Anthony Ajeh, Peter Attah, Adamu Alhassan Ibrahim, Ruth Amarachi Ogbonna, Esther Audu, Sambo Yakubu, Oka Eze, Toufik Abdul-Rahman, Andrew Awuah Wireko
{"title":"Retention of HIV clients in care: A comparative study to highlight the benefit of HIV clinical mentorship program in Nasarawa State, Nigeria.","authors":"Anthony Ajeh, Peter Attah, Adamu Alhassan Ibrahim, Ruth Amarachi Ogbonna, Esther Audu, Sambo Yakubu, Oka Eze, Toufik Abdul-Rahman, Andrew Awuah Wireko","doi":"10.1177/22799036251330711","DOIUrl":"https://doi.org/10.1177/22799036251330711","url":null,"abstract":"<p><strong>Background: </strong>Retention in care is a critical indicator of the quality of HIV care and a cornerstone for achieving epidemic control. Interruption in treatment (IIT) poses a significant threat to achieving the global 95-95-95 targets and leads to adverse health outcomes. This study assessed the effect of the national clinical mentorship program on retention in care and IIT among HIV clients in Nasarawa State, Nigeria.</p><p><strong>Methodology: </strong>In the 47 facilities where mentors worked, every client who missed an appointment was tracked immediately. A list of potential IIT clients was generated and followed through by linking those clients to trackers who ensured they were returned to care. Mentors ensured that the process of tracking in the facilities was strengthened as part of their routine mentoring activities including facilitating the release of tracking funds. Data from the Retention and Audit Determination Tool (RADET) for patients reported between November 2021 and August 2022 were extracted and imported into an Excel template. Demographic and clinical program parameters were analyzed using descriptive statistics, bi-variate, and multivariate analysis, including Chi-square and logistic regression. The parameters in the facilities where mentorship was deployed were then compared to pre-deployment parameters.</p><p><strong>Results: </strong>This study found that a clinical mentorship program reduced the Interruption in treatment (IIT) rate from 7% to 0.5% between 2021 and 2022. Although the 25-34 age group had the highest IIT rate, it decreased from 41.6% to 33.3% after the mentorship program. Tertiary facilities still have the highest IIT rates. Non-pregnant women were more likely to continue with treatment than pregnant women. The mentorship program successfully reduced IIT rates in Nasarawa State.</p><p><strong>Conclusion: </strong>Clinical mentoring can reduce IIT among HIV patients. The study found a decrease from 7% to 0.5%. Tailored mentorship programs can improve retention in HIV care and reduce IIT rates. Gender-specific barriers should be addressed, and interventions should be customized for pregnant women for better program effectiveness and health outcomes.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"14 2","pages":"22799036251330711"},"PeriodicalIF":1.6,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12035571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005824","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":"Development of a quality eating index and its relationship with nutritional status in adults.","authors":"Susetyowati Susetyowati, Emy Huriyati, Farah Faza, Nadira D'mas Getare Sanubari, Ahmad Syauqy","doi":"10.1177/22799036251329420","DOIUrl":"https://doi.org/10.1177/22799036251329420","url":null,"abstract":"<p><strong>Background: </strong>The implementation of Indonesia's food-based dietary guidelines (FBDG) through an index should be simulated to provide a concise overview of the diet quality of the Indonesian adult population. This study aimed to (1) develop a quality eating index to depict diet quality and (2) evaluate the performance of the instrument used to assess the association between diet quality and nutritional status among the Indonesian adult population.</p><p><strong>Methods: </strong>The quality eating index was developed based on the FBDG. The index was developed through a multi-step workflow: (1) literature review and expert panel discussion, (2) pilot study, (3) final testing and score weighing, (4) cut-off score determination, and (5) construct and criterion validation for the body mass index (BMI) and biochemical parameters such as fasting blood glucose (FBG), total cholesterol, high- and low-density lipoprotein (HDL and LDL), and triglyceride. A total of 415 subjects were randomly recruited using proportional stratified random sampling in the urban and rural communities.</p><p><strong>Results: </strong>The quality eating index was constructed of 12 food groups with a cut-off score of ≥60 indicating good and <60 showing poor/needing improvement. A low score on the quality eating index was associated with a 1.6-fold greater risk of overweight/obesity and tended to be associated with a 1.5-fold higher risk of dyslipidemia.</p><p><strong>Conclusions: </strong>The development of the quality eating index was only significantly associated with BMI. The quality eating index could potentially be used for screening for diet quality and risk of overweight/obesity among adults in urban and rural areas.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"14 2","pages":"22799036251329420"},"PeriodicalIF":1.6,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12033484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052932","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}
Tran Ba Lan, Cao Hoai Tuan Anh, Thi Lan Anh Nguyen, Tran Diep Khoa, Nguyen Hoang Thien Thu, Nguyen Quynh Truc, Minh Huu Le, Quoc Si Huynh, Tuyen Thi Hong Nguyen
{"title":"Short-term mortality prognosis in spontaneous intracranial hemorrhage: A retrospective study at 115 People's Hospital, HCMC, Vietnam.","authors":"Tran Ba Lan, Cao Hoai Tuan Anh, Thi Lan Anh Nguyen, Tran Diep Khoa, Nguyen Hoang Thien Thu, Nguyen Quynh Truc, Minh Huu Le, Quoc Si Huynh, Tuyen Thi Hong Nguyen","doi":"10.1177/22799036251334178","DOIUrl":"https://doi.org/10.1177/22799036251334178","url":null,"abstract":"<p><strong>Background: </strong>Early prognosis of patients with spontaneous intracerebral hemorrhage (ICH) can help create individualized and optimized treatment plans for the patients.</p><p><strong>Aims: </strong>This study evaluates short-term mortality and identifies risk factors in ICH patients at 115 People's Hospital within 30 days.</p><p><strong>Design and methods: </strong>A retrospective cohort study was conducted involving 598 patients diagnosed with ICH by neurologists from December 2022 to June 2023. Diagnosis was confirmed by imaging, with symptoms appearing within 24 h of admission. Short-term mortality was defined as death within 30 days of onset.</p><p><strong>Results: </strong>Among the 598 patients (mean age 58.4; 40% female), 110 (18.4%) died, while 488 (81.6%) survived. The ICH score (AUC = 95.75%; <i>p</i> < 0.001; optimal cutoff = 1.5) was more prognostic for mortality than the NIHSS score (AUC = 94.61%; optimal cutoff = 17.5; <i>p</i> < 0.001). Identified risk factors included age ≥ 80 (RR = 2.2, <i>p</i> = 0.002), ICH score ≥ 2 (RR = 38.4, <i>p</i> < 0.001), NIHSS score ≥ 16 (RR = 15.1, <i>p</i> < 0.001), hematoma volume ≥ 30 cm<sup>3</sup> (RR = 15.1, <i>p</i> < 0.001), and the presence of intraventricular (RR = 7.2, <i>p</i> < 0.001) or subtentorial hemorrhage (RR = 2.8, <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>The mortality rate for ICH was significant. The ICH score, NIHSS, and hematoma volume are effective in predicting mortality in spontaneous ICH patients.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"14 2","pages":"22799036251334178"},"PeriodicalIF":1.6,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12033613/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002658","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}
Katarzyna Miszczyńska, Bartłomiej Krzeczewski, Joanna Stawska
{"title":"Different attitudes towards estimating indirect costs of disease: The example of cancer.","authors":"Katarzyna Miszczyńska, Bartłomiej Krzeczewski, Joanna Stawska","doi":"10.1177/22799036251326636","DOIUrl":"https://doi.org/10.1177/22799036251326636","url":null,"abstract":"<p><strong>Goal: </strong>Cost estimations in healthcare are crucial to make sound and adequate economic evaluations and assessments. The concept of indirect costs' estimation seems to be still not very well developed and systematized. This article is dedicated to the problem of indirect costs estimation of different types of cancer. The main aim of the article is to analyse the frequency of usage of different methods used for estimating indirect costs in economic analysis.</p><p><strong>Methods: </strong>There are discussed various methods used for indirect costs' estimations. Among them, in details, there are described: human capital approach (HCA), friction cost method (FCM) and health state valuation (HSV). There is included a systematic review of the articles dedicated to the problem of cancer costs'estimation.</p><p><strong>Principal findings: </strong>Analysing the results of our analysis it turns out that the most frequently used method of estimating indirect costs is the human capital approach (HCA). It makes more than 53% of the analysed studies. The second most frequently used method is the health state valuation (HSV) which constitutes less than 17%.</p><p><strong>Practical applications: </strong>Calculating indirect costs in the proper way is of a great importance to adequate overall costs' evaluation of disease. It is very important to be aware of different attitudes towards estimating indirect costs of diseases as it may allow for much more accurate assessments which will be beneficial for healthcare systems and proper allocation of limited resources. The deliberations presented in this paper might be very useful for the health technology assessment institutions.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"14 2","pages":"22799036251326636"},"PeriodicalIF":1.6,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12033694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038691","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}
Sarah A Stotz, Hilary Seligman, Amy L Yaroch, Christopher R Long, Elise Mitchell, Melissa Akers, Victoria A Zigmont, Gretchen Groves, Nadine Budd Nugent, Juan Aguilera, Samantha Baker, Colleen Ereditario, Megan Inada, Sarah Kunkel, Erica Martinez, Denise Torres, Jasmin Uribe, Leah D Wingham, Marlene Yanez, Carmen Byker Shanks
{"title":"The realities of data derived from electronic health records to evaluate health outcomes, utilization, and cost of produce prescription programs: A multiple case study evaluation.","authors":"Sarah A Stotz, Hilary Seligman, Amy L Yaroch, Christopher R Long, Elise Mitchell, Melissa Akers, Victoria A Zigmont, Gretchen Groves, Nadine Budd Nugent, Juan Aguilera, Samantha Baker, Colleen Ereditario, Megan Inada, Sarah Kunkel, Erica Martinez, Denise Torres, Jasmin Uribe, Leah D Wingham, Marlene Yanez, Carmen Byker Shanks","doi":"10.1177/22799036251329452","DOIUrl":"10.1177/22799036251329452","url":null,"abstract":"<p><strong>Background: </strong>Produce prescription projects (PPRs) allow healthcare professionals to \"prescribe\" fruits and vegetables for patients experiencing food insecurity and a diet-related chronic disease. Evaluation of healthcare outcomes, utilization, and costs data is prudent to understand the impact of PPRs. However, substantial challenges exist. The objective of this study is to understand facilitators, barriers, lessons learned, and emergent best practices for data derived from electronic health records (EHR) among PPRs.</p><p><strong>Design and methods: </strong>A multiple methods case study including four PPRs funded through a pilot grant to use EHR-derived data to measure healthcare outcomes, utilization, and costs of health care. Data sources included grant applications (<i>n</i> = 4), data use agreements (DUA; <i>n</i> = 4), memoranda of understandings (<i>n</i> = 4), pre/post healthcare outcomes and utilization data, and qualitative interviews/focus groups (<i>n</i> = 10). For analysis we used: descriptive statistics; paired <i>t</i>-tests for changes in values pre/post PPR; and thematic qualitative analysis to construct themes.</p><p><strong>Results: </strong>The four cases shared varied healthcare outcomes and utilization measures and submitted less data than was outlined in their respective DUA. Three salient themes emerged: PPR projects need: (1) sufficient time and resources to develop procedures to collect and share healthcare data; (2) tailored healthcare outcome measures to PPR design, outcomes of interest, and EHR capabilities; (3) technical support related to technology, data security and sharing.</p><p><strong>Conclusions: </strong>EHR data can provide insight on the impact of PPRs and related healthcare interventions on health outcomes and cost-effectiveness. Evaluation efforts must consider project capacity and ensure adequate resources to collect and securely share healthcare data.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"14 2","pages":"22799036251329452"},"PeriodicalIF":1.6,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12033625/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990261","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}
Jerry K Benites-Meza, Liseth Pinedo-Castillo, Miguel Cabanillas-Lazo, María A Boyd-Gamarra, Percy Herrera-Añazco, Benoit Mougenot, Vicente A Benites-Zapata
{"title":"Self-medication with NSAIDs and purchase of branded and over-the-counter medicines: Analysis of a national survey in Peru.","authors":"Jerry K Benites-Meza, Liseth Pinedo-Castillo, Miguel Cabanillas-Lazo, María A Boyd-Gamarra, Percy Herrera-Añazco, Benoit Mougenot, Vicente A Benites-Zapata","doi":"10.1177/22799036251319154","DOIUrl":"10.1177/22799036251319154","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to determine the association between self-medications with nonsteroidal anti-inflammatory drugs (NSAIDs) and the purchase of branded and over-the-counter medications in Peru.</p><p><strong>Design and methods: </strong>This secondary analysis used a representative survey of Peru from 2014 to 2016. The exposure variable was self-medication with NSAIDs, defined as \"the purchase of NSAIDs for oneself without a prescription.\" The outcome was the purchase of branded and over-the-counter medications. Crude prevalence ratios (cPR) and adjusted prevalence ratios (aPR) with their respective 95% confidence intervals (95% CI) were calculated.</p><p><strong>Results: </strong>Of the total of 2158 participants, 52.80% were women with an average age of 40.24 years. The prevalence of self-medication with NSAIDs was 68.21%, whereas the rates of purchasing branded and over-the-counter medications were 63.78% and 13.16%, respectively. The adjusted Poisson regression analysis showed an association between self-medication with NSAIDs and the purchase of branded (aPR = 1.18; 95% CI: 1.12-1.25; <i>p</i> < 0.001) and over-the-counter (aPR = 2.38; 95% CI: 1.95-2.90; <i>p</i> < 0.001) medications.</p><p><strong>Conclusions: </strong>Approximately 7/10 users who self-medicate with NSAIDs chose branded medications, whereas nearly 1/5 opt for over-the-counter medications. Self-medication with NSAIDs was associated with a higher likelihood of purchasing branded and over-the-counter medications.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"14 1","pages":"22799036251319154"},"PeriodicalIF":1.6,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11863223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517007","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":"Mobile applications for the assessment of paediatric burn injuries in the Pacific Islands: A Samoan perspective for global research engagement.","authors":"Sione Pifeleti, Papaofo Fuimaono, Annette Kaspar","doi":"10.1177/22799036251323408","DOIUrl":"10.1177/22799036251323408","url":null,"abstract":"<p><p>Burn injuries are a major public health issue, and the rate of childhood mortality from burn injuries is over seven times higher in low and middle-income countries than in high-income nations. Mobile technologies should prove useful in resource-limited clinical settings, as well as improve the quality of data available for monitoring and evaluation activities and health service research studies. This report advocates for the Polynesian nation of Samoa to engage with global research efforts on the use of mobile technologies for burn injury assessments. This includes registration with the WHO Global Burn Registry, and membership to the International Society for Burn Injuries. Our advocacy is timely as (1) the Ministry of Health of Samoa has appointed an inaugural Research Lead position to support national health research efforts in 2024 and (2) the on-going implementation of the national Health Information System 'Tamanu' supports the inclusion of mobile technology health applications.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"14 1","pages":"22799036251323408"},"PeriodicalIF":1.6,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11851733/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517006","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}
Yunisa Astiarani, Kevin Kristian, Anthony Ekaputra, Nicholas Hardi
{"title":"Factors on medical clerkship students' quality of life: A survey study.","authors":"Yunisa Astiarani, Kevin Kristian, Anthony Ekaputra, Nicholas Hardi","doi":"10.1177/22799036241301705","DOIUrl":"10.1177/22799036241301705","url":null,"abstract":"<p><strong>Introduction: </strong>Due to the higher demand for healthcare provision in Indonesia, increasing the number of medical schools in Indonesia was highly encouraged. Meanwhile, medical students were considered a susceptible population to a variety of issues that negatively impact their quality of life (QOL) in comparison to the general community.</p><p><strong>Objectives: </strong>The study aims to assess the QOL of Indonesian medical students during the clinical clerkship program (years 4-5) of their medical training while also exploring the association between the results and their ongoing rotation.</p><p><strong>Methods: </strong>The survey was conducted online to 311 students at a private medical school in Jakarta using the Indonesian version of WHOQOL-BREF. Participants' characteristics, sleep duration, physical activity, and smoking history were also assessed to see if there was any association. Results: 82% of 311 registered clerkship students responded to the survey. In terms of overall QOL, being in a major department, 7-9 h of sleep duration, and owning a private vehicle increased the QOL.</p><p><strong>Conclusion: </strong>This study suggested that medical schools' policies may consider sleep duration, travel time, transportation-related infrastructure, and social-related infrastructure to underpin students' social relationships and, afterward, improve their QOL in intangible ways.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"13 4","pages":"22799036241301705"},"PeriodicalIF":1.6,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11585062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711479","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}
Serena Carriero, Maria Cristina Grasso, Marco Albera, Anna Clelia Lucia Gambaro, Alessandro Stecco, Léon Groenhoff
{"title":"Magseed preoperative localization in non-palpable breast lesions: Our single-center Breast Unit experience.","authors":"Serena Carriero, Maria Cristina Grasso, Marco Albera, Anna Clelia Lucia Gambaro, Alessandro Stecco, Léon Groenhoff","doi":"10.1177/22799036241281705","DOIUrl":"https://doi.org/10.1177/22799036241281705","url":null,"abstract":"<p><strong>Background: </strong>This retrospective study aimed to evaluate our single-center experience with Magseed as a pre-operative localization system in a cohort of 47 patients with non-palpable breast lesions.</p><p><strong>Design and methods: </strong>Forty-seven patients with non-palpable breast lesions, who underwent Magseed pre-operative localization followed by breast-conserving surgery between November 2022 and June 2024 at our Breast Unit were enrolled in our study. The procedure involved percutaneous placement of the Magseed into the target lesion under ultrasound (66%) or stereotactic (34%) guidance. Data on patient demographics, lesion characteristics, Magseed localization and retrieval, surgical outcomes, and complications were collected and analyzed.</p><p><strong>Results: </strong>Magseed localization was successful in all cases, with no marker migration or dislodgment, and all seeds were retrieved (100%). Breast-conserving surgery was successful in 97.9% of patients, with only one requiring intraoperative widening. No significant complications were reported. Histopathology revealed predominantly invasive breast cancers, with \"No Special Type\" being the most common subtype (42.5%).</p><p><strong>Conclusions: </strong>The effectiveness of this technique is proven by our results, which reflect the data in the growing scientific literature on Magseed.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"13 4","pages":"22799036241281705"},"PeriodicalIF":1.6,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11555723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630061","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}
Michael Mayo, Isuru Ratnayake, Sam Pepper, Mohammod Mahmudur Rahman, Md Robiul Islam Talukder, Matthew McGuirk, Joshua Martinez, Adela Rambi Cardones, Jo Wick, Dinesh Pal Mudaranthakam
{"title":"Analyzing diversity trends in dermatology: A comprehensive overview.","authors":"Michael Mayo, Isuru Ratnayake, Sam Pepper, Mohammod Mahmudur Rahman, Md Robiul Islam Talukder, Matthew McGuirk, Joshua Martinez, Adela Rambi Cardones, Jo Wick, Dinesh Pal Mudaranthakam","doi":"10.1177/22799036241293815","DOIUrl":"10.1177/22799036241293815","url":null,"abstract":"<p><strong>Background: </strong>Dermatology lags behind other medical specialties in workforce diversity, particularly regarding gender, race, and ethnicity. This study aims to analyze the current demographics of dermatology physicians in the United States, comparing them with other medical specialties, the overall population of practicing U.S. physicians, and the U.S. population as a whole.</p><p><strong>Design and method: </strong>Data from the Association of American Medical Colleges and the U.S. Census Bureau (2007-2022) were used to evaluate gender, racial, and ethnic diversity within dermatology. Demographic factors analyzed included gender, race, and ethnicity, with racial categories grouped as White, Asian, and underrepresented minorities in medicine (URiM). Chi-square tests assessed the fit of gender and age distributions with population proportions, while linear regression models examined trends over time.</p><p><strong>Results: </strong>From 2007 to 2021, the number of dermatologists grew by 22.9%, with a corresponding decrease in population per dermatologist, indicating growth relative to the general population. The proportion of female dermatologists rose by 68.1% during this period, while the male proportion declined by 5.1%. From 2019 to 2022, a significant linear increase (p < 0.001) in URiM representation among dermatology residents was observed, with a model-predicted annual increase of 1.6%.</p><p><strong>Conclusions: </strong>The increasing diversity in dermatology may be attributed to initiatives such as scholarships and mentorship programs implemented by dermatology organizations and residency programs. By fostering a more diverse workforce, dermatology can better address the healthcare needs of a diverse population and promote health equity across all demographics.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"13 4","pages":"22799036241293815"},"PeriodicalIF":1.6,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11536379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584674","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}