International Journal of Public Health最新文献_第10页

Evaluating the Integration of Patient Safety in Medical Training in Spain 评估将患者安全纳入西班牙医疗培训的情况

IF 4.6 3区医学

International Journal of Public Health Pub Date : 2024-04-25 DOI: 10.3389/ijph.2024.1607093

J. M. Aranaz Andrés, Marco Antonio Espinel Ruíz, Luis Manzano, Fernando De Jesus Franco

引用次数: 0

Challenges and Strategies to Improve Health Literacy in Portuguese-Speaking African Countries 提高非洲葡语国家卫生知识普及程度的挑战和战略

IF 4.6 3区医学

International Journal of Public Health Pub Date : 2024-04-25 DOI: 10.3389/ijph.2024.1606397

Neida Neto Vicente Ramos

引用次数: 0

Diphtheria in a Swiss Asylum Seeker Reception Centre: Outbreak Investigation and Evaluation of Testing and Vaccination Strategies 瑞士寻求庇护者接待中心的白喉：疫情调查及检测和疫苗接种策略评估

IF 4.6 3区医学

International Journal of Public Health Pub Date : 2024-04-24 DOI: 10.3389/ijph.2024.1606791

Lisa Brockhaus, Pascal Urwyler, Ulrike Leutwyler, Eva Würfel, Malte Kohns Vasconcelos, Daniel Goldenberger, P. M. Keller, Sarah Tschudin Sutter, N. Labhardt

{"title":"Diphtheria in a Swiss Asylum Seeker Reception Centre: Outbreak Investigation and Evaluation of Testing and Vaccination Strategies","authors":"Lisa Brockhaus, Pascal Urwyler, Ulrike Leutwyler, Eva Würfel, Malte Kohns Vasconcelos, Daniel Goldenberger, P. M. Keller, Sarah Tschudin Sutter, N. Labhardt","doi":"10.3389/ijph.2024.1606791","DOIUrl":"https://doi.org/10.3389/ijph.2024.1606791","url":null,"abstract":"Objectives: To describe a suspected diphtheria outbreak in a Swiss asylum seeker reception centre, and to analyse its management response regarding testing and vaccination.Methods: We retrospectively analysed clinical, microbiology, and case management data of all asylum seekers tested for C. diphtheriae between 28th August and 31st December 2022 while residing at the centre. Results are reported descriptively.Results: Among 265 individuals tested, ten cases of cutaneous diphtheria, one simultaneous respiratory and cutaneous case, and nine respiratory carriers were identified. Mass throat screening, targeted throat testing and targeted wound testing yielded 4.8%, 4.3%, and 17.4% positive results, respectively. No respiratory carrier was identified among cutaneous cases undergoing a throat swab, and no symptomatic case was identified among individuals with unspecific throat symptoms. Rates of vaccination implementation of newly arriving asylum seekers before and after the outbreak were low (17.5% and 15.5%, respectively), as were rates of targeted vaccination among cases and close contacts.Conclusion: We provide evidence for transmission both prior to arrival and within the setting, suboptimal practices and timeliness of testing, and implementation gaps in vaccination.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140660081","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

Determining the Public Health Impact of Climate Change: A National Study Using a Health Impact Assessment Approach in Wales 确定气候变化对公众健康的影响：威尔士采用健康影响评估方法开展的全国性研究

IF 4.6 3区医学

International Journal of Public Health Pub Date : 2024-04-24 DOI: 10.3389/ijph.2024.1606972

Liz Green, K. Ashton, N. Edmonds, Michael Fletcher, S. Azam, Karen Hughes, Phil Wheater, M. A. Bellis

{"title":"Determining the Public Health Impact of Climate Change: A National Study Using a Health Impact Assessment Approach in Wales","authors":"Liz Green, K. Ashton, N. Edmonds, Michael Fletcher, S. Azam, Karen Hughes, Phil Wheater, M. A. Bellis","doi":"10.3389/ijph.2024.1606972","DOIUrl":"https://doi.org/10.3389/ijph.2024.1606972","url":null,"abstract":"Objective: Climate change is recognised as the biggest threat to global health of the 21st century and impacts on health and wellbeing through a range of factors. Due to this, the need to take action in order to protect population health and wellbeing is becoming ever more urgent.Methods: In 2019, Public Health Wales carried out a comprehensive mixed-method Health Impact Assessment (HIA) of climate change. Unlike other risk assessments, it appraised the potential impact of climate change on health and inequalities in Wales through participatory workshops, stakeholder consultations, systematic literature reviews and case studies.Results: The HIA findings indicate potential impacts across the wider determinants of health and wellbeing. For example, air quality, excess heat/cold, flooding, economic productivity, infrastructure, and community resilience. A range of impacts were identified across population groups, settings, and geographical areas.Conclusion: These findings can inform decision-makers to prepare for climate change plans and policies using an evidence-informed approach. The work has demonstrated the value of a HIA approach by mobilising a range of evidence through a transparent process, resulting in transferrable learning for others.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140665919","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

Erratum: Small for Gestational Age Newborns in French Guiana: The Importance of Health Insurance for Prevention 勘误：法属圭亚那的小于胎龄新生儿：医疗保险对预防的重要性

IF 4.6 3区医学

International Journal of Public Health Pub Date : 2024-04-22 DOI: 10.3389/ijph.2024.1607279

引用次数: 0

The Social Construction of Aging Among a Clinic-Based Population and Their Healthcare Workers in Zambia 赞比亚诊所人口及其医护人员对老龄化的社会建构

IF 4.6 3区医学

International Journal of Public Health Pub Date : 2024-04-22 DOI: 10.3389/ijph.2024.1606607

Anjali Sharma, C. Mwamba, Natalie St Clair-Sullivan, B. Chihota, J. Pry, C. Bolton-Moore, M. Vinikoor, G. Muula, Harriet Daultrey, J. Gittelsohn, Lloyd. B. Mulenga, Namasiku Siyumbwa, Gilles Wandeler, Jaime H. Vera

{"title":"The Social Construction of Aging Among a Clinic-Based Population and Their Healthcare Workers in Zambia","authors":"Anjali Sharma, C. Mwamba, Natalie St Clair-Sullivan, B. Chihota, J. Pry, C. Bolton-Moore, M. Vinikoor, G. Muula, Harriet Daultrey, J. Gittelsohn, Lloyd. B. Mulenga, Namasiku Siyumbwa, Gilles Wandeler, Jaime H. Vera","doi":"10.3389/ijph.2024.1606607","DOIUrl":"https://doi.org/10.3389/ijph.2024.1606607","url":null,"abstract":"We sought to understand the social construction of aging in a clinic-based population, with and without HIV, to address gaps in care for older individuals living with HIV in Zambia.Our exploratory qualitative study included 36 in-depth interviews with clinic clients and four focus group discussions with 36 professional and lay healthcare workers providing services to the clients. We identified themes based on social construction theory.At the individual level, aging was multidimensional, perceived both as an achievement in the HIV era and as a period of cognitive, physical, and economic decline. In social interactions, older individuals were often stereotyped and treated as helpless, poor, and “witches.” Those living with HIV faced the additional stigma of being labeled as promiscuous. Some of the participants living without HIV refused to take daily medication for non-communicable diseases to avoid being mistaken for taking antiretroviral therapy for HIV. Older individuals wanted quality healthcare and family support to address the intersectional stigma of aging, poverty, and chronic illness.Multifaceted interventions are required to combat age-related prejudice, intersectional stigma, and discriminatory practices, particularly for people living with HIV.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140675686","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

Exploring Sex Differences in Risk Factors and Quality of Life Among Tuberculosis Patients in Herat, Afghanistan: A Case-Control Study 探索阿富汗赫拉特肺结核患者的风险因素和生活质量的性别差异：病例对照研究

IF 4.6 3区医学

International Journal of Public Health Pub Date : 2024-04-22 DOI: 10.3389/ijph.2024.1606554

Nasar Ahmad Shayan, Ali Rahimi, S. Stranges, Amardeep Thind

{"title":"Exploring Sex Differences in Risk Factors and Quality of Life Among Tuberculosis Patients in Herat, Afghanistan: A Case-Control Study","authors":"Nasar Ahmad Shayan, Ali Rahimi, S. Stranges, Amardeep Thind","doi":"10.3389/ijph.2024.1606554","DOIUrl":"https://doi.org/10.3389/ijph.2024.1606554","url":null,"abstract":"Objectives: Tuberculosis (TB) is a significant public health concern in Afghanistan, with a high burden of disease in the western province of Herat. This study explored the risk factors of TB and TB’s impact on the quality of life of patients in Herat.Methods: A total of 422 TB patients and 514 controls were recruited at Herat Regional Hospital and relevant TB laboratories between October 2020 and February 2021. Data was collected through interviews using a structured questionnaire and the SF-36 questionnaire. Descriptive statistics, chi-square tests, Multivariate General Linear Model, and logistic regression analysis were used to analyze the data.Results: The results showed that male sex (p = 0.023), chronic disease (p = 0.038), lower education levels (p < 0.001), and worse health status (p < 0.001) were significantly associated with higher odds of TB infection. The study also found that TB patients had significantly lower quality of life scores in almost all components (p < 0.05).Conclusion: This study provides important insights into the specific ways in which TB affects the wellbeing of patients in Afghanistan. The findings highlight the importance of addressing the psychological and social dimensions of TB.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140673291","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

Identification and Economic Evaluation of Differentiated Thyroid Cancer Care Consumption Patterns Using Sequence Analysis 利用序列分析鉴定分化型甲状腺癌护理消费模式并进行经济评估

IF 4.6 3区医学

International Journal of Public Health Pub Date : 2024-04-19 DOI: 10.3389/ijph.2024.1606664

Romain Demeulemeester, Pascale Grosclaude, Solange Grunenwald, Philippe Saint-Pierre, Nicolas Savy, Nadège Costa

{"title":"Identification and Economic Evaluation of Differentiated Thyroid Cancer Care Consumption Patterns Using Sequence Analysis","authors":"Romain Demeulemeester, Pascale Grosclaude, Solange Grunenwald, Philippe Saint-Pierre, Nicolas Savy, Nadège Costa","doi":"10.3389/ijph.2024.1606664","DOIUrl":"https://doi.org/10.3389/ijph.2024.1606664","url":null,"abstract":"Objectives: This study aims to assess the impact of care consumption patterns and individual characteristics on the cost of treating differentiated thyroid carcinoma (DTC), in France, with a specific emphasis on socioeconomic position.Methods: The methodology involved a net cost approach utilising cases from the EVATHYR cohort and controls from the French National Health Insurance database. Care consumption patterns were created using Optimal Matching and clustering techniques. The individual characteristics influence on patterns was assessed using multinomial logistic regression. The individual characteristics and patterns influence on care costs was assessed using generalised estimating equations.Results: The findings revealed an average cost of €13,753 per patient during the initial 3 years. Regression models suggested the main predictors of high DTC specific care consumption tended to include having a high risk of cancer recurrence (OR = 4.97), being a woman (OR = 2.00), and experiencing socio-economic deprivation (OR = 1.26), though not reaching statistical significance. Finally, high DTC-specific care consumers also incurred higher general care costs (RR = 1.35).Conclusion: The study underscores the increased costs of managing DTC, shaped by consumption habits and socioeconomic position, emphasising the need for more nuanced DTC management strategies.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140685435","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

Sexual and Reproductive Health and Rights for Young Migrants in Sweden: An Ideal-Type Analysis Exploring Regional Variations of Accessible Documents 瑞典年轻移民的性与生殖健康及权利：探索无障碍文件地区差异的理想类型分析

IF 4.6 3区医学

International Journal of Public Health Pub Date : 2024-04-18 DOI: 10.3389/ijph.2024.1606568

Albert Brunet Johansson, A. Hurtig, Faustine Kyungu Nkulu Kalengayi

{"title":"Sexual and Reproductive Health and Rights for Young Migrants in Sweden: An Ideal-Type Analysis Exploring Regional Variations of Accessible Documents","authors":"Albert Brunet Johansson, A. Hurtig, Faustine Kyungu Nkulu Kalengayi","doi":"10.3389/ijph.2024.1606568","DOIUrl":"https://doi.org/10.3389/ijph.2024.1606568","url":null,"abstract":"Objectives: This study aims to map sexual and reproductive health and rights (SRHR) policies, strategies, and interventions targeting young migrants and describe the patterns of organisation, resources, and services across Sweden’s 21 regions.Methods: We conducted a document analysis of accessible online documents on SRHR policies, strategies, and interventions targeting young migrants in Sweden’s 21 regions. We used ideal-type analysis of the documents to create a typology, which formed the basis of a ratings system illustrating variations in organisation, resources, and services across regions.Results: Findings suggest that efforts aimed at addressing young migrants’ SRHR are fragmented and unequal across regions. While SRHR policies and strategies are commonplace, they routinely lack specificity. Available resources vary depending on region and resource type. Additionally, information and interventions, although common, do not consistently meet the specific needs of migrant youths.Conclusion: This study suggests that fragmented efforts are fuelling geographic inequalities in fulfilling SRHR among young migrants. There is an urgent need to improve national coordination and collaboration between national and local actors in SRHR efforts targeting young migrants to ensure equity.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140687390","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

Euthanasia and Physician-Assisted Suicide in People With an Accumulation of Health Problems Related to Old Age: A Cross-Sectional Questionnaire Study Among Physicians in the Netherlands 安乐死与医生协助自杀：在荷兰医生中开展的一项横断面问卷调查：荷兰医生横断面问卷调查研究

IF 4.6 3区医学

International Journal of Public Health Pub Date : 2024-04-18 DOI: 10.3389/ijph.2024.1606962

Frédérique W. M. Kraak-Steenken, S. Renckens, H. R. Pasman, Fenne Bosma, Agnes van der Heide, B. Onwuteaka-Philipsen

{"title":"Euthanasia and Physician-Assisted Suicide in People With an Accumulation of Health Problems Related to Old Age: A Cross-Sectional Questionnaire Study Among Physicians in the Netherlands","authors":"Frédérique W. M. Kraak-Steenken, S. Renckens, H. R. Pasman, Fenne Bosma, Agnes van der Heide, B. Onwuteaka-Philipsen","doi":"10.3389/ijph.2024.1606962","DOIUrl":"https://doi.org/10.3389/ijph.2024.1606962","url":null,"abstract":"Objectives: We explored characteristics of people with an accumulation of health problems related to old age requesting euthanasia or physician-assisted suicide (EAS) and identified characteristics associated with granting EAS requests.Methods: We conducted a cross-sectional questionnaire study among Dutch physicians on characteristics of these people requesting EAS (n = 123). Associations between characteristics and granting a request were assessed using logistic regression analyses.Results: People requesting EAS were predominantly >80 years old (82.4%), female (70.0%), widow/widower (71.7%), (partially) care-dependent (76.7%), and had a life expectancy >12 months (68.6%). The most prevalent health problems were osteoarthritis (70.4%) and impaired vision and hearing (53.0% and 40.9%). The most cited reasons to request EAS were physical deterioration (68.6%) and dependence (61.2%). 44.7% of requests were granted. Granting a request was positively associated with care dependence, disability/immobility, impaired vision, osteoporosis, loss of control, suffering without prospect of improvement and a treatment relationship with the physician >12 months.Conclusion: Enhanced understanding of people with an accumulation of health problems related to old age requesting EAS can contribute to the ongoing debate on the permissibility of EAS in people without life-threatening conditions.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140689571","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