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Social determinants of health

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https://www.readbyqxmd.com/read/29452335/change-in-cardiometabolic-risk-among-blacks-whites-and-hispanics-findings-from-the-health-and-retirement-study
#1
Uchechi A Mitchell, Jennifer A Ailshire, Eileen M Crimmins
Background: Blacks experience greater multi-system physiological dysregulation, or cumulative biological risk, which is associated with poor cardiometabolic health and mortality. In this study, we assess race differences in change in risk over four years among older whites, blacks and Hispanics. Method: We examined race differences in 4-year change in individual biomarkers and a cumulative measure of risk-cardiometabolic risk (CMR)-using data for each respondent from two waves of the Health and Retirement Study's biomarker assessment (n=5,512)...
February 14, 2018: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
https://www.readbyqxmd.com/read/29451917/perceived-behavioral-control-as-a-potential-precursor-of-walking-three-times-a-week-patient-s-perspectives
#2
Peter Busse, J Jaime Miranda
BACKGROUND: Behavior change theories can identify people's main motivations to engage in recommended health practices and thus provide better tools to design interventions, particularly human centered design interventions. OBJECTIVES: This study had two objectives: (a) to identify salient beliefs about walking three times a week for 30 minutes nonstop among patients with hypertension in a low-resource setting and, (b) to measure the relationships among intentions, attitudes, perceived social pressure and perceived behavioral control about this behavior...
2018: PloS One
https://www.readbyqxmd.com/read/29451595/evaluation-of-molluscicidal-activity-of-three-mangrove-species-avicennia-schaueriana-laguncularia-racemosa-and-rhizophora-mangle-and-their-effects-on-the-bioactivity-of-biomphalaria-glabrata-say-1818
#3
Renato Juvino de Aragão Mendes, Adalberto Alves Pereira Filho, Aline de Jesus Lustosa Nogueira, Karla Regina Freitas Araújo, Clícia Rosane Costa França, Iramar Borba de Carvalho, Natale Maria Lindoso da Silva, Alexandre Santana Azevedo, Ivone Garros Rosa
Schistosomiasis is a disease of global extent reaching populations in social vulnerability. One of the control measures of this parasitosis is the use of molluscicidal substances that can fight snails of the genus Biomphalaria, intermediate hosts of Schistosoma mansoni. The aim of this work was to study the toxic activity of three mangrove species (Avicennia schaueriana Stapf. & Leech, ex Moldenke, 1939, Laguncularia racemosa (L.) CF Gaertn, 1807 and Rhizophora mangle L. 1753) on the biological activities of snails Biomphalaria glabrata...
2018: Revista do Instituto de Medicina Tropical de São Paulo
https://www.readbyqxmd.com/read/29449495/evaluation-of-self-reported-patient-experiences-insights-from-digital-patient-communities-in-psoriatic-arthritis
#4
Prashanth Sunkureddi, Stephen Doogan, John Heid, Samir Benosman, Alexis Ogdie, Layne Martin, Jacqueline B Palmer
OBJECTIVE: To evaluate the types of experiences and treatment access challenges of patients with psoriatic arthritis (PsA) using self-reported online narratives. METHODS: English-language patient narratives reported between January 2010 and May 2016 were collected from 31 online sources (general health social networking sites, disease-focused patient forums, treatment reviews, general health forums, mainstream social media sites) for analysis of functional impairment and 40 online sources for assessment of barriers to treatment...
February 15, 2018: Journal of Rheumatology
https://www.readbyqxmd.com/read/29449203/influencing-the-conversation-about-masculinity-and-suicide-evaluation-of-the-man-up-multimedia-campaign-using-twitter-data
#5
Marisa Schlichthorst, Kylie King, Jackie Turnure, Suku Sukunesan, Andrea Phelps, Jane Pirkis
BACKGROUND: It has been suggested that some dominant aspects of traditional masculinity are contributing to the high suicide rates among Australian men. We developed a three-episode documentary called Man Up, which explores the complex relationship between masculinity and suicide and encourages men to question socially imposed rules about what it means to be a man and asks them to open up, express difficult emotions, and seek help if and when needed. We ran a three-phase social media campaign alongside the documentary using 5 channels (Twitter, Facebook, Instagram, YouTube, and Tumblr)...
February 15, 2018: JMIR Mental Health
https://www.readbyqxmd.com/read/29449096/evaluating-the-impact-of-diabetes-self-management-education-methods-on-knowledge-attitudes-and-behaviours-of-adult-patients-with-type-2-diabetes-mellitus
#6
Laura Adam, Colleen O'Connor, Alicia C Garcia
OBJECTIVES: Diabetes self-management refers to all activities patients undertake to care for their illness, promote health and prevent the long- and short-term effects of diabetes. This study compared the effectiveness of 2 diabetes self-management education methods by examining changes in glycated hemoglobin (A1C) levels and knowledge, attitudes and behaviours (KABs) after traditional group education (TE) or with diabetes conversation maps (CMs). The CMs group was postulated to show greater decrease in A1C levels and improved KABs scores compared to the TE group...
November 23, 2017: Canadian Journal of Diabetes
https://www.readbyqxmd.com/read/29448281/-evaluation-of-factor-structure-and-construct-validity-of-the-12-item-short-version-of-the-opd-structure-questionnaire-opd-sqs-in-psychosomatic-patients
#7
Alexander Obbarius, Nina Obbarius, Felix Fischer, Gregor Liegl, Matthias Rose
BACKGROUND: Screening for personality dysfunction is regarded as increasingly important for treatment planning in clinical settings as this allows to determine specific clinical pathways in an early stage. Recently, the 12-item OPD Structure Questionnaire (OPD-SQS) was developed for this purpose and initial results of the factor structure and validity have been published. This study aimed to investigate and validate the OPD-SQS in further patient samples beyond the team of developers and to provide reference values...
February 15, 2018: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/29447926/the-role-of-physical-activity-enjoyment-in-the-pathways-from-the-social-and-physical-environments-to-physical-activity-of-early-adolescent-girls
#8
Elizabeth L Budd, Amy McQueen, Amy A Eyler, Debra Haire-Joshu, Wendy F Auslander, Ross C Brownson
Most girls experience a notable decline in physical activity (PA) in early adolescence, increasing their risk for harmful health outcomes. Enjoyment for PA (i.e., positive feelings toward PA) is a determinant of PA among girls during adolescence and sustained PA throughout adulthood. Previous studies recommended increasing girls' PA enjoyment in order to increase their PA, but did not include environmental-level strategies for how families, schools, or communities do this. To gain insight on such strategies, this study examines the role of PA enjoyment as a mediator of social and physical environments to moderate-to-vigorous intensity PA of early adolescent girls...
February 12, 2018: Preventive Medicine
https://www.readbyqxmd.com/read/29447257/access-to-health-insurance-coverage-among-sub-saharan-african-migrants-living-in-france-results-of-the-anrs-parcours-study
#9
Nicolas Vignier, Annabel Desgrées du Loû, Julie Pannetier, Andrainolo Ravalihasy, Anne Gosselin, France Lert, Nathalie Lydié, Olivier Bouchaud, Rosemary Dray Spira
BACKGROUND: Migrants' access to care depends on their health insurance coverage in the host country. We aimed to evaluate in France the dynamic and the determinants of health insurance coverage acquisition among sub-Saharan migrants. METHODS: In the PARCOURS life-event retrospective survey conducted in 2012-2013 in health-care facilities in the Paris region, data on health insurance coverage (HIC) each year since arrival in France has been collected among three groups of sub-Saharan migrants recruited in primary care centres (N = 763), centres for HIV care (N = 923) and for chronic hepatitis B care (N = 778)...
2018: PloS One
https://www.readbyqxmd.com/read/29444781/do-quality-improvement-initiatives-for-diabetes-care-address-social-inequities-secondary-analysis-of-a-systematic-review
#10
Jacquie Boyang Lu, Kristin J Danko, Michael D Elfassy, Vivian Welch, Jeremy M Grimshaw, Noah M Ivers
BACKGROUND: Socially disadvantaged populations carry a disproportionate burden of diabetes-related morbidity and mortality. There is an emerging interest in quality improvement (QI) strategies in the care of patients with diabetes, however, the effect of these interventions on disadvantaged groups remains unclear. OBJECTIVE: This is a secondary analysis of a systematic review that seeks to examine the extent of equity considerations in diabetes QI studies, specifically quantifying the proportion of studies that target interventions toward disadvantaged populations and conduct analyses on the impact of interventions on disadvantaged groups...
February 14, 2018: BMJ Open
https://www.readbyqxmd.com/read/29444660/volunteers-in-ethiopia-s-women-s-development-army-are-more-deprived-and-distressed-than-their-neighbors-cross-sectional-survey-data-from-rural-ethiopia
#11
Kenneth Maes, Svea Closser, Yihenew Tesfaye, Yasmine Gilbert, Roza Abesha
BACKGROUND: Many Community Health Workers (CHWs) experience the same socioeconomic and health needs as their neighbors, given that they are by definition part of their communities. Yet very few studies aim to measure and characterize experiences of deprivation, poverty, and wellbeing among community health workers. This study quantitatively examines deprivation and wellbeing in Ethiopia's Women's Development Army (WDA), a massive unpaid community health workforce intended to improve population health and modernize the country...
February 14, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29444273/prevalence-and-determinants-in-cytology-testing-for-cervical-cancer-screening-in-spain-2006-14
#12
Ana I Cobo-Cuenca, María-Aurora Rodríguez-Borrego, Pedro Hidalgo-Lópezosa, Pedro M Rodríguez-Muñoz, Manuela Martins, Juan M Carmona-Torres
Background: Cervical cancer has decreased in developed countries thanks to cytology screening programmes. The aims of this study were To analyse the frequency and evolution of performing cytology tests and to determine the variables that influence their use. Methods: Cross-sectional study of non-institutionalized women who participated in the national health survey (2006, 2011/12) and the European Health Survey in Spain (2009, 2014). Study variables: cytology-testing, time since last cytology-test, reason for performing the test, age, nationality, marital status, social status, education level and place of residence...
February 12, 2018: European Journal of Public Health
https://www.readbyqxmd.com/read/29443561/building-bridges-to-a-brighter-tomorrow-a-systematic-evidence-review-of-interventions-that-prepare-adolescents-for-adulthood
#13
Barri B Burrus, Kathleen Krieger, Regina Rutledge, Alexander Rabre, Sarah Axelson, Audra Miller, LeBretia White, Christine Jackson
BACKGROUND: Data suggest that adverse social determinants during adolescence can set in motion a lifetime of poor social and health outcomes. Vulnerable youths are at particularly high risk in this regard. OBJECTIVES: To identify and assess the current evidence base for adolescent-focused interventions designed to influence adulthood preparation that could affect longer-term social determinants. SEARCH METHODS: Using a systematic review methodology, we conducted an initial assessment of intervention evaluations targeting 6 adulthood preparation subject (APS) areas to assess the quality and character of the evidence base...
February 2018: American Journal of Public Health
https://www.readbyqxmd.com/read/29443437/influencing-pathways-to-quality-of-life-and-hba1c-in-patients-with-diabetes-a-longitudinal-study-that-inform-evidence-based-practice
#14
Hui-Chun Hsu, Yau-Jiunn Lee, Ruey-Hsia Wang
BACKGROUND: Determining possible associated factors and the influencing pathways to hemoglobin A1C (HbA1C) levels and quality of life (QoL) will facilitate the development of effective interventions to improve the physical and psychosocial health of patients with type 2 diabetes mellitus (T2DM). OBJECTIVES: To test a hypothesized model that addressed the pathways among personal characteristics, social support, diabetes distress, and self-care behaviors to HbA1C and QoL...
February 14, 2018: Worldviews on Evidence-based Nursing
https://www.readbyqxmd.com/read/29442394/surveying-social-adversity-in-pregnancy-the-antenatal-risk-burden-experienced-by-australian-women
#15
Sharon Goldfeld, Elise D'Abaco, Hannah Bryson, Fiona Mensah, Anna Mh Price
AIM: Many, varied, antenatal risk factors can adversely impact children's health, behaviour and cognition. Understanding the antenatal risk factors experienced by women can help identify which families are most likely to benefit from additional early supports; however, there is a dearth of published Australian antenatal risk data. This study aimed to determine the prevalence and co-occurrence of a broad range of risk factors in a community-based sample of pregnant Australian women. METHODS: A brief risk factor survey (10 items, including age, social support, health, smoking, stress or anxious mood, education, household income, employment) completed by pregnant women attending the antenatal clinic waiting rooms of 10 public maternity hospitals, which were selected for their provision of care to areas with fewer socio-economic resources in the states of Victoria and Tasmania, between May 2013 and August 2014...
February 14, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/29441815/the-secret-drama-at-the-patient-s-bedside-refusal-of-treatment-because-of-the-practitioner-s-ethnic-identity-the-medical-staff-s-point-of-view
#16
Ariela Popper-Giveon, Yael Keshet
Patients' refusal of treatment based on the practitioner's ethnic identity reveals a clash of values: neutrality in medicine versus patient-centered care. Taking the Israeli-Palestinian conflict into account, this article aims at examining Israeli health care professionals' points of view concerning patients' refusal of treatment because of a practitioner's ethnic identity. Fifty in-depth interviews were conducted with 10 managers and 40 health care professionals, Jewish and Arab, employed at 11 public hospitals...
February 1, 2018: Qualitative Health Research
https://www.readbyqxmd.com/read/29441714/time-dependent-regional-brain-distribution-of-methadone-and-naltrexone-in-the-treatment-of-opioid-addiction
#17
Belin G Teklezgi, Annapurna Pamreddy, Sooraj Baijnath, Hendrik G Kruger, Tricia Naicker, Nirmala D Gopal, Thavendran Govender
Opioid addiction is a serious public health concern with severe health and social implications; therefore, extensive therapeutic efforts are required to keep users drug free. The two main pharmacological interventions, in the treatment of addiction, involve management with methadone an mu (μ)-opioid agonist and treatment with naltrexone, μ-opioid, kappa (κ)-opioid and delta (δ)-opioid antagonist. MET and NAL are believed to help individuals to derive maximum benefit from treatment and undergo a full recovery...
February 14, 2018: Addiction Biology
https://www.readbyqxmd.com/read/29440152/protocol-for-validation-of-the-4at-a-rapid-screening-tool-for-delirium-a-multicentre-prospective-diagnostic-test-accuracy-study
#18
Susan D Shenkin, Christopher Fox, Mary Godfrey, Najma Siddiqi, Steve Goodacre, John Young, Atul Anand, Alasdair Gray, Joel Smith, Tracy Ryan, Janet Hanley, Allan MacRaild, Jill Steven, Polly L Black, Julia Boyd, Christopher J Weir, Alasdair Mj MacLullich
INTRODUCTION: Delirium is a severe neuropsychiatric syndrome of rapid onset, commonly precipitated by acute illness. It is common in older people in the emergency department (ED) and acute hospital, but greatly under-recognised in these and other settings. Delirium and other forms of cognitive impairment, particularly dementia, commonly coexist. There is a need for a rapid delirium screening tool that can be administered by a range of professional-level healthcare staff to patients with sensory or functional impairments in a busy clinical environment, which also incorporates general cognitive assessment...
February 10, 2018: BMJ Open
https://www.readbyqxmd.com/read/29439192/teenage-pregnancy-and-mental-health-beyond-the-postpartum-period-a-systematic-review
#19
REVIEW
Chloé Xavier, Anita Benoit, Hilary K Brown
BACKGROUND: Teenage mothers are at increased risk for adverse social outcomes and short-term health problems, but long-term impacts on mental health are poorly understood. The aims of our systematic review were to determine the association between teenage pregnancy and mental health beyond the postpartum period, critically appraise the literature's quality and guide future research. METHODS: We systematically searched MEDLINE, Embase, PsycINFO, CINAHL, Scopus and Web of Science from inception to June 2017 for peer-reviewed articles written in English or French...
February 8, 2018: Journal of Epidemiology and Community Health
https://www.readbyqxmd.com/read/29439099/addressing-the-root-cause-rising-health-care-costs-and-social-determinants-of-health
#20
Melanie Bush
The United States is the only high-income country that does not have publicly-financed universal health care, yet it has one of the world's highest public health care expenditures. This financial outlay is not bringing the desired result in health outcomes because the root cause is not being addressed: solving the systematic disparities and social determinants that lead to poor health and health inequities. Targeting resources for the most vulnerable populations and linking health care plans with community-based organizations to address social determinants of health at the outset is a cost-effective means of preventing expensive chronic illnesses and health inequities...
January 2018: North Carolina Medical Journal
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