Online journal of public health informatics最新文献

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E-Screening for Prenatal Depression in Kampala, Uganda Using the Edinburgh Postnatal Depression Scale: Survey Results. 在乌干达坎帕拉使用爱丁堡产后抑郁量表进行产前抑郁电子筛查:调查结果。
Online journal of public health informatics Pub Date : 2025-01-14 DOI: 10.2196/51602
Hasifah Kasujja Namatovu, Mark Abraham Magumba, Dickens Akena
{"title":"E-Screening for Prenatal Depression in Kampala, Uganda Using the Edinburgh Postnatal Depression Scale: Survey Results.","authors":"Hasifah Kasujja Namatovu, Mark Abraham Magumba, Dickens Akena","doi":"10.2196/51602","DOIUrl":"10.2196/51602","url":null,"abstract":"<p><strong>Background: </strong>Perinatal depression remains a substantial public health challenge, often overlooked or incorrectly diagnosed in numerous low-income nations.</p><p><strong>Objective: </strong>The goal of this study was to establish statistical baselines for the prevalence of perinatal depression in Kampala and understand its relationship with key demographic variables.</p><p><strong>Methods: </strong>We employed an Android-based implementation of the Edinburgh Postnatal Depression Scale (EPDS) to survey 12,913 women recruited from 7 government health facilities located in Kampala, Uganda. We used the standard EPDS cutoff, which classifies women with total scores above 13 as possibly depressed and those below 13 as not depressed. The χ2 test of independence was used to determine the most influential categorical variables. We further analyzed the most influential categorical variable using odds ratios. For continuous variables such as age and the weeks of gestation, we performed a simple correlation analysis.</p><p><strong>Results: </strong>We found that 21.5% (2783/12,913, 95% CI 20.8%-22.3%) were possibly depressed. Respondents' relationship category was found to be the most influential variable (χ21=806.9, P<.001; Cramer's V=0.25), indicating a small effect size. Among quantitative variables, we found a weak negative correlation between respondents' age and the total EPDS score (r=-0.11, P<.001). Similarly, a weak negative correlation was also observed between the total EPDS score and the number of previous children of the respondent (r=-0.07, P<.001). Moreover, a weak positive correlation was noted between weeks of gestation and the total EPDS score (r=0.02, P=.05).</p><p><strong>Conclusions: </strong>This study shows that demographic factors such as spousal employment category, age, and relationship status have an influence on the respondents' EPDS scores. These variables may serve as proxies for latent factors such as financial stability and emotional support.</p>","PeriodicalId":74345,"journal":{"name":"Online journal of public health informatics","volume":"17 ","pages":"e51602"},"PeriodicalIF":0.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11750128/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985660","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}
引用次数: 0
In the Shadow of Medicine: The Glaring Absence of Occurrence Records of Human-Hosted Biodiversity. 在医学的阴影下:人类生物多样性发生记录的明显缺失。
Online journal of public health informatics Pub Date : 2024-12-09 DOI: 10.2196/60140
Rémy Poncet, Olivier Gargominy
{"title":"In the Shadow of Medicine: The Glaring Absence of Occurrence Records of Human-Hosted Biodiversity.","authors":"Rémy Poncet, Olivier Gargominy","doi":"10.2196/60140","DOIUrl":"10.2196/60140","url":null,"abstract":"<p><strong>Unlabelled: </strong>Microbial diversity is vast, with bacteria playing a crucial role in human health. However, occurrence records (location, date, observer, and host interaction of human-associated bacteria) remain scarce. This lack of information hinders our understanding of human-microbe relationships and disease prevention. In this study, we show that existing solutions such as France's Système d'Information sur le Patrimoine Naturel framework, can be used to efficiently collect and manage occurrence data on human-associated bacteria. This user-friendly system allows medical personnel to easily share and access data on bacterial pathogens. By adopting similar national infrastructures and treating human-associated bacteria as biodiversity data, we can significantly improve public health management and research, and our understanding of the One Health concept, which emphasizes the interconnectedness of human, animal, and environmental health.</p>","PeriodicalId":74345,"journal":{"name":"Online journal of public health informatics","volume":"16 ","pages":"e60140"},"PeriodicalIF":0.0,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11648335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803619","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}
引用次数: 0
Google Trends Assessment of Keywords Related to Smoking and Smoking Cessation During the COVID-19 Pandemic in 4 European Countries: Retrospective Analysis. 4个欧洲国家COVID-19大流行期间吸烟和戒烟相关关键词趋势评估:回顾性分析
Online journal of public health informatics Pub Date : 2024-12-03 DOI: 10.2196/57718
Tobias Jagomast, Jule Finck, Imke Tangemann-Münstedt, Katharina Auth, Daniel Drömann, Klaas F Franzen
{"title":"Google Trends Assessment of Keywords Related to Smoking and Smoking Cessation During the COVID-19 Pandemic in 4 European Countries: Retrospective Analysis.","authors":"Tobias Jagomast, Jule Finck, Imke Tangemann-Münstedt, Katharina Auth, Daniel Drömann, Klaas F Franzen","doi":"10.2196/57718","DOIUrl":"10.2196/57718","url":null,"abstract":"<p><strong>Background: </strong>Smoking is a modifiable risk factor for SARS-CoV-2 infection. Evidence of smoking behavior during the pandemic is ambiguous. Most investigations report an increase in smoking. In this context, Google Trends data monitor real-time public information-seeking behavior and are therefore useful to characterize smoking-related interest over the trajectory of the pandemic.</p><p><strong>Objective: </strong>This study aimed to use Google Trends data to evaluate the effect of the pandemic on public interest in smoking-related topics with a focus on lockdowns, vaccination campaigns, and incidence.</p><p><strong>Methods: </strong>The weekly relative search volume was retrieved from Google Trends for England, Germany, Italy, and Spain from December 31, 2017, to April 18, 2021. Data were collected for keywords concerning consumption, cessation, and treatment. The relative search volume before and during the pandemic was compared, and general trends were evaluated using the Wilcoxon rank-sum test. Short-term changes and hereby temporal clusters linked to lockdowns or vaccination campaigns were addressed by the flexible spatial scan statistics proposed by Takahashi and colleagues. Subsequently, the numbers of clusters after the onset of the pandemic were compared by chi-square test.</p><p><strong>Results: </strong>Country-wise minor differences were observed while 3 overarching trends prevailed. First, regarding cessation, the statistical comparison revealed a significant decline in interest for 58% (7/12) of related keywords, and fewer clusters were present during the pandemic. Second, concerning consumption, significantly reduced relative search volume was observed for 58% (7/12) of keywords, while treatment-related keywords exhibited heterogeneous trends. Third, substantial clusters of increased interest were sparsely linked to lockdowns, vaccination campaigns, or incidence.</p><p><strong>Conclusions: </strong>This study reports a substantial decline in overall relative search volume and clusters for cessation interest. These results underline the importance of intensifying cessation aid during times of crisis. Lockdowns, vaccination, and incidence had less impact on information-seeking behavior. Other public measures that positively affect smoking behavior remain to be determined.</p>","PeriodicalId":74345,"journal":{"name":"Online journal of public health informatics","volume":"16 ","pages":"e57718"},"PeriodicalIF":0.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11653046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775354","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}
引用次数: 0
Psychometric Properties of Measuring Antiretroviral Therapy Adherence Among Young Latino Sexual Minority Men With HIV: Ecological Momentary Assessment and Electronic Pill Dispenser Study. 测量年轻拉丁裔性少数男性艾滋病毒感染者抗逆转录病毒治疗依从性的心理测量特性:生态瞬时评估和电子药丸分配器研究。
Online journal of public health informatics Pub Date : 2024-11-21 DOI: 10.2196/51424
Diana M Sheehan, Tendai Gwanzura, Cynthia Ibarra, Daisy Ramirez-Ortiz, Dallas Swendeman, Dustin T Duncan, Miguel Muñoz-Laboy, Jessy G Devieux, Mary Jo Trepka
{"title":"Psychometric Properties of Measuring Antiretroviral Therapy Adherence Among Young Latino Sexual Minority Men With HIV: Ecological Momentary Assessment and Electronic Pill Dispenser Study.","authors":"Diana M Sheehan, Tendai Gwanzura, Cynthia Ibarra, Daisy Ramirez-Ortiz, Dallas Swendeman, Dustin T Duncan, Miguel Muñoz-Laboy, Jessy G Devieux, Mary Jo Trepka","doi":"10.2196/51424","DOIUrl":"10.2196/51424","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Increasing HIV rates among young Latino sexual minority men (YLSMM) warrant innovative and rigorous studies to assess prevention and treatment strategies. Ecological momentary assessments (EMAs) and electronic pill dispensers (EPDs) have been used to measure antiretroviral therapy (ART) adherence repeatedly in real time and in participants' natural environments, but their psychometric properties among YLSMM are unknown.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;The study's objective was to assess the concurrent validity, acceptability, compliance, and behavioral reactivity of EMAs and EPDs among YLSMM with HIV.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A convenience sample of 56 YLSMM with HIV with suboptimal ART adherence, aged 18-34 years, was recruited into a 28-consecutive-day EMA study. Concurrent validity was analyzed by comparing median ART adherence rates and calculating Spearman correlations between ART adherence measured by EMA, EPD, and baseline retrospective validated 3-item and single-item measures. Acceptability was assessed in exit interviews asking participants to rate EMA and EPD burden. Compliance was assessed by computing the percent lost to follow-up, the percent of EMAs missed, and the percentage of days the EPD was not opened that had corresponding EMA data self-reporting adherence to ARTs. Behavioral reactivity was assessed by computing the median change in ART adherence during the study period, using generalized mixed models to assess whether the cumulative number of EMAs completed and days of EPD use predicted ART adherence over time, and by asking participants to rate perceived reactivity using a Likert scale.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;EMA ART adherence was significantly correlated with baseline validated 3-item (r=0.41, P=.003) and single-item (r=0.52, P&lt;.001) measures, but correlations were only significant for participants that reported EMA was not burdensome. Correlations for EPD ART adherence were weaker but significant (r=0.36, P=.009; r=0.34, P=.01, respectively). Acceptability was high for EMAs (48/54, 89%) and EPDs (52/54, 96%) per self-report. Loss to follow-up was 4% (2/56), with the remaining participants completing 88.6% (1339/1512) of study-prompted EMAs. The percentage of missed EMA surveys increased from 5.8% (22/378) in week 1 of the study to 16.7% (63/378) in week 4. Of 260 days when EPDs were not opened, 68.8% (179) had a corresponding EMA survey self-reporting ART adherence. Reactivity inferred from the median change in ART adherence over time was 8.8% for EMAs and -0.8% for EPDs. Each completed EMA was associated with 1.03 odds (95% CI 1-1.07) of EMA ART adherence over time, and each day of EPD use with 0.97 odds (95% CI 0.96-0.99) of EPD ART adherence over time. Self-reported perceived behavioral reactivity was 39% for EMAs and 35% for EPDs.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;This study provides evidence of concurrent validity with retrospective validated measures for EMA- and E","PeriodicalId":74345,"journal":{"name":"Online journal of public health informatics","volume":"16 ","pages":"e51424"},"PeriodicalIF":0.0,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11612584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775361","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}
引用次数: 0
Rank Ordered Design Attributes for Health Care Dashboards Including Artificial Intelligence: Usability Study. 包括人工智能在内的医疗保健仪表盘的排序设计属性:可用性研究。
Online journal of public health informatics Pub Date : 2024-11-20 DOI: 10.2196/58277
Melina Malkani, Eesha Madan, Dillon Malkani, Arav Madan, Neel Singh, Tara Bamji, Harman Sabharwal
{"title":"Rank Ordered Design Attributes for Health Care Dashboards Including Artificial Intelligence: Usability Study.","authors":"Melina Malkani, Eesha Madan, Dillon Malkani, Arav Madan, Neel Singh, Tara Bamji, Harman Sabharwal","doi":"10.2196/58277","DOIUrl":"10.2196/58277","url":null,"abstract":"<p><strong>Background: </strong>On average, people in the United States visit a doctor 4 times a year, and many of them have chronic illnesses. Because of the increased use of technology, people frequently rely on the internet to access health information and statistics. People use health care information to make better-educated decisions for themselves and others. Health care dashboards should provide pertinent and easily understood data, such as information on timely cancer screenings, so the public can make better-informed decisions. In order to enhance health outcomes, effective dashboards should provide precise data in an accessible and easily digestible manner.</p><p><strong>Objective: </strong>This study identifies the top 15 attributes of a health care dashboard. The objective of this research is to enhance health care dashboards to benefit the public by making better health care information available for more informed decisions by the public and to improve population-level health care outcomes.</p><p><strong>Methods: </strong>The authors conducted a survey of health care dashboards with 218 individuals identifying the best practices to consider when creating a public health care dashboard. The data collection was conducted from June 2023 to August 2023. The analyses performed were descriptive statistics, frequencies, and a comparison to a prior study.</p><p><strong>Results: </strong>From May 2023 to June 2023, we collected 3259 responses in multiple different states around the United States from 218 people aged 18 years or older. The features ranking in descending order of importance are as follows: (1) easy navigation, (2) historical data, (3) simplicity of design, (4) high usability, (5) use of clear descriptions, (6) consistency of data, (7) use of diverse chart types, (8) compliance with the Americans with Disabilities Act, (9) incorporated user feedback, (10) mobile compatibility, (11) comparison data with other entities, (12) storytelling, (13) predictive analytics with artificial intelligence, (14) adjustable thresholds, and (15) charts with tabulated data.</p><p><strong>Conclusions: </strong>Future studies can extend the research to other types of dashboards such as bioinformatics, financial, and managerial dashboards as well as confirm these top 15 best practices for medical dashboards with further evidentiary support. The medical informatics community may benefit from standardization to improve efficiency and effectiveness as dashboards can communicate vital information to patients worldwide on critically prominent issues. Furthermore, health care professionals should use these best practices to help increase population health care outcomes by informing health care consumers to make better decisions with better data.</p>","PeriodicalId":74345,"journal":{"name":"Online journal of public health informatics","volume":"16 ","pages":"e58277"},"PeriodicalIF":0.0,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11618005/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683691","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}
引用次数: 0
Population Digital Health: Continuous Health Monitoring and Profiling at Scale. 人口数字健康:大规模持续健康监测和分析。
Online journal of public health informatics Pub Date : 2024-11-20 DOI: 10.2196/60261
Naser Hossein Motlagh, Agustin Zuniga, Ngoc Thi Nguyen, Huber Flores, Jiangtao Wang, Sasu Tarkoma, Mattia Prosperi, Sumi Helal, Petteri Nurmi
{"title":"Population Digital Health: Continuous Health Monitoring and Profiling at Scale.","authors":"Naser Hossein Motlagh, Agustin Zuniga, Ngoc Thi Nguyen, Huber Flores, Jiangtao Wang, Sasu Tarkoma, Mattia Prosperi, Sumi Helal, Petteri Nurmi","doi":"10.2196/60261","DOIUrl":"10.2196/60261","url":null,"abstract":"<p><strong>Unlabelled: </strong>This paper introduces population digital health (PDH)-the use of digital health information sourced from health internet of things (IoT) and wearable devices for population health modeling-as an emerging research domain that offers an integrated approach for continuous monitoring and profiling of diseases and health conditions at multiple spatial resolutions. PDH combines health data sourced from health IoT devices, machine learning, and ubiquitous computing or networking infrastructure to increase the scale, coverage, equity, and cost-effectiveness of population health. This contrasts with the traditional population health approach, which relies on data from structured clinical records (eg, electronic health records) or health surveys. We present the overall PDH approach and highlight its key research challenges, provide solutions to key research challenges, and demonstrate the potential of PDH through three case studies that address (1) data inadequacy, (2) inaccuracy of the health IoT devices' sensor measurements, and (3) the spatiotemporal sparsity in the available digital health information. Finally, we discuss the conditions, prerequisites, and barriers for adopting PDH drawing on from real-world examples from different geographic regions.</p>","PeriodicalId":74345,"journal":{"name":"Online journal of public health informatics","volume":"16 ","pages":"e60261"},"PeriodicalIF":0.0,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11601140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683671","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}
引用次数: 0
Attitudes of Health Professionals Toward Digital Health Data Security in Northwest Ethiopia: Cross-Sectional Study. 埃塞俄比亚西北部卫生专业人员对数字健康数据安全的态度:横断面研究。
Online journal of public health informatics Pub Date : 2024-11-06 DOI: 10.2196/57764
Ayenew Sisay Gebeyew, Zegeye Regasa Wordofa, Ayana Alebachew Muluneh, Adamu Ambachew Shibabaw, Agmasie Damtew Walle, Sefefe Birhanu Tizie, Muluken Belachew Mengistie, Mitiku Kassaw Takillo, Bayou Tilahun Assaye, Adualem Fentahun Senishaw, Gizaw Hailye, Aynadis Worku Shimie, Fikadu Wake Butta
{"title":"Attitudes of Health Professionals Toward Digital Health Data Security in Northwest Ethiopia: Cross-Sectional Study.","authors":"Ayenew Sisay Gebeyew, Zegeye Regasa Wordofa, Ayana Alebachew Muluneh, Adamu Ambachew Shibabaw, Agmasie Damtew Walle, Sefefe Birhanu Tizie, Muluken Belachew Mengistie, Mitiku Kassaw Takillo, Bayou Tilahun Assaye, Adualem Fentahun Senishaw, Gizaw Hailye, Aynadis Worku Shimie, Fikadu Wake Butta","doi":"10.2196/57764","DOIUrl":"10.2196/57764","url":null,"abstract":"<p><strong>Background: </strong>Digital health is a new health field initiative. Health professionals require security in digital places because cybercriminals target health care professionals. Therefore, millions of medical records have been breached for money. Regarding digital security, there is a gap in studies in limited-resource countries. Therefore, surveying health professionals' attitudes toward digital health data security has a significant purpose for interventions.</p><p><strong>Objective: </strong>This study aimed to assess the attitudes of health professionals toward digital health data security and their associated factors in a resource-limited country.</p><p><strong>Methods: </strong>A cross-sectional study was conducted to measure health professionals' attitudes toward digital health data security. The sample size was calculated using a single population. A pretest was conducted to measure consistency. Binary logistic regression was used to identify associated factors. For multivariable logistic analysis, a P value ≤.20 was selected using Stata software (version 16; StataCorp LP).</p><p><strong>Results: </strong>Of the total sample, 95% (402/423) of health professionals participated in the study. Of all participants, 63.2% (254/402) were male, and the mean age of the respondents was 34.5 (SD 5.87) years. The proportion of health professionals who had a favorable attitude toward digital health data security at specialized teaching hospitals was 60.9% (95% CI 56.0%-65.6%). Educational status (adjusted odds ratio [AOR] 3.292, 95% CI 1.16-9.34), basic computer skills (AOR 1.807, 95% CI 1.11-2.938), knowledge (AOR 3.238, 95% CI 2.0-5.218), and perceived usefulness (AOR 1.965, 95% CI 1.063-3.632) were factors associated with attitudes toward digital health data security.</p><p><strong>Conclusions: </strong>This study aimed to assess health professionals' attitudes toward digital health data security. Interventions on educational status, basic computer skills, knowledge, and perceived usefulness are important for improving health professionals' attitudes. Improving the attitudes of health professionals related to digital data security is necessary for digitalization in the health care arena.</p>","PeriodicalId":74345,"journal":{"name":"Online journal of public health informatics","volume":"16 ","pages":"e57764"},"PeriodicalIF":0.0,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559787/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142591567","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}
引用次数: 0
Contact Tracing Different Age Groups During the COVID-19 Pandemic: Retrospective Study From South-West Germany. COVID-19 大流行期间不同年龄组的接触追踪:德国西南部的回顾性研究。
Online journal of public health informatics Pub Date : 2024-10-29 DOI: 10.2196/54578
Christopher Michael Dyer, Alexandra-Teodora Negoescu, Matthias Borchert, Christoph Harter, Anne Kühn, Peter Dambach, Michael Marx
{"title":"Contact Tracing Different Age Groups During the COVID-19 Pandemic: Retrospective Study From South-West Germany.","authors":"Christopher Michael Dyer, Alexandra-Teodora Negoescu, Matthias Borchert, Christoph Harter, Anne Kühn, Peter Dambach, Michael Marx","doi":"10.2196/54578","DOIUrl":"10.2196/54578","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Contact tracing was implemented in many countries during the COVID-19 pandemic to prevent disease spread, reduce mortality, and avoid overburdening health care systems. In several countries, including Germany, new systems were needed to trace potentially infected individuals.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;Using data collected in the Rhine-Neckar and Heidelberg (RNK/HD) districts in southwest Germany (population: 706,974), this study examines the overall effectiveness and efficiency of contact tracing in different age groups and stages of the pandemic.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;From January 27, 2020, to April 30, 2022, the RNK/HD Health Authority collected data on COVID-19 infections, quarantines, and deaths. Data on infection, quarantine, and death was grouped by age (young: 0-19 years; adult: 20-65 years; and senior citizens: &gt;65 years) and pandemic phase (infectious wave plus subsequent lull periods) and analyzed for proportion, risk, and relative risk (RR). The overall effectiveness and efficiency of contact tracing were determined by calculating quarantine sensitivity (proportion of the infected population captured in quarantine), positive predictive value (PPV; proportion of the quarantined population that was infected), and the weighted Fβ-score (combined predictive performance).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Of 706,974 persons living in RNK/HD during the study period, 192,175 (27.2%) tested positive for SARS-CoV-2, 74,810 (10.4%) were quarantined, and 932 (0.132%) died following infection. Compared with adults, the RR of infection was lower among senior citizens (0.401, 95% CI 0.395-0.407) and while initially lower for young people, was ultimately higher for young people across all 5 phases (first-phase RR 0.502, 95% CI 0.438-0.575; all phases RR 1.35, 95% CI 1.34-1.36). Of 932 COVID-19-associated deaths during the study period, 852 were senior citizens (91.4%), with no deaths reported among young people. Relative to adults, senior citizens had the lowest risk of quarantine (RR 0.436, 95% CI 0.424-0.448), while young people had the highest RR (2.94, 95% CI 2.90-2.98). The predictive performance of contact tracing was highest during the second and third phases of the pandemic (Fβ-score=0.272 and 0.338, respectively). In the second phase of the pandemic, 5810 of 16,814 COVID-19 infections were captured within a total quarantine population of 39,687 (sensitivity 34.6%; PPV 14.6%). In the third phase of the pandemic, 3492 of 8803 infections were captured within a total quarantine population of 16,462 (sensitivity 39.7%; PPV 21.2%).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The use of quarantine aligned with increasing risks of COVID-19 infection and death. High levels of quarantine sensitivity before the introduction of the vaccine show how contact tracing systems became increasingly effective at capturing and quarantining the infected population. High levels of PPV and Fβ-scores indicate, moreover, that c","PeriodicalId":74345,"journal":{"name":"Online journal of public health informatics","volume":"16 ","pages":"e54578"},"PeriodicalIF":0.0,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11558225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549408","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}
引用次数: 0
Data Analytics to Support Policy Making for Noncommunicable Diseases: Scoping Review. 支持非传染性疾病决策的数据分析:范围审查。
Online journal of public health informatics Pub Date : 2024-10-25 DOI: 10.2196/59906
Giorgos Dritsakis, Ioannis Gallos, Maria-Elisavet Psomiadi, Angelos Amditis, Dimitra Dionysiou
{"title":"Data Analytics to Support Policy Making for Noncommunicable Diseases: Scoping Review.","authors":"Giorgos Dritsakis, Ioannis Gallos, Maria-Elisavet Psomiadi, Angelos Amditis, Dimitra Dionysiou","doi":"10.2196/59906","DOIUrl":"10.2196/59906","url":null,"abstract":"<p><strong>Background: </strong>There is an emerging need for evidence-based approaches harnessing large amounts of health care data and novel technologies (such as artificial intelligence) to optimize public health policy making.</p><p><strong>Objective: </strong>The aim of this review was to explore the data analytics tools designed specifically for policy making in noncommunicable diseases (NCDs) and their implementation.</p><p><strong>Methods: </strong>A scoping review was conducted after searching the PubMed and IEEE databases for articles published in the last 10 years.</p><p><strong>Results: </strong>Nine articles that presented 7 data analytics tools designed to inform policy making for NCDs were reviewed. The tools incorporated descriptive and predictive analytics. Some tools were designed to include recommendations for decision support, but no pilot studies applying prescriptive analytics have been published. The tools were piloted with various conditions, with cancer being the least studied condition. Implementation of the tools included use cases, pilots, or evaluation workshops that involved policy makers. However, our findings demonstrate very limited real-world use of analytics by policy makers, which is in line with previous studies.</p><p><strong>Conclusions: </strong>Despite the availability of tools designed for different purposes and conditions, data analytics is not widely used to support policy making for NCDs. However, the review demonstrates the value and potential use of data analytics to support policy making. Based on the findings, we make suggestions for researchers developing digital tools to support public health policy making. The findings will also serve as input for the European Union-funded research project ONCODIR developing a policy analytics dashboard for the prevention of colorectal cancer as part of an integrated platform.</p>","PeriodicalId":74345,"journal":{"name":"Online journal of public health informatics","volume":"16 ","pages":"e59906"},"PeriodicalIF":0.0,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11549582/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514274","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}
引用次数: 0
Improving Vaccine Clinic Efficiency Through the CANImmunize Platform. 通过 CANImmunize 平台提高疫苗诊所的效率。
Online journal of public health informatics Pub Date : 2024-10-16 DOI: 10.2196/53226
Ananda Kuatsidzo, Kumanan Wilson, Sydney Ruller, Blake Daly, Roland Halil, Daniel Kobewka
{"title":"Improving Vaccine Clinic Efficiency Through the CANImmunize Platform.","authors":"Ananda Kuatsidzo, Kumanan Wilson, Sydney Ruller, Blake Daly, Roland Halil, Daniel Kobewka","doi":"10.2196/53226","DOIUrl":"10.2196/53226","url":null,"abstract":"<p><strong>Unlabelled: </strong>Our objective was to evaluate the CANImmunize digital solution and measure the impact on workflow and appointment booking at Bruyère Hospital.</p>","PeriodicalId":74345,"journal":{"name":"Online journal of public health informatics","volume":"16 ","pages":"e53226"},"PeriodicalIF":0.0,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482543","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}
引用次数: 0
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