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Max Western|Miranda Armstrong|Ishrat Islam|Kelly Morgan|Una Jones|Mark Kelson | The effectiveness of digital interventions for increasing physical activity in individuals of low socioeconomic status: a systematic review and meta-analysis | 2,021 | University of Bath|University of Bristol|Cardiff University|Cardiff University|Cardiff University|University of Exeter | abstract background digital technologies wearables websites mobile applications increasingly used interventions targeting physical activity pa increasing access technologies makes attractive prospect helping individuals low socioeconomic status ses becoming active healthier however little known effectiveness populations aim systematic review explore whether digital interventions effective promoting pa low ses populations whether interventions equal benefit higher ses individuals whether number type behaviour change techniques bcts used digital pa interventions associated intervention effects methods systematic search strategy used identify eligible studies medline embase psycinfo web science scopus cochrane library published january 1990 march 2020 randomised controlled trials using digital technology primary intervention tool control group receive digital technologybased intervention included provided measure pa outcome lastly studies measure ses excluded review risk bias assessed using cochrane risk bias tool version 2 results 14589 records initially identified 19 studies included final metaanalysis using randomeffects models low ses standardised mean difference smd 95ci pa intervention control groups 006 008020 high ses smd 034 022045 heterogeneity modest low 2 018 high 2 0 ses groups studies used range digital technologies bcts interventions main findings consistent across subgroup analyses digital interventions pa focus country chronic disease duration intervention association number type bcts discussion digital interventions targeting pa show equivalent efficacy people low high ses people low ses evidence digital pa interventions effective irrespective behaviour change techniques used contrast interventions high ses participants indicate effectiveness reduce inequalities improve effectiveness future development digital interventions aimed improving pa must make effort meet needs low ses people within target population | https://doi.org/10.1186/s12911-023-02393-z |
Jyh Eiin Wong|Winsome Parnell|Katherine Black|Paula Skidmore | Reliability and relative validity of a food frequency questionnaire to assess food group intakes in New Zealand adolescents | 2,012 | University of Otago|University of Otago|University of Otago|University of Otago | abstract background due absence current validated food frequency questionnaire ffq use new zealand adolescents need develop one costeffective way assess adolescents food patterns study aims examine testretest reliability relative validity new zealand adolescent ffq nzaffq assess food group intake adolescents aged 14 18 years methods nonquantitative without portion size 72item ffq developed pretested fiftytwo participants aged 149 08 years completed nzaffq twice within twoweek period testretest reliability fortyone participants aged 151 09 years completed fourday estimated food record 4dfr addition ffqs enable assessment validity spearmans correlations crossclassification analyses used examine relative validity intraclass correlations additionally used testretest reliability results weekly intakes estimated food item aggregated 34 food groups median spearmans correlation coefficient scc ffq administrations 071 sccs ranged 046 fruit juice cordial 087 nonstandard milk median intraclass correlation coefficient icc ffq administrations 069 median scc food groups ffq 4dfr 040 highest scc seen standard milk 070 exact agreement methods ranking participants thirds highest meat alternatives 78 lowest red yellow vegetables potatoes 27 mean percent participants misclassified extreme thirds food group intake 12 conclusions despite small sample size nzaffq exhibited good excellent shortterm testretest reliability reasonable validity ranking majority food group intakes among adolescents aged 14 18 years comparability validity current literature suggests nzaffq may used among adolescent new zealanders identify dietary patterns rank according food group intake | https://doi.org/10.1186/1477-7517-5-21 |
John Koku Awoonor?Williams|Ayaga A. Bawah|Frank Nyonator|Rofina Asuru|Abraham Oduro|Anthony Ofosu|James F. Phillips | The Ghana essential health interventions program: a plausibility trial of the impact of health systems strengthening on maternal & child survival | 2,013 | Ghana Health Service|Columbia University|Ministry of Health|Ghana Health Service|Navrongo Health Research Centre|Ghana Health Service|Ghana Health Service|Columbia University | abstract background 1990s researchers navrongo health research centre northern ghana developed highly successful community health program keystone navrongo approach deployment nurses termed community health officers village locations trial showed compared areas relying existing services alone approach reduced child mortality half maternal mortality 40 fertility nearly birth total fertility rate 55 five years 2000 government ghana launched national program called communitybased health planning services chps scale navrongo model however chps scaleup slow districts located outside upper east region navrongo experiment first carried paper describes ghana essential health intervention project gehip plausibility trial strategies strengthening chps especially areas maternal newborn health generating political scale program strategies faithful original design description intervention gehip improves chps model 1 extending range quality services newborns 2 training community volunteers conduct world health organization service regimen known integrated management childhood illness imci 3 simplifying collection health management information ensuring use decision making 4 enabling community health nurses manage emergencies particularly obstetric complications refer cases without delay 5 adding 085 per capita annually district budgets marshalling grassroots political commitment financing chps implementation 6 strengthening chps leadership levels system evaluation design gehip impact assessed conducting baseline endline survey research computing heckman difference difference test under5 mortality three intervention districts relative four comparison districts core indicators health status survival rates elucidate results hierarchical child survival hazard models estimated incorporate measures health system strength survival determinants adjusting potentially confounding effects parental household characteristics qualitative systems appraisal procedures used monitor explain gehip implementation innovations constraints progress discussion demonstrating practical means strengthening realworld health system monitoring costs assessing maternal child survival impact gehip expected contribute national health policy planning resource allocation needed accelerate progress millennium development goals | https://doi.org/10.1093/eurpub/ckab164.700 |
Hirono Ishikawa|Mio Kato|Takahiro Kiuchi | Declines in health literacy and health-related quality of life during the COVID-19 pandemic: a longitudinal study of the Japanese general population | 2,021 | Teikyo University|Teikyo University|The University of Tokyo | abstract background coronavirus disease 2019 covid19 pandemic importance health literacy hl addressed public health researchers longitudinally examined changes general hl healthrelated quality life hrqol immediately covid19 outbreak 1 year later general hl outbreak related changes hrqol japanese general population methods among japanese residents aged 2079 years participated previous study 2017 826 followedup via selfadministered questionnaires january 2020 february 2021 purposes study hrqol measured using sf8 short version sf36 health survey general hl measured using short form european health literacy survey questionnaire hlsf12 2020 2021 surveys results physical mental dimensions hrqol well general hl declined significantly immediately covid19 outbreak 1 year later p 010 p lt 001 p lt 001 respectively decline hrqol especially mental dimension significant among women lower economic status also related greater decline hrqol p 026 physical dimension p 012 mental dimension higher general hl covid19 outbreak associated lesser decline hrqol physical mental dimensions p 040 p lt 001 respectively controlling possible confounding variables gender economic status conclusions healthcare support crucial vulnerable populations pandemic general hl may important attenuating decline hrqol enabling effective use health information adaptive behaviors toward health threats studies needed better understand association hl hrqol | https://doi.org/10.1186/s12889-020-08959-0 |
Carina Göransson|Yvonne Wengström|Maria Hälleberg Nyman|Ann Langius?Eklöf|Kristina Ziegert|Karin Blomberg | An app for supporting older people receiving home care – usage, aspects of health and health literacy: a quasi-experimental study | 2,020 | Örebro University|Karolinska University Hospital|Örebro University|Karolinska Institutet|Halmstad University|Örebro University | abstract background last decade increase studies describing use mhealth using smartphones apps healthcare system variety populations despite interventions including apps targeting older people receiving home care developing mobile technology full potential interactive real time remains challenge current study part larger project identifying managing health concerns via app using realtime data aim study describe older peoples usage app evaluate impact usage aspects health health literacy time methods quasiexperimental design employed seventeen older people selfreported health concerns via interaktor twice week 3months answered questionnaires baseline end intervention 6month followup logged data app usage data sense coherence health index nutrition form elderly geriatric depression scale20 swedish communicative critical health literacy swedish functional health literacy collected analysed using descriptive nonparametric inferential statistics results median usage app intended 96 pain one reported health concerns also health concern triggered alert n 33 older peoples communicative critical health literacy improved significantly time regarding scores sense coherence health index nutritional form elderly geriatric depression scale20 swedish functional health literacy scale significant differences time conclusions high app usage showed app may suitable tool older people living alone receiving home care results indicate usage interaktor support older people significantly improving communicative critical health literacy aspects health shown affected usage app research larger sample needed evaluation effect health literacy aspects health importance support app | https://doi.org/10.1093/eurpub/ckz185.067 |
Mathias Harrer|Sophia Helen Adam|Eva-Maria Meßner|Harald Baumeister|Pim Cuijpers|Ronny Bruffærts|Randy P. Auerbach|Ronald C. Kessler|Corinna Jacobi|C. Barr Taylor|David Daniel Ebert | Prevention of eating disorders at universities: A systematic review and meta?analysis | 2,020 | Friedrich-Alexander-Universität Erlangen-Nürnberg|University of Ulm|University of Ulm|Vrije Universiteit Amsterdam|KU Leuven|Columbia University|Harvard University|TU Dresden|Stanford University|Stanford Medicine|Vrije Universiteit Amsterdam | abstract background eating problems highly prevalent among young adults universities could optimal setting prevent onset eating disorders psychological intervention part world mental healthinternational college student initiative systematic review metaanalysis synthesizes data efficacy eating disorder prevention programs targeting university students method systematic literature search bibliographical databases central medline psycinfo randomized trials comparing psychological preventive interventions eating disorders targeting university students psychoeducation inactive controls performed october 22 2019 results twentyseven studies included thirteen 481 rated low risk bias relative risk developing subthreshold fullblown eating disorder incidence rate ratio 062 95 ci 044 087 n c 8 numbersneededtotreat nnt 2608 standardized clinical interviews indicating 38 decrease incidence intervention groups compared controls small moderate betweengroup effects posttest found eating disorder symptoms g 035 95 ci 024 046 nnt 510 n c 26 dieting g 043 95 ci 029 057 nnt 417 n c 21 body dissatisfaction g 040 95 ci 027 053 nnt 448 n c 25 drive thinness g 043 95 ci 027 059 nnt 423 n c 12 weight concerns g 033 95 ci 010 057 nnt 535 n c 13 affective symptoms g 027 95 ci 015 038 nnt 670 n c 18 effects bulimia nervosa symptoms significant heterogeneity moderate across comparisons discussion eating disorder prevention campus significant smalltomoderate effects eating disorder symptoms risk factors results also suggest prevention subthreshold fullsyndrome eating disorders feasible using interventions research needed identify ways motivate students use preventive eating disorder interventions antecedentes los trastornos de la conducta alimentaria son altamente prevalentes entre los adultos jvenes las universidades podran ser un entorno ptimo para prevenir la aparicin de trastornos alimentarios travs de la intervencin psicolgica como parte de la iniciativa world mental healthinternational college student esta revisin sistemtica metaanlisis sintetiza datos sobre la eficacia de los programas de prevencin de trastornos alimentarios dirigidos estudiantes universitarios mtodo una bsqueda bibliogrfica sistemtica de datos bibliogrficas central medline psycinfo para ensayos aleatorios que comparaban intervenciones preventivas psicolgicas para trastornos alimentarios dirigidos estudiantes universitarios con psicoeducacin controles inactivos fue realizada hasta el 22 de octubre de 2019 resultados se incluyeron 27 estudios trece 481 fueron calificados como de bajo riesgo de sesgo el riesgo relativo de desarrollar un trastorno de la conducta alimentaria subclnico parcial completo fue irr 062 95 ci 044 087 n c 8 nnt 2608 slo entrevistas clnicas estandarizadas lo que indica una disminucin del 38 en la incidencia en los grupos de intervencin en comparacin con los controles se encontraron efectos pequeos moderados entre los grupos en la postprueba en los sntomas del trastorno alimentario g 035 95 ci 024 046 nnt 510 n c 26 dieta g 043 95 ci 029 057 nnt 417 n c 21 insatisfaccin corporal g 040 95 ci 027 053 nnt 448 n c 25 impulso por delgadez g 043 95 ci 027 059 nnt 423 n c 12 problemas de peso g 033 95 ci 010 057 nnt 535 n c 13 sntomas afectivos g 027 95 ci 015 038 nnt 670 n c 18 los efectos sobre los sntomas de la bulimia nervosa fueron significativos la heterogeneidad fue moderada en las comparaciones discusin la prevencin de los trastornos de la conducta alimentaria en el campus universitario puede tener efectos significativos de pequeos moderados sobre los sntomas del trastorno alimentario los factores de riesgo los resultados tambin sugieren que la prevencin de los trastornos alimentarios subclnicos parciales sndromes completos es factible utilizando tales intervenciones se necesita ms investigacin para identificar formas de motivar los estudiantes usar intervenciones preventivas para los trastornos de la conducta alimentaria | https://doi.org/10.1093/eurpub/ckz187.181 |
Mohammedjud Hassen Ahmed|Adina Demissie Bogale|Binyam Tilahun|Mulugeta Hayelom Kalayou|Jörn Klein|Shegaw Anagaw Mengiste|Berhanu Fikadie Endehabtu | Intention to use electronic medical record and its predictors among health care providers at referral hospitals, north-West Ethiopia, 2019: using unified theory of acceptance and use technology 2(UTAUT2) model | 2,020 | University of Gondar|University of Gondar|University of Gondar|University of South-Eastern Norway|Posten (Norway)|University of South-Eastern Norway|Posten (Norway)|University of Gondar | abstract background electronic medical records emrs systems store patient information like medical histories test results medications electronically helps give quality service improving data handling communication healthcare setting emr implementation developing countries increasing exponentially successfully implemented intention use emrs health care provider crucial successful implementation adoption emrs however intention health care providers use emr ethiopia unknown objective aim study assess health care providers intention use predictors towards electronic medical record systems three referral hospitals northwest ethiopia 2019 methods institutional based crosssectional explanatory study design conducted march september among 420 health care providers working three referral hospitals northwest ethiopia data analyzed using structural equation model sem simple multiple sem used assess determinants health care providers intention use emrs critical ratio standardized coefficients used measure association dependent independent variables 95 confidence intervals p value calculated evaluate statistical significance qualitative data analyzed using thematic analysis result mean age study subjects 324 years 83 sd twothird 293698 participants male among 420 health care providers 167 398 scored mean intention use emrs factors positively associated intention use emrs performance expectancy 039 p lt 0001 effort expectancy 024 p lt 0001social influence 018 p lt 0001facilitating condition 023 p lt 0001 computer literacy 008 p lt 0001 performance expectancy highly associated intention use emrs conclusion generally 40 health care providers scored mean intention use emrs performance expectancy played major role determining health care providers intention use emrs intention health care providers use emrs attributed social influence facilitating condition organization effort expectancy performance expectancy computer literacy therefore identifying necessary prerequisites actual implementation emrs help improve implementation status | https://doi.org/10.1186/1471-2458-13-261 |
Zahra Niazkhani|Esmaeel Toni|Mojgan Cheshmekaboodi|Andrew Georgiou|Habibollah Pirnejad | Barriers to patient, provider, and caregiver adoption and use of electronic personal health records in chronic care: a systematic review | 2,020 | Urmia University|Urmia University|Urmia University|Macquarie University|Urmia University|Erasmus University Rotterdam | abstract background electronic personal health records ephrs defined electronic applications individuals access manage share health information private secure confidential environment existing evidence shows benefits improving outcomes especially chronic disease patients however use widespread expected partly due barriers faced adoption use aimed identify types barriers patient provider caregiver adoptionuse ephrs analyze extent chronic disease care methods systematic search medline pubmed science direct cumulative index nursing allied health literature cinahl cochrane central register controlled trials institute electrical electronics engineers ieee database performed find original studies assessing barriers ephr adoptionuse chronic care end 2018 two researchers independently screened extracted data used phr adoption model unified theory acceptance use technology analyze results mixed methods appraisal tool mmat version 2018 used assess quality evidence included studies results sixty publications met inclusion criteria issues found hindering ephr adoptionuse chronic disease care associated demographic factors eg patient age gender along key variables related health status computer literacy preferences direct communication patients strategy coping chronic condition well factors related medical practiceenvironment eg providers lack interest resistance adopting ephrs due workload lack reimbursement lack user training technological eg concerns privacy security interoperability electronic health record systems lack customized features chronic conditions chronic disease characteristics eg multiplicities comorbid conditions settings providers involved chronic care conclusions ephrs meaningfully used chronic disease care implemented component comprehensive care models specifically developed care results provide insight hurdles barriers mitigating ephr adoptionuse chronic disease care deeper understating interplay barriers provide opportunities lead enhanced ephr adoptionuse | https://doi.org/10.1186/s12889-019-7781-2 |
Anastasios Karakolidis|Alice Duggan|Gerry Shiel|Joanne Kiniry | Examining educational inequalities: insights in the context of improved mathematics performance on national and international assessments at primary level in Ireland | 2,021 | null | abstract background evaluations effectiveness educational reforms often based level improvement student performance one cycle particular assessment next however improvements overall performance necessarily translate improved equality indeed improvements favour certain subgroups students exacerbate educational performance gaps thus inequality research examines changes equality mathematics achievement subgroup performance differences irish primary school students time ireland constitutes interesting case study due introduction new national literacy numeracy strategy 2011 initial implementation linked significant improvements student mathematics performance paper aims investigate whether improvements accompanied improvements equality methods using data irish national assessments mathematics english reading namer trends international mathematics science study timss period introduction strategy study examines deviations student scores ii variability achievement student school levels iii performance gaps based demographic socioeconomic factors time bivariate analyses multilevel regression models used identify student schoollevel variables related mathematics performance results results showed decrease variability students mathematics performance introduction strategy decrease statistically significant timss additionally considerable decrease variance mathematics performance attributed betweenschool differences time findings constitute evidence increased equality performance differences students schools tended shrink regarding performance gaps variance mathematics performance explained background characteristics study provided mixed results namer subsequent introduction strategy performance gaps variance mathematics achievement explained selected demographic socioeconomic characteristics decreased considerably however case timss conclusions evidence provided study suggests ireland made reasonable progress addressing inequality however room improvement significant proportion variance student mathematics performance still explained demographic socioeconomic characteristics | https://doi.org/10.1093/eurpub/ckz134 |
Zemenu Tadesse Tessema|Achamyeleh Birhanu Teshale|Getayeneh Antehunegn Tesema|Koku Sisay Tamirat | Determinants of completing recommended antenatal care utilization in sub-Saharan from 2006 to 2018: evidence from 36 countries using Demographic and Health Surveys | 2,021 | University of Gondar|University of Gondar|University of Gondar|University of Gondar | abstract background every day 2017 approximately 810 women died preventable causes related pregnancy childbirth 99 maternal deaths occurring low lowermiddleincome countries subsaharan africa ssa alone accounts roughly 66 pregnant women gained recommended anc antenatal care maternal deaths could prevented still many women lack recommended anc subsaharan africa study aimed determining pooled prevalence determinants recommended anc utilization ssa methods used recent standard demographic health survey data period 2006 2018 36 ssa countries total 260572 women least one live birth 5 years preceding survey included study metaanalysis dhs data subsaharan countries conducted generate pooled prevalence forest plot used present multilevel multivariable logistic regression model fitted identify determinants recommended anc utilization aor adjusted odds ratio 95 ci p value 005 used declare recommended anc utilization determinates results pooled prevalence recommended antenatal care utilization subsaharan africa countries 5853 95 ci 5835 5871 highest recommended anc utilization southern region africa 7886 low recommended anc utilization eastern regions africa 5339 multilevel multivariable logistic regression model region residence literacy level maternal education husband education maternal occupation women health care decision autonomy wealth index media exposure accessing health care wanted pregnancy contraceptive use birth order determinants recommended anc utilization subsaharan africa conclusion coverage recommended anc service utilization high disparities among region rural residence illiterate low education level occupation low women autonomy low socioeconomic status exposed media big problem access health care unplanned pregnancy use contraceptive determinants women recommended anc utilization ssa study evidenced existence wide gap ssa regions countries special attention required improve health accessibility utilization quality maternal health services | https://doi.org/10.1186/s12875-022-01809-5 |
Azam Doustmohammadian|Azam Doustmohammadian|Elham Shakibazadeh | School-based interventions for promoting food and nutrition literacy (FNLIT) in elementary school children: a systematic review protocol | 2,020 | National Nutrition and Food Technology Research Institute|National Nutrition and Food Technology Research Institute|Shahid Beheshti University of Medical Sciences|Tehran University of Medical Sciences | abstract background food nutrition literacy newly emerged concept connect foodrelated knowledge skills healthy diets promotion important protect children eat many lownutrient highenergy foods food nutrition literacy promotion needs multidimensional interventions process developing intervention promote food nutrition literacy present review protocol aims critically examine evidence area schoolbased interventions promoting food nutrition literacy fnlit elementary school children methods search pubmedmedline embase web science central proquest inception onwards additional studies identified manual searching reference lists quantitative studies eg randomized controlled trial quasirandomized trials cluster randomized trials evaluating effect interventions promote food nutrition literacy elementary school children 512 years old included main outcomes food nutrition literacy functional interactive critical levels secondary outcomes dietary intake indicators eg healthy eating index dds health outcome measures eg reduction bmi less weight gain two reviewers independently screen citations fulltext articles abstract data potential conflicts resolved discussion study methodological quality bias appraised using appropriate tools feasible conduct random effects metaanalysis quality included studies separately evaluate using validated quality assessment tool quantitative studies developed effective public health practice project ephpp data extracted two reviewers identified relevant literature standard data synthesis analysis used review discussion systematic review summarize evidence regarding components implementation methods effectiveness interventions food nutrition literacy promotion elementary school children results review provide useful reference policymakers curriculum developers assess education curricula develop practical learning teaching strategies improve students food nutrition literacy systematic review registration prospero crd42019135118 | https://doi.org/10.1111/j.1369-7625.2010.00649.x |
Bettina Meiser|Philip B. Mitchell|Nadine A. Kasparian|Kimberly Strong|Judy M. Simpson|Shab Mireskandari|Laila Tabassum|Peter R. Schofield | Attitudes towards childbearing, causal attributions for bipolar disorder and psychological distress: a study of families with multiple cases of bipolar disorder | 2,007 | Prince of Wales Hospital|UNSW Sydney|UNSW Sydney|Black Dog Institute|Prince of Wales Hospital|Prince of Wales Hospital|UNSW Sydney|Prince of Wales Hospital|University of Sydney|Prince of Wales Hospital|UNSW Sydney|UNSW Sydney|Black Dog Institute|Prince of Wales Hospital|Neuroscience Research Australia|UNSW Sydney | abstract background families multiple cases bipolar disorder study explored attitudes towards childbearing causal attributions bipolar disorder particular degree genetic model endorsed impact perceived stigma bipolar disorder predictors psychological distress method two hundred individuals 95 unaffected 105 affected either bipolar disorder schizoaffective disorder manic type recurrent major disorder surveyed using mailed selfadministered questionnaires results thirtyfive 35 participants reported willing children less willing children result strong family history bipolar disorder less willing children associated perceived stigma bipolar disorder odds ratio 242 p 0002 endorsement genetic model 176 p 0046 affected 216 p 001 among unaffected participants endorsement genetic model strongly correlated perceived stigma r 030 p 0004 perceiving family environment important factor causing bipolar disorder significantly associated psychological distress 158 p 0043 among unaffected participants among affected participants perceived stigma significantly correlated psychological distress 244 p 002 controlling severity symptoms p lt0001 conclusions genetic explanation bipolar disorder may exacerbate associative stigma among unaffected members families multiple cases bipolar disorder impact perceived stigma among affected family members affected family members may benefit interventions ameliorate adverse effects perceived stigma | https://doi.org/10.1186/s12913-020-05848-5 |
Jasmin Haj-Younes|Elisabeth Marie Strømme|Jannicke Igland|Bernadette N. Kumar|Eirik Abildsnes|Wegdan Hasha|Esperanza Díaz | Changes in self-rated health and quality of life among Syrian refugees migrating to Norway: a prospective longitudinal study | 2,020 | University of Bergen|University of Bergen|University of Bergen|Norwegian Institute of Public Health|University of Agder|University of Bergen|Norwegian Institute of Public Health | abstract background forced migrants exposed various stressors impact health wellbeing different stages migration process impacts health however poorly explored aim study examine changes selfrated health srh quality life qol among cohort adult syrian refugees resettlement norway method used prospective longitudinal study design two assessment points examine changes health among adult syrian resettlement refugees lebanon accepted resettlement norway gathered baseline data 20172018 lebanon subsequently followup one year arrival main outcomes good srh measured single validated item qol measured whoqolbref used generalized estimating equations investigate changes outcomes time incorporated interaction terms models evaluate effect modifications results total 353 subjects participated study percentage participants reporting good srh showed nonsignificant increase 58 63 rr 95ci 11 10 12 baseline followup mean values four qol domains increased significantly baseline followup physical domain 137 157 b 95ci 19 16 23 psychological domain 128 145 b 95ci 17 13 20 social relationships 137 153 b 95ci 16 12 20 environmental domain 90 140 51 b 95ci 47 54 positive effect modifiers improvement srh qol time include male gender younger age low level social support illegal status transit country conclusion results show good srh remain stable four qol domains improve pronounced environment domain understanding dynamics migration health fundamental step reaching health equity | https://doi.org/10.1186/s12913-019-4278-8 |
Juntaro Matsuzaki|Hidekazu Suzuki|Keiko Asakura|Yasushi Fukushima|John M. Inadomi|Toru Takebayashi|Toshifumi Hibi? | Classification of functional dyspepsia based on concomitant bowel symptoms | 2,012 | Keio University|Keio University|Keio University|University of Washington|Keio University|Keio University | abstract background functional dyspepsia fd heterogeneous disease categorized postprandial distress syndrome pds epigastric pain syndrome eps however many fd patients overlap pds eps present study designed examine whether fd could categorized based presence concomitant gastrointestinal symptoms methods web survey comprised gastrointestinal symptom rating scale gsrs rome iii criteria fd demographic information sent public participants history severe illness factor cluster analyses conducted identify subcategories fd based gsrs key results total 8038 participants completed survey total 563 participants met criteria fd whereas 6635 participants dyspepsia symptoms remainder either organic disease 377 uninvestigated dyspepsia 463 cluster analysis categorized participants constipation predominant cluster c diarrhea predominant cluster neither diarrhea constipation cluster ncnd cluster c significantly associated presence fd odds ratio 257 95 confidence interval ci 206321 280 95 ci 227345 respectively fd especially pds cases scores upper gastrointestinal symptoms higher cluster c cluster ncnd conclusions amp inferences severity dyspepsia symptoms associated presence bowel symptoms especially pds novel categorization fd based concomitant constipation diarrhea may improve classification patients | https://doi.org/10.1186/1756-0500-5-56 |
Radiana Staynova|?. ?. ?????????|Teodora Stankova|Vesselina Yanachkova | The impact of a printed educational booklet on disease awareness in women with gestational diabetes | 2,021 | Medical University Plovdiv|Medical University Plovdiv|Medical University Plovdiv|Dr. Shterev Hospital | abstract background gestational diabetes mellitus gdm major health concern could lead adverse pregnancy outcomes women newly diagnosed gdm need additional information education pregnancy complication aim current study evaluate impact printed educational booklet disease awareness women gdm methods one hundred thirtyfive pregnant women newly diagnosed gdm attended antenatal clinic randomly assigned either intervention n 45 control group n 90 women intervention group received additional printed educational booklet gdm management patients control group received standard care booklet includes information risk factors treatment alternatives selfmonitoring blood glucose nutritional management lifestyle modification one month selfadministered written questionnaire used evaluation womens knowledge gdm management descriptive statistics chisquare test used analyse data results demographic maternal characteristics similar groups overall mean age 323 years ranging 24 45 correct answers diabetes complications awareness reported 50 women groups significant difference knowledge risk factors gdm 85 intervention group versus 44 control group p amplt 0001 number correct answers higher intervention group regarding gdm treatment 92 compared 79 control group p amplt 001 selfmonitoring blood glucose outcomes gdm p amplt 0001 differences nutritional knowledge statistically significant conclusions results study show printed educational materials improve patients knowledge gdm management well health literacy motivation key messages providing printed educational booklet addition standard pregnancy care women gdm may beneficial achieving therapeutic goals booklet used study could assist healthcare providers improving knowledge educational process women gdm | https://doi.org/10.1186/1471-2458-5-114 |
Maryam Karami|Hossein Ashtarian|Fatemeh Rajati|Behrooz Hamzeh|Fatemeh Rajati | The effect of health literacy intervention on adherence to medication of uncontrolled hypertensive patients using the M-health | 2,023 | Kermanshah University of Medical Sciences|Kermanshah University of Medical Sciences|Kermanshah University of Medical Sciences|Kermanshah University of Medical Sciences|Kermanshah University of Medical Sciences | abstract background given patients medication adherence regarded major part disease control improving health literacy effective promoting adherence healthy behaviors present study aimed investigate effect health literacy intervention based medication adherence among uncontrolled hypertensive patients using mobile health mhealth methods interventional study quasiexperimental design conducted 118 uncontrolled hypertensive patients participants randomly divided intervention n 59 control n 59 groups using blocked randomization intervention group mobile health mhealth program designed using programmed instruction improve patients health literacy period 3 months data collected administering health literacy medication adherence questionnaires participants intervention analysis involved using independent sample ttest compare variables study results intervention total score health literacy 3334 3314 intervention control groups respectively intervention increased 4036 3420 intervention control groups respectively statistically significant intervention group p 001 moreover medication adherence score intervention group significantly increased intervention systolic diastolic blood pressure decreased intervention group however noted decrease systolic blood pressure 14898 statistically significant decrease observed diastolic blood pressure intervention group statistically significant p 008 conclusion application programmed instruction mhealth shown positive effect health literacy uncontrolled hypertensive patients addition detecting treating patients important prioritize improvement health literacy terms medication adherence adoption healthy behaviors | https://doi.org/10.1186/1471-2393-11-88 |
Babak Eshrati|Rahim Taghizadeh Asl|Colleen Anne Dell|Parviz Afshar|Peggy Millson|Mohammad Kamali|John R. Weekes | Preventing HIV transmission among Iranian prisoners: Initial support for providing education on the benefits of harm reduction practices | 2,008 | Arak University|University of Saskatchewan|Iran Meteorological Organization|University of Toronto|Iran University of Medical Sciences|Carleton University | abstract background harm reduction healthcentred approach seeks reduce health social harms associated highrisk behaviors illicit drug use objective study determine association beliefs group adult male prisoners iran transmission hiv highrisk practices prison methods crosssectional study conducted 2004 study population random selection 100 men incarcerated rajaeishahr prison data collected selfadministered questionnaire focus group discussions held prison guide design questionnaire relationship components health belief model hbm prisoners risky hivrelated behaviors examined results calculating pearsons correlation coefficient significant positive association found benefit component hbm prisoners engaging hiv highrisk behaviors conclusion educational harm reduction initiatives promote effectiveness strategies designed reduce risk hiv transmission may decrease prisoners highrisk behaviors finding provides initial support iran prison systems current offering hivaids harm reduction programming suggests need offer increased education effectiveness hiv prevention practices | https://doi.org/10.1002/ppul.23884 |
Josefin Wångdahl|Ulrica Nilsson|Karin Dahlberg|Maria Jaensson|Lina Bergman | Health literacy and e-health literacy among Arabic speaking migrants in Sweden | 2,021 | Uppsala University|Karolinska Institutet|Karolinska University Hospital|Örebro University|Örebro University|Karolinska Institutet | abstract background health inequities arise public cannot access understand health information easy accessible understandable way may partly due limited health literacy hl migrants may limited hl subgroup may limited hl migrants study explored comprehensive health literacy chl electronic health literacy ehl among arabicspeaking migrants sweden methods crosssectional observational study conducted sweden year 2019 data collected among swedish arabic speakers health literacy survey european questionnaire hlseuq16 ehealth literacy scale eheals questions selfperceived health internet use arabic speakers chl ehl compared native swedish speakers various statistical analyses performed determine associations predictors limited chl ehl results total 681 respondents included analysis chl ehl differed native arabicspeaking migrants native swedish speakers arabic speaking migrants significantly lower chl ehl mean sum scores predictors limited chl ehl arabic speaking less internet use finding internet important useful time spent sweden associated higher levels chl ehl conclusions chl ehl differ arabicspeaking migrants native swedish speakers difference ehl smaller difference chl difference chl ehl related time spent sweden internet therefore seen appropriate channel disseminating health information arabicspeaking migrants sweden key messages internet considered appropriate channel distribute health information arabicspeaking migrants sweden time spent sweden associated higher ehl chl levels among arabicspeaking migrants | https://doi.org/10.1186/s12905-021-01590-0 |
Henrietta Bánfai-Csonka|Bálint Bánfai|Sára Jeges|Brigitta Gyebnár|József Betlehem | Health literacy among participants from neighbourhoods with different socio-economic statuses in the southern region of Hungary: a pilot study | 2,020 | University of Pecs|University of Pecs|University of Pecs|University of Pecs | abstract background health literacy hl deep impact peoples decisions health health care system measurement improvement hl level essential develop appropriate health care system aim study 1 conduct pilot study among population baranya county hungary different socioeconomic statuses 2 evaluate hl level 3 found correlations socioeconomic data emergency departments visits medical history hl methods crosssectional study conducted 2019 186 participants socioeconomic status health status hl level knowledge triage system measured questionnaire included questions socioeconomic status previous chronic diseases satisfaction emergency care system well standardised european health literacy survey questionnaire hlseuq47 descriptive statistical analysis mean sd mode mathematical statistical analysis anova chi 2 test pearson correlations two sample ttest applied spss 240 statistical software used analyse data relationships considered significant p lt 005 level results one hundred eightysix people involved research 45 excluded n 141 participation rate 758 significant differences hl levels gender educational level p 0017 health education p 0032 presence children household p 0049 educational level p 0002 type settlement p 001 strong impacts economic status found 461 participants limited comprehensive hl chl level proportion slightly lower disease prevention subindex 333 average chl index score 348 87 points average health care subindex score 346 97 points average disease prevention subindex score 358 99 points average health promotion subindex score 342 94 points 461 examined population hungary limited hl level conclusions socioeconomic status strong influence hl level enough improve awareness need improve knowledge cooperation doctors health care system | https://doi.org/10.1186/s12872-019-1203-3 |
Nicolas Andreou|Christiana Nicolaou|Evridiki Papastavrou|Nicos Middleton | Social gradient in health literacy among primary healthcare users in Cyprus | 2,019 | Cyprus University of Technology|Cyprus University of Technology|Cyprus University of Technology|Cyprus University of Technology|Cyprus Institute | abstract background health literacy hl critical determinant health citizens control health european health literary consortium developed conceptual model related hlseuq47 tool four cognitive three health domains showed high levels inadequate hl eight european countries methods methodological descriptive study evaluated metric properties tool new setting assessed hl among greekcypriot population differences hl social position health behaviours assessed results sample 300 adults general hospital participated 6535 urban vs rural 153 divorcedwidowed 33 tertiary education expected according census 53 rated health less good 456 current past smokers mean bmi 268 sd 52 cronbachs alpha coefficient internal consistency ampgt080 cognitive access understand appraise apply health subscales healthcare prevention health promotion three factor structure explaining 521 variance identified exploratory factor analysis access information prevention promotionrelated literacy userprovider interaction half participants 507 reported inadequate problematic hl statistically lower hl older agegroups difference urban rural status clear social gradient observed education income subjective social position 10step ladder regular alcohol consumption low physical exercise related low hl smoking bmi conclusions hlseuq47 showed good metric properties new language setting proportion population inadequate problematic hl appears high consistent findings european populations observed social gradient hl supports criterion knowngroup validity tool well highlights important aspect health inequality key messages support hlseuq47 valid reliable measure health literacy high proportion cypriot population problematic health literacy clear social gradient | https://doi.org/10.1002/pbc.24466 |
Elke de Buhr|Antje Tannen | Parental health literacy and health behaviors in children: a 2017 cross-sectional survey in Germany | 2,019 | Charité - Universitätsmedizin Berlin|Tulane University|Charité - Universitätsmedizin Berlin | abstract background health literacy hl closely associated leading health indicators parents represent critical subgroup among adult population since responsible health also health children previous research suggests parents low hl less likely meet preventive health care needs children relationship parental hl child health yet well understood methods crosssectional survey implemented 2017 28 public schools germany parent questionnaire completed 4217 caregivers included short form hlseuq16 child questionnaire examined health knowledge behaviors outcomes children 11 years caregiver reported behalf children n 1518 cases children completed questionnaires n 2776 bivariate multivariate analyses carried results among interviewed parents 458 showed problematic inadequate hl parents higher hl reported better subjective health quality life judged children healthier major determinant high parental hl socioeconomic status r088 high parental hl associated positive health behaviors children including higher consumption fruits vegetables fewer sweetened beverages regular tooth brushing physical activity relationships parental hl smoking alcohol consumption sexual activity among children childrens weight significant conclusions results confirm relationship low parental hl ses problematic health behaviors children strengthening hl vulnerable parents may contribute improved health outcomes particularly areas childrens nutrition exercise dental health parents integrated schoolbased activities health promotion prevention key messages strong statistical relationship parental health literacy socioeconomic status parental health literacy associated child health behaviors eg nutrition exercise | https://doi.org/10.1002/pbc.24265 |
Xia Sun|Yongmin Shi|Qing Zeng|Yanling Wang|Weijing Du|Wei Nan-fang|Ri?hua Xie|Chun Chang | Determinants of health literacy and health behavior regarding infectious respiratory diseases: a pathway model | 2,013 | Peking University|Peking University|Peking University|Peking University|Peking University | abstract background health literacy defined degree individuals capacity obtain process understand basic health information services needed make appropriate health decisions currently studies validated causal pathways determinants health literacy use statistical modeling purpose present study develop validate health literacy model individual level could best explain determinants health literacy associations health literacy health behaviors even health status methods skillbased health literacy test selfadministrated questionnaire survey conducted among 3222 chinese adult residents path analysis applied validate model results model explained 386 variance health literacy 117 health behavior 23 health status gfi 09990 rmr 00521 2 102151 p 01159 education positive direct effect prior knowledge 0324 health literacy 0346 health literacy also affected prior knowledge 0245 age 0361 health literacy direct influencing factor health behavior 0101 important factor health status age 0107 health behavior health status positive interaction effect conclusion model explains determinants health literacy associations health literacy health behaviors well could applied develop intervention strategies increase individual health literacy promote health behavior health status | https://doi.org/10.1111/1460-6984.12101 |
Jehad A. Rababah|Mohammed M. Al?Hammouri|Barbara L. Drew|Mohammed Aldalaykeh | Health literacy: exploring disparities among college students | 2,019 | Jordan University of Science and Technology|Jordan University of Science and Technology|Kent State University|Jordan University of Science and Technology | abstract background health literacy multidimensional concept considered primary public health concern concept often neglected research evidence regarding health literacy college students limited aim study twofold determine needs limitations health literacy among college students explore relationships among nine dimensions health literacy sociodemographic factors including age gender nationality year study field study smoking status history chronic diseases use oncampus gym intention exercise oncampus methods study conducted using crosssectional approach total 520 college students participated study average age 2103 years sd 229 475 males 525 females data collected using demographics questionnaire health literacy questionnaire hlq addition descriptive statistics multivariate analysis variance manova followup analyses performed explore statistically significant mean differences among levels health literacy sociodemographic factors results levels health literacy nine hlq scales lower levels reported literature multivariate analysis showed significant effect age gender smoking status year study field study level health literacy followup analyses revealed female students students healthrelated faculties smoke higher levels health literacy compared counterparts detailed comparison levels hlq scales made based students demographic characteristics field study prominent effect level college students health literacy mean differences statistically significant p lt 001 effect sizes large ranging 66 135 nine scales hlq conclusion college students health literacy influenced demographic characteristics variations could amplify existing health disparities implications findings health health promotion interprofessional education discussed | https://doi.org/10.1186/1756-0500-5-653 |
Anna Aaby|Alison Beauchamp|Jonathan O’Hara|Helle Terkildsen Maindal | Large diversity in Danish health literacy profiles: perspectives for care of long-term illness and multimorbidity | 2,019 | Aarhus University|Western Health|University of Melbourne|Australian Institute for Musculoskeletal Science|Monash University|Deakin University|Steno Diabetes Center|Aarhus University | abstract background health literacy important modifiable social determinant health study aims explore health literacy challenges people longterm illness multimorbidity provide detailed profiles revealing health literacy strengths weaknesses within danish population methods crosssectional study among danish individuals n 490 health literacy assessed using ninescale health literacy questionnaire hlq using multiple logistic regression hierarchical cluster analysis estimated association hlq scale scores likelihood longterm illness multimorbidity identified sociodemographic health characteristics related profiles health literacy strengths weaknesses results increase actively managing health social support health decreased odds longterm illness odds ratio 053 03109 043 024074 multimorbidity 051 026098 033 017062 respectively conversely increase healthcare provider support increased odds longterm illness 297 178508 multimorbidity 294 153587 respectively five profiles identified based cluster analysis cluster characterized specific health characteristics eg cluster better health status 2 39976 4 p lt 0001 wellbeing 2 28832 4 p lt 0001 cluster poor health status 2 39976 4 p lt 0001 increased likelihood longterm illness 2 18641 4 p lt 0001 conclusions association health literacy longterm illness multimorbidity combination health literacy profiling based cluster analysis provides comprehensive needs assessment promising starting point development health literacy responsive interventions | https://doi.org/10.1186/1471-2458-11-617 |
Kristina Šulinskait?|Daiva Zagurskien?|Aurelija Blaževi?ien? | Patients’ health literacy and health behaviour assessment in primary health care: evidence from a cross-sectional survey | 2,022 | Lithuanian University of Health Sciences|Lithuanian University of Health Sciences|Lithuanian University of Health Sciences | abstract background health literacy defined persons ability find understand use healthrelated information making healthrelated decisions patients lower health literacy frequently face difficulties health issues need medical help patients less likely visit health care facilities receive less help subsequently leads higher hospitalization mortality rates patients better health literacy skills pay attention health behaviours methods crosssectional survey conducted two primary health care centresone public one privatein lithuania study enrolled patients visiting family physicians n 399 study used health literacy survey european questionnaire hlseuq47 calculation means two independent samples used statistical analysis correlation coefficient calculated results majority 406 respondents problematic health literacy 7 excellent health literacy better health literacy observed among younger patients aged 30 years residing urban areas higher education living partner inadequate problematic health literacy noted among 836 respondents aged 59 years older similar rates also observed among patients basic primary education 761 secondary education 766 divorced patients 86 respondents better health literacy also better health behaviours p lt 005 conclusions health literacy influenced age residence education family status patients better health literacy also reported better health behaviours | https://doi.org/10.1186/s12939-020-01357-3 |
Lynne Emmerton|Liz Mampallil|Therése Kairuz|Leigh McKauge|Robert A. Baruch Bush | Exploring health literacy competencies in community pharmacy | 2,010 | Marymount University|American Pharmacists Association|Marymount University|University of Queensland|University of Queensland|Queensland Health | abstract background health literacy ability obtain interpret use health information low rates health literacy australia suggested validated measure exists objective explore health literacy competencies sample community pharmacy consumers design structured interviews undertaken team researchers august 2009 instrument derived available literature measuring aspects functional interactive critical health literacy regarding use medicines setting participants twelve community pharmacies brisbane region australia results six hundred fortyseven consumers participated 64 women wide distribution ages evident english first language 89 respondents half sample 55 predominantly aged 2645 years tertiary educated 87 respondents recognized sample prescription 20 could readily match prescription labelled medicine box eightytwo percentage respondents interpreted three times day appropriately interpretation standard ancillary label highly variable advanced age less formal education nonenglishspeaking background male gender independently related lower performance variables discussion health literacy measure applied comprehension numeracy skills required adults receiving prescription medications majority consumers adequately performed tasks behaviours responses sufficient concern propose additional verbal written information interventions pharmacy staff conclusions research provides insight issues may affect consumers appropriate use medicines selfefficacy initiatives improve public health literacy warranted | https://doi.org/10.1186/1752-4458-2-15 |
Kirubel Biruk Shiferaw|Binyam Tilahun|Berhanu Fikadie Endehabtu | Healthcare providers’ digital competency: a cross-sectional survey in a low-income country setting | 2,020 | Debre Markos University|University of Gondar|University of Gondar | abstract background healthcare providers across clinical practice settings progressively relying adapting information communication technologies perform professional activities era technology healthcare providers especially lower income countries least basic digital competency successful application technology achieved aim study assess digital competency healthcare providers among seven public health centers northwest ethiopia methods crosssectional study design applied assess basic digital competency healthcare providers working seven public health centers northwest amhara regional state ethiopia selfadministered questionnaire adopted european commissions digital competency framework assessing digital competency used multivariable logistic regression performed identify factors associated basic digital competency p valuelt 005 rule statistical significance strength association explained terms coefficient estimate adjusted odds ratio 95 confidence interval ci result total 193 healthcare providers included study 167 responded response rate 865 majority respondents 88 527 males mean age 282 years standard deviation 55 years result indicated items demonstrated adequate level internal consistency cronbach alpha gt 0 7 healthcare providers public health centers reported problem solving safety communication common challenges encountered multivariable logistic regression model indicated factors sex educational status profession type monthly income years experience statistically significant predictors conclusion basic digital competency level healthcare providers working public health centers setting relatively low results highlight need improve digital competency among healthcare providers focusing identified skill gaps | https://doi.org/10.1186/s12884-021-04117-5 |
Joseph Obiri Asante|Meng Jie Li|Jing Liao|Yixiang Huang|Yuan Hao | The relationship between psychosocial risk factors, burnout and quality of life among primary healthcare workers in rural Guangdong province: a cross-sectional study | 2,019 | Sun Yat-sen University|Sun Yat-sen University|Sun Yat-sen University|Sun Yat-sen University|Sun Yat-sen University | abstract background healthcare workers often exposed stressful working conditions work affect quality life study investigated relationship psychosocial risk factors stress burnout quality life among primary healthcare workers general medical practice qingyuan chaozhou cities guangdong province method crosssectional study conducted 108 primary health facilities including 36 community health centers chcs across two developing cities guangdong province total 873 healthcare workers completed questionnaires quality life evaluated using world health organization quality life questionnaire whoqolbref psychological risk factors evaluated copenhagen psychosocial questionnaire copsoq general quality life quality life domains transformed score range minimum 0 100 maximum higher scores indicated better quality life vice versa significant associations verified using multiple regression analysis results poor quality life observed 746 healthcare workers surveyed general poor quality life significantly higher among workers reported higher burnout beta 0331 p lt 0001 addition workers high levels burnout unmarried workers female workers higher possibility physical health greater risk poor psychological health observed among workers high burnout poor sense community lower educational levels workers lacked social support fewer possibilities development increased probability poor quality life social domain poor quality life environmental domain observed among workers dissatisfied jobs workers low salaries conclusions primary healthcare workers developing cities china highly demanding strained working environment poor quality life reducing job stress improving work conditions may ultimately improve wellbeing primary healthcare workers | https://doi.org/10.1186/s12889-021-11707-7 |
Ibtissam Khoudri|Jihane Belayachi|Tarek Dendane|Khalid Abidi|Naoufel Madani|A. Zekraoui|Amine Ali Zeggwagh|Rédouane Abouqal | Measuring quality of life after intensive care using the Arabic version for Morocco of the EuroQol 5 Dimensions | 2,012 | Direction de l’Epidémiologie et de Lutte contre les Maladies|Centre Hospitalier Ibn Sina|Centre Hospitalier Ibn Sina|Centre Hospitalier Ibn Sina | abstract background healthrelated quality life hrql relevant outcome measures intensive care unit icu aim study evaluate hrql icu patients 3 months discharge using arabic version morocco euroqol5dimension eq5d examine psychometric properties questionnaire results arabic version morocco eq5d approved euroqol group prospective cohort study conducted medical icu discharge 3month follow eq5d self classifier eqvas administered consultation telephone eqvas varies 0 better hrql 100 worst hrql unweighted scoring eq5dindex calculated eq5dindex ranges 059 1 testretest reliability eq5d tested using kappa coefficient intraclass correlation coefficient icc criterion validity assessed correlating eqvas eq5dindex short form 36 sf36 construct validity tested using simple multiple liner regression assess factors influencing patientshrql 145 survivors answered eq5d median eq5dindex 052 0201 mean eqvas 62 20 testretest reliability conducted 83 patients iccs eq5dindex eqvas 095 092 respectively eq5d self classifier agreement kappa 040 significant correlations noted eq5dindex eqvas sf36 p lt 0001 multivariate analysis factors associated poorer hrql eq5dindex longer icu length stay 001 p 0017 higher educational level 02 p 0001 eqvas men associated better hrql 65 p 0048 conclusions arabic version morocco eq5d reliable valid women high educational level longer icu length stay associated poorer hrql | https://doi.org/10.1186/1471-244x-12-128 |
Charles Agyemang|William K. Redekop|Ellis Owusu?Dabo|Marc Bruijnzeels | Blood pressure patterns in rural, semi-urban and urban children in the Ashanti region of Ghana, West Africa | 2,005 | Kwame Nkrumah University of Science and Technology|University of Ghana | abstract background high blood pressure rare rapidly becoming major public health burden subsaharanafrica unclear whether reflected children main purpose study assess blood pressure patterns among rural semiurban urban children determine association blood pressure locality body mass index bmi subsaharan africa setting methods conducted crosssectional survey among school children aged 816 years ashanti region ghana westafrica 1277 children study 616 boys 661 females 214 rural 296 semiurban 767 urban settings results blood pressure increased increasing age rural semiurban urban areas boys girls rural boys lower systolic diastolic blood pressure semiurban boys 1047623 vs 1092665 p lt 0001 lower systolic blood pressure urban boys 1047 vs 1076 p lt 001 girls higher blood pressure boys 1091667 vs 1075638 p lt 001 exception lower diastolic blood pressure amongst rural girls differences found rural girls 1074644 semiurban girls 1080661 urban girls 1098675 multiple linear regression analysis locality bmi independently associated blood pressure boys girls conclusion findings underscore urgent need public health measures prevent increasing blood pressure sequelae becoming another public health burden work blood pressure children subsaharan african developing countries needed prevent high blood pressure becoming major burden many countries | https://doi.org/10.1186/s40834-021-00165-6 |
Kiran Shaikh|Shahirose Premji|Michael Rose|Ambreen Kazi|Shaneela Khowaja|Suzanne Tough | The association between parity, infant gender, higher level of paternal education and preterm birth in Pakistan: a cohort study | 2,011 | Aga Khan University|University of Calgary|Alberta Health Services|Aga Khan University Hospital|Aga Khan University|University of Calgary | abstract background high rates antenatal depression preterm birth reported pakistan self reported maternal stress depression associated preterm birth however findings inconsistent cortisol biological marker stress depression measurement may assist understanding influence self reported maternal stress depression preterm birth methods prospective cohort study pregnant women 28 30 weeks gestation aga khan hospital women children completed az stress scale centre epidemiology studies depression scale assess stress depression respectively blood cortisol level drawn women followed delivery determine birth outcomes correlation coefficients wilcoxon rank sum test used assess relationship preterm birth stress depression cortisol logistic regression analysis used determine key factors predictive preterm birth results 132 pregnant women participated 125 pregnant women questionnaire cortisol level data additional seven questionnaire data almost 20 pregnant women 197 95 ci 133275 experienced high level stress nearly twice many 409 95 ci 324498 experienced depressive symptoms median cortisol level 2740 ugdl iqr 225342 preterm birth rate 114 95 ci 6518 relationship cortisol values stress scale depression significant positive relationship maternal depression stress preterm birth associated higher parity past delivery male infant higher levels paternal education insufficient numbers preterm births available warrant development multivariable logistic regression model conclusions preterm birth associated higher parity past delivery male infant higher levels paternal education relationship stress depression cortisol preterm birth high rates stress depression among sample suggesting missed opportunities address mental health needs prenatal period improved methods measurement required better understand psychobiological basis preterm birth | https://doi.org/10.1093/eurpub/ckab165.055 |
Meghan E. McGarry|John Neuhaus|Dennis W. Nielson|Esteban G. Burchard|Ngoc P. Ly | Pulmonary function disparities exist and persist in Hispanic patients with cystic fibrosis: A longitudinal analysis | 2,017 | University of California, San Francisco|University of California, San Francisco|University of California, San Francisco|University of California, San Francisco|University of California, San Francisco | abstract background hispanic patients cystic fibrosis cf decreased life expectancy compared nonhispanic white patients pulmonary function main predictor life expectancy cf ethnic differences pulmonary function cf understudied objective compare longitudinal pulmonary function hispanic nonhispanic white patients cf methods cohort study 15 018 625 years old patients cf foundation patient registry 2008 2013 compared fev 1 percent predicted longitudinal change fev 1 percent predicted hispanic nonhispanic white patients used linear mixed effects models patientspecific slopes intercepts adjusting 14 demographic clinical variables subanalyses cftr class f508del copies pert use results hispanic patients lower fev 1 percent predicted 799 compared nonhispanic white patients 856 58 95ci 67 48 p lt 0001 however difference fev 1 decline time patients pert larger difference hispanic nonhispanic white patients fev 1 percent predicted patients pert 60 vs 41 p 002 ethnic difference fev 1 percent predicted statistically significant cftr classes class iiii 61 class ivv 59 unclassified 57 p gt 005 f508del copies none 76 heterozygotes 56 homozygotes 53 p gt 005 conclusions disparities pulmonary function exist hispanic patients cf early life persist without improving worsening time valuable investigate factors contributing pulmonary function hispanic patients cf | https://doi.org/10.1111/jrh.12353 |
Adugnaw Zeleke Alem|Achamyeleh Birhanu Teshale|Alemneh Mekuriaw Liyew|Getayeneh Antehunegn Tesema|Ayenew Kassie|Yigizie Yeshaw | Determinants of HIV voluntary counseling and testing: a multilevel modelling of the Ethiopian Demographic and Health Survey | 2,022 | University of Gondar|University of Gondar|University of Gondar|University of Gondar|University of Gondar|University of Gondar | abstract background human immunodeficiency virus hiv counseling testing services vital reduce spread hiv infection create opportunity early treatment reduction hivaidsrelated mortality however 12 subsaharan african ssa countries reached first 90 target 90 people living hiv know status hence study aimed investigate determinants hiv counseling testing among reproductiveage women ethiopia methods ethiopian demographic health survey edhs 2016 data used identify determinants hiv counseling testing among reproductiveage women ethiopia weighted sample 14599 reproductive age women included study multilevel binary logistic regression model fitted identify determinants hiv counseling testing odds ratio 95 confidence interval ci corresponding pvalue 005 employed declare statistically significant variables results study individual communitylevel variables significantly associated voluntary counseling testing vct uptake among women women aged 2534 years adjusted odds ratio aor 229 95 ci 205 256 aged 35 years aor 155 95 ci 138 175 attending primary education aor 168 95 ci 151 188 secondary education aor 307 95 ci 264 358 higher education aor 515 95 ci 417 636 women medium household wealth aor 156 95 ci 132 184 richer aor 188 95 ci 158 224 richest wealth index aor 237 95 ci 191 294 comprehensive knowledge aor 121 95 ci 106 137 ever married aor 387 95 ci 346 432 sexual risky behavior aor 209 95 ci 169 249 women communities high hiv knowledge aor 203 95 ci 168 245 women communities high literacy level aor 116 95 ci 105 151 women communities high wealth quintile aor 120 95 ci 103157 higher odds vct uptake however women stigma aor 081 95 ci 074 092 reduced odds vct uptake conclusion study revealed individual level factors also community level factors determine status hiv voluntary counseling testing hence strengthening individual community based interventions crucial increase women hiv counseling testing practice country | https://doi.org/10.1186/s12911-021-01418-9 |
Jean Pierre Sibomana|Robert L. McNamara|Timothy D. Walker | Patient, clinician and logistic barriers to blood pressure control among adult hypertensives in rural district hospitals in Rwanda: a cross-sectional study | 2,019 | University of Rwanda|Yale University|University of Rwanda | abstract background hypertension management rural resourcepoor settings difficult detailed understanding patient clinician logistic factors pose barriers effective blood pressure control could enable strategies improve control implemented methods crosssectional multifactorial observational study conducted four rural rwandan district hospitals examining patient clinician logistic factors questionnaires administered consenting adult outpatient hypertensive patients obtaining information sociodemographic factors past management hypertension adherence morisky medication adherence 8item scale mmas8 treating clinicians identified local difficulties providing hypertension management standard world health organisation list nominated preferred treatment regimens blood pressure measurements clinical data collected study visit used determine blood pressure control according goals jnc8 guidelines medication availability cost hospitals pharmacy reviewed logistic barriers treatment results 112 participating patients 80 female 41 completed primary education selfreported adherence mmas8 high 77 86112 significantly associated literacy lack medication side effects particular hospital pharmacy attended p lt 005 however 89 patients blood pressure data 26 29 achieved goal blood pressure patient factor statistically associated poor blood pressure control among 30 participating clinicians deficiencies knowledge evident 43 1330 37 1130 chose loop diuretic prescribed medication ideal medication respectively newly diagnosed hypertensive patient without comorbidities counter jnc 8 recommendations 50 1530 identified clinician nonadherence hypertension guidelines barrier pharmacies common antihypertensive medications affordably available gt 6 8 examined medications available pharmacies cost ltus050 per month however clinicians perceived medication cost availability barriers care conclusions clinicianbased factors major barrier blood pressure control rural district hospitals rwanda blood pressure control overall poor patient logistic barriers blood pressure evident study | https://doi.org/10.1111/cts.12364 |
Jean L. Raphael|Ashley M. Butler|Tiffany L. Rattler|Marc Kowalkowski|Brigitta U. Mueller|Thomas P. Giordano | Parental information, motivation, and adherence behaviors among children with sickle cell disease | 2,013 | Baylor College of Medicine|Baylor College of Medicine|Baylor College of Medicine|Baylor College of Medicine|Baylor College of Medicine|Baylor College of Medicine | abstract background identification psychosocial correlates health care utilization become important strategy improving clinical care objective study examine fit informationmotivationbehavioral skills imb model applied health care utilization among children sickle cell disease scd procedure participants parents 150 children ages 117 years receiving care sickle cell center parents completed questionnaires assessing information motivation adherence behaviors factors respect scd management data regarding health care utilization previous 12 months obtained parent report electronic medical records stepwise multiple regression analysis conducted determine associations imb factors health care use results parents rated highly domains information motivation adherence behaviors managing childs scd children parents reporting higher satisfaction social supports higher odds 149 95 ci 103215 two routine hematology visits previous 12 months neither information adherence behavior associated urgent routine care use among variables measured high parental illnessrelated stress child health status reported fairpoor strongest predictors urgent care use private insurance type strongest predictor routine care use conclusions among imb factors social support associated routine health care utilization social support parental illnessrelated stress may serve important modifiable targets interventions allocate needed resources families reduce unnecessary medical care pediatr blood cancer 2013 60 12041210 2013 wiley periodicals inc | https://doi.org/10.1017/s0033291718001113 |
Ricardo Pérez?Cuevas|Svetlana V Doubova|Marta Zapata?Tarrés|Sergio Flores?Hernández|Lindsay Frazier|Carlos Rodríguez?Galindo|Gabriel Cortés-Gallo|Salomon Chertorivski?Woldenberg|Onofre Muñoz?Hernández | Scaling up cancer care for children without medical insurance in developing countries: The case of Mexico | 2,012 | Inter-American Development Bank|Mexican Social Security Institute|Hospital Infantil de México Federico Gómez|Instituto Nacional de Salud Pública|Dana-Farber Cancer Institute|Harvard University|Dana-Farber Cancer Institute|Harvard University|Hospital Infantil de México Federico Gómez | abstract background 2006 mexican government launched fund protection catastrophic expenditures fpgc support financially healthcare high cost illnesses study aimed answering question whether fpgc improved coverage cancer care measure survival fpgc affiliated children cancer procedure retrospective cohort study 20062009 conducted 47 public hospitals information children adolescents cancer analyzed coverage estimated accordance expected number incident cases registered fpgc survival analyzed using kaplanmeier survival curves cox proportional hazards regression modeling results study included 3821 patients 2006 2009 coverage new cancer cases increased 33 553 principal diagnoses acute lymphoblastic leukemia 464 central nervous system cns tumors 82 acute myeloid leukemia aml 74 survival rates 36 months 50 aml 305 hodgkin lymphoma 745 nonhodgkin lymphoma 401 cns tumors 328 renal tumors 584 bone tumors 334 retinoblastoma 592 solid tumors 526 3year overall survival rates varied among regions children east southsoutheast higher risks hazard ratio 30 95 ci 2339 24 95 ci 2028 death disease compared central region conclusion fpgc increased coverage cancer cases survival rates different throughout country necessary evaluate effectiveness policy increase access identify opportunities reduce differences survival pediatr blood cancer 201360196203 2012 wiley periodicals inc | https://doi.org/10.1111/acem.13370 |
Dorothy V. M. Bishop | Ten questions about terminology for children with unexplained language problems | 2,014 | University of Oxford | abstract background domains language fairly consistent diagnostic terminology refer childrens developmental difficulties instance terms dyslexia attention deficit hyperactivity disorder autistic spectrum disorder used difficulties reading attention social cognition respectively agreed label however children unexplained language problems aims consider whether need labels unexplained language problems children terminology appropriate main contribution advantages disadvantages labels important ensure children receive services increase knowledge nature causes problems survey labels current use found 132 different terms 33 600 returns google scholar 1994 2013 many labels general useful remainder term specific language impairment commonly used conclusions current mayhem diagnostic labels unsustainable causes confusion impedes research progress access appropriate services need achieve consensus diagnostic criteria terminology dsm5 term language disorder problematic identifies wide range conditions internet search one solution retain specific language impairment understanding specific means idiopathic ie unknown origin rather implying problems beyond language options terms primary language impairment developmental language disorder language learning impairment | https://doi.org/10.1111/wvn.12106 |
Fantu Abebe|Yemane Berhane|Belaineh Girma | Factors associated with home delivery in Bahirdar, Ethiopia: A case control study | 2,012 | Amhara Regional Health Bureau|Addis Continental Institute of Public Health|Addis Continental Institute of Public Health | abstract background ethiopia although pregnant mothers increasingly attend antenatal clinics utilization skilled delivery service remains low individual health system factors affect womens preferences delivery places well known method case control study conducted july 2010 assess factors associated utilization institutional delivery service total 324 mothers recently delivered visited either postnatal care sought immunization services included cases n 108 mothers gave birth home controls n 216 delivered health facility pretested standardized questionnaires used collect relevant data trained data collectors logistic regression model used control confounding result likelihood delivering home greater among mothers inadequate knowledge pregnancy related services aor 62 95 ci 3 1284 started attending anc 24 weeks gestation aor 87 95 ci 22 333 mothers formal education adjusted 42 95 ci 163 1127 rural residents aor 36 95ci 14 90 conclusion predominant factors associated home delivery services lack knowledge obstetrics care delay starting antenatal care anc follow illiteracy rural residence audience specific behavioral change communication designed improve demand delivery services health professionals take opportunity encourage mothers attend delivery services anc follow improvements made social conditions including literacy major social mobilization endeavors | https://doi.org/10.1186/s12905-021-01286-5 |
Sant?Rayn Pasricha|Beverley?Ann Biggs|N. S. Prashanth|H Sudarshan|Rob Moodie|Jim Black|Arun S. Shet | Factors Influencing Receipt of Iron Supplementation by Young Children and their Mothers in Rural India: Local and National Cross-Sectional Studies | 2,011 | The George Institute for Global Health|University of Melbourne|Royal Melbourne Hospital|University of Melbourne|St. John's National Academy of Health Sciences|St. John's National Academy of Health Sciences|Karolinska Institutet | abstract background india 55 women 695 preschool children anaemic despite national policies recommending routine iron supplementation understanding factors associated receipt iron field could help optimise implementation anaemia control policies thus undertook 1 crosssectional study evaluate iron supplementation children mothers rural karnataka india 2 analysis allindia rural data national family health study 20056 nfhs3 methods children aged 1223 months mothers served 6 8 randomly selected subcentres managed 2 rural primary health centres rural karnataka eligible karnataka study conducted august october 2008 socioeconomic demographic data access health services iron receipt recorded secondly nfhs3 rural data analysed studies logistic regression used evaluate factors associated receipt iron results karnataka study recruited 405 children 377 mothers 415 children received iron 115 received iron public system multiple logistic regression factors associated childrens receipt iron included wealth odds ratio 263 95 ci 111 624 top vs bottom wealth quintile male sex 245 147 410 mother receiving postnatal iron 231 125 428 mother undergone antenatal blood test 210 109 403 muslim religion 002 000 027 attendance anganwadi centre 023 011 049 fully vaccinated 033 015 075 children mothers antenatal health visits 89 visits 025 011 055 less likely receive iron nationally 37 rural children receiving iron associated wealth 112 102 123 per quintile maternal education compared education completed secondary education 215 117 397 maternal antenatal iron 224 156 322 child attending anganwadi 147 120 180 conclusion rural india public distribution iron children inadequate disparities exist measures optimize receipt government supplied iron children regardless wealth ethnic background could help alleviate anaemia population | https://doi.org/10.1186/s12889-020-09696-0 |
Paulo Augusto Ribeiro Neves|Aluísio J. D. Barros|Giovanna Gatica?Domínguez|Juliana dos Santos Vaz|Phillip Baker|Chessa Lutter | Maternal education and equity in breastfeeding: trends and patterns in 81 low- and middle-income countries between 2000 and 2019 | 2,021 | Universidade Federal de Pelotas|Universidade Federal de Pelotas|Universidade Federal de Pelotas|Universidade Federal de Pelotas|Deakin University|RTI International | abstract background low middleincome countries lmics low levels formal maternal educational positively associated breastfeeding whereas reverse true among women higher levels formal education breastfeeding helped reduce health equity gaps rich poor children paper examines trends breastfeeding formula consumption maternal educational lmics nearly two decades methods used 319 nationally representative surveys 81 countries used definitions breastfeeding indicators categorized maternal education three categories none primary secondary higher grouped countries according world bank income groups unicef regions classifications trend analyses performed multilevel linear regression obtain average absolute annual changes percentage points results significant increases prevalence observed early initiation exclusive breastfeeding across education categories prominently women formal education early breastfeeding higher level educated women exclusive breastfeeding small decreases prevalence seen mostly women formal education continued breastfeeding 1 2 years among formula indicators formula consumption 6 23 months decreased significantly period women primary education analysis world regions demonstrated gains early exclusive breastfeeding almost universally distributed among education categories except middle east north africa decreased throughout education categories continued breastfeeding 1 2 years increased south asia latin america caribbean eastern europe central asia primary higher education categories declines occurred group formal education south asia nearly education categories middle east north africa decline steeper continued breastfeeding 2 years exceptions use formula higher among children women highest education level regions conclusions course study women formal education worsening breastfeeding indicators compared women primary secondary higher education | https://doi.org/10.1186/s12877-023-03951-w |
Zaeem Haq|Zafar Iqbal|At?f Rahman | Job stress among community health workers: a multi-method study from Pakistan | 2,008 | Human Development Research Foundation|University of Liverpool | abstract background low income countries task providing primary health care often responsibility community health workers pakistan community workers called lady health workers lhw deliver basic health care doorstep rural areas urban slums evaluations show successful programme point inconsistencies quality service provided order achieve would important obtain workers viewpoint jobdescription problems face levels stress encounter methods conducted multimethod study investigate aforementioned issues lhws one typical rural subdistrict rawalpindi surveyed focus group discussions subset workers also conducted results quarter lhws found significant occupational stress factors associated stress included low socioeconomic status travel long distances work inconsistent medical supplies inadequate stipends lack career structure equipped communicate effectively families main factors job dissatisfaction among workers recommendations improvement remuneration better administration supplies structured career path ensured better performance community health workers addition communication skills learning essential part training programme | https://doi.org/10.1186/s40249-022-00963-3 |
Lillian Ziyenda Katenga-Kaunda|Penjani Rhoda Kamudoni|Gerd Holmboe?Ottesen|Heidi Fjeld|Ibrahimu Mdala|Zumin Shi|Per Ole Iversen | Enhancing nutrition knowledge and dietary diversity among rural pregnant women in Malawi: a randomized controlled trial | 2,021 | Mzuzu University|Malawi Government|University of Oslo|University of Oslo|University of Oslo|University of Oslo|Qatar University|Oslo University Hospital | abstract background many subsaharan african countries malawi antenatal care anc services deliver sufficient nutrition awareness improve adequate dietary intake pregnancy therefore compared effects supplementary nutrition education dietary counselling routine anc service nutrition knowledge dietary intakes among malawian pregnant women methods used data twoarmed cluster randomised controlled trial rct intervention group received supplementary nutrition education dietary counselling routine anc services whereas controls received routine anc services rct conducted 10 control 10 intervention villages mangochi southern malawi included pregnant women 9 th 16 th gestational weeks examined changes nutrition knowledge dietary diversity enrolment baseline study endpoint rct two weeks expected delivery used three linear multilevel regression models random effects village level cluster examine associations indicators nutrition knowledge diet consumption adjusted selected explanatory variables results among 257 pregnant women enrolled rct 195 76 available current study supplementary nutrition education counselling led significant improvements nutrition knowledge dietary diversity nutrition behaviour intervention group compared controls women study groups moderate consumption diversified foods study endpoint significant positive association nutrition knowledge consumption diversified diet observed intervention group conclusions nutrition knowledge dietary diversity improved study groups higher intervention group increased nutrition knowledge associated improved dietary diversity intervention women also improved nutrition perceptions behaviour antenatal nutrition education needs strengthening improve dietary intakes pregnancy low resourcesetting trial registration clinical trialsgov id nct03136393 registered 02052017 | https://doi.org/10.1186/s12199-021-00936-2 |
Joana Falcão|Allison Zerbe|Claude A. Mellins|Joanne E. Mantell|Kirsty Brittain|Bill Kapogiannis|Eduarda Pimentel De Gusmão|Teresa Beatriz Simione|Elaine J. Abrams | The secret life of young adolescents living with HIV in northern Mozambique - a mixed methods study | 2,021 | Columbia University|Columbia University|New York Psychoanalytic Society and Institute|Columbia University|New York Psychoanalytic Society and Institute|Columbia University|University of Cape Town|Eunice Kennedy Shriver National Institute of Child Health and Human Development|Columbia University|National Directorate of Geology|Columbia University | abstract background mozambique hiv infection remains leading cause adolescent mortality advances antiretroviral treatment art population adolescents living verticallyacquired hiv growing studies adolescents living hiv alhiv focus older youth horizontal infection part larger study examined characteristics health care needs younger alhiv including verticallyacquired infection inform preventive interventions methods used convergent mixedmethods design recruited alhiv aged 1214 years enrolled hiv care three health clinics nampula mozambique 11201932020 conducted 61 quantitative surveys 14 indepth interviews purposively selected subset alhiv aware hiv status descriptive statistical analysis conducted quantitative data qualitative data transcribed analyzed using thematic analysis results median age alhiv 13 years 50 female 67 lived 1 parent 70 lost parent 100 school 10 relationship 3 initiated sexual activity among 31 alhiv aware serostatus median age antiretroviral treatment art initiation 8 years iqr 611 55 received caregiver support art management 35 reported missing 1 art dose last 30 days 6 disclosed hivstatus friends 48 reported one talk hivspecific issues four main themes emerged qualitative interviews alhiv learning ones hivpositive status beginning secret life b importance caregivers support art management c high value alhiv peer support overcome isolation increase hiv literacy support adherence unmet needs sexual reproductive health education conclusion hivrelated secrecy prevails among alhiv situation exacerbated caregivers healthcare providers caregivers play major role supporting adherence among young alhiv yet alhiv could also benefit adolescentfriendly services including peer support sexual reproductive health services preparation independent health management integrating programs art services mozambique may critical promoting alhiv health | https://doi.org/10.1186/s12889-021-11194-w |
Isabelle Durand?Zaleski|Jan Scott|Frédéric Rouillon|Marion Leboyer | A first national survey of knowledge, attitudes and behaviours towards schizophrenia, bipolar disorders and autism in France | 2,012 | Hôpital Albert-Chenevier|Assistance Publique – Hôpitaux de Paris|University of Paris-Est|Inserm|Université Paris Cité|Centre Hospitalier Sainte-Anne|University of Paris-Est | abstract background order support evidencebased policies reduction stigma better understanding components ignorance knowledge prejudice attitude discrimination behaviour necessary study explores public perceptions quantifies stigma three chronic mental disorders autism schizophrenia bipolar disorders france methods survey 1000 adults selected established market research panel 21item questionnaire explored knowledge attitudes behaviours toward disorder results although 95 respondents recognized names disorder fewer 70 could report specific characteristics 33 considered publically available information adequate respondents identified media main resource labeling conditions negative way frequent 61 referring mental disorders general fell significantly 18 linked individual disorder individuals schizophrenia assumed dangerous 65 respondents would engage social distancing individual versus 29 bipolar disorders 7 autism p lt 0001 contrast disorders discrimination schizophrenia partly attenuated familiarity mental disorders personal family illness conclusion first populationbased survey france shows attitudes towards bipolar disorders autism less prejudicial towards schizophrenia however public attitudes behaviours towards different disorders appear based assumptions rather knowledge evidence suggesting generic information antistigma programme unlikely effective | https://doi.org/10.1186/1465-9921-14-26 |
Bright Opoku Ahinkorah|Eugene Budu|Richard Gyan Aboagye|Ebenezer Agbaglo|Francis Arthur-Holmes|Collins Adu|Anita Gracious Archer|Yaa Boahemaa Gyasi Aderoju|Abdul?Aziz Seidu | Factors associated with modern contraceptive use among women with no fertility intention in sub-Saharan Africa: evidence from cross-sectional surveys of 29 countries | 2,021 | University of Technology Sydney|University of Cape Coast|University of Health and Allied Sciences|University of Cape Coast|Kwame Nkrumah University of Science and Technology|University of Health and Allied Sciences|University of Cape Coast|James Cook University | abstract background subsaharan africa majority women reproductive age want avoid pregnancy use method contraception study sought determine factors associated modern contraceptive use among women fertility intention subsaharan africa methods study used data demographic health surveys 29 countries subsaharan africa total 87554 women aged 1549 fertility intention completed information variables interest considered study using multilevel logistic regression analysis four models used examine individual contextual factors associated modern contraceptive use results presented adjusted odds ratios aor respective confidence intervals cis statistical significance set plt 005 results prevalence modern contraceptive use 296 individuallevel factors women aged 4549 lower odds using modern contraceptives aor 033 95 ci 028 039 women first sex age 1519 aor 112 95 ci 107 117 higher education aor 193 95 ci 175 213 women exposed newspaper aor 115 95 ci 110 120 radio aor 121 95 ci 117 126 higher odds modern contraceptive use terms contextual factors women living urban areas aor 106 95 ci 102 111 women richest wealth quintile aor 155 95 ci 143 167 communities medium literacy level aor 111 95 ci 106 116 medium community socioeconomic status aor 117 95 ci 110 123 higher odds modern contraceptive use across geographic regions subsaharan africa women southern africa higher odds modern contraceptive use aor 529 95 ci 486 576 conclusion relatively low prevalence modern contraceptive use among women fertility intention subsaharan africa crosscountry variations womens age age first sex level education mass media exposure place residence community literacy level community socioeconomic status found associated modern contraceptive use therefore important policy makers consider factors designing implementing programmes policies increase contraceptive use among women intention give birth also policymakers key stakeholders intensify mass education programmes address disparities modern contraceptive use among women | https://doi.org/10.1186/1471-2369-13-135 |
Ines Cherif|Houyem Khiari|Fahmi Mghirbi|Rym Mallekh|Amel Mézlini|Mohamed Hsaïri | Assessment of COVID-19 vaccine literacy among cancer patients: A cross sectional Tunisian study | 2,021 | Institut Salah-Azaïz|Institut Salah-Azaïz|Institut Salah-Azaïz|Institut Salah-Azaïz | abstract background context covid19 pandemic vaccine literacy vl considered important determinant vaccine hesitancy uptake cancer patients constitute target group covid19 vaccination thus aimed study assess covid19 vl among cancer patients tunisia methods cross sectional study conducted month february 2021 salah azaiez institute cancer including inpatients aged 18 years standardized vl scale used composed two dimensions functional vl interactivecritical vl using four point likert scale global score calculated scale ranging 1 4 cutoff 25 defined according literature students anova tests used comparison vl mean scores according studied characteristics p value amplt005 considered statistically significant results total 200 patients enrolled study mean age 544127 years low vl score 25 observed among 275 810 participants functional interactive critical scales respectively higher functional vl score associated higher educational level 3705 among individuals university degree level vs 2512 among illiterate p amplt 0001 interactive critical vl significantly increased educational level p amplt 0001 significantly higher among healthcare workers 2513 vs 17 09 p amplt 0001 accepted get covid19 vaccine 2009 vs 1608 p 0002 believe vaccines unsafe 1909 vs 1407 p amplt 0001 need vaccinated since natural immunity exists 2110 vs 1708p0016 conclusions vaccine literacy among cancer patients included study weak effective communication strategies covid19 vaccination build vl consider level patients health literacy redress vaccine hesitancy uptake key messages study showed low interactivecritical vaccine literacy score communication strategies vaccination campaigns aligned peoples vaccine literacy | https://doi.org/10.1111/cch.12816 |
Allison Swiecki-Sikora|Kevin A. Henry|Deanna Kepka | HPV Vaccination Coverage Among US Teens Across the Rural?Urban Continuum | 2,019 | Temple University Hospital|Temple University|Fox Chase Cancer Center|University of Utah|Huntsman Cancer Institute | abstract background study used data national immunization surveyteen nisteen examine hpv vaccination uptake rural urban residence defined zip code methods used 20122013 nisteen data examine associations hpv vaccination among teens aged 1317 years zip code measures ruralurban ruralurban commuting area ruca codes population density multivariable logistic regression used estimate odds hpv vaccination initiation 1 dose completion 3 doses results hpv vaccination lower among girls isolated small rural towns 1 dose 510 3 doses 300 small rural towns 1 dose 502 3 doses 268 among urban girls 1 dose 560 3 doses 359 girls small rural towns lower odds completion 074 95 ci 060091 girls urban areas hpv vaccination lower among boys isolated small rural towns 1 dose 173 3 doses 531 small rural towns 1 dose 187 3 doses 550 urban areas 1 dose 287 3 doses 107 boys isolated small rural towns statistically significantly lower odds initiation 068 95 ci 052088 completion 063 95 ci 041097 urban boys girls boys highpoverty rural areas lower odds initiation completion counterparts highpoverty urban areas conclusion rural girls lower odds completing hpv vaccine urban counterparts rural boys lower odds urban boys hpv vaccination initiation completion | https://doi.org/10.1002/mdc3.12272 |
Maryam Shamsaee|Parvin Mangolian Shahrbabaki|Leila Ahmadian|Jamileh Farokhzadian|Farhad Fatehi | Assessing the effect of virtual education on information literacy competency for evidence-based practice among the undergraduate nursing students | 2,021 | Kerman University of Medical Sciences|Kerman University of Medical Sciences|Kerman University of Medical Sciences|Kerman University of Medical Sciences|Monash University|University of Queensland | abstract background information literacy competency one requirements implement evidencebased practice ebp nursing necessary pay attention curricular development use new educational methods virtual education strengthen information literacy competency nursing students given scarcity studies effectiveness virtual education nursing particularly iran positive university atmosphere regarding use virtual education study investigated effect virtual education undergraduate nursing students information literacy competency ebp methods interventional study performed two groups intervention control pretest posttest design seventynine nursing students selected assigned intervention control groups random sampling virtual education information literacy uploaded website form six modules delivered four weeks questionnaires demographic information information literacy ebp used collect data one month virtual education results results showed significant difference control intervention groups dimensions information literacy competency pretest stage posttest virtual education improved dimensions information seeking skills 314 p 0002 knowledge search operators 3984 p 0001 intervention groups compared control group virtual education significant effect use different information resources development search strategy assessing frequency selecting appropriate search statement intervention group conclusion virtual education significant effect information seeking skills knowledge search operators nursing students nurse educators benefit experiences designing method use virtual education programs nursing schools given lack effectiveness program using different information resources development search strategy nurse educators recommended train information literacy ebp integrating several approaches virtual online offline facetoface education | https://doi.org/10.1186/s12889-021-10508-2 |
Adam E.M. Eltorai|Syed S. Naqvi|Soha Ghanian|Craig P. Eberson|Arnold?Peter C. Weiss|Christopher T. Born|Alan H. Daniels | Readability of Invasive Procedure Consent Forms | 2,015 | Brown University|Providence College|Brown University|Providence College|Brown University|Providence College|Brown University|Providence College|Rhode Island Hospital|Providence College|Rhode Island Hospital|Brown University|Providence College|Brown University|Rhode Island Hospital|Brown University|Providence College|Rhode Island Hospital | abstract background informed consent pillar ethical medicine requires patients fully comprehend relevant issues including risks benefits alternatives intervention given average reading skill us adults 8th grade level american medical association ama national institutes health nih recommend patient information materials exceed 6th grade reading level hypothesized text provided invasive procedure consent forms would exceed recommended readability guidelines medical information materials methods test hypothesis gathered procedure consent forms surgical inpatient hospitals state rhode island consent form readability analysis measured following measures flesch reading ease formula fleschkincaid grade level fog scale smog index colemanliau index automated readability index linsear write formula readability scores used calculate composite text readability consensus grade level results invasive procedure consent forms found written average 15th grade level ie third year college significantly higher average us adult reading level 8th grade p lt 00001 amanih recommended readability guidelines patient materials 6th grade p lt 00001 conclusion invasive procedure consent forms readability levels makes comprehension difficult impossible many patients efforts improve readability procedural consent forms improve patient understanding regarding healthcare decisions | https://doi.org/10.1186/1475-2840-6-11 |
Philip Cheng|Annemarie I. Luik|Cynthia Fellman-Couture|Edward L. Peterson|Christine L.M. Joseph|G Tallent|Kieulinh Michelle Tran|Brian K. Ahmedani|Timothy Roehrs|Thomas Roth|Christopher L. Drake | Efficacy of digital CBT for insomnia to reduce depression across demographic groups: a randomized trial | 2,018 | Henry Ford Health System|University of Oxford|Henry Ford Health System|Henry Ford Health System|Henry Ford Health System|Henry Ford Health System|Henry Ford Health System|Henry Ford Health System|Henry Ford Health System|Henry Ford Health System|Henry Ford Health System | abstract background insomnia depression highly comorbid mutually exacerbate clinical trajectories outcomes cognitive behavioral therapy insomnia cbti effectively reduces insomnia depression severity delivered digitally could substantially increase accessibility cbti could reduce health disparities related insomnia however efficacy digital cbti cbti across range demographic groups yet adequately examined randomized placebocontrolled trial examined efficacy cbti reducing insomnia depression across wide range demographic groups methods 1358 individuals insomnia randomized final sample 358 retained cbti condition 300 online sleep education condition severity insomnia depression examined dependent variable race socioeconomic status ses household income education gender age also tested independent moderators treatment effects results cbti condition yielded greater reductions insomnia depression severity sleep education significantly higher rates remission following treatment demographic variables ie income race sex age education significant moderators treatment effects suggesting cbti comparably efficacious across wide range demographic groups furthermore differences attrition found based ses attrition differ white black participants conclusions results provide evidence wide dissemination cbti may effectively target insomnia comorbid depression across wide spectrum population | https://doi.org/10.1186/s12903-023-02840-3 |
Patrick Malecha|James H. Williams|Nathan Kunzler|Lewis Goldfrank|Harrison Alter|Kelly M. Doran | Material Needs of Emergency Department Patients: A Systematic Review | 2,018 | Massachusetts General Hospital|UCLA Medical Center|Harbor–UCLA Medical Center|Harvard Affiliated Emergency Medicine Residency|Massachusetts General Hospital|New York University|Alameda Health System|Highland Hospital|New York University | abstract background interest social determinants health sdoh expanded recent years driven recognition factors may influence health outcomes services use health care costs one subset sdoh material needs housing food conducted systematic review literature material needs among emergency department ed patients united states methods followed prisma guidelines systematic review methodology assistance research librarian four databases searched studies examining material needs among ed patients two reviewers independently screened titles abstracts full text identify eligible articles information abstracted systematically eligible articles results fortythree articles eligible inclusion heterogeneity study methods singlecenter crosssectional studies common specific material needs examined included homelessness poverty housing insecurity housing quality food insecurity unemployment difficulty paying health care difficulty affording basic expenses studies overwhelmingly supported notion ed patients high prevalence number material needs conclusions despite limitations individual studies examined review plurality prior research confirms ed serves vulnerable population high rates material needs future research needed better understand role needs play ed patients best address | https://doi.org/10.1111/cch.12356 |
Sonia Hines|Joanne Ramsbotham|Fiona Coyer | The Effectiveness of Interventions for Improving the Research Literacy of Nurses: A Systematic Review | 2,015 | Mater Health Services|Queensland University of Technology|Queensland University of Technology|Queensland University of Technology | abstract background internationally considerable body research exists examining nurses use evidence practice consistently research finds lack knowledge research discomfort understanding research terminology among chief reasons given research education commonly included undergraduate nursing degree programs seem translate strong understanding research following graduation ability use practice aim objective review identify effectiveness workplace tertiarylevel educational interventions designed improve increase postregistration nurses understanding research literature ability critically interact research literature aim promoting use research evidence practice comparison intervention intervention usual practice methods wide range databases searched quantitative studies registered nurses receiving educational interventions designed increase improve understanding research literature tertiary workplace settings two reviewers working independently critically appraised relevant papers extracted data using joanna briggs institute instruments data presented narrative summary metaanalysis possible results searching identified 4545 potentially relevant papers sifting titles abstracts 96 papers selected retrieval examination fulltext versions 10 96 retrieved papers found meet inclusion criteria included studies low moderate quality interactive activitybased learning seems effective terms improving research knowledge critical appraisal ability research selfefficacy utilizing program strong base appropriate theory also seems associated greater effectiveness particularly workplace interventions linking evidence action included studies strongly favored interactive interventions utilizing theory construction therefore types interventions implemented improve effectiveness research education nurses well research literacy | https://doi.org/10.1186/s12889-019-7589-0 |
Maria Sarah Nabaggala|Tarylee Reddy|Samuel Manda | Effects of rural–urban residence and education on intimate partner violence among women in Sub-Saharan Africa: a meta-analysis of health survey data | 2,021 | Makerere University|Infectious Diseases Institute|South African Medical Research Council|South African Medical Research Council | abstract background intimate partner violence ipv women major public health human rights problem worldwide subsaharan africa ssa one highest prevalence ipv women world study used metaanalysis obtain pooled ruralurban education attainment differences prevalence ipv among everpartnered women ssa assessed whether differences ipv depended ssa region period womens age methods analysed ipv data 233585 everpartnered women aged 1549 years 44 demographic health surveys conducted 2000 2018 29 ssa countries randomeffects metaanalyses used estimate overall ruralurban residence educational differences ipv rates among women ssa subgroup analyses also done investigate sources heterogeneity overall metaanalysis findings results pooled prevalence intimate partner violence estimated 413 374452 regionally highest prevalence ipv middle africa 49 3 40325845 followed east africa 4413 36625167 southern africa 3936 34234449 west africa 3430 27384122 risks experiencing ipv significantly higher women less secondary education rr 112 95 ci 107122 compared least secondary education generally women resided rural area risks experiencing ipv increased rr 102 ci 096106 compared resided urban areas ipv increases significant east africa rr 113 ci 107122 conclusion subsaharan africa intimate partner violence women widespread levels much higher among women lower levels education residing rural areas findings provided additional support policies aimed achieving sdg goals elimination forms violence women girls subsaharan africa example policies advocate improved educational attainment especially among women communities rural areas | https://doi.org/10.1038/s41416-022-01871-x |
Rona Miles|Laura A. Rabin|Anjali Krishnan|Evan Grandoit|Kamil Kloskowski | Mental health literacy in a diverse sample of undergraduate students: demographic, psychological, and academic correlates | 2,020 | Brooklyn College|City University of New York|Brooklyn College|City University of New York|Brooklyn College|City University of New York|Brooklyn College|City University of New York|Brooklyn College|City University of New York | abstract background investigating variables associated mental health literacy collegeage population takes us one step closer providing intervention vulnerable group growing rates psychological disorders serious public concern study adds existing literature incorporating within single model multifaceted variables demographic psychological academic contribute mental health literacy demographically ethnically diverse college students methods participants undergraduate students enrolled nine different colleges part large urban public university system total 1213 respondents 620 female 733 nonwhite completed inperson assessment mental health literacy answered questions demographics college experience mental health experience data analyzed identify variables best discriminated high midlevel low performers assessment results discriminant correspondence analysis revealed difference high low performers accounting 9027 total variance driven participants taken least one course related clinical psychology typically majored psychology applied health science fields participants likely report white female ages 2832 fourth year later undergraduate program addition high performers likely diagnosed andor treated psychological disorder experience psychological disorders personal family peer history families open discussing mental health issues conclusion main contributor variation mental health literacy scores taken clinical psychology course followed majoring psychology importantly findings identified high performers also low performers increase knowledge awareness mental health crucial overall psychological wellbeing results important implications design educational interventions aimed improving mental health literacy college level especially students otherwise would exposed information coursework major | https://doi.org/10.1186/s12936-019-3097-z |
Subash Thapa|Jesper Bo Nielsen | Subjective expectation of reaching age 85: agreement with population statistics and association with behavioral and psychological factors | 2,023 | University of Southern Denmark|University of Southern Denmark | abstract background clearly known well danes estimate chances reaching average life expectancy whether identifiable population subgroups misestimate life expectancy potentially also investments savings health pensions therefore study examined individual level whether subjective life expectancy line statistically calculated chance reaching age 85 explored psychological behavioral factors associated overestimation methods opted crosssectional survey design based sample 5379 danish citizens aged 5070 years returning webbased questionnaire sociodemographic data supplemented national registry average participant estimates chance reaching age 85 age range sex group compared actuarial data performed multiple linear regression analyses examine factors associated subjective expectancy reaching age 85 years results found 32 females 23 males reported 100 certainty reaching age 85 average expected survival chance exceeded statistically predicted survival chance 23 males 16 females ageranges 5060 6170 multivariable analysis found health literacy internal health locus control willingness take health risks selfrated health health life satisfaction showed significant positive association expectation reaching age 85 moreover daily medications ex current smokers heavy drinkers significantly less optimistic reaching age 85 conclusions particularly population groups inaccurate life expectancies significant associations psychological behavioral factors open way initiatives based behavior change theories reach better agreement subjective statistical life expectancy | https://doi.org/10.1634/theoncologist.2019-0703 |
Huimin Wang|Rujun Liao|Xin Chen|Jie Yu|Tianyu Zhu|Qiang Liao|Tao Zhang | How to improve the COVID-19 health education strategy in impoverished regions: a pilot study | 2,022 | West China Medical Center of Sichuan University|Sichuan Center for Disease Control and Prevention|West China Medical Center of Sichuan University|West China Medical Center of Sichuan University|Sichuan Center for Disease Control and Prevention|Sichuan Center for Disease Control and Prevention|West China Medical Center of Sichuan University | abstract background great challenge raise public coronavirus disease 2019 covid19 related health literacy crhl impoverished regions due limits poor infrastructure large proportion vulnerable groups etc however limits cannot solved short term therefore study chose liangshan yi autonomous prefecture one poorest areas china pilot reveal quantitative relationships among different dimensions covid19 health education framework clarify key points health promotion provide specific suggestions covid19 health education strategy impoverished regions methods crosssectional questionnaire survey conducted five regions liangshan yi autonomous prefecture 2020 2100 individuals sampled multistage method survey mainly measured four dimensions crhl covid19 related tense psychological reactions crtpr covid19 related information report acquisition crira general health literacy ghl multivariate logistic regression used explore influence demographic characteristics dimension furthermore quantify relationships among different dimensions study employed structural equation model sem analyzed mediating effects crhl crira well moderating effects regional characteristic variables results crhl played important role promoting covid19 health education reaching 525 liangshan yi autonomous prefecture ghl 0336 age 0136 statistically positive impacts crhl crhl affected crtpr negatively 0198 crira positively 0052 crhl played significant mediating roles among four dimensions p lt 005 effectiveness government prevention control well ethnicity moderated relationships crhl dimensions also mediating effect crhl p lt 005 people lower income education levels lower ghl 0286 1292 youth likely show crtpr 0080 conclusions proposing verifying theoretical framework study put forward specific suggestions improve covid19 health education strategies impoverished regions via implementation methods key groups effect evaluation also provided references future public health emergencies impoverished regions world graphical abstract | https://doi.org/10.1007/s11606-020-06407-8 |
Tomoha Miyashita|Etsuko Tadaka|Azusa Arimoto | Cross-sectional study of individual and environmental factors associated with life-space mobility among community-dwelling independent older people | 2,021 | Yokohama City University|Yokohama City University | abstract background lifespace mobility reflected comprehensive longevity health outcomes also important indicator preventing mortality decline wellbeing among older people however comprehensive framework lifespace mobility modifiable individual environmental factors well validated among communitydwelling independent older people primary prevention examined individual environmental factors affecting lifespace mobility among communitydwelling independent older people methods crosssectional study included 3500 communitydwelling independent older people randomly selected using national basic resident registration system japan lifespace mobility measured using japanese version lifespace assessment lsa instrument used assess individuals pattern mobility negative multivariate binomial regression analysis performed final sample 1258 people individual factors including physical mental social characteristics environmental factors including social material environment measured analyzed potential factors results negative multivariable binomial regression analysis adjusted demographics showed lsa score associated locomotive syndrome 048 95 confidence interval ci 024 073 depression 029 95 ci 003 055 health literacy 020 95 ci 039001 participation community activities 023 95 ci 003043 among individual factors receipt social support 019 95 ci 000 038 social network 029 95 ci 048010 among environmental factors conclusions findings suggest modifiable individual factors environmental factors related lifespace mobility among communitydwelling older people | https://doi.org/10.1186/s12888-020-02854-z |
Hani Salim|Shariff?Ghazali Sazlina|Ping?Yein Lee|Ai Theng Cheong|Noor Harzana Harrun|Salbiah Isa|Hilary Pinnock | Health literacy levels and its determinants among people with asthma in Malaysian primary healthcare settings: a cross-sectional study | 2,021 | Universiti Putra Malaysia|Universiti Putra Malaysia|University of Malaya|Universiti Putra Malaysia|Ministry of Health|Ministry of Health|University of Edinburgh | abstract background limited health literacy among people asthma associated poor adherence selfmanagement activities thus poor clinical outcomes study aimed determine prevalence health literacy level determinants among people asthma malaysian primary healthcare settings method crosssectional study conducted among participants aged gt 18 years asthma attended five primary health clinics malaysia systematic random sampling employed final sample 550 participants questionnaires included validated malay version health literacy scale hls asthma control questionnaire acq statistical analysis done using spss version 25 multiple logistic regression performed determine determinants limited health literacy results participants mean age participants 48 sd154 years participants women 64 malay ethnicity 511 nearly half secondary level education n 112 458 mean duration asthma diagnosis 206 sd 159 years half 625 family history asthma half 509 uncontrolled asthma 873 selfrated controlled asthma third 291 received education asthma action plan 71 owned written version asthma action plan limited health literacy accounts 605 participants significant determinants limited health literacy included lower educational attainment p lt 0001 family history asthma p 0034 lt 20 years duration asthma diagnosis p 0031 receiving asthma action plan education p lt 0001 conclusion study population half people living asthma found limited health literacy associated received selfmanagement education supported asthma action plan future interventions include strategies ensure meet needs people limited health literacy | https://doi.org/10.1186/s12884-019-2705-9 |
Pranav Gandhi|Kelly Kenzik|Lindsay A. Thompson|Darren A. DeWalt|Dennis A. Revicki|Louis Shenkman|I?Chan Huang | Exploring factors influencing asthma control and asthma-specific health-related quality of life among children | 2,013 | South College|University of Florida|University of Florida|University of North Carolina at Chapel Hill|University of Florida|University of Florida|University of Florida | abstract background little known factors contributing childrens asthma control status healthrelated quality life hrqol study objectives assess relationship asthma control asthmaspecific hrqol asthmatic children examine extent parental health literacy perceived selfefficacy patientphysician interaction satisfaction shared decisionmaking sdm contribute childrens asthma control asthmaspecific hrqol methods crosssectional study utilized data collected sample asthmatic children n 160 aged 817 years parents n 160 visited university medical center asthmaspecific hrqol selfreported children using national institutes healths patientreported outcomes measurement information system promis pediatric asthma impact scale satisfaction sdm perceived selfefficacy patientphysician interaction parental health literacy asthma control reported parents using standardized measures structural equation modeling sem performed test hypothesized pathways results path analysis revealed children better asthma control reported higher asthmaspecific hrqol 04 p lt 0001 parents higher health literacy greater perceived selfefficacy patientphysician interactions associated higher satisfaction sdm 038 p lt 005 058 p lt 0001 respectively greater satisfaction sdm turn associated better asthma control 026 p lt 001 conclusion childrens asthma control status influenced asthmaspecific hrqol however parental factors perceived selfefficacy patientphysician interaction satisfaction shared decisionmaking indirectly influenced childrens asthma control status asthmaspecific hrqol | https://doi.org/10.1186/s12955-021-01761-5 |
Patti L. Ephraim|Neil R. Powe|Hamid Rabb|Jessica M. Ameling|Priscilla Auguste|LaPricia Lewis-Boyér|Raquel C. Greer|Deidra C. Crews|Tanjala S. Purnell|Bernard G. Jaar|Nicole DePasquale|L. Ebony Boulware | The providing resources to enhance African American patients’ readiness to make decisions about kidney disease (PREPARED) study: protocol of a randomized controlled trial | 2,012 | Welch Foundation|San Francisco General Hospital|University of California, San Francisco|Johns Hopkins University|Welch Foundation|Welch Foundation|Welch Foundation|Welch Foundation|Welch Foundation|Welch Foundation|Welch Foundation|Welch Foundation|Johns Hopkins University | abstract background living related kidney transplantation lrt underutilized particularly among african americans effectiveness informational financial interventions enhance informed decisionmaking among african americans end stage renal disease esrd improve rates lrt unknown methodsdesign report protocol providing resources enhance african american patients readiness make decisions kidney disease prepared study twophase study utilizing qualitative quantitative research methods design test effectiveness informational focused shared decisionmaking financial interventions overcome barriers pursuit lrt among african american patients families study phase involved evidencebased development informational materials well financial intervention enhance african american patients families proficiency shared decisionmaking regarding lrt study phase 2 currently conducting randomized controlled trial patients newonset esrd receive 1 usual dialysis care nephrologists 2 informational intervention educational video handbook 3 informational intervention addition option participating live kidney donor financial assistance program primary outcome randomized controlled trial include patients selfreported rates consideration lrt including family discussions lrt patientphysician discussions lrt identification lrt donor discussion results prepared study provide needed evidence ways enhance decision pursue lrt among african american patients esrd trial registration clinicaltrialsgov nct01439516 | https://doi.org/10.1186/s13002-020-00361-9 |
Bhupinder Kaur Sama|Palakpreet Kaur|Parteek Singh Thind|Manpreet Kaur Verma|Mandeep Kaur|Dapinder Deep Singh | Implications of COVID?19?induced nationwide lockdown on children's behaviour in Punjab, India | 2,020 | Punjab Engineering College|Desh Bhagat University|Guru Nanak Dev University | abstract background lockdown one prevalent tools used control spread covid19 virus india circumstances created lockdown period children deprived social interaction companionship susceptible psychiatric disorders therefore study efforts understand impacts lockdown mental status children india specific causes study design questionnairebased study methods webbased questionnaire prepared 400 parents four districts punjab india namely ludhiana sahibzada ajit singh sas nagar sangrur ferozepur telephonically interviewed information collected interviews statistically analysed using statistical package social sciences spss software results findings study revealed 7315 5125 children signs increased irritation anger respectively 187 176 parents also mentioned symptoms depression anxiety respectively among children also augmented changes diet sleep weight usage electronic equipment children 763 persistently urge go outdoors play friends therefore could lag social development observations pearsons correlation revealed lockdown childrens mental health significantly related area house number children family qualification mother socioeconomic status family conclusions study made evident mental health children residing punjab india compromised lockdown period induced covid19 pandemic findings study may also trigger international authorities frame guidelines lockdown interest mental health native children | https://doi.org/10.1186/1752-4458-3-10 |
Jori Fleisher|Krunal Shah|Whitney Fitts|Nabila Dahodwala | Associations and Implications of Low Health Literacy in Parkinson's Disease | 2,015 | New York University|University of Pennsylvania|University of Pennsylvania|University of Pennsylvania | abstract background low health literacy hl indicates limited ability understand use basic information make appropriate health care decisions whereas low hl associated higher morbidity mortality health care costs multiple chronic conditions little known hl associations parkinsons disease pd methods crosssectional study nondemented adults pd participating national parkinson foundation parkinsons outcomes project university pennsylvania subjects administered two brief hl assessmentsthe rapid estimate adult literacy medicineshort form realm sf wordrecognition test newest vital sign nvs test literacy numeracy understanding health informationas well demographic clinical questionnaires adverse outcomes included falls 3 months preceding study visit hospital admissions emergency room visits infections injuries preceding year caregiver burden measured using multidimensional caregiver strain index results total 168 subjects completed hl screens mean 658 years 655 male 652 h amp stage 2 using realm sf 976 subjects adequate hl using nvs however 298 low hl associated older age lower education male sex greater disease severity poorer cognition low hl associated hospital admission increased caregiver burden conclusions low hl common associated greater caregiver burden higher likelihood hospitalization patients pd hl associated disease severity adverse outcomes may important modifiable contributor morbidity | https://doi.org/10.1093/eurpub/ckaa165.274 |
Daniel Tajdar|Dagmar Lühmann|Regina Fertmann|Tim Steinberg|Hendrik van den Bussche|Martin Scherer|Ingmar Schäfer | Low health literacy is associated with higher risk of type 2 diabetes: a cross-sectional study in Germany | 2,021 | Universität Hamburg|Universität Hamburg|Universität Hamburg|Universität Hamburg|Universität Hamburg|Universität Hamburg | abstract background low health literacy believed associated behaviours increase risk type 2 diabetes limited knowledge relation health literacy hl diabetes risk whether improving hl could potential prevention strategy therefore main purpose study examine link hl diabetes risk among nondiabetic adults methods used data hamburg diabetes prevention survey populationbased crosssectional study germany one thousand two hundred fiftyfive nondiabetic subjects aged 1860 years eligible german diabetes risk score gdrs ranging 0 123 points used determine individual risk type 2 diabetes short version european health literacy questionnaire hlseuq16 ranging 0 16 points applied assess individual selfreported hl subjects asked selfestimate diabetes risk compared calculated gdrs descriptive statistics calculated investigate group differences gdrs selfestimated diabetes risk linear well logistic regression models performed analyse potential influencing variables gdrs well incorrect selfestimated diabetes risk three nested statistical models outcome analyses adjusted age gender educational level presence chronic conditions results according criteria gdrs 996 794 subjects showed low risk 176 140 still low risk 53 42 elevated risk 30 24 high high risk develop type 2 diabetes within next 5 years statistical models including control variables subjects inadequate hl scored 238 points higher gdrs 95 ci 0378 4336 p 0020 204 greater chance estimate diabetes risk incorrectly 204 95 ci 133 314 p 0001 compared sufficient hl conclusion risk type 2 diabetes increased people inadequate selfreported hl people high diabetes risk inadequate hl might provided educational programs improve diabetes knowledge reduce behavioural risk factors | https://doi.org/10.1186/s12967-018-1459-x |
Doreen M. Rabi|Alun Edwards|Larry Svenson|Peter Sargious|Peter Norton|Erik T. Larsen|William A. Ghali | Clinical and medication profiles stratified by household income in patients referred for diabetes care | 2,007 | University of Calgary|University of Calgary|Alberta Health|University of Calgary|University of Calgary|Calgary Laboratory Services|University of Calgary | abstract background low income individuals diabetes particularly high risk poor health outcomes specialized diabetes care may help reduce risk currently known whether significant clinical differences across income groups time referral objective study determine clinical profiles medication use patients referred diabetes care differ across income quintiles methods crosssectional study conducted using canadian urban diabetes education centre dec database clinical information 4687 patients referred dec may 2000 january 2002 examined data merged 2001 canadian census data income potential differences continuous clinical parameters across income quintiles examined using regression models differences medication use examined using chi square analyses results multivariate regression analysis indicated income negatively associated bmi p lt 00005 age p 0023 time referral highest income quintiles found lower serum triglycerides p 0011 higher hdlc p 0008 time referral significant differences found hba1c ldlc duration diabetes chi square analysis medication use revealed despite significant differences hba1c lowest income quintiles used metformin p 0001 sulfonylureas p lt 00005 wealthy use therapies similar across income groups including lipid lowering medications high income patients likely treated diet alone p lt 00005 conclusion findings demonstrate low income patients present diabetes clinic older heavier atherogenic lipid profile high income patients overall medication use higher among lower income group suggesting differences clinical profiles result undertreatment thus invoking lifestyle factors potential contributors findings | https://doi.org/10.1186/s13033-021-00456-0 |
Amira Badran|Khaled Keraa|Mahassen M. Farghaly | The impact of oral health literacy on dental anxiety and utilization of oral health services among dental patients: a cross sectional study | 2,023 | Misr International University|Ain Shams University|Misr International University|Misr International University | abstract background low oral health literacy levels deficient oral health knowledge jeopardize communication dentists patients different communities study aimed examine impact association oral health literacy patients levels dental anxiety utilization dental health services methods crosssectional study conducted misr international university miu dental clinics study utilized structured interview led questionnaire administered second year dental students period two successive academic years 20182019 20192020 total 440 student interviewed convenience sample 440 dental patients including 269 females 611 171 males 389 questionnaire consisted four sections demographic section modified arabic rapid estimate adult literacy arelad30 tool measures ability participants read 30 commonly used dental terms questionnaire modified authors measure participants knowledge asking choose accurate meaning word based previous knowledge scoring dependent participants immediate correct pronunciation well comprehension word arabic modified dental anxiety scale amdas used measure level dental anxiety dental health service utilization measured using utilization oral health services questionnaire results one quarter 241 participants read 30 items areald correctly average percentage correct responses meaning dental terms 712 statistically significant association areald knowledge scores spearmans correlation coefficient 0008 p value 0872 statistically significant inverse correlation age mdas correlation coefficient 0146 p value 0002 areald scores inversely correlated time since last visit regression coefficient 0027 p value 0036 95 ci 0052 0002 conclusion within limitations study concluded oral health literacy significantly associated dental health services utilization dental anxiety related variables age gender | https://doi.org/10.1093/eurpub/ckz185.329 |
Paulina Mech|Merrilyn Hooley|Helen Skouteris|Joanne Williams | Parent?related mechanisms underlying the social gradient of childhood overweight and obesity: a systematic review | 2,016 | Deakin University|Deakin University|Deakin University|Deakin University | abstract background low socioeconomic status ses significant risk factor childhood overweight obesity cowob highincome countries parents young children buffer accentuate social cultural influences central development disease understanding parentrelated mechanisms underlie sescowob relationship needed improve efficacy prevention intervention efforts objective systematic review relevant literature conducted investigate mechanisms levels ses low middle high associated cowob exploring mediation interaction effects method six electronic databases searched yielding 5155 initial records duplicates removed studies included investigated cowob ses parentrelated factors multivariate relationship factors thirty studies included factors found mediating sescowob relationship interacting ses influence cowob categorized according ecological systems framework child parent household social system level factors results high parent body mass index ethnicity childcare attendance high tv time mother child breastfeeding early weaning food intake behaviours birthweight potentially mediate relationship ses cowob different risk factors cowob different ses groups found low ses families parental obesity maternal depressive symptoms strong risk factors cowob whereas long maternal working hours permissive parenting style risk factors higher ses families none studies investigated parental psychological attributes attitudes beliefs selfesteem potential mechanismsrisk factors conclusions families different ses groups different risk protective factors cowob prevention intervention efforts may improved efficacy tailored address specific risk factors within ses | https://doi.org/10.1093/jamia/ocz023 |
Shichen Zhang|Danlin Li|Rong Yang|Yuhui Wan|Fangbiao Tao|Jun Fang | The association between health literacy and psychosomatic symptoms of adolescents in China: a cross-sectional study | 2,019 | Anhui Medical University|Anhui Medical University|Anhui Medical University|Anhui Medical University|Anhui Medical University | abstract background lower health literacy hl known involved range common mental physical disorders among adolescent students ample studies indicated low hl associated series chronic diseases even psychological diseases nevertheless little known relationship among adolescents context study aimed examine associations psychosomatic symptoms physical psychological symptoms hl junior senior high school students china provide guidance improving physical mental health chinese adolescents methods total 22628 junior high school students china enrolled study hl psychosomatic symptoms measured selfreport validated questionnaires multiple linear regression analyses conducted examine associations six subscales hl physical psychological symptoms results multiple linear regression analysis demonstrated subscales hl showed significantly negative association physical symptoms psychological symptoms p lt 005 physical symptoms strongly associated ir 0134 followed sm 0093 db 0059 sa 0058 pa 0054 statistically significant difference found ha physical symptoms p gt 005 meanwhile psychological symptoms strongly associated ir 0160 followed sa 0129 sm 0069 db 0031 ha 0026 pa 0021 conclusion results indicated importance identifying association hl physical psychological symptoms provided evidence lower hl may serve critical independent risk factor poor health outcomes meanwhile maintain students desirable healthy status public health efforts enhancing hl level urgently needed adolescents | https://doi.org/10.1186/s12889-023-16825-y |
Lesley Fallowfield|Ivonne Solis?Trapala|Rachel Starkings|Shirley May|Lucy Matthews|Diana Eccles|D. Gareth Evans|Clare Turnbull|Gillian Crawford|Valerie Jenkins | Talking about Risk, UncertaintieS of Testing IN Genetics (TRUSTING): development and evaluation of an educational programme for healthcare professionals about BRCA1 & BRCA2 testing | 2,022 | Brighton and Sussex Medical School|University of Sussex|Keele University|Brighton and Sussex Medical School|University of Sussex|Brighton and Sussex Medical School|University of Sussex|Brighton and Sussex Medical School|University of Sussex|University of Southampton|Manchester Academic Health Science Centre|University of Manchester|Institute of Cancer Research|University Hospital Southampton NHS Foundation Trust|Brighton and Sussex Medical School|University of Sussex | abstract background mainstreaming germline testing demands healthcare professionals good communication skills genetic testing counselling experience developed evaluated educational workshopstalking risk amp uncertainties testing genetics trusting contents included presentations exercises interview geneticist brca testing screening prevention implications filmed interactions surgeons genetic counsellor geneticists fictitious family proband brca2 pathogenic variant triplenegative breast cancer older sister brca2 heterozygous cousinnegative brca2 variant methods twentyone surgeons 5 oncologists 18 nurses 9 genetic counsellors participated knowledge 18 item mcq communication skills responses 6 questions proband relatives selfconfidence discussing 9 genetic testing issues assessed pre post workshop results knowledge scores improved significantly post workshop mean change 706 95 confidence interval ci 637774 p lt 0001 communication mean change 538 95 ci 437638 p lt 0001 selfconfidence p lt 0001 discussion healthcare professionals knowledge selfconfidence discussing risks uncertainties genetics often poor trusting workshops significantly enhanced attendees navigation communication difficulties encountered rolled widely | https://doi.org/10.1016/j.esxm.2022.100513 |
James Chirombo|Pietro Ceccato|Rachel Lowe|Dianne J. Terlouw|Madeleine C. Thomson|Austin Gumbo|Peter J. Diggle|Jonathan M. Read | Childhood malaria case incidence in Malawi between 2004 and 2017: spatio-temporal modelling of climate and non-climate factors | 2,020 | Lancaster University|University of Malawi|Malawi-Liverpool-Wellcome Trust Clinical Research Programme|University of Liverpool|London School of Hygiene & Tropical Medicine|Barcelona Institute for Global Health|Liverpool School of Tropical Medicine|Malawi-Liverpool-Wellcome Trust Clinical Research Programme|University of Liverpool|Ministry of Health|Lancaster University|Lancaster University | abstract background malaria transmission influenced complex interplay factors including climate socioeconomic environmental factors interventions malaria control efforts across africa shown mixed impact climate driven factors may play increasing role climate change efforts strengthen routine facilitybased monthly malaria data collection across africa create increasingly valuable data source interpret burden trends monitor control programme progress better understanding association climatic nonclimatic drivers malaria incidence time space may help guide interpret impact interventions methods routine monthly paediatric outpatient clinical malaria case data compiled 27 districts malawi 2004 2017 analysed combination data climatic environmental socioeconomic interventional factors district level population estimates spatiotemporal generalized linear mixed model fitted using bayesian inference order quantify strength association various risk factors districtlevel variation clinical malaria rates malawi visualized using maps results 2004 2017 reported childhood clinical malaria case rates showed slight increase 50 53 cases per 1000 population considerable variation across country climatic zones climatic environmental factors including average monthly air temperature rainfall anomalies normalized difference vegetative index ndvi rdt use diagnosis showed significant relationship malaria incidence temperature current month 3 months prior showed significant relationship disease incidence unlike rainfall anomaly associated malaria incidence three months prior estimated risk maps show relatively high risk along lake shire valley regions malawi conclusion modelling approach identify locations likely unusually high low risk malaria incidence across malawi distinguishes contributions risk explained measured riskfactors unexplained residual spatial variation also spatial statistical methods applied readily available routine data provides alternative information source supplement survey data policy development implementation direct surveillance intervention efforts | https://doi.org/10.1111/cch.12556 |
Mary C. Politi|Rachel L. Grant|Nerissa George|Abigail Barker|Aimee S. James|Lindsay M. Kuroki|Timothy D. McBride|Jingxia Liu|Courtney Goodwin | Improving Cancer Patients’ Insurance Choices (<i>I Can PIC</i>): A Randomized Trial of a Personalized Health Insurance Decision Aid | 2,020 | Washington University in St. Louis|Washington University in St. Louis|Washington University in St. Louis|Washington University in St. Louis|Washington University in St. Louis|Washington University in St. Louis|Washington University in St. Louis|Washington University in St. Louis|Washington University in St. Louis | abstract background many cancer survivors struggle choose health insurance plan meets needs high costs limited health insurance literacy lack decision support developed webbased decision aid improving cancer patients insurance choices pic evaluated randomized trial materials methods eligible individuals 1864 years diagnosed cancer 5 years englishspeaking medicaid medicare eligible randomized pic attention control health insurance worksheet primary outcomes included health insurance knowledge decisional conflict decision selfefficacy completing pic control secondary outcomes included knowledge decisional conflict decision selfefficacy health insurance literacy financial toxicity delayed care 36month followup results total 263 335 eligible participants 79 consented randomized 206 73 completed initial survey 106 pic 100 control 180 87 completed 36 month followup viewing pic control health insurance knowledge health insurance literacy item assessing confidence understanding health insurance higher pic group followup pic group retained higher knowledge control confidence understanding health insurance reassessed significant differences groups outcomes results change controlling health literacy employment groups reported limited health insurance options conclusion pic improve cancer survivors health insurance knowledge confidence using health insurance systemlevel interventions needed lower financial toxicity help patients manage care costs implications practice inadequate health insurance compromises cancer treatment impacts overall cancerspecific mortality uninsured underinsured survivors report fewer recommended cancer screenings may delay avoid needed followup cancer care costs even adequate insurance report difficulty managing care costs health insurance decision support resources help manage care costs thus paramount cancer survivors health care management developed webbased decision aid improving cancer patients insurance choices pic evaluated randomized trial pic provides health insurance information supports patients managing care costs offers list financial emotional support resources provides personalized cost estimate annual health care expenses across plan types | https://doi.org/10.1186/s12889-021-11633-8 |
Valentina Baccolini|Annalisa Rosso|Carlo Di Paolo|Claudia Isonne|Carla Salerno|Giuseppe Migliara|GP Prencipe|Azzurra Massimi|Carolina Marzuillo|Corrado De Vito|Paolo Villari|Ferdinando Romano | What is the Prevalence of Low Health Literacy in European Union Member States? A Systematic Review and Meta-analysis | 2,021 | Harvard University|Sapienza University of Rome|Azienda Sanitaria Locale Roma 3|Sapienza University of Rome|Sapienza University of Rome|Sapienza University of Rome|Sapienza University of Rome|Sapienza University of Rome|Sapienza University of Rome|Sapienza University of Rome|Sapienza University of Rome|Sapienza University of Rome|Sapienza University of Rome|Sapienza University of Rome | abstract background many studies shown low health literacy hl associated several adverse outcomes study systematically reviewed prevalence low hl europe methods pubmed embase scopus searched crosssectional studies conducted european union eu published 2000 investigating prevalence low hl adults using reliable tool included quality assessed newcastleottawa scale inversevariance random effects methods used produce pooled prevalence estimates metaregression analysis performed assess association low hl characteristics studies results pooled prevalence low hl ranged 27 95 ci 1838 48 95 ci 4155 depending literacy assessment method applied southern western eastern eu countries lower hl compared northern europe 087 95 ci 040135 059 95 ci 025093 072 95 ci 006137 respectively assessment method significantly influenced pooled estimate compared word recognition items using selfreported comprehensions items 061 95 ci 015108 reading numeracy comprehensions items 077 95 ci 024131 mixed method 066 95 ci 001133 found higher rates low hl refugees lowest hl 159 95 ci 026292 finally lower quality studies reported higher rates low hl 056 95 ci 006107 discussion found low hl public health challenge throughout europe one every three almost one every two europeans may able understand essential healthrelated material additional research needed investigate underlying causes develop remedies prospero registration crd42019133377 | https://doi.org/10.1186/s12877-021-02069-1 |
Suheir Awadalla|E Bethan Davies|Cris Glazebrook | A longitudinal cohort study to explore the relationship between depression, anxiety and academic performance among Emirati university students | 2,020 | University of Nottingham|University of Nottingham|University of Nottingham | abstract background many university students experience depression anxiety shown affect cognitive function however impact emotional difficulties academic performance unclear study aims determine prevalence depression anxiety university students united arab emirates uae seeks explore relationship emotional difficulties students academic performance methods longitudinal study recruited 404 students aged 1725 years attending one uae university 804 response rate baseline participants completed paperbased survey assess socioeconomic factors academic performance including recent grade point average gpa attendance warnings phq9 gad7 scales used assess depressive anxiety symptoms sixmonth followup 134 participants 333 provided details current gpa results third students 342 cis 297389 screened possible major depressive disorder mdd phq9 10 less quarter 223 cis 182263 screened possible generalized anxiety disorder gad gad7 10 possible mdd group lower gpas p 0003 baseline less satisfied studies p 0015 mdd group also lower gpas followup p 0035 possible gad group lower gpas baseline p 0003 differ followup relationship gad group gpa moderated gender female students possible gad group lower gpas p lt 0001 females nongad group male students possible gad group nonsignificantly higher gpa scores higher levels depression anxiety symptoms scores associated lower gpas baseline phq9 scores gad7 scores independently predicted lower gpa scores followup p 0006 relationship longer statistically significant controlling baseline gpa p lt 009 conclusion study confirms previous findings around third university students likely experiencing depressive disorder one time furthermore provides important evidence regarding negative impacts emotional difficulties students academic performance results support need consider mental health students struggling academically highlight importance signposting students appropriate support including evidencebased therapies | https://doi.org/10.1186/1471-2334-8-147 |
Fatemeh Mirsalimi|Fazlollah Ghofranipour|Azita Noroozi|Ali Montazeri | The postpartum depression literacy scale (PoDLiS): development and psychometric properties | 2,020 | Tarbiat Modares University|Tarbiat Modares University|Bushehr University of Medical Sciences|Iranian Institute for Health Sciences Research|Academic Center for Education, Culture and Research | abstract background maternal mental health including postpartum mental health essential womens health study aimed develop specific measure assessing postpartum depression literacy consequently evaluate psychometric properties among sample perinatal women methods investigation composed two studies developing measure evaluating psychometric properties developed questionnaire development stage item pool created based definition mental health literacy preliminary screening initial questionnaire developed content face validity questionnaire assessed second study psychometric properties questionnaire examined overall 692 perinatal women mean age 2763 years ranging 17 43 participated study results item pool 86 items generated 31 items removed remaining 55 items subjected content face validity 16 items removed second stage 39item questionnaire namely postpartum depression literacy scale podlis evaluated principal component factor analysis 31 items loaded indicating 7factor solution questionnaire factors designated following constructs ability recognize postpartum depression knowledge risk factors causes knowledge belief selfcare activities knowledge professional help available beliefs professional help available attitudes facilitate recognition postpartum depression appropriate helpseeking knowledge seek information related postpartum depression finally performing confirmatory factor analysis postpartum depression literacy scale 31 items supported structures suggested theoretical model findings exploratory factor analysis cronbachs alpha coefficient scale 78 ranged 70 83 factor lending support internal consistency questionnaire conclusion findings suggest postpartum depression literacy scale podlis reliable valid instrument measuring postpartum depression literacy used studies mental health literacy women | https://doi.org/10.1111/birt.12218 |
Muzna Suhail|Hamid Saeed|Zikria Saleem|Saman Younas|Furqan Khurshid Hashmi|Muhammad Fawad Rasool|Muhammad Islam|Imran Imran | Association of health literacy and medication adherence with health-related quality of life (HRQoL) in patients with ischemic heart disease | 2,021 | University of Lahore|Bahauddin Zakariya University|Bahauddin Zakariya University | abstract background medication adherence health related quality life hrqol two interconnected concepts coinfluenced health literacy hl significant impact patient management care thus aimed estimate association hl hrqol ihd patients methods crosssectional study 251 ihd patients recruited lahore 6 months period hl hrqol assessed using validated questionnaires 16items hl morisky green levine scale mgls sf12 respectively chisquare significance logisticregression association linear regression predictions used results ihd patients males p 00001 secondaryhigher education p 00001 middleupper class p 00001 employed p 0005 adequate hl likely adherent 43 p 0014 physical pcs12 mental mcs12 component scores hrqol age gender education area residence employment significantly higher patients adequate hl multinomial regression improved pcs12 scores tend higher subjects secondaryhigher education 35 p 0067 employed 61 p 0002 adherent 295 p 0218 mcs12 scores tend higher patients lt 65 years 22 p 0032 employed 3 p 0002 adherent 4 p 0004 adjusted model hl 0383 p 00001 0133 p 0018 significantly associated pcs12 mcs12 0161 p 0009 conclusion data suggested adequate hl significantly associated adherence physical mental dimensions hrqol higher ihd patients adequate hl besides hl independent predictors hrqol ihd patients | https://doi.org/10.1186/s12905-022-01652-x |
Rediet Sitotaw|Ermias Lulekal|Dawit Abate | Ethnomycological study of edible and medicinal mushrooms in Menge District, Asossa Zone, Benshangul Gumuz Region, Ethiopia | 2,020 | Kotebe Metropolitan University|Addis Ababa University|Addis Ababa University | abstract background menge district long inhabited people long tradition using wild mushrooms mainly food source income medicine extensive utilization wild edible mushrooms wem coupled everincreasing population growth deforestation agricultural land expansion threatens fungal diversity wem area hence study aimed documenting analyzing ethnomycological knowledge people order preserve dwindling wem wealth associated indigenous knowledge methods ethnomycological data collected using semistructured interviews focus group discussions participant observations walkinthewoods methods statistical tests used compare indigenous knowledge practice wild mushroom among different informant categories using oneway anova tests results total 20 ethnomycologically important wild mushroom species belonging ten genera six families identified 15 reported edible district family lyophyllaceae represented highest number species nine species 45 followed agaricaceae seven species 35 remaining four families single species representation significant difference p lt 005 observed mean number wem reported among different group respondents wild edible mushroom collection habit practice significantly p lt 005 influenced gender age literacy level output preference ranking exercise indicated termitomyces schimperi ranked first followed termitomyces letestui termitomyces microcarpus termitomyces eurhizus preferred edible mushrooms respectively conclusion present study shows menge district rich wild mushroom diversity associated indigenous knowledge however anthropogenic factors together loss indigenous knowledge poor conservation efforts threaten survival economically ecologically important mushrooms area thus complementary situ ex situ mushroom conservation strategy highly recommended | https://doi.org/10.1111/j.1365-2788.2009.01176.x |
Len Kanowski|Anthony F. Jorm|Laura Hart | A mental health first aid training program for Australian Aboriginal and Torres Strait Islander peoples: description and initial evaluation | 2,009 | Orygen Youth Health|University of Melbourne|Orygen Youth Health|University of Melbourne|Orygen Youth Health|University of Melbourne | abstract background mental health first aid mhfa training developed australia teach members public give initial help someone developing mental health problem mental health crisis situation however type training requires adaptation specific cultural groups community paper describes adaptation program create australian aboriginal torres strait islander mental health first aid amhfa course presents initial evaluation uptake acceptability methods evaluate program two types data collected 1 quantitative data uptake course number instructors trained courses subsequently run instructors 2 qualitative data strengths weaknesses recommendations future derived interviews program staff focus groups instructors community participants results 199 aboriginal people trained instructors five day instructor training course sufficient time following training majority instructors subsequently ran 14hour amhfa courses aboriginal people community instructors likely run courses prior teaching experience postcourse contact one trainers instructors analysis qualitative data indicated instructor training course amhfa course culturally appropriate empowering aboriginal people provided information seen highly relevant important assisting aboriginal people mental illness number recommendations improvements conclusion amhfa program culturally appropriate acceptable aboriginal people work needed refine course evaluate impact help provided aboriginal people mental health problems | https://doi.org/10.1111/hex.12804 |
Selma Karabey|?eyma Arslan | Research on High School Students’ and Teachers’ Mental Health Literacy Levels in Istanbul, Turkey | 2,020 | Istanbul University|Istanbul University | abstract background mental health literacy mhl critical reduce health inequality raising awareness early recognition mental illnesses study among students teachers istanbul turkey aimed 1 determine knowledge levels towards mental illnesses 2 identify barriers helpseeking behaviors 3 assess stigmatizing attitudes towards mental illnesses methodology crosssectional descriptive study design used 810 high school students 241 teachers included study marjul 2019 data collected mental health literacy questionnaire beliefs towards mental illness scale results students recognition percentages depression schizophrenia social phobia vignettes found 275 477 62 respectively teachers found 465 427 261 respectively statistically significant relationship found students correct recognition vignettes gender age group mother education levels father education levels p amplt 0005 female sex older age parent higher level education likely correct identify vignettes among teachers significant relationship found correct recognition vignettes gender p amplt 0005 females likely correct identify vignettes regarding bmi subscales students average score 21698 poor social interpersonal skills incurability 19969 dangerousness 1523 shame 429162 total scale teachers average scores 236101 21366 1217 462166 order conclusions findings show efforts needed among pupils teachers order encourage help seeking behavior increase belief solution mental health problems possible strengthening accessible mental health services reducing stigma towards mental illnesses also crucial | https://doi.org/10.1002/pon.2002 |
Jin Yang|Roberto Lopez Cervera|Susannah J. Tye|Stephen C. Ekker|Chris Pierret | Adolescent mental health education InSciEd Out: a case study of an alternative middle school population | 2,018 | Mayo Clinic in Arizona|Mayo Clinic in Florida|Mayo Clinic in Arizona|Mayo Clinic in Arizona|Mayo Clinic in Arizona | abstract background mental illness contributes substantially global disease burden particularly illness onset occurs youth helpseeking delayed andor limited yet mental health promotion interventions target youth particularly high risk developing mental illness atrisk youth communitybased translational research capacity identify intervene upon barriers positive health outcomes especially important integrated care atrisk youth populations methods integrated science education outreach inscied program delivered novel schoolbased antistigma intervention mental health cohort seventh eighth grade atrisk students students assessed changes mental health knowledge stigmatization helpseeking intentions via classroom activity surveys teacher interviews descriptive statistics cohens effect sizes employed assess prepost changes inferential statistical analyses also conducted pilot results provide benchmark inform future studies results elimination mental health misconceptions substance weakness p 000 recovery p 005 prevention p 005 violent p 005 accompanied slight gains mental health literacy 018 small medium improvements helpseeking intentions anxiety 024 depression 048 substance 043 psychosis 053 within particular cohort students stigma exceptionally low baseline remained largely unchanged teacher narratives revealed positive teacher views programming increased student openness talk mental illness higher peer selfacceptance mental health diagnoses helpseeking conclusions curricularbased efforts focused mental illness alternative school setting feasible integrated well general curricula inscied framework preliminary data suggest existence unique helpseeking barriers atrisk youth increased focus upon communitybased programming potential bridge gaps translation bringing critical population clinical care pursuit improved mental health trial registration clinicaltrialsgov idnct02680899 registered 12 february 2016 httpsclinicaltrialsgovct2shownct02680899 | https://doi.org/10.1186/s12875-020-01144-7 |
Ilse Blignault|Hend Saab|Lisa Woodland|Haider Mannan|Arshdeep Kaur | Effectiveness of a Community-based Group Mindfulness Program tailored for Arabic and Bangla-speaking Migrants | 2,021 | Western Sydney University|South Eastern Sydney Local Health District|South Eastern Sydney Local Health District|Western Sydney University|Western Sydney University | abstract background migrant communities often underserved mainstream mental health services resulting high rates untreated psychological distress collaborative study built evidence mindfulnessbased interventions delivered inlanguage culturally tailored acceptable clinically effective arabic speakers australia aimed establish whether group mindfulness program produced expected outcomes normal operational conditions test scalability transferability bangla speakers methods 5week mindfulness program delivered 15 arabicspeaking 8 banglaspeaking groups community settings mixedmethods evaluation incorporated prepost study descriptive statistics used summarise sociodemographic data group attendance home practice differences dass 21 k10 scores pre postintervention tested using nonparametric sign test paired samples twosided multiple linear regression analysis performed determine effects selected sociodemographic variables group attendance home practice clinical outcomes based intention treat content analysis used examine qualitative data results program attracted 168 arabic speakers 103 bangla speakers aged 16 years mostly women cultural acceptability evident overall 80 completion rate 78 arabic speakers 84 bangla speakers retained language groups showed clinically statistically significant improvements mental health outcomes dass21 k10 thirty new referrals made mental health services participant feedback emphasised benefits everyday lives one participant reported sharing mindfulness skills others conclusions across multiple diverse groups arabic bangla speakers sydney communitybased group mindfulness program shown high levels cultural acceptability relevance resulted clinically statistically significant improvements mental health outcomes facilitated access mental health care boosted mental health literacy innovative lowintensity inlanguage mental health intervention originally developed arabic speakers scalable also transferablewith cultural tailoringto bangla speakers | https://doi.org/10.1186/1472-6963-12-304 |
Sarina K. Mueller|Delphine Soriano|Andrei Boscor|Naomi Saville|Abriti Arjyal|Sushil Baral|Maureen Fordham|G. J. Hearn|Rachya Kayastha|Patty Kostkova | MANTRA: a serious game improving knowledge of maternal and neonatal health and geohazards in Nepal | 2,019 | Systemic Risk Centre|University College London|Systemic Risk Centre|University College London|Systemic Risk Centre|University College London|University College London|Systemic Risk Centre|University College London|Systemic Risk Centre|University College London|Systemic Risk Centre|University College London|University College London|Systemic Risk Centre | abstract background mobile technology increasingly important delivering public health interventions remote populations research study developed piloted assessed serious game mobile devices teaches geohazard maternal neonatal health messages unique mhealth intervention aimed lowliteracy audiences low resource settings part maternal neonatal technologies rural areas mantra project increasing maternal child health resilience disasters using mobile technology nepal specifically assess impact serious game improve knowledge gain target audience methods cocreation mantra team local stakeholders nepal identified core needs developed appropriate pictograms mechanics tailored pilot game local cultural context picture matching immediate audio visual feedback game teaches 28 learning objectives three modules maternal health neonatal health geohazards assess game 35 participants recruited kathmandu villages kavre district sessions consisted pretest assessment playing game posttest assessment focus group elicit qualitative feedback results knowledge assessment quantified knowledge gain overall group averaged normalized 68 point improvement p 0000022 change geohazard module 95 points p 0001 followed maternal health 74 points p 0007 neonatal health 43 points p 083 four learning objectives statistically significant change p amplt 005 feedback demonstrated high engagement motivation usability game conclusions mantra study unique mhealth intervention serious game teach core health hazards messages lowliteracy audiences rural nepal pilot intervention demonstrated statistically significant knowledge improvement among participants key messages pilot mantra mobile serious game intervention novel idea bring public health knowledge difficult reach vulnerable populations including often ignored illiterate audiences pilot mantra mobile serious game intervention demonstrated statistically significant knowledge improvement geohazard maternal neonatal health learning objectives among participants | https://doi.org/10.1002/cncr.31906 |
Lisa V. Grossman|Ruth Masterson Creber|Natalie C. Benda|Drew Wright|David K. Vawdrey|Jessica S. Ancker | Interventions to increase patient portal use in vulnerable populations: a systematic review | 2,019 | Columbia University|Cornell University|Cornell University|Cornell University|Columbia University|Presbyterian Hospital|New York Hospital Queens|NewYork–Presbyterian Hospital|Cornell University | abstract background 100 studies document disparities patient portal use among vulnerable populations developing testing strategies reduce disparities use essential ensure portals benefit populations objective systematically review impact interventions designed 1 increase portal use predictors use vulnerable patient populations 2 reduce disparities use materials methods librarian searched ovid medline embase cinahl cochrane reviews studies published september 1 2018 two reviewers independently selected englishlanguage research articles evaluated interventions designed impact eligible outcome one reviewer extracted data categorized interventions another assessed accuracy two reviewers independently assessed risk bias results 18 included studies 15 83 assessed interventions impact portal use 7 39 predictors use 1 6 disparities use interventions studied focused individual 13 26 50 opposed facilitating conditions tool task environment organization seips model twelve studies 67 reported statistically significant increase portal use predictors use reduced disparities five studies 28 high unclear risk bias conclusion individually focused interventions evidence increasing portal use vulnerable populations interventions affecting system elements tool task environment organization sufficiently studied draw conclusions given wellestablished evidence disparities use limited research effective interventions research move beyond identifying disparities systematically addressing multiple levels | https://doi.org/10.1186/s12913-020-05932-w |
Sonja Kirchhoff|A Fre?ian|Orkan Okan|Ullrich Bauer | Evaluating the effect of an adapted mental health literacy intervention on mental health related stigma among secondary students in Germany: results of a pre-post evaluation study | 2,023 | Technical University of Munich|Bielefeld University|Technical University of Munich|Bielefeld University | abstract background mental health problems develop youth three quarter emerging age 25 adolescence stigmatizing attitudes related mental illness become nuanced consolidate ones belief system stigma mental illness still one leading barriers helpseeking intervention measures explicitly address becomes entrenched time preventive measures example based promoting mental health literacy mhl used address tackle stigmatizing attitudes canadian mhlbased intervention guide translated adapted use german schools present study evaluates effect german version guide attitudes towards mental illness among students germany methods firsttime application guide german version evaluated prepostevaluation study intervention control group evaluation data 188 students intervention group n 106 control group n 82 statistically analyzed focusing outcomes social stigma social distance selfstigma results analysis showed participants tend hold stigmatizing attitudes even intervention nevertheless intervention effective reducing social stigma reducing social distance selfstigma neither gender preexisting experience mental illness delivery modality contact element within intervention speaker vs video seemed influence outcomes conclusions german version mhlbased intervention guide seems suitable intervention improve attitudes towards mental illness among students germany extensive research necessary confirm findings explore factors influence programs effects attitudes short longterm | https://doi.org/10.1186/1756-0500-5-658 |
Sakditat Ittiphisit|Salin Amponnavarat|Natnicha Manaboriboon|Sira Korpaisarn | The Real-World Characteristics of Gender-Affirming Hormonal Use Among Transgender People in Thailand | 2,022 | Navamindradhiraj University|Vajira Hospital|Ramathibodi Hospital|Mahidol University|Siriraj Hospital|Mahidol University|Ramathibodi Hospital|Mahidol University | abstract background thai transgender people tg use genderaffirming hormone therapy gaht medical supervision aim understand current realworld characteristics gaht among tg methods crosssectional survey conducted using online questionnaire september december 2020 tg resided thailand 1 year included selfreported demographic data characteristics gaht obtained reported gaht compared reference regimen recommended 2017 endocrine society clinical practice guideline outcomes characteristics gaht used among tg factors associated hormonal use outside reference regimen reported results total 401 tg included analysis 249 62 transgender men tm tm 81 transgender women 88 using gaht 297 tg provided complete hormone regimen total 224 tg 75 used gaht outside reference regimen main reasons tm using intramuscular testosterone higher dose per injection less frequent intervals transgender women using oral contraceptive pills cyproterone acetate 125 mgd two common reasons univariate analysis revealed factors associated hormonal use outside reference regimen including age survey participation 104 95ci 100108 p 047 age hormone initiation 104 95ci 101108 p 015 tm 208 95ci 122356 p 007 using gaht medical supervision 178 95ci 104305 p 037 multivariate analysis showed living outside capital city solely statistically significant aor 177 95ci 102305 p 041 clinical implications enhancing health literacy gaht among tg crucial especially tg living capital city strengths limitations study demonstrates current realworld practice gaht use among tg medical care however causality could concluded due nature crosssectional observation study results come recall bias conclusion high prevalence gaht use outside reference regimen factor associated hormonal use outside reference regimen living outside capital city | https://doi.org/10.1111/hir.12304 |
Kim?Michelle Gilson|Elise Davis|Stewart P. Johnson|Joan Gains|Dinah Reddihough|Katrina Williams | Mental health care needs and preferences for mothers of children with a disability | 2,018 | Royal Children's Hospital|University of Melbourne|Murdoch Children's Research Institute|University of Melbourne|University of Melbourne|Murdoch Children's Research Institute|University of Melbourne|Royal Children's Hospital|Murdoch Children's Research Institute|University of Melbourne|Royal Children's Hospital | abstract background mothers children disability increased risk poor mental health compared mothers typically developing children aim study describe mental health care needs preferences support mothers children young people aged 025 years disability methods crosssectional study used using online survey 294 mothers children disability questions asked mental health perceived need support barriers accessing mental health care preferences support descriptive chisquared analyses performed results high rates mental ill health selfidentified previous 12 months reported clinically significant depression 44 anxiety 42 suicidality 22 nearly half 48 mothers reported high high psychological distress although 75 mothers perceived need professional support 58 attempted access key barriers accessing support caregiving duties making difficult schedule appointments 45 perceiving mental health problem serious enough require help 36 individual counselling preferred type support 66 followed professionally guided relaxation 49 education mental health 47 support considered critical time diagnosis medical intervention child conclusions although mental health problems common mothers perceived need professional help several key barriers preventing mothers accessing help study suggests improving mothers knowledge seek help mental health literacy may encourage access support also needs accessible treatment mothers given high care demands placed upon | https://doi.org/10.1186/s13002-020-0358-4 |
Andrew M. Rosenblatt|Deidra C. Crews|Neil R. Powe|Alan B. Zonderman|Michele K. Evans|Delphine S. Tuot | Association between neighborhood social cohesion, awareness of chronic diseases, and participation in healthy behaviors in a community cohort | 2,021 | Florida State University|Cornell University|Johns Hopkins Medicine|Johns Hopkins University|San Francisco General Hospital|National Institute on Aging|National Institutes of Health|National Institute on Aging|National Institutes of Health|San Francisco General Hospital|University of California, San Francisco | abstract background neighborhood social cohesion nsc network relationships well shared values norms residents neighborhood higher nsc associated improved cardiovascular health largely among whites african americans biracial cohort aimed study association nsc chronic disease awareness engagement healthy selfmanagement behaviors two potential mechanisms nsc could impact cardiovascular health outcomes methods using healthy aging neighborhoods diversity across lifespan study handls crosssectionally examined association nsc awareness three chronic conditions diabetes chronic kidney disease ckd hypertension engagement healthy selfmanagement behaviors including physical activity healthy eating cigarette avoidance results study participants n 2082 mean age 565 years 387 white 614 african american participants 26 diabetes 70 hypertension 202 ckd mean nsc 33 sd 080 scale 1 lowest score 5 highest score significant association nsc chronic disease awareness overall race however higher point mean nsc score associated less cigarette use healthier eating scores among whites adjusted odds ratio aor 95 confidence interval ci 076 061094 beta coefficient c 95 ci 175 055297 respectively african americans aor 095 079113 c 046 048139 respectively p interaction 008 006 among whites african americans higher nsc scores associated increases selfreported physical activity c 012 008016 p interaction 040 conclusions community engagement neighborhood social cohesion may important targets promotion healthy behaviors cardiovascular disease prevention research needed understand different associations nsc healthy behaviors race | https://doi.org/10.1186/s12882-020-01867-w |
Jasmine Mah|Susan Stevens|Janice Keefe|Kenneth Rockwood|Melissa K. Andrew | Social factors influencing utilization of home care in community-dwelling older adults: a scoping review | 2,021 | London School of Economics and Political Science|Mount Saint Vincent University|Mount Saint Vincent University|Dalhousie University|Dalhousie University | abstract background older adults want live home long possible even face circumstances limit autonomy home care services reflect emergent preference allowing older adults age place familiar settings rather receiving care chronic health conditions ageing needs institutionalized setting numerous social factors generally studied isolation associated home care utilization even social circumstances complex factors collectively influence home care use patterns remains unclear objectives provide broad comprehensive overview social factors influencing home care utilization evaluate influence discrete social factors patterns home care utilization communitydwelling older adults highincome countries methods scoping review conducted six electronic databases records published 2010 2020 additional records obtained hand searching review articles reference lists included studies documents international organisations narrative synthesis presented complemented vote counting per social factor harvest plots evaluation aggregated findings determine consistency across studies results total 2365 records identified 66 met inclusion criteria 35 discrete social factors grouped four levels influence using socioecological model individual relationship community societal levels grouped according outcome interest home care propensity intensity across studies social factors consistently showing association positive negative equivocal pattern home care propensity age ethnicityrace selfassessed health insurance housing ownership housing problems marital status household income children informal caregiving social networks urbanrural area age education personal finances living arrangements housing ownership associated home care intensity also variable patterns utilization additional community societal level factors identified relevant lacking consistency across literature included rurality availability community services methods financing home care systems cultural determinants conclusion first literature review bringing together wide range reported social factors influence home care utilization confirms social factors influence home care utilization complex interactions distinguishes level influences factors affect patterns use discusses policy implications home care reform | https://doi.org/10.1186/s40795-021-00426-2 |
Saeed Khan|A. Mohammad|Adnan Khan|Amber Farooqui|Shahana Urooj Kazmi|Syed Ali | Prevalence of HCV and HIV infections in 2005-Earthquake-affected areas of Pakistan | 2,008 | Aga Khan University Hospital|Aga Khan University Hospital|University of Karachi|University of Karachi|University of Karachi|Aga Khan University Hospital | abstract background october 8 2005 earthquake magnitude 76 hit northern parts pakistan postearthquake scenario overcrowding improper sewage disposal contamination food drinking water hasty surgical procedures unscreened blood transfusions earthquake victims likely promotes spread infections already prevalent area objective objective study reported determine prevalence human immunodeficiency hepatitis c viruses respectively hiv hcv earthquakeaffected communities pakistan samples analyzed 2 months 11 months earthquake estimate burden hiv hcv areas determine rise prevalence viral infections result earthquake methods blood samples initially collected december 2005 march 2006 245 inhabitants earthquakeaffected areas samples screened hcv hiv using immunochromatography enzymelinked immunosorbent assay elisa results 245 samples tested 8 326 found positive hcv 0 00 hiv indicating existence hcv infection earthquakestricken areas methods used analyze samples collected second round screening area september 2006 11 months earthquake time 290 blood samples collected 16 551 samples positive hcv 0 hiv conclusion slightly higher prevalence hcv recorded 11 months earthquake increase however statistically significant none study participants found hivinfected | https://doi.org/10.1016/j.jalz.2011.09.225 |
Katy B. Kozhimannil|Rachel R. Hardeman|Fernando Alarid?Escudero|Carrie A. Vogelsang|Cori Blauer?Peterson|Elizabeth A. Howell | Modeling the Cost?Effectiveness of Doula Care Associated with Reductions in Preterm Birth and Cesarean Delivery | 2,016 | Minnesota Department of Health|University of Minnesota|Mayo Clinic in Florida|University of Minnesota|Minnesota Department of Health|Minnesota Department of Health|University of Minnesota|University of Minnesota|Minnesota Department of Health|Icahn School of Medicine at Mount Sinai | abstract background one nine us infants born 37 weeks gestation incurring medical costs 10 times higher fullterm infants one three infants born cesarean cesarean births cost twice much vaginal births compared rates preterm cesarean birth among medicaid recipients prenatal access doula care nonmedical maternal support similar women regionally used data association mathematically model potential costeffectiveness medicaid coverage doula services methods data came two sources medicaidfunded singleton births hospitals west north central east north central us n 65147 2012 nationwide inpatient sample medicaidfunded singleton births n 1935 supported communitybased doula organization upper midwest 2010 2014 analyzed routinely collected deidentified administrative data multivariable regression analysis used estimate associations doula care outcomes probabilistic decisionanalytic model used costeffectiveness estimates results women received doula support lower preterm cesarean birth rates medicaid beneficiaries regionally 47 vs 63 204 vs 342 adjustment covariates women doula care 22 percent lower odds preterm birth aor 077 95 ci 061096 costeffectiveness analyses indicate potential savings associated doula support reimbursed average 986 ranging 929 1047 across states conclusions based associations doula care preterm cesarean birth coverage reimbursement doula services would likely cost saving costeffective state medicaid programs | https://doi.org/10.1186/1471-2296-10-42 |
Ali Reza Yusefi|Eshagh Barfar|Salman Daneshi|Mohsen Bayati|Gholamhossein Mehralian|Peivand Bastani | Health literacy and health promoting behaviors among inpatient women during COVID-19 pandemic | 2,022 | University of Jiroft|Zahedan University of Medical Sciences|University of Jiroft|Shiraz University of Medical Sciences|Shahid Beheshti University of Medical Sciences|University of Queensland | abstract background one leading health indicators covid19 crisis health literacy healthpromoting behaviors present study aimed investigate health literacy healthpromoting behaviors among women hospitalized covid19 pandemic southern part iran 2020 methods descriptiveanalytical study encompassed 465 women hospitalized treated none teaching hospitals affiliated shiraz university medical sciences data collection tools health literacy iranian adults helia health promoting lifestyle profile ii hplpii collected data analyzed using descriptive inferential statistical methods results mean scores participants health literacy healthpromoting behaviors 6441 1131 11223 1609 respectively indicating poor level health literacy average level healthpromoting behaviors moreover significant direct correlation health literacy healthpromoting behaviors p lt 0001 r 0471 furthermore health literacy dimensions comprehension p lt 0001 accessibility p lt 0001 reading skills p lt 0001 evaluation p 0002 decision making behavior p 0003 detected predictors healthpromoting behaviors statistically significant relationships noticed mean score health literacy age r 0327 p 0007 level education f 3119 p 0002 place residence 2416 p 0004 healthpromoting behaviors level education f 3341 p 0001 marital status f 2868 p 002 conclusion according findings health policymakers adopt national measures educational planning promote health literacy support healthpromoting behaviors encourage women adopt healthy lifestyle | https://doi.org/10.1111/j.1365-2214.2008.00897.x |
?lyas Mirza|Amina Tareen|Leslie L. Davidson|At?f Rahman | Community management of intellectual disabilities in Pakistan: a mixed methods study | 2,009 | Rawalpindi Medical University|Human Development Research Foundation|Barnet Enfield and Haringey Mental Health Trust|Human Development Research Foundation|Columbia University|University of Liverpool | abstract background pakistan one highest reported rates childhood intellectual disabilities id world prevalence estimates vary 1911000 serious id 651000 mild id methods surveyed carers persons id n 100 using quantitative qualitative instruments conducted indepth interviews carers n 16 key primary health providers n 10 also carried focus groups n 7 data triangulated interpreted light peer reviewed literature results delay 292 95 ci 19 394 417 95 ci 234 601 years detection seeking care parental stress associated caring children high mean selfreporting questionnaire score 84 95 ci 680 991 home management consisted mainly physical containment stigma associated id contributed decreased opportunity children families participate community activities lack knowledge causation effective interventions id conclusions findings suggest significant delay detection id especially rural setting 70 population pakistan resides missed opportunity rehabilitation early formative years cause significant distress caregivers rarely receive valid information course prognosis remedial action take need develop feasible costeffective community level interventions integrated existing healthcare systems | https://doi.org/10.1186/1471-2288-6-20 |
Antoine Boivin|Audrey L’Espérance|François?Pierre Gauvin|Vincent Dumez|Ann C. Macaulay|Pascale Lehoux|Julia Abelson | Patient and public engagement in research and health system decision making: A systematic review of evaluation tools | 2,018 | Université de Montréal|McMaster University|Université de Montréal|McGill University|Université de Montréal|McMaster University | abstract background patient public engagement growing evaluative efforts remain limited reviews looking evaluation tools patient engagement individual decision making exist similar articles research health systems published objective systematically review appraise evaluation tools patient public engagement research health system decision making methods searched literature published january 1980 february 2016 electronic databases ovid medline embase cochrane database systematic reviews cinahl psycinfo consulted well grey literature obtained google subjectmatter experts social media engagement organization websites two independent reviewers appraised evaluation tools based 4 assessment criteria scientific rigour patient public perspective comprehensiveness usability results total 10 663 unique references identified 27 included tools developed last decade designed support improvement engagement activities 11 tools explicitly based literature review 7 tested reliability patients members public involved designing 56 tools mainly piloting stage 185 tools designed report evaluation results patients public conclusion growing number evaluation tools available support patient public engagement research health system decision making however scientific rigour evaluation tools developed could improved well level patient public engagement design reporting | https://doi.org/10.1002/pon.3815 |
Pascal Jean?Pierre|Kevin Fiscella|Paul Winters|Douglas M. Post|Kristen J. Wells|June M. McKoy|Tracy A. Battaglia|Melissa A. Simon|Kristin Kilbourn | Psychometric development and reliability analysis of a patient satisfaction with interpersonal relationship with navigator measure: a multi?site patient navigation research program study | 2,011 | Sylvester Comprehensive Cancer Center|University of Miami|University of Rochester Medical Center|University of Rochester Medical Center|The Ohio State University|Florida College|University of South Florida|Northwestern University|Northwestern University|University of Colorado Denver | abstract background patient navigation pn method addressing racialethnic socioeconomically based disparities cancerrelated care patient navigators provide logistic emotional support underserved patients facilitate successful completion diagnostic treatment care yet little known patient satisfaction relationship navigator due dearth instruments measuring satisfaction objective objective study validate patient satisfaction interpersonal relationship navigator psni measure patients undergoing diagnostic andor therapeutic cancer care methods administered psni 783 participants nine different sites national cancer institute sponsored patient navigation research program evaluated latent structure internal consistency psni using principal components analysis pca cronbach coefficient alpha respectively used correlation analyses examine divergence convergence psni patient satisfaction cancerrelated care pscc rapid estimate adult literacy medicine realm long form patients demographics results pca revealed coherent set items explicates 766 variance psni reliability assessment revealed high internal consistency ranging 095 096 psni good face validity well convergent divergent validities indicated moderate correlations score pscc p lt 00001 nonsignificant correlations primary language marital status scores realm long form p gt 005 conclusion psni valid suitable measure satisfaction patient navigator present sample copyright 2011 john wiley amp sons ltd | https://doi.org/10.1002/clc.22570 |
Sanne Jannick Kuipers|Anna P. Nieboer|Jane Murray Cramm | Views of patients with multi-morbidity on what is important for patient-centered care in the primary care setting | 2,020 | Erasmus University Rotterdam|Erasmus University Rotterdam|Erasmus University Rotterdam | abstract background patientcentered care pcc proposed way forward improving primary care patients multimorbidity however clear pcc exactly looks like practice patients multimorbidity better understanding multimorbid patients views pcc look like elements important may help improve care delivery vulnerable population present study thus aimed identify views patients multimorbidity relative importance pcc aspects dutch primary care setting methods interviews conducted 16 patients multimorbidity using qmethodology combines quantitative qualitative analyses participants ranked 28 statements eight dimensions pcc patients preferences information education access care emotional support family friends continuity transition physical comfort coordination care relative importance byperson factor analysis using centroid factor extraction varimax rotation used reveal factors represent viewpoints qualitative interview data used interpret viewpoints results analyses revealed three factors representing three distinct viewpoints patients multimorbidity important patientcentered care primary care setting patients viewpoint 1 prepared proactive patients seem welloff want charge care seek medical information prefer supported strongly coordinated multidisciplinary team healthcare professionals patients viewpoint 2 everyday patients visit gps require wellcoordinated respectful supportive care patients viewpoint 3 vulnerable patients less resourceful terms communication skills finances thus require accessible care professionals taking lead treating dignity respect conclusion findings study suggest patients multimorbidity require type care delivery aspects pcc delivery equally important patients | https://doi.org/10.1111/j.1365-2788.2011.01510.x |
Lynn Nuti|Mark Lawley|Ayten Türkcan|Zhongxiang Tian|Lingsong Zhang|Karen Chang|Deanna Willis|Laura Sands | No-shows to primary care appointments: subsequent acute care utilization among diabetic patients | 2,012 | Purdue University West Lafayette|Purdue University West Lafayette|Northeastern University|Purdue University West Lafayette|Indiana University – Purdue University Indianapolis|Purdue University West Lafayette | abstract background patients noshow primary care appointments interrupt clinicians efforts provide continuity care prior literature reveals noshows among diabetic patients common purpose study assess whether noshows primary care appointments associated increased risk future emergency department ed visits hospital admissions among diabetics methods prospective cohort study conducted using data 8787 adult diabetic patients attending outpatient clinics associated medical center indiana outcomes examined hospital admissions ed visits 6 months 182 days following patients last scheduled primary care appointment andersengill extension cox proportional hazard model used assess risk separately hospital admissions ed visits adjustment made variables associated noshow status acute care utilization gender age race insurance comorbid status interaction utilization acute care service six months prior appointment noshow computed model results sixmonth rate hospital admissions following last scheduled primary care appointment 022 sd 083 noshows 014 sd 063 attended p lt 00001 noshow associated greater risk hospitalization among diabetics hospital admission prior six months among diabetic patients prior hospital admission noshowed 60 greater risk subsequent hospital admission hr 160 ci 117218 attended appointment sixmonth rate ed visits following last scheduled primary care appointment 056 sd 148 noshows 038 sd 105 attended p lt 00001 adjustment covariates noshow status significantly related subsequent ed utilization conclusions noshow primary care appointment associated increased risk hospital admission among diabetics recently hospitalized | https://doi.org/10.1111/birt.12272 |
Hoda Badr|Krista Herbert|Karishma Chhabria|Vlad C. Sandulache|Elizabeth Y. Chiao|Timothy Wagner | Self?management intervention for head and neck cancer couples: Results of a randomized pilot trial | 2,018 | Baylor College of Medicine|Rowan University|Baylor College of Medicine|Baylor College of Medicine|Baylor College of Medicine|Baylor College of Medicine | abstract background patients head neck cancer hnc experience significant physical psychological morbidity radiotherapy rt contributes treatment interruptions poor quality life although spousespartners help encouraging patient selfmanagement eg selfcare rt often experience high psychological distress rates lack basic health care knowledge skills report increased marital conflict regarding patient selfmanagement current pilot study examined feasibility acceptability 6session telephonebased intervention called pouses coping h ead nd neck r adiation e xperience share teaches selfmanagement communication coping skills patients hnc spouses treatment effects share compared usual medical care umc controlling patient physical symptoms improving patientspouse psychological marital functioning also examined methods thirty patients initiated rt spouses 60 participants 40 racialethnic minorities randomized share umc preintervention postintervention assessments completed results solid recruitment 70 low attrition rates 7 demonstrated feasibility strong program evaluations homework completion rates 72 supported acceptability significant treatment effects medium magnitude observed share compared umc regard hncspecific physical symptom burden cohens 089 symptom interference cohens 086 medium large effects favoring share also found patient spouse depressive symptoms cohens 084 cancerspecific distress cohens 105 conclusions findings current study support feasibility acceptability preliminary efficacy share also suggest programs empower hnc couples necessary skills coordinate care manage challenges rt together hold great promise controlling patients physical symptoms improving psychological functioning partners | https://doi.org/10.1245/s10434-020-08705-1 |
Millicent Addai Boateng|Peter Agyei?Baffour|Sanne Angel|Ulrika Enemark | Translation, cultural adaptation and psychometric properties of the Ghanaian language (Akan; Asante Twi) version of the Health Literacy Questionnaire | 2,020 | Aarhus University|Kwame Nkrumah University of Science and Technology|Aarhus University|Aarhus University | abstract background patients competencies resources manage health termed health literacy necessity better health outcomes thus relevant comprehensive health literacy measurement tool suitable populations interest health literacy questionnaire hlq tool useful health literacy assessment covering nine dimensionsscales health literacy hlq translated validated diverse contexts far assessed country subsaharan africa sought translate tool common language used ghana assess validity methods carried crosssectional study using hlq concurrently assessment malaria programme caregivers children 5 years hlq translated using systematic translation procedure analysed psychometric properties hlq based data collected facetoface interview 1234 caregivers analysis covered tests difficulty level scales composite reliability cronbachs alpha confirmatory factor analysis cfa results cognitive testing showed words ambiguous led minor rewording questionnaire ninefactor cfa model fitted 44 question items crossloadings correlated residuals allowed given restricted nature model fit quite satisfactory 2 dwls 866 df 1717758 p lt 0000 cfi 0971 tli 0969 rmsea 0126 srmr 0107 composite reliability cronbachs alpha gt 065 scales except cronbachs alpha scale 9 understanding health information well enough know 057 mean differences demographic groups among health literacy scales statistically significant conclusion akantwi version hlq proved relevant description health literacy levels among caregivers study validated tool useful conduct health literacy needs assessments guide policies addressing needs work needed validate tool use ghana similar contexts | https://doi.org/10.1186/1471-2458-7-233 |
Thisara Perera|Priyanga Ranasinghe|Udeshika Perera|Sherin Perera|Madura Adikari|Saroj Jayasinghe|Godwin Constantine | Knowledge of prescribed medication information among patients with limited English proficiency in Sri Lanka | 2,012 | University of Colombo|University of Colombo|University of Colombo|University of Colombo|University of Colombo|University of Colombo|University of Colombo | abstract background patients knowledge prescribed medications play key role long term management cardiac diseases determining outcome present study evaluates knowledge prescribed medication among cardiac patients aim identify factors influencing knowledge methods descriptivecrosssectional study conducted among 200 adult patients attending clinics cardiology unit national hospital sri lanka knowledge assessment focused four different sections drug name dose frequency indication total score 60 calculated giving component following weighted scores drug name 20 indication 20 drug dose 10 frequency 10 binary logistic regression analysis evaluate factors associated good knowledge total score 40 performed results among 200 participants 565 n 113 males mean age 597 82 years majority n 170 850 older 50 years age sinhala primary language 915 n 183 participants english primary language two study participants 10 eighty four percent participants educated secondary education 25 n 5 formal education overall knowledge total score60 prescribed medications among study population poor score 20 46 adequate score 2140 365 good score 40 175 results binary logistic regression analysis indicates secondary or153 tertiary levels or279 education selfreported perception illness moderate or123 severe or170 educated doctor reported patients or169 significantly increased odds good knowledge drugs majority patients unable read understand information written english doctors contributed towards educating drug information 330 patients conclusion resourcepoor setting patients limited english proficiency lower level education misperception illness severity resulted reduced knowledge prescribed medications furthermore educated doctor significantly improved knowledge however doctors contribution present deliver quality health information patients unsatisfactory level | https://doi.org/10.1186/s40068-020-00214-0 |
Noora Hirvonen|Heidi Enwald|Anne?Kathrin Mayer|Raija Korpelainen|Riitta Pyky|Tuire Salonurmi|Markku J. Savolainen|Cathrine T. Nengomasha|Ruth M. Abankwah|Wilhelm Uutoni|Raimo Niemelä|Maija?Leena Huotari | Screening everyday health information literacy among four populations | 2,020 | University of Oulu|Åbo Akademi University|Oulu University Hospital|University of Oulu|Åbo Akademi University|Oulu University Hospital|German Insurance Association|Oulu University Hospital|University of Oulu|Oulu Deaconess Institute|Oulu Deaconess Institute|University of Oulu|Oulu University Hospital|University of Oulu|Oulu University Hospital|University of Oulu|University of Namibia|University of Namibia|University of Namibia|University of Oulu|Oulu University Hospital|University of Oulu|Oulu University Hospital | abstract background people face varying obstacles interacting health information everyday lives objectives study aims examine applicability multidimensional everyday health information literacy ehil screening tool detecting people challenges accessing understanding evaluating using health information everyday situations methods previously collected ehil screening tool data finnish upper secondary school students n 217 finnish young men n 1450 finnish adults increased risk metabolic syndrome n 559 namibian university students n 271 reanalysed examine factorial structure tool compare groups statistical analyses included exploratory factor analyses calculation mean factor scores oneway analysis variance results three factor structure awareness access assessment screening tool supported based finnish samples however namibian data follow similar structure significant differences groupwise factor scores discovered discussion findings suggest multidimensional ehil screening tool used pointing areas individuals groups may need support conclusion tool may useful health information library services workers counselling educating public | https://doi.org/10.1186/s13034-022-00470-1 |
Zewdie Kassa|Zemede Asfaw|Sebsebe Demissew | An ethnobotanical study of medicinal plants in Sheka Zone of Southern Nations Nationalities and Peoples Regional State, Ethiopia | 2,020 | Mizan Tepi University|Addis Ababa University|Addis Ababa University | abstract background peoples classification management use plants represent attempt attracting people different academic disciplines many countries use traditional medicine primary healthcare system medicinal plants important components healthcare systems since time immemorial objective research document analyze traditional medicinal plants used sheka people associated ethnobotanical knowledge methods data collected administering preprepared semistructured interview items 414 informants market surveys group discussion guided field walk used data analyzed using descriptive inferential statistics determination informant consensus factor fidelity level well ranking scoring results total 266 plant species belonging 192 genera 74 families identified 204 77 medicinal plants used treat human health problems ten 4 used treat livestock health problems 52 19 used treat human livestock health problems croton macrostachyus prunus africana peperomia retusa lobelia giberroa celosia schweinfurthiana found high ranking medicinal plants gastrointestinal problems based simple preference ranking conclusion high number medicinal plant species recorded study area indicates vegetation sheka reservoir medicinal plants hence area needs attention medicinal plant conservation priorities plant parts used medicines also play vital role entire medicinal plant life cycle therefore useful consider harvesting impacts except wellexperienced traditional healers people study area use medicinal plants haphazardly may high risk victims dosage improper usage high ranking medicinal plants candidates phytochemical profiling drug research development | https://doi.org/10.1186/s12889-021-10801-0 |
Hélène Bonnal|Clémence Béchade|Annabel Boyer|Thierry Lobbedez|Sonia Guillouët|Christian Verger|Maxence Ficheux|Antoine Lanot | Effects of educational practices on the peritonitis risk in peritoneal dialysis: a retrospective cohort study with data from the French peritoneal Dialysis registry (RDPLF) | 2,020 | Université de Caen Normandie|Centre Hospitalier Universitaire de Caen|Normandie Université|Université de Caen Normandie|Centre Hospitalier Universitaire de Caen|Normandie Université|Université de Caen Normandie|Centre Hospitalier Universitaire de Caen|Normandie Université|Université de Caen Normandie|Centre Hospitalier Universitaire de Caen|Normandie Université|Université de Caen Normandie|Centre Hospitalier Universitaire de Caen|Normandie Université|BP (France)|Université de Caen Normandie|Centre Hospitalier Universitaire de Caen|Normandie Université|Université de Caen Normandie|Centre Hospitalier Universitaire de Caen|Normandie Université | abstract background peritoneal dialysis pd homebased therapy performed patients relatives numerous cases role patients educational practices risk peritonitis well assessed aim evaluate effect pd learning methods risk peritonitis methods retrospective multicentric study based data french registry incident adults assisted family autonomous pd exchanges france 2012 2015 included event interest occurrence peritonitis cox hurdle regression models used statistical analysis asses survival free peritonitis risk first subsequent peritonitis results 1035 patients included 967 93 received education specialized nurse written support used pd learning 907 87 patients audio support 221 21 patients evaluation grid used assess comprehension 625 60 patients zero part hurdle model use written support starting pd learning handson training alone associated lower survival free peritonitis respectively hr 159 95ci 10125 hr 194 95ci 108349 whereas count part use audio support starting pd learning handson training combination theory associated lower risk presenting episodes peritonitis first episode respectively hr 055 95ci 031098 hr 057 95ci 033096 conclusions various pd education modalities associated differences risk peritonitis prospective randomized trials necessary confirm causal effect caregivers assess patients preferred learning style literacy level adjust pd learning method individual | https://doi.org/10.1186/s12960-020-00475-x |
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