Global Public Health最新文献_第5页

Mpox and the men who have sex with men (MSM) community in Nigeria: Exploratory insights from MSM and persons providing healthcare services to them. 尼日利亚的Mpox和男男性行为者社区：来自男男性行为者和向他们提供保健服务的人的探索性见解。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-01-20 DOI: 10.1080/17441692.2024.2433725

Michael Kunnuji, Megan Schmidt-Sane, Olufunke Adegoke, Syed Abbas, Elizabeth Shoyemi, Akanni O Lawanson, Ayodele Jegede, Hayley MacGregor

{"title":"Mpox and the men who have sex with men (MSM) community in Nigeria: Exploratory insights from MSM and persons providing healthcare services to them.","authors":"Michael Kunnuji, Megan Schmidt-Sane, Olufunke Adegoke, Syed Abbas, Elizabeth Shoyemi, Akanni O Lawanson, Ayodele Jegede, Hayley MacGregor","doi":"10.1080/17441692.2024.2433725","DOIUrl":"https://doi.org/10.1080/17441692.2024.2433725","url":null,"abstract":"The current mpox outbreak has challenged previous understanding of the disease, with human-to-human transmission being a significant mode of transmission, particularly among gay, bisexual, and other men who have sex with men (GBMSM). A knowledge gap exists on MSM's mpox experiences in Nigeria's restrictive sociolegal context. This study explored mpox awareness, knowledge, and experiences among MSM in Lagos, Nigeria, through 28 in-depth interviews. We analysed the interview transcripts thematically. Findings showed low awareness and knowledge of mpox among MSM, who prefer seeking healthcare outside public health facilities due to stigma. Intimate contact during sexual intercourse is a likely source of infection among MSM. The Nigerian mpox response does not centre MSM, and centreing them may not be ideal due to potential stigma. MSM seek care through various means, including drugs, herbal remedies, and KP-friendly sexual and reproductive health (SRH) services, but face stressful care-seeking due to limited social support and stigma. The study shows that Nigeria's mpox situation differs from the situation in mpox non-endemic contexts. The homophobic legal and social environment and heterogenous spread require unique disease framing and context-sensitive response. The study concludes that further surveillance is needed to deepen understanding around mpox care seeking among MSM in Nigeria.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2433725"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143004160","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

Addressing challenges in the implementation of precision oncology: An in-depth examination of limitations and disparities in the treatment of non-small cell lung cancer in the Brazilian public healthcare system (SUS). 解决在实施精确肿瘤学的挑战：在巴西公共卫生系统（SUS）治疗非小细胞肺癌的局限性和差异的深入检查。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-01-09 DOI: 10.1080/17441692.2025.2450412

Luma Princess Schneider, Jean Henri Maselli-Schoueri, Barbara de Souza Gutierres Aguiar, Pedro Nazareth Aguiar, Auro Del Giglio

{"title":"Addressing challenges in the implementation of precision oncology: An in-depth examination of limitations and disparities in the treatment of non-small cell lung cancer in the Brazilian public healthcare system (SUS).","authors":"Luma Princess Schneider, Jean Henri Maselli-Schoueri, Barbara de Souza Gutierres Aguiar, Pedro Nazareth Aguiar, Auro Del Giglio","doi":"10.1080/17441692.2025.2450412","DOIUrl":"https://doi.org/10.1080/17441692.2025.2450412","url":null,"abstract":"Precision oncology (PO) has significantly advanced lung cancer treatment by enabling personalised therapy based on genetic mutations. However, equitable access to molecular testing and targeted therapies remains a challenge, particularly in resource-limited settings such as the Brazilian Public Health System (SUS). To identify the challenges faced by SUS in caring for patients with non-small cell lung cancer (NSCLC) in terms of access to Precision Oncology. Retrospective study with data from e-medical records of NSCLC treated between 2015-2021. 174 patients with NSCLC were included, of which 56% were females and 63% had non-squamous histology - 80% of early-stage patients and 32% of advanced-stage patients missed access to genomic testing, primarily due to short life expectancy or insufficient sample size. Only one participant underwent testing for all recommended biomarkers. Among patients with actionable mutations, 40% did not receive targeted therapy; however, regarding EGFR mutations, only 8% did not get it. Access to targeted therapy was associated with improved survival outcomes. The study highlights critical challenges and missed opportunities in the implementation of precision oncology for NSCLC management within the SUS and underscores the need for strategies to improve access to genomic testing in the public health setting.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2450412"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142947196","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

Indigenous sovereignty in research and epistemic justice: Truth telling through research. 研究中的原住民主权与认知正义：透过研究说出真相。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2024-12-11 DOI: 10.1080/17441692.2024.2436436

Raglan Maddox, Melody E Morton Ninomiya

{"title":"Indigenous sovereignty in research and epistemic justice: Truth telling through research.","authors":"Raglan Maddox, Melody E Morton Ninomiya","doi":"10.1080/17441692.2024.2436436","DOIUrl":"https://doi.org/10.1080/17441692.2024.2436436","url":null,"abstract":"Indigenous ways of knowing, being and doing are based on embodied sovereignty, relationality and countless generations of knowledge sharing. We call for epistemic justice in which Indigenous knowledge systems are recognised and valued in research-related contexts. We draw attention to how colonial knowledge systems silence, delegitimise and devalue specific knowers and ways of knowing, being and doing - through truth telling. This includes (1) the extent to which educational systems, research, practices, decisions, and reported outcomes are whitewashed - a process of structural and systemic discrimination, racism, and exclusion that actively alters or omits Indigenous and non-Euro-Western contributions and perspectives to fit Euro-Western norms and (2) whitewashed and racialised logic in scientific research that claims to be open, collaborative and transparent. Whitewashing not only obscures the history and contributions of Indigenous peoples and communities but also actively reinforces systemic biases and inequities. We assert the need for epistemic justice in public health research. Epistemic justice calls for Indigenous sovereignty and self-determination to be made visible. It may involve on how colonial policies, protocols, and regulations are connected to everyday lived inequities of Indigenous communities, families and individuals. Ultimately, epistemic justice is inherent to Indigenous peoples' health and wellness, self-determination and sovereignty.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2436436"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812898","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

Flipping data on its head: Differing conceptualisations of data and the implications for actioning Indigenous data sovereignty principles. 颠倒数据：不同的数据概念和对执行本地数据主权原则的影响。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-02-01 DOI: 10.1080/17441692.2025.2450395

Stephanie Cunningham-Reimann, Aarti Doshi, Sterling Stutz, Gabriel B Tjong, Angela Mashford-Pringle

{"title":"Flipping data on its head: Differing conceptualisations of data and the implications for actioning Indigenous data sovereignty principles.","authors":"Stephanie Cunningham-Reimann, Aarti Doshi, Sterling Stutz, Gabriel B Tjong, Angela Mashford-Pringle","doi":"10.1080/17441692.2025.2450395","DOIUrl":"https://doi.org/10.1080/17441692.2025.2450395","url":null,"abstract":"Indigenous data sovereignty is of global concern. The power of data through its multitude of uses can cause harm to Indigenous Peoples, communities, organisations and Nations in Canada and globally. Indigenous research principles play a vital role in guiding researchers, scholars and policy makers in their careers and roles. We define data, data sovereignty principles, ways of practicing Indigenous research principles, and recommendations for applying and actioning Indigenous data sovereignty through culturally safe self-reflection, interpersonal and reciprocal relationships built upon respect, reciprocity, relevance, responsibility and accountability. Research should be co-developed, co-led, and co-disseminated in partnership with Indigenous Peoples, communities, organisations and/or nations to build capacity, support self-determination, and reduce harms produced through the analysis and dissemination of research findings. OCAP® (Ownership, Control, Access & Possession), OCAS (Ownership, Control, Access & Stewardship), Inuit Qaujimajatuqangit principles in conjunction the 4Rs (respect, relevance, reciprocity & responsibility) and cultural competency including self-examination of the 3Ps (power, privilege, and positionality) of researchers, scholars and policy makers can be challenging, but will amplify the voices and understandings of Indigenous research by implementing Indigenous data sovereignty in Canada.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2450395"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143074587","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

Voices and visions: Navigating the landscape of sexual, reproductive, and maternal health and rights in Latin America and the Caribbean: A stakeholder mapping and analysis. 声音和愿景：驾驭拉丁美洲和加勒比性健康、生殖健康和孕产妇健康及权利的格局：利益攸关方绘图和分析。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-01-28 DOI: 10.1080/17441692.2025.2456476

Sofia Pirsch, Denise Zavala, Mabel Berrueta, María Belizán, Juan Pedro Alonso, Sandra Formia, Jamile Ballivian, Miluska Ramirez-Rodríguez, Maisa Havela, Gabriela Perrota, Analía López, Cintia Cejas, Adolfo Rubinstein

引用次数: 0

Multi-stakeholder perspectives of community pharmacies' extended services in Al Baha province, Saudi Arabia: A qualitative study. 多方利益相关者视角下的社区药房扩展服务在Al Baha省，沙特阿拉伯：一项定性研究。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-01-15 DOI: 10.1080/17441692.2025.2452218

Khalid S Alghamdi, Mahdi H Alsugoor, Max Petzold, Laith Hussain-Alkhateeb, Christina Ljungberg Persson

{"title":"Multi-stakeholder perspectives of community pharmacies' extended services in Al Baha province, Saudi Arabia: A qualitative study.","authors":"Khalid S Alghamdi, Mahdi H Alsugoor, Max Petzold, Laith Hussain-Alkhateeb, Christina Ljungberg Persson","doi":"10.1080/17441692.2025.2452218","DOIUrl":"https://doi.org/10.1080/17441692.2025.2452218","url":null,"abstract":"Community pharmacies have expanded to include new services such as health screenings and medication reviews. However, developing and implementing new applications tends to be challenging and entails comprehensive planning by multiple stakeholders. This qualitative study explores stakeholders' perspectives of these new services and identifies perceived barriers or facilitators for implementing practice changes. The study held four focus group discussions with 27 stakeholders and was conducted in Al Baha province, Saudi Arabia. Participants described community pharmacy services as traditional and limited to dispensing prescriptions. Several barriers were identified, including a lack of public awareness, public privacy and confidentiality concerns, and inadequate communication and collaboration between community pharmacists and physicians. According to the participants, free training programmes and continuing education for community pharmacists (with a focus on independent and small-chain community pharmacies) and financial support from the government could facilitate extending the roles played by community pharmacists. Another suggestion was that implementing standards for accreditation could create a competitive environment for community pharmacies, granting them well-deserved privileges and enhancing public confidence in the quality and safety of pharmaceutical care. Developing interprofessional policy is also vital, as this would allow community pharmacies to integrate into the health system.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2452218"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143004269","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

Diabetes care in Samoa: Prevention as not-enough-care and the knowledge gaps it produces. 萨摩亚的糖尿病护理：作为护理不足的预防及其产生的知识差距。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-03-28 DOI: 10.1080/17441692.2025.2482768

Jessica Hardin, Saunima'a Ma Fulu-Aiolupotea, Tauaitala Lees, Uila Laifa Lima, Ramona Boodoosingh, Falelua Maua, Tausala Aiavao, Sophia Williams

{"title":"Diabetes care in Samoa: Prevention as not-enough-care and the knowledge gaps it produces.","authors":"Jessica Hardin, Saunima'a Ma Fulu-Aiolupotea, Tauaitala Lees, Uila Laifa Lima, Ramona Boodoosingh, Falelua Maua, Tausala Aiavao, Sophia Williams","doi":"10.1080/17441692.2025.2482768","DOIUrl":"https://doi.org/10.1080/17441692.2025.2482768","url":null,"abstract":"This study examines diabetes care in Samoa, offering insights into global health challenges where most people with diabetes remain undiagnosed and prevention strategies fall short. Drawing on ethnographic interviews and freelist data from 212 participants, we identified three key themes: limited symptom knowledge delays care, traditional healers play a role in care-seeking, and diabetes is often managed through symptom-focused interventions rather than as a chronic condition. These findings highlight how prevention campaigns emphasising diet and exercise often exclude symptom recognition, leaving families to navigate care within fragmented systems. We propose prevention as not-enough-care to theorise the limitations of strategies prioritising behaviour change while neglecting relational and systemic approaches to chronic illness management. We propose a life-course approach integrating symptom knowledge while recognising the cumulative impact of social, biological, and environmental factors. Integrating traditional healers into formal healthcare systems also offers a culturally responsive pathway for earlier intervention. These suggestions aligns with Indigenous Pacific health models, such as Fonofale and Te Vaka Atafaga, which prioritise relational care. These findings advance a globally relevant critique of prevention frameworks, advocating relational, community-driven strategies to address knowledge gaps and reduce complications.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2482768"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742784","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

Bridging theory and praxis in the comprehensive treatment of conflict-related sexual violence in the Great Lakes Region of Africa. 在全面处理非洲大湖区与冲突有关的性暴力问题中实现理论与实践的衔接。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-04-03 DOI: 10.1080/17441692.2025.2486440

Ali Bitenga Alexandre, Alain Mukwege, Kitoka Moke Mutondo, Rosalie Biaba Apasa, Guerschom Mugisho, Christine Amisi, Raha Maroyi, Prince Mujumbe Salama, Denis Mukwege

{"title":"Bridging theory and praxis in the comprehensive treatment of conflict-related sexual violence in the Great Lakes Region of Africa.","authors":"Ali Bitenga Alexandre, Alain Mukwege, Kitoka Moke Mutondo, Rosalie Biaba Apasa, Guerschom Mugisho, Christine Amisi, Raha Maroyi, Prince Mujumbe Salama, Denis Mukwege","doi":"10.1080/17441692.2025.2486440","DOIUrl":"https://doi.org/10.1080/17441692.2025.2486440","url":null,"abstract":"ABSTRACTThe holistic care model was designed to address the multifaceted medical, psychosocial, socioeconomic, and legal needs of survivors of conflict-related sexual violence (CRSV). However, the extent to which this model aligns with survivors' needs has largely been shaped by the perspectives of service providers. This multi-sited qualitative study is based on 19 in-depth interviews with female survivors from five conflict-affected countries in the Great Lakes region - namely, the DRC, Burundi, Rwanda, the Central African Republic, and Uganda. It explores their experiences and perspectives on the model. The study challenges power dynamics in knowledge production by amplifying the voices of survivors themselves. The semi-structured interviews, conducted online via Zoom during the COVID-19 pandemic in 2021, reveal that survivors' medical, psychosocial, socioeconomic, and legal needs are deeply interconnected. These needs must, therefore, be addressed simultaneously - if survivors choose to do so - in order to achieve comprehensive recovery from the multifaceted consequences of CRSV. While the model aligns with survivors' primary needs, access to its services remains problematic across the region due to a variety of technical, cultural, epistemic, geographical, and financial barriers, creating a significant gap between the model as a 'theory' and its practical implementation on the ground.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2486440"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143779844","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

Hypothetical acceptability of minimally invasive tissue sampling and considerations for practice: A qualitative study in Vietnam 微创组织取样的假定可接受性及实践中的考虑因素：越南定性研究

IF 3.3 3区医学

Global Public Health Pub Date : 2024-09-16 DOI: 10.1080/17441692.2024.2403097

Nhung Doan Phuong, Ngan Ta Thi Dieu, My Le Thao Nguyen, An Luu Phuoc, Halina Suwalowska, Duy Manh Nguyen, Ha Thi Lien Nguyen, Huong Thi Thu Vu, Thach Ngoc Pham, Trung Cap Nguyen, Mai Thị Phước Loan, Mary Chambers, Nghia Ho Dang Trung, Jennifer Ilo Van Nuil, H. Rogier van Doorn

引用次数: 0

Unravelling the nexus of microfinance and women’s non-communicable disease (NCD) health outcomes in Sri Lanka: An exploratory study 揭示斯里兰卡小额信贷与妇女非传染性疾病（NCD）健康结果之间的关系：探索性研究

IF 3.3 3区医学

Global Public Health Pub Date : 2024-09-11 DOI: 10.1080/17441692.2024.2396941

Gabriela Fernando, Jo Durham, Peter S. Hill, Hebe Gouda

引用次数: 0