Global health journal (Amsterdam, Netherlands)最新文献

{"title":"Towards data-driven models for diverging emerging technologies for maternal, neonatal and child health services in Sub-Saharan Africa: a systematic review","authors":"John Batani,&nbsp;Manoj Sewak Maharaj","doi":"10.1016/j.glohj.2022.11.003","DOIUrl":"10.1016/j.glohj.2022.11.003","url":null,"abstract":"<div><p>Sub-Saharan Africa (SSA) has the highest maternal and under-five mortality rates in the world. The advent of the coronavirus disease 2019 exacerbated the region's problems by overwhelming the health systems and affecting access to healthcare through travel restrictions and rechanelling of resources towards the containment of the pandemic. The region failed to achieve the Millenium Development Goals on maternal and child mortalities, and is poised to fail to achieve the same goals in the Sustainable Development Goals. To improve on the maternal and child health outcomes, many SSA countries introduced digital technologies for educating pregnant and nursing women, making doctors’ appointments and sending reminders to mothers and expectant mothers, as well as capturing information about patients and their illnesses. However, the collected epidemiological data are not being utilised to inform patient care and improve on the quality, efficiency and access to maternal, neonatal and child health (MNCH) care. To the researchers’ best knowledge, no review paper has been published that focuses on digital health for MNCH care in SSA and proposes data-driven approaches to the same. Therefore, this study sought to: (1) identify digital systems for MNCH in SSA; (2) identify the applicability and weaknesses of the digital MNCH systems in SSA; and (3) propose a data-driven model for diverging emerging technologies into MNCH services in SSA to make better use of data to improve MNCH care coverage, efficiency and quality. The PRISMA methodology was used in this study. The study revealed that there are no data-driven models for monitoring pregnant women and under-five children in Sub-Saharan Africa, with the available digital health technologies mainly based on SMS and websites. Thus, the current digital health systems in SSA do not support real-time, ubiquitous, pervasive and data-driven healthcare. Their main applicability is in non-real-time pregnancy monitoring, education and information dissemination. Unless new and more effective approaches are implemented, SSA might remain with the highest and unacceptable maternal and under-five mortality rates globally. The study proposes feasible emerging technologies that can be used to provide data-driven healthcare for MNCH in SSA, and the recommendations on how to make the transition successful as well as the lessons learn from other regions.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"6 4","pages":"Pages 183-191"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644722000768/pdfft?md5=fd50abb7c8197ffdc557c693b242b675&pid=1-s2.0-S2414644722000768-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41487867","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":"Determinants of inequality in health care seeking for childhood illnesses: insights from Nairobi informal settlements","authors":"Nicholas Ngomi ,&nbsp;Christopher Khayeka-Wandabwa ,&nbsp;Thaddaeus Egondi ,&nbsp;Pamela A. Marinda ,&nbsp;Tilahun Nigatu Haregu","doi":"10.1016/j.glohj.2022.12.001","DOIUrl":"10.1016/j.glohj.2022.12.001","url":null,"abstract":"<div><h3>Background</h3><p>An in-depth understanding of patterns of inequities in healthcare seeking among the urban residents is critical in identifying appropriate interventions strategies. The study evaluates determinants of inequality in health care seeking for childhood illnesses among informal settlement residents in Nairobi, Kenya.</p></div><div><h3>Methods</h3><p>Data from the second Nairobi Cross-Sectional Slum Survey (NCSS 2012) was examined. The inequality in seeking health care for childhood diarrhea as the prototype illness was assessed using concentration index (<em>CI</em>). The wealth index based on the household possessions and amenities was used as a measure for socioeconomic status.</p></div><div><h3>Results</h3><p>A total of 2 027 qualified women were included in this study. About 16.6% of children born of younger mothers aged &lt; 20 years had diarrhea and a similar proportion of children (16.3%) was observed among mothers who were unemployed. The <em>CI</em> of −0.026 on health care seeking for diarrhea among children points to significant inequality among the urban poor (95% confidence interval: −0.028 to −0.023).</p></div><div><h3>Conclusion</h3><p>Occupation of parents, age of mothers, ethnicity, marital status and children's age were major determinants with regard to disease outcome and to a broader extent inequality in health care seeking for childhood illnesses. Enhanced bottom top community health invigoration strategies in health information awareness and services access would be instrumental.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"6 4","pages":"Pages 198-203"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S241464472200077X/pdfft?md5=80c4573b7d7590f1fc4d2422b7c24994&pid=1-s2.0-S241464472200077X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48316780","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":"Associations of sleep duration with childhood obesity: findings from a national cohort study in China","authors":"Liwang Gao ,&nbsp;Yang Wu ,&nbsp;Jiang Zhu ,&nbsp;Weidong Wang ,&nbsp;Youfa Wang","doi":"10.1016/j.glohj.2022.07.006","DOIUrl":"10.1016/j.glohj.2022.07.006","url":null,"abstract":"<div><h3>Objective</h3><p>Examine effect of sleep duration on children's risk of overweight and obesity; and study associations between activities in the last hour before bedtime and sleep outcomes (sleep duration, sleep quality, and sleep onset latency).</p></div><div><h3>Methods</h3><p>Children's data were recruited using a questionnaire survey from a nationally representative sample of children (<em>n</em> = 10 279) in China in 2013‒2016. Mixed-effects models were used to test associations among variables stratified by sex.</p></div><div><h3>Results</h3><p>Sleep duration was positively associated with BMI in boys (<em>β</em> = 0.04, <em>P</em> = 0.021). Girls with short sleep durations (&lt; 8 h/d) tended to have higher BMI values than those with normal sleep durations (8‒9 h/d) (<em>β</em> = 0.12, <em>P</em> = 0.063). The top three activities were playing electronic devices (Factor 1), doing homework, and reading (combined as Factor 2). Factors 1 and 2 were both significantly associated with sleep duration (<em>β</em> = 0.17, <em>P</em> &lt; 0.001; <em>β</em> = −0.26, <em>P</em> &lt; 0.001, respectively).</p></div><div><h3>Conclusion</h3><p>Sleep duration seems to affect BMI in Chinese children. Using electronic devices and reading before bedtime influenced sleep duration. Good bedtime habits and sleep duration can help weight management in children.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"6 3","pages":"Pages 149-155"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644722000501/pdfft?md5=c11e64e080be32b8153e5377aca4ca1b&pid=1-s2.0-S2414644722000501-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47794423","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":"The 100 top-cited articles on childhood obesity: a bibliometric analysis","authors":"Joseph Kawuki ,&nbsp;Taha Hussein Musa ,&nbsp;Upama Ghimire ,&nbsp;Nathan Obore ,&nbsp;Shireen Salome Papabathini","doi":"10.1016/j.glohj.2022.07.003","DOIUrl":"10.1016/j.glohj.2022.07.003","url":null,"abstract":"<div><h3>Background</h3><p>Childhood obesity (CHO) is a serious global health challenge affecting both developed and developing nations. The feats attained in addressing this global health challenge can be reflected through the top-cited studies. The study's aim was to analyze the features of the 100 top-cited articles concerning CHO.</p></div><div><h3>Methods</h3><p>We used a bibliometric analysis, and searched for relevant articles from the Web of Science (December 1, 2021), using an appropriate keyword search-strategy ((child OR childhood OR children OR adolescent) AND (obese OR obesity OR overweight)). The retrieved documents were analysed based on the citation number, publication year, authorship, institution, journal and country. The analyses were performed mainly by the Bibliometrix application (using R-studio cloud) and HistCite.</p></div><div><h3>Results</h3><p>The 100 top-cited articles were published between 1976 and 2018, their citations ranged from 365 to 10 789, with a mean citation of 1 146.2 and 31 studies had more than 1 000 citations. The articles were published in 31 journals, with the “Pediatrics” journal having the most publications (<em>n</em> = 18). The studies were from 12 countries, with the most-productive being the USA (<em>n</em> = 68), followed by the United Kingdom (<em>n</em> = 12) and France (<em>n</em> = 3). The leading institution was the University of Bristol (n = 8), while Dietz WH (n = 12), and Flegal KM (<em>n</em> = 8) were the most productive authors. The most common research fields covered by these articles were; “General Internal Medicine” (<em>n</em> = 34), “Pediatrics” (<em>n</em> = 29), and “Nutrition Dietetics” (n = 18). The study noted significant correlations between the total article citation and the number of authors (<em>R</em> = 0.203), countries involved (<em>R</em> = 0.407), institutions (<em>R</em> = 0.407), and the publication year (<em>R</em> = 0.847), all with <em>P</em> &lt; 0.001.</p></div><div><h3>Conclusions</h3><p>Through these top-cited articles, this analysis provides discernment into the historical advancements, including the prime roles performed by various stakeholders in addressing the issue of CHO. However, Asian countries’ contribution is not adequately reflected in these articles, and thus more focus and funding for CHO research are needed for effectual prevention and control.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"6 3","pages":"Pages 136-148"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644722000471/pdfft?md5=9ade09c66f9bf922ebf9af4f53db5145&pid=1-s2.0-S2414644722000471-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43438867","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":"Psychological impact of coronavirus disease 2019 (COVID-19) social distancing mandates on trauma survivors","authors":"Maggie M. Parker ,&nbsp;Stephanie F. Dailey ,&nbsp;A. Diona Emmanuel ,&nbsp;Andrew Campbell","doi":"10.1016/j.glohj.2022.07.008","DOIUrl":"10.1016/j.glohj.2022.07.008","url":null,"abstract":"<div><h3>Objective</h3><p>Despite recognition that coronavirus disease 2019 (COVID-19) pandemic created an unprecedented impact on global mental health, information on the psychological health among trauma survivors during the COVID-19 pandemic is rare. We sought to examine psychological outcomes among individuals with preexisting traumatic experiences during COVID-19.</p></div><div><h3>Methods</h3><p>We sampled 1 242 adults in the mid-Atlantic region of the United States under a state-issued Phase 1 stay-at-home mandate to examine associations between pre-pandemic trauma exposure as measured by the Brief Trauma Questionnaire (BTQ) and anxiety and depression, as measured by the Patient Reported Outcome Scale Anxiety and Depression (PROMIS-A and PROMIS-D).</p></div><div><h3>Results</h3><p>Pre-pandemic trauma exposure among the sample was reported, with 281 (22.6%) participants identifying as experiencing one trauma, 209 (16.8%) reporting two, and 468 (37.7%) reporting three or more. As reported experiences of trauma increased, so did participant anxiety and depressive symptomatology. One-way Analysis of Variance indicated that reported trauma was significantly positively correlated with anxiety (<em>P</em> &lt; 0.01) and depressive symptomatology (<em>P</em> &lt; 0.01).</p></div><div><h3>Conclusion</h3><p>Findings highlight the immense psychological toll of the COVID-19 pandemic, specifically with individuals who were previously exposed to trauma. Public health officials can encourage physicians, employers, and universities to screen patients, employees, and students to assess previous trauma, psychological functioning, and risk factors. Collaboration between physicians and mental health providers including psychiatrists, psychologists, counselors, and social workers to provide evidence informed rapid coordination of care can better meet the global mental health crisis that is arising as a result of this unprecedented global trauma.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"6 3","pages":"Pages 174-179"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9270776/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40601286","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":"Are the coronavirus disease 2019 (COVID-19)-themed applications launched during the pandemic sustainable?","authors":"Fauzi Budi Satria","doi":"10.1016/j.glohj.2022.07.004","DOIUrl":"10.1016/j.glohj.2022.07.004","url":null,"abstract":"<div><p>Many digital applications (Apps) were launched during the coronavirus disease 2019 (COVID-19) pandemic for various purposes such as information sharing, risk assessment, self-management of symptoms, contact tracing, home monitoring, and decision making. Since the quality of COVID-19-themed Apps varied and was less reliable based on measurements using the mobile Apps rating scale method, some of these Apps are considered useful while some are said to have the potential to harm users. This suggests the need for authorized institutions to validate and ensure the safety and security of these Apps before it was launched in public. This is necessary considering the potential dangers arising from App inaccuracies, as well as the potential misuse of user data due to data breaches. With these considerations in mind, we consider that the vaccine passport is an App with a COVID-19 theme that must be refined and applied sustainably amid the ongoing global crisis and the uncertainty of this pandemic.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"6 3","pages":"Pages 180-182"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9254504/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40579251","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":"Effectiveness of a multifaceted intervention for the improvement of nutritional status and nutrition knowledge of children in poverty-stricken areas in Shaanxi Province, China","authors":"Cai Zhao ,&nbsp;Lu Ma ,&nbsp;Liwang Gao ,&nbsp;Yan Wu ,&nbsp;Yating Yan ,&nbsp;Wen Peng ,&nbsp;Youfa Wang","doi":"10.1016/j.glohj.2022.07.009","DOIUrl":"10.1016/j.glohj.2022.07.009","url":null,"abstract":"<div><h3>Objectives</h3><p>Compare the differences between the intervention and control groups in changes of primary outcomes (body mass index [BMI] and waist-to-height ratio [WHtR]) and secondary outcomes (nutrition knowledge of children and parents), from baseline to the 6- and 12-month follow-ups; examine the associations of changes in nutrition knowledge of children and their parents with children's changes in BMI and WHtR.</p></div><div><h3>Data sources</h3><p>Data collected from four schools in two poverty-stricken counties in northern Shaanxi Province in 2020‒2021.</p></div><div><h3>Methods</h3><p>A multifaced intervention program targeted children (promoting healthy diet and nutrition education) and their parents (promoting nutrition knowledge) was conducted in the interventional group. Four schools, with two in each group, were randomly allocated to the intervention or control group, with 814 eligible children aged 7.1 to 12.8 years. The control group conducted myopia promotion. Differences in changes of BMI and WHtR between groups were compared with <em>t</em>-test. Mixed-effects model was used to examine the associations between changes in nutrition knowledge of children and parents with changes in children's BMI and WHtR.</p></div><div><h3>Results</h3><p>At the 6-month follow-up, the difference in changes in BMI between the intervention and control groups was 0.4 kg/m ² (<em>P</em> &lt; 0.001). At the 12-month follow-up, the difference in changes in BMI and WHtR between intervention and control groups was 0.1 kg/m² (<em>P</em> &lt; 0.001) and 0.01 kg/m² (<em>P</em> &lt; 0.001). In the intervention group, the nutrition knowledge awareness rate of children increased from 16.9% (69/409) at baseline to 21.3% (87/409) at 6-month, and 22.7% (93/409) at 12-month. The awareness rate of nutrition knowledge of parents also fluctuated, from 5.6% (23/409) to 6.6% (27/409) and 5.4% (22/409). However, the difference in changes in nutrition knowledge between intervention and control groups was non-significant. The 6-month follow-up changes in children's nutrition knowledge scores were negatively associated with changes in BMI in girls (<em>β</em> = −0.26, 95% confidence interval [<em>CI</em>]: −0.38 to −0.14, <em>P</em> &lt; 0.001), while positively associated with changes in WHtR in boys (<em>β</em> = 0.003, 95% <em>CI</em>: −0.0002 to 0.005, <em>P</em> = 0.035). The 12-month follow-up changes in children's nutrition knowledge scores were positively associated with changes in children's WHtR (<em>β</em> = 0.003, 95% <em>CI</em>: 0.0004 to 0.01, <em>P</em> = 0.018).</p></div><div><h3>Conclusions</h3><p>The intervention strategies did not reduce the BMI and WHtR of children, and the nutrition knowledge of children and parents increased after the intervention in intervention group. Changes in nutrition knowledge of children and their parents are associated with changes in children's BMI or WHtR. Interventions with a ne","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"6 3","pages":"Pages 156-163"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644722000537/pdfft?md5=3d985bf4e3061658a104f4fefab0eeed&pid=1-s2.0-S2414644722000537-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49207845","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":"Scoping review: obese elderly women with breast cancer and physical activity/exercise","authors":"Mark Stephan Felix","doi":"10.1016/j.glohj.2022.07.011","DOIUrl":"10.1016/j.glohj.2022.07.011","url":null,"abstract":"<div><h3>Objective</h3><p>Obesity and breast cancer (BC) are diseases of concern, especially within the context of an aging population. This scoping review is aimed at mapping out the literature on the subject of elderly women (EW) with breast cancer, obesity and physical activity/exercise (PAE) to identify gaps in the present extant literature, and to suggest directions for future research.</p></div><div><h3>Data sources</h3><p>A total of four articles were finalized from an initial 2905 articles found via searches on the <em>Annals of Internal Medicine</em> by American College of Physicians (ACP)™, BioMed Central (BMC)™, <em>BMJ</em> Journals™, <em>Journal of the American Medical Association</em> (JAMA)™, PubMed™, SAGE™, ScienceDirect™, SpringerLink (e-journals)™, Taylor and Francis Online™, and Wiley Online Library™ databases.</p></div><div><h3>Methods</h3><p>Recognized structural frameworks for scoping reviews were utilized to guide the methodology and technical aspects of this paper. Data extraction was conducted via a charting table.</p></div><div><h3>Results</h3><p>Research gaps identified include a paucity in research on the subject of obesity and breast cancer among elderly women; there is a limitation of the types of methodologies used in the research on this subject indicating vast opportunities for future studies using different methodologies; lack of use of the alternative types of physical activity and exercise such as Tai Chi, Qigong and Yoga; lack of focus on the older elderly population; and areas of social support from family and friends for obese elderly with breast cancer to engage in physical activity and exercise.</p></div><div><h3>Conclusion</h3><p>Future research would address the urgent need within academia to address the research gap of PAE and EWBC. Such research should use a diverse range of both quantitative and qualitative research methodologies, while including eastern exercise regimens such as Tai Chi, Qigong and Yoga as a means of studying PAE among EWBC. Additionally, future research may focus on the “old elderly” as a demographic group of study as well as how social support may encourage PAE among EWBC.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"6 3","pages":"Pages 129-135"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644722000550/pdfft?md5=e78b43833b0f02a11422b44d4d92aebf&pid=1-s2.0-S2414644722000550-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46105684","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":"Metaverse, token economies, and non-communicable diseases","authors":"Jane Thomason","doi":"10.1016/j.glohj.2022.07.001","DOIUrl":"https://doi.org/10.1016/j.glohj.2022.07.001","url":null,"abstract":"<div><p>Rapid advancements in technology and computing power, combined with the convergence of Blockchain, artificial intelligence, Internet of Things, extended reality, gamification, and decentralized finance, have led to recent growth in interest in the metaverse. Indeed today, there are more than 160 metaverse projects, and Citi estimates it could be a 13 trillion USD industry by 2030. While many have not yet grasped the relevance of the metaverse for industries, the opportunity to leverage the metaverse for health and wellness is substantial. In obesity and non-communicable disease (NCDs), there is potential to deploy the metaverse using gamification and incentives, as well as for education and care. This perspective article explores how the metaverse could be used to prevent and manage obesity and NCDs.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"6 3","pages":"Pages 164-167"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644722000458/pdfft?md5=94a1e528e28dc71b9afbe4b7312b8ec1&pid=1-s2.0-S2414644722000458-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138219283","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-level survey of coronavirus disease 2019 (COVID-19) preventive measures in Kwara State, Nigeria: good knowledge vs poor attitude","authors":"Nusirat Elelu ,&nbsp;Olaolu Bilewu ,&nbsp;Fatima Sanusi ,&nbsp;Ahmad Ibrahim Al-Mustapha","doi":"10.1016/j.glohj.2022.07.002","DOIUrl":"10.1016/j.glohj.2022.07.002","url":null,"abstract":"<div><h3>Background</h3><p>The public knowledge and adherence to the established coronavirus disease 2019 (COVID-19) precautionary measures are crucial to Nigeria's war against the pandemic. Public health education on its preventive practices at the grassroots level was initially crucial to achieving a lower COVID-19 incidence in Kwara State, Nigeria.</p></div><div><h3>Methods</h3><p>We assessed the knowledge of, and adherence to COVID-19 precautionary measures at the community level among 795 respondents from the three senatorial zones of Kwara State.</p></div><div><h3>Results</h3><p>54.5% (433/795) of the respondents were aged between 21 and 40 years, and 45.9% (365/795) of the respondents had a bachelor's degree or higher. Study participants had a good knowledge of COVID-19, its symptoms, and its mode of transmission. 91.8% of the respondents (730/795) had a positive perception of the COVID-19 preventive measures while 96.1% (763/795) of the respondents agreed that maintaining social distance was important in curbing the COVID-19 pandemic. However, only 38% (302/795) of them used face masks and only 25.7% (204/795) of the respondents used hand sanitizers. In addition, only 31.9% (253/795) of the respondents isolated themselves when they were ill. Multi-variable logistic regression analysis revealed that education, occupation, gender, and ethnicity were significantly associated with positive COVID-19 preventive practices among residents of Kwara State. Civil servants were more likely (<em>AOR</em>: 3.14; 95% confidence interval [<em>CI</em>]: 0.67 to 14.82; <em>P</em> = 0.034) to have positive preventive attitudes than other respondents. Study participants with tertiary education and those that were Yoruba (ethnicity) were 14.81 times more likely (95% <em>CI</em>: 4.29 to 51.05; <em>P</em> = 0.001) and 5.19 times more likely (95% <em>CI</em>: 1.82 to 14.84; <em>P</em> = 0.007) to have positive attitudes towards the laid-down COVID-19 preventive measures respectively.</p></div><div><h3>Conclusion</h3><p>The poor community adherence to the COVID-19 preventive practices could pre-dispose Kwara to more COVID-19 cases. More community engagement activities are needed to fully curb the spread of the COVID-19. Public health education should focus on preventive measures, vaccine acceptance, and community monitoring of COVID-19.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"6 3","pages":"Pages 168-173"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9259021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40584815","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}