首页 > 最新文献

Health Services Research and Managerial Epidemiology最新文献

英文 中文
Developing a Physical Activity Program for Mothers and Their Children at Risk for Diabetes. 为有糖尿病风险的母亲及其子女制定体育锻炼计划。
IF 1.5 Q3 HEALTH POLICY & SERVICES Pub Date : 2024-09-23 eCollection Date: 2024-01-01 DOI: 10.1177/23333928241284178
Susan J Andreae, Anna Lindberg, Thomas Casey, Kristen A Pickett

Objective: Despite growing numbers of initiatives designed to address increasing diabetes prevalence in the U.S., the need remains for effective programs. Because family history is a diabetes risk factor, family focused programs may be a potential strategy to improve the health of the entire family. We present the development process and pretest results of a lifestyle change program for rural-dwelling mothers at risk for diabetes and their children.

Methods: We completed semistructured interviews with mothers (N = 17) focusing on program content and activities. Findings informed program development by identifying specific barriers motivators and potential leverage points such as focusing on the intrinsic incentives of health activities. The resulting program was pretested with rural-dwelling mothers (N = 5) who completed program activities with their families and provided feedback via semistructured interviews. All interviews were audio-recorded, transcribed, and analyzed using thematic analysis.

Results: While pretest results showed that the program was generally acceptable and feasible, feedback was used to further refine the program. The revised program consists of 8 group sessions with family focused content around physical activity, healthy eating, and making connections while engaging in health activities. Between sessions, mothers tracked the family goals, activity levels, and mood, and documented barriers to discuss during the sessions.

Conclusions: Our development process engaged intended program users to codesign a program that focuses on wellness and intrinsic incentives of engaging in health-enhancing activities as a family. By providing strategies to change behaviors as a family, this program aims to improve the mother's health while developing healthy habits in their children.

目的:尽管美国有越来越多的举措旨在解决糖尿病发病率不断上升的问题,但对有效计划的需求依然存在。由于家族病史是糖尿病的一个风险因素,以家庭为重点的计划可能是改善整个家庭健康状况的潜在策略。我们介绍了针对农村高危母亲及其子女的生活方式改变计划的开发过程和预试验结果:方法:我们对母亲(17 人)进行了半结构式访谈,重点是计划内容和活动。访谈结果为计划的制定提供了依据,确定了具体的障碍激励因素和潜在的杠杆点,如关注健康活动的内在激励因素。在农村居住的母亲(N = 5)中对由此产生的计划进行了预先测试,这些母亲与家人一起完成了计划活动,并通过半结构化访谈提供了反馈意见。所有访谈都进行了录音、转录,并采用主题分析法进行了分析:结果:尽管预测试结果表明该计划总体上是可接受和可行的,但反馈意见被用来进一步完善该计划。修订后的计划包括 8 节小组课程,内容主要围绕体育锻炼、健康饮食以及在参与健康活动时建立联系。在课程间隙,母亲们会跟踪家庭目标、活动水平和情绪,并记录下课程中需要讨论的障碍:我们的开发过程让计划的预期用户参与到计划的编码设计中,该计划的重点是健康和作为一个家庭参与增进健康活动的内在动力。通过提供改变家庭行为的策略,该计划旨在改善母亲的健康状况,同时培养孩子的健康习惯。
{"title":"Developing a Physical Activity Program for Mothers and Their Children at Risk for Diabetes.","authors":"Susan J Andreae, Anna Lindberg, Thomas Casey, Kristen A Pickett","doi":"10.1177/23333928241284178","DOIUrl":"https://doi.org/10.1177/23333928241284178","url":null,"abstract":"<p><strong>Objective: </strong>Despite growing numbers of initiatives designed to address increasing diabetes prevalence in the U.S., the need remains for effective programs. Because family history is a diabetes risk factor, family focused programs may be a potential strategy to improve the health of the entire family. We present the development process and pretest results of a lifestyle change program for rural-dwelling mothers at risk for diabetes and their children.</p><p><strong>Methods: </strong>We completed semistructured interviews with mothers (<i>N</i> = 17) focusing on program content and activities. Findings informed program development by identifying specific barriers motivators and potential leverage points such as focusing on the intrinsic incentives of health activities. The resulting program was pretested with rural-dwelling mothers (<i>N</i> = 5) who completed program activities with their families and provided feedback via semistructured interviews. All interviews were audio-recorded, transcribed, and analyzed using thematic analysis.</p><p><strong>Results: </strong>While pretest results showed that the program was generally acceptable and feasible, feedback was used to further refine the program. The revised program consists of 8 group sessions with family focused content around physical activity, healthy eating, and making connections while engaging in health activities. Between sessions, mothers tracked the family goals, activity levels, and mood, and documented barriers to discuss during the sessions.</p><p><strong>Conclusions: </strong>Our development process engaged intended program users to codesign a program that focuses on wellness and intrinsic incentives of engaging in health-enhancing activities as a family. By providing strategies to change behaviors as a family, this program aims to improve the mother's health while developing healthy habits in their children.</p>","PeriodicalId":12951,"journal":{"name":"Health Services Research and Managerial Epidemiology","volume":"11 ","pages":"23333928241284178"},"PeriodicalIF":1.5,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11425785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142345573","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
Impact of the COVID-19 Pandemic on Healthcare Utilization among Medically Underserved Patients with Ambulatory Care Sensitive Conditions. COVID-19 大流行对医疗服务不足、患有非住院护理敏感疾病的患者使用医疗服务的影响。
IF 1.5 Q3 HEALTH POLICY & SERVICES Pub Date : 2024-09-19 eCollection Date: 2024-01-01 DOI: 10.1177/23333928241283367
Neale R Chumbler, Deborah O Ogunsanmi, Satya Surbhi

Introduction: This study aims to examine (1) the impact of the pandemic phases on overall and preventable hospitalizations and emergency department (ED) visits, and (2) the effect of the pandemic on these outcomes within subgroup populations including gender, race, patients' residence in health professional shortage areas (HPSA), and residence in a federal poverty level.

Study design: We used electronic medical record (EMR) data for the year 2019 and 2020 from a large health system predominantly serving medically underserved patients in the South. We used a difference-in-differences approach to examine changes in weekly rates of overall and preventable hospitalizations and ED visits in the pandemic phase 1 (Mid-March to June of 2020) and phase 2 (July-September of 2020) compared to the same period in 2019 after adjusting for weekly outcome rates in the baseline period (January to Mid-March of 2020) compared to the same period in 2019.

Results: The study sample included 1.4 million hospitalizations and ED encounters. In phase 1 of the pandemic, there were significant reductions in overall (-108) and preventable (-75.3) hospitalizations, and overall (-408) and preventable (-306) ED visits when compared to the same period in 2019. In phase 2 of the pandemic, there were significant reductions in overall (-60) and preventable (-43) hospitalizations and in overall (-360) and preventable (-258) ED visits as compared to 2019. We found greater reductions in ED visits, both overall and preventable, during the early pandemic phases among Black patients than among White patients. Similar patterns in the reduction of ED visits were found in Black versus White patients within subgroups of women, men, and those residing in a HPSA and low-income areas.

Discussion: Substantial reductions in utilization were observed in Black patients in comparison to white patients and these differences persisted among men, women, and those living in underserved and low-income areas.

简介:本研究旨在探讨:(1) 大流行阶段对总体住院率和可预防住院率以及急诊科(ED)就诊率的影响;(2) 大流行对包括性别、种族、患者居住在卫生专业人员短缺地区(HPSA)以及居住在联邦贫困水平在内的亚组人群中的这些结果的影响:我们使用了一家大型医疗系统 2019 年和 2020 年的电子病历(EMR)数据,该系统主要为南方医疗服务不足的患者提供服务。我们采用差分法研究了大流行病第一阶段(2020 年 3 月中旬至 6 月)和第二阶段(2020 年 7 月至 9 月)与 2019 年同期相比的每周总体住院率和可预防住院率以及急诊室就诊率的变化,并对基线期(2020 年 1 月至 3 月中旬)与 2019 年同期相比的每周结果率进行了调整:研究样本包括 140 万次住院和急诊就诊。在大流行的第 1 阶段,与 2019 年同期相比,住院总人数(-108 人)和可预防人数(-75.3 人)以及急诊室就诊总人数(-408 人)和可预防人数(-306 人)均显著减少。在大流行的第 2 阶段,与 2019 年相比,住院总人数(-60)和可预防人数(-43)以及急诊室就诊总人数(-360)和可预防人数(-258)均有显著减少。我们发现,与白人患者相比,黑人患者在大流行早期的急诊就诊率(包括总体就诊率和可预防就诊率)下降幅度更大。在女性、男性、居住在 HPSA 和低收入地区的亚群中,黑人与白人患者的急诊就诊次数减少情况相似:讨论:与白人患者相比,黑人患者的就诊率大幅下降,而在男性、女性以及居住在服务不足地区和低收入地区的患者中,这种差异依然存在。
{"title":"Impact of the COVID-19 Pandemic on Healthcare Utilization among Medically Underserved Patients with Ambulatory Care Sensitive Conditions.","authors":"Neale R Chumbler, Deborah O Ogunsanmi, Satya Surbhi","doi":"10.1177/23333928241283367","DOIUrl":"10.1177/23333928241283367","url":null,"abstract":"<p><strong>Introduction: </strong>This study aims to examine (1) the impact of the pandemic phases on overall and preventable hospitalizations and emergency department (ED) visits, and (2) the effect of the pandemic on these outcomes within subgroup populations including gender, race, patients' residence in health professional shortage areas (HPSA), and residence in a federal poverty level.</p><p><strong>Study design: </strong>We used electronic medical record (EMR) data for the year 2019 and 2020 from a large health system predominantly serving medically underserved patients in the South. We used a difference-in-differences approach to examine changes in weekly rates of overall and preventable hospitalizations and ED visits in the pandemic phase 1 (Mid-March to June of 2020) and phase 2 (July-September of 2020) compared to the same period in 2019 after adjusting for weekly outcome rates in the baseline period (January to Mid-March of 2020) compared to the same period in 2019.</p><p><strong>Results: </strong>The study sample included 1.4 million hospitalizations and ED encounters. In phase 1 of the pandemic, there were significant reductions in overall (-108) and preventable (-75.3) hospitalizations, and overall (-408) and preventable (-306) ED visits when compared to the same period in 2019. In phase 2 of the pandemic, there were significant reductions in overall (-60) and preventable (-43) hospitalizations and in overall (-360) and preventable (-258) ED visits as compared to 2019. We found greater reductions in ED visits, both overall and preventable, during the early pandemic phases among Black patients than among White patients. Similar patterns in the reduction of ED visits were found in Black versus White patients within subgroups of women, men, and those residing in a HPSA and low-income areas.</p><p><strong>Discussion: </strong>Substantial reductions in utilization were observed in Black patients in comparison to white patients and these differences persisted among men, women, and those living in underserved and low-income areas.</p>","PeriodicalId":12951,"journal":{"name":"Health Services Research and Managerial Epidemiology","volume":"11 ","pages":"23333928241283367"},"PeriodicalIF":1.5,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11418340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142307650","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
Need for an Artificial Intelligence-based Diabetes Care Management System in India and the United States. 印度和美国对基于人工智能的糖尿病护理管理系统的需求。
IF 1.5 Q3 HEALTH POLICY & SERVICES Pub Date : 2024-08-28 eCollection Date: 2024-01-01 DOI: 10.1177/23333928241275292
Veena Mayya, Rajesh N V P S Kandala, Varadraj Gurupur, Christian King, Giang T Vu, Thomas T H Wan

Objective: Diabetes mellitus is an important chronic disease that is prevalent around the world. Different countries and diverse cultures use varying approaches to dealing with this chronic condition. Also, with the advancement of computation and automated decision-making, many tools and technologies are now available to patients suffering from this disease. In this work, the investigators attempt to analyze approaches taken towards managing this illness in India and the United States.

Methods: In this work, the investigators have used available literature and data to compare the use of artificial intelligence in diabetes management.

Findings: The article provides key insights to comparison of diabetes management in terms of the nature of the healthcare system, availability, electronic health records, cultural factors, data privacy, affordability, and other important variables. Interestingly, variables such as quality of electronic health records, and cultural factors are key impediments in implementing an efficiency-driven management system for dealing with this chronic disease.

Conclusion: The article adds to the body of knowledge associated with the management of this disease, establishing a critical need for using artificial intelligence in diabetes care management.

目的:糖尿病是一种重要的慢性疾病,在世界各地普遍存在。不同的国家和不同的文化采用不同的方法来应对这种慢性疾病。此外,随着计算和自动决策技术的发展,现在有许多工具和技术可供糖尿病患者使用。在这项研究中,研究人员试图分析印度和美国管理这种疾病的方法:在这项工作中,研究人员利用现有的文献和数据,比较了人工智能在糖尿病管理中的应用:文章从医疗保健系统的性质、可用性、电子健康记录、文化因素、数据隐私、可负担性和其他重要变量等方面,对糖尿病管理的比较提供了重要见解。有趣的是,电子健康记录的质量和文化因素等变量是实施以效率为导向的慢性病管理系统的主要障碍:这篇文章丰富了与糖尿病管理相关的知识,确定了在糖尿病护理管理中使用人工智能的关键需求。
{"title":"Need for an Artificial Intelligence-based Diabetes Care Management System in India and the United States.","authors":"Veena Mayya, Rajesh N V P S Kandala, Varadraj Gurupur, Christian King, Giang T Vu, Thomas T H Wan","doi":"10.1177/23333928241275292","DOIUrl":"https://doi.org/10.1177/23333928241275292","url":null,"abstract":"<p><strong>Objective: </strong>Diabetes mellitus is an important chronic disease that is prevalent around the world. Different countries and diverse cultures use varying approaches to dealing with this chronic condition. Also, with the advancement of computation and automated decision-making, many tools and technologies are now available to patients suffering from this disease. In this work, the investigators attempt to analyze approaches taken towards managing this illness in India and the United States.</p><p><strong>Methods: </strong>In this work, the investigators have used available literature and data to compare the use of artificial intelligence in diabetes management.</p><p><strong>Findings: </strong>The article provides key insights to comparison of diabetes management in terms of the nature of the healthcare system, availability, electronic health records, cultural factors, data privacy, affordability, and other important variables. Interestingly, variables such as quality of electronic health records, and cultural factors are key impediments in implementing an efficiency-driven management system for dealing with this chronic disease.</p><p><strong>Conclusion: </strong>The article adds to the body of knowledge associated with the management of this disease, establishing a critical need for using artificial intelligence in diabetes care management.</p>","PeriodicalId":12951,"journal":{"name":"Health Services Research and Managerial Epidemiology","volume":"11 ","pages":"23333928241275292"},"PeriodicalIF":1.5,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11359439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142106874","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
Patient Opportunities to Self-Schedule in a Large Multisite, Multispecialty Medical Practice: Program Description and Uptake of 7 Unique Processes for Patients to Successfully Self-Schedule (and Reschedule) Their Medical Appointments. 大型多地点、多专科医疗机构的患者自助预约机会:患者成功自行安排(和重新安排)就诊时间的 7 个独特流程的计划说明和使用情况。
IF 1.5 Q3 HEALTH POLICY & SERVICES Pub Date : 2024-08-23 eCollection Date: 2024-01-01 DOI: 10.1177/23333928241271933
Frederick North, Rebecca Buss, Elissa M Nelson, Matthew C Thompson, Jennifer Pecina, Brian A Crum

Introduction: Patient self-scheduling of medical appointments is becoming more common in many medical institutions. However, the complexity of scheduling multiple specialties, following scheduling guidelines, and managing appointment access requires a variety of processes for a diverse inventory of self-schedulable appointment types.

Methods: From 7 unique patient self-scheduling methods, we captured counts of successfully self-scheduled and completed appointments. A process map was created to show the paths of 5 different primary self-scheduling processes (new appointment self-scheduling) and 2 secondary self-scheduling processes (existing appointment self-rescheduling).

Results: There were 7 unique processes that led to 733,651 successfully self-scheduled completed visits from January 1 to December 31, 2023 at a multisite, multispecialty clinic. The self-scheduling processes consisted of the following: (1) Ticket offer (appointment "ticket" offers for specific visits generated by a provider order or system rules), the software "ticket" sent to the patient permits "admission" to self-schedule calendar templates (341,591 uses, 46.6%); (2) direct self-scheduled visit for prequalified visit types (203,593 uses, 27.6%); (3) self-reschedule option (patient option to reschedule existing appointment, 79,706 uses, 10.9%); (4) new patient self-scheduled visit via clinic website (does not require portal access, 54,367 uses, 7.4%). (5) automated waitlist self-rescheduled visit (38,649 uses, 5.3%); (6) automated waitlist self-scheduled visit of previously unscheduled visit (10,939 uses, 1.5%); and (7) self-triage self-scheduled visit (4806 uses, 0.7%).

Conclusion: The processes for self-scheduling are expanding. Our multispecialty clinic has implemented 7 different processes to help patients successfully self-schedule medical appointments. Some of the processes occur before initial scheduling (such as self-triage), and some are implemented after successful scheduling has already occurred (self-rescheduling option and self-rescheduling aided by an automated waitlist). Continued research is needed to look for measures of success beyond the ability to complete a self-scheduled visit, including the accuracy of the booking (right provider, location, and length of visit).

简介在许多医疗机构,病人自行安排医疗预约越来越普遍。然而,安排多个专科、遵循安排指南以及管理预约访问的复杂性要求对各种可自行安排的预约类型进行不同的处理:方法:我们从 7 种独特的患者自助排期方法中获取了成功自助排期和完成预约的次数。我们绘制了一张流程图,以显示 5 个不同的主要自行安排流程(新预约自行安排)和 2 个辅助自行安排流程(现有预约自行安排)的路径:结果:从 2023 年 1 月 1 日至 12 月 31 日,在一家多地点、多专科诊所中,共有 7 个独特的流程导致 733 651 人次成功完成了自主预约就诊。自助预约流程包括以下内容:(1) 票据提议(由医疗服务提供者订单或系统规则生成的特定就诊预约 "票据 "提议),发送给患者的软件 "票据 "允许 "入场 "自行安排日历模板(341,591 次使用,占 46.6%);(2) 对预审合格的就诊类型直接进行自我预约就诊(203,593 次使用,27.6%);(3) 自我重新安排选项(患者可选择重新安排现有预约,79,706 次使用,10.9%);(4) 新患者通过诊所网站进行自我预约就诊(不需要访问门户网站,54,367 次使用,7.4%)。(5)自动等待名单自行排期就诊(38649 次,5.3%);(6)自动等待名单自行排期之前未排期的就诊(10939 次,1.5%);(7)自行分流自行排期就诊(4806 次,0.7%):结论:自我安排就诊的流程正在不断扩大。我们的多专科诊所已经实施了 7 种不同的流程,帮助患者成功自助预约就诊。其中一些流程发生在首次预约之前(如自我分诊),而另一些流程则是在成功预约之后实施的(自我重新安排选项和在自动候诊名单辅助下的自我重新安排)。需要继续开展研究,以寻找除完成自助预约就诊能力之外的成功衡量标准,包括预约的准确性(正确的医疗服务提供者、地点和就诊时间)。
{"title":"Patient Opportunities to Self-Schedule in a Large Multisite, Multispecialty Medical Practice: Program Description and Uptake of 7 Unique Processes for Patients to Successfully Self-Schedule (and Reschedule) Their Medical Appointments.","authors":"Frederick North, Rebecca Buss, Elissa M Nelson, Matthew C Thompson, Jennifer Pecina, Brian A Crum","doi":"10.1177/23333928241271933","DOIUrl":"10.1177/23333928241271933","url":null,"abstract":"<p><strong>Introduction: </strong>Patient self-scheduling of medical appointments is becoming more common in many medical institutions. However, the complexity of scheduling multiple specialties, following scheduling guidelines, and managing appointment access requires a variety of processes for a diverse inventory of self-schedulable appointment types.</p><p><strong>Methods: </strong>From 7 unique patient self-scheduling methods, we captured counts of successfully self-scheduled and completed appointments. A process map was created to show the paths of 5 different primary self-scheduling processes (new appointment self-scheduling) and 2 secondary self-scheduling processes (existing appointment self-rescheduling).</p><p><strong>Results: </strong>There were 7 unique processes that led to 733,651 successfully self-scheduled completed visits from January 1 to December 31, 2023 at a multisite, multispecialty clinic. The self-scheduling processes consisted of the following: (1) Ticket offer (appointment \"ticket\" offers for specific visits generated by a provider order or system rules), the software \"ticket\" sent to the patient permits \"admission\" to self-schedule calendar templates (341,591 uses, 46.6%); (2) direct self-scheduled visit for prequalified visit types (203,593 uses, 27.6%); (3) self-reschedule option (patient option to reschedule existing appointment, 79,706 uses, 10.9%); (4) new patient self-scheduled visit via clinic website (does not require portal access, 54,367 uses, 7.4%). (5) automated waitlist self-rescheduled visit (38,649 uses, 5.3%); (6) automated waitlist self-scheduled visit of previously unscheduled visit (10,939 uses, 1.5%); and (7) self-triage self-scheduled visit (4806 uses, 0.7%).</p><p><strong>Conclusion: </strong>The processes for self-scheduling are expanding. Our multispecialty clinic has implemented 7 different processes to help patients successfully self-schedule medical appointments. Some of the processes occur before initial scheduling (such as self-triage), and some are implemented after successful scheduling has already occurred (self-rescheduling option and self-rescheduling aided by an automated waitlist). Continued research is needed to look for measures of success beyond the ability to complete a self-scheduled visit, including the accuracy of the booking (right provider, location, and length of visit).</p>","PeriodicalId":12951,"journal":{"name":"Health Services Research and Managerial Epidemiology","volume":"11 ","pages":"23333928241271933"},"PeriodicalIF":1.5,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11342323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142055415","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
Analysis of Determinants of Stunting and Identifications of Stunting Risk Profiles Among Under 2-Year-Old Children in Ethiopia. A Latent Class Analysis. 埃塞俄比亚两岁以下儿童发育迟缓决定因素分析及发育迟缓风险特征识别。潜类分析。
IF 1.5 Q3 HEALTH POLICY & SERVICES Pub Date : 2024-08-16 eCollection Date: 2024-01-01 DOI: 10.1177/23333928241271921
Anteneh Fikrie, Berhanu Adula, Jitu Beka, Dejene Hailu, Cheru Atsmegiorgis Kitabo, Mark Spigt

Background: Childhood stunting has a long-term impact on cognitive development and overall well-being. Understanding varying stunting profiles is crucial for targeted interventions and effective policy-making. Therefore, our study aimed to identify the determinants and stunting risk profiles among 2-year-old children in Ethiopia.

Methods and materials: A cross-sectional study was conducted on 395 mother-child pairs attending selected public health centers for growth monitoring and promotion under 5 outpatient departments and immunization services. The data were collected by face-to-face interviews, with the anthropometric data collected using the procedure stipulated by the World Health Organization. The data were entered using Epi Data version 4.6 and exported to STATA 16 and Jamovi version 2.3.28 for analysis. Bayesian logistic regression analysis was conducted to identify potential factors of stunting. Likewise, lifecycle assessment analysis (LCA) was used to examine the heterogeneity of the magnitude of stunting.

Results: The overall prevalence of stunting in children under 24 months was 47.34% (95% confidence interval (CI): 42.44-52.29%). The LCA identified 3 distinct risk profiles. The first profile is Class 1, which is labeled as low-risk, comprised 23.8% of the children, and had the lowest prevalence of stunting (23.4%). This group characterized as having a lower risk to stunting. The second profile is Class 2, which is identified as high-risk, comprised 47.1%, and had a high prevalence of stunting (66.7%), indicating a higher susceptibility to stunting compared to Class 1. The third profile is Class 3, which is categorized as mixed-risk and had a moderate stunting prevalence of 35.7%, indicating a complex interplay of factors contributing to stunting.

Conclusion: Our study identified 3 distinct risk profiles for stunting in young children. A substantial amount (almost half) is in the high-risk category, where stunting is far more common. The identification of stunting profiles necessitates considering heterogeneity in risk factors in interventions. Healthcare practitioners should screen, provide nutrition counseling, and promote breastfeeding. Policymakers should strengthen social safety nets and support primary education.

背景:儿童发育迟缓会对认知发展和整体福祉产生长期影响。了解不同的发育迟缓状况对于采取有针对性的干预措施和制定有效的政策至关重要。因此,我们的研究旨在确定埃塞俄比亚 2 岁儿童发育迟缓的决定因素和风险特征:我们对 395 对母子进行了横断面研究,这些母子都曾到选定的公共卫生中心接受生长监测和促进 5 岁以下儿童门诊和免疫接种服务。数据通过面对面访谈收集,人体测量数据按照世界卫生组织规定的程序收集。数据使用 Epi Data 4.6 版输入,并导出到 STATA 16 和 Jamovi 2.3.28 版进行分析。贝叶斯逻辑回归分析用于确定导致发育迟缓的潜在因素。同样,生命周期评估分析(LCA)也用于研究发育迟缓程度的异质性:结果:24 个月以下儿童发育迟缓的总发生率为 47.34%(95% 置信区间:42.44-52.29%)。LCA 确定了三种不同的风险状况。第一类被称为低风险,占儿童总数的 23.8%,发育迟缓发生率最低(23.4%)。这组儿童发育迟缓的风险较低。第二类是高风险的第 2 类,占 47.1%,发育迟缓发生率高(66.7%),表明与第 1 类相比,发育迟缓的易感性更高。第三种情况是第 3 类,被归类为混合风险,发育迟缓发生率为 35.7%,属于中等水平,表明导致发育迟缓的各种因素之间存在复杂的相互作用:我们的研究发现了幼儿发育迟缓的三种不同风险状况。相当一部分(近一半)属于高风险类别,发育迟缓在这一类别中更为常见。要确定发育迟缓的特征,就必须在干预措施中考虑风险因素的异质性。医疗保健从业人员应进行筛查、提供营养咨询并推广母乳喂养。政策制定者应加强社会安全网并支持初等教育。
{"title":"Analysis of Determinants of Stunting and Identifications of Stunting Risk Profiles Among Under 2-Year-Old Children in Ethiopia. A Latent Class Analysis.","authors":"Anteneh Fikrie, Berhanu Adula, Jitu Beka, Dejene Hailu, Cheru Atsmegiorgis Kitabo, Mark Spigt","doi":"10.1177/23333928241271921","DOIUrl":"10.1177/23333928241271921","url":null,"abstract":"<p><strong>Background: </strong>Childhood stunting has a long-term impact on cognitive development and overall well-being. Understanding varying stunting profiles is crucial for targeted interventions and effective policy-making. Therefore, our study aimed to identify the determinants and stunting risk profiles among 2-year-old children in Ethiopia.</p><p><strong>Methods and materials: </strong>A cross-sectional study was conducted on 395 mother-child pairs attending selected public health centers for growth monitoring and promotion under 5 outpatient departments and immunization services. The data were collected by face-to-face interviews, with the anthropometric data collected using the procedure stipulated by the World Health Organization. The data were entered using Epi Data version 4.6 and exported to STATA 16 and Jamovi version 2.3.28 for analysis. Bayesian logistic regression analysis was conducted to identify potential factors of stunting. Likewise, lifecycle assessment analysis (LCA) was used to examine the heterogeneity of the magnitude of stunting.</p><p><strong>Results: </strong>The overall prevalence of stunting in children under 24 months was 47.34% (95% confidence interval (CI): 42.44-52.29%). The LCA identified 3 distinct risk profiles. The first profile is <b>Class 1</b>, which is labeled as low-risk, comprised 23.8% of the children, and had the lowest prevalence of stunting (23.4%). This group characterized as having a lower risk to stunting. The second profile is <b>Class 2</b>, which is identified as high-risk, comprised 47.1%, and had a high prevalence of stunting (66.7%), indicating a higher susceptibility to stunting compared to Class 1. The third profile is <b>Class 3</b>, which is categorized as mixed-risk and had a moderate stunting prevalence of 35.7%, indicating a complex interplay of factors contributing to stunting.</p><p><strong>Conclusion: </strong>Our study identified 3 distinct risk profiles for stunting in young children. A substantial amount (almost half) is in the high-risk category, where stunting is far more common. The identification of stunting profiles necessitates considering heterogeneity in risk factors in interventions. Healthcare practitioners should screen, provide nutrition counseling, and promote breastfeeding. Policymakers should strengthen social safety nets and support primary education.</p>","PeriodicalId":12951,"journal":{"name":"Health Services Research and Managerial Epidemiology","volume":"11 ","pages":"23333928241271921"},"PeriodicalIF":1.5,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11329923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141999747","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
Empowering Agricultural Workers Through Community Health Worker-Led Pesticide Safety Workshops in Washington State. 通过在华盛顿州举办由社区卫生工作者主导的农药安全研讨会,增强农业工人的能力。
IF 1.5 Q3 HEALTH POLICY & SERVICES Pub Date : 2024-08-07 eCollection Date: 2024-01-01 DOI: 10.1177/23333928241271961
Ileana María Ponce-González, Griselda Arias, Elmer Diaz, Michael L Parchman

Background: It is difficult to reach migrant or refugee agricultural workers about pesticide exposure prevention. Here, we describe a community health worker (CHW)-led pesticide exposure prevention workshop and the impact of this program among migrant and refugee workers in Washington state.

Methods: A focus group of migrants and refugees participated in the development of a CHW-led Spanish language pesticide exposure prevention mobile phone app and workshop. Pre- and post-workshop surveys assessed pesticide training, knowledge, and characteristics.

Results: Community health workers facilitated 28 workshops attended by 263 participants from 49 agricultural communities. Approximately 79% of participants reported no prior pesticide training. Significant improvements were observed in the proportion familiar with illnesses associated with pesticides, knowledge about pesticide definition, ability to correctly identify the content of pesticide labels, and the correct method to wash fruits and vegetables.

Conclusions: Community health workers are effective in addressing the gaps in pesticide safety education and awareness among migrant and refugee communities. Further work is needed to assess how to better integrate a mobile phone app into this training and subsequent use of the knowledge.

背景:很难向移民或难民农业工人宣传农药暴露预防知识。在此,我们介绍了由社区保健员(CHW)主导的农药暴露预防研讨会,以及该项目在华盛顿州移民和难民工人中产生的影响:一个由移民和难民组成的焦点小组参与了由社区保健员主导的西班牙语农药暴露预防手机应用和研讨会的开发。工作坊前后的调查评估了农药培训、知识和特征:结果:社区保健工作者协助举办了 28 期讲习班,来自 49 个农业社区的 263 人参加了讲习班。约有 79% 的参与者表示此前未接受过农药培训。在熟悉与农药相关疾病的比例、农药定义知识、正确识别农药标签内容的能力以及清洗水果和蔬菜的正确方法等方面都有显著提高:结论:社区卫生工作人员能够有效地弥补移民和难民社区在农药安全教育和意识方面的不足。还需要进一步开展工作,评估如何更好地将手机应用融入到培训和知识的后续使用中。
{"title":"Empowering Agricultural Workers Through Community Health Worker-Led Pesticide Safety Workshops in Washington State.","authors":"Ileana María Ponce-González, Griselda Arias, Elmer Diaz, Michael L Parchman","doi":"10.1177/23333928241271961","DOIUrl":"10.1177/23333928241271961","url":null,"abstract":"<p><strong>Background: </strong>It is difficult to reach migrant or refugee agricultural workers about pesticide exposure prevention. Here, we describe a community health worker (CHW)-led pesticide exposure prevention workshop and the impact of this program among migrant and refugee workers in Washington state.</p><p><strong>Methods: </strong>A focus group of migrants and refugees participated in the development of a CHW-led Spanish language pesticide exposure prevention mobile phone app and workshop. Pre- and post-workshop surveys assessed pesticide training, knowledge, and characteristics.</p><p><strong>Results: </strong>Community health workers facilitated 28 workshops attended by 263 participants from 49 agricultural communities. Approximately 79% of participants reported no prior pesticide training. Significant improvements were observed in the proportion familiar with illnesses associated with pesticides, knowledge about pesticide definition, ability to correctly identify the content of pesticide labels, and the correct method to wash fruits and vegetables.</p><p><strong>Conclusions: </strong>Community health workers are effective in addressing the gaps in pesticide safety education and awareness among migrant and refugee communities. Further work is needed to assess how to better integrate a mobile phone app into this training and subsequent use of the knowledge.</p>","PeriodicalId":12951,"journal":{"name":"Health Services Research and Managerial Epidemiology","volume":"11 ","pages":"23333928241271961"},"PeriodicalIF":1.5,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11307349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141906363","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
Applying Market Basket Analysis to Determine Complex Coassociations Among Food Allergens in Children With Food Protein-Induced Enterocolitis Syndrome (FPIES). 应用市场篮子分析法确定食物蛋白诱发小肠结肠炎综合征(FPIES)患儿食物过敏原之间的复杂共轭关系。
IF 1.5 Q3 HEALTH POLICY & SERVICES Pub Date : 2024-07-25 eCollection Date: 2024-01-01 DOI: 10.1177/23333928241264020
Ankona Banerjee, Kenneth Nobleza, Cynthia Haddad, Joshua Eubanks, Ruchit Rana, Nicholas L Rider, Lisa Pompeii, Duc Nguyen, Sara Anvari

Background: Food protein-induced enterocolitis syndrome (FPIES) is a non-IgE-mediated food allergy, characterized by delayed onset of repetitive vomiting occurring 1 to 4 h following ingestion of a food allergen. Managing FPIES requires strict avoidance of the food trigger. The concern with FPIES is determining the risk of another FPIES food trigger reaction due to potential coassociations with other foods or food groups. An effective statistical approach for analyzing FPIES-related data is essential to identify common coallergens and their associations.

Methods: This study employed Market Basket Analysis, a data-mining technique, to examine correlations and patterns among allergens in FPIES patients at a Houston, Texas, pediatric tertiary center. A retrospective analysis of electronic medical records from January 2018 to March 2022 for allergist diagnosed FPIES patients was conducted. The analysis utilized R software, specifically the "arules" and "arulesViz" packages, implementing the Apriori algorithm with set minimum support and confidence thresholds.

Results: The study included 210 FPIES cases over 4 years, with 112 patients reacting to one food trigger and 98 to more than one trigger. In the latter group, the 5 predominant triggers were cow's milk (45.9%), rice (31.6%), oats (30.6%), soy (22.4%), and avocado (19.4%). Market Basket Analysis identified significant associations between food categories, particularly between soy and dairy, egg and dairy, oat and dairy, rice and dairy, and avocado and dairy.

Conclusion: Market Basket Analysis proved effective in identifying patterns and associations in FPIES data. These insights are crucial for healthcare providers in formulating dietary recommendations for FPIES patients. This approach potentially enhances guidance on food introductions and avoidances, thereby improving management and the quality of life for those affected by FPIES.

背景:食物蛋白诱发的小肠结肠炎综合征(FPIES)是一种非 IgE 介导的食物过敏症,其特征是在摄入食物过敏原 1 到 4 小时后出现迟发性重复呕吐。治疗 FPIES 需要严格避免诱发食物。FPIES 的关注点在于确定由于与其他食物或食物组的潜在共生关系而引发另一种 FPIES 食物诱发反应的风险。分析 FPIES 相关数据的有效统计方法对于确定常见的共过敏原及其关联性至关重要:本研究采用数据挖掘技术 "市场篮子分析"(Market Basket Analysis)来研究德克萨斯州休斯顿市一家儿科三级中心的 FPIES 患者的过敏原之间的相关性和模式。研究人员对 2018 年 1 月至 2022 年 3 月由过敏专科医生诊断的 FPIES 患者的电子病历进行了回顾性分析。分析使用了R软件,特别是 "arules "和 "arulesViz "软件包,采用Apriori算法,设定了最小支持度和置信度阈值:研究纳入了 210 例 FPIES 病例,历时 4 年,其中 112 例患者对一种食物诱发因素产生反应,98 例患者对一种以上诱发因素产生反应。在后一组患者中,5种主要诱发因素分别是牛奶(45.9%)、大米(31.6%)、燕麦(30.6%)、大豆(22.4%)和鳄梨(19.4%)。市场篮子分析确定了食品类别之间的重要关联,尤其是大豆与乳制品、鸡蛋与乳制品、燕麦与乳制品、大米与乳制品以及牛油果与乳制品之间的关联:事实证明,市场篮子分析能有效识别 FPIES 数据中的模式和关联。这些见解对于医疗服务提供者为 FPIES 患者制定饮食建议至关重要。这种方法有可能加强对食物引入和避免的指导,从而改善 FPIES 患者的管理和生活质量。
{"title":"Applying Market Basket Analysis to Determine Complex Coassociations Among Food Allergens in Children With Food Protein-Induced Enterocolitis Syndrome (FPIES).","authors":"Ankona Banerjee, Kenneth Nobleza, Cynthia Haddad, Joshua Eubanks, Ruchit Rana, Nicholas L Rider, Lisa Pompeii, Duc Nguyen, Sara Anvari","doi":"10.1177/23333928241264020","DOIUrl":"10.1177/23333928241264020","url":null,"abstract":"<p><strong>Background: </strong>Food protein-induced enterocolitis syndrome (FPIES) is a non-IgE-mediated food allergy, characterized by delayed onset of repetitive vomiting occurring 1 to 4 h following ingestion of a food allergen. Managing FPIES requires strict avoidance of the food trigger. The concern with FPIES is determining the risk of another FPIES food trigger reaction due to potential coassociations with other foods or food groups. An effective statistical approach for analyzing FPIES-related data is essential to identify common coallergens and their associations.</p><p><strong>Methods: </strong>This study employed Market Basket Analysis, a data-mining technique, to examine correlations and patterns among allergens in FPIES patients at a Houston, Texas, pediatric tertiary center. A retrospective analysis of electronic medical records from January 2018 to March 2022 for allergist diagnosed FPIES patients was conducted. The analysis utilized R software, specifically the \"arules\" and \"arulesViz\" packages, implementing the Apriori algorithm with set minimum support and confidence thresholds.</p><p><strong>Results: </strong>The study included 210 FPIES cases over 4 years, with 112 patients reacting to one food trigger and 98 to more than one trigger. In the latter group, the 5 predominant triggers were cow's milk (45.9%), rice (31.6%), oats (30.6%), soy (22.4%), and avocado (19.4%). Market Basket Analysis identified significant associations between food categories, particularly between soy and dairy, egg and dairy, oat and dairy, rice and dairy, and avocado and dairy.</p><p><strong>Conclusion: </strong>Market Basket Analysis proved effective in identifying patterns and associations in FPIES data. These insights are crucial for healthcare providers in formulating dietary recommendations for FPIES patients. This approach potentially enhances guidance on food introductions and avoidances, thereby improving management and the quality of life for those affected by FPIES.</p>","PeriodicalId":12951,"journal":{"name":"Health Services Research and Managerial Epidemiology","volume":"11 ","pages":"23333928241264020"},"PeriodicalIF":1.5,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11274009/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141787866","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
Patient Care During Ramadan: A Narrative Review. 斋月期间的病人护理:叙事回顾
IF 1.5 Q3 HEALTH POLICY & SERVICES Pub Date : 2024-07-21 eCollection Date: 2024-01-01 DOI: 10.1177/23333928241266041
M Nadir Bhuiyan, Rayya A Saadiq, Michael R Mueller, Ahmed D Abdalrhim, Joshua Overgaard

Ramadan is the Islamic holy month when Muslims around the world fast from dawn to sunset. This 30-day pattern of intermittent diurnal fasting can have a significant physiologic impact on the body. Importantly, oral intake is forbidden during this time, and many patients do not wish to take medications. From a clinical perspective, this potentially impacts healthcare delivery and chronic disease states. Despite these important changes, awareness of individual patient practices remains limited among healthcare providers in North America, which may worsen health disparities in Muslim patients. A fundamental understanding of the cultural and physiological implications of fasting during Ramadan can improve cultural competence and patient outcomes. In this paper, we review the physiologic changes during fasting, medical exemptions to fasting, and special considerations for the care of Muslim patients with chronic conditions who may fast during Ramadan.

斋月是伊斯兰教的神圣月份,世界各地的穆斯林从黎明到日落都要禁食。这种为期 30 天的间歇性昼夜禁食模式会对人体产生重大的生理影响。重要的是,在此期间禁止口服药物,许多患者也不希望服用药物。从临床角度来看,这可能会影响医疗服务和慢性疾病状态。尽管发生了这些重要的变化,但北美的医疗服务提供者对患者个人习惯的认识仍然有限,这可能会加剧穆斯林患者的健康差异。从根本上了解斋月期间禁食对文化和生理的影响,可以提高文化能力和患者的治疗效果。在本文中,我们将回顾斋戒期间的生理变化、斋戒的医学豁免以及在斋月期间为患有慢性疾病的穆斯林患者提供斋戒护理时的特别注意事项。
{"title":"Patient Care During Ramadan: A Narrative Review.","authors":"M Nadir Bhuiyan, Rayya A Saadiq, Michael R Mueller, Ahmed D Abdalrhim, Joshua Overgaard","doi":"10.1177/23333928241266041","DOIUrl":"https://doi.org/10.1177/23333928241266041","url":null,"abstract":"<p><p>Ramadan is the Islamic holy month when Muslims around the world fast from dawn to sunset. This 30-day pattern of intermittent diurnal fasting can have a significant physiologic impact on the body. Importantly, oral intake is forbidden during this time, and many patients do not wish to take medications. From a clinical perspective, this potentially impacts healthcare delivery and chronic disease states. Despite these important changes, awareness of individual patient practices remains limited among healthcare providers in North America, which may worsen health disparities in Muslim patients. A fundamental understanding of the cultural and physiological implications of fasting during Ramadan can improve cultural competence and patient outcomes. In this paper, we review the physiologic changes during fasting, medical exemptions to fasting, and special considerations for the care of Muslim patients with chronic conditions who may fast during Ramadan.</p>","PeriodicalId":12951,"journal":{"name":"Health Services Research and Managerial Epidemiology","volume":"11 ","pages":"23333928241266041"},"PeriodicalIF":1.5,"publicationDate":"2024-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11268016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141758382","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 Evaluation of the Trauma-Informed Care Provider Assessment Tool. 创伤知情护理提供者评估工具的心理计量学评估。
IF 1.6 Q3 HEALTH POLICY & SERVICES Pub Date : 2024-06-11 eCollection Date: 2024-01-01 DOI: 10.1177/23333928241258083
Carl L Hanson, Ali Crandall, M Lenneth B Novilla, Kaitlyn Tan Bird

The increasing recognition of adverse childhood experiences as a significant factor in adult health outcomes underscores the need for trauma-informed care (TIC) in healthcare settings. The purpose of this study was to assess the psychometric properties of the TIC Provider Assessment Tool (TIC-PAT) designed for primary care providers. The TIC-PAT aligns with the TIC Pyramid framework and assesses both universal trauma precautions and trauma-specific care. A total of 176 primary care providers in the United States completed the TIC-PAT through an anonymous online survey. Findings through exploratory and confirmatory factor analyses revealed a unidimensional (one-factor) model, consolidating questions into a concise 10-item measure. This study contributes an efficient assessment tool for the provision of TIC by primary care providers in healthcare settings, promoting better patient-provider interactions and enhancing provider awareness of trauma's impact on health.

越来越多的人认识到童年的不良经历是影响成人健康结果的一个重要因素,这凸显了在医疗机构中开展创伤知情护理(TIC)的必要性。本研究旨在评估为初级保健提供者设计的创伤知情护理提供者评估工具(TIC-PAT)的心理测量特性。TIC-PAT 与 TIC 金字塔框架相一致,同时评估通用创伤预防措施和特定创伤护理。美国共有 176 名初级医疗服务提供者通过匿名在线调查完成了 TIC-PAT。通过探索性和确认性因子分析发现了一个单维(单因子)模型,并将问题整合为一个简洁的 10 个项目的测量方法。这项研究为医疗机构中的初级保健提供者提供了一种有效的 TIC 评估工具,促进了患者与提供者之间更好的互动,并提高了提供者对创伤对健康影响的认识。
{"title":"Psychometric Evaluation of the Trauma-Informed Care Provider Assessment Tool.","authors":"Carl L Hanson, Ali Crandall, M Lenneth B Novilla, Kaitlyn Tan Bird","doi":"10.1177/23333928241258083","DOIUrl":"10.1177/23333928241258083","url":null,"abstract":"<p><p>The increasing recognition of adverse childhood experiences as a significant factor in adult health outcomes underscores the need for trauma-informed care (TIC) in healthcare settings. The purpose of this study was to assess the psychometric properties of the TIC Provider Assessment Tool (TIC-PAT) designed for primary care providers. The TIC-PAT aligns with the TIC Pyramid framework and assesses both universal trauma precautions and trauma-specific care. A total of 176 primary care providers in the United States completed the TIC-PAT through an anonymous online survey. Findings through exploratory and confirmatory factor analyses revealed a unidimensional (one-factor) model, consolidating questions into a concise 10-item measure. This study contributes an efficient assessment tool for the provision of TIC by primary care providers in healthcare settings, promoting better patient-provider interactions and enhancing provider awareness of trauma's impact on health.</p>","PeriodicalId":12951,"journal":{"name":"Health Services Research and Managerial Epidemiology","volume":"11 ","pages":"23333928241258083"},"PeriodicalIF":1.6,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11168040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141310625","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
Helicobacter Pylori Infection Among Patients Attending Bule Hora University Teaching Hospital, Ethiopia: Five-Year Trends. 埃塞俄比亚布勒霍拉大学教学医院就诊患者的幽门螺杆菌感染情况:五年趋势。
IF 1.6 Q3 HEALTH POLICY & SERVICES Pub Date : 2024-05-21 eCollection Date: 2024-01-01 DOI: 10.1177/23333928241253684
Girma Ashenafi, Alqeer Aliyo, Dangamyelew Tilahun, Tibeso Gemechu, Wako Dedecha, Oliyad Husen, Biruk Sisay

Background: Around half of the world's population is infected with Helicobacter pylori (H. pylori), according to data from a recent systematic review. H. pylori infection is extremely common around the world. It is the most prevalent disease in Ethiopia and contributes to both morbidity and mortality. Patients with gastritis, peptic ulcers, and stomach cancer have been reported to harbor H. pylori.

Objective: The aim of this study was to determine the trends of Helicobacter Pylori infection among patients attending the Bule Hora University Teaching Hospital from 2018-2022, Bule Hora, Ethiopia.

Method: A hospital-based retrospective study design was conducted to recruit 314 sampled data from the logbook, which were five-year data (2018-2022) from the Bule Hora University Teaching Hospitals. Data were extracted using structured checklists. The sample size was calculated using the single-population proportion formula. Study participants were selected using a systematic random sampling technique. Data were entered in EpiData 4.6 and exported to SPSS Version 26 for analysis.

Results: Approximately 314 complete data from selected participants were collected and evaluated for the present study. The mean age was 29.01 (SD ± 4.93). Most of the respondents (39.2%) were in the age group of 21 to 30 years. The general prevalence of H. pylori observed in this study is 28% (95% confidence interval [CI], 23-32.9). The prevalence was higher in women (71.6%) than in men (28.4%). In terms of age category, those over 60 years of age were observed with the highest positiveness for H. pylori with 38.1% and the trend of H. pylori prevalence fluctuated from 2018 to 2022.

Conclusion: In total, 28% of the study participants had H. pylori, but there was variation in the prevalence of H. pylori infection between 2018 and 2022. Compared to other age groups, the 60-year-old age group had a higher prevalence of H. pylori and this prevalence continued to increase annually. The concerned parties must be interested in raising awareness and establishing criteria for the eradication of these bacteria.

背景:根据最近一项系统综述的数据,全球约有一半人口感染了幽门螺旋杆菌(H. pylori)。幽门螺杆菌感染在全球极为常见。在埃塞俄比亚,幽门螺杆菌感染是发病率和死亡率最高的疾病。据报道,胃炎、消化性溃疡和胃癌患者体内都有幽门螺杆菌:本研究旨在确定埃塞俄比亚布勒霍拉市布勒霍拉大学教学医院 2018-2022 年就诊患者中幽门螺杆菌感染的趋势:采用以医院为基础的回顾性研究设计,从日志中收集了314份抽样数据,这些数据来自布勒霍拉大学教学医院的五年数据(2018-2022年)。数据采用结构化核对表提取。样本量采用单一人口比例公式计算。研究参与者采用系统随机抽样技术选出。数据输入 EpiData 4.6,并导出到 SPSS 26 版进行分析:本研究共收集并评估了约 314 名被选参与者的完整数据。平均年龄为 29.01 岁(标准差 ± 4.93)。大多数受访者(39.2%)的年龄在 21 至 30 岁之间。本研究中观察到的幽门螺杆菌普遍感染率为 28%(95% 置信区间 [CI],23-32.9)。女性的发病率(71.6%)高于男性(28.4%)。从年龄类别来看,60 岁以上人群的幽门螺杆菌阳性率最高,为 38.1%,幽门螺杆菌感染率从 2018 年到 2022 年呈波动趋势:总共有 28% 的研究参与者感染了幽门螺杆菌,但在 2018 年至 2022 年期间,幽门螺杆菌感染率存在变化。与其他年龄组相比,60 岁年龄组的幽门螺杆菌感染率较高,且该感染率呈逐年上升趋势。有关方面必须有意识地提高人们的认识,并制定根除这些细菌的标准。
{"title":"Helicobacter Pylori Infection Among Patients Attending Bule Hora University Teaching Hospital, Ethiopia: Five-Year Trends.","authors":"Girma Ashenafi, Alqeer Aliyo, Dangamyelew Tilahun, Tibeso Gemechu, Wako Dedecha, Oliyad Husen, Biruk Sisay","doi":"10.1177/23333928241253684","DOIUrl":"10.1177/23333928241253684","url":null,"abstract":"<p><strong>Background: </strong>Around half of the world's population is infected with <i>Helicobacter pylori</i> (<i>H. pylori</i>), according to data from a recent systematic review. <i>H. pylori</i> infection is extremely common around the world. It is the most prevalent disease in Ethiopia and contributes to both morbidity and mortality. Patients with gastritis, peptic ulcers, and stomach cancer have been reported to harbor <i>H. pylori</i>.</p><p><strong>Objective: </strong>The aim of this study was to determine the trends of <i>Helicobacter Pylori</i> infection among patients attending the Bule Hora University Teaching Hospital from 2018-2022, Bule Hora, Ethiopia.</p><p><strong>Method: </strong>A hospital-based retrospective study design was conducted to recruit 314 sampled data from the logbook, which were five-year data (2018-2022) from the Bule Hora University Teaching Hospitals. Data were extracted using structured checklists. The sample size was calculated using the single-population proportion formula. Study participants were selected using a systematic random sampling technique. Data were entered in EpiData 4.6 and exported to SPSS Version 26 for analysis.</p><p><strong>Results: </strong>Approximately 314 complete data from selected participants were collected and evaluated for the present study. The mean age was 29.01 (SD ± 4.93). Most of the respondents (39.2%) were in the age group of 21 to 30 years. The general prevalence of <i>H. pylori</i> observed in this study is 28% (95% confidence interval [CI], 23-32.9). The prevalence was higher in women (71.6%) than in men (28.4%). In terms of age category, those over 60 years of age were observed with the highest positiveness for <i>H. pylori</i> with 38.1% and the trend of <i>H. pylori</i> prevalence fluctuated from 2018 to 2022.</p><p><strong>Conclusion: </strong>In total, 28% of the study participants had <i>H. pylori</i>, but there was variation in the prevalence of <i>H. pylori</i> infection between 2018 and 2022. Compared to other age groups, the 60-year-old age group had a higher prevalence of <i>H. pylori</i> and this prevalence continued to increase annually. The concerned parties must be interested in raising awareness and establishing criteria for the eradication of these bacteria.</p>","PeriodicalId":12951,"journal":{"name":"Health Services Research and Managerial Epidemiology","volume":"11 ","pages":"23333928241253684"},"PeriodicalIF":1.6,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11110529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141080527","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
期刊
Health Services Research and Managerial Epidemiology
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1