Authors
stringlengths 1
1.76k
⌀ | Title
stringlengths 4
310
⌀ | Year
float64 0
3.11B
⌀ | Source
stringlengths 1
4.67k
⌀ | Abstract
stringlengths 1
29.9k
⌀ | DOI
stringlengths 13
83
⌀ |
|---|---|---|---|---|---|
Kevin Fiscella|Kathleen Holt
|
Impact of Primary Care Patient Visits on Racial and Ethnic Disparities in Preventive Care in the United States
| 2,007 |
University of Rochester|University of Rochester
|
backgroundthe causes racial ethnic disparities preventive care fully understoodwe examined hypothesis fewer primary care visits minority patients contribute disparitiesmethods analyzed claims medicare beneficiaries 65 older participated medicare current beneficiary survey 1998 2002five preventive services included colorectal cancer testing influenza vaccination lipid screening mammography papanicolaou smear screeningin separate multivariate analyses examined effect minority status selfreport african american race hispanic ethnicity claim past 12 months preventive service successive control number primary care visits patient characteristicsresults final sample included 15962 subjectsin ageadjusted analyses minorities statistically lower rates claims 5 proceduresafter controlling number primary care visits effect minority status slightly attenuated remained statistically significant receipt procedureafter adding low income low educational level supplementary insurance health status year minority status significantly associated colorectal cancer screening odds ratio 079 95 confidence interval ci 067 094 influenza vaccinations 056 95 ci 049 064conclusions frequency primary care visits seems contribute minimally racial ethnic disparities preventive servicesother patient characteristics particularly associated poverty explain much disparities
|
https://doi.org/10.1192/bjp.bp.116.189464
|
Wenhe Lin|Ying Liu
|
Effects of Matching Multiple Memory Strategies with Computer-Assisted Instruction on Students’ Statistics Learning Achievement
| 2,016 |
Fujian Agriculture and Forestry University|College of Tourism|Jiangxi University of Finance and Economics
|
backgroundthe cultivation fundamental statistical literacy key learning area mathematics stage compulsory education emphasis expression communication charts understanding preliminary concepts sampling probability accurate application statistical data real life blueprint thematic instruction effectively achieve research objectives test research hypotheses nonequivalent pretest posttest control group design model utilized experimental researchmaterial methodstotal 208 students fuzhou university sampled 15week experimental instruction 3hr per week total 45 hoursresultsthe research results summarized 1 multiple memory strategies reveal significant effects learning outcomes 2 multiple memory strategies appear remarkable effects learning gains 3 computerassisted instruction presents notable effects learning outcomes 4 computerassisted instruction shows significant effects learning gains 5 matching multiple memory strategies computerassisted instruction could remarkably promote learning outcomes 6 matching multiple memory strategies computerassisted instruction could notably enhance learning gainsconclusionssuggestions proposed help statistics instruction mathematics promote students statistics learning achievement
|
https://doi.org/10.1016/j.cegh.2016.05.002
|
Louisa Peralta|Louise Rowling
|
Implementation of school health literacy in Australia: A systematic review
| 2,017 |
University of Sydney|University of Sydney
|
backgroundthe development adolescent health literacy schoolbased programmes attracting international interest however exist competing definitions models understandings programmes conceptualised implemented evaluated australian curriculum documents relating health physical education currently focus health literacy terms learning outcomes subject matter objectivethis paper presents evidenceinformed framework planning implementing evaluating health literacy schoolbased programmes determining whether current australian schoolbased health literacy programmes meet guidelines methodsa systematic review undertaken pubmed medline psycinfo eric sciencedirect education databases included articles published online print 2010 february 2017 set limits earliest publication date ensure included programmes designed align health physical education component australian curriculum focused health literacy outcomes resultsthree studies identified pool 623 records two three studies mental health literacy primary outcome third study qualitatively assessed teachers students perceptions health literacy learning whether might impact health behaviour one studies met evidenceinformed criteria conclusionrecommendations made future schoolbased adolescent health literacy programmes producing evidenceinformed framework enhancing adolescent health literacy schoolbased programmes may enhance future planning implementation assessment adolescent health literacy australian secondary schools
|
https://doi.org/10.1016/j.ejvs.2018.04.016
|
Thijs van Houwelingen|Roelof Ettema|Michelangelo GEF Antonietti|H.S.M. Kort
|
Understanding Older People’s Readiness for Receiving Telehealth: Mixed-Method Study
| 2,018 |
University of Applied Sciences Utrecht|University of Applied Sciences Utrecht|University Medical Center Utrecht|University of Applied Sciences Utrecht|University of Applied Sciences Utrecht|Eindhoven University of Technology
|
backgroundthe dutch ministry health formulated ambitious goals concerning use telehealth leading subsequent changes compared current health care situation 93 care delivered facetofacesince care delivered older people prospect telehealth raises question whether population ready new way receiving careto study created theoretical framework consisting 6 factors associated older peoples intention use technology objectivethe objective study understand communitydwelling older peoples readiness receiving telehealth studying intention use videoconferencing capacities using digital technology daily life indicatorsmethods mixedmethod triangulation design usedfirst crosssectional survey study performed investigate older peoples intention use videoconferencing testing theoretical framework multilevel path analysis phase 1second deeper understanding older peoples actual use digital technology qualitative observations older people executing technological tasks eg computer cell phone conducted homes phase 2 resultsin phase 1 total 256 people aged 65 years older participated survey study 500male median age 70 years q1q3 6776using significance level 05we found seven significant associations regarding older peoples perception videoconferencingolder peoples 1 intention use videoconferencing predicted performance expectancy odds ratio 126 95 ci 113139effort expectancy 123 95 ci 107139and perceived privacy security 130 95 ci 1171432 performance expectancy predicted effort expectancy 138 95 ci 124152and 3 effort expectancy predicted selfefficacy 155 95 ci 142168in phase 2 total 6 men 9 women aged 65 87 years participated qualitative observation studyof primary themes 5 themes identified could provide greater understanding older peoples capacities incapacities using digital technology 1 selfefficacy digital literacy 2 obstacles using technology 3 prior experience frequency use 4 sources support facilitating conditions 5 performance expectancythese 5 themes recurred 15 observationsconclusions performance expectancy effort expectancy perceived privacy security direct predictors older peoples intention use videoconferencingselfefficacy appeared play role older peoples intention use well
|
https://doi.org/10.1093/pubmed/fdp049
|
Pietro Del Giudice|Giulia Bravo|Marco Poletto|Anna De Odorico|Alessandro Conte|Laura Brunelli|Luca Arnoldo|Silvio Brusaferro
|
Correlation Between eHealth Literacy and Health Literacy Using the eHealth Literacy Scale and Real-Life Experiences in the Health Sector as a Proxy Measure of Functional Health Literacy: Cross-Sectional Web-Based Survey
| 2,018 |
University of Udine|University of Udine|University of Udine|University of Udine|University of Udine|University of Udine|University of Udine|University of Udine
|
backgroundthe ehealth literacy scale eheals tool selfassessment perceived comfort skills using internet source healthrelated informationalthough evidence exists reliability construct structural validity scale lack evidence relation proposed norman skinner theoretical lily model ehealth literacy particular clear whether higher level health literacy positively influence electronic health ehealth literacy measured ehealsobjective study aim assess whether reallife experiences studying working health field proxy higher functional health literacy correlate selfreferred ehealth literacy measured ehealsmethods webbased survey conducted among adults living northeast italy using italian version eheals itehealsin order able measure effect higher functional health literacy ehealth literacy divided sample two groups respectively characterized studying working experience health sector lack thereofmean differences eheals calculated using test effect size evaluated using cohen dto ensure validity iteheals evaluated psychometric properties internal consistency dimensionality construct validity evaluating correlation respondents age gender educational attainment selfrated health use internet healthrelated purposes working statusresults total 868 respondents completed iteheals included analysis 259 working studying experience health fieldmean sd eheals total score 282 62 whole sample statistically significant differences p001 two groups higher health literate group scoring significantly better 319 59 vs 267 56 respectively standardized mean difference cohen 09interestingly found weak yet significant correlation ehealth literacy respondent characteristics higher health literate group measured positive spearman correlation coefficients age 011 p001 educational attainment 019 p002 selfrated health 014 p024also line current literature correlation eheals score frequency internet use healthrelated purposes significant groups 032 p001 015 p001 higher lower health literacy group respectivelyin study could find difference related gender significant difference working status present considering sample whole p03 conclusionsour study demonstrates sizeable effect higher levels functional health literacy eheals score corroborating initially proposed norman skinner lily model ehealth literacy
|
https://doi.org/10.1053/j.ajkd.2012.10.009
|
Gül Seçkin|Dale Yeatts|Susan M. Hughes|Cassie Hudson|Valarie Bell
|
Being an Informed Consumer of Health Information and Assessment of Electronic Health Literacy in a National Sample of Internet Users: Validity and Reliability of the e-HLS Instrument
| 2,016 |
University of North Texas|University of North Texas|University of North Texas|University of North Texas|Texas Woman's University
|
backgroundthe internet capacity provide information transcends time space barriers continues transform people find apply information liveswith current explosion electronic sources health information including thousands websites hundreds mobile phone health apps electronic health literacy gaining increasing prominence health medical researchan important dimension electronic health literacy ability appraise quality information facilitate everyday health care decisionshealth information seekers explore care options gathering information health websites blogs webbased forums social networking websites advertisements despite fact information quality internet varies greatlynonetheless research lagged behind establishing multidimensional instruments part due evolving construct health literacy objectivethe purpose study examine psychometric properties new electronic health literacy ehealth literacy measure national sample internet users specific attention older usersour paper motivated fact ehealth literacy underinvestigated area inquirymethods sample drawn panel 55000 participants maintained knowledge networks largest national probabilitybased research panel webbased surveyswe examined factor structure 19item electronic health literacy scale ehls exploratory factor analysis efa confirmatory factor analysis internal consistency reliability construct validity sample adults n710 subsample older adults n194the amos graphics program 210 used construct measurement model linking latent factors obtained efa 19 indicators determine whether factor structure achieved good fit entire sample subsample age 60 yearslinear regression analyses performed separate models examine 1 construct validity ehls 2 association respondents demographic characteristics health variables resultsthe efa produced 3factor solution communication 2 items trust 4 items action 13 itemsthe 3factor structure ehls found invariant subsamplefit indices obtained follows full sample 2 710698547df131 p001 comparative fit index cfi094normed fit index nfi092root mean squared error approximation rmsea008and older subsample age 60 years 2 194275744df131 p001 cfi095nfi090rmsea008 conclusionsthe analyses supported ehls validity internal reliability full sample subsamplethe overwhelming majority respondents reported great deal confidence ability appraise quality information obtained internet yet less half reported performing quality checks contained ehls
|
https://doi.org/10.3402/meo.v16i0.7133
|
Belinda M. Reininger|Laurel Person Mecca|Kendra M. Stine|Kevan Schultz|Luke Ling|David Halpern
|
A Type 2 Diabetes Prevention Website for African Americans, Caucasians, and Mexican Americans: Formative Evaluation
| 2,013 |
Brownsville Public Library|University of Pittsburgh|Brownsville Public Library|University of Pittsburgh|University of Pittsburgh Medical Center|University of Pittsburgh
|
backgroundthe majority americans access internet thereby expanding prospects webbased healthrelated education interventionhowever remains digital divide among lower income education among spanishspeaking populations united statesadditional concerns low ehealth literacy rate among populations interest internetdelivered interventions componentsgiven factors combined prevalence type 2 diabetes among low socioeconomic status spanishspeaking americans strides need taken reach populations online tools diabetes prevention management accessible efficaciousobjective using formative evaluation ehealth diabetes prevention control website tested extent african americans caucasians mexican americans risk type 2 diabetes gained knowledge intended modify dietary intake physical activity subsequent viewing websitewe also examined general internet use patterns related type 2 diabetesmethods mixed methods approach undertakenthe diabetes prevention control website provided educational behavioral change information english spanishfor study eligible participants 1 completed prequantitative survey 2 interacted website 3 completed qualitative interview 4 completed postquantitative surveyresults finding significant differences posttest diabetes knowledge scores p001 regression analysis controlling pretest score health literacy ethnicity transtheoretical model stage exercise fruit vegetable consumption internet literacy conductedinternet literacy score p04 fruit vegetable consumption stage p001 significantly associated posttest scores indicating precontemplation stage low internet literacy scores less likely show improved diabetes knowledge scoreswe found significant difference posttest intention eat healthy diet day next 2 months controlling pretest score health literacy ethnicity transtheoretical model stage fruit vegetable consumption internet literacythose action stage transtheoretical model exercise
|
https://doi.org/10.1177/2047487314543074
|
Emad Eldin Munsour|Ahmed Awaisu|Mohamed Azmi Hassali|Sara Darwish|Einas Abdoun
|
Readability and Comprehensibility of Patient Information Leaflets for Antidiabetic Medications in Qatar
| 2,017 |
Universiti Sains Malaysia|Qatar University|Universiti Sains Malaysia|Hamad Medical Corporation|Hamad General Hospital|Hamad Medical Corporation|Hamad General Hospital
|
backgroundthe readability comprehensibility patient information leaflets pils provided antidiabetic medications questionable standards issue negatively affects adherence drug therapy especially patients limited literacy skills objective evaluate readability comprehensibility pils supplied medications used treatment type 2 diabetes mellitus qatar methods pils antidiabetic medications qatar evaluated using flesch reading ease fre score readability fleschkincaid grade level gunningfog index smog grading used estimate comprehensibility pils terms school grade levels results total 45 pils evaluated 32 711 pils brandname products 13 289 generics nine 20 pils english 8 178 english arabic french 28 622 english arabic mean fre score 3771 1585 readable pil fre score 62 mean scores comprehensibility evaluations 1096 267 1502 252 1141 16 fleschkincaid grade level gunningfog index smog grading respectively commonly used antidiabetic medication metformin 13729 5529 pils mean number words conclusion 22 pils acceptable readability scores pils could comprehended least 11th grade student exceeds recommended grade level healthrelated materials approximately 20 pils english readable patients
|
https://doi.org/10.1093/annonc/mdw224
|
Runsen Zhuang|Yueying Xiang|Ting Han|Guo-An Yang|Yuan Zhang
|
Cell phone–based health education messaging improves health literacy
| 2,016 |
Southern Medical University|Shenzhen University Health Science Center|Southern Medical University|181st Hospital of Chinese People's Liberation Army|Shenzhen University Health Science Center|Shenzhen University Health Science Center|Shenzhen University Health Science Center
|
backgroundthe ubiquity cell phones allow short message service sms provides new innovative opportunities disease prevention health educationobjective explore use cell phonebased health education sms improve health literacy community residents chinamethods multistage random sampling method used select representative study communities participants 18 years oldintervention participants sent health education smss week 1 year controls sent conventional basic health education measureshealth literacy levels residents intervention evaluated intervention control groupsresults public health literacy scores increased 15 points 618 633 sms intervention 1 year p001 increase greater males females 201 vs 103p001 shenzhen local residents nonpermanent residents 256 vs 114p001the frequency high health literacy scores greater intervention control group 2203 3093 vs 2207 2082with health literacy costeffective index costeffectiveness per intervention 054conclusion sms may useful tool improving health literacy
|
https://doi.org/10.1016/s0140-6736(23)00878-4
|
Simeon Yates|Eleanor Lockley
|
Social Media and Social Class
| 2,018 |
University of Liverpool|Sheffield Hallam University
|
backgroundthis article explores relationship social class social media use draws work pierre bourdieu examining class terms social economic cultural capital article starts prior finding predominantly use social media formed higher proportion internet users lower socioeconomic groups data article draws data two nationally representative uk surveys ofcom office communications media literacy survey n 1800 per annum department digital culture media sports taking part survey n 10000 per annum methods following yates kirby lockley five types internet behavior eight types internet user identified utilizing principal components analysis kmeans clustering internet user types examined measures social economic cultural capital data forms cultural consumption digital media use examined using multiple correspondence analysis findings article concludes forms digital media use correspondence social cultural economic aspects social class status contemporary social systems distinction
|
https://doi.org/10.14260/jemds/2016/1572
|
Danhui Zhang|Luman Liu
|
How Does ICT Use Influence Students’ Achievements in Math and Science Over Time? Evidence from PISA 2000 to 2012
| 2,016 |
Beijing Normal University|Beijing Normal University
|
backgroundthis study aims investigate impacts information communication technology ict use students math science achievements special focus examining trends relationships past decadematerials methodsdata five waves program international student assessment pisa 2000 2012 used threelevel hierarchical linear modelling revealed schoollevel ictrelated variables positive influences learning outcomes national gdp school type school ict investment controlled forresultsthe findings indicated relationships different types ict use math science achievement negative long term students families social economic status held constant addition self confidence internet tasks discovered beneficial math science thus suggestions made develop students confidence conducting ictrelated activitiesconclusionsit noteworthy consistent trends identified math science among 15yearold students findings helpful better understanding ict use affected students learning outcomes longterm view studys overall findings better generalizability particular importance education researchers policy makers
|
https://doi.org/10.1086/649216
|
Wei Bai|Hong Cai|Shou Liu|Huanzhong Liu|Qin Han|Xu Chen|Rui Li|Teris Cheung|Zhaohui Su|Chee H. Ng|Yu Tao Xiang
|
Attitudes toward COVID-19 vaccines in Chinese college students
| 2,021 |
University of Macau|University of Macau|Qinghai University|Chaohu Hospital of Anhui Medical University|Beijing Anding Hospital|Capital Medical University|Beijing Anding Hospital|Capital Medical University|Beijing Anding Hospital|Capital Medical University|Hong Kong Polytechnic University|The University of Texas Health Science Center at Houston|Melbourne Clinic|University of Melbourne|St Vincent's Hospital|University of Macau
|
backgroundvaccination important preventative measure coronavirus disease 19 covid19 pandemicto implement vaccination immunization programs effectively essential investigate public attitudes toward covid19 vaccinesthis study examined attitudes chinese college students toward covid19 vaccines associated factorsmethods crosssectional study conducted college students nationwide december 27 2020 january 18 2021attitudes toward covid19 vaccines acceptance future vaccination programs assessedresults totally 2881 college students participated survey 763 95 ci 748 779 willing accept covid19 vaccine futuremultiple logistic analysis revealed students living urban or140995 ci 1152 1724 p0001 studying healthrelated courses or158195 ci 1291 1935 p0001 likely positive attitude toward covid19 vaccinesin addition worried infected covid19 much vs or1690 95 ci 12122356p0002 heard previously covid19 vaccines or165995 ci 12682170p0001 believed vaccines safe yes vs or3570 95 ci 18256980thought vaccines protect people infected covid19 yes vs or1957 95 ci 12862979p0002 encouraged family friends vaccine yes vs or17745p0001 higher acceptance covid19 vaccinationconclusions high rate acceptance covid19 vaccines found among chinese college studentshowever vaccine uptake may reduced concerns vaccine safety efficacyalleviating concerns enhancing public confidence vaccines crucial future immunization programs covid19 pandemic
|
https://doi.org/10.4054/demres.2013.29.18
|
Shubhada Avachat
|
A cross-sectional study of socio-demographic determinants of recurrent diarrhoea among children under five of rural area of Western Maharashtra,India
| 2,011 |
Pravara Institute of Medical Sciences
|
backgroundabout 2 million episodes diarrhoea occur year indiaof 66 million deaths among children aged 28 days 5 year deaths diarrhoea estimated account 187 millionan average indian child less 5 years age 23 episodes diarrhoeamothers literacy family income feeding practices environmental conditions important determinants common childhood infection like diarrhoeathe present study undertaken study important determinants recurrent diarrhoea among children five rural area western maharashtra india india common illness children less 3 years age fever
|
https://doi.org/10.1016/j.colegn.2019.07.007
|
Meera N. Harhay|Dawei Xie|Xiaoming Zhang|Chi-yuan Hsu|Eric Vittinghoff|Alan S. Go|Stephen M. Sozio|Jacob B. Blumenthal|Stephen L. Seliger|Jing Chen|Rajat Deo|Mirela Dobre|Sanjeev Akkina|Peter P. Reese|James P. Lash|Kristine Yaffe|Manjula Kurella Tamura|Lawrence J. Appel|Harold I. Feldman|Alan S. Go|Jiang He|John W. Kusek|Panduranga S. Rao|Mahboob Rahman
|
Cognitive Impairment in Non–Dialysis-Dependent CKD and the Transition to Dialysis: Findings From the Chronic Renal Insufficiency Cohort (CRIC) Study
| 2,018 |
Drexel University|University of Pennsylvania|University of Pennsylvania|University of California, San Francisco|Kaiser Permanente|University of California, San Francisco|Kaiser Permanente|University of California, San Francisco|Welch Foundation|Johns Hopkins Medicine|Johns Hopkins University|University of Maryland, Baltimore|University of Maryland, Baltimore|Tulane University|University of Pennsylvania|University Hospitals of Cleveland|Case Western Reserve University|Loyola University Medical Center|University of Pennsylvania|University of Illinois at Chicago|University of California, San Francisco|San Francisco VA Medical Center|Geriatric Research Education and Clinical Center|Palo Alto University|Stanford University|Kaiser Permanente|University of California, San Francisco|Tulane University
|
backgroundadvanced chronic kidney disease associated elevated risk cognitive impairment however known whether cognitive impairment associated planning preparation endstage renal diseasestudy designretrospective observational studysetting participants630 adults participating cric chronic renal insufficiency cohort study cognitive assessments latestage ckd defined estimated glomerular filtration rate 20 mlmin173 m2 subsequently initiated maintenance dialysis therapypredictorpredialysis cognitive impairment defined score modified minimental state examination lower previously derived agebased threshold scores covariates included age raceethnicity educational attainment comorbid conditions health literacyoutcomesperitoneal dialysis pd first dialysis modality preemptive permanent access placement venous catheter avoidance dialysis therapy initiation preemptive waitlisting kidney transplantmeasurementsmultivariableadjusted logistic regressionresultspredialysis cognitive impairment present 117 19 participants pd first dialysis modality among 16 participants n 100 75 preemptive access placed n 473 45 avoided using venous catheter dialysis therapy initiation n 279 20 preemptively waitlisted n 126 predialysis cognitive impairment independently associated 78 lower odds pd first dialysis modality adjusted aor 022 95 ci 006074 p 002 42 lower odds venous catheter avoidance dialysis therapy initiation aor 058 95 ci 034098 p 004 predialysis cognitive impairment independently associated preemptive permanent access placement waitlistinglimitationspotential unmeasured confounders single measure cognitive functionconclusionspredialysis cognitive impairment associated lower likelihood pd first dialysis modality venous catheter avoidance dialysis therapy initiation future studies may consider addressing cognitive function testing strategies improve patient transitions dialysis therapy advanced chronic kidney disease associated elevated risk cognitive impairment however known whether cognitive impairment associated planning preparation endstage renal disease retrospective observational study 630 adults participating cric chronic renal insufficiency cohort study cognitive assessments latestage ckd defined estimated glomerular filtration rate 20 mlmin173 m2 subsequently initiated maintenance dialysis therapy predialysis cognitive impairment defined score modified minimental state examination lower previously derived agebased threshold scores covariates included age raceethnicity educational attainment comorbid conditions health literacy peritoneal dialysis pd first dialysis modality preemptive permanent access placement venous catheter avoidance dialysis therapy initiation preemptive waitlisting kidney transplant multivariableadjusted logistic regression predialysis cognitive impairment present 117 19 participants pd first dialysis modality among 16 participants n 100 75 preemptive access placed n 473 45 avoided using venous catheter dialysis therapy initiation n 279 20 preemptively waitlisted n 126 predialysis cognitive impairment independently associated 78 lower odds pd first dialysis modality adjusted aor 022 95 ci 006074 p 002 42 lower odds venous catheter avoidance dialysis therapy initiation aor 058 95 ci 034098 p 004 predialysis cognitive impairment independently associated preemptive permanent access placement waitlisting potential unmeasured confounders single measure cognitive function predialysis cognitive impairment associated lower likelihood pd first dialysis modality venous catheter avoidance dialysis therapy initiation future studies may consider addressing cognitive function testing strategies improve patient transitions dialysis therapy
|
https://doi.org/10.1093/annonc/mdu182
|
Lynn M. Grattan|Sparkle M. Roberts|William T. Mahan|Patrick K. McLaughlin|W. Steven Otwell|J. Glenn Morris
|
The Early Psychological Impacts of the Deepwater Horizon Oil Spill on Florida and Alabama Communities
| 2,011 |
University of Maryland, Baltimore|University of Maryland, Baltimore|Florida Sea Grant|University of Florida|University of Maryland, Baltimore|Florida Sea Grant|University of Florida|University of Florida
|
backgroundalthough public concern focused environmental impact deepwater horizon oil spill public health impact broad range coastal communities minimally knownobjectivewe sought determine acute level distress depression anxiety mechanisms adjustment coping resilience perceived risk community indirectly impacted oil spill identify extent economic loss may explain factorsmethodsusing communitybased participatory model performed standardized assessments psychological distress mood anxiety coping resilience neurocognition perceived risk residents fishing communities indirectly impacted n 71 franklin county florida directly exposed n 23 baldwin county alabama coastal oil also compared findings participants reported income stability n 47 versus spillrelated income loss n 47resultswe found significant differences community groups terms psychological distress adjustment neurocognition environmental worry residents communities displayed clinically significant depression anxiety relative stable incomes participants spillrelated income loss significantly worse scores tensionanxiety depression fatigue confusion total mood disturbance scales higher rates depression less resilient likely use behavioral disengagement coping strategyconclusionscurrent estimates human health impacts associated oil spill may underestimate psychological impact gulf coast communities experience direct exposure oil income loss spill may greater psychological health impact presence oil immediately adjacent shoreline
|
https://doi.org/10.3402/ejpt.v7.28057
|
Sasha Khomenko|Marta Cirach|Evelise Pereira Barboza|Natalie Mueller|Jose Barrera?Gómez|David Rojas-Rueda|Kees de Hoogh|Gerard Hoek|Mark Nieuwenhuijsen
|
Premature mortality due to air pollution in European cities: a health impact assessment
| 2,021 |
Pompeu Fabra University|Barcelona Institute for Global Health|Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública|Pompeu Fabra University|Barcelona Institute for Global Health|Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública|Pompeu Fabra University|Barcelona Institute for Global Health|Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública|Pompeu Fabra University|Barcelona Institute for Global Health|Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública|Pompeu Fabra University|Barcelona Institute for Global Health|Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública|Colorado State University|University of Basel|Swiss Tropical and Public Health Institute|Utrecht University|Pompeu Fabra University|Barcelona Institute for Global Health|Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública
|
backgroundambient air pollution major environmental cause morbidity mortality worldwide cities generally hotspots air pollution disease however exact extent health effects air pollution city level still largely unknown aimed estimate proportion annual preventable deaths due air pollution almost 1000 cities europemethodswe quantitative health impact assessment year 2015 estimate effect air pollution exposure pm25 no2 naturalcause mortality adult residents aged 20 years 969 cities 47 greater cities europe retrieved cities greater cities urban audit 2018 dataset analysis 250 grid cell level 2015 data based global human settlement layer residential population estimated annual premature mortality burden preventable recommended values ie 10 gm3 pm25 40 gm3 no2 achieved air pollution concentrations reduced lowest values measured 2015 european cities ie 37 gm3 pm25 35 gm3 no2 clustered ranked cities basis population agestandardised mortality burden associated air pollution exposure addition several uncertainty sensitivity analyses test robustness estimatesfindingscompliance air pollution guidelines could prevent 51 213 95 ci 34 03668 682 deaths per year pm25 exposure 900 02476 deaths per year no2 exposure reduction air pollution lowest measured concentrations could prevent 124 729 83 332166 535 deaths per year pm25 exposure 79 435 0215 165 deaths per year no2 exposure great variability preventable mortality burden observed city ranging 0 202 deaths per 100 000 population pm25 0 73 deaths no2 per 100 000 population lowest measured concentrations considered highest pm25 mortality burden estimated cities po valley northern italy poland czech republic highest no2 mortality burden estimated large cities capital cities western southern europe sensitivity analyses showed results particularly sensitive choice exposure response function less choice baseline mortality values exposure assessment methodinterpretationa considerable proportion premature deaths european cities could avoided annually lowering air pollution concentrations particularly guidelines mortality burden varied considerably european cities indicating policy actions urgently needed reduce air pollution achieve sustainable liveable healthy communities current guidelines revised air pollution concentrations reduced achieve greater protection health citiesfundingspanish ministry science innovation internal isglobal fund
|
https://doi.org/10.1371/journal.pone.0245007
|
Molebogeng X Rangaka|Robert J. Wilkinson|Andrew Boulle|Judith R. Glynn|Katherine Fielding|Gilles Van Cutsem|Katalin A. Wilkinson|René Goliath|Shaheed Mathee|Eric Goemaere|Gary Maartens
|
Isoniazid plus antiretroviral therapy to prevent tuberculosis: a randomised double-blind, placebo-controlled trial
| 2,014 |
London School of Hygiene & Tropical Medicine|University of Cape Town|Wellcome Centre for Infectious Diseases Research in Africa|Imperial College London|Wellcome Centre for Infectious Diseases Research in Africa|University of Cape Town|University of Cape Town|London School of Hygiene & Tropical Medicine|London School of Hygiene & Tropical Medicine|Médecins Sans Frontières|University of Cape Town|Wellcome Centre for Infectious Diseases Research in Africa|University of Cape Town|Wellcome Centre for Infectious Diseases Research in Africa|University of Cape Town|Government of South Africa|Médecins Sans Frontières|University of Cape Town
|
backgroundantiretroviral therapy reduces risk tuberculosis tuberculosis common people hiv people without hiv aimed assess effect isoniazid preventive therapy risk tuberculosis people infected hiv1 concurrently receiving antiretroviral therapymethodsfor pragmatic randomised doubleblind placebocontrolled trial khayelitsha south africa randomly assigned 11 patients receive either isoniazid preventive therapy placebo 12 months could completed 15 months randomisation done random number generator software participants physicians pharmacy staff masked group assignment primary endpoint time development incident tuberculosis definite probable possible excluded tuberculosis screening sputum culture modified intentiontotreat analysis excluded patients randomly assigned groups withdrew receiving study drug whose baseline sputum culture results suggested prevalent tuberculosis study registered clinicaltrialsgov number nct00463086findings1329 participants randomly assigned receive isoniazid preventive therapy n662 placebo n667 jan 31 2008 sept 31 2011 contributed 3227 personyears followup analysis recorded 95 incident cases tuberculosis 37 isoniazid preventive therapy group 23 per 100 personyears 95 ci 1631 58 placebo group 36 per 100 personyears 2847 hazard ratio hr 063 95 ci 041094 study drug discontinued grade 3 4 raised alanine transaminase concentrations 19 662 individuals isoniazid preventive therapy group ten 667 individuals placebo group risk ratio 19 95 ci 090409 noted evidence effect isoniazid preventive therapy restricted patients positive tuberculin skin test interferon gamma release assay adjusted hr patients negative tests 043 021086 043 020096 positive tests 086 037200 055 026124 respectivelyinterpretationwithout predictive test multivariate algorithm predicts benefit isoniazid preventive therapy recommended patients receiving antiretroviral therapy moderate high incidence areas irrespective tuberculin skin test interferon gamma release assay statusfundingdepartment health south africa wellcome trust mdecins sans frontires european developing countries clinical trials partnership foundation innovation new diagnostics european union hasso plattner institute infectious diseases molecular medicine university cape town
|
https://doi.org/10.1371/journal.pone.0206647
|
Marnie Bell|Karen MacDougall
|
Adapting online learning for Canada's Northern public health workforce
| 2,013 |
Public Health Agency of Canada|Public Health Agency of Canada
|
backgroundcanadas north diverse sparsely populated land inequalities public health issues evident particularly aboriginal people northern public health workforce unique mix professional paraprofessional workers formal public health education 2009 2012 public health agency canada phac collaborated northern advisory group develop implement strategy strengthen public health capacity canadas 3 northern territories access relevant effective continuing education identified key issue challenges include diverse educational cultural backgrounds public health workers geographical isolation variable technological infrastructure across northmethodsphacs skills online program offers internetbased continuing education modules public health professionals partnership northern advisory group phac conducted 3 pilots 2008 2012 assess appropriateness skills online program northernaboriginal public health workers module content delivery modalities adapted pilots adaptations included adding inuit northern public health examples using video teleconference discussions augment online selfstudy componentresultsfindings pilots informative similar previous skills online pilots learners developing countries online learning effective bridging geographical barriers remote locations incorporating content northern aboriginal health issues facilitates engagement learning employer support facilitates recruitment retention learners online program facilitator assets included experience public health professional north flexibility use modified approaches support measure knowledge acquisition application especially first nations inuit metis learnersconclusionsresults demonstrate appropriate adaptations online professional development provide practical accessible means wide range northernaboriginal public health workers acquire core competencies public health
|
https://doi.org/10.1038/pr.2017.82
|
Kimon Divaris|William F. Vann|A. Diane Baker|Jessica Y. Lee
|
Examining the accuracy of caregivers' assessments of young children's oral health status
| 2,012 | null |
backgroundcaregivers perceptions young childrens oral health status ohs strong determinant whether children visit dentist aims quantify correlation caregivers assessments childrens clinically determined restorative treatment needs investigating factors related associationmethodsone hundred eight caregivers assessed childrens ohs answering question selfreported national health nutrition examination survey iii instrument children underwent clinical oral examinations one two study sites carolina oral health literacy project dental schoolbased clinic communitybased health clinic examiners recorded childrens clinical treatment needs using modification caries severity index authors quantified concordance two measures use spearman rank correlation kendall rank correlation whereas assessed differences sociodemographic factors oral health literacy ohl levels using homogeneity 2 test p 2 criterionresultsthe concordance caregivers assessments clinically determined ohs lower younger children 2 years 029 versus 2 years 063 homogeneity p 03 pattern evident community clinic university clinic caregivers age education ohl influence accuracy selfreportsconclusionsfor children younger 2 years caregivers assessments correlated poorly clinical needs routinely underestimatedpractice implicationsthese findings underscore importance preventive dental visits young age early establishment dental home
|
https://doi.org/10.1093/ndt/gfr788
|
Stephen J. Lepore|Randi L. Wolf|Charles E. Basch|Melissa Godfrey|Emma E. McGinty|Celia Shmukler|Ralph Ullman|Nigel Mark Thomas|Sally Weinrich
|
Informed Decision Making About Prostate Cancer Testing in Predominantly Immigrant Black Men: A Randomized Controlled Trial
| 2,012 |
Temple University|Columbia University|Columbia University|Temple University|Johns Hopkins University|1199SEIU Funds|1199SEIU Funds|1199SEIU Funds|Augusta University
|
backgrounddecision support interventions developed help men clarify values make informed decisions prostate cancer testing seldom target highrisk black immigrant men
|
https://doi.org/10.1016/j.amepre.2012.08.018
|
Stephen P. Peters|Craig Jones|Tmirah Haselkorn|David R. Mink|David J. Valacer|Scott T. Weiss
|
Real-world Evaluation of Asthma Control and Treatment (REACT): Findings from a national Web-based survey
| 2,007 |
Wake Forest University|Los Angeles Medical Center|University of Southern California|Ovation Fertility|Brigham and Women's Hospital
|
backgrounddespite health initiatives advancing management asthma evidence suggests many asthmatic subjects uncontrolled disease however prevalence uncontrolled asthma united states known fully characterizedobjectivewe sought assess prevalence morbidity factors associated uncontrolled asthma nationally representative sample patients moderatetosevere asthma using standard asthma medicationsmethodsa webbased survey administered patients diagnoses asthma least 1 year receiving multiple controller medications asthma control test score used stratify respondents controlled uncontrolled cohortsresultsa total 1812 patients assessed 809 45 controlled asthma 1003 55 uncontrolled asthma patients health care coverage received care general practitioner large proportion patients controlled asthma 74 patients uncontrolled asthma 65 reported never receiving asthma action plan inhaled corticosteroid plus longacting agonist common medication regimen patients controlled asthma 60 patients uncontrolled asthma 48 patients patients uncontrolled asthma reported significantly higher rates health care use several comorbidities predictive uncontrolled asthmaconclusionuncontrolled asthma highly prevalent 55 patients using standard asthma medications need improved asthma care patients moderatetosevere asthma including global evaluation asthma control implementation treatment plans asthma control tests addressing comorbid conditionsclinical implicationsimproved asthma care requires broader assessments asthma control including asthmarelated health care medication use comorbidities implementation treatment plans formal asthma control tests despite health initiatives advancing management asthma evidence suggests many asthmatic subjects uncontrolled disease however prevalence uncontrolled asthma united states known fully characterized sought assess prevalence morbidity factors associated uncontrolled asthma nationally representative sample patients moderatetosevere asthma using standard asthma medications webbased survey administered patients diagnoses asthma least 1 year receiving multiple controller medications asthma control test score used stratify respondents controlled uncontrolled cohorts total 1812 patients assessed 809 45 controlled asthma 1003 55 uncontrolled asthma patients health care coverage received care general practitioner large proportion patients controlled asthma 74 patients uncontrolled asthma 65 reported never receiving asthma action plan inhaled corticosteroid plus longacting agonist common medication regimen patients controlled asthma 60 patients uncontrolled asthma 48 patients patients uncontrolled asthma reported significantly higher rates health care use several comorbidities predictive uncontrolled asthma uncontrolled asthma highly prevalent 55 patients using standard asthma medications need improved asthma care patients moderatetosevere asthma including global evaluation asthma control implementation treatment plans asthma control tests addressing comorbid conditions
|
https://doi.org/10.1016/j.idh.2017.07.004
|
Robert J. Magnani|Janet C. Rice|Nancy B. Mock|Ahmed Abdoh|David Mercer|Kadri Tankari
|
The Impact of Primary Health Care Services on Under-Five Mortality in Rural Niger
| 1,996 |
Tulane University|Tulane University|Tulane University|University of Manitoba|Program for Appropriate Technology in Health|Environment and Development Action Third World
|
backgrounddespite large investments basic primary health care subsaharan africa past two decades quantifying contribution national programme efforts reduction infantchild mortality region proven difficult study takes advantage phased implementation national rural health improvement programme niger conveniently timed survey data reassess programme impact underfive mortality 19801985 period
|
https://doi.org/10.1016/s2214-109x(15)00320-4
|
Aaron C. Denson|Amit Mahipal
|
Participation of the Elderly Population in Clinical Trials: Barriers and Solutions
| 2,014 |
University of South Florida|Moffitt Cancer Center
|
backgrounddespite fact cancer disproportionately affects elderly participants clinical cancer trials relatively young misrepresentation greatly affects oncology treatment elderly population 65 years age studies attempted identify problems related discrepancy based age clinical trial participation methodsa literature review performed identify barriers solutions enrollment elderly persons clinical cancer trials resultsphysicianrelated barriers include perception treatment tolerance drug metabolism lack evidence efficacy age bias lack autonomy concerns quality life toxicities accessibility clinical trials logistical financial difficulties common patientrelated barriers trialrelated barriers include eligibility criteria based performance status organ dysfunction presence comorbidities solutions improved communication coordinating logistical challenges may help overcome challenges studies designed geriatric population could modify perception behavior health care professionals improve patient participation clinical trials conclusionsimplementing solutions increased research may help overcome shortfalls elderly enrollment thus allowing effective treatment older patients
|
https://doi.org/10.1016/j.spinee.2018.03.017
|
Elizabeth Fries|Patricia C. Edinboro|Donna K. McClish|Laura Manion|Deborah J. Bowen|Shirley A. A. Beresford|Jennifer S. Ripley
|
Randomized trial of a low-intensity dietary intervention in rural residents
| 2,005 |
Virginia Commonwealth University|Sentara Virginia Beach General Hospital|Fred Hutch Cancer Center|Virginia Commonwealth University|Sentara Virginia Beach General Hospital|Fred Hutch Cancer Center|Virginia Commonwealth University|Sentara Virginia Beach General Hospital|Fred Hutch Cancer Center|Virginia Commonwealth University|Sentara Virginia Beach General Hospital|Fred Hutch Cancer Center|University of Washington|University of Washington|Regent University
|
backgrounddietary behavior specifically lowfat highfiber diet plays role primary prevention chronic diseases including cancerdesigna communitybased randomized trial assess impact lowintensity physicianendorsed selfhelp dietary intervention provided tailored dietary feedback designed promote improved fat fiber behavior rural loweducationlowliteracy partly minority population data collected 1999 2003settingparticipantsa total 754 patients three physician practices rural virginia completed baseline telephone survey assessing dietary psychosocial information randomly assigned intervention control condition followup telephone evaluation based 522 participants 1 month 470 6 months 516 participants 12 monthsinterventiona series tailored feedback followed brief telephone counseling theorybased nutritional education booklets provided staggered delivery homemain outcome measuresdietary fat fiber behavior dietary intentions change selfefficacy dietary change fat fiber knowledgeresultsthe intervention group demonstrated significant improvement dietary fat fiber behaviors intentions change fat fiber intake p 005 1 6 12 monthsconclusionsthe rural physician cancer prevention project provides effective model achieving public healthlevel dietary health behavior changes among rural minority lowliteracyloweducation population dietary behavior specifically lowfat highfiber diet plays role primary prevention chronic diseases including cancer communitybased randomized trial assess impact lowintensity physicianendorsed selfhelp dietary intervention provided tailored dietary feedback designed promote improved fat fiber behavior rural loweducationlowliteracy partly minority population data collected 1999 2003 total 754 patients three physician practices rural virginia completed baseline telephone survey assessing dietary psychosocial information randomly assigned intervention control condition followup telephone evaluation based 522 participants 1 month 470 6 months 516 participants 12 months series tailored feedback followed brief telephone counseling theorybased nutritional education booklets provided staggered delivery home dietary fat fiber behavior dietary intentions change selfefficacy dietary change fat fiber knowledge intervention group demonstrated significant improvement dietary fat fiber behaviors intentions change fat fiber intake p 005 1 6 12 months rural physician cancer prevention project provides effective model achieving public healthlevel dietary health behavior changes among rural minority lowliteracyloweducation population
|
https://doi.org/10.1093/eurpub/ckx028
|
Julie McDonald|Nadia Swami|Breffni Hannon|Christopher Lo|Ashley Pope|A. Oza|Natasha B. Leighl|Monika K. Krzyzanowska|Gary Rodin|Lisa W. Le|Camilla Zimmermann
|
Impact of early palliative care on caregivers of patients with advanced cancer: cluster randomised trial
| 2,017 |
Princess Margaret Cancer Centre|University Health Network|University of Toronto|Princess Margaret Cancer Centre|University Health Network|Princess Margaret Cancer Centre|University Health Network|University of Toronto|Princess Margaret Cancer Centre|University Health Network|University of Toronto|Princess Margaret Cancer Centre|University Health Network|University of Toronto|University of Toronto|University of Toronto|Campbell Institute|University Health Network|University of Toronto|Family Research Institute|Princess Margaret Cancer Centre|Princess Margaret Cancer Centre|University Health Network|Campbell Institute|Family Research Institute|Princess Margaret Cancer Centre|University Health Network|University of Toronto
|
backgroundearly palliative care improves quality life qol satisfaction care patients advanced cancer little known effect caregivers report outcomes caregiver satisfaction care qol trial early palliative carepatients methodstwentyfour medical oncology clinics clusterrandomised stratified tumour site lung gastrointestinal genitourinary breast gynaecological early palliative care team referral standard oncology care palliative care needed caregivers patients advanced cancer clinical prognosis 624 months eastern cooperative oncology group 02 trial arms completed validated measures assessing satisfaction care famcare19 qol sf36v2 health survey caregiver qolcancer cqolc baseline monthly 4 months used multilevel linear randomintercept mixedeffect model test whether improvement intervention group relative control group 3 4 monthsresultsa total 182 caregivers completed baseline measures 94 intervention 88 control 151 caregivers 77 intervention 74 control completed least one followup assessment satisfaction care improved palliative intervention group compared controls 3 months p 0007 4 months p 002 significant improvement intervention group compared controls cqolc 3 months p 092 4 months p 051 physical component summary sf36v2 health survey 3 months p 083 4 months p 020 mental component summary sf36v2 health survey 3 months p 087 4 months p 060conclusionearly palliative care increased satisfaction care caregivers patients advanced cancerclinicaltrialsgov identifiernct01248624
|
https://doi.org/10.1016/s2214-109x(19)30250-5
|
Neil Oldridge|Stefan Höfer|Hannah McGee|Ronán Conroy|Frank Doyle|Hugo Saner
|
The HeartQoL: Part II. Validation of a new core health-related quality of life questionnaire for patients with ischemic heart disease
| 2,012 |
University of Wisconsin–Madison|Aurora St. Luke's Medical Center|Innsbruck Medical University|Royal College of Surgeons in Ireland|Royal College of Surgeons in Ireland|Royal College of Surgeons in Ireland
|
backgroundevaluation healthrelated quality life hrql important improving quality patient care aim study determine psychometric properties heartqol patients ischemic heart disease ihd specifically angina myocardial infarction mi ischemic heart failure
|
https://doi.org/10.14260/jemds/2017/1169
|
Anne M. Libby|Douglas N. Fish|Patrick Hosokawa|Sunny A. Linnebur|Kelli R. Metz|Kavita Nair|Joseph J. Saseen|Joseph P. Vande Griend|Sara P. Vu|J. E. Hirsch
|
Patient-Level Medication Regimen Complexity Across Populations With Chronic Disease
| 2,013 |
University of Colorado Anschutz Medical Campus|University of Montana|University of Montana|University of Colorado Anschutz Medical Campus|University of Colorado Anschutz Medical Campus|University of Montana|University of Colorado Anschutz Medical Campus|University of Montana|University of Colorado Anschutz Medical Campus|University of Montana|University of Colorado Anschutz Medical Campus|University of Montana|University of Colorado Anschutz Medical Campus|University of Montana|University of Colorado Anschutz Medical Campus|University of Montana|University of Colorado Anschutz Medical Campus|University of Montana|University of California, San Diego
|
backgroundexpected treatment effectiveness medications diminished due suboptimal adherence medication nonadherence linked pill burden quantity medications however medication regimens similar quantities medications vary complexity due multiple dosage forms frequency dosing additional usage directions thus simple medication count ignores medication regimen complexity especially pertains patientlevel perspective includes prescription overthecounter medications gap exists study patientlevel medication regimen complexity metric across diseasespecific populationsobjectivethe goal study implement quantitative medication regimen complexity index mrci patient level defined populations chronic disease geriatric depression hiv diabetes mellitus hypertension patientlevel medication regimen complexity included prescribed medications overthecounter medications documented electronic medication listmethodsusing electronic medical records university colorado hospital ambulatory clinics sampled 4 retrospective cohorts adult patients active care 2011 qualifying medical diagnosis prescribed diseasespecific medication samples randomly selected qualifying patients deidentified information coded using mrciresultscohortdefining diseasespecific prescription medications eg antidepressants depressiondefined cohort contributed 20 total patientlevel complexity mrci score mrci score dominated complexity associated prescription medications within diseasespecific cohorts mrci scores differentiated patients highest lowest medication counts comorbidity counts charlson comorbidity index scores example geriatric depression patients highest quartile mean mrci score 41 lowest quartile mean mrci score 13 diseasespecific cohorts high low mrci scores differed cohort mrci ranges example highest quartile mrci scores varied mean mrci score 41 geriatric depression 30 hypertension lowest quartile scores ranged mean mrci score 7 hypertension hiv 13 geriatric depressionconclusionsmrci components dosing frequency prescribed medications outside cohortdefining disease medications contributed patientlevel scores thus chronic disease management programs may want consider medications patients taking examine ways reduce complexity reducing multiple dosing frequencies possible mrci scores differentiated high low patientlevel complexity measures representing possible utility prospective tool identify target patients intervention future work includes simplifying mrci enhancing scores medication risk factors well explicitly linking adherence health services
|
https://doi.org/10.4054/demres.2012.27.23
|
Evan L. Busch|Christopher F. Martin|Darren A. DeWalt|Robert S. Sandler
|
Functional Health Literacy, Chemotherapy Decisions, and Outcomes among a Colorectal Cancer Cohort
| 2,015 |
University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill
|
backgroundfunctional health literacy essential selfmanagement chronic diseases preventive health behaviors patients cancer low level health literacy may greater risk poor care poor outcomes methodswe assessed health literacy using short test functional health literacy adults 347 participants colorectal cancer nested within prospective observational study system health care provider participant characteristics influencing cancer outcomes resultshaving adequate health literacy increased likelihood participants stage 34 disease received chemotherapy odds ratio 329 95 confidence interval 123880 effect cancer stage diagnosis vital status last observation postenrollment followup difference seen health literacy status regarding participant beliefs preferences chemotherapy among stage 34 disease participant roles deciding whether receive chemotherapy conclusionspatients lower levels health literacy less likely receive chemotherapy compared participants higher levels health literacy therefore clear communication related key health care decisions may lead fewer disparities due patients level health literacy
|
https://doi.org/10.7759/cureus.17145
|
null | null | 2,017 |
Anglia Ruskin University|University of Oxford|Anglia Ruskin University|Health Education England|Charité - Universitätsmedizin Berlin|University Hospital Heidelberg|L V Prasad Eye Institute|Massachusetts Eye and Ear Infirmary|Nova Southeastern University|University of KwaZulu-Natal|UNSW Sydney|World Health Organization|UNSW Sydney|National University of Singapore|University of Melbourne|Centre des Sciences du Goût et de l'Alimentation|University of Burgundy|Centre Hospitalier Universitaire Dijon Bourgogne|Université Bourgogne Franche-Comté
|
backgroundglobal regional prevalence estimates blindness vision impairment important development public health policies aimed provide global estimates trends projections global blindness vision impairmentmethodswe systematic review metaanalysis populationbased datasets relevant global vision impairment blindness published 1980 2015 fitted hierarchical models estimate prevalence age country sex 2015 mild visual impairment presenting visual acuity worse 612 618 inclusive moderate severe visual impairment presenting visual acuity worse 618 360 inclusive blindness presenting visual acuity worse 360 functional presbyopia defined presenting near vision worse n6 n8 40 cm bestcorrected distance visual acuity better 612findingsglobally 733 billion people alive 2015 estimated 360 million 80 uncertainty interval ui 129654 blind crude prevalence 048 80 ui 017087 56 female 2166 million 80 ui 9853591 people moderate severe visual impairment 295 80 ui 134489 55 female 1885 million 80 ui 6453502 mild visual impairment 257 80 ui 088477 54 female functional presbyopia affected estimated 10947 million 80 ui 581116865 people aged 35 years older 6667 million 80 ui 36499976 aged 50 years older estimated number blind people increased 176 306 million 80 ui 99573 1990 360 million 80 ui 129654 2015 change attributable three factors namely increase population growth 384 population ageing accounting population growth 346 reduction agespecific prevalence 367 number people moderate severe visual impairment also increased 1599 million 80 ui 6832700 1990 2166 million 80 ui 9853591 2015interpretationthere ongoing reduction agestandardised prevalence blindness visual impairment yet growth ageing worlds population causing substantial increase number people affected observations plus large contribution uncorrected presbyopia highlight need scale vision impairment alleviation efforts levelsfundingbrien holden vision institute
|
https://doi.org/10.1016/j.jaci.2008.08.009
|
Ervin Toçi|Genc Burazeri|Sokol Myftiu|Kristine Sørensen|Helmut Brand
|
Health literacy in a population-based sample of adult men and women in a South Eastern European country
| 2,015 |
Maastricht University|University of Medicine Tirana|Maastricht University|University of Medicine Tirana|Maastricht University|Maastricht University
|
backgroundhealth literacy hl may important determinant health concept largely underresearched albania transitional country western balkans currently undergoing major political socioeconomic changes aimed assess sociodemographic distribution hl transitional south eastern european country aspiring join european union
|
https://doi.org/10.3402/gha.v8.28254
|
Marci K. Campbell|Carol Carr|Brenda M. DeVellis|Boyd R. Switzer|Andrea K. Biddle|M. Ahinee Amamoo|Joan Walsh|Bingqing Zhou|Robert S. Sandler
|
A Randomized Trial of Tailoring and Motivational Interviewing to Promote Fruit and Vegetable Consumption for Cancer Prevention and Control
| 2,009 |
University of North Carolina at Chapel Hill
|
backgroundhealthful dietary patterns including eating fruits vegetables fv avoiding obesity may decrease risk cancer chronic diseases addition promoting health general population cancer diagnosis may provide teachable moment facilitating adoption healthful eating habits leading lower risk chronic disease better overall health
|
https://doi.org/10.1093/inthealth/iht039
|
Marjan W. Attaei|Rasha Khatib|Martin McKee|Scott A. Lear|Gilles R. Dagenais|Ehimario U. Igumbor|Khalid F Alhabib|Manmeet Kaur|Lanthe Kruger|Koon Teo|Fernando Lanas|Khalid Yusoff|Aytekin O?uz|Rajeev Gupta|Afzalhussein Yusufali|Ahmad Bahonar|Raman Kutty|Annika Rosengren|Viswanathan Mohan|Álvaro Avezum|Rita Yusuf|Andrzej Szuba|Sumathy Rangarajan|Clara K Chow|Salim Yusuf|Salim Yusuf|Sumathy Rangarajan|Koon Teo|Clara K Chow|Martin O’Donnell|Andrew Mente|Darryl P. Leong|Andrew Smyth|Philip Joseph|Shofiqul Islam|M Zhang|Weihong Hu|Chinthanie Ramasundarahettige|Gary Wong|Lovely Dayal|Amparo Casanova|Mahshid Dehghan|Gregory D. Lewis|Antonio Aliberti|Álvaro Reyes|Ahmed A. Zaki|Basil S. Lewis|B Zhang|D Agapay|Danielle M. Hari|E Milazzo|E Ramezani|F Hussain|F Shifaly|I. Patrick Kay|Julija Rimac|John G. Swallow|L Heldman|Maha Mushtaha|Maha Mushtaha|Mark Trottier|N Aoucheva|N Kandy|Pam Mackie|Rubén Solano|Siu Lim Chin|S Ramacham|Sadequa Shahrook|Sylvie Trottier|T Tongana|W Elsheikh|J Lindeman|Matt J. McQueen|Kellie Hall|Judy Keys|X Wang|J Keneth|Anitha Devanath|Rafael D??az|Andrés Orlandini|B Linetsky|S Toscanelli|Germana Casaccia|JM Maini Cuneo|Omar Rahman|Rita Yusuf|AK Azad|Khondkar Ayaz Rabbani|HM Cherry|Adnan Mannan|I Hassan|AT Talukdar|RB Tooheen|MU Khan|Mariz Sintaha|Tarzia Choudhury|Md Rabiul Haque|S Parvin|Álvaro Avezum|GB Oliveira
|
Availability and affordability of blood pressure-lowering medicines and the effect on blood pressure control in high-income, middle-income, and low-income countries: an analysis of the PURE study data
| 2,017 |
McMaster University|Loyola University Medical Center|London School of Hygiene & Tropical Medicine|Simon Fraser University|Université Laval|University of the Western Cape|King Saud University|Post Graduate Institute of Medical Education and Research|North-West University|Population Health Research Institute|Hamilton Health Sciences|McMaster University|Universidad de La Frontera|Universiti Teknologi MARA|UCSI University|Istanbul Medeniyet University|Eternal Hospital|Dubai Health Authority|Isfahan University of Medical Sciences|Health Action by People|University of Gothenburg|Madras Diabetes Research Foundation|Instituto Dante Pazzanese de Cardiologia|Independent University|Wroclaw Medical University|Population Health Research Institute|Hamilton Health Sciences|McMaster University|University of Sydney|Population Health Research Institute|Hamilton Health Sciences|McMaster University|McMaster University|Population Health Research Institute|Hamilton Health Sciences|Population Health Research Institute|Hamilton Health Sciences|McMaster University|Population Health Research Institute|Hamilton Health Sciences|McMaster University|University of Sydney|Population Health Research Institute|Hamilton Health Sciences|McMaster University|Population Health Research Institute|Hamilton Health Sciences|McMaster University|Dubai Health Authority|University of Sydney|Population Health Research Institute|Hamilton Health Sciences|McMaster University|Population Health Research Institute|Hamilton Health Sciences|McMaster University|Wroclaw Medical University|Wroclaw Medical University|Population Health Research Institute|Hamilton Health Sciences|McMaster University|Population Health Research Institute|Hamilton Health Sciences|McMaster University|Population Health Research Institute|Hamilton Health Sciences|McMaster University|Population Health Research Institute|Hamilton Health Sciences|McMaster University|Population Health Research Institute|Hamilton Health Sciences|McMaster University|Population Health Research Institute|Hamilton Health Sciences|McMaster University|Madras Diabetes Research Foundation|Population Health Research Institute|Hamilton Health Sciences|McMaster University|University of Sydney|Population Health Research Institute|Hamilton Health Sciences|McMaster University|Population Health Research Institute|Hamilton Health Sciences|McMaster University|University of Gothenburg|Population Health Research Institute|Hamilton Health Sciences|McMaster University|Population Health Research Institute|Hamilton Health Sciences|McMaster University|Wroclaw Medical University|Population Health Research Institute|Hamilton Health Sciences|McMaster University|Loyola University Medical Center|University of Gothenburg|Isfahan University of Medical Sciences|Population Health Research Institute|McMaster University|Hamilton Health Sciences|Instituto Dante Pazzanese de Cardiologia
|
backgroundhypertension considered important risk factor cardiovascular diseases control poor worldwide aimed assess availability affordability blood pressurelowering medicines association use medicines blood pressure control countries varying levels economic developmentmethodswe analysed availability costs affordability blood pressurelowering medicines data recorded 626 communities 20 countries participating prospective urban rural epidemiological pure study medicines considered available present local pharmacy surveyed affordable combined cost less 20 households capacity pay related information availability affordability use medicines blood pressure control multilevel mixedeffects logistic regression models compared results highincome uppermiddleincome lowermiddleincome lowincome countries data india presented separately large generic pharmaceutical industry higher availability medicines countries economic levelfindingsthe availability two classes blood pressurelowering drugs lower lowincome middleincome countries except india highincome countries proportion communities four drug classes available 94 highincome countries 108 115 communities 76 india 68 90 71 uppermiddleincome countries 90 126 47 lowermiddleincome countries 107 227 13 lowincome countries nine 68 proportion households unable afford two blood pressurelowering medicines 31 lowincome countries 1069 3479 households 9 middleincome countries 5602 65 471 less 1 highincome countries 44 10 880 participants known hypertension communities four drug classes available likely use least one blood pressurelowering medicine adjusted odds ratio 223 95 ci 159312 p00001 combination therapy 153 113207 p0054 blood pressure controlled 206 169250 p00001 communities blood pressurelowering medicines available participants known hypertension households able afford four blood pressurelowering drug classes likely use least one blood pressurelowering medicine adjusted 142 95 ci 125162 p00001 combination therapy 126 108147 p00038 blood pressure controlled 113 100128 p00562 unable afford medicinesinterpretationa large proportion communities lowincome middleincome countries access one blood pressurelowering medicine available often affordable factors associated poor blood pressure control ensuring access affordable blood pressurelowering medicines essential control hypertension lowincome middleincome countriesfundingpopulation health research institute canadian institutes health research heart stroke foundation ontario canadian institutes health research strategy patient oriented research ontario spor support unit ontario ministry health longterm care pharmaceutical companies major contributions astrazeneca canada sanofi aventis france canada boehringer ingelheim germany amd canada servier glaxosmithkline novartis king pharma national local organisations participating countries
|
https://doi.org/10.1016/j.arth.2021.02.075
|
Susanta K. Sarkar|Mohanchandra Mandal|Piyali Chakrabarti|Dipanjan Bagchi|Suchitra Pal
|
SURVEY OF PATIENTS’ ATTITUDE ABOUT ANAESTHESIA AND ANAESTHESIOLOGIST- A PRELIMINARY EVALUATION IN A RURAL HOSPITAL OF NORTH BENGAL
| 2,017 |
North Bengal Medical College and Hospital|North Bengal Medical College and Hospital|North Bengal Medical College and Hospital|South Eastern Railway
|
backgroundimage anaesthesia anaesthesiologist eyes patients variedly reported literature mostly poor developing countrieswe often realised underestimation risky task inadequate appreciation recognition effort patientshence put endeavour explore existing perception among patients rural region regarding specialty anaesthesiologist materials methodsthis observational paperbased questionnaire survey carried preanaesthetic checkup pac clinic involving 101 patients scheduled undergo elective surgerythe survey carried using structured interview based openended questionnaire consisting 15 mcq type questionsdata mostly categorical data number patients percentagestatistical comparison done favourable response responses taken together unfavourable response resultsabout 44 patients knew anaesthesiologists qualified doctorsthirty percent knowledge anaesthesiologist present induction continuation anaesthesia monitoring vitalsabout 10 patients aware roles anaesthesiologists outside operating roomregarding risk related anaesthesia surgery majority patients 58 informed alla considerable proportion patients 90 opined preanaesthetic checkup usefulamong high literacy group considerably higher proportions patients answered favourable options conclusionthe survey concludes patients perception anaesthesia poorthe patients also insufficient knowledge exact role anaesthesiologist inside outside operating room
|
https://doi.org/10.1093/ckj/sfw076
|
Maarit K. Leinonen|Suzanne Hetzel Campbell|Giske Ursin|Ameli Tropé|Mari Nygård
|
Barriers to cervical cancer screening faced by immigrants: a registry-based study of 1.4 million women in Norway
| 2,017 |
Cancer Registry of Norway|Cancer Registry of Norway|Cancer Registry of Norway|University of Oslo|University of Southern California|Cancer Registry of Norway|Cancer Registry of Norway
|
backgroundimmigrants certain low middleincome countries prone cancers attributed viral infections early life cervical cancer caused human papillomavirus highly preventable regular screening assessed participation among immigrants populationbased cervical screening programme identified factors predicted nonadherence within different immigrant groups
|
https://doi.org/10.1016/j.clinthera.2014.04.011
|
Jac Kee Low|Allison Williams|Elizabeth Manias|Kimberley Crawford
|
Interventions to improve medication adherence in adult kidney transplant recipients: a systematic review
| 2,014 |
Monash University|Monash University|Deakin University|Royal Melbourne Hospital|University of Melbourne|Monash University
|
backgroundin kidney transplantation adherence immunosuppressive therapy paramount longterm graft survival systematic review aimed assess effectiveness interventions improve medication adherence adult kidney transplantation
|
https://doi.org/10.1093/gerona/glp116
|
Amod K. Pokhrel|Michael Bates|Sharat Chandra Verma|Hari Shankar Joshi|Chandrashekhar T Sreeramareddy|Kirk R. Smith
|
Tuberculosis and Indoor Biomass and Kerosene Use in Nepal: A Case–Control Study
| 2,010 |
University of California, Berkeley|University of California, Berkeley|Pokhara University|Manipal College of Medical Sciences|Manipal Teaching Hospital|Manipal College of Medical Sciences|Manipal Teaching Hospital|Manipal College of Medical Sciences|Manipal Teaching Hospital|University of California, Berkeley
|
backgroundin nepal tuberculosis tb major problem worldwide six previous epidemiologic studies investigated whether indoor cooking biomass fuel wood agricultural wastes associated tb inconsistent resultsobjectivesusing detailed information potential confounders investigated associations tb use biomass kerosene fuelsmethodsa hospitalbased casecontrol study conducted pokhara nepal cases n 125 women 2065 years old confirmed diagnosis tb agematched controls n 250 female patients without tb detailed exposure histories collected standardized questionnaireresultscompared using cleanburning fuel stove liquefied petroleum gas biogas adjusted odds ratio using biomassfuel stove 121 95 confidence interval ci 048305 whereas use kerosenefuel stove 336 95 ci 1011122 use biomass fuel heating 345 95 ci 144827 use kerosene lamps lighting 943 95 ci 1456132conclusionsthis study provides evidence use indoor biomass fuel particularly source heating associated tb women also provides first evidence using kerosene stoves wick lamps associated tb associations require confirmation studies using kerosene lamps risk factor tb would provide strong justification promoting clean lighting sources solar lamps
|
https://doi.org/10.1016/s2542-5196(18)30186-4
|
Michael P. Rethman|Eugenio D. Beltrán?Aguilar|Ronald J. Billings|Philippe Hujoel|Barry P. Katz|Peter Milgrom|Woosung Sohn|John W. Stamm|Gene E. Watson|Mark Wolff|J Tim Wright|Domenick T. Zero|Krishna Aravamudhan|Julie Frantsve?Hawley|Daniel M. Meyer
|
Nonfluoride caries-preventive agents
| 2,011 |
The Ohio State University
|
backgroundin article authors present evidencebased clinical recommendations regarding use nonfluoride cariespreventive agents recommendations developed expert panel convened american dental association ada council scientific affairs panel addressed several questions regarding efficacy nonfluoride agents reducing incidence caries arresting reversing progression cariestypes studies revieweda panel experts convened ada council scientific affairs collaboration ada division science staff conducted medline search identify randomized nonrandomized clinical studies regarding use nonfluoride cariespreventive agentsresultsthe panel reviewed evidence 50 randomized controlled trials 15 nonrandomized studies assess efficacy various nonfluoride cariespreventive agentsclinical implicationsthe panel concluded certain nonfluoride agents may provide benefit adjunctive therapies children adults higher risk developing caries recommendations presented resource dentists consider clinical decisionmaking process part evidencebased approach care clinical recommendations integrated practitioneraposs professional judgment patientaposs needs preferences full report accessed httpebdadaorgclinicalrecommendationsaspx
|
https://doi.org/10.1016/s2215-0366(14)70243-3
|
Anne C. Melzer|Bijan J. Ghassemieh|Suzanne Gillespie|Peter K. Lindenauer|Mary Ann McBurnie|Richard A. Mularski|Edward T. Naureckas|William M. Vollmer|David H. Au
|
Patient characteristics associated with poor inhaler technique among a cohort of patients with COPD
| 2,017 |
VA Puget Sound Health Care System|Pulmonary and Critical Care Associates|University of Washington|Pulmonary and Critical Care Associates|University of Washington|Kaiser Permanente Center for Health Research|Baystate Medical Center|Kaiser Permanente Center for Health Research|Kaiser Permanente Center for Health Research|University of Chicago|Kaiser Permanente Center for Health Research|Pulmonary and Critical Care Associates|University of Washington|VA Puget Sound Health Care System
|
backgroundinhaled therapies cornerstone pharmacologic management copd device requires unique series steps effective making appropriate instruction inhaler technique key part management copdobjectivesexamine characteristics patients devices associated poor technique among patients copdmethodscrosssectional study subjects copd using least one metered dose inhaler advair diskus spiriva handihaler identified copd outcomesbased network clinical effectiveness research translation concert registry technique assessed facetoface using manufacturerprovided dummy inhalers standardized checklists device used logistic regression model associations poor inhaler technique defined error 20 steps function patient characteristics educational attainment primary predictorresults688 individuals meet eligibility criteria 655 poor technique least one device adjusted analyses black race associated poor technique 325 95ci 186567 greater high school education associated decreased odds poor technique 035 95ci 017070 trade schoolsome college 025 95ci 011061 college p 0001 test linear trend percentage errors varied devices subjects making proportionally errors mdisconclusionspoor inhaler technique common among individuals copd varies devices associated race educational attainment tailored educational interventions teach inhaler technique part process initiating monitoring inhaled therapies
|
https://doi.org/10.3402/gha.v6i0.19646
|
Priyanka Dapkekar|Anuja Bhalerao|Anjali Kawathalkar|Nikita R Vijay
|
Risk Factors Associated With Intrauterine Growth Restriction: A Case-Control Study
| 2,023 |
NKP Salve Institute of Medical Sciences and Lata Mangeshkar Hospital|NKP Salve Institute of Medical Sciences and Lata Mangeshkar Hospital|NKP Salve Institute of Medical Sciences and Lata Mangeshkar Hospital|NKP Salve Institute of Medical Sciences and Lata Mangeshkar Hospital
|
backgroundintrauterine growth restriction iugr disorder fetus fails reach genetic development potential considered present weight birth less 10th percentile result risk increased postnatal morbidity mortalityevery year approximately 24 newborns worldwide determined iugrthe objective present study identify various sociodemographic medical obstetric risk factors associated iugr methodologya casecontrol study conducted january 2020 december 2022fiftyfour cases 54 controls included studypostnatal women neonates birth weight 10th percentile gestational age ga recruited cases studycontrol cases postnatal women neonatal birth weight appropriate gadetailed history respect sociodemographic medical obstetric parameters noted compared resultsamong sociodemographic factors socioeconomic status showed significant statistical differences age group 21 25 years showing maximum 519iugr casesamong maternal risk factors anemia 296 hypertensive disorders pregnancy 222 marked significant risk factors iugrthere significant difference distribution past medical obstetric histories two research groups conclusiondue poor living conditions low literacy rates general lack knowledge low socioeconomic level increases risk iugrthis leads nutritional deficiencies insufficient growth environment results anemia hypertensive disorders pregnancy potent risk factors iugriugr may caused maternal risk factors well past medical obstetric conditionshowever risk factor iugr birth weight time delivery could taken consideration well
|
https://doi.org/10.1093/humrep/des133
|
Esther W. de Bekker?Grob|Joffre Swait?|Habtamu Tilahun Kassahun|Michiel C.J. Bliemer|Marcel F. Jonker|Jorien Veldwijk|Karen Cong|John M. Rose|Bas Donkers
|
Are Healthcare Choices Predictable? The Impact of Discrete Choice Experiment Designs and Models
| 2,019 |
Erasmus University Rotterdam|Erasmus University Rotterdam|Griffith University|University of Sydney|Erasmus University Rotterdam|Erasmus University Rotterdam|Griffith University|University of Technology Sydney|Erasmus University Rotterdam
|
backgroundlack evidence external validity discrete choice experiments dces one barriers inhibit greater use dces healthcare decision makingobjectivesto determine whether number alternatives dce choice task reflect actual decision context complex choice model needs able predict realworld healthcare choicesmethodssix dces used varied 1 medical condition involving choices influenza vaccination colorectal cancer screening 2 number alternatives per choice task medical condition 1200 respondents randomized one dce formats data analyzed systematic way using randomutilitymaximization choice processesresultsirrespective number alternatives per choice task choice influenza vaccination colorectal cancer screening correctly predicted dce aggregate level scale preference heterogeneity taken account individual level 3 alternatives per choice task use heteroskedastic error component model plus observed preference heterogeneity seemed promising correctly predicting 93 choicesconclusionsour study shows dces able predict choicesmimicking realworld decisionsif least scale preference heterogeneity taken account patient characteristics eg numeracy decisionmaking style general attitude experience health intervention seem play crucial role research needed determine whether result remains contexts
|
https://doi.org/10.4054/demres.2014.30.11
|
Tacara Soones|Jeng-Wen Lin|Michael S. Wolf|Rachel O’Conor|Melissa Martynenko|Juan P. Wisnivesky|Alex D. Federman
|
Pathways linking health literacy, health beliefs, and cognition to medication adherence in older adults with asthma
| 2,017 |
Icahn School of Medicine at Mount Sinai|Icahn School of Medicine at Mount Sinai|Northwestern University|Northwestern University|Icahn School of Medicine at Mount Sinai|Icahn School of Medicine at Mount Sinai|Icahn School of Medicine at Mount Sinai
|
backgroundlimited health literacy associated low adherence asthma controller medications among older adultsobjectivewe sought describe causal pathway linking health literacy medication adherence modeling asthma illness medication beliefs mediatorsmethodswe recruited adults aged 60 years older asthma hospital community practices new york new york chicago illinois measured health literacy medication adherence using short test functional health literacy adults medication adherence rating scale respectively used validated instruments assess asthma illness medication beliefs assessed cognition using cognitive battery using structural equation modeling modeled illness medication beliefs mediators relationship health literacy adherence controlling cognitionresultsour study included 433 patients mean age 67 68 years sample 84 women 31 nonhispanic blacks 39 hispanics 36 patients limited health literacy likely misconceptions asthma p 001 asthma medications p 001 health literacy direct effect 0089 p 001 well indirect effect adherence mediated medications concerns 0033 p 002 neither medication necessity 0044 p 138 illness beliefs 0007 p 143 demonstrated mediational role health literacy adherenceconclusionsinterventions designed improve asthma controller medication adherence older adults may enhanced addressing concerns medications addition using communication strategies appropriate populations limited health literacy cognitive impairments limited health literacy associated low adherence asthma controller medications among older adults sought describe causal pathway linking health literacy medication adherence modeling asthma illness medication beliefs mediators recruited adults aged 60 years older asthma hospital community practices new york new york chicago illinois measured health literacy medication adherence using short test functional health literacy adults medication adherence rating scale respectively used validated instruments assess asthma illness medication beliefs assessed cognition using cognitive battery using structural equation modeling modeled illness medication beliefs mediators relationship health literacy adherence controlling cognition study included 433 patients mean age 67 68 years sample 84 women 31 nonhispanic blacks 39 hispanics 36 patients limited health literacy likely misconceptions asthma p 001 asthma medications p 001 health literacy direct effect 0089 p 001 well indirect effect adherence mediated medications concerns 0033 p 002 neither medication necessity 0044 p 138 illness beliefs 0007 p 143 demonstrated mediational role health literacy adherence interventions designed improve asthma controller medication adherence older adults may enhanced addressing concerns medications addition using communication strategies appropriate populations limited health literacy cognitive impairments
|
https://doi.org/10.5001/omj.2009.58
|
Chandra Y. Osborn|Michael K. Paasche?Orlow|Terry C. Davis|Michael S. Wolf
|
Health Literacy
| 2,007 |
Northwestern University|Boston University|Louisiana State University Health Sciences Center Shreveport|Northwestern University
|
backgroundlimited health literacy may contributing factor racial disparities health care study examined mediating effect limited health literacy relationship race hivmedication adherencemethodsa total 204 patients infected hiv recruited two clinics 2001 structured inperson interviews conducted obtain information patient demographics medication adherence health literacy multivariate regression models run 2006 examine associations among race literacy hivmedication adherence adjusting relevant covariatesresultsin adjusted analysis excluded literacy african americans 240 times likely nonadherent hivmedication regimen whites 95 confidence interval ci114508 literacy included final model effect estimates race diminished 25 nonsignificance literacy remained significant independent predictor nonadherence adjusted odds ratio aor212 95 ci193232conclusionsin study limited health literacy mediated relationship race hivmedication adherence investigators need consider potential utility responding literacy communication barriers health care part interventions reduce racial disparities limited health literacy may contributing factor racial disparities health care study examined mediating effect limited health literacy relationship race hivmedication adherence total 204 patients infected hiv recruited two clinics 2001 structured inperson interviews conducted obtain information patient demographics medication adherence health literacy multivariate regression models run 2006 examine associations among race literacy hivmedication adherence adjusting relevant covariates adjusted analysis excluded literacy african americans 240 times likely nonadherent hivmedication regimen whites 95 confidence interval ci114508 literacy included final model effect estimates race diminished 25 nonsignificance literacy remained significant independent predictor nonadherence adjusted odds ratio aor212 95 ci193232 study limited health literacy mediated relationship race hivmedication adherence investigators need consider potential utility responding literacy communication barriers health care part interventions reduce racial disparities
|
https://doi.org/10.1371/journal.pone.0056873
|
Diddy Antai|Tahereh Moradi
|
Urban Area Disadvantage and Under-5 Mortality in Nigeria: The Effect of Rapid Urbanization
| 2,010 |
Karolinska Institutet|Karolinska Institutet
|
backgroundliving socioeconomically disadvantaged areas associated increased childhood mortality risksas cityliving becomes predominant social context lowand middleincome countries resulting rapid urbanization together poor economic circumstances countries greatly increase risks underfive mortality objectivethis study examined trends urban population growth urban underfive mortality 1983 2003 nigeriawe assessed whether urban area socioeconomic disadvantage impact underfive mortality methodsurban underfive mortality rates directly estimated 1990 1999 2003 nigeria demographic health surveysmultilevel logistic regression analysis performed data containing 2118 children nested within 1350 mother turn nested within 165 communities resultsurban underfive mortality increased urban population steadily increased 1983 2003urban area disadvantage significantly associated underfive mortality adjusting individual childand motherlevel demographic socioeconomic characteristics conclusionssignificant risks underfive deaths individual community levels underscore need interventions tailored towards communityand individuallevel interventionswe stress need studies communitylevel determinants underfive mortality disadvantaged urban areas
|
https://doi.org/10.1371/journal.pone.0111413
|
Maznah Dahlui|Nazar Mohd Zabadi Mohd Azahar|Oche Mansur Oche|Norlaili Abdul Aziz
|
Risk factors for low birth weight in Nigeria: evidence from the 2013 Nigeria Demographic and Health Survey
| 2,016 |
University of Malaya|Universiti Teknologi MARA|Usmanu Danfodiyo University|University of Malaya
|
backgroundlow birth weight lbw continues primary cause infant morbidity mortalityobjectivethis study undertaken identify predictors lbw nigeriadesignthe data study extracted 2013 nigeria demographic health survey conducted national population commission several questionnaires used survey covering questions pregnancy characteristics inclusion criteria include mothers gave birth child 5 years interview aged 1549 years either permanent residents visitors present household night survey conducted birth weight infants recorded written records hospital cards mothers recallresultsthe prevalence lbw study 73 multiple logistic regression analysis showed adjusted significant odds ratio mothers north west region aor 1067 95 ci 583195 twin pregnancy aor 511 95 ci 311839 primiparous mother aor 208 95 ci 115377 maternal weight less 70 kg aor 192 95 ci 132278 manual paternal employment aor 191 95 ci 108337conclusionsthe risk factors lbw identified study modifiable order reduce menace nigeria holistic approaches health education maternal nutrition improvement socioeconomic indices increasing quality quantity antenatal care services paramount importance
|
https://doi.org/10.11634/216796221302315
|
Andrea K. Morrison|Matthew P. Myrvik|David C. Brousseau|Raymond G. Hoffmann|Rachel Stanley
|
The Relationship Between Parent Health Literacy and Pediatric Emergency Department Utilization: A Systematic Review
| 2,013 |
Medical College of Wisconsin|Medical College of Wisconsin|Medical College of Wisconsin|Medical College of Wisconsin|Michigan Medicine
|
backgroundlow health literacy parents potentially impact understanding childs diagnosis treatment course reviews addressed parent health literacy emergency department ed relationship parent health literacy child ed utilization impact low literacy interventions child ed utilizationobjectiveto systematically evaluate peerreviewed literature pertaining parental health literacy ed utilization following key questions addressed question q 1 prevalence low health literacy estimated validated health literacy measures parents ed q2 parent low health literacy related ed use children q3 low literacy interventions targeting parents likely low health literacy affect ed use childrendata sourcesthe authors reviewed 483 unduplicated titles abstracts published 1980 may 2012 using pubmed cinahl 117 retained full review 17 included final analytic reviewstudy eligibility criteria participants interventionsall included articles valid measure parent health literacy q1 descriptive measurement population q2 ed utilization q3 utilized low literacy educational interventionstudy appraisal synthesis methodsone author extracted data verified second author studies rated quality authorsresultsq1 median 30 interquartile range 2236 parents ed possesses low health literacy q2 studies investigating relationship health literacy ed yielded mixed results q3 seven 8 low literacy interventions associated reduction ed use random effects pooled odds ratios 6 studies showed intervention effectiveness odds ratio 035 95 ci 015081limitationsno intervention studies measured health literacy limiting ability determine whether low literacy intervention targeted health literacyconclusions implications key findingsroughly 1 3 parents children presenting ed low health literacy importantly interventions targeting parents likely low health literacy impact reducing ed utilization
|
https://doi.org/10.1186/1476-069x-11-1
|
Timothy Powell-Jackson|Yanqiu Gao|Carine Ronsmans|Hong Zhou|Yan Wang|Hai Fang
|
Health-system determinants of declines in maternal mortality in China between 1996 and 2013: a provincial econometric analysis
| 2,015 |
London School of Hygiene & Tropical Medicine|National Bureau of Statistics of China|Peking University|Sichuan University|London School of Hygiene & Tropical Medicine|Peking University|Peking University|Peking University
|
backgroundmaternal mortality china decreased strikingly past 20 years china one countries achieving millennium development goal 5 1996 2013 china substantially strengthened maternalhealth sector large number funds invested maternal health maternal health facilities substantially improved maternalhealth professionals received increased training china also made substantial investments overall healthsystems reform including increases overall health expenditure universal health insurance coverage number health professionals per person healthsystems improvements thought contributed reductions maternal mortality china improvements carried greatest weight known aim study examine healthsystems determinates declines maternal mortality chinamethodswe used panel dataset 31 provinces china 1996 2013 examine effects healthsystems factors maternal mortality data health systems obtained china statistical yearbooks china health statistical yearbooks national provincial publications data maternal mortality obtained annual report maternal child health information ran fixedeffects regressions using logarithm maternal mortality dependent variable healthsystem determinants studied health expenditure number hospital beds human resources length highways controlled income female literacy birth rate local tax revenue capacity data used publicly available aggregate secondary data therefore study exempt ethics approval individual patient data used informed consent patients necessaryfindingsmaternal mortality fell 66 14 deaths per 100 000 livebirths 1996 2013 32 8 deaths per 100 000 livebirths eastern region 52 13 deaths per 100 000 livebirths central region 109 23 deaths per 100 000 western region hospital beds per 1000 population elasticity 078 p0023 length highways 031 p0010 significantly associated maternal mortality health expenditure density health workers effect maternal mortalityinterpretationaccess health care important accounting variation maternal mortality provinces time china hospital infrastructure particular might key driver reduction maternal mortality past two decadesfundingus fund unicef countdown 2015 maternal newborn child survival grant bill melinda gates foundation government canada foreign affairs trade development sichuan university chengdu china
|
https://doi.org/10.1111/j.1471-0528.2011.03111.x
|
Nosheen Ali|Robert P. Ferguson|Sharmin Mitha|Alexandra L. Hanlon
|
Do medical trainees feel confident communicating with low health literacy patients?
| 2,014 |
Temple University|Crozer-Keystone Health System|University of Maryland, Baltimore|Greater Baltimore Medical Center|Crozer-Keystone Health System|University of Pennsylvania
|
backgroundmedical trainees infrequently use health literacy hl skills overestimate use plain language teach back skills aim study assess level training impacts perception medical trainees around hl knowledge skillsmethodsa structured questionnaire consisting 5 questions assessing respondents perception confidence hl knowledge ability identify communicate low hl patients use relevant resources completed medical students residents 2 communitybased internal medicine programs pennsylvania maryland july 2012 january 2013resultsthe response rate 100 40 pa program 42 17 md residency program rotating medical students 17 completed questionnaire 74 participants less 10 confident hl knowledge ability identify communicate low hl patients 14 1 confident ability identify appropriate resources significant difference communication skills p0305 ability identify appropriate resources p0143 across participants irrespective training level significant improvement hl knowledge observed progression firstyear thirdyear medical school p00126 internship second year residency p00496conclusionmedical trainees perceive receive adequate training hl knowledge skills required feel confident identifying communicating low hl patients identifying appropriate resources need addressing deficiencies via medical school residency curricula
|
https://doi.org/10.1108/03068299810212487
|
Nina Schnyder|Radoslaw Panczak|Nicola Groth|Frauke Schultze?Lutter
|
Association between mental health-related stigma and active help-seeking: Systematic review and meta-analysis
| 2,017 |
University of Bern|Institute of Social and Preventive Medicine|University of Bern|University of Bern|University of Bern
|
backgroundmental disorders create high individual societal costs burden partly helpseeking often delayed completely avoided stigma related mental disorders mental health services regarded main reason insufficient helpseekingaimsto estimate impact four stigma types helpseeking attitudes personal self perceived public stigma active helpseeking general populationmethoda systematic review three electronic databases followed random effect metaanalyses according stigma typesresultstwentyseven studies fulfilled eligibility criteria participants negative attitudes towards mental health helpseeking 080 95 ci 073088 stigmatising attitudes towards people mental illness 082 95 ci 069098 associated less active helpseeking selfstigma showed insignificant association 088 95 ci 076103 whereas perceived public stigma associatedconclusionspersonal attitudes towards mental illness helpseeking associated active helpseeking mental problems campaigns promoting helpseeking means fighting mental illnessrelated stigma target personal attitudes rather broad public opinions
|
https://doi.org/10.1186/s13690-017-0176-x
|
Girish Kumar Singh|Chirom Amit Singh|Alok Ranjan|Neeraj Agarwal|Sanjay Kumar Pandey|Pragya Kumar|Ghanshyam Setty
|
Determinants of Acute Encephalitis Syndrome (AES) in Muzaffarpur district of Bihar, India: A case–control study
| 2,016 |
All India Institute of Medical Sciences|All India Institute of Medical Sciences|All India Institute of Medical Sciences|All India Institute of Medical Sciences|All India Institute of Medical Sciences|All India Institute of Medical Sciences|Patliputra University|United Nations Children's Fund India
|
backgroundmuzaffarpur district bihar india witnessed several outbreaks acute encephalitis syndrome past decade reportedly high case fatality children age 15 years study documented mode transmission nature causative agentmethodsa casecontrol study conducted assess risk factors associated aes cases reported two hospitals district selected four controls per case selected randomly questionnaires administered using geographical positioning system gps enabled tabletsresultsthe median age 4 years iqr 365 cases controls casefatality rate 274 per 1000 aes cases logistic regression analysis showed significant association p 005 literacy status occupational status parents travel using public transport mode presence lychee orchard near vicinity households goodnessoffit model using chisquare statistic based hosmerlemeshow test found fit well final model p 0353conclusionsoutbreaks acute encephalitis unknown origin coinciding harvesting season lychee strengthens hypothesis oralfaecal transmission
|
https://doi.org/10.1016/j.worlddev.2005.09.011
|
Tina Birgitte Hansen|Jes S. Lindholt|Rikke Søgaard
|
Role of Experience With Preventive Medication and Personal Risk Attitude in Non-Attendance at Triple Vascular Screening
| 2,018 |
Zealand University Hospital|Odense University Hospital|Regionshospitalet Viborg|Aarhus University
|
backgroundnonattendance vascular screening potentially restricts overall benefit screening population level may result rational judgment part invitees might consider risk relevant aim study investigate role current use preventive medication personal risk attitude potential factors explaining nonattendance triple vascular screeningmethodsthis case control study across 25078 men offered screening intervention abdominal aortic aneurysm peripheral artery disease hypertension viborg vascular viva screening trial data sociodemographic socioeconomic characteristics diagnoses use preventive medication extracted national registries proxy personal risk attitude constructed logistic regression used estimate odds ratios 95 confidence intervalsresultsuse statins 078 95 ci 071085 antihypertensives 126 95 ci 113141 antithrombotics 113 95 ci 104123 associated nonattendance regards personal risk attitude statistically significant association found users preventive medication recent diagnosis cardiovascular disease nonattendance 082 95 ci 072094 role traditional factors explaining nonattendance vascular screening low socioeconomic status comorbidity confirmedconclusionnonattendance triple vascular screening influenced use preventive medications traditional explanatory factors nonattendance vascular screening including existing cvd comorbidity attendance rates might benefit rethinking risk communication alongside screening invitations according varying invitee profiles clinical risk scenarios providing interventions targeted individuals lower levels health literacy nonattendance vascular screening potentially restricts overall benefit screening population level may result rational judgment part invitees might consider risk relevant aim study investigate role current use preventive medication personal risk attitude potential factors explaining nonattendance triple vascular screening case control study across 25078 men offered screening intervention abdominal aortic aneurysm peripheral artery disease hypertension viborg vascular viva screening trial data sociodemographic socioeconomic characteristics diagnoses use preventive medication extracted national registries proxy personal risk attitude constructed logistic regression used estimate odds ratios 95 confidence intervals use statins 078 95 ci 071085 antihypertensives 126 95 ci 113141 antithrombotics 113 95 ci 104123 associated nonattendance regards personal risk attitude statistically significant association found users preventive medication recent diagnosis cardiovascular disease nonattendance 082 95 ci 072094 role traditional factors explaining nonattendance vascular screening low socioeconomic status comorbidity confirmed nonattendance triple vascular screening influenced use preventive medications traditional explanatory factors nonattendance vascular screening including existing cvd comorbidity attendance rates might benefit rethinking risk communication alongside screening invitations according varying invitee profiles clinical risk scenarios providing interventions targeted individuals lower levels health literacy
|
https://doi.org/10.1177/1747021817744546
|
Aleksandra Jovi?-Vraneš|Vesna Bjegovi?-Mikanovi?|Jelena Marinkovi?
|
Functional health literacy among primary health-care patients: data from the Belgrade pilot study
| 2,009 |
University of Belgrade
|
backgroundover last decade health literacy become vibrant area research objective evaluate health literacy association sociodemographic variables selfperception health presence chronic conditions primary healthcare patients
|
https://doi.org/10.1634/theoncologist.2012-0454
|
Charlotte Paddison|Marc N. Elliott|Amelia Haviland|Donna O. Farley|Georgios Lyratzopoulos|Katrin Hambarsoomian|Jacob W. Dembosky|Martín Roland
|
Experiences of Care Among Medicare Beneficiaries With ESRD: Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey Results
| 2,013 |
University of Cambridge|RAND Corporation|RAND Corporation|Carnegie Mellon University|RAND Corporation|University of Cambridge|RAND Corporation|RAND Corporation|University of Cambridge
|
backgroundpatients endstage renal disease esrd special health needs little known care experiencesstudy designsecondary analysis 20092010 medicare consumer assessment healthcare providers systems cahps data using representative random samples medicare beneficiaries description medicare beneficiaries esrd investigation differences patient experiences sociodemographic characteristics coverage typesetting participantsdata collected 823564 medicare beneficiaries 3794 esrd part medicare cahps survey administered mail telephone followup nonrespondentspredictoresrd status age education selfreported general mental health status raceethnicity sex medicare coverage type state residence demographic measuresoutcomes6 composite measures patient experience 4 care domains access care physician communication customer service access prescription drugs drug information 4 ratings overall care personal physician specialist physician prescription drug planresultspatients esrd reported better care experiences nonesrd beneficiaries 7 10 measures p 005 adjustment patient characteristics geography coverage type although small extent adjusted mean difference 3 points scale 0100 black patients esrd less educated patients likely patients esrd report poor experienceslimitationsinability distinguish patient experiences care different treatment modalitiesconclusionson average beneficiaries esrd report patient experiences least positive nonesrd beneficiaries however black less educated patients esrd reported worse experiences esrd patients stratified reporting patient experience raceethnicity education patients esrd used monitor disparity physician choice confidence trust physicians may particularly important patients esrd patients endstage renal disease esrd special health needs little known care experiences secondary analysis 20092010 medicare consumer assessment healthcare providers systems cahps data using representative random samples medicare beneficiaries description medicare beneficiaries esrd investigation differences patient experiences sociodemographic characteristics coverage type data collected 823564 medicare beneficiaries 3794 esrd part medicare cahps survey administered mail telephone followup nonrespondents esrd status age education selfreported general mental health status raceethnicity sex medicare coverage type state residence demographic measures 6 composite measures patient experience 4 care domains access care physician communication customer service access prescription drugs drug information 4 ratings overall care personal physician specialist physician prescription drug plan patients esrd reported better care experiences nonesrd beneficiaries 7 10 measures p 005 adjustment patient characteristics geography coverage type although small extent adjusted mean difference 3 points scale 0100 black patients esrd less educated patients likely patients esrd report poor experiences inability distinguish patient experiences care different treatment modalities average beneficiaries esrd report patient experiences least positive nonesrd beneficiaries however black less educated patients esrd reported worse experiences esrd patients stratified reporting patient experience raceethnicity education patients esrd used monitor disparity physician choice confidence trust physicians may particularly important patients esrd
|
https://doi.org/10.1097/qai.0000000000000572
|
Sunil Kripalani|Chandra Y. Osborn|Viola Vaccarino|Terry A. Jacobson
|
Development and evaluation of a medication counseling workshop for physicians: can we improve on ‘take two pills and call me in the morning’?
| 2,011 |
Vanderbilt University|Emory University|Vanderbilt University|Emory University|Emory University
|
backgroundphysicians often provide adequate medication counselingpurposeto develop evaluate educational program improve physicians assessment adherence medication counseling skills attention health literacymethodswe compared internal medicine residents confidence counseling behaviors measured selfreport baseline one month participation twohour interactive workshopresultsfiftyfour residents participated 35 65 completed followup survey one month training residents reported improved confidence assessing counseling patients p0001 including low health literacy p0001 residents also reported frequent use desirable behaviors assessing patients medication understanding adherence barriers p005 addressing costs prescribing p001 suggesting adherence aids p001 confirming patient understanding teachback p005conclusiona medication counseling workshop significantly improved residents selfreported confidence behaviors regarding medication counseling one month later
|
https://doi.org/10.3390/ijerph13010023
|
Marcelo Katz|Antonio Gabriele Laurinavicius|Fabio Franco|Raquel Conceição|José A.M. Carvalho|Antônio Eduardo Pesaro|Maur??cio Wajngarten|Raul D. Santos
|
Calculated and perceived cardiovascular risk in asymptomatic subjects submitted to a routine medical evaluation: The perception gap
| 2,014 |
Hospital Israelita Albert Einstein|Hospital Israelita Albert Einstein|Universidade de São Paulo|Hospital Israelita Albert Einstein|Hospital Israelita Albert Einstein|Hospital Israelita Albert Einstein|Hospital Israelita Albert Einstein|Hospital Israelita Albert Einstein|Universidade de São Paulo|Hospital Israelita Albert Einstein|Universidade de São Paulo
|
backgroundpoor adherence medical treatment represents major health problem subjects misperception cardiovascular risk indicated key driver low compliance preventive measures study analysed relationship objectively calculated short longterm cardiovascular risk subjective perception
|
https://doi.org/10.1080/09332480.2007.10722829
|
Dana Hashim|Samantha Sartori|Paul Brennan|María Paula Curado|Victor Wünsch-Filho|Kimon Divaris|Andrew F. Olshan|José P. Zevallos|Deborah M. Winn|Silvia Franceschi|Xavier Castellsagué|Jolanta Lissowska|Péter Rudnai|Keitaro Matsuo|Hal Morgenstern|Chen X. Chen|Thomas L. Vaughan|Jonathan N. Hofmann|Gypsyamber D’Souza|Robert I. Haddad|Huadong Wu|Y. C. Lee|Mia Hashibe|Carlo La Vecchia|Paolo Boffetta
|
The role of oral hygiene in head and neck cancer: results from International Head and Neck Cancer Epidemiology (INHANCE) consortium
| 2,016 |
Icahn School of Medicine at Mount Sinai|Icahn School of Medicine at Mount Sinai|International Agency For Research On Cancer|Universidade de São Paulo|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|National Cancer Institute|International Agency For Research On Cancer|Institut d'Investigació Biomédica de Bellvitge|Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública|Institut Català d'Oncologia|The Maria Sklodowska-Curie National Research Institute of Oncology|National Public Health and Medical Officer Service|Aichi Cancer Center|University of Michigan–Ann Arbor|Cape Town HVTN Immunology Laboratory / Hutchinson Centre Research Institute of South Africa|Fred Hutch Cancer Center|Cancer Research Center|Cape Town HVTN Immunology Laboratory / Hutchinson Centre Research Institute of South Africa|Fred Hutch Cancer Center|Cancer Research Center|Cancer Institute (WIA)|Johns Hopkins University|Harvard University|Dana-Farber Cancer Institute|Icahn School of Medicine at Mount Sinai|Huntsman Cancer Institute|University of Utah|Huntsman Cancer Institute|University of Utah|University of Milan|Tisch Hospital|Icahn School of Medicine at Mount Sinai
|
backgroundpoor oral hygiene proposed contribute head neck cancer hnc risk although causality independency indicators uncertain study investigates relationship five oral hygiene indicators incident hncsmethodsin pooled analysis 8925 hnc cases 12 527 controls 13 studies participating international head neck cancer epidemiology consortium comparable data good oral hygiene indicators harmonized included denture wear gum disease bleeding 5 missing teeth tooth brushing least daily visiting dentist year logistic regression used estimate effects oral hygiene indicator cumulative score hnc risk adjusting tobacco smoking alcohol consumptionresultsinverse associations hnc hypothesized direction observed 5 missing teeth odds ratio 078 95 confidence interval ci 074 082 annual dentist visit 082 95 ci 078 087 daily tooth brushing 083 95 ci 079 088 gum disease 094 95 ci 089 099 association observed wearing dentures associations relatively consistent across specific cancer sites especially tooth brushing dentist visits population attributable fraction 2 5 good oral hygiene indicators 89 95 ci 33 14 oral cavity cancerconclusiongood oral hygiene characterized missing teeth annual dentist visits daily tooth brushing may modestly reduce risk hnc
|
https://doi.org/10.2105/ajph.79.6.698
|
Eric O. Ohuma|Ann?Beth Moller|Ellen Bradley|Samuel Chakwera|Laith Hussain-Alkhateeb|Arie Y. Lewin|Yemisrach B. Okwaraji|Wahyu Retno Mahanani|Emily White Johansson|Tina Lavin|Dorothy Z. Fernandez|Giovanna Gatica Domínguez|Ayesha De Costa|Jenny A. Cresswell|Julia Krasevec|Joy E Lawn|Hannah Blencowe|Jennifer Requejo|Allisyn C Moran
|
National, regional, and global estimates of preterm birth in 2020, with trends from 2010: a systematic analysis
| 2,023 |
London School of Hygiene & Tropical Medicine|World Health Organization|London School of Hygiene & Tropical Medicine|United Nations Children's Fund|University of Gothenburg|London School of Hygiene & Tropical Medicine|London School of Hygiene & Tropical Medicine|World Health Organization|Uppsala University|World Health Organization|World Health Organization|World Health Organization|World Health Organization|World Health Organization|United Nations Children's Fund|London School of Hygiene & Tropical Medicine|London School of Hygiene & Tropical Medicine|United Nations Children's Fund|World Health Organization
|
backgroundpreterm birth leading cause neonatal mortality associated longterm physical neurodevelopmental socioeconomic effects study updated national preterm birth rates trends plus novel estimates gestational age subgroups inform progress towards global health goals targets aimed update country regional global estimates preterm birth 2020 addition trends 2010 2020methodswe systematically searched populationbased nationally representative data preterm birth jan 1 2010 dec 31 2020 study data 26 march14 april 2021 countries areas nationallevel data analysis included 679 data points 86 nationally representative administrative data 582 679 data points 103 countries areas 62 countries areas nationally representative administrative data 64 103 data points bayesian hierarchical regression used estimating countrylevel preterm rates incoporated countryspecific intercepts low birthweight covariate nonlinear time trends bias adjustments based data quality categorisation indicators method gestational age estimationfindingsan estimated 134 million 95 credible interval cri 123152 million newborn babies born preterm 37 weeks 2020 99 births 95 cri 91112 compared 138 million 127155 million 2010 98 births 90110 worldwide global annual rate reduction estimated 014 2010 2020 total 556 total livebirths southern asia 268 36 099 000 134 767 000 subsaharan africa 287 38 819 300 134 767 000 yet two regions accounted approximately 65 8 692 000 13 376 200 preterm births globally 2020 33 countries areas highest data quality category none southern asia subsaharan africa compared 94 30 32 countries highincome countries areas worldwide 2010 2020 approximately 15 preterm births occurred less 32 weeks gestation requiring neonatal care 28 weeks 42 95 ci 3150 567 800 410 200663 200 newborn babies 2832 weeks 104 95106 1 392 500 1 274 8001 422 600 newborn babiesinterpretationthere measurable change preterm birth rates last decade global level despite increasing facility birth rates substantial focus routine health data systems remain many missed opportunities improve preterm birth data gaps national routine data preterm birth marked regions southern asia subsaharan africa also highest estimated burden preterm births countries need prioritise programmatic investments prevent preterm birth ensure evidencebased quality care preterm birth occurs investments improving data quality crucial preterm birth data improved used action accountability processesfundingthe childrens investment fund foundation undp united nations population fundunicefwhoworld bank special programme research development research training human reproduction
|
https://doi.org/10.1086/593939
|
Suryakant Yashwant Ingale|Jaiom Dagar
|
COMMUNITY BASED INTERVENTION FOR REDUCING UNDERNUTRITION IN INFANTS AND YOUNG CHILDREN IN KARAD, MAHARASHTRA
| 2,016 |
Krishna Institute of Medical Sciences|Krishna Institute of Medical Sciences
|
backgroundprevalence undernutrition among young children high rural india one major problems faced developing countriesundernutrition continues major public health problem despite years social schemes various governments preventive measuresaim study 1to evaluate undernutrition status community anganwadi near karad2 evaluate effectiveness krishna laddu materials methodsstudy designthis community based interventional studystudy period06 months feb 2014 july 2015sample sizeall undernourished children selected community anganwadi resultsa total 120 children age group 6 months 5 years surveyed 2 anganwadis data analysedundernutrition observed common among females male difference found statistically significant p005grade pem iap classification observed common however sam noted 137 undernourished childrenout 58 undernourished children 50 children among 12 60 months age group given 2 krishna laddusday 3 months analysed 3 months postinterventiontotal 84 children showed average improvement weight gain 500 g3 months krishna laddu supplementation conclusionour study reinforces importance correct infant child feeding practices family planning practices appropriate maternal care female literacy prevention undernutrition among underfive children
|
https://doi.org/10.2139/ssrn.2637878
|
Indrek Kolk|Mirjam A. G. Sprangers|Jan M. Prins|Colette Smit|Frank de Wolf|Pythia T. Nieuwkerk
|
Health?Related Quality of Life and Survival among HIV?Infected Patients Receiving Highly Active Antiretroviral Therapy: A Study of Patients in the AIDS Therapy Evaluation in the Netherlands (ATHENA) Cohort
| 2,010 |
Academic Medical Center|Stichting HIV Monitoring|Stichting HIV Monitoring
|
backgroundprevious studies shown healthrelated quality life hrql predicts survival patients infected human immunodeficiency virus hiv however studies predated highly active antiretroviral therapy haart era included patients receiving haart limited duration followup study investigates whether hrql predicts survival among hivinfected patients receiving haart
|
https://doi.org/10.29173/lirg675
|
Nandita Saikia|Abhishek Singh|Domantas Jasilionis|Faujdar Ram
|
Explaining the rural-urban gap in infant mortality in India
| 2,013 |
Institute of Economic Growth|International Institute for Population Sciences|Max Planck Institute for Demographic Research|International Institute for Population Sciences
|
backgroundprior studies suggest infant mortality rural areas india substantially higher urban areashowever little known determinants explaining excess rural mortality objectivethis study systematically assesses role socioeconomic maternal child health mch carerelated programme factors explaining ruralurban gap infant mortality past two decades methodslongterm changes rural urban infant mortality assessed using sample registration system srs databinary logistic regression used analyse association socioeconomic mch carerelated programme factors infant mortality using data three rounds national family health survey nfhsfairlies decomposition technique applied understand relative contribution different covariates ruralurban gap infant mortality resultsrelative inequality rural urban india increased timethe ruralurban gap infant mortality largely explained distributions covariates rural urban areathe largest part rural disadvantage infant mortality attributable underlying disadvantage household wealth maternal education whereas breastfeeding knowledge oral rehydration solution
|
https://doi.org/10.1073/pnas.1215626110
|
Elizabeth Oldland|Mari Botti|Alison M. Hutchinson|Bernice Redley
|
A framework of nurses’ responsibilities for quality healthcare — Exploration of content validity
| 2,020 |
Deakin University|Deakin University|Epworth Hospital|Deakin University|Monash Health|Deakin University|Monash Health
|
backgroundquality healthcare may compromised nurses understand full scope responsibilitiesaimto establish content validity professional practice framework nurses responsibilities healthcare qualitymethodsin phase 1 narrative synthesis practice standards five peak nursing bodies informed development practice framework search validated instruments measure framework domains identified elements practice within domain phase 2 10 focus groups 74 registered nurses analysed explore content validity framework literature review assessed framework currency phase 3findingsthe resulting framework comprises seven domains representing nurses responsibilities healthcare quality management environment b promotion safety c evidence based practice medical technical competence e person centred care f positive interpersonal behaviours g clinical leadership governance nurses descriptions responsibilities healthcare quality validated domains provided examples operationalised practice new domains elements practice identified focus groups literaturediscussion conclusionthe sevendomain framework describe nurses responsibilities healthcare quality content validity provides foundation instrument determine nurses beliefs responsibilities healthcare quality future research required investigate coherence nurses beliefs professional organisational expectations nurses responsibilities safeguarding healthcare quality measure change perceptions responsibilities result interventions
|
https://doi.org/10.2139/ssrn.2572961
|
David Goldstein|Melanie L. Bell|Phyllis Butow|Mozes Sze|L. Vaccaro|Shengjie Dong|Winston Liauw|Rina Hui|M. H. N. Tattersall|Weng Ng|Ray Asghari|Christopher Steer|Janette Vardy|Phillip Parente|Marion Harris|Narayan Karanth|Madeleine King|Afaf Girgis|Maurice Eisenbruch|Michael Jefford
|
Immigrants' perceptions of the quality of their cancer care: an Australian comparative study, identifying potentially modifiable factors
| 2,014 |
Prince of Wales Hospital|University of Sydney|University of Sydney|University of Sydney|University of Sydney|University of Sydney|St George Hospital|St. George Hospital|Westmead Hospital|Blacktown & Mount Druitt Hospital|University of Sydney|Royal Prince Alfred Hospital|Liverpool Hospital|Bankstown Lidcombe Hospital|University of Sydney|Box Hill Hospital|Monash Medical Centre|Royal Darwin Hospital|University of Sydney|Ingham Institute|Monash University|University of Melbourne|Peter MacCallum Cancer Centre
|
backgroundrecent data show falling cancer mortality general population without similar shift immigrant outcomes leading greater cancer burden mortality immigrants aims compare perceived patterns care immigrants nativeborn cancer patientspatients methodsthis hospitalbased sample firstgeneration immigrants australianborn anglo patients first year following diagnosis restricted chinese arabic greek speakers eligible participants recruited via 16 oncology clinics 18 cancer type stage commenced treatment least 1 month previously five hundred seventyone cald patients comprising 145 arabic 248 chinese 178 greek control group 274 angloaustralian patients participatedresultsimmigrants difficulty communicating doctor 73 versus 29 understanding health system 38 versus 10 differences found difficulty knowing see p 00002 length time confirm diagnosis p 004 wanting choice specialist hospital p 00001 offered opportunity see counselor p 00001 actually seeing one p 00001 significant selfreported differences regarding cancer detected time see health professional type first seen however immigrants reported difficulty knowing see previous studies showed differences patterns care according socioeconomic status ses educational level despite adjusting age sex education marital status ses time since diagnosis type cancer find significant differences instead found understanding health system confidence understanding english important factorsconclusionsthis study confirmed immigrants cancer perceive inferior quality cancer care highlight potentially modifiable factors including assistance navigating health system translated information cultural competency training health professionals
|
https://doi.org/10.5860/crl-130rl
|
Matthis Schick|André Cyrille Zumwald|Bina Knöpfli|Angela Nickerson|Richard A. Bryant|Ulrich Schnyder|Julia Müller|Naser Morina
|
Challenging future, challenging past: the relationship of social integration and psychological impairment in traumatized refugees
| 2,016 |
University Hospital of Zurich|University of Zurich|University of Zurich|Swiss Red Cross|University of Bern|UNSW Sydney|UNSW Sydney|University Hospital of Zurich|University of Zurich|University Hospital of Zurich|University of Zurich
|
backgroundrefugees shown present high prevalence rates traumarelated mental disorders despite psychological impairment expected meet high functional requirements terms social integration financial independence host societymethodsthis crosssectional study examined relationship mental health problems postmigration living difficulties pmld social integration sample 104 refugees seeking treatment severe posttraumatic stress comorbid symptoms two outpatient clinics switzerlandresultsdespite average time residence switzerland 10 years participants showed poor integration high number pmld integration difficulties closely associated psychological symptoms sociodemographic parameters education visa statusconclusionspsychological impairment treatmentseeking traumatized refugees associated poor integration foster social integration crucial better understand address specific needs highly vulnerable population
|
https://doi.org/10.1080/10691898.2011.11889604
|
Omid Dadras|Takeo Nakayama|Masahiro Kihara|Masako Ono?Kihara|SeyedAhmad SeyedAlinaghi|Fateme Dadras
|
The prevalence and associated factors of adverse pregnancy outcomes among Afghan women in Iran; Findings from community-based survey
| 2,021 |
Kyoto University|Kyoto University|Kyoto University|Kyoto University|Iranian Institute for Health Sciences Research|Tehran University of Medical Sciences|University of Tehran
|
backgrounds estimated 25 million afghans living iran almost half young women childbearing ages although evidence indicates lower rates antenatal care higher incidence pregnancy complications afghan compared iranian women underlying reasons well defined therefore present study aimed explore prevalence associated sociodemographic factors adverse pregnancy outcomes examine impact intimate partner violence food insecurity poor mental health housing issues pregnancy outcome afghan women living iran methods july 2019 enrolled 424 afghan women aged 1844 years old using timelocation sampling three community health centers south region tehran province data collected face face interviews using researcherdeveloped questionnaire using bivariate multivariate analysis impact poor antenatal care intimate partner violence food insecurity poor mental health assessed incidence adverse pregnancy outcome results half 566 afghan women reported least one pregnancy complication recent pregnancy results showed undocumented illiterate unemployed afghan women lower socioeconomic status likely experience adverse pregnancy outcomes furthermore observed lower prevalence adverse pregnancy outcomes among documented immigrants health insurance compared health insurance also found food insecurity adjusted 335 95 ci 134836 poor antenatal care adjusted 1050 95 ci 5402039 intimate partner violence adjusted 272 95 ci 110677 poor mental health adjusted 477 95 ci 254894 could adversely impact pregnancy outcome observed higher incidence adverse outcomes among suffering situations conclusion knowledge first study explored prevalence associated factors adverse pregnancy outcomes impact intimate partner violence food insecurity poor mental health pregnancy outcome among afghan women iran enhancing psychosocial support empowering afghan women expanding social network safety net priority central government international parties psychological counseling incorporated routine maternity care afghan refugees access free antenatal care right afghan women facilitated universal health insurance afghans regardless legal status
|
https://doi.org/10.1016/j.sbspro.2012.11.349
|
Somayeh Esmaeilzadeh|Hasan Ashrafi-rizi|Leila Shahrzadi|Firozeh Mostafavi
|
A survey on adolescent health information seeking behavior related to high-risk behaviors in a selected educational district in Isfahan
| 2,018 |
Isfahan University of Medical Sciences|Isfahan University of Medical Sciences|Isfahan University of Medical Sciences|Isfahan University of Medical Sciences
|
backgrounds characteristics conditions growth development made adolescence one vital influential ages prevention health promotion especially area highrisk behaviors accordingly aim study determine adolescent health information seeking behavior related highrisk behaviors selected educational district isfahan iran methodology present study applied type conducted using survey research method statistical population consisted adolescent students public schools isfahan 6519 subjects sample size determined 364 based cochrans formula sampling method cluster sampling type data collection tool researchermade questionnaire validity questionnaire approved medical librarians using cronbachs alpha method reliability obtained 085 spss 16 software used data analysis two statistical levels descriptive inferential independent ttest onesample ttest chisquare pearson correlation coefficient mannwhitney findings lack mobility important health information need related adolescent highrisk behaviors important sources obtain health information related highrisk behaviors internet mean score 369 virtual social media mean score 349 5 adolescents positive attitude towards health information important barriers seeking health information mentioned follows difficulty determining quality information found absence appropriate information concerns disclosure problems illness others perspective adolescents important criterion evaluation information quality trueness correctness information need health information related highrisk behaviors higher girls boys conclusionssignificance considering adolescents positive attitude towards use health information necessary put valid information disposal different information resources taking account level information literacy accordingly medical librarians abilities suggested used production evaluation introduction healthrelated reading materials field highrisk behaviors easy language suitable adolescents
|
https://doi.org/10.1177/1469787407086744
|
Timothy Heeren|Robert M. Joseph|Elizabeth N. Allred|T. Michael O’Shea|Alan Leviton|Karl Kuban
|
Cognitive functioning at the age of 10 years among children born extremely preterm: a latent profile approach
| 2,017 |
Boston University|Boston University|Boston Children's Hospital|University of North Carolina at Chapel Hill|Boston Children's Hospital|Boston Medical Center
|
backgroundschoolage children born extremely preterm ep likely term peers multiple neurocognitive limitations identify subgroups ep children share similar profiles measures intelligence quotient iq executive function ef describe nature prevalence cognitive impairment ep childrenmethodson basis measures iq ef subgroups ep children common neurocognitive function identified using latent profile analysis lpa basis subgroups describe nature prevalence impairment ep children examine associations cognitive function gestational age academic achievement classification neurocognitive function using iq ef compared standard classification based iq zscoresresultslpa identified four neurocognitive profiles ep children 34 ep children classified normal 41 lownormal 17 moderately impaired 8 severely impaired impaired children exhibited global impairment across cognitive domains whereas children lownormal group tended impaired inhibition relative reasoning working memory skillsconclusionwithin categories ep children defined terms iq substantial variation ef thus iq ef assessments needed describing schoolage outcome ep children
|
https://doi.org/10.1016/j.compedu.2020.103897
|
Chiu?Chu Lin|Chao?Chuan Wu|Robert M. Anderson|Ching S. Chang|Sen Chang|Shang?Jyh Hwang|H.-C. Chen
|
The chronic kidney disease self-efficacy (CKD-SE) instrument: development and psychometric evaluation
| 2,012 |
Kaohsiung Medical University|Fooyin University|University of Michigan–Ann Arbor|Kaohsiung Medical University|Changhua Christian Hospital|Kaohsiung Medical University|Kaohsiung Medical University|Kaohsiung Medical University Chung-Ho Memorial Hospital
|
backgroundselfmanagement associated positive health outcomes among adults chronic kidney disease ckd perceived diseaserelated selfefficacy dse considered critical component successful selfmanagement chronic disease valid reliable instrument measuring ckd patients selfefficacy needed study aims develop test new instrument measure dse patients early stage ckd
|
https://doi.org/10.1111/1467-9817.12246
|
Paul C. Schroy|Karen M. Emmons|Ellen Peters|Julie T. Glick|Patricia A. Robinson|Maria A. Lydotes|Shamini Mylvaganam|Alison Coe|Clara A. Chen|Christine E. Chaisson|Michael Pignone|Marianne N. Prout|Peter Davidson|Timothy Heeren
|
Aid-Assisted Decision Making and Colorectal Cancer Screening
| 2,012 |
Boston University|Dana-Farber Cancer Institute|The Ohio State University|Boston University|Boston University|Boston University|Boston University|Boston University|Boston University|Boston University|University of North Carolina at Chapel Hill|Boston University|Boston University|Boston University
|
backgroundshared decision making sdm widely recommended yet unproven strategy increasing colorectal cancer crc screening uptake previous trials decision aids increase sdm crc screening uptake yielded mixed resultspurposeto assess impact decision aidassisted sdm crc screening uptakedesignrctsettingparticipantsthe study conducted urban academic safetynet hospital community health center 2005 2010 participants asymptomatic averagerisk patients aged 5075 years due crc screeninginterventionstudy participants n825 randomized one two intervention arms decision aid plus personalized risk assessment decision aid alone control arm interventions took place prior routine office visit primary care providersmain outcome measuresthe primary outcome completion crc screening test within 12 months study visit logistic regression used identify predictors test completion mediators intervention effect analysis completed 2011resultspatients decisionaid group likely complete screening test control patients 431 vs 348 p0046 within 12 months study visit conversely test uptake decision aid decision aid plus personalized risk assessment arms similar 431 vs 371 p015 assignment decisionaid arm aor148 95 ci104 210 black race aor152 95 ci112 206 preference patientdominant decisionmaking approach aor155 95 ci102 235 independent determinants test completion activation screening discussion enhanced screening intentions mediated intervention effectconclusionsdecision aidassisted sdm modest impact crc screening uptake decision aid plus personalized risk assessment tool effective decision aid alonetrial registrationthis study registered wwwclinicaltrialsgov nct00251862 shared decision making sdm widely recommended yet unproven strategy increasing colorectal cancer crc screening uptake previous trials decision aids increase sdm crc screening uptake yielded mixed results assess impact decision aidassisted sdm crc screening uptake rct study conducted urban academic safetynet hospital community health center 2005 2010 participants asymptomatic averagerisk patients aged 5075 years due crc screening study participants n825 randomized one two intervention arms decision aid plus personalized risk assessment decision aid alone control arm interventions took place prior routine office visit primary care providers primary outcome completion crc screening test within 12 months study visit logistic regression used identify predictors test completion mediators intervention effect analysis completed 2011 patients decisionaid group likely complete screening test control patients 431 vs 348 p0046 within 12 months study visit conversely test uptake decision aid decision aid plus personalized risk assessment arms similar 431 vs 371 p015 assignment decisionaid arm aor148 95 ci104 210 black race aor152 95 ci112 206 preference patientdominant decisionmaking approach aor155 95 ci102 235 independent determinants test completion activation screening discussion enhanced screening intentions mediated intervention effect decision aidassisted sdm modest impact crc screening uptake decision aid plus personalized risk assessment tool effective decision aid alone
|
https://doi.org/10.1007/s11145-019-09957-4
|
M. Priegue|Alejandro Almuedo|I. Hernanz Rodriguez|Oriol Rovira|Nuria García?Agua Soler|Carlos A. Pardo|Núria Pola|Pilar Tornos Mas|Pilar Modamio|Eduardo L. Mariño
|
Pharmacist intervention in patients receiving treatment for Chagas disease: An emerging challenge for non-endemic countries
| 2,017 |
Hospital General de Granollers|Hospital General de Granollers|Hospital Clínic de Barcelona|Hospital General de Granollers|Hospital General de Granollers|Hospital General de Granollers|Hospital General de Granollers|Hospital General de Granollers|Universitat de Barcelona|Universitat de Barcelona
|
backgroundspain second highest number chagas diseaseinfected patients among nonendemic countries however limited knowledge pharmacist involvement managing patients chagas diseasemethoda retrospective observational study performed two periods intervention describe characteristics patients chagas disease pharmacist intervention based two pharmacistvisit programs development information patients applied patients pharmacological treatment nonendemic country depending initial results 20102011 specific pharmacist attention program patients chagas disease implemented 2012 results 20102011 intervention 2013 intervention comparedresultsa high number adverse drug reactions reported periods 500 20102011 vs 909 2013 regard treatment completion 20102011 60 achieved treatment completion criteria 95 days treatment vs 682 2013 p 0580 however significant increase detection adrs second period 500 vs 909 p 0003 increase severity 75 68 uncompleted treatments due adrs vs 100 77 first second period respectivelyconclusionsthis study useful provide information patients chagas disease provide pharmacist interventioninformation material patients detect point improvement hospital followup care although possible demonstrate statistically significant result believe pharmacist intervention includes indepth patient information possible adrs management could increase adherence treatment completion rates addition pharmacist intervention helped better detect control adrs could lead generating better health outcomes chagas disease although patients health literacy evaluated would potential avenue future research
|
https://doi.org/10.3389/fpsyg.2014.01224
|
Tarsicio Uribe?Leitz|BA Joshua Jaramillo|Lydia R. Maurer|BE Rui Fu|Micaela Esquivel|Atul A. Gawande|Alex B. Haynes|Thomas Weiser
|
Variability in mortality following caesarean delivery, appendectomy, and groin hernia repair in low-income and middle-income countries: a systematic review and analysis of published data
| 2,016 |
Stanford Medicine|Stanford University|Stanford University|Stanford University|Stanford Medicine|Brigham and Women's Hospital|Massachusetts General Hospital|Ariadne Diagnostics (United States)|Stanford Medicine
|
backgroundsurgical interventions occur lower rates resourcepoor settings complication death rates following surgery probably substantial well quantified deeper understanding outcomes crucial step ensure high quality accompanies increased global access surgical care aimed assess surgical mortality following three common surgical procedurescaesarean delivery appendectomy groin inguinal femoral hernia repairto quantify potential risks expanding access without simultaneously addressing issues quality safetymethodswe collected demographic health economic data 113 countries classified low income lowermiddle income world bank 2005 systematic review ovid medline pubmed scopus jan 1 2000 jan 15 2015 identify studies countries reporting allcause mortality following three commonly undertaken operations reports governmental agencies also identified included modelled surgical mortality rates countries without reported data using twostep multiple imputation method first used fully conditional specification fcs multiple imputation method establish complete datasets missing variables considered potentially predictive surgical mortality used regressionbased predictive mean matching imputation methods specified within multiple imputation fcs method selected predictors operation using completed dataset predict mortality rates along confidence intervals countries without reported mortality data account variability data availability aggregated results subregion estimated surgical mortality ratesfindingsfrom initial 1302 articles reports identified 247 fulltext articles met inclusion criteria 124 provided data surgical mortality least one three selected operations identified 42 countries mortality data least one three procedures median reported mortality 79 per 1000 operations caesarean delivery iqr 28199 22 per 1000 operations appendectomy 00172 49 per 1000 operations groin hernia 00117 perioperative mortality estimates subregion ranged 28 south asia 502 east asia per 1000 caesarean deliveries 24 south asia 540 central subsaharan africa per 1000 appendectomies 03 andean latin america 255 southern subsaharan africa per 1000 hernia repairsinterpretationallcause postoperative mortality rates exceedingly variable within resourceconstrained environments efforts expand surgical access provision services must include strong commitment improve safety quality carefundingnone
|
https://doi.org/10.1525/collabra.197
|
Janni Strøm|Merete Bjerrum|Claus Vinther Nielsen|Cecilie N. Thisted|Tove Lise Nielsen|Malene Laursen|Lene Bastrup Jørgensen
|
Anxiety and depression in spine surgery—a systematic integrative review
| 2,018 |
Regionshospitalet Silkeborg|Aarhus University|Aarhus University|Aarhus University|Central Denmark Region|Aarhus University|Central Denmark Region|Aarhus University|VIA University College|Regionshospitalet Silkeborg|Aarhus University|Central Denmark Region
|
backgroundsymptoms preoperative anxiety depression occur approximately onethird patients chronic back pain undergoing surgery last 2 decades several studies established preoperative anxiety depression important outcome predictors greater pain physical impairments lower healthrelated quality life patients undergoing spine surgery accommodate symptoms anxiety depression thereby better surgical outcomes need identify factors associated symptomspurposewe aimed identify factors associated symptoms anxiety depression adults undergoing spinal surgerystudy designan integrative literature review carried outmethodsthe independent charity helsefonden supported literature review contributing 45000 remunerate dedicated investigator systematic literature search conducted pubmed cinahl psycinfo embase scopus cochrane web science threestep selection assessment process conducted titles abstracts 1124 articles skimmed relevance 53 articles found relevance read full articles meeting inclusion criteria n26 excluded 31 articles critically appraised methodological validity 14 synthesized analyzed using convergent qualitative design transform qualitative quantitative articles qualitative findingsresultsfourteen studies included reporting results based 4833 participants 3017 men 1816 women whose mean age approximately 49 years results extracted 75 individual findings divided five categories factors associated anxiety depression undergoing spine surgery pain information disability employment mental healthconclusionsfive categories interacting factors influenced symptoms anxiety depression surgery identified pain lack information disability return work mental health information appears regulating effect anxiety depression
|
https://doi.org/10.3390/su13063115
|
Sarah Gibney|Gerardine Doyle
|
Self-rated health literacy is associated with exercise frequency among adults aged 50+ in Ireland
| 2,017 |
University College Dublin|University College Dublin
|
backgroundthe aim study investigate relationship selfrated health literacy selfreported exercise frequency among people aged 50 ireland
|
https://doi.org/10.1212/wnl.0000000000000433
|
Manoj Murhekar|P Kamaraj|Muthusamy Santhosh Kumar|Siraj Ahmed Khan|Ramesh Reddy Allam|Pradip Barde|Bhagirathi Dwibedi|Suman Kanungo|Uday Mohan|Suman Sundar Mohanty|Subarna Roy|Vivek Sagar|Deepali Savargaonkar|Babasaheb V. Tandale|Roshan Kamal Topno|Gajanan Sapkal|C. P. Girish Kumar|R. Sabarinathan|Velusamy Saravana Kumar|Sailaja Bitragunta|Gagandeep Singh Grover|P V M Lakshmi|Chandra Mauli Mishra|Provash Chandra Sadhukhan|Prakash Kumar Sahoo|Shweta Singh|Chander Prakash Yadav|Asha Bhagat|Rashi Srivastava|Elangovan Ramya Dinesh|T. Karunakaran|C Govindhasamy|T Daniel Rajasekar|A. Jeyakumar|Suresh Arunachalam|D Augustine|Pankaj Kumar|Rajesh Kumar|Shanta Dutta|G S Toteja|Nivedita Gupta|Sanjay Mehendale
|
Burden of dengue infection in India, 2017: a cross-sectional population based serosurvey
| 2,019 |
National Institute of Epidemiology|Indian Council of Medical Research|National Institute of Epidemiology|Indian Council of Medical Research|National Institute of Epidemiology|Indian Council of Medical Research|Regional Medical Research Centre|Science Health Allied Research Education|National Institute for Research in Tribal Health|Regional Medical Research Centre|National Institute of Cholera and Enteric Diseases|King George's Medical University|National Institute for Implementation Research on Non-Communicable Diseases|Post Graduate Institute of Medical Education and Research|National Institute of Malaria Research|ICMR-National Institute of Virology|Rajendra Memorial Research Institute of Medical Sciences|ICMR-National Institute of Virology|National Institute of Epidemiology|Indian Council of Medical Research|National Institute of Epidemiology|Indian Council of Medical Research|National Institute of Epidemiology|Indian Council of Medical Research|Science Health Allied Research Education|Post Graduate Institute of Medical Education and Research|King George's Medical University|National Institute of Cholera and Enteric Diseases|Regional Medical Research Centre|King George's Medical University|National Institute of Malaria Research|ICMR-National Institute of Virology|ICMR-National Institute of Virology|National Institute of Epidemiology|Indian Council of Medical Research|National Institute of Epidemiology|Indian Council of Medical Research|National Institute of Epidemiology|Indian Council of Medical Research|National Institute of Epidemiology|Indian Council of Medical Research|National Institute of Epidemiology|Indian Council of Medical Research|National Institute of Epidemiology|Indian Council of Medical Research|National Institute of Epidemiology|Indian Council of Medical Research|National Institute of Epidemiology|Indian Council of Medical Research|Post Graduate Institute of Medical Education and Research|National Institute of Cholera and Enteric Diseases|National Institute for Implementation Research on Non-Communicable Diseases|Indian Council of Medical Research|Indian Council of Medical Research
|
backgroundthe burden dengue virus denv infection across geographical regions india poorly quantified estimated agespecific seroprevalence force infection number infections indiamethodswe communitybased survey 240 clusters 118 rural 122 urban selected 60 districts 15 indian states five geographical regions enumerated cluster randomly selected andriod application developed specifically survey 25 individuals age groups 58 years 917 years 1845 years sampled minimum 11 individuals age group 25 randomly selected individuals age group visited houses individuals consented survey included study age inclusion criterion purpose enumeration individuals residing household 6 months included sera tested centrally laboratory team scientific technical staff igg antibodies denv use indirect elisa calculated age group specific seroprevalence constructed catalytic models estimate force infectionfindingsfrom june 19 2017 april 12 2018 randomly selected 17 930 individuals three age groups blood samples collected tested 12 300 individuals 58 years n4059 917 years n4265 1845 years n3976 overall seroprevalence denv infection india 487 95 ci 435540 increasing 283 215362 among children aged 58 years 410 324501 among children aged 917 years 562 490631 among individuals aged 1845 years seroprevalence high southern 769 691832 western 623 553688 northern 603 493705 regions estimated number primary denv infections constant force infection model 12 991 357 12 825 12813 130 258 agedependent force infection model 8 655 425 7 243 6309 545 052 among individuals aged 545 years 30 indian states 2017interpretationthe burden dengue infection india heterogeneous evidence high transmission northern western southern regions survey findings useful making informed decisions introduction upcoming dengue vaccines indiafundingindian council medical research
|
https://doi.org/10.1007/s11218-017-9392-z
|
Yogender Singh Kadian|Anjali Verma|Pradeep Kajal|Nirmala Duhan
|
CONGENITAL HYDROCEPHALUS- AN EPIDEMIOLOGICAL STUDY OF MATERNAL CHARACTERISTICS IN A TERTIARY CARE CENTRE
| 2,017 |
Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences|Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences
|
backgroundthe epidemiology congenital hydrocephalus unclearalthough various risk factors like maternal age maternal illness child factors studied past still gap knowledge regarding maternal risk factors associated congenital hydrocephalus literaturethe objective study measure risk factor proportions mothers among population tertiary care centre materials methodsa recordbased retrospective descriptive study secondary data analysis done medical case records women delivered babies congenital hydrocephalus jan 2006 dec 2016maternal epidemiological characteristics maternal age parity place residence educational status well birth characteristics studied analysed using appropriate statistical methods resultsa total 123 babies born congenital hydrocephalus study periodmost mothers study second gravida 5691 rural based 7479 women 2130 years 8048 agearound 6016 women educated 10 th grade 4146 homemakersall 5 women vaginal birthsmale babies 5203 6478 babies weighed 2 kg birth conclusionyoung women rural areas low literacy bearing second babies prone deliver babies congenital hydrocephalus
|
https://doi.org/10.1111/cge.12618
|
Francesco Burchi
|
Whose education affects a child’s nutritional status? From parents' to household's education
| 2,012 |
Roma Tre University
|
backgroundthe paper engages ongoing debate regarding determinants child nutrition developing countries stresses potential contribution education household members childs parents objectivethe aim paper threefold 1 verify whether evidence key role parents education childrens nutrition 2 explore possible presence externalities generated literacy household members different childs parents 3 test whether difference influence variables two indicators child nutrition child heightforage weightforage methodsthe determinants child nutrition analyzed estimating series econometric models ols regressions applied data 2003 dhs survey mozambiqueby means seemingly unrelated regression together formal testing compared impact covariates two outcomes resultsin line previous studies find one year mothers education increases childrens heightforage weightforage zscores nearly 0025 0015the presence another literate household member significant though limited effect child height influence child weightlastly statistically significant difference effect parents education two indicators measure proximate literacy significantly larger impact child height conclusionsthese findings orient policymakers toward incomeaugmenting educationenhancing policies importance nonparents literacy opens space investment education
|
https://doi.org/10.1055/s-0035-1549104
|
Emeka Ray?Offor|NJ Jebbin
|
Risk Factors for Inadequate Bowel Preparation During Colonoscopy in Nigerian Patients
| 2,021 |
University of Port Harcourt Teaching Hospital|University of Port Harcourt Teaching Hospital
|
backgroundthe past decades witnessed introduction various innovative technologies colon study colonoscopya wellprepared bowel crucial effective utilizationan inadequate bowel preparation colonoscopy associated increased technical difficulties enhanced risks perforation longer examination durations reduced adenoma detection rates additional costs related repeated colonoscopiesthere paucity literature africa multiple patient factors affect quality bowel preparation hence need identify patients risk inadequate bowel preparation allow diligence special group aimto study risk factors inadequate bowel preparation colonoscopy identify group patients need intensified preparation nigerian population methodsa casecontrol study consecutive patients undergoing colonoscopy open accessreferralbased multidisciplinary endoscopy facility port harcourt metropolis nigeria march 2014 november 2020consecutive adult patients underwent colonoscopy inadequate bowel preparation irrespective indication retrospectively identifiedeach case inadequate bowel preparation using particular bowel preparation agent matched next colon study adequate bowel preparation control agent 11 ratiothe variables collated age gender literacy level colonoscopy indication medical history bowel preparation agent timing endoscopy outcomestatistical analysis performed using statistical package social sciences spss version 25 ibm corp armonk ny resultsthere 143 cases inadequate bowel preparation colonoscopy included study equal number control cases adequate bowel preparationthe age patients ranged 24 years 92 yearsbleeding per rectum 122427and screening colorectal cancer 67234were leading indications colonoscopy study patientsbivariate analysis cases controls revealed significant difference educational status comorbidity hypertension constipation p 001 p 0082 p 0143 respectivelyin multivariate analysis risk factors odds ratio secondary level education 254 95 confidence interval ci 150430p 0001 hypertension 164 95 ci 098273p 0058 constipation 127 95 ci 052310p 0598 conclusionthe educational status patients strong risk factor associated inadequate bowel preparation colonoscopy nigerian populationthere need effective patient education especially patients low literacy level
|
https://doi.org/10.1186/s12909-016-0616-2
|
Jennifer Kim|Fengxiu Ouyang|Jacqueline A. Pongracic|Yuan Fang|Yuanyuan Zhang|Liang Xue|Xing Huang|Deanna Caruso|Xin Liu|Shanchun Zhang|Xiping Xu|Xiaobin Wang
|
Dissociation between the prevalence of atopy and allergic disease in rural China among children and adults
| 2,008 |
Lurie Children's Hospital|Lurie Children's Hospital|Lurie Children's Hospital|Anhui Medical University|Lurie Children's Hospital|Anhui Medical University|Anhui Medical University|Lurie Children's Hospital|Lurie Children's Hospital|Lurie Children's Hospital|University of Illinois at Chicago|Lurie Children's Hospital
|
backgroundthe prevalence allergic diseases increasing worldwide reasons well understood previous studies suggest trend might associated lifestyle urbanizationobjectivewe sought describe patterns sensitization allergic disease unselected agricultural chinese populationmethodsthe data derived communitybased twin study anqing china skin prick tests performed foods aeroallergens atopy defined sensitization 1 allergens allergic disease ascertained means selfreport analysis stratified sex age children 1117 years adults 18 years included 1059 samesex twin pairsresultsof 2118 subjects 576 male n 1220 ages ranged 11 71 years 433 children n 918 atopy observed 472 n 999 participants common sensitizing foods shellfish 167 peanut 123 common sensitizing aeroallergens dust mite 306 cockroach 252 birth order zygosity effect sensitization rates multivariate logistic regression models revealed risk factors sensitization include age foods sex aeroallergens rates food allergy asthma estimated less 1conclusionsatopic sensitization common rural farming chinese population particularly shellfish peanut dust mite cockroach prevalence allergic disease contrast quite low prevalence allergic diseases increasing worldwide reasons well understood previous studies suggest trend might associated lifestyle urbanization sought describe patterns sensitization allergic disease unselected agricultural chinese population data derived communitybased twin study anqing china skin prick tests performed foods aeroallergens atopy defined sensitization 1 allergens allergic disease ascertained means selfreport analysis stratified sex age children 1117 years adults 18 years included 1059 samesex twin pairs 2118 subjects 576 male n 1220 ages ranged 11 71 years 433 children n 918 atopy observed 472 n 999 participants common sensitizing foods shellfish 167 peanut 123 common sensitizing aeroallergens dust mite 306 cockroach 252 birth order zygosity effect sensitization rates multivariate logistic regression models revealed risk factors sensitization include age foods sex aeroallergens rates food allergy asthma estimated less 1 atopic sensitization common rural farming chinese population particularly shellfish peanut dust mite cockroach prevalence allergic disease contrast quite low
|
https://doi.org/10.1177/1077801208319283
|
Dinesh Neupane|Craig S. McLachlan|Rupesh Gautam|Shiva Raj Mishra|Michael Thorlund|Mette Schlütter|Per Kallestrup
|
Literacy and motivation for the prevention and control of hypertension among female community health volunteers: a qualitative study from Nepal
| 2,015 |
Aarhus University|UNSW Sydney|University of Southern Denmark|Nepal Red Cross Society|Aalborg University|Aarhus University|Aarhus University
|
backgroundthe prevalence hypertension increasing nepal thus need programme improve primary healthcare one possibility assign prevention diagnosis treatment hypertension female community health volunteers fchvsobjectiveto assess literacy motivation involved hypertension prevention control programme nepal among fchvsdesignfive focus group discussions fgds conducted total 69 fchvs lekhnath municipality kaski district nepal seven themes developed basis data collection 1 knowledge hypertension 2 risk factors hypertension 3 prevention control hypertension 4 access treatment hypertension community 5 learning blood pressure measurement 6 ability raise blood pressure awareness community 7 possible challenges future involvement data analysed using thematic analysis approachresultsfchvs knowledge diagnosis risk factors complications hypertension general unanimity observed understanding hypertension risk factors needed addressed willingness fchvs contribute prevention control management strong confident basic training could obtain skills hypertension managementconclusionsdespite limited knowledge hypertension fchvs expressed willingness readiness trained hypertension management study supports possibility involving fchvs prevention control hypertension nepal
|
https://doi.org/10.1177/0146621615590401
|
Amy West-Pollak|Eddy Pérez Then|Carlos Podesta|Anne Hedelt|Mary Lou Perry|Wendy V. Izarnotegui|Margarita Perez|Antonio Villegas|Nelson I. Baez|Rimsky Bassa|Gabriella Mendez|Karmina Hernandez|D. Scott Lim|Pedro Ureña|Angela M. Taylor
|
Impact of a novel community-based lifestyle intervention program on type 2 diabetes and cardiovascular risk in a resource-poor setting in the Dominican Republic
| 2,014 |
University of Virginia Health System|University of Virginia Health System|University of Virginia Health System|University of Virginia Health System|University of Virginia Health System|University of Virginia Health System|University of Virginia Health System
|
backgroundthe prevalence type 2 diabetes increasing alarming rate latin america caribbean present evidence costeffective sustainable approach lifestyle modification underdeveloped countries implemented using community members healthcare champions
|
https://doi.org/10.5860/crl.68.3.268
|
Arvind S. Narayanan|Kurt E. Stoll|Lincoln F. Pratson|Feng?Chang Lin|Christopher W. Olcott|Daniel J. Del Gaizo
|
Musculoskeletal Health Literacy is Associated With Outcome and Satisfaction of Total Knee Arthroplasty
| 2,021 |
University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill
|
backgroundthe purpose study investigate association musculoskeletal health literacy outcome satisfaction total knee arthroplasty tkamethodsa crosssectional study performed tertiary center include patients one six years postoperatively primary tka patients provided survey including basic demographics validated musculoskeletal health literacy scale literacy musculoskeletal problems western ontario mcmaster universities osteoarthritis index womac tka satisfaction whether would choose undergo operation patients categorized either low normal health literacy based number questions cutoff 6 9 answered correctly literacy musculoskeletal problems statistical analysis included multivariate regression significance p 05resultsfour hundred fiftythree individuals fully completed survey eligible participants two hundred ninetysix individuals 653 normal health literacy one hundred fiftyseven individuals 347 low health literacy average womac 96 180 197 low 121 154 normal health literacy groups patients low health literacy significantly higher womac worse function normal health literacy p 001 patients normal musculoskeletal health literacy significantly likely undergo operation p 01 odds ratio 2163conclusionthis study shows patients low musculoskeletal health literacy worse outcome scores less likely satisfied tka identifying patients preoperatively emphasis placed enhancing procedure expectations understanding improve outcome measures overall satisfaction
|
https://doi.org/10.1073/pnas.1408777111
|
Maryam Demian|R. Jean Shapiro|Wendy Loken Thornton
|
An observational study of health literacy and medication adherence in adult kidney transplant recipients
| 2,016 |
Simon Fraser University|University of British Columbia|Simon Fraser University
|
backgroundthere high prevalence nonadherence immunosuppressants kidney transplant recipients although limited health literacy common kidney recipients linked adverse outcomes medical populations effect medication adherence kidney transplant recipients remains poorly understood objective investigate effect lower health literacy immunosuppressant adherence
|
https://doi.org/10.1016/j.pec.2013.01.001
|
Holly Peay|Ilene L. Hollin|Ryan Fischer|John F.P. Bridges
|
A Community-Engaged Approach to Quantifying Caregiver Preferences for the Benefits and Risks of Emerging Therapies for Duchenne Muscular Dystrophy
| 2,014 |
Parent Project Muscular Dystrophy|Johns Hopkins University|Parent Project Muscular Dystrophy|Johns Hopkins University
|
backgroundthere growing agreement regulators performing benefitrisk evaluations take patients caregivers preferences consideration patientfocused drug development initiative us food drug administration offers patients caregivers enhanced opportunity contribute regulatory processes offering direct testimonials process may advanced providing scientific evidence regarding treatment preferences engagement broad community patients caregiversobjectivein article demonstrate communityengaged approach measure caregiver preferences potential benefits risks emerging therapies duchenne muscular dystrophy dmdmethodsan advocacy oversight team led communityengaged study caregivers treatment preferences measured using bestworst scaling bws six relevant understandable attributes describing potential benefits risks emerging dmd therapies identified engagement advocates n 5 clinicians n 9 drug developers pharmaceutical companies academic centers n 11 stakeholders n 5 attributes defined across 3 levels included muscle function life span knowledge drug nausea risk bleeds risk arrhythmia cognitive interviewing caregivers n 7 used refine terminology assess acceptability bws instrument study implemented online survey dmd caregivers recruited united states advocacy group snowball sampling caregivers presented 18 treatment profiles identified via maineffect orthogonal experimental design dependent variable respondents judgment best worst feature profile preference weights estimated calculating relative number times feature chosen best worst used estimate relative attribute importanceresultsa total 119 dmd caregivers completed bws instrument predominately biological mothers 672 married 899 white 916 treatment effect muscle function important among experimental attributes 287 followed risk heart arrhythmia 224 risk bleeding 212 additional postapproval data relatively least important attribute 23conclusionswe present model process advocacy organizations aiming promote patientcentered drug development communityengaged approach successfully used develop implement survey measure caregiver preferences caregivers willing accept serious risk balanced noncurative treatment even absent improvement life span preferences inform food drug administrations benefitrisk assessment emerging dmd therapies study highlights synergistic integration traditional advocacy methods scientific approach quantify benefitrisk preferences
|
https://doi.org/10.1017/s1368980015001111
|
Elizabeth Corsentino|Nancy L. Collins|N. Sachs-Ericsson|Dan G. Blazer
|
Religious Attendance Reduces Cognitive Decline Among Older Women With High Levels of Depressive Symptoms
| 2,009 |
Florida State University|Florida State University|Florida State University|Duke University|Duke University Hospital|Duke Medical Center
|
backgroundthere growing evidence regular attendance religious functions associated less cognitive decline cd however little research investigated factors may moderate religious attendancecd relationship present study examined effects gender depressive symptoms relationship religious attendance cd
|
https://doi.org/10.18061/ojs.v114i2.4391
|
Peter Collignon|John J. Beggs|Timothy R. Walsh|Sumanth Gandra|Ramanan Laxminarayan
|
Anthropological and socioeconomic factors contributing to global antimicrobial resistance: a univariate and multivariable analysis
| 2,018 |
Canberra Hospital|Australian National University|Cardiff University|Center for Disease Dynamics, Economics & Policy|Center for Disease Dynamics, Economics and Policy
|
backgroundunderstanding factors driving global antimicrobial resistance limited analysed antimicrobial resistance antibiotic consumption worldwide versus many potential contributing factorsmethodsusing three sources data resistancemap 2014 report antimicrobial resistance contemporary publications created two global indices antimicrobial resistance 103 countries using data 2008 2014 escherichia coli resistancethe global average prevalence e coli bacteria resistant thirdgeneration cephalosporins fluoroquinolones aggregate resistancethe combined average prevalence e coli klebsiella spp resistant thirdgeneration cephalosporins fluoroquinolones carbapenems meticillinresistant staphylococcus aureus antibiotic consumption data obtained iqvia midas database world bank databank used obtain data governance education gross domestic product gdp per capita healthcare spending community infrastructure eg sanitation corruption index derived using data transparency international examined associations antimicrobial resistance potential contributing factors using simple correlation univariate analysis logistic regression model multivariable analysisfindingsin univariate analysis gdp per capita education infrastructure public healthcare spending antibiotic consumption inversely correlated two antimicrobial resistance indices whereas higher temperatures poorer governance ratio private public health expenditure positively correlated multivariable regression analysis confined 73 countries antibiotic consumption data available considering effect changes indices e coli resistance r2 054 aggregate resistance r2 075 better infrastructure p0014 p00052 better governance p0025 p00001 associated lower antimicrobial resistance indices antibiotic consumption significantly associated either antimicrobial resistance index multivariable analysis p064 p0070interpretationreduction antibiotic consumption sufficient control antimicrobial resistance contagionthe spread resistant strains resistance genesseems dominant contributing factor improving sanitation increasing access clean water ensuring good governance well increasing public healthcare expenditure better regulating private health sector necessary reduce global antimicrobial resistancefundingnone
|
https://doi.org/10.1111/1467-9817.00113
|
Sara Evans?Lacko|Elizabeth Corker|Paul Williams|Claire Henderson|Graham Thornicroft
|
Effect of the Time to Change anti-stigma campaign on trends in mental-illness-related public stigma among the English population in 2003–13: an analysis of survey data
| 2,014 |
King's College London|King's College London|King's College London|King's College London|King's College London
|
backgroundunderstanding trends effective mechanisms likely reduce public stigma discrimination towards people mental illness important aimed assess changes public stigma england introduction time change antistigma campaignmethodswe used data 2003 200713 national attitudes mental illness surveys investigate 10year trends public attitudes across england time change antistigma campaign present annual mean scores attitude items related prejudice exclusion tolerance support community care also present extrapolated linear trend line years 200913 estimate population attitude scores without campaign present unadjusted adjusted linear regression models addition used multivariable linear regression models fitted data aggregated region investigate whether doseeffect response exists campaign awareness regional outcomes related knowledge attitudes intended behaviourfindingsabout 1700 respondents surveyed year significant increases positive attitudes related prejudice exclusion occurred time change campaign multivariable analysis noted significant increase positive attitudes relation prejudice exclusion launch time change reversecoded z score 002 95 ci 001 005 p001 tolerance support community care z score 001 001 003 p027 also found evidence doseeffect relation campaign awareness regional improvement knowledge p0004 attitudes tolerance support p00001 prejudice exclusion p0001 intended behaviour p020interpretationthe positive effects time change seem significant moderate although attitudes probably risk deterioration times economic hardship antistigma programmes might still play active part longterm reduction stigma discrimination especially relation prejudice exclusion people mental health problemsfundinguk department health comic relief big lottery
|
https://doi.org/10.3945/ajcn.2009.27684
|
Stella?Maria Paddick|Anna R. Longdon|Aloyce Kisoli|Catherine Dotchin|William K. Gray|Felicity Dewhurst|Paul Chaote|Raj N. Kalaria|Ahmed Jusabani|Richard Walker
|
Dementia prevalence estimates in sub-Saharan Africa: comparison of two diagnostic criteria
| 2,013 |
Newcastle University|Torbay and South Devon NHS Foundation Trust|Kilimanjaro Christian Medical Centre|Northumbria Healthcare NHS Foundation Trust|North Tyneside General Hospital|Newcastle Hospitals - Campus for Ageing and Vitality|Newcastle University|Northumbria Healthcare NHS Foundation Trust|North Tyneside General Hospital|Northumbria Healthcare NHS Foundation Trust|North Tyneside General Hospital|Newcastle University|Newcastle Hospitals - Campus for Ageing and Vitality|Newcastle University|Kilimanjaro Christian Medical Centre|Northumbria Healthcare NHS Foundation Trust|North Tyneside General Hospital|Newcastle University
|
backgroundwe previously reported prevalence dementia older adults living rural hai district tanzania according diagnostic statistical manual mental disorders 4th edition dsmiv criteria aim study compare prevalence rates using dsmiv criteria obtained using 1066 diagnostic criteria specifically designed use low middleincome countriesmethodsin phase 1198 people aged 70 older screened dementia stratified sample 296 clinically assessed dementia according dsmiv criteria addition data collected according protocol 1066 dementia research group allowed separate diagnosis dementia according criteria establishedresultsthe agestandardised prevalence clinical dsmiv dementia 64 95 confidence interval ci 4979 1066 dementia 216 95 ci 175257 education significant predictor 1066 dementia dsmiv dementiaconclusionsthere large discrepancies dementia prevalence rates depending diagnostic system used rural subsaharan africa clear whether association education dementia using 1066 criteria genuine effect result educational bias within diagnostic instrument despite possible flaws dsmiv criteria represent international standard dementia diagnosis 1066 diagnostic criteria may appropriate identification early mild cognitive impairment required
|
https://doi.org/10.1016/j.jid.2016.06.633
|
Linnea R. Goodman|Ursula Balthazar|J. Kim|Jennifer E. Mersereau
|
Trends of socioeconomic disparities in referral patterns for fertility preservation consultation
| 2,012 |
University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill
|
backgroundwhile oncologists aware cancer treatments may impact fertility referral rates fertility preservation consultation fpc remain poor goal study identify predictors associated fpc referral
|
https://doi.org/10.3766/jaaa.17070
|
Andrew Bell|Kelvyn Jones
|
Another 'futile quest'? A simulation study of Yang and Land's Hierarchical Age-Period-Cohort model
| 2,014 |
University of Bristol|University of Bristol
|
backgroundwhilst argue solution ageperiodcohort apc identification problem impossible numerous methodological solutions proposed including yang lands hierarchicalapc hapc model multilevel model considering periods cohorts crossclassified contexts individuals exist
|
https://doi.org/10.1037/a0037621
|
Bahram|- Hamid|Zohre
|
Prevalence of Bacterial Vaginosis and Impact of Genital Hygiene Practices in Non-Pregnant Women in Zanjan, Iran
| 2,009 |
Zanjan University of Medical Sciences|Zanjan University of Medical Sciences|Zanjan University of Medical Sciences
|
bacterial vaginosis one common causes reproductive tract infection rti prevalence influenced many factors aim study determine prevalence bacterial vaginosis impact sexual genital hygienie practices sociodemographic characteristics non pregnant women zanjan province iran500 nonpregnant married women randomly selected study descriptiveanalytic study conducted among nonpregnant referred primry healthcare centres zanjan may august 2006 following gynecological examination vaginal sample collection physicians bacterial vaginosis confirmed nugent criteria tricomoniasis direct microscopy candidiasis direct microscopic observation evaluation presenting clinical signs vulvovaginitisthe prevalence rti 276 162 devoted bacterial vaginosis bv 66 trichomoniasis 48 vulvovaginal candidiasis vvc contrast coital hygiene significant correlation menstrual individual vaginal hygiene bv p001 p0001 respectively significant correlation bv education p0025 number pregnancy p005 method contraception p0005 significant correlation observed age age marriage abortionthe data obtained suggests prevalence rate bv relatively high could affected hygiene behaviors certain sociodemographic characteristics indicate need comprehensive scheduled programs healthcare educations aimed reducing bv prevalence
|
https://doi.org/10.1007/s40489-014-0032-7
|
Md. Mizanur Rahman|Stuart Gilmour|Eiko Saito|Papia Sultana|Kenji Shibuya
|
Health-Related Financial Catastrophe, Inequality and Chronic Illness in Bangladesh
| 2,013 |
The University of Tokyo|University of Rajshahi|The University of Tokyo|The University of Tokyo|University of Rajshahi|The University of Tokyo
|
bangladesh high proportion households incurring catastrophic health expenditure limited risk sharing mechanisms identifying determinants outofpocket oop payments catastrophic health expenditure may reveal opportunities reduce costs protect households financial riskthis study investigates determinants high healthcare expenditure healthcare related financial catastrophea crosssectional household survey conducted rajshahi city bangladesh 2011 catastrophic health expenditure estimated separately based capacity pay proportion nonfood expenditure determinants oop payments financial catastrophe estimated using double hurdle poisson regression models respectivelyon average households spent 11 total budgets health half residents spent 7 monthly per capita consumption expenditure one illness nearly 9 households faced financial catastrophe poorest households spent less health four times higher risk catastrophe richest households risk financial catastrophe level oop payments higher users inpatient outpatient public private facilities respectively compared using selfmedication traditional healers determinants oop payments catastrophic expenses economic status presence chronic illness household illness among children adultshouseholds received inpatient outpatient private care experienced highest burden health expenditure poorest members community also face large often catastrophic expenses chronic illness management crucial reducing total burden disease household associated increased risk level oop payments catastrophic expenses households protected situations reducing health systems dependency oop payments providing financial risk protection
|
https://doi.org/10.5812/atr.18161
|
Fatema Khatun|Syed Manzoor Ahmed Hanifi|Mohammad Iqbal|Sabrina Rasheed|Mustafizur Rahman|Tanvir Ahmed|Sami Hoque|Tamanna Sharmin|Nazib Uz Zaman Khan|Shehrin Shaila Mahmood|David H. Peters|Abbas Bhuiya
|
Prospects of mHealth Services in Bangladesh: Recent Evidence from Chakaria
| 2,014 |
Australian Institute of Business|UNSW Sydney|International Centre for Diarrhoeal Disease Research|International Centre for Diarrhoeal Disease Research|International Centre for Diarrhoeal Disease Research|International Centre for Diarrhoeal Disease Research|International Centre for Diarrhoeal Disease Research|University of Dhaka|International Centre for Diarrhoeal Disease Research|International Centre for Diarrhoeal Disease Research|International Centre for Diarrhoeal Disease Research|International Centre for Diarrhoeal Disease Research|International Centre for Diarrhoeal Disease Research|Johns Hopkins University|International Centre for Diarrhoeal Disease Research
|
bangladesh serious shortage qualified health workforce limited numbers trained service providers based urban areas limits access quality healthcare rural population mhealth provides new opportunity ensure access quality services population recent review suggested 19 mhealth initiatives country paper reports findings peoples knowledge perception use cost compliance advice received mhealth services study carried 201213 chakaria rural subdistrict bangladesha total 4915 randomlychosen respondents aged 18 years interviewedhousehold ownership mobile phones study area increased 2 2004 81 2012 45 respondents reported mobile phones thirtyone percent respondents aware use mobile phones healthcare people aware available mhealth services males younger age group better educated richer households knowledgeable existing mhealth services among respondents sought healthcare preceding two weeks survey 2 used mobile phones healthcare adherence advice healthcare providers terms purchasing taking drugs somewhat similar patients used mobile phone consultation versus making physical visitthe high penetration mobile phones society provides unique opportunity use mhealth technology consulting healthcare providers although knowledge existence mhealth services low encouraging compliance prescriptions almost similar advice received mobile phone physical visits study revealed clear indications society looking forward embracing mhealth technology
|
https://doi.org/10.1016/j.lindif.2005.01.003
|
Md. Sadequr Rahman
|
Climate Change, Disaster and Gender Vulnerability: A Study on Two Divisions of Bangladesh
| 2,013 |
Polytechnic University of Bari|University of Barisal
|
bangladesh become synonymous climate change induced natural disasters environmental consequences climate change affect men women differently research reveals disasters reinforce perpetuate increase gender inequality making bad situations worse women people classes especially poor vulnerable group experience disasters addition compare men poor women seriously affected climate changeinduced environmental degradation natural disasters bangladesh paper tries explore condition women disaster special vulnerabilities coping mechanism disastrous situation secondary primary data used analyzed identify overall condition hazardous situation study indicates women affected severely endure vulnerability surreptitiously hardly show remonstration imply effects climate changerelated events women quite conspicuous compared male counterpart
|
https://doi.org/10.1016/j.jand.2013.11.003
|
Md. Aminul Haque|Shelby Yamamoto|Ahmad Azam Malik|Rainer Sauerborn
|
Households' perception of climate change and human health risks: A community perspective
| 2,012 |
Heidelberg University|Heidelberg University|Heidelberg University|Heidelberg University
|
bangladesh identified one vulnerable countries world concerning adverse effects climate change cc however little known perception cc community important developing adaptation strategiesthe study crosssectional survey respondents two villagesone northern part southern part bangladesh total 450 households selected randomly multistage sampling completed semistructure questionnaire supplemented 12 focus group discussions fgds 15 key informant interviews kiisover 95 percent respondents reported heat summers increased 802 percent reported rainfall decreased compared previous experiences approximately 65 percent reported winters warmer previous years still experienced erratic severe cold winter 57 days restricted activities destructive effect agricultural production everyday life health people fgds kiis also reported overall winters warmer eighty point two percent 725 percent 547 percent survey respondents perceived frequency water heat cold related diseaseshealth problems respectively increased compared five ten years ago fgds kiis respondents also reported samerespondents clear perceptions changes heat cold rainfall occurred last five ten years local perceptions climate variability cv included increased heat overall warmer winters reduced rainfall fewer floods effects cv mostly negative terms means living human health agriculture overall livelihoods local perceptions cv consistent evidence regarding vulnerability bangladesh cc findings used formulate appropriate sector programs interventions systematic collection information allow scientists researchers policy makers design implement appropriate adaptation strategies cc countries especially vulnerable
|
https://doi.org/10.1093/cercor/bhy178
|
Shiuly Chowdhury|LA Banu|Tufayel Ahmed Chowdhury|Sayed Rubayet|Sahib Khatoon
|
Achieving Millennium Development Goals 4 and 5 in Bangladesh
| 2,011 |
Dhaka Community Hospital Trust|Dhaka Medical College and Hospital|Bangladesh Institute of Research and Rehabilitation for Diabetes Endocrine and Metabolic Disorders|Save the Children|Dhaka Medical College and Hospital
|
bangladesh made commendable progress achieving millennium development goals mdgs 4 5 since 1990 remarkable reduction maternal child mortality estimated 57 reduction child mortality 66 maternal mortality review highlights whereas bangladesh track achieving mdg 4 5a progress universal access reproductive health 5b yet required pace achieve targets set 2015 addition bangladesh needs enhance activities improve newborn health promote skilled attendance birth
|
https://doi.org/10.19044/esj.2016.v13n3p279
|
Md Abu Siddique
|
Gender issues in poverty alleviation: a case study of Bangladesh
| 1,998 |
University of Western Australia
|
bangladesh one poorest countries world 198889 48 per cent rural 44 per cent urban households daily per capita consumption less 2122 calories cutoff point absolute poverty bangladesh although poverty prevalent amongst men well women far women suffer poverty due low socioeconomic status social customs religious beliefs play dominant role shaping societys attitudes towards women household level status significantly varies educated uneducated employed unemployed rural urban women one excludes small numbers successful women educated andor active workforce women inferior status men economically dependent men even basic necessities life food shelter clothing medicine bound various social customs made men every facet life including decision making determined men central purpose paper examine issues relating poverty women bangladesh analyse dimensions poverty bangladesh evaluate steps taken various governmental nongovernmental agencies alleviate poverty women examine impact steps changing status women bangladesh
|
https://doi.org/10.1186/s12887-016-0677-8
|
Karar Zunaid Ahsan|Shams El Arifeen|Md. Abdullah Al-Mamun|Shusmita Khan|Nitai Chakraborty
|
Effects of individual, household and community characteristics on child nutritional status in the slums of urban Bangladesh
| 2,017 |
University of North Carolina at Chapel Hill|International Centre for Diarrhoeal Disease Research|International Centre for Diarrhoeal Disease Research|University of North Carolina at Chapel Hill|University of Dhaka
|
bangladesh urban population expected overtake rural population 2040 significant part increase slums wide disparities urban slums rest country potentially push country indicators track unless specific health nutrition needs expanding slum communities addressed study aims describing individual household community determinants undernutrition status among children living major urban strata viz city corporation slums nonslums order understand major drivers childhood undernutrition urban slum settingsdata derived bangladesh urban health survey conducted 2013 survey largescale nationally representative urban areas household survey designed specifically provide health nutrition status women children urban bangladeshdata showed 50 under5 children slums stunted 43 underweight whereas nonslums rates 33 26 respectively terms severity proportion under5 children living slums severely underweight stunted nearly double children living nonslums logistic analyses indicate mothers education childs age households socioeconomic status significantly affects stunting underweight levels among children living urban slums logistic models also indicate individuallevel characteristics except exposure mass media mothers working outside home significantly affect undernutrition levels among children living nonslums among household communitylevel characteristics households socioeconomic status remains significant nonslumspoor nutritional status major concern slum areas particularly group expected grow rapidly next years situation calls specially designed well targeted interventions take account many mothers poorer less educated affects ability provide care children
|
https://doi.org/10.1111/j.1467-7687.2011.01050.x
|
Akhter Ahmed|Mary Arends?Kuenning
|
Do crowded classrooms crowd out learning? Evidence from the food for education program in Bangladesh
| 2,006 |
International Food Policy Research Institute|University of Illinois Urbana-Champaign
|
bangladeshs food education program ffe provided free food poor families children attended primary school successful increasing childrens school enrollment especially girls however success came price class sizes increased paper uses rich data set includes school achievement test scores information schools household data explore impact ffe quality education analysis focuses impact ffe achievement test scores students receive benefits find evidence negative impact ffe test scores nonbeneficiary students peer effects rather classroom crowding effects
|
https://doi.org/10.1175/bams-84-12-1741
|
Yasmina Okan|Rocío García?Retamero|Edward T. Cokely|Antonio Maldonado
|
Biasing and debiasing health decisions with bar graphs: Costs and benefits of graph literacy
| 2,018 |
University of Leeds|Universidad de Granada|Universidad de Granada|Max Planck Institute for Human Development|Max Planck Institute for Human Development|University of Oklahoma|Universidad de Granada
|
bar graphs improve risk communication medicine health unfortunately recent research revealed bar graphs associated robust bias lead systematic judgement decisionmaking errors people view bar graphs representing means tend believe data points located within bars likely part underlying distributions equidistant points outside bars three experiments investigated potential consequences key cognitive mechanisms generalisability withinthebar bias medical domain also investigated effectiveness different interventions reduce effect bias protect people errors results revealed withinthebar bias systematically affected participants judgements decisions concerning treatments controlling blood glucose well interpretations ecological graphs designed guide health policy decisions interestingly individuals higher graph literacy showed largest biases however use dot plots replace bars improved accuracy interpretations perceptual mechanisms underlying withinthebar bias prescriptive implications graph design discussed
|
https://doi.org/10.1097/00004703-200206000-00013
|
Deliya R. Banda|Alexander Libin|Hong Wang|Sandra M. Swain
|
A Pilot Study of a Culturally Targeted Video Intervention to Increase Participation of African American Patients in Cancer Clinical Trials
| 2,012 |
MedStar Health|Washington Hospital|MedStar Health|Georgetown-Howard Universities Center for Clinical and Translational Science|MedStar Health|Washington Hospital
|
barriers clinical trial participation among african american cancer patients well characterized literature attitudinal barriers encompassing fear distrust concerns ethical misconduct also well documented increase trial accrual attitudes must adequately addressed yet remains lack targeted interventions toward end developed 15minute culturally targeted video designed impact six specific attitudes african american cancer patients toward therapeutic trials conducted pilot study test first intervention increase intention enrollthe primary study outcome selfreported likelihood participate therapeutic trial using mixed methods approach developed attitudes intention enroll therapeutic clinical trials aiet instrument 30item questionnaire measuring six attitudinal barriers african american trial participation enrolled 108 eligible active treatment patients large urban cancer institute mcnemars test matched pairs used assess changes attitudes likelihood enroll clinical trial baseline immediately video pre postvideo aiet summative scores analyzed paired ttest attitudinal barrierpatients likelihood enrolling clinical trial significantly increased postvideo 36 sample showing positive changes intention mcnemars 2 3339 p 001 paired ttests showed significant changes six attitudinal barriers measured via aiet summative scores pre postvideothese data suggest utility video increasing african american participation clinical trials
|
https://doi.org/10.1002/cad.20247
|
Andrew J. Wawrzyniak|Allan Rodríguez|Anthony E. Falcon|Anindita Chakrabarti|Alexa Parra|Jane Park|Kathleen Mercogliano|Kira Villamizar|Michael A. Kolber|Daniel J. Feaster|Lisa R. Metsch
|
Association of Individual and Systemic Barriers to Optimal Medical Care in People Living With HIV/AIDS in Miami-Dade County
| 2,015 |
University of Miami|Miami Dade College|Florida Department of Health|University of Miami|University of Miami|University of Miami|University of Miami|University of Miami|University of Miami|Florida Department of Health|Miami Dade College|University of Miami|University of Miami|Columbia University
|
barriers retention hiv care detrimental patients progress along hiv continuum care previous literature focused individual clientlevel barriers interventions address contrast less work examined role systemlevel barriers hiv care outcomes study seeks understand individual systemic barriers individually associated clinic appointment attendance virologic suppression hivinfected patients attending largest hiv clinic miamidade fl addition examined synergistic effects barriers potential syndemic factors health outcomes barriers clinic attendance determined facetoface study interview 444 hivinfected outpatients 187 regular attenders 191 irregular attenders 66 nonattenders identified electronic medical records compared attendance groups nonattenders higher viral loads less likely virologically suppressed lower cd4 counts higher depressive symptoms life chaos lower quality life higher rates food insecurity recent drug use additionally nonattenders compared regular attenders lower physician relationship ratings lower medical information clarity often reported transportation barrier clinic attendance viewed syndemic compared patients reporting barriers patients 3 individuallevel barriers likely detectable viral load odds ratio 360 95 ci 171 761 findings suggest patients presenting clinic multiple barriers prioritized assistance future interventions improve retention care interventions address multiple individual systemlevel barriers simultaneously particular attention addressing depressive symptoms organizational skills relationship physician hivrelated health education
|
https://doi.org/10.1016/j.sapharm.2012.11.004
|
Marina Martínez|Nitin Prabhakar|Kendra Drake|Bruce M. Coull|Jenny Chong|Leslie Ritter|Chelsea S. Kidwell
|
Identification of Barriers to Stroke Awareness and Risk Factor Management Unique to Hispanics
| 2,015 |
University of Arizona|University of Arizona|University of Arizona|University of Arizona|University of Arizona|University of Arizona|University of Arizona
|
barriers risk factor control may differ raceethnicity goal study identify barriers stroke awareness risk factor management unique hispanics compared nonhispanic whites nhws performed prospective study stroke patients academic stroke center arizona surveyed members general community questionnaires included duke social support index dssi multidimensional health locus control mhlc scale stroke barriers questionnaire stroke awareness test 145 stroke patients surveyed 72 hispanic 73 nhw hispanics scored lower stroke awareness test compared nhws 725 vs 791 p 0029 hispanic stroke patients also reported greater barriers related medical knowledge medication adherence healthcare access p 005 hispanics scored higher powerful others subscale 113 vs 10 p 005 mhlc 177 members general public surveyed hispanics lower stroke awareness compared nhws tended lower awareness hispanic stroke patients results suggest hispanic stroke patients perceive less control health experience healthcare barriers demonstrate lower rates stroke literacy interventions stroke prevention education hispanics address racialethnic differences stroke awareness barriers risk factor control
|
https://doi.org/10.1016/j.amepre.2013.06.006
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.