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Social determinants of health

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https://www.readbyqxmd.com/read/29040889/factors-associated-with-happiness-in-the-elderly-persons-living-in-the-community
#1
Bruna Moretti Luchesi, Nathalia Alves de Oliveira, Daiene de Morais, Rebeca Mendes de Paula Pessoa, Sofia Cristina I Pavarini, Marcos Hortes N Chagas
OBJECTIVE: The aim of the present study was to evaluate factors associated with happiness in a sample of Brazilian older adults. METHODS: A study was conducted with 263 elderly people in the area of coverage of a family health unit located in the state of São Paulo, Brazil. The Subjective Happiness Scale was used to measure happiness, the final score of which determined one of three outcomes: not happy, intermediate, and happy. Disability, sociodemographic characteristics, and psychological, cognitive, and physical factors were considered for the multinomial logistic regression analysis...
October 12, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29040082/determinants-of-the-use-of-alternatives-to-arsenic-contaminated-shallow-groundwater-an-exploratory-study-in-rural-west-bengal-india
#2
Caroline Delaire, Abhijit Das, Susan Amrose, Ashok Gadgil, Joyashree Roy, Isha Ray
Shallow groundwater containing toxic concentrations of arsenic is the primary source of drinking water for millions of households in rural West Bengal, India. Often, this water also contains unpleasant levels of iron and non-negligible fecal contamination. Alternatives to shallow groundwater are increasingly available, including government-built deep tubewells, water purchased from independent providers, municipal piped water, and household filters. We conducted a survey of 501 households in Murshidabad district in 2014 to explore what influenced the use of available alternatives...
October 2017: Journal of Water and Health
https://www.readbyqxmd.com/read/29035646/electronic-health-record-portals-adoption-empirical-model-based-on-utaut2
#3
Jorge Tavares, Amélia Goulão, Tiago Oliveira
BACKGROUND: The future of healthcare delivery is becoming more citizen centered, as today's user is more active and better informed. Governmental institutions are promoting the deployment and use of online services such as Electronic Health Record (EHR) portals. This makes the adoption of EHR portals an important field to study and understand. OBJECTIVE: The aim of this study is to understand the factors that drive individuals to adopt EHR portals. METHODS: This study applies the extended unified theory of acceptance and usage technology (UTAUT2) to explain patients' individual adoption of EHR portals...
October 16, 2017: Informatics for Health & Social Care
https://www.readbyqxmd.com/read/29035642/racial-and-ethnic-disparities-in-cancer-survival-the-contribution-of-tumor-sociodemographic-institutional-and-neighborhood-characteristics
#4
Libby Ellis, Alison J Canchola, David Spiegel, Uri Ladabaum, Robert Haile, Scarlett Lin Gomez
Purpose Racial/ethnic disparities in cancer survival in the United States are well documented, but the underlying causes are not well understood. We quantified the contribution of tumor, treatment, hospital, sociodemographic, and neighborhood factors to racial/ethnic survival disparities in California. Materials and Methods California Cancer Registry data were used to estimate population-based cancer-specific survival for patients diagnosed with breast, prostate, colorectal, or lung cancer between 2000 and 2013 for each racial/ethnic group (non-Hispanic black, Hispanic, Asian American and Pacific Islander, and separately each for Chinese, Japanese, and Filipino) compared with non-Hispanic whites...
October 16, 2017: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/29035623/the-impact-of-knee-injury-history-on-health-related-quality-of-life-in-adolescent-athletes
#5
Kenneth C Lam, Jessica G Markbreiter
CONTEXT: Current evidence suggests that, despite returning to full participation, physically active adults with a previous knee injury experience lower health-related quality of life (HRQOL) than those with no knee injury history. It is unknown if this relationship is present in adolescent athletes. OBJECTIVE: To determine the impact of knee injury history on HRQOL in adolescent athletes who were medically cleared for full participation. DESIGN: Cross-sectional...
October 16, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29035610/critical-assessment-of-health-disparities-across-subpopulation-groups-through-a-social-determinants-of-health-perspective-the-case-of-type-2-diabetes-patients
#6
Yong-Mi Kim, Dursun Delen
BACKGROUND: Studies on diabetes have shown that population subgroups have varying rates of medical events and related procedures; however, existing studies have investigated either medical events or procedures, and hence, it is unknown whether disparities exist between medical events and procedures. PURPOSE: The objective of this study is to investigate how diabetes-related medical events and procedures are different across population subgroups through a social determinants of health (SDH) perspective...
October 16, 2017: Informatics for Health & Social Care
https://www.readbyqxmd.com/read/29035338/integrating-medication-therapy-management-mtm-services-provided-by-community-pharmacists-into-a-community-based-accountable-care-organization-aco
#7
Brian Isetts
(1) Background: As the U.S. healthcare system evolves from fee-for-service financing to global population-based payments designed to be accountable for both quality and total cost of care, the effective and safe use of medications is gaining increased importance. The purpose of this project was to determine the feasibility of integrating medication therapy management (MTM) services provided by community pharmacists into the clinical care teams and the health information technology (HIT) infrastructure for Minnesota Medicaid recipients of a 12-county community-based accountable care organization (ACO)...
October 16, 2017: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/29034826/voice-of-the-clinician-the-case-of-an-australian-health-system
#8
Mark J Lock, Amber L Stephenson, Jill Branford, Jonathan Roche, Marissa S Edwards, Kathleen Ryan
Purpose The Voice of the Clinician project commenced during an era when practitioner burnout, dissatisfaction, and turnover became an increasingly global health workforce concern. One key problem is clinical staff not being empowered to voice their concerns to decision-makers, as was found in this case study of an Australian public health organization. The following research question informed the present study: What is a better committee system for clinician engagement in decision-making processes? The paper aims to discuss this issue...
September 18, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29034698/an-insight-into-the-patient-s-response-to-a-diagnosis-of-urological-cancer
#9
Beverley Anderson
A cancer diagnosis and the patient's response to the news pertains to all types of cancer, however, in this article, the focus is on urological cancer. Intrinsic to the management of this patient group is the urology multidisciplinary team, in which the role of the cancer nurse specialist (CNS) is pivotal. For most people, a cancer diagnosis is arguably their worst fear. It is therefore prudent that a holistic approach is used when determining care and ensuring that appropriate support is forthcoming. This necessitates an assessment of the physical, psychological/emotional, psycho-social, spiritual and cultural components of the individual's healthcare needs, and accordingly, devising a plan of care to secure the best outcomes...
October 12, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29034667/-to-analyse-the-transferability-of-an-intervention%C3%A2-applying-the-functions-implementation-context-model-on-a-diabetes-prevention-programme
#10
Adrian Fianu, Mélanie Villeval, Nadège Naty, François Favier, Thierry Lang
INTRODUCTION: A type 2 diabetes primary prevention programme that was shown to be feasible and effective in 2003 was transferred to another vulnerable district of Reunion Island in 2004, but its short-term effectiveness could not be reproduced. Based on this example, this article analyses whether the key functions/implementation/context model can be useful to : 1- more accurately describe an evaluated intervention ; and 2- identify the factors involved in the transferability of this intervention...
October 2, 2017: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
https://www.readbyqxmd.com/read/29033986/women-coping-strategies-towards-menopause-and-its-relationship-with-sexual-dysfunction
#11
Nafiseh Shams Nateri, Marjan Beigi, Ashraf Kazemi, Fatemeh Shirinkam
BACKGROUND: Paying attention to sexual dysfunction and its coping strategies is essential owing to its impact on mental health in postmenopausal women and their families. This study aimed to determine the relationship between women coping strategies toward the process of menopause and sexual dysfunction in menopausal women. MATERIALS AND METHODS: This is a cross-sectional study in which 233 married menopausal women were sampled in the first 5 years after cessation of menstrual cycle using health records in the health centers in Isfahan in 2015...
September 2017: Iranian Journal of Nursing and Midwifery Research
https://www.readbyqxmd.com/read/29031700/cost-benefit-of-comprehensive-primary-and-preventive-school-based-health-care
#12
William V Padula, Katherine A Connor, Josiah M Mueller, Jonathan C Hong, Gabriela Calderon Velazquez, Sara B Johnson
INTRODUCTION: The Rales Health Center is a comprehensive school-based health center at an urban elementary/middle school. Rales Health Center provides a full range of pediatric services using an enriched staffing model consisting of pediatrician, nurse practitioner, registered nurses, and medical office assistant. This staffing model provides greater care but costs more than traditional school-based health centers staffed by part-time nurses. The objective was to analyze the cost benefit of Rales Health Center enhanced staffing model compared with a traditional school-based health center (standard care), focusing on asthma care, which is among the most prevalent chronic conditions of childhood...
October 11, 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29029685/using-structured-and-unstructured-data-to-identify-patients-need-for-services-that-address-the-social-determinants-of-health
#13
Joshua R Vest, Shaun J Grannis, Dawn P Haut, Paul K Halverson, Nir Menachemi
INTRODUCTION: Increasingly, health care providers are adopting population health management approaches that address the social determinants of health (SDH). However, effectively identifying patients needing services that address a SDH in primary care settings is challenging. The purpose of the current study is to explore how various data sources can identify adult primary care patients that are in need of services that address SDH. METHODS: A cross-sectional study described patients in need of SDH services offered by a safety-net hospital's federally qualified health center clinics...
November 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29029627/determinants-of-self-rated-health-among-shanghai-elders-a-cross-sectional-study
#14
Weizhen Dong, Jin Wan, Yanjun Xu, Chun Chen, Ge Bai, Lyuying Fang, Anjiang Sun, Yinghua Yang, Ying Wang
BACKGROUND: As the most populous nation in the world, China has now becoming an emerging ageing society. Shanghai is the first city facing the challenge of ageing demographics. Against this background, a study that employs self-rated health (SRH) assessment system was designed to explore the health status of Shanghai elders, and learn their attitudes toward health issues; as well as to investigate the determinants of SRH among Shanghai elders. Understanding SRH is crucial for finding appropriate solutions that could effectively tackle the increasing eldercare demand...
October 13, 2017: BMC Public Health
https://www.readbyqxmd.com/read/29028800/spatial-distribution-of-extensively-drug-resistant-tuberculosis-xdr-tb-patients-in-kwazulu-natal-south-africa
#15
Thandi Kapwata, Natashia Morris, Angela Campbell, Thuli Mthiyane, Primrose Mpangase, Kristin N Nelson, Salim Allana, James C M Brust, Pravi Moodley, Koleka Mlisana, Neel R Gandhi, N Sarita Shah
BACKGROUND: KwaZulu-Natal province, South Africa, has among the highest burden of XDR TB worldwide with the majority of cases occurring due to transmission. Poor access to health facilities can be a barrier to timely diagnosis and treatment of TB, which can contribute to ongoing transmission. We sought to determine the geographic distribution of XDR TB patients and proximity to health facilities in KwaZulu-Natal. METHODS: We recruited adults and children with XDR TB diagnosed in KwaZulu-Natal...
2017: PloS One
https://www.readbyqxmd.com/read/29028242/public-mental-health
#16
Jutta Lindert, Johan Bilsen, Marija Jakubauskiene
Public mental health (PMH) is a major challenge for public health research and practice. This article is organized in six parts. First, we will highlight the significance of PMH; second, we will define mental health and mental disorders; third, we identify and describe determinants of mental health and mental disorders on which we worked in the past 10 years since the establishment of the PMH section such as social determinants and violence. Fourth, we will describe the development of the EUPHA PMH section and provide details on vulnerable groups in the field of PMH, on violence as a main determinant and on suicide as an outcome which affects all countries in the European region...
October 1, 2017: European Journal of Public Health
https://www.readbyqxmd.com/read/29028237/the-epidemiological-transition-in-eastern-and-western-europe-a-historic-natural-experiment
#17
Marina Karanikolos, Roza Adany, Martin McKee
Background: The continent of Europe has experienced remarkable changes in the past 25 years, providing scope for natural experiments that offer insight into the complex determinants of health. Methods: We analysed trends in life expectancy at birth in three parts of Europe, those countries that were members of the European Union (EU) prior to 2004, countries that joined the European Union since then, and the twelve countries that emerged from the Soviet Union to form the Commonwealth of Independent States (CIS)...
October 1, 2017: European Journal of Public Health
https://www.readbyqxmd.com/read/29027043/clinical-psychological-features-and-quality-of-life-of-fibromyalgia-patients-a-cross-sectional-study-of-chinese-sample
#18
Ying Zhang, Dongfeng Liang, Ronghuan Jiang, Xiaojian Ji, Yiwen Wang, Jian Zhu, Jianglin Zhang, Feng Huang
This study aimed to determine the clinical, psychological features, and quality of life in Chinese fibromyalgia (FM) patients who fulfilled the American College of Rheumatology (ACR) 2010 FM classification criteria at initial diagnosis. A cross-sectional study was carried out in the Chinese People's Liberation Army (PLA) General Hospital. A hundred and seven Chinese FM patients (86 females, 21 males) were included. Eighty-six patients completed the questionnaires. Descriptive, differences, and correlation analyses were performed...
October 13, 2017: Clinical Rheumatology
https://www.readbyqxmd.com/read/29026767/socioeconomic-determinants-affecting-the-quality-of-life-among-diabetic-and-hypertensive-patients-in-a-rural-area-egypt
#19
Hewaida M ElShazly, Nagwa Nashat Hegazy
BACKGROUND: Diabetes mellitus and hypertension have a high prevalence of growth in all countries threatening to become a global epidemic risk, thus the quality of life this category of patients is extremely important. The aim of this study was to assess the socioeconomic determinants affecting the quality of life among diabetic and hypertensive patients. PATIENT AND METHODS: A descriptive cross-sectional study was conducted in a rural family health care center in El-Batanon village, in the delta region of Menoufia, Egypt...
January 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29026455/interactive-visualization-of-public-health-indicators-to-support-policymaking-an-exploratory-study
#20
Moutasem Zakkar, Kamran Sedig
The purpose of this study is to examine the use of interactive visualizations to represent data/information related to social determinants of health and public health indicators, and to investigate the benefits of such visualizations for health policymaking. METHODS: The study developed a prototype for an online interactive visualization tool that represents the social determinants of health. The study participants explored and used the tool. The tool was evaluated using the informal user experience evaluation method...
2017: Online Journal of Public Health Informatics
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