lee|Taha Khan|Sindhu Kurup|Jeffrey J. Ryan|Michael Bonner|Robert C. Soltysik|Paul R. Yarnold
The roles of low literacy and social support in predicting the preventability of hospital admission
2,006
Jesse Brown VA Medical Center|University of North Carolina at Chapel Hill|Jesse Brown VA Medical Center|Jesse Brown VA Medical Center|Jesse Brown VA Medical Center|Jesse Brown VA Medical Center|Jesse Brown VA Medical Center|Northwestern University
background prior studies found higher hospitalization rates among patients low literacy determine preventability admissions consider determinants hospitalization social support study evaluated whether low literacy predictor preventability hospitalization considered context social support sociodemographics health status risk behaviors methods convenience sample 400 patients admitted general medicine wards universityaffiliated veterans affairs hospital august 1 2001 april 1 2003 completed facetoface interview assess literacy sociodemographics social support health status risk behaviors two boardcertified internists independently assessed preventability hospitalization determined primary preventable cause blinded medical chart reviews results neither low literacy seventh grade low literacy fourth grade significantly associated preventability hospitalization multivariable analysis significant predictors preventable cause hospitalization included binge alcohol drinking p001 lower social support medical care p04 3 annual clinic visits p005 12 people talked weekly p023 among nonbinge drinkers lower social support medical care larger social networks predictive preventability hospitalization among nonbinge drinkers higher support medical care lower outpatient utilization predictive preventability hospitalization conclusions low literacy predictive admission preventability formal assessment alcohol binge drinking social support medical care social network size prior outpatient utilization may enhance ability predict preventability hospitalizations develop targeted interventions
https://doi.org/10.3889/oamjms.2022.8456
Robert Weech?Maldonado|Allyson G. Hall|Thomas Bryant|Kevin Ahmaad Jenkins|Marc N. Elliott
The Relationship Between Perceived Discrimination and Patient Experiences With Health Care
2,012
University of Alabama at Birmingham|University of Florida|Duval County Public Schools|University of Florida|RAND Corporation
background prior studies shown racialethnic minorities lower consumer assessments healthcare providers systems cahps scores perceived discrimination may mediate relationship raceethnicity patient experiences care objective examine relationship perceived discrimination based raceethnicity medicaid insurance cahps reports ratings care methods study analyzed 2007 survey data 1509 florida medicaid beneficiaries cahps reports getting needed care timeliness care communication doctor health plan customer service ratings personal doctor specialist care overall health care health plan care primary outcome variables patient perceptions discrimination based raceethnicity medicaid insurance primary independent variables regression analysis modeled effect perceptions discrimination cahps reports ratings controlling age sex education selfrated health status raceethnicity survey language feeforservice enrollment ses corrected correlation within plans results medicaid beneficiaries reporting discrimination based raceethnicity lower cahps scores ranging 15 points lower 0100 scale getting needed care 6 points lower specialist rating compared never experienced discrimination similar results obtained perceived discrimination based medicaid insurance conclusions perceptions discrimination based raceethnicity medicaid insurance prevalent associated substantially lower cahps reports ratings care practices must develop implement strategies reduce perceived discrimination among patients
https://doi.org/10.5812/ijhrba.4(2)2015.22381
Corine S. Meppelink|Julia C.M. van Weert|Carola J. Haven|Edith G. Smit
The Effectiveness of Health Animations in Audiences With Different Health Literacy Levels: An Experimental Study
2,015
University of Amsterdam|University of Amsterdam|University Medical Center Groningen|University of Amsterdam
background processing webbased health information difficult especially people low health literacypresenting health information audiovisual format animation expected improve understanding among low health literate audiencesobjective aim paper investigate features spoken health animations improve information recall attitudes whether differences health literacy groups
https://doi.org/10.1016/j.cdp.2006.07.004
Ashish Jacob Mathew|Vinay Goyal|Elizabeth George|Dany Varughese Thekkemuriyil|B. Jayakumar|Arvind Chopra
Rheumatic-musculoskeletal pain and disorders in a naïve group of individuals 15 months following a Chikungunya viral epidemic in south India: a population based observational study
2,011
Government Medical College and Hospital|Government Medical College and Hospital|Government Medical College and Hospital|Government Medical College and Hospital|Government Medical College and Hospital
background prospective community data arthropathy following chikungunya chikv selflimiting arboviral infection causing debilitating arthropathy lacking clinical profile chronic rheumaticmusculoskeletal rmsk pain disorders captured inadvertently 15 months following chikv epidemic described materials methods patients rmsk pain following chikv epidemic 2007 identified randomly selected population 5277 age 15 years village south india using validated questionnairebased housetohouse survey typical narration records serology relied upon classify chikv respondents recorded active pain sites human mannequin evaluated rheumatology physicians results total 1396 chikv infected individuals painful mskd identified 437 patients mean age 4837 1362 years 716 women nave rmsk pain prior epidemic studied detail incidence rmsk pain disorders nave group 83 4375277 knee commonest selfreported pain site 833 majority patients 57 postviral nonspecific polyarthralgia soft tissue rheumatism common 277 rheumatoid arthritis seronegative spondyloarthritis observed 6 11 patients respectively conclusions although causal association could established study unravelled wide spectrum unrecognised postchikv chronic rmsk disorders aetiopathogenesis risk factors chronicity need studied
https://doi.org/10.1111/j.1475-3588.2009.00551.x
Sofia Baptista|Elvira Teles Sampaio|Bruno Heleno|Luís Filipe Azevedo|Carlos Martins
Web-Based Versus Usual Care and Other Formats of Decision Aids to Support Prostate Cancer Screening Decisions: Systematic Review and Meta-Analysis
2,018
Universidade do Porto|Centro Hospitalar de Lisboa Ocidental|Centro Hospitalar de Lisboa Ocidental|University of Lisbon|Universidade Nova de Lisboa|Universidade do Porto|Centre for Health Technology and Services Research|Universidade do Porto|Centre for Health Technology and Services Research
background prostate cancer leading cause cancer among men screening prostate cancer controversial issue many experts field defended use shared decision making using validated decision aids presented different formats eg written multimedia web recent studies concluded decision aids improve knowledge reduce decisional conflict
https://doi.org/10.3389/fpsyt.2021.661903
Joana Nobre|Henrique Luís|Ana Paula Oliveira|Francisco Monteiro|Raúl Cordeiro|Carlos Sequeira|Carme Ferré?Grau
Psychological Vulnerability Indices and the Adolescent’s Good Mental Health Factors: A Correlational Study in a Sample of Portuguese Adolescents
2,022
Instituto Politecnico de Setubal|Universidad Rovira i Virgili|Polytechnic Institute of Portalegre|University of Lisbon|Polytechnic Institute of Portalegre|Instituto Politécnico de Leiria|Universidad Rovira i Virgili|Polytechnic Institute of Portalegre|Polytechnic Institute of Portalegre|University of Évora|Centre for Health Technology and Services Research|Polytechnic Institute of Portalegre|Centre for Health Technology and Services Research|Universidad Rovira i Virgili
background psychological vulnerability pv indicates individuals inability adapt stressful situations adolescents experience negative impacts future mental health acquire skills knowledge necessary good mental health developmental stage aim compare pv index among three stages adolescence explore factors involved good mental health including relationship adolescents pv indices sociodemographic variables relationship adolescents pv index knowledge factors characterize good mental health method exploratory crosssectional correlational study carried three public schools region portugal using online selfcompleted questionnaires psychological vulnerability scale pvs mental healthpromoting knowledge mhpk10 results convenience sample consisted 260 adolescents mean age 1407 years students 5th 12th grades mostly female moderate pv indexes obtained higher late adolescence ie older adolescents females advanced school year worse selfperceptions physical mental health body image frequently used health service due mental health problems association pv index level knowledge factors involved good mental health reach statistical significance p 006 conclusions results suggest need design personalized interventions promote adolescents mental health literacy prevent pv initiated early adolescence
https://doi.org/10.1177/0004867417753552
Nancy A. Pike|Lorraine S. Evangelista|Lynn V. Doering|Jo Ann Eastwood|Alan B. Lewis|John S. Child
Quality of Life, Health Status, and Depression
2,012
Children's Hospital of Los Angeles|University of California, Los Angeles|University of California, Irvine|Lynn University|Children's Hospital of Los Angeles|University of California, Los Angeles|University of California, Irvine|Lynn University|Children's Hospital of Los Angeles|University of California, Los Angeles|University of California, Irvine|Lynn University|Children's Hospital of Los Angeles|University of California, Irvine|Lynn University|University of California, Los Angeles|Children's Hospital of Los Angeles|University of California, Los Angeles|Lynn University|University of California, Irvine|University of California, Los Angeles|Lynn University|Children's Hospital of Los Angeles|University of California, Irvine
background quality life qol adolescents adults undergone fontan procedure living 1 ventricle presumed diminished objectives study aimed compare qol health status prevalence depression adolescentsadults fontan procedure healthy counterparts identify predictors qol fontan group methods using comparative crosssectional design 54 adolescents adults single ventricle congenital heart disease undergone fontan procedure compared 66 agematched healthy counterparts quality life health status depression social support measured using satisfaction life scale short form survey version 2 patient health questionnaire depression module multidimensional scale perceived social support clinical variables abstracted medical records predictors qol determined using multiple linear regression results adolescents adults fontan group reported lower physical health status mean sd 465 93 vs mean sd 559 51 p 001 depressed mean sd 73 59 vs mean sd 45 43 p 004 healthy counterparts differences qol mental health status social support 2 groups functional status new york heart association class depression social support accounted 55 variance qol fontan group conclusions despite lower levels physical health qol fontan patients comparable healthy counterparts finding contradicts previous proxy reports selfreports assumptions qol lower patients complex single ventricle congenital heart disease however fontan patients depressed healthy counterparts need early screening detection warranted
https://doi.org/10.9790/0853-13464144
Jennifer Jelsma|Kristian Schultz Hansen|Willy De Weerdt|Paul De Cock|Paul Kind
How do Zimbabweans value health states?
2,003
University of Cape Town|University of Copenhagen|KU Leuven|KU Leuven|University of Wisconsin–Madison|University of York
background quality life weights based valuations health states often used cost utility analysis population health measures paper reports attempt develop quality life weights within zimbabwe context methods 2384 residents randomly selected small residential plots land highdensity suburb harare valued descriptors 38 health states based different combinations five domains eq5d mobility selfcare usual activities pain discomfort anxiety depression english version eq5d used time tradeoff method used determine values 19020 individual preferences health states analysed residual maximum likelihood linear mixed model used estimate function predicting values possible combinations levels five domains model fit random subset twothirds observations remaining observations reserved analysis predictive validity results compared similar study undertaken united kingdom results credible model developed predict values states valued directly subset observations reserved validation mean absolute difference predicted observed values 0045 domains eq5d found contribute significantly model moderate severe levels severe pain found largest negative coefficient followed inability wash dress oneself conclusion despite generally lower education level european counterparts urban zimbabweans appear value health states consistent manner determination global method establishing quality life weights may feasible valid however relative weightings different domains although correlated differed standard set weights recommended euroqol group locally determined coefficients used within zimbabwean context
https://doi.org/10.7322/jhgd.79915
Ben S. Gerber|Young I. Cho|Ahsan M. Arozullah|Shoou Yih D. Lee
Racial differences in medication adherence: A cross-sectional study of medicare enrollees
2,010
Jesse Brown VA Medical Center|University of Illinois at Chicago|University of Illinois at Chicago|University of Illinois at Chicago|University of North Carolina at Chapel Hill
background racial differences adherence prescribed medication regimens reported among elderly remains unclear however whether differences persist controlling confounding variables objective objective study determine whether racial differences medication adherence african american white seniors persist adjusting demographic characteristics health literacy depression social support hypothesized differences adherence 2 races would eliminated adjusting confounding variables methods survey medication adherence conducted using facetoface interviews medicare recipients 65 years age living chicago participants good hearing vision able speak english enable respond questions survey sign informedconsent form medication adherence measures included questions 1 running medications refilling prescriptions 2 following physician instructions take medications 3 forgetting take medications individual crude odds ratios cors calculated association race medication adherence adjusted odds ratios aors calculated using following covariates multivariate logistic regression analyses race age sex living spouse partner significant income medicaid benefits prescription drug coverage primary care physician history hypertension diabetes health status health literacy depression social support results six hundred thirtythree eligible cases identified 489 patients responded survey 450 266 african american 59 mean age 782 years 184 white 41 mean age 768 years predominantly women included sample overall response rate survey 773 african americans likely whites report running medications refilling cor 301 95 ci 172528 always following physician instructions take medications cor 264 95 ci 150464 however significant difference races observed forgetting take medications cor 090 95 ci 061131 adjusted analyses race longer associated low adherence due refilling aor 160 95 ci 074342 however race remained associated following physician instructions take medications adjusting confounding variables aor 249 95 ci 107580 conclusion elderly african americans reported followed physician instructions take medications less frequently elderly whites even adjusting differences demographic characteristics health literacy depression social support
https://doi.org/10.37719/jhcs.2019.v1i2.oa006
Nicholas Spaull|Elizabeth J. Pretorius|Nompumelelo Mohohlwane
Investigating the comprehension iceberg: Developing empirical benchmarks for early-grade reading in agglutinating African languages
2,020
Stellenbosch University|University of South Africa
background reading development agglutinating african languages relatively underresearched area numerous studies highlight low comprehension levels among learners reading african languages south africa little done probe beneath comprehension iceberg terms decoding skillsaim tentative step towards benchmarking african languages analyse subcomponents reading across three languages northern sotho xitsonga isizulu better understand nature alphabetic knowledge word reading fluency languages relate one another accuracy speed relate comprehensionsetting data obtained 785 grade 3 learners across three african languages three provinces south africamethods early grade reading assessment egra framework adapted written features three languages assess lettersounds singleword reading nonword reading oral reading fluency orf oral comprehensionresults present results fluency accuracy comprehension interrelationships morphologically rich languages differences emerged conjunctive disjunctive orthographies strong relations occurred across languages lettersound knowledge word reading word reading oral reading fluency orf reading comprehension results suggest minimum thresholds accuracy orf language virtually impossible read meaningconclusion strong need languagespecific norms benchmarks african languages preliminary minimum decoding thresholds comprehension found three languages serve move direction
https://doi.org/10.1016/j.jid.2021.02.303
Andrew V. Kuczmarski|Nancy Cotugna|Marc Mason|Michele K. Evans|Alan B. Zonderman
Depression and Cognitive Impairment Are Associated with Low Education and Literacy Status and Smoking but Not Caffeine Consumption in Urban African Americans and White Adults
2,015
University of Delaware|University of Delaware|National Institute on Aging|National Institutes of Health|National Institute on Aging|National Institutes of Health|National Institute on Aging|National Institutes of Health
background recent research linked caffeine consumption lower risk depression cognitive decline however studies examined relationship african american compared white socioeconomically diverse representative urban sample methods data crosssectional study used determine associations caffeine use depressive symptomatology cognition sample 1724 participants healthy aging neighborhoods diversity across life span handls study united states department agricultures automated multiple pass method used trained interviewers collect two inperson 24hour dietary recalls depressive symptoms global cognition assessed using two wellvalidated measures center epidemiologic studies depressive scale cesd mini mental state examination mmse respectively usual caffeine intake based recalls data analyzed chisquare tests correlation analysis ordinal logistic regression results african americans consumed significantly less caffeine whites 89032 244087 mg respectively caffeine consumption associated depressive symptomatology global cognition age less 5th grade literacy less high school education significantly associated depressive symptoms cognitive function smokers 43 greater risk depression 3 higher risk cognitive impairment conclusion low level dietary caffeine intake combination smoking among handls study participants may influenced lack association depressive symptomatology global cognition sample low literacy education appear highly associated depressive symptoms cognitive function caffeine intake
https://doi.org/10.1197/jamia.m1917
Sennen Hounton|Peter Byass|Brahima Bassane
Towards reduction of maternal and perinatal mortality in rural Burkina Faso: communities are not empty vessels
2,009
University of Aberdeen
background reducing maternal perinatal mortality sub saharan africa remains challenging requires effective context specific interventionsobjective aims paper demonstrate impact community mobilisation skilled care initiative sci reducing maternal perinatal mortality describe concept implementation order guide replication scaling updesigns quasi experimental design used assess extent sci associated increased institutional births maternal perinatal mortality reduction intervention ouargaye versus comparison diapaga district georeferenced census conducted retrospectively assess changes outcomes process measures detailed description activities rationale timing implementation gathered sci project officers summarised data analyses included descriptive statistics multivariate analysesresults macro level main significant difference ouargaye diapaga districts scope intensity communitybased interventions implemented ouargaye temporal association relationship implementation demanddriven interventions remarkable 30 increase institutional births intervention district compared 10 increase comparison district significant reduction perinatal mortality rates 075 ci 070080 intervention district larger decrease maternal mortality ratios intervention district although statistical significance reached comprehensive framework community mobilisation strategy proposed improve maternal child health poorest communitiesconclusion controlling availability quality health services working partnership effectively communities hence characterising communities empty vessels impacts outcomes district community mobilisation programme marked increase institutional births reductions maternal perinatal deaths
https://doi.org/10.2196/jmir.3706
Jiayun Xu|Joseph J. Gallo|Jennifer Wenzel|Marie T. Nolan|Chakra Budhathoki|Martha Abshire Saylor|K. Bruce Bower|Sofia Arruda|D. Lynn Flowers|Sarah L. Szanton|Cheryl Dennison Himmelfarb|Kaylin Gonzalez|Hae Ra Han
Heart Failure Rehospitalization and Delayed Decision Making
2,018
University of Utah|National Institutes of Health|Sigma Theta Tau International|National Institutes of Health|Sigma Theta Tau International|National Institutes of Health|Sigma Theta Tau International|Johns Hopkins University|National Institutes of Health|Sigma Theta Tau International|Johns Hopkins University|National Institutes of Health|Sigma Theta Tau International|National Institutes of Health|Sigma Theta Tau International|Johns Hopkins University|National Institutes of Health|Sigma Theta Tau International|Case Western Reserve University|National Institutes of Health|Sigma Theta Tau International|Sotheby's Institute of Art|National Institutes of Health|Sigma Theta Tau International|Johns Hopkins Hospital|National Institutes of Health|Sigma Theta Tau International|National Institutes of Health|Sigma Theta Tau International|Johns Hopkins University|Johns Hopkins University|National Institutes of Health|Sigma Theta Tau International|National Institutes of Health|Sigma Theta Tau International
background rehospitalization soon discharge distressing persons heart failure hf places heavy burden healthcare system objective investigated explored association selfcare decision making variables 1 rehospitalization within 30 days discharge 2 delay seeking medical assistance delayed decision making methods crosssectional explanatory sequential mixed methods design quan gt qual used survey 127 hospitalized hf patients interview 15 participants explain survey responses survey assessed rehospitalization within 30 days discharge delayed decision making hf selfcare psychosocial factors influencing selfcare results likelihood delaying decision hospitalized 5 times higher among high depressive symptoms odds ratio 533 95 confidence interval 2141328 delayed going hospital uncertain prognosis feel symptoms urgent likelihood rehospitalized within 30 days doubled among high depressive symptoms 231 95 confidence interval 101531 rehospitalized within 30 days less likely consult healthcare professionals decision making wanted immediate relief symptoms conclusions recommend patientcentered approach help hf patients identify adequately selfmanage symptoms strong association high depressive symptoms rehospitalization within 30 days well delayed decision making highlights critical need clinicians carefully assess address depression among hf patients
https://doi.org/10.1017/s1041610207005625
Jiaonan Wang|Tiantian Li|Yuebin Lv|Virginia B. Kraus|Yi Zhang|Mao Chen|Zhaoxue Yin|Wanying Shi|Jinhui Zhou|Tongzhang Zheng|Patrick L. Kinney|John S. Ji|Song Tang|Xiaoming Shi
Fine Particulate Matter and Poor Cognitive Function among Chinese Older Adults: Evidence from a Community-Based, 12-Year Prospective Cohort Study
2,020
Chinese Center For Disease Control and Prevention|Nanjing Medical University|Chinese Center For Disease Control and Prevention|Nanjing Medical University|Chinese Center For Disease Control and Prevention|Duke University|Chinese Center For Disease Control and Prevention|Southern Medical University|Chinese Center For Disease Control and Prevention|Chinese Center For Disease Control and Prevention|Chinese Center For Disease Control and Prevention|Brown University|Providence College|Boston University|Duke Kunshan University|Duke University|Chinese Center For Disease Control and Prevention|Nanjing Medical University|Chinese Center For Disease Control and Prevention|Nanjing Medical University
background research relationship longterm exposure particulate matter aerodynamic diameter 25 lm pm 25 poor cognitive function lacking developing countries especially highly polluted areasobjectives evaluated associations longterm exposure pm 25 poor cognitive function diverse national sample older adults chinamethods analysis included data 13324 older adults 5879 6579 years age 3052 8089 years age 2634 9099 years age 1759 100 years age normal cognitive function baseline march 2002 september 2014 64648 personyears followupwe used geographic information system analysis estimate annual average satellitederived pm 25 concentration geocoded location participants baseline residencespoor cognitive function defined score less 18 chinese version minimental state examination mmsecompeting risk models performed explore association pm 25 poor cognitive functionresults 10lgm 3 increase pm 25 associated 51 increased risk poor cognitive function adjusted hazard ratio hr 1051 95 confidence interval ci 1023 1079compared lowest quartile pm 25 414 lgm 3 adjusted hr values 120 95 ci 109 133 127 95 ci 115 141 121 95 ci 109 134 second 414503 ugm 3 third 503607lgm 3 fourth 607 lgm 3 quartiles pm 25 respectively p trend 0001subgroup analyses suggested stronger associations pm 25 poor cognitive impairment men womenthe association positive 65to 79and 100y age group significant positive two age groups similar resultsconclusion pm 25 identified risk factor poor cognitive function chinese older adultsimproving air quality may reduce future population burden poor cognitive function especially areas high air pollution
https://doi.org/10.1213/ane.0000000000003718
Nancy E. Kass|Holly A. Taylor|Joseph Ali|Kristina Hallez|Lelia H. Chaisson
A pilot study of simple interventions to improve informed consent in clinical research: Feasibility, approach, and results
2,014
Johns Hopkins Berman Institute of Bioethics|Johns Hopkins University|Johns Hopkins Berman Institute of Bioethics|Johns Hopkins University|Johns Hopkins Berman Institute of Bioethics|Johns Hopkins Berman Institute of Bioethics|University of California System|University of California, San Francisco
background research suggests participants always adequately understand studies consent interventions increase understanding methodologic challenges raised studying consent outside actual trial settings study examined feasibility testing two consent interventions actual studies measured effectiveness interventions improving understanding methods participants enrolling eight ongoing clinical trials sequentially assigned one three different informed consent strategies enrollment clinical trial control participants received standard consent procedures trial participants first intervention arm received bulleted fact sheet summarizing key study information participants second intervention arm received bulleted fact sheet also engaged feedback qampa session later patients answered closed openended questions assess patient understanding literacy descriptive statistics wilcoxon mann whitney kruskalwallis tests generated assess correlations regression analysis determined predictors understanding results 144 participants enrolled using regression analysis participants receiving second intervention scored 76 percentage points higher p 02 openended questions understanding participants control although unadjusted comparisons reach statistical significance conclusions study supports hypothesis patients receiving bulleted fact sheets qampa session higher understanding compared standard consent fact sheets short structured dialog quick administer easy replicate across studies tested larger samples
https://doi.org/10.1177/1558944717726138
Patrice Joseph|Bruce R. Schackman|Russel Horwitz|Sandy Nerette|Rose Irène Verdier|Dominique Dorsainvil|Harry Théodore|Maxi Ascensio|Katia Henrys|Peter F. Wright|Warren D. Johnson|Jean W. Pape|Daniel W. Fitzgerald
The Use of an Educational Video During Informed Consent in an HIV Clinical Trial in Haiti
2,006
null
background research volunteers developing countries enroll hiv clinical trials may illiterate unfamiliar conduct medical research educating volunteers contents consent form essential difficult time consuming evaluated feasibility effectiveness educational video informed consent process hiv clinical trial conducted portauprince haiti methods hivseronegative volunteers recruited longitudinal cohort study rates highrisk sexual behavior incidence hiv1 infection enrollment volunteers received information consent form 2 educational sessions first session groups 5 10 volunteers viewed educational video essential elements consent form second volunteers met oneonone social worker volunteers comprehension evaluated orally 16 truefalse questions 4 openended questions volunteers failed first evaluation received additional education second evaluation results two hundred fifty volunteers received education 186 74 passed first evaluation higher formal education significant predictor passing first evaluation odds ratio 160 95 confidence interval 105244 64 failed 47 returned repeat oneonone education session second evaluation among 47 39 83 passed 8 7 failed second evaluation total 225 90 250 individuals passed either first second evaluation eligible enroll study conclusions informed consent using educational video ensured good comprehension volunteers additional educational sessions may necessary participants lower educational level
https://doi.org/10.3402/gha.v3i0.5398
Satish Kumar B P|Mohammed Zuber|Anwitha Johns|Vinod Kumar S.V.
Knowledge and attitude of rural community towards the respiratory diseases
2,020
null
background respiratory diseases considered one major public health problems developing countries like india among illness adults heart cancer diabetes chronic lung diseases major cause mortality morbidity india since majority indian population resides rural areas assessment knowledge attitude region regarding respiratory diseases essentialmethods descriptive study conducted using restructured pretested questionnaire assess knowledge attitude rural people descriptive statistics used represent study characteristics chisquare test used assess association among study variables pvalue lt005 statistically significantresults total 467 participants enrolled study 394 male 606 female mean age participants 447161 years majority participants belongs age group 3847 years overall knowledge participants found poor 6 average 495 good 445 statistically significant association literacy level knowledge respiratory diseases foundconclusions although knowledge attitude people towards respiratory diseases encouraging need long term educational program findings study guide public health authorities making implementing decisions reduce health problems related respiratory diseases
https://doi.org/10.17846/pp.2019.2.1.5-16
Erika A. Waters|Jennifer L. Hay|Heather Orom|Marc T. Kiviniemi|Bettina F. Drake
“Don’t Know” Responses to Risk Perception Measures
2,013
Washington University in St. Louis|Memorial Sloan Kettering Cancer Center|University at Buffalo, State University of New York|Washington University in St. Louis|Memorial Sloan Kettering Cancer Center|University at Buffalo, State University of New York|Washington University in St. Louis|Memorial Sloan Kettering Cancer Center|University at Buffalo, State University of New York|Washington University in St. Louis|Memorial Sloan Kettering Cancer Center|University at Buffalo, State University of New York|Washington University in St. Louis|Memorial Sloan Kettering Cancer Center|University at Buffalo, State University of New York
background risk perceptions legitimate targets behavioral interventions motivate medical decisions health behaviors however survey respondents may know may indicate risk perceptions scope dont know dk responding unknown objective examine prevalence correlates responding dk items assessing perceived risk colorectal cancer methods two nationally representative populationbased crosssectional surveys 2005 national health interview survey nhis 2005 health information national trends survey hints one primary care clinicbased survey comprised individuals lowincome communities analyses included 31202 nhis 1937 hints 769 clinic individuals measures five items assessed perceived risk colorectal cancer four items differed format andor response scale comparative risk nhis hints absolute risk hints clinic likelihood chance response scales clinic clinicbased survey included explicit dk response option results dont know responding 69 nhis 75 hintscomparative 87 hintsabsolute dont know responding 491 693 chance likely response options clinic correlates dk responding characteristics generally associated disparities eg low education pattern results varied among samples question formats response scales limitations surveys developed independently employed different methodologies items consequently results directly comparable may multiple explanations differences magnitude characteristics dk responding conclusions dont know responding prevalent populations affected health disparities either assessing analyzing dk responses could disenfranchise populations negatively affect validity research efficacy interventions seeking eliminate health disparities
https://doi.org/10.1016/j.jcma.2013.01.005
Edwin D. Boudreaux|Gregory K. Brown|Bárbara Stanley|Rajani S. Sadasivam|Carlos A. Camargo|Ivan W. Miller
Computer Administered Safety Planning for Individuals at Risk for Suicide: Development and Usability Testing
2,017
University of Massachusetts Chan Medical School|University of Pennsylvania|Columbia University|University of Massachusetts Chan Medical School|Massachusetts General Hospital|Butler Hospital|Brown University
background safety planning brief intervention become accepted practice many clinical settings help prevent suicide even though quick compared approaches frequently requires 20 min complete impede adoption selfadministered webbased safety planning application could potentially reduce clinician time help promote standardization quality provide enhanced ability share created plan objective aim study design build test usability webbased selfadministered safety planning application methods employed usercentered software design strategy led multidisciplinary team application tested usability target sample suicidal patients detailed observations structured usability ratings think aloud procedures used suicidal ideation intensity perceived ability cope assessed prepost engagement web application results total 30 participants enrolled usability ratings generally strong patients successfully built safety plan however completeness safety plan varied mean number steps completed 55 sd 09 6 90 2730 participants completing least 5 steps 67 2030 completing 6 steps safety planning steps viewed inapplicable individuals confusion instructions led modifications improve understandability step ratings suicide intensity completion application significantly lower preratings pre mean 511 sd 29 versus post mean 446 sd 30 t27249 p02 ratings ability cope suicidal thoughts completion application higher preratings difference approaching statistical significance pre mean 593 sd 29 post mean 664 sd 24 t27203 p05 conclusions taken first step toward identifying components needed maximize usability selfadministered webbased safety planning application results support initial consideration application adjunct clinical contact allows clinician personnel provide clarification needed help patient build plan help review revise draft
https://doi.org/10.3109/09286586.2010.483751
Carolyn Webster?Stratton|M. Jamila Reid|Mike Stoolmiller
Preventing conduct problems and improving school readiness: evaluation of the Incredible Years Teacher and Child Training Programs in high?risk schools
2,008
Seattle University|University of Washington|Seattle University|University of Washington
background school readiness conceptualized three components including emotional selfregulation social competence familyschool involvement well absence conduct problems play key role young childrens future interpersonal adjustment academic success unfortunately exposure multiple povertyrelated risks increases odds children demonstrate increased emotional dysregulation fewer social skills less teacherparent involvement conduct problems consequently intervention offered socioeconomically disadvantaged populations includes social emotional school curriculum trains teachers effective classroom management skills promotion parentschool involvement would seem strategic strategy improving young childrens school readiness leading later academic success prevention development conduct disorders methods randomized trial evaluated incredible years iy teacher classroom management child social emotion curriculum dinosaur school universal prevention program children enrolled head start kindergarten first grade classrooms schools selected high rates poverty trained teachers offered dinosaur school curriculum students biweekly lessons throughout year sent home weekly dinosaur homework encourage parents involvement part curriculum involved promotion lesson objectives teachers continual use positive classroom management skills focused building social competence emotional selfregulation skills well decreasing conduct problems matched pairs schools randomly assigned intervention control conditions results results multilevel models total 153 teachers 1768 students presented children teachers observed classrooms blinded observers beginning end school year results indicated intervention teachers used positive classroom management strategies students showed social competence emotional selfregulation fewer conduct problems control teachers students intervention teachers reported involvement parents control teachers satisfaction program high regardless grade levels conclusions findings provide support efficacy universal preventive curriculum enhancing school protective factors reducing child classroom risk factors faced socioeconomically disadvantaged children
https://doi.org/10.3928/24748307-20200731-01
David P. Miller|Nancy Denizard-Thompson|Kathryn E. Weaver|L. D. Case|Jennifer L. Troyer|John G. Spangler|Donna Lawler|Michael Pignone
Effect of a Digital Health Intervention on Receipt of Colorectal Cancer Screening in Vulnerable Patients
2,018
Wake Forest University|Wake Forest University|Wake Forest University|Wake Forest University|University of North Carolina at Charlotte|Wake Forest University|Wake Forest University|The University of Texas at Austin
background screening colorectal cancer crc reduces mortality yet one third ageeligible americans unscreened objective examine effect digital health intervention mobile patient technology healthcrc mpathcrc rates crc screening design randomized clinical trial clinicaltrialsgov nct02088333 setting 6 communitybased primary care practices participants 450 patients 223 mpathcrc group 227 usual care scheduled primary care visit due routine crc screening intervention ipad application displays crc screening decision aid lets patients order screening tests sends automated followup electronic messages support patients measurements primary outcome chartverified completion crc screening within 24 weeks secondary outcomes ability state screening preference intention receive screening screening discussions orders screening tests outcome assessors blinded randomization results baseline characteristics similar groups 37 participants limited health literacy 53 annual incomes less 20 000 screening completed 30 mpathcrc participants 15 receiving usual care logistic regression odds ratio 25 95 ci 16 40 compared usual care mpathcrc participants could state screening preference planned screened within 6 months discussed screening provider screening test ordered half mpathcrc participants 53 118 223 selfordered test via program limitation participants english speakers single health care system conclusion digital health intervention allows patients selforder tests increase crc screening future research identify methods implementing similar interventions clinical care primary funding source national cancer institute
https://doi.org/10.14710/jekk.v6i2.11886
Jolie Haun|Nitin R. Patel|Jason Lind|Nicole Antinori
Large-Scale Survey Findings Inform Patients’ Experiences in Using Secure Messaging to Engage in Patient-Provider Communication and Self-Care Management: A Quantitative Assessment
2,015
Rehabilitation Research and Development Service|Veterans Health Administration|University of South Florida|Rehabilitation Research and Development Service|Veterans Health Administration|Rehabilitation Research and Development Service|Veterans Health Administration|Rehabilitation Research and Development Service|Veterans Health Administration
background secure email messaging part national transformation initiative united states promote new models care support enhanced patientprovider communication date limited number largescale studies evaluated users8217 experiences using secure email messaging objective quantitatively assess veteran patients8217 experiences using secure email messaging large patient sample methods crosssectional maildelivered paperandpencil survey study conducted sample respondents identified registered veteran health administrations8217 webbased patient portal healthevet opted use secure messaging survey collected demographic data assessed computer health literacy secure messaging use analyses conducted survey data include frequencies proportions chisquare tests oneway analysis variance results majority respondents n819 reported using secure messaging 6 months longer n499 609 reported secure messaging helpful completing medication refills n546 667 managing appointments n343 419 looking test results n350 427 asking healthrelated questions n340 415 notably respondents reported using secure messaging address sensitive health topics n67 82 survey responses indicated younger age p039 higher levels education p025 income p003 associated frequent use secure messaging females likely report using secure messaging often compared male counterparts p098 minorities likely report using secure messaging often least month compared nonminorities p086 individuals higher levels health literacy reported frequent use secure messaging p007 greater satisfaction p002 indicated secure messaging useful p002 easytouse p8804001 communication tool compared individuals lower reported health literacy many respondents n328 400 reported would like receive education andor felt veterans would benefit education access use electronic patient portal secure messaging n652 796 conclusions survey findings validated qualitative findings found previous research veterans perceive secure email messaging useful tool communicating health care teams maximize sustained utilization secure email messaging marketing education skill building system modifications needed findings inform ongoing efforts promote sustained use electronic tool support patientprovider communication
https://doi.org/10.1097/mlr.0000000000000101
Hayley C. Fivecoat|Steven L. Sayers|Bárbara Riegel
Social support predicts self-care confidence in patients with heart failure
2,018
Philadelphia VA Medical Center|University of Pennsylvania|Philadelphia VA Medical Center|University of Pennsylvania|University of Pennsylvania
background selfcare patients heart failure includes engaging behaviours maintain medical stability manage problematic symptoms well confidence ones ability carry behaviours given social context selfcare behaviours heart failure increasing interest social support predictor selfcare aim goal present study examine role social support selfcare across time persons heart failure methods using data observational study patients chronic heart failure n 280 examined role three types support instrumental support emotional support assistance selfcare longitudinal course selfcare maintenance management confidence selfreport questionnaire data collected baseline three six months later results found instrumental emotional support predicted better selfcare confidence average selfcare confidence improved faster rate less instrumental support emotional support positively associated selfcare management selfcare confidence assistance selfcare positively associated selfcare maintenance conclusion findings highlight contribution social support selfcare heart failure provide guidance future familybased interventions improve selfcare
https://doi.org/10.1097/ede.0b013e3181b09332
Heleen Riper|Viola Spek|Brigitte Boon|Barbara Conijn|Jeannet Kramer|Katherina Martin-Abello|Filip Smit
Effectiveness of E-Self-help Interventions for Curbing Adult Problem Drinking: A Meta-analysis
2,011
Vrije Universiteit Amsterdam|Trimbos Institute|EMGO Institute for Health and Care Research|Tilburg University|Trimbos Institute|Trimbos Institute|Trimbos Institute|Trimbos Institute|Trimbos Institute|EMGO Institute for Health and Care Research|Trimbos Institute
background selfhelp interventions without professional contact curb adult problem drinking community increasingly delivered via internet objective objective metaanalysis assess overall effectiveness ehealth interventions methods 9 randomized controlled trials rcts highincome countries 9 comparison conditions total 1553 participants identified combined effectiveness reducing alcohol consumption evaluated means metaanalysis results overall medium effect size g 044 95 ci 017071 random effect model found 9 studies compared nocontact interventions control conditions medium effect maintained g 039 95 ci 023057 random effect model exclusion two outliers type control group treatment location type analysis sample size differential impacts treatment outcome significant difference p 04 emerged singlesession personalized normative feedback interventions g 027 95 ci 011043 extended e selfhelp g 061 95 ci 033090 conclusion eselfhelp interventions without professional contact effective curbing adult problem drinking highincome countries view easy scalability low dissemination costs interventions recommend exploration whether could broaden scope effective public health interventions low middleincome countries well
https://doi.org/10.1097/mlr.0b013e31826524a0
Mayank Gupta|Chanchal Kumar Dalai|Shah Newaz Ahmed|Deblina Sarkar|Rajath Rao|Santosh Kumar Nirala
Prevalence and risk factors of self-medication in pregnancy: A cross-sectional study from a tertiary care hospital in Eastern India
2,021
College of Medicine & JNM Hospital|College of Medicine & JNM Hospital|College of Medicine & JNM Hospital|All India Institute of Medical Sciences Raipur|All India Institute of Medical Sciences Bhopal|All India Institute of Medical Sciences Raipur|All India Institute of Medical Sciences Bhopal
background selfmedication pregnancy common unsafe practice possibility surreptitious exposure developing fetus teratogenic abortifacient effects drugs aims objectives study assessed prevalence risk factors selfmedication pregnant mothers visiting antenatal clinic hospital materials methods standard questionnaire seeking information sociodemographic profile clinical characteristics laboratory data knowledge habits administered pregnant mothers n190 risk factors selfmedication determined using fischers exact test plt005 deemed statistically significant results prevalence selfmedication pregnancy found 63 low education level plt0027 employed women plt0031 history miscarriage plt0036 previous pregnancy main determinants selfmedication present pregnancy conclusion prevalence selfmedication study sample low compared contemporary studies high literacy 942 easy availability health facility 98 may possible reasons studies warranted confirm prevalence risk factors selfmedication part country
https://doi.org/10.1097/mlr.0b013e3182652482
Mohammad Reza Amiri|Hossein Vakilimofrad|Fatemeh Rostami|Samad Moslehi
Does Increasing Health Literacy Reduce Self-medication? A Case Study of Hamadan University of Medical Sciences
2,022
Hamedan University of Medical Sciences|Hamedan University of Medical Sciences|Hamedan University of Medical Sciences|Hamedan University of Medical Sciences
background selfmedication one challenging issues health care systems health literacy seems important factor selfmedication behaviors aim study investigate relationship health literacy selfmedication among undergraduate students hamadan university medical sciences methods using crosssectional survey method descriptiveanalytical study conducted 2020 among 2600 undergraduate students hamadan university medical sciences including nonclinical students 335 people selected convenience sampling technique data collected using two questionnaires including standard health literacy questionnaire researchermade selfmedication questionnaire linear regression model employed analyze data spss version 23 results results revealed 174 people 52 statistical population women significant difference males females terms selfmedication p0022 effect gender selfmedication statistically significant p0013 selfmedication decreased slightly increasing health literacy males females general without considering gender relationship health literacy selfmedication statistically significant p0007 health literacy negative relationship selfmedication conclusion health literacy among students adequate level level selfmedication high health literacy factor affecting capacity decisionmaking action field health significant relationship selfmedication behavior therefore due negative consequences necessary take measures reduce social phenomenon
https://doi.org/10.4103/jehp.jehp_63_20
Mahnaz Solhi|Hanieh Jormand|Mahmoudreza Gohari
Application of media literacy education for changing attitudes about self-medication of slimming supplements
2,017
Iran University of Medical Sciences|Iran University of Medical Sciences|Iran University of Medical Sciences
background selfmedication slimming supplements increased media advertising role present study aimed determining effect media literacy educational intervention attitudes selfmedication slimming supplements among female students dormitories iran university medical sciences methods quasiexperimental study control group 98 students selected multistage cluster sampling method randomly divided 2 equal groups test control data collecting instrument researchermade questionnaire media literacy attitude selfmedication slimming pills based results obtained early completion questionnaires appropriate educational intervention designed implemented data analyzed 1 3 months intervention using following statistical methods repeated measurements friedman test chi square independent ttest mannwhitney test results intervention mean scores attitude dimensions media literacy moderate groups significant difference however positive correlations observed among attitude knowledge r099 p 0001 critical thinking r 061 p 0001 analysis r 037 p 0009 experimental group mean scores attitudes dimensions media literacy found significant groups 1 3 months intervention p005 conclusion media literacy education effective promoting positive attitude slimming supplements
https://doi.org/10.4102/ajoted.v1i1.7
Adam Drewnowski|Clayton Hann
Food preferences and reported frequencies of food consumption as predictors of current diet in young women
1,999
University of Washington|University of Michigan–Ann Arbor|University of Washington|University of Michigan–Ann Arbor
background selfreported food preferences frequencies food consumption served proxy measures current diet consumer research nutritional epidemiology studies respectively
https://doi.org/10.3389/fpubh.2021.643640
Mohammad M. Rahman|Fahmida Tofail|M. A. Wahed|George J. Fuchs|Abdullah H Baqui|Jennifer Alvarez
Short-term supplementation with zinc and vitamin A has no significant effect on the growth of undernourished Bangladeshi children,,
2,002
International Centre for Diarrhoeal Disease Research|University of Alabama at Birmingham|Stanford University|International Centre for Diarrhoeal Disease Research|Stanford University|University of Alabama at Birmingham|Stanford University|International Centre for Diarrhoeal Disease Research|University of Alabama at Birmingham|Stanford University|International Centre for Diarrhoeal Disease Research|University of Alabama at Birmingham|Stanford University|University of Alabama at Birmingham|International Centre for Diarrhoeal Disease Research|Stanford University|International Centre for Diarrhoeal Disease Research|University of Alabama at Birmingham
background several vitamin supplementation trials failed improve growth rate children addition zinc vitamin might result enhanced growth objective study evaluated effect growth children simultaneous supplementation zinc vitamin design randomized doubleblind placebocontrolled intervention trial six hundred fiftythree children aged 1235 mo randomly assigned 1 4 intervention groups 20 mg znd 14 z group 60000 retinol equivalents 200000 iu vitamin day 14 group zinc plus vitamin za group placebo syrup placebo capsule placebo group weight length measured enrollment 3 6 mo results gains weight length 6mo followup period significantly different among 4 groups analysis variance catchup growth also differ significantly among groups proportions children whose weightforage z scores change decreased 57 z group 46 group 50 za group 54 placebo group ns proportions children whose lengthforage z scores change decreased 42 z group 48 group 53 za group 46 placebo group ns conclusion combined shortterm zinc supplementation single dose vitamin significant effects weight length increments children 6mo period
https://doi.org/10.3389/fpsyt.2021.635832
Marianne Hope Abel|Ida Henriette Caspersen|Helle Margrete Meltzer|Margaretha Haugen|Ragnhild Eek Brandlistuen|Heidi Aase|Jan Alexander|Liv Elin Torheim|Anne Lise Brantsæter
Suboptimal Maternal Iodine Intake Is Associated with Impaired Child Neurodevelopment at 3 Years of Age in the Norwegian Mother and Child Cohort Study
2,017
OsloMet – Oslo Metropolitan University|Norwegian Institute of Public Health|Tine (Norway)|Norwegian Institute of Public Health|Norwegian Institute of Public Health|Norwegian Institute of Public Health|Norwegian Institute of Public Health|Norwegian Institute of Public Health|Norwegian Institute of Public Health|OsloMet – Oslo Metropolitan University|Norwegian Institute of Public Health
background severe iodine deficiency pregnancy major effects child neurodevelopment less known potential consequences mildtomoderate deficiency iodine supplement useobjective explored associations maternal iodine intake child neurodevelopment 3 age potential impact maternal intake iodine supplements outcomesmethods populationbased prospective observational study included 48297 motherchild pairs recruited pregnancy 2002 2008 maternal iodine intake calculated based validated foodfrequency questionnaire answered midpregnancy covered mean intake since beginning pregnancy associations iodine intake maternalreported child language motor development behavior problems explored multivariable regression analysesresults 33047 motherchild pairs excluding iodine supplement users maternal iodine intake associated child language delay p 0024 externalizing internalizing behavior problems p 0001 fine motor skills p 0002 gross motor skills risk walking unaided 17 mo age 74 participants iodine intake 160 gd estimated average requirement suboptimal iodine intake estimated account 5 95 ci 5 14 cases language delay 16 95 ci 0 21 cases externalizing behavior problems 15 sd 16 95 ci 10 21 cases internalizing behavior problems 15 sd 48297 motherchild pairs including iodine supplement users found protective effects supplemental iodine pregnancy neurodevelopmentconclusions maternal iodine intake estimated average requirement pregnancy associated symptoms child language delay behavior problems reduced fine motor skills 3 age results showed evidence protective effect iodine supplementation pregnancy
https://doi.org/10.1097/mlr.0b013e31827da5b9
Panthea Pouramin|Nidhi Nagabhatla|Michela Miletto
A Systematic Review of Water and Gender Interlinkages: Assessing the Intersection With Health
2,020
United Nations University Institute for Water, Environment, and Health|United Nations University Institute for Water, Environment, and Health|McMaster University|World Food Programme
background significant developmental challenges lowresource settings limit access sustainable water sanitation hygiene wash however addition reducing human agency dignity gendered wash inequities also increase disease burden among women girls systematic review range challenges experienced women relating inadequate wash resources described intersection health explored assess effectiveness interventions alleviating inequalities related sustainable development goals sdgs 3 health 5 gender 6 water methods searched medline database identify research articles related water ie wash gender sustainability analysis observational interventional studies undertaken study content analysis performed identify relevant wash gender health related outcomes main conclusions study results key themes search included women girls face barriers towards accessing basic sanitation hygiene resources including lack secure private sanitation menstrual hygiene management mhm resources total 71 identified studies reported health outcome suggesting intersection water gender health half research studies included health component reflected relationship wash gender infantile diseases including under5 mortality waterborne parasites stunting addition found women girls result role water purveyors risk exposure contaminated water sustaining musculoskeletal trauma limited number studies directly compared gender differences accessing wash resources even smaller fraction n5 85 reported sexdisaggregated outcomes educational infrastructural programmatic interventions showed promise reducing wash health outcomes indeed infrastructural wash interventions successful longterm maintenance ensured conclusions significant wash inequities women girls manifest health burdens providing strong evidence watergendernexus intersects health thus addressing gender water inequities holds potential alleviate disease burden significant impact achieving sdgs including sdg 3 5 6
https://doi.org/10.2196/mhealth.4613
AN Ofili|OH Okojie
Assessment of the role of traditional birth attendants in maternal health care in Oredo Local Government Area, Edo State, Nigeria
2,005
University of Benin|University of Benin
background since adoption primary health care phc approach nigeria 1979 government recognized need integrating traditional birth attendants tbas phc system consequently initiated tbas training programmes spite high patronage traditional birth attendants many practices childbirth found adversely affect health mothers study aimed assessing role tbas maternal health oredo local government benin city edostate nigeria methodology tbas identified snowball method within lga consented providing information intervieweradministered questionnaires reproductive health practices results 45 tbas interviewed fortyfour 978 female majority 622 acquired skills apprenticeship relation 89 training services provided tbas ranged antenatal care provided 533 child delivery 978 treatment infertility 600 management threatened abortion 133 circumcision babies 289 preparations used treatment cord stump included methylated spirit used 422 respondents herbal preparations 289 dry heated sand 111 engine oil 67 medications used animal dung flies scarification marks cow urine treat patients could serve sources infection methods risk assessment antenatal care management delivery complications record keeping among tbas found poor infection prevention methods used also found poor half 511 using form preventive measures procedures conclusion study revealed practices tbas safe need improvement holistic training programme including monitoring supervisionkeywords traditional birth attendants role maternal healthjournal community medicine primary health care 2005 171 5560
https://doi.org/10.2196/jmir.3499
Wenxia Tong|Shuqiao Meng
Effects of Physical Activity on Mobile Phone Addiction Among College Students: The Chain-Based Mediating Role of Negative Emotion and E-Health Literacy
2,023
Yangzhou University|Yangzhou University
background smartphones become important tool college students study life mobile phone addiction caused excessive dependence use cell phones serious negative impacts college students mental health life behaviors urgent explore causes influence mechanisms college students cell phone addiction purpose purpose study investigate relationship physical exercise mobile phone addiction among chinese college students mediating role negative affect ehealth literacy two methods stratified sampling method used investigate physical activity mobile phone addiction negative emotion ehealth literacy 4621 university students jiangsu province using physical activity rating scale mobile phone addiction scale depressionanxietystress scale ehealth literacy scale thus data statistically analysed using spss 260 amos 230 results 1 physical exercise significantly negatively correlated mobile phone addiction negative emotion among college students r 713 p 001 r 571 p 001 physical exercise significantly positively correlated ehealth literacy r 0616 p 001 2 negative emotion ehealth literacy played independent mediating roles physical exercise mobile phone addiction respectively 3 negative emotion ehealth literacy played chain mediating roles physical exercise mobile phone addiction conclusion study explored potential mechanisms cell phone addiction college students found physical activity influence internet addiction independent mediating effect including chain mediating effect negative emotions ehealth literacy study reveals mechanism action physical exercise affecting college students cell phone addiction provides reference value prevention intervention college students cell phone addiction keywords physical exercise mobile phone addiction negative emotion ehealth literacy chain mediation
https://doi.org/10.3390/ijerph14111383
S.M. Yasir Arafat|Araz Ramazan Ahmad|Hersh Rasool Murad|Hardawan Mahmoud Kakashekh
Perceived Impact of Social Media on Panic Buying: An Online Cross-Sectional Survey in Iraqi Kurdistan
2,021
University of Raparin|Tishk International University|Sulaimani Polytechnic University|Salahaddin University-Erbil
background social media impact panic buying creating fear disseminating pictures videos people purchasing extra goods state panic covid19 pandemic aim aimed evaluate perceived impact social media panic buying behaviors iraqi kurdistan region methods crosssectional survey conducted october 10 november 25 2020 selfreported instrument designed english translated kurdish language conduct study disseminated social media platforms facebook viber whatsapp email via link 466 responses collected social media users statistical computations performed using spss version 21 results majority respondents male 622 amplt25 years old 439 completed bachelors degree 539 respondents 863 used facebook among respondents 421 involved panic buying 328 respondents thought social media platforms influence panic buying 861 respondents thought social media sensible reporting 884 thought reporting controlled 785 thought photos empty shelves avoided significant positive statistical correlation r 084 social media use panic buying among consumers covid19 pandemic iraqi kurdistan p amplt0001 conclusion research assessed social media affects buying behavior particularly iraq collective measures sensible use adequate media literacy needed prevent behaviors least public health emergencies
https://doi.org/10.2196/jmir.8.1.e4
The Socio-economic Inequalities and HIV Working Group for Collaboration of Observational HIV …
Inequalities by educational level in response to combination antiretroviral treatment and survival in HIV-positive men and women in Europe
2,017
null
background socioeconomic inequality challenges populationlevel implementation health interventions investigated differences educational level clinical virological immunological responses combined antiretroviral treatment cart hivpositive men women collaboration observational hiv epidemiological research europe european collaboration methods data pooled 15 cohorts eight countries patients initiating cart 19962013 data educational level categorized unescoisced classifications kaplanmeier curves cox piecewise linear mixed models used results 24 069 hivpositive patients 9 completed primary education 32 completed primary 44 secondary 15 tertiary education overall 21 women overrepresented lower educational strata 132 507 personyears followup 1081 individuals died cumulative mortality decreased higher educational level p 0001 122 765 personyears new aids events death occurred 2598 individuals differences education marked death alone p 0001 virological response achieved 67 patients without completed basic education 85 completed primary education 82 secondary 87 tertiary p 0001 patients higher education higher cd4 cell count cart initiation time cart rate cd4 cell count recovery differ differences mortality clinical responses similar men women entirely explained delayed hiv diagnosis late cart initiation conclusion hivpositive patients lower educational level worse responses cart survival european countries universal healthcare maximize population impact cart europe needs decrease socioeconomic divide
https://doi.org/10.5812/thrita.4733
Rajabali Daroudi|Nasrin Sargazi|Arya Sakhidel-Hovasin|Mohammadreza Sheikhy?Chaman
The Impact of Socioeconomic Factors on Cancer Survival Rate
2,021
Tehran University of Medical Sciences|Tehran University of Medical Sciences|Tehran University of Medical Sciences|Iran University of Medical Sciences
background socioeconomic status major determinant health considerable impact cancer survival rate present study aimed investigate impact socioeconomic factors 5year survival rate common cancer types 56 countriesx0d methods ecological study 5year survival data gastric cancer colon cancer lung cancer breast cancer cervical cancer ovarian cancer prostate cancer leukemia period 20052009 socioeconomic factors including gross domestic product gdp life expectancy literacy rate urbanization healthcare expenditure extracted concord2 study world bank database respectively multivariate regression analysis used estimate model ordinary leastsquares ols method using stata 14 softwarex0d results gdp coefficient breast cancer cervical cancer leukemia positive significant correlation identified gastric colon lung ovarian prostate cancer gdp gastric colon breast prostate cancers positive significant correlation life expectancy contrast significant correlation found lung cancer cervical cancer ovarian cancer leukemia life expectancy correlation cancer survival rate literacy rate urbanization positive correlation prostate cancer healthcare expenditure furthermore statistically significant relationship gastric ovarian cancers socioeconomic variables finally gdp life expectancy significant impact cancer survival ratesx0d conclusion different countries play key role increasing cancer survival rates implementing policies improve economic social factors
https://doi.org/10.54646/bijgim.2024.21
Harshpal Singh Sachdev|Caroline Fall|Clive Osmond|Lakshmy Ramakrishnan|Subrata Biswas|Sam Leary|K. Srinath Reddy|D. J. P. Barker|S. K. Bhargava
Anthropometric indicators of body composition in young adults: relation to size at birth and serial measurements of body mass index in childhood in the New Delhi birth cohort
2,005
Maulana Azad Medical College|Medical Research Council|University of Southampton|Southampton General Hospital|Sunder Lal Jain Hospital|All India Institute of Medical Sciences|Indian Council of Medical Research|Indian Council of Medical Research|Maulana Azad Medical College|Medical Research Council|University of Southampton|Southampton General Hospital|Sunder Lal Jain Hospital|All India Institute of Medical Sciences|Maulana Azad Medical College|Medical Research Council|University of Southampton|Southampton General Hospital|Sunder Lal Jain Hospital|All India Institute of Medical Sciences|Indian Council of Medical Research|Maulana Azad Medical College|Medical Research Council|University of Southampton|Southampton General Hospital|Sunder Lal Jain Hospital|All India Institute of Medical Sciences|Indian Council of Medical Research|All India Institute of Medical Sciences|Maulana Azad Medical College|Medical Research Council|University of Southampton|Southampton General Hospital|Sunder Lal Jain Hospital|Indian Council of Medical Research|Maulana Azad Medical College|Medical Research Council|University of Southampton|Southampton General Hospital|Sunder Lal Jain Hospital|All India Institute of Medical Sciences|Indian Council of Medical Research|Maulana Azad Medical College|Medical Research Council|University of Southampton|Southampton General Hospital|Sunder Lal Jain Hospital|All India Institute of Medical Sciences|Indian Council of Medical Research|Maulana Azad Medical College|Medical Research Council|University of Southampton|Southampton General Hospital|Sunder Lal Jain Hospital|All India Institute of Medical Sciences|Indian Council of Medical Research|Maulana Azad Medical College|Medical Research Council|University of Southampton|Southampton General Hospital|Sunder Lal Jain Hospital|All India Institute of Medical Sciences|Indian Council of Medical Research
background south asians musclethin adipose body phenotype high rates obesityrelated disease adult body composition may predictable early life objective anthropometric indexes adult body composition examined relation birth size body mass index bmi childhood design populationbased cohort 1526 men women aged 2632 delhi india measured sequentially birth 21 age followed adult weight height skinfold thicknesses waist hip circumferences measured bmi indexes adiposity sum skinfold thicknesses central adiposity waisthip ratio lean mass residual values adjustment bmi skinfold thicknesses height derived results mean birth weight 2851 g children many subjects underweightforage 2 sds national center health statistics mean 53 2 adults 47 overweight 11 obese 51 centrally obese according world health organization criteria birth weight positively related adult lean mass p 0001 women adiposity p 0006 unrelated central adiposity bmi birth age 21 increasingly strongly positively correlated outcomes bmi bmi gain infancy early childhood correlated strongly adult lean mass adiposity central adiposity higher bmi greater bmi gain late childhood adolescence associated increased adult adiposity central adiposity conclusions birth weight bmi gain infancy early childhood predict adult lean mass strongly adult adiposity greater bmi gain late childhood adolescence predicts increased adult adiposity
https://doi.org/10.21037/jtd.2016.03.91
Müberra Devrim Güner|Perihan Elif Ekmekçi
Healthcare professionals’ pharmacovigilance knowledge and adverse drug reaction reporting behavior and factors determining the reporting rates
2,019
TOBB University of Economics and Technology|TOBB University of Economics and Technology
background spontaneous adverse drug reaction adr reports prepared healthcare professionals hcps backbone collecting postmarketing safety data however underreporting global problem creating health economic ethical burden objectives determine factors limiting adr reporting rates hcps point view methods questionnaire containing 43 questions evaluating sociodemographic characteristics pharmacovigilance knowledge activities prescription behaviors prepared surveymonkeycom link distributed mainly professional organizations results although survey aimed reach hcps respondents physicians nurses 259 696 participants encountered adr least 105 405 reported adr term pharmacovigilance heard first time survey 355 n 132 participants 347 n 129 participants knew find adr reporting form 255 n 95 previously filled form andor read 285 n 106 participants aware adr reporting monitoring system institutions related professionals almost participants agreed pharmacovigilance adr reporting training necessary conclusion main reason underreporting limited pharmacovigilance knowledge hcps training activities based needs preferences hcps close followup authorities main steps improve pharmacovigilance activities
https://doi.org/10.3390/ijerph19073766
Monica Zolezzi|Nawal Bensmail|Farah Zahrah|Salma M. Khaled|Taysier El-Gaili
Stigma associated with mental illness: perspectives of university students in Qatar
2,017
Qatar University
background stigma relation mental illness one main factors inhibiting people seeking helpstudies undertaken looking knowledge attitudes beliefs kab mental illness among residents qatar however none looked specifically students higher educationthe aim study understand kab toward mental illness among students qatari university determine differences based gender nationality college typemethods convenience sample students genders colleges nationalities approached participate survey consisted four sections demographic beliefs attitudes helpseeking treatment preferences associated mental illnesschisquare testing performed test differences distribution proportions primary outcomes students beliefs attitudes helpseeking treatment preferencesresults total 282 students completed surveythe majority participating students females 593 nonqataris 643 enrolled sciencebased colleges 627beliefs reflecting poor mental health literacy medications treat mental illness cause addiction mental illness like illness mental illness punishment god reported majority students 844 567 502 respectivelystigmatizing attitudes endorsed majority students included believing people mental illness cannot regular jobs 602 people mental illness dangerous 657 would marry someone mental illness 889additionally 336 students indicated would ashamed mention someone family themself mental illnessa vast majority students 863 indicated prefer family friends support treatment optionssignificant differences kab mental illness genders colleges college type found items conclusionthe findings study suggest high percentage students reported kab mental illness considered stigmatizingstudents kab mental illness consistent reported general population qatarnevertheless sample small larger studies randomly selected population needed confirm findings
https://doi.org/10.1111/j.1525-1497.2005.04101.x
Julie Chandler|Pamela W. Duncan|Gary Kochersberger|Stephanie A. Studenski
Is lower extremity strength gain associated with improvement in physical performance and disability in frail, community-dwelling elders?
1,998
United States Military Academy|University of Kansas Medical Center|University of Kansas|Canandaigua VA Medical Center|University of Rochester|University of Kansas Medical Center
background strength loss strongly associated functional decline reversible exercise effect increased strength function clearly established purpose study determine whether strength gain associated improvement physical performance disability methods one hundred functionally impaired communitydwelling men women 776 76yrs tested baseline outcome lower extremity strength physical performance disability random group assignment exercise participants received strengthening exercises homes three times week 10 weeks control subjects continued normal activities using multiple regression techniques relationship strength gain improvement physical performance disability assessed controlling age depression baseline strength results significant impact strength gain mobility skills p 0009 found impact strength gain chair rise performance significant participants impaired p 04 strength gain associated gain gait speed p 02 falls efficacy p 05 balance endurance disability measures conclusions lower extremity strength gain associated gains chair rise performance gait speed mobility tasks gait transfers stooping stair climbing improved endurance balance disability strength gain also associated improvement confidence mobility factors may influence ability strength gain affect function initial level frailty specificity exercise results support idea strength training intervention potentially improve physical health status many frail elders
https://doi.org/10.2147/amep.s207353
Stephen A. Petrill|Sara A. Hart|Nicole Harlaar|Jessica Logan|Laura M. Justice|Christopher Schatschneider|Lee A. Thompson|Laura S. DeThorne|Kirby Deater?Deckard|Laurie E. Cutting
Genetic and environmental influences on the growth of early reading skills
2,010
The Ohio State University|The Ohio State University|The Ohio State University|The Ohio State University|The Ohio State University|Florida State University|Case Western Reserve University|University of Illinois System|Virginia Tech|Vanderbilt University
background studies suggested genetic environmental influences overall level early reading whereas larger reading literature shown environmental influences rate growth early reading skills study first examine genetic environmental influences initial level performance rate subsequent growth early reading methods participants drawn western reserve reading project study 314 twin pairs based ohio twins assessed via three annual home visits early elementary school assessments included word identification letter identification pseudoword decoding expressive vocabulary phoneme awareness rapid naming measures analyzed using latent growth curve modeling results heritability initial performance latent intercept ranged h 2 38 word identification h 2 72 rapid naming shared environment ranged c 2 11 rapid naming c 2 62 word identification heritability rate subsequent growth latent slope statistically significant rapid naming h 2 58 phoneme awareness h 2 20 shared environment accounted nearly 100 variance rate growth word identification letter identification pseudoword decoding statistically significant large phoneme awareness c 2 80 genetic variance rapid naming phoneme awareness latent slopes overlapped entirely genetic variance intercepts contrast onethird twothirds shared environmental variance slope independent shared environmental variance intercept conclusions genetic influences related primarily already present initial level performance contrast shared environmental influences affecting rate growth predicted independent initial levels performance results suggested growth early reading skills amenable family school environmental influences reading skills develop
https://doi.org/10.2196/publichealth.4967
Diane Gilbert?Diamond|Jennifer A. Emond|Emily Baker|Susan Korrick|Margaret R. Karagas
Relation between <i>in Utero</i> Arsenic Exposure and Birth Outcomes in a Cohort of Mothers and Their Newborns from New Hampshire
2,016
Dartmouth College|Dartmouth College|Dartmouth–Hitchcock Medical Center|Brigham and Women's Hospital|Harvard University|Dartmouth College
background studies suggest arsenic exposure influences birth outcomes however findings mixedobjective assessed utero arsenic exposure relation birth outcomes whether maternal prepregnancy weight infant sex modified associationsmethods among 706 motherinfant pairs exposed low levels arsenic drinking water diet assessed utero arsenic exposure using maternal secondtrimester urinary arsenic maternal prepregnancy weight selfreport birth outcomes medical recordsresults median interquartile range total urinary arsenic tas inorganic arsenic ias monomethyl arsonic acid mma dimethylarsinic acid dma 34 gl 1760in adjusted linear models doubling tas associated 010cm decrease 95 ci 019 001 head circumferenceresults similar mma dmalntas lndma positively associated birth length infant males among males doubling tas associated 028cm increase 95 ci 009 046 birth length p interaction 004results similar dmaadditionally arsenic exposure inversely related ponderal index associations differed maternal weighteach lntas doubling tas associated 055kgm 3 lower 95 ci 082 028 p 0001 ponderal index infants overweightobese normalweight mothers p interaction 001finally significant inter action maternal weight status infant sex arsenic exposure birth weight p interaction 003in girls born overweightobese mothers doubling tas associated 629g decrease 95 ci 1116 142 birth weight though association null strataconclusions lowlevel arsenic exposure may affect fetal growth associations may modified maternal weight status infant sex
https://doi.org/10.2196/jmir.2934
Bentolhoda Kolahkaj|Fatemeh Zargar
Effect of Mindfulness-Based Stress Reduction on Anxiety, Depression and Stress in Women With Multiple Sclerosis
2,015
Islamic Azad University, Isfahan|Isfahan University of Medical Sciences
background studies suggest mindfulnessbased interventions improve anxiety depression stress patients multiple sclerosis mshowever study investigated effectiveness method patients combination problems depression anxiety stress simultaneouslyhowever comorbidities depression anxiety ms prevalentobjectives study aimed assess effects mindfulnessbased stress reduction mbrs anxiety depression stress women multiple sclerosispatients methods randomized controlled clinical trial performed 2013 ahvaz ms societyforty eight patients selected convenient sampling randomly assigned experimental control groupsthe patients two groups filled depression anxiety stress scale dass21 initiation study 8 weeks later 1 month end interventionthe experimental group received 8 sessions mbrs control group treated usualfinally data 40 patients analyzed using ttest chi square repeated measures analysis varianceresults mbsr group mean depression anxiety stress reduced significantly p 0001the mean depression score 835 178 intervention reduced 480 083 445 060 intervention followup p 0001also mean anxiety score 890 197 intervention significantly reduced 470 138 455 099 intervention followup p 0001the mean stress score also 880 235 treatment 480 167 470 134 intervention followup p 0001conclusions study showed mbsr training reduce mean depression anxiety stress scores patients msthese findings suggest mbsr useful psychological problems depression anxiety stress patients ms
https://doi.org/10.1089/tmj.2018.0302
Pipit Festi Wilianarti|Yuanita Wulandari|Musa Ghufron|Firman Suryadi Rahman
Stunting Prevention in Coastal Family with Health-Promoting Family Approach
2,022
Universitas Muhammadiyah Surabaya|Universitas Muhammadiyah Surabaya|Universitas Muhammadiyah Surabaya|Airlangga University
background stunting chronic nutritional problem occurs worldwide including indonesia impact covid19 pandemic increasingly caused stunting increase coastal areas particular aim study aimed obtain stunting prevention model healthpromoting family model approach coastal families methods study quantitative research population study mothers toddlers aged 648 months coastal areas pamekasan sample study mothers 135 toddlers tlanakan talang villages selected using simple random sampling technique independent variables history present illness mothers knowledge care patterns literacy cultural aspects family supportwhile dependent variable family prevention behavior regarding incidence stunting data collection carried interview method using questionnaire statistical analysis carried using logistic regression test 005 results factors affect stunting prevention knowledge p 0008 ci 143811780 literacy p 0000 ci 213617003 cultural aspects p 000 ci 00390366 family support p 0000 ci 127320498 conclusion knowledge family support literacy culture affect stunting prevention families takes collaboration community government participation strengthening maternal child health programs support achievement stunting prevention families opportunities research appropriate forms literacy families support success stunting prevention toddlers studies
https://doi.org/10.1017/s1041610206004327
Seyed Taghi Heydari|Somayeh Izedi|Yaser Sarikhani|Navid Kalani|Ali Akbary|Abolfazl Miri|Mojtaba Mahmoodi|Maryam Akbari
The Prevalence of Substance Abuse and Associated Risk Factors Among University Students in the City of Jahrom, Southern Iran
2,015
Shiraz University of Medical Sciences|Jahrom University|Jahrom University of Medical Sciences|Jahrom University of Medical Sciences|Jahrom University|Jahrom University of Medical Sciences|Gonabad University of Medical Sciences|Jahrom University|Jahrom University of Medical Sciences|Shiraz University of Medical Sciences|Shiraz University of Medical Sciences
background substance use among college students iran serious problem determining pattern substance use among university students important issue implementing prevention treatment programs objectives present survey attempts determine prevalence substance usage associated risk factors among students jahrom university medical sciences islamic azad university jahrom jahrom iran patients methods crosssectional study carried december 2012 february 2013 included 1149 randomly selected students two jahrom universities standard questionnaire used data gathering data analyzed using spss version 15 windows ttest chisquare logestic regression tests used data analysis results tobacco 283 alcohol 130 cannabis marijuana 52 common substances used students prevalence substance use among male students significantly higher 15 95ci 142 268 p 0001 risk least single episode substance usage higher among students living alone 303 95ci 174 528 p 0001 important motivators beginning substance use curiosity 464 seeking pleasure 288 conclusions substance usage considered risk factor students health among university students iran design educational courses addressing detrimental effects dire consequences substance usage could help improve control programs universities could improve drug abuse control programs focusing high risk groups determined relevant studies
https://doi.org/10.1177/1558944717725384
Partha Basu|Srabanti Sarkar|Supriya Mukherjee|Mousumi Ghoshal|Srabani Mittal|Sutapa Biswas|Ranajit Mandal|Rengaswamy Sankaranarayanan
Women's perceptions and social barriers determine compliance to cervical screening: Results from a population based study in India
2,006
Chittaranjan National Cancer Institute|Chittaranjan National Cancer Institute|Chittaranjan National Cancer Institute|Chittaranjan National Cancer Institute|Chittaranjan National Cancer Institute|Chittaranjan National Cancer Institute|International Agency For Research On Cancer
background success cervical screening initiatives depends high participation target population turn determined womens perceptions health orientation sociocultural issues present study identifies immediate social cultural barriers prevent women attend cervical screening facilities methods women noncompliant communitybased cervical screening program identified 500 randomly selected interview using structured questionnaire designed basis feedbacks received several focused group discussions questionnaire listed 24 possible reasons noncompliance women asked select pertinent reasons nonattendance reveal reason listed ones results total 469 noncompliant women interviewed significantly lower literacy rate compared compliant women 225 95 ci 123413 nearly half interviewed women responded opted stay away program common reasons cited nonattendance group reluctance go medical test absence symptoms apprehension test detects cancer second major group responders comprised women willing yet could attend due various hurdles common hurdles inability leave household chores preoccupation family problems lack approval husbands conclusions modification health behavior education social empowerment women essential population based cervical screening program succeed india
https://doi.org/10.6004/jnccn.2016.0075
Maria Loades|Kiki Mastroyannopoulou
Teachers’ Recognition of Children’s Mental Health Problems
2,010
University of East Anglia|University of East Anglia
background teachers significant role play identifying children mental health problems however teachers perceptions childrens mental health problems relatively unexplored method primary school teachers n 113 completed questionnaire composed vignettes describing children symptoms common emotional disorder common behavioural disorder following asked number questions regarding problem recognition helpseeking results teachers able recognise existence problem rate severity significantly concerned vignette child symptoms behavioural disorder emotional disorder gender child found independently predict teachers accurately recognising child problem conclusion teachers good recognising whether child presents problem however problem recognition affected gender child type symptomatology displayed emotional versus behavioural
https://doi.org/10.1373/clinchem.2006.084707
Chen Shen|Ke Chen|Shengnan Wang|Wei Wang|Yongxin Li
Initial Validation of a Chinese Version of the Mental Health Literacy Scale Among Chinese Teachers in Henan Province
2,021
Institute of Psychology, Chinese Academy of Sciences|Henan University|Institute of Psychology, Chinese Academy of Sciences|Henan University|Institute of Psychology, Chinese Academy of Sciences|Henan University|Institute of Psychology, Chinese Academy of Sciences|Henan University|Institute of Psychology, Chinese Academy of Sciences|Henan University
background teachers mental health literacy mhl one important factors influence students mental health literacy even mental health status valid comprehensive measure needed adequately identify mhl levels chinese teachers thus study aimed validate chinese version mental health literacy scale mhls among chinese teachers methods total 367 chinese primary secondary school teachers henan province enrolled complete chinese version mhls several validation measures results parallel analysis supported fourfactor structure model chinese version low communalities mean factor loadings univariate structure original scale selected additionally criterion construct validity chinese version supported significant correlations selfefficacy coping mental health problems mental health status stigma associated receiving mental health treatment socially distancing patients mental illness cronbachs chinese version acceptable females younger teachers teachers higher educational level fulltime mental health teachers showed higher levels mhl conclusion chinese version mhls valid reliable tool assess level chinese teachers mhl
https://doi.org/10.1016/j.cardfail.2016.06.258
Laura Hart|Amy J. Morgan|Alyssia Rossetto|Claire Kelly|Andrew Mackinnon|Anthony F. Jorm
Helping adolescents to better support their peers with a mental health problem: A cluster-randomised crossover trial of teen Mental Health First Aid
2,018
University of Melbourne|La Trobe University|University of Melbourne|University of Melbourne|Mental Health Australia|University of Melbourne|Black Dog Institute|Prince of Wales Hospital|University of Melbourne|Mental Health Australia
background teen mental health first aid tmhfa classroombased training programme students aged 1518 years improve supportive behaviours towards peers increase mental health literacy reduce stigma research evaluated tmhfa comparing matched emergency physical first aid pfa training programme methods clusterrandomised crossover trial matched four public schools two pairs randomised first receive tmhfa pfa year 10 students subsequent calendar year new year 10 cohort received opposite intervention giving eight cohorts online surveys administered baseline 1 week posttraining measuring quality first aid intentions mental health literacy problem recognition stigmatising beliefs towards fictional adolescents depression suicidality john social anxiety jeanie results total 1942 students randomised 979 received tmhfa 948 received pfa 1605 84 analysed john vignette baseline 1116 69 baseline provided posttraining data primary outcomes helpful first aid intentions towards johnjeanie showed significant groupbytime interactions medium effect sizes favouring tmhfa ds 050058 compared pfa tmhfa students also reported significantly greater improvements confidence supporting peer ds 022037 number adults rated helpful ds 045046 greater reductions stigmatising beliefs ds 012040 harmful first aid intentions towards johnjeanie ds 015041 conclusions tmhfa effective feasible programme increasing supportive first aid intentions mental health literacy adolescents short term tmhfa could widely disseminated positively impact help seeking adolescent mental illness
https://doi.org/10.18203/2320-1770.ijrcog20202703
Snigdha Kamini|Krishna Veni Avvaru
Teenage Pregnancy: Maternal and Fetal Outcomes
2,014
null
background teenage pregnancy remains public health problem 70000 adolescent mothers die every year due early childbearingthe nhfs iii 20052006 estimates overall teenage pregnancies india 16in developing nations india teenage pregnancies due early age marriage tend welcomed family members societydespite legal age marriage girls 18 474 women india child bridesteenage pregnancies shown association higher risks prematurity low birth weight preeclampsia anaemia compared adult pregnanciesthis study aims look differences obstetric foetal outcomes teenage pregnancies adult pregnanciesmethodology hospital based comparison study done post natal ward tertiary care hospital visakhapatnam andhra pradesh100teenage mothers 100 adult mothers included studyall primi gravidae received sufficient antenatal carestudy variables age literacy status age marriage mode deliverylbwetcdata analysed using ms excel relevant statistical tests appliedresults majority adolescent mothers age group 1719 years mean age found 19 yearsthe mean age adult mothers 22 years66 teenage mothers 58 adult mothers normal vaginal deliveriesthe number caesarian sections high 38 adult mothers compared teenage mothers 25anaemiapromobstructed labour found higher among teenage mothers compared adult motherslow birth weight higher proportion25 teenage group compared adult group18the differences outcomes statistically significantconclusion although teenage mothers higher incidence anaemia preterm babies low birth weight babies difference cases controls statistically significantteenage childbearing contribute adverse obstetric fetal outcomes provided sufficient antenatal care given
https://doi.org/10.5812/ijpbs.63386
Opeyemi Odejimi|Denise Bellingham-Young
A policy pathway to reducing teenage pregnancy in Africa
2,014
University of Wolverhampton|University of Wolverhampton
background teenage pregnancy remains important complex issue around world reports indicating africa higher rates continents studies indicated social economic determinants associated higher rates therefore study aims identify social economic influencers teenage pregnancy would help develop bestpractice approach reduce incidence africa methods data sets world bank organisation 2008 2010 specific 51 africa countries obtained conduct study based availability independent ttest spearmans correlation regression analysis performed eight social economic variables used study gdp per capita gini index female literacy rate health expenditure unemployed female rate gender equality contraceptive prevalence urban population rate results independent ttest revealed countries teenage pregnancy rate high literacy rate contraceptive prevalence rate healthcare expenditure rate low spearman correlation indicated female literacy rate healthcare expenditure gdp per capita contraceptive prevalence significant inverse relationship teenage pregnancy rate logistic regression indicates female literacy rate best predictor teenage pregnancy africa conclusion result suggest practical approach reduce teenage pregnancy rate africa implement strategies policies aimed improving female literacy rate health care expenditure gdp per capita country additionally increase female literacy rate would concurrently increase contraceptive prevalence rate
https://doi.org/10.1097/qai.0000000000001445
Ariese Vincent Barca|Reinlynne Bajar|Amanda Caniezo|Monique Louise Dizon|Christian Jay S. Orte
Relationship between Health Literacy and Health-Promoting Behaviors among Teen Pregnant Mothers
2,019
null
background teenagers became pregnant face many pregnancy difficulties less likely enough physical development withstand healthy pregnancy give birth thus health literacy promotion healthy behavior among pregnant mothers paramount importance study aimed assess relationship health literacy healthpromoting behaviors among selected teen pregnant mothers attaining maternal healthx0d methods descriptivecorrelational design employed study total 46 respondents participated study purposive sampling technique research instruments used adolescent health promotion scale comprehensive shortform health literacy survey tool patients general frequency percentage descriptive mean spearman rank correlation used analyze data gatheredx0d results results showed teen pregnant mothers high levels health literacy n216 low levels healthpromoting behavior n345 lastly found variables statistically nonsignificant rs 47 0127 p 0393 otherx0d conclusion study found significant relationship health literacy healthpromoting behaviors among teen pregnant mothers
https://doi.org/10.1089/jwh.2010.2262
M. S. Lee|Bina Kassamali|Nehal Shah|Avery LaChance|Vinod E. Nambudiri
281 Racial and language disparities in teledermatology visits for acne during the COVID-19 pandemic
2,021
Brigham and Women's Hospital|Harvard University|Brigham and Women's Hospital|Harvard University|George Washington University|Brigham and Women's Hospital|Brigham and Women's Hospital|Brigham and Women's Hospital
background teledermatology emerged essential model care covid19 pandemic however impact rapid transition teledermatology patients certain racialethnic language groups due differential access technology lower digital health literacy language barriers cultural perceptions unknown sought identify race language disparities teledermatology utilization patients acne one frequent diagnoses seen via teledermatology pandemic methods retrospective chart review inperson virtual visits acne large academic dermatology department marchmay 2019 marchmay 2020 conducted virtual visit types included video audioonly visits chisquared analyses performed compare populations across visit types results 3544 visits analyzed virtual visits accounted 12291630 756 pandemic visits racial language distributions patients overall visits statistically significantly different pre duringpandemic however video visits versus audioonly comprised greater proportion virtual visits duringpandemic white 869 compared nonwhite patients 820 englishspeaking 862 compared nonenglishspeaking patients 605 p0001 duringpandemic interpreters use documented 231 nonenglishspeaking patients inperson visits versus 93 virtual visits p0001 conclusions nonwhite nonenglishspeaking patients less likely use video visits acne pandemic white englishspeaking patients nonenglishspeaking patients less likely receive interpreters virtual visits inperson visits findings suggest underlying disparities teledermatology access barriers interpreter use virtual visits
https://doi.org/10.1207/s15324796abm2903_9
Steven Shea|Ruth S. Weinstock|Justin Starren|Jeanne Teresi|Walter Palmas|Lesley Field|Philip C. Morin|Robin Goland|Roberto Izquierdo|Leor Wolff|Mohamed Ashraf|Charlyn Hilliman|Stephanie Silver|Suzanne Meyer|Douglas Holmes|Eva Petkova|Linnea Capps|Rafael Lantigua
A Randomized Trial Comparing Telemedicine Case Management with Usual Care in Older, Ethnically Diverse, Medically Underserved Patients with Diabetes Mellitus
2,006
Columbia University|Harlem Hospital Center|SUNY Upstate Medical University|Joslin Diabetes Center|New York Psychoanalytic Society and Institute|Hebrew Home|Syracuse VA Medical Center|Columbia University|Harlem Hospital Center|SUNY Upstate Medical University|Joslin Diabetes Center|New York Psychoanalytic Society and Institute|Hebrew Home|Syracuse VA Medical Center|Columbia University|Harlem Hospital Center|SUNY Upstate Medical University|Joslin Diabetes Center|New York Psychoanalytic Society and Institute|Hebrew Home|Syracuse VA Medical Center|Columbia University|Harlem Hospital Center|SUNY Upstate Medical University|Joslin Diabetes Center|New York Psychoanalytic Society and Institute|Hebrew Home|Syracuse VA Medical Center|Columbia University|Harlem Hospital Center|SUNY Upstate Medical University|Joslin Diabetes Center|New York Psychoanalytic Society and Institute|Hebrew Home|Syracuse VA Medical Center|Columbia University|Harlem Hospital Center|SUNY Upstate Medical University|Joslin Diabetes Center|New York Psychoanalytic Society and Institute|Hebrew Home|Syracuse VA Medical Center|Columbia University|Harlem Hospital Center|SUNY Upstate Medical University|Joslin Diabetes Center|New York Psychoanalytic Society and Institute|Hebrew Home|Syracuse VA Medical Center|Columbia University|Harlem Hospital Center|SUNY Upstate Medical University|Joslin Diabetes Center|New York Psychoanalytic Society and Institute|Hebrew Home|Syracuse VA Medical Center|Columbia University|Harlem Hospital Center|SUNY Upstate Medical University|Joslin Diabetes Center|New York Psychoanalytic Society and Institute|Hebrew Home|Syracuse VA Medical Center|Columbia University|Harlem Hospital Center|SUNY Upstate Medical University|Joslin Diabetes Center|New York Psychoanalytic Society and Institute|Hebrew Home|Syracuse VA Medical Center|Columbia University|Harlem Hospital Center|SUNY Upstate Medical University|Joslin Diabetes Center|New York Psychoanalytic Society and Institute|Hebrew Home|Syracuse VA Medical Center|Columbia University|Harlem Hospital Center|SUNY Upstate Medical University|Joslin Diabetes Center|New York Psychoanalytic Society and Institute|Hebrew Home|Syracuse VA Medical Center|Columbia University|Harlem Hospital Center|SUNY Upstate Medical University|Joslin Diabetes Center|New York Psychoanalytic Society and Institute|Hebrew Home|Syracuse VA Medical Center|Columbia University|Harlem Hospital Center|SUNY Upstate Medical University|Joslin Diabetes Center|New York Psychoanalytic Society and Institute|Hebrew Home|Syracuse VA Medical Center|Columbia University|Harlem Hospital Center|SUNY Upstate Medical University|Joslin Diabetes Center|New York Psychoanalytic Society and Institute|Hebrew Home|Syracuse VA Medical Center|Columbia University|Harlem Hospital Center|SUNY Upstate Medical University|Joslin Diabetes Center|New York Psychoanalytic Society and Institute|Hebrew Home|Syracuse VA Medical Center|Columbia University|Harlem Hospital Center|SUNY Upstate Medical University|Joslin Diabetes Center|New York Psychoanalytic Society and Institute|Hebrew Home|Syracuse VA Medical Center|Columbia University|Harlem Hospital Center|SUNY Upstate Medical University|Joslin Diabetes Center|New York Psychoanalytic Society and Institute|Hebrew Home|Syracuse VA Medical Center
background telemedicine promising largely unproven technology providing case management services patients chronic conditions experience barriers access care high burden illness
https://doi.org/10.4103/jiaphd.jiaphd_40_18
Kenneth Lee|Kreshnik Hoti|Jeffery Hughes|Lynne Emmerton
Dr Google and the Consumer: A Qualitative Study Exploring the Navigational Needs and Online Health Information-Seeking Behaviors of Consumers With Chronic Health Conditions
2,014
Curtin University|Curtin University|Curtin University|Curtin University
background abundance health information available online provides consumers greater access information pertinent management health conditions particularly important given increasing drive consumerfocused health care models globally especially management chronic health conditions recognition challenges faced lay consumers finding understanding acting health information sourced online paucity literature exploring navigational needs consumers regards accessing online health information existing interventions appear didactic nature unclear whether interventions appeal consumers8217 needs objective goal explore navigational needs consumers chronic health conditions finding online health information within broader context consumers8217 online health informationseeking behaviors potential barriers online navigation also identified methods semistructured interviews conducted adult consumers reported using internet health information least one chronic health condition participants recruited nine metropolitan community pharmacies within western australia well various media channels interviews audiorecorded transcribed verbatim imported qsr nvivo 10 two established approaches thematic analysis adopted first datadriven approach used minimize potential bias analysis improve construct criterion validity theorydriven approach subsequently used confirm themes identified former approach ensure identified themes relevant objectives two levels analysis conducted datadriven theorydriven approaches manifestlevel analysis whereby facevalue themes identified latentlevel analysis whereby underlying concepts identified results conducted 17 interviews data saturation achieved 14th interview identified broad range online health informationseeking behaviors related information discussed consumerhealth professional consultations looking information medication side effects barriers identified included intrinsic barriers limited ehealth literacy extrinsic barriers inconsistency information different online sources navigational needs participants extrinsic nature included health professionals directing consumers appropriate online resources better filtering online health information participants8217 online health informationseeking behaviors reported barriers navigational needs underpinned themes trust patient activation relevance conclusions study suggests existing interventions aimed assist consumers navigating online health information may consumers want perceive need ehealth literacy patient activation appear prevalent concepts context consumers8217 online health informationseeking behaviors furthermore role health professionals guiding consumers quality online health information highlighted
https://doi.org/10.3389/fpubh.2017.00242
Márcia Scazufca|Paulo Rossi Menezes|Homero Vallada|André Crepaldi|María Pastor-Valero|Letícia Maria Silva Coutinho|Vanessa D. Di Rienzo|Osvaldo P. Almeida
High prevalence of dementia among older adults from poor socioeconomic backgrounds in São Paulo, Brazil
2,007
Hospital Universitário da Universidade de São Paulo|Universidade de São Paulo|Universidade de São Paulo|Hospital Universitário da Universidade de São Paulo|London School of Hygiene & Tropical Medicine|Universidade de São Paulo|Hospital Universitário da Universidade de São Paulo|Royal Perth Hospital|University of Western Australia
background aim study determine prevalence dementia socioeconomically disadvantaged population older adults living city paulo brazilmethods crosssectional onephase populationbased study carried among residents aged 65 defined census sectors economically disadvantaged area paulo identification cases dementia followed protocol developed 1066 dementia research groupresults 2072 individuals study 105 met criteria diagnosis dementia yielding prevalence 51 prevalence increased age men women age 75 years stable 65 74 years low education income associated increased risk dementiaconclusions prevalence dementia among older adults low socioeconomic backgrounds high may partly due adverse socioeconomic conditions consequent failure compress morbidity latter stages life increasing survival poorer older adults dementia living developing countries may lead rapid increase prevalence dementia worldwide
https://doi.org/10.3390/ijerph17092977
Britany L. Raymond|Jonathan P. Wanderer|Alexander T. Hawkins|Timothy M. Geiger|Jesse M. Ehrenfeld|John W. Stokes|Matthew D. McEvoy
Use of the American College of Surgeons National Surgical Quality Improvement Program Surgical Risk Calculator During Preoperative Risk Discussion: The Patient Perspective
2,019
Vanderbilt University Medical Center|Vanderbilt University Medical Center|Vanderbilt University Medical Center
background american college surgeons acs national surgical quality improvement program surgical risk calculator acs calculator provides empirically derived patientspecific risks common adverse perioperative outcomes acs calculator promoted tool improve shared decisionmaking informed consent patients undergoing elective operations however knowledge data exist regarding use tool actual preoperative risk discussions patients accordingly performed survey assess 1 whether patients find tool easy interpret 2 accurately patients predict surgical risks 3 impact risk disclosure levels anxiety future motivations decrease personal risk methods patients n 150 recruited preoperative clinic completed initial survey estimated hospital length stay personal perioperative risks 12 clinical complications analyzed acs calculator next risk calculation performed entering participants demographics acs calculator participants reviewed individualized risk reports detail completed followup survey evaluate perceptions results nearly 90 participants desire review acs calculator report future surgical consents highrisk patients 3 times likely underestimate risk complication serious complication length stay compared lowrisk patients p lt 001 reviewing calculated risks 70 stated would consider participating prehabilitation decrease perioperative risk nearly 40 would delay surgery knowledge personal acs risk calculations effect anxiety 20 decreased anxiety 71 participants conclusions acs calculator may particular benefit highrisk surgical populations providing realistic expectations outcomes recovery use tool may also provide motivation patients participate risk reduction strategies
https://doi.org/10.3389/fpubh.2021.724995
Sheriff D. Akinleye|Garret Garofolo-Gonzalez|Michael Montuori|Maya Deza Culbertson|Jennifer Hashem|David M. Edelstein
Readability of the Most Commonly Accessed Online Patient Education Materials Pertaining to Pathology of the Hand
2,017
Maimonides Medical Center|Maimonides Medical Center|SUNY Downstate Medical Center|Maimonides Medical Center|Maimonides Medical Center|Maimonides Medical Center
background american medical association ama national institutes health nih recommend patient education materials written higher sixthgrade reading level methods examined 100 online educational materials 10 hand conditions commonly treated hand surgeons reported american society surgery hand listed conditions carpal tunnel syndrome basal joint arthritis thumb de quervain syndrome dupuytrens contracture ganglion cysts hand fractures trigger finger extensor tendon injuries flexor tendon injuries mallet finger following google search condition analyzed 10 visited websites disorder utilizing fleschkincaid formula results average grade reading level 100 websites studied 949 reading ease 5303 fairly difficult high school 29 websites national average eighthgrade reading level carpal tunnel syndrome highest average grade reading level 1032 standard deviation 152 whereas hand fractures lowest 814 203 every hand condition study average readability ninthgrade reading level conclusions frequently accessed materials common maladies hand exceed readability limits recommended ama nih average reading ability us adults therefore commonly accessed websites pertaining hand pathology may comprehended audience intended
https://doi.org/10.29252/ijrr.19.1.41
Andinet Alemu|Miguel San Sebastián
Determinants of survival in adult HIV patients on antiretroviral therapy in Oromiyaa, Ethiopia
2,010
Umeå University|Umeå University
background antiretroviral treatment art scaleup service recent development ethiopia impact mortality well investigated aim study assess early survival outcome scaleup service utilizing routine hospital datamethods adult hivaids patients started antiretroviral treatment shashemene assela hospitals january 1 2006 may 31 2006 included followed 2 years data extracted standard patient medical registrations kaplanmeier curves used estimate survival probability cox proportional hazard model applied determine predictors mortality two alterative assumptions real case worst case made determining predictors mortalityresults median age patients 33 years 57 female eightyfive percent cd4 200 cellsl median cd4 count 103 cellsl median survival time 1044 weeks total 28 103 deaths observed 2year period 48 patients 18 lost follow majority deaths occurred first 4 months treatment multivariate analysis 2year survival significantly associated clinical stage disease baseline hemoglobin cotrimoxazole prophylaxis therapy cpt art initiation assumptions median cd4 count body weight showed marked improvement first 6 months treatment followed stagnation thereafterconclusion study shown overall low mortality high loss followup rate cohort advanced clinical stage anemia low body weight lack cpt initiation independent predictors mortality gender cpt initiation encouraged routine hiv care services patient retention mechanisms strengthened stagnation immunological weight recovery first 6 months investigated utilization routine data encouraged order facilitate appropriate decision making
https://doi.org/10.46542/pe.2022.222.3640
Alena Kajanová|Zuzana ?imná?ová
Health literacy of the poor
2,019
University of South Bohemia in ?eské Bud?jovice|University of South Bohemia in ?eské Bud?jovice
background article aimed pointing health literacy people living poverty line low levelavailable research shows lot indicators influencing health literacythey include age gender place residence education one important indicatorsmethods main aim research evaluate ascertain health literacy representative sample lowincome populationquantitative strategies used researchwe used short standardized form health literacy questionnairethe data collection took place course 2017 study included 300 respondents totalwe received 254 valid answers purpose selection snowball technique analyzed results using spss softwareresults results study show inadequate problematic health literacy 584 respondentswe compared sociodemographic indicators health literacy found actually statistically significant relation education health literacy health condition health literacyconclusion find health literacy strengthened group question population general health literacy inadequate either
https://doi.org/10.2196/jmir.4308
Cheng-Yi Huang|Chiang?Shan R. Li|Su?Chen Fang|Chi?Shin Wu|Ding?Lieh Liao
The reliability of the Chinese version of the Barratt Impulsiveness Scale version 11, in abstinent, opioid-dependent participants in Taiwan
2,013
null
background barratt impulsiveness scale bis one commonly used selfreport measures trait impulsivity however reliability measure among individuals abuse substances yet well examined purpose study evaluate reliability validity chinese version measure abstinent opioiddependent participants methods opioiddependent participants male inmates recruited two official correction agencies located northern taiwan october 2006 september 2007 participants retest group completed second assessment 1 month internal consistency reliability bis version 11 bis11 assessed calculating cronbach coefficient testretest reliability assessed based intraclass correlation coefficients factor validity examined using principal component analysis internal consistency factor validity bis11 investigated sample 153 participants testretest reliability analyzed 67 participants results threefactor structure bis11 representing psychological constructs similar originally identified translations bis11 found cronbach coefficient instrument 083 indicating high internal consistency intraclass correlation coefficient 066 indicating good testretest reliability bis11 highest reliability among participants without criminal history testretest reliability still satisfactory among participants lower education level alcohol dependence conclusion study suggests chinese version bis11 reliable measure potential utility investigating impulsivity opioiddependent individuals
https://doi.org/10.1177/2381468317714474
Gudlavalleti Venkata Satyanarayana Murthy|Praveen Vashist|Nitin Ashok John|Gopal P. Pokharel|Leon B. Ellwein
Prevelence and Causes of Visual Impairment and Blindness in Older Adults in an Area of India with a High Cataract Surgical Rate
2,010
London School of Hygiene & Tropical Medicine|Society for Education Welfare and Action Rural|All India Institute of Medical Sciences|Society for Education Welfare and Action Rural|All India Institute of Medical Sciences|Society for Education Welfare and Action Rural|Society for Education Welfare and Action Rural|National Eye Institute|National Institutes of Health|Society for Education Welfare and Action Rural
background cataract surgical rate csr gujarat india reported 10000 per million population study conducted investigate prevalence causes vision impairmentblindness among older adults high csr areamethods geographically defined cluster sampling used randomly selecting persons 50 years age navsari district subjects 35 study clusters enumerated invited measurement presenting bestcorrected visual acuity ocular examination principal cause identified eyes presenting visual acuity 2032results total 5158 eligible persons enumerated 4738 919 examined prevalence presenting visual impairment 2063 20200 better eye 293 95 confidence interval ci 275312 135 95 ci 120149 best correction prevalence presenting bilateral blindness 20200 69 95 ci 5781 31 95 ci 2537 best correction presenting bestcorrected blindness associated older age illiteracy gender ruralurban residence significantcataract one eyes main cause bilateral blindness 826 followed retinal disorders 89 cataract 503 refractive error 354 main causes eyes vision acuity 2063 20200 refractive error 866 eyes acuity 2032 2063conclusions visual impairment blindness significant problem among elderly gujarat despite reportedly high csr cataract remains predominant cause blindness
https://doi.org/10.58496/mjaih/2024/001
Jingping Shi|Qi Li|Yuqing Li|Liu Xiu-rong
Investigation of Health Literacy Status in Beijing, China
2,020
null
background chinese government uses health literacy evaluation estimate population health status national strategic planning health literacy survey system city beijing china established 2012 triennial surveys obtain representative data whole city objective objective study examine results 2015 beijing health literacy survey identify population subgroups may warrant intervention due high risk adequate health literacy methods crosssectional study participants selected multistage stratified cluster sampling information collected 2015 facetoface interviews chinese citizen health literacy questionnaire total 12876 interviews included final analyses weighting conducted statistical analyses obtain representative estimates multiple logistic regression applied examine independent influencing factors health literacy level adequateinadequate key results overall 28 participants adequate health literacy urban residents higher proportion participants adequate health literacy compared rural residents 295 vs 19 p lt 01 women 297 higher proportion participants adequate health literacy compared men 297 vs 264 p lt 01 proportion participants adequate health literacy significantly different among age groups 2 3329 p lt 01 residents age 25 34 years highest rate adequate health literacy 339 proportion participants adequate health literacy increased participants obtained education 2 8184 p lt 01 residents households higher income higher rate adequate health literacy 2 4624 p lt 01 gender age education household income independently associated level health literacy conclusions substantial variation exists health literacy level among age groups gender groups education groups taking disparities account important developing health policies allocating resources hlrp health literacy research practice 202043e174e184 plain language summary results investigation revealed health literacy status residents beijing china highrisk population may likely low health literacy targeted health education interventions may helpful improve health literacy
https://doi.org/10.4102/sajce.v9i1.647
Dwi Sutiningsih
Hubungan Tingkat pengetahuan dan Sikap dengan Praktik Pencegahan COVID-19 pada Masyarakat Pengguna Internet di Kota Semarang
2,021
Diponegoro University
background city semarang ranked first highest confirmed case covid19 central java various control efforts made stop spread disease government regulations behavioral interventions community depend compliance community study aims analyze level health literacy level knowledge attitudes prevention practices related covid19 general public semarang citymethods study uses observational analytic method crosssectional approach carried people semarang city data collected google form questionnaire distributed online social media october 12 november 9 2020 managed collect 407 respondents 16 subdistricts semarang city questionnaire consists 42 questions covering level knowledge attitudes practices prevention covid19 data analyzed univariate bivariate chisquare statistical analysisresult knowledge internet users semarang city regarding covid19 mostly good 501 attitudes practices preventing covid19 also mostly good 565 506 significant relationship level knowledge covid19 covid19 prevention practices pvalue0001 relationship attitudes related covid19 covid19 prevention practices pvalue0001conclusion relationship level knowledge attitudes towards covid19 prevention practices internet user community semarang city improved health education needed improve literacy prevention practices covid19
https://doi.org/10.21106/ijtmrph.85
Candace D. McNaughton|Sunil Kripalani|Courtney Cawthon|Lorraine C. Mion|Kenneth A. Wallston|Christianne L. Roumie
Association of Health Literacy With Elevated Blood Pressure
2,014
Vanderbilt University|Vanderbilt Health|Vanderbilt University|Vanderbilt University|VA Tennessee Valley Healthcare System|Geriatric Research Education and Clinical Center|Nashville VA Medical Center|Veterans Health Administration
background clinical consequences low health literacy fully understood objectives evaluated relationship low health literacy elevated blood pressure bp hospital presentation research design subjects conducted crosssectional evaluation adult patients hospitalized university hospital november 1 2010 april 30 2012 measures health literacy assessed using brief health literacy screen bhls low health literacy defined bhls score 9 bp assessed using clinical measurements outcome elevated bp 14090 mm hg 13080 mm hg diabetes renal disease extremely elevated bp 160100 mm hg hospital presentation multivariate logistic regression adjusted age sex race insurance comorbidities antihypertensive medications preplanned restricted analysis among patients diagnosed hypertension performed results 46263 hospitalizations 23 low health literacy occurred often among patients older 61 vs 54 less educated 284 vs 112 completed high school often admitted emergency department 543 vs 481 bhls9 elevated bp frequent among low health literacy 400 vs 355 adjusted odds ratio aor 106 95 confidence interval ci 101112 low health literacy associated extremely elevated bp aor 108 95 ci 101116 elevated bp among without diagnosed hypertension aor 109 95 ci 102116 conclusions patients elevated bp hospital presentation low health literacy independently associated elevated bp particularly among patients without diagnosed hypertension
https://doi.org/10.1111/j.1469-7610.2004.00394.x
Paul K. Crane|Laura E. Gibbons|Keerthi Arani|Viet Q. Nguyen|Kristoffer Rhoads|Susan M. McCurry|Lenore J. Launer|Kamal Masaki|Lon R. White
Midlife Use of Written Japanese and Protection From Late Life Dementia
2,009
University of Washington|University of Washington|University of Washington|University of Washington|Institute of Behavioral Sciences|University of Washington|National Institute on Aging|Kuakini Medical Center|Kuakini Medical Center
background cognitive reserve hypothesis would predict use written japanese confer protection dementia complexity ideograms compared written english sought test hypothesis analyses longitudinal study japaneseamerican men methods participants secondgeneration japaneseamerican men nisei island oahu hawaii seen 1965 subsequent examinations detect dementia beginning 19911993 use spoken written japanese selfreported 1965 analyses 1 2 midlife use written japanese written english selfreported 19941996 analysis 3 analyzed prevalent dementia outcomes 19911993 analysis 1 n 3139 using logistic regression incident dementia outcomes 19942002 analysis 2 n 2299 19972002 analysis 3 n 1655 using cox proportional hazards regression dementia outcomes included allcause dementia probable possible alzheimer disease probable vascular dementia adjusted models probable possible confounders results participants reported proficiency written japanese older lower incomes analysis 1 154 prevalent cases dementia 74 alzheimer disease 43 vascular dementia analysis 2 236 incident cases dementia 138 alzheimer disease 45 vascular dementia analysis 3 125 incident cases dementia 80 alzheimer disease 20 vascular dementia relationship adjusted models selfreported proficiency written japanese dementia outcomes conclusions proficiency written japanese appear protective dementia
https://doi.org/10.2174/1874447802014010078
Beverly A. Weidmer|Cindy Brach|Mary Ellen Slaughter|Ron D. Hays
Development of Items to Assess Patients’ Health Literacy Experiences at Hospitals for the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Hospital Survey
2,012
RAND Corporation|Agency for Healthcare Research and Quality|RAND Corporation
background complexity health information frequently exceeds patients skills understand use improvement hospital communication potential improve quality care objective develop set items supplement consumer assessment healthcare providers systems cahps hospital survey hcahps assess well hospitals communicate health information inpatients methods conducted environmental scan obtained input stakeholders identify domains survey items cognitively tested item set english spanish administered items random sample adult hospital patients using mail telephone data collection estimate itemscale correlations hypothesized multiitem composites internal consistency reliability composites correlations among composites regressed global rating hospital would recommend hospital items hcahps existing core new composites evaluate unique contribution bottomline measures results total 1013 surveys obtained 55 response rate exceptions correlations items scales consistent hypothesized item clusters three composites identified 1 communication tests 2 communication care self medicines 3 communication forms conclusions study provides support measurement properties hcahps item set addressing health literacy serve measure whether healthcare providers hospital setting communicated effectively patients tool quality improvement
https://doi.org/10.1177/0969733015623095
Beverly A. Weidmer|Cindy Brach|Ron D. Hays
Development and Evaluation of CAHPS® Survey Items Assessing How Well Healthcare Providers Address Health Literacy
2,012
RAND Corporation|Agency for Healthcare Research and Quality
background complexity health information often exceeds patients skills understand use objective develop survey items assessing well healthcare providers communicate health information methods domains items consumer assessment healthcare providers systems cahps item set addressing health literacy identified environmental scan input stakeholders draft item set translated spanish pretested english spanish revised item set field tested randomly selected sample adult patients 2 sites using mail telephonic data collection itemscale correlations confirmatory factor analysis internal consistency reliability estimates estimated assess well survey items performed identify composite measures finally regressed cahps global rating provider item cahps core communication composite new health literacy composites results total 601 completed surveys obtained 52 response rate two composite measures identified 1 communication improve health literacy 16 items 2 well providers communicate medicines 6 items 2 composites significantly uniquely associated global rating provider communication improve health literacy p0001 b028 communication medicines composite p002 b004 2 composites cahps core communication composite accounted 51 variance global rating provider 5item subset communication improve health literacy composite accounted 90 variance original 16item composite conclusions study provides support reliability validity cahps item set addressing health literacy items serve assess whether healthcare providers communicated effectively patients tool quality improvement
https://doi.org/10.2196/jmir.1603
Zahra Raisi Filabadi|Fatemeh Estebsari|Arezoo Sheikh Milani|Shahoo Feizi|Maliheh Nasiri
Relationship between electronic health literacy, quality of life, and self-efficacy in Tehran, Iran: A community-based study
2,020
Shahid Beheshti University of Medical Sciences|Shahid Beheshti University of Medical Sciences|Shahid Beheshti University of Medical Sciences|Iran University of Medical Sciences|Iranshahr University|Shahid Beheshti University of Medical Sciences
background concept electronic health literacy become main focus healthcare professionals along increasing use internet iran internet yet much impact providing health services physicians patients community willing use traditional method diagnosing disease prescribing medicines study aimed determine correlation electronic health literacy quality life qol selfefficacy among tehran citizensmaterials methods present study descriptive crosssectional study correlation approach conducted 400 clients community health centers shahid beheshti university medical sciences 2019 samples selected stratified random sampling method data collected using ehealth literacy questionnaire 088 12item shortform health survey 073 general selfefficacy scale 087 analytic statistics using descriptive statistics mean standard deviation inferential statistics pearson correlation coefficient regression analysis significant level p 005results correlation electronic health literacy qol 014 selfefficacy 010 positive statistically significant p 005 addition correlation qol selfefficacy 033 positive statistically significant moderate p 005conclusion according findings study possible improve qol promotion electronic health literacy selfefficacy results study used basis health service providers policymakers designing implementing healthrelated interventions
https://doi.org/10.1080/00131881.2018.1493353
Max Stephens|Djordje M. Kadijevich|Janelle Hill|Mayamiko Malola
The importance of understanding large data, context, conventions and uncertainty in a pandemic
2,022
Victorian Curriculum and Assessment Authority|University of Melbourne|National Institute for Education|Victorian Curriculum and Assessment Authority|University of Melbourne|Victorian Curriculum and Assessment Authority|University of Melbourne
background coronavirus disease 2019 covid19 pandemic provided rich data displays informing public spread infection risks certain population groups effectiveness vaccines data sources offer opportunities students teachers explore discuss data high relevance lives communitiesaim article argues teaching statistics probability greater attention needs given understand three key elements statistical literacy namely context conventions uncertainty article also identifies several key areas linking theory practicesetting article draws different data displays using covid19related websites internationally nationally africa south africa locally state victoria australiamethods investigating analysing different data displays article shows importance assisting students understand context data conventions uncertainty riskbenefit understand covid19 data article examines pertinent frontier areas teaching probability statisticsresults article identifies important opportunities challenges teaching statistics schools teacher education including greater attention frequentist expressions probability riskbenefit analysis importance time series analyses critical approaches evaluation available data setsconclusion schools greater attention needs given different conventions data expressed including use dynamic dashboard representationscontribution article shows available covid19 data used enhance students statistical literacy enrich teacher education
https://doi.org/10.18203/2320-1770.ijrcog20172944
Mônica Rodrigues Perracini|Juleimar Soares Coelho de Amorim|Camila Astolphi Lima|Alexandre da Silva|Francis Trombini-Souza|Daniele Sirineu Pereira|Paulo Henrique Silva Pelicioni|Etiene Duim|Patrícia Parreira Batista|Aurélio Dias Santos|Maria do Carmo Correia de Lima
Impact of COVID-19 Pandemic on Life-Space Mobility of Older Adults Living in Brazil: REMOBILIZE Study
2,021
Universidade Cidade de São Paulo|Universidade Estadual de Campinas (UNICAMP)|Rio de Janeiro Federal Institute of Education, Science and Technology|Universidade Cidade de São Paulo|Faculdade de Medicina de Jundiaí|Universidade de Pernambuco|Universidade Federal de Minas Gerais|University of Otago|Hospital Israelita Albert Einstein|Universidade Federal de Minas Gerais|Universidade Cidade de São Paulo|Universidade Estadual de Campinas (UNICAMP)
background covid19 pandemic hit brazil scenario substantial socioeconomic health inequalities unknown immediate impact social restriction recommendations ie lockdown stayathome lifespace mobility older people objective investigate immediate impact covid19 pandemic lifespace mobility communitydwelling brazilian older adults examine social determinants health associated change lifespace mobility design baseline data prospective cohort study remobilize study setting community subject convenience snowball sample participants aged 60 older n 1482 living 22 states brazil methods conducted online phone survey using adapted version lifespace assessment lsa linear regression models used investigate social determinants health change lsa score results regardless gender social determinants health participants showed significant reduction lifespace mobility since covid19 pandemic outbreak lifespace mobility reduction higher among black individuals living alone aged 70 79 variables associated change lifespace mobility lesser extent sex education income conclusion social restriction measures due pandemic caused substantial reduction older adults lifespace mobility brazil social inequalities strongly affected vulnerable groups concerted actions put place overcome deterioration lifepace mobility amongst groups failure minimizing health inequalities amplified pandemic may jeopardize desired achievements decade healthy aging
https://doi.org/10.3389/fphar.2018.00960
Rodolfo Rossi|Tommaso B. Jannini|Valentina Socci|Francesca Pacitti|Giorgio Di Lorenzo
Stressful Life Events and Resilience During the COVID-19 Lockdown Measures in Italy: Association With Mental Health Outcomes and Age
2,021
University of Rome Tor Vergata|University of Rome Tor Vergata|University of L'Aquila|University of L'Aquila|University of Rome Tor Vergata|Fondazione Santa Lucia|Istituti di Ricovero e Cura a Carattere Scientifico
background covid19 pandemic due disproportionated higher morbidity mortality rates older age considered geropandemic several studies however found older age associated lower psychological distress relation covid19 outbreak related lockdown measures aim explore role resilience mediator stressful covid19 related life events depressive anxiety symptoms perceived stress ascertain role age moderator mediators effect methods online survey spread social networks first lockdown italy depressive anxiety symptoms perceived stress measured using italian version patient health questionnaire9 phq9 generalized anxiety disorder questionnaire7 gad7 perceived stress scale pss resilience measured using italian version resilience scale adults rsa stressful covid19 related life events explored using checklist events derived international adjustment disorder questionnaire iadq preliminary panel linear regressions mediation tested using structural equation modeling inspecting bootstrapped indirect effects afterwards age introduced mediator indirect effect moderated mediation analysis results twenty one thousand three hundred thirty four subjects completed questionnaire 17178 8052 female 748 35 ampgt60 years old whole sample presence stressful event associated depressive anxiety symptoms perceived stress resilience mediated effects stressful covid19related events depressive anxiety symptoms perceived stress moderated mediation analysis revealed age moderated mediation effect resilience presence stressful event selected outcomes conclusion taken together results show age moderates mediating effect resilience relationship covid19related stressful events depressive anxiety symptoms perceived stress older adults resilience less influenced stressful events could one reasons accounting better mental health outcomes observed older age
https://doi.org/10.4103/0019-5545.130495
Chi?Chih Chen|Chin?Hsiao Tseng|Shou?Hsia Cheng
Continuity of Care, Medication Adherence, and Health Care Outcomes Among Patients With Newly Diagnosed Type 2 Diabetes
2,013
Institute of Public Health|National Taiwan University|National Taiwan University Hospital|Institute of Public Health
background effects continuity care coc health care outcomes well established however mechanism association fully understood objective objective study examine relationship coc medication adherence well investigate mediating effect medication adherence association coc health care outcomes patients newly diagnosed type 2 diabetes research design subjects study utilized longitudinal design included 7year followup period 2002 2009 universal health insurance program taiwan patients aged 18 years older first diagnosed type 2 diabetes 2002 included study random intercept models conducted assess temporal relationship coc medication adherence health care outcomes results patients high intermediate coc scores likely adherent medications low coc scores odds ratio 337 95 confidence interval ci 315360 184 95 ci 174194 respectively addition association coc health care outcomes partly mediated better medication adherence patients newly diagnosed type 2 diabetes conclusions improving coc patients type 2 diabetes may result higher medication adherence better health care outcomes
https://doi.org/10.1590/s1413-35552012005000030
AM Rangan|Siobhan O'Connor|Giannelli|Mlh Yap|LM Tang|Rajshri Roy|Jcy Louie|Lana Hebden|Judy Kay|Margaret Allman?Farinelli
Electronic Dietary Intake Assessment (e-DIA): Comparison of a Mobile Phone Digital Entry App for Dietary Data Collection With 24-Hour Dietary Recalls
2,015
University of Sydney|University of Sydney|University of Sydney|University of Sydney|University of Sydney|University of Sydney|University of Sydney|University of Sydney|University of Sydney|University of Sydney
background electronic dietary intake assessment edia digital entry food record mobile phone app developed measure energy nutrient intake prospectively used monitoring population intakes intervention studies young adults objective objective assess relative validity edia dietary assessment tool energy nutrient intakes using 24hour dietary recall reference method methods university students aged 19 24 years recorded food drink intake edia five days consecutively completed 24hour dietary recalls three random days 5day study period mean differences energy macro micronutrient intakes evaluated methods using paired tests wilcoxon signedrank tests correlation coefficients calculated unadjusted energyadjusted deattenuated values blandaltman plots crossclassification quartiles used assess agreement two methods results eighty participants completed study 38 male significant differences found two methods mean intakes energy nutrients deattenuated correlation coefficients ranged 055 079 mean 068 blandaltman plots showed wide limits agreement methods without obvious bias crossclassification adjacent quartiles ranged 75 93 mean 85 conclusions edia shows potential dietary intake assessment tool group level good ranking agreement energy nutrients
https://doi.org/10.1097/jcn.0000000000000488
Young Ji Lee|Bernadette Boden?Albala|Elaine Larson|Adam B. Wilcox|Suzanne Bakken
Online Health Information Seeking Behaviors of Hispanics in New York City: A Community-Based Cross-Sectional Study
2,014
Northwestern University|New York University|Columbia University|Intermountain Healthcare|Columbia University
background emergence internet increased access health information facilitate active individual engagement health care decision making hispanics fastestgrowing minority group united states also underserved terms access online health information growing body literature examined correlates online health information seeking behaviors hisbs studies included hispanics objective specific aim descriptive correlational study examine factors associated hisbs hispanics methods study sample n4070 recruited five postal zip codes northern manhattan washington heights inwood informatics infrastructure comparative effectiveness research project survey data collected via interview bilingual community health workers community center households community settings data analyzed using bivariate analyses logistic regression results among individual respondents online hisbs significantly associated higher education 303 95 ci 215429 ppp003 online hisbs household members significantly associated respondent factors female gender 160 95 ci 122210 p001 younger 075 95 ci 062090 p002 married 136 95 ci 109171 p007 higher education 180 95 ci 14042316 ppp001 conclusions largescale community survey identified factors associated online hisbs among hispanics merit closer examination enhance online hisbs among hispanics health care providers policy makers need understand cultural context hispanic population results study provide foundation development informaticsbased interventions improve health hispanics united states
https://doi.org/10.1097/hjh.0b013e3283613053
Jie Zeng|Xuehai Zhang|Jun Yang|Junzhe Bao|Hao Xiang|Keith Dear|Qiyong Liu|Shao Lin|Wayne R. Lawrence|Ang Lin|Cunrui Huang
Humidity May Modify the Relationship between Temperature and Cardiovascular Mortality in Zhejiang Province, China
2,017
null
background evidence increased mortality attributable extreme temperatures widely characterized climatehealth studies however studies examined role humidity temperaturemortality association investigated joint effect temperature humidity cardiovascular disease cvd mortality zhejiang province china methods collected data daily meteorological cvd mortality 11 cities zhejiang province 20102013 first applied timeseries poisson regression analysis within framework distributed lag nonlinear models estimate cityspecific effect temperature humidity cvd mortality controlling temporal trends potential confounding variables applied multivariate metaanalytical model pool effect estimates 11 cities generate overall provincial estimate joint effects calculated attributable fraction af analyses stratified gender age group education level location cities results total 120544 cvd deaths recorded study mean values temperature humidity 176 c 723 joint effect low temperature high humidity greatest impact cvd death burden lag 021 days significant af 3136 95 eci 14793841 condition low temperature low humidity significant af 1674 95 eci 089 2444 afs higher low temperature high humidity different subgroups considering levels humidity afs significant low temperature high humidity males youth low level education coastal area people conclusions combination low temperature high humidity greatest impact cvd death burden zhejiang province evidence important implications developing cvd interventions
https://doi.org/10.1097/qai.0b013e3181988375
David K. Ahern|Jennifer M. Kreslake|Judith M. Phalen
What Is eHealth (6): Perspectives on the Evolution of eHealth Research
2,006
Brigham and Women's Hospital
background field ehealth holds promise supporting enabling health behavior change prevention management chronic disease
https://doi.org/10.1177/1932296817749610
Saeedeh Yousefi|Faezeh Shamsipoor|Yaser Salim Abadi
Epidemiological Study of Head Louse (Pediculus humanus capitis) Infestation Among Primary School Students in Rural Areas of Sirjan County, South of Iran
2,012
Tehran University of Medical Sciences|Sirjan University of Technology|Tehran University of Medical Sciences|Tehran University of Medical Sciences
background head louse pediculus humanus capitis obligate ectoparasite found hair scalp transmitted mainly physical contact part world pediculosis major public health concern head lice infestation common problem schoolage children objectives present study first study head lice infestation rural areas sirjan county iran considering fact primary school studenta prone head lice infestation study conducted primary schools rural areas sirjan study conducted determine head lice infestation rate risk factors primary school students materials methods data irans national census used sampling primary school students 2009 2010 rural areas sirjan county selected asked presence lice form data analysis chisquare test spss software version 115 used p value less 005 considered significant results total number 20 1772 112 examined students found infested lice although infestation rate higher girls difference infestation rate genders statistically significant p 005 rate head lice infestation siginificantly p 005 correlated hairwashing behavior parents literacy level also siginificantly related head lice infestation rate p 005 conclusions pediculosis major health problem many parts world including developed underdeveloped countries according findings seems populated families parents lower literacy level families without bathroom home infestation rate higher therefore employing health workers educate families well teachers good method prevent pediculosis
https://doi.org/10.1161/circheartfailure.117.004173
Vettrivel Arul|Gokulakanan Singaram|Mr. Elia Vivek E. P
Exploring evidence-based decision-making competencies among homoeopathic medical students: insights from a cross-sectional pilot investigation
2,024
Vinayaka Missions University|Vinayaka Missions University|Vinayaka Missions University
background healthcare landscape requires integrating traditional principles evidencebased practices study addresses vital need assess enhance evidencebased decisionmaking ebdm understanding among students homeopathic medicine challenge homeopathic medicine rooted tradition must align modern healthcare standards emphasizing evidencebased approaches bridging gap crucial optimizing patient outcomes maintaining relevance homeopathic practices objective study aimed scrutinize comprehension implementation ebdm among undergraduate homeopathic medical students identifying discrepancies perception actual understanding goal outline interventions enhancing ebm competence harmonizing traditional evidencebased practices methodology using crosssectional design data collected questionnaire distributed via google forms 203 undergraduate students vinayaka missions homoeopathic medical college participated providing insights ebdm grasp ability discern reliable evidence sources understanding research study designs selfreported ebm practices expected results initial analyses reveal misalignment perceived actual understanding ebdm concepts academic progression correlates increased use evidencebased resources improved statistical literacy barriers include resource constraints insufficient critical appraisal skills time limitations facilitators include userfriendly resources institutional policies curriculum integration mentor support anticipated outcomes stress need tailored educational interventions enhancing ebm competence integrating ebm principles traditional homeopathic practice
https://doi.org/10.2196/jmir.9897
Hosein Rafiemanesh|Mojtaba Mehtarpour|Farah Khani|Sayed Mohammadali Hesami|Reza Shamlou|Farhad Towhidi|Hamid Salehiniya|Behnam Reza Makhsosi|Ali Moini
Epidemiology, incidence and mortality of lung cancer and their relationship with the development index in the world
2,016
Shahid Beheshti University of Medical Sciences|Tehran University of Medical Sciences|Iranshahr University|Kermanshah University of Medical Sciences|Tehran University of Medical Sciences|Iranshahr University|Kermanshah University of Medical Sciences|Imam Reza Hospital|Tehran University of Medical Sciences|Zabol University of Medical Sciences|Shahid Beheshti University of Medical Sciences|Tehran University of Medical Sciences|Iranshahr University|Kermanshah University of Medical Sciences|Imam Reza Hospital|Zabol University of Medical Sciences|Kermanshah University of Medical Sciences|Imam Reza Hospital
background highest incidence lung cancer seen north america lowest incidence central africasocioeconomic factors inequality reflect regional disparities human developmentdue importance awareness incidence mortality lung cancer health programming possible role human development index hdi study done aim investigate epidemiology lung cancer world relationship hdimethods study conducted based data world data cancer world bank including hdi componentsdata agespecific incidence mortality rate asr every country 2012 getting global cancer projectto analyze data correlation tests incidence death rates hdi components employed significance level 005 using spss softwareresults lung cancer standardized incidence rate asir standardized mortality rate asmr equal 231 197 100000 people respectivelythe highest lowest values mortality incidence ratio mir lung cancer due continents division 093 071 eastern africa australia new zealand respectivelyunivariate analysis showed significant relationship p00001 asir asmr life expectancy birth mean years schoolingconclusions highest mir lung cancer medium human development countrieslinear regression analysis showed reverse significant relationship mir hdi
https://doi.org/10.2196/mhealth.4928
Ha Thi Thu Tran|Minh H. Nguyen|Thu Trang Pham|Kim B?o Giang|Hiep Thanh Nguyen|Ngoc?Minh Nguyen|Hoa T. B. Dam|Thai Hong Duong|Yen Hai Nguyen|Thao Thi|Thi Huyen Thuong Nguyen|Thuy Le|Thuong Hien|Tham T. Nguyen|Pham Minh Khue|Tuyen Van Duong
Predictors of eHealth Literacy and Its Associations with Preventive Behaviors, Fear of COVID-19, Anxiety, and Depression among Undergraduate Nursing Students: A Cross-Sectional Survey
2,022
Hai phong University Of Medicine and Pharmacy|Hai Phong University|Taipei Medical University|Hai phong University Of Medicine and Pharmacy|Hai Phong University|Taipei Medical University|Hanoi Medical University|Pham Ngoc Thach University of Medicine|Pham Ngoc Thach University of Medicine|Thai Nguyen University|Thai Nguyen National General Hospital|Thai Nguyen University|Can Tho University|Can Tho University|Hue University|Da Nang University of Technology|University of Hai Duong|Hai phong University Of Medicine and Pharmacy|Hai Phong University|Hai phong University Of Medicine and Pharmacy|Hai Phong University|Taipei Medical University
background infodemic coexisting covid19 pandemic influx misinformation conspiracy theories affect peoples psychological health adherence preventive measures ehealth literacy eheals may help alleviating negative effects infodemic nursing students future healthcare professionals adequate eheals skills critically important clinical practice safety health study aimed 1 explore eheals level associated factors 2 examine associations eheals preventive behaviors fear covid19 fcv19s anxiety depression among nursing students methods surveyed 1851 nursing students 7 april 31 may 2020 eight universities across vietnam data collected including demographic characteristics eheals adherence preventive behaviors handwashing maskwearing physical distancing fcv19s anxiety depression linear logistic regression analyses performed appropriately examine associations results mean score eheals 314 44 eheals score significantly higher males unstandardized regression coefficient b 094 95 confidence interval 95 ci 015 173 p 0019 students better ability pay medication b 079 95 ci 039 119 p 0001 compared counterparts nursing students higher eheals score higher likelihood adhering handwashing odds ratio 118 95 ci 115 122 p 0001 maskwearing 115 95 ci 112 119 p 0001 keeping safe physical distance 120 95 ci 115 125 p 0001 lower anxiety likelihood 095 95 ci 092 099 p 0011 conclusions nursing students men better ability pay medication higher eheals scores higher eheals scores better adherence preventive measures better psychological health development strategies improve eheals nursing students may contribute covid19 containment improve psychological health
https://doi.org/10.1017/s1352465810000822
Wendy Levinson|Audiey Kao|Alma M. Kuby|Ronald A. Thisted
Not all patients want to participate in decision making
2,005
St. Michael's Hospital|University of Toronto|American Medical Association|National Opinion Research Center|University of Chicago|University of Chicago
background institute medicine calls physicians engage patients making clinical decisions every patient may want level participation objectives 1 assess public preferences participation decision making representative sample us population 2 understand demographic variables health status influence peoples preferences participation decision making design participants populationbased survey fully representative sample englishspeaking adults conducted concert 2002 general social survey n2765 respondents expressed preferences ranging patientdirected physiciandirected styles 3 aspects decision making seeking information discussing options making final decision logistic regression used assess relationships demographic variables health status preferences main results nearly respondents 96 preferred offered choices asked opinions contrast half respondents 52 preferred leave final decisions physicians 44 preferred rely physicians medical knowledge rather seeking information women educated healthier people likely prefer active role decision making africanamerican hispanic respondents likely prefer physicians make decisions preferences active role increased age 45 years declined conclusion populationbased study demonstrates people vary substantially preferences participation decision making physicians health care organizations assume patients wish participate clinical decision making must assess individual patient preferences tailor care accordingly
https://doi.org/10.4103/0300-1652.129653
Sumitra Sharma|Natalia Oli|Bobby Thapa
&lt;p&gt;Electronic health–literacy skills among nursing students&lt;/p&gt;
2,019
Kathmandu Medical College Teaching Hospital|Kathmandu Medical College Teaching Hospital
background internet become major source healthrelated information order provide better health services healthcare education society nurses acceptable electronic health ehealth literacy objective main aim measure ehealthliteracy skills among nursing students kathmandu medical college teaching hospital nepal methods crosssectional study conducted among 152 bachelor science nursing students hospital data collected using selfadministered ehealth literacy scale eightitem tool assessed 5point likert scale measure consumers perceived skills finding evaluating applying ehealth information health problems demographical personal variables collected explore relationship ehealth literacy results total 152 nursing students mean age 1984162 years participated study 447 perceived average internet skills 651 found internet useful helping make decisions health nursing students moderate selfperceived level ehealth literacy median 369 iqr 087 related factors included students internet skills frequency using internet health related purposes selfperception usefulness importance internet conclusion study represents baseline reference ehealth literacy among nursing students students basic necessary skills skills still need improved need pay attention ehealthliteracy needs nursing students keywords digitization health literacy internet nursing students technology
https://doi.org/10.3109/13668250.2016.1153052
Jennifer Nguy?n|Michael D. Moorhouse|Barbara Curbow|Juliette Christie|Kim Walsh-Childers|Sabrina Islam
Construct Validity of the eHealth Literacy Scale (eHEALS) Among Two Adult Populations: A Rasch Analysis
2,016
University of Florida Health|University of Florida|Florida Department of Health|University of Maryland, College Park|University of Florida|Florida Department of Health|University of Florida|University of Florida|Florida Department of Health
background internet become ubiquitous venue information seeking especially health information public health practitioners noticed promise potential internet however little known individuals skills ehealth literacy ehealth literacy scale eheals designed measure perceptions individuals ehealth literacy skills objective objective study examine psychometric validity reliability eheals two adult populations using rasch model methods collegeaged sample internetbased sample amazons mturk recruited complete eheals demographic questions health literacy scale using winsteps spss unidimensionality item fit rating scale item hierarchy person abilityitem match reliability analyzed compared contrasted sample samples found literature results exploratory factor analysis supported unidimensionality samples 90 respondents samples fit model items outright misfitting samples separated three distinct groups conclusions based results eheals reliable consistent measurement tool college sample internetbased sample individuals likely use internet health resource necessary learn know skills versus perceiving critically successfully navigate internet analyses necessary ensure eheals serve standard ehealth literacy measure public health
https://doi.org/10.3390/ijerph14050524
François Beck|Jean-Baptiste Richard|Viêt Nguyen?Thanh|Ilaria Montagni|Isabelle Parizot|Émilie Renahy
Use of the Internet as a Health Information Resource Among French Young Adults: Results From a Nationally Representative Survey
2,014
French National Centre for Scientific Research|Institut National de Prévention et d’Education pour la Santé|Université Paris Cité|Center for Research in Medicine, Science, Health, Mental Health and Society|Sorbonne Paris Cité|Inserm|School for Advanced Studies in the Social Sciences|Institut National de Prévention et d’Education pour la Santé|Institut National de Prévention et d’Education pour la Santé|University of Verona|Inserm|Centre Maurice-Halbwachs|French National Centre for Scientific Research|Inserm|St. Michael's Hospital
background internet one main resources health information especially young adults website content always trustworthy validated little known specific population importance online health searches use impact fundamental assess behaviors attitudes young people looking online healthrelated information level trust information objective objective describe characteristics internet users aged 1530 years use web health information resource trust define context effect use french young adults8217 behavior relation medical consultations methods used french health barometer 2010 nationally representative survey 27653 individuals investigates population health behaviors concerns multivariate logistic regressions performed using subsample 1052 young adults aged 1530 years estimate associations demographics socioeconomic health status 1 use internet search health information 2 impact health behaviors physicianpatient relationship results 2010 485 474977 web users aged 1530 years used internet health purposes use internet health purposes reported informed enough sources 750 377503 stated preferred seeing doctor 741 373503 trust information internet 672 338503 however approximately 80 371474 young online health seekers considered information found online reliable women p60001 people higher sociocultural positions 05 95 ci 0309 04 95 ci 0207 employees manual workers respectively vs individuals executive manager positions likely use internet health purposes subsample women online health seeking likely among child 18 95 ci 1127 experiencing psychological distress 20 95 ci 1040 finally online health seekers aged 1530 years onethird 333 157474 reported changed health behaviors eg frequency medical consultations way taking care one8217s health online searches different factors associated different outcomes change psychological distress poor quality life low income common conclusions internet useful tool spread health information prevention campaigns especially target young adults young adults trust online information consider internet valid source health advice health agencies ensure improvement online health information quality creation healthrelated websites programs dedicated young adults
https://doi.org/10.1080/13607863.2019.1590309
Irene Nabutovsky|A Nachshon|Robert Klempfner|Y Shapiro|Riki Tesler
Digital Cardiac Rehabilitation Programs: The Future of Patient-Centered Medicine
2,020
Ariel University|Sheba Medical Center|Sheba Medical Center|Sheba Medical Center|Tel Aviv University|Ariel University|Ariel University
background low participation rate cardiac rehabilitation programs major reason rehospitalization morbidity mortality homebased cardiac rehabilitation technological means essential component patientcentered approach capable enhancing participation rate rehabilitation programs introduction aim research examine attitudes perceptions behavioral intentions toward remote digital cardiac rehabilitation rdcr respect factors age education smoking exercise habits technological illiteracy mobile phone behavior materials methods crosssectional study 200 adult patients discharged hospital acute coronary syndrome cardiac surgery percutaneous coronary intervention patients answered anonymous technology usage questionnaire examined relationship willingness participate rdcr program various parameters surveys distributed completed july 2017 november 2017 sheba medical center israel results overall 83 participants interested participating rdcr program heart failure greater interest program 100 p 005 whereas patients coronary bypass surgery lesser interest 711 p 005 level attitude toward healthy lifestyle found significant predictor willingness participate rdcr odds ratio 226 p 001 sociodemographic characteristics lifestyle habits technological knowledge age gender found significant predictors interest rdcr conclusions rdcr program acceptable cardiac patients including elderly population could potential solution patients avoid traditional rehabilitation programs medical centers
https://doi.org/10.1111/j.1469-7610.2007.01849.x
Rivka Inzelberg|Edna Schechtman|Amin Abuful|Magda Masarwa|Aziz Mazarib|Rosa Strugatsky|Lindsay A. Farrer|Robert Green|Robert P. Friedland
Education effects on cognitive function in a healthy aged Arab population
2,006
Hillel Yaffe Medical Center|Technion – Israel Institute of Technology|Ben-Gurion University of the Negev|Hillel Yaffe Medical Center|Hillel Yaffe Medical Center|Rebecca Sieff Hospital|Hillel Yaffe Medical Center|Boston University|Boston University|Case Western Reserve University|University School
background minimental state examination mmse validated arabic speaking populations brookdale cognitive screening test bcst developed use low schooling populations investigated influence gender education occupation cognitively normal community sample assessed using arabic translation mmse bcst methods cognitively normal subjects n 266 594 males mean age sd 724 55 years arab community northern israel wadi ara evaluated education categorized levels 1 04 years 2 58 years 3 912 years effects gender education occupation mmse bcst analyzed anova taking age covariate results mean mmse score males 263 41 higher females 236 42 points twoway anova showed significant interaction gender education mmse p 00017 bcst scores p 00002 effect gender mmse bcst significant education level 1 p lt 00001 tests level 2 p lt 005 tests education level 1 mmse bcst scores higher males scores higher females education level 2 effect occupation significant genders conclusion education gender influence performance using arabic translation mmse bcst cognitively normal elderly cognitively normal females 04 years education scored lower males results taken consideration daily use instruments arabic
https://doi.org/10.1111/j.1469-7610.2012.02557.x
Julia A. Cook|Sarah E. Sasor|Sunil S. Tholpady|Arash Momeni|Michael Chu
Hand Surgery Resources Exceed American Health Literacy
2,017
Indiana University – Purdue University Indianapolis|Indiana University – Purdue University Indianapolis|Indiana University – Purdue University Indianapolis|Richard L. Roudebush VA Medical Center|Palo Alto University|Stanford University|Indiana University – Purdue University Indianapolis|Richard L. Roudebush VA Medical Center
background national institutes health american medical association us national library medicine recommend educational material patients written sixthgrade reading level purpose study assess complexity hand surgery information academic plastic orthopedic surgery websites methods online search performed hand surgery patient education materials provided institutions plastic orthopedic surgery training programs readability analyses conducted using fleschkincaid reading ease fleschkincaid grade level simple measure gobbledygook index gunning fog score automated readability index colemanliau index 2tailed z test used compare means results seventysix institutions plastic orthopedic surgery training programs identified 42 educational material available online average readability handrelated information 1192 grade reading level information regarding de quervain tenosynovitis highest grade level plastic surgery procedures 1345 hand arthritis highest grade level orthopedic surgery procedures 1282 ganglion cysts lowest grade level plastic orthopedic surgery 1015 1101 respectively p 12 carpal tunnel release commonly described procedure overall differences text complexity among geographic regions conclusions online patient resources common hand ailments complex average patient understand efforts made provide materials recommended sixthgrade reading level improve patient education improve physicianpatient relationship
https://doi.org/10.1080/07347332.2017.1310167
Stephen A. Rosenberg|David M. Francis|Craig R. Hullett|Zachary S. Morris|Michael Fisher|Jeffrey V. Brower|Kristin A. Bradley|Bethany Anderson|M. Bassetti|Randall J. Kimple
Readability of Online Patient Educational Resources Found on NCI-Designated Cancer Center Web Sites
2,016
University of Wisconsin–Madison|University of Wisconsin–Madison|University of Wisconsin–Madison|University of Wisconsin–Madison|University of Wisconsin–Madison|University of Wisconsin–Madison|University of Wisconsin–Madison|University of Wisconsin Carbone Cancer Center|University of Wisconsin–Madison|University of Wisconsin Carbone Cancer Center|University of Wisconsin–Madison|University of Wisconsin Carbone Cancer Center|University of Wisconsin–Madison|University of Wisconsin Carbone Cancer Center
background nih department health human services recommend online patient information opi written sixth grade level used panel readability analyses assess opi ncidesignated cancer center ncidcc web sites methods cancergov used identify 68 ncidcc web sites collected general opi opi specific breast prostate lung colon cancers text analyzed 10 commonly used readability tests new dalechall readability formula flesch reading ease scale fleschkinaid grade level forcast scale fry readability graph simple measure gobbledygook test gunning frequency gobbledygook index new fog count raygor readability estimate graph colemanliau index tested hypothesis readability ncidcc opi written sixth grade level secondary analyses performed compare readability opi comprehensive noncomprehensive centers region opi produced american cancer society acs results mean 30507 words 40 comprehensive 18 noncomprehensive ncidccs analyzed 7 nonclinical 3 without appropriate opi excluded using composite grade level score mean readability score 1246 ie college level 95 ci 12131279 significantly greater target grade level 6 middleschool p001 difference comprehensive noncomprehensive centers identified regional differences identified 4 10 readability metrics p05 acs opi provides easier language seventh ninth grade level across tests p01 conclusions opi ncidcc web sites complex recommended average patient
https://doi.org/10.1111/j.1475-3588.2007.00474.x
Christopher P. Price|Larry J. Kricka
Improving Healthcare Accessibility through Point-of-Care Technologies
2,007
John Radcliffe Hospital|University of Oxford|National Institute of Biomedical Imaging and Bioengineering
background nih committed improving healthcare quality us set initiatives address problems fragmented nature healthcare provision hypothesis developed testing closer point care delivered may reduce fragmentation care improve outcomes methods national institute biomedical imaging bioengineering nibib nihs national heart lung blood institute national science foundation sponsored workshop improving health care accessibility pointofcare technologies april 2006 workshop assessed clinical needs opportunities pointofcare poc technologies primary care home emergency medical services reviewed minimally invasive noninvasive testing including imaging conventional testing based sensor labonachip technologies emerging needs informatics telehealth healthcare systems engineering considered poc testing context additionally implications evidencebased decisionmaking reviewed particularly related challenges producing reliable evidence undertaking regulation implementing evidence responsibly integrating evidence health policy results many testing procedures considered valuable clinical settings discussed technological solutions proposed meet needs well practical requirements around clinical process change regulation considerations series recommendations formulated development poc technologies based input symposium attendees conclusion nibib developed funding initiative establish pointofcare technologies research network work bridge technologyclinical gap provide partnerships necessary application technologies pressing clinical needs poc testing
https://doi.org/10.1186/1472-698x-4-3
Marilyn A. Prasun|Michael Short|Judy Maynard|Jennifer Roth|Jennifer Bell|Thara Nallamothu
Outcomes of an Inter-Professional Intervention on Medication Adherence Among Heart Failure Patients: A Pilot Study
2,016
Memorial Medical Center|Memorial Medical Center|Memorial Medical Center|Memorial Medical Center|Memorial Medical Center|Memorial Medical Center
background number patients living heart failure hf continues rise many patients hospital discharge faced barriers adhering complex medical treatment regimens adherence evidence based medication treatment critical improving patient outcomes teaching patients strategies manage medications address barriers may reduce avoidable hospital readmission purpose purpose study examine characteristics hospitalized hf patients effectiveness interprofessional educational intervention hf medication adherence 30day readmission method prospective randomized pilot study utilized single clinical site patients randomized either teachback educational group usual care hospital discharge reassessed return visit 510 days retrospective review determine hospital readmission rate descriptive statistics chisquare used examine data results total 48 hf patients seen prior hospital discharge scheduled followup 510 days intervention usual care groups differ statistically baseline measures depression fatigue quality life assessed prior discharge phq9 mean score 93 69 promis fatigue short form mean score 583 93 minnesota living heart failure mean score 473 241 majority patients 953 reported social support 152 scored 6 realmr 277 reported needing assistance read understand medical information using chews health literacy question discharge mean number prescriptions 10 range 420 pill burden reported 13 range 530 595 patients reported keeping written list medications baseline total 34 patients returned follow although intervention usual care hf patients reported taking medications prescribed 375 555 reported missing 12 doses follow significant difference allcause 30day readmission rate 217 25 respectfully conclusion hf patients hospital discharge report depression fatigue compromised quality life addition health literacy low reading levels impact understanding medical treatment recommendations medication adherence complex yet critical ensuring hf success strategies promote medication adherence must identified tailored individual patients recognizing barriers may exist research warranted examine method timing duration patient education
https://doi.org/10.1016/j.hrtlng.2018.12.008
Henry I. Okonta|John B. Ikombele|GA Ogunbanjo
Knowledge, attitude and practice regarding lifestyle modification in type 2 diabetic patients
2,014
University of Limpopo|Primary HealthCare|Primary Health Care|York District Hospital|University of Limpopo|Primary HealthCare|Primary Health Care
background number persons suffering type 2 diabetes mellitus continues rise worldwide causes significant morbidity mortality especially developing world behaviour change adoption healthy lifestyle habits help prevent slow complications type 2 diabetes mellitus however knowledge practice healthy lifestyles many diabetic patients inadequate aim study sought establish knowledge attitude practice regarding lifestyle modification amongst type 2 diabetic patients setting diabetic clinic mamelodi hospital pretoria gauteng province south africa methods crosssectional study done using structured questionnaire amongst 217 type 2 diabetic patients seen diabetic clinic mamelodi hospital baseline characteristics participants obtained knowledge attitude practice regarding lifestyle modification assessed results 217 participants 154 71 obese 15 7 morbidly obese majority respondents 922 poor knowledge benefits exercise weight loss healthy diet interesting majority 977 demonstrated bad practices relation lifestyle modifications although fourfifths 843 positive attitude toward healthy lifestyle modifications conclusion despite positive attitudes respondents toward healthy lifestyle modifications knowledge practice regarding lifestyle modifications amongst type 2 diabetes mellitus participants seen mamelodi hospital generally poor
https://doi.org/10.1080/13682820410001686004
Neha Jain|Hemangi K. Choudhari
A prospective study of acceptability, safety and demographic profile for post placental intrauterine contraceptive device
2,020
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background objective study study acceptance rate safety demographic profile complication post placental intrauterine contraceptive device ppiucdmethods study prospective interventional study held department obstetrics gynaecology authors tertiary care centre number participants 280 counselling family planning done antenatal opd indoor ward total duration study 18 months selection participants done based selection criteria participants accepted postplacental intrauterine contraceptive device method contraception followed 6 weeks postnatal complication related ppiucdresults authors noted acceptance rate ppiucd 136 main reason acceptance long acting reversible nature main reason denial want contraception immediately present study statistically significant association parity birth order however literacy urban locality employment positive influence acceptance good technique insertion used expulsion rate also reduce seen present study ie expulsion rate 26 conclusions post placental intrauterine contraceptive device one best long acting reversible contraceptive methods affect breast milk production woman need extra visit clinic contraception ensured adequate contraception getting discharge hospital ppiucd provide adequate birth spacing two children reduces maternal child morbidity
https://doi.org/10.1071/sh06026
Masoumeh Sadeghipour Roudsari|Ahmad Ali Akbari Kamrani|Mahshid Foroughan|Farahnaz Mohammadi|Masoud Karimlou
Psychometric Properties of the Persian Version of the Clock Drawing Test (CDT) Among the Aged People in Iran
2,018
University of Social Welfare and Rehabilitation Sciences|University of Social Welfare and Rehabilitation Sciences|University of Social Welfare and Rehabilitation Sciences|University of Social Welfare and Rehabilitation Sciences|Islamic Azad University Medical Branch of Tehran
background population old people iran increasing well prevalence dementia early detection intervention proper dementia screening tools needed clock drawing test cdt quick inexpensive well accepted test screening cognitive problems objectives aim study evaluate psychometric properties cdt among aged people iran methods clock drawing test using shulmans modified scoring method performed 74 aged members irans alzheimer association services tehran may september 2012 convenient sampling method used participants following characteristics selected age 60 years able communicate 4 years formal education using diagnostic criteria dementia diagnostic statistical manual mental disorder 4th edition dsmiv gold standard difference cdt mean scores dementia nondementia patients evaluated receiver operating characteristics roc curve used determine optimal cut points cdt using 20th version spss results mean age participants 72 795 years significant difference scores participants without dementia p 0001 best cut point 34 90 sensitivity 73 specificity area roc curve 0896 p 0001 indicates proper accuracy test conclusions clock drawing test acceptable psychometric properties among aged people iran persian version cdt applied screening monitoring cognitive problems population studies required assess impact literacy level different scoring systems accuracy results obtained cdt
https://doi.org/10.3389/fpubh.2021.720514
Jennifer Manne?Goehler|Livia Montana|Francesc Xavier Gómez?Olivé|Julia Rohr|Guy Harling|Ryan G. Wagner|Alisha Wade|Chodziwadziwa Kabudula|Pascal Geldsetzer|Kathleen Kahn|Stephen Tollman|Lisa F. Berkman|Till Bärnighausen|Thomas A. Gaziano
The ART Advantage: Health Care Utilization for Diabetes and Hypertension in Rural South Africa
2,017
Beth Israel Deaconess Medical Center|Harvard University|Harvard Global Health Institute|Harvard University Press|Harvard University Press|University of the Witwatersrand|Harvard University Press|Harvard Global Health Institute|Africa Health Research Institute|University College London|University of the Witwatersrand|University of the Witwatersrand|Indepth Network|University of the Witwatersrand|Indepth Network|Harvard Global Health Institute|University of the Witwatersrand|Indepth Network|University of the Witwatersrand|Indepth Network|Harvard University Press|University of the Witwatersrand|Harvard Global Health Institute|Africa Health Research Institute|Heidelberg University|Brigham and Women's Hospital|Harvard University
background prevalence diabetes hypertension increased hivpositive populations limited understanding role antiretroviral therapy art programs play delivery services conditions aim study assess relationship art use utilization health care services diabetes hypertension methods health aging africa longitudinal study indepth community south africa cohort 5059 adults baseline study collects biomarkerbased data hiv art diabetes hypertension selfreported data health care utilization calculated differences care utilization diabetes hypertension hiv art status used multivariable logistic regressions estimate relationship art use utilization services conditions controlling age sex body mass index education household wealth quintile results mean age body mass index hypertension diabetes prevalence lower hivpositive population p lt 0001 multivariable logistic regression showed art use significantly associated greater odds blood pressure measurement adjusted odds ratio aor 127 95 confidence interval ci 104 155 blood sugar measurement aor 126 95 ci 105 151 counseling regarding exercise aor 157 95 ci 111 222 awareness hypertension diagnosis aor 152 95 ci 112 205 treatment hypertension aor 163 95 ci 121 219 conclusions hivpositive patients use art likely received health care services diabetes hypertension apparent art advantage suggests art programs may vehicle strengthening health systems chronic care
https://doi.org/10.4103/1947-2714.93376
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background prevalence diabetes increasing globally numbers include women gestational diabetes mellitus also based demographic projections made united nations population division year 2025 issued estimates adults diabetes countries reported women diabetes men may anticipate considerable increase burden gdm especially less prosperous countries gestational diabetes mellitus gdm defined degree glucose intolerance onset first recognition pregnancy worldwide prevalence gdm varies 14 14 prevalence gestational diabetes mellitus india varies 38 21 different parts country depending geographical locations diagnostic methods used gestational diabetes mellitus found prevalent urban areas rural areaswomen diagnosed gdm increased risk future diabetes predominantly type 2 dm children
https://doi.org/10.3389/fpsyt.2018.00181
Yolanda Hendley|Liping Zhao|Dorothy Coverson|Rebecca Din?Dzietham|Alanna A. Morris|Arshed A. Quyyumi|Gary H. Gibbons|Viola Vaccarino
Differences in Weight Perception Among Blacks and Whites
2,011
Emory University|Emory University|Morehouse School of Medicine|Morehouse School of Medicine|Emory University|Emory University|Morehouse School of Medicine|Emory University
background prevalence obesity higher blacks whites especially black women known associated major cardiovascular disease risk factors also prevalent blacks whites weight perception may contribute differences blacks likely underestimate weight explored race gender differences underestimation weight using body mass index bmi waist circumference wc adjusting cardiovascular risk factors methods results studied 219 white 240 black women men part metahealth study perceived weight assessed phone categorized three categories underweight normal weight overweight obesity height weight wc measured subsequent visit bmi calculated logistic regression used compare likelihood underestimating actual weight category race adjusting sociodemographic lifestyle factors medical history multivariate analysis odds underestimating bmi category greater threefold blacks compared whites 31 95 ci 1948 larger black women black men p001 interaction abdominal adiposity taken account utilizing wc measure weight observed difference weight underestimation remained conclusion data reveal significant misperception weight among blacks particularly black women highest burden obesity multifaceted approach efficient identification social cultural environmental factors give rise obesity tolerance blacks provide potential targets intervention may ameliorate weight misperception prevalence excess weight black population
https://doi.org/10.21037/jhmhp.2017.12.04
Milagros C. Rosal|Barbara C. Olendzki|George Reed|Olga Gumieniak|Jeffrey Scavron|Ira S. Ockene
Diabetes self-management among low-income spanish-speaking patients: A pilot study
2,005
University of Massachusetts Chan Medical School|University of Massachusetts Chan Medical School|University of Massachusetts Chan Medical School|Brigham and Women's Hospital|University of Massachusetts Chan Medical School
background prevalence type 2 diabetes diabetesrelated morbidity mortality higher among lowincome hispanics compared whites however little known effectively promote selfmanagement population purpose objectives first determine feasibility conducting randomized clinical trial innovative selfmanagement intervention improve metabolic control lowincome spanishspeaking individuals type 2 diabetes second obtain preliminary data possible intervention effects methods participants pilot study recruited community health center elder program communitywide database developed community health center collaboration agencies serving community surveying households entire community participants randomly assigned intervention n 15 control n 10 condition assessments conducted baseline 3 months 6 months postrandomization intervention consisted 10 group sessions targeted diabetes knowledge attitudes selfmanagement skills culturally specific literacysensitive strategies intervention used cognitivebehavioral theoretical framework results recruitment rates community health center elder program community registry 48 69 8 respectively completion rates baseline 3month 6month assessments 100 92 92 respectively intervention participant attended average 78 10 sessions group participants showed high adherence intervention activities 93 turned daily logs 80 selfmonitored glucose levels least daily overall group time interaction p 02 indicating group differences glycosylated hemoglobin time estimated glycosylated hemoglobin decrease 3 months intervention group 08 95 confidence intervals 11 05 compared change control group p 02 6 months decrease intervention group remained significant 085 95 confidence intervals 12 05 decrease still significantly different controls p 005 trend toward increased physical activity intervention group compared control group p 11 evidence nonsignificant increase blood glucose selfmonitoring intervention participants control participants adjusting baseline depressive scores oberved significant difference depressive symptoms intervention participants control participants 3month assessment p 02 conclusions lowincome spanishspeaking hispanics receptive participate diabetesrelated research study shows pilottested diabetes selfmanagement program promising warrants conduct randomized clinical trial
https://doi.org/10.1001/archinternmed.2011.276
Arun K Simon|Ashwini Rao|G Rajesh|Ramya Shenoy|M. M. Manohara Pai
Influence of oral health literacy on the oral health status of school teachers in Mangalore, India
2,018
Manipal Academy of Higher Education|Manipal Academy of Higher Education|Manipal Academy of Higher Education|Manipal Academy of Higher Education|Manipal Academy of Higher Education
background problem low oral health literacy ohl often neglected may lead poor oral health outcomes underutilization oral care services objectives aim study determine influence ohl oral health status school teachers mangalore karnataka materials methods crosssectional survey 260 school teachers presently working schools mangalore undertaken details regarding demographics medical dental history oral hygiene practices habits diet history decay promoting potential school teachers obtained using facetoface interview method rapid estimate adult literacy dentistry99 reald99 used assess ohl oral examination conducted following administration questionnaire school campus using oral health assessment form1997 results mean age study population 39 1042 years ohl high school teachers reald99 scores ranging 45 95 mean score 7583 994 positive correlation ohl filled teeth ft r 0195 n 260 p 0002 study found statistically significant difference ohl education f 3256 962 p 0001 frequency brushing t258 2253 p 0025 ft t258 3200 p 0002 conclusions although study indicated high ohl levels among school teachers mangalore karnataka magnitude dental caries population also relatively high healthy periodontium
https://doi.org/10.34172/hpp.2021.21