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https://www.readbyqxmd.com/read/29916432/approach-to-family-assessment-and-intervention
#1
Anand Krishnan, Priyamadhaba Behera, Baridalyne Nongkynrih
Background.: Family studies are an integral part of teaching of community medicine to all undergraduate medical and nursing students. It enhances the understanding of students about social determinants and multifactorial causation of disease. However, there is no standard approach towards it and it is seen as a clinical presentation with some elements of family included. We describe a systematic and comprehensive approach to a family study. Methods.: Based on the existing literature and personal experience, we identified 11 domains under the acronym Family ASSESSMENT-Structure, Socioeconomic, Sickness, Nutritional, Educational, Environmental, Affordability, System (health), Mental, Family influence, Threats...
September 2017: National Medical Journal of India
https://www.readbyqxmd.com/read/29916310/integration-of-primary-health-care-services-in-women-s-shelters-a-scoping-review
#2
Tara Mantler, Kimberley T Jackson, Edmund J Walsh
Women who have experienced intimate partner violence (IPV) have significant detrimental physical and mental health consequences associated with the violence as well as numerous barriers to health-care and social service utilization. Service integration offers a solution to help support women who have experienced violence overcome negative health consequences as well as barriers to system navigation and use. The purpose of this scoping review was to examine research activity pertaining to IPV and primary health-care and women's shelters integration...
January 1, 2018: Trauma, Violence & Abuse
https://www.readbyqxmd.com/read/29916302/a-realist-review-to-understand-the-efficacy-and-outcomes-of-interventions-designed-to-minimise-reverse-or-prevent-the-progression-of-frailty
#3
Holly Gwyther, Elzbieta Bobrowicz Campos, João Apóstolo, Maura Marcucci, Antonio Cano, Carol Holland
Interventions to minimise, reverse or prevent the progression of frailty in older adults represent a potentially viable route to improving quality of life and care needs in older adults. Intervention methods used across European Innovation Partnership on Active and Healthy Ageing (EIP-AHA) collaborators were analysed, along with findings from literature reviews to determine "what works for whom in what circumstances". A realist review of FOCUS study literature reviews, 'real world' studies and grey literature was conducted according to RAMESES standards, and used to populate a framework analysis of theories of why frailty interventions worked, and theories of why frailty interventions did not work...
June 19, 2018: Health Psychology Review
https://www.readbyqxmd.com/read/29914464/analysis-of-health-service-utilization-of-migrants-in-beijing-using-anderson-health-service-utilization-model
#4
Shuang Shao, Meirong Wang, Guanghui Jin, Yali Zhao, Xiaoqin Lu, Juan Du
BACKGROUND: Migrants are the unique production of China's urbanization process. They are often excluded from social welfare and security systems of cities, and often exposed to high health risk related closely to their health problems. This research sought to unveil and explore the influencing factors on health services utilization of migrants in Beijing. METHODS: A sample of 2014 inter-provincial migrants and 4578 residents with Beijing "Hukou" who were 15 years old and above was chosen by three-stage stratified cluster sampling method...
June 18, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29914462/factors-associated-with-motivation-in-medical-education-a-path-analysis
#5
Natchaya Kunanitthaworn, Tinakon Wongpakaran, Nahathai Wongpakaran, Salilthip Paiboonsithiwong, Natchaphon Songtrijuck, Pimolpun Kuntawong, Danny Wedding
BACKGROUND: This study identified and investigated the relationship between demographics, mental health problems, positive personality traits and perceived social support and motivation in medical education (MME) among first year medical students. METHODS: One hundred-thirty eight first year medical students completed the Academic Motivation Scale, Outcome Inventory, Strength Based Inventory, and Multidimensional Scale for Perceived Social Support. Path analysis was conducted to identify relationships between the variables of interest and each type of motivation, including intrinsic and extrinsic motivation and amotivation...
June 18, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29914409/adverse-childhood-experiences-among-patients-with-substance-use-disorders-at-a-referral-psychiatric-hospital-in-kenya
#6
Sarah Kanana Kiburi, Keneilwe Molebatsi, Anne Obondo, Mary W Kuria
BACKGROUND: Substance use disorders are a major cause of health and social problems worldwide. Research evidence shows a strong graded relationship of adverse childhood experiences and substance use in adulthood. This study aimed at determining the prevalence of adverse childhood experiences and their association with substance use among patients with substance use disorders. METHOD: The study used a descriptive cross-sectional design. A total of 134 patients aged 18 years and above receiving inpatient treatment for substance use disorders were recruited into the study...
June 18, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29914394/mortality-and-associated-risk-factors-for-older-adults-admitted-to-the-emergency-department-a-hospital-cohort
#7
Carmen García-Peña, Mario Ulises Pérez-Zepeda, Leslie Viridiana Robles-Jiménez, Sergio Sánchez-García, Ricardo Ramírez-Aldana, Pamela Tella-Vega
BACKGROUND: Older emergency department patients are more vulnerable than younger patients, yet many risk factors that contribute to the mortality of older patients remain unclear and under investigation. This study endeavored to determine mortality and factors associated with mortality in patients over 60 years of age who were admitted to the emergency departments of two general hospitals in Mexico City. METHODS: This is a hospital cohort study involving adults over 60 years of age admitted to the emergency department and who are beneficiaries of the Mexican Institute of Social Security and residents of Mexico City...
June 18, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/29914119/the-impact-of-road-construction-on-subjective-well-being-in-communities-in-madre-de-dios-peru
#8
Amy R Riley-Powell, Gwenyth O Lee, Nehal S Naik, Kelly E Jensen, Christina O'Neal, Gabriela Salmón-Mulanovich, Stella M Hartinger, Daniel G Bausch, Valerie A Paz-Soldan
The interoceanic highway (IOH) in Madre de Dios, Peru has driven dramatic change in the Peruvian Amazon basin. We conducted a mixed methods study to examine the impact of these changes on the subjective well-being (SWB) of four communities on the IOH. Themes that emerged qualitatively included changing health threats, environmental degradation, and the impact of increased migration. To achieve a higher level of SWB, respondents emphasized the need for higher incomes, opportunities to learn new skills, and a better education for their children...
June 15, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29913118/gaining-support-for-child-and-family-policies-by-raising-awareness-of-the-link-between-physical-and-mental-health-and-the-impact-of-social-determinants-on-both
#9
Cheryl Geisthardt, Adam Kloha
Results of a pilot study examining young adults' beliefs about what factors contribute to physical and mental health are reported. Existing research and the results of the pilot study are used to argue for the need for improved education on the connection between physical and mental health, the impact of social determinants on physical and mental health, and the potential for social policies that better the lives of children and families to improve health outcomes. Benefits of and suggestions for increasing understanding of social determinants and social policies on physical and mental health are explored...
June 18, 2018: Social Work in Public Health
https://www.readbyqxmd.com/read/29912870/differences-in-childhood-body-mass-index-between-lesbian-gay-and-bisexual-and-heterosexual-female-adolescents-a-follow-back-study
#10
Kate Keenan, Kristen Wroblewski, Phoenix A Matthews, Alison E Hipwell, Stephanie D Stepp
OBJECTIVE: To determine whether childhood body mass index (BMI), assessed in childhood, differs between lesbian/gay and bisexual (LGB) and heterosexual late adolescents, and whether childhood social stressors impact the association between sexual orientation and childhood BMI. METHODS: Participants included 2,070 late adolescents from the Pittsburgh Girls Study, of whom 233 (11.2%) identified as lesbian or bisexual and 1,837 (88.8%) as heterosexual at ages 17-20 years...
2018: PloS One
https://www.readbyqxmd.com/read/29912818/sociodemographic-determinants-of-attrition-in-the-hiv-continuum-of-care-in-brazil-in-2016
#11
Ana Roberta Pati Pascom, Mariana Veloso Meireles, Adele Schwartz Benzaken
The aim of this study was to identify sociodemographic factors associated with attrition in the 3 steps of the HIV continuum of care related to the 90-90-90 targets - access to diagnosis, treatment initiation, and virologic suppression, in Brazilian adults (15 years or older), in 2016.Programmatic data were obtained from 2 information systems from the Brazilian Ministry of Health, which register all antiretroviral therapy (ART) dispensations and all CD4 and viral load counts (VL) performed within the country's public health system...
May 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29912659/adolescents-perspectives-on-everyday-life-with-obesity-a-qualitative-study
#12
Gudbjørg Øen, Bente Kvilhaugsvik, Kari Eldal, Anne-Grethe Halding
PURPOSE: This study aimed to gain an in-depth understanding of the perspectives and life experiences of adolescents living with obesity. METHODS: Five adolescents living with obesity were involved in repeated interviews, and qualitative content analysis was performed. RESULTS: Three themes emerged: obesity as a multi-faceted and difficult to solve condition; obesity as a shameful and vulnerable subject; and bullying and fragile social relationships...
December 2018: International Journal of Qualitative Studies on Health and Well-being
https://www.readbyqxmd.com/read/29911461/neighborhood-disorder-social-support-and-outcomes-among-violence-exposed-african-american-women
#13
Alison M Pickover, Jabeene Bhimji, Shufang Sun, Anna Evans, Lucy J Allbaugh, Sarah E Dunn, Nadine J Kaslow
Intimate partner violence (IPV) against women, particularly those living in poverty who have multiple marginalized identities, is a significant public health issue. IPV is associated with numerous mental health concerns including depression, hopelessness, and suicidal behavior. The present study examined the ecological determinants of these mental health outcomes in a high-risk sample of 67 low-income, African American women survivors of IPV. Based on an ecological framework that conceptualizes individuals as nested in multiple, interactive systems, we examined, longitudinally, the main and interactive effects of self-reported neighborhood disorder and social support from family members and friends on participants' mental health (i...
June 1, 2018: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29911460/personal-and-venue-characteristics-associated-with-the-practice-of-physical-and-sexual-aggression-in-brazilian-nightclubs
#14
Elizabeth C Fung, Mariana G R Santos, Zila M Sanchez, Pamela J Surkan
Violence among young adults is an increasing public health concern, especially in the context of nightlife, such as around nightclubs and bars. Nightlife is associated with alcohol, drugs, and increased violence, but little is known about personal and environmental factors related to physical aggression and sexual violence in nightclubs. This study aimed to determine personal and environmental risk factors for physical and sexual aggression in nightclubs in São Paulo, Brazil. Data were collected among nightclub patrons through use of a portal survey at the entrances and exits of 31 nightclubs...
June 1, 2018: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29911433/hunger-a-missed-opportunity-for-screening-in-the-pediatric-emergency-department
#15
Tamar Robinson, Leah Bryan, Veda Johnson, Terri McFadden, Sarah Lazarus, Harold K Simon
BACKGROUND: The American Academy of Pediatrics and pediatric community recognize the importance of addressing social determinants of health. There are limited data on the prevalence of food insecurity or literature establishing protocols assessing food insecurity in the emergency department (ED). METHODS: Two anonymous surveys were administered, one to families during their ED visit and another to ED staff to assess perceptions on the ED's role in providing social support...
June 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/29911020/combining-transnational-and-intersectional-approaches-to-immigrants-social-protection-the-case-of-andean-families-access-to-health
#16
Jean-Michel Lafleur, Maria Vivas Romero
Immigrants and family members in the home and host societies experience inequalities in access to social protection. Focusing on healthcare, we demonstrate that immigrant families today respond to healthcare needs of family members here and there through four cross-border strategies. We show that immigrants select and articulate these different strategies to assemble transnational health care arrangements. Using an intersectional approach, we argue that heterogeneity markers such as gender, race, class, and levels of transnational engagement determine the choice between different types of arrangements...
2018: Comparative Migration Studies
https://www.readbyqxmd.com/read/29910844/comparing-treatment-modalities-for-end-stage-renal-disease-a-meta-analysis
#17
Gilbert L Queeley, Ellen S Campbell
Background: End-stage renal disease (ESRD) imposes significant economic and social burdens on patients and healthcare systems. In the United States alone, more than 600,000 Americans have ESRD, with an estimated annual cost of treatment of more than $30 billion. Peritoneal dialysis and hemodialysis are competing renal replacement therapies in ESRD; however, data comparing quality-of-life outcomes between these 2 modalities are limited. Objectives: To compare the effectiveness of peritoneal dialysis with the more common treatment modality of hemodialysis on the health-related quality of life (HRQoL) of patients with ESRD in the general, physical, and psychological domains; and to determine whether the time of publication and the origin of each study influenced its findings regarding the effectiveness of the 2 modalities...
May 2018: American Health & Drug Benefits
https://www.readbyqxmd.com/read/29910484/ice-road-vets-perspectives-on-the-role-of-veterinarians-in-northern-community-health
#18
Tessa Baker, Jennifer Flaig, Meryam Shillingford, Lana Swain, Marika Wagner
We reflect on our experiences providing veterinary services in 5 remote communities of the Sahtu Settlement Area in the Northwest Territories in February 2017. The evolving role of dogs and the social determinants of health that influence dog health in the communities are explored, including biology, physical environment, behavior, dog and human social factors, and access to veterinary care. The importance of continued exposure of veterinary professionals to different cultural perspectives in order to provide services that are culturally appropriate and effective is highlighted...
June 2018: Canadian Veterinary Journal. la Revue Vétérinaire Canadienne
https://www.readbyqxmd.com/read/29910353/perceptions-and-determinants-of-eating-for-health-and-performance-in-high-level-male-adolescent-rugby-union-players
#19
Emily G Stokes, Roger Hughes, David M Shaw, Helen T O'Connor, Kathryn L Beck
Sports nutrition recommendations provide guidance on dietary strategies to optimise sports performance. However, research indicates that young athletes often find it difficult to follow these guidelines in practice. Limited research exists on the determinants that influence adherence to sports nutrition guidelines. This study aimed to explore the perceptions and determinants of eating for health and performance in high-level male adolescent rugby union players. Determinants were explored using semi-structured individual interviews in New Zealand high-level male rugby union players ( n = 20, 16⁻18 years)...
May 28, 2018: Sports
https://www.readbyqxmd.com/read/29909797/a-review-of-integrated-heart-failure-care
#20
Julie MacInnes, Liz Williams
AimThe aim of this integrative review is to determine the effectiveness of integrated heart failure (HF) care in terms of patient-, service- and resource-related outcomes, and to determine what model or characteristics of integrated care work best, for whom and in what contexts. BACKGROUND: Integration of health and social care services is a significant driver in the development of better and more cost-effective health and social care systems in Europe and developed countries. As high users of health and social care services, considerable attention has been paid to the care of people with long-term conditions...
June 18, 2018: Primary Health Care Research & Development
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