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https://www.readbyqxmd.com/read/28087795/who-says-i-do-the-changing-context-of-marriage-and-health-and-quality-of-life-for-lgbt-older-adults
#1
Jayn Goldsen, Amanda E B Bryan, Hyun-Jun Kim, Anna Muraco, Sarah Jen, Karen I Fredriksen-Goldsen
PURPOSE OF THE STUDY: Until recently, lesbian, gay, bisexual, and transgender (LGBT) adults were excluded from full participation in civil marriage. The purpose of this study is to examine how legal marriage and relationship status are associated with health-promoting and at-risk factors, health, and quality of life of LGBT adults aged 50 and older. DESIGN AND METHODS: We utilized weighted survey data from Aging with Pride: National Health, Aging, and Sexuality/Gender Study (NHAS) participants who resided in states with legalized same-sex marriage in 2014 (N = 1,821)...
February 2017: Gerontologist
https://www.readbyqxmd.com/read/28086861/managing-shades-of-grey-a-focus-group-study-exploring-community-dwellers-views-on-advance-care-planning-in-older-people
#2
Natasha Michael, Clare O'Callaghan, Emma Sayers
BACKGROUND: Community-dwelling consumers of healthcare are increasing, many aging with life-limiting conditions and deteriorating cognition. However, few have had advance care planning discussions or completed documentation to ensure future care preferences are acted upon. This study examines the awareness, attitudes, and experiences of advance care planning amongst older people and unrelated offspring/caregivers of older people residing in the community. METHODS: Qualitative descriptive research, which included focus groups with older people (55+ years) and older people's offspring/caregivers living in an Australian city and surrounding rural region...
January 13, 2017: BMC Palliative Care
https://www.readbyqxmd.com/read/28078831/perception-on-the-abortion-laws-in-sri-lanka-a-community-based-study-in-the-city-of-colombo
#3
M S Suranga, K T Silva, L Senanayake
Introduction: Abortion is legally permitted in Sri Lanka, only if it is performed to save the mother’s life. However, it is estimated that a large number of induced abortions take place in Sri Lanka. Knowledge and attitudes towards induced abortion in the society are key issues influencing the policy response towards changes in the law. This study aimed to assess the knowledge and attitudes of adults towards induced abortion in Sri Lanka. Methods: Six Grama Niladhari Divisions (GNDs) and five to eight housing clusters from each GND were selected from Thimbirigasyaya Divisional Secretariat Division using multi stage stratified random sampling...
30, 2016: Ceylon Medical Journal
https://www.readbyqxmd.com/read/28075542/considering-marijuana-legalization-carefully-insights-for-other-jurisdictions-from-analysis-for-vermont
#4
Jonathan P Caulkins, Beau Kilmer
BACKGROUND AND AIMS: In 2014 the legislature of Vermont, USA passed a law requiring the Secretary of Administration to report on the consequences of legalizing marijuana. The RAND Corporation was commissioned to write that report. This paper summarizes insights from that analysis that are germane to other jurisdictions. METHOD: Translation of key findings from the RAND Corporation report to the broader policy debate. RESULTS: Marijuana legalization encompasses a wide range of possible regimes, distinguished along at least four dimensions: which organizations are allowed to produce and supply the drug, the regulations under which they operate, the nature of the products that can be distributed and taxes and prices...
December 2016: Addiction
https://www.readbyqxmd.com/read/28064241/associations-between-racial-discrimination-smoking-during-pregnancy-and-low-birthweight-among-roma
#5
Teresa Janevic, Theresa Osypuk, Kristefer Stojanovski, Janko Jankovic, Daniel Gundersen, Maggie Rogers
BACKGROUND: Racial discrimination may increase the risk of low birthweight (LBW), but has not been studied among Roma, the largest minority population in Europe. Moreover, few studies test both institutional and interpersonal forms of racial discrimination on health. Our objective was to examine associations between institutional and interpersonal racial discrimination with LBW, and to test potential mediation by smoking during pregnancy. METHODS: In 2012-2013, Romani women interviewers surveyed 410 Romani women in Serbia and Macedonia...
January 7, 2017: European Journal of Public Health
https://www.readbyqxmd.com/read/28056726/community-mapping-of-sex-work-criminalization-and-violence-impacts-on-hiv-treatment-interruptions-among-marginalized-women-living-with-hiv-in-vancouver-canada
#6
Shira M Goldenberg, Kathleen Deering, Ofer Amram, Silvia Guillemi, Paul Nguyen, Julio Montaner, Kate Shannon
Despite the high HIV burden faced by sex workers, data on access and retention in antiretroviral therapy (ART) are limited. Using an innovative spatial epidemiological approach, we explored how the social geography of sex work criminalization and violence impacts HIV treatment interruptions among sex workers living with HIV in Vancouver over a 3.5-year period. Drawing upon data from a community-based cohort (AESHA, 2010-2013) and linked external administrative data on ART dispensation, GIS mapping and multivariable logistic regression with generalized estimating equations to prospectively examine the effects of spatial criminalization and violence near women's places of residence on 2-day ART interruptions...
January 1, 2017: International Journal of STD & AIDS
https://www.readbyqxmd.com/read/28003384/shaping-attitudes-of-psychiatry-residents-toward-forensic-patients
#7
Brad D Booth, Eric Mikhail, Susan Curry, J Paul Fedoroff
With increasing criminalization of the mentally ill, individuals with mental disorders more frequently come into contact with the legal system. Psychiatrists may find themselves evaluating these individuals in a forensic context or treating them. Unfortunately, resident trainees and psychiatrists may be uncomfortable with forensic matters and treating patients with medicolegal problems. To clarify the attitudes and experience of Canadian psychiatry trainees, attendees at a national psychiatry review course were polled...
December 2016: Journal of the American Academy of Psychiatry and the Law
https://www.readbyqxmd.com/read/27995269/-new-legal-regulations-for-palliative-care-with-implications-for-politics-and-practice
#8
Heiner Melching
In December 2015 two different laws were adopted. Both are of importance for palliative care. One of the laws criminalizes commercial, "business-like" assisted suicide (§ 217 German Criminal Code), the other one aims to improve hospice and palliative care in Germany. Through the latter far-reaching changes in Social Code Books V and XI, as well as of the Hospital Finance Act have been made. This new Act to Improve Hospice and Palliative Care (HPG) focuses, amongst others, on: (a) Better funding of hospice services, by raising the minimum grant for patients in inpatient hospices paid per day by the health insurance funds by about 28...
January 2017: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://www.readbyqxmd.com/read/27968882/effects-of-patient-load-and-travel-distance-on-hiv-transmission-in-a-cohort-of-serodiscordant-couples-in-rural-china-a-longitudinal-analysis
#9
M Kumi Smith, William C Miller, Huixin Liu, Chuanyi Ning, Wensheng He, Myron S Cohen, Ning Wang
BACKGROUND: Sustained viral suppression through antiretroviral therapy (ART) reduces the risk of sexual HIV transmission. However, it can require routine access to reliable and effective medical care, which can be difficult to obtain in resource-constrained areas. We investigated the effects of patient load and travel distance to an HIV care clinic on transmission risk in HIV serodiscordant couples in the Henan Province, China. METHODS: The study cohort arises from a population of HIV-infected individuals in central rural China where regional blood selling scandals in the 1990s led to mass HIV transmission of up to 30 000 people though unsanitary blood collection practices...
October 2016: Lancet
https://www.readbyqxmd.com/read/27925077/challenges-to-implementation-of-advance-directives-of-will-in-hospital-practice
#10
Silvana Bastos Cogo, Valéria Lerch Lunardi, Alberto Manuel Quintana, Nara Marilene Oliveira Girardon-Perlini, Rosemary Silva da Silveira
Objective: to understand the difficulties and limitations in the implementation of advance directives of will in the hospital context. Method: qualitative, exploratory and descriptive study conducted by means of semi-structured interviews with nurses, resident physicians and family caregivers. The data were analyzed by using discursive textual analysis based on the framework of bioethics principles. Results: the following categories emerged: Terminality as an expression of loss and cure as an option for care; concerns about legal implications; advance directives of will demand patient autonomy and proper communication...
November 2016: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/27919152/-monitoring-plan-of-environmental-contaminants-in-sheep-milk-from-areas-next-to-an-italian-contaminated-site-named-%C3%A2-aree-industriali-di-porto-torres-e-discarica-di-calancoi%C3%A2-industrial-areas-of-porto-torres-and-landfill-of-calancoi-in-sardinia-region-southern
#11
Francesco Sgarangella, Giuseppe Bitti, Maria Caterina Suelzu, Pietro Desini, Patrizia Piras, Gianuario Fiori, Maurizio Cossu, Giannina Chessa
OBJECTIVES: to assess concentration levels of dioxins, PCBs, and chemical elements in sheep milk produced in areas close to the Italian contaminated site (CS) located in the North-West of Sardinia (Southern Italy), named «Aree industriali di Porto Torres e discarica di Calancoi» (i.e., industrial areas of Porto Torres and landfill of Calancoi). DESIGN: monitoring plan of environmental contaminants on zootechnical productions based on analysis of dioxins, PCBs, heavy metals (Cd, Hg, Pb), and other elements (As, Be, Cr, Ni, Tl , Zn) in sheep bulk milk...
November 2016: Epidemiologia e Prevenzione
https://www.readbyqxmd.com/read/27914750/-medical-prescription-and-informed-consent-for-the-use-of-physical-restraints-in-nursing-homes-in-the-canary-islands-spain
#12
Gabriel J Estévez-Guerra, Emilio Fariña-López, Eva Penelo
OBJECTIVE: To identify the frequency of completion of informed consent and medical prescription in the clinical records of older patients subject to physical restraint, and to analyse the association between patient characteristics and the absence of such documentation. METHODS: A cross-sectional and descriptive multicentre study with direct observation and review of clinical records was conducted in nine public nursing homes, comprising 1,058 beds. RESULTS: 274 residents were physically restrained...
November 30, 2016: Gaceta Sanitaria
https://www.readbyqxmd.com/read/27900896/sociolegal-and-practice-implications-of-caring-for-lgbt-people-with-dementia
#13
Elizabeth Peel, Helen Taylor, Rosie Harding
The needs of lesbian, gay, bisexual and trans (LGBT) people with dementia are poorly recognised. This is due partly to assumptions that all older people are heterosexual or asexual. One quarter of gay or bisexual men and half of lesbian or bisexual women have children, compared with 90% of heterosexual women and men, which means LGBT older adults are more likely to reside in care homes. Older LGBT people may be unwilling to express their sexual identities in care settings and this can affect their care. Members of older people's informal care networks must be recognised to ensure their involvement in the lives of residents in care settings continues...
November 30, 2016: Nursing Older People
https://www.readbyqxmd.com/read/27899682/immigration-status-visa-types-and-body-weight-among-new-immigrants-in-the-united-states
#14
Ming-Chin Yeh, Nina S Parikh, Alison E Megliola, Elizabeth A Kelvin
PURPOSE: To investigate the relationship between immigration-related factors and body mass index (BMI) among immigrants. DESIGN: Secondary analyses of cross-sectional survey data. SETTING: The New Immigrant Survey (NIS-2003) contains data from in-person or telephone interviews between May and November 2003, with a probability sample of immigrants granted legal permanent residency in the United States. PARTICIPANTS: A total of 8573 US immigrants...
November 29, 2016: American Journal of Health Promotion: AJHP
https://www.readbyqxmd.com/read/27896300/data-from-a-survey-to-determine-visitor-attitudes-and-knowledge-about-the-provisioning-of-wild-dolphins-at-a-marine-tourism-destination
#15
Greg Simpson, David Newsome, Alicia Day
In the Austral summer of 2014-2015 we surveyed visitors at the popular marine tourism destination of Koombana Bay, Bunbury, Western Australia to investigate resident and visitor attitudes towards the provisioning of the wild dolphins and their knowledge about the legal, social and environmental repercussions arising from the unregulated provisioning of the dolphins. We report the data collected in our survey along with our preliminary statistical analyses and the survey instrument we utilized to collect the data...
December 2016: Data in Brief
https://www.readbyqxmd.com/read/27864243/determinants-of-the-sustained-employment-of-physician-assistants-in-hospitals-a-qualitative-study
#16
Marijke J C Timmermans, Anneke J A H van Vught, Irma T H M Maassen, Lisette Draaijer, Anton G M Hoofwijk, Marcel Spanier, Wijnand van Unen, Michel Wensing, Miranda G H Laurant
OBJECTIVES: To identify determinants of the initial employment of physician assistants (PAs) for inpatient care as well as of the sustainability of their employment. DESIGN: We conducted a qualitative study with semistructured interviews with care providers. Interviews continued until data saturation was achieved. All interviews were transcribed verbatim. A framework approach was used for data analysis. Codes were sorted by the themes, bringing similar concepts together...
November 18, 2016: BMJ Open
https://www.readbyqxmd.com/read/27846452/patterns-of-abuse-amongst-sri-lankan-women-returning-home-after-working-as-domestic-maids-in-the-middle-east-an-exploratory-study-of-medico-legal-referrals
#17
Kolitha Wickramage, Malintha De Silva, Sharika Peiris
OBJECTIVE: Migrant worker abuse is well recognised, but poorly characterised within the scientific literature. This study aimed to explore patterns of abuse amongst Sri Lankan women returning home after working as domestic maids. METHODS: Sri Lanka has over 2 million of its citizens employed overseas as international labor migrants. A cross-sectional study was conducted on Sri Lankan female domestic maids returning from the Middle East region who were referred for medico-legal opinion...
January 2017: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/27815393/what-do-colorado-adults-know-about-legal-use-of-recreational-marijuana-after-a-media-campaign
#18
Ashley Brooks-Russell, Arnold Levinson, Yaqiang Li, Rebecca Hebner Roppolo, Sheana Bull
BACKGROUND: Colorado is among the first states to legalize the recreational sale of marijuana and therefore among the first to develop regulations outlining the purchase, possession, consumption, and enforcement, and penalties. Colorado legislators set aside funds for a statewide informational media campaign to educate Colorado residents on legal use of marijuana. METHOD: This study evaluated the effectiveness of the mass media campaign to increase awareness of the law through a prospective cohort surveyed before and 6 months after the launch of the campaign (n = 798)...
November 3, 2016: Health Promotion Practice
https://www.readbyqxmd.com/read/27810628/community-health-needs-assessment-and-action-planning-in-seven-dominican-bateyes
#19
Sarah V Suiter
Haitians and persons of Haitian descent living in the Dominican Republic are often relegated to living in deeply impoverished communities called bateyes. Despite obvious needs and some NGO presence in the bateyes, little assessment has been done to identify specific needs as understood and experienced by community members themselves. This article describes a community health needs assessment and action planning process developed and implemented by university researchers, NGO staff, and community members to identify needed areas for community-based health intervention in seven Dominican bateyes...
February 2017: Evaluation and Program Planning
https://www.readbyqxmd.com/read/27769227/describing-the-linkages-of-the-immigration-refugees-and-citizenship-canada-permanent-resident-data-and-vital-statistics-death-registry-to-ontario-s-administrative-health-database
#20
Maria Chiu, Michael Lebenbaum, Kelvin Lam, Nelson Chong, Mahmoud Azimaee, Karey Iron, Doug Manuel, Astrid Guttmann
BACKGROUND: Ontario, the most populous province in Canada, has a universal healthcare system that routinely collects health administrative data on its 13 million legal residents that is used for health research. Record linkage has become a vital tool for this research by enriching this data with the Immigration, Refugees and Citizenship Canada Permanent Resident (IRCC-PR) database and the Office of the Registrar General's Vital Statistics-Death (ORG-VSD) registry. Our objectives were to estimate linkage rates and compare characteristics of individuals in the linked versus unlinked files...
October 21, 2016: BMC Medical Informatics and Decision Making
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