Discover Social Science and Health最新文献

{"title":"\"I desire to have an HIV-free baby\": pregnant and breastfeeding mothers' perceptions of Viral load testing and suppression in HIV care in southwestern Uganda.","authors":"Jane Kabami, Cecilia Akatukwasa, Stella Kabageni, Joanita Nangendo, Ambrose Byamukama, Fredrick Atwiine, Valence Mfitumukiza, John Bosco Tamu Munezero, Elizabeth Arinaitwe, Andrew Mutabazi, Peter Ssebutinde, Phillipa Musoke, Moses R Kamya, Anne R Katahoire","doi":"10.1007/s44155-024-00120-1","DOIUrl":"https://doi.org/10.1007/s44155-024-00120-1","url":null,"abstract":"<p><strong>Introduction: </strong>Viral suppression is a critical component for preventing mother-to-child transmission of HIV(MTCT). Mothers' perceptions of viral load suppression is crucial in the attainment of successful outcomes in preventing mother to child transmission of HIV. We therefore aimed to explore the experiences and perceptions of women on viral suppression.</p><p><strong>Methods: </strong>This was a qualitative sub-study embedded in a cluster-randomized trial (NCT04122144) designed to improve viral load outcomes among pregnant and breastfeeding mothers living with HIV in four level III/IV health facilities in South-western Uganda. Thirty-two in-depth interviews were conducted with pregnant and breastfeeding women with HIV from 1st March 2020 to 30th September 2020 to explore their understanding and interpretation of viral suppression. Interviews were audio-recorded, transcribed, and coded in Dedoose software for analysis.</p><p><strong>Results: </strong>A total of 32 Women living with HIV were enrolled in this qualitative study. WLHIV explained viral suppression in the context of attaining good health and having HIV-free babies. Adherence to ART was presented as a key avenue to viral suppression. The level of engagement with providers was presented as a key attribute of attaining viral suppression. The participants narrated their experiences with viral load testing within the routine services. However, they revealed experiencing some proximate barriers to suppression including anticipated stigma, challenges with non-disclosure of HIV status, pregnancy distress, and distance to the health facility.</p><p><strong>Conclusion: </strong>The understanding and interpretation of viral suppression among pregnant and breastfeeding mothers living with HIV provides a basis for adopting behaviors leading to prevention of vertical transmission of HIV. Health care workers can support women by providing clear and culturally appropriate education about viral suppression, adherence strategies and creating a supportive and non-judgmental environment.</p>","PeriodicalId":29972,"journal":{"name":"Discover Social Science and Health","volume":"4 1","pages":"60"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11541329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629427","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 mixed-methods community needs assessment of Santa Maria and Guadalupe, California.","authors":"Marilyn Tseng, Daisy Rojas, Edgardo Hernandez, Mario Alberto Viveros Espinoza-Kulick, Irebid Gilbert, Maritza Perez, Elisa Gonzalez, Suzanne Phelan","doi":"10.1007/s44155-024-00127-8","DOIUrl":"10.1007/s44155-024-00127-8","url":null,"abstract":"<p><p>Santa Maria and Guadalupe are neighboring cities in northern Santa Barbara County that have a lower socioeconomic profile than the county overall, are >75% Latino, and have up to 32,000 residents who identify as Indigenous, primarily Mixtec-speaking people from southern Mexico. We conducted a mixed-methods community needs assessment to identify unique health challenges and barriers that Latinx and Mixtec individuals faced. From January to April 2021, targeted and general recruitment approaches were used to recruit a convenience sample of 159 participants (74% Latinx, 72% female, mean age 41.3 years) to complete modified long- and short-form versions of a community health concerns survey. Fifty-four completed the 40-item form and 102 completed the 19-item form. Of these, 24 individuals who expressed interest in further participation took part in structured, open-ended interviews. Among the key issues raised in surveys and interviews were housing, healthcare, and access to recreational resources. However, perspectives and priorities differed depending on the form of data collection (closed-ended survey vs. open-ended interview). For example, interviews echoed survey respondents' dissatisfaction regarding lack of safe and affordable housing but added perspective on housing conditions and vulnerability to landlords' decisions. In interviews, expanding existing resources and mobilizing as a community were noted as potential solutions; existing policies, language, and lack of interest by those in power were raised as significant barriers. Our assessment suggests that Santa Maria and Guadalupe communities face concerns about housing, healthcare, and access to recreational resources. Government, community, and healthcare sectors should focus on addressing these basic health needs.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s44155-024-00127-8.</p>","PeriodicalId":29972,"journal":{"name":"Discover Social Science and Health","volume":"4 1","pages":"69"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11588825/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740800","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":"Non-drinking and social life in adolescence: a qualitative study in Switzerland.","authors":"Lorraine Chok, Joan-Carles Suris, Lucie Vittoz, Diana Fernandes Palhares, Yara Barrense-Dias","doi":"10.1007/s44155-024-00124-x","DOIUrl":"10.1007/s44155-024-00124-x","url":null,"abstract":"<p><strong>Background: </strong>Alcohol consumption is popular among adolescents and young people and adolescent non-drinkers may be socially excluded and/or stigmatized. The aim of this qualitative study was to explore the social life of young non-drinkers (14-20 years old), to understand how they live their non-drinking and how they are perceived by their drinking peers.</p><p><strong>Methods: </strong>We conducted a qualitative research on non-consumption of alcohol in the French-speaking region of Switzerland. Our study included 63 young people divided into 12 focus groups aged 14 to 20 years.</p><p><strong>Results: </strong>Overall, young non-drinkers would be a minority in their peer groups, leading some of them to feel out of the norm. Participants reported that not drinking alcohol is generally questioned and non-drinkers are almost always asked to justify their non-consumption. Finally, non-drinkers are sometimes automatically designated as resources who have to control the drinking of others and/or are the ones who help their drinking-peers if they are drunk and need help, a status that can put them under pressure.</p><p><strong>Conclusions: </strong>It is important to normalize the non-consumption of alcohol and make non-drinkers visible by including them in school-based prevention interventions.</p>","PeriodicalId":29972,"journal":{"name":"Discover Social Science and Health","volume":"4 1","pages":"64"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11576792/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689116","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":"Race, Social Determinants of Health, and Comorbidity Patterns Among Participants with Heart Failure in the REasons for Geographic and Racial Differences in Stroke (REGARDS) Study.","authors":"Ene M Enogela, Parag Goyal, Elizabeth A Jackson, Monika M Safford, Stephen Clarkson, Thomas W Buford, Todd M Brown, D Leann Long, Raegan W Durant, Emily B Levitan","doi":"10.1007/s44155-024-00097-x","DOIUrl":"10.1007/s44155-024-00097-x","url":null,"abstract":"<p><strong>Background: </strong>Among individuals with heart failure (HF), racial differences in comorbidities may be mediated by social determinants of health (SDOH).</p><p><strong>Methods: </strong>Black and White US community-dwelling participants in the REasons for Geographic and Racial Differences in Stroke (REGARDS) study aged ≥ 45 years with an adjudicated HF hospitalization between 2003 and 2017 were included in this cross-sectional analysis. We assessed whether higher prevalence of comorbidities in Black participants compared to White participants were mediated by SDOH in socioeconomic, environment/housing, social support, and healthcare access domains, using the inverse odds weighting method.</p><p><strong>Results: </strong>Black (n = 240) compared to White (n = 293) participants with HF with preserved ejection fraction (HFpEF) had higher prevalence of diabetes [1.38 (95% CI: 1.18 - 1.61)], chronic kidney disease [1.21 (95% CI: 1.01 - 1.45)], and anemia [1.33 (95% CI: 1.02 - 1.75)] and lower prevalence of atrial fibrillation [0.80 (95% CI: (0.65 - 0.98)]. Black (n = 314) compared to White (n = 367) participants with HF with reduced ejection fraction (HFrEF) had higher prevalence of hypertension [1.04 (95% CI: 1.02 - 1.07)] and diabetes [1.26 (95% CI: 1.09 - 1.45)] and lower prevalence of coronary artery disease [0.86 (95% CI: 0.78 - 0.94)] and atrial fibrillation [0.70 (95% CI: 0.58 - 0.83)]. Socioeconomic status explained 14.5%, 26.5% and 40% of excess diabetes, anemia, and chronic kidney disease among Black adults with HFpEF; however; mediation was not statistically significant and no other SDOH substantially mediated differences in comorbidity prevalence.</p><p><strong>Conclusions: </strong>Socioeconomic status partially mediated excess diabetes, anemia, and chronic kidney disease experienced by Black adults with HFpEF, but differences in other comorbidities were not explained by other SDOH examined.</p>","PeriodicalId":29972,"journal":{"name":"Discover Social Science and Health","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11376214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141275","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":"Perceived disrespectful treatment in low-income healthcare settings through the lens of intersectionality","authors":"Sara Snitselaar, Deborah Carr","doi":"10.1007/s44155-023-00057-x","DOIUrl":"https://doi.org/10.1007/s44155-023-00057-x","url":null,"abstract":"","PeriodicalId":29972,"journal":{"name":"Discover Social Science and Health","volume":"58 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138952137","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":"Sweet dreams, bright futures: the relationship between sleep duration and health, income and education","authors":"C. Berry-cabán, Thomas A. Beltran, Rachel H. Han, Sharon P. McKiernan, Y. S. Choi","doi":"10.1007/s44155-023-00058-w","DOIUrl":"https://doi.org/10.1007/s44155-023-00058-w","url":null,"abstract":"","PeriodicalId":29972,"journal":{"name":"Discover Social Science and Health","volume":"58 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139001521","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":"Examining self-reported aberrant behavior among Lebanese drivers using the Driver Behavior Questionnaire (DBQ)","authors":"D. Youssef, Pascale Salameh, Linda Abou-Abbas, Louis-Rachid Salmi","doi":"10.1007/s44155-023-00056-y","DOIUrl":"https://doi.org/10.1007/s44155-023-00056-y","url":null,"abstract":"","PeriodicalId":29972,"journal":{"name":"Discover Social Science and Health","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138626340","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":"Pandemic insights: what COVID-19 has revealed about traditional rounding structure","authors":"Michael Czapka, Christopher Lehmann","doi":"10.1007/s44155-023-00054-0","DOIUrl":"https://doi.org/10.1007/s44155-023-00054-0","url":null,"abstract":"Abstract Due to social distancing policies and concerns over patient and provider safety, early in the COVID-19 pandemic many healthcare institutions temporarily converted to various, non-traditional rounding models. The abrupt and unprecedented change in workflow has enabled re-assessment of the reasons for the traditional rounding structures in medical education and comparison to newer strategies for rounding which have developed out of necessity during the pandemic. In this Perspectives article, we examine the positive and negative aspects of rounding models borne out of the pandemic and suggest aspects which may be carried forward, as well as future directions for research.","PeriodicalId":29972,"journal":{"name":"Discover Social Science and Health","volume":"54 10","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134991715","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":"Multiple sexual partnership among school-going adolescents in Benin: a population-based study of prevalence and predictors","authors":"Newton Isaac Gbordzoe, Paul Obeng, Mary Aku Ogum, Mustapha Amoadu, Jacob Owusu Sarfo, John Elvis Hagan Jnr.","doi":"10.1007/s44155-023-00053-1","DOIUrl":"https://doi.org/10.1007/s44155-023-00053-1","url":null,"abstract":"Abstract Aim The study investigated the prevalence and determinants of multiple sexual partnerships among school-going adolescents. Methods A secondary analysis of data from the 2016 Global School-Based Student Health Survey (GSHS) was conducted to determine the prevalence and determinants of multiple sexual partners among 2496 school-going adolescents aged 13–17 years in Benin. Results The overall prevalence of multiple sexual partnerships was 26.1% among adolescents. After adjusting for other factors, male sex (AOR = 4.80, 95% CI 3.78–6.09), truancy (AOR = 1.69, 95% CI 1.35–2.12), sedentary lifestyle (AOR = 1.28, 95% CI 1.00–1.62), cigarette smoking (AOR = 3.14, 95% CI 1.95–5.07) and alcohol use (AOR = 1.78, 95% CI 1.44–2.20) were significantly associated with the increased odds of engaging in multiple sexual partnerships. However, younger age (AOR = .37, 95% CI 0.25–0.56), lower grade (AOR = .52, 95% CI 0.42–65), and parental monitoring (AOR = 0.71, 95% CI 0.55–0.91) were significantly associated with lower odds of engaging in multiple sexual partnerships. Conclusions Risky sexual behaviour interventions should focus on adolescents’ personal, school and psychosocial characteristics using multidisciplinary approaches. These approaches will contribute to achieving Sustainable Development Goals 3, target 3.4 of promoting adolescent mental health and well-being, and Goal 4, target 1 of ensuring equitable education toward effective learning outcomes among Beninese school-going adolescents.","PeriodicalId":29972,"journal":{"name":"Discover Social Science and Health","volume":"101 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135342233","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":"Determining the risk factors of under-five morbidity in Bangladesh: a Bayesian logistic regression approach","authors":"M. Hossain, Md. Raisul Islam, A. Saleheen, Azizur Rahman, Faozia Afia Zinia, Umama Akter Urmy","doi":"10.1007/s44155-023-00052-2","DOIUrl":"https://doi.org/10.1007/s44155-023-00052-2","url":null,"abstract":"","PeriodicalId":29972,"journal":{"name":"Discover Social Science and Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43205177","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}