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Urban poor

Anna E Kågesten, Caroline W Kabiru, Beatrice Maina, Danielle German, Robert Wm Blum
The need for early prevention approaches to improve young people's sexual and reproductive health is gaining attention, yet little is known about the sexual experiences of early adolescents aged 10-14 years. Drawing on cross-sectional survey data collected from 365 early adolescents in a Nairobi slum, we used latent class analysis to identify subgroups based on self-reported awareness about sex and involvement in romantic and sexual activities. Multivariate regression models were fitted to examine the characteristics of each subgroup...
March 20, 2018: Culture, Health & Sexuality
Anna Kroten, Kacper Toczylowski, Elzbieta Oldak, Artur Sulik
The objective of this study was to investigate the main clinical signs and symptoms of toxocarosis in children and the treatment results. The study group consisted of 66 seropositive children aged 2 to 16 years, evaluated in an outpatient clinic in north-eastern Poland for 24 months. Male gender and living in urban areas predominated in the study population. Children presented with non-specific symptoms, of which the most common was abdominal pain or tenderness, which was reported by 39 (59%) patients. Absolute eosinophil counts were increased in 32 (48%) children...
March 20, 2018: Parasitology Research
Grace Trompeter, Matthew R Grigsby, Catherine H Miele, Robert A Wise, Robert H Gilman, J Jaime Miranda, Antonio Bernabe-Ortiz, William Checkley
PURPOSE: Body composition is known to influence the development and progression of chronic respiratory diseases (CRDs). We sought to characterize the unique anthropometric phenotypes that present with asthma, chronic obstructive pulmonary disease (COPD), and chronic bronchitis across four distinct settings in Peru. METHODS: We collected sociodemographic, clinical history, and spirometry data from 2959 participants from Lima, Tumbes, and rural and urban Puno. We compared the prevalence of CRDs among different study sites and described disease phenotypes...
March 20, 2018: Lung
Hellen Namusoke, Maria Musoke Nannyonga, Robert Ssebunya, Victoria Kirabira Nakibuuka, Edison Mworozi
Background: Hypoxic Ischemic Encephalopathy carries high case fatality rates ranging between 10-60%, with 25% of survivors have an adverse long-term neurodevelopment outcome. Despite the above, there is paucity of data regarding its magnitude and short term outcomes in a low resource setting like Uganda. Therefore we set out to determine the incidence and short term outcomes of Newborns with Hypoxic Ischemic Encephalopathy at St.Francis Hospital, Nsambya. Methods: This was a Prospective Cohort study conducted between October 2015 and January 2016 at St...
2018: Maternal Health, Neonatology and Perinatology
N A Wardrop, W C Jochem, T J Bird, H R Chamberlain, D Clarke, D Kerr, L Bengtsson, S Juran, V Seaman, A J Tatem
Population numbers at local levels are fundamental data for many applications, including the delivery and planning of services, election preparation, and response to disasters. In resource-poor settings, recent and reliable demographic data at subnational scales can often be lacking. National population and housing census data can be outdated, inaccurate, or missing key groups or areas, while registry data are generally lacking or incomplete. Moreover, at local scales accurate boundary data are often limited, and high rates of migration and urban growth make existing data quickly outdated...
March 19, 2018: Proceedings of the National Academy of Sciences of the United States of America
Seth A Berkowitz, Andrew J Karter, Giselle Corbie-Smith, Hilary K Seligman, Sarah A Ackroyd, Lily S Barnard, Steven J Atlas, Deborah J Wexler
OBJECTIVE: Both food insecurity (limited food access owing to cost) and living in areas with low physical access to nutritious foods are public health concerns, but their relative contribution to diabetes management is poorly understood. RESEARCH DESIGN AND METHODS: This was a prospective cohort study. A random sample of patients with diabetes in a primary care network completed food insecurity assessment in 2013. Low physical food access at the census tract level was defined as no supermarket within 1 mile in urban areas and 10 miles in rural areas...
March 19, 2018: Diabetes Care
Adanna Uloaku Nwameme, Philip Teg-Nefaah Tabong, Philip Baba Adongo
BACKGROUND: Three-quarters of sub-Saharan Africa's urban population currently live under slum conditions making them susceptible to ill health and diseases. Ghana characterizes the situation in many developing countries where the urban poor have become a group much afflicted by complex health problems associated with their living conditions, and the intra-city inequity between them and the more privileged urban dwellers with respect to health care accessibility. Adopting Ghana's rural Community-Based Health Planning and Service (CHPS) programme in urban areas is challenging due to the differences in social networks and health challenges thus making modifications necessary...
March 20, 2018: BMC Health Services Research
Diana Meza-Figueroa, Belem González-Grijalva, Francisco Romero, Joaquin Ruiz, Martín Pedroza-Montero, Carlos Ibañez-Del Rivero, Mónica Acosta-Elías, Lucas Ochoa-Landin, Sofía Navarro-Espinoza
The environmental fate of lead derived from traffic paint has been poorly studied in developing countries, mainly in arid zones. For this purpose, a developing city located in the Sonoran desert (Hermosillo, Mexico), was chosen to conduct a study. In this paper the lead chromate (crocoite) sources in atmospheric dust were addressed using a combination of Raman microspectroscopy, X-ray diffraction, scanning electron microscopy (SEM), and Pb isotope measurements. A high concentration of Pb and Cr as micro- and nanostructured pigments of crocoite is reported in yellow traffic paint (n=80), road dust (n=146), settled dust in roofs (n=21), and atmospheric dust (n=20) from a developing city located in the Sonoran Desert...
March 7, 2018: Science of the Total Environment
Saddaf Rashid, Muhammad Arshad, Maryam Siddiqa, Rafiq Ahmad
Air quality in urban areas is generally poor especially at traffic intersections and roadsides due to continuous vehicular emissions comprising poly aromatic hydrocarbons, heavy metals, benzene, diesel soot etc. The objective of this study was to compare the primary DNA damage in traffic police wardens occupationally exposed to airborne Cd and Zn (exposed group) and educational institution with negligible exposure to airborne Cd and Zn (control group). Blood levels of Cd and Zn in traffic police wardens and control group were determined by Flame Atomic Absorption Spectroscopy (FAAS) and DNA damage was assessed by using Comet assay...
March 6, 2018: Science of the Total Environment
May A Beydoun, Marie T Fanelli-Kuczmarski, Hind A Beydoun, Greg A Dore, Jose A Canas, Michele K Evans, Alan B Zonderman
The role of dairy foods and related nutrients in cardiometabolic health aetiology is poorly understood. We investigated longitudinal associations between the metabolic syndrome (MetS) and its components with key dairy product exposures. We used prospective data from a bi-racial cohort of urban adults (30-64 years at baseline (n 1371)), the Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS), in Baltimore City, MD (2004-2013). The average of two 24-h dietary recalls measured 4-10 d apart was computed at baseline (V1) and follow-up (V2) waves...
March 2018: British Journal of Nutrition
Oliver Stevens, Jamie I Forrest
Chemsex is a growing public health concern in urban centres, and few interventions exist to mitigate the significant sexual, drug-related, and social harms potentially experienced by people who participate in chemsex. In much of the world, these immediate harms are further compounded by the criminalisation and stigmatisation of both homosexuality and drug use, preventing participants fully engaging with treatment services or provision of health care. Gay, bisexual and other men who have sex with men participating in chemsex fall between the traditional definitions of key populations and consequently are poorly provided for by existing drug and sexual health frameworks...
March 19, 2018: Sexual Health
S S Chung, J S Zheng, S R Burket, B W Brooks
Though antibiotic resistance (ABR) represents a major global health threat, contributions of landfill leachate to the life cycle of antibiotics and ABR development are poorly understood in rapidly urbanizing regions of developing countries. We selected one of the largest active landfills in Asia and two landfills that have been closed for 20 years to examine antibiotic occurrences in leachates and associated hazards during wet and dry season sampling events. We focused on some of the most commonly used human antibiotics in Hong Kong, one of the most populous Asian cities and the fourth most densely populated cities in the world...
March 15, 2018: Environment International
Stephane M Shepherd, Cynthia Willis-Esqueda, Yin Paradies, Diane Sivasubramaniam, Juanita Sherwood, Teresa Brockie
BACKGROUND: Disparities across a number of health indicators between the general population and particular racial and cultural minority groups including African Americans, Native Americans and Latino/a Americans have been well documented. Some evidence suggests that particular groups may receive poorer standards of care due to biased beliefs or attitudes held by health professionals. Less research has been conducted in specifically non-urban areas with smaller minority populations. METHODS: This study explored the self-reported health care experiences for 117 racial and cultural minority Americans residing in a Mid-Western jurisdiction...
March 16, 2018: International Journal for Equity in Health
Elan Lazuardi, Stephen Bell, Christy E Newman
Background: The Indonesian response to HIV has been informed largely by quantitative evidence. This review examines what is known about the Indonesian HIV care cascade from published qualitative research. Methods: A 'scoping review' method was used to synthesise and interpret the findings of 17 eligible peer-reviewed publications. Results: Qualitative findings are reported in relation to two themes. Factors influencing successful engagement include a lack of HIV-related knowledge among clients, fear of stigma or lack of privacy/confidentiality at services, limited accessibility and affordability, and poor linkages between services...
March 16, 2018: Sexual Health
Christiane Scheffler, Louisa-Marie Krützfeldt, Parasmani Dasgupta, Michael Hermanussen
Body height has traditionally been looked upon as a mirror of the condition of society, short height being an indicator of poor nutritional status, poor education, and low social status and income. This view has recently been questioned. We aimed to quantify the effects of nutrition, education, sibship size, and household income, factors that are conventionally considered to be related to child growth, on body height of children and adolescents raised under urban Indian conditions. Sample and methods: We re-analyzed several anthropometric measurements and questionnaires with questions on sibship size, fathers' and mother's education, and monthly family expenditure, from two cross-sectional growth studies performed in Kolkata, India...
March 15, 2018: Anthropologischer Anzeiger; Bericht über die Biologisch-anthropologische Literatur
Stephanie M Topp, Chanda Mwamba, Anjali Sharma, Njekwa Mukamba, Laura K Beres, Elvin Geng, Charles B Holmes, Izukanji Sikazwe
BACKGROUND: Failure to keep people living with HIV engaged in life-long care and treatment has serious implications for individual and population-level health. Nested within a four-province study of HIV care and treatment outcomes, we explored the dynamic role of social and service-related factors influencing retention in HIV care in Zambia. METHODS: From a stratified random sample of 31 facilities, eight clinics were selected, one urban and one rural from each province...
2018: PloS One
Laura Coll-Planas, Sergi Blancafort, Xavier Rojano, Marta Roqué, Rosa Monteserín
BACKGROUND: Older people living in socio-economic deprived urban areas especially suffer the effects of health inequalities but have been insufficiently targeted. Strategies promoted by local primary health care agents might influence health and social behaviours as intermediate social determinants that are modifiable and thus can potentially mitigate health inequalities. Therefore, we aim to develop and assess the effectiveness of a complex intervention based on a community programme that promotes self-management, health literacy and social capital targeting older people from urban socioeconomically disadvantaged areas in order to improve their self-perceived health as an indicator of health inequality reduction...
March 13, 2018: BMC Public Health
Ann E Vandenberg, Katharina V Echt, Lawanda Kemp, Gerald McGwin, Molly M Perkins, Anna K Mirk
Suboptimal prescribing persists as a driver of poor quality care of older veterans and is associated with risk of hospitalization and emergency department visits. We adapted a successful medication management model, Integrated Management and Polypharmacy Review of Vulnerable Elders (IMPROVE), from an urban geriatric specialty clinic to rural community-based clinics that deliver primary care. The goals were to promote prescribing quality and safety for older adults, including reduced prescribing of potentially inappropriate medications (PIMs)...
March 2018: Journal of the American Geriatrics Society
Adel Hussein Elduma
BACKGROUND: Female genital mutilation or female circumcision (FGM) is a serious health problem in Sudan. This procedure is harmful to women and causes many complications during pregnancy and childbirth. OBJECTIVE: This study aims to determine the female genital mutilation (FGM) and its associated factors in Sudan. SUBJECTS AND METHODS: Data from Sudan Multiple Indicator Cluster Survey (MICS - UNICEF) was used in this research. The survey was carried out in 2014 and included women aged between 14 - 49 years...
February 15, 2018: Open Access Macedonian Journal of Medical Sciences
Catherine L Ward, Lillian Artz, Lezanne Leoschut, Reshma Kassanjee, Patrick Burton
BACKGROUND: We aimed to complete a nationally representative study of sexual violence against children in South Africa, and its correlates, since we could identify no other such study. METHODS: For this nationally representative, cross-sectional study in South Africa, households were selected by use of a multistage sampling frame, stratified by province, urban or rural setting, and race group, and schools were selected on the basis that they were closest to the area in which households were selected...
April 2018: Lancet Global Health
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