Discover Social Science and Health最新文献

{"title":"Sex of household head and trends in uptake of sulfadoxine-pyrimethamine intermittent preventive treatment for malaria during pregnancy: insights from secondary data in sub-Saharan Africa.","authors":"Benjamin Kobina Kwansa, Deborah Atobrah, Emmanuel Anongeba Anaba, Abena Kyere, Irene Akwo Kretchy","doi":"10.1007/s44155-025-00184-7","DOIUrl":"10.1007/s44155-025-00184-7","url":null,"abstract":"<p><strong>Background: </strong>Malaria in pregnancy remains a serious public health concern in sub-Saharan Africa. The household head as a primary decision-maker plays a major role in women's utilization of maternal health services. This study aimed to examine the trends, and the association between the sex of household head and the uptake of intermittent preventive treatment of malaria in pregnancy using sulfadoxine-pyrimethamine (IPTp-SP) in six sub-Saharan African countries. The findings provide insight into the progress, status and gender-specific barriers to IPTp-SP uptake.</p><p><strong>Methods: </strong>Secondary data from the most recent Malaria Indicator Surveys for the six countries were analysed. A total of 15,452 (weighted) women aged 15-49 years from the six countries were included in this study. Both descriptive and inferential statistics were computed, including a chi-square test and binary logistic regression.</p><p><strong>Results: </strong>The pooled data showed that 77% of the participants took at least one dose of IPTp-SP and 37% took ≥ 3 doses. The trend analysis showed that the uptake of IPTp-SP has increased over time. Women with a female household head (AOR = 1.21, 95% CI 1.08-1.38) had higher odds of taking ≥ 3 doses of IPTp-SP compared to those with a male household head.</p><p><strong>Conclusion: </strong>The findings suggest that promoting women's participation in decision-making and leadership at the household level may help increase the uptake of IPTp-SP in sub-Saharan Africa.</p>","PeriodicalId":29972,"journal":{"name":"Discover Social Science and Health","volume":"5 1","pages":"43"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11953170/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community leaders' perspectives on linking formal and informal health providers in Nigerian urban slums: a qualitative study.","authors":"Benard Okechi, Charles T Orjiakor, Chukwudi Nwokolo, Chukwuedozie Ajaero, Mahua Das, Obinna Onwujekwe","doi":"10.1007/s44155-025-00205-5","DOIUrl":"https://doi.org/10.1007/s44155-025-00205-5","url":null,"abstract":"<p><strong>Introduction: </strong>Poor living conditions and poverty in urban slums mean that informal health providers (IHPs) often dominate health service provision in such settings. We explored the capacity of leaders within slums to contribute to linking IHPs to formal health providers (FHPs), for improved access to quality health services in slums.</p><p><strong>Method: </strong>We purposively selected and interviewed 16 community leaders across 8 urban slums in Enugu and Anambra states in Southeast Nigeria. Transcribed interviews were then analyzed using thematic analysis aided by NVIVO.</p><p><strong>Finding: </strong>Chairpersons and local vigilante security outfits were ubiquitous across urban slum communities- coordinating and influencing actors and health activities within settlements. Oversight functions and lived experiences meant leaders had a good insight into existing community dynamics. Slum leaders acknowledged the differential roles, as well as the strengths and weaknesses of FHPs and IHPs. Linkage establishment was considered potentially useful, and leaders were willing to assist, if the existing shortcomings in FHPs were addressed.</p><p><strong>Conclusion: </strong>Despite being under-recognized, leaders in urban slums have the potential to help the realization of health goals given their grassroots influences. Leaders in urban have strategic positional knowledge and leverage that could catalyze the IHP-FHP linkage conversation and implementation towards improving access to quality healthcare services in slums.</p>","PeriodicalId":29972,"journal":{"name":"Discover Social Science and Health","volume":"5 1","pages":"61"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lessons learned from syndemic HIV research in an immigrant, latinx sexual and gender minority community.","authors":"Nicholas Metheny, Dalton Scott, Sandor Santana, Rosa Pache","doi":"10.1007/s44155-024-00145-6","DOIUrl":"10.1007/s44155-024-00145-6","url":null,"abstract":"<p><p>The HIV incidence rate in Miami-Dade County is among the highest in the United States, with Latinx sexual and gender minority (SGM) groups experiencing a disproportionate burden. Despite extensive efforts by both private and public sectors to curb transmission and improve pre-exposure prophylaxis (PrEP) uptake, Latinx SGM groups continue to have high rates of HIV and low PrEP uptake compared to SGM groups overall. Using data collected from a biobehavioral study of the socio-structural factors affecting HIV susceptibility and PrEP uptake among Latinx SGM subgroups in Miami-Dade County, this paper shares lessons learned and provides concrete recommendations for tailoring survey research and biospecimen collection among a largely immigrant, socioeconomically disadvantaged community that is especially vulnerable to HIV. By drawing inferences from study data and contextualizing these with community partners, we learned: (1) Large parts of the target community may be unfamiliar with the underlying constructs captured in important HIV-related measures; (2) Cash incentives may shift motivation from intrinsic to extrinsic and lead to poorer data quality; (3) Deviations in Spanish go beyond vocabulary used in different Latin American countries, and more formal Spanish may relay concepts in unfamiliar ways that are unapproachable; and (4) community members may be unfamiliar with survey data collection processes and the protections in place to ensure confidentiality. These lessons and associated recommendations may help improve recruitment, study design, analysis, and community engagement in future studies, building trust and ultimately reducing the burden of HIV in these communities.</p>","PeriodicalId":29972,"journal":{"name":"Discover Social Science and Health","volume":"5 1","pages":"10"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11782357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare provider and patient perspectives on COVID-19 vaccination among persons with HIV, hypertension, and/or Diabetes mellitus at two regional referral hospitals in Uganda.","authors":"Brian Beesiga, Asiphas Owaraganise, Florence Mwangwa, Winnie Muyindike, Jaffer Okiring, Elijah Kakande, Joan Nangendo, Susan Nayiga, Jane Kabami, Cecilia Akatukwasa, Moses R Kamya, Fred C Semitala","doi":"10.1007/s44155-025-00199-0","DOIUrl":"https://doi.org/10.1007/s44155-025-00199-0","url":null,"abstract":"<p><strong>Background: </strong>People with chronic illnesses such as Human Immunodeficiency Virus (HIV), hypertension, and Diabetes Mellitus (DM) are a priority for Coronavirus disease (COVID-19) vaccination due to elevated risk of severe disease. We explored the perspectives and experiences of COVID-19 vaccination among these priority populations in Southwestern and Southcentral Uganda.</p><p><strong>Methods: </strong>Between January and April 2023, we conducted in-depth interviews with adult (≥18 years) persons living with HIV (PLWH), hypertension and/or DM (<i>n</i> = 30) and key informant interviews with healthcare providers and managers (<i>n</i> = 12) at Mbarara and Masaka Regional Referral Hospitals. We used the Behavioral and Social Drivers model to explore the factors that influenced COVID-19 vaccination. We coded the data using Dedoose software and analyzed them using thematic deductive analysis.</p><p><strong>Results: </strong>Motivations to take the COVID-19 vaccine included fear of COVID-19, observing the effect of COVID-19 or the vaccine on others, vulnerability from underlying illnesses, family and social support, health worker recommendation, vaccine benefits and trust in the vaccine. Fear of side effects and vaccine interactions with antiretroviral, antihypertensive or antidiabetic medications, misinformation, rapid vaccine development and rollout, inadequate sensitization, and healthcare providers' hesitancy hindered uptake. Furthermore, health system challenges like stockouts and long queues hindered uptake or dose completion.</p><p><strong>Conclusion: </strong>Fear of COVID-19, trust in the vaccine, family and social support facilitated COVID-19 vaccination uptake. Conversely, fear of side effects, vaccine and medication interaction, misinformation and inadequate sensitization hindered vaccine uptake. Effective communication strategies involving health workers and community leaders and sustained vaccine supply are crucial to improve COVID-19 vaccine uptake.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s44155-025-00199-0.</p>","PeriodicalId":29972,"journal":{"name":"Discover Social Science and Health","volume":"5 1","pages":"51"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11997000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A scoping review on occupational therapy services with forcibly displaced individuals in low to middle income countries","authors":"Humairaa Hassan, Juwairiyya Paruk, Heema Gordhan, Lebogang Maseko","doi":"10.1007/s44155-024-00088-y","DOIUrl":"https://doi.org/10.1007/s44155-024-00088-y","url":null,"abstract":"","PeriodicalId":29972,"journal":{"name":"Discover Social Science and Health","volume":"23 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141349193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A qualitative exploration of the impact of COVID-19 on families with a child under 5 years-old in the borough of Newham, East London","authors":"Eliana Mann, Emma Wilson, Michelle Heys, Claire Cameron, D. M. Rosenthal, Lydia Whitaker, Hanan Hauari, Katie Hollingworth, Sarah O’Toole","doi":"10.1007/s44155-024-00082-4","DOIUrl":"https://doi.org/10.1007/s44155-024-00082-4","url":null,"abstract":"","PeriodicalId":29972,"journal":{"name":"Discover Social Science and Health","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141381980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associated SDOH needs of patients without health insurance and experiencing food insecurity","authors":"Suma K. Thareja, Spenser Marting, William Davies, Santhosi Samudrala, Ramsey Rayes, Marie Balfour, Ana Mia Corujo-Ramirez, Frances Carter, B. Liu, Dylan Trinh, Thomas Ritter, Jessica Miller, Coleman Fine, Rebecca Lundh, Staci A. Young","doi":"10.1007/s44155-024-00084-2","DOIUrl":"https://doi.org/10.1007/s44155-024-00084-2","url":null,"abstract":"","PeriodicalId":29972,"journal":{"name":"Discover Social Science and Health","volume":"116 40","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141125117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of face masks for COVID-19 prevention: a qualitative study on barriers and motivators in Zimbabwe","authors":"Masceline Jenipher Mutsaka-Makuvaza, Nicholas Midzi, Lincoln Sunganai Charimari, Priscilla Mangwiro, Tonderai Manengureni, Gladys Mugadza","doi":"10.1007/s44155-024-00083-3","DOIUrl":"https://doi.org/10.1007/s44155-024-00083-3","url":null,"abstract":"","PeriodicalId":29972,"journal":{"name":"Discover Social Science and Health","volume":"29 26","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140971361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Economic gains of transitioning towards reduced-risk products: evidence from Mexico","authors":"Alejandro Espinosa Herrera","doi":"10.1007/s44155-024-00079-z","DOIUrl":"https://doi.org/10.1007/s44155-024-00079-z","url":null,"abstract":"","PeriodicalId":29972,"journal":{"name":"Discover Social Science and Health","volume":"34 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140974129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epidemiology and demographic risk factors for myopia in Ghana: a 5-year retrospective study","authors":"S. Kyei, Rexford Kwasi Gyaami, John Baptist Vianney Abowine, Ebenezer Zaabaar, Augustine Nti, Kofi Fred Asiedu, S. Boadi-Kusi, Bismark Owusu-Afriyie, Frank Assiamah, Anthony Armah","doi":"10.1007/s44155-024-00081-5","DOIUrl":"https://doi.org/10.1007/s44155-024-00081-5","url":null,"abstract":"","PeriodicalId":29972,"journal":{"name":"Discover Social Science and Health","volume":"9 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140982086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}