Global Public Health最新文献_第8页

Factors working against suicidal attempts in nursing home residents under COVID-19. COVID-19下养老院居民自杀企图的因素

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-04-01 DOI: 10.1080/17441692.2025.2484631

Yinong Tian, Dan Zhang, Shuai Zhang, Xin Li, Yonggang Su

引用次数: 0

Experiences of childhood violence and violence perpetration and the association with inequitable gender norms and violence justification in humanitarian settings in Uganda. 乌干达儿童暴力和暴力行为的经历以及与人道主义环境中不平等的性别规范和暴力正当性的联系。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-07-16 DOI: 10.1080/17441692.2025.2531914

Peter Kisaakye, Stella Muthuri, George Odwe, Caroline Kabiru, Dagim Habteyesus, Yadeta Dessie, Yohannes Wado, Bonnie Wandera, Gloria Seruwagi, Francis Obare, Chi-Chi Undie

{"title":"Experiences of childhood violence and violence perpetration and the association with inequitable gender norms and violence justification in humanitarian settings in Uganda.","authors":"Peter Kisaakye, Stella Muthuri, George Odwe, Caroline Kabiru, Dagim Habteyesus, Yadeta Dessie, Yohannes Wado, Bonnie Wandera, Gloria Seruwagi, Francis Obare, Chi-Chi Undie","doi":"10.1080/17441692.2025.2531914","DOIUrl":"10.1080/17441692.2025.2531914","url":null,"abstract":"Experiences of childhood violence and violence perpetration and the association with inequitable gender norms and violence justification have been extensively studied in non-humanitarian settings, and among older populations. However, there is a gap in understanding these associations within humanitarian contexts, particularly from the perspective of children and youth. We used data from the Uganda Humanitarian Violence Against Children and Youth Survey, a representative, cross-sectional household survey of 2,265 children and youth aged 13-24 years living in refugee settlements in Uganda. We explored associations between endorsement of inequitable gender norms, intimate partner violence (IPV) justification, and experiences of violence and/or perpetration of violence in childhood. Experience of any childhood violence was significantly associated with an increase in endorsement of inequitable gender norms among females and IPV justification among males. This pattern was similar for 18-24-year-olds. Among 13-17-year-olds, IPV justification was significantly associated with experience of any childhood violence among females and perpetration of violence among males. Our findings suggest the need for gender-transformative violence prevention interventions that start early in the life course, and that address inequitable gender socialisation and power relations. School-based violence prevention interventions, community-based approaches to form gender equitable attitudes among adolescents, parenting interventions, and interventions with children and adolescents that had experienced childhood violence have shown considerable success in other settings, and could be adapted to humanitarian settlements.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2531914"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144649219","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

Challenges and opportunities in screening and management of hypertension and type 2 diabetes in informal settlements in Nairobi, Kenya: A qualitative study of multi-sectoral stakeholders. 肯尼亚内罗毕非正式住区高血压和2型糖尿病筛查和管理的挑战和机遇：多部门利益攸关方的定性研究。

IF 2.1 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-08-12 DOI: 10.1080/17441692.2025.2545952

Soohyun Nam, Jane Otai, Minjung Lee, Robin Whittemore, Eunice Omanga, Siobhan Thompson, Mildred Mudany

{"title":"Challenges and opportunities in screening and management of hypertension and type 2 diabetes in informal settlements in Nairobi, Kenya: A qualitative study of multi-sectoral stakeholders.","authors":"Soohyun Nam, Jane Otai, Minjung Lee, Robin Whittemore, Eunice Omanga, Siobhan Thompson, Mildred Mudany","doi":"10.1080/17441692.2025.2545952","DOIUrl":"10.1080/17441692.2025.2545952","url":null,"abstract":"The purpose of the study is to explore barriers and facilitators to noncommunicable disease (NCD) screening and management in Nairobi's informal settlements to inform future NCD programme development. Semi-structured interviews were conducted among 38 multi-sectoral stakeholders, comprising of community health workers (CHWs), nurses, clinical officers, physicians, community-based organisation (CBO) staff, individuals living with hypertension or type 2 diabetes (T2D), and individuals who are eligible for screening but never screened. Workforce shortages and medication unavailability were raised as primary barriers by all stakeholders in informal settlements. Misconceptions and stigma around NCDs contributed to social isolation for people living with NCDs and hindered them from getting the health care and social support they need. Fragmented NCD registries contributed to resource misallocation. Long waiting times, poverty and competing life demands further hindered care access. Several opportunities to overcome challenges in NCD care were also identified. Many advocated for supporting and leveraging CHWs to enhance community-based NCD programs, recognising their potential to address gaps in healthcare access. Strengthening patient support groups and expanding community outreach were proposed as strategies to raise public awareness, provide social support and improve care accessibility. A top-down, multi-level intervention approach is needed to improve health equity for these communities.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2545952"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144834908","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

'It kills the freedom or the spirit of people being who they are': impact of sexuality-based stigma and discrimination on the lives of gay and bisexual men in Kenya. “它扼杀了人们做自己的自由或精神”：基于性的耻辱和歧视对肯尼亚同性恋和双性恋男性生活的影响。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-04-14 DOI: 10.1080/17441692.2025.2489713

Juan C Jauregui, Katherine A Lewis, Darius M Moore, Adedotun Ogunbajo, Wilson W Odero, Jeffrey Wambaya, Daniel P Onyango, Laura Jadwin-Cakmak, Gary W Harper

引用次数: 0

Knowledge, attitudes and practices of women regarding breast and cervical cancer screening: a qualitative study in India. 妇女关于乳腺癌和宫颈癌筛查的知识、态度和做法：印度的一项定性研究。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-04-04 DOI: 10.1080/17441692.2025.2467785

Ananth Srinath, Milena Pavlova, Sanchitha Chandar, Shyam Vasudeva Rao, Frits van Merode

{"title":"Knowledge, attitudes and practices of women regarding breast and cervical cancer screening: a qualitative study in India.","authors":"Ananth Srinath, Milena Pavlova, Sanchitha Chandar, Shyam Vasudeva Rao, Frits van Merode","doi":"10.1080/17441692.2025.2467785","DOIUrl":"10.1080/17441692.2025.2467785","url":null,"abstract":"In this study, we aimed to understand the factors that influence the use of breast and cervical cancer screening services in India. Purposive sampling was applied - and 64 participants with different characteristics based on their literacy, screening status, and rural or urban setting were classified into eight groups. The Knowledge, Attitudes and Practices (KAP) framework was used to conduct focus group discussions with each group. Data was analysed using directed content analysis. Regarding knowledge, our findings indicated that women who had previously undergone screening had some knowledge about the causes, risk factors, and symptoms of breast and cervical cancer. Most women were unaware of the screening procedure types and their costs, eligibility criteria, and frequency. None were aware of the link between cervical cancer and the human papillomavirus (HPV) infection. Regarding attitudes, all participants expressed that screening would be beneficial;when questioned if they would undergo screening without symptoms or physicians recommendations their opinions varied. The influence of their spouses or male children influenced their decision to undergo screening. Regarding practices, participants were unaware of and even overestimated the actual costs of screening services. They agreed that they would require subsidisation or fixed pricing from the government to undergo screening.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2467785"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143779858","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

Redefining global health in the 21st century: Towards a more equitable global health agenda. 重新定义 21 世纪的全球卫生：实现更加公平的全球卫生议程。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-02-21 DOI: 10.1080/17441692.2025.2464060

Michael J A Reid, Ingrid T Katz

{"title":"Redefining global health in the 21st century: Towards a more equitable global health agenda.","authors":"Michael J A Reid, Ingrid T Katz","doi":"10.1080/17441692.2025.2464060","DOIUrl":"10.1080/17441692.2025.2464060","url":null,"abstract":"Global health is at a critical juncture, with significant achievements in reducing deaths from HIV and under-five mortality since 2000. However, progress in other areas, such as maternal mortality and tuberculosis, remains uneven, and cardiovascular diseases continue to rise. Compounding these challenges is the emerging threat of climate change, which is predicted to cause millions of health-related deaths by the end of the century. This commentary proposes a new global health model inspired by Kate Raworth's 'doughnut' framework, which emphasizes maintaining ecological and social boundaries to foster sustainable health. The inner boundary focuses on ensuring equitable access to essential health services, particularly for underserved populations. The outer boundary addresses the health impacts of environmental degradation and climate change, advocating for adaptive and resilient health systems. This model calls for a reorientation of global health priorities to balance human well-being with environmental sustainability, urging international collective action at platforms like COP29. By addressing both health equity and ecological stability, this framework aims to guide the global health community towards a more equitable and sustainable future.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2464060"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143467813","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

'I am my own doctor': Coping, creativity and entering do-it-yourself antibiotic regimes in a refugee camp in Lebanon. “我是我自己的医生”：黎巴嫩难民营的应对、创造和进入自己动手的抗生素疗法。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-05-30 DOI: 10.1080/17441692.2025.2510453

Amanda Hylland Spjeldnæs

{"title":"'I am my own doctor': Coping, creativity and entering do-it-yourself antibiotic regimes in a refugee camp in Lebanon.","authors":"Amanda Hylland Spjeldnæs","doi":"10.1080/17441692.2025.2510453","DOIUrl":"https://doi.org/10.1080/17441692.2025.2510453","url":null,"abstract":"As everyday life in Shatila refugee camp in Lebanon is heavily constrained by structural factors such as poverty, discrimination and limited access to quality healthcare, camp residents find ways to survive - to cope. Through six months of ethnographic fieldwork with participant observation and qualitative interviews in the informal pharmaceutical sector in Shatila, I observed how camp residents use everyday coping tactics to access and use antibiotics; they climb the antibiotic hierarchy, become their own doctors, try different antibiotics through trial and error, and access healthcare and antibiotics for each other in creative ways based on their social networks. These everyday coping tactics illustrate creativity, resilience and agency, which are important factors to consider when creating interventions to reduce antibiotic use in this setting: Shatila residents are not only victims forced to use antibiotics, they can also be actors who take part in shaping the future of Shatila. Antimicrobial resistance (AMR) is a massive threat to health worldwide, especially in low-income settings. Shatila residents should be the ones who develop and implement interventions to reduce antibiotic use in Shatila, as part of decolonising policy making in the field of AMR.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2510453"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144186863","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

Experiences of drought, heavy rains, and flooding and linkages with refugee youth sexual and reproductive health in a humanitarian setting in Uganda: qualitative insights. 乌干达人道主义环境下干旱、暴雨和洪水的经验及其与难民青年性健康和生殖健康的联系：定性见解。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-05-26 DOI: 10.1080/17441692.2025.2503863

C H Logie, M Loutet, F MacKenzie, M Okumu, R Leggett, F S Akinwande, S Odong Lukone, N Kisubi, P Kyambadde, L Otika, M Lukwago, M Narasimhan

{"title":"Experiences of drought, heavy rains, and flooding and linkages with refugee youth sexual and reproductive health in a humanitarian setting in Uganda: qualitative insights.","authors":"C H Logie, M Loutet, F MacKenzie, M Okumu, R Leggett, F S Akinwande, S Odong Lukone, N Kisubi, P Kyambadde, L Otika, M Lukwago, M Narasimhan","doi":"10.1080/17441692.2025.2503863","DOIUrl":"10.1080/17441692.2025.2503863","url":null,"abstract":"Climate-related extreme weather events (EWE) exacerbate resource insecurities that, in turn, shape sexual and reproductive health (SRH). Refugee settlements face increased EWE exposure yet are understudied in EWE research. We explored experiences of climate change and SRH among refugee youth aged 16-24 in Bidi Bidi Refugee Settlement, Uganda. This qualitative study involved walk-along individual youth interviews and key informant (KI) service provider interviews. We conducted thematic analysis informed by the resource scarcity framework, which explores socioeconomic and ecological risks for resource insecurity. Participants (N = 44) included youth (n = 32; mean age: 20.0, standard deviation [SD]: 2.4; 50% men, 50% women) and KI (n = 12; mean age: 37.0, SD: 5.8; 75% men, 25% women). Findings illustrate how EWE shape SRH outcomes for refugee young women: (1) climate change contributes to water scarcity, extreme heat, and changing rain patterns; (2) drought contributes to resource scarcities (e.g. food, water) that increase sexual and gender-based violence (SGBV) risks, transactional sex, and menstruation insecurity and (3) heavy rains/flooding contribute to resource scarcities that increase SGBV risks, and sanitation insecurity exacerbates menstruation insecurity. Findings highlight how EWE-related resource insecurities are associated with poor SRH (STI/HIV acquisition risks, unplanned pregnancy, SGBV) and should be addressed in multi-level climate-informed humanitarian programmes.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2503863"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142256","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

Fever pitch: Coloniality and contention within community health's yellow fever response in Kenya. 发热程度：肯尼亚社区卫生黄热病应对中的殖民性和争论。

IF 2.1 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-06-22 DOI: 10.1080/17441692.2025.2519659

Kathy Dodworth, Brenda N Mukungu

{"title":"Fever pitch: Coloniality and contention within community health's yellow fever response in Kenya.","authors":"Kathy Dodworth, Brenda N Mukungu","doi":"10.1080/17441692.2025.2519659","DOIUrl":"10.1080/17441692.2025.2519659","url":null,"abstract":"In January 2022, a number of Yellow Fever cases were identified in Kenya's Isiolo County for the first time, triggering a national-level response centred on vaccinating residents. 181,000 people were vaccinated in July, around 72% of the eligible population. In the face of this ostensible success, this article explores the continuing coloniality, that is, long-standing patterns of domination, operating within disease control in Kenya's northeast, whereby punitive encounters with the state loom large. Despite health matters being devolved, top-down implementation from nationally-controlled actors exacerbated local distrust, resulting in contention around the roll-out and of the authorities behind it. This article, drawing on ethnography supplemented by in-depth interviews and Focus Group Discussions over 12 months 2022-2023, centres the experiences of Community Health Volunteers (CHVs) over the ten-day campaign. We adopt a Fanonian lens to interpret our findings, historicizing the contention CHVs faced from their communities, in a region where governmental approaches oscillate between neglect and heavy-handed remedial action. We operationalise Fanon's 'psychoexistential complex', whereby CHVs internalise the conflict between their roles of community representative and state-enforcer, exacerbated by their precarity and invisibility to others. We conclude with a call for CHVs' place to be protected, capacitated and seen within outbreak response.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2519659"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12315837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144368785","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

The value of self-care during climate-related extreme weather events (EWE) to support sexual and reproductive health and rights. 与气候有关的极端天气事件期间自我保健对支持性健康和生殖健康及权利的价值。

IF 2.1 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-09-04 DOI: 10.1080/17441692.2025.2547846

Manjulaa Narasimhan, Carmen H Logie, Vanessa Brizuela, Andie MacNeil

{"title":"The value of self-care during climate-related extreme weather events (EWE) to support sexual and reproductive health and rights.","authors":"Manjulaa Narasimhan, Carmen H Logie, Vanessa Brizuela, Andie MacNeil","doi":"10.1080/17441692.2025.2547846","DOIUrl":"https://doi.org/10.1080/17441692.2025.2547846","url":null,"abstract":"Climate-related extreme weather events (EWE) affect sexual and reproductive health and rights (SRHR) outcomes through complex and multi-level pathways. These include institutional-level effects on health systems, such as damaged health infrastructure and roads, barriers to retaining qualified health and care workers, as well as healthcare access barriers due to increased economic precarity, displacement and migration. Furthermore, EWE effects on SRHR disproportionately affect marginalised communities. Optimising SRHR in the context of climate change and EWE thus require moving beyond traditional health system approaches. Self-care interventions (e.g. HIV self-tests) and self-care actions (e.g. self-monitoring blood glucose during pregnancy), whereby affected individuals and communities have increased control and agency over their own health practices, can ensure essential SRHR needs can be maintained during crises. Yet opportunities for SRHR self-care strategies in communities affected by EWE are underexplored. When health systems collapsed during the COVID-19 pandemic in countries spanning income levels, self-care options were prioritised to maintain essential health services. In this commentary, we explore how SRHR self-care interventions and actions can be integrated into EWE emergency preparedness across dimensions of self-management, self-testing, and self-awareness to build individual, community and health systems climate resilience.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2547846"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144992252","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