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https://www.readbyqxmd.com/read/28545743/tdap-vaccination-among-healthcare-personnel-internet-panel-survey-2012-2014
#1
Anup Srivastav, Carla L Black, Peng-Jun Lu, Jun Zhang, Jennifer L Liang, Stacie M Greby
INTRODUCTION: Healthcare personnel (HCP) are at risk for pertussis infection exposure or transmitting the disease to patients in their work settings. The Advisory Committee on Immunization Practices recommends tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccination for HCP to minimize these risks. This study assessed Tdap vaccination coverage among U.S. HCP by sociodemographic and occupation-related characteristics. METHODS: The 2012, 2013, and 2014 Internet Panel Surveys were analyzed in 2015 to assess HCP Tdap vaccination...
May 23, 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/28544421/japan-s-115-year-trend-of-inter-prefectural-disparities-in-under-five-mortality
#2
Chie Nagata, Akinori Moriichi, Naho Morisaki, Ruoyan Gai-Tobe, Akira Ishiguro, Rintaro Mori
BACKGROUND: Child poverty is a growing, serious issue in Japan, where various social disparities are widening. Numerous reports have focused on the relationship between social inequity and health. However, few studies have assessed how the overall magnitude of disparities in child health has changed over the course of drastic social and economic transitions from 1899 to more recent times. In this study, we assessed the trend of the under-five mortality rate (U5MR) and its inter-prefectural disparities in Japan...
May 23, 2017: Pediatrics International: Official Journal of the Japan Pediatric Society
https://www.readbyqxmd.com/read/28544416/global-analysis-of-strategies-to-tackle-antimicrobial-resistance
#3
Funke Adeniji
BACKGROUND: Antimicrobial resistance (AMR) is a global public health issue driven by inappropriate use of antimicrobials resulting in decreased efficacy on the background of an extremely limited pipeline for new antibiotics. We sought to analyse the effectiveness of key policies and strategies in tackling AMR globally and identify gaps in these. METHOD: The scope, magnitude, history and drivers of AMR were reviewed using supporting evidence. Our methodology included a literature review and semi-structured survey, whilst the analyses process was guided by an adapted health policy analyses framework...
May 22, 2017: International Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/28542578/illness-experiences-of-diabetes-in-the-context-of-malaria-in-settings-experiencing-double-burden-of-disease-in-southeastern-tanzania
#4
Emmy Metta, Ajay Bailey, Flora Kessy, Eveline Geubbels, Hinke Haisma
BACKGROUND: Tanzania is doubly burdened with both non-communicable and infectious diseases, but information on how Tanzanians experience the co-existence of these conditions is limited. Using Kleinman's eight prompting questions the study synthesizes explanatory models from patients to describe common illness experiences of diabetes in a rural setting where malaria is the predominant health threat. METHODS: We conducted 17 focus group discussions with adult members of the general community, diabetes patients, neighbours and relatives of diabetes patients to gain insight into shared experiences...
2017: PloS One
https://www.readbyqxmd.com/read/28542225/the-impact-of-health-promotion-on-trachoma-knowledge-attitudes-and-practice-kap-of-staff-in-three-work-settings-in-remote-indigenous-communities-in-the-northern-territory
#5
Fiona D Lange, Kelly Jones, Rebecca Ritte, Haley E Brown, Hugh R Taylor
BACKGROUND: Globally, trachoma is the leading cause of infectious blindness and Australia is the only developed country with endemic trachoma. It is found in remote Indigenous communities burdened with poverty, overcrowding and poor hygiene. Lack of culturally appropriate health promotion, a small trachoma workforce and lack of awareness and support for trachoma elimination in general, were early barriers. METHODS: A cross-sectional pre-post study using a convenience sample, was conducted in clinics, schools and community work-settings from 63 of the 82 remote Aboriginal communities identified as being at risk of trachoma in the Northern Territory (NT)...
May 24, 2017: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/28542064/assessing-community-leadership-understanding-community-capacity-for-health-improvement
#6
Billie Castle, Monica Wendel, Brandy N Kelly Pryor, Monique Ingram
OBJECTIVE: The purpose of this study was to pilot a quantitative instrument to measure aspects of community leadership within an assessment framework. DESIGN: The instrument includes 14 Likert-type questions asking residents how they perceive leaders within 5 sectors: Louisville Metro Council/Mayor's Office, the faith community, education, business, and the civic sector. SETTING: Louisville/Jefferson County, Kentucky, has a population of about 743 000 residents...
July 2017: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/28541750/social-exclusion-in-old-age-a-validation-study-in-hong-kong
#7
Kee-Lee Chou
OBJECTIVES: To validate a measure of social exclusion for older people based on one already in use for the general population. METHODS: A random sample of 2281 older adults (age ranged from 65 to 89; mean age = 74.9; 52.6% females) were successfully interviewed face-to-face at their homes. The structured questionnaire included household income, household expenditure, asset, self-perceived poverty, household composition, socioeconomic characteristics of participants, and a measure of social exclusion...
May 25, 2017: Aging & Mental Health
https://www.readbyqxmd.com/read/28541384/hispanic-segregation-and-poor-health-it-s-not-just-black-and-white
#8
D Phuong Do, Reanne Frank, Cheng Zheng, John Iceland
Despite the importance of understanding the fundamental determinants of Hispanic health, few studies have investigated how metropolitan segregation shapes the health of the fastest growing population in the U.S. Using the 2006-2013 National Health Interview Survey, we 1) examined the relationship between Hispanic metropolitan segregation and respondent-rated health for U.S. and foreign-born Hispanics and 2) assessed whether neighborhood poverty mediates this relationship. Results indicated that segregation has a consistent, detrimental effect on the health of U...
May 24, 2017: American Journal of Epidemiology
https://www.readbyqxmd.com/read/28541062/antisocial-and-human-capital-pathways-to-socioeconomic-exclusion-a-42-year-prospective-study
#9
Jukka Savolainen, W Alex Mason, Anna-Liisa Lyyra, Lea Pulkkinen, Katja Kokko
Nordic welfare states have been very successful at reducing poverty and inequality among their citizens. However, the presence of a strong social safety net in these countries has not solved the problem of socioeconomic exclusion, manifesting in such outcomes as chronic unemployment and welfare dependency. In an effort to understand this phenomenon, the current study builds on the assumption that psychological risk factors emerge as important determinants of socioeconomic disadvantage in an environment where ascribed characteristics have less impact on educational and occupational attainment...
May 25, 2017: Developmental Psychology
https://www.readbyqxmd.com/read/28540336/unmet-primary-care-needs-in-diabetic-patients-with-multimorbidity-in-a-medically-underserved-area
#10
Bianca M Jackson, Mary Lou Gutierrez, George E Relyea, Erik L Carlton, SangNam Ahn, Bonnie L Binkley, James E Bailey
BACKGROUND: Diabetic patients with multimorbidity in medically underserved minority communities are less engaged in primary care and experience high emergency department (ED) utilization. This study assesses unmet primary care needs among diabetic patients in a medically underserved area (MUA). COMMUNITY CONTEXT: A suburb of Memphis-Whitehaven, Tennessee (Shelby County, ZIP codes 38109 and 38116)-majority African American (96.6%) with 30.5% below the poverty level...
January 2017: Health Services Research and Managerial Epidemiology
https://www.readbyqxmd.com/read/28540287/it-s-a-process-reactions-to-hiv-diagnosis-and-engagement-in-hiv-care-among-high-risk-heterosexuals
#11
Alexandra H Kutnick, Marya Viorst Gwadz, Charles M Cleland, Noelle R Leonard, Robert Freeman, Amanda S Ritchie, Talaya McCright-Gill, Kathy Ha, Belkis Y Martinez
After HIV diagnosis, heterosexuals in high-poverty urban areas evidence delays in linkage to care and antiretroviral therapy initiation compared to other groups. Yet barriers to/facilitators of HIV care among these high-risk heterosexuals are understudied. Under the theory of triadic influence, putative barriers to HIV care engagement include individual/attitudinal-level (e.g., fear, medical distrust), social-level (e.g., stigma), and structural-level influences (e.g., poor access). Participants were African-American/Black and Hispanic adults found newly diagnosed with HIV (N = 25) as part of a community-based HIV testing study with heterosexuals in a high-poverty, high-HIV-incidence urban area...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28539384/trump-proposes-slashing-funding-for-medicaid-poverty-programs-and-medical-research
#12
Michael McCarthy
No abstract text is available yet for this article.
May 24, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/28539198/total-usual-intake-of-shortfall-nutrients-varies-with-poverty-among-us-adults
#13
Regan L Bailey, Sharon R Akabas, Erin E Paxson, Sowmyanarayanan V Thuppal, Shilpa Saklani, Katherine L Tucker
OBJECTIVE: To examine shortfall nutrient intakes (ie, calcium, folate, potassium, magnesium, and vitamins A, C, D, and E) by poverty-to-income ratio (PIR). DESIGN: National Health and Nutrition Examination Survey 2011-2012, a nationally representative, cross-sectional survey. PARTICIPANTS: US adults with complete data on poverty status and diet were included (n = 4,524). ANALYSIS: The National Cancer Institute method was used to estimate total usual micronutrient intakes from foods, beverages, medications, and dietary supplements reported on 2 24-hour dietary recalls using measurement error correction...
May 20, 2017: Journal of Nutrition Education and Behavior
https://www.readbyqxmd.com/read/28538914/the-regulation-and-adoption-of-health-technologies-under-brazil-s-unified-health-system-barriers-to-access-to-medicines-for-diseases-of-poverty
#14
Rafael Santos Santana, Evandro de Oliveira Lupatini, Silvana Nair Leite
The study aimed to examine the regulation and adoption of health technologies for the diseases of poverty in the Brazil's Unified Health System (SUS). An exploratory, descriptive study was conducted between January and May 2016 consisting of the search and analysis of relevant documents on the websites of Brazil's National Health Surveillance Agency, the U.S. Food and Drug Administration (FDA), the European Medicines Agency (EMA), the National Commission for the Adoption of Technologies by the SUS, and Saúde Legis (the Ministry of Health's Legislation System)...
May 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28538853/-social-programs-and-reducing-obesity-in-peru-reflections-from-the-research
#15
Francisco Diez-Canseco, Lorena Saavedra-Garcia
In recent decades, overweight or obesity have increased dramatically in middle- and low-income countries; a situation which consolidates chronic non-communicable diseases (NCD) as one of the leading causes of mortality and disability worldwide. Currently, half the people in Peru over the age of 15 years are overweight, and one fifth suffer from obesity. The situation is worsening and increasingly affects people in poverty, who frequently benefit from food supplement programs designed to combat food insecurity and malnutrition...
January 2017: Revista Peruana de Medicina Experimental y Salud Pública
https://www.readbyqxmd.com/read/28537460/beyond-body-mass-index-using-anthropometric-measures-and-body-composition-indicators-to-assess-odds-of-an-endometriosis-diagnosis
#16
Uba Backonja, Mary L Hediger, Zhen Chen, Diane R Lauver, Liping Sun, C Matthew Peterson, Germaine M Buck Louis
BACKGROUND: Body mass index (BMI) and endometriosis have been inversely associated. To address gaps in this research, we examined associations among body composition, endometriosis, and physical activity. MATERIALS AND METHODS: Women from 14 clinical sites in the Salt Lake City, Utah and San Francisco, California areas and scheduled for laparoscopy/laparotomy were recruited during 2007-2009. Participants (N = 473) underwent standardized anthropometric assessments to estimate body composition before surgery...
May 24, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/28535258/invited-commentary-beyond-individuals-area-poverty-and-health-or-the-search-for-an-impactful-epidemiology
#17
Ana V Diez Roux
In this commentary, I reflect on the paper "Poverty and Health: Prospective Evidence From the Alameda County Study" by Haan et al. (Am J Epidemiol. 1987;125(6):989-998), which together with supporting work ushered in a surge of epidemiologic interest in the impact of social contexts on health. I discuss why the paper was influential and how the premise of this type of work influenced theories and methods in epidemiology. The paper is placed in the broader context of the nature of evidence in epidemiology and the ultimate purpose of epidemiologic inquiry...
May 23, 2017: American Journal of Epidemiology
https://www.readbyqxmd.com/read/28533569/the-influence-of-concrete-support-on-child-welfare-program-engagement-progress-and-recurrence
#18
Whitney L Rostad, Tia McGill Rogers, Mark J Chaffin
Families living in poverty are significantly more likely to become involved with child welfare services, and consequently, referred to interventions that target abusive and neglectful parenting practices. Program engagement and retention are difficult to achieve, possibly because of the concrete resource insufficiencies that may have contributed to a family's involvement with services in the first place. Various strategies have been used to enhance program completion, such as motivational interventions, monetary incentives, and financial assistance with concrete needs...
January 2017: Children and Youth Services Review
https://www.readbyqxmd.com/read/28532556/ethical-challenges-in-the-provision-of-dialysis-in-resource-constrained-environments
#19
REVIEW
Valerie A Luyckx, Ingrid Miljeteig, Addisu M Ejigu, M Rafique Moosa
The number of patients requiring dialysis by 2030 is projected to double worldwide, with the largest increase expected in low- and middle-income countries (LMICs). Dialysis is seldom considered a high priority by health care funders, consequently, few LMICs develop policies regarding dialysis allocation. Dialysis facilities may exist, but access remains highly inequitable in LMICs. High out-of-pocket payments make dialysis unsustainable and plunge many families into poverty. Patients, families, and clinicians suffer significant emotional and moral distress from daily life-and-death decisions imposed by dialysis...
May 2017: Seminars in Nephrology
https://www.readbyqxmd.com/read/28532403/assessing-the-impoverishment-effects-of-out-of-pocket-healthcare-payments-prior-to-the-uptake-of-the-national-health-insurance-scheme-in-ghana
#20
James Akazili, John Ele-Ojo Ataguba, Edmund Wedam Kanmiki, John Gyapong, Osman Sankoh, Abraham Oduro, Di McIntyre
BACKGROUND: There is a global concern regarding how households could be protected from relatively large healthcare payments which are a major limitation to accessing healthcare. Such payments also endanger the welfare of households with the potential of moving households into extreme impoverishment. This paper examines the impoverishing effects of out-of-pocket (OOP) healthcare payments in Ghana prior to the introduction of Ghana's national health insurance scheme. METHODS: Data come from the Ghana Living Standard Survey 5 (2005/2006)...
May 22, 2017: BMC International Health and Human Rights
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