Journal of public health (Oxford, England)最新文献_第9页

State of multi-morbidity among adults in Cape Verde: findings from the 2020 WHO STEPS non-communicable disease survey. 佛得角成人多发病状况：2020年世卫组织STEPS非传染性疾病调查结果。

Journal of public health (Oxford, England) Pub Date : 2025-03-19 DOI: 10.1093/pubmed/fdaf031

Joshua Okyere, Castro Ayebeng, Kwamena Sekyi Dickson

{"title":"State of multi-morbidity among adults in Cape Verde: findings from the 2020 WHO STEPS non-communicable disease survey.","authors":"Joshua Okyere, Castro Ayebeng, Kwamena Sekyi Dickson","doi":"10.1093/pubmed/fdaf031","DOIUrl":"https://doi.org/10.1093/pubmed/fdaf031","url":null,"abstract":"Background: This study investigates the prevalence and factors associated with multi-morbidity in Cape Verde, where healthcare systems are traditionally focused on single diseases.Methods: Multi-morbidity was defined as having two or more conditions (i.e. hypertension, diabetes, and overweight/obesity). We analyzed the data of 1781 adults aged 18-69 who participated in the 2020 WHO STEPS survey. Cross-tabulations and logistic regression analyses were performed.Results: Overall, 17.9% of adults (95% confidence interval: 15.5-20.6) lived with multi-morbidity. Hypertension was more prevalent in men (37.2%), while diabetes and overweight/obesity were higher in women, at 5% and 57.4%, respectively. Rural residents had a higher prevalence of hypertension (30.6%), but urban areas showed greater rates of diabetes (4.4%) and overweight/obesity (50.7%). Women had 28% lower odds of multi-morbidity. Individuals aged 60 years and older showed higher odds of multi-morbidity. Participants with tertiary education and current smokers had significantly lower odds of multi-morbidity, while married individuals and urban residents exhibited higher odds.Conclusion: Older age, being married, and living in urban areas were associated with higher odds of multi-morbidity, while higher education and being a woman exhibited protective effects. These results underscore the need for a comprehensive approach in Cape Verde's healthcare system to address the growing burden of multi-morbidity.","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143660029","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}

引用次数: 0

Strategies to improve telehealth access for culturally and linguistically diverse communities: a systematic review. 改善文化和语言多样化社区远程保健服务的战略：系统审查。

Journal of public health (Oxford, England) Pub Date : 2025-03-19 DOI: 10.1093/pubmed/fdaf030

Victor M Gallegos-Rejas, Keshia R De Guzman, Jaimon T Kelly, Anthony C Smith, Emma E Thomas

{"title":"Strategies to improve telehealth access for culturally and linguistically diverse communities: a systematic review.","authors":"Victor M Gallegos-Rejas, Keshia R De Guzman, Jaimon T Kelly, Anthony C Smith, Emma E Thomas","doi":"10.1093/pubmed/fdaf030","DOIUrl":"https://doi.org/10.1093/pubmed/fdaf030","url":null,"abstract":"Aims: CaLD populations face considerable digital health inequities; strategies are needed to ensure telehealth models of care are available to all. We aimed to identify and describe interventions that enhance telehealth access for CaLD communities.Methods: We systematically searched four databases (PubMed, Scopus, Embase, and CINAHL). Included studies were published between 2011 and 2024 and reported on at least one of the outcomes described in the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) Framework. Two authors independently screened articles, solutions were synthesized qualitatively.Results: Twenty-seven articles were included in the review and primarily used videoconferencing as the predominant telehealth modality (n = 14, 52%). Five strategies were identified to promote telehealth use across CaLD communities including: (i) Provide bilingual options; (ii) Enhance staff cultural competence; (iii) Provide flexible adaptions to align with consumer needs; (iv) Supply technology and technological support; and (v) Involve digital health navigators and/or health educators.Conclusions: Culturally competent professionals supported by language services and technological support are strategies which can help improve equity of access to telehealth services for people from CaLD communities. Such strategies can support the implementation of practical solutions to overcome health inequities and prevent access gaps.","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665757","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}

引用次数: 0

Post-polio hospital admissions in Australia over a 10-year period: An observational study and analysis of trends by month, location, and comparable conditions. 澳大利亚小儿麻痹症后住院10年：按月、地点和可比条件的观察性研究和趋势分析

Journal of public health (Oxford, England) Pub Date : 2025-03-10 DOI: 10.1093/pubmed/fdaf029

Timothy J H Lathlean, Nigel Quadros, Akhilesh K Ramachandran, Michael J Jackson

{"title":"Post-polio hospital admissions in Australia over a 10-year period: An observational study and analysis of trends by month, location, and comparable conditions.","authors":"Timothy J H Lathlean, Nigel Quadros, Akhilesh K Ramachandran, Michael J Jackson","doi":"10.1093/pubmed/fdaf029","DOIUrl":"https://doi.org/10.1093/pubmed/fdaf029","url":null,"abstract":"Background: There is currently no precise estimate of post-polio conditions in Australia. This observational study aimed to provide a summary of hospitalisations over a 10-year period in Australia, with a specific focus on annual, monthly, and regional trends, as well as a comparison with four similar neurological conditions.Methods: A retrospective cohort study of late effects of polio and post-polio syndrome from 2011 to 2021. Primary data were obtained via a data-on-request process through the Australian Institute of Health and Welfare in 2022. Analysis was carried out according to Welch Analyses of Variance with Games-Howell post-Hoc tests using GraphPad PRISM and Stata Version 17.0.Results: There was a statistically significant decrease in the monthly hospitalisations over the 10-year period and months according to seasonal trends, and significant differences across geographical regions and regionality. Significant differences existed between the number of hospitalisations per 100 000 population across diagnostic codes (p < 0.01).Conclusions: Annual trends were identified from 2010 to 2021 for post-polio hospitalisations in Australia. This research improves the precision of estimates for post-polio conditions in Australia, and provides helpful information on where people are hospitalized in Australia. These estimates are internationally comparable and can inform clinicians and health service managers worldwide.","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588804","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}

引用次数: 0

Associations between neurodivergence, learning disabilities and metabolic syndrome risk: evidence from the Health Survey for England. 神经分化、学习障碍和代谢综合征风险之间的关系：来自英格兰健康调查的证据

Journal of public health (Oxford, England) Pub Date : 2025-03-08 DOI: 10.1093/pubmed/fdaf027

Nicola Shelton, Sofia Abdinor, Annemarie Lodder

{"title":"Associations between neurodivergence, learning disabilities and metabolic syndrome risk: evidence from the Health Survey for England.","authors":"Nicola Shelton, Sofia Abdinor, Annemarie Lodder","doi":"10.1093/pubmed/fdaf027","DOIUrl":"10.1093/pubmed/fdaf027","url":null,"abstract":"Background: A higher prevalence of metabolic syndrome conditions amongst individuals with learning disabilities is well established; however, there is mixed evidence for neurodivergent adults.Methods: Health Survey for England data 2016-19 were analysed. N = 32 390, 728 with neurodivergent conditions and 1419 with learning disabilities. Diabetes was self-reported and physician-diagnosed. Hypertension was assessed through blood pressure readings or reported medication use. Obesity and overweight were measured objectively. Covariates included age, sex and ethnicity and physical activity (2017-18 subsample).Results: An association between obesity and neurodivergence was found [relative risk ratio (RRR) = 1.64 95% CI = 1.54-1.76, P < 0.001]. The association with overweight was weaker. An association was found for diabetes (OR = 4.18, 95% CI = 3.82-4.57, P < 0.001) and hypertension (OR = 1.51, 95% CI = 1.40-1.64, P = < 0.001).An association was found between obesity and learning disabilities (RRR = 1.70, 95% CI = 1.42-2.04, P = < 0.001) but not overweight. An association was found for diabetes (OR = 2.39, 95% CI = 2.01-2.85, P < 0.001) and hypertension (OR = 1.24, 95% CI = 1.02-1.50, P < 0.001).Conclusion: To mitigate metabolic syndrome risk, both adapting annual health checks available to adults with learning disabilities and adapting National Health Service weight management plans, to include neurodivergent adults is recommended.","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143582421","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}

引用次数: 0

Optimizing school-based delivery of HPV and other routine vaccines for adolescents with disability in specialist schools in Victoria, Australia: a co-design study. 优化在澳大利亚维多利亚州专科学校为残疾青少年提供HPV和其他常规疫苗：一项共同设计研究。

Journal of public health (Oxford, England) Pub Date : 2025-03-07 DOI: 10.1093/pubmed/fdaf028

Jane Tuckerman, Yasmin Mohamed, Frances Justice, Tove Andersson, Kerryann Wyatt, Kate Broun, Alice Bastable, Jessica Kaufman, Margie Danchin

{"title":"Optimizing school-based delivery of HPV and other routine vaccines for adolescents with disability in specialist schools in Victoria, Australia: a co-design study.","authors":"Jane Tuckerman, Yasmin Mohamed, Frances Justice, Tove Andersson, Kerryann Wyatt, Kate Broun, Alice Bastable, Jessica Kaufman, Margie Danchin","doi":"10.1093/pubmed/fdaf028","DOIUrl":"https://doi.org/10.1093/pubmed/fdaf028","url":null,"abstract":"Aim: To co-design strategies to improve school-based immunization service delivery for adolescents with disability in Victoria, Australia.Subject and methods: Co-design workshops with 15 stakeholders from six Victorian specialist schools. In two workshops, participants discussed findings from previous interviews (n = 32) and defined immunization challenges. Investigators thematically analysed discussions, prioritized ideas and produced prototype interventions. In a third workshop, prototyped interventions were discussed to elicit preferences and feedback. An advisory group was consulted prior to strategy finalization.Results: Multiple opportunities were identified to improve vaccine service delivery for adolescents in the specialist school setting. A fundamental challenge was to improve accessibility of parent information about the school immunization program and the vaccination pathway. Developing information resources and education modules about vaccination day could enable schools to prepare students. Finally, developing and implementing a clear vaccination pathway from consent to post-vaccination, incorporating the capacity to cater to individual student needs, will optimize the vaccination experience for these students.Conclusion: This is the first study to co-design a proposed model of vaccine service delivery, with supporting resources, tailored to adolescents in special schools. Further work is needed to examine feasibility and acceptability of implementing and evaluating the service delivery model.","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574996","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}

引用次数: 0

Evaluation of a complex intervention: the Latch On randomized controlled trial of multicomponent breastfeeding support for women with a raised body mass index. 复杂干预措施的评估：针对体重指数升高妇女的多成分母乳喂养支持的 Latch On 随机对照试验。

Journal of public health (Oxford, England) Pub Date : 2025-02-28 DOI: 10.1093/pubmed/fdae282

Catherine McNestry, Anna Hobbins, Niamh Donnellan, Paddy Gillespie, Fionnuala M McAuliffe, Sharleen L O'Reilly

{"title":"Evaluation of a complex intervention: the Latch On randomized controlled trial of multicomponent breastfeeding support for women with a raised body mass index.","authors":"Catherine McNestry, Anna Hobbins, Niamh Donnellan, Paddy Gillespie, Fionnuala M McAuliffe, Sharleen L O'Reilly","doi":"10.1093/pubmed/fdae282","DOIUrl":"10.1093/pubmed/fdae282","url":null,"abstract":"Background: Latch On's objective was to achieve improved breastfeeding rates in women with raised body mass indices using a multicomponent breastfeeding support intervention.Methods: A hybrid type 1 implementation-effectiveness trial with mixed-methods process and health economics analyses were conducted. Data collection included stakeholder questionnaires, interviews, focus groups, fidelity data, participant and health system costs.Results: The intervention was delivered with fidelity but the high breastfeeding rates at 3 months were not different between intervention and usual care. Participants receiving the minimum intervention dose were more likely to initiate breastfeeding (P = 0.045) and be breastfeeding at hospital discharge (P = 0.01) compared with participants below the threshold. Participant exit interview themes highlighted the importance of improving breastfeeding support to women, the effect of COVID-19 on the breastfeeding experience, and found that the intervention improved the experience of establishing breastfeeding. The intervention cost €157 per participant, with no other cost difference between groups. Process analysis found that follow-up breastfeeding services continued in half of sites after study completion.Conclusions: This low-cost intervention resulted in a more enjoyable breastfeeding experience for participants and changed practice in some study sites. The intervention dose received may impact effectiveness, but further research is needed to provide definitive evidence of clinical and cost effectiveness.","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":"e116-e126"},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11879023/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635269","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

Chief medical officers in the United Kingdom: maintaining 'independence' inside government. 英国的医务长：在政府内部保持 "独立性"。

Journal of public health (Oxford, England) Pub Date : 2025-02-28 DOI: 10.1093/pubmed/fdae278

Katherine E Smith, Anna Macintyre, Margaret MacAulay, Patrick Fafard

{"title":"Chief medical officers in the United Kingdom: maintaining 'independence' inside government.","authors":"Katherine E Smith, Anna Macintyre, Margaret MacAulay, Patrick Fafard","doi":"10.1093/pubmed/fdae278","DOIUrl":"10.1093/pubmed/fdae278","url":null,"abstract":"Background: The Chief Medical Officer (CMO), one of the UK's most senior public health leadership roles, was crucial in supporting policymakers in responding to COVID-19. Yet, there exist only a handful of (largely historical) accounts of the role in England. This article is the first to empirically examine how the scope, focus and boundaries of the CMO role vary over time across the four UK nations, including during public health emergencies.Methods: We undertook semi-structured interviews with 10 current and former CMOs/Deputy CMOs in the four UK nations and analysed relevant documents.Findings: The CMO role is not clearly defined in contemporary UK legislation and is instead shaped by iterative policies, incumbent preferences, and organizational needs, leading to variation over time and between nations. Nonetheless, most participants framed the role as primarily providing 'independent' advice to government despite being senior civil servants who, in communicating with the public, sometimes speak 'on behalf' of government.Conclusions: The flexibility of UK CMO roles allows for responsive adaption but poses risks for how well these roles are understood. A potential tension between providing 'independent' policy advice and a need to publicly communicate government policies and guidelines may be exacerbated in emergency contexts.","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":"54-61"},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11879052/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549841","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

When tomorrow comes too late-the silent threat: why people delay needed medical care in Türkiye. 当明天姗姗来迟时--无声的威胁：土耳其人为何拖延所需的医疗护理？

Journal of public health (Oxford, England) Pub Date : 2025-02-28 DOI: 10.1093/pubmed/fdae309

Süleyman Utku Uzun, Merve Akın

{"title":"When tomorrow comes too late-the silent threat: why people delay needed medical care in Türkiye.","authors":"Süleyman Utku Uzun, Merve Akın","doi":"10.1093/pubmed/fdae309","DOIUrl":"10.1093/pubmed/fdae309","url":null,"abstract":"Background: Healthcare demand procrastination is a public health concern in Türkiye, with limited research available. This study examines the prevalence of healthcare procrastination and identifies associated factors among patients at Pamukkale University Hospital.Methods: This cross-sectional study was conducted from 2 to 13 February 2023 in Denizli and involved 503 patients from 15 outpatient clinics. Data on sociodemographic characteristics, healthcare utilization and procrastination behaviors were collected via a structured questionnaire, including the Healthcare Demand Procrastination Scale (HDPS). Descriptive statistics and linear regression were used for analysis.Results: The participants had a mean age of 41.46 years (±15.34), with 52.9% being female. A significant 77.3% reported delaying healthcare despite needing it. The primary reasons for delays were difficulty in getting appointments (51.5%), long waiting times (21.9%) and COVID-19 concerns (19.9%). The mean HDPS score was 2.29 ± 0.65, indicating moderate procrastination. Regression analysis revealed that younger age (≤35 years) and rural residence significantly predicted higher HDPS scores, whereas receiving health information from professionals was linked to lower procrastination.Conclusions: Healthcare procrastination is common among patients in Türkiye, particularly among younger individuals and rural residents. Improving healthcare accessibility, reducing wait times and implementing targeted interventions are essential to mitigate this issue and enhance health outcomes.","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":"45-53"},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824545","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}

引用次数: 0

Rethinking mental health interventions: leveraging resilience and targeted solutions to combat food insecurity in adults with obesity. 重新思考心理健康干预措施：利用复原力和有针对性的解决方案来消除肥胖成人的粮食不安全问题。

Journal of public health (Oxford, England) Pub Date : 2025-02-28 DOI: 10.1093/pubmed/fdae140

Jose Eric M Lacsa

引用次数: 0

Integrating Dayak Ngaju culture: cross-paradigm practices in community healthcare services. 整合达雅克-恩加朱文化：社区医疗保健服务中的跨范式实践。

Journal of public health (Oxford, England) Pub Date : 2025-02-28 DOI: 10.1093/pubmed/fdae107

Dony Apriatama, M Ramli, Nur Hidayah, Tutut Chusniyah, Iwan Pranoto

引用次数: 0