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BMC Public Health

Matthew J Mimiaga, Beena Thomas, Kenneth H Mayer, Kristen S Regenauer, Alpana Dange, C Andres Bedoya, Shruta Rawat, Vinoth Balu, Conall O'Cleirigh, Katie B Biello, Vivek Anand, Soumya Swaminathan, Steven A Safren
BACKGROUND: Men who have sex with men (MSM) in India are a key group at risk for HIV acquisition and transmission. They are also an extremely marginalized and stigmatized population, facing immense psychosocial stressors including, but not limited to, stigma, homophobia, discrimination, criminalization, low self-esteem, low self-acceptance, distress, and, as a result, high rates of mental health problems. Although these multi-level psychosocial problems may put MSM at high risk for HIV acquisition and transmission, currently HIV prevention interventions in India do not address them...
July 18, 2018: BMC Public Health
Elias Merdassa Roro, Mitike Molla Sisay, Lynn M Sibley
BACKGROUND: Statistics indicate that Ethiopia has made remarkable progress in reducing child mortality. It is however estimated that there is high rate of perinatal mortality although there is scarcity of data due to a lack of vital registration in the country. This study was conducted with the purpose of assessing the determinants and causes of perinatal mortality among babies born from cohorts of pregnant women in three selected districts of North Showa Zone, Oromia Region, Ethiopia...
July 18, 2018: BMC Public Health
Sara S Shagiwal, Astrid Schop-Etman, Iris Bergwerff, Wil Vrencken, Semiha Denktaş
BACKGROUND: Compared to higher socioeconomic status (SES) groups, those in lower SES groups are financially strained, experience higher rates of smoking-related morbidity, are in poorer health and have reduced life expectancy. This is especially true for the city of Rotterdam, where a large inequality in health is observed between low and high SES groups. The BeHealthyR study (Dutch: Grip en Gezondheid) is a randomized controlled trial (RCT) which will evaluate the impact of a theory-based multicomponent behavior intervention aiming to reduce stress, smoking, and improve financial health by means of a group-based stress management program combining cognitive and behavioral techniques, and nudges in low-SES residents living in Rotterdam...
July 18, 2018: BMC Public Health
Sandra Mudhune, Sydney Chauwa Phiri, Marta R Prescott, Elizabeth A McCarthy, Aaron Banda, Prudence Haimbe, Francis Dien Mwansa, Angel Mwiche, Francis Bwalya, Micheck Kabamba, Hilda Shakwelele, Margaret L Prust
BACKGROUND: A strong evidence base exists regarding routine and emergency services that can effectively prevent or reduce maternal and new-born mortality. However, even when skilled providers care for women in labour, many of the recommended services are not provided, despite being available. Barriers to the provision of appropriate childbirth services may include lack of availability of supplies, limited health worker knowledge and confidence, or inadequate time. The WHO Safe Childbirth Checklist (SCC) includes reminders for evidenced-based practices at specific points in the childbirth process...
July 18, 2018: BMC Public Health
Elisabeth Björk Brämberg, Kristina Holmgren, Ute Bültmann, Hanna Gyllensten, Jan Hagberg, Lars Sandman, Gunnar Bergström
BACKGROUND: Common mental disorders affect about one-third of the European working-age population and are one of the leading causes of sick leave in Sweden and other OECD countries. Besides the individual suffering, the costs for society are high. This paper describes the design of a study to evaluate a work-related, problem-solving intervention provided at primary health care centers for employees on sick leave due to common mental disorders. METHODS: The study has a two-armed cluster randomized design in which the participating rehabilitation coordinators are randomized into delivering the intervention or providing care-as-usual...
July 18, 2018: BMC Public Health
Eleanore D Sternberg, Jackie Cook, Ludovic P Ahoua Alou, Carine J Aoura, Serge Brice Assi, Dimi Théodore Doudou, A Alphonsine Koffi, Raphael N'Guessan, Welbeck A Oumbouke, Rachel A Smith, Eve Worrall, Immo Kleinschmidt, Matthew B Thomas
BACKGROUND: Access to long-lasting insecticidal nets (LLINs) has increased and malaria has decreased globally, but malaria transmission remains high in parts of sub-Saharan Africa and insecticide resistance threatens current progress. Eave tubes are a new tool for the targeted delivery of insecticides against mosquitoes attempting to enter houses. The primary objective of this trial is to test whether screening plus eave tubes (SET) provides protection against malaria, on top of universal coverage with LLINs in an area of intense pyrethroid resistance...
July 18, 2018: BMC Public Health
T Mora, M Trapero-Bertran
BACKGROUND: In order to enhance childhood vaccination uptake and the health consequences for the whole society, there is a need to study predictors that might help in understanding parents' behaviour in relation to childhood vaccination schemes. The aim of this paper is to assess whether parental education has an influence on their children's public health-care use in terms of visits for vaccinations, and thus evaluate whether more educated parents use public health resources more frequently in childhood immunization schedules...
July 18, 2018: BMC Public Health
J T Harvey, M J Charity, N A Sawyer, R M Eime
BACKGROUND: An estimate of the prevalence of an activity derived from a sample survey is potentially subject to non-response bias, whereby people not involved in the activity are less likely to respond than those involved. Quantifying the extent of non-response bias is generally difficult, since it involves estimating differences between respondents for whom data is directly available from the survey, and non-respondents, for whom data is generally not directly or readily available. However, in the case of the Australian Exercise Recreation and Sport Survey (ERASS), comparative "gold standard" benchmarks exist for some aspects of the survey, in the form of state sporting association (SSA) registration databases, each of which purports to constitute a complete enumeration of club-based players of a particular sport...
July 18, 2018: BMC Public Health
Hendrew Lusey, Miguel San Sebastian, Monica Christianson, Kerstin E Edin
BACKGROUND: Prolonged political instability may have exacerbated gender inequitable beliefs in the Democratic Republic of Congo (DRC). The aim of this study was to assess attitudes related to gender-equitable norms and its determinants among young, church-going women and men in Kinshasa, DRC. METHOD: Data were collected through a cross-sectional survey with 291 church-going women and 289 men aged 18-24 years old, residing in three disadvantaged communes of Kinshasa...
July 17, 2018: BMC Public Health
Van Kinh Nguyen, Rafael Mikolajczyk, Esteban Abelardo Hernandez-Vargas
BACKGROUND: Recent epidemics have entailed global discussions on revamping epidemic control and prevention approaches. A general consensus is that all sources of data should be embraced to improve epidemic preparedness. As a disease transmission is inherently governed by individual-level responses, pathogen dynamics within infected hosts posit high potentials to inform population-level phenomena. We propose a multiscale approach showing that individual dynamics were able to reproduce population-level observations...
July 17, 2018: BMC Public Health
Cornelia Betsch, Constanze Rossmann, Mathias W Pletz, Horst C Vollmar, Antje Freytag, Ole Wichmann, Regina Hanke, Wolfgang Hanke, Dorothee Heinemeier, Philipp Schmid, Sarah Eitze, Winja Weber, Anne Reinhardt, Nora K Küpke, Christina Forstner, Carolin Fleischmann-Struzek, Anna Mikolajetz, Josephine Römhild, Julia Neufeind, Thorsten Rieck, Kasia Suchecka, Konrad Reinhart
BACKGROUND: Influenza and pneumococcal vaccination can prevent disease and potentially life-threatening complications like sepsis. Elderly people have an increased risk of severe disease and therefore constitute a major target group for vaccination. To increase vaccination coverage, targeted interventions are needed that take theory-based specific determinants of vaccination behaviour into account. Moreover, message and campaign design should consider specific age-related characteristics (e...
July 16, 2018: BMC Public Health
Fatch W Kalembo, Garth E Kendall, Mohammed Ali, Angela F Chimwaza, Mary M Tallon
BACKGROUND: The World Health Organisation has recommended that healthcare workers, teachers and community leaders work with parents to support children living with HIV. The aim of this study was to assess the perceptions and experiences of primary caregivers and other care providers such as healthcare workers, teachers, and community leaders regarding their involvement, practice and challenges of HIV disclosure to children aged between 6 and 12 years living with HIV in Malawi. METHODS: Twelve focus group discussions and 19 one-on-one interviews involving a total of 106 participants were conducted in all three administrative regions of Malawi...
July 16, 2018: BMC Public Health
Li Liu, Peiyao Xu, Kexin Zhou, Jiayu Xue, Hui Wu
BACKGROUND: Fatigue is highly prevalent among doctors worldwide. However, no research has been done to examine the associations of emotional intelligence (EI) and emotional labor strategy with fatigue among Chinese doctors. This study aimed to examine whether or not emotional labor strategy mediates the association between EI and fatigue in this occupational group. METHODS: A cross-sectional study was conducted in Shenyang from March to April 2014. A set of self-administered questionnaires was distributed to 950 doctors, including Chalder Fatigue Scale (CFS), Wong and Law Emotional Intelligence Scale (WLEIS) and a 14-item emotional labor scale...
July 16, 2018: BMC Public Health
Yue Wu, Wanyue Dong, Yongjian Xu, Xiaojing Fan, Min Su, Jianmin Gao, Zhongliang Zhou, Louis Niessen, Yiyang Wang, Xiao Wang
BACKGROUND: Although the awareness of mental health problems in late life is rising, the association between financial transfers to the older generations from children and mental health at older ages in China has received little attention. This study examines the association between financial transfers from children and depressive symptoms among the mid-aged and elderly residents (from 45 years of age and older) in China. METHODS: We used the data from the China Health and Retirement Longitudinal Study (CHARLS, 2013) (n = 10,935) This included data on financial transfers from all non-co-resident children to their parents, and the individual scores on depressive symptoms as measured by the 10-item Center for Epidemiologic Studies-Depression Scale (CESD-10)...
July 16, 2018: BMC Public Health
Deborah J Bowen, Lisa M Quintiliani, Sarah Gees Bhosrekar, Rachel Goodman, Eugenia Smith
BACKGROUND: Public housing residents face significant social, economic, and physical barriers to the practice of health behaviors for prevention of chronic disease. Research shows that public housing residents are more likely to report higher rates of obesity, current smoking, disability, and insufficient physical activity compared to individuals not living in public housing. Because these behaviors and conditions may be shaped by the built and social environments in which they live, we conducted a study to test an environmental level diet and physical activity intervention targeting obesity among urban public housing developments...
July 16, 2018: BMC Public Health
Anna Ek, Christina Alexandrou, Christine Delisle Nyström, Artur Direito, Ulf Eriksson, Ulf Hammar, Pontus Henriksson, Ralph Maddison, Ylva Trolle Lagerros, Marie Löf
BACKGROUND: The global pandemic of physical inactivity represents a considerable public health challenge. Active transportation (i.e., walking or cycling for transport) can contribute to greater total physical activity levels. Mobile phone-based programs can promote behaviour change, but no study has evaluated whether such a program can promote active transportation in adults. This study protocol presents the design and methodology of The Smart City Active Mobile Phone Intervention (SCAMPI), a randomised controlled trial to promote active transportation via a smartphone application (app) with the aim to increase physical activity...
July 16, 2018: BMC Public Health
Annalisa Saracino, Mauro Zaccarelli, Patrizia Lorenzini, Alessandra Bandera, Giulia Marchetti, Francesco Castelli, Andrea Gori, Enrico Girardi, Cristina Mussini, Paolo Bonfanti, Adriana Ammassari, Antonella d'Arminio Monforte
BACKGROUND: Social determinants are known to be a driving force of health inequalities, even in high income countries. Aim of our study was to determine if these factors can limit antiretroviral therapy (ART) access, outcome and retention in care of people living with HIV (PLHIV) in Italy. METHODS: All ART naïve HIV+ patients (pts) of Italian nationality enrolled in the ICONA Cohort from 2002 to 2016 were included. The association of socio-demographic characteristics (age, sex, risk factor for HIV infection, educational level, occupational status and residency area) with time to: ART initiation (from the first positive anti-HIV test), ART regimen discontinuation, and first HIV-RNA < 50 cp/mL, were evaluated by Cox regression analysis, Kaplan Meier method and log-rank test...
July 13, 2018: BMC Public Health
Edurne Zabaleta-Del-Olmo, Haizea Pombo, Mariona Pons-Vigués, Marc Casajuana-Closas, Enriqueta Pujol-Ribera, Tomás López-Jiménez, Carmen Cabezas-Peña, Carme Martín-Borràs, Antoni Serrano-Blanco, Maria Rubio-Valera, Joan Llobera, Alfonso Leiva, Clara Vidal, Manuel Campiñez, Remedios Martín-Álvarez, José-Ángel Maderuelo, José-Ignacio Recio, Luis García-Ortiz, Emma Motrico, Juan-Ángel Bellón, Patricia Moreno-Peral, Carlos Martín-Cantera, Ana Clavería, Susana Aldecoa-Landesa, Rosa Magallón-Botaya, Bonaventura Bolíbar
BACKGROUND: Health promotion is a key process of current health systems. Primary Health Care (PHC) is the ideal setting for health promotion but multifaceted barriers make its integration difficult in the usual care. The majority of the adult population engages two or more risk behaviours, that is why a multiple intervention might be more effective and efficient. The primary objectives are to evaluate the effectiveness, the cost-effectiveness and an implementation strategy of a complex multiple risk intervention to promote healthy behaviours in people between 45 to 75 years attended in PHC...
July 13, 2018: BMC Public Health
Jonathan M Grund, Candice M Chetty-Makkan, Sibuse Ginindza, Reuben Munyai, Helen Kisbey-Green, Mpho Maraisane, Salome Charalambous
BACKGROUND: South Africa introduced medical male circumcision (MMC) to reduce HIV incidence. Mathematical modeling suggested that targeting MMC services to men aged 20-34 years could provide the most immediate impact on HIV incidence. However the majority of MMCs performed have been among males aged ≤25 years. We evaluated an intervention package to increase MMC uptake among men aged 25-49 years. METHODS: We conducted a pre-post study to compare the proportion of men (aged 25-49 years) presenting for MMC during the formative (Phase 1) and intervention (Phase 2) phases in Ekurhuleni, Johannesburg, South Africa...
July 13, 2018: BMC Public Health
Devlon N Jackson, Susan Passmore, Craig S Fryer, Jie Chen, Dushanka V Kleinman, Alice M Horowitz, James Butler, Mary A Garza, Sandra C Quinn, Stephen B Thomas
BACKGROUND: Mission of Mercy (MOM) emergency dental clinics are a resource for populations lacking access to dental care. We designed a MOM event incorporating health equity components with established community partners who shared a common vision of addressing the oral health, physical health, and social service needs of Maryland and Washington, DC area residents. Although studies have explored associations between oral and chronic health conditions, few studies to our knowledge have examined the relationship between these conditions and receipt of dental services...
July 13, 2018: BMC Public Health
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