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Diagnostics for detection and surveillance of priority epidemic-prone diseases in Africa: an assessment of testing capacity and laboratory strengthening needs 用于检测和监测非洲重点易流行疾病的诊断方法:对检测能力和加强实验室需求的评估
IF 5.2 3区 医学
Frontiers in Public Health Pub Date : 2024-09-18 DOI: 10.3389/fpubh.2024.1438334
Aytenew Ashenafi, Olajumoke Sule, Trevor Peter, Silver Mashate, Osborn Otieno, Abebaw Kebede, John Oio, Kekeletso Kao, Jane Carter, Toni Whistler, Nqobile Ndlovu, Yenew Kebede
{"title":"Diagnostics for detection and surveillance of priority epidemic-prone diseases in Africa: an assessment of testing capacity and laboratory strengthening needs","authors":"Aytenew Ashenafi, Olajumoke Sule, Trevor Peter, Silver Mashate, Osborn Otieno, Abebaw Kebede, John Oio, Kekeletso Kao, Jane Carter, Toni Whistler, Nqobile Ndlovu, Yenew Kebede","doi":"10.3389/fpubh.2024.1438334","DOIUrl":"https://doi.org/10.3389/fpubh.2024.1438334","url":null,"abstract":"In 2023, Africa experienced 180 public health emergencies, of which 90% were infectious diseases and 75% were related to zoonotic diseases. Testing capacity for epidemic-prone diseases is essential to enable rapid and accurate identification of causative agents, and for action to prevent disease spread. Moreover, testing is pivotal in monitoring disease transmission, evaluating public health interventions and informing targeted resource allocation during outbreaks. An online, self-assessment survey was conducted in African Union Member States to identify major challenges in testing for epidemic-prone diseases. The survey assessed current capacity for diagnosing priority epidemic-prone diseases at different laboratory levels. It explored challenges in establishing and maintaining testing capacity to improve outbreak response and mitigate public health impact. Survey data analysed diagnostic capacity for priority infectious diseases, diagnostic technologies in use, existing surveillance programmes and challenges limiting diagnostic capacity, by country. The survey result from 15 Member States who responded to the survey, showed high variability in testing capacity and technologies across countries and diverse factors limiting testing capacity for certain priority diseases like dengue and Crimean-Congo haemorrhagic fever. At the same time diagnostic capacity is better for coronavirus disease 2019 (COVID-19), polio, and measles due to previous investments. Unfortunately, many countries are not utilizing multiplex testing, despite its potential to improve diagnostic access. The challenges of limited laboratory capacity for testing future outbreaks are indeed significant. Recent disease outbreaks in Africa have underscored the urgent need to strengthen diagnostic capacity and introduce cost-effective technologies. Small sample sizes and differing disease prioritisation within each country limited the analysis. These findings suggest the benefits of evaluating laboratory testing capacity for epidemic-prone diseases and highlight the importance of effectively addressing challenges to detect diseases and prevent future pandemics.","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":null,"pages":null},"PeriodicalIF":5.2,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142258491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Career adaptability and correlating factors among secondary vocational nursing students in China 中国中职护理专业学生的职业适应性及相关因素
IF 5.2 3区 医学
Frontiers in Public Health Pub Date : 2024-09-18 DOI: 10.3389/fpubh.2024.1377323
Yuhe Xiang, Lin Li, Qin Yang, YiQian Fang, Wenbin Xu, Xing Ding, Qian Yang
{"title":"Career adaptability and correlating factors among secondary vocational nursing students in China","authors":"Yuhe Xiang, Lin Li, Qin Yang, YiQian Fang, Wenbin Xu, Xing Ding, Qian Yang","doi":"10.3389/fpubh.2024.1377323","DOIUrl":"https://doi.org/10.3389/fpubh.2024.1377323","url":null,"abstract":"BackgroundCareer adaptability significantly affects college students’ career happiness in the future, and it is essential to make a detailed evaluation of its correlation for making a targeted intervention plan. However, the applicability of occupational adaptability to secondary vocational nursing students is still an unexplored field in academic research.ObjectiveThis study aimed to investigate the current situation of career adaptability and its influencing factors on secondary vocational nursing students in medical schools.MethodsA total of 1,414 secondary vocational nursing students from three secondary colleges and universities in Southwest China from July 2022 to September 2022 were selected for the survey. A questionnaire was used to assess secondary vocational nursing students’ sociodemographic, Career Adaptability, Psychological Control Sources, and the Meaning in Life. Statistical analyses were performed using Pearson’s correlation analysis, t-test, analysis of variance and multiple.ResultsSecondary vocational nursing students scored (51.03 ± 9.64) for the meaning in life, (81.46 ± 25.39) for psychological control sources, and (94.12 ± 15.55) for career adaptability. Career resilience was significantly and positively correlated with the opportunity and internal control factors of psychological control sources (<jats:italic>r</jats:italic> = 0.091, −0.488, <jats:italic>p</jats:italic> &amp;lt; 0.01); and career adaptability was significantly and positively correlated with the sense of seeking meaning and possessing meaning factors of sense of meaning in life (<jats:italic>r</jats:italic> = 0.725, 0.734, <jats:italic>p</jats:italic> &amp;lt; 0.01); Multiple linear regression analysis revealed that academic performance, mother’s educational level, search for meaning, sense of meaningfulness, opportunities, and internal control entered the regression equation (<jats:italic>p</jats:italic> &amp;lt; 0.05), explaining 64% of the total variance.ConclusionThe overall career adaptability of secondary vocational nursing students is at a moderately high level, with significant individual differences closely correlated with locus of control, meaning in life, and career adaptability. Nursing educators can provide targeted intervention measures based on influencing factors to promote the development of secondary vocational nursing students’ career adaptability, enabling them to better adapt to future clinical work.","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":null,"pages":null},"PeriodicalIF":5.2,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142258531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quantitative relationship between grip strength and quality of life in the older adult based on a restricted cubic spline model 基于限制性三次样条模型的老年人握力与生活质量之间的定量关系
IF 5.2 3区 医学
Frontiers in Public Health Pub Date : 2024-09-18 DOI: 10.3389/fpubh.2024.1417660
Fanhao Meng, Yunqing Zhang, Chaoxing Liu, Cailiang Zhou
{"title":"Quantitative relationship between grip strength and quality of life in the older adult based on a restricted cubic spline model","authors":"Fanhao Meng, Yunqing Zhang, Chaoxing Liu, Cailiang Zhou","doi":"10.3389/fpubh.2024.1417660","DOIUrl":"https://doi.org/10.3389/fpubh.2024.1417660","url":null,"abstract":"BackgroundGrip strength have been showed diverse associations with quality of life for the older adult population in the literature, still there is lack of evidence of the threshold value of grip strength for maintaining good quality of life in older adults. The purpose of this study was to study the dose-effect relationship between grip strength and quality of life in the older adult, and to explore the factors affecting quality of life in the older adult, so as to provide effective theoretical basis for realizing healthy aging.MethodsA total of 105 older adult people over 60 years old were selected from 3 communities in Beijing. Grip strength was measured by hand dynamometer apparatus and quality of life was assessed by 36-item Short-Form (SF-36). On the basis of controlling confounding factors, the dose-effect relationship between grip strength and quality of life was analyzed with the restricted cubic spline model.ResultsThe results showed that there was a dose-effect relationship between grip strength and physical component summary (PCS) (<jats:italic>p</jats:italic> &amp;lt; 0.01). However, grip strength was not significantly associated with mental component summary (MCS) (<jats:italic>p</jats:italic> &amp;gt; 0.05). The threshold value of grip strength for male and female is 34.75 and 23.2 kg, for normal weight group and overweight and obesity group is 24.82 and 29.00 kg, for 60–69, 70–79, 80+ years group is 24.88, 23.37, and 22.97 kg, respectively. When the grip strength value is lower than the threshold value, the increase of grip strength was related to significant improvement of quality of life of the older adult, and when the grip strength value is higher than the threshold value, the quality of life can be maintained in good condition.ConclusionA dose-effect relationship was found between grip strength and physical health in quality of life. Results of our study indicated that the grip strength of the older adults needed to be greater than certain threshold values to maintain good quality of life.","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":null,"pages":null},"PeriodicalIF":5.2,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142258490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The nexus between poverty and maternal healthcare utilization with a focus on antenatal care visits and choice of place of birth in Somaliland 贫困与孕产妇保健利用率之间的关系,重点是索马里兰的产前检查和分娩地点选择
IF 5.2 3区 医学
Frontiers in Public Health Pub Date : 2024-09-18 DOI: 10.3389/fpubh.2024.1417883
Khalid Ahmed Abdi, Jayamohan M. K., Mohammed Adem
{"title":"The nexus between poverty and maternal healthcare utilization with a focus on antenatal care visits and choice of place of birth in Somaliland","authors":"Khalid Ahmed Abdi, Jayamohan M. K., Mohammed Adem","doi":"10.3389/fpubh.2024.1417883","DOIUrl":"https://doi.org/10.3389/fpubh.2024.1417883","url":null,"abstract":"IntroductionPoverty poses a significant barrier to accessing healthcare globally, particularly in relation to antenatal care (ANC) visits and the use of childbirth facilities, both of which are crucial for women’s health and fetal well-being. In Somaliland, only 47% of pregnant women attend healthcare facilities for ANC, with a mere 33% receiving care from skilled birth attendants. Despite this, no previous studies have examined the relationship between poverty and maternal healthcare utilization in Somaliland. This study aims to investigate the effect of poverty on maternal healthcare utilization with focus on ANC visits and the choice of place of birth in Somaliland.MethodUtilizing data from the 2020 Somaliland Demographic Health Survey, a cross-sectional study design was employed, analyzing a nationally representative sample. The sample size used in this study was 3,183 women of reproductive age. Descriptive analysis, negative binomial regression, and multinomial logistic regression were conducted using Stata version 18.0. Diagnostic tests, including Chi-square − 2log likelihood statistic, Akaike Information Criterion, and Bayesian Information Criterion, were employed to evaluate model fit.ResultsPoverty, as indicated by wealth quintile, was associated with reduced ANC visits (adjusted incidence rate ratio (aIRR) = 0.884, 95% CI: 0.791–0.987) among women in poorer households compared to those in richer households. Women in Togdheer, Sool, and Sanaag regions had lower ANC visit rates compared to Maroodi Jeex region (aIRR = 0.803, 95% CI: 0.687–0.939; aIRR = 0.710, 95% CI: 0.601–0.839; aIRR = 0.654, 95% CI: 0.558–0.768, respectively). Women from poorer households had lower probabilities of opting for public health facilities (adjusted relative risk ratio (aRRR) = 0.457, 95% CI: 0.352–0.593) and private health facilities (aRRR = 0.195, 95% CI: 0.111–0.341) over home births compared to women in richer households. Women in Togdheer, Sool, and Sanaag regions had lower probabilities of choosing public (aRRR range: 0.331–0.175) and private (aRRR range: 0.350–0.084) health facilities for delivery over home births compared to women in Maroodi Jeex region.ConclusionPoverty significantly impedes maternal healthcare utilization, contributing to lower ANC attendance and preference for home births over public or private health facility births. Addressing these disparities requires initiatives to eliminate financial barriers, such as user fees, and enhance equitable access through community-based health insurance and improved healthcare infrastructure.","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":null,"pages":null},"PeriodicalIF":5.2,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142258525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Disentangling the influence of reservoir abundance and pathogen shedding on zoonotic spillover of the Leptospira agent in urban informal settlements 厘清水库丰度和病原体脱落对城市非正规住区钩端螺旋体病原体人畜共患病蔓延的影响
IF 5.2 3区 医学
Frontiers in Public Health Pub Date : 2024-09-18 DOI: 10.3389/fpubh.2024.1447592
Nirali Soni, Max T. Eyre, Fábio N. Souza, Peter J. Diggle, Albert I. Ko, Mike Begon, Roger Pickup, James E. Childs, Hussein Khalil, Ticiana S. A. Carvalho-Pereira, Arsinoê C. Pertile, Mayara Carvalho, Daiana de Oliveira, Nivison Nery, Emanuele Giorgi, Federico Costa
{"title":"Disentangling the influence of reservoir abundance and pathogen shedding on zoonotic spillover of the Leptospira agent in urban informal settlements","authors":"Nirali Soni, Max T. Eyre, Fábio N. Souza, Peter J. Diggle, Albert I. Ko, Mike Begon, Roger Pickup, James E. Childs, Hussein Khalil, Ticiana S. A. Carvalho-Pereira, Arsinoê C. Pertile, Mayara Carvalho, Daiana de Oliveira, Nivison Nery, Emanuele Giorgi, Federico Costa","doi":"10.3389/fpubh.2024.1447592","DOIUrl":"https://doi.org/10.3389/fpubh.2024.1447592","url":null,"abstract":"Rats are major reservoirs for pathogenic <jats:italic>Leptospira</jats:italic>, the bacteria causing leptospirosis, particularly in urban informal settlements. However, the impact of variation in rat abundance and pathogen shedding rates on spillover transmission to humans remains unclear. This study aimed to investigate how spatial variation in reservoir abundance and pathogen pressure affect <jats:italic>Leptospira</jats:italic> spillover transmission to humans in a Brazilian urban informal settlement. A longitudinal eco-epidemiological study was conducted from 2013 to 2014 to characterize the spatial distribution of rat abundance and <jats:italic>Leptospira</jats:italic> shedding rates in rats and determine the association with human infection risk in a cohort of 2,206 community residents. Tracking plates and live-trapping were used to measure rat abundance and quantify rat shedding status and load. In parallel, four sequential biannual serosurveys were used to identify human <jats:italic>Leptospira</jats:italic> infections. To evaluate the role of shedding on human risk, we built three statistical models for: (1) the relative abundance of rats, (2) the shedding rate by individual rats, and (3) human <jats:italic>Leptospira</jats:italic> infection, in which “total shedding”, obtained by multiplying the predictions from those two models, was used as a risk factor. We found that <jats:italic>Leptospira</jats:italic> shedding was associated with older and sexually mature rats and varied spatially and temporally—higher at valley bottoms and with seasonal rainfall (December to March). The point estimate for “total shedding” by rat populations was positive, i.e., <jats:italic>Leptospira</jats:italic> infection risk increased with total shedding, but the association was not significant [odds ratio (OR) = 1.1; 95% confidence interval (CI): 0.9, 1.4]. This positive trend was mainly driven by rat abundance, rather than individual rat shedding (OR = 1.8; 95% CI: 0.6, 5.4 vs. OR = 1.0; 95% CI: 0.7, 1.4]. Infection risk was higher in areas with more vegetative land cover (OR = 2.4; 95% CI: 1.2, 4.8), and when floodwater entered the house (OR = 2.4; 95% CI: 1.6, 3.4). Our findings indicate that environmental and hydrological factors play a more significant role in <jats:italic>Leptospira</jats:italic> spillover than rat associated factors. Furthermore, we developed a novel approach combining several models to elucidate complex links between animal reservoir abundance, pathogen shedding and environmental factors on zoonotic spillover in humans that can be extended to other environmentally transmitted diseases.","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":null,"pages":null},"PeriodicalIF":5.2,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142258298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Editorial: Disabled people's health. 社论:残疾人的健康。
IF 3 3区 医学
Frontiers in Public Health Pub Date : 2024-09-18 eCollection Date: 2024-01-01 DOI: 10.3389/fpubh.2024.1485424
Saengryeol Park, So-Youn Park, Minha Hong, Ahmad M Osailan, In-Hwan Oh
{"title":"Editorial: Disabled people's health.","authors":"Saengryeol Park, So-Youn Park, Minha Hong, Ahmad M Osailan, In-Hwan Oh","doi":"10.3389/fpubh.2024.1485424","DOIUrl":"https://doi.org/10.3389/fpubh.2024.1485424","url":null,"abstract":"","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11445165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142365018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Erratum: Is ADHD a way of conceptualizing long-term emotional stress and social disadvantage? 勘误:多动症是长期情绪压力和社会劣势的一种概念化方式吗?
IF 3 3区 医学
Frontiers in Public Health Pub Date : 2024-09-17 eCollection Date: 2024-01-01 DOI: 10.3389/fpubh.2024.1491023
{"title":"Erratum: Is ADHD a way of conceptualizing long-term emotional stress and social disadvantage?","authors":"","doi":"10.3389/fpubh.2024.1491023","DOIUrl":"https://doi.org/10.3389/fpubh.2024.1491023","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.3389/fpubh.2022.966900.].</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11445790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142365019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Secondary traumatic stress and vicarious posttraumatic growth in oncology nurses: the mediating role of empathy. 肿瘤科护士的继发性创伤应激和创伤后替代性成长:移情的中介作用。
IF 3 3区 医学
Frontiers in Public Health Pub Date : 2024-09-17 eCollection Date: 2024-01-01 DOI: 10.3389/fpubh.2024.1454998
Yitong Cai, Ming Liu, Yifei Li, Juan Li, Jie Geng, Xiaoying Liu, Jingping Zhang
{"title":"Secondary traumatic stress and vicarious posttraumatic growth in oncology nurses: the mediating role of empathy.","authors":"Yitong Cai, Ming Liu, Yifei Li, Juan Li, Jie Geng, Xiaoying Liu, Jingping Zhang","doi":"10.3389/fpubh.2024.1454998","DOIUrl":"10.3389/fpubh.2024.1454998","url":null,"abstract":"<p><strong>Background: </strong>The relationship between secondary traumatic stress (STS), empathy, and vicarious post-traumatic growth (VPTG) in oncology nurses is unclear. Understanding these links is crucial for improving nurse well-being and patient care quality.</p><p><strong>Objective: </strong>This study aimed to investigate the relationships between STS, empathy, and VPTG among oncology nurses.</p><p><strong>Methods: </strong>This cross-sectional study was conducted in a multicentric setting. Data collection involved oncology nurses completing questionnaires assessing STS, empathy, and VPTG levels. Data analysis included correlation analyses, multiple stepwise regression analysis, and structural equation modeling (SEM) to examine the interrelationships between these variables. The study adhered to the STROBE checklist.</p><p><strong>Results: </strong>A total of 391 oncology nurses participated in the study. They showed moderate to low levels of VPTG and high levels of STS. STS exhibited a negative association with VPTG, while empathy demonstrated a positive direct association with both VPTG and STS. Moreover, SEM indicated that empathy mediated the relationship between STS and VPTG, with a partial mediating effect of 0.127. Factors such as receiving psychological training, educational attainment, STS, and empathy collectively explained 24% of the variance in VPTG.</p><p><strong>Conclusion: </strong>Our findings highlighted the negative correlation between STS and VPTG among oncology nurses. Additionally, empathy was found to mediate the relationship between STS and VPTG, suggesting it plays a significant role in influencing VPTG.</p><p><strong>Implications for practice: </strong>To aid oncology nurses, interventions should focus on reducing STS and enhancing empathy. Strategies like resilience workshops, peer support, and stress management can foster VPTG. Creating a supportive work environment is crucial for nurses' well-being and quality patient care.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11442218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142361406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Research protocol for bridging research, accurate information and dialogue (BRAID)-clinical trials: a mixed-methods study of a community-based intervention to improve trust and diversify participation in clinical trials. 连接研究、准确信息和对话(BRAID)--临床试验的研究方案:一项以社区为基础的干预措施的混合方法研究,旨在提高临床试验的信任度和多元化参与。
IF 3 3区 医学
Frontiers in Public Health Pub Date : 2024-09-16 eCollection Date: 2024-01-01 DOI: 10.3389/fpubh.2024.1407726
Damara N Gutnick, Patricia Lozano, Smeily Rodriguez Martinez, Katherine W Wang, Debra A Williams, Bruce D Rapkin, Nelly Gonzalez-Lepage
{"title":"Research protocol for bridging research, accurate information and dialogue (BRAID)-clinical trials: a mixed-methods study of a community-based intervention to improve trust and diversify participation in clinical trials.","authors":"Damara N Gutnick, Patricia Lozano, Smeily Rodriguez Martinez, Katherine W Wang, Debra A Williams, Bruce D Rapkin, Nelly Gonzalez-Lepage","doi":"10.3389/fpubh.2024.1407726","DOIUrl":"10.3389/fpubh.2024.1407726","url":null,"abstract":"<p><p>Cultural beliefs, personal experiences, and historic abuses within the healthcare system-rooted in structural racism-all contribute to community distrust in science and medicine. This lack of trust, particularly within underserved communities, contributes to decreased participation in clinical trials and a lack of representation in the data. Open dialogue about community concerns and experiences related to research participation and medical care processes can help build trust and change attitudes and behaviors that affect community health. This protocol outlines an approach to increase trust in science and clinical trials among communities in the Bronx, New York that are typically underrepresented in research data. Bridging Research, Accurate Information and Dialogue (BRAID) is a two-phased, evidence-based community engagement model that creates safe spaces for bilateral dialogues between trusted community messengers, and clinicians and scientists. The team will conduct a series of BRAID Conversation Circles on the topic of clinical trials with local trusted community messengers. Participants will be members of the community who are perceived as \"trusted messengers\" and can represent the community's voice because they have insight into \"what matters\" locally. Conversation Circles will be audiotaped, transcribed, and analyzed to identify emergent challenges and opportunities surrounding clinical trial participation. These key themes will subsequently inform the codesign and co-creation of tailored messages and outreach efforts that community participants can disseminate downstream to their social networks. Surveys will be administered to all participants before and after each Conversation Circle to understand participants experience and evaluate changes in knowledge and attitudes about clinical trials, including protections for research participants the advantages of having diverse representation. Changes in motivation and readiness to share accurate clinical trial information downstream will also be assessed. Lastly, we will measure participants dissemination of codesigned science messages through their social networks by tracking participant specific resource URLs of materials and videos posted on a BRAID website. This protocol will assess the effectiveness and adoptability of an innovative CBPR model that can be applied to a wide range of public health issues and has the potential to navigate the ever-changing needs of the communities that surround health systems.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11439785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142344863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sexual and reproductive health service utilization and associated factors among youth workers at Kombolcha Industry Park, Kombolcha town, Northeast Ethiopia, 2023. 埃塞俄比亚东北部 Kombolcha 镇 Kombolcha 工业园区青年工人的性健康和生殖健康服务利用情况及相关因素,2023 年。
IF 3 3区 医学
Frontiers in Public Health Pub Date : 2024-09-16 eCollection Date: 2024-01-01 DOI: 10.3389/fpubh.2024.1367421
Addisu Endalew, Bereket Kefale, Natnael Atnafu Gebeyehu, Belete Birhan
{"title":"Sexual and reproductive health service utilization and associated factors among youth workers at Kombolcha Industry Park, Kombolcha town, Northeast Ethiopia, 2023.","authors":"Addisu Endalew, Bereket Kefale, Natnael Atnafu Gebeyehu, Belete Birhan","doi":"10.3389/fpubh.2024.1367421","DOIUrl":"10.3389/fpubh.2024.1367421","url":null,"abstract":"<p><strong>Background: </strong>Youth is a decisive age that shapes the direction of their life and that of their family. However, due to the host of biological, social, and economic factors, youth Industry Park workers can be at high risk of adverse sexual and reproductive health outcomes. Therefore, assessing youth sexual and reproductive health service utilization and associated factors among youth workers is very crucial for timely intervention to their gaps.</p><p><strong>Objective: </strong>This study aimed to assess sexual and reproductive health service utilization and associated factors among youth workers working at Kombolcha Industry Park Kombolcha, Northeast Ethiopia, 2023.</p><p><strong>Methods: </strong>An institutional-based cross-sectional study was conducted at Kombolcha Industry Park, Kombolcha, among a total of 422 youth workers from 1 January to 30 January 2023. A simple random sampling technique was used to access a total of 422 youth workers in Kombolcha Industry Park. The data were collected using pre-test, structured, and interviewer-administered questionnaires. Data were entered into Epi Data version 3.1 and were exported to SPSS version 26 for analysis. Bi-variable and multivariable binary logistic regression analyses were performed. Adjusted odds ratio with 95% confidence interval was estimated to measure the strength of the association. The level of statistical significance was declared at a <i>p</i> value of less than 0.05.</p><p><strong>Results: </strong>Overall utilization of reproductive health services was 45.50%. Being married [adjusted odds ratio (AOR) = 5.76, 95% CI (2.94, 11.25)], near distance of sexual and reproductive health (SRH) facility to home [AOR = 2.57, 95% CI (1.60, 4.14)], having good knowledge [AOR = 9.23 95%CI (4.88, 17.44)], and good attitude about SRH [AOR = 2.06 95% CI (1.29, 3.28)] were significantly associated with youth SRHs utilization.</p><p><strong>Conclusion: </strong>Youth sexual and reproductive health service utilization among youth workers of Kombolcha Industry Park was low. Ensuring SRHs availability and accessibility, empowering youth with knowledge of SRHs, and advocating sexual and reproductive health services to develop a good attitude might be important in improving reproductive health service utilization. Future researchers should address segments of the population other than Kombolcha Industry Park.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11439696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142344865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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