Global Public Health最新文献_第4页

A protocol for the safe recruitment of Indigenous and Black women experiencing intimate partner violence during the COVID-19 pandemic into a large mixed methods study: The Sisters by Choice Study. 在 COVID-19 大流行期间安全招募遭受亲密伴侣暴力的土著妇女和黑人妇女参与大型混合方法研究的协议：姐妹选择研究

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2023-12-29 DOI: 10.1080/17441692.2023.2290122

Lucy Mkandawire-Valhmu, Jacqueline Callari-Robinson, Diane Schadewald, Hanan Abusbaitan, Anna Pirsch, Jeneile Luebke, Liz Marquardt, Erin Schubert, Jennifer Kibicho, Alexa Lopez, Kaboni Gondwe, Elizabeth Rice, Katie Bement, McKenzie Morgan, Rosalind McClain, Peninnah Kako, Faria Raghe, Cindy Figgins Hunter, Crystal Ayad, Anne Dressel

{"title":"A protocol for the safe recruitment of Indigenous and Black women experiencing intimate partner violence during the COVID-19 pandemic into a large mixed methods study: The Sisters by Choice Study.","authors":"Lucy Mkandawire-Valhmu, Jacqueline Callari-Robinson, Diane Schadewald, Hanan Abusbaitan, Anna Pirsch, Jeneile Luebke, Liz Marquardt, Erin Schubert, Jennifer Kibicho, Alexa Lopez, Kaboni Gondwe, Elizabeth Rice, Katie Bement, McKenzie Morgan, Rosalind McClain, Peninnah Kako, Faria Raghe, Cindy Figgins Hunter, Crystal Ayad, Anne Dressel","doi":"10.1080/17441692.2023.2290122","DOIUrl":"10.1080/17441692.2023.2290122","url":null,"abstract":"Intimate partner violence (IPV) is a complex and pervasive public health problem disproportionately affecting Indigenous and Black women. During the COVID-19 pandemic, IPV became more complicated for advocates because social distancing, quarantine, and isolation measures further endangered women experiencing IPV. This manuscript is based on an ongoing community-engaged study in an upper Midwestern state. Our primary goal for this study is to generate urgently needed knowledge on the impact of the COVID-19 pandemic on Indigenous and Black women's help-seeking behaviours following IPV by systematically documenting barriers women faced during the pandemic. Engaging women in a large study that seeks to garner information about their experiences of violence is complex and challenging and requires significant planning, especially for ensuring participants' safety. In this write-up, we detail the safety planning protocol developed for the purposes of recruiting and engaging women in rural and urban areas in an upper Midwestern state in the United States. Our goal is to provide scholars conducting research in the area of violence with practical considerations for safely conducting a study of this nature.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2290122"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10764067/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139073789","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

Medical mistrust, discrimination and healthcare experiences in a rural Namibian community. 纳米比亚农村社区的医疗不信任、歧视和医疗保健经验。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-05-08 DOI: 10.1080/17441692.2024.2346207

Sean Prall, Brooke Scelza, Helen Elizabeth Davis

{"title":"Medical mistrust, discrimination and healthcare experiences in a rural Namibian community.","authors":"Sean Prall, Brooke Scelza, Helen Elizabeth Davis","doi":"10.1080/17441692.2024.2346207","DOIUrl":"10.1080/17441692.2024.2346207","url":null,"abstract":"Substantial evidence indicates that medical mistrust, resulting from experiences with discrimination and marginalisation, is a determinant of health disparities in minority populations. However, this research is largely limited to the US and other industrialised countries. To broaden our understanding of the role of medical mistrust on health-care decision making, we conducted a study on healthcare experiences and perceptions in a rural, underserved indigenous community in northwest Namibia (n = 86). Mixing semi-structured interview questions with the medical mistrust index (MMI), we aim to determine the relevance of the MMI in a non-industrialised population and compare index scores with reports of healthcare experiences. We find that medical mistrust is a salient concept in this community, mapping onto negative healthcare experiences and perceptions of discrimination. Reported healthcare experiences indicate that perceived incompetence, maltreatment and discrimination drive mistrust of medical personnel. However, reporting of recent healthcare experiences are generally positive. Our results indicate that the concept of medical mistrust can be usefully applied to communities in the Global South. These populations, like minority communities in the US, translate experiences of discrimination and marginalisation into medical mistrust. Understanding these processes can help address health disparities and aid in effective public health outreach in underserved populations.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2346207"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140890554","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

Cycles of antibiotic use and emergent antimicrobial resistance in the South African tuberculosis programme (1950-2021): A scoping review and critical reflections on stewardship. 南非结核病计划（1950-2021 年）中的抗生素使用周期和新出现的抗菌药耐药性：范围审查和对管理的批判性思考。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-05-21 DOI: 10.1080/17441692.2024.2356623

Rene Raad, Justin Dixon, Martin Gorsky, Graeme Hoddinott

{"title":"Cycles of antibiotic use and emergent antimicrobial resistance in the South African tuberculosis programme (1950-2021): A scoping review and critical reflections on stewardship.","authors":"Rene Raad, Justin Dixon, Martin Gorsky, Graeme Hoddinott","doi":"10.1080/17441692.2024.2356623","DOIUrl":"10.1080/17441692.2024.2356623","url":null,"abstract":"The emergent threat of antimicrobial resistance (AMR) has resulted in debates around the use and preservation of effective antimicrobials. Concerns around AMR reflect a history of increasing dependence on antibiotics to address disease epidemics rooted in profound structural and systemic challenges. In the context of global health, this process, often referred to as pharmaceuticalisation, has commonly occurred within disease programmes, of which lessons are vital for adding nuance to conversations around antimicrobial stewardship. Tuberculosis (TB) is a notable example. A disease which accounts for one-third of AMR globally and remains the leading cause of death from a single infectious agent in many low - and middle-income countries, including South Africa. In this scoping review, we chart TB science in South Africa over 70 years of programming. We reviewed published manuscripts about the programme and critically reflected on the implications of our findings for stewardship. We identified cycles of programmatic responses to new drug availability and the emergence of drug resistance, which intersected with cycles of pharmaceuticalisation. These cycles reflect the political, economic, and social factors influencing programmatic decision-making. Our analysis offers a starting point for research exploring these cycles and drawing out implications for stewardship across the TB and AMR communities.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2356623"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141075623","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 invisible pandemic of antimicrobial resistance and its possible endings. 抗菌药耐药性的隐形流行及其可能的结局。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-05-22 DOI: 10.1080/17441692.2024.2355318

Carolina Rau Steuernagel, Ida Lillehagen, Jens Seeberg

{"title":"The invisible pandemic of antimicrobial resistance and its possible endings.","authors":"Carolina Rau Steuernagel, Ida Lillehagen, Jens Seeberg","doi":"10.1080/17441692.2024.2355318","DOIUrl":"10.1080/17441692.2024.2355318","url":null,"abstract":"Antimicrobial resistance (AMR) is often framed as a 'silent pandemic,' an invisible crisis unfolding beyond the public gaze. This unseen emergency narrative fuels policy responses aimed at re-establishing human control over antimicrobial use and benefits. In this commentary, we critique the reduction of AMR to a homogenising framework - a product of long-standing paradigms for disease control and elimination. We argue that AMR stems not merely from microbial exposure to drugs, but also involves broader anthropocentric practices. We assert that merely extending AMR concerns to encompass environmental factors is insufficient. Instead, we advocate for a paradigm shift towards a holistic understanding that respects the evolutionary adaptability and survival strategies of microbial life itself. Consequently, a fundamental re-evaluation of large-scale antibiotic use and production is necessary. Rather than seeking to control AMR as a pandemic, we propose exploring the inherent complexity and interdependence of AMR issues. Our proposition advocates for alternative futures that foster collaborations between human and non-human actors, ultimately envisioning a shift in human-microbial relationships towards more integrative health strategies.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2355318"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141075625","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

Perception about telemedicine services among parents of children with neurodevelopmental disorders in a specialised tertiary centre in Oman. 阿曼一家三级专科中心神经发育障碍儿童家长对远程医疗服务的看法。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-07-25 DOI: 10.1080/17441692.2024.2381093

Ahmed B Idris, Watfa Al-Mamari, Taif Saud Al Humaidi, Kawther Abdullah Al Ma'ashri, Ahmed Alhabsi, Saquib Jalees, Ahlam Gaber, Muna Al-Jabri, M Mazharul Islam, Amna Al-Futaisi

{"title":"Perception about telemedicine services among parents of children with neurodevelopmental disorders in a specialised tertiary centre in Oman.","authors":"Ahmed B Idris, Watfa Al-Mamari, Taif Saud Al Humaidi, Kawther Abdullah Al Ma'ashri, Ahmed Alhabsi, Saquib Jalees, Ahlam Gaber, Muna Al-Jabri, M Mazharul Islam, Amna Al-Futaisi","doi":"10.1080/17441692.2024.2381093","DOIUrl":"10.1080/17441692.2024.2381093","url":null,"abstract":"ABSTRACTWhile telemedicine has shown promise for diagnosis and treatment, its integration into specialised clinics and mainstream healthcare is slow. A study at Sultan Qaboos University Hospital, Oman, investigated parental perceptions of virtual clinics and telemedicine experiences among parents of children with neurodevelopmental disorders (NDD) conducted from January 2021 to January 2022; the cross-sectional study involved 130 participants. The study revealed that 70% of participants were male, and the mean age of the children was 6.1 ± 0.26 years. Regarding telemedicine awareness, 53% of respondents were informed, yet encountered obstacles such as poor internet service and lack of awareness. Despite challenges, 46% of respondents viewed telemedicine positively. Parents showed significant differences in their perception of virtual interviews based on interview purpose (P = 0.034), clinic type (P < 0.001), internet service quality (P = 0.029), timing conflicts (P = 0.001), lack of technology experience (P = 0.041), and awareness gaps (P = 0.012). Our study identified challenges for parents of children with NDD in utilising telehealth, primarily stemming from limited awareness and internet connectivity issues. To enhance telemedicine quality, we suggest improving internet infrastructure and promoting telemedicine awareness. Further research is needed to optimise telemedicine implementation for both diagnosis and intervention in children with NDD.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2381093"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141758249","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

Men's perspectives on public-space sexual harassment of women in South Asia. 南亚男性对公共场所性骚扰女性行为的看法。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-07-29 DOI: 10.1080/17441692.2024.2380845

Günseli Berik, Haimanti Bhattacharya, Tejinder Pal Singh, Aashima Sinha, Jacqueline Strenio, Sharin Shajahan Naomi, Sameen Zafar, Sharon Talboys

{"title":"Men's perspectives on public-space sexual harassment of women in South Asia.","authors":"Günseli Berik, Haimanti Bhattacharya, Tejinder Pal Singh, Aashima Sinha, Jacqueline Strenio, Sharin Shajahan Naomi, Sameen Zafar, Sharon Talboys","doi":"10.1080/17441692.2024.2380845","DOIUrl":"10.1080/17441692.2024.2380845","url":null,"abstract":"The ubiquity of public-space sexual harassment (PSH) of women in the global South, particularly in South Asia, is both a public health and gender equity issue. This study examined men's experiences with and perspectives on PSH of women in three countries with shared cultural norms and considerable gender inequalities - Bangladesh, India, and Pakistan. The three-country survey in 2021-2022 was completed by 237 men who were generally young, urban, single, well-educated, and middle-/high-income. Among the 53.3% who witnessed PSH, 80% reported intervening to stop it or help the victim. A substantial share of men worried about PSH, and bore emotional, time, and financial costs as they took precautionary or restorative measures to help women in their families avoid PSH or deal with its consequences. Most respondents articulated potential gains for men, women, and society if PSH no longer existed. However, a non-negligible share of participants held patriarchal gender attitudes that are often used to justify harassment, and a small share did not favour legal and community sanctions. Many called for stricter legal sanctions and enforcement, culture change, and education. Men's perspectives offer insights for prevention of harassment and mitigation of its consequences.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2380845"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141792305","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

Learning from a gender transformative intervention among faith-leaders in Woliso, Ethiopia: A qualitative study. 从埃塞俄比亚 Woliso 信仰领袖的性别变革干预中学习：定性研究。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-08-05 DOI: 10.1080/17441692.2024.2386988

Elisa Gobbo, Addise Amado Dube, Mengistu Demeke, Wosene Berhanu, Nesanet Megersa, Yoska Amenu, Adamu Addisse, Sibylle Herzig Van Wees

{"title":"Learning from a gender transformative intervention among faith-leaders in Woliso, Ethiopia: A qualitative study.","authors":"Elisa Gobbo, Addise Amado Dube, Mengistu Demeke, Wosene Berhanu, Nesanet Megersa, Yoska Amenu, Adamu Addisse, Sibylle Herzig Van Wees","doi":"10.1080/17441692.2024.2386988","DOIUrl":"https://doi.org/10.1080/17441692.2024.2386988","url":null,"abstract":"Violence against women and girls (VAWG) continues to be a pervasive issue globally, and in Ethiopia, that harms women and challenges progress towards a more gender-equal society. Many interrelated social, economic, and cultural factors impact VAWG. Religion is a complex factor that can contribute to and act as a preventative measure against VAWG. Thus, faith-leaders have been identified as key actors in VAWG prevention. This study examines Ethiopian Evangelical faith-leaders transformative knowledge change following a Channels of Hope for Gender training intervention. Focus group discussions were conducted with faith-leaders from five different Evangelical Church groups. The results show that the faith-leaders' experience of the Channels of Hope training challenged their gender norms and allowed them to enact relationship and community-level changes. Additionally, they demonstrated efforts and interest in generating change at the level of the Church. However, barriers remained to fully addressing VAWG and implement gender transformative learning more widely. Thus, we conclude that the Channels for Hope training is useful in generating mindset changes and improving relationship-level interactions, but that it requires a longer implementation timeframe and further support from other structures and interventions to achieve sustainable change to prevent VAWG.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2386988"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141893254","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

'We are in control of this thing, and we know what to do now': Pilot and process evaluation of 'Diabetes Together', a couples-focused intervention to support self-management of Type 2 Diabetes in South Africa. 我们能控制病情，我们知道现在该做什么"：在南非，"携手糖尿病 "是一项以夫妻为重点的干预措施，旨在支持 2 型糖尿病患者的自我管理。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-08-11 DOI: 10.1080/17441692.2024.2386979

Lucy Lynch, Myrna van Pinxteren, Peter Delobelle, Naomi Levitt, Buyelwa Majikela-Dlangamandla, Kate Greenwell, Nuala McGrath

{"title":"'We are in control of this thing, and we know what to do now': Pilot and process evaluation of 'Diabetes Together', a couples-focused intervention to support self-management of Type 2 Diabetes in South Africa.","authors":"Lucy Lynch, Myrna van Pinxteren, Peter Delobelle, Naomi Levitt, Buyelwa Majikela-Dlangamandla, Kate Greenwell, Nuala McGrath","doi":"10.1080/17441692.2024.2386979","DOIUrl":"https://doi.org/10.1080/17441692.2024.2386979","url":null,"abstract":"We piloted the delivery of a prototype couples-focused intervention, 'Diabetes Together' with 14 people living with diabetes (PLWD) and their partners, in Cape Town, South Africa in 2022. We aimed to: assess feasibility of recruiting couples in this setting; explore acceptability of intervention materials and changes needed; and investigate whether our prespecified logic model captured how the intervention may work. We used questionnaires, interviews and focus groups after each workshop and after couples completed counselling. We conducted a process evaluation to identify intervention modifications and used inductive thematic analysis to explore whether the data supported our logic model. Twelve of the 14 couples completed the second workshop and 2 couples completed two counselling sessions post-workshop. Feedback showed participants appreciated the intervention and limited improvements were made. Thematic analysis identified four main themes: (1) involving partners matters; (2) group work supports solidarity with other couples; (3) improving communication between partners is crucial; and (4) taking part helped couples to take control of diabetes. Data suggested the logic model should explicitly acknowledge the importance of group education and of equalising partners' knowledge. This pilot suggests that 'Diabetes Together' increased knowledge and skills within couples and could facilitate improved, collaborative self-management of diabetes.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2386979"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141916571","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

Water insecurity is associated with intimate partner violence among female adolescents and youth but not males in rural Tanzania: A cross-sectional study. 在坦桑尼亚农村地区，用水不安全与女性青少年亲密伴侣间的暴力行为有关，但与男性无关：一项横断面研究。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-10-07 DOI: 10.1080/17441692.2024.2409369

Nelli Kisliuk, Sarah LaPointe, Sera L Young, Leah Prencipe, Paul Luchemba, Tumpe Mnyawami Lukongo, Tia Palermo

{"title":"Water insecurity is associated with intimate partner violence among female adolescents and youth but not males in rural Tanzania: A cross-sectional study.","authors":"Nelli Kisliuk, Sarah LaPointe, Sera L Young, Leah Prencipe, Paul Luchemba, Tumpe Mnyawami Lukongo, Tia Palermo","doi":"10.1080/17441692.2024.2409369","DOIUrl":"https://doi.org/10.1080/17441692.2024.2409369","url":null,"abstract":"Food insecurity increases intimate partner violence (IPV), but less is known about water insecurity (WI) and IPV. We examined the association between household WI and IPV among adolescents and youth in the Mbeya and Iringa regions of Tanzania. The cross-sectional sample comprised 977 males and females aged 18-23 years living in rural, impoverished households. We conducted multivariate logistic regression analyses to estimate the association between experiences of WI [measured by the Household Water Insecurity Experiences (HWISE-4) Scale] and physical and/or emotional IPV (measured by an adapted Conflict Tactics Scale). Overall, WI (HWISE ≥4) was associated with 74% higher odds of any IPV (marginal effects (ME) of 7.8 percentage points (pp)), compared to those not WI. Among females (but not males), WI was associated with 3-fold higher odds of any IPV (OR = 3.00; 95% CI: [1.52, 5.94]; ME = 14 pp). Compared to non-WI females, WI females had 5- and 2-fold higher odds of IPV (ME = 30.8 and 11.3 pp) among the ever married and never married sub-samples, respectively. The association between WI and IPV among females was attenuated (OR = 1.93; 95% CI: [0.93, 3.97]) when adjusting for household food insecurity. Ameliorating water insecurity is a promising avenue for IPV reduction.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2409369"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142389825","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

Scrutinising delay in leprosy diagnosis in Colombia: perceptions and experiences by leprosy health professionals. 哥伦比亚对麻风病诊断延误的审查：麻风病医疗专业人员的看法和经验。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-05-24 DOI: 10.1080/17441692.2024.2354777

Heleen Neeltje Willemijn Duighuisen, Anil Fastenau, Daniel Gonzalo Eslava Albarracin, Nimer Ortuño-Gutiérrez, Srilekha Penna, Alena Kamenshchikova

{"title":"Scrutinising delay in leprosy diagnosis in Colombia: perceptions and experiences by leprosy health professionals.","authors":"Heleen Neeltje Willemijn Duighuisen, Anil Fastenau, Daniel Gonzalo Eslava Albarracin, Nimer Ortuño-Gutiérrez, Srilekha Penna, Alena Kamenshchikova","doi":"10.1080/17441692.2024.2354777","DOIUrl":"10.1080/17441692.2024.2354777","url":null,"abstract":"Leprosy is an infectious neglected tropical disease, which can cause irreversible disabilities if not diagnosed in time. Colombia continues to show high rates of leprosy-related disability, mainly due to a delay in diagnosis. Limited knowledge is available that explains this delay, therefore our study aimed to explore the perceptions and experiences of leprosy health professionals with the delay in leprosy diagnosis in the Cesar and Valle del Cauca departments, Colombia. Nine semi-structured expert interviews with leprosy health professionals were conducted in May-June 2023 in Colombia. Thematic analysis was performed to analyse the interview results. Our analysis highlighted that the main reasons for delay at the health system-level included accessibility issues to obtain a diagnosis, lack of expertise by health staff, and barriers related to the organisation of the care pathway. Individual - and community-level factors included a lack of leprosy awareness among the general population and leprosy-related stigma. Diagnostic delay consists of a fluid interplay of various factors. Structural changes within the health system, such as organising integral leprosy care centres and highlighting leprosy in the medical curriculum, as well as awareness-related interventions among the general population, might help reducing diagnostic delays.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2354777"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141093470","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