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https://openalex.org/W2533253483
The health, financial and distributional consequences of increases in the tobacco excise tax among smokers in Lebanon
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[ { "display_name": "Excise", "id": "https://openalex.org/C2778302417" }, { "display_name": "Tax revenue", "id": "https://openalex.org/C121964417" }, { "display_name": "Poverty", "id": "https://openalex.org/C189326681" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" }, { "display_name": "Tobacco control", "id": "https://openalex.org/C2780832096" }, { "display_name": "Revenue", "id": "https://openalex.org/C195487862" }, { "display_name": "Demographic economics", "id": "https://openalex.org/C4249254" }, { "display_name": "Public economics", "id": "https://openalex.org/C100001284" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Finance", "id": "https://openalex.org/C10138342" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Macroeconomics", "id": "https://openalex.org/C139719470" } ]
[ "Lebanon" ]
[ "https://openalex.org/W1985274224", "https://openalex.org/W2007954468", "https://openalex.org/W2015819980", "https://openalex.org/W2028018920", "https://openalex.org/W2032659522", "https://openalex.org/W2033322064", "https://openalex.org/W2043172895", "https://openalex.org/W2048642579", "https://openalex.org/W2100346673", "https://openalex.org/W2125962636", "https://openalex.org/W2128013496", "https://openalex.org/W2128886090", "https://openalex.org/W2131309922", "https://openalex.org/W2131436869", "https://openalex.org/W2135609486", "https://openalex.org/W2148826764", "https://openalex.org/W2152005115", "https://openalex.org/W2153084946", "https://openalex.org/W2157743541", "https://openalex.org/W2165776670", "https://openalex.org/W2168127429", "https://openalex.org/W2198625560", "https://openalex.org/W2397445181", "https://openalex.org/W4212838351", "https://openalex.org/W4292672078" ]
https://api.openalex.org/works?filter=cites:W2533253483
Tobacco use is a significant risk factor for the leading causes of death worldwide, including cancer, heart disease and stroke. Most of these deaths occur in low- and middle-income countries, where tobacco-related deaths are also rising rapidly. Taxation is one of the most effective tobacco control measures, yet evidence on the distributional impact of tobacco taxation in low- and middle-income countries remains scant. This paper considers the financial and health effects, by socio-economic class, of increasing tobacco taxes in Lebanon, a middle-income country. An Almost Ideal Demand System is used to estimate price elasticities of demand for tobacco products. Extended cost-effectiveness analysis (ECEA) methods are applied to quantify, across quintiles of socio-economic status, the health benefits gained, the additional tax revenues raised, and the net financial consequences for households from a 50% increase in the price of tobacco through excise taxes. We find that demand for tobacco is price inelastic with elasticities ranging from −0.32 for the poorest quintile to −0.22 for the richest quintile. The increase in tobacco tax is estimated to result in 65,000 (95% CI: 37,000–93,000) premature deaths averted, 25% of them in the poorest quintile, $300M ($256–340M) of additional tax revenues, 12% borne by the poorest quintile, $23M ($13–33M) of out-of-pocket spending on healthcare averted, 36% of which accrue to the poorest quintile, 9% to the richest. These savings would be associated with 23,000 (13,000–33,000) poverty cases averted (63% in the poorest quintile). Increasing tobacco taxes would lead to large financial and health benefits, and would be pro-poor in health gains, savings on healthcare, and poverty reduction.
[ { "display_name": "Social Science & Medicine", "id": "https://openalex.org/S106822843", "type": "journal" }, { "display_name": "Europe PMC (PubMed Central)", "id": "https://openalex.org/S4306400806", "type": "repository" }, { "display_name": "Digital Access to Scholarship at Harvard (DASH) (Harvard University)", "id": "https://openalex.org/S4306401540", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2398045261
Public schools adolescents' obesity and growth curves in Lebanon.
[ { "affiliations": [ { "country": "Lebanon", "display_name": "University of Balamand", "id": "https://openalex.org/I168913471", "lat": 34.365208, "long": 35.785675, "type": "education" } ], "display_name": "Hilda R Chacar", "id": "https://openalex.org/A5033885447" }, { "affiliations": [], "display_name": "Pascale Salameh", "id": "https://openalex.org/A5091538918" } ]
[ { "display_name": "Obesity", "id": "https://openalex.org/C511355011" }, { "display_name": "Overweight", "id": "https://openalex.org/C2780586474" }, { "display_name": "Anthropometry", "id": "https://openalex.org/C61427482" }, { "display_name": "Socioeconomic status", "id": "https://openalex.org/C147077947" }, { "display_name": "Christian ministry", "id": "https://openalex.org/C521751864" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Endocrinology", "id": "https://openalex.org/C134018914" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" } ]
[ "Lebanon" ]
[]
https://api.openalex.org/works?filter=cites:W2398045261
Our objective was to draw growth curves and assess obesity prevalence in adolescents of public schools, and to explore selected food consumption frequency and physical activity.A cross-sectional study was conducted in Lebanese public schools. From the list of schools provided by the Ministry of Education, a random sample of 20 schools was chosen, distributed in all Lebanese regions. Participants were 2547 adolescents, aged between 11 to 18 years. Anthropometric measures of height and weight were taken, growth curves were drawn. Obesity and at risk of obesity prevalences were also calculated. Selected food intake frequency, physical activity and sedentary behavior were also analyzed.Growth curves were drawn for boys and girls. Overall, 6.6% of adolescents were obese, while 20.5% were at risk of obesity. There were significant differences in obesity prevalence estimates between age groups in girls : increased age was associated with higher obesity (3.8% in those < or =13 years of age versus 10.6%in those > 17 y ; p = 0.02) ; this trend was not found in boys (6.5% in those < or = 13 y and 7.2% in those > 17 y; p = 0.78). As expected, a significant increase in the risk of being overweight was found with increased frequency of eating fried potatoes, chocolate and eating out. In contrast, eating fruits and having physical activity were associated with a lower risk of being overweight.In Lebanese public schools, we found high rates of obesity and associated behaviors. Preventing obesity should focus on promoting healthy lifestyles for adolescents of low socioeconomic status.
[ { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2963224794
Country of birth differences in lifestyle‐related chronic disease among middle‐aged and older adults of Lebanese ethnicity
[ { "affiliations": [ { "country": "Australia", "display_name": "Western Sydney University", "id": "https://openalex.org/I63525965", "lat": -33.59956, "long": 150.75142, "type": "education" } ], "display_name": "Aymen El Masri", "id": "https://openalex.org/A5036640884" }, { "affiliations": [ { "country": "Australia", "display_name": "Western Sydney University", "id": "https://openalex.org/I63525965", "lat": -33.59956, "long": 150.75142, "type": "education" } ], "display_name": "Gregory S. Kolt", "id": "https://openalex.org/A5053961880" } ]
[ { "display_name": "Ethnic group", "id": "https://openalex.org/C137403100" }, { "display_name": "Odds", "id": "https://openalex.org/C143095724" }, { "display_name": "Odds ratio", "id": "https://openalex.org/C156957248" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Logistic regression", "id": "https://openalex.org/C151956035" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Anthropology", "id": "https://openalex.org/C19165224" } ]
[ "Lebanon" ]
[ "https://openalex.org/W1935918018", "https://openalex.org/W1970436288", "https://openalex.org/W1972643702", "https://openalex.org/W1972659093", "https://openalex.org/W1974478475", "https://openalex.org/W1996537781", "https://openalex.org/W2037560763", "https://openalex.org/W2052633658", "https://openalex.org/W2066156092", "https://openalex.org/W2068721416", "https://openalex.org/W2096528587", "https://openalex.org/W2099492564", "https://openalex.org/W2106933779", "https://openalex.org/W2118409616", "https://openalex.org/W2125217100", "https://openalex.org/W2146986430", "https://openalex.org/W2156283010", "https://openalex.org/W2164144215", "https://openalex.org/W2171194229", "https://openalex.org/W2203219772", "https://openalex.org/W2281726473", "https://openalex.org/W2735420283", "https://openalex.org/W2893433731" ]
https://api.openalex.org/works?filter=cites:W2963224794
To examine country of birth differences in the odds of reporting chronic diseases among those of Lebanese ethnicity in comparison to those of Australian ethnicity.Participants were 41,940 Australians aged 45 years and older, sampled from the 45 and Up Study baseline dataset. Participants included those of Lebanese ethnicity born in Lebanon (n=401), Australia (n=331) and other countries (n=73); and those of Australian ethnicity (n=41,135). Logistic regression models were conducted to examine differences in the odds of reporting chronic disease between those of Lebanese ethnicity and those of Australian ethnicity.Those of Lebanese ethnicity had higher odds of reporting diabetes (OR 1.62; 95%CI 1.32-2.00) and lower odds of reporting hypertension (OR 0.82; 95%CI 0.70-0.96) when compared with those of Australian ethnicity. After country of birth stratification, only those born in Lebanon had higher odds of reporting diabetes (OR 2.21; 95%CI 1.71-2.85) and also had lower odds of reporting cancer (OR 0.66; 95%CI 0.46-0.97), when compared with those of Australian ethnicity.Country of birth differences in health exist among those of Lebanese ethnicity. Implications for public health: Country of birth is an important factor that could assist in explaining differences in health among ethnic groups of the same origin.
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https://openalex.org/W2959560188
Transmissible Dermatological Diseases Affecting Syrian Refugees in Lebanon
[ { "affiliations": [], "display_name": "Nisrine Kawa", "id": "https://openalex.org/A5036077744" }, { "affiliations": [], "display_name": "Edith Hanna", "id": "https://openalex.org/A5081739013" }, { "affiliations": [], "display_name": "Abdul Rahman Bizri", "id": "https://openalex.org/A5060673539" } ]
[ { "display_name": "Refugee", "id": "https://openalex.org/C173145845" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Outbreak", "id": "https://openalex.org/C116675565" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Epidemiology", "id": "https://openalex.org/C107130276" }, { "display_name": "Christian ministry", "id": "https://openalex.org/C521751864" }, { "display_name": "Refugee crisis", "id": "https://openalex.org/C2778745634" }, { "display_name": "Disease", "id": "https://openalex.org/C2779134260" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" } ]
[ "Lebanon", "Syria" ]
[]
https://api.openalex.org/works?filter=cites:W2959560188
The Syrian war led many to seek shelter in Lebanon, creating a major refugee crisis. Displaced populations in crowded unequipped settlements are vulnerable to infectious diseases. The burden and incidence of various transmissible skin conditions affecting Syrian refugees in Lebanon and their impact on the Lebanese public health system were evaluated. Literature regarding these conditions among Syrian refugees in host countries, and epidemiological data from the Lebanese Ministry of Public Health Surveillance Unit and primary health-care network were reviewed. Lebanon has witnessed skin disorder outbreaks associated with the Refugee crisis, mainly leishmaniasis, scabies and lice infestations with little data about bacterial and fungal infections and a minor surge in reports of Leprosy. Additional surveillance is needed to monitor disease prevalence, and the emergence of potential outbreaks. Preventive measures, early detection and treatment, improved living conditions, and coordination between the Lebanese health authorities and non-governmental organizations are essential for early intervention and management.
[ { "display_name": "Journal of refugee & global health", "id": "https://openalex.org/S4210183575", "type": "journal" } ]
https://openalex.org/W2949006812
Reproductive health in humanitarian settings in Lebanon and Iraq: results from four cross-sectional studies, 2014–2015
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[ { "display_name": "Refugee", "id": "https://openalex.org/C173145845" }, { "display_name": "Internally displaced person", "id": "https://openalex.org/C13934251" }, { "display_name": "Cross-sectional study", "id": "https://openalex.org/C142052008" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Reproductive health", "id": "https://openalex.org/C121752807" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Health services research", "id": "https://openalex.org/C2780877353" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Systematic sampling", "id": "https://openalex.org/C192489979" }, { "display_name": "Cluster sampling", "id": "https://openalex.org/C183380357" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" } ]
[ "Lebanon", "Syria", "Iraq" ]
[ "https://openalex.org/W141865590", "https://openalex.org/W1494271391", "https://openalex.org/W1523751285", "https://openalex.org/W1649722150", "https://openalex.org/W1816671034", "https://openalex.org/W1916981446", "https://openalex.org/W1969381993", "https://openalex.org/W1991941641", "https://openalex.org/W2003560550", "https://openalex.org/W2029754962", "https://openalex.org/W2045166422", "https://openalex.org/W2067300182", "https://openalex.org/W2079090841", "https://openalex.org/W2095168318", "https://openalex.org/W2099495876", "https://openalex.org/W2120058250", "https://openalex.org/W2133624827", "https://openalex.org/W2154246520", "https://openalex.org/W2170986805", "https://openalex.org/W2210021814", "https://openalex.org/W2417119773", "https://openalex.org/W2438856576", "https://openalex.org/W2561195546", "https://openalex.org/W2736169012", "https://openalex.org/W2755297236" ]
https://api.openalex.org/works?filter=cites:W2949006812
Reproductive health is an important component of humanitarian response. Displaced women need access to family planning, antenatal care, and the presence of a skilled birth attendant at delivery. Since the beginning of the Syrian conflict in 2011, Lebanon and Iraq have been hosting large numbers of refugees, thereby straining local capacities to provide these services. In order to identify salient health needs, Médecins Sans Frontières conducted a survey in several sites hosting refugees and internally displaced persons across the region. Here we describe the reproductive health profile of Syrian refugees, Iraqi displaced persons, and vulnerable Lebanese and their use of services. We conducted four cross-sectional surveys in 2014–2015 in two sites in Lebanon and two sites in Iraq. Depending on the site, two-stage cluster sampling or systematic sampling was intended, but non-probability methods were employed at the second stage due to implementation challenges. We collected information on overall health (including reproductive health) and demographic information from heads of households on the basis of a standardized questionnaire. Pearson chi-square tests were used to compare proportions, and generalized linear models were used to calculate odds ratios with regard to risk factors. All analyses were performed using the survey suite of commands in Stata version 14.1. A total of 23,604 individuals were surveyed, including 5925 women of childbearing age. Overall, it was reported that 7.5% of women were currently pregnant and 12.8% had given birth within the previous 12 months. It was reported that pregnancy was unplanned for 57% of currently pregnant women and 66.7% of women who had delivered in the previous year. A slight majority of women from both groups had accessed antenatal care at least once. Amongst women who had delivered in the previous year, 84.5% had done so with a skilled birth attendant and 22.1% had had a cesarean section. Location and head of household education were predictors of unplanned pregnancy in multivariable analysis. Head of household education was also significantly associated with higher uptake of antenatal care. Considering the large number of pregnant women and women having recently delivered in these settings, addressing their sexual and reproductive health needs emerges as a crucial aspect of humanitarian response. This study identified unmet needs for family planning and high cesarean section rates at all sites, suggesting both lack of access to certain services (contraception, antenatal care), but also over-recourse to cesarean section. These specific challenges can impact directly on maternal and child health and need today to be kept high on the humanitarian agenda.
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https://openalex.org/W1970846746
Factors associated with consulting a dietitian for diabetes management: a cross-sectional study
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[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W1970846746
Abstract Background Type 2 Diabetes (T2D) has reached epidemic levels in the Middle East region. Despite evidence that it improves health outcomes and saves health costs, dietary counseling for T2D remains grossly under-investigated in this region. The aim of this study was to assess the frequency and determinants of use of dietary counseling services by T2D patients in Lebanon and recommend corrective measures that may guide the planning, organization and delivery of care for chronic diseases in general and diabetes care in particular. Methods A non-experimental cross-sectional design was utilized to survey outpatients with T2D in two major health centers in Lebanon. Patients diagnosed with T2D were invited to complete a questionnaire consisting of five sections: socio-demographic characteristics, disease attributes, patients’ perceptions regarding T2D management, practice of lifestyle modifications, and referral by a physician to a dietitian. The outcome of interest was the use of dietary counseling services by T2D patients at least once since their diagnosis. Descriptive statistics and logistic regression analyses were used to evaluate the frequency and determinants of dietary counseling services utilization. Results A total of 332 T2D patients completed the questionnaire (response rate 94.6%). Although 75% of study participants believed that dietitians can assist them in changing their dietary habits, only 38% had consulted with a dietitian. Among study participants, only 34% were referred to a dietitian by their physician. The main determinants of the use of dietary counseling services were referral by a physician (OR: 112.25; 95% CI = 42.74-294.84), the presence of outpatient social or private health insurance (OR: 5.86; 95% CI = 2.40-14.25) and the belief that a dietitian can assist in changing dietary habits (OR: 3.74; 95% CI = 1.33-10.54). Conclusions The findings of this study show suboptimal use of dietary counseling services by T2D patients in Lebanon. Key determinants were physicians’ referral, financial support for outpatient care, and patients’ belief in the usefulness of dietary counseling. Suggested interventions entail enhancing the planning and organization of care through inter-professional collaboration between physicians and dietitians; promoting public financing for high quality outpatient care that includes dietary counseling; and promoting the value of dietary counseling and improving the public image of dietitians.
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https://openalex.org/W2805429547
Challenges in implementing opioid agonist therapy in Lebanon: a qualitative study from a user’s perspective
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[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W2805429547
Opioid agonist therapy (OAT) has been implemented for the treatment of individuals with opioid use disorders in Lebanon since 2011, but has not been evaluated yet. The aim of the study is to describe the implementation of the first pilot OAT program in Lebanon from the users’ perspective. Data collectors gathered data from male participants during June 2016-July 2016. Eighty-one out of 94 patients agreed to participate in the study. Data regarding access to treatment, satisfaction with the treatment protocol and treatment outcomes, patient-provider relationship, and misuse and diversion was collected through semi-structured qualitative interviews. Data saturation was reached after 81 interviews; once no new themes were reported. Findings showed inequalities in access to treatment and showed that OAT improved mental and social wellbeing among users who had financial access and complied with the program protocols. Registering in the program protected users from arrest and reduced their economic burden. Among the main encountered challenges were fear of dependence to buprenorphine, restricted geographical access to treatment, misuse and diversion of buprenorphine. Results implicate inequalities in access to OAT as one important gap to be tackled in the management of OAT in Lebanon. Further research should be done in order to understand the challenges in the implementation of the program from the providers’ perspectives.
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https://openalex.org/W2533967060
National study on the adequacy of antidotes stocking in Lebanese hospitals providing emergency care
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[ "Lebanon" ]
[ "https://openalex.org/W2009585541", "https://openalex.org/W2013282241", "https://openalex.org/W2021451087", "https://openalex.org/W2054880360", "https://openalex.org/W2077362025", "https://openalex.org/W2081747120", "https://openalex.org/W2120435685", "https://openalex.org/W2121330958", "https://openalex.org/W2147675012", "https://openalex.org/W2168254629", "https://openalex.org/W2168955640", "https://openalex.org/W2183366449", "https://openalex.org/W3021359887" ]
https://api.openalex.org/works?filter=cites:W2533967060
Antidotes stocking is a critical component of hospital care for poisoned patients in emergency. Antidote stocking represents a major health challenge worldwide and in Lebanon. Systematic data monitoring of antidote stocking in Lebanese hospitals is lacking. The objective of this study is to assess the adequacy of antidotes stocking in Lebanese hospitals according to type and quantity and explore the characteristics associated with their differential availability.Data collection to assess antidote availability and its correlate was undertaken through a self-administered questionnaire. The questionnaires were distributed by the unit of surveillance at the Ministry of Public Health to eligible hospitals providing emergency care services. The list of essential antidotes was adapted from the World Health Organization (WHO) list and the British Columbia Drug and Poison Information Centre.Among the 85 Lebanese hospitals surveyed none had in stock all the 35 essential antidotes required. The frequency of stocking by type of antidote varied from a minimum of 1.2 % of the hospitals having a (cyanide kit) to 100 % availability of (atropine and calcium gluconate). Teaching hospitals and those with a large bed-capacity reported a higher number of available antidotes for both immediate and non-immediate use than non-teaching hospitals while controlling for the hospital geographical region and public vs private sector.The Lebanese hospitals have a suboptimal stock of essential antidotes supply. It is recommended that the Lebanese Ministry of Public Health monitors closely on the hospital premises the adequacy and availability of essential antidotes stock.
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https://openalex.org/W2054969223
HIV Prevalence and Demographic Determinants of Unprotected Anal Sex and HIV Testing Among Men Who Have Sex with Men in Beirut, Lebanon
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[ "Lebanon" ]
[ "https://openalex.org/W1978651761", "https://openalex.org/W1989618016", "https://openalex.org/W1991100537", "https://openalex.org/W1994708810", "https://openalex.org/W2016949203", "https://openalex.org/W2019216386", "https://openalex.org/W2020883718", "https://openalex.org/W2038707511", "https://openalex.org/W2053435898", "https://openalex.org/W2061578124", "https://openalex.org/W2063877449", "https://openalex.org/W2079778088", "https://openalex.org/W2085413484", "https://openalex.org/W2117740169", "https://openalex.org/W2119985692" ]
https://api.openalex.org/works?filter=cites:W2054969223
The limited epidemiological data in Lebanon suggest that HIV incident cases are predominantly among men who have sex with men (MSM). We assessed the prevalence of HIV and demographic correlates of condom use and HIV testing among MSM in Beirut. Respondent-driven sampling was used to recruit 213 participants for completion of a behavioral survey and an optional free rapid HIV test. Multivariate regression analysis was used to examine demographic correlates of unprotected anal sex and any history of HIV testing. Nearly half (47 %) were under age 25 years and 67 % self-identified as gay. Nearly two-thirds (64 %) reported any unprotected anal intercourse (UAI) with men in the prior 3 months, including 23 % who had unprotected anal intercourse with men whose HIV status was positive or unknown (UAIPU) to the participant. Three men (1.5 % of 198 participants tested) were HIV-positive; 62 % had any history of HIV testing prior to the study and testing was less common among those engaging in UAIPU compared to others (33 % vs. 71 %). In regression analysis, men in a relationship had higher odds of having UAI but lower odds of UAIPU and any university education was associated with having UAI; those with any prior history of HIV testing were more likely to be in a relationship and have any university education. HIV prevention efforts for MSM need to account for the influence of relationship dynamics and promotion of testing needs to target high-risk MSM.
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https://openalex.org/W1482370806
Anthropology and Public Health: Bridging Differences in Culture and Society
[ { "affiliations": [], "display_name": "Robert A. Hahn", "id": "https://openalex.org/A5086231926" } ]
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[ "Lebanon", "Sudan" ]
[]
https://api.openalex.org/works?filter=cites:W1482370806
PART I: ANTHROPOLOGICAL UNDERSTANDING OF PUBLIC HEALTH PROBLEMS 1. The Anthropology of Childhood Malaria in Tanzania 2. Diagnosis and Management of Asthma in the Medical Marketplace of India: Implications for Effort to Improve Global Respiratory Health 3. Situating Stress: Lessons from Lay Discourses on Diabetes 4. Undersatnding Prgnancy in a Population of Inner-City Women in New Orleans- Results of Qualitative Research 5. The Limits of Heterosexual AIDS: Ethnographic Research on Tourism and Male Sexual Labor in the Dominican Republic 6. Male Infertility and Consanguinity in Lebanon: the Power of Ethnogrpahic Epidemiology 7. Structural Violence, Political Violence, and the Health Costs of Civil Conflict: A Case Study from Peru PART II: ANTHROPOLOGICAL DESIGN OF PUBLIC HEALTH INTERVENTIONS 8. Bridges between Mental Health Care and Religious Healing in Puerto Rico: The Outcome of an Early Experiment 9. Indigenization of Illness Support Groups for Lymphatic Filariasis in Haiti 10. Using Formative Research to Explore and Address Elder Health and Care in Chiapas, Mexico 11. Anthropological Contributions to the Development of Culturally Appropriate Tobacco Cessation Programs: A Global Health Priority 12. From Street Research to Public Health Intervetnion: The Hartford Drug Monitoring Project 13. Sexual Risk Reduction Among Married Men and Women in Urban India: An Anthropological Intervention PART III: ANTHROPOLOGICAL EVALUATIONS OF PUBLIC HEALTH INITIATIVES 14. Honorable Mutilation? Changing Responses to Female Genital Cutting in Sudan 15. Making Pregnancy Safer for Women around the World: The Example of Safe Motherhood and Maternal Death in Guatemala 16. Counting on Mother's Love 17. The Brazilian Response to AIDS and the Pharmaceuticalization of Global Health 18. Anthropological and Public Health Perspectives on the Polio Eradication Initiative in Northern Nigeria PART IV: ANTHROPOLOGICAL CRITIQUES OF PUBLIC HEALTH POLICY 19. Sanitary Makeshifts and the Perpetuation of Health Stratification in Indonesia 20. Global Panic, Local Repercussions: The Economic and Nutritional Effects of Bird Flu in Vietnam 21. Neoliberal Infections and the Politics of Health: Resurgent Tuberculosis Epidemics in New York City and Lima, Peru 22. Biological Citizenship After Chernobyl 23. An Ethnographic Evaluation of Post-Alma Ata Health System Reforms in Mongolia: Lessons for Addressing Health Inequities in Poor Communities 24. Bureaucratic Aspects of International Health Programs
[]
https://openalex.org/W1971106327
A retrospective health policy analysis of the development and implementation of the voluntary health insurance system in Lebanon: Learning from failure
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[ { "display_name": "Thematic analysis", "id": "https://openalex.org/C74196892" }, { "display_name": "Health policy", "id": "https://openalex.org/C47344431" }, { "display_name": "Politics", "id": "https://openalex.org/C94625758" }, { "display_name": "Public administration", "id": "https://openalex.org/C3116431" }, { "display_name": "Public policy", "id": "https://openalex.org/C109986646" }, { "display_name": "Government (linguistics)", "id": "https://openalex.org/C2778137410" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Context (archaeology)", "id": "https://openalex.org/C2779343474" }, { "display_name": "Evidence-based policy", "id": "https://openalex.org/C2777503682" }, { "display_name": "Public relations", "id": "https://openalex.org/C39549134" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Policy analysis", "id": "https://openalex.org/C123587114" }, { "display_name": "Qualitative research", "id": "https://openalex.org/C190248442" }, { "display_name": "Public economics", "id": "https://openalex.org/C100001284" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" }, { "display_name": "Social science", "id": "https://openalex.org/C36289849" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Paleontology", "id": "https://openalex.org/C151730666" }, { "display_name": "Linguistics", "id": "https://openalex.org/C41895202" }, { "display_name": "Philosophy", "id": "https://openalex.org/C138885662" }, { "display_name": "Alternative medicine", "id": "https://openalex.org/C204787440" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Biology", "id": "https://openalex.org/C86803240" } ]
[ "Lebanon" ]
[ "https://openalex.org/W1998180656", "https://openalex.org/W2035284079", "https://openalex.org/W2054697726", "https://openalex.org/W2072196589", "https://openalex.org/W2091527106", "https://openalex.org/W2113908365", "https://openalex.org/W2134978128", "https://openalex.org/W2136022926", "https://openalex.org/W2141809304", "https://openalex.org/W2150459713", "https://openalex.org/W2159642921", "https://openalex.org/W2160009727", "https://openalex.org/W2160692068", "https://openalex.org/W2166227248", "https://openalex.org/W3124210252" ]
https://api.openalex.org/works?filter=cites:W1971106327
Public policymaking is complex and suffers from limited uptake of research evidence, particularly in the Eastern Mediterranean Region (EMR). In-depth case studies examining health policymaking in the EMR are lacking. This retrospective policy analysis aims at generating insights about how policies are being made, identifying factors influencing policymaking and assessing to what extent evidence is used in this process by using the Lebanese Voluntary Health Insurance policy as a case study. The study examined the policymaking process through a policy tracing technique that covered a period of 12 years. The study employed a qualitative research design using a case study approach and was conducted in two phases over the course of two years. Data was collected using multiple sources including: 1) a comprehensive and chronological media review; 2) twenty-two key informant interviews with policymakers, stakeholders, and journalists; and 3) a document review of legislations, minutes of meetings, actuarial studies, and official documents. Data was analyzed and validated using thematic analysis. Findings showed that the voluntary health insurance policy was a political decision taken by the government to tackle an urgent political problem. Evidence was not used to guide policy development and implementation and policy implementers and other stakeholders were not involved in policy development. Factors influencing policymaking were political interests, sectarianism, urgency, and values of policymakers. Barriers to the use of evidence were lack of policy-relevant research evidence, political context, personal interests, and resource constraints. Findings suggest that policymakers should be made more aware of the important role of evidence in informing public policymaking and the need for building capacity to develop, implement and evaluate policies. Study findings are likely to matter in light of the changes that are unfolding in some Arab countries and the looming opportunities for policy reforms.
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https://openalex.org/W37393300
Most common diseases treated in primary health care facilities in Lebanon.
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[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Christian ministry", "id": "https://openalex.org/C521751864" }, { "display_name": "Health promotion", "id": "https://openalex.org/C185618831" }, { "display_name": "Health care", "id": "https://openalex.org/C160735492" }, { "display_name": "Asthma", "id": "https://openalex.org/C2776042228" }, { "display_name": "Disease", "id": "https://openalex.org/C2779134260" }, { "display_name": "Mental health", "id": "https://openalex.org/C134362201" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Philosophy", "id": "https://openalex.org/C138885662" }, { "display_name": "Theology", "id": "https://openalex.org/C27206212" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" } ]
[ "Lebanon" ]
[]
https://api.openalex.org/works?filter=cites:W37393300
The Lebanese Ministry of Health has requested public health experts to assess the most common health problems seen in Primary Health Care (PHC) facilities. This paper presents the results of this assessment conducted in a convenience sample of PHC centers. The assessment aimed at identifying areas of strength and gaps in the current system. Data were drawn from 23 PHC centers in various regions of Lebanon, in addition to an 8-year review of the experience of the Department of Family Medicine at the American University Hospital. In general, 46% of all visits to PHC centers did not include any kind of diagnosis. Most centers provided data on large categories of diseases without breakdown into specific entities. The most commonly identified health problems were hypertension, diabetes and asthma, in addition to eye and ear diseases, cardiologic conditions, and dermatologic problems. Other health problems included ill-defined signs and symptoms associated most likely with mental distress. Dental caries, skin and hair parasites, and respiratory tract infections topped the health problems among children. A qualitative synopsis of all data is presented. The paper highlights the limitations of the current health information system in Lebanon, and suggests corrective measures. It also presents a number of recommendations regarding the optimal use of PHC centers for health education and promotion and for disease prevention.
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https://openalex.org/W2149668880
Australia: campaign gets smoking parents to cut down.
[ { "affiliations": [], "display_name": "Rima Afifi Soweid", "id": "https://openalex.org/A5015973368" } ]
[ { "display_name": "Low and middle income countries", "id": "https://openalex.org/C3018472363" }, { "display_name": "Tobacco use", "id": "https://openalex.org/C3019190695" }, { "display_name": "Position (finance)", "id": "https://openalex.org/C198082294" }, { "display_name": "Cigarette smoking", "id": "https://openalex.org/C3019085024" }, { "display_name": "Preference", "id": "https://openalex.org/C2781249084" }, { "display_name": "Tobacco industry", "id": "https://openalex.org/C2781145028" }, { "display_name": "Tobacco control", "id": "https://openalex.org/C2780832096" }, { "display_name": "Water pipe", "id": "https://openalex.org/C23966969" }, { "display_name": "Advertising", "id": "https://openalex.org/C112698675" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" }, { "display_name": "Business", "id": "https://openalex.org/C144133560" }, { "display_name": "Developing country", "id": "https://openalex.org/C83864248" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Engineering", "id": "https://openalex.org/C127413603" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Mechanical engineering", "id": "https://openalex.org/C78519656" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Finance", "id": "https://openalex.org/C10138342" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Inlet", "id": "https://openalex.org/C201289731" }, { "display_name": "Microeconomics", "id": "https://openalex.org/C175444787" } ]
[ "Lebanon" ]
[]
https://api.openalex.org/works?filter=cites:W2149668880
Most Arab countries, like many other low to middle income nations, are still in the relatively early stages of the cigarette tobacco epidemic. Lebanon has the dubious position among Arab countries of being the only one with relatively equal rates of cigarette smoking among men and women. The water pipe is a traditional form of tobacco smoked in Arab countries, including Lebanon. Recently, trends have shifted between tobacco types, and water pipe smoking is becoming the preference for young people and women specifically, ousting the once more popular …
[ { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2144869780
The making of nursing practice Law in Lebanon: a policy analysis case study
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[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W2144869780
Evidence-informed decisions can strengthen health systems, improve health, and reduce health inequities. Despite the Beijing, Montreux, and Bamako calls for action, literature shows that research evidence is underemployed in policymaking, especially in the East Mediterranean region (EMR). Selecting the draft nursing practice law as a case study, this policy analysis exercise aims at generating in-depth insights on the public policymaking process, identifying the factors that influence policymaking and assessing to what extent evidence is used in this process. This study utilized a qualitative research design using a case study approach and was conducted in two phases: data collection and analysis, and validation. In the first phase, data was collected through key informant interviews that covered 17 stakeholders. In the second phase, a panel discussion was organized to validate the findings, identify any gaps, and gain insights and feedback of the panelists. Thematic analysis was conducted and guided by the Walt & Gilson’s “Policy Triangle Framework” as themes were categorized into content, actors, process, and context. Findings shed light on the complex nature of health policymaking and the unstructured approach of decision making. This study uncovered the barriers that hindered the progress of the draft nursing law and the main barriers against the use of evidence in policymaking. Findings also uncovered the risk involved in the use of international recommendations without the involvement of stakeholders and without accounting for contextual factors and implementation barriers. Findings were interpreted within the context of the Lebanese political environment and the power play between stakeholders, taking into account equity considerations. This policy analysis exercise presents findings that are helpful for policymakers and all other stakeholders and can feed into revising the draft nursing law to reach an effective alternative that is feasible in Lebanon. Our findings are relevant in local and regional context as policymakers and other stakeholders can benefit from this experience when drafting laws and at the global context, as international organizations can consider this case study when developing global guidance and recommendations.
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https://openalex.org/W1919458258
Teeth Tales: a community-based child oral health promotion trial with migrant families in Australia
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[ "Lebanon", "Iraq" ]
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https://api.openalex.org/works?filter=cites:W1919458258
The Teeth Tales trial aimed to establish a model for child oral health promotion for culturally diverse communities in Australia.An exploratory trial implementing a community-based child oral health promotion intervention for Australian families from migrant backgrounds. Mixed method, longitudinal evaluation.The intervention was based in Moreland, a culturally diverse locality in Melbourne, Australia.Families with 1-4-year-old children, self-identified as being from Iraqi, Lebanese or Pakistani backgrounds residing in Melbourne. Participants residing close to the intervention site were allocated to intervention.The intervention was conducted over 5 months and comprised community oral health education sessions led by peer educators and follow-up health messages.This paper reports on the intervention impacts, process evaluation and descriptive analysis of health, knowledge and behavioural changes 18 months after baseline data collection.Significant differences in the Debris Index (OR=0.44 (0.22 to 0.88)) and the Modified Gingival Index (OR=0.34 (0.19 to 0.61)) indicated increased tooth brushing and/or improved toothbrushing technique in the intervention group. An increased proportion of intervention parents, compared to those in the comparison group reported that they had been shown how to brush their child's teeth (OR=2.65 (1.49 to 4.69)). Process evaluation results highlighted the problems with recruitment and retention of the study sample (275 complete case families). The child dental screening encouraged involvement in the study, as did linking attendance with other community/cultural activities.The Teeth Tales intervention was promising in terms of improving oral hygiene and parent knowledge of tooth brushing technique. Adaptations to delivery of the intervention are required to increase uptake and likely impact. A future cluster randomised controlled trial would provide strongest evidence of effectiveness if appropriate to the community, cultural and economic context.Australian New Zealand Clinical Trials Registry (ACTRN12611000532909).
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https://openalex.org/W2410618640
Management of community-acquired pneumonia at a tertiary care medical center in Lebanon
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[ "Lebanon", "Saudi Arabia" ]
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https://api.openalex.org/works?filter=cites:W2410618640
Journal Article Management of community-acquired pneumonia at a tertiary care medical center in Lebanon Get access Antoine J. Cherfan, Pharm.D., Antoine J. Cherfan, Pharm.D. Clinical Pharmacist Pharmaceutical Care Department, National Guard Health Affairs—King Abdulazis Medical City, Riyadh, Saudi Arabia Search for other works by this author on: Oxford Academic Google Scholar Abdul Rahman N. Bizri, M.D., M.SC., DLSHTM, Abdul Rahman N. Bizri, M.D., M.SC., DLSHTM Assistant Professor Department of Internal Medicine, Division of Infectious Diseases Search for other works by this author on: Oxford Academic Google Scholar Souzan W. Steitieh, B.SC., Souzan W. Steitieh, B.SC. Research Assistant Research Assistant, Faculty of Health Sciences, Department of Epidemiology and Biostatistics, American University of Beirut Medical Center, Beirut, Lebanon Search for other works by this author on: Oxford Academic Google Scholar Oussayma E. Moukhachen, Pharm.D., BCPS Oussayma E. Moukhachen, Pharm.D., BCPS Clinical Assistant Professor School of Pharmacy, Lebanese American University, Byblos, Lebanon Address correspondence to Dr. Moukhachen at the School of Pharmacy, Lebanese American University, P.O. Box 36, Byblos, Lebanon [email protected]. Search for other works by this author on: Oxford Academic Google Scholar American Journal of Health-System Pharmacy, Volume 60, Issue 9, 1 May 2003, Pages 934–938, https://doi.org/10.1093/ajhp/60.9.934 Published: 01 May 2003
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https://openalex.org/W3136545946
The Arab region’s contribution to global COVID-19 research: Bibliometric and visualization analysis
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[ "Lebanon", "Saudi Arabia", "Egypt", "United Arab Emirates" ]
[ "https://openalex.org/W1699644562", "https://openalex.org/W1767272795", "https://openalex.org/W1778726792", "https://openalex.org/W1916342215", "https://openalex.org/W1986759740", "https://openalex.org/W1989627165", "https://openalex.org/W2032841931", "https://openalex.org/W2065352865", "https://openalex.org/W2093644308", "https://openalex.org/W2101727751", "https://openalex.org/W2101760696", "https://openalex.org/W2120109270", "https://openalex.org/W2126226259", "https://openalex.org/W2150220236", "https://openalex.org/W2166577596", "https://openalex.org/W2345477354", "https://openalex.org/W2416609019", "https://openalex.org/W2469531943", "https://openalex.org/W2567849104", "https://openalex.org/W2619769228", "https://openalex.org/W2620935946", "https://openalex.org/W2741895779", "https://openalex.org/W2743500302", "https://openalex.org/W2797935109", "https://openalex.org/W2810014866", "https://openalex.org/W2898069457", "https://openalex.org/W2900307069", "https://openalex.org/W2905390358", "https://openalex.org/W2946838655", "https://openalex.org/W2970107663", "https://openalex.org/W2999409984", "https://openalex.org/W3004743633", "https://openalex.org/W3007160431", "https://openalex.org/W3007227604", "https://openalex.org/W3007273493", "https://openalex.org/W3008443627", "https://openalex.org/W3009446530", "https://openalex.org/W3009656185", "https://openalex.org/W3009678818", "https://openalex.org/W3009885589", "https://openalex.org/W3009951436", "https://openalex.org/W3010698037", "https://openalex.org/W3011959119", "https://openalex.org/W3012083313", "https://openalex.org/W3012588029", "https://openalex.org/W3013008917", "https://openalex.org/W3013393665", "https://openalex.org/W3013671288", "https://openalex.org/W3014294089", "https://openalex.org/W3014319236", "https://openalex.org/W3014604938", "https://openalex.org/W3016636971", "https://openalex.org/W3028918720", "https://openalex.org/W3028986705", "https://openalex.org/W3030259932", "https://openalex.org/W3032742287", "https://openalex.org/W3032935427", "https://openalex.org/W3038273726", "https://openalex.org/W3038327531", "https://openalex.org/W3038738527", "https://openalex.org/W3039720325", "https://openalex.org/W3042215340", "https://openalex.org/W3045715626", "https://openalex.org/W3046439151", "https://openalex.org/W3047227369", "https://openalex.org/W3049035688", "https://openalex.org/W3061000689", "https://openalex.org/W3087630749", "https://openalex.org/W3087643723", "https://openalex.org/W3088256443", "https://openalex.org/W3088277170", "https://openalex.org/W3092121807", "https://openalex.org/W3092548220", "https://openalex.org/W3093070524", "https://openalex.org/W3093487583", "https://openalex.org/W3093906624", "https://openalex.org/W3094383562", "https://openalex.org/W3112992490", "https://openalex.org/W3123035233", "https://openalex.org/W4253190240" ]
https://api.openalex.org/works?filter=cites:W3136545946
Abstract Background At the global level and in the Arab world, particularly in low-income countries, COVID-19 remains a major public health issue. As demonstrated by an incredible number of COVID-19-related publications, the research science community responded rapidly. Therefore, this study was intended to assess the growing contribution of the Arab world to global research on COVID-19. Methods For the period between December 2019 and March 2021, the search for publications was conducted via the Scopus database using terms linked to COVID-19. VOSviewer 1.6.16 software was applied to generate a network map to assess hot topics in this area and determine the collaboration patterns between different countries. Furthermore, the research output of Arab countries was adjusted in relation to population size and gross domestic product (GDP). Results A total of 143,975 publications reflecting the global overall COVID-19 research output were retrieved. By restricting analysis to the publications published by the Arab countries, the research production was 6131 documents, representing 4.26% of the global research output regarding COVID-19. Of all these publications, 3990 (65.08%) were original journal articles, 980 (15.98%) were review articles, 514 (8.38%) were letters and 647 (10.55%) were others, such as editorials or notes. The highest number of COVID-19 publications was published by Saudi Arabia ( n = 2186, 35.65%), followed by Egypt ( n = 1281, 20.78%) and the United Arab Emirates (UAE), ( n = 719, 11.73%). After standardization by population size and GDP, Saudi Arabia, UAE and Lebanon had the highest publication productivity. The collaborations were mostly with researchers from the United States ( n = 968), followed by the United Kingdom ( n = 661). The main research lines identified in COVID-19 from the Arab world are related to: public health and epidemiology; immunological and pharmaceutical research; signs, symptoms and clinical diagnosis; and virus detection. Conclusions A novel analysis of the latest Arab COVID-19-related studies is discussed in the current study and how these findings are connected to global production. Continuing and improving future collaboration between developing and developed countries will also help to facilitate the sharing of responsibilities for COVID-19 in research results and the implementation of policies for COVID-19.
[ { "display_name": "Globalization and Health", "id": "https://openalex.org/S112714904", "type": "journal" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" } ]
https://openalex.org/W2745135968
Burden of lower respiratory infections in the Eastern Mediterranean Region between 1990 and 2015: findings from the Global Burden of Disease 2015 study
[]
[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Disease burden", "id": "https://openalex.org/C2780664029" }, { "display_name": "Burden of disease", "id": "https://openalex.org/C3020448403" }, { "display_name": "Incidence (geometry)", "id": "https://openalex.org/C61511704" }, { "display_name": "Malnutrition", "id": "https://openalex.org/C551997983" }, { "display_name": "Pediatrics", "id": "https://openalex.org/C187212893" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Physics", "id": "https://openalex.org/C121332964" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Optics", "id": "https://openalex.org/C120665830" } ]
[ "Lebanon", "Somalia" ]
[ "https://openalex.org/W1536044601", "https://openalex.org/W1558118804", "https://openalex.org/W1562544498", "https://openalex.org/W1617145133", "https://openalex.org/W1704037123", "https://openalex.org/W1741672086", "https://openalex.org/W1971511899", "https://openalex.org/W1977515750", "https://openalex.org/W2012660749", "https://openalex.org/W2026569930", "https://openalex.org/W2054352296", "https://openalex.org/W2056085499", "https://openalex.org/W2067875437", "https://openalex.org/W2073922662", "https://openalex.org/W2089741338", "https://openalex.org/W2097190534", "https://openalex.org/W2097222403", "https://openalex.org/W2098196189", "https://openalex.org/W2098544308", "https://openalex.org/W2099251564", "https://openalex.org/W2099722019", "https://openalex.org/W2100067518", "https://openalex.org/W2103214888", "https://openalex.org/W2107722421", "https://openalex.org/W2113414817", "https://openalex.org/W2113629675", "https://openalex.org/W2113848182", "https://openalex.org/W2115501222", "https://openalex.org/W2118238722", "https://openalex.org/W2122215394", "https://openalex.org/W2126400671", "https://openalex.org/W2140580277", "https://openalex.org/W2149553177", "https://openalex.org/W2168195995", "https://openalex.org/W2282153628", "https://openalex.org/W2335238465", "https://openalex.org/W2415688652", "https://openalex.org/W2431437563", "https://openalex.org/W2508300253", "https://openalex.org/W2527824850", "https://openalex.org/W2528385426", "https://openalex.org/W2607350314", "https://openalex.org/W2614986146", "https://openalex.org/W4231852659" ]
https://api.openalex.org/works?filter=cites:W2745135968
ObjectivesWe used data from the Global Burden of Disease 2015 study (GBD) to calculate the burden of lower respiratory infections (LRIs) in the 22 countries of the Eastern Mediterranean Region (EMR) from 1990 to 2015.MethodsWe conducted a systematic analysis of mortality and morbidity data for LRI and its specific etiologic factors, including pneumococcus, Haemophilus influenzae type b, Respiratory syncytial virus, and influenza virus. We used modeling methods to estimate incidence, deaths, and disability-adjusted life-years (DALYs). We calculated burden attributable to known risk factors for LRI.ResultsIn 2015, LRIs were the fourth-leading cause of DALYs, causing 11,098,243 (95% UI 9,857,095–12,396,566) DALYs and 191,114 (95% UI 170,934–210,705) deaths. The LRI DALY rates were higher than global estimates in 2015. The highest and lowest age-standardized rates of DALYs were observed in Somalia and Lebanon, respectively. Undernutrition in childhood and ambient particulate matter air pollution in the elderly were the main risk factors.ConclusionsOur findings call for public health strategies to reduce the level of risk factors in each age group, especially vulnerable child and elderly populations.
[ { "display_name": "International Journal of Public Health", "id": "https://openalex.org/S196280712", "type": "journal" }, { "display_name": "Europe PMC (PubMed Central)", "id": "https://openalex.org/S4306400806", "type": "repository" }, { "display_name": "Oxford University Research Archive (ORA) (University of Oxford)", "id": "https://openalex.org/S4306402636", "type": "repository" }, { "display_name": "Spiral (Imperial College London)", "id": "https://openalex.org/S4306401396", "type": "repository" }, { "display_name": "Virginia Tech Works (Virginia Tech)", "id": "https://openalex.org/S4306400248", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "LSHTM Research Online (London School of Hygiene and Tropical Medicine)", "id": "https://openalex.org/S4306402527", "type": "repository" }, { "display_name": "Minerva Access (University of Melbourne)", "id": "https://openalex.org/S4377196259", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W1979383392
Time to Act: Lessons Learnt from the First Pilot School-Based Intervention Study from Lebanon to Prevent and Reduce Childhood Obesity
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[ { "display_name": "Overweight", "id": "https://openalex.org/C2780586474" }, { "display_name": "Childhood obesity", "id": "https://openalex.org/C2779422640" }, { "display_name": "Intervention (counseling)", "id": "https://openalex.org/C2780665704" }, { "display_name": "Curriculum", "id": "https://openalex.org/C47177190" }, { "display_name": "Obesity", "id": "https://openalex.org/C511355011" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Medical education", "id": "https://openalex.org/C509550671" }, { "display_name": "Mediterranean diet", "id": "https://openalex.org/C2778962194" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Pedagogy", "id": "https://openalex.org/C19417346" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" } ]
[ "Lebanon" ]
[ "https://openalex.org/W171713577", "https://openalex.org/W1602932303", "https://openalex.org/W1971156302", "https://openalex.org/W1989646469", "https://openalex.org/W2007332714", "https://openalex.org/W2025335663", "https://openalex.org/W2034029286", "https://openalex.org/W2037162740", "https://openalex.org/W2071211649", "https://openalex.org/W2075462459", "https://openalex.org/W2076896758", "https://openalex.org/W2083377550", "https://openalex.org/W2090248941", "https://openalex.org/W2109678725", "https://openalex.org/W2132201061", "https://openalex.org/W2132494929", "https://openalex.org/W2156241979", "https://openalex.org/W2162200202", "https://openalex.org/W2165046389", "https://openalex.org/W2166816901", "https://openalex.org/W2172024562", "https://openalex.org/W2398045261", "https://openalex.org/W2405155693", "https://openalex.org/W2772482629", "https://openalex.org/W2792127029" ]
https://api.openalex.org/works?filter=cites:W1979383392
Today, childhood overweight and obesity are serious public health problems that the world faces. Obese children suffer from both short-term and long-term health consequences, and poorer adult health. Despite the rising prevalence of childhood obesity in the Eastern Mediterranean Region, including Lebanon, no intervention research studies have been undertaken. This paper summarizes the main challenges and lessons learned emanating from the first evidence-based multicomponent school intervention aimed at promoting Healthy Eating and Physical Activity in Lebanese School children (Health-E-PALS). Health-E-PALS, which includes three components (class curriculum, family involvement, and food service) and relies on interactive fun learning activities, achieved an increase in students' nutritional knowledge and self-efficacy, and a decrease in their purchase and consumption of high energy dense snacks and beverages. Recommendations for future school-based programs are also highlighted.
[ { "display_name": "Frontiers in Public Health", "id": "https://openalex.org/S2595931848", "type": "journal" }, { "display_name": "DOAJ (DOAJ: Directory of Open Access Journals)", "id": "https://openalex.org/S4306401280", "type": "repository" }, { "display_name": "Europe PMC (PubMed Central)", "id": "https://openalex.org/S4306400806", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W4280505946
The impact of COVID-19 and the economic crisis on Lebanese public health: Food insecurity and healthcare disintegration
[ { "affiliations": [ { "country": "United Kingdom", "display_name": "Anglia Ruskin University", "id": "https://openalex.org/I51216347", "lat": 52.2, "long": 0.11667, "type": "education" } ], "display_name": "Anna Chiara Corriero", "id": "https://openalex.org/A5042225442" }, { "affiliations": [], "display_name": "Abdullahi Tunde Aborode", "id": "https://openalex.org/A5030717186" }, { "affiliations": [ { "country": "United Kingdom", "display_name": "Swansea University", "id": "https://openalex.org/I39586589", "lat": 51.62079, "long": -3.94323, "type": "education" } ], "display_name": "M Reggio", "id": "https://openalex.org/A5072819996" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Makassed General Hospital", "id": "https://openalex.org/I4210160513", "lat": 33.875385, "long": 35.50369, "type": "healthcare" } ], "display_name": "N Shatila", "id": "https://openalex.org/A5064913842" } ]
[ { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Government (linguistics)", "id": "https://openalex.org/C2778137410" }, { "display_name": "Health care", "id": "https://openalex.org/C160735492" }, { "display_name": "Business", "id": "https://openalex.org/C144133560" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Development economics", "id": "https://openalex.org/C47768531" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Linguistics", "id": "https://openalex.org/C41895202" }, { "display_name": "Philosophy", "id": "https://openalex.org/C138885662" } ]
[ "Lebanon" ]
[ "https://openalex.org/W2267543226", "https://openalex.org/W3083484463", "https://openalex.org/W3140448606", "https://openalex.org/W3176303282", "https://openalex.org/W3188855383", "https://openalex.org/W3190077034" ]
https://api.openalex.org/works?filter=cites:W4280505946
The economic crisis in Lebanon, a middle-income eastern Mediterranean country, has been threatening the health of the local population. This review will look at the impact of the economic crisis and COVID-19 on health and healthcare in the country, discussing food insecurity and water shortages, and the hospital crisis for what concerns medications, electricity shortages and workforce issues.Peer Reviewed Literature produced between 2015 and 2021, indexed in Pubmed, Scopus and Google Scholar was used to compile this short report. News and governmental reports, alongside reports of NGOs like Médicins sans frontières were also collected; these were analysed for the production of this short report.The challenges and public health consequences caused by the economic crisis and the COVID-19 pandemic in Lebanon were identified and commented upon. From food insecurity and water shortages, to the Beirut port explosion and the 2021 lack of fuel and electricity, it was found that the health and well-being of the Lebanese population is currently being threatened from many points of view. With food inflation rates rapidly escalating in 2020 and peaking at 441% in October, new-born and infant milk being non-existent and 20 hour power cuts daily, the situation in Lebanon does not seem to be improving. The country needs to receive international help to relief the population from these synergetic crises.Long-term economic reforms with an emphasis on employment should be at the forefront of the government's priority list. International help should also be provided to prevent disasters like food insecurity and electricity shortages from posing threats to the lives and the wellbeing of the people in Lebanon again.
[ { "display_name": "Ethics, Medicine and Public Health", "id": "https://openalex.org/S2764918286", "type": "journal" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W3176303282
Promoting Sustainable and Healthy Diets to Mitigate Food Insecurity Amidst Economic and Health Crises in Lebanon
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[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W3176303282
Introduction: Lebanon, a middle-income Eastern Mediterranean country, continues to face detrimental economic, health and socio-political challenges that are further exacerbated by the COVID-19 pandemic. In parallel, the country has been experiencing a remarkable nutrition transition that has contributed to the burden of malnutrition and non-communicable diseases, all imposing serious repercussions on people's livelihoods, food security, and health. Such circumstances have prodded public demand for guidance on affordable, healthy, and sustainable dietary choices to alleviate the burden to this emerging unfortunate situation. Objective: The purpose of this study is to provide evidence-based sustainable and healthy dietary recommendations which balance the tradeoffs among the health, environmental footprint and cost dimensions of sustainability, while closely resembling the usual food consumption pattern. Methodology: Data from the latest available national food consumption survey was used as the usual food consumption pattern of Lebanese adults. Optimized dietary patterns were calculated using the optimization model Optimeal which produced patterns most similar to the usual diet and simultaneously satisfying the three main sets of constraints: health, environmental footprints, and cost. The identified healthy and sustainable dietary options were vetted by multiple key stakeholders from the government, academia, international, and national non-governmental organizations. Results: Compared to the usual intake, the optimized diet included higher intakes of whole grain bread, dark green vegetables, dairy products, and legumes, and lower intakes of refined bread, meat, poultry, added sugars, saturated fat, as compared to usual national mean consumption. The optimized dietary model resulted in a decrease in the associated environmental footprints: water use (-6%); and GHG (-22%) with no change in energy use. The cost of the optimized diet was not different from that of the usual intake. Conclusion: An evidence-based sustainable and healthy diet was developed for Lebanon providing the population and policy makers with some answers to a complex situation. Findings highlight the need for the development of sustainable food based dietary guidelines for Lebanon to promote diets that are healthy, sustainable, culturally acceptable, and affordable and that can alleviate food insecurity among the general population.
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https://openalex.org/W2166052100
A family-focused intervention for heart failure self-care: conceptual underpinnings of a culturally appropriate intervention
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https://api.openalex.org/works?filter=cites:W2166052100
A discussion of the conceptual elements of an intervention tailored to the needs of Lebanese families.The role of informal caregiving is strongly recommended for individuals with chronic conditions including heart failure. Although this importance is recognized, conceptual and theoretical underpinnings are not well elucidated nor are methods of intervention implementation.Discussion paper on the conceptual underpinning of the FAMILY model.This intervention was undertaken using linked methods: (1) Appraisal of theoretical model; (2) review of systematic reviews on educational interventions promoting self-management in chronic conditions in four databases with no year limit; (3) socio-cultural context identification from selected papers; (4) expert consultation using consensus methods; and (5) model development.Theories on self-care and behavioural change, eighteen systematic reviews on educational interventions and selected papers identifying sociocultural elements along with expert opinion were used to guide the development of The FAMILY Intervention Heart Failure Model. Theory and practice driven concepts identified include: behavioural change, linkage, partnership and self-regulation.Heart failure is a common condition often requiring in-hospital and home-based care. Educational interventions targeting the socio-cultural influences of the patients and their family caregivers through a structured and well-designed program can improve outcomes.As the burden of chronic diseases increases globally, particularly in emerging economies, developing models of intervention that are appropriate to both the individual and the socio-cultural context are necessary.
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https://openalex.org/W1970092277
THE LEBANESE PHYSICIAN: A PUBLIC'S VIEWPOINT
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[]
https://api.openalex.org/works?filter=cites:W1970092277
ABSTRACT A physician's lack of humanity is a general complaint in public surveys. The physician‐patient relationship is viewed by the public as being reduced to a business relationship where the patient feels that she is merely a ‘client’ and the physician a healthcare ‘practitioner’ instead of a ‘care giver’. This public perception is not a phenomenon that is peculiar to Lebanon. Yet, the problem has been increasing over the years to the extent that patients feel that physicians are becoming inhumane and business oriented. While this might not characterize all physicians of the 21 st century, this might be true of at least some. Responses were collected from a study that was undertaken based on a questionnaire distributed to a pool of 650 participants from different geographical areas and different social and educational backgrounds in Lebanon. Participants were all older than18 years and mentally competent. None were physicians. The questionnaire was open‐ended and initially piloted among a random sample. The physician traits most desired by the public were found to be: moral traits (41%), interpersonal traits (36%), scientific traits (19%) and other (4%). The most unwanted traits/behaviours were a lack of interpersonal traits (57%), a lack of moral traits (40%) and a lack of scientific skills (3%). The physician‐patient relationship was perceived, in general, as being a flawed one. What can be done to remedy the image of the Lebanese physician that has been projected in the minds of the patients and the public at large? Nine major recommendations are presented.
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https://openalex.org/W2012156065
Waterpipe dependence in university students and effect of normative beliefs: a cross-sectional study
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https://api.openalex.org/works?filter=cites:W2012156065
<h3>Objectives</h3> The objective of this study was to measure the correlates, including normative beliefs, associated with waterpipe (WP) and cigarette smoking prevalence and dependence. <h3>Setting</h3> A cross-sectional study was carried out using a proportionate cluster sample of Lebanese students in 17 public and private universities. <h3>Participants</h3> Of the 4900 distributed questionnaires, 3384 (69.1%) were returned to the field worker. All available students during break times were approached, with no exclusion criteria. <h3>Primary and secondary outcome measures</h3> sociodemographic variables, detailed active and passive smoking, in addition to items of the tobacco dependence scales were all evaluated. <h3>Results</h3> Correlates to WP smoking were studying in a private university (adjusted OR, aOR=1.50 (1.26 to 1.79); p&lt;0.001) and ever smoking cigarettes (aOR=1.80(1.44 to 2.26); p&lt;0.001); friends’ and societal influence were found on smoking behaviour and dependence. Although the role of parents was not visible in decreasing the risk of smoking WP, their protective influence seemed more important on WP dependence (β=−1.09(−1.79 to −0.28); p&lt;0.001), a behaviour that is considered more deleterious for health. Parents’ and friends’ disagreement with smoking had a protective effect on cigarette smoking and dependence (aOR&lt;1; p&lt;0.01), while thinking that idols and successful people smoke increased the risk of both cigarette smoking and dependence (aOR&gt;1; p&lt;0.01). <h3>Conclusions</h3> In conclusion, WP smoking and dependence are influenced by parents’ and friends’ opinions, and idols’ smoking status. Future research is necessary to further improve our understanding of motives for WP smoking and dependence.
[ { "display_name": "BMJ Open", "id": "https://openalex.org/S79054089", "type": "journal" }, { "display_name": "Europe PMC (PubMed Central)", "id": "https://openalex.org/S4306400806", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2601045102
Determinants of poor cognitive function using A-IQCODE among Lebanese older adults: a cross-sectional study
[ { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Ibrahim R. Bou-Orm", "id": "https://openalex.org/A5021735195" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Assem M. Khamis", "id": "https://openalex.org/A5032397387" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Monique Chaaya", "id": "https://openalex.org/A5007413550" } ]
[ { "display_name": "Cognitive decline", "id": "https://openalex.org/C2984863031" }, { "display_name": "Dementia", "id": "https://openalex.org/C2779483572" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Cross-sectional study", "id": "https://openalex.org/C142052008" }, { "display_name": "Cognition", "id": "https://openalex.org/C169900460" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Logistic regression", "id": "https://openalex.org/C151956035" }, { "display_name": "Depression (economics)", "id": "https://openalex.org/C2776867660" }, { "display_name": "Odds", "id": "https://openalex.org/C143095724" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Disease", "id": "https://openalex.org/C2779134260" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" }, { "display_name": "Macroeconomics", "id": "https://openalex.org/C139719470" } ]
[ "Lebanon" ]
[ "https://openalex.org/W1593393815", "https://openalex.org/W1835038599", "https://openalex.org/W2032485948", "https://openalex.org/W2047641191", "https://openalex.org/W2059219691", "https://openalex.org/W2059483016", "https://openalex.org/W2062539816", "https://openalex.org/W2095201824", "https://openalex.org/W2109527205", "https://openalex.org/W2109814624", "https://openalex.org/W2110202583", "https://openalex.org/W2110800385", "https://openalex.org/W2113127997", "https://openalex.org/W2115620754", "https://openalex.org/W2126838548", "https://openalex.org/W2150803255", "https://openalex.org/W2158926311", "https://openalex.org/W2345814701" ]
https://api.openalex.org/works?filter=cites:W2601045102
Dementia characterized by gradual cognitive decline is an increasing public health problem due to population ageing. This study aims at assessing the prevalence and determinants of cognitive decline among Lebanese older adults.Secondary analysis of data from a cross-sectional sample of 502 elders from two Lebanese governorates was conducted. Cognitive decline was assessed using the Arabic Version of 16-item Informant Questionnaire on Cognitive Decline for the older adults (A-IQCODE 16). A multivariable logistic regression model assessed the associations of socio-demographic, clinical and behavioral factors with the presence of cognitive decline.Almost one of six Lebanese older adults (14.8%) scored below 3.34. Higher odds of cognitive decline were associated with higher age, being female, having heart disease and suffering from depression. Pack-years of cigarette smoking showed a protective effect and this relationship seems to be only statistically significant among older adults aged more than 75 years.Screening programs of cardiovascular risk factors and early detection of depression are 'best buy' public health interventions that could prevent cognitive decline among Lebanese older adults. Differential survival bias seems the reasonable explanation for the protective effect of smoking that is not the common finding from the literature.
[ { "display_name": "Aging & Mental Health", "id": "https://openalex.org/S165966931", "type": "journal" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W1955839055
La fièvre typhoïde au Liban: étude épidémiologique
[ { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Soraya Naji-Rammal", "id": "https://openalex.org/A5007888125" }, { "affiliations": [], "display_name": "Nora Bedrossian", "id": "https://openalex.org/A5071038394" } ]
[ { "display_name": "Typhoid fever", "id": "https://openalex.org/C520601542" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Christian ministry", "id": "https://openalex.org/C521751864" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Serotype", "id": "https://openalex.org/C10389963" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Veterinary medicine", "id": "https://openalex.org/C42972112" }, { "display_name": "Immunology", "id": "https://openalex.org/C203014093" }, { "display_name": "Virology", "id": "https://openalex.org/C159047783" }, { "display_name": "Philosophy", "id": "https://openalex.org/C138885662" }, { "display_name": "Theology", "id": "https://openalex.org/C27206212" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" } ]
[ "Lebanon" ]
[]
https://api.openalex.org/works?filter=cites:W1955839055
Typhoid fever is a major public health problem, especially in developing countries. From 2000 through 2008, the infectious disease surveillance unit at the Lebanese Ministry of Public Health received 6148 reports of typhoid cases. A case is considered positive for typhoid or paratyphoid fever when fever of at least 38 degrees C persists for three days, and Salmonella enterica serovar Typhi or Paratyphi is isolated from blood, bone marrow, or stool. Statistical analysis was performed with STATA v.10 software. The most cases were recorded in 2003 (n=891), followed by 2007 (n=879), while the fewest were recorded in 2005 (n=461). The distribution of typhoid was not homogeneous between age groups: the age group most affected were those aged 20-39 years, followed by those from 10-19 years; those older than 60 years were least affected. Nor was the geographic distribution, by district (combining Nabatieh and the South together), homogeneous. The most affected individuals were in the North (n=2,192), followed by Bekaa (n=1,651) and Mount Lebanon (n= 1,094). Beirut was the least affected, with 210 cases. The results indicate that typhoid fever remains endemic in Lebanon and that the risk of epidemic episodes is still present.
[ { "display_name": "Santé", "id": "https://openalex.org/S4210217823", "type": "journal" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2940608893
Defamed relations: host community and refugees
[ { "affiliations": [ { "country": "Qatar", "display_name": "Primary Health Care", "id": "https://openalex.org/I4210134505", "lat": 25.288042, "long": 51.54506, "type": "government" }, { "country": "Lebanon", "display_name": "American University of Beirut Medical Center", "id": "https://openalex.org/I4210104580", "lat": 33.897972, "long": 35.485886, "type": "healthcare" } ], "display_name": "Abdul Rahman Bizri", "id": "https://openalex.org/A5061182011" }, { "affiliations": [ { "country": "Qatar", "display_name": "Primary Health Care", "id": "https://openalex.org/I4210134505", "lat": 25.288042, "long": 51.54506, "type": "government" } ], "display_name": "Buthayna Assad Dada", "id": "https://openalex.org/A5074597411" }, { "affiliations": [ { "country": "Qatar", "display_name": "Primary Health Care", "id": "https://openalex.org/I4210134505", "lat": 25.288042, "long": 51.54506, "type": "government" } ], "display_name": "May Hasbini Haschicho", "id": "https://openalex.org/A5013029388" } ]
[ { "display_name": "Refugee", "id": "https://openalex.org/C173145845" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "General partnership", "id": "https://openalex.org/C71750763" }, { "display_name": "Syrian refugees", "id": "https://openalex.org/C3018716944" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Health care", "id": "https://openalex.org/C160735492" }, { "display_name": "Reproductive health", "id": "https://openalex.org/C121752807" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Humanitarian crisis", "id": "https://openalex.org/C2777742874" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" } ]
[ "Lebanon", "Syria" ]
[ "https://openalex.org/W1967139471", "https://openalex.org/W2067081810", "https://openalex.org/W2104729965" ]
https://api.openalex.org/works?filter=cites:W2940608893
Our experience of working in a primary health-care centre (PHCC) in Lebanon dating back to 1956, and serving a wide community of patients who are most in need, including Palestinians, did little to prepare us for the humanitarian consequences of the Syrian civil war. As the influx of Syrian refugees into Lebanon started, several stakeholders began to provide shelter and help to those displaced.1Refaat MM Mohanna K Syrian refugees in Lebanon: facts and solutions.Lancet. 2013; 382: 763-764Google Scholar Our PHCC assumed an important role in the relief efforts by helping to implement several international health and medical aid projects for Syrian refugees. Our partnership with International Medical Corps (IMC) and the United Nations Population Fund (UNFPA) allowed us to offer a wide array of health-care services to Syrian refugees, including sexual and reproductive health services and mental health services. All health programmes supported by IMC and UNFPA are offered free of charge to the refugees and encompass medical consultations, supportive medical aid, diagnostic tests, medication, and hospitalisation. However, members of the local host community who are most in need are not always granted unrestricted free access to similar health services that are mainly supported by the Lebanese Ministry of Public Health. The Lebanese beneficiaries assigned to our PHCC, although sympathetic to the plight of the refugees, were initially troubled by their daily presence in the centre. Concerns about their numbers and needs were soon replaced by resentment and bitterness over the wider access to free unrestricted health services. To diffuse the tense atmosphere, we attempted to assign specific days for locals and refugees. This system then resulted in longer waiting queues, so the idea was abandoned. We sought the help of our international partners to diffuse the situation. IMC agreed to provide similar coverage for the Lebanese patients most in need (about 20%). In addition, we increased our capacity by making two extra clinics available and recruiting more staff. Refugees usually settle in areas where the host community is underprivileged. In the acute phase they suffer from health problems related to their forced displacement, destruction of health assets in their country, poor living conditions, lack of employment, and unfamiliarity with the host country's health-care system. As their settlement protracts and their access to aid increases, their relations with the locals become tense as a result of competition for job opportunities and access to health resources.2Stauffera WM Weinberg M Emerging clinical issues in refugees.Curr Opin Infect Dis. 2009; 22: 436-442Google Scholar The number of Syrian refugees in Lebanon has strained the social welfare and public health system of a small country, leading to the spread of certain communicable diseases.3Alawieh A Musharrafieh U Jaber A Berry A Ghosn N Bizri AR Revisiting leishmaniasis in the time of war: the Syrian conflict and the Lebanese outbreak.Int J Infect Dis. 2014; 29: 115-119Google Scholar European countries with concerns about the so-called refugee crises on their own turfs have attempted to avoid the problem by funding programmes that support Syrian refugees in hosting countries. Although this aid is essential, it is not sufficient in ensuring stability and preventing friction between the host communities and the refugees. Health and social programmes directed towards the local population should be in parallel, with similar efforts to support the refugees. We declare no competing interests.
[ { "display_name": "The Lancet", "id": "https://openalex.org/S49861241", "type": "journal" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W3097009629
Changes in self-rated health and quality of life among Syrian refugees migrating to Norway: a prospective longitudinal study
[ { "affiliations": [ { "country": "Norway", "display_name": "University of Bergen", "id": "https://openalex.org/I4432739", "lat": 60.39299, "long": 5.32415, "type": "education" } ], "display_name": "Jasmin Haj-Younes", "id": "https://openalex.org/A5091825314" }, { "affiliations": [ { "country": "Norway", "display_name": "University of Bergen", "id": "https://openalex.org/I4432739", "lat": 60.39299, "long": 5.32415, "type": "education" } ], "display_name": "Elisabeth Marie Strømme", "id": "https://openalex.org/A5080753099" }, { "affiliations": [ { "country": "Norway", "display_name": "University of Bergen", "id": "https://openalex.org/I4432739", "lat": 60.39299, "long": 5.32415, "type": "education" } ], "display_name": "Jannicke Igland", "id": "https://openalex.org/A5003934566" }, { "affiliations": [ { "country": "Norway", "display_name": "Norwegian Institute of Public Health", "id": "https://openalex.org/I1333353642", "lat": 59.91273, "long": 10.74609, "type": "government" } ], "display_name": "Bernadette Nirmal Kumar", "id": "https://openalex.org/A5063144292" }, { "affiliations": [ { "country": "Norway", "display_name": "University of Agder", "id": "https://openalex.org/I200650556", "lat": 58.14671, "long": 7.9956, "type": "education" } ], "display_name": "Eirik Abildsnes", "id": "https://openalex.org/A5000753544" }, { "affiliations": [ { "country": "Norway", "display_name": "University of Bergen", "id": "https://openalex.org/I4432739", "lat": 60.39299, "long": 5.32415, "type": "education" } ], "display_name": "Wegdan Hasha", "id": "https://openalex.org/A5091802518" }, { "affiliations": [ { "country": "Norway", "display_name": "University of Bergen", "id": "https://openalex.org/I4432739", "lat": 60.39299, "long": 5.32415, "type": "education" }, { "country": "Norway", "display_name": "Norwegian Institute of Public Health", "id": "https://openalex.org/I1333353642", "lat": 59.91273, "long": 10.74609, "type": "government" } ], "display_name": "Esperanza Díaz", "id": "https://openalex.org/A5018419022" } ]
[ { "display_name": "Refugee", "id": "https://openalex.org/C173145845" }, { "display_name": "Quality of life (healthcare)", "id": "https://openalex.org/C2779951463" }, { "display_name": "Prospective cohort study", "id": "https://openalex.org/C188816634" }, { "display_name": "Self-rated health", "id": "https://openalex.org/C2781164080" }, { "display_name": "Longitudinal study", "id": "https://openalex.org/C2777895361" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Stressor", "id": "https://openalex.org/C125370674" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Cohort study", "id": "https://openalex.org/C201903717" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Baseline (sea)", "id": "https://openalex.org/C12725497" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Clinical psychology", "id": "https://openalex.org/C70410870" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Surgery", "id": "https://openalex.org/C141071460" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" } ]
[ "Lebanon", "Syria" ]
[ "https://openalex.org/W1996823741", "https://openalex.org/W2015689504", "https://openalex.org/W2033002423", "https://openalex.org/W2047459152", "https://openalex.org/W2056574221", "https://openalex.org/W2065074411", "https://openalex.org/W2066702741", "https://openalex.org/W2071797922", "https://openalex.org/W2075871092", "https://openalex.org/W2081091975", "https://openalex.org/W2081747422", "https://openalex.org/W2083535425", "https://openalex.org/W2084824221", "https://openalex.org/W2096331260", "https://openalex.org/W2097345383", "https://openalex.org/W2109935313", "https://openalex.org/W2130814888", "https://openalex.org/W2131946459", "https://openalex.org/W2133323217", "https://openalex.org/W2138061400", "https://openalex.org/W2139191918", "https://openalex.org/W2139358896", "https://openalex.org/W2141171935", "https://openalex.org/W2148211748", "https://openalex.org/W2148628147", "https://openalex.org/W2152666870", "https://openalex.org/W2170901864", "https://openalex.org/W2335592397", "https://openalex.org/W2417121647", "https://openalex.org/W2585063996", "https://openalex.org/W2594918317", "https://openalex.org/W2773803292", "https://openalex.org/W2902040088", "https://openalex.org/W2906114080", "https://openalex.org/W2921270868", "https://openalex.org/W2921443268", "https://openalex.org/W2969335663", "https://openalex.org/W2971620451", "https://openalex.org/W4237963634" ]
https://api.openalex.org/works?filter=cites:W3097009629
Abstract Background Forced migrants can be exposed to various stressors that can impact their health and wellbeing. How the different stages in the migration process impacts health is however poorly explored. The aim of this study was to examine changes in self-rated health (SRH) and quality of life (QoL) among a cohort of adult Syrian refugees before and after resettlement in Norway. Method We used a prospective longitudinal study design with two assessment points to examine changes in health among adult Syrian resettlement refugees in Lebanon accepted for resettlement in Norway. We gathered baseline data in 2017/2018 in Lebanon and subsequently at follow-up one year after arrival. The main outcomes were good SRH measured by a single validated item and QoL measured by WHOQOL-BREF. We used generalized estimating equations to investigate changes in outcomes over time and incorporated interaction terms in the models to evaluate effect modifications. Results In total, 353 subjects participated in the study. The percentage of participants reporting good SRH showed a non-significant increase from 58 to 63% RR, 95%CI: 1.1 (1.0, 1.2) from baseline to follow-up while mean values of all four QoL domains increased significantly from baseline to follow-up; the physical domain from 13.7 to 15.7 B, 95%CI: 1.9 (1.6, 2.3), the psychological domain from 12.8 to 14.5 B, 95%CI: 1.7 (1.3, 2.0), social relationships from 13.7 to 15.3 B, 95%CI: 1.6 (1.2, 2.0) and the environmental domain from 9.0 to 14.0 5.1 B, 95%CI: (4.7, 5.4). Positive effect modifiers for improvement in SRH and QoL over time include male gender, younger age, low level of social support and illegal status in transit country. Conclusion Our results show that good SRH remain stable while all four QoL domains improve, most pronounced in the environment domain. Understanding the dynamics of migration and health is a fundamental step in reaching health equity.
[ { "display_name": "International Journal for Equity in Health", "id": "https://openalex.org/S167257428", "type": "journal" }, { "display_name": "DOAJ (DOAJ: Directory of Open Access Journals)", "id": "https://openalex.org/S4306401280", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" } ]
https://openalex.org/W2482901721
Comments on the article: “Syrian refugees in Lebanon: the search for universal health coverage”
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[ { "display_name": "Refugee", "id": "https://openalex.org/C173145845" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Syrian refugees", "id": "https://openalex.org/C3018716944" }, { "display_name": "Economic shortage", "id": "https://openalex.org/C194051981" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Health services research", "id": "https://openalex.org/C2780877353" }, { "display_name": "Comprehensive Plan of Action", "id": "https://openalex.org/C61270903" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" }, { "display_name": "Public relations", "id": "https://openalex.org/C39549134" }, { "display_name": "Criminology", "id": "https://openalex.org/C73484699" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Government (linguistics)", "id": "https://openalex.org/C2778137410" }, { "display_name": "Linguistics", "id": "https://openalex.org/C41895202" }, { "display_name": "Philosophy", "id": "https://openalex.org/C138885662" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" } ]
[ "Lebanon", "Syria" ]
[]
https://api.openalex.org/works?filter=cites:W2482901721
This letter intends to clarify information and misconceptions found in the article “Syrian refugees in Lebanon: the search for universal health coverage” which was published June 1st, 2016, and to challenge the core notion of fragmentation as presented by the authors. It also highlights the fact that the article does not recognize the severe shortage in refugees health financing and unmet promises by the international community, and calls for immediate action and far greater support from that community to address the needs of refugees in Lebanon.
[ { "display_name": "Conflict and Health", "id": "https://openalex.org/S77607499", "type": "journal" }, { "display_name": "Europe PMC (PubMed Central)", "id": "https://openalex.org/S4306400806", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2471167324
A societal cost-of-illness study of hemodialysis in Lebanon
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[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Hemodialysis", "id": "https://openalex.org/C2778063415" }, { "display_name": "Indirect costs", "id": "https://openalex.org/C6964187" }, { "display_name": "Health care", "id": "https://openalex.org/C160735492" }, { "display_name": "Total cost", "id": "https://openalex.org/C182299520" }, { "display_name": "Cost–benefit analysis", "id": "https://openalex.org/C127454912" }, { "display_name": "Comorbidity", "id": "https://openalex.org/C2779159551" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Cost driver", "id": "https://openalex.org/C95821633" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Socioeconomic status", "id": "https://openalex.org/C147077947" }, { "display_name": "Surgery", "id": "https://openalex.org/C141071460" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" }, { "display_name": "Ecology", "id": "https://openalex.org/C18903297" }, { "display_name": "Accounting", "id": "https://openalex.org/C121955636" }, { "display_name": "Marketing", "id": "https://openalex.org/C162853370" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" }, { "display_name": "Business", "id": "https://openalex.org/C144133560" }, { "display_name": "Biology", "id": "https://openalex.org/C86803240" }, { "display_name": "Microeconomics", "id": "https://openalex.org/C175444787" } ]
[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W2471167324
Aim: Renal failure is a growing public health problem, and is mainly treated by hemodialysis. This study aims to estimate the societal costs of hemodialysis in Lebanon.Methods: This was a quantitative, cross-sectional cost-of-illness study conducted alongside the Nutrition Education for Management of Osteodystrophy trial. Costs were assessed with a prevalence-based, bottom-up approach, for the period of June–December 2011. The data of 114 patients recruited from six hospital-based units were collected through a questionnaire measuring healthcare costs, costs to patients and family, and costs in other sectors. Recall data were used for the base-case analysis. Sensitivity analyses employing various sources of resources use and costs were performed. Costs were uprated to 2015US$. Multiple linear regression was conducted to explore the predictors of societal costs.Results: The mean 6-month societal costs were estimated at $9,258.39. The larger part was attributable to healthcare costs (91.7%), while costs to patient and family and costs in other sectors poorly contributed to the total costs (4.2% and 4.1%, respectively). In general, results were robust to sensitivity analyses. Using the maximum value for hospitalization resulted in the biggest difference (+15.5% of the base-case result). Female gender, being widowed/divorced, having hypertension comorbidity, and higher weekly time on dialysis were significantly associated with greater societal costs.Limitations: Information regarding resource consumption and cost were not readily available. Rather, they were obtained from a variety of sources, with each having its own strengths and limitations.Conclusion: Hemodialysis represents a high societal burden in Lebanon. Using extrapolation, its total annual cost for the Lebanese society is estimated at $61,105,374 and the mean total annual cost ($18,516.7) is 43.70% higher than the gross domestic product per capita forecast for 2015. Measures to reduce the economic burden of hemodialysis should be taken, by promoting chronic kidney disease’s prevention and encouraging transplantation.
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https://openalex.org/W3159091701
“I Go up to the Edge of the Valley, and I Talk to God”: Using Mixed Methods to Understand the Relationship between Gender-Based Violence and Mental Health among Lebanese and Syrian Refugee Women Engaged in Psychosocial Programming
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[ "Lebanon", "Syria" ]
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https://api.openalex.org/works?filter=cites:W3159091701
Lebanon’s intersecting economic and political crises exacerbate complex public health issues among both host and refugee populations. This mixed-methods study by a Lebanese service provider, in partnership with an international research institute, seeks to better understand how experiences of gender-based violence (GBV) and mental health intersect in the lives of Syrian and Lebanese women, and how to better meet these needs. It employs a randomized cross-sectional survey of 969 Abaad service users and focus groups with community members and service providers. There were significant associations between GBV and ill mental health; notably, respondents reporting transactional sex had 4 times the likelihood of severe distress (aOR 4.2; 95% CI 1.2–14.8; p ≤ 0.05). Focus groups emphasized less-visible forms of violence, such as emotional violence, and the importance of environmental factors in one’s ability to cope, noting “it always came back to the economy”. Recommendations include providing a more holistic and coordinated approach between GBV, mental health, livelihood, and basic assistance sectors; and sensitive, accessible, and higher-quality mental health services informed by GBV response actors’ experience putting in place survivor-centered programming and made available to both host and refugee community members.
[ { "display_name": "International Journal of Environmental Research and Public Health", "id": "https://openalex.org/S15239247", "type": "journal" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" } ]
https://openalex.org/W3122321027
Confronting Structural Inequities: The Limits of Participation when Developing a Community Health Intervention with Syrian Refugees and Host Communities in Lebanon
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[ "Lebanon", "Syria" ]
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https://api.openalex.org/works?filter=cites:W3122321027
Lebanon is one of the most unequal countries in the world, whose economy, social welfare and public health system struggle to meet the needs of the Lebanese and over one million Syrian refugees. Researchers applied Community Based Participatory Research (CBPR) methodology in collaboration with a non-governmental organization (NGO) in an underserved Beirut neighborhood from 2014 through 2016, aiming to address health inequities, build social cohesion among refugees and host populations, and empower community members to develop a community health intervention. We recruited a community advisory board (CAB), conducted six focus groups and sixteen individual interviews, and held several community meetings. In response to the study findings, NGO staff, researchers and community members agreed to work together on a trash collection initiative as a community health intervention. Ultimately, we found the CBPR toolkit to be insufficient to the empirical reality: a series of structural challenges due to entrenched local and national hierarchies, ineffective political processes, and inter- and intra-group conflict driven by competition over privatized social services. Together these resulted in a lack of trust in the collaborative process wherein study participants solicited researchers for aid in return for their involvement, mirroring the Lebanese patronage system. Ultimately, the most expedient path toward change was not through empowerment of oppressed community participants, but through the action of already powerful local individuals. In conclusion, structural inequalities limit the participatory and emancipatory possibilities of CBPR research. Power mapping exercises, which are often used in community organizing, offer an important opportunity to assess viability and lay the groundwork for CBPR projects. Academic and popular media in the Middle East often focus on religious, sectarian conflict; however, in our study conflict both between and among social groups was driven by competition over material resources more than cultural or religious differences.
[ { "display_name": "Social Science & Medicine", "id": "https://openalex.org/S106822843", "type": "journal" } ]
https://openalex.org/W4303673922
Improving the availability of prescription drugs in Lebanon: a critical analysis of alternative policy options
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[ "Lebanon" ]
[ "https://openalex.org/W1844228843", "https://openalex.org/W1985582046", "https://openalex.org/W2026338101", "https://openalex.org/W2085823445", "https://openalex.org/W2317603584", "https://openalex.org/W2414781446", "https://openalex.org/W2587986229", "https://openalex.org/W2748426096", "https://openalex.org/W2790737883", "https://openalex.org/W2901842341", "https://openalex.org/W2948493144", "https://openalex.org/W2949832324", "https://openalex.org/W2958545413", "https://openalex.org/W2995311105", "https://openalex.org/W3039599171", "https://openalex.org/W3102868106", "https://openalex.org/W3110618254", "https://openalex.org/W3112519068", "https://openalex.org/W4205636999", "https://openalex.org/W4205755707", "https://openalex.org/W4214726443", "https://openalex.org/W4223451779", "https://openalex.org/W4282937375" ]
https://api.openalex.org/works?filter=cites:W4303673922
The economic downfall in Lebanon and the destruction of the Beirut Port have had a crippling effect on all players in the health sector, including hospitals, healthcare providers, and the pharmaceutical and medical supply industry. The outbreak of COVID-19 has further aggravated the crisis. To address the challenges facing the pharmaceutical industry, Lebanon must create a stable and secure source of prescription drug production. Two alternative approaches are presented to address the crisis: (1) amending the subsidy system and supporting local pharmaceutical production, and (2) promoting the prescription and use of generic drugs. Investing in local production is promising and can lead to establishing trust in the quality of drugs produced locally. These efforts can be complemented by promoting the prescription and use of generic drugs at a later stage, after having had established a well-operating system for local drug production.
[ { "display_name": "Health Research Policy and Systems", "id": "https://openalex.org/S201446958", "type": "journal" }, { "display_name": "DOAJ (DOAJ: Directory of Open Access Journals)", "id": "https://openalex.org/S4306401280", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2759663483
Nurses’ Awareness of Infection Control Measures, and the Role and Effect in Patient and Family Education
[ { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Sahar Hammoud", "id": "https://openalex.org/A5002523069" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Bassam Ghazi", "id": "https://openalex.org/A5061563762" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Mohamad Nassredine", "id": "https://openalex.org/A5030962217" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Mohamad Abou Haidar", "id": "https://openalex.org/A5086804524" } ]
[ { "display_name": "Infection control", "id": "https://openalex.org/C166888038" }, { "display_name": "Accreditation", "id": "https://openalex.org/C61521584" }, { "display_name": "Hygiene", "id": "https://openalex.org/C547646559" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Isolation (microbiology)", "id": "https://openalex.org/C2775941552" }, { "display_name": "General partnership", "id": "https://openalex.org/C71750763" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Health care", "id": "https://openalex.org/C160735492" }, { "display_name": "Hand washing", "id": "https://openalex.org/C2777919664" }, { "display_name": "Health education", "id": "https://openalex.org/C113807197" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Intensive care medicine", "id": "https://openalex.org/C177713679" }, { "display_name": "Medical education", "id": "https://openalex.org/C509550671" }, { "display_name": "Finance", "id": "https://openalex.org/C10138342" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Microbiology", "id": "https://openalex.org/C89423630" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" }, { "display_name": "Biology", "id": "https://openalex.org/C86803240" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" } ]
[ "Lebanon" ]
[ "https://openalex.org/W1998184761", "https://openalex.org/W2051996386", "https://openalex.org/W2093850592", "https://openalex.org/W2140337158", "https://openalex.org/W2155277647", "https://openalex.org/W2169603399" ]
https://api.openalex.org/works?filter=cites:W2759663483
Background: Healthcare Associated Infections are serious problems in healthcare sector that threatened patient safety since decades till present. The proper adherence to infection control measures is a major factor in reducing these infections. Objectives: The objectives of this study were, to assess the level of nurses’ awareness with infection control measures in Lebanon and to determine its role in implementing patient and family education. Methodology and Results: A quantitative study was done. Questionnaires were distributed over 260 nurses, and 260 patients and family members at four well known hospitals in Lebanon. The study showed a high level of infection control awareness (81.57 %) among Lebanese nurses, and showed that Lebanese hospitals are training their nurses on IC topics (99.1 % of nurses were trained). As for patients and family members’ education, the JCI accredited hospital showed the highest level of education on infection control measures (58.3 %). Conclusion and Recommendations: The study showed that nurses who had a high awareness in infection control educated more their patients and family members on these measures than nurses with low awareness. (64.1 % and 42.1 % when educating on respiratory hygiene, p=0.013, 86.2 % and 57.9 % when educating on usage of PPE, p=0.000, 89.2 % and 68.4 % when educating on the reason for isolation, p=0.001). The major recommendations were to enhance the culture that believes in the partnership between patients, their families and healthcare providers at the hospitals level, and to include a new standard in the Lebanese Accreditation Standards that requires educating patients and family members on infection control measures at the Ministry of Public Health level.
[ { "display_name": "European Scientific Journal, ESJ", "id": "https://openalex.org/S2764799362", "type": "journal" } ]
https://openalex.org/W4210465339
Oral Health-Related Knowledge, Attitudes and Behaviours of Arab Dental Students: Multi-National Cross-Sectional Study and Literature Analysis 2000–2020
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[ { "display_name": "Cross-sectional study", "id": "https://openalex.org/C142052008" }, { "display_name": "Arabic", "id": "https://openalex.org/C96455323" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Oral health", "id": "https://openalex.org/C2992672162" }, { "display_name": "Addiction", "id": "https://openalex.org/C48856860" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Dentistry", "id": "https://openalex.org/C199343813" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Philosophy", "id": "https://openalex.org/C138885662" }, { "display_name": "Linguistics", "id": "https://openalex.org/C41895202" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" } ]
[ "Lebanon", "Tunisia", "Syria" ]
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https://api.openalex.org/works?filter=cites:W4210465339
Dental students are the future leaders of oral health in their respective communities; therefore, their oral health-related attitudes and behaviours are of practical value for primary disease prevention. The present study aimed to evaluate oral health-related knowledge, attitudes, and behaviours of dental students in Arab countries and explore the potential sociodemographic predictors of their oral health outcomes. A multi-centre, cross-sectional study was conducted during the academic year 2019/2020 in three Arab countries: Lebanon, Syria, and Tunisia. The study used a validated Arabic version of the Hiroshima University Dental Behavioural Inventory (HU-DBI) composed of original twenty items that assess the level of oral health-related knowledge, attitudes, and behaviours, and four additional dichotomous items related to tobacco smoking, alcohol drinking, problematic internet use, and regular dental check-up The HU-DBI score ranges between 0 and 12. A total of 1430 students took part in this study, out of which 60.8% were females, 57.8% were enrolled in clinical years, 24.5% were tobacco smokers, 7.2% were alcohol drinkers, and 87% reported internet addiction. The mean HU-DBI score was 6.31 ± 1.84, with Lebanon having the highest score (6.67 ± 1.83), followed by Syria (6.38 ± 1.83) and Tunisia (6.05 ± 1.83). Clinical students (6.78 ± 1.70) had higher HU-DBI scores than their preclinical peers (5.97 ± 1.86). The year-over-year analysis revealed that dental public health and preventive dentistry courses had significantly and positively impacted the undergraduate students' knowledge, attitudes, and behaviours. The gender-based differences were not statistically significant, with a modest trend favouring males, especially oral health behaviours. Tobacco smoking, alcohol drinking, and problematic internet use were associated with lower HU-DBI scores. In the Arab world, the economic rank of the country where the dental students live/study was weakly correlated with the students' mean HU-DBI score.
[ { "display_name": "International Journal of Environmental Research and Public Health", "id": "https://openalex.org/S15239247", "type": "journal" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2030682739
Patterns and predictors of tobacco smoking cessation: A hospital-based study of pregnant women in Lebanon
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[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Smoking cessation", "id": "https://openalex.org/C2777843972" }, { "display_name": "Pregnancy", "id": "https://openalex.org/C2779234561" }, { "display_name": "Psychological intervention", "id": "https://openalex.org/C27415008" }, { "display_name": "Prenatal care", "id": "https://openalex.org/C2775887326" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Obstetrics", "id": "https://openalex.org/C131872663" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Genetics", "id": "https://openalex.org/C54355233" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Biology", "id": "https://openalex.org/C86803240" } ]
[ "Lebanon" ]
[ "https://openalex.org/W1886948", "https://openalex.org/W3951449", "https://openalex.org/W25282313", "https://openalex.org/W51546657", "https://openalex.org/W58508643", "https://openalex.org/W134252722", "https://openalex.org/W1469550499", "https://openalex.org/W1495733107", "https://openalex.org/W1519023629", "https://openalex.org/W1774436399", "https://openalex.org/W1834813677", "https://openalex.org/W1963712501", "https://openalex.org/W1979494371", "https://openalex.org/W1979675045", "https://openalex.org/W1979827608", "https://openalex.org/W1982219320", "https://openalex.org/W1993108300", "https://openalex.org/W2000986959", "https://openalex.org/W2001906550", "https://openalex.org/W2009159829", "https://openalex.org/W2014606695", "https://openalex.org/W2017547808", "https://openalex.org/W2018206439", "https://openalex.org/W2021956418", "https://openalex.org/W2031284515", "https://openalex.org/W2064217914", "https://openalex.org/W2105094250", "https://openalex.org/W2113949501", "https://openalex.org/W2115468665", "https://openalex.org/W2117439052", "https://openalex.org/W2117519651", "https://openalex.org/W2118739050", "https://openalex.org/W2118758009", "https://openalex.org/W2147621550", "https://openalex.org/W2159796817", "https://openalex.org/W2162488960", "https://openalex.org/W2162596918", "https://openalex.org/W2165101622", "https://openalex.org/W2168142266", "https://openalex.org/W2171221034", "https://openalex.org/W2401280346", "https://openalex.org/W2413399876", "https://openalex.org/W2417924219", "https://openalex.org/W2444671000", "https://openalex.org/W2462926293" ]
https://api.openalex.org/works?filter=cites:W2030682739
To describe patterns of cigarette and narghile (hubble-bubble or water-pipe) smoking before and during pregnancy and identify predictors of successful smoking cessation.A survey was conducted on 4660 pregnant women who delivered single live births between September 1st, 2001 and December 31st, 2002 at five hospitals in Beirut, Lebanon. Women were classified into four groups according to patterns of tobacco use before and during pregnancy: 1) consistent non-users, 2) successful quitters, 3) unsuccessful quitters and 4) consistent users.High education (OR = 2.03, 95% CI: 0.99-4.15), adequate prenatal care (OR = 1.72, 95% CI: 1.02-2.91) and mild smoking at baseline (OR = 2.35, 95% CI: 1.36-4.09) were main determinants of successful cigarette smoking cessation, whereas successful quitters of narghile use were more likely to be nulliparous (OR = 1.80, 95% CI: 1.08-2.99) or to have a nonsmoking partner (OR = 7.57, 95 % CI: 2.31-24.78).Different populations should be targeted when designing smoking cessation interventions for cigarette and narghile users.
[ { "display_name": "International Journal of Public Health", "id": "https://openalex.org/S196280712", "type": "journal" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W1905605105
Viruses of foodborne origin: a review
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https://api.openalex.org/works?filter=cites:W1905605105
Viruses of foodborne origin: a review Ewen CD Todd,1,2 Judy D Greig3 1Ewen Todd Consulting LLC, Okemos, MI, USA; 2Department of Nutrition and Food Science, Faculty of Agricultural and Food Sciences, American University of Beirut, Beirut, Lebanon; 3Division of Public Health Risk Sciences, Laboratory for Foodborne Zoonoses, Public Health Agency of Canada, Guelph, ON, Canada Abstract: Enteric viruses are major contributors to foodborne disease, and include adenovirus, astrovirus, rotavirus, sapovirus, hepatitis A and E viruses, and norovirus. From a foodborne transmission perspective, norovirus is the most important; however, hepatitis A is associated with more serious illness. Foodborne viruses are transmitted through contaminated food, but also in combination with person-to-person contact or through environmental contamination. These viruses survive well in the environment, are excreted in abundance in feces, and have a low infectious dose, all of which facilitate spread within a community. Many colonized individuals experience mild gastroenteritis lasting a few days or are asymptomatic, although viral excretion may continue over days or weeks. Severe illness tends to be restricted to the very young and elderly, especially in closed communities such as schools and homes for the aged. In the USA, norovirus is considered to be responsible for two thirds of all foodborne illnesses occurring in a wide range of institutional settings, including schools, colleges, child care centers, cruise ships, prisons, and soldiers on campaign. Norovirus outbreaks also occur at one-time events, such as banquets, wedding receptions, birthday parties, and potluck meals, and are most often introduced by infected food workers producing, preparing, or serving food, or through self-service buffets. Often the infections are introduced from the community into institutions where they can infect the majority of residents unless quickly controlled. In countries where economic assessments have been completed, there is a high cost for prevention, control, and treatment of infections. Control measures are limited, but include proper clean-up and disinfection after vomiting or diarrhea, and prevention of food contact by infected individuals. As diagnostics improve, more foodborne illnesses relating to enteric viruses are expected to be identified, especially in developing countries where there are little data today. Keywords: foodborne, enteric viruses, shellfish, food workers, prevention, control, ready-to-eat food
[ { "display_name": "Virus Adaptation and Treatment", "id": "https://openalex.org/S2736745395", "type": "journal" } ]
https://openalex.org/W3214583105
Health Literacy Levels and Predictors Among Lebanese Adults Visiting Outpatient Clinics in Beirut
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https://api.openalex.org/works?filter=cites:W3214583105
To date, there has been a dearth of research on health literacy in the Eastern Mediterranean Region and in particular Lebanon.This cross-sectional study assessed the levels and correlates of health literacy in Lebanese adults.A total of 587 participants (54.5% women) were recruited from the outpatient clinics of five health facilities in Beirut. The questionnaire consisted of the Arabic version of the Functional Health literacy Scale, the Arabic short version of the European Health Literacy Survey, and questions on sociodemographic and health-related factors. Descriptive and inferential statistics were performed to assess the association of these factors with functional health literacy (FHL) and comprehensive health literacy (CHL) levels.About 65.8% had inadequate or problematic FHL and 43.8% had inadequate or problematic CHL. Although FHL was negatively correlated with long-term illness, it was positively correlated with ability to pay and health status. CHL was positively correlated with education, income, ability to pay for treatment, health status, and FHL level, whereas it was negatively correlated with long-term illness. Binary logistic regression showed that low education, low socioeconomic status, and being a widow were predictive of inadequate FHL. Moreover, having inadequate FHL and low income increased the likelihood of having inadequate CHL.This study has identified those with risk factors for inadequate health literacy and unfavorable health outcomes. A national action plan can guide the promotion of health literacy and its embeddedness in society to instill competencies and the environment that would eliminate health inequities and sustain health in Lebanon. [HLRP: Health Literacy Research and Practice. 2021;5(4):e295-e309.] Plain Language Summary: This study examined health literacy levels and correlates in 587 Lebanese adults using two recognized screening tools. The first tool measured functional health literacy (FHL), which represents the ability of a person to acquire information on health through reading or writing. The second tool assessed comprehensive health literacy (CHL), which encompasses the ability of a person to use their social skills to acquire health information from different media and make appropriate health decisions based on this information. Close to two-thirds of the participants had inadequate or problematic FHL. More specifically, low education, low socioeconomic status, and widowhood were predictive of inadequate FHL. Nearly one-half of the participants had inadequate or problematic CHL with an increased likelihood of inadequate levels in people with low FHL and low income.
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https://openalex.org/W3179680846
Human Cystic Echinococcosis in Lebanon: A Retrospective Study and Molecular Epidemiology
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https://api.openalex.org/works?filter=cites:W3179680846
Abstract Purpose Human cystic echinococcosis (CE) is a zoonotic parasitic disease that constitutes a public health challenge and a socio-economic burden in endemic areas worldwide. No specific surveillance system of CE infections in humans exists in Lebanon. The incidence and trends over time have not been documented. The current study aimed to assess the demographic and epidemiologic features of human CE surgical cases over a 14-year period in the five main regions of Lebanon. Methods From 2005 to 2018, a total of 894 surgically confirmed cases of hydatidosis were recorded from five anatomy and pathology laboratories. Results The mean annual surgical incidence was 1.23/100,000 inhabitants. Over the span of these years, the incidence increased from 0.53 to 1.94 cases/100,000 inhabitants in 2005 and 2018, respectively. CE is present in Lebanon with an uneven distribution from one region to the other with higher prevalence in Bekaa (29.0%), a rural area where sheep raising is widespread. Human CE cases were more common in females (60.1%) than in males (39.9%) and a high burden of infection was reported for the age group of 30–39 years. Besides, 66.7% of the cases expressed only liver complications whereas, 20.5% showed predilection towards lungs. The 7.8% of cases presented cysts in other organs, and 1.3% showed multiple localizations. Additionally, predominant involvement of Echinococcus granulosus sensu stricto was recorded in human infections. Comparison of Echinococcus granulosus s.s. populations from different Mediterranean countries also revealed high gene flow among this region and sharing of alleles. Conclusion The current study is a step forward to fill the gap of knowledge for the hydatidosis in Lebanon where the lack of epidemiological data and control measures have resulted in higher incidence of human CE. Graphic Abstract
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https://openalex.org/W2039146543
What do first-time mothers worry about? A study of usage patterns and content of calls made to a postpartum support telephone hotline
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[ { "display_name": "Hotline", "id": "https://openalex.org/C141668000" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Breastfeeding", "id": "https://openalex.org/C2776283161" }, { "display_name": "Referral", "id": "https://openalex.org/C2776135927" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Worry", "id": "https://openalex.org/C2779978724" }, { "display_name": "Telephone call", "id": "https://openalex.org/C2776181593" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Medical emergency", "id": "https://openalex.org/C545542383" }, { "display_name": "Pediatrics", "id": "https://openalex.org/C187212893" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Anxiety", "id": "https://openalex.org/C558461103" }, { "display_name": "Telecommunications", "id": "https://openalex.org/C76155785" }, { "display_name": "Computer science", "id": "https://openalex.org/C41008148" }, { "display_name": "Electrical engineering", "id": "https://openalex.org/C119599485" }, { "display_name": "Engineering", "id": "https://openalex.org/C127413603" } ]
[ "Lebanon" ]
[ "https://openalex.org/W1984836265", "https://openalex.org/W2013562645", "https://openalex.org/W2122977909", "https://openalex.org/W2167272959" ]
https://api.openalex.org/works?filter=cites:W2039146543
Telephone hotlines designed to address common concerns in the early postpartum could be a useful resource for parents. Our aim was to test the feasibility of using a telephone as an intervention in a randomized controlled trial. We also aimed to test to use of algorithms to address parental concerns through a telephone hotline. Healthy first-time mothers were recruited from postpartum wards of hospitals throughout Lebanon. Participants were given the number of a 24-hour telephone hotline that they could access for the first four months after delivery. Calls were answered by a midwife using algorithms developed by the study team whenever possible. Callers with medical complaints were referred to their physicians. Call patterns and content were recorded and analyzed. Eighty-four of the 353 women enrolled (24%) used the hotline. Sixty percent of the women who used the service called more than once, and all callers reported they were satisfied with the service. The midwife received an average of three calls per day and most calls occurred during the first four weeks postpartum. Our algorithms were used to answer questions in 62.8% of calls and 18.6% of calls required referral to a physician. Of the questions related to mothers, 66% were about breastfeeding. Sixty percent of questions related to the infant were about routine care and 23% were about excessive crying. Utilization of a telephone hotline service for postpartum support is highest in the first four weeks postpartum. Most questions are related to breastfeeding, routine newborn care, and management of a fussy infant. It is feasible to test a telephone hotline as an intervention in a randomized controlled trial. Algorithms can be developed to provide standardized answers to the most common questions.
[ { "display_name": "BMC Public Health", "id": "https://openalex.org/S200437886", "type": "journal" }, { "display_name": "Europe PMC (PubMed Central)", "id": "https://openalex.org/S4306400806", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2046330840
Assessing trade in health services in countries of the Eastern Mediterranean from a public health perspective
[ { "affiliations": [ { "country": "Egypt", "display_name": "World Health Organization Regional Office for the Eastern Mediterranean", "id": "https://openalex.org/I4210105726", "lat": 30.06688, "long": 31.35298, "type": "government" } ], "display_name": "Sameen Siddiqi", "id": "https://openalex.org/A5043587359" }, { "affiliations": [ { "country": "Egypt", "display_name": "World Health Organization Regional Office for the Eastern Mediterranean", "id": "https://openalex.org/I4210105726", "lat": 30.06688, "long": 31.35298, "type": "government" } ], "display_name": "Azza Shennawy", "id": "https://openalex.org/A5076390065" }, { "affiliations": [ { "country": "Egypt", "display_name": "World Health Organization Regional Office for the Eastern Mediterranean", "id": "https://openalex.org/I4210105726", "lat": 30.06688, "long": 31.35298, "type": "government" } ], "display_name": "Zafar Mirza", "id": "https://openalex.org/A5019531350" }, { "affiliations": [ { "country": "Switzerland", "display_name": "World Health Organization", "id": "https://openalex.org/I4210105654", "lat": 46.20222, "long": 6.14569, "type": "government" } ], "display_name": "Nick Drager", "id": "https://openalex.org/A5052872819" }, { "affiliations": [ { "country": "Egypt", "display_name": "World Health Organization Regional Office for the Eastern Mediterranean", "id": "https://openalex.org/I4210105726", "lat": 30.06688, "long": 31.35298, "type": "government" } ], "display_name": "Belgacem Sabri", "id": "https://openalex.org/A5007089350" } ]
[ { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" }, { "display_name": "Tourism", "id": "https://openalex.org/C18918823" }, { "display_name": "Workforce", "id": "https://openalex.org/C2778139618" }, { "display_name": "Business", "id": "https://openalex.org/C144133560" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "International trade", "id": "https://openalex.org/C155202549" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" } ]
[ "Lebanon", "Yemen", "Tunisia", "Syrian Arab Republic", "Sudan", "Syria", "Jordan", "Egypt", "Morocco", "Oman" ]
[ "https://openalex.org/W2032885393", "https://openalex.org/W2087163010", "https://openalex.org/W2135212826", "https://openalex.org/W2766593301", "https://openalex.org/W3121459902" ]
https://api.openalex.org/works?filter=cites:W2046330840
Abstract Assessing trade in health services (TiHS) in developing countries is challenging since the sources of information are diverse, information is not accessible and professionals lack grasp of issues. A multi‐country study was conducted in the Eastern Mediterranean Region (EMR) – Egypt, Jordan, Lebanon, Morocco, Oman, Pakistan, Sudan, Syrian Arab Republic, Tunisia, and Yemen. The objective was to estimate the direction, volume, and value of TiHS; analyze country commitments; and assess the challenges and opportunities for health services. Trade liberalization favored an open trade regime and encouraged foreign direct investment. Consumption abroad and movement of natural persons were the two prevalent modes. Yemen and Sudan are net importers, while Jordan promotes health tourism. In 2002, Yemenis spent US$ 80 million out of pocket for treatment abroad, while Jordan generated US$ 620 million. Egypt, Pakistan, Sudan and Tunisia export health workers, while Oman relies on import and 40% of its workforce is non‐Omani. There is a general lack of coherence between Ministries of Trade and Health in formulating policies on TiHS. This is the first organized attempt to look at TiHS in the EMR. The systematic approach has helped create greater awareness, and a move towards better policy coherence in the area of trade in health services. Copyright © 2009 John Wiley &amp; Sons, Ltd.
[ { "display_name": "The International Journal of Health Planning and Management", "id": "https://openalex.org/S107551278", "type": "journal" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2790780974
Street foods in Beirut city: An assessment of the food safety practices and of the microbiological quality
[ { "affiliations": [ { "country": "Lebanon", "display_name": "Holy Spirit University of Kaslik", "id": "https://openalex.org/I189998669", "lat": 33.89332, "long": 35.50157, "type": "education" } ], "display_name": "Myriam Loukieh", "id": "https://openalex.org/A5061919688" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Holy Spirit University of Kaslik", "id": "https://openalex.org/I189998669", "lat": 33.89332, "long": 35.50157, "type": "education" } ], "display_name": "Emilio Mouannes", "id": "https://openalex.org/A5060746968" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Holy Spirit University of Kaslik", "id": "https://openalex.org/I189998669", "lat": 33.89332, "long": 35.50157, "type": "education" } ], "display_name": "Chantal Abou Jaoudeh", "id": "https://openalex.org/A5070387580" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Holy Spirit University of Kaslik", "id": "https://openalex.org/I189998669", "lat": 33.89332, "long": 35.50157, "type": "education" } ], "display_name": "Lara Hanna-Wakim", "id": "https://openalex.org/A5084018259" }, { "affiliations": [ { "country": "Italy", "display_name": "University of Sassari", "id": "https://openalex.org/I159650629", "lat": 40.72586, "long": 8.55552, "type": "education" } ], "display_name": "Francesco Fancello", "id": "https://openalex.org/A5008142920" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Holy Spirit University of Kaslik", "id": "https://openalex.org/I189998669", "lat": 33.89332, "long": 35.50157, "type": "education" } ], "display_name": "Marc Bou Zeidan", "id": "https://openalex.org/A5075043373" } ]
[ { "display_name": "Food safety", "id": "https://openalex.org/C516717267" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Checklist", "id": "https://openalex.org/C2779356329" }, { "display_name": "Business", "id": "https://openalex.org/C144133560" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Quality (philosophy)", "id": "https://openalex.org/C2779530757" }, { "display_name": "Salmonella", "id": "https://openalex.org/C2781065037" }, { "display_name": "Sanitation", "id": "https://openalex.org/C2780151969" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Biology", "id": "https://openalex.org/C86803240" }, { "display_name": "Philosophy", "id": "https://openalex.org/C138885662" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Epistemology", "id": "https://openalex.org/C111472728" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Bacteria", "id": "https://openalex.org/C523546767" }, { "display_name": "Cognitive psychology", "id": "https://openalex.org/C180747234" }, { "display_name": "Genetics", "id": "https://openalex.org/C54355233" } ]
[ "Lebanon" ]
[ "https://openalex.org/W228969142", "https://openalex.org/W1978900197", "https://openalex.org/W2000340212", "https://openalex.org/W2008468938", "https://openalex.org/W2012512546", "https://openalex.org/W2034651364", "https://openalex.org/W2038350275", "https://openalex.org/W2052631745", "https://openalex.org/W2054961135", "https://openalex.org/W2064803255", "https://openalex.org/W2072308922", "https://openalex.org/W2081985214", "https://openalex.org/W2082898656", "https://openalex.org/W2083648261", "https://openalex.org/W2087359623", "https://openalex.org/W2095412402", "https://openalex.org/W2123562234", "https://openalex.org/W2126550230", "https://openalex.org/W2139206887", "https://openalex.org/W2191264193", "https://openalex.org/W2201255477", "https://openalex.org/W2280573880", "https://openalex.org/W2289868192", "https://openalex.org/W2299717603", "https://openalex.org/W2320580536", "https://openalex.org/W2335638698", "https://openalex.org/W2343689645", "https://openalex.org/W2542885157", "https://openalex.org/W2548212070", "https://openalex.org/W2614329057", "https://openalex.org/W3034488496" ]
https://api.openalex.org/works?filter=cites:W2790780974
Abstract Street food is a prevalent part of the food service industry. It is convenient in terms of accessibility and cost, but perceived as potential risk of foodborne illness. Accordingly, the safety of street foods in Beirut, Lebanon was assessed using an observational checklist and microbiological analyses. A total of 30 vendors were observed for their food safety parameters and 60 samples were analyzed for their content of Escherichia coli , Staphylococcus aureus , Listeria spp., and Salmonella spp., then, statistical analyses were performed for possible correlations. Results showed unsatisfactory levels of foodborne pathogens. Microbiological contamination was significantly correlated to unproper environmnental surroundings, deficiency of potable water, money handling, inappropriate methods of refrigeration, and the limited access to improper disposal facilities near stalls. These findings reveal the microbiological quality of street foods served in Beirut, and highlight on the practices to be ameliorated to provide safe street food products to consumers. Practical applications Street food emerges as a social adaptation in urban areas due to its rapid lifestyle hence it may present a public health risk due to various factors. The current study is the first of its kind to be conducted in Beirut and its results present solid basis for further practices at different levels. Divulgation of its results would lead to new governmental laws to protect the public health and reduce the economic burdens related to hospitalization due to foodborne pathogens and poisoning. Educational institutions would also be involved in applications related to training and awareness sessions for street food handlers, to teach them the good hygienic practices. This study will also help consumers identify good and bad hygienic practices thus choose appropriate street food handlers.
[ { "display_name": "Journal of Food Safety", "id": "https://openalex.org/S146621905", "type": "journal" } ]
https://openalex.org/W3011097919
Health status and use of medication and their association with migration related exposures among Syrian refugees in Lebanon and Norway: a cross-sectional study
[ { "affiliations": [ { "country": "Norway", "display_name": "University of Bergen", "id": "https://openalex.org/I4432739", "lat": 60.39299, "long": 5.32415, "type": "education" } ], "display_name": "Elisabeth Marie Strømme", "id": "https://openalex.org/A5080753099" }, { "affiliations": [ { "country": "Norway", "display_name": "University of Bergen", "id": "https://openalex.org/I4432739", "lat": 60.39299, "long": 5.32415, "type": "education" } ], "display_name": "Jasmin Haj-Younes", "id": "https://openalex.org/A5091825314" }, { "affiliations": [ { "country": "Norway", "display_name": "University of Bergen", "id": "https://openalex.org/I4432739", "lat": 60.39299, "long": 5.32415, "type": "education" } ], "display_name": "Wegdan Hasha", "id": "https://openalex.org/A5091802518" }, { "affiliations": [ { "country": "Norway", "display_name": "University of Bergen", "id": "https://openalex.org/I4432739", "lat": 60.39299, "long": 5.32415, "type": "education" } ], "display_name": "Lars Thore Fadnes", "id": "https://openalex.org/A5087517404" }, { "affiliations": [ { "country": "Norway", "display_name": "Norwegian Institute of Public Health", "id": "https://openalex.org/I1333353642", "lat": 59.91273, "long": 10.74609, "type": "government" } ], "display_name": "Bernadette Nirmal Kumar", "id": "https://openalex.org/A5063144292" }, { "affiliations": [ { "country": "Norway", "display_name": "University of Bergen", "id": "https://openalex.org/I4432739", "lat": 60.39299, "long": 5.32415, "type": "education" } ], "display_name": "Jannicke Igland", "id": "https://openalex.org/A5003934566" }, { "affiliations": [ { "country": "Norway", "display_name": "University of Bergen", "id": "https://openalex.org/I4432739", "lat": 60.39299, "long": 5.32415, "type": "education" }, { "country": "Norway", "display_name": "Norwegian Institute of Public Health", "id": "https://openalex.org/I1333353642", "lat": 59.91273, "long": 10.74609, "type": "government" } ], "display_name": "Esperanza Díaz", "id": "https://openalex.org/A5018419022" } ]
[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Refugee", "id": "https://openalex.org/C173145845" }, { "display_name": "Biostatistics", "id": "https://openalex.org/C140556311" }, { "display_name": "Cross-sectional study", "id": "https://openalex.org/C142052008" }, { "display_name": "Mental health", "id": "https://openalex.org/C134362201" }, { "display_name": "Non-communicable disease", "id": "https://openalex.org/C2776577793" }, { "display_name": "Anxiety", "id": "https://openalex.org/C558461103" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Chronic pain", "id": "https://openalex.org/C2781118164" }, { "display_name": "Epidemiology", "id": "https://openalex.org/C107130276" }, { "display_name": "Health care", "id": "https://openalex.org/C160735492" }, { "display_name": "Depression (economics)", "id": "https://openalex.org/C2776867660" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Macroeconomics", "id": "https://openalex.org/C139719470" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" }, { "display_name": "History", "id": "https://openalex.org/C95457728" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" } ]
[ "Lebanon", "Syria" ]
[ "https://openalex.org/W295842659", "https://openalex.org/W1975764026", "https://openalex.org/W2001224348", "https://openalex.org/W2010268698", "https://openalex.org/W2037841794", "https://openalex.org/W2084824221", "https://openalex.org/W2091917457", "https://openalex.org/W2107969693", "https://openalex.org/W2117599702", "https://openalex.org/W2117942361", "https://openalex.org/W2133323217", "https://openalex.org/W2167399205", "https://openalex.org/W2169273869", "https://openalex.org/W2265755232", "https://openalex.org/W2321854876", "https://openalex.org/W2410058573", "https://openalex.org/W2508300253", "https://openalex.org/W2552452068", "https://openalex.org/W2552872779", "https://openalex.org/W2594603258", "https://openalex.org/W2621703128", "https://openalex.org/W2761735840", "https://openalex.org/W2777377271", "https://openalex.org/W2806250796", "https://openalex.org/W2806923299", "https://openalex.org/W2807834205", "https://openalex.org/W2807903544", "https://openalex.org/W2891712975", "https://openalex.org/W2902040088", "https://openalex.org/W2952372792", "https://openalex.org/W2964590887", "https://openalex.org/W4292855834" ]
https://api.openalex.org/works?filter=cites:W3011097919
The health of forcibly displaced individuals changes along their migration path and estimates of disease burden are essential to develop health care policies and practices adequately corresponding to their health care needs. This study aims to describe the health status and use of medication among Syrian refugees in two different migration phases: in a transit setting and in a recipient country. Further, we aim to investigate the associations between migration related exposures and both chronic pain and mental health among Syrian refugees.This is a cross-sectional study based on survey data collected among 827 adult Syrian refugees in Lebanon and Norway during 2017-2018. The survey instrument included items measuring somatic status (including chronic pain), mental health (using the HSCL-10 and HTQ items), use of medication and migration related exposures. We used descriptive statistics to calculate standardised prevalence proportions and regression analyses to study associations between migration related exposures and health outcomes.The response rate was 85%. The mean age in the sample was 33 years and 41% were women. Half of the participants reported that they had never had any health problems. The prevalence of non-communicable diseases was 12%. Headache and musculoskeletal complaints were the most prevalent conditions reported, with 30% reporting chronic pain lasting for more than six months. Symptoms indicating anxiety and/or depression were presented by 35%, while 7% revealed symptoms compatible with post-traumatic stress disorder. Among those reporting non-communicable diseases a substantial share did not seem to receive adequate treatment. Trauma experiences were associated with both chronic pain and anxiety/depression symptoms, and the latter were also associated with migrating without family members.Migrant-friendly public health policies and practises should acknowledge migration related risks, address discontinuity in care of chronic conditions and target common complaints such as chronic pain and mental health problems among forcibly displaced individuals.
[ { "display_name": "BMC Public Health", "id": "https://openalex.org/S200437886", "type": "journal" }, { "display_name": "Europe PMC (PubMed Central)", "id": "https://openalex.org/S4306400806", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2463498674
State of family medicine practice in Lebanon
[ { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese American University", "id": "https://openalex.org/I56306041", "lat": 33.892776, "long": 35.47778, "type": "education" } ], "display_name": "Mariana Helou", "id": "https://openalex.org/A5006662917" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Saint Joseph University", "id": "https://openalex.org/I184679254", "lat": 33.89332, "long": 35.50157, "type": "education" } ], "display_name": "Grace Abi Rizk", "id": "https://openalex.org/A5056265768" } ]
[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Christian ministry", "id": "https://openalex.org/C521751864" }, { "display_name": "Private practice", "id": "https://openalex.org/C2992394448" }, { "display_name": "Medical practice", "id": "https://openalex.org/C2993312423" }, { "display_name": "Alternative medicine", "id": "https://openalex.org/C204787440" }, { "display_name": "Bureaucracy", "id": "https://openalex.org/C51575053" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Quality (philosophy)", "id": "https://openalex.org/C2779530757" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Philosophy", "id": "https://openalex.org/C138885662" }, { "display_name": "Theology", "id": "https://openalex.org/C27206212" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Epistemology", "id": "https://openalex.org/C111472728" }, { "display_name": "Politics", "id": "https://openalex.org/C94625758" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" } ]
[ "Lebanon" ]
[ "https://openalex.org/W33425753", "https://openalex.org/W58951228", "https://openalex.org/W108706341", "https://openalex.org/W162055563", "https://openalex.org/W188323797", "https://openalex.org/W1536890004", "https://openalex.org/W1578535546", "https://openalex.org/W1781400969", "https://openalex.org/W1911989294", "https://openalex.org/W1985315849", "https://openalex.org/W2023019419", "https://openalex.org/W2098392847", "https://openalex.org/W2108532271", "https://openalex.org/W2111355083", "https://openalex.org/W2164269686", "https://openalex.org/W2198564631", "https://openalex.org/W2414438122", "https://openalex.org/W2431161893", "https://openalex.org/W2437088160" ]
https://api.openalex.org/works?filter=cites:W2463498674
Background: Many difficulties are encountered in family medicine practice and were subject to multinational studies. To date, no study was conducted in Lebanon to assess the challenges that family physicians face. This study aims to evaluate the family medicine practice in Lebanon stressing on the difficulties encountered by Lebanese family physicians. Materials and Methods: A questionnaire was sent to all 96 family medicine physicians practicing in Lebanon. Participants answered questions about characteristics of family medicine practice, evaluation of the quality of work, identification of obstacles, and their effect on the medical practice. Results: The response rate was 59%, and the average number of years of practice was 10.7 years. Physicians complain mainly of heavy load at work, too many bureaucratic tasks, demanding patients, and being undervalued by the specialists. Most physicians are able to adapt between their professional and private life. Conclusion: Despite all the obstacles encountered, Lebanese family physicians have a moderate satisfaction toward their practice. They remain positive and enthusiastic about their profession. Until the ministry of public health revises its current health system, the primary care profession in Lebanon will remain fragile as a profession.
[ { "display_name": "Journal of family medicine and primary care", "id": "https://openalex.org/S2764801637", "type": "journal" }, { "display_name": "Europe PMC (PubMed Central)", "id": "https://openalex.org/S4306400806", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2136701671
Climate for evidence-informed health systems: A print media analysis in 44 low- and middle-income countries that host knowledge-translation platforms
[ { "affiliations": [ { "country": "Canada", "display_name": "University of Ottawa", "id": "https://openalex.org/I153718931", "lat": 45.41117, "long": -75.69812, "type": "education" }, { "country": "Canada", "display_name": "Hamilton Health Sciences", "id": "https://openalex.org/I76442945", "lat": 43.25011, "long": -79.84963, "type": "healthcare" } ], "display_name": "Andrew Cheung", "id": "https://openalex.org/A5049780493" }, { "affiliations": [ { "country": "Canada", "display_name": "Hamilton Health Sciences", "id": "https://openalex.org/I76442945", "lat": 43.25011, "long": -79.84963, "type": "healthcare" } ], "display_name": "John N. Lavis", "id": "https://openalex.org/A5016730562" }, { "affiliations": [ { "country": "United States", "display_name": "Harvard University", "id": "https://openalex.org/I136199984", "lat": 42.3751, "long": -71.10561, "type": "education" }, { "country": "Canada", "display_name": "Hamilton Health Sciences", "id": "https://openalex.org/I76442945", "lat": 43.25011, "long": -79.84963, "type": "healthcare" } ], "display_name": "Ali Hamandi", "id": "https://openalex.org/A5072298462" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" }, { "country": "Canada", "display_name": "Hamilton Health Sciences", "id": "https://openalex.org/I76442945", "lat": 43.25011, "long": -79.84963, "type": "healthcare" } ], "display_name": "Fadi El‐Jardali", "id": "https://openalex.org/A5031532168" }, { "affiliations": [ { "country": "Canada", "display_name": "Canadian Foundation for Healthcare Improvement", "id": "https://openalex.org/I858948344", "lat": 45.381657, "long": -75.7452, "type": "nonprofit" } ], "display_name": "Jonathan Sachs", "id": "https://openalex.org/A5051758591" }, { "affiliations": [ { "country": "Uganda", "display_name": "Makerere University", "id": "https://openalex.org/I72227227", "lat": 0.31628, "long": 32.58219, "type": "education" } ], "display_name": "Nelson Sewankambo", "id": "https://openalex.org/A5023528221" } ]
[ { "display_name": "Knowledge translation", "id": "https://openalex.org/C2777921204" }, { "display_name": "Health policy", "id": "https://openalex.org/C47344431" }, { "display_name": "Health services research", "id": "https://openalex.org/C2780877353" }, { "display_name": "Jurisdiction", "id": "https://openalex.org/C2776949292" }, { "display_name": "Health administration", "id": "https://openalex.org/C137992405" }, { "display_name": "Global health", "id": "https://openalex.org/C46578552" }, { "display_name": "Focus group", "id": "https://openalex.org/C56995899" }, { "display_name": "Health informatics", "id": "https://openalex.org/C145642194" }, { "display_name": "Developing country", "id": "https://openalex.org/C83864248" }, { "display_name": "Public relations", "id": "https://openalex.org/C39549134" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Computer science", "id": "https://openalex.org/C41008148" }, { "display_name": "Knowledge management", "id": "https://openalex.org/C56739046" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" }, { "display_name": "Anthropology", "id": "https://openalex.org/C19165224" } ]
[ "Lebanon" ]
[ "https://openalex.org/W1965277738", "https://openalex.org/W1981856979", "https://openalex.org/W1986971447", "https://openalex.org/W2085023810", "https://openalex.org/W2095774359", "https://openalex.org/W2097381607", "https://openalex.org/W2103559385", "https://openalex.org/W2118563169", "https://openalex.org/W2122441443", "https://openalex.org/W2125955154", "https://openalex.org/W2138036364", "https://openalex.org/W2339181936" ]
https://api.openalex.org/works?filter=cites:W2136701671
Abstract Background We conducted a print media analysis in 44 countries in Africa, the Americas, Asia, and the Eastern Mediterranean in order to understand one dimension of the climate for evidence-informed health systems and to provide a baseline for an evaluation of knowledge-translation platforms. Our focus was whether and how policymakers, stakeholders, and researchers talk in the media about three topics: policy priorities in the health sector, health research evidence, and policy dialogues regarding health issues. Methods We developed a search strategy consisting of three progressively more delimited phases. For each jurisdiction, we searched Major World Publications in LexisNexis Academic News for articles published in 2007, selected relevant articles using one set of general criteria and three sets of concept-specific criteria, and coded the selected articles to identify common themes. Second raters took part in the analysis of Lebanon and Malaysia to assess inter-rater reliability for article selection and coding. Results We identified approximately 5.5 and 5 times more articles describing health research evidence compared to the number of articles describing policy priorities and policy dialogues, respectively. Few articles describing health research evidence discussed systematic reviews (2%) or health systems research (2%), and few of the policy dialogue articles discussed researcher involvement (9%). News coverage of these concepts was highly concentrated in several countries like China and Uganda, while few articles were found for many other jurisdictions. Kappa scores were acceptable and consistently greater than 0.60. Conclusions In many countries the print media, at least as captured in a global database, are largely silent about three topics central to evidence-informed health systems. These findings suggest the need for proactive-media engagement strategies.
[ { "display_name": "Health Research Policy and Systems", "id": "https://openalex.org/S201446958", "type": "journal" }, { "display_name": "Europe PMC (PubMed Central)", "id": "https://openalex.org/S4306400806", "type": "repository" }, { "display_name": "uO Research (University of Ottawa)", "id": "https://openalex.org/S4306400902", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2488729123
Male Infertility and Consanguinity in Lebanon: The Power of Ethnographic Epidemiology
[ { "affiliations": [], "display_name": "Marcia C. Inhorn", "id": "https://openalex.org/A5000581258" }, { "affiliations": [], "display_name": "Loulou Kobeissi", "id": "https://openalex.org/A5041641806" }, { "affiliations": [], "display_name": "Antoine Abu-Musa", "id": "https://openalex.org/A5059568588" }, { "affiliations": [], "display_name": "Johnny Awwad", "id": "https://openalex.org/A5005213429" }, { "affiliations": [], "display_name": "M.H. Fakih", "id": "https://openalex.org/A5049911730" }, { "affiliations": [], "display_name": "Najwa Hammoud", "id": "https://openalex.org/A5039796735" }, { "affiliations": [], "display_name": "Antoine Hannoun", "id": "https://openalex.org/A5064327052" }, { "affiliations": [], "display_name": "D. Lakkis", "id": "https://openalex.org/A5062191008" }, { "affiliations": [], "display_name": "Zaher Nassar", "id": "https://openalex.org/A5090158068" } ]
[ { "display_name": "Consanguinity", "id": "https://openalex.org/C2779923321" }, { "display_name": "Consanguineous Marriage", "id": "https://openalex.org/C2911029604" }, { "display_name": "Infertility", "id": "https://openalex.org/C2777688143" }, { "display_name": "Epidemiology", "id": "https://openalex.org/C107130276" }, { "display_name": "Genetic counseling", "id": "https://openalex.org/C80227256" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Male infertility", "id": "https://openalex.org/C2777338322" }, { "display_name": "Reproductive health", "id": "https://openalex.org/C121752807" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Genetics", "id": "https://openalex.org/C54355233" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Biology", "id": "https://openalex.org/C86803240" }, { "display_name": "Pregnancy", "id": "https://openalex.org/C2779234561" }, { "display_name": "Pediatrics", "id": "https://openalex.org/C187212893" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" } ]
[ "Lebanon" ]
[ "https://openalex.org/W177362369", "https://openalex.org/W1534516629", "https://openalex.org/W1749919160", "https://openalex.org/W1933235654", "https://openalex.org/W1962447218", "https://openalex.org/W1967367142", "https://openalex.org/W1967715357", "https://openalex.org/W1979459816", "https://openalex.org/W1982041629", "https://openalex.org/W1983283404", "https://openalex.org/W1985358834", "https://openalex.org/W1988744611", "https://openalex.org/W1989797132", "https://openalex.org/W1993411847", "https://openalex.org/W1993943485", "https://openalex.org/W1995810447", "https://openalex.org/W2000824038", "https://openalex.org/W2014262519", "https://openalex.org/W2023617737", "https://openalex.org/W2031332208", "https://openalex.org/W2038957529", "https://openalex.org/W2043949684", "https://openalex.org/W2050646331", "https://openalex.org/W2051310255", "https://openalex.org/W2055475516", "https://openalex.org/W2057193053", "https://openalex.org/W2060290772", "https://openalex.org/W2064874887", "https://openalex.org/W2083903284", "https://openalex.org/W2085546763", "https://openalex.org/W2086898892", "https://openalex.org/W2093029604", "https://openalex.org/W2097454550", "https://openalex.org/W2098032348", "https://openalex.org/W2103739620", "https://openalex.org/W2110465150", "https://openalex.org/W2115028002", "https://openalex.org/W2126520937", "https://openalex.org/W2127530364", "https://openalex.org/W2127559364", "https://openalex.org/W2131412192", "https://openalex.org/W2132908297", "https://openalex.org/W2134378606", "https://openalex.org/W2135442091", "https://openalex.org/W2146441331", "https://openalex.org/W2148061866", "https://openalex.org/W2150333796", "https://openalex.org/W2150615059", "https://openalex.org/W2155595753", "https://openalex.org/W2157799856", "https://openalex.org/W2162568101", "https://openalex.org/W2166450089", "https://openalex.org/W2306576475", "https://openalex.org/W4211106081", "https://openalex.org/W4230476588", "https://openalex.org/W4243841563" ]
https://api.openalex.org/works?filter=cites:W2488729123
Abstract Male infertility is a neglected reproductive health problem, yet it contributes to at least half of all cases of subfertility worldwide. Consanguinity, or the intermarriage of two individuals who have at least one ancestor in common, may increase the risk for recessively inherited disorders, including genetic forms of male infertility. This chapter investigates the influence of consanguineous marriage on male infertility in Lebanon, where rates of consanguineous marriage remain high (26.9% among Muslims, 16.5% among Christians). Using a mixed-methods, ethnographic-epidemiological, and case-study design, it demonstrates a significant association between consanguinity and family clustering of male infertility cases, suggesting a strong genetic component to this reproductive health problem in Lebanon. Because consanguineous marriage is a socially supported institution throughout the Muslim world, culturally sensitive public health education programs, which support genetic counseling and risk management without condemning consanguineous marriage practices per se, are highly recommended.
[ { "display_name": "Oxford University Press eBooks", "id": "https://openalex.org/S4306463708", "type": "ebook platform" } ]
https://openalex.org/W3199452254
Chronic pain and mental health problems among Syrian refugees: associations, predictors and use of medication over time: a prospective cohort study
[ { "affiliations": [ { "country": "Norway", "display_name": "University of Bergen", "id": "https://openalex.org/I4432739", "lat": 60.39299, "long": 5.32415, "type": "education" } ], "display_name": "Elisabeth Marie Strømme", "id": "https://openalex.org/A5080753099" }, { "affiliations": [ { "country": "Norway", "display_name": "University of Bergen", "id": "https://openalex.org/I4432739", "lat": 60.39299, "long": 5.32415, "type": "education" } ], "display_name": "Jannicke Igland", "id": "https://openalex.org/A5003934566" }, { "affiliations": [ { "country": "Norway", "display_name": "University of Bergen", "id": "https://openalex.org/I4432739", "lat": 60.39299, "long": 5.32415, "type": "education" } ], "display_name": "Jasmin Haj-Younes", "id": "https://openalex.org/A5091825314" }, { "affiliations": [ { "country": "Norway", "display_name": "Norwegian Institute of Public Health", "id": "https://openalex.org/I1333353642", "lat": 59.91273, "long": 10.74609, "type": "government" } ], "display_name": "Bernadette Nirmal Kumar", "id": "https://openalex.org/A5063144292" }, { "affiliations": [ { "country": "Norway", "display_name": "University of Bergen", "id": "https://openalex.org/I4432739", "lat": 60.39299, "long": 5.32415, "type": "education" }, { "country": "Norway", "display_name": "Haukeland University Hospital", "id": "https://openalex.org/I2800740805", "lat": 60.39299, "long": 5.32415, "type": "healthcare" } ], "display_name": "Lars Thore Fadnes", "id": "https://openalex.org/A5087517404" }, { "affiliations": [ { "country": "Norway", "display_name": "University of Bergen", "id": "https://openalex.org/I4432739", "lat": 60.39299, "long": 5.32415, "type": "education" } ], "display_name": "Wegdan Hasha", "id": "https://openalex.org/A5091802518" }, { "affiliations": [ { "country": "Norway", "display_name": "University of Bergen", "id": "https://openalex.org/I4432739", "lat": 60.39299, "long": 5.32415, "type": "education" }, { "country": "Norway", "display_name": "Norwegian Institute of Public Health", "id": "https://openalex.org/I1333353642", "lat": 59.91273, "long": 10.74609, "type": "government" } ], "display_name": "Esperanza Díaz", "id": "https://openalex.org/A5018419022" } ]
[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Mental health", "id": "https://openalex.org/C134362201" }, { "display_name": "Refugee", "id": "https://openalex.org/C173145845" }, { "display_name": "Chronic pain", "id": "https://openalex.org/C2781118164" }, { "display_name": "Cohort study", "id": "https://openalex.org/C201903717" }, { "display_name": "Prospective cohort study", "id": "https://openalex.org/C188816634" }, { "display_name": "Longitudinal study", "id": "https://openalex.org/C2777895361" }, { "display_name": "Epidemiology", "id": "https://openalex.org/C107130276" }, { "display_name": "Cohort", "id": "https://openalex.org/C72563966" }, { "display_name": "Stressor", "id": "https://openalex.org/C125370674" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "History", "id": "https://openalex.org/C95457728" } ]
[ "Lebanon", "Syria" ]
[ "https://openalex.org/W295842659", "https://openalex.org/W1700829461", "https://openalex.org/W1948339546", "https://openalex.org/W1965272223", "https://openalex.org/W2001224348", "https://openalex.org/W2010268698", "https://openalex.org/W2040162562", "https://openalex.org/W2047459152", "https://openalex.org/W2052504033", "https://openalex.org/W2066583360", "https://openalex.org/W2075871092", "https://openalex.org/W2112669742", "https://openalex.org/W2116881601", "https://openalex.org/W2117599702", "https://openalex.org/W2117942361", "https://openalex.org/W2133323217", "https://openalex.org/W2139358896", "https://openalex.org/W2148211748", "https://openalex.org/W2151186028", "https://openalex.org/W2152086952", "https://openalex.org/W2169273869", "https://openalex.org/W2265755232", "https://openalex.org/W2410058573", "https://openalex.org/W2481562100", "https://openalex.org/W2552452068", "https://openalex.org/W2552872779", "https://openalex.org/W2567373839", "https://openalex.org/W2594603258", "https://openalex.org/W2761735840", "https://openalex.org/W2806250796", "https://openalex.org/W2887632042", "https://openalex.org/W2905292586", "https://openalex.org/W2952372792", "https://openalex.org/W2962086191", "https://openalex.org/W3011097919", "https://openalex.org/W3045941922", "https://openalex.org/W3082249312", "https://openalex.org/W4292855834" ]
https://api.openalex.org/works?filter=cites:W3199452254
Objectives This study aims to examine associations, predictors and pharmacological treatment of chronic pain and mental health problems among Syrian refugees in a longitudinal perspective. Design Prospective cohort study. Setting We collected survey data among Syrian refugees in Lebanon granted resettlement to Norway (self-administered questionnaires) and at follow-up 1 year after arrival in Norway (structured telephone interviews). Participants Adult Syrian refugees attending mandatory pretravel courses in Lebanon in 2017–2018 were invited to participate. In total, 353 individuals participated at both time points. Primary and secondary outcomes We examined the cross-sectional associations between pain, mental health and migration-related exposures at baseline and follow-up and assessed whether associations changed significantly with time. Furthermore, we investigated the longitudinal association between mental health at baseline and pain at follow-up. We also evaluated temporal changes in use of analgesics and psychotropic drugs. Results While most refugees reported improved health from the transit phase in Lebanon to the early resettlement phase in Norway, a few had persisting and intertwined health problems. Most migration-related stressors were more closely associated with chronic pain and mental health problems after resettlement as compared with the transit phase. In parallel, poor mental health was associated with chronic pain in the follow-up (adjusted risk ratio (ARR) 1.5 (1.0, 2.2)), but not at baseline (ARR 1.1 (0.8, 1.5)). Poor mental health at baseline was a statistically significant predictor of chronic pain at follow-up among those not reporting chronic pain at baseline. At both timepoints, one in four of those with chronic pain used analgesics regularly. None with mental health problems used antidepressants daily. Conclusions Providers of healthcare services to refugees should be attentive to the adverse effect of postmigration stressors and acknowledge the interrelations between pain and mental health. Possible gaps in pharmacological treatment of pain and mental health problems need further clarification.
[ { "display_name": "BMJ Open", "id": "https://openalex.org/S79054089", "type": "journal" }, { "display_name": "DOAJ (DOAJ: Directory of Open Access Journals)", "id": "https://openalex.org/S4306401280", "type": "repository" }, { "display_name": "Europe PMC (PubMed Central)", "id": "https://openalex.org/S4306400806", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2972866860
Secular Trends of Hip Fractures in Lebanon, 2006 to 2017: Implications for Clinical Practice and Public Health Policy in the Middle East Region
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[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W2972866860
ABSTRACT Country‐specific hip fracture incidence rates (IRs) and longevity allow the Fracture Risk Assessment Tool (FRAX) to be adapted to individual countries. Secular trends can affect tool calibration. Data on hip fracture IRs in the Middle East is scarce, and long‐term secular trend studies are nonexistent. Using the Ministry of Public Health hip fracture registry, we calculated age‐ and sex‐specific hip fracture IRs in Lebanon, from 2006 to 2017, among individuals aged ≥50 years. We used Kendall's tau‐b (τb) test to determine the correlation between time and hip fracture IRs, and calculated both the annual % change in IRs and the % change in IR compared to the baseline period (2006 to 2008). The registry recorded 6985 hip fractures, 74% at the femoral neck, 23% intertrochanteric, and 3% subtrochanteric. Men constituted 32% of the population, and were significantly younger than women (76.5 ± 11.0 years versus 77.7 ± 10.3 years; p &lt; 0.001). Annual overall IRs, per 100,000, ranged from 126.6 in 2014 to 213.2 in 2017 in women, and 61.4 in 2015 to 111.7 in 2017 in men. The average women to men IR ratio was 1.8 (range, 1.5 to 2.1). IRs steadily increased with age, and IR ratios increased in parallel in both sexes, with a steeper and earlier rise (by 5 years) in women. Data showed a consistent decline in hip fracture IRs starting in 2006 in women, and in 2009 in men. There was a significant negative correlation between time (2006 to 2014) and hip fracture IRs in women (τb = −0.611, p = 0.022) but not in men (τb = −0.444, p = 0.095). The steady decrease in IRs reversed after 2015 in both sexes. This long‐term data on secular trends in the Middle East is novel and consistent with worldwide changes in hip fracture rates. The impact of such changes on national FRAX‐derived estimates is unclear, should be assessed, and may necessitate an update in the FRAX Lebanon calculator. © 2019 American Society for Bone and Mineral Research.
[ { "display_name": "Journal of Bone and Mineral Research", "id": "https://openalex.org/S128199769", "type": "journal" } ]
https://openalex.org/W3045036873
Food insecurity is associated with compromised dietary intake and quality among Lebanese mothers: findings from a national cross-sectional study
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[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W3045036873
Abstract Objective: Examine the associations between household food insecurity (HFI) with sociodemographic, anthropometric and dietary intakes of mothers. Design: Cross-sectional survey (2014–2015). In addition to a sociodemographic questionnaire, data collection included the validated Arabic version of the Household Food Insecurity Access Scale, which was used to evaluate HFI. Dietary intake was assessed using 24-h dietary recall of a single habitual day, and maternal BMI was calculated based on weight and height measurements. Associations between HFI and maternal dietary intake (food groups, energy and macronutrients’ intake) were examined. Simple and multiple logistic regression analyses were conducted to explore the associations between HFI status with odds of maternal overweight and measures of diet quality and diversity (Healthy Eating Index (HEI) and Minimum Dietary Diversity for Women of Reproductive Age (MDD-W)). Setting: Lebanon. Participants: Mothers, nationally representative sample of Lebanese households with children ( n 1204). Results: HFI was experienced among almost half of the study sample. Correlates of HFI were low educational attainment, unemployment and crowding. Significant inverse associations were observed between HFI and dietary HEI (OR 0·64, 95 % CI 0·46, 0·90, P = 0·011) and MDD-W (OR 0·6, 95 % CI 0·42, 0·85, P = 0·004), even after adjusting for socioeconomic correlates. No significant association was observed between HFI and odds of maternal overweight status. Conclusions: HFI was associated with compromised maternal dietary quality and diversity. Findings highlight the need for social welfare programmes and public health interventions to alleviate HFI and promote overall health and wellbeing of mothers.
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https://openalex.org/W2958483737
Impact of pharmacy-led medication reconciliation on admission to internal medicine service: experience in two tertiary care teaching hospitals
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https://api.openalex.org/works?filter=cites:W2958483737
The Institute for Healthcare Improvement identifies medication reconciliation as the shared responsibility of nurses, pharmacists, and physicians, where each has a defined role. The study aims to assess the clinical impact of pharmacy-led medication reconciliation performed on day one of hospital admission to the internal medicine service.This is a pilot prospective study conducted at two tertiary care teaching hospitals in Lebanon. Student pharmacists who were properly trained and closely supervised, collected the medication history, and pharmacists at the corresponding sites performed the reconciliation process. Interventions related to the unintended discrepancies were relayed to the medical team. The main outcome was the number of unintended discrepancies identified. The time needed for medication history, and the information sources used to complete the Best Possible Medication History were also assessed. The unintended discrepancies were classified by medication class and route of medication administration, by potential severity, and by proximal cause leading to the discrepancy. For the bivariate and multivariable analysis, the dependent variable was the incidence of unintended discrepancies. The "total number of unintended discrepancies" was dichotomized into yes (≥ 1 unintended discrepancy) or no (0 unintended discrepancies). Independent variables tested for their association with the dependent variable consisted of the following: gender, age, creatinine clearance, number of home medications, allergies, previous adverse drug reactions, and number of information sources used to obtain the BPMH. Results were assumed to be significant when p was < 0.05.During the study period, 204 patients were included, and 195 unintended discrepancies were identified. The most common discrepancies consisted of medication omission (71.8%), and the most common agents involved were dietary supplements (27.7%). Around 36% of the unintended discrepancies were judged as clinically significant, and only 1% were judged as serious. The most common interventions included the addition of a medication (71.8%) and the adjustment of a dose (12.8%). The number of home medications was significantly associated with the occurrence of unintended discrepancies (ORa = 1.11 (1.03-1.19) p = 0.007).Pharmacy-led medication reconciliation upon admission, along with student pharmacist involvement and physician communication can reduce unintended discrepancies and improve medication safety and patient outcomes.
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https://openalex.org/W2406124499
Prevalence and determinants of water pipe or narghile use among students in Beirut's southern suburbs.
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[ "Lebanon" ]
[]
https://api.openalex.org/works?filter=cites:W2406124499
Measuring the prevalence and determinants of narghile smoking among teenagers in schools in the southern suburbs (Dahia) of Beirut, Lebanon.A simplified questionnaire was self-completed by intermediate and secondary students selected from private and public schools in Dahia the year 2001-2002. Variables obtained included details on narghile and cigarette smoking, socio-demographic characteristics of the student and his/her family, friendship networks, and beliefs regarding health.A total of 1461 students completed the questionnaire, of which 24% admitted regularly (> once/week) smoking the narghile and 14.4% occasionally, with a male predominance. The initiation was at about 13.6 yrs of age, but it varied from as low as 5 to 18 yrs. At least 28% of first narghile trial took place with a member of the immediate family, even though 58.2% initiated with a user friend. The monthly cost of using narghile did not exceed 7 USD for about half of narghile users in that area.Narghile use is a behavior gaining in importance in Lebanon in general, and in the Dahia area in particular. Its initiation among adolescents means that the probability of addiction is higher and the adverse health consequences are potentially more severe. It requires immediate interventional procedures including the launching of a campaign of national awareness for which hard data, such as those provided by this study, will be needed.
[ { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2775421091
Opiate agonist treatment to improve health of individuals with opioid use disorder in Lebanon
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[ "Lebanon" ]
[ "https://openalex.org/W9354470", "https://openalex.org/W1534723326", "https://openalex.org/W1845447069", "https://openalex.org/W1922947287", "https://openalex.org/W1968776785", "https://openalex.org/W1978438690", "https://openalex.org/W1984258380", "https://openalex.org/W1993242370", "https://openalex.org/W1996277897", "https://openalex.org/W2006524511", "https://openalex.org/W2014653325", "https://openalex.org/W2050443628", "https://openalex.org/W2054264607", "https://openalex.org/W2060879859", "https://openalex.org/W2063163233", "https://openalex.org/W2064271499", "https://openalex.org/W2065376416", "https://openalex.org/W2070467328", "https://openalex.org/W2078592976", "https://openalex.org/W2081812523", "https://openalex.org/W2083511613", "https://openalex.org/W2091135327", "https://openalex.org/W2111737489", "https://openalex.org/W2113983839", "https://openalex.org/W2121900067", "https://openalex.org/W2127115452", "https://openalex.org/W2132974770", "https://openalex.org/W2143929325", "https://openalex.org/W2154338458", "https://openalex.org/W2155230936", "https://openalex.org/W2158957358", "https://openalex.org/W2166281097", "https://openalex.org/W2170297728", "https://openalex.org/W2278334049", "https://openalex.org/W2339359611", "https://openalex.org/W2589929570", "https://openalex.org/W4245487921" ]
https://api.openalex.org/works?filter=cites:W2775421091
Opioid agonist therapy has been widely used to reduce harms among individuals with opioid use disorder but its effectiveness has not been evaluated in the Middle East North African (MENA) region. This study aims to evaluate the effectiveness of a program using opioid agonist therapy in combination with psychosocial support on improving psychological and social well-being, reducing arrest, and reducing risky behavior in individuals with opioid use disorder in Lebanon. A one-group pre-test post-test design study was performed at SKOUN Lebanese Addiction Centre between January 2013 and December 2014. Eighty-six out of 181 patients agreed to participate and completed the 3-month assessment and 38 concluded the 12-month assessment. Psychological (depression and anxiety, quality of life), substance dependence/abuse, behavioral (injecting behavior, sharing needles and paraphernalia), and social outcomes were evaluated at baseline, 3, and 12 months post-treatment. Remarkable statistical significance improvements were observed 3 months after treatment in most outcome variables including quality of life, anxiety, substance dependence, overdose, employment, and injecting behavior. Improvements were sustained 12 months after treatment. Results support expanding the access to opioid agonist therapy in other MENA countries to treat substance dependence and reduce harms among individuals with opioid use disorder.
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https://openalex.org/W3131212908
Female breast cancer in New South Wales, Australia, by country of birth: implications for health-service delivery
[ { "affiliations": [ { "country": "Australia", "display_name": "Cancer Institute of New South Wales", "id": "https://openalex.org/I2801862688", "lat": -33.89641, "long": 151.19319, "type": "other" } ], "display_name": "David Roder", "id": "https://openalex.org/A5009918504" }, { "affiliations": [ { "country": "Australia", "display_name": "Cancer Institute of New South Wales", "id": "https://openalex.org/I2801862688", "lat": -33.89641, "long": 151.19319, "type": "other" } ], "display_name": "George W. Zhao", "id": "https://openalex.org/A5064465271" }, { "affiliations": [ { "country": "Australia", "display_name": "Cancer Institute of New South Wales", "id": "https://openalex.org/I2801862688", "lat": -33.89641, "long": 151.19319, "type": "other" } ], "display_name": "Sheetal Challam", "id": "https://openalex.org/A5046176882" }, { "affiliations": [ { "country": "Australia", "display_name": "Cancer Institute of New South Wales", "id": "https://openalex.org/I2801862688", "lat": -33.89641, "long": 151.19319, "type": "other" } ], "display_name": "Alana Little", "id": "https://openalex.org/A5054098184" }, { "affiliations": [ { "country": "Australia", "display_name": "Westmead Institute", "id": "https://openalex.org/I4210137518", "lat": -33.804897, "long": 150.9877, "type": "facility" } ], "display_name": "Elisabeth Elder", "id": "https://openalex.org/A5056454299" }, { "affiliations": [], "display_name": "Gordana Kostadinovska", "id": "https://openalex.org/A5061058228" }, { "affiliations": [ { "country": "Australia", "display_name": "South Eastern Sydney Local Health District", "id": "https://openalex.org/I4210147382", "lat": -33.86785, "long": 151.20732, "type": "healthcare" } ], "display_name": "Lisa Woodland", "id": "https://openalex.org/A5070829520" }, { "affiliations": [ { "country": "Australia", "display_name": "Cancer Institute of New South Wales", "id": "https://openalex.org/I2801862688", "lat": -33.89641, "long": 151.19319, "type": "other" } ], "display_name": "David C. Currow", "id": "https://openalex.org/A5007993808" } ]
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[ "Lebanon" ]
[ "https://openalex.org/W2000445173", "https://openalex.org/W2058797298", "https://openalex.org/W2083275851", "https://openalex.org/W2097619041", "https://openalex.org/W2156813309", "https://openalex.org/W2171773103", "https://openalex.org/W2417399417", "https://openalex.org/W2753301599", "https://openalex.org/W2781545660", "https://openalex.org/W2787553551", "https://openalex.org/W2995704130", "https://openalex.org/W3101575845" ]
https://api.openalex.org/works?filter=cites:W3131212908
NSW has a multicultural population with increasing migration from South East Asia, the Western Pacific and Eastern Mediterranean.To compare cancer stage, treatment (first 12 months) and survival for 12 country of birth (COB) categories recorded on the population-based NSW Cancer Registry.Historic cohort study of invasive breast cancers diagnosed in 2003-2016.Data for 48,909 women (18+ ages) analysed using linked cancer registry, hospital inpatient and Medicare and pharmaceutical benefits claims data.Comparisons by COB using multivariate logistic regression and proportional hazards regression with follow-up of vital status to April 30th, 2020.Compared with the Australia-born, women born in China, the Philippines, Vietnam and Lebanon were younger at diagnosis, whereas those from the United Kingdom, Germany, Italy and Greece were older. Women born in China, the Philippines, Vietnam, Greece and Italy lived in less advantaged areas. Adjusted analyses indicated that: (1) stage at diagnosis was less localised for women born in Germany, Greece, Italy and Lebanon; (2) a lower proportion reported comorbidity for those born in China, the Philippines and Vietnam; (3) surgery type varied, with mastectomy more likely for women born in China, the Philippines and Vietnam, and less likely for women born in Italy, Greece and Lebanon; (4) radiotherapy was more likely where breast conserving surgery was more common (Greece, Italy, and Lebanon) and the United Kingdom; and (5) systemic drug therapy was less common for women born in China and Germany. Five-year survival in NSW was high by international standards and increasing. Adjusted analyses indicate that, compared with the Australian born, survival from death from cancer at 5 years from diagnosis was higher for women born in China, the Philippines, Vietnam, Italy, the United Kingdom and Greece.There is diversity by COB of stage, treatment and survival. Reasons for survival differences may include cultural factors and healthier migrant populations with lower comorbidity, and potentially, less complete death recording in Australia if some women return to their birth countries for treatment and end-of-life care. More research is needed to explore the cultural and clinical factors that health services need to accommodate.
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https://openalex.org/W4307951214
Food insecurity and eating habits of Lebanese children aged 5–11 years during the COVID-19 pandemic and the socioeconomic crisis: a national study
[ { "affiliations": [ { "country": "Lebanon", "display_name": "Holy Spirit University of Kaslik", "id": "https://openalex.org/I189998669", "lat": 33.89332, "long": 35.50157, "type": "education" } ], "display_name": "Reine Gedeon", "id": "https://openalex.org/A5067720645" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Holy Spirit University of Kaslik", "id": "https://openalex.org/I189998669", "lat": 33.89332, "long": 35.50157, "type": "education" } ], "display_name": "Souheil Hallit", "id": "https://openalex.org/A5020046919" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Holy Spirit University of Kaslik", "id": "https://openalex.org/I189998669", "lat": 33.89332, "long": 35.50157, "type": "education" } ], "display_name": "Lara Hanna-Wakim", "id": "https://openalex.org/A5084018259" } ]
[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Socioeconomic status", "id": "https://openalex.org/C147077947" }, { "display_name": "Food insecurity", "id": "https://openalex.org/C2993342163" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Pandemic", "id": "https://openalex.org/C89623803" }, { "display_name": "Snacking", "id": "https://openalex.org/C2781258526" }, { "display_name": "Biostatistics", "id": "https://openalex.org/C140556311" }, { "display_name": "Consumption (sociology)", "id": "https://openalex.org/C30772137" }, { "display_name": "Cross-sectional study", "id": "https://openalex.org/C142052008" }, { "display_name": "Food security", "id": "https://openalex.org/C549605437" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Coronavirus disease 2019 (COVID-19)", "id": "https://openalex.org/C3008058167" }, { "display_name": "Obesity", "id": "https://openalex.org/C511355011" }, { "display_name": "Disease", "id": "https://openalex.org/C2779134260" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Agriculture", "id": "https://openalex.org/C118518473" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Social science", "id": "https://openalex.org/C36289849" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Infectious disease (medical specialty)", "id": "https://openalex.org/C524204448" } ]
[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W4307951214
Abstract Background Food insecurity is the lack of access to nutritious healthy food due to economic and financial insufficiencies. Food insecurity is expected to be higher during these difficult times in Lebanon, which is facing many financial, political, economic and health debates. The present study aims to find the prevalence of food insecurity among Lebanese children during the COVID-19 pandemic and its correlates. Methods This cross-sectional study enrolled 4001 participants from all Lebanese governorates (March–April 2022). The Ministry of Education and Higher Education randomly disseminated the link to parents of children aged between 5 and 11 years from public and private schools. Results The results showed that 1505 (37.6%) and 1497 (37.4%) had moderate and severe food insecurity. A significantly higher percentage of families with severe food insecurity was reported by fathers compared to mothers. In addition, participants who reported a bad overall health status of their children had a severe food insecurity. Moreover, those with a severe food insecurity had their children’s daily snacking habit between meals decreased, with a decreased quantity of meals, intake of vegetables/fruits, the intake of balanced diet, junk food, sugar-sweetened beverages, consumption of sweets/candies/chocolate, consumption of unhealthy food, intake of immunity-boosting food, intake of nutrition supplements, participation in the house chores, number of sleeping hours and sleep quality, as well as stress/anxiety decreased. Finally, a higher mean financial burden was seen in families with severe food insecurity compared to the other groups. Conclusion The current study found a high prevalence of moderate to severe food insecurity among Lebanese children during the COVID-19 pandemic. Food insecurity should be seriously discussed in Lebanon due to its rapid development in the middle of all the crises facing the country in order to avoid short and long term consequences on human’s health.
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https://openalex.org/W3026631577
Conducting operational research in humanitarian settings: is there a shared path for humanitarians, national public health authorities and academics?
[ { "affiliations": [], "display_name": "Enrica Leresche", "id": "https://openalex.org/A5060947435" }, { "affiliations": [], "display_name": "Claudia Truppa", "id": "https://openalex.org/A5031764527" }, { "affiliations": [], "display_name": "Christophe Martin", "id": "https://openalex.org/A5069694233" }, { "affiliations": [ { "country": "United States", "display_name": "Harvard University", "id": "https://openalex.org/I136199984", "lat": 42.3751, "long": -71.10561, "type": "education" } ], "display_name": "Ariana Marnicio", "id": "https://openalex.org/A5000496202" }, { "affiliations": [ { "country": "Switzerland", "display_name": "International Committee of the Red Cross", "id": "https://openalex.org/I93593358", "lat": 46.227764, "long": 6.137308, "type": "nonprofit" } ], "display_name": "Rita H. de Rossi", "id": "https://openalex.org/A5076608177" }, { "affiliations": [], "display_name": "Carla Zmeter", "id": "https://openalex.org/A5075766977" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Ministry of Public Health", "id": "https://openalex.org/I4210097567", "lat": 33.86422, "long": 35.493645, "type": "government" } ], "display_name": "Hilda L Harb", "id": "https://openalex.org/A5088331996" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Ministry of Public Health", "id": "https://openalex.org/I4210097567", "lat": 33.86422, "long": 35.493645, "type": "government" } ], "display_name": "Randa Hamadeh", "id": "https://openalex.org/A5063347956" }, { "affiliations": [], "display_name": "Jennifer Lee", "id": "https://openalex.org/A5014345315" } ]
[ { "display_name": "Public relations", "id": "https://openalex.org/C39549134" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "General partnership", "id": "https://openalex.org/C71750763" }, { "display_name": "Context (archaeology)", "id": "https://openalex.org/C2779343474" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Health services research", "id": "https://openalex.org/C2780877353" }, { "display_name": "Population health", "id": "https://openalex.org/C2778149918" }, { "display_name": "Negotiation", "id": "https://openalex.org/C199776023" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Public administration", "id": "https://openalex.org/C3116431" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Paleontology", "id": "https://openalex.org/C151730666" }, { "display_name": "Biology", "id": "https://openalex.org/C86803240" } ]
[ "Lebanon", "Syria" ]
[ "https://openalex.org/W1751817640", "https://openalex.org/W1925415571", "https://openalex.org/W1987064688", "https://openalex.org/W2039593423", "https://openalex.org/W2061407701", "https://openalex.org/W2102944473", "https://openalex.org/W2117275875", "https://openalex.org/W2120676541", "https://openalex.org/W2130410555", "https://openalex.org/W2138802300", "https://openalex.org/W2139168313", "https://openalex.org/W2151086674", "https://openalex.org/W2155513665", "https://openalex.org/W2170210923", "https://openalex.org/W2339106159", "https://openalex.org/W2344923382", "https://openalex.org/W2345539730", "https://openalex.org/W2415686106", "https://openalex.org/W2417982555", "https://openalex.org/W2466489514", "https://openalex.org/W2476147630", "https://openalex.org/W2531521677", "https://openalex.org/W2560825841", "https://openalex.org/W2561195546", "https://openalex.org/W2562692269", "https://openalex.org/W2607109649", "https://openalex.org/W2621424783", "https://openalex.org/W2621553709", "https://openalex.org/W2621706686", "https://openalex.org/W2622864680", "https://openalex.org/W2624522361", "https://openalex.org/W2624597624", "https://openalex.org/W2736169012", "https://openalex.org/W2755297236", "https://openalex.org/W2767646650", "https://openalex.org/W2774681559", "https://openalex.org/W2778053763", "https://openalex.org/W2786639955", "https://openalex.org/W2819945901", "https://openalex.org/W2885724796", "https://openalex.org/W2899216902", "https://openalex.org/W2903321668", "https://openalex.org/W2911666225", "https://openalex.org/W2921169433", "https://openalex.org/W2925672674", "https://openalex.org/W2939606317", "https://openalex.org/W2940926998", "https://openalex.org/W2953748223", "https://openalex.org/W2982622567" ]
https://api.openalex.org/works?filter=cites:W3026631577
Abstract In humanitarian contexts, it is a difficult and multi-faceted task to enlist academics, humanitarian actors and health authorities in a collaborative research effort. The lack of research in such settings has been widely described in the past decade, but few have analysed the challenges in building strong and balanced research partnerships. The major issues include considering operational priorities, ethical imperatives and power differentials. This paper analyses in two steps a collaborative empirical endeavour to assess health service utilization by Syrian refugee and Lebanese women undertaken by the International Committee of the Red Cross (ICRC), the Lebanese Ministry of Public Health (MoPH) and the Harvard François-Xavier Bagnoud (FXB) Center. First, based on challenges documented in the literature, we shed light on how we negotiated appropriate research questions, methodologies, bias analyses, resource availability, population specificities, security, logistics, funding, ethical issues and organizational cultures throughout the partnership. Second, we describe how the negotiations required each partner to go outside their comfort zones. For the academics, the drivers to engage included the intellectual value of the collaboration, the readiness of the operational partners to conduct an empirical investigation and the possibility that such work might lead to a better understanding in public health terms of how the response met population needs. For actors responding to the humanitarian crisis (the ICRC and the MOPH), participating in a technical collaboration permitted methodological issues to be worked through in the context of deliberations within the wider epistemic community. We find that when they collaborate, academics, humanitarian actors and health authorities deploy their respective complementarities to build a more comprehensive approach. Barriers such as the lack of uptake of research results or weak links to the existing literature were overcome by giving space to define research questions and develop a longer-term collaboration involving individual and institutional learning. There is the need ahead of time to create balanced decision-making mechanisms, allow for relative financial autonomy, and define organizational responsibilities. Ultimately, mutual respect, trust and the recognition of each other’s expertise formed the basis of an initiative that served to better understand populations affected by conflict and meet their needs.
[ { "display_name": "Conflict and Health", "id": "https://openalex.org/S77607499", "type": "journal" }, { "display_name": "Europe PMC (PubMed Central)", "id": "https://openalex.org/S4306400806", "type": "repository" }, { "display_name": "LSHTM Research Online\n (London School of Hygiene & Tropical Medicine)", "id": "https://openalex.org/S4377196261", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W4223572519
Relationship between social determinants of health and clinical outcomes in adults with type 2 diabetes in Lebanon
[ { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese American University", "id": "https://openalex.org/I56306041", "lat": 33.892776, "long": 35.47778, "type": "education" } ], "display_name": "Nathalie Awad", "id": "https://openalex.org/A5037670716" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese American University", "id": "https://openalex.org/I56306041", "lat": 33.892776, "long": 35.47778, "type": "education" } ], "display_name": "Rita Saade", "id": "https://openalex.org/A5004781625" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese American University", "id": "https://openalex.org/I56306041", "lat": 33.892776, "long": 35.47778, "type": "education" } ], "display_name": "Maya Bassil", "id": "https://openalex.org/A5015305121" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese American University", "id": "https://openalex.org/I56306041", "lat": 33.892776, "long": 35.47778, "type": "education" } ], "display_name": "Ola Sukkarieh-Haraty", "id": "https://openalex.org/A5071455213" }, { "affiliations": [ { "country": "United States", "display_name": "Medical College of Wisconsin", "id": "https://openalex.org/I204308271", "lat": 43.0389, "long": -87.90647, "type": "education" } ], "display_name": "Leonard E. Egede", "id": "https://openalex.org/A5062740403" } ]
[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Psychosocial", "id": "https://openalex.org/C150966472" }, { "display_name": "Socioeconomic status", "id": "https://openalex.org/C147077947" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Type 2 diabetes", "id": "https://openalex.org/C2777180221" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Diabetes mellitus", "id": "https://openalex.org/C555293320" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Social determinants of health", "id": "https://openalex.org/C78491826" }, { "display_name": "Ethnic group", "id": "https://openalex.org/C137403100" }, { "display_name": "Multivariate analysis", "id": "https://openalex.org/C38180746" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Endocrinology", "id": "https://openalex.org/C134018914" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Anthropology", "id": "https://openalex.org/C19165224" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" } ]
[ "Lebanon" ]
[ "https://openalex.org/W1519835452", "https://openalex.org/W1530193861", "https://openalex.org/W1965356337", "https://openalex.org/W1981459575", "https://openalex.org/W1991484834", "https://openalex.org/W2033496694", "https://openalex.org/W2081636198", "https://openalex.org/W2087037051", "https://openalex.org/W2104018747", "https://openalex.org/W2105563110", "https://openalex.org/W2109043701", "https://openalex.org/W2116839388", "https://openalex.org/W2117960229", "https://openalex.org/W2132322340", "https://openalex.org/W2147273212", "https://openalex.org/W2166687794", "https://openalex.org/W2186218317", "https://openalex.org/W2269021816", "https://openalex.org/W2287149238", "https://openalex.org/W2298911878", "https://openalex.org/W2517267460", "https://openalex.org/W2623843322", "https://openalex.org/W2626373092", "https://openalex.org/W2752953755", "https://openalex.org/W2767631144", "https://openalex.org/W2779980808", "https://openalex.org/W2794210188", "https://openalex.org/W2896888321", "https://openalex.org/W2906199159", "https://openalex.org/W3096909987", "https://openalex.org/W4206724985" ]
https://api.openalex.org/works?filter=cites:W4223572519
A growing number of ethnic minority populations in the United States are from the Middle East and North Africa (MENA) region, specifically Lebanon. This region is witnessing one of the highest expected increases in diabetes prevalence. However, limited data exists on how social determinants of health impact clinical care for diabetes in this population. The aim of this study was to assess the social determinants of health and their impact on clinical outcomes in Lebanese adults with type 2 diabetes (T2DM). A convenience sample of Lebanese patients with T2DM was recruited from primary health care centers in Lebanon. Data on demographics and social determinants of health, including socioeconomic status, neighborhood and built environment, as well as psychosocial variables were collected. Clinical outcomes including Hemoglobin A1c (A1C), systolic (SBP) and diastolic blood pressure (DBP) were measured. Unadjusted and adjusted linear regression models were used to test for associations between the independent variables and each of the outcomes. Out of the 300 adults with T2DM, 52% were men, 73% were married and 64% had an education level below high school. Results from multivariate analyses showed that food insecurity (β = 0.16, p = 0.01), owning an air conditioner (β = -0.64, p = 0.01), and commuting by walking (β = -0.93, p = 0.01) were independently associated with A1C. Predictors of DBP were male gender (β = 3.59, p = 0.03), age (β = -0.19, p = 0.005) and lack of confidence in filling medical forms (β = -4.89, p = 0.007), while male gender was the only predictor of SBP (β = 7.41, p = 0.008). This is the first study to examine the relationship between social determinants of health and clinical outcomes for diabetes in the MENA region. Our findings suggest that living in an underprivileged neighborhood and built environment was significantly and independently associated with poor clinical outcomes among adults with T2DM in Lebanon. Findings from this study will inform care for immigrant populations with diabetes from the MENA region.
[ { "display_name": "Journal of the National Medical Association", "id": "https://openalex.org/S4210222641", "type": "journal" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2090053273
Determinants of Depression among poor Elderly Women: Findings from refugee and non-refugee Communities in the Outskirts of Beirut, Lebanon
[ { "affiliations": [], "display_name": "Bassem Saab", "id": "https://openalex.org/A5041212712" }, { "affiliations": [], "display_name": "Zana El-Roueiheb", "id": "https://openalex.org/A5082934061" }, { "affiliations": [], "display_name": "Monique Chaaya", "id": "https://openalex.org/A5007413550" }, { "affiliations": [], "display_name": "Abla Mehio Sibai", "id": "https://openalex.org/A5066629818" } ]
[ { "display_name": "Refugee", "id": "https://openalex.org/C173145845" }, { "display_name": "Depression (economics)", "id": "https://openalex.org/C2776867660" }, { "display_name": "Nationality", "id": "https://openalex.org/C2777138209" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Multivariate analysis", "id": "https://openalex.org/C38180746" }, { "display_name": "Palestinian refugees", "id": "https://openalex.org/C2780446542" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Geriatric Depression Scale", "id": "https://openalex.org/C2776760841" }, { "display_name": "Immigration", "id": "https://openalex.org/C70036468" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Depressive symptoms", "id": "https://openalex.org/C3019858935" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Anxiety", "id": "https://openalex.org/C558461103" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" }, { "display_name": "Macroeconomics", "id": "https://openalex.org/C139719470" } ]
[ "Lebanon" ]
[]
https://api.openalex.org/works?filter=cites:W2090053273
Background. Depression among elderly females is an important public health concern. The present study aims at examining factors associated with female elderly depression in three underprivileged communities in Lebanon, one of which is almost solely inhabited by Palestinian refugees. Methods. Four hundred and twenty-two women age 60-93 years were interviewed. Depression was assessed using the Geriatric Depression Scale (GDS). Results. Probable and definite depression was diagnosed in 74.5% and 29.6% of the women respectively. Following multivariate analysis, factors significantly associated with definite depression were Palestinian nationality, dissatisfaction with household income, lack of physical activity, and disability. Conclusion. Findings highlight the need for greater efforts to provide a suitable environment for exercise for elderly. Policy makers need to improve the living conditions of the underprivileged communities in Lebanon, particularly Palestinian refugees.
[ { "display_name": "Europe’s Journal of Psychology", "id": "https://openalex.org/S2764380667", "type": "journal" } ]
https://openalex.org/W2475164473
Field Preventive Medicine and Epidemiological Surveillance: The Beirut, Lebanon Experience, 1982
[ { "affiliations": [ { "country": "United States", "display_name": "United States Department of the Navy", "id": "https://openalex.org/I3130687028", "lat": 38.88101, "long": -77.10428, "type": "government" } ], "display_name": "Daniell Fd", "id": "https://openalex.org/A5017320998" }, { "affiliations": [ { "country": "United States", "display_name": "United States Department of the Navy", "id": "https://openalex.org/I3130687028", "lat": 38.88101, "long": -77.10428, "type": "government" } ], "display_name": "Crafton Ld", "id": "https://openalex.org/A5048628483" }, { "affiliations": [ { "country": "United States", "display_name": "United States Department of the Navy", "id": "https://openalex.org/I3130687028", "lat": 38.88101, "long": -77.10428, "type": "government" } ], "display_name": "Walz Se", "id": "https://openalex.org/A5084357979" }, { "affiliations": [ { "country": "United States", "display_name": "United States Department of the Navy", "id": "https://openalex.org/I3130687028", "lat": 38.88101, "long": -77.10428, "type": "government" } ], "display_name": "Bolton Ht", "id": "https://openalex.org/A5063369816" } ]
[ { "display_name": "Epidemiology", "id": "https://openalex.org/C107130276" }, { "display_name": "Preventive healthcare", "id": "https://openalex.org/C52207206" }, { "display_name": "Military medicine", "id": "https://openalex.org/C544453697" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Field (mathematics)", "id": "https://openalex.org/C9652623" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Epidemiological surveillance", "id": "https://openalex.org/C62558387" }, { "display_name": "Navy", "id": "https://openalex.org/C2776746162" }, { "display_name": "Medical emergency", "id": "https://openalex.org/C545542383" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Mathematics", "id": "https://openalex.org/C33923547" }, { "display_name": "Pure mathematics", "id": "https://openalex.org/C202444582" } ]
[ "Lebanon" ]
[]
https://api.openalex.org/works?filter=cites:W2475164473
Medical support for deployed military forces is a topic of major interest and concern for medical planners. Any discussion of medical support, especially when it concerns deployed land forces, will invariably turn to a discussion of field preventive medicine services. One aspect of these discussions, which often times is not stressed, in a mechanism to evaluate the effectiveness of preventive medicine services provided in field environments. It is proposed that an effective approach to monitoring these services is to utilize epidemiological surveillance and assessments. The recent participation of the United States Marine Corps in the Beirut, Lebanon Operations afforded an opportunity to collect epidemiological data on disease occurrence, to study the impact of preventive medicine support in the field, and to evaluate the ability of epidemiological surveillance to monitor the effectiveness of this support.
[ { "display_name": "Military Medicine", "id": "https://openalex.org/S207859457", "type": "journal" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2051437772
Measurement Properties of the Arabic Lebanon Version of the Pediatric Quality of Life Inventory 4.0 Generic Core Scales for Young Child (5 - 7 years), and Child Aged 8 - 12 Years: Quality of Life of in Urban and Rural Children in Lebanon
[ { "affiliations": [], "display_name": "Ibtissam Sabbah", "id": "https://openalex.org/A5009413443" }, { "affiliations": [], "display_name": "Hala Sabbah", "id": "https://openalex.org/A5076254749" }, { "affiliations": [], "display_name": "Sanaa Sabbah", "id": "https://openalex.org/A5058134025" }, { "affiliations": [], "display_name": "Hussein Akoum", "id": "https://openalex.org/A5083870475" }, { "affiliations": [], "display_name": "Nabil Droubi", "id": "https://openalex.org/A5027736431" }, { "affiliations": [], "display_name": "Mariette Mercier", "id": "https://openalex.org/A5052616768" } ]
[ { "display_name": "Arabic", "id": "https://openalex.org/C96455323" }, { "display_name": "Proxy (statistics)", "id": "https://openalex.org/C2780148112" }, { "display_name": "Psychological intervention", "id": "https://openalex.org/C27415008" }, { "display_name": "Quality of life (healthcare)", "id": "https://openalex.org/C2779951463" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Clinical psychology", "id": "https://openalex.org/C70410870" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Reliability (semiconductor)", "id": "https://openalex.org/C43214815" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Philosophy", "id": "https://openalex.org/C138885662" }, { "display_name": "Linguistics", "id": "https://openalex.org/C41895202" }, { "display_name": "Power (physics)", "id": "https://openalex.org/C163258240" }, { "display_name": "Physics", "id": "https://openalex.org/C121332964" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Quantum mechanics", "id": "https://openalex.org/C62520636" }, { "display_name": "Machine learning", "id": "https://openalex.org/C119857082" }, { "display_name": "Computer science", "id": "https://openalex.org/C41008148" }, { "display_name": "Psychotherapist", "id": "https://openalex.org/C542102704" } ]
[ "Lebanon" ]
[ "https://openalex.org/W273282633", "https://openalex.org/W1486102782", "https://openalex.org/W1550405401", "https://openalex.org/W1975585168", "https://openalex.org/W1977476532", "https://openalex.org/W1986784010", "https://openalex.org/W2004726095", "https://openalex.org/W2014171300", "https://openalex.org/W2021211037", "https://openalex.org/W2038007838", "https://openalex.org/W2038409356", "https://openalex.org/W2046241491", "https://openalex.org/W2050679821", "https://openalex.org/W2050878694", "https://openalex.org/W2082297626", "https://openalex.org/W2098439533", "https://openalex.org/W2100151382", "https://openalex.org/W2104153877", "https://openalex.org/W2108968701", "https://openalex.org/W2111818224", "https://openalex.org/W2115323331", "https://openalex.org/W2118370858", "https://openalex.org/W2120194612", "https://openalex.org/W2125899324", "https://openalex.org/W2129411368", "https://openalex.org/W2131316359", "https://openalex.org/W2131451413", "https://openalex.org/W2143248591", "https://openalex.org/W2143665663", "https://openalex.org/W2147091912", "https://openalex.org/W2148818658", "https://openalex.org/W2149772379", "https://openalex.org/W2150988818", "https://openalex.org/W2153315142", "https://openalex.org/W2159058650", "https://openalex.org/W2159306398", "https://openalex.org/W2163492121", "https://openalex.org/W2164483064", "https://openalex.org/W2168448906", "https://openalex.org/W2169845819", "https://openalex.org/W2323149989" ]
https://api.openalex.org/works?filter=cites:W2051437772
Background: Health-related quality of life (HRQOL) is recognized as an important health outcome measurement for pediatric patients. HRQOL in children are needed to gain a better understanding of the impact of public policies, interventions, therapies, and the prediction of health and social care need. In view of the lack of reliable HRQOL instruments for children in Arabic, the present study aims to translate the PedsQLTM4.0 self-report and proxy-report for young children (ages 5-7 years), and Children (ages 8-12), evaluate psychometric properties of the Arabic Lebanon version; and to evaluate HRQOL of children in rural and urban areas in Lebanon. Methods: PedsQLTM4.0 was translated and adapted into Arabic using the standard approach provided by Varni JW. The Arabic version was administered to a representative sample of 368 children aged 5-12 years and their parents. The psychometric properties were then evaluated. Results: The rate of missing data for self-report and proxy-report was very low (0.51% and 0.46% of items). All child self-report, and parent proxy-report subscales exceeded the minimum reliability standard of 0.70 for alpha coefficient, except emotional subscale of young child self-report and proxy-report, and, the social subscale of child self-report (alphas ranging from 0.60 to 0.66). Factor analysis yielded patterns of factor correlation comparable to the original version. The emotional functioning of children is low, where most children feel afraid, sad, and angry. Children resident in rural areas had higher social scores than those in urban areas. The HRQOL of girls is higher than boys; Children undergoing treatment for cancer rated their HRQOL as poorer in all dimensions. Conclusions: The results support the validity of the PedsQLTM4.0 self-report and proxy-report Arabic version. Habitat has a minor influence on HRQOL of children. Further psychometric evaluation in a larger sample of children, in other departments of Lebanon is recommended to provide firmer conclusions.
[ { "display_name": "Creative Education", "id": "https://openalex.org/S155988987", "type": "journal" } ]
https://openalex.org/W73945879
Epidemiology of tuberculosis in Lebanon.
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[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Epidemiology", "id": "https://openalex.org/C107130276" }, { "display_name": "Tuberculosis", "id": "https://openalex.org/C2781069245" }, { "display_name": "Christian ministry", "id": "https://openalex.org/C521751864" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Transmission (telecommunications)", "id": "https://openalex.org/C761482" }, { "display_name": "Pediatrics", "id": "https://openalex.org/C187212893" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Philosophy", "id": "https://openalex.org/C138885662" }, { "display_name": "Theology", "id": "https://openalex.org/C27206212" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Electrical engineering", "id": "https://openalex.org/C119599485" }, { "display_name": "Engineering", "id": "https://openalex.org/C127413603" } ]
[ "Lebanon" ]
[]
https://api.openalex.org/works?filter=cites:W73945879
To identify the epidemiological characteristics of tuberculosis (TB) in Lebanon; a review covering the period from 1 January 1995 to 31 December 1996.Descriptive analysis of surveillance data of all new cases of active TB reported to the Epidemiological Surveillance Unit of the Department of Preventive Medicine at the Ministry of Public Health in Lebanon.A total of 1111 patients were males and 832 patients were females; 5 % of the patients were below the age of 5 years and 19% below the age of 15. The geographical distribution of TB patients shows that 38.4% of the patients were residents of Beirut, and 27.2% residents of North Lebanon.This study shows the existence of a potentially large TB reservoir in Lebanon, especially in the areas of Beirut and North Lebanon. Health workers should be alerted to the importance of continual case finding, effective treatment, control of infection transmission and the continued abatement of the tuberculosis problem in the years to come.
[ { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W4225338016
Vaccination against influenza among Lebanese health care workers in the era of coronavirus disease 2019
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[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Vaccination", "id": "https://openalex.org/C22070199" }, { "display_name": "Biostatistics", "id": "https://openalex.org/C140556311" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Pandemic", "id": "https://openalex.org/C89623803" }, { "display_name": "Influenza vaccine", "id": "https://openalex.org/C2780689484" }, { "display_name": "Health care", "id": "https://openalex.org/C160735492" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Logistic regression", "id": "https://openalex.org/C151956035" }, { "display_name": "Epidemiology", "id": "https://openalex.org/C107130276" }, { "display_name": "Cross-sectional study", "id": "https://openalex.org/C142052008" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Immunology", "id": "https://openalex.org/C203014093" }, { "display_name": "Disease", "id": "https://openalex.org/C2779134260" }, { "display_name": "Infectious disease (medical specialty)", "id": "https://openalex.org/C524204448" }, { "display_name": "Coronavirus disease 2019 (COVID-19)", "id": "https://openalex.org/C3008058167" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" } ]
[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W4225338016
Health-care workers (HCWs) are at a higher occupational risk of contracting and transmitting influenza. Annual vaccination is an essential tool to prevent seasonal influenza infection. However, HCWs vaccine hesitancy remains a leading global health threat. This study aims to evaluate the flu vaccination coverage rates among Lebanese HCWs and to assess their knowledge, attitudes, practices, perceived barriers, and benefits toward the flu vaccine during the COVID-19 pandemic. In addition, we sought to identify the factors associated with flu vaccine uptake.A cross-sectional study using an online survey was conducted in Lebanon among HCWs between 14 and 28 October 2020. Multivariable logistic regression was carried out to identify the factors associated with influenza vaccine uptake.A total of 560 HCWs participated in the survey of whom 72.9% were females, and 53.9% were aged between 30-49 years. Regarding Flu vaccination uptake, the rate has risen from 32.1% in 2019-2020 to 80.2% in 2020-2021 flu season. The majority of HCWs had a good knowledge level and a positive attitude toward flu vaccination. Regarding their practices, less than 50% of HCW were currently promoting the importance of getting the flu vaccine. The majority (83.3%) ranked the availability of a sufficient quantity of vaccines as the most significant barrier to flu vaccination. The main perceived flu vaccination benefits were enhancing patient safety, minimizing the viral reservoir in the population, decreasing hospital admission, and avoiding influenza and COVID-19 co-infection. The odds of influenza vaccine uptake was lower in unmarried compared to married HCWs (OR = 0.527, CI (0.284-0.978). However, HCWs having received the influenza vaccine in the previous season (OR = 6.812, CI (3.045-15.239)), those with good knowledge level (OR = 3.305, CI (1.155-9.457)), low perceived barriers (OR = 4.130, CI (1.827-9.334)) and high perceived level of the benefits (OR = 6.264, CI (2.919-13.442)) of the flu vaccination were found more prone to get the flu vaccine.Flu vaccination uptake has increased among HCWs during the 2020-2021 flu season compared with the previous one. Continuing education as well as ensuring free, equitable, and convenient access to vaccination are still required to increase the annual flu vaccination uptake among HCWs.
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https://openalex.org/W3171392157
“I try the one that they say is good.” - factors influencing choice of health care provider and pathways to diabetes care for Syrian refugees in Lebanon
[ { "affiliations": [ { "country": "Belgium", "display_name": "Instituut voor Tropische Geneeskunde", "id": "https://openalex.org/I78281549", "lat": 51.22047, "long": 4.40026, "type": "nonprofit" }, { "country": "Belgium", "display_name": "Médecins Sans Frontières", "id": "https://openalex.org/I4210129271", "lat": 50.833496, "long": 4.36407, "type": "nonprofit" } ], "display_name": "Flora Haderer", "id": "https://openalex.org/A5073688348" }, { "affiliations": [ { "country": "Luxembourg", "display_name": "Médecins Sans Frontières", "id": "https://openalex.org/I4210141672", "lat": 49.59312, "long": 6.120514, "type": "nonprofit" }, { "country": "South Africa", "display_name": "University of Cape Town", "id": "https://openalex.org/I157614274", "lat": -33.96333, "long": 18.47639, "type": "education" } ], "display_name": "Emilie Venables", "id": "https://openalex.org/A5026289140" }, { "affiliations": [ { "country": "Belgium", "display_name": "Instituut voor Tropische Geneeskunde", "id": "https://openalex.org/I78281549", "lat": 51.22047, "long": 4.40026, "type": "nonprofit" }, { "country": "Belgium", "display_name": "University of Antwerp", "id": "https://openalex.org/I149213910", "lat": 51.22273, "long": 4.40843, "type": "education" } ], "display_name": "Josefien Van Olmen", "id": "https://openalex.org/A5054601206" }, { "affiliations": [ { "country": "Belgium", "display_name": "Médecins Sans Frontières", "id": "https://openalex.org/I4210129271", "lat": 50.833496, "long": 4.36407, "type": "nonprofit" }, { "country": "United Kingdom", "display_name": "University College London", "id": "https://openalex.org/I45129253", "lat": 51.50853, "long": -0.12574, "type": "education" } ], "display_name": "Miriam Orcutt", "id": "https://openalex.org/A5063644370" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese American University", "id": "https://openalex.org/I56306041", "lat": 33.892776, "long": 35.47778, "type": "education" } ], "display_name": "Michella Ghassibe-Sabbagh", "id": "https://openalex.org/A5005076925" }, { "affiliations": [ { "country": "Belgium", "display_name": "Médecins Sans Frontières", "id": "https://openalex.org/I4210129271", "lat": 50.833496, "long": 4.36407, "type": "nonprofit" }, { "country": "Luxembourg", "display_name": "Médecins Sans Frontières", "id": "https://openalex.org/I4210141672", "lat": 49.59312, "long": 6.120514, "type": "nonprofit" } ], "display_name": "Wilma van den Boogaard", "id": "https://openalex.org/A5030626035" } ]
[ { "display_name": "Refugee", "id": "https://openalex.org/C173145845" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Thematic analysis", "id": "https://openalex.org/C74196892" }, { "display_name": "Health care", "id": "https://openalex.org/C160735492" }, { "display_name": "Qualitative research", "id": "https://openalex.org/C190248442" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Social science", "id": "https://openalex.org/C36289849" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" } ]
[ "Lebanon", "Syria" ]
[ "https://openalex.org/W1574545031", "https://openalex.org/W1990723445", "https://openalex.org/W1995964973", "https://openalex.org/W2024116506", "https://openalex.org/W2067595233", "https://openalex.org/W2068105988", "https://openalex.org/W2082831972", "https://openalex.org/W2091484759", "https://openalex.org/W2102514932", "https://openalex.org/W2143838667", "https://openalex.org/W2146523770", "https://openalex.org/W2166031450", "https://openalex.org/W2167895489", "https://openalex.org/W2174655596", "https://openalex.org/W2179700793", "https://openalex.org/W2345539730", "https://openalex.org/W2465161822", "https://openalex.org/W2495763977", "https://openalex.org/W2519484874", "https://openalex.org/W2567723884", "https://openalex.org/W2754992645", "https://openalex.org/W2766103231", "https://openalex.org/W2803438017", "https://openalex.org/W2806923299", "https://openalex.org/W2886145805", "https://openalex.org/W2888857297", "https://openalex.org/W2905943141", "https://openalex.org/W2921890606", "https://openalex.org/W2928301054", "https://openalex.org/W2937756509", "https://openalex.org/W2940926998", "https://openalex.org/W2942117871", "https://openalex.org/W2951346456", "https://openalex.org/W4252796641" ]
https://api.openalex.org/works?filter=cites:W3171392157
Abstract Background Navigating health systems in host countries can be a challenge for refugees, particularly in a multi-provider system such as Lebanon. Syrian refugees in Lebanon face a high burden of Non-Communicable Diseases (NCDs) including diabetes mellitus. Evidence on how refugees navigate the health system is essential to improve provision of NCD services. We conducted a qualitative study amongst Syrian diabetes patients visiting Médecins Sans Frontières (MSF) clinics in one urban and one rural setting in Lebanon to explore factors influencing choice of and pathways to diabetes care. Methods In-depth interviews were conducted with male and female adult participants with DM type 1 or type 2 who were receiving treatment at MSF clinics. Participants were recruited using convenience sampling. Interviews were conducted in Arabic and directly transcribed and translated into English. Data were coded in NVivo and analyzed using an inductive thematic approach. Results A total of 29 in-depth interviews were conducted with 13 men and 16 women. Knowledge and understanding of diabetes management differed among participants. Syrian refugees in Lebanon gathered information about health services for diabetes largely from social networks of family and peers rather than through formal means. Pathways to care included different combinations of providers such as clinics, pharmacists and informal providers. Conclusions Syrian refugees with diabetes in Lebanon face considerable challenges in navigating the health care system due to their vulnerable status and limited knowledge of the host country systems. To ensure access to care for diabetes, efforts need to be made to support patients’ orientation in the Lebanese health system.
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https://openalex.org/W4311519341
Knowledge, Attitude, and Practice in a Sample of the Lebanese Population Regarding Cholera
[ { "affiliations": [ { "country": "United Arab Emirates", "display_name": "Gulf Medical University", "id": "https://openalex.org/I163074564", "lat": 25.417059, "long": 55.500984, "type": "education" }, { "country": "Lebanon", "display_name": "Lebanese International University", "id": "https://openalex.org/I911468752", "lat": 33.88486, "long": 35.49528, "type": "education" } ], "display_name": "Diana Malaeb", "id": "https://openalex.org/A5056665456" }, { "affiliations": [ { "country": "Jordan", "display_name": "University of Jordan", "id": "https://openalex.org/I114972647", "lat": 31.95522, "long": 35.94503, "type": "education" }, { "country": "Jordan", "display_name": "Jordan Hospital", "id": "https://openalex.org/I2800233941", "lat": 31.960514, "long": 35.900078, "type": "healthcare" }, { "country": "Sweden", "display_name": "Lund University", "id": "https://openalex.org/I187531555", "lat": 55.70584, "long": 13.19321, "type": "education" } ], "display_name": "Malik Sallam", "id": "https://openalex.org/A5086563544" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese International University", "id": "https://openalex.org/I911468752", "lat": 33.88486, "long": 35.49528, "type": "education" } ], "display_name": "Samar Younes", "id": "https://openalex.org/A5067145224" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese International University", "id": "https://openalex.org/I911468752", "lat": 33.88486, "long": 35.49528, "type": "education" } ], "display_name": "Nisreen Mourad", "id": "https://openalex.org/A5090402378" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese International University", "id": "https://openalex.org/I911468752", "lat": 33.88486, "long": 35.49528, "type": "education" } ], "display_name": "Abir Sarray El Dine", "id": "https://openalex.org/A5021269678" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese American University", "id": "https://openalex.org/I56306041", "lat": 33.892776, "long": 35.47778, "type": "education" } ], "display_name": "Sahar Obeïd", "id": "https://openalex.org/A5018364968" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Holy Spirit University of Kaslik", "id": "https://openalex.org/I189998669", "lat": 33.89332, "long": 35.50157, "type": "education" }, { "country": "Jordan", "display_name": "Applied Science Private University", "id": "https://openalex.org/I146367977", "lat": 31.95522, "long": 35.94503, "type": "education" } ], "display_name": "Souheil Hallit", "id": "https://openalex.org/A5058939165" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Holy Spirit University of Kaslik", "id": "https://openalex.org/I189998669", "lat": 33.89332, "long": 35.50157, "type": "education" }, { "country": "Lebanon", "display_name": "Centre Hospitalier Universitaire Notre Dame des Secours", "id": "https://openalex.org/I4210123515", "lat": 34.12808, "long": 35.658985, "type": "healthcare" } ], "display_name": "Rabih Hallit", "id": "https://openalex.org/A5001660443" } ]
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[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W4311519341
The evaluation of knowledge, attitude, and practices towards an emerging disease is an essential component of public health preventive measures during an outbreak. In October 2022, an outbreak of cholera was reported in Lebanon, which is the first to be reported in the Middle Eastern country for 30 years. This study aimed to explore the level of knowledge as well as attitude and practice of the general public in Lebanon towards cholera. A self-administered structured questionnaire was distributed via an online link to individuals living in Lebanon during October-November 2022. The survey instrument comprised items to assess the sociodemographic data; questions on knowledge about cholera symptoms, transmission, and prevention; as well as attitude and practice questions. Our study involved 553 participants, with a median age of 24 years and a majority of females (72.5%). The results showed that the majority of respondents correctly identified diarrhea as a symptom of cholera and recognized the spread via contaminated water and food. Having a university level education compared with secondary school or less (adjusted odds ratio (aOR) = 2.09), being married compared with single (aOR = 1.67), and working in the medical field compared with unemployed (aOR = 4.19) were significantly associated with higher odds of having good cholera knowledge. Having good knowledge compared with having a poor level of cholera knowledge (aOR = 1.83) and older age (aOR = 1.03) were significantly associated with higher odds of having a good attitude towards cholera. The current study showed an overall high knowledge score on cholera among the Lebanese population. Nevertheless, gaps in cholera knowledge were identified and should be addressed, particularly among workers in the medical field. Thus, we recommend targeted health education to the general population that aims to strengthen the health resilience in the community.
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https://openalex.org/W4244706054
Prevalence of Non-Communicable Diseases and Associated Medication Use Among Syrian Refugees in Lebanon: An Analysis of Country-Wide Data from the Sijilli Electronic Health Records Database
[ { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Shadi Saleh", "id": "https://openalex.org/A5050430870" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Lina Abdouni", "id": "https://openalex.org/A5067037350" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese American University", "id": "https://openalex.org/I56306041", "lat": 33.892776, "long": 35.47778, "type": "education" } ], "display_name": "Hani Dimassi", "id": "https://openalex.org/A5001367844" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Dana Nabulsi", "id": "https://openalex.org/A5076845101" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese American University", "id": "https://openalex.org/I56306041", "lat": 33.892776, "long": 35.47778, "type": "education" } ], "display_name": "Ranime Harb", "id": "https://openalex.org/A5070516186" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Zeinab Jammoul", "id": "https://openalex.org/A5047870982" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Noha Hachach", "id": "https://openalex.org/A5011577306" }, { "affiliations": [], "display_name": "Nour El Arnaout", "id": "https://openalex.org/A5036190138" } ]
[ { "display_name": "Refugee", "id": "https://openalex.org/C173145845" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Syrian refugees", "id": "https://openalex.org/C3018716944" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Diabetes mellitus", "id": "https://openalex.org/C555293320" }, { "display_name": "Non-communicable disease", "id": "https://openalex.org/C2776577793" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" }, { "display_name": "Endocrinology", "id": "https://openalex.org/C134018914" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" } ]
[ "Lebanon", "Syria" ]
[]
https://api.openalex.org/works?filter=cites:W4244706054
Abstract Background Globally, the number of forcibly displaced individuals has reached 70.8 million. Lebanon, a middle income country, hosts the highest number of refugees per capita worldwide. The majority of refugees are Syrians who have fled the Syrian war that started in 2011. The migration journey exposes refugees to increased susceptibility to a wide range of medical issues including non-communicable diseases (NCDs). This study aims to determine the prevalence of NCDs among adult Syrian refugees in Lebanon, with a focus on hypertension, diabetes, cardiovascular diseases (CVD) and cancer. The study also aims to explore factors potentially related to the prevalence figures and understand the medication use associated with these morbidities. Methods This study is a secondary analysis of de-identified data from the “Sijilli Electronic Health Records for Refugees” Database comprising data on 10,082 Syrian refugees from across informal tented settlements located all over Lebanon. A total of 3,255 records of Syrian refugees aged above 18 years old and reporting having at least one condition of the following were included in the analysis: hypertension, diabetes, Cardiovascular diseases or cancer. Pearson’s Chi-square, independent t-test, and multivariate logistic regressions were used for data analysis. Results Hypertension was the most prevalent (10.0%) NCD among refugees, and a higher age was associated with higher NCDs prevalence. A strong linkage has been reported between smoking status and alcohol intake, and increased risk for NCDs. Study findings also revealed that the highest prevalence of hypertension, diabetes and CVDs was observed among refugees originating from Idlib, Aleppo and Homs. An association between adherence to medication and location of diagnosis was noted, with females who were diagnosed before moving to Lebanon being more likely to take corresponding medications compared to those diagnosed in Lebanon, with no difference reported among males. Conclusions Our findings suggest that efforts should be directed towards the employment of innovative low-cost approaches for NCD detection and control among refugees, with a focus on the importance of adherence to medication. Such efforts remain imperative to control the increasing burden of NCDs amongst refugee populations and improve equitable access to NCD services.
[ { "display_name": "Research Square (Research Square)", "id": "https://openalex.org/S4306402450", "type": "repository" } ]
https://openalex.org/W4229036649
Smoking Behavior among Adolescents: The Lebanese Experience with Cigarette Smoking and Waterpipe Use
[ { "affiliations": [ { "country": "France", "display_name": "Université Toulouse III - Paul Sabatier", "id": "https://openalex.org/I134560555", "lat": 43.60426, "long": 1.44367, "type": "education" }, { "country": "Netherlands", "display_name": "International Pharmaceutical Federation", "id": "https://openalex.org/I548769", "lat": 52.08713, "long": 4.28658, "type": "nonprofit" }, { "country": "Lebanon", "display_name": "Lebanese International University", "id": "https://openalex.org/I911468752", "lat": 33.88486, "long": 35.49528, "type": "education" }, { "country": "France", "display_name": "Centre de recherche en Epidémiologie et Santé des Populations", "id": "https://openalex.org/I4210103698", "lat": 48.7939, "long": 2.35992, "type": "facility" }, { "country": "France", "display_name": "Inserm", "id": "https://openalex.org/I154526488", "lat": 48.85341, "long": 2.3488, "type": "government" } ], "display_name": "Marwan Akel", "id": "https://openalex.org/A5027904119" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese International University", "id": "https://openalex.org/I911468752", "lat": 33.88486, "long": 35.49528, "type": "education" }, { "country": "France", "display_name": "Mondor Institute of Biomedical Research", "id": "https://openalex.org/I4210159433", "lat": 48.79266, "long": 2.46569, "type": "facility" }, { "country": "France", "display_name": "Inserm", "id": "https://openalex.org/I154526488", "lat": 48.85341, "long": 2.3488, "type": "government" }, { "country": "France", "display_name": "Université Paris-Est Créteil", "id": "https://openalex.org/I197681013", "lat": 48.79266, "long": 2.46569, "type": "education" } ], "display_name": "Fouad Sakr", "id": "https://openalex.org/A5029949770" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese International University", "id": "https://openalex.org/I911468752", "lat": 33.88486, "long": 35.49528, "type": "education" } ], "display_name": "Iqbal Fahs", "id": "https://openalex.org/A5066419649" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese International University", "id": "https://openalex.org/I911468752", "lat": 33.88486, "long": 35.49528, "type": "education" } ], "display_name": "Ahmad Dimassi", "id": "https://openalex.org/A5047393797" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese International University", "id": "https://openalex.org/I911468752", "lat": 33.88486, "long": 35.49528, "type": "education" } ], "display_name": "Mariam Dabbous", "id": "https://openalex.org/A5057714221" }, { "affiliations": [ { "country": "France", "display_name": "Université Toulouse III - Paul Sabatier", "id": "https://openalex.org/I134560555", "lat": 43.60426, "long": 1.44367, "type": "education" }, { "country": "France", "display_name": "Centre de recherche en Epidémiologie et Santé des Populations", "id": "https://openalex.org/I4210103698", "lat": 48.7939, "long": 2.35992, "type": "facility" }, { "country": "France", "display_name": "Inserm", "id": "https://openalex.org/I154526488", "lat": 48.85341, "long": 2.3488, "type": "government" } ], "display_name": "Virginie Ehlinger", "id": "https://openalex.org/A5064528607" }, { "affiliations": [ { "country": "Cyprus", "display_name": "University of Nicosia", "id": "https://openalex.org/I17389662", "lat": 35.17531, "long": 33.3642, "type": "education" }, { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Pascale Salameh", "id": "https://openalex.org/A5023182162" }, { "affiliations": [ { "country": "France", "display_name": "École des Hautes Études en Santé Publique", "id": "https://openalex.org/I165283593", "lat": 48.11198, "long": -1.67429, "type": "education" }, { "country": "France", "display_name": "Centre de recherche en Epidémiologie et Santé des Populations", "id": "https://openalex.org/I4210103698", "lat": 48.7939, "long": 2.35992, "type": "facility" }, { "country": "France", "display_name": "Inserm", "id": "https://openalex.org/I154526488", "lat": 48.85341, "long": 2.3488, "type": "government" }, { "country": "France", "display_name": "Université Toulouse III - Paul Sabatier", "id": "https://openalex.org/I134560555", "lat": 43.60426, "long": 1.44367, "type": "education" } ], "display_name": "Emmanuelle Godeau", "id": "https://openalex.org/A5000478999" } ]
[ { "display_name": "Socioeconomic status", "id": "https://openalex.org/C147077947" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Cigarette smoking", "id": "https://openalex.org/C3019085024" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Intervention (counseling)", "id": "https://openalex.org/C2780665704" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" } ]
[ "Lebanon" ]
[ "https://openalex.org/W1528447545", "https://openalex.org/W1700723963", "https://openalex.org/W1966021345", "https://openalex.org/W2013421561", "https://openalex.org/W2029939219", "https://openalex.org/W2031758207", "https://openalex.org/W2060098709", "https://openalex.org/W2086416910", "https://openalex.org/W2107824607", "https://openalex.org/W2120679955", "https://openalex.org/W2145310720", "https://openalex.org/W2152117519", "https://openalex.org/W2161768960", "https://openalex.org/W2162488960", "https://openalex.org/W2164063472", "https://openalex.org/W2167230824", "https://openalex.org/W2176119730", "https://openalex.org/W2262175273", "https://openalex.org/W2339222824", "https://openalex.org/W2413134960", "https://openalex.org/W2560456194", "https://openalex.org/W2775121321", "https://openalex.org/W2789655310", "https://openalex.org/W2791876012", "https://openalex.org/W2796354456", "https://openalex.org/W2915657181", "https://openalex.org/W3022434854", "https://openalex.org/W3047998950", "https://openalex.org/W3127030981", "https://openalex.org/W3165350859" ]
https://api.openalex.org/works?filter=cites:W4229036649
(1) Background: The study aims to assess cigarette smoking and waterpipe experimentation among Lebanese adolescent school students with respect to their gender, region, age, and socioeconomic status. (2) Methods: This is a cross-sectional study, where students between 11 to 18 years of age were included from all over Lebanon. (3) Results: A total of 1133 students were interviewed. The total proportion of adolescents who ever experimented with cigarette smoking was 24.5%. Males experimented with cigarette smoking more commonly than females (31.9% vs. 19.1%; p &lt; 0.001). Cigarette smoking experimentation was higher among students from the Beirut area (33.6%; p &lt; 0.001) in comparison to other regions, and among those with poor health perception (29.1% vs. 19.8%; p &lt; 0.001) compared to students with excellent health perception. The total proportion of adolescents who ever used a waterpipe was 33.9%. Waterpipes were significantly more experimented with among males than females (40.3% vs. 29.8%; p &lt; 0.001), and among students with bad perception about their health (39.4% vs. 28.9%; p &lt; 0.001). Adolescents who experimented with both cigarettes and waterpipes constitute 22.2% of the studied sample. (4) Conclusions: The rate of tobacco product use is alarming and constitutes a major public health issue for adolescents that urgently needs intervention. The findings raise important policy implications for the development of cigarette smoking prevention programs for youth.
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https://openalex.org/W4238344315
Health-care expenditures for tuberculosis in the United States
[ { "affiliations": [], "display_name": "R. E. Brown", "id": "https://openalex.org/A5087270274" } ]
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[ "Lebanon" ]
[]
https://api.openalex.org/works?filter=cites:W4238344315
<h3>Background:</h3> The resurgence of tuberculosis (TB) and the increase in multidrug-resistant TB prompted this study, which estimates direct expenditures for TB treatment and public health activities in the United States. <h3>Methods:</h3> This retrospective cost of illness study estimated 1991 direct expenditures for TB-related outpatient and inpatient diagnosis and treatment, screening, preventive therapy, contact investigations, surveillance, and outbreak investigations. Existing databases at the Centers for Disease Control and Prevention (Atlanta, Ga) and the Codman Research Group, Lebanon, NH, were supplemented by surveys of state and local TB programs and interviews of organizations that conduct large-scale screening. No estimates of indirect costs were made. <h3>Results:</h3> The direct medical expenditures for TB in 1991 were estimated at $703.1 million. This cost includes $423.8 million for inpatient care, $182.3 million for outpatient care, $72.1 million for screening, $3.4 million for contact investigations, $17.9 for preventive therapy, and $3.6 million for surveillance and outbreak investigations. Sensitivity analyses yielded a range of expenditures between $515.7 million and $934.5 million. <h3>Conclusions:</h3> Treatment accounted for more than 86% of all TB-related expenditures; inpatient treatment accounted for 60% of the total. Prevention activities made up only 14% of all costs. Direct medical expenditures may be underestimated because of limitations in the database on hospital expenditures and health department cost-accounting systems and because of the lack of a national database on screening activities. Greater emphasis should be placed on outpatient treatment and prevention in high-risk populations, and improved cost-accounting systems should be developed in state and local health department TB control programs to facilitate economic evaluation and improve the allocation of health dollars. (Arch Intern Med. 1995;155:1595-1600)
[ { "display_name": "Archives of internal medicine", "id": "https://openalex.org/S4210206803", "type": "journal" } ]
https://openalex.org/W1947714700
Beirut Air Pollution and Health Effects - BAPHE study protocol and objectives
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[ { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Air pollution", "id": "https://openalex.org/C559116025" }, { "display_name": "Protocol (science)", "id": "https://openalex.org/C2780385302" }, { "display_name": "Epidemiology", "id": "https://openalex.org/C107130276" }, { "display_name": "Air quality index", "id": "https://openalex.org/C126314574" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Pollution", "id": "https://openalex.org/C521259446" }, { "display_name": "Environmental protection", "id": "https://openalex.org/C526734887" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Alternative medicine", "id": "https://openalex.org/C204787440" }, { "display_name": "Meteorology", "id": "https://openalex.org/C153294291" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Ecology", "id": "https://openalex.org/C18903297" }, { "display_name": "Chemistry", "id": "https://openalex.org/C185592680" }, { "display_name": "Organic chemistry", "id": "https://openalex.org/C178790620" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Biology", "id": "https://openalex.org/C86803240" } ]
[ "Lebanon" ]
[ "https://openalex.org/W104963291", "https://openalex.org/W1909880584", "https://openalex.org/W1971626891", "https://openalex.org/W1977426512", "https://openalex.org/W1985303822", "https://openalex.org/W1999073518", "https://openalex.org/W2012652950", "https://openalex.org/W2015242009", "https://openalex.org/W2017739545", "https://openalex.org/W2027280369", "https://openalex.org/W2031451281", "https://openalex.org/W2032026482", "https://openalex.org/W2043324437", "https://openalex.org/W2044618747", "https://openalex.org/W2048624794", "https://openalex.org/W2049587850", "https://openalex.org/W2061705388", "https://openalex.org/W2070409409", "https://openalex.org/W2072036593", "https://openalex.org/W2094907205", "https://openalex.org/W2098247373", "https://openalex.org/W2101611993", "https://openalex.org/W2108105166", "https://openalex.org/W2113545943", "https://openalex.org/W2117015733", "https://openalex.org/W2127024147", "https://openalex.org/W2128993518", "https://openalex.org/W2160094990", "https://openalex.org/W2179744888" ]
https://api.openalex.org/works?filter=cites:W1947714700
Recent studies investigating the health effects of air pollution have proven an existing impact around and below international air quality guidelines and standards. These studies were based on accessible data from official registers managed by public authorities. The protocol followed in BAPHE project is described; its benefits and disadvantages are presented and discussed in this paper.Based on the review of several international studies we developed a custom made approach in BAPHE (Beirut Air Pollution and Health Effects) project in order to analyze the short term health effects of air pollution taking into consideration the lack of data availability from official sources.PM2.5 and PM10 concentrations were measured in Beirut for the period starting from the 1(st) of January 2012 to the 31(st) of December 2012. The annual average concentrations of PM10 and PM2.5 exceeded WHO's annual average limits by 150 % and 200 %, respectively. Health data for 11,567 individuals were collected over 12 months. A variation of hospital admission causes was observed by age categories and gender.This article presents a simple protocol and the descriptive results of its application in the frame of an eco-epidemiological study in Lebanon. We believe that this work is not only important on a local scale, but it could be helpful for environmental epidemiological studies in other countries.
[ { "display_name": "Multidisciplinary Respiratory Medicine", "id": "https://openalex.org/S160879556", "type": "journal" }, { "display_name": "HAL (Le Centre pour la Communication Scientifique Directe)", "id": "https://openalex.org/S4306402512", "type": "repository" }, { "display_name": "Europe PMC (PubMed Central)", "id": "https://openalex.org/S4306400806", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W4200303265
Challenges and opportunities for infection prevention and control in hospitals in conflict-affected settings: a qualitative study
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[ { "display_name": "Workforce", "id": "https://openalex.org/C2778139618" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Health care", "id": "https://openalex.org/C160735492" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Health services research", "id": "https://openalex.org/C2780877353" }, { "display_name": "Service delivery framework", "id": "https://openalex.org/C68595000" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Infection control", "id": "https://openalex.org/C166888038" }, { "display_name": "Health administration", "id": "https://openalex.org/C137992405" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Service (business)", "id": "https://openalex.org/C2780378061" }, { "display_name": "Business", "id": "https://openalex.org/C144133560" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" }, { "display_name": "Intensive care medicine", "id": "https://openalex.org/C177713679" }, { "display_name": "Marketing", "id": "https://openalex.org/C162853370" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" } ]
[ "Lebanon", "Yemen", "Sudan" ]
[ "https://openalex.org/W1573345930", "https://openalex.org/W1973642271", "https://openalex.org/W1979290264", "https://openalex.org/W2005394485", "https://openalex.org/W2014970251", "https://openalex.org/W2034136196", "https://openalex.org/W2051277669", "https://openalex.org/W2083100221", "https://openalex.org/W2083345487", "https://openalex.org/W2086172102", "https://openalex.org/W2105501846", "https://openalex.org/W2113701842", "https://openalex.org/W2128317176", "https://openalex.org/W2133674686", "https://openalex.org/W2155941732", "https://openalex.org/W2163697617", "https://openalex.org/W2338991735", "https://openalex.org/W2339078816", "https://openalex.org/W2419044105", "https://openalex.org/W2514006107", "https://openalex.org/W2568085757", "https://openalex.org/W2606060913", "https://openalex.org/W2788631397", "https://openalex.org/W2806381738", "https://openalex.org/W2911079402", "https://openalex.org/W2921993470", "https://openalex.org/W2948644038", "https://openalex.org/W2966121099", "https://openalex.org/W3033335281", "https://openalex.org/W3084496761", "https://openalex.org/W3087109912", "https://openalex.org/W3119223431", "https://openalex.org/W3154099391", "https://openalex.org/W3188967532", "https://openalex.org/W3194920464" ]
https://api.openalex.org/works?filter=cites:W4200303265
Healthcare associated infections (HAIs) are the most frequent adverse outcome in healthcare delivery worldwide. In conflict-affected settings HAIs, in particular surgical site infections, are prevalent. Effective infection prevention and control (IPC) is crucial to ending avoidable HAIs and an integral part of safe, effective, high quality health service delivery. However, armed conflict and widespread violence can negatively affect the quality of health care through workforce shortages, supply chain disruptions and attacks on health facilities and staff. To improve IPC in these settings it is necessary to understand the specific barriers and facilitators experienced locally.In January and February of 2020, we conducted semi-structured interviews with hospital staff working for the International Committee of the Red Cross across eight conflict-affected countries (Central African Republic, South Sudan, Democratic Republic of the Congo, Mali, Nigeria, Lebanon, Yemen and Afghanistan). We explored barriers and facilitators to IPC, as well as the direct impact of conflict on the hospital and its' IPC programme. Data was analysed thematically.We found that inadequate hospital infrastructure, resource and workforce shortages, education of staff, inadequate in-service IPC training and supervision and large visitor numbers are barriers to IPC in hospitals in this study, similar to barriers seen in other resource-limited settings. High patient numbers, supply chain disruptions, high infection rates and attacks on healthcare infrastructures, all as a direct result of conflict, exacerbated existing challenges and imposed an additional burden on hospitals and their IPC programmes. We also found examples of local strategies for improving IPC in the face of limited resources, including departmental IPC champions and illustrated guidelines for in-service training.Hospitals included in this study demonstrated how they overcame certain challenges in the face of limited resources and funding. These strategies present opportunities for learning and knowledge exchange across contexts, particularly in the face of the current global coronavirus pandemic. The findings are increasingly relevant today as they provide evidence of the fragility of IPC programmes in these settings. More research is required on tailoring IPC programmes so that they can be feasible and sustainable in unstable settings.
[ { "display_name": "Conflict and Health", "id": "https://openalex.org/S77607499", "type": "journal" }, { "display_name": "DOAJ (DOAJ: Directory of Open Access Journals)", "id": "https://openalex.org/S4306401280", "type": "repository" }, { "display_name": "UCL Discovery (University College London)", "id": "https://openalex.org/S4306400024", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "LSHTM Research Online\n (London School of Hygiene & Tropical Medicine)", "id": "https://openalex.org/S4377196261", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2606248040
Prevalence and correlates of ADHD among adolescents in a Beirut community sample: results from the BEI-PSY Study
[ { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Elias Ghossoub", "id": "https://openalex.org/A5049242193" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Lilian Ghandour", "id": "https://openalex.org/A5002210479" }, { "affiliations": [ { "country": "United States", "display_name": "Washington University in St. Louis", "id": "https://openalex.org/I204465549", "lat": 38.62727, "long": -90.19789, "type": "education" } ], "display_name": "Fadi Halabi", "id": "https://openalex.org/A5067974618" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Pia Zeinoun", "id": "https://openalex.org/A5083967758" }, { "affiliations": [ { "country": "United States", "display_name": "Queens College, CUNY", "id": "https://openalex.org/I111455621", "lat": 40.71427, "long": -74.00597, "type": "education" } ], "display_name": "Al Amira Safa Shehab", "id": "https://openalex.org/A5036779950" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Fadi T. Maalouf", "id": "https://openalex.org/A5037596938" } ]
[ { "display_name": "Mental health", "id": "https://openalex.org/C134362201" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Strengths and Difficulties Questionnaire", "id": "https://openalex.org/C2776793905" }, { "display_name": "Clinical psychology", "id": "https://openalex.org/C70410870" }, { "display_name": "Child and adolescent psychiatry", "id": "https://openalex.org/C557119937" }, { "display_name": "Forensic psychiatry", "id": "https://openalex.org/C2781035948" }, { "display_name": "Odds", "id": "https://openalex.org/C143095724" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Attention deficit hyperactivity disorder", "id": "https://openalex.org/C2780783007" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Stratified sampling", "id": "https://openalex.org/C49898467" }, { "display_name": "Guardian", "id": "https://openalex.org/C2776680780" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Logistic regression", "id": "https://openalex.org/C151956035" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" } ]
[ "Lebanon" ]
[ "https://openalex.org/W1848381484", "https://openalex.org/W1964106742", "https://openalex.org/W1966233888", "https://openalex.org/W1968212101", "https://openalex.org/W1973156967", "https://openalex.org/W1983030849", "https://openalex.org/W1984615306", "https://openalex.org/W2002808629", "https://openalex.org/W2007540580", "https://openalex.org/W2007817385", "https://openalex.org/W2015425631", "https://openalex.org/W2021075100", "https://openalex.org/W2025802167", "https://openalex.org/W2050999738", "https://openalex.org/W2067671454", "https://openalex.org/W2096971890", "https://openalex.org/W2097842640", "https://openalex.org/W2100818414", "https://openalex.org/W2104737720", "https://openalex.org/W2110102516", "https://openalex.org/W2115290485", "https://openalex.org/W2117711732", "https://openalex.org/W2122190727", "https://openalex.org/W2125200655", "https://openalex.org/W2133680877", "https://openalex.org/W2141719381", "https://openalex.org/W2148325070", "https://openalex.org/W2156177125", "https://openalex.org/W2159622126", "https://openalex.org/W2166295422", "https://openalex.org/W2166550047", "https://openalex.org/W2406441150", "https://openalex.org/W2415625350", "https://openalex.org/W4211026919", "https://openalex.org/W4247665917" ]
https://api.openalex.org/works?filter=cites:W2606248040
This study aims to investigate the prevalence, correlates and treatment seeking behavior related to ADHD among adolescents from Lebanon. Five hundred and ten adolescents were recruited through multistage stratified cluster sampling of households in Beirut, and separately interviewed along with one parent/legal guardian, using the DAWBA. All adolescents completed the PRQ and the SDQ; the parent/legal guardian also completed the SDQ and provided basic demographic information, including attitudes towards seeking mental health services. 10.20% of the adolescents were diagnosed with ADHD. Having ADHD was associated with having academic difficulties and being involved in bullying. Adolescents with ADHD also had higher odds of drinking alcohol, smoking cigarettes, and having comorbid emotional and conduct disorders (compared to those without ADHD). Adolescents with ADHD and their parents reported a higher burden of illness and were more likely to consider seeing a mental health professional than healthy adolescents and their parents. ADHD among adolescents in Lebanon warrants closer attention, mainly increased awareness in the larger public, and stronger commitment to increase treatment resources to the community.
[ { "display_name": "Child and Adolescent Psychiatry and Mental Health", "id": "https://openalex.org/S133884896", "type": "journal" }, { "display_name": "DOAJ (DOAJ: Directory of Open Access Journals)", "id": "https://openalex.org/S4306401280", "type": "repository" }, { "display_name": "Europe PMC (PubMed Central)", "id": "https://openalex.org/S4306400806", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W1911952804
Heterosexual awareness and practices among Lebanese male conscripts
[ { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Adib Sm", "id": "https://openalex.org/A5024756511" }, { "affiliations": [], "display_name": "S Akoum", "id": "https://openalex.org/A5009982551" }, { "affiliations": [], "display_name": "S El-Assaad", "id": "https://openalex.org/A5057097514" }, { "affiliations": [], "display_name": "Abdo Jurjus", "id": "https://openalex.org/A5013487264" } ]
[ { "display_name": "Residence", "id": "https://openalex.org/C2776269092" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Condom", "id": "https://openalex.org/C2779379456" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Epidemiology", "id": "https://openalex.org/C107130276" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Cross-sectional study", "id": "https://openalex.org/C142052008" }, { "display_name": "Incidence (geometry)", "id": "https://openalex.org/C61511704" }, { "display_name": "Sexual intercourse", "id": "https://openalex.org/C2780202899" }, { "display_name": "Young adult", "id": "https://openalex.org/C205545832" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Syphilis", "id": "https://openalex.org/C2776983459" }, { "display_name": "Human immunodeficiency virus (HIV)", "id": "https://openalex.org/C3013748606" }, { "display_name": "Physics", "id": "https://openalex.org/C121332964" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Optics", "id": "https://openalex.org/C120665830" } ]
[ "Lebanon" ]
[]
https://api.openalex.org/works?filter=cites:W1911952804
To assess sexual behaviour and awareness about sexually transmitted infections [STIs] among young male adults in Lebanon, and to explore determinants associated with increasing levels of sexual risk, a cross-sectional survey of 730 conscripts was conducted. About 50% reported any lifetime heterosexual experience. Non-mutually exclusive sex predominated, and only half of the respondents reported consistent condom use during insertive vaginal sex. Higher sexual risk-taking was associated with urban residence, higher education, lower family crowding and younger age at first sexual experience. A national strategy with epidemiological and behavioural surveillance and educational programmes must be initiated before sexual risk-taking and incidence of STIs become a major public health issue.
[ { "display_name": "Eastern Mediterranean Health Journal", "id": "https://openalex.org/S175879142", "type": "journal" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2754193268
Governing the Lebanese health system: strenthening the national response to the burden of Syrian refugees
[ { "affiliations": [ { "country": "Italy", "display_name": "Università Cattolica del Sacro Cuore", "id": "https://openalex.org/I103320735", "lat": 45.46427, "long": 9.18951, "type": "education" } ], "display_name": "Andrea Santoro", "id": "https://openalex.org/A5003261311" }, { "affiliations": [ { "country": "United Kingdom", "display_name": "Faculty of Public Health", "id": "https://openalex.org/I4210120717", "lat": 51.525337, "long": -0.14523, "type": "nonprofit" }, { "country": "United Kingdom", "display_name": "London School of Hygiene & Tropical Medicine", "id": "https://openalex.org/I4210089966", "lat": 51.5209, "long": -0.1307, "type": "education" } ], "display_name": "Martin McKee", "id": "https://openalex.org/A5056154610" } ]
[ { "display_name": "Refugee", "id": "https://openalex.org/C173145845" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Humanities", "id": "https://openalex.org/C15708023" }, { "display_name": "Christian ministry", "id": "https://openalex.org/C521751864" }, { "display_name": "Syrian refugees", "id": "https://openalex.org/C3018716944" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Healthcare system", "id": "https://openalex.org/C2988170871" }, { "display_name": "Ethnology", "id": "https://openalex.org/C2549261" }, { "display_name": "Public administration", "id": "https://openalex.org/C3116431" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Health care", "id": "https://openalex.org/C160735492" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Art", "id": "https://openalex.org/C142362112" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" } ]
[ "Lebanon", "Syria" ]
[]
https://api.openalex.org/works?filter=cites:W2754193268
Lebanon is providing sanctuary to an estimated 1.5 million Syrian refugees, with potential consequences for its health system. Here, we analyse how it has responded to this challenge, identify sensitive areas where a strong national governance system is needed and explore how it might be implemented. An effective response to the Syrian refugee crisis requires concerted international action. Nonetheless, geography dictates that the Lebanese health system must play a central role. We identify some areas where a strengthened stewardship role of the Ministry of Public Health is urgently required. We argue that the Ministry is well placed to take a lead, with its detailed knowledge of the Lebanese health system and its legitimacy to formulate a national health response. Finally, we suggest that this crisis could be a catalyst for the strengthening of the Lebanese health system, based on evidence-informed policies that would benefit refugees and the Lebanese population alike.حكم النظام الصحي اللبناني: تعزيز الاستجابة الوطنية لعبء اللاجئين السوريين.أليسيو سانتورو، مارتن ماكي.يوفر لبنان ماذاً لما مجموعه 1.5 مليون لاجئ سوري، مما يمكن أن يرك آثاراً سلبية عى النظام الصحي في الباد. وفي هذه الدراسة، نحلّل كيفية تصدى النظام الصحي اللبناني لهذا التحدي، ونقوم بتحديد المجالات الحساسة التي تحتاج إلى نظام إدارة قوي عى المستوى الوطني واستكشاف كيفية تنفيذه. وتتطلب مواجهة أزمة اللاجئن السوريين عى نحو فعال تضافر الجهود الدولية. إلا أن الجغرافيا تفرض عى النظام الصحي اللبناني أن يضطلع بدور محوري. فنعمد إلى تحديد بعض المجالات التي يلزم فيها تعزيز الدور القيادي لوزارة الصحة العامة عى نحو عاجل. فنعتقد أن وزارة الصحة العامة في وضع يسمح لها بقيادة المسرة، في ضوء معرفتها التفصيلية بالنظام الصحي اللبناني وكونها الجهة الشرعية لصوغ استجابة صحية عى المستوى الوطني. وأخراً، نقرح أن تُستخدم هذه الأزمة كحافز لتعزيز النظام الصحي اللبناني، استناداً إلى السياسات المدعومة بالأدلة، وهو ما من شأنه أن يعود بالنفع عى اللاجئن والسكان اللبنانين عى حد سواء.Gouvernance du système de santé libanais : renforcer la réponse nationale pour faire face au fardeau des réfugiés syriens.Le Liban offre l’asile à 1,5 million de réfugiés syriens, selon les estimations, ce qui implique de potentielles conséquences sur le système de santé du pays. Dans la présente étude, nous analysons la façon dont le pays répond à ce défi, identifions les domaines sensibles dans lesquels un système de gouvernance national fort est requis, et réfléchissons aux moyens de le mettre en oeuvre. Pour une réponse efficace à la crise des réfugiés syriens, une action internationale concertée est nécessaire. Néanmoins, la géographie impose au système de santé libanais de jouer un rôle central. Nous avons identifié les domaines où un renforcement du rôle de direction du ministère de la Santé publique est requis de toute urgence. Nous affirmons que le ministère de la Santé publique est bien placé pour assumer un rôle de direction, du fait de sa connaissance approfondie du système de santé libanais et de sa légitimité à mettre au point des interventions sanitaires à l’échelle nationale. Enfin, nous suggérons que cette crise peut être un catalyseur pour le renforcement du système de santé libanais, sur la base de politiques reposant sur des données factuelles qui pourraient bénéficier aux réfugiés ainsi qu’à la population libanaise.
[ { "display_name": "Eastern Mediterranean Health Journal", "id": "https://openalex.org/S175879142", "type": "journal" }, { "display_name": "LSHTM Research Online (London School of Hygiene and Tropical Medicine)", "id": "https://openalex.org/S4306402527", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2418284584
Cigarette use among Arab Americans in the Detroit metropolitan area.
[ { "affiliations": [ { "country": "United States", "display_name": "Wayne State University", "id": "https://openalex.org/I185443292", "lat": 42.33143, "long": -83.04575, "type": "education" } ], "display_name": "Virginia Hill Rice", "id": "https://openalex.org/A5048119577" }, { "affiliations": [], "display_name": "Anahid Kulwicki", "id": "https://openalex.org/A5003054822" } ]
[ { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Immigration", "id": "https://openalex.org/C70036468" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Middle East", "id": "https://openalex.org/C3651065" }, { "display_name": "Tobacco control", "id": "https://openalex.org/C2780832096" }, { "display_name": "Metropolitan area", "id": "https://openalex.org/C158739034" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" } ]
[ "Lebanon" ]
[ "https://openalex.org/W1967641625", "https://openalex.org/W1981504192", "https://openalex.org/W1995347255", "https://openalex.org/W2004869835", "https://openalex.org/W2013488381", "https://openalex.org/W2030714188", "https://openalex.org/W2077249526", "https://openalex.org/W2087051041", "https://openalex.org/W2399947630", "https://openalex.org/W2404206391", "https://openalex.org/W2408005902" ]
https://api.openalex.org/works?filter=cites:W2418284584
Use of cigarette tobacco by large proportions of the population of Middle Eastern countries has been reported; however, little is known about smoking behavior in one of America's fastest growing minorities, the Arab Americans. The purpose of this study was to examine cigarette smoking behavior of 237 randomly selected Arab American adults from a telephone listing in the Detroit area. Participants lived in the geographic Arab American community and identified with a Middle Eastern cultural heritage. Nurses, who spoke both English and Arabic, interviewed one adult family member using the 59-item self-report from the Cardiovascular Risk Factor Survey developed by Rice. Mean age of respondents was 40.4 years, 97 percent had been born in the Middle East, and 67 percent had been living in the United States 15 years or less. Current smokers rate was 38.9 percent, former smokers rate was 11.1 percent, never smokers rate was 50 percent, and the quit ratio (proportion of ever smokers who are former smokers) was 22.2 percent. Fifty-four percent of the current smokers were between 25 and 34 years of age; fewer women than men were former smokers, and the highest proportion of current smokers were Lebanese. Subjects who had smoked for the longest time were the least well educated. Arab Americans in this sample had a higher smoking rate, a lower quitting rate, and a much lower quit ratio when compared with national and State of Michigan data. With the growing numbers of Middle Eastern immigrants, there is potential for a dramatic increase in smoking-related health problems.
[ { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2029072643
Establishment of EWARN system for the Syrian crisis: Experiences and challenges
[ { "affiliations": [ { "country": "Egypt", "display_name": "World Health Organization - Egypt", "id": "https://openalex.org/I4210160300", "lat": 30.063505, "long": 31.347216, "type": "government" } ], "display_name": "Peter Mala", "id": "https://openalex.org/A5060123379" }, { "affiliations": [], "display_name": "M. Ghada", "id": "https://openalex.org/A5033869189" }, { "affiliations": [ { "country": "Iraq", "display_name": "Baghdad Medical City", "id": "https://openalex.org/I2799432283", "lat": 33.32801, "long": 44.357243, "type": "healthcare" } ], "display_name": "Aijaz Ali Wasan", "id": "https://openalex.org/A5036084987" }, { "affiliations": [], "display_name": "Akhmad Noor", "id": "https://openalex.org/A5082720377" }, { "affiliations": [], "display_name": "Ashraf S. Al-Hamadani", "id": "https://openalex.org/A5050911924" }, { "affiliations": [], "display_name": "S. Gmach", "id": "https://openalex.org/A5016091225" }, { "affiliations": [ { "country": "Egypt", "display_name": "World Health Organization - Egypt", "id": "https://openalex.org/I4210160300", "lat": 30.063505, "long": 31.347216, "type": "government" } ], "display_name": "E. Muntasir", "id": "https://openalex.org/A5067716836" }, { "affiliations": [ { "country": "Lebanon", "display_name": "World Health Organization - Lebanon", "id": "https://openalex.org/I4210128207", "lat": 30.063627, "long": 31.34717, "type": "government" } ], "display_name": "Zibaei Mansour", "id": "https://openalex.org/A5070382790" }, { "affiliations": [ { "country": "Lebanon", "display_name": "World Health Organization - Lebanon", "id": "https://openalex.org/I4210128207", "lat": 30.063627, "long": 31.34717, "type": "government" } ], "display_name": "Alissar Rady", "id": "https://openalex.org/A5018635052" }, { "affiliations": [], "display_name": "M. Iliana", "id": "https://openalex.org/A5067705873" }, { "affiliations": [ { "country": "Egypt", "display_name": "World Health Organization - Egypt", "id": "https://openalex.org/I4210160300", "lat": 30.063505, "long": 31.347216, "type": "government" } ], "display_name": "A. Elganainy", "id": "https://openalex.org/A5050039808" }, { "affiliations": [ { "country": "Egypt", "display_name": "World Health Organization - Egypt", "id": "https://openalex.org/I4210160300", "lat": 30.063505, "long": 31.347216, "type": "government" } ], "display_name": "Altaf Musani", "id": "https://openalex.org/A5024426429" }, { "affiliations": [ { "country": "Egypt", "display_name": "World Health Organization - Egypt", "id": "https://openalex.org/I4210160300", "lat": 30.063505, "long": 31.347216, "type": "government" } ], "display_name": "Mamunur Rahman Malik", "id": "https://openalex.org/A5003477632" } ]
[ { "display_name": "Sanitation", "id": "https://openalex.org/C2780151969" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Outbreak", "id": "https://openalex.org/C116675565" }, { "display_name": "Refugee", "id": "https://openalex.org/C173145845" }, { "display_name": "Humanitarian crisis", "id": "https://openalex.org/C2777742874" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Measles", "id": "https://openalex.org/C2776438120" }, { "display_name": "Internally displaced person", "id": "https://openalex.org/C13934251" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Business", "id": "https://openalex.org/C144133560" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Vaccination", "id": "https://openalex.org/C22070199" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Virology", "id": "https://openalex.org/C159047783" }, { "display_name": "Immunology", "id": "https://openalex.org/C203014093" } ]
[ "Lebanon", "Syria", "Jordan", "Egypt", "Iraq" ]
[]
https://api.openalex.org/works?filter=cites:W2029072643
Background: An estimated 5 million Syrian people have either been internally displaced or taken refuge in Jordan, Iraq, Lebanon and Egypt owing to the ongoing humanitarian crisis in Syria. Poor living conditions, depleted access to safe water and sanitation services and disruption of preventive health services have put these Syrian refugees at risk from epidemic-prone diseases. Continuous influx of Syrian refugees into these countries also threatened the introduction and re-introduction of many diseases in these countries that were not known to exist previously. Establishment of early warning and alert response network (EWARN) system for timely detection and response to disease outbreaks was a critical part of WHO's public health response to Syrian crisis Methods & Materials: An operational framework was developed by WHO to establish the EWARN system in the countries affected by Syrian crisis taking into consideration the disease surveillance structure, available human and technical resources and operational effectiveness to determine the most appropriate EWARN design for each settings. Standard tools were adapted, potential partners to support the operation of EWARN were identified and list of disease conditions with epidemic potentials were finalized. Alert and epidemic thresholds were set for each disease conditions taking into consideration the local endemic patterns and seasonality of the selected disease conditions. Results: The EWARN was rapidly rolled out in Iraq, Jordan, Lebanon and Syria between June 2012 to December 2013 with immediate notifications and weekly reporting system. The EWARN has, so far, detected measles outbreak amongst the Syrian refugees in Lebanon, Jordan and Iraq, polio outbreak in Syria, acute viral hepatitis outbreak in northern Iraq, Leishmaniasis in Lebanon and Brucellosis in Syria. Appropriate control measures, an essential component of EWARN, were also rapidly implemented following detection of these outbreaks. Conclusion: The implementation of EWARN in the countries affected by the Syrian crisis has demonstrated its value and usefulness for timely detection and response to outbreaks in crisis situations. However, sustaining the progress and maintaining such early warning component within the routine disease surveillance system will remain a challenge owing to the complexity of health systems and variability of surveillance and response capacities in the affected countries.
[ { "display_name": "International Journal of Infectious Diseases", "id": "https://openalex.org/S35071406", "type": "journal" } ]
https://openalex.org/W4225273166
Cost of illness of chronic kidney disease in Lebanon: from the societal and third-party payer perspectives
[ { "affiliations": [ { "country": "Lebanon", "display_name": "Saint Joseph University", "id": "https://openalex.org/I184679254", "lat": 33.89332, "long": 35.50157, "type": "education" }, { "country": "Lebanon", "display_name": "Saint George Hospital", "id": "https://openalex.org/I2803082546", "lat": 33.894, "long": 35.523727, "type": "healthcare" } ], "display_name": "Mabel Aoun", "id": "https://openalex.org/A5081147079" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Saint Joseph University", "id": "https://openalex.org/I184679254", "lat": 33.89332, "long": 35.50157, "type": "education" } ], "display_name": "Elie El Helou", "id": "https://openalex.org/A5018839017" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Saint Joseph University", "id": "https://openalex.org/I184679254", "lat": 33.89332, "long": 35.50157, "type": "education" } ], "display_name": "Ghassan Sleilaty", "id": "https://openalex.org/A5086052381" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut Medical Center", "id": "https://openalex.org/I4210104580", "lat": 33.897972, "long": 35.485886, "type": "healthcare" } ], "display_name": "Rony M. Zeenny", "id": "https://openalex.org/A5086043563" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Saint Joseph University", "id": "https://openalex.org/I184679254", "lat": 33.89332, "long": 35.50157, "type": "education" }, { "country": "Lebanon", "display_name": "Hôtel-Dieu de France", "id": "https://openalex.org/I4210152906", "lat": 33.88146, "long": 35.518627, "type": "healthcare" } ], "display_name": "Dania Chelala", "id": "https://openalex.org/A5076186825" } ]
[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Kidney disease", "id": "https://openalex.org/C2778653478" }, { "display_name": "Dialysis", "id": "https://openalex.org/C2779978075" }, { "display_name": "Hemodialysis", "id": "https://openalex.org/C2778063415" }, { "display_name": "Nephrology", "id": "https://openalex.org/C54847362" }, { "display_name": "Intensive care medicine", "id": "https://openalex.org/C177713679" }, { "display_name": "Indirect costs", "id": "https://openalex.org/C6964187" }, { "display_name": "Peritoneal dialysis", "id": "https://openalex.org/C2779056158" }, { "display_name": "Health administration", "id": "https://openalex.org/C137992405" }, { "display_name": "Transplantation", "id": "https://openalex.org/C2911091166" }, { "display_name": "Kidney transplantation", "id": "https://openalex.org/C2780303639" }, { "display_name": "Logistic regression", "id": "https://openalex.org/C151956035" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Emergency medicine", "id": "https://openalex.org/C194828623" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Accounting", "id": "https://openalex.org/C121955636" }, { "display_name": "Business", "id": "https://openalex.org/C144133560" } ]
[ "Lebanon" ]
[ "https://openalex.org/W2064700601", "https://openalex.org/W2123310264", "https://openalex.org/W2134583363", "https://openalex.org/W2176465657", "https://openalex.org/W2467227824", "https://openalex.org/W2471167324", "https://openalex.org/W2490593504", "https://openalex.org/W2528630108", "https://openalex.org/W2566951551", "https://openalex.org/W2805564751", "https://openalex.org/W2892488407", "https://openalex.org/W2904514039", "https://openalex.org/W2951610934", "https://openalex.org/W2968065444", "https://openalex.org/W2993627434", "https://openalex.org/W3005957464", "https://openalex.org/W3006965099", "https://openalex.org/W3009749594", "https://openalex.org/W3012813218", "https://openalex.org/W3027523285", "https://openalex.org/W3030107042", "https://openalex.org/W3033652880", "https://openalex.org/W3089511757", "https://openalex.org/W3157718660", "https://openalex.org/W3164416829", "https://openalex.org/W3172747965", "https://openalex.org/W3181072695", "https://openalex.org/W3211358073" ]
https://api.openalex.org/works?filter=cites:W4225273166
Chronic kidney disease (CKD) is the 12th leading cause of death worldwide. Cost-of-illness studies of CKD are scarce in developing countries. This study aims to estimate the cost of illness of all stages of CKD in Lebanon, from early stages until dialysis and kidney transplantation. The secondary objective is to identify factors related to the highest financial burden.This is a cross-sectional study of CKD patients who presented to two nephrology clinics during November 2020. Their medical and administrative records were reviewed for collection of demographics, CKD characteristics, direct medical costs (medications, diagnostic tests, hospitalizations, inpatient care, outpatient care), direct non-medical costs (transportation) and indirect costs (productivity losses) for one year. Kruskal Wallis test was used to compare the costs between different CKD stages and categories. Logistic regression analysis was used to evaluate risk factors associated with costs.The sample included 102 non-dialysis CKD patients, 40 hemodialysis, 8 peritoneal dialysis and 10 transplant patients. Their mean age was 66.74 ± 15.36 years, 57.5% were males and 42.5% diabetics. The total median cost per year of CKD across all categories was assessed to be 7,217,500 Lebanese Pounds (3,750,000-35,535,250; 1 $USD = 1515 LBP in 2019) from the societal perspective and 5,685,500 LBP (2,281,750- 32,386,500) from the third-party payer perspective. Statistical analysis showed a higher total cost in hemodialysis (p < 0.001), higher cost of medications in transplant (p < 0.001) and higher cost in technique modality in peritoneal dialysis (p < 0.001). In a sub-analysis of hemodialysis patients, dialysis vintage negatively correlated with total societal cost (r = -0.391, p = 0.013); the regression analysis found diabetes as a risk factor for higher cost (OR = 2.3; 95%CI: 0.638,8.538; p = 0.201). In the subcategory of CKD-ND patients, age correlated with total societal cost (r = 0.323, p = 0.001); diabetes and coronary artery disease were significantly associated with higher total cost (OR = 2.4; 95%CI: 1.083,5.396; p = 0.031; OR = 3.7; 95%CI: 1.535,8.938; p = 0.004).This cost of illness study showed a high burden of hemodialysis and peritoneal dialysis cost compared to transplant and non-dialysis CKD patients. It revealed a significantly higher cost of medications in transplant patients. Health policies should target interventions that prevent end-stage kidney disease and encourage kidney transplantation.
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https://openalex.org/W3165244577
Recommendations to Improve Palliative Care Provision for Marginalized Populations: Summary of a Roundtable Discussion
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[ { "display_name": "Palliative care", "id": "https://openalex.org/C2994186709" }, { "display_name": "Dignity", "id": "https://openalex.org/C2778745096" }, { "display_name": "Transgender", "id": "https://openalex.org/C2779671885" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Refugee", "id": "https://openalex.org/C173145845" }, { "display_name": "Equity (law)", "id": "https://openalex.org/C199728807" }, { "display_name": "Health care", "id": "https://openalex.org/C160735492" }, { "display_name": "Socioeconomic status", "id": "https://openalex.org/C147077947" }, { "display_name": "Health equity", "id": "https://openalex.org/C2250968" }, { "display_name": "Lesbian", "id": "https://openalex.org/C2780540011" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Gender studies", "id": "https://openalex.org/C107993555" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" } ]
[ "Lebanon" ]
[ "https://openalex.org/W16002525", "https://openalex.org/W1965363927", "https://openalex.org/W2138096258", "https://openalex.org/W2139693079", "https://openalex.org/W2143329722", "https://openalex.org/W2170814521", "https://openalex.org/W2496113271", "https://openalex.org/W2514607562", "https://openalex.org/W2558742106", "https://openalex.org/W2613644677", "https://openalex.org/W2728968990", "https://openalex.org/W2745170951", "https://openalex.org/W2802571747", "https://openalex.org/W2804179795", "https://openalex.org/W2883560685", "https://openalex.org/W2936528102", "https://openalex.org/W3023463185", "https://openalex.org/W3036951969", "https://openalex.org/W3084181592" ]
https://api.openalex.org/works?filter=cites:W3165244577
Palliative care is increasingly recognized as fundamental to health and human dignity. However, a growing body of evidence highlights the variations in access to palliative care based on personal characteristics, belonging to a certain group, and socioeconomic background. Discriminatory attitudes and behaviors and lack of legal reform protecting the rights of marginalized populations are still common, particularly across Lebanon and the Middle East and North Africa region. This article presents a summary of a roundtable discussion organized by the Lebanese Medical Association for Sexual Health in collaboration with the Lebanese Center for Palliative Care-Balsam, focusing on improving palliative care provision for the following populations: prisoners; lesbian, gay, bisexual, and transgender people; refugees; migrant domestic workers; and people with substance use disorder. It also offers recommendations based on the key themes identified from the discussion, in the hope that they will guide the development of guidelines and policy to advance equity in palliative care provision for marginalized populations.
[ { "display_name": "Journal of Palliative Medicine", "id": "https://openalex.org/S155536936", "type": "journal" } ]
https://openalex.org/W4318200465
Genomic surveillance of SARS-CoV-2 in COVID-19 vaccinated healthcare workers in Lebanon
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[ "Lebanon" ]
[ "https://openalex.org/W2952946229", "https://openalex.org/W3002925126", "https://openalex.org/W3036342509", "https://openalex.org/W3043124965", "https://openalex.org/W3114735216", "https://openalex.org/W3126819714", "https://openalex.org/W3138167366", "https://openalex.org/W3153636933", "https://openalex.org/W3165101778", "https://openalex.org/W3171137864", "https://openalex.org/W3172034232", "https://openalex.org/W3180301457", "https://openalex.org/W3184172540", "https://openalex.org/W3192342651", "https://openalex.org/W3196374018", "https://openalex.org/W3201177512", "https://openalex.org/W4200531314", "https://openalex.org/W4200579619", "https://openalex.org/W4205170082", "https://openalex.org/W4205191515", "https://openalex.org/W4206106358", "https://openalex.org/W4206774592", "https://openalex.org/W4207053175", "https://openalex.org/W4213047902", "https://openalex.org/W4213263448", "https://openalex.org/W4220756778", "https://openalex.org/W4220810811", "https://openalex.org/W4221068248", "https://openalex.org/W4223982082", "https://openalex.org/W4224438969", "https://openalex.org/W4225312017", "https://openalex.org/W4225482268", "https://openalex.org/W4225590988", "https://openalex.org/W4226229183", "https://openalex.org/W4229440943", "https://openalex.org/W4283026725", "https://openalex.org/W4287377440" ]
https://api.openalex.org/works?filter=cites:W4318200465
The emergence of SARS-CoV-2 variants including the Delta and Omicron along with waning of vaccine-induced immunity over time contributed to increased rates of breakthrough infection specifically among healthcare workers (HCWs). SARS-CoV-2 genomic surveillance is an important tool for timely detection and characterization of circulating variants as well as monitoring the emergence of new strains. Our study is the first national SARS-CoV-2 genomic surveillance among HCWs in Lebanon.We collected 250 nasopharyngeal swabs from HCWs across Lebanon between December 2021 and January 2022. Data on the date of positive PCR, vaccination status, specific occupation, and hospitalization status of participants were collected. Extracted viral RNA from nasopharyngeal swabs was converted to cDNA, library prepped using the coronaHIT method, followed by whole genome sequencing on the Illumina NextSeq 500 platform.A total of 133 (57.1%) samples belonging to the Omicron (BA.1.1) sub-lineage were identified, as well as 44 (18.9%) samples belonging to the BA.1 sub-lineage, 28 (12%) belonging to the BA.2 sub-lineage, and only 15 (6.6%) samples belonging to the Delta variant sub-lineage B.1.617.2. These results show that Lebanon followed the global trend in terms of circulating SARS-CoV-2 variants with Delta rapidly replaced by the Omicron variant.This study underscores the importance of continuous genomic surveillance programs in Lebanon for the timely detection and characterization of circulating variants. The latter is critical to guide public health policy making and to timely implement public health interventions.
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https://openalex.org/W112036550
Pain relief is a human right.
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[ "Lebanon" ]
[]
https://api.openalex.org/works?filter=cites:W112036550
For centuries, medical and surgical treatment has emphasized saving the life of the patient rather than ameliorating the patient's pain, particularly when there were few options for the latter. Today at the dawn of the 21st century, the best available evidence indicates a major gap between an increasingly understanding of the pathophysiology of pain and widespread inadequacy of its treatment. Epidemiologic evidence has proven that chronic pain is a widespread public health issue. Studies of cancer patients' pain control consistently reveal that up to half of patients receive inadequate analgesia and 30% do not receive appropriate drugs for their pain. Equally, for patients suffering HIV/AIDS, 60%-100% will experience pain at some stage in their illness. In the developed world, this gap has prompted a series of declarations and actions by national and international bodies advocating better pain control. One response to the worldwide undertreatment of pain has been to promote the concept that pain relief is a public health issue of such critical importance as to constitute an international imperative and fundamental human right. The importance of pain relief as the core of the medical ethic is clear. Pain clinicians promote the status of pain management beyond that of appropriate clinical practice or even an ethic of good medicine. They advocate a paradigm shift in the medical professions' perspective on pain management, from simply good practice to an imperative founded on patient rights. There is a need to promote policies which create conditions where human beings can bear even incurable illnesses and death in a dignified manner. This must help health professionals or lay groups to initiate a powerful agenda to reform local statutes. The essential components of such legislation are: 1. Reasonable pain management is a right. 2. Doctors have a duty to listen to and reasonably respond to a patient's report of pain. 3. Provision of necessary pain relief is immune from potential legal liability. 4. Doctors who are notable or willing to ensure adequate analgesia must refer to a colleague who has this expertise. 5. Pain management must be a compulsory component of continuing medical education. For too long, pain and its management have been prisoners of myth, irrationality, ignorance, and cultural bias. We are confident that the Pain Relief and Palliative Care Working Group under the auspices of the Lebanese Cancer Society is the main promoter of Palliative Care in Lebanon whose main goal is to relieve suffering and improve quality of life of the cancer patients, and advocate pain relief as a human right.
[ { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2470845341
Palliative Care for Older Adults : State of the Art in Lebanon
[ { "affiliations": [], "display_name": "Huda Abu‐Saad Huijer", "id": "https://openalex.org/A5078111838" }, { "affiliations": [], "display_name": "Mohamad M. Saab", "id": "https://openalex.org/A5043608531" }, { "affiliations": [], "display_name": "Ramzi R. Hajjar", "id": "https://openalex.org/A5069886325" } ]
[ { "display_name": "Palliative care", "id": "https://openalex.org/C2994186709" }, { "display_name": "Health care", "id": "https://openalex.org/C160735492" }, { "display_name": "Older people", "id": "https://openalex.org/C3019887659" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "State (computer science)", "id": "https://openalex.org/C48103436" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Algorithm", "id": "https://openalex.org/C11413529" }, { "display_name": "Computer science", "id": "https://openalex.org/C41008148" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" } ]
[ "Lebanon" ]
[]
https://api.openalex.org/works?filter=cites:W2470845341
Palliative care (PC) for older adults constitutes an important human rights challenge and a major public health care priority due to the aging of the population and the lack of health care services addressing the needs of the older people. In Lebanon, the surge in the number of older people with complex needs is unmatched by any increase in the services offered to them. PC in Lebanon is still under- developed and is subject to a number of challenges. These challenges are alarming and must be overcome through introducing health care providers to basic PC principles as recommended by the National Committee for Pain Relief and Palliative Care (NCPRPC).
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https://openalex.org/W2411424548
Occupational Health Nursing in Lebanon: Exploring the world through International Occupational Health Programs
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[ "Lebanon" ]
[]
https://api.openalex.org/works?filter=cites:W2411424548
Lebanon is undergoing rapid developments. The majority of occupations (approximately two thirds) fall under services, industry makes up one fifth, and the remaining occupations are in agriculture. Primary health care is recently gaining renewed interest, with a focus on primary preventive services. Occupational health practice lags behind, despite the presence of legislation. Data related to occupational illnesses and injuries are fragmented. There is need for comprehensive multidisciplinary national studies to identify occupational health needs. Occupational health nursing is underdeveloped in Lebanon. Nevertheless, the establishment of a National Nurses' Order is hoped to promote the educational preparation and scope of nursing practice in the field.
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https://openalex.org/W3184226082
Antibiotic Use: Knowledge, Attitude and Practices of a Southern Community in Lebanon
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[ "Lebanon" ]
[ "https://openalex.org/W846546774", "https://openalex.org/W1583763916", "https://openalex.org/W1655484771", "https://openalex.org/W1942976844", "https://openalex.org/W1948545309", "https://openalex.org/W1983354712", "https://openalex.org/W1991736613", "https://openalex.org/W2009950242", "https://openalex.org/W2014798538", "https://openalex.org/W2031353202", "https://openalex.org/W2041587347", "https://openalex.org/W2045241688", "https://openalex.org/W2047782026", "https://openalex.org/W2064543837", "https://openalex.org/W2089405582", "https://openalex.org/W2090563089", "https://openalex.org/W2096828556", "https://openalex.org/W2101427171", "https://openalex.org/W2114231217", "https://openalex.org/W2118728578", "https://openalex.org/W2133902131", "https://openalex.org/W2156522255", "https://openalex.org/W2169631074", "https://openalex.org/W2326134540", "https://openalex.org/W2573313095", "https://openalex.org/W2575744492", "https://openalex.org/W2583672991", "https://openalex.org/W2615010047", "https://openalex.org/W2626404976", "https://openalex.org/W2883183952", "https://openalex.org/W2902178925" ]
https://api.openalex.org/works?filter=cites:W3184226082
Background: The irrational use of antibiotics is one of the leading causes to antibiotic resistance affecting the public’s health. This study aimed at examining the public’s knowledge, attitude, and practice in a Southern village of Lebanon. Methods: A quantitative cross-sectional survey was conducted in Haddatha Village-Beint Jbeil in South Lebanon during the month of October 2017. The target population for the survey included Lebanese adults (21 years of age or older) that had been living in the Village for at least the past 3 years. Results: All households were targeted, of whom 91 agreed to participate (86%), within the same household, we surveyed only one member. More than half of the respondents were misinformed about antibiotics usage to treat viral infections (60.4%), almost 30% reported that it cures all infections and 26.4% assumed that they can stop taking the antibiotic before completing the course if their symptoms improved. Half of the respondents (48.4%) conveyed expecting their physicians to prescribe antibiotics to treat common cold. On the other hand, 60% do not usually seek medical care when sick because they think that it is not needed. The results, also, showed that almost 30% take antibiotics without a physician’s prescription. Approximately, half of the population reported consuming leftover antibiotics (50.5%), with only 5.6% waiting more than 4 days to start an antibiotic course. Conclusion: This study reflects several misconceptions and poor knowledge regarding antibiotics use, with an exhibition of contentious attitude and practice. Therefore, it is recommended to advocate for policies to control the misuse of antibiotics through public health interventions targeting individuals and their families to limit antibiotic resistance.
[ { "display_name": "European journal of environment and public health", "id": "https://openalex.org/S4210232312", "type": "journal" } ]
https://openalex.org/W2104655389
Estimating HCV disease burden - volume 3 (editorial)
[ { "affiliations": [ { "country": "Italy", "display_name": "Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico", "id": "https://openalex.org/I2803066834", "lat": 45.46427, "long": 9.18951, "type": "healthcare" }, { "country": "Italy", "display_name": "University of Milan", "id": "https://openalex.org/I189158943", "lat": 45.46427, "long": 9.18951, "type": "education" } ], "display_name": "Alessio Aghemo", "id": "https://openalex.org/A5061042436" }, { "affiliations": [ { "country": "Australia", "display_name": "UNSW Sydney", "id": "https://openalex.org/I31746571", "lat": -33.86785, "long": 151.20732, "type": "education" } ], "display_name": "Gregory J. Dore", "id": "https://openalex.org/A5052909853" }, { "affiliations": [], "display_name": "Angelos Hatzakis", "id": "https://openalex.org/A5043868687" }, { "affiliations": [ { "country": "Germany", "display_name": "German Liver Foundation", "id": "https://openalex.org/I4210136295", "lat": 52.38428, "long": 9.80628, "type": "facility" }, { "country": "Germany", "display_name": "Hannover Medical School", "id": "https://openalex.org/I34809795", "lat": 52.37052, "long": 9.73322, "type": "education" } ], "display_name": "Heiner Wedemeyer", "id": "https://openalex.org/A5076739762" }, { "affiliations": [ { "country": "United States", "display_name": "Center for Disease Analysis", "id": "https://openalex.org/I4210164387", "lat": 39.986664, "long": -105.104996, "type": "facility" } ], "display_name": "Homie Razavi", "id": "https://openalex.org/A5065556120" } ]
[ { "display_name": "Hepatocellular carcinoma", "id": "https://openalex.org/C2778019345" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Hepatitis C", "id": "https://openalex.org/C2776455275" }, { "display_name": "Tolerability", "id": "https://openalex.org/C2778375690" }, { "display_name": "Middle East", "id": "https://openalex.org/C3651065" }, { "display_name": "Disease burden", "id": "https://openalex.org/C2780664029" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Liver disease", "id": "https://openalex.org/C2777075537" }, { "display_name": "Hepatitis C virus", "id": "https://openalex.org/C2776408679" }, { "display_name": "Viral hepatitis", "id": "https://openalex.org/C2777072776" }, { "display_name": "Global health", "id": "https://openalex.org/C46578552" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Virology", "id": "https://openalex.org/C159047783" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Alternative medicine", "id": "https://openalex.org/C204787440" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Virus", "id": "https://openalex.org/C2522874641" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" } ]
[ "Lebanon", "Saudi Arabia", "Iran", "United Arab Emirates" ]
[ "https://openalex.org/W2017232326", "https://openalex.org/W2054938157", "https://openalex.org/W2116187238", "https://openalex.org/W4211150013", "https://openalex.org/W4231590131", "https://openalex.org/W4231841095" ]
https://api.openalex.org/works?filter=cites:W2104655389
Hepatitis C virus (HCV) represents a significant global public health burden, and long-term infection can lead to many serious liver-related outcomes including liver cirrhosis, hepatocellular carcinoma (HCC) and liver-related mortality. With the advent of interferon-free direct acting antiviral (DAA) therapies, which have the prospect of shorter, more efficacious treatment regimens with a higher degree of tolerability, the treatment paradigm is rapidly changing in many countries around the world. In May 2014 and January 2015, two supplements were published in the Journal of Viral Hepatitis presenting data from 32 countries on the historical epidemiology of HCV, the current disease burden and potential strategies that could be used to manage the HCV disease burden in the future 1-6. The countries included in those manuscripts were from multiple regions including North and South America, Europe, Asia, the Middle East, Africa and Oceania. In this supplement, data from an additional 15 countries are presented, following a similar pattern as in the previous manuscripts. These countries represent a mixture of high- and middle-income countries that hail from three geographical regions: Europe, Asia and the Middle East. There is a wide variance in the availability of robust data in the countries represented in the analyses contained in this supplement. Expert advisory panels were convened in each country to identify the best data sources to use and review the assumptions and outputs from the model. As could be expected given the geographical variation of the countries included in this supplement, there was considerable variability in the HCV genotype distribution (Fig. 1), with five of the countries having less than 50% genotype 1 [Iceland, Lebanon, Pakistan, Saudi Arabia and United Arab Emirates (UAE)]. Genotype 2 was more significant in countries in Asia, including Indonesia, Japan and South Korea (range: 20–45%); genotype 3 was dominant in Iceland and Pakistan; while genotype 4 was only significant in countries in the Middle East: UAE, Lebanon and Saudi Arabia (range: 33–53%). Differences were also pronounced when comparing estimates of HCV prevalence, diagnosis and treatment rates (Figs 2 and 3, Table 1). Viremic prevalence estimates for 2014 ranged from 0.2% in Iran and Lebanon to 3.9% in Pakistan. Diagnosis rates ranged from 4% in Indonesia to 83% in Iceland; however, Iceland is unique in that its geographical location and small size likely has facilitated a successful screening strategy. Estonia and Japan report the highest treatment rates of the included countries, with 2.6% of chronic HCV patients treated annually. In contrast, Indonesia has the lowest treatment rate, with <0.01% of its HCV patients receiving treatment annually, a fact made even more significant given the large size of its prevalent population. In terms of total annual treatment numbers, Pakistan currently treats a significant number of patients (85 000 per year); however, given the fact that Pakistan is estimated to have over seven million chronic HCV patients, their treatment rate is only 1.2%. Significant variability is also clear when comparing the distribution of liver disease stages within each country (Fig. 4). Japan has by far the ‘oldest’ epidemic of the countries under study, given that the majority of HCV patients (>50%) are classified with significant fibrosis (F4). However, even in countries such as Iran, where >80% of chronic HCV patients are classified as having early liver disease (F0/1), the burden of advanced disease outcomes will likely increase in the coming years as the prevalent population ages and their disease progresses. Several of the countries report a relatively high current sustained virological response (SVR) rate of >75%, including Indonesia, Slovenia and Saudi Arabia (78%, 80% and 86.8%, respectively). In these countries, introduction of new interferon-free DAA therapies at the same treatment level will only have a modest impact on overall disease burden, even more so given the low treatment rates in Indonesia and Saudi Arabia. As demonstrated through the modelling exercises described in the third manuscript included in this supplement, in order to have a large impact on the overall disease burden, countries will need to implement strategies that increase their screening, diagnosis and treatment uptake. A Aghemo is an advisory board member for Merck, Janssen, Gilead, Bristol-Myers Squibb and AbbVie. He has received honoraria and/or travel sponsorship from Merck, Janssen, Gilead, Bristol-Myers Squibb and AbbVie. GJ Dore is an advisory board member for Roche, Merck, Janssen, Gilead, Bristol-Myers Squibb and AbbVie. He has received honoraria, research grants and/or travel sponsorship from Roche, Merck, Janssen, Gilead, Bristol-Myers Squibb, Vertex, Boehringer Ingelheim and AbbVie. A Hatzakis has served as the co-chair of the Hepatitis B and C Public Policy Association funded by AbbVie, Bristol-Myers Squibb and Gilead. H Wedemeyer has received honoraria from Abbott, AbbVie, Biolex, Bristol-Myers Squibb, Boehringer Ingelheim, Eiger Pharmaceuticals, Falk Foundation, Gilead, IDS, JJ/Janssen-Cilag/Janssen TE, Medgenics, Merck/Schering-Plough, Novartis, Novira, Roche, Roche Diagnostics, Siemens, Transgene and ViiV and has received research grants from Abbott, Bristol-Myers Squibb, Gilead, Merck, Novartis, Roche, Roche Diagnostics and Siemens.
[ { "display_name": "Journal of Viral Hepatitis", "id": "https://openalex.org/S164225461", "type": "journal" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W170789729
Data from a public school health project in Beirut.
[ { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut Medical Center", "id": "https://openalex.org/I4210104580", "lat": 33.897972, "long": 35.485886, "type": "healthcare" } ], "display_name": "Saab Br", "id": "https://openalex.org/A5071103726" }, { "affiliations": [], "display_name": "N Shararah", "id": "https://openalex.org/A5008990396" }, { "affiliations": [], "display_name": "Mazen Makarem", "id": "https://openalex.org/A5027344244" }, { "affiliations": [], "display_name": "E Sarrù", "id": "https://openalex.org/A5076185879" }, { "affiliations": [], "display_name": "Jinan Usta", "id": "https://openalex.org/A5015658082" }, { "affiliations": [], "display_name": "Mohammed Khogali", "id": "https://openalex.org/A5072354386" } ]
[ { "display_name": "Socioeconomic status", "id": "https://openalex.org/C147077947" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Pediculosis", "id": "https://openalex.org/C2779202508" }, { "display_name": "Government (linguistics)", "id": "https://openalex.org/C2778137410" }, { "display_name": "Slum", "id": "https://openalex.org/C2778631157" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Medical education", "id": "https://openalex.org/C509550671" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Linguistics", "id": "https://openalex.org/C41895202" }, { "display_name": "Philosophy", "id": "https://openalex.org/C138885662" }, { "display_name": "Botany", "id": "https://openalex.org/C59822182" }, { "display_name": "Infestation", "id": "https://openalex.org/C2776451879" }, { "display_name": "Biology", "id": "https://openalex.org/C86803240" } ]
[ "Lebanon" ]
[]
https://api.openalex.org/works?filter=cites:W170789729
The health status of 2778 elementary students enrolled in twenty-five government schools in Beirut was evaluated. Parents completed special forms relating to demographic information, socioeconomic status, the students' medical and vaccination history, and the presence of certain medical conditions in the family. A complete physical examination of each student was carried out. Seventy-six percent of the children belonged to families with a monthly income between US $118-237. The most common medical problems encountered were poor dentition (53%), incomplete immunization (22-63%) for the various vaccines, enuresis (9%), pediculosis (8%), and defective vision (6%). It was also noticed that 72% of the students have at least one member in the family who smokes. The data presented in this study show the need for fluoridation of public water; provision of accessible and affordable medical and dental care; carrying vaccination campaigns and introducing health education in elementary schools in Lebanon.
[ { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2894174927
Are Lebanese schools adopting a health promotion approach in their curricula?
[ { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese International University", "id": "https://openalex.org/I911468752", "lat": 33.88486, "long": 35.49528, "type": "education" }, { "country": "France", "display_name": "Université Toulouse III - Paul Sabatier", "id": "https://openalex.org/I134560555", "lat": 43.60426, "long": 1.44367, "type": "education" }, { "country": "France", "display_name": "Inserm", "id": "https://openalex.org/I154526488", "lat": 48.85341, "long": 2.3488, "type": "government" }, { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Marwan Akel", "id": "https://openalex.org/A5027904119" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese International University", "id": "https://openalex.org/I911468752", "lat": 33.88486, "long": 35.49528, "type": "education" } ], "display_name": "Iqbal Fahs", "id": "https://openalex.org/A5066419649" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Pascale Salameh", "id": "https://openalex.org/A5023182162" }, { "affiliations": [ { "country": "France", "display_name": "Académie de Paris", "id": "https://openalex.org/I4210103433", "lat": 48.85752, "long": 2.372856, "type": "education" }, { "country": "France", "display_name": "Université Toulouse III - Paul Sabatier", "id": "https://openalex.org/I134560555", "lat": 43.60426, "long": 1.44367, "type": "education" }, { "country": "France", "display_name": "Inserm", "id": "https://openalex.org/I154526488", "lat": 48.85341, "long": 2.3488, "type": "government" } ], "display_name": "Emmanuelle Godeau", "id": "https://openalex.org/A5000478999" } ]
[ { "display_name": "Health promotion", "id": "https://openalex.org/C185618831" }, { "display_name": "Curriculum", "id": "https://openalex.org/C47177190" }, { "display_name": "Health education", "id": "https://openalex.org/C113807197" }, { "display_name": "Medical education", "id": "https://openalex.org/C509550671" }, { "display_name": "Observational study", "id": "https://openalex.org/C23131810" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Health policy", "id": "https://openalex.org/C47344431" }, { "display_name": "School health education", "id": "https://openalex.org/C2776517112" }, { "display_name": "Promotion (chess)", "id": "https://openalex.org/C98147612" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Pedagogy", "id": "https://openalex.org/C19417346" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Politics", "id": "https://openalex.org/C94625758" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" } ]
[ "Lebanon" ]
[ "https://openalex.org/W2034029286", "https://openalex.org/W2038821625", "https://openalex.org/W2048324143", "https://openalex.org/W2052147296", "https://openalex.org/W2077239938", "https://openalex.org/W2127876608", "https://openalex.org/W2143846150", "https://openalex.org/W2150288111", "https://openalex.org/W2586062116", "https://openalex.org/W4234730974" ]
https://api.openalex.org/works?filter=cites:W2894174927
Introduction: The concept of the health promoting school offers a coherent approach to promoting health and well-being within a whole school community. This study sought to evaluate the health programmes and policies adopted by different Lebanese schools, and their appropriateness for this role as part of health promotion. Methods: Our research took the form of a prospective observational study involving 50 schools from different areas of Lebanon. Data were collected using a questionnaire based on the Health Assessment Tool for Schools (HATS). Data were analysed to describe school characteristics and to reveal differences in the health topics addressed. Results: Most of the schools included in the study came from Mount Lebanon (56%). Around 70% of the involved schools offered health-related courses in their curricula. Health-related seminars and workshops (60%) and health awareness campaigns took place at the studied schools, with 98% incorporating physical education into the curriculum. Dental health (74%), smoking cessation (72%) and physical activity (68%) were among other most addressed topics, while mental health was the least discussed (20%). The majority (70%) of schools had a shared vision of what promoting health involved and sought to promote the active involvement of community members in the life of the school (60%). Around two-thirds of the schools (66%) provided physical support and facilities, and had developed policies for health promotion. Less than half of these schools’ health committees, however, had developed plans to improve health promotion and review data to ensure the effectiveness of their programmes. Conclusion: The study findings suggest that despite weaknesses, the majority of the sampled schools had either implemented or were in the process of implementing a health promoting school programme to improve health education and students’ well-being.
[ { "display_name": "Health Education Journal", "id": "https://openalex.org/S96613078", "type": "journal" } ]
https://openalex.org/W2598221592
Awareness and attitudes of the Lebanese population with regard to physician–pharmaceutical company interaction: a survey study
[ { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Ahmad Ammous", "id": "https://openalex.org/A5018966162" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Savo Bou Zein Eddine", "id": "https://openalex.org/A5072719714" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Alia Dani", "id": "https://openalex.org/A5079030998" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Jana Dbaibou", "id": "https://openalex.org/A5075337798" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Jose M El-Asmar", "id": "https://openalex.org/A5033863597" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Liane Sadder", "id": "https://openalex.org/A5026140602" }, { "affiliations": [ { "country": "Canada", "display_name": "McMaster University", "id": "https://openalex.org/I98251732", "lat": 43.25011, "long": -79.84963, "type": "education" }, { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Elie A. Akl", "id": "https://openalex.org/A5041615321" } ]
[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Arabic", "id": "https://openalex.org/C96455323" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Philosophy", "id": "https://openalex.org/C138885662" }, { "display_name": "Linguistics", "id": "https://openalex.org/C41895202" } ]
[ "Lebanon" ]
[ "https://openalex.org/W99988684", "https://openalex.org/W1545392058", "https://openalex.org/W1964644957", "https://openalex.org/W1975270923", "https://openalex.org/W1983596658", "https://openalex.org/W2002244644", "https://openalex.org/W2028339881", "https://openalex.org/W2046835590", "https://openalex.org/W2117344886", "https://openalex.org/W2157721981", "https://openalex.org/W2513150691" ]
https://api.openalex.org/works?filter=cites:W2598221592
<h3>Objective</h3> To assess the awareness and attitudes of the general public in Lebanon regarding the interactions between physicians and pharmaceutical companies. <h3>Setting</h3> Primary healthcare clinics and shopping malls in the Greater Beirut Area. <h3>Participants</h3> 263 participants completed the questionnaire, of whom 62% were female and 38% were male. Eligible participants were Arabic-speaking or English-speaking adults (age≥18 years) residing in Lebanon for at least 5 years. <h3>Primary and secondary outcome measures</h3> Awareness, attitudes and beliefs of the general public. <h3>Results</h3> 263 out of 295 invited individuals (89% completion rate) completed the questionnaire. While the majority of participants were aware of pharmaceutical company presence (or absence) in physicians9 offices (range of 71–76% across questions), smaller percentages were aware of gift-related practices of physicians (range of 26–69% across questions). 40% thought that the acceptance of small gifts or meals by physicians is wrong/unethical. The percentage of participants reporting lower trust in physicians due to their participation in various pharmaceutical company-related activities ranged from 12% to 45% (the highest percentage being for large gifts). Participants who reported receiving free medication samples were significantly more likely to consider physicians9 acceptance of small gifts as ‘not a problem’ than ‘unethical’ (OR=1.53; p=0.044). <h3>Conclusions</h3> Participants in our survey were generally more aware of pharmaceutical company presence (or absence) in physicians9 offices than of gift-related practices of physicians. While the level of trust was not affected for the majority of participants for various types of interactions, it was affected the most for accepting large gifts.
[ { "display_name": "BMJ Open", "id": "https://openalex.org/S79054089", "type": "journal" }, { "display_name": "Europe PMC (PubMed Central)", "id": "https://openalex.org/S4306400806", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2529527752
Financial Burden of Cancer Drug Treatment in Lebanon.
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[ "Lebanon" ]
[]
https://api.openalex.org/works?filter=cites:W2529527752
The Ministry of Public Health (MOPH) in Lebanon provides cancer drugs free of charge for uninsured patients who account for more than half the total caseload. Other categories of cancer care are subsidized under more stringent eligibility criteria. MOPH's large database offers an excellent opportunity to analyze the cost of cancer treatment in Lebanon.Using utilization and spending data accumulated at MOPH during 20082013, the cost to the public budget of cancer drugs was assessed per case and per drug type.The average annual cost of cancer drugs was 6,475$ per patient. Total cancer drug costs were highest for breast cancer, followed by chronic myeloid leukemia (CML), colorectal cancer, lung cancer, and NonHodgkin's lymphoma (NHL), which together represented 74% of total MOPH cancer drug expenditure. The annual average cancer drug cost per case was highest for CML ($31,037), followed by NHL ($11,566). Trastuzumab represented 26% and Imatinib 15% of total MOPH cancer drug expenditure over six years.Sustained increase in cancer drug cost threatens the sustainability of MOPH coverage, so crucial for socially vulnerable citizens. To enhance the bargaining position with pharmaceutical firms for drug cost containment in a small market like Lebanon, drug price comparisons with neighboring countries which have already obtained lower prices may succeed in lowering drug costs.
[ { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2100116323
The Association Between Women's Self-Rated Health and Satisfaction with Environmental Services in an Underserved Community in Lebanon
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[ { "display_name": "Socioeconomic status", "id": "https://openalex.org/C147077947" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Self-rated health", "id": "https://openalex.org/C2781164080" }, { "display_name": "Community health", "id": "https://openalex.org/C2775951005" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Multinomial logistic regression", "id": "https://openalex.org/C117568660" }, { "display_name": "Logistic regression", "id": "https://openalex.org/C151956035" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Socioeconomics", "id": "https://openalex.org/C45355965" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Machine learning", "id": "https://openalex.org/C119857082" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Computer science", "id": "https://openalex.org/C41008148" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" } ]
[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W2100116323
This research evaluated the association between women's self-rated health and a number of socioeconomic and environmental health indicators relating to drinking water services in an underserved Lebanese community. A population-based, cross-sectional survey using interviews was adopted to obtain information from female homemakers of 2,223 households in the town of Bebnine, Lebanon. The questionnaire included indicators on self-rated health, satisfaction with water quality, source of drinking water, occurrence of diarrhea, and socioeconomic variables, such as education, occupation, and perceived economic status. Self-rated health was categorized as poor, fair, and good. Odds ratios for poor and fair compared to good self-rated health values were calculated using multinomial logistic regression. A total of 712 women (32%) reported poor self-rated health. Women who perceived their household income to be worse than others in town were four times as likely to report poor health. Compared to women who were satisfied with drinking water quality, dissatisfied women were 42% more likely to report poor health. Women living in households reporting recent episodes of diarrheal illness had poorer health ratings than those without. The findings suggest a positive relationship between individual perceptions of water quality and self-rated health. Community concerns over their surrounding environment serve as a primary guide for infrastructural development and government policy.
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https://openalex.org/W2963246659
Difficulties in achieving a sustainable blood supply: report from the first national seminar on blood donation in Lebanon
[ { "affiliations": [], "display_name": "Antoine Haddad", "id": "https://openalex.org/A5074123989" }, { "affiliations": [], "display_name": "Tarek Assi", "id": "https://openalex.org/A5061289193" }, { "affiliations": [], "display_name": "Laura Haddad", "id": "https://openalex.org/A5032606029" }, { "affiliations": [], "display_name": "P. Malaud Wakim", "id": "https://openalex.org/A5068322721" }, { "affiliations": [], "display_name": "Rita Feghali", "id": "https://openalex.org/A5055426142" }, { "affiliations": [], "display_name": "Wissam Makki", "id": "https://openalex.org/A5080413243" }, { "affiliations": [], "display_name": "Mohammad A. Haidar", "id": "https://openalex.org/A5039053895" }, { "affiliations": [], "display_name": "Yorgui Teyrouz", "id": "https://openalex.org/A5089334065" } ]
[ { "display_name": "Christian ministry", "id": "https://openalex.org/C521751864" }, { "display_name": "Donation", "id": "https://openalex.org/C2775933685" }, { "display_name": "Blood donor", "id": "https://openalex.org/C2993617979" }, { "display_name": "Audit", "id": "https://openalex.org/C199521495" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Blood transfusion", "id": "https://openalex.org/C2780014101" }, { "display_name": "Blood supply", "id": "https://openalex.org/C2993270971" }, { "display_name": "Transfusion medicine", "id": "https://openalex.org/C79592252" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Business", "id": "https://openalex.org/C144133560" }, { "display_name": "Surgery", "id": "https://openalex.org/C141071460" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Accounting", "id": "https://openalex.org/C121955636" }, { "display_name": "Immunology", "id": "https://openalex.org/C203014093" } ]
[ "Lebanon" ]
[ "https://openalex.org/W1890297202", "https://openalex.org/W2037996216", "https://openalex.org/W2045172379", "https://openalex.org/W2143215882", "https://openalex.org/W2153670683", "https://openalex.org/W2415693715", "https://openalex.org/W2610929109", "https://openalex.org/W2768738303" ]
https://api.openalex.org/works?filter=cites:W2963246659
Lebanon has a decentralized/fragmented transfusion system. The current blood supply does not meet the World Health Organization target of achieving 100% voluntary non-remunerated blood donation (VNRD). There are currently 3 types of donors/donations in Lebanon: replacement/family donations (70-75%), VNRD (20-25%), and compensated donations (5-10%). Remunerated donations are illegal.This report summarizes the content of presentations given during the first World Blood Donor Day seminar in Lebanon in June 2017. The aim is to describe the current Lebanese blood supply system and the major road blocks and to suggest practical recommendations that may assist in achieving 100% VNRD.The content of presentations given during the first World Blood Donor Day seminar in Lebanon in June 2017 were summarized.The seminar was attended by all major stakeholders involved in transfusion medicine (Lebanese National Committee of Blood Transfusion, Hospital Blood Banks directors, Lebanese Army Blood Bank, Lebanese Red Cross and Donner Sang Compter).The Ministry of Public Health should focus on performing regular audits regarding the implementation of national guidelines. There is a need for a national blood supply committee, unifying all stakeholders in the transfusion and donation fields. Transfusion medicine should be declared by law as a public health issue and considered a priority for patient safety.صعوبات تواجه تحقيق إمدادات مستدامة بالدم: تقرير صادر عن الحلقة الدراسية الوطنية الأولى حول التبرع بالدم في لبنان.أنطوان حداد، طارق بو عاصي، لورا حداد، بيرين مالود واكيم، ريتا فغالي، وسام مكي، محمد حيدر، يورجي تيروز، هنادي سماحة، تميمة الجسر، كريستيان حداد، إليزابيث باز، برث هاشم، فاندا بركات، أوليفييه جارو.يتسم نظام نقل الدم في لبنان باللامركزية أو التفتُّت. ولا تتواءم الإمدادات الحالية من الدم بما تستهدفه منظمة الصحة العالمية من تحقيق 100٪ من التبرع بالدم الطوعي غير مدفوع الأجر. وهناك في الوقت الحالي ثلاثة أنواع من المتبرعين/التبرع بالدم في لبنان: تبرع الأسرة أو التبرع تعويضا للدم الذي تبرع به أعضاء الأسرة (75-70٪)، والتبرع بالدم الطوعي غير مدفوع الأجر (25-20٪) والتبرعات في مقابل تعويض (10-5٪). أما التبرعات المدفوعة الأجر فهي غير قانونية.يوجز هذا التقرير لمحتوى العروض التي قُدِّمت خلال الحلقة الدراسية حول اليوم العالمي للمتبرعين بالدم، والتي عُقدت في لبنان عام 2017. ويتمثل الهدف في وصف النظام الحالي للإمداد بالدم في لبنان والعقبات الرئيسية التي تواجهه، واقتراح توصيات عملية يمكنها المساعدة في تحقيق 100٪ من التبرع بالدم الطوعي غير مدفوع الأجر.لُِّص محتوى العروض التي قُدِّمت خلال الحلقة الدراسية حول اليوم العالمي للمتبرعين بالدم، والتي عُقدت في لبنان عام 2017.حضر الحلقة الدراسية جميع الأطراف الأساسية المعنية بطب نقل الدم (اللجنة الوطنية اللبنانية لنقل الدم، ومديري بنوك الدم بالمستشفيات، وبنك الدم بالجيش اللبناني، والصليب الأحمر اللبناني، ومؤسسة «دونيه سون كونتيه»).يجب على وزارة الصحة العامة إيلاء التركيز إلى إجراء مراجعات منتظمة بشأن تنفيذ المبادئ التوجيهية الوطنية. وهناك حاجة إلى إنشاء لجنة وطنية معنية بالإمداد بالدم، تتوحد في ظلها جميع الأطراف المعنية بنقل الدم والتبرع به. كما ينبغي أن يعرِّف القانون طب نقل الدم باعتباره أحد قضايا الصحة العامة وأن يُنظر إليه كأولوية من أولويات تحقيق سلامة المرضى.Difficultés à assurer un approvisionnement en sang durable : compte rendu du premier séminaire national sur le don de sang au Liban.Le Liban dispose d’un système de transfusion décentralisé et fragmenté. L’approvisionnement en sang actuel ne répond pas à l’objectif de l’Organisation mondiale de la Santé, à savoir atteindre 100 % de dons de sang volontaires et non rémunérés. Actuellement, il existe trois types de donateurs/dons au Liban : dons de compensation/familiaux (70-75 %), dons de sang volontaires et non rémunérés (20-25 %) et dons compensés (5-10 %). Les dons rémunérés sont illégaux.Le présent compte rendu résume le contenu des présentations effectuées lors du premier séminaire ayant eu lieu au Liban en juin 2017 à l’occasion de la Journée mondiale du donneur de sang. L’objectif était de décrire le système d’approvisionnement en sang en place au Liban ainsi que les principaux obstacles associés, et de suggérer des recommandations pratiques susceptibles d’aider à atteindre l’objectif de 100 % de dons de sang volontaires et non rémunérés.Le contenu des présentations effectuées lors du premier séminaire ayant eu lieu au Liban en juin 2017 à l’occasion de la Journée mondiale du donneur de sang a été résumé.Les principaux partenaires impliqués dans la médecine transfusionnelle ont assisté au séminaire (Comité national libanais de transfusion sanguine, directeurs des banques de sang des hôpitaux, banque de sang de l’armée du Liban, Croix-Rouge libanaise et Donner Sang Compter).Le ministère de la Santé publique devrait se concentrer sur la réalisation des vérifications régulières concernant l’application des lignes directrices nationales. Il est nécessaire de mettre en place un comité national pour l’approvisionnement en sang rassemblant tous les partenaires impliqués dans la transfusion et le don de sang. La médecine transfusionnelle devrait être déclarée par la loi comme une question de santé publique et considérée comme une priorité pour la sécurité des patients.
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https://openalex.org/W2085187280
Assessing knowledge and attitudes of owners or managers of hospitality venues regarding a policy banning indoor smoking
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[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W2085187280
In response to accumulating evidence on the detrimental health effects of second-hand smoke, governments throughout the world have adopted laws prohibiting indoor smoking in public places. Lebanon has recently enacted a law prohibiting indoor smoking in all of its forms, rendered effective as of 3 September 2012. This study examined the knowledge and attitudes of owners/managers of restaurants, cafes, pubs and nightclubs in Beirut towards the ban, three months before it came into effect.Self-administered cross-sectional survey.Data were derived from a self-administered cross-sectional survey conducted in June 2012. In total, 262 hospitality venues (restaurants, cafes, pubs and nightclubs) were sampled at random to participate.The response rate was 74% (194/262). Overall, 84% of owners/managers reported that they were aware of the ban, yet the average knowledge score was only 3.43/10. A general positive attitude was noted towards customer satisfaction (44.8%), law enforcement (61.1%) and employee protection from second-hand smoke (74%), while 55% of owners/managers were concerned that their revenues would decrease. However, 83.3% expressed their willingness to implement the law.This quantitative study is the first to examine the knowledge and attitudes of owners/managers of hospitality venues regarding the indoor smoking ban in Lebanon. Civil society and government bodies should use the findings to develop a campaign to address the knowledge and attitudes of owners/managers of hospitality venues to ensure successful enforcement.
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https://openalex.org/W2324220837
Observations on the Ministry of Public Health Program of Support to the Hospitalization of Patients in Lebanon
[ { "affiliations": [], "display_name": "Nabil M. Kronfol", "id": "https://openalex.org/A5006203136" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Ministry of Public Health", "id": "https://openalex.org/I4210097567", "lat": 33.86422, "long": 35.493645, "type": "government" } ], "display_name": "Jade Khalife", "id": "https://openalex.org/A5022736740" }, { "affiliations": [], "display_name": "Jenny Romanos", "id": "https://openalex.org/A5031585887" }, { "affiliations": [], "display_name": "Jihad Makouk", "id": "https://openalex.org/A5032280951" }, { "affiliations": [], "display_name": "Peter Noun", "id": "https://openalex.org/A5047994927" }, { "affiliations": [], "display_name": "Walid Ammar", "id": "https://openalex.org/A5032289226" } ]
[ { "display_name": "Christian ministry", "id": "https://openalex.org/C521751864" }, { "display_name": "Reimbursement", "id": "https://openalex.org/C2779703844" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Health care", "id": "https://openalex.org/C160735492" }, { "display_name": "Scrutiny", "id": "https://openalex.org/C2776050585" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Gross domestic product", "id": "https://openalex.org/C114350782" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Medical emergency", "id": "https://openalex.org/C545542383" }, { "display_name": "Business", "id": "https://openalex.org/C144133560" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Emergency medicine", "id": "https://openalex.org/C194828623" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" } ]
[ "Lebanon" ]
[ "https://openalex.org/W1555707003", "https://openalex.org/W1988433704", "https://openalex.org/W2072348109", "https://openalex.org/W2137420170", "https://openalex.org/W2163298401", "https://openalex.org/W2175844136", "https://openalex.org/W2337344296" ]
https://api.openalex.org/works?filter=cites:W2324220837
Lebanon has a highly fragmented health care system. The Lebanese population receives its health care services through a system dominated by the private sector that is dependent to a large extent on public sector financing. Lebanon spends about 83% of its Gross Domestic Product (GDP) on health. This study consists of observations on the utilization of the Ministry of Public Health (MOH) program of hospital care provision. The study population included all patients admitted for hospitalization in any of the 126 hospitals contracted with the MOH, between August 2008 and July 2009 (one full year). This review is limited to medical admissions only. The surgical admissions have been excluded since they are covered under a 'flat fee' reimbursement. Findings reveal that a significant proportion of the hospital admissions under this program are for conditions that may not need hospitalization. Moreover, most of these admissions receive care in relatively small and peripheral hospitals. The findings ought to lead to a further scrutiny of the ministry program of support to the hospitalization of its nationals. Measures may be indicated to improve the efficiency and effectiveness of hospital utilization, avoid waste and possibly fraud, and reconsider the role of small and peripheral hospitals within the health care system of the country.
[ { "display_name": "Le Journal médical libanais. The Lebanese medical journal", "id": "https://openalex.org/S2755092916", "type": "journal" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2491794392
Ageing in Lebanon: evidence and challenges
[ { "affiliations": [], "display_name": "Nabil M. Kronfol", "id": "https://openalex.org/A5006203136" }, { "affiliations": [], "display_name": "Abla Mehio Sibai", "id": "https://openalex.org/A5066629818" } ]
[ { "display_name": "Population ageing", "id": "https://openalex.org/C13774568" }, { "display_name": "Ageing", "id": "https://openalex.org/C500499127" }, { "display_name": "Older people", "id": "https://openalex.org/C3019887659" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Development economics", "id": "https://openalex.org/C47768531" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" } ]
[ "Lebanon" ]
[]
https://api.openalex.org/works?filter=cites:W2491794392
Abstract Lebanon has unique socio-demographic features that render the ageing of its population a complex challenge. Past and present fertility levels are among the lowest in the region, crude mortality rates have decreased dramatically during the past few decades and non-communicable diseases have been considered to be the leading causes of death since the 1960s. Furthermore, Lebanon has currently the highest evidence percentage of older persons aged 65 years and above (7.5 per cent) among Arab countries. Yet, changes to the governance, structure and composition of the population remain unmatched by any corresponding increase in support measures. Lebanon lacks policies towards ageing, as well as a lack of reliable data on older people. This paper examines the public health, social and economic implications of demographic changes in Lebanon and explores their impact upon the expanding population of older persons.
[ { "display_name": "Policy Press eBooks", "id": "https://openalex.org/S4306463762", "type": "ebook platform" } ]
https://openalex.org/W2996511815
Using the intervention mapping protocol to promote school-based physical activity among children: A demonstration of the step-by-step process
[ { "affiliations": [ { "country": "Canada", "display_name": "Université Laval", "id": "https://openalex.org/I43406934", "lat": 46.81228, "long": -71.21454, "type": "education" }, { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Tania Santina", "id": "https://openalex.org/A5077225426" }, { "affiliations": [ { "country": "Canada", "display_name": "Université Laval", "id": "https://openalex.org/I43406934", "lat": 46.81228, "long": -71.21454, "type": "education" }, { "country": "Canada", "display_name": "Université du Québec à Rimouski", "id": "https://openalex.org/I182451676", "lat": 48.44879, "long": -68.52396, "type": "education" } ], "display_name": "Denis Beaulieu", "id": "https://openalex.org/A5005212057" }, { "affiliations": [ { "country": "Canada", "display_name": "Université Laval", "id": "https://openalex.org/I43406934", "lat": 46.81228, "long": -71.21454, "type": "education" } ], "display_name": "Camille Gagné", "id": "https://openalex.org/A5080526061" }, { "affiliations": [ { "country": "Canada", "display_name": "Université Laval", "id": "https://openalex.org/I43406934", "lat": 46.81228, "long": -71.21454, "type": "education" } ], "display_name": "Laurence Guillaumie", "id": "https://openalex.org/A5010500915" } ]
[ { "display_name": "Intervention mapping", "id": "https://openalex.org/C2780647781" }, { "display_name": "Protocol (science)", "id": "https://openalex.org/C2780385302" }, { "display_name": "Medical education", "id": "https://openalex.org/C509550671" }, { "display_name": "Intervention (counseling)", "id": "https://openalex.org/C2780665704" }, { "display_name": "Program evaluation", "id": "https://openalex.org/C5395021" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Theory of change", "id": "https://openalex.org/C7340896" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Health promotion", "id": "https://openalex.org/C185618831" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Alternative medicine", "id": "https://openalex.org/C204787440" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Public administration", "id": "https://openalex.org/C3116431" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Anthropology", "id": "https://openalex.org/C19165224" } ]
[ "Lebanon" ]
[ "https://openalex.org/W174300614", "https://openalex.org/W1489128963", "https://openalex.org/W1847439038", "https://openalex.org/W1997182468", "https://openalex.org/W2014476788", "https://openalex.org/W2034029286", "https://openalex.org/W2091081971", "https://openalex.org/W2096993738", "https://openalex.org/W2106580571", "https://openalex.org/W2118214983", "https://openalex.org/W2118444434", "https://openalex.org/W2127529148", "https://openalex.org/W2135660462", "https://openalex.org/W2143836222", "https://openalex.org/W2145555293", "https://openalex.org/W2148924243", "https://openalex.org/W2163710303", "https://openalex.org/W2163905898", "https://openalex.org/W2164267986", "https://openalex.org/W2168713904", "https://openalex.org/W2169434152", "https://openalex.org/W2189829198", "https://openalex.org/W2292802909", "https://openalex.org/W2313841308", "https://openalex.org/W2415034879", "https://openalex.org/W2576938526", "https://openalex.org/W2754342007", "https://openalex.org/W2898986616", "https://openalex.org/W3011323676" ]
https://api.openalex.org/works?filter=cites:W2996511815
Objective: This study describes the step-by-step development of the I Mo ve30+ programme and outlines lessons derived from the authors’ experience using an intervention mapping protocol (IMP)-based programme design. The programme was designed to increase the moderate to vigorous physical activity (PA) level at school among Lebanese children, aged 10–12 years. Design: Participatory cross-sectional design including group and individual interviews. Setting: Sidon district of Lebanon. Method: The programme was co-designed with a planning committee and included a local leader in school health, school staff including nurses and members of the target population (schoolchildren). The programme was developed using the six steps of the IMP: elaborating a logic model of the problem, formulating programme objectives, choosing the theoretical methods (i.e. the theory-based techniques used to influence a change objective) and practical applications (i.e. the applied strategies based on those theoretical methods), designing the programme, planning programme implementation, and planning the evaluation. Participants’ involvement in the programme’s activities was entirely voluntary. Results: Implemented by teachers and school nurses, this 14-week school-based programme was designed to provide an additional 30 minutes of school-based PA per day through structural environmental change, educational activities, a PA-monitoring system and PA events at school and in the classroom as well as during recess. Conclusion: IMP enabled the rigorous and systematic development of the programme to improve children’s PA level. The programme description and the lessons learned can facilitate the replication and the scaling up of the programme in other settings.
[ { "display_name": "Health Education Journal", "id": "https://openalex.org/S96613078", "type": "journal" } ]
https://openalex.org/W3083784100
Implementation of a free smoking-cessation program in a Lebanese academic medical center
[ { "affiliations": [], "display_name": "Maya Romani", "id": "https://openalex.org/A5012884798" }, { "affiliations": [], "display_name": "Rima Nakkash", "id": "https://openalex.org/A5025685233" }, { "affiliations": [], "display_name": "Sarah Jawhar", "id": "https://openalex.org/A5069478637" }, { "affiliations": [], "display_name": "Ramzi G. Salloum", "id": "https://openalex.org/A5024740547" } ]
[ { "display_name": "Smoking cessation", "id": "https://openalex.org/C2777843972" }, { "display_name": "Tobacco control", "id": "https://openalex.org/C2780832096" }, { "display_name": "Center (category theory)", "id": "https://openalex.org/C2779463800" }, { "display_name": "Quit smoking", "id": "https://openalex.org/C3018997237" }, { "display_name": "Health psychology", "id": "https://openalex.org/C155164915" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Tobacco use", "id": "https://openalex.org/C3019190695" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Medical education", "id": "https://openalex.org/C509550671" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Chemistry", "id": "https://openalex.org/C185592680" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Crystallography", "id": "https://openalex.org/C8010536" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" } ]
[ "Lebanon" ]
[ "https://openalex.org/W1496088628", "https://openalex.org/W1787417536", "https://openalex.org/W2111635921", "https://openalex.org/W2118061336", "https://openalex.org/W2133411135", "https://openalex.org/W2148690562", "https://openalex.org/W2609812301", "https://openalex.org/W2948852318", "https://openalex.org/W2972128407", "https://openalex.org/W3010816603", "https://openalex.org/W4232168655", "https://openalex.org/W4248554906" ]
https://api.openalex.org/works?filter=cites:W3083784100
1. Chaaya M, Nakkash R, Saab D, Kadi L, Afifi R. Effect of tobacco control policies on intention to quit smoking cigarettes: A study from Beirut, Lebanon. Tob Induc Dis. 2019;17(September). doi:10.18332/tid/111128. CrossRef Google Scholar
[ { "display_name": "Tobacco Induced Diseases", "id": "https://openalex.org/S182402362", "type": "journal" }, { "display_name": "Europe PMC (PubMed Central)", "id": "https://openalex.org/S4306400806", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" } ]
https://openalex.org/W2613331138
Predictors of Readiness to Quit Stages and Intention to Quit Cigarette Smoking in 2 and 6 Months in Lebanon.
[ { "affiliations": [], "display_name": "Nelly Layoun", "id": "https://openalex.org/A5008829037" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Souheil Hallit", "id": "https://openalex.org/A5020046919" }, { "affiliations": [ { "country": "Lebanon", "display_name": "University of Balamand", "id": "https://openalex.org/I168913471", "lat": 34.365208, "long": 35.785675, "type": "education" } ], "display_name": "Mirna Waked", "id": "https://openalex.org/A5060259587" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Hôtel-Dieu de France", "id": "https://openalex.org/I4210152906", "lat": 33.88146, "long": 35.518627, "type": "healthcare" } ], "display_name": "Zeina Aoun Bacha", "id": "https://openalex.org/A5037820143" }, { "affiliations": [], "display_name": "Isabelle Godin", "id": "https://openalex.org/A5071069876" }, { "affiliations": [], "display_name": "Michèle Dramaix", "id": "https://openalex.org/A5016657095" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Pascale Salameh", "id": "https://openalex.org/A5091538918" } ]
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[ "Lebanon" ]
[]
https://api.openalex.org/works?filter=cites:W2613331138
We aimed at examining quitting behaviors among Lebanese cigarette smokers in order to clarify characteristics of adults who were more likely to intend to quit smoking.A cross-sectional study.This study was conducted between March 2014 and March 2015, involving 382 patients randomly chosen from 5 outpatient clinics in 5 hospitals in Lebanon. A standardized questionnaire was completed including socio-demographic characteristics, smoking behavior, chronic respiratory symptoms, Fagerstrom scale, Mondor scale, packaging perception, quitting behavior and readiness to quit ladder.40.8% of participants reported having higher stages of readiness to quit while 33% and 7.9% of them intended to quit in 2 and 6 months later, respectively. Higher stages of readiness to quit were associated with high motivation to quit smoking (ORa=1.98; P=0.007), chronic wheezing and real quit attempt duration of ≥ 1 month (ORa=2.35, P=0.020 and ORa=2.15, P=0.003, respectively). Highly motivated smokers (ORa=1.83, P=0.040), who would have changed their favorite pack due to the graphical warnings (ORa=2.11, P=0.010) and who had past quit attempt (ORa=4.39, P<0.001) had more intention to quit in 2 months. Having past quit attempts would increase the intention to quit in 6 months by 7.48 times (ORa=7.48, P=0.007).Significantly higher intentions to quit cigarette smoking were associated with a higher motivation and influenced by shocking images and health related warnings on tobacco boxes. We hope our results will initiate public health educational programs and interventions to surge the intention to quit cigarette smoking as the first step of quitting.
[ { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W4229030230
How has public perception of food safety and health risks changed a year after the pandemic and vaccines roll out?
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[ { "display_name": "Pandemic", "id": "https://openalex.org/C89623803" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Hygiene", "id": "https://openalex.org/C547646559" }, { "display_name": "Food safety", "id": "https://openalex.org/C516717267" }, { "display_name": "Vaccination", "id": "https://openalex.org/C22070199" }, { "display_name": "Risk perception", "id": "https://openalex.org/C163355716" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Perception", "id": "https://openalex.org/C26760741" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Coronavirus disease 2019 (COVID-19)", "id": "https://openalex.org/C3008058167" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Disease", "id": "https://openalex.org/C2779134260" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Infectious disease (medical specialty)", "id": "https://openalex.org/C524204448" }, { "display_name": "Immunology", "id": "https://openalex.org/C203014093" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Neuroscience", "id": "https://openalex.org/C169760540" } ]
[ "Lebanon", "Tunisia", "Jordan" ]
[ "https://openalex.org/W1976212076", "https://openalex.org/W2061141931", "https://openalex.org/W3015595049", "https://openalex.org/W3020309791", "https://openalex.org/W3029529029", "https://openalex.org/W3032937492", "https://openalex.org/W3033728416", "https://openalex.org/W3043337490", "https://openalex.org/W3083946026", "https://openalex.org/W3084457841", "https://openalex.org/W3084829653", "https://openalex.org/W3092074325", "https://openalex.org/W3096753723", "https://openalex.org/W3112473231", "https://openalex.org/W3116432415", "https://openalex.org/W3118455514", "https://openalex.org/W3119527535", "https://openalex.org/W3120830626", "https://openalex.org/W3125518986", "https://openalex.org/W3128121578", "https://openalex.org/W3131356212", "https://openalex.org/W3156243989", "https://openalex.org/W3158137885", "https://openalex.org/W3162775483", "https://openalex.org/W3163578545", "https://openalex.org/W3165225148", "https://openalex.org/W3165881355", "https://openalex.org/W3180893341", "https://openalex.org/W3184375196", "https://openalex.org/W3187429287", "https://openalex.org/W3199716700", "https://openalex.org/W3212487031", "https://openalex.org/W4210806534" ]
https://api.openalex.org/works?filter=cites:W4229030230
The recent coronavirus pandemic (COVID-19) has caused unprecedented turmoil and spurred fears that have profoundly changed the public's social and health behaviours, including the perception of food safety risks. One year after the pandemic and the global vaccination campaign, the public perception of food safety and the changes in their hygiene behaviour, health risks concerns, and trust were studied in Jordan, Lebanon, and Tunisia using a cross-sectional online survey. The results of 538 subjects showed a rise in the frequency of hygiene practices, notably in handwashing. Sixty-four percent of the participants were vaccinated, a proportion made up mainly of the Jordanians and Lebanese. For 66% and 64% of the two population groups, respectively, there were no longer trust concerns about COVID-19 health risks following vaccination, whereas the worries about getting COVID-19 persisted for others. Only 47% of participants trusted eating food prepared by vaccinated food handlers. A great majority of the Tunisians (81%) showed varying degrees of concern about COVID-19 transmission from food and the lowest vaccination rate (33%). The current study demonstrated that the impact of vaccination policy positively affects public perception of food-related risks during the pandemic. On the other hand, 33% of the surveyed Jordanians and Tunisians lost trust in the health authorities' management of the pandemic, and 45% of the Lebanese still don't trust them. Communication strategies on health and food safety with the public still represent a challenge for these and probably other countries in the Middle East and North Africa (MENA). Strategies for building and maintaining public trust are crucial to curb persistent fear of food, hence, avoiding potential stigmatization affecting the food economy by promoting health awareness and positive changes in food safety perceptions for safer practices.
[ { "display_name": "Food Control", "id": "https://openalex.org/S119525064", "type": "journal" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2072840389
Challenges in Planning and Implementing Community‐Based Health Interventions: Training Female Community Health Volunteers with the Bedouin Communities in the Bekaa Valley of Lebanon
[ { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Farah Barbir", "id": "https://openalex.org/A5038923369" } ]
[ { "display_name": "Psychological intervention", "id": "https://openalex.org/C27415008" }, { "display_name": "General partnership", "id": "https://openalex.org/C71750763" }, { "display_name": "Intervention (counseling)", "id": "https://openalex.org/C2780665704" }, { "display_name": "Community health", "id": "https://openalex.org/C2775951005" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Health care", "id": "https://openalex.org/C160735492" }, { "display_name": "Politics", "id": "https://openalex.org/C94625758" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" } ]
[ "Lebanon", "Jordan" ]
[ "https://openalex.org/W1902387819", "https://openalex.org/W1985027047", "https://openalex.org/W1998356114", "https://openalex.org/W2114288056", "https://openalex.org/W2137460360", "https://openalex.org/W2442447140" ]
https://api.openalex.org/works?filter=cites:W2072840389
Community‐based research requires the involvement of both the community and researchers to investigate the influence of existing political, social and structural factors on the health of individuals and communities. In the Bekaa Valley of Lebanon, a community‐based intervention is proposed, as part of an EU INCO DEV‐funded project that aims to assess reproductive health care among Bedouin in Lebanon and Jordan. This intervention intends to train Bedouin community health volunteers (CHVs) to spread reproductive and child health knowledge and awareness among the Bedouin community and link them to the existing primary health care centres. The challenges facing this intervention relate to the existing political atmosphere and the difficult process of building and maintaining a partnership between the research team and the Bedouin. Evidence from the data‐collection phase and the current implementation phase of the Bedouin project has shown that the positive outcomes that result from community‐based interventions can be outweighed by the burden of obstacles and challenges that arise. These have to be carefully anticipated and tackled to guarantee a successful intervention. This paper will explore these obstacles and highlight some recommendations for implementing a community‐based intervention on the basis of our experience with the Bedouin.
[ { "display_name": "International Journal of Migration, Health and Social Care", "id": "https://openalex.org/S116772821", "type": "journal" } ]
https://openalex.org/W3161499792
Burden of oral diseases and impact of protracted displacement: a cross-sectional study on Syrian refugee children in Lebanon
[ { "affiliations": [ { "country": "United Kingdom", "display_name": "Queen Mary University of London", "id": "https://openalex.org/I166337079", "lat": 51.50853, "long": -0.12574, "type": "education" } ], "display_name": "Easter Joury", "id": "https://openalex.org/A5044343106" }, { "affiliations": [ { "country": "United States", "display_name": "University at Buffalo, State University of New York", "id": "https://openalex.org/I63190737", "lat": 42.88645, "long": -78.87837, "type": "education" }, { "country": "Saudi Arabia", "display_name": "Taibah University", "id": "https://openalex.org/I23075662", "lat": 24.4809, "long": 39.544945, "type": "education" } ], "display_name": "Rayan Meer", "id": "https://openalex.org/A5084293814" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Saint Joseph University", "id": "https://openalex.org/I184679254", "lat": 33.89332, "long": 35.50157, "type": "education" } ], "display_name": "Jean Claude Abou Chedid", "id": "https://openalex.org/A5040640130" }, { "affiliations": [ { "country": "United States", "display_name": "University at Buffalo, State University of New York", "id": "https://openalex.org/I63190737", "lat": 42.88645, "long": -78.87837, "type": "education" } ], "display_name": "Othman Shibly", "id": "https://openalex.org/A5038346965" } ]
[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Refugee", "id": "https://openalex.org/C173145845" }, { "display_name": "Oral health", "id": "https://openalex.org/C2992672162" }, { "display_name": "Psychological intervention", "id": "https://openalex.org/C27415008" }, { "display_name": "Displaced person", "id": "https://openalex.org/C104513104" }, { "display_name": "Cross-sectional study", "id": "https://openalex.org/C142052008" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Dentistry", "id": "https://openalex.org/C199343813" }, { "display_name": "Internally displaced person", "id": "https://openalex.org/C13934251" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" }, { "display_name": "History", "id": "https://openalex.org/C95457728" } ]
[ "Lebanon", "Syria" ]
[ "https://openalex.org/W1551520488", "https://openalex.org/W1967652311", "https://openalex.org/W1979188685", "https://openalex.org/W1984507818", "https://openalex.org/W1992378067", "https://openalex.org/W2004332970", "https://openalex.org/W2025336495", "https://openalex.org/W2033916642", "https://openalex.org/W2034377859", "https://openalex.org/W2068840064", "https://openalex.org/W2084365869", "https://openalex.org/W2107971163", "https://openalex.org/W2112899424", "https://openalex.org/W2123109376", "https://openalex.org/W2134271874", "https://openalex.org/W2146518572", "https://openalex.org/W2154733305", "https://openalex.org/W2306136881", "https://openalex.org/W2411664894", "https://openalex.org/W2414668199", "https://openalex.org/W2624202835", "https://openalex.org/W2773988687", "https://openalex.org/W2921294210", "https://openalex.org/W4255682491" ]
https://api.openalex.org/works?filter=cites:W3161499792
Introduction Very little is known about the burden of childhood oral diseases in protracted humanitarian settings. Aim This study aimed to assess the prevalence of oral diseases in Syrian refugee children living in Lebanon and to investigate their relationship with the duration of displacement. Methods Data from Miles for Smiles programme for Syrian refugee schoolchildren in Bekaa/Lebanon were used (n = 823). A dental examination was performed to assess the presence of dental caries and abscess. A clinical form was used to collect data on the presence, intensity and duration of dental pain. Results The majority (90%) had dental caries, 57% had dental pain (of which 55% had moderate/severe pain and 38% had pain for more than a month) and 9% had dental abscess. After adjusting for age and gender, children in protracted displacement were significantly more likely to have a higher number of decayed teeth compared to their counterparts who had been displaced for less than five years (RR = 1.19; 95% CI = 1.09-1.29; P <0.001). Conclusions The burden of oral diseases in Syrian refugee children living in Lebanon was high, particularly among those living in a protracted situation. There is a need for evidence-based effective public health interventions to improve this population's oral health.
[ { "display_name": "British Dental Journal", "id": "https://openalex.org/S176204532", "type": "journal" }, { "display_name": "Queen Mary Research Online (Queen Mary University of London)", "id": "https://openalex.org/S4306400530", "type": "repository" } ]
https://openalex.org/W3182140293
Novel Insights into Young Adults’ Perceived Effectiveness of Waterpipe Tobacco-Specific Pictorial Health Warning Labels in Lebanon: Implications for Tobacco Control Policy
[ { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Rima Nakkash", "id": "https://openalex.org/A5025685233" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Malak Tleis", "id": "https://openalex.org/A5074691729" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Sara Chehab", "id": "https://openalex.org/A5004181312" }, { "affiliations": [ { "country": "United States", "display_name": "Florida International University", "id": "https://openalex.org/I19700959", "lat": 25.77427, "long": -80.19366, "type": "education" } ], "display_name": "Wensong Wu", "id": "https://openalex.org/A5032756396" }, { "affiliations": [ { "country": "United States", "display_name": "University of Memphis", "id": "https://openalex.org/I94658018", "lat": 35.14953, "long": -90.04898, "type": "education" } ], "display_name": "Michael Schmidt", "id": "https://openalex.org/A5001244547" }, { "affiliations": [ { "country": "United States", "display_name": "University of Memphis", "id": "https://openalex.org/I94658018", "lat": 35.14953, "long": -90.04898, "type": "education" } ], "display_name": "Kenneth D. Ward", "id": "https://openalex.org/A5081673186" }, { "affiliations": [ { "country": "United States", "display_name": "Florida International University", "id": "https://openalex.org/I19700959", "lat": 25.77427, "long": -80.19366, "type": "education" }, { "country": "Syria", "display_name": "Syrian Center for Tobacco Studies", "id": "https://openalex.org/I4210139754", "lat": 36.203304, "long": 37.138275, "type": "other" } ], "display_name": "Wasim Maziak", "id": "https://openalex.org/A5091313655" }, { "affiliations": [ { "country": "Syria", "display_name": "Syrian Center for Tobacco Studies", "id": "https://openalex.org/I4210139754", "lat": 36.203304, "long": 37.138275, "type": "other" }, { "country": "United States", "display_name": "Sylvester Comprehensive Cancer Center", "id": "https://openalex.org/I4210157065", "lat": 25.77427, "long": -80.19366, "type": "healthcare" }, { "country": "United States", "display_name": "University of Miami", "id": "https://openalex.org/I145608581", "lat": 25.72149, "long": -80.26838, "type": "education" } ], "display_name": "Taghrid Asfar", "id": "https://openalex.org/A5068419548" } ]
[ { "display_name": "Harm", "id": "https://openalex.org/C2777363581" }, { "display_name": "Tobacco control", "id": "https://openalex.org/C2780832096" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Packaging and labeling", "id": "https://openalex.org/C141971597" }, { "display_name": "Tobacco smoke", "id": "https://openalex.org/C2778355491" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Social psychology", "id": "https://openalex.org/C77805123" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Mechanical engineering", "id": "https://openalex.org/C78519656" }, { "display_name": "Engineering", "id": "https://openalex.org/C127413603" } ]
[ "Lebanon" ]
[ "https://openalex.org/W1566158493", "https://openalex.org/W1914926846", "https://openalex.org/W1964676385", "https://openalex.org/W1970785866", "https://openalex.org/W2012156065", "https://openalex.org/W2017785078", "https://openalex.org/W2100156519", "https://openalex.org/W2112901048", "https://openalex.org/W2115400118", "https://openalex.org/W2126304455", "https://openalex.org/W2126439676", "https://openalex.org/W2133098281", "https://openalex.org/W2135944291", "https://openalex.org/W2155275830", "https://openalex.org/W2166037604", "https://openalex.org/W2263613701", "https://openalex.org/W2288050302", "https://openalex.org/W2299520401", "https://openalex.org/W2514665818", "https://openalex.org/W2791876012", "https://openalex.org/W2795633376", "https://openalex.org/W2901145893", "https://openalex.org/W2902359582", "https://openalex.org/W2914170920", "https://openalex.org/W2964932401", "https://openalex.org/W3177211179" ]
https://api.openalex.org/works?filter=cites:W3182140293
This study aims to explore the perceived effectiveness of waterpipe (WP) tobacco specific health warning labels (HWLs) among young adult WP smokers and nonsmokers in Lebanon. Before participating in focus group discussions, participants (n = 66; WP smokers n = 30; nonsmokers n = 36; age 18–33) completed a brief survey to rate the effectiveness of 12 HWLs’ and rank them according to four risk themes (WP health effects, WP harm to others, WP-specific harm, and WP harm compared to cigarettes). Differences in HWLs ratings by WP smoking status were examined and the top-ranked HWL in each theme were identified. HWLs depicting mouth cancer and harm to babies were rated as the most effective by both WP smokers and non-smokers. WP smokers rated HWLs which depicted harm to children and infants as more effective than non-smokers. The top-ranked HWLs for perceived overall effectiveness were those depicting “oral cancer”, “harm to babies”, “orally transmitted diseases” and “mouth cancer”. HWLs depicting oral lesions and harm to babies were rated as most effective, while HWLs showing the harmful effects of WP secondhand smoke on infants and children were rated as less effective by nonsmokers compared to smokers. Our study provides evidence on the potential effectiveness of HWLs for further evaluation in Lebanon and the Eastern Mediterranean region. The results will inform and guide the development and implementation of tobacco control policy.
[ { "display_name": "International Journal of Environmental Research and Public Health", "id": "https://openalex.org/S15239247", "type": "journal" }, { "display_name": "Florida International University Digital Commons (Florida International University)", "id": "https://openalex.org/S4306401637", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2559748254
Health Knowledge, Attitudes, Practices, and Beliefs of Lebanese and Palestinian School Children in Lebanon
[ { "affiliations": [], "display_name": "Hanin Fuddah", "id": "https://openalex.org/A5036873264" }, { "affiliations": [], "display_name": "Samar Zeitoun", "id": "https://openalex.org/A5031877669" } ]
[ { "display_name": "Focus group", "id": "https://openalex.org/C56995899" }, { "display_name": "Curriculum", "id": "https://openalex.org/C47177190" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Feeling", "id": "https://openalex.org/C122980154" }, { "display_name": "Medical education", "id": "https://openalex.org/C509550671" }, { "display_name": "Content analysis", "id": "https://openalex.org/C162446236" }, { "display_name": "Qualitative research", "id": "https://openalex.org/C190248442" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Social psychology", "id": "https://openalex.org/C77805123" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Pedagogy", "id": "https://openalex.org/C19417346" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Social science", "id": "https://openalex.org/C36289849" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Anthropology", "id": "https://openalex.org/C19165224" } ]
[ "Lebanon" ]
[ "https://openalex.org/W2013467115", "https://openalex.org/W2118801619", "https://openalex.org/W2141937714", "https://openalex.org/W2161563429", "https://openalex.org/W2409330545" ]
https://api.openalex.org/works?filter=cites:W2559748254
The indicators for health risk factors among school children in Lebanon associated with increased mortality and morbidity were higher than the global percentage based on WHO (2014) statistics. Knowing that the Ministry of Education in Lebanon has been trying to include health education in the national school curriculum since the last reform in 1997, this qualitative exploratory study analyzed the students’ arguments resulting from focus group discussions to identify their level of knowledge, attitudes and perceptions and to provide suggestions for improving the national textbooks and teaching practices. Data were collected through focus group discussions with grade 5 students in 2 schools: Lebanese public school and UNRWA Palestinian School. The content analysis technique was used to perform the analysis and interpretation of data. Data was coded based on criteria from the Rational Model as well as the Health Belief Model. The study found, among other things, that students in both schools acquired the knowledge present in the textbooks about the benefits of balanced nutrition but they gave inaccurate and incomplete justifications with no scientific reasoning. Regarding attitudes, they show negative attitudes toward prefer unhealthy food over healthy ones. Some of their practices were healthy but unhealthy snacks, skipping breakfast, drinking big amounts of soft drinks were prevalent. The arguments of the students in both schools also showed some social related practices as related to the opinions, behavior, advice, and support of the people surrounding students influence their feelings and behavior, and the students have a reciprocal effect on those people.
[ { "display_name": "Journal of Education and Learning", "id": "https://openalex.org/S2738741272", "type": "journal" } ]
https://openalex.org/W4213178659
Prevalence of Accident Occurrence Among Scientific Laboratory Workers of the Public University in Lebanon and the Impact of Safety Measures
[ { "affiliations": [ { "country": "Lebanon", "display_name": "Rafik Hariri University", "id": "https://openalex.org/I4210106106", "lat": 33.709774, "long": 35.454536, "type": "education" }, { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Inaam Nasrallah", "id": "https://openalex.org/A5034570159" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" }, { "country": "Lebanon", "display_name": "Rafik Hariri University", "id": "https://openalex.org/I4210106106", "lat": 33.709774, "long": 35.454536, "type": "education" } ], "display_name": "Assem Khalil El Kak", "id": "https://openalex.org/A5006493252" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Rafik Hariri University", "id": "https://openalex.org/I4210106106", "lat": 33.709774, "long": 35.454536, "type": "education" }, { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Lina Ismaiil", "id": "https://openalex.org/A5066777803" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Rihab Nasr", "id": "https://openalex.org/A5088444923" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" }, { "country": "Lebanon", "display_name": "Rafik Hariri University", "id": "https://openalex.org/I4210106106", "lat": 33.709774, "long": 35.454536, "type": "education" } ], "display_name": "Wafa Bawab", "id": "https://openalex.org/A5081980400" } ]
[ { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Occupational safety and health", "id": "https://openalex.org/C187155963" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Laboratory safety", "id": "https://openalex.org/C2781151872" }, { "display_name": "Injury prevention", "id": "https://openalex.org/C190385971" }, { "display_name": "Suicide prevention", "id": "https://openalex.org/C526869908" }, { "display_name": "Human factors and ergonomics", "id": "https://openalex.org/C166735990" }, { "display_name": "Hazardous waste", "id": "https://openalex.org/C22507642" }, { "display_name": "Poison control", "id": "https://openalex.org/C3017944768" }, { "display_name": "Medical emergency", "id": "https://openalex.org/C545542383" }, { "display_name": "Engineering", "id": "https://openalex.org/C127413603" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Nuclear medicine", "id": "https://openalex.org/C2989005" }, { "display_name": "Waste management", "id": "https://openalex.org/C548081761" } ]
[ "Lebanon" ]
[ "https://openalex.org/W117827037", "https://openalex.org/W325775621", "https://openalex.org/W1912752436", "https://openalex.org/W1982112185", "https://openalex.org/W1990807664", "https://openalex.org/W2006083584", "https://openalex.org/W2030367888", "https://openalex.org/W2056832959", "https://openalex.org/W2081073668", "https://openalex.org/W2087879828", "https://openalex.org/W2111942718", "https://openalex.org/W2127717201", "https://openalex.org/W2146618066", "https://openalex.org/W2148136153", "https://openalex.org/W2522345258", "https://openalex.org/W2552022707", "https://openalex.org/W2603540778", "https://openalex.org/W2714788776", "https://openalex.org/W2733913620", "https://openalex.org/W2768014157", "https://openalex.org/W2804879329", "https://openalex.org/W2884741161", "https://openalex.org/W2911413992", "https://openalex.org/W2936279106", "https://openalex.org/W2958091744", "https://openalex.org/W2986905106", "https://openalex.org/W3034275809" ]
https://api.openalex.org/works?filter=cites:W4213178659
Workers are exposed to several risks in academic laboratories due to the presence of potentially hazardous substances. The main objective of this study was to assess the prevalence of accident occurrence and associated risk factors among laboratory workers at the scientific laboratories of the public university in Lebanon and the impact of safety measures training and availability. In this observational study, a survey was conducted for one year in scientific laboratories at faculties of the public university. Among the participants (N = 220), 45.0% have had accidents; the main cause was exposure to chemicals (73.7%) and more specifically by inhalation (45.4%). Females (85.9%) were more exposed to accidents than males. Laboratory workers with a master's degree, a full-time schedule, and more than ten years of experience were significantly more exposed to accidents (p < 0.05). A significant association was found between accident occurrence and training on management of hazardous products (p = 0.044), risks related to workplace (p = 0.030), eyewash and emergency shower (p < 0.001), first aid (p = 0.012), and facial protection availability (p = 0.019). In spite of the lack of safety culture and efficient training on laboratory safety, participants have shown a very good perception regarding safety measures to be applied in case of work accidents. Based on our findings, the prevalence of accident occurrence is elevated among lab workers at the public university. The impact of regular training on laboratory safety preventive measures is of great importance to ensure the efficiency of occupational health and safety in scientific laboratories.
[ { "display_name": "Safety and Health at Work", "id": "https://openalex.org/S2765035337", "type": "journal" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2517850779
Ethiopian-Israeli community: Table 1
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[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Government (linguistics)", "id": "https://openalex.org/C2778137410" }, { "display_name": "Immigration", "id": "https://openalex.org/C70036468" }, { "display_name": "Judaism", "id": "https://openalex.org/C150152722" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Context (archaeology)", "id": "https://openalex.org/C2779343474" }, { "display_name": "Health care", "id": "https://openalex.org/C160735492" }, { "display_name": "Empowerment", "id": "https://openalex.org/C20555606" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Biopsychosocial model", "id": "https://openalex.org/C137886200" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "History", "id": "https://openalex.org/C95457728" }, { "display_name": "Philosophy", "id": "https://openalex.org/C138885662" }, { "display_name": "Linguistics", "id": "https://openalex.org/C41895202" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" } ]
[ "Lebanon", "Israel" ]
[ "https://openalex.org/W17830984", "https://openalex.org/W1992082590", "https://openalex.org/W2087785118", "https://openalex.org/W2115935174", "https://openalex.org/W2254482431" ]
https://api.openalex.org/works?filter=cites:W2517850779
The Ethiopian-Jewish community in Israel is an immigrant population numbering 131 400 as of 2012. Many arrived from 1980 to 1992 by airborne operations coordinated by the Israeli government. Immigration was prompted by Israeli recognition of the community's Jewish citizenship eligibility status. This period in Israel's history saw the First Lebanon War, the First Intifada, the Gulf War and the beginning of Soviet Jewish immigration. The Ethiopian community faced difficult integration, cross-cultural misunderstandings and the development of chronic disease, due to lifestyle changes and differences in cultural beliefs. These factors significantly affect the community's health. Governmental and non-governmental organisations have sought to improve the quality of life for Ethiopian Israelis through empowerment and education. Enhancing societal integration, augmenting cross-cultural communication and understanding and instituting community-based health projects are essential in improving the health of this community. Successful healthcare intervention requires a biopsychosocial model of analysis and usage of a culturally appropriate context.
[ { "display_name": "Case Reports", "id": "https://openalex.org/S141953298", "type": "journal" }, { "display_name": "Europe PMC (PubMed Central)", "id": "https://openalex.org/S4306400806", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]